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Free guide

Practical Strategies is a patient handout from Dr. Sarah Luebker covering food, blood sugar, and everyday chemicals, free for your email address.

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The First Changes to Make.

The same handout I hand my own patients: the specific food and daily-exposure changes worth making first, no guesswork required.

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What the guide covers

Practical Strategies is the handout Dr. Luebker gives patients when she first meets them, and it covers the work she'd go through in clinic if visits ran long enough for it. It comes in three short sections rather than one long document, and the whole thing reaches six pages. It's written to be used rather than read once and filed away somewhere.

The idea behind that shape is that you don't have to do everything at once. Start with whichever of the three sections looks easiest to you, and the rest follows on from there in its own time. That's more realistic than a plan that asks you to change everything on a Monday.

The three sections

Clean up your food. This section covers which additives to drop first, and those are artificial dyes, some preservatives, synthetic sweeteners, and industrial seed oils. It also gives you what to choose instead, which is the part most advice leaves out. Dropping something with nothing to put in its place is how most food changes fail.

Balance blood sugar. This covers the daily habits that hold insulin more level through the day, which are eating protein first, walking after meals, leaving a few hours before bed, and rethinking breakfast. It also covers resistance training, and why muscle changes the way your body handles glucose. Nothing here asks you to track anything or weigh your food.

The third section deals with endocrine disrupting chemicals and the small swaps that reduce your exposure to them. Those run across the kitchen, personal care products, and the house itself, and the advice is deliberately unglamorous. Nothing here asks you to buy a costly replacement for something you already own, and most of the swaps happen when something ends rather than all at once.

The guide closes with a list of ingredients worth knowing on a label, and it's there to use while you're learning to read them. Getting it perfect isn't the expectation, and reading labels gets faster with practice. The list is there for the stretch before it does.

Who it's for

The guide is for people living with an autoimmune or rheumatic condition, and particularly for the ones who want to know what they can change themselves. It doesn't replace the treatment your rheumatologist prescribes, and it isn't offered instead of medication. What it covers is the ground that visits rarely have time for.

What you're agreeing to

We ask for your email address and nothing else at all. We use it to send you the guide, we don't sell it or rent it or pass it to anyone for marketing, and you can ask us to delete it at any time. We'll do that without asking you why we're being asked.

The privacy policy sets all of this out in full, and it's short because this site collects almost nothing. It sets no cookies, it runs no analytics, and it shows no advertising. Reading the whole thing takes about two minutes, and those two minutes are worth spending before you hand anybody your address.

Getting a copy

Give us your email address below and the guide comes straight to your inbox. We keep the address so we can send you something now and then, we don't sell it or pass it on, and every email comes with a way to stop. That's the whole exchange, with nothing else attached to it.