Stephanie Larmour Sanders

*Certified Life Coach* *Registered Dietitian and Functional Nutritionist* *Researcher* *Certified Diabetes Educator* *Anti-Inflammation Expert* *Gastric Bypass Specialist and Educator* *Rheumatoid Arthritis Specialist*

Tell me about yourself...

I am vested in helping my patients optimize their physical and mental health. If you or your loved one needs help, send me a message by filling out the contact form below.

Life Coaching Modules

8 modules of life coaching which cover… Perk! FREE intake meeting with me to customize the modules to best meet…

Continue Reading

Customized Meal Plans

Comprehensive weekly meal plans best suited for your condition (Celiac Disease, IBS, Ulcerative Colitis, Pancreatic Disorders, Gall Stones, Diabetes, Kidney…

Continue Reading

Latest from blog

Chronic inflammation can have a profound affect on mind and body. Affirmations are a great way to attain and sustain a positive outlook. Explore my blog for daily affirmations, anti-inflammatory recipes and research- based evidence on inflammation reducing foods.

Is Cheese Inflammatory? Understanding Goat Cheese, Dairy, Cashew Cheese, and Inflammation

For Cheese lovers, eliminating cheese on an anti-inflammatory diet may be a dealbreaker, for some. You may find a cheese less pro-inflammatoory for you.

Stephanie Larmour Sanders MSRDN, CDE, FNLP Anti-inflammatory Dietitian & Nutritionist


Goat Cheese vs Cow Cheese

Goat Cheese

https://images.openai.com/static-rsc-4/9be9Af4heed82woKNMVfY7-OczXPD4O6svkfSkDUzl615zk1xO_d-rMxDdMN2sJnkKL0H1p5SHgk_0PXaxPbg_jVJHXjJ7Q3_vnkyM-jcFaSO13FcBhwx9O3v2d48RdxnVR_BQgKrseV8gN0tguYLGWMUesZSwaSHotCg4W-AXtUNXi_kjhWdHIqfjMeHDvK?purpose=fullsize

Sheep Cheese

Sheep Milk Cheese

https://images.openai.com/static-rsc-4/HC61e2xPAOtQ5AVSPeq-UzuluBqrALRW85E4PmJ4uiRBaWzkBa5BVbrVs0YJDWXdoWBeE95FWSjcvxY8NNL1TLuLWeiBWYGyZyfOSDULinYcfJZjbj9EKA9H6iJCKAcJfEDIJVtfVLPsrmn-qOOKkF9hm-ZBtlSIPgN9pQQFyRZieA3d2lGxiqC1oYyRvBgV?purpose=fullsize
https://images.openai.com/static-rsc-4/NTMpuPiYkGwiOHUvC05ihkGhpRlue9Wm8UsfyaQVkdV3eL_f2ldJIjVupUt3s0TKZ03UZUDA5OeFARDCMnA1HlunWjLZGLMv77petSP8wL3Ambj7m45KoVW968W0UUbZMdFbjnKVsUo7XjCpTxc7GfZ0bPsL53Y_pIkPZ6A52wY7fkfyFY3SEqEkeTuoQBhM?purpose=fullsize

Cashew Cheese and Plant-Based Cheeses

Cashew Cheese

https://images.openai.com/static-rsc-4/9KZ0Bvj-xGBhK_1lzyyIuqg2C2-jFswjEu_Uj9sekKGAxcnyuXNhPpY1C1zdVbAbA9gWIssR4xR5P_MquuzOBbufVZvNvmoiLDt9rsMrx7-pIG12zV75EqUX03j2to7IP9kynfPtne3ygc-SQlluBQaGpkP7UAuyZqldPwsjSNVIhWaolJtsy3bIi7uG8ht9?purpose=fullsize
https://images.openai.com/static-rsc-4/x1ePzCurYq-IBU_P54Q86tGNaq0X-6DbBmemooeitcazCaxAkW-rI7cZtTv3YdtYcpbugX--2nu8Y2wUZ2JvfrG434BzQLpKUlxnF2MeGEpHBYoul2zqebBx5m-OyRXKSc1svsUzrwl366T37qcBpzmVAYjlTuSWB5WcgSGRBeg34ceWIboT1MsJ7LKJV5lL?purpose=fullsize
https://images.openai.com/static-rsc-4/jnafUxykwdfDf2EctU5VQsb-18Lj8Ed1aaqAUwluEaHSP8e0KzRpneUqwM11YM-YGkt3E-p0-ouleGnVo3DYFgzZNqLy6z88wJ9ArLUX1JBhlhZoNVy63Or38WtKIxlX98kAAGCVgRPEDtb0FlvWJcNh1UdGGmsg2FxkcBT-12PlkUjltf_OilmlrAHvsUtA?purpose=fullsize

Cashew-based cheeses may work well for people sensitive to dairy.


