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Send us Fan MailIn this thought-provoking Floc It Friday episode, Rudy Stankowitz takes a step away from chemistry myths, manufacturer sound-offs, and social media debates to explore a topic that has generated considerable discussion in both the pool industry and online communities: natural swimming pools. Drawing from four peer-reviewed scientific studies provided by Professor Charles Gerba, Rudy examines what the current scientific literature actually says about biological water treatment systems, pathogen control, microbial communities, and public health.Before diving into the science, Rudy also shares a personal message recognizing National PTSD Awareness Month, discussing the unseen challenges many industry professionals carry and reminding listeners that they are never alone in their struggles. In This Episode Why natural swimming pools represent a fundamentally different philosophy from traditional disinfected pools The role of biological treatment systems, regeneration zones, gravel beds, and microbial communities A review of a documented 2001 German outbreak involving more than 200 illnesses associated with a public nature-like swimming pond What researchers discovered about swimmer exposure, water ingestion, and viral transmission The findings of a Canadian risk assessment examining pathogen behavior in natural swimming ponds How filtration rates, turnover times, and treatment efficiency influence health outcomes The potential role of UV disinfection and why questions remain about its interaction with biological ecosystems Research from Spain examining microbial populations and fecal contamination in natural swimming pools Wildlife as a potential source of contamination in recreational waters The importance of biofilms and the complex microbial communities that inhabit them Why cyanobacteria, algae, and aquatic microbiology continue to raise important scientific questions The challenges of identifying microbial populations without site-specific testing What a 2024 One Health review reveals about algae, cyanobacteria, recreational water quality, and public health The difference between visible water quality and the unseen biological processes occurring beneath the surface Why scientific uncertainty is not a weakness, but a critical part of the scientific process Key TakeawayThe current scientific literature does not conclude that natural swimming pools are inherently unsafe, nor does it suggest that all questions surrounding their operation have been answered. Instead, the research consistently points toward the need for continued study, monitoring, challenge testing, and a deeper understanding of the biological communities responsible for water treatment. As Rudy emphasizes throughout the episode, science advances not by defending positions, but by asking better questions. Topics Discussed Natural swimming pools Biological water treatment Recreational water health risks Pathogen control Biofilms Cyanobacteria Algae ecology Public health Water quality monitoring Environmental microbiology Charles Gerba Risk assessment One Health research Mentioned During the Episode Professor Charles Gerba Canadian Natural Swimming Pool Risk Assessment German Nature-Like Swimming Pond Outbreak Investigation Spanish Natural Swimming Pool Microbial Study 2024 One Health Review on Algae and Recreational Waters National PTSD Awareness Month SponsorsThe 2026 Talking Pools Podcast Pool Industry Mentor Award is proudly supported by: BlueRay XL LaMotte Company Revved Up Apparel Aqua Comfort Water Group Research on Natural Pools https://drive.google.com/file/d/1QpahWoVh3DDoNPwdw3oFsnbmUEj_umrS/view?usp=sharingConnect With Talking Pools
In this episode, Dr. Ruscio breaks down the surprising gut and systemic benefits of NAC (N-acetylcysteine), including how it may help break down biofilms, support SIBO and H. pylori treatment, improve gut lining repair, boost nutrient absorption, and support glutathione, mitochondria, and brain health. You'll also learn when sustained-release NAC may be useful, how to dose NAC properly, and what side effects or cautions to keep in mind. ✅ Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/
Book a free consultation call with Robert Sikes to break through your Keto or low carb plateau here: https://www.ketobodybuilding.com/callForeign objects placed inside the human body create a toxic environment that ruins the immune system. Dr. Robert Whitfield joins Robert Sikes on episode 887 of The Savage Perspective Podcast to expose the dark truth about Breast Implant Illness and chronic inflammation. Dr. Robert Whitfield, a top surgeon, explains how the body attacks breast implants just like a rejected organ transplant. He breaks down the autoimmune connection leading to heavy metal toxicity and bacterial problems. You will learn how explant surgery removes these dangerous objects and why a natural fat transfer is a safer choice to protect their health.For more info, visit: https://www.drrobertwhitfield.com/Get Keto Brick: https://www.ketobrick.com/Subscribe to the podcast: https://open.spotify.com/show/42cjJssghqD01bdWBxRYEg?si=1XYKmPXmR4eKw2O9gGCEuQChapters0:00 - Who Is Dr. Robert Whitfield? A Deep Dive Into Cancer Reconstruction04:05 - What Is Red Breast Syndrome? The Hidden Medical Dangers of Implants05:43 - How Do Breast Implants Cause Chronic Scarring and Biofilms?07:30 - Why Does the Body Reject Breast Implants? The Auto-Transplant Fix11:12 - Are Breast Implants Safe? The Physiological Truth About Foreign Objects14:18 - What Causes Breast Implant Illness? Uncovering Chronic Inflammation18:09 - Why Are So Many Women Getting Breast Implants Removed Today?22:13 - What Is the SHARP Method? A Masterclass in Detoxing Heavy Metals28:53 - How To Prepare For Explant Surgery: Optimizing Gut Health and Toxicity32:48 - Is Fat Transfer a Better Alternative to Breast Implants?35:22 - The Biggest Mistake Plastic Surgeons Make With Fat Transfers40:15 - Are GLP-1 Weight Loss Drugs Destroying Your Muscle and Facial Fat?44:28 - Why Is Big Tech Censoring the Truth About Breast Implant Illness?49:53 - A Tragic Catalyst: Why Dr. Whitfield Dedicated His Life to Reconstructive Surgery54:08 - How to Connect With Dr. Robert Whitfield and Access His Research
If you showed the same bitewing to 10 dentists, would they all agree on whether to pick up the drill? Why does the word monitoring mean nothing to a patient — and how does swapping it for active surveillance change everything from your notes to your indemnity to your government policy meetings? Is it overtreatment to act on an E2 lesion — or is “watch and wait” actually the lazy answer dressed up as minimally invasive? And what should you actually do with AI caries detection that flags shadows your eye doesn't see? In this episode, Professor Avijit Banerjee — Professor of Cariology & Operative Dentistry at King's College London, Honorary Consultant at Guy's & St Thomas', and First Dean of the Faculty of Dentistry at the College of General Dentistry — sits down with Jaz for what is genuinely one of the most important caries conversations on the podcast. Part one of two. Avijit doesn't do soft answers. The drill-fill-bill model is broken. “Monitoring” needs to go. “Treatment planning” is antiquated terminology medics dropped twenty-five years ago. And AI in caries diagnosis? Useful — but the moment it gets things wrong, you are the one with indemnity, not the software. What you walk away with is a framework (MIOC), a decision filter (three factors that decide whether to pick up a bur), and a vocabulary shift you can implement tomorrow. Part two covers peptides, SDF, hydroxyapatite, stepwise excavation, and managing caries in xerostomia. https://youtu.be/YriLo8_hXNw Watch PDP268 on YouTube Protrusive Dental Pearl: Delete the Word “Monitor” from Your Vocabulary Stop saying monitor. Start saying active surveillance. ⚠️ Active surveillance must not mean passive delay — document your reasoning, risk assessment, and what would trigger intervention. ✅ Explain it to patients as structured, proactive care: clinical checks, radiographs, risk review, behaviour support, and timely action if things change. Key Takeaways Minimum intervention oral care is bigger than minimally invasive dentistry. MIOC is prevention-based, person-focused, susceptibility-related, and delivered by the whole oral healthcare team. MID is only one part of MIOC: operative dentistry when a tooth actually needs intervention. The four MIOC domains are: identify the problem, prevent lesions and control disease, provide minimally invasive operative care, then reassess. A care plan is more useful than a treatment plan because it includes justification, prevention, behaviour change, and review. Ask patients what matters to you, not just what's the matter with you. Cavitation, cleansability, and lesion activity should guide whether to intervene operatively. A cavitated lesion that cannot be cleaned is much more likely to remain active. Smooth surface lesions may sometimes be made cleansable without conventional drilling. Restorations are not just about filling holes; they help recreate a cleansable tooth surface. There is no single perfect caries detection technology — clinical examination and good radiographs remain fundamental. If using NIRI, fluorescence, scanners, or AI, understand how the technology works and where it fails. AI should support diagnosis, not replace clinical judgement. For uncertain early lesions, triangulate: clinical findings, radiographs, risk, technology, and patient factors. Proximal resin infiltration has a role in the right patient and situation, especially as part of a wider prevention-led strategy. Highlights of This Episode 00:00 Teaser 02:17 Protrusive Dental Pearl: Active Surveillance, Not Monitoring 09:14 Minimum Intervention Oral Care vs Minimally Invasive Dentistry 11:28 Core Principles of MIOC 11:48 Domain 1: Identify the Problem 12:46 Domain 2: Prevention of Lesions and Control of Disease 13:18 Microinvasive Care Options 14:41 Domain 3: Minimally Invasive Operative Dentistry 16:38 Why “Active Surveillance” Matters 18:24 MIOC as a Practical Framework 19:43 Applying MIOC in Patient Communication 22:38 Sustainability & Salutogenesis 29:05 When to Pick Up a Drill 30:23 Biofilm as the Engine of Caries 31:33 Purpose of a Restoration in Caries Management 36:13 Caries Detection Technologies 42:44 Watch and Wait vs Detect and Manage 01:02:52 Outro Professor Avijit Banerjee's recommended reading and ongoing work: New textbook: A Clinical Guide to Advanced Minimum Intervention Restorative Dentistry (Banerjee A., Elsevier, 2024) — the most comprehensive single reference for modern MIOC and MID.
In this episode, Brett and Martin talked to Dr Nico Tom Mutters about the papers he selected in the always popular 'Year in Infection Control' session at ESCMID Global 2026. Nico is Director of the Institute for Hygiene and Public Health at Bonn University Hospital and also Chair of EUCIC (European Committee on Infection Control). It is always fascinating to see which papers are selected in these sessions and we discussed a few papers that he selected from the preceding 12 months, a list of which follow. SuDDICU Investigators for the Australia New Zealand Intensive Care Society Clinical Trials Group and the Canadian Critical Care Trials Group. Selective Decontamination of the Digestive Tract during Ventilation in the ICU. N Engl J Med 2026;394(15):1491–502. https://doi.org/10.1056/NEJMoa2506398 Hammond NE. et al. Selective Decontamination of the Digestive Tract in Adult Mechanically Ventilated Patients - An Updated Systematic Review with Bayesian Meta-Analysis. NEJM Evid 2026;5(5):EVIDoa2500264. https://doi.org/10.1056/EVIDoa2500264 Arreba P. et al. Gel nail polish does not have a negative impact on the nail bacterial burden nor on the quality of hand hygiene with an alcohol-based hand rub. J Hosp Infect 2025;157:40–4. https://doi.org/10.1016/j.jhin.2024.12.006 Gross N. et al. Effects of microplastic concentration, composition, and size on Escherichia coli biofilm-associated antimicrobial resistance. Appl Environ Microbiol 2025;91(4):e0228224. https://doi.org/10.1128/aem.02282-24 Reese SM. et al. Why do infection preventionists leave a job? A qualitative evaluation of infection preventionist attrition in health care. Am J Infect Control 2025;53(9):919–24. https://doi.org/10.1016/j.ajic.2025.06.011 Other papers selected by Nico were: Mason M. et al Moral distress among infection prevention and control professionals: A scoping review. Infect Dis Health 2025;30(2):152–61. https://doi.org/10.1016/j.idh.2024.10.002 Kotay SM. et al. Biofilm removal in hospital sink drains drives unintended surges in antibiotic resistance. NPJ Antimicrob Resist 2026;4(1):5. https://doi.org/10.1038/s44259-025-00176-2 Ferreira JMG. et al. Quality of hand hygiene performance: A systematic literature review. Am J Infect Control 2026;54(2):192–209. https://doi.org/10.1016/j.ajic.2025.08.025 Ullman AJ. et al. A Comparison of Peripherally Inserted Central Catheter Materials. N Engl J Med 2025;392(2):161–72. https://doi.org/10.1056/NEJMoa2406815 Recanatini C. et al. Impact of Pseudomonas aeruginosa carriage on intensive care unit-acquired pneumonia: a European multicentre prospective cohort study. Clin Microbiol Infect 2025;31(3):433–40. https://doi.org/10.1016/j.cmi.2024.11.007 Orsel LM. et al. The role of gowns in preventing nosocomial transmission of respiratory viruses: a systematic review. J Hosp Infect 2025;163:57–71. https://doi.org/10.1016/j.jhin.2025.05.023 Mellon G. et al. Assessment of air infectious contamination during wound care in a burn intensive care unit using shotgun metagenomics. Am J Infect Control 2025;53(11):1144–7. https://doi.org/10.1016/j.ajic.2025.08.003 Kim JH. et al. Association between multidrug-resistant organism status and quality of end-of-life care in patients with advanced cancer referred to palliative care: a retrospective cohort study with nationwide data linkage. Clin Microbiol Infect 2026;32(5):822–8. https://doi.org/10.1016/j.cmi.2025.11.032 Sutjipto S. et al. Plastic Waste and COVID-19 Incidence Among Hospital Staff After Deescalation in PPE Use. JAMA Netw Open 2025;8(4):e255264. https://doi.org/10.1001/jamanetworkopen.2025.5264
In this episode, Brett and Martin talked to Dr Nico Tom Mutters about the papers he selected in the always popular 'Year in Infection Control' session at ESCMID Global 2026. Nico is Director of the Institute for Hygiene and Public Health at Bonn University Hospital and also Chair of EUCIC (European Committee on Infection Control). It is always fascinating to see which papers are selected in these sessions and we discussed a few papers that he selected from the preceding 12 months, a list of which follow. SuDDICU Investigators for the Australia New Zealand Intensive Care Society Clinical Trials Group and the Canadian Critical Care Trials Group. Selective Decontamination of the Digestive Tract during Ventilation in the ICU. N Engl J Med 2026;394(15):1491–502. https://doi.org/10.1056/NEJMoa2506398 Hammond NE. et al. Selective Decontamination of the Digestive Tract in Adult Mechanically Ventilated Patients - An Updated Systematic Review with Bayesian Meta-Analysis. NEJM Evid 2026;5(5):EVIDoa2500264. https://doi.org/10.1056/EVIDoa2500264 Arreba P. et al. Gel nail polish does not have a negative impact on the nail bacterial burden nor on the quality of hand hygiene with an alcohol-based hand rub. J Hosp Infect 2025;157:40–4. https://doi.org/10.1016/j.jhin.2024.12.006 Gross N. et al. Effects of microplastic concentration, composition, and size on Escherichia coli biofilm-associated antimicrobial resistance. Appl Environ Microbiol 2025;91(4):e0228224. https://doi.org/10.1128/aem.02282-24 Reese SM. et al. Why do infection preventionists leave a job? A qualitative evaluation of infection preventionist attrition in health care. Am J Infect Control 2025;53(9):919–24. https://doi.org/10.1016/j.ajic.2025.06.011 Other papers selected by Nico were: Mason M. et al Moral distress among infection prevention and control professionals: A scoping review. Infect Dis Health 2025;30(2):152–61. https://doi.org/10.1016/j.idh.2024.10.002 Kotay SM. et al. Biofilm removal in hospital sink drains drives unintended surges in antibiotic resistance. NPJ Antimicrob Resist 2026;4(1):5. https://doi.org/10.1038/s44259-025-00176-2 Ferreira JMG. et al. Quality of hand hygiene performance: A systematic literature review. Am J Infect Control 2026;54(2):192–209. https://doi.org/10.1016/j.ajic.2025.08.025 Ullman AJ. et al. A Comparison of Peripherally Inserted Central Catheter Materials. N Engl J Med 2025;392(2):161–72. https://doi.org/10.1056/NEJMoa2406815 Recanatini C. et al. Impact of Pseudomonas aeruginosa carriage on intensive care unit-acquired pneumonia: a European multicentre prospective cohort study. Clin Microbiol Infect 2025;31(3):433–40. https://doi.org/10.1016/j.cmi.2024.11.007 Orsel LM. et al. The role of gowns in preventing nosocomial transmission of respiratory viruses: a systematic review. J Hosp Infect 2025;163:57–71. https://doi.org/10.1016/j.jhin.2025.05.023 Mellon G. et al. Assessment of air infectious contamination during wound care in a burn intensive care unit using shotgun metagenomics. Am J Infect Control 2025;53(11):1144–7. https://doi.org/10.1016/j.ajic.2025.08.003 Kim JH. et al. Association between multidrug-resistant organism status and quality of end-of-life care in patients with advanced cancer referred to palliative care: a retrospective cohort study with nationwide data linkage. Clin Microbiol Infect 2026;32(5):822–8. https://doi.org/10.1016/j.cmi.2025.11.032 Sutjipto S. et al. Plastic Waste and COVID-19 Incidence Among Hospital Staff After Deescalation in PPE Use. JAMA Netw Open 2025;8(4):e255264. https://doi.org/10.1001/jamanetworkopen.2025.5264
If you've ever thought "it's just a cleaning, I can skip it," this episode is going to change the way you see that appointment forever. The hygiene visit is so much more than polishing teeth. It's one of the most powerful windows into your whole-body health, and most people have no idea what they're missing. Dr. Rachaele Carver sits down with Brenda Powers, RDHAP, a biological dental hygienist in Southern California, to pull back the curtain on what a truly comprehensive hygiene appointment can look like, and why it may be one of the most important health visits you make all year.What You'll Learn in This Episode:A biological hygienist doesn't just check your gums, she's reading your posture, your skin tone, your breathing, your sleep, and your stress levels from the moment you sit down in the chair.Salivary diagnostics can identify the specific pathogens living in your mouth, including bacteria linked to heart disease, Alzheimer's, and type 2 diabetes, even when your mouth looks "healthy."Biofilm is the sticky matrix where bacteria live and multiply on your teeth, and managing it daily at home is just as important as what happens in the office.Ozone therapy is a safe, non-surgical tool that kills harmful bacteria, promotes tissue healing, and can help patients get off the deep cleaning hamster wheel for good.Collagen, vitamin C, vitamin D, B complex, magnesium, and zinc are among the key nutrients that directly support gum and bone health, and most of us aren't getting enough from food alone.Connect With Brenda Powers: Instagram: @holistic_hygienist Website: rdhguru.com Email: rootdentalconsulting@gmail.comConnect With Dr. Rachaele Carver: Join the 6-Week Gum Disease CourseBook Your Personalized ConsultationIf this episode resonated with you, please share it with someone who needs to hear it.Disclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Opinions from guests are their own, and this podcast does not condone or endorse opinions made by guests. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.
