/r/AutoImmuneProtocol

Photograph via snooOG

r/AutoImmuneProtocol (also known as The AIP diet) is a place for people following or wishing to learn about the Auto Immune Protocol diet. AIP is similar to Paleo but removes additional foods that are pro-inflammatory. It is designed to help people suffering from autoimmune disorders and other inflammatory problems. Post recipes, discuss anything about the diet and your experiences, learn to eat and be healthier!

A more detailed AIP intro from Dr Sarah Ballantyne who helped create the protocol: What is The AutoImmune Protocol?

The Paleo Approach by Dr Ballantyne is a comprehensive intro to AIP and gut health: The Paleo Approach (Book)

More AIP Resources

/r/AutoImmuneProtocol

20,395 Subscribers

1

Any book recommendations in French for autoimmune diseases?

So im in the US right now visiting my daughter but my English isnt that good as if I can read and understand every single word

I would appreciate any advice on MS books written in French? (Preferably the ones I can buy locally in Houston but otherwise online ebook is ok too)

0 Comments
2024/11/30
17:11 UTC

8

What can I have on a liquid only diet?

Just got back from the ER, was recommended to consume a liquid only diet for the next several days until I can reach a gastroenterologist who can hopefully figure out a plan. I might just fast, but if it gets unbearable, what drinks are suitable for AIP and easy to digest? I'm underweight and worry about going too long without sustenance. I hope to get a prescription for an elemental diet, but i don't know how long that will take after I see the GI.

I can't digest fats at all. They ran some tests and discovered that I have elevated liver enzymes. I just took a bite of food yesterday morning and nearly passed out from nausea, pain, and, um... defecating my guts out. I don't digest sucrose well either... gives me crazy fatigue and headaches. So I think fruit juice is out of the question. Is just bone broth ok?

Any advice immensely appreciated, thank you

10 Comments
2024/11/30
08:32 UTC

13

Thanksgiving on AIP: A Love-Hate Relationship

Thanksgiving....where the turkey's juicy, the sides are endless, and the desserts could probably launch a thousand food comas. Except, this year, my plate was… modest. I’ve been on Autoimmune Protocol since May, and I’m in phase two of reintroductions. Long story short, green bean casserole (my all-time fave) didn’t make the cut. Green beans said, “Nah,” and my gut agreed. Ugh.

But let’s talk dessert. I attempted AIP-ish apple and sweet potato pies. Used almond flour for the first time since my Keto days (oh, how I’ve missed you) with a little cassava for structure. Let me tell you, wrestling that crust into submission was a whole WWE match. I was talking smack to it, and it was definitely talking back. Ended up crumbly post-bake, but hey, we’re calling it rustic charm. Taste-wise? Pretty damn close to the real deal...minus nutmeg, because I’m not that brave yet.

It wasn’t the Thanksgiving of my pre-AIP life, but you know what? It was mine, crumbs and all. So, what about y’all? Did you create AIP masterpieces or just stare longingly at someone else’s mashed potatoes and baked mac 'n cheese (damn, I'm drooling again)? Let’s share the wins (and the fails).

Edit: I also made an AIP-friendly Turkey brine. OMG...No gravy required, because the Turkey was delicious and moist. I also tried something new; I softened some Beef Tallow added AIP safe herbs and rubbed the turkey with it, WOW, delicious (amazing benefits for the body and skin, also, did you know McDonald's used Beef Tallow for their burgers and fries WAY back in the day when they first started out? Yeah, well Beef Tallow became so expensive because it is, they use bullshit oil to cook their foods now.)

