{"id":143940,"date":"2025-05-16T09:15:00","date_gmt":"2025-05-16T13:15:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=143940"},"modified":"2025-05-16T10:49:05","modified_gmt":"2025-05-16T14:49:05","slug":"functional-medicine-for-autoimmune-disease","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/functional-medicine-for-autoimmune-disease\/","title":{"rendered":"The Functional Medicine Approach to Autoimmune Disease"},"content":{"rendered":"\n<p>What&#8217;s the difference between functional medicine and traditional medicine? What can functional medicine do for <a href=\"https:\/\/www.shortform.com\/blog\/what-causes-autoimmune-disease-diet\/\">autoimmune disease<\/a>?<\/p>\n\n\n\n<p>In her book <em>The Autoimmune Solution, <\/em>functional medicine physician Amy Myers asserts that a functional medicine approach is required to treat autoimmune disease. She insists that modern lifestyles are more to blame than genetics.<\/p>\n\n\n\n<p>Keep reading to learn what&#8217;s causing the autoimmune epidemic.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-functional-medicine-vs-traditional-medicine\"><strong>Functional Medicine vs Traditional Medicine<\/strong><\/h2>\n\n\n\n<p>Amy Myers believes traditional medicine is ill-equipped to prevent or reverse autoimmune conditions. Instead, she argues that <strong>autoimmune sufferers need a functional<\/strong> <strong>medicine approach that holistically addresses the causes and treatments of autoimmune disease<\/strong>.\u00a0<\/p>\n\n\n\n<p>We\u2019ll begin this section by explaining what functional medicine is, and then we\u2019ll explore how it explains the causes of autoimmune diseases. We\u2019ll also discuss why Myers believes these causes are behind an autoimmune epidemic in the US. Finally, we\u2019ll explore how to use functional medicine for autoimmune disease prevention and healing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-is-functional-medicine\"><strong>What Is Functional Medicine?<\/strong><\/h3>\n\n\n\n<p><strong>Myers describes functional medicine as a whole-body approach to health that considers how all bodily systems interact<\/strong>, rather than treating different parts in isolation. Instead of addressing individual symptoms, it seeks to restore overall health by dealing with root causes. Functional medicine treatments include special diets and lifestyle changes while using medications only when necessary.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Looking Beyond Traditional Medicine<\/strong><br><br>Other experts agree with Myers\u2019 critique of traditional medicine. Gabor Mat\u00e9, author of <a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Myth of Normal<\/em><\/a><em>, <\/em>criticizes what he calls the dominant <em>biomedical model <\/em>of health for its limited perspective. He argues that this model <a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal#the-conventional-biomedical-model\" target=\"_blank\" rel=\"noreferrer noopener\">fails to understand health holistically<\/a>,<strong> <\/strong>instead viewing health and illness almost exclusively as the result of the physical processes of biochemistry, pathology, and physiology. As such, it doesn\u2019t consider the broader social, psychological, and environmental influencers of health. He writes that this reduces complex human conditions, such as autoimmune disorders, to mere symptoms that need to be treated or managed, often through intrusive and unnecessary pharmaceuticals or surgical procedures.&nbsp;<br><br>While Myers favors functional medicine, <strong>Mat\u00e9 instead <\/strong><a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal#part-4-toward-a-holistic-healing-model\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>advocates for the <em>biopsychosocial model<\/em><\/strong><\/a>, an approach to medicine that recognizes that our thoughts, feelings, social interactions, and environment profoundly impact our health. Both functional medicine and <a href=\"https:\/\/www.shortform.com\/blog\/biopsychosocial-model-for-depression\/\">the biopsychosocial model<\/a> emphasize the impact of the environment and lifestyle on health, and they address the root <em>causes <\/em>of illness rather than merely treating <em>symptoms<\/em>. However, the <a href=\"https:\/\/www.shortform.com\/blog\/the-biopsychosocial-model-of-health\/\">biopsychosocial model<\/a> highlights\u2014as the name suggests\u2014psychological and social factors, including emotional balance, social connection, and a harmonious relationship with your environment.