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Schwartz"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"ea2bc08ce2ec","_type":"block","children":[{"_key":"ea2bc08ce2ec0","_type":"span","marks":[],"text":"Marnie is a freelance writer with experience covering health, food, nutrition, fitness, and personal finance for publications including Shape, Good Housekeeping, Men's Journal, Women's Health, and more. She is a graduate of Northwestern University's Medill School of Journalism."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"d61dc321283a","_type":"block","children":[{"_key":"91b0aff473ae0","_type":"span","marks":[],"text":"If you do show signs of autoimmune dysfunction or are diagnosed with an autoimmune disease, managing symptoms is important to help you feel better and also to calm potentially damaging "},{"_key":"91b0aff473ae1","_type":"span","marks":["7c736fcf8d76"],"text":"inflammation"},{"_key":"91b0aff473ae2","_type":"span","marks":[],"text":" , which is a hallmark in most autoimmune conditions."}],"markDefs":[{"_key":"7c736fcf8d76","_type":"link","blank":true,"description":"Learn about inflammation and how to reduce it","href":"https://www.parsleyhealth.com/blog/what-is-inflammation-and-how-to-reduce-it/"}],"style":"normal"},{"_key":"b3079d980c19","_type":"block","children":[{"_key":"93d83643846a0","_type":"span","marks":[],"text":"At Parsley Health, doctors are often able to catch the early symptoms of autoimmune diseases and help manage or reverse the condition without the need for medication. In people who are on prescription medications for autoimmune disease, they are often able to help patients reduce or eliminate the need for medication, though in some cases, medication is needed and treatment will focus on symptom management."}],"markDefs":[],"style":"normal"},{"_key":"f2a3df630e5f","_type":"block","children":[{"_key":"8cedec7683f70","_type":"span","marks":[],"text":"The lifestyle changes that your doctor may recommend for managing symptoms include an elimination diet, which can help identify food triggers for your flares, and ways to manage stress, since for many people, their diseases flare under stress. Your functional medicine doctor may also look for micronutrient deficiencies and recommend "},{"_key":"8cedec7683f71","_type":"span","marks":["eb253b0b866f"],"text":"dietary changes"},{"_key":"8cedec7683f72","_type":"span","marks":[],"text":" , herbal "},{"_key":"8cedec7683f73","_type":"span","marks":["cee88ff9a33a"],"text":"supplements"},{"_key":"8cedec7683f74","_type":"span","marks":[],"text":" , and detox and cleanse regimens to help your immune system calm down, says Dr. Jacobson. In Ayurvedic medicine, a clean diet combined with yoga, "},{"_key":"8cedec7683f75","_type":"span","marks":["c9a90e4c21e4"],"text":"meditation"},{"_key":"8cedec7683f76","_type":"span","marks":[],"text":" , and body treatments helps reduce rheumatoid arthritis  symptoms or even eliminate them, she says, though it’s not known how food and lifestyle changes have this effect or why antibody levels go down. Body therapies like massage, acupuncture, and infrared sauna may also be helpful, she adds."}],"markDefs":[{"_key":"eb253b0b866f","_type":"link","blank":true,"description":"Parsley Health article on diet and the immune system","href":"https://www.parsleyhealth.com/blog/autoimmune-paleo-diet-aip-heals-immune-system/"},{"_key":"cee88ff9a33a","_type":"link","blank":true,"description":"Discover anti-inflammatory supplements","href":"https://www.parsleyhealth.com/blog/anti-inflammatory-supplements/"},{"_key":"c9a90e4c21e4","_type":"link","blank":true,"description":"Parsley Health article on prescribing meditation","href":"https://www.parsleyhealth.com/blog/prescribe-meditation-patients/"}],"style":"normal"},{"_key":"7aa14ccf3a9d","_type":"block","children":[{"_key":"979471e5c1560","_type":"span","marks":[],"text":"Yoga and meditation can be so important because there’s cross-talk between your immune and nervous systems, and you want them to remain balanced, explains Dr. Jacobson. “The reason I emphasize yoga is that it links breath, movement, and intent,” she says. “Breath practices get us in nervous system balance.” That’s crucial to making sure you can get in and out of a “fight or flight” state quickly, to avoid prolonged exposure to stress hormones and keep steady, because “an overactive mind revs up the body.”"}],"markDefs":[],"style":"normal"},{"_key":"2c1dc1a45b28","_type":"block","children":[{"_key":"1acee5b154570","_type":"span","marks":[],"text":"In addition to herbs, another therapy being explored is a low dose of naltrexone, a drug that in higher doses helps people recover from addiction by blocking opioid receptors. In people with autoimmune diseases it might help with GI symptoms, pain, joint symptoms, and "},{"_key":"1acee5b154571","_type":"span","marks":["67d4a1597584"],"text":"brain fog"},{"_key":"1acee5b154572","_type":"span","marks":[],"text":" , says Dr. Jacobson. "},{"_key":"1acee5b154573","_type":"span","marks":["990f8f81edb4"],"text":"Research"},{"_key":"1acee5b154574","_type":"span","marks":[],"text":" suggests that it may help improve quality of life in people with Crohn’s disease (an inflammatory bowel condition), rheumatoid arthritis, and multiple sclerosis (a central nervous system disease) and reduce itching in people with systemic sclerosis (a form of scleroderma, a disease that affects the skin and connective tissues)."}],"markDefs":[{"_key":"67d4a1597584","_type":"link","blank":true,"description":"Learn how to beat brain fog","href":"https://www.parsleyhealth.com/blog/beat-brain-fog/"},{"_key":"990f8f81edb4","_type":"link","blank":true,"description":"Review the research","href":"https://www.sciencedirect.com/science/article/pii/S1567576918302315?via%3Dihub"}],"style":"normal"},{"_key":"1b9a4ca54bc4","_type":"block","children":[{"_key":"09c3f2591f8e0","_type":"span","marks":[],"text":"Since the early signs of many autoimmune diseases—fatigue, bloating—may be vague and common, people commonly push them aside or think they’re not worth telling their doctor about. “People ignore GI symptoms their whole lives!” says Dr. Jacobson. But women, in particular, need to be hypervigilant, because working with a doctor before your symptoms increase in severity, is ideal, she says."}],"markDefs":[],"style":"normal"}]}},{"node":{"_id":"330abd4a-d4be-4505-99f5-19ce729c7a72","themes":[{"title":"Autoimmune Disease"}],"id":"-a9f3d594-46ae-50f0-929a-c397d5f58c35","title":"[VIDEO] Managing Stress for Better Immunity","slug":{"current":"managing-stress-for-better-immunity"},"image":{"_type":"basicImage","crop":null,"hotspot":null,"asset":{"_id":"image-519481d3cf0675e1cd0d61a2edbfc2f86d79b35a-784x554-png","url":"https://cdn.sanity.io/images/mur2ep80/production/519481d3cf0675e1cd0d61a2edbfc2f86d79b35a-784x554.png","fluid":{"sizes":"(max-width: 784px) 100vw, 784px","src":"https://cdn.sanity.io/images/mur2ep80/production/519481d3cf0675e1cd0d61a2edbfc2f86d79b35a-784x554.png","srcSet":"https://cdn.sanity.io/images/mur2ep80/production/519481d3cf0675e1cd0d61a2edbfc2f86d79b35a-784x554.png?w=196&h=139&fit=crop 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Robin Berzin, CEO"},"role":"Doctor","roleTitle":null,"bio":[{"_key":"a95b591d22c6","_type":"block","children":[{"_key":"6c22c1719ee3","_type":"span","marks":[],"text":"Dr. Robin Berzin is the Founder and CEO of Parsley Health, America's leading holistic medical practice designed to help women overcome chronic conditions. She founded Parsley to address the rising tide of chronic disease in America through personalized holistic medicine that puts food, lifestyle, and proactive diagnostic testing on the prescription pad next to medications. Since founding Parsley in 2016, Dr. Berzin has seen 80% of patients improve or resolve their chronic conditions within their first year of care, demonstrating the life-changing value of making modern holistic medicine accessible to everyone, anywhere. Parsley is available online nationwide.