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Writer's pictureJohn Kim

How can LDN help with treating RA in a functional medicine/integrative medicine setting?

Recently I saw someone whose Rheumatoid Arthritis symptoms were in remission with low dose naltrexone. It's remarkable because this person no longer requires medications or supplements to control the symptoms. The symptoms have simply disappeared.


How would functional medicine approach treating rheumatoid arthritis:


A functional medicine approach to rheumatoid arthritis (RA) focuses on treating the root causes of the disease rather than just alleviating symptoms. This personalized and integrative method aims to balance the body's systems, support the immune system, reduce inflammation, and improve overall health.


Key Principles of Functional Medicine for RA

  1. Identifying Root Causes:

    • Genetics: Understanding genetic predispositions that may increase the risk of RA.

    • Gut Health: Investigating and addressing gut dysbiosis, leaky gut, and food sensitivities that can contribute to inflammation.

    • Chronic Infections: Identifying and treating underlying chronic infections (e.g., viral, bacterial, or fungal) that may trigger or exacerbate RA.

    • Toxins: Reducing exposure to environmental toxins, heavy metals, and chemicals that can burden the immune system.

  2. Personalized Nutrition:

    • Anti-inflammatory Diet: Emphasizing whole, unprocessed foods with anti-inflammatory properties, such as fruits, vegetables, fatty fish, nuts, and seeds. Specific diets like the Mediterranean or Paleo diet might be recommended.

    • Elimination Diet: Identifying and avoiding foods that may trigger inflammation or immune reactions, such as gluten, dairy, or nightshades (tomatoes, peppers, eggplants).

    • Nutritional Supplements: Using targeted supplements like omega-3 fatty acids, curcumin, vitamin D, and probiotics to reduce inflammation and support immune function.

  3. Balancing the Immune System:

    • Modulating Immune Response: Addressing imbalances in the immune system through lifestyle changes, stress management, and targeted therapies.

    • Autoimmune Protocol (AIP): A specialized diet and lifestyle plan designed to reduce autoimmune activity. Low Dose Naltrexone would fit here.

  4. Lifestyle Modifications:

    • Stress Management: Techniques like mindfulness, meditation, yoga, and breathing exercises to reduce stress, which can exacerbate RA symptoms.

    • Regular Exercise: Incorporating low-impact exercises like swimming, walking, and strength training to maintain joint mobility and reduce inflammation.

    • Sleep Optimization: Ensuring adequate, restorative sleep to support immune function and reduce systemic inflammation.

  5. Detoxification Support:

    • Liver Support: Enhancing the body's natural detoxification processes through dietary changes, supplements, and possibly detox programs.

    • Reducing Toxic Exposure: Identifying and minimizing exposure to environmental toxins, such as pesticides, heavy metals, and plastics.

  6. Mind-Body Connection:

    • Emotional and Psychological Support: Addressing emotional health, trauma, and psychological stressors that may contribute to or worsen RA.

    • Integrative Therapies: Considering acupuncture, chiropractic care, or other holistic therapies to support overall well-being.

  7. Ongoing Monitoring and Adjustments:

    • Regular Testing: Using advanced testing methods to monitor inflammation levels, gut health, nutrient deficiencies, and immune function.

    • Continuous Adjustment: Tailoring the treatment plan based on ongoing assessments to ensure optimal management of RA.

Conclusion

Functional medicine offers a comprehensive approach to managing rheumatoid arthritis by focusing on the individual as a whole and addressing the root causes of the disease. By integrating diet, lifestyle changes, targeted supplements, and stress management, this approach aims to reduce inflammation, support immune function, and improve overall quality of life. Working with a healthcare provider trained in functional medicine is essential for developing a personalized treatment plan.

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