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Child: Welcome to my mommy’s podcast!
This episode is sponsored by Just Thrive Health, one of my favorite companies, and especially their new Digestive Bitters. So I’ve been talking about gut health for years before it was so trendy. I love that everybody’s talking about it now, and the one brand that I have continuously used for my gut health is Just Thrive.
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Katie: Hello and welcome to the Fit Bottomed Zone Podcast. I’m Katie from fitbottomedzone.com, and this episode is about a topic that is close to home for me, which is why autoimmunity happens and how to reverse it naturally. And I’m here with Dr. Tiffany Caplan, who’s an expert in autoimmune disease remission, helping people uncover why they are experiencing autoimmunity, and equipping them with a personalized treatment plan to help them get to feel like themselves again. And I went on this journey a few years ago and am very happy and grateful to be in remission now, and she shares many of her core strategies for helping people achieve the same thing. We delve into a lot of the contributing factors, as well as common things that are most helpful.
As well as more nuanced things that people may need to try as well. She’s a wealth of knowledge on this topic, so let’s join and learn from Dr. Tiffany. Dr. Tiffany, welcome. Thank you for being here today.
Tiffany: Thank you for having me.
Katie: Well, I think this conversation is going to be extremely relevant because it’s something affecting statistically more and more people. And we’re going to go deep on autoimmunity today, what’s happening in the body when we have it, how to reverse it and all that comes under that umbrella. Before we jump into that, though, I think you and I share a connection that not many people share. Both in home birthing, but more specifically in breech home birth, because my last two daughters were both breech. And it sounds like you also got to have a breech home birth. And I would just love to hear a little of that birth story.
Tiffany: Yeah, and that was my first. So my first experience, but it was actually perfect timing at the very beginning of the pandemic. So during the shutdown in April of 2020, um, and my daughter was breached. We did all the things to try to turn her. Couldn’t do it and ended up with needing to find we were going the midwife route and in California they can’t deliver a breach So we had to find like an OB that could do a breech birth and it became this whole thing.
We found a really amazing Dr. Stuart Fishbein who’s like one of the gods of like breech births and he was very confident in like home births. And so we just kind of ended up going that route. And I’m so thankful because it was perfect. And I’m so glad I didn’t have to go anywhere, but it was a really, you know, great experience.
And so my, for my second, I was like, we’re doing home birth no matter what. And you know, easy births with both of my girls.
Katie: That’s awesome. I love to hear that being more normalized and just being another physiological part of birth. And I had an unavoidable C section with my third and I knew I didn’t want to repeat that. So when my fifth, I was 37 weeks pregnant, she wouldn’t flip. They’re like, well, we’re not going to let you deliver vaginally in the hospital.
So I was like, okay, well then you’re fired because I’m paying you and walked out and went, Oh shoot, I’m still having a baby in the next three weeks and I got to figure out how. But it ended up, both of those births were beautiful at-home experiences. And if anything, I was like, why didn’t I do this sooner? So I love that we share that commonality and it’s speaks to also you being willing to like ask the deep questions, trust your intuition and not just accept easy answers, which I have a feeling also translates into your work life a lot. Because in the topic of autoimmunity, there is a lot of conflicting information and people are told information that it’s lifelong and you’ll never get better. Your only option is to deal with the symptoms.
And when researching you for this interview, there’s much, much more to the story than that, and I’m excited to dive in with practicality and hope for anybody listening who might be navigating autoimmunity.
So to start broad, I would guess people have maybe a passing understanding of this, but can you walk us through what’s going on in the body? What does it mean when someone is diagnosed with an autoimmune condition?
Tiffany: Yeah, so let’s start real simple because I think it’s really important for people to understand what’s happening in their body in order to be able to fix it. I’m a huge advocate for like educating people and informed decision making. And so with an autoimmune issue, it means your immune system, the part of your body that’s supposed to like protect you from getting sick or things that are harmful to you, your immune system starts to attack parts of your own body, which it’s not supposed to do.
And so different autoimmune conditions like Hashimoto’s means the immune system is attacking the thyroid, rheumatoid arthritis, the immune system is attacking the joints. If you have celiac, it’s attacking the gut lining, MS, it’s attacking the nervous system, right? So what. In conventional medicine, autoimmune diseases are looked at are all separate problems with the immune system attacking different issues.
It’s all called different things, but in the functional medicine world or from our perspective of autoimmune disease, the immune system is what’s causing the issue. It’s attacking different things. So just because the diseases are named different, they have different labels. They’re looked at as separate things, but they’re really, there’s common denominators.
