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DR. KATIE LEAH, N.D.

Naturopathic Physician

Candida Elimination Lifestyle Program


Candida is a yeast that can occur normally in your mouth, sinuses, digestive tract and on your skin. It can be harmless until certain conditions can cause it to grow out of balance and overtake your immune systems ability to keep it at bay. Some of the most common symptoms associated with an overgrowth of Candida include: Gas & bloating Fatigue Headaches A feeling of brain fog Skin rashes Sinus congestion & runny nose Chronic infections Sugar cravings Due to the varying symptoms, candidiasis can be difficult to diagnosis. It is often associated with other diseases such as chronic fatigue syndrome, Crohns disease, fibromyalgia, multiple sclerosis and rheumatoid arthritis. An overgrowth of Candida can be challenging to treat. It involves more than simply killing off the yeast. It also involves changing your dietary patterns so that yeast does not continue to grow once the treatment is over. To make your body a less favourable place for yeast to grow, the following things must be considered: Cutting off the Food Supply: in order to rebalance your gut flora and to prevent yeast overpopulation in the future, foods that feed the yeast must be eliminated from your diet. This mostly consists of foods containing sugar. See below for a complete list of foods that feed yeast. Killing off the Yeast: antifungal and anti-yeast treatments will help to eliminate the overgrowth of Candida and restore a proper balance of flora in your gut. Reducing Sugar Cravings: as the Candida are dying off in your gut, you will likely experience an increase in sugar cravings that can seem unbearable. Gut Flora: the addition of beneficial gut flora must be incorporated into your treatment plan. Some of our beneficial bacteria such as Lactobacillus acidophilus and bifidus have been shown to displace Candida to maintain a healthy bacterial balance in your intestines. In the absence of beneficial bacteria, yeast can take over.
Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca @drkatieleahND

Causes of Candida

The most problematic forms of Candida have hyphae that allow it to grow, spread and release toxins into your system. You can have Candida in your system, but if it does not grow hyphae, you will have minimal symptoms of Candida. Main causes of Candida: 1. Lowered immune system function 2. Abnormal intestinal terrain & lack of flora (due to the use of antibiotics, anti-ulcer drugs etc.) 3. High blood sugar levels (due to diabetes, insulin insensitivity, abnormal blood sugar metabolism) 4. High estrogen levels (commonly associated with the oral birth control pill) 5. Exposure to yeast or mold in your environment (damp, water damaged homes, moldy bathrooms) 6. Moist enclosed areas (wearing non-breathable, tight clothing) 7. Excess stress & overwork

Symptoms of Candida
Candida overgrowth can cause a wide variety of symptoms. Often people may experience as many as 20 of the following symptoms. Allergic /Upper Respiratory Genitourinary
Blurred vision, Bronchitis (recurrent), Chemical sensitivity, Chest pain or tightness, Coughing, Dry mouth & throat, Earaches, Allergic rhinitis, Hives, Head tension, Itchy ears, nose & throat, Post nasal drip, Shortness of breath, Sinus congestion & infections, Sore throats, Swollen lips or face, Tearing or dry eyes

Bladder infection (recurrent), Burning on urination, Cystitis (inflammation of the bladder), Edema, Frequent urination, Impotency, Infertility, Loss of sexual feelings, Prostatitis

Glandular and Autoimmune

Cognitive

Adrenal and thyroid gland malfunction, Cold hands or feet, Diabetes mellitus, Hypoglycemia, Hypothyroidism, Low body temperature, Lupus

Attention Deficit Disorder, ADHD, Confusion, Disorientation, Drowsiness, Fatigue, Feelings of unreality, foggy thinking, Hyperactivity, Inability to concentrate, Obsessive Compulsive Disorder, Poor memory

Skin

Emotional

Acne, Athlete's foot, Dandruff, Diaper rash, Dry skin, Eczema Excessive perspiration, Facial rash, Fungal infection of the nails, Impetigo, Inflammation of hair follicles, Psoriasis, Seborrheic dermatitis, Tinea cruris (jock itch)

Anxiety, Depression, Mood swings, Irritability, Nervousness

Gastrointestinal

Women's Issues

Bloating, Constipation, Diarrhea, Dry mouth, Food allergies & intolerances, Gas, Halitosis, Heartburn, Indigestion, IBS, Lactose Intolerance, Oral thrush (candida infections in the mouth), Rectal itch

Cramps, Difficulty Conceiving, Endometriosis, Menstrual irregularities, Painful intercourse, PMS, Recurrent vaginal yeast infections, Vulvovaginitis, Vaginal burning, itching or discharge

