Articles, Blog

Is It Candida Die-Off Or Is It An Aggravation?

August 14, 2019

Greetings. New Zealand naturopath, Eric Bakker,
author of Candida Crusher, formulator of the Canxida range of supplements. Thanks for checking
out my video. Today, we’re going to talk about die off.
Are you experiencing die off or what we call Herxheimer Reaction or are you experiencing
aggravation? Let’s just explain a little bit. I’m going to read some out of my book and
then I’m going to give you a little bit of an explanation alongside. Many people get
confused. When they feel worse as they start a Candida treatment or they push harder, they
immediately say, “I’m getting die off. I’m getting die off. That’s what I read online.
That’s what it is. Can’t be anything else.” Let me explain.
There are many types of aggravations a person may experience who comes to seek help of a
health care professional. Some people come in with one or several pharmaceutical drug
induced side effects. Particularly after an antibiotic. Others experience reactions when
they stop taking drugs or changing brands of drugs or supplements. Some people experience
strong reactions when they take a supplement or cut the dosage back or switch to another
supplement or combine two dietary supplements together.
Many people can potentially develop an aggravation at the beginning of natural medicine treatment
and this can be quite discouraging for some people. Those who are used to conventional
western medical treatment find the concept of feeling worse before you feel better, a
bit disturbing, and some find it even completely wacky and having the “lulu” factor like being
really stupid. Particularly those who strongly adhere to the tenets of modern medicine.
Modern medicine believes that a diagnosis must first be made before treatment and then
the treatment is usually in the form of a drug that supposedly cures the complaint by
eradicating the symptoms. What a load of crap! You can’t cure a fricking complaint by getting
rid of a symptom any more than you can cure serious bankruptcy by giving a credit card
to someone. You’d have to be nuts in the head to think about that. Getting rid of a symptom
does not equate to curing a disease. Have a look at the World Health Organization’s
definition of what real health means. It doesn’t mean an absence of symptoms. It means feeling
totally flaming awesome, spiritually, psychologically, emotionally, structurally, on many different
levels having amazing health. That to me is really good health. Not just “Oh, my headache’s
gone. I must be in really good health.” That’s not good health at all. Western medicine’s
idea of what good health means is a little bit different from what people like me believe
the concept of good health really means. Aggravations can come about for many different
reasons and here are six examples of common reactions I see with patients.
Number one � drug side effects that we call iatrogenic disease.
Number two � coming off any medications or detoxing from pharmaceutical drugs. It
also means coming off any dietary supplements or increasing dosages or swapping brands as
I mentioned. Number three � a change in diet after commencing
treatment. Very common. If you make dietary changes, it’s not die off at all. Many people
have this. They contact me. “I’m getting terrible die off. What’s wrong with me? Oh, by the
way, I’ve stopped drinking all alcohol. I don’t drink caffeine anymore. I’ve got anti-gluten,
anti this, anti this, anti that and I feel like crap. What’s wrong with me? Must be die
off.” No. It’s not die off. It’s because you made way too many changes way too quick. It’s
not a good thing to do. If you first start an exercise program and you go to a gym, would
you spend four hours in the gym doing 300 different exercises and then two days later,
“Oh, my god. I’m so sore. Why am I so sore? It shouldn’t be like this. I only spent four
hours in the gym the other day. I should have no pain in my body.”
Well, if you think about it, it’s pretty logical isn’t it? If you’re going to make any kind
of change, particularly when you get to your 40s or 50s or 60s, you need to do it a little
bit more slowly than if you’re a teenager. When you’re 15 or 20 going into a gym is an
entirely different experience. When you’re going into a gym when you’re 40 or 50 like
me. When you’re going through a diet change at 40 or 50, it’s an entirely different experience
than when you’re making a diet change when you’re a young kid. Why is that?
Well, there are a lot of reasons why that is. One of the primary reasons I believe is
because their organs are in a totally different state of health and aging as we get older.
We tend to have different stresses that affect us. We’ve got different kinds of bacteria
in our gut and enzymes don’t work quite as well. I believe our stomach and pancreas and
small intestine function slowly, slowly, slowly will go down as we get older. It’s much more
perky and more active and has much more power when we’re younger to help us digest food
quicker. As we age, that all changes. You take that into account. It’s very important
to do that. If you have a look at some of the research
done in the state, for example, the Center for Disease Control in Atlanta, Georgia, they’ll
tell you that your immune function declines between one to three percent per year beyond
40. That’s just by default. Your kidneys age. Your liver ages. Everything ages, so you need
to take that into account. Number four � I think we already mentioned.
Combining several different treatments, drugs, supplements at the same time.
Number five � Improperly combining drugs and natural medicines at the same time. Very