\n"}],"markDefs":[],"style":"normal"},{"_key":"7b28f23b78a2","_type":"block","children":[{"_key":"33212346fb800","_type":"span","marks":[],"text":"Dr. Berzin attended medical school at Columbia University and trained in Internal Medicine at Mount Sinai Hospital in New York City. Her book, "},{"_key":"a0775ccc3d15","_type":"span","marks":["em"],"text":"Prescription for Happiness: How to Eat, Move, and Supplement for Peak Mental Health"},{"_key":"b03764afb6d1","_type":"span","marks":[],"text":", was published by Simon Element in January 2022."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"54a5337ddb0b","_type":"block","children":[{"_key":"c7929f86962a","_type":"span","marks":[],"text":"Parsley Health Founder and Co-CEO, Dr. Robin Berzin, discusses the link between stress and immunity, and common symptoms of autoimmune conditions."}],"markDefs":[],"style":"normal"}]}},{"node":{"_id":"1c4bdc8f-d0b5-4d99-9b4c-7f0bc4fc491e","themes":[{"title":"Autoimmune Disease"}],"id":"-cd3355a5-50be-5bd2-8eaa-5e013a7ba277","title":"Symptoms and Causes of Ulcerative Colitis 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Eckelkamp"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"076170181dd2","_type":"block","children":[{"_key":"076170181dd20","_type":"span","marks":[],"text":"Stephanie Eckelkamp is a writer and certified health coach based in Allentown, PA. She received her B.S. in journalism from Syracuse University with a minor in nutrition. Her work has appeared in Martha Stewart Living, mindbodygreen, Greatist, Women's Health, Men's Health, Prevention, and Good Housekeeping. When she's not writing or nerding out on the latest health news, she's most likely on a walk with her pup Lucy Goose or trying to convince her boyfriend to eat more broccoli."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"adc7a5d2fec6","_type":"block","children":[{"_key":"44df991bab130","_type":"span","marks":[],"text":"We’re not going to sugarcoat it: Ulcerative colitis (UC) can be erratic and hard to manage. This inflammatory bowel disease (which is "},{"_key":"44df991bab131","_type":"span","marks":["em"],"text":"also"},{"_key":"44df991bab132","_type":"span","marks":[],"text":" an "},{"_key":"44df991bab133","_type":"span","marks":["7ebe1320b6b7"],"text":"autoimmune disease"},{"_key":"44df991bab134","_type":"span","marks":[],"text":" , in which the "},{"_key":"44df991bab135","_type":"span","marks":["3427002df0d6"],"text":"immune system"},{"_key":"44df991bab136","_type":"span","marks":[],"text":" mistakenly attacks your own body) causes "},{"_key":"44df991bab137","_type":"span","marks":["f73dd1f247d7"],"text":"inflammation"},{"_key":"44df991bab138","_type":"span","marks":[],"text":" and ulcers to develop on the inner lining of the colon, or large intestine, which can cause diarrhea, abdominal pain and cramping, bloody stools, and other debilitating symptoms."}],"markDefs":[{"_key":"7ebe1320b6b7","_type":"link","blank":true,"description":"Learn signs of autoimmune disease","href":"https://www.parsleyhealth.com/blog/signs-autoimmune-disease/"},{"_key":"3427002df0d6","_type":"link","blank":true,"description":"Learn about weak immune systems","href":"https://www.parsleyhealth.com/blog/weak-immune-system/"},{"_key":"f73dd1f247d7","_type":"link","blank":true,"description":"Learn more about inflammation and how to reduce it","href":"https://www.parsleyhealth.com/blog/what-is-inflammation-and-how-to-reduce-it/"}],"style":"normal"},{"_key":"083b48e443f3","_type":"block","children":[{"_key":"7a6d84ca23980","_type":"span","marks":[],"text":"UC is characterized by periods of symptoms (known as flare-ups) followed by periods of remission in which you’re symptom-free for anywhere from a few days to a few years. Technically, there’s no cure for ulcerative colitis, but medication can help manage it, and you can "},{"_key":"7a6d84ca23981","_type":"span","marks":["em"],"text":"significantly"},{"_key":"7a6d84ca23982","_type":"span","marks":[],"text":" minimize flare-ups and extend remission with strategic diet and lifestyle tweaks. Read on for more information on ulcerative colitis and the natural remedies that may combat these painful symptoms."}],"markDefs":[],"style":"normal"},{"_key":"4da9d0267cb3","_type":"block","children":[{"_key":"ed60a7c09cc40","_type":"span","marks":[],"text":"What are the symptoms of an ulcerative colitis flare-up?"}],"markDefs":[],"style":"h2"},{"_key":"8ea5732210dc","_type":"block","children":[{"_key":"b3329f7f59450","_type":"span","marks":[],"text":"An ulcerative colitis flare-up refers to the return of symptoms after a period of remission. During this time, there is significantly increased inflammation in the colon, which can lead to the formation of ulcers and aggravate existing ulcers. According to the "},{"_key":"b3329f7f59451","_type":"span","marks":["bdb4be01e1f3"],"text":"Crohn’s & Colitis Foundation"},{"_key":"b3329f7f59452","_type":"span","marks":[],"text":" , symptoms of ulcerative colitis flare-ups may include:"}],"markDefs":[{"_key":"bdb4be01e1f3","_type":"link","blank":true,"description":"Visit the Crohns and Colitis Foundation","href":"https://www.crohnscolitisfoundation.org/what-is-ulcerative-colitis/symptoms"}],"style":"normal"},{"_key":"87b2ac9e3667","_type":"block","children":[{"_key":"84955a716e180","_type":"span","marks":[],"text":"Loose and urgent bowel movements"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6d3285639188","_type":"block","children":[{"_key":"fb27ddd6d3360","_type":"span","marks":[],"text":"Bloody stool"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14543dcb3fbd","_type":"block","children":[{"_key":"2b1002fe61c70","_type":"span","marks":[],"text":"Mucous in stool"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bae638b9a7fc","_type":"block","children":[{"_key":"5569af51c3880","_type":"span","marks":[],"text":"Abdominal cramps and pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"93e418b3dffd","_type":"block","children":[{"_key":"c9e22b8cec600","_type":"span","marks":[],"text":"Loss of appetite"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"10e0fd697b31","_type":"block","children":[{"_key":"6f410b58f5e20","_type":"span","marks":[],"text":"Nausea"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c0f54967575d","_type":"block","children":[{"_key":"4aa62d4d9ade0","_type":"span","marks":[],"text":"Fever"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4b3d2648bcf1","_type":"block","children":[{"_key":"69caab0e348e0","_type":"span","marks":[],"text":"Low energy and "},{"_key":"69caab0e348e1","_type":"span","marks":["07f7cd4cf82c"],"text":"fatigue"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"07f7cd4cf82c","_type":"link","blank":true,"description":"Parsley Health blog: why am I tired all the time?","href":"https://www.parsleyhealth.com/blog/why-am-i-tired-all-the-time/"}],"style":"normal"},{"_key":"b5092670962a","_type":"block","children":[{"_key":"e7b8197862230","_type":"span","marks":[],"text":"What causes ulcerative colitis flares?"}],"markDefs":[],"style":"h2"},{"_key":"31dc109eb6f7","_type":"block","children":[{"_key":"ad6f30921d950","_type":"span","marks":[],"text":"It’s not always super clear what brings on a flare—and it can be different for everyone—but your diet, stress levels, and certain medications may all contribute. Here are some common triggers:"}],"markDefs":[],"style":"normal"},{"_key":"650308fa83cf","_type":"block","children":[{"_key":"dc275cbe27930","_type":"span","marks":["strong"],"text":"Certain foods and beverages:"},{"_key":"dc275cbe27931","_type":"span","marks":[],"text":" While research doesn’t suggest that specific foods c"},{"_key":"dc275cbe27932","_type":"span","marks":["em"],"text":"ause"},{"_key":"dc275cbe27933","_type":"span","marks":[],"text":" ulcerative colitis in the first place, certain foods can exacerbate UC and contribute to flare-ups—particularly those that are pro-inflammatory or promote "},{"_key":"dc275cbe27934","_type":"span","marks":["edceaefc236b"],"text":"permeability of the gut lining"},{"_key":"dc275cbe27935","_type":"span","marks":[],"text":" such as highly processed carbohydrates, added sugars, and alcohol, says Cori Cohen, a health coach and registered dietitian formerly with Parsley Health. It’s good to scale back on these foods, but keep in mind, food triggers can also be unique to the individual. This is why keeping a food/symptom journal is so helpful."