Specific Autoimmune Diseases

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Me and my husband have been doing the autoimmune protocol for about 5 days. I cry several times a day and feel sick when it’s time to eat. I’m hoping at this point that it is all worth it. I have acid reflux and oral lichen planus. My Husband had his gallbladder removed when he was 24 (young, thin, male – didn’t fit the profile of someone who would have problems), diagnosed with fatty liver when he was 29, and diagnosed with Primary Schlerosing Cholangitis when he was 34 or 35. He is now 37. I just ran across a post of yours on facebook that mentioned gallbladder disease and gluten sensitivity, which also mentioned PSC. So, we started the AIP. Have you known of anyone with PSC that showed improvement or at least avoided a liver transplant?

I’m not sure that I’ve seen any testimonials specific to PSC, but I do think the autoimmune protocol is absolutely the right choice. Do you have a functional medicine specialist who can help with micronutrient deficiency testing and food sensitivity testing? They would also be able to recommend botanicals or supplements specific liver support. I would start with the Paleo Physician’s Network and Primal Docs (you can also look at websites and see if anyone mentions Weston A Price Foundation philosophies). Good luck!

So interesting to find this. I’m 38 and was diagnosed with PSC and IBD 5 years ago. I’ve had gallbladder attacks for years too but they have now decided not to remove as they don’t know whether it would make the PSC situation better or worse. My colitis has been actively inflamed at least since diagnosis as I’m not happy taking the horrible drugs they recommend with my liver the way it is but haven’t been successful with diet thus far. I’ve been trying to decide whether to do this autoimmune protocol or whether SCD would be better?

Well, I clearly have a bias having spent the last year and a half researching how the foods we eat interact with the gut barrier and our immune system. I think the autoimmune protocol is a better approach.

I think the SCD Diet has merit as well and some people on the SCD modify to fit the autoimmune protocol very closely with either the same setup or a few differences. http://www.pecanbread.com gives a more comprehensive approach to SCD and explains why it sometimes doesn’t yield full results until modifications are made. I would research both and modify based on personal experiences with foods. That is what I am currently trying to do but has been very difficult as apparently I am by nature a cookievore.

Hello, I was diagnosed with Hashimoto’s Hypothyroidism several years ago. Yes, had antibodies in the blood. I basically went on a Paleo diet without even knowing it. All I ate was veggies, fruit and meat. No grains, sugars, nuts, dairy. After several years I weaned myself off the thyroid meds (can tell you more if you want), while testing blood samples. Eventually healed myself of something that Doctors said would/could never be done. A couple of years later, checked my blood for antibodies…none.

My husband has recently been diagnosed with Anklyosing Spondylitis. Do you think following the autoimmune protocol would be helpful? The doctors are prescribing NSAIDs for his pain, but that seems to go completely against the idea of healing the gut… anything you recommend for managing pain while trying to heal the gut?

Yes, I think the AIP would be helpful for your husband. Are you coming from paleo or a normal Western diet? If jumping right in seems too much, you could try standard paleo first and then work toward the AIP. It’s very challenging to find balance between pain management and gut healing for AS (or any very painful autoimmune disease). He could try talking to his doctor about other pain management options (although that will typically put you into opioid territory, which isn’t a whole lot better). He should still see improvement on a strict autoimmune protocol, even with NSAIDs. But, I would recommend staying on the AIP as long as he is still on NSAIDs. He would have to try and wean off NSAIDs and then give some time for his gut to fully heal before trying to add any foods back in. You might also look into low dose naltrexone (lots of information on chriskresser.com). I hope this helps!

Thanks for the suggestions. He has been living grain free for quite some time now. I think the next steps would be to cut out dairy and sugar and see how it goes for a couple of months and then go onto the AIP. I’ve spent quite a bit of time on your site over the past week or so and have been amazed by the huge varieties of AI diseases there are. I had no idea! I have had low level eczema for my entire life and it seems to have spread and become a bit worse during my last pregnancy (4th). Our daughter (age 3) has severe eczema… as a baby it would become leaky open wounds. Now it is just super rough irritated skin, especially after she’s had a bath and in the winter. I’m considering trying to transition the entire family to Paleo… I’m shaking in my boots at the thought, but thankful for you and others like you who have made the leap before me and have have lots of tips and advice. I’m becoming more and more convinced that this is the healthier alternative for everyone. Really really appreciate your site and the way you break down the whys and make them understandable for the rest of us. Hope you are having a restful, peaceful holiday season.

Ive transitioned our whole family of 6 and now it’s spreading outward to our extended family as everyone gets better from a wide array of ailments across the board living paleo – some of us have gone full AIP and the successes just keep coming – it’s worth it and as Sarah says – it’s only hard til it’s routine! In a couple months you’ll have new recipes down, a new shopping routine, and everything will fall into a new normal routine. You can do it – everyone benefits!!

I’m a new fan of the podcast and must say my results are astonishing…only one week into AIP.

I’m 7 days into AIP after a month of intermittent Paleo. My sense of smell, long ago lost, has returned. It’s a mixed blessing, but that’s not important now ;). I’ve gone down on my Advair dosage over the last 3 weeks and my asthma is under control. I’m a lifelong severe asthmatic (for most of my childhood I was on 60 mg of prednisone a day, slept in oxygen tents, and had to get the occasional mainline adrenaline shots when even that wouldn’t handle it) and I’ve had sinus surgery, so these developments are VERY hopeful.

What I’ve found is that I am not experiencing cravings at all. Also, I’m finding that I’m fasting intermittently without thinking about it. I am so sated and content with Paleo meals that the anxiety and whirlwind of cravings just LEFT. I felt a little like a chicken in Oklahoma, where they say, “When the wind stops blowing in Oklahoma, the chickens fall over,”. As a food addict and lifelong binger, I expected to get some significant cravings, but I feel as if I’m free of them at this point. I feel so cared for with Paleo, because I know that no matter what I’m craving, I can have some semblance of it, even on AIP. I can have sweet, creamy, salty, etc. So I have no anxiety about what I’ll be able to eat next. Plus, I just feel *nourished*.

I’m very much hoping that the periods of non-hunger are related to a healing metabolism; I’m hoping that it’s my body simply saying, “Nope, don’t need more food just now, got something to burn over here for now,”. I’m 40 pounds overweight, so I’d like to think that’s part of what I’m experiencing.

Thanks for recommending Practical Paleo. It’s an excellent guidebook. And thanks for your podcast. You guys inspire me!

Take care,

Hi – I’m new here and will be following along and learning all about this. I think it may help me. I suffer from rheumatoid arthritis, scleroderma (just a few spots on my legs so far), and raynauds. My dr also thinks my thyroid is involved – will get blood test results in a couple of weeks – do you think the Paleo diet can help me? Not one of the dr’s I’ve been too (in the 4 years since I’ve been diagnosed) has ever mentioned nutrition – just pharmaceuticals.

Thanks in advance for taking the time to answer this. I see you have narcolepsy listed specifically as an autoimmune disease. I can tell you that the health insurance companies don’t yet classify it as that, although they’re hardly on the leading edge of science! Do you know of anyone who specifically has narco and did the AIP? I’m almost done with a whole 30 and feel nominally different.

Hi I am very new to all of this and just heard about this last friday. I was diagnosed with a fatty liver in my early 20’s and then broke out with a horrible rash that no doctor could determine what it was for over 10 years. Just 2 years ago a dermotologist diagnosed me with a very rare TCell lymphoma called mycosis fungoides which is an autoimmune disease. I have undergone all kinds of treatments to light therapy to pills to creams and nothing seems to work. although it is only covering about 10% of my body it still makes me feel uncomfortable and I am wondering if this will work? and where do I begin? Thank you in advance.

