Podcasts about flagyl

Most of the questions I get asked while traveling revolve around my writing process or publishing journey. So, in this episode, I share my life-altering journey, explaining how a personal health challenge led me to discover Ayurveda and inspired me to write books to spread its wisdom. So, whether you dream of writing a book, are busy working on one, or are curious about the writing and publishing process, this episode is a must-listen.Join me. You may even find the spark to turn your writing ideas into reality!My Health Struggles When I was 20, I traveled to India, eager for adventure, but my health was a mess. I dealt with parasites, a weakened immune system, and gut issues and took antibiotics like Flagyl, which wrecked my digestive system. After I returned to India to seek treatment, a doctor in Mysore introduced me to the ancient Ayurvedic healing system.The Ayurvedic ExperienceI underwent Panchakarma, a powerful Ayurvedic detox that included oil rubdowns, milk pours, enemas, and a simple Kitchari diet. The experience was intense but transformative. It gave me a deeper understanding of Ayurveda and sparked my curiosity to learn more.Combining Yoga and AyurvedaI spent time teaching yoga and Ayurveda, balancing my time between India and the U.S. I started sharing simple Ayurvedic practices with my students, like tongue scraping and drinking hot water. I also noticed how confused many people were about food, so I wrote a cookbook.The Everyday Ayurveda CookbookWhen an editor from Shambhala Publications contacted me, I knew it was time to turn my ideas into a book. So, I wrote The Everyday Ayurveda Cookbook. It contains simple, seasonal recipes to help people understand how food can be medicine. The Publishing JourneyThe publishing process was not easy. It involved testing recipes, balancing the Ayurvedic philosophy, and ensuring it was user-friendly and accessible. I worked closely with a designer to create a visually appealing and informative book. The cookbook came out in 2015, and in 2025, I will release a 10th-anniversary edition of The Everyday Ayurveda Cookbook, with new recipes and a foreword by Amadeo Morning Star. Mind-Body Connection and the Second BookAs I continued working with people, I realized how much the mind influences our health and food choices. That led me to write my second book, Everyday Ayurvedic Cooking for a Calm, Clear Mind, about how Ayurveda can help us create mental calm and clarity, which supports our overall well-being.Writing in IndiaWhen in India, I have more time to write as there are fewer distractions. I get a lot of inspiration in India, especially from local food markets and healthy restaurants.The Struggles of Writing the Front MatterWriting the front matter for Calm, Clear Mind took me a year. Writing about the mind is tricky, complex, and often murky. I worked closely with my partner, Rich, who has experience with psychological work, to ensure the language was non-judgmental. Research and Inspiration from TextsI could not find many Ayurvedic resources on the mind, so I dug deep into texts like the Bhagavad Gita, which explores the connection between food and the mind. After extensive research, I also found insights from various yogic and Vedic texts that shaped my approach to writing about the mind.The Challenge of PublishingPublishing with Shambhala has been a rewarding experience for me. The vulnerability of handing over my work for the first time was a huge emotional challenge, but working with a trustworthy publisher made things easier. I published all four of my books with them because I trust their artistic vision and respect...

Dr. Mindy answers questions about allergy rashes, COVID at Joey's house, trigger finger, random bruises, bloowork, Flonase, Flagyl, Porkzilla, Magnesium supplements, baby allergies, decompression of the spine, child developement, Zyrtec, hair loss and Plantar Fasciitis. See omnystudio.com/listener for privacy information.

These days, doctors and vets are giving antibiotics and flagyl out like candy. In this short, I highlight the potential risks of the antibiotic Metronidazole, commonly known as Flagyl, and its impact on a dog's gut health and ability to process and digest protein. I emphasize the importance of understanding the effects of such medications on your pet's health and discuss the potential for systemic inflammation and triggering of certain genes linked to inflammatory skin conditions. Listen in for a fresh perspective on your dog's health and wellness. Books Mentioned: The Forever Dog Sponsored By: Earth Buddy Farms CBD Use Code HERBALBUDDY20 for 20% off today! Check Out Rita: Rita's Instagram Facebook Group My Courses My Website and Store

Este é um titulo péssimo em termos de SEO, mas excelente em termos criativos, porque eu esforço-me para ser criativa para vocês. Neste episódio falamos sobre o que é que eu queria ser quando fosse grande. Falo-vos da hipótese de todos os meses fazer um episódio ou uma newsletter dedicada a um "how to" inspirado no filme "how to loose a guy in 10 days" - Digam-me se gostavam deste conteúdo ou não (DM pelo Instagram @lily.justlily) Houve muito tempo para falar de saias lápis em Suits e sobre Martinis contemplativos em Grace and Frankie. Desabafei sobre as falsas expectativas que tenho sobre mim e que os outros também têm sobre mim, sobretudo em relação à minha boa disposição, alegria e shots de simpatia. Acabei com uma nota muito pessoal sobre um medicamento que me deixou flagyl e enjoada. Para perceber, basta ouvir. Para me deixarem mais feliz é seguirem este podcast e mandarem mensagem a dizer que gostam bué e com prints das vossas estrelas e likes nas aplicações onde me ouvem habitualmente. --- Send in a voice message: https://podcasters.spotify.com/pod/show/just-lily/message

Love Bactrim and Flagyl (Reimagined Tribute to Diamonds & Dancefloors by Ava Max) *Original written by: Amanda Ava Koci, Caroline Ailin, Henry Walter, & Michael Pollack : D **WARNING: Although this tribute is entitled “Bactrim & Flagyl,” please take these medications separately!!! Taking both medications AT THE SAME TIME can increase your risk for a serious condition called rhabdomyolysis : ( ***Thank you to God, to Dr. Tauseef Ali, to his brilliant and lovely problem-solver Bobbie, & to Dr. Paul Dautenhahn for curing my SIBO (Flagyl) & eye and ear infections (Bactrim) this year ; ) Lyrics From C. diff to SIBO They treat me right These antibiotics keep a watchful eye Today I'm here thanking Dr. Tauseef Ali cause I needed a cure To get back my mind Also, thank you, Bobbie She's such a sweet delight I'm out of order Where is here? Maybe, it's definitely a might…. Drinking my kratom Relying on my wonderful family & Howmie Keep having these pressing thoughts thoughts The obsessive kind Love Bactrim and Flagyl They wake me up Help me cope with SIBO Bacterial Overgrowth Need them to function Walgreens, that happy & healthy corner I love this Bactrim, Bactrim, Bactrim Bactrim and Flagyl Effects so deep Inside my colon Thank God for pain relief They never falter Priceless mixture on board I love this Bactrim, Bactrim, Bactrim~ Prescribing them is wise Now come; please, hear: Avoid insurance headaches Get symptom management quicker Could have thrown thousands of dollars away at that designer drug Xifaxan But I write music to entertain you Not to pay for meds Let me be clear Love Bactrim and Flagyl They wake me up Help me cope with this SIBO Intestinal Bacterial Overgrowth Need them to function Walgreens, that happiness & healthy corner I love this Bactrim, Bactrim, Bactrim Bactrim and Flagyl Effects so deep Inside my rectum Thank God for pain relief They never falter Priceless mixture on board I love this Bactrim, Bactrim, Bactrim Bactrim and Flagyl Bactrim and Flagyl Bactrim and Flagyl Flagyl, Flagyl Fla a gyl Fla a a agyl Bactrim and Flagyl End Tribute by Melissa Smith: - Melzy of Wonderland on Youtube - Mel's Music on Spreaker, Spotify, Apple Podcasts, JioSaavn, Castbox, Deezer, Podcast Addict, Google Podcasts, iHeartRadio, Podchaser, Facebook & - Melissa_Martinek_Smith on Instagram (AKA: MelsMusic)

Educational Pearls: Most common sexually transmitted disease (STD) in North America: Human Papillomavirus (HPV) From the emergency department patients should be connected to follow-up care and educated on vaccine series Most common non-viral STD in North America: Trichomonas Vaginalis   While men may be asymptomatic, they can transmit the disease to women who may experience irritation leading to increased likelihood of PID and contraction of other STDs and HIV Trichomonas is diagnosed via wet preparation with visualization of motile parasites  Similarly, men's urine can be tested for visualized motile parasites  Expedite lab as parasites are motile for about one hour    PCR test is becoming more available Most common bacterial STD in North America: Chlamydia trachomatis  Neisseria gonorrhoeae is a less common bacterial STD but does have high rates of drug resistance  Empiric STD treatment includes IM Ceftriaxone and PO Doxycycline  Providers should consider adding Flagyl for Trichomonas Vaginalis coverage  ReferencesSexually transmitted disease surveillance, 2020. Centers for Disease Control and Prevention. https://www.cdc.gov/std/statistics/2020/default.htm. Published August 22, 2022. Accessed November 21, 2022.  Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1-187. Published 2021 Jul 23. doi:10.15585/mmwr.rr7004a1   Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/ Donate to EMM today!