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"edceaefc236b","_type":"link","blank":true,"description":"Learn about your gut lining","href":"https://www.parsleyhealth.com/blog/what-is-leaky-gut-syndrome/"}],"style":"normal"},{"_key":"c969daa58b88","_type":"block","children":[{"_key":"5221c2e22ad20","_type":"span","marks":["strong"],"text":"Stress:"},{"_key":"5221c2e22ad21","_type":"span","marks":[],"text":" Like food, stress is not believed to cause UC, but it can exacerbate it. High-stress levels can stimulate the immune system and contribute to chronic inflammation, both of which may contribute to an ulcerative colitis flare. In "},{"_key":"5221c2e22ad22","_type":"span","marks":["efa8094fe557"],"text":"one study"},{"_key":"5221c2e22ad23","_type":"span","marks":[],"text":" of ulcerative colitis and Crohn’s disease patients, 45 percent of those who experienced a relapse said they’d been exposed to “quite a lot of stress” the day prior."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"efa8094fe557","_type":"link","blank":true,"description":"Read the study","href":"https://www.gastrores.org/index.php/Gastrores/article/view/534/557"}],"style":"normal"},{"_key":"44308efc7bbe","_type":"block","children":[{"_key":"ea75be4b17670","_type":"span","marks":["strong"],"text":"NSAID pain relievers:"},{"_key":"ea75be4b17671","_type":"span","marks":[],"text":" Non-steroidal anti-inflammatories (NSAIDs) such as aspirin, ibuprofen, and naproxen may also contribute to flares. These drugs can be irritating to the gastrointestinal tract and should be avoided with UC, according to the "},{"_key":"ea75be4b17672","_type":"span","marks":["251255cf6773"],"text":"Crohn’s & Colitis Foundation"},{"_key":"ea75be4b17673","_type":"span","marks":[],"text":" . Tylenol is generally considered a more GI-friendly OTC pain reliever."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"251255cf6773","_type":"link","blank":true,"description":"Learn more ","href":"https://www.crohnscolitisfoundation.org/sites/default/files/2019-07/managing-flares-brochure-final-online.pdf"}],"style":"normal"},{"_key":"988711d2f714","_type":"block","children":[{"_key":"c14bb78368ab0","_type":"span","marks":["strong"],"text":"Missing your meds:"},{"_key":"c14bb78368ab1","_type":"span","marks":[],"text":" Medication is often needed to keep UC symptoms in check, and missing a dose, even when symptoms are in remission, may result in a flare-up. This is why it’s so important to have a team—like the docs and health coaches at "},{"_key":"c14bb78368ab2","_type":"span","marks":["50799eacf007"],"text":"Parsley Health"},{"_key":"c14bb78368ab3","_type":"span","marks":[],"text":" —managing your care plan and guiding you on if/when it’s ever appropriate to wean off medication (and yes, it is possible in "},{"_key":"c14bb78368ab4","_type":"span","marks":["em"],"text":"some"},{"_key":"c14bb78368ab5","_type":"span","marks":[],"text":" cases, says Cohen)."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"50799eacf007","_type":"link","blank":true,"description":"Visit Parsley Health","href":"https://www.parsleyhealth.com/"}],"style":"normal"}]}},{"node":{"_id":"e01ba1e3-b2af-442b-af53-9514018508a6","themes":[{"title":"Autoimmune Disease"}],"id":"-9669b323-8fb1-59a1-9ab6-c9448d2451d9","title":"How Your Gut Is Connected to 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Ayuda"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"fc452c59dd01","_type":"block","children":[{"_key":"fc452c59dd010","_type":"span","marks":[],"text":"Tiffany Ayuda is a New York City-based editor and writer passionate about fitness, nutrition, health, and wellness. She has held previous editorial roles at Prevention, Eat This, Not That, Daily Burn, and Everyday Health. Tiffany is also a certified personal trainer through the American Council on Exercise. When she's not writing or breaking up a sweat, Tiffany enjoys cooking up healthy meals in her Brooklyn kitchen."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"cd109a5fdcdd","_type":"block","children":[{"_key":"9d7a2e2d8b050","_type":"span","marks":[],"text":"Your gut might not be the first place you look to find the root of your "},{"_key":"9d7a2e2d8b051","_type":"span","marks":["a52cf5b9bab2"],"text":"autoimmune disease"},{"_key":"9d7a2e2d8b052","_type":"span","marks":[],"text":" , but as "},{"_key":"9d7a2e2d8b053","_type":"span","marks":["e10acf5660c9"],"text":"your body's second brain"},{"_key":"9d7a2e2d8b054","_type":"span","marks":[],"text":" , your gut microbiome is closely connected to your "},{"_key":"9d7a2e2d8b055","_type":"span","marks":["eefde29a535b"],"text":"immune system"},{"_key":"9d7a2e2d8b056","_type":"span","marks":[],"text":" ."}],"markDefs":[{"_key":"a52cf5b9bab2","_type":"link","href":"https://www.parsleyhealth.com/blog/autoimmune-disease-treatment/"},{"_key":"e10acf5660c9","_type":"link","href":"https://www.parsleyhealth.com/blog/gut-brain-connection/"},{"_key":"eefde29a535b","_type":"link","href":"https://www.parsleyhealth.com/blog/foods-boost-immune-system/"}],"style":"h2"},{"_key":"d10851f82dd5","_type":"block","children":[{"_key":"e430bf63a853","_type":"span","marks":[],"text":"There is a growing body of research that has linked autoimmune issues to the health of the gut microbiome. Because 80 percent of your immune system is within the gut lining, any imbalances you have in your microbiome can contribute to the development of an autoimmune disease, Dr. Safdieh says. A January 2017 review in "},{"_key":"c16378c9efdd1","_type":"span","marks":["em","bdb03aefd7f3"],"text":"BMC Immunology"},{"_key":"c16378c9efdd2","_type":"span","marks":[],"text":" demonstrates the effects of dysbiosis and its relationships with autoimmune disorders, like inflammatory bowel disease, type 1 diabetes, and rheumatoid arthritis. Pro-inflammatory microbes in the gut can result in immunosuppression and also lead to a disease beyond the gut, such as the heart, liver and nervous system."}],"markDefs":[{"_key":"bdb03aefd7f3","_type":"link","href":"https://bmcimmunol.biomedcentral.com/articles/10.1186/s12865-016-0187-3"}],"style":"normal"},{"_key":"0fd81663924d","_type":"block","children":[{"_key":"e685ea8f12f50","_type":"span","marks":[],"text":"Environmental factors, such as the overuse of antibiotics, can also affect the bacteria in the gut and increase the risk of autoimmune disease, suggests a review in "},{"_key":"e685ea8f12f51","_type":"span","marks":["04ae46b26f8f","em"],"text":"Gut Microbes"},{"_key":"e685ea8f12f52","_type":"span","marks":[],"text":" . “Overuse of antibiotics and pharmaceuticals has caused a drastic reduction in the diversity of our collective microbiome,” Dr. Safdieh says. Having a "},{"_key":"e685ea8f12f53","_type":"span","marks":["509942b68395"],"text":"leaky gut"},{"_key":"e685ea8f12f54","_type":"span","marks":[],"text":" , in which there is "},{"_key":"e685ea8f12f55","_type":"span","marks":["5e0b51176746"],"text":"inflammation"},{"_key":"e685ea8f12f56","_type":"span","marks":[],"text":" and weakening of the gut barrier, is also associated with exposure to certain chemicals and drugs connected to autoimmunity."