Hello! I just came across your blog and I can’t stop reading it! I have Hashimoto’s Disease and I have alopecia areata. I am 31 and have had the thyroid issue for the past 10 years, it has been very disheartening. I like the natural approach and I would love to hear your input on my issues. But mostly, when my husband deployed last year, when he came home in July, our 4 year old son lost quite a bit of hair in September. The Dr.’s say it is stress related but I just hope that he doesn’t have an autoimmune disease like the alopecia like I do. Have you heard of anyone that has been helped with this condition? I am in tears writing this, it is bad enough that I go through it, BUT NOT MY SON… I would love to hear from you and your input! Thank you so much!


We do not eat a Standard American Diet. I have avoided processed food, kept to organic fruits, veggies, meats. I did lean toward more of a vegetarian diet for a while, not very strict, I still had eggs for my son and some meat, but I do not think it was enough. I did breast feed him for 2 years and make freshly extracted veggie juice and whole food smoothies. I have been very health conscious from pregnancy to now and even before then. But now I am leaning toward getting off all grains and legumes. We have been eating Paleo for like a said about a month. Thank you so much for your time! You are quite a blessing to have found!

Hi Kristy,

I have Hashimotos and Alopecia Universalis. 6 years ago I lost all of my hair on my entire body, the following year one of my twin boys at the time aged 15 lost all of his and the following year his brother followed suit. Mine started coming back 3 years ago but last winter it all fell out again. I have been paleo on and off for the past 4 years and it helps a lot. My hasimotos has really started taking a toll on me so I am trying the AIP to see what happens. Currently I have no energy at all. I have been following the diet now for 12 days. I’m planning on having dreads at the end of this and all of my energy back. If you ever need someone to talk to let me know.


You may need to look into Dr. Dan Kalish to do the rest after AIP if you’re still struggling. Adrenals and cortisol, other testing – NO RXmeds, just supplements.

Hi, I accidentally found this site, so very new here and not familiar with anything on here.
Except that I have been suffering for a long time with Systemic Lupus, and chronic constipation. Bloated all the time, swellon of the joints and pain and more. I have stop conventional medicine and been feeling a little better by adding vegettable juicing mainly greens to my diet. Now I still have a sugar addiction, as well as starchy foods.
But overall the constipation is the worst, as I can go days without going. Any help in breaking this addiction, and healing my intestinal issues for good?
Please any help will be appreciated.

Nora, late to this blog but wanted you to know that I have had lupus since 1976 and RA since 1986, but thanks to the Paleo plan have never felt better. Gave up all grains, sugar, and dairy on July 20, 2013. I have also been a Weight Watcher member since 1984 in an attempt to manage my weight. I was successful with it but always felt hungry and deprived..because I was eating mostly carbs and sugar! I hope you have tried this life program and love it as much as I do.


I have just found your website this past weekend looking for a bread recipe and I am pretty excited I have found you. looking forward to the book coming out.

I have pretty bad food allergies and pcos. i’ve been suffering with chronic uticaria for 8 months on my face of all places and it had gotten so bad last month I was on 40mg of prednisone daily for 3 weeks and i am now in the process of weaning off. The allergist is a bit dumfounded about why this is so bad. he had me tested for lupus, cancer, arthritis and everything inbetween. everything came back normal. the only thing i can think of that was aggravating the latest bad bout of hives is I was eating a wheat something 3 times a day for a month straight and I have been under a great deal of stress for well over a year (yes, I’m working no that too).

since i have cut wheat, I have almost completely cut rice and my worse allergy is corn (anaphylaxis guaranteed). I am working on candy (honey and beet sugar -allergic to rest). I know an allergy is an autoimmune something but what exactly I do not know. what would you recommend for me?

I would suggest transitioning to a nightshade-free paleo diet as a first step, try and get as much sleep as you can and manage stress as best you can. Give that 2-3 months, both to see if it helps but also to adapt to more time in the kitchen, fewer convenience foods etc. If that isn’t sufficient, the autotimmune protocol is the next step.

thanks for that. now that i think about it, I have been eating eggplant since the holidays and that is when the hives turned bad. I generally dont touch eggplant because in the past it would make my joints all ache the following day but that doesnt happen anymore. I do eat tomatoes regularly so I will drop them today and see how it goes and try my best to give up my beloved potato chips. so sad 🙁 with prednisone i’m on this is going to hurt but I will try.

I also suffer from CU & have gone strict Paleo for the last 3 weeks. I was hoping to be feeling great by now but have had some bad flare ups. This is most likely caused by salicylate intolerance–which makes eating fruit & veggies more difficult because so many high salicylate varieties need to be eliminated. So far I have identified dried fruit, nuts (all), coconut, peppers (all), and leftover meat (high histamine) as probable issues. I’m also eliminating eggs for a while to see if there is any issue there. At least I don’t have to worry about gaining weight since there isn’t too much left to eat. Haha. Happy to find this blog but would love to hear any more information about chronic urticaria specifically–there is so much conflicting information out there that it’s hard to know what to do!

First, thank you so much for having this website. I was recently diagnosed with severe oral lichen planus and this is one of the only places I can find extensive information on how to deal with it! I was recently taken off of cyclosporine which calmed the reactions down significantly. I am now looking to figure out a way to live without eating certain trigger foods. I am learning, but its a very slow process. Should I try the AIP? Do you have any other suggestions? I dont want to go back on the cyclosporine :/ Thank you in advance

Yes, i definitely recommend the AIP, with a strong focus on nutrient dense foods (fish, organ meat, lots of non-starchy vegetables) and probiotics (fermented foods or a good supplement like Prescript-Assis). Sleep and stress management are also crucial.

Thank you… I have had regular acupuncture treatments which seem to help calm the reactions down too- a fantastic Dr. here in Florida has helped me out so much. I will start on the AIP – first step is to learn all about it. Cant wait for your book to come out. I will continue to check your website regularly.

I have had fibromyalgia for 21 years now. I haven’t found anything to help with the terrible pain and fatigue. I’ve tried all kinds of supplements, medications, acupuncture, acupressure, chiropractor, and massage therapy. I have been off all gluten for two weeks and still feel the same. What am I doing wrong?

I have myositis. I have been on AIP for 4 months and following it pretty strictly. I have been on prednisone for the same length of time. I am nearly completely off of prednisone but joint pain is returning to its original state. I could sleep better but many nights I have trouble shutting off my mind — I typically get 5-8 hours a night. Constipation is a little bit of problem too, although it is better when taking probiotic pills. I could do better at eating bone broths, probiotic foods and organ meats but I do eat wild Alaskan salmon almost daily and pastured meats. Otherwise, I avoid all of the foods you say to along with the cross reactive ones. Can you offer any advice or motivation?

So, for as long as you are on prednisone, you are going to be cortisol receptor resistant and have that stimulus for a leaky gut (cortisol, which is what prednisone is, opens up the junctions between the cells that line your gut)…. But as you go off, and keep your diet really clean, it should be easier to get better sleep (that’s super important) and it should be easier to heal. Taking digestive enzymes with your meals and a magnesium supplement may help the digestion. The biggest things are going to be stress management to get your cortisol regulated and improve your cortisol sensitivity and sleep. Hang in there, because the’s going to be a lag between getting off cortisol and starting to really heal. But once it comes together, it will really come together. If you’re still having trouble sleeping after you are completely off the prednisone, let me know and can talk about sleep hygiene and safe sleep aids.