What About Other Cheeses?

Potentially Better-Tolerated Choices

Mozzarella, Feta, Ricotta, and Cottage cheese

https://images.openai.com/static-rsc-4/LOwn3oxn-AGO784inKJRvUXwrpsZocgHx-rVb6fq3G6SHNz4FjqmRXYvH1Xhv8upde_B7k-8OxGavq0js65sVWKOTn70whQmjBDmlRiaFoJ3bFCLCBBaZODcwMlc1yI1_ueCw6O8i9q7gqDOhOFz4XCP2BxIOXHQUTHltPM2c79Iu8Qzphf2W8kP8VCOpGSP?purpose=fullsize
https://images.openai.com/static-rsc-4/x3RDKRpKfRokWYDMlVuJSYR0kvbc1emOHajyH89rnZGMx8Awn8cG5OzAfrjeMP5hpu9n656m0k5KMEt_4qAetCTUKGCzLoEMYjJEUG6hGLvpKAx_gPAB9f42ys1KTbWPMej8e5DdWI4OjpYuQskGq3mAAb5nZAgbTKMCEyEZP4p7ZkZdwv6JqGFYPUXpEzDR?purpose=fullsize
https://images.openai.com/static-rsc-4/NcspozV3skUG46lFTSDUSayMPs2tekTA4W2tx8uHOHhnHWJvFarXzZ4gTxZuAlzyx41omz0Ue5WmILr2ICHAyxrVQdDRw59_qEOu_hwSy-NZhOr_t3dccqHFx0kqJqkTx1sELmmA_2-6lqdvzXnDJbavkwr09PpDkO1o0UPpqTulyZbxNv9zQAVFWJbjmZlM?purpose=fullsize

Cheeses That May Trigger Symptoms More Often

Heavily Processed or Aged Cheeses

https://images.openai.com/static-rsc-4/rRmiCxsh9mQBYmoRrTShaNerVZJ2_IbTo-5_mNPqDsg1i-B8HbYcJ43IYi7DOXFcTEdb_lvH_djCZV3G-Rmm7hcshQfutqHg8glFWhsYVCYXAsaRDhDiUNmer1RhCRpFrotZ3Sc-W5NRWO9Rj48xwmEP6Yju8tNQg8wc7idcb4iBZrGlldhOi4eTfnYQoELu?purpose=fullsize
https://images.openai.com/static-rsc-4/WUP_kBn3TdKppsQcsilggZWhaasrOoObsWBCuwdPXZfOZlXSNUITFtejam3HyWCD8JFxR7U8F6nNCqXhss8UtrOm6qHQmMcc9IrqvPNZbrHqE6BV79ZNctoV1cc-IT2DhZDvv3g6I4nEjO9GqmSSq4ifuSkb80WyLFXHjD6n01t7IJIX_2wWlRPQYU1gtxos?purpose=fullsize
https://images.openai.com/static-rsc-4/7LI5Z6GlEWAa9ZvoTd5wkn2HG2S0EfhniKSKvEV3ma4FFOUHYg37c0XgePjYPpSgiDoK4v1h8zOjv03Y7DHnBgBDHna115aqFLA5ZU9It2vWTb2FGzcRNnp_0Z5ZLV7rmPOVYmpFMeaRbwaZLiyoon5zWNaqUu4hNnZzZxd4TlOSe8nvOxW8qOLR0wNqwyc5?purpose=fullsize

These may be more problematic for sensitive individuals:

  • processed cheese products
  • cheese spreads with additives
  • highly processed shredded cheeses
  • ultra-processed cheese snacks
  • heavily aged cheeses if histamine-sensitive

Anti-Inflammatory Cheese Guidelines

A Simple Framework

Choose:

  • minimally processed
  • organic when possible
  • grass-fed sources if available
  • shorter ingredient lists
  • smaller portions
  • paired with fiber-rich foods

Combine cheese with:

  • vegetables
  • olives
  • nuts
  • beans
  • fruit
  • herbs

This may help reduce blood sugar spikes and support satiety.


