Brian Keane discusses How to Get into Your Best Shape with Dr. Ben Weitz.

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Podcast Highlights

 

 

 



Brian Keane is a personal trainer, nutritionist, best-selling author, and the host of the Brian Keane Podcast, the #1 health and fitness podcast in the United Kingdom.  His website is BrianKeaneFitness.com. His books are The Fitness Mindset, Rewire Your Mindset, and The Keane Edge. He also hosts a very popular podcast, the BKF podcast.  

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.

 



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’ll be having a conversation with Brian Keene about how to get into the best shape of your life and how to be your healthiest. Brian Keene is a entrepreneur, personal trainer, nutritionist, best selling author, and host of the Brian Keene podcast, the number one health and fitness podcast in Ireland and England.  Brian, thank you so much for joining us today.

Brian:  Ben, thank you so much for having me on. I’m really looking forward to chatting.

Dr. Weitz:  Good, good, So what do you think would be a good way to start? I was thinking maybe you could tell us about, what if you’re working with a client who’s basically sedentary and overweight?  How would you approach their, let’s start with exercise recommendations? When it comes to or do you tell him to just take Ozempic and forget about everything?

Brian: I don’t go down that route and it’s funny, I did a podcast on my show with Johan Hari, who’s a three times New York Times bestselling author.  He wrote Lost Connections, a great book around anxiety and depression, but his new book is talking about Ozempic and we had a very black, white and gray conversation on there because he takes it based on his history and as a fitness professional and as a nutritionist.  I’m not completely anti drugs when it comes to there are certain cases where all risk mortality goes up if somebody’s weight is and they might need something to get them over the start line or to the start line. But I think there are very much a [00:02:00] last case results. There’s so much you can do with either your exercise options or your nutrition or a combination of both, and then your sleep and your stress that you can control and should always look at that. Prevention first, you know this from functional medicine, everything.

Dr. Weitz: 100 percent and be honest with you, even if you were going to use Ozembic as a tool, if you don’t have those other building blocks in place, the diet, the exercise, the stress control, sleep, all those things, then first of all, even if you do lose weight with Ozembic, you’re just going to gain it right back, unless you plan to take it for the rest of your life.  And there’s too many side effects for that, in my opinion.

Brian: 100%. And it’s really important when you think about someone who’s starting, who’s overweight, potentially incidentary to start with that. One of the mistakes I see most often, and I’m sure you see this as well, Ben, is people making too many changes too soon.  And exercise is a really good example of this. [00:03:00] If you are not working out or moving a lot, you don’t actually have to do an awful lot of exercise to elicit some physical positive benefits. I. e. if you stay eating the exact same and you start going for a half an hour walk at lunchtime, all other things equal, you’ll potentially be burning more calories, which could kickstart that weight loss journey.

And then if you’re feeling good, it might improve your sleep, which could help with balancing the hormones. It can help with things like your ghrelin, your leptin, things you’ve talked about on the podcast when it comes to hunger and satiety, making sure that you’re noshed. You’re feeling full after meals, which obviously comes down to your food choices, in which we can get into as well, but your feeling of just overall wellness.

And what happens with a lot of people that I’ve worked with in the past who are in that bracket is they don’t know where to start, or they’ve done several diets or several exercise programs, made too many changes too soon. couldn’t sustain it because they felt terrible or they were hungry all the [00:04:00] time, or they felt sore and then fell back off track and then went back to their normal routine.

And in some cases they ended up in a worse position than when they started. So I would say with your exercise choice, doing more than what you’re doing now is better and is the best way to approach things. You don’t have to join a gym and go six days a week. You definitely don’t need to do that, but go for a walk for half an hour at lunchtime, and then maybe increase that to 45 minutes over the next couple of weeks.

And the same with nutrition. Something I will do with my overweight, and I’ve worked with clinically obese people in the past in my one to one programs, and You can’t change someone’s nutrition and overhaul it at once and for them to stick with it because generally there’s bad food behaviors. There’s been poor habit formation around food and the way that they potentially might emotionally eat or use food to soothe in a lot of cases.

It can happen with people that go, not everyone, there’s genetic components and lifestyle components and just the food system, et cetera. But in a lot of cases with the people I’ve worked with, there’s an emotional underlying issue as well. When it comes to, I feel bad. I go to [00:05:00] food, I feel stressed, I turn to food.

And you need to look at that and break it down into smaller component parts. So one thing I would say here, if you’re in that starting point, is look at one meal, pick a meal, normally breakfast, it’s the low hanging fruit, you normally feel your best when you wake up in the morning, or you should at least, and you go, right, I’m going to make a healthier breakfast.

Breakfast food choice, whether that’s a bowl of oatmeal in the morning, or some scrambled eggs, or a smoothie that has loads of greens and potentially some fruits if you want to keep your sugars in and then some fats to balance it out so your blood sugars don’t spike, and then eat everything else as normal.  Your normal lunch should be your normal dinner, your normal snacks. Just change that one meal and you’ll start to see a positive change over time. And then look at your lunch and then over the next six, several weeks, keep everything else the same, put your breakfast and lunch are going to be considerably higher nutrient quality and better food quality than you’d been making prior.

And then look at your dinner and then look at your snacks. And over the space of three, four or five, six months, you might’ve overhauled your entire nutritional plan and potentially your exercise regimen. And that’s something you’re going to be able to stick to because you didn’t make all the changes too soon.[00:06:00]

Dr. Weitz: You mentioned snacks. I guess we’ll go back and forth between nutrition and exercise. I was thinking we would cover exercise first and then nutrition, but snacks is an interesting, one because I’ve been involved in health and fitness and giving people nutritional advice for, 35 plus years and competed as a bodybuilder way back in the 80s.  And I remember when I first got into, this, we would tell everybody, you absolutely have to eat breakfast. You’ve got to start your day off with some healthy food. And then you’ve got to eat every 3 or 4 hours during the day. You’ve got to have a meal or a snack to keep a steady blood sugar. And over the last 10, 15 years, it’s become much more popular not to snack, to skip meals, to do what we call intermittent fasting, and a lot of people do that by skipping breakfast, and it’s a, it’s kind of going [00:07:00] back and forth right now, but I think it’s kind of interesting how we’ve gone from people skipping breakfast, eating a big dinner, to going to sleep, gaining weight, and then getting people to eat breakfast.  And now it’s become very popular to skip breakfast. So where do you stand on intermittent fasting and, also, having snacks?

Brian: It’s such a great question, Ben, because when you think about nutrition, something that I try and educate my audience on is it’s impossible to take black and white in a topic that’s gray.  And what I mean by that is different nutritional protocols work for different people and a better way to look at nutrition and a better question isn’t, should I intermittent fast? Because that’s what everyone should be doing. Or should I be eating vegan or carnivore or paleo or insert, ketogenic diet here.

It’s thinking about nutrition, like square pegs into square holes. And there’s a [00:08:00] nutritional protocol out there that will work really well for you, but you might have to experiment with it. And I get it because I wish as a nutritionist, and I’m sure it’s the same with you, Ben, that you could just say to everybody, eat this way, train this way, and you’ll get amazing results because that’s not the truth.

The truth is you have to experiment with exercise. I’m a firm believer in, unless you’re working to an extreme goal, a marathon, a triathlon, a bodybuilding show, you have to find an exercise regimen that you enjoy, like something I’ve, recommended to clients in the past is try and find exercise that feels like play to You if you like playing five a side basketball, or you like to go to run for running sessions to de stress, or you like to cycle or hike, that’s what you should base your foundation of your exercise regimen around because that won’t feel like exercise to you. It’s going to feel like play to you.

It’s going to be something that you enjoy. Food can be very similar to that. You have to first ask, well, what can I stick to over the longterm? Now I do intermittent fasting. I’m a big fan of it. It suits my schedule for me. I get up in the [00:09:00] morning. I like to train fasted. I like to kind of keep my brain clear so I can do my creative work in the morning.

And then I’ll have my first meal, after a cup of coffee, several hours after I’ve gotten up, I used to bodybuild and I competed in bodybuilding for years as well. And I did the six meals a day, six small meals a day. And that worked really well for me at the time as because that was my schedule and my lifetime at the time.

It was all about building muscle, losing body fat, getting ready for stage and getting ready for shoots and things along those lines. So at different stages of your life, different nutrition protocols may or may not work for you. I’m a little bit of a guinea pig when it comes to, I’ve tried all of them.

I’ve done carnivore, I’ve done vegan, I’ve done keto, I’ve done fasting, I’ve done multi day fast, I’ve done the bodybuilding plan. Because I like to see when I’m working with clients, look, this is probably how you’re going to feel. Now, everyone has different starting points and there’s terms like metabolic, flexibility that are important to know that if you’re burning carbohydrates or burning fat as your primary fuel source, your starting point is going to matter a great deal.

So somebody like me [00:10:00] who was relatively lean starting intermittent fasting didn’t really find it that difficult where someone who’s been eating sugary cereals all their life for breakfast and is riding a sugar rollercoaster all day is really going to struggle with intermittent fasting in the beginning because you’re, burning glucose, you’re burning glycogen, you’re burning carbohydrates as your only fuel source.

Your body doesn’t know how to burn dietary fat or the fat stored in your body in some cases, whereas someone relatively lean whose body does know how to do that isn’t going to struggle. So there’s pros and cons to every diet. It’s ultimately about finding, okay, I like the sound of that. That sounds good.

I’m going to experiment with it for a few weeks. You might need professional help, somebody that can help coach you through it. And that’s okay too. We all need coaches in different areas of our life. And then you decide, actually I like this. I can stick to this. I’m getting the results I want. I’m going to continue with it because sustainability and longevity at the end of the day is what it’s all about when it comes to nutrition and exercise.

Dr. Weitz: So let’s go back to the exercise portion. Is weight training or cardio more important?

Brian: I, when people ask me about weight training and cardio, about being more important, I always say, what’s more important to live, your brain or your heart? And the answer is, both because they serve different purposes.  And weight training, I’m biased towards weight training and strength training because of all the benefits that you get. One, it increases your metabolic rate, which is probably the most important thing. Something that people don’t understand is they’ll do cardio when they’re trying to lose weight or lose body fat.  And on paper it makes sense. Cardio doesn’t burn body fat. Cardio burns calories and burning calories can support a caloric deficit, which can support your body’s ability to tap into fat stores and use them for fuel. So people will think, Oh, I’ll go do 40 minutes on a cross trainer, or I’ll go walk for half an hour on a treadmill.

That’s going to work great for my fat loss. And in some cases it can. What strength training does and what lifting weights does is it increases your metabolic rates so that you burn more [00:12:00] calories while you’re resting. It’s the calorie burning fat loss, equivalent of making money while you sleep. So I’m very biased towards that when somebody is looking to improve their body composition, but weight training and strength training.

Also, if you think about yourself in 20 years, 30 years, 40 years, I’m in my mid thirties. Now I want to be able to walk up and down stairs when I’m 70, 80, I want to be able to move around and not break a hip. Strength training improves that. and increases your body’s ability to be stronger and adapt with that force as you get older and that bone density.

So I love that. Cardiovascular activity then is great for endorphin release. You’ll hear a lot of people saying runners high or cyclers high or swimmers high. Cardio is really good for that so you could feel better doing it. You can also burn more calories if you have a weight loss goal. It can also reduce potentially in some cases your risk of certain, diseases and illnesses.  Again, mostly down to improvement of blood flow and reduction in body fat, et cetera. So I like [00:13:00] both. It’s very much a case of if you ask me what’s the best, I would say do a combination. I would say do some cardio, do a little bit of weight training and mix and match.

Dr. Weitz: And as far as cardio, we have long term steady state. What, I guess technically is term zone two training. And then we have higher intensity cardio where you really get your heart rate up and you get out of breath. do you recommend both of these? Do you?

Brian: It depends on the starting point of the individual because they serve kind and slightly different purposes.  So I do a lot of my, and my profession is based around body composition, people, weight loss. fat loss, toning up, building muscle. So getting people into physical shape. When you put that lens and put it through that lens, your high intensity interval training is going to be better for those looking to preserve muscle because it’s shorter, it’s higher intensity, it’s not going to take as long.

So it means you can prioritize other things like your weight training. but it’s also been shown in the research and the evidence that it’s preserves muscle better than low [00:14:00] intensity, steady state cardio, all other things equal. Whereas low intensity, steady state, like your 20 minutes, 30 minutes, 40 minutes on a cross trainer is your zone two.

It can be really good if your calories are quite low and your energy levels are quite low. The downside of HIIT training is if you’re in a calorie deficit or your calories are quite low, you might not have the fuel. to be able to keep that intensity high during the session, especially if your carbohydrates are low, because you tend to find that high intensity interval training is a lot more glycotic.

It’s going to be a lot more carbohydrate based, whereas your low intensity steady state, your zone two, it’s a little bit more and potentially can, be in that fat burning zone if your calories are controlled and they’re in that deficit. So that’s where people mix and match it for body composition. I think it’s very much a case of what do you prefer and what can you stick to.

I personally do long distance running and I’ve done ultra marathons and things along those lines. I don’t enjoy it. I’m built for speed and I’m built for short bursts and I love HIIT workouts. I love being able to just, I’m in a hotel room, I’ve got 20 minutes and I’m just going to do [00:15:00] 10 exercises, one minute on each one, two rounds and just go straight through, work up a sweat and I’m done in 20 minutes. I don’t want to go walking on a treadmill for an hour in the morning if I’m busy and have to speak at a conference or whatever it is. So there’s an element of what you enjoy, what fits into your lifestyle. But knowing that there’s pros and cons to both, depending on your nutrition, depending on your starting point, and if you have any preexisting injuries.  Obviously, if you have a knee injury, you’re going to be very limited with certain movements for high intensity where you might be fine on a cross trainer. So you have to take all of these things into consideration.

Dr. Weitz: Sure. Absolutely. If you’ve got a knee injury, you’re likely not going to be able to do squats or burpees or lunges or things like that some people combine their cardio with their weight training, as you were just mentioning, either doing body weight or relatively lightweight going from set exercise to exercise, keeping the heart rate up. what do you think are the benefits of doing, let’s say you have an hour. Would you be better off doing an hour of [00:16:00] higher intensity weight training where you do a set of something, do something else, maybe a burpee, a set of burpees, or maybe just go from one weight training exercise to the other, or is it better to do like a half an hour of concentrated weight training trying to lift as much weight as possible and then doing 30 minutes of cardio?

Brian: Again, it would be goal dependent. So if you’re talking someone who just wants to get stronger or someone who just wants to build muscle, your hypertrophy or strength ranges, you’re going to be better doing something that’s very specifically optimized to that. You’re 30 minutes spent on concentrated training.  If you just want to feel better, you want to get your heart rate up. You just want to look better. You want to be fitter, a little bit stronger, and just move better. Then your circuit training can be. Amazing there. We are going and picking maybe five, six moves, doing 10, 12 reps on each one and doing it in a circuit that can be a very effective way to training based on a specific goal of the individual.

Dr. Weitz: should it cardio, is it better to do [00:17:00] cardio when you’re fasted? Is it better if you’re doing cardio and weight training, do you want to do the cardio before after the weight training, before, maybe it’s going to warm you up, but afterwards, maybe you’ve depleted the glycogen from the weight training.

Brian: Great. Another great question because there’s a few angles I could come at this from Ben. I had a video go quite viral recently about. And it was in that order about do your cardio vascular activity after you’ve weight trained. And when you’re looking at things like fasted cardio, and I’m an evidence backed coach, so I use the evidence to research because it’s very difficult.

Otherwise I’m just offering opinions, which isn’t really helpful for anyone unless I say this is my opinion. This is what’s worked for me. When you look at the research, things like fasted cardio and overall cardio time is what’s the most important. So whether you do it fasted, 20 minutes in the morning or 20 minutes.  5 times spaced over the day or 20 minutes at the end of a workout. All other things equal, the results will be very, very similar, but they’re [00:18:00] not always similar because context matters. For example, when I used to compete in bodybuilding shows, I loved fasted cardio and not because it sped up fat loss. It was because I was a bit of a zombie in the morning, so I could walk on a treadmill.

I could keep that routine. It was getting me out of bed early. I could do it and it never got missed because it was anchored as a habit at the start of my day, which meant the consistency was really high. So fasted cardio can be really good for people because you can habit stack it with other things.

You wake up in the morning, grab a cup of coffee, go and do your cardio. And you’re very unlikely to skip it then because it’s part of your routine. Morning routines can be really useful for people. But ultimately, if it’s better for you to do it at the end of your workout or to do it at lunchtime, then That’s going to be fine as well.

All other things equal, particularly for body composition and weight loss. When it comes to doing it at the end of sessions, I like to take the approach that your energy levels, if you think of a gym session and you have 45 minutes in the gym. which is generally an [00:19:00] average workout for most people. If you’re any longer in the gym, you probably need to bring a stopwatch, which in time your rest periods, because you probably don’t need to be in the gym any longer than 45, 50 minutes, unless you’re training for a marathon or an Ironman or something that’s more endurance based.

But for body composition, muscle building, toning up, weight loss, fat loss, 45, 50 minutes max is all you’re going to need three, four or five times a week if you’re an advanced trainer. And if you go in, your energy levels at the start of workouts tend to be higher. Regardless. of your nutritional protocol.

Most people just tend to have more energy at the start of a workout, whether you’re carb based, fat based, whether you’re using really high quality foods, which is obviously what I recommend, or if you’re using low, low quality foods, people’s energy tends to be higher at the beginning of a workout and you get tired as it goes on.

Weight training, Unresistance training and strength training gives you a better bang for your buck, as I mentioned, because it will increase your metabolic rate. You want to do those more difficult movement and exercises and parameters of training when you’re fresher. So if you’re going in, it’s the same reason you don’t [00:20:00] go in.

And you know this from your bodybuilding days, you don’t start your workout with a bicep curl and, midway through your workout, when you’re feeling the best. You start doing bicep curls, you do your squats, or you do your deadlifts, or you do your bench press, or you do your military press when you’re fresh.

Those compound multi joint exercises that are going to recruit a lot of muscle, a lot of your body, and are going to give you a better bang for your buck when it comes to the exercise choice you’re choosing. I think of cardio and weight training is very similar. Weight training. All other things equal gives you a better return on your investment.  So do it when you’re fresher and then do your cardio at the end when you’re a little bit tired, especially if you’re doing low intensity steady state.

Dr. Weitz: And I think the other thing is, you want to burn off your glycogen with the weight training. Cause then you’re going to burn a higher amount of fat because your body’s going to use the glycogen, the storage form of carbohydrates before it starts burning fat.

Brian: Yeah, a hundred percent. And again, your nutritional protocol would be dependent there because people that are on higher fat diets. And again, this is the reason I want to preface it because [00:21:00] intermittent fasters or people who go higher dietary fat, their glycogen stores can be largely depleted by the time they start training.  So that’s why if you are doing a strength program and you’re on a ketogenic diet, sometimes you can find that your weakness or goes down, ie your strength goes down because you don’t have the best fuel source for the activity that you’re trying to do. It’s just one of the trade offs. Ketogenic diet is great for brain function, can be great for hunger, satiety, mental clarity, all these other things.

It can isn’t always the best for strength and weight training. It doesn’t happen to everybody. There is a point at which your ketosis and ketones go to a certain level where improvement and strength can go up, but in the initial phases, it can go down. So the starting point matters greatly, but for the average person consuming an Irish diet, English diet, American diet, that, a kind of healthier version of it.  They’re going to find a better bang for their buck trying to work through that glycogen depletion and then better utilize their body’s ability to burn fat for fuel as the workout goes on.

Dr. Weitz: By the way, what is an Irish diet?

Brian: [00:22:00] Potato, potatoes and meat, potatoes and meat with a little bit of vegetables thrown in.

Dr. Weitz: Okay, that sounds like the American diet.

Brian: Yeah. It’s very similar. I lived in California for years. Exactly. You have better, you’ve got better desserts. I must say your desserts are considerably better in the States than we have over here.

Dr. Weitz: So when you’re working with a client who wants to lose weight, how do you decide what type of a nutritional approach to use with them?

Brian: What I do with my clients, and it’s not necessarily a recommendation for any other coaches or personal trainers, but I find this works really well for me. I normally get them to do a food diary for three days. And if they eat Oreos for breakfast, lunch, and dinner, I say, put down the Oreos for breakfast, lunch, and dinner.  Like, tell me what you’re actually eating. And the first thing I’ll try and do is, right, what are they doing well? And in most diets, I’ll say 95 percent of people have good habits somewhere in [00:23:00] the nutrition. They’re making good lunch choices, but maybe their breakfast isn’t that good. Or they’ve got a really nutritionally dense dinner, but they’re snacking on cookies and Oreos through the day.

I will look to see, all right, these are the things that aren’t going to support them with the goal. These are the things that are, and I try and layer the nutritional plan that I create for them on top of that so that they’re just building off the good habits they already have, and they’re minimizing the bad habits that they’re doing. I had one of my clients before and I put this in the last book and it was a story that it went viral when I released it at the time because my client was speaking about it. 

Dr. Weitz: Either way, what was, what’s the name of that book?

Brian: The last book was The Keen Edge, Mastering the Mindset for Real Lasting Fat Loss.  And I talk about him in there. I’ve got three, Fitness Mindset, Rewire Your Mindset, and The Keen Edge are my three books. The two, first two are, First one and last one are fitness books. Second book is all around mindset and personal development. But I had a client who came to me, Ben, who ate 10 Mars bars every day, literally 10 Mars bars every day.

He would get two of the family packs and you can get five bars in the family packs in [00:24:00] Ireland. And when I was working one to one, I’m all online now, but I was working Did you measure his blood glucose? Oh, I didn’t. He was very overweight to come in with. And we kept it very simple because he’s like, I’ve been to coaches.

I’ve been to trainers. I’ve been to slimming clubs and nothing is working. And I’ll never forget the look he gave me the first day when he came in, because our entire workout session was just going up and down the stairs of the gym. Cause that’s all he was able to do. And he didn’t want to go in. He was a bit nervous and had gym anxiety around it.

He was telling me about his Mars bears. And I said, okay, I’m All I want you to do for this next week with your nutritional plan is I want you to eat nine Mars bars. That’s all I want you to do. I was like, eat, your normal diet, but I don’t want you eating 10. So I want you to eat.

Dr. Weitz: Brian King recommended eating nine Mars bars.  

Brian:  Nine bars, the fat loss plan, nine, nine, nine, nine bars. He came back and he was very skeptical and he came back in the next week and his weight was down and he goes, I don’t know how my weight is down. He goes, maybe I walked a bit more. I was like, okay. No changes this week, except instead of nine, I want you to eat eight this week.

So you can [00:25:00] have them anytime you want to eat them when you want, but we’re going to bring it down to eight. You’re way too nice. But the thing was, and I wouldn’t do this with everybody because sometimes I make more changes depending on the starting point, but this, When I’m chatting to somebody on a consultation call and they’ve been to 10 trainers before me and they’re still overweight and they’re still having problems.

I’m like, well, all the traditional methods don’t work. So I just rule that out initially. So we went from eight and you can tell where the story is going. It went from seven to six and it actually got down to the point where he was eating two every day, but it controlled his calories and brought his calories down.

And he ended up losing a hundred pounds over the space of several months. And all we did now, Confidence was huge for him when he actually started to see the weight going down without making any extreme changes. He bought so much into the idea of what we were doing. If I told him to run through a brick wall, Ben, he’d run through a brick wall by the end because he just had so much faith in what we were doing because he saw the results.

But it was about building sustainable habits for him. And I was trying to illustrate that. The importance of somebody like that. And I know you talk a [00:26:00] lot about gut health and, the functional medicine side and overall hormonal balance, et cetera, which is extremely important, but for someone like him who just needed to control his calories for the most part, it was to illustrate you’re eating too many calories every day.

That, that’s it. You’re eating 10 Mars bars. That’s a lot of calories. And just bringing that down. And then we ended up looking at his nutrition overall, his breakfast, lunch and dinner. And over the space of, it was about nine months total, he had completely changed the way that he ate, but that’s how it started.  So sometimes the non traditional approach, depending on the circumstance of the individual is just as important as the method that you use

Dr. Weitz: with them. Well, let’s say somebody comes to you and they say, look, I want to be in the best shape. I want to be healthy. I want to lose, 50 pounds. I’m willing to eat any way you tell me to eat.  Should I eat paleo? Should I eat Mediterranean? Should I eat keto? What, what would you tell them?

Brian: If somebody was [00:27:00] working with me, the advice I’d offer, if it was a general question versus someone working with me would be different. So I’ll unpack. both and talk through the difference between both. If it’s someone that’s working with me, where I’m monitoring their food and keeping an eye on their food, I don’t really mind how quickly or how slowly we make the changes because I’m assuming they bought in for 3, months, especially if they have 50 pounds to lose and they want to lose and they want to keep it off.

So when I’m working with somebody, I’ll do that food diary approach and I will make small changes over time. is going to support them. As I said, someone that’s 50 pounds overweight in most cases didn’t get there by accident. They’re not a professional athlete. They’re not a fitness person by nature. If I’m working with somebody in that space, I can make more changes with them because they’ve got just a different mindset and they have a different starting point coming in.

So when I’m working with that individual, I’ll make those small changes based on a food diary and try and build off the habits that they’ve already formed that might be good and then make changes around it. [00:28:00] If somebody asks me outside of that, I would generally say you can’t go too wrong. Nutrition is such a funny topic, as Ben.

And the piece of advice that I historically have always been able to give without any push back. And now in 2024, it gets pushed back is eat more fruits and vegetables. Like you generally, eat more vegetables in particular, green leafy veg, and now you have communities of people online who be like, don’t eat green leafy veg, they’re poisonous.

So that, one piece of advice that was a truism for so long now gets pushed back because of the way things are online in particular. But I think if you want to just go with a good healthy food approach, I think complete protein sources. So that’s going to be your meat and fish for the most part, grass fed if you’re in the States, particularly.  Making sure you’re getting good sourced fish, high levels of Omega 3.

Dr. Weitz: Can you guys not get grass fed or is all the meat grass fed? All of ours

Brian: EU regulations here. I remember when I was in the States and when I’m working with people in [00:29:00] the States, I’m like, I have to give different specific guidelines.  Whereas that’s not an issue here. I’m working with someone in Ireland or England or in Europe. We don’t have that problem. We don’t get the same level of hormones and peptides put into our food. There’s just, it’s, a hard no from the EU regulation. So our quality of meat tends to be higher. compared to the states where it’s way less strict. so that’s what I would look at your complex carbohydrates for most people, your oatmeal, your sweet potato, your yams, your brown rice, all good options, healthy fats, avocado, nut butters to a degree, olive oil, and then your fruits and your vegetables, especially fruits, which get demonized by some. If you have a sweet tooth, you can’t go too wrong.

And again, the quality of food matters, where you’re getting it from matters, but I’m just talking general best practices for people, which is kind of Mediterranean mixed with kind of a paleolithic style diet, which is kind of adjusted depending on the complex carbohydrates. You’re not going to go too far wrong with that.

And I like that approach. because the fiber is high, the nutrients are high. Your cravings [00:30:00] can go down. You’ll, this from talking about episodes of the gut microbiome, you’re giving your body what it needs in terms of good nutrient dense foods. You’re going to have a higher satiety effect. You’re going to feel fuller for longer between meals.

You’re going to have less cravings and that makes dietary adherence considerably easier. And ultimately with 50 pounds to lose, it’s dietary adherence. You’re better off to stick in the gut. 80 percent to a diet that isn’t amazing, then fall 100 percent off one you can’t stick to.

Dr. Weitz: What about your mindset about food?

Brian: It’s so interesting, and I’m glad you’ve given me such an unintentional segue, Ben, because my first book, The Fitness Mindset, and it’s not a plug for the book, people can pick it up if they want. I’m a believer that some people should read the book, some people shouldn’t. all books, every book you’ve ever read in the planet, the people that need it should read.

Dr. Weitz: I think all people need to read more books. Yeah.

Brian: Yeah. it’s a good piece of advice in general, but mindset, I wrote that first book and that first book changed my whole career. It came out in 2017. [00:31:00] It’s been 16 weeks on the Amazon and national bestseller list and opened up more doors for me than I knew what to do with at the time.  I’m very, very grateful for it. And Part of the reason the book took off was I broke it into two sections. The first section was called the fitness mindset. The first section is called fitness, which is all about sleep, nutrition, training, stress, supplementation, everything you need to know how to get in shape.

The whole second section is around mindset, your anxiety, managing that stress levels, your behavior around food, making sure that you’re being around good people and supportive people. All these things that people don’t always necessarily think of when they think about mindset around fitness. And I think the reason the book did so well was because that’s what my clients at the time were struggling with.

Most of the ones who came to me knew they should move more. They knew they should make better food choices, and they had a good idea of that yes, broccoli is going to be more beneficial than having a cookie at lunchtime. They knew all these [00:32:00] basic things, but they still couldn’t stay on top of their nutrition and the training program.

There was self sabotage. They were around people who weren’t supporting them. They were anxious and stressed and they couldn’t control that. And that led to either skipping exercises or skipping workouts or making poor food choices. So I merged those two things together. So my entire philosophy as a coach is around that mindset.

And it’s funny, I could be working two, three, four weeks with somebody, I’ll design a nutritional plan, I’ll design a training program, which to be fair, let’s call it a spade a spade, any good coach can do. And then they’ll say something on week three or week four about their relationship or about their job, or about their stress levels.

And I go, okay, now we’re onto something. This is why you haven’t got the results with other coaches or why you haven’t got results yourself in the past. I would start to unpack that and see, well, what’s going on with your mindset? Why are you self sabotaging around food? Why do you need to numb out or why, What, are the emotional triggers that are going on within you that are setting you off and making you fall off track with your nutrition?

And they’re the things that ultimately come down to the [00:33:00] mindset side. So I think it’s really important because fitness isn’t complicated. Yes, we can argue back and forth between weight training and cardio and high intensity and low intensity, but movement is something we can all agree is good. Move more.

Most people need to move more and the same with food. Less processed food, more whole food, in whatever capacity that looks like, is generally going to be better. Most professionals will agree on that. We’ll have nuances in between, but we’ll agree on that. But it’s the mindset that makes people fall off track, and it’s why they can’t stick to it.  So I think it’s extremely important.

Dr. Weitz: Let’s go into a little bit about maximizing performance. Protein. We know we need a certain amount of protein to maximize muscle gains. How much protein should the average person have? And, when should that protein be eaten? What about the timing?

Brian: With protein, there’s different recommendations depending on What it is that you’re training for.  So someone that’s doing a [00:34:00] strength program or an athlete that plays a sport, basketball, football, rugby, et cetera, the requirements are gonna be slightly different. General best practice is gonna be one to two grams per kilogram of body weight. So that’s per two pounds of body weight if I’m doing the correct.

Dr. Weitz: yeah, I think one kilo is like 2.2 pounds.

Brian: Yeah. So in, in terms of kilos, if you are 80 kilograms, you’re going to want to get about 80 to 160. g of protein per day and it’s very easy to calculate your calories around that for every gram of protein you eat there’s four kilocalories in it, so you can get and do the maths from that.

But what sometimes people fail to recognize is fats and carbohydrates serve as proteins, bigger in macronutrients, meaning that. If you are consuming a decent level of carbohydrate or fat or a combination of both, your body will prioritize that for energy and for fuel, and then it’ll utilize the protein and the amino acids that are the makeup of that protein for repair.