This path to whole body healing is tough but so worth it. Im taking gut regimen supplements on top of weeding myself off of AIP with slow reintroductions. Everyone's body is different some will take a little longer to get to someplace more tolerable and some won't take as long. Either way, I appreciate all the support here. You guys are some fu*kn warriors!

pre-bake:

https://preview.redd.it/7oofzzu4xy3e1.png?width=1451&format=png&auto=webp&s=19c82b6d8db23fb9d74db86686adc90adfdf9a4e

https://preview.redd.it/xg5r5hd8xy3e1.png?width=459&format=png&auto=webp&s=d242edd97fe99053f4f7a29c3f7b427c4b3cfd4b

https://preview.redd.it/75h4rlfaxy3e1.png?width=459&format=png&auto=webp&s=33f7a6906de103f5746551b3aad03e8e63556317

Did not have enough flour to cover it. Oh, well, it still tastes damn good.

4 Comments
2024/11/30
04:42 UTC

6

Probiotics actually make a difference

From the advice of fellow redditors on here I started taking RenewLife extra care digestive probiotics. I felt like I could start to eat food and not immediately be bloated to the point of pain and constipated. I thought maybe it was just cutting out dairy and gluten, but I could even eat some spices and be relatively ok.

I stopped taking them maybe 2 weeks ago cause I thought I was just magically doing better (haha) and I’m paying for it now. I had apples for breakfast and my stomach got hard as a rock.

Anyways, can’t recommend the probiotics enough! I thought they were gimmicky but they do actually make a difference

4 Comments
2024/11/29
20:06 UTC

1

Autoimmune hepatitis Dr Berkson method

My husband was recently diagnosed eoth autoimmune hepatitis and is currently on 48 mg of prednisone daily, with azathioprine to be added later. I understand that this disease doesn’t have a cure and can only be managed with treatment. It’s also clear that it can’t be controlled without immunosuppressants.

As we’re just starting this journey, I’m wondering—can a holistic approach or autoimmune diets help achieve remission and maybe, one day, even allow discontinuing medication?

I’ve read some articles suggesting that the gut microbiome might be linked to the liver-gut axis and that treating issues like leaky gut could potentially stop flares. I also came across something called the Dr. Berkson protocol, where people claim to have achieved remission with alpha-lipoic acid, selenium, and silymarin (milk thistle) supplements.

Does anyone here have any experience or knowledge about these approaches? Would love to hear your thoughts

1 Comment
2024/11/29
14:51 UTC

1

Can you give me advice?

Ive been following AIP for 26 days now, no improvement. If anything, my symptom have gotten worse.

I have quite a busy life so I’ve been snacking on lots of fruit when I haven’t got the time to mealprep. Sometimes (actually regularly) eating 4-5 portions of fruit per day.

I have always eaten fairly healthily and I’ve had RA since I was 3 and Uveitis starting from age 4.

I am starting to think that my autoimmune diseases are not caused by diet (like I said I was never overweight and have always done sports and eaten fairly balanced with 0 alcohol)

I always aim for 8 hours of sleep and get 7 if it’s impossible due to obligations.

I do want to do a test for candida just in case that is worsening symptoms (also cause I do eat high fodmap foods to keep the AIP meals interesting). However, the doctor told me I should be eating everything.

Had anyone experienced improvement in AIP despite being diagnosed at an early age with a healthy lifestyle?

Should I try to start reintroducing foods on the 30th day? (So, I can take my tests and also see if AIP had an effect and I DO respond to something)

Also, I have not been eating enough protein due to my lack of ability to prep meat when I’m working from the office. Also, I’m kind of done with eating meat as a prior vegetarian.

5 Comments
2024/11/29
07:26 UTC

2

Had turkey that I thought was safe

Hi friends. My in laws made thanksgiving dinner and told me they would make the turkey AIP safe and I found out about an hour after eating the turkey that was not true. Any tips on how to reduce symptoms after a flare from accidental food? I feel absolutely awful right now and I’ve been doing so good on the diet so it’s a huge bummer to feel so sick after eating.

6 Comments
2024/11/29
03:01 UTC

3

Dr. Ballantyne No Longer Endorses AIP?

Hello,

I have had RA for 17 years, and read Sarah's book way back in 2011. Interesting to see she doesn't talk about AIP anymore. Anyone know why?

