Podcast appearances and mentions of bristol stool

In this episode, James provides an overview of a medical procedure called intestinal microbiota transfer (IMT), also known as a ‘stool transplant' or ‘faecal microbiota transplantation (FMT)' amongst other descriptive nomenclature. IMT involves the transfer of microorganisms into the intestinal tract of a recipient with the intention of modulating the microbiome in the recipient in a positive manner, and in turn, influencing disease processes and health in a positive manner. James describes a brief history of IMT, the various forms of IMT and how the procedure has evolved over time. Transcript: 00:00:00:03 - 00:21:05:48 Hello, everybody. It's James here. And this is the first Biome Bite. The Biome Bites are shorter. Podcasts hosted by me and in Biome Bites, I'm the only guest, so essentially it's just me talking to you as the listener.   Today's episode will focus on something we've talked about a lot on the podcast, something called fecal microbiota transplantation, also known as FMT.   You may have heard of it referred to as stool transplantation, poo transplantation. Intestinal microbiota transfer, intestinal microbiome transplantation and potentially even other things I may not be aware of. And you've probably thought, what is that? You may have heard of it before and you want it and want more information.   So in today's Biome Bite we're going to give an overview of FMT, also known as IMT. If you refer to it as intestinal microbiota transfer, which is my preference and I'll get on to that in this episode. In subsequent Biome Bites relating to FMT, IMT, I'll dig deeper and talk through the latest evidence as well as how the industry is developing. So let's start with the basics of the basics.   What is FMT IMT?   FMT, and I'll just refer to it from now on in this episode as FMT is a medical procedure in which microorganisms are moved into the intestinal tract of a recipient with the intention of preventing treating, curing a disease or a condition.   Now, where do the microbes come from?   The microbes come from the stool, hence the name fecal microbiota transplantation. And that stool can either be derived from the person who's receiving the FMT, as in it's coming from themselves and going into themselves. And that's called an autologous FMT.   Or it can come from a related, unrelated, healthy, some cases even unhealthy. And I'll get to that in a later episode, the donor and in this case, when it's not come from the person who's receiving the microorganisms which are derived from the stool, it's called allogeneic. And you can look up the definitions of those words, but essentially they relate to the source of the material that's been moved in to someone else.   We also see in the case of allogeneic, it can come from more than one donor, so it can be mixed. I've seen in the medical literature it coming from up to seven donors in a trial in which they administered FMT to patients suffering from ulcerative colitis, a form of inflammatory bowel disease.   So I think it's important to understand that it's a procedure and it's not a medicinal product in itself. What's medicinal about FMT is the microorganisms that are being administered as part of the procedure.   Now we can ask ourselves, when did FMT first originate? Who was the first person to do it?   And the answer to that question is, is not actually that clear. And it's probably much older than you might think. So in 2022, we're doing FMT routinely for patients suffering from nasty infections associated with a bacterium called C difficile, also known as Cdif.   There's also been a large number of clinical trials in other disease areas like ulcerative colitis, as   I just mentioned, but also irritable bowel syndrome, IBS. And patients suffering from various different types of cancer as a means of improving how they respond to cancer drugs. And that's just a very, very small segment of all the possible indications in clinical trials.   So actually, the first recorded cases of FMT seem to originate back to ancient China, probably fourth or fifth century. And they prescribed this suspension of microorganism called yellow dragon soup.   In other areas of medicine, such as the veterinary world, FMT is performed reasonably routinely as a means to treat mastitis, for example, and colitis in horses and cows. And you may also be aware of the fact that some animals perform something called coprophagia. Essentially the consumption of feces as just part of being themselves.   Why do they do that?   I think there's lots of different theories, but what I'm trying to say is it's not totally unprecedented for mammalian species, i.e. humans and others, to essentially get microbes from other sources to potentiate or improve their health and well-being. And it might be that we've actually evolved to benefit from the consumption of microorganisms in this manner.   So you might be wondering how do the microorganisms get into the patient? How is it administered? How is it prepared, so and so on?   And I'll give a high-level overview of all of that now and in later. Biome Bites will cut out sections of the whole process of finding a donor and administering the microorganisms and what happens after cut it up and then do deeper dives into each individual area so, a donor provides a stool sample.   And that donor, typically, if they're not related to the patient, would undergo a series of screening tests to make sure that they're free of disease. And there if they're related to the patient, some people, some clinicians, whoever is providing the FMT or at least providing the material that's used to manufacture and ultimately produce the microbes that are used in FMT, take the view that if they're related to the recipient, then there's less of a need to screen because they live together.   And as a result of that, they are probably carrying the same bugs. Now, that said, the more and more we understand about FMT the more and more realize that donor screening is fundamental and extremely important in the context of making sure that what's being administered is safe. And even if donors are relatives now typically they're screened in the same way as an unrelated person would be.   So what does this screening involve?   