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Let me introduce myself. My name is Mark Sisson. I’m 63 years young. I live and work in Malibu, California. In a past life I was a professional marathoner and triathlete. Now my life goal is to help 100 million people get healthy. I started this blog in 2006 to empower people to take full responsibility for their own health and enjoyment of life by investigating, discussing, and critically rethinking everything we’ve assumed to be true about health and wellness...

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September 06 2012

A Primal Primer: Candida

By Mark Sisson
188 Comments

It’s been awhile since I’ve done one of these, but I think it’s about time for a Primal Primer. Today we’ll be discussing candida, a genus (more than a species, less than a family) of yeast with many members, at least one of which is currently residing on or in your body: candida albicans. Candida albicans and friends are everywhere, and they’re usually a normal, healthy part of the human microbiome, but it can get a little out of hand. As I’ve mentioned before, the human gut hosts a tumultuous mix of microbial species vying for position and supremacy and trying to further their own ends. If all’s well, a balance is maintained, and the various species keep each other in check while promoting good health for the human host. But things can get out of whack. The balance can be upset. Certain species can gain ground on the others, perhaps by utilizing a new source of sustenance or taking advantage after a round of antibiotics, to our detriment. Candida is a particularly robust microbe who can thrive on a variety of fuel sources to apparently make itself a real nuisance in these situations. Let’s take a closer look, shall we?

When most people talk about “candida,” they’re talking about candida overgrowth, or candidiasis, of which there are several types:

  • Candidal vulvovaginitis – Also known as vaginal thrush or yeast infection, this is a fairly common manifestation of candidiasis that causes pain during sex and urination, itching, redness, swelling, and/or vaginal discharge.
  • Candidal keratitis – Candidal infection of the eye.
  • Esophageal candidiasis – Candidal infection of the esophagus
  • Intestinal candidiasis – Overgrowth in the small intestine. This is the “candida” people are usually talking about.
  • Candidemia – This often fatal condition involves the presence of large numbers of candida yeast in the blood and typically arises only in severely immunocompromised patients.

Conventional medicine has yet to formally recognize candidiasis as an issue prevalent enough to seriously study. On one hand, I understand their hesitancy, as candida has become a catch-all explanation for dozens of symptoms online, some of which may or may not be interrelated. On the other hand, gut dysbiosis is a real condition with huge – if as yet to be completely understood – ramifications to our health. We have some idea of what is going on in our guts and how it all impacts our health (especially with regards to obesity and immunity), but the field is still in its infancy. Eventually, thanks to programs like the Human Food Project, we’ll have a stronger understanding. For now, we work with what we have. I seriously doubt claims like “99% of all people have candida overgrowth,” but I have an open mind, and if people are feeling awful and getting no relief from their doctors’ attempts to help, it makes sense to expand your search. Right?

One researcher even went so far as to orally inoculate himself with candida (he ate a very large dose of it) to find out of it was capable of colonizing his gut and entering his blood (PDF). Two hours after inoculation, he experienced chills and a headache. At hours 3 and 6, candida was cultured from his blood, and at hours 2.75 and 3.25, from his urine. The researcher was otherwise healthy, hadn’t used antibiotics in ten years, and had no preexisting yeast infections. This is but one example, but it suggests that candida in sufficient amounts can make it to the gut and through the intestinal wall, even in healthy people.

Diagnosis

Since the existence of intestinal candidiasis isn’t universally accepted among medical professionals, it makes diagnosis difficult to obtain. “Endoscopic brushings” (sounds pleasant, doesn’t it?) have been used in the past, as have stool cultures. You might read about the “candida spit test,” which involves depositing fresh saliva into a glass of water upon waking and observing its trajectory and behavior, but this doesn’t appear to be accurate. Further complicating matters is that dozens of candida species exist, even though most of the already limited research has focused on candida albicans. Still further, research suggests (PDF) that chronic candida overgrowth is almost impossible to fully diagnose with lab tests that measure immune response, since it often downregulates the immune system, thereby creating an “immunologic tolerance.”  Thus, symptoms may be the best we have, especially if we can’t get our doctor to run a stool test.

Symptoms

Unfortunately, going by symptoms can also be confusing, because candida overgrowth appears to have dozens of them, like headaches, fatigue, chills, feeling drunk or hung over, a lack of libido, weight gain, weight loss, food intolerances, bloating, joint pain, diarrhea, hair loss, gas, cravings, and depression. Just go to Google and search for “candida and [enter malady or symptom of your choice].” It’ll autofill before you can even finish typing and hitting enter will bring up tons of articles telling you that “yes, you are indeed experiencing symptoms of candida.” See the problem? Any negative feeling or symptom could be evidence of candida.

This doesn’t negate the reality of candida overgrowth nor its symptoms, but it does make figuring out whether you have it extremely difficult. It also makes an incorrect diagnosis fairly likely, since many of those symptoms can also have other causes.

Risk Factors

While absolute causes of candidiasis are tough to pin down, looking at some of the common risk factors for the condition can give us a hint. What are they?

Antibiotic usage

You know the drill here. We’ve discussed how antibiotic usage (especially flagrant, excessive usage) can have a “collateral damage” effect on “innocent” gut microbes in addition to the target microbes. We’ve also discussed how the delicate balance of gut flora can be disrupted, thereby opening up space for existing species to flourish and overpopulate. Antibiotics represent a potent disruptive force in the gut, and antibiotic usage has been linked to both candidal vulvovaginitis (yeast infections) and systemic candidiasis. Patients with antibiotic-associated diarrhea are often found to have greater levels of candida in their stool. One girl even developed an overgrowth of intestinal candida immediately following antibiotic treatment.

Diabetes

Diabetes is consistently linked to candida overgrowth, women who have diabetes are more likely to have recurrent vaginal yeast infections, and patients with elevated blood sugar (as is often seen in diabetes) are more susceptible to candida overgrowth, probably due to the yeast’s taste for glucose.

Immune dysfunction or suppression

Patients with poor immune systems, like those with HIV/AIDS or undergoing chemotherapy, are at a greater risk of candida overgrowth.

Treatment

First and foremost, if you indeed have a serious candida overgrowth, it’s a complicated issue that may require a professional’s attention and the use of anti-fungals, like nystatinfluconazole, or anidulafungin. Unfortunately, as with bacteria and antibiotics, candida often develops resistance to anti-fungals (PDF), which may explain why treatment can be so frustrating and seemingly ineffective. Seek help if you’re really suffering.

That said, I’m no expert on candida, and I have neither the desire nor the ability to coach you through an overgrowth. However, the following “treatments” are generally pretty safe to try, and, even if you don’t have candida overgrowth, may result in health benefits. If you just suspect you have an overgrowth of candida and have no formal diagnosis, giving these ideas a try can’t hurt.

Avoid sugar and limit fruit.

Candida likes sugar (who doesn’t like sweets?) because it represents a quick food source. It’s also a fairly reliable source of energy, since most people are more than happy to pump themselves full of refined sugar. Fruits should be less problematic, but stick to lower sugar fruits and keep a close watch on how it affects your symptoms.

Avoid very low carb.

Paul Jaminet, who suffered from candida overgrowth, argues that since candida (being eukaryotes) have mitochondria that can feed on both ketones and carbs (as opposed to prokaryote bacteria without mitochondria), going very low carb or ketogenic will only provide more fuel for the overgrowth. Furthermore, since ketones are water-soluble and pass easily through cellular membranes, ketones will actually be a more accessible food source for candida. Don’t go high-carb, since any extra glucose will just be food for the yeast, but don’t go ketogenic, either. Stick to around 100-150 grams of carbs while still limiting sugar. Although other sources do recommend going as low-carb as possible, my money’s on Paul.

Consider a saccharomyces boulardii supplement.

S. boulardii has proven effective against candidal overgrowth, reducing both the resultant inflammation and the colonization of the gut. It appears that the capric acid released by s. boulardii deserves praise here, seeing as how it prevents growth, adhesion to the host, and formation of resistant candida biofilms. Coconut oil, another source of capric acid, has also been shown to inhibit candida in an in vitro study, but it will also promote the generation of ketone bodies, which may serve as fuel for the candida. Your call; they’re available online.

Use more spices and herbs.

Since plants often have to deal with pathogenic fungi, many spices and herbs have developed anti-fungal capabilities. Cumin spice exerts antimicrobial activity against candida. Oregano is a famous anti-fungal herb, and garlic has proved efficacious against candida biofilms in in vitro studies (and may even work synergistically with anti-fungal drugs against drug-resistant candida species). When you start getting into essential oils of the various plants, however, use caution, as these are highly concentrated and may be more powerful than you or your body are prepared to handle. Personally, unless you’re under the observation of a skilled medical professional, I’d stick to the whole plants and herbs. You might try drinking some strong black tea, too.

Ibogaine?

Even ibogaine, the psychoactive plant compound that William S. Burroughs went looking for to cure his heroin addiction, exhibits some effectiveness against candida. I’m not suggesting you rush out and find yourself an ibogaine tour to Gabon, but it’s still pretty interesting.

Die-off?

Formally known as the Herxheimer reaction, negative health effects – like headaches, fever, chills, and pain – resulting from microbial die-off are a real occurrence. When antimicrobials are administered to take care of certain infections, including syphilis, borreliosis (from Lyme disease), leptospirosis, Q fever, cat scratch fever, brucellosis, typhoid fever, and trichinosis, certain inflammatory cytokines are upregulated. It has been argued that endotoxins released from dying microbes are the cause of die-off symptoms, but studies call that into question.

Note that the existence of candida die-off has yet to be shown. Given that die-off exists for other microbial infections, however, I think it’s fairly plausible. What I find questionable is when every negative symptom under the sun is proclaimed to be die-off. Feverish chills? Okay, I’ll buy it. A slight headache and a weird headspace? Sure, that’s reasonable. Violent convulsions punctuated by frothy spurts of blood-flecked vomit? Eh, I think that might be something other than “candida die-off.” You might want to get that checked out.

It’s difficult to say anything absolutely conclusive about candida overgrowth. There’s no standard, easily-accessible test for it. There are so many signs and symptoms that they almost become useless for diagnosis. There are many species of candida, many species of other yeasts, and some candida can even be helpful in the right doses! However, even though it’s hard to get a doctor to test for it (if he or she even knows how) and it’s hard to know if you even have it, it looks like candida overgrowth is a real condition. Whether its prevalence is under- or overstated, though, we simply don’t know.

What do you know about candida? Have you had it? Do you think you do currently? If you’ve ever been treated for it, how’d you know it was actually candida? This is a hot topic in the health world, rife with misinformation on both sides of the debate, so let us know what you know in the comment section!

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188 thoughts on “A Primal Primer: Candida”

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  1. Do you have any evidence linking candida to birth control pills? I developed chronic vaginal yeast infections the day I started the pill. These continued until I stopped the pill, despite several doctors reassuring me that there was no link, and that I should just keep taking the pill. I think it’s actually pretty common, but is one of those nasty side effects that pharma prefers to sweep under the rug.

    1. Yes, OCPs lower estrogen levels and raise vaginal pH. Vulvovaginitis from candida, bacterial overgrowth, and dryness can result. Big pharma lists the problem in it’s package insert, but it’s in the <1% category. Sorry it happened to you, but I haven't seen it very often in practice. If you still want to use hormonal contraception, you might do better on the lowest dose version. In my experience, female practitioners are better at dealing with female reproductive issues.

      1. Thanks for your response. I didn’t realize it was rare. That’s what the doctors said to do, take the lowest dose. That’s what they said for any problem actually. They cycled me through basically all the brands on the market until I gave up.

        1. Yes i have had to stop oral contraception for the same issue, i tried lots of different ones, every time i start one, i get a very bad case of thrush. I gave up too and my health thanks me for it. I am sure it is much more common than one percent of women.

      2. I think I’ve had mild candidasis for years, that didn’t often go to a full-blown yeast infection of any kind. I had been on birth control for many years (mostly progestrin-only Depo-provera). In the last few years, I started to get dry, sometimes red and itchy patches of skin. A fluconazole course and low-sugar diet have almost wiped it out, but I still struggle. I’m now completely off hormones and went teh IUD route, which I’m totally ecstatic about! Docs push the drugs cuz they don’t want any problems with fertility complaints.

