Dr. Russell Jaffee discusses How to Thrive in the 21st Century with Dr. Ben Weitz.

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Podcast Highlights

1:38   Dr. Jaffe points out in his new book, Thriving in the 21st Century, that our healthcare system places very little focus on prevention other than getting vaccines, a colonoscopy, monitoring your blood pressure and taking a statin.

4:30  Dr. Jaffe said that we could save a million lives a year in three categories, the first of which is diabetes.  If you follow Dr. Jaffe’s recommendations for diet and lifestyle, you will achieve a hemoglobin A1C of 5 or less.  You should also measure levels of glucose, insulin, and fructosamine, as well as hemoglobin A1C.  You should not eat sugar or any sweeteners and you should shop around the perimeter of the market.  There is enough sugar in marinara sauce to qualify as dessert. If it’s a whole food, and it comes from a plant, like a vegetable, eat it.  If it comes from a processing plant even if it looks like or tastes like food, then you should not eat it.

14:12  Dr. Jaffe writes about avoiding anti-nutrients in food, which he uses loosely to describe sodium, fat, sugar, and artificial sweeteners, and at another point he uses it to refer to persistent organic pollutants, solvents, toxic minerals, mold, and radiation.  He also recommends avoiding eating grains but he prefers eating grasses, as well as lots of fruits, vegetables, fungi, sprouts, nuts, and seeds.  No grains, no cow dairy, no meat, no farmed fish.  Grasses include grasses quinoa, halophytes, buckwheat, and millet and they provide anti-toxic fiber that binds toxins that come out of your liver, that need to get bound up and eliminated.

17:32  Dr. Jaffee will not eat farmed fish and he will only eat fish that is line-caught, so it will be fresher and not frozen.

25:05  Dr. Jaffee recommends avoiding eating all oils, including olive oil.  He recommends naked salads without dressing.  Even though some research shows olive oil to be healthy, Dr. Jaffee says that it is almost impossible to get really healthy extra virgin olive oil since what is sold in stores in the US is not quality olive oil and is often already oxidized and rancid and contains other oils mixed in. Dr. Jaffee gets his oil from eating nuts and seeds.

29:47  Eating an alkaline diet is very important to reverse metabolic acidosis.  Metabolic acidosis means too little magnesium inside the cell. It means eating a diet that has too little magnesium and too much calcium, too much sodium and too little potassium.  If you take magnesium supplements with choline citrate, you triple the uptake of the magnesium and you correct the metabolic acidosis.  Correcting metabolic acidosis is a huge opportunity to feel and function better.  If you don’t neutralize those metabolic acids by taking in foods that are alkaline, you’ll end up with metabolic acidosis and all the cardiovascular cancer, autoimmune consequences of metabolic acidosis.  Dr. Jaffe recommends eating foods that make the body more alkaline, the most important of which are green leafy vegetables and certain seeds and nuts.  Acid forming foods are things like sugar, oil, grains, meat, and fish, so these things should either not b e eaten or they should be condiments.  There is a free chart that you can see that lists foods that will make your more alkaline on drrusselljaffe.com.  Dr. Jaffee recommends lots of GGOBE foods: garlic, ginger, onions, brassica sprouts, and eggs.  These foods should be staples in your diet.

 

 



Dr. Russell Jaffee is a MD, PHD, and the author of the new best selling book, Thriving in the 21st Century. Dr. Jaffe has both worked at the National Institute of Health, and he is a Certified Clinical Nutritionist, and he has also studied with a Taoist priest and acupuncturist for 7 years and he has taught acupuncture. He has contributed to the birth of the Functional Medicine movement and he wrote or contributed to over 100 scientific articles and reviews. Dr. Jaffe has developed the first lymphocyte response assay for food sensitivities and he continues to be the lab director of ELISA/ACT Biotechnologies and is the founder and chairman of a nutritional supplement company, Perque.  His web site is drrusselljaffe.com.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also specializing in Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure and also weight loss and also athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. Dr. Weitz is also available for video or phone consultations.

 



 

Podcast Transcript

Dr. Weitz:            Hey, this is Dr. Ben Weitz, host of the Rational Wellness Podcast. I talk to the leading health and nutrition experts and researchers in the field to bring you the latest in cutting-edge health information. Subscribe to the Rational Wellness Podcast for weekly updates, and to learn more check out my website, drweitz.com. Thanks for joining me, and let’s jump into the podcast.

                                Hello, Rational Wellness Podcasters. Our topic for today is how to thrive in the 21st century, with Dr. Russell Jaffe. Dr. Russell Jaffe is an MD/PhD, and he’s worked at the National Institute of Health. He’s also a certified clinical nutritionist. He’s studied with a Taoist priest and acupuncturist, and he’s even taught acupuncture. He’s contributed to the birth of functional medicine. He’s one of the OGs, and he continues to lecture and teach. He wrote or contributed to over 100 scientific articles and reviews. He developed the first lymphocyte response assay for food sensitivities, and he continues to be the lab director for ELISA/ACT Biotechnologies. He’s also the founder and chairman of a nutritional supplement company, PERQUE. Dr. Jaffe has a new book out, Thriving in the 21st Century, your guide to adding years to life and life to years. Welcome, Dr. Jaffe.

Dr. Jaffe:              I’m glad to be here.

Dr. Weitz:            So one of the things you point out in your book, isn’t it a shame that in America our highly-touted healthcare system does not place any focus on prevention, other than getting vaccines and a colonoscopy, and monitoring your blood pressure and taking a statin. How much money we could save with prevention.

Dr. Jaffe:              Well, we could save a million lies a year in three different categories. We could save a trillion dollars a year to fund the transition from our current sick care system. We call it a healthcare system, but it’s not a healthcare system. Tom Harkin used to say, “We have the greatest sick care system in the world. We’re looking for a healthcare system.” Don Berwick, Elliott Fisher, other enlightened, aware, plugged-in people, very much … Don Berwick ran Medicare for President Obama, you know? Folks like that.

Dr. Weitz:            Yeah, Tom Harkin was a prominent senator from Iowa, a big supporter-

Dr. Jaffe:              Tom Harkin wanted to be president. Not only was he a senator and a very nice guy, and beloved by NIH because he got their budget through every year, but importantly he thought that healthcare and defense were the issues of his day. He ran for president on those two issues. He didn’t make it.

Dr. Weitz:            Yeah, but he was one of the big supporters of nutritional supplements and-

Dr. Jaffe:              Oh, Tom Harkin, to his credit … I know this little gem, this little anecdote. He called up the budgetary director of NIH and said, “Either I’m going to write in what now has become the Center for Integrative and Alternative Medicine, but I’m going to write it in to the budget, or you’re going to voluntarily start it.” They did. Anything Tom Harkin wanted, if it was within possible boundaries, they would do it because he got their budget. There were very few senators that NIH listened to. He was one, and he was a nice man. He was a gentleman. He had many of the qualities of a great public servant. I’ll get off the soapbox, but yes, unfortunately we train doctors in sickness care. We have a symptom-reactive system, which is really a sick care system. What we call prevention is prevention light.

Dr. Weitz:            Yeah.

Dr. Jaffe:              Okay, so I indicated that we could save a million lives a year in three categories. The first is diabetes. Diabetes kills half a million Americans a year. Diabetes costs, diabetes kills. Diabetes is a choice, a lifestyle choice.

Dr. Weitz:            You mean, diabetes is not caused by a deficiency in metformin?

Dr. Jaffe:              No. In fact, we have done the most successful outcome study in type 2 diabetes and in type 1 diabetes, starting from best standard of care. According to the American Diabetes Association, starting from best standard of care, we divided groups. One group was the placebo. That is, they followed the advice of the ADA. In the experimental group, we reduced the hemoglobin A1C by a full percent, which added 20 years to the lifespan of the participants, on average. We’ve done other studies in fibromyalgia. We have the most successful-

Dr. Weitz:            How did they lower the hemoglobin A1C?

Dr. Jaffe:              Oh, they followed our advice about what they would eat and drink, what they would think and do.

Dr. Weitz:            Good, and let’s contrast that with a recent study that I’ve got the name of it. I think it’s maybe called the ASSURE trial in which they lowered hemoglobin A1C more aggressively in type 2 diabetics, and they found that they actually had an increase in mortality. The reason why, because they did it with heavier dosages of more drugs, and not with diet and lifestyle.

Dr. Jaffe:              All correct, and according to the Health Studies Collegium, of which I’m a fellow, your best outcome value for hemoglobin A1C is 5%. If you-

Dr. Weitz:            Right, but that’s-

Dr. Jaffe:              Wait, wait, wait. If you follow my lifestyle advice, you like me will achieve a 5% hemoglobin A1C. When you try to do this pharmacologically rather than physiologically, I predict it will fail. So that study was a self-fulfilling prophecy, but it obscures the fact that your hemoglobin A1C shouldn’t be less than seven. It should be less than five. And since I lost weight … About six or seven years ago, I was 60 pounds heavier. I lost the weight, and I’ve lost it enough that I’m not going to find it again. My hemoglobin A1C for the last five years has been 5%. Now, it gets complicated. All of these issues get complicated. Sometimes you want to measure fructosamine rather than hemoglobin A1C. Sometimes you want to measure glucose or insulin along with hemoglobin A1C. But the marker of diabetic risk is hemoglobin A1C, or fructosamine. They’re measuring the same thing.

Dr. Weitz:            Yeah, because they’re both measurements-

Dr. Jaffe:              They’re measuring how much … They’re measuring how much sugar is stuck onto a protein. Dr. Paul Gallop identified this factor in 1967. I knew Paul Gallop. He was a mentor to Carl Franzblau, who was my mentor. So I’ve known about hemoglobin A1C since the 1960s, and it is now an all-cause morbidity/mortality indicator. Not just diabetes, but including diabetes and all the consequences of diabetes, including cardiovascular, et cetera.

Dr. Weitz:            And we ideally shouldn’t have any sugar glomming onto our protein molecules.

Dr. Jaffe:              Well, what I say is you’re sweet enough as you are. You don’t need to add sugar to your diet, and I mean that.

Dr. Weitz:            Right.

Dr. Jaffe:              And I mean that. I’m on the deck right now at my R&D center, in the kitchen, which is 20 feet away. You will not find any sweetener. Yes, we do have a little raw honey because occasionally someone comes by and in their tea, they want some honey. But you do not need to add sugar at all to your diet, which means you stay away from packaged goods. You stay away from boxed produce or items. You shop around the perimeter of the market, which is where the whole foods are. You eat whole foods. I eat quite well. I would say I eat quite well. I’m very happy with the garden that I have, and the Whole Foods Market that’s nearby, and I shop around the edge or the perimeter of the market. I very rarely go down the aisles. I look at the aisles. They’re very pretty, but there is enough sugar in marinara sauce to qualify as dessert. There’s enough sugar in CLIF Bars to qualify as dessert. These are thought of by most people as healthy choices. Well, we make marinara sauce but we make it from tomatoes.

Dr. Weitz:            Well, I bought my marinara sauce at Whole Foods.

Dr. Jaffe:              Well, buying at Whole Foods you still have to be careful.

Dr. Weitz:            I know.

Dr. Jaffe:              You must be an informed consumer, and what I say is the following. If it’s a whole food, and it comes from a plant, like a vegetable, eat it. If it comes from a plant, which means a processing plant that processed something into something that looks like something, that tastes like something, that’s not what I’m talking about. So I’m not a big fan of these meat replacements. In fact, I’m very critical of the fact that the people who are producing plant-based foods are producing it in a commercial production facility. And when you get into the details, you find that in order to do that you have to use a whole bunch of chemicals that are not good for you. But, you have to have shelf life. You have to have other considerations, and so forth and so on.

                                So the bottom line is, we’re on our own. We have to be informed as consumers, then we have to act on what we know. And what I know is that if it’s a whole food, I’ll eat it. I’ll eat a wide variety of foods in a wide variety of ways. But, if it comes from a company that makes it look like food, it looks like food. It fools you. It makes a fool out of you if you think that that is food. That’s not food. I’m going to get off my soapbox, but I’m very sure that if people ate the foods that they could digest, assimilate and eliminate without immune burden, and then they stayed well-hydrated and they moved around a bit, because in order for your fluids to reach the point that they need to get to, you need to move, which means walking so many steps. And something mindful, some relaxation response or meditative technique or mindfulness technique.

                                If you balance out those four, you can live and thrive in the 21st century. 80% of people today are in survival mode. They’re just surviving, getting by one day at a time. They don’t really feel very well. They’re not very nice to the other people around them, and they’re in survival mode. They base their decisions on the 20th or 19th century data. I’m telling you that the 21st century is much more intoxicated, therefore we need much more of the antitoxin nutrients, the vitamins, minerals, cofactors and et cetera. We need much more of that today to deal with the toxic burden.

Dr. Weitz:            Right, because-

Dr. Jaffe:              I think most people know-

Dr. Weitz:            Even eating around the perimeter, eating the whole foods, we also have to be careful that many of those whole fruits and vegetables are sprayed with pesticides and herbicides and other toxins.

Dr. Jaffe:              No, no. No, no. I should have been clearer. When I shop, I buy only the organic or biodynamic. I do not accept commercial celery or tomatoes.

Dr. Weitz:            Right.

Dr. Jaffe:              Because I know that the commercial whole foods are contaminated, and therefore I would have to take more supplements to deal with the toxins that are in the commercial food. So I amend what I said before. You eat organic or biodynamic, or leave it alone.

Dr. Weitz:            So in your book, you talk about anti-nutrients in our food. Interestingly, you use that term to … At one point, you refer to sodium, fat, sugar, biocides, artificial sweeteners you also describe as anti-nutrients, persistent organic pollutants, solvents, toxic minerals, mold, radiation. Now, I’m kind of used to hearing the term anti-nutrients used in the context of the paleo diet or Dr. Gundry, and they’re usually referring to lectins and phytates, which are typically found in grains and beans, and even vegetables with seeds.

Dr. Jaffe:              Well, as we outline and clarify in the book, you eat grasses. You do not eat grains.

Dr. Weitz:            Now, explain-

Dr. Jaffe:              No, no. Let me continue. Let me continue.

Dr. Weitz:            Okay.

Dr. Jaffe:              You eat low on the food chain. You eat lots of fruits, vegetables, fungi, sprouts, nuts, seeds. There’s a wide variety of low on the food chain. This is less expensive, so it helps fight inflation. It’s healthier, because the higher you eat on the food chain, the more you eat fish and meat, or cow dairy products or grains, the more problems you will have. So I solve this problem by saying, no grains, no cow dairy, no meat, no farmed fish. No farmed fish, which means you probably can’t eat in a restaurant because almost all the fish in the restaurant is farmed, for economic reasons, for a variety of reasons.

Dr. Weitz:            No, unfortunately that’s true. In fact, I recently went to a seafood restaurant and they didn’t have a single wild fish except Scottish salmon, which they were saying was wild even though it was grown in pens in the ocean.

Dr. Jaffe:              Right.

Dr. Weitz:            We had a whole debate as to how-

Dr. Jaffe:              No, no. Yes, I mean if you see-

Dr. Weitz:            It could be both farmed and wild at the same time.

Dr. Jaffe:              No, no. That’s a perfect example. You go to a fine restaurant. You want to eat well, but they’re telling you that the salmon is wild because it was in the ocean. Well, farmed fish are always farmed in the ocean. You don’t farm fish on land. You always farm the fish in pens. But worse, worse, fish will eat anything. So what they throw in is the spent waste, the nitrogenous … So it’s nitrogen-rich waste from the water treatment plants. So not only do you get the toxic metals, you get aluminum. Not only do you get that, you get fluoride, and so forth and so on, and it goes on and on and on.

Dr. Weitz:            Right.

Dr. Jaffe:             So the answer is-

Dr. Weitz:            Now, do they-

Dr. Jaffe:             That I eat well. I eat well, but I eat from my garden. I eat low on the food chain, and I eat a wide variety of foods in a wide variety of ways.

Dr. Weitz:            Right, so you have wild fish but not farmed fish, and-

Dr. Jaffe:             No, no. Here’s what I do. This is really what I do. I go to the store, usually the Whole Foods Market where they have on ice a whole bunch of fish. But the eyes of the fish are cloudy, which means they’ve been frozen and thawed. I say to the young person standing behind the counter, “Which is the line-caught fish?” Generally they don’t know, but they can go in the back and talk to the senior person who does know. Maybe one, out of all the beautiful fish, maybe one is actually line-caught. I want them to know that some consumers want line-caught fish, and are going to ask for it, so they should have two.

Dr. Weitz:            So what is-

Dr. Jaffe:              If the consumers ask for it, the business will follow. The consumers are the leaders. They think that they are reacting to the marketing pushes. That’s an issue. But the consumer really leads, and what the consumer seeks, like more fruits and vegetables, more seaweed, and nuts and seeds and so forth and so on, there will be more of that.

Dr. Weitz:            So tell our listeners what the significance of line-caught fish means.

Dr. Jaffe:              Oh. Oh yes, very important. In the Chesapeake Bay, which is near where I live, for the first time in history, they’re finding fish with cancer. Fish don’t get cancer. You may not know this, but fish do not get cancer. But there are so many biocides, there are so many hormone disruptors, there are so many solvent residues, there is so much toxic metal, et cetera, that fish like rockfish have … About one-third have a growth, a cancer. That’s very ominous. We should eat line-caught fish, never frozen, or leave it alone. You can eat something else.

Dr. Weitz:            So-

Dr. Jaffe:              If you try grasses … If you try grasses like quinoa, or halophytes, or buckwheat, or millet, you’ll find that they are delicious and they mix with almost anything. So no grains, lots of grasses. Grasses provide fiber. Grasses provide the anti-toxic fiber that binds toxins that come out of your liver, that need to get bound up and eliminated.

Dr. Weitz:            But don’t whole grains-

Dr. Jaffe:              Most people don’t eat-

Dr. Weitz:            Don’t whole grains have fiber as well?

Dr. Jaffe:              Oh, yes. Whole grains have fiber. They also have glyphosate, which is bad for you. They also have hormone disruptors. They have solvent residues; surprising, but they do, and toxic metals. And on top of that, other-

Dr. Weitz:            Well, wait a minute. Wait a minute.

Dr. Jaffe:             Other-

Dr. Weitz:            Let’s just play devil’s advocate here. How do they have toxic metals?

Dr. Jaffe:             It turns out the fertilizers that are used are measured for N, nitrogen, K, potassium, and P, phosphorus. But a farmer will spread the cheapest fertilizer that they can get away with. Even the organic fertilizer contains lead, mercury, arsenic, nickel and cadmium.

Dr. Weitz:            And some of those metals like … They’re in some of the soil, anyway.

Dr. Jaffe:             Also true, and in the air.

Dr. Weitz:            And they’re also in the water.

Dr. Jaffe:             In the air, in the air. Well, yes-

Dr. Weitz:            But isn’t quinoa grown with the same fertilizers and the same water and the same soil?

Dr. Jaffe:             No, it turns out that grains … All of the grains have been genetically manipulated. None of the grasses have been genetically manipulated. There is commercial reason why grains have been manipulated. There is commercial reasons why grasses have not. Grasses don’t sell as much as grains. But in my house, there are no grains because the grains are too contaminated, and I would have to take even more supplements than I now do.

 



Dr. Weitz:            I’ve really been enjoying this discussion, but I’d like to take a minute to tell you about a new product that I’m very excited about. I’d like to tell you about a new wearable called the Apollo. This is a device that can be worn on the wrist or the ankle, and it uses vibrations to stimulate your parasympathetic nervous system. This device has amazing benefits in terms of getting you out of that stressed out sympathetic nervous system and stimulating the parasympathetic nervous system. It has a number of different functions, especially helping you to relax, to focus, to concentrate, get into a deeper meditative state, even to help you sleep, and there’s even a mode to help you wake up. This all occurs through the scientific use of subtle vibrations.

                                For those of you who might be interested in getting the Apollo for yourself to help you reset your nervous system, go to apolloneuro.com and use the affiliate code, Weitz10. That’s my last name, WEITZ10. Now, back to the discussion.

 



 

Dr. Weitz:             So in the book, you mention that in recent years, decades I guess, our heart health has improved. However, cancer has increased and this is particularly in the U.S. Why is this?

Dr. Jaffe:              Well, the main reason why heart disease decreased was fewer people smoke cigarettes. It turns out that that has leveled off, so we now have the second greatest killer is heart disease. The first greatest killer today is cancer. Do you know that everyone makes cancer cells every day, and should identify those cancer cells during restorative sleep? During sleep time, there are a few five-minute time windows when the pineal tells the pituitary to tell the glands and organs of the body what to do, including identifying through natural killer cells and cytotoxic T-cells any abnormal cells that have formed that day, and eliminate them by a process called apoptosis. It’s Greek, but it’s apoptosis. It means programmed cell death. A cell comes by and marks the cell as abnormal. Another cell comes by and injects into it something that kills it and prevents cancer. So, I get restorative sleep and I want my natural anti-cancer mechanism to protect me. I don’t need more than nature and nurture to protect me.

Dr. Weitz:            Right. So you recommend avoiding all oils, including olive oil.

Dr. Jaffe:              Yes. I know I … The sugar, I think we can agree.

Dr. Weitz:            You mean, I can’t use olive oil in my salad?

Dr. Jaffe:              No. No, naked salads. Naked salads, but in the salad, put in edible flowers. Put in some fruits.

Dr. Weitz:            I can’t eat the salad in my underwear? I have to be naked.

Dr. Jaffe:              No, you don’t have to be naked. You can try being naked. No, naked salads. We’ll get into the … It turns out-

Dr. Weitz:            The naked salad restaurant.

Dr. Jaffe:              No, it turns out-

Dr. Weitz:            That could be a new franchise.

Dr. Jaffe:              That could. It turns out that walking barefoot stretches out the very sensitive cells on the bottom of your feet. It turns out there are lots of nerves on the bottom of your feet. There are lots of nerves in your hands, and it makes healthy sense to walk barefoot.

Dr. Weitz:            Grounding.

Dr. Jaffe:              I live out in the woods. I don’t have to worry about other people. You have to decide how much clothes you wear, but have naked salads that are interesting, that have seeds and nuts and edible flowers, and maybe some seaweed and some this and that. So make salad the main part of your meal.

Dr. Weitz:            But isn’t olive oil really good? I’ve seen all kinds of studies on the benefits of olive oil in reducing cardiovascular disease and even cancer.

Dr. Jaffe:              Let me tell you the truth, and I’m going to tell you a story, but it’s a true story. One year at olive harvest time, we were in Tuscany. We helped shake the trees and knock the olives off, and then take these nets and schlep the olives to the oleandro. This is the place that makes extra virgin olive oil. It is viscous. It is green. It is aromatic. It is not, not what you buy in the store as EVO or EVOO. It turns out, I said to the man in charge of this oil processing plant, “How much? I want to buy some.” He laughs. He says, “We eat this. We don’t make enough of this to sell.” And to illustrate the point … There is a point to the story. In the morning, there was a mountain of spent olive mash outside the oleandro.

                                This big truck called Bertolli came by and picked up the olive mash, the spent olive mash. The first time they processed that, they were going to call it extra virgin olive oil. It turns out if you get deeply into the oil industry, you find out there’s a lot of malfeasance. There’s a lot of chicanery. There’s a lot of, it’s olive oil, but it’s olive oil with a whole bunch of other oils. Or, it’s olive oil that has been rejected by the true Italians, Greeks, Spaniards who know extra virgin olive oil. They know this. But I have tried diligently to find any place that sells actual extra virgin olive oil. I can’t. So, I’m afraid that there is a good reason … And this is now the scientific reason. When you separate an oil from a seed or a nut, immediately on exposure to air, the oxygen in the air goes after the delicate, unsaturated, beneficial oils.   So you have oxidation, which is called rancidity. Then they add chemicals to mask the rancidity. The rancidity doesn’t go away, but they add chemicals that make it seem to go away, and on and on and on. I have reached the point where I eat whole foods. I get my oil from seeds and nuts. I don’t use edible oils at all, because the more I learn about them the more contaminated and problematic they become.

Dr. Weitz:            Okay, so why is eating an alkaline diet so important, and what does this consist of?

Dr. Jaffe:              Yes, it’s essential to eat alkaline, which means that the acids of metabolism do not build up in your cells. We have an epidemic today of metabolic acidosis. Metabolic acidosis means too little magnesium inside the cell. It means eating a diet that has too little magnesium in it, probably too much calcium, maybe too much sodium and too little potassium, but I’m going to focus on magnesium. If you take magnesium supplements with choline citrate, you triple the uptake of the magnesium and you correct the metabolic acidosis. That’s a big deal. Correcting metabolic acidosis is a huge opportunity to feel and function better.

Dr. Weitz:            Okay, but isn’t acid really important? We need hydrochloric acid to bring down-

Dr. Jaffe:              Oh, no, no. Oh, no, no. Now, now let’s not … Let’s not get lost in the weeds. Yes, your stomach should have a pH of one. It turns out that people with ulcers lack stomach acid, and people with plenty of stomach acid do not have ulcers. So giving proton pump inhibitors is out of date, passe, should not-

Dr. Weitz:            Yet, one of the most commonly-prescribed classifications of drugs for almost any gastrointestinal problem.

Dr. Jaffe:              One of the most common, and I’m saying that it creates more problems. It shifts the problems. It doesn’t solve anything, and if you follow my alkaline way advice, your stomach will be acidic. Your intestines will be alkaline. Your microbiomes, of which you have hundreds … We talk about the microbiome of the gut, but there are hundreds of different microbiomes all over your body.

Dr. Weitz:            Yes, for sure.

Dr. Jaffe:              They are all optimized by an alkaline diet that neutralizes the metabolic acids. If you don’t neutralize those metabolic acids by taking in foods that are alkaline, you’ll end up with metabolic acidosis and all the cardiovascular cancer, autoimmune consequences of metabolic acidosis.

Dr. Weitz:            So, what are the most alkaline foods, and should I drink alkaline water?

Dr. Jaffe:              Well, with regard to the foods, we have produced a free chart that’s available through drrusselljaffe.com and other websites that we support. A chart of the food effects on body chemistry, not acid-ash residue, which is usually what is reported, which was fine in the 19th and 20th century. In the 21st century, you need to know the food effects on body chemistry. The most alkaline foods tend to be the green leafy vegetables, certain seeds and nuts. But go to the website drrusselljaffe.com, download for free the chart, which will tell you about the foods. Now, what about-

Dr. Weitz:            When you talk about … Hang on one second. When you talk about the acid alkaline residue, essentially what you’re saying is, is it’s not whether or not that food itself is actually acidic or alkaline. It’s whether or not it produces an alkaline effect in the body.

