Candida Die Off Symptoms

Candida Die Off Symptoms: Risks, Treatment & Prevention

Candida die off symptoms are a common die off reaction that occurs when candida yeasts start to die during the treatment. Also known as herxheimer reaction or candida die-off, the candida die off symptoms list can be devastating with many symptoms at the same time, often appear as flu-like symptoms. It is also common that existing symptoms become more severe.

Table of Content

  • 1 – Candida Toxins Self Assessment Tool. (launched in a new window)
  • 2  Common mistakes that cause die-off.
  • 3  How to manage die off symptoms.
  • 4  Specific concerns & remedies.
    • 4.1  Liver, kidneys & organ support.
    • 4.2  Brain fog, mood & fatigue.
    • 4.3  Headache, pain, nsaids.
    • 4.4  Relief for skin, oral thrush & vaginal yeast infections.
    • 4.5  Breathing & respiratory.
    • 4.6  Aloe vera & food sensitivities.
    • 4.7  Japanese detox foot pads.
    • 4.8  Vitamins & minerals deficiencies.
    • 4.9  Probiotics.

Candida Die Off Symptoms Protocol reliefFor your convenience, a summary of this guide: the candida die-off handbook

Couldn’t find what you were looking for and need help? We are here to assist! Contact Us.

Candida Die Off Symptoms : Update Oct 2018

A few important comments based on the many questions we get:

When does candida die off start?

A common misconception about candida die off symptoms is that having them is a sign that the treatment is working. When you have die off symptoms, it means that the amount of toxins released by the dying candida is more than what your body can safely handle. The high level of toxins put a lot of stress on internal organs, especially the colon, liver and kidneys that are involved in filtering toxins in the body.

Preventing toxins overload and managing die off symptoms correctly can minimize many unnecessary discomforts and are essential for the success of the candida detox treatment, your health and well-being. This is exactly what this guide is all about.

What Are Candida Die Off Symptoms

One of the main concerns with candida overgrowth is its high toxicity; when candida starts to die during the treatment, it releases over 80 different toxins. These toxins can get anywhere in the body, suppress the immune system and cause many discomforts and health issues all over the body.

These are the famous candida die off symptoms, also known as yeast die-off, candida die-off, healing crisis, detox symptoms, herxheimer reaction, herxheimer breakout, or jarisch-herxheimer reaction [1].

Most common symptoms of candida die off are flu like symptoms often with fever, joint, muscle and body pain. The candida die off symptoms list is extensive, and can impact many different body systems.

Candida Die Off Symptoms List

Most common candida die off symptoms may include:

  • Abnormal vaginal discharge.
  • Skin rash, acne, itching.
  • Sinus infection.
  • Fever.
  • Brain fog.
  • Joint and muscle pain.
  • Headache.
  • Constipation or diarrhea, yeast in stool.
  • Bloating, gas.
  • Nausea.
  • Increased mucus production.
  • Chills
  • Fatigue.
  • Dizziness.
  • Swollen glands.
  • Mood swings, unexplained depression or anxiety.

Top Causes Of Candida Die Off Symptoms

1 – Not cleansing the colon before the candida treatment.
2 – Supplements that cause die offs.
3 – Diet that causes die offs.
4 – Foods that cause die offs.
5 – Making drastic changes.

die off causes

CRITICAL MISTAKE #1 – Top Cause of Die-Offs
Not Cleansing the Colon Before Candida Treatment

Common Symptoms: Constipation, mood swings, fatigue, bloating, gas, body odor, flu like symptoms, headache, strong die off symptoms

The colon is the primary organ in the body responsible for removing toxins from the body through normal bowel movements. For this reason, making sure your colon is cleansed so it can quickly eliminate the dying candida and its toxins is the most important step when treating candida and candida die off symptoms, especially since the majority of the candida overgrowth occurs in the colon.

The overgrowth of candida in the colon is the reason why most people with candida issues also suffer from digestive problems such as constipation, bloating, gas and others. If your colon can’t properly digest and eliminate foods, it also won’t be able to effectively eliminate the dying candida and its toxins.

This critical step is the main cause of the candida cleanse side effects, healing crises and die off symptoms so many people experience during the candida treatment (70% according to this study); it just takes your body too much time to eliminate these toxins.

