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Please talk to me about autoimmune flares

by (2024)
Updated about 10 hours ago
Created June 07, 2011 at 5:43 AM

I have vitiligo. I've had it for about four years, and it gets a little worse each year. What's on my body I can live with , but this year, it's really bad on my face, and it's really, really getting me down. Generally, I start each summer with a few little patches that repigment. This year, it's horrible. I think I was in the middle of some vit activity when I started paleo, about 3-4 months ago, just couldn't tell because I had no tan. Now it's just getting worse and worse. My face actually is repigmenting, because I'm using protopic and getting sunlight, but other places are going fast.

I was overdoing the dairy when I first started paleo (ish), have been egg/nightshade/grain/dairy free for about five weeks. Vitamin D is low, has been for a long time. (I've been bad about keeping up with supplements.) Right now, I'm waiting for the results of various lab tests, including celiac, thyroid, ANA, folic methylation, etc.

I've read all the posts on autoimmunity here, including some about flares when first starting out, and referencing Lutz's Life Without Bread, which I JUST read now. He wasn't as clear as I was hoping about flares and how long they last. So I was wondering if anyone in this wonderful community would be so kind as to pipe up about:

  1. Their experiences with flares and how long they lasted before seeing an improvement. I know that this isn't one size fits all, but, well, just some REASSURANCE that I'm doing the right thing would be great.
  2. Macronutrient breakdowns, because I am so confused about what I've read. Some say VLC, some say higher carbs and lower protein. Again, I know it's not one size fits all, but general experience would be great. I don't track food every day anymore because it makes me crazy, but I'm in the 10-20 percent carb range and am wondering if I should limit protein too, a la the optimal diet.

THANK YOU!!

EDIT Have gotten all my labwork back, and they're all perfect. Except for one little thing -- I have a polymorphism for the MTHFR gene, which means I don't methylate folate acid properly. Some gets through, but not all. This actually could be the answer to a lot of my problems, and I wanted to update this in case anyone else is reading this.

Apparently, MTHFR variants are VERY VERY common--some say up to 44 percent of the population is heterozygous (that's what I am) for this. So folate isn't methylated, and among other things, that means homocysteine levels can build up. (Homocysteine is byproduct of methione that is recycled back to methione--and some other stuff--by folate byproducts. Sorry, am not chemist.)

I am finding this last point to be incredibly interesting, because I have gotten worse since going paleo. And it actually makes SENSE now, given this diagnosis. I've been eating way more protein. Methione comes from protein. Therefore, I could possibly have elevated homocysteine levels, which is making the vit worse (and there's some other stuff going on too).

And if this is so common, then it might explain why so many people do better on limited protein, too.

WOW.

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1801 · September 23, 2011 at 5:03 PM

Thank you. It is an embarrassing thing - it can happen to men too, so they're not immune, which is whynit needs to be "out there".

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659 · September 20, 2011 at 1:38 AM

I think it's great you posted this so others reading can hear about these kinds of conditions that can be embarrassing. Good for you!

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659 · September 20, 2011 at 1:36 AM

I have CFS-type symptoms and think this, along with pyroluria, is my answer.

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659 · September 20, 2011 at 1:36 AM

I'm getting the MTHFR gene test done tomorrow, I already know there is something seriously wrong with my folate as it's always elevated (both serum and red cell levels) plus I had organic acids testing and something showed up on that too. Will be great to get an answer. I have also heard it's "not uncommon" in certain ethnic groups.

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4764 · August 21, 2011 at 5:36 PM

I think it's pretty unclear at this point how much of each thing we should be consuming. I'm currently trying for 1/3 muscle meat (1/2 of that being fish), 1/3 organ meat (liver just once a week, other organs the rest of the time, and 1/3 bone/cartilage/connective tissue stock that's been simmered 24h, plus 2 egg yolks per day.

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253 · August 21, 2011 at 10:31 AM

Hi Katherine, I too have vitiligo. How much bone broth would you say is a 'good amount' to consume?

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253 · June 21, 2011 at 3:47 PM

Hi zoomia, I've just signed up as I saw your post and thought I'd send this link I found. There are some anecdotal cases of gluten free helping vitiligo which may be useful... http://surefoodsliving.com/2010/12/vitiligo-and-gluten-intolerance/ I feel your pain as I have vitiligo all over my face which started about five years ago. I've been making a slow transition over the last few months to paleo diet so will keep you posted on progress.

