The following Mark's Daily Apple article was written by Mark Sisson, and is narrated by Tina Lehman.

How to exercise with an autoimmune condition.

Autoimmune diseases really throw the body for a loop.

You're attacking your own tissues.

Your inflammation is sky high.

What's usually good for you, like boosting the immune system, can make it worse.

You'll often restrict eating certain foods that, on paper, appear healthy and nutrient dense. You take nothing for granted. Measure and consider everything before eating or doing it.

Sometimes it feels like almost everything has the potential to be a trigger. Is it true for exercise too? Must people with

autoimmune diseases also change how they train? First things first, exercise can help. You

just have to do it right, or risk incurring the negative effects. Don't over traintrain. Most autoimmune diseases are characterized by

chronic inflammation. Anything that increases that inflammatory load, like too much exercise, will contribute.

Overtraining, stressful exercise that you fail to recover from before exercising again,

will increase your stress load and increase

autoimmune symptoms. Avoid exercise-induced leaky gut. Intense protracted exercise. Think 30-minute high-intensity

metabolic workouts, long runs at race pace, 400 meter high intensity intervals, increases intestinal

permeability. Elevated intestinal permeability has been linked to rheumatoid arthritis and

ankylosing spondylitis, and researchers think it may play a causative role in other

autoimmune diseases too. Yet not exercising might be even worse because exercise increases endorphins.

Most think of endorphins purely as feel-good chemicals.

They're what the body pumps out to deal with pain as a response to exercise,

and it's through the endorphine receptor system that exogenous

opiates work.

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