Latest / Love Your Gut / Ep. 79: The Truth About Candida: Why Diets and Antifungals Alone Don’t Work
Transcript
- 0:03Dr. Heather Finley: Welcome to the Love Your Gut Podcast.
- 0:06Dr. Heather Finley: I'm your host, Dr.
- 0:07Dr. Heather Finley: Heather Finley, registered dietitian and gut health specialist.
- 0:11Dr. Heather Finley: I understand the frustration of dealing with GI issues because I've been there and I spent over two decades searching for answers for my own gut issues of constipation, bloating, and stomach pain.
- 0:22Dr. Heather Finley: I've dedicated my life to understanding and solving my own gut issues.
- 0:26Dr. Heather Finley: And now I'm here to guide you.
- 0:29Dr. Heather Finley: On this podcast, I'll help you identify the true root causes of your discomfort.
- 0:34Dr. Heather Finley: So you can finally ditch your symptoms for good.
- 0:37Dr. Heather Finley: My goal is to empower you with the knowledge and tools you need so that you can love your gut and it will love you right back.
- 0:44Dr. Heather Finley: So if you're ready to learn a lot, gain a deeper understanding of your gut and find lasting relief.
- 0:49Dr. Heather Finley: You are in the right place.
- 0:51Dr. Heather Finley: Welcome to the love your gut podcast.
- 0:55Dr. Heather Finley: Hello, and welcome back to the next episode of the Love Your Gut podcast.
- 1:00Dr. Heather Finley: I'm so excited to jump in today to chat with you about all things candida.
- 1:05Dr. Heather Finley: I had so much fun the last couple of weeks doing a SIBO series, so I hope you enjoyed it as well.
- 1:12Dr. Heather Finley: But we are moving on to other topics today and one that actually really goes along with SIBO because sometimes SIBO and Candida can go together.
- 1:21Dr. Heather Finley: You might even have sifo, small intestinal fungal overgrowth.
- 1:25Dr. Heather Finley: So first I wanna start out by just talking about kind of the narrative around Candida.
- 1:33Dr. Heather Finley: If you've had candida.
- 1:35Dr. Heather Finley: Or maybe you've suspected that you've had candida, you've probably been told that you were supposed to do a candida cleanse, whatever that means which may entail cutting out sugar or carbs or even all fruits.
- 1:48Dr. Heather Finley: Maybe you even took an antifungal supplement that was promised to.
- 1:51Dr. Heather Finley: Kill Candida for good.
- 1:53Dr. Heather Finley: And maybe you were told even that your gut issues were from Candida.
- 1:57Dr. Heather Finley: And while that certainly can be the case, I wanna flip the script a little bit on Candida today to focus on why Candida is really a consequence of other issues and how if you're just zoomed in on Candida similarly to sibo, that you're gonna end up just.
- 2:14Dr. Heather Finley: Trying to treat it, and then it comes back and trying to treat it and then it comes back.
- 2:19Dr. Heather Finley: So it's not that your gut is broken or it's not that your gut is not fixable.
- 2:23Dr. Heather Finley: It's just that you don't have the full story.
- 2:25Dr. Heather Finley: So candida is real, um, but you cannot starve it out with diet and you cannot just kill it off with antifungals alone.
- 2:33Dr. Heather Finley: So today we're gonna cover why Candida keeps coming back, what's really driving it, and how to actually address the root of it so that you can finally feel better.
- 2:44Dr. Heather Finley: We have a lot of clients that come to us having previously done candida cleanses or candida diets, and.
- 2:51Dr. Heather Finley: Have a lot of food fear because they're scared to eat carbs.
- 2:55Dr. Heather Finley: They're scared to eat fruit, and they're scared of candida because of the symptoms that they've had as well.
- 3:01Dr. Heather Finley: So just wanna validate that.
- 3:04Dr. Heather Finley: Candida can be really tough and it can be tricky, especially when you're using the wrong strategy.
- 3:10Dr. Heather Finley: So let's first start out by talking through what Candida actually is.
- 3:14Dr. Heather Finley: So candida is a yeast or a fungus that actually lives in your gut.
- 3:19Dr. Heather Finley: And not all candida is necessarily bad.
- 3:23Dr. Heather Finley: It's not an in invader that just snuck in one day.