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2024 · June 13, 2011 at 12:26 AM

Thanks PaleoMouth! It's the MTHFR gene test.

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720 · June 12, 2011 at 10:30 PM

Hey! It's great news that your tests found something you can work with! Im curious, which test was able to find this out??

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2024 · June 07, 2011 at 10:47 PM

Anyway (and sorry to go on and on ...) dsohei, I totally take what you're saying as realistic, and not defeatist at all. It is what it is, and we none of us can expect a complete cure. But I DO think that it's possible to halt the progression. Someway, somehow--and the bazillion dollar question is HOW. We don't know.

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2024 · June 07, 2011 at 10:44 PM

th17. In other words, I think I'm cranked up on those particular cytokines. And because I have the genetic makeup for vitiligo (pretty sure it comes from my mom's side), boom presto. These are my theories, trying to piece things together, which may be plausible and may not, but it's one of the reasons that I'm going to ask about mega doses of vitamin D when I go in for my follow up. I tried raw liver. Blech. But rare liver is pretty darn good!

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2024 · June 07, 2011 at 10:40 PM

To be honest, I think my own circumstances are less SAD and more other stuff. Not saying that my diet was perfect--it wasn't--but I have cooked from scratch for eons. From an evolutionary standpoint, vitiligo makes some sense; it seems to be either skin cancer or vit (at least on a few of the genes that can contribute). I had HPV when I was 18, seems to be "cured" now; HPV leads to squamous cell cancer. That can be a trigger. Also, have had problems with yeast, which is dealt with by the body using Th17, people with vit have high levels of Th17 in vitiliginous skin. Vitamin D downregulates ...

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1786 · June 07, 2011 at 10:07 PM

sure, SAD wasnt doing you any favors, but neither does plain old aging. if we want to regenerate our health, it most likely will take an extreme effort that many ppl might not be willing to maintain: bio-identical hormones, raw animal organs, oxygen chambers, infrared saunas, the list goes on & on and not much of it easily accessible or cheap. i'm dealing with this on my own so it's not defeatist, just realistic.

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2024 · June 07, 2011 at 5:46 PM

Yeah, I was looking for the rough patch sustenance. :) It's more that it's so discouraging to be getting WORSE rather than stabilizing. The funny thing is that I'm in this weird sort of depigment/repigment phase. There are small patches I've had for a long time that are getting BETTER at the same time that new patches are appearing. It's almost like my body wants to repigment, and that gives me hope too.

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2024 · June 07, 2011 at 5:41 PM

Thanks Dexter! I have my follow up dr's appointment this week, and I will ask her about super high doses of vitamin D. A few years ago, she put me on 5000/day, and it helped, but not a huge amount.

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7821 · June 07, 2011 at 5:34 PM

You mentioned you read Lutz - in his discussion of Crohn's and UC, he mentioned that he had 80% remission at 6 months for Crohn's patients, but that UC patients sometimes took much longer or never saw improvement. So my thought was, "I'm sticking with this for a year unless I start to die", which is what sustained me through the rough patch. I figured that if I didn't get better after a year, the chances of me doing so ever were pretty slim. The point is that you basically have to commit for a long time regardless of short-term efect; only you can set your tolerance and goals.

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2024 · June 07, 2011 at 4:28 PM

pfw, thanks for the response. It's funny, but just hearing three months gives me hope. Even though all autoimmune conditions differ, even the same disease in different people. It's more about being able to say, okay, three months. I'll keep at it, it's a reasonable amount of time. The whole leaky gut at the heart of autoimmunity makes sense to me, and I figure it's worth playing around with. Interestingly, it turns out that my mother has a lot of the symptoms of IBS and has for years.

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7821 · June 07, 2011 at 3:16 PM

Yeah, I did ZC because I had read that it might help. Later I discovered that there was some actual hypothetical mechanism proposed - that reducing specific colonic bacteria and healing the colon would stop the auto-immune response at its source. Have you read anything about Ebringer and the AS low-starch diet? I seem to recall that he claimed some connection to RA as well... and it would make sense that ZC would help if there was.

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11986 · June 07, 2011 at 1:56 PM

pfw, I also found that ZC (not so much VLC, which I'd been for a while before going to zero) alleviated my RA joint pain. I don't know what the mechanism is; it could be as simple as fewer carbs = fewer symptoms, or it could be that lectins and other plant toxins aggravate symptoms, or some other mechanism. I sure wish there were some good research into ketogenic diets and autoimmune illnesses. But baby steps, I guess.