About 4 months ago I was diagnosed with undifferentiated connective tissue disease with my primary symptom being joint pain. Over the past two months, my symptoms have rapidly progressed. I now have joint swelling and greatly increased pain. I wake up very stiff and most mornings it takes at least 2 hours before I can get loosened up and on top of the pain. I am exhausted all of the time but have difficulty sleeping at night. I am a very conscientious and organized person, yet I have been forgetting things and feel like I am in a mental fog most of the time. I am only 30 and have 3 young children to care for. I am greatly discouraged by this deterioration. I have stuff to get done! I attempted a gluten free diet for a month with no improvement; in fact, symptoms continued to get worse during that time. My rheumatologist wants me to start taking Plaquenil, but I am very uncomfortable with this medication. My husband and I have decided to attempt a Paleo diet starting this Wednesday. Do you think that this will help me? If it isn’t going to help, then I feel I need to start taking the medicine because I am worried that permanent damage is being done to my joints. I have no “gut” symptoms, which is why I am unsure if diet will really impact the autoimmune process. Thank you for your time!

Yes, I absolutely think changing your diet will help. I have spent the last few months researching the link between diet and autoimmune disease and there really seems no question that the two are connected, even if you don’t have gut symptoms.

Check out my menu on autoimmune diseases. A standard paleo diet may work wonders and that’s definitely where you should start, but you might need to go the extra step and do the autoimmune protocol. Making homemade bone broth or including a supplement like Great Lakes Collagen or Gelatin will help with the joints. You might also look into Fermented Cod Liver Oil (I recommend Green Pasture brand, either oslo orange or unflavored) which has necessary vitamins for joint health too.

Also, doing whatever you can to get better sleep will help. Being outside in during the day and then wearing amber-tinted glasses (typically about $10 off amazon) the last 2-3 hours before bed should help, avoiding caffeine, and sleeping in a completely dark room (I put duct tape over all the LED lights in my bedroom). Also, napping if you need to and get the chance with your kids is a good idea.

There will be a lot more information in my book but all the basics you need to get started are on the blog.
I hope this helps!

Good evening. Have been trying to correct leaky gut/IBS on my end for the past several months. Have done a good job (losing 75-80 lbs. since August 2011, when my problems began with sinus issues), but I have been battling more inflammation and food allergies specifically over the past month or so. Seems like I am getting a reaction to everything! Also, I’ve been battling chemical sensitivities (ex: car detailing), plus I also have a very high mold sensitivity. I am looking to get on a rotational diet, eliminate grains and sugar, but also get in the ballpark of 1800-2000 calories per day, as a lot of the weight I’ve lost (from XXL to M) has been from not enough calorie consumption. My upper/lower abdominal discomfort, along with low back pain has been flaring to a very high degree, and I need some help big time! Any ideas.

I have sjogren’s syndrome & have been told that I have a “lot” of arthritis when getting xrays, but not sure what that means. I am trying to eat paleo exercising daily which has greatly helped. The inflamation stays down pretty much until the evening when I am sitting, Pain comes and goes. I stopped taking the mobic & hydroxychlorquine 3 months ago but just started the hydrox… again as I’m afraid of the damage to my joints. I also take pilocarpine Hcl 5mg up to 3X daily for help with saliva. What do you recommend?

I’m surprised your doctor recommends hydroxychlorquine since it’s been shown to be very ineffective in Sjogren’s (see here http://ard.bmj.com/content/52/5/360.full.pdf ) although maybe he/she’s thinking more about the arthritis? I really don’t like any of the DMARDs (although TNF-alpha inhibitors seem to be the least bad). Taking fish oil supplements and high antioxidant diets have been shown to dramatically improve arthritis pain and reduce need for pain medications. I would basically recommend something like the paleo autoimmune protocol, working hard to increase omega-3 intake (fatty fish several times per week), eating lots of vegetables and glycine-rich foods (bone broth, organ meat, gelatin, collage supplements). I would stay on your meds until you start seeing improvement and work with your doctor to wean off (the saliva issues should be improved too). Also, lots of sleep and continue with exercise.

I have Sjogren’s and Fibro and I just want to say that my hip stiffness that had me walking with a cane often has really improved since I took nightshades out of my diet. I was eating Paleo before minus tree nuts (severe allergy) but my hip was so painful and stiff. Xrays showed no arthritis. But I do have swelling in my ankle and that has improved a bit. I do not take plaquenil at this time, although I have a prescription. I got really sick when I took it before for only 3 days.

My daughter was diagnosed with Bechet’s Disease a few months ago and has been on prednisone and methotrexate shots (a chemo drug), but they have not been terribly helpful with her sores. My husband and I crossfit and have eaten paleo off and on for challenges and thought switching our daughter to paleo might help. Our entire family has been gluten free for over six months but transitioning a 6 yr old to a paleo diet with school lunches has been difficult. After reading about the AIP diet I’m wondering if that might be more helpful or if we should just get her completely accustomed to paleo before being even more restrictive…

I usually recommend getting completely accustomed to paleo first, but usually also suggest avoiding nightshades and increasing fish, organ meat, and bone broth. Methotrexate is a pretty terrible drug, so it would be good to get off it as quickly as possible (it increases intestinal premeability, so does prednisone). But, they are very difficult drugs to stop if you don’t have diet dialed in first. Basically, you can start weaning off the drugs once the diet is clean enough that you are seeing improvement in symptoms (that usually means full AIP but some people find that paleo or nightshade-free paleo is enough, so it is worth trying first).

Thanks for your reaponse! We’re overhauling our kitchen and paleo shopping today to start cooking tomorrow. Fingers crossed, I hate seeing our little girl in pain and also on such strong meds!

Thank you! He probably is thinking the arthritis. He did the hydroxyclorquine as when trying the stronger meds, I would develop lesions. Just to make sure, if I do the autoimmune protocol, I should stay off the mobic? I will be starting in the am!

Hi There!

So I keep searching for it but I haven’t seen anything about T1D. I was diagnosed 3 years ago and it’s definitely been a battle. I have all the symptoms of Hashimoto’s (cousin has it) but after biopsy of a goiter blood levels keep coming back normal. My mom after years of thinking it was Fibromyalgia has tested positive for Lupus and my dad has RA now like my grandmother. Feel like I’m being hit with autoimmune from all sides so I’m ready to fight back.

As for the diabetes what would you suggest? I’ve read your AIP stuff would it all pertain to me? Do I just start cold turkey Paleo & AIP? Thanks in advance!

I typically recommend starting with standard paleo and seeing how far that gets you as a first step. But yes, the AIP is definitely appropriate for T1D. And with your family history, you will probably end up on the AIP at some point. 🙂 But, it’s less overwhelming if you do standard paleo first.

I have a few questions about AIP…

I’ve been Paleo now for about a year. I started on it because I knew I was gluten intolerant, but was eating way too much sugar….when I started looking for low-sugar/no-sugar gluten-free recipes, everything seemed to point me towards Paleo. It was great at first…I had more energy, slept better, and just felt “healthier”. Lately however, my gluten intolerance seems to have “spread” though, to all other grains (corn too) except white rice, a few months ago eating apples and pears became a problem for me, and just a few weeks ago chocolate began giving me problems. I get very painful bloating when I eat any of these (same reaction as when I used to eat wheat in the past). Too many nuts can also give me the same problem, so I have to really watch my nut consumption. I also seem to have a problem with any type of alcohol — if I have too much, I get really pale and bright red blotches show up all over my face, neck, and chest. I rarely drink anyway, but now I just avoid it completely. My doctor wants to test me for allergies and he referred me to a colon doctor to rule out diseases….

