Breast Implant Illness

by Valerie Polley | Jan 14, 2021 | 6 comments

When I became a dietitian, I had no idea the profound effect food could have on the body. It wasn’t until I started to get more into the functional/integrative side of nutrition that I realized the powerful impact of the combination of food and supplements. 

I have been focusing on the gut microbiome for over 5 years in my practice, but over 10 years in continuing education. I see clients with a variety of gastrointestinal and autoimmune issues. This summer I received a phone call from a client that was sick from her breast implants. I always thought there was potential since it is a foreign object in someone’s body, but I did not know there was a name for it (breast implant illness-BII). About a month ago I listened to a three-day summit on this subject ranging from medical doctors to chiropractors treating those with BII and some doing research on it. 

The summit was eye opening, extremely informative, a bit stomach churning and honestly scary. I had no idea so many women were sick from their breast implants. I also gathered from this summit that many women do not know that it is their implants making them sick. Why? According to some of the practitioners, for some symptoms can show up within weeks, while others it may be years, so not connecting the dots that the implants may be the cause or contribution to the symptoms. 

I am going to go in some detail about what I learned in this summit and what I can do as a practitioner to help someone out once they have an explant. First, I am going to put a personal story that my client wrote from her experience with her breast implants. 

Here is her personal story:

I had my breast implants for 13 years, since 2007 when I was 39 years old.

In 2008, I started having menopause symptoms and stopped having my period.

In 2010, I started feeling that I had something in my throat. I had an MRI done and an endoscopy and the doctors couldn’t find anything.

In 2012, my doctor gave me YAZ, as a hormone replacement, and I started spitting up blood as I became very sensitive to any sort of medication.

Between 2007 and 2019, I had multiple vertigo crises and extreme lower back pain which caused me to either have prescription-strength medication injected into the pained area in my lower back or take cortisone, a prescription-strength anti-inflammatory. 

In 2015, I started doing hot yoga and this was the trigger that caused my health to roll downhill- and fast. After that, I started having daily dizziness and a drunk-like feeling started.

In October of 2019, my blood pressure and heart beat dropped to extremely low levels. I was taken to the ER and put into the ICU. Doctors performed tests which all came back normal. No one could figure out a reason for my symptoms.  

In November of 2019, a friend of mine told me about Breast Implant Illness (BII), then everything made sense. 

Finally, after all of the suffering I endured for such a long time, I could finally put a name to my illness.

From 2015 to 2019 I saw: 2 family doctors, 4 cardiologists, 4 neurologists, and 3 ENT. Not one person was able to figure out what was causing me all of this suffering and pain. 

I had all kinds of tests and blood work done; everything was normal but I felt like I was dying inside:

Heart palpitation, sensitive to light, low libido, anxiety, memory loss, inflammation, insomnia, sharp pain in my breasts, difficulty swallowing, ringing in ears, irritable bowel, food intolerance, cystic acne, back pain, pressure in my head, dizziness, drunk feeling, white spots (vitiligo), brain fog, sensitivity to medication, visual disturbance, hair loss, weak/broken nails.

I explanted in March of 2020. It took two months post-operation for me to start seeing an improvement to my symptoms. I still have bad detox waves but I’m getting better. Today, from all the symptoms I experienced which are listed above, I just have five. I’m still dealing with dizziness, drunk-like feeling, ringing in my ears, hair loss, and sensitivity to certain foods (sugar, dairy, red meat, and chocolate).

Immediately when an implant is placed, the body forms a defense barrier called a capsule around the implant. This capsule is actually a defense against the intruder, which is the implant itself. This is the very first defense the body puts up to this foreign invader. T-cells are activated when the implants are placed. Mast cells are activated as well and soon after the inflammatory cells are recruited. 

So big deal….right? There are other foreign objects put in our bodies, such as mesh, pacemakers, etc. 

Some women opt for saline over silicone as it is said to be safer, but is it? 