Jared starts this new series, Herbal Secrets, by diving into one of natural health's most overlooked tools: neem. Often known for its topical use, neem is far more than a simple antimicrobial—it's what Jared calls a “terrain shifter,” helping support balance in the skin and gut microbiome rather than simply eliminating microbes. You'll learn how neem may help maintain healthy microbial balance, support normal inflammatory responses, and assist the body's natural detoxification processes. Jared breaks down topical vs. internal uses, including applications for skin health, oral care, and gut support, along with practical strategies for combining neem with enzymes and probiotics. If you're dealing with persistent imbalances or looking to support whole-body resilience, this episode offers a fresh perspective on restoring balance from the inside out. Products:TheraNeem Cleansing BarTheraNeem CreamTheraNeem Leaf & Aloe GelTheraNeem OilNOW Tea Tree OilSolaray Neem Leaf CapsulesPure Essence CandexCellCore Biotoxin BinderSolaray Charcoal CapsulesFood Movement Black Earth Zeolite Humic Fulvic MineralsPrecision Probiotic Vital SporesAdditional Information:#616: Microbiome Balance from Mouth to Gut: Foundations of Clearing and Rebuilding with Biocidin – Part 1#617: Microbiome Balance from Mouth to Gut: Protocols for Clearing and Rebuilding with Biocidin – Part 2Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
In Episode 298 of the Pool Nation Podcast, Edgar and Zac are joined by industry experts Robbie Walker and Michael Viegas from Solenis to break down one of the most misunderstood areas in the pool industry — spa, hot tub, and cold plunge water chemistry. If you've ever treated a spa like a pool… this episode will change everything. We dive deep into: Why hot water chemistry behaves completely differently The truth about biofilm, bacteria, and “human juice” in spas The real differences between chlorine, bromine, and biguanide systems How aeration, temperature, and bather load destroy your chemistry Why your sanitizer disappears overnight The rise of cold plunges and wellness systems And how pool pros can turn spas into a profitable service category This is a must-listen for pool service pros, repair techs, and anyone looking to level up their understanding of water chemistry — especially in smaller bodies of water like spas and hot tubs.
In this powerful in-person interview at the Tick Boot Camp studio, Matt Sabatello sits down with Dr. Somer DelSignore, DNP, a board-certified pediatric practitioner specializing in Lyme disease, tick-borne co-infections, PANS/PANDAS, autoimmune and neuroimmune disorders, autism-like regression, and congenital tick-borne illness. This episode is essential listening for parents who have been told to “wait and see,” families who have seen multiple specialists without answers, and anyone trying to understand how infection, inflammation, immune dysfunction, and nervous system imbalance can impact a child's brain and development.
Biofilm is not a fringe issue in cooling systems. As Dr. Jeff Kramer explains, it is a given. That matters because biofilm affects heat transfer, contributes to corrosion, and can serve as a reservoir for Legionella in treated systems. In this conversation, Trace Blackmore and Dr. Kramer examine what experienced water treaters should be looking for when choosing and evaluating a microbiological control program. Biofilm as an operating problem Dr. Jeff defines biofilm as a community of microorganisms attached to a surface and held together by an external polymeric matrix. From there, the discussion moves quickly into why this matters in the field. He points to research showing that biofilms can be more insulating than mineral scale, then explains how microbial activity and patchy film formation can intensify corrosion risk. He also notes that Legionella can be harbored within biofilm, making clean-looking bulk water an incomplete picture of system condition. Choosing the right biocide program A strong oxidizing biocide foundation remains central, whether based on chlorine or bromine. However, Dr. Jeff makes a practical distinction that matters to service professionals: some non-oxidizing biocides kill biofilm organisms without removing the film, while others both kill and remove. He also explains why shock dosing often outperforms smaller, more frequent additions, and why biocide timing should be evaluated in the context of oxidizer compatibility, halogen demand, and actual system feedback rather than habit or opinion. Surfactants, TTPC, and field realities The conversation also covers how surfactants and quaternary compounds can disrupt microbial membranes and improve biocide penetration. Dr. Jeff shares lab and field insight on TTPC, including its strong performance in kill-and-removal testing and its known interference with PTSA fluorescence programs. The discussion closes with practical monitoring advice: inspect the basin, feel below the waterline, trend dip slides, watch approach temperatures, and pay attention to residence time when selecting products for different system volumes and turnover rates. Better microbiological control is not about one product or one rule of thumb. It is about understanding the system, interpreting feedback, and matching chemistry to operating reality so performance can be maintained over time. Listen to the full conversation above. Explore related episodes below. Stay engaged, keep learning, and continue scaling up your knowledge! Quotes "You need to understand, listen to the feedback you're getting from the system and then adjust your program appropriately. " "Don't be afraid to ask for help because you don't know you don't know everything" Connect with Dr Jeff Kramer Phone: (404)-386-0518 Email: jkramer@mfgchemical.com Website: https://www.radicalpolymers.com/ LinkedIn: https://www.linkedin.com/in/traceblackmore/ ?skipRedirect=truuee Guest Resources Mentioned CTI's New Biocide Options For Biofouling Control by Jeffrey Kramer Scaling UP! H2O Resources Mentioned Scaling UP! H2O Academy video courses Submit a Show Idea The Rising Tide Mastermind 253 The One About Biofilms Words of Water with James McDonald Today's definition refers to the exact chemical amount required for a reaction to proceed to completion with no excess of any reactant. It describes the quantitative relationships between reactants and products. Can you guess the word or phrase? 2026 Events for Water Professionals Check out our Scaling UP! H2O Events Calendar where we've listed every event Water Treaters should be aware of by clicking HERE.
In this episode of the Innovations and Clinical Implementation podcast, hosts Dr. Lexi Gonzales and Dr. Chris D'Adamo explore the critical role of biofilm management in gut health and longevity with Dr. Jocelyn Strand. Dr. Strand is a Naturopathic Doctor and the Director of Clinical Education and Research at Biocidin Botanicals, bringing over a decade of primary care experience specializing in GI disorders, Lyme disease, and autoimmune conditions. The discussion defines biofilms as an "invisibility cloak" that protects microorganisms from the immune system, leading to chronic inflammation and toxicity when pathogenic bacteria translocate from the mouth to the gut. Dr. Strand outlines a clinical approach that focuses on restoring balance rather than "wiping out" the microbiome, recommending a "low and slow" titration of Biocidin liquid to disrupt biofilms within a standard 5R protocol without causing significant die-off reactions. Finally, the group previews a new study examining Biocidin's ability to reduce oral biofilms in healthy subjects, underscoring the vital link between oral hygiene and systemic health. For access to episode resources, click HERE.
Join Elevated GP: www.theelevatedgp.com Register for the live meeting: https://www.theelevatedgp.com/ElevationSummit Download the Injection Molding Guide: https://www.theelevatedgp.com/IMpdf In this episode of The Digital Dentist Digest, Dr. Melissa Seibert is joined by board-certified prosthodontist Dr. Pam Maragliano for Part 2 of their conversation, focusing on preventive dentistry systems, guided biofilm therapy (GBT), and modern hygiene workflows that drive both clinical outcomes and practice growth. Dr. Maragliano shares a detailed, step-by-step breakdown of how her practice approaches biofilm management using air polishing technology, subgingival therapy, and piezoelectric instrumentation, and how these systems improve efficiency, ergonomics, and patient comfort. The discussion explores how transitioning from traditional prophy models to evidence-based, biofilm-focused care can significantly increase hygiene production while elevating the standard of care. A major focus of the episode is patient engagement and behavior change, including how to communicate periodontal findings in a way that resonates with patients' broader health goals. Dr. Maragliano explains how aligning oral health with systemic health—such as cardiovascular disease, diabetes, and cognitive decline—can improve case acceptance and long-term compliance. The conversation also dives into risk-based preventive care, challenging the traditional six-month recall model and advocating for individualized hygiene intervals based on disease risk and clinical findings. Listeners will learn how to implement adjunctive therapies such as fluoride varnish, silver diamine fluoride (SDF), hydroxyapatite, and antimicrobial agents, as well as how to integrate these services into a sustainable and ethical fee structure. Additionally, this episode addresses practical challenges dentists face daily, including: Communicating the value and limitations of SDF Managing patient expectations and financial concerns Establishing clinical boundaries and maintaining treatment integrity Building a high-performing hygiene team aligned with periodontal goals Dr. Maragliano also shares real-world insights into how adopting the right systems and team structure led to significant increases in hygiene production and overall practice profitability, without sacrificing patient-centered care. This episode is ideal for general dentists, hygienists, and practice owners looking to modernize their approach to preventive dentistry, periodontal care, and hygiene-driven growth using practical, evidence-based strategies. Key topics include: Guided biofilm therapy (GBT) protocols and workflow Air polishing and piezoelectric instrumentation in hygiene Risk-based recall intervals vs. traditional six-month model Patient communication strategies for periodontal disease Adjunctive preventive therapies (fluoride, SDF, probiotics, hydroxyapatite) Increasing hygiene production and efficiency Case acceptance, patient motivation, and behavioral change Clinical boundaries and ethical treatment planning
GLP-1 Agonists, MCAS, Lyme Disease, and the Future of Precision Medicine In this powerful Tick Boot Camp Podcast interview, Matt Sabatello sits down with Dr. Tania Dempsey, MD, a board-certified internal medicine physician and internationally recognized expert in Mast Cell Activation Syndrome (MCAS), Lyme disease, autoimmune conditions, and complex chronic illness. In this comprehensive conversation, Dr. Dempsey delivers one of the most forward-thinking and in-depth discussions ever featured on the podcast — connecting the dots between persistent symptoms after Lyme, immune dysregulation, biofilms, nervous system dysfunction, and groundbreaking research on GLP-1 receptor agonists as mast-cell stabilizers. This episode offers science, clinical insight, and — most importantly — hope for patients who have tried everything and are still struggling. Lyme Disease, MCAS, and Why Patients Stay Sick Why Treating Lyme Alone Is Often Not Enough Dr. Dempsey explains why many patients continue to experience inflammation, pain, neurological symptoms, and relapses even after treating Lyme disease and co-infections. According to her clinical experience, this is most often due to primary Mast Cell Activation Syndrome, not persistent infection alone. Key insight: > Lyme disease frequently acts as the trigger, but MCAS is often the driver of ongoing symptoms. Dr. Dempsey clarifies the critical difference between: Primary MCAS (pre-existing immune dysfunction worsened by infections) Secondary MCAS (rare; resolves completely once infection is treated) She notes that in decades of clinical practice, she has never seen true secondary MCAS fully resolve without ongoing mast-cell management. SOT Therapy: When, Why, and How It Works Best Dr. Dempsey provides a nuanced and experience-based explanation of Supportive Oligonucleotide Technique (SOT) for Lyme and co-infections. She addresses common criticism: One-time SOT treatments are rarely sufficient Chronic Lyme often involves multiple strains of Borrelia , Babesia , and Bartonella Her most successful cases involve: Repeated testing Sequential SOT treatments targeting specific strains Immune system support between rounds Adjunctive therapies such as herbs, antiparasitics, and mast-cell stabilization She shares a remarkable case of a young woman with severe neuropsychiatric symptoms who — after years of persistent SOT treatment combined with MCAS management — is now thriving, off psychiatric medications, and successfully completing college. Biofilms: Why They Matter in Chronic Infection Dr. Dempsey firmly states that biofilms are a critical barrier to recovery in chronically ill patients. Key points: Biofilms exist in the gut, sinuses, blood, and tissues They protect microbes from antibiotics, herbs, and immune attack Resistant biofilms may involve extracellular DNA (Z-DNA), discussed at ILADS Therapies discussed: Enzymes such as lumbrokinase and nattokinase Ozone therapy Therapeutic Plasma Exchange (TPE) for severe cases Her message is clear: if you cannot reach microbial reservoirs hidden in biofilms, infections cannot be fully controlled. GLP-1 Agonists, Immune Modulation, and Breakthrough MCAS Research GLP-1 Receptor Agonists as Mast-Cell Stabilizers Dr. Dempsey presents groundbreaking findings from her published case series: “The Utility of GLP-1 Receptor Agonists in Mast Cell Activation Syndrome” Key details: 47-patient case series Micro-dosing of GLP-1 agonists Primary medications used: tirzepatide (Mounjaro / Zepbound) and semaglutide (Ozempic / Wegovy) Unlike weight-loss protocols, Dr. Dempsey uses very low doses to target immune modulation — not appetite suppression. What GLP-1 Therapy Improved in MCAS & Lyme Patients Reported improvements included: Cognitive clarity and brain fog Chronic pain Neuropsychiatric symptoms Anxiety and depression Gastrointestinal symptoms Systemic inflammation Hormonal dysregulation In some cases, patients experienced improvement within one or two doses. Dr. Dempsey explains that mast cells express GLP-1 receptors, and activation sends a signal of safety, reducing inflammatory mediator release. Unexpected Findings: Muscle Mass and Antibody Reduction Contrary to common concerns, Dr. Dempsey observed: Preserved or increased muscle mass in the majority of patients Improved mitochondrial function and exercise tolerance Reduction in chronic antibody production (including Lyme Western Blot bands) She shares a striking case where a patient with long-standing positive Lyme antibodies saw antibody levels decline for the first time in over a decade after GLP-1 therapy — despite infection already being treated. This supports her hypothesis: > MCAS can drive persistent immune activation even when infection is no longer present. Side Effects, Screening & Who Should Not Use GLP-1s Potential side effects (usually mild): Nausea Delayed gastric emptying Occasional vomiting in sensitive patients Important clinical notes: Some patients respond better to semaglutide vs tirzepatide A small subset may require dose cycling or pulsing Antibody formation against GLP-1 drugs is a potential research focus Non-Pharmaceutical Alternatives to Increase GLP-1 Activity For patients who cannot tolerate medications, Dr. Dempsey outlines alternatives. Herbal & Supplement Options OptimumGLP Synergy (herbal blend designed to support GLP-1 signaling) Calocurb (GLP-1 supportive compound) These options may: Reduce inflammation Help stabilize appetite and blood sugar Calm mast-cell activity Diet-Based Strategies Dr. Dempsey explains why higher-protein and carnivore-leaning diets may benefit MCAS and Lyme patients: Protein and fat stimulate endogenous GLP-1 Reduced food triggers Improved metabolic stability Patients do not need to eat exclusively meat — but increasing high-quality protein intake is often beneficial. Nervous System, Trauma & Mast Cell Feedback Loops The episode explores how: Mast cells and nerves exist in a bidirectional feedback loop Chronic fight-or-flight worsens immune activation Therapies discussed: Limbic retraining programs ( Primal Trust , Gupta Program) Vagal nerve stimulation Apollo Neuro wearable Ketamine-assisted therapy Psychedelic microdosing (emerging area) Breaking the mast-cell / nervous-system loop is often essential for healing. Women's Health, PCOS & Autoimmune Illness Dr. Dempsey shares a critical insight: > In her practice, every PCOS patient also has MCAS. She explains how: Mast cells respond to estrogen, progesterone, insulin, and cortisol Hormonal fluctuations can trigger MCAS flares MCAS may underlie PMS, PMDD, endometriosis, and reproductive pain syndromes GLP-1 therapy may offer new hope for women suffering from inflammatory gynecologic symptoms linked to Lyme and MCAS. Advocacy, ILADS & The Future of MCAS Research Dr. Dempsey discusses her work with: ILADS (International Lyme and Associated Diseases Society) ISMCAS (International Society for Mast Cell Activation Syndrome) ISMCAS goals include: Funding MCAS research Educating clinicians globally Supporting patients and advocacy efforts She encourages patients to: Educate themselves Share credible research with providers Move on from doctors unwilling to listen Final Takeaway This episode redefines what root-cause medicine truly means. Healing chronic Lyme disease often requires addressing: Immune dysregulation Mast cell activation Nervous system dysfunction Hormonal imbalance Metabolic inflammation Dr. Tania Dempsey offers a roadmap — grounded in science, compassion, and innovation — for patients
Dr. Hoffman continues his conversation with Dr. William Levine, a board-certified periodontist and chief scientist at Peri Active Oral Rinse.
