The 6th Annual AIP Summit kicks off on January 13, 2025 – make sure to register for this event right now, and scroll to the bottom of this post to hear a short podcast episode from the founder, Jaime Hartman!

The AIP Summit began in 2019 and is presented by AIP Certified Coaches from around the world, representing a broad array of practitioners from across the conventional and holistic medical spectrum. The mission of the AIP Summit is to provide accurate and reliable information to the general population so that more people are able to access the life-changing power of the Autoimmune Protocol on their own.

Over five days (January 13-17, 2025), sessions are presented live with the recordings available for free viewing for 24 hours post-broadcast, and then archived for members-only access.This year’s agenda includes AIP cooking demonstrations as well as discussions on self-care, lifestyle factors like sleep and stress, gut health, fitness, and much more.

If you are not able to attend during the summit week or wish to support the AIP Summit so that we can continue to spread about AIP to autoimmune patients and practitioners throughout the world, consider becoming a supporting member!

The post The 6th Annual AIP Summit! appeared first on Autoimmune Wellness.

Good news! The Autoimmune Protocol (AIP), an elimination and reintroduction protocol aimed at helping those with autoimmune disease identify food sensitivities and increase nutrient-density, continues to be the focus of medical research investigating its efficacy for specific autoimmune conditions. While AIP has been widely used in the autoimmune community since 2011 (see the

History of the AIP Movement), medical research into its efficacy began around 2015, with results of the first pilot study published in 2017. Since then, studies have been conducted using AIP as an intervention for inflammatory bowel disease (Crohn’s and ulcerative colitis), Hashimoto’s thyroiditis, rheumatoid arthritis, eczema, and psoriasis. If you’d like to learn more about previous studies, including what interventions were used and the results, check out the AIP Medical Research Review. 

Today I’ll be highlighting the newest AIP medical study, Effects of Autoimmune Protocol (AIP) diet on changes in thyroid parameters in Hashimoto’s disease by a research team from Poland, Paulina Ihnatowicz, Jerzy Gębski, and Małgorzata Ewa Drywień [1]. This is the second study that has been conducted so far using AIP as an intervention to manage Hashimoto’s thyroiditis and certainly adds to our knowledge base of how to use the protocol for managing it [2]. Hashimoto’s is not only the most common autoimmune disease, but conventional treatment is rarely successful as many patients find that they continue to have symptoms even though their hormone levels have been “treated to target” [3]. 

For this study, 28 patients with Hashimoto’s thyroiditis were enrolled, with 20 of them completing the study. The average age was 35, with patients between 23-55 years old. Patients underwent initial testing, surveys, and dietary analysis, and then were prescribed individualized, 12-week dietary plans compliant with Core AIP Elimination. It should be noted that in contrast to prior studies using AIP, there was no use of a transition phase–participants made immediate transitions to the elimination diet [2]. 

In terms of testing completed at baseline and completion of the study, patients had their height and weight measured in a clinic, had lab draws for thyroid hormones (TSH, total and free hormones) and thyroid antibodies, an ultrasound of the thyroid, and they also completed surveys to capture symptom burden. Prior dietary intake was captured using a survey for analysis and comparison of prescribed AIP meal plans. 

After initial testing, each participant was prescribed an individualized, 12-week Core AIP meal plan based on their anthropometrics (height and weight). They were instructed to continue all prescribed medications and supplements as before, and no adjustments were made to doses. Support was offered via monthly group coaching calls. 

Energy and macronutrient intake

A comparison of prior diet and prescribed AIP diet showed that energy intake (calories) was roughly the same before and after the study (2,067 to 1,997 calories). In terms of macronutrient intake, protein increased from 16.77% to 24.9% of total calories, which is an increase of roughly 85 to 125 grams per day (based on a 2,000 calorie intake). The increase in protein came primarily from decreased fat intake. 

Micronutrient intake 

Analysis of nutrient intake via prescribed AIP diet showed there was a broad increase in nutrient density during the intervention. Specific nutrient intake increases included Beta-carotene (550%), fiber (162%), folates (198%), long-chain fatty acids (262%), potassium (196%), vitamin A (341%), vitamin C (886%), with other nutrients like B vitamins, iron, zinc, and magnesium with considerable increases. The authors noted that analysis of some nutrients was complicated by supplementation, specifically magnesium, vitamin C, and potassium. 

Biochemical thyroid changes 

Blood test analysis showed Thyroid stimulating hormone (TSH) significantly decreased from a mean of 3.72 to 2.69. Free T3 and T4 significantly decreased, although both stayed within reference ranges (3.31 to 2.88; 1.36 to 1.20). Mean anti-TPO antibodies increased (210 to 293) and anti-Tg decreased (317 to 300), although these results did not meet statistical significance. 

Physical thyroid changes

A comparison of thyroid ultrasounds before and after intervention showed the right lobe volume decreased by 5% and the left lobe volume decreased by 6%. 

Weight and body composition changes 

Anthropometric measurements taken before and after intervention showed that mean weight decreased from 69 kg to 65.5 kg (152 lbs to 144 lbs). Mean body fat percentage decreased from 33% to 29.5%, indicating that twice as much weight was lost from fat than muscle. 

Symptom burden

Analysis of questionnaires showed a broad improvement of symptoms commonly reported by Hashimoto’s thyroiditis patients. The largest decreases were seen in the following areas:

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2. Digestive function
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4. Constipation – 36% to 11% (25% difference)
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7. Gas – 61% to 21% (35% difference)
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10. Flatulence – 61% to 29% (32% difference)
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13. Diarrhea – 29% to 7% (22% difference)
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16. Abdominal pain – 29% to 14% (15% difference)
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20. Energy 
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22. Tiredness – 82% to 29% (53% difference)
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25. Drowsiness – 64% to 21% (43% difference)
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28. Fatigue – 50% to 11% (39% difference)
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32. Mental
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34. Impaired concentration – 71% to 18% (53% difference)
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37. Headaches – 39% to 11% (28% difference)
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40. Depression – 29% to 4% (25% difference)
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44. Pain
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46. Muscle cramps – 43% to 7% (36% difference)
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49. Joint pain – 57% to 21% (36% difference)
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53. Skin 
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55. Hair loss – 64% to 32% (32% difference)
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58. Skin problems – 57% to 7% (50% difference)
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61. Dry skin – 71% to 32% (39% difference)
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In addition to the above results, the authors provided an analysis of specific nutrient intake associations with all of the measures in the study. 

AIP is an incredibly nutrient-dense diet

This is the first study to provide a detailed analysis of the nutrient-density of Core AIP compared to a standard diet. The analysis showed that Core AIP is especially rich in beta-carotene, retinol, fiber, long-chain fatty acids, B vitamins, and minerals (like iron, magnesium, and potassium). It is important to note that the authors prescribed nutrient-dense foods like fermented foods, cold-water fatty fish, broth, and colorful fruits and vegetables in their meal plans, according to AIP guidelines. We know that these nutrients are essential to a healthy body and immune system, and it is possible that many of the anti-inflammatory and restorative benefits of AIP likely come from this increase in nutrient density. Takeaway: Don’t forget to apply nutrient density in your approach to AIP! 

Do we focus on thyroid hormones or symptoms to track progress with Hashimoto’s? 