        1. Uh! While taking birth control pills I experienced the worst thee months of my life!
          Throwing them away was the best thing I did (after going primal hehe), anyway I had a series of side effects that my gynecologist dismissed… Anyway prescribing birth control pills to a 16 year old girl is plain irresponsible, as the body is definitely still undergoing hormonal changes and it tries to balance itself… (also: there are things far worse than accidental pregnancy that pills do not prevent…)
          As I said, I got a LOT of side effects that persisted for more than a year (pains, weight gain, yeast, all sorts of infections). I knew the pills were to blame so I dropped them after 3 moths.
          Now that I’m older and (a bit) smarter, I would have never put my body through this misery.

    2. I did alot of self-study about Candida back in the early 90’s. One of the side effects of taking birth-control pills and pregnancy was a tendency towards candidiasis because both raise your blood sugar levels.

    3. Same thing happened to me, although resulted in chronic bowel infections. For which I had to take antibiotics, or die. Which further destroyed my gut, leaving me open to MORE bowel infections. It was a horrible cycle that went on for the better part of a decade.

      Switching to the depo (progesterone only) injection was the best decision I made! No side effects whatsoever, I know many women don’t respond as well to it, but it’s been a godsend for me.

    4. Same thing happened to me, the bill gave me an INCURABLE infection. Tried three different treatments with no success. After over a month of agony, I threw the pills out the the infection went away. Ater that I suffered from monthly infections for two years afterward and it took multiple high-dose diflucan treatments to end them completely. Doctors are NOT guru’s, they can help point you in the right direction if evidence indicates that the doctor is wrong, they’re probably wrong.

    5. I had the same problem with one particular bc pill I took. I got a yeast infection like clockwork every month, but my doctor swore up and down that it wasn’t a side effect. When I stopped the pill I quit getting yeast infections.

    6. this is such a good question on a great article. I was able to heal only after doing so much research.I did stop taking birth control but of course can’t say for sure if that was the reason I healed, I think it is a combination of things that cause the candida to thrive in the body, so the more unhealthy habits you clean, the more chances to heal you have… one thing to mention that I didn’t see here – its super important to do a colon cleanse before any attempt to treat candida to make sure these toxins wont stay in your body too long , otherwise you get the famous healing crises. for me, a week after the colon cleanse, I felt 80% better, and everything else I did from that point on (probiotics , enzymes and anti fungal) seemed to work great.

      here is the link I followed, they have a different approach than most programs, but it worked for me and 2 other people I know

      http://candidaspecialists.com/recommended-candida-supplements-experts-guide/

    7. Let’s not forget that birth control DESTROYS HEALTHY GUT FLORA which also makes it more inhabitable for candida.

  2. Hi Mark!

    I really enjoy your articles, and the information you provide is very accuarate and good.

    However, since I’ve been dealing with the whole gut dysbiosis and candida thing for several years I have read most of the literature on the subject, and you fail to mention a couple of important things in this article.

    Normal bacterial populations keep candida in check and a severe gut dysbiosis is necessary in order for candida to overgrow substantially. Most people have a dysfunctional gut flora (missing species of microbes etc.) rather than actual candida overgrowth. I know you have previously linekd to Dr. Art Ayers and he talks a lot about this.

    Also, “natural” antifungals usually work better than Nyastin etc.

    I was severely sick with candida, but found treatment at http://www.gutflora.com

    Keep up the good work with all the info you provide:)

    1. And one more thing Mark failed to mention is that a high level of arabinose (by-product of yeasts) in urine is a very strong indicator of yeast overgrowth.
      Organic acids tests include arabinose in their profiles.
      Great website Mark!

    2. If you reread the post, you’ll see that Sisson covered those points.

  3. I had Intestinal Candidiasisnad now I’m ok. I made several stool test with no much success (very difficult to find candida with regular stool test).

    So I first tried the GI Stool test (on DNA) from Metametrix which showed a strong dysbiosis (but with no specific evidence of Candida) and then I had my Kinesiologist to test my muscles strength who diagnosed Candidiasis.

    I had all of the symptoms you listed for many years, so I guess I not only had Candida. Since the last test, I went Paleo and since then things are going better every day. Anyway, by eliminating refined sugars and carbs, my candida went away in a month or so.

    1. I have had “candida” problems for years after rounds of very strong antibiotics (I now think we should call it dysbiosis). I was on anti candida diet for 2 years, it helped a bit but was hell to stick with. Since i went grain free, i got rid of it !! And i can even indulge with honey and creme brulee with no return. Every time i eat grains again it returns….
      I really think that telling people with candida to eat Gluten free grains is a bad idea.

      1. I developed candida after visiting Africa and being on antiobiotics for Malaria over a period of 15 weeks. I found giving up gluten also helped me.

  4. I went to my Doctor in 2006 with a bad head cold. I noticed he was also into natural healing. Dr.Ou is an MD and also practices natural medicine and he does field control therapy or FTC. I went through the program. The test did show some Candida although a mild case. Also it showed up mercury. Google FTC treatments.

  5. I’ve seen a lot of improvement in my Crohn’s disease since starting a slightly more restrictive than normal Primal diet around 8 months ago. It was obvious I needed something more to keep my progress steady so I did some searching and found research on gut dysbiosis. I’ve been on a treatment plan of using high doses of a natural antibiotic (wild oregano oil) and supplementing with high quality probiotics (the good bacteria!) for the past two weeks and have already seen significant improvement. It sure seems like Candida and all these other not-so-helpful bacterias can cause serious problems and be linked to a variety of ailments.

    1. Hi, I would love to know about your oregano oil dosage and how you take it. I have a bedridden mother, 81, and her and my father think I am nuts when I talk about Candida. I am sure she has had something going on for years. Now, researching PH I come to yeast again. I was wondering if she is getting such bad rashes from to much acid in her urine. I would love to know how to help her but better yet, what I can have them read so they don’t think I am nuts. I am at Yawhut@yahoo.com if anyone can give me help. Thank you…

  6. I’m not impressed with this article, probably because “candidiasis” is so overblown. Your article acknowledges that intestinal candida infection is not a recognized medical disease, the symptoms are vague and there are no reliable tests to diagnose it, and yet you think you know how to cure it?

    It would be nice to see you go back to writing nuts-and-bolts articles about macronutrients and vitamins, exercise, and so on, and leave this pseudoscientific nonsense behind.

    1. pseu·do·sci·ence/?so?od??s??ns/
      Noun:
      A collection of beliefs or practices mistakenly regarded as being based on scientific method.

      sci·ence/?s??ns/
      Noun:

      The intellectual and practical activity encompassing the systematic study of the structure and behavior of the physical and natural…

      Science is not a static collection of knowledge. The article is a survey of theories about Candida, and many of the links specifically reference standard scientific studies.

      Personally, I am extremely grateful for the variety of health information consolidated on this site. I wish health were as simple as just paying attention to macronutrients, vitamins, and exercise, but it just ain’t so.

      1. Thank you for the dictionary reference, but it doesn’t refute a word I said.
        1. Intestinal candida infection is not medically recognized.
        2. There is no reliable way to diagnose this non-disease.
        3. The symptoms for this non-disease are non-specific.
        4. From these pieces of information, Mark concludes that he knows the methods of curing this non-disease.

        This is insane, and it makes the Primal community look stupid. I used to like this site because it was very solidly grounded in science, but between this and the “don’t drink water while you’re eating because you’ll raise your stomach acid pH” I’m not sure Mark has any credibility anymore.

        1. Mark “concludes” that these are some treatments to “try” and “may” work. I think he was pretty solid on the fact this is something very vague, but mentioned often. I think this has value just for the basic information on the yeast itself.

        2. It seems that you are the one drawing conclusions, not Mark. Here is his quote:

          “That said, I’m no expert on candida, and I have neither the desire nor the ability to coach you through an overgrowth. However, the following “treatments” are generally pretty safe to try, and, even if you don’t have candida overgrowth, may result in health benefits. If you just suspect you have an overgrowth of candida and have no formal diagnosis, giving these ideas a try can’t hurt.”

          I didn’t read into the above your claims: “…yet you think you know how to cure it?” and “Mark concludes that he knows the methods of curing this non-disease.”

        3. You’re right, Mark does use weasel words to excuse the inevitable failure of his advice to work. Why? Because we don’t even know if we have this pernicious “disease” in the first place, and there’s no way to find out. While we’re on the subject, I’m selling rocks that you can *try* and they *may* keep tigers from attacking you.

          Maybe I’m going crazy, but I expected MDA to be evidence-based, and it sometimes is. But not here, and that’s a major lapse that raises serious questions of credibility.

        4. In some of your critical comments on recent posts you keep referring to Mark’s advice on dinking water when eating. That was from a 2008 post. You think you might be able to find some more recent and valid arguments?

        5. Alexa,

          KINESIOLOGY/Muscle Testing is not quackery. I had it performed on me for over year. I was diagnosed with heavy and toxic metal overload, and the holistic doctor was able to pinpoint where the metals were lodged and which kind were there.

          For example, I had loads of cadmium, lead and arsenic in my testes. Funny thing is, before he told me this, I was having loads of pain and tenderness in my testes. When I began detoxifying these metals, the pain increased tremendously to the point of crippling me from time to time. Over time, as the metals were being detoxified, the pain went away. Now, I rarely, if ever, get pain in my testes. After reading about cadmium and lead, I found that they have similar structures to Zinc. Testes are supposed to be dense and rich in zinc to fuel male fertility and libido. Funny how these metals were lodged in my testes, pinpointed through KINESIOLOGY/MRT, that I exhibited low zinc levels my entire life, and that the pain eventually went away after detoxifying these metals. See the connection?

          MRT can also be used to help prescribe certain vitamins and minerals for people. I needed loads of digestive aids, calcium/magnesium, Vitamin C, zinc, and iron. Just to be sure this was correct, I had a hair mineral analysis performed (Analytic Research Labs, I think) without having my hair washed. They showed elevated levels of calcium, zinc, selenium and magnesium. They were elevated because I was losing loads of these minerals from my body, which is why they were raised on my hair analysis (body cane excrete minerals throughout hair follicles). Now, I still supplement with these minerals and am still seeing improvements.

          Point being: Muscle response testing was correlating with my symptoms and where they were occurring, as well as indicating which minerals/vitamins I was deficient in. If I remember correctly, your body an electromagnetic current running throughout it. A KINESIOLOGIST is able to utilize this energy through Muscle Response Testing to help diagnose and treat people, by applying certain objects to specific points on your body, such as toxic metals (diagnosing) or minerals/vitamins (supplementing).

          It may not work 100% perfect, but after undergoing MRT for over a year, and having loads of health problems resolved that I’ve had since a young child, I’m a firm believer that it can be beneficial and is not quackery.

          Have you ever tried MRT?

        6. Candida is real, and I’ve had 30 years of diarrhoea, depression, bloating and vaginal discharge to prove it. Alcohol, sugar and antibiotics lead to immediate flare-up. Total sugar, fruit, gluten and dairy restriction provides the only relief.

          Anecdotal evidence? Yes. Pseudoscientific nonsense? No.

        7. If intestinal candida infection is not medically recognized than why did my doctor, a Harvard Medical School graduate, diagnose me with it? Medical tests were done, the diagnosis was made and then I was prescribed Diflucan. There are many doctors who not only believe in disease from candida but also treat it.

          It wasn’t very long ago that doctors believed that what you ate didn’t affect your health and thought you were crazy and/or stupid if you thought so. Medicine is evolving just like the rest of us with some doctors not as quickly as others.

        8. Hypothetically , If Candida infection did exist . And cool people would be abrasive and opinionated , do you think Zyklome B might kill the fugus among us?

        9. Rock on sister! I, too, come here for genuine scientific commentary but it turns out that much on this site (the people included) is nothing but woo woo hokum. I’m sure we’ll be seeing articles on homeopathy any day now.

        10. Yeah yeah I was diagnosed with candida overgrowth last month. Contact me so that I can show you my test results! Ignorance!

      2. If you’re really curious about the validity of candidiasis, look at the poor commenter in an earlier thread who said a KINESIOLOGIST diagnosed it in him after MUSCLE TESTING. A quack pushed on his arms a little bit and concluded that he had an intestinal yeast infection. A pseudoscientist promoting pseudoscience.