- 3:26Dr. Heather Finley: It's just part of your gut ecosystem.
- 3:29Dr. Heather Finley: So.
- 3:29Dr. Heather Finley: Most people are gonna have some level of candida.
- 3:33Dr. Heather Finley: But the problem becomes when candida gets too much room.
- 3:37Dr. Heather Finley: So you can think of your microbiome like a target parking lot on a Saturday.
- 3:41Dr. Heather Finley: If you go to Target on a Saturday, it's probably gonna be really packed, right?
- 3:46Dr. Heather Finley: All the shoppers are there.
- 3:48Dr. Heather Finley: People are getting groceries, they're getting all the things from the dollar section and all the things that Target tells them that they need, right.
- 3:56Dr. Heather Finley: When the parking lot empties because maybe somebody took antibiotics or restrictive diets, or stress has wiped out the bacteria for this analogy purposes, or maybe all the shoppers have gone home.
- 4:11Dr. Heather Finley: Candida is kind of like that party bus that pulls in and takes over.
- 4:15Dr. Heather Finley: So candida isn't necessarily really the enemy here.
- 4:19Dr. Heather Finley: The empty parking lot is, so if you think of your microbiome like a parking lot, I just want you to kind of keep that in your mind as you're listening to this episode and thinking about maybe your case.
- 4:31Dr. Heather Finley: Because this is what keeps people stuck.
- 4:34Dr. Heather Finley: You are, you have a lot of different parking spaces in your gut, and we wanna fill them with good bacteria, not necessarily unwanted bacteria or fungus.
- 4:45Dr. Heather Finley: So there are a couple myths that I think often keep people stuck when it comes to candida.
- 4:50Dr. Heather Finley: And number one is that you can starve candida with diet.
- 4:54Dr. Heather Finley: So the truth is that diet alone doesn't kill candida.
- 4:57Dr. Heather Finley: While you may.
- 4:59Dr. Heather Finley: Get rid of your symptoms.
- 5:01Dr. Heather Finley: Typically, when you're cutting lots of sugar, lots of carbs, it might just give you temporary relief.
- 5:07Dr. Heather Finley: But as soon as you add those foods back in, the symptoms return.
- 5:10Dr. Heather Finley: And the reason for this is because food was not the cause.
- 5:14Dr. Heather Finley: The terrain of your gut was the cause, so you were removing the fuel source or the food source.
- 5:20Dr. Heather Finley: But the second you add it back in.
- 5:23Dr. Heather Finley: It comes right back.
- 5:24Dr. Heather Finley: So we've had clients, many, many clients, but one that I can think of specifically who went months without fruit, without grains, wouldn't even eat sweet potatoes and her symptoms, although her candida symptoms were better, she was more exhausted, more constipated, had a lot more cravings, brain fog, and other symptoms, and she was really scared to add foods back in because she didn't want her candida to come back.
- 5:52Dr. Heather Finley: But what happened was once we rebuilt her digestion and we looked at everything from head to toe, supported her minerals and got her actually eating a normal balanced diet.
- 6:03Dr. Heather Finley: All these symptoms improved and the candida didn't come back because we had targeted what was actually causing the candida.
- 6:10Dr. Heather Finley: And I'll get into that a little bit more later on in the episode.
- 6:14Dr. Heather Finley: Myth number two is that antifungals will fix it.
- 6:18Dr. Heather Finley: So once again, while that can be helpful, if somebody's motility is sluggish, where they're not clearing their bowels every single day, or their digestion is really weak, where they're not actually breaking down their food.
- 6:32Dr. Heather Finley: And maybe their microbiome is depleted, candida will come right back because it's the perfect environment.
- 6:38Dr. Heather Finley: Ideally, when you eat food.
- 6:41Dr. Heather Finley: You chew your food, you swallow it, your stomach acid starts to break it down.
- 6:45Dr. Heather Finley: Then your liver and your gallbladder and your pancreas do their job.
- 6:48Dr. Heather Finley: And food should end up in your Small intestine, very well digested, where it continues to be digested and then transported to your large intestine.
- 6:58Dr. Heather Finley: If your motility is slow or your digestion isn't working and food isn't broken down properly, or things are sitting there longer, there's more opportunity for fermentation and growth of.
- 7:09Dr. Heather Finley: Candida or other types of yeast.
