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The Myers Way GUIDE TO Candida

MEDICAL DISCLAIMER: Information in The Myers Way is provided for informational purposes only. The information
is a result of years of practice experience by the author. This information is not intended as a substitute for the advice
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All contents copyright 2015 by Amy Myers, MD. All rights reserved. No part of this document or the related files
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without the prior written permission of the publisher.

Copyright Amy Myers, MD 2015 2

The Myers Way GUIDE TO Candida
Welcome to The Myers Way
Guide to Candida eBook!
Im so glad youve chosen to learn about the root causes of Candida and discover the tools
to rebalance your gut flora naturally. As you embark on this journey, we want to provide you
with as much support as we can to ensure that you are armed with the knowledge and tools
you need to be successful. Weve provided a list below of some of our most helpful and popular
resources, and the Amy Myers, MD blog and online store are also full of empowering
and educational resources.

Resources to Help You Succeed

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Complete The Myers Way Comprehensive Elimination Diet eCourse

with Candida Protocol
If youve never completed an elimination diet, I highly recommend starting with my
Comprehensive Elimination Diet to determine if food sensitivities are contributing to your
symptoms along with Candida. The program uses a proven method to uncover your personal
food sensitivities and find the diet that is right for your individual needs. It includes special
protocols tailored specifically for those with Candida overgrowth.

Complete The Myers Way 30-Day Candida Control Program

The Myers Way Candida Control Protocol combines dietary changes, yeast-fighting
supplements, and gut health support to restore your guts natural balance. The program
includes everything you need to complete the 30-day protocol, including step-by-step
instructions, meal plans, shopping lists, a recipe book, and all of the supplements included
in the treatment program.

Take 10% Off The Myers Way Candida Control Supplement Package
To purchase all three supplements included in The Myers Way 30-Day Candida Control
Program, visit our store and take 10% off.

Sign Up for a Personalized Wellness Coaching Session

If youd like additional, one-on-one support from one of my Registered Dietitians/Nutritionists,
sign up for a Wellness Coaching phone session. Your RDN can help with meal ideas, shopping
tips, goal setting, accountability, and more.

Copyright Amy Myers, MD 2015 3

The Myers Way GUIDE TO Candida
Table of Contents

Quiz: Do I Have Candida Overgrowth? ............................... 5

What is Candida? ........................................................... 6

10 Common Candida Symptoms ...................................... 7

Why Gut Health is So Important and How to Heal Your Gut ... 8

The 4R Program ............................................................. 9

How Candida Wreaks Havoc on Your Gut and Your Health ...10

How Stress Contributes to Candida ............................... 12

Testing and Treatment for Candida Overgrowth .......... 13

Next Steps ....................................................................... 15

Copyright Amy Myers, MD 2015 4

The Myers Way GUIDE TO Candida
Quiz: Do I Have Candida Overgrowth?

Check each box that applies to you.

___ I have an autoimmune disease, such as Hashimotos thyroidits,

rheumatoid arthritis, ulcerative colitis, lupus, psoriasis,
scleroderma, or multiple sclerosis.

___ I have skin or nail fungal infections, such as athletes foot,

ringworm, or toenail fungus.

___ I suffer from chronic fatigue or fibromyalgia, or I am tired all the


___ I have digestive issues, such as bloating, constipation, or diarrhea.

___ I have difficulty concentrating, poor memory, lack of focus, ADD,

ADHD, or brain fog.

___ I have skin issues such as eczema, psoriasis, hives, rosacea, or an

unexplained rash.

___ I am easily irritated and/or have frequent mood swings, anxiety,

or depression.

___ I get vaginal yeast infections, have rectal itching, or have vaginal

___ I suffer from seasonal allergies or itchy ears.

___ I have sugar and refined carbohydrate cravings.

If you checked three of more items above, you have tested positive
for Candida overgrowth.

Copyright Amy Myers, MD 2015 5

The Myers Way GUIDE TO Candida
What is Candida?
You might be wondering, What on earth is Candida? Candida is a type of yeast, which
is a form of fungus, a very small amount of which lives in your mouth and intestines.
There are actually many different types of yeast that can take up residence in your body,
however, Candida albicans (Candida for short) is the most common and studied form
of yeast. For this reason, I have chosen to use the term Candida in this eBook, but the
symptoms, testing, and treatment information included in this eBook apply to all types
of yeast overgrowth.

Candidas job is to aid in digestion and nutrient absorption, but when it is overproduced,
it breaks down the wall of the intestine and penetrates the bloodstream, releasing toxic
byproducts into your body and potentially causing a leaky gut. This can lead to many
different health problems ranging from digestive issues to brain fog. The healthy
or good bacteria in your gut typically keeps your Candida levels in check, but various
factors may allow the Candida to overgrow.