Oral Health, Inflammation, and Periodontal Disease: Dr. William Levine, a board-certified periodontist and chief scientist at Peri Active Oral Rinse, offers a deep-dive on periodontal disease as an infectious inflammatory condition with autoimmune-like tissue destruction. It affects over 50% of U.S. adults over 35 and rises with age. He details bidirectional links between gum disease and systemic conditions, including cardiovascular disease, stroke, diabetes, and some dementias, and notes signs such as bleeding, pain, swelling, loose or shifting teeth, and gum recession. Levine explains plaque, dysbiosis, and biofilms, emphasizing mechanical plaque removal to preserve a healthy oral microbiome. Standard care includes scaling and root planing, possible surgery, and lasers; antiseptic rinses like chlorhexidine can be harsh and limited against biofilms. Levine describes a plant-bioactive rinse (gotu kola, echinacea, elderberry) designed to reduce harmful bacteria, penetrate gums, lower inflammation, and promote repair; xylitol may help via saliva stimulation. He also addresses smoking, dry mouth, fluoride toothpaste, interdental cleaning, and osteoporotic drugs' dental risks.
Karen answers a listener's question about vaginal biofilms. What are they and why do they make recurrent BV and yeast infections so hard to treat? She explains how these bacterial or fungal communities form protective layers that resist standard treatment, reviews options that may help break the cycle and looks at at-home microbiome testing.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
How Did Pierre Côté Build Two Unicorn Water Technologies - and Why Is He Now Betting on Algae? Pierre Côté is arguably the most successful water technology inventor alive. With over 100 patents across four decades, he created ZeeWeed (the membrane that launched the $3.63 billion MBR market) and co-invented ZeeLung (anchoring the ~$500 million MABR market). Now in his seventies, he's co-founded AlgaFilm Technologies to tackle nutrient removal with algae biofilm.
In this episode, we break down a major factor in treating SIBO and preventing recurrence: biofilm disruption. You'll learn how to identify the telltale signs of biofilms, the steps to our proven treatment protocol, and discover the dietary and supplement strategies that support lasting gut recovery. Our approach is backed by our recently published study, Biofilm Disruption Enhances Antimicrobial Therapy for Small Intestinal Bacterial Overgrowth and Intestinal Methanogen Overgrowth. Read the full findings here:https://pubmed.ncbi.nlm.nih.gov/41394228/. If you've struggled with recurring SIBO and felt like nothing works, this episode will guide you to effective solutions.
Iron is one of the most commonly recommended supplements for fatigue, anemia, and low ferritin. But what if increasing iron is sometimes the exact thing that allows harmful microbes to thrive? In this episode of Wholistic Living, we explore the lesser-known connection between iron and pathogen growth. Many bacteria, fungi, and parasites depend on iron to replicate, strengthen biofilms, and become more resistant to the immune system.You will learn:• Why many pathogens actively compete with your body for iron• How excess iron can support bacterial and fungal overgrowth• The link between iron, biofilm formation, and chronic infections• Why some people feel worse after taking iron supplements• When iron supplementation may actually be appropriate• Functional medicine considerations for balancing iron and gut healthIf you struggle with chronic gut issues, persistent infections, Candida, or symptoms that never seem to resolve, iron metabolism may be an overlooked piece of the puzzle. This episode breaks down the science behind iron and pathogens so you can better understand how to support your microbiome and overall health.Equip Foods Grass-fed beef protein - Code: MARLAWant to work with me? email me to health@holisticspring.com
Beyond Probiotics: Rebuilding the Gut Microbiome as an Ecosystem with Dr. Oscar Coatzee and Danielle Arnold and host 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 Rethinking Probiotics: Keystone Anaerobes, Butyrate, and Microbiome Ecosystems with Designs for Health Dr. Ben Weitz introduces the Rational Wellness Podcast episode challenging the assumption that gut issues are solved by adding more traditional probiotics, arguing microbiome repair is an ecosystem and function problem. He interviews Dr. Oscar Cozo and Danielle Arnold of Designs for Health about differences between transient aerobic probiotics (e.g., lactobacillus/bifidobacteria) and keystone anaerobic strains that form the microbiome's foundation, can engraft, drive down gut oxygen, and support cross-feeding. They discuss live, refrigerated delivery for anaerobes; a spore-capable keystone strain (Anaerostipes); and a case study showing improved food allergies, normalization of Akkermansia, increased butyrate-related effects, and reduction of opportunists without antimicrobials. They cover butyrate's roles (tight junctions, mucus, immune regulation, HDAC inhibition), fiber and resistant starch strategies, stool testing (GI-MAP additions for anaerobes and short-chain fatty acids), diet restriction concerns, and practitioner support and case report publishing with Designs for Health. 00:00 Show Intro and Mission 01:00 Probiotics vs Ecosystem Thinking 02:56 Aerobes vs Anaerobes Explained 07:06 Keystone Species and Engraftment 09:18 New Anaerobic Strains and Allergy Research 11:06 Live Shipping and Feeding the Strains 14:03 Case Study Crowding Out Dysbiosis 18:03 Rethinking the Five R Protocol 24:26 Testing and Prebiotic Pairings 26:52 Butyrate and Microbiome Benefits 28:40 Conventional Probiotics Still Matter 35:04 Sponsor Break Apollo Wearable 36:37 Crowding Out Pathogens and Fungi Role 39:58 Archaea and Mucosa 41:21 Mucus Layer and Biofilms 43:11 Feeding Keystone Microbes 44:18 Fiber Targets and Tolerance 46:51 Probiotic as SIBO Option 48:54 Resistant Starch Basics 51:52 Stool Test Dysbiosis Patterns 54:32 Akkermansia and Metabolism 56:44 Histamine Bugs and Enzymes 01:02:26 Gut Healing Nutrients 01:05:34 Diet Diversity and Reintros 01:08:21 Wrap Up and Product Details 01:13:10 Podcast Outro and Clinic Info Dr. Oscar Coatzee has over 25 years experience in psychology and nutrition and is currently the VP of clinical education and practitioner support at Designs For Health. He has a bachelor's degree in psychology and a PhD in Holistic Nutrition and Doctorate of Clinical Nutrition. Danielle Arnold is a clinical nutritionist and Functional Medicine practitioner and she serves as a clinical support specialist at Designs for Health, training healthcare providers in test interpretation and patient care. 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.
On this episode of Vitality Radio, Jared breaks down practical, real-world Biocidin protocols used in functional medicine settings to support microbial balance, gut health, sinus health, and post-antibiotic recovery. Learn how practitioners commonly layer botanicals, binders, probiotics, and liver support to help maintain a healthy terrain and resilient microbiome. Jared explains how different forms of Biocidin are used for oral microbiome support, sinus and upper respiratory balance, gut and SIBO concerns, and rebuilding after antibiotic use. He also shares guidance on timing, layering, and supporting detox and drainage pathways for more effective results. Buy ONE Biocidin or Dentalcidin product plus ONE or more products from the Biocidin Protocol Collection and get 20% off automatically in your cart through 3/28/26.Additional Information:#555: From Gut to Gums: Mastering Microbial Balance Using Biocidin with Dr. Shawn Manske#616: Microbiome Balance from Mouth to Gut: Foundations of Clearing and Rebuilding with Biocidin – Part 1Biocidin Protocol Blog PostVisit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
On this episode, Jared takes a deep dive into Biocidin, a practitioner-trusted botanical formula long used in functional and integrative wellness settings. Learn what makes this multi-herb blend unique and why it's often included in protocols designed to support oral health, gut health, immune resilience, and overall microbial balance. Jared explains biofilms in simple terms, why they matter for long-term wellness, and how botanical formulas like Biocidin are used to help maintain a balanced microbiome throughout the body. From the mouth and throat to the digestive tract and beyond, this episode explores real-world applications, research insights, and practical considerations for using multi-botanical support as part of a comprehensive wellness strategy. Part one focuses on education and understanding, while part two will cover how practitioners typically structure supportive protocols.Products:Biocidin and Dentalcidin ProductsVitality Radio POW! Product of the Week: Utzy Naturals Magnositol and Utzy Naturals Coll-U-Gen Get 35% off one bag or 45% off two or more bags (mix and match OK!) No Code Needed! (while supplies last)Additional Information:#555: From Gut to Gums: Mastering Microbial Balance Using Biocidin with Dr. Shawn Manske#617: Microbiome Balance from Mouth to Gut: Protocols for Clearing and Rebuilding with Biocidin – Part 2Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
A study published in AIMS Microbiology discovered that many commercial water dispensers harbor more bacteria than tap water due to biofilms and poor maintenance, raising public health concerns for offices, homes, and public-use systems worldwide Biofilms are slimy layers of bacteria that stick to wet surfaces like water dispensers, pipes, and medical tools, making germs harder to eliminate with disinfectants, or even antibiotics In Arizona, 73% of Water Vending Machines (WVMs) exceeded EPA limits for bacterial growth. These consistent findings point to a systemic hygiene issue in dispenser systems, not the water supply itself To keep water dispensers safe, clean them every two to four weeks using either vinegar or diluted bleach (but never both together); remember that UV systems help reduce microbes but can't replace regular hands-on cleaning To protect yourself from harmful contaminants, clean your water dispenser regularly, choose stainless steel bottles, and filter your water
In this episode of the Smarter Not Harder Podcast, Dr. Linda Kiley joins Dr. Scott Sherr for a groundbreaking conversation on functional urogynecology — exploring the real causes of pelvic and bladder pain that most conventional models miss. Dr. Kiley shares how she uses muscle exams, peptide protocols, and root-cause diagnostics to treat conditions like interstitial cystitis, chronic UTIs, pelvic floor dysfunction, and endometriosis — often without surgery or long-term antibiotics. If you or someone you love has been told "there's nothing wrong" but still struggles with pelvic discomfort, bladder issues, or sexual pain, this episode is a must-listen. Join us as we explore: • The pelvic floor as a dynamic system — not just "tight or weak" • Biofilms, interstitial cystitis, and smart testing for chronic infections • How gut health and systemic inflammation drive pelvic pain • Natural, non-invasive approaches to bladder and pelvic restoration This episode is for you if: • You experience chronic UTIs, bladder discomfort, or pelvic pain • You've been dismissed or misdiagnosed by conventional providers • You're a clinician seeking better diagnostics for pelvic dysfunction • You want to understand how muscle tone, breathing, and biofilms intersect You can also find this episode on… YouTube: https://youtu.be/S0i5vKoLfEk Find more from Dr. Linda Kiley: Website: https://drlindakiley.com/ Instagram: https://www.instagram.com/drkileyurogyn/ YouTube: https://www.youtube.com/@theholisticurogynecologist3891 LinkedIn: https://www.linkedin.com/in/linda-kiley-5999462b/ More from Smarter Not Harder: Website: Smarter Not Harder podcast Instagram: https://instagram.com/troscriptions/ HOMeHOPe Virtual Symposium 2026: https://homehope.org/homehope-virtual-symposium-2026 Get 10% off your purchase of the Clinical Metabolomics module with code PODCAST10 at https://www.homehope.org/ Get 10% off your Troscriptions purchase with code POD10 at https://www.troscriptions.com/ Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.
