I am often asked this question and there is no single best answer. Looking at disease from a multifactorial standpoint requires a detailed history and some understanding of that individuals genes. This is essential because lupus can have many different causes. Once we have a working theory we can work on optimizing the patient’s detoxification pathways, eliminating the toxic exposures in their everyday life, improving their immune system’s intelligence, decreasing inflammation, optimizing nutritional intake, and etc.
There is no one size fits all approach to working with people with complex disease. What is necessary is a complex approach that that is individualized and doable. There’s a time and place for enzymes, probiotics, and vitamin D3 as well as higher force interventions like pharmaceuticals. The key is knowing when to use what because no two people are alike and in the end my job is to relieve suffering while doing as little harm as possible.