        1. I know, completely ridiculous. That’s “medicine” in the tradition of P. T. Barnum.

        2. Also, the reason why candida is vague and may be responsible for most health problems is because it occurs in anyone who is malnourished and sick, which is a lot of people right now.

          It’s not a disease. It’s the result of poor health, not a contributor. Some even say the body creates it to help neutralize poisons in the body. Think of candida as horse flies, and toxic metals or poisons as manure. You won’t get rid of the flies without first getting rid of the manure. Get rid of the manure, you get rid of the flies. RE-Nourish your body with minerals,vitamins, energy and rest, and you will maintain Candida.

        3. I agree, Candida is real and can be caused by a great variety of underlying health conditions. It is almost a side effect of other conditions, and shows that your body systems, particularly digestion are not in balance. Eating a super healthy diet low in sugar and food your body treats like sugar – such as grains – is a building block of good health.
          Just because CW and allopathic medicine can’t explain it, does not mean it is not real.

        4. Alexa,

          Your negative opinions are not appreciated. This article isn’t making false claims or assumptions.
          Clearly you have never been sick and searching for any kind of answer/information that might make a difference and make you feel better.
          I pray you never have to go through something like that.
          However, if you do become so ill that you’re almost ready to give up on the belief that you will EVER feel better again; I hope you shouldn’t have to read comments as negative as the ones you have provided on this site.

        5. I was diagnosed by a stool culture from quest diagnostics as having many yeasts which is severe candida in my intestines. I also had a positive throat culture fir candids.
          Im seeing an infectious disease dt who’s treating me with diflucan long term because it’s very difficult to eradicate.

    2. Interesting reaction. So, there’s a topic that is frequently mentioned in this community, to the point that you say it’s overblown. Mark addresses the topic by documenting what we actually do and do not know about the subject (using links), clearly states that’s it hasn’t been well studied and has ambigous symptoms, tests and treatments. Makes clear that he isn’t an expert, but suggests some possible safe actions a person can take if they think they have the problem, while clarifying that anything beyond these simple steps should be done in consultation with a health care professional. And, you think he’s lost credibility by even discussing the topic.

      Personally, I found this very helpful. I’d heard mention of the topic, but hadn’t done any specific research. Now I know that it is possibly a legitimate, though minor, condition, but might also be a bunch of woowoo. Given the confusing symptoms listed and the lack of confirmable evidence, it tells me clearly that I don’t need to research it any further and can consider it a low concern for my life. But, if anyone mentions it, I know enough to speak fairly intelligently and can send someone to a well-written summary of actual facts.

      It’s clear, factual, unemotional articles like this that increase Mark’s credibility, IMhO.

      1. Candida overgrowth happens in very ill people, which is proven, yes? Autistic kids oftentimes respond well to antifungals, either by killing off the candida or by eliminating something that their bodies are “allergic” to, which in this case is candida. Once you get into the chronic health problem community whether it’s autism, chronic fatigue, fibromyalgia, you learn how sick the American population is. Even if candida is NOT overgrown, something is happening to people to make their immune systems react to this microbe, evidenced by their increased health after using antifungals. It is a very real thing to have candida, and I know a lot of people who do well after adjusting their diets to alleviate themselves of their symptoms.

        And to address the “quackery” thing, Asian countries have been doing this “voodoo” stuff for millenia. Apparently, even with modern medicine, they keep doing it as it HELPS. The human being is so much more than biochemistry and systems. We have emotions, energy that can be measured coming from our bodies, even junk DNA that apparently can switch things on and off and code for processes…..there is a lot more going on in the human body than carbs, fats, and proteins and chemical reactions. And other countries notice and utilize this fact to implement more holistic healing. We made it this far as humans without modern medicine, and we found ways to heal. Now maybe we have to go back to the “primitive” to heal ourselves from the toxic mess that mankind has made.

    3. I agree with Alexa on this one. Mark shouldn’t have touched this with a ten foot pole.

      1. Wow, from my experience with yeast infections in the past and my own recent infection, Mark is right on.

    4. Yeek–lose the negativity- what was the point of this comment?? Mark didn’t say he knew how to cure Candidasis…he actually pointed out that he’s not an expert. This was just meant to be a general article on a subject that many people in our community are interested in or deal with—lets put effort towards keeping our community a positive and supportive one 🙂

    5. Give it a rest, already. Why so irritable? He clearly was careful to avoid doing what you said that he did. What he said was, “It couldn’t hurt” to try the cited solutions..Based upon what we know already and my own experiences, Sisson was right on with his “recommendations.” There is nothing “pseudo-scientific” about candida overgrowth. It’s just that conventional medicine is slow to catch up with the condition (surprise, surprise). Relax a little, the cortisol that you produce from stressing the issue and projecting it upon Mark will only foster your candida issue.

  7. I am on the fence re. Candida. There is so much conflicting information out there, the situation is very unclear. Symptoms can apply to many other conditions and it’s difficult to know what is what. In the end, for mild cases, eat clean, do the work and trust the body will do its bit. For more severe issues, I think you have to pursue one angle (one of which might be Candida) then another until you’re good to go. Detective work, as ever.

  8. Wow this topic I had never heard of really seems to have a lot of “woo-woo” surrounding it judging by what’s been said here. Maybe this topic isn’t quite up to the usual stuff?

  9. A very timely post since I am finishing up 2 weeks of antibiotics for oral surgery. Anyone have experience with food grade hydrogen peroxide for yeast? I have used it in the past for its alkaline properties for intestinal issues.

  10. I am skeptical about candida diagnoses. I think in most cases what is going is the broader concept of intestinal dysbiosis, ie., the proliferation of certain bacteria in the GI tract at the expense of a normal balance. Diets way out of balance with excesses of carbs, and particularly glutinous grains, and antibiotic use are the culprits. I’m living proof. I had to visit ten doctors before I found one who had the right answers.

    1. I definitely agree with you on the dysbiosis. It’s probably diagnosed as “candidiasis” because that is the bacteria that presents itself in many of the symptoms (oral thrush, vaginal infections etc.)

      1. candida is not a bacterium, it’s a fungus.

  11. Candida might be important in people with actual gastrointestinal diseases, such as Crohn’s disease or ulcerative colitis. However, in healthy people it seems to be a normal part of our flora.

    This is similar to the situation with Staphylococcus aureus, which is on everybody’s skin, but if it gets the opportunity (such as surgery) it can cause serious infections.

    An important point is that antifungal drugs such as the azoles are quite toxic, so quacks over-diagnosing and over-treating fungal diseases would be a very worrying development.

  12. Wow, this is such a timely post!

    I just saw a Naturopathic Doctor after having completed the 21-Day Sugar Detox and having awful GI issues throughout it. When reintroducing sugar (in the form of dried and fresh fruits) my bad symptoms went away.

    The ND told me that I have dysbiosis which and excessive candida in my small intestine. When I abstained from the sugar during my detox (dropping to as little as 20g of carbs per day) my painful BMs and lower stomach pains began and didn’t stop until I started feeding the candida with sugar again. She also stated that because I was on a number of antibiotics on nearly a bi-monthly basis for the majority of my childhood, that I was basically destined to have dysbiosis.

    She recommended to help my flora by taking a probiotic nightly and to take an oregano oil/peppermint oil capsule before each main meal. It’s amazing that you, Mark, basically said the same thing in this post – about antibiotics being a cause, herbs (like oregano) helping the flora, and how going too low-carb can make symptoms and candida itself worse!

    I have yet to start my supplement regimen, but my ND feels very confident that this paired with decreasing my dried fruit intake will help get the good bacteria in my gut and for them to stay happy!

    1. Hi jecka
      So basically eating fresh fruit us better to cure intestinal candida.i was diagnosed by stool culture and throat culture. The intestinal burning and cramping is horrific. I also have tried only eating veggies but a lot of what I tead states I should be eating fruit
      Please let me know. Thanks a bunch

  13. I wonder if the Herxheimer reaction is a result of the Immune system up regulating after die off, as the immune suppressing candida is killed off.

    1. Doubt it. That reaction is can be described as a “darkest before dawn” scenario. If your immune system is up regulating, that’s not the feeling that you’d get. You feel quite “off.” It’s actually like a magnified version of the day to day “off” that candida sufferers feel.

  14. I am VERY familiar with candida. In 2004 I went through 51 weeks of chemo like treatment for Hep C (got it from a tattoo, thank you very much). In the last three weeks of treatment, I acquired a yeast infection. For the past seven years, I have suffered with an average of 8 yeast infections a year. Think about that. A yeast infection almost every month. I researched and researched and researched. I had my gyno doc on speed dial and had a renewable prescription at the pharmacy. There was no point in being seen by my gyno every time because I just knew. Why pay the copay, right? She agreed and let me fill the prescription whenever I needed it. I visited with my naturopath doc and was given herbs to kill the candida. Die off? I was physically sick for a week. Throwing up and couldn’t stand up straight for fear of getting dizzy and visiting the bathroom. Doc said that she’d never seen someone react the way I did to the supplements and candida die off. Yay, I’m special! In the last year, I have switch my diet to paleo/primal and have seen great results. I truly believe that eliminating all grains and sugar has been a life saver for me. I’ve had one yeast infection in the past year because I fell off the paleo wagon and went sugar wild. It just tastes so good. Candida overgrowth has affected my health, my emotional state, my relationship with my husband and my overall attitude toward the S.A.D. It makes me so angry that it essentially took 8 years of research (on my part) to heal myself. But, looking back, I’m glad I did. I feel so much better when I’m eating paleo/primal.

    1. Thank you for your post, Melissa. I am all too familiar with candida. I have been suffering with on going yeast infections for well over two years and despite my efforts and multiple doc visits, they keep coming back. I’ve been adopting the primal principles for months now and see results in weight loss but haven’t been as strict as I probably should be so the infections (I suspect) keep coming. However, the first week I started, I was very strict with my carbs and my lower region had felt better than it had in a long time. Since then, I’ve fallen off the wagon here and there and notice a HUGE detriment to my condition as it worsens when I eat too much sugar. It’s time for me to get serious and stay serious about primal eating in order to eradicate this painful and annoying problem that is spilling issues into my marriage (thank god for such an understanding and patient husband). Your post will help me stay on track. Thank you and I’m glad you are doing better. Can I ask, is there a number of carbs you stick to or certain foods you avoid? Do you eat fruit?

      1. Beth – I do not stick to a certain number of carbs. I used to track every single morsel of food I put in my mouth. I burned out on that and when I found Paleo I was glad I didn’t “have” to track anything. I just try not to eat anything that my body turns into sugar. It’s not easy mind you. I do eat fruit but on rare occasion. When I do, it’s berries only. Strawberries, blueberries and raspberries. Those only because I grown them in the backyard. I’m glad you found my post helpful. For those who are saying that candida is not real, well, I wouldn’t wish what I’ve experienced on anyone. Until you’ve had a yeast infection almost every month for roughly eight years, you shouldn’t bash the experiences of others. I can see though how someone who hasn’t experienced it wouldn’t believe in it. Good luck with your eating plan. I will say, that my continual symptoms didn’t go away overnight. It took several months of healthy, clean eating to see results. I ate lots of coconut too. I read somewhere that coconut actually makes those little candida cell explode! YEAH, coconut. LOL!

        1. Thank you Melissa (and Mark)!!!! I wonder what form of coconut? Oil or other? 🙂

      2. Hi Beth, I have suffered from vaginal yeast that does not go away for almost 2 years now from antibiotic use. It has been very hard on me personally and luckily I have a very understanding husband also. I have gone to numerous doctors with no answers and have decided to give this yeast free diet a go next. I’m also thinking if going to a ND to help me along the way. Have you gotten rid of your yeast infections yet?

        1. Hey there. I can tell you right now that taking antibiotics is only going to make it worse. Absolutely go see an ND. I made my issues a lot worse by trying to handle it on my own. It seems that my body needs more starch, so going low-carb doesn’t help me. I’m currently following the guidelines that the Perfect Health Diet suggests, which is very much like Primal except that they advocate a lot of starches everyday for anyone, not just very active people.

          Make sure you are consuming fermented/probiotic foods!

