Latest / Health with Hashimoto’s - Thyroid or Immune Education for Autoimmune Thyroid Disease / The Modified AIP Diet for Hashimoto’s: What Mickey Trescott Wants Every Patient to Know | Ep. 200

Transcript

The Modified AIP Diet for Hashimoto’s: What Mickey Trescott Wants Every Patient to Know | Ep. 200 · Health with Hashimoto’s - Thyroid or Immune Education for Autoimmune Thyroid Disease

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Welcome to episode 200 of the Health with Hashimoto's podcast. 200!
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This is a huge milestone. Did you know that most podcasts, especially when they
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are launched by just like one person, no team, nothing behind them,
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they don't go beyond 10 episodes.
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And here you are supporting me as I release episode 200.
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Thank you so much for being here. Thank you for listening.
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Thank you for subscribing and following however you do it in the platform that you listen on.
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If you have left a rating and review, thank you from the bottom of my heart.
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That is what tells the algorithms on all of the different platforms that this
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podcast is worth listening to and they push it out to more people.
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So thank you so much for supporting me. This is going to be a busy week for
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the Health of Hashimoto's podcast.
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Today I have an interview for you. I wanted to do something special for episode 200.
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And one of the most popular topics that I talk about and that people ask about is diet.
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So today I am interviewing Mickey Trescott, and she's going to talk about the autoimmune protocol.
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I did not realize that this protocol was essentially started by a group of women,
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and Mickey is one of those women who started it.
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So her story and all of the information is shared.
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Is phenomenal. I think you're going to really enjoy this episode.
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And then on Monday, it is May 25th, which is annual World Thyroid Day.
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So I will have an episode like with the basics that if somebody,
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if you want to just share one episode with somebody to say this is Hashimoto's
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or this is thyroid, that will be the episode to share.
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So May 25th, every year, I try to do something fun. So that's going to be this
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coming Monday if you're listening in real time.
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And then because Mickey is releasing a new book, I will also do my monthly book
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review episode, and that will be on Saturday.
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And then finally, before I hit play on the interview, head down to the show
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notes where you will find a link so you can pre-order Mickey's new book. It is a gorgeous book.
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I have it in my hand right now as I record.
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It is absolutely gorgeous. You can look at the episode cover of the picture
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and you can see it. It releases on May 26.
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So if you're listening in real time, it is May 21st today when this episode
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releases and the book comes out in just a couple of days.
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So you can head over to Amazon or your local book retailer and pre-order it
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and then you can get it next week.
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Welcome to the Health with Hashimoto's podcast. This is where you will find
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clarity and simple, sustainable strategies to feel better.
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I want to help you figure out your root causes.
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My name is Esther Yunkin. I am a registered nurse.
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I know how exhausting it is to live with fatigue, brain fog,
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and the ups and downs of Hashimoto's. And that is why I'm here.
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I'm here to cut through the confusion and to give you practical steps to
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support your body, and calm your immune system so that you can regain your energy
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and feel like yourself again. Welcome back to the Health with Hashimoto's podcast.
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Today, I am joined by Mickey Trescott. She has her master's degree in functional
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nutrition, which is so phenomenal.
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I don't know about you, but I have seen so many influencers on social media
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talking about nutrition and talking about autoimmune and talking about Hashimoto's
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and how they have the best advice because they have personal experience.
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Well, Mickey has personal experience. She was diagnosed with Hashimoto's in her
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20s, but then she has a master's degree in functional nutrition.
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So I'm super excited for this conversation.
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She is releasing a brand new cookbook.
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It is the new autoimmune protocol. So if you're curious about the AIP diet,
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that is what we're going to talk about today.
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Welcome, Mickey. Tell us a little bit about yourself.
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Yeah, thank you so much, Esther, for having me. So I am an autoimmune patient, first and foremost.
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This is kind of how I got into doing what I do. About 15 years ago,
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I was diagnosed with celiac and Hashimoto's disease after a pretty severe health crisis.
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So I know now, in retrospect, a lot of autoimmune patients report the average
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of being six years and five doctors, according to the Autoimmune Association.
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My diagnosis was a little bit faster at two years, but there was some unresolved
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stuff, and I had a pretty crazy crash. So I ended up with white matter lesions
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in my brain, so they thought maybe I had multiple sclerosis.