The breast implant themselves are made of silicone and contain heavy metals. The shell (no matter what it contains) degrades over time. These heavy metals can cause immune activation. 

I learned why one choses saline or silicone, but most opt for silicone for the way it looks. Breast implants can rupture or bleed. Silicone can leak into the bloodstream into the lymphatic system (lymph nodes). A small amount of silicone can leak every day. 

How and when do individuals get sick? It can vary. Some can have effects right away and others it can take years. Some of these symptoms may seem subtle, so one doesn’t associate them with the implants. Even something as simple as developing food sensitivities can be from the implants compromising gut health. 

Breast implant illness commonly affects the following systems:

  • Metabolic (fatigue)
  • Neurological (cognitive dysfunction)
  • Endocrine (thyroid, adrenal, sex hormones, antidiuretic hormone)
  • Immune (viral, fungal, bacterial infections)
  • Digestive and Gastrointestinal (dysbiosis, leaky gut, malabsorption, food intolerances)

I knew almost nothing about BII before I met my client. She made me aware of a Facebook group that has over 100,000 women sick from their breast implants. Many of these women recover once they are explanted, but others have lingering symptoms.

What can a dietitian do for a client that has symptoms from their breast implants?

  1. Diet-we focus on a very clean, whole foods diet. This can vary from one individual to another, but our focus is on whole foods (not processed), little to no sugar and majority of the time no gluten. We may also focus on more of a paleo type diet long term or just for a certain amount of time, but this depends on the individual.
  2. Supplements-I will evaluate what one is meeting with their diet and make recommendations from there. I will also recommend supplements that can help with the detox process. 
  3. Detox-detoxing is important on a daily basis. This can be as simple as making sure you have a bowel movement every day to doing something specific. I recommend ways to detox to my clients to help with symptoms that may still linger.
  4. Heavy Metal Testing-this tests hair to see if there are still heavy metals in one’s body from the implants themself. 
  5. Other testing-sometimes we will add in a stool test to see the overall microbiome, such as ratios of good vs bad bacteria.

 Takeaways I got from the summit:

-If you have any autoimmune issues or allergies, it is recommended not to get breast implants.

-Many individuals feel much better once they are explanted. Some need to put in extra work, such as diet, supplements, etc. to help decrease symptoms. 

-Women are not warned about the possible health implications of getting any type of breast implant. When I asked my client what warnings she got, she said none.

The woman that puts the Breast Implant Health Summit together was sick from her implants. She has since been explanted. She went through this experience and has come out on the other end with a goal. She wants to teach others about the possible health implications of having breast implants. She is not doing this in a mean way, but taking research and real-life stories from practitioners all over the world to share their experience. She is also there as a practitioner to help others heal from their implants. 

 I found the summit fascinating and at times it made squeamish. The pictures they posted of explanted implants was very scary. I will never look at a breast implant the same again.

This was information I received from the Breast Implant Health Summit. The information in this blog is from physicians and other healthcare providers presenting at the summit.

Our gut microbiome (the community of trillions of microbes that live in our gut) plays a key role in maintaining metabolic and immune health. Gut dysbiosis occurs when the composition and diversity of our gut microbiome shift. This could include overgrowth of harmful bacteria or a decrease in beneficial bacteria. Gut dysbiosis has been linked to a wide range of negative health outcomes, including increased levels of inflammation and changes in metabolism.

Many people switch to non-nutritive sweeteners like sucralose, aspartame, and stevia for health reasons, and for decades, we've believed that they pass through our bodies without affecting us. But emerging research shows that these compounds interact directly with our gut microbiome and may have potential negative effects on our health. 

This article will review what we currently know about the relationship between non-nutritive sweeteners (including artificial sweeteners and calorie-free natural sweeteners) and the gut microbiome, plus practical advice for navigating sweeteners.

