How soon does diet begin to heal psoriasis?

D: Deirdre, what I'm looking for some sort of indication that you're on the right track. What I do know is that when people, at least for motivation purposes, they need something fairly soon just some feedback so what I'm looking for is what are some of the signs...you said in a couple of weeks that you actually felt better because of the diet.

And I do hear that regularly from people. I also hear people and I experienced my stools changed. And it's very common a lot of people with psoriasis are not having stools regularly every day.And my stools became more regular and my skin...people started telling me I had a glow about myself. And I've guess they've gotten so used to looking at me this way now people don't really say that anymore.

But people definitely...I could feel differently. I started losing weight very quickly even though I wasn't trying to lose weight, in fact, I threw my scale away. I went down three clothing sizes in the course of six months and then over the course of seven years now, I've gone down three clothing sizes without ever trying to lose weight.

So I would say the things not only experienced myself but what I hear from other people is you feel better, you start losing weight, your facial complexion...you may start having a certain glow about yourself. People just notice that you look different. You have more energy, you sleep better, you handle stress better...things you generally associate with a healthier lifestyle.

D: So what was the first sign that people can look forward to that they know they're on the right track that this diet is working for them?

I would say that you feel better.

D: You feel better...as far as the stools changing, does that happen fairly quickly?

Yeah, that can happen within a couple of weeks, too.

D: So, generally, people have to be pretty diligent about this for let's say two or three weeks so that they get some sort of sign and say, �Hey, this is working. Something's changing and since Deirdre told me that this is what is going to happen, I know I'm on the right track.�

For me I was so sick that I was staring at indefinite rounds of chemotherapy. Most people are not that sick. Most people are not disabled with psoriasis but I was disabled with psoriasis. I was getting to where I couldn't shake people's hands. And I couldn't safely drive a car.

So for someone that's as sick as I was, I would encourage them to know that two to three weeks isn't nearly enough time. You need to make up your mind. My take is � up your mind.� Before you do it make up your mind you're going to give it a concerted effort and commit yourself to a minimum of three months. This is one thing I've learned in twenty-five years in professional dietetics. If you tell people to just commit to two to three weeks and especially people with psoriasis their expectations are going to be too high. And they're not going to stop.

And the single most aspect of this diet is that it's sustainable. You need to do this for a long time. So to tell somebody two to three weeks is entirely misguided and it's unfair. And so I think realistically the thing to tell people is that this is a lifestyle change and a lifestyle is not two to three weeks. You need to commit yourself to three to six months of really doing this.

And after you get through that period then you can start allowing for more flexibility and you can establish the degree to which you want to live with remnant amounts of psoriasis. For instance, in my case, after that six month period I allowed myself to cheat every day to some degree because I'm willing to live with a remnant 5-10% psoriasis and not need any prescription medications.

Other people they may psychologically-emotionally not be able to deal with any psoriasis and they may need to do it and be more committed for longer or they may not need to be as totally committed as I had to be. It's really different cases are all different. That's what makes this complex.

And that's why I think it's unfair to tell people �Oh, just give it two to three weeks.� It's not easy.

D: What I'm looking for is what is it that after a certain period of time people are saying �I'm on the right track. I need to keep doing this.� And I realize you've got to go for two or three months. But what is it that you see immediately. What's the quickest thing you see?

I think it's pretty safe to say within a month that you should feel different. And if you have weight to lose, you'll be losing weight. And your stools will change.