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MetronidazoleFlagylNursingConsiderations    Generic Name metronidazole Trade Name Flagyl Indication intra-abdominal infections, gynecoligical infections, skin infections, bone and joint infections, CNS infections, septicemia, endocarditis, amebic liver abscess, peptic ulcer disease Action Inhibits DNA and protein synthesis in bacteria, bactericidal Therapeutic Class anti-infectives, antiprotozoals, antiulcer agents Pharmacologic Class none Nursing Considerations • do not take with alcohol-disulfiram reaction • assess for infection before and during treatment • obtain cultures before therapy • monitor neurologic status: parasthesia, weakness, ataxia, or seizures • monitor intake and output, daily weights • may alter liver enzyme tests

This episode explores whether some patients with diverticulitis can be treated without antibiotics and if so who are these patients.  Additionally, when we chose an antibiotic for patients going home on them which one is best the old standard ciprofloxacin and Flagyl combination or augmentin?

Video on YouTube https://www.youtube.com/watch?v=Cb3-zmFV27I&t=605s  Schedule a 20-minute Discovery call Send me a voice message if you have a questions Website: https://dochugh.com/ Doc Hugh Check out my Facebook Page: Visit my YouTube Channel[00:00:00] Again, this is Dr. Hugh Wegwerth [00:00:10] antibiotics and autoimmune disease[00:00:20] Cipro, Levaquin, Flagyl, Bactrim cause a component of autoimmune disease in your body[00:00:40] fluoroquinolones[00:01:15]  55 percent of your blood is plasma[00:01:50] drugs attach to your proteins, will cause autoimmune immune reactions [00:02:05] fibromyalgia conditions, tendon problems, nerve problems[00:03:00] damaged with antibiotics[00:05:40] autoimmune diseases, twice as much money are spent on autoimmune diseases versus cancer[00:08:00] antibiotics cause autoimmune disease [00:08:40] amoxicillin[00:09:05] Cipro and the protein[00:10:45] sulfa drugs[00:12:10] attacks everything, brain  [00:12:15] gut tissue, thyroid, bone, lungs.[00:12:20] low-grade, whole body autoimmune disease[00:13:05] there's lab testing that you can do to see[00:13:10] do you have autoimmune disease against your tissue[00:13:20] adrenal cortex[00:13:45] phospholipid membrane[00:14:20] collagen or tendon problems[00:14:50] myelin basic protein, central nervous system[00:15:20] rheumatoid factor[00:15:30] cerebellar tissue[00:15:35] do you have an autoimmune disease against your brain[00:15:40] having brain fog [00:16:15] high homocysteine, CRP insulin, low blood pressure

In this episode, we review a potentially practice-changing study. Should we treat PID with three antibiotics? Click HERE to leave a review of the podcast!References:All references for Episode 54 are found on my Read by QxMD collection

Pfizer's History of Crimes and Misdemeanors   Richard Gale and Gary Null Progressive Radio Network, March 10, 2021     Whenever it is necessary to make an evaluation of the efficacy and safety of conventional drug-based medicine, it is imperative to include the rising rate of iatraogenic injuries and deaths – medical errors – that has become the third leading cause of death in the US after cardiovascular disease and cancer. The majority of these deaths are caused by FDA approved drugs' adverse effects and when patients are prescribed multiple medications in the absence of thorough clinical research to determine the safety of their synergistic effects.  Consequently our health agencies' oversight and monitoring of drugs on the market is dismal and deadly.    Among the top pharmaceutical companies whose drugs and products have most contributed to the nation’s iatrogenic epidemic is the $51 billion multinational behemoth Pfizer Inc, the world’s third most profitable drug maker. Pfizer is one of America’s oldest pharma firms, founded by Charles Pfizer and Charles Erhart in a Brooklyn red brick building in 1849. The chemical company began to boom in the 1880s after becoming the leading manufacturer of the chelating, flavoring and preservative agent citric acid. With its expertise in fermentation chemistry, Pfizer later became a leader in the production of penicillin and ascorbic acid (Vitamin C). Today its 300-plus drugs are commonplace in American doctors’ tool kits: Zoloft, Zantac, Viagra, Enbrel, Flagyl, Lipitor, and several antibiotics. It is also a major player in the generic drug market and is rapidly becoming a leading vaccine maker with its pneumococcus vaccine (Prevnar) and more recently with its controversial mRNA vaccine against the SARS-CoV2 virus. In the irrational panic to quickly get a vaccine against the SARS virus to market, its Covid-19 vaccine was the first to receive emergency use authorization   Pfizer's legacy of lawsuits goes back to the late 1950s. According to the Corporate Research Project, it “has been at the center of controversies over its drug pricing for more than 50 years.” Back in 1958 it was charged by the Federal Trade Commission for price fixing and making false statements to dubiously acquire a patent for tetracycline. Two years later the Justice Department filed criminal antitrust charges against Pfizer’s board chairman and president John McKeen on the matter. Again in 1996, the drug company paid out $408 million to settle another lawsuit for price fixing and gouging pharmacies. In 2002, Pfizer was caught defrauding the federal Medicaid program for over-charging its flagship cholesterol drug Lipitor. Other similar charges include a $784 million settlement for underpaid rebates to Medicaid and $107 million fine for overcharging its epilepsy drug phenytoin sodium.   The company has even stooped so low as to engage in bogus advertising. Shortly after the Second World War, Pfizer created snazzy ads for the Journal of the American Medical Association for its antibiotic line. The ads included named physicians endorsing its drugs. However, according to a Saturday Review investigation, the doctors turned out to be completely fictitious.   As the company is positioned to earn $19 billon from its Covid-19 vaccine, at the same time it is legally battling against hundreds of lawsuits due to its popular heartburn drug, Zantac, being contaminated with the carcinogen N-nitrosodimethylamine (NDMA), an “extremely hazardous” toxin used in rocket fuel and industrial lubricants. Although the FDA erroneously claims that Zantac’s NDMA levels are low, they have still been measured to be between 3,000 and 26,000 times higher than the FDA’s safety cut-off point. Another adverse effect of NDMA is hepatotoxicity leading to liver fibrosis and scarring.   According to the law firm Matthews and Associates, since “the history of Pfizer is rife with so much subterfuge and under-the-table dealing that the company will need all the help it can get to promote confidence in its hastily assembled Covid vaccine.” If the mainstream media were to honestly cover the NDMA trial underway and other Pfizer confrontations with the law, perhaps its vaccine would not be receiving such uncritical fanfare. There would be more scrutiny and warranted suspicion to question how Pfizer could have developed a truly safe and effective vaccine in such a short period of time.   In our earlier reviews of the criminal records of Merck and Johnson and Johnson, we did not find evidence of the depths of demented ethical behavior solely to manipulate its market control as we do with Pfizer. In fact, Pfizer seemingly is in competition to outdo notorious hedge fund vulture capitalist and underworld strategies to bully governments in return for securing supplies of its Covid-19 vaccine. For example, Pfizer demanded that Argentina pay the company compensation for any civil lawsuits filed against it. The government compromised and ruled that Pfizer would only pay fines for any negligence on the company’s behalf with respect to supply and distribution. But that was not agreeable to the vaccine maker. Instead it then demanded that Argentina provide its sovereign assets –bank reserves, military bases and embassy buildings – as collateral to secure vaccine supplies.    In Brazil, Pfizer’s aggressive and malignant efforts failed. It demanded that the Brazilian government turn over a guaranteed fund deposited in a foreign bank account and that the government would waive its sovereign assets abroad. Pfizer also demanded that it not be held legally liable for any injuries or deaths due to its vaccine. Correctly, President Bolsonaro called Pfizer’s demands “abuse” and rejected the deal.    If this gives the impression that Pfizer is a serial predator on poorer foreign nations, Argentina and Brazil are only the most recent examples. In 1996, the company conducted illegal experimental trials with an unapproved experimental antibiotic, Trovan, on Nigerian children without parental knowledge or consent. The case was not raised in a US federal court until 2001 after thirty Nigerian families sued. After 100 children were given the drug as guinea pigs, “eleven children in the trial died, others suffered brain damage, were partly paralyzed or became deaf.”  Nigerian medical experts ruled that Pfizer violated international law and the US federal case was eventually settled a decade later for an undisclosed amount.    Pfizer’s dirty politics and mafia-like activity in the Nigeria scandal, reminding us of Monsanto’s sleazy schemes, goes beyond the dangers of an experimental antibiotic. Wikileaks made available State Department cables showing that Pfizer had hired spies to dig up dirt to frame a former Nigerian attorney general in order to get the lawsuit dropped. It also tried to shift the blame of the scandal on Doctors Without Borders by making a false claim that the non-profit charitable group was responsible for dispensing the antibiotic.    