Other

Conjunctivitis, Chronic fatigue, Eye Fatigue, Excessive weight loss, Insomnia, Joint pain, Muscle pain & weakness, Obesity, Symptoms worse upon waking, Tingling and numbness

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca @drkatieleahND

Food Guidelines

EAT AS MUCH AS YOU WANT:


1. Vegetables As a general rule, the darker green or brighter coloured vegetables contain the most nutrients and antioxidants that will support healthy functioning of your body without feeding the yeast. Artichoke Asparagus Beets Bok Choy Broccoli Brussel sprouts Cabbage Cauliflower Celery 2. Whole Grains Include plenty of whole grains and try to eat them in their natural form (i.e.: as grains, not as flour). Avoid all grain products made with yeast. Acceptable grains include: Amaranth Brown Rice Millet 3. Protein Quinoa Wild Rice Buckwheat Chives Cucumbers Bell peppers Swiss chard Spinach Mustard greens Beet greens Collard greens Kale Garlic Lettuce Onions Parsley Radishes String beans Tomatoes Okra Zucchini

Having a bit of protein with each snack or meal is important to help reduce sugar cravings. The protein will keep your blood sugar stable so that you wont get hungry fast between meals and find yourself reaching for a sugary snack to tide you over. Try to include fish at least three times per week. Chicken Fish (cod, halibut, salmon, Beans (kidney, black, chickpea) Eggs (organic) tuna, snapper, sole) Peas & Lentils Turkey Tofu Tempeh All nuts and seeds should be eaten raw or as spreads (almonds, walnuts, pecans, pine nuts, macadamias, hazelnuts, sesame seeds, sunflower seeds, pumpkin seeds, hemp seeds, etc.) Do not eat peanuts, cashews, and pistachios. 4. Fats and Oils Healthy fats and oils are an important part of your diet and should be consumed daily. Oils rich in oleic acid such as Extra Virgin Olive Oil have been found to have inhibitory effects on Candida. Healthy fats include those found in olives, nuts and seeds: olive, flax, almond, walnut, sunflower, grapeseed, hemp Oils that can be heated to medium temperature: olive, grapeseed, sesame, sunflower Oils that should not be heated: almond, flax, hemp, walnut, macadamia
Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca @drkatieleahND

5. Beverages Water Chlorophyll and water Unsweetened rice or nut milk (Yu or Almond Breeze) Unsweetened herbal teas 6. Spices/Condiments All spices are okay as long as they dont contain MSG or hydrolyzed vegetable protein Stevia extract is okay if you really need a sweetener once in awhile Braggs Liquid Aminos may be used instead of soy sauce Vanilla may be used if it is glycerin-based and sugar free 1. Vegetables Yams Squash butternut, banana, spaghetti, acorn, 2. Grains Peas Corn

EAT MODERATELY (no more than 2-3x/week, not more than 1 x per day):

Grains in flour form may be eaten occasionally but should not be the main source in your diet. This includes things such as breads, baking, and pasta. Non-gluten flours include: Arrowroot Amaranth Brown rice 1. Sugar Any food containing added sugar must be avoided in order to starve and eliminate the Candida. White or brown sugar Maple syrup Honey Agave nectar Note: Stevia may be used if necessary. 2. Fruit All fresh and dried fruit must be avoided during the elimination portion of the anti-candida protocol in order to avoid feeding the Candida in your gut. Some forms of fruit will be allowed back in the diet as you progress. 3. Dairy Products All animal dairy products including yogurt, cheese, and butter must be avoided during the elimination portion of the anti-candida protocol, as they can disrupt healthy gut flora.
Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca @drkatieleahND

Garbanzo/Chickpea Any nut, seed, or legume flours Buckwheat

FOODS TO AVOID:

Brown rice syrup Malitol, sorbitol, fructose Molasses Natural or artificial sweetener

4. Yeast-Containing Foods All yeast containing foods such as bread and beer must be avoided during the elimination phase. 5. Moldy Foods Foods such as peanuts, pistachios, mushrooms, and moldy cheeses can contribute to the fungal imbalance in your gut and must be avoided during the elimination phase. 6. Fermented Foods Foods that are made from fermented sugars can feed yeast and must be avoided. These include all vinegars and any product containing vinegar such as salad dressing, pickles, ketchup, mayo, and most other condiments. Check the ingredients before you use it. Lemon juice is a great alternative to vinegar in salad dressings. Soy sauce is also a fermented product and should be avoided. Braggs Liquid Aminos may be used instead if desired 7. Alcohol Alcohol can contribute to gut flora imbalances and should be avoided during the elimination phase.