Anyway, my doctor did talk about elimination diets, and that when I thought of AIP. Do you think it would be helpful for me? I’m guessing I have a leaky gut, and maybe fructose malabsorption, too…but that’s just my own thoughts. I’ve read a lot of different things about healing my gut….avoid nightshades, avoid FODMAPs, avoid sugar and grains (obviously), eat lots of veggies (although I’ve read both to avoid starchy veggies because of carb content, and to include them because of the soluble fiber…..also I’ve read to both avoid and eat lots of leafy greens: avoid because they’re harder to digest, and eat because of vitamins…). I guess I’m just confused about what to actually eat and what to avoid. Seems like meat is the only “safe” food….if I go AIP, I’m not sure what fruits and veggies I should be eating or avoiding. Nightshades are simple for me to avoid, FODMAPs much harder (there are sooooo many of them!!) Or should I just avoid the apples/pears because I know I have a reaction to them? Sorry….this is long…I’m just so confused about where to start!! Any info you could give me would be greatly appreciated!


I know there’s A LOT of confusion about fruits and veggies. I’ve made sure to spell this out very clearly in my book and also hopefully resolve some of the areas where different people are recommending different things, since I’m been very meticulous about my research on these points. The only fruits/veggies to avoid are nightshades and legumes. If you think you have FODMAP sensitivity, then you should avoid those too. You should be eating the rainbow, and trying to get something green with every meal. And you should be eating lots of veggies (both soluble and insoluble fiber are important–if you have trouble digesting the fiber, take digestive enzymes with your meals and limit yourself to cooked fruits and vegetables until your digestion improves). Fructose intake should be between 10-20g per day, which translates to 2-5 servings of fruit per day (depending on which fruit and how you define serving). Blood sugar regulation is important, so you just don’t want to go too nuts on starchy vegetables and fruit, but unless you are prediabetic, obese, diabetic, or have metabolic syndrome, you should be able to handle quite a bit before blood sugar levels are a problem. You don’t want to go too low carb since that can put a stress on your thyroid and stimulate cortisol secretion. I hope this helps.

I have recently been reading your website & all the well researched information it contains. I had avoided yours in the past because it was a paleo “diet” and I don’t tolerate meat very well. I have been back & forth on paleo for some time. I do eat fish & poultry but hardly any red meat.
I’ve been trying to read your answers to others questions to glean additional information & avoid duplicating the same things.
I have several autoimmune diseases. Fibromyalgia, chronic fatigue, Epstein Barr, Hashimotos, celiac, sjogrens. And then when I was at my dentist for my last checkup he told me I had an autoimmune disease in my gums (which I can’t remember what it’s called. Most of these are not new. I’ve had several of these issues for over 20 years. So I’ve been everywhere & tried lots of things! I’m still not well but have definitely improved. Nutrition is & has been a big part of my life. We don’t eat the SAD!! However I was still eating whole grains until I realized I had Celiac as well. My ND was more into the ph miracle dietary plan. And meats have a higher acid content so I was happy to avoid them since they were hard for me to digest anyway.
I now avoid gluten & grains, shade plants, as well as refined sugars, & all processed foods of course. I have started making bone broth. And just recently realized I should be avoiding cruciferous vegetables as well. That one is going to be hard as those are some of my staples! I put kale & cabbage in soups, stir fry them, put kale or spinach in green smoothies. 🙂 I don’t like sauerkraut & fermented vegetables. Even the smell makes me gag! 🙂
Is there anything I’m missing? Oh I do eat nuts & some seeds like pumpkin seeds. I usually keep those with me in case I’m hungry when im out of the house.
Thanks to you & others like you for researching these issues. I felt alone for so many years! I “lived” on prescription meds, including narcotic based meds for a lot of years. Unfortunately I still take some & use alot of NSAIDs. I would love to not take them.

I just posted a couple of weeks ago about why there’s not good reason to give up crucifers if you have a thyroid disease. What about organ meat? And shellfish?

I was just diagnosed with Graves Disease, over the last three years I have gained 35 pounds. Most people loose weight, but I’ve gained. I’m scheduled for Radioactive Iodine treatment next week. I know that this is has to do with autoimmune disease. Do you feel this diet (AIP) would be beneficial for me to live by? My liver enzymes are 3X higher than they should be AST & ALT. I see a liver doctor next week prior to the radioactive iodine.

Thanks for any advice,

I’m not a doctor so I can’t give you medical advice. However, I do believe that you could see substantial improvement with the autoimmune protocol (whenever you go through with radio iodine ablation or not). Also, selenium, zinc, iron and iodine are really important for normal thyroid function (fish and oysters). Selenium deficiency especially is linked to Hashimoto’s and Grave’s. There are a variety of reasons why the liver might be stressed, including leaky gut, micronutrient deficiency (selenium again, and also copper, zinc, iron, sulphur, and B-vitamins), or a second autoimmune disease.

Also, my biggest down fall whenever I begin a diet let alone a life long paleo way of eating I always end up cheating and eating chocolate, sweets, bread, etc. I know if I want to have a long life I need this lifestyle change. I read the above comment and replies and so far nothing regarding Graves Disease or Hyperthyroid Disease except Hashimotos. Any suggestions to help so I can succeed so I don’t cheat?

Thank you,

I would suggest finding some treats that satisfy that emotional need for a treat but that won’t derail your efforts. Also, getting more sleep, managing stress, and getting low strain activity can help with cravings very dramatically.

Thank you for all your responses. Do you have any suggestions on the treat finding? At least ones that will be allowed on the autoimmune protocol? Other than the one in the book I purchased last night.


I never have heard of pinterest, I guess I will have to figure that one out. So the thing you call a board has suggestions for treats?

Sorry and again Thanks!

I’ve recently been diagnosed with ms. I’m a mother of 3 boys ages 6,5and 4. My 5 year old also has a gluten sensitivity so my whole family lives pretty much gluten free. Although I’ve been very fatigued lately I still try to run, do yoga, lift weights and do a fitness class. Since I’ve taken out nuts seeds and eggs on the autoimmune protocol I’m worried I’m not getting enough protein. Can I actually get all the protein I need for my active lifestyle with meat alone? Also is pure maple syrup and pure cocoa ok to have occasionally? Thank you so much for your time.

Of course you can! The protein in meat and fish is actually far more easily digested and used by the body than any plant proteins. Egg yolks have some good vitamins, but nothing you can’t get from fish, shellfish, organ meat, and red meat. Maple syrup is okay occasionally. Cocoa might be okay if you aren’t sensitive but I would make sure that you are seeing improvement before trying it.

Il look for the posting on those. I haven’t read everything yet. But I’m working on it. 🙂
Not the organ meats but yes to shellfish. And lots of tilapia. I’m guessing that I should eliminate nuts for now. I’m making your granola tomorrow. I just purchased the ingredients today! Looking forward to making it with seeds and no nuts. I’m sure others can relate, but sometimes I just feel so lousy that I don’t have the stamina to cook. That’s when one is tempted to cheat a little. My cheating just means almonds, fruit, etc. without getting the good stuff in me. I haven’t eaten sugar for 15 years for example.
I should correct from my previous posting that although I still use a few prescription drugs, I have eliminated most of them!

I just purchased your autoimmune paleo cookbook and noticed no almonds and no rice. I would like to know for cooking purposes, I purchased almond and rice flour to bake with. Are these 2 flours allowed to cook and bake with are the not allowed on the AIP way of cooking?


