Fasting Strategies for Autoimmunity - Caplan Health Institute (2024)

by Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

Fasting Strategies for Autoimmunity - Caplan Health Institute (1)

Hello everyone,

Recently, Tiffany spoke with Dr. David Jockers at the Fasting Transformation Summit. For a more in-depth interview, click here.

Fasting Strategies for Autoimmunity - Caplan Health Institute (2)

With an autoimmune disease, which you’re often told it’s going to be lifelong, many people are going to be on medications for the rest of their life. There’s nothing they can do for it, but we found and we work with patients all the time to get into remission with autoimmunity.

We wanted to get the information out there, that’s why we wrote the book, The Lupus Solution, and hosted the Lupus and Autoimmunity Summit. We want to just get the information and the hope out to people that remission with autoimmunity is not only possible, but people can start doing that today. Here are some things to consider when you have an autoimmune disease.

Fasting

When you’re talking about autoimmune diseases, fasting in an option for you. Fasting is naturally anti-inflammatory, but it also can help reset the immune system. It basically forces your body into “clean house” mode, where you get rid of old, damaged or weak cells. And with the immune system, it forces your immune system to recycle all the old, damaged white blood cells and then return. You actually start to produce and regenerate new, healthier white blood cells and immune cells. Fasting can be effective in as little as three days, you can get a good reset of your immune system.

Reducing Stress

Stress is a big driver of autoimmune diseases, we find that people are so stressed out on a daily basis. A lot of times, they don’t even realize that they’re stressed out, or that there’s other forms of stress in their bodies. It’s not always mental, emotional stress. It might be the physical, chemical stresses that they’re encountering. Whether it’s like hormonal issues, insulin surges, microbiome problems, nutrient deficiencies, Even here in sunny California, people are deficient in vitamin D all the time.

Cortisol is a huge component of stress. We find that most people with autoimmune disease have problems with their adrenal glands to some degree. One of the biggest things that we work on with people in the lifestyle realm, is working on stress management. This includes identifying where their stressors are coming from, helping them kind of get some good habits in their day, whether it’s exercise or meditation or breathing, or journaling, to help them be able to handle and get through stress easier.

It doesn’t have that longer lasting, negative impact, because just like inflammation, acute stress is helpful, chronic stress is not. We see that that’s a big perpetuator of the autoimmune process.

Nutrient and Mineral Balance

There’s a lot of adaptogenic herbs that help regulate stress. One of the most common that people know about is ashwagandha, a lot of people use that. Even B vitamins are important too for adrenal function. Adaptogens help keep cortisol more consistent, but there’s also some more things like licorice that can be more stimulating for cortisol.

Magnesium is a good modulator with cortisol. This can help regulate your sleep cycle, especially if you’ve chosen to fast. AdrenaCalmis a topical blend of different herbs that also help regulate sleep. Even things such as passionflower and lemon balm are really calming and soothing. Using these before bed can help you both fall and stay asleep.

Not only is autoimmunity preventable, but it’s also reversible.

You can get an autoimmune disease into a remission state. So you can always have the chances of it flaring up later, but our goal is to keep it where it’s non active, and it’s not creating complications or destruction.

You need to continue moving forward to not only support your immune system, but just to support more optimal health in your body. It makes it so that you’re not only fixing the problem and getting rid of their symptoms, but then it’s more of a lifelong, healthier way to maintain these complications too.

If you are avoiding flare ups and complications, and you’re also avoiding another autoimmune disease. When you have one autoimmune disease, the chance of developing another one is much higher.

Educating autoimmune patients is a big part of what we do. We are so glad we can provide the tools and knowledge to keep people going.

Healthy Regards,

Dr. Tiffany Caplan & Dr. Brent Caplan

PS:

Have fun exploring the creative and flavorful recipes in Dr. Caplan’s cookbook Friendly Recipes to Calm the Fires of Inflammation.These delicious recipes are great support for lowering inflammation due to lupus or other autoimmune disease symptoms.

Reader Interactions

Comments

  1. Fasting Strategies for Autoimmunity - Caplan Health Institute (4)Shelley Hurguy

    I love the rationale. But I was hoping for more “strategies” in regards to fasting for AI. Timing? Length of fast?
    Thanks for all you guys do to educate the community. I love following you!

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (5)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      Thanks for this insight. There are a lot of strategies out there and many times we find the strategy that will fit best within someones lifestyle may be better then the one with the most “benefits”. Because.. it only works if you do it. This would be a good follow-up blog to go over more strategic approaches to fasting.

      Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (7)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      There can be significant benefits for those with Type 2 Diabetes. Make sure you are mindful of your blood sugar dropping too low, especially if you are taking diabetic medication.

      Reply

  2. Fasting Strategies for Autoimmunity - Caplan Health Institute (8)Linda

    Is ashwaganda safe to take with statins and BP meds like losartan?