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I also had a lot of pains in my chest cavity, like pleurisy and costochondritis.
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So maybe I had like a connective tissue issue.
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So I was kind of bouncing around from different specialists and they landed
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on celiac and Hashimoto's told me, you know, your thyroid's normal.
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Just you don't need any treatment despite being completely debilitated, being bedridden.
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And previously, I had been a super active person in my 20s.
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Yeah, I was rock climbing. I was cycling. I was running. I was doing all the things.
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And then all of a sudden, I literally could not even work my coffee shop job.
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So that's really what led me to do research about diet and autoimmune disease.
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I'd had a prior job working as a chef, so I had been working under very well-trained
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chefs, kind of learning from them.
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Some of them had like holistic background where they were cooking Ayurvedic
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and all kinds of different interesting medicinal ways. And so it really...
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Inspired me to kind of lean back on that and think maybe diet could be a solution.
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And that's how I found the autoimmune protocol.
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And of course, back then, it was this thing that was one sentence in,
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you know, functional medicine circles and ancestral medicine circles.
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It was kind of nobody's child, but, you know, a bunch of researchers were talking about it.
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And as a patient, I was like, I'm just going to try this. And I found some other
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women that were also trying it for different autoimmune conditions like IBD, multiple sclerosis.
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We formed a little group on Facebook, which, you know, today would be kind of
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the girlfriend group chat.
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And we were just all sharing experiences with each other, implementing this
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thing that was, again, a sentence in, you know, a few different resources.
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And out of that and out of our collective experience where we all kind of recovered
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our health using this came the movement of AIP growing,
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you know, to expand to other people and conditions and eventually books and
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everything and kind of led me on the path to where I'm at today.
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Wow. That's, wow.
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You went from super healthy, super active to bedridden to now you're healthy again.
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And diet was at the core of your healing journey.
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I love that. And like you said, it was one sentence. So can you tell us, how is AIP...
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Evolved from what was that one sentence? And then through the years, what is it now?
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Yeah, so back then, there was this paleo diet caveat where if you have autoimmune
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conditions, you might consider removing grains, legumes, eggs,
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nuts, seeds, and nightshades.
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And today, we know that as core AIP. That's kind of the original autoimmune protocol.
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But that was literally the sentence, take out these foods in addition to like
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a paleo diet, or in functional medicine. They were using specific elimination
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diets for autoimmune disease that had the same list of foods.
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And the reason why these foods were highlighted is because there was some research
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at the time in, you know, specific foods showing how they interact with the
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gut environment, specifically with leaky gut.
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And I'm sure your listeners are familiar with kind of those tight junctions
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and, you know, anything that people are sensitive to that can kind of provoke
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an immune response can kind of open up those tight junctions.
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Set off the immune system.
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Of course, with autoimmune disease, we have a wonky immune system already.
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So these researchers were basically theorizing if we take out all of these foods
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that somebody could be sensitive to, then that kind of clears the slate and they might feel better.
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There was no advice of like what to do next. So there was no reintroductions. It was just this diet.
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And at the time, you know, I discovered it. I experienced really meaningful
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improvement in my health.
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I will say I've had also good medical care on alongside of that.
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So it took me about nine months after I discovered AIP. I experienced a lot of improvement.
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Then I saw a doctor who was finally willing to treat my thyroid.
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I think that was doctor number six for me, specifically with the Hashimoto's,
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which, you know, if you have Hashimoto's, like, you're probably not unfamiliar with that experience.
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And I needed that, too. You know, the diet was a part, the medication,
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you know, type and dose and everything was a part.
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But together, those things really led to meaningful improvements for myself
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and a lot of other people. And then that's kind of where the movement was born
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and where it turned into, you know, thanks to Dr.
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Sarah Ballantyne, who is actually one of the original six women who I did AIP
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with, you know, she has a background, PhD-level research biomechanics.
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And so she used her research background to kind of solidify it into a protocol
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like, let's do this for, you know, a month or three, and let's reintroduce foods
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based on allergy and immunology research.
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So that was kind of the original autoimmune protocol was, you know,
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you eliminate the foods, you do it for a defined period of time,
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maybe a month or two, but people honestly back then were doing it far too long.
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And then you reintroduce foods to see individually how each food affects you.
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Now today, fast forward 15 years.
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We have medical studies starting around 2015.