Oops!! I need to eliminate seeds too. I posted earlier that I had just purchased some. :-). So now I am up to date on elimination so now I need to get a better handle on preparing the healing foods. That’s the part that is giving me anxiety. I had already eliminated everything else but the nuts and seeds. So with that knowledge now in place I can start making more broth! Thanks again for your responses.

Is there somewhere I can find a list of everything that’s good to eat on the autoimmune protocol? Is coconut flower or balsamic vinegar alright?
Thanks again

Thanks for the response on crucifers. There is so much confusing information on various foods that I get lost!
I know from reading throughout your website that beef is really important to the autoimmune eating plan. As I indicated before, I have a hard time with digesting red meat. But I gave it a try this weekend — ate beef yesterday as well as this evening. I am doubled over in pain! I had a steak and vegetables and a chopped salad. It is weird how I have such problems with meat, but yet no problem with lentils. And you state that legumes are harder to digest than meat. I am wondering if this will still work if I avoid beef for a while and keep fish and poultry as my protein?
Thanks again for all you do! I just ordered the book you recommended by Anne as well as another book recommendation (can’t remember which one!). I can’t wait for yours to be available this fall. But in the meantime, I can’t handle the severe stomach pain I am currently dealing with when eating beef. Any suggestions are appreciated.

Hi Paleomum…

Thanks for your detailed site. I havr been looking for information but found so much conflicting info around. Im interested in going paleo first with a plan to then tackle the autoimmune path (I have pernicious anaemia and a autoimmune thyroid disorder, plus random things like foci on my brain MRI, tinnitis, poor sleep and had a daughter born with a midline defect (she is missing her corpus callosum). Can’t help but think its all connected. I am currently being tested for mthfr but results will be a few weeks. I do note though even with mthfr they suggest the paleo diet.

Looking forward to soon moving house and building my new vege garden and having some animals!

Anyway thankyou for your site!

That sounds like a great plan. There is a whole lot of conflicting information out there. I’ve been trying very hard to cut through it and only present what is backed up with quality scientific studies.

Absolutely you can do this with fish and poulty. Try and eat much more fish than chicken (because of the omega-3 to 6 balance). How do you do with chicken liver? You can get many of the same nutrients found in red meat from shellfish, so maybe including oysters, muscles, and clams if you can. And instead of beef, you might want to try emu or lamb, which are easier to digest than beef (and maybe add digestive enzymes next time you try). Also, you might want to try liver (bison or lamb are better tasting than beef) since that’s very, very nutrient dense but also easier to digest.

Hi, please could you help pointing me in the right direction. My 2 year old is pre-diabetic, I eat paleo due to severe gluten intolerance. Where do I go now with my son, I am trying to get him to eat paleo as well.

I would definitely start with trying to get him on a paleo diet. Do autoimmune diseases run in your family? The autoimmune protocol is pretty overwhelming for kids and I wouldn’t start with that, but I would read about it and keep some of the same principles in mind, especially the focus on nutrient dense foods (organ meat, fish, lots of vegetables, fruit, good fats). I would also recommend not going crazy on nuts, seeds or eggs (but not eliminating them completely), but maybe eliminate nightshades from the beginning (at least tomatoes). You may find that just getting gluten completely out of his diet will make a huge difference, especially if you are gluten sensitive. Then, doing what you can to protect his sleep and circadian rhythms (get rid of any nightlights, make his room dark, get him outside as much as possible during the day) will be helpful too.

Hi I am 52, diagnosed a few yrs back with Mixed Connective Tissue Disease(not enuf markers for lupus!), take 200 mg of plaquenil daily. I have been great for yrs but lately I am gaining weight, tired, and so sore & achy. My blood looks great for all my disease markers, thyroid & lyme. So perhaps it is time to change the diet. Where do I start?

Start by reading through the gut health (under eating paleo), start here (under living paleo), and autoimmunity menus. You can go step by step or jump in with both feet, it’s up to you. Many people find transitioning to paleo before the autoimmune protocol much easier.

We have been following the Primal/Paleo eating plan for the last 16 months . My family has seen great benefit’s from it including weight loss , less joint pain, lowered cravings for food , allergy relief and more even temperaments . I feel so much better eating this way but unlike the rest of my family ( husband and daughter 12&15) I have not lost weight in fact after a time I managed to start putting weight on . I have been following the AIP for the last 3 weeks to see if this might help me to see the benefits everyone else has seen and it seems to be working. I am medically defined as obese so I have cut out fruit and limit my starchy vegetables .I have dropped 10 pounds and feel quite good. The question I have is exercise . How much is enough , how much is too much. I have been doing bodyweight exercises 2-4 times a week and am trying to get out for fun activities like yoga kickball bike rides or hikes . My husband feels I am not doing enough which adds an enormous burden to me .I am trying to reduce the stress in my life and increase the amount of sleep I get but always feel like a failure. Do you have any recommendations ?

Oh goodness! It sounds like you are doing plenty! I lost weight most efficiently when the only activity I was doing was walking. Stress management and sleep are huge huge huge factors, and I would say much more important than activity. If you have a choice between sleep and a workout, sleep should win. Weight lossis hard if you hav hormone imbalances, which you almost certainly do, but also if you have micronutrient deficiencies. So, in terms of diet, I would suggest focussing on nutrient density (which if you’re doing the organ meat, seafood, vegetable AIP thing, you are already doing) and then integrating something like mindful meditation (sitting quietly and focusing on your breath for 10 minutes) for stress management. And make your bedtime an hour earlier. Getting outside during the day, then wearing amber tinted glasses and using interior lights sparingly for the last 2 hours before bed will help improve sleep quality. I would suggest spacing out your meals and avoiding snacks (but eat big, big meals when you eat). I wouldn’t go too low carb because that can put a strain on your thyroid, which then makes it hard to lose weight… So I would suggest adding a bit of starchy veg and/or fruit back in. Patience is important. Those plateaus are important for your hormones to adjust and correct, so hang in there!

Any testimonies for somebody with ms and how this diet works? So many conflicting diets out there (eat meat, don’t eat meat, only eat veggies, no dairy, yes on dairy, drink your veggies, eat raw, no eat cooked, etc, etc and the list goes on as my head spins, so who’s right and who’s wrong?

Hello! I left you a message on Feb. 8, a month after starting the Paleo lifestyle. I had a question, with my Hashimoto’s, when I first started my TSH was at 9 and three months later it was at 19 (continueing with the diet), but my FT4 was at 1 which was in normal range. I am puzzled at that??? Why would my THS show that my thyroid is off but the actual gland is showing that it is in deed producing thyroid hormone? I don’t know if I should get on the medicine that my Dr is pushing me to get on or continue changing my diet, maybe the AIP? At one point my Dr told me that my thyroid was “dead” not producing any thyroid hormone, now he says it is producing. I am so confused. I think the diet is helping me though. Also, my alopecia has improved considerably! Do you recommend I do the AIP? My son with AA is doing great on the new way of eating and his hair is growing at a quick rate, should I put him on the AIP? Thank you!! Oh we do still include raw milk kefir, could that be a problem? Thanks

It sounds like your thyroid is improving the way you are eating now. You could see if the AIP works even better or stick with what you’re doing. I don’t know what medication your doctor is suggesting, but medications that support organ function are often still required for autoimmune diseases that affect specific organs (so in your case, something like dessicated thyroid). Do you still feel like your thyroid function is low? or do you feel pretty normal? that’s important to consider when making your decision.

If you are seeing improvement and you and your son are doing well, then you should stick with what you’re doing. If your frustrated and think that you could heal more or faster, then the AIP is worth looking at.

