Can a lifestyle change stop the spreading of lupus or is medication required as well?
I'm not a doctor, but unless your lupus is drug-induced I have never heard of a lifestyle change stopping things entirely. BUT I do know that lifestyle changes can do tons of good for your quality of life and maybe help prevent as many lapses by eliminating triggers that you can control.
Again, not a doctor so I would always talk to your provider before deciding to do anything.