Oxygen Colon Cleanse

Oxygen colon cleanse is designed to neutralize and cleanse toxins, waste buildup and undigested food particles from the colon using oxygen, so they can be removed out of the body through normal bowel movements. When the colon is free of all this waste buildup, it gets rid of toxins quicker during the treatment, which can prevent and minimize die-off symptoms. This natural toxin removal mechanism of oxygen has shown to be very effective and safe, gentle enough even for people with extreme sensitivities, severe candida overgrowth and other health issues. Due to its effectiveness, safety profile and ease of use, oxygen colon cleanse is commonly used and recommended by health professionals to deal with die-off symptoms and candida overgrowth issues.
Candida Die Off SymptomsMost people feel a significant relief after the oxygen cleanse with many of their symptoms getting better. The progress many people are able to achieve during the 5-10 days of the oxygen cleanse is so significant, that it makes anti-fungal supplements optional in a lot of these cases.
In a
study with 150 systemic candida patients, participants were asked on their die-off symptoms (herxheimer reaction) during the candida treatment and whether or not oxygen colon cleanse (Oxy-Powder ®) was used. The results showed that the oxygen cleanse made a significant difference with only 8% of the patients who used oxy-powder experiencing die-off symptoms. In comparison, out of the participants that did not cleanse their colon, 70% had die off symptoms during the treatment.

The Overnight Die-Off Toxins Flush

  • Voted as top die-off remedy
see study or submit your feedback

One of the most effective natural remedies for die off symptoms, that quickly and safely removes toxins from your body:

  • The Overnight Die-Off Toxins Flush oxy-powderSqueeze the juice of ½ organic lemon and add 1 teaspoon of organic raw unfiltered apple cider vinegar into 16 ounces of distilled water.
  • Drink before bedtime with 4-8 capsules of oxy-powder on an empty stomach away from any foods or other supplements.
  • Expect the next day to have a series of bowel movements with many of the toxins being eliminated.
    Most people feel a significant relief when these toxins are being flushed out.
  • If you have never taken oxy-powder before, start with 2 capsules and gradually increase if needed.
    Learn more about oxy-powder
Candida Die Off Symptoms Protocol reliefDownload flush recipe

Taking Supplements & Antifungals that Cause Candida Die Off Symptoms

Common Symptoms: Increased die off symptoms

Candida Die Off SymptomsThis is one of the most confused and misused group of candida supplements that very often cause severe candida die off symptoms.
Anti-candida or antifungal supplements contain ingredients that directly or indirectly kill yeast in your body. While this can be very beneficial in certain cases, it can also backfire if not used correctly. One of the biggest problem we see with antifungals is that many of them are too strong, toxic, contain harsh chemicals and act as stimulants, which can actually prevent your body from healing and even damage your organs. This is a very common misconception:
Many people use antifungal supplements in order to artificially “kill the yeast” where what you really want to do is to restore the natural balance in your body, so your body can safely eliminate the excess yeast naturally – two completely different things.
The “Kill the yeast” approach usually ends of with yeast die off symptoms and with much less benefits.
More info is available in our candida supplements experts guide

How to Avoid Die-Offs From Antifungals

Most people are surprised to learn that antifungals are not always needed in order to heal from candida issues. Antifungals do bring the most benefits in cases of “stubborn” candida and yeast issues that were not fully resolved during the initial candida treatment.
Based on our long experience with antifungals, we see a clear advantage of using products that are based on natural wild grown and organic ingredients, as they usually bring the most benefits with less die off symptoms. Mycozil that is a part of our protocol for candida is a very good example. You want to make sure you are getting high potency fresh organic herbs that are well studied and are backed up by science, while avoiding toxins and chemicals that are often found in very high dosages in conventional and low quality formulas. The last thing you want is to introduce more toxins into your body. Choosing the right anti-fungal supplement that can support your body’s natural yeast and fungal elimination in a gentle and safe way rather than aggressively “killing the yeast” is a critical part of the candida treatment and may help tremendously in preventing many unnecessary candida and yeast die-off symptoms.