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9948 · June 07, 2011 at 1:18 PM

Now Brand D3 in olive oil avail at http://www.swansonsvitamins.com I use the 5000IU per gelcap.

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9948 · June 07, 2011 at 1:17 PM

Katherine said make Vit D3 your number 1 priority. The Quilt wants his patients to be 70 to 100ng/ml serum level to strenthen your immune system. Some people will supplement with Vit D3 gelcaps with olive oil as the carrier rather than soybean oil. I have read some people who really want to increase D3 level fast will supplement with 50,000IU/day for two weeks and then back off to 10,000IU for a month than down to 5000IU/day. See The Quilts blog http://www.jackkruse.com Read Levee 6 about immunity that D levels and other things which have to do with autoimmunity. More will come later.

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2024 · June 07, 2011 at 7:24 AM

Also, I've wondered about fasting. My natural tendency is not to eat breakfast, and I probably IF 16-18 hours 3x a week, not planning it. That, along with weight loss ... well, I've wondered if that's also kicked it into high gear. So ... how long did it take you to reverse stuff? Again, I'm not looking for a magic bullet, but it would be nice to be able to tell myself--whether it's going to happen or not--okay, in six months, one year, I should be able to tell a difference ....

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2024 · June 07, 2011 at 7:21 AM

Thanks Katherine! It's GREAT to hear that you've reversed so much stuff. Congrats! You're right on the vitamin D. I have a very strong feeling that the D is key for me. I live in Seattle, which doesn't help. I have wondered about the protein, and will play around with limiting it. There's no question I've been eating a lot more meat than I ever have, so yeah, need to play around with it. Like you, I'm a firm believer in mixing it up. Some days I'm around 50g of protein, some days I'm way more. Some days I eat very few carbs, some days I eat more, depending on what feels right.

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2024 · June 07, 2011 at 7:17 AM

Yeah, I'm under no illusions that it will completely go away, ever. I will always have spots and uneven pigment. However, I would like to reverse what's on my face (which I will; it's just a question of keeping it that way). And I agree, five weeks is definitely not long enough. It's more that I want to feel like I'm on the right track, so thanks for the encouraging words.

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2024 · June 07, 2011 at 7:07 AM

Oh thank god, really? I've heard conflicting results, but trust me when I say that those yolks are deep reddish orange and TDF. They are not technically free range, but their perimeter isn't secure, so they really are ... :)

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4764 · June 07, 2011 at 6:54 AM

eat the yolks, definitely eat the yolks, just not the whites.

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720 · June 07, 2011 at 6:46 AM

Well zoomia was on SAD, so that may have been the aggravating factor over those years? Definetly don't lose faith in the power of Paleo zoomia, as 5 weeks on the 'best subset' is not long enough yet to reverse a significant autoimmune condition surely?? Consider acne suffers often need 3 months...

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2024 · June 07, 2011 at 6:17 AM

Thanks PaleoMouth! Yeah, I'm on the autoimmune subset, and it really stinks because I have a huge flock of chickens that lay gorgeous eggs. The carbs are all veggies, though I do have a piece of fruit/handful of berries every third or fourth day or so.

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4764 · June 07, 2011 at 6:53 AM

You're on the right path! stay on it. While it will take time, your immune system will modulate. Make sufficient levels of vitamin D a priority. A no matter what priority.

The lab tests actually offer little. What will you differently based on the results? You're already gluten free so celiac (TTG etc) won't be valid.

One of the key things you need it simply time. Time for nutrients (including D) to nourish your immune system so it can start functioning properly again.

I've resolved multiple autoimmune disorders (psoriasis, celiac, raynauds, as well as markers for lupus) with a paleo/primal diet, it just took some tweaking and time. Don't underestimate the power of bone broth/stock and organ meats - both are required for various nutrients that you cannot get elsewhere in sufficient concentration.

Paul Jaminet makes a convincing case for limiting protein to around 200 cals per day (50g protein) - some do great with that recommendation, some appear to need more. One reason to consider it is the inflammatory potential of methionine and tryptophan as well as the fact that they increase the need for glycine (found in bones, skin and connective tissue - ie broth). One way to increase protein without increasing methionine and tryptophan is.....bone broth and good amounts of it.

With regards to carb level, you'll just have to experiment. Personally, I find it most beneficial to vary carbs, vary calories and vary intake in general.

Fasting: some weeks I don't fast, some weeks I fast every other day (rare), some weeks I do 1-2 24 hour fasts from noon till noon.