Dr. Jaffe:              Yeah, yes. Citrus fruits … Citrus is acid in the glass and alkaline in the body. So yes, it’s the effect on the body, not what the pH is in the glass.

Dr. Weitz:            Right. And then the most acidic foods are which?

Dr. Jaffe:              What I’m saying is that you want to eat alkaline. The acid-forming foods are things like sugar and oil and grains and meat and fish, so they should be condiments in your diet. Thomas Jefferson said, “Let staples become condiments, and let condiments become staples.” Now, what does that mean? That means you should have lots of GGOBE; lots of garlic, ginger, onions, brassica sprouts sprouts and eggs. They should be staples in your diet. If you have something high on the food chain, you should have a little bit. The amount that fits in the palm of your hand turns out to be enough.

Dr. Weitz:            Okay.

Dr. Jaffe:              So now very important, the question of water. Mineral waters are all alkaline, and they benefit because of the mineral content. You need to know the dissolved solids. You need to know the mineral content of the water. If the water was made alkaline by adding bicarbonate, that will impair your digestion. That will fool your body, and make a fool out of you.

Dr. Weitz:            Is that how most water is made alkaline?

Dr. Jaffe:              Well, first of all most bottled water comes in plastic. You should only get water in glass. If you get water in glass, the better waters … Pellegrino, Apollinaris, Mountain Valley, Gerolsteiner … They’ll be displayed. They’ll be present, and they’ll give you a choice of plastic or glass. You always choose glass, because plasticizer leaches out of the plastic into the water and harms you, so you don’t do that. In order to be in thrival mode, in feeling-good mode, you need to get hard, mineral-rich water in glass, or well water that is mineral-rich. Most tap water is greywater. Most tap water has too many chemicals and too little beneficial mineral.

Dr. Weitz:            What about purified water rather than well water?

Dr. Jaffe:              Well, I fortunately have a deep well in both of my homes, so that’s where we get our water is from the tap, but it’s well water.

Dr. Weitz:            But isn’t some well water high in arsenic or lead or other toxins?

Dr. Jaffe:              Well no, that’s a very good point. Even though we live out here in the woods, and are protected and so forth and so on, every six months I have analysis done. Thus far, it has come back that my water is so pure that I could sell it. [inaudible 00:36:47]

Dr. Weitz:            You live out in the woods, Doc? Where do you live?

Dr. Jaffe:              Oh, Vienna, Virginia.

Dr. Weitz:            Oh, okay.

Dr. Jaffe:              I’m 15 minutes from Dulles Airport, half an hour from the Capitol, but lost in the woods.

Dr. Weitz:            Okay.

Dr. Jaffe:              And we have a permaculture biodynamic food forest in our front yard. We have seven mushroom guilds in our back yard. We eat as much as we can from the garden.

Dr. Weitz:            That’s great.

 



Dr. Weitz:                            I’d like to interrupt this fascinating discussion we’re having for another few minutes to tell you about another really exciting product that has changed my life and the life of my family, especially as it pertains to getting good quality sleep. It’s something called the chiliPAD, C-H-I-L-I-P-A-D. It can be found at the website chilisleep.com, which is C-H-I-L-I-S-L-E-E-P dot com.

So, this product involves a water-cooled mattress pad that goes underneath your sheets and helps you maintain a constant temperature at night. If you’ve ever gotten woken up because temperature has changed, typically gets warmer, this product will maintain your body at a very even temperature, and it tends to promote uninterrupted quality deep and REM sleep, which is super important for healing and for overall health.

If you go to chilisleep.com and you use the affiliate code, Weitz20, that’s my last name, W-E-I-T-Z, 20. You’ll get 20% off a chiliPAD. So, check it out and let’s get back to this discussion.



 

Dr. Weitz:            So let’s go into nutritional supplements. I think one of the more controversial things you mentioned are certain nutritional supplements that you do not recommend, and-

Dr. Jaffe:              Well, I do not recommend foolish or silly things. Unfortunately, there’s a lot of foolishness in very profound, important ways. For example, a vitamin you need a little of to activate enzyme catalysts in the body, but substrates … Substrates like NAD, like ALA, like taurine, substrates, you would need 10 grams or more a day to move the needle in regard to a substrate. There’s a lot of misinformation that abounds, including in professionals who don’t-

Dr. Weitz:            So you mentioned-

Dr. Jaffe:              Wait, wait.

Dr. Weitz:            Yeah?

Dr. Jaffe:              Professionals who know. They know what they are told. They know what they are told. Now, what they are told is wrong. As a biochemist, as a physiologist, I can tell you that what they say is wrong, and I’ll tell you specifically what I mean by that. But, supplements are essential in the 21st century. I take a dozen supplements a day, sometimes twice in a day, because I feel better and I function better.

Dr. Weitz:            Right.

Dr. Jaffe:              And I get exposed to much less toxic matter, but I’m exposed to some.

Dr. Weitz:            Sure.

Dr. Jaffe:              I take the supplements that help me thrive in the 21st century.

Dr. Weitz:            Yeah, I take about 30 twice a day.

Dr. Jaffe:              Okay.

Dr. Weitz:            So-

Dr. Jaffe:              So today, the 21st century is just very different than the 20th or 19th century. We can’t look back at the studies then and apply them today without understanding how limited is their applicability. You have too much bad and too little good in the diet. People tend to be dehydrated. Even one or two or 3% dehydrated is a terrible stress on your heart and kidneys. They don’t think properly, and they don’t act, move properly. You need to balance it all out. You can’t take two B6 to equal a B12. You can’t just think about exercising, and not move around and walk or exercise.

Dr. Weitz:            You can’t take two B6s to equal a B12.

Dr. Jaffe:              You can’t, but people try and do that.

Dr. Weitz:            So some of the supplements … I want to go into a few of the supplements that you don’t recommend. I also want … You mention NAD, so I want to hit that one, too. But in your book, you recommend or you explain that you don’t recommend silver, and some people use silver as an antimicrobial.

Dr. Jaffe:              Silver is an antimicrobial if you use it in your commode or sink.

Dr. Weitz:            What about-

Dr. Jaffe:              This is true. The silver that is sold as a supplement today was originally used by plumbers to prevent the water from being too contaminated. So silver is antimicrobial, but when you take oral silver, the silver is associated with other silver. Silver likes to aggregate with other silver. That means the size of the particles at the time you take them is too high to be absorbed.

Dr. Weitz:            Okay.

Dr. Jaffe:              You get what I’m saying? At the time you take the silver, it’s a placebo. At the time you take the silver, it has grown to a size that is no longer bioavailable. But the people who-

Dr. Weitz:            Doesn’t it depend upon the product you’re taking?

Dr. Jaffe:              Well, everyone says that their product is better and that the other products are verstunken. Everyone says that.

Dr. Weitz:            Oh, that’s shocking.

Dr. Jaffe:              Of course. But where is the evidence? Particle size is a known analytic tool. Eurofins can measure it. I actually do third-party post-production testing on every supplement we produce, because in addition to using the best vendors, in addition to using the best protocols, the least-contaminated protocols, all active ingredients … That’s different than most companies. We don’t have any binders, fillers, excipients, flowing agents. We have twice as much space to put active ingredients into the product.

                                So there’s a lot to be said about silver as an example of a placebo. I have looked at all of the literature that I can on silver, and what I find is that one-third of people benefit and that is exactly what you would predict for the placebo effect. It typically is 32 to 35% placebo, and hopefully the pharmaceutical or the thing you’re testing it against will be more than that. But it would be very easy to take 20 or 30 people and give them the silver, measure the particle size of the silver at the time they take it, measure the silver in the urine and stool. Measuring silver in the blood, very complicated, probably not routine. But in the urine, in the poop, yes. And what we have found … I will just mention this … Is that all the silver is in the poop. None of the silver is in the urine, because the silver didn’t get in the person.

Dr. Weitz:            Because it’s all too large molecular weight silver.

Dr. Jaffe:              It’s all too large, and the counterions that they use to keep the silver in suspension favor aggregation. They favor coming together. Really, yes they do. So if you use a smarter counterion, you would have less aggregation but you would still have the problem.

Dr. Weitz:            Okay, so another supplement you don’t recommend is zeolite, and that’s often in some of the binders we use to help eliminate heavy metals and mycotoxins and other types of toxins in the body.

Dr. Jaffe:              Well, let me jump to the conclusion. The best way to get rid of those bad things is to have enough ascorbate, enough garlic, ginger, onions, brassica sprouts and eggs, enough magnesium and choline citrate, enough omega-3 fatty acids, and enough zinc. Zeolite is another example of something that comes out of industry. The people that advocate zeolite, and I know them personally, do not want to tell you the truth because they want to sell you the product. The truth is, zeolites contain toxic minerals. So when you give a zeolite and then you measure in the urine toxic metals, and you find toxic metals coming out, it’s not because the zeolite bound them and eliminated them. It’s because the zeolite is contaminated with toxic metals. By definition a zeolite contains multiple minerals, especially large, heavy toxic minerals. I have not recommended zeolites. I have not recommended silver, because I know the biochemistry and physiology.

Dr. Weitz:            Okay. The next one on the list is curcumin, which is many of our favorite nutritional supplements for inflammation, for gut healing. There’s many, many curcumin products on the market, and everybody’s developing a particular formulation that’s better absorbed, better utilized. There’s water-soluble forms, there’s fat-soluble forms, there’s …

Dr. Jaffe:              Let me clarify the turmeric/curcumin issue. No. The reason I say it so simply and clearly is if you make a curry, the heat and the turmeric with the other components of the curry, including piperine from black pepper, make the curcumin bioavailable. If you take a curcumin supplement, you’re taking a placebo. If you take a curcumin or turmeric supplement, you are taking something that will not be absorbed, that will change the microbial ecology of your gut, and you’re doing an experiment that I wouldn’t do.

Dr. Weitz:            Okay. I mean, I’ve seen tons of studies showing the benefits of curcumin, even anti-cancer properties, modulate so many inflammatory factors in the body.

Dr. Jaffe:              Let me clarify for you, because I read that literature but I read it as a biochemist and a physician and physiologist and so on. What they present is the positive results of mostly in vitro, which means in the test tube, experiments. With regard to the human trials, almost all have failed. They don’t get published, but most of the curcumin, curcumin plus piperine, turmeric/curcumin/piperine bioavailable form … You can spin people around because-

Dr. Weitz:            Because you’ve got great … Let’s be honest.

Dr. Jaffe:              Wait, wait. No, many people [inaudible 00:49:13]-

Dr. Weitz:            None of the negatives-

Dr. Jaffe:              No, no, let me finish.

Dr. Weitz:            Okay.

Dr. Jaffe:              Let me, please. You can spin people around but turmeric, which contains curcumin, does not release the curcumin until it is heated in the presence of other things. So I advocate having a curry once a week as a healthy, anti-cancer food. I do not recommend taking turmeric or curcumin in any form, because the more they manipulate it the more contaminated it becomes.

Dr. Weitz:            And you also don’t recommend collagen, which is a very popular supplement these days.

Dr. Jaffe:              Collagen happens to be near and dear to me, because I did my PhD on collagen. The way you build collagen is from within. You have 50 billion dendritic cells. You have 50 billion cells that build collagen throughout the body where it’s needed, exactly as it’s needed. There are many different kinds of collagen. When you take a collagen supplement, it is probably type 1, or type 1 and type 3, and it’s a placebo. Collagen does not build … Taking a collagen supplement does not build collagen in the body. I know this for a fact. I have known this for a fact for 50 years. Right now, right now, collagen is in vogue. It’s very cheap to make, but it has too much glutamate. That means it’s called collagen, but it’s the skin and the bones and whatever is left after they render everything from the animal.

                                Which means, too much glutamate, too much proline, too much glycine, not complete protein. Collagen is not a complete protein. It’s a very poor protein compared to, say, egg protein or any other complete protein, like beans and rice make a complete protein. So collagen is near and dear to my heart. I know a lot about the synthesis and function of collagen, and I know that swallowing collagen is a placebo.

Dr. Weitz:            Well, for those who are still listening to this podcast who haven’t turned it off, another sacred cow-

Dr. Jaffe:              I want to [inaudible 00:51:43].

Dr. Weitz:            Another sacred cow that you’re about to kill-

Dr. Jaffe:              But I want to get to what I do. I want to get to what I do recommend, not be hypercritical. But unfortunately-

Dr. Weitz:            I’m sorry, I just-

Dr. Jaffe:              Unfortunately-

Dr. Weitz:            These are controversial views, and I thought that people should hear some of them.

Dr. Jaffe:              Well, they’re controversial if you don’t know the facts. What I’m saying is absolutely factual based on the evidence in the peer-reviewed literature. Nothing that I have said about other supplements … Nothing that I have said about other supplements is other than evidence-based. I know that this is correct. I know that this is controversial. I know that most people won’t like what I’m saying, but I’d really like to get on to what I do recommend, but we can talk about helping people avoid placebos.

Dr. Weitz:            Okay, let’s get on with some of your favorite nutritional supplements that you think can help us thrive in the 21st century.

Dr. Jaffe:              Well, the first is ascorbate. It’s not a vitamin. It’s called vitamin C, but it’s a substrate. You need a lot of it. The amount you need is based on the C cleanse. You need to do a C cleanse once a week. Just follow the directions. They’re available online. We’ll walk you through it. But you do a C cleanse once a week, and you adjust your daily intake of ascorbate to be three-quarters of the amount that causes the cleanse. You’d be surprised today how much ascorbate it takes to cleanse. It might be 10 grams. It might be 30 grams. It might be 50 grams. But we will explain to you how to do a C cleanse in a couple of hours, and then adjust your vitamin C dose on a daily basis to about three-quarters spread through the day. So you might, if you take a lot of vitamin C, you might get up in the morning, take a jogger’s bottle, take a quart of liquid, put the vitamin C in it, cap it, and sip on it throughout the day.

Dr. Weitz:            And you recommend ascorbate rather than ascorbic acid.

Dr. Jaffe:              Oh, oh, oh. Ascorbic acid is almost always synthetic. Ascorbic acid should never be consumed as a supplement. Yes, it should always be fully buffered, fully reduced, L-ascorbate.

Dr. Weitz:            Okay.

Dr. Jaffe:              Then, then we get to the next category which is polyphenolics, which goes along with the ascorbate, specifically quercitin dihydrate and soluble OPC. You take that as a supplement, then you move on to magnesium with choline citrate. This triples the uptake of the magnesium. It corrects the choline deficiency that most people have, and the citrate is alkalinizing and works to resolve metabolic acidosis, not cause it. So when you see supplements, and the supplement has a chloride or a sulfate or a carbonate or something like that, which is very common, or an oxide, that’s very common and very profitable, and near two, three, 4% bioavailable. The maximum bioavailability uptake of magnesium or calcium, but we’ll focus on magnesium, is one-third through the ion channel. That’s a fact.

                                We have discovered how to get magnesium in through neutral pores by making nanodroplets, and we do. That’s why we give choline citrate every time we take magnesium. Then, almost all of us take in too much omega-6 fatty acid and too little omega-3. So I recommend an omega-3 index to find out how much omega-3 you have. But aside from the test, you should supplement with three to six grams a day … I actually take nine grams a day, of EPA and DHA.

Dr. Weitz:            Right.

Dr. Jaffe:              There are some people who say, “You only need EPA.” Other people say, “You only need DHA.” They work for the companies that sell an algae product that’s just DHA, or an EPA derivative. You need both. You need EPA for body and brain. You need DHA for brain and body. You should take a supplement that is micellized in a soft gel, that is high quality. That means distilled under nitrogen to avoid interoxidation and to get rid of the toxic metals that were in the fish oil, because the fish was swimming in the ocean. So, distilled under nitrogen, omega-3 fatty acids as EPA/DHA, three to six grams a day, maybe a little more.

                                Then zinc; men need zinc, women need zinc today either as a lozenge or as a capsule. We have devised novel delivery systems. They’re called tabsules; everything you like about tablets and capsules, nothing that you dislike about tablets and capsules. A unique delivery system called the tabsule, which includes all active ingredients. We have 40 active ingredients in our multivitamin. We have a triple detoxifier. There’s phase one, phase two and phase three. You want to have all three detoxifying working for you. I recommend a diet that has plenty of fiber, but you might take some additional fiber which should be unprocessed. Denis Burkit taught us that you need 40 to 100 grams of unprocessed fiber a day. You need 40 to 100 billion probiotic organisms a day, and I would add to that the symbiotic of recycled glutamine. Glutamine with PAK recycles 10 times, so you take much less and you never build up glutamate but you get the benefit of glutamine as an energy source to repair your gut.

Dr. Weitz:            What was that, recycled glutamine?

Dr. Jaffe:              Recycled glutamine. This is glutamine which contains pyridoxal alpha-ketoglutarate, PAK. The PAK recycles the amine that comes off the glutamine, and puts it onto another glutamate from which you can extract energy 10 times.

Dr. Weitz:            Interesting.

Dr. Jaffe:              So we recommend a gram and a half of glutamine with PAK, not 15 grams as Judy Shabert or Doug Wilmot recommend. Because if you take 1=50 milligrams you do get an effect, but you imbalance the arginine/glutamine ratio, and other things become pharmacologic not physiologic. We favor physiology and are rewarded for that, so we use recycled glutamine.

Dr. Weitz:            Just one more thing I’d like to hit on really quick is, you mentioned NAD precursors. I think you just mentioned that the amounts that people take are not really going to be effective.

Dr. Jaffe:              Well in the body, in the cells, there are buckets. There are gallons. There’s a lot of NAD. If you take a supplement that has 250 milligrams, that’s a high dose.

Dr. Weitz:            So by the way, just real quick for people listening, NAD is a super-important molecule for longevity. People who are trying to promote longevity often recommend taking either NR or NMN, which are HAD precursors.

Dr. Jaffe:              There are people who sell products because they’re profitable. The people who advocate for the kinds of products you’re talking about know at some level … At some level, they know they’re selling a placebo. Because in order to measurably, which you can do … In order to measurably influence the NAD or NAD precursors in the human body, you’d have to give at least five to 10 grams.

Dr. Weitz:            Of either of the precursors?

Dr. Jaffe:              Of any of the precursors, because there is so much in the body that you’re diluting the little bit you are taking into. It’s a substrate. We have a profound lack of understanding of biochemistry and physiology. If it’s a vitamin, you need a little bit to activate an enzyme. If it’s a substrate like NAD and FAD, it’s a placebo. Joe Bellanti did an open-label trial, and he’s often quoted. He’s my friend. He’s a very good guy. He did an open-label trial. It seemed to be promising. Then he did a placebo-controlled trial and proved that NAD or its precursors are placebos.

Dr. Weitz:            All right, Dr. Jaffe. I think that about wraps it for me. Any final thoughts for our listeners and viewers?

Dr. Jaffe:              Well, I just want to leave you with the fact that you can thrive in the 21st century if you’re intelligent about what you eat and drink, and what you think and do. It’s a combination of all of the above. I would like to be a good representative, to show you how well I function and feel. By most measurements I’m a 35-year-old, but in fact I’m more than twice that on my birth certificate.

Dr. Weitz:            Okay.

Dr. Jaffe:              You can feel and function like a young person at any age, and you should.

Dr. Weitz:            Have you had your biological aging measured?

Dr. Jaffe:              I do it every six months, and I’ve been getting progressively younger.

Dr. Weitz:            And are you using the DNA methylation?

Dr. Jaffe:              No, DNA methylation turns out to be massively misunderstood. There are 10,000 enzymes that influence methylation. If you measure the methionine to homocysteine ratio, you know about methylation. If you take a methylating form, as a methyl (E)-12 form, you will induce hypermethylation which is not recommended. I recommend physiology before pharmacology. Giving methyl forms of B12 is pharmacology, not physiology.

Dr. Weitz:            Oh, no. I’m talking about like some of the testing that’s now available where they measure the-

Dr. Jaffe:              Oh, well yeah-

Dr. Weitz:            Like the true age test, where they measure biological age via the extent to which-

Dr. Jaffe:              Let me-

Dr. Weitz:            Hundreds of thousands of sites on the DNA are methylated or not.

Dr. Jaffe:              Let me jump in on that. 92% of your lifetime health is lifestyle. 92% is lifestyle.

Dr. Weitz:            Right.

Dr. Jaffe:              92% is about what you eat and drink, think and do.

Dr. Weitz:            Right.

Dr. Jaffe:              8% is genetic. Now I’m going to switch to be Eric Lander. Eric Lander was advising President Biden. He now runs the Broad Institute at MIT. He’s a wonderful human being, and he points out that if you measure the entire genome, all the DNA, all the RNA, all the different RNAs, you can influence a result. You can change the trajectory by 10%. Let’s talk about diabetes, which is the best-studied condition genetically. He will point out that you can gain or lose about 10%. This means 8% of the population currently has diabetes. If you know that you have a 7.2 or an 8.8% chance of having diabetes, what are you going to do differently? Eric is very clear that people doing gene probes are looking through a glass darkly, and confused. I measure functional metabolic products; hemoglobin A1C, hsCRP, homocysteine, omega-3 index, vitamin D levels, 8-oxoguanine, that’s a urine test that’s a little unusual, but it’s the measure of stress in your DNA. So I get all the information without the confusion.

Dr. Weitz:            Excellent.

Dr. Jaffe:              So, no I don’t.

Dr. Weitz:            Okay.

Dr. Jaffe:              I don’t measure all of these, because I know a lot about methylation. It’s very important that it flow … That it flow physiologically, not be driven by a hypermethylating compound.

Dr. Weitz:            Right. Sounds good, Dr. Jaffe. How can everybody get a hold of your book and find out about your supplements?

Dr. Jaffe:              Oh, thank you.

Dr. Weitz:            Can you tell me?

Dr. Jaffe:              Drrusselljaffe.com is the website. There’s also a YouTube channel called Dr. Russel Jaffe. The book is available as a Kindle, as a print, and very soon as an audio book on Amazon, Barnes & Noble, and wherever books are sold. And yes, please take a look because if you’ll invest 72 minutes a day, you can save your life.

Dr. Weitz:            Excellent. I’ll put all those links in the show notes, and there will also be a complete transcript so you can go and if you want to review anything that Dr. Jaffe taught us today. Thank you, Dr. Jaffe, for another excellent podcast.

Dr. Jaffe:              Thanks for having me.


Dr. Weitz:            Thank you for making it all the way through this episode of the Rational Wellness Podcast. If you enjoyed this podcast, please go to Apple Podcasts and give us a five-star ratings and review. That way, more people will be able to find this Rational Wellness Podcast when they’re searching for health podcasts. And I wanted to let everybody know that I do now have a few openings for new nutritional consultations for patients at my Santa Monica Weitz Sports Chiropractic and Nutrition clinic. So if you’re interested please call my office, 310-395-3111, and sign up for one of the few remaining slots for a comprehensive nutritional consultation with Dr. Ben Weitz. Thank you, and see you next week.

 

Dr. Jill Crista discusses Toxic Mold Illness with Dr. Ben Weitz.

[If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.] 

 

Podcast Highlights

2:00  Dr. Crista started treating patients with Lyme in Wisconsin and she did the physician training in 2012 and she used naturopathic principles.  Most of her patients were getting better except a small group and one of these patients they found toxic mold in his home. He couldn’t sleep, his gut was a mess, his joints were hurting, he had ear ringing and pelvic pain. At one of the ILADS conferences about Lyme she got some training in mold from Dr. Lisa Nagy and Dr. Crista for the last 10 years has been working with lots of patients with mold and she developed her own protocol.  And then she and her family got hit with mold at their home.  And then she realized she needed to write a book about mold illness.

5:32  When you have environmental illness, as we change our environment and our environmental practices, the illnesses tend to change as well.  When Dr. Crista was practicing in Wisconsin, there were two lead mines an hour away, so a lot of her patients had lead toxicity. One thing that makes us more susceptible to mold illness is the common use of Roundup and glyphosate, as well as the pervasiveness of EMFs.  Glyphosate, which is the active ingredient in the herbicide Roundup, damages our microbiome and leads to secreting mycophenolic acid (MPA), which is extremely gut toxic.  Mold makes mycotoxins to compete out other molds. Mycotoxins are made to harm another biological living thing, so it should not be surprising that mycotoxins can harm us.  When mold remediation experts come to clean your house, they focus on removing spores and spore fragments but they don’t pay much attention to mycotoxins and to chemicals like MPA.  Roundup is also sprayed on crops before harvesting as a desiccant, but this messes up the microbiome of the plant and increase the likelihood of this food becoming moldy in storage. We need to push to limit the use of RoundUp/glyphosate on crops.

11:35  We also construct homes super tight, which can keep moisture in, and we often use cheaper materials and we build right through rainstorms. Many building materials like concrete that once wet can take a long time to dry out.  If you have construction going on with your house be there every day and make sure that they follow the building codes and not cut corners. If it does rain during construction, it is important that they cover up and then dry things out as quickly as possible, including any concrete, such as if there is a basement. In fact, finished basements are not a great idea, since even it it doesn’t rain, concrete can wick and soak up moisture.

14:18  Dr. Crista believes that exposure to mold makes fungus that already native to your body act pathogenically.  We all have a certain amount of fungus, as well as bacteria that make up our microbiomes, and we have a microbiome in our large intestine, our sinuses, our mouth, our vagina, and all the mucus membranes in our body.

 

Dr. Crista:            So what happens is that our normal … We have a microbiome for every part of our body, so the sinus microbiome-

Dr. Weitz:            [inaudible 00:14:44] everybody thinks about the large intestine, but the sinus, the vagina, all the mucus membranes.