How do you get Candida overgrowth?

Risk factors include:

A round of antibiotics that kill too many of those friendly bacteria

A diet high in refined carbohydrates and sugar (which feed the yeast)
Chronic stress
Oral contraceptives and oral estrogens
Hypothyroidism (Check out The Myers Way: Guide to Thyroid)
Weakened immune system
Even a diet high in beneficial fermented foods like Kombucha, sauerkraut,
and pickles can feed Candida, causing an overgrowth

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The Myers Way GUIDE TO Candida
10 Common Candida Symptoms
If you have any of the following symptoms it could be a sign that you have
Candida overgrowth:

1. Skin and nail fungal infections such as athletes foot, ringworm, and toenail

2. Feeling tired and worn down or suffering from chronic fatigue or fibromyalgia

3. Digestive issues such as bloating, constipation, or diarrhea

4. Autoimmune diseases such as Hashimotos thyroiditis, rheumatoid arthritis,

ulcerative colitis, lupus, psoriasis, scleroderma, or multiple sclerosis

5. Difficulty concentrating, poor memory, lack of focus, ADD, ADHD, and brain fog

6. Skin issues such as eczema, rosacea, psoriasis, hives and rashes

7. Irritability, mood swings, anxiety, or depression

8. Infections such as vaginal infections, yeast infections, urinary tract infections,

rectal itching or vaginal itching

9. Severe seasonal allergies or itchy ears

10. Cravings such as strong sugar and refined carbohydrate cravings

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The Myers Way GUIDE TO Candida
Why Gut Health is So Important
and How to Heal Your Gut
You might be reading the list on the previous page and thinking, those sound like a lot
of unrelated symptoms, how could they all be caused by this one fungus? The answer
to this question is something that I cannot emphasize enough--the gut is the gateway
to health. This means that anything that hurts the gut has the potential to negatively
impact every other aspect of your health.

This strong link between your gut health and your overall health is why healing your
gut is the first step toward optimal health and the foundation of my practice. Functional
Medicine uses the 4R program to restore your gut. You can read about it here, and you
can learn more about it, as well as develop the tools to put it into practice,
in The Myers Way Guide to the Gut eCourse.

I have witnessed dramatic reversal of all types of conditions, including chronic

and inflammatory illnesses, in a very short period of time by utilizing this simple
approach. The Myers Way Candida Control Program, featuring a 30-day dietary
and supplement protocol, is based on the 4R approach and provides the foundation
for long-lasting gut health.

Copyright Amy Myers, MD 2015 8

The Myers Way GUIDE TO Candida
The 4R Program

1. Remove
Remove the bad. The goal is to get rid of things that negatively affect the environment
of the GI tract such as inflammatory foods, infections, and gastric irritants like alcohol,
caffeine or drugs. Inflammatory foods such as gluten, dairy, corn, soy, eggs, and sugar
can lead to food sensitivities. I recommend The Myers Way Comprehensive
Elimination Diet and IgG food sensitivity testing to determine if any foods are a
problem for you. Infections can be from parasites, yeast (like Candida), or bacteria.
A comprehensive stool analysis is key to determining the levels of good bacteria
as well as any infections that may be present. Removing the infections may require
treatment with herbs, anti-parasite medication, anti-fungal medication, anti-fungal
supplements, or even antibiotics.

2. Replace
Replace the good. Add back in the essential ingredients for proper digestion
and absorption that may have been depleted by diet, drugs (such as antacid
medications) diseases, or aging. This includes digestive enzymes, hydrochloric acid,
and bile acids that are required for proper digestion.

3. Reinoculate
Restoring beneficial bacteria to reestablish a healthy balance of good bacteria is
critical. This may be accomplished by taking a probiotic supplement that contains
beneficial bacteria such as bifidobacteria and lactobacillus species. I recommend
anywhere from 25 -100 billion units a day. Also, taking a prebiotic (food for the good
bacteria) supplement or consuming foods high in soluble fiber is important.

4. Repair
Providing the nutrients necessary to help the gut repair itself is essential. One of my
favorite supplements is L-glutamine, an amino acid that helps to rejuvenate the gut wall
lining. Other key nutrients include zinc, omega 3 fish oils, vitamins A, C, and E,
as well as herbs such as slippery elm and aloe vera.

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The Myers Way GUIDE TO Candida
How Candida Wreaks Havoc
on Your Gut and Your Health
Now that you know why gut health is so important, and the strategy behind healing your
gut, lets look at what Candida does to the gut and how this impacts your overall health.