- 7:11Dr. Heather Finley: So we have to address the whole system if we really want to eradicate candida.
- 7:17Dr. Heather Finley: One client that I worked with years ago had done three rounds of antifungals.
- 7:23Dr. Heather Finley: We actually have another client that I can think of right now who has recurrent yeast infections and has been on.
- 7:32Dr. Heather Finley: Antifungals for like ongoing for months and months and can't get rid of the symptoms, so every time this past client felt better.
- 7:42Dr. Heather Finley: On the antifungal, she would feel better for weeks and then everything would come roaring back.
- 7:47Dr. Heather Finley: So what actually worked later on was focusing on her constipation, focusing on her motility, supporting her minerals so that her body could actually contract muscles and move things through.
- 7:59Dr. Heather Finley: So her bowels were moving.
- 8:00Dr. Heather Finley: So her nervous system was supported, her thyroid was supported, her stomach acid, all the things.
- 8:05Dr. Heather Finley: Once her bowels were moving daily and we addressed other root causes at play, the antifungals were finally working, and then she didn't have to be on them ongoing.
- 8:14Dr. Heather Finley: We were able to also repopulate her target parking lot or her microbiome.
- 8:19Dr. Heather Finley: And then the last myth that I want to mention is that candida is the root cause of everything.
- 8:25Dr. Heather Finley: So while candida can cause a lot of symptoms, which I'll mention in a little bit.
- 8:30Dr. Heather Finley: It's usually a sign of something deeper.
- 8:32Dr. Heather Finley: Sometimes blood sugar imbalances depleted, beneficial bacteria, low stomach acid, stress, antibiotic use, slow motility, poor digestion.
- 8:43Dr. Heather Finley: So if you're just focusing on killing candida, you're really missing the bigger picture, and that's the case with any digestive issue, right?
- 8:51Dr. Heather Finley: If you're just focused on what food you're eliminating or.
- 8:54Dr. Heather Finley: What food you are or you aren't eating, you're really missing the big picture of what's actually going on.
- 8:59Dr. Heather Finley: So let's hone in on some of the root causes and what if it's actually not just your diet or it's not just antifungals.
- 9:06Dr. Heather Finley: What is actually driving candida?............
- 9:11Dr. Heather Finley: quick pause before we continue.
- 9:13Dr. Heather Finley: If you are a dietician or a health professional, listening and thinking, this is exactly what my clients are struggling with, but I don't feel confident knowing how to actually address it, that is why I created gut practitioner.
- 9:26Dr. Heather Finley: This is my four month clinical mentorship where I teach you the exact gut together framework I've used for over a thousand clients so that you can stop guessing, stop handing out another low FODMAP diet or candida diet to your clients, and actually get to the root cause.
- 9:41Dr. Heather Finley: Even with the trickiest GI cases, inside gut practitioner, you'll get live case consults, 20 plus self-paced modules, a private community where you can post.
- 9:51Dr. Heather Finley: Cases, anytime and get feedback.
- 9:54Dr. Heather Finley: And then we have live calls.
- 9:56Dr. Heather Finley: It is not just education, it's real time support so that you never feel stuck in front of a complex client again.
- 10:03Dr. Heather Finley: And you have the support from me and my team while you're in the program.
- 10:07Dr. Heather Finley: So if you've been wanting to feel confident interpreting labs like GI Map, HT MA, or just finally wanna have protocols that actually work.
- 10:15Dr. Heather Finley: Gut practitioner is exactly what you need.
- 10:18Dr. Heather Finley: You can learn more and save your spot.
- 10:20Dr. Heather Finley: Using the link in the show notes, we kick off the first week of September.
- 10:24Dr. Heather Finley: Number one could be blood sugar imbalances.
- 10:27Dr. Heather Finley: This one is huge.
- 10:29Dr. Heather Finley: If your blood sugar is spiking and crashing all day, candida thrives.
- 10:34Dr. Heather Finley: Think of it as the sugar is fertilizer for the yeast.
- 10:37Dr. Heather Finley: And so those 3:00 PM energy crashes and sugar cravings or that feeling hangry, that's not willpower, that's unstable blood sugar, that's feeding the terrain.
- 10:48Dr. Heather Finley: So it's not about cutting out carbs, it's not about cutting out all grains, all fruits.