The results of this study were a bit paradoxical in terms of thyroid hormones. It is important to note that patients coming into this study were considered euthyroid, or being within normal thyroid hormone reference ranges. As a functional medicine-trained nutritionist, my view is that this group actually could have been considered subclinical hypothyroid with a mean TSH of 3.72, as functional medicine uses a narrower reference range for TSH (.5 to 3 mU/L, compared to the 0.27 to 4.2 used in the study). By that standard, AIP did an excellent job of bringing TSH down under 3, with a decrease of the mean to 2.62. 

The part that is paradoxical are the thyroid hormone results. Free T4 and free T3 saw small but significant changes downward. Usually this would indicate that there is less thyroid hormone available to be used in the tissues and according to the conventional model of thyroid treatment, perhaps cause symptoms. But when we take a look at other indicators of thyroid health used in this study, this doesn’t seem to be a bad thing: 

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• Thyroid ultrasound showed a decrease in thyroid volume. This is important because thyroid volume is linked to higher autoimmune activity, inflammation, and symptoms in patients with Hashimoto’s thyroiditis. 
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• Body composition changes indicate positive metabolic changes despite a diet identical in energy density. The mean weight loss was 8 pounds in 12 weeks, with a 4% decrease in body fat percentage. 
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• Surveys indicate a decrease in Hashimoto’s symptoms. 
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When we take all of these results together, they seem to suggest an improvement in some of the core areas of concern for patients with Hashimoto’s (thyroid swelling, weight gain, and high symptom burden). The reduction in TSH, which is a signal from the brain indicating it needs the thyroid to produce more hormones, points to the body finding balance and having enough thyroid hormone for metabolic needs. In their own discussion, the study authors theorized that the paradoxical result could be due to an improved nutritional status increasing sensitivity to thyroid hormone in the tissues.

Before we get back to the question on what to focus on when gauging progress with Hashimoto’s, I want to share a couple of features of the disease. First, the only conventional treatment for Hashimoto’s is optimizing hormones with thyroid hormone replacement medication. Second, medical research shows that Hashimoto’s patients often continue to have symptoms even after their hormones are corrected to reference ranges [3]. 

As a Hashimoto’s patient myself, I find the results of this study incredibly validating that someone with this condition can see a drastic improvement in their symptoms without it being reflected in their hormone levels. While hormone levels are important for tracking and treatment, I’ve always been a proponent of equally valuing symptom burden as a major indicator for progress in managing this disease. Takeaway: Results in decreased thyroid volume, weight loss, and symptom management indicate improved thyroid status, despite paradoxical results in thyroid hormone parameters.

How do these results compare to the results of the first AIP Hashimoto’s pilot study?

There are two major differences between the interventions used in these studies. First, the original AIP Hashimoto’s study used a 6-week transition phase and a 4-week elimination phase [2]. This study did not use a transition phase and had a much longer elimination phase of 12-weeks. Second, the original AIP Hashimoto’s study implemented small changes in lifestyle areas like sleep, stress-management, movement, and connection. This study focused only on the dietary side of AIP. 

Both studies saw similar results in terms of symptom burden and improvement of quality of life for patients with Hashimoto’s. In the original AIP Hashimoto’s study, medications were titrated based on thyroid hormone levels and they did not see any changes in hormone or antibody levels, although they did see a trend for reduced medication need by the end of the study [2]. 

Measures tested between the two studies differed a little. The original AIP Hashimoto’s study did not test anthropometric changes, thyroid volume, or the nutrient comparison of the diets, but they did measure a marker of inflammation, hs-CRP (which decreased by 29%) [2]. This was not included in the Polish study. Takeaway: This new AIP Hashimoto’s study adds to our knowledge about AIP’s efficacy in terms of nutrient density, possibility to decrease thyroid volume, and weight loss. 

What about the changes in thyroid antibodies? 

Hashimoto’s is an autoimmune disease for which two antibodies are known. This study found an increase in anti-TPO and a decrease in anti-Tg, although these results did not meet statistical significance (meaning the result could not be differentiated from chance 1 out of 20 times). 

I want to share my personal view on antibodies based on review of research on this topic and my clinical experience working with Hashimoto’s patients. First, there is research associating antibodies with a higher symptom burden and lower quality of life for Hashimoto’s patients; there is also research showing that antibody levels are not correlated with symptoms. My observation as a clinician is that antibodies are helpful for diagnosis and in the early stages of healing, but do not always line up with symptom burden reported by the patient. I’m an advocate for having them tested and tracked, but not using them to gauge progress outside of other indicators of thyroid optimization (like symptoms or hormone levels). Takeaway: Antibodies should not be a primary marker of disease burden for patients with Hashimoto’s. 

This is the second quality study showing AIP is effective as a dietary intervention for managing symptoms that come with Hashimoto’s thyroiditis. I’m really impressed with the work of the Polish team that put this together, especially their attention to nutrient-density and customized meal plans. The addition of thyroid ultrasounds as well as the longer duration of the study are very helpful in understanding more about the physical changes possible as well as the timeline over which patients can expect to see results.

If you or a loved one has Hashimoto’s, I hope you learned some great takeaways from this review! 

References 

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2. Ihnatowicz P, Gębski J, Drywień ME. Effects of Autoimmune Protocol (AIP) diet on changes in thyroid parameters in Hashimoto’s disease. Ann Agric Environ Med. 2023;30(3):513-521. doi:10.26444/aaem/166263
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5. Abbott RD, Sadowski A, Alt AG. Efficacy of the Autoimmune Protocol Diet as Part of a Multi-disciplinary, Supported Lifestyle Intervention for Hashimoto’s Thyroiditis. Cureus. 2019;11(4):e4556. Published 2019 Apr 27. doi:10.7759/cureus.4556
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8. Groenewegen KL, Mooij CF, van Trotsenburg ASP. Persisting symptoms in patients with Hashimoto’s disease despite normal thyroid hormone levels: Does thyroid autoimmunity play a role? A systematic review. J Transl Autoimmun. 2021;4:100101. Published 2021 Apr 15. doi:10.1016/j.jtauto.2021.100101
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The post AIP Research Update: A Hashimoto’s AIP Study from Poland appeared first on Autoimmune Wellness.

In January, a new option for the elimination phase of the Autoimmune Protocol (AIP)  was announced:

Modified AIP Elimination. If you are looking for the exact details of which foods are included and avoided in both Core and Modified AIP, don’t miss What is AIP: The Definitive Guide which has been completely updated.

A quick summary of the reasons why Modified AIP was added as an elimination option:

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• Many patients in the AIP medical studies saw results before reaching a full elimination 
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• AIP Certified Coaches reported seeing good results without a full elimination using a modified protocol in their practices
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• Recent elimination diet research indicates that stricter does not always produce better results 
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• Increasing accessibility, affordability, and sustainability can widen the reach and application of AIP
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If you’d like to read more about why AIP was updated, the research process behind making the update, be sure to read Announcing Modified AIP: A 2024 Update to the Autoimmune Protocol.

The founding mission here at Autoimmune Wellness has been to provide free resources for anyone who wants to embark on AIP. Since 2012, we’ve been delivering a resource library with food lists, meal plans, and other materials as a part of our AIP Quick Start Guide email series. Since inception, over 200,000 of you have downloaded these materials!