        2. Thanks Tasha. I’m not currently taking antibiotics I’m just saying I believe this is how the problem all started for me. I was treated in 2010 for a lymes rash, treated for h pylori in 2011, had a tonsillectomy in 2011, and prescribed other antibiotics in the past that I prob didn’t need. This all started after my h pylori treatment. Now 2 years later, numerous doctors visits and money spent along with lots of tears and still no answers. All they do us say yup you have yeast and give me diflucan that relieves some symptoms but never cures anything. I will def contact a ND. I can’t suffer with this anymore!

    2. Very happy that you are feeling better and I am going through fighting this right now after 8 years and prob 15-20 Drs and countless tests. If I may ask, what herbs were you given and what other changes did you make? I developed diabetes (under control at the moment) and gluten probs and a host of other awesome side effects in the past 8 years. All poss started with a surgery and there rounds of antibiotics within a year. Am attacking this hard and actually have been very ill for about 4-5 days now. Felt good for first time in years about a week ago for 4 hours on two diff days. Thanks for your time.

  15. This is a great article, especially for those people who struggle to cure their candida overgrowths with restrictive diets.

    1. I totally agree!

      I took antibiotics for acne for nearly a decade and suffered some really weird but still benign health stuff throughout . . . Then this past year I received a heavy dose of steroids and my body crashed. Apparently I’d been developing gut dysbiosis for the past decade, and then with the full course of steroids, my candida went systemic, leading to serious neurological and gastrointestinal symptoms (primarily neurological – headaches, facial paralysis, vision problems, then food intolerances developed).

      Eight rounds of specialists couldn’t figure me out. Then some hippie suggested I had candida. I passed that onto my doc who set me up with nystatin and the primal diet. Lo and behold, it saved my life.

      I know this probably sounds pretty cheesy, but I do strongly believe that candida was going to put me in the grave. Mayo clinic couldn’t figure out what to do with me, but 2 hrs after taking some anti-fungals, I was significantly improved.

  16. Agreed, there is no clear cut diagnosis for candida. The journey to better health is like peeling an onion, as you peel away each layer the next layer may produce something else…

    My health coach (and also my MT advisor) uses FDN, Functional Diagnostic Nutrition, which is an investigative process that employs laboratory assessments to identify the root cause/s of a client’s health complaints. My symptoms are mainly IBS related (and severe at times) even after being gluten free for 2 years & then primal (and dairy free) for the last 8 months, and I stick to this 100%.

    So we did an intestinal barrier function screen test through BioHealth Labs in CA which came back with elevated levels for bad bacteria, undigested proteins & yeasts so very clear indications that I have dysbiosis and leaky gut. A further IGg food intolerance blood test through Great Plain Laboratory showed that my antigen levels for candida albicans present in my blood were off the charts! Ok, so this means I definitely have a candida overgrowth, and having dysbiosis makes for perfect breading conditions.

    I have cleaned up my diet for 8 months, basically on an anti-candida diet, taking supplements & probiotics to heal my gut & these yeasts are still rampant. But wait, what about other bugs & pathogens that are making my gut a playground for these yeasts. Final test, GI pathogen screen (stool test) through BioHealth Labs and low & behold I have a parasite (a single celled one so not a monster, but a lot of them) and an overgrowth of enterbacter. And I’m a “normal” person, living in “normal” conditions. Funny enough no yeasts were detected in this test.

    Bottom line, there are many reasons why we have an overgrowth of yeasts. Have to keep peeling that onion. In my case, it’s a parasite, causing unwanted bacterial growth, causing yeasts to thrive, causing inflammation in my gut & finally dysbiosis (a vicious cycle!). I can try get rid of the yeasts until I’m blue in the face but if I don’t get rid of the bugs first then I’m wasting my time. So I’m taking anti-parasites, followed by anti-bacterials and then anti-fungals while on an anti-candida diet (all natural supplements of course). I’ve only just started this protocol so I can’t vouch for it just yet.

    1. “Agreed, there is no clear cut diagnosis for candida. The journey to better health is like peeling an onion, as you peel away each layer the next layer may produce something else…”

      This is so true!

    2. Leaky gut and candida/dysbiosis are often used interchangeably and there is a good reason for that. Although they represent different conditions they can contribute one to another, often coexist at the same time (also because they have common causes – bad diet) and they share the cure too (better diet). In the view of that is it really needed to distinguish between them?

      1. Well yeah, cause you don’t take Nystatin or Diflucan or use Miconazole for leaky gut.

        And a lot of stock/broth and butter aren’t going to help much with a yeast infection.

        A good low-sugar diet and probiotics certainly helps with either, but a round of antifungals helps much faster with yeast.

        While Mark is correct that there isn’t usually a specific test for intestinal yeast, any woman who’s had a vaginal yeast infection knows what it looks and smells like and will recognize it. If it shows up in her throat or poo, it’s pretty obvious it’s the same thing in her GI tract.

        Yeah, it’s overdiagnosed cause the symptoms are vague and so much info about it is all woo-woo and stupid. But it’s also underdiagnosed cause it’s a pretty extreme infection before it’s obvious.

  17. Thank you, Mark, for this well-researched and very useful post.

    I can say to the skeptics: CANDIDIASIS IS A REAL DIAGNOSIS. In many cases it is overblown or simply speculation, but it is often a very real problem.

    I have Esophageal Candidiasis, also known as Esophageal Thrush. It was diagnosed by a gastroenterologist. I have a photo of a yeast colony growing on my esophagus. It’s normally only seen in severely immunocompromised patients (HIV, cancer, the elderly), but I’ve got it, too.

    After years of ill health (all possible nebulous symptoms), I suspected candida, but had the same hesitations about getting “diagnosed” based on symptoms alone. A stool test showed trace amounts of overgrowth, not enough to hang a hat on. An endoscopy, however, showed an entire colony of candida yeast growing on my esophagus, aided by the low-stomach-acid environment created by a chronic h.pylori infection. One heinous round of antibiotics got rid of h.pylori, but three strong anti-fungal rounds, lots of homemade probiotics, herbal supplements, and several months of very-low-carb primal eating/GAPS/low-FODMAP diet have not yet entirely resolved it (according to the second endoscopy). The antibiotics unleashed a vaginal yeast infection that also took two months to fully resolve, despite taking concurrent antifungals.

    I’m slowly getting better by keeping a restricted diet.

    Thank you, Mark, for linking to Paul Jaminet’s podcast about VLC and ketosis. I haven’t felt as good on <50g carbs as when I first started primal and was shooting for 100g carbs per day, and this may help explain why. (So it's back to safe starch and berries, hurrah!) I'll report back if it ends up making the difference.

    A final thought: I think that a Candida infection in my case was a complication of a more general gut dysbiosis, not the main problem. For anyone who suspects a candida overgrowth, I recommend looking into no-sugar, lower-fruit versions of GAPS and SCD diets. Whether or not it is ultimately candida, those diets are a good option to explore when working to reclaim your health.

    -Nicole

    1. I’m currently on day 18 of a self-prescribed anti-Candida diet, while also eliminating nightshades, FODMAPs, and nuts/ nut butters. So far, I’ve shown a bit of improvement, many of my symptoms have disappeared or are significantly reduced, but not all. Some are just as bad as when this all started 6 months ago. I’ve explored GAPS as well, but the first stages are too restrictive; I work full-time and can’t afford to take time off just to accomodate my diet. Though I intend to stay committed to the plan, I’m still convinced my issue goes beyond gut disbiosis and may be either physical or auto-immune in origin (possibly both). I need more testing, which is why I’m seeing both a (new) gastroenterologist and an endocrinologist in the next 2 weeks. Fingers crossed for some answers!

      1. Great that you’re making the effort! I also strongly suspected autoimmune, but after getting h.pylori and candida treated, my other issues (low iron, low vitamin D despite supplementing, elevated fecal calprotectin) are resolving themselves — my iron levels went up even without supplementation, and vitamin D is now optimal, at 62 (could never get it above 25 before). I’ve still got a lot to go and still can’t eat most foods without causing trouble, but sticking to the diet is making me healthier and slowly resolving my problems.

        It’s a long haul, but it’s worth it! Good luck!

      2. Siren –

        Sniff, sniff, I smell it, too and agree that we shouldn’t feed them; maybe they will go away.

        At the recommendation of a friend, I located an ND (Naturopathic Doctor) and had very good success with him – he also started me on the paleo diet (it wasn’t called that back then). He helped me “cure” the depression for which I’d been seeing other doctors for 25 years and all they offered me were pills and guilt. If your new docs don’t help, you might try and ND.

        Good luck on your two new doctors. I hope they help you find a cure, and not a coverup.

    2. I didn’t feel very good on very low carb and felt very weak and felt as though I was developing a yeast overgrowth problem, so I followed Paul Jaminet’s advice and increased the safe starches and now I feel a lot better.

      1. That’s great to hear, Christine, and glad to get affirmation that Jaminet’s plan works! I’ll be checking it out!

    3. I’ve long wavered back and forth as to whether my health issues stem from a candida problem or just general dysbiosis.

      Recently I’ve begun to lean slightly back in the direction of candida.

      I can definitely second that advice for lower-fruit. Eating any fruit other than lemons and limes unfailingly triggers acne for me.

      On the other hand, I’ve had no problems, and have actually seen some improvement with safe starches.

      Experiment!

      Speaking of experiments, does anyone have any experience with biotin for “candida”? I hear that it encourages the fungus into its non-pathogenic form, and I apparently had the worst case of cradle cap ever as an infant, which I’ve heard some people attribute to a biotin deficiency. I’ll be trying it shortly.

  18. Thank you, Mark, for writing about this controversial and little-understood condition. If the medical profession had been willing to recognise it, I would have been spared years of misery, leading to chronic illness, and my mother would have been spared the agony of not knowing why her child couldn’t keep any food inside, no matter what she tried to feed me.

    I now keep it under control with a rigid (Primal) diet, which is the only real solution that I have found. Any deviation results in flare-up.

    As to all those who claim candidiasis doesn’t exist – don’t knock it til you’ve tried it.

  19. I agree that it is a real condition. My daughter was on antibiotics several times during the first year of her life. She kept getting respiratory infections and no one could figure out why, so another round of antibiotics was always the answer, but those in turn led to yeast infections… However, when she was one year old, we found out that she had a large Atrial Septal Defect, which is basically a hole in her heart. Her respiratory system was compromised which is why she got sick so much. Open heart surgery corrected the defect, but she still was not completely better. Her stomach became hugely bloated basically every time she ate. Doctor after doctor for 2 years and no one had answers, until we finally saw an allergist who said he thought she might have a candida overgrowth because she was pretty much negative for all the major food allergies. He prescribed two doses of Fluconazole and put her on a strict diet – basically primal with zero fruit and no dairy. This was extremely hard as she was just 3 years old at the time and was already a picky eater. In addition, we started her on probiotics daily and the progress has been amazing. It’s been a long road, but well worth it as she can now eat without having her tummy blow up like a balloon.

  20. could we stop the squabbling and bicker backer and get to real discussions perhaps??
    I had a serious candida problem from years of bi-annual antiobiotics to fight off sinus infections, and a very high sugar diet that had me close to diabetes, after reading the primal blue print i cut back on sugars and was really close to being in control of it all when i had a binge weekend relapse with beer and pizza, woke up with my yellow toungue back and sinus / intestina problems recurring that entire week, went to see my acupunturist (the only person other than the diet that in 15 years of treating these infections was able to make real headway), and explained to her the situationation, and she basically said “it’s the yeast stupid”, i did some research on candida overgrowth, saw that the “candida diet” was really close to the “whole 30” suggested by the whole9 folks and talked about in my crossfit program, so i went whole 30 for a month and lost 5 more pounds, watched fat melt off, and havent had a sinus problem since, and the yellow toungue / congestion only starts to come back on a day i go way to high in amounts of fruit my guessing is that it stems from the sugar

  21. Interesting debates in the comments. I was diagnosed with a candida overgrowth earlier this year. I was having recurring vaginal yeast infections and overall fatigue. I thought I had it under control, then sugar snuck back into my life and the yeast flare-ups started again. I went on Fluconazole last month and now my digestion is totally whacked up. The only thing that explains it: dysbiosis, basically that my gut bacteria is messed up. At least my yeast infection is gone? The yeast got bad again when I reintroduced sugar, so I think I was feeding an existing overgrowth. I have been sensitive to sugar my entire life, though I was never on that many antibiotics. Once is enough, apparently, or maybe my gut doesn’t bounce back like other people’s do before adulthood.