Well, it's trying to reduce the risk as far as practically possible of an objectionable organism, also known as a pathogen being present within the stool donation and reducing the risk as far as possible of the kind of global microbial community profile being pro-inflammatory or being conducive to the development of a microbiome mediated disease.   What do I mean by that? And what I mean by that is that we have observed that the microbiome changes in large numbers of patients with diseases?   I'll just name a few. Multiple sclerosis, obesity, type two diabetes. And it may be that these changes that we've observed are actually driving the disease processes. Therefore, you probably wouldn't want to transfer microorganisms from someone suffering from type two diabetes into someone suffering from something else, because you might then trigger processes that could ultimately lead to type two diabetes.   If you see what I mean and there's no easy way of characterizing that other than making sure that the donor doesn't have type two diabetes.   So there's a whole raft of questionnaire-based screening procedures and questions that exist to reduce the theoretical risk of the transfer of microbiome-mediated disease through the microorganisms that are administered as part of FMT.   The other elements relate to objectionable organisms, pathogens. And what we do is we ask people if they've traveled. We ask about their sexual history. We ask if they currently have an infection or the feeling well fit and healthy on the day of donation. So and so on. We also extensively screen their blood and extensively screen their stool.   And you might be thinking some of that sounds quite familiar. It sounds a little bit like blood transfusions and what I've done or what I've heard people do as they go to donate blood. And there's a lot of parallels actually, between donors for FMT and Donors for blood transfusion. Now, the purpose of this Biome Bite is to give a high level overview.   So I'm going to kind of stop there and not go any deeper into what kind of pathogens we look for, what kind of tests we do, how frequently do we do it. That will form the basis of a much more detailed discussion at a later date. So we've tried to make sure that the microorganisms are safe.   We've talked about it coming from a patient in the form of an autologous procedure or a donor or multiple donors in the form of an allogeneic procedure. The benefits of an allogeneic procedure, for example, over an autologous is that you might be trying to change the microbiome in a particular kind of way that possibly couldn't be achieved if you're just giving yourself your own microorganisms back.   Now, how are the microorganisms manufactured? Do they just sort of take a stool sample and do one or two things and then trying to get it into the patient? Or do we do a large number of different manipulations and processes?   So historically, we had a rather unsophisticated, quite crude methodology, and it was really just about getting the stool sample into suspension. Now you might be thinking, Well, if it's just into suspension, why do not just get runny sort of diarrhoea type stools? Well, the reason we don't do that and we have cut offs is related to something called the Bristol Stool score or the Bristol stool chart.   And the cutoffs really relate to is this person is potentially constipated or does this person have diarrhoea. And we wouldn't accept either, because constipation and diarrhoea can be proxies for infections or problems within the gut that might make the microorganisms essentially unsafe in the context of FMT.   So historically, it used to just be about creating a suspension   What we now try and do is try and remove the non-microbial components, so basically fibres from the stool sample and try to basically distil down to the microorganisms only. The stool is actually quite a complicated substance that includes undigested foods, a variety of microorganisms, bacteria, viruses, fungi and small viruses that infect bacteria called bacteriophage, as well as other components that you may have ingested. For example, in smokers, sometimes you can find ash in stools and things like mucus and antibodies, colonocytes, which are elements of the inner lining of the intestine, so and so on.   So the purpose of the processing is to try and distil down or maybe distil is the wrong word.   But what we're trying to do is remove the microbes and the microbial elements from the non-microbial elements, because it's the microbial elements that we're most particularly interested in the context of FMT, because we're trying to change the recipient's microbiome.   So how do we do that? We do a series of processing steps under typically controlled conditions. We want to, as best as possible, replicate the intestinal environment, which is anaerobic, so oxygen-free. And interestingly, we want to protect the microorganisms that have been donated as much as possible and keep them alive, which is very different to a traditional pharmaceutical manufacturing process where you don't want there to be any bacteria in there at all. Sometimes you want it to be completely sterile if you're injecting it, for example, in someone's vein.   So what we want to do is not only keep the microorganisms alive, but we also want to make sure that no microorganisms from the environment can enter into the sample. So it's quite complicated and quite challenging.   The suspension of microorganisms then goes through subsequent processing steps and typically these days is either stored frozen as a suspension or is taken through some sort of drying process where the aqueous component is removed. And we produce a powder.   Historically, and it doesn't really happen so much anymore, Processing would happen essentially on the day of donation and recipients would get the FMT the same day. And that's typically described as being fresh versus frozen. I'm not so keen on the fresh nomenclature, but you kind of get the picture.   It's done on the day and it's not stored, frozen or banked  Earlier on in the field of FMT we did a lot more on-the-day type processing rather than storing anything and then giving it at a later date. So instead of creating a bank or an inventory of processed material that could be administered, it was typically done on the day. And that's because no one had really compared to see if a frozen sample is less effective or more effective than a fresh one.   