I never did AIP; I just took my meds and cut out dairy and grains for the most part. Saw good results with that, but I never achieved remission without meds. Tried carnivore recently and it didn't work due to histamine issues. So now I think I'll finally give AIP an honest try.

15 Comments
2024/11/29
02:50 UTC

2

Dr Sarah Myhill - iodine

Hello. I was wondering what people think about Dr Sarah Myhill iodine in salt pipe protocol for preventing viral infections. Chat GPT says its unsafe and my GP wasn't convinced it was safe either. What are people experience with it?

2 Comments
2024/11/28
16:14 UTC

2

Did AIP trigger hair loss?

I did AIP for a month in July to help with Hashimotos, along with starting levothyroxine for my thyroid I saw some incredibly positive changes in my energy levels and overall I’ve been doing really good!

Unfortunately in October I started having some pretty significant hair loss. This hair loss coincides with around 90ish days post AIP and starting meds. I did loose around 15ish lbs in that month of AIP as well.

Has anybody experience hair loss after AIP? I am guessing it’s from the medication but I am curious if there is a trend of this happening in the AIP community.

2 Comments
2024/11/28
02:41 UTC

2

dairy and depression

I have noticed that when I eat dairy my entire mood feels low and it is extreme, in addition to bloating and overfullness. Is this a common reaction to dairy?

I appreciate everyone's responses. I have not been eating dairy for the last 5 years, or at least very minimally. I am 56 and have been concerned that I might not be getting enough calcium so I decided to try to have more dairy, but I feel absolutely awful mentally and physically. I already eat a clean diet and don't eat added sugar, and I try to eat low glycemic fruits. It is tough trying to stay healthy as I am so sensitive to foods.

6 Comments
2024/11/28
02:06 UTC

0

The problems of the AIP diet

Hi everyone, I followed the Aip diet for a good month to see if I got any benefits for the alopecia areata problem I suffer from. Unfortunately I didn't, my hair didn't grow back in any way. I wanted to express my doubts about this diet and have a comparison with those who have done it/still do it.

First of all I want to say that it is a diet in my opinion mainly indicated for women and not for men and now I'll explain why. I was already thin by nature before starting the diet, but when I did it I practically lost all the little lean mass I had and I became skinny. For a woman I don't think it's a problem to become very thin, but for a man it is. In fact the Aip diet has a very low carbohydrate intake, it doesn't have pasta, rice, bread, legumes, and this drastically affects lean mass and weight. The nutritionist I contacted (actually not very knowledgeable about the protocol) had basically included a sweet potato at every meal for the carbohydrate quota, but I don't think this is in the spirit of the diet. For a while I resisted and ate them, but then I gave up and did my own thing. However, I was always hungry, and I tried to reduce it by eating fruit (maybe too much). It's a diet for people who also need to lose weight or want to stay very thin. The variety of ingredients is not very wide and this doesn't help. For example, I find coconut milk (made only of coconut and water) undrinkable, and the same for bone broth.

And this is the first point. Secondly, I saw my hair more fragile in that period, as if it was lacking the supply of something necessary for the health of the hair. I must also say that it was early autumn, the worst period for hair, so I don't know if this distorted the thing.

Another thing, when I was on the diet (and when I still don't eat cereals and legumes) I urinated a lot more (actually transparent urine or almost). This may not be a problem but I would not want it to indicate an excessive load on the kidneys due to an excessive protein intake. What do you think?

For the rest, I have had general health benefits but not excessively evident because I already followed the mediterranean diet being Italian. I must say that I mainly had greater intestinal regularity and better digestion, fewer problems with pimples on the skin of the face, better sleep. When I reintroduced forbidden food in fact I had some problems with intestinal discomfort, swelling, flatulence and less compact stools.

I await your points of view and any advice with curiosity and open-mindedness.

For convenience and speed I have translated this text with G Translate, sorry if the text is not precise.

36 Comments
2024/11/27
21:35 UTC

2

Thanksgiving Recipe Help

Hi All. I am attending a Thanksgiving lunch and have been asked to bring a dish. I was thinking of something like a sweet potato bake that involves bacon - does anyone have a fool proof recipe (I don’t have time to do a test run!).