Sucralose

Sucralose (Splenda) is an artificial sweetener commonly used in baked goods, gums, and sugar-free beverages and is approximately 600 times sweeter than sucrose (table sugar). However, recent research has linked it to adverse health effects such as systemic inflammation, metabolic disease, and gut dysbiosis. For example, a 2022 study found that sucralose consumption increased harmful bacteria and reduced beneficial bacteria, which was associated with changes in insulin and glucose levels.

Additionally, a 2025 randomized controlled trial examining the effects of replacing added sugars with sucralose found that people with type 2 diabetes who consumed sucralose experienced reductions in both alpha diversity (the number and types of species present in a single person) and beta diversity (differences in microbial composition between people). Interestingly, the people with overweight and obesity without type 2 diabetes did not experience the same changes.

Overall, animal studies and limited human studies suggest that sucralose may trigger intestinal inflammation, likely through its effects on the gut microbiome. However, since most of the evidence we have comes from test tube or animal studies, these results should be interpreted cautiously.

Aspartame

Aspartame is another commonly used artificial sweetener that is about 200 times as sweet as sucrose. While it does contain some calories, because you don't need much of it to reach the same sweetness levels as sucrose, these calories are negligible.

Like sucralose, most of the research into the gut effects of aspartame has been done in animals. However, we do have some very small human studies. A 2022 randomized controlled trial (RCT) involving 20 healthy adults found that participants taking aspartame showed changes in both probiotic (beneficial) and pathogenic (harmful) bacteria, but the changes were specific to each individual. 

Why the differences? It's likely due to the "responder vs. non-responder" phenomenon. We all have differences in our "baseline" microbiome. While certain bacterial species are common in healthy populations, our microbiome is as unique as a fingerprint. Whether an artificial sweetener has positive or negative effects on our microbiome may depend on which species are already present in our gut, as well as on our habitual diet. This difference in responses makes it very challenging to draw firm conclusions about whether artificial sweeteners are harmful.

Stevia

Many people choose stevia because it's a "natural" zero-calorie sweetener. Studies have shown mixed results regarding the effects of stevia on the gut microbiome. For example, while some in vitro (test tube) and in vivo (animal) studies have reported potentially harmful effects of stevia on the gut microbiome, others have found no impact, and some even reported beneficial effects through inhibition of inflammatory pathways.

Additionally, a 2024 human study found that stevia had no significant effect on the gut microbiome. This highlights the importance of not forming conclusions based solely on test tube and animal studies. Overall, it appears that stevia is a potentially less-harmful alternative to artificial sweeteners like sucralose and aspartame.

Practical Advice for Navigating Sweeteners

Since the research on artificial sweeteners is still evolving, the decision to include or avoid them comes down to personal preference. Here are some tips for including them in your diet in moderation:

  • Try gradually reducing the amount you use: If you typically use two packets of sweetener in your coffee or tea, try gradually reducing to one packet. Our taste buds are highly adaptable, and you may find that one packet is sweet enough once you get used to it.
  • Check your labels: Low- or no-calorie sweeteners (such as sucralose, aspartame, and sugar alcohols like erythritol) are often hidden in low-sugar foods like protein bars, yogurt, and diet sodas. Awareness is the first step to reducing your intake.
  • Rotate your sources: If you do use artificial sweeteners, try switching up the types you use. Since different sweeteners may affect your gut microbiome in different ways, this may reduce the concentrated impact on your gut.
  • Switch to stevia: While animal and test-tube studies show mixed findings, human research indicates that stevia has a limited effect on the gut microbiome, making it a better choice for people seeking to support their gut health.

Another way to support your gut if you regularly use artificial sweeteners is to rebuild gut diversity with fiber and fermented foods, while focusing on whole-food sweeteners.

