so which bad guys affect autoimmune diseases?
- Lee Marais
- May 9
- 4 min read

Let’s look at the specific gut microbes that are linked to Hashimoto’s, Rheumatoid Arthritis (RA), Lupus (SLE), and Psoriasis — both harmful strains that worsen these conditions, and beneficial strains that can help reduce symptoms.
🧫 GUT MICROBIOME & AUTOIMMUNE DISEASE LINKS
1. Hashimoto’s Thyroiditis
🚨 Harmful gut microbes (increased in Hashimoto’s):
Prevotella spp. – Promotes Th17 inflammation and disrupts mucosal tolerance
Klebsiella pneumoniae – Linked to cross-reactivity with thyroid tissue
Yersinia enterocolitica – Molecular mimicry potential (triggers thyroid antibodies)
Proteobacteria overgrowth – Linked with leaky gut and systemic inflammation
✅ Helpful microbes (often decreased):
Lactobacillus reuteri – Regulates thyroid axis and inflammation
Bifidobacterium longum – Supports mucosal immunity and Treg cells
Akkermansia muciniphila – Improves gut barrier and insulin sensitivity
Faecalibacterium prausnitzii – Produces butyrate; anti-inflammatory
2. Rheumatoid Arthritis (RA)
🚨 Harmful microbes (increased in RA):
Prevotella copri – Strongly linked to early RA onset; promotes immune dysregulation
Collinsella aerofaciens – Alters gut permeability and promotes IL-17
Eggerthella lenta – Increases inflammation and disease severity
Actinobacteria imbalance – Associated with pro-inflammatory T-cell activity
✅ Helpful microbes (often reduced):
Lactobacillus casei – Reduces joint inflammation
Bacteroides fragilis (non-toxigenic) – Promotes Treg development
Faecalibacterium prausnitzii – Suppresses TNF-α and IL-6
Roseburia spp. – Butyrate producer, supports gut lining
3. Lupus (Systemic Lupus Erythematosus – SLE)
🚨 Harmful microbes (increased in lupus):
Ruminococcus gnavus – Major lupus trigger; activates TLRs and flares
Lachnospiraceae imbalance – Increases intestinal permeability
Clostridium spp. (pathogenic types) – Disrupts immune signaling
Bacteroides dorei – Associated with autoantibody production
✅ Helpful microbes (often reduced):
Bifidobacterium bifidum – Modulates immune activity
Lactobacillus fermentum & plantarum – Supports Treg cells and gut barrier
Akkermansia muciniphila – Helps prevent flares by regulating mucus lining
Bacteroides vulgatus (at proper levels) – May balance gut immunity
4. Psoriasis (and Psoriatic Arthritis)
🚨 Harmful microbes (overgrown in psoriasis):
Escherichia coli (pathogenic strains) – Promotes gut-skin axis inflammation
Streptococcus spp. – Can trigger molecular mimicry (especially with guttate psoriasis)
Candida albicans (yeast) – Often overgrown; linked to flare severity
Firmicutes/Bacteroidetes imbalance – Common in gut dysbiosis of psoriasis patients
✅ Helpful microbes (deficient in psoriasis):
Lactobacillus salivarius – Helps reduce skin lesions
Bifidobacterium breve – Improves skin barrier and inflammation
Faecalibacterium prausnitzii – Major anti-inflammatory action via butyrate
Butyricicoccus pullicaecorum – Supports gut barrier and skin health
🧠 Summary Table
Autoimmune Condition | Harmful Microbes | Beneficial Microbes |
Hashimoto’s | Prevotella, Yersinia, Klebsiella | L. reuteri, B. longum, A. muciniphila |
RA | P. copri, Collinsella, Eggerthella | L. casei, F. prausnitzii, Roseburia |
Lupus | R. gnavus, Clostridia, B. dorei | B. bifidum, L. fermentum, Akkermansia |
Psoriasis | Candida, E. coli, Streptococcus | L. salivarius, B. breve, F. prausnitzii |