So there’s like a hundred different autoimmune diseases, at least. And the immune system can start to attack self tissue. Now, it doesn’t just do that. So we’re going to talk about or need to kind of jump into. We will, um, discuss like causes of why your immune system does this. But essentially, your immune system is imbalanced, starting to attack things it’s not supposed to. And so that’s what we need to address.
Katie: Yeah, that makes sense. And it makes sense also, I believe, aren’t the statistics that if someone is diagnosed with one autoimmune condition, they’re more likely to have subsequent ones, which makes sense when you talk about they all kind of share this immune component,
Tiffany: Yeah, it’s really common. And actually, I got a lot of people that come to see me that have multiple autoimmune diseases. They may have been labeled with three, four, five different autoimmune diseases, and they’re being treated by a whole host of different, like, ologists, the specialists of different things.
They have a dermatologist, a rheumatologist. They have an endocrinologist. They have all of these different specialists that are looking at these problems as, like, separate. when it really, in fact, when we’re looking at this person as a whole, we can see the connections and that the things that are driving one condition are also the things that are driving another condition. And so there’s a lot of overlap and they’re really not that separate after all.
Katie: Which seems like it might also be a point of hope because that means a similar approach of supporting the body can likely help all of them versus having to kind of deal with things in different areas differently. Um, I’ve also read the statistic that women are affected by autoimmunity in a much larger number than men. Is that still true? And what do you think are some of the reasons, if so, that that’s the case?
Tiffany: Yeah, that is true. Most of the autoimmune diseases affect women more than men. And we’re even seeing it now a lot of these diseases showing up in kids, which we never used to see. And so there’s been, oh, there’s been a lot of changes, but I think a couple of factors that make women more susceptible to autoimmune disease: One are hormones and hormone fluctuations and more, more specifically. So, um, when we’re tracing someone’s timeline of when they might have developed these different conditions. A lot of times for women, it’s around things like puberty or a pregnancy or maybe even around menopause. Like the times where there’s a lot of hormone changes in the body that, because hormones affect our immune system.
And that’s one of the root causes is hormonal imbalances. So women deal with a lot more hormones and hormone fluctuation than men. Um, and then also I think because women are such the caretakers and a lot of times have a lot more, you know, mental load and stress and a lot of things that kind of maybe fall on them differently than men, I think it’s just, there’s a combination of life stressors that also affect women.
And one other thing I’ll throw out there is the chemical toxin load that we get exposed to is typically higher due to use of Makeups, cosmetic products, personal care products. I mean, the average woman applies somewhere in the hundreds of chemicals to her body before she walks out the door in the morning without even knowing it.
And then, you know, gets exposed to things all a lot more frequently. So there’s a lot of factors that make women more like unique that can cause the immune system to then act differently.
Katie: Yeah, that makes sense that there would be a hormone component, and I know as someone who was once told I had Hashimoto’s and I no longer do, the conventional medicine approach is that autoimmune is lifelong. It’s not going away. The best you can do is mitigate it or deal with your symptoms, and it seems like from your work there’s also much more to this story, but I would love to dive into that idea that autoimmunity is not changeable and maybe dispel some of the reasons why it might be more changeable than we think it is.
Tifffany: Yes. So when it comes out of me and most conventional doctors will tell you, yeah, there’s no, it’s doom and gloom, right? There’s no way to like, get rid of this thing. That’s you’re going to have it forever. Your best bet is medication management. You can cover up your symptoms, right?
I will agree there’s no cure for autoimmune disease in the sense that once it goes away, there’s no chance of it ever coming back. Um, right. We think of it as more remission. Our goal in our practice is helping people get to remission of the disease where it’s not active. They have it under control. The immune system’s working like it’s supposed to.
And it’s, um, we’re preventing or working towards preventing flare ups of the condition. So when you have an autoimmune disease and you have You’ve created, your immune system’s created these antibodies to different parts of your body, your system. Antibodies are essentially like memory cells of the immune system.
So your immune system’s always going to have that memory of like, Hey, I used to attack that thing. And it can get triggered to do that again. As we talked about like root causes, even stress can throw somebody into like a flare and make their immune system go after something that it, used to. So when we think about autoimmune disease, it’s more how do we figure out what’s causing it to get it to be balanced and more inactive.
And then how do we prevent it from being reactivated again? And when we do work with people that have multiple autoimmune conditions, what’s really cool is that we’re not treating them for like separate things. We’re really just treating them as a whole person and helping to get the remission of like multiple diseases all at once.