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-the-multi-dimensional-cause-much-more-than-genetics\"><strong>The Multi-Dimensional Cause: Much More Than Genetics<\/strong><\/h3>\n\n\n\n<p>While traditional doctors often point to your genes as the cause of your autoimmune condition, <strong>Myers explains that autoimmunity has multiple causes beyond just genetics<\/strong>.<\/p>\n\n\n\n<p>Myers believes that <strong>the genes predisposing you to develop an autoimmune condition activate when your immune system becomes chronically stressed and dysregulated<\/strong>. This means that while genetics play a role in causing autoimmunity, they\u2019re not the sole cause.<\/p>\n\n\n\n<p>Below, we\u2019ll explore five immune system stressors that can lead to autoimmunity.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-stressor-1-an-unhealthy-digestive-system\">Stressor 1: An Unhealthy Digestive System<\/h4>\n\n\n\n<p>Myers argues that <strong>digestive health is crucial for immune function<\/strong>. She emphasizes that about 80% of your immune system overlaps with your digestive system. For example, the saliva in your mouth and the good bacteria in your stomach neutralize many of the germs that enter your body through food or water. However, many factors can disrupt gut health, including the following:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inflammatory foods (especially gluten, dairy, sugar, and <a href=\"https:\/\/www.shortform.com\/blog\/why-is-food-processed\/\">processed foods<\/a>)<\/li>\n\n\n\n<li>Medications (particularly antibiotics)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.shortform.com\/blog\/long-term-stress\/\">Chronic stress<\/a><\/li>\n\n\n\n<li>Infections<\/li>\n<\/ul>\n\n\n\n<p>According to Myers, <strong>an unhealthy digestive system can trigger autoimmunity by creating a <\/strong><strong><em>leaky gut<\/em><\/strong>. Certain foods thin the lining of your intestines, allowing partially digested food particles, toxins, and bacteria to escape into your bloodstream. This triggers an immune response as your body attacks these invaders. Over time, this chronic <a href=\"https:\/\/www.shortform.com\/blog\/autoimmune-inflammation\/\">inflammation and immune system<\/a> stress can lead to autoimmune conditions.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-stressor-2-toxins\">Stressor 2: Toxins<\/h4>\n\n\n\n<p>Myers explains two ways that toxins can lead to autoimmunity. First, toxins can <strong>reduce the production of cells that regulate your immune system<\/strong>.<\/p>\n\n\n\n<p>Second, toxins can <strong>confuse your immune system,<\/strong> weakening its ability to distinguish between foreign tissue and your own body. This happens when toxins overstimulate your immune system. It also happens when toxins alter or damage cells in your body so your immune system no longer recognizes them as part of your body.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.shortform.com\/blog\/toxin-exposure\/\">Environmental toxins<\/a> come from multiple sources\u2014we\u2019ll discuss four of them. The first source is <strong>water<\/strong> containing fluoride and chlorine.<\/p>\n\n\n\n<p>Secondly, environmental toxins are found in <strong>toiletries<\/strong>. These products contain harmful ingredients like parabens, phthalates, and heavy metals.&nbsp;<\/p>\n\n\n\n<p>Toxins are also found in a third source: <strong>food<\/strong>. For example, food can contain pesticides, heavy metals (especially fish), and chemicals leached from plastic containers and non-stick cookware.<\/p>\n\n\n\n<p>Finally, <strong>indoor areas<\/strong> are sources of toxins. Homes can house toxins from building materials, furniture, carpeting, and mold growth. Indoor air can contain chemicals from cleaning products and building materials.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-stressor-3-infections\">Stressor 3: Infections<\/h4>\n\n\n\n<p>In addition to facing toxins, our bodies also face environmental stressors in the form of germs that cause infections. Myers explains that there are two main ways <strong>infections can trigger autoimmunity<\/strong>. Your immune system might attack both the infection and similar-looking, healthy body tissues, or it might attack healthy tissue surrounding an infection. As a result, infections may not fully heal and the virus or bacteria may stay in your body, causing chronic inflammation. Some common infections researchers have linked to autoimmunity include the Epstein-Barr virus (EBV) and the E. coli bacteria.