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AIP has been studied as the whole diet and lifestyle approach in humans with
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different autoimmune conditions.
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So while this original research was all a lot of animal model or a lot of single
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food in humans, it was pieced together from a bunch of different sources.
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We now have data showing that AIP used in specific populations like IBD,
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which includes Crohn's disease and ulcerative colitis.
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That pilot study was conducted in 2015. The results came out around 2017,
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and there were about 17 people, and they showed that within six weeks,
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73% of them reached clinical remission, which, if you guys are familiar with Crohn's and colitis,
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you know, they're not asking people if they feel better subjectively.
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They're going in with a scope, they're doing a colonoscopy, an endoscopy,
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they're looking at the tissue, and they're getting a visual reference.
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So that is really meaningful.
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There have been two studies in Hashimoto's, which I know your audience is really
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excited about. I am too, because I'm a Hashimoto's patient, showing symptom
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improvement in either 10 and 12 weeks were the two different study lengths,
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and we can talk more about that.
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There have also been, has been a study in psoriasis and a couple studies in rheumatoid arthritis.
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And actually one of the rheumatoid arthritis studies was actually just published
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a couple weeks ago, conducted in New Zealand.
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So now there's all this research about real people, groups of people.
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Of course, we're defining categories. So this RA group, I think, was like nine.
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Hashimoto's was 17 in one and 30 in another. IBD is like 16 or 17.
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But these are real humans living their normal lives. They have autoimmune disease.
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Each paper defines kind of how long and how sick they were.
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But that information out of that has really informed the AIP community and the
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practitioner community in how to use the protocol and then now how to modify it even. So, yeah.
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I have a book that's coming out. It's called The New Autoimmune Protocol,
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and it really synthesizes all of this research in a way that,
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you know, a regular person can understand, but then also show why now we have
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that core AIP, which is kind of that original framework.
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And then now we have modified AIP, which is a new framework that has kind of
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come out of the research and actually come out of how effective core AIP was.
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It's extremely effective, but it is also stressful and not everybody can do
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it. So over the years, you'll hear people saying, I tried AIP,
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it was too hard, I just couldn't stick with it.
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Now we have this new approach, it's more affordable, it's more accessible because
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it includes some foods that make it really convenient.
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They expand some nutrient density.
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And so, yeah, that's what I'm really excited about with this launch.
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Yeah. One of my most popular podcast episodes is I think number 44.
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And it's about like choosing the right diet for you.
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Because like you said, adopting a new diet can be super stressful. And that was my story.
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You know, I was told to stay away from all of these foods. And I ended up like
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almost not eating. But I can't eat. I don't know what to eat.
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And therefore, I'm just not going to eat, which is obviously not healthy.
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Yeah. Mentally stressful, physically stressful, like all of the above.
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So what would you, what advice would you give to somebody if they're just diagnosed?
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I had a message in my inbox just the other day, just diagnosed.
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They told me to stay away from, I think she said dairy, gluten,
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and eggs is what her provider told her. And they said, this is lifelong.
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What would you tell somebody in that spot? Yeah, so this is a really great question
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because, you know, specifically with the autoimmune protocol,
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so AIP is not something that's lifelong.
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That's something that a lot of people mistake about it is they think that it's
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a diet that you just apply either for prevention or for maintenance.
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And the Ottoman Protocol is actually something that you go through and you do
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to experience how your body feels when you lower that inflammation,
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you reintroduce foods, and then you land on a perfect diet for you long term.
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And you also have this skill of how diet affects you and really learning how
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these different foods affect you.
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So it's really not a diet. It's just kind of something that you use,
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a tool that you use in order to basically design your ideal diet going forward.
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Something when somebody is facing down some eliminations like gluten,
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dairy, and eggs, those are very, very common food triggers.
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And I don't know if this person, maybe they had a food sensitivity test, which is very common.
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That is a big reason why a provider might be like, you're not going to be able
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to have these foods for a long time.
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And of course, that's really hard, but those
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foods might actually be real triggers for her. And so she's going to have to
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figure out how to eliminate them.
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So my advice is actually, you know, the same whether or not you're staring down
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like a celiac disease like I had.
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I'm going to have to remove gluten from my diet forever. I know that right at the outset.
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Or if you're going to go through something that's like a short-term protocol,
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like the autoimmune protocol, you need to learn how to sustainably make the change.