Dr. Crista:            Yep. And you would think this is really close to each other, a mouth and a nose. They have different little species that are in when they’re happily living, commensal. So I think of a microbiome as a commensal biofilm, because that’s kind of what it is. We have fungus, we have bacteria, we have viruses. We have things that are there to keep us in balance. When you start to breathe in the mycotoxins, they send a message, which is, “I am intending to harm you.” So you get that mycotoxin exposure to your sinuses, and then when you swallow down to your gut, to our mouths, that is a message that’s soaking in that is, on contact, harming our microbiome of the area. So the sinuses become a really, really important part of treatment and rebalancing, because that’s our first interface. But when they see their buddies getting attacked, they start to act defensively. So that changes from a commensal, sharing, collaborative environment to, hmm, I don’t know that we’re safe. I might need to start acting a little bit more in my own interest. And it’s very interesting to see that reflection in the human species right now as well. So then they have to start-

Dr. Weitz:            [inaudible 00:16:14] the fungus in the body, like the candida?

Dr. Crista:            It’s fungus, but because it comes from a fungal source, then the body suspects the fungus as the problem, and the fungus becomes the scapegoat for the issue. So candida becomes a scapegoat, and then it overgrows. So this whole commensal microbiome starts to act defensively to defend from these mycotoxins, and the message in the mycotoxin is, I’ve come to kill. Fungus has come to kill and take over.

Dr. Weitz:            Interesting.

Dr. Crista:            And that’s my theory. And that’s what I base my treatment off of, but this was developed in my mind, because I was like, why am I having to use antifungals on people? When it’s a mold exposure, why does their body need antifungals? I get the toxin part, and I get-

Dr. Weitz:            [inaudible 00:17:09] is that the mold that’s growing inside my body?  No, it’s the candida that was there already that’s now acting differently.

Dr. Crista:            And then gone on long enough, if you have immune suppression, especially if you’re exposed to the living mold, those chemicals, then mold can move into your body, and we get something called colonization. So there’s sort of the spectrum that happens where you’re exposed to maybe the spores. That creates an allergic reaction.  That’s going to spend a lot of your immune system. That’s going to increase mast cell migration. Then you have fragments. So you get this initial kind of inflammatory response.  But then if it goes on, then you start to get the suppression of the chemicals that mold secretes and the mycotoxins. And that over time suppresses the immune system so then mold can move in, because now it can colonize you. And that can get severe enough to where they now want to invade. So it’s an invasive candidiasis.  At that stage, we get mast cells again in droves, compared to the spore ones that are just local inflammatory reactions. Now we get mast cells that are in droves that go to the brain, the vagus nerve. Everything is affected, the immune system, skin, gut. And that’s when you start to see things like mast cell activation. For me, mast cell activation is a sign that the fungus is winning at invading and becoming an infection.

 



Dr. Jill Crista is a naturopathic doctor and the author of the best selling book, Break the Mold: 5 Tools to Conquer Mold and Take Back your Health.  Through her popular physician training program she has trained over 600 doctors to become mold literate. Her website is Dr.Crista.com.  Her mold training course for practitioners is Mold Training for Medical Practitioners.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also specializing in Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure and also weight loss and also athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. Dr. Weitz is also available for video or phone consultations.



 

Podcast Transcript

Dr. Weitz:            Hey, this is Dr. Ben Weitz, host of the Rational Wellness podcast. I talk to the leading health and nutrition experts and researchers in the field to bring you the latest in cutting edge health information. Subscribe to the Rational Wellness podcast for weekly updates. And to learn more, check out my website, DrWeitz.com. Thanks for joining me, and let’s jump into the podcast.

Hello, Rational Wellness podcasters. Today, I’m excited to revisit mold illness topic again, since this is such an important issue for many patients. I’ve found the longer I practice, which is like 33 years now, I found that it increasingly affects more and more patients. I’m not sure if we’re just noticing it or if it’s more common. And so I’m excited to have Dr. Jill Crista join us today. She’s a naturopathic doctor and the author of the best selling book Break the Mold: Five Tools to Conquer Mold and Take Back Your Health. And Dr. Crista is widely recognized in the functional medicine world as one of the top mold illness experts, and she also has a very popular physician training program to become mold literate. So let’s see what we could do to become a little more mold literate in the next hour. Dr. Crista, thanks for joining us.

Dr. Crista:            Thank you so much for the invitation. I’m so glad our schedules finally aligned.

Dr. Weitz:            I know, I know. It’s so hard to coordinate sometimes. We’re all trying to cram in as much as we can.

Dr. Crista:            Right.

Dr. Weitz:            So we usually start with, how did you get interested in mold?  And I don’t know.  How do you want to start this?  I know that you had some issues with mold and you’ve had patients with mold.

Dr. Crista:            Yeah, I can make it very short.  I started in the Lyme world.  I found myself in Southern Wisconsin, and I knew a little bit about Lyme disease, but I knew that it was an East Coast thing.  And here I am in Wisconsin saying, these people are doing all the naturopathic things.  We have the hardest working patients ever. Functional medicine, naturopathic doctors, people come ready for homework, and they were doing all the things and not getting the responses that I was seeing with other patients.  So there’s this little group of patients, and I thought, what in the world is going on?  And then I started to learn about Lyme disease and how it’s bigger than Connecticut, and I got trained in that and did the physician training in 2012.  So again, using naturopathic principles, when you find and treat the cause, people get better, except this small group of people that were doing all of the things and not getting better. And one of those patients, they found toxic black mold in his home, and that’s when it started.  The Pandora’s box opened for me as I hit the research. I thought, “Oh, my gosh, mold is why this guy can’t sleep. His gut’s a mess. His joints are falling apart.  He has ear ringing.  He has pelvic pain.  It was just like all of these things started to come together, and it was all animal research. And so here I was trying to translate with my training and comfort in nutrition and in herbs, translating animal research, and then put it into practice.  And those Lyme patients started to get better.  And that’s when I realized while mold is a big, big, big deal.

And finally at one of the ILADS conferences … It’s the Lyme organization that I’ve done my training with. They had a doctor, Dr. Lisa Nagy, I don’t know how to say her name correctly, but she’s one of my heroes. She got up and she was like, “Mold, mold, mold. This is mold. This is mold. We have to expand our thinking from Lyme to mold. And so I’ve just, in the last 10 years, just worked with patients with mold, developing my my own little protocol.  And then mold hit us in our own home. It was hidden and got to me. And when the flood finally revealed itself … It was one of those slow drips that finally saturated, and then it was very evident we had a water damage problem. And I went, oh, this is mold. And I knew my favorite inspector, my favorite remediators. I had done lots of home visits with my patients because I wanted to learn. So I know enough about the building stuff to be dangerous. And then I knew what to do for protocol and get my family and our pet and everybody going on mold treatment. And that’s when I was like, I need to write a book.

Dr. Weitz:            You talk about the chronic patients who don’t get better, and at the same time, I have a number of patients who are suffering with mold illness. And I know it’s a real deal, but part of me in the back of my head is saying, is this just the latest illness that explains chronic disease?  And over the years, we’ve gone through one illness de jour after the other. And one time everybody had adrenal problems, and then everybody had thyroid, and then everybody had parasites, and then everybody had candida, and everybody has Lyme and everybody has mold. Part of me wonders, is there a bit of that too? This is the latest train to jump onto.

Dr. Crista:            Yeah. And I think that’s a normal thing when you have environmental illnesses, what you were just going through. Now everyone has adrenal fatigue. Well, we also went to where we lit up the sky all night long. So then people had sleep problems, which presented as adrenal fatigue. So I think as we change our environment, we have epidemic or pandemic low lying environmental expressions that highlight a practice that we’re doing that isn’t good for us. When I first moved to Southern Wisconsin, I had two lead mines an hour away, two different ways. A lot of my patients had lead toxicity.

Dr. Weitz:            Oh, wow.

Dr. Crista:            So it’s just one of those things. It can be regional, but it also can be our environmental practices. I think that mold is coming to the fore because of how we’re building our buildings and because we have a double whammy critter or chemical of Roundup and glyphosate. So that sets the stage for people to be very mold susceptible, and now we’ve added EMF into it. So now we have all of these things that are sort of … It’s making mold come to the fore. It’s not necessarily a trend, although it is getting a little trendy I noticed. And that’s kind of a funny thing.

Dr. Weitz:            Well, how does glyphosate make people more susceptible to mold illness?

Dr. Crista:            Yeah. So glyphosate is horrible on our microbiome, and so too is mold. So the mold makes these mycotoxins. It also makes chemicals as part of its normal metabolism. There’s something called MPA or mycophenolic acid. When we see that on a lab, we know that someone’s being actively exposed to growing happily living metabolizing mold. That chemical is extremely gut toxic. We actually use it, and it’s immune toxic. So we use that chemical in medicine. It’s a drug called CellCept for people who’ve had organ transplants so that they don’t reject the organ. We impair the immune system so they don’t see it as a foreign body. And you could be getting that just by breathing moldy air. So we have MPA that’s happily [inaudible 00:07:37]

Dr. Weitz:            Is that the primary way in which mold suppresses the immune system?

Dr. Crista:            That’s one of the ways, if you’re exposed to actively living mold. And then if you have old mold that was living and was in a wet … Or I don’t want to say wet. I want to say moist because people think it has to be a flood. It can be just moist air. Florida is a very moldy state. Whether you’ve had water damage or not, you’re not managing your indoor humidity, mold is going to grow. So if you have a current or past mold problem where there’s enough moisture that many molds want to live there, then they start competing and they start making mycotoxins to compete out the other mold. Those mycotoxins are made with the intention of harming another biological living thing. And so we of course are impacted by that.

Dr. Weitz:            Let me stop you for a second. So the mycotoxins … I heard you say this in one of your interviews … are secreted by mold to fight off other molds, which might try to cram into their territory.

Dr. Crista:            That’s right. They’re made in a competitive environment with the intention of creating death to another living thing. For me, that’s a big deal, and in a lot of the remediation world, they’re still not really looking at mycotoxins. They’re still very focused on particulate. This is spores and spore fragments. The other thing is mycotoxins and these chemicals like MPA that’s so immune toxic. It’s also gut toxic, but it’s extremely immune toxic. Then you add mycotoxins, which are toxic to, you name it, every system in the body, glyphosate messing up the … And that’s Roundup for those that don’t know yet. That will change the microbiome.

Dr. Weitz:            Which is an herbicide, which is sprayed on the majority of wheat and corn and soy in this country, basically. It’s not organic it’s. If it’s genetically modified, it’s often genetically modified to be resistant to Roundup.

Dr. Crista:            Yeah. And even if it’s not genetically modified, they still use the Roundup as a desiccant just before they harvest. So two weeks before harvesting, they load it with this to dry it all up so that they can harvest it more easily and get it into storage. That also sets the stage for that food becoming moldy in storage, because it’s just messed up the microbiome of the plant as well. So we have a lot of reasons why mold is becoming a problem. And there are a lot of things that we could do in changing policy and changing how we do things that can make mold not be a problem. This is a very preventable problem.

Dr. Weitz:            So we’ve got to try to push, if it’s possible, to limit the use of glyphosate on crops.

Dr. Crista:            Absolutely, a hundred percent agree. That’s one of the biggest features in my upcoming book on PANDAS and PANS. Glyphosate is the number one environmental bad guy for that condition.

Dr. Weitz:            Wow. I see people around my neighborhood now that everybody’s trying to have a grass free lawn.  They want to make sure the grass doesn’t come up.  And one of my neighbors, I just saw him walking around on what used to be his grass yard, spraying Roundup to make sure the grass doesn’t pop up.  And he’s walking across the gravel and stuff, and then of course he’s tracking it into his house.

Dr. Crista:            It’s kind of like the fable of bringing in the cats to eat the mouse problem, and then you end up with the elephants.  This is where we are, and we could be growing sustainable, native plants that we normally associate as weeds.  So I think policy change all around, and it’s going to have to be a little bit different for every region.  There are some things that have made mold a big problem globally.

Dr. Weitz:            What other things?

Dr. Crista:            Well, just growing food. We make uber tight houses. We use cheaper materials now, and we build right through a rainstorm. We just had a massive rainstorm in my neighborhood, and I wanted to get my umbrella and get out there and just take a picture of this. The house is all closed up on the sides and no roof yet, because they didn’t get to that, and it’s just pouring rain down into that. And their basement is just filling up with water. We don’t allow … A cement slab can soak up water that will take 30 years to get rid of. [inaudible 00:12:11]

Dr. Weitz:            Is that right?

Dr. Crista:            Yeah.

Dr. Weitz:            Wow.

Dr. Crista:            Yeah. So the fact that like they vacuum it up with a shop vac and call it good and then close up the house- that’s not going to necessarily

Dr. Weitz:            Wow.

Dr. Crista:            … that’s not going to necessarily [inaudible 00:12:26]

Dr. Weitz:            … projects, and they maybe cover a few walls with plastic. It rains, and then they just continue.

Dr. Crista:            Yep. And there’s another one in my neighborhood, not a great builder. They have a bad reputation in my area. They did put all of the moisture barrier on the outside. And then because of the supply chain issue, it took a long time for the siding to get there. And a lot of that moisture barrier just ripped off in a windstorm, and they just went ahead and put the siding up. They didn’t reapply the moisture barrier. And I was just like, oh my gosh, they’re going to be so sick in that house because now there’s no … They did do due diligence, but I was taking a walk, and I was watching them just put the siding back on. So I think if you are in a place where you’re building your own home, be there every day, and be that irritating client and make sure things are done right. Even normal building code needs to be followed.

Dr. Weitz:            Well, what do you do if they’re in the middle of doing a remodel or something and it does rain? What can you do then?

Dr. Crista:            Yeah. Well, and I think that the idea is dry it out and dry it out as quickly as possible. And I am not a building expert. I’m just going to be really clear. I know enough to be dangerous, like I said. But I’ve done this a while, and I am one of those people that loves to go do the home visit so I can learn more. But I think dehumidification is a key part of managing a healthy home.

Dr. Weitz:            But I don’t think anybody thinks about drying out the concrete.

Dr. Crista:            Don’t cover up concrete. I mean, that’s the idea, especially if you have a basement. Finished basements are a no-no. They just are. Even if you don’t have wet concrete, it will wick. The best way, in a survival situation, to find water is to dig a hole, because water will fill in. Why are we finishing basements? I don’t understand.

Dr. Weitz:            I heard you say that exposure to mold makes fungus that’s already native to your body act pathogenically.

Dr. Crista:            Yes. Yeah.

Dr. Weitz:            That’s fascinating.

Dr. Crista:            [inaudible 00:14:33] isn’t it? It’s super fascinating.

Dr. Weitz:            Explain what you mean by that exactly.

Dr. Crista:            So what happens is that our normal … We have a microbiome for every part of our body, so the sinus microbiome-

Dr. Weitz:            [inaudible 00:14:44] everybody thinks about the large intestine, but the sinus, the vagina, all the mucus membranes.

Dr. Crista:            Yep. And you would think this is really close to each other, a mouth and a nose. They have different little species that are in when they’re happily living, commensal. So I think of a microbiome as a commensal biofilm, because that’s kind of what it is. We have fungus, we have bacteria, we have viruses. We have things that are there to keep us in balance. When you start to breathe in the mycotoxins, they send a message, which is, “I am intending to harm you.” So you get that mycotoxin exposure to your sinuses, and then when you swallow down to your gut, to our mouths, that is a message that’s soaking in that is, on contact, harming our microbiome of the area. So the sinuses become a really, really important part of treatment and rebalancing, because that’s our first interface. But when they see their buddies getting attacked, they start to act defensively. So that changes from a commensal, sharing, collaborative environment to, hmm, I don’t know that we’re safe. I might need to start acting a little bit more in my own interest. And it’s very interesting to see that reflection in the human species right now as well. So then they have to start-

Dr. Weitz:            [inaudible 00:16:14] the fungus in the body, like the candida?

Dr. Crista:            It’s fungus, but because it comes from a fungal source, then the body suspects the fungus as the problem, and the fungus becomes the scapegoat for the issue. So candida becomes a scapegoat, and then it overgrows. So this whole commensal microbiome starts to act defensively to defend from these mycotoxins, and the message in the mycotoxin is, I’ve come to kill. Fungus has come to kill and take over.

Dr. Weitz:            Interesting.

Dr. Crista:            And that’s my theory. And that’s what I base my treatment off of, but this was developed in my mind, because I was like, why am I having to use antifungals on people? When it’s a mold exposure, why does their body need antifungals? I get the toxin part, and I get-

Dr. Weitz:            [inaudible 00:17:09] is that the mold that’s growing inside my body?  No, it’s the candida that was there already that’s now acting differently.

Dr. Crista:            And then gone on long enough, if you have immune suppression, especially if you’re exposed to the living mold, those chemicals, then mold can move into your body, and we get something called colonization. So there’s sort of the spectrum that happens where you’re exposed to maybe the spores. That creates an allergic reaction.  That’s going to spend a lot of your immune system. That’s going to increase mast cell migration. Then you have fragments. So you get this initial kind of inflammatory response.  But then if it goes on, then you start to get the suppression of the chemicals that mold secretes and the mycotoxins. And that over time suppresses the immune system so then mold can move in, because now it can colonize you. And that can get severe enough to where they now want to invade. So it’s an invasive candidiasis.  At that stage, we get mast cells again in droves, compared to the spore ones that are just local inflammatory reactions. Now we get mast cells that are in droves that go to the brain, the vagus nerve. Everything is affected, the immune system, skin, gut. And that’s when you start to see things like mast cell activation. For me, mast cell activation is a sign that the fungus is winning at invading and becoming an infection.

 



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Dr. Weitz:            So if mold takes up root, say, in your gut, would a stool test pick it up?

Dr. Crista:            Not necessarily. [inaudible 00:20:02]

Dr. Weitz:            Mold is not candida, right?

Dr. Crista:            Mold is different than candida. Mold is not a yeast. However, by having mold exposure and enough of the chemicals in the mycotoxins, now you can get suppression of the gut. We do see … On some biopsies, you can see aspergillus and things like that in a gut.

Dr. Weitz:            [inaudible 00:20:24]

Dr. Crista:            More in the lungs. The lungs are more hospitable, if you want to call it that, easier to infect, the lungs, for aspergillus, than the gut because of our stomach acid.  But if you’re on an acid blocker [inaudible 00:20:35]

Dr. Weitz:            Interesting. We do see a lot of the mold patients have increased likelihood of candida overgrowth, of parasites, of bacterial overgrowth.

Dr. Crista:            When you’re in a water damaged building exposure where it’s enough that you are getting mycotoxins, you’re usually also getting endotoxins, because a water damaged building hosts mixed microbes, and they even have quorom sensing within that water damaged building. It’s really fascinating.

Dr. Weitz:            And then it’s hard to know which is causing the symptoms. Or are they all contributing? And then do we treat them all at the same time? Do we try to treat one and then the other?

Dr. Crista:            Right. So because of that, think of it as a microbiome disruption, which is not just bacteria. And that’s why [inaudible 00:21:29]

Dr. Weitz:            Which we often referred to as dysbiosis.

Dr. Crista:            Right, yeah. And that probably has some fungus, even in a person who is bacterially effected. Let’s say someone takes an antibiotic and they have dysbiosis after that. Well, think about what an antibiotic is. It’s a mycotoxin. So penicillin is the mycotoxin from penicillium species mold.

Dr. Weitz:            Right.

Dr. Crista:            So we can kind of understand what colonization might look like. Just look at somebody who’s taken antibiotics and then they have a candida infection. It’s like, how did that happen? So [inaudible 00:22:05]

Dr. Weitz:            I just saw a study published on that last month, about how patients who take antibiotics are increased risk of actually dying from candida overgrowth.

Dr. Crista:            Oh, wow. So repopulation of the bacteria helps reestablish that, but also there’s a reason why, in a short term antibiotic situation, there’s a reason why using Saccharomyces is also beneficial, because it also addresses that fungal piece. But in a mold sick person, I’m very careful with Saccharomyces boulardii because that, for my patient base, just creates sugar cravings. It just gives them more fungal burden, and they’re already fungally burdened. So then I’ll use more a spore based probiotic. So your question about which one do we target, all of them, because it’s going to be a mixed microbe mess.

Dr. Weitz:            Right.

Dr. Crista:            And it was actually Dr. Brewer’s study in 2013 or ’14. When I read that study, that’s when it was just like, oh, I get it now. This is colonization, and we must be treating the sinuses because they’re seeding the whole problem. And that study was where they looked at people with chronic fatigue syndrome that had a known water damaged building exposure, and then healthy controls. And what they did is they sampled sinuses. They sampled lung tissue, gut tissue. I think they even sampled brain. And they found that everybody has fungus in their sinuses. Everybody has fungus in their gut. So that wasn’t the big a-ha. The big reveal was sick people had mycotoxins in their nasal washings and their gut washings and their lung washings. Healthy people did not. So that’s when I was like, oh my gosh, something shifts in the microbiome of the human because it’s not the presence of this species.

Dr. Weitz:            We need a nasal microbiome, a nasal mycotoxin test.

Dr. Crista:            Yeah. That would be cool. What a good idea. Oh my gosh. We’re swabbing everybody anyway [inaudible 00:24:08]

Dr. Weitz:            So how often do you treat the nasal cavity in mold patients? Is it just when patients have nasal sinus type symptoms, or are you treating everybody, their nasal cavity?

Dr. Crista:            Everybody.  And it may be a probiotic.  It may be the Latilactobacillus sakei that helps to rebalance. So it might just be [inaudible 00:24:32]

Dr. Weitz:            And you’re talking about putting that into the nose, right?

Dr. Crista:            Into the nose, yeah. Because again, as a reversal of exposure, if the gut’s a mess, obviously you need to treat that, but you also have to stop seeding the gut by treating the nose. And so I will do nasal treatment of some form, whether it’s probiotics or [inaudible 00:24:53] acid, which are more rebalancing, if it’s a healthier person that doesn’t really have a lot of sinus symptoms, all the way to the pharmaceuticals, if they have significant sinus symptoms, because they have a massive biofilm there.

Dr. Weitz:            So will you use pharmaceuticals in the nasal cavity?

Dr. Crista:            Mm-hmm, if needed.

Dr. Weitz:            Which ones?

Dr. Crista:            So we can use … That’s where a gut test is kind of nice because if we also see other species like Klebsiella in the gut, then I know they need tobramycin in the nose. So there are some species that we know that we … Klebsiella and Pseudomonas seem to be kind of pond scum of biofilm. They are very hard to get rid of sometimes. So if I’ve used herbals and I’m not seeing what I need to see … And then there’s [inaudible 00:25:42] spray. A lot of people aren’t doing the gentamicin part. They’re just doing [inaudible 00:25:45] spray. So there are just lots of different … Dr. Brewer actually revolutionized this for me as well by using nystatin. He said that he was getting much better results with less adverse events by using nystatin. So I think, about five years, we’ve done that when needed as well.

Dr. Weitz:            Nystatin in the nose?

Dr. Crista:            Intranasally. And that’s all through a compounded pharmacist.

Dr. Weitz:            I see, interesting. What about the silver intranasally?

Dr. Crista:            Sure. Yep. And silver I use in conjunction with antifungal essential oils or an antifungal mix. There are lots of wonderful mixes out there already done for you. I actually have a handout if anyone wants to email my assistant, because you’ll get it faster, at support@DrCrista.com. I have something called nasal options for mold. And I’m going to do a quick video on that because I think that really would help people know what all is out there. So you can use things like tea tree. There are are premixes with tea tree, and that addresses the antifungal part. And then at another time of the day we can use silver, and that will help address the bacterial parts such as MARCONS and MRSA. A lot of these people have MRSA.

Dr. Weitz:            Cool. So we didn’t go over the symptoms of mold illness, but there’s so many symptoms, right?

Dr. Crista:            Yeah. I mean, I’m not Shoemaker trained, but Dr. Shoemaker is well known for saying that this is a multisystem, multi symptom condition. It looks a lot like Lyme disease. I remember having a conversation with Dr. Horowitz, and I said, “What if we created a questionnaire for mold that would help diagnose it?” And he said, “It’ll look just like the Lyme one. So I was like, “Okay, that’s a challenge.” So I tried to use his MSIDS Lyme questionnaire as a basis. And I created a questionnaire so that people could get a score. And they’re in three different categories for commonness to uncommon or selected more toward mold. And each one is weighted a little different of the three categories. So that questionnaire’s on my website if anybody wants to grab it. It’s in my book. And I honed it with all of the patients, like, does your score of saying not mold, probable mold, possible mold, does that match what I know of your mold testing? And so we’re working to scientifically validate that. We’re putting together [inaudible 00:28:10]

Dr. Weitz:            That that would be great.

Dr. Crista:            And then people can just take the questionnaire, because there are so many. But in practice I use that questionnaire also as a tracker, because people will forget how sick they were as you get them better. And so every three months or so or anytime we’re retesting mycotoxins, I have them fill out the questionnaire. And then when I see them again, I’m like, “How are you doing?” They’re like, “Oh, I’m just not any better. Can I get off this nasal stuff?” all kinds of [inaudible 00:28:38] “Can we start busting biofilm? I’m getting antsy,” all the things. And then I say, “Let’s look back at the first one,” and people will actually say, “Oh, that’s right. I couldn’t leave the house until 10:00 AM because I never knew what my gut was going to do. Or I had migraines. I kind of forgot I had migraines. I’m like, how do people forget they had migraines? But they do. I mean, you forget how sick you were.

Dr. Weitz:            Any time patients are dealing with chronic symptoms, chronic pain, they tend to wait for the point at which they’re not going to have any pain. And as long as they still have pain, sometimes they think, oh, this is not working. I still have pain. So that’s where you need questionnaires. You need pain scales. You need things like that so you can quantify it so you know that seven or eight pain is now a three or four. So even though it’s still there, you show an improvement, and you’re going in the right direction.

Dr. Crista:            And stay the course. I mean, that’s the thing. It’s like, we’re not trying to discount that you’re still in pain or that you’re still having symptoms. But the answer is what you’re doing is working. So stay the course and there will be that time because our body has an amazing innate healing ability. We will get there.

Dr. Weitz:            Can patients who consume mold in their food get similar symptoms to those exposed to environmental mold?

Dr. Crista:            Similar, typically not as severe. In the US, [inaudible 00:30:03] Westernized kind of cultures, also I would say South America where they’re using the same kind of farm practices and that kind of thing. However, there are areas of the world where they are storing grain, peanuts, soy, where they have a big problem with their food source. So that can happen. And you’re going to see things that are more linked to immune deficiency and kidney, the organs of detoxification. So we see liver cancer, kidney cancer, autoimmune diseases, that kind of thing. In a typical US, there have been review studies of the studies of food that is typically going into the US market. Eating a normal standard American diet, which already is not a great diet, it definitely can cause illness. But just eating that amount of ochratoxin, in my experience, doesn’t create the degree of illness that I see with a water damaged building exposure. However, if you know you have water damaged building exposure, getting rid of those mycotoxin laden in foods really speeds your healing process. So is it good for us to eat mycotoxins? But are we and have we evolved doing that for eons? Yeah, we have. We’re a little tiny bit mycotoxin obligate, I think. We’ve developed some detox to handle a tiny bit.