Practical Takeaway

There is no single “perfect” cheese.

The better question is:
How does your body respond?

A food may be anti-inflammatory for one person and problematic for another depending on:

  • gut health
  • immune activity
  • genetics
  • microbiome
  • total lifestyle load

Your body often gives clues:

  • energy
  • digestion
  • skin
  • congestion
  • pain
  • sleep
  • mood

These patterns matter.

A practical approach is:

  1. reduce ultra-processed cheese products
  2. choose cleaner, minimally processed forms
  3. test tolerance thoughtfully
  4. observe symptoms and patterns
  5. focus on overall inflammatory load, not perfection

This fits closely with your Pro-Inflammatory Reduction Framework™ approach:
reducing cumulative inflammatory burden one realistic step at a time.

Cheese is often confusing for people trying to reduce inflammation.

Some people feel fine eating cheese. Others notice bloating, congestion, fatigue, joint discomfort, headaches, or digestive upset afterward.

So is cheese inflammatory? The answer is not always simple.

Symptoms are not random. They may be signals from the body that something is not being tolerated well.

Different cheeses affect people differently depending on:

  • the type of milk
  • level of processing
  • additives and preservatives
  • gut health
  • immune balance
  • overall inflammatory load

Instead of looking at cheese as simply “good” or “bad,” it may be more helpful to ask:

How does this food affect my body over time?


Why Some Cheeses May Increase Inflammatory Load

Certain cheeses and cheese products may contribute to inflammation in sensitive individuals.

Potential reasons include:

  • reactions to dairy proteins such as casein or whey
  • lactose intolerance
  • artificial ingredients and preservatives
  • excess sodium
  • inflammatory oils and fillers
  • histamine reactions from aged cheeses

Highly processed cheese products may contain:

  • artificial colors
  • stabilizers
  • gums
  • preservatives
  • ultra-processed oils

These factors may increase inflammatory stress in some individuals.This does not mean everyone must avoid cheese completely.it means quality, quantity, and individual tolerance matter.


Goat Cheese and Inflammation

Goat Cheese May Be Easier for Some People

Many individuals report tolerating goat cheese better than traditional cow dairy.

Possible reasons:

  • different protein structure
  • lower lactose content
  • easier digestion for some individuals
  • often less processed

Goat cheese is commonly softer and may contain fewer additives when minimally processed.

Good options may include:

  • plain chèvre
  • organic goat cheese
  • herb goat cheese with simple ingredients

Pairing goat cheese with vegetables, herbs, nuts, or beans may help support blood sugar balance and satiety.

Sheep Cheese

Some people also tolerate sheep milk cheeses better than cow dairy.

Examples include:

  • Manchego
  • Pecorino
  • sheep feta

These cheeses are often rich in flavor, allowing smaller portions to feel satisfying. However, aged cheeses may still trigger symptoms in people sensitive to histamines.


Cashew Cheese and Plant-Based Cheese Alternatives

Cashew cheese has become increasingly popular as a dairy-free alternative.

Potential benefits:

  • dairy-free
  • often rich in healthy fats
  • may reduce exposure to dairy triggers for sensitive individuals

However, not all plant-based cheeses are equally supportive. Some commercial vegan cheeses contain:

  • refined starches
  • seed oils
  • carrageenan
  • gums
  • artificial flavors

Reading labels matters. A simpler ingredient list is often a better choice.

Look for ingredients such as:

  • cashews
  • herbs
  • cultures
  • olive oil
  • nutritional yeast

Homemade versions may provide even cleaner options.


Which Cheeses May Be Better Tolerated?

Some people do better with fresher, minimally processed cheeses such as:

  • feta
  • mozzarella
  • ricotta
  • cottage cheese
  • goat cheese

These may contain fewer additives and may be easier to digest for some individuals. Again, tolerance varies from person to person.