With the 2024 update to the Autoimmune Protocol, it was a prime opportunity to take a look at this resource library and give it a comprehensive update. Not only have all of the prior resources been edited and redesigned, but new materials have been added for the new Modified AIP elimination (including dedicated food lists, a meal plan, and reintroduction materials). 

Here is a list of what is included in the updated Autoimmune Wellness Resource Library:

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• AIP Quick-Start Guide 
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• Core AIP Foods to Include 
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• Core AIP Foods to Avoid
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• Modified AIP Foods to Include (NEW!)
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• Modified AIP Foods to Avoid (NEW!)
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• Core AIP Meal Plan & Shopping List
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• Modified AIP Meal Plan & Shopping List (NEW!)
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• AIP Reintroduction Guide
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• Core AIP Reintroduction Stages
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• Modified AIP Reintroduction Stages (NEW!)
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• Food Reaction Checklist
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• AIP Medical Research Review (NEW!)
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All of these materials are presented as beautifully-designed .pdf files that you can read on your computer, e-reader, or other digital device. They can also be printed at home. 

1. If you are a subscriber to the Autoimmune Wellness newsletter, you should have an email in your inbox with download links to each resource in the library. 

2. If you are not yet a subscriber, you can sign up here and receive the AIP Quick Start email series, in which you will be sent the resources in a series of emails over the course of 6 days. 

3. If you only want specific resources, you can sign up to receive them individually by opting in using the following links: 

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• AIP Quick-Start Guide, Core and Modified AIP Food Lists 
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• Core AIP Meal Plan and Shopping List
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• Modified AIP Meal Plan and Shopping List
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• AIP Reintroduction Guide, Core and Modified AIP Reintroduction Stages, and Food Reaction Checklist
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Are you a practitioner that uses AIP in your practice and would like an extended library of AIP resources to use with your patients or clients? Be sure to consider taking the AIP Certified Coach Practitioner Training Program, where you can learn best practices for implementing and personalizing AIP for the population you serve. Graduates are granted a license to use a collection of 50+ handouts directly with their clients, including assessments, journals, troubleshooting materials, and more. 

If you’d like to hear me talk through these materials, listen to the podcast below:

Thank you for being a member of the Autoimmune Wellness community, and I sincerely hope these resources help you, your friends, or your loved ones embark on AIP easily and successfully! 

The post Core & Modified AIP: An Updated AIP Resource Library! appeared first on Autoimmune Wellness.

I wanted to introduce you to the newest AIP cookbook on the scene, Meals You Deserve by Kris King!

Many of you likely recognize Kris as one of the recipe contributors for Autoimmune Wellness (you can view her impressive AIP library of recipes on the site here!). Since the blog has become an archive, Kris has put her talent to good use in creating an ebook of recipes for the AIP community to continue to enjoy.

I sat down with Kris to record a podcast to talk about her story of healing using AIP, the process of writing an ebook, her favorite AIP cooking hacks, and more! You can tune in by using the podcast player at the bottom of this post.

The post Introducing Meals You Deserve by Kris King appeared first on Autoimmune Wellness.

Since inception in 2011, the Autoimmune Protocol (AIP) has not undergone any major updates or changes and has existed as originally conceived by experts and used by the autoimmune community.

Today, that is changing with the announcement of a new option: Modified AIP Elimination. This post serves to provide the rationale behind this change as well as provide links for learning more about the new protocol.

First, let’s discuss some AIP history and what led to these changes. Originally, Sarah Ballantyne, PhD. wrote extensively about and refined the protocol on her blog and in her books, which formed the foundations of the AIP protocol and movement. These foundations led to collaboration between leaders in the AIP community in the creation of the AIP Certified Coach Practitioner Training, serving to educate healthcare providers in best practices for using AIP with their clients and patients. 

Additionally, Sarah’s research and writing sparked interest from the medical community to formally study the efficacy of AIP for various autoimmune conditions, including Crohn’s disease, ulcerative colitis, Hashimoto’s thyroiditis, rheumatoid arthritis, and psoriasis. While medical research into the efficacy of AIP is still in its infancy, early results have shown promise at helping those with autoimmune disease achieve a higher quality of life, less symptom burden, and need less medication (you can read a review of all the results here). 

Now that there is an emerging body of research into the efficacy of AIP, as well as a large group of practitioners with many collective years of expertise in AIP implementation and customization, it is time for analysis to see what is working and what could be made better for the next wave of individuals looking to embark on the protocol. Here are the major reasons why the Autoimmune Protocol is being updated now:

In each of the AIP medical studies, a 6-week, gradual transition was used to ease patients into the elimination phase, which was then maintained for 4 more weeks. In the AIP IBD Study, 73% of patients achieved clinical remission at week 5, which was 1 week before the full elimination was complete. In this study, all of these patients then maintained clinical remission throughout the duration of the study and no additional patients reached clinical remission after this point. What this tells us is that it is likely the earliest eliminations, specifically, that were most responsible for the favorable results and that the full elimination phase may not have been necessary for all of them. 

The Autoimmune Protocol has now been in widespread use in the practitioner community for many years through AIP Certified Coach. Nearly 1,000 healthcare providers from all types of backgrounds and specialties have been trained and certified to implement AIP in their work. In surveying the graduate community, AIP Certified Coaches have told us that they often find the original protocol is more restrictive than necessary and they are often modifying the list of eliminations to suit their clients’ and patients’ needs. They also report that they continue to see good results using a modified or less restricted elimination protocol.

When AIP was conceived there was very little research into the efficacy of elimination diets to help manage autoimmune disease, especially conducted directly with humans. In the last decade, this has changed and many studies have been published using different elimination protocols for specific autoimmune conditions, especially gluten-free and dairy-free diets. The promising results from studies using fewer eliminations shows that for some patients and conditions, progress can be made with a simpler approach. 

Food access and budget have always been major barriers to individuals implementing the Autoimmune Protocol, both on their own or in working with a coach. Some patients are simply not able to source or afford the ingredients needed to implement a full elimination, and others don’t have the time to prepare the entirety of their meals from scratch. In this case, we’ve long recommended modifying the protocol to accommodate those facing these barriers, but providing an official version of the protocol that is more budget-friendly and accessible will allow even more people to find healing through AIP. 

Updating AIP in 2024 has come out of consultation with many key players in the AIP community over the course of a few months. We interviewed researchers who performed the AIP medical studies and research in other similar areas, as well as experts and writers in the area of autoimmune health. We also surveyed and interviewed key members of the AIP Certified Coach community who predominantly work with autoimmune patients or clients. Lastly, we considered recent scientific evidence for elimination diets, food allergies/sensitivities, and reintroduction protocols in the new approach. 

What we learned from this exploration was two-fold: first, that the original protocol still had high value and efficacy in both research and practice. And second, that many researchers and AIP Certified Coaches were confident that some patients would be best served by a less-restrictive option. This led to the creation of two separate options for the elimination phase which are detailed below.

Going forward, there are now two versions of the Elimination Phase, to be known as AIP Core Elimination and AIP Modified Elimination.

The original protocol, as used in the AIP medical studies and original AIP literature is not changing and will now be known as AIP Core Elimination. The intention is to preserve the original protocol for research comparison and to use with patients or clients who either need a stricter approach or can implement it easily (due to support, finances, or time). 