Dr. Weitz:            How accurate is urinary mycotoxin testing? And what is it telling us? Because it’s telling us that they’re screening mycotoxins, which obviously it’s better if they’re not having any mycotoxins. But if there are mycotoxins, we’d certainly rather have them excrete it then have them just sit there.

Dr. Crista:            Right. This is a question that I take 45 minutes in my doctor course to answer. I’ve done many, many, many split sample testings. I have identical twins myself, and I have a very good friend with identical twins. And they actually didn’t have mold. So I was able to test healthy, identical twins, and then they did have a mold problem. It was almost like we called it in, and I always feel bad about that. So when my kids and I were living in our moldy building, I did a lot of split sample testing to compare what I was doing with each one or what each one was willing to take, to be more honest.

So I had this very unique genetically identical, same exposure, same diet situation. So I learned a lot in that process of, what are the strengths, and what are the weaknesses? Because every lab test is going to have that. And I love your question, what is it telling us? When people ask me, should we provoke or shouldn’t we provoke? Which test do you like? And I always say, that’s the wrong question. Which test is best to answer the question you’re trying to answer for the patient in front of you? Because that’s going to be different. That might mean serum antibody testing for mycotoxins, not just for molds spores. There’s My Myco Lab. They have an antibody test for mycotoxins. The things you run through Quest and Labcorps, that’s just mold spores. So that’s not going to tell you anything about the mycotoxins. That is one of the few tests on the market, the IgE, that helps to answer the question, am I being exposed right now?

Dr. Weitz:            And what is the name of a company that offers that test?

Dr. Crista:            My Myco Lab. And all of these labs, because they’re not [inaudible 00:33:33]

Dr. Weitz:            [inaudible 00:33:33] not covered by insurance, right?

Dr. Crista:            Yeah. We’re not able to use the resources, the insurance resources. So that’s why I want to develop a questionnaire for the people who can’t afford, but still need to know if it’s mold. So My Myco Lab test, IgG and IgE do a number of different mycotoxins. The IgE tells me that they’re being exposed to a significant degree to affect their immune system, to tweak their immune system, basically, in the last two weeks. And Dr. Campbell who’s the medical director for that lab, he said, “We can even stretch that to a four week period when it comes to toxin based illnesses.” But I don’t know the science on that. So I’m using the rules of antibodies and infection because it really doesn’t matter, two weeks to four weeks. If I have a patient that’s in their safe home or in their current home and saying, “Is this mold?” and we see a positive IgE, I’m like, “You’ve got to get out of there.” And then we can test them when they’re out, challenge them when they come back, and that answers the question.

Urine mycotoxin testing doesn’t answer that question as well, but it does tell us what they’re treating, like you said. It can also tell us that they can’t excrete very well, and that’s informative as well. So you have somebody who knows they’re exposed to mold, does a urine mycotoxin test, and we see nothing or little to nothing. We have a very toxic person, and in my experience, a very high risk for developing dementia, bone marrow related issues, cancer. And I don’t mean to scare people, but that to me is an alarm. That isn’t like, oh, this test sucks. To me, it’s like, that’s telling us some information. And then also to provoke or not to provoke is always the question, and that’s different for each method. There are two different methods used for urine mycotoxin testing. One is ELISA, which is an antibody based test.

And the other is mass spect, so liquid chromatography, mass spectrometry. That one is an actual direct test. In other words, they look at the urine, and if they see a particular molecule, then they say, “Yep, it’s here.” Whereas the ELISA based urine is asking a little bit of the antigenic side, a little bit of the immune side. So each one has their positives and negatives for what you’re trying to answer. If you have a patient with kidney issues, then you’re going to want to choose a certain one so that you’re maximizing the strengths of that test. So there’s all these things. If you have a person with immune issues and you’ve tested their immunoglobulins and they’re low, then the serum one probably isn’t the best test for you. Then you need the urine one. So they’re all needed and necessary and to be used for the patient in front of you to answer the question you’re trying to answer.

Dr. Weitz:            Now I’ve talked to some of the labs like Great Plains, and they highly recommend not challenging with glutathione because that they said that could decrease the amount of mycotoxins that you see secreted.

Dr. Crista:            That was based on my testing.

Dr. Weitz:            Oh, really?

Dr. Crista:            Yeah. I shared that data and presented it for them. And ever since then, they’ve been saying don’t provoke. Because I had identical twins, two sets, and I had had another set of twins that weren’t identical, but that we did split sample testing on. And my child who was taking glutathione but was sickest and had the worst exposure in his bedroom, his mycotoxins were … A number of them were lower, and one was a little bit higher than his twin brother who was in the next bedroom who was not taking glutathione. So I think I would love to see the labs take some of their income and do some of this testing, because I’m not questioning their technique. I’m questioning, what do we do with the patient before we send the sample in? I think that’s the big unknown. And if anyone says you provoke this way with this lab, and this is the way to do it, we just don’t have the data. We can’t be that strict and religious about it.

Dr. Weitz:            [inaudible 00:37:42] really need more science about this because it wasn’t too long ago, maybe 15, 20 years ago that labs were shut down for even testing for mold toxins.

Dr. Crista:            Oh, yeah. Yeah. I think that was more political than-

Dr. Weitz:            Well, of course it is. But it also shows you how long it takes for the conventional medical world to accept new ideas.

Dr. Crista:            That’s right. And in defense of science, mycotoxins … I get medical doctors who want to take my course, and then they say, how many randomized clinical trials do you have in your resources? And I say this many. Do you know why? Because of medical ethics. We can’t poison people with known toxins and poisons to figure out what gets them better. The number one treatment of toxin based illnesses is avoidance, is don’t [inaudible 00:38:37]

Dr. Weitz:            You can ask them, how many randomized clinical trials do they have for surgical procedures?

Dr. Crista:            Sure, right. The sham knee surgery and [inaudible 00:38:48]

Dr. Weitz:            … surgery, right?

Dr. Crista:            So in defense of that, I understand why there’s resistance, because our standard of how we assess conditions and treatments doesn’t fit for toxin based illnesses. So we’re left to do translational research to animals. And again, let’s change policy so that this isn’t even a problem. We’re manifesting this problem.

 



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Dr. Weitz:            So let’s get into some of the treatments. In your format, you break down the treatment into different categories or phases, and you have avoidance, fundamentals, and protect, and then you have repair, and then finally fight. So can we just start with the protect phase? And one of the treatments that everybody knows about is binders. So I have questions about binders. The binders that you list are things like flax seeds and chia seeds. I’m used to seeing recommendations for clay and charcoal and zeolite and modified citrus pectin and things like that. So I’m wondering why you aren’t recommending binders like that. And then also, is there any reason to think that specific binders can be a benefit to different types of mycotoxins or different types of mold?

Dr. Crista:            Absolutely. Yeah. Oh, we could talk for hours on this one. So the binder story. First, we have to understand [inaudible 00:41:59]

Dr. Weitz:            The binder story.

Dr. Crista:            What are we binding? So what we’re binding, in a water damaged building exposure where you’re breathing it or you’re taking it through your skin, is we are binding bile. So the path of the mycotoxin is you breathe it in. It goes into the lungs, or it can seep in through your nasal tissue. It can seep in through your skin. These are lipophilic, meaning they can go through fat. They don’t have to have a protein doorway, no toll-like receptors, no nothing. They’re fat soluble. They can just, blip, right through the cell membrane. They can get into the bloodstream, which is why we can test it on urine, because then when it’s in the bloodstream, it takes one of two paths, to the kidneys to get peed out and detoxed, which works for all except ochratoxin. Ochratoxin doesn’t work like that. Or we can have the liver package it up in bile, send it to the colon and to be pooped out.

The problem is bile is really kind of designed more as a preservation of our fat soluble nutrients and as a detergent. So it’s supposed to get some of our stuff out, but we recycle about 93% of our bile. So if you think about that, we’re recycling that toxin. We bring it back up to the liver, and the liver’s like, I already handled this. So it has to re-detoxify the mycotoxin it just packaged up and sent in bile and then sent down to the intestines to be pooped out. So that can happen. I call it the detox insanity, the definition of detox insanity, is the bile is like, here it is again, here it is again, here it is again.

So what we’re trying to do is grab bile. And one of the best ways to grab bile is all the things that also grab cholesterol. And we have great studies on this for people who have bile dump diarrhea syndromes, who are missing their gallbladder. By the way, you make bile from your liver. So if you’re missing your gallbladder, you can still get better from mold. So I get that question a lot. They’re like, oh no, I don’t have a gallbladder. People without a gallbladder tend to do better, actually, with this condition, which is very fascinating. So we’re grabbing that bile with things that grab bile and cholesterol, because bile is made up of cholesterol and phosphatidylcholine. So we look at the studies of how to grab bile from these bile dump diarrhea syndromes or how to lower cholesterol very, very efficiently is insoluble fiber. So when we think about what I’m trying to do is I’m trying to grab bile with things that have been proven in other studies in other conditions in randomized human clinical trials that answer the same or get to the same end as grabbing bile and cholesterol. Does that make sense?

Dr. Weitz:            Yeah. But I’ve heard from people who are very knowledgeable about the biochemistry of this that things like flax seeds are just not going to work, that you need charcoal, clay, zeolite, that there’s some specific way in which those work much better.

Dr. Crista:            Right. And we learned that from animal studies. So when you’re eating mold … So in animal studies, they know they’re going to be feeding animals moldy feed, which let’s start with one policy change. Let’s not do that. What they do is they feed the animals moldy feed on purpose, and then they add different things to the food to see what minimizes that animal’s burden of mycotoxins. So a big part for me of the whole binder story is bowel movement and motility. So using insoluble fiber doesn’t work if somebody is really constipated. Using any binder doesn’t work, because it’s an absorption. It’s like two magnets. It’s not like Velcro. So if they’re constipated, that can denature right off of that bile, and now you have a mycotoxin problem in the gut. And a lot of times you have a mycotoxin problem in the gut anyway from the colonization. And that’s where the work, sorry, of Dr. Nathan, who I work with a lot and Beth O’Hara and Emily [inaudible 00:45:53]. I think that they kind of got together on, how do we detox each mycotoxin? What binds each mycotoxin? And that’s based on animal research, and those are all real, yes, effective things. They also bind a lot of nutrients. And do I use them? Yes. But I use them very selectively, and I use them in short term. And that again is from animal-

Dr. Weitz:            They have to be taken away from food and other supplements, et cetera.

Dr. Crista:            So I’ll use charcoal more commonly than the others. I like to just use the good cheap $5 activated charcoal, whole bottle. It doesn’t cost you much money, and it’s very effective. That one you can use a little longer term in my experience without affecting the nutrient ability, but using any binder, like a pharmaceutical one, Dr. Shoemaker uses [inaudible 00:46:44] things like that because it binds bile, because it binds cholesterol. It’s the same thing as the insoluble fiber. In my experience, that also is binding vitamin A, vitamin D, vitamin E, CoQ10, essential fats. These are all things that you need to protect your nervous system. So that’s part of the protect section also is DHA because we have to get … If this is a fat soluble, oil soluble toxin, we have to also provide the things that are going to be replacing that lipid or that oil.

So if they’re constipated, I don’t use any binders. I use pre-binders. I get the motility going, because if you’re not pooping, that’s the lowest part of that detox cycle. We’re just going to be doing detox insanity if you’re not going to the bathroom. So that’s the first thing we do is pre binders are things that make and move bile, and that’s going to be things that taste bitter. And then there are certain plants, herbs that can do that. So if they’re not going to the bathroom two times a day, we don’t even talk about binding because we’re just going to force recycling of those toxins. So, yes, I do use charcoal. I like Takesumi Supreme. It’s carbonized bamboo. If I know either they’re going to be really exposed, they have to go meet their insurance person at their water damaged building or something like that and they’re going to be totally blasted after, or I do it just before we’re about to do the antifungals because that’s a predictable time to get a lot of spillage and mycotoxins. But I don’t use them over long periods of time because, in my experience with my patient base, insoluble fiber, you have to go high, go two grams, three grams does a very efficient job of not only binding, but also feeding the microbiome and assisting the detoxification process, preserving our fat soluble nutrients, all the things.

I’m very careful with clay and zeolite. Zeolite is clay. First of all, they can be very lead laden. They can be contaminated with lead. So using specific medical grade clay is very important, but in animal studies and the farmers in my area, if they put young people on clay or young kids, so goats and dairy cattle and things on clay, they’ll have dental problems and bone growth problems. So I think it’s a little too aggressive of an absorber. So they also will see in dairy cattle, if you’re on clay too long, they’ll stop producing milk. So I’m very careful and selective about how I use clay. It’s kind of a perks recovery, not a daily thing. And I’m very different than … I know that I work with Neil Nathan in a mentorship, and it’s so much fun because we all do it a little bit differently, like you said in the beginning. And we’ve come to realize this because we all uniquely, as practitioners, attract people that align with us. So we’re all seeing a different patient base. And it’s also because we don’t have randomized clinical controlled trials. We’re not collecting the data on treatment, which we’re working on, so that there isn’t standardized care with this. Because everybody’s an individual, and they’re affected by mold differently.

Dr. Weitz:            So in order to move the bowels, are you using things like … What kinds of things are you using for moving the bowels? Are you using magnesium? Are you using ginger and artichoke? What sorts of things?

Dr. Crista:            Good question. So for mold, we’re trying to move it at the small bowel. So things like laxatives, they may help, but they’re going to wear out. So this is a classic picture of a mold sick person, that they have been constipated for a long time. They finally discover that the … And it’s usually many legs of a stool that gets someone to go to the bathroom. They start with magnesium, and that works, and then it starts to not work. So then they add high dose vitamin C to get a bowel flush, and that works, so magnesium, vitamin C. And then that starts to not work. So then they add senna, and that starts to work. Now they’ve got magnesium, vitamin C, senna, and then that starts to not work. And so they add stool softeners, and then they add bile salts. And so, finally, they’re moving up the tube to where the problem is, and the problem is in the trigger to make stomach acid and bile.

So if I have somebody who’s on all of those things, now we know we’ve ruled those out. I don’t have them take away those things. We add then things that go higher up the tube, like a stomach acid, [inaudible 00:51:12], bile salts, and then the cholagogues and [inaudible 00:51:16], which are very bitter, like [inaudible 00:51:20]. Typically, if they’ve been constipated a long time, bitters alone aren’t going to do it. They’re going to need some bile. [inaudible 00:51:27] bitter orange, all the things that … And when you taste bitter on the tongue … I could go on about bitters forever. 50% of the drugs on the market target the bitter taste receptor. And you could be getting that benefit just by putting bitter on your tongue before you eat.

Dr. Weitz:            So putting it on the tongue more so than just ingesting it is going to be more [inaudible 00:51:50]

Dr. Crista:            Yep, exactly. You have to engage those better taste receptors. And if anyone’s listening who’s a practitioner, go look at [inaudible 00:51:58] and these taste receptors. It’s fantastic and amazing what they’re doing for the body. So you have to taste it. And so if somebody is like, oh, I just can’t, I can’t do it. I need a capsule. I’m doing this liquid thing, or I’m traveling. I can’t do liquid. So then I have them just take one of the capsules of a bitters formula and dump it into the bottle and then shake up the bottle because then there’ll be a little bit. And all we need is a tiny bit to get going.

Dr. Weitz:            So better to use something that you drop in your mouth or a spray or something like that for the bitters.

Dr. Crista:            Yeah. Always better to taste it. And that could be, Angostura bitters from liquor store. It doesn’t have to be inaccessible, like woo-woo. I mean, there’s a reason why liver toxic people trend toward drinking Manhattans. It’s very fascinating to me. I love to ask people, what’s your favorite cocktail? It tells me a lot

Dr. Weitz:            Interesting. And so we’re running out of time, and I only have about 3,000 more questions. But I know that you use glutathione in part of your protocol. That’s in your fight phase. Is that right? Or where is it?

Dr. Crista:            No, no. Glutathione is going to be in the repair because it’s [inaudible 00:53:27] repair the detoxification systems. And some people can’t do glutathione. I mean, really, I just proceed cautiously with that, and we’ve done the avoidance, the fundamentals, kind of set the stage so the body could handle glutathione. And in the protect phase, we’ve done things to help the body handle the more mycotoxins that are going to be coming out. Because once you start poking the bear with mold, once you start going to the fight phase … That’s why it’s the last phase for me. I learned by making my patients sicker, like, oh, this is mold. This is fungus. Here’s this candida formula. And ear ringing goes through the roof. I had one Lyme mold patient that went into seizure by giving her an antifungal pharmaceutical. So I was like, oops, this needs to be the last thing that we do.

Dr. Weitz:            So you do things like … You’ve got milk thistle and other nutrients to help support the liver.

Dr. Crista:            And milk thistle makes our own innate glutathione. So if somebody can’t handle glutathione … I kind of tiptoe into the glutathione with the dosing because some people it’s just too much. Detox is too much. And all of these things are just temporary. Even the diet is part of a therapeutic diet to get someone rehabbed, because it can happen. You can get better from mold. So things like milk thistle, turmeric get the body ready. And then you can go for the more nutrient focused alpha-lipoic acid, glutathione that are really trying to go down one pathway. And glutathione I use because the whole body becomes low in glutathione. That gets a little confused. Some people are like, oh, well this mycotoxin that I have doesn’t go through the glutathione pathway in the liver. That’s fine. That’s why we’re using the other things that do glucuronidation like resveratrol and Curcumin. But we use glutathione because every mitochondria in the body gets affected by mycotoxins, and they all get low in glutathione. So it’s more like a mitochondria rehab.

Dr. Weitz:            I see. I’d asked already a little bit about how to treat different molds or different mycotoxins differently. And I guess the interesting thing about the mycotoxins … And then you test the house for the mold and trying to correlate those. That’s kind of a complicated mess.

Dr. Crista:            That’s crazy making. Yes, because the person could have been made sick from their college housing 20 years prior. They could have been colonized at that point. And now they are the sick building. So it does become crazy making … Because you’re going to excrete different mycotoxins as well. They almost excrete like sedimentary layers. There are some that go really fast and easily, and then some are more persisters, like ochratoxin. Ochratoxin is a persister toxin because it binds to albumin so tightly. So we have to do things [inaudible 00:56:12]

Dr. Weitz:            That’s interesting. So it binds to albumin.

Dr. Crista:            It has a very high affinity for albumin, which is why it’s kidney. We could have probably predicted that. You get kidney cancer and kidney damage, IgA nephropathy, all of these things from ochratoxin because of how it binds.

Dr. Weitz:            Can you measure that in a blood at all?

Dr. Crista:            Not really easily with a blood test, that we’re seeing a ochratoxin binding albumin complex or anything like that. But there are some tests that we can do that are more fine tuned to see, if someone is eating something that is challenging their kidneys, you can see increased protein in their urine and things like that.

Dr. Weitz:            Let me try to wrap this up. Let me ask you two last questions, both of which will probably take an hour each to answer. And one [inaudible 00:57:11]

Dr. Crista:            … try to be fast.

Dr. Weitz:            What’s what’s your favorite antifungal, and what’s your favorite biofilm buster?

Dr. Crista:            Good. Antifungal is thyme. And the reason for that is that it has a very unique ability to shut down mycotoxin production in fungi and yeast and yeast growth. So it manages the yeast as well as fungi. It’s also antimicrobial, antibacterial.

Dr. Weitz:            [inaudible 00:57:38] volatile oil form or-

Dr. Crista:            Even as the whole plant. The essential oil has more of that ability, the killing ability, but the whole plant or an extract of the plant can shut down the mycotoxin. So what I will do is preload with some thyme before we really do the launching into the fight phase, because then it shuts down the ability for the mold to fight back.

Dr. Weitz:            Is there a favorite product on the market that you like for that?

Dr. Crista:            There’s a combination, which is kind of strong. I usually start with thyme tincture, but if they’re tolerating the thyme tincture for a couple of weeks, then we shift to the … Integrative Therapeutics has one called Y Formula. It has oregano, which would be my second favorite. So thyme, oregano, peppermint, and it’s got some other things so the gut doesn’t get so disrupted.

Dr. Weitz:            And it’s called a what formula?

Dr. Crista:            Y formula. It used to be called yeast formula. Then the FDA-

Dr. Weitz:            Okay.

Dr. Crista:            No claims made, so it’s just Y Formula now. That’s a lovely one. Ortho Molecular has a nice one as well, but I start with single because these people are really sensitive. I start with just a single thyme glycerate or an herbal tincture that they just add to a little bit of water and drink. And if their body is handling that, then we can kind of move into stronger stuff.

Dr. Weitz:            [inaudible 00:59:01] That’s a pretty strong one. What’s your favorite biofilm buster?

Dr. Crista:            Biofilm buster, if we can do it, is ozone. So that would be one of my favorite, and then just enzymes.

Dr. Weitz:            Blood ozone or [inaudible 00:59:17]

Dr. Crista:            [inaudible 00:59:17] ozone, intranasal ozone, rectal ozone, any way to get the ozone. Unfortunately though, that can raise some other critters if the body isn’t ready. So we do ozone very selectively. So for normal people that can’t do ozone, I like Lumbrokinase, particularly for mold sick people, because the other enzymes are a fermented product. They’re acquired through fermentation, so your typical … What am I thinking? Like the enzyme formulas for sore muscles or for inflammation. Those are gained through fermentation where Lumbrokinase is roundworm. It’s just a worm. So that one my patients tend to handle better because it’s not fermented.

Dr. Weitz:            Interesting.

Dr. Crista:            But it’s a stronger one.

Dr. Weitz:            Awesome. Awesome. Great information. Thank you Dr. Crista. Tell everybody how they can find out about your course and learn more information about you, your website.

Dr. Crista:            So my website is DrCrista.com. That’s D-R-C-R-I-S-T-A.com. And my book is Break the Mold. I have a practitioner training. It’s 10 hours, deep dive. Become mold literate certified. You have to pass tests and the whole thing. So then you will get put on my website as a … And that’s for primary care trained practitioners. You’ll get put on my website and referral, and we get many, many, many hits a day looking for practitioners who are mold literate, so if that interests you.

And then for the public, I’m rolling out a series of courses I can get them done. The first one that’s out is nine things to know if you’re still in mold. So a lot of people are being told by their doctor, they’re mold literate doctor, which frustrates me, oh, we can’t treat you until you get out. That’s not right. They can do a lot of things while they’re still in mold, so that they’re not as sick when they leave. And then my upcoming course for the public is mold and kids because that’s a whole other … My book is pretty much for adults. And so there are different things you need to do with kids. And it’s a little harder to get things into kids if it’s in a capsule. So we have to find ways to get it into kids in different ways.

Dr. Weitz:            And what about the practitioner training course?

Dr. Crista:            Practitioner training course is called. Are you missing mold illness? That’s the 10 hour training.

Dr. Weitz:            Great. Excellent.

Dr. Crista:            And in there I’m slowly translating all of my scribble notes of the individual mycotoxins and putting them into tech sheets. So if you do see a certain mycotoxin, you can just go to the tech sheet and know what to do about it.

Dr. Weitz:            Oh, cool.

Dr. Crista:            [inaudible 01:01:48]

Dr. Weitz:            Great. [inaudible 01:01:52]

Dr. Crista:            … list, right? [inaudible 01:01:54]

Dr. Weitz:            Oh, I have many, many.

Dr. Crista:            I can imagine.

 


 

Dr. Weitz:            Thank you for making it all the way through this episode of the Rational Wellness podcast. And if you enjoyed this podcast, please go to Apple Podcasts and give us a five star ratings and review. That way, more people will be able to find this Rational Wellness podcast when they’re searching for health podcasts. And I wanted to let everybody know that I do now have a few openings for new nutritional consultations for patients at my Santa Monica Weitz Sports Chiropractic and Nutrition Clinic. So if you’re interested, please call my office, (310) 395-3111, and sign up for one of the few remaining slots for a comprehensive nutritional consultation with Dr. Ben Weitz. Thank you, and see you next week.

 

Dr. Dale Bredesen discusses Alzheimer’s Disease Research Controversies with Dr. Ben Weitz.

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Podcast Highlights

0:35  Alzheimer’s disease is the most common form of dementia and it’s the most common neurodegenerative disease, and numbers are increasing.  Conventional medical research has not produced any successful drugs or treatments.  Last year a controversial drug–Aduhelm (aducanumab) was approved for the treatment of Alzheimer’s disease, but it actually failed 3 of the 4 clinical trials that were conducted and while it reduces amyloid plaques in the brain, patients with Alzheimer’s disease do not actually improve but only get worse at a slower pace. And 35% of patients get painful brain swelling and some also get bleeding in the brain.

1:45  On July 21st in Science, an article was published that blew the lid off of the Alzheimer’s disease research.  It was revealed that images were likely falsified that were included in the landmark study published in 2006 by Dr. Sylvain Lesne, Karen Ashe, and others that was supposedly the first to proved that beta amyloid is actually the cause of Alzheimer’s disease.  This study was referenced in over 2000 other studies and is the basis of hundreds of millions of dollars of NIH and drug company research.  Therefore, this is perhaps the largest scandal in the medical research field and appears to me to call into question the 30-year-old beta amyloid Alzheimer’s disease hypothesis.

2:40  Another important paper, with Dr. Dale Bredesen as the senior author, was also published online in July in the Journal of Alzheimer’s Disease that demonstrates for the first time that a precision medicine approach, (a Functional Medicine approach) can actually reverse Alzheimer’s disease.  [Precision Medicine Approach to Alzheimer’s Disease: Successful Pilot Project. Toups, Kat et al.]