- 10:53Dr. Heather Finley: It's about balancing your meals and making sure they have enough protein and enough fat and enough fiber, really mineral rich, potassium, magnesium, sodium.
- 11:03Dr. Heather Finley: Keeping your blood sugar steady so that candida doesn't get that constant fuel and so that your cortisol is not all over the place.
- 11:10Dr. Heather Finley: Your stress response isn't all over the place.
- 11:13Dr. Heather Finley: It's not always about cutting out more.
- 11:15Dr. Heather Finley: It's about how do we make things more stable.
- 11:17Dr. Heather Finley: The next one is depleted commensals.
- 11:20Dr. Heather Finley: So again, back to that target parking lot analogy.
- 11:23Dr. Heather Finley: Your healthy bacteria or your good bacteria keep candida in check.
- 11:27Dr. Heather Finley: But when you're on antibiotics or cutting out a million different foods, stress, hormonal, birth control, all the things.
- 11:36Dr. Heather Finley: That wipes out your beneficial bacteria.
- 11:39Dr. Heather Finley: So we don't want our commensals to be depleted because then candida has no competition.
- 11:45Dr. Heather Finley: So this is why adding food variety and sometimes probiotics that are targeted can be way more powerful than restriction because we want a lot of cars in your parking lot, so the party bus cannot come in.
- 11:59Dr. Heather Finley: Another root cause is low stomach acid or poor digestion.
- 12:03Dr. Heather Finley: So since stomach acid is kind of your defense mechanism or your defense wall, low acid will let more microbes slip through.
- 12:11Dr. Heather Finley: And then if you add sluggish bile flow or weak enzyme output, you've got a really open invitation for candida.
- 12:18Dr. Heather Finley: Your bile is antimicrobial, and so every time you eat.
- 12:22Dr. Heather Finley: Your bile is surging and coating your small intestine and helping to kill off any microbes there.
- 12:30Dr. Heather Finley: Next is sluggish motility, which I mentioned earlier, but candida loves stagnation.
- 12:35Dr. Heather Finley: You can think of this like a pond, right?
- 12:37Dr. Heather Finley: If the water's not moving it, there's algae, it smells.
- 12:42Dr. Heather Finley: If you're not pooping daily, this gut is stagnant.
- 12:45Dr. Heather Finley: That's where things overgrow, and so daily motility and daily bowel movements are really a non-negotiable for healing.
- 12:52Dr. Heather Finley: The next one is mineral depletion and burnout.
- 12:54Dr. Heather Finley: Minerals regulate stomach acid.
- 12:57Dr. Heather Finley: They help with en enzyme production.
- 12:59Dr. Heather Finley: They help with energy.
- 13:01Dr. Heather Finley: You are, you need minerals to make energy.
- 13:03Dr. Heather Finley: You need minerals for immune defense.
- 13:05Dr. Heather Finley: And so if you're burnt out, if you're low minerals are also contributing to poor stress, resilience, poor sleep, low secretory, IGA.
- 13:15Dr. Heather Finley: Your body's really depleted.
- 13:17Dr. Heather Finley: Your body simply can't keep up.
- 13:20Dr. Heather Finley: And it can't keep Candida in check.
- 13:22Dr. Heather Finley: And then the last one that I'll mention today, and there's many more, is that birth control, antibiotics and steroids.
- 13:29Dr. Heather Finley: Certain medications will wipe out protective bacteria.
- 13:32Dr. Heather Finley: So it's kind of tipping the scales in favor of candida, which is why it is really common to get candida whenever you are taking an antibiotic or some of these other medications.
- 13:42Dr. Heather Finley: So we have to intentionally rebuild the microbiome and make sure that it's supported.
- 13:49Dr. Heather Finley: So let's talk testing.
- 13:50Dr. Heather Finley: How do you know if you have candida?
- 13:52Dr. Heather Finley: Because we often get this question like, is your stool test that you're gonna do?
- 13:57Dr. Heather Finley: Is this actually gonna test for candida?
- 13:59Dr. Heather Finley: And the answer is yes.
- 14:01Dr. Heather Finley: There's a lot of ways to test for candida.
- 14:05Dr. Heather Finley: One of the most common tests that we use is GI Map stool, TE stool testing.