And [00:35:00] sometimes you’ll see, and you probably did this in the bodybuilding days, Ben, I don’t know, I definitely did. So a lot of bodybuilders did where they just ramp up protein to like 300 grams a day. Sure. And you get all the negative side effects, constipation, dry mouth, stomach discomfort and GI distress.

Thinking more is better when in reality you’re would have been way more and optimize your performance in a better way. If you just adjusted your carbohydrates or fat upwards and down and actually took your protein down and you’d feel better. through the day and your inflammatory, your body gets so, like your gut gets so inflamed and your protein is way too high, hence the constipation in a lot of cases.

So I’d say one to two grams per kilogram of body weight, doing the pounds equivalent of that, and then basing the rest of your nutrition around it. So your caloric intake is important. I’m a believer that it’s the bottom of the pyramid of prioritization. IE, you need to know what your calories are. If you have a body composition or performance goal, your macros come on top of that.

Your food choices come on top [00:36:00] of that. Like I, I like the whole food approach. I think the more whole foods you eat, the better you’re going to be. You’re going to do in terms of performance, whether you’re looking to lose weight or whether you’re an athlete, you’re going to get more micronutrients, you’re going to feel better, your fiber will be higher.

And I think when you look at protein, it’s the most important of the macronutrients for an athlete for repair, for performance, because those building blocks, those amino acids that make a protein are the building blocks of all things in life. And you need them to repair from sessions in terms of timing.

Best practice, I like spacing it out through the day, but your workout window is important. So they’ll generally say, depending on your starting weight, 25 grams to 50 grams of protein in your pre and post workout meal, normally in the easily digestible source. So, you know, if you’re eating meat, that might be a chicken breast before training with some sweet potato.

After it might be some oats and a whey protein shake or a dextrose. If you’re really trying to replenish glycogen levels fast, if you’re a high level athlete and you’ve got a game the next day or a training session the next day or a gym session the next day, you [00:37:00] might want to go with something that’s a bit more higher GI, your dextrose, your glucose, et cetera, so that you replenish glycogen stores faster.

And then you have a complex carbohydrate meal, 30 to 60 grams. of carbohydrate and 25 to 50 grams of protein in that meal, half an hour, 45 minutes after you’ve trained when that lactic acid is cleared down. That’s generally how you’d approach it. And then you build the rest of your nutrition around that pre and post workout window.

Dr. Weitz: Okay. What about nutritional supplements? Do you recommend them specifically related to training, pre workout, post workout things?

Brian: I have a food first, but not food only approach. And somebody that has 50 pounds of weight to lose, supplements tend to be pretty low down on the list. They can help.  And I will recommend ones. I’m a big fan of caffeine and green tea extract like harness and things along those lines that won’t have a negative impact in terms of a rebound effect or a decrease in appetite or an increase in appetite suppression, and then a rebound where [00:38:00] your appetite ramps up. I like those types of supplements.

Win performance is the goal. You can’t go too wrong with a good quality protein powder, whether that’s a high quality whey protein, if you’ve no issue with dairy for ethical reasons or no issue with dairy for digestive reasons, or, a vegan based blend, if you prefer to go with that, and then creatine, you cannot go wrong.

with creating the most scientifically backed sports supplement of all time in terms of increasing performance for strength for sprint based athletes. And then I maybe throw beta alanine on top of that. Beta alanine helps to buffer lactic acid. So if you play competitive sport or you play high level sport and you get that buildup of lactic acid, which inhibits your performance, your beta alanine can help to buffer that and it can increase the longevity in which until that happens.

So I would look at a good quality protein powder. maybe some creatine, maybe some beta alanine, and then obviously caffeine. If you want to use caffeine in some form, assuming that you’re a caffeine responder, you’ll get great performance benefits from [00:39:00] those.

Dr. Weitz: What type and how much creatine?

Brian: It depends on your starting weight.  General, depending on the type, monohydrate is the most scientifically researched, which normally needs to be loaded. But creatine is kind of a funny supplement in the sense that sometimes people are like, what’s the difference? Well, I’ll take it before my workout and it’s going to help me with my strength training.

That’s not how creatine works. Creatine works. And the analogy I give is if you picture a two liter water bottle, when you have a two liter water bottle that’s empty, you’re able to bend and crack it. When you fill it with water, you’re, you can put a lot more strain on that two liter water bottle. That’s effectively what happens with your muscles with creatine.

Creatine pulls water underneath the muscle so that you’re able in the setting of a gym, for example, to move more weight than you normally would, or you’re able to do the same weight for more repetitions because you have more water and you’re able to put more strain on that muscle. So when it comes to creatine loading, All you’re looking to do is saturate the cell.

So saturating the cell in some cases is going to be loading it for say 20 grams. You normally have five gram [00:40:00] dose four times a day over a three to five day window. And then you do a maintenance dose, which is five to 10 grams, depending on your starting weight, but you don’t have to do that. You’ll saturate a cell over a longer period of time, but just five grams a day, it just takes longer.

Dr. Weitz: Okay. how about beta alanine? How much do you recommend?

Brian: That one I would time around your workout, similar to caffeine. So caffeine and beta alanine are one side of the coin and then creatine on the other side. With creatine, the most important thing is about the consistency, meaning that you’re taking the right dosage.

The timing, I take it around workouts just so I don’t forget to take it. Literally the only reason I take it before I go to the gym, so that I’ve Don’t forget to take it. Beta alanine you’ll take in that 30 to 60 minute window before you train and it’s worth noting you’ll get sometimes what are called beta alanine tingles where you’ll get this weird tingly feeling in your face or in your hands.

I remember the first time I took it in college Ben I thought it was my fabric softener that I was using and I remember I changed and I was like I’m allergic to this fabric softener and the thing I’m washing my clothes with I [00:41:00] didn’t realize it was the beta alanine tingles and I was training for about two months before I realized this is like pre forum days, pre Instagram, pre Google, which is showing my age as well. and I didn’t know it was beta alanine, but taking it before training, normally around, 1. 5 to 3 grams, depending on your starting weight is going to be very effective. And a lot of people will pair that with caffeine, which will be, between a hundred MCGs and 300 MCGs, depending on how caffeine sensitive the person is and that stack with your pre training of beta aldehyde and caffeine and maybe some creatine in there and then post workout of something like a high quality whey protein or a protein powder is going to give you very good benefits as an athlete.

Dr. Weitz: So the caffeine is that like in a pre workout formula or are you talking about coffee or tea?

Brian: It doesn’t really matter. Like caffeine itself is the thing you’re looking to do. It’s the stimulant that’s going to give you your central nervous system response, which is going to increase your, rate of perceived exertion in terms of your, you won’t feel as tired. You’ll be more alert. You’ll feel like you’re able to [00:42:00] push harder in this workouts.

So the vehicle and distribution of it matters less, whether that’s a can of monster, a cup of coffee, a caffeine tablet, a pre workout, they all have pros and cons depending on, I use a caffeine tablet, Partly because I love black coffee, but I can’t take it in the morning or else my stomach and my guts feel like someone’s like attacked me with a knife for the rest of the day.

So I have to have food in my stomach before I have my cup of coffee generally. And so I use a caffeine tablet. I use pre workouts for years. Again, there’s a lot of additives, a lot of extra stuff in those that are great, same as cans of Monster. But if you’re talking just purely the caffeine element of the performance enhancer, it doesn’t matter as much in terms of how you consume it.  But if you’re talking other things, what’s the cleanest way, probably a black coffee or a caffeine tablet compared to a pre workout or a can of

Dr. Weitz: Monster or Red Bull. Yeah, speaking of that beta alanine sensation with the skin, you ever take niacin before you work out? Yeah, just very similar. It’s a bit more flushy, but it’s [00:43:00] very similar.  I know you did a podcast on that recently. I’m a big fan of niacin, but that flushing can be uncomfortable. It’s not harmful, but. Yeah, it feels weird. It just feels weird. Yeah, I used to do that before workouts or before sauna.

Brian: Yeah, it’s really, good. And again, I know a lot of people do it before sauna it’s a big thing over here too. yeah, I, again, similar to belalanine, when you know what it is, it’s fine. But when you don’t, it’s a bit worrying. You actually think something’s gone wrong with your body. Like there’s like a mini alarm system going off, but once you know what’s the niacin or the belalanine, you’re normally fine.

Dr. Weitz: Have you experimented with the nitric oxide, supplement?

Brian: Yeah, I’m a fan. So I make up my own pre workout before I train. And I have AAKG in there, which is a form of arginine. And I use citrulline malate, which is a supplement that’s in most pre workouts for blood flow. So my pre workout is 200 mcg’s of caffeine, 5 grams of creatine, 3 grams of beta alanine, three grams of citrulline malate, and three grams [00:44:00] of AAKG.

And I just make that up myself. And then I throw some acetylalcarnitine for cognitive function in top. And I use that before I train. Oh, interesting. You get powders of all those? Yeah. And it ends up working out way cheaper, but just, I have a little bit of a sensitive stomach. So I literally just put them into a shake, little bit of a drop of cordial or sweetener that goes with them.

and then I just down that before the gym. And it works great. It ends up working out way cheaper because like pre workouts are actually very expensive when you think about what you’re getting dosage wise. So when I’m working with clients, I’ll normally create these stacks with them as well. So they’ll end up paying whatever, 50, 60 dollars for all these individuals.  And then it lasts for like three, four or five months and they’re getting the correct dosage for each thing.

Dr. Weitz: Yeah, one of the downsides of bodybuilding supplements in particular is they tend to add artificial colors, artificial sweeteners, all this junk. So

Brian: much. And that’s actually what put me off originally, because I was taking those when I was competing in bodybuilding shows.  And [00:45:00] I would hate to see what was going on in my gut microbiome during that time, because it was definitely screaming at me from the inside. So I’ve been a lot better with that over the last decade.

Dr. Weitz: That’s great. so I think we’re ready to wrap. What kind of final thoughts or, concepts do you want to leave our viewers and listeners with?

Brian: No, I really appreciate that, Ben. It was a great chat. As I said, I’m going to double down on what I said about finding what works best for you, whether it’s exercise, whether it’s nutrition. I know you’ve got some great guests on the podcast. You’ve got episodes and covering content yourself on your Instagram.

Ultimately for people listening, find what’s going to work best for you with your nutrition, with your training. And if you need a coach or a trainer that can help get you there, Find somebody that will serve you. As I said, square pegs into square holes. You might listen to me and go, it’s not Brian. It’s going to be someone else.

But again, I have a Muay Thai coach. I have a yoga coach. I have a Spanish coach. Three things in my life that I’m weak at, that I need to improve on. I’m a big believer that coaches need coaches and that people need help in areas that they’re struggling with. And again, look for [00:46:00] those. use the old Buddha quote, when the student is ready, the teacher will appear, find the coach that will support you, whoever that is, and know that square pegs fit into square holes.  And it’s ultimately about finding what’s going to work best for you.

Dr. Weitz: Now, what if they want to get ahold of you? Do you still work with clients? Do you have programs? And how would they get ahold of you? I

Brian: do. Yeah. I’m briankeenfitness. com is where I have all the details on my programs. I’m from my one to one.  My one to one is application only. so you have to apply to work.

Dr. Weitz: Can you spell out your name?

Brian:  Brian Ke, B-R-I-A-N-K-E-A-N-E, fitness, F-I-T-N-E s.com. so brian ke fitness.com. I’m on social. Instagram is the one I’m on the most often, but I’m on all of them. And the Brian Ke podcast and then Brian Keane, the books are on Amazon and available everywhere books are found.  So I’m all over the place. It’s just very much a case of finding. What way do you like to consume information? Do you like to listen? Do you like to watch? Do you like short form videos? Do you like writing? Whatever way you want to consume information. Hopefully I can help anyone that reaches out. and for anyone that wants to work with me directly, I have programs on [00:47:00] that website and then applications to work one to one as well as I mentioned, just, it tends to be a bit more at the extreme cases that I take, because I have programs that serve for just general body composition that tend to work better at a lower price point for people. So we try and serve people all along the way of their journey.

Dr. Weitz: That’s great.  Thank you so much, Brian.

Brian: Thank you so much, Ben.


Dr. Weitz:  Thank you for making it all the way through this episode of the Rational Wellness Podcast. For those of you who enjoy. Listening to the Rational Wellness Podcast, I would appreciate it if you could go to Apple Podcasts or Spotify and give us a five star ratings and review. If you would like to work with me personally to help you improve your health, I do accept a limited number of new patients per month for a functional medicine consultation.  Some of the areas I specialize in include helping patients with specific health issues, like gut problems, neurodegenerative conditions, autoimmune diseases, cardiometabolic conditions, or for an executive health screen and to help you promote longevity and take a deeper dive into some of those factors that can lead to chronic diseases along the way.  Please call my Santa Monica White Sports Chiropractic and Nutrition Office at 310 395 3111 and we’ll set you up for a new consultation for functional medicine and I look forward to speaking to everybody next week.

Dr. Darin Ingels discusses Lyme Disease at the Functional Medicine Discussion Group meeting on June 27, 2024 with moderator 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

2:57  Dr. Ingels got bit by a tick in 2002 while living about 30 minutes from Lyme, Connecticut and he got Lyme Disease.  It took him about three years of cyling through a cascade of different Lyme treatments, that are often targeted at killing the organism, though effective treatment for Lyme Disease involves much more than just killing the bacteria.

4:02  Lyme disease is a bacterial infection caused by the Borrelia species of spirochete bacteria and transmitted by the bite of a deer tick.  Back in the 1970s there were a rash of kids suffering with arthritic conditions, so they started to send blood samples in the NIH, where a researcher, Willie Bergdorfer discovered the Borrelia bacteria that was causing these symptoms, so they named this species Borrelia Bergdorferi. There are at least five subspecies of Borrelia Bergdorferi, over 100 strains of Borrelia in the US and more than 300 strains worldwide.  Unfortunately, testing usually just looks at one strain. While the largest concentration of cases are from New England and the Midwest, but the East and West coasts are not both endemic for Lyme disease.  The CDC says that California is the fifth fastest growing state for Lyme disease. The ticks are carried not just by deer, but also by mice, rats, squirrels, and raccoons can carry these ticks.  We get about 476,000 new cases of Lyme every year in the United States.

 

 

 



Dr. Darin Ingels is a Naturopathic Doctor with a license both in California and Connecticut, and his office is in Irvine, Califonia. His practice focuses on treating patients with Lyme disease,  Dr. Ingels has published three books, the most recent is The Lyme Solution: A 5-part Plan to Fight the Inflammatory Autoimmune Response and Beat Lyme Disease. His website is DarinIngelsND.com.  His office is in Laguna Hills and his phone is 949.551.8751.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.

 



 

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, everybody. Thank you for joining our functional medicine discussion group meeting. I’m Dr. Ben Weitz. So we hope you’ll join some of our future meetings as well. We usually meet on the fourth Thursday of the month.

July 25th, Alan Barrier is going to speak about the hypothalamus pituitary adrenal axis.

August 22nd, it will be about Integrative Cardiology with Dr. Cynthia Fink. 

September 26th, Dr. Mark Pimentel will be talking about SIBO as the cause of IBS and all his exciting new research.

I encourage everybody to participate and ask questions. If you’re not aware, we have a closed Facebook page, the Functional Medicine Discussion Group of Santa Monica.  So please join that and we continue the discussion. We post a lot of articles and, uh, this is going to be recorded and included in my weekly Rational Wellness podcast. So please check that out. And if you enjoy listening to it, please give me a Ratings and Review on Apple Podcasts or Spotify.

So we’re so grateful that Dr. Darin Ingels has made the trek all the way from Irvine to speak to us about Lyme disease. Darin is one of the leading experts in the country on Lyme disease. He wrote a spectacular book called The Lyme Solution and his practice is focused on treating Lyme disease and I’ll let Darin introduce himself.

Dr. Ingels:  So, my own story, if you don’t know, is I was a Lyme patient. So nothing like getting an education on Lyme disease than getting the disease yourself.  I got bit by a tick in 2002, living about 30 minutes from Lyme, Connecticut.  I got bit two weeks before my own practice, so, uh, the timing of it couldn’t have been worse. And it really was the perfect storm. And I think, you know, as we kind of dig into Lyme, we’ll realize that it’s a common infection. I think there’s a lot of people that have that exposure, uh, but it is an opportunistic infection.  And it’s not just about killing the bug, it’s about all the other things we do to help heal the body, helping the terrain, the most inhospitable place for the organism. So, it took me about three years to go through my cascade of all the different Lyme treatments, and we’ll see this is a very common scenario with people dealing with Lyme disease, as often they cycle through treatment after treatment, often it’s targeted towards killing the organism, but we’ll see as we go through this that, there’s a lot more to it.

So, let’s dive in. So just a little background on Lyme disease, if you don’t know, it’s a bacterial infection primarily caused by the Borrelia species. Borrelia burgdorferi is the most common strain in North America. It’s transmitted primarily through the bite of a deer tick, the Ixodes tick in particular.  And this all started back in the late 1970s in Lyme, Connecticut. There was a group of children that started having this mysterious arthritic stuff. And juvenile rheumatoid arthritis is actually a very rare condition. But there were a lot of kids and there were a handful of adults that had all these arthritic things.  They didn’t really know what was going on. Nobody recalled getting, a rash or any kind of tick bite. And, uh, they started sending, uh, samples to a guy named Willie Bergdorfer. He was a researcher for the NIH. And his expertise actually is Rickettsial Illness, Rocky Mountain Spotted Fever. So they thought this was some weird Rickettsial Illness, and it took them several years, but they finally found this little critter under a microscope.  So the rule is, if you discover the bug, you get to name it after yourself. That’s why it’s Borrelia burgdorferi. It’s named after Dr. Willie Bergdorfer. And Dr. Bergdorfer just passed away not too long ago.

So there are at least five subspecies of Borrelia burgdorferi, over 100 strains in the U. S. and more than 300 strains worldwide.  This is important because when we talk about testing, testing looks at one strain. So often we’re missing the boat of all the potential Borrelia species that are out there that can cause infection, but there are a lot of them. We don’t even know how many strains are clinically relevant. Our best guess is it’s probably somewhere around 8, 8 to 10, uh, but nonetheless there are a lot out there.  Most of the cases in the United States come mostly from New England, the Central, Midwest. We’ll see in a little bit though that the East and West coasts of the United States are endemic for Lyme. And yes, even here in California, there is a ton of Lyme disease. The CDC says California is the fifth fastest growing state for Lyme disease.  I’ve had doctors in California tell patients there’s no Lyme disease. I had one doctor in San Diego tell my patient there’s no deer in California, I’m like, dude you need to get outside.  There’s deer everywhere. But deer, by the way, aren’t even the primary vector for carrying ticks. I mean, every furry little creature, mice, rats, squirrels, raccoons, all of them can carry these ticks.  So we get about 476,000 new cases of Lyme every year in the United States, more than 90,000 cases in Europe, and again, that’s new cases. We don’t really know how many new cases there are because of the reporting criteria.

Most people who have Lyme do not meet the CDC criteria for a positive Lyme test.  We’ll talk more about testing, but we’ll find that the testing was never designed to be diagnostic. The testing was designed as a surveillance tool for people who had known Lyme disease. So we know that whatever number’s out there, it’s probably much bigger than we think it is.  So, you can do the math, that’s almost half a million new cases a year.  We literally have millions and millions of people in North America living with Lyme disease. So, I mentioned transmissions primarily through the deer tick bite. There is very weak evidence that other biting insects might transmit Lyme. There’s a few small studies out of Europe with baby mosquitoes.  We actually have a colleague who is a medical doctor. His son is an entomologist in Florida. They actually were looking for Lyme in mosquitoes in Florida, and they found no evidence of Lyme in mosquitoes. So, I think that’s very low. However, other biting insects can transmit other diseases. They can transmit Bartonella and Babesia and Rickettsia.  We know Bartonella can be transmitted through fleas, it can be transmitted through lice. So, even though these biting insects may not carry Lyme per se, they can carry other tick borne illness and the symptoms look very, very similar.

We’ve now got ample evidence there is vertical transmission from mom to baby.  So if mom is pregnant, she can transmit it to her baby. And vertical transmission usually results in stillbirth, birth defects or these children start up with severe developmental delays. They miss all the early milestones and so forth. So, I’ve had parents come in where they got a nine year old child who’s having issues and mom found out she had Lyme.  She’s like, oh, I gave my baby Lyme. I’m like, well, if it started happening at seven years old, probably not. You know, if you live in the same area, child could have had their own ticks, but it’d be unlikely that was related to mom passing. With sexual transmission of the Lyme, we don’t really know, to be honest.  As far as I can tell, there’s only one study. Ray Stricker, who’s a researcher up in San Francisco, he did a study where he looked at the semen of men, looked at the vaginal secretions of women, he found it was like below 20 percent had evidence of Borrelia, but we don’t know if it actually gets transmitted.  Vaginal pH is very acidic, most organisms don’t thrive very well. So, Richard Horowitz, who’s really the Lyme guru of the country.  He’ll stand on stage and say his wife’s had Lyme forever, he’s like, we have unprotected sex, I’m not worried. So it’s possible, probably not probable, but we always err on the side of caution.  If one partner has Lyme, we do recommend barrier protection, just in case, because we don’t really know the truth. There’s other strains in the United States, Burrelia Burgdoferi, most of the East Coast, but we see it here on the West Coast. Borrelia miyamotoi has been an emerging strain that we see a lot more, about half the cases out in California are Borrelia miyamotoi.  There’s Borrelia mayonii, Borrelia lonestarii, Borrelia hermcii, which is causing what we call relapsing fever. In Europe, Borrelia afzalii and gorinii are the primary strains. So, it’s good to understand for a patient, where have they been in the world? Because, they may not have acquired Lyme here, they could have. We’ve been backpacking through Switzerland, and they got a bug while they were there, so it’s good to ask about foreign travel.  Uh, interestingly, Australia says there’s no Lyme in Australia, I guess ticks can’t swim that far. But, we’ve had a few Australian patients we’ve worked with that actually test CDC positive, so again, I don’t know what to tell you. I think they’re looking for the wrong thing, because they’re testing for Borrelia burgdorferi.

You’re looking for the North American strain in Australia, and you’re just, like, you’re probably looking for the wrong thing, would be my guess. This is just a map of how Lyme has changed over the years. Uh, the one on the left there is 2001, just kind of showing where we get, this is CDC positive Lyme. You can see, fast forward to 2022, that green is getting bigger and spreading.  Again, this is grossly unreported, but this is the CDC statistic and you can see that it’s getting worse. And again, if we start looking at where ticks and other infections are found, I’m sorry, no, this one’s on ticks. And you can see that the spread of ticks is starting to get worse and worse. They’re finding that the migration of birds has changed with climate change, and birds basically become the carrier of the tick hops on the birds.

Bird flies from Vermont to North Dakota, lands, and now there’s a new tick population in North Dakota. Uh, there’s been at least almost a 48 percent increase since 1996 of Lyme.  59 percent of U.S. counties have established populations, almost half of the country has established populations of these ticks.  And again, we’re seeing a merging of these regions where there used to be gaps, they’re now getting closer and closer together. So again, people who live in Texas and Colorado places, they say, well, there’s really not a lot of Lyme. Again, it’s been reported in all 50 states. In addition to that, we’re seeing all these other illnesses, Lyme disease, Rocky Mountain spotted fever, Anaplasmosis, Ehrlichiosis, Babesiosis Tularemia, Bartonella, again, all these are getting worse and worse.

Now this is just a map of Europe just to show again that they’re, pretty much almost all of Western Europe is endemic for Lyme disease, so, uh, they get it there too. If you’ve never seen a picture of a blacklegged tick, this is it. This is, there’s Ixodes scapularis, which is primarily on the east coast.  There’s Ixodes pacificus. I can’t tell the difference between the two, they look the same to me, but apparently there is a difference. These are the different species of the ticks, and these ticks are tiny. So a fully engorged tick is a large poppy seed. A non engorged tick is a very [00:12:00] small poppy seed.  So a lot of people, even if they had a tick on them, they would very easily think it was a fleck of dirt, uh, something else. And, uh, I can remember, after I had Lyme disease, I remember standing on my porch in Connecticut, and I saw a little fleck of dirt on my arm, and I went to flick it, and it started moving.  Dirt doesn’t move. Uh, and I realized, oh shoot, it’s another deer tick. I was already on treatment, so I’m kind of like, ha ha, screw you, you’re already dead. Uh, yeah, these things are very hard to find, and they like the warm, moist areas of your body. They like the back of your knees, armpit, behind your ears, hairline.  So again, a lot of people who get bit, even if they had a bullseye rash, they might not even see it. Because it does go to those areas we don’t usually check for. It is the number one spreading vector borne epidemic in the world. It can affect any organ, any tissue, and as a result of that, we see a very large variety of symptoms.

There’s over a hundred different symptoms of Lyme disease. Borrelia is also a true shape shifter. It has the ability to change its shape and it is one of the, as far as I know, I think it is the slowest replicating bacteria out there. So if you consider most bacteria in your body replicate every 10 to 20 minutes, Lyme replicates every 1 to 16 days.  And if you get tuberculosis, Mycobacterium tuberculosis, your doctor will put you on 3 hardcore antibiotics for 9 to 12 months. Why? TB is a very slow growing organism. It replicates every 15 to 20 hours. So why are we willing to give people hardcore antibiotics for a year for TB and we’re willing to give people two weeks of doxycycline for Lyme disease?  It makes zero biological sense. But this is, this is what they do. Uh, the nature that Borrelia can change its shape also makes it a true evader of the immune system. So the immune system’s effort to get rid of the bug, and I’ll show you a picture in a second how that looks, but this ability to get into different tissues, change its shape, it really is able to hide the immune system, which just makes it more difficult to kill.

So if you look at the picture here, you can see over there on the left, you know, that’s a spirochete. It’s a [00:14:00] sort of corkscrew shaped organism. Of course, this is a 2D image. We’re not appreciating it. It does look like a corkscrew. And that’s in its uncoiled, normal form. That’s the best time our immune system has to recognize it and kill it.

You can see in B there, some of them are starting to ball up. It goes in what they call a round body form or cyst form. That little gunky stuff around it is basically biofilm. It’s protecting the organism. And when it goes into that form, our immune system and most antibiotics will not kill it in that form.

Uh, they’ve done lots of studies on doxycycline, rifampin. They do not work when it goes into that round body form. Or what they call stationary bugs. And then you can see, uh, there’s like a couple of organisms, they’re all bound up in that biofilm together. Very hard to kill, and, uh, very hard for the immune system to recognize.

They’ve done studies with other organisms that when biofilm is present, you have to give 250 times the amount of antibiotic to kill the bug when biofilm is not present. So, part of our treatment we’ll talk about is breaking down the biofilm to expose the [00:15:00] organism to whatever treatment we’re instituting.

So I kind of break Lyme down into acute and chronic Lyme. In reality, it’s a gradation, it’s a continuation. But most people with acute Lyme disease are sick. They are acutely sick. I’ve treated over 8,000 Lyme patients at this point. Maybe I’ve treated 40 acute Lyme patients. You know, more often if people have these symptoms, they probably go to the ER, they go to their primary doctor.  I’m not either one of those, so more than likely they’re going somewhere else to get that initial help. But, headaches, stiff neck, high fever. When I had Lyme, I had 105 fever. It looks a lot like meningitis, and you can’t get any type of Lyme meningitis. Arthritis, swollen joints, back pain, spine pain, muscle aches.

That erythema migrans, that classic bullseye rash. I’ll show you a picture in a minute. That’s sort of the telltale path, mnemonic sign of Lyme disease. Uh, the CDC says 60-80% of people with Lyme get the erythema migrans rash. The research suggests it’s about 40%. Those of us in clinical practice will argue it’s less than probably 20%.  So if you’ve got the rash, you know, do not pass go. Do not collect $200. You know you have Lyme, but the absence of the rash doesn’t mean anything about whether you’ve been exposed to Lyme or not. Fatigue, Chills, Lymphadenopathy, Heart palpitations, there is a rare form of Lyme Carditis, which will cause an AV heart block.  You’ll see that on EKG. Shortness of Breath, Memory Loss, Brain Fog, and Bell’s Palsy, One Sided Facial Paralysis are all very common acute Lyme disease. This is kind of what the bullseye rash looks like, the target logo.  There are a lot of variations of this rash. I’ve seen patients that don’t have that necessarily, the red with the central clearing and then the red again.  When you see a flat, red, spreading rash, be suspicious. This gets confused with histamine reactions all the time from someone that got bit by a mosquito. Histamine reactions usually go away in 24 to 48 hours. These rashes will usually last days to weeks. Mine lasted almost eight weeks before it went away.  Mine started off about the size of, I’ll say, a baseball, and by the time it was done, it was almost 18 inches. It covered the entire back of my leg. And that’s very common for a Lyme rash. But it also doesn’t tend to itch. Most mosquito bites, horse flies, other bite instances, because of the histamine reaction, tend to get very itchy and raised.

This is flat and generally not itchy, at least not for several days, until after the bite. Acute symptoms can happen within 3 30 days following a tick bite. As I mentioned, CDC says a bunch of people get the rash, most people don’t. So again, the absence of the rash doesn’t really mean very much. And because Lyme causes so many different symptoms.

Misdiagnosis is really common. People go to their PCP, they go to the ER, they get all these standard tests. Frustratingly, most standard blood tests look normal in Lyme patients. You know, their white count is elevated, their CRP is normal, they’re not showing all the typical things of like autoimmune disease.

And so often though, they get all these blood tests, they might get a CT scan or an MRI, [00:18:00] everything looks normal. They get sent out the door with, you know, it takes Vibuprofen and good luck. But that’s a very, very common scenario. And chronic Lyme disease, we’ll see a lot of the same kind of symptoms, more debilitating fatigue, we might start getting abdominal change, bowel changes, more memory loss, cognitive impairment, more neuropathy, numbness, tingling, different kinds of sensory distortions, burning sensation in the skin, a type of neuropathy is very common with Lyme and Martinella.

A blundering joint pain, we call migratory joint pain, that’s another classic sign of Lyme. There’s a lot of things that cause joint pain, there are very few things that cause migratory joint pain. One day it’s my right shoulder, then it’s my left knee, then it’s my right ankle, then it’s my right wrist.

That is very classic for Lyme. You know, my big red flags, when you hear about arthritic symptoms and neurologic symptoms, think about Lyme, because again, there’s very few things that cause Lyme. Light and Sound Sensitivity, Dizziness, Vertigo, Sleep Disturbances, Rheumatism, I mentioned Heart Block, Coordination Problems, People all of a sudden will complain they’re clumsy, I’m dropping things, [00:19:00] I’m tripping, I call it Newly Acquired Dyslexia, it happened to me.  People start transposing letters and numbers, whether they’re writing it or typing it, I think it’s just part of the neurologic disruption that happens, and then you can start to see secondary endocrine disruption. Hypothyroidism following live is very common, but when we start having reproductive hormone issues, adrenal issues, all that could be affected after.

Lyme in children, uh, if you treat children in your practice, what’s a little bit different, again, these kids can be acutely sick. Uh, it looks sometimes like strep throat, a complaint of a sore throat, swelling glands, fever, uh, fatigue. You might see gait alterations. But mood changes, you know, it looks like PANS, Pediatric Acute Onset Neuropsychiatric Syndrome, where all of a sudden it’s anxiety, OCD, tics, Lyme is a major, major trigger for PANS.  We used to call it PANDAS because we said it was associated with strep. Strep can be a cause of it too, but in our practice, I would say Lyme is probably a bigger culprit than strep. So if you get these kids that all of a [00:20:00] sudden overnight turn into little demon seeds, I would be very suspicious of something like that.