Katie: And I would only guess that also like ripples into other areas, not even related to autoimmunity. And I know we’re going to get to dive deep on stress in a follow up episode to this one. And I’m excited for that because this seems like a missing piece for a lot of people. I know from my own story, I was told I had Hashimoto’s, I was on medication for a long time, addressed a lot of root cause stuff, and currently no longer take medication.
And to your point, I still, especially if I’m in a period of high stress or hormones, I make sure to test and keep an eye on that. And I’m still very aware of my body and doing the things to make sure I can maintain that. But I feel like that’s such an important distinction to, like, have that language around that you can get to a place of thriving and of health.
Even if you have those markers, even if they’re still present in your body, that doesn’t mean you are bound to those symptoms forever. And I love to even, I audited my language around it, too, and I learned to start viewing symptoms as messengers and being grateful for them because they were direct communication from my body, which was telling me something actionable, which is a wonderful thing, and to even switch my inner dialogue instead of like, oh, this is terrible, I’m so tired, my body’s attacking itself, to more empowering things about, like, I’m healing every day, I feel better and better, You know, I’m getting all this energy from sunlight, things like that. And kind of in conjunction with all the, of course, physical things I was doing as well. And I feel like this is a perfect segway into talking about what can contribute to someone having these autoimmune conditions start to happen?
Tiffany: Yes, I love to I’ve just mentioned like symptoms are really important for people to pay attention to and look at as it’s almost a positive way where it is your body communicating with you and it’s telling you that something’s not working and if you pay attention to that and figure out like what needs to change, you can change it, right?
I mean, that’s what’s so cool about the work that we do is most of the things and the causes that we’re going to talk about now are fixable with our diet, our lifestyle, just things that we can control once we identify what that problem is. So some of the most like common things that we find that drive autoimmune for people that can cause autoimmune diseases. Things like hormonal imbalances. So this could be things like insulin resistance. Insulin is a hormone that controls our blood sugar. Having too much insulin we know causes like diabetes, but you can have a non-diabetic insulin resistance. And I actually find that really common in my autoimmune patients.
So having too much of like that hormone, having imbalances of things like estrogen, estrogen dominance is a root cause of autoimmune disease. It can drive the immune system and cause inflammation. Cortisol is our stress hormone. And when cortisol is working well and in balance, it’s actually anti inflammatory and it’s helpful for us. When we have too much stress, wee have too much cortisol or we don’t have enough. There’s problems. So we think of the adrenal glands is what make cortisol and that becomes important with autoimmunity. The gut also is a really important piece. Our gut houses about 80 percent of our immune system and it’s job, it controls so many things like nutrient absorption, right?
We have to have good nutrient levels for our immune system to work well as well as everything else in our body. And if our gut’s not healthy, we could be trying to eat really healthy and take all these supplements and try to put good stuff in. But if our gut’s not healthy, it’s not actually going to get that, the nutrients in.
So there’s going to be maybe absorption problems. We can have something called leaky gut where the gut lining isn’t as healthy as it should be so then it allows the immune system to start getting exposed to things that it doesn’t usually get exposed to so this is where things like food sensitivities happen. People that are reacting to foods that they’re eating food sensitivities are really common with autoimmune disease.
A lot of people are reacting to food that they don’t even realize they’re reacting to. And so that’s something that you can kind of work through like an elimination diet with AIP diet. And then we look at the gut microbiome. The gut microbiome is also a critical piece that helps. with regulating the immune system. It has a lot of other functions, but that can be imbalanced, whether it’s missing good bacteria, bad bacteria, yeast, parasites, something that shouldn’t be there.
So we usually assess that in all of our autoimmune patients as well. So we think about the gut and all the things it does. We think about the hormonal system. We think about the nutrient levels. We think about our stress.
And then even things like a history of trauma can make a difference in somebody developing an autoimmune disease. And we just kind of look at in our practice, the person as a whole. So all of the systems, making sure everything is working like it’s supposed to. And if there are areas that aren’t working so good, they don’t live in a bubble. They’re going to affect everything else. So once we kind of identify the pieces that aren’t working good for someone, then we can go in and give specific support to be able to address those things.
