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The Autoimmune Wellness Podcast: Daily Summaries Delivered
by Mickey Trescott + Angie Alt of Autoimmune Paleo
The Autoimmune Wellness Podcast is brought to you by Mickey Trescott, NTP (THE AUTOIMMUNE PALEO COOKBOOK) and Angie Alt, NTC, CHC (THE ALTERNATIVE AUTOIMMUNE COOKBOOK), who are both bloggers, authors, and autoimmune health advocates. After personally learning how to live well with five autoimmune diseases — Hashimoto's and celiac, for Mickey, and endometriosis, lichen sclerosis, and celiac for Angie — they are on a mission to change the way autoimmune disease is viewed, treated, and managed. Their approach combines the best of both natural and conventional medicine to give those with autoimmune disease their best chance at living a vibrant, healthy life!
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 2 weeks ago31 min
My Healing Update: Autoimmunity, Perimenopause & Building Resilience (Ep 102)
My Healing Update: Autoimmunity, Perimenopause & Building Resilience (Ep 102)What does healing look like 15 years into living with autoimmune disease? For Mickey Trescott, it looks a lot different than it did in the beginning. Instead of focusing on getting out of a health crisis, she's now thinking about maintaining stability, adapting to new challenges, and building resilience for the decades ahead.In this personal update, Mickey shares how she's doing with celiac disease, Hashimoto's thyroiditis, and psoriatic arthritis, including why stability has been one of the most meaningful developments this year. She also discusses what she's eating after 15 years of AIP reintroductions, how her food tolerances continue to evolve, and why her approach remains focused on dietary diversity rather than restriction.Mickey also shares some bigger changes involving perimenopause, hormone therapy, and bone health. From discovering osteopenia on her first DEXA scan to making unexpected progress with longstanding tendon pain, she explains how these experiences have reshaped her movement and strength-training goals. Throughout the episode, she reflects on the value of foundational habits, appropriate medical care, and learning to enjoy a good season of health without worrying about what might come next.In this episode, you'll learn:What Mickey is eating 15 years after starting AIP and how her food tolerances have evolvedHow she's managing psoriatic arthritis, Hashimoto's, and celiac diseaseWhy stability can be just as meaningful as making new changesHow progesterone therapy has affected her sleep during perimenopauseWhat she learned from discovering osteopenia on her first DEXA scanHer experience with testosterone therapy and unexpected improvements in tendon painHow physical therapy and progressive strength training are helping her build resilienceWhy reduced stress has been an important part of feeling better this yearWhat's changed—and what hasn't—in her supplement routineWhy long-term healing is about building the capacity to live your life, not achieving perfect healthResources:Episode 56: My Healing Journey UpdateThe New Autoimmune Protocol by Mickey TrescottThe Autoimmune Protocol: https://theautoimmuneprotocol.comFollow Mickey on Instagram: @mickeytrescottEpisode Timeline:00:00 – What healing looks like 15 years into autoimmune disease03:10 – What I'm eating these days10:43 – My autoimmune update13:22 – Hashimoto's and thyroid treatment update15:32 – Perimenopause, hormone therapy, and sleep19:06 – My DEXA scan and osteopenia surprise22:13 – Testosterone, tendon pain, and getting stronger25:18 – Stress, resilience, and enjoying a good season28:00 – An update on supplements29:14 – Wrap-up and closing
- 3 weeks ago53 min
Navigating Health Information Online with Dr. Guillermo Ruiz (Ep 101)
Episode 101: Navigating Health Information Online with Dr. Guillermo RuizHealth information has never been easier to access—and somehow, it’s never felt harder to know what to trust. Between new research, expert opinions, personal stories, social media, supplement claims, and the latest wellness trends, it can be difficult to separate what’s plausible, what’s promising, and what’s actually been demonstrated.In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by Dr. Guillermo Ruiz, a naturopathic physician who practices naturopathic endocrinology with a focus on metabolic health. His work centers on bringing an evidence-based approach to naturopathic and integrative medicine while remaining curious about emerging ideas.Together, they explore how to navigate the gray areas of health information without becoming either overly skeptical or too quick to embrace the latest trend. They discuss how to evaluate health claims, why individual context matters, the difference between anecdotes and evidence, and how to think about risk when experimenting with diets, supplements, medications, and emerging therapies.In this episode, you'll learn:Why