A diagnosis is not the end of the story - It’s the beginning of an investigation.
- Dustin Strong, CHN

- Dec 1
- 4 min read
Exploring the hidden triggers behind adult-onset conditions — from infections to toxins and everything in between
Most of us grow up believing our health story is predictable. If we’re healthy throughout childhood and adolescence, we assume we’ll simply continue on that path. So when a major condition “suddenly appears” in adulthood — especially one we were told is mostly genetic or lifelong — it can feel confusing, frightening, and often completely random.
But here’s the truth: health does not change without reason.Bodies don’t spontaneously malfunction. And when a condition emerges suddenly in adulthood, we owe it to ourselves — and to our patients — to ask:
What happened?Why now?What changed?
This isn’t about blame.This is about empowerment.
A Case That Sparked a Bigger Conversation
Recently, I was on a call with a doctor I mentor. He presented a case of a patient who developed Type 1 diabetes at the age of 19 — after an entirely healthy childhood and adolescence. No symptoms. No warning signs. No family history. Just a sudden shift into a lifelong autoimmune condition.
The doctor assumed it was “one of those things” — unfortunate, unexplained. But when I asked him a simple question, everything clicked:
“What triggered it at 19?”
There are people who live decades with stable health, and then a switch flips.
The real question is:
“What happened that made the body change direction?”
When I shared the possibility of an environmental, infectious, immunological, or toxic trigger, it completely reframed the case for him. And it should reframe how we look at adult-onset conditions in general.

The Myth of Randomness: Conditions Rarely “Just Happen”
For decades, mainstream health messaging has taught us to accept sudden-onset conditions as “just genetics” or “bad luck.”But sudden changes almost always point to a trigger — something that pushed the body past its threshold.
Possible triggers include:
1. Infections — bacterial, viral, parasitic, fungal
Some pathogens can linger silently for months or years before disrupting the immune system.
Others can trigger autoimmune reactions that surface long after the infection itself has resolved.
Emerging research is exploring links between infections and autoimmune conditions, neurological disorders, and metabolic diseases.
2. Environmental toxins
Heavy metals (mercury, lead, arsenic, cadmium)
Industrial chemicals
Pesticides and herbicides
Mold biotoxins
These exposures can accumulate quietly until the immune system or endocrine system crosses a threshold.
3. Gut disruption and immune dysregulation
Microbiome imbalances
Leaky gut
Chronic inflammation
Food intolerances that develop later in life
The gut is often the earliest warning system for deeper systemic changes.
4. Stress and emotional shock
The nervous system and immune system are deeply intertwined.Severe or prolonged stress can push the body into a different state entirely.
5. Genetic predisposition + an environmental ignition source
Genes load the gun, but environment pulls the trigger.A person may be genetically predisposed, but predisposition isn’t destiny.
6. Combination effects (the most likely scenario)
In reality, it’s rarely one factor.Most sudden-onset conditions are a perfect storm:A lingering infection + toxin exposure + stress + genetic susceptibility = a tipping point.
Adult-Onset Autoimmune Conditions: A Sign to Look Deeper
When a child develops Type 1 diabetes, autoimmune thyroid disease, or rheumatoid arthritis, we often assume genetics. But when the same condition suddenly appears in adulthood — especially after years of excellent health — it raises a different question:
“What changed in the internal or external environment to activate this process?”
The case of adult-onset Type 1 diabetes is a perfect example. Research is increasingly showing:
Some infections correlate with autoimmune activation.
Some environmental toxins disrupt pancreatic cells.
Gut disturbances can precede autoimmune markers by years.
Stress and immune activation often create a cascade of biochemical changes.
The point is not to say “a parasite caused the diabetes” or “a toxin caused the thyroid disease.”The point is:
When a dramatic change occurs, something triggered it — and understanding that trigger can open the door to healing.
Why Investigating Matters — Even If “Reversal” Seems Impossible
People often ask:“If the condition has already developed, what difference does knowing the trigger make?”
A tremendous difference.
1. The trigger may still be present
If an infection, toxin, or immune disruption is ongoing, addressing it can:
Reduce symptoms
Slow progression
Improve quality of life
Prevent additional autoimmune conditions
Restore metabolic balance
The goal is not just reversal — it’s improvement, stability, and prevention of future decline.
2. Removing the trigger helps the body reset
I have witnessed individuals regain function, lower medication needs, or dramatically improve their lab markers after addressing the underlying disturbance.
Is this guaranteed? No.
Is it possible? Absolutely — more often than people realize.
3. Understanding the “why” empowers patients
The difference between “you’re broken” and “your body responded to something” is night and day.
Hope changes biology. Understanding changes behavior. Root-cause exploration restores agency.
Moving Beyond Labels and into Root-Cause Medicine
A diagnosis is not the end of the story.It’s the beginning of an investigation.
Instead of asking:
“What medication do we use?”
We should first ask:
“What changed?”
“What triggered this?”
“What is the body reacting to?”
Because when we find that answer —even if the condition is advanced —we often find pathways to stability, improvement, and sometimes meaningful recovery.
We Must Investigate, Not Dismiss
Sudden changes in adult health are red flags — invitations to deeper investigation.They are not random. They are not meaningless. And they are not hopeless.
Your body is always communicating. Symptoms are not enemies; they are messages.
And when we listen — truly listen — we give ourselves the chance to return to what I believe is our birthright: vibrant, balanced, thriving health.





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