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Hello! What do you suggest for someone who has hashimotos, SIBO, which was treated a few months ago and who has SO many food sensitivities? We did food sensitivity testing recently and discovered that I am reacting to almost everything except meat and fish, so I believe I have lost oral tolerance. I remember you mentioning something about inflammation/glutamine, the loss of oral tolerance, and the shift to TH2 dominance. I am just wondering what should I eat? I know you recommended a rotation diet while taking RepairVite which i am doing and I am strictly avoiding gluten. I am thinking that EpiIntegrity might be a better fit for my situation. I was also thinking about doing a more extended antimicrobial protocol to make sure i dont relapse from SIBO which would further fuel Th17 polarization. My thyroid antibodies have increased, so my autoimmunity is not controlled, and I am thinking it is because of constant exposure to foods I am sensitive to. Stress chemistry is also playing a role here, and Ive been doing tVNS. Finances are an issue, so I have been trying to be conscientious about how many supplements I am taking.
Anyway, what do you do when someone is reacting to most foods?
I would focus on oral tolerance, as you said, using Sun butyrate, 2 tsp 2x for an adult body size, plus with making sure there’s a high enough blood level of vitamin A, as well as a broad repertoire of veggies in the diet. You can also use 1 tsp BID of flax seed, chia seed, psyllium husk, in rotation.
Make sure there is COMPLETE avoidance of gluten and dairy (zero exposures, including zero topical exposures), and zero the gluten cross-reactors that show up as IgG elevations on lab (Cyrex labs is great for testing).
Epi-Integrity that you mentioned would be quite reasonable.
Beyond that, food rotation is reasonable, as is attending to dysbiosis, but you will often have to address T cell polarization and reduce inflammation before going after dysbiosis, or you’ll stir the pot on the inflammation.
When finances are an issue, I tell people to try to get as much work done as possible with subtraction (avoiding problematic foods, which btw would include anything with trans fat, anything deep fried, anything with hydrogenated oils). Subtractions are less expensive than additions. If you are not able to be spot on with subtractions, the case is not likely to have a good outcome. If this approach is not enough you may need to add other supplements, etc., to create progress.
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