The great imitator, the great imitator, Lyme looks like a lot of different things, any chronic neurologic illness can potentially be due to Lyme. You know, I think it’s kind of interesting, you know, you talk to a neurologist, talk to a rheumatologist, but any disease, MS, lupus, rheumatoid arthritis, they say, okay, well, here’s your label grade.  Why? I don’t know, you know, bad luck, bad genes. Well, is it possible that there’s an infectious cause that’s triggering this autoimmune inflammatory condition? And more often than not, they’ll say no, but when you go into the research, all you have to do if you’re really interested, go into PubMed, and type in any condition, and in capital letters and, this is what they call Boolean search, Molecular Mimicry.

Molecular Mimicry is the immune mechanism by which most organisms trigger this autoimmune response, and it’s amazing. Go type in Aromatoid Arthritis and Molecular Mimicry. Klebsiella, Proteus, all these different viruses have all been [00:21:00] associated as causes of rheumatoid arthritis. So, are we just going to give immune suppressive drugs, or are we just going to treat the underlying cause?

And you’ll be amazed at how much information is out there, on, you know, post infectious and post adventure. Uh, autoimmune issues. You know, for better or for worse, I think COVID kind of brought this to light. You know, all these people have long COVID, so you can get a virus and have all this sequelae afterwards, long after the viral infection is cleared.

Well, duh, I mean, you know, we’ve known this forever and ever. It’s just different organisms causing a different set of problems, but Lyme is a, I mean, we’ve been dealing with this for years with Lyme. There’s a lot of co infections. We know from the research, there’s Certainly the ticks up in New England, like 33 percent of the ticks that carry Lyme, also carry something else.

So if you suspect Lyme when we’re testing, we’re almost never testing just for Borrelia, we’re testing for other organisms that might have been transmitted during that tick bite. So Babesia, Bartonella, Hannaplasma, Ehrlichia, Mycoplasma. That’s why every time I go to another Lyme conference, we’ve learned there’s now 10 [00:22:00] other things that ticks carry that we need to test for.

But understand what’s in your area. I mean, here in California, I mean, we test for, I mean, it also depends on the symptoms too, but I routinely test for Lyme, Bartonella, Babesia, Mycoplasma, Anaplasma. Rickettsia, I hardly ever see, unless I have a patient that has symptoms that make me think Rickettsia. But the other ones, a lot of these viruses are pretty rare, uh, Powassan virus, I don’t know that we’ve even seen in California, Tularemia, Harlan virus, these kind of things are pretty unusual.

So, from my standpoint, there’s the first tier testing, and then as we get stuck, maybe the second tier would be some of these more obscure pathogens. So the diagnosis of Lyme disease, again, the CDC criteria was for surveillance purpose, it was never designed to be diagnostic, at the end of the day, Lyme is a clinical diagnosis, It’s based on your sign and symptoms.

This is even according to the CDC. Incredibly, infectious disease doctors don’t even follow the CDC guidelines. You know, if your test is negative by CDC, they say, well, you don’t have Lyme [00:23:00] disease, they will fight you tooth and nail on this. But that’s not even the CDC guidelines. Go figure. As again, I mentioned with all these different strains, we’re testing for one.

Maybe we’re just testing for the wrong stuff. So this is straight from the CDC’s website. Lyme is diagnosed based on signs and symptoms and a history of possible exposure to infected blacklegged tists. Laboratory tests are helpful if used correctly and performed with validated methods, blah, blah, blah.

But basically, it’s a clinical diagnosis. As I’ve mentioned, you know, this test was never designed to be diagnostic, it was designed to monitor people with no Lyme disease. So if you have somebody who has these symptoms and their tests come back negative, that doesn’t mean they don’t have Lyme. But, depending on what lab you use, and I’ll talk about that in a second, some labs do better testing than others, and, uh, again, I was a microbiologist before I was a doctor, I used to do Lyme testing for a living, so I know what I’m looking at.

If we even see Lyme specific antibodies, even though it doesn’t meet the CDC criteria, and you have clinical symptoms, just document that. It’s like, hey, we did this test, they’ve got Lyme specific [00:24:00] antibodies, their clinical symptoms fit Lyme, and, you know, they probably ruled out other things. So, at least it gives you justification of why you’re implementing some element of treatment.

So this is the CDC criteria. They do a Lyme screen. If that test comes back positive, it flexes over to what they call a Western blot. It’s a more specific antibody test for IgG and IgM antibodies against different parts of the Lyme organism. And so these, these antibodies are called BANs. They separate it out through electrophoresis, so they’re separating out the antibodies by weight.  And each weight antibody represents a different antigen on the Borrelia surface. Now again, we know some of these are specific. Some of them are not.  The CDC criteria says you have to have 2 out of 3 IgM or 5 out of 10 IgG to cause either one positive. Well, if you’ve got one Lyme specific IgM band, and you have clinical symptoms, why is it that relevant? I mean, it’s like being a little pregnant, right? I mean, you [00:25:00] are, you are. So if you’ve got Lyme specific antibodies, I think that’s relevant.

And for me, that’s important. In 40 years, this criteria has never changed. Uh, you know, we’ve learned about which antibodies are specific to Lyme, which ones are not. Why we’ve never even changed the criteria really just to focus on the Lyme specific antibodies, I don’t know. There’s a whole political thing behind this that I can’t even begin to speculate.

But, uh, nonetheless, this is where the criteria is and it hasn’t changed in 40 years. So yeah, just looking at these bands, so IgM, so 23, 39, these are Lyme specific antibodies. 41 is a very non specific antibody, it’s a flagellar protein. A lot of bacteria have the little tails, flagella, that’s how they swim through the body.

So flagellar protein antibodies by itself aren’t specific to Lyme. Uh, but yeah, 23, basically everything under 41 or less. 31 does cross react with Epstein Barr virus, so that’s a semi specific antibody, 23, 34, 39 and 93. All those antibodies [00:26:00] are very specific to Lyme. The other ones are not specific. So when something comes back to Western blot, it’s 45 and 58 and 66.

Without the Lyme specific antibodies, maybe it’s Lyme and maybe there’s something else going on, so we don’t have as much teeth behind our justification, but again, at the end of the day, we treat people, we don’t treat pieces of paper. This is the alternative criteria that was developed by ILADS. This is the International Lyme and Associated Disease Society, basically a group of doctors that kind of said, you know, the CDC is kind of off on this, and so again, if there’s even one positive band that’s Lyme specific, that’s relevant, and so again, it’s just a different interpretation of the same data.

So, really the pitfalls of testing is that a lot of people are seronegative, they don’t make antibodies. The further you get from year to year, the less likely you are to pick it up on a test. We know that immunity wanes with time, so, again, if you’re testing someone six months, six years, ten years, twenty years after their exposure, the likelihood of picking it up on an antibody test goes way [00:27:00] down.

Uh, again, because the, for a band to be considered positive, they are comparing you to a control, and you have to meet a certain percentage of the control. So they are measuring quantity of antibodies. So the CDC assumes if you have one, you have a very robust antibody response. There are a gazillion reasons people don’t have a robust antibody response.

And the lab that I use, they change it a little bit, but they used to give us a percentage. The cutoff was 60%. You had to be 60 percent of the control. Well, I get the test back, it was 59%. I’m like, that’s how much water you had to drink that day. That’s the difference between you do or don’t have Lyme? I mean, this is kind of the silliness of it.

So they only have one threshold where most tests kind of have a low, medium, high control. With this, it’s just a high control and that’s, so again, a lot of people unfortunately get missed even doing these kind of tests. Um, again, these labs aren’t testing for the breadth of antibodies, all the different strains of Borrelia, so it’s easy to miss.

And again, it can even take up to six weeks to make antibodies. So if you test someone right after their exposure, you might be too early in the window, or they haven’t made [00:28:00] antibodies yet. And you do the test and go, well, your test is negative. I’m like, well, you know, test them again in another three or four weeks and see if they’ve made antibodies then.

So I mentioned iLabs again, they came up with different criteria. At the end of the day, most iLabs doctors do the same thing I do. You know, they treat based on symptoms. And again, if there’s any evidence of Lyme specific antibodies, that’s relevant. Uh, again, it’s important to rule out other possibilities because Lyme does look like a lot of things.

So it’s good to run other tests, make sure they don’t have some other autoimmune disease or other explanation. And I also think sort of legally having that justification. You know, California, I’ll say, is a semi decent state. There are other states where they are very aggressive in going after practitioners for treating Lyme if the patient doesn’t meet the CDC criteria.

I’m sorry. So the labs that I use, uh, Igenex, they’re based out of Palo Alto, they do great testing. My only complaint about Igenex is that unless you have Medicare, they don’t take insurance and they’re expensive. So it’s not uncommon if you do a [00:29:00] full tick borne panel, 1, 500 to 3, 000 out of pocket. That’s a lot of money for people.

Uh, but their testing is great and reliable. Uh, we use a lab mostly called MDL, Medical Diagnostic Labs in New Jersey. They do very comprehensive testing. There are some tests that Igenex do, that MDL doesn’t do, but they build insurance. And for people who don’t have insurance, their cash pricing, if I run all the Lyme testing, Bartonella, Babesia, Mycoplasma, Anaplasma, their cash price is like 250 bucks, where Igenex is like 2, 500.

So, it’s a big savings, but again, they’ll bill those people’s insurance. So, they’re kind of our go to for testing, and they’re the only lab to actually send you a copy of the Western blot, the actuals, they take a, like a picture of the strip, so you can look at those percentages, you can see the different antibodies, and make a decision for yourself, you know, what you think Uh, Dr.

Richard Horowitz, he came up with this MS IDS questionnaire. He actually validated this research. It’s a free download. Uh, I recommend if [00:30:00] you’re treating Lyme, you know, have your patients fill this out periodically. It’s a good objective assessment on how they’re doing because it’s based purely on symptoms.

And there’s a score, and he actually did a study that found that if you score in the range that he says, there’s a high probability you have Lyme, even if your tests are negative. And the fact that he actually studied this is pretty cool. It’s a free download. Anybody can download it and fill it out for you.

Uh, I came up with my own little questionnaire. Dr. Hurwicz’s is a longer three page. This is my little one page cheat sheet. Same concept and uh, it’s in my book. Uh, I apologize. I had all these books sitting there. I was going to bring them and I completely forgot. So if anybody would like a copy of my book, uh, just grab me afterwards and I’m happy to send it to you.

So other labs to run. Again, it’s good to look at all the co infections. Look at endocrine function, thyroid, adrenal, run the CBC, iron panel, you know, sometimes you will see little changes metabolically after someone has Lyme. So just to be thorough, I like to look at immune markers, inflammatory markers, often [00:31:00] we’re looking at nutritional markers, and a lot of my patients have a lot of GI issues, so running a stool test in our practice is pretty common.

So conventional treatment, uh, if there is a known deer tick bite, this is the CDC recommendation. If it’s a known tick bite, they say give a single dose of 200mg of doxycycline for adults or children over 8. There’s actually zero recommendations if the child’s under 8, good luck. So uh, there’s no recommendations for other confections and this, the studies out there have never shown that this adequately treats Lyme disease.

What it does do is it suppresses the Lyme rash. And that sucks because that’s our marker that someone’s been exposed to Lyme. So not only does it not treat Lyme, now you potentially suppress the rash that would tell us you had Lyme, and it’s a completely worthless, ineffective approach. So for those who test positive for Lyme, it’s typically for adults, you know, doxycycline or [00:32:00] amoxicillin.

If people have neural Lyme, they’ll do IV rocephin, ceftrioxime. They’ve changed the guidelines recently. I think the latest recommendations from the IDSA, the Infectious Disease Society, I think they’ve shortened it from 21 to 14 days of treatment. They’re getting even shorter. For children, same thing, amoxicillin, doxy if they’re over eight, cefiroxime, and it’s just weight based dosing.

But again, it’s, you know, anywhere from 10 to 21 days, which we think is far inadequate. If the organism replicates every 16 days, And think about doxycycline. Doxycycline is not a bacteriostatic antibiotic. It’s not bactericidal. It actually doesn’t kill the bug. All it does is it stops the bug from replicating.

So you may have stopped the bug from replicating for one cycle. That’s it. Why would we expect this to be effective? You know, at least amoxicillin and bactericidal might actually kill the bug. So, a lot of the ILIS doctors who prefer the antibiotic approach, using two or three antibiotics in combination is kind of the norm now, [00:33:00] because you’re trying to stop it from replicating, you’re trying to break down the cell wall, and you’re often trying to get it from multiple approaches.

But, as you can imagine, the more antibiotics you add to the load, the greater the risk of side effects. So, the good news with antibiotics, I mean, some people do really well on it. They get better, and sometimes that’s the end of that. If you do get lucky enough to catch them early in their illness, there’s a good chance that, you know, you’ll treat them before they get into the chronic stage.

And, great. Uh, it can be really effective in the early stages of Lyme, and sometimes, you know, for people who have had exposure a while ago, some people do respond quite well to different antibiotic regimens. And of course there are some people where we’re not really sure and doing a therapeutic trial of antimicrobials I think is an accepted way and they do it in medicine all the time just to see if you get a clinical response.

If you improve on antibiotics, then there’s a good chance you’ve got this underlying infection and you’ll hear this in some of your patients where, you know, I was on antibiotics for sinus infection or had bronchitis and my joint pain [00:34:00] got better. You know, they weren’t even thinking about these other things in the background until they got treated for something completely unrelated.

Certainly the Lyme, but that’s kind of a clue that, oh, you got better on antibiotics, your other systemic symptoms got better. Maybe there is some other underlying infection that just never got addressed. The bad, of course, is that some people get really bad die off reaction. We call this a Gerrush Herxheimer reaction, a.

  1. a. Herxheimer reaction, a. k. a. Herxing. And it’s really a combination of the organism, like, literally popping and releasing all the toxic material, plus it’s a combination of the immune system responding. And most people get these flu like symptoms. More tired, more foggy, more achy, just that general blah feeling.

A true die off only lasts for a handful of days, maybe up to 10 days tops. If it’s lasting longer than that, that’s not a die off. That’s them having a problem with whatever treatment they’re getting and they need to shift gears and do something different. Of course, the more combination of antimicrobials you use, nausea, loss of appetite, you know, disrupt the gut [00:35:00] microbiome.

So diarrhea, loose stool, abdominal pain, headaches, all that can happen. Of course. Some people were on antibiotics for weeks, months, even years, and, uh, I’ve seen people, I had one patient, uh, who was seen by a very well known Lyme doctor in the area where I was at the time. She had been hospitalized three times because of her antibiotics.

They made her so sick. And they kept giving her more toxic antibiotics, and I’m like, at what point do you draw a line in the sand and go, maybe this isn’t the right approach? But it is an approach. And of course, the ugly is, again, you can just completely wipe out your gut flora, C. diff infections, yeast infections, secondary infections.

Immune suppression, organ damage. All that can happen is for some people if they’re on antibiotics too. So, let’s dig into my world, natural treatments for Lyme. Um, I think starting with gut and diet is important. You know, the gut’s really the cornerstone of health, right? You know, 80 percent of your immune function stems from the gut.

So if your gut’s not functioning well, it’s very hard for your immune system to function well. And in terms of diet, you know, [00:36:00] there’s a lot of different diets that are promoted for various health reasons. I’ve always been an advocate, really, of an alkaline diet. I didn’t develop this. There’s books written about this going back to the 50s and 60s.

But the concept behind it makes a lot of sense. Now, if you look at cell physiology, your cells function best in an alkaline state. Your skin, your stomach, the bladder area, for women, the vaginal area, they’re very acidic to protect against outside invaders. The rest of your body is more or less alkaline.

Even your blood pH is slightly alkaline. And the argument I get all the time with, uh, alkaline diet is like, No, it doesn’t change blood pH. I’m like, I know it doesn’t change blood pH. That’s not what we’re trying to do. We’re trying to change cell pH. And it does do that. And you can actually check this very easily.

Have your patients just get some pH paper at the pharmacy. It’s very cheap. 30 to 60 minutes after eating, go pee on the strip. We want your urine pH between 7. 2 If you can get in that range, we know metabolically you’re kind of doing what your body wants to do, and we’re giving your cells the opportunity to function the way they should.

So all those enzymes work the way they should, [00:37:00] all the repair mechanisms work the way they should, and it seems pretty straightforward. So the way I’ve kind of divided it is in three categories. Category 1, these are foods you can eat as much as you want. Uh, and by the way, if you guys want these slides, just let me know and I’m happy to send them to you.

Um. So, most of these are vegetables, vegetables as a whole tend to be very alkaline forming, so it’s not about the pH of the food, it’s about how it breaks down the body, so like lemons and limes are very acidic, if I squeeze lemon juice on pH paper, it’s very acidic, when I drink lemon juice, as it breaks down the body, it makes me very alkaline.

So again, forget the pH of the food, it’s about what it does to you metabolically. So all the food, the foods you can eat a bunch of, you’ll see it’s a lot of vegetables, there’s a few fruits, a few nuts and seeds, grains and so forth. Category 2 are foods that are either kind of neutral when you break down, slightly acidic, maybe slightly alkaline.

So it’s not that you can’t have it, but you don’t want it to really be the bulk of your diet. I tell people to try to keep it about 25 percent of their dietary intake. The [00:38:00] best way to think about Category 2 is to take your plate, divide it in quarters. It shouldn’t take up more than a quarter of your plate.

So it’s all animal protein, eggs, fish, meat. It’s a lot of fruit. Again, it’s not that you can’t have it, it’s just not the bulk of your diet. So people are really eating a mostly plant based diet with some lean proteins, uh, eggs, and things of that nature. And then Category 3, these are foods that are just highly acid forming, that’s a lot of junk food, processed food, garbage food, which I’m sure your patients don’t eat anyway, uh, dairy products, coffee, they’re all very acid forming.

But again, people are like, well, I love my coffee, and I’m tired all the time, I need my coffee. I’m like, well, If you have one cup of coffee, and they do make low acid coffee, uh, check your pH. If you’re able to keep the rest of your diet very alkaline, that one cup of coffee may not make a difference, and you know, you’re okay.

So, you know, you can just check yourself and see how you’re doing. Uh, when we started getting into active treatment, I am a big proponent of herbs. Now, I’m an atropathic doctor by training. Herbs, you know, we spent years in [00:39:00] medical school learning about herbs, so, uh, you know, I’ve said I’ve treated over 8, 000 blind patients.

I have probably written 10 prescriptions for antibiotics. Herbs work really, really well. And I think the beauty of herbs, too, is that they are chemically complex. So when you look at the constituents, there are components that target Lyme and the co infection. There are components that are anti inflammatory.

There are components that help support the immune system. There are components that soothe the mucous membrane. So you can really mix and match herbs for your patient to really tailor to what their body needs to get them through their collection of symptoms. So often we’ll find there’s like a few core herbs that we’ll use because they work really well against Lyme and co infection.

Oh, but this is really great for joint pain. And this is really good for the reflux and the GI issues you’re having. So again, I like the ability of being able to have all these different possibilities. And then when I sit down with my patients, I’m like, we need a place to start, but we’ve got plan A, B, C, D, E, F, and G if we need it.

We just need to give whatever we start with an [00:40:00] opportunity to do what we want. So my, my rule for treatment is two months. Whatever you’re doing. Antibiotics, herbs, I don’t care. You get two months. If they’re not better in two months, you’re barking up the wrong tree, and you need to switch and do something different.

I have seen patients be on the same protocol for six months, a year, and they and the practitioner are waiting for the magic to happen. It hasn’t happened. Like if it hasn’t happened in two months, it’s not gonna happen. You need to switch gears and do something. So the beauty of plants is that Relative to antibiotics, I think they’re safer.

Side effects are really uncommon. If they do happen, they tend to be very mild, go away quickly. It’s a much more comprehensive approach because of the broad activity of the herbs. Definitely less negative impact because they’re plants. Plants tend to get absorbed in the first part of the small intestine.

Very little of it actually gets down to the large intestine where most of your bacteria live. So we don’t see the same die off like you do with antibiotics. A lot of these herbs cover Lyme and the common infections, so there is a lot of overlap. Uh, Dr. Lee Cowden, I think Dr. Cowden, [00:41:00] he’s a big name in the Lyme world.

Uh, we were at a lecture he gave a few years ago, and he kept talking about this herb. I go, well, this is, yeah, he’s from Texas. And he goes, this is the key herb. And I go, yeah, I’m hearing this herb, this is the key herb. I’m like, I don’t know what you’re talking about. He goes, well, it kills everything except people.

So, you know, a lot of these herbs, because they’re antibacterial, they’re antiviral, they’re antifungal, Again, if there is overgrowth of other microbes in the body without knowing what it is, there’s a good probability with plants you will cover that base. So I like that perspective. Again, it can be very much tailored to the individual needs, help and support the immune function.

There are very few herbs that truly have immune suppressive activity, uh, maybe more cost effective if people are paying for some of these antibiotics out of pocket, because insurance will put a cap on how much antibiotics somebody gets, um, and when it gets out of pocket, some of these are very expensive.

Herbs by and large tend to be pretty inexpensive. Clinically, they’re very effective. Again, I’ve had great success over the years using herbs, and you’ll have people come in who tried the antibiotic route, just didn’t work. You know, they’ve been on three, four, five, [00:42:00] six, eight, ten different antibiotic regimens, didn’t work, or they got worse, and they’re looking for the next option.

So, uh, there’s a Dr. Zhang out of Johns Hopkins, and he and our colleague, uh, Dr. Jacob Leonian and naturopathic doctors, they’ve been looking at different plant extracts on how they affect Lyme and Bartonella and Babesia, and so this is all published research out of Hopkins. And looking at different herbs that are effective against Borrelia, uh, crypto sangu, polygonum ano, that’s called Japanese knotweed jus nigra.

That’s black walnut Artesia annua, that’s sweet. Warm wood Osa is ka claw sti, and canes is sti and ensis is Chinese. And you’ll see as we look across, so this is for Borrelia, this is against Bartonella, we see a lot of the same players, and same thing with Dobesia, so when I talk about getting this overlap of how these herbs treat these other different infections, you know, we know that we can use these herbs and they’re going to cover a [00:43:00] broad base.

So just kind of going through some of the plants that I use, uh, Allicin, this is garlic, Allium Sativum, this is a very well known antimicrobial, uh, soldiers in Russia in World War I used to carry it on their pack, they called it Russian Penicillin, if they were out in the field and got wounded, they would rub the garlic in their wounds to prevent infection or they would eat it to keep their immune system healthy.

It contains a component called Allitrity, that characteristic odor of garlic is Allitrity getting converted to Allicin. Uh, again, very well established antimicrobial, but also helps improve blood flow, and it has mild anti inflammatory. Uh, it’s best as a time release capsule, so it releases that allicin over time.

Uh, people will definitely excrete this through their skin, so for one, drink it in garlic, two, be prepared that you’re gonna smell like a pizzeria. Uh, when I first had lime, uh, I was treated by a different Dr. Zhong in New York City, and he gave me a lot of his allicin, which is a great product. And I was still seeing patients.

Like, you know, people would walk in my room and they’re like, you know, like, what does that smell? So I had to [00:44:00] stop doing it because it was just becoming offensive to me and everyone around me. So, forewarned people, uh, it’s gonna get excreted through their breath and their skin. People can take chlorophyll to help offset some of the odor.

If they want to stay on garlic and they’re worried about the odor, chlorophyll will help bind up. Andrographis, Andrographis paniculata. This is a great herb. It has very broad antimicrobial activity, including parasites. This is also a very effective antiviral herb. Uh, Andrographis actually was approved in Thailand as a treatment for COVID 19.

Uh, it works great for a lot of different viral illnesses, but it’s also a hepatoprotective, an immune modulator, antidiarrheal, anti inflammatory, helps improve cardiac output. And, uh, they typically sell it as a standardized extract. Uh, the one we use has a 50 percent andrograph lye content. Uh, I, I like this plant a lot and, uh, we use that quite often.

Uh, Artemisia, Artemisia annua, there are different species of Artemisia. So, if you’re looking at using Artemisia, make sure you got the right one. There’s Artemisia annua, which is what we want to use. [00:45:00] There’s Artemisia vulgaris, there’s Artemisia absinthium. They have different purposes, they have different constituents.

So, The artemisinin we’re using contains a compound called artemisinin. There are some supplement companies that will sell pure artemisinin. Be careful with pure artemisinin. There’s at least 14 cases of it causing idiosyncratic liver toxicity. Uh, I believe these are people that already have, uh, underlying liver disease that made it worse.

But nonetheless, if you use pure artemisinin, you do need to test your patient’s liver enzymes periodically. probably every few months just to make sure it’s not causing a problem. I’ve never seen it with whole plant Artemisia, so that’s my preference is to use whole plant Artemisia. Uh, it’s got a sesquiterpene lactone with a peroxide bridge.

Basically think it’s the peroxide bridge that’s causing oxidative stress in the organism and that’s what’s killing it. Artemisia has been used forever as a treatment for malaria, so anything that treats malaria is probably going to treat Babesia, since they’re both blood parasites and kind of cousins of each other.

Um, it helps with autoimmune [00:46:00] reactions, has anti inflammatory effects. There are studies on artemisia for rheumatoid arthritis and other autoimmune diseases as an immune modulator. And, um, again, just make sure that, uh, artemisia, then, uh, check liver enzyme. But I would just recommend, there’s a lot of great companies that make whole plant artemisia.

Uh, Campciandra goes by the trade name of Bandarol. Uh, Nutramedic is the company that makes this particular one. This herb is somewhat unique to the Amazon jungle. It comes out of Peru. Nutramedics, uh, because they have a relationship with the Peruvian government, it’s one of the few companies that’s allowed to export it.

Uh, but it’s a very effective plant against Lyme and other co infections. They use it locally to treat malaria. Also, again, very potent anti inflammatory, treats arthritis. You can get some decent herds reactions with it, but it’s, it’s not too bad. Uh, Cemento, Cat’s Claw, Mouncaria Tomatosa, uh, has, uh, what they call alkaloids.

These are the active ingredients that help fight the infection. Also anti viral, it inhibits a lot of these pro inflammatory [00:47:00] cytokines, protects against oxidative stress, also useful treating co infections, and almost little to no side effects. There’s a woman out of the University of New Haven, Dr. Eva Shapi, SAPI, and she studied the combination of Cemento, Vanderol, and one I’ve talked about called Kumanda, and the combination of those three were more effective than doxycycline or rifampin in vitro, and it treated Lyme, whether it was replicating or not.

So there’s an argument that herbs actually may be more effective than antibiotics in some cases. These cases, uh, kafu is a nerve that’s used mostly in traditional Chinese medicine. Kafi, ensis. This is the root. It’s very rich in a compound called Burberry. You might know Burberry because it’s found in Golden Seal.

It’s found in Barberry, it’s found in, um, um, forgetting the third nerve. There’s, there’s three of ’em that are, are very rich in Burberry, but Copti is one of em. So, you know, burberine is a very well known antimicrobial, um, compound that again treats bacteria, viruses, fungi, parasites. Um. In vitro studies, [00:48:00] it’s found it’s as effective as a lot of antibiotics and ricketting for eradicating other infections, like staph infections and strep infections and so forth.

So I’ll use Coptis even for people who get bronchitis and sinus infections and things of that nature. Also very potent in anti inflammatory, and Coptis has this unusual effect that’s really effective at getting gallbladder sludge out. So if you’re someone who’s got gallbladder sludge and they don’t want to have their gallbladder taken out, it’s got like an 88 percent efficacy in getting gallbladder sludge out.

Go figure. Cordyceps is a medicinal mushroom that has been used in traditional Chinese medicine for 2, 000 years. Very potent immune booster, so a lot of these medicinal mushrooms, they don’t kill the organism, they just help support the immune system to fight the infection. They contain beta glucans. Beta glucans, you’ll find in a lot of supplements now, has an immune stimulating.

Particularly, they help increase T helper cells, activate NK cells, and macrophages. They also help improve circulation, and they’re great for fatigue and inflammation. They do have mild blood sugar lowering effects, so if you’re going to use Cordyceps, if you’ve got a diabetic, [00:49:00] particularly if they’re on insulin, just be careful.

Make sure they monitor their blood sugar a little bit more. Decimodium or Berber, this is a plant that also grows down in Peru in the Amazon jungle. This is really just to help support detox pathways. We can get a lot of people out of their HERX reaction if they start taking more Berber and then companies like Nutramix, they also make one that’s a combination of Berber and Pinela.

Uh, the two of those together work really well at just clearing out the toxins faster. So, we don’t want people to stop their treatment. If they start Hurtsing, sometimes they feel so bad, they just say, you know what, I, this treatment is making me feel worse, I’m going to stop. And then you never get past that point of feeling better.

So if we can get people through their treatment, get through those handful of days of Hurtsing, then usually when they come out the back end, they feel a lot better. And this is a plan you can use as a rescue medicine to get people through that time. So they can take this every 10, 15 minutes. 30 minutes until they feel like that hertz reaction goes away.

Uh, Hetunia, Hetunia cordata, uh, this is another plant that’s used a lot in Chinese medicine. It has a [00:50:00] historical use of treating it for leptospira. Leptospira like, uh, Lyme. Uh, syphilis is the other spirochete that we all know about. We don’t see a lot of leptospira here in the U. S., but it’s pretty common in China.

Uh, leptospira we see here mostly with dogs in the U. S. They can be a cause of meningitis for dogs. But nonetheless, anything that treats, uh, spirochete probably works for Lyme as well. And in vitro studies found it’s antibacterial, antifungal, enhances the immune system, gets rid of swelling and inflammation, and it’s also one of the plants that helps break down biofilms.

So again, if we’re trying to expose the organism, breaking down biofilms is a good thing. Uh, it does have a relatively short half life, so this is one you probably need to dose three times a day just to keep enough of the herb in your system. Japanese Knotweed, Polygonum Cuspidatum, again very broad spetum and microbial, and again we found in Dr.

Zhang’s research that this is one of the top herbs to deal with Lyme and a lot of the co infections. Lion’s Mane is another great medicinal mushroom, again it doesn’t kill [00:51:00] anything, but it helps stimulate oligodendrocytes, helps make myelin based protein. I think a lot of Lyme patients that are dealing with these cognitive issues, neuropathy issues, To a certain degree, there probably is some impairment of myelin function, and that’s why they have this.

So, anything you do to help repair a damaged neuron is a good thing. Otava, this is commando. This comes from a bark of a tree, again, that grows in South America. Probably one of the best broad spectrum, uh, herbs against Lyme and co infections. Also very potent anti inflammatory, and again, this is one of the three I mentioned with Dr.

Schappe. It was found to eliminate all the different forms of Lyme. Uh, Porreria, this is a nerve that gets used mostly in Chinese medicine, but treats high fever, muscle spasms, headaches. So, this is a good adjunct for your pad if people are having a lot of the acute symptoms of Lyme disease. Helps improve blood flow.

Uh, also anti inflammatory. It can cause blood pressure to drop a little bit, so if anyone has POTS, they’re already prone to low blood pressure, just be a little bit careful. [00:52:00] Wireweed, this is called Ceta Acuta, broad spectrum antimicrobial activity, reduces fever, protects the liver, immune modulator. I don’t use this one as much, uh, Stephen Buehner, who’s an herbalist, he wrote two books on, one on Lyme, one treating on co infection, he used a lot of Ceta Acuta, uh, I like to mention it, but, uh, I don’t use this one as much, uh, it blends well with my practice.

