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by Mickey Trescott + Angie Alt of Autoimmune Paleo
The Autoimmune Wellness Podcast is brought to you by Mickey Trescott, NTP (THE AUTOIMMUNE PALEO COOKBOOK) and Angie Alt, NTC, CHC (THE ALTERNATIVE AUTOIMMUNE COOKBOOK), who are both bloggers, authors, and autoimmune health advocates. After personally learning how to live well with five autoimmune diseases — Hashimoto's and celiac, for Mickey, and endometriosis, lichen sclerosis, and celiac for Angie — they are on a mission to change the way autoimmune disease is viewed, treated, and managed. Their approach combines the best of both natural and conventional medicine to give those with autoimmune disease their best chance at living a vibrant, healthy life!
The most recent episodes — sign up to get AI-powered summaries of each one.
Episode 104: AIP for Rheumatoid Arthritis: A Pilot Study & Qualitative Research Out of New ZealandWhat happens when people living with rheumatoid arthritis follow the Autoimmune Protocol for eight weeks? In the first clinical pilot study investigating AIP for rheumatoid arthritis, researchers in New Zealand documented promising improvements in patient-reported disease activity, pain, fatigue, sleep, and quality of life. But what happened when the intervention ended—and were those improvements sustainable?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott continues her medical research review series with a deep dive into two studies led by researcher Julianne Taylor and her colleagues. She examines how the original pilot study was designed, what researchers measured, and what the results tell us about using AIP alongside conventional rheumatoid arthritis treatment.Mickey also explores newly published qualitative research that followed the same participants through interviews immediately after the intervention and one year later. These findings offer a fascinating look at the challenges of following an elimination diet, the importance of support, and how participants navigated food reintroductions and developed more personalized approaches to eating. She also discusses the limitations of this early research and what future studies could tell us about the effectiveness and sustainability of AIP.In this episode, you'll learn:Why researchers are investigating dietary interventions for rheumatoid arthritisHow the first AIP pilot study for rheumatoid arthritis was designed, including its four-week control period and eight-week Core AIP interventionWhat researchers found about patient-reported disease activity, pain, fatigue, sleep, and quality of lifeWhy seven of the nine participants reported improvements, while two experienced little benefit or worsening symptomsWhat the qualitative interviews revealed about motivation, meal preparation, social challenges, and the importance of supportWhat happened one year later when participants were no longer following the structured interventionHow participants approached food reintroductions and developed more flexible, personalized dietsWhy systematic reintroduction and long-term sustainability are essential parts of the AIP processHow these findings relate to the updated Autoimmune Protocol, including Core and Modified AIPWhy AIP should complement—not replace—appropriate medical treatment for rheumatoid arthritisWhat larger clinical trials and future research are needed to establish the effectiveness of AIPResources:The Effect of an Autoimmune Protocol Diet in Adults with Rheumatoid Arthritis: A Single-Arm Crossover Pilot Feasibility Study — Julianne Taylor and colleaguesExploring Participant Experiences With the Autoimmune Protocol Diet and Rheumatoid Arthritis: A Longitudinal Qualitative Study — Journal of Nutritional Science (2026)Episode 88: Interview with Julianne Taylor about the first AIP pilot study for rheumatoid arthritisEpisode 59: AIP Research on Inflammatory Bowel Disease — Pilot Study and Quality of LifeEpisode 61: AIP Research on Hashimoto's Thyroiditis — Pilot Study and Case ReportsEpisode 63: AIP Research on Inflammatory Bowel Disease — Gene Expression and Patient ExperiencesEpisode 65: AIP Research on Hashimoto's Thyroiditis — Polish StudyFree AIP Foundation Series<a href="https://autoimmunewellness.com/naip" rel="n
Episode 103: Environmental Toxins: What Actually Matters with Lara AdlerSpend a few minutes online learning about environmental toxins, and it can quickly start to feel like everything around you is a problem. From drinking water and food packaging to cookware, cleaning products, and the air inside our homes, there seems to be an endless list of things we're supposed to avoid.For those of us living with autoimmune disease, this can feel especially overwhelming. We're already paying attention to nutrition, sleep, stress, movement, and medical care. Do we really need to worry about every chemical exposure, too?