Dr. Amy Nett: Okay. So on that handout we did more general recommendations in terms of diet, lifestyle, and we gave a few recommendations for supplements. Things like I think it was glutathione, cod liver oil, and there might have been a few others. But curcumin is something that you should probably consider in all of your patients who have an autoimmune condition. That being said, we don’t normally use curcumin boswellia as a first step. So it depends where your patient is coming to you from. If they are already on an AIP diet, they’re taking cod liver oil and the basics, you’ve investigated gut issues, then that might be the time to consider curcumin, maybe boswellia, maybe low-dose naltrexone. But curcumin, I would say it’s just not necessarily the first-line recommendation. Something to consider, it’s a great point to bring up here, but just not a universal first-step recommendation.
There are so many different things to consider in the setting of autoimmune disease, so I think we just wanted to provide a more basic template on really where people could almost universally get started in terms of diet, lifestyle, and basic supplements. And so when you still have a case study where curcumin and boswellia were recommended as part of a treatment plan for a patient with RA, again, that’s looking at the specific patient. Here’s the story around that patient as part of the treatment for that individual, use of curcumin and boswellia. Boswellia I like in particular for pain. I do try boswellia when patients are having joint pain.
I think it was in the Facebook group, there was some discussion about Wobenzym, which is a systemic enzyme. So when I see joint pain, if I already have the patient on curcumin and maybe fish oil, that sort of thing, then I’ll go to boswellia, then I might go to Wobenzym. But that’s more for joint issues as opposed to autoimmune disease specifically.