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And so the preparation is really where a lot of people get lost.
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And something that I've added to this book, the new autoimmune protocol,
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specifically the transition phase to the autoimmune protocol, needs to be more robust.
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And you can apply this to any type of diet change that anybody is going to make
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that's going to be long term.
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And really the steps are to really define your why. So like, why are you doing this?
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You know, this person wants to feel healthy, but why do they want to feel healthy.
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What is their vision of health? A lot of us, you know, we're so sick in our
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bodies, we can't imagine a future.
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I really remember feeling like this. Like, I couldn't imagine my future as like
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aging, already being so sick at 26.
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I just, I had no ability to comprehend healing.
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And I think that's actually a really important part of going through the process
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of healing is imagining yourself feeling better and then also experiencing life
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in the way that you want to, whether or not you have perfect health.
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So I talk about in the book, I have this exercise defining your health vision,
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which is really just kind of clarifying for yourself, like what health means
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to you and why you want to be healthy.
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And like for me, I define health as the ability to spend time and do things
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with the people that I love.
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And I like that expansive approach because it doesn't require me to have like
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perfect lab work, right?
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It doesn't require me to be able to like lift a certain amount of weight in
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the gym, right? Like it is really.
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Allows a lot of variation. And I will go through seasons where,
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you know, I'm here or there.
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But like, when I think back on that, I'm like, this is why I do what I do.
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And I can still do these things even when I'm kind of not feeling my best, right?
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So I love that exercise for anybody who's about to go through change,
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because you can really fall back on that when things get hard, right?
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And then the second thing that I love doing is a confidence assessment.
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So I have this exercise in the book, there's about 10 different questions,
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10 different areas where you're
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going to rate yourself from a 1 to 10 how confident you are in that area.
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Because whenever we change a diet or do something with our lifestyle,
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everybody has a different friction point, right?
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Some people, you know, they can't go up $1 in their food budget without stress.
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Other people have a lot of money in their budget, but they just don't have the time, right?
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Some people don't know how to cook.
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Other people don't even know how to pick out a sweet potato, right?
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So your barrier, you know, it might be an unsupportive partner.
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It might be that you're weighed down and caretaking for an elderly family member or kids.
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You know, whatever that is, that's your unique thing. And so putting that out
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in front and saying, okay, here is my thing. Here's the thing that's going to make this really hard.
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And then before you do anything, spending time kind of pre-solving that barrier.
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So if finances are an issue, it's like, where can I get these ingredients for the best price?
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How do I need to alter my routine, maybe to go to different stores or,
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you know, get a membership to Costco or, you know, find a creative solution
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to that problem instead of trying to do that while you're also trying to implement the diet?
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Because that's just the hardest thing to do. So that would be my advice.
18:02
That's very helpful. I absolutely needed something like that when I was first
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diagnosed. And I know a lot of people do.
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Will you tell us about your book? Because it's not just here's the science,
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here's the research, here's AIP, but you also have a cookbook.
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So tell us about your book.
18:18
Oh, yeah. So about half the book is the new autoimmune protocol program guide.
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And it's written to be extremely clear and simple for people with brain fog
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because, you know, I'm a Hashimoto's girly myself.
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You know, I have my moments to just be really clear. This is how you do it.
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These are the parameters.
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Now, we were talking a little bit about AIP back in the day,
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which was like one sentence.
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Now you get half of a book where I'm just telling you exactly like,
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okay, you're going to transition following these steps. This is how long you're
18:48
going to spend doing each of the steps. Here's how you know when you're ready.
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Then you do the elimination, which is kind of where all the work is done.
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You're going to do it for 30 to 90 days. You're going to track your symptoms
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and hopefully your baseline increases.
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When you get that baseline increase, you're going to walk through reintroductions,
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which I talk about, you know, the stages.
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You're going to reintroduce foods that are most likely to be successful and
19:11
most nutrient dense because, of course, we want an expansive approach to diet.
19:15
Again, this is not like this forever restricted thing, right?
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And you're going to follow a procedure so that you can actually identify which
19:22
foods are causing your symptoms.
19:24
And so I talk about all of that, including like frequently asked questions and some troubleshooting.
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And I also cover the science in a way that like if you wanted to show your partner
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who loves science and is kind of skeptical or your doctor, you could show that
19:38
and it all has references and everything in those human studies that I talked
19:42
about because that is really important.