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by Lara Adler, an environmental health educator and consultant who has spent more than 14 years helping health professionals understand the science of environmental chemical exposures.Together, they explore what research actually tells us about environmental toxins, why dose and timing matter, and how to prioritize meaningful exposure reduction without fear, perfectionism, or expensive wellness products. They also share practical, budget-conscious strategies for improving indoor air quality, choosing water filtration, reducing plastic exposure, and selecting safer cookware.In this episode, you'll learn:What we know about environmental chemical exposures, immune health, and autoimmune diseaseWhy dose, timing, duration, and route of exposure matter when evaluating health risksHow endocrine-disrupting chemicals can affect the body even at very low levelsWhy social media often oversimplifies environmental health researchHow to take environmental exposures seriously without becoming fearful or overwhelmedSimple, affordable ways to improve indoor air quality, including ventilation and filtrationWhy choosing the right water filter starts with understanding your local water qualityHow to think about pesticides and organic produce without sacrificing fruit and vegetable intakeWhether washing and peeling produce can meaningfully reduce pesticide residuesWhere reducing plastic contact with food and water can make the biggest differenceWhich cookware materials Lara recommends and whyWhy individual choices matter, but broader policy changes are also essentialResources:Follow Lara Adler on Instagram: @environmentaltoxinsnerdLara's Substack: Talking ToxinsLara Adler's website: laraadler.comEpisode Timeline:00:00 – Environmental toxins: What actually matters?01:52 – Introducing Lara Adler03:35 – Environmental exposures, human health, and autoimmunity09:15 – Understanding dose, timing, and cumulative exposure12:26 – Why “the dose makes the poison” isn't always straightforward18:45 – How social media oversimplifies environmental health20:30 – Taking exposures seriously without fear24:33 – Avoiding misleading wellness products27:09 – Practical ways to improve indoor air quality34:24 – Choosing the right water filtration system42:11 – Pesticides, food packaging, and dietary exposure48:04 – Washing and peeling produce to reduce residues50:30 – Reducing exposure to plastics and microplastics55:01 – Choosing safer, longer-lasting cookware58:42 – Wrap-up and where to follow Lara Adler
My Healing Update: Autoimmunity, Perimenopause & Building Resilience (Ep 102)What does healing look like 15 years into living with autoimmune disease? For Mickey Trescott, it looks a lot different than it did in the beginning. Instead of focusing on getting out of a health crisis, she's now thinking about maintaining stability, adapting to new challenges, and building resilience for the decades ahead.In this personal update, Mickey shares how she's doing with celiac disease, Hashimoto's thyroiditis, and psoriatic arthritis, including why stability has been one of the most meaningful developments this year. She also discusses what she's eating after 15 years of AIP reintroductions, how her food tolerances continue to evolve, and why her approach remains focused on dietary diversity rather than restriction.Mickey also shares some bigger changes involving perimenopause, hormone therapy, and bone health. From discovering osteopenia on her first DEXA scan to making unexpected progress with longstanding tendon pain, she explains how these experiences have reshaped her movement and strength-training goals. Throughout the episode, she reflects on the value of foundational habits, appropriate medical care, and learning to enjoy a good season of health without worrying about what might come next.In this episode, you'll learn:What Mickey is eating 15 years after starting AIP and how her food tolerances have evolvedHow she's managing psoriatic arthritis, Hashimoto's, and celiac diseaseWhy stability can be just as meaningful as making new changesHow progesterone therapy has affected her sleep during perimenopauseWhat she learned from discovering osteopenia on her first DEXA scanHer experience with testosterone therapy and unexpected improvements in tendon painHow physical therapy and progressive strength training are helping her build resilienceWhy reduced stress has been an important part of feeling better this yearWhat's changed—and what hasn't—in her supplement routineWhy long-term healing is about building the capacity to live your life, not achieving perfect healthResources:Episode 56: My Healing Journey UpdateThe New Autoimmune Protocol by Mickey TrescottThe Autoimmune Protocol: https://theautoimmuneprotocol.comFollow Mickey on Instagram: @mickeytrescottEpisode Timeline:00:00 – What healing looks like 15 years into autoimmune disease03:10 – What I'm eating these days10:43 – My autoimmune update13:22 – Hashimoto's and thyroid treatment update15:32 – Perimenopause, hormone therapy, and sleep19:06 – My DEXA scan and osteopenia surprise22:13 – Testosterone, tendon pain, and getting stronger25:18 – Stress, resilience, and enjoying a good season28:00 – An update on supplements29:14 – Wrap-up and closing