- 14:10Dr. Heather Finley: Now what I will say is while the GI map can pick up candida, the problem is that candida often hides in biofilms.
- 14:19Dr. Heather Finley: Biofilms are like protective layers that make it hard to detect.
- 14:24Dr. Heather Finley: I kind of think of it like a Cadbury egg, so like the hard candy coating with the soft middle.
- 14:29Dr. Heather Finley: Biofilms can be hard to crack through.
- 14:32Dr. Heather Finley: So we have clients with very obvious candida symptoms and candida history, but their GI map comes back negative, so we often have to aggravate it beforehand.
- 14:42Dr. Heather Finley: That doesn't mean that it's not there, it just means it's pretty stealthily.
- 14:46Dr. Heather Finley: It might be a little bit harder to treat.
- 14:48Dr. Heather Finley: There's probably a lot of root causes.
- 14:50Dr. Heather Finley: Maybe it's been there a long time.
- 14:52Dr. Heather Finley: Some other ways that you can test would be an organic acid test.
- 14:55Dr. Heather Finley: This looks at urine byproducts of that candida produces like arabinose.
- 15:00Dr. Heather Finley: It's can sometimes be a bit more sensitive than stool.
- 15:03Dr. Heather Finley: And then honestly, the clinical pictures really important here.
- 15:06Dr. Heather Finley: Symptoms can tell us a lot more than a lab.
- 15:09Dr. Heather Finley: So some symptoms that you might have that would point to candida would be chronic bloating, yeast infections, sugar cravings, skin issues like eczema, psoriasis, just other rashes, brain fog.
- 15:22Dr. Heather Finley: Fatigue, history of antibiotics, all of those can point to a candida imbalance.
- 15:29Dr. Heather Finley: So don't panic if your stool test doesn't show candida.
- 15:32Dr. Heather Finley: The real question is, what is your terrain telling us?
- 15:35Dr. Heather Finley: What are your symptoms telling us as part of our assessment process with clients?
- 15:40Dr. Heather Finley: Of course, we're gonna dig into some of this, and like I said.
- 15:43Dr. Heather Finley: We can always try to aggravate the C candida using a biofilm disruptor prior to see if it shows up, and obviously consider the whole client picture in the treatment process.
- 15:55Dr. Heather Finley: So what actually works, I wanna talk about five steps towards actually getting rid of Candida, and here's the approach that we take with clients.
- 16:04Dr. Heather Finley: Number one is you have to support digestion, so you have to support stomach acid, bile enzyme output.
- 16:12Dr. Heather Finley: To put your defense system back online, you're, you need to keep things moving.
- 16:17Dr. Heather Finley: You need to keep things being killed off, that need to be killed off and the top of the chain working so that the bottom of the chain will work.
- 16:25Dr. Heather Finley: We also wanna balance blood sugar, so focusing on the framework that we teach our clients is called PFFC.
- 16:31Dr. Heather Finley: So protein, fat, fiber, color.
- 16:33Dr. Heather Finley: We wanna use really mineral rich foods.
- 16:35Dr. Heather Finley: We wanna stabilize energy, we wanna stabilize cravings.
- 16:38Dr. Heather Finley: We wanna make sure that somebody is getting adequate protein, fat, and carbohydrates and fiber in their diet.
- 16:45Dr. Heather Finley: Step three is we wanna rebuild commensals.
- 16:48Dr. Heather Finley: We need to add in prebiotic fibers and food variety and help to get that target parking lot full.
- 16:55Dr. Heather Finley: Again, you cannot rebuild your gut.
- 16:58Dr. Heather Finley: By just taking probiotics, you have to give them their fuel in the form of prebiotic fiber, and that is often a huge missing piece because a lot of people have symptoms, they add in prebiotics, onions, garlic, apples, whatever it is, and they get a lot of symptoms, which shows us that there's an issue there, which we need to address first, so then we can start adding in the foods.
- 17:24Dr. Heather Finley: Step four or number four is to prioritize minerals.
- 17:29Dr. Heather Finley: We have to make sure that somebody's minerals are supported to regulate digestion.
- 17:34Dr. Heather Finley: And if the body's depleted, nothing else sticks.
- 17:37Dr. Heather Finley: We have to make sure that the body has the raw materials to actually do what it needs to do.
- 17:42Dr. Heather Finley: And then the last piece is to keep motility moving.