And typically what was seen in the scientific literature and research was that Frozen was pretty much as good as fresh in the context of a C difficile infection or prevention of recurrence of C difficile infection. So based on that, people started to do frozen a lot more and we started to move away from relatives to anonymous type donors. There's also benefits associated with anonymous donors as well.   What happens after we've managed to distill the microorganisms and either produce the frozen suspension or produce the powder?   Typically the powder is encapsulated and FMT as a procedure is associated with a number of medical procedures, like a colonoscopy, which is a tube that goes up the back passage like a nasal gastric nasal duodenal.   The first part of the small intestine or nasal mid-part the small intestine tubes, which go up the nose through the stomach and into these parts of the intestine. And the microorganisms are essentially pushed into the patient through these tubes. And they arrive at some point in the intestinal tract where if it's going up the back passage, it's going into the colon, the large bowl, if it's going from top to bottom, it typically goes into the bottom part of the stomach or to the small intestine.   And there's been a variety of research over the last ten years comparing upper GI delivery versus lower GI delivery. What's more effective? What's less effective? So and so on. Typically, the evolution has been from an enema or nasal duodenal through to a capsule, which is typically what we're doing now    Some clinicians prefer colonoscopy because you can also visualize the colon at the same time, and that's quite useful. In things like C difficile infection or colitis, where visualizing the inner aspect of the colon gives you an indication of how severe the patient's condition disease infection actually is.   That's the most established use case. Interestingly, in terms of history, I think that the first recorded case of FMT in modern medicine, which was published in 1958 by a gentleman called Mr. Ben Eiseman, the chief surgeon at Denver General Hospital. He administered FMT probably for patients suffering from C Diff although it wasn't really known as C Diff at the time.   And there was a little bit in the in the literature following on from that in patients with ulcerative colitis. But we didn't really see that much FMT until 2013 when there was a landmark randomised controlled clinical trial, the gold standard of medical evidence which essentially showed that FMT plus antibiotics in these patients who had an overgrowth of C difficile, a nasty hospital acquired bug. typically hospital acquired bug did much better than patients who just received antibiotics alone.   And it kind of broke the cycle of patients who were getting recurrence. So what was happening with these patients as there were too many bad bugs in the case of C difficile, too little good bugs. So there was like too many weeds in the garden. Those bad bugs were producing toxins. The toxins were inducing inflammation. Sometimes the patients were going on to die and if they were treated with antibiotics, they got the FMT, after which replenished the garden with all the healthy, with all the healthy plants. And as a result, the weeds couldn't grow and out-compete and take up all those biological niches.   So that trial spurred a huge wave of interest in FMT. It catalysed lots of funding, company formation. And since then we've seen hundreds of clinical trials, hundreds of publications and many companies and patents filed following on from them.   Okay, so why would somebody need an FMT? Why would someone benefit from an FMT? Why is it done really for anything?   So each of us has something called a microbiome, a term used to describe communities of microorganisms, their collective genomic potential through all of their genes and their theatre of functional activity and essentially what we now know is that changes to the microbiome in terms of composition and function are associated with likely contribute to and in some cases are probably the cause of development of disease, some of which are really underserved in terms of treatment options.   So the theory, the thinking is that in patients with microbiome perturbance the change and disease linked to changes to the microbiome, if we can change their microbiome back to a healthy state, then we might be able to alleviate symptoms and ideally cure the disease, which is currently incurable based on currently available medical therapies. And there's a variety of different ways we can change our microbiome.   But FMT represents one such avenue that is quite dramatic. We're taking something communities from a healthy person or from someone before they've had a disease or change in the case of autologous FMT and giving it back to them. So it's a rapid sudden change to their microbiome reversion, hopefully back to something that's healthy. The human colon is an incredibly efficient fermentor system, and within each stool that we produce, roughly 50% of it is microbial. One times 10 to the 12 bacteria.   Think about how many zeros that is per stool donation. So it's it is a really incredible, well, efficient way to capture large numbers of potentially therapeutically active bacteria before instilling them into someone else. So what have we talked about?   We've talked about what FMT is, we've talked about how the microorganisms instilled through FMT are typically prepared and stored.   We've talked about how the microorganisms are administered and we've also talked about essentially the most well-established indication for FMT in the form of C Difficile infection. We've also brushed on some of the history, which is really extremely interesting, and I think that's probably a good overview for now.   And in later Biome Bites, we're going to dig deeper in each of these key areas. I hope you've enjoyed this brief overview of what is FMT. If you have questions, please feel free to send them to me. or tweet, connect with me on social media. I'd be very happy to try and answer them on a subsequent podcast.