Episode 101: Navigating Health Information Online with Dr. Guillermo RuizHealth information has never been easier to access—and somehow, it’s never felt harder to know what to trust. Between new research, expert opinions, personal stories, social media, supplement claims, and the latest wellness trends, it can be difficult to separate what’s plausible, what’s promising, and what’s actually been demonstrated.In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by Dr. Guillermo Ruiz, a naturopathic physician who practices naturopathic endocrinology with a focus on metabolic health. His work centers on bringing an evidence-based approach to naturopathic and integrative medicine while remaining curious about emerging ideas.Together, they explore how to navigate the gray areas of health information without becoming either overly skeptical or too quick to embrace the latest trend. They discuss how to evaluate health claims, why individual context matters, the difference between anecdotes and evidence, and how to think about risk when experimenting with diets, supplements, medications, and emerging therapies.In this episode, you'll learn:Why having access to more health information doesn’t necessarily make health decisions easierWhy individual biology and context can make one-size-fits-all health advice misleadingHow social media can turn useful health strategies into universal recommendationsWhy layering multiple restrictive diets or wellness strategies can create more problemsHow to look beyond a compelling headline to understand what a study actually foundWhy emerging treatments and supplements require weighing potential benefits against potential risksHow personal stories can provide useful clues without being the same as scientific evidenceWhy “natural” doesn’t automatically mean safe—and prescription medications aren’t automatically more dangerousRed flags to watch for in online health content, including absolute claims, cure language, and lack of nuanceHow to approach personal health experiments with clearer guardrailsWhy food, movement, sleep, and other foundational habits should come before chasing the latest health trendResources:Follow Dr. Guillermo Ruiz: @3030strongContact Dr. Ruiz: guillermo@3030strong.comDr. Ruiz Practice: Go HealthEpisode Timeline:00:00 – How do we know what health information to trust?02:20 – Introducing Dr. Guillermo Ruiz04:32 – Why navigating health information online is so challenging17:56 – Evaluating health headlines, studies, and products29:29 – How to navigate personal stories and anecdotes34:12 – The hidden risks of supplements and herbal medicine40:31 – Red flags in online health content44:32 – How to approach personal experimentation with caution50:39 – Wrap-up and where to follow Dr. Ruiz
Episode 100: AIP Community Q4 Update — Research, Advocacy & CommunityAutoimmune wellness doesn’t happen in isolation. It’s shaped by the research being published, the advocacy happening on behalf of patients, and the communities that help turn information into something meaningful in everyday life.In this Q4 Community Update—and the 100th episode of the Autoimmune Wellness Podcast—Mickey Trescott catches up on some of the developments happening across the autoimmune landscape, with a focus on research, advocacy, and community.First, immunologist and AIP Certified Coach Sybil Cooper, PhD, joins Mickey to discuss a newly published qualitative study exploring the experiences of people with rheumatoid arthritis who participated in an AIP intervention. They look beyond symptom outcomes to explore what it was actually like to implement AIP, the challenges participants faced, what kinds of support helped, and what their diets looked like one year later.Next, Jaime Hartman joins Mickey to recap the Autoimmune Association’s Hope Journey Walk, where Team AIP participated in Washington, DC, Michigan, and virtually around the country. They discuss the importance of showing up as a community, raising awareness, and connecting AIP with the broader autoimmune research and advocacy landscape.Finally, Jamie-Nicole Martin, founder and CEO of the AIP BIPOC Network, shares updates on the organization’s work supporting people navigating changes to insurance, medication, and food benefits, along with community outreach, an autoimmune and menopause research project, and plans to expand access to resources in the year ahead.Together, these conversations show how research, advocacy, and community intersect—and why all three matter for people living with autoimmune disease.In this episode, you’ll learn:What qualitative research can teach us about the real-world experience of following AIPWhat participants in the rheumatoid arthritis AIP study found most challengingWhat happened when researchers followed the RA participants one year laterHow Team AIP participated in the Autoimmune Association’s Hope Journey WalkWhy connecting the AIP community with broader autoimmune advocacy and research mattersHow the AIP BIPOC Network is helping