A More Practical Anti-Inflammatory Approach

An anti-inflammatory lifestyle is not about perfection. It is about reducing overall inflammatory load over time. A helpful strategy may include:

  • reducing ultra-processed cheese products
  • choosing minimally processed options
  • watching ingredient lists
  • paying attention to symptoms
  • pairing cheese with fiber-rich whole foods
  • focusing on overall dietary patterns

Your body often gives clues through:

  • digestion
  • skin changes
  • energy levels
  • congestion
  • sleep
  • discomfort
  • mood

These patterns matter.


Final Thoughts

Cheese itself is not automatically inflammatory for everyone.

The better question may be:
What type of cheese, in what amount, and how does my body respond? Small, realistic changes may reduce inflammatory burden over time. Symptoms are signals.

Learning to recognize those signals is often the beginning of change.

If you want to better understand how daily foods and lifestyle factors may contribute to inflammation, I teach this step-by-step in my course:

Detecting and Reducing Pro-Inflammatory Lifestyle Factors in 30 Days

Visit:
StephanieLarmour.com

Pumpkin Spice: More than a flavor

Small daily ingredients that may help reduce inflammatory load

Stephanie Larmour Sanders, MS, RDN, CDE, FNLP
Anti-inflammatory Dietitian and Nutritionist


A simple Way to Reduce Inflammatory Load Naturally

🌱 HOW EACH SPICE MAY SUPPORT INFLAMMATION BALANCE

Cinnamon

  • May support blood sugar regulation
  • Helps reduce spikes that contribute to inflammation
  • Contains antioxidant compounds

Ginger

  • Supports digestion and gut motility
  • May reduce inflammatory signaling in the body
  • Often used for nausea and discomfort

Nutmeg

  • Contains antioxidants that help reduce oxidative stress
  • May support nervous system balance (in small amounts)

Cloves

  • One of the highest antioxidant spices
  • Contains eugenol, which may reduce inflammation
  • Supports oral and gut health

Allspice

  • Contains compounds similar to cloves
  • May support digestion and reduce inflammation
  • Traditionally used for pain support

🌿 WHY THIS MATTERS

Symptoms are signals, not random.

Everyday exposures, including what we eat, contribute to either:

  • Increased inflammatory load
  • Or reduced inflammatory burden

These spices are simple tools that may support:

  • Blood sugar balance
  • Gut health
  • Oxidative stress reduction

🌿 SIMPLE DAILY USE IDEAS

  • Add to oatmeal or yogurt
  • Sprinkle into coffee instead of flavored syrups
  • Use in smoothies
  • Add to roasted vegetables

⚠️ IMPORTANT NOTE

Pumpkin spice is beneficial.
Pumpkin spice products often are not.

Many seasonal foods contain:

  • Added sugars
  • Refined flours
  • Processed oils

These may increase inflammatory load.


🌿 TAKEAWAY

Small, consistent changes may reduce long-term risk.

Learning to identify and reduce pro-inflammatory lifestyle factors is a skill.


📘 WANT TO LEARN MORE?

Detecting and Reducing Pro-Inflammatory Lifestyle Factors in 30 Days

Visit: StephanieLarmour.com
Click “Course” to learn more

Why Prevention Matters: What 40 Years in Health Care Taught Me About Chronic Disease

Over the past 40 years in health care, I cared for some of the sickest patients.

https://images.openai.com/static-rsc-4/LTQYqGwkRyAIp2bjT4dZVT5PfKXXOw4CXof5owEQPunCSRLFo-MaxL5gPqrmU1oNDq-mkYFEL7mfXR50O6_RTVjJfQL9B8VrXn-9oXRJ3vxAzsIyDNifDxGY82fAyCKfJ7tgR_eO2f7GdiMZiY5eg6TLbhe5JdhJt14LGO1i8AJznZBFMp9ixP28AAc54Ash?purpose=fullsize

Many required IV nutrition. Some were living with liver failure, diabetes, kidney and Cardiac disease, or cancer.

This was the work I was trained to do. And it mattered. But over time, I began to ask a different question. Why are we waiting until people are this sick?