    Other things that can help: grapefruit seed extract, Vitamin C to help keep bowels regular/easy, which will help regular gut bacteria, fermented foods with pre- and probiotics. I recommend reading “Fiber Menace” for a more complete understanding of how the gut functions, including/especially gut bacteria.

  22. I think this is article is great, it gives people something else to try if they have persistant problems that don’t clear up by being paleo/primal alone. It may not be “scientific” but it adds more options for self-experimentation to find solutions to personal problems. Also, trying some of the “treatments” that Mark suggests could potentially help numerous other problems other than “candida overgrowth” while doing absolutely no damage, so like he said, it can’t hurt.

    I have had problems with “Candida overgrowth”, and it is extremely persistent. For me symptoms were oral thrush, several food intolerances, low energy, and difficulty focusing (foggy brain), among other things. I’ve found the only way to really fight it is to keep up the “treatment”, even after the problem is “gone”, and to try other treatments when something doesn’t work or stops working. The most successful solutions I’ve found is the GAPS program, which is designed to help heal the gut. I’d recommend it to anyone having “candida” problems or otherwise.

  23. This probably isn’t super relevant but I’ll chuck it in anyway in case it helps someone. I *battled* (seriously miserable constant recurrance) thrush for several years until I had to have a minor gynae op and before I was discharged my gynaecologist said she wanted me to take antibiotics while I was healing up to zap the yeast overgrowth. Killed it dead. Never had thrush since. I am not an advocate of antibiotics and I actively avoid them now that I am healthy and primal (I’d rather ride it out, and I treated an ear infection with topical coconut oil last month) but I just wanted to say that sometimes, especially people who are not fully primal, can benefit from antibiotics to crush the dreaded candida.

    1. As a note, antibiotics (such as tetracycline or ampicillin) attack bacteria, anti-fungals (such as fluconazole) attack yeasts.

      Antibiotics are pretty benign, at least in terms of toxicity. However, anti-fungals are toxic drugs you want to avoid if at all possible.

      This is because yeast are much closer to us than bacteria in their metabolism (we’re both eukaryotes) so it is very hard to poison the yeast and not the person.

      1. Hmm that’s interesting. I wish I could remember what I was given. I’ll have the hospital discharge letter somewhere. I am probably using ‘yeast’ overgrowth erroneously. Or she was using laymans terms when communicating the purpose of it to me.
        However, it was my secondary point that although antibiotics are often blamed for squashing the ‘good bacteria’ leaving candida to run riot, in my case, if I was given antibiotics, and yeast was the problem, it helped. Make sense?

  24. I was given Fluconazole after strong antibiotics for a sinus infection. I ended up on an extended dose of it (150mg x 7 days) at a later time and evidently the anti-fungals did more to clear up the ongoing sinus issues than anything else (including oral steroids, nasal steroids, antibiotics, etc.). I regained my sense of smell by day 3. Amazing. Now I’m more inclined to inquire about it than any other prescribed medication (well it’s OTC now, but still).

  25. Anyone interested in reading about how yeasts are implicated in most of the illnesses we’re dealing with today, I highly recommend The Fungus Link: Tracking the Cause, Volume 2 by Doug A. Kaufmann. It’s a good read!

  26. I had a very rare rash on my neck that was determined to be a yeast infection due to pregnancy. After months of treatments the only thing that worked was a yeast free diet. It was actually how I found MDA in the first place. We joke that it changed my life, but honestly I have never felt as good as I did on that diet. Did anyone here who followed the yeast free diet eat rice or other gluten free grains? Just curious as I found the “no fruit” tough without rice or something else besides veggies.

  27. I use a soap with triclosan on my toothbrush everyday to control what I think is candida on my tongue. It’s the only thing I’ve tried that is effective in removing this coating on my tongue, or what I think is candida.

    My condition seems to be helped by avoiding dairy as well. I do not have lactose intolerance; however, if I drink milk or eat yogurt, it’s as if a weird whitish biofilm clings to my tongue.

    Any ideas on what this really is? I had a doctor prescribe a Nystatin swish years ago, but I remember the treatment wasn’t effective. I may not have completed the Nystatin treatment though.

  28. Overall interesting article. I really think it is easy to over diagnose oneself with all the information on the web.

    Since humans are not living exactly how evolution has designed us to, and the fact that we are living longer with illnesses that would of killed off the people with the, we are going to just have to deal with these issue.

    Sadly those who need help with Candida will most likely not get it, and those wrongly diagnosed with it will go through unnecessary treatment. I guess that is what we have to look forward to with our advance technology…

  29. I used to have vaginal yeast infections all the time until I started a LC diet about 5 years ago. Ketosis didn’t bring it back. For 5 years I also didn’t have any infection and didn’t request my asthma meds refill.

  30. I can’t speak to the existence of intestinal candida, but I can vouch for brain fog and fatigue as symptoms of a vaginal yeast infection. After a single day of Diflucan, I was so much more alert and energetic that it was like a veil had been lifted off my face. I was shocked at how bad I’d been feeling without realizing it.

  31. This is real, and Mark’s paragraph about Paul Jaminet really hit home. When I went primal/low carb for overgrowth my heartburn went wild. It was so much worse and this seems to explain why – the bacteria/fungi were having a feeding frenzy and releasing lots of gasses. I’m still testing this theory, but I’m just glad to hear there might be a reason I felt worse. It seems that almost everyone else that’s gone primal and/or low carb has had complete relief of GERD and other digestive issues. Thanks Mark and Paul!

  32. Thanks Mark for addressing this issue – from the responses it seems like there are some who have never heard of it or experienced Candida infections.

    A couple years ago I ended up with an unexplained rash and whitish tongue. I have a terrific Naturopathic Doctor that I always visit first whenever I have health issues. She treats Candida infections frequently in her practice and knew within a minute of looking at my symptoms that this is what we were dealing with. She set me up with Oil of Oregano (a great natural antifungal)- taken 4-5drops 3 times a day, recommended a good probiotic after every meal, and put me on a eating plan very much like primal or the whole 30. Within 10 days the rash was gone, my tongue was a nice pink and I loads more energy. I kept the eating plan up for a full 6 weeks, and felt great (and even lost a few of the extra pounds).
    I believe overgrowth of Candida is a real condition, and my Naturopath explained it is happens when your good bacteria colony is out of balance – this can be due to any number of underlying health conditions, or due to antibiotic use, or too much high sugar food in the diet.
    It can be difficult to get rid of depending on the severity of the overgrowth but a diet low in sugar, grains and dairy can really help. I understand that toxins are released as the Candida dies off, so you may feel worse for a few days before you get better as your body clears itself.
    There are many conditions that CW does not understand – I think the basis of primal eating is right on point – out with the processed and in with the natural healthy foods. The body is an amazing machine that can heal itself given the right nutrition and support!

    1. When I did the candida diet, along with oregano oil, etc, I also took clay, activated charcoal and diatomaceous earth – they help absorb the toxins that the dead critters release into our systems.

      1. Diatomaceous earth???? That’s what my husband uses in our organic garden to kill slugs–the diatom skeletons ask as an abrasive that injures them to the point that they die. I can’t imagine what that stuff is doing to your the lining of your Gi tract.

  33. I had a variety of health issues for years (fatigue, brain fog, low sex drive, general sens of lack of wellbeing, digestive problems etc). Some days I could hardly do my every day tasks without significant mental effort and felt “out of it” al lthe time.

    I went to see a naturopath and she put me on Candida cleanse (diet plus some shake thing – don’t remember what it was). In merely _10 days_ I felt like a completely different person! I know the disease is not reacognised etc but this cleanse saved my life – I can know get out of bed and feel like a normal person.

  34. I haven’t seen any mention of nipple thrush here – I’ve been fortunate to be pretty immune to thrush (unlike some of my friends) but when I was breast feeding I got nipple thrush. That is unbelievably painful and took me 3 doctors and persistence to solve… (the old guy knew immediately ) It’s a shame, I do think the medicalisation of childbirth and nursing issues means we are losing the wisdom of people like midwives with a lot of detailed experience to bring to the party, my thrush experience could have been so much easier!

    1. I had problems with nipple infections when I was breastfeeding my babies 33 – 36 years ago. Never understood it. I went on the Paleo diet to stop getting thrush in my mouth and digestive tract a little more than a year ago. I often thought that my increase in energy and wellbeing was due to eliminating candida overgrowth. I did follow Christa Orechio s anti candida program. You can find it at Thewholejourney.com. it made a huge difference.

  35. I had chronic yeast infections years ago due to using perfumed body washes. This also gave me abnormal PAP smears. It was reading the book “What your doctor doesn’t tell you” that helped me figure it out!! Believe me, it was a simple solution!! I just switched to Dove sensitive soap and my yeast infections went away, and my PAP smear came out normal!

  36. I really can’t believe so many people are denying the very existence of candida overgrowth. Thrush is diagnosed daily as diaper rash in kids (my daughter has it now), and an oral infection in those going through chemo or on severe antibiotics (my mom had it during cancer treatment; friend’s son has it now after a tonsillectomy).

    As for myself – I had thrush in my milk ducts after my son was born. Painful? Like shards of glass! It took 4 months to clear it up. That’s 4 months of pain at every nursing, and nearly losing my nipple to an ulceration. Diflucan helped, but didn’t get rid of the infection. Diet worked great, in conjunction with a tincture from an ND that contained black walnut EO and oil of oregano.

    1. It doesn’t seem to me that people are denying that thrush exists but more so suggesting that intestinal candida overgrowth specifically may not be responsible for the wide range of symptoms that alternative medical practitioners attribute to it.

      This a controversial subject because there are no reliable tests for intestinal overgrowth and it’s difficult to establish cause and effect for both the symptoms and for treatment. I think its fantastic hearing the anecdotal reports from people who saw good results from making dietary changes. I don’t like to see the diagnosis of candida abused as a way to sell natural remedies.

  37. I am surprised no mention has been made of the red wine/resveratrol ability as an anti-fungal. There are many stories about candida exploding if someone stops drinking. Might also be part of the french paradox and why there are less wine bellies verse beer bellies.

  38. candida is such a nasty thing that, i think, most people these days are dealing with. i know i am after repeated antibiotics as a child. i believe candida can supremely screw up one’s health. now, i try to do all that i can to fight it, such as low sugar intake, etc.

  39. Great article like always, very comprehensive and well-balanced. I agree with the herbal approaches you listed and learned a thing or two along the way. I just wanted to chime in that monolaurin, other medium chain fats, and Silver may also offer antimicrobial support.

  40. Maitake and other mushrooms are effective against yeast. I was surprised it wasn’t mentioned.

    Let me also add another to the count of former nipple thrush sufferers. I was eating SAD at the time. I hope to never have a repeat.

  41. Mark,

    Thank you SO MUCH for your post on this. I’ve been dealing with Candida on/off again for over a year. It’s unbelievably frustrating.

    I found a great naturopathic doc; she had me tested for food allergies when I first came to her with candida symptoms. I was at the end of my rope, having tried everything from kyolic garlic, to large doses of coconut oil, yeast-eating enzymes, you name it. It turns out I have a host of issues: gastritis (causing the indigestion), food allergies out the arse, and adrenal fatigue.

    The more I read about adrenal fatigue, the more I realize how the symptoms of both overlap. In fact, adrenal fatigue is probably why most people get candida in the first place: if your adrenals are out of whack, they cannot regulate your immune system.

    I’m now trying to support my adrenals, and am also taking oil of oregano tablets, as these allow for a slower stream of oregano through the digestive tract.

    I hope everyone dealing with this garbage can hold on to some form of hope. I was (and still sometimes feel) ready to give up, and live with this crap for the rest of my life. But you can’t. Don’t give up.

    Thanks again, Mark 🙂

    PS. I had no idea candida can feed on ketones. WOW.

    1. I’m sure I’ve got adrenal fatigue as well, since I’m dealing with candida and a thyroid issue – maybe you can try getting more organ meats/offal into your diet – that really helps the adrenals. It really seems to help me, and it can’t hurt to try. I’m so deficient in so many vitamins, and liver especially is so full of vitamins. And try drinking a shot glass of coconut oil in the morning – lots of people say that coconut oil helps with the candida.