Katie: Yeah, I can like resonate with so much of that because I know for me, there was many of those factors combined between gut stuff going on between stress between six pregnancies in nine years. I had a lot of things contributing and I saw how reversing them was also a very multi-faceted approach and I’m sure there’s a level of bio individuality here and identifying the root causes specific to each person as they come in and you work with them directly. It also sounds like there’s a pretty big difference between the conventional approach and this more holistic, functional approach, and I experienced that as well. And I would love to just speak to kind of what those differences are, both from like a 10,000 foot view of the approach itself as well as what some of the tangible specifics might look like in differences of approach
Tiffany: Yeah, so there’s a quite a different view of health in general when it comes to conventional medicine and functional medicine and then especially when we talk about like autoimmune disease. So conventional medicine, medical doctors are taught to be able to diagnose things they look for the physiology that’s not working well, and they can label a disease process.
So they’re looking at the symptoms are looking at lab numbers, and they can come up with a essentially a label to get the person and then they can use that label to be able to, you know, know what medication management to give them for that type of issue or the symptoms. And that’s pretty much where the care ends in the conventional approach in terms of like finding answers.
It’s just about getting a diagnosis, getting a label so that they can help the person manage the symptoms. In functional medicine, that’s kind of where we pick up though. So when somebody has a diagnosis, we come in and look at, okay, well, why are those things happening in the body? What’s causing those dysfunctions and the systems to not work well?
What’s maybe missing? What types of support does that person need? And it is very individual. Everybody has different causes of why their body’s not working well. And different things like maybe it’s their diet. Maybe it’s their lifestyle. Maybe it’s their environment. So there’s a lot of factors that we take into, we keep in mind and we kind of just paint this picture of the person as a whole.
So in conventional medicine, you’re very much just looked at as one piece of the body. A lot of times, you know, go to different specialists for different things. And in functional medicine, we look at the person as a whole and how things are interconnected. And that way we’re really able to figure out what the best approach for that person is.
That’s not just band aiding their symptoms, but actually getting to fix the problem that’s causing those symptoms. And so that’s the biggest difference there. And we also spend a lot of time educating people on their nutrition on their lifestyle. I think a lot of people, you know, go to a conventional doctor and they’re told yeah, you should probably eat better. You should exercise but they aren’t told how to do that.
Medical doctors a lot of times are not trained in Nutrition or lifestyle or supplements, right? They’re not familiar with those things. So, they kind of don’t, they don’t have help or resources for that. So we spent a lot of time educating people on all the things that they can do. on their own for themselves that can help them control the issues that they have.
Katie: Yeah, that makes sense And I’ll of course link to your work in the show notes and make sure we highlight that before this episode finishes as well But I would guess a lot of people listening are curious of Understanding that holistic and functional approach, what are the ways to address autoimmunity holistically and move toward remission?
Are there, like, common factors that emerge as really helpful kind of across the board? I know there’s, of course, a personalized element as well, but if someone’s in that experience of autoimmunity, what are some of the places to begin or things to start with that can help them move toward remission and more health?
Tiffany: Yeah, I think the best place for people to start if they’re just kind of new to the idea that there’s anything else out there that they could possibly do for their issues is to just start paying attention to their symptoms more and be more in tune with their body because their body is going to start giving them a lot of clues as to what might be helping them and what things are not helping them. So we can start to look at like what types of stress they might be experiencing. And maybe there’s some that they can start to modify or change or avoid. Maybe they can start to identify different foods that their body likes or doesn’t like.
Maybe they can find different lifestyle habits, like if they’re sedentary, start moving more. Or making sure they’re prioritizing their sleep. Um, practicing stress management and self care practices. Those types of things that somebody can do right away without even needing to know, like, the root causes and everything yet.
We want to look at, you know, different aspects that people can control. So our toolbox, so to speak, that we help people with in our practice consists of things like we do functional lab testing. So we do extensive labs that, most, you know, standard of care practices aren’t going to run.
They’re not going to look at your microbiome. They’re not going to check your adrenals. They’re not going to be, you know, going into the depth of like all the love and thyroid markers and all of that stuff. So we usually will do extensive lab testing on people to get them answers, but then the tools that we use to help them fix the problems relate back to helping them get in control of their diet, learning what their body likes or doesn’t like, things that they need to be incorporating or avoiding, how often they should be eating, how they should be combining their foods, really just give people an education on like how to give their body what it needs through their food.
Then we look at their lifestyle and we help them pick and choose like different tools or habits and routines that they can be incorporating that will help their body, you know, repair and get out of stress and make sure that they are, um, able to keep their inflammation low and recover and all of that.