- 17:45Dr. Heather Finley: So daily bowel movements.
- 17:47Dr. Heather Finley: Emptying the bowels is a non-negotiable.
- 17:50Dr. Heather Finley: Sometimes we need to use motility support.
- 17:53Dr. Heather Finley: We have a lot of very constipated clients, and so this is a huge, huge piece along with all the others.
- 17:59Dr. Heather Finley: So once these foundations are in place.
- 18:02Dr. Heather Finley: We sometimes add in antifungals or different protocols to address candida, but the difference is now the terrain, and now the gut is actually ready so they actually work.
- 18:12Dr. Heather Finley: We're not just throwing antifungals at someone who's constipated and can't actually get rid of anything.
- 18:19Dr. Heather Finley: We're not throwing antifungals at somebody whose minerals are so depleted that their body doesn't even have the energy to actually clear anything.
- 18:27Dr. Heather Finley: We're not throwing antifungals at someone who doesn't have adequate bile flow, doesn't have adequate stomach acid to actually help the top of the chain of digestion.
- 18:38Dr. Heather Finley: And so then you don't end up repeating protocol after protocol after protocol.
- 18:42Dr. Heather Finley: I.
- 18:43Dr. Heather Finley: So here's the big takeaway.
- 18:45Dr. Heather Finley: Candida is real.
- 18:47Dr. Heather Finley: It can cause major symptoms, but you can't just starve it out with diet.
- 18:51Dr. Heather Finley: You can't just kill it off with antifungals, or at least not for good.
- 18:56Dr. Heather Finley: So candida will thrive when blood sugar is unstable, when beneficial bacteria are depleted.
- 19:01Dr. Heather Finley: When your digestion is weak, and the real solution is rebuilding your gut from the ground up.
- 19:07Dr. Heather Finley: Supporting blood sugar, restoring commensals, supporting minerals, getting motility moving.
- 19:12Dr. Heather Finley: You can think of any gut intervention like a three-legged stool.
- 19:17Dr. Heather Finley: We always have to support nutrition.
- 19:19Dr. Heather Finley: We always have to support lifestyle, and we always have to support using targeted supplementation.
- 19:24Dr. Heather Finley: Supplements alone.
- 19:26Dr. Heather Finley: The stool's gonna tip over.
- 19:28Dr. Heather Finley: If we miss one of those things, it's not gonna be a balanced approach.
- 19:31Dr. Heather Finley: So I hope that this is helpful in just giving you a little bit of insight into possibly what could be going on with your recurrent candida, or maybe you're just.
- 19:42Dr. Heather Finley: Curious about possibly having candida and what to do about it?
- 19:47Dr. Heather Finley: I think that the best way or the best place to start would be to take our free quiz.
- 19:52Dr. Heather Finley: If you're curious, is it my blood sugar?
- 19:54Dr. Heather Finley: Is it my stomach acid?
- 19:56Dr. Heather Finley: Is it my motility?
- 19:58Dr. Heather Finley: I have a free quiz, it's called, why Am I Bloated?
- 20:00Dr. Heather Finley: Even if you're not bloated, you can benefit from this quiz'cause it will ask you questions about your root causes.
- 20:05Dr. Heather Finley: But this will help you whittle down what one of the major root causes that has been unaddressed could possibly be for you.
- 20:13Dr. Heather Finley: And the nice part is after you take the quiz totally free, you will get a video that walks you through what it means.
- 20:19Dr. Heather Finley: How to address it.
- 20:20Dr. Heather Finley: Some resources, some different podcast episodes that I've done and other resources as well.
- 20:26Dr. Heather Finley: So if you don't know your root causes or are curious, you know, maybe things have changed over the years.
- 20:32Dr. Heather Finley: I think the quiz is a great place to start.
- 20:33Dr. Heather Finley: So I.
- 20:34Dr. Heather Finley: This is kind of a shorter episode, but I hope that you enjoyed it.
- 20:38Dr. Heather Finley: I hope that this helps maybe clear up a little bit of confusion about Candida and possibly why what you've done in the past hasn't worked.
- 20:46Dr. Heather Finley: So would love to hear any feedback, and I will see you next week on the next episode of the Love Your Gut podcast.
- 20:52Dr. Heather Finley: Thanks for tuning in.