having access to more health information doesn’t necessarily make health decisions easierWhy individual biology and context can make one-size-fits-all health advice misleadingHow social media can turn useful health strategies into universal recommendationsWhy layering multiple restrictive diets or wellness strategies can create more problemsHow to look beyond a compelling headline to understand what a study actually foundWhy emerging treatments and supplements require weighing potential benefits against potential risksHow personal stories can provide useful clues without being the same as scientific evidenceWhy “natural” doesn’t automatically mean safe—and prescription medications aren’t automatically more dangerousRed flags to watch for in online health content, including absolute claims, cure language, and lack of nuanceHow to approach personal health experiments with clearer guardrailsWhy food, movement, sleep, and other foundational habits should come before chasing the latest health trendResources:Follow Dr. Guillermo Ruiz: @3030strongContact Dr. Ruiz: guillermo@3030strong.comDr. Ruiz Practice: Go HealthEpisode Timeline:00:00 – How do we know what health information to trust?02:20 – Introducing Dr. Guillermo Ruiz04:32 – Why navigating health information online is so challenging17:56 – Evaluating health headlines, studies, and products29:29 – How to navigate personal stories and anecdotes34:12 – The hidden risks of supplements and herbal medicine40:31 – Red flags in online health content44:32 – How to approach personal experimentation with caution50:39 – Wrap-up and where to follow Dr. Ruiz
- Oct 12, 202638 min
AIP Community Q4 Update: Events, Advocacy & Research (Ep 100)
Episode 100: AIP Community Q4 Update — Research, Advocacy & CommunityAutoimmune wellness doesn’t happen in isolation. It’s shaped by the research being published, the advocacy happening on behalf of patients, and the communities that help turn information into something meaningful in everyday life.In this Q4 Community Update—and the 100th episode of the Autoimmune Wellness Podcast—Mickey Trescott catches up on some of the developments happening across the autoimmune landscape, with a focus on research, advocacy, and community.First, immunologist and AIP Certified Coach Sybil Cooper, PhD, joins Mickey to discuss a newly published qualitative study exploring the experiences of people with rheumatoid arthritis who participated in an AIP intervention. They look beyond symptom outcomes to explore what it was actually like to implement AIP, the challenges participants faced, what kinds of support helped, and what their diets looked like one year later.Next, Jaime Hartman joins Mickey to recap the Autoimmune Association’s Hope Journey Walk, where Team AIP participated in Washington, DC, Michigan, and virtually around the country. They discuss the importance of showing up as a community, raising awareness, and connecting AIP with the broader autoimmune research and advocacy landscape.Finally, Jamie-Nicole Martin, founder and CEO of the AIP BIPOC Network, shares updates on the organization’s work supporting people navigating changes to insurance, medication, and food benefits, along with community outreach, an autoimmune and menopause research project, and plans to expand access to resources in the year ahead.Together, these conversations show how research, advocacy, and community intersect—and why all three matter for people living with autoimmune disease.In this episode, you’ll learn:What qualitative research can teach us about the real-world experience of following AIPWhat participants in the rheumatoid arthritis AIP study found most challengingWhat happened when researchers followed the RA participants one year laterHow Team AIP participated in the Autoimmune Association’s Hope Journey WalkWhy connecting the AIP community with broader autoimmune advocacy and research mattersHow the AIP BIPOC Network is helping people navigate changing insurance, pharmacy, and food benefitsWhat Jamie-Nicole’s autoimmune and menopause research project is exploringWhy community resources need to evolve as people move through different stages of life with autoimmune diseaseResources:Exploring Participant Experiences With the Autoimmune Protocol Diet in Rheumatoid Arthritis: A Longitudinal Qualitative StudyAutoimmune Association – Hope Journey Walk, research, advocacy, and patient supportAIP BIPOC Network AIP Certified Coach Program & Practitioner DirectoryEpisode Timeline:00:00 – Introduction to the Q4 Community Update and Episode 10001:56 – Research update with Sybil Cooper, PhD03:00 – Understanding qualitative vs. quantitative research05:20 – Challenges participants experienced implementing AIP08:10 – The role of professional, household, and peer support10:40 – What participants were eating one year later13:15 – Reintroductions, long-term success, and lessons for the AIP community15:50 – Jaime Hartman: Hope Journey Walk & Team AIP17:20 – What the Hope Journey Walk was like20:00 – Why Team AIP’s presence matters22:40 – Community connection and the broader autoimmune movement26:36 – Jamie-Nicole Martin: AIP BIPOC Network update27:30 – Navigating changes to benefits and healthcare access29:30 – Autoimmune disease and menopause research31:00 – Community outreach and the Abilities Expo33:00 – Connecting people with resources throughout the autoimmune journey34:45 – What’s next for the AIP BIPOC Network36:02 – Episode 100 reflections and wrap-up