Uh, Yellow Dairu, Cryptolepis, I use a lot of this, Cryptolepis Sanguinale, I like to mention it. This is the one, again, that Dr. John also found with Japanese not wanting to be at the top of treating Lyme and all the co infections, and you’re probably getting the idea here that they’re anti microbial, anti inflammatory, and reduce fever.

They all have very similar mechanisms. So again, this gives us the ability to swap out. If you start someone on Cemento and Banderol, they don’t seem to be doing well with one. This is where I actually like using the individual herbs versus combinations, because if someone has a problem with one, very easy to switch out, where if you give them a combination, they have a problem.

I don’t know what herb is the culprit. And it’s hard to figure out. Uh, other herbs just to [00:53:00] mention, uh, there’s one called Oncaria Orynchophylla, which is a cushion of Cat’s Claw. Uh, Stephen Buehner really liked it for Neuroborreliosis. Chinese Skullcap, very well studied. Astragalus, Hawthornberry, Alcornia.

Uh, again, I don’t use these as much. I’ve been using more and more Chinese Skullcap since Dr. John published his research. Uh, and also very good anti inflammatory. I’m going to skip through some of this just because, you know. So, Dr. Cowden has a whole protocol where every month there’s a whole protocol that, you know, they change all the herbs.

The idea is to kind of never let the organism get used to what you’re doing. He used to be very involved. The company has recently revamped it. It’s a much simpler protocol now. I do what’s called a modified version of Cowden. And I really just narrow it down to like three or four herbs. I use the Cemento, I use the Vanderol, I use the Camonda, I use the Berber Pinella as a base.

And then I’ll add in these other herbs really just as adjunct therapies. Uh, so these [00:54:00] combinations again help target the microbes, support detox pathways, clear heavy metals. It’s a nine month protocol where every month it changes. Uh, I know Dr. Tran uses it a lot more than I do. Again, it still works for people, but the old version was just more, took more compliance, because every like two hours you had something to do.

The new version is much more simple for people. So again, I do a modified version of it, and here’s kind of the doses. Uh, for acute Lyme disease, it’s better to go in with higher doses. You know, at 15 to 30 drops twice a day, you put all the tinctures together in a little bit of water. So it’s nice for people who already take a lot of capsules.

These are liquids. They can just put it in water in one glass, pour it up and drink it, a dose in the morning, a dose in the evening, it’s pretty simple for people. And again, we can add in Berber, Penelope, if they’re getting heart sick, and they can all add in others really as supportive for whatever they’re experiencing.

For chronic, uh, I found if you try the same approach, a lot of people will get pretty significant hurt. So I like to start really with just one or two drops twice a [00:55:00] day, and then every two days titrate up slowly by one drop. So if they start with one drop twice a day, two days later they don’t feel any different, they go to two drops twice a day.

Two days later they don’t feel any different, they go to three drops. And what you’ll find is some people, even at very low doses, get clinical benefit. I have some people do one drop of Simvastatin and they start Hurksin. So I find a lot of people with Lyme tend to be very sensitive and a little goes a long way.

So don’t feel like you have to go in with high doses. Low doses often will really be clinically effective for people. And for children, again, we just drop the dose down based on body temperature. So the advantage is it’s pretty easy to administer their liquids. The herbs actually don’t taste bad at all.

Nothing’s uberly bitter and nasty tasting like some herbs are. Uh, clinically very effective, reasonably very cost effective. You know, if people are only using two or three drops twice a day, that tincture might last them six, eight weeks or longer. So it, it ends up being very cost effective. The disadvantage is, is that you can’t get irksing, but you can get that with any Lyme treatment.

I’d say all, most Lyme treatment does tend to be [00:56:00] long term. I tell my patients 6 18 months of treatment is normal. Because of the slow growing nature of Lyme, and the up and down cycles of it, that’s pretty normal. Sometimes people recover faster, sometimes it’s longer, but 6 18 months is very reasonable.

Dr. Zhang, different Dr. Zhang from the Dr. Zhang at Johns Hopkins. Uh, this Dr. Zhang is a Chinese medical doctor in New York City. He’s who I saw after I was on nine months of anaphylaxis getting worse, and he turned me around in a month. And so, he uses a series of verbs. He’s got an Artemisia, Hetunia, and he’s got a couple of combination products.

Again, I won’t go through all of them, but a lot of them I’ve already talked about. Uh, Again, I like his approach because I think it encompasses a very broad scope of what Lyme does to your body. So there’s herbs to target infection, herbs to reduce inflammation, herbs to support the immune system, herbs to break down little crystals and micro clots, and I think it’s very comprehensive.

And again, it turned me around in four weeks. So [00:57:00] some of the formulas, he’s got one called R 5081M, Uh, seven traditional Chinese herbs, including Smilax and Chinese Skullcap. Uh, these are effective in treating leptospira, trypanema. They also help remove detoxification, reduce inflammation. So I like this formula because part of it’s killing the bugs, and part of it’s helping support detox.

He’s got one called Circulation P. This is a combination of two traditional Chinese medicine formulas. There’s 10 herbs in it, and it’s really to help prevent platelet aggregation in the microplots. And you can tell Lyme patients, if you draw blood in your office, you can almost tell when you draw blood, instead of the blood coming out like water, it comes out like oil, you can see the viscosity even when you draw blood, and that’s just a sign of inflammation.

It’s very common with Lyme patients. AIM, this is a nerve called Sardentodoxae. Again, we don’t use this in Western medicine, this is a Chinese herb, uh, but it has, uh, pretty significant anti inflammatory and analgesic effects, so this is a great one in to help control pain in patients. inflammation. So [00:58:00] John’s Protocol, again, combinations of petunia, coptis, cordyceps.

You might add in the AIM if there’s a lot of inflammation or peraria if they have high fever and muscle aches. Artemisia is great for Babesia. Persistent Lyme Disease, same kind of herbs. The dosing actually doesn’t change as much between acute and chronic like it does with the liquids. But again, I just wanted to give you an idea of some other ways of using these herbs.

The advantages is clinically very beneficial. I’ve probably used his herbs more than anyone else’s over the years. Herbs reactions are not common actually. Very few side effects. I find they’re very well tolerated. The biggest downside is that his herbs are expensive and people usually spend 500 to 600 dollars a month on his formulas relative to others which are much less expensive.

Byron White is an herbalist. He’s got different combination formulas that he kind of puts together for individual infections. So there’s not really a protocol with his stuff, like AL [00:59:00] complex is for Lyme, ABAB is for Martinella, and so forth. So here you’re kind of picking the formula based on whatever the patient’s dealing with.

I’ve used them, he has one called A Myco for Mycoplasma, that I’ve used a lot, it works very well for Mycoplasma, and I’ve used ABAB and ABARD, and again, they work, it’s just again, they’re combination products, so if people have a problem with it, you just won’t know. What the problem is. People like these because again, it’s like one tincture or two tinctures.

It’s not multiple tinctures. They are really concentrated herbs. So the amount you use is usually anywhere from like two to six drops twice a day. It’s a lot less than even the other tinctures out there. So for people who don’t like to do a lot of stuff, this might be an option because it doesn’t require a lot of stuff.

Disadvantages, uh, it’s just that herxing is actually quite common because they are so concentrated. Each bottle is about a hundred bucks, so the bottle itself is expensive. Now again, they’re not using a lot of it, so often it still lasts a while, but [01:00:00] when you talk to people like, hey, I want you to buy this little tincture, it’s a hundred bucks.

Uh, I have some formulas I developed myself with allergy research. I have a product called PhytoTik Defense. So, I took a lot of the herbs that I had used when I was being treated by Dr. Chong. Uh, so it’s got Nezunia, Artemisia, Cat’s Claw, Coptis, Cordyceps, Lion’s Mane, and Beta Glucans. I wanted something to get the encompass line and all the other co infections.

I’ve got a product called Biofilm Neutralizer to break down biofilm. I’ve got a product called Herxipher Support to reduce inflammation and to get Herx reactions. And Mitochondrial cofactors to help support the mitochondria. So these four were designed to kind of work together. Uh, the nice thing for patients with this is that they’re pretty easy to take, pretty well tolerated, and all four of the formulas are about a hundred bucks a month.

So it’s fairly reasonable for people. Uh, so here’s just the dosing schedule on those. Uh, the advantages, uh, really is it’s clinically beneficial, easy to administer, it’s pretty inexpensive. I really haven’t come across any major disadvantages. [01:01:00] I mean, I don’t get complaints of people not tolerating it, upset stomach, bad diet offset.

So far, they’ve been out for about a year and a half, and, again, I really haven’t had any major complaints. Other botanical therapies, again, Stephen Buehner has two books if you’re interested. It talks about some of these other herbs. There’s also a company called Beyond Balance. Uh, they make a series of combination herbal formulas.

Susan McCamish founded the company. She’s an herbalist. They make some good products. They’re all in glycerin. So for people who don’t tolerate alcohol and so on liquids, this is a great option because they’re not alcohol based, they’re glycerin based. So it’s great for kids and I don’t see any people anymore, but people are using disulfiram as a treatment for Lyme for a while.

Which, you know, you get disulfiram, you can’t take alcohol. It’s a contraindication, so people can still use Beyond Balance while they’re on disulfiram, but I think disulfiram’s kind of fallen out of favor. I don’t see anybody really on it anymore. Managing HERX reactions. Anything that’s anti inflammatory is probably going to help.

You know, tons and tons of [01:02:00] research on curcumin and boswellia reduces all the pro inflammatory cytokines, help prove vascular endothelial function, reduces oxidative stress. Uh, so, my product has a combination of curcumin and boswellia together, and then if you alkalize the body, this is an old school environmental medicine trick that people are having die off reactions or having allergic reactions.

When you take an alkalizing agent, you start shifting your cell pH, a lot of these reactions get better. So the Herx reaction gets better. I’ve had people stop their asthma attack by taking Alka Seltzer Gold every hour. Uh, kind of the worst thing that happens if you get too much bicarbonate formula is it gives you a little bit of diarrhea.

Um, but often we’ll stop that. So sodium potassium bicarbonate, I think potassium bicarbonate is a more effective agent. So regular Alka Seltzer is sodium bicarbonate, and baking soda in your fridge is sodium bicarbonate. In a pinch people can use good old Arm Hammer baking soda, but it’s kind of gross and um, I don’t think it works nearly well as potassium bicarbonate.

[01:03:00] But the whole idea behind it is that bicarbonate is shifting your cell pH and we know that potassium bicarbonate locks increase your glutathione levels. Breaking down biofilm, this is the slime that surrounds the bug. Uh, there’s a lot of different ways to approach it, but again, that protective slime is, you know, keeping the immune system and the herbs or antibiotics from targeting the organism.

So anything we can do to break it down. Proteolytic enzymes like serrapeptase, like trypsin, natokinase, is very effective, alpha lipoic acid. So again, the product I developed, he biofilm neutralizer, it has all four of these in it, just as a way to break down biofilm. So it’s important with any kind of biofilm disruptor, you take it away from food.

If you take it with food, it’s going to digest your food, and it won’t do much to break down biofilm. Environmental lifestyle factors, of course, anything we can do to lower the body burden. I will argue that most of my chronic Lyme patients are toxic, for various reasons, and anything we can do to [01:04:00] improve their detox pathways, reduce their body burden.

Help. So, it’s just bringing awareness that, you know, get all the crap out of your house. The Windex, the 409, Uh, the Glade plug ins, all that stuff. I mean, my sister and I have this running thing now. She’s better about it. We go visit the Glade plug ins in the bathroom, and I unplug it, and she plugs it back in, I unplug it, she plugs it back in.

I think one time we took it in the trash.

Dr. Weitz: Anyway,

Dr. Ingels: yeah, so anything you do to people can reduce that stuff. So be aware of what you use around your home, what you use on your skin. Personal care products, makeup, shampoo, detergents, laundry stuff, all that roundup, all that adds to your body where it has to load, makes it harder to get well.

And this is stuff people have control of. They can control what they use in and around their body and around their home. Lifestyle maintenance, sleep is critically important. Most of my patients don’t sleep well for various reasons. Uh, this is just some of the things I use with my patients to help them get to sleep, stay asleep.

Uh, melatonin is great for some people, helping them fall asleep. GABA, PharmaGABA is better at staying asleep, getting deeper sleep. Magnesium, particularly Mag threonate has evidence that it penetrates the brain better than other Mag chelates. Get them into a deeper state of sleep. 5 HTP, 5 Hydroxytryptophan is a precursor to serotonin.  You could use straight L tryptophan as well. Um, 100 to 400 milligrams of bedtime. Uh, just be careful if someone’s already on an SSRI, you don’t want to get serotonin syndrome. And there’s a lot of herbs. I mean, Passionflower, we use a lot of. Ashwagandha, Valerian Root, Lemon Balm. I’m becoming a bigger fan of California Poppy.  California Poppy works really well. You just have to warn people, if they ever get drug tested, you know, we’ll test positive on a drug test. I had a patient in New York City that, uh, he didn’t have one. I can’t remember. He called me one day, and he was a big financier. And he was just pissed at me, yelling at me, he goes, I don’t know what you gave me, I flunked my drug test, da, da, da, da, da, it’s something in your supplements.

And he calls me back two days later, very apologetic, he goes, every morning I have a poppy bagel, poppy seed bagel. [01:06:00] The poppy seed bagel was causing a drug test to go positive, so anything that comes from the poppy plant will test positive for heroin on the drug test. So, you just have to warn people if they have a job where they get drug tested, but it doesn’t cause any of the effects that heroin does, it’s just a cross reaction.

But yeah, California poppy can be very effective too. Getting exercise, movement, you know, I think it’s good for obviously moving blood flow, moving lymph, especially the lymph. It’s good for enhancing mood. So trying to get some element of movement every day. And it’s hard. I mean, for when I had Lyme, I mean, it was all my strength just to sit in front of the television.

And so, you know, I would start stretching and then, you know, a couple of laps around the house. So gentle exercise usually works best. If someone does any kind of activity and it wipes them out for three days, it was too much. So they have to scale it back. So it started with, you know, yoga, walking, swimming, tai chi, qigong, you know, whatever they feel like they can do.

But a little bit of movement every day is Stress management, this is always the, I [01:07:00] think, the hardest thing for people. Having any chronic disease sucks. You know, you’re, you’re trying to figure out how to manage your stress. A lot of people we see, they’re, you know, financially in trouble because they’re ill.

Many of them aren’t working as much as they should, or they’re having trouble in the work they do. So there’s a lot of stress on how it affects them, how it affects their loved ones, their family, their kids. There’s a tremendous amount of guilt about having a chronic illness. For So helping people navigate that, whether it’s with a guidance, with a counselor, a therapist, a support group.  But try and help and encourage people to find ways to deal with stress because you’ll hear it from every Lyme patient. Every time they go through a stressful time, their symptoms get worse. Nothing else changes in their treatment, but it’s just the stress that’s kind of undermining everything else. So as much as we can help support them.

Other treatment approaches, I just want to mention, Low Dose Naltrexone. This is a medication that was designed to get people off drug and alcohol abuse. We know at low doses it has a very different effect. It binds to opioid [01:08:00] receptors in the brain for about 4 6 hours, and then it causes a natural release of your own opioids for about 20 hours.  So it can be great for pain modulation, it’s great for modulating the immune system. There’s actually quite a few studies on Low Dose Naltrexone. It’s very safe, it’s very inexpensive, and I find it’s kind of the 50 50. 50 percent of people feel like it helps, 50 percent of people feel like it did absolutely nothing, but to spend 45 bucks for three months to try it, you know, I think it’s pretty reasonable.  And there’s studies on it for cancer, fibromyalgia, multiple sclerosis, inflammatory bowel disease. There are no studies to date on Lyme disease, but most of us in the Lyme world try it anyway, and some people respond really well.  The dosing on it, you can start anywhere from like a quarter of a milligram to one milligram at bedtime. Uh, one of the side effects that some people do get is either disrupted sleep or they get really wild, flunky, vivid dreams. And if that happens, we just say take it during the day, don’t take it at bedtime.  Usually that’s okay. Once in a while I’ll feel like, you know, even during the day my [01:09:00] sleep’s goofed up. Okay, we try it and it’s fine. So, I think it’s worth, you can work up to, you know, three to four and a half milligrams. We go up by one milligram generally every two weeks, and so we get to a target dose.  It can take up to three months to get the full effect of it. So once you get to what you think is a target dose, wait three months before really saying yay or nay, it helped or didn’t help.

PEMF, Pulse Electromagnetic Frequency. The idea is that there’s these devices that create a signal that’s the same frequency as our own human cells.  And the Germans have done a ton of research on PEMF. There’s over 1,500 studies, and basically it helps improve circulation, help with tissue repair, and really offsets a lot of the negative effect of the bad frequency of like 5G and Wi Fi and cell phones and all that kind of stuff. So improved circulation, decreased pain, reduced inflammation, faster recovery after injury and surgery, healing skin wounds.

And Acceleration of Nerve Regeneration. And usually it just involves, you know, [01:10:00] laying on a mat or putting the device close to your body. It runs anywhere from 10 minutes to sometimes an hour. Uh, but it’s very safe and can be very effective. There’s a doctor named William Pollack, P A W L U K. He’s one of the top, like, researchers on PEMF.  And if you just go to drpollack. com, he’s got a ton of research on PMF. He’s got devices he sells. But he’s vetted a lot of these devices. And they range anywhere from A few hundred bucks to several thousands of dollars, but again, it’s something people can do at home, they can do for themselves, they can do every day, and again, can be very effective.

Other detox therapies, I’m a huge fan of sauna, people can tolerate it, it’s a great way to mobilize mycotoxins, heavy metals, other toxic stuff. Uh, some people are very heat tolerant, you gotta be careful with the heat tolerant people. Uh, constitutional hydrotherapy, this is alternating hot and cold packs on the chest.

This is a little naturopathic therapy just to help improve blood flow throughout the body. There’s different companies that make drainage remedies. [01:11:00] These are usually combination herbal products for homeopathics. So we use a lot of Picana in our office. Uh, gentle exercise, colon hydrotherapy. Again, there’s another great way to help promote detoxification, which is different than just doing a whole enema.

Uh, the alternating, you know, filling of the intestines, draining for the intestine. It’s really designed to stimulate the vagus nerve. That’s what helps induce that parasympathetic state. So it is a good way to clean out the colon, but that’s really not the intent behind doing colon hydrotherapy. It really is the upstream effect of what it does to the liver, the gallbladder, and you’ll see at the end of a colon hydrotherapy session, everything starts to turn green while that bile’s starting to work its way.

So I’ve had some people that, you know, they’ve tried all these other things, and sometimes we’ll do these other strategies, and they respond really well. I think supporting the mitochondria for a lot of our Lyme patients that are tired all the time, all these nutrients that support the mitochondria, don’t be shy about using higher doses, CoQ10, Acetyl L Carnitine, Propoic Acid, B6 Magnesium, NADH, all [01:12:00] these are in some way, shape, or form related to mitochondrial function.

And I’ve got the doses written down here. Neuropathy can also be a big problem for a lot of Lyme patients. So there’s a lot of nutrients they can do to help support the nerves. Phosphatidylcholine, either orally or IV, glutathione, B12. I like B12 shots. Uh, they work better than oral or sublingual B12. We talked about PEMF, hyperbaric oxygen.  It’s not easy or accessible for people, but if they do have access, again, it can be really helpful. Improving oxygenation, supporting the mitochondria, and stimulating nerve growth. And IVIG, it’s not at the top of my list, but if people are having more Guillain Barre kind of symptoms, if you can get insurance to cover it, it’s horribly expensive, it’s hard to get insurance to cover it, but we’ve had some patients that have done really well with IVIG.

And Low Dose Immunotherapy, this was developed by Dr. Ty Vincent. He’s a medical doctor in Hawaii. The idea behind LDI is that we’re basically trying to use dead organism that’s been diluted out really homeopathically [01:13:00] as a way to turn off this autoimmune mechanism to the butt. So if your immune system’s treating Lyme as an allergen and not a pathogen, it’s engaging a completely different part of your immune system.

So, it’s literally that. It’s been irradiated, it takes the Borrelia organism, it’s dead, it can’t reproduce, it can’t cause infection. We dilute it out hundreds, millions of times, and then we mix it with an enzyme called beta glucuronidase. And the beta glucuronidase seems to activate whatever you mix it with.  And in very specific dilutions, it just seems to turn off that autoimmune reaction. And we’ve had some amazing cases of people that, again, tried herbs, tried antibiotics, tried all these other things, nothing really helped. And then we do this, and It’s a game changer. The challenge of this therapy is you gotta find the right dose, you gotta find the right antigen.  And sometimes we get bamboozled and we think it’s one thing and it’s really something else.

Very quickly, I had a young kid come in who overnight had typical PANS, OCD, anxiety, and I did his blood test, his streptiters were through the roof. I’m like, okay, this makes sense, it’s a strep infection. I did the [01:14:00] LDI for strep, did absolutely nothing.  Okay, so four years ago he had Lyme disease, but he was treated, and as far as I know he’s fine. That night, I gave it to him in the morning, that night, she calls me in a panic, says that he’s got a monster headache, so we talked about doing some natural things to control it, and the next morning all his symptoms were 100 percent gone.

So it was actually, I think what happened was he had the strep infection, which was the catalyst for the Lyme that was in the background that really had probably never been treated. So, ultimately, our treatment goals here, treat the organism if it’s acute, uh, treat the other immune distractors, other allergies that distract from the immune system, detoxify the body, fix the hormones, get proper sleep, reduce inflammation, get the nutritional status up, help their mitochondria, get the circulation going, and modulate the immune system.  And this is the little book I wrote and that’s all of my information. Thank you very much.

 


 

Dr. Weitz: Thank you for making it all the way through this episode of the Rational Wellness Podcast. For those of you who enjoy. Listening to the Rational Wellness Podcast, I would appreciate it if you could go to Apple Podcasts or Spotify and give us a five star ratings and review.  If you would like to work with me personally to help you improve your health, I do accept a limited number of new patients per month for a functional medicine consultation. Some of the areas I specialize in include helping patients with specific health issues, like gut problems, neurodegenerative conditions, autoimmune diseases, cardiometabolic conditions, or for an executive health screen and to help you promote longevity and take a deeper dive into some of those factors that can lead to chronic diseases along the way.  Please call my Santa Monica White Sports Chiropractic and Nutrition Office at 310 395 3111 [01:16:00] and we’ll set you up for a new consultation for functional medicine. And I look forward to speaking to everybody next week.

Dr. Jonny Bowden discusses The Great Cholesterol Myth 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

8:32  Dr. Bowden was working as a personal trainer at Equinox and he became a believer in the low fat diet.  He would order egg white omelets and he was convinced that if he ate any yellow of the egg, he would have a heart attack.  But he started seeing a lot of people coming to the gym who were following the low fat diet and were counting calories and they were doing hours of joyless aerobic exercise and they were not losing much weight.  Then some of his clients started following the Atkins’s low carb, high fat diet and some were losing a lot of bodyfat and their health was improving. Their blood glucose and triglycerides and their blood pressure were all dropping, all signs of improving metabolic health.

12:35  Dr. Bowden started to question the low fat diet, since clients following the high fat Atkins diet were losing weight and getting healthier.

 

 

 



Dr. Jonny Bowden has a PhD in holistic nutrition and he is an extremely prolific author, having written The Great Cholesterol Myth, The Metabolic Factor, The Most Effective natural Cures on Earth, The Most Effective Ways to Live Longer, Living Low Carb, Smart Fat, The 150 Healthiest Foods on Earth, and The 150 Most Effective Ways to Boost Your Energy, as well as 6 cookbooks.  Jonny continues to consult with clients and his website is JonnyBowden.com.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.

 



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’ll be having a discussion on the Great Cholesterol Myth with Johnny Bowden, PhD. Johnny Bowden went to school, trained as a jazz musician. Eventually he became a personal trainer and eventually got a PhD in holistic nutrition.  He’s an extremely prolific author, having written The Great Cholesterol Myth, The Metabolic Factor, The Most Effective Natural Cures on Earth, The Most Effective Ways to [00:01:00] Live Longer, Living Low Carb, Smart Fat, The 150 Healthiest Foods on Earth, and the 150 Most Effective Ways to Boost Your Energy, as well as six different cookbooks.  That’s amazing, Johnny. How did you have time to do all that?

Dr. Bowden: Over 15 years. It wasn’t that hard. 20 years of writing.

Dr. Weitz:  That’s great. So thank you so much for joining us today.

Dr. Bowden:  Thank you. Thanks for having me.

Dr. Weitz:  So, uh, maybe tell us a little more about your background and how you became to become an expert in holistic nutrition.  

Dr. Bowden:  Well, I, first of all, we, we, I really hate the term holistic nutrition. It’s, uh, it was valuable back when I was getting a degree in it. It’s, it’s now turned into like the, when you think of holistic nutrition, you think of somebody on. Dennis Beach doing crystals. And it’s not that at all. I, what I would call it today is functional medicine nutrition, uh, integrative nutrition.  Nutrition is part [00:02:00] of an entire bunch of things that we use with clients to really make their lives better. It’s, it is not just looking at food diaries. It’s not just looking at nutrient amounts. It’s what is, what is this person in front of me? You know, they used to say. The difference between Eastern and Western medicine is that in Western medicine, the Western doctor says, Okay, what are the symptoms?  And in Eastern medicine, they say, Who is this person in front of me who has the symptoms? So, it’s that kind of orientation to nutrition.

Dr. Weitz:  That’s great, it was perfect because my podcast is really devoted to all things functional medicine.

Dr. Bowden:  Right, I sensed that, so I just wanted to bring it in alignment with what you guys know as functional medicine.  We used to call it Holistic medicine. It’s, it’s, it’s bad term. Um, I was a, as you mentioned, I was a professional musician. Uh, I grew up in the era of sex, drugs, and rock and roll, and I was addicted to everything in the, I [00:03:00] always tell my podcast, um, um, Host everything in the PDR, but audiences don’t know what the PDR but is.  It’s a book about this thick of over a thousand pages called the Physician’s Desk Reference, and it has every drug that ever came out. So I jokingly say I was addicted to everything in it but you know, I lived exactly what you would think of if you thought of the life of a, you know, partying, sex, drugs, and rock and roll musician in the 19, early 1970s.  That was me. And, um, I, I did a lot of traveling, and I, I always maintained, as unhealthy as I was, I always maintained an interest in health. It was like aspirational, you know, I’d go, I’d walk by the health food stores, we didn’t have a Whole Foods then, we didn’t have an internet then, this long, 70s, um, and there were these little stores, you know, that they called health food stores, and the people who patronized them, the people at large used to call, oh, those health nuts, they go to those stores, right?  So we were health nuts. Absolutely. I was, I [00:04:00] aspired to that, even, you know, during the heroin days and during the alcohol days. I always thought, you know, that, and when I, I began to get sober in the early 80s, I, I put all that behind me, uh, and, um, I was doing a lot of traveling, a lot of national tours or what we used to call bus and truck tours.  Those are Broadway shows that, you know, travel by bus and truck, they’re a little bit lower than the national ones. The national ones fly to big cities like Washington and Chicago, and the bus and trucks go to all the other cities, and I do a lot of those, and we’d be stuck like in a house for a week because we would set up and then we would do the show eight times a week at night and matinees, and the rest of the time we were free, and I started hanging out with the actors, and the actor’s job is to look great.

That is one of their many jobs, but that is a part of their job, so they all knew how to work out. Some of them carried weights with them, you know, on the bus. They really did. And here I am, I’m bored, and I feel like, okay, I’m finally, like, not taking drugs and not drinking anymore. Maybe I should, like, ask [00:05:00] one of them what the heck’s going on.  And I actually said to one of them, can you show me some of these exercises you do every day?  And that was, that was just like, uh, that, that just turned me on. When, when I started doing that, and seeing how I felt differently, and learning how I could change my own body and energy and everything else that goes with it.  It was, it was just a red letter day. It was like a revelation. And I, I was a decent musician. I was not a great musician. I could make a living at it. But this was something I really could be great at. And I started looking on the upper, I was a middle class Jewish kid from New York City. All we care about is academics and degrees, you know, that’s what our parents cared about.  So the first thing I thought about was like, I wonder if I can get a degree in this stuff, this, this weight stuff, you know, within a fairly short time, within a couple of years, I knew every [00:06:00] gym in all the cities that we went to, we’d check into Dallas, I would leave my bags, go to Doug’s Gym, this hole in the wall, and I knew where they all were, and I was really making a big change in my, in my lifestyle, and it was really working, and so I wondered to myself, I wonder if I can get some of my credentials in this, you know, that’ll, and so I did.  I found out that they had courses to certify personal trainers. So I took one and I got it. I got the certification and I got excited and I said, Oh, this one isn’t, I want another one. I want one that’s even more prestigious. And then I went to get a third one. And I wound up ultimately in that first year, maybe with six or seven, including the CSCS, Conditioning Strength and Specialists, the NASM, National Academy of Sports Medicine, the ACSM, the ACAP, they were, I got them all.

And I’d never worked with a, I’d never worked with a client, I just knew how to do it, and I knew what to do, and I’m a, really, I was always a good teacher and a communicator, so I’m waiting for a client to, to [00:07:00] try this on, and one day, I was home in New York City, and I was walking down Amsterdam Avenue, and I see this big sign, uh, New Gym opening, and it looks really special, it’s called Equinox, and I think, that looks really good, and they got a sign up there that says, Now Hiring, so I walk in.  And they’ve got the space there. It was their first gym in Manhattan. They had had one in Scarsdale, the family, then they opened this. First one in Manhattan, and of course everybody who’s listening to you knows what Equinox is, it’s one of the biggest, and most successful, and luxurious, and good, you know, national gyms in the, in the country, but at the time there was one of them, and um, I went in, and I, for the, the luck of the universe, or whatever, I clicked with those owners like that, I don’t know why, I was older than the average person coming in there to be a trainer in my 40s, most of them were 22 year old surfer boys and I clicked with Lavinia [00:08:00] Errico, she’s still around to this day, she’s a great motivational speaker, she was one of the brothers and sisters who owned Equinox and we just instantly got along and they hired me.  And I started my career in health and fitness on the floor at Equinox in Manhattan on the very first day they opened September. in 1991. And I stayed there seven years. I ultimately became the dean of the Equinox Fitness Training Institute, which is a model for how everybody trains trainers these days.  I mean, it was the best and it was the first and it was wonderful.

And during that time, Ben, I was a complete convert to the low fat orthodoxy of the time. I believed in calorie counting. I believed that if our heavy clients were not losing weight, it’s because they were cheating on, they, we never, ever, ever thought our advice was wrong.  We figured if they’re not getting the results, they’re cheating.  Um, and this was the zeitgeist at the time. I was one of the guys that would order an egg white omelet. The dumbest invention that ever came.  I’d order the egg white omelet. It would come out with a little bit of runny yellow.  I’d send it back because I just knew what was going to happen if I consumed any of that heated yellow fat.  I was going to get a heart attack because of all the cholesterol and I was going to die. So I was a true believer.  And until I started seeing clients come in where what I was seeing with my eyes was conflicting with what I had been taught. So all these people on low fat diets, all these people are counting calories, all these people are doing hours of joyless exercise on a stair master, just hating their existence doing it, and they’re not really losing weight.

