The Beginner’s Guide To The Autoimmune
Protocol
January 25, 2015 By Megan McGrane
This is a guest post by Megan McGrane – physician’s assistant, health coach and autoimmune
warrior.
Did you know that autoimmunity is one of the top ten causes of fatality in females under sixty-five
years old? According to the National Institutes of Health, autoimmune disorders affect over twenty-
three million people in the United States each year.
Autoimmune disorders include hundreds of medical conditions that are due to the body’s own
immune system attacking its own organs. For example, thyroiditis is an attack on the thyroid gland,
Crohn’s disease attacks the gastrointestinal system, multiple sclerosis attacks the nervous system,
and lupus primarily attacks the kidneys.
One of the most frustrating things autoimmune conditions is that there is no curative treatment for
them. Current therapies are often aimed at managing the symptoms alone.
By using food as medicine, autoimmune protocol (AIP) followers are able to reduce troublesome
symptoms and heal underlying imbalances by decreasing inflammation and healing gut dysfunction.
The diet focuses on a nutrient-dense intake and eliminates inflammatory and allergenic foods to
support the body in cooling down the immune system (which is what’s going awry).
The take home point about AIP is that if you have an autoimmune issue, you most likely have a
poorly functioning digestive tract. Because your gut is not in the best shape, byproducts of all of the
things passing through your intestines are leaking through your gut barrier into your blood stream,
causing your immune system to respond. This concept is fundamental to understanding why the AIP
works in decreasing inflammation and immune system stimulation.
How To Follow The Autoimmune Protocol
There are very specific rules to follow to use AIP. At first, the list of foods that aren’t permitted foods
can feel overwhelming, but let’s break it down.
Start with basic paleo principles
No gluten, no grains, no legumes, no dairy, no sugar, and no alcohol. You’ve got that down
already. Glutenis inflammatory for the gut and should be removed from the diet of anyone with
autoimmune disorders. Grains and legumes are removed to avoid anti-nutrients like phytic acid and
inflammatory lectins. Sugarand alcohol are removed because they are highly inflammatory and do not
bring any nutritional value or healing properties to the table.
Avoid nightshade vegetables
Vegetables such as peppers, eggplant, and tomatoes have been found to be particularly
inflammatory, causing joint pain, skin irritation, and gut discomfort.
Avoid eggs
Eggs are eliminated because the proteins and enzymes in eggs (and in the white in particular) are
able to work their way through the gut lining during the digestion process. Although this can occur in
healthy people as well, in those with autoimmune conditions, the egg particulate matter gets through
the barrier of the gut lining easily and infiltrates the blood stream, causing immune system stimulation
and reactivity.
Avoid all nuts and seeds
Nuts and seeds are high in anti-nutrients such as lectins and phytates. They are one of the most
allergenic types of foods and can cause sensitivities in people struggling with autoimmunity.
Additionally, the ratio of omega-3 to omega-6 fatty acids is suboptimal in most nuts and seeds. In fact,
nuts contain a high amount of omega-6 fatty acids, which are pro-inflammatory.
Keep fruit to a minimum
Try to keep fruit to one to two servings per day. This keeps blood sugar levels stable and also helps
you avoid taking in too much fructose, which can be irritating for the gut.
Avoid food additives like guar gum and carrageenan
These additives bring no health benefits and contribute to leaky gut. Other additive like nitrites are
inflammatory for the body and can also be allergenic.
Avoid non-steroidal anti-inflammatory medications
Avoiding NSAIDs is about attempting to heal the gut lining, as this is critical in managing autoimmune
disorders. This can be tricky because many medical regimens for autoimmune disorders such as
rheumatoid arthritis, chronic pain syndromes, and acute bouts of thyroiditis use NSAIDs. Before
removing these medications from your regimen, discuss this with your medical provider.
Quick Start For AIP
So what CAN you eat? Well, you’re in luck. We’ve put together an awesome little graph that shows
you the ins & outs of this paleo variation so you can stay on track and stay healthy!
FOOD GROUP
AVOID
EAT
MEATS
Factory farmed meats, farm raised
seafood
Beef, Bison, Chicken, Turkey, Boar, Wild
Caught Fish, Game Meats
GRAINS
Oats, Rice, Millet, Quinoa (a pseudo
grain), Wheat, all Gluten
None
LEGUMES
All Beans (not including string beans or
snap peas), Soy/Edamame and Peanuts
Snap Peas, String Beans, Haricot Vert
VEGETABLES
Avoid Nightshades, Eggplant, Tomatoes,
Onion, White Potatoes, Gogi Berries, and
all pepper based spices like cayenne,
nutmeg, paprika
Everything else! Asparagus, Brussels
Sprouts, Cabbage, Leafy Greens, Broccoli
Cauliflower, Cucumber, Beets, Squash,
Carrots, Sweet Potatoes and many more
FOOD GROUP
AVOID
EAT
FRUIT
None
All fruits are permitted. *To keep daily
fructose intake reasonable try to stick to a
max of 2-3 pieces of fruit per day
DAIRY
Cheese, Yogurt, Ghee, Butter, Ice Cream,
Half and Half
Coconut milk (without additives)
EGGS
All kinds
None
NUTS AND SEEDS
Almonds, Cacao, Coffee Cashews,
Macadamias, Sunflower Seeds, Pumpkin
Seeds, Chia Seeds, Sesame Seeds
None
FERMENTED
FOODS
Fermented Soy products
Kombucha, Sauerkraut, Kimchi, Kefir made
with water/coconut water
SUGAR AND
SUGAR
REPLACEMENT
All sugars! Sugar, HCFs, coconut sugar,
date sugar, corn sugar, stevia, agave,
molasses and limit honey and maple
syrup
None
FATS
All Butter & ghee, all Margarines,
Canola Oil & all other seed oils
Avocado, Avocado Oil, Coconut Oil, Lard,
Fat, Olive Oil
FOOD GROUP
AVOID
EAT
FOOD ADDITIVES
Carrageenan, Guar Gum, Aspartame,
Benzoic acid, MSG, Sulfates/Sulfites,
Nitrates/Nitrites
None
NSAIDS
Ibuprofen, Naprosyn, Naproxen sodium,
ketorolac and others
None
ALCOHOL
Beer, Liquor, even sugar alcohols and
extracts (like vanilla extract)
None (Sparkling water and Kombucha are
great party-substitutes!)
Here’s table in graphic form (you can save it and download it for quick reference).
Where To Start
One key to AIP success is to focus on following the diet for a set period of time and to track your
symptoms over a number of weeks. How long you choose to stay on the AIP is 100% up to you and
should depend on how you feel following the diet. A strict elimination period of at least thirty to sixty
days is recommended, but many people stay on the protocol for months until they start seeing the
resolution of their autoimmune symptoms.
By setting a timeline for your elimination diet, you can focus on the healing aspect of the diet and stay
motivated with an endpoint in sight. One final thing to note is that, while AIP may help you to find out
which foods you react to, the strict autoimmune protocol is not necessarily meant to be followed for
life. Once you’ve completed the diet, have a focused reintroduction period to identify your food
triggers and sensitivities.
Photo credit: Caitlin Regan
https://ultimatepaleoguide.com/autoimmune-protocol/
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