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We want to know that the thing that we're doing, the method,
19:46
is actually something that people have put to the test.
19:49
Of course, you know, these groups are pretty small, but they do tell us that
19:53
about three out of four people experience meaningful improvement when they do
19:58
something like the autoimmune protocol,
20:00
even as short as like six weeks in this IBD study, up to about three months.
20:05
And so hopefully that is just a really clear package that everybody can understand
20:10
if you're interested in AIP, this is kind of the new resource.
20:14
And then the second half of the book is a cookbook. And it's a cookbook that
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has a core AIP recipe collection and a modified AIP recipe collection.
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Now, I've been writing recipes for 15 years. I've written over 500 of them.
20:27
This is my fourth cookbook.
20:28
And really the energy that I brought to this recipe development was how can
20:33
I bring you guys these recipes that are the most nutrient dense,
20:38
eliminate all the ingredients that we're not having in the elimination phase,
20:42
but also not be weird and be affordable and like one pot and a lot, not a lot of cleanup.
20:48
So like, that's a lot of filters, right? You might be like, I think,
20:52
thought about that and like nothing comes up.
20:54
Well, I can tell you these recipes are definitely the types of things that I
20:58
have put so much time and energy into just figuring out how you can hack making
21:03
food, especially like batch cooking, you know, making a few extra portions to throw in your freezer.
21:09
That's something that I really recommend for like when you don't have a lot
21:13
of capacity, you wake up, you're in a flare, we have autoimmune disease, it's going to happen.
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So just making sure that you have easy options, but also that they're not weird
21:21
because, you know, sometimes we're eating with our families and like we want
21:26
everybody to be on board, right?
21:27
We don't want to be trying to recreate something that's just not working out
21:30
with a bunch of expensive ingredients.
21:33
So half of it's a cookbook.
21:35
You mentioned like waking up and all of a sudden you're in a flare.
21:38
In that situation, would you recommend like restarting the protocol or what's
21:44
what's the protocol in that situation?
21:47
This is an awesome, awesome question. Thank you so much, Esther,
21:49
for asking it. So I love this concept that I call battening down the hatches
21:53
and unfurling the sails.
21:55
And battening down the hatches is when you start waking up and like for me with
21:59
Hashimoto's, I'm just like not getting out of bed after my alarm.
22:02
I'm not recovering from my workouts. I'm starting to notice those signs of like
22:06
engine trouble. Like we're maybe going to go into a flare here.
22:09
What I do is I take a couple steps back with my diet to change.
22:14
Eliminate foods that I call my gray area foods. So when we reintroduce foods,
22:19
it's very rarely a clear reaction.
22:22
You're going to get a lot of reactions, like my reaction to eggs.
22:25
It's like I eat them once, I'm fine. I eat them the second day, I'm like, digestively.
22:32
I eat them the third day, and I am definitely constipated and bloated,
22:36
and my gut is inflamed, and I know that that's a no.
22:39
So they're gray area foods for me. Will I have eggs once in a while,
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of course, one dose of them like does not bother me.
22:46
But eating them in like all the time is not really work for me.
22:50
So when I'm battening down the hatches, I'm not having any of those gray area
22:54
foods. I'm just kind of going a couple steps back.
22:56
For some people, that might be pretty close to the elimination phase.
23:00
For other people who have included some other food sustainably,
23:04
they know that it's not a problem for them. Like for me, this is rice.
23:07
Like I have never had a reaction to rice. Rice is very supportive to me. I'm very active.
23:12
I'm not going to leave that out. I know it works for me. But eggs, for sure.
23:16
Nightshades, dairy, I'm leaving these things that are maybe a little more questionable out.
23:21
And then I'm relying on foundational foods that I know make me feel
23:25
good. So bone broth, lots of protein, fermented foods, colorful vegetables.
23:32
A lot of times when I'm in a flare, I don't want a lot of raw food.
23:35
I actually tolerate better like slow cooked, you know, slow cooker or pressure
23:40
cooker, roasted, slow roasted meats, that kind of thing feels really good to
23:44
my system and nourishing when I'm like that.
23:46
So that's kind of like a batten down the hatches. Then when you're feeling good,
23:50
you know, you're like, I've not felt my Hashimoto symptoms in a while.
23:53
I'm waking up feeling energized.
23:55
You know, I'm going to go on vacation. I'm going to live a little.