The new protocol, a less-strict and more accessible version will be known as AIP Modified Elimination. This new protocol incorporates what we’ve learned about foods that are well-tolerated in the autoimmune community, and is simplified for ease of implementation, budget, and accessibility.

You can read more about which foods are included and avoided in both Core AIP and Modified AIP Elimination protocols at the updated Definitive Guide to AIP. 

This then leads to the question of which protocol a person should choose when they embark on the Autoimmune Protocol. That depends! 

The goal of AIP has always been to discover the least-restrictive dietary approach that produces the best health for each person. With this in mind, Modified AIP is an ideal starting point for most people as it is more affordable, accessible, takes less time to implement, and still removes the most potentially-problematic foods. Ideally, modified AIP produces the desired result and then a person can move on to the reintroduction phase, sparing them a drawn-out elimination and reintroduction process. 

There are a few reasons why a person would choose Core AIP to begin with. They may have a condition, like IBD, where research indicates that the elimination phase has a good chance of producing results quickly. Or they may have another condition that is potentially serious and are highly motivated to transition and implement to find relief. Lastly, they may not experience some of the barriers that make Core AIP difficult to implement – like a lack of cooking skill, financial flexibility, or support at home. 

If you are looking for resources to start Core or Modified AIP, click here or on the image below to get our AIP Quicklstart Guide sent to your inbox, including food lists, meal plans, and more!

Is anything changing about the original AIP protocol?

No, the original protocol is now simply known as “Core AIP” for differentiation. All of the foods eliminated, included, timeline, and reintroduction procedure remain the same. See the updated Definitive Guide to AIP for food lists and more information.

Who has the right to update AIP? 

There is no one expert that owns the rights to determine what the AIP protocol entails, and Dr. Sarah Ballantyne, whose work formed the foundation of the AIP movement, has moved on from researching and working with the autoimmune community. This is why this update is coming by consensus from the leaders of the AIP Certified Coach community as well as researchers who have studied the protocol in medical studies.

What happens to all of the recipes and resources labeled AIP?

All of the recipes, meal plans, and other resources created for Core AIP also apply to Modified AIP, since Core AIP simply has more eliminations than Modified AIP. As more resources for Modified AIP are created, a distinction will emerge and each person navigating either protocol should be careful to check recipes for compliant ingredients. Be sure to bookmark the updated Definitive Guide to AIP for reference as it will always contain the most current protocol information and food lists.

How does this change the reintroduction protocol?

The reintroduction protocol following Core AIP is the same as it was originally, and the reintroduction protocol following Modified AIP simply starts further along in the process since many foods in various reintroduction stages are already included during the elimination phase. You can learn more at the updated Reintroduction Guide.

This is a big update, and one that is bound to increase the amount of people who are positively affected by embarking on the Autoimmune Protocol. If you have any questions that aren’t addressed here, feel free to post them in the comments! 

If you are looking to get started with AIP, you will want to sign up to get the AIP Quick Start Guide. Just pop your email in the box below and we will send you the following resources over the course of a week:

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• Complete, printable lists of the foods to avoid and include during AIP
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• A 2-week AIP meal plan and shopping list
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• A 90-minute batch cooking video from Mickey
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• Printable guides on food reintroductions and reactions
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You will then be subscribed to our occasional newsletter, where we deliver free, exclusive content in the form of tips, articles, recipes, news, and more. By signing up, you will be the first to know about what is happening in the autoimmune community!

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The post Announcing Modified AIP: A 2024 Update to the Autoimmune Protocol appeared first on Autoimmune Wellness.

Hi Everyone! 

Mickey here… I hope this post finds you enjoying a peaceful and healthy New Year holiday! I wanted to take a moment to give you a heads up about an event coming up that is relevant to the AIP community as well as make an announcement about AIP Certified Coach.

First… The 2023 AIP Summit is scheduled for January 9-15! 

If you are looking to learn more about healing with the Autoimmune Protocol, directly from AIP Certified Coaches, the AIP Summit is for you! 

Each day starts at 10AM EST with a live welcome and then attendees can watch the day’s prepared presentations in any order and at whatever time works in their schedule for the following 24 hours. Each of the presentations features at least one AIP Certified Coach and the topic aligns with that coach’s expertise. 

So what types of presentations will you find at the AIP Summit? There are cooking demonstrations, deep dives into science or specific conditions, discussions about the impact of lifestyle factors, best practices for integrating AIP into life in the real world, and more. Additionally, attendees can submit questions after watching the presentations to be answered live during a Q&A panel the following day.

Since 2020, the AIP Summit has served over 15,000 people looking to learn more about AIP. Whether you are new to the protocol, or a seasoned traveler on the autoimmune journey, you are sure to learn some tips to help support your best health, straight from the experts! 

>> Sign up here to attend the AIP Summit! 

Second… a big announcement regarding AIP Certified Coach! 

I am honored to announce that Jaime Hartman, FNTP will be taking over as co-teacher and collaborator for AIP Certified Coach, the practitioner training program we founded in 2017 to help all types of healthcare providers integrate AIP into the work they do. 

This partnership should come as no surprise, since Jaime has been a pillar of the AIP community since the very beginning, was a part of the first cohort of AIP Certified Coach, and brings her rich clinical experience and educational background to the program. 

Together, Jaime and I are engaged in a ground-up remodel of the AIP Certified Coach, to be launched in time for the usual Spring enrollment in 2023. While the Autoimmune Protocol itself has not changed meaningfully since the program was created, we are re-writing and delivering all lectures to incorporate new information (like medical study results!) and additional perspectives we’ve gained. 

If you are a healthcare practitioner of any kind (we train health coaches, nutritional therapists, nutritionists, dietitians, physical therapists, fitness professionals, bodyworkers, nurses, physician’s assistants, medical doctors, naturopathic doctors, and more!), we would love to have you join us in the 2023 class, enrolling February 15 for a March 6 start date. 

>> Sign up to be notified of the details and enrollment opening for AIP Certified Coach here! 

In health, 

Mickey

The post AIP in 2023: An Announcement & an Invitation! appeared first on Autoimmune Wellness.

Today I’m sharing that after 10 years helping build and lead this movement and seven years at Autoimmune Welln­­­ess and AIP Certified Coach with Mickey, I have decided to step away from my work in the AIP space.

In a general sense, I am making this decision because I believe that slowing down and practicing community care are the next right things for me. I am so proud of everything Mickey and I have built and all the ways we’ve been able to serve the AIP community, but I don’t believe that my leadership in this space is the most valuable way I can contribute at this point.

To clarify, I still believe AIP is an incredibly powerful tool in the autoimmune management toolbox. I think that the future of AIP is bright and has already changed the standard of healthcare for autoimmune patients. After a decade of this work, I’d love to contribute to different conversations about health and wellness and support new voices ready to lead with fresh approaches to the AIP movement and new takes on the autoimmune healing journey.

My personal vision for the work I did in the AIP community was always to empower others so they could courageously contribute their voices to a revolutionary shift in the standard of autoimmune healthcare. And it’s right in our tagline here at Autoimmune Wellness that together, Mickey and I had a vision to build community. There are many, many voices now and the community is thriving. I think those visions are realized and now I’m making space for new visions.