Now I grant you that there are people out there who lost weight on the low fat [00:10:00] diet. To say otherwise is just ridiculous. But there were not as many as you might think, and it was not as successful as you might have thought. And in fact, people who really were able to keep weight off on a low fat diet do well and maintain it, were very, very, few. And right around this time, 1992, Atkins published this third edition of his book.  His first edition came out in 72. There was one in the middle, and then 92, the New New Diet Revolution, the new revised Atkins, and people were trying it. And they were trying it against our advice. We trainers, like, people would come in and say, You know, I’ve tried all this stuff, it’s just not working.  I got a friend who lost 40 pounds on Atkins.  I’m gonna try that Atkins diet. And we would go, No! You cannot do this! Yes, they lose a few pounds. They lose pounds on cocaine too. This is a dangerous diet. This guy should lose his license. He’s talking about bacon being, you know, forget it.  And guess what, Ben? They didn’t listen to us. So I, what would happen is I’d get these clients–I remember one in particular coming.  And to say transformed isn’t really, it wasn’t just that he lost so much weight.  His eyes were clearer, you know, you and I, we see, we work in fitness and health and we get really intuitive about knowing if somebody’s, I don’t believe in medical intuitives, but I do believe that, like, we have a lot of clinical experience, you can read if a person’s really healthy and fit.  There’s an energy, there’s something in their eyes, there’s something about how they carry themselves and you can kind of feel that or you kind of feel something’s off, they’re, they’re not doing well.  And I’m seeing this guy and he’s doing, and I’m, my intuition is saying, holy, you know what, this guy’s really transformed, big belly and now it’s not such a big belly, his eyes are clearer, he’s telling me, his doctor says his blood pressure is down and his [00:12:00] triglycerides have dropped, what is going on?  And we, I had what psychologists call cognitive dissonance, two thoughts that cannot both be true. And if you believe both, you have a psychological upset. And you have to resolve them somehow, and that’s what cognitive dissonance is. And, uh, here I am being taught by the American Dietetic Association that a high fat diet will kill you, that cholesterol, all the cholesterol in that food is gonna give you a heart attack, and if you go on something like Atkins, which is absolutely insane, then you will probably die.

And here I got this guy standing in front of me who is not dying at all, not even close. So something’s gotta be wrong. And I tend to believe my eyes, so when I see a very healthy person standing in front of me whose triglycerides have dropped and whose blood glucose is down and whose blood pressure is down and his waist is down, [00:13:00] I’m thinking what I was told might not be true.  So I began to question some of the orthodoxy. And an interesting thing, just from social and political kind of, for those who are interested in this, I didn’t have any credentials when I was teaching people at the Equinox Fitness Training Institute. I just, I had the certification as a trainer. I had a master’s in psychology.  I did get a master’s in psychology before any of this happened, but that’s not why they were letting me teach nutrition and anatomy and kinesiology and all the rest. But I was preaching the accepted narrative. I was preaching low fat diets, calorie counting, exercise,… the willpower.  Long as I bought the narrative, nobody questioned my credentials.  See if this brings it up and perhaps,

Dr. Weitz:  No, I mean, I did this same thing. In fact, I remember competing as a bodybuilder and getting my body fat down to 3 percent with a low fat diet and exercising twice a day. And just eating very Spartan, you know, Tuna fish, broccoli.

Dr. Bowden:  People did it. You know, I know I was, I was there, but I was going to say, perhaps you can think of a parallel in the past three years during the pandemic, so I was quoting the narrative and everybody loved me as a teacher.  And then I said, wait a minute, something that I asked a question, could we have possibly demonized saturated fat a little?  Maybe it’s not as bad as they told us. I’m seeing. Well, you want to talk about, we didn’t have cancel back then, but there might as well have been cancels. And this was like, who is this guy? A, he’s not an MD, B, he’s not even a nutritionist, he’s just a personal trainer, and what does he know that all these doctors are [00:15:00] saying the difference, and he’s questioning that?  I mean, you know, I was taught in, in psychology school, in graduate school, I had a year of statistics and research design, I’m not a great, you know, You know, researcher, but I know the basic thing is you ask questions. You try to disprove your own hypothesis. You look literally for what else could be going on.

You don’t just accept the first thing that comes to mind. You ask those questions as part of science. But when you ask questions, of a narrative that is very strictly enforced, you get canceled, or de monetized, or de platformed. And we saw that very, very clearly, and I’m not taking any sides. I’m saying, open your eyes and see what we did the last three years to anybody who had any question whatsoever about the policies we were following.

Okay, I’m not going to go there. But the point is, it happened to me. And they were like, well, we’re not letting him teach. He doesn’t even know what he’s talking about. So I went back to school and that’s when I went and got my PhD in nutrition. So now I had a [00:16:00] master’s in psychology. I knew my research and design.  I could read a study as well as anybody else in the world. And now I had a PhD in nutrition and I said, now I’m going to ask the questions and I’m going to tell you, you’re full of, you know, what, and I’ve been doing that for 20 years. So how did this book, The Great Cholesterol Myth come about? So here I am with the clients.

And the clients are going on Atkins, and they’re not dying, and they’re getting healthier, and they’re doing better. So, I ask myself, very logically, why have we been told to avoid saturated fat? Why, what was the big, if these people are eating it, and they’re eating animal products, And they’re doing really really well.  Why did they tell us that? And the answer was always the same. Because the saturated fat will raise your cholesterol, and your cholesterol will cause heart disease. What if that weren’t true? [00:17:00] Everything about the dietary recommendations, which you and I now know, work. Absolute bogus BS, 11 servings of grains a day, things that people would go, What?  They recommended, what? All of that was for one reason, because they didn’t want your cholesterol to go high. And they didn’t want your cholesterol to go high because they knew, quote unquote, that cholesterol caused heart attack. If this were something you could question, if it wasn’t true, what happens to your dietary guidelines?  What happens to them? They’re built on sand. They’re built on a fear of cholesterol. And what if cholesterol isn’t everything that they told you it was? Then what happens to those recommendations? I mean, we’ve been avoiding a perfectly good food, and we’ve been avoiding meat and things that we’ve eaten for, you know, a couple hundred thousand years.  We’re avoiding all of that because it’s going to raise your cholesterol? And we already knew [00:18:00] half of that story was bullshit, and I’ll tell you why. Because even at the beginning, everybody knew that dietary cholesterol had no effect on anything. If they were telling us, don’t even eat it, because it’ll raise your body cholesterol, and that just is not true, except for less than 1 percent of the population that has a condition called familial hypercholesterolemia.

It’s genetic, it’s very rare, and those are the only people who have to worry about eating cholesterol. Everybody else doesn’t. So, we knew that wasn’t true. And then I started thinking about whether the rest of it was, and that is how I got from a generalist to really taking on this particular issue, and then we wrote in 2012, the cardiologist Steven Sinatra and I wrote the great cholesterol myth.  And it kind of put us on the map. And then eight years later, we did the revised edition with all the new information we had gained since then. And, um, I’ve been talking about it very frequently. It’s not the only thing I talk about, but that’s how I got on the great cholesterol myth and [00:19:00] questioning conventional wisdom in general.

Dr. Weitz:  I saw where you made an appearance on the Dr. Oz show and, and your quote is trying to reduce the risk of heart disease by lowering your LDL cholesterol is like trying to reduce the calories on your whopper by taking off the lettuce. It was good. 

Dr. Bowden: I forgot about that. Thanks. That was very good. That was a good quote.  I’m proud of that one. So ask me, why does everybody think that? It’s this way. And I said, Dr. Oz, in the, I don’t know when, what century it was, but there was a time where the greatest minds and scientists of the country thought that the earth was flat. I mean, the fact that everybody thinks this does not make it true.

Dr. Weitz: Right. And by the way, they continue to think this. In fact, I wanted to point out that, um, uh, last year I heard [00:20:00] Dr. Peter Attia, who I know we both respect, say that Primary prevention for cardiovascular disease should involve treating patients starting in their 30s and we should make sure that their ApoB is below 30 or 40 by whatever means necessary, eating less saturated fat, taking statins, taking PCSK9 inhibitors. If we do that, we will eliminate heart disease.

Dr. Bowden: Let me just say that I have huge respect for Peter Attia. I do too. I have learned more from him than probably any other doctor, except maybe Howard Elkin. Um, I have, um, read his stuff. I learned a great deal about cholesterol from his nine part course on it, online.  Um, he is very, very strict about blood lipids. I would never, with my background [00:21:00] not being a fraction of his medical background, I’m not going to argue with his findings, but I think that he’s a little You know, he did, he does the same thing with his book on aging, which is I think the best book on anti aging I’ve ever read.  He looks at, you know, he’s a mathematician. He gets these Excel spreadsheets and he looks at, okay, I want to be a kick ass hundred year old. I’m going to lose this much muscle every. Decade. If I don’t do something about it, I’m going to lose this much balance, this much stability. So I have to, in my 30s, do this, and in my 40s, do this, all to counteract the effects of nature.  And then when I’m 100, I’m going to be a kick ass 100 year old. So he is very methodical. about the stuff he does and very, very precise and extreme and blood lipids. I’m not going to say he’s wrong. I’m going to say that I think that there is a bigger picture and a lot of what he says I totally agree with.  He thinks that the basic good and bad cholesterol test is nonsense and of course so do [00:22:00] I. He’s the one who said in the quote, I use it on podcast all the time, It’s such a great quote. Your total cholesterol has as much to do with your heart attack risk as your hair color. That’s Peter Attia. So he’s not a bad guy, okay?  

Dr. Weitz:  No, no, he’s brilliant, you know, and I have a huge amount of respect for him.

Dr. Bowden:   He’s pretty medicine heavy. And, and this, he’s pretty much like kind of, I don’t know why I keep coming up with COVID analogies, but like if, if your value was we are going to protect this world from this virus and the only way to do it is lock everybody down and vaccinate everybody, well, if that’s your goal, yes, that’s probably the best way, There’s a lot of collateral damage to that policy.  There are a lot of people who would disagree with that policy, and I think in the same way, yeah, you can get your blood lipids down low, but I’m interested in also talking to people about the stuff that has nothing to do with their blood lipids, like their relationships and their involvement with their community and their involvement [00:23:00] with their family. I’ll tell you something really quickly that I think your audience needs to hear, because you and I probably get clients, individual clients, from the same demographic, and I’ll bet if I asked you, are they confused about nutrition, you would be nodding your head.  You’re damn right they’re confused. Well, everybody’s confused about nutrition, and you know. Right. So what I like to tell those clients, is about, I’m going to tell you the story. Sardinian researchers have looked at what Peter Attia is doing and going, this is a noble goal. He wants to get people healthy at a hundred and not living in assisted living and doing really, you know, active things.

And there are centenarians in the world who do that. But instead of like all this stuff that We hear about what the biohackers, like the cold plungers and all, you know, the wind huff breath training and climbing up the mountains without a shirt and all that. I’m sure that’s all great, but it’s also very intimidating to the average person because most of us aren’t going to do that stuff.  So this research is really [00:24:00] interesting to all of you who do not want to follow that kind of rigorous, extreme way of living in order to be really healthy at 100. These researchers said, that’s a noble goal, but I want to reverse engineer it. Let’s go meet some kick ass hundred year olds and see what they’re already doing.  What are the people who are doing what we want to get to? What’s their secret? And they came away with three secrets. First of all, they went to Sardinia. Yeah, you’re talking about the blue zones. Yeah, so Sardinia is one of the five blue zones. And it happens to be the one that has the highest proportion of fully functioning, active hundred year old men.

That’s a place you want to study. So they spend some time in Sardinia and they come away and it’s tongue in cheek, but boy is there a truth in this. You want to know the three lessons? Sure. To live to be a hundred? Number one, live where there are a lot of stairs. Have you ever seen pictures of Sardinia?  You can’t walk out of your house [00:25:00] walking 10,000 steps in the grove. It’s all stairs and hills. Right. So the take home there is walk all day. Just walk, walk, walk, walk, walk. Number two. Many of these hundred year olds are shepherds. They spend all their day in the mountains with sheep. Sheep are the most docile, sweet, non aggressive animals in the world.

Lesson number two was, spend as much time as you can with sweet, docile animals. Well, think about it. What is, what information is your brain absorbing when you’re in that circumstances, as opposed to say a cop who goes to work and sees the worst of humanity and what people do to each other and the cruelty and the meanness.  And this is a person who is watching sheep in nature. What do you think their mind is like? What do you think their physiology is like? They’re in parasympathetic nervous system mode all day long. That’s where the [00:26:00] healing takes place. Bars Bathing All Day Long. Right? And number three, and number three was so far above the other two, that it was like in real estate they say there’s three most important things to know about real estate.  Location, location, location. This was the location, location, location for living to be a hundred. You ready? Yeah. Make your family and friends your number one priority. End of story.

So I mentioned this. Because we can go crazy about lowering blood lipids, and I, believe me, I, I worry about my own. I go to Dr. Elkin, we figure out how to bring the particle number down. It’s important, I’m not saying ignore it. You and I wouldn’t have careers if there was nothing to do about the metrics.  But I try to get people to look at this bigger picture. They come to me sometimes and they are so confused about their cholesterol, and their total cholesterol is high, and their doctor wants to put them on a stent, and they don’t want to do this. First of all, we already talked about total [00:27:00] cholesterol means nothing, ladies and gentlemen.

Zero. But that said, they’re worried about these granular particulars, and they are important. But what I always leave every client who sees me, with is the sense of what they’re already doing to make deposits in their health bank. They’re playing with their kids. They’re petting their dog. They’re making love.

They’re walking out in the sun. They’re kind of sunbathing from time to time, as you would say, forest bathing, and they are making major deposits, and I don’t know that those deposits are don’t wind up being more important than a particular lab value. And I get that Peter wants to bring them all down as low as possible.

I’m not a medical doctor. I don’t know how to do that. It worries me how much medicine is involved in doing that. I’m wondering if there aren’t other things we can do in addition that might be even more important, such as Loving each other, spending time around friends, and it appears from these [00:28:00] studies that’s the number one thing.  Nobody said in that study, here’s the three lessons, keep your cholesterol low. It wasn’t even mentioned. By the way, did you happen to see the paper in British Medical Journal a couple of months ago? Which one? It was, it’s called, Is LDL cholesterol associated with long term mortality among primary prevention adults?

A retrospective cohort study from a large health care system. What did they find? The conclusion of this study was that Those who had an LDL cholesterol under 79 had increased mortality. Oh, that’s old. I mean, I didn’t see that study, but I can tell you that from, that’s 20 years old. The lowest mortality was those with LDL between 100 and 189.  Those over 190 also had increased risk. Yeah, so let me give you a little context for [00:29:00] that, that has been shown since I was first a student in the late 90s. Um, we know that the higher, it’s not a curve that looks like this. The low cholesterol you’re doing great and the high cholesterol you’re doing bad.  It’s much more like a different shaped curve. Yeah, what we call a T shaped curve. You know what goes up in risk? Heart attacks. I’m sorry. Okay. Suicides and accidents. Why is that? Oh! Maybe because cholesterol is needed for the brain? Could that have something to do with it? So these doctors who are like the lower the better, the lower the better.

They’re screwing with your brain and they want to put 13 year olds on statins to get it even lower and the brain isn’t even developed until you’re 25? Are you kidding me? Not to mention you need cholesterol to make, uh, testosterone. I always tell that to men, they always, wait, wait, wait, I’m taking the, wait, wait, what did you say?

Yeah, your sex hormones come from that. And I had a wonderful doctor, I won’t quote him because [00:30:00] they always, when I quote them, if I don’t get them right, they get very upset, but this, this very smart doctor said, Bernie. I have never seen a case of ED that wasn’t also a case of ED. What did he mean? A rectal dysfunction and endothelial dysfunction, which is the heart of heart disease.  These are very related. Is it an accident that we see all these men coming into psychiatry’s office and psychologists and counselors office talking about impotence and they don’t have, they can’t get it up anymore and all of that, and half the male population is on statins? Really? No connection to that, huh?

Nobody wants to put that little thing together? By the way, I wanted to credit you. Your book, 12 years ago, talked about endothelial dysfunction. Yeah, we didn’t invent that. I mean, we just popularized it. No, I understand, but hardly anybody was talking about it. Now, everybody in cardiovascular medicine, or many people, are talking about the importance of endothelial dysfunction and that being a core factor [00:31:00] in cardiovascular disease.  Coronary artery disease. Absolutely. The wonderful, wonderful doctor friend of mine, Dr. Mark Houston. Uh, from Nashville, who’s also a master’s in nutrition.

Dr. Weitz: Had him on the podcast many times.

Dr. Bowden: Yeah. Oh, no kidding. So Mark, who I’ve known for a hundred years, and also is one of the few doctors in America who also has a master’s in nutrition, and he teaches doctors all over the place.  He taught me about endothelial dysfunction 20 years ago, so he’s been talking about that a long time. Another thing we both believe in that you mentioned a little bit is the importance of having an advanced lipid profile and not just having a standard lipid panel consisting of total cholesterol, estimated LDL, HDL, triglycerides.  That is just inadequate. It’s not adequate at all. It’s 1950s nutrition. It’s, it’s, [00:32:00] it’s working with a flip phone when you have the Galaxy 9 and the iPhone 15. It’s just, it’s just plain silly. We now know that there are subdivisions of HDL and LDL. I think there’s about 13 of them, there’s HDL2, 2A, there’s dysfunctional HDL, there’s LDL, oxidized LDL, there’s Lp, little a, there’s small LDL particles, big LDL particles, it’s, it, it, this good and bad is like giving a medical diagnosis based on if you’re short or tall, I mean it’s just such elementary nonsensical, you know, Yeah.

Dr. Weitz:  So what you’re saying for the listeners, maybe if you’re not quite following is the standard lipid profile that you’ll get with your annual physical. And in fact, it’s pretty much all that’s done by most doctors, including cardi, conventional cardiologists is just not adequate. There’s so much research showing the importance of not [00:33:00] LDL, but knowing LDL particle number, particle size, we know small dense LDL is much more atherogenic than large LDL.  Yes, they’re not all the same, I’m telling you. Yes, and there’s a whole series of other factors that you’ve talked about, which is that For the LDL to potentially create a problem, it’s, it’s got to be oxidized and inflamed markers. We need to look at oxidized LDL. We need to look at HSCRP, homocysteine.  There’s a bunch of stuff you really got to look at if you really want to assess your true cardiovascular risk.

Dr. Bowden:  I couldn’t agree with you more, you’re preaching to the choir. And another thing that you mentioned in that book that hardly anybody was talking about now, um, was you mentioned uric acid. Oh, I didn’t mention it.  The great David Perlmutter taught us about that. I just read [00:34:00] his book and said, hey guys, why are you not reading this and understanding that uric acid is a major metabolic marker. You know, I’m a popularizer, I don’t take any credit for these guys, intellects like David Perlmutter who do this research and understand the neurology of it and all.

You know, they’re my heroes, all I do is I am very good at explaining this science to average people. That’s my only, that’s my talent. Speaking and writing and talking to the people who might be at my family table. They’re smart people. They just don’t know this stuff and they get very confused by it.  Right. And my talent, such as it is, is to go to those conferences, learn what those people say, and then come back and say, Look, you know how this happens? And that’s basically uric acid for years. And most doctors, if you ask them today, they think it’s just a measure of gout. Something that we do when we treat gout, but it turns out to be a major metabolic marker that’s very intricately related to [00:35:00] fructose metabolism.

We now know fructose metabolism is It’s central for so many things. Fructose makes us fat, so there’s a connection there that nobody’s looking at. And the reason why fructose is so important is because one of the most common sugars added to processed foods, like sodas, is high fructose corn syrup. 100%. So, I, you probably also saw where recently the, um, uh, the folks who make the U.

  1. Dietary Guidelines. Yeah. The U. S. Dietary Guidelines Advisory Group came out with a report saying that ultra processed foods do not cause obesity. Hmm. Hmm. Hmm. Hmm. This is where, lady, I’ll let the audience in on a little, uh, this is where it becomes very difficult for people like Ben and me and people who are engaged in this kind of dialogue with patients and with the [00:36:00] public on YouTube and to not talk about politics.

It is very, very hard to understand why these insane recommendations keep coming out, like 11 grams, you know, 11 servings of grain. And then, oh yeah, this, uh, what was the last one? Oh, all through processed food? Nah, you can have, you know, it’s perfectly fine to have. And you, and American Diabetes Association, oh yeah, you can have chocolate cake, just make sure you take your insulin.

You don’t, you don’t understand. No one really understands how deeply. The pharmaceutical and the big food industries have their tentacles on, have their hands on the throats of legislatures, politicians, 75 percent of senators or people in Congress, that’s the House and the Senate, represent an area in a state in which Uh, Big Food, or Big Pharma, or Big Hospital is the number one employer.

Cable TV, I [00:37:00] think now, Big Pharma is responsible for, in primetime, 75 percent of the ads. Yeah, it’s amazing how many ads for drugs are on TV. You can’t imagine the vectors of influence and how this stuff happens backstage. On media, on reporting, on television, on newspapers. In government policy, you’ve got the, you’ve got the fox regulating the hen house.

It is like putting tobacco executives in charge of smoking public service messages. Yeah, we’re actually one in a few countries that actually allows One of two. Two in the world. drug companies to advertise drugs to patients. New Zealand and us. Yeah, that’s it. All the other companies, they, they can put ads in, uh, pharmaceutical, in, in the journals to inform doctors about it, but they don’t market directly to patients.

That [00:38:00] might be something to ask of our presidential candidates, which one is committed to getting that crap off the air. Might be a question that would be interesting to people. Yeah, absolutely, um, and what do you think about, um, this came up when we were talking about what topics we were going to talk about, all the people who are losing weight these days by taking, uh, Ozembic and these GLP 1 agonist, uh, medications.

Well, I’m actually talking about this tomorrow when I’m giving a lecture at the, uh, I’m on the faculty of the Functional Medicine Coaching Academy and I’m going to be talking about it. Oh, okay. Um, so Ozempic and, and the GLP 1, uh, agonists, the semi glutide, that class of drugs, is very problematic for us because, This is going to be a hard drug to take a hard line black or white position on.  The truth is, there are some [00:39:00] amazingly promising things about that drug. There are also some amazingly scary red flags about that drug, but it’s not an either or. That drug stops addictive behavior. You, rats love alcohol. If you give rats alcohol, they’re going to, they roll around in their little cages and, and the happiest can be when they’re drunk.

When you give rats. GLP 1 agonist, or ozempic, and the alcohol, stop drinking it, they’re not interested. It’s right there for them to take as much as they want, they don’t even really do it. These are important things, let’s not deny that. Now, the list of problems is considerable. And I think that there are some cases where you go, but wait, it increases the risk of thyroid cancer by 50%, but it does this, and it does this, and there’s a chance of this, and the metabolic reset, and the ozempic rate, And then you have [00:40:00] to balance that against the very real documented problems with being 200 pounds overweight or 100 pounds overweight.

You’re going to die early. You have a, if you have diabetes, which you have a hugely greater chance of getting if you’re obese, you’ve got a 70 percent greater chance of dying from some other disease. You have to weigh that against the Negatives. My issue with it is, for one thing, Beverly Hills housewives have taken it to lose 20 pounds, which is absolutely insane.  But if you’re talking about, you know, this is a way out for people who are morbidly obese, um, a case can be made. I, I get that. The problem, a couple of the problems that I see, apart from some of those scary side effects, is that I’ve seen a number of people who lost a bunch of weight and once they stopped taking it, they just gained weight.

Right back. Let’s say [00:41:00] this right now about that. That is exactly what happens. This is a drug you had, and this is one of the things people need to consider. You need to be on this for life. If you think you’re going to take it a couple of weeks and drop the weight and then go back, it ain’t going to happen.  So when you sign up for this, be aware that this is a lifetime commitment. Right. Now, another problem is, is that it’s documented that people tend to lose muscle when they lose weight on this drug. So on another And they’re actually trying, they’re actually right now testing out, um, uh, CIRMs or some other sort of drug that might promote an anabolic effect that you now stack with Ozembic.

Yeah, we have that already, by the way. Would you like to know what it’s called? It’s called weight training and protein. I mean, how much are we going to go down this, you know, one [00:42:00] author who studied the Ozembic said, it’s a false solution to a false problem. Ultra processed food has made us fatter than ever.

in a way that we have never been as, as Homo sapiens have ever been in history. Made by the food that we’re eating. And now this drug comes along, and those, those ultra processed foods do one thing, which is very clear and very documented in the research. They make you want to eat more of them. When that potato chip commercial came out years ago, Ben, Bet You Can’t Eat Just One, they weren’t, they weren’t kidding.

They design these foods to have just what they call the bliss point, the exact proportion of fat, salt, and, and carbohydrate and sugar, so that people can’t stop eating them. So they create this appetite, which can’t be satisfied because the foods don’t have any nutrition in them, so you just keep eating more, trying to get the protein that you need.

And then they solve this [00:43:00] problem by coming up with a drug that will make you feel full on that crap. Right. You, I think when people really understand this, if they understand it, that the people on Mozempik will come to people like us even more because they will see that metabolic health and healthy weight are not the same thing.  They’re not the same thing. Underneath the stuff that causes heart attacks and diabetes and Alzheimer’s and insulin resistance, all of that doesn’t have symptoms. You don’t see that happening. So if you get your weight by a drug to be perfect, you can keep eating the crap you’re eating. That’s going to be metabolic disaster for people.

Absolutely. So another problem, take the drug, come to us and let us help you navigate the food environment so that you don’t Collapse metabolically underneath that healthy weight. Yeah. Um, so another aspect of this drug is essentially my understanding is the way [00:44:00] it blunts your hunger is that your GI motility slows down.

So essentially the food stays in your stomach longer and your whole, um, movement of your GI tract is slowed. GI motility. Which is not great because, you know, we have a lot of patients and I work with a lot of patients with a whole series of GI issues like IBS and reflux and these things are directly related with altered motility of their GI tract and now we’re taking medications that are slowing the motility of the GI tract.

100 percent and I’ll, uh, I’ll top you one that’s even more alarming. I’m sure your listeners have heard you talk a lot about the microbiome. Yes. And you’re a functional medicine doctor, you know what the first saying in functional medicine is, first treat the gut. Yeah. I’m talking about the, what do you think these [00:45:00] drugs do to the microbiome?  I’m sure they have to. I mean, that’s in the, that’s in the very new exploratory research. They screw it up badly. And that is connected to everything from schizophrenia to depression to weight loss. Right. Your microbiome.

Dr. Weitz:  Yeah, I, I, I did hear somebody who was on Mark Hyman’s podcast. She uses, um, compounded versions of semi glutite and She claims that you can use a much lower dosage and in combination with a full functional medicine approach that incorporates weight training and exercise and etc, um, that perhaps these drugs can be used more safely.

Dr. Bowden:   That I, I think that we all have to get behind that because they’re [00:46:00] going to be used whether we like it or not. They are, they are the experts. that I’m reading now are predicting probably higher than 40 percent of Americans will be on some form of these drugs in 10 years. They won’t be injectable, they’ll be by pills, the price will have come down, insurance will cover them, and we’re looking at something as, as, as significant as Prozac or the pill.  And that’s going to change everything. And if people continue to think that weight and metabolic health are the same thing, we’re going to be a very sick nation, even worse than we are now. But if people use wisely, use that drug under supervision with, with coaching about how much, how to get the right, the right amount of protein, even though you’re not as hungry as you used to be and how to, you know, get the benefits of intermittent fasting, you cannot, this is not a free pass to eat Pringles.  And if you use it as that, yeah, you’ll stay skinny, but you won’t like the results in 20 [00:47:00] years, man. Trust me. Right. Yeah, you’ve got to have good metabolic health and simply losing weight by eating the wrong foods and not exercising is not the way to do it. Correct. So, just like with many drugs that are, can be beneficial, there’s a right way to use it.

Absolutely. You know, it’s very funny about what people will do to, to, to not have to change anything in their lives. Human growth hormone used to be a very popular thing that people would do. Um, and I don’t know if you know this, most people don’t, but, um, I was a consultant to Kent Asynogenics Medical Institute for a while, and they are, you know, the largest anti aging practice in the country, 18 places around the country.

And, um, one thing that we learned is that HGH doesn’t work for you very well if you’re on a high carb diet. In fact, if you take HGH and you eat the standard, you eat the way [00:48:00] we’re eating now with stuff like that, you’re more likely to develop diabetes. So when people go, wait, I can’t just take this and all of a sudden I’m going to have all these bad, well, no, if you, you, you can sabotage even that expensive drug if you continue to eat this crap.

Right. Right. You know, as an ex alcoholic, I know technically you’re not ever supposed to say that, but I say it anyway, I’m an ex alcoholic, I don’t identify as that, that’s not my, but I can tell you that it really requires a change in your headset. I, my wife drinks, we have alcohol in the house, I serve it to friends, I go to bars, I socialize where there’s alcohol.  It’s not an option for me. And at this point, it doesn’t even go like, wow, wouldn’t that be nice? No, it’s not even possible [00:49:00] for me. And I think that, hard as it may be, some people are going to have to do that at some point with the most egregious offenders in our diet. It’s hard to say don’t eat sugar, but man, to the extent that you could do that, your life will change.  Your health will change. Absolutely. We, it takes. It can’t be that you’re just like, I’m gonna take this pill, and I’m gonna, you know, I mean, there’s a pill like that for alcohol. It’s called Antabuse. It makes you sick if you take alcohol, but it doesn’t have a great track record. You gotta change your mindset.  And it, you know, as someone, I think that’s a pretty significant thing to go from like, I want that drug, I want that thing, to like, not for me, it’s not for me. Allowed, that’s a big change, but man, you can’t just, whether it’s human growth hormone or whether it’s semi glutide, the drug alone is maybe going to make something easier, but you’ve got to do the [00:50:00] work.  You’ve got to do some work. Right.

Dr. Weitz: Just out of curiosity, how has your thinking about cholesterol and heart disease changed since you first wrote this book?

Dr. Bowden: Well, when we first wrote this book, one of the chapters was called the Statin Scam. Okay. We changed it on the, the, the, uh, on the updated edition.  I actually would have to look to see, but it was more like the statin misunderstanding. Okay. We, we did not want to be in this polarized environment we all live in. We did not want to be the anti statin guys. Right. Steve Sinatra, my partner in the writing of this, the cardiologist, he’s no longer with us, but he would prescribe statins very infrequently, but in certain cases.  We didn’t want to have this religious position. Right. I’m not, again, it’s like [00:51:00] what Joe Rogan said about vaccines, I’m not anti vaccine, I’m anti propaganda. That’s what he said, I love that. Right. I’m not anti statin, I’m anti propaganda. I’m anti this brand extension of this drug that does do some good in a very small population of middle aged men with previous heart disease.