  • High fiber prebiotic foods (like legumes, whole grains, garlic, onions, asparagus, and under-ripe bananas) act as "fuel" for your healthy gut microbes. Aim to include a variety of these foods in your diet to support the microbes already in your gut.
  • Add fermented foods, like unpasteurized sauerkraut and kimchi, kefir, or kombucha, to your diet. Some fermented foods contain live, beneficial bacterial cultures, while others are rich in "postbiotics" (beneficial compounds like short-chain fatty acids, which are produced when bacteria break down prebiotics).
  • Try using whole-food sweeteners instead of artificial ones. For example, sweeten plain yogurt with vanilla extract and berries or add dates to smoothies or homemade energy bites.

Final Thoughts

Emerging research suggests that certain low- or no-calorie sweeteners, including sucralose and aspartame, may affect the gut microbiome, whereas stevia appears to have a less negative effect. While individual responses can vary with a person's unique baseline microbiome, certain artificial sweeteners may increase inflammation or reduce gut microbiome diversity.

If you need personalized support navigating sweeteners or supporting your gut health, Blue Tree Nutrition can help. Click here to get in touch!

 

 

6 Comments

  1. Chelle Sassatelli

    Thank you for this article. I have had my implants for 25 years (21 yrs old when I received them). At 46, i’ve spent the last 4 years feeling as tho I’m falling apart, but as I have looked back I realize my first symptoms started within 3 years. The recent increase in symptoms: anxiety, depression, thyroid issues, lack of libido, fatigue, weight gain, food intolerances, and severe IBS. It’s just within the past month that all the puzzle pieces fell into place when I learned of BII. The FB group I found are my people….I cried as I read post after post of other women describing ME. I’m 100% convinced that my implants have altered my health over the past 2 1/2 decades. I have a consult on March 11th, and I will be scheduling an explant as quickly as possible. I’m hopeful to see the diminishment of some symptoms and will be working hard to detox as well.

    Reply
    • Valerie Polley

      I am sorry you had to go through all of it. Many are like you where they don’t put the pieces together that it is their breast implants until they are very sick. Explant is the first step in getting better, then you can work on it through diet and detox. I wish there was more warnings for women before they got their implants. I wish you all the best! If you ever have any questions please reach out.

      Reply
  2. Rachel Capstack

    This is so educational. I wish I had known this 3 years ago when I asked my doctor about this decision and she said it would be fine. I was dealing with celiac, hashimotos already. Now I am sensiive to so many things and my day depends on what and when I eat. I have a family and can’t make meals like I have for years. I told my surgeon after year 1 something wasn’t right. He dismissed me. I don’t know how to find a local explant surgeon. In Leawood, KS. I will ask my surgeon and see….. So thankful my education is in wellness genre so I can stay on top of my symptoms. But I am exhausted. Been most of my life unsure why.

    Reply
    • Valerie Polley

      I am glad you found it educational. I have learned a lot and continue to learn, but there is so much we don’t know. It was presented at the BII Summit that if someone already has an autoimmune issue it is not a good idea to get implants. I do wish this had to be discussed. If you need help finding a surgeon let me know. I can get you in touch with someone that is well versed in this as she went through it herself. If you need any help in any other way let me know. There is a BII Facebook page that my clients find very helpful.

      Reply
  3. KC

    Are implants any different today then they were over 10 years ago to get reimplanted if the implants I have now are causing my gi issued

    Reply
    • Valerie Polley

      I listen to the breast implant illness summit and as far as I know the implants aren’t different. Let me know if you have any other questions. There are many FB groups for those that have breast implant illness.

      Reply

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Hello, I am

Valerie

My name is Valerie Polley. I am a Indianapolis-based registered dietitian and owner of Blue Tree Nutrition. I consult with clients both local and far away.
I have a bachelor’s degree in nutrition from Purdue University and I have been practicing for 20 years.
I thoroughly enjoy helping clients through their gut health journey. I see a range of GI issues including, but not limited to celiac disease, IBS and SIBO. I also specialize in the FODMAP elimination diet.