Inger and Jason have been busy, you know - the usual. Inger has been deep in three minute thesis land (ie: the annual ANU 'high school musical') and Jason paid $250 to learn he doesn't have to have surgery (yay!).There's only a little bit of 'old people complaining about their health' in the first bit before they listen to a speak pipe from Tseen Khoo (17:14). Tseen has finally read and reviewed the Navy SEALs romance that Inger sent her, and points out the trope that  ruins the book for Inger, forever (and how well the hero fills out his Dress Whites). Tseen's expert review forces Jason to finally Share His Feelings about 'Ordinary Everyday Jones', the Navy SEALs romance Inger sent him at the same time. Needless to say, He has Notes and finds the book terribly confusing... but does actually admit it was a fun read.  Look, this whole bit goes on much longer than expected, but hopefully it's the review that Inger's friend Nick Hill has been waiting for!The duo move on to their work problems segment (35:48) where they do a Bristol Stool chart analysis of 'The 80/20 principle: how to work less and achieve more' by Richard Koch. Inger prepared an On The Reg discussion guide, complete with the Bristol Stool chart so the pair could do an accurate bullshit rating. Inger reckons that Richard needs to knock off the single malt whiskey a bit, while Jason talks her into seeing the valuable bits amongst all that rampant capitalism.Finally the pair get to two minute tips (1:26:17). Jason talks about bomb disposal and reports back on the timers he bought the other week. Inger talks about how a colleague nearly killed her laptop by knocking over a bottle of water and takes the opportunity to wax lyrical about backup plans.Things we mentioned:Get Lucky by Suzanne BrockmannEveryday Average Jones - Suzanne Brockmann (on GoodReads)The 80/20 principle by Richard Koch.The On The Reg discussion guide for the 80/20 principle (complete with Bristol Stool chart - beware!)Darling, M, Parry, C & Moore, J 2005, 'Learning In The Thick Of It', Harvard Business Review, vol. 83, no. 7/8, pp. 84–92'Don't Ditch Your Paper Calendar' October 9, 2022, Harvard Business Review, vol. Leave us a message on www.speakpipe.com/thesiswhisperer. Email Inger, she's easy to find. You will not be able to find Jason's email (he likes it that way).Talk to us on BlueSky by following @thesiswhisperer and @drjd. Inger is sadly addicted to Threads, but cannot convince JD to join. You can find her there, and on all the Socials actually, as @thesiswhisperer. You can read her stuff on www.thesiswhisperer.com. You can support the pod by buying our Text Expander guide for academics from the Thesis Whisperer website.

Rachael is a warm, friendly, passionate, and open-minded psychologist. She takes pride in her “raw and real” therapeutic approach with clients. She has a passion for working with people seeking help to process, understand and heal from adverse, traumatic, and/or neglectful life experiences, as well as self-healers who value personal growth and/or those who are navigating transitions in their lives. Rachael’s special interest is in helping people develop a deeper understanding of how their early experiences; trauma, abuse, neglect and unmet needs have had a role in shaping their personality, beliefs, values, emotions, behaviours and coping styles. Today I'm really excited to have Rachael on today to speak on the gut mind connection - I thought this would be a great topic to explore both from a phycologist point of view and Rachael has had her own journey through this   CONNECT WITH RACHAEL: www.rachaeltorcasiopsychology.com Instagram:  rachael_torcasio_psychology   Some other things mentioned in the podcast: The Bristol Stool chart

This week....What happened to T-shirts with writing on the back? global Hyper colour t-shirts? porn names, Micro Machines, toys you never had as a child, making forts out of cardboard boxes, building dens for your kids, filming kids in slow-motion, Mr Bean, kids watching 80’s comedy, kids learning to wipe their own ass, wiping a kids ass for he first time, the Bristol Stool chart,  

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Pittsburgh, PA functional medicine practitioner Dr. Will Cole from DrWillCole.com who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at livinlowcarbman@charter.net. And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Will answer your poop related questions in Episode 91. BECOME A NUTRITIONAL THERAPY PRACTITIONER Sign up by February 2018 for the 9-month program NOTICE OF DISCLOSURE: Paid sponsorship ***Thank you Christine!***   Go to PayPal.me/KetoTalk to make a donation.  You can set up automatic monthly payments there THE PERFECT KETO SUPPLEMENT USE COUPON CODE LLVLC FOR 15% OFF NOTICE OF DISCLOSURE: Paid sponsorship “You are about ten times more bacteria than human. What researches are finding is that the microbiome is implicated in nearly every chronic disease in the body.” – Dr. Will Cole Here’s what Jimmy and Will talked about in Episode 91: – Crazy Things Your Poop Can Tell You About Your Health – If You Haven't Pooped In Days, Here's What You Should Do – I Mailed This Company My Poop to Analyze My Health. Here's What I Learned – Why Coffee Makes You Poop—and How to Delay the Urge – 5 Things Your Poop Can Tell You About Your Health MAKE KETO EASIER WITH FBOMB JIMMYLOVESFBOMB FOR 10% OFF YOUR FIRST FOOD ORDER NOTICE OF DISCLOSURE: Paid sponsorship – STUDY: Fecal Microbiota Transplantation for Ulcerative Colitis: A Systematic Review and Meta-Analysis 1. Is it an issue that I only have one well-formed and easy-to-pass bowel movement every other day since