There was some use for it, but then they did the brand extension. Well, let’s see. Can we do it in flavors? Let’s see. Can we get the 70 year old women to take it? How about 13 year old boys? And that’s what’s crazy. And they prescribe it based on total cholesterol, which as we said and all agreed on, is as relevant as your hair color.  So that’s what we’re against. If someone like, um, you know Howard Elkin, correct? Yeah, of course. He’s a very close friend of mine. Mine too. If Howard Elkin looks at my charts, and does the smart vascular, and the Cleveland heart panel, and a [00:52:00] nuclear stress test, and a calcium scan, and he, with his functional medicine approach, and as a nutritionist, looks at it, and he goes, Maybe we should add 5mg of Crestor.  I say, give me the prescription. I’m not a fanatic. I want those prescriptions to come from doctors who know what the hell they’re doing. who are using the proper tests, who are looking at your particle number and your particle size, and looking at those risk factors, not your good and bad cholesterol.  Right. And if that holistic approach results in perhaps adding a small dose statin to the mix, I personally would take it. But not if it comes from Dr. Jones and Kaiser who says, Oh, 236, you’re going on the statin. No, I’m out the door. And unfortunately, that’s most of the people who come to me. That’s how they got their statin prescriptions.  Yeah, unfortunately, that’s the healthcare system. That’s the way it’s designed to work right now in America. It’s [00:53:00] not working, folks, just so you know. It’s not working to make people healthier. Uh, Robert Lustig, a person I’m sure you know who wrote the, he has that incredible YouTube video that has over 5 million views on, uh, on Sugar, The Bitter Truth, Lustig said the American medical system is like this.

Picture a hill, a mountain, right, with a top, and then a big cliff, right? And you’re up there at the cliff, and we got tons of ambulances waiting at the bottom of the cliff to take you to the hospital. That, is the American medical system. What we’re trying to do is put some freaking guardrails on the cliff.  I know, it’s unbelievable. I had a patient came to see me for his, his back pain. And we, I looked at his [00:54:00] questionnaire as part of the intake. And I said, I noticed that, um, you have, uh, elevated blood glucose. And he said, well, I’m pre diabetic. I said, Oh, okay. What did your doctor say? Oh, he said to wait till it gets worse. And then they’ll put me on medication.

You realize that that is exactly what we were told. That’s the clip you’re talking about. Exactly. It’s also exactly what we were told at the beginning of the COVID epidemic, before we had a vaccine, stay home until you’re sick enough to go to the hospital. We’ll put you on a ventilator.  That was the advice. Right? Let’s just, just say it. Yeah, all these chronic diseases, there’s a long curve. You know, nobody goes from having normal, healthy blood sugar, fasting glucose of 80, to suddenly having 140. It’s slowly going up over time, and we [00:55:00] got to start helping people to get healthier, to get their metabolic health better, to control these chronic conditions before they get to the top and fall off the cliff.

Dr. Weitz:  Exactly what the medical system is not set up to do. The medical system, Big Food and Big Pharma make their money and stay in business. by having good ambulances. Unfortunately, it’s going to bankrupt society because our health care system’s spending so much money, you know, little results. Exactly. With so little results.  So we’ve got to start doing prevention. We’ve got to start incorporating ways of getting people healthier before they get really sick. Couldn’t agree more, man. Okay, Johnny, uh, final thoughts?

Dr. Bowden:  No, I’d love to tell people how to reach me if they want to do, I’m doing private coaching. I do a different kind of private coaching than most people do.  I do one session. [00:56:00] So you don’t have to sign up with me for, you know, um, I do kind of sessions where we really talk about not just nutrition and cholesterol but the person’s whole life and we see if we can kind of do a course correction, correct some misinformation, find out what’s going on, maybe reassure them a little about some of the things that they think are so bad that they’re doing when in fact they’re often doing some very good things.  Um, so I love doing that. That’s on my website and of course I love if people would Reading, buy the book, the good, oh, isn’t it chilling? Well so much for that. The Great Cholesterol Myth. Thank you so much for having me on. That’s the old edition, but you get the new one. It’s got a lot more stuff on it. So what’s your website?  Johnnyboden. com and there is no H in Johnny, J O N N Y. B O W D E N.

Dr. Weitz: Excellent. Thank you so much, Johnny.

Dr. Bowden:  Thank you so much. It’s been a pleasure. Thank you, man.

 


 

Dr. Weitz:  Thank you for making it all the way through this episode of the Rational Wellness Podcast. For those of you who enjoy Listening to the Rational Wellness Podcast, I would appreciate it if you could go to Apple Podcasts or Spotify and give us a five star ratings and review.  If you would like to work with me personally to help you improve your health, I do accept a limited number of new patients per month for a functional medicine consultation. Some of the areas I specialize in include helping patients with specific health issues like gut problems. neurodegenerative conditions, autoimmune diseases, cardiometabolic conditions, or for an executive health screen and to help you promote longevity and take a deeper dive into some of those factors that can lead to chronic diseases along the way.  Please call my Santa Monica Weitz Sports Chiropractic and Nutrition Office at 310-395-3111.  And we’ll set you up for a new consultation for functional medicine.  And I look forward to speaking to everybody next week.

Dr. Kim Crawford discusses Inflammatory Bowel Disease 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

3:50  Bioidentical Hydrocortisone and Methylene Blue.  Gastroenterologists often treat patients with ulcerative colitis or Crohn’s disease with synthetic corticosteroids like prednisone or Medrol, but Dr. Crawford prefers to use bioidentical hydrocortisone that is made by a compounding pharmacy without unhealthy binders and fillers.  She may also use methylene blue for patients with inflammatory bowel disease who are having a flare up, which is an amazing anti-inflammatory and antioxidant product.  Dr. Crawford prefers an oral, liposomal formulation of methylene blue made by a compounding pharmacy at a dosage of 25 to 50 mg twice per day. 

8:17  Inflammatory Bowel Disease (IBD). Dr. Crawford noted that about half the patients that she sees with IBD have already been diagnosed.  Most have been treated by traditional gastroenterologists and are on a biologic drug or have taken several of them.

 

 



Dr. Kim Crawford is a nationally recognized, board certified Internal Medicine and anti-aging specialist who uses a Functional Medicine approach to help patients overcome various chronic disease, including Inflammatory Bowel Disease.  Dr. Crawford herself was exposed to high levels of environmental mycotoxins, which attacked her GI tract and this resulted in CIRS, leaky gut, and eventually Crohn’s disease, which for her was a totally life-altering autoimmune disease.  Her website is KimCrawfordMD.com.

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.

 



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’ll be speaking with Dr. Kim Crawford about inflammatory bowel disease from an integrative perspective. Inflammatory bowel disease, of which Crohn’s disease and ulcerative colitis are the most common conditions, is an autoimmune disease characterized by chronic inflammation of the gastrointestinal tract that leads to damage to the mucosal lining.  Crohn’s disease can affect any part of the GI tract, including the mouth, esophagus, stomach, and even the anus, and it most often affects the portion of the small intestine closest to the large intestine, and there tends to be patchy areas of damage, and the damage may reach through multiple layers of the intestinal wall.  Ulcerative colitis occurs usually only in the large intestine and the rectum. Damaged areas tend to be continuous and usually start in the rectum and spread into the colon and is usually only found in the innermost lining of the colon. Of course, Dr. Crawford, you can correct me if I’m misstating. 

Dr. Crawford: Good job, Dr. Ben.

Dr. Weitz: And then I wanted to read a couple of sentences from a blog post written by Dr. Crawford about the current allopathic conventional medical care [00:02:00] for inflammatory bowel disease. She writes in this blog post: “Crohn’s disease treatment starts off with brain and gut damaging corticosteroids.  Then we add in immunomodulators like Methotrexate and Mercaptopurine and eventually biological agents, which are TNF alpha inhibitors like Remicade and Humira and the story’s about the same for ulcerative colitis. All these drugs are super toxic, and none of them are curative, and their long term use not only causes severe side effects, but can lead to cancer.”  Dr. Kim Crawford is a nationally recognized board certified internal medicine and anti aging specialist who uses a functional medicine approach to help patients overcome various chronic diseases, including inflammatory bowel disease [00:03:00] like Crohn’s disease. Dr. Crawford herself was exposed to high levels of environmental mycotoxins from mold, which eventually attacked her GI tract and resulted in a chronic inflammatory condition, leaky gut, and eventually Crohn’s disease, which for her was a totally life altering autoimmune disease.  Dr. Crawford, thank you so much for joining us. Oh, I should say Dr. Kim.

Dr. Crawford: Okay. Thank you, Dr. Ben. And excuse me if you hear a dog barking in the background. I do collie rescue. I have four rescue collies here. Somebody might bark a little. It’s not a patient with a respiratory condition. I have four, four big collies here.  So anyway to your point about the treatment It’s not just, let’s say with ulcerative colitis and Crohn’s the allopathic medicine, the GI guys and girls start out with hydrocortisone, but [00:04:00] not bioidentical hydrocortisone, which is what I use. They start out with synthetics like prednisone or Medrol, and you’re not only just dealing with the synthetic hormone, you’re also dealing with capsules that may not be compliant with the dietary restrictions that I use for inflammatory bowel disease. And you’re dealing with fillers. These toxic capsules and fillers are in all pharmaceuticals. Some are actually not as bad as others. For instance, if you need a Tylenol, it’s better to take a Tylenol that is a name brand rather than a generic because it has safer for-your-gut fillers.  That’s just one little tidbit for your viewers there. But anyway, going back to how…

Dr. Weitz: So interesting. So you’ll use a bioidentical cortisol, cortisone, that’s different than Prednisone?  What’s the difference?

Dr. Crawford: Bioidentical hormones, okay? And I am board certified in functional medicine and one of the 12 modules is just hormones and it’s not, and if, I have a blog where I talk about all the hormones.  Everybody thinks about male hormones and female hormones, like testosterone, estrogen. Oh, and there’s other things, but we don’t know what they are. There’s about a hundred hormones we have to think about. One of them is our body, our adrenal glands make cortisol, or we can get bioidentical, meaning the body recognizes it as what you would be putting out, so the body doesn’t get upset.  We use bioidentical hydrocortisone in functional medicine. And when somebody flares they’re, I may use a little bit of bioidentical hydrocortisone. I may use methylene blue, which is an amazing anti-inflammatory, very powerful antioxidant product. Turns your pee blue, but that’s the only side effect.  And it’s also being studied, interestingly enough, for other conditions, neurodegenerative conditions. 

Dr. Weitz: So interesting, so you use methylene blue?

Dr. Crawford: Believe it or not, the dye, methylene blue.

Dr. Weitz: It’s been talked about on other functional medicine podcasts and I don’t know all that much about it.  What is the type of, is there a type of methylene blue or is there a way…is it a oral, is it an injectable? 

Dr. Crawford: The injectable is only necessary for people with a condition for which methylene blue was used decades ago. And so I use an oral form and I use a liposomal, so liposomal preparations get into the bloodstream faster.  Okay. So I’ll use, I use a liposomal preparation, but people who are there they go. Sorry. Thank you. People who are flaring really do respond to methylene blue and, it is over the counter, but I would just advise people not to, with inflammatory bowel disease, not to treat themselves.  But certainly if you want to, if you want to ask Chat GPT about methylene blue, Chat GPT, I’m sure will have a lot to say. Sorry.

Dr. Weitz: What’s the dosage of methylene blue that you typically use? 

Dr. Crawford: Anywhere between 25 and 50 milligrams twice daily when somebody’s flaring.  That’s the dose I’ll use. And again, I find that liposomal just tends to work better than regular.

Dr. Weitz: Is there a particular company that you like it from that makes a good product?

Dr. Crawford: I have a compounding pharmacy that I use, that compounds it for me.

Dr. Weitz: Oh, okay. Interesting. When you get a patient in your office, what’s the first thing that makes you suspect that they might, this might be somebody dealing with inflammatory bowel disease?

Dr. Crawford: Before I actually see somebody, I know what the diagnosis is [00:08:00] because my first visit with somebody is a very long visit. We go over many things, everything from exercise to sleep to stress habits. And what makes me suspect it quite frankly, most of the people that come to me have been treated by, allopathic doctors and are on a biologic and they have been switched, a biologic will tend to work for 18 to 24 months, then they’ll switch them to another, then they’ll switch them to another.  And they’ve been through this a few times and maybe they’ve had COVID one too many times and maybe they keep getting other infections.  They’re a bit immunosuppressed and they just, and they read that, gee, maybe I can get off of this stuff. And half the patients with IBD that come to me are already diagnosed.  And the other half I see a lot of patients with CIRS, Chronic Inflammatory Response Syndrome, or mold related illness what I had. And and when I had it, I was, nobody even knew what it was or knew how to treat it. So I had to figure [00:09:00] that out. I had to figure out when I developed Crohn’s, which I now could go back and block myself from getting, which is what I do if I see it brewing in a CIRS patient or a chronic Lyme patient.  I had to figure that all out too. So I really, a lot of times they’ll come to me and say, and they’re starting to get GI symptoms and I see that their CRP, Which is a lab that I’m, I know you’re familiar with, it’s a inflammatory marker and most people think it’s a coronary marker, but it’s really a better marker it’s the first thing you’ll see bump up in just about any autoimmune disease.

But somebody who’s trying, I say trying to develop, because it doesn’t just happen overnight, okay, trying to develop inflammatory bowel disease is going to have, maybe they’ll have a little belly pain, a little blood if it’s you see some diarrhea. It’s not, don’t get nervous. It’s not necessary IBD if you have diarrhea, people that are exposed to [00:10:00] mold or any other toxins by definition have leaky gut and you need to have leaky gut in order to develop inflammatory bowel disease.

So patients, you said, what makes me think they have it? They either come to me diagnosed or they come to me having had an exposure or something that people don’t realize. They come to me after a long period of stress, when they’re stressed, and their catecholamines are up, the neurotransmitters that make our heart go faster, the sympathetic side of our nervous system and their cortisol is up.  And cortisol actually, not only kills brain cells, it kills the lining of our gut. And so just a sustained high cortisol or a period, if somebody is going through a divorce or if somebody has a, loses a parent or any other, tragic thing that gets us all upset and stressed and raises our cortisol, makes us stressed, upsets our sleep.  That [00:11:00] is going to give somebody leaky gut.

Dr. Weitz: So as far as your workup for testing for a patient with inflammatory bowel disease, besides the CRP, I’m assuming you’re using like the high sensitivity CRP, what other labs do you run and do you recommend colonoscopy or other testing?

Dr. Crawford: I do complete labs on everybody, which everybody tells me is 20 tubes of blood.  Sorry, Barkadar. I hope you’re, I hope your viewers are dog lovers. I have two dogs myself, oh good job. Adopt, don’t shop. I check full labs because everybody with an inflammatory disorder, okay, is going to have other things that just the inflammation causes. For instance, if you’re inflamed, You’re going to be plaquing your arteries.  If [00:12:00] you’re inflamed, there’s going to be a diminution of output of the hormones that you need. If you’re inflamed, there’s going to be impaired enzymatic pathways. For instance, your SIRT1 pathway can be impaired, and that’s the pathway that controls glucose and cholesterol. I deal with the inflammation, just everybody gets a vagal nerve stimulation device because everybody’s in sympathetic, sympathetic side of the autonomic system is the, escape the wildebeest side.  And then the parasympathetic side is the rest and digest. And so I want people to get more into the parasympathetic side. Everybody comes to me, their cortisol’s are up, they’re in sympathetic overdrive. And that’s why one of the first things I do, I need to calm everything down I have them get a vagal nerve stimulation device.  I have them start managing their stress. Just about all of them are not [00:13:00] sleeping well.

Dr. Weitz: For listeners who don’t know what a vagal nerve stimulating device is. Can you explain that for a bit?

Dr. Crawford: I’m very, yeah, very sorry. I do have a blog on that. If people want to go to kimcrawfordmd. com, there’s a blog on that.  Basically it’s. A little handheld device and, oh, here’s an old one I have right here. And you just hold it against your neck, two minutes, twice a day. And it stimulates the vagus nerve, which is the longest nerve in the body. And it goes all through the nervous system. And if you’re feeling stressed and you put this little zapper on your neck, it will make it’ll increase your GABA, which is a neuro hormone that makes you feel calm. That’s the neuro hormone that goes up. If you take a Xanax or a Valium, which you shouldn’t take, you should use a vagal nerve stimulation device or use some liposomal GABA. Anyway, so that’s a vagal nerve stimulation device can help people fall asleep, can help [00:14:00] people get back to sleep and can reduce their stress levels.  And it’s been found in studies lately that people with inflammatory bowel disease tend to be higher stressed than the average bear. And and so everybody needs help with their stress and their sleep. Just losing one night of sleep will bump up everybody’s inflammatory markers.  Losing a week of sleep will make somebody, not a, not, a whole week of sleep, but let’s say somebody gets really bad sleep for a week for whatever reason. That’s enough to flare them. So it’s really important to manage stress, manage sleep. Everybody’s on the Uber rings, kick, it really is important.  Sleep is important. Stress management, diet. Exercise, all those basics have to be covered for everyone, but especially for the patient with inflammatory bowel. And let me go back to your last question about diagnoses. If someone is flaring, The traditional [00:15:00] literature, American Journal of Gastroenterology even, is saying don’t scope them.  Don’t get a colonoscopy if you’re flaring. And there is some GI docs that are still scoping people that are flaring, but you can actually perforate somebody who’s flaring. And it’s really, if you get a, what’s called a Fecal Calprotectin it’s a stool sample that’s very diagnostic. If somebody has an elevated CRP and sedimentation rate which are two inflammatory markers, and they have a high fecal calprotectin along with the symptoms of Crohn’s or UC, you can basically make the diagnosis without a colonoscopy.  You can also do. MRE imaging and imaging studies if you need to look at the small intestine, then you would need to do that with Crohn’s but just to make the diagnosis, just as I said before, you can make it without a colonoscopy with biopsies are needed for a definitive diagnosis [00:16:00] and to make sure you’re diagnosing Once in a while, you’ll get a crony that will bleed, and you need biopsies to make sure you’re diagnosing Crohn’s, not Ulcerative Colitis.  So that’s why you would need a colonoscopy with biopsies, it’s just for the definitive diagnosis. But for my purposes, if somebody’s really sick I don’t want to, obviously, first do no harm. I don’t want them to have anything done to them that’s going to make them worse, obviously. Yeah. ,

Dr. Weitz:  Have you used that Prometheus lab for inflammatory bowel disease?

Dr. Crawford: Prometheus Lab? I use LabCorp. They Okay. Thus far, LabCorp has given me what I need. Yeah.

Dr. Weitz: There’s some specialty lab thing for IBD.

Dr. Crawford: Yeah, there, you know what, there are so many companies that are opening up, they’re offering specialty labs or specialty, microbiome tests.  There’s one good one, and it’s the one I use. Which one do you like? It’s [00:17:00] actually, it’s, the company is, Enjoy, I N J O Y. And what’s cool about them is they give you a report that’s really actionable. Foods, probiotics, prebiotics, and they break down for you. What are the, what’s in your microbiome?  That’s bad for your inflammatory bowel disease. That’s bad for your metabolic state. They look at, how much you your microbiome produces three important free. Short chain fatty acids, say that three times. Short chain fatty acids. 

Dr. Weitz:  Butyrate, propionate, and acetate, right?

Dr. Crawford:  Good job.  Yeah. How many people know that? And it’s important to be producing enough of these things. And have enough good bacteria and not have bad bacteria. And, I, this company uses a, uses AI. It’s the only company I know of that does microbiome testing that’s using AI. And you get a subscription for, I think it’s 1.99 a month, and you can you put your symptoms [00:18:00] in and you get, and you can ask the chat bot questions. And there’s a little bathroom beacon. It’s quite interesting. And it’s a three sample test and it’s enjoy. You can find it in your app store and you can use my code DrKim10 and get it and get a 10 percent discount.

Dr. Weitz:  Interesting. Yeah. I’ve never used that.

Dr. Crawford:  Very important to get a good microbiome test. Yeah, even I, when this test finally got perfected and I did my test, even I found I had one, I had too much of a bacteria that was good to have if you had Crohn’s and the reason I had it was because I was eating, um, too much high fat dairy, which is not supposed to be AIP compliant, but as a re entry food, I was able to eat it, but anyway, I found only because of this [00:19:00] microbiome test, which is why I keep eating it. telling everyone, you really, you don’t know what’s in your gut unless it gets tested.  I tell everybody, you, you got to do at least one because if you’ve had any sort of disorder, what, whatsoever, it’s generally can be traced back to the microbiome and the data is evolving, but you’re reading studies, the same studies I’m seeing that, we’re, they’re linking it to obesity, metabolic health sorry, we have Arthur.

Dr. Weitz: It’s okay.

Dr. Crawford: Ob, sorry, obesity, me, meta metabolic issues. Inflammatory bowel. You know what let me ask my husband to let to Sadie quiet.

Dr. Weitz: Okay.

Dr. Crawford: You can, maybe you can cut that out.

Dr. Weitz: Yeah, I’ll cut that out.

Dr. Crawford: Sorry. I’m so sorry.

Dr. Weitz: What are the what are some of your favorite strategies for when you see a [00:20:00] patient and let’s say you see them and they’re having an acute flare?  What are some of the things that you like to use?

Dr. Crawford: In an acute flare, I, they go on a very strict AIP diet. Okay,

Dr. Weitz: what is AIP?

Dr. Crawford: Okay, Autoimmune Protocol, and people can find copies of that all over the internet.

Dr. Weitz: So this is an autoimmune paleo diet?

Dr. Crawford: It it is an autoimmune diet. It’s not a paleo diet because paleo diet.  But it’s similar and here’s why it’s similar. It’s similar because it’s no grains, no beans. The typical paleo, but paleo implies we want you to eat a lot of meat. And I don’t want anybody to eat quote a lot of meat. That’s just not good for you. But I would say to take out

Dr. Weitz: greens, beans, and then you also

Dr. Crawford: You take out initially you have to take out everything that’s paleo.  Okay, you look [00:21:00] at a paleo diet and in it’s alcohol, caffeine, and don’t hate me because I do allow you to re intro that back in. I am not coffee free anymore and I am not alcohol free anymore. So don’t worry, you won’t be either. But it’s paleo, which is No grains, no beans, no alcohol, no caffeine, no dairy.  And then also dairy and then no, no nightshade vegetables and nightshade spices and nightshades. You can Google what are nightshades, but it’s basically peppers and peppers, tomatoes, potatoes. Those are the big ones. And then you have to look at your spices. That was one of my problems is I like hot, spicy food.

And so my whole diet had to get much more bland than I wanted it to be. But I will say that we do what are called re intros when somebody says, Stable, and they’ve been in a nice remission, and one of the re intros is, this is going to [00:22:00] sound strange, but people can’t usually tolerate hot coffee, but they can tolerate iced coffee, and but and But some people can’t, and there were coffee alternatives, like there’s a company, Tachino, that makes coffee ish.

Dr. Weitz: Interesting,what’s the, why do you think that they can tolerate cold coffee versus hot coffee?

Dr. Crawford: That hasn’t been studied, and I just think, I just tried this on myself. And so it was an experiment because I just love coffee. I just love it. Okay. And I have some patients now sipping iced coffee.  And it hasn’t been studied. I don’t know, but. But, heat or hot food does cause peristalsis, whereas cold food causes less peristalsis, or, moving things along the segments in the small intestine and large intestine, so it might have something to do with the peristalsis.  I don’t really know. But but it’s not AIP compliant. So anyway, you asked about if somebody comes to me and they’re in a [00:23:00] flare, right? They’re immediate AIP. No, but even if people think they’re eating AIP, they’re usually not because for instance, Eggs are off it and they’re eating eggs, but you can have duck eggs and quail eggs on AIP.  So there’s that. Or they’re having some, they’re having some dairy and initially we have to cut out all dairy. 

Dr. Weitz: You take out nuts and seeds. Yeah,

Dr. Crawford: nuts and seeds, just like paleo. And those are a re intro that many people can re intro. So it’s not like you’re, you’re going to be without all these things forever, but just till you get out of your flare.  When somebody’s in a flare, they get the, all the peptides that I use, which are about five peptides. They get low dose naltrexone. They, now they get methylene blue. They get bio they probably get bioidentical hydrocortisone. And I also use if it just depends if I can’t get them out of the flare, which not good, hasn’t happened yet, but if I can’t get somebody out quickly after the [00:24:00] flare, I’ll have them come to the office and I’ll give them IV exosomes which are the little nanopods that they get out of the stem cells.  And then that will nuke the flare right there. Really? Interesting. Yeah.

Dr. Weitz: And It’s the first time I’ve heard using Exosomes for IBD.

Dr. Crawford: Oh yeah, it works wonders. Yeah. And it also and also if somebody wants to consolidate I use exosomes for many conditions, but for IBD and CIRS, they’re very useful.

Dr. Weitz: Interesting. Have you used ozone?

Dr. Crawford: Yes what people aren’t really fond of ozone even though it really, it does work. You have to have a sealed gut to be able to, to get Really the best effects. And so that means you already ha have to have had a couple of weeks of one of the peptides I use that seals the gut but oz ozone.  What people don’t [00:25:00] understand about ozone is you can go to the doctor’s office and get IV ozone for whatever that doctor charges. Per pop. Usually one 50 to two 50. Okay. Or you can use ho ozone and use intra rectal ozone, which actually works great when somebody is flaring.  You just have to use a real low dose. But int Rectal Ozone gives you 75% of the results that IV will, and it’s. for pennies on the dollar. And you can do it yourself. And so I personally have used intrarectal ozone. And I do have a few patients, but most patients are just ooeyed out at the whole prospect of sticking a tiny little catheter up their butt.  They just can’t take it. They can have diarrhea 25 times a night, but they won’t stick a little catheter up their butt. Go figure. But yeah ozone is helpful. And there are other modalities which are additive. There’s a lot of conversation about red light [00:26:00] therapy.  Red light therapy, if somebody’s flaring is helpful. And the easiest way to get red light therapy, easiest and quickest and cheapest, without having to go find a doctor, is join a Planet Fitness. Get a black card membership and that’s, I think it’s 25 bucks a month and that allows you to use their red light pod, which is a very good red light pod and you can go every day.  You could go twice a day. 

Dr. Weitz: And it’s just like a full body red light thing? 

Dr. Crawford: Yeah. Okay. And you just get in the pod and join a plan of fitness and use their red light pod. There you go.

Dr. Weitz: There you go.

Dr. Crawford: Yeah. And people ask about hyperbaric oxygen. That’s a little additive, but not a lot.  And people ask about cryotherapy. It’s a little additive, especially if there’s a lot of fatigue. That helps fatigue, not a lot. I, for fatigue, I’d rather just give them NAD trochees. NAD is the, there’s a lot of buzz about NAD and nicotinamide mononucleotide. And [00:27:00] that’s, Inflammatory bowel disease, just like all inflammatory diseases, is a mitochondria disease, a disease of the mitochondria, which are the cells of respiration. And there’s less ATP, adenine triphosphate production from your mitochondria. And so that’s why people with inflammatory disorders, including IBD, feel fatigued and you give them NAD and boom, that, that fixes the fatigue. So would you ever prescribe a biologic?  Oh, hell no. Are you kidding me? I write, I prescribe pharmaceuticals every once in a while if they’re needed. For instance, for hypertension, I use metformin for glucose control, not for anti aging because there’s really no subspecialty called anti aging and the data on continuous glucose monitoring and metformin use really isn’t there for age extension for life extension or [00:28:00] cellular life extension.  But I do use metformin if somebody’s blood sugar isn’t controllable with, for instance, berberine, etc. But would I, When I developed Crohn’s, I thought to myself, there is no way in the world I’m taking a biologic and and I thought I’m just gonna look around PubMed and try things and figure this out, which is what I did.

Dr. Weitz: Do you find that a percentage of your patients with IBD also have SIBO?

Dr. Crawford: You know what because they’re CIRS patients. Okay, just about everybody who’s living in a moldy house and the mold mycotoxin mix is always, it’s mold, mycotoxins, dust mites, actinomyces, the endotoxins, other bacteria, and they, a huge proportion of those patients get SIBO and SIFO.  Huge percentage. probably 80 percent. Of my just Crohn’s or just UC patients who are not [00:29:00] moldies I would say it’s less than 50 percent, but I do, I do check for that.

Dr. Weitz: Okay. So what do you do when they have mycotoxins, you test for mycotoxins and you put them on like a mycotoxin detox protocol?

Dr. Crawford: It’s a bit more complicated than that, but a lot of doctors test for mycotoxins in the pee and Which is silly, that’s not diagnostic. That tells us, that tells us you’re eating American food. American food is loaded with mycotoxins. From grains to beans to coffee to milk.  Mycotoxins are in every, are in everything. So if you’re peeing out mycotoxins, unless it’s a very unusual one, like for instance, gliotoxin, which is made by Stachybotrys, which is normally not found in the food supply. So if somebody’s got a lot of That one you can infer they’re getting it environmentally, but the way you test for Sears is you check the innate immune system.

You check [00:30:00] labs that conventional doctors don’t check, a TGF Beta 1, an MSH, an MMP9 things that other doctors probably haven’t even heard of. And then the first thing I do is, there’s two patients in mold. The house or, or the house in the house, who knows people have more than one house, they have a workplace.

So we’ve got those patients to deal with. And then we have the sick person who’s a patient, but you have to have all those environmental patients. clean enough to support the detoxing of the patient. And the first thing that has to happen that I see patients that come to me and other doctors haven’t fixed their guts, and if they’ve got a leaky gut, which by definition they have, they’re going to, and they’re given binders before they’re gut sealed.  then the binder binds in their GI tract and it goes right out the leaky gut, right into the bloodstream, and there’s leaky gut means you’ve got a leaky gut brain barrier, goes right into the brain, and so everybody who [00:31:00] comes to me who’s somebody’s put on, yes, who’s somebody’s put on detox agents, they’ll tell me, Oh, I 10 minutes after I take it, I feel terrible.  Yeah, because you’re binding the toxins, and then you’re releasing them into your bloodstream. That’s why you feel terrible. So anybody out there who’s taking binders, who hasn’t had their gut fixed, That’s why you feel lousy after you take the binders. So right. Yep.

Dr. Weitz: So you got to fix the gut first,

Dr. Crawford: fix the gut.  And then I do a lot of tissue repair with peptides and everybody’s hormones are messed up. Everybody’s inflamed. I do my thing for inflammation. Everybody’s having sleep issues because of a of a number of things that happen in Sears. Yeah. Gotta fix the sleep. As I mentioned before, lack of sleep is very inflammatory in and of itself.  But back to the topics you want to talk about, Ben.

Dr. Weitz: One of the things you mentioned on your website was that there are natural ways to inhibit TNF alpha besides taking [00:32:00] biologics. Maybe you can talk about some of the nutritional supplements that can be of some benefit here.

Dr. Crawford: These will tend to lower what I’m going to mention, but they don’t necessarily have a clinical impact.  So I would tell people, don’t think you can treat yourself with, quercetin and curcumin and resveratrol. Those are the big ones, the TNF modulators. Those are all very good supplements, but they’re not necessarily going to make a clinical difference. Okay. They might make a little, but curcumin, for instance, is not AIP compliant.  So when I have people that come to me taking a whole bunch of curcumin, a lot of times they’re just exacerbating their inflammatory bowel disease.

Dr. Weitz: Oh, interesting, huh?

Dr. Crawford: Yeah. Yeah.

Dr. Weitz: My experience has been the opposite on that one. I find curcumin very helpful for inflammation within the gut.

Dr. Crawford: Okay. Okay. [00:33:00] Inflammation in the gut is one thing, but if they have a diagnosis of inflammation related

Dr. Weitz: to an inflammatory bowel disease.  Yeah. Okay. Yeah. Okay.

Dr. Crawford: We’ve had you know what? So many of my patients have way more than just inflammatory bowel disease. And, have so many other things going on because they usually have chronic Lyme or Sears along with inflammatory bowel. And they, and sometimes, like half the time they’ll have, They’ll come to me with two or three autoimmune diseases.  There’s a lot more than just inflammatory bowel going on. Sure. 