}],"markDefs":[{"_key":"04ae46b26f8f","_type":"link","href":"https://www.tandfonline.com/doi/full/10.4161/gmic.19320"},{"_key":"509942b68395","_type":"link","href":"https://www.parsleyhealth.com/blog/what-is-leaky-gut-syndrome/"},{"_key":"5e0b51176746","_type":"link","href":"https://www.parsleyhealth.com/blog/what-is-inflammation-and-how-to-reduce-it/"}],"style":"normal"},{"_key":"1d587da61ab9","_type":"block","children":[{"_key":"566146cab7530","_type":"span","marks":[],"text":"Studies have even shown that "},{"_key":"566146cab7531","_type":"span","marks":["0b9de356c63e"],"text":"pre- and post-natal factors"},{"_key":"566146cab7532","_type":"span","marks":[],"text":" can shape the development of your microbiome, which impacts your risks of developing an autoimmune disease. “Our microbiomes start forming as early as birth during delivery,” Dr. Safdieh says. “Babies are exposed to maternal flora as they come through the vaginal canal. Infant feeding methods and breastfeeding earlier in life also play a role in the infant’s microbiome development,” she says. For example, Dr. Safdieh says that at Parsley, pregnant women and mothers who have "},{"_key":"566146cab7533","_type":"span","marks":["3fd89ca768a4"],"text":"Guillain-Barre Syndrome (GBS)"},{"_key":"566146cab7534","_type":"span","marks":[],"text":" , a rare autoimmune disease, are treated without antibiotics to keep their guts robust, and in turn, helps keep their babies healthy."}],"markDefs":[{"_key":"0b9de356c63e","_type":"link","href":"https://www.parsleyhealth.com/blog/10-myths-pregnancy-just-arent-true/"},{"_key":"3fd89ca768a4","_type":"link","href":"https://www.cdc.gov/campylobacter/signs-symptoms/guillain-barre-syndrome.html?CDC_AAref_Val=https://www.cdc.gov/campylobacter/guillain-barre.html"}],"style":"normal"},{"_key":"7359bec8085c","_type":"block","children":[{"_key":"32791428430c0","_type":"span","marks":[],"text":"For example, a July 2016 review article in "},{"_key":"32791428430c1","_type":"span","marks":["em","023ab01ad35c"],"text":"Nature Medicine"},{"_key":"32791428430c2","_type":"span","marks":[],"text":" points out that one of the first major exposures to microbes in newborns is during the birthing process. During vaginal births, a mother’s vaginal microbiota is transferred to the child, enriching them with good bacteria like "},{"_key":"32791428430c3","_type":"span","marks":["em"],"text":"Lactobacillus spp."},{"_key":"32791428430c4","_type":"span","marks":[],"text":" However, babies born via C-section don’t receive this benefit and are colonized by common skin and environmental microbes, like "},{"_key":"32791428430c5","_type":"span","marks":["em"],"text":"Staphylococcus"},{"_key":"32791428430c6","_type":"span","marks":[],"text":" and "},{"_key":"32791428430c7","_type":"span","marks":["em"],"text":"Streptococcus"},{"_key":"32791428430c8","_type":"span","marks":[],"text":". This puts infants born via C-section at higher risk for developing dysbiosis. Infants born via C-section have also been shown to have greater rates of asthma, "},{"_key":"32791428430c9","_type":"span","marks":["a5ab7c45a1da"],"text":"allergies"},{"_key":"32791428430c10","_type":"span","marks":[],"text":" , obesity, and autoimmune disorders than those born vaginally, a February 2016 study in "},{"_key":"32791428430c11","_type":"span","marks":["em","10af5317b744"],"text":"The Journal of Allergy and Clinical Immunology"},{"_key":"32791428430c12","_type":"span","marks":[],"text":" shows."}],"markDefs":[{"_key":"023ab01ad35c","_type":"link","href":"https://www.nature.com/articles/nm.4142"},{"_key":"a5ab7c45a1da","_type":"link","href":"https://www.parsleyhealth.com/blog/seasonal-allergy-symptoms/"},{"_key":"10af5317b744","_type":"link","href":"https://www.jacionline.org/article/S0091-6749(15)01103-3/fulltext"}],"style":"normal"},{"_key":"9827e66228df","_type":"block","children":[{"_key":"61e6925222a20","_type":"span","marks":["28ba46199868"],"text":"Breastfeeding"},{"_key":"61e6925222a21","_type":"span","marks":[],"text":" and maternal health play a role in risk of autoimmune disease too. A May 2018 review article in "},{"_key":"61e6925222a22","_type":"span","marks":["32e7c6d10b06","em"],"text":"Frontiers in Medicine"},{"_key":"61e6925222a23","_type":"span","marks":[],"text":" points out that the mother’s health circumstances for infants delivered via C-section could have an impact on their "},{"_key":"61e6925222a24","_type":"span","marks":["126d2550dac3"],"text":"gut health"},{"_key":"61e6925222a25","_type":"span","marks":[],"text":" and autoimmunity risks. Mothers who are delivering via C-sections are sometimes administered antibiotics, which can affect an infant’s microbiome. C-section deliveries are also associated with poor breastfeeding behavior. Breast milk contains a variety of important nutrients that influence an infant’s gut microbiome. “Many babies, unfortunately, aren’t fed right away because of NICU stays and surgeries,” Dr. Safdieh says. In addition, maternal obesity is a risk factor for C-section delivery, so there’s a chance that it can alter the infant’s gut microbiome pre- and post-natal."}],"markDefs":[{"_key":"28ba46199868","_type":"link","href":"https://www.parsleyhealth.com/blog/postpartum-care-in-fourth-trimester/"},{"_key":"32e7c6d10b06","_type":"link","href":"https://www.frontiersin.org/articles/10.3389/fmed.2018.00135/full"},{"_key":"126d2550dac3","_type":"link","href":"https://www.parsleyhealth.com/blog/biohack-way-healthier-gut/"}],"style":"normal"}]}},{"node":{"_id":"40d23bac-d8a8-4ae9-844b-6338dde12b51","themes":[{"title":"Autoimmune Disease"}],"id":"-2c30cae1-f80f-5143-9aad-b645696ffc00","title":"Lifestyle Factors That Affect the Gut and 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Ayuda"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"fc452c59dd01","_type":"block","children":[{"_key":"fc452c59dd010","_type":"span","marks":[],"text":"Tiffany Ayuda is a New York City-based editor and writer passionate about fitness, nutrition, health, and wellness. She has held previous editorial roles at Prevention, Eat This, Not That, Daily Burn, and Everyday Health. Tiffany is also a certified personal trainer through the American Council on Exercise. When she's not writing or breaking up a sweat, Tiffany enjoys cooking up healthy meals in her Brooklyn kitchen."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"1fa37308724d","_type":"block","children":[{"_key":"390a6b2ab36f0","_type":"span","marks":[],"text":"While you may not be able to control your birth mode or potential genetic factors that influence gut health and autoimmunity, your lifestyle can have a profound effect on your gut and contribute to autoimmunity. “"},{"_key":"390a6b2ab36f1","_type":"span","marks":["bf849c8fa28d"],"text":"Stress"},{"_key":"390a6b2ab36f2","_type":"span","marks":[],"text":" and "},{"_key":"390a6b2ab36f3","_type":"span","marks":["294cdda386ac"],"text":"anxiety"},{"_key":"390a6b2ab36f4","_type":"span","marks":[],"text":" , as well as what we eat, can affect the composition of the gut bacteria. "},{"_key":"390a6b2ab36f5","_type":"span","marks":["e4e3a1486b72"],"text":"Sleep"},{"_key":"390a6b2ab36f6","_type":"span","marks":[],"text":" loss can also lead to changes in the microbiome and promote gut inflammation,” Dr. Safdieh says. “Stress has an impact on the microbes within our guts, and the balance of microbes has an effect on our moods. That’s because 75 percent of our neurotransmitters are made within the gut.\""}],"markDefs":[{"_key":"bf849c8fa28d","_type":"link","href":"https://www.parsleyhealth.com/blog/ways-stay-heathy-stressed-near-burnout/"},{"_key":"294cdda386ac","_type":"link","href":"https://www.parsleyhealth.com/blog/physical-symptoms-of-anxiety/"},{"_key":"e4e3a1486b72","_type":"link","href":"https://www.parsleyhealth.com/blog/what-causes-insomnia-how-to-sleep-better/"}],"style":"normal"},{"_key":"bcf6229f8302","_type":"block","children":[{"_key":"b6caaebb4c180","_type":"span","marks":[],"text":"This includes serotonin, which plays a role in happiness, Dr. Safdieh says, so it has a big impact on mental health. A large cohort June 2018 study in "},{"_key":"b6caaebb4c181","_type":"span","marks":["f3a7a74d5145","em"],"text":"JAMA"},{"_key":"b6caaebb4c182","_type":"span","marks":[],"text":" showed that patients with stress-related disorders, such as post-traumatic stress disorder (PTSD) and acute stress disorder, have an increased risk of autoimmune disease. It’s believed that trauma and significant life stressors can disrupt the nervous system, which can dysregulate immune function and manifest as an autoimmune disease. The study also found that among patients with PTSD, those who persistently used SSRIs (selective serotonin reuptake inhibitors) during the first year after diagnosis was associated with a risk of autoimmune disease. This circles back to the idea that certain drugs and medications may trigger autoimmunity."