shifting my diet to keto? Hey Jimmy and Will, Thanks so much for talking so openly about poop! When you said that all we need is two snakes a day, all I could think of was no way! After shifting my diet to keto, I noticed the amount of food I was consuming decreased with more nutrient dense foods satisfying me. My theory is my body was actually able to use most of the food I was consuming without much waste which explains why my bowel movements went down. I simply generate less waste now, right? My estimation is that I average a poop every other day but it is well formed and passes easily so it doesn’t appear I am constipated. Should I be worried that it is so infrequent and what should I alter in my diet if my bowel habits sound problematic? Carey “In the next four or five years this is what everybody is going to be talking about. Educate yourself now so that you can make an informed decision about your health.”  – Jimmy Moore 2. Are there any concerns associated with flushing out the colon with water as a means of detoxing? Hey guys! I’d love to know what Dr. Will Cole thinks of colon hydrotherapy for colon cleansing. Thanks for everything you do! Michele Join The Keto Clarity Club For $1 Blood Ketone Test Strips!   3. Why have I been experiencing regular bouts of loose stools since I’ve shifted my diet over to a ketogenic approach? Hi Jimmy and Dr. Cole, I've been listening to your podcast since I began keto in June. Thank you for all the great information. In August, I began struggling with regular bouts of diarrhea on a daily basis. I can't remember the last solid stool that I had. I no longer track my macros since I'm at my goal weight. I typically have a Bulletproof coffee with MCT oil powder and butter in the morning and eat leftovers for lunch, an afternoon snack of a cheese stick or almond butter, and then dinner with meat and veggies. I've been playing around with my carbs, including adding back in healthy carbs like sweet potato and checking my blood ketones to confirm I'm always in ketosis. I drink lots of water and I'm good about getting in my electrolytes. I've even cut back on magnesium to see if that would help. It has not. My stomach isn't upset and overall I feel a lot better than I did before keto. Any clues on what I can do to decrease the diarrhea? Thank you for your help! Nija GET A $39 BOTTLE OF OLIVE OIL FOR JUST A BUCK GET YOUR $39 BOTTLE FOR JUST $1 NOTICE OF DISCLOSURE: Paid sponsorship 4. What is causing my poop to be watery and yellow when I’m eating keto and extended fasting? Hello Jimmy and Dr. Cole, I’ve been eating keto with intermittent fasting since mid-April and have been slowly healing my gut from a lot of issues I was experiencing. But here is the issue: my poop is watery and yellowish in color (my liver levels were tested and it came back as optimal on the lab results). I especially see this yellowish loose stool when I fast for longer than 16 hours. My MCT oil consumption is 1 Tbs in my coffee and I did that without issues at the beginning of keto. It kicked in at the three- month mark. My food intake hasn’t changed much since going keto, but I have noticed that when I eat off plan even a little I get the runs hard and furious. One other issue that might be connected to this is I’m dealing with hair loss from thyroid issues as well as high estrogen levels. Can you help me figure this out? Thanks so much for your podcast! God bless you guys. Cecilia 5. What can I do to improve my Type 2 on the Bristol Stool chart to the more healthier Type 3 and 4? Hi Jimmy and Will, Thank you for all you do for the keto community. In the episode where you discussed the Bristol Stool chart, you commented that any good Bristol chart would include tips to fix each type of poop. I can’t find this information, so please post this in the show notes section of your Poopcast. I seem to constantly have Type 2 poop where it is sausage-shaped and lumpy and I’ve tried various tips to getting it back to normal, including adding salt, magnesium, extra water, and upping my fiber. But nothing seems to help other than doing an extended fast. Any other tips you can give me to help improve this to the more healthy stool? Thanks for your help, Stephanie   6. Is there anything wrong with never feeling constipated? And would only pooping once a week be a problem? Hello you guys, If you never feel constipated, is this something to worry about? And if you aren’t pooping on a daily basis and only going once a week, why would this be a problem? Thanks, Amber BECOME A NUTRITIONAL THERAPY PRACTITIONER Sign up by February 2018 for the 9-month program NOTICE OF DISCLOSURE: Paid sponsorship 7. Why have my bowels come to a screeching halt since I switched over to a ketogenic diet? What can I do to get my bowel moving again? Hi Jimmy and The Poopmaster, I have been doing keto for about a month and ever since I started eating this way it’s like my bowels have come to a screeching halt. I consume 50-60g total carbs with around 30 grams of fiber. I drink close to a gallon of water a day and supplement with magnesium and probiotics. Is this an issue I need to be concerned about? Any ideas on how to make my bowels start back up again? Thanks, Dayna Leave us a review at Apple Podcasts! LINKS MENTIONED IN EPISODE 91 – SUPPORT OUR SPONSOR: Join Jimmy Moore’s Keto Support Group: KetoClarityAcademy.com – SUPPORT OUR SPONSOR: Join The Keto Clarity Club For $1 Blood Ketone Test Strips! BestKetoneTest.com – SUPPORT OUR SPONSOR: The world’s freshest and most flavorful artisanal olive oils. Get your $39 bottle for just $1. – SUPPORT OUR SPONSOR: Become A Nutritional Therapy Practitioner – SUPPORT OUR SPONSOR: Jump start your ketogenic diet with PerfectKeto.com/Jimmy (USE PROMO CODE LLVLC FOR 15% OFF) – SUPPORT OUR SPONSOR: Drop an FBOMB for the freshest, high-quality fats from JimmyLovesFBomb.com (Get 10% off your first food order with coupon code “JIMMYLOVESFBOMB”) – Crazy Things Your Poop Can Tell You About Your Health – If You Haven't Pooped In Days, Here's What You Should Do – I Mailed This Company My Poop to Analyze My Health. Here's What I Learned – Why Coffee Makes You Poop—and How to Delay the Urge – 5 Things Your Poop Can Tell You About Your Health – STUDY: Fecal Microbiota Transplantation for Ulcerative Colitis: A Systematic Review and Meta-Analysis – Jimmy Moore from “Livin’ La Vida Low-Carb” – DR. Will Cole D.C. from DrWillCole.com – HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

