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Gabriel treats psoriatic arthritis as gut-driven autoimmune inflammation affecting both skin and joints.
Gabriel treats psoriatic arthritis as gut-driven autoimmune inflammation affecting both skin and joints. Protocol: 1) Heal intestinal permeability (leaky gut allows bacterial antigens into bloodstream, triggering immune response), 2) Eliminate food triggers (gluten, dairy, nightshades commonly worsen PsA), 3) Address gut dysbiosis (bacterial imbalances drive inflammation), 4) Reduce systemic inflammation (anti-inflammatory diet, omega-3, curcumin), 5) Modulate immune system (vitamin D, probiotics, regulatory T-cell support), 6) Support detoxification, 7) Optimize nutrients. Goal: reduce inflammation, prevent joint damage, clear skin—without immunosuppressants that increase infection and cancer risk. Many patients achieve remission with comprehensive approach.
Standard Treatment
NSAIDs (ibuprofen, naproxen) for pain and inflammation, DMARDs (disease-modifying antirheumatic drugs—methotrexate, sulfasalazine, leflunomide), Biologic medications (TNF-alpha inhibitors—Humira, Enbrel, Remicade; IL-17 inhibitors—Cosentyx, Taltz; IL-23 inhibitors—Skyrizi, Tremfya), JAK inhibitors (Xeljanz, Rinvoq), Corticosteroids (prednisone for flares), Physical therapy, Joint injections (corticosteroids).
The Problem
Immunosuppressants (biologics, DMARDs) suppress immune system rather than addressing root cause (gut dysfunction, food triggers, infections, nutrient deficiencies—autoimmune attack continues, just suppressed), significant side effects: increased infection risk (serious infections including tuberculosis, fungal infections, sepsis), increased cancer risk (lymphoma, skin cancers with long-term use), injection site reactions, infusion reactions, liver toxicity (methotrexate), nausea, hair loss, birth defects (methotrexate teratogenic), expensive ($20,000-50,000/year for biologics), often lose effectiveness over time (body develops antibodies to biologics—need to switch medications), rebound flares when stopped, NSAIDs damage gut lining (worsen leaky gut—root cause of PsA, vicious cycle), liver and kidney toxicity with long-term NSAID use, cardiovascular risks, doesn't prevent disease progression in many cases (joint damage continues despite treatment), no investigation of gut health, food sensitivities, infections, or nutrient deficiencies, no dietary or lifestyle intervention (patients continue eating inflammatory foods, maintaining gut dysbiosis that drives disease), corticosteroids long-term: weight gain, osteoporosis, diabetes, immune suppression, adrenal suppression, mood changes. Many patients achieve remission or significant improvement with comprehensive functional medicine approach addressing root causes—without immunosuppressants. Conventional treats symptom (inflammation) not cause (gut-immune dysfunction).
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
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What's Included
Available through Fullscript
Practitioner-Grade — Not Available on Amazon
What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
In-person therapies that complement your protocol
$40-85 per session
Whole-body cold exposure reduces inflammation, boosts recovery, and activates your body's natural healing response.
West Hollywood • Sunset Strip
First session free with any package
West Hollywood • Robertson
10% off all services with Gabriel
Autoimmune Protocol (AIP) diet essential: eliminate gluten (molecular mimicry with joint tissue), dairy (inflammatory for many), grains, legumes, nightshades (tomatoes, peppers, eggplant, potatoes—worsen inflammation in subset of PsA patients), eggs, nuts, seeds for 30-90 days minimum. Focus on: anti-inflammatory foods (fatty fish 3-4x/week, leafy greens, cruciferous vegetables, berries, turmeric, ginger), bone broth daily (collagen, glutamine for gut healing), fermented foods after initial healing phase (sauerkraut, kimchi for probiotic support), healthy fats (olive oil, avocado, coconut oil), organic meats and vegetables (reduce toxin load), eliminate sugar and processed foods entirely (feed inflammation and gut dysbiosis). Reintroduce foods one at a time after symptoms improve to identify individual triggers. Many patients find nightshades and gluten most problematic. Adequate protein important for healing and preventing muscle wasting. Consider short-term fasting or fasting-mimicking diet (reduces inflammation, promotes autophagy—consult practitioner).
Stress management paramount (stress worsens autoimmune flares—meditation, breathwork, yoga, therapy), sleep 8-9 hours (immune regulation and healing during deep sleep), moderate exercise (swimming, walking, gentle yoga—maintains joint mobility without overexertion, high-intensity exercise can worsen inflammation during flares), maintain healthy weight (obesity worsens PsA—every 10 lbs lost reduces joint stress), avoid smoking (dramatically worsens PsA), limit alcohol (inflammatory, disrupts gut microbiome), sunlight exposure daily (vitamin D production, circadian rhythm), reduce environmental toxins (clean personal care products, avoid plastics, filter water), physical therapy (maintains range of motion, prevents joint stiffness), heat/cold therapy (alternating for pain relief), Epsom salt baths (magnesium absorption, muscle relaxation), avoid NSAIDs long-term (damage gut lining, worsen leaky gut—short-term use only), address emotional trauma (many autoimmune patients have history of trauma or chronic stress—therapy, EMDR, somatic work helpful).
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Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Mindfulness practices proven to reduce inflammatory cytokines and improve autoimmune symptoms.
Modified yoga practice to maintain flexibility and reduce pain without stressing inflamed joints.
Specific breathing techniques to activate parasympathetic nervous system and reduce inflammation.
Processing trauma and emotional stress that trigger autoimmune flares.
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