Ketosis: sometimes I'm in ketosis, sometimes I'm not depending not only on carb intake but also depending on fat and protein intake - especially coconut oil intake.

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2024 · June 07, 2011 at 7:24 AM

Also, I've wondered about fasting. My natural tendency is not to eat breakfast, and I probably IF 16-18 hours 3x a week, not planning it. That, along with weight loss ... well, I've wondered if that's also kicked it into high gear. So ... how long did it take you to reverse stuff? Again, I'm not looking for a magic bullet, but it would be nice to be able to tell myself--whether it's going to happen or not--okay, in six months, one year, I should be able to tell a difference ....

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2024 · June 07, 2011 at 7:21 AM

Thanks Katherine! It's GREAT to hear that you've reversed so much stuff. Congrats! You're right on the vitamin D. I have a very strong feeling that the D is key for me. I live in Seattle, which doesn't help. I have wondered about the protein, and will play around with limiting it. There's no question I've been eating a lot more meat than I ever have, so yeah, need to play around with it. Like you, I'm a firm believer in mixing it up. Some days I'm around 50g of protein, some days I'm way more. Some days I eat very few carbs, some days I eat more, depending on what feels right.

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4764 · August 21, 2011 at 5:36 PM

I think it's pretty unclear at this point how much of each thing we should be consuming. I'm currently trying for 1/3 muscle meat (1/2 of that being fish), 1/3 organ meat (liver just once a week, other organs the rest of the time, and 1/3 bone/cartilage/connective tissue stock that's been simmered 24h, plus 2 egg yolks per day.

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253 · August 21, 2011 at 10:31 AM

Hi Katherine, I too have vitiligo. How much bone broth would you say is a 'good amount' to consume?

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1801 · June 07, 2011 at 12:52 PM

I have a skin condition called (vulval) Lichen sclerosus. It's thought to be an autoimmune condition, although not conclusive yet it seems.

Since going paleo (not strict), it calmed down & the appearance of my vulva has become more normal (sorry if that's TMI boys!).

My flares seemed to be linked to postnatal hormones (I would flare when I ovulated - nightmare!!!), but seems to be responding significantly. Only time will tell if I can manage this autoimmune disease as I've only been aware of it (had symptoms) for just under two years.

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659 · September 20, 2011 at 1:38 AM

I think it's great you posted this so others reading can hear about these kinds of conditions that can be embarrassing. Good for you!

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1801 · September 23, 2011 at 5:03 PM

Thank you. It is an embarrassing thing - it can happen to men too, so they're not immune, which is whynit needs to be "out there".

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20 · May 25, 2012 at 10:25 PM

Zoomia, ive had vitiligo for over twenty years. All on my face.. I started UVA treatments and supplementing with 5 mg of frolic acid daily, along with inter muscular b12 shots once a week. I started regaining my pigment a month into treatment. Complete repigmentation within five months. I had to by a dermapal unit and continue to expose my face 2-3 times a week at 6 mins at a time. My doctor was so impressed with my results and couldn't understand how I repigmented so quick and so much. Other patients of his didn't have the same results. I now understand the reasons why. I started the blood type diet about 10 years ago and I'm an O which like Paleo encourages high quality protein and dairy and wheat free diet. I believe that has been the link to my success. I admit that I'm just now considering Paleo because of depression and narcolepsy. I have a tiny vitiligo spot starting on my arm, so I'll be getting on the autoimmune protocol ASAP. I have been cheating way to much and find the vitiligo on my face starts creeping up along with always being tired. I believe the folic acid and b12 were a link to the extent of my repigmenting, so I encourage you to do the same as you continue on your Paleo journey. My doctor prescribed me the folic acid which is five tiny pills I take daily. Remember, 5 MG. I give myself the b12 shots weekly. He also gave me a prescription for this. I am confident this will help you too. I'm also confident that going strictly Paleo along with bone broths will eventually balance it all out. Gotta get my leaky gut healed:)

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7821 · June 07, 2011 at 12:05 PM

Unfortunately no one can promise that this will work. I had a ~3 month crohn's flare when I first switched to a ZC/VLC diet, but that eventually calmed down and things got much better. But Crohn's could have a substantially different reaction to paleo than vitiligo - maybe vitiligo simply won't respond to dietary intervention.

It's impossible to say hypothetically without some sort of proposed mechanism whether or not you'll ever see relief. You're kind of on the edge of knowledge here. I wish you luck.