  42. This article is perfectly timed. I have really buckled down in going primal, but in the last week or so, my carb intake got really, really low. A few days in a row, under 30 grams a day. I have gotten yeast infections before, but just couldn’t pin down where this one came from. Looking back through my food log after reading this article and I think I have a very probably suspect. And how did I treat it? Garlic and plain yogurt. After an annoying incident with otc meds and antibiotics several years ago, that I have suspected ended up in a pregnancy, I have found natural remedies are the best way to go. My son is now 9:) and totally worth those infections though.

  43. This is something I would really like to read more about. A lot of people have a dysfunctional gut flora (not candida) without knowing it, promoting inflammation and leaky gut. And it’s so relevant to primal lifestyle since the primal diet is usually the best diet for individuals who’s got this.

    It would be AWESOME if you could get a guest writer to make a post about this. I was severely sick, but found the best info on treatment from Dr. Art Ayers at http://coolinginflammation.blogspot.no/ and Eric Hunter at http://gutflora.com/

  44. Mark,

    Wunderbar PALEO PRIMER!

    I only developed chronic yeast infections after a titanium dental implant + tetanus shot (+/- adrenal dysfunction). I believe the candida was strongly heavy metal/MERCURY related. I’ve tried everything and the only things that worked to eradicate chronic bowel and systemic overgrowth are:

    1. Removal of MERCURY and other metal sources (titanium for me) and identification of the ‘root cause’

    2. Efficient and safe probiotics:
    (a) GynaNATREN
    (b) Prescript Assist which I talk about in my AHS presentation (shelf stable + awesome) (vimeo.com/27958611)
    (c) Natren’s Healthy Trinity

    3. Optimization of ADRENAL + THYROID function (which will be out of whack from chronic fungal overgrowth, excessive aldehyde and fungal toxins). Need decent body temps to control fungal overgrowth (read book ‘Hot Brain’). Need healthy adrenals for the TH1/TH2/NK immune system and antioxidant status. Take salt, adaptogens, relax/rest, no crossfit/endurance events, sufficient carbs matched with protein to prevent low BG’s, don’t skip meals, absolutely no IF. Yes sorry.

    Had to battle this for 18mos and I know this is tough for both men and women. Very real stuff… No dietary interventions worked FYI for me (mod carb, low carb, VLC, high carb, all = #FAIL). Need to find the root of the issues which is not uncommon in our toxic neolethal environment the presence of heavy metals, particularly the mercury amalgams and incessant vaccine programs, which the conventional medical/dental community clinical will fail to accurately recognize or have adequate therapeutics. Unfortunately toxic metals (mercury, arsenic, lead, antimony, aluminum, etc) affiliate with candida strongly which we’ve co-evolved with as eukaryotes… It does make evolutionary sense!

    g

  45. Very nice article. I have seen garlic helping me against fungal over growth.

    Is it possible that fungal growth is caused by underline allergy/autoimmunity? I also have Hashimoto and was wondering if there is any relation.

  46. I switched over to an osteopath as my primary care doctor a year ago, and the first thing she did was test me for vitamin deficiencies, candida overgrowth, and food allergies. My vitamin levels were all in the red, except magnesium (weirdly enough), it turns out I’m allergic to baker’s yeast (but not brewer’s yeast – yay!), and she also found an overgrowth of candida. I’ve had Grave’s disease (hyperthyroidism) for over 6 years now, and the only symptoms I’ve noticed I attributed to the Grave’s, not the candida. I feel pretty good, other than the heart rate and a little rare fatigue due to my thyroid issue (I’ve had these symptoms since day 1 of Grave’s). She told me to clean out my diet for a month, and then to go on the anti-fungal Diflucan (sp), but I’ve just been focusing on the diet part; I think I’ll skip the medication. I know another person who has “lower” candida levels then I do, and they feel 100 times worse than me. I think Mark’s right though – whether or not you have it, focus on cleaning out your diet. You’ll only benefit from eating less sugar!

  47. Thank you Paretoparent and Karen C. for seeing the value in the article for nursing mothers. My sister and a close friend both had babies with oral thrush that transfered to their nipples and back and forth.

  48. Maryanne: coconut oil didn’t work for me. Now I cannot stand the stuff straight off a spoon. I also eat liver 2 – 3 times a week.

    Vizeet: autoimmune/allergies/Hashimoto all go back to adrenal fatigue. It is the main cause of many conditions.

  49. There has been so many myths and so much alternative bogus talk about Candida, so it’s nice to read a serious article about this topic. Thank you, Mark 🙂

  50. Hmm, all very interesting.

    Since going strictly primal (no alcohol or sugar except from 1-2 servings fruit, maybe 1/2 sweet potato per day plus veggies), I feel sooo much better; however, I’ve noticed that if I have a kombucha I break out around my mouth. Self diagnosis: yeast and sugar, so I avoid it.

    Last week, however, I had grapes, which I had not had for months, and had the same reaction. I know that grapes have yeast on their skins and also a lot of sugar.

    I have no other signs of candida (I’m a primary healthcare practioner and know what to look for), but I think it’s interesting that those things which did not cause a reaction prior to my dietary clean up, are now so apparently irritating.

    My husband, who has also cleaned up his diet, had hangover symptoms and joint pain after the kombucha. In years prior, he drank it regularly.

  51. I have intestinal candida and it took me years of agony and unhelpful doctor visits before discovering it, and treating it. Investigating why I got candida led me to the primal movement, and helped me understand my earlier, pre-cursor symptoms for getting candida (as well as other things). Eating primally (with a few extra food eliminations) is what helps my candida stay healthy, instead of making me sick on a daily basis.

  52. I don’t know whether what I have is “Candida” or not, but I get recurrent athlete’s foot and what feels like an external yeast infection whenever I drink alcohol several nights in a row.

    Sometimes, when I stop drinking alcohol entirely (for months), but still eat grains (corn and wheat are the big suspects, I don’t seem to have issues with rice though I still avoid), it doesn’t go away. Eating grain free, low sugar, alcohol free makes it go away.

    Fructose malabsorption and dental problems run in my family. I know that folks with FM don’t break down the fructose, but the bacteria (and candida) in the gut break it down, instead. I know wheat contains a lot of fructose…

  53. I have Chronic Lyme Disease and am undergoing treatment with at least 3 solid years of antibiotics. My doctor started me on Nystatin with the antibiotics, but had me switch to a paleo/primal diet a few months before starting the treatment to get grains and sugars that candida can feast on out of my system.

    I don’t know if I felt any candida “die off” but I can attest to how horrible a Herx reaction is when Lyme spirochetes are dying off. Your body is basically in a state of sepsis. It’s so bad that I was determined not to have problems with yeast on top of what I was already dealing with.

    I didn’t know about yeast feeding on ketones, though. I recently switched to a full-on auto-immune protocol so I cut out the little bit of dairy I was eating, eggs, nuts and nightshades. Adjusting to a new version of the diet was tricky and I ate only 20-40 grams of carbs for several days. I felt horrible and couldn’t figure out why. Increasing carbs a bit did make me feel much better.

    I’m surprised no one has mentioned adding fermented foods for probiotics. I was eating some kefir or yogurt every couple of days, but since cutting out dairy, I’m eating sauerkraut and drinking kombucha. Those seem to help a bit as well.

    1. Oh God,Yes….the die-off is horrible (I’m dealing with Lyme too) and I’m not handling it well at all.:(

  54. Thanks for the comprehensive post. I have an infant and within a few days of his birth I started having deep breast pain – but not the kind typical of a plugged milk duct and infection. After dealing with it for a few days, I noticed white spots on the roof of his mouth and a lightbulb went off. Thrush!! I’d suspected that I have a difficult time with yeast overgrowth in general because after trying everything to lose weight last year, I stopped eating the minimal amount of sugar and fruits that I had been enjoying and the pounds just fell off! I wondered if yeast had been keeping me from losing. This time around it took about three weeks for the extreme pain to subside, but I was thankful that I was already familiar with eating sugar free and low/no grain. I had a PB&J the other day and the pain came back. Crazy, huh?

  55. Hi Mark,

    Concerning your comment about Paul Jaminet&VLC, Josh Rubin,in this video,speaks about actually ‘feeding’ the candida by eating (healthy)sugar in the form of root vegetables,fruit/tropical fruits,dairy etc.

    You also wrote that Paul mentioned that Candida feeds off ketones just as easily.Yoy recommended 100-150gr.carbs daily,but what about fat?

    Also,in the Josh Rubin video,he mentions that Candida loves to feed on mufa/pufa and that one should eat mainly saturated fats. Also leaving out,fatty fish consumption for whitefish. However I wonder if consuming fatty fish(as virtually only mufa source),might actually help bc of high O3 content and it’s anti-inflammatory workings?

    Is there anyone who has some experiences/info on it?(I know nuts are a Candida source)

  56. The issue of weather candida or applied kinesiology is ‘scientific’ or not, got me to thinking – the entire Primal/Paleo/Caveman/Etc. way of eating isn’t considered scientific. The vast majority of main-stream doctors tell us that our diets don’t have a thing to do with our health.

    So, who cares what anyone else thinks is ‘scientific’ or not. What is important is what works for me (or for you).

    1. I know,within the world of GAPS’ers avoiding nuts are a big thing concerning Candida. Most of them actually claim to cut out all ‘sweet’ veggies,such as carrots&other root veggies,all fruits,raw honey(is kind of doable bc of it’s healing effects&enzymes).

      Here’s the link to the Josh Rubin video,where he talks about Candida/sugar&fats:

      http://www.youtube.com/watch?v=Ta28jJ9e_Uc

      1. Hey thanks for that youtube link. I like his take on it. Very interesting. I’m already in the moderate carb range, but I may bump my intake up a little farther and see what that does.

        I don’t know if the PUFAs are feeding the candida like he suggests or if I’m getting an immune reaction to the nut proteins via leaky gut, but nuts definitely trigger acne for me.

        Sweet vegetables or “below ground vegetables” as he calls them don’t seem to bother me at all, despite the fact that I believe many are pretty high in fructose. (Whereas just about all fruits seem to trigger acne for me)

        1. No problem.:)

          I still don’t know what to think of it all,according to my energetic therapist,I should avoid all funghi/yeast-feeding foods which turn into sugar such as carrots,beets,banana,dairy etc. Though she ‘tested’ that raw honey would be ok.
          (I virtually eat no fruit/sweet potatoe bc of the higher-free-fructose content.)

          I think there’s definitely truth in regards to “as long as you feed your critters,they make you feel ‘good’/anxiety free/energetic etc. Back when I stumbled upon Paleo(didn’t know much about it though) due to foodintolerances/leaky gut/Lyme etc.,I felt ‘great’,no sugar cravings anymore….however I ate lots of beets,carrots,pumpkin and loved all kinds of smoked fish&beef,nuts,pork and chicken with skin etc. I was eating 3meals a day however.

          Later on,when I got more into Paleo and this site amongst others,I got so overwhelmed and scared by all the info&people about “IF,getting fat,3meals a day isn’t normal,too much carbs make you fat,too much fat makes you fat etc.”

          My story is fairly long&complicated,but now I’m falling into my “old habits” and totally falling off the wagon,but now it’s even with a harder vengeance since I’m underweight which is one of my anxieties that I turn fat/lazy/unenergetic/still lost in life&anxious&with lots of ‘food issues,no normal mealstructure(I don’t even know what’s normal anymore),binges,falling off the wagon”, out of frustration,anxiety and God knows what else….

  57. Also, in the past few months I’ve become very aware of an unpleasant smell which I think I’ve tracked down mostly to cooking PUFAs and MUFAs, and diesel exhaust. I’m assuming it’s PUFAs (probably oxidized) in the air. I never used to notice or smell this smell, but now it’s quite obvious to me and fairly unpleasant, though other people don’t seem to be able to smell it.

    If candida do indeed feed on PUFAs I wonder if that is somehow involved…

  58. I have chronic candidal vulvovaginitis. I’ve tried a bunch of different treatments, but mostly I just apply canesten cream when the symptoms show, or a canesten-steroid mix when they get very bad.