people navigate changing insurance, pharmacy, and food benefitsWhat Jamie-Nicole’s autoimmune and menopause research project is exploringWhy community resources need to evolve as people move through different stages of life with autoimmune diseaseResources:Exploring Participant Experiences With the Autoimmune Protocol Diet in Rheumatoid Arthritis: A Longitudinal Qualitative StudyAutoimmune Association – Hope Journey Walk, research, advocacy, and patient supportAIP BIPOC Network AIP Certified Coach Program & Practitioner DirectoryEpisode Timeline:00:00 – Introduction to the Q4 Community Update and Episode 10001:56 – Research update with Sybil Cooper, PhD03:00 – Understanding qualitative vs. quantitative research05:20 – Challenges participants experienced implementing AIP08:10 – The role of professional, household, and peer support10:40 – What participants were eating one year later13:15 – Reintroductions, long-term success, and lessons for the AIP community15:50 – Jaime Hartman: Hope Journey Walk & Team AIP17:20 – What the Hope Journey Walk was like20:00 – Why Team AIP’s presence matters22:40 – Community connection and the broader autoimmune movement26:36 – Jamie-Nicole Martin: AIP BIPOC Network update27:30 – Navigating changes to benefits and healthcare access29:30 – Autoimmune disease and menopause research31:00 – Community outreach and the Abilities Expo33:00 – Connecting people with resources throughout the autoimmune journey34:45 – What’s next for the AIP BIPOC Network36:02 – Episode 100 reflections and wrap-up
Episode 99: ADHD, Women’s Health, and Autoimmune Disease with Dr. Jolene BrightenWhat if the brain fog, overwhelm, forgetfulness, trouble focusing, or emotional intensity you’ve been blaming on hormones or autoimmune disease has another layer to it?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by hormone expert, nutrition scientist, and bestselling author Dr. Jolene Brighten for a conversation about ADHD through the lens of women’s hormones, brain health, and autoimmune disease.Together, they explore why ADHD can look different in women and why so many women aren’t diagnosed until later in life. They discuss how ADHD symptoms can shift throughout the menstrual cycle and become especially challenging during perimenopause, as well as the complex relationship between hormones, inflammation, the gut, and the brain. Dr. Brighten also shares her perspective on hormone replacement therapy for women with ADHD, practical ways to support the microbiome, and simple strategies for making nutrition, movement, and daily life more ADHD-friendly.In this episode, you'll learn:Why ADHD often looks different in women and can go undiagnosed for decadesWhat’s happening in the ADHD brain beyond problems with attentionHow estrogen, progesterone, and the menstrual cycle can influence ADHD symptomsWhy perimenopause may reveal ADHD that was previously masked or well-compensatedWhat women with ADHD should know about hormone replacement therapyWhat we know about the relationship between ADHD, inflammation, and autoimmune diseaseHow gut health and food sensitivities may interact with ADHD symptomsPractical strategies for nutrition, movement, and reducing overwhelm with ADHDResources:Book: ADHD and Women by Dr. Jolene BrightenADHD and Women resources and bonuses: drbrighten.com/adhdinwomenPodcast: The Dr. Brighten ShowFollow Dr. Jolene Brighten: @drjolenebrightenEpisode Timeline:00:00 – ADHD, hormones, and autoimmune disease01:59 – Introducing Dr. Jolene Brighten04:10 – How ADHD presents in women06:48 – What is going on in an ADHD brain?11:19 – How ADHD symptoms change throughout the menstrual cycle16:42 – How perimenopause affects ADHD24:57 – How HRT can affect the ADHD brain33:44 – The relationship between autoimmune disease and ADHD37:58 – How to “microdose your microbiome”43:12 – Food sensitivities and ADHD45:54 – How to tackle overwhelm with ADHD49:40 – Wrap-up and closing
Episode 98: Food Sensitivity Testing: What Tests Can and Can’t Tell YouFood sensitivity tests promise something incredibly appealing: send in a sample, receive a personalized list of reactive foods, and skip the uncertainty of elimination and reintroduction. But can these tests actually tell you which foods are causing your symptoms?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott takes a closer look at the science behind commercial food sensitivity testing, including IgG panels, MRT, ALCAT, and other commonly marketed approaches. She explains the important difference between a test being able to measure something in the body and that measurement actually being clinically useful.Mickey also explores what it means for a diagnostic test to be properly validated, why major allergy organizations recommend against IgG food sensitivity testing, and why feeling better after following test results doesn’t necessarily prove that the test accurately identified your problem foods. Finally, she shares fascinating emerging research into food reactions that conventional testing may not yet capture—and explains why systematic