4:03  I asked Dr. Bredesen what the significance of this science article that alleges fraud that appears to have been committed by Dr. Lesne and possibly others?  His answer is “The Titanic that is mainstream medicine is sinking right before all of our eyes, having crashed into the iceberg that is chronic illness and that is the problem.” Alzheimer’s Disease, like diabetes and lupus and heart disease and cancer, is a chronic disease that is not going to be properly addressed by simply prescribing a drug.  Alzheimer’s disease researchers have developed many drugs to remove amyloid–bapineuzumab, solanezumab, gantenerumab, crenezumab, aducanumab, donanemab–but they don’t reverse the condition and at most slow down the progression a bit.  While Western medicine can effectively treat many types of infections, it is not effective for complex chronic illnesses like Alzheimer’s disease. 

6:27  Dr. Bredesen used the following analogy to explain why the reductionist approach of conventional medicine fails when dealing with complex, chronic diseases: “imagine that you took your jets from all the different jets that are flying, from all the different groups, from Delta, United, American and so forth and so on, and you took them in for servicing, but you said you can only limit it to one prescription. You give one thing, you can either fill it up with gas or you can fix the oil, or you can look at the engine, but you can only do one thing. These jets would be crashing left and right.”  If you see a patient with hypertension and instead of asking why that patient has hypertension and all you do is write a prescription that prevents your body from doing what it’s trying to do.  This is an outdated way to practice.

7:27  To be fair to Dr. Lesne and Dr. Ashe and the other researchers involved in this scandal, it should be pointed out that this started with an investigation into a drug being developed by Cassava Sciences, and Martin Schragg, the neuroscientist who discovered the falsified images, was being paid by a financial firm that was shorting the stock to make millions of dollars, so this is quite questionable and likely illegal.

9:01  One of the issues with Alzheimer’s research is that while we know that amyloid has something to do with the condition, it is not the root cause, which is why drugs that reduce amyloid do not make patients better.  Amyloid is more a mediator than a cause.  As Professor Rudy Tanzi has shown, amyloid is an antimicrobial peptide that results from infections in the brain among other insults.  What Dr. Bredesen’s research has shown is that there is often a network insufficiency, so you may need more energetics, more mitochondrial function, blood flow, oxygenation, and keytones.  You need growth factors like NGF and BDNF, hormones like estradiol and testosterone and nutrients like vitamin D.  On the negative side are various toxins like mycotoxins, inorganics, organics, air pollution, inflammation… etc.

15:03  The pandemic created conditions likely to increase the risk of Alzheimer’s disease over time.  Citizens are ordered to stay in their homes and everybody is very stressed out.  Many people ate poorly and did not exercise since gyms were closed and the average person gained 29 lbs. And we have a virus ravaging the country that we know penetrates the brain.  Many patients after COVID end up with brain fog as a part of long COVID.  We don’t know, but in some cases this may be one of the earliest stage of Alzheimer’s and there have been several people who have developed Parkinson’s disease from COVID.  The first period you’re asymptomatic but you can pick up changes on PET scans and spinal fluid.  Then you have Subjective Cognitive Impairment (SCI), which lasts about 10 years.  During this stage, you know something is wrong but you may score normal on standard cognitive testing.  The third stage is Mild Cognitive Impairment (MCI), which is actually a relatively late stage of the disease.  And then the fourth and final stage where you’ve now begun to lose activities of daily living is, of course, what we call Alzheimer’s.

17:38  Dr. Bredesen just published a paper online in the Journal of Alzheimer’s Disease and it will be published in print this month (August):  and just basically showing that with a proof of concept trial, we made 84% of the people actually better:  [Precision Medicine Approach to Alzheimer’s Disease: Successful Pilot Project. Toups, Kat et al.]  84% of patients got better and had improved cognitive scores and their gray matter in their brains got larger on mri.  This trial uses a functional medicine approach looking at inflammatory markers, various metabolic pathways, pathogens, toxins, nutrient levels, etc.. 

22:18  Dr. Bredesen’s approach is not being well received by the conventional neurology community because they have been trained to practice 20th century medicine and they are reluctant to give up that approach.  We need to teach 21st century medicine (precision medicine, functional medicine, integrative medicine, P4 medicine) in medical school.  Instead of just asking what is it and then writing a prescription, we need to ask why is it?  What are all the things that contributed to the current state of affairs?  We need larger data sets and we need to look at how we can address all of the different contributors to neurodegeneration. 

23:48  Two Contrasting Studies.  We need to get the word out about these 2 contrasting studies. One study with aducanumab, where they are trying to argue for efficacy, when it’s clear that this drug did not really have a significant impact, and the other study using a precision medicine/Functional Medicine approach where it’s clear that there were more improvements.  To do justice to a Functional Medicine approach we need a new model for scientific studies. According to Dr. Bredesen, “So we’ve got to find a better way to do our trials. And again, we have to match up the way we do with trials with what the science is telling us. The science is telling us this is not a single variable problem. This is a network insufficiency. And to get best outcomes, we’re going to need to address different parts of that network.” 

29:03  The best benefit for patients with Alzheimer’s and other chronic diseases is to intervene as early as possible.  For Alzheimer’s disease the early signs break down into an amnestic and a non-amnestic presentation. Amnestic patients typically have problems with short term memory like remembering where they left their keys or what they had for breakfast.  The other, non-amnestic presentation patients will have problems with executive function and will have problems with planning. They also have trouble with word finding, what’s called primary progressive aphasia or it’s trouble with recognizing shapes and faces, what’s called posterior cortical atrophy.  They can have trouble with calculations, another parietal lobe problem. Dr. Bredesen said that when he sees patients with a non-amnestic presentation, especially if they’re relatively young, they’re in their fifties, for example, they are strong candidates for toxin associated cognitive decline, often related to biotoxins such as mycotoxins. 

31:48  Cognoscopy. Dr. Bredesen recommends that everybody who is 45 years or older get a cognoscopy, which includes very detailed lab testing much beyond the limited labs included in a typical annual exam, a simple online cognitive assessment, then if you have symptoms or score poorly on the cognitive exam, an MRI with volumetrics, such as a Neuroquant. If this is the case, then you want to get on active prevention.  There is a tendency for neurologists to see mild forms of cognitive dysfunction as part of normal aging and to just wait until things get bad and then you take a drug that doesn’t help much. The goal is to keep everyone sharp until 100.

33:47  Conventional neurologists also do not recommend that patients check their APOE status, which is the most common gene association with Alzheimer’s.  If you have no copies of AOE4 your lifetime risk of Alzheimer’s is 9%. If you have a single copy of APOE4, it’s about 30%. And if you have two copies, it’s way over 50%, so most likely, you will get Alzheimer’s.  You should check your APOE status early and get on appropriate treatment and prevent yourself from getting Alzheimer’s disease.  A cognoscopy will look at many sources of inflammation, including leaky gut and even the oral microbiome, since these pathogens can get into your brain. And if pathogens do get into the brain, it coats them with amyloid to kill them and bar them from getting to the rest of the brain.  Some people are lowering their oxygen to their brain due to sleep apnea. For some people, it’s more vascular, so it’s important to know what and why your risk is.

36:22  Nutrient status.  Mainstream medical doctors will tell you that supplements are not a cure for Alzheimer’s and of course, they are not, but as part of a program that involves diet, exercise, and lifestyle changes, appropriately chosen nutritional supplements can play a positive role.  Part of preventing Alzheimer’s is to eliminate network insufficiency.  Take vitamin D, which interacts with so many receptors around the body. It enters the nucleus of the cells and affects hundreds of genes so that it changes your immune system, your response to COVID, your heart disease related problems, your calcium metabolism, and your cognition.  Vitamin B12 deficiency has been associated with cognitive decline and we need not to just have enough to get to normal limits. You can have normal levels and die from having too little B12. You need to get your B12 levels at least 500 and 300 is not optimal.  Omega 3 is important, as are resolvins, their cousins. Magnesium is essential. Studies are showing nutritional levels of lithium are important both for behavioral problems and for cognition.  And poor diet can contribute to Alzheimer’s, though diet alone will not cure Alzheimer’s. Dr. Bredesen recommends a plant rich, mildly ketogenic diet and he likes to see people have a 1.0-4.0 millimolar betaydroxybutyrate on a blood test and 10-40 for acetone on a breathalyzer test.

40:25  Dr. Bredesen’s favorite neurocognitive assessment tests are CNS Vital Signs, which is best for SCI (subjective cognitive impairment) and MoCA (Montreal Cognitive Assessment), which is best for MCI (mild cognitive impairment).

 

 



Dr. Dale Bredesen is a neurologist and an internationally recognized expert in the mechanisms of neurodegenerative diseases like Alzheimer’s Disease and the Chief Science Officer at Apollo Health. He is the author of the best selling books, The End of Alzheimer’sThe End of Alzheimer’s Program, and The First Survivors of Alzheimer’s. Dr. Dale Bredesen’s career has been guided by a simple idea: that Alzheimer’s as we know it is not just preventable, but reversible. Thanks to a dedicated pursuit of finding the science that makes this a reality, this idea has placed Dr. Bredesen at the vanguard of neurological research and led to the discoveries that today underlie the ReCODE Report.  Dr. Bredesen offers training for doctors and practitioners in his ReCODE system at his website at ApolloHealthco.com.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also specializing in Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure and also weight loss and also athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. Dr. Weitz is also available for video or phone consultations.



 

Podcast Transcript

Dr. Weitz:                            Hey, this is Dr. Ben Weitz, host of the Rational Wellness Podcast. I talk to the leading health and nutrition experts and researchers in the field to bring you the latest in cutting edge health information. Subscribe to the rational wellness podcast for weekly updates and to learn more, check out my website, drweitz.com. Thanks for joining me and let’s jump into the podcast.

Hello, Rational Wellness podcasters. Today, we’re going to be talking about a controversy in Alzheimer’s disease research. Alzheimer’s disease is the most common form of dementia and it’s the most common neurodegenerative disease, and numbers are increasing. It’s crucial that we make some progress on preventing and treating this horrific condition, but conventional research has not been all that fruitful and has centered on the role of beta amyloid protein plaques that are found in the brains of most patients with Alzheimer’s disease. No successful drugs or treatments have been developed based on this amyloid theory of Alzheimer’s prior to the approval of Biogen’s Aduhelm last year.  But this drug was approved with much controversy. Since it failed three of the four phase three clinical trials conducted by Biogen and three of the scientists on the FDA advisory board resigned in protest over this drug being approved. While at Aduhelm does reduce amyloid plaques in a brain, none of the patients get better, but only get worse at a slower pace. And 35% of patients get painful brain swelling and some also get bleeding in the brain.

And then on July 21st in Science, an article was published that blew the lid off of the Alzheimer’s disease research. It was discovered after a six month investigation by Science Journal, that the results were falsified. In the landmark study published in 2006 by Dr. Sylvain Lesne, Karen Ashe and others that supposedly was the first to prove that beta amyloid protein was actually the cause of Alzheimer’s disease.  This is perhaps the largest scandal in the medical research field and appears to me to call into question the 30-year-old beta amyloid Alzheimer’s disease hypothesis. Since this study was referenced in over 2000 other studies and is the basis of hundreds of millions of dollars of NIH and drug company research.

On the other hand, another important paper on Alzheimer’s disease was also published in July, this in the Journal of Alzheimer’s Disease, the paper that demonstrates for the first time that a precision medicine approach, what I would describe as a functional medicine approach can reverse Alzheimer’s disease. Though, interestingly, it got much less attention than the other article that I just mentioned.  No presidential medal of freedom, no noble peace prize nomination. The principal author of this study is Dr. Dale Bredesen, who’s joining us today. Dr. Bredesen was the chief resident in neurology at the University of California, San Francisco and he’s the founding president and CEO of the Buck Institute Program on Aging. Dr. Bredesen has published over 200 scientific papers and he’s written a number of books, including The End of Alzheimer’s, The End of Alzheimer’s Program and The First Survivors of Alzheimer’s. Most importantly, he has developed this precision medicine program that he calls to ReCODE protocol that he’s teaching other doctors and practitioners that is the only treatment that has ever been shown to reverse Alzheimer’s disease. Dr. Bredesen, thank you so much for joining us today.

Dr. Bredesen:                    Great to talk to you, Ben. Thanks for having me.

Dr. Weitz:                          Excellent. So what do you think is the significance of this science article that demonstrates that this alleged fraud was committed by Dr. Lesne and possibly by others that he worked with?

Dr. Bredesen:                    Yeah. Great point. And you know, let’s pull back to the most important point here that you touched on a minute ago. The Titanic that is mainstream medicine is sinking right before all of our eyes, having crashed into the iceberg that is chronic illness and that is the problem. Whether you talk about Alzheimer’s, frontotemporal dementia, Louie body disease, ALS, autism spectrum disorder, late stage cancers, lupus, just go right down the list. We as physicians have been very successful at simple illnesses, pneumococcal pneumonia, TB, even HIV, which took three drugs, instead of one. These are the sorts of things we’ve been very successful with. We have not been successful, as you know, over 40 billion has now been put into Alzheimer’s research and drug development with nothing that really moves the needle. And so what happens is people keep going back to the idea, okay, can we remove the amyloid? Is that going to make you better?  And the answer time, after time, after time, bapineuzumab, solanezumab, gantenerumab, crenezumab, aducanumab, donanemab. Oh my gosh. But because there are hundreds of billions of dollars in the offing, if you can just get past the bar and the bar is very low, it’s not even make people better, it’s not even keep people steady, it’s can you slow the decline? And in the case, as you mentioned, in aducanumab in one trial at one dose, it slowed the decline by 22%. That’s it. And that was set to make hundreds of billions of dollars, but the problem is that unlike these simple illnesses where we know what causes COVID 19, we know what causes pneumococcal pneumonia, and in those cases, as long as we get after that main pathogen, we do pretty well. Unfortunately, Alzheimer’s is not that simple. It is a complex chronic illness.

It’s so interesting to me it’s as if imagine that you took your jets from all the different jets that are flying, from all the different groups, from Delta, United, American and so forth and so on, and you took them in for servicing, but you said you can only limit it to one prescription. You give one thing, you can either fill it up with gas or you can fix the oil, or you can look at the engine, but you can only do one thing. These jets would be crashing left and right. And it’s time for all of us to recognize that human beings are complex organisms. So this old fashioned idea that, oh, you have hypertension, we’re not going to ask why you have hypertension. We’re just going to write you a prescription that prevents your body from doing what it’s trying to do.  And this is really barbaric and it’s really outdated and this is just the latest. We’re watching that next piece of the Titanic going down mainstream medicine. So we need to look at larger data sets.

And so to be fair to Dr. Lesne and Dr. Ash and I’ve known Dr. Ashe personally for almost 40 years now. She is a brilliant neuroscientist and neurologist, MD, PhD from Harvard. I have no doubt that she was doing the right thing. I don’t know about the postdoc. I don’t know him personally. And there have been some questions about other data that he has published as well, so the jury is still out. As you know, this actually came from looking into a company that had used their data to go the next step and this was to create a drug.  This was Cassava Sciences to create a drug called simufilam. And the idea was it looked as if some of their blocks were questionable. And so there was a question raised about data coming out from both of those groups. And as you probably know, the Department of Justice is actually now looking into the Cassava Sciences situation. Now you can argue about whether it’s appropriate to criticize a study when you own the stock and you’ve shorted it purposefully to make many, many millions of dollars. It seems like that probably should be illegal. It’s a little bit like insider trading. You’re going to go short the stock, and then you’re going to go complain about the company and make lots of money, so that’s a separate issue, I think. It’s more of an ethical issue and legal issue, but there’s no question. And of course, others have been interviewed on this very topic.

There are some red flags in the research coming from both of those. And one of the issues here is people have gone, as you mentioned, just gone after, hey, this is an amyloid disease. Let’s get rid of the amyloid and let’s make it better. Unfortunately, that still hasn’t happened. So we have to now update our thesis. Amyloid is clearly involved in some way, potentially as a mediator, but it is not the upstream cause. And when you get rid of it, it doesn’t make things better. And so the work we’ve done in the lab, as you mentioned, we published over 200 papers on this and what we see is that amyloid is indeed just as Professor Rudy Tanzi and Robert Moir said several years ago, it is a response to various insults. And as they showed, it is an antimicrobial peptide. So what our research showed over the years is that the fundamental nature of the disease that we call Alzheimer’s is actually a network insufficiency.  So you have all these different factors and it’s basically four big groups. It’s energetics, you need enough energetics, mitochondrial function, blood flow, oxygenation, keytones all of those. You need enough trophic support and that’s growth factors like NGF and BDNF and that’s hormones like estradiol and testosterone and that’s nutrients like vitamin D. So those are the first two groups. And then the other groups which are on the negative side are the various toxins, so things like mycotoxins, inorganics, organics, of course, air pollution. A lot of this has been an issue with the air pollution and of course, the California fires. We are at increased risk. And then finally, anything produces inflammation and you can literally trace the molecular biology as NF-kappa B gets activated, for example, and changes your production of amyloid goes literally from a growth and maintenance mode, over to a protective downsizing mode.

And it really is a beautiful story. It’s very much like what we saw in our country that happened with the pandemic. We were all told shelter in place, socially distance, don’t go to work, do your meetings on zoom and what happened? We go into a recession. So that’s the same thing your brain is saying, okay, I’ve been exposed to various toxins, various pathogens, and I’m going to go into a protective downsizing mode. And the amyloid is part of that. Now, unfortunately, yes, amyloid causes you to lose synapses. And so there are multiple forms of amyloid and each one has its own effect, but ultimately these things impact your mitochondrial function. They impact your insulin signaling. And so Dr. Ashe, I believe, in her papers was going after is there one predominant form that is the toxic form and they did beautiful work.  Now we’ll see if it holds up, but they did beautiful work to show that there’s something called a beta star 56, one particular form that seems to be quite toxic. Now my argument would be, yeah, it’s part of the downsizing and let’s face it, all the other ones have some degree of toxicity as well. Now, a number of other labs have tried to repeat that work. It’s not been clear. That hasn’t been held up as, yes, this is the obvious thing. This is the only thing that causes the problem.  And again, I would argue that this is more of a mediator, just like tau is also a mediator. These are mediators rather than the upstream cause. And that’s important because when you go after them, if you’re just going to remove that, but you don’t remove the cause, you’re going to have long-term problems, of course. So there are all sorts of theories. It’s herpes, it’s type three diabetes. As you know, theory, after theory, after theory, none of them has led to an effective treatment for this disease.

Dr. Weitz:                          Right, because they’re using this stripped down analytical, there’s got to be one pathway with one drug. I want to make a couple of points. One, just to wrap up what we were saying about the study is one of the things to say is that the original researcher, this Schrag guy, he was working for a hedge fund that could solve a drug, but the data that’s been reported in science was Science Magazine took his data and then they did their own six month investigation without any sort of hedge fund involved or anything else and hired several doctors, several experts at imaging and took six months to really investigate this before they actually reported their findings. So I think we should be pretty confident that those findings are free from influence.

Dr. Bredesen:                    Absolutely.

Dr. Weitz:                          And then second of all, one of the points that you’re making is we always have to think about the human body and the wisdom of the body and if the body is laying down a protein in the brain that’s damaging us, we’ve got to ask ourselves what’s going on? Our body doesn’t just lay down proteins to cause damage, to harm us. There’s usually a reason why. The reason why the body’s laying down cholesterol in the arteries is not to cause us to die of heart disease, it’s to protect the arteries from inflammation. And so therefore, the point you’re making about the brain is that the amyloid is actually helping to protect the neurons from infections, Rudolph Tanzi found out for the first time that, actually, pathogens like bacteria and viruses, and maybe even fungi can penetrate the brain and then also heavy metals and other toxins and all these things can cause damage to neurons. And the amyloid is originally the body’s attempt to try to protect us.

Dr. Bredesen:                    All these things.

Dr. Weitz:                          Oh yeah. The other point about the pandemic. If we ever wanted to have a situation that’s liable to increase the risk of Alzheimer’s disease, let’s close all the gyms. Let’s cause everybody to stay inside. Let’s have them stressed out. Average person gained 30 pounds. And then on top of that, we have this virus ravaging the community, a virus that we know penetrates into the brain. All the conditions are there the last two years. It’s not going to surprise me if we have an increase in Alzheimer’s disease.

Dr. Bredesen:                    Yeah, no. And that’s been one of the big concerns. As you know, there are all sorts of factors that influence us and just for perspective, let’s point out that there have been over a million Americans who have died from COVID 19. Of the currently living Americans, about 45 million of us will die of Alzheimer’s, so it actually dwarfs the COVID 19 pandemic, unfortunately. It’s just that, of course, it goes more slowly. So yeah, absolutely, there is a concern. There’ve already been a couple of people who developed Parkinson’s, as you know, associated with COVID 19. Fortunately, it’s only been a very few, so time will tell whether that… And I think what’s happening so far is that we’re seeing much more brain fog, especially in the long COVIDs, where people just know something is not quite right. And this may be the earliest stages because I think it’s important to point out that you don’t get Alzheimer’s overnight. You really go through four phases.

And what we call Alzheimer’s is literally the fourth and final phase. So you have a period where you’re asymptomatic, as you know, but you can already pick up changes on PET scans and spinal fluid. Then you go through SCI, subjective cognitive impairment, which actually lasts about 10 years, surprisingly, where you’re still able to score normally on standard cognitive testing, but you know there’s something wrong. And then the third of four stages is called MCI, mild cognitive impairment. That’s an unfortunate name because it’s a relatively late stage of the disease. It’s like telling someone don’t worry, you only have mildly metastatic cancer, very unfortunate term. And then the fourth and final stage where you’ve now begun to lose activities of daily living is, of course, what we call Alzheimer’s. So if everybody would come in the first two stages, prevention or early reversal, instead of the last two stages MCI or Alzheimer’s, which is the typical story, then we really could make this a rare disease, which is what it should be.

Now, you mentioned the paper we just published and it’s actually coming out in print this month, but it came out online in July in the Journal of Alzheimer’s Disease and just basically showing that with a proof of concept trial, we made 84% of the people actually better. They improved their cognitive scores, didn’t just slow their decline, improved their scores. And it was, of course, a functional medicine approach, going after what’s causing the problem, looking at their inflammatory markers, their various metabolic pathways, pathogens, toxins, all these sorts of things.  And we showed in that paper that, in fact, we improved the metabolic profiles of these patients. And in association with that, now we don’t know if it’s causal, but in association with that, not only did they improve their cognitive scores, improve their partner’s assessment of, oh, how well are they doing day-to-day? So there’s really real world improvement. But in fact, we actually improved their MRIs as well, so that their gray matter actually got larger. So just striking effects on these people. And we’re using those data to start a larger randomized controlled trial.

Dr. Weitz:                          That’s great. How many people are going to be in that trial?

Dr. Bredesen:                    This new trial, actually, we proposed initially a hundred, the statisticians came back to us and said, no, you’re having such big impacts on these people, you don’t need a hundred. The reason for these 1500 person trials that the drug companies are doing is because the effect is so small. You can’t get a statistically significant difference unless you do thousands of people. So for the effects we’re getting, we only need to do 72. We’ll have 48 of these in the treatment group initially. And then 24 in the control group that will get standard of care. Then after nine months, the control group, if they would like to, will then have six months of free treatment with the approach that we’re taking, the precision medicine approach. So everybody will ultimately be treated, but of course, it’s important to compare it to standard of care.

Dr. Weitz:                          That’ll be really interesting to see a group that gets standard of care and then does get some of the care, but a shorter period of time and then the other group.

Dr. Bredesen:                    Absolutely. And I should say, I’m really honored to be working with three absolutely outstanding physicians in the first paper and now six outstanding physicians for the second paper. We have Dr. Kat Toups from the East Bay here near San Francisco. We have Dr. Ann Hathaway, who’s right here in Marin County. We have Dr. Kristine Burke, who’s from Sacramento, Dr. David Haase from Nashville, Dr. Craig Tanio from Miami and Dr. Nate Bergman from Cleveland. So really excited to be working with six now absolutely outstanding physicians. We had three for the first group, and I should mention Deborah Gordon as well, who is in the first study, but is actually just retiring now.

Dr. Weitz:                            That’s great. That’s awesome.

 



 

 

Dr. Weitz:                            We’re having a great discussion, but I’d like to interrupt our talk for a few minutes to tell you about our sponsor for this podcast episode, Integrative Therapeutics. This is one of the few professional brands of nutritional supplements that I carry in my office. I’d like to highlight some research with Integrative’s highly bioavailable and absorbable form of curcumin called Theracurmin.  A study was conducted at UCLA for 18 months with elderly men with memory decline, though not Alzheimer’s disease. And the study showed that this regular dose of Theracurmin, which is two capsules a day, resulted in significant improvements in memory and in mood. They also did PET scans of 67% of the subjects in the study and noted a significant decrease in amyloid tangles and Tau proteins in the Theracurmin group. A second study was completed in 2021 and published in current Alzheimer’s Research using Theracurmin and they looked at Alzheimer’s patients in this study with mild cognitive impairment, and they gave them Theracurmin for six months, the typical dosage of two capsules a day. And while they did not see a reversal of impairment, they did observe that the Alzheimer’s disease stabilized and cognitive decline was completely halted, which is an awesome result, much better than any of the leading Alzheimer’s drugs. And now back to our discussion.

 



 

Dr. Weitz:                            How well is your information being received by the conventional neurology community?

Dr. Bredesen:                    That’s a great point, not well at all. And so this is the problem. What we’re saying is guys, you’re all sitting on the Titanic, writing in prescriptions as it’s going down because of the chronic illnesses. You need to change course. You need to do something completely different.  The problem is when your whole medical school experience, when your whole career has been about 20th century medicine, you’re very reluctant to give that up and to say, okay, this is actually going in the wrong direction. It’s very hard for people to admit, hey, this is going in the wrong direction.

So I do think in the long run, we need to teach in medical school more modern medicine, more 21st century medicine, more precision medicine, functional medicine, integrative medicine, P4 medicine, whatever you like to call it, where instead of asking the question, what is it? Is it lupus? Is it RA? What is it? And write a prescription, we need to ask, why is it? What are all the things that contributed to the current state of affairs? Human beings are complex organisms. There’s no question about it, especially when you’re trying to treat their brains. And so we need to have these larger data sets and we need to look at how we can address all of the different contributors to neurodegeneration.

Dr. Weitz:                            Yeah. I think what we just said about these two contrasting studies, that’s got to be common knowledge that conventional medical model is just not working for chronic diseases that are the main problem that we’re facing in medicine today. And just finding the one cause and the one drug is just not going to work for any of these conditions without addressing lifestyle and diet and exercise and sleep and exposure to toxins and nutrient status and all the other things that affect our bodies.