Your Guts Delicate Balance

As you probably know by now, your gut contains trillions of bacteria that aid in digestion
and keep your digestive system healthy. There are hundreds of different types of these
good bacteria, and they exist in a delicate balance with each other and with other
organisms, including yeast. If your gut is healthy, your good bacteria will keep your yeast
population in check. But, if you are low on good bacteria or create an environment that
causes the yeast to proliferate faster than the good bacteria can get rid of them
(because of any of the risk factors on page 7), you may get an overgrowth of yeast.

The Gut and Brain Connection

When your gut is drowning in yeast it isnt able to perform its usual tasks with the same
efficiency and effectiveness it normally would. This causes the symptoms you would
typically associate with a gut issue, such as bloating, constipation, or diarrhea. What
many people dont realize is that 95% of your neurotransmitters are produced in the gut.
In fact, the gut is often referred to as the second brain. If youre suffering from yeast
overgrowth, your neurotransmitter production is impaired. On top of that, Candida
affects your brain and mood function by producing alcohol and acetaldehyde, both
of which are toxic to the nervous system and often contribute to symptoms of brain fog.
This is why so many of my patients suffering from Candida overgrowth complain of brain
fog, poor memory, and depression or anxiety.

95% of your
are produced
in your gut.

Copyright Amy Myers, MD 2015 10

The Myers Way GUIDE TO Candida
Candida and Leaky Gut
Now you know how Candida affects digestive health and the brain, but how does it lead
to issues like allergies, infections, and autoimmune disease? Candida has the unique
ability to change shape in order to protect itself from harsh environments. It responds
to a shift in temperature or acidity levels by transforming from a rounded yeast cell
into an elongated hyphal cell. These elongated cells have the ability to permeate the gut
lining, causing leaky gut, and, once in the bloodstream, invade other tissues. This
means that Candida can quickly transition from a gut problem to a full-body problem as
it colonizes the skin, mouth, ears, thyroid, genitourinary organs, or elsewhere.

When your gut is leaky, things like toxins, microbes, undigested food particles, and more
can escape from your intestines and travel throughout your body via your bloodstream.
Your immune system marks these foreign invaders as pathogens and attacks them,
often attacking surrounding tissue or tissue with a similar chemical structure to the
foreign particles. This continuous stream of pathogens and invaders in your
bloodstream puts your immune system on high alert and can trigger an autoimmune
disease. For more information on this, read my book, The Autoimmune Solution.
Effectively treating Candida involves stopping the yeast overgrowth, restoring the
friendly bacteria that usually keep them in check, and healing your gut so that Candida
can no longer enter your bloodstream.

9 Signs You Have a Leaky Gut

Bones: osteopenia, Infections--gut: parasite,

osteoporosis small intestine bacterial
overgrowth (SIBO), or yeast
Brain: anxiety, depression, overgrowth (candida)
brain fog
Metabolism: excess weight,
Digestive system: bloating, obesity, diabetes
constipation, diarrhea, weight
loss, fat malabsorption Nutrients: iron deficiency/
anemia, omega-3 fatty
Hormones: irregular periods, acid deficiency, vitamin
PMS, perimenopausal deficiencies
or menopausal symptoms
Skin: acne, eczema, rosacea
Immune system: frequent
colds, flu, and infections;
joint pain; muscle pain;
autoimmune disorders

Copyright Amy Myers, MD 2015 11

The Myers Way GUIDE TO Candida
How Stress Contributes to Candida
There are many dietary factors that play a role in developing Candida overgrowth,
but stress can also be a major contributor because of its effect on the immune
and digestive systems.

The Effect of Stress on the Immune System

When you experience any kind of stress, including physical, mental, or emotional, your
body swiftly kicks off a response via your adrenal glands. Your adrenal glands response
is to release a cascade of stress hormones, chief among them cortisol. Cortisol is highly
inflammatory, its purpose is to activate your immune system so that you can respond
to a wound or injury (since this was the type of stress we evolved to face).

But, after this initial rise in inflammation to boost immunity, cortisol actually works
to suppress the immune system. This is because your body knows that a high level
of inflammation is not sustainable, it stresses the immune system and can lead
to autoimmune disease. To make up for the wave of inflammation it produced initially,
cortisol returns your immune system to anywhere from 40 to 70% below the baseline,
leaving you with a suppressed immune system.

The Effect of Stress on the Digestive System

A secondary effect of stress is that it temporarily shuts down your digestive functions,
something that also goes back to what stressors we evolved to face. If youre running
from a predator you want all of your blood flow concentrated in your limbs for fleeing
and your brain for quick thinking, not being wasted in your gut.

Candida Sees an Opening and Takes Advantage

Remember how earlier I said that typically your body can keep Candida under control all
on its own? This is because your immune system and your healthy gut bacteria are both
actively working to keep it from multiplying too quickly. But, when your immune system
is suppressed and your digestive systems keeps being temporarily shut off, Candida has
the opportunity to multiply unchecked and becomes too entrenched for your good
bacteria and immune system to get it back under control.