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2024 · June 07, 2011 at 4:28 PM

pfw, thanks for the response. It's funny, but just hearing three months gives me hope. Even though all autoimmune conditions differ, even the same disease in different people. It's more about being able to say, okay, three months. I'll keep at it, it's a reasonable amount of time. The whole leaky gut at the heart of autoimmunity makes sense to me, and I figure it's worth playing around with. Interestingly, it turns out that my mother has a lot of the symptoms of IBS and has for years.

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7821 · June 07, 2011 at 3:16 PM

Yeah, I did ZC because I had read that it might help. Later I discovered that there was some actual hypothetical mechanism proposed - that reducing specific colonic bacteria and healing the colon would stop the auto-immune response at its source. Have you read anything about Ebringer and the AS low-starch diet? I seem to recall that he claimed some connection to RA as well... and it would make sense that ZC would help if there was.

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7821 · June 07, 2011 at 5:34 PM

You mentioned you read Lutz - in his discussion of Crohn's and UC, he mentioned that he had 80% remission at 6 months for Crohn's patients, but that UC patients sometimes took much longer or never saw improvement. So my thought was, "I'm sticking with this for a year unless I start to die", which is what sustained me through the rough patch. I figured that if I didn't get better after a year, the chances of me doing so ever were pretty slim. The point is that you basically have to commit for a long time regardless of short-term efect; only you can set your tolerance and goals.

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2024 · June 07, 2011 at 5:46 PM

Yeah, I was looking for the rough patch sustenance. :) It's more that it's so discouraging to be getting WORSE rather than stabilizing. The funny thing is that I'm in this weird sort of depigment/repigment phase. There are small patches I've had for a long time that are getting BETTER at the same time that new patches are appearing. It's almost like my body wants to repigment, and that gives me hope too.

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11986 · June 07, 2011 at 1:56 PM

pfw, I also found that ZC (not so much VLC, which I'd been for a while before going to zero) alleviated my RA joint pain. I don't know what the mechanism is; it could be as simple as fewer carbs = fewer symptoms, or it could be that lectins and other plant toxins aggravate symptoms, or some other mechanism. I sure wish there were some good research into ketogenic diets and autoimmune illnesses. But baby steps, I guess.

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720 · June 07, 2011 at 6:01 AM

May I suggest the auto-immune subset of the paleo diet if you are not on it already?

I experience flare ups (of a different kind though) with my acne but where inflammation is concerned we might be on the same boat. It takes time to figure out what your body is trying to tell you.. but I have noticed I get sore joints and then an acne breakout, which I believe I have correlated to when my omega 6 gets out of control.

I cant say with any authority, but 10-15 percent carbs should be fine and you may be able to stay in ketosis which is probably a good idea when trying to trouble shoot issues. Its not all about macronutrients though if those 20% carbs are starchy and insulin spiking you might be aggravating your condition abit.

That is my thoughts, Good luck !

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2024 · June 07, 2011 at 6:17 AM

Thanks PaleoMouth! Yeah, I'm on the autoimmune subset, and it really stinks because I have a huge flock of chickens that lay gorgeous eggs. The carbs are all veggies, though I do have a piece of fruit/handful of berries every third or fourth day or so.

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4764 · June 07, 2011 at 6:54 AM

eat the yolks, definitely eat the yolks, just not the whites.

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2024 · June 07, 2011 at 7:07 AM

Oh thank god, really? I've heard conflicting results, but trust me when I say that those yolks are deep reddish orange and TDF. They are not technically free range, but their perimeter isn't secure, so they really are ... :)

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253 · September 19, 2011 at 11:47 AM

bearer of good news: I too have had vitiligo for over five years. 90% of the pigment on my face has gone. Recently however, I have started to see some re-pigmentation on my face. Very small patches across my face have started to come back over the last month or so. I still have a very long way to go but it is a positive small step in the right direction so do not give up hope.

I have been eating paleo probably around 80% of the time since around March this year. But have recently increased my intake of bone broth as well as supplementing with Vit D, Magnesium and omega 3 fish oils. I'm still experimenting.

I've been on medium carbs. I do eat potatoes as I find on very low carb I get dizziness. I still eat the odd chunk of 70% Chocolate and a few glasses of red wine each week as life is for living. The main thing I think is zero grains and as Katherine said, lots of bone broth (is it possible to have too much?).