The Antifungals Protocol
anti-fungal die off symptoms Most antifungal supplements can cause severe candida die off symptoms when not used correctly. If you consider taking anti fungal or anti-candida supplements, we highly recommend to read our Antifungals protocol:
It is designed to help you prevent & minimize candida die off symptoms and make the most out of your supplements; we covered must-know guidelines such as correct dosing protocol, antifungals rotation, natural vs. synthetics review, safety concerns and many others. Most people are not aware of these critical factors.

Diet that Causes Candida Die Off Symptoms

Common Symptoms: Digestion issues, food sensitivities & allergies

Poor digestion is very common in cases of candida and yeast issues. What many people don’t realize, is that digestion issues may be the reason behind their candida die off symptoms:

Digestion issues typically lead to fermented and undigested food particles in the body that can feed candida, make the overgrowth become worse and cause many die off symptoms
People with digestion issues such as bloating, gas, constipation or diarrhea tend to suffer more from candida die off symptoms. We see many cases where the candida diet is the reason behind these digestion issues; the fact that you eat foods that are considered healthy and good for candida issues doesn’t mean your body can digest them well at its current state.
Adjusting to the candida diet usually takes time, and for this reason, many health providers recommend their patients to take enzymes supplements with their meals to help with the the transition, ease the digestion issues and improve the nutrients absorption from the foods.

“Making eating enjoyable again”
enzymes for candida die off symptomsMost people that had digestion issues, notice a big difference after taking enzymes with their meals: much less die off symptoms, feeling “light” after meals and having much more energy. If you consider taking enzyme supplements, we recommend to use both systemic & digestive enzymes: digestive enzymes to be taken with the meals to help with digestion and systemic enzymes to be taken on an empty stomach to help your body break down candida’s cell wall and its released toxins.

Getting Die-Off Symptoms from Anti-Fungal Foods

Common Symptoms: Increased die off symptoms

coconut oil die off symptomsMany foods that are recommended for the anti candida diet have naturally occurring anti fungal components in them.
Coconut oil is a great example: it is actually one of the most known foods that kill candida due to its anti-fungal properties. Caprylic acid, a fatty acid found in coconut oil is responsible for its strong antifungal properties, and can be found in many anti-candida supplements as well.
If you have candida overgrowth, and are not used to coconut oil…taking as little as 1 tablespoon (15ml) of coconut oil at once can cause a strong herxheimer reaction and die-off symptoms.
Other common antifungal foods (notice how common some of them are !) include coconut oil, olive oil, ginger, cinnamon, garlic, cloves, cayenne pepper and seaweed.
Conclusion: gradually introduce these foods to to your diet, and watch how your body responds!

Making Drastic Changes

Common Symptoms: Increased die off symptoms

candida die off symptoms

Many people are so eager to start, they switch from one extreme to another and very quickly lose control and stop before any significant healing took place. This often creates such a shock to the body, that it makes it impossible to continue, either because of feeling really bad due to high toxins overload, hunger, strong craving for bad foods or the lack of support to current lifestyle.
This is a very common cause for candida die off symptoms.

How To Treat & Manage Candida Die Off Symptoms

Knowing how to manage and treat die-off symptoms correctly and according to your own body specific needs can significantly reduce their severity, duration, and may also help to prevent many of the symptoms from reoccurring.

If you already experience die-off symptoms, doing an oxygen colon cleanse or the overnight die-off toxins flush should be your first priority as these are specifically designed to remove the candida toxins quicker from your body. These can help relieve many discomforts and different symptoms you may have.

Specific Concerns

As a reminder, high candida toxins are usually the cause of many die-off symptoms. Something to consider before you try to treat individual symptoms. If you have any specific concerns, or looking for a natural and safe relief, here are the recommended natural remedies for specific symptoms:

