AIP Nutrition & Lifestyle Management 4 — Questions and Answers
Question 1: During AIP reintroduction, a client tests nightshades and notices joint stiffness 48 hours later. How should this be interpreted?
- The reaction is unrelated since it occurred after 24 hours
- The delayed reaction suggests nightshades are a trigger and should be removed (Correct answer)
- A 48-hour delay confirms the food is safe to consume regularly
- The client should immediately reintroduce another food to compare
Correct answer: The delayed reaction suggests nightshades are a trigger and should be removed
Immune-mediated reactions can be delayed 24–72 hours, so any symptom within this window is attributed to the tested food.
Question 2: Which reintroduction stage in the standard AIP protocol is considered the least reactive and introduced first?
- Gluten-containing grains
- Nightshade vegetables
- Legumes with edible pods (e.g., green beans) (Correct answer)
- Eggs
Correct answer: Legumes with edible pods (e.g., green beans)
Legumes with edible pods like green beans are classified in the least reactive Stage 1 of structured AIP reintroduction.
Question 3: A client successfully reintroduces egg yolks but reacts to egg whites. What does this indicate?
- The client must avoid all eggs permanently
- Egg whites and yolks have different proteins and can trigger separate reactions (Correct answer)
- The reintroduction protocol was performed incorrectly
- The client should try cage-free eggs as an alternative
Correct answer: Egg whites and yolks have different proteins and can trigger separate reactions
Egg whites contain different proteins (lysozyme, albumin) than yolks and can be independently reactive.
Question 4: What is the correct reintroduction protocol for testing a new food?
- Eat the food daily for one week and assess cumulative symptoms
- Consume the food in a small amount, then a larger portion later the same day, then observe for 72 hours (Correct answer)
- Combine multiple new foods in one meal to test efficiently
- Reintroduce foods only at breakfast to isolate variables
Correct answer: Consume the food in a small amount, then a larger portion later the same day, then observe for 72 hours
The standard protocol is small then larger dose on day one, followed by 72 hours of symptom monitoring before testing another food.
Question 5: Why are seed-based spices excluded during the AIP elimination phase?
- They contain high amounts of oxalates
- Seeds contain lectins and other compounds that may trigger immune reactions (Correct answer)
- They are high in omega-6 fatty acids
- They disrupt thyroid hormone metabolism
Correct answer: Seeds contain lectins and other compounds that may trigger immune reactions
Seed-based spices like cumin and coriander contain lectins and other antinutrients excluded during AIP elimination.
Question 6: A client asks if they can use coconut aminos as a soy sauce substitute on AIP. What is the correct answer?
- No, all fermented condiments are excluded
- Yes, coconut aminos are AIP-compliant (Correct answer)
- Only if made without added vinegar
- Coconut aminos must be a Stage 2 reintroduction
Correct answer: Yes, coconut aminos are AIP-compliant
Coconut aminos are derived from coconut sap, are soy-free, and are permitted during AIP elimination.
Question 7: How does the AIP protocol address alcohol consumption?
- Red wine is permitted as it contains resveratrol
- All alcohol is excluded during the elimination phase (Correct answer)
- Beer is excluded but spirits are permitted
- Alcohol is allowed on weekends as a lifestyle balance
Correct answer: All alcohol is excluded during the elimination phase
All alcohol is eliminated during the AIP elimination phase as it increases intestinal permeability and disrupts immune function.
AIP Nutrition & Lifestyle Management 4
During AIP reintroduction, a client tests nightshades and notices joint stiffness 48 hours later.
How should this be interpreted?