Man reflecting on healing journey from autoimmune disease through diet and gut health

The Science of Autoimmune Diseases and Nutrition: My Healing Journey

March 25, 20254 min read

When I first set out to understand the intricate relationship between autoimmune diseases and nutrition, I was overwhelmed by the sheer volume of studies. Over the past four decades, researchers have explored numerous dietary approaches, from low-fat and low-carb diets to Mediterranean, paleo, and fasting regimens. My journey to healing, armed with this wealth of information, has been transformative.

Understanding Autoimmune Diseases

Autoimmune diseases occur when the immune system mistakenly attacks the body’s own tissues. With over a hundred types identified, including rheumatoid arthritis, psoriasis, and Hashimoto’s thyroiditis, the symptoms and affected areas can vary widely. Traditional treatments and medications provide some relief, but many of us continue to search for additional ways to improve our quality of life, particularly through lifestyle changes like nutrition.

The Mediterranean Diet: A Healing Discovery

One of the most significant findings for me was the Mediterranean diet. Originating from the dietary habits of people in the Mediterranean region, this diet is rich in unprocessed fruits, vegetables, whole grains, fish, and olive oil, while low in ultra-processed foods. A study in Sweden with rheumatoid arthritis patients revealed remarkable improvements in symptoms, physical function, and vitality after just three months on this diet. Participants also experienced weight loss, which often contributes to reduced inflammation.

While it’s challenging to pinpoint the exact element responsible for these benefits—whether it’s the omega-3 fatty acids in fish, the polyphenols in olive oil, or the elimination of junk food—the overall dietary pattern appears to be highly beneficial.

The Gut-Joint Axis: Fasting and Microbiome Health

Fasting emerged as another potent strategy. A trial involving rheumatoid arthritis patients employed a subtotal fast (200-300 calories a day) for 7-10 days, followed by a careful reintroduction of foods. This method significantly reduced pain, stiffness, and swelling, suggesting a strong link between gut health and joint inflammation. The reintroduction phase revealed that certain foods could trigger symptoms, emphasizing the importance of individualized diets.

Fasting helps activate autophagy, the body’s natural process of cleaning out damaged cells and regenerating new ones, which is crucial for healing autoimmune conditions. This trial also highlighted the gut-joint axis—how gut health impacts systemic inflammation, including in joints. Differences in microbiome composition between responders and non-responders suggested that gut flora plays a critical role in autoimmune conditions.

Low-Fat and Elemental Diets: Different Paths to Relief

While low-fat diets have shown promise, particularly for rheumatoid arthritis and multiple sclerosis (MS), it’s essential to recognize that not all fats are created equal. Studies have reported reduced pain and fatigue when less than 10% of calories come from fat. However, certain healthy fats, like those found in fish, avocados, and olive oil, are beneficial. It’s the intake of specific saturated fats that can cause problems, although coconut oil is an exception due to its unique composition and health benefits.

Elemental diets, providing all essential nutrients in their simplest forms, have also been effective. These diets are hypoallergenic and are often used to manage severe cases, although reintroduction of solid foods can sometimes reverse improvements.

Elimination Diets: A Temporary but Effective Strategy

Elimination diets help curb inflammation when autoimmune conditions are at their peak. The key is to think of elimination diets as a temporary solution while working on healing your gut. Once your gut heals, autoimmune responses will naturally minimize, reducing food sensitivities over time.

Vegan Diets: Effective with Caveats

Vegan diets can be effective, but it’s crucial to ensure adequate B-12 supplementation. I recommend vegan diets only for short periods, as the best long-term approach appears to be an organic diet incorporating chicken, fish, eggs, and a lower intake of red meat.

Gluten Intolerances and Glyphosate

Gluten intolerances have a direct correlation with glyphosate practices. Many people find they are less sensitive to gluten in European countries due to stricter regulations on crop spraying. Glyphosate, an antibiotic used in GMO crops to withstand pesticides like Roundup, wreaks havoc on the gut, exacerbating autoimmune responses.

FODMAP Diets: Tailored for Autoimmune Struggles

FODMAP diets, which limit certain carbohydrates that are hard to digest, work extremely well for people struggling with autoimmune conditions. These diets help reduce gastrointestinal symptoms and inflammation, making them a valuable tool in managing autoimmune diseases.

Conclusion: My Healing Journey

Navigating autoimmune diseases through nutrition is complex and deeply personal. By understanding the science and experimenting with different diets, I’ve found a path to improved health and quality of life. If you’re on a similar journey, I encourage you to explore these dietary strategies, consult with healthcare professionals, and most importantly, listen to your body. Healing is possible, and with patience and perseverance, you can find the right balance for your unique needs.

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Brian Nori

Author of The Autoimmune Awakening

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