}],"markDefs":[{"_key":"f3a7a74d5145","_type":"link","href":"https://jamanetwork.com/journals/jama/fullarticle/2685155"}],"style":"normal"}]}},{"node":{"_id":"4ed529f0-cae7-47a5-af54-f54232996d6a","themes":[{"title":"Autoimmune Disease"}],"id":"-260a05af-5fe2-59d0-8147-673894e2ae56","title":"Why Autoimmune Diseases Disproportionately Affect Women","slug":{"current":"why-autoimmune-diseases-disproportionately-affect-women"},"image":{"_type":"basicImage","crop":null,"hotspot":null,"asset":{"_id":"image-8d67e544a19005d01abce3559d742292bbfe391b-768x604-png","url":"https://cdn.sanity.io/images/mur2ep80/production/8d67e544a19005d01abce3559d742292bbfe391b-768x604.png","fluid":{"sizes":"(max-width: 768px) 100vw, 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pensively closing her eyes"},"author":{"authorByLine":"Marnie Schwartz","slug":{"current":"marnie-schwartz"},"profileImage":{"_type":"basicImage","crop":null,"hotspot":null,"asset":{"_id":"image-7d475adbd6b4583f464b0073cf8469f513caa825-300x400-jpg","url":"https://cdn.sanity.io/images/mur2ep80/production/7d475adbd6b4583f464b0073cf8469f513caa825-300x400.jpg","fluid":{"sizes":"(max-width: 300px) 100vw, 300px","src":"https://cdn.sanity.io/images/mur2ep80/production/7d475adbd6b4583f464b0073cf8469f513caa825-300x400.jpg","srcSet":"https://cdn.sanity.io/images/mur2ep80/production/7d475adbd6b4583f464b0073cf8469f513caa825-300x400.jpg?w=150&h=200&fit=crop 150w,\nhttps://cdn.sanity.io/images/mur2ep80/production/7d475adbd6b4583f464b0073cf8469f513caa825-300x400.jpg 300w","srcSetWebp":"https://cdn.sanity.io/images/mur2ep80/production/7d475adbd6b4583f464b0073cf8469f513caa825-300x400.jpg?w=150&h=200&fit=crop&fm=webp 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Schwartz"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"ea2bc08ce2ec","_type":"block","children":[{"_key":"ea2bc08ce2ec0","_type":"span","marks":[],"text":"Marnie is a freelance writer with experience covering health, food, nutrition, fitness, and personal finance for publications including Shape, Good Housekeeping, Men's Journal, Women's Health, and more. She is a graduate of Northwestern University's Medill School of Journalism."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"5f72950adc73","_type":"block","children":[{"_key":"be654d3f3cdf0","_type":"span","marks":[],"text":"When you’re exposed to a cold virus or a stomach bug, your "},{"_key":"be654d3f3cdf1","_type":"span","marks":["8fabb6fc49f4"],"text":"immune system"},{"_key":"be654d3f3cdf2","_type":"span","marks":[],"text":" powers up, battles the infection, and then retreats. But what if that response is misguided, and then fights "},{"_key":"be654d3f3cdf3","_type":"span","marks":["em"],"text":"you"},{"_key":"be654d3f3cdf4","_type":"span","marks":[],"text":" instead?"}],"markDefs":[{"_key":"8fabb6fc49f4","_type":"link","blank":true,"description":"Learn about weak immune systems","href":"https://www.parsleyhealth.com/blog/weak-immune-system/"}],"style":"normal"},{"_key":"ac15445c77be","_type":"block","children":[{"_key":"8f6a66690c250","_type":"span","marks":[],"text":"That’s what happens in autoimmune diseases, a group of conditions including rheumatoid arthritis, lupus, Hashimoto’s thyroiditis, and many more. Something triggers the immune system, designed to recognize foreign cells and fight them off, to attack your own cells. This causes a wide range of symptoms from fever and aches to skin and digestive issues."}],"markDefs":[],"style":"normal"},{"_key":"70b55195b730","_type":"block","children":[{"_key":"666f2079e2310","_type":"span","marks":[],"text":"There are more than "},{"_key":"666f2079e2311","_type":"span","marks":["b367a5237449"],"text":"80 different autoimmune diseases"},{"_key":"666f2079e2312","_type":"span","marks":[],"text":" that affect more than 24 million people in the U.S. While researchers don’t know exactly what causes "},{"_key":"666f2079e2313","_type":"span","marks":["2dfc9bdd20ad"],"text":"autoimmune disease"},{"_key":"666f2079e2314","_type":"span","marks":[],"text":" , many experts believe they’re triggered by infections; the immune system revs up to handle the virus or bacteria and becomes overactive. Genetics, lifestyle factors like obesity and smoking, and certain medications can also be risk factors. And, for reasons scientists don’t totally understand, women represent more than "},{"_key":"666f2079e2315","_type":"span","marks":["bfea6d94497b"],"text":"75 percent of cases"},{"_key":"666f2079e2316","_type":"span","marks":[],"text":" ."}],"markDefs":[{"_key":"b367a5237449","_type":"link","blank":true,"description":"Learn about the conditions","href":"https://www.niehs.nih.gov/health/topics/conditions/autoimmune/index.cfm"},{"_key":"2dfc9bdd20ad","_type":"link","blank":true,"description":"How to treat autoimmune diseases","href":"https://www.parsleyhealth.com/blog/autoimmune-disease-treatment/"},{"_key":"bfea6d94497b","_type":"link","blank":true,"description":"Read the study","href":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328995/"}],"style":"normal"},{"_key":"b7cbdd0737ee","_type":"block","children":[{"_key":"d02e330ae7d00","_type":"span","marks":[],"text":"There are several theories about why women are more prone to autoimmune diseases. One group of theories relate to hormones, specifically the differing ratios of estrogen and testosterone that men and women have, as well as the role of changing hormones throughout life. For example, a "},{"_key":"d02e330ae7d01","_type":"span","marks":["b82c4c55bbe0"],"text":"2018 study in"},{"_key":"d02e330ae7d02","_type":"span","marks":[],"text":" "},{"_key":"d02e330ae7d03","_type":"span","marks":["3f5defb06f29","em"],"text":"Nature Communications"},{"_key":"d02e330ae7d04","_type":"span","marks":[],"text":" found that testosterone suppresses a "},{"_key":"d02e330ae7d05","_type":"span","marks":["f44bb74171d5"],"text":"protein"},{"_key":"d02e330ae7d06","_type":"span","marks":[],"text":" that makes B cells, a type of immune cell that can release autoimmune antibodies, stronger. Since women have less testosterone, those B cells are able to proliferate and release harmful antibodies. Other research finds that the immune system and hormone levels are in a delicate balance; "},{"_key":"d02e330ae7d07","_type":"span","marks":["d6be207393b8"],"text":"when hormones shift"},{"_key":"d02e330ae7d08","_type":"span","marks":[],"text":" during puberty, pregnancy, and menopause, the balance may be disrupted, and women become vulnerable to autoimmune diseases. Pregnancy itself may also make women more susceptible, says Dawn Jacobson, M.D., a doctor formerly with Parsley Health. When a woman is pregnant, the fetus’s cells get into her circulatory system. They can be stored in tissues, such as the bone marrow, for over a decade after the pregnancy. “One theory is that the immune system recognizes these fetal cells as foreign and creates an autoimmune response,” she says."