- Oct 5, 202652 min
ADHD, Women’s Health, and Autoimmune Disease with Dr. Jolene Brighten (Ep 99)
Episode 99: ADHD, Women’s Health, and Autoimmune Disease with Dr. Jolene BrightenWhat if the brain fog, overwhelm, forgetfulness, trouble focusing, or emotional intensity you’ve been blaming on hormones or autoimmune disease has another layer to it?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by hormone expert, nutrition scientist, and bestselling author Dr. Jolene Brighten for a conversation about ADHD through the lens of women’s hormones, brain health, and autoimmune disease.Together, they explore why ADHD can look different in women and why so many women aren’t diagnosed until later in life. They discuss how ADHD symptoms can shift throughout the menstrual cycle and become especially challenging during perimenopause, as well as the complex relationship between hormones, inflammation, the gut, and the brain. Dr. Brighten also shares her perspective on hormone replacement therapy for women with ADHD, practical ways to support the microbiome, and simple strategies for making nutrition, movement, and daily life more ADHD-friendly.In this episode, you'll learn:Why ADHD often looks different in women and can go undiagnosed for decadesWhat’s happening in the ADHD brain beyond problems with attentionHow estrogen, progesterone, and the menstrual cycle can influence ADHD symptomsWhy perimenopause may reveal ADHD that was previously masked or well-compensatedWhat women with ADHD should know about hormone replacement therapyWhat we know about the relationship between ADHD, inflammation, and autoimmune diseaseHow gut health and food sensitivities may interact with ADHD symptomsPractical strategies for nutrition, movement, and reducing overwhelm with ADHDResources:Book: ADHD and Women by Dr. Jolene BrightenADHD and Women resources and bonuses: drbrighten.com/adhdinwomenPodcast: The Dr. Brighten ShowFollow Dr. Jolene Brighten: @drjolenebrightenEpisode Timeline:00:00 – ADHD, hormones, and autoimmune disease01:59 – Introducing Dr. Jolene Brighten04:10 – How ADHD presents in women06:48 – What is going on in an ADHD brain?11:19 – How ADHD symptoms change throughout the menstrual cycle16:42 – How perimenopause affects ADHD24:57 – How HRT can affect the ADHD brain33:44 – The relationship between autoimmune disease and ADHD37:58 – How to “microdose your microbiome”43:12 – Food sensitivities and ADHD45:54 – How to tackle overwhelm with ADHD49:40 – Wrap-up and closing
- Sep 28, 202632 min
Food Sensitivity Testing: What Tests Can and Can't Tell You (Ep 098)
Episode 98: Food Sensitivity Testing: What Tests Can and Can’t Tell YouFood sensitivity tests promise something incredibly appealing: send in a sample, receive a personalized list of reactive foods, and skip the uncertainty of elimination and reintroduction. But can these tests actually tell you which foods are causing your symptoms?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott takes a closer look at the science behind commercial food sensitivity testing, including IgG panels, MRT, ALCAT, and other commonly marketed approaches. She explains the important difference between a test being able to measure something in the body and that measurement actually being clinically useful.Mickey also explores what it means for a diagnostic test to be properly validated, why major allergy organizations recommend against IgG food sensitivity testing, and why feeling better after following test results doesn’t necessarily prove that the test accurately identified your problem foods. Finally, she shares fascinating emerging research into food reactions that conventional testing may not yet capture—and explains why systematic elimination and reintroduction remain the most useful tools for building a personalized diet.In this episode, you'll learn:What IgG food sensitivity tests actually measure—and why a positive result doesn’t necessarily indicate a harmful reactionHow MRT, ALCAT, and other food sensitivity tests work and where the evidence falls shortThe difference between analytical validity, clinical validity, and clinical utilityWhy feeling better after following test results doesn’t necessarily prove the test accurately identified your problem foodsWhy elimination and systematic reintroduction remain the best way to identify individual food toleranceWhat emerging research may tell us about food reactions