Thank you for getting back with me. The medication he is suggesting is Synthroid and he will not budge on dessicated thyroid, the Dr. told me that it would make my hair loss even worse, because of the T3 in it. Do you have information on that? Is that true? I would feel more comfortable taking a natural supplement that wont set me back in the future by being liver toxic or anything like that. What would you recommend? I have looked into the Nature Throid and it looks good but I don’t know how to get a RX. I feel ok, still a little tired at times and sometimes foggy but nothing compared to how i was. I am not overweight, I workout almost everyday and I keep up with my very active boys ages 2 and 4!! So I do feel pretty good, but yes I can tell that it is still sluggish. Thank you!

Hi Kristy,

I don’t know if you found any answers to your questions, but you should know that Synthroid contains gluten, so that is absolutely out of the question. As far as your doctor not budging on medication, find a new one. I called the compounding pharmacies in my town to get names of doctors who prescribe compounded T3 and T4 and then made an appointment with a new doctor that way. I actually ended up taking a drug called Westhroid, which is not compounded but dessicated, and I feel way better. I have not experienced any hair loss on this medication, nor have I heard of T3 causing hair loss. In fact, the only information I have read regarding hair loss came from people who were taking either Synthroid, Tirosint, or were still unmedicated.

Hope this helps.


I have had Rheumatoid Arthritis since I was 24 and I am now 32. I have toyed with diets but always fall off the wagon…however, I am currently doing a month off the booze. I have decided that this is the perfect opportunity to detox, so as I researched what I should cut out of my diet to help my disease I have come across this Autoimmune Paleo diet. I have been doing this for a week now kind of mixing up the alkaline diet too, but I think I am either eating too much food in general or too much fruit?! I am feeling and looking rather bloated even though I have cut out dairy, grains. booze etc. I must admit I have never thought about food so much! I am either cooking it, shopping for it, eating it or thinking about it! I know I can do this for the month as I have put my mind to it, but I think I will get bored once the month is up, bored and lazy! I have been drinking and eating a young coconut each day as well. Is this too much? The meat is confusing me as well. Red meat is allowed so long as its grass fed? I have been eating a lot of chicken, I just read that is bad, is that right? I am not sure about the animal organs! I mean, Ive only just started eating seafood in the last 5 years! Is Foie Gras considered a friendly food? Or other pates?

If you feel good with that much coconut, then it’s fine, but that might be the source of the bloating too. I would generally recommend less than that (maybe something like 1/2 cup fresh meat) and I know that I can’t tolerate it at all (and I get bloating and acne when I eat it). Red meat is a great choice, even if it’s not grass-fed, but grass-fed is better. If you are buying conventional, try to stick with leaner cuts. Chicken doesn’t have a very good omega-3 to 6 ratio, but it’s still good protein with lots of vitamins and minerals. If you are also eating lots and lots of seafood, you might be able to balance the omega-3 to 6 ratio, but it would be better to reduce the number of times a week you eat chicken (even conventional beef, pork or lamb has a better fat profile). Yes, foie gras would be considered friendly. The only downside is that because of the feed the geese or ducks are given, the fats in foie gras aren’t the best either. Other pates are fine, but check the spices.

I’ve been doing the autoimmune protocol for 8 weeks now. It seems that it has been helping my ms symptoms. I’m very active and don’t have a whole lot of extra body fat to loose. Even though I’ve upped my food/fat intake I’ve been losing what extra fat I do have and am afraid I’m going to start loosing muscle. Would this be a good opportunity to reintroduce nuts and seeds?
Thank you for your time and advice.

Hi there. I suffered a second relapse of cutaneous polyarteritis nodosa (a rare form of vasculitis) five months ago and am on 30mg of prenisolone and 2500g of cellcept daily. My blood sugar levels are normal. I have been doing IF (the 5/2 diet, to be exact) for the last two weeks in an effort to decrease my blood sugar and inflammation; so far I’ve lost weight, with no adverse effects. I am thinking of getting on AIP along with IF. I note on one of your pages that someone with an autoimmune disease should not be doing IF, but note other places on the net that promotes IF for people with autoimmune. Do you have any thoughts on my specific situation? Thanks.

Short term fasts have shown mixed results with autoimmune disease, sometimes making it better, sometimes making it worse. If its working for you, then I say go for it, but be on the look out for signs of increased cortisol.

sarah, just realized you’re a fellow cdn after reading your newsletter – no wonder you’re so awesome =)

Lol! My accent is watered down from nearly 8 years in the States. But, now that I’m home, it’s coming back quickly. 🙂 What part of Canada are you from?

i’m from vancouver and went to law school in TO, but have also been abroad in the last decade, first in the UK and now in hong kong. your site is really reaching and helping people everywhere, even the canucks! i miss home.

Dear Paleo Angel,

Im in Australia and accidentally came across your site and am so happy that I almost cried. I had never heard of the Paleo diet until a friend mentioned it last week.

I am a 36 year old female who was diagnosed with Coeliac disease 2 years ago after being sick for over 10 years and last week I was diagnosed with Fibromyalgia and Endometriosis. I am feeling extremely upset and overwhelmed with this new disagnosis as I have just adjusted to the Coeliac.

I have been told to do the FODMAP diet and obviously I cannot have anything Gluten related…but I am completely confused and overwhelmed as to what I can/cannot eat, what supplements I should be taking and how to change my diet so that it covers all 3 conditions.

Can you please help me and give me some advice on what to do? I am having no luck with the ‘health professionals’ and am living in pain and misery and feel completely alone.

Thank you so much for this amazing website and for all the time and effort you have put in to it. You truly are an angel.

: )

Aw Samantha! I know how overwhelming it is! I wish my book was done already because that’s going to be so helpful for you. In the mean time, I think going to a standard paleo diet is a great place to start. You may see some substantial improvement and it will help the transition feel less overwhelming. When you’re ready, move to the autoimmune protocol detailed on this page http://www.thepaleomom.com/autoimmunity/the-autoimmune-protocol which also talks about digestive support supplements which are definitely a good idea for you too. There is also a good recommendation for some books at the end of that page that will give you food lists, recipes, etc. You are definitely not alone. Hang in there.

So far I have figured out that I have hypothyroidism (T4 not converting to T3) and adrenal insufficiency. I did SCD for a year and have been following AIP since May. I am working with a Naturopath who has run lots of tests and has me on licorice, DHEA, Progesterone cream, mega probiotics, digestive enzymes, Naturethroid, B complex and I’m avoiding dairy, eggs, nuts, nightshades, grains, legumes, all sugars except fruit (mostly low glycemic) and honey (ocassionally) and all foods I’ve tested sensitive to. It looks like I should be avoiding goitrogenic foods too (not on my doc’s radar.) Adding iodine next.
I’m looking for additional tips to optmize my recovery. Can you suggest other veggies to ferment? Healing foods to eat, etc? Thank you. I don’t know where I would be with my health without you and this amazing community.

Hi Sarah, would you classify asthma as an autoimmune condition? I have been searching for the answer to this everywhere but asthma doesn’t seem to be covered very often from a paleo perspective as a condition on its own. Thanks for all you do and I can’t wait for your book to be released!