I’m not entirely certain about all the details of my next steps, but if you’d like to follow my writing or learn a little more about the personal aspects of the decision to step away, you can find me here on Substack.

After I shared my decision with Mickey this past summer, we started to consider the best way forward for Autoimmune Wellness. We decided that turning it into an archive was the right path.

As an archive, all the current Autoimmune Wellness content, from groundbreaking research to definitive guides on the AIP basics, from practical how-to articles to hopeful stories of recovery, from the podcast to the hundreds of recipes, will continue to exist as a kind of dependable digital library to serve the autoimmune community. The resources on the site itself and the email auto-responder which offers free downloadable tools will be available to anyone looking for support in their healing journey.

New content will be limited and focused on opportunities to leverage the site and subscriber list to amplify the work of others in the Autoimmune Protocol space or share new and relevant events or research for those utilizing nutrition and lifestyle approaches in their autoimmune disease management.

Autoimmune Wellness social media accounts will also continue but will be used to amplify information and events important to the AIP community, share the work of other AIP recipe creators, spotlight AIP Certified Coach alumni, or to occasionally broadcast live interviews with autoimmune experts.

In particular, Mickey is looking forward to ramping up on the AIP research front and will serve as curator and steward of the Autoimmune Wellness archive and social media presence going forward.

Mickey will continue to teach AIP Certified Coach and train new AIP coaches from across the health and wellness spectrum. Angie will be stepping away, but a dynamic new partnership is in the works and will be announced soon. If you are an AIP Certified Coach alum, look for emails with more details from Mickey soon.

If you are a provider interested in training, join the interest list here. If you are looking for AIP coaching support, find a coach at the directory here.

We had no idea what would happen when we started, but our intuition said to go for it. Thank you for also believing there was something here worth growing. We are deeply, sincerely grateful to all of you for being our readers and cheerleaders. For literally supporting us by clicking on this blog, buying our books, enrolling in our programs, and helping spread AIP.

We also want to acknowledge, with the deepest sense of gratitude, the team who helped grow and sustain Autoimmune Wellness over the years: Grace Heerman, Alicia Green, and Jordan Taylor.

We have also had an amazing core recipe and article team over the years who took the site to new levels with their contributions: Dr. Rob Abbott, Sarah Kolman, Sophie Van Tiggelen, Christina Feindel, Kate Jay, Alaena Haber, Kelsey McReynolds, Wendi Washington-Hunt, Beth Chen, Indira Pullidath, Kris King, and Erin Shearer.

It’s a privilege to have come this far and have a platform that now has long-term value for our fellow autoimmune patients. We know the legacy of our work represented in this archive, only possible because of your support and the work of our team, will continue to benefit and sustain the AIP movement well into the future.

If you’d like to listen to us discuss this decision, we uploaded a short episode of The Autoimmune Wellness Podcast that you can listen to below: 

The post A Special Message From Angie appeared first on Autoimmune Wellness.

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I have HUGE news today–I’m coming out with a brand-new AIP cookbook!

It’s called The Nutrient-Dense Kitchen and it releases March 2019 (details below on how you can order a signed, pre-release copy!).

Angie and I both know from personal experience that being successful on AIP is much more than simply eliminating foods. Healing is both quickened and deepened when you ensure that in addition to avoiding your food triggers, your make an effort to maximize nutrient density in the diet.

But what exactly is nutrient density? Simply put, it is the amount of micronutrients a food contains relative to the energy it provides. Not only does my new book teach you about getting good nutrition in an approachable way, but I have developed all of the recipes so you’ll be maximizing nutrient density with every bite.

In order to create a book I believe in and maintain complete control over the content, I am self-publishing The Nutrient-Dense Kitchen. By pre-ordering your copy directly from me, you get some awesome perks!

Be one of the first to get your hands on The Nutrient-Dense Kitchen! Only a limited number of books are available for pre-order so reserve your copy now!

The post Announcing The Nutrient-Dense Kitchen by Mickey Trescott! appeared first on Autoimmune Wellness.

Welcome to

The Autoimmune Wellness Podcast Season 3: Real Food on a Budget. We’re dedicating this season to discussing an aspect of natural healing that often gets left out of the conversation: affordability. We’ll be chatting with experts and peers from the AIP community about how to best balance money with your health priorities.

This season is brought to you by our title sponsor, The Nutritional Therapy Association (NTA), a holistic nutrition school that trains and certifies nutritional therapy practitioners and consultants with an emphasis on bioindividual nutrition. Learn more about them by visiting NutritionalTherapy.com, or read about our experiences going through their NTP and NTC programs in our comparison article.

Season 3 Episode 8 is our final episode of the season! In this episode, we’re giving the floor to five members of the autoimmune community to hear their number one piece of advice when it comes to saving money on the AIP.

Since these recommendations can be so individual, we wanted to see what was getting the AIP community actual mileage when they put it into practice. Scroll down for the full episode transcript!

If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher!

If you’d like to download the .mp3, you can do so by following this link.

If you’d like to play the episode right now in your browser, use the player below!

Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a resource for those seeking to live well with chronic illness. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’m the author of The Autoimmune Paleo Cookbook, and I’m using diet and lifestyle to best manage both Hashimoto’s and Celiac disease.

Angie Alt: And I’m Angie Alt. I’m a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I’m the author of The Alternative Autoimmune Cookbook, and I’m using diet and lifestyle to best manage my endometriosis, lichen sclerosis, and Celiac disease.

After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.AutoimmuneWellness.com, where our collective mission is seeking wellness and building community.

We also wrote a book called The Autoimmune Wellness Handbook together that serves as a do-it-yourself guidebook to living well with chronic illness.

Mickey Trescott: If you’re looking for more information about the autoimmune protocol, make sure to sign up for our newsletter at autoimmunewellness.com, so we can send you our free quick start guide. It contains printable AIP food lists, a 2-week food plan, a 90-minute batch cooking video, a mindset video, and food reintroduction guides.

This season of the podcast, real food on a budget is brought to you by our title sponsor, The Nutritional Therapy Association.

Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast!

Topics:

1. Mitch Hankins, Instinctual Wellbeing [3:46]

2. Sophie Van Tiggelen of A Squirrel in the Kitchen [8:43]

3. Anne Marie Garland from Grass-fed Salsa [15:51]

4. Samantha Jo Teague of the Unskilled Cavewoman [20:56]

5. Kerry Jeffery of Emotional Autoimmunity [24:27]

Angie Alt: Hi everyone! Angie here. Welcome back to the Autoimmune Wellness podcast, season 3. How are you doing, Mickey?

Mickey Trescott: I’m feeling a little bit sad because we’re almost done with this podcast series, and it’s been really fun.

Angie Alt: I know. This was a really new topic for us to explore so in-depth. And it’s been pretty rewarding to talk to all these folks.

Mickey Trescott: I agree.

Angie Alt: So today we have a really fun episode for you guys. As you know, with this season of the podcast we’ve been on a mission to dig into the nitty gritty of how to make eating a nourishing, real foods diet both affordable and sustainable.

Mickey Trescott: Yeah. If you guys haven’t been following along, we covered the following topics in our previous episodes. We talked about sourcing affordable, highest quality meats, vegetables, and fats. Tips and tricks for effective meal planning, batch cooking, and minimizing food waste. Creative food sourcing options, like buying clubs and online shopping. How to minimize waste and reimagine leftovers. Creating a food budget and prioritizing your food spending. And also how to do AIP on an extremely low budget, like fixed income or food stamps.