}],"markDefs":[{"_key":"b82c4c55bbe0","_type":"link","blank":true,"description":"Read the study","href":"https://www.nature.com/articles/s41467-018-04408-0#article-info"},{"_key":"3f5defb06f29","_type":"link","description":"Read more on nature.com","href":"https://www.nature.com/articles/s41467-018-04408-0#article-info"},{"_key":"f44bb74171d5","_type":"link","blank":true,"description":"Learn protein powder benefits","href":"https://www.parsleyhealth.com/blog/protein-powder-benefits/"},{"_key":"d6be207393b8","_type":"link","blank":true,"description":"Read the study","href":"https://www.frontiersin.org/articles/10.3389/fendo.2019.00265/full"}],"style":"normal"}]}},{"node":{"_id":"b654551b-65d1-4b34-8a30-93b0723d9570","themes":[{"title":"Autoimmune 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foods presented on a countertop"},"author":{"authorByLine":"Stephanie Eckelkamp","slug":{"current":"stephanie-eckelkamp"},"profileImage":{"_type":"basicImage","crop":null,"hotspot":null,"asset":{"_id":"image-3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960-jpg","url":"https://cdn.sanity.io/images/mur2ep80/production/3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960.jpg","fluid":{"sizes":"(max-width: 800px) 100vw, 800px","src":"https://cdn.sanity.io/images/mur2ep80/production/3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960.jpg?w=800&h=800&fit=crop","srcSet":"https://cdn.sanity.io/images/mur2ep80/production/3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960.jpg?w=200&h=200&fit=crop 200w,\nhttps://cdn.sanity.io/images/mur2ep80/production/3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960.jpg?w=400&h=400&fit=crop 400w,\nhttps://cdn.sanity.io/images/mur2ep80/production/3e6f667e41e05980939ef5bfefa15461e37ff24a-960x960.jpg?w=800&h=800&fit=crop 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Eckelkamp"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"076170181dd2","_type":"block","children":[{"_key":"076170181dd20","_type":"span","marks":[],"text":"Stephanie Eckelkamp is a writer and certified health coach based in Allentown, PA. She received her B.S. in journalism from Syracuse University with a minor in nutrition. Her work has appeared in Martha Stewart Living, mindbodygreen, Greatist, Women's Health, Men's Health, Prevention, and Good Housekeeping. When she's not writing or nerding out on the latest health news, she's most likely on a walk with her pup Lucy Goose or trying to convince her boyfriend to eat more broccoli."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"71d898d40914","_type":"block","children":[{"_key":"8d741bad1fd70","_type":"span","marks":[],"text":"What are actionable steps you can take to make your symptom-free stretches last as long as possible? “"},{"_key":"8d741bad1fd71","_type":"span","marks":["141cdbf99e92"],"text":"Nutrition"},{"_key":"8d741bad1fd72","_type":"span","marks":[],"text":" and stress management are probably the two biggest things as far as prevention goes,” says Cori Cohen, a health coach and registered dietitian formerly with Parsley Health. "}],"markDefs":[{"_key":"141cdbf99e92","_type":"link","blank":true,"description":"Learn the food and nutrition connecction","href":"https://www.parsleyhealth.com/blog/category/food-nutrition"},{"_key":"7199908de8ca","_type":"link","href":"https://www.parsleyhealth.com/doctors"}],"style":"normal"},{"_key":"d31e9bb67983","_type":"block","children":[{"_key":"8d741bad1fd73","_type":"span","marks":["7199908de8ca"],"text":"Parsley Health providers and health coaches"},{"_key":"8d741bad1fd74","_type":"span","marks":[],"text":" often work with members who have ulcerative colitis to find a diet that helps them minimize flares and a stress management routine. Below, we’ll dive into some specific ways to optimize your diet with natural remedies and make adjustments to your lifestyle while living with ulcerative colitis."}],"markDefs":[{"_key":"7199908de8ca","_type":"link","blank":true,"description":"Meet Parsley Health providers","href":"https://www.parsleyhealth.com/doctors"}],"style":"normal"},{"_key":"5175376b3309","_type":"block","children":[{"_key":"9f4924897da80","_type":"span","marks":[],"text":"1. Eat an anti-inflammatory diet with plenty of veggies."}],"markDefs":[],"style":"h3"},{"_key":"7111b52ad1aa","_type":"block","children":[{"_key":"07b627979a620","_type":"span","marks":[],"text":"Because inflammation is at the root of inflammatory bowel diseases like ulcerative colitis, "},{"_key":"07b627979a621","_type":"span","marks":["29feef6e3d94"],"text":"eating to minimize inflammation"},{"_key":"07b627979a622","_type":"span","marks":[],"text":" is key. In fact, "},{"_key":"07b627979a623","_type":"span","marks":["89164074d426"],"text":"research suggests"},{"_key":"07b627979a624","_type":"span","marks":[],"text":" that an "},{"_key":"07b627979a625","_type":"span","marks":["65070f67845d"],"text":"IBD anti-inflammatory diet"},{"_key":"07b627979a626","_type":"span","marks":[],"text":" —which encourages the intake of prebiotics ("},{"_key":"07b627979a627","_type":"span","marks":["dd9777543de3"],"text":"fiber"},{"_key":"07b627979a628","_type":"span","marks":[],"text":" -rich plant foods and legumes), "},{"_key":"07b627979a629","_type":"span","marks":["6eb65f4a5694"],"text":"probiotics"},{"_key":"07b627979a6210","_type":"span","marks":[],"text":" (fermented foods), and omega-3 fats to restore intestinal flora—may ease symptoms. In addition to scaling back on pro-inflammatory added sugars and highly processed carbs, there are two big ways to up the anti-inflammatory power of your diet, according to Cohen: Ramping up your veggie intake and "},{"_key":"07b627979a6211","_type":"span","marks":["3480859f027d"],"text":"focusing on the"},{"_key":"07b627979a6212","_type":"span","marks":[],"text":" "},{"_key":"07b627979a6213","_type":"span","marks":["3480859f027d","em"],"text":"right"},{"_key":"07b627979a6214","_type":"span","marks":[],"text":" "},{"_key":"07b627979a6215","_type":"span","marks":["3480859f027d"],"text":"fats"},{"_key":"07b627979a6216","_type":"span","marks":[],"text":" (easy natural remedies)."}],"markDefs":[{"_key":"29feef6e3d94","_type":"link","blank":true,"description":"Learn more on eating and inflammation","href":"https://www.parsleyhealth.com/blog/foods-that-fight-inflammation/"},{"_key":"89164074d426","_type":"link","blank":true,"description":"Read the review","href":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153885/"},{"_key":"65070f67845d","_type":"link","blank":true,"description":"IBD anti-inflammatory diety","href":"https://www.umassmed.edu/nutrition/ibd/ibdaid/"},{"_key":"dd9777543de3","_type":"link","description":"Parsley Health article on fiber","href":"https://www.parsleyhealth.com/blog/fiber-superfood"},{"_key":"6eb65f4a5694","_type":"link","description":"Learn about probiotics","href":"https://www.parsleyhealth.com/blog/when-to-take-probiotics/"},{"_key":"3480859f027d","_type":"link","blank":true,"description":"Parsley Health article on healthy fats","href":"https://www.parsleyhealth.com/blog/healthy-fats-diet/"}],"style":"normal"},{"_key":"ce52df0e6851","_type":"block","children":[{"_key":"9b83221945090","_type":"span","marks":[],"text":"“At a minimum, you want to be having three servings of vegetables per day, since "},{"_key":"9b83221945091","_type":"span","marks":["c1c1a3c3fd80"],"text":"low vegetable intake is associated with a higher incidence of UC"},{"_key":"9b83221945092","_type":"span","marks":[],"text":" ,” says Cohen. Vegetables contain a range of polyphenol antioxidant compounds to fight inflammation, along with digestion-supporting fiber."}],"markDefs":[{"_key":"c1c1a3c3fd80","_type":"link","blank":true,"description":"Read the study","href":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153885/"}],"style":"normal"},{"_key":"02ff3373e91a","_type":"block","children":[{"_key":"ccc478c556ee0","_type":"span","marks":[],"text":"And as for fat, “make sure you’re limiting omega-6s from processed seed and vegetable oils and getting "},{"_key":"ccc478c556ee1","_type":"span","marks":["a6133a5f6731"],"text":"enough omega-3s"},{"_key":"ccc478c556ee2","_type":"span","marks":[],"text":" , which are anti-inflammatory,” says Cohen. Most Western diets are sky-high in omega-6s and low in omega-3s, and this imbalance in essential fatty acids can promote inflammation. Get your fill of omega-3s from fatty fish like salmon and sardines, walnuts, chia seeds, flaxseeds, and hemp seeds, or "},{"_key":"ccc478c556ee3","_type":"span","marks":["be0b9624b0cc"],"text":"consider a supplement"},{"_key":"ccc478c556ee4","_type":"span","marks":[],"text":" ."