Yeast & Nutrition

The following contain yeast/sugar:  sugar, all grains, flour (almond and coconut flour are allowed, as these are not grain-based flours), dairy, potatoes (all colors), pasta (including gluten-free), pastries (including gluten-free), breads (including gluten-free), candy (including sugar-free) alcohol, and vinegar (except for white and apple cider vinegar).

After completing the initial 5-14 days of eating yeast-free, you may start the nystatin and probiotic.

• Start the nystatin at 1 capsule three times per day (for 2 weeks).  It’s best to take nystatin with food to minimize stomach upset, so we recommend taking it with breakfast, lunch and dinner.
• You may start your probiotic before nystatin or at the same time you start nystatin.  Take 1 capsule per day (for 2 weeks).  Probiotic is best taken with meals to minimize stomach upset, so we recommend you take the probiotic with breakfast or your evening meal.

2 weeks after starting nystatin and probiotic you will need to increase both.

• Increase nystatin to 2 capsules three times per day (2 capsules with breakfast, 2 with lunch and 2 with your evening meal).
• Increase the probiotic to 1 capsule twice daily.  Take one capsule with breakfast and 1 with your evening meal.

After you have taken nystatin and probiotic for 3 – 5 weeks and are free of yeast symptoms, you may start fluconazole.

• The variance of time (3 – 5 weeks) is advised for each respective guest’s comfort.  If you started nystatin 3 weeks ago and you are experiencing significant die-off symptoms, it is not a good idea to risk additional die-off by killing more yeast with fluconazole.  Therefore, it would be advisable to wait to start fluconazole until week 4 or 5. If you are not free of yeast symptoms after 3-4 weeks, it is best to call our office for guidance.
• If you are unsure when to add the fluconazole, please call a phone nurse and she/he will assist you in determining your readiness for it.

Once readiness for fluconazole is determined (you are symptom-free on the full dose of nystatin), you may start using the fluconazole.  Take 1 tablet once per day with any of your meals.  You will only take this for 7 days.

• During and after taking fluconazole continue to take nystatin, 2 capsules three times per day, along with the probiotic, 1 capsule twice daily.

After 2 weeks on the nystatin and probiotic you may add fruit back into your diet, sparingly.

• If you experience any symptoms or die-off after you add fruit back into your diet, stop eating the fruit and wait another 2-3 weeks to reintroduce it.

After taking nystatin and the probiotic for 4 weeks you may add sweet potatoes, rice, dairy and alcohol back into your diet, in moderation, if you are free of symptoms.

• Add one food group at a time. Wait at least 4 days before introducing another food group.
• If die-off occurs after reintroduction of any food, we recommend you call the office.  This may mean you still have yeast or you may have discovered a food allergy.  It is not always easy to tell the difference.

After 3 committed months to your new dietary habits, it is our hope that you will continue to either abstain from yeast consumption or only consume in extreme moderation.