The autoimmune paleo diet described in Eileen Laird’s new book reversed occult blood found on my stool test result and brought my Hs-CRP blood test for inflammation back into the normal range. I was already eating a paleo-type diet before I made the switch to AIP, and with hindsight I suspect that seeds, nuts and eggs were the main foods still causing me problems. I’m not alone, and process of eliminating common food allergens and then doing careful reintroductions is frequently helpful for the athletes that we work with. We’ve recommended Sarah Ballantyne’s book to hundreds of people. My mother in law owns two copies and lends them to strangers all the time. No doubt it’s a fantastic book, but sometimes I feel badly for burdening people with the task of reading it, especially if they’re not feeling good. You’ve probably noticed that most of the volume of any book comprises of the argument to support the prescription. What if you don’t care about the argument? Just tell me what to do. Eileen's new book: A Simple Guide to the Paleo Autoimmune Protocol does exactly that. You can read it in a couple of hours and know exactly what you should do next. Most people think of AIP as a diet but that’s not true, AIP is a lifestyle and the important lifestyle factors are described succinctly in Eileen’s book. Eileen Laird is an amazing women: deep tissue massage therapist, outdoors lover, author and podcast host. Eileen has been using autoimmune paleo diet (AIP) to successfully manage her once debilitating rheumatoid arthritis. Getting help. In this episode, Eileen is interviewed by the women who introduced me to AIP. Julia is my wife, and a food scientist, and I’ll be forever grateful to her for enabling me to execute the dietary rules so effortlessly, something she now teaches other people professionally. Are you struggling to make AIP work? Book a month of coaching with Julia. Julia doesn’t do food allergy testing or chronic food logging. Instead, she teaches via the phone or Skype and then follows up on a three-day food diary stored in Google Docs. Here’s the outline of this interview with Eileen Laird: 0:00:20 Eileen's book: A Simple Guide to the Paleo Autoimmune Protocol (AIP). 0:00:38 AIP was originally an elimination diet. 0:00:51 Nightshades and eggs were a problem for people with autoimmunity. 0:01:15 The second phase is reintroduction. 0:01:41 Seeds and spices. 0:01:58 People are started to appreciate the lifestyle component. 0:02:18 Sleep, stress, self-talk. 0:02:51 The goal is to live the best life possible with autoimmunity. 0:03:03 Who is AIP for? 0:03:39 Do you need a diagnosis? 0:04:17 Over 100 autoimmune diseases are classified. 0:04:33 Multiple sclerosis (MS), rheumatoid arthritis (RA), lupus. 0:04:41 Diabetes. 0:04:46 Skin diseases. 0:04:57 Eczema is an immune reaction. 0:05:05 Lichen planus. 0:05:52 Sometimes a diagnosis is hard to make. 0:07:06 If you've already tried paleo and there are lingering symptoms then AIP can help. 0:07:53 Eileen was healthy, active, fit. 0:08:35 Woke up one day with pain 0:08:51 Same problem on both sides is classic RA. 0:10:12 Eileen has been lucky in not needing medication. 0:10:36 Eileen reclaimed joy in her life within a few months. 0:11:08 Now back to working full time and hiking. 0:11:41 Eileen took things in steps. 0:11:58 Tried vegetarian and veganism. 0:12:18 Paleo is a good starting point for people intimidated by AIP. 0:13:07 Eileen waited 5 months on paleo before going full AIP. 0:13:47 Bland food is not sustainable! 0:14:06 Now there are lots of good resources. 0:14:39 Dairy, even the best dairy were a problem. 0:15:28 AIP can be complex, how can we make it simpler? 0:16:12 Book: Better Than Before: What I Learned About Making and Breaking Habits--to Sleep More, Quit Sugar, Procrastinate Less, and Generally Build a Happier Life. 0:17:36 Planning is essential. 0:17:49 Out of sight, out of mind. 0:18:28 Household support is important. 0:19:01 Angie at Autoimmune Paleo. 0:20:08 AIP is not supposed to be forever but the reintroduction phase can be hard. 0:22:12 The reintroduction of eggs was important to Eileen. 0:23:33 Reintroduction requires patience. 0:23:44 Being the focus of a science experiment is incredibly empowering. 0:24:20 If you get it wrong, you've got to back to square one, another 30 days. 0:25:01 Symptoms are the guide. 0:25:47 Until you clear some of the inflammation, everything is noise. 0:26:40 Struggling emotionally is a consideration. 0:27:12 Eileen reintroduced at six weeks. 0:27:28 Some wait a year. 0:27:36 You should reintroduce! AIP is not necessarily healthier. 0:28:14 There's a risk of disordered eating. 0:28:51 Don't let your food become another stressor. 0:29:46 I don't have any emotional connection to food. 0:30:03 But I hate feeling like crap! 0:30:22 It's not orthorexic to want to feel good. 0:30:57 We've been doing modified AIP for nearly 3 years. 