Hi Sarah, I have been reading your site and I also recently listened to The Autoimmune Panel Discussion that you were on, a lot of helpful tips on there and a lot of insight. I guess what I want to ask you is I have been paleo for about 8 months now and I started the AIP protocol about 2 months ago, I know I am reactive to night shades and I did feel better once cutting them out, however I go from periods of feeling really good and having balance in my body (I have MS) to feeling crappy sometimes. Can a little sprinkle of chilli peppers on my fish make me feel that bad? Is it potent enough to trigger a reaction? Also, its been several months and I dont feel that much different but Ive also had a couple of infections that triggered some relapses. It gets kind of disheartening when you stay on a diet and you have setbacks. How long do I need to stay on this before seeing results? I also get scared that what if I am not one of the ones who wil see improvements going on the diet route?

Yes, a little sprinkle of chili peppers can. I had one bite of jerky with red pepper as an ingredient, spat it out as soon as I realized, and still had a reaction. I would suggest focusing on more sleep, moderately-intense activity (like walking or yoga), stress reduction, sun exposure during the day and being in a dim environment at night, and eating more nutrient dense foods (seafood, organ meat, tons of veggies and lots of variety). You should at least be seeing some gradual improvement (but it took me about 4 months on the AIP to really see a difference).

Thanks, yes I do eat organ meats like liver a few times a month, but one thing I am lacking in is exercise admittedly. I try to have Vegetables at every meal, I eat red and green cabbage, mushrooms, pea pods, kale, swiss chard, celery, carrots almost everyday. Also, do you think its necessary to eat as much vegetables as Dr Wahls to heal MS? I know Whitney from Nutriesclerosis doesnt have as much. However now that you mention it, I do need to work on my sleep cycle and sun exposure. Also, you said that even a little exposure to tigger foods can set you back, I recently found out that the soy sauce I have with my Sushi had gluten in it =/

Yes, I believe it can be helped by the AIP diet. Although, for people coming from a standard Western diet, I think it often makes sense to try a standard paleo diet first and see how far that gets you before tackling more restrictions.

Not sure what exactly you mean by the standard Western diet, but we are small scale farmers growing much of our own food with beyond organic methods. We are very food and health conscious, staying away from GMO’s altogether. We do, on occasion, drop our food standards when we go out to eat, etc. We started eating standard Paleo last weekend and switched to AIP 3 days later, once we got home. My wife has alopecia and our daughter has eczema. So, we are trying it as a family. But, it is hard cutting out everything at once for sure. One of the main things we farm are high quality eggs from chickens fed a certified organic, soy free diet. We really miss them, as well as the night shades! But, we want to get healthy and are wondering if jumping to the AIP is necessary? If it is, we are fine with that. We just don’t want to restrict our kids from things that they could be eating. Thanks so much!

Not sure if you saw the previous message or not. Please know that we are doing strict AIP right now with NO cheating. Just not sure if it is necessary or not. Is Lyme disease considered an autoimmune disease in the Paleo world? Pretty sure alopecia is. Thanks.

I have a few autoimmune diseases (alopecia areata, ulcerative colitis) and recently have experienced a few episodes of urticaria (hives) and angioedema. The episodes last 7-8 days even with prednisone and the symptoms are miserable to say the least. I have noticed that some of the episodes have occurred after eating significant amounts of bell peppers or jalepenos. I have eaten these all my life and never had a problem until now. I have been to an allergist and basically diagnosed with idiopathic acute urticaria/angioedema. Should I avoid these foods completely (which will be difficult as I am Mexican and many of the dishes I make include them)?

Yes, I think completely avoiding foods that cause you to have hives that last a week even with prednisone is a good idea. I would actually suggest avoiding the entire nightshade family for anyone with autoimmune disease.

Hi . I’m suffering from alopecia areata since 20 year s.after a long struggle new I have thought to try the paleo diet.. Can u pls tell me the diet specifically for alopecia..

Thank you SO much!
I found your site through my nutritionist, and it has been unbelievably helpful for me!

I have a very (very) rare autoimmune disorder called Autoimmune Progesterone Dermatitis/Anaphylaxis. I am basically allergic to my own (and any introduced) progesterone! It got so out of control that I began having reactions to my own estrogen as well – and then escalated to severe reactions to both that involved days of vomiting, severe stomach pain, hives, etc. Horrible. I dropped down to 84 pounds. I have some medications to manage it, but by FAR the biggest thing has been eating a (basically) AIP diet. Any time I cheat and have gluten or dairy, I get terrible menstrual cramps, spotting, hives, etc. Crazyness! Anyway, your recipes have been amaaaaaazing. I don’t feel deprived at all (which is good because I am crazy underweight!).
You rock!

I just came across your blog tonight because I have been diagnosed with Hashimoto’s. I have been struggling with weight loss and my Dr’s , although I love them, can’t find anything wrong. I do take several supplements and want to go as all natural as possible, but not sure if I can ever go off my synthroid. My question to you is do you recommend supplements if on the strict AIP lifestyle? I take CoQ10, D3, Omega3-4 fish oil, L-Tyrosene, E, C, B12, Astaxanthin, probiotics, and green tea extract. Do you se anything missing in my list, or something that I should not be taking? I am going to start the AIP tomorrow and I can’t wait for the health results to start, as I have recently started having some gut issues.

The AIP is designed to be nutrient-dense so that you don’t need supplements in most cases (probiotics or fermented foods are still a good idea and digestive support supplements may be helpful for many people). I’m not familiar with all of your supplements, but green tea extract is an immune stimulator so that’s not one I would typically recommend. You may never be able to go off thyroid hormone replacement, depending on how damaged your thyroid is, but it’s worth getting levels checked more frequently while to adjust dose. Having weight issues is usually a sign that your thyroid hormone replacement dose/brand needs to be adjusted.

Synthroid contains gluten! You definitely can’t have gluten if you have Hashimoto’s. Also, you won’t lose weight, not likely anyway, without T3. I recommend you find a new doctor who is willing to run a full thyroid panel and who will prescribe a dessicated thyroid medication. I have had great success with Westhroid, as it only contains three ingredients: MCT, inulin fiber, and thyroid hormones.

I didn’t know synthriod contained gluten. Is it listed another name? I’ve taken synthriod for 25 years! I am also celiac.

That’s What I’ve found When I’ve researched Different Medications. I’ve Had To Different Doctors Also Confirm This.

Hello. My husband and I are both 25, and my husband has Crohn’s disease. He had an ileocecectomy in January, and as much as we wanted to avoid surgery, it has somewhat proven itself to be a good thing – my husband is in remission and feels almost 100%. We recently (as in 2 days ago) began a total gluten-free lifestyle, but through a friend, I started reading your blog about AIP. It’s all very overwhelming, and we also live in a small town with more fast food restaurants than health food establishments. We also have a not so big income…I’m just overwhelmed, but I know that we need to do this while we are young. I guess my question is how do we go about all of this??? I don’t have any autoimmune diseases (that I know of), but I do struggle with anxiety, and we want to have children soon.

I suggest tackling it in bits and pieces. Gluten-free is a great start. The next step is to think about the fats you’re eating. As you get more familiar with new foods, cooking, what you can source inexpensively, it all gets easier. You don’t have to buy all grass-fed meat and organic produce, if that’s not in your budget, so you just do the best you can. You might find some good ideas in this post: http://www.thepaleomom.com/2012/03/i-want-to-eat-paleo-but-i-dont-know.html

Thank you for responding. According to my Dr, my thyroid medicine and levels are right where they need to be. I keep it monitored though. What is the benefit of fermented foods?