<\/p>\n\n\n\n<p>(Shortform note: After Myers wrote this book, a new infection linked to autoimmunity entered the world stage: Covid-19. It can lead to a hyper-inflammatory state that causes the immune system to generate autoantibodies\u2014antibodies that \u201cdefend\u201d your body from itself. The resultant tissue damage can release intracellular components that serve as new targets for the immune system, perpetuating the cycle of inflammation and autoimmunity. People who have had Covid-19 have a higher incidence of autoimmune diseases, especially <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10883027\/\" target=\"_blank\" rel=\"noreferrer noopener\">psoriasis, rheumatoid arthritis, and type 1 diabetes<\/a>. While infections like EBV and E. coli and their effects are well-known, Covid-19 is still relatively new, so its impact on autoimmunity is still being investigated.)<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-stressor-4-emotional-and-psychological-stress\">Stressor 4: Emotional and Psychological Stress<\/h4>\n\n\n\n<p><strong>Chronic stress that\u2019s unresolved or continues escalating for months or years can lead to an overactive immune system<\/strong>. According to Myers, this shows that humans evolved to handle acute rather than chronic stress. In addition, emotional and psychological stress can depress your immune system, making it more susceptible to infections.<\/p>\n\n\n\n<p>(Shortform note: In <a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Myth of Normal<\/em><\/a><em>, <\/em>Mat\u00e9 shares an example of how a chronic stressor like <a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal#the-embodied-trauma-of-internalized-racism\" target=\"_blank\" rel=\"noreferrer noopener\">institutionalized racism can impact physiological health<\/a>. <strong>Institutionalized racism teaches minorities to internalize hate and reject their identities<\/strong>. It teaches this overtly through direct discrimination and subtly through systemic bias and cultural messaging. According to Mat\u00e9, this enforced self-rejection triggers profound psychological wounds that translate into physiological stress responses. This can lead to biological responses like elevated levels of cortisol and inflammation. Over time, this can contribute to health problems such as heart disease, hypertension, and diabetes among affected populations.)<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-stressor-5-modern-hygiene-procedures\">Stressor 5: Modern Hygiene Procedures<\/h4>\n\n\n\n<p>Myers adds that, although they\u2019re lifesaving, <strong>modern sanitation and medical practices may contribute to autoimmune conditions<\/strong> by reducing exposure to beneficial bacteria. Factors like being born by C-section, drinking formula instead of breastmilk, and overusing antibiotics deprive children of microbes that help them develop healthy immune systems.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>It\u2019s Possible to Be <em>Too <\/em>Hygienic<\/strong><br><br>Other experts agree that we\u2019ve maybe gone too far in our efforts to protect ourselves from bacteria. Rob Dunn, author of <a href=\"https:\/\/www.harpercollins.com\/products\/the-wild-life-of-our-bodies-rob-dunn?variant=32122616283170\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Wild Life of Our Bodies<\/em><\/a><em>, <\/em>argues that there\u2019s a correlation between modern sanitation practices (like using antibacterial soap) and illnesses (like asthma or diabetes).\u00a0<br><br>Regular soap washes away harmful bacteria. However, <em>antibacterial <\/em>soap has extra germ-killing components like triclosan, and it seems to go further than regular soap, killing helpful bacteria that protect us from other illnesses. This effect is similar to how antibiotics kill the bacteria that make you ill, but those antibiotics also kill the <em>good<\/em> bacteria that live in your stomach. To offset this effect, experts suggest <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3601687\/\" target=\"_blank\" rel=\"noreferrer noopener\">taking probiotics whenever you take antibiotics<\/a> and avoiding antibacterial soap.