0:31:10 I go back to AIP after hard training or racing. 0:32:03 Qualify using the Bristol Stool chart! 0:32:31 People want meal plans but Julia hates to produce them. 0:32:58 Encouraging people to take ownership. 0:33:16 Book: The Paleo Approach: Reverse Autoimmune Disease and Heal Your Body. 0:33:30 Why another AIP book? 0:33:38 Eileen enjoys making complex information accessible. 0:34:19 Phoenix Helix blog. 0:34:36 The book is a simple package and is for people thinking "just tell me what to do!" 0:36:12 Sometimes we feel bad about burdening people with the AIP Bible. 0:37:16 Eileen wrote the book with people with autoimmunity in mind. 0:37:35 But her family understood AIP in a way they hadn't previously after reading the book. 0:38:09 The book is unintimidating. 0:39:25 What about AIP as a healing diet (without autoimmunity). 0:39:53 Eileen thinks it's a great reset diet. 0:40:10 Reintroductions are typically very successful. 0:40:15 We use a combination of AIP plus supplements to address the specific problems that we find on lab tests. 0:40:59 What are the other things apart from diet? 0:41:11 People frequently focus exclusively on diet. 0:41:43 The lifestyle factors are equally important. 0:42:00 AIP dieters are perfectionists. 0:42:26 Diet is a good place to start. 0:42:34 Sleep is likely to improve after you change your diet. 0:42:48 Worry about the things that you can change. 0:43:03 Meditation works wonders. 0:43:29 Even 5 minutes a day can make a difference 0:43:40 Yoga, being outdoors in nature. 0:43:54 Heart beat slows, tightness softens. 0:44:54 Circadian rhythm is very important. 0:45:07 Setting a bedtime and awakening time reduced RA inflammation. 0:45:28 People are harder on themselves than they need to be. 0:45:41 Ask yourself, would you talk to someone else like that? 0:47:11 Eileen's podcast. 0:47:26 Eileen felt like her joints were on fire, hence the Phoenix. 0:47:49 The podcast is in iTunes. 0:48:00 Recipe roundtable on Eileen's blog.

On Episode 27 of the Doc and Jock Podcast Dr. Danny and Coach Joe touch base with Kristin Corbin, a nurse practitioner who specializing in functional medicine, covering the ins and outs of global inflammation. -The short of it is to reduce the amount of gluten, dairy, and sugar you are consuming.  Don’t worry it’s not all bad and what you need to stop eating, we also get into what you can eat more of, high quality fats, protein, fruits and veggies. -We also have an interesting conversation about the microbiology of the gut and why monitoring your bowls is important.  Check out the Bristol Stool chart to make sure your operating correctly on the back end (http://www.continence.org.au/pages/bristol-stool-chart.html). -Kristin believes wholeheartedly that performance is directly related to nutrient absorption.  Some of the things that may be halting your absorption are being to clean, a lack of fermented foods, and not consuming bone broth.  Some natural and anti-inflammatory herbs you should also be on the lookout for are ginger, garlic, and turmeric. -Kristin also gives us some insight on researching quality functional medicine practitioners and some simple steps to get you started on your functional fitness journey.  Know your B12, vitamin D, Iron, Inflammatory markers, and Adrenal markers. – Kristen also talks a length about B12.  How to test it, where to get it naturally and how you should supplement it. -Adrenal fatigue is a favorite topic of Kristen’s.  She summarizes the 3 stages of adrenal dysfunction, where cortisol plays a role, and what you need to do to manage dysfunction. – DHEA is also come up as we discuss Adrenal Dysfunction.  Should you take it, how much, and how does it benefit you? – Kristin ends the talk with a step by step process to wake up like a 25 year old. Check out Kristen’s Full Bio below and her webpage http://www.stat-wellness.com/ >Kristin’s medical background, she has seen firsthand the consequences of improper nutrition and a sedentary lifestyle. Kristin trusts that through proper fitness and nutrition, YOU can achieve a sense of TOTAL WELLNESS. Over the past 8 years, Kristin has taught a variety of fitness classes including pilates/yoga fusion, spin, cardio kickboxing, HIIT, bootcamps, senior aerobics, kids fit and strength training. She is a certified Les Mill’s Body Pump instructor, AFAA group fitness instructor, ASCM and AFAA personal trainer, and SCW indoor/outdoor boot camp instructor. As for nutrition, Hippocrates hit the nail on the head when he stated, “let food be thy medicine and medicine be thy food”. Food is our bodies main source of fuel. We want to make sure we are fueling our bodies with the proper nutrients to perform at its full capacity. Kristin graduated Cum Laude from Georgia College and State University with her nursing degree 2011. Upon graduation, Kristin began her nursing career in the Emergency Room at Gwinnett Medical Center. During her time there, she obtained several certifications including, advanced cardiac life support (ACLS), pediatric advanced life support (PALS), basic life support (BLS), and trauma nurse core certification (TNCC). Currently, Kristin is a family nurse practitioner at Atlanta Center for Holistic and Integrative Medicine. Through Western and Eastern Medicine, Kristin strives to provide unique, compassionate, and personalized care to each and every individual she sees. Book an appointment with her today at www.atlantaholisticmedicine.com Email: kristin@stat-wellness.com  The following are links to Coaches, Establishments, and great folks mentioned in this Podcast – be sure to tell them Doc and Jock sent you!