  • Drink plenty of spring or alkaline water to help your kidneys flush down the toxins. The color of your urine should be clear. To help support the kidneys in eliminating toxins and to promote healthy kidney function during your cleanse, kidney cleansing herbs such as Uva Ursi, Chanca Piedra, Horsetail are commonly use. 
  • Natural antioxidants extracts  such as CoQ10, PQQ, resveratrol, and astragalus are commonly used in order to support the internal organs from the high toxicity and oxidative stress due to the candida toxins. It is much easier to prevent the damage, than treating internal organ dysfunction once developed.
    When taking antioxidants, the recommendation is to only use natural antioxidants extracts that are backed by science as safe and effective, a good example can be found here.
    To learn more about the antioxidants we use in our candida protocol, see:
    Antioxidants supplements for candida.
  • For special concerns regarding liver or gallbladder health or in cases of high candida toxicity, liver cleansing herbs such as milk thistle, dandelion root, and chanca piedra are widely used to help the liver detoxify the candida toxins.
  • For fatigue, low energy and stress symptoms, energy & anti-stress herbs such as ashwagandha, ginseng and maca have shown to very helpful: these herbs do not have stimulants such as caffeine; however, when used correctly, it is quite common to feel long lasting “clean” energy for hours.
    To avoid potential reactions from low quality herbs, it is recommended to use organic or wild grown herbs from a trusted source. A good example can be found here.
  • If your die off symptoms include mind-balance issues such as brain fog, difficulties to concentrate, mood swings, depression, and others, we recommend to review our mind-balance protocol for further info. This protocol has been shown to be very successful and may provide natural relief to many of the discomforts associated with mind-body balance issues.
  • If you are currently taking NSAIDs or other pain medication for your headache, muscle, joint pain or inflammation, we strongly recommend to read our natural anti inflammatory protocol. NSAIDs use can cause serious health issues that you should be aware of, and in many cases are not needed as there are natural alternatives that can be as effective.
  • Reduce or stop the usage of your anti fungal supplements or any other supplements that may have caused these die off symptoms to get worse. Follow our antifungals protocol to make sure you are using them correctly, as this may help you to minimize these die off symptoms and avoid additional ones.
  • Pay extra attention to natural anti-fungal foods and ingredients such as garlic, caprylic acid (derived from coconut oil), oregano oil, grapefruit seed extract, colloidal silver as well as certain probiotics as they may cause candida die-off symptoms.
  • If you need a relief for painful oral thrush, vaginal yeast infections or skin infections such as candida skin rash, dry/itchy skin, eczema, athlete’s foot or other skin issues, using Ozonated olive oil on the affected areas was shown in multiple published human studies to be very effective in easing these discomforts.
  • Taking showers (head to toe) may provide relief as well. The skin is the largest organ in the body and plays an important role in detoxification and toxins elimination.
  • Using all natural kelp-coconut soap has also shown to help provide relief. Note that many soaps, moisturizers and other skin care products contain toxic chemicals, synthetic ingredients and allergens that can irritate your (already irritated) skin and should be avoided.
  • If you suffer from breathing issues, congestion, sore throat, sinus or respiratory problems, natural lung cleansing herbs such as eucalyptus, lobelia, peppermint and others can provide relief by eliminating toxins from your lungs and airways.
  • If you notice you are getting reactions to many different foods, you may want to add aloe vera to your diet due to its soothing effect on the digestive tract and digestion.
    We recommend to only use the inner leaf from organic aloe vera, in order to enjoy the benefits while avoiding a potential reaction to the latex material (aloin) in aloe vera’s other parts of the leaf. A good example can be found here.
  • Many people that used infrared based japanese detox foot pads before bedtime, reported improved sleep, circulation and higher energy levels. In a lot of these cases, they were actually able to see the released toxins absorbed into the pads in the morning.
  • If you have done colon hydrotherapy or water enemas in the past and found them useful, they may help provide some quick relief.
  • If you have had candida and yeast issues for over 6 months, we highly recommend to get tested for vitamins and minerals deficiencies. Overtime, research has clearly shown that certain deficiencies that are very common such as vitamin B12 and vitamin D can cause serious health complications that can’t be reversed and may even become permanent.

Candida Die Off Symptoms Protocol reliefA summary of this guide: the candida die off handbook


How long do candida die off symptoms last

Candida die off symptoms can last anywhere between a few hours to a few days, sometimes up to a week, with most people feel a relief in less than 24 hours. The main factor that usually impact how long candida die off symptoms last is the plan’s fit to the individual’s state of health and current condition; the better the fit, the less die off symptoms.
If you experience die off symptoms, knowing how to manage them can significantly reduce the reaction’s severity, duration, and may also help preventing many of die-off symptoms from reoccurring.