elimination and reintroduction remain the most useful tools for building a personalized diet.In this episode, you'll learn:What IgG food sensitivity tests actually measure—and why a positive result doesn’t necessarily indicate a harmful reactionHow MRT, ALCAT, and other food sensitivity tests work and where the evidence falls shortThe difference between analytical validity, clinical validity, and clinical utilityWhy feeling better after following test results doesn’t necessarily prove the test accurately identified your problem foodsWhy elimination and systematic reintroduction remain the best way to identify individual food toleranceWhat emerging research may tell us about food reactions conventional testing doesn’t captureWhy unnecessary food restriction can have nutritional, financial, and quality-of-life consequencesHow to think about past food sensitivity test results without dismissing your own experienceResources:Episode 54: A Deep Dive Into the AIP Reintroduction ProcessThe Autoimmune Protocol: theautoimmuneprotocol.comResearch on confocal laser endomicroscopy and food-related reactions in IBS (Study 1 and Study 2)Episode Timeline:00:00 – Can food sensitivity tests really identify problem foods?02:59 – IgG food sensitivity testing07:16 – MRT, ALCAT, and other food sensitivity tests12:31 – What does it mean for a test to be validated?16:22 – But what if the test worked for me?19:28 – Why elimination and reintroduction remain the gold standard23:10 – Emerging research into food reactions we can’t yet test for26:52 – Reframing food sensitivity testing31:33 – Wrap-up and closing
Episode 97: Integrative Rheumatology: Bridging Medicine, Nutrition & Lifestyle with Dr. Micah YuFor many people living with autoimmune disease, seeing a rheumatologist can bring up a lot of uncertainty—especially if you want to incorporate nutrition and lifestyle alongside conventional medical care.In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by Dr. Micah Yu, a quadruple board-certified physician specializing in rheumatology, internal medicine, integrative medicine, and functional medicine. Dr. Yu also lives with autoimmune arthritis himself, giving him a unique perspective as both physician and patient.Together, they explore what integrative rheumatology actually looks like, why conventional medicine and lifestyle don't have to be an either/or choice, and how patients can build a healthcare team that supports the full picture of autoimmune health. They also discuss how to prepare for a rheumatology appointment, when medications may be necessary, and how nutrition and lifestyle can work alongside medical treatment. In this episode, you'll learn:How Dr. Yu's experience with gout and spondyloarthritis shaped his approach to medicineWhat rheumatologists actually treat and why they often serve as "detectives" for complex casesCommon misconceptions about rheumatologists, nutrition, and lifestyle medicineWhy time constraints within conventional healthcare can make complex autoimmune care challengingWhat integrative and functional rheumatology looks like in practiceWhy medication and lifestyle interventions don't have to be mutually exclusiveHow to prepare for a rheumatology appointment and make the most of limited timeWhy tracking symptoms, medications, supplements, and your health history can help your physicianHow patients and their prescribing providers can approach medication changes when health improvesWhy building a multidisciplinary healthcare team can be valuable for autoimmune diseaseResources:Dr. Lifestyle: https://drlifestyle.orgMy Autoimmune MD: https://myautoimmunemd.comSocial Media: @MyAutoimmuneMDPodcast: Autoimmune AlchemyEpisode Timeline:00:00 – Why rheumatology and lifestyle medicine don't have to be either/or02:15 – Introducing Dr. Micah Yu03:41 – Dr. Yu's personal journey with autoimmune arthritis07:40 – Rheumatology 101: What does a rheumatologist do?10:15 – Common misconceptions about rheumatology16:15 – What integrative and functional rheumatology looks like19:40 – How to get the most out of a rheumatology appointment22:02 – Combining medication with diet and lifestyle25:27 – Hope for people living with autoimmune disease27:34 – Dr. Yu's advice for building a healthcare team28:22 – Wrap-up and where to follow Dr. Yu
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The Autoimmune Wellness Podcast is brought to you by Mickey Trescott, NTP (THE AUTOIMMUNE PALEO COOKBOOK) and Angie Alt, NTC, CHC (THE ALTERNATIVE AUTOIMMUNE COOKBOOK), who are both bloggers, authors, and autoimmune health advocates. After personally learning how to live well with five autoimmune diseases — Hashimoto's and celiac, for Mickey, and endometriosis, lichen sclerosis, and celiac for Angie — they are on a mission to change the way autoimmune disease is viewed, treated, and managed. Their approach combines the best of both natural and conventional medicine to give those with autoimmune disease their best chance at living a vibrant, healthy life!
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