common. Number six � Cleansing reactions of the
body after commencing natural medicine treatment. Oftentimes this will be drug residues clearing
from the body. So the liver and kidneys in particular have very powerful detoxification
systems. So as soon as you start drinking more juice or more water or taking some vitamins
or minerals like B vitamins or magnesium, they will upregulate cleansing responses and
that can make you feel awful. You can feel tired and have a bad headache and feel washed
out, have sore muscles, bad breath, coated tongue, bowel change, farting like a horse,
bloating. All these things can occur just by taking some dietary supplements.
Are you killing Candida? Is the Candida dying and making you sick? No. It is not the Candida.
It is an upregulation. In my experience, the most common reason why people feel bad when
they start treatment is because the body is finally starting to cleanse. I wrote about
this extensively in my book. If you’ve got a house that’s dirty internally, now we all
know that we should do regular cleaning. My wife’s always vacuuming the room. It drives
me nuts sometimes. I’m trying to work. The machine is going. So it’s important to keep
rooms clean, but we never clean the inside of our body. So when we do finally clean the
inside of our body, dust starts coming up. When you think about it, theoretically when
you think about it, dust will come up in the air. Dirt will start moving around. We’ll
start coughing with dust. Internally, our body is getting all that crap moving into
the bloodstream and that is affecting our cells and that’s what’s making us feel bad.
It makes sense when you do any kind of internal change for you to feel bad.
You may notice I’ve not mentioned the word “die off” reaction. That is Candida yeast
die off in the body due to effective Candida treatment. In my experience, many people incorrectly
perceive aggravations after commencement of yeast infection treatment as die off and it’s
not really die off. I found that these aggravations are often due to a combination of several
factors and cannot be blamed purely on die off. Many diseases often get somewhat worse
with effective treatment for many reasons as I’ve outlined before. Unfortunately, we
live in an age that seems to be obsessed with speed. Everything has to happen now. It seems
as if we can’t seem to wait until tomorrow for anything.
As technology increases and everything speeds up, so do the expectations of healing our
bodies. As a result, we expect a quick fix and conventional medicine certainly trumps
here. It gets rid of symptoms, more likely suppresses them, so the disease goes somewhere
else and gets buried deep inside our body. Do you have a rash on your skin? Take this
antifungal cream. It will go deeper when you apply that cream and will not be cured by
any means, but will temporary disappear, which is a cure according to the dermatologist or
the skin specialist. Is it any wonder we get aggravations once
we actually stop these kind of suppressive treatments and all these hidden and buried
symptoms rise to the surface of the body? Drugs taken even many years ago will leave
residues that can remain deeply buried inside your body and these toxins can and will resurface
at inconvenient time. They’ll often resurface when you try to improve your health by natural
means. A die off reaction is not necessarily what you’re experiencing. So how do you know
to distinguish between a die off reaction and an aggravation? A true die off reaction
is seriously powerful and debilitating. I have seen serious die off reactions in the
clinic to the point when the patient was put in the emergency room and put in a hospital
bed for a week. It can rarely happen to that extreme like an anaphylactic kind of a shock.
But a true die off reaction is not that hard to pick from a disease aggravation.
The first thing I will look for generally is how severe the Candida is in the patient’s
body initially. If they particularly show a very, very high Candida count on culture
in the stool test like a 3+, this is why I look stool testing by the way, I totally discourage
those people to do a very strong powerful anti-Candida treatment up front. Now you can
understand why I really like stool testing. When a patient comes in with a low count of
Candida or no culture but we find the dead yeast in the body excreted in the stool, we
can go a bit harder. If we find a high count of Candida, we have to come in with low treatment.
If we come in too hard with all guns blazing, that is the person who is going to get seriously
bad die off. If you do experience serious reactions when
you start a very powerful treatment, it means that you had very high Candida often to start
with. Especially, if you’ve got major vaginal thrush or major jock itch or you’ve got really
bad toenail fungus or athlete’s foot. If you’ve got huge amounts of bloating and gas and strong
sugar cravings, if you’ve got the very powerful Candida symptoms at a very high intensity,
there is a high chance that when you do then counter that with a very powerful treatment
instead of a mild treatment, you’ll experience die off. Now you can understand the difference.
If you can really relate, if you’ve done my yeast infection quiz at
and you can strongly relate to Candida, you feel you’ve got these symptoms in high intensity,
then you’d have to be crazy to counter that with a very powerful treatment. It’s not a
good idea. Strong force with strong force opposing results in massive aggravation. Not
a good idea. Have a think about that. Subscribe to my channel for more videos please and make
sure you do my quiz. Check out my dietary supplements if you like at Thanks
for tuning in.