I think we’ve done a really good job covering these bases. If you guys haven’t heard any of the episodes in this series, make sure to go back and listen to them. There’s a ton of really great info there. Info that I think is new territory for our movement our community. It’s been really fun.

Angie Alt: Right. We hope there’s something there for everybody. So, if there has been one recurring message this season, it has been that not every one of these recommendations is going to work for everyone, obviously. We’re all at different places with our health, our finances, our support systems and even our access based on the areas where we live. We thought it would be a good idea to round out this season of the podcast by devoting a whole episode to chatting with some of the members of the AIP blogging community about their number one money saving tip.

Since these recommendations can be so individual, we wanted to see what was getting the AIP community actual mileage when they put it into practice.

Mickey Trescott: Alright. So let’s move on and talk to our first guest.

So you guys; the first community member that we’re going to chat with today is Mitch Hankins from the blog Instinctual Wellbeing. Mitch, what is your number one tip for saving money on AIP?

Mitch Hankins: There are so many good ones. When my wife and I were kind of going through financial stuff a few years ago, we definitely had to get creative with sticking to an AIP and whole foods diet on a very limited budget. And very quickly, I think the thing we realized that was most helpful was not being afraid to grocery shop hop; or grocery store hop.

Basically, what we ended up doing is just taking note of maybe two or even three grocery stores in our area, and what products did we regularly use from each of those, and finding which store had the best prices for that particular item. Maybe we’d get a certain percentage of things from Whole Foods. And then for us, we’d drive down the road and hit up Trader Joe’s for 30 minutes and grab some things there. Sometimes we’d go to the Asian mart to pick up a few items there, like coconut milk and even some sweet potato noodles and things of that nature.

So, really just learning where we could get the best deals. And then taking advantage of that. One thing I would say; we did live in a pretty large metropolitan area, and I know some people don’t. So one thing you could do if you live in a more rural or smaller town, could be to do that same thing, but online.

I know there’s lots of great shops nowadays online where you can buy AIP products, and even meats. You could meet your local farmers in your area. But again, it all comes back to this putting pieces together of a puzzle, instead of just trying to get everything at one store, and fit that into your budget when it might not work as well.

Angie Alt: I love this tip, Mitch. Because actually my husband and I do it, too. And again, you know, we’re lucky to live in a kind of urban/suburban area. So we have Whole Foods and we have Trader Joe’s and we have all the places. So we can kind of hop around. But it really allows us to take advantage of the lowest price on an item in whatever store. So I totally agree that this is a smart one.

Mickey Trescott: And a lot of stores have rotating sales, too. So by going to multiple stores, you can actually see; you have a greater chance of being able to pick up some of the things they have on sale that are maybe time sensitive. And another thing, is that actually grocery stores make their money by putting certain things on sale, and then keeping other staples at a high price to basically round it out. It’s almost like; it’s not really cheating, but you’re paying for that convenience of getting every single thing at the same store. You’ll notice that certain things are marked down to kind of lure you to shop there, and then other staples are right at the highest price. That’s how they make their money. Great tip, Mitch.

Mitch Hankins: Absolutely. And just one other note on that; I’m glad you brought up the sales thing. Because some grocery stores will have regular, like weekly sales. For instance, during that period of our lives, we would go to our Whole Foods and have rotisserie chicken Wednesday. Because every Wednesday at our particular Whole Foods, rotisserie chickens were $2 off normal.

And then they had a lot of other things. I think for a while they were doing fresh salmon on Tuesdays was like $2 or $3 off per filet. So looking for those recurring deals as well. And maybe scheduling your meal plan, or scheduling your dinners around that can be helpful.

Angie Alt: Yeah. So smart. I did this even before AIP. I really would use; and Mickey and I talked about this in an earlier episode. But I would really use those flyers with the sales to plan my meals. Proactively around what stores were offering what discounts.

Mitch Hankins: Absolutely. That’s a great point.

Angie Alt: Mitch, will you let our listeners know where people can find you?

Mitch Hankins: Absolutely. My blog is InstinctualWellbeing.com. and similarly, uncreatively, my Instagram is also @InstinctualWellbeing. And Facebook is Instinctual Wellbeing. So you can find me and connect with me there. You can also shoot me an email if you really wanted to chat more about budget friendly tips, or anything, at [email protected]. That’s where you can connect with me.

Mickey Trescott: Awesome. Thank you so much for chatting with us today, Mitch.

Mitch Hankins: Absolutely. Thank you!

Mickey Trescott: Next up, we’re going to chat with Sophie Van Tiggelen of A Squirrel in the Kitchen. Sophie, what is your number one tip for saving money on AIP?

Sophie Van Tiggelen: My very first tip I think that eating vegetables and fruit is very important. You need to eat as much vegetables and fruit as you can. Like, try to fill up your plate with at least three-quarters of vegetables. They are a great source of antioxidants, vitamins, and minerals. And the fiber content of vegetables is really important for healthy gut microflora.

So I’m always trying to eat a maximum of vegetables and fruit to have the full spectrum of nutrients. But then the problem is; how can you eat good quality vegetables and fruit on a budget without breaking the bank? So my first tip would be to eat seasonal. For example, there is no point wanting to eat delicious raspberries in the middle of winter. They are super expensive. I would advise you to try to eat fall and winter produce. Like apples, oranges, and pears. So that really helps to reduce your grocery bill.

Then I would say try to take advantage of promotions that you see in stores. And this is great, because it’s going to push you to expand your veggie repertoire, and try new things that you might now have thought about before.

I would also try to avoid fancy or exotic produce. I know that when I’m grocery shopping, I’m always attracted by those exotic and tropical fruits, because they’re all colorful and they look so good. But usually they are very expensive.

Also, I try to avoid special vegetables or unusual vegetables that come from far away. So I would advise here to eat local. It’s less expensive. They come from your neighborhood; the farmers around you. And it’s cheaper to produce them.

You can usually find local produce at your health food store. Here in Colorado, I like either Whole Foods or Vitamin Cottage. Or you can also try to find a farmer’s market in your area. That’s a very good way to eat local produce.

To keep your budget low, I would also advise to think about the food return you’re going to get when you buy something. Try to stretch your dollars, and stretch your meals. For example, I love to buy spaghetti squash because I know they will go a long way. And I will be able to use them for several meals. It’s the same for cabbage, collard greens, carrots, broccoli, or sweet potatoes. They are easy to prepare. They reheat well. And you can stretch them for several meals.

Another big one for me is to be smart and to avoid waste. I try to never, ever throw food away. And before I buy something new or start on a new vegetable, I will make sure that I eat everything I have prepared. All these little pieces that are left over in your fridge; every two to three days I will put everything together and reheat the plate and just eat it. Because we can lose a lot of money, also, in the long run by just throwing food away.

Angie Alt: Yeah, these are great tips, Sophie!

Sophie Van Tiggelen: And I have one last point about the quality of the food that you buy. Do you have to buy organic? Let’s face it; it’s not always possible to buy organic. We know it’s better for you because you want to avoid pesticides because they have a negative impact on your health and immune system. But it’s not always possible. So I would advise people to refer to the famous Dirty Dozen/Clean 15 lists, and try to do the best you can. And if you have to buy conventional, that’s just fine. It’s alright. It’s better to eat conventional vegetables than just go to fast food. So yeah, these are my tips.