conventional testing doesn’t captureWhy unnecessary food restriction can have nutritional, financial, and quality-of-life consequencesHow to think about past food sensitivity test results without dismissing your own experienceResources:Episode 54: A Deep Dive Into the AIP Reintroduction ProcessThe Autoimmune Protocol: theautoimmuneprotocol.comResearch on confocal laser endomicroscopy and food-related reactions in IBS (Study 1 and Study 2)Episode Timeline:00:00 – Can food sensitivity tests really identify problem foods?02:59 – IgG food sensitivity testing07:16 – MRT, ALCAT, and other food sensitivity tests12:31 – What does it mean for a test to be validated?16:22 – But what if the test worked for me?19:28 – Why elimination and reintroduction remain the gold standard23:10 – Emerging research into food reactions we can’t yet test for26:52 – Reframing food sensitivity testing31:33 – Wrap-up and closing
- Sep 21, 202630 min
Integrative Rheumatology: Bridging Medicine, Nutrition & Lifestyle with Dr. Micah Yu (Ep 97)
Episode 97: Integrative Rheumatology: Bridging Medicine, Nutrition & Lifestyle with Dr. Micah YuFor many people living with autoimmune disease, seeing a rheumatologist can bring up a lot of uncertainty—especially if you want to incorporate nutrition and lifestyle alongside conventional medical care.In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by Dr. Micah Yu, a quadruple board-certified physician specializing in rheumatology, internal medicine, integrative medicine, and functional medicine. Dr. Yu also lives with autoimmune arthritis himself, giving him a unique perspective as both physician and patient.Together, they explore what integrative rheumatology actually looks like, why conventional medicine and lifestyle don't have to be an either/or choice, and how patients can build a healthcare team that supports the full picture of autoimmune health. They also discuss how to prepare for a rheumatology appointment, when medications may be necessary, and how nutrition and lifestyle can work alongside medical treatment. In this episode, you'll learn:How Dr. Yu's experience with gout and spondyloarthritis shaped his approach to medicineWhat rheumatologists actually treat and why they often serve as "detectives" for complex casesCommon misconceptions about rheumatologists, nutrition, and lifestyle medicineWhy time constraints within conventional healthcare can make complex autoimmune care challengingWhat integrative and functional rheumatology looks like in practiceWhy medication and lifestyle interventions don't have to be mutually exclusiveHow to prepare for a rheumatology appointment and make the most of limited timeWhy tracking symptoms, medications, supplements, and your health history can help your physicianHow patients and their prescribing providers can approach medication changes when health improvesWhy building a multidisciplinary healthcare team can be valuable for autoimmune diseaseResources:Dr. Lifestyle: https://drlifestyle.orgMy Autoimmune MD: https://myautoimmunemd.comSocial Media: @MyAutoimmuneMDPodcast: Autoimmune AlchemyEpisode Timeline:00:00 – Why rheumatology and lifestyle medicine don't have to be either/or02:15 – Introducing Dr. Micah Yu03:41 – Dr. Yu's personal journey with autoimmune arthritis07:40 – Rheumatology 101: What does a rheumatologist do?10:15 – Common misconceptions about rheumatology16:15 – What integrative and functional rheumatology looks like19:40 – How to get the most out of a rheumatology appointment22:02 – Combining medication with diet and lifestyle25:27 – Hope for people living with autoimmune disease27:34 – Dr. Yu's advice for building a healthcare team28:22 – Wrap-up and where to follow Dr. Yu
- Sep 14, 202642 min
Understanding Food Reactions: Why Foods Affect People Differently (Ep 096)
Episode 96: Understanding Food Reactions: Why Foods Affect People DifferentlyOne of the central goals of the Autoimmune Protocol is figuring out which foods work for you and which ones don’t. But when a symptom appears after eating a food, what actually counts as a food reaction—and does every reaction mean the same thing?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott explores the science of food reactions and why they can look so different from person to person. She breaks down the major categories of reactions, including food allergies, celiac disease and non-celiac gluten sensitivity, digestive intolerances, and reactions to specific compounds in foods.Mickey also explains why a reaction and its underlying mechanism aren’t necessarily the same thing, and why that distinction matters when personalizing your diet. She explores how dose, timing, preparation, digestive function, and other factors can influence food tolerance, plus why a reproducible reaction can still provide useful information even when science can’t yet explain exactly why it happens.In this episode, you'll learn:The many ways a food reaction can