Already in the US, thanks to Reagan’s Vaccine Injury Compensation Act, vaccine makers are off the hook for being held legally accountable for vaccine adverse effects. Now the company is demanding that other nations change their laws solely for Pfizer to secure maximum profits from its Covid vaccine. Pfizer’s actions are utterly parasitical. Nor should we forget that the development of its vaccine has largely been publicly funded. Its Covid vaccine partner Biontech received $445 million from the German government, and Pfizer has received almost $2 billion from US taxpayers as pre-payment for a vaccine.    Pfizer’s leech-like behavior goes back even further. In 2003, after it appeared that Congress might pass a bill to permit cheaper prescription drugs in Canada for sale in the US, Pfizer attempted to change the rules of the game and demand Canadian pharmacies to order directly from Pfizer rather than wholesalers in order to dominate the market and interrupt the supply chain.    Pfizer’s track record for fines and lawsuits for violation of its drug safety profiles and ethical marketing are equally damning. In 2009, it was fined $2.3 billion for what was then the largest healthcare felony settlement in US pharmaceutical history for illegally promoting its drugs, including its painkiller Bextra. $1.2 billion was just for the criminal fine; at the time, this was the largest ever imposed in the US for any issue. In 2011, it was found guilty of racketeering charges for illegally marketing its anticonvulsant drug Neurontin and paid $142 million. Three years later Pfizer was fined $430 million to settle criminal charges for bribing doctors to promote and prescribe the same drug.     Nor should we ignore Pfizer’s dreadful environmental record: 1971 - Long time illegal dumping of a million gallons of industrial waste annually from its Groton plant into the Long Island Sound;  1991 - A $3.1 million fine for refusing to install pollution control equipment in its Delaware River plant 1994 – A $1.5 million fine for illegal dumping at a toxic waste site in Rhode Island 2003 – Paid a $700 million settlement for dumping PCBs in Anniston, Alabama.   Now, we are facing the widespread distribution of Pfizer’s experimental mRNA Covid-19 vaccine wherein the trials to determine its level of safety and efficacy are still underway. It is still too early to make any determination of Pfizer having been engaged in any nefarious activities to get its vaccine rushed to the public. Impropriety and medical negligence so far lies on our government’s shoulders and our bought-off corporate media. Federal health agencies simply ignored their regulatory obligations and gave the vaccine a green light prematurely. Nevertheless, reports of injuries and deaths continue to mount and we will not have any sense of the full cost to human life and suffering from vaccine injuries for a while. In the meantime, China has suspended the mRNA vaccine after a flurry of deaths among Norwegian elderly. The Gibraltar Chronicle reported the deaths of 13 people within two days of receiving Pfizer’s vaccine and that number has risen to over 50 on the tiny island. Hundreds of vaccinated Israelis are still coming down with SARS-CoV2 infections after vaccination. The highly prestigious journal Science reported the growing concerns over the Pfizer vaccine’s polyethylene glycol nanoparticle and its relationship to the growing number of rare but serious allergic reactions and cases of anaphylaxis. And in a briefing document released by the CDC’s Vaccines and Related Biological Products Advisory Committee gave warning that the Pfizer vaccine trials give indication of unusual and unexpected antibody responses, cytokine storms and pathogenic priming that give rise to critical illness and death.    Therefore there is no evidence whatsoever that Pfizer’s Covid-19 vaccine can scientifically and consensually be ruled as safe. But as we have observed from Pfizer’s litany of criminal activities above, safety and effectiveness of a drug or product has never been a priority in the company’s executive office.    All told, these examples of Pfizer's culture of greed, deception, political maneuvering and mafia-like tactics has collectively injured countless people. Pfizer is a global corporation. Its drugs, and now its Covid-19 vaccine are marketed globally. To better understand Pfizer, the company should be perceived foremost as a cash cow for Wall Street. Its prime directive is selling drugs; its history of misdemeanors and crimes should indicate the company holds no integrity or medical ethics with a sincere commitment to prevent and treat disease. For firms such as Pfizer, injuries and deaths are the necessary collateral damage of getting poorly tested products on the market and as fast as possible. In our opinion, a black box warning should be slapped on the Pfizer logo. And should we trust such a company with the potential to vaccinate an enormous percent of the world population with an experimental vaccine?  

drdiagnosis@diagnosemenow.comIG,FB:@thebreakdownwithdrdiagnosisIG,FB,Twitter: @diagnosemenowhttps://the-breakdown-with-dr-diagnosis.simplecast.com

Tired of the kibble, home cooked, raw debate? Would you just like to know if what you are feeding your dog is supporting health? Follow your gut...and listen to this episode!You have heard the buzzwords--microbiome, gut health, microflora, probiotics, immune health. After this episode, you will easily understand what they are and how caring for them first will create a foundation for good health.Did you know 80% of immune health comes from the health of the gut? Is what you are doing for your pet creating health or feeding imbalance?Have you used antibiotics, pain medicines, or deworming medicines with your dog? Are probiotics helping or harming your dogs health?Does your dog have IBD or any chronic GI Issue? How can a fecal transplant improve health?Get the answers to those questions and more! The information in this episode will benefit dogs, cats and humans. Please listen and share with friends and family.For more information on AnimalBiome click here Watch the YouTube version of the podcast and see the reports we discussed or just look for more videos and information from this episode by going here or www.doghappi.com

We know that gut health is trending, it's pretty hot right now, right?! Well, tune in to today's episode as Mase explores SIBO with a bonafide SIBO doctor. Small intestinal bacterial overgrowth, it's a deep dive today, exploring what the heck is this actually?! Mason and Dr Nirala cover the nuanced approach required to treating SIBO, exploring why it may be overdiagnosed and other gut symptoms (constipation, food sensitivities and more).   If you've ever traveled to a third world country, got some sort of bug, 'fixed it' and then realised you never truly recovered, then today's episode is for you! (Also, if gut health and immunity are important to you, you are going to love today's episode.) Dive in, here are some of the stuff discussed in today's episode: The nuanced nature of SIBO when compared to irritable bowel syndrome To heal from SIBO, a strategic approach is required, not just a one-size-fits-all What role chronic stress plays in suffering from SIBO How hypothyroidism, mould exposure and other autoimmune diseases are connected to SIBO The misunderstanding around 'reseeding' the gut How the 'breath' test works in diagnosing SIBO Which foods to avoid during SIBO Dr Nirala's dietary treatment plan Dr Nirala covers the three possible treatment plans (herbs, antibiotics, diet) A brief touch on the Blood Type diets   Who is Nirala Jacobi? Dr. Nirala Jacobi, BHSc, ND (USA) graduated from Bastyr University in 1998 with a doctorate in naturopathic medicine. Dr Nirala practiced as a primary care physician in Montana for 7 years before arriving in Australia and is considered one of Australia’s leading experts in the treatment of small intestine bacterial overgrowth (SIBO), a common cause of IBS. Dr Nirala is the medical director for SIBOtest, an online testing service for practitioners. Dr Nirala is so passionate about educating practitioners that she founded “The SIBO Doctor”, an online professional education platform. Dr Nirala lectures nationally and internationally about the assessment and treatment of SIBO and is the host of the popular podcast The SIBO Doctor podcast for practitioners. Dr Nirala is the medical director and senior naturopathic physician at The Biome Clinic, center for functional digestive disorders in Mullumbimby, New South Wales. Dr Nirala is the co-founder of the Australian Naturopathic Summit. When she is not actively researching, seeing patients or lecturing, Dr Nirala can be found enjoying the beauty of nature   Resources: Dr Nirala's Instagram The Human Microbiome Project Dr Nirala's  FREE SIBO Questionnaire The SIBO Success Plan 8 Hour Course SIBO Mastery Program (for practitioners) Visceral Manipulation Barral Institute Feeding Your Microbiome (Dr Nirala Podcast with Dr B) The Blue Zones book Healthy to 100 book Blood Type Diet   Q: How Can I Support The SuperFeast Podcast?   A: Tell all your friends and family and share online! We’d also love it if you could subscribe and review this podcast on iTunes. Or  check us out on Stitcher, CastBox, iHeart RADIO:)! Plus  we're on Spotify!   Check Out The Transcript Here:   Mason: (00:00) Hi, Nirala.   Nirala Jacobi: (00:02) Hi, Mason.   Mason: (00:03) Did I pronounce your name correctly?   Nirala Jacobi: (00:04) You did.   Mason: (00:06) Okay. Nirala Jacobi?   Nirala Jacobi: (00:07) Very good.   Mason: (00:08) Yeah, yay.   Nirala Jacobi: (00:12) Yes.   Mason: (00:13) Okay. Guys, got to do it in person today, which is-   Nirala Jacobi: (00:17) What were the chances of that?   