When Health Care Becomes Sick Care

Our system is designed to treat illness. In many ways, health care has become sick care. When I was first diagnosed with Cutaneous Lupus, and excess histamine development. I was given a pill so I would not feel nauseated from the medication that I was taking, and then another one, so I would not excessively salivate. At some point I made changes to my care, and a reduction of pro-inflammatory lifestyle factors so I did not need all of the additional pills.

Medical care is necessary. It is often life-saving. But it typically begins after years—sometimes decades—of underlying imbalance. What I saw repeatedly was this:

These conditions did not start overnight.


The Missing Middle: What Happens Before Diagnosis

Before diagnosis, there are often signals:

  • fatigue
  • brain fog
  • digestive changes
  • joint discomfort
  • changes in energy or sleep

These are often dismissed or treated individually. But they may be connected.


Understanding the Inflammation Connection

Think of inflammation like a tree.

  • The roots represent lifestyle factors: nutrition, stress, environmental exposures
  • The trunk represents inflammation
  • The branches represent symptoms

When we only focus on the branches, we may miss what is happening at the root level. Over time, this accumulation can increase inflammatory load.


Why This Matters

Chronic inflammation has been associated with many long-term conditions, including:

  • cardiovascular disease
  • type 2 diabetes
  • certain cancers
  • neurodegenerative conditions

This does not mean every symptom leads to disease.

But it does suggest that earlier awareness may matter.


A Shift Toward Prevention

This is what led me to shift my focus. Not away from care—but earlier in the process.

Helping people:

  • recognize patterns
  • identify possible triggers
  • reduce overall inflammatory load

Because small changes, made earlier, may reduce long-term risk.


Where to Begin

If you have ever wondered whether your symptoms are connected, you are not alone. Learning how to observe patterns and make realistic adjustments can be a meaningful first step.


Learn More

I created a course to guide this process step by step: Detecting and Reducing Pro-Inflammatory Lifestyle Factors in 30 Days

You can find it at:
StephanieLarmour.com → Course

If you would like references, ask in the comments.


Why Your Symptoms May be Connected: Understanding Inflammation and the Bigger Picture


Have you ever experienced symptoms that didn’t seem to make sense together?

Fatigue, digestive discomfort, joint pain, skin changes, or shifts in mood can feel unrelated. Often, these symptoms are addressed one at a time, without a clear explanation of how they might be connected.

But in many cases, there may be a deeper pattern. Understanding inflammation can help begin to connect those dots.


Connecting the Dots Through Education


Inflammation does not always present in one clear way. It can affect multiple systems in the body, including:

✔ the digestive system
✔ the nervous system
✔ the immune system
✔ the skin and joints

Because of this, symptoms are often treated separately. However, when we begin to look at how these systems interact, patterns can start to emerge.

Common Ways Inflammation May Show Up

✔ Digestive discomfort or irregularity
✔ Fatigue or low energy
✔ Brain fog or difficulty concentrating
✔ Joint discomfort or stiffness
✔ Skin changes
✔ Mood shifts or increased stress sensitivity

These symptoms may change over time, which can make them harder to connect.


📍


You’re Not Alone in This Experience


It is not uncommon for people to feel like their symptoms have not been fully explained. Sometimes everything appears “normal,” yet something still doesn’t feel right. This can be frustrating. If you’ve experienced this, you are not alone. There are many individuals trying to understand symptoms that do not fit into a simple explanation.


Looking at the Body as a Whole


Rather than viewing symptoms in isolation, it can be helpful to look at the body as an interconnected system.

Inflammation can be influenced by:

✔ nutrition and food quality
✔ stress and nervous system balance
✔ sleep patterns
✔ environmental exposures
✔ gut health

Over time, these factors can build and contribute to what is often referred to as an increased inflammatory load.


Where to Begin


The goal is not to change everything at once. It is to begin identifying patterns and making small, consistent adjustments over time. This approach supports the body in a more sustainable way.


Next Step


If you would like guidance in understanding your symptoms and identifying potential inflammatory triggers, I have created a course that walks through this step-by-step:

Detecting and Reducing Pro-Inflammatory Lifestyle Factors in 30 Days

👉 StephanieLarmour.com → click “Course”


Closing

Understanding your body takes time, but it often begins with awareness.

When you start to connect the dots, things can begin to make more sense.