Menopause and Autoimmune Diseases: Understanding the Intersection Through the Eyes of an Autoimmunity Nutritionist
VJ Hamilton is a Registered Nutritionist (BANT) and expert in autoimmune diseases, blending her Biochemistry and Immunology background with Nutritional Therapy. She runs The Autoimmunity Nutritionist, a virtual and in-person practice focused on autoimmune skin disorders, chronic fatigue, joint issues, and gut health. VJ hosts The Autoimmune RESET podcast to educate and empower individuals to improve their health. She also manages The Autoimmune Forum, a free online community for those with autoimmune conditions to share experiences and support each other. After 25 years of struggling with autoimmune issues, including alopecia areata and psoriasis, VJ transformed her health by addressing the root causes, living symptom-free for over eight years.
Leslie: For those who may not have tuned in for our first summit, could you share a bit about your background and what you do?
VJ: I’m a functional medicine practitioner with a focus on individuals suffering from autoimmune diseases. My journey into this field began quite personally when I was diagnosed with alopecia at the age of seven. Over the years, I developed additional conditions, including psoriasis and chronic fatigue syndrome in my twenties. This prompted me to delve deeply into understanding the root causes of these issues. Through dedicated dietary changes and holistic health practices, I managed to reverse my symptoms and have remained symptom-free for over eight years. My mission is to empower my clients to achieve similar outcomes by addressing the root causes of their health challenges, rather than merely treating symptoms.
Leslie: That’s truly inspiring! How does (peri)menopause interact with autoimmune diseases?
VJ: Any hormonal shift can be a significant stressor for the body. For individuals predisposed to autoimmune conditions, these transitions can be particularly challenging. When we go through perimenopause, we experience fluctuations in hormones like estrogen and progesterone, which can lead to increased inflammation. For example, during puberty, I likely experienced hormonal changes that contributed to the development of my autoimmune issues. Additionally, when we reach menopause, the decline in estrogen levels can exacerbate inflammation, making individuals more susceptible to autoimmune flare-ups. This is a critical time to be mindful of one's health and to prioritize self-care.
Leslie: Are women more vulnerable to developing autoimmune diseases during menopause?
VJ: Yes. While it’s important not to induce fear, this period can heighten susceptibility to autoimmune conditions. Menopause often coincides with a multitude of life stresses—like caring for aging parents or managing a demanding career—which can compound the physical and emotional strain. However, if women focus on self-care, nutrition, and stress management during this time, they can significantly reduce their risk of developing new autoimmune conditions or worsening existing ones.
Leslie: That makes sense. It sounds like this transition period adds stress on top of existing challenges.
VJ: Exactly! It’s a multifaceted stressor. Many women in their 40s and 50s are balancing numerous responsibilities, which can lead to feelings of being overwhelmed. The demands of work, family, and personal life can create a perfect storm, especially during such a significant hormonal transition. It’s crucial to recognize these stressors and implement coping strategies, as neglecting self-care can lead to further health complications.
Leslie: What specific hormonal changes should women be aware of in relation to autoimmune diseases?
VJ: A key change to be aware of is the significant drop in estrogen during menopause. Estrogen has protective effects throughout the body, including anti-inflammatory properties. When levels decline, it can lead to an increase in inflammatory responses, which may exacerbate autoimmune conditions. Additionally, the balance between estrogen and progesterone becomes disrupted, further contributing to a range of symptoms. This hormonal imbalance can cause the immune system to become dysregulated, leading to self-tissue attacks. For example, with conditions like alopecia, the immune system may mistakenly attack hair follicles due to this dysregulation, resulting in hair loss.
Leslie: It’s fascinating how interconnected these systems are. How does diet play a role in managing these issues?
VJ: Diet is absolutely crucial in this context! Many of my clients experience nutrient deficiencies that directly impact their overall health, particularly during hormonal shifts. A nutrient-dense diet is vital for supporting hormone production and maintaining immune function. This includes an abundance of fruits, vegetables, whole grains, and healthy fats. These food choices not only provide the necessary building blocks for hormones but also help to combat inflammation. Nutrient deficiencies can hinder the body's ability to manage stress and can exacerbate autoimmune symptoms, so a well-rounded diet becomes even more important during this transitional phase.
Leslie: What dietary adjustments should women consider during menopause and perimenopause?