    The doctor that diagnosed me (after a few that had told me ‘I don’t know what it is, but I’m sure it’s not thrush’) tells me that fair skinned red heads are particularly prone. I’d dye my hair if I thought it would help, but I don’t think that’s what she meant!

    1. I have also suffered from bacterial vaginosis. I have found that taking Trace Minerals from Morter Health Systems helps to balance my pH and alleviate symptoms. You may want to consider testing your pH regularly and taking steps to alkalize your body if you are acidic (add lemon juice or ACV to your water, drink alkalizing tea, etc.).

  59. Here’s the 80% cure for candida…are you ready?…it’s a tough one: do not eat a diet based on fat and carbohydrate on the same day because of inefficient blood transport. Yes, that’s right candida is a food conflict problem. Why does the Primal Blueprint diet keep candida low? Because it’s a fat based diet. Why does a diet based on fruit also keep candida low? There is no fat around. Why is this so important? Sugar and fat in the blood in high quantity at the same time is inificient for us, but candida loves it!. So look at the typical failure diets: Vegans eating fruit for breakfast, then a fatty avocado salad for lunch, sure the digestion went over well because the two were eaten separately, but then you still have a sugar process going on in the blood as a fat process follows which causes all the problems. Better to wait more than 24h before eating fat in that case. I love eating bacon, eggs and toast for breakfast. What’s on the toast? That’s right, butter! Getting rid of the toast solves the problem. How could it be this easy you say? Thinking about what Mark is always saying, we should eat what we are designed to eat, how we are designed to eat it…an apple a day may be okay, but not more if you’re a fat based eater.. Now, if you don’t want to eat animals, that’s okay, but then the rule still applies. Eat fruit, veggies and keep fat out! (10% or lower!) Try a week of eating only fruit and veggies and your candida will most likely be gone! You say, but candida loves sugar! They’ll grow! Yes but efficiency transfer of fuel to your cells is so excellent on a raw fruit diet the candida die off fast and regulate themselves. Raw fruit is a healthy thing not to be compaired with the sugar in the white shaker on the table. This diet also works on some diabetes cases. The good news is we have several options to choose from. How close the options can be moved (eaten) together depends on many factors, each body is a bit different. I like Mark’s PB because I love steak!, but I’m intrigued by the 80/10/10 diet as well (Graham) check it out! I love the word pseudoscience, because it is usually used by people who offer zero data themselves! My source on the fruit is Dr. Douglas Graham’s book, and just like Mark S., he has a whole list of people who were “saved” by his fruity diet. I lean more towards Mark’s system because I like meat, but I love the flexibility Douglas’ diet gives too. Now, I’m going to have an indulgence by eating bread and butter! The good news is I know it is not ultimate, too bad I didn’t know that for more than 40 Years!

  60. I had chronic sinus infections. I was on antibiotics every 6 weeks for this. I had bronchitits 6 times a year. Almost every time I ate, I needed to use my inhaler. I had hives, I seemed to be allergic to everything I ate, smelled, or touched. The only day I did not have a headache was day 5 of a water only fast. My doctor put me on Dyflucan and told me to eat Grass fed meat and organic greens. I was to take a powdered vitamin called ALL ONE and a liquid mineral called Mineral Rich. I was told that under no circumstances was I to eat sugar, or anything that would turn into sugar in the blood stream. After I finished the course dyflucan I was put on nystatin powder that mixed with 1/8 cup water and was to swish my mouth with it and then swallow it, four times a day. After doing that for 6 months, I was put on nystatin pills. with the same instructions.
    I have not had a sinus infection or even a cold in the 4 years since I finished this course of nystatin.

    I will never take antibiotics again. Except to save my life…But really, I have not even had a sniffle since then.

    1. Congrats! Who was your doc who helped with this? Maybe I can contact.

  61. I went to a doctor steadily for 20years. He once treated me for thrush of the mouth. Too bad he didn’t follow thru and detox me, tell me how sreious candida was. Tell me to eat right. We all eventually learn. I just got tired of being tired. I also got tired of dentists drilling and capping my teeth, which I finally refused the last dentist to do. She said I needed a crown, and I said what for, I’m already the king of England, bad joke and not true, but decided right then to go vegan, no more sugars, meat, processed food. Just vegetables. It was hard. After a month my tooth cavity stopped hurting. After 3months I started seeing strands of candida coming out with my green poo. I’ve got it on the run. I feel great and I’m 60 yrs old, and feel like 20. Please understand if you have a child crying and upset, they probably have candida and maybe some parasites. Acidophilus, vitamin B, coconut oil one teaspoon a day. Rotate every 5days oil of oregano, pau’darco, grapefruit seed extract. At the initial stage, for 1month take the supplements green walnut hulls or wormwood, and cloves, just to clean you out. I know this cos I’ve been there, and I’m still working of improving my diet, still takin supplements. Just now, I eat about ten walnuts that I crack open and eat daily. Better fresh. Drink plenty of water. You’ll beat this thing and/or you’ll feel great eating so well.

  62. I also want to say I’m not a doctor so I wouldn’t know exactly what to give a child if thay had candida. Maybe one 10th of what you would give yourself. It’s up to the parent. I just hate to see children with gas pains crying so much. At least you know what could probably be upsetting your baby and a doctor could help with a perscription. Nothing better for a fungal infection then good eatin and cleanliness. No sugars, no wheat, no processed foods. Eat good soup with chopped up kale, squash, zucchini, greenbeens, occasionally cooked potatoes, all chopped in small sizes, put in soup. Chopped celery in a soup. It’s all good for a family.

  63. I was wondering if someone could give me some advice. After being on the combined pill for years with no problems, I started getting vaginal thrush monthly. This persisted for 6 months then stopped when I came off the pill after trying all other options. I then tried a lower dose pill which immediately resulted in an outbreak, after being thrush free for 5 months without taking oral contraceptives.

    Is it the oestrogen in the combined pill which causes the outbreak? because I am hoping one of the progesterone only forms…mini pill, implant, injection etc, might stop this horrible cycle but I know some of them stay in your system for longer so dont want to risk constant yeast infections again. Any advice would be great, thanks!

  64. Interesting and well-informed article! I too have the experience that a too low carb diet may exacerbate candidiasis instead of healing it and have just started experimenting with adding some ’safe starches.’

    I would be grateful if you could clarify your recommendation, ”Stick to around 100-150 grams of carbs while still limiting sugar”—do you mean 100–150 grams of _carbs_ per day, or 100–150 grams of carb containing _foods_, like sweet potatoes? The latter interpretation makes more sense, but less exact since carb sources vary greatly in carb content.

  65. I have had a lifetime of bad health, body pain, fatigue, allergies, asthma, anxiety, depression, skin rashes like eczema, and many more, and i have always had a craving for sweets, alcohol, and my diet consisted mainly of breads, pasta, fruit, and other high carb foods. As a child I was given a lot of antibiotics for different infections, and in my twenties I used birth control pills. From 1992 – 2001 I lived in a house that had a mold problem. I was constantly cleaning mold everywhere. While living there my health deteriorated, severe asthma and fatigue, rashes. Everytime I ate my stomach would blow up like a balloon. 4 years ago after researching my symptoms, I came up with candidiasis. My doctor didn’t support me, so I started a candida diet and treatment with the Yeast Buster Kit by Inno Vite. I had significant improvement in about a month. I looked and felt years younger. I went from not being able to work to working 14 hours a day 6 months after starting the treatment and diet. For the last 2 years I have been eating foods that are not on the diet, although not sweets, and I am having symptoms again. I think I have had a candida problem all my life, and will likely have to follow a strict diet for years.

  66. Hello,

    I was wondering about birth control pills and candida. I believe I have intestinal candida and have been diagnosed with PCOS (poly cystic ovary syndrome) so I have to be on birth control (at least that’s what they tell me). Can I cure my candida while simultaneously being on birth control? I’ve also read that their are links of candida and PCOS so many the candida has caused my PCOS?

    Thanks

  67. The mainstream health industry is not interested in a condition that is treated by diet and complex regimens, nor are they interested in performing studies that validate conditions which they can’t correct with a drug prescription or surgery…it is shameful that these studies aren’t conducted and peer reviewed (the peers won’t review!) because this gap in knowledge provides a space for opportunists to exploit people desperate for a real solution. The AMA knows this, and so does the FDA and the rest of the establishment. Conducting the proper research would settle the issue, so why don’t they conduct it? It’s the same with autism and other poorly understood conditions, the lack of studies means exploiters can say ANYTHING. Really, I’d like to strangle a lot of doctors and a lot of gurus. I mean, actually strangle them. Shame.

  68. Hi, my husband recently had a pollop removed from his throat, that tested + for candida. He said it felt like there was something in it and food felt stuck. Well now I am worried that I may have it as I feel the same thing in mine. Is that possible? Did I catch it? We both have recently had surgeries and corticosteroid injections.

  69. The best book I ever read: The Yeast Connection, by William G. Crook, M.D.

  70. Dude, nice article, most other articles on this stuff don’t have any references, and I don’t trust what anybody says without some good evidence.

    This seems like a nice blog, I might read more of it.
    Best wishes for you and your family, from Portugal.

  71. I have been struggling to work out why I have felt so rotten for 3 weeks after giving up chocolate and fruit/dried fruit (first time I ever gave up fruit). I just found this today and it seems to fit. I have felt like I was incubating a nasty germ for 3 weeks which never quite came out into a cold or sore throat, as if my body is engaged in some kind of awful battle which has worn it down. Exhausted, wake after 8 hours with very very tired eyes, one eye water, both eyes sore, tired, tired, tired (no weight lost) so feel a lot lot worse than when eating less well.

    I am going to buy Molybdenum today to see if that helps and will keep drinking loads of water (which I always do anyway). My stools are night right which is usually a sign of being ill too. If all this is doing me loads of good as things die off internally that’s great. If I am going to feel this bad forever then I might as well go back on sugar.

    I am being sure not to cut back my brown carbs yet (brown rice/baked potato) as they are the only things keeping me sane. I am having daily steams/saunas at the gym. I am not exercising much at all (yoga once a week) as my body needs rest. It feel very post viral as I sometimes have felt after a very bad term when getting better when I need rest rest rest.

    I have very rarely taken antibiotics in my life, headache pill once in 10 years and never even had the contraceptive pill and don’t drink or even have caffeine and I tend to understand my body and how it feels very well. I am just amazed by this reaction to stopping fruit. I did not have this reaction when I gave up chocolate/sweets for 4 years.

    However in a sense I feel that if the reaction by my body is so strong then it is even more important I give up all fruit at least for now.

  72. Nice post. I became checking continuously this site and i’m fascinated! Very useful information specially the particular final section 🙂 My spouse and i take good care of similarly info significantly. I had been searching for this specific facts for a long time. Thank you so much and associated with luck.

  73. I suffered a menagerie of symptoms for years! Chronic vaginal yeast infections included. I can’t tell you how many doctors I saw seeking help. A low carb, no sugar, Diet helped but wasn’t curring anything.

    Finally, in 2010, I found a doc who graduated from medical school in 1956 and was still practicing. He listened to me, had me take a quiz, told me that I had yeast overgrowth and needed to have my amalgam fillings removed, and take a test for heavy metals.

    I just couldn’t believe that our government would allow a harmful substance to be put into my body (boy was I wrong!!!)

    I had my amalgams removed safely, by a dentist who knows how to protect his patients from mercury vapor. The lab work showed some elevated heavy metals. For 22 months I have been chelating to remove the heavy metals from my body, the last 16 months I’ve been chelating according to Andy Cutler’s protocol. It has turned my life around. The yeast is dying off, my tongue is turning pink, the chronic itch in my privates is gone, as is the eye tick and muscle aches.

    If diet doesn’t resolve your candida related health issues, get a hair test, remove amalgam fillings if you have them, and chelate according to Andy’s protocol.

    I’ve learned that there is a symbiotic relationship between mercury in the body and candida. You can’t get rid of the yeast until you get rid of the mercury.