Dr. Bredesen:                    Yeah. I mean, you mentioned before, really, people have tried to ignore the fact that we just published, hey, for the first time, here’s something you can do about this disease. It’s not just anecdotes. And these clinical trials, they have a CTAD, which is clinical trials and Alzheimer’s disease meeting. This is a tale of two CTs. So two clinical trials, one with aducanumab where they’re trying to argue for efficacy, when it’s clear to anyone that they didn’t have an impact. And then here’s one where we’re using much more of a precision medicine approach where it’s clear that there were improvements. Now, one of the, I think, fair criticisms is you need to do a larger study and you need to do a control, where we used historical controls, in part, because when we first went to the IRB with this, they would not allow us. They said, look, this isn’t standard of care yet. So you got to start with an observational trial. If that works, then okay, now you go through more of a standard randomized controlled trial. Okay. Fair enough.  So we’ll get there, but at the same time, we know what happens to patients with Alzheimer’s and MCI. They don’t typically get better. Yes, a few people with MCI may see an improvement, but I think to me, one of the best meters for comparison here is that we worked with a trial expert, Dr. Kat Toups, and she did dozens and dozens of trials during her career. And she never saw improvement. So she was part of this trial that we just published. In fact, she was the lead author on the trial and she has never seen results like this before, so that gives you someone who did lots of trials with standard of care.  And now is doing a trial with a functional medicine approach and can see the much better outcomes.

Dr. Weitz:                            I’m sure one of the criticisms is going to be that what’s the acceptable model for study is that you just change one variable. Everything has to stay the same in both groups and one group gets one thing different and that’s because that’s the way you study drugs and anything else is not considered state-of-the-art research.

Dr. Bredesen:                    Exactly. Yeah. So we’ve got to find a better way to do our trials. And again, we have to match up the way we do with trials with what the science is telling us. The science is telling us this is not a single variable problem. This is a network insufficiency. And to get best outcomes, we’re going to need to address different parts of that network.

Dr. Weitz:                            Eventually, the whole medical model needs to change if we’re truly going to have a 21st century medicine that’s addressing the chronic diseases of today. This idea that the insurance companies are controlling the healthcare system and doctors are limited to this very short office visit where they can go in, figure out what the diagnosis is, write a prescription for a drug and that’s the end of the visit is just not going to work for these chronic diseases like autoimmune diseases, like Alzheimer’s, like diabetes, et cetera, cetera, that require a systemic of functional medicine or broader approach that involves changing diet, lifestyle, et cetera. So somehow the medical model has to change.

Dr. Bredesen:                    I couldn’t agree more. We as a society must decide if healthcare is ultimately about incomes or outcomes. The problem is it’s all been about incomes. How do they make more for this drug company? How do they make more for the healthcare model? And that’s why things are falling apart. We have to look more at outcomes. Can we get people to improve from these various diseases? Then we figure out how best to get them the appropriate protocol and what healthcare system will offer this. Those are the sorts of things, but we’ve gone down this blind alley and we’re now stuck at the end of it.  Not to mix too many metaphors here, but we’re stuck at the end of this blind alley and it’s just not working. As everybody knows, medicine is broken. And you look at people who are practicing functional medicine. Oh my gosh, they’re getting better outcomes with cognition. They’re getting better outcomes with things like autism. They’re getting better outcomes with things like autoimmune diseases and you just go right down the list. And so we really need to be looking at how do we change medicine for the advantage of the patients instead of the companies.

Dr. Weitz:                            So the best benefit for patients with Alzheimer’s, just like it is for all these other chronic diseases, these autoimmune diseases, that there’s this long, long, slow progression towards disease. And how do we intervene as early as possible? So what are some of the most important early warning signs that somebody’s brain is going the wrong direction?

Dr. Bredesen:                    That is a great point. As you know, you can basically break it down into two groups, about two-thirds of people that are starting to have cognitive decline and ultimately down the road will have Alzheimer’s disease will start with what we call an amnestic presentation. So they’ll have problems with memory. And it’s typically short-term memory, it’s consolidation. It’s basically remembering what you had this morning for breakfast, remembering where you left your keys. And, of course, so commonly people say, well, I can’t remember this or I can’t remember that. And of course everything is backward because there hasn’t been a good treatment. So people will say, “Don’t worry, it’s probably not Alzheimer’s.” Well, that doesn’t help. What you want to do is fix whatever it is and make sure that you don’t get Alzheimer’s. Then the other one-third about of people will come in with a non-amnestic presentation and that is executive function, so planning problems.

I always ask people if you had to get a bunch of stuff together, throw it in a suitcase and get out the door in one hour, could you do that? And they’ll say, “Oh no, I can’t do that anymore.” They’ll have trouble at their jobs because they just can’t organize things the way they used to or it’s trouble with word finding, what’s called primary progressive aphasia or it’s trouble with recognizing shapes and faces, what’s called posterior cortical atrophy. Things like that, problems with calculations, another parietal lobe problem. So those are the non-amnestic presentations. And what we’ve found is that in general, as a general rule, when you have someone that has a non-amnestic presentation, especially if they’re relatively young, they’re in their fifties, for example, we see this now all the time, they are strong candidates for toxin associated cognitive decline, often biotoxins.  So please look carefully at the mycotoxins. If someone is coming in in the fifties, they’ve got a non-amnestic presentation, especially if they’ve had some depression in association with it. This is something that I did not see way back in the eighties when I was a resident in neurology. And now it’s one of the more common presentations. And as you indicated, this is going on for years.

So we recommend everybody who is 45 years or older, please get a cognoscopy, just like we know you get a colonoscopy when you turn 50. And my wife and I had his and hers colonoscopies on Valentine’s Day when we were in our fifties. So we’re like, look, let’s get this over with and then we can relax a little. So everyone, please get a cognoscopy if you’re 45 or over, that’s some blood tests that look at these various things and things looking at the stuff that your doctor typically isn’t looking at.  Second part of a cognoscopy is a simple online cognitive assessment. Everyone should have one of those to know where you stand because this can sneak up on you. And then the third part, if you have symptoms or if you score poorly on the cognitive exam, please also get an MRI with volumetrics, but if you did well and you’re just there for prevention, don’t need the MRI. And then, get on active prevention or the very earliest reversal I just had a group that contacted me the other day, husband and wife actually where they’re both physicians and the wife said, “Well, my husband is having problems and we took him to the neurologist and he said, oh yeah, this is just normal aging.” This guy had gone past phase one, past phase two, past phase three and now was in early stage of dementia, but he was told by his doctor, his neurologist, that this was just normal aging. And actually this guy turned out to have hydrocephalus.

So, oh my gosh, this should never be missed. Please, please get in early. The reality is Alzheimer’s should be a rare disease. We should keep our cognition. The goal is to keep everyone sharp to a hundred. And this idea that the current standard of care, you just wait for things to get really bad. And then you go in and get a drug that doesn’t help much. That is barbaric.

Dr. Weitz:                          So how did this neurologist miss that? Did he not give him a cognitive assessment test?

Dr. Bredesen:                    No. Well, what he did was he said, “This is just normal aging, so I don’t need to do anything more.” The other thing is, the foundations are hurting us, because one of their recommendations is you don’t need to check your APOE status. This is the most common gene in association with Alzheimer’s because there’s “nothing you can do about it” don’t bother to check it. Now, three quarters of the population is APOE4-negative. Typically, it’s a APOE33, which is the most common or APOE23, which is relatively resistant. Now, if you have no copies of APOE4, your chance of Alzheimer’s during your lifetime is about 9%, not too high, but it’s not zero. If you have a single copy of APOE4, it’s about 30%. And if you have two copies, it’s way over 50%, so most likely, you will get Alzheimer’s. Now the reality is none of these people should be getting it, check it early, get on appropriate treatment and prevent yourself from getting Alzheimer’s disease.

Dr. Weitz:                          Yeah, a similar situation exists with lipoprotein (a), LP little a, for cardiovascular disease because there’s no drug that’s presently approved to reduce it. Doctors don’t want to do the test. The insurance companies don’t want to pay for it. And of course, they’re working on a drug in a couple of years and once that drug’s available, then they’ll do the test, but the reality is, we need to know if this person has this atherosclerotic risk and there are things we can do naturally to reduce the risk.

Dr. Bredesen:                    Yes, exactly. So many things. And, again, if you get a cognoscopy, then you can actually get a report that looks at different pieces of this and says, here are your major risks. And so that people can know, ah, because some people it’s more about inflammation. It’s about specific pathogens or it’s about leaky gut. Of course, oral microbiome, as you indicated, these pathogens can get into your brain. And of course, what does your brain do in response? It coats them with amyloid to kill them and to bar them from getting to the rest of the brain, to cordon them off. That’s what amyloid does. And so you can get these things and you can look also some people it’s more atrophic. They don’t have enough support for their brain. Some people they’re lowering their oxygen. It’s more energetic. They lower their oxygen at night, for example. Some people it’s more vascular, so it’s important to know what your risk is and why your risk is.

Dr. Weitz:                          Can you just talk for a minute about how certain nutrients like vitamin D or omega-3s or some of these other nutrients, some of the B vitamins are crucial for brain health because you hear from a lot of the conventional primary care doctors that all the studies show that there’s no benefit to taking nutritional supplements.

Dr. Bredesen:                    Yeah. It’s so silly. It depends, of course, on how you couch the question, if you say, okay and what’s typically said is by the mainstream doctors, supplements are not a cure for Alzheimer’s. Of course, they’re not, nobody’s saying they are. And yes, to be fair, there are silly commercials that make claims where they haven’t supported them, when you’ve actually had a trial that gives you some support for, yeah, this actually helps. So you need to do that. But when you look at improving your neurochemistry and again, this is about a network insufficiency, so you got to find out what’s being insufficient. Is it because you’re asking too much because you got a lot of inflammation? Is it because you have low nutrient? And of course, poor nutrition is everywhere. We see it all the time with things like metabolic syndrome.

And of course, NASH, non-alcoholic liver disease, NAFLD, all this stuff. So, this is an issue and yes, as you indicated, vitamin D is a great example, one among many. Vitamin D, of course, interacts with its receptors. It enters the nucleus and affects hundreds and hundreds of genes so that it changes your immune system, changes your response to COVID changes your heart disease related problems, of course your calcium metabolism, but also your cognition. So that’s an important one. Of course, B12. B12 deficiency was shown and has been shown four years to be associated with cognitive decline. And it would always amaze me that, in what we call within normal limits, at the low end of that, you could literally die from B12 deficiency, but it was still being called within normal limits. You could be normal and die from having too little B12.

Again, we urge everyone get to that midpoint or above there. You want to be more in the 500 to a thousand range. You don’t want to be at the 300 or the 280 or any of that sort of stuff. And then there are others, as well. As you indicated, omega-3, resolvins, which are cousins of the omega-3s. Of course important, when you get inflammation to resolve that. As professor Charles Sirhan from Harvard showed a number of years ago, and you can just go again, on and on down the list. Magnesium, of course, there are studies suggesting lithium is also important, especially for behavioral things, but also important for cognition. And so yes, having appropriate nutrition and that starts with getting an appropriate diet. And again, I get it. Diet is not a cure for Alzheimer’s, nobody’s saying it is, but poor diet is certainly a contributor to cognitive decline. There’s no question about that. And we see it all the time.

So what we recommend is a plant rich, it doesn’t have to be exclusively plants, but a plant rich, mildly ketogenic diet. We’d like to see people 1.0 to 4.0 millimolar beta hydroxybutyrate if you do a blood test. If you want to blow in to a breathalyzer, like a Biosense, that sort of thing, then you want to be 10 to 40 on their “ACEs scale” for your acetone, so, yeah, sometime during the day. So plant rich, mildly ketogenic diet with appropriate periods of fasting, 12 to 16 hours, because critical things happen there with reducing inflammation and with cleaning your brain, appropriate autophagy. So phytonutrients are key. Appropriate fiber is key. All of these things are helpful for your cognition.

Dr. Weitz:                          That’s great. What’s your favorite neurocognitive assessment test?

Dr. Bredesen:                    Yeah, there are a number of these. I tend to like to use CNS Vital Signs because it tests various things, and we use that in our trial with MoCA scores. MoCA is great because it’s very quick, SLUMS, same idea. These are both zero to 30 point scales. MMSE is another one with a zero to 30. The only issue with MMSE, it’s more for people who have dementia. It’s not so good for picking up the earlier ones. So MoCA is good for MCI, which is, by the way, why it was developed. MMSE good for dementia, and then CNS Vital Signs good for SCI. Those two together give you a nice dynamic range. And we’re interested, by the way, in looking at people who have very low scores. I would call this the “Sarah trial,” severe Alzheimer’s reversal attempt and we’re looking at that down the line, but right now we’re focused on this RCT that I mentioned earlier.

So I like CNS Vital Signs, but, of course, there’s Cambridge. There’s a group out of University of Texas that has another very good one. So different people like different ones, but whatever you use, you want to have something. First of all, don’t take people four to six hours. Some of these older ones are just horribly long and very stressful. Stress is not good for these people, especially the ones who have toxin associated cognitive decline. So make it easy on them and use something that can be done online and fairly quickly and that tests various areas of the brain. You want to look at the verbal memory. You want to look at the spacial memory. You want to look at the executive function. You want to look at spatial recognition, things like that.

Dr. Weitz:                          And should we be considering using an MRI that looks at the volume of the brain as a screening tool as well? Maybe that would be something that everybody who’s really into longevity and prevention should get.

Dr. Bredesen:                    And as you know, people have done total body scans as part of the longevity studies. I think it’s fine. My only point is if you want to keep it simple, you don’t have to do that if you truly are for prevention, but if you prefer to do that, absolutely. And certainly if you are there and you’ve already got symptoms, you absolutely should do an MRI with volumetrics and the volumetrics add a lot because you’re looking at what is the hippocampal volume? What is the gray matter volume? What is the parietal lobe volume? Temporal lobe volume? Do you potentially have some normal pressure hydrocephalus? Is there in fact, a chronic non-malignant brain tumor, like a meningoma or a minimally malignant one that might have been missed. So all of these things are very helpful to know.

Dr. Weitz:                          Is the MRI with volumetrics NeuroQuant? Is that an example of that? Or that’s-

Dr. Bredesen:                    So there are two different groups, NeuroQuant and Neuroreader, they both work very well.

Dr. Weitz:                          Okay. Excellent, excellent. Good, good. Always a pleasure to talk to you, Dr. Bredesen, excellent information. I’m very excited for more people to learn about your work and for practitioners to start figuring out how we can really reverse Alzheimer’s disease by taking this systems approach.

Dr. Bredesen:                    Thanks so much, Ben, for having me on and I appreciate the fact that when you do your various interviews, you don’t have any fraud. You don’t fix the interviews, you don’t change the words coming out of the mouth, you don’t to have Science Magazine go after you and say there’s no cure from Alzheimer’s and you change their words, [crosstalk 00:44:15] And the here’s the problem. We appreciate that.

Dr. Weitz:                          Don’t give me any ideas. So can you tell people how especially, I guess, practitioners about your training programs?

Dr. Bredesen:                    Yeah. Great point. So we have a training program. We’ve trained now over 2000 physicians in 10 different countries and all over the US. This is so called ReCODE 2.0 training and it’s also available for health coaches, for neuropsychologists, for nurse practitioners, in all of those groups as well and hopefully to get them, to look at the right things and to have a strategy that will help to get the best outcomes. And you can look at ReCODE 2.0 training. You can look at Apollo Health. We set this up with Apollo Health Co. And so any of these to give you more information, also have a Facebook Dr. Dale Bredesen, so you can follow there or on Twitter or on Instagram.

Dr. Weitz:                          Awesome. Thank you, Dr. Bredesen.

Dr. Bredesen:                    Yeah. Thanks so much, Ben. Great to talk to you.

 


 

Dr. Weitz:                            Thank you for making it all the way through this episode of the Rational Wellness Podcast. And if you enjoyed this podcast, please go to Apple podcast and give us a five star ratings and review. That way more people will be able to find this Rational Wellness Podcast when they’re searching for health podcasts. And I wanted to let everybody know that I do now have a few openings for new nutritional consultations for patients at my Santa Monica White Sports Chiropractic and Nutrition Clinic. So if you’re interested, please call my office (310) 395-3111 and sign up for one of the few remaining slots for a comprehensive nutritional consultation with Dr. Ben Weitz. Thank you and see you next week.

 

Dr. Tom O’Bryan discusses the Gut Health/Autoimmune Disease Connection with Dr. Ben Weitz at the Functional Medicine Discussion Group meeting on July 28, 2022.

[If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.] 

 

Podcast Highlights

 

 



Dr. Tom O’Bryan is a Doctor of Chiropractic, a best-selling author, and an internationally recognized speaker focusing on food sensitivities, environmental toxins, and the development of autoimmune diseases. His 2016 book, The Autoimmune Fix won the National Book Award and the docuseries he released the same year, Betrayal: The Autoimmune Disease Solution They’re Not Telling You  has been seen by over 500,000 people worldwide. He also organized The Gluten Summit – A Grain of Truth. His website is www.theDr.com  His second book You Can Fix Your Brain: One Hour a Week to the Best Memory, Productivity, and Sleep You’ve Ever Had was also a best seller.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also specializing in Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure and also weight loss and also athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. Dr. Weitz is also available for video or phone consultations.



 

Podcast Transcript

Dr. Weitz:                            Hey, this is Dr. Ben Weitz host of the Rational Wellness Podcast. I talk to the leading health and nutrition experts and researchers in the field to bring you the latest in cutting edge health information. Subscribe to the Rational Wellness Podcast for weekly updates, and to learn more, check out my website, drweitz.com. Thanks for joining me, and let’s jump into the podcast. If you do listen to the Rational Wellness Podcast, please give me a ratings and review on Apple Podcast.



 

So our sponsor for this evening is Integrative Therapeutics, and so I’m going to read a little bit about a few products from Integrative Therapeutics. Integrative Therapeutics is one of the few professional brands of nutritional supplements that we carry in our office.  So one product is a Physician’s Elemental Diet, this is an aggressively hypoallergenic short term gut boost or reboot for any kind of autoimmune flare up related to permeability, and it works excellent for SIBO and most other gut problems. It’s typically a two week deal, but it’s been shown to be as effective as Rifaximin or the other leading strategies for SIBO. Another excellent product that we use a lot is Theracurmin, and this is their water soluble curcumin, and it has the highest bio availability and studies show you end up with the highest blood levels of all the forms of curcumin on the market, and there’s actually been quite a number of scientific studies using this particular product, and another great thing about it is, the therapeutic dosage is two capsules a day, and then one more product from Integrative is Glutamine Forte, and this product contains five grams of glutamine per scoop with Theracurmin added as well, and it’s a great tasting powder that allows for dosage flexibility.

 



 

Dr. Weitz:                            Our speaker for this evening, Dr. Tom O’Bryan, is a doctor of chiropractic, a bestselling author, a professor for the Institute of Functional Medicine and an internationally recognized speaker who focuses on gluten, food sensitivities, environmental toxins, and development of autoimmune diseases. His 2016 book, The Autoimmune Fix won the National Book Award and the docu-series he released the same year, Betrayal: The Autoimmune Disease Solution They’re Not Telling You, has been seen by over half a million people. He also organized the highly successful, The Gluten Summit. His website is thedr.com. His second book, You Can Fix Your Brain: One Hour a Week to the Best Memory, Productivity and Sleep You’ve Ever Had, was released in 2018, and it was another huge hit. Tom, thank you so much for joining us tonight.

Dr. O’Bryan:                        Thank you, Ben. Thanks so much, it’s really a pleasure. And thank you all for being here, I know it’s been a long day at work, probably, and appreciate your taking the time for this. I have found that my entire life, where I have shined the best is at a catalyst and in thinking about a bigger picture and in my practice, it was always that way, and that’s where I got the most juice, and certainly tonight’s going to be another example of that. I’ve got some ideas here to share with you that I think may not be new, but may have been put in the back corner of our awareness and I want to make sure they’re right in the front for everyone. Dr. Weitz, I need to be able to share my screen.

Dr. Weitz:                            Oh yes. Sure.

Dr. O’Bryan:                        And I’ve got way too many slides, I’m told that…

Dr. Weitz:                            Oh.

Dr. O’Bryan:                        I’m told that I speak faster than Jeff Bland and have more slides.

Dr. Weitz:                            Oh boy.

Dr. O’Bryan:                        So, sorry about that. And we’ll pause at some point, but put your questions in the Q&A, as Ben suggested, and we will get to them and I’ll stay with you guys as long as you want, or until my voice goes. So, here we go, let’s just get started. Fire in the hole, that’s a term that just resonates for me, that when you read the science on so much of what we’re dealing with from the gut and it’s contribution just across the board, I remember the old combat television show and other shows where they say, “fire in the hole”, and everybody dives down really deep, that’s what we’ve got going on in chronic inflammatory diseases.

I’m going to show you this. I’m just putting a clicker here on my computer, so I don’t have to keep hitting the button all night, it’ll take just a moment to get that up and running and see here if I can make it work. So let’s just move on here. Lots of gratitude to Ben for doing this, by the way, whoever the sponsor is tonight, the company that Ben referred to, he’ll put the email address for the rep for that in the chat room, could everyone just take a moment and copy it, paste it into your email box, send the guy a little thank you, “thanks for doing this, I really appreciate your company doing this.”

I mean, those people are working hard just like we are and they’re a business and they want to know that their investments make a difference, and I’m really grateful for Ben and the thankless job of what he does to host these events and people that do this all over the world, and I come to these events and give my time and really happy to do that because a rising tide lifts all boats, lifts all ships that as we all learn some of these topics, we can make an impact on humanity. So the sales rep for this company is doing it in his way, Ben’s doing it his way, I’m doing it my way, you’re doing it your way, but take a moment and just send a little thank you to that rep, it’ll surprise them and they’ll be happy with that.

All right, let’s move on here. This is my first mentor, Dr. George Goodheart, the founder of Applied Kinesiology and I had over 450 hours with George by my second year in practice, when I was still in school I began studying with him and we called him, The Great Wazu, that his knowledge base was just jaw dropping for us, and his presentations, his 10 hour weekends were at the Marriott Hotel at the Detroit Airport. So, people fly in from all over the world and we’d just hang out all weekend and celebrate, and the stage that George would stand on was a wooden stage in the room, and he would do this so many times in a weekend, he would lift up his right leg, cock his right leg up in the air, lift his right arm, and he would slam his foot down, “why doctor?”

And he’d slam his foot on that wood stage, and we’d all get startled by it. Some of you who may have seen one of his events will remember that, that was his signature. “Why? Why does the patient have what they have?” And he’d say, “you have to look with eyes that see, listen with ears that hear”, and I was a young stud and I’d say, “yeah, whatever”, I didn’t know what it meant, now I know what it means. That as we look a little deeper and as we look at the contribution of the mucosal lining of the gut in the development of rheumatoid arthritis or multiple sclerosis or Parkinsons, it doesn’t matter what disease you talk about, and if you put your consciousness inside the lumen of the small intestine, you do an OMG, it’s like, “oh my God, all of that is going on. Wow. That explains why…”

And there’s just more understandings that come up. Why was the question again and again, and again, look with eyes that see, doctor. Listen to the patient with ears that hear what they’re saying, and it formed my way of looking at patient mechanisms, where did all this come from? So between Dr. Goodheart and I attended my first Jeff Bland talk in Chicago in 1978, it was his first talk in Chicago, and I’ve been listening to Jeff ever since. So between George Goodheart and Jeff Bland, that formed my consciousness about asking questions internally, “why is this happening to this person? Where’s it coming from?” So what’s the most prevalent pathology at the root of practically every disease? Well, one of the most important medical discoveries of the past two centuries is that, it’s the immune system creating inflammation not just for a few select disorders, but for every chronic inflammatory disease, the immune system gets activated.

So the question is, what is it trying to protect you from? If your immune system is the armed forces in your body, the army, the Navy, the Air Force, the Marines, the coast guard, IGA, IGG, IGE, IGD, IGM, and then the innate immune system with all the cytokines, if it’s the armed forces trying to protect you, what is it trying to protect you from? Chronic inflammatory diseases are recognized as the most significant cause of death in the world today, and they dominate present day morbidity and mortality. Yes, okay. We know from the CDC that 14 of the 15 top causes of death today are chronic inflammatory diseases. Everything except unintentional injuries is a chronic inflammatory disease, which means, when you go down and when I go down, it’s going to be because of a chronic inflammatory disease, most likely.

And if it’s a chronic inflammatory disease, and I keep saying it that way for a reason, but if it’s a chronic inflammatory disease, chronic means it’s going on for a long time, and if you’ve heard me talk before, if you’ve read my books, you understand that you can identify the mechanism of rheumatoid going on 14 years before a person gets diagnosed with MS, and Hashimoto’s, seven years before they get a diagnosis, they’ve got elevated antibodies. With diabetes, 11 years, 11 to 14 years with diabetes, and that’s called predictive autoimmunity and read my book, The Autoimmune Fix and you’ll say, “oh my God, I didn’t know that”, and that was the formation of Cyrex Labs. I was privileged to be a part of the initial team at Cyrex, that’s why I moved from Chicago to California in 2010, was to open Cyrex.

And we talked about all of the markers to use and which one should be on which test and why this one and why that one and Cyrex Array number five, the autoimmune panel looks at 24 different antibodies to self, and when you get these elevated, and I did this test myself in 1999, when it was still in the research phases and I got my test results and I called the lab, I said, “what is this? This is a mistake”, because I was in my early forties doing triathlons and scoring the top 10% of the 30 to 35 year olds, I thought, “I’m a stud, I’m healthy”, but my test came back and I had three antibodies elevated to my brain, myelin basic proteins, cerebellar peptides and gangliosides, and I called them and I said, “this is a mistake.” “No, it’s not.” “To do it again.”