  • Reply Incognito Warrior December 17, 2015 at 1:20 pm

    Thanks again for the excellent channel. I have been on natural antifungals, strict diet and supplements for a couple of months now with superb results. Then foolishly I eat some sugary rice pudding and that night every symptom I ever had hit me all at once like a train–up all night with D&V, greenish liquid stool, massive acid reflux, bloat, liver pain. Never again! A day later I'm back on the diet and feeling regular and normal. Have I set myself back, and why the huge reaction beyond anything i've ever experienced before?

  • Reply Kale Mussel December 17, 2015 at 1:40 pm

    How long can candida dieoff last doc?

  • Reply ProChessPlayer December 17, 2015 at 8:29 pm

    Thank you for explaining the difference between dieoff and aggravation doc. It will be cool to do a video like 10 Signs its Candida Die Off. People will find that educational and it also makes it easy to share on our facebook groups. I will share this now. thanks

  • Reply Kieran December 18, 2015 at 12:37 am

    Hi Eric, I know you recommend small amounts of brown rice on your diet. However, everytime I eat rice my symptoms flare up like hell, especially my skin symptoms. candida has caused me to have a allergy to gluten, I am now thinking it has caused me to have an allergy to rice. maybe I have a grain/seed allergy.

  • Reply Antonio Sarra December 19, 2015 at 4:52 am

    Hi Doctor. Quick question. Is something like male thrush or balanitis related to having a candida overgrowth or is it something separate?This is the second time I'm having a red, itchy, inflammation down there this year. I did cream before but it still came back.

  • Reply aqnostic December 19, 2015 at 11:52 am

    Great advices, as always doc. I have one question. Its ok to take creatine powder? I go to the gym and I dont wanna lose al my muscle.

  • Reply AJ December 23, 2015 at 1:09 pm

    Hi Eric Great info!! I would like to buy ur supplements but the website is down. Looking for Canxida remove and restore….?

  • Reply RASTA FARAI December 30, 2015 at 3:25 am

    hello! i was just wondering if candida is the cause of acne.. how come is teenagers that mostly get it even though they are very young and are quite likely to have a healthy gut?

  • Reply Cesar January 4, 2016 at 5:40 am

    Hi doctor I have a very big question. Is it only possible to get rid of candida with a specific diet( like the one usually prescribed, no sugar, probiotic food, bone broth) or is it possible thru a healthy organic balanced diet without anything specific just none of the unhealthy obvious stuff.