Here's a targeted probiotic + prebiotic + herb protocol for each of the four autoimmune conditions:
Rebalancing gut bacteria
Reducing inflammatory microbes
Feeding beneficial strains
Supporting immune modulation
🌿 HASHIMOTO’S THYROIDITIS
🦠 Target: Lower Prevotella, Klebsiella, Proteobacteria — Increase Lactobacillus, Bifidobacteria,
Akkermansia
✅ Probiotics (daily):
Lactobacillus reuteri (5–10B CFU)
Bifidobacterium longum (5B CFU)
Bacillus subtilis (soil-based, gut modulating)
Saccharomyces boulardii (yeast balancer)
✅ Prebiotics/Foods:
Green banana flour (feeds A. muciniphila)
Stewed apples (pectin-rich)
Lightly cooked garlic & leeks
Fermented veggies (small amounts)
🌿 Herbs & Botanicals:
Turmeric (curcumin) – anti-inflammatory for thyroid tissue
Licorice root – gut healing and cortisol modulating
Ashwagandha – only if antibodies are low and patient isn’t flaring
Selenium-rich foods – Brazil nuts, sunflower seeds
🦴 RHEUMATOID ARTHRITIS (RA)
🦠 Target: Suppress Prevotella copri, Collinsella, Eggerthella — Boost F. prausnitzii, Roseburia, L. casei
✅ Probiotics (daily):
Lactobacillus casei (anti-inflammatory in joints)
L. rhamnosus GG
Bifidobacterium breve
Faecalibacterium prausnitzii (if available in advanced formulas)
✅ Prebiotics/Foods:
Cooked & cooled sweet potatoes
Ground flaxseed
Chicory root tea or powder
Oat bran (small amounts if tolerated)
🌿 Herbs & Botanicals:
Boswellia serrata – anti-arthritic, blocks leukotrienes
Turmeric + black pepper – strong TNF-α inhibitor
Devil’s Claw – reduces joint pain & stiffness
Cat’s Claw – immune balancing
🌺 LUPUS (SLE)
🦠 Target: Lower Ruminococcus gnavus, Clostridia, B. dorei — Restore Bifidobacteria, Lactobacillus, Akkermansia
✅ Probiotics (daily):
Bifidobacterium bifidum (immune calming)
Lactobacillus plantarum
L. fermentum
Bacillus coagulans (heat-stable, supports butyrate levels)
✅ Prebiotics/Foods:
Stewed blueberries + chia (gut-healing)
Slippery elm powder
Moringa (natural prebiotic and antioxidant)
Pumpkin (rich in fiber + A)
🌿 Herbs & Botanicals:
Reishi mushroom (low dose) – modulates immune system
Green tea extract – powerful antioxidant & Treg booster
Milk thistle – supports liver during flares
NAC or glutathione – protects against oxidative damage
🧖 PSORIASIS / PSORIATIC
ARTHRITIS
🦠 Target: Reduce E. coli, Candida, Streptococcus — Boost Lactobacillus, F. prausnitzii, Butyricicoccus
✅ Probiotics (daily):
L. salivarius
Bifidobacterium breve
L. paracasei
Saccharomyces boulardii (clears Candida)
✅ Prebiotics/Foods:
Jerusalem artichoke (inulin-rich)
Fermented coconut yogurt
Cooked plantains or green banana flour
Polyphenol-rich: berries, green tea, olives
🌿 Herbs & Botanicals:
Oregon grape root – antimicrobial + skin detox
Burdock root tea – blood purifier & skin support
Neem leaf – antifungal & anti-inflammatory
Milk thistle – detoxifies liver → improves skin clarity
📌 General Tips for All Conditions
Start probiotics slowly (1 every 2–3 days for sensitive systems)
Rotate prebiotics weekly to encourage diverse flora
Avoid kombucha and sugar-fermented drinks if Candida is present
Track reactions — use a food & symptom journal
At Essential Health Wellness Centre, we create personalized herbal protocols tailored to your blood type, autoimmune condition, and unique constitution.
📞 Book your consult: 083 654 9943📧 lee.essentialhealth@gmail.com🌐 www.essentialhealthsa.com#healingwithpassion | Premium Health. Exceptional Care.
Comentarios