Har du opplevd å ikke bli kvitt en infeksjon – selv etter antibiotika, kostendringer eller gode tiltak?I denne episoden dykker vi ned i noe av det mest fascinerende innen mikrobiologi: hvordan bakterier og sopp faktisk kommuniserer med hverandre.Vi snakker om quorum sensing – bakterienes eget språk – og hvordan de bruker dette for å bygge biofilm sopp kommunisere samarbeide og beskytte seg mot både immunforsvar og behandling. Biofilm er et slags beskyttende lag som gjør at mikrober kan overleve både immunforsvar, medisiner og behandling lenger enn vi skulle tro. Biofilm finnes overalt: som plakk på tennene, slimlag på tarmen og det grønne belegget som fester seg på en båt i vann. Når mikrober går sammen og danner slike beskyttende strukturer, kan de bli mer motstandsdyktige – og noen ganger mer aggressive-Hvorfor ligger noen infeksjoner “latent” i kroppen?-Hvorfor blusser de opp igjen?-Og hva kan vi gjøre selv for å støtte kroppen i å bryte ned disse strukturene med hacks og tipsVi utforsker hvorfor infeksjoner kan ligge i dvale, blusse opp igjen og hva du selv kan gjøre for å støtte kroppens evne til å bryte ned biofilm og gjenopprette balanse.En nerdete, men viktig samtale om mikrobiologi, immunforsvar og hvorfor det noen ganger handler mer om samarbeid mellom mikrober – enn om én enkelt bakterie.Finn Eva her: @eva.helhetshelseTakk til vår samarbeidspartner:Oslo skinlab: Osloskinlab.no: rabattkode: BiohackingDesember @osloskinlabThe recipe: rabattkode: biohackinggirlsBoken vår BIOHACKING, - 21 uker på BESTSELGERLISTEN den finner du her:https://www.ark.no/produkt/boker/hobbyboker-og-fritid/biohacking-9788205611474Nysgjerrig på neste Biohacking Weekend 21 og 22 mars 2026? https://www.kongresspartner.no/no/biohacking-weekend-2026Redigering: Torgeir Johansen/Micdrop Media
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Biofilm is “comprised of living cells and a structure to protect them . . . that has potentially infectious material within it.” The structure creates a physical barrier between the microorganisms and their environment, providing protection from cleaning chemistries, disinfectants, antibiotics and the body's immune system. In episode 143, host Jon Wood speaks with Dr. Jon Burdach of Nanosonics. They discuss all things biofilm: what it is, how it develops and why it is so persistent. Dr. Burdach explains the difference between preventing biofilm and removing it, and he makes a compelling case for why removal is more important. He references recent studies, including those revealing that commonly used chemicals can act as fixatives and exacerbate biofilm growth. Dr. Burdach also reviews what can happen when biofilm is introduced into the body and its role in hospital-acquired infection (HAI) outbreaks over time. Lastly, the conversation turns to the particular challenge of cleaning flexible endoscope channels. Dr. Burdach introduces the cyclic-buildup biofilm (CBB) research model and shares developments in emerging lumen cleaning technologies. This episode of Process This! addresses the far-reaching implications of biofilm and what SP professionals can do to help. “If we are better armed with the right knowledge, we can do better by our patients,” said Dr. Burdach. “Processing instruments is hard . . . but the people that do it are really what makes all the difference.” ABOUT OUR GUEST Jon Burdach, PhD Vice President of Medical Affairs Nanosonics, Inc. Jon Burdach is a medical affairs executive with extensive experience in clinical research. At Nanosonics, he is responsible for developing and executing the company's medical strategy, including healthcare professional engagement, scientific communications and medical education initiatives. He also oversees clinical research and R&D activities. He has worked in medical microbiology, genetics of anti-microbial resistance, molecular biology, and medical research within infection prevention. Dr. Burdach is an international speaker, author of numerous scientific publications, and committee member for AusMedTech NSW and AAMI. He holds a PhD in Biochemistry and Molecular Genetics from the University of New South Wales. Earn CE Now
What really happens at the microscopic level when we talk about "clean" in dental sterilization? In this episode of "Sterilization Standards Unpacked," host Sarah B. Cruz is joined by Dr. Atila Nozari, Senior Medical Liaison at Solventum, to connect the science of microbiology with the day-to-day realities of instrument reprocessing in dental practices. From bioburden and biofilm to the evidence behind modern sterilization standards, Dr. Nozari helps demystify the "why" behind the guidelines teams are being asked to follow. Whether you're brushing up on CSA standards or trying to connect policy with practice, this conversation bridges the gap between following a guideline "just because" and understanding the science that stands behind it. This 5-part series pulls back the curtain on how Canadian dental teams are translating sterilization standards into real-world practice—one guideline, one cycle, one patient at a time. With each episode, we'll explore the people, processes, and evolving expectations driving dental sterilization forward. It's not about compliance checklists—it's about connection, clarity, and conversations that make the technical feel personal. A special thanks to our sponsor, Solventum Medical, for supporting this podcast series! #BeyondClean #Solventum #SterilizationStandardsUnpacked #DentalSterilization #SterileProcessing #Bioburden #Biofilm #Standards #InstrumentReprocessing
What if the real enemy in chronic wounds isn't what you see—but what you don't? Biofilms are microscopic power structures: organized, resilient, and shockingly effective at resisting treatment. They delay healing, outsmart antibiotics, and turn simple wounds into long-term battles.This isn't just biology—it's strategy. Understanding biofilm means rethinking how we treat wounds, how we approach care, and how science confronts invisible systems that thrive in silence. If we want better outcomes, we have to expose the empire hiding in plain sight.Knowledge heals first.#Biofilm #WoundHealing #MedicalScience #HealthcareInnovation #ScienceExplained #Microbiology #PublicHealth #MedEd #FutureOfMedicine #InvisibleSystems #HealthTech #ResearchMatters
Dr. Deb 0:01Welcome back to another episode of Let’s Talk Wellness Now, and I’m your host, Dr. Deb, and today we’re pulling back the curtain on a topic that barely gets a whisper in conventional medicine. Chronic bladder symptoms, biofilms, and the hidden genetic drivers that keep so many women stuck in a cycle of pain, urgency, and infection that never truly resolves. My guest today is someone who is not only brilliant, but battle-tested, like myself. Dr. Kristen Ryman is a physician, a mom, and the author of Life After Lyme, a book and blueprint that has helped countless people reclaim health after complex chronic illness. After healing herself from advanced Lyme, she has spent her career helping patients recover their most vibrant, resilient selves through her Inner Flow program. Her Healing Grove podcast, her membership community, and her deep dive work on bladder biofilms and stealth pathogens. And what I love about Kristen is that she teaches from lived experience. In 2022, she suffered a stroke. And not only survived it, but rebuilt her brain, resolved lateral strabismus, restored balance, and regained her ability to multitask That journey uncovered her own genetic predisposition to clotting, the very same patterns she sees in her chronic bladder patients. And that personal revelation ultimately led to her Introducing this groundbreaking work that we’re talking about today. So let’s get into it, because bladder biofilms, clotting genetics, stealth pathogens, and real recovery is the conversation women have been needing for decades. And we’ll get started. Where did this one go? There we go. Alright, so welcome back to Let’s Talk Wellness Now. I have Dr. Kristen with me, and I am so excited to talk to her for multiple reasons. A, she’s got a fabulous story, and B, she’s an expert in a topic that nobody’s talking about, and I want to learn from her, too. So, welcome to the show. Kristin Reihman 3:07Thank you! I’m so happy to be here, Dr. Deb. Dr. Deb 3:10Thank you. Well, let’s dive right in, because we have so much to talk about, and you and I could probably talk for hours. So, let’s dive into this conversation, and tell us a little bit about yourself and how you got involved in this. Kristin Reihman 3:23Well, I mean, like so many people, I think, on this path, I had, had to learn it the hard way. You know, I had to find my way into a mystery illness, a complex, mysterious set of symptoms that sort of didn’t fit the… the sort of description of what, you know, normal doctors do, and even though I was a normal doctor for many years, nothing I’d been trained in could help me when I was really debilitated from Lyme disease back in 2011, 20212, 2023. And so I kind of had to crawl my way out of that, using all the resources at my disposal, which, you know, started out with a lot of ILADS stuff, you know, a lot of the International Lyme and Associated Diseases Society, resources online, found some Lyme doctors, and then my journey really quickly evolved to sort of, like, way far afield of normal Western medicine, which is what my training is in you know, I think within a year of my diagnosis, I was, like, you know, at a Klingheart conference, and learning all sort of, you know, the naturopathic approach to Lyme, and really trying to heal my body and terrain, and heal the process that had led me to become so, so ill from, you know. A little bacteria. Dr. Deb 4:29Yeah. Yeah, same here. Like, I’ve been an ILADS practitioner for over 20 years, and when I got sick with Lyme, I was like… how did I not realize this? And I knew I had Lyme before I even was ILADS trained, but when I got really sick and got diagnosed with MS, I never thought about Lyme or mycotoxins or any of that, because I was too busy, head down, doing what I’m doing, helping people. And I, too, had to take that step back, not just physically, but more spiritually and emotionally, and say, how did my body get this sick? Like, what was I doing, and what was I not doing? That allowed this to happen, and now look at this from a healing aspect of not just the physical side, but that spiritual-emotional side as well. Kristin Reihman 5:13Totally. I have the same… I have the same realization as I was coming out of it. I was like, wow, this wasn’t just about, sort of, physically what I was doing and not doing. There was something spiritual here as well for me, and I… I feel like it really was a wake-up call for me to get on the path that I’m supposed to be on, the path that I’m on now, really, which is stepping away from the whole medicine matrix model and moving into, you know, working with really complex people. Listening to their bodies, understanding intuition, understanding energy, understanding all these different pieces that doctors just aren’t trained to look at. Dr. Deb 5:46Right? We don’t have time to learn everything, right? Like, you have time to learn the body and the medical side of things, and that’s a whole prism of itself, but then learning the spiritual energy medicine, that’s a completely different paradigm. That’s a full-time learning aspect, and it’s so different than what we learn in conventional medicine. Kristin Reihman 6:04Yeah, it’s a complete health system. Like, it’s a complete healthcare system. Dr. Deb 6:10Yes, and nobody takes it that seriously, but I, for myself, I’ve been spiritual healing for decades, and it wasn’t until I got really sick that I dived deeper into that and looked at what is it in this world that I’m owning, what belongs to generational things that were brought to me from childbirth and other generations in my family that I’m carrying their old wounds. And how do I clear some of that so that it’s not still following me? And then how do I help my kids so that they don’t have to carry what I brought forth? And it’s just… a lot of people, that may sound crazy, but that’s the kind of stuff that we need to be looking at if we want to truly heal. Kristin Reihman 6:54Yeah, and I think it’s also, it’s inspiring, you know, because when people… and I would tell this to my patients with Lyme and these sort of mystery illnesses, like, look, you are on this path for a reason, and this is going to teach you so much that you didn’t necessarily want to learn, but you need to learn. And this… nothing that you learn or change about your lifestyle or the way in which you move through the world is gonna make you a worse person. Like, it’s only gonna sort of up-level you. You know, it’s gonna up-level your diet, and your sleep habits, and your relationships, and your toxic thinking, like, it’s all gonna change for you to get better, and that’s… that’s a gift, really. Dr. Deb 7:27It really is, and I tell people the same thing. Like, we can look at this as… something that’s happening to us, or we can look at this as something that’s happening for us. And that’s how I looked at my MS diagnosis. This was happening for me, not to me. I wasn’t going to be the victim. And you have a very similar story, so tell us a little bit about your story and what kind of catapulted you into this in 2022. Kristin Reihman 7:52Well, by 2022, I was, like, 10 years out of my Lyme hole, and I had been seeing patients, you know, I had opened my own practice, and I was working for another company, seeing, families who have brain-injured children. I was their medical director, still am, actually. And so I was doing a patchwork of things, all of which really fed my soul. You know, all of which felt like this is, like, me, aligned with my purpose on the planet. And so, based on a lot of my thinking, I sort of figured, okay, well, I’m good now, right? Like, I’m on my path now, like, the universe is not going to send another 2×4. And then the universe sent another 2×4. And in 2022, I had an elective neck surgery. You kind of still see the little scar here for my two-level ACDF. Because I had crazy off-the-hook arm pain for, like, a year and a half that I just finally became, like, almost like it felt like I was developing fasciculations and fiery, fiery pain, and I just got the surgery, and the pain went away. But when I woke up, I was different. I didn’t have a voice. Which is a common side effect, actually, of that surgery that resolves after a few months, and in many cases, and mine did. But I also didn’t have, normal balance anymore, and my right eye turned out a little bit, and I couldn’t multitask. And my job is all about multitasking. As you know, with very complex people in front of you, you’re hearing all these pieces of their story, and you’re kind of categorizing it, and thinking about where they fit, and you’re making a plan for what to work up, and you’re making a plan for what to wait until next time. It’s like all these pieces, right? You’re in the matrix. And I… I couldn’t hold those pieces anymore. And I didn’t realize that until I went back to work a couple months after my, surgery, because my voice came back and was like, okay, well, now I’m going back to work. And then I realized, I can’t do simple math. In fact, I can’t remember what this person just said to me, unless I read my note, and I can’t remember taking that note. What is going on? And so I had a full workup, and indeed, I had some neurological deficits that didn’t show up on an MRI, so they must have been quite tiny. Possibly were even low-flow, you know, episodes during my surgery when my blood pressure drops really low with the medicines that you’re on for surgery. But I, basically had, like, a few mini strokes, and needed to recover from that. So that was sort of the… that was the 2×4 in 2022. Dr. Deb 10:09Wow. So, what are, what are some of the things that you learned during that process of that mini-stroke? Kristin Reihman 10:17Well, the first thing I learned is that, something that I already knew from working with the Family Hope Center, which is that organization I mentioned that helps families heal their kids’ brains, I know that motivation lives in the ponds, and if you have a ding or a hit to the ponds, like, you don’t want to get out of bed in the morning, you don’t want to do the work it takes to heal your brain, in my case. And I remember spending several months in the fall of 2022 just sort of walking around my yard. With my puppies, being like, This is enough. I don’t really need to work anymore, right? Like, I don’t… why do I need my brain back? Like, I don’t need to have my brain back to enjoy life. You know, I’ll have a garden, I have people I love and who love me, like, why do I need to work? Like, my whole, like, passion, purpose-driven mentality and motivation to kind of do and be all the things I always strive to do and be in the world, was, like, gone. It was really interesting, slash very alarming to those who knew me, but being inside the brain that wasn’t really working, it wasn’t alarming to me. I was just sort of like, oh, ho-hum, this is my new me.Well, luckily I have some people around me, I like to call them my healing team, who sort of held up a mirror, and they’re like, this is not you, and we’re gonna take you to a functional neurologist now. And so, I ended up seeing a functional neurologist who, you know, within… within, like probably 6 visits. I had all these, like, stacked visits with him. Within 6 visits, my brain just turned on. I was like, oh! Right! I need my brain back! I gotta fix this eyesight, I gotta get my balance back, and I gotta learn how to do simple math again and multitask. So, after that sort of jumpstart, I actually did the program that I, you know, know very well inside and out from the Family Hope Center, where I’d been medical director for 10 years. And, it’s a hard program, it’s not… not for wimps, and it’s certainly… I wasn’t about to do it when I had no motivation, so I’m really grateful to the functional neurologist who helped me kind of, like get my brain… get my pawns back, and my motivation back, my mojo. And then I’m really grateful to the Family Hope Center, because if I didn’t have that set of tools in my back pocket, I would still have an eye that turns out to the side, I would still have a positive Romberg, you know, closing my eyes, falling over backwards, and I would still have, a lot of trouble seeing patients, and probably wouldn’t be working anymore. Dr. Deb 12:32I can totally relate to that. When I got my MS diagnosis, you know, there’s a period of time where you go, okay reality kicks in, and I’m thinking, okay, how long am I going to be able to work? How long am I going to be able to play with my kids and my grandkids and be able to be me? And I started looking at, how do I sell my practice, just in case I need to do this? How do I step back? And I spent probably about 9 or 10 months in that place of, this is gonna be my life, and it’s not gonna be what I’m used to, and, you know, how are we gonna redesign my house, and do this, and that, and… Finally, my husband looked at me one day, and he’s like, what the hell is wrong with you? And I was like, what are you talking about? He’s like, this is ridiculous. He’s like, you fix everybody else. He’s like you can fix yourself. Why do you think you can’t fix yourself, or you don’t know the people that can fix you? You need to get out of this, and pick yourself up, and start doing what you tell your patients. And… and I sat there, and at first I was like just did he know that I’m sick? Like, I have MS. I took that victim mode for a little bit, and then I went, no, he’s right. Like, this is my wake-up call to say, I can reverse this, I can fix this, and total, total turnaround, too. Like, I started reaching out to my friends and colleagues, because I kept myself in