Mason: (00:19) Considering you live in Wilson's Creek, I think they're pretty good. But in terms of the chances of doing it, two people, that's a party but I think that's a legal party at these times, isn't it?   Nirala Jacobi: (00:29) These days, it is.   Mason: (00:31) Oh, pretty legal. Goji is sitting in the room if you hear Goj wrestling around, but dogs don't count. Guys, we're talking about SIBO. We got the SIBO Doctor here. I'm following you on Instagram for, I think, like three years.   Nirala Jacobi: (00:51) Wow. Okay.   Mason: (00:51) Yeah. I've been aware of your work. SIBO has been one of those things I used to say, facetiously, that it got trendy about three years ago in terms of I don't know where you see the mass awareness come about in the naturopathic and medical circles or whether it's even really accepted in the medical circles but, obviously, you would have watched the trend occur and then the mass misdiagnosis and then realisation that we're actually able to test and find out that it is this SIBO, which we'll find out from you what it is. Why did it, all of a sudden, hit mass consciousness? What I see a few years ago anyway.   Nirala Jacobi: (01:42) I'm going to go back nine years. I've been a naturopathic doctor for about 22 years now. I have practised in Montana and saw everything from heart disease to urinary tract infections to actual IBS or irritable bowel syndrome. We had really good result rates, but there was always a subset of patients that just did not improve. Then fast forward nine years ago, I sat in a lecture at one of our conferences and heard about SIBO. It was like a light bulb went on because it explained those cases that just didn't improve with conventional naturopathic approaches even to irritable bowel syndrome.   Nirala Jacobi: (02:27) Then, I started to become an expert in SIBO. I moved here about 15 years ago, Australia, but I became an expert and started lecturing for other supplement companies and to practitioners and started a breath testing company because there was just nothing here at all about SIBO. I think one of the reasons why it has really exponentially grown the interest is if you think that about 11% of the world's industrialised nation has IBS. IBS, according to conventional medical texts and the conventional medical approach, has no real cure.   Nirala Jacobi: (03:18) To find something that actually is the cause of IBS that is so profoundly responsive to treatment, I think, really gave hope to a lot of people. Now, of course, with that comes the fact that SIBO is often, as you mentioned, I do think there is an element of overdiagnosis. Everybody just basically treats according to the symptoms, which is not what I recommend at all. Because in that case, you can use antimicrobials and things like that for far too long.   Nirala Jacobi: (03:53) I think it has to do with the fact that there really wasn't other options for people. They really improved when they began to treat SIBO, or I saw a dramatic improvement in my patients when we finally treated the cause rather than just giving probiotics and giving fibre and giving all of the stuff that we know how to do, and people were actually getting worse, not better with those approaches. That was really my journey into this.   Mason: (04:22) That was probably about a time when I think naturopathic medicine got a little bit more integrated even. There were all these different pockets. All of a sudden, naturopaths, even though they were specialising in particular areas, became aware of just all these different specialisations, became I did say trendy for that reason, because it was about the end of that era where people were really trusting health coaches who would read up about the symptoms of SIBO and, therefore, put their clients onto an antimicrobial or whatever it was and just flying blind. You've got the breath test of your business where I see it's like if you're in Chinese medicine, you are doing pulse and tongue and the questions diagnosis. If you're in naturopathic medicine, you need that testing most of the time, I'd imagine.   Nirala Jacobi: (05:25) Yeah. I'm a gastrointestinal specialist. I don't just do SIBO. I specialise in functional gastrointestinal disorders, so I do a number of tests. This, I think, is a big shortcoming of practitioners where they consider the finances of ordering a test for a patient. I always tell practitioners that I teach, "You're not their accountant. You don't know if they want to test or not want to test, but it's your job to give them the best options and the diagnosis," because if you're just reading, you're not going to get better because SIBO is a really distinct condition that requires a really strategic approach. There's different kinds of SIBO.   Mason: (06:10) That's always what happens. Yeah. It's the same with PCOS or whatever it is. There's different arms. Obviously, there's different sources. There's mainly four major causes, is that right?   Nirala Jacobi: (06:25) There's four major groups of causes.   Mason: (06:27) Okay, okay.   Nirala Jacobi: (06:29) But maybe what we should do is backtrack and really define what SIBO is, right?   Mason: (06:33) Yeah, good idea. Well leading, you can tell you have a podcast.   Nirala Jacobi: (06:35) Yeah. All right. Let's talk about ... so that people can really understand that it's not just bacterial overgrowth, and as soon as you kill the bacteria, boom, that's it, you're cured. In some instances, that's the case, but it's actually the exception rather than the norm. But SIBO stands for small intestinal bacterial overgrowth. It's a condition where bacteria that are typically usually found in the large intestine are, for some reason, found in the small intestine.   Nirala Jacobi: (07:03) Now, the surface area of your small intestine is about the surface area of a double tennis court. Imagine having a massive bacterial overgrowth right where you absorb your nutrients, where you release your enzymes, where you do all of these different important digestive functions and, all of a sudden, that surface area is just chock-a-block with bacteria. These bacteria ferment the food that you're eating into hydrogen gas. There's a group of bacteria or a phylum called proteobacteria. The main gram-negative bacteria in that group are Klebsiella, Proteus, E. coli, those types of bacteria that are the biggest culprit for causing SIBO.   Nirala Jacobi: (07:47) Why is this happening? This is how we get into the underlying causes. I think one of the main driving cause of SIBO is, imagine you've gone to Bali, you had a case of food poisoning, or if your listener is in America, you've gone somewhere else and you had food poisoning. You came home, it resolved, but then you still have ongoing digestive symptoms. Actually, over time, they become worse, you go to the doctor, they diagnose you with IBS. That is the classic scenario.   Nirala Jacobi: (08:19) What happens there is the bacteria that caused the food poisoning are not the bacteria that are causing SIBO, but they're the bacteria that are damaging to the enteric nervous system, which is really the motility, the brain of your gut. You are meant to have this innate ability to clear bacteria from the upper gut, because the body doesn't want them there. You're supposed to sweep them all towards the small intestine. When you've had a case of food poisoning that results in this damage, you actually cannot effectively clear these bacteria from your upper gut.   Mason: (08:55) What is it that's affected in the small intestine and it stops you from having the motility to move it out?   Nirala Jacobi: (09:03) This part of the nervous system is called the migrating motor complex. It's a part of the enteric nervous system. Enteric just means digestive or your gut. It's basically the brain in the gut. This particular section of the small intestine is meant to clear these bacteria out every 90 minutes on an empty stomach. Imagine that you've had this food poisoning and it damaged that section or that particular part of what clears the gut out in the upper gut.   Nirala Jacobi: (09:32) That actually can be tested with a blood test. We're trying to get it to Australia. Because of COVID, we've had some issues. But we do want to offer this test for people to test for these antibodies, because if you know that's the cause, the proper treatment for SIBO for you would be to have antimicrobials, whether that's the conventional antibiotics that are indicated for this or herbs. Then you must follow it up with something called a prokinetic, which is a medicine that aims to reset this migrating motor complex. That's probably the biggest group of people that have this as an underlying cause.   Nirala Jacobi: (10:10) But then you also have people that just were totally stressed out for a long time. Chronic stress, as you probably have discussed this before, causes you to be in this chronic fight or flight. If you're in chronic fight or flight, you're not in rest and digest, it turns off your digestion. These natural antibiotic fluids, like hydrochloric acid, bile, digestive enzymes that are meant to kill bacteria are very poorly produced and, therefore, you suffer not just from maldigestion, but then also bacterial overgrowth. That's a different kind of cause of SIBO that then wouldn't necessarily require the prokinetics.   Mason: (10:50) Like a stealthy, slow-grown...   Nirala Jacobi: (10:54) Yeah, yeah.   Mason: (10:54) I like that you're just actually bringing up those antibacterial fluids. I was going to ask you, and you did it straight away.   