My 3 Day Diet for LDA Therapy

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This year, we’ve started offering an allergy therapy at Acubalance, called Low Dose Allergy (or LDA) therapy, that shows great promise in the treatment of allergies (both food and environmental) and for the management of autoimmune disorders and other inflammatory conditions.

It’s been really exciting to bring LDA to the practice, as it’s one of the only things I have found to truly get to the root cause of allergies and actually re-train the immune system to no longer over-respond to antigens in foods or in the environment. 

This is not a blog post on LDA itself – there is more information about what LDA is, if you’d like to read, on our website here.

This is a blog post on what the heck you can EAT for the 3 critical days surrounding your LDA injections.

If you’re doing LDA with us, you know – the diet surrounding your LDA shot is strict! But fear not, the more times you go through this, the easier it becomes. And hopefully these recipes help make it a little easier!

Very basically – there are three “critical days” surrounding an LDA treatment, during which patients have to be very careful about what they’re eating and being exposed to in their environments as an over-exposure of a particular antigen could interfere with the therapy. The three critical days are the day before, the day of the LDA, and the day after the LDA. So it’s not a particularly long period of time to be on a restricted diet, but the diet is pretty restrictive!

The list of LDA approved foods isn’t long – it includes all types of potatoes, lamb/bison/elk and other unusual meats as long as the patient doesn’t regularly consume them, white fish, rutabaga, tapioca, arrowroot, cooked carrots/celery/cabbage, rhubarb, raw outer leaves of lettuce (but no other greens), plain (non-iodized) salt, and a couple of other things. 

That’s it! No tea or coffee, no grains, no nuts or seeds, no fruits, and very limited veggies.

I did warn you, it’s pretty restrictive.

But I’m also here to tell you that it’s really NOT that bad. This month I had my second LDA treatment, and the second time around this prep diet is a lot easier. I want to share all of the things I have eaten on the 3 critical days this time around, to make things easier for you!

3 Day LDA Diet - Food

This is literally what I ate for 3 days, including recipes.

Prep ahead of time:

1. Mashed potatoes: 

boil Russet potatoes, cubed with skin on, until they’re fork tender – drain but reserve some of the cooking liquid. Mash in a large bowl with salt and some of the boiling water until you get a smooth consistency.

2. Sautéed ground lamb/bison/elk/venison: 

in a dry skillet, sauté ground meat with a little salt until browned. Reserve the fat for a later use (below). 

3. LDA Stromboli

(aka. AIP Stromboli with some modifications): I followed this recipe here for a white sweet potato and tapioca starch Stromboli.

There are a bunch of modifications to the Stromboli recipe though (you can’t eat rosemary or prosciutto on LDA), so here is the actual recipe I ended up using:


a. Cook a white sweet potato by steaming or baking until cooked soft. Let it cool in the fridge before you take the skin off and mash thoroughly (no lumps)

b. Sauté some meat of choice in a dry skillet, reserving the fat for later use

c. Reheat your oven to 375

Combine in a bowl:

-1 cup of mashed and cooled Japanese yam (white sweet potato – ideally the ones with purple skins and white interior, but a regular white sweet potato will also work. The orange sweet potatoes are too sweet and not starchy enough)

-a good pinch of salt

-½ cup of tapioca starch – but add it in ¼ cup additions at a time, while mixing and mashing with your hands, until it forms a dough-like ball (I promise it will, if you give it a minute)

Create the Stromboli:

-On a baking sheet lined with parchment paper, use your hands to press the dough into a rectangular shape, about ¼” thick.

-Spread the sautéed meat on top, with an extra pinch of salt if desired (I did)

-Use the parchment paper to help you roll the Stromboli up from one side, until you have a log shape

-Brush with some of your reserved fat (1/2 tbsp)


-I have cooked the Stromboli straight on the parchment paper – and it totally works – but when I broiled the Stromboli, the parchment burned and set off my fire alarm! I have found that cooking the Stromboli on a Silpat to work much better, but the parchment will work in a pinch, just watch the smoke!

-Bake the Stromboli for 30 minutes until starting to turn golden brown

-Remove from the oven, brush with another ½ tbsp of reserved fat and turn your broiler on high

-Place the sheet pan back in the oven, with the Stromboli about 6” from the broiler, and broil on high for 2-3 mins until you see some brown spots. Remove and serve immediately, or keep it in the fridge for the next couple of days. 

4. Oven-baked, oil free fries: 

I uI used this recipe here.

It definitely requires a Silpat (totally worth the investment if you’re going to do this every 2 months), and the only spice you can use is plain salt, but they turn out crispy and bubbly and are a great snack during the 3 critical days.

5. Shepherd’s pie: 

this is an LDA diet recipe, straight out of the Pink Book. I use my food processor to finely chop carrots, celery and cabbage – and sauté those in a skillet with some salt before dumping them into the bottom of a casserole dish. I also cook up some LDA-approved ground meat, and add that as the next layer. I finished it this time with a mixture of boiled and mashed parsnips and red potatoes. Since everything was already cooked, I put the casserole dish in the fridge, and reheated it in the oven at 375 for 20-30 mins when we were ready to eat.

3 Day LDA Diet - Meal Plan

Day 1: for us, this was Monday of a long weekend

Breakfast: mashed potatoes and sautéed meat of choice

Warm water

Lunch: sautéed carrots, parsnips, small bit of ground bison, and cabbage

Sipped filtered water throughout the day

Snack: LDA Stromboli (above)

Water throughout the day

Dinner: LDA Shepherds’ pie

Sparkling water

Day 2: a work day, the day of the LDA injections

Breakfast: mashed potatoes and sautéed meat of choice

Warm water

Lunch: LDA Shepherds’ pie

Sipped filtered water throughout the day

Snack: oil-free fries

Dinner: sautéed lamb, cabbage, and julienned carrots

Sparkling water

Day 3: also a work day, last day of LDA diet!

Breakfast: mashed potatoes and sautéed meat of choice

Warm water

Lunch: leftover sautéed lamb, cabbage and carrots

Sipped filtered water throughout the day

Snack: LDA Stromboli

Dinner: leftover LDA Shepherds’ pie

Sparkling water

You did it!!

Now go make yourself a delicious smoothie chock full of berries, banana, greens, maybe some coconut milk – all of the delicious fresh things you’re missing in your life!

If you’d like to know more about whether LDA is right for you, feel free to give us a call and we’re happy to assist you with a free 15 minute consult.


Dr Kali MacIsaac HBSc, ND
Naturopathic Doctor

Low Dose Allergy therapy vancouver, LDA therapy vancouver