Die off symptoms from probiotics

Die off symptoms from probiotics are very common. In some cases, the healing crises from the probiotics is so severe, that the entire treatment has to be stopped!
The fact that a supplement causes die off symptoms is not an indication that it is effective. When using Probiotics supplements for candida, it is important to make sure the strains used are effective for candida but also safe, so your body can balance the yeast overgrowth at a rate it can safely handle. A good example can be found here.
For more information on Probiotics, see our candida supplements experts guide – probiotics.

What is a good probiotic for Candida?

A probiotic supplement is going to be as good as the probiotic strains used in its formula, so it is important to make sure the probiotic strains used are backed up by science as effective against candida and candidiasis, but on the other hand safe and not too aggressive. Different probiotic strains have different properties and as such, they have different uses, benefits and side effects. Taking the wrong probiotics can cause die off symptoms and side effects such as bloating, gas and other digestive issues. In some cases, it can even make the candida infection become worse.

Great examples of probiotics which we use in our candida protocols are: (see links for more info including dosage)

  • To treat candida, a great example is the Brevibacillus laterosporus (BOD) strain.
  • To prevent yeast infections, support your immune system for overall health, a great example is FloraTrex which contains contains 23 active cultures of the Lactobacillus strains that are combined with additional highly studied key probiotic strains for immune system health, optimized with inulin prebiotics.

Candida die off stool

Passing dead candida or yeast in stool is a common candida die off symptoms during the candida treatment. Many people that followed our oxygen colon cleanse protocol reported seeing the presence of yeast and dead candida in stool, and in some cases with mucus and other parasites. While this may not look very pretty, this is usually the point where people start to feel better. Think about it this way; as disturbing as candida look like when it comes out of you, it is still much better to have the dead candida yeast in the toilet rather than inside your body.

Vitamin C and candida die off symptoms

Vitamin C has many health benefits, but we are not aware of any specific study or research indicating its effectiveness for die off symptoms relief. It is important however, to meet your daily recommended values of vitamin C from your diet eating foods high in vitamin C.
If you can’t reach the recommended daily values of vitamin C from your diet and are looking for vitamin C supplements, look for natural extracts from of acerola cherries or camu camu berries; both are the world’s richest natural food sources of vitamin C, so rich that it takes only 1 cherry or berry (5 grams) to meet your daily values of vitamin C ! With such high potency natural extracts available, we see no need to supplement with synthetic versions of vitamin C.

What are the symptoms of Candida die off?

Candida die off symptoms list

Candida die off symptoms may include:

  • Worsening of yeast infection symptoms.
  • Headache, migraine.
  • Brain fog and other mind-balance issues such as difficulties to concentrate, mental confusion.
  • Constipation or diarrhea.
  • Gastrointestinal distress and digestive issues such as bloating, gas, stomach pain.
  • Nervousness mood swings, depression and anxiety.
  • Elevated heart rate.
  • Fatigue.
  • Excessive sweating.
  • Yeast or candida rash, severe itching, itchy skin, fungal infection, skin infection, breakouts and other skin issues.
  • Dizziness or nausea.
  • Swollen glands.
  • Increased heartburn, and acid reflux issues.
  • Lack of appetite or uncontrolled cravings to certain foods, especially cravings for sweets.
  • Food sensitivities.
  • Sore throat, dry mouth.
  • Breathing issues, congestion, sinus or respiratory problems, increased mucus production.
  • Body odor.
  • Fever, low grade fever, flu like symptoms, sore throat, chills.
  • Muscle soreness, joint, body aches and pain.
  • Increased yeast and candida in stool.
 Submit your symptoms.

When candida starts to die during the treatment, it releases over 80 different toxins. These toxins can get anywhere in the body causing many discomforts, health issues and symptoms all over the body. The symptoms above are common ones, but you may have other symptoms present as well.

To see which of your symptoms may be related to candida die off and to check your estimated toxicity levels, check our self test.

Candida die off itching and skin rash

Candida die off itching, skin rash or other skin issues are very common die off symptoms that are often overlooked. The skin is the largest organ and a window to our internal health. Many medical conditions appear first as problems visible on the skin. When the body eliminates toxins, very often this is done through the pores, which can lead to symptoms such as rash, eczema, acne and others. If you have candida skin rash, dry/itchy skin, eczema, athlete’s foot or other skin issues, you may find the skin issues section on this page useful.

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