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Diet & Lifestyle#

Evidence-based guidance on food, supplements, triggers, and day-to-day management of DH. These documents go deeper than the survival guide — with full citations — but stay focused on what you can actually do.

Medical Disclaimer

This is not medical advice. Discuss any dietary changes or supplements with your doctor. Read the full disclaimer.

Food & Nutrition#

Food-First Dietary Approach#

Every mechanism targeted by supplements addressed through whole foods. Covers Treg promotion (raw milk, liver), gut barrier support (bone broth, zinc-rich foods), MPO inhibition (capers, onions), butyrate via resistant starch, fermented foods, omega-3 from fatty fish, and a daily meal template.

Natural & Dietary Analogs#

Maps natural supplements to pharmaceutical mechanisms: TG2 inhibition (glucosamine), gut barrier restoration (zinc, glutamine, butyrate, vitamin D), Treg promotion, neutrophil/MPO inhibition (quercetin, curcumin), gluten-degrading enzymes, and microbiome restoration.

GFD Implementation Science#

The 20ppm standard and its evidence basis, hidden gluten sources, cross-contamination science, DH-specific GFD considerations, gluten challenge dynamics, practical implementation guide, and the US vs. European wheat phenomenon.

Triggers & Flares#

Iodine Deep Dive#

The relationship between dietary iodine and DH flares. Molecular mechanism, dose-response evidence, comprehensive high-iodine food table, conflict analysis with food-first recommendations, and practical guidance on when to restrict vs. when it's safe.

Cross-Reactivity & Triggers#

Non-gluten food triggers, oat/avenin safety data, the skin microbiome in DH, environmental and early-life factors, and why some patients have persistent symptoms despite strict GFD.

Living With It#

Patient Experiences#

Real-world patient reports: diagnostic journey stories, what patients say helps and hurts, dapsone experiences and side effects, GFD adherence realities, flare patterns, quality of life impact, unconventional approaches patients have tried, and remission stories.