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

•         headaches

•         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