“We did. We know it’s you. We did it again. Sorry.” And that’s when I learned about predictive autoimmunity and that these mechanisms go on for decades sometimes before you ever have any symptoms, killing off cells, killing off cells, killing off cells. So a chronic inflammatory disease is chronic. By the time they get symptoms, the body can no longer compensate for the insult and the inflammation killing off cells, killing off cells, killing off cells. I love this drawing, because at the center of every chronic inflammatory disease is systemic chronic inflammation, well, that makes sense. So what’s turning the wheel of systemic chronic inflammation? Well, it’s disbiosis and obesity and physical inactivity and chronic infections, bacterial and viral and food selections and chronic stress and stress hormones, lack of sleep, xenobiotics, that turns the wheel of the chronic inflammatory cycle that manifests wherever the genetic weak link is for the person. Type two diabetes, non-alcohol product liver disease, cardiovascular disease, the list goes on and on, but it’s not just the genes, don’t ever say genes cause disease. No, they don’t. You pull it a [inaudible 00:15:10]

There are some like cystic fibrosis and down syndrome, those are unfortunate, and if you carry those genes, it’s a really difficult one to quiet down, but with all of the other genetic vulnerabilities, the goal is to dim down those genes from expressing themselves, you do not turn genes on or off, so please stop saying, “let’s turn those genes off for ApoE4 for Alzheimer’s”, they don’t turn off. They operate on a dimmer switch and you can dim down that function and ramp up the genes of anti-inflammation. So tell your patients about dimmer switches, and every time they cheat, they’re ramping up the genes of inflammation, and that helps them to understand and be more successful in applying the recommendations that you’re giving to people.

So what present complaints in your practice are not inflammatory? Well, accidents, they’re the only ones that are not chronic inflammatory conditions. Shifts in the inflammatory response from short to long live cause a breakdown of immune tolerance and lead to major alterations in every tissue in organ, as well as normal cellular physiology, which increase the risk for various non-communicable chronic inflammatory diseases.

Understanding both the internal and external processes that foster chronic inflammation may provide important insights into why people develop their chronic inflammatory diseases, and I put that in here because many of us forget about the endogenous triggers of chronic inflammation, the heavy metals, the pesticides, the insecticides, the list goes on and on, you have to explore that with every patient that’s got a chronic inflammatory disease, of course their diet, everybody knows, you put them on a gluten free diet and they start feeling better some way or another, usually that happens, but what’s inside has to be addressed also, all of the organal phosphates, the altered microbiome, you have to address that also. A complex balance exists in the intestinal ecosystem, highlighting is mine, that if disrupted, compromises the function and integrity of the intestinal ecosystem and is the trigger for chronic systemic inflammation. So, if 14 of the top 15 causes of death are chronic inflammatory diseases, when do you think the chronic nature of the inflammation begins for the person that’s presented in your office with symptoms? It’s years and sometimes decades before they develop a symptom.

So chronic inflammatory disease develop over time. I’m just going to breeze through this, I’m sure most of this is quite familiar to all of you, and for those that are not, it’s elaborated on in great detail in my book, The Autoimmune Fix, but here is the paradigm shifting article by Melissa Arbuckle in the New England Journal of Medicine, in 2003 we knew this, she went to the VA and she looked for people with lupus. She found 132 people with lupus in this one VA center. Now she knew that if they’re in the VA center, they’re veterans, if they’re veterans, they were in the armed forces, if they’re the armed forces, they had their blood drawn many times over the years when they were in the armed forces and healthy. What most people don’t know is that the government’s been saving almost all of their blood since 1978, they’ve got tens of millions of samples of our service people’s blood frozen.

Well, Melissa Arbuckle knew this, so she went back and asked for permission to look at the blood in storage of the currently diagnosed lupus patients when they were healthy in the Marines or the Navy, she got permission, and what’d she find? That auto antibodies for lupus, and there are seven antibodies to lupus, there’re all elevated years before there’s ever a symptom, and that the elevation follows a predictable course, and this is the drawing that she did, these are the seven antibodies to lupus and the zero line is the normal reference range, not that they don’t have any, but that they’re within the normal range, anything above the zero line means they’re elevated.

And you see every single antibody is elevated five years before they ever have a symptom, and some of these antibodies were elevated 11 years before they ever had a symptom, and there’s a predictable course of elevation every year that occurs, killing off cells, killing off… By definition, if you’ve got elevated antibodies, that means you’re killing off more cells than you’re making, that’s what elevated antibodies means. So when you get a test back that looks at 24 tissue antibodies, and you’ve only got three that, “oh, don’t worry, Mrs. Patient you’ve only got three”, nonsense, you can’t have any elevated, because you’re killing off more tissue than you’re making.

And this was a summary that she did that six years beforehand, every one of these antibodies were began at 50% above normal range, and then they just went up, up, up, up, up, and she did this bar graph or this drawing and she made it up, you have a normal level of antibodies, if you do a thyroid antibody test, why is there a normal level of TPO antibodies? When is it normal to have antibodies to your own tissue? Well, it’s because for cellular regeneration, “you have an entire new body Mrs. Patient every few years, every cell regenerates.” How does that happen? You have to get rid of the old and damaged cells. How does that happen? By antibodies, and by cytokines, they get rid of the old and damaged cells, so there’s a normal range of antibodies, but when you have elevated antibodies, you’re killing off more cells than you’re making.

So Dr. Arbuckle shows here, the normal level of antibodies, then they have what she referred to as benign auto immunity, it’s not benign, they’re just no symptoms, but it’s killing off cells, and then you have pathogenic because now you have symptoms and then you finally get a diagnosis.

And she identified the environmental factors and genetics were the two triggers that determine the progression of this cascade, and she was right on the money, this was back in 2003, almost 20 years ago. And this is the prodromal period where you can turn this around pretty easily usually, it’ll take time, but if you’re comprehensive, you can arrest the development of autoimmune diseases, and that’s what the book’s all about, and that’s what the scientists say, they use the word, arrest. So the prodromal period means before symptoms, it comes from the Greek word prodromal, which means precursor, and this is the prodromal period in the development of chronic inflammatory diseases across the board, and individuals at risk to developing autoimmune diseases should be advised to refrain from activities and lifestyle that endanger their health and quality of life, that’s our job, is to advise them, so to identify the activities and the lifestyle.

PART 1 OF 4 ENDS [00:23:04]

Dr. O’Bryan:                        … advise them, so to identify the activities and the lifestyle, which endangers our health and quality of life. And so many studies on this now, that we know, that if you have any of the antibodies to lupus elevated, you have a 94% to 100% positive, predictive value. You’re getting lupus in seven to 10 years. Scleroderma’s 100% within 11 years, rheumatoid 52% to 97%, 14 years. And you see for every one of the autoimmune diseases, how these manifest. Hashimoto’s, primary biliary cirrhosis, type one diabetes, Addison’s, Crohn’s, celiac, they all have the prodromal period. And this is the test that I referred to, that we came up with in 2010 and started testing people. And it’s jaw-dropping to see how many people have elevated antibodies to their own tissue.

And this is the Neural Zoomer Plus, which looks at 53 markers of inflammation to tissue of the brain and the central nervous system. So technology’s improved quite a bit, as we were saying before we started the presentation, but it’s the same concept, looking for the prodromal period before the development of a diagnosis of Alzheimer’s, or Parkinson’s, or schizophrenia, or bipolar, doesn’t matter, the diagnosis. That they have brain inflammation, chronic brain inflammation.

So, if we agree that chronic inflammation is the fuel in the fire for the vast majority of our patients, how critical is it to educate our patients? It’s bottom line, 101 critical. We have to educate them on the lifestyle that’s causing the problem. And just like we know cigarette exposure as a well-established cause of various health conditions, everyone explains that now, or everyone knows that now. But many, many different conditions have the accumulation of toxins creating endotoxin, this accumulated debris inside our body, that’s leeching out into circulation, creating this loss of tolerance that we get. We can’t tolerate it anymore and then our immune system gets called out to protect us. What’s it trying to protect you from? That’s the million dollar question. What is it trying to protect you from when you have an activated immune system? It’s not an immune system that’s gone crazy, it’s an immune system that’s trying to protect you.

So the question is, what’s it trying to protect you from? And eventually they lose tolerance and here comes the activated immune system, causing the collateral damage that it does as Arbuckle showed us, occurring years, 10 years or more, before they have any symptoms.

When the burden within an individual reaches a threshold, the immune system provokes a low grade systemic inflammation with substantial changes in the cytokine profile. I didn’t put the study in here, but I’ll just tell you this one as an example. This is just an example, and this is in JAMA, that they looked at couples going to assisted fertility centers and the editors of JAMA commented on the study. And they said, “This is an elegant study, with sophisticated biomarkers to prove their very sensitive point.” The editors of JAMA don’t do that very often. They’re giving their stamp of approval to this study. And what did they do? They looked at couples at assisted fertility centers. They’re spending tens of thousands of dollars trying to get pregnant and have a healthy pregnancy.

Well, they isolated all of the different factors that may impact on success and they isolated and compared people eating conventional fruits and vegetables and people eating organic fruits and vegetables, and they ruled out all the other factors. They divided them into fourths, the lowest, the second, the third and the highest four. And then they compared the two highest groups, the conventional to organic, eating the highest amount of fruits and vegetables, which we think is great. The Mediterranean diet. Oh, great, lots of fruits and vegetables.

Well, what they found when they compare the couples eating the highest amount of fruits and vegetables, conventional, versus the couples eating the highest amount of fruits and vegetables, organic. The couples eating the highest amount of fruits and vegetables conventional had an 18% less likely of achieving pregnancy, 18%. And they ruled out all the other factors. But if they got pregnant, it was a 26% less likelihood of having a live birth. Did you hear what I just said? Eating the highest amount of fruits and vegetables, but conventional, 26% less likelihood of a live birth, meaning the babies died or they miscarried.

But wait, they’re eating lots of fruits and vegetables. How could that be the factor? It’s the pesticides, the insecticides, the fungicides, and the rodenticides that are endotoxins accumulate in the body over years and change the microbiome, creating a chronic inflammatory microbiome. It’s like, what? You could do a PhD thesis just on that topic. But I throw it out here for you just to, as an example of how much there is to learn on this.

Where is the low grade systemic inflammation coming from? You have to educate your patients over the course of many visits on successful detox protocols. You do a little video series on your iPhone, “Hi, it’s Dr. Tom O’Bryan and this is episode number three of detox. I’ve got a list of things to tell you. You can’t learn them all at once. So let’s talk about number three today. Let’s talk about apple sauce.” And then you go to town and your staff, you just write it on the route slip. And the patient goes up to the front desk and the receptionist says, “Oh, I see doctor wants you to have video number three. I’ll be sending it to you to be in your inbox by time you get home.” And you just start working this out. You can’t keep talking about this to every patient. You don’t have time to do that. So use the tools at your disposal to get the education out to them.

This hypersensitive state magnifies and responds to inciting exposures with the re of a cytokine storm, these cell signaling and sometimes gene-regulating molecules, what do they mean? Well, how do you turn the dimmer switch up or down on your genes? It’s the environmental triggers you’re exposed to, whether it’s what’s on the end of your fork, or what’s already stored in your body that’s activating the genes of inflammation, or activating the genes of anti-inflammation. The abnormal immune … it’s not abnormal. It’s a normal response trying to protect you. Might be triggered by foods, inhalents, chemicals and even electrical incidents.

Everyone needs to know that if you’ve got patients with any type of brain dysfunction, any type of ear dysfunction, recurrent sinus infections, pink eye, sore throats, strep infections, anything in the head and neck area, you teach your patients how to clean their shower heads because of the biofilms of pathogenic bacteria that accumulate in all shower heads. Just read about it and it’s in my book, it’s in You Can Fix Your Brain, it’s in that book, and the studies, and how to clean the shower heads and all of that.

Application of appropriate interventions to avoid these triggers and facilitate elimination of the toxic burden, reverses the toxic induced loss of tolerance and consistently results in remarkable recovery from sensitivity-related illnesses. So, what are the mechanisms in the production of excessive endogenous and exogenous molecules? So let’s talk about our friend Alessio Fasano, who we think will win the Nobel Prize because he and his team are the ones that identified in 1997, the protein, zonulin and the mechanism in the creation of pathogenic, intestinal permeability. And he talks about the perfect storm in the development of chronic inflammatory diseases.

Dr. O’Bryan:                        This is so critical to understand. If 14 of the 15 top causes of death are chronic inflammatory diseases and there’s a perfect storm that creates chronic inflammatory diseases, do you have to understand the perfect storm as a physician? Well, of course you do. And there are five factors in the perfect storm. Your genetics, can’t do anything about that. Your environmental triggers that activate, have their hands on the dimmer switch of your genes. You can do a lot about that. Altering your microbiome, creating dysbiosis, you can do a lot about that. Creating intestinal permeability, you can do a lot about that. Allowing the macromolecules to get through the leaky gut, into systemic circulation, activating your immune system, to protect you from these macro molecules, creating systemic immune response.

Dr. O’Bryan:                        This is what they’re teaching at Harvard Medical School right now. So, the new gastroenterologists coming out will be very familiar with all of the minutia of this. You’ll need to understand the minutia. You need to understand the mechanisms here, the big picture of the perfect storm. And these are the three that, as clinicians, we have control over.

Dr. O’Bryan:                        Although there are dozens of environmental triggers that have contributed to the individual specific inflammatory state, what’s the big kahuna? Well, Professor Fasano tells us that it’s LPS and gluten, are the two most powerful triggers. Once again, this is what they’re teaching at Harvard Medical School. And that when zonulin gets activated, it’s to flushed out what it thinks is a bug, a bad bug. And so it impacts on the microbiome ecosystem.

Dr. O’Bryan:                        I underline this because it’s the ecosystem inside the gut. When you get down inside the gut and just envision … if you can give an elevator speech to your spouse of what’s happening inside the gut of your patient with MS, if you can do the elevator speech in everyday language, you’ve got this down. Until you can do that in your own language, everyday language, the elevator speech means you got 30 seconds to talk about the mechanism of where’s this person’s depression coming from? For every one message from the brain, going down to the gut, there are nine messages from the gut going up to the brain. It was Michael Gershon in 1999 that told us that from Princeton in his book, The Second Brain. So, you need to be able to do the 30 second elevator speech of what’s going on inside the gut with whatever chronic inflammatory disease they’re presenting with. And when you can do that, you’ve got this down.

Dr. O’Bryan:                        So, it’s the internal environment of the microbiome ecosystem that sets the stage for zonulin activation and the gateway to systemic inflammation. Yes, big, big picture here of minutia, which then gives you the paradigm to talk to your patients, and they stay with you long term because you don’t rebuild a gut in two weeks. It’s going to take a year to two years to turn around a gut that’s developed over 30 to 40 years.

Dr. O’Bryan:                        Let’s take a look at the LPS contribution to this microbiome ecosystem. This study just had us drooling back in 2010, when we were putting the test together at Cyrex. This study was so incredible because the macaque monkey, I’m not sure if I’m saying that correctly, but the macaque monkey has a similar gut to humans. So, lots and lots of studies on medications, pharmaceuticals, physiology uses macaque monkeys to understand human disease. But they had a problem, that the pigtailed macaques always had like leaky gut, always, that it seemed endemic to them. And they didn’t know why at the time, they found out why, but they couldn’t use pigtail macaques for healthy guts because they didn’t have them.

Dr. O’Bryan:                        What did they find? Let me back up. Yeah. Uninfected pigtail macaques have increased damage to the tight epithelial barrier and high levels of LPS in the lamina propria, meaning it’s gotten through the tight junctions, into the submucosa. In order to determine if these breaches in the tight junctions of the epithelium correlated with the observed increase in microbial trans location, meaning LPS, they studied the colon sections of these monkeys. And what did they find? That the monkeys, the macaque monkeys, had increased levels of LPS compared to the rhesus macaque monkey. The pigtail macaque monkey is the one, they’ve always got intestinal permeability, and this is what it looks like. The rhesus macaque doesn’t.

Dr. O’Bryan:                        Now you can give them intestinal permeability, but you can’t use a pigtail macaque to see what causes permeability, because they’ve already got permeability. That was really interesting, but they looked at these monkeys and they stained to see how much LPS has migrated from the lumen inside the tissue. And what they found was that 13% of the pigtail macaque monkey was composed of LPS, 13% of the tissue. Whereas in the rhesus macaque monkey that didn’t have intestinal permeability, it’s 0.274%.

Dr. O’Bryan:                        13% of the tissue is saturated with LPS. What do you think that does to the immune system? So, this is what it looked like in terms of the numbers. 13% in pigtail macaque monkeys, when they’ve got intestinal permeability, LPS migrates into the system, and they found LPS in the peripheral blood mononuclear cells, in the spleen, in the axillary lymph nodes, in the inguinal lymph nodes, in the mesenteric lymph nodes, the duodenum, the jejunum, the iliums, the cecum. The monkeys were saturated with LPS through their entire body.

Dr. O’Bryan:                        Damage to gut epithelium results in systemic, microbial translocation that correlates with immune activation. The term bacterial translocation is the passage of viable indigenous bacteria from the GI tract to extraintestinal sites, like the mesenteric lymph nodes, the liver, the spleen, the kidney, the peritoneal cavity, the brain and bloodstream. It’s known that bacterial translocation often leads to a progressive and catastrophic condition known as multiple organ dysfunction syndrome. The systemic inflammatory response triggered by bacterial endotoxin affects many organs and leads to death.

Dr. O’Bryan:                        Once again, this is way back in 2010 we were talking about this, and why it’s so important to test for LPS, and of greater importance are the infectious complications that in that may be initiated by LPS getting through a leaky gut. Whatever the source, exposure to endotoxin induces a systemic inflammatory response that involves many interconnected cellular and plasma mediators. They may be self-limiting or the cascade can proceed to shock, organ failure and death.

Dr. O’Bryan:                        And I love this drawing because this is the development of systemic, chronic inflammatory diseases. Some of you know, 1.7 million people a year are diagnosed with sepsis in the US, of which over 250,000 die. It’s the number one cause of death of elders in hospitals, is sepsis. And this is the mechanism in the development of sepsis.

Dr. O’Bryan:                        First, you have a healthy gut, then you get intestinal permeability. So, you get bacterial translocation, let me back up. Bacterial translocation into systemic circulation. Then you get the systemic inflammatory response syndrome. Then you get sepsis, then you get shock or multiple organ dysfunction, and then you die. And this is going on in systemic chronic inflammatory diseases.

Dr. O’Bryan:                        That’s why when you test with the Wheat Zoomer, they also put in there the markers for intestinal permeability, which include antibodies to LPS, translocation of microbial products and the resulting immune activation of not only consequences within the GI tract, but are also associated with systemic dissemination of LPS. When microbial products translocate from the lumen of the colon into lamina propria, it can result in local and systemic immune activation. These data define the degree to which microbial translocation can stimulate the immune system locally and systemically.

Dr. O’Bryan:                        And if you can imagine us in 2010 with this article, sitting around the table, just drooling at how important it is to get this information out to clinicians, that this is the mechanism in the development of systemic chronic inflammatory diseases, of which 14 of the top 15 causes of death are systemic chronic inflammatory diseases and this is the mechanism. We were so passionate to get this information out to the world. And as you can tell, I’m still passionate because most of us can’t do the 30 second elevator speech as to where their lupus came from, or where their rheumatoid came from, or where their chronic depression came from. We can’t do the 30 second speech and we’ve got to practice that to get it down.

Dr. O’Bryan:                        This increased microbial translocation correlated with high levels of immune activation and frequency with IL-17, here comes the autoimmune cascade. This data highlights the relation between mucosal damage, microbial translocation, and systemic immune activation and underscored the importance of microbial translocation. That’s why Fasano, who is so careful about everything he says, published the paper I showed you in the beginning two years ago, all disease begins in the gut and it’s number three of the five categories of the perfect storm.

Dr. O’Bryan:                        Number three is dysbiosis. That’s where you can make the greatest impact, change the environment inside the lumen of the gut. Next month’s talk is really important about SIBO, you have to change the … You need to get down inside that lumen of the gut and understand everything that’s going on in there. All the inflammation and be overwhelmed, like the miniature man in those movies, just tiny little guy. So, you get down in there. You’re looking, “My God, look at the look … Wow, wow. Look at all that klebsiella over there. Wow, that’s why my stool analysis says I’ve got klebsiella pneumonia. Wow and that’s causing … Oh, there’s so much more leaky gut there, so much inflammation. There’s so many more tears in the cheesecloth there, that’s … Wow, I get it now. Oh, the yeast over there, they can’t … Yeah, I got to get to that too.”

You have to be able to get in there to understand all of this if you’re wanting to address systemic, chronic inflammatory diseases. LPS activates Toll-like receptor 4, lowers protein … I put an example in here for you of one tissue in the body, outside of the gut, and that’s your muscle. This is where sarcopenia comes from. And here’s the drawing in this article, of LPS and its deposition and chronic inflammatory conditions that develop, eating away at the muscle. Massive infection of CD4+ T cells, which is our immune response to LPS early in antigen infections is directly associated with inflammation and breakdown mucosal integrity. This allows microbial products to translocate from the lumen of the GI tract into peripheral circulation. And the effect on healthy aging of this bacterial translocation? I just found this study in my notes today and I said, “Oh, I’ve got to throw this one in here too.”

So, look at the title, “Serum zonulin and endotoxin levels in exceptional longevity.” These are people that live over 100, centenarians. Translocation of LPS from the intestinal lumen into circulation can occur through transcellular or paracellular pathways with the ladder being regulated by zonulin, okay? Following specific stimuli, such as LPS …

PART 2 OF 4 ENDS [00:46:04]

Dr. O’Bryan:                        … following specific stimuli such as LPS and the wheat protein gliadin. Zonulin reversibly disassembles tight junctions leading to increased permeability. We’ve all read The Blue Zone, if you haven’t, you have to read The Blue Zone. That’s where the pedal hits the metal. That’s the groups all over the world that live into their 90s, over a 100, and they have no diagnosed diseases, and they’re not on any medications. I’m going to show you a reason why here.

Dr. O’Bryan:                        So they looked at three groups, these are Italians. Disease-free centenarians, non-diabetic patients less than 40 years old who’d experienced acute myocardial infarctions. These were sick people, and healthy young volunteers matched to those that had an MI for age and sex. All subjects were Caucasian whites of Italian descent in Northern Italy. Disease-free centenarians had significantly lower levels of zonulin and LPS than the healthy young people who had, had a heart attack and lower concentrations of LPS than the healthy young people that were healthy. You’re over 100 years old, but you have less zonulin. That they’ve got healthy guts, and here’s the numbers. I’ll give you a moment to look at that.

Dr. O’Bryan:                        That’s my goal, to be over 100 years old and have the poop that I’m going to sell for fecal transplants. How’s that for a goal? All the centenarians were free of major age-related diseases. They didn’t have cognitive impairment, clinically evident cancer, coronary heart disease, renal insufficiency or severe physical impairment. LPS levels significantly lower in disease-free centenarians and healthy young controls. Zonulin levels significantly lower in centenarians. Intestinal permeability may cause endotoxemia which in turn leads to inflammation, insulin resistance, atherosclerosis, hypercoagulation.

Dr. O’Bryan:                        Our data suggests that serum levels of zonulin and LPS emerge as potential novel biomarkers of exceptional longevity. Our data coupled with the fact that aging per se is typically associated with elevated zonulin, endotoxemia, inflammation, insulin resistance and atherosclerosis suggests that measures taken to decrease permeability and LPS translocation may help to reduce the risk of coronary heart disease and contribute to a healthy lifespan. This is really where the pedal hits the metal. Everybody wants this. That’s the LPS contribution to the microbiome ecosystem.

Dr. O’Bryan:                        What about the gluten contribution? Gluten’s misinterpreted by zonulin pathways, a potential harmful component of a bug. This is a paper from Fasano. Look at the title of the paper, All Disease Begins in the Leaky Gut, so let me back up to that for a minute. So the protein structure of peptides of wheat, poorly digested wheat, the protein structure looks like the protein structure of the surface of pathogenic bacteria. Gliadin activates the zonulin signaling pathway in normal intestinal epithelial cells. The cellular response observed only a few minutes after gliadin exposure characterized by cytoskeleton reorganization with the redistribution of actin filaments. Look at the date on this paper. We knew this 20 years ago, that gliadin does this. And then in 2006 in the Scandinavian Journal Gastroenterology, they told us again, gliadin activates zonulin resulting in immediate reduction of intestinal barrier function.

Dr. O’Bryan:                        This process is independent of any genetic predisposition. This is not celiac, this is non-celiac wheat disorders. Every human has this happen when they eat wheat, and this is what it looks like at the actin level, in the scaffolding of our cells in the gut. This is what happens when you’re exposed to wheat. And Maureen Leonard at Harvard, famous gastroenterologist, did a literature review in 2017 and published it in JAMA. Look at the title, Celiac and Non-Celiac Gluten Sensitivity, and she says, “Previous studies have shown that gliadin in wheat causes immediate transient increase in permeability. This process takes place in all individuals who eat wheat, all humans irrespective of how they feel. That’s why every new patient needs to do the Wheat Zoomer. It’s the most accurate test out there, and it includes the markers for LPs and intestinal permeability because this occurs every time they eat wheat. Gliadin has been identified to activate toll-like receptor 4.”

So I just put a couple of slides in here so you understand the mechanism by how does all this occur. Toll-like receptor 4, they’re throughout our body to identify any bugs they get in pathogens, and in the proximal part of small intestine, their screening all the food coming out of the stomach. And they look at it, “Oh, look over there. It’s a bug. It’s a bug.” No, that’s gliadin from wheat. “Oh, look over there. It’s a bug. It’s a bug.” No, that’s amylase trypsin inhibitors from wheat. But Toll-like receptor 4 gets activated because the amino acid sequence of these peptides of wheat look like the shell of pathogenic bugs, so Toll-like receptor 4 gets activated, and this happens within five minutes, so watch what happens in this video. This is a video of five minutes worth of still shots in the gut when people are exposed to wheat, and these were failures to… And you see the white coming out towards the surface, this is a camera inside the gut looking in at 1 o’clock you see that the dye is leaking out into the gut and more that’s occurring when exposed to wheat.

And this occurs within five minutes of wheat coming out of the stomach into the proximal part of the small intestine. This is leaky gut in reverse. This is exactly what it looks like, and that happens within five minutes of wheat and it happens to all humans. So it’s LPs and wheat that activates zonulin, so who would you not test for LPs and a loss of tolerance to wheat? If they have present with a chronic inflammatory condition, who would you not test? Where to begin and feeding a healthy microbiome? So over the past few decades, let me check my time here and see where I am. Over the past few decades, thousands of studies have talked about fruits and vegetables and our friend Deanna Minich coined the term, the rainbow diet, and she’s guided us in this. And the ability of these polyphenols in our vegetables to produce clinical effects may be due to a bidirectional relationship with the gut microbiota.