show up, including changes in autoimmune symptomsThe difference between a food reaction and its underlying biological mechanismHow food allergies, celiac disease, food sensitivities, and digestive intolerances differWhy dose, timing, preparation, and digestive function can influence food toleranceHow compounds like histamine and sulfites can trigger symptoms in some peopleWhy meaningful food reactions can occur even when we don’t fully understand the mechanismWhy food reactions can be difficult to identify when symptoms fluctuateHow AIP elimination and reintroduction help identify the foods that work for youResources:The Autoimmune Protocol: theautoimmuneprotocol.comThe New Autoimmune Protocol by Mickey TrescottEpisode Timeline:00:00 – Understanding what constitutes a food reaction03:24 – What can a food reaction actually look like?07:29 – Food allergy: When the immune system reacts to food15:22 – Gluten reactions: Celiac disease and non-celiac gluten sensitivity21:54 – Food intolerances: When digestion and absorption are the problem27:35 – Reactions to compounds in food: When it isn’t the food itself35:37 – Why food reactions can be so hard to figure out40:06 – Bringing it back to AIP: Finding the foods that work for you42:06 – Wrap-up and closing
- Sep 7, 202649 min
Understanding Perimenopause: A Beginner's Guide with Dr. Mariza Snyder (Ep 95)
Episode 95: Understanding Perimenopause: A Beginner’s Guide with Dr. Mariza SnyderPerimenopause can feel especially confusing when you’re already living with autoimmune disease. Changes in sleep, mood, energy, inflammation, cognition, and even how your body responds to familiar strategies can leave you wondering: Is this an autoimmune flare, perimenopause, or both?In this episode of the Autoimmune Wellness Podcast, Mickey Trescott is joined by functional medicine practitioner, bestselling author, and women’s hormone health expert Dr. Mariza Snyder for a Perimenopause 101 conversation designed to help women understand what’s actually happening during this transition.Together, they explore when perimenopause can begin, the surprising symptoms that often appear before cycle changes, and why fluctuating estrogen and progesterone may be especially disruptive for women managing autoimmune disease. They also discuss the foundational role of nutrition, sleep, strength training, metabolic health, and stress resilience, plus where hormone replacement therapy may fit into a personalized approach.In this episode, you'll learn:What perimenopause is and why it can begin as early as the late 30sWhy symptoms can appear years before noticeable menstrual cycle changesCommon early symptoms, including anxiety, irritability, brain fog, sleep disruption, and mood changesWhy perimenopause and autoimmune flares can be difficult to distinguishHow estrogen and progesterone interact with immune regulation and inflammationWhy strategies that worked for years may suddenly feel less effectiveHow tracking symptoms alongside your menstrual cycle can reveal important patternsWhy blood sugar regulation, nutrition, sleep, strength, and stress resilience matter in perimenopauseDr. Mariza’s “landing the plane” strategy for improving your nighttime routineHow to advocate for better perimenopause care and know when to seek additional supportWhere hormone replacement therapy may fit alongside foundational lifestyle strategiesWhy your needs may continue to change throughout the perimenopause transitionResources:Book: The Perimenopause RevolutionThe Perimenopause Revolution resources: drmariza.com/bookPodcast: Energized with Dr. MarizaEpisode Timeline:00:00 – Why perimenopause can be confusing with autoimmune disease03:16 – Introducing Dr. Mariza Snyder04:28 – Perimenopause 101: What are we dealing with?10:28 – Common and surprising symptoms of perimenopause17:14 – The perimenopause-autoimmune connection23:22 – Why old strategies can stop working in perimenopause28:27 – A foundational approach to perimenopause35:28 – Knowing when to dig deeper and advocate for care40:57 – Hormone replacement therapy in perimenopause46:09 – Hope for autoimmune women navigating perimenopause
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About The Autoimmune Wellness Podcast
The Autoimmune Wellness Podcast is brought to you by Mickey Trescott, NTP (THE AUTOIMMUNE PALEO COOKBOOK) and Angie Alt, NTC, CHC (THE ALTERNATIVE AUTOIMMUNE COOKBOOK), who are both bloggers, authors, and autoimmune health advocates. After personally learning how to live well with five autoimmune diseases — Hashimoto's and celiac, for Mickey, and endometriosis, lichen sclerosis, and celiac for Angie — they are on a mission to change the way autoimmune disease is viewed, treated, and managed. Their approach combines the best of both natural and conventional medicine to give those with autoimmune disease their best chance at living a vibrant, healthy life!
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