And then we also look at supplementation. So maybe there’s like nutrients efficiencies, or there’s things that they need for their gut or for their adrenals. Or just using supplements as another like tool to be able to give the body support when it’s needed. So we use those types of things because those are all things people can control.
They can make choices with, and ultimately those are the things that are going to make it so that the remission is a long-term sustainable approach, right? They’re not going to have to be just band aiding the symptoms. They’re going to be able to know if I do these things, this helps my body work to the best of its ability. I’m going to keep doing these things.
So that’s what we want to get to when we’re working with somebody. And so that’s why those are the best tools out there. And people can start just paying attention to how their body is communicating with them now. And that can help them start to figure out where to start.
Katie: Yeah. I feel like I know I had to ask doctors multiple times to even get some of those tests. And it was such a difference when I stepped into the more functional approach and that was all kind of just the baseline and all of that data was already gathered. And then there was so much of a more comprehensive approach. Um, of course, everybody’s going to be a little bit different, especially when it’s something as nuanced as autoimmunity. But I found for me, like there were certain factors that were really helpful, like understanding my exposure to natural light and getting more in nature, getting my circadian rhythm healthier and really prioritizing sleep.
And I’ve talked about before how I went through a period of a couple of years actually, where I was very gentle with my body and very much in recovery mode and focused entirely on how do I maximally nourish my body? How do I get the best sleep possible, I wasn’t doing high intensity workouts. Tons of sunshine. Tons of sleep. It took me a while to figure out. The foundational things can be so helpful.
I’m curious if you have found anything universal to watch out for and avoid or to consider and ways to nourish their body?
Tiffany: Yeah, no, I love the whole idea of the shiny object syndrome, right? We hear about all these cool devices and the supplements and do these cleanses, all these different things. And I’ve seen people that go through doing all of that stuff and they’re still as sick as ever, right? Because they didn’t get to the root cause.
They didn’t do it in the right order and doing the right things at the right time really matters. I think universally though, stress is such a factor for people and they don’t recognize all the different forms of stress that their body is actually experiencing. They don’t think there’s any way to control the stress.
I think, you know, learning about all the different techniques that are out there, whether it’s grounding and meditation or journaling practices or even yoga, tai chi movements. You know, there’s, you got to find the things that resonate with you. But I think stress management is key for everybody, no matter what they’re experiencing, because we experienced stress 24 7.
So we need to have some outlets for it. We need to also have just good nutrients and sometimes it’s a matter of cutting things out of the diet to add more good in. Sometimes it’s about making sure the quality of what we’re eating is actually what it should be and trying to get better, better forms and sources.
And then I think like sleep is definitely underutilized as a healing tool. We have to make sure we are getting restorative, good quality sleep on a consistent basis. So right there, like everybody can benefit from those things. Oh, and hydration too. I mean, that’s another given most people don’t drink enough water. You should be drinking about half your body weight in ounces of water a day. And most people I talk to do not get that. So that’s another big one that anybody can start trying to incorporate more of.
Katie: I love that. And I think that’s a perfect segue into our next episode together. So you guys definitely stay tuned for that one. I’ve explained before, like stress and all the multifaceted aspects of stress was actually like my leverage point, my key point for anything else actually working and for finding resolution.
So I’m, really excited to devote an entire episode to that. Before we wrap this one up though, where can people find you and all the resources that you have if they are navigating autoimmunity and want to find real answers and support their body?
Tiffany: Yeah. If anybody is listening there in California, come visit us in California. We have a practice in Ventura, or you can find us online. We do telemedicine. We work with people across the U S and internationally. And you can find us at Caplanhealthinstitute.com or even on social media under the same name.
And it’s Kaplan with a C. And, um, if anybody listening happens to have lupus, there is a book I recommend. I wrote the lupus solution. It’s on Amazon and it really breaks down all the fundamental things we just talked about with autoimmunity for people with lupus. I wrote it after a family member was diagnosed with lupus and just wanted to make it simple to understand. So that’s another like resource out there for anyone that’s dealing with like a systemic autoimmune disease.
Katie: Amazing. Well, I will link to all of those in the show notes, but I love anytime we get to dive deep on this topic. It’s very close to home for me personally. And I know for many people listening who we mentioned, women are affected more than men and many women are listening. I’m so grateful for your time today. Thank you for all that you shared. And I will put all those links in the show notes that people can find you and follow up, but thank you so much for being here.
Tiffany: Thank you so much for having me.
Katie: And thank you as always for listening. And I hope you will join me again on the next episode of the Fit Bottomed Zone podcast.
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