Or anything else delicious!

Thank you!!

3 Comments
2024/11/27
04:29 UTC

5

Unsuccessful food reintroductions after 6 months

I started AIP for Hashimoto’s and IBS and trying to lose weight after twin babies and being over 40. I feel way better but the lack of variety is really really hard. I’ve been cheating a lot and sadly all reintroductions have been unsuccessful. Has this happened to anyone? I used to be allergic to gluten and dairy and now everything triggers my IBS or causing other symptoms like brain fog, eczema, lack of energy. I also recently started taking LDN based on my functional doctor’s recommendation which seems to help but I still feel awful when I try to eat anything other than AIP compliant. I’m kind of regretting starting this protocol since I can’t seem to get off it. Any advice from others with similar experiences?

6 Comments
2024/11/27
04:27 UTC

2

Pescatarian AIP - Is it fine to eat fish 3-4x a day?

Although I try to stick to fish that are lower in mercury, could it still be a concern if I'm consuming lots?

4 Comments
2024/11/27
04:20 UTC

2

Brain fog after eating fruit and starches?

Help me... what is this? Headaches, brain fog, feeling heavy and lethargic after eating fruits or starches. Could I have candida? I'm scared. I can't imagine doing AIP with just veggies and fish (I'm pescatarian). I'm also trying to do low FODMAP to manage IBS symptoms, and it all seems impossible. I'm already so constipated. Does anyone else have this problem?

Edit: I also have celiac disease, if that's relevant

11 Comments
2024/11/26
21:23 UTC

7

Can long term AIP be an issue or does it really heal the gut?

First, I want to clarify that I know AIP isn’t MEANT to be long term. I’ve just been researching it, combing through posts of the support groups and it seems like there are folks who end up doing AIP for long periods because they can’t successfully introduce anything and the diet ends up being a band-aid, as in it does not heal but helps symptoms, but eventually stops being effective after something like Covid and people are stuck eating that way. Concerns about microbiome shifting due to those changes, and losing the ability to digest them.

Has there been many people who have healed their gut issues and able to add back more things?

28 Comments
2024/11/26
15:34 UTC

1

Considering AIP

I'm considering starting AIP in January for what could be endometriosis. I've seen some have great results but others talk about going to the hospital for nutrient deficiency. I thought the point of the diet was to prioritize nutrients dense foods, so I'm wondering what your experience might have been on the diet. Meat, veggies, and fruit are pretty nutrient dense and not limited on the diet beyond nightshade. Fermented foods are also encouraged, so what gives? Has anyone had troubles with this diet?

8 Comments
2024/11/26
12:55 UTC

2

Vasculitis

Hey tall, interested in trying the AIP diet but curious to see if any one with any form of Vasculitis has tried it and if you could share your journey/results or even tips?

0 Comments
2024/11/25
07:17 UTC

1

gluten free flour?

I've noticed that there is potato starch in most of the GF flours. Is there a 1-to-1 replacement out there without the potato starch?

7 Comments
2024/11/24
21:33 UTC

6

Does anybody else not get acute illness anymore?

Since I became chronically ill I don’t get sick anymore. Not from covid not from anything. No discoloured mucous , no cough or anything. I think it’s a very bad sign. I have POTS/ Sjogrens and Maybe relapsing Polychondritis

Has anyone figured out why their body stops fighting infections and how you can possibly spur on a défense against pathogens and get sick again ?

11 Comments
2024/11/23
05:38 UTC

7

Has anyone found AIP resolved their constipation?

When I do the AIP diet, I find that my chronic constipation and anxiety goes away. Constipation is something I have tried everything to fix with no results until now.

The minute I introduce anything, I'm constipated again.

Can anyone else relate?

6 Comments
2024/11/23
02:25 UTC

2

Would you eat this?

7 Comments
2024/11/23
00:31 UTC

1

Why when I eat animal foods without carbs I get hives?