Nirala Jacobi: (11:04) Yeah. Then the other one, there's more, the fourth group ... The first one would be a matter of a problem with motility. That is not just this, what we call, post-infectious IBS. It can also be hypothyroidism, other autoimmune diseases, mould exposure. All kinds of things can cause this problem with motility. Then you have these digestive factors, and not a big one because a lot of people don't think about this, but previous abdominal surgery that causes scar tissue known as adhesions that actually attach to the small intestine in the abdominal cavity and cause like a kink in the garden hose. That prevents bacteria from leaving the small intestine. Also for that, you would need prokinetics. You can see how it's so much more intricate than just, "Here are some antibiotics," or "Here's berberine and here's Allimax."   Nirala Jacobi: (11:59) One last thing I'll say about SIBO before the next question is that there are two groups. I've mentioned the proteobacteria that produce hydrogen. There's another group of ancient organisms. They probably live on Mars, too. Honestly, they're like extremophiles. They live on the bottom of the ocean. There are these ancient archaea. They're not even bacteria. They produce methane. Methane, we know, causes constipation. If you're somebody that's been diagnosed with SIBO methane or SIBO-C or SIBO constipation, it's likely that your methane is high. That's a different kind of treatment. That's starting to be thought of as actually a separate condition. That's advanced SIBO discussion.   Mason: (12:46) I like that. We always got this travelling of these bacteria up through the ... Is it the ileocecal valve?   Nirala Jacobi: (12:55) Ileocecal valve.   Mason: (12:57) Ileocecal valve. Is that a constant occurrence of reality?   Nirala Jacobi: (13:00) No.   Mason: (13:00) No?   Nirala Jacobi: (13:01) No, that is not how it happens. These bacteria, they are normal in very, very small amounts. Nothing in your body is really sterile. Nothing really, even though we think it is, but it's not really.   Mason: (13:17) But we've been told it is.   Nirala Jacobi: (13:17) Yes, exactly.   Mason: (13:17) Programmed.   Nirala Jacobi: (13:18) Yeah. It's like modern medicine at the time thought that's what it was, but it turns out that one of the most famous bacteria that survives the stomach is H. pylori. We know it can survive very well there. But you have maybe 1,000 bacteria or colony-forming unit per mil in the upper gut, just below the stomach, the duodenum. Then as you progress towards the large intestine, actually, the diversity and the sheer number of bacteria increases. That's normal.   Nirala Jacobi: (14:00) These bacteria, even though gram-negatives that cause SIBO, are actually not pathogens. They're called pathobionts. Pathobionts are organisms that you normally find in low amounts. But when they get overgrown, they become pathogenic. I often tell people, my patients, I say, "Your gut is like a white supremacists neighbourhood. It's just one kind of bacteria, and you need diversity and you need low numbers of those organisms." That's what we're aiming for.   Mason: (14:36) There's, I guess, an as above, so below, we've sterilised everything in our environment, in our house, and we have low bacterial biodiversity there, we're going to see low bacterial biodiversity internally. Is there a particular macro or even micronutrient cycles that that gram-negative bacteria ... What did you say? What was the group?   Nirala Jacobi: (15:02) The group is called proteobacteria.   Mason: (15:03) Proteobacteria. Is there anything that would feed them excessively?   Nirala Jacobi: (15:08) No, it's basically food. Those bacteria are usually found in higher amounts in the large intestine. They're normal there. A pathobiont becomes problematic when it outgrows its environment or the other bacteria in that location. They've actually just did a microbiome assessment study on the small intestine. I think the other reason, just to briefly sidetrack to get back to your first question, why is this such a big deal now, is because we know so much more.   Nirala Jacobi: (15:44) The Human Microbiome Project that's undergoing, it's like discovering the universe, because what happened before we were able to actually understand what was happening in the small intestine, we couldn't culture out these organisms because they would die. They were anaerobes. They couldn't be cultured out. Now that we have this different technology that uses RNA and DNA, we can understand far more. Now we actually understand the normal microbiome of the small intestine a lot more. It's totally fascinating to be in this field of microbiome research.   Mason: (16:26) Of the large intestine bacterial testing and analysis of the biome, testing has got a little bit more efficacy with that, is that right?   Nirala Jacobi: (16:33) Oh, way more.   Mason: (16:34) Way more?   Nirala Jacobi: (16:36) Way more, because it used to be culture-based, it turns out it's like fairy dust of what actually is in the large intestine as a representation of the ... We know about Lactobacillus and Bifidobacterium. That is literally just 2% to 5% of your entire microbiome. There are so many more species that do fascinating things.   Mason: (16:59) We've had the chat on the podcast a couple of times of why just throwing a probiotic in the gut is ... Quite often, you can get a little bit more sophisticated.   Nirala Jacobi: (17:09) I think we're at that place now where ... I'm somebody who used to just do a probiotic. "Yeah, just a couple of Bifido, couple of Lacto, you're good." But now, I'm way more strain-specific. I would use Bifidobacterium lactis HN019 if you're constipated. I'm not going to necessarily give a whole combination of products, or I give you Lactobacillus rhamnosus if you have leaky gut and eczema, for example. It's a lot more fun now than it used to be.   Mason: (17:46) Yeah, I can imagine. It's like rather than just having your shotgun, you got the Men in Black chamber. You walk and there's all different types of guns and grenades all over the wall, but in a more life-giving kind of ... Like a seed gun.   Nirala Jacobi: (18:01) I like that. Actually, this brings up a really important point, is that even when I went to naturopathic medical school, it was taught to us that we could reseed the gut. Remember that?   Mason: (18:15) Mm-hmm (affirmative).   Nirala Jacobi: (18:15) We cannot do that. These Lactobacillus and Bifidobacterium, they are response modifiers. They actually do something that is not involving reseeding. If you've lost a lot of your native species because you were on chronic antibiotics for acne, or Lyme disease, or whatever that may be, if you've lost a lot of your species or have really reduced them, probiotics will not reseed what you've lost. You can't do that. It's a really important point because some practitioners still preach this method, but I had to really switch my thinking. I tell my patients, "I'm going to give you this probiotic for this symptom. I'm not going to give it to you because you're reseeding." You can't do that. Not if it's 5% or 2% of the gut.   Mason: (19:01) In terms of it being for the symptoms specifically, is that because the probiotic is able to do it like having a short-term effect within the gut and then it's on its way?   Nirala Jacobi: (19:11) Yes, exactly. Exactly. That's what probiotic research is really good at, is seeing what symptoms a particular strain can alleviate.   Mason: (19:24) Obviously, we've touched that medication and antibiotics can be another reason why we could lead to SIBO and IBS.   Nirala Jacobi: (19:33) Medications like proton pump inhibitors that stop stomach acid, there's some debate whether or not, but I have seen people definitely have a problem with SIBO after using chronically proton pump inhibitors, and others that are more slowing the gut down. Medications like opiates and things like that, morphine will really slow it down. But then that's pretty temporary, you're not going to see chronic SIBO with that.   Mason: (20:05) Yeah. The stress factor, you're looking at a combination, mould exposure, stress, and antibiotic here and there, it's kind of a cocktail of reasons, I imagine.   Nirala Jacobi: (20:18) This is always the overwhelming part for people. It's like, "Oh, my God, where do I even begin?" But this is where a really skilled practitioner can ... I actually have a questionnaire that you can get on thesibodoctor.com. That is a questionnaire about finding the cause for SIBO. You can download it, it's free, as is the diet that I've devised for SIBO. You can take that to your practitioner and it can whittle it down to what the possible causes are. It goes through these four groups of causes.   Mason: (20:52) That's cool. Something that I really like about your approach is I'm hearing just on your website right here, you've got the patient course, practitioner course. Obviously, you're a practitioner and you've got a focus on the patient being able to understand it and get to the source themselves, getting, for lack of a better word, empowered around it, getting informed, and then bridging the way that they can then take that questionnaire and they can create a dialogue between them and their practitioner.   Mason: (21:25) It's something we always ... You go there automatically. It's why I like your work. It's something we always try to do and talk about on the podcast when we're chatting with practitioners as well, because it diffuses it. You've even got great resources there of like once you've treated yourself, how are you going to stay out of that practitioner office, which it's overlooked quite heavily. I don't know what your thoughts are on that.   Nirala Jacobi: (21:49) The SIBO Success Plan, which is the patient course, it's an eight-hour course that goes through everything from leaky gut to all these different things, it really was born out of a necessity. In a perfect world, everybody would have a practitioner that is SIBO savvy that can nail this thing for you. But I got calls from people or emails from people in Finland and from all over the world that just said, "There's no one here. No one can help me." This is the course that really had to be made for people like that. They don't have a practitioner.   