How to handle the cravings:

As Candida yeast begin to die-off they get hungry and disruptive. The yeast can agitate the body and for a short time can cause symptoms such as stomach upset, nausea, constipation, emotional releases, flu like aches, and of course cravings. When the cravings hit, think of them as temptation from the yeast rather than real cravings. The yeast want you to feed them. Eat only enough of the foods you require. Eating constantly, even good foods, can overload the digestive tract, possibly damage it, and slow down the healing process. Keep involved in work, household projects, hobbies, exercise, social activities, and rest as needed. When you eat, make sure that you sit to eat and are calm and relaxed. Eat slowly and chew your food well. Keep a supply of wholesome foods at home, in the refrigerator & freezer and eliminate all foods from your home that you should be avoiding. This will make it easier to fight the temptations when the cravings hit. As healing takes place in the body, natures real cravings will surface, and you will know which foods your body really wants and needs. There are great Candida diet cookbooks and web-sites available to help you with meal ideas to inspire these new dietary changes.

OTHER TREATMENT OPTIONS

Supplements
Non-dairy, gluten, yeast, artificial color and flavour free Vitamin A 5,000iu Vitamin C 2000mg-5000mg a day Calcium 2,000mg a day Vitamin D 400iu daily Vitamin E 400-600iu Magnesium 750-1000mg a day Acidophilus friendly bacteria Spirulina high protein microalgae Coenzyme Q10 100-200mg a day Garlic: 2 cloves/day- raw if possible 1 Tbsp Psyllium in glass of water with aloe juice 2X a day

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca @drkatieleahND

DR. KATIE LEAH, N.D. Naturopathic Physician

General Yeast Free Food List


Food Group

Avoid
Cow milk: casein, whey, and lactose Cream American cheese Mozzarella cheese Brie cheese Blue cheese, stilton Parmesan cheese Cottage cheese Swiss cheese Camembert cheese Sour cream Cream cheese Butter

Eat in Moderation
Ask your practitioner if these are okay to eat during your elimination:

Eat
Unsweetened, unflavoured: Almond milk Coconut milk

Goat feta Goat cheddar Soft goat cheese Sheep cheese: manchego, pecorino Goat yogurt Sheep yogurt Organic Balkan style plain yogurt Organic plain kefir Soy milk Soy cheese (look out for hidden casein)

Hemp milk Oat milk Rice milk

Dairy

Generally, no animal dairy products should be consumed during a food sensitivity elimination or yeast free diet. Ask your practitioner if it is okay for you to have sheep and goat dairy or organic cows milk products. Alternate milk products may include: unsweetened rice, oat, almond or coconut milk. Ask your practitioner if soy products are okay for you.

Barley Kamut Millet Spelt 100% rye Bread made from refined or whole wheat Breads and products leavened with yeast Cereals, refined Donuts Granola with sugar added Whole wheat Wheat, white flour Pastries Popcorn

Flours made from the following grains can be eaten in moderation:


Rice (long grain brown, jasmine) Oat (steel, whole or scotch) Quinoa Kasha groats Buckwheat groats

Arrowroot Amaranth Brown rice (e.g. rice pastas and rice crackers) Chickpea/Garbanzo Nut, seed or legume flours Quejos (Main street X King Ed) Organic corn (tortilla chips, wraps) Cornmeal Organic corn pasta

Grains

Cereal suggestions: oatmeal, granola with no sugar added, alternative wheat/yeast free bread with nut butter, quinoa or rice flakes in place of oatmeal Spelt, kamut, or rice cereals that dont contain wheat or sugar may be consumed in small quantities Amaranth, buckwheat or teff blueberry pancakes Wheat free waffles or pancakes can be made in batches ahead of time and frozen for a quick breakfast

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca

Banana Cantaloupe Cherries Grapefruit (pink, white) Grapes, red and green Honeydew melon Mandarin Mango Orange Peach Pineapple Plums Raisin Tropical fruits (passion fruit, lychee, starfruit) Canned fruit in syrup Sweetened fruit juices Dried fruits (raisins, dates, cranberries, figs)

These may be consumed not more than 2-3 times per week if allowed by your practitioner:

After the elimination phase, the following fruits are allowed in the diet:

Japanese pear apples Papaya Pear Unsweetened, unsulphured dry fruit Unsweetened fruit juice (apple, cranberry), no more than 4 ounces

Apples Blueberries Cranberries Kiwi Lemon Lime Raspberries Strawberries

Fruit

Note: fresh lemon and lime juice is allowed during the elimination phase in place of vinegar

During the initial elimination phase, no fresh or dried fruits should be consumed (lemons and limes are okay). When fruit is allowed back in the diet: Avoid fruit that tastes too sweet Eat ripe fruit, not over or under ripe; Avoid fruit with mold on it Eat raw fruit 15 minutes away from other foods Cooked fruit can be eaten with other foods (e.g. oatmeal with cooked apples) Dont eat fruit too late at night