Dr. Weitz: Patients who have one inflammatory bowel autoimmune disease are more prone to others.

Dr. Crawford: Absolutely. And once you get leaky gut, you are, you are genetically, there’s all, it’s who in your family had an autoimmune disease? If you get leaky gut.  You gotta be very careful.

Dr. Weitz: Does pretty much all your patients who come to see you for IBD end up on this [00:34:00] autoimmune diet? Or do you sometimes test for food sensitivities and and, customize it that way?

Dr. Crawford: You know what people with Sears develop food sensitivities and people with at a more rapid rate than people with just IBD, but people with IBD develop food sensitivities.  Now, there’s food sensitivities and food allergies. Sure. IgA mediated, IgG mediated, and IgE mediated. And the IgE mediated are like the peanut allergies. And that’s very rare. That’s, that’s a medical emergency. And so you’ve got to test if you believe there’s any IgE, throat closing, wheezing, hive, if there’s any of those reactions.

You check IgE levels to the foods you suspect and you get somebody an EpiPen, blah, blah, blah. If somebody just has food sensitivities, many times someone will come in to me with a [00:35:00] laundry list of food sensitivities. And rather than do, immunoglobulin testing to every single food, I give patients a choice, but they tend to know which foods are bothering them.

And the thing about food sensitivities in association with either Sears or Chronic Lyme or inflammatory bowel, etc, is they tend to reverse. And of course everybody needs to be on AIP. That’s like the The foundation of, that’s like step one of treating an autoimmune disease. And let me mention that there’s a Facebook group you can go on to, to find recipes, just look up autoimmune protocol.

It’s a really good Facebook group. I’m not trying to give Mark Zuckerberg more business here, but it’s a very good Facebook group and you can get recipes and Please cook something and send it to me. Cause I hate to cook. But anyway, yeah, I look at these recipes and I go, Oh, that looks great. Maybe I can find somebody to make that for me.

Dr. Weitz: I know. How [00:36:00] long do you keep your patients on the autoimmune diet or do they stay on nap for life?

Dr. Crawford: Until we can reset the genes with CRISPR. Autoimmune diseases go into remission, but you don’t cure them. What you can do with the exosomes, if somebody has got the finances and they want to do it, is you can calm it down because that, what’s in the exosomes mix that I get, and I, I can’t go into that because the FDA isn’t crazy about us using these things.  Isn’t great. The FDA just quite frankly, isn’t crazy about. functional doctors using things that are not pharmaceuticals. I’m just going to put that out there. I’m not a conspiracy theorist. I’m just saying pharmaceutical companies want you to buy pharmaceuticals. And there’s been a, like a, they’re going after certain things.  And now and now they’re looking at hemp products, which is where [00:37:00] we get CBD products, which are. which are also very useful for people with inflammatory bowel disease for pain, for sleep. There’s, really great sleep CBD products. They’re thinking

Dr. Weitz: about taking those off the market.

Dr. Crawford: They’re talking about that now, and they just took off some peptides. And they’re looking at exosomes. So I don’t like to really. Talk about it a lot, but I will say that that exosomes not only can get somebody out of a flare, but they can make them flare less.  Somebody with Crohn’s this hasn’t been studied. I’m just going to give you, I’m not big on doctors using anecdotal information, but I will tell you 15 years, which is how long I’ve been treating this I’ve just noticed that stress and lack of sleep is way, it flares my Crohn’s patients way quicker than it flares my UC patients.  It flares them too, so everybody, not to sound like a broken record, but everybody has got to do active stress management and [00:38:00] active sleep management. as well as dietary management and exercise management. I have one kid who’s a I’m just going to say that he’s a, he’s going to be a professional athlete.  And if he plays his sport too much, that can cause GI problems, because all the, The catecholamines, the, the adrenaline epinephrine that’s released when he is playing his sport. That, that’s hit in the gut. So everything really, about the lifestyle has to be managed.  And my favorite expression to use is don’t let this get your cortisol up. Whatever the news is, don’t let it get your cortisol up. ’cause that means you’re damaging your brain and you’re damaging your gut.

Dr. Weitz: Okay. Um, so let’s see what else you you talk about other things that can reduce TNF alpha and you mentioned ice baths, saunas, things like that.

Dr. Crawford: Yeah again, [00:39:00] not incredibly clinically relevant, ice baths and saunas are both a form of what we call hormesis, and we know that hormesis is really good For the human organism and hormesis is anything from timed eating to intermittent fasting to HIIT, high intestinal in high intensity interval training.  Sauna use ice plunges. All of that helps every inflammatory condition will raise your happy hormones, may extend cellular longevity, so all of those modalities are actually good to put in clinical practice for anybody. I would recommend it. say that, you don’t want to do all of them at once.  For instance cold plunges are quite good, but you don’t want to start doing HIIT, intermittent fasting, cold plunges saunas. You don’t want to start that all at once. If [00:40:00] you don’t know where to start, get a good functional doctor. And I think probably some coaches know how to talk you through these modalities too.

Dr. Weitz: You mentioned Methylene Blue. Can you explain what Methylene Blue is, and how that can be beneficial, and what dosages you use, etc.?

Dr. Crawford: Methylene Blue was discovered as a dye. And that sounds ooh, that’s disgusting. It was used

Dr. Weitz: to look at at Slides under a microscope, right?

Dr. Crawford: When I was in medical school we used to draw blood, put it under a microscope and, and look for certain bacteria with it.  So that was the use of the original use. It’s now been repurposed and it’s given as a medication. And functional doctors are using it for for different reasons. It’s being studied as a antibacterial and an anti malarial. There are definitely antiviral, antibacterial, antifungal properties to it.

It hasn’t been fully studied, [00:41:00] but but I will tell you on a personal level, I don’t take antibiotics. If I think that something is needed or I will take some Methylene Blue because antibiotics are really kind of death to the microbiome. If you need them, if it’s a life threatening thing, go ahead, but but if it’s not life threatening, don’t think that every time you get handed a prescription for antibiotics that you actually need it.  Really, think about it before you take antibiotics, proton pump inhibitors Motrin, Aleve any, all of that stuff is just really bad for your gut. 

Dr. Weitz: Methylene blue, is this, you use an oral formulation or an injectable and in what dosage and then how long a period of time do you use it for?  Is this something you do ongoing?

Dr. Crawford: If somebody’s flaring, this is one of my flare meds. Okay. If they also have a neurodegenerative condition as as is associated with Sears, which is what I see a lot of, I see a lot of people that have been diagnosed with [00:42:00] Parkinson’s and Alzheimer’s, but they really have severe.  Sears. And and this is being studied. Methylene blue is being studied for neurodegenerative conditions and I’m following that data. And sometimes even before data is published and finalized, I’ll use something if it really looks promising and it looks good. I’ll use it for flares. And as a nice side effect, it’s going to help clean up, clear up their noggin and I’ll use between 25 and 50 milligrams twice a day.  I use liposomal preparations work far better than just the over the counter powdered stuff you can get. And if you’re getting stuff over the counter, be very careful because what’s in the capsules and What’s the capsules are made out of, okay, may be toxic and the fillers that are being used may be toxic.  And that, that really is the case for the bulk of the pharmaceuticals out there. So when I get things compounded, I make sure I get a clear dye free veggie cap. And I make sure [00:43:00] that the fillers that are used, those are the inactive ingredients. If you’re looking at the label, And I’ll make sure that the fillers are non toxic.  For instance this isn’t going to sound toxic.

Dr. Weitz: Methylene, Methylene Blue is over the counter or it’s prescription?

Dr. Crawford: I get it. I use prescription Methylene Blue. Because I like Liposomal. I’m just saying people can find it. Okay. Over the counter. I wouldn’t recommend using it. But, people are going to use what they’re going to use.

Dr. Weitz: Okay. But it is available over the counter. Okay.

Dr. Crawford: I’m pretty sure it is. Yeah.

Dr. Weitz: Okay. And so methylene blue has an anti inflammatory effect. Is that its main benefit or what?

Dr. Crawford: It’s a potent antioxidant and it’s a potent anti inflammatory. Yeah, those are the two properties. And you asked about IV use.  IV isn’t necessary. IV is only needed in certain blood disgraces that have nothing to do with what we’re talking about, but [00:44:00] for our purposes, it’s oral. Yes.

Dr. Weitz: All right. And then talk about low dose naltrexone, LDN.

Dr. Crawford: Yeah, low dose naltrexone. People know naltrexone as an, as a, Probably they’ve heard of it or a related drug.  Narcan can, as something that reverses opioid ingestion, excess ingestions. But low dose naltrexone, not the 50 milligrams that’s used to reverse, reverse problems, but very low dose, meaning I start somebody at 0.5 milligrams. Okay. Work, work my way up. That, causes the pituitary to release growth factors and pain stopping factors and endorphins and enkephalins, which are like your natural pain relievers.  And those, Mod, help modulate the inflammatory response. So [00:45:00] LDN, and people can Google, or ask, don’t ask chat, GPT. I don’t know what chat, GPT is going to tell you. But there are websites on what does LDN work for? Are you a candidate for LDN? And LDN, just like everything else, can be used. prepared in a good way that’s not going to harm your gut or a bad way that’s going to harm your gut.

So when people tell me, Oh, I got, they come to me and they tell me, Oh, I got this cheap LDN and it didn’t seem to work. And then they show me what they got. They got something with a toxic filler. Sometimes I’ll see like filler is brown, dried brown rice, which doesn’t sound toxic. But if you’ve got, if you’ve got inflammatory bowel disease and you take a capsule of dried brown rice, It could flare you right there, just that one capsule.

So LDN has to be prepared correctly. It has to be made not from the crushed tablets because the [00:46:00] tablets have bad fillers in them. So you have to get LDN that’s made from powder and they put it with clean fillers in a clean capsule and then you go up very slowly or it can mess up your sleep.  That’s why I go up slowly on the dosing.

Dr. Weitz: All right, good.

Dr. Crawford: Okay, and so that is another component for most people of their therapy.

Dr. Weitz: It sounds like there’s a lot of things that can be used. And do you often use a lot of these all at one time or you pick and choose?

Dr. Crawford: It’s very dependent on the patient.  An ulcerative colitis patient is generally easier for me to get under control than a Crohn’s patient. So maybe they won’t need all five peptides, but the Crohn’s patients, they all need all five peptides and they all need to more carefully manage their stress. And they all need to do the vagal nerve stimulation more than the UC patients.  It’s, but it’s, I individualize. When you see, [00:47:00] when you see a patient, you individualize their therapy and I individualize the therapies that the patients I see as well.

Dr. Weitz: All right, great. So I, I think that’s the questions I had prepared. Anything else you want to tell us about?

Dr. Crawford: No, I just let me see. When we talked about, I don’t want people to get, diseases. Okay, so let’s talk about. So we don’t

Dr. Weitz: just cure them from their autoimmune disease, we want to make them healthier.

Dr. Crawford: You know what? I don’t want them to get an autoimmune disease because I can’t cure that right now.  I can. Quasi reset the epigenome with the exosomes. We can wait for CRISPR, but I don’t want to wait till people get these diseases. I want them not to get it. So how do you not get inflammatory bowel disease? What are the things that cause leaky gut? The main things. Okay. They’re eating ultra processed foods, the standard American [00:48:00] diet, so the first thing is you got to eat a healthy diet.  Second thing, we talked about how high cortisol can damage your gut line and give you leaky gut. You want to manage your stress. Number three, you want to avoid toxins. You want to make sure your house is not moldy. 50 percent of the houses in the U. S. are moldy. 25 percent of the people in the U. S. have the genetic makeup to develop Sears.

So you do the math, that’s millions of people walking around with other diagnoses and they’re just not getting the help they need and they’re not getting the mold cleared up in their house. And this goes to everything from mold to the bad types of seaweed that wash up to heavy metals, everybody should know by now not to eat tuna fish every day.

Like somebody running for president, I won’t mention names. Yeah. Thanks. Okay. But toxins, stress, lack of [00:49:00] sleep eating a bad diet. Those are really the main, those are the main reasons people get leaky gut. If you just take a look at your lifestyle, and if you need help, get a lifestyle coach.

Or, somebody who can help you with the big things. What should you eat? How should you exercise? How do you sleep better? How do you manage your stress better? Those are all the things that can keep you healthy. Manage your environment, get a nice air purifier, make sure you don’t have mold.

Mold sniffing dogs, by the way, I’m obviously a dog fan, but mold sniffing dogs, find mold 95 to 99 percent of the time and human inspectors find the mold about half the time. Oh, really? Really. I’ve had so many patients where they have a, the human inspector comes in and here’s the whole inspection report and here’s the samples and this is the mold it shows and then I put them on treatment and then, and then three months later.

I think [00:50:00] they’re doing well, and then all of a sudden they flare. And what’s the problem? Get a mold dog. The mold dog comes in and goes woof in the bathroom, and it’s behind the, and there’s more mold behind the tiles in the bathroom. I’m mentioning all of this just because it all ties back to inflammatory bowel, because a lot of people who develop mold illness will, if it runs in their family, will develop an autoimmune illness.

Dr. Weitz: We didn’t touch really on the on the microbiome. And I know you like to do a microbiome analysis, you mentioned, and then work on improving the health of the gut. So we didn’t talk about

Dr. Crawford: that. I don’t think we

Dr. Weitz: really did. Yeah. We just mentioned that you like to use a a certain microbiome analysis, but let’s talk about that.  And you get this microbiome analysis, this stool test,

Dr. Crawford: which

Dr. Weitz: is using old genome sequencing. Is that what it’s using?

Dr. Crawford: Yeah. Okay. And it’s basically sequencing your entire Microbiome. Okay. But it’s categorizing [00:51:00] it very nicely. And you can see if you do it, if you do it, you’ll get a report and everything is categorized for, not only just do you have a normal amount of firmicutes to bacteroidetes ratio.  The two main kingdom types of command, all specter kingdom. Yeah. Kingdom, Order, Class, Phylum, Genus, Species, but, the two kingdoms, do you, and then do you have enough diversity? And so you want a diverse microbiome. And then are you making the short chain fatty acids?  And then it goes through the sections. Here are the bacteria that you have or you don’t have associated with. inflammatory bowel disease. Oh, and here’s what you can do about it. And here’s the ones associated with metabolic disorders. And here’s what you can do about it. So the whole report basically has you altering your diet, maybe adding certain prebiotics.

For instance I will look at somebody’s report and I will look at the suggested foods and I’ll come up with okay, [00:52:00] once a week, I want you to make up your. Prebiotic Smoothie, and then here’s the probiotic I want you to take because this is what’s, and then here are the foods I don’t want you to eat because you got too much of this.  And for instance, a typical prebiotic smoothie recipe would be and I try to make it easy for everybody, is you grab a bag of frozen organic spinach, and you grab three apples and then you grab a can of unsweetened pineapple. That’s like your basic, nothing fancy here and you mix it all up.  It tastes just fine. You put it, you get little glass bottles, you freeze them, and every day you take one out for the next day. And you, if you take that with your probiotic, you’ve got a prebiotic and a probiotic, and your probiotic is going to take hold quicker. We know, for instance, Ackermansia is a probiotic that is essential for maintenance of the [00:53:00] gut lining.  And it’s amazing. Some people have none when you do their microbiome analysis. And so obviously those people, you give them that, but so it’ll take hold better. I have them drink whatever their prebiotic profile is in their report. I’ll have them do a smoothie that will, that will cover it.  And help their acromantia, if that’s the probiotic, take hold quicker.

Dr. Weitz: What about some of the prebiotic products on the market?

Dr. Crawford: There is nothing, I have tried them. There’s nothing that I find palatable out there.

Dr. Weitz: Okay.

Dr. Crawford: So I just have found nothing palatable. There are oligosaccharide, fructosaccharide mixes that are used for infants.  And that’s actually palatable. But it’s got too much, I call it goulash, when they put extra stuff that they don’t need to put that there’s too much goulash in the the commercially available. That’s why I have everybody just make their own. No [00:54:00] preservatives, no, no chemicals, no junk.

Dr. Weitz: And then how do you decide which probiotics to use?

Dr. Crawford: I will look at their profile, right? I will see As an example this one company I use, Enjoy, and my code is drkim10 for a discount. Okay. They will tell you you may have heard the term psychobiotics. And if you haven’t, it’s a term you’ll be hearing because we know that depression, anxiety manic depressive disorder, schizophrenia.  All sorts of things that we call psychological disorders are really neurological disorders and they’re, and they are primarily based in the gut. All things really do start from the gut. And so the psychobiotics are the things that will increase your good hormones and the things that you want. And one of the things I mentioned was GABA, Amino Butyric Acid, which is the thing that makes us [00:55:00] relax.

And this report measures your GABA. Now, we know in the literature that there are certain strains of bacteria that will produce GABA. And so I will pick a probiotic for a person who’s anxious and can’t fall asleep at night, that person needs more GABA. And I’ll give them a prebiotic drink with a probiotic with strains in it that are known to increase GABA.  That’s just a one of the four examples. But there’s a whole bunch of things that I take into consideration. And the data is evolving. Every week, even in the mainstream literature, I see probably 10 articles. In my functional literature, I see probably 30 articles talking about the relationship between the microbiome and other parameters of health.

Dr. Weitz: One of the tricky things though is, you can do one of these as stool analysis and see, say the patient is low on a, lactobacillus rhamnosus or [00:56:00] something. And then, but unfortunately, most of the data doesn’t show that if you take a probiotic with lactobacillus rhamnosus, that it becomes a permanent resident.

Dr. Crawford: That’s why you take it with a prebiotic drink. And just about everybody has enough of that, of lactobacillus remnosus. The plantarum is available, and that helps bloating. There are You know, Adalentis is available. That helps GABA. And again we’re really just at the beginning of the probiotic, prebiotic, and functional foods.  And this is going to be a thing. Functional foods. We’re just starting to explore those avenues. And AI is really helping this company. I think AI used correctly. And if we teach the chatterers, if we teach them what they need to know, which [00:57:00] is don’t come kill us, please.  But if we control AI, then it’s a useful tool for us. And so this company is using AI to go through tens of thousands of articles and be able to give recommendations like right on the app. And I will check it out just to, if I read something in the literature, I’ll check it out just to see did they tell the app that yet?  And usually they have, so it’s pretty cool. Okay, cool. We’re just starting. The reason that, that there’s there’s no real guidance about this is because we’re just at the cusp, what’s available for probiotics. It’s just, it’s 1 percent of what we’re going to have in another 10 years.

Dr. Weitz: So mention a couple of your favorite probiotics. Do you like the spore based probiotics? Do you use the Acromantia? What kind of products do you like?

Dr. Crawford: If somebody doesn’t have enough diversity which is, a lot of people, like I use, for instance, if I [00:58:00] can mention a company, I use Designs for Health.  And if somebody wants a discount. designs for health account, they can go to kimcarfordmd. com and go to the page where there’s products and If you use Designs for Health link under my product list, that gives you something like a 15 20 percent discount on everything. And for Designs for Health, I like their, they have a line called ProBiomed.  And those they have a sporulating probiotic called Probiospore. So for diversity, you want a sporulating. You want a lot of bacillus bacillus subtilis. You want bacillus coagulans. And there are, I think there are two other companies that have good sporulating probiotics. Rebel Health Tribe had one or has one and then there’s another company so 

Dr. Weitz: Microbiome Labs has the Megaspore.

Dr. Crawford: The Megaspore probiotic that’s a good product. [00:59:00] Exactly. And so for diversity you, you always want to sporulating. I always check like somebody can have too much acromantia. So I would say you know check your microbiome before, ideally before you start any probiotic.  So check and see, do you need acromantia? And if you’re deficient, I would recommend acromantia. And then the other, I’ll use ProBiomed that, the ProBiomed 50 or 100 because those there are lactobacillus strains and bifidobacterium strains that will help with the serotonin and GABA and that will help with metabolic stuff and that will increase your metabolism.  amount. If you have a really low level of Firmicutes I really want that level up. And this is a little controversial because high Firmicutes are found in obese patients or people well over their ideal body range. But on the other hand, if you [01:00:00] look in the blue zones and you look at those microbiomes, The Blue Zone people who all, there’s people with

Dr. Weitz: the longest Dan Buettner.

Dr. Crawford: They’ve all got high firmicutes. And they’re all thin, they’re thin, they eat they don’t eat a lot of meat. That’s why when we talked about paleo, that’s why I say I’m not a fan of a lot of eating a lot of meat for multiple reasons, for from a health standpoint it’s not a good idea to, from an inflammation just an inflammatory, and we’ll just leave it at that standpoint, it’s not a good idea.

And here’s the other thing about when you’re eating, when you’re eating animal products, whether it’s dairy or meat chicken, beef, whatever. or whatever it is you’re eating what those animals were fed. So if they were fed grains, those grains, are there, are the grains GMO grains? Were they sprayed with pesticides?   Were they sitting in silos covered with mycotoxins and the animals have ingested [01:01:00] mycotoxins? I figured out how to treat CIRS looking at the veterinary literature because they were treating animals who were getting Mold Toxin Related Illness, so everything that the animal eats, you eat, which is why I always say you must get grass fed everything, chickens, free range chickens that walk around and eat grass and lay eggs and Become your meal if you want it to become your meal and beef, beef if it’s fed grains, you’re eating the same grains the beef is, you’re, you’re, if they’re injected with hormones and antibiotics, you’re eating that too that’s why organic, it is more expensive, but if you’re trying to be a healthy person and not develop inflammatory bowel disease, You’ll eat organic, and you’ll eat organic with not only your meat, but with your grains, with your fruits, with your vegetables and an easy rule of thumb about what to get organic is if you can peel it and eat the inside, [01:02:00] then it doesn’t have to be organic, but if you can’t peel it, like you’re eating an apple or you’re eating a strawberry, those have to be organic.  If you get a sweet potato and you take off the skin, that doesn’t have to be organic. That’s the rule.

Dr. Weitz: Sure, or you can go to I’m drawing a blank on the clean ten or the Yeah, the dirty dozen. Dirty dozen, yeah.

Dr. Crawford: I’m just saying if people don’t have access to that list and they’re at the grocery store and they’re looking, that’s a way to think about it.  Sure, absolutely.

Dr. Weitz: If you’re not going to eat the outside of it and it’s covered in a shell, you’re going to get less of the pesticides inside.

Dr. Crawford: like an avocado.

Dr. Weitz: Yeah, absolutely. Okay, great. A lot of great information. Thank you so much for sharing with us, Dr. Crawford. And how can viewers and listeners get in touch with you?  What’s your website, etc.?

Dr. Crawford: It’s Kim Crawford, like the wine 

Dr. Weitz:  Is your wine called Kim Crawford?

Dr. Crawford: There’s a guy in New Zealand that owns a vineyard, okay? And he makes a good Sauvignon Blanc. Oh, okay. And I get three, three texts a week with people sending me Kim Crawford wine and asking and saying, Is this yours?  I wish. So they can go to kimcrawfordmd. com. And I do one off consults. If you just want to want a 45 minute to 75 minute consult, I do those. And then I’m still, I do get a lot of applications on a daily basis, but I do. So I don’t take every new applicant as a new patient, but I do get you situated and I help you and I do answer every single person that, that gets in touch with me.

Dr. Weitz: That’s great. Thank you so much, Dr. Kim.

Dr. Crawford: Thank you, Dr. Ben. Lovely being with you.

Dr. Weitz: The same.

Dr. Crawford: Bye.

 


 

Dr. Weitz: Thank you for making it all the way through this episode of the Rational Wellness Podcast. For those of you who [01:04:00] enjoy. Listening to the Rational Wellness Podcast. I would appreciate it if you could go to Apple Podcasts or Spotify and give us a five star ratings and review.  If you would like to work with me personally to help you improve your health, I do accept a limited number of new patients per month for a functional medicine consultation. Some of the areas I specialize in include helping patients with specific health issues like gut problems. Neurodegenerative conditions, autoimmune diseases, cardiometabolic conditions, or for an executive health screen and to help you promote longevity and take a deeper dive into some of those factors that can lead to chronic diseases along the way.  Please call my Santa Monica Weitz Sports Chiropractic and Nutrition office at 310 395 3111. And we’ll set you up for a new consultation for functional medicine. And I look forward to speaking to everybody next week.

Jasen Powell, head athletic trainer for the LA Clippers, discusses Injury Prevention 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

2:33  Football vs Basketball.  When you work with football players, because it is a collision sport you are in more of a triage position, trying to get guys back on the field right away.  In football, you are dealing with a lot of acute injuries, whereas in basketball, you tend to deal with more chronic type injuries and you may have four games per week rather than one.  Return to play strategies are different for basketball players, game prep is different, and how you communicate with the players is different. 

4:02  How to assess athletes to screen for the risk of injuries?  Jasen and the Clipper staff put players through a movement analysis screen, including jumping off a force plate, which can tell you if there are imbalances in force output from one leg to the other.  Jasen analyzes how players move in the sagittal, frontal, and transverse planes of movement. He and his staff look at groin range of motion and strength, calf strength, quad strength and then he also looks at goniometric ranges of motion for the hips, angles, shoulders, and even the big toe.  Jasen points out that you can’t prevent injuries, but you he does injury risk management.  Then they work on improving range of motion with joints that are limited both with passive and assistive stretches and mobilization.  This is followed by lifting that incorporates range of motion work to build strength into those ranges.  Jasen also works with players to strengthen muscles that are weak and this is continually reevaluated and modified through the season and off season.

7:45  Movement analysis.  Jasen feels that assessing movement patterns may be the most important thing to focus on.  When you watch an athlete lunge into a particular plane, is it a full range and it is smooth and under control?  If the movement is limited, is the hip or the foot or ankle that is limiting you?  Are you having trouble pushing off the big toe?  Do you have a tight arch?  Have you had an ACL injury or surgery?  Are there spinal restrictions?  Do you have a congenital issue with your hip, such as a cam deformity or labral tear?  We also have to consider hydration and nutritional factors. 

10:32  Biomechanics.  When you observe an athlete going into a lunge position in the sagittal plane with the left leg, we want to see how his left foot strikes and how far can he lunge and does he have good control?  Are there restrictions in his right hip or is he having trouble pushing off his right big toe?  When lunging forwards, is there a valgus stress at the knee?  

 

 



Jasen Powell is the head athletic trainer of the Los Angeles Clippers and he has been since 1999. 

Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.

 



 

Podcast Transcript

Dr. Weitz: Hey, this is Dr. Ben Weitz, host of the Rational Wellness Podcast. I talk to 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 tonight is preventing athletic injuries with head athletic trainer of the LA Clippers, Jason Powell. Jason, thank you so much for joining us today. I’m very excited about this interview.

Jasen: Thank you, Ben.  Thanks for having me.

Dr. Weitz: Tell us a little bit about yourself and how you ended up becoming the head trainer for the LA Clippers. And my understanding is you’ve been a trainer for 25 years.

Jasen: Yeah. I just finished my 25th season here with the LA Clippers. My first season was 1999. Ironically, the first year that the franchise moved into Staples, which is now Crypto.com.  I actually started off as an intern with the L. A. Clippers. And then when I left as an intern, I went into a full time position with the San Francisco 49ers. Left that football experience and then came back. In ’99 as a head athletic trainer, and I’ve been here ever since and enjoyed it. The franchise has been good to me.  I think I’ve done a job that they’ve been, happy with and moving forward, as we continue to grow in the profession and as organization, it’s always forward thinking with the franchise and with our profession. That’s great.

Dr. Weitz: I also understand that you were a college basketball player.  Do you feel that helps you in your work as the Clippers trainer?

Jasen: Yeah. And it came full circle. I got into sports medicine and athletic training not to work in basketball. I got into it just for the love of sports medicine and just health care alone. It just so happened that I did play college basketball and I’m back into working with, basketball athletes, having worked football, worked numerous sports while I was in college doing my understudy. Yeah, I tell people it beats working, working in a sport that you play. And that you enjoy working with and just helping athletes. That’s just, I think that’s the nature of what I’m doing and what I enjoy to do.

Dr. Weitz: How different is it working with basketball players versus say football players?

Jasen: Big difference football, which I call a collision sport in basketball, which is a contact sport. And football is more of a triage. You’re trying to get guys back on the back on the field readily right away. Now it’s a 17 game season, so it’s still a lot of games, but you’re trying to get them ready by the week.  In basketball you may have four games a week, so it’s more like chess, whereas it’s more like checkers in football. Just the mentality of the player is a little bit different. How you [00:03:00] communicate and what you put together as far as a format and strategy of players for their return to play as, as well as for a game prep is a little bit different.  But I think football really prepares you for any sport that you work. I think the type of injuries and the kind of things that you see in football over a span of one week, you may not see for almost an entire season in basketball. You get more chronicity type things in basketball. In football, you, like I say, you see more traumatized kind of thing, more acute type injuries.  It’s a big difference, but it’s all encompassed of, at the end of the day, the common denominator is helping athletes no matter their football or basketball.

Dr. Weitz:  So let’s talk about a big part of your job is how to prevent and manage these injuries. How do you assess athletes to screen for the risk of injuries and what factors do you see as the most significant?

Jasen:  It’s pretty comprehensive and every organization is different. We’ll put a player through a [00:04:00] movement analysis screen process. We see how they move in all different planes of movement. The sagittal, frontal, transverse plane of movements. You look at how they jump. You take, force plate measurements.  Force plate is a testing tool that you symmetry or asymmetry. In a person’s limb output

Dr. Weitz:  So this is something when you jump on it, it detects how much pressure and how

Jasen: much pressure, how much load you have on one limb comparable to the other. And if there’s a difference between the two and how much load you have enforced that you’re generating through your actual, output.  And that’s part of our sports science department. They do a really good job, putting that kind of thing together. We have, we do growing tests growing tests, growing strength tests calf strength, growing bar calf strength bar. So we put leg extension bar for quad strength.  So we, we put a lot of different testing measurements together that can that can help us. comprehensively be able to tell us what [00:05:00] we need to do or what we need to get better at from a performance standpoint. We actually, we’ll do table measurements for, goniometric measurements for hip range of motion, ankle range of motion, shoulder range ankle range of motion, which is big big toe range of motion.  So I love it because you get to see, you can peel back the banana from where a player may be, To where you want them to go and what maybe has made them to be successful for where they are now, right? You put these these metrics together and figure out a plan, a workout plan a manual therapy plan for restricting things that they may have restrictive with their hips or their ankles.

And we have pretty much a routine and flow where they’ll go and do table work. Then they’ll go and do some active range of motion, movement, stretching then they’ll go and do a lifting based on what the assessment shows, which incorporates some corrective exercises. Then they go into more performance based strength exercises.  So everyone has their own plan on their own customized program based off their evaluation and their assessment. And then that’s how we put our day to day, our week to week plans for the players. And it, it’s modified throughout the course of the season and how we do things in the beginning of the season.  So there, there’s an off season evaluation assessment that we put them through in season. And then, of course, a new offseason based off what limitations they had or injuries they may have had during the season. So it’s pretty comprehensive. It’s real good. It’s the bulk and meat and potatoes, as I should say, of our assessment plan for what I call injury risk management.  Rather than injury prevention, because there’s risk of injury, but we want to try to manage you from those type of risk that you can receive, and I never get caught up in the term of injury prevention. You can’t prevent injury. There’s many force factors that come into no matter how hard train.  You have forces that come against you. So you just try to manage the risk of injury that you can probably endure.

Dr. Weitz: So of the various factors, what are some of the most important ones?  We have mechanics, we have range of motion, you mentioned, we have balanced strength, stability. What are some of the most important ones?  Give us some examples of some things that you see that are liable to create increased risk of injury and what can you do to correct those?