Mason: (22:26) You go straight to sibodoctor.com/sibo-success-plan/. So good. Eight hours?   Nirala Jacobi: (22:35) It's eight hours because it's eight modules. One of the reasons I shouldn't say I love SIBO, because SIBO is a medical condition, but if a practitioner is listening to this, if you can master SIBO, you got the gut down. You understand practically most of the things that can go wrong with the gut, bearing in mind that there are other issues that are more anatomical problems and stuff.   Nirala Jacobi: (23:06) But everything from, like I mentioned, leaky gut, the effects of stress on the gut, what to do when you're constipated, how to help yourself with different home treatments, I have an online dispensary guide that guides you through all the major products that are out there that are for SIBO, and pros and cons and stuff like that, and food sensitivities, histamine intolerance, salicylates, oxalates, SIFO. SIFO is small intestine fungal overgrowth, which often accompanies SIBO. There's a lot there that I had to cover to really make it comprehensive for people.   Mason: (23:46) Do you do a leaky gut analysis on a patient as well? Is there always going to be a presence of SIBO and therefore-   Nirala Jacobi: (23:55) Not always. No.   Mason: (23:57) No?   Nirala Jacobi: (23:57) The thing is SIBO can cause leaky gut.   Mason: (24:00) Can cause... Right.   Nirala Jacobi: (24:00) But just because you have leaky gut doesn't mean you have SIBO. But it is a major cause of it. They've even done research on, all right, well, one month after clearing SIBO, the intestinal permeability was also resolved. If you have the wherewithal and the fortitude to get rid of SIBO, then you can also get rid of leaky gut.   Mason: (24:24) I think it's important that you said you do love SIBO because it's, as I mentioned before in the podcast, we're at that point where my mum, she's nine years post-aneurysm, 24-hour care, in a wheelchair all the time. We've done well to keep her off medications and keep her going well, but it's just this bloating that's been there and it finally got to the point where we're like, "Right, we got to test for SIBO," and so we've got there. We're doing the breath test thing. Is it five days?   Nirala Jacobi: (24:52) No, it depends on if you're constipated.   Mason: (24:55) All right.   Nirala Jacobi: (24:55) If you're constipated, it's a 48-hour prep for this test because what we want to do is have bacterial fermentation really down, really reduced before you then start the test, which is a three-hour test where, first, you get up in the morning, you drink this very sugary drink. That's a prebiotic substance that promotes the growth of those bacteria that you've starved over the past two days, one or two days. Then you're measuring your breath every 20 minutes. If we see a rise of hydrogen or methane before 90 minutes, that's the window of SIBO.   Mason: (25:36) Yeah. If you get the methane, then we're going into that real nerdy, new sector of SIBO. Is that right?   Nirala Jacobi: (25:46) Yeah. [Laughing].   Mason: (25:47) For that instance, my stepdad, he's managing that and he's just looking at like, "All right, test, okay, we can handle it," and trying to get a bunch of carers to all unite and align on that and then looking at having the management of the diet. I think the SIBO diet is the thing. That's why I say I appreciate you saying that you love SIBO because ... But I am curious when you're approaching, how do you keep the excitement up with your patients when you're-   Nirala Jacobi: (26:21) That's a really good question. I think that even just this morning, I spoke with somebody who has been ill for so long, and I'm not saying that just curing her SIBO is going to be the be-all, end-all. People are complicated. There's no one approach to it. You can have somebody who has childhood trauma. We know from studies that even childhood trauma can cause what they call adverse childhood events. It can cause a major shift in the microbiome, for example.   Nirala Jacobi: (26:53) You can have somebody like that that you work with in finding a good practitioner around trauma and regulating their own nervous system. Then you have somebody who just discovered that their house was full of mould, or you have somebody who has an autoimmune disorder or chronic viral infection. It always is different presentations. It forced me to really become really good at all these different conditions, and that's why I think if you can really not just look at SIBO, but the underlying causes for me is where it's really at where I continue to learn also.   Mason: (27:32) Yeah. I guess that's the exciting part, is knowing that you're not just going to have another random go at figuring out what's wrong with you, but you're actually ticking things off to be like, "Look, if it's not this, great. We know it's not this. We know it's not this. We know it's not moulds. That means you're getting closer." I think just the trouble is finding a good practitioner.   Nirala Jacobi: (27:56) We have an answer for that. On thesibodoctor.com, we have also the SIBO Mastery Program for practitioners. After they've completed all three levels, they're eligible to be listed free as a SIBO doctor approved practitioner, so all the people that are listed in there. We had to purge a whole bunch. We had to start fresh from scratch this January. As we go along, this list will get bigger and bigger, but they all have taken these very extensive training courses that covers all of these topics. I think you're pretty safe. A lot of them do Zoom calls. I will say that. Nowadays, we're forced to do more and more virtually.   Mason: (28:37) Which is amazing.   Nirala Jacobi: (28:39) It's amazing. It has its drawbacks. I do, as a practitioner, a hands-on practitioner that does physical assessment and certain manoeuvres, I miss that part but-   Mason: (28:50) Can you explain what the physical assessment and manoeuvres are?   Nirala Jacobi: (28:54) In America, we're trained like physicians. We're actually like naturopathic GPs, if you will. We're trained in physical exams. I always enjoyed that part of my practise, too. Some people have things like the ileocecal valve problem, which is the valve between the small and the large intestine and it can be stuck open, and then you have this backflow problem with bacteria. You can easily manipulate that with using different manoeuvres, or the hiatal hernia manoeuvre, which is part of the stomach moving into the thorax. It's those kinds of things, as well as physical exam and stuff like that. You get a lot of information from looking at somebody's body, for sure.   Mason: (29:39) Yeah, 100%. I can get the drawback, if we can get back to getting in-person as much as possible, great. Otherwise, if you're in Finland and you don't have a practitioner, "Oh, well, that's wonderful."   Nirala Jacobi: (29:49) Honestly, well, 90% of my practise is virtual, and then sometimes I'm like, "Okay, stand up, lift your shirt, press there." That will have the work.   Mason: (29:58) Yeah, you do what you have to do.   Nirala Jacobi: (29:59) Yeah.   Mason: (29:59) Do you ever recommend for people to be physically manipulating their own gut with massage as treatment?   Nirala Jacobi: (30:07) That's a great question because let's hypothetically say ... Well, let me rephrase it. Yes, if it's for just the ileocecal valve. I do have a little video on my Facebook page, The SIBO Doctor, where I go through how to do it, how to actually release the ileocecal valve yourself. It's not going to be as great as when a trained practitioner does it, but it's good. The massaging of the gut, let's hypothetically say that you're a patient that's listening to this and you're like, "Oh yeah, I may have SIBO."   Nirala Jacobi: (30:45) You may have had abdominal surgery for things like you may have had caesarian or you may have had your appendix out or you may have your gallbladder out or the myriad of other things that would be considered routine surgeries, and you have adhesions. That is not a good thing to massage your own belly because it can trigger more scar tissue formation, but light touch, we're just talking light touch. For that scenario, I usually refer to a visceral manipulation practitioner.   Mason: (31:17) What's that?   Nirala Jacobi: (31:19) Visceral manipulation, so the viscera are the organ up in the abdomen. It's extremely light touch but they are trained to actually feel the rhythms of these organs. Don't ask me what that is.   Mason: (31:31) Actually, Tahnee, my fiancée, she's a Chi Nei Tsang practitioner. Do you know that? It's Daoist abdominal massage.   Nirala Jacobi: (31:37) Oh, okay. Yeah.   Mason: (31:38) We've talked a little bit about it. I was wondering whether that's what you were talking about.   Nirala Jacobi: (31:41) Right. No. Visceral manipulation, as far as I know, there's a group from The Barral Institute and they have a very specific technique to very gently break down scar tissue or break up scar tissue.   Mason: (31:58) Okay. That's good to get that resource because there's people listening to the podcast, like Tahnee's not practising and she gets asked a lot about doing abdominal massage, so to be able to tune in with another group of practitioners that are doing this I think will help a lot of people. All right. Well, that's going to be in the show notes, gang. When we do get to treatment and, obviously, the dietary charts, there's different phases of healing of SIBO?   