Candidia albicans is a common fungus that hunkers down in moist and warm parts of the body such as in the mouth, throat, gut, and vagina. Normally, candida albicans (and similar fungi and bacteria) is not a concern. However, if it dominates and over-grows, it can enter the bloodstream and colonize organs such as the kidney, heart, or brain. Candidiasis is the clinical name for this overgrowth. We can have a mild case and be unaware of the infection, or it can break out and be symptomatic, for instance as vaginal, nipple, or oral thrush.

Fungus has an affinity for moist tissue. You might have experienced vaginal thrush and used an insertable cream to beat back the infection. “Beat back” is key. We do not want to completely eradicate the fungus. It is just one member of a community of bacteria that make up the body’s microbiome.

The varieties of these micro-members, bacteria, viruses, and parasites, have a profound effect on our health. We aim to reduce the fungus and then keep those numbers low over a period of time, so that the microbiome can establish a better balance and the immune system can recover. Otherwise, we might have repeat infections and more complications.

Nipple Thrush

Breastfeeding mothers can experience a painful fungal infection of the nipple called thrush. Again: it occurs when the microbiome is out of balance and unable to prevent fungal overgrowth.

When I lived in Switzerland, I learned that nipple thrush is practically unknown in that country. Why? For starters, Swiss doctors do not over-prescribe antibiotics, many of which degrade the microbiome. The Swiss also typically eat a whole-foods diet including fresh fruit and vegetables. The Swiss also value cleanliness, regularly changing sheets, vacuuming and wiping down surfaces, cleaning the fridge, etc. Importantly, the weather in Switzerland is rarely humid, and humidity increases the growth of fungus. Those of us who live in high-humid parts of the world need to take extra care to maintain the balance of the microbiome and to keep the home clean.

Leaky Gut

Candidiasis (and similar fungi) is a major contributing factor in a condition called leaky gut or permeable intestine. Here, the cells of the intestinal lining are not tightly bound together. Spaces open between them, microscopic “holes” through which tiny food molecules and toxins pass through. See my article on priming the baby during pregnancy for colic and food allergies. 

Candidiasis is opportunistic: it overgrows and invades the body if the immune system is unable to fight it off. People with a compromised immune system such as those with chronic fatigue, chronic inflammatory conditions, or brain fog, frequently also have a systemic candidiasis infection. (Systemic means that it is found in multiple parts, or systems, of the body.)

Resolving a fungal infection can be tricky – but absolutely worth the trouble as it is an essential step toward re-balancing and strengthening the immune system.

The short-term use of an anti-fungal medication called Nystatin is considered generally safe for a breastfeeding mother.

If you develop nipple thrush, first talk with your lactation expert to learn what you can do to resolve the infection. For a long term solution, take the steps listed below in the next section.

Re-balance the microbiome and strengthen the immune system against candidiasis

A successful, long-term approach has three parts:

1) eliminate mold from the home (also eliminate irritating and toxic chemicals);

2) eat a whole-foods diet including gut-healing vegetables and broths; remove all foods made with refined sugar (but some fruit and berries is okay);

3) rotate herbal supplements that have strong anti-fungal properties. We alternate these supplements to prevent the fungus from developing resistance to any one of them. In order to overwhelm the defenses of the fungal infection, hitting it from many sides repeatedly and frequently with different kinds of  anti-fungal herbal supplements is what works.

This long-term approach does not quickly eradicate the fungus, but it does slowly reduce the fungus while allowing your immune system to become stronger and more effective against the fungus, while allowing your intestine and organs to heal.

Scroll down to the end of this article to read about “Die Off,” and learn about the ups and downs of an intense healing protocol.

Do not use oregano oil

Not all antifungal supplements are suitable for breastfeeding mothers. Oregano oil is a case in point. Although oregano oil is one of our strongest anti-fungals, oregano oil sometimes reduces milk supply.  Keep oregano oil in mind for later, when you have weaned. I like this particular NOW brand because it also contains oils of fennel and ginger, and both are good for intestinal healing.

If the acidity of Grapefruit Seed extract irritates your digestive system, combine the GSE with a half-teaspoon of baking soda in a cup of water. This will neutralize the acidity.

Cautions: do not combine grapefruit seed extract with domperidone or fluconazole. 

I personally make for myself the simple, fast, and inexpensive version: a half-teaspoon of turmeric powder, stirred into a cup of water and quickly swallowed down. If you don’t mind the taste, a very small shake of black pepper into the turmeric is believed by many to improves its bioavailability, though I find it highly medicinal without the pepper.

About Fungal Die-Off

Some people go through a phase of feeling tired, foggy-brained, and toxic when using antifungal supplements. This can be due to a large and sudden die-off of the fungi.

“Die-Off” is a period of time in which your body is dealing with a flood of dead cells from the fungi. They are now in your blood and as they pass through your body and organs, you may notice sudden fatigue, brain-fog, or even a flare-up of a rash or arthritic pain.

This is a sign that the supplements are working, but that your detox organs need time to catch up with the extra detox work. Eventually, your liver will neutralize the toxins. Depending on the degree of the infection, and the pace of your liver, the symptoms of Die-Off might last 1 – 3 hours or 1- 3 days.

If this happens to you, back off the supplements, drink a lot of water, and rest. Trust that you will soon feel better.

While “die-off” sounds like bad news, it is actually very good to know about the possibility and to be mentally prepared for it. As you go forward with the treatment, the periods of Die-Off should become less strong and less frequent.

If you have access to a healthcare practitioner or MD with a foundation in “functional medicine,” they are your best bet for clarity and continuity of treatment. Functional MDs are trained to connect the dots and get a handle on these somewhat mysterious health conditions and opportunistic organisms.

1. Min YW, Park SU, Jang YS, et al. Effect of composite yogurt enriched with acacia fiber and Bifidobacterium lactis. World J Gastroenterol. 2012;18(33):4563-4569. doi:10.3748/wjg.v18.i33.4563