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (9)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      We do have many practice members safely taking ashwagandha who were on statins and hypertensive medications. I would recommend consulting with your healthcare provider as I do not know your full health history.

      Reply

  3. Fasting Strategies for Autoimmunity - Caplan Health Institute (10)Jennefer

    When I’m fasting how long should fasting last? Should I stop meditation during fasting?

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (11)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      This needs to be personalized to the individual so I would recommend consulting your healthcare provider.

      Reply

  4. Fasting Strategies for Autoimmunity - Caplan Health Institute (12)Chris Holmberg

    I have some type of auto immune, but not a specific DX. It contributes to my DX of Interstitial Lung Disease (5yrs) . I also have a gene that increases my inflammatory reaction. I take Mycophenolate at a low dose to decrease my white count, thereby decreasing inflamation in my lungs. Have been pretty stable last 3 years on this regime. Would attempting a fasting then interfere with white cell suppression?

    Reply

  5. Fasting Strategies for Autoimmunity - Caplan Health Institute (14)Becky

    I have MS.. have wondered about fasting.. how long /how many days?
    Water is ok though right?

    Thank you, have a good night,
    Becky

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (15)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      There is a lot of different types of fasting. Short term intermittent fasting can be done safely by most individuals, but for longer term fasting I cannot give advisem*nt without knowing your full health history.

      Reply

  6. Fasting Strategies for Autoimmunity - Caplan Health Institute (16)Flowers Fields

    I have fasted a lot. 42 years ago I fasted on and off in diluted juices sometimes up to 6 weeks. And I’d do mostly raw vegan in between. I did one water fast. Through the years I’ve done some water fasting for up to a week. I’ve been vegan all these years mostly with no nightshades and no gluten. My psoriasis was mostly minimal with very few outbreaks. In April I had the worse outbreak. Where it got under all my nails. Never had this before.
    No gluten no nightshades no oils (although today I started 1 Tablespoon cold pressed organic flax oil

    I’m doing NO: sugars or fruit (yes to berries) and all things fermented or yeast. No tamari, Braggs, vinegar, miso, shea butter, etc.

    It’s gotten much better so I’ve added apples that are not so sweet.
    I soak feet in urine, sea salt, epsom salt.

    I drink morning urine
    Slippery elm
    American Saffron tea at night
    Activated Coconut charcoal before bed
    Probiotics
    B12 every few days
    I eat three Brazil nuts daily and pumpkin seeds. I also do hemp, chia, flax, purslane daily and an omega algae oil with vit K every few days.

    Will it disappear totally? I hope so. Maybe I should fast. But Dr. Klaper says I shouldn’t because I’m very petite. 5’2” at 106 lbs.

    Your thoughts Please.

    Are your recipes vegan?

    Reply

  7. Fasting Strategies for Autoimmunity - Caplan Health Institute (17)Flowers Fields

    I have fasted a lot. 42 years ago I fasted on and off in diluted juices sometimes up to 6 weeks. And I’d do mostly raw vegan in between. I did one water fast. Through the years I’ve done some water fasting for up to a week. I’ve been vegan all these years mostly with no nightshades and no gluten. My psoriasis was mostly minimal with very few outbreaks. In April I had the worse outbreak. Where it got under all my nails. Never had this before.
    No gluten no nightshades no oils (although today I started 1 Tablespoon cold pressed organic flax oil

    I’m doing NO: sugars or fruit (yes to berries) and all things fermented or yeast. No tamari, Braggs, vinegar, miso, shea butter, etc.

    It’s gotten much better so I’ve added apples that are not so sweet.
    I soak feet in urine, sea salt, epsom salt.

    I drink morning urine
    Slippery elm
    American Saffron tea at night
    Activated Coconut charcoal before bed
    Probiotics
    B12 every few days
    I eat three Brazil nuts daily and pumpkin seeds. I also do hemp, chia, flax, purslane daily and an omega algae oil with vit K every few days.

    I also add fresh lemon balm (I grow lots) or dried in the winter to my smoothies. Will get back to ashwaganda.

    Will it disappear totally? I hope so. Maybe I should fast. But Dr. Klaper says I shouldn’t because I’m very petite. 5’2” at 106 lbs.

    Your thoughts Please.

    Are your recipes vegan?

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (18)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      I can’t give personal advice without really knowing your case in detail. Fasting can be great for autoimmune issues like psoriasis, especially if there is a gut trigger (leaky gut, food sensitivities), as it gives the gut immune system a break. If the triggers are not taken away though, the psoriasis will not completely go away. We have a lot of different recipes, including vegan. We don’t discriminate with nutritional approaches as we believe it should always be tailored to the individual needs.

      Reply

  8. Fasting Strategies for Autoimmunity - Caplan Health Institute (19)Rosalind Hamilton

    Thank you for working so diligently on such a complicated issue as autoimmune diseases. This is not an easy area of study but the information that is being shared is surely appreciated. I look forward to find SOME relief form this autoimmune deficiency.
    Thank you

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (20)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      We’re happy to be of support!