Nirala Jacobi: (32:27) No, so what happened is, okay, so in a nutshell, the food that promotes or that feeds the bacteria are foods that are high in fibre. That makes sense. Those are healthy foods that feed our own microbiome. That's why we want to eat them. In a case of SIBO, the bacteria are like miles further up so they're fermenting in the wrong place, and so you want to minimise those foods. Those foods are known as from FODMAPs, so Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols. Did I miss it all? Did we miss one? Anyways, so these are fermentable fibres.   Mason: (33:06) Forgot the A?   Nirala Jacobi: (33:09) And.   Mason: (33:09) Oh, okay.   Nirala Jacobi: (33:13) I know, right? Those are the foods that typically are to be avoided when you suffer from SIBO. What I did is I took that diet from Monash. Fantastic work that they did over there to really pinpoint this. Before then, we didn't really know. I took that and put my own spin on it because I found even with that, people were reacting. I made it more restrictive, also added in SCD stuff and that type of thing, because I'm a very structured person and I don't like wishy-washy, vague treatment plans, and so I needed to structure it for myself.   Nirala Jacobi: (33:49) What I found is that I got very good results by having a diet that was in two phases. Then I called it the bi-phasic diet. Phase one was the most restrictive part where you have almost no grains and no fruit and really the high-fermenting foods, and you are basically getting tested for SIBO and you're waiting for your test result. I was already seeing dramatic improvement by the time they came back and yes, indeed, the test says it's SIBO, so then we initiated antimicrobials. That then prevented a massive die-off reaction of just throwing in antimicrobials in a system that was still really activated.   Mason: (34:33) Okay. You've got them going for, what, a couple of weeks now?   Nirala Jacobi: (34:35) A couple weeks, yeah. Yeah. I really did it for practitioners so that they could also tailor it. It still has different food ... Some people are very sensitive to histamines when they have SIBO, and that means no fermented foods, so no sauerkraut, those kinds of-   Mason: (34:55) That was very confusing for people, I think, about 10 years ago when capers and sauerkraut and body ecology diet and all that were going off real big time, and then some people will just get these intense levels of bloating every time they'd eat sauerkraut and kimchis and they wouldn't get it. They're like, "What's going on? This is a healthy food."   Nirala Jacobi: (35:14) "Persist. Persist. Keep it up. It's just your body detoxing." No, it's your body reacting.   Mason: (35:18) Yeah. Herxing became the ultimate. Just, "Oh, it's just a Herx."   Nirala Jacobi: (35:20) Yeah, yeah. Exactly.   Mason: (35:24) Is that normally enough to reduce the die-off from being too hard for someone just recently getting on the diet for a couple of weeks?   Nirala Jacobi: (35:32) It depends. The other thing is if somebody's really constipated, I don't start antimicrobials until at least even with the aid of magnesium oxide or something, I get their bowels moving, because if you add in antimicrobials in a really constipated system, you really are begging for a Herxheimer reaction because the river is not flowing, there's algae growing, it's muddy, it's not moving, it cannot clear out these toxins. I get the system ready before I add in antimicrobials.   Mason: (36:06) That's the most important part, is getting the river flowing.   Nirala Jacobi: (36:11) If you're constipated.   Mason: (36:11) If you're constipated.   Nirala Jacobi: (36:12) Yeah, I would say that that's often when people feel really horrible, when they start something like that and it's just not working. It's ironic because with these archaea or these methanogens as we call them, these organisms that produce methane, once it's actually reduced by the help of antimicrobials, you can expect that the bowel returns to normal, but you can't expect it if you're using some form of garlic extract to combat your methanogens. It will take you a couple of months, or if not longer, to really reduce that level to such an extent that you can have spontaneous bowel movements.   Mason: (36:53) What antimicrobials are you normally using?   Nirala Jacobi: (36:57) When we talk about treatment, there's three kinds. You have your herbs. You have your conventional antibiotics, and these are very specific antibiotics that are not for ear infections or sinusitis. Then you have a third treatment called the elemental diet. Herbs are usually berberine-containing plants, some essential oils like oregano, clove, those kinds of things. There's a bunch of herbs that I use and an extract or a low-fructans kind of garlic. Garlic typically is a FODMAP food, but if we use it with a high-allicine content, we can use quite a lot of it without a problem for these archaea, and we know that they're really effective for that. Then when you look at antibiotics, you're looking at rifaximin, which is a type of antibiotic that stays in the small intestine, doesn't get absorbed, and it's bile-soluble so it works in that perfect environment.   Mason: (37:57) Like the way doxycycline works, I think.   Nirala Jacobi: (38:00) No, doxy is way more broader and you will absorb some of that. Rifaximin is not absorbed. It stays in the upper gut. Then you have neomycin for the methanogens. Some people use metronidazole or Flagyl, and I shy away from that because I think as practitioners, we're the custodians of our patient's microbiome and we have to really respect that. Some people, I have seen some shocking microbiomes, let me tell you, by just looking at stool tests and things like that. Stool tests will not give you any information about the small intestine but, very often, it's not like it's only in the small intestine. Problems continue on with the large intestine.   Mason: (38:44) You're going to have an overgrowth most likely in the large intestine?   Nirala Jacobi: (38:45) Yeah. I've seen microbiomes that are completely denuded, like a clear-cut rainforest, and you're trying to regrow it and no wonder they're so reactive. You had actually mentioned my last podcast guest on my show was the guy who wrote Fibre Fueled, Dr. B., Dr. Will B.   Mason: (39:10) Dr. Will B. Yeah, that's what I call him instead of [mumbling].   Nirala Jacobi: (39:11) Bulsiewicz. I think it's Bulsiewicz.   Mason: (39:15) Yeah, I can never... We were in Arizona.   Nirala Jacobi: (39:19) Oh, right.   Mason: (39:20) I met him at the mindbodygreen weekend. We had a we called it dads gone wild night...   Nirala Jacobi: (39:28) Oh, do tell. Do tell.   Mason: (39:29) Yeah, it wasn't that exciting. It was just me, the DJ, and Dr. B just having chats about the gut and veganism and getting on the gluten-free beers.   Nirala Jacobi: (39:44) All right. That sounds like a hell of a party.   Mason: (39:49) Yeah, it actually was. I think tequila made its way at some point, which is wonderful.   Nirala Jacobi: (39:54) You were in Arizona after all.   Mason: (39:55) Exactly.   Nirala Jacobi: (39:56) Anyway, I really appreciated having him on the show because here he was, a gastroenterologist, epidemiologist, highly, highly trained specialist, and he had a sort of "Come to Jesus" moment when he really started to study the microbiome and started to work on it for himself. Now, he's like a complete convert about protecting the microbiome and regrowing it. I just think he's done a really good job with that book.   Mason: (40:25) Is that where his book is coming from? From that angle or-   Nirala Jacobi: (40:28) Fibre Fueled, yeah. I'm not his publicist, but I have the book and I read it and it's pretty good. Half the book is recipes, so vegan recipes, and how to regrow it. One word of caution, don't start with SIBO with that. We had this conversation. You can listen in on The SIBO Doctor podcast if you want to listen to the Feeding Your Microbiome. That shift is slowly happening. There's a lot more respect for the microbiome. I know of a lot of physicians who look back on medicine, on what it's done with antibiotics with real regret of like this was the wrong thing to do to just prescribe amoxicillin for every child's ear infection, or to prescribe for sinusitis, for these types of things. Still, to this day, it's happening day in, day out not just here but across the world where it's just way over prescribed, and it will catch up with you.   Mason: (41:33) It's an important part of any practitioner's arsenal to be able to reflect on what they're doing and not be too concrete and make sure you don't have too much morality and judgement of yourself if you did just follow the doctrine at the time, but make sure you've got the capacity to... motility to actually move on to what's important, because I know I wasn't really up on the conversation on testing the microbiome and I think we were chatting about that.   Mason: (42:01) Since then, I've got a naturopathic friend who he's basically moved a huge amount of his practise over to testing the microbiome and talking about how it takes out a lot of the guesswork, not only is it the antibiotics and seeing exactly the effect that they're having, which is great as well because you know what you've wiped out, but just dietarily as well, if it's vegan, high-carb, if it's carnivore or just high ... Whatever it is.   Nirala Jacobi: (42:32) Yeah, carnivore, I would never promote. Never because it is so hard on the microbiome. It just is. That's basically just meat, and unless you live in countries where, for centuries, that's what you did and I just ... Anyways, that's digressing but they are, and we agreed on that. We totally agreed that most diets, really if it already has a diet, then it's a fad mostly. What we know is where people live the longest and, to me, that's evidence and that's the Blue Zones.   