}],"markDefs":[{"_key":"a6133a5f6731","_type":"link","blank":true,"description":"Omega 3 as a sugar antidote","href":"https://www.parsleyhealth.com/blog/sugar-antidote/"},{"_key":"be0b9624b0cc","_type":"link","blank":true,"description":"Shop vitamin supplements","href":"https://store.parsleyhealth.com/products/mega-omega-3"}],"style":"normal"},{"_key":"c8cc892199bc","_type":"block","children":[{"_key":"bbd11fa0349e0","_type":"span","marks":[],"text":"2. Prioritize gut-supporting nutrients."}],"markDefs":[],"style":"h3"},{"_key":"9350beaf982c","_type":"block","children":[{"_key":"3108185cc55c0","_type":"span","marks":[],"text":"No single nutrient or supplement is a magic bullet for keeping UC flares at bay, but anything that reduces inflammation in the gut, helps repair and heal the gut’s epithelial lining, and fosters growth of healthy gut bacteria may be helpful, explains Cohen. Your veggie-heavy, anti-inflammatory diet will help, but these nutrients (which you can find get via food or "},{"_key":"3108185cc55c1","_type":"span","marks":["d7390b888dc5"],"text":"supplements"},{"_key":"3108185cc55c2","_type":"span","marks":[],"text":" ) may provide an extra boost for "},{"_key":"3108185cc55c3","_type":"span","marks":["a10906762e4f"],"text":"gut health"},{"_key":"3108185cc55c4","_type":"span","marks":[],"text":":"}],"markDefs":[{"_key":"d7390b888dc5","_type":"link","blank":true,"description":"Learn more","href":"https://www.parsleyhealth.com/blog/anti-inflammatory-supplements/"},{"_key":"a10906762e4f","_type":"link","blank":true,"description":"Learn more","href":"https://www.parsleyhealth.com/blog/how-to-improve-gut-health/"}],"style":"normal"},{"_key":"a9ea229c6f8c","_type":"block","children":[{"_key":"cf1b2681690a0","_type":"span","marks":["a5c041b4c801"],"text":"Probiotics"},{"_key":"cf1b2681690a1","_type":"span","marks":[],"text":" , naturally found in fermented foods, are a good maintenance tool for promoting gut microbial balance."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"a5c041b4c801","_type":"link","blank":true,"description":"Learn more","href":"https://www.parsleyhealth.com/blog/when-to-take-probiotics/"}],"style":"normal"},{"_key":"230d9d3eab4a","_type":"block","children":[{"_key":"d2c8bbf35f8b0","_type":"span","marks":[],"text":"Turmeric is a powerful spice that contains the potent antioxidant compound curcumin to help combat both chronic inflammation and gut inflammation."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f1ab38d0735","_type":"block","children":[{"_key":"1ca77ac5cb440","_type":"span","marks":[],"text":"L-glutamine is the primary fuel source for cells lining the intestinal wall and has been shown to help reduce hyperpermeability of the gut lining. Collagen powder and bone broth both contain this powerful amino acid."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"07a6134e1a36","_type":"block","children":[{"_key":"1d3b94719c920","_type":"span","marks":[],"text":"If you want to start a supplement, talk to your healthcare provider. "},{"_key":"1d3b94719c921","_type":"span","marks":["a35159a65fae"],"text":"Parsley Health’s doctors"},{"_key":"1d3b94719c922","_type":"span","marks":[],"text":" create specific supplement protocols for each member based on the results of advanced testing."}],"markDefs":[{"_key":"a35159a65fae","_type":"link","blank":true,"description":"Meet Parsley Health's doctors","href":"https://www.parsleyhealth.com/doctors"}],"style":"normal"},{"_key":"d6548a017a02","_type":"block","children":[{"_key":"867929dd50af0","_type":"span","marks":[],"text":"3. Implement stress-busting practices."}],"markDefs":[],"style":"h3"},{"_key":"3987a38cba07","_type":"block","children":[{"_key":"b1f6f960202b0","_type":"span","marks":[],"text":"Whether you’re dealing with a bad relationship, toxic job, "},{"_key":"b1f6f960202b1","_type":"span","marks":["7b86a822527c"],"text":"lack of sleep"},{"_key":"b1f6f960202b2","_type":"span","marks":[],"text":" , or even a medical scare, they can all trigger a stress response in the body that initiates a flare-up. While you can’t always control these stressors, you "},{"_key":"b1f6f960202b3","_type":"span","marks":["em"],"text":"can"},{"_key":"b1f6f960202b4","_type":"span","marks":[],"text":" combat the physiological effects they have on your body. Simple natural remedies to lower stress or mitigate its effects include going to bed at a reasonable hour ("},{"_key":"b1f6f960202b5","_type":"span","marks":["em"],"text":"and"},{"_key":"b1f6f960202b6","_type":"span","marks":[],"text":" on a consistent schedule), meditating, deep breathing, practicing yoga, going for a hike, or doing anything that brings you pure joy. Feeling stuck? Think about an activity that you do where time seems to stand still and you’re completely absorbed in the moment—that’s the ideal stress-buster!"}],"markDefs":[{"_key":"7b86a822527c","_type":"link","blank":true,"description":"Parsley Health blogs on sleep","href":"https://www.parsleyhealth.com/blog/category/sleep"}],"style":"normal"},{"_key":"4465d536afb9","_type":"block","children":[{"_key":"fdf85db16e0a0","_type":"span","marks":[],"text":"4. Keep a food and symptom journal."}],"markDefs":[],"style":"h3"},{"_key":"2b873238435f","_type":"block","children":[{"_key":"c89533094c1b0","_type":"span","marks":[],"text":"A key part of preventing flare-ups is knowing your personal ulcerative colitis triggers, which can vary from person to person. “Some people are triggered by "},{"_key":"c89533094c1b1","_type":"span","marks":["0227bb0b26e7"],"text":"gluten"},{"_key":"c89533094c1b2","_type":"span","marks":[],"text":" and "},{"_key":"c89533094c1b3","_type":"span","marks":["ef79bf0d2209"],"text":"dairy"},{"_key":"c89533094c1b4","_type":"span","marks":[],"text":" , while some people aren’t—so it’s important to identify what specific foods trigger "},{"_key":"c89533094c1b5","_type":"span","marks":["em"],"text":"you"},{"_key":"c89533094c1b6","_type":"span","marks":[],"text":",” says Cohen. “Keeping up a food and symptom journal can be really helpful.”"}],"markDefs":[{"_key":"0227bb0b26e7","_type":"link","blank":true,"description":"Parsley Health article: are you gluten intolerant?","href":"https://www.parsleyhealth.com/blog/are-you-gluten-intolerant/"},{"_key":"ef79bf0d2209","_type":"link","blank":true,"description":"Parsley Health article on inflammation","href":"https://www.parsleyhealth.com/blog/dairy-and-inflammation/"}],"style":"normal"},{"_key":"0678f0448a16","_type":"block","children":[{"_key":"aecc741950220","_type":"span","marks":[],"text":"Start jotting down what you eat and drink in a notebook so you can identify foods and beverages that may be causing flares to occur. If you start to see a pattern emerge, you can try eliminating that food/drink for a while to see if you get some relief. "},{"_key":"aecc741950221","_type":"span","marks":["8f215b9b9c9f"],"text":"Parsley Health doctors and health coaches can guide you"},{"_key":"aecc741950222","_type":"span","marks":[],"text":" through the appropriate way to eliminate and reintroduce foods and help you identify triggers."