this huge bubble, like, I didn’t want anyone to know what was going on with me, because I was afraid my patients wouldn’t see me, what are my staff going to say? My staff are going to leave, and if I lose my business, what am I going to do? And da-da-da-da, all those fears. And then… when I finally started opening up and sharing with people, people started bringing me other people, and you need to talk to this person, you need to talk to this person. They connected me here and there, and this place, and 18 months later, I was totally back to normal again. And now my practice is growing, and we’re adding on, and it’s bigger, and I’m taking on more projects than I feel like myself, and… and I was a lot like you, too. Like, I couldn’t remember my protocols that I’ve done for 20 years. I had to depend on what was in the EHR to pull forward, because I always had them in my notes, so I didn’t have to type them all the time, but I was like I have to pull that forward, because I don’t remember the name of the supplement that I’ve used for 15 years. I don’t remember what laps I’m ordering. I don’t remember the normal values of this stuff. And now it’s back on the tip of my tongue, but at the time, it was a little scary, for sure. Kristin Reihman 14:47Wow, so scary. Well, that’s a remarkable story, and why I can’t wait to have you on my podcast, but I’m really… I’m really happy that you had a healing team around you, too, who was like, yeah, nope, that’s not your… that’s not the train we’re on. Get off that train. Come back on your usual train. What are you doing over there? Dr. Deb 15:03Yeah, and you know, I hope that a lot of patients have that, or people that are experiencing this have that, but there’s so many people who don’t have that. And they need somebody, they need somebody in their corner, like we had in our corners, to help pick them up and say, this doesn’t have to be your reality. It can change, but it is a lot of work, like you said. It’s a lot of work. It’s not… Kristin Reihman 15:25Yeah, no, it’s a lot of work. So when I started off. I was work… I was doing probably 4 hours a morning, like, 4… basically, my entire morning was devoted to brain training and healing my brain through the ref… you know, we… I mean, I can get into the details of it, but basically it’s a lot of, like, crawling on the floor. On your belly, creeping on your hands and knees, doing reflex bags to stimulate, you know, more blood flow to the brain, doing a lot of smells. You know, and just staying with it, you know? And I remember balking, even in the beginning, I was, like, seeing some changes, I was feeling more motivated. I remember feeling this… I started noticing it was changing about 2 weeks in, when I would get up in the morning. And I would… I noticed I would start… I would do my, like, beginnings of the day, I would get the kids on the bus, I would do everyone’s breakfast, I’d do the dishes, and I’d be, like, sitting down and being like, hmm, like, what am I supposed to be doing now? Like, where… What is my purpose today? And because I had this plan, I was just like, well, I know that has to happen, so I may as well do that now. And I would get on the floor, and I would start crawling down the length of our hallway. And within about 8 laps, I would feel my brain, like. I felt like it integrating. I would feel things, like, just coming online, and I’d be like, oh, right. I know who I am, I know what I’m doing today, I have these other things this afternoon, I gotta get this done before noon, and I would do it. But it was really interesting, and I’ve never been a coffee drinker, but when I thought of what that felt like, to me, that’s how people often describe, like, my brain doesn’t wake up until I have coffee. I never needed coffee to have… my brain woke up before I’d wake up, and I’d be like, bing, and I’m ready to go. But when I had the brain injury for those 9 months, it wasn’t that way the whole time. In the beginning, it was very hard to get my brain back in the morning, and it was creeping and crawling that would pull it in. Dr. Deb 17:08Wow. Is there one particular thing that you did that you felt made the biggest difference to rebuilding your brain? Kristin Reihman 17:15Crawling on my belly like a commando, wearing elbow pads, knee pads, actually two sets of knee pads, wearing toe shoes, and just ripping laps on my floor. Dr. Deb 17:26Oh, and that’s so simple to do. So why does that work? Kristin Reihman 17:31So interesting, and I… this is the kind of… this is the… the story of this is something that I think is bigger than all of us, and I wish everybody knew how to optimize your brain using just the simple hallway in your house. But essentially, if you take a newborn baby. And you put them on mom’s belly, and they’re neurologically intact, and maybe you’ve seen videos of this. There used to be a video circulating about a baby born onto mom’s belly, nobody touches the baby, and in about 2 minutes and 34 seconds, that baby crawls on its belly, like, uses arms, uses its toe dig with its little babinsky, and pushes its way up to mom’s breast. Latches on with its reflexes, and there you go. That baby keeps itself alive through its primitive reflexes. So it’s essentially telling its brain, every time it runs those reflexes, every time it does a little toe dig, every time it, like, swings its arm across in a cross-later, hetero… what do we call, a homolateral pattern. That little baby is getting a message to its brain that says, grow and heal and organize. And because all the reflexes come out of the middle and lower brain stem. That’s the part of the brain that’s organizing as a baby. And as a baby grows and does the various things a baby does using its reflexes, like eventually on its belly, crawling across the floor, and then popping up to hands and knees, and creeping across the floor, and eventually standing and walking, all of those things are invoking a different set of reflexes that tell the brain to grow and heal and organize. So it’s almost like the function creates the structure, and if you run those pathways again and again and again your brain will get the message to basically invoke its own neuroplasticity, and that’s how a baby’s brain grows. And it turns out, any brain of any age, if you put it through those same pathways, it will send a message of neuroplasticity to the brain, and the brain will grow and heal and organize. Dr. Deb 19:16That was going to be my question, is why aren’t we using this for elderly people with dementia, or Alzheimer’s, or stroke, or Parkinson’s, or things like that, to help them regrow their brain? Kristin Reihman 19:28Well, because number one, nobody knows about it. Number two, even when people do know about it, nobody likes to be on the floor like a baby, creepy and crawling. And least of all the stubborn old people with dementia who are, like, who don’t even think they have a problem. I mean, the problem with the brain not working, as I discovered, and it sounds like you discovered, too, is the brain that’s not working doesn’t know it’s not working, or worse, doesn’t care. You know, and so it’s tricky with adults. With kids who, you know, you have some sort of power over, you can often make your kids do things that they don’t want to do, like eat their vegetables, or creep and crawl on the floor for 80, you know, 80 laps before they get to go, you know, do their thing. But adults are a little trickier. Dr. Deb 20:10Is there another way for us to be able to do that same thing without the crawling on the floor? Like, could they do it in a sitting motion, or do they need that whole connection to happen? Kristin Reihman 20:21Well, they need to be moving in a cross pattern, and they need to be moving their arms and their legs in such a way that stimulates the reflexes. But you can do that on your bed, you can do it face down on your bed by getting into a pattern, and switching sides and, you know, moving your legs and your arms in the opposite… in the, you know, an opposite cross pattern, and that will get you some of the benefit. And we, in fact, we have… we work with kids who are paralyzed and who don’t… aren’t able to independently move forward in a crawling pattern, who have people coordinating their movements so that they get the same movement, and the brain registers it, and they do make progress, and some of them eventually. Crawl, and then creep, and then walk. Dr. Deb 20:59Wow, that’s so… and it’s so simple and easy for people to do. Kristin Reihman 21:04Well, it’s simple. I don’t know that it’s easy. I do… I do… having done it myself, I will say it’s probably the hardest thing I’ve ever done, was literally crawl my way out of that brain injury. And I’m so glad that I knew what to do, and I’m so glad I had people push me to remind me that it was important, because… I’ll even… I’ll share another story of my own resistance. So, about 2 or 3 weeks into it, I was up to 300 meters of crawling on my belly. And 600 meters of creeping on hands and knees, which was really killing my knees, which was why I was wearing two knee pads. And, I started to get this feeling that maybe I wasn’t doing enough. Like, even though I was noticing changes, and even though I was feeling more purpose, and I was getting organized in the morning, I could tell it was making a difference. I… I knew, I remembered that usually the kids on our program are doing a lot more than that, including my own… my youngest kids, but I made them creep and crawl, even though they didn’t have serious brain injuries, I just thought, we’re gonna optimize everyone, get on the floor, get on the floor. Lord so I was… I was nervous about not doing enough, so I… I reached out to the member… one of the members of the team, and I said, you know, hey, Maria, what’s… what do you think about my numbers? And here’s a… here’s a video of me creeping and crawling, what do you think? Am I doing it right? And she said, you’re doing it right, but how many, how many meters are you doing? And I said, I’m doing 300 meters of crawling on my belly, and 600 meters of creeping, and she’s like, oh. Yeah, that’s not nearly enough for an adult. She’s like, Matthew probably gave you those numbers because he felt bad for you and thought you were going to be still working. He didn’t know you were going to take off from patients. Now that you’re… since you’re not working, you need to do more. I was like, okay, tell me… tell me how much I’m supposed to do. And she goes, you need 900 meters of crawling on your belly, and 3,600 meters, 3.6 kilometers of basically crawling on my hands and knees. Dr. Deb 22:51Oh my gosh. Kristin Reihman 22:52And I just shut down. Dr. Deb 22:54Yeah. Kristin Reihman 22:55I was like, okay, screw it. I’m not doing it. Dr. Deb 22:58And I spent a day or two just not doing it and feeling petulant, and then I was like, you know what? Kristin Reihman 23:01Forget that, I was noticing some benefit. I’m gonna do my 300-600. So, the next day, I went and did 300 and 600 while my daughter was at physical therapy, and we got back in the car, and I said, hey, I’m so excited, I finished my… all my creepy and crawling, and it’s only 10 a.m. on a Saturday, I’m done for the weekend. And she did this. She’s sitting in the car, she looks at me, she goes. Was that your whole program, or was that a third of your program? Dr. Deb 23:28How old is she? Kristin Reihman 23:01Well, she’s, like, 20 now, but she was 18 at the time, and she… she had my number, and I was like, Tula! How can you say that? I’m working so hard! And she’s like, Mom? You need to stop seeing patients completely, and do what they tell you at the Family Hope Center. Because we’re your family, and this is your brain we’re talking about, and we need you to have all your brain back. And I must have looked terrible, because she goes, too much? Dr. Deb 23:54You raised a good daughter. Kristin Reihman 23:58And I was like, well, let me tell… let me ask you, do you mean that? She goes, yeah, I really mean that. I’m like, then it’s not too much. I needed to hear that. Thank you. And I went home, and I finished another 600 of crawls. I didn’t… I never got up to 3,600 of creeps. It was just too much for my knees. I got to 900 and 900, but that was the end of my resistance, and I just did it. Dr. Deb 24:17I just did it. Yeah, your family needed you, right? I mean, when somebody in your family that you love tells you they need you, that’s a huge motivating factor. Kristin Reihman 24:27Yeah, yeah, I’m so grateful for that. So, I did that for 9 months, and at the end of 9 months, my eye was straight and stayed straight, my balance was back, I was multitasking again, and I could take, you know, days and days off of creeping and crawling and not notice a dip. I was like, I’m done. Dr. Deb 24:45Wow, that’s awesome. Kristin Reihman 24:46Yeah. Dr. Deb 24:47During this process, you also discovered that you’re part of 20% of the people with clotting genetics. Tell us a little bit about that. What’s your understanding in that? Kristin Reihman 24:58Well, so, I’ll back up. So, before I had my stroke, I had already been seeing patients with really complex, you know, patients like yours, really complex stories, lots of different things going on, kind of the perfect storm for if they got a tick bite, they tanked. Dr. Deb 25:12and… Kristin Reihman 25:13And I’m one of those people, and my patients were those people. And about 7 years ago, I had one of these patients who said to me, you know, I’ve never told you this, but when I was in my 20s, I had so many bladder infections, so much, like, you know, kind of interstitial cystitis, they said it was, and they said it wasn’t an infection, but it felt like one. And I’ve been doing a little research, and I’ve learned about this woman whose name’s Ruth Kriz, she’s a nurse practitioner, and she sees Patients, and she has… she works with practitioners, and she basically heals interstitial cystitis. And I want you to work with her, I want you to learn from her. And I was like, I’m game. That sounds really interesting, I have no idea what she’s doing, and you don’t usually hear the words cure and interstitial cystitis in the same sentence, so, like, I’m in. So I reached out to Ruth, and long story short, I’ve been working with her for the last 5 or 7 years basically increasing the number of patients who I’m diagnosing now with these hidden bladder infections that are really often what’s at the root of these interstitial cystitis symptoms, meaning, you know, you go to the doctor, you pee in a cup, they look for something, they say there’s no infection here, so, you know, you’re probably crazy, or, you know, you probably have just a pain syndrome, we can’t help you. And actually, if you look with a much more sensitive test, and if you break down the biofilms where these bugs kind of are living in the bladder, you find them. And then you can treat them, and then people get well. So I knew about this, and I, didn’t have any bladder infections that I knew about, and what I did start to think about after my stroke was, well, maybe, since these people who have these bladder infections often have issues breaking down biofilms, the same genetics that lead you to have trouble breaking down biofilms, which are these places where the bugs are kind of hiding in your body, have trouble breaking down clots. And I just had some strokes. I wonder if I have maybe some of these clotting genetics that I’m looking for in all my bladder people. And so I looked, and surprise, surprise, I had not one, not two, but, like, six of them. Ruth said to me, Ruth said, Darlin, I don’t know how you’re standing up. This is more than I’ve ever seen in any of my patients. And she’s been doing this for, like, 4 years now. I was like, oh boy, that’s not good. But in retrospect, it made a lot of sense to me, because having the clotting genetics I have. puts me at risk for severe, you know, chronic Lyme that’s intractable, which I had. It puts me at risk for trouble with, you know, having surgery and clotting and, you know, low blood pressure and low flow states. It puts me at risk for the cold hands and cold feet that I had my entire life until I started treating the clotting issues by taking an enzyme that breaks down little microclots. I mean, I was the person in med school who’d put my hands on people, be like, I’m so sorry. My hands are ice. Warm heart, cold hands, warm heart. Yeah, not anymore, because I’ve treated it. But yeah, so I was surprised slash not surprised to find that I’m one of the people in my community who is a setup for chronic infections and, strokes and bladder infections. Dr. Deb 28:22So you just had that predisposition that took you down that path. Kristin Reihman 28:28Yeah, I think so. Dr. Deb 28:30What are some of the layers of biofilm and the stealth pathogens, like tick-borne diseases and things like that, hiding inside us that… what are some of the symptoms look like, and how do they look different in people with clotting disorders versus the common tick-borne disease? Kristin Reihman 28:47I would say they’re very similar, so it tends to be poor peripheral circulation, so if you put your hands on your neck, and your hands feel cold to your neck difference in the heat, right? The amount of blood flow in your sort of axial skeleton and area as compared to the periphery. And that can indicate a biofilm kind of predisposition or a clotting disposition. It doesn’t necessarily mean it’s there, but it’s a clue, right? Another clue is a family history of any kind of clotting disorders. So, miscarriages, heart attacks, especially early heart attacks, strokes, especially strokes in young people. These things are… are clues that we should probably look for some kind of clotting issue. And of course, in my population, I’m always thinking about it now, because if you have not been able to get well with the usual things for Lyme disease, for example, or Babesia or Bartonella, all of which, by the way, can form biofilms or, you know, love to live and hide in biofilms, then chances are your body’s having a hard time addressing those biofilms. And it turns out, so the connection between the clotting and the biofilm piece is that the same proteins that our body uses to break down Biofilms are used to break down microclots, blood clots, and soluble fibrin, which are the sort of precursors to those clots. And so, if we have an issue kind of grinding up those just normal flotsam and jetsam in our blood flow, then our blood flow is going to become sticky, and our blood will become sort of stagnant and sludgy, and that’s sort of a setup for not being able to heal from infections. Dr. Deb 30:25Is one of the genetic markers you look at MTHFR? Kristin Reihman 30:28I look at that, but I don’t consider that a clotting issue, unless it leads to high homocysteine. So, homocysteine can be either high or low, they’re both problematic. And MTHFR can create either an over-methylation situation, and sometimes if people have low homocysteine, it’s almost worse, because they’re such poor detoxers that they can’t actually get anything out of their system, and they get sludgy for that reason. But I think in terms of the clotting, the bigger issue is high homocysteine, which, you know, typically the MTHFRs, the 1298 would be more implicated for that. Dr. Deb 31:02Yeah, it kind of sets you up. Dr. Deb 31:04Yeah, yeah. Kristin Reihman 31:05I’m curious what you’re seeing. I know since the pandemic, we see a lot of people with elevated D-dimer levels.Are you seeing some of that in your practice, too? Like, we’re seeing more of it, and now that you’re talking about this, I’m wondering if some of those people are predisposed to some of these genetic makeups, and that’s why we’re seeing such a high rise in that.It… and this is connected, and it’s a piece we’re missing. Kristin Reihman31:29Yes, I do think it’s a piece we’re missing. There