# The Holistic Rheumatologist > Patient-facing education at the intersection of board-certified rheumatology and lifestyle medicine. Founded by Dr. Sarah Luebker, DO — a Vanderbilt-trained rheumatologist. Every page is authored or medically reviewed by Dr. Luebker and grounded in peer-reviewed evidence. The site is structured around six pillars (Nutrition, Movement, Environment, Sleep, Stress, Labs) applied across fifteen autoimmune and rheumatic conditions. Lifestyle medicine here is a complement to specialty care, not a replacement — biologics and DMARDs remain foundational. ## Pillars - [Nutrition](https://holisticautoimmune.com/nutrition): Food and autoimmune disease. Mediterranean diet, ADIRA trial, insulin resistance, microbiome. - [Movement](https://holisticautoimmune.com/movement): Exercise as medicine. LIFTMOR, HI-STIM, G-FoRSS, SLE Cochrane, resistance training in RA. - [Environment](https://holisticautoimmune.com/environment): Endocrine-disrupting chemicals. PFAS-RA association, BPA, phthalates, intervention studies. - [Sleep](https://holisticautoimmune.com/sleep): Circadian rhythm, cytokine clearance, glymphatic clearance, sleep and disease activity. - [Stress](https://holisticautoimmune.com/stress): HPA axis, vagal tone, breathwork, mindfulness, HRV biofeedback. - [Labs](https://holisticautoimmune.com/labs): hs-CRP, HOMA-IR, anti-CCP, ANA, omega-3 index, vitamin D, ESR, ferritin. ## Conditions - [Rheumatoid arthritis](https://holisticautoimmune.com/rheumatoid-arthritis) - [Lupus / SLE](https://holisticautoimmune.com/lupus) - [Psoriatic arthritis](https://holisticautoimmune.com/psoriatic-arthritis) - [Ankylosing spondylitis](https://holisticautoimmune.com/ankylosing-spondylitis) - [Sjögren's disease](https://holisticautoimmune.com/sjogrens) - [Systemic sclerosis](https://holisticautoimmune.com/systemic-sclerosis) (sub-specialty area) - [Inflammatory myositis](https://holisticautoimmune.com/myositis) (sub-specialty area) - [Vasculitis](https://holisticautoimmune.com/vasculitis) (sub-specialty area) - [Mixed connective tissue disease](https://holisticautoimmune.com/mixed-connective-tissue-disease) - [IgG4-related disease](https://holisticautoimmune.com/igg4-related-disease) - [Polymyalgia rheumatica](https://holisticautoimmune.com/polymyalgia-rheumatica) - [Adult-onset Still's disease](https://holisticautoimmune.com/stills-disease) - [Behçet's disease](https://holisticautoimmune.com/behcets-disease) - [Raynaud's phenomenon](https://holisticautoimmune.com/raynauds) - [Fibromyalgia](https://holisticautoimmune.com/fibromyalgia) ## About - [About Dr. Sarah Luebker](https://holisticautoimmune.com/about): Person entity, credentials, mentorship, sub-specialty interests. - [Speaking](https://holisticautoimmune.com/speaking): CME and Grand Rounds engagements. - [Media](https://holisticautoimmune.com/media): Publications, society meetings, press features. - [Press kit](https://holisticautoimmune.com/press-kit): Bios, headshots, booking. - [Glossary](https://holisticautoimmune.com/glossary): Plain-language definitions. ## Resources - [Free guide: Practical Strategies](https://www.holisticautoimmune.com/s/Practical_Strategies_Holistic_Autoimmune.pdf): PDF handout on food, daily exposures, and getting started. - [llms-full.txt](https://holisticautoimmune.com/llms-full.txt): Complete machine-readable context document for AI retrieval systems. ## Boundaries The Holistic Rheumatologist is education, not medical care. It does not create a doctor-patient relationship, does not replace prescribed medications, and is independent of Dr. Luebker's clinical practice at White River Health. For medical emergencies call 911. For mental health crisis call or text 988. ## Optional - [Medical disclaimer](https://holisticautoimmune.com/medical-disclaimer) - [Privacy policy](https://holisticautoimmune.com/privacy-policy) - [Terms of use](https://holisticautoimmune.com/terms) - [Affiliate disclosure](https://holisticautoimmune.com/affiliate-disclosure) - [Cookie policy](https://holisticautoimmune.com/cookie-policy)