Avoid

Eat in Moderation

Eat

Beets Carrot Chestnuts Eggplant Mushrooms Potatoes (russet, white) Sweet corn

Artichokes Avocado Bean sprouts Green pepper Kohlrabi Olives Parsnip Peas, green: fresh and frozen Snow peas Spinach Spirulina Squash (yellow, butternut, spaghetti) Taro Tomato Tomato paste Yams Yucca

Asparagus Arugula Beet greens Bok choy Broccoli Brussel sprouts Cabbage Cauliflower Chard Celery Cucumber Daikon Endive Fennel Garlic Ginger Greens (kale, chard, mustard, bok choy) Jicama

Kelp and seaweed Horseradish Leeks Lettuce (leaf, butter, romaine, red) Onion (white, yellow, red) Peppers, red & yellow Peppers, chilli Radishes Scallions Shallots Turnips Vegetable broth Vegetable juice, unsweetened Zucchini All fresh and dried herbs

Vegetables

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca

Food Group

Avoid
Egg: white and yolk Bacon Deli meats Frankfurters Frozen burgers Ham Hot dogs Pork Organ meat Sausages Scallops, mussels, clams Octopus

Eat in Moderation
Turkey, chicken or lamb sausages (whole foods) Beef Duck

Eat
Organic, free-range, nonmedicated: Chicken

Turkey Quail Cornish hens Lamb Game meats (buffalo, bison, venison)

Meat & Poultry

Shrimp and prawns Crab, lobster

Cod Haddock Halibut Salmon Sole Tuna Trout Adzuki Black bean Black-eyed peas Chickpeas Fava Lentils (red, yellow, green, brown, French) Mung Red beans

Fish

Kidney Pinto Textured vegetable protein (TVP)

Miso paste Navy beans Soy beans Tofu

Beans & Legumes

Cashew Macadamia Peanut Pistachio

Coconut Brazil nut Pecan

Raw, unroasted Almond


Flax seeds Hazelnut Pine nut Pumpkin Sesame Sunflower Tahini Walnut Nut butters

Nuts & Seeds

Iodized salt (table salt)

Curry powder

Fresh or dried: Basil Cayenne pepper


Spices

Chilli Chives Cilantro Cinnamon Cumin

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca

Fennel Garlic Ginger Horseradish Paprika Pepper Salt (maldon, sea salt, kosher, mineral salts) Homemade salsa Hummus Babaganoush Guacamole Black bean dip

Apple cider vinegar Mustard White vinegar White wine vinegar Hot sauce Soy sauce Pickled foods Rice vinegar Wheat free tamari Commercial salad dressing YEAST, bakers and brewers Cocoa Cornstarch (use arrowroot powder or potato starch instead)

Sauerkraut

Condiments

Canned foods Guar gum Lecithin Soy flour Xanthan gum

Agar Amaranth Arrowroot Buckwheat (contains no wheat) Chickpea Millet Oat Quinoa Rice Sorghum Teff Bouillon cubes (organic)

Flours & Cooking Ingredients

Artificial sweeteners, Aspartame, Splenda, Twin, Nutrisweet Brown sugar Cane sugar Corn sugar Coconut sap Fructose High fructose corn syrup Honey Maple syrup Molasses Rice syrup Raw agave syrup

Stevia

Sugar & Sweetener

ALCOHOL Beer

Green tea Unsweetened juice Sparkling water Mineral water

Water Warm water with lemon Herbal teas (peppermint, chamomile, ginger, goldenseal, licorice root) Pau Darco/taheebo tea

Beverages

Hops Rum Cognac

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca

Red & white wine Gin Rye Coffee Decaf coffee Black tea Pop and soft drinks Canola Corn Peanut

(antifungal) White tea Jasmine Peppermint

Natural, cold pressed, Almond


Flax Grapeseed Olive Pumpkin Sesame Sunflower Walnut

Oils & Fats

Alcohol sugars (maltol, sorbitol, mannitol) BHT, BHA Disodium EDTA Monosodium glutamate (MSG) Potassium bromide Preservatives Propyl gallate Sodium nitrate (smoked and cured meats, bacon, ham, hot dogs, luncheon meats, corned beef, smoked fish and other processed meats) Sulfur dioxide (boxed dry goods, dried fruits, wine with sulfites) Sodium bisulfate Tartrazine (yellow and green food dye banned in Europe) Red, yellow dye

Lactic acid Citric acid

Additives

Dr. Katie Leah, N.D. 2011 Suite 730 1285 West Broadway, Vancouver, BC V6H 3X8 Phone: 604.738.1012 Fax: 604.732.9332 www.integrative.ca