Nirala Jacobi: (43:14) That's Dan Buettner's work. He wrote a book called the Blue Zones where people lived to be the oldest in the world, fully functional, still doing their daily work, very cognitively attentive, and very happy. There were seven hotspots in the world. They all had different things, but what they all had in common was 80% plant-based diet. For me, I'd go by that. I'd go by that. If people do well on veganism, then do that because the more plants you can eat, the more diverse your bacterial blueprint will be.   Mason: (43:56) That's always with the Blue Zones. Yeah, I first heard about it ... The book I got was Healthy Till 100, I believe it was. That book included a couple of other places. I'll put it in the show notes, guys, the scientifically proven secrets of, I think, the world's longest living people. Vilcabamba was in there in Ecuador, which I think isn't in there with Dan's work but, otherwise, it's like Okinawa, Sardinia.   Nirala Jacobi: (44:26) Yeah, and Loma Linda which is like eating processed vegetarian food.   Mason: (44:33) I think that their faith gets involved.   Nirala Jacobi: (44:33) Yeah, I don't know, but they got there in there, Sardinia.   Mason: (44:37) Maybe they're just right.   Nirala Jacobi: (44:38) Maybe. Well, who knows?   Mason: (44:40) Maybe their prayers are just better than health.   Nirala Jacobi: (44:41) Yeah, respect Loma Linda, California.   Mason: (44:44) Oh, that's right, John Robbins was the author of that book I was talking about. I like him. He balances out, because I think the thing with Dan's work which always I'm like, "So good," then he's like ... because I'm only talking about his behalf and it's like because it's 80% to 90% plant food and then 100% is the obvious conclusion, which I don't find to be the obvious conclusion.   Nirala Jacobi: (45:09) No, because I think and I will say if you look at the standard bi-phasic diet just to keep it in the SIBO spectrum, the standard bi-phasic diet is very animal protein heavy. Then I created a vegetarian bi-phasic diet, which is very amenable to vegans, and it's not just about taking the meat. That was a lot of work that I co-authored that with our clinical nutritionist, Anne Criner, here at our clinic. Then we have a third one which is the histamine bi-phasic. But there is something.   Nirala Jacobi: (45:41) A lot of people have tried veganism and it's just like, constitutionally, they just couldn't do it. I don't know what the answer is for those people because there are some people that just they get weak. Dr. B would probably argue that he thinks that everybody can live like ... I think, I shouldn't speak for him, but I don't know. I find that everybody is a bit different.   Mason: (46:09) Yeah, I'm with you as well. I find if you take one part of the body and solely focus on it, same if you're only focusing on the large intestine and the microbiome and not cellular, in particular cellular markers, then I can see how it would be really easy to justify a vegan diet. I was vegan and raw foodist for quite a while and then moved away from that direction and just was really questioning my need to eat a certain amount of domesticated vegetable and fruit matter.   Mason: (46:46) Then once I got back into the microbiome, I've really come to peace and to terms with the fact that, "No, you know what, that's ..." I was really rocking. I was rocking with that majority of my well-being, and even moving back into lentils and legumes and beans, which had a huge chip on my shoulder about. But then just staying open to ensuring there's potentially ... Like in the Blue Zones, meats are normally a side dish, and I like that.   Nirala Jacobi: (47:15) Yeah. I do, too. I know myself, I haven't eaten red meat in 40 years probably but I eat chicken occasionally. That's my one and only animal that I eat because also the carbon footprint. It's whole 'nother conversation, Mason. Nothing to do with SIBO. But in a nutshell, the diet is a therapeutic diet. It's not a stay-on-it forever diet.   Mason: (47:40) Greaaaaat distinction. I'm going to have to get excited about the diet. I'm going to have to get my mum, because I'll let you all know how. Maybe if I can have a chat again, get you back on here after, I'm going to use all your resources, all the listeners are going to ... I'll keep you in the loop of where mum's at, especially.   Nirala Jacobi: (48:02) Sure.   Mason: (48:03) Yeah, I'll let you know on an intro at some point where she comes back with in the test. If it's positive, then we'll go on that journey together. With meat and impact. Have you tried a wild, invasive deer or anything from around here. It's like-   Nirala Jacobi: (48:21) No, but I'm not opposed to it. I trust my body and I just have no affinity towards those things. Red meat, just no.   Mason: (48:35) Yeah, that's fair enough.   Nirala Jacobi: (48:38) We're really covering a lot of ground, but there's something about the whole blood type thing that I can tell you as a practitioner, that's been nearly a quarter of a century in practise that there's something about that. Blood type As tend to have a little bit harder time with digesting animal protein.   Mason: (48:58) Is that just going back to the classic book, The Blood Type Diet?   Nirala Jacobi: (49:02) Dr. D'Adamo.   Mason: (49:03) Yeah, D'Adamo. That's right.   Nirala Jacobi: (49:06) Yeah. Look, it's still got work to do, but I think there's elements that I certainly have seen be proved in practise. For me, I don't just need theories, I actually need evidence. For me, evidentially, I have seen that in practise, that people that are blood type O, they fade sometimes on a vegan diet because I don't know. I never got so fully into it that I can rattle off the science right now, but it has to do with rhesus factor and different ... Well, the theory was really that when we originated ... See, an evolution story.   Nirala Jacobi: (49:47) When we originated in Africa, everybody was blood type O because you needed to be able to eat dead animals and stuff. You had a very forgiving type of blood type that was not very reactive. Then as we moved north and into Europe, it wasn't really economical to eat your animals, and so you became more farmers and started to grow things, and that was blood type A. Then as you move further north, you had natural refrigeration, and that was the AB type or the B type, which can handle dairy really well. That's the theory anyways. I can tell you that much.   Mason: (50:22) It's a good theory.   Nirala Jacobi: (50:23) It's a good theory.   Mason: (50:23) That was always the thing with The Blood Type Diet.   Nirala Jacobi: (50:26) It checks out.   Mason: (50:27) It checks out. I remember The Blood Type Diet was a funny one because every practitioner I've talked to has said there is something to this-   Nirala Jacobi: (50:35) Yeah, there's something to it.   Mason: (50:36) But the science was never rock solid so it was open for criticism, yet anecdotally, it was on point. I love it. It's good to know. It's good to go into that world because as soon as you get into, as you said, you made that decision, it's why it's hard sometimes to listen to a practitioner talk about diet long-term because you know that the mindset is based on healing. Then as you said, this is a healing-   Nirala Jacobi: (51:03) Therapeutic.   Mason: (51:03) Therapeutic diet. Huge distinction because, otherwise, you stay in a "I'm sick" mentality long-term.   Nirala Jacobi: (51:11) Right. Look, I always tell my patients when you travel ... Well, it's a different world now, but if you were going to see Paris, I don't want you on this diet. I want you to eat baguette and dip it in the cafe au lait. I want you to eat things that you enjoy. Most of the time, when people travelling and they suffer from food sensitivity, it actually miraculously goes away. Of course, celiac disease is a different story, but there is this element of you just having just more endorphins and your secretory IgA goes up and all of that, and people can tolerate a lot of foods that they would not normally tolerate in a happy setting and a happy live-your-life, I want you to drink wine if you're in Italy. Why restrict ourselves to this myopic thinking, it has to look this way?   Mason: (52:03) It's refreshing. I like the way that you're bridging over there. It's something that I've always liked about your accessible approach because it's like bridge into what's actually going on and then I'm going to see your bridge out over there to live your life because, obviously, people do get addicted to being sick and something being wrong and then the fear of if I do something outside of the therapeutic-   Nirala Jacobi: (52:23) There's a lot of fear. There's a lot of food fear and there's this whole new term of orthorexia.   Mason: (52:29) Yeah, exactly.   Nirala Jacobi: (52:30) That's a real thing. A lot of people are so concerned about having made some small error on the bi-phasic diet. I'm like, "You've made no error. It's fine." Not just the bi-phasic diet but also anything, really. They get very, very hooked on that they did something wrong, and there's a lot of food fear and that. Imagine, you're sitting down to eat your meal and you're already worried about the food. Sometimes, I tell people sit for two minutes and just appreciate the food, just take a moment and get into a rest and digest before you eat.   Mason: (53:13) That's where the prayer comes in, the grace.   Nirala Jacobi: (53:16) It used to be prayer, it used to be grace, all of that. That's all. It's a thing.   Mason: (53:21) I feel like we go down this rabbit hole, that's probably another podcast talking about the orthorexia. I know it very well. I've had to go. I was so down the rabbit hole of raw foodism. I had to go and