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HomeHealth TopicAutoimmune Disorders

Can Your Environment Be the Cause of an Autoimmune Disease?

Christina Palmer, MD
Published on April 29, 2021

Key takeaways:

  • Autoimmune disease (AID) is caused by both genetic and environmental triggers.

  • There are many different types of environmental triggers.

  • Changing your environment can sometimes improve your AID symptoms.

Person in protective white body suit spraying crops with herbicide from a green and blue container on their back.
mladenbalinovac/E+ via Getty Images

Autoimmune diseases (AIDs) are a type of health condition where your immune system attacks its own cells and tissues. Autoimmune disorders are common, and they may even affect you or someone you care about. In fact, up to 9% of people in the United States have an autoimmune condition — though this varies by gender, ethnicity, and geographic location. 

While autoimmune conditions vary widely in symptoms and severity, they all have the same underlying problem: Your body’s immune cells attack your own body. 

Common types of AIDs include:

AIDs can be hard to diagnose, treatment can be a challenge, and identifying the underlying cause is often difficult.

Though many genes are connected to AIDs, scientists still don’t know for sure exactly what causes these disorders. And while we know that genetics — and your family history — definitely plays a role, it’s possible that up to 70% of autoimmune diseases may actually be caused by environmental factors — like: 

  • Diet

  • Lifestyle

  • Exposure to toxic chemicals

  • Infections

Read on to learn about specific environmental triggers for AID, and what you can do in your environment to reduce your risk or improve your symptoms.

What environmental triggers are associated with autoimmune diseases?

In people with a genetic predisposition (where their genes put them at risk), certain environmental exposures can trigger autoimmune disease. These include toxins, infections, diet, and more. 

Can toxins cause an autoimmune disease?

Yes. Multiple environmental toxins have been linked to autoimmune diseases. For example, cigarette smoking may increase your risk of: 

  • RA

  • Lupus

  • MS

  • Graves’ disease 

Additional toxic exposures linked with AIDs include:

Not all people with these exposures develop AIDs. There are other factors involved, like epigenetics and your family history.

Can your diet cause autoimmune disorders?

Yes. Dietary factors and the gut microbiome may also contribute to the underlying causes of autoimmune conditions. There are changes in the gut microbiome in people with certain autoimmune disorders like type 1 diabetes and RA. And, in some people, eating gluten can lead to an abnormal immune response and the development of celiac disease

Again, not all people with dietary risk factors will get an autoimmune condition. Just like other exposures, diet is only one possible contributing factor.

Can an infection cause autoimmune disease? 

Yes. Infections are a known trigger for AIDs in people with a genetic predisposition. Infections have been linked with many autoimmune conditions including: 

  • Type 1 diabetes

  • MS

  • Lupus

  • RA 

Infections connected with AIDs include:

Can mold cause autoimmune disorders?

No. While there has been concern raised that mold in the environment could be a trigger for autoimmunity, there is currently no scientific evidence that mold can cause AIDs. 

Other possible triggers

There are some other possible triggers of AIDs including:

  • Emotional stress or trauma: Stressful life events or trauma may increase your risk of developing an AID. 

  • Pregnancy: AIDs often present within the first year after a pregnancy. 

  • Medications: Many medications have been linked to the development of AIDs, particularly lupus.

How do environmental factors cause autoimmune disease?

It can be hard to know why environmental factors trigger autoimmunity in some people but not others. A combination of genetics, the immune system, and other factors such as diet and the gut microbiome likely play a role. It’s possible that when people with an increased genetic risk are exposed to certain environmental factors, the immune system can turn on itself.

Can you “cure” yourself if you remove the environmental cause of your AID?

No. You cannot cure yourself of an AID after the disease process has started. But making changes in your life may help improve your symptoms, and keep your disorder from getting worse.

What can be changed in your environment to improve your AID?

You can’t control every part of your environment. But there are steps you can take in your lifestyle and diet to help you feel more in control of an AID. And some environmental changes may even help your symptoms get better.

Improve your diet and vitamin levels

Diet may play a role in autoimmune conditions. There is some evidence that special diets like the Autoimmune Protocol (AIP) could help with autoimmune symptoms and inflammation levels. This could have to do with improving the strength of the intestinal lining and the health of the gut microbiome

Vitamin D plays an important role in the healthy functioning of our immune system, and low levels are associated with both cancer and autoimmune conditions. Keeping your vitamin D levels at a good level may help with AIDs.

Exercise

Exercise can help improve the following in autoimmune conditions:

  • Fatigue

  • Mood

  • Mobility

  • Quality of life

The amount and intensity of your exercise regimen will depend on your condition, but moving your body and getting your heart rate up every day is helpful. 

Improve sleep

Fatigue can be an issue for many people with autoimmune conditions, and sleep is an essential part of keeping your immune system healthy. Make sure to practice good sleep hygiene and try to get at least 7 hours of quality sleep every night.

Consider your climate

Weather changes or extremes can trigger symptoms in some people with AIDs. Because of this, it’s possible that some climates may be better for autoimmune diseases than others, like milder climates with minimal temperature variability. 

Manage stress

Working on stress reduction is important. High stress can have a negative effect on your immune system. This not only can lead to the development of autoimmune conditions, but it also plays a role in how effective treatment may be. 

Quit smoking

If you smoke, quitting is important. Not only can it trigger AIDs, but it can make your symptoms worse and weaken your immune system.

The bottom line

When someone with a genetic predisposition encounters an environmental trigger, it can lead to an AID. Figuring out the specific environmental cause can be hard. Most often it is a toxin exposure, infection, or dietary trigger. There may be some steps you can take to improve your symptoms and take control of your autoimmune disease.

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Why trust our experts?

Christina Palmer, MD
Christina Palmer, MD, is a board-certified family physician with a special interest in chronic care management, women’s health, mental health, and preventive care. She has over 10 years of experience in primary care research, innovation, and practice.
Sophie Vergnaud, MD
Sophie Vergnaud, MD, is the Senior Medical Director for GoodRx Health. An experienced and dedicated pulmonologist and hospitalist, she spent a decade practicing and teaching clinical medicine at academic hospitals throughout London before transitioning to a career in health education and health technology.

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