On Episode 27 of the Doc and Jock Podcast Dr. Danny and Coach Joe touch base with Kristin Corbin, a nurse practitioner who specializing in functional medicine, covering the ins and outs of global inflammation. -The short of it is to reduce the amount of gluten, dairy, and sugar you are consuming.  Don’t worry it’s not all bad and what you need to stop eating, we also get into what you can eat more of, high quality fats, protein, fruits and veggies. -We also have an interesting conversation about the microbiology of the gut and why monitoring your bowls is important.  Check out the Bristol Stool chart to make sure your operating correctly on the back end (http://www.continence.org.au/pages/bristol-stool-chart.html). -Kristin believes wholeheartedly that performance is directly related to nutrient absorption.  Some of the things that may be halting your absorption are being to clean, a lack of fermented foods, and not consuming bone broth.  Some natural and anti-inflammatory herbs you should also be on the lookout for are ginger, garlic, and turmeric. -Kristin also gives us some insight on researching quality functional medicine practitioners and some simple steps to get you started on your functional fitness journey.  Know your B12, vitamin D, Iron, Inflammatory markers, and Adrenal markers. – Kristen also talks a length about B12.  How to test it, where to get it naturally and how you should supplement it. -Adrenal fatigue is a favorite topic of Kristen’s.  She summarizes the 3 stages of adrenal dysfunction, where cortisol plays a role, and what you need to do to manage dysfunction. – DHEA is also come up as we discuss Adrenal Dysfunction.  Should you take it, how much, and how does it benefit you? – Kristin ends the talk with a step by step process to wake up like a 25 year old. Check out Kristen’s Full Bio below and her webpage http://www.stat-wellness.com/ >Kristin’s medical background, she has seen firsthand the consequences of improper nutrition and a sedentary lifestyle. Kristin trusts that through proper fitness and nutrition, YOU can achieve a sense of TOTAL WELLNESS. Over the past 8 years, Kristin has taught a variety of fitness classes including pilates/yoga fusion, spin, cardio kickboxing, HIIT, bootcamps, senior aerobics, kids fit and strength training. She is a certified Les Mill’s Body Pump instructor, AFAA group fitness instructor, ASCM and AFAA personal trainer, and SCW indoor/outdoor boot camp instructor. As for nutrition, Hippocrates hit the nail on the head when he stated, “let food be thy medicine and medicine be thy food”. Food is our bodies main source of fuel. We want to make sure we are fueling our bodies with the proper nutrients to perform at its full capacity. Kristin graduated Cum Laude from Georgia College and State University with her nursing degree 2011. Upon graduation, Kristin began her nursing career in the Emergency Room at Gwinnett Medical Center. During her time there, she obtained several certifications including, advanced cardiac life support (ACLS), pediatric advanced life support (PALS), basic life support (BLS), and trauma nurse core certification (TNCC). Currently, Kristin is a family nurse practitioner at Atlanta Center for Holistic and Integrative Medicine. Through Western and Eastern Medicine, Kristin strives to provide unique, compassionate, and personalized care to each and every individual she sees. Book an appointment with her today at www.atlantaholisticmedicine.com Email: kristin@stat-wellness.com  The following are links to Coaches, Establishments, and great folks mentioned in this Podcast – be sure to tell them Doc and Jock sent you!

Podcast med Adam Alsing, Carin da Silva och Daniel Breitholtz. Inspelad som live och helt oredigerad. Ur innheållet den här veckan: Allt om den nya trenden Pottering, Bristol Stool chart förklaras, Carins skrevpillande, Man ska aldrig säga aldrig, eller?, Könshårsattacken, Sverige mest egenkäre kändis, märkliga restaurang gimmicks, Daniels fightingtips och mycket mycket mer. Varning för ovanligt mycket under bältet både fram och bak, samt mustigt språk. Trevlig lyssning!