Board-certified rheumatology
If you have an autoimmune disease,
you're in the right place.
Food, movement, and the things around you every day all change swelling. That rarely fits inside a fifteen-minute appointment. So I'm taking the time here. I'll go into depth, with the evidence. It's the way I'd talk with you in clinic. That's if we had more time there.
Where to start
Diagnosis first. Then food, environment, and movement.
There's an order to this. Each piece builds on the one before it.
Get the right diagnosis
A lot of patients spend years being told their symptoms aren't real. The right diagnosis is where everything else starts. It's often the hardest step too.
Clean up your food
What we eat changes swelling more than most of us are told. I'll show you how to read a label. I'll show you which ingredients to avoid. And I'll show you what to reach for instead.
Detox your daily life
Plastics carry chemicals that affect autoimmune disease. So do personal care products. So does what's in our food chain. The good news is that the swaps are small ones. And you can start with a single change this week.
Build a stronger body
Muscle is medicine. Weight training helps your body work with you. So do daily walks. So does putting protein first at meals. The alternative is a body that works against you.
Conditions
Find your condition.
The same approach applies to each disease, with the evidence and the cautions specific to yours.
The pillars
Six topics, in depth.
These come up in almost every autoimmune disease. Each has its own page with the science and the practical work.
Nutrition
How what we eat changes inflammation. The food-first framework, ADIRA, the Mediterranean diet trials, and what my patients see results from.
Movement
Why exercise is genuinely a treatment, not a lifestyle add-on. The strength training trials, the safety data for autoimmune patients, and where to start.
Environment
Endocrine disruptors in plastics, personal care, and the food chain. Small, sustainable swaps that make a measurable difference.
Sleep
How sleep affects inflammation and flares. Circadian rhythm, recovery, and what to change.
Stress
What chronic stress does to autoimmune activity, and the practical work of bringing it down. Breathwork, sleep, and what the trials found.
Labs
hs-CRP, HOMA-IR, omega-3 index, vitamin D, anti-CCP. What I look at, and what your numbers mean for you.
This site is being rebuilt. 179 of 198 pages are written and ready to read. 19 are still being written. Every figure on a written page comes from a named study. Each one links to its source. Some pages have not been signed off yet. Those were put together from those studies, and they say so on the page. They are not Sarah Luebker, DO's opinion. And they carry no medical review date until she has read the wording herself. She is working through them page by page.