was a very interesting study that came out of South Africa. A physician in his office did a clinical study on his patients using 3 blood thinners. So he put people on Plavix, and Eliquis, and aspirin, all at once. It… yeah, you’d be hard-pressed to find a doctor in the States to, like, you know, kind of risk that, because most people don’t even want people on aspirin and Flavix at the same time. Dr. Deb 31:55But Kristin Reihman 31:56They put them on 3 different blood thinners, people with long COVID, and in 6 months, 80% of those people were completely free of symptoms. Dr. Deb 32:04Wow. Kristin Reihman 32:05Yeah, yeah. Now, my question is, what about that 20%? Like, what’s going on with them? And I suspect, they weren’t looking at the other half of the pathway, because when you give a blood thinner, you’re not doing anything to help the body break down clot. You’re simply stopping the body from making more of it. And you rely on the body’s own mechanisms, you know, plasminogen activating inhibitor, for example to kind of grind up those clots and take them out. But when people have a mutation, say, in that protein, they’re not going to be able to grind up the clots, and so my suspicion is the 20% of people who didn’t get well in that study were people who had issues on the other side of the pathway. Dr. Deb 32:44Yeah, they weren’t able to excrete that out and maybe have some fiber and issues and things like that, and that wasn’t being addressed. Kristin Reihman 32:50Yeah Dr. Deb 32:51Yeah Kristin Reihman 32:52Of course, COVID makes its own biofilm. There’s a whole… there’s a whole new, you know, arm of research looking at sort of the different proteins that get folded in the body when COVID spike proteins are in there, kind of creating these almost, like, little amyloid plaque situations in your blood vessels. So, I do think that people who can’t break those down are really at risk for both COVID and the shots. You know, the spike protein comes at you for both of those, right? Dr. Deb 33:17Yeah. Did you use any lumbrokinase or natokinase in your situation? Kristin Reihman 33:22So lumbar kinase is what I use. It’s my main player. I use the Canada RNA one, which is, you know, I think, you know, more studied than any of the other ones, and because of its formulation, it’s about 12 times more potent than anything else out there. So that’s what I’m pretty much on for life. You know, that’s… I consider that kind of my…My… my main game. Dr. Deb 33:44Yeah, I agree, I love Limerocheinase for that, that’s really good. So you recently hosted a retreat around this topic. What were some of your biggest aha moments for the participants as they started unraveling some of these biofilm layers? Kristin Reihman 34:00Yeah, no, it was so fun. My sister and I host retreats together. She came out from California and did the yoga, and I did the teaching about biofilms and bladder issues, and it was really fabulous, because a lot of these folks are people already in my community. A few of them were new, and so we had this wonderful Kind of connection, and learning together, and just validation of what it is to live with symptoms that are super inconvenient, you know? Like, one of the… one of the members even, or participants even brought a big bag of, like, pads, and she’s like, listen, ladies. This is what I’m going to use to get through the week. If you want to borrow, I’ll put my little stash over there, and I think they all went by the end of the week. So we… my aha moment was just how powerful it is to be, hosting community and facilitating conversations where people really feel seen and heard, and just how important that is, especially post-COVID, right? When we, you know, so many people just really missed that piece of other humans. And, yeah, I love… I love being able to help people connect around stuff like that. Dr. Deb 35:00That’s awesome. So, for people who are listening that have that mystery, quote-unquote bladder issue, frequent UTIs, interstitial cystitis symptoms, or pelvic pain, or bladder spasms. Where should they start, and what are the first clues that tell you this is biofilm-driven? Kristin Reihman 35:20So, I think it’s always a good idea to… to do a test, you know, to take a microgen test. There’s a couple companies out there, I think Microgen’s the one that I rely on more than any of the others, and it requires, you know, not only doing a very sensitive test like Microgen, but breaking down biofilm before you take it. So, I always encourage people to take a biofilm breaker like lumbrokinase for 5 days leading up to the test, so you’re really grinding into the bladder wall and opening up those biofilms so that when you catch whatever comes out of your bladder, there’s something in there. If you don’t have bladder biofilm, nothing will come out, and you’ll have a negative test, and that’s usually confirmatory. If you’ve done a good provoking with BLUC or, you know, lumbrokinase for 5 days, and nothing comes out then I usually say mischief managed. That’s… that’s a great… that’s great news for you, right? And most people in my community, when they look, they find something, because, you know, not for nothing, but you’re in my community for a reason, right? Dr. Deb 36:17And so… Kristin Reihman 36:18So, yeah, and typically then we need to get into the ring with those bladder biofilms, and it doesn’t… it doesn’t usually take one or two tests, it’s many tests, because the layers are deep. I’m working with children, too, and even in small kids, they… if they have the right genetics, and if they’re living in an environment that is… that kind of can also push them to make more biofilms, like living in mold, for example, is a huge instigator of inflammation and biofilms, and also, you know, microclots and fibrin in the body. then those layers can go deep. And so, we’re peeling the layers one at a time, and we’re treating what comes out, and supporting people along the way. Dr. Deb 36:57With these microgen tests, can you find biofilms in other parts of the body as well, or is it primarily bladder? Kristin Reihman 37:03No, you can find… you can culture… and you can send a microgen PCR for any… any, you know, secretion you want. So they have a semen test, they have a vaginal test, they have a nasal test, you can send sputum, you can culture out what… you can stick a swab in your ear. There’s all sorts of… anything that you can put a swab in, you can… you can send in there. Oh, that’s awesome, that’s amazing. Yeah. Dr. Deb 37:26So, once you identify the drivers, genetics, environment, stealth infections, what does an effective treatment or reversal process look like for people? Kristin Reihman 37:36For the… for the bladder in particular? Well, I wish I could say it was herbs or oxidation, which are my favorite things for Lyme. I haven’t found those to work for the bladder, and so I’m using antibiotics. Which, even though I’m a Western-trained MD, it was not my bag of tricks. You know, when I left, sort of, the matrix medicine model, I really stopped using those things as much as possible, and I’ve had to come back to them, because they really, really work, and they’re really, really needed. So I love it if someone else out there is getting results with something other than antibiotics, please contact me and let me know, because I have plenty of patients who are like, really? Another antibiotic? I’m like, I know. But they work. We also do a really careful job, you know, I work with Ruth Kriz on every case, and we do a very careful job in finding the drug that’s going to be the least broad spectrum, and that’s really only going to tackle the highest percentage bug there. So, MicroGen does this really cool thing. It’s a PCR, next-gen sequencing, they’re looking at genetics, so you don’t have to have it on ice, it can sit on your countertop for a month, and you can still send it in. And they, they, they categorize by percentage, like, what’s there. And they’re not just looking for the 26 or 28 different bacteria that you would get if you were looking at a culture in your doctor’s office. They’re looking for 57,000 different organisms. Fungal and bacterial, yeah? And so, this is why I say, if there’s something there, and you’ve broken down the biofilm, microgen will find it. Dr. Deb 39:06That’s really great. That was going to be my question, is does it pick up fungal biofilms as well? So I’m so glad you mentioned that, because a lot of times with bladder stuff, it’s fungal in that bladder, too, and then we’re throwing an antibiotic at it and just making it worse if it’s fungal in there. Kristin Reihman 39:21Yeah, yeah, that’s… they… and I recently saw one, I had a little Amish girl who came back with 5 different fungal organisms in her bladder. And a whole flurry, a slurry of bacteria, too. Yeah, pretty sick. And that’s usually an indication that you’re living in mold, honestly. Dr. Deb 39:37Now, conventional medicine treats the bladder as a sterile organ, and rarely looks at biofilms. Why do we believe that this has been overlooked for so long, and what are they missing? Kristin Reihman 39:53Dr. Dr. Deb 39:53I’m loaded up. Kristin Reihman 39:54One of the many mysteries of medicine. I have no idea why people are like, la la la, biofilms. I mean, we know, so when I say we know, so when I trained, you know, I trained at Stanford for my medical school, I trained at Lehigh Valley for residency. Great programs, and I learned that, oh yes, biofilms, they exist in catheters of bladders. When people have an indwelling catheter for more than a month and they spike a fever, it’s a biofilm, but it’s only in the catheter. Really? Why does it stop at the catheter? Dr. Deb 40:23Yeah. Kristin Reihman 40:25Or, you know, now chronic sinusitis, people are recognizing this is a bladder… this is not a bladder, this is a biofilm infection in your sinuses. But we’re really reluctant to kind of admit that there’s, you know, that we’re teeming with microorganisms, that they might be setting up shop, and for good, right? Like, it’d be great if they were in biofilms as opposed to our bloodstream. Like, we don’t want them in our bloodstream, so thankfully they wall themselves off. But yeah, I think they’re everywhere. I mean, they found a microbiome in the brain, in the breast, in the, you know, the lung. There’s microbiome, there’s bugs everywhere. And the question is, are they friend or foe? And the bladder really shouldn’t have anybody in it. Because, think about it, you’re flushing it out, you know, 6 times a day. You know, most people who can break down biofilm because their clotting genetics are normal, and because they’re peeing adequately, will never set up an organism shop in their bladder. Even though things are always crawling up, we’re always peeing them out. Dr. Deb 41:23Yeah. Kristin Reihman 41:23And then there’s the 20% of us who… Who aren’t that way. Dr. Deb 41:30Oh, so you run the Interflow program and a number of healing communities. What tools and teachings have been the most transformational for people going through this journey? And tell us a little bit about the Interflow program, too, please. Kristin Reihman 41:44Okay, maybe I’ll start there, because honestly, I have to think about the which tools are most transformational. The Interflow program is my newest offering, and we developed it because my team and I were looking around at the patients we had, and so many folks were needing to go down this… we call it the microgen journey, like, get on the microgen train and just start that process. And there was just a lot of hand-holding and support, and… education that they were requiring. And by the way, their brains aren’t working that great, because when you have these infections, you know, you’re dealing with, like, downloads of ammonia from time to time from the bladder organisms, you’re dealing with a lot of brain fog, overwhelm, you know, there’s just a lot of… you know how our patients are, they… they… they’re struggling, and they really need a lot of hand-holding, and so we were providing that. But we kept thinking, like, gosh, it would be great to get these guys in community, like you know, we can say all we want, like, you know, it’s important to check your pH, it’s important to, like, stay on top of the whatever, but it’d be great to have them hear that from one another, and to have them also hear, sort of, that they’re not alone. So, because we had some experience running communities online, which we started during the pandemic and has been super successful, we said, let’s do this, let’s create a little online community of our inner… of our, you know, call them… informally, we call them our bladder babes. But, like, let’s create a community of people who are looking to really heal and get to this deep, deep root that no one else is doing. And that was really the key for me, that nobody else is really doing this. Very few people are doing it or aware of it. I wish that weren’t the case, but as it stands now, it’s pretty hard to find someone to take this seriously. Most doctors, if you even take a microgen to them, they’ll say, oh, there’s 10 organisms on here, that’s a contamination. That must be contaminated. Well, yeah, buy your biofilms, but they don’t know about biofilms, so they think it just comes from the lab. Dr. Deb 43:31Something. Kristin Reihman 43:32I don’t know. But, yeah, basically it was because I felt called to do this service that no one else is providing, and I wanted to do it in a way that was going to be really optimally supportive for people. So we created a membership, basically. Dr. Deb 43:44Do you see a difference in men and women? Obviously, women have this problem more than men, but do you see a difference in how many men that have these self-infections or live in mold compared to women? Kristin Reihman 43:57I… it’s hard to know, really, what the, sort of, prevalence is out there, I will say, in terms of who calls our office. Dr. Deb 43:03It’s, you know, 95% women call our office. Kristin Reihman 44:08And occasionally, we’ve had someone call our office on behalf of a husband or a son. I just saw a woman whose 2-year-old son is in our Bladder Babes community. But typically, it’s the women who are seeking care around this, and I don’t know if that’s a function of their having more of the issues. I suspect it is, because as you said before, so many more women deal with these complex mystery illnesses than men.But there certainly are men who have them. Dr. Deb 44:33Yeah. So, you’ve lived through Lyme, chronic illness, stroke, and now biofilm-driven bladder issues, and you’ve come out stronger. What mind shifts helped you stay resilient through all of these chapters? Kristin Reihman 44:50I think there have been many. I think the first one I had to really, Really accept and lean into and kind of internalize. Was this idea that, I… I couldn’t… I didn’t have to do the work that I was doing. Dr. Deb 45:09You know? Kristin Reihman 45:09In order to be of value to the world. You know, I’d trained in a certain way, I had, you know, I had this beautiful practice. I was working in the inner city, I was working with my best friend, we were seeing really needy people who had no money, and it felt really, like, you know, I felt very sort of service-driven and connected to a purpose. And I think the hardest thing in the beginning for me was realizing, I can’t do that work anymore. That’s not the work that I’m… needing to do, and to make a leap into the unknown. It felt like, you know, having a baby at 45 and not doing any ultrasounds, or any tests, and just being like, I’m birthing something here. I don’t know what it is, it’s me, but who knows what she’s gonna look like, or… what this doctor is going to be, you know, what, you know, peddling in terms of her tools. That was a big leap of faith, and I think letting go of the kind of control of needing to be… needing to look a certain way and be a certain kind of doctor was a big step for me, my big initial step. Dr. Deb 46:05That’s really hard, because you’re taught and ingrained in who you’re supposed to be as a doctor, and what that person’s supposed to be, what your persona’s supposed to be. And doing a lot of the Klinghart work and some of those things, and I’m sure on the days crawling through the floor, you’re like, this is not what I was trained to do. If my colleagues could only see me now, they’d… they’d… Commit me, right? But like you said, just giving that leap of faith and saying, I’m gonna turn this over to your higher power, and you’re gonna bring me out on the other side, and trusting that, that is a vulnerability for us that is huge. Kristin Reihman 46:43Yeah, and I mean, I’d like to say it’s because I’m some sort of strong person, but truthfully, I feel like there was no other choice. Like, I had to surrender because there was… the alternative was death or something. I didn’t… I don’t know, right? There was no other choice. Dr. Deb 46:56Yeah. Kristin Reihman 46:56I couldn’t move. I was in so much pain. I couldn’t move. Couldn’t get out of bed. Dr. Deb 47:01Thank you so much for sharing all of this and being vulnerable with our audience. Where can people find you? Find your book, your podcast, your programs, if they want to go deeper with you? Kristin Reihman 47:12Yeah, thanks for asking. So, I have a website, it’s my name, kristenRymanMD.com, and all my programs are listed there. I have several, you know, I have a, sort of, a wellness… I have an online membership for well people who want to stay well and pick my brain every week around, sort of, healthy, holistic tools. It’s called The Healing Grove.I have a podcast that people can listen to for free, where I interview people like you, and you’re gonna be on it, right? She’s gonna be on it soon. Dr. Deb 47:38I’d love to. Kristin Reihman 47:39So I can share stories of hope and transformational tools with people. I also have a Life After Lyme coaching program, which is kind of the place where I invite people who are dealing with a mystery illness to come get some support, community, and guidance from someone like me, and also just from the other people in the room. There’s a lot of wisdom in those groups. And that’s… I guess that’s the answer I’ll share for what you asked earlier, like, what’s the main tool they take away? I think they take away an understanding that community really matters, and that they’re not alone. You know, I think it can be very lonely to be stuck in these… to feel stuck in these illnesses, and people need to be reminded that they’re… that they’re human, you know, and that they’re worthy of love and acceptance. I think that’s what people get from my… from my community, is kind of like, that’s the common thread. Dr. Deb 48:23They definitely need that. Kristin Reihman 48:25Man. Dr. Deb 48:26Kirsten, thank you so much for sharing your powerful story. Your work is so needed, and your ability to weave personal experience and advanced clinical insight is exactly what our community craves. And this kind of conversation helps women finally be seen and heard, which is my motto too, and gives them just the real tools to get their life back. And for everyone listening, if you’re struggling with unexplained bladder pain, frequent UTIs, pelvic discomfort, or symptoms that never match your labs, because they never quite do. You are not crazy, you are not alone. You need to find the answers, you need to be with community, and there are solutions, and conversations like this is how we bring them forward. So, thank you all for tuning in to Let’s Talk Wellness Now. I’m your host.And until next time… Kristin Reihman 49:15Thanks, Dr. Dove. Dr. Deb 49:16Thank you. This was awesome. Thank you so much. This was… Kristin Reihman 49:21You’re so welcome, you’re such a great interviewer.The post Episode 251 – Chronic Bladder Symptoms, Biofilms, and the Hidden Genetic Drivers first appeared on Let's Talk Wellness Now.