In terms of protein, I eat meat every day but not at breakfast (blueberry's, apple and coconut oil) seafood/fish at lunch with lots of veg, garlic and butter. And then chicken or beef casseroles (with bone broth) in the evening with more veg (inc potato) and butter.

The spots seem to have come back on my cheeks which always catch the sun first. There seems to be a fine balance between not getting enough sun and then getting too much (which in the past has increased the de-pigmentation). I am going to try a narrowband UVB lamp too to try and accelerate the process now I know it is also healing from the inside (I tried this in the past an it didn't work but my diet was bad).

Interestingly earlier on this year I did think the vitilgo seemed to be getting worse at a quicker rate and I wondered if Paleo was the right thing. But then it seems to have slowed and then reversed in some areas (my right hand is showing some re-pigmentation too).

I'll keep experimenting and seeing what seems to increase the rate and let you know how things go. However we are all different so I can't say what will work for you.

I hope this helps. Good luck!

EDIT: also as another poster mentions. I have totally dropped nuts from my diet. For me they are not good.

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2437 · June 07, 2011 at 10:21 PM

I would also drop the nuts and seeds.

I know that it sounds like a lot but if you make food in batches and plan ahead its not too bad.

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1786 · June 07, 2011 at 6:36 AM

bearer of bad news: since its a little worse each year, that means your body is slowly losing the battle. hate to frame it that way but nature recycles. limited, hypo-allergenic diet, safe starches if it works for you (experiment) and lots of support - acupuncture, herbalism, nutraceuticals, meditation, lab tests, etc.

edit to talk about immune system: in a weird metaphorical sense, auto-immune conditions are the body trying to do what seems correct under unhealthy circumstances.

the terrain is messed up (leaky gut, or some genetic anomaly) and it confuses nature's natural system of recycling. theres a theory that we need more intelligent immune systems, an upgrade to the software, and the way to do that is continuous megadosing of medicinal mushrooms.

whether or not this is true in this day and age, with such multivaried attacks on our health, is unknown. i'm giving it a try, but it will probably take generations of experimenters to know for certain.

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2024 · June 07, 2011 at 7:17 AM

Yeah, I'm under no illusions that it will completely go away, ever. I will always have spots and uneven pigment. However, I would like to reverse what's on my face (which I will; it's just a question of keeping it that way). And I agree, five weeks is definitely not long enough. It's more that I want to feel like I'm on the right track, so thanks for the encouraging words.

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2024 · June 07, 2011 at 10:44 PM

th17. In other words, I think I'm cranked up on those particular cytokines. And because I have the genetic makeup for vitiligo (pretty sure it comes from my mom's side), boom presto. These are my theories, trying to piece things together, which may be plausible and may not, but it's one of the reasons that I'm going to ask about mega doses of vitamin D when I go in for my follow up. I tried raw liver. Blech. But rare liver is pretty darn good!

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720 · June 07, 2011 at 6:46 AM

Well zoomia was on SAD, so that may have been the aggravating factor over those years? Definetly don't lose faith in the power of Paleo zoomia, as 5 weeks on the 'best subset' is not long enough yet to reverse a significant autoimmune condition surely?? Consider acne suffers often need 3 months...

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2024 · June 07, 2011 at 10:47 PM

Anyway (and sorry to go on and on ...) dsohei, I totally take what you're saying as realistic, and not defeatist at all. It is what it is, and we none of us can expect a complete cure. But I DO think that it's possible to halt the progression. Someway, somehow--and the bazillion dollar question is HOW. We don't know.

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1786 · June 07, 2011 at 10:07 PM

sure, SAD wasnt doing you any favors, but neither does plain old aging. if we want to regenerate our health, it most likely will take an extreme effort that many ppl might not be willing to maintain: bio-identical hormones, raw animal organs, oxygen chambers, infrared saunas, the list goes on & on and not much of it easily accessible or cheap. i'm dealing with this on my own so it's not defeatist, just realistic.

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2024 · June 07, 2011 at 10:40 PM

To be honest, I think my own circumstances are less SAD and more other stuff. Not saying that my diet was perfect--it wasn't--but I have cooked from scratch for eons. From an evolutionary standpoint, vitiligo makes some sense; it seems to be either skin cancer or vit (at least on a few of the genes that can contribute). I had HPV when I was 18, seems to be "cured" now; HPV leads to squamous cell cancer. That can be a trigger. Also, have had problems with yeast, which is dealt with by the body using Th17, people with vit have high levels of Th17 in vitiliginous skin. Vitamin D downregulates ...

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