  74. Most people have candida in their systems, but don’t notice any symptoms. Even if you don’t end up with itching, flaking, redness, or other external systems, candida can be causing your body problems on the inside and contributing to variety of symptoms many people never guess could be from bad intestinal flora (digestive issues, skin problems, trouble concentrating, constant tiredness, anxiety, mood swings, OCD, irritability, headaches, cravings for sweets, difficulty losing weight, etc.). I have been using the Lady Soma Candida Cleanse for years because its the only thing to has worked to get my body in balance. I’ve found that a coconut oil supplement works well too.

  75. I was diagnosed with irritable bowel syndrome by my GP, and when I went to a gastroenterologist, he wrote me a prescription for anti-nausea pills. Then I saw my nutritionist. Using muscle testing, she diagnosed Candida overgrowth and put me on a no-carb, no-sugar, no-dairy diet. Bingo. I stayed on the diet a month and thought I was fine, so I went back to my regular diet. Three weeks later the awful symptoms returned (nausea after eating, gas, anxiety, depression). I returned to the diet, but the die-off period was hell, and getting better took longer. I have begun, after a few months, to introduce fruit and high-glycemic vegetables, and I have remained well. Added a little dairy and sugar too and still stay well. Conclusion: possible gluten intolerance? Could this be what I had all along? Thanks for the article and thanks for acknowledging that western medical people often think Candidiasis is not to be taken seriously. This made it hard to get well.

  76. I echo James’ concerns. Regardless of whether symptoms can be attributed to Candida or not, my biggest concern is seeing a diagnosis of Candida abused as a way to sell natural remedies. The fact that there are no reliable testing protocols makes this so much more likely.

    As an aside, I was surprised not to see a mention of Lactoferrin. We have been using this to improve my daughter’s iron and appears to have no side effects and also appears to have a host of other benefits, including tackling Candida and improving the immune system. Anyone trying it have any comment?

  77. I didn’t know fruits were bad for you with candida until my DR told me. This is the program he recommended, and it got rid of my y infection in 2 days.

    Lady Soma Advance Candida Supplement
    with Distilled watter (with added minerals)
    organic beans
    garlic
    onions
    ginger
    avacado
    olive oil

    Now that I have my diet straight, I take the lady soma candida supplement, and going to the gym every day I am yeast free!

  78. Candida is very real. I suffered from debilitating stomach aches everyday for months with no explanation. I was checked for autoimmune disorders, cancers, gallstones, and more. No answers. I was then diagnosed with intestinal candidiasis after a stool test. With a semi-low carb diet and medicine, almost all of my symptoms have subsided except for the now very rare crippling stomach ache, or itchy stomach from eating too many carbs, especially fruit sugar.

  79. I am suffering from Candida since 2 years and inspite of lot of treatments not able to get rid of it.

    I am very worried.. Its recurrent but not severe everytime. Rarely once or twice a year i get severe and unbearable white discharge.

    Can it be ended ever?? Is it very dangerous..

    I m not yet married and still virgin.Can it affect my sex life after marriage??

    Doctor is asking for HIV and Sugar test…Please suggest!!!

  80. I had felt before as if I could die! Multiple symptoms including brain fog, foul smelling urine, abdominal pain, bowel problems, insomnia, bad breath, fatigue, joint pain, hunger pain followed by pain after eating, ETC! After reading that untreated Candida is life-threatening, I am especially pleased to be on the road to recovery. Very thankful my gyno recommended the Lady Soma Candida Cleanse! And a nice by-product of taking the Lady Soma Candida Cleanse capsules is losing 6 pounds of stubborn belly fat and getting back to my high school weight at age 53!!

  81. This article leaves me with a few questions. Paul Jaminets’ argument over ketosis and candida throws me off a bit. recently I’ve gotten myself into ketosis as a way to rid a candida overgrowth, I’ve been suspicious that I have been struggling on and off with one for a few years.
    I have done a few diets and cleanses for candida and each time Have gotten myself feeling great, Strong and energetic. My downfall, however, is I enjoy alcohol and after about a year-year and a half I find myself back to the retched gut problems I have had before.

    For the last few years, other than the alcohol, I’ve lived mostly primal with a few cheats here and there but not very often.
    Recently I started having the problems in my gut again and this time I cut out the alcohol and even went as far as getting myself eating during the time frame of 12:00, because that my work lunch, and 7:00 and with very little carbs for about 4 days now. I’ve also gotten more serious about doing weight lifting to tone, this over the last two weeks. I’ve lost 4 pounds and feel stronger, healthier and more energetic already, Except I am also experiencing the die-off symptoms. They are exactly as I have had them when doing the cleanses. Light-headed, spacey, mild headache, and for me, trouble breathing from COPD, which I suspect the toxic die-offs trigger. I’ve had no symptoms or problems with COPD since going primal except for when doing these candida treatments.
    Paul argues that ketosis or low carb will actually feed candida but I still seem to be having the die-offs and at a high rate, I’m thinking. am I misunderstanding what ketosis is or how to get there? I was thinking I was in ketosis, know I am burning fat instead of glucose and can tell a difference in how I feel and am not getting famished from skipping meals in the slightest.
    Something else that has puzzled me is I had my appendix remove when I was very young and wonder If this is when I started having troubles with my gut. I read that the appendix helps kick start your systems gut flora after something comes through and washes it out such as antibiotics or a stomach bug. I’ve had trouble with constipation all through my childhood and wonder if this and other gut problems began after the removal of my appendix.
    I’ve had very painful stomach spasms I’ve gotten from eating pineapple. It has sent me to the hospital in search of answers before I found out what was causing it.
    I stopped eating the pineapple. however, sometime after a candida cleanse I accidentally found out I could eat it again and began doing so until one day When I got the spasms all over again. I suspect having another candida overgrowth being the reason. So, my theory is having candida and introducing a strong antibacterial good such as pineapple set off an ugly reaction. Do you think that is possible?

  82. The argument against fighting candida with a ketogenic diet would only apply to the rare instances of systemic (i.e. bloodborne) candidiasis. The intestines run primarily off fatty acids (which supplied from without) and when fats/proteins are consumed they won’t yield ketones in the intestinal tract. Keto seems like a perfect solution to intestinal candidiasis.

  83. @Rachael warth…
    Pineapple is fibrous and acidic, both can irritate the intestines. Pineapple is high in salicylate which can also irritate the intestines if you are sensitive. Pineapple contains amines and is also a histamine liberator if you have issues with biogenic amines or histamine intolerance. Histamine can affect smooth muscle contractions in the intestines leading to contraction (spasm/diarrhea), relaxation (constipation) or both.

  84. For the record, my ENT diagnosed me with Candida overgrowth in my throat and esophagus. Not sure how far it’s gotten, gut-wise… I read your early blog post about the Lady Soma Candida Cleanse- and within an hour of the first dose — my stomach started churning and it was off to the restroom. All I can say is, YEAH, THIS IS WHAT I’M TALKING ABOUT. Granted, it gave me a fit of diarrhea for a few hours but I’ll take it if it means expelling these toxins from my body.

    Thank you so much for the Lady Soma recommendation! I took 2 pills, popped a probiotic, and now have finally have that horrible thing out of my throat. . .

  85. I have studied the whole candida problem for centuries, now… Beginning Bach around 1996, or so. Christine was diagnosed with fibromyalgia (which, to established medicine basically just means, “we don’t know.” And I would say the methods work because they lead one out of the horrid American diet of starch, corn – in – everything and chemically formed vitamin supplementation.Too much reliance on antibiotics causing a free-for-all of growth for all things fungus.

    Is it caused by one organism, candida albicans? I greatly doubt it. Does modern medicine help, much, with the problem? None at all. Their only answer is nystatin (works far worse than almost any natural thing, such as turmeric, coconut oil and eating healthy).

    Modern doctors are just wrong. Trusting chemical companies that manufacture poison that causes 20 more side-effects than they help is just cleverly disguised evil.

    I believe the real problem is, people don’t know what health even means, any more. You get healthy by doing healthy exercise and eating healthy things. Lots of washed organic vegetablesvegetables. Lots of healthy herbs such as curry powder, turmeric, cinnamon, oregano, garlic, clove(in moderation), red pepper, sage, thyme, etc.

    Stop smoking, stop drinking alcohol, stop eating junk food, stop eating doritos, stop eating sugar.

    Start hiking, running, going to the gym, camping, swimming, dancing, making love.

    People just want all that, and health too. It has become a lazy world.

    I am 62, I’ve been across America 8800 miles by bicycle in two trips. I hike every weekend in the Superstition mountains, have a kayak on top my car, bike rack on the back.

    Health is HEALTH. I don’t drink, don’t smoke. Learn what health means.

  86. I have not been professionally diagnosed, but I’m 99% sure that I have a Candida overgrowth. I have done LOTS of research on it. I’ve read pretty much every article online and I am experiencing most (not all) of the symptoms that are listed in nearly all of the articles. The stomach pains, the foggy head, A.D.D. like symptoms, irritability, skin rashes, sticky saliva, and many many more. However, like most doctors, mine refuses to listen to me. I suggested that I might have an overgrowth of Candida and I could immediately see in his face that he assumed I was a hypochondriac. But I have done my research. It didn’t matter to him though. He said “I don’t think you have candida because you don’t have diabetes.” When clearly diabetes is not only cause of an overgrowth. So he refused to test me for it. So I did my own form of test. I ate more sugar and consumed some alcohol. My symptoms skyrocketed. Almost all of my symptoms. I immediately regret my decision to do this “experiment” because now my stomach is causing excruciating pain and discomfort. Hoping that I can get rid of this stuff soon because it feels like it is eating me from the inside out.

  87. Well considering my chronic fatigue disappeared on keto and my tongue became less white more pink and i no longer felt like I had a lot of metabolic waste in my system,I have to completly disagree that keto doesnt help with candida!

    I was under 15/20g carbs and strict. None of this junk keto, with dairy or sugar substitutes.

  88. I’ve been struggling with it. I’ve had intestinal problems, I’ve had it in my eye, I currently am having a hell of a time getting rid of it in my ear (weekly removal by the doctor, acetic acid ear drops, powder treatments from the ent, anti fungal pills), I had it in my sinuses and lungs for a time. I’ve had thrush on my tongue. I’ve had it at the corners of my mouth, and behind my ears. I have it on the tops of both of my hands and between my toes. It’s all candida related fungus. If it’s not a real problem I don’t know what qualifies. Pulling cotton balls out of my ears on a weekly basis surely isn’t nothing. I just can’t seem to fight it. I eat clean and exercise moderately twice a week. I have a somewhat low carb diet, but not very low. Only because I don’t eat refined grains and breads/rice. I just get carbs from peas, and other vegetables… less often some fruit (but not a huge fruit eater).

  89. This article helps me more than any of the doctors I met.
    We can’t count only with tradicional medicine because it depends of the pharmaceutical interests.
    So, thank you so much for this. I’ve never heard of probiotics before.

  90. Hi! I think candida could b a myth unless it is systemic. I failed spit test so did blood test igg for candida n it was positive so was on strict no cars no sugar diet with antifungal n even nystatin but spit test no difference n stool culture showed the substance that I consumed for the candida tropicals found which was s cerevasie from the s boulevards! So how do u explain that?

  91. Upon discovery of a systemic candida infection 10 years ago, I have done everything in the world to try and get rid of it including intense month long cleanses and many enemas. The only thing that has worked 100% is to eat FRUIT ONLY. I am on day 11 of eating fruit only and you wouldn’t believe how much candida I am seeing come out of me!
    Also- has anyone else experienced intense itching on their lower back, hips, and ribs during a possible die-off?

  92. I have been diagnosed with fybromyalgia and chronic fatigue twice. I used to suffer with candida off and on for years. Yes, Candida is real!! I have to say my candida is now gone ever since I started taking the Lady Soma Candida Cleanse. I have literally spent thousands of dollars on Candida products, I bought this Lady Soma Candida Cleanse 3 weeks ago and this is the one that works the best for me. For me I just have to make sure I eat clean and not abuse alcohol. No product will help if you have an unhealthy lifestyle. I hope this helps someone who needs hope and know you can beat this monster

  93. So ketones are produced by your liver and flow in your blood stream (unless you are drinking them ie: exogenous ketones). Excess ketones are excreted in the urine and breath and a little in stool but mostly in urine. Candida exists in you gut/bowel. How is it that candida would flourish off ketones rather than sugars?

    I also don’t think Paul Jaminet provided any peer reviewed evidence to back up his theory.