23:58
It doesn't mean I'm going to eat gluten. Like, I have celiac disease.
24:01
Like, that would not be smart.
24:02
But I might have, like, you know, an egg, gluten-free egg dessert or something.
24:08
You know, something that's, like, a little special, you know,
24:10
because I'm on this trip and I want to eat out and I want to try something.
24:13
And I know what the consequences are. That's the most important thing.
24:17
Once you've done reintroductions, you've kind of experienced that progress,
24:21
you've kind of experienced the symptoms, and then you get to decide if those
24:24
symptoms are worth it for you long term, because that's all what we're doing here is, you know,
24:29
trying to live our best lives and find fulfillment and joy.
24:34
And sometimes that means, you know, like when we were all in college or,
24:38
you know, young, staying up late, knowing that like we have a test the next
24:41
day, we just like wanted to experience that.
24:43
Everybody knew like it's going to be hard for my brain to focus and do well tomorrow.
24:47
But guess what? I'm hanging out with my friends, you know, like,
24:50
like, you know what you're getting into.
24:52
So sometimes we do that with food when the consequences are not so extreme and
24:56
we kind of know what we're getting into.
24:58
Yes. We are all absolutely bio-individual. And like for myself,
25:03
I even have to time things in my hormonal cycle.
25:06
Like I know when I'm ovulating, I can eat certain things, but when I get closer to my period, it's,
25:12
It's almost like batten down the hatches every single month because I know I'm
25:17
more susceptible to junk going wrong.
25:20
Yeah. And I mean, perimenopause, I just hit perimenopause a couple of years
25:24
ago and I definitely notice, like you, a cyclical tolerance for food.
25:30
And I'm not an expert in this area, but I have learned from other experts that
25:34
like estrogen really controls histamine release, which is in the gut,
25:38
which is like food sensitivity.
25:39
So you can become sensitive to things that maybe you weren't sensitive to before,
25:44
different combinations, different time of the month, you know,
25:47
that is all real and valid.
25:49
So yeah, I'm really glad you brought that up because that's something that I'm
25:52
personally also working with at this time in my life.
25:56
Every single day we get to like be the detective that solves our own personal mystery.
26:01
But your book is going to be so helpful. So tell us again the name of the book
26:06
and where people can find it. And when you said it's not quite out right now.
26:10
Yeah, so it comes out on May 26th. It's called the new autoimmune protocol.
26:15
It's got this beautiful navy blue cover with a little plate of some fermented
26:20
food and veggies and chicken on the front.
26:23
It is available worldwide. So it does there is a Kindle version.
26:27
So no matter where you're listening, you can always get that digital version.
26:30
And I would also say that I really believe in not gatekeeping AIP information.
26:35
So I have a website called theautomineprotocol.com.
26:38
All of the instructions, if you just want to like go check it out,
26:42
everything's there for free.
26:43
The book is just packaged in a way that I'm hoping that you find that helpful.
26:48
That's a way that you can support me.
26:49
But the information is all out there for free for everyone because I really
26:53
want other people to be able to benefit from this information because of how
26:58
much it was, like how hard it was when I was sick.
27:02
I just want to make it better for the next person. So that's just kind of why I do what I do.
27:07
That's awesome. And three out of four people are feeling better,
27:10
according to all the actual research studies done.
27:13
That is phenomenal. Yeah. So like with IBD, I'll just give you a little snapshot of the result.
27:18
With IBD, six weeks, they saw 73% clinical remission.
27:23
These were patients who had been sick for 19 years on average with IBD,
27:27
which is like not newly diagnosed people.
27:30
They were also people who were not in clinical remission despite being on all
27:34
the best conventional drugs.
27:36
So like biologics and steroids and everything was breaking through.
27:39
So that was actually really amazing. They also did a survey of IBD patients
27:43
of people who had used AIP, so this is a completely different population.
27:48
They came up with the exact same 73% of people, self-reported that they reached
27:53
clinical remission with AIP, which was really interesting.
27:56
The Hashimoto's groups are challenging because we don't have clinical remission
28:00
as a marker of progress with Hashimoto's.
28:03
So, of course, we know that up to 60% of patients who have Hashimoto's and are
28:08
treated correctly to target. So this means like our hormone levels are normal.
28:12
We report symptoms that interfere with daily life. This is just a feature of Hashimoto's.