<br><br>In addition, Dunn argues that there might be a connection between autoimmune disorders and the eradication of worms that tend to live in our intestines. Usually, we see getting rid of these worms as a positive development, and there are public health programs all over the world focused on giving children medication to expel worms. However, some studies have found that children who expel worms have more allergies (just like children <a href=\"https:\/\/www.nature.com\/articles\/s41598-023-44932-8\" target=\"_blank\" rel=\"noreferrer noopener\">born by C-section<\/a> or <a href=\"https:\/\/internationalbreastfeedingjournal.biomedcentral.com\/articles\/10.1186\/s13006-019-0241-x#Sec9\" target=\"_blank\" rel=\"noreferrer noopener\">who aren\u2019t breastfed directly<\/a>). This suggests that losing the worms weakened their immunity. In addition, populations that have eradicated worms have more cases of Crohn\u2019s disease, an autoimmune disorder. In fact, researchers treating Crohn\u2019s patients with worms are <a href=\"https:\/\/www.npr.org\/2011\/07\/22\/138610583\/exploring-the-wild-life-of-our-bodies\" target=\"_blank\" rel=\"noreferrer noopener\">seeing a reversal in many of their symptoms<\/a>.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-the-autoimmune-epidemic\"><strong>The Autoimmune Epidemic<\/strong><\/h3>\n\n\n\n<p>According to Myers, <strong>these environmental and lifestyle stressors are driving<\/strong> <strong>an autoimmune epidemic in the United States<\/strong>. She points to the fact that autoimmune diagnoses have tripled in the US over the past half century. Myers argues that genetic changes occur too slowly to explain such a rapid and recent increase, which suggests that environmental and lifestyle factors are behind the epidemic.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Additional Details About the Autoimmune Epidemic<\/strong><br><br>Other doctors are also sounding the alarm about an autoimmune epidemic. Sara Szal, author of <a href=\"https:\/\/www.harpercollins.com\/products\/the-autoimmune-cure-sara-szal-gottfried?variant=42747889221666\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Autoimmune Cure<\/em><\/a><em>, <\/em>argues that 30% of Americans have autoantibodies\u2014triple the percentage of 25 years ago. This suggests an even faster rise in autoimmunity than the increase Myers describes. This is perhaps because the increase Myers describes is based on the number of autoimmune <em>diagnoses,<\/em> whereas autoantibodies can exist in the body <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC209428\/\" target=\"_blank\" rel=\"noreferrer noopener\">before a full-fledged autoimmune disease<\/a>.<br><br>Also, there seems to be a gender imbalance in the autoimmune epidemic, with 80% of cases occurring in women. In <a href=\"https:\/\/shortform.com\/app\/book\/the-myth-of-normal\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Myth of Normal<\/em><\/a>, Mat\u00e9 argues that this is due to women\u2019s tendency to prioritize others\u2019 needs over their own, causing stress that weakens immunity. This is further evidence that environmental and lifestyle factors are behind the autoimmune epidemic.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-functional-medicine-s-multi-dimensional-answer-alter-your-lifestyle\"><strong>Functional Medicine\u2019s Multi-Dimensional Answer: Alter Your Lifestyle<\/strong><\/h3>\n\n\n\n<p>According to Myers, <strong>a multi-dimensional understanding of autoimmunity opens up more opportunities for prevention and treatment<\/strong> because many of the risk factors are in your control.<strong> <\/strong>She recommends you reorganize your lifestyle to limit those risk factors. This includes eliminating problematic foods, healing your gut, reducing your exposure to toxins, addressing hidden infections that haven\u2019t fully healed, and managing stress. Unlike conventional medicine&#8217;s symptom-focused approach, this method addresses the root causes of autoimmunity.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What&#8217;s the difference between functional medicine and traditional medicine? What can functional medicine do for autoimmune disease? In her book The Autoimmune Solution, functional medicine physician Amy Myers asserts that a functional medicine approach is required to treat autoimmune disease. She insists that modern lifestyles are more to blame than genetics. Keep reading to learn what&#8217;s causing the autoimmune epidemic.<\/p>\n","protected":false},"author":8,"featured_media":144408,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[16,160],"tags":[1779],"class_list":["post-143940","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-science","tag-the-autoimmune-solution","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Functional Medicine Approach to Autoimmune Disease - Shortform Books<\/title>\n<meta name=\"description\" content=\"Traditional medicine isn&#039;t equipped to heal autoimmune disease. Here&#039;s why functional medicine is much more effective. 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