ConditionsAutoimmune / Rheumatological
Autoimmune / Rheumatological

Ankylosing Spondylitis

Gabriel combines conventional treatment with complementary approaches: aggressive exercise program (most important for preventing fusion), anti-inflammatory diet, addresses gut health (Klebsiella connection), optimizes vitamin D, uses curcumin and omega-3, considers low-dose naltrexone, and works with rheumatologist for biologics if needed.

Root Causes

4 identified

Supplements

8 recommended

Lab Markers

7 to test

Treatments

0 modalities

Gabriel's Approach

Gabriel combines conventional treatment with complementary approaches: aggressive exercise program (most important for preventing fusion), anti-inflammatory diet, addresses gut health (Klebsiella connection), optimizes vitamin D, uses curcumin and omega-3, considers low-dose naltrexone, and works with rheumatologist for biologics if needed. Emphasizes posture, stretching, and daily exercise critical to prevent spinal fusion.

Root Causes

Autoimmune inflammatory arthritis affecting spine
Genetic (HLA-B27 positive in 90%, but only 5% of HLA-B27+ develop AS)
Gut dysbiosis and infections (Klebsiella link)
Unknown trigger

Why Conventional Fails

Standard Treatment

NSAIDs (first-line), physical therapy and exercise, TNF inhibitors (etanercept, adalimumab, infliximab) if inadequate response, IL-17 inhibitors (secukinumab, ixekizumab), JAK inhibitors, rarely corticosteroid injections.

The Problem

Biologics effective but expensive with side effects, inadequate emphasis on exercise (most important intervention), doesn't address gut-AS connection, inadequate use of anti-inflammatory diet and supplements, NSAIDs long-term have risks, doesn't use LDN as potential steroid/biologic-sparing agent.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicineWhole Food Nutrition

Your Protocol for Ankylosing Spondylitis

Choose the level that's right for your healing journey

Essential Protocol

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$75/mo

What's Included

  • Curcumin 2000mg 2x/day (rare liver injury; stop if dark urine or yellow eyes; not with gallstones or liver disease)
  • Omega-3 4g/day
  • Vitamin D3 1,000-4,000 IU/day (test first and retest in 8-12 weeks; Gabriel target 50-75 ng/mL)
  • Boswellia 500mg 3x/day
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Practitioner-Grade Protocol

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$165/mo

What's Included

  • Standard Process whole food protocol
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Whole food supplements by Standard Process

Recommended Supplements

Curcumin 2000mg 2x/day (rare liver injury; stop if dark urine or yellow eyes; not with gallstones or liver disease)
Omega-3 4g/day
Vitamin D3 1,000-4,000 IU/day (test first and retest in 8-12 weeks; Gabriel target 50-75 ng/mL)
Boswellia 500mg 3x/day
Probiotics
Bromelain 500mg 3x/day
MSM 2000mg
Glucosamine and Chondroitin

Key Lab Markers

HLA-B27 (positive in 90% but not diagnostic)
ESR, CRP (elevated)
X-ray or MRI spine and SI joints (diagnostic)
CBC
Comprehensive stool test (Klebsiella)
Vitamin D
Rule out IBD (associated)

Dietary Guidance

Low-starch diet (London AS Diet) - some evidence starch feeds Klebsiella, anti-inflammatory Mediterranean diet, omega-3 rich foods, avoid NSAIDs long-term if possible (gut damage), adequate calcium and vitamin D, probiotic-rich foods.

Lifestyle Factors

Daily stretching and exercise (MOST IMPORTANT - prevents fusion), swimming and water exercise ideal, posture awareness, avoid prolonged sitting, firm mattress, NSAIDs for pain (effective but gut risks), biologics (TNF inhibitors, IL-17 inhibitors) if severe, physical therapy, smoking cessation (worsens disease), low-dose naltrexone.

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Body

Daily Exercise and Stretching

strong

MOST IMPORTANT - prevents spinal fusion, maintains mobility.

Physical Therapy

strong

Posture training, exercises, mobility work.

Swimming

strong

Low-impact exercise ideal for AS.

Low-Starch Diet

emerging

London AS Diet, some evidence helps (Klebsiella connection).

Biologics

strong

TNF or IL-17 inhibitors if severe, effective but expensive.

Low-Dose Naltrexone

emerging

Immune modulation, potential biologic-sparing agent.

Spirit

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