James O'Hara sits down with Dr Dan Bristow (OB-GYN) to talk about hormones For High-quality labs:► http://sagebio.com/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products, including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth►Compiled Source ListSystematic and Narrative Reviews 1. Gut microbial β‑glucuronidase: a vital regulator in female estrogen metabolism and gynecologic cancersPMCID: PMC10416750 • Year: 2023 • Journal: International Journal of Molecular Sciences • Summary: Reviews role of β-glucuronidase in estrogen metabolism, breast cancer, endometriosis. 2. A New Paradigm in Gut Microbiota & Breast Cancer: β‑Glucuronidase as Therapeutic TargetDOI: 10.3390/pathogens12091086 • Year: 2023 • Journal: Pathogens • Summary: Emerging model proposing gmGUS as a direct target in estrogen-driven breast cancer. 3. Gut and oral microbiota in gynecologic cancers: mechanisms and therapeutic valueDOI: 10.1038/s41522-024-00577-7 • Year: 2024 • Journal: npj Biofilms and Microbiomes • Summary: Systematic review on microbiota's role in ovarian, cervical, and breast cancers. Human Clinical or Case-Control Studies 4. Assessment of gut microbial β‑glucuronidase and β‑glucosidase activity in women with PCOSPMCID: PMC10366212 • Year: 2023 • Journal: Scientific Reports • Summary: Found significantly higher β-glucuronidase activity in PCOS patients. 5. Gut microbiota and ovarian diseases: a new therapeutic perspectiveDOI: 10.1186/s13048-025-01684-5 • Year: 2025 • Journal: Journal of Ovarian Research • Summary: Review covering PCOS, POI, and tumors—describes estrogen recycling via gut microbiota.Mechanistic, In Vitro, and Animal Studies 6. In vitro analysis of gut microbial β‑glucuronidases and estrogen deconjugationDOI: 10.1016/j.jbc.2020.105542 • Year: 2020 • Journal: Journal of Biological Chemistry • Summary: Characterized 35 GUS enzymes that reactivate estrogen glucuronides. 7. Impact of intestinal flora on ovarian function and disease pathogenesisFull text: e-century.us • Year: 2024 • Journal: American Journal of Translational Research • Summary: Animal studies showing how β-G-producing gut bacteria drive ovarian dysfunction. 8. The role of gut microbiota in endometriosis: current insightsDOI: 10.3389/fmicb.2024.1363455 • Year: 2024 • Journal: Frontiers in Microbiology • Summary: Mechanistic review linking β-G-producing bacteria to lesion development and inflammation in endometriosis.#female #femalehealth #hormones #testosteroneAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
This episode originally aired as #432 on 5/22/24 and we are bringing it to you again! Parasite cleansing has become a hot topic in the natural health world, but it can feel a little overwhelming. Are you confused about where to start or how to do a cleanse yourself? On this episode of Vitality Radio, Jared demystifies the process by sharing his experience along with his wife's, and a thorough breakdown of the entire process, the products, and what to expect. You'll learn a couple of ways to approach parasite cleansing and which one might be right for you or your family, including kids. If you never thought about parasites being a problem in America, think again! For a deeper understanding of why parasites are indeed a bigger problem than is understood by most, be sure to listen to Jared's interviews with Dr. Todd Watts and Dr. Jay Davidson - the founders of CellCore.Products:CellCore Para KitVitality Nutrition Parasite CleanseVital 5 Precision Probiotic Vital SporesMagnesium BisglycinateCellCore Bowel MoverLife Seasons Regulari-TRedmond RelyteTrace Minerals Endure Drops***Inquire for capsule-free protocol Additional Information:For information on coaching options and personalized support, please email jessica@vitalitynutrition.comVitality Wellness Community Detox & Support GroupVitality Radio Podcast Listener Community#359: Comprehensive Detoxification of Parasites, Lyme, and Other Toxins With Dr. Todd Watts of CellCore Biosciences#431: Are Parasites Part of Your Health Concerns? With Dr. Jay Davidson#385: Rebalancing and Healing the Body Through Functional Medicine Detoxification With Dr. Stephen Cabral#258: Your Magnesium User's Guide***Be sure to check out all of the Emotional Vitality Episodes, including Jen's Story mentioned in this showVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
In this episode of Food Safety Matters, we discuss the top food safety stories of 2025 and their implications. We cover: The Trump Administration's impact on federal agencies overseeing food safety [7:52]: FDA, CDC Ordered to Temporarily Pause All External Communications, Obtain Trump Admin Approval RFK Jr. Confirmed as HHS Secretary; Widespread Firings Coming to FDA, CDC USDA Inspector General Phyllis Fong Dismissed by Trump Administration Brooke Rollins Confirmed as Secretary of Agriculture, Cites 'Aggressive Plan' to Eliminate USDA Jobs FDA Leader Jim Jones Resigns After 89 'Indiscriminate' Firings in Human Foods Program Attorney Kyle Diamantas Expected to Replace Jim Jones as FDA Deputy Commissioner of Human Foods FDA Spending Freeze Leaves Staffers Feeling 'Dangerously Unprepared' for Next Foodborne Illness Outbreak Federal Workforce Data Reveal Impact of Trump Admin RIFs on USDA Food Safety Expertise More Than 15,000 USDA Employees Take Trump Administration's Resignation Offer FDA Suspends Milk Quality Testing Amid Health and Human Services Cuts Entire Departments of CDC Outbreak Experts Fired, Rehired During Shutdown RIFs FDA Reportedly Reinstating Some Fired Food Safety Scientists, Inspection Support Staff Government Shutdown Affects Food Safety: HHS Furloughs Employees, FDA Pauses CORE Investigation Table Ep. 196. Dr. Lane Highbarger: How the FDA Workforce Cuts May Impact Food Safety Dozens of Prominent Food Safety Stakeholders Call for Reinstatement of NACMCF and NACMPI USDA Withdraws Proposed Regulatory Framework for Salmonella in Poultry After Years of Development USDA Indefinitely Delays Enforcement of Salmonella as Adulterant in Raw Breaded, Stuffed Chicken CDC Slashes FoodNet Surveillance From Eight Foodborne Pathogens to Two Public Health Professionals, Groups Demand Resignation of HHS Secretary RFK Jr. Trump-Appointed CDC Director Dr. Susan Monarez Fired After Clashes With Secretary Kennedy RFK Jr.'s Second in Command Named CDC Acting Director Following Sudden Firing Federal Layoffs to Hit HHS Amid Government Shutdown, May Affect Food Safety Staffers FDA Delays FSMA 204 Traceability Rule Compliance Date by 30 Months States and the "Make America Healthy Again" (MAHA) movement declare war on "toxic" food chemicals and ultra-processed foods (UPFs) [27:52]: FDA Announces Plan to Phase Out Synthetic, Petroleum-Based Food Dyes From U.S. Food Supply Bonus Episode: Diamantas and Choiniere: FDA Focuses on Produce Safety, MAHA, Culture, and More MAHA Report Sets Stage for Overhaul of Food Chemicals, Environmental Contaminants, and Childhood Nutrition What the Final MAHA Report Could Mean for Food Safety FDA Announces 'Proactive' Post-Market Chemical Review Program to Keep Food Supply Safe FDA Adds Six Artificial Food Dyes to List of Chemicals Under Post-Market Review FDA to Issue Proposed Rule Tightening GRAS Oversight FDA's Developing Rule to Tighten GRAS Oversight Moves to White House FDA, USDA Issue Joint RFI to Address the Risks of Ultra-Processed Foods California Enacts Law Defining Ultra-Processed Foods, Will Ban UPFs in Schools Food Industry Stakeholders Share Input on FDA, USDA's Intent to Define UPFs MAHA Pushback Kills 'Big Food'-Aligned Legislative Effort to Stop State Food Laws Industry Giants Support New Coalition Aimed at Stopping MAHA-Aligned State Food Additive Bans More Than 80 Groups Urge Congress Not to Block State Food Additives Bans Ep. 187. Rainer and Coneski: Evolving Legislation Around Food Packaging Chemicals and Additives—Implications for Industry Ep. 199. George Misko: The Future of Food Regulation Under MAHA Ep. 162. Brian Sylvester: How the California Food Safety Act is Shaping U.S. Food Additives Regulation Ep. 207. Brian Sylvester: Preparing for 'MAHA'-Driven Policy Changes on Food Dyes, UPFs, GRAS FDA's focus on infant formula safety and the infant botulism outbreak linked to ByHeart formula [57:44]: FDA Publishes Long-Term Strategy to Increase Resiliency of U.S. Infant Formula Market FDA Launches 'Operation Stork Speed' to Improve Infant Formula Safety, Including Contaminant Testing Infants Nationwide Hospitalized With Botulism After Consuming ByHeart Formula ByHeart Outbreak Grows: 31 Infants in 15 States Hospitalized for Botulism From Tainted Formula Infant Botulism Spike Exceeds 100 Cases, Extent of ByHeart's Involvement Unclear A History of Food Safety Failures at ByHeart, the Formula Company Behind Infant Botulism Outbreak ByHeart Finds Widespread Contamination in Infant Formula as Botulism Outbreak Grows; FDA Publishes Inspection Reports Coalition Urges RFK Jr. to Fix Infant Formula Oversight Problems that Allowed Infant Botulism Outbreak FDA Urges Industry to Improve Recall Efficiency After Delay in Removing ByHeart Formula from Stores Emerging science on Listeria monocytogenes and biofilms [1:08:26]: Study Shows Water Hoses as Reservoirs for Biofilms in Food Processing Facilities Study Demonstrates Listeria's Ability to Colonize, Survive in Preexisting Multispecies Biofilms First-of-its-Kind Study Shows How Listeria Strains Evolve Into Strong Biofilm Formers Study Explores Sanitizer Limitations Against Listeria Biofilms in Leafy Greens Production Listeria From Multispecies Biofilms More Prone to Growth in RTE Foods, Study Shows Study Shows Combining Antimicrobial Blue Light and Chemical Sanitizers Can Enhance Listeria Inactivation FAO/WHO Developing Risk Assessment Models for Listeria in Four Food Commodity Groups The ongoing Highly Pathogenic Avian Influenza H5N1 (HPAI H5N1) outbreak in U.S. dairy cattle and poultry flocks and continued monitoring to ensure food safety [1:14:09]: California Declares State of Emergency Over HPAI H5N1 Outbreak in Dairy Cows USDA Begins Five-Part National Milk Testing Strategy for HPAI H5N1 USDA Extends H5N1 Testing in Dairy Cattle; EU Releases Guidance on Avian Flu Prevention CDC: Avoid Consuming Raw Milk, as Risk of Bird Flu Infection is Low but Possible FDA-Backed Study Shows Aging Raw Milk Cheese Does Not Inactivate Avian Flu, but Low pH Helps Study Shows Avian Flu Does Not Pose Food Safety Risk in Various Pasteurized Dairy Products USDA to Invest in Farm Biosecurity, Chicken Vaccinations to Combat Avian Influenza Study Shows Acidification is Inexpensive, Easy Way to Inactivate Bird Flu in Raw Waste Milk FDA Now Requires Raw Pet Food Manufacturers to Consider HPAI in Food Safety Plans House Cat Dies After Eating Raw Pet Food Contaminated With HPAI H5N1 FDA-Backed Study Shows Aging Raw Milk Cheese Does Not Inactivate Avian Flu, but Low pH Helps H5N1 and the Growing Risk to Food Safety—Why Raw Milk Requires Special Attention FDA Begins Testing Assignment for HPAI H5N1 in Aged Raw Cow Milk Cheese FAO Encourages All Countries to Monitor for HPAI H5N1 Spread to Cattle Dutch Field Studies Show Promise for Two Experimental Avian Flu H5N1 Vaccines Federal Workforce Data Reveal Impact of Trump Admin RIFs on USDA Food Safety Expertise Growing artificial intelligence (AI) applications for food safety [1:17:57]: FAO Report Highlights Needs for Responsible AI Adoption in Food Safety Fields FDA Announces Completion of First AI-Assisted Scientific Review Pilot and Agency-Wide AI Rollout Timeline Using AI, Researchers Offer Promising Real-Time Mycotoxin Detection Method for Foods Big Data, AI, and the Coming Philosophical Challenges with Food Safety Welcome to the Machine: AI and Potential Implications for the Food Industry Ep. 193. Christian Ararat: A Global Perspective on Auditing, Certifications, AI, and Beyond Ep. 205. Black and Gabor: Digital Transformation and Emerging International Standards for Food Safety We Want to Hear from You! Please send us your questions and suggestions to podcast@food-safety.com
Matters Microbial #118: Biofilms Everywhere! December 15, 2025 Today Dr. Matthew Fields, Director of the Center for Biofilm Engineering at Montana State University, joins the #QualityQuorum to discuss ubiquitous microbial biofilms. These biofilms touch so many aspects of life on Earth, ranging from human health to engineering issues! Host: Mark O. Martin Guest: Matthew Fields Subscribe: Apple Podcasts, Spotify Become a patron of Matters Microbial! Links for this episode The website for the American Society for Microbiology's Conference for Undergraduate Educators. Highly recommended! The must-read story of Angelina Hesse, and the first use of agar to solidify microbiological media. Here is a Kickstarter project involving promoting this important piece of microbiological history. And here is a video made by former podcast guest Dave Westenberg on the Hesse agar story. An engaging video for budding #Micronauts explaining the general concept of quorum sensing in bacteria. A video overview of biofilms on Earth. Perhaps we should call Earth "Planet Biofilm"! Here is an older review of biofilms that is very easy to read and fun to think about. Here is a newer review of the impact that biofilms can have in health, agriculture, industry, and ecology. A video interview with the late "father" of biofilm research, William J. Costerton. The concept that stromatolites are fossilized biofilms. A video describing the biofilm "life cycle." Recent developments in the details of how biofilms form. An article on biofilms and evolution of multicellularity. Previous podcast guest Dr. Vaughn Cooper's "Evolving STEM" outreach project that places biofilms front and center. The challenge of antibiotic resistance and biofilms. The website of the Center for Biofilm Engineering at Montana State University. There is so much to see here, at every level. It is a grand resource for anyone interested in biofilms. The Center for Biofilm Engineers "fact page" on biofilms. Dr. Fields' research page, where you can find information about the kinds of projects discussed today. An engaging video from Dr. Fields institution on biofilms. Dr. Fields' faculty page. Intro music is by Reber Clark Send your questions and comments to mattersmicrobial@gmail.com
In this episode of the HVAC Know It All Podcast, host Gary McCreadie talks with Jeff Ponce, Senior Product Manager at RectorSeal, about Clear Drain PVC and the science behind better condensate management. Jeff explains how traditional PVC drain lines develop clogs caused by bacteria and biofilm buildup and how Clear Drain PVC solves this with a hydrophobic surface that prevents growth. They discuss why zinc is used in the product, how it creates a slippery surface instead of killing bacteria, and the research and development behind its creation. Jeff also shares how the product was first used in grocery store refrigeration systems in Europe and how it is now helping HVAC contractors prevent costly water damage and maintenance issues. This episode discusses the challenges HVAC technicians face with condensate drain management and how new technology can prevent common clogs. Jeff Ponce from RectorSeal explains how Clear Drain PVC was created to stop bacteria and slime from sticking inside pipes. He shares how the zinc mixed into the PVC fills tiny pores, creating a smooth, slippery surface that keeps drains clean. Jeff also talks about how the product was first used in grocery store refrigeration systems in Europe and later tested for HVAC use in the United States. His focus is on helping contractors reduce maintenance issues, prevent water damage, and keep systems running efficiently. Expect to Learn: How condensate drain problems start and why they cause major HVAC issues. Why do traditional PVC pipes allow bacteria and biofilm to grow inside? How Clear Drain PVC from RectorSeal prevents buildup with a smooth, hydrophobic surface. The role of zinc in creating a safer and more effective drain solution. How this technology was developed, tested, and proven in real-world HVAC and refrigeration systems. Episode Highlights: [00:00] - Intro to Jeff Ponce [02:09] The problem with condensate drain lines [04:11] Why Perfect Systems Still Get Clogged [06:09] Copper vs. aluminum coils and drain pan solutions [10:06] Clear Drain PVC: The "Slip & Slide" Solution [13:04] The Science of Biofilm and How Clogs Form [18:36] The Grocery Store Origin Story [24:35] Water damage from clogged drains This Episode is Kindly Sponsored by: Master: https://www.master.ca/ Cintas: https://www.cintas.com/ Cool Air Products: https://www.coolairproducts.net/ property.com: https://mccreadie.property.com SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at SupplyHouse! Follow the Guest Jeff Ponce on: LinkedIn: https://www.linkedin.com/in/ponce-jeff-12109/ RectorSeal: https://www.linkedin.com/company/rectorseal/ Follow the Host: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/ Instagram: https://www.instagram.com/hvacknowitall1/
Entamoeba histolytica nearly ended Ron Blutrich's scientific career. Instead, it pushed him to rethink how we protect people in multi-family buildings, senior facilities, and dense urban centers from invisible microbiological risks in their drinking water. In this episode, he joins host Trace Blackmore to unpack what whole-building UV can (and can't) do for Legionella, biofilm, and real-world water safety. When One Bad Cup of Water Redefines a Career In the middle of his PhD in molecular genetics, Ron drank from an under-sink reverse osmosis tap at an Airbnb and contracted Entamoeba histolytica. The infection triggered more than three years of severe gastrointestinal symptoms and a 100-pound weight loss, despite being "clinically cured." That experience—and the lack of clear answers—led him to dig into how governments, utilities, and buildings actually manage microbiological risk in water. He discovered that even in urban centers, there is "a lot left to be desired" in monitoring, guidelines, and the epidemiology of waterborne disease. UV at the Point of Entry: Why Medium Pressure Matters Ron explains why he chose UV as the primary disinfection tool for CLEAR's whole-building solutions. He contrasts conventional filters (carbon, RO, media) that remove contaminants but do not kill biology with UV systems that directly target DNA and other cellular structures. He walks through the differences between low-pressure and medium-pressure UV, including temperature independence for hot water recirculation and the broader wavelength spectrum that can damage DNA, proteins, membranes, and even DNA repair enzymes. That same technology is being used for multicellular control in marine environments, ballast water, and mollusk control, and Ron argues it is uniquely suited to domestic hot water systems facing Legionella and biofilm. Legionella, Biofilm, and the Limits of "Good Enough" Drawing from CLEAR's field work, Ron describes how often Legionella shows up in single homes, condos, and new buildings, and how standard practices typically focus on remediation and short-term clearance instead of long-term prevention. He highlights the gap between ASHRAE 188's recommendations for hot water temperatures and real constraints in senior housing, where anti-scalding concerns keep tanks too cool to reliably control Legionella. He also shares stories of property managers and public agencies reluctant to test because they lack cost-effective treatment options or don't want to confront what the data might show. Scaling UV from Towers to Single Homes Ron walks through why conventional media and RO systems don't scale well to large towers—footprint, cost, and pressure loss—and how CLEAR instead installs inline UV systems at the point of entry. These systems can handle up to roughly 2,000 gallons per minute, require minimal head loss, and are designed as a single point of installation and service. From there, he explains how his team layered on monitoring and a tenant-facing dashboard so that properties can see UV dose, transmittance, and flow in real time, and service can be triggered based on performance instead of fixed schedules. He also discusses emerging opportunities in UV LEDs and next-generation media that could make fully comprehensive point-of-entry treatment feasible in more buildings. For leaders responsible for building portfolios, senior living, or high-density residential properties, this conversation offers a rigorous look at what it really takes to move from "we hope the water is fine" to a defensible, data-backed stance on microbiological safety. Stay engaged, keep learning, and continue scaling up your knowledge! Timestamps 04:59 - Trace talks about skipping turkey and ham this year and explains his usual turkey-stock "ice cube" tradition 13:59 - Trace introduces today's lab partner, Ron Blutrich of Clear Inc., and sets up the UV-in-buildings topic 13:03 – Events page shout out 10:57 - Water You Know with James McDonald 16:21 – Drinking from an under-sink RO line at an Airbnb, contracting Entamoeba Histolytica 19:15 - Why unmaintained RO and carbon filters can increase microbiological risk 23:27 - UV to keep post-UV systems cleaner 34:51 – Installation 40:23 – Cyanotoxins, Great Lakes algal blooms, and using medium-pressure UV to denature toxins, not just microbes 43:31 – Ron's current habits 48:08 – Future Opportunities: UV LEDs 49:04 – Multi-spectral UV LED arrays Quotes "And what I learned really changed my life, because what I understood is that even in urban settings, not just in remote communities, there's a lot left to be desired when it comes to water quality, water quality treatment, guidelines, monitoring" - Ron Blutrich "I think that in general, we need to understand with our eyes open exactly what it is that we do when we treat." - Ron Blutrich "So generally, there's a lot left to be desired in terms of what we're trying to do for Legionella. It turns out that Legionella is extremely susceptible to UV. Legionella can be reduced almost 6 logs with most conventional UV systems" - Ron Blutrich "So, at this point, our UV systems, it's an inline system. It's basically a section of pipe that happens to disinfect the water going through it. It's a single point of installation, a single point of service. There's no head loss, there's no pressure loss" - Ron Blutrich Connect with Ron Blutrich Email: ron@clear.inc Website: Clear - UV Treated Purified Water at Point of Entry LinkedIn: https://www.linkedin.com/in/ron-blutrich-50262b2a3/ Guest Resources Mentioned ORIGINS OF ORDER: Self-Organization and Selection in Evolution by Stuart Kauffman Pale Blue Dot: A Vision of the Human Future in Space by Carl Sagan Clear Inc – Whole-Building UV Water Purification Entamoeba histolytica Infection CDC Household Water Treatment EPA Guidance Manual: Filtration and Disinfection Requirements WQA Guidance for Sanitizing Residential Treatment Systems Application of Ultraviolet Light-Emitting Diodes (UV-LED) to Full-Scale Drinking-Water Disinfection Wilderness Medical Society Clinical Practice Guidelines on Water Treatment for Wilderness, International Travel, and Austere Situations Scaling UP! H2O Resources Mentioned AWT (Association of Water Technologies) Scaling UP! H2O Academy video courses Submit a Show Idea The Rising Tide Mastermind Water You Know with James Question: What is the interaction called when chemicals react on a mole-to-mole basis that could possibly be considered the opposite of the Threshold Effect? Events for Water Professionals Check out our Scaling UP! H2O Events Calendar where we've listed every event Water Treaters should be aware of by clicking HERE.