VJ: Women should aim to adopt an anti-inflammatory diet rich in whole, nutrient-dense foods. This means consuming plenty of fruits and vegetables, whole grains, and healthy fats, while avoiding processed foods and excess sugars, which can contribute to inflammation. It’s also essential to maintain adequate protein intake, as proteins are crucial for hormone synthesis. Including omega-3 fatty acids, found in fatty fish, flaxseeds, and walnuts, can help reduce inflammation. Additionally, staying hydrated and incorporating foods rich in antioxidants can further support overall health. Mindful eating and recognizing how certain foods affect your body can lead to better management of symptoms.
Leslie: Stress seems to be a recurring theme in our conversation. How does stress affect nutrient absorption and hormone levels?
VJ: Chronic stress significantly impacts the body’s ability to absorb nutrients. When we’re in a state of heightened stress, our bodies prioritize immediate survival needs over processes like digestion and nutrient absorption. This means that even if someone is consuming a nutrient-rich diet, they may not be absorbing those nutrients effectively. Stress can also lead to hormonal imbalances, as the body may divert resources away from producing essential hormones in favor of producing stress hormones like cortisol. Over time, this can result in deficiencies that exacerbate autoimmune conditions and lead to a cycle of declining health.
Leslie: That’s a powerful insight. For those already managing an autoimmune condition and experiencing menopause, what specific strategies would you recommend?
VJ: For those in this situation, I would recommend focusing on creating a supportive environment through diet and lifestyle changes. Start with an anti-inflammatory, nutrient-dense diet to help reduce inflammation and support hormone balance. It’s also vital to incorporate stress-reducing practices into your daily routine. This can include mindfulness techniques like meditation, deep breathing exercises, or gentle physical activities like yoga. Recognizing and responding to your body’s signals is crucial; if you notice symptoms flaring up, take the time to assess what might be contributing and make necessary adjustments. Connecting with supportive communities, whether in person or online, can also provide invaluable emotional support.
Leslie: Are there particular signs people should watch for that indicate they may be experiencing increased inflammation or stress?
VJ: Yes, definitely! Symptoms like joint pain, fatigue, digestive issues, or changes in skin conditions can all indicate increased inflammation. Additionally, mood swings, anxiety, or feelings of overwhelm can signal that your body is under stress. Keeping a journal to track these signs can be immensely helpful. By identifying patterns and noting when symptoms worsen, individuals can better respond to their bodies' needs and make informed adjustments to their lifestyle or diet.
Leslie: How do you recommend individuals start tracking their stress and health responses?
VJ: Journaling is an excellent starting point. Writing down daily feelings, stressors, and physical symptoms can help individuals identify trends and triggers. Additionally, utilizing wearable devices that monitor stress levels can provide insights into how your body responds throughout the day. This awareness can empower individuals to take proactive steps in managing their health. It’s about creating a deeper understanding of your own body and its responses to various stressors and lifestyle choices.
Leslie: It’s interesting how easily we can overlook our stress levels. What do you think is the most common misconception about stress and health?
VJ: A prevalent misconception is viewing cortisol solely as a negative hormone. While chronic stress can lead to health issues, cortisol also plays essential roles in our bodies, including regulating metabolism and supporting the immune system. It’s all about balance. Recognizing when stress is acute versus chronic is crucial. Acute stress can actually be beneficial, providing motivation and energy, while chronic stress can lead to significant health issues. Understanding this distinction can help individuals manage their stress more effectively.
Leslie: So, fostering a balanced approach to stress and lifestyle is essential. Are there any final thoughts you'd like to share?
VJ: Absolutely! It's vital to prioritize self-care, particularly during transitional periods like menopause. Nourishing your body, listening to its signals, and reaching out for support—whether from healthcare professionals or loved ones—are all crucial elements of maintaining health. Being proactive about health, recognizing changes in your body, and understanding that it’s okay to seek help can make a significant difference. Remember, every individual's journey is unique, so be patient with yourself and focus on what works best for you.
Leslie: Thank you so much, Victoria! This has been an enlightening discussion. Where can our audience find more information about your work?
VJ: You can find more information on my website – https://theautoimmunitynutritionist.com/. Here, I offer a wealth of resources focused on autoimmunity, nutrition, and holistic health strategies. I appreciate the opportunity to share this information, and I’m hopeful it can help many people on their health journeys.