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The Myers Way GUIDE TO Candida
Testing and Treatment
for Candida Overgrowth
4 Effective Tests for Detecting Candida Overgrowth:
IgG, IgA, and IgM Candida Antibodies
Blood tests check for IgG, IgA, and IgM Candida antibodies in your blood, and can be
performed at most any lab. High levels of these antibodies indicate that an overgrowth
of Candida is present somewhere in the body and that your immune system is reacting
to it.

Remember, Candida has the ability to suppress the immune system so it is important
to ask your doctor to test your total IgG, IgA, and IgM levels along with the Candida
antibodies. Low levels of total IgG, IgA, or IgM could cause a false negative response
to the Candida antibodies, meaning you could have Candida, but since your immune
system is lowered, you are unable to produce a response and your blood test comes
back negative. Since I see so many patients with suppressed immune systems, I find
in my clinic that blood tests can often be negative even when the stool or urine tests are

Complete Blood Count (CBC)

Often, I will see clues on a CBC that let me know that yeast is present. A low white blood
cell count (WBC) has been associated with yeast overgrowth as well as a pattern of high
neutrophil and low lymphocyte count. While these are non-specific to yeast,
after working with thousands of patients, I can tell you I see this pattern very frequently
in those with Candida overgrowth.

Urine Organix Dysbiosis Test

This is a specialized functional medicine lab test and it looks for D-Arabinitol in the
urine, a waste product of Candida. Elevated levels indicate Candida overgrowth in your
small intestines or upper gut.

Comprehensive Stool Test

This is also a specialized functional medicine lab test that will check for Candida
in your colon or lower gut. Standard or conventional stool tests typically do not test
for Candida. With the comprehensive stool test, your stool is directly analyzed for levels
of yeast. The lab can usually determine the species of yeast as well as which treatment
will be most effective.

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The Myers Way GUIDE TO Candida
How to Treat Candida Overgrowth
The full Candida control treatment protocol that I use with my patients is covered in the
companion resource for this eBook, The Myers Way 30-Day Candida Control Guide.
The program utilizes the proven 4R approach to get rid of your Candida overgrowth
and ensure long-lasting gut health.

The cornerstone of the treatment is a low-carbohydrate diet that starves the yeast,
accompanied by specific enzymes to break down the yeast cell wall, a natural
anti-fungal supplement that pokes holes in the yeast cell wall, and very high-potency,
multi-strain probiotics to restore your healthy gut bacteria. If you do not already have
The Myers Way 30-Day Candida Control Guide, you can purchase it here.

Recommended Reading
Your gut is a complex and fascinating ecosystem that is truly the key to optimal overall
health. To learn more about how to maintain gut health, possible underlying gut-related
causes for your symptoms, and how to treat them, I recommend the following articles
and eCourses.

9 Signs You Have a Leaky Gut

10 Signs You Have Small Intestinal Bacterial Overgrowth

10 Signs You May Have a Parasite

Gluten Sensitivity: Is Something You Are Eating Making You Sick?

Functional Medicine IgG Food Sensitivity Testing

The Myers Way Guide to the Gut eCourse

To gain an in-depth understanding of gut health and how it impacts your overall health,
I highly recommend my Guide to the Gut eCourse. Through four hours of instruction
paired with worksheets, shopping guides, and checklists, you will be empowered
to discover the root cause of your symptoms and be able to self-treat at home with food
and supplements.

Copyright Amy Myers, MD 2015 14

The Myers Way GUIDE TO Candida
Youre Ready to Take the Next Steps
in Your Candida Journey!
Now that youve learned what causes Candida overgrowth and how it affects your health,
youre ready to begin The Myers Way 30-Day Candida Control Program! The program
includes everything you need to successfully eliminate your yeast overgrowth and heal
your gut through a 30-day meal plan and supplement regimen.

You will receive:

The Myers Way Candida Control Guide: In-depth explanations of how to follow
the protocol and why it works, including a 30-day meal plan, day-by-day
instructions for taking your supplements, and what to expect as the yeast dies
and your gut begins to heal.
Candida Control Recipe eBook: Easy-to-follow instructions for every dish
included in the meal plan.
Candida Control Weekly Shopping Lists: Printable lists to make grocery shopping
a breeze.
Candida Control Wellness Kit: All three yeast-fighting and gut-restoring
supplements included in the protocol.

If you didnt purchase this eBook as part of the full The Myers Way 30-Day Candida
Control Program, you can purchase it here.

Copyright Amy Myers, MD 2015 15