Title. I was eating animal based diet (meat, poultry, suet, lots of fruit) for 2 years. Then I read that for digestion it might be better to separate animal foods from fruits, I tried and yes. I feel so much better, but! I get hives. They are triggered by cold, water or exercise. After stresser goes away hives disappear in 30-45 min completely.

I am puzzled. I feel much better eating animal foods by themselves. Typical meal (1 egg, 1/4 pound of ground beef, 1/2 chicken thigh, 50 grams of squid, 30 grams of raw suet). But this hives... So ambarassing.

I still eat same foods as before (animal foods and fruits), it's just that I separate them.

Problem seem to be causes mostly by suet (but I don't want to remove it cause it's important for me in terms of energy and well-being).

3 Comments
2024/11/22
22:42 UTC

2

Tendonitis like pain at multiple joints

Hi, I have had multiple tendonitis-like symptoms in both elbows and both knees. A bit of background - I'm a 26 year old female who was morbidly obese for most part of my life. At 22, weighed around 95kilos and thats when I started on a weightloss journey through a calorie deficit diet along with brisk walking for 7kms daily. Managed to reduce 30 kgs of bodyweight over a period of 1.5 years, aiming for 0.5 kg reduction every week. I felt very healthy, fit and over the moon, never looked better in my life. But by the end of this journey, i started having pain below the knee cap bilaterally, it was diagnosed as knee fat pad impingement. I did some PT and symptoms got better and I started brisk walking again after 4 months, but it would occasionally hang around, especially after standing for long. 3 years later, I gained 4 kgs and tried to lose it using the same technique that I used the first time around. Only this time I tried to do a few basic dumbbell exercises (3kg) for 3-4 weeks along with a lot more brisk walking. This time I also included more protein in my diet. I lost those 4 kgs in 3 month. All of this with mild pain along the patellar tendon, but not enough to stop me from exercising. A month later, my knee pain got so severe that I was unable to do anything pain free, sit, lie down, walk even for a few mins.But There has been no loss of functionality in my limbs so far. I now have the following pains, all playing musical chairs with me on a daily basis

  1. Pain on either side of patella on both knees and along the patellar tendon.
  2. Pain right above the patella, and quadracep muscle pain. MRI says no sign of tendinitis, but mild fat pad inflammation. Went to a dozen orthopedics with all of them telling me, its a normal MRI. Tried stretching hamstrings, quads and calves for 2 months and PT, but no significant improvement.

( I also have a little bit of patella alta and mild knock knees. The only thing doctors diagnosed was that this misalignment of my knee along with overuse is causing pain. But it just doesn't seem to go away even after rest and PT. ) 3. Tricep tendonitis like symptoms - constant nagging near the back of the elbows and tricep pain.Here again no loss of function or strength, but i occasionally feel a little bit of weakness especially while typing on my computer with no elbow support. Again MRI was negative and only said mild joint effusion. 4. Neck pain which refuses to go away despite trying multiple sleeping positions and pillows. Never had neck pain before. MRI says mild disc bulge at C5-C6 and C6-C7. Doctors say such minor bulges are there in 8/10 ppl and there's nothing to worry about and that my tricep pain is unrelated to neck pain. ( Not cervical radiculopathy) 5. Mild pain on the outer hip muscles which increases on sitting for long periods. 6. Occasional dull aches in both wrists and ankles near the achilles tendon, but not constant like the knee or tricep pain. 7. Loud Cracking sounds coming from ankles, elbows, shoulders and knees very frequently even though I'm active through the day. 8. 8 years ago, when I was a teen I was diagnosed with a disc bulge in the spine at L4-L5, severely pinching the sciatic nerve. I suffered through this pain for 3 years while in school sitting for long periods of time, got so used to the the pain, I had almost accepted it as part of my body. Finally got a discectomy surgery done back then and the sciatic pain has been gone since 8 years. But there is still some mild disc degenration at L4-L5 and L3-L4, which causes occasional flare ups which are very painfull. I dont have any radiating pain in the legs now.

