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Frequently during the candida elimination diet, die-off symptoms can occur as the candida (and other pathogens) are killed off either by starving them or by use of an anti-fungal. Die-off symptoms are the same as the “detox” reaction, or a Herxheimer reaction. Die-off will release a high number of toxins into the body’s systems, and it takes some time to dissipate.

Die-off symptoms generally make you feel as if you have the flu, and can include

         increased mucous secretions in nose, throat, sinuses, lungs, intestines

         muscle and joint aches and pains


         digestive disturbances

         changes in behavior or emotions

Die-off can be stressful, so it is suggested that if you decide to use an anti-fungal,  start off with very small amounts and slowly increase the dosage. It is also recommended that you switch the types of anti-fungals every two weeks to maintain the effectiveness of the supplement, and to take a week off now and again to let your body rest and recover.

To complicate matters further, symptoms may not be triggered by die-off but instead be a sign of a food insensitivity or allergy. It is often better to follow a candida elimination diet for several months and not use an anti-fungal until your body is stronger and you’ve identified most of your food allergies and insensitivities. This helps to ensure that you are simply experiencing die-off, and not an allergy or sensitivity.

For further information:

Candida Overgrowth basics

Causes and Symptoms of Candida Overgrowth

What's the cure?

Suggested phases for candida elimination version of SCD

Ranking lists of fruits and vegetables & anti-fungals

Links to resources and diagnostic laboratories

Further Reading

revised 6/2010