}],"markDefs":[{"_key":"8f215b9b9c9f","_type":"link","blank":true,"description":"How Parsley Health works","href":"https://www.parsleyhealth.com/how-it-works"}],"style":"normal"}]}},{"node":{"_id":"ccad241a-6120-4290-b0d3-220c47114ec0","themes":[{"title":"Autoimmune Disease"}],"id":"-de291480-ddf0-5659-9347-7f03de125947","title":"What to Do During an Ulcerative Colitis 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Eckelkamp"},"role":"Author","roleTitle":"Health Writer","bio":[{"_key":"076170181dd2","_type":"block","children":[{"_key":"076170181dd20","_type":"span","marks":[],"text":"Stephanie Eckelkamp is a writer and certified health coach based in Allentown, PA. She received her B.S. in journalism from Syracuse University with a minor in nutrition. Her work has appeared in Martha Stewart Living, mindbodygreen, Greatist, Women's Health, Men's Health, Prevention, and Good Housekeeping. When she's not writing or nerding out on the latest health news, she's most likely on a walk with her pup Lucy Goose or trying to convince her boyfriend to eat more broccoli."}],"markDefs":[],"style":"normal"}]},"content":[{"_key":"bc99c92d1f85","_type":"block","children":[{"_key":"f6ea5c2dbc180","_type":"span","marks":[],"text":"If diagnosed with ulcerative colitis, you’ll likely experience a flare-up at some point, despite your best prevention efforts. When this happens, there are a few ways you’ll need to tweak your normal routine to minimize the severity of your symptoms and get back into remission ASAP. Even some of your typically healthy habits like loading up on veggies may be a no-go. Here are a few natural remedies that may help:"}],"markDefs":[],"style":"normal"},{"_key":"a5d18a63cc3c","_type":"block","children":[{"_key":"3bb7ae1244740","_type":"span","marks":[],"text":"1. Cut out raw veggies and other gut irritants."}],"markDefs":[],"style":"h3"},{"_key":"88fc536fbe0e","_type":"block","children":[{"_key":"537313a6dbbd0","_type":"span","marks":[],"text":"In the midst of a ulcerative colitis flare, you want to be as gentle on your digestive system and colon as possible. “Give your gut a little vacation,” says Cohen. This ideally means eliminating or scaling back on: raw vegetables, raw and cooked fruits, high-fat foods (e.g. fatty cuts of meat), high fiber foods (e.g. beans, lentils, whole grains), spicy foods, alcohol, and caffeinated beverages. Basically, any food that takes significant digestive effort or stimulates the bowels."}],"markDefs":[],"style":"normal"},{"_key":"b735335b8fc1","_type":"block","children":[{"_key":"a62707cd22d90","_type":"span","marks":[],"text":"2. Opt for easy-to-digest foods."}],"markDefs":[],"style":"h3"},{"_key":"b654f6d6a03f","_type":"block","children":[{"_key":"e933359b78050","_type":"span","marks":[],"text":"Focus on getting the bulk of your nutrition from cooked vegetables and easy-to-digest proteins like fish, lean meats, and eggs. Consuming some meals in the form of soups made with "},{"_key":"e933359b78051","_type":"span","marks":["eb04156cd199"],"text":"bone broth"},{"_key":"e933359b78052","_type":"span","marks":[],"text":" (which contains L-glutamine), smoothies, and veggie purees is also a great idea, says Cohen. These are much less abrasive on the gut and take less energy to digest. This allows energy to be diverted to more urgent matters, like healing the gut and taming inflammation."}],"markDefs":[{"_key":"eb04156cd199","_type":"link","blank":true,"description":"Learn more about bone broth","href":"https://www.parsleyhealth.com/blog/gut-healing-bone-broth-recipe/"}],"style":"normal"},{"_key":"a2bd1caa992c","_type":"block","children":[{"_key":"44639ebd76f10","_type":"span","marks":[],"text":"2. Eat smaller meals."}],"markDefs":[],"style":"h3"},{"_key":"e67ec7ce8796","_type":"block","children":[{"_key":"3e996ea96c370","_type":"span","marks":[],"text":"Large meals can overstimulate the bowel and make ulcerative colitis symptoms like diarrhea worse. Keep meals on the smaller side and never eat until you’re stuffed. The Crohn’s & Colitis Foundation recommends "},{"_key":"3e996ea96c371","_type":"span","marks":["80e3aa138cc9"],"text":"4-6 small meals"},{"_key":"3e996ea96c372","_type":"span","marks":[],"text":" per day as opposed to three larger meals."}],"markDefs":[{"_key":"80e3aa138cc9","_type":"link","description":"Learn more","href":"https://www.crohnscolitisfoundation.org/diet-and-nutrition/what-should-i-eat"}],"style":"normal"},{"_key":"a25f9a71250e","_type":"block","children":[{"_key":"d7228f1d079d0","_type":"span","marks":[],"text":"3. Hydrate, hydrate, hydrate."}],"markDefs":[],"style":"h3"},{"_key":"73b44d02d523","_type":"block","children":[{"_key":"3382ade120d60","_type":"span","marks":[],"text":"Because ulcerative colitis flares are accompanied by diarrhea, dehydration is a real concern. And while you don’t want to chug water, since this could further stimulate diarrhea, you do want to sip on liquids throughout the day—ideally liquids with electrolytes like coconut water or bone broth, says Cohen. Electrolytes may become depleted after bouts of diarrhea, but they are essential for maintaining proper hydration and fluid balance in the body."}],"markDefs":[],"style":"normal"},{"_key":"ec168a9ddb51","_type":"block","children":[{"_key":"23aaa9eb26400","_type":"span","marks":[],"text":"4. Find ways to chill out."}],"markDefs":[],"style":"h3"},{"_key":"74d0c8e0a75f","_type":"block","children":[{"_key":"1b67d0b401710","_type":"span","marks":[],"text":"All of the stress-busting suggestions above are "},{"_key":"1b67d0b401711","_type":"span","marks":["em"],"text":"extra"},{"_key":"1b67d0b401712","_type":"span","marks":[],"text":" important when you’re in the midst of a flare-up. Cohen also recommends implementing "},{"_key":"1b67d0b401713","_type":"span","marks":["7f608d77a1dd"],"text":"deep breathing exercises"},{"_key":"1b67d0b401714","_type":"span","marks":[],"text":" before every meal, as this “relaxes your body and mind allows you to digest more optimally.” And, since you’ll be eating 4-6 smaller meals, this is a great way to get a dose of calm at multiple points in the day."}],"markDefs":[{"_key":"7f608d77a1dd","_type":"link","description":"Discover deep breathing exercises","href":"https://www.parsleyhealth.com/blog/breathing-exercises-for-anxiety/"}],"style":"normal"},{"_key":"45d4a0883e0e","_type":"block","children":[{"_key":"0d516c8ae45e0","_type":"span","marks":[],"text":"Why working with a qualified care team is so important when it comes to managing ulcerative colitis"}],"markDefs":[],"style":"h3"},{"_key":"d7f5ccf67aeb","_type":"block","children":[{"_key":"3f1053be73f80","_type":"span","marks":[],"text":"People being treated for UC typically aren’t getting dietary or lifestyle advice, which is a huge disservice, says Cohen. But managing ulcerative colitis and preventing (or at least delaying) flare-ups "},{"_key":"3f1053be73f81","_type":"span","marks":["em"],"text":"can"},{"_key":"3f1053be73f82","_type":"span","marks":[],"text":" be done! You just might need a little help from the experts."}],"markDefs":[],"style":"normal"},{"_key":"5ebf91adfda1","_type":"block","children":[{"_key":"6206028dac8a0","_type":"span","marks":[],"text":"Because UC isn’t one-size-fits-all and triggers are highly individual, "},{"_key":"6206028dac8a1","_type":"span","marks":["563c912ec16f"],"text":"enlisting the help of a care team"},{"_key":"6206028dac8a2","_type":"span","marks":[],"text":" like the clinicians at "},{"_key":"6206028dac8a3","_type":"span","marks":["2f8737d7d934"],"text":"Parsley Health"},{"_key":"6206028dac8a4","_type":"span","marks":[],"text":" is wise. Providers can provide individualized supplement protocols based on lab testing, customized eating plans for periods of remission and flares, and communicate with your current GI doctor if necessary to streamline care."}],"markDefs":[{"_key":"563c912ec16f","_type":"link","blank":true,"description":"How Parsley Health works","href":"https://www.parsleyhealth.com/how-it-works"},{"_key":"2f8737d7d934","_type":"link","blank":true,"description":"Visit Parsley Health","href":"https://www.parsleyhealth.com/"}],"style":"normal"}]}}]}},"pageContext":{"id":"-cfdeaeaf-6817-54bd-9e40-12908c6d7443","published":true,"sanityID":"af2a9d9e-59dc-4884-af96-8b9b75db7734","slug":"autoimmune-disease","noindex":false}},"staticQueryHashes":["1472716613","1522262568","2222899840","2491575117","2865852135","3525185592","989003075"]}