I have known what pain feels like and certainly not someone who overplays my pain. My real frustration comes from the fact I have had doctors telling me that I don't have any issues, and that I'm just over reacting or my brain is presuming pain, but I really am in constant pain in multiple areas hampering my daily routine every single day in the last 4 months. When the pain is extreme , I get severely nauseous too. Also when one the pains for example knee pain is extremly severe, I can almost always not feel pain/negligible pain in elbows, neck or hips. Maybe its just the body's way of dealing with pain.

I also consulted a few rhematologists to rule out autoimmune diseases, got all the necessary parameters tested. Most tests ( RA factor, Anti CCP, HLA B27) came out negative except slightly elevated ESR and CRP levels, but after examination of my joints, all doctors cleared me of any autoimmune disorders. I have no other symptoms of RA like fever, or visible swelling of joints. No redness also. And no genetic history of autoimune disorders in the family. Doctors also ruled me out of fibromyalgia since I dont have pain in all the sensitive points clinical of fibro, no digestive issues or headaches.

I got my blood tests done for deficiencies and found out I was low on VItamin C and D. Took supplements for these along with collagen supplement for 2 months along with following a balanced diet and yet no sign of improvement.

I have tried doing a lot of research to get to the bottom of these problems, did everything in my control - met many doctors, did PT, fix my nutrition, stay positive, did so many tests and imaging. I thought there must be some muscle imbalance in my limbs since I lost a lot of weight causing tendon issues and tried to do some strength testing exercises like the single leg glute bridge. I seemed to be doing okay and I'm very flexible in most things. After all this I still find myself not in any better situation.

When I lost those 30 kgs, I felt I started a new life and it changed me for better on so many ways. But now, I feel like an old person with so many pains and not being able to do things by myself pain free. I feel down mentally not just because of the pain but also because of being unable to find the root cause and fix it. I just want to live a normal healthy life and get back on track.

I'm not sure why so many tendons seem to be painful bilaterally. I believe tendon injuries are caused by overuse and can be age related, but I'm not sure if I have overused so many of my tendons, especially triceps/hips/neck.I never went to the gym and did heavy weight training. Can this be a systemic tendon issue?At this point I'm not even sure if they are tendon related or anything else. Also why is nothing showing on imaging?

Sorry for the really long post, but it would really help if anyone has ever experienced similar things and shared it here. Thanks in advance.

5 Comments
2024/11/22
05:27 UTC

5

Symptoms of low blood sugar. Is it normal?

Hello 🙂 I’m on Day 10 of the AIP diet - elimination phase. Its definitely helped my bloating, body aches and sleep schedule, but over the past few days I’ve been feeling very shaky and weak.. it feels like I’ve got low blood sugar (which obviously makes sense as I eat very little carbs). My heart rate spikes very easily.. both yesterday and today I had to sit down after washing dishes for around 5 min (heart rate spiked to 140bpm). No feeling dizzy or faint.

My question is have you experienced low blood sugar symptoms (shaky/weak) during the elimination phase and how long after starting/how long did symptoms last? TYIA!

(I have ME/CFS and hypothyroidism - reason for change in diet - so already have heart rate spikes etc. but they’re definitely a lot worse past few days).

14 Comments
2024/11/21
20:33 UTC

2

Looking for gluten free breads that are AIP-approved??

I’m looking for gluten free breads that are AIP-compliant. It seems like most gluten free breads from stores has a slew of added ingredients that are not very nice: guar gum, seed oils, etc etc.

I’m just losing too much weight on AIP without bread and I also can’t stop thinking of bread… it’s like my body craves it. It was something (along with eggs) I reintroduced and the side effects really crept up on me: I am so dizzy/lightheaded and fatigued (my thyroid does not like me!). Cutting it out again (and eggs I guess 😭) but now looking for gluten free breads that are not super processed: Trader Joe’s, Whole Foods, anything!

Grateful for any recs!

38 Comments
2024/11/21
01:05 UTC

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