These polyphenols feed the probiotics in your gut, critically, critically important to encourage the good guys to become dominant. They impact the composition of the gut microbiota independently associated with health benefits and gut bacteria metabolized polyphenols into bioactive compounds that produce clinical benefits. And Deanna’s handout or not her handout… Her article, we give this to patients on the rainbow diet. There’s three pages. We tell them to print it out, put on the refrigerator because these are all the fruits and vegetables they need to be reminded to include in their diet, and because people don’t think about it. And the goal is to develop the lifestyle habit for 50 different foods a week. It’s not hard when you start, it’ll take you a month or two months to do this, but you just start slowly, and this is page two and it’s 50. That’s the goal Mrs. Patient. Right now, you’re at 12 according to your diet recall that we looked at for the last week, and we want to bump that up quite a bit. So we just give them the handout.

You can download it, just Google Deanna Minich rainbow diet, and the article’s there. Give it to your patients, just email it to them and let them put it on their refrigerator as a reminder. At IFM, we started giving this handout out in 2011, 2012, and we’ve updated it a few times just to encourage our patients to get more colors into their diet. This may be gluten free, but it sure as hell is not healthy. This is a whole other ballgame, and this is the kind of direction we want to go in with our food for everyone. That’s a nice breakfast or a component of your breakfast. So I put these studies in, this one in here about akkermansia. That it’s a critically important probiotic in the gut. It’s depleted in people suffering with a variety of diseases, obesity, metabolic syndrome, diabetes. It often is not even identifiable, and when you’re low in akkermansia, you get intestinal permeability because you get a dysbiotic gut.

And here’s the study on black raspberries, on how they increase akkermansia dramatically, so that’s one of the foods you include, Mrs. Patient is black raspberries. Because akkermansia increases butyrate production, and butyrate helps to heal a leaky brain, and you’ve got depression. So we want to heal the leaky brain, and so including black raspberry, and patients get this and they’ll start. But this is where you have… And all this is in my book, You Can Fix Your Brain, all these studies and the foods are in there, that you can use and fasting mimicking diets. Fasting mimicking diets increase stem cell production in the gut, so you increase and regenerate, healthier younger cells. So you have to learn about fasting mimicking diets.

Now, I love this, that it’s a myth. You’re supposed to eat three meals a day, and unfortunately, how we’ve been raised since infancy with this concept is that we’ve become dependent on it, and so our blood sugar is so way out of balance and our insulin resistance is high because of all the carbs and garbage we’ve eaten over our childhood, teenage, young adult years, that we need to feed ourselves more often to keep our blood sugar stable. But over the course of time, as you educate your patients, they need less food and their blood sugar will stay more stable. They’ll develop more insulin sensitivity, and they eat more complex food so that it lasts longer and gets into the bloodstream slower. But I just wanted to throw this in here that three meals a day is not what our genetics encourage at all.

So periodic fasting and fasting mimicking diets promote a rejuvenation process in tissues, organs and cells. There’s a lot of great science on this now. You just have to take the time to learn about it. It doesn’t happen overnight. And our microbiota is much reduced size and diversity in comparison with our ancestors and indigenous tribes that still live closer to the earth than we do. We must focus on rebuilding a non-inflammatory protective microbiome. That is the key to every chronic inflammatory disease. It’s not the only thing you do, but you sure as hell better include this anytime you’re dealing with a diagnosed disease. Now, about wheat, not everything in wheat is bad for you. It makes up about 80% of the prebiotic in the average Western diet. Now, a preliminary study, they took 10 healthy people, they did on microbiome analysis. They put them on a gluten-free diet for a month, and then they did another microbiome analysis.

Every single one of them had dysbiosis, a reduction in the beneficial bacteria on a gluten-free diet, an increase in pathogenic bacteria on a gluten-free diet and an altered microbiome creating dysbiosis. Why? Because they did what most of our clinicians do, is encourage people, “Well, it’s okay to have the gluten-free pasta. It tastes pretty good nowadays. It’s not like it used to be. It doesn’t taste like cardboard anymore, and here’s a recipe or here’s some really good gluten-free cookies,” that we encourage people to eat this garbage, to buy this white pace that is not enriched. It has no prebiotics at all.

So if 80% of the standard American diet gets their prebiotics from wheat and you take wheat out of their diet which is a really good thing to do, but you don’t guide them in how to substitute with healthy alternatives, and they eat gluten free crap and they develop dysbiosis. You’ve made them worse, and that’s why mortality is increased on a gluten-free diet. You see the science that drops your jaw. Everyone needs to take my course. I’ve got an online course called Certified Gluten Practitioner.com, Certified Gluten Practitioner.com. And you’ll learn, you put people on a gluten-free diet, you increase their mortality within a year. 86% increase risk of dying from a cardiovascular incident in the first year after diagnosis with celiac disease. 3.84, no 3.87 fold increased risk of death in the first year from a malignancy after diagnosis with celiac disease.

Why? Because these people are put on gluten-free diets. What else? Nothing. So they’re eating gluten-free garbage, and so when you take away the source of prebiotic and you don’t replace it with healthy sources, you starve the probiotics in the gut because they’ve become dependent on wheat. And when you starve them, you reduce their numbers and the pathogens rear their ugly head. Now, you’ve got a huge dysbiotic problem in the gut, and you increase mortality within year. I’m writing a paper right now on this topic, and you see the studies on this, it just drops your jaw. That’s why everyone needs to take the CGP course. I’ll talk a little about that later. When the growth of beneficial bacteria is not supported due to reduced supply of their main energy source, for people it’s been wheat their whole lives, other bacterial groups, opportunistic pathogens overgrow leading to dysbiosis.

So if it’s necessary to eliminate wheat, you have to give them highly fermentable carbohydrates to replace that, to feed the good bacteria. And Mrs patient for a few months, I want you to take a supplement of prebiotic while you’re changing your eating style just for a couple of months so that we don’t miss out here because we want to increase the good guys in your gut, and giving a prebiotic does that. And I love this drawing because it’s the prebiotics that are nondigestible that feed the good bacteria in your gut, and the good bacteria and your gut produce these short chain fatty acids. Now, we know that 36% of all the small molecules in the healthy human blood are the metabolites of the microbiome. It’s the exhaust of the bacteria in your gut. That’s 36% of everything in healthy blood. They’re the messengers that go to your brain and to your heart and to your lungs and to your liver to get them to function normally.

They’re the guiding posts. They have their hands on the steering wheel of how your body functions, 36% of everything. Now, you put them on a gluten free diet and you cause dysbiosis, and then now, you start to understand why mortalities increase after a diagnosis of celiac disease. So the beneficial bacteria, you feed them, and then their exhaust gets into the bloodstream and it goes to the targeted organs to increase insulin sensitivity, decrease inflammatory markers, decreased lipogenesis, increased tight junctions. And the result of all of that, you decrease glycemia, insulin resistance, fat mass, all of it. You guys can read this and you know much of this already.

So here’s a pearl, Mrs. Patient, I want you to eat… When you go shopping, buy a couple of every root vegetable in the store. Always buy organic, but get turnips and rutabagas and parsnips and carrots and sweet potatoes… Not too many white potatoes because of the glycemic index but everything else. And you eat one root vegetable every day, and if you don’t know how to cook turnips, just look online. They’re so easy to do, and everybody’s been to a nice restaurant where they shave radishes, raw radish and put it on your salad. It’s not hard. You just have to try it. In my books I’ve got great recipes for all that stuff, and then go on Google and type out list of prebiotic foods. Or better yet Doc, make a list for them and have your front desk send it to them, and every day you have two from the list.

A banana’s prebiotic. Garlics are prebiotic. Onions are prebiotic. You have two from the list and one root vegetable every day, and here’s an example. This one dropped my jaw when I saw this, that this guy came from China, he got a PhD in Microbiology, focusing on the microbiome, but he gained a lot of weight because he didn’t take care of himself and ate a bunch of fast food garbage. And so he remembered his grandmother told him about bitter melon and Chinese yams. He started eating bitter melon in Chinese yam every day, and his blood pressure, heart rate cholesterol levels all came down, he lost 20 kilograms. Fecal bacterium which is supposed to be 14.5% of the total gut bacteria, was undetectable when he began this, and he kicked it back up over two years, he lost 20 kilograms, that’s over 40 pounds.

Dr. O’Bryan:                        He lowered his cholesterol, he lowered his heart rate, he lowered his blood pressure just by eating a little Chinese yam and bitter melon every day. And look in two years, this is what’s happened by adding a prebiotic into his diet. You put people on a gluten-free diet and you starve the probiotics. Now, you understand where mortality comes from because this is mortality in reverse, a much healthier guy right now. And give them a supplement of prebiotic for a couple of months because there’s lots of benefits to it, and we recommend this one, but there are many good ones out there that you can use. Next, rebuilding, a healthy protective mucosa. Mrs. Patient one cup of bone broth every day. Why? Because bone broth is high in gelatin tannate which forms a protective barrier in your damaged gut, so when you’ve got leaky gut, it looks like this.

When you take in bone broth, you put like a bandaid over the leaky gut to protect it. The gelatin tannate does that, which helps it to heal quicker, and the result is, you get a healed intestine. Bone broth helps to heal a leaky gut. Next, Mrs. Patient, here is a supplement you take for a couple of months while you’re transitioning into this whole process. Next, Mrs. Patient, to increase the diversity of the good guys in the gut, I want you to eat tablespoon of fermented vegetables every day, so buy five different types of fermented vegetables. Get kimchi, get sauerkraut, get miso, get fermented beets, get curry flavored, whatever you like. But every day you have a tablespoon, just every day a tablespoon. Because fermented food, their microbiota is so enriched with so many good guys, one of them is conjugated linoleic acid.

I’d learned it long time ago, you take a little CLA every day and you lose one pound of fat a month within a year, about 12 pounds in a year of fat, your body mass index change because of CLA. Well, CLA is produced by the fermentation of vegetables in your gut… I’m going to skip the CLA stuff. The largest study of the association between fermented food consumption, the human gut microbiome, 7,000 individuals over a hundred individuals across four weeks of sampling. Consumption of fermented foods not only provides macronutrients, it also delivers large numbers of potentially beneficial microorganisms to the GI tract. When you do a tablespoon a day, you increase a number of good guys that you’re putting into your gut 10,000 fold over the average diet. So you’re inoculating your gut with the good guys, and this is a great book to read on the topic. I wrote the Forward to this book, and so when I said these bacteria sound like something out of star wars-

PART 3 OF 4 ENDS [01:09:04]

When I said, “These bacteria sound like something out of Star Wars,” with names like Akkermansia, Allobaculum, eubacterium, Clostridium, you don’t know whether to feed them or to shoot them. Are they saying, “We come in peace,” or have they come to conquer? It’s foreign language to patients so you laugh with them about it. But you give them this book, tell them to get this book, because Susanne Bennett is seventh generation Korean healthcare practitioner. So it is in her genes about kimchi and how to make kimchi. It’s just a great, great food to eat.

I’m going to skip the rest of this on kimchi, it’s just another great food to eat. Once again, 36% of all the molecules in your bloodstream are the metabolites of your microbiome in the gut. That’s why it’s so important. And we include a spore-based supplement for a couple of months. We tell patients, in rebuilding your microbiome as a patient, as you develop the lifestyle habits, a couple of months of taking the supplements is good. So it’s going to protect you from having any complications or problems that come up with this. Yeah, we’ll skip about this spores, everybody knows about the spores.

And in terms of supplements, vitamin D is critical. And when you look at the kissing joints of … Let me back up to this drawing, this is really important. On B here, that’s a photo of a tight junction between two cells. MV means microvilli. And when you blow up that circled part of the tight junction, this is what you see, the kissing joints. This is like the Suez Canal or the Panama Canal, that what happens is the tight junction strand opens, zonulin opens the tight junction strands at these kissing joints, and it allows … Here’s the kissing joints. And one opens up, the gates open up, the food particles go down between, the gate closes, the immune system checks it out. The next kissing joint opens, the tight junction strands open by zonulin and few other proteins, and the food goes down. The gate closes, the immune system checks it out.

Well, what I want to show you about all of this is vitamin D controls the opening and closing of the gates. That’s why it’s so important that you have adequate levels of vitamin D. And because of that, we recommend a vitamin D that is … Here’s all the different components of the tight junctions that vitamin D regulates. This is like, what? So when you’ve got this visual and you start to understand it, you understand how important it is. And I give a capsule or a tablet of vitamin D for this, I don’t do the liquids. I do the liquids when I want systemic increase in vitamin D, but I want the vitamin D around the tight junctions. So we make sure to give them 5,000 units of vitamin D a day when we’re working on healing a leaky gut.

And I’ll skip that science. Curcumin, we give curcumin. And you guys know all about curcumin. I’m running out of time so I’m just going to go past this. All of the benefits of curcumin that we’ve all heard about many times before. And this is the dosing on different studies for curcumin between one to four grams a day, 100 milligrams daily in another study. And you see all the benefits that occur when you include curcumin as part of your anti-inflammatory profiles.

And these are all of the genes that are regulated to turn on or turn off to create an anti-inflammatory index with curcumin. And these are all the diseases that benefit from curcumin. And these are all the ones that are autoimmune. Oh, I have to do that one again, because you see the sluggishness there of the thyroid trying to get up there. I always have to create a little joke here. I mean, that slide took over an hour to make. But when would you not include curcumin?

And glutamine, we all know about glutamine, how important it is. And 30 grams a day of glutamine reverse ulcerative colitis in every, every patient, but diseases exasperation return when they stop the treatment. Why? Because glutamine deficiency is not the cause of ulcerative colitis. If you don’t stop throwing gasoline on the fire and deal with the environment in the inside of the lumen of the gut, the microbiome and the dysbiosis, giving them glutamine is temporarily going to help, but it’s not going to fix anything.

And fish oils, we know the anti-inflammatory index of fish oils is very high, activating genes to calm down inflammation and maintain the integrity of the intestinal epithelium. Good studies on including fish oils in there. And you can see what happens when you don’t have enough fish oils. LPS producing bacteria increase, mucus layers decrease, more gram-negative bacteria, and fish oils help to reverse that. And here’s the drawing of … The Omega-3s will favor the beneficial bacteria. And you know all this about … I’m going to skip through this geeky stuff here.

And enhancing the function of the gut barrier, increasing intestinal alkaline phosphatase, arguably the most important enzyme in the gut, IAP. And it’s why an apple a day keeps the doctor away, because intestinal alkaline phosphatase is produced in the apical membrane of the inner lining of the gut. It detoxes LPS, it activates genes of anti-inflammation. It activates genes to heal the gut, and it modulates beneficial bacteria.

It prevents bacterial translocation, we’ll skip that one. And I like the drawings, pictures always help. And the higher your IAP level, the lower LPS infiltration and into your gut. I like this one, it’s really simple. You see that when you’ve got enough IAP, LPS just goes out with the poop. It doesn’t get to toll-like receptor 4 to activate toll-like receptor 4. But when you don’t have enough intestinal alkaline phosphate, LPS gets down on the surface of the inner lining of the gut, activating toll-like receptor 4 and here comes the entire inflammatory cascade.

And alkaline phosphatase will reduce a hundred-fold reduction in the toxicity of LPS. That’s like, what, what? And why am I telling you about LPS? Because it significantly increase with apples. Apple sauce, the pectin in apple sauce. So we tell patients to start making apple sauce, because it’s one of the phenols that have such a beneficial impact on creating a healthy gut environment. So this slide, I just like going through it again, but now we’re looking at it from apple sauce.

Dr. O’Bryan:                        Now, the other thing is that apple-derived pectin modulates gut microbiota and replaces the fructans from wheat-derived arabinoxylan oligosaccharides. So including apple sauce when you give a gluten-free diet is an important tool, because the arabinoxylans in wheat that their microbiota became dependent on, the oligosaccharides from wheat, are replaced by the pectin in applesauce.

Dr. O’Bryan:                        So Mrs. Patient, you take 10 to 15 apples, chop them up, wash them. Always organic. Get rid of the seeds. Throw them in a pot and whatever the height of the apples in the pot, add water to about a third that height. Throw those cinnamon in there, a handful of raisins if you want. Turn it on high, boil for 11 to 15 minutes. You got apple sauce. You don’t peel it because a lot of the pectin’s in the peels. I like to, or my wife does, I don’t do it. My wife puts it in the blender and blends it up so it’s really creamy. I like it a little rougher because I like the fiber taste, but either way.

Dr. O’Bryan:                        And you have a tablespoon a day of homemade apple sauce. The commercial stuff won’t work, it has to be the homemade. And it’ll last you four or five days. And have your kids help you make and that way they’re really interested in eating it. Apple-derived pectin modulates gut microbiota, attenuates metabolic endotoxemia and inflammation, suppresses weight gain and fat accumulation. And of course organic, because the phenols in there are 34 to 54% higher than conventional. Always organic. Okay. And so we’ll skip all that. One tablespoon of homemade apple sauce a day.

Dr. O’Bryan:                        Mother Nature’s way of healing intestinal permeability is colostrum. Nothing activates healing intestinal permeability like colostrum. It activates more genes than in any other product possible. It recolonizes with the bowel with friendly bacteria. There’s nothing that is as powerful as colostrum. And for those that have a dairy sensitivity, what we say to them, “Mrs. Patient, we just found out you have a dairy sensitivity.” There’s no lactose in here. There’s about 0.6% casein, and most colostrums have two to 6%. This one has 0.6%. You’ll find it on my website.

And it is the colostrum that three countries of Africa licensed as their treatment of choice when a patient’s diagnosed with HIV because it calms down the inflammatory cascade in the gut. It’s just an incredible product to use. It’s the best known remedy. It contains growth factors, hormones to repair damage to the lining, restore a gut integrity. There are numerous One Milk products lighting the shelves of health food stores to stimulate the immune system and heal the gut, only colostrum plays the entire symphony.

I will tell patients, to Mrs. Patient, “I’m going to recommend you try some colostrum for a couple of months. Now if you have any symptoms like bloating or gas or diarrhea or cramping, anything at all, just stop the colostrum right away. But it’s worth a try ,because if you don’t have any symptoms, then let’s do it for a couple of months so that we can get all of those benefits that outweigh any other product that’s out there. And then we’ll get the colostrum out of there, but let’s see if your body will take it.” This colostrum is the most sensitive of all that I’ve ever found.

So add a colostrum product, and this is the one we use, GS Immuno PRO. It’s just incredible. My friend, Dr. Andrew Keech, was born and raised on a dairy farm. And he learned right away, if you don’t give those calves colostrum they die. You can’t give them milk, they die. Then he learned that when humans got sick, they drank some of the colostrum, they all got better. So he dedicated his life to making the best colostrum in the world, and he’s done that. And so that’s the one that we recommend.

And so in rebuilding a healthy gut, fasting [inaudible 01:21:13] diet, rainbow diet, strict avoidance of all wheat exposure, absolute necessity of working with a certified gluten-free practitioner, registered dietician, nutritionist, trained health coach. Rebuild the microbiome with a comprehensive gut restoration program. They have to work with the coach or a CGP because you don’t have time to talk to him about all this stuff, about food selections. So you want someone to do it who knows what they’re doing.

Rebuilding gut restoration with a daily applesauce, bone broth, numerous prebiotics, probiotics. Supplementation for a few months with prebiotics, spore-based probiotics, colostrum, vitamin D, glutamine, turmeric, Omega-3s. These are just the basics, there’s a whole lot more you can do. This is all outlined in detail in my book, You Can Fix Your Brain. And for those of you that don’t read English, you can get in any of these languages if you want.

And with that, please, please, please rebuild the diverse, healthy microbiome as a first response to any and every chronic inflammatory condition. Please consider the Certified Gluten Practitioner program. It’s online, it’s about eight to 10 hours. You’ve got three months to do it. You take a quiz after each section. If you don’t pass the quiz, it comes up and say, “Go back and look at slide 48 again.” And they say, “Oh right, okay.” And then you go back, and then you answer it and you’re fine. You don’t have to memorize this stuff, I just want you to be familiar with it.

And I give all of my CGPs new articles every month or two months that I think are important. I send them a clean copy and a highlighted copy, because most people don’t have time to read the articles. So here’s the bullet points, like the cliff notes. And they get PowerPoints of my presentations. It’s a really nice community, and they’re all over the world now, so please consider this. And if you do consider it, use this code, a promotional code, because you’re functional medicine practitioners. And I want a world of you out there that just have all this information in 30-second elevator speeches that you can deliver. So use this code, CGP Gift, for it.

Thank you all so very much. Take care of yourselves. Make sure to tell those important to you how much you love them, and thank you for your kind attention. And now we will go to the questions.

Dr. Weitz:                            Dorothy, you have some question or several questions about wheat. Why don’t you unmute yourself and ask Tom.

Dorothy:                              Hi, Tom. That was really amazing. And I don’t know how to get my video back on, but anyway. The study out of Harvard said that everybody reacts to wheat gliadin.

Dr. O’Bryan:                        Right.

Dorothy:                              What is the purpose of this Zoomer test? And also, you had mentioned that one of the Blue Zones, the Italians who lit the longest, I mean they are eating pasta every day. So explain this to me if you could.

Dr. O’Bryan:                        You bet, of course. So the test is the Wheat Zoomer. It comes out of Vibrant Wellness. How is it that the Italians who eat pasta … Their microbiome is healthy. That when you look at Maureen Leonard’s literature review from Harvard that all humans have transient intestinal permeability, the key word there is transient. That their gut heals, because they’re exposed to something that causes permeability, but their microbiome is a healthy, diverse microbiome.  It certainly is possible to eat wheat and thrive, it’s possible. But when you think of the JAMA study and at assisted fertility centers, people eating whole lots of fruits and vegetables, 26% less likely of a live birth. Why? All the pesticides and insecticides and rodenticides and fungicides that are in their gut have created this pathogenic microbiome that developed over 25 years. Nobody’s going to change that microbiome in two weeks. It takes years to rebuild a healthy microbiome that developed over 30 years. Years. Show me the evidence of anything other than that. Yes, of course symptoms go down because you activate an anti-inflammatory protocol, but it’s going to take a while.

So these Italians, they didn’t have pesticides, insecticides, rodenticides. Now see, I think what’s happening, and actually we’ve seen some preliminary evidence of these Blue Zone cultures, that the numbers of people living to those old ages is going down rapidly. That these papers came out 10, 15 years ago, most of them. Or the centenarians now, they’re born 100 years ago. They haven’t been exposed to all of these toxins that we’re exposed to. So I think that we’re going to see a drastic reduction in these cultures.  The answer to your question is, it’s the healthy, diverse microbiome that heals the transient intestinal permeability that you get when you’re exposed to wheat.

Dr. Weitz:                            Tom, I want to mention. Among the great clinical pearls you mentioned tonight, one was that if you wanted to take a vitamin D supplement and you wanted to act locally in the gut, better to use a capsule or tablet rather than a liquid. A lot of people like to use liquids because they hate swallowing pills. But for this purpose it makes a lot more sense.

Dr. O’Bryan:                        Yeah, yeah. And we use Micellized liquid vitamin D as a supplement when I want to boost levels. I use liquid because it’s absorbed really well and it has five times better increase in blood values than emulsified. But when I’m dealing with the gut, I want it down in the gut. I will give systemic also, but I want it down in the gut.

Dr. Weitz:                            And, Bernie, you had some questions about what testing that Tom recommends.

Bernie:                                 Yes. What’s the best test to show one’s inflammation level?

Dr. O’Bryan:                        Well, that’s really a good question. And in my experience, we don’t have a panel. Although Vibrant has come out with an inflammatory panel. I’m sorry, I have to correct myself there. They’ve got an inflammatory panel now that’s most comprehensive one that I’ve seen.  Cyrex has a nice panel looking for the effectiveness of natural killer cells and a few others. Vibrant’s panel, and I don’t remember the name of it because I don’t use it myself, but it would be a valuable test to do, that’s the one that I would look at, is from Vibrant.

Bernie:                                 And also, Dr. O Bryan, you didn’t talk about foods and immunity and immune responses to foods, based on the other Vibrant tests.

Dr. O’Bryan:                        Right, right. That’s all in the CGP program. I had 90 minutes, so there’s only so much I can talk about. Yeah, the Vibrant tests are incredible, and rarely are people sensitive to just one food. It’s very, very common. I mean the studies say celiacs, 50% of celiacs have molecular mimicry with dairy. And we find it’s more than that with wheat-related disorders.  That’s why we put everybody on a gluten-free, dairy-free, added sugar-free diet on day one. And then when their test results come back, we may tweak it a little bit, but we always include dairy-free. But corn’s extremely common. That’s why there are people out like my friend, Dr. Peter Osborne, that talks about grain-free diets, because so many people have cross-reactivity and sensitivity.

Bernie:                                 Okay, thanks.

Dr. Weitz:                            Yeah. The other thing, Bernie, you can get a stool test that will include fecal calprotectin. And that’s a good measure for inflammation in the gut.

Dr. O’Bryan:                        That’s correct.

Bernie:                                 Okay. Thank you.

Dr. Weitz:                            Okay. Any further questions? Tom, thank you. That was incredible. Awesome, awesome presentation.

Dr. O’Bryan:                        Thank you, Ben. It’s really a pleasure. And thank you all. Come back on screen to say goodbye so I can see who I’m dealing with. Oh, thank you. Thanks, Lori. And thanks everybody. It’s nice to see you all.

Dr. Weitz:                            Okay.

Dr. O’Bryan:                        And thanks for taking the time. And God bless to all of you.

Dr. Weitz:                            Thank you, Tom, and thank you everybody. We’ll see you next month.

 


 

 

Dr. Weitz:                            Thank you for making it all the way through this episode of the Rational Wellness Podcast. And if you enjoyed this podcast, please go to Apple Podcast and give us a five star ratings and review. That way more people will be able to find this Rational Wellness Podcast when they’re searching for health podcasts. And I wanted to let everybody know that I do now have a few openings for new nutritional consultations for patients at my Santa Monica Weitz Sports Chiropractic and Nutrition clinic. So if you’re interested, please call my office, 310-395-3111, and sign up for one of the few remaining slots for a comprehensive nutritional consultation with Dr. Ben Weitz. Thank you, and see you next week.