  • Reply Monica Jackson May 31, 2016 at 2:54 am

    Hello and thank you very much for all the helpful information that you give so freely! Such a blessing. I have a pretty high case of candida. I think I scored a 94 on your Candida quiz:/ You mentioned that someone with a high amount of Candida shouldn't start off with a heavy treatment. Is taking both the Canxida Remove and Restore considered too much? what dosage do you recommend for each? Thank you!

  • Reply Nicola Ghiaci June 16, 2016 at 9:59 am

    Hello. I've been following your plan from your book for some time now – it was a God send to me. I didn't know you had a youtube channel as well! Wonderful.
    I've made a lot of progress – my life is unrecognisable now to that of a year ago, and the candida is following accordingly.
    I still get that tingly athletes foot feeling at random times of the day. First thing in the morning, after a meal….I haven't been able to detect a pattern. Maybe a bit more in the later phase of my cycle. I never know if it's die-off or that somehow the candida has been aggravated!
    Any thoughts?
    Greatest thanks

  • Reply Tom White September 6, 2016 at 9:00 am

    Hi Eric. Have you found that some patients who have Candida and Blastocystis Hominos, have allergic reactions or aggravations to certain foods, like coconut oil. I think my unpredictable diarrhea that happens is caused by coconut oil and other foods which have some fungus residue on them. In summary, I think my body now reacts to any food which has significant quantities of mycotoxins in them. Coconut oil and bananas seem to be the worst culprits for me but it also happens with most foods now because most foods contain mycotoxins today, even organic coconut oil. This is a major problem which virtually nobody is talking about. Blasto is a mould so I seem to have developed an allergy to mould after having the blasto infection for 4 years now. And then now I react negatively to most foods which contain mould, even if they contain mould in relatively small quantities. Thanks very much.

  • Reply Funkda Fied October 11, 2016 at 1:51 am

    Hi Eric, is it possible for die off to be so severe that chills followed by a headache may occur. Also severe foul smelling diarrhea (every hour) when taking antifungal herbs, but then reduces to a few times a day when not taken.

  • Reply Sandra Leitzelar November 29, 2016 at 2:14 am

    I became better actually but I feel weak , and sometimes feel hot flashes … this is my second day ..

  • Reply angela shioya November 30, 2016 at 4:25 pm

    Hi dr eric i have a moderate yeast on my stool test and i am on a 7 days fluconazole treatment and also i have change my diet moderately but very low intake of grains., would i exeperience severe die off?

  • Reply Renate January 23, 2017 at 12:18 pm

    Hi dr.Bakker, I´m in fase 2 of the candida diet now (following candida cleanse sweden on Facebook) and this is my third week. Still not feeling any kinds og die-off, even though I got a high test result (candida-test). Do you think i´m doing anything wrong, og should i maybe try probiotics/enzymes/get rid of parasites, or do you have any other thoughts? Appreciate all of your good work, thank you so much for sharing your knowledge!
    Love from Norway

  • Reply Katie Winters February 11, 2017 at 3:08 pm

    Hi Dr, I have two questions. I'm on the last part of the candida diet where I'm slowly introducing foods back into my diet and I've been feeling great for a while. One of my main symptoms from the candida is anxiety and I've been having more panic attacks for the past few days, could that be from adding a new food too soon? My second question is- are tomatoes an ok food to eat in this stage or should I wait a while to start eating them again? They weren't mentioned in your book.

  • Reply TRUTH IN TREE'S February 15, 2017 at 7:00 pm

    hi there dr I have changed my diet 5 days ago and eliminated all suger and I have blood rushing to my hands and they get warm have you ever experience this, any feedback would be greatly appreciated many thanks

  • Reply Aaron Gordon March 25, 2017 at 2:36 pm

    I enjoy hearing your voice.

  • Reply Aaron Gordon March 25, 2017 at 2:39 pm

    "Totally Flaming Awesome!" I love it and i wholeheartedly agree

  • Reply Beverly MacDonald May 21, 2017 at 9:29 pm

    I am 70 and definitely have felt those at the beginning of the Candida experience. I am so glad to hear to be less than determined to eliminate everything at the same time..If there is any more advice you can give this "older" lady it would be appreciated..