      Reply

  9. Fasting Strategies for Autoimmunity - Caplan Health Institute (21)Deborah

    Thank you for this. Do you have specific suggestions for fasting. Is dropping one meal sufficient? Thank you.
    Deborah

    Reply

    • Fasting Strategies for Autoimmunity - Caplan Health Institute (22)Dr. Tiffany Caplan, DC, CFMP, IFMCP & Dr. Brent Caplan, DC, CFMP, IFMCP

      There are various different types of fasting strategies. One of the simplest one is intermittent fasting. This can be done by just fasting 12 hours (even without skipping a meal). Even more benefits come when fasting for at least 16-hours which can be done by skipping just one meal.

      Reply

Leave a Reply

Fasting Strategies for Autoimmunity - Caplan Health Institute (2024)

FAQs

Will fasting help with autoimmune disease? ›

Intermittent fasting alters and improves gut microbiota in autoimmune diseases. Intermittent fasting reduces inflammatory markers in autoimmune diseases. Intermittent fasting enhances cellular repair mechanisms through autophagy. Intermittent fasting can improve the condition of multiple sclerosis.

How long do you need to fast to reset your immune system? ›

Research conducted several years ago reported that a three-day fast can essentially “reset” the immune system. In other words, fasting helped turn on the production of new and more powerful immune cells.

Can autophagy reverse autoimmune disease? ›

As mentioned above, autoimmune diseases are caused by aberrant B cell and T cell responses to the host, and autophagy signalling can regulate the occurrence and development of autoimmune diseases, which provides some valuable therapeutic strategies against autoimmune diseases.

How fasting mimicking diet helps autoimmune disease? ›

FMD causes a systemic anti-inflammatory effect and specific suppression of autoimmune cells whereas the re-feeding period stimulates hematopoietic cells to generate naïve cells to replace the immune cells eliminated. FMD also promotes tissue-specific stem cells that repair the damaged sites.

What drink is good for autoimmune disease? ›

There's no perfect drink for people with autoimmune diseases. However, polyphenol-rich dry red wine and clear liquors mixed with soda waters or lower sugar swaps, like some green juices, are your friends. Hard kombuchas with no added sugar also go down easy and support your gut with probiotics.

Why is fasting for 72 hours good for your immune system? ›

Fasting Developments: Mechanisms & Immune Pathways

Results from a small clinical trial found that after 72 hours of water-only fasting, autophagy levels of leukocytes were enhanced through upregulation of upstream signaling and apoptosis was reduced through the downregulation of apoptotic gene expression.

What can I drink while fasting? ›

Generally speaking, while fasting with time-restricted intermittent eating, you don't eat any food at all and only drink beverages with very few calories, such as water or unsweetened coffee and tea without milk. When you're not fasting, it's important to eat a healthy and varied diet that's good for your body.

How to trigger autophagy? ›

You can induce autophagy by stressing your cells to send them into survival mode. You can induce autophagy through: Fasting: Fasting means that you stop eating for a certain amount of time. Fasting deprives your body of nutrients, forcing it to repurpose cell components to function.

Has anyone cured their autoimmune disease? ›

People with autoimmune disorders don't usually get to talk about a cure. There's symptom management, hopeful periods of remission often followed by relapses, but rarely a lasting fix for the way their immune system attacks healthy cells.

What is the autoimmune fasting protocol? ›

The AIP diet aims to help manage inflammation through an elimination diet. It involves removing foods from the diet, then replacing them gradually while assessing your body's reaction. During the elimination phase, you may consume moderate amounts of fresh fruit, bone broth, minimally processed meat, and other items.

Should you fast if you have autoimmune disease? ›

Intermittent fasting can be very beneficial for autoimmunity and other chronic illnesses. However, if you don't react well to a prolonged fast, don't get down on yourself! There are plenty of other ways to balance your blood sugar, achieve optimal weight, and reduce your disease risk.

Can you eat bananas on autoimmune diet? ›

Examples of foods you can eat while on the AIP diet include: Vegetables that aren't nightshade vegetables like cucumbers, spinach, sweet potatoes and zucchini. Fresh fruits like apples, oranges, mangos, strawberries, bananas and blueberries.

Does fasting reduce inflammation in the body? ›

The findings also suggest that regular fasting over a long period could help reduce chronic inflammation associated with certain diseases, they said. The findings may also help explain some of the beneficial effects of non-steroidal anti-inflammatory drugs such as aspirin, they said.

Can autoimmune be reversed with diet? ›

Autoimmune diseases cannot be cured, but their symptoms may be managed. The AIP diet aims to help you do so by helping you identify which foods may be triggering your specific symptoms. Evidence regarding the efficacy of this diet is currently limited to people with IBD and Hashimoto's disease.

Why fasting is good for your immune system? ›

Different types of fasting approaches have also shown potential benefit for immune health through modulating immune responses, enhancing immune memory, and suppressing inflammation.

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