28:17
It's just that it's why practitioners think it's like kind of a basic autoimmune disease.
28:22
It's because they think that, you know, you correct the hormone deficiency and the problem goes away.
28:27
Turns out it doesn't. We have lots of symptoms. So the symptom burden change
28:31
in Hashimoto's in both the studies, there's an American study and there's a
28:35
Polish study, was amazing across the board.
28:38
30 to 60 percent of the symptoms were decreased by a lot.
28:42
And if you guys are curious about this, I have lots of research reviews on theautomineprotocol.com
28:47
where I break down all the results of the studies.
28:50
The Polish team also actually did a nutrient comparison where they kept the
28:55
calories, so the energy density, of the participants' diets before and after
28:59
AIP exactly the same, so about 2,000 calories.
29:03
And the participants lost an average of 8 pounds and 10% relative body fat without
29:09
changing the energy density and without doing anything with their medication or their hormones.
29:13
So this is something that, like, you know, with Hashimoto's,
29:16
it's really hard to grasp, like, a meaningful change. Like with IBD,
29:20
you can go in with a camera, you can take a picture, right?
29:23
With Hashimoto's, it's just really hard to see when you feel better.
29:26
But that Polish team did a really good job implementing some of those anthropometric changes.
29:32
They did a thyroid ultrasound that showed that the swelling and inflammation
29:35
in the thyroid decreased. So that was all really interesting.
29:39
And then for rheumatoid arthritis, the study that just came out showed that
29:43
77% of those participants that did, again, like an AIP trial for,
29:48
I think, eight or 10 weeks, they experienced meaningful clinical improvement.
29:53
I believe 30% of them reached clinical remission.
29:57
So, you know, with each disease, the target's a little bit different,
29:59
what that means, but it's a great result.
30:01
So I would summarize all that to say, if you have an autoimmune disease.
30:05
You haven't tried AIP, you know, chances are three out of four,
30:09
you're going to get a meaningful improvement based on some of the evidence that we have.
30:13
And I think that those are really good odds for trying to figure things out.
30:17
And I would also say for that last person, having also worked one-on-one with
30:22
people this whole 15 years of my practice,
30:25
there are a lot of underlying causes that when people treat and when they work
30:30
one-on-one with someone, they figure that out.
30:32
That's the thing. That's the obstacle to them really getting better.
30:36
That's not really something you can implement in a study.
30:38
But I would say if you try AIP and it doesn't work for you, there are lots of
30:42
providers you can work one-on-one with to kind of do that root cause troubleshooting.
30:48
Yeah. So, you know, you're not one of the three out of four.
30:50
You're that fourth. But there's still hope. You're not.
30:54
This is not a life sentence. Absolutely.
30:57
So, Mickey, if there is only one thing that somebody can take away from the
31:01
conversation, what is the biggest thing that you want him or her to remember?
31:06
Yeah. So my biggest takeaway is, you know, for everybody listening,
31:11
one thing that you can do, even if you're not ready to start an elimination
31:13
diet or do anything, just think about nutrient density.
31:16
I think when we have chronic illness, we often think of eliminating and removing
31:21
and avoiding, and that's very negative.
31:23
I love to reframe it with a positive because every day we have three plus opportunities
31:29
to nourish our bodies, and there are so many good things that we can say we
31:33
know about food for everybody.
31:35
You know, colorful plants, you know, omega-3s, fermented foods,
31:40
you know, however you eat, these things are components of a healthy microbiome
31:44
and they construct a healthy body, right?
31:47
So just think of those three meals as an opportunity to nourish yourself with
31:51
something that makes you feel good.
31:53
And also pay attention, what makes me feel good? Because what makes me feel
31:57
bad can get really like into a spiral.
32:00
It's helpful, you know, it's information. but also paying attention to what
32:04
makes you feel good because over the years the things that I really fall back
32:08
on are the things that make me feel good.
32:10
I chase those before I chase anything else and that just allows me to continue
32:15
to feel positive and empowered and like I can do something to make myself feel better you know.
32:22
So that's my advice. This podcast is for informational and educational purposes only.
32:27
Please discuss any changes with your trusted health care provider.
32:30
To take your next step, join our school community and explore the courses available there.
32:35
You do not have to figure your health out alone.
32:38
So that is school, S-K-O-O-L dot com.