Nicola Moore explains a functional medicine approach towards the autoimmune disease lupus
Natalie, 40, has been diagnosed with lupus, an autoimmune condition that is currently not understood very well; not least because it can have a range of symptoms. Before her diagnosis, about two years ago, she developed rosacea (redness on her nose and cheeks) that was so bad at times that it would burn. She also developed Raynaud’s, a condition in which the fingertips become cold and white. Eventually, she had difficulties using one of her hands.
Initial blood tests found Natalie had very high B12 levels, prompting her GP to tell her to stop taking her daily multivitamin. Further tests confirmed lupus, while a biopsy showed that the condition was attacking her liver.
With lupus, the immune system attacks and inflames healthy tissue, so Natalie is taking steroids and chemotherapy to suppress her over-active immune system. Her doctor has advised her to continue as normal and “remain lean”. Now halfway through her treatment, she feels and looks well but has been warned against the common cold, now that her immune system is suppressed.
Natalie eats a varied diet without restriction, although a home food-sensitivity test has shown a mild reaction to eggs. On top of managing her illness, she runs a busy business and is the mother of two small children — both very lively, one with additional needs. She also she takes on a lot of charity work. This year she ran the Brighton Marathon, completing in 4.08.
NUTRITIONAL THERAPIST: NICOLA MOORE
Looking at Natalie’s self-reported notes, we would explain the standard functional medicine approach to autoimmune conditions, which is about trying to establish the underlying cause. It would also be important to write to her GP. We’re not medics; her GP is her primary carer and would need to know that she is receiving extra support with her diet.
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