Conditions

Autoimmune conditions

Conventional treatment for autoimmunity is good at suppressing the immune response. It is less interested in why the response started, or what keeps driving it. Both questions are worth asking.

Alongside, not instead of

If you are under a rheumatologist or on disease-modifying medication, stay there. I work alongside specialist care, and I will not advise you to stop treatment that is controlling your disease.

What I add is investigation of the drivers: gut barrier function, chronic infection, nutrient status, hormonal change, stress physiology and exposures. Reducing the load on an over-activated immune system is a reasonable aim in parallel with treating the disease itself.

What tends to be worth investigating

Gut function comes up repeatedly, and the association between intestinal permeability and autoimmunity is one of the better supported parts of this field.

Vitamin D status, thyroid antibodies where relevant, chronic viral reactivation, and food reactions that are genuinely driving inflammation rather than merely suspected of it.

A realistic aim

Autoimmune disease is not usually cured. The realistic aims are better symptom control, fewer flares, and in some cases reducing the medication burden with your specialist agreeing to it.

Claims that autoimmunity can be reversed through diet alone are not supported by evidence, and I will not make them.

Discuss your case with Dr Greenland

A short discovery call is the usual starting point. It costs nothing, and it is the fastest way to find out whether this approach fits your situation.