Angie Alt: This is a lady after our own heart, Mickey.

Mickey Trescott: I know. I love it.

Angie Alt: They’re all so good, and I love the focus on budgeting around the veggies. You know, we tend to think of the meats in this diet as being the big hefty expenditure on the budget, and that’s true. But, you can really get out of control with the veggies, too. Like you were talking about, Sophie. Buying berries out of season. You could practically need a credit card for it!

Sophie Van Tiggelen: Yes, definitely.

Angie Alt: Sophie, will you let our listeners know where people can find you?

Sophie Van Tiggelen: Oh, yes, certainly. Everyone can find me first on my blog, which is A Squirrel in the Kitchen. I’m also very active on Instagram and Facebook. You can find me there. And I would like to mention that I’m very excited about my upcoming second cookbook, which is coming out June 12th. It’s called The Autoimmune Protocol Made Simple. And it’s a whole new set of fresh and appealing recipes for the autoimmune protocol.

Mickey Trescott: We’re so excited about it, Sophie. Thanks so much for talking with us today.

Sophie Van Tiggelen: Thank you.

Mickey Trescott: A final word from our title sponsor this season, the Nutritional Therapy Association. We wanted to take a moment to publicly thank NTA for graciously sponsoring this podcast season; real food on a budget. Producing, editing, and transcribing this podcast is a big job for both us and our team, and their support means we can offer all of this to you guys at no cost.

Angie Alt: We also want to thank them for the quality of both the NTP and the NTC programs...

Welcome to

The Autoimmune Wellness Podcast Season 3: Real Food on a Budget. We’re dedicating this season to discussing an aspect of natural healing that often gets left out of the conversation: affordability. We’ll be chatting with experts and peers from the AIP community about how to best balance money with your health priorities.

This season is brought to you by our title sponsor, The Nutritional Therapy Association (NTA), a holistic nutrition school that trains and certifies nutritional therapy practitioners and consultants with an emphasis on bioindividual nutrition. Learn more about them by visiting NutritionalTherapy.com, or read about our experiences going through their NTP and NTC programs in our comparison article.

Season 3 Episode 7 is focused on how to both prioritize your food choices, and make a budget for eating this way that is sustainable longterm. Angie and Mickey share their personal stories of budgeting and managing medical expenses and debt. They also chat with guest Jenny Harris about how to modify AIP for lower budgets, and how to find local assistance for food budgeting concerns.

This is a bit of a tricky topic but we hope sharing our experiences and ideas will help you feel supported wherever you find yourself in your journey. Scroll down for the full episode transcript!

If you’d like to have our podcasts sent directly to your device, subscribe in iTunes or Stitcher!

If you’d like to download the .mp3, you can do so by following this link.

If you’d like to play the episode right now in your browser, use the player below!

Mickey Trescott: Welcome to the Autoimmune Wellness podcast, a resource for those seeking to live well with chronic illness. I’m Mickey Trescott, a nutritional therapy practitioner living well with autoimmune disease in Oregon. I’m the author of The Autoimmune Paleo Cookbook, and I’m using diet and lifestyle to best manage both Hashimoto’s and Celiac disease.

Angie Alt: And I’m Angie Alt. I’m a certified health coach and nutritional therapy consultant, also living well with autoimmune disease in Maryland. I’m the author of The Alternative Autoimmune Cookbook, and I’m using diet and lifestyle to best manage my endometriosis, lichen sclerosis, and Celiac disease.

After recovering our health by combining the best of conventional medicine with effective and natural dietary and lifestyle interventions, Mickey and I started blogging at www.AutoimmuneWellness.com, where our collective mission is seeking wellness and building community.

We also wrote a book called The Autoimmune Wellness Handbook together that serves as a do-it-yourself guidebook to living well with chronic illness.

Mickey Trescott: If you’re looking for more information about the autoimmune protocol, make sure to sign up for our newsletter at autoimmunewellness.com, so we can send you our free quick start guide. It contains printable AIP food lists, a 2-week food plan, a 90-minute batch cooking video, a mindset video, and food reintroduction guides.

This season of the podcast, real food on a budget is brought to you by our title sponsor, The Nutritional Therapy Association.

Angie Alt: A quick disclaimer: The content in this podcast is intended as general information only, and is not to be substituted for medical advice, diagnosis, or treatment. Onto the podcast!

Topics:

1. Different levels of budget concerns [2:19]

2. Budgeting benefits on AIP [7:13]

3. Personal budgeting stories [9:41]

4. Benefit of minimalism [15:58]

5. An investment in your future health [18:53]

6. Introducing our guest, Jenny Harris [23:41]

7. Roadblocks and challenges [29:05]

8. Finding local assistance [31:05]

9. AIP modifications on low-budget [35:44]

Mickey Trescott: Hey guys! Mickey here. Welcome back to the Autoimmune Wellness podcast, season 3. How are you doing today, Angie?

Angie Alt: I’m good. Hopefully there won’t be any puppy noise in the background. My puppy is being very naughty today, you guys.

Mickey Trescott: Sometimes it happens. You know, those animals.

Angie Alt: Mm-hmm.

Mickey Trescott: So today we are continuing our discussion related to the topic this season. Real food on a budget. This episode is going to be about how to both prioritize your food choices, and make a budget for eating this way. Today we’re tackling a little bit of a tricky topic, but we hope that sharing some of our experiences and ideas will help you guys feel supported wherever you find yourself in your journey.

Mickey Trescott: So first, let’s talk about the three main categories that people find themselves in when we talk about budgeting concerns. The first, of course, are people who are wealthy. They can afford anything. There really aren’t any barriers to getting what they want, because they can go to Whole Foods and get whatever they want. Or they can afford the functional medicine practitioner. Most of us, sadly, don’t find ourselves in this situation.

The middle is actually where most of us are probably at. That’s where people have resources to allocate towards maybe eating better or better medical care, but it means almost always you’re going to have to make some strategic planning. There is flexibility. So there’s a lot of choices sometimes. And maybe going without something so that you can get something else. There are those options to kind of move things around a little bit, and prioritize.

And then lastly there are people who are low income. So those are people who face significant challenges and stress around budgeting for food. And it involves fixed resources without flexibility. So that’s an important distinguishing characteristic between those who truly are low-income. I would say that a lot of people in the middle maybe think they’re a little more low-income than they really are. But the truth is, a lot of us have some flexibility. And that is where a lot of the difficulties come up.

Angie Alt: So in the second segment of the podcast, we’ll be talking a lot more about those in the lowest income group, and some strategies that they can use. We really believe everyone should have access to healing foods. And we want to talk about the ways to make that reality for those in that challenging circumstance.

But in this first segment, we want to focus on the middle category of folks. Because probably most of you guys listening to this podcast find yourselves here. It’s where Mickey and I ourselves land. So we just want to kind of take a stab at the topic that is probably most of us are facing.

We also want to acknowledge that having a chronic illness alone can be limiting to the budget. It’s expensive to be sick. And we totally get that.

