What are your thoughts on being prescribed DMARDs for rheumatoid arthritis when the Paleo template is working with decreased inflammation? Is there an alternative to baking soda? The plan was told by a rheumatologist. He didn’t know why diet was working for her; [it] ​may be coincidental.

Yes. If the Paleo template is working [well], then that’s great. Another step, of course, would be AIP [autoimmune protocol], which works even better, not for everybody, but for some people. In terms of meds, the way we usually approach it with people with autoimmunity is, they first come to us and we’ll do all the stuff that we do in terms of identifying and addressing triggers and then using things like glutathione, turmeric, boswellia, baking soda, LDN, etc., [using] [LDN] to balance and regulate the immune system. At some point as that’s happening, and if the patient is starting to feel a lot better, then they can work with their prescribing physician to gradually reduce the dose of the medication that they’re on and, of course, how quickly they can do that depends on what dose they’re taking of what medication. Certain medications have to taper like steroids whereas others can be stopped more abruptly without any consequence, or other times, if the patient has asked us to manage their medication, then we’ll handle that. But we rarely make any changes to the existing medication that they’re on initially during the treatment. That’s something that usually happens over time after we provide that additional layer of support that is what will help them to titrate off the medication.