  • Reply lp erbua June 8, 2017 at 3:44 am

    I've been working to heal leaky gut/ibs-d/digestive issues for two years now by drastically altering my diet and following a holistic approach. Recently I started seeing an ND who put me on biocidin (antimicrobial blend) as well as grapefruit seed extract for candida/bacteria overgrowth. I started out slow and worked my way up in dosage but still seems to have caused my diarrhea to return. I stopped taking them two weeks ago yet if anything I'm getting worse and diarrhea isn't going away. The strange thing is that I've taken individual antimicrobials in the past (self prescribed: goldenseal, olive leaf, etc) with positive results. I assume there's no way this could be die off and I didn't make any other adjustments in my diet etc. Is there something I can do to get some relief and fix this? So confused and can't find an answer. Thank you!

  • Reply David Rees December 10, 2017 at 12:18 pm

    Hello Eric, I have been taking the Canxida supplements, for a few weeks now. what I normally take is 1 Oregano oil capsule 25mg in the morning with a glass of water, after dinner I take the canxida supplements, 1 of each canxida remove, rebuild, and Restore.
    In the evening before bed I chop 1 clove of garlic into small pieces, and take with water. I have experienced the last few day;s some quite uncomfortable stomach cramps, would I be doing something wrong here? I would like to say if not for your tutorials and video, I would not be at this stage after getting stool and mouth swab test's and also blood antibodies test done, This actually confirmed that I had high levels of candida albicans present, and was advised to see a medical practitioner as soon as possible. I did book an appointment with the G.P, and was prescribed 8 Fluconazole capsules 200mg, and that was it the NHS here has not been very helpful in anyway, my condition have been diagnosed from re-occurring viral infections to Fibromyalgia, and possible ME. Or its all in my head!!
    Best Regards
    Dave Rees
    South Wales – United Kingdom.

  • Reply David Rees December 12, 2017 at 11:35 am

    Hello Eric, thanks for the reply, I appreciate your advice. I now know that I have had this condition for 13 years, and had to finish work in 2013 because of poor health. Eric I have a question, because of prelonged suffering with candida could there be a possibility that I am not getting enough vitamins and minerals from my digested food?
    David Rees
    South Wales UK.

  • Reply Candida Crusher December 19, 2017 at 9:56 pm

    Check my range of candida supplements here:

  • Reply Dizzy Dee January 18, 2018 at 7:56 pm

    Hi Eric, are you able to recommend an experienced Naturopath as yourself in the Byron Bay/Gold Coast region of NSW, Australia?

  • Reply Mane Attractions Hair Weaving in Bowie Md February 12, 2018 at 3:59 am

    Is feeling of swelling in jaw and extreme dizziness die off or aggravation

  • Reply pomegranateorange July 27, 2018 at 10:17 am

    I think moat of the so called die off stuff is simply just vitamin and mineral deficiencies

  • Reply Sultana Yasemin October 17, 2018 at 2:24 pm

    You are amazing doc! Your channel is underrated imo

  • Reply Sultana Yasemin October 17, 2018 at 2:25 pm

    Dr please, what do you think of coconut oil and use of other antifungal? Coconut was the only thing that worked for me, but i'm very afraid of my candida coming back (I changed my diet and switched to a healthier one tho)

  • Reply Cristian Perelló November 20, 2018 at 10:44 pm

    That is die off anyway, doc.

  • Reply patricia southan March 23, 2019 at 3:05 pm

    Yes I think I am probably not getting the whlole supplement thing correct
    Perhaps I have taken too many supliments and as I have methane dominant sibo I also tried a product from America for this as I get constipated
    Is a very weak and disoriented feelin after going to the bathroom die off or a bad reaction to something that I took . I feel awful .i was also told I had Hashimotos

  • Reply S G July 9, 2019 at 1:10 am

    If your Candida symptoms that you’ve had get worse, than it’s die off. It’s that simple. If you notice other weird symptoms coming out then it could be more of an aggravation.

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