Mickey Trescott: Yeah. The different ways even just having an autoimmune disease before you get into some of the diet and lifestyle stuff that you might want to do. I mean, medical bills and medications are expensive. So a lot of that, if you’re someone who has just gone through a diagnosis, you know how front loaded those costs can be. So all at once, you might be going to see different doctors and specialists. Burning through maybe a high deductible, or something. Which is sadly very common these days. Getting through all of that testing, and some of those initial treatments.

Angie Alt: Right. And then there’s also the higher cost of insurance. Even though we have laws that guard against things like preexisting conditions with coinsurance and high deductibles, it means that usually folks with chronic illness do end up paying more.

Mickey Trescott: Yep. There’s also an income loss due to lack of ability to work. A lot of people don’t really realize this lack of opportunity cost. But really, sometimes it can involve the work of your partner or your spouse. Sometimes it can affect your ability to do childcare or household duties. Most autoimmune diseases come with some level of disability, and that can come through in either a lack of ability to actually hold a job at a certain amount of hours per week. It can also mean that you have to pay others or get help from other people in your family to do work around the house, which can be expensive. Both emotionally and financially.

Angie Alt: Right. And then there’s the cost of natural or alternative treatments. Which, unfortunately, means usually paying out of pocket. We don’t have good systems in place that allow proper reimbursement through our insurance system for most of those kinds of treatments. And the fact is that combining the best of those natural and alternative treatments with conventional and do-it-yourself methods means that this can be really; a no-brainer. Something you definitely want to take on so you can heal. But it can be really expensive. This includes things like paying for supplements, and paying for different kinds of therapies. Maybe massage, acupuncture, things of that nature.

Mickey Trescott: All these things considered, why those of us with autoimmune disease have a little more of a tricky time making a budget. Why should we do it in the first place? We have some reasons for you guys.

Budgeting really stops overspending and prevents debt. So when you know exactly how much money you have coming in, and you’ve planned to use that money in a variety of categories and predictably. Of course, you can’t control the future, and you never really know exactly what’s going to happen. But that act of actually planning helps you not to spend too much of your money, and prevents you from needing to go into debt.

How many of us have not made a plan and then unexpectedly, but then actually kind of expectedly being like; oh, this expense came up. And I kind of knew it was coming but I didn’t really plan for it. You might end up in a situation where you have to go into debt for that.

Angie Alt: Right. Also budgeting can help us reach our goals. For instance, proactively saving. Having that budgetary line item in place helps us kind of get there and reach those goals in reasonable timelines instead of haphazardly putting $10 in the savings account every couple of months.

Mickey Trescott: Yeah. It also helps you stop worrying. So, I don’t know about you, but I’ve had a lot of anxiety since my diagnosis and initial path with autoimmune disease. Just because, financially it was really difficult for me back then. And even though I’m healthy now, sometimes I worry that if I got sick again, I wouldn’t have the money to kind of figure it out. And I’m anticipating that stress.

So, being able to move towards and reach some of those savings goals might help you stop worrying and relieve some of that anxiety related to it.

Angie Alt: Right. And kind of along those same lines, it helps you have more flexibility. I think when you kind of have planned your expenses, and you have allocated pots of money that are there for certain kind of expenses, it just allows you to be a lot more flexible. And should something really large and unexpected come up, you have more leeway between those different budget line items to kind of move things around, if necessary.

Mickey Trescott: Yeah. And lastly, it gives you more control over your money. You know exactly where it’s going, instead of feeling kind of like a passenger every month, paying all your bills and kind of not understanding where everything goes. You understand, actually, now that I have a budget, I know exactly where everything is going. And you can make changes and be informed in that way.

Angie Alt: Right. So, Mickey, maybe we can share a little bit about our personal approaches to budgeting and especially how things looked when we first started on this path.

Mickey Trescott: Yeah. So I talked a little bit about my diagnosis, and how that financially impacted us. It was very stressful, understandably. Just the diagnosis in and of itself is really stressful. But at the time, my husband and I were both working minimum wage plus tips jobs in a major city. Living paycheck to paycheck. By all means, we were not poor. We were able to pay the bills that we had. We were able to have a great lifestyle that we were happy with.

But when I started to get sick and I wasn’t able to bring in that income, I lost my job. And then we added in all the medical stuff. Which, when I got diagnosed, I didn’t have insurance. So I was paying everything out of pocket. I ended up going into a lot of debt because I didn’t really have any savings, and I didn’t really have a budget, and I didn’t really plan. That kind of threw me for a loop, that six months of my life.

But coming out of it, I learned that I needed to make some big decisions. Like that flexibility piece we were talking about. My husband and I made some decisions that were able to help us pay back that debt just by choosing to go without certain things. For instance, we didn’t have a car. At one point we relied on just using the bus or riding our bike.

Another thing we did was we had roommates in a house that we rented instead of having the house to ourselves. Another thing we did was not go out to eat ever. And we didn’t go on any vacations. So I consider even making so little money in that phase of my life, I realized the position of privilege that I was in being able to be flexible in that way. And yes it was stressful. My husband was then the sole provider. We were taking on debt. We didn’t know how long I would be sick. And then the food budget was just increasing, increasing, increasing. Which is really what we’re going to be talking about today.

But in the end, it all worked out. We were able to pay off that debt. I was able to go back to work. And me feeling better was a really important part of that process; to realize that I was one day going to be able to recover enough to then go back to work and kind of get the cycle working out. So I kind of didn’t have a plan. And got caught in a little bit of a hard place. But that flexibility was really how we got unstuck. What about you, Angie?

Angie Alt: So, for me, the flexibility piece didn’t exist as much. When I started to get sick, we had already come into our marriage with pretty significant education debt. And we had good jobs. Especially my husband, had a great job. And we had really great insurance. We were very, very lucky to have such good insurance coverage. But it meant that I was really limited to pursue anything kind of outside of what was covered within our insurance situation, because we had a lot of debt already to deal with.

So it meant that I had to be really creative within the insurance; what was covered within the insurance. And I had to get really high mileage, basically, out of all of my appointments with my doctors, and be really, really well prepared, and be a really strong advocate for myself. I had to spend a lot of time working with the insurance company, trying to navigate that process. Which can be really frustrating and really difficult, especially when you’re sick. But I was limited in terms of the flexibility.

And later, when we decided that we would choose to take on some more debt for some of those treatments and some of that help that was outside of the insurance system, we really had to buckle down in other areas in order to be able to meet all of our responsibilities with that debt.

Over time, that has eased a lot. We’re not in quite the same situation as we were before. Especially because I was able to go back to work and make a better living than I did previously, when I wasn’t so sick anymore. That made a really big difference for us. But it was not a simple process.

Mickey Trescott: And a lot of these transitions, and during the diagnosis and kind of what followed. We’ve gone without a lot of things and made a lot of choices so that we could afford good food. Would you say that applies to you, Angie?

Angie Alt: Yeah, for sure. For instance, until only about three years ago, we only had one car. We drove an early 2000 Honda Civic, and that’s all we had. My husband commuted back and forth to his work in the city using the commuter buses, or the train. We were really just relying on that. We didn’t really take any significant vacations. Anything that was more than a weekend drive or something away. We also really kind of cut certain line items from our budget. Things like new clothes and those kinds of extras. We just made do the best we could with what was in front of us.

Mickey Trescott: Yeah, something that really shifted for us, as far as that flexibility pieces....