Dietary Consultations

Dietary modifications represent a part of complex therapy for various autoimmune and chronic inflammatory conditions.

The gastrointestinal tract is the main entry for foreign materials (foods) into the human body and the main transitory route for an enormous mass of microorganisms and products of their activity in the form of feces. Food and microbial products are the main stimulants of the immune system and the main external regulator of various metabolic pathways. Accordingly, composition of the consumed food can influence immune responses and inflammatory processes leading to the development of distinct forms of arthritis and autoimmune diseases. Reversely, various types of arthritis and autoimmune diseases are associated with frequent pathological changes in the intestine and colon.

The role of specific diet in therapy of such forms of arthritis as gout, pseudogot, psoriatic arthritis, ankylosing spondylitis and gluten-associated arthritis is a well-accepted fact. Dietary interventions in some other forms of arthritis or autoimmune diseases such as lupus, rheumatoid arthritis, Sjogren’s syndrome and osteoarthritis are still poorly defined. There are no universal recommendations regarding diet for arthritis.

The position of the Institute for Specialized Medicine is that dietary interventions in arthritis treatment and autoimmune diseases should be highly individualized. There are different approaches in the selection of the customized diet. Some of them are based on the known facts regarding the contribution of particular foods or food components to the development of specific forms of arthritis (e.g., high purine foods contribute to gouty attacks). Other ones are relied on highly individualized immunological responses of a particular person to specific foods and utilize complex immunological tests focused on determining food intolerances.  In addition, we utilize comprehensive stool and saliva testing for the optimization of dietary recommendations and food supplements.

Our nutrition consultations analyze generated test results, patient’s medical history, current eating habits and lifestyle and formulate instruction on how to eat nutritiously within specific dietary restrictions.  In addition, we help our patients with meal and menu ideas, recipe modification, plans for eating out and during travel.

If you wish to schedule an appointment with our dietician, please contact as at (858) 794-9192 or send us an e-mail at