Send us a textEpigenetics & Hair loss ~ Building a timeline of investigation Bissan Debsi believes in working to support long term hair health.She worked at Stanford Uni as a research assistant looking into Alzheimer's. PRP was just coming into practice at this time, and she began to take an interest in hair growth. She then worked with a hair transplant surgeon in Dubai, and later California.She wanted to look more into the root cause of hair loss and address the hair loss itself, so she studied trichology with the IAHM.She wanted to look for more solutions within, so she studied Functional medicine, which she integrates into her practice. She also uses bioscan technology & epigenetics to help with her diagnoses.Bissan also shares her knowledge on biofilm on the scalp, and gives us her tips for healthy hair in winter!Connect with Bissan:LinkedInWebsite Hair & Scalp Salon Specialist course Support the showConnect with Hair therapy: Facebook Instagram Twitter Clubhouse- @Hair.Therapy Donate towards the podcast Start your own podcastHair & Scalp Salon Specialist Course ~ Book now to become an expert!
As a dental hygienist, we help our patients manage dental biofilm to support the efforts to reduce the risk of decay and periodontal disease, The dental hygiene student needs to understand how the dental biofilm forms and develops. In this episode, we will review the acquired pellicle, dental biofilm creation, and composition of biofilm.
Eyelid health - with optometrist Dr. Pam Theriot! -Remibrutinib for chronic spontaneous urticaria -Making wicks for cryo -Congenital morphea -Biofilms and biological glues in CARP -Check out Luke's Urticaria CME experience!aaaaicsu.gathered.com/invite/KQe1wPZbJYLearn more about the U of U Dermatology ECHO model!physicians.utah.edu/echo/dermatology-primarycareWant to donate to the cause? Do so here! Donate to the podcast: uofuhealth.org/dermasphere Check out our video content on YouTube: www.youtube.com/@dermaspherepodcast and VuMedi!: www.vumedi.com/channel/dermasphere/ The University of Utah's Dermatology ECHO: physicians.utah.edu/echo/dermatology-primarycare - Connect with us! - Web: dermaspherepodcast.com/ - Twitter: @DermaspherePC - Instagram: dermaspherepodcast - Facebook: www.facebook.com/DermaspherePodcast/ - Check out Luke and Michelle's other podcast, SkinCast! healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: - Kikoxp.com (a social platform for doctors to share knowledge) - www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!
In this encore episode, we detail Small Intestinal Fungal Overgrowth (SIFO), with a focus on fungal biofilm formation and its role in promoting microbial persistence and evasion of host immune responses. We discuss the phenotypic plasticity of Candida species, as well as biofilm matrices adherent to the intestinal mucosa. We further highlight common symptoms of SIFO as well as the effects of hypochlorhydria, impaired motility, diminished commensal bacterial populations, and weakened mucosal immunity.Topics: 1. Introduction- Focus on the gut mucosal barrier.- Emphasis on Small Intestinal Fungal Overgrowth (SIFO) and biofilms.2. Intestinal Barrier Anatomy- The mucosa: epithelium, lamina propria, and a thin band of smooth muscle.- The epithelial layer.- Covered by protective mucus composed of mucin glycoproteins secreted by goblet cells.- In the small intestine: less dense mucus.3. Epithelial Integrity- Tight junctions.- Paracellular barrier preventing uncontrolled antigen passage.4. Lamina Propria5. Overview of Small Intestinal Fungal Overgrowth (SIFO)- SIFO involves fungal overgrowth in the small intestine, commonly Candida species.- Small intestines: Low microbial density due to motility, gastric acid, bile acids, immune surveillance, and more.- Contributing factors: hypochlorhydria, impaired motility, reduced digestive enzymes, diminished competitive flora, lowered immunity, and more.6. Candida Pathogenicity- Candida exhibits phenotypic plasticity: yeast and hyphal forms.- Biofilm formation.7. Biofilm Formation- Biofilms are structured communities of microbes within a self-produced extracellular matrix.- Resistance to antimicrobials and immune defenses.- Can develop on intestinal mucosa and in various other regions.8. SIFO and SIBO Overlap- Root causes and overlap between SIFO and Small Intestinal Bacterial Overgrowth (SIBO).- Common symptoms.9. Gastric Acid in More Detail- Stomach epithelium includes mucous, parietal, chief, and enteroendocrine cells- Parietal cells secrete hydrochloric acid.- HCl denatures proteins and aids in inhibiting pathogens.- Hypochlorhydria: possible causes. 10. Downstream Effects of Low Acid11. Gut Motility in More Detail- Motility involves rhythmic smooth muscle contractions.- Enteric nervous system (ENS): myenteric and submucosal plexuses.- Dysautonomia and motility.12. SIFO Contributing Factors13. Candida Regulation- Candida in unicellular yeast form under homeostatic regulation.- Controlled by microbial competition, host defenses, antifungal peptides, and more.14. Role of Mucus and sIgA- Mucosal immunity and Candida populations.- Low sIgA levels.15. Conclusion- Mucosal barrier structure.- SIFO and Candida.- Biofilm formation, microbial persistence, and mucosal disruption.- SIFO and SIBO.- Multifactorial nature of fungal dysbiosis, types of biofilms, and small intestinal overgrowth.Thank you to our episode sponsor: 1. Shop O-Liv High Phenolic Extra Virgin Olive Oil and O-Liv's Olive Oil Supplement. *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.Thanks for tuning in!Get Chloe's Book: "75 Gut-Healing Strategies & Biohacks" Follow Chloe on Instagram: @synthesisofwellnessFollow Chloe on TikTok: @chloe_c_porterVisit synthesisofwellness.com
Dr. Hoffman continues his conversation with clinical pharmacist, author, board-certified clinical nutritionist, and health expert Jim LaValle on the many health benefits of aged garlic extract.
Clinical Pharmacist, Author, Board-Certified Clinical Nutritionist, and Health Expert Jim LaValle details the many health benefits of aged garlic extract, particularly its impact on periodontal disease. He reveals exciting new research findings that show Kyolic Aged Garlic Extract supplements can significantly reduce periodontal pocket depth -- a key indicator of gingivitis and periodontal disease progression. He also highlights the role of aged garlic extract in reducing inflammation and improving gum health, which in turn has significant implications for cardiovascular and cognitive health. The conversation also touches on various formulations of aged garlic extract available from Kyolic, the importance of integrative approaches to health and wellness, and updates on the latest trends in anti-aging medicine, including peptides and GLP-1 agonists.
Dr. Hoffman continues his conversation with Nathan Jones, CEO of Xlear, Inc.
Nathan Jones, CEO of Xlear, Inc., details the benefits of xylitol in dental and respiratory health products such as nasal sprays and chewing gums under the Spry brand. Nathan advocates for the FDA to allow anti-cavity claims for xylitol and other compounds despite the current monopoly of fluoride in such claims. They question the efficacy and potential downsides of fluoride, and explore alternative dental health interventions. The episode also covers xylitol's role in preventing tooth decay, respiratory health benefits during the COVID-19 pandemic, and ongoing legal challenges with the FTC. Discussions highlight the potential implications of oral health on systemic diseases like cardiovascular disease and Parkinson's, and emphasize the importance of nasal hygiene alongside dental care.
Matters Microbial #116: Microbes in the Concrete Instead of the Abstract November 14, 2025 Today Dr. Julie Maresca, Associate Professor in the Department of Chemistry at the SUNY College of Environmental Science and Forestry joins the #QualityQuorum to discuss how bacteria can interact with a ubiquitous part of modern life: concrete! Host: Mark O. Martin Guest: Julie Maresca Subscribe: Apple Podcasts, Spotify Become a patron of Matters Microbial! Links for this episode Hartiful, the vendor that makes the enamel pins I often show on the podcast. An overview of microbes and the "built environment." An article about how concrete is made. A video on how concrete is made. The concept of "self repairing" concrete. An overview of the microbial limits to life with regard to pH. A description of alkalinophilic bacteria. Biofilms that form on concrete. Difficulties in obtaining DNA from rock. An overview of oligotrophic microbes. The alkali-silica reaction in concrete. Challenges of road salt and concrete. An overview of halophilic microbes. An overview of xerophilic microbes. The concept of SLiME communities. The term aeonophiles. Is "Roman" concrete self-repairing? A company that produces "microbial concrete." An article relevant to today's discussion by Dr. Maresca and colleagues. Dr. Maresca's faculty website. Dr. Maresca's wonderful and artistic research website. Intro music is by Reber Clark Send your questions and comments to mattersmicrobial@gmail.com
Tom Black is the First Assistant Secretary of the Exports and Veterinary Services Division at the Australian Government's Department of Agriculture, Fisheries, and Forestry. In this role, he is responsible for regulating and facilitating Australia's exports of animal commodities and certified organic products, while also providing the overarching technical food safety framework for both food exports and imports. Tom leads the Australian Government's bilateral and multilateral technical market access negotiations for these commodities and represents Australia in international standard-setting forums, including the Codex Alimentarius Commission. He has over 20 years of experience in government and is currently the Australian delegate to the Codex Alimentarius Commission. He also serves as Chairperson of the Codex Committee on Food Import and Export Inspection and Certification Systems (CCFICS). Gabor Molnar, Ph.D. is an Industrial Development Officer at the United Nations Industrial Development Organization (UNIDO), technically leading UNIDO's food safety work. As part of his responsibilities, Dr. Molnar designs and implements food safety capacity-building initiatives, mostly in Asia and Africa. He also represents UNIDO in various global forums, including the Codex Alimentarius Commission. Dr. Molnar is the main organizer of the Vienna Food Safety Forum (VFSF) and specializes in the domain of digitalization for food control and safety systems. Dr. Molnar holds a Ph.D. from Université Laval, as well as multiple master's degrees and certifications. In this episode of Food Safety Matters, we speak with Mr. Black and Dr. Molnar [32:51] about: Emerging trends in international food safety standards and regulations, and how digitalization and AI are informing these trends How regulators are incorporating emerging, global trends into the future of food safety The experiences and responses of developing countries to emerging food safety guidelines and standards that are based on trends driven by industrialized nations, including challenges to and solutions for adoptions CCFIC's focus areas related to food safety guidelines and best practices in the context of an increasingly digitalized world The specifics and importance of UNIDO's work UNIDO's new approach to food safety, "Food Safety 2.0," and how the organization works with countries and industry worldwide to implement this approach The origins and history of the Vienna Food Safety Forum, who participates in the forum, and learnings from the 2025 forum Potential dangers posed and questions raised by the growing application of AI in food safety work A sneak peek at the 2027 Vienna Food Safety Forum. News and Resources News Food Industry Stakeholders Share Input on FDA, USDA's Intent to Define UPFs [3:58] Industry Giants Support New Coalition Aimed at Stopping MAHA-Aligned State Food Additive Bans, More Than 80 Groups Urge Congress Not to Block State Food Additives Bans [14:30] Fast Food Employee Survey Reveals Serious Food Safety Problems, Pressures to Work While Sick [23:07] Study Shows Water Hoses as Reservoirs for Biofilms in Food Processing Facilities [27:58] Resources Vienna Food Safety Forum Vienna Food Safety Forum 2025 Concludes With a Call for Smarter, Inclusive Food Safety Systems Through Digitalization Codex Committee on Food Import and Export Inspection and Certification Systems (CCFICS) We Want to Hear from You! Please send us your questions and suggestions to podcast@food-safety.com
This week we dive deep into the science of biofilm — the invisible barrier protecting mold in your home. Our experts explain why bleach and surface cleaners can't eliminate mold at its source, and how Pure Maintenance's dry fog technology changes the game for real, lasting results.
In this episode, I sit down with Terry Arko from HASA to dive deep into one of the toughest pool problems out there — chlorine-resistant algae, including the dreaded black algae that laughs at your shock treatments. We talk about why some algae survive even in well-maintained pools, how biofilms protect them, and what steps actually work to beat them for good. Terry shares his expert insight from decades in the field, breaking down the myths and science behind stubborn algae blooms. If you've ever felt like your chlorine isn't doing its job, this one's a must-listen.Send us a textSupport the Pool Guy Podcast Show Sponsors! HASA https://bit.ly/HASAThe Bottom Feeder. Save $100 with Code: DVB100https://bit.ly/THEBOTTOMFEEDERTry Skimmer FREE for 30 days:https://getskimmer.com/poolguy Get UPA Liability Insurance $64 a month! https://forms.gle/F9YoTWNQ8WnvT4QBAPool Guy Coaching: https://bit.ly/40wFE6y Thanks for listening, and I hope you find the Podcast helpful! For other free resources to further help you:Visit my Website: https://www.swimmingpoollearning.comWatch on YouTube: https://www.youtube.com/@SPLPodcast Site: https://the-pool-guy-podcast-show.onpodium.com/ UPA General Liability Insurance Application: https://forms.gle/F9YoTWNQ8WnvT4QBA Pool Guy Coaching Group Join an exclusive network of Pool Service Technicians to access the industry's leading commercial general liability insurance program. Protect your business. Premium is $64 per month per member (additional $40 for employees and ICs) $59 per month for Pool Guy coaching Members - join here! https://www.patreon.com/poolguycoaching Limits are $1,000,000 in occurrence and $2,000,000 in the aggregate - Per member limits [ $1,000,000 per occurrence and $4,000,000 aggregate available for $75 per month ] $50,000 in HazMat Coverage - clean up on-site or over-the-road Acid Wash Coverage - Full Limits
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