They are 20 and a bit stubborn to say the least and will not go on the diet, I’ve managed to at least get them to not eat processed foods or drink soda. I think eventually they will see Mom is always right 😉

Hi – My Name is Toni. Just found your site. Have several autoimmune issues. CFS (my primary-diagnosed 1999 but started after the Shingles in 1992), then Fibro, RA (take Enbrel injections weekly), SS, Lupus, Gerds, 3 herniated disc in the neck & lower back w/sciatica, TMJ, tinnitus, Hypothyroidism, sleep issues-sleep apnea & alpha intrusion, Choscochronditis…you get the picture. I’ve been drinking Bullet Proof Coffee for several months and it has definitely helped w/my energy levels plus MCT Oil has helped greatly w/my chronic constipation. Been trying to not eat sugar, dairy (still have cottage cheese & eggs), grass fed meats, organic when available. Doing better but still not where I would like/need to be. What are your suggestions please? It is greatly appreciated!

Thank you so much for your quick response! I do wish your book was available now but christmas is around the corner 🙂 Unfortunately, no longer able to work since 2006 but perhaps getting stricter I can realize a much better quality of life. Keep up your excellent work!

This is great information. I have Hashimotos, geographic tongue and a blood clotting disorder called Factor V Leiden. SO many things cause holes and cuts in my tongue when I eat them, it is hard to tell what they all are. I try to eat gluten free, but we eat out a lot and I am by no means a chef and do not cook much and do not like or make veggies The only thing I eat are plain salads which cause digestive distress and bloating. Most everything I eat causes GI issues, digestion issues. I cannot even tolerate supplements and have to take gummy vitamins since others cause GI distress. My thyroid meds are compounded with cocoa butter so I can dissolve them under my tongue even. I had issues with Synthroid, levoxyl and Armour, Naturethroid, etc. I am super smell sensitive and hearing sensitive and my daughter has started with the same issues and has become highly allergic to things causing severe breathing compromise and at 10 yo has already hit puberty. She also has the blood clotting disorder and had an intracranial hemorrhage at 2-1/2 yo. My son also has renal insufficiency. I am worried that our diet is slowly but surely compromising our health, but it seems overwhelming to change for myself let along my children as well, but I know we need to do something for the sake of our health and soon, just not sure where or how to begin…..

It’s fine to tackle this in babysteps… work on getting completely gluten free first, then grain free. Changing the fats you eat will make a huge difference, as will focusing on getting more super nutrient-dense foods in your diet (organ meat, seafood, vegetables). It’s always fastest if you can jump in with both feed, but that doesn’t work for everybody and it’s totally okay to take your time making one change at a time.

I think the biggest overwhelming part is we eat the typical American diet, but more recently have tried to eliminate fried and tried to cut back to less processed, but still eat that. We are still addicted to sugar and very, very picky about what we will eat or try….like veggies, anything green, meats, some fruits, anything different or does not smell good makes us cringe really…so this makes it even more challenging 🙁 Not sure if there is hope for us!

Thank you for your guidance. We are going to try small steps. Your site is so helpful and informative and your recipes look amazing, so we will be trying them as well. Looking forward to your book coming out soon for guidance!Thank you!

Hello there. i have just ordered your new book for my dad.We’re looking forward to it. I think I have convinced my dad that addressing what he puts into his body will help. He has recently been diagnosed with PolyMyositis but he is not responding to Prednisone. So, they may be looking at IBM. Waiting for an MRI to look further into this. there has been a lot of waiting for answers, but food is something that my dad can control. Because Myositis is so rare I worry that he won;t get the best advice out there. On top of the Paleo diet would you recommend any supplements – magnesium? vitamin D ? thank you! Kate, UK

Magnesium can be tough to get in the food supply, so it’s a good supplement for most people to take (plus chronic stress depletes it). I recommend magnesium glycinate. I would only recommend vitamin D if your dad has his levels checked and is deficient.

Dear Kate, I have just been diagnosed with polymyositis too, I am a month into the AIP in an attempt to avoid prednisone, I just wondered how your dad was getting on and if you’ve seen any changes since altering his diet? Would be good to talk to someone who also has this condition, Vic

Have you seen results yet because of AIP?
I am following this diet for last four months. I am polymyositis patient. My CPK level has dropped down from 4000 to 1000. This is only change I am observing for now. Which I guess is also a lot. I am hoping to see result in my physical condition too… Please share your experience.

Dear Sachin, I’ve been following AIP for nearly 6 months now, my CKP has dropped from 5500 – 1500. I am still steroid free at the moment, my rheumatologist has agreed a wait and watch approach if I can get my levels to 1000. I really hope I can 🙂 physically the changes have been slow but the aching has improved and so has my physical ability (distance I can walk, fatigue improved etc) I still have some ongoing digestive issues which I feel are holding my back, but I’m trying to work these out and hope things will improve further. I’d love to hear your story, or connect and share experiences – my email is vickidot

Definitely I will also definitely like to share and connect with you. Your email id is not complete so I could not sent you email. Please write me to sac_ssn at yahoo dot com. I am also starting a blog to share experience of my Polymyositis and Paleo AIP diet. Please join me and you can also share your experiences there. I will forward people to this great site which is helping us. Waiting for your reply or contact details.

Dear Sachin, thanks for your email contact, I’ve just emailed you so hopefully you should have that soon and we can catch up and share experiences of our AIP so far, best wishes Vic

I did reply to you on same day. My email might have gone in junk as it was yours in my mailbox. Please check junk if you did not find it in your inbox.

I ran into your website by randomly searching the web to learn more about AIP. I have been reading a lot about hashimoto disease having a positive effect with this lifestyle, my concern is I have Graves’ disease, also an autoimmune disease, and was wondering if you have any information if this lifestyle works for Graves’ disease?

Vic, Kate, I am a polymysitis patient for last 12 years. I recently came to know about SCD and Paleo diet. I am on SCD for 3 months and started reading about paleo. Can you be please in touch with me to share your results. Email: sac_ssn at yahoo dot com.


Is the Autoimmune Paleo diet recommended for people with alopecia areata or alopecia universalis. I’ve seen little information about treating this particular autoimmune condition through diet. Connections between alopecia and rheumatoid arthritis have been made–for example, a new drug approved for rheumatoid arthritis has been shown to reverse alopecia (http://www.medicalnewstoday.com/articles/278544.php). Do you have an idea about whether the diet could reverse alopecia? Could you recommend any practitioners who have treated alopecia specifically?

Thanks very much.

I, too, am searching for research that supports AIP diet helping Alopecia. It’s such a strict diet to commit to that I would like to hear positive feedback before committing. Have you come across anything? Thanks!

I have Alopecia Areata and Hashimoto’s. I have been following the AIP for 7 months, with the past 3 months being strict (when I was on vacation, I had to relax it because we ate out every meal). Just 2 weeks ago I noticed my hair is growing back! I’ve got baby fine hairs starting in places that have been bare for 2 years. I have the ophiasis pattern on the lower two-thirds of my head (almost no hair), and a rather thick patch of hair on top. Looks weird. The bare patches in the hair on top have filled in. I’ve got probably 85% coverage, although most is a bit sparse. I still have to wear a wig.
As for my Hashimoto’s, my TPO (thyroid peroxidase auto-antibodies) came down from 281 to 213, and I’ll get them checked again in about 2 months.
I’m still very much a work-in-progress, but I am FINALLY seeing results. I will never eat gluten again, probably never eat grains again, and I won’t reintroduce any foods until I’ve got a full head of hair. This autoimmune protocol is the only thing that has ever worked for my hair.
Sarah’s book is amazing, daunting, and full of reasons why this protocol works. Her recipes taste really good, too.

Hi Tracey,
I have Alopecia Areata and Hashimoto as well and doubting about starting AIP diet. Thanks for your encouraging message! Do you already have all of your hair back?

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