Jasen:  I’m not I’m not married to or biased to anyone being, more important than the other. I think they all, I think they all synchronize hand in hand, believe it or not.  However, if I had to choose what we like to, or what I like to look at the most is your movement pattern, right?  How you’re lunging into a movement, how you’re squatting into a movement, how you can functionally bend down, how you can functionally reach in different planes of movement.  Is it the hip that’s limiting you?  Is it your foot/ankle that’s limiting you?  Is it you can’t push off your big toe? And what is that reason? Why aren’t you able to do that? Is it previous history? Did you have plantar fasciitis? You have a tight arch? Did you have an ACL? Did you have some lumbar pain before?  Did you have some surgical intervention that remodeling created some restriction or some restrictive movement patterns. And, do you just have a congenital/hereditary type of lack of opportunity to move at the hip? Do you have cam deformity? Do you have some labral issues in your hips?  Do you where’s the restriction coming from and why are we having that? So I think movement analysis is a big part of it to me.  We can break down all the parameters. We go as in depth as far as nutrition what’s hydration those are two other factors that are big into how you perform and what can create or limit the risk of injury that you can have and all these components.

And when we talk about nutrition, I think that’s a huge part of it. I think nutrition is another what I call Plan B of injury management with [00:09:00] movement. I can go in depth, but this is a whole other podcast is the mental health component of it. How your brain functions, with sleep and how you recover in terms of you being able to move the right way.  The energy output that you have, which is out of nutrition, sleep, rest, recovery. So there’s so many components, but how you move is real important.

Dr. Weitz: Yeah. Why don’t we talk about that for a little bit? I was watching another podcast episode with some biomechanical guy and he was explaining how there’s a tendency for if athletes, when they’re running or lunging or cutting if their knee goes in a little bit.  In other words, if it adducts and they’re also in flexion that’s a common issue, that’s more likely to lead to an ACL thing. So getting athletes to make sure that their knees are tracking properly is,.. give us an example of a few types of things that you see.

Jasen: Simple movement pattern.  And you look at an athlete who, let’s say going to a lunge position into the sagittal plane–lunges forward. And you look at, okay, first, how was he foot striking with the left foot? Lunging forward, right? So how far can he lunge?  What’s his limitations?  What about that? If he’s lunging forward with his left, why isn’t he lunging as far or with much control?  Is it because, does he have restriction in his right hip–to not be able to lunge forward enough with his left foot strike with his ground reaction force?  So now with his right leg in the back stance phase, does he not have enough push off with his big toe? Can he not push off his big toe on his right foot in order to have a good forward lunge with his left leg?  Is it a restriction in the toe foot or is it a restriction in the ankle? Is it a restriction in the right [00:11:00] hip that is creating that lunge pattern on the left side to be restricted?  And not just restricted with the range, but restricted with the control, right?  With, what’s the controllability do you have in the hip?

Now, if you lunge forward with your left and have a valgus stress at the knee, now you’re looking at, okay, is that because he has a restriction in his left ankle?  Does he have a restriction and weakness in his left hip? And is it coming from his right side? lack of control because he doesn’t have control.  So those are the tricky things that you look at. You slow down the movement patterns, and peel back and see what it really is. Is it coming from the actual forward, left leg lunge movement, or is it coming from the opposite limb hip extension, restriction, or toe extension, or is it actually just weakness and just hip control?  Is the lumbar pelvic hip stability weak? And now he doesn’t have control on his movement pattern, or is it just [00:12:00] a restriction in range of motion, or is it restriction in strength, right?

Now you’re going to the frontal plane, and now you may have a different restriction, and you may move better in the frontal plane.  Now what muscle groups are you recruiting, allowing you to move better in that plane of motion? Contrary to how you’re moving in the sagittal, now you get into a more, idealistic movement pattern of the transverse plane and where you have been moving. Some players can move better transversely because they’re big compensators, right?  We all know that.  And we talk about that too. The compensation component of athletes who are really good at moving in the pattern, least resisted, right?  It’s really tricky how you look at movement. What you’re really looking for and how you study that and having more than just two eyes in the movement pattern is really good because now you can talk as a team and support each other on what you feel like you have to work on building, building up and getting stronger and whatever is limited, you [00:13:00] have to increase the range of motion, and I’m big on, it’s pretty To me, it’s simple.  What’s weak, you strengthen and what cannot move, you work on that range of motion.  And it could be more of a soft tissue restriction or it could be a joint issue that you have to work on increasing that joint kinematic movement pattern.

Dr. Weitz:  Good.  I imagine jumping and jumping mechanics must play a big role in basketball and the way players land.

Jasen: Yeah. Deceleration. You got to have your brakes have to be just as good as your gas pedal. I’m big on brakes. Posterior chain, hamstrings glutes, soleus muscles is big in the lower leg. All your scap/thoracic, that’s huge.  Lumbar spine. How you break, ie. how you decelerate, is important. It’s really huge so training eccentrically, but getting to the movement pattern that you can be able to even train with that kind of movement, right? So you, your muscles have to be strong enough to be able to be able to turn off the muscle pattern in an elongated positioning, eccentrically.  Training in the eccentric movements and training basketball movements.  Getting guys on vector machines, on pulleys using control Kaiser machines. Dumbbell just it’s just a movement pattern of having someone that can assist you in your mechanics in your movement, making sure that you’re not loading the joint as much as you are putting strength and and more emphasis on muscle.  Strength and muscle movement patterns, so you won’t, be contraindicated on your, on what you’re trying to train and what you’re trying to get better at, right? So training eccentrically we all know science has shown us like isometric training is huge. That’s big.  The soleus muscle is big for the ACL just as much as reducing calf strains.

Dr. Weitz:  Why is isometric training so important?

Jasen:  First of all, it’s tension. It’s load under tension, right? So without movement. So if you’re training isometrically, you’re not moving through the joint. You’re just putting that muscle under tension. And when you put the muscle under tension, you get tensile [00:15:00] forces.  that you normally get when you push off and when you have resistance, right? So that muscle fibers are in the sarcomeres and all the fiber intrinsics of a muscle really get recruited. They get recruited and get stronger. And this is all through testing and, and actually results that we see. We like to do a lot of isometric calf strengthening Quad, Iso training for tendon loading is big, for our basketball athletes and you do isometric tendon loading, for our guys, but putting tendons under stress with load without movement, where they’re just recruiting a lot of that load and tension, right?  Just, we used to be away from quad extensions, right? They used to be old school, now you’re back doing, isometric quad. Contraction, contract, hold, contract, hold, release type stuff.

Dr. Weitz: That’s interesting. Cause for a while it was all, no, you got to use closed chain exercises–we don’t use open chain.

Jasen: Right now you have, you do isometric, contract, hold contract, isometric holding, for quad tendon, patella [00:16:00] tendon loading, Achilles tendon, eccentrically, you can load them, in split stance. Isometric holds, as if they’re in a running stance, have your back laid, what maybe like Kaiser shoulder press squat machines with the tension and load coming all through through your body, making sure that tendon is getting that load that it’s going to endure when it actually plays again, against contact too, so it’s good, man. It’s fun. It’s fun to see results. It’s fun to have players who have had issues and who has issues and to take them through the entire season on a high hygiene program, isometric hygiene program and a performance based corrective exercise program. But you can’t just do corrective exercises, right?  Because, you, if you’re six seven, two hundred and thirty five pounds, you can’t just do bands.

Dr. Weitz:   Because No, of course not. You gotta maintain your strength and your speed and your power.

Jasen: Yeah. You load, you gotta load the tissue, right? Because you are gonna have resistive load against you.  You’re gonna have six nine, 270 pushing against you. So you have to be able to train that accordingly. And throughout the season, now you have to paradise it to where. You’re not doing it. You got to make sure you know when you’re doing it because you have to factor in travel. Do we have four games in seven days?  Is it on the East Coast, West Coast? Is it in a hot, dry climate? And your hydration with your tissue? Are we going to do it two times this week or are we going to do it three? Are we going to do less sets? But more times this week, that kind of thing. So that’s where it gets tricky.  That’s where it gets fun. And I think that’s where experience comes in. Also one thing you can’t teach or take away, which is huge for the respectability and the trust from the athlete to know what kind of program they may need or may want, now who’s professional, who’s not, is the results you get from the player who wants to put the time in for the program that you arrange for them.

Dr. Weitz: I’ve heard of some players that do their weight training after the game. Other players do it in the morning. What do you prefer or does it depend on the athlete?

Jasen: It depends on the athlete, but your metabolic rate is higher after after play. Your endorphins are going.  You want to still get that pump, as if you’re still playing with the resistance. Then you got, you have your other notion of, you want to recover and you want right after the game. So you get a better output after you recover and rest, the next day. And it’s like a mixed thing with guys.  Some say, let’s go knock this out now, and I think there’s, I’m torn in between. I haven’t seen any wrong between the two. I think our injury risk has not been this any different for one guy lifting more after game. opposed to the next day. Now, if you do have four games and in seven days, we do know how many games you play a week.

You guys want to lift after the game, not back to backs, of course, but they’re going to get the amount of lifting. For the season, now will you be able to lift more weight the next day? Probably so that’s where you have to talk with the athlete about what your your programming, which you need to get [00:19:00] done or what they haven’t done that you need to maybe have a little bit more recovery to do, but our strength coach, he does unbelievable job.  He’s really good at getting guys in the weight room, whether it’s the next day or after games. And that across the league, you see a lot of guys getting it in. Hey, let’s be honest. Some guys, they don’t want to come in the next day. So at least they get it in. Right.

Dr. Weitz: So now that it’s the offseason, what kinds of things are your players focusing on in terms of strength and rehab and stuff?

Jasen: You you do offseason evaluation and assessment like we talked about earlier comparable to what it was like in the beginning of the season and midseason, and that determines your programming. You do go over an evaluation over each player and you talk about what were your strengths this season?  Literally and figuratively. What were your strengths? What did you see that you liked in the weight room? What did you see you liked in the training room? What can you get better at? What do you need to get better at? What do the coaches see? What does our strength coaches see you need to improve? And we put [00:20:00] together what the coaches see they need you to get better at rather than lateral movement.

Power, more stronger. You need to get more, you get more, you need to get stronger upper body to get more depth and distance on your jump shot. We need you to be able to move laterally quicker defensively. So you put those things together to build, like I said earlier, a comprehensive program for what the offseason training will be to customize for what you need.  You sit down with guys within the first two weeks of the offseason to go over that plan, what coaches and medical staff may see. And then, of course, the player, what do you see? What do you need to get better at transparently? And then what do you, what do the team think you need to be better at?  So you put all that together. Then you have the program and how you go about doing it, where the player is going to be working out in season. I’m sorry, offseason at home. Or off season in the practice facility. And you we do a Monday through Thursday deal, with our guys, we give that Friday off and, give and take but we don’t jeopardize that Monday.  That’s why we give the Friday off. So Monday through [00:21:00] Thursday and then we retest and if a guy needs to gain weight, we see where he is, after, after, some time, maybe three, four weeks or whatever it may be. If a guy needs to lose weight, a guy, we’ll retest.

Probably before they get into live contact type of play in their offseason programming. But now we have guys who are younger contract players who will play in the summer league. So we do some we increase the workload, preparing them for the summer league and make sure their strength work is the is up along with their condition.  But that, don’t get me wrong, these guys, they do take their time off. They do rest. They have to season and then they ramp back up. Huh. But like I said, I strength of the good job working on getting them prepared for their summer league routine and or their entire offseason regimen. And let’s be honest, a lot of few guys have their own guys that they work with outside of team.  So keeping that relationship and rapport is really good. So both parties and both sides can be working hand in hand with each other.

Dr. Weitz: What kinds of [00:22:00] things do you track to see if players are over training, doing too much, versus not doing enough?

Jasen: Yeah, in house our sports science crew, they do a good job.  We use a Kinexon system. Okay. Those are small little chips that they embed in their shorts, in the back of their shorts, on the waistline. And that give us some good output. And I like to use, I like to use the red, yellow, green system, is a player exerting himself in the red where he’s working really hard, right?  Now, are they in a yellow, where they’re in a moderate state of exertion, right? Or if they’re, I won’t say the green, if they’re not, dogging it or pushing it or not really dogging or pushing it, but if the activity level that they’re working at isn’t that strenuous.  If a player has multiple days of being in the red, then we know now we have to up their recovery, right? Or we have to 

Dr. Weitz: And what determines that they’re in the red? How do you determine that?

Jasen: No, there’s a sensor that connects on the sensor. Oh, okay. Yeah, the sensor [00:23:00] that they wear.

Dr. Weitz: Oh, and is this looking at heart rate recovery?

Jasen: Yeah. Heart rate recovery and energy output, their output. So we would if a guy, so if a guy’s numbers, if they’re 500 or above multiple days, then we’re like, Hey, look, we got to think about what the recovery is, but it’s also subjective feedback as well from the player, like how you feel this week.  I see, you’ve been over the 500, over 500 in the red for the last three days as we go. I feel good. I feel good. Yeah. That may be their norm, or they, I feel a little tired. So then, we may work hand in hand with the strength coach. I’m sorry, with the play development coach and let them know, Hey, we need to have maybe like a lighter day to day, maybe go like a 20 minute, just, shooting a workout.  Or if it’s a guy, it feels like he can do more or he doesn’t feel too bad. Say, Hey, look. Play development coach is like, Hey, look, I want to implement some rim touch finishes in some defensive segments and his connexion numbers show that he hasn’t been exerted. He doesn’t [00:24:00] report any ailments or soreness and he feels like he can do it.  Then we may add that to his regimen, so it’s an, it’s a new school of adding a tool to help make sure a player is, stays adequately prepared to output when it’s time when you don’t have the connects on, you don’t have the measuring components available.

Dr. Weitz: So what sorts of things can you do to promote recovery?  I know there’s the Normatec compression sleeves.  There’s a number of other things that are available, including hyperbaric oxygen, cold plunges, and cryotherapy. What sorts of things do you feel like moves the needle as far as recovery? 

Jasen: I mean, you just said quite a few of them, right?  Like you said, Normatech, we, we do, of course, massage flushing. There’s, you have different, tart cherry juice. That’s a good recovery too. Magnesium is good for sleep. It was really good. Contrast. I’m not big to, cold tub.  Yeah, you can do that. But contrasting is really good [00:25:00] for recovery. Even before activity, I tell our guys, you do a hot, cold, hot, cold. And before activity, You want to finish in the warm when you do a contrast, right? And after activity, you go hot, cold, hot, cold, and finish in the cold, right? So you have them go like in a sauna and then into they can do sauna.  We have, we’ll have a hot jacuzzi and a cold plunge. And I’ll usually go three minutes, three minutes. And they may go three cycles and finish in the warm before they hop on the table or hop in the weight room, right? That’s before practice. And then after practice, they may do the same and then finish in the cold.  Or they may just go 10 to 12 minutes of cold afterwards. But I like to keep the muscle tissue elastic and keep blood circulating as well as while it’s recovering with cold as well. That’s why I like the two dynamics. Recovery types are big. I like this mission it’s a special mission.

Portable unit called Firefly that fits right around the fibular head and it’s electrical [00:26:00] stimulation that pumps and keeps blood circulation all the way through your lower leg to your entire body. Firefly is the name of the product. I really like that. It’s portable. No wireless you wear it on flights, you wear it after games it also helps with a lot of lower leg injuries.

Dr. Weitz:  And how does it works through electrical stimulation?

Jasen: Yeah, electrical stimulation and it’s it’s powered by just a simple button push on the actual device. It’s a long strip that you put right on your right behind your fibular head. Yeah, you may get like a little perineal nerve impulse contraction, it’s non fatiguing contraction.  And you really get that electrical stim, almost like a high volt pulse for recovery, keeping that blood circulated. Now, I’ve seen some good results even with injury and not just recovery. Recovery, you keep it on for four hours. And for injury, you you keep it on as well, and it helps plump out the fluid for for swelling as for the lactic acid as well, too.  So Firefly is big. We said Normatec Recovery Tights, Hot and Cold Plunge, Cryo Chambers. We [00:27:00] mentioned that, as also. I know some players use hyperbaric oxygen. Yeah, that’s I like to use that for injury. The big tanks are really good for injury. But the oxygen I think helps you for sleep.  I think it helps you wind down and get those red blood cells relaxed. And so you can sleep better. It’s not going to make you sleep, but it’s going to help you get into more of a relaxation frame of mind to be able to sleep. And sleep is a huge, that can be a whole nother podcast. Sleep is another thing that’s huge that goes under, underrated for your mental recovery and for your body recovery, because that’s when the body is actually doing all of its work for what you did,

Dr. Weitz: so for a heart training athlete, how much sleep do you recommend? And also do you track the quality of sleep, deep sleep and REM sleep?

Jasen: Yeah. It’s still the same. I think eight hours is still, you want to have no less than six. Some guys, if you get 10, that’s great, but how are you tracking that? We have a thing called the ora ring. Yeah. [00:28:00] Or ring. We’ve used and used for our players and that kind of can digitize and electronically let you know your deep sleep, your REM sleep.  Yeah. Restless sleep, and, it’s, it seemed to have worked out pretty good because how a player responds and says, without even looking at the numbers man, I slept pretty good and they may be at 89 or 90, the percentile of sleep or if a guy says he, he slept pretty crappy and he could be at 54 or 45 or, and, but what is the reason why you slept crappy and, and what’s the purpose and is it nutritionally, your body’s trying to digest processed foods more than just natural foods.  Is it that you aren’t recovering well because you’re exerting yourself too much and you’re not hydrated enough for your organs to relax and calm down and actually do its job? Sleep is huge. For your recovery and for your body to actually put to work all the things that you’ve done throughout the day, right?

Dr. Weitz:  So you just mentioned hydration. What are some of the general rules you like to use in terms of hydration for the [00:29:00] players? How much should they drink? When should they use a sports drink? What kind of sports drinks do you like?

Jasen: Everyone says hydrate, hydrate. What is hydration? Hydration is more than just water, right?  We know our body is 80%. Our muscle tissue is 80 percent water, but we also have to realize we need our magnesium, potassium and minerals in our body, right? So magnesium is huge, is a huge part. That’s hydration to me. Electrolytes, Magnesium is Hydration. I like there’s tons of products out there. I like, we use Drip Drop.  We use Liquid IV. Those are two products that we really, our guys really like. Um, um, Those, yeah, those are the two biggest ones that we use it’s, just simple salt alone is good for, good electrolyte for the muscle tissue and the bloodstream. Drip drop is one, like I said liquid IV is another one, but I think hydration encompasses the electrolytes of the magnesium and the [00:30:00] salt that the body needs and not just water.  And minimize the sugar, right? Not to knock difference, I’m not into the business of knocking different, products and all that, but really look at sugar count. They may have the electrolytes in them, but they also may have the sugar for the taste. So you have to think about, it’s not going to taste great.

If you’re going to get all the nutrients that you need for your electrolytes and replenish your fluids, right? So less is best when it comes to sugar and the magnesium is huge and, some of them have the zinc in it as well. Zinc is big. Drip Drop is a good one.  Like I said, Liquid IV is another good one. We use another company called Revitalite. Provided Light is another one which is pretty good. They’re made in 16 ounce 32 ounce ready to go bottles for our guys.

Dr. Weitz: Yeah. What about at halftime? What kinds of things do you like to use to refuel them?  Actually, let’s go into the whole nutrition thing for a little bit, and I realize we could spend hours on each one of [00:31:00] these topics, but in general, in terms of the nutritional what’s best for athletes to get maximum performance? Is there a type of nutritional program that you prefer in general?  Does each player have their own nutritional perspective? How important are some of the different factors like protein intake and carbohydrates for fueling, et cetera?

Jasen: I don’t claim to be a dietitian, nor do I act as if I’m one. We have that specialty and we have that skill set that helps us with our guys.  But just the concepts and the basic normality that you deal with is of course, fuel, right? Carbohydrates and protein. We protein is big for building bodily tissue. We know carbohydrate is big for energy. And, of course, you have, your less percent intake of good fats, right?  Okay. So we do we have, our chefs do a good job of of specializing the meal plans based on what’s needed for morning and after practice, after game [00:32:00] food energy intake, right? So we try to really, carbo load before activity as quiet as kept and as easy as it may sound small snacks before games or peanut butter and jelly sandwiches, right?

We do that, after games, we try to do some big protein, to rebuild bodily tissues. And, we have what about at half time? Oh, half time is we have guys do a lot of energy bars. Energy bars are big. Some guys may take some, scoops of peanut butter or something like that.  Fruit is a big thing, huge thing. I have certain guys who traditionally do. I remember Serge Ibaka was a big banana, apple, orange guy at halftime. Zubac has his things. Paul has his thing. We got some guys who, have their little routine, but the hydration is huge. And they all have their, They’re small, little superstitions of hy hydration or replenish things that they like to do.  Of course energy packets where they do the energy energy quick packs are big for replenishing and have time. And of course, how much you play determines how much you quit also, of course, yeah.

Dr. Weitz:  Do some of the guys get [00:33:00] IVs at halftime?

Jasen:  No, we don’t administer IVs.  It’s not even, not even legal to do in the NBA.

Dr. Weitz: Oh, okay.

Jasen:  You have to administer that in a sanitary, hospital.

Dr. Weitz: Okay. What part, how important is taping in preventing injuries and helping to manage injuries? And I know there’s different types of taping. There’s K tape, there’s, standard athletic tape.  Okay.

Jasen: Yeah taping, that’s a, a long time traditional thing for guys in all the sport. Like, I’ve been a wizardry, I’ve been a wizard and have had, great approaches with using tape for different injuries. That’s where you get unique and you get creative with that with hands, finger sprains shoulder injuries ankles, even knees, like you, you do different things based off knowing the anatomy, right?  Understanding how it’s a spiral and how you trying to move up a simple soft tissue away from the injured part or try to move some tissue off of a ligament Trying to [00:34:00] support a tendon that’s in its groove. So just knowing your anatomy of what you’re trying to support and what you’re trying to prophylactically help a player use.  Like I said, Kinesio tape is another one. It’s a brand product that is used vastly. Some believe in it, some don’t. It’s all about what the player likes. Or what you’re trying to promote to help them to see if they say, okay, let’s go with it. You see a lot shoulder stuff. You see a lot of kinesio with knee stuff or patellofemoral issues.

I like using mechanotaping also. You really get some force and tension on that McConnell tape, that brown, the brown tape with the with the cover roll to really get, move bony structures to move soft tissue. So just knowing your anatomy is huge for. using taping techniques, and I have a lot of, I have a lot of techniques that aren’t even in the books that I’ve used that have worked for guys, and it just sometimes some things just work and some things don’t work, guys, I don’t, so, you play with it a little bit, but [00:35:00] the main thing is the main thing with taping is what are you trying to support?  What are you trying to help? So that’s what you work on as a common denominator for the different taping techniques and a different style of tape that you use also.

Dr. Weitz: This is more of a general question, but from my perspective as an NBA fan, it seems like the league’s overall attitude towards injuries has changed over time.  For a number of years ago, it seemed like players were expected to play even if they were in pain, as long as there wasn’t a major injury. And then that sort of changed over time. And then we had a few years where it seemed like it was getting to be more common for players to take days off, and we heard about load management, I even heard about agents being involved in helping to direct medical care.  And then a few years ago, it seemed like the fans were [00:36:00] complaining that all these star players weren’t playing and the NBA ownership wasn’t happy. And it looks like the NBA has put a few rules in place to reduce load management, to encourage players to play more. And how has this impacted your job?

Jasen: It’s moved the needle to make players more accountable for choosing when and why they want to sit out or want to rest.

Dr. Weitz: Right.

Jasen: It’s just, I think it was more putting the the players on notice more so than trying to crack the whip. I think I think it’s important for the league to recognize, players are playing 82 games.   

Dr. Weitz: They’re not going to ever change that, they haven’t, and you lose too much money involved in all those games with all the TV contracts and everything.

Jasen: So how do we navigate through the space of making sure that players can still play? but also think about [00:37:00] why they don’t want to play or aren’t going to play.  And and I think that’s one of the main reasons why the league, integrated this. And I think it’s served, it’s, the numbers have probably served true for what they’re doing. And, I, it can get sticky when you talk about certain things and certain reasons.  You can’t never question a player why he doesn’t want to play. Sure. But you also can put him on notice on the rules that the league will get, come back to the team if we have a certain reason why you aren’t playing that’s not abiding by the rule, right? So how you place the information to the player understanding what a player really cannot play with and what he can play with.

Being respectful of them and their job and that it is their body. But I think the players and the players union and the league puts the players on notice enough to realize that they have to be more conscious about the decisions on when they want to play or when they can or cannot play and what they can play with, right?  [00:38:00] Having two star players sit out together. Is a issue for rest, right? But if they have injuries, you got to show proof that they have injuries. So the league they definitely hold teams accountable for making sure that these players have legitimate injuries that they’re sitting out for.  And you can’t rest two players, that have been, on an all NBA team, within the last couple of years. There’s parameters to it.

Dr. Weitz:  And it’s a fine line. If you have pain, is that an injury? Maybe it is. It, we generally think of pain as resulting from injury, but sometimes it’s a fine line.

Jasen: No, pain is a fine line. And who’s a better judge of that than the person who’s dealing with it? And that’s for knowing your athlete and respecting your athlete, but also having the athlete understand and respect the job you have to do and respect that you’re going to have the player’s best interest.  I’m in the business of making sure players know I have their best interest. more so than [00:39:00] forcing myself to do a job to make myself look good. I think that’s huge and trust, which is one of my four principles is big. And you can’t get that overnight. It’s just over time through exam, from example and experience to gain that.

Dr. Weitz: When it comes to the treatment of non surgical injuries, there’s been a plethora of new physical therapy modalities in the last number of years. We, there’s various types of lasers, there’s class three lasers, class four lasers. We’ve had electrical stimulation and ultrasound for years, we have shockwave, there’s a bunch of, there’s, seems like there’s always a new machine.  Are there any of these modalities that you find really move the needle in helping with recovery?

Jasen: I’m not, like I mentioned before, I’m not married to, I’m not married to neither one. As one is like ultimately the best thing out there, right? We use all of what you [00:40:00] just mentioned shockwave, laser.  Um, but don’t, we’re not a big electrical STEM team. Our sports medicine staff, we’re not big on electrical STEM. When we do, we like using the MarkPro. The MarkPro is a big one. Like I said, we use the Firefly for recovery. lower leg injuries. As, as far as modalities I do Shockwave the Zimmer Shockwave is pretty good.  The E Pulse is a pretty good one too. There’s different levels of it but whatever the, it depends on the indication too, right? Consistency of how you’re using it. That’s huge. I think these are the best things in the business. They can’t steer you wrong, but it’s also a feel and a player’s response to treatment.  And I think modalities are secondary and a support to manual therapy and

Dr. Weitz: For those who are listening rather than watching, you held up your hand. So you’re talking about using your hands to do soft tissue

Jasen: work [00:41:00] manipulation. Yeah, so joint mobilization acupressure active ART, Active Release Techniques that you do with your hand utilizing tools with that for deeper pressure or less less pressure.  And modalities complement that. Modalities complement manual therapy. So they all work together. And as I said, that’s the uniqueness of our job. There’s no one modality that’s better than the other. You try everything. I’ve tried a lot of things over the years and you couple that with the robust staff that we have and, the things that everyone does from, of course, like what you do, like chiropractic work manipulation you have we have our doctors who do biologic, injections, things of that nature, outside, that’s part of 

Dr. Weitz:  Are you guys using peptides a lot these days?

Jasen:  If it’s needed, if peptide injection is needed, but, different cocktails are designed by, our team doctor, Dr. Steve Yoon, who’s pretty good. He’s out there, pretty good. One of the best in the business. People go to use him from across the world, but, biologic injections are big based off your [00:42:00] pathology and your indications of what you may have going on.

Dr. Weitz:  With biologic, you’re generally referring to PRP?

Jasen: That’s a basic, yeah, PRP is a basic one. You have your hyaline hyaline injection, HA injections. You got it’s so many different kind. We got stem cells or exosomes. Yeah. Yeah, so you have different ones. It all depends on what you need, and the clinician who’s doing the injections will educate on what are good ones, they have umbilical cord ones that they use too.  It’s a lot of different ones based on your situation. PRP is the more, most traditional one. Now, how you spend that and how much of the white blood cells you use or what you inject it with the PRP is big too, tenex is another procedure, that you do also for, tending stuff.

It’s a lot. You can go on and on. I didn’t wanna sit here and be a chemist and mention all this kind of stuff and about what I know and what I don’t know. But it’s more so applicable based off your indication. [00:43:00] And then once these things are brought up by the expert, then you go over the return time the efficacy rate of it and the the benefit and the pros and cons and, and how does it impact your downtime, for your sport?

Dr. Weitz: It’s been great. A couple of easy questions to end. What do you like best about your job?

Jasen: Like I mentioned before, it beats working. I enjoy what I do. I enjoy interacting with the athletes. It’s been my, it’s been a gift of mine, having been an athlete and even, At my age now, understanding, the new athletes, my son plays basketball at a high level.  My daughter is in the sports as well. So I enjoy being around the athletes and having a staff that I can work with that understands athletes and want the best for the athletes. So I enjoy my workspace, my work environment, my colleagues and I enjoy working the sport and being around the guys.

It’s all every day. [00:44:00] Every day is a different day. But I find the communication is huge. With the athletes and staff, I find trying to find trust amongst everyone is huge. And you also try to have a balance amongst it all. And you also try to make sure you’re humble amongst it all. I just let, I just said my four principles in life in that, okay, what are they?  Yeah, balance, trust, communication, and humbleness. Those are my four principles. And being humble, like having done this for so long just as an athletic trainer I know it could come and go at any time. It could have come and gone. And I love what I do. Like I said, it beats working. So I love to continue to do it.  I don’t take it for granted. And I think I’ve been putting the space to help not just athletes, but to help people, being a caregiver is important to me. I’ve helped a lot of lives along the way. I’ve given a lot of advice along the way. I’ve made a lot of friendships along the way and I think that’s part of who I am and what I’m about and trying to [00:45:00] serve.  I’m a server, and that’s what God put us on this earth to do. And I just hope that I can continue to do it. And as long as whoever wants me to do it, that’s what I’m here for. So the best part is working with the athletes and just helping people. Whether it’s the general manager, whether it’s the equipment manager, the scout, whoever comes in, you just want to be able to help them.

Dr. Weitz:  That’s great. That’s a great way to end. So thank you so much, Jason. This was a great interview.

Jasen:  No problem, Ben. Thanks for having me.

 


 

Dr. Weitz:  Thank you for making it all the way through this episode of the Rational Wellness Podcast. for those of you who enjoy. Listening to the Rational Wellness Podcast, I would appreciate it if you could go to Apple Podcasts or Spotify and give us a five star ratings and review.  If you would like to work with me personally to help you improve your health, I do accept a limited number of new patients per month for a functional medicine consultation.  Some of the areas I specialize in include helping patients with specific health issues, like gut problems, neurodegenerative conditions, autoimmune diseases, cardiometabolic conditions, or for an executive health screen and to help you promote longevity and take a deeper dive into some of those factors that can lead to chronic diseases along the way.  Please call my Santa Monica Weitz Sports Chiropractic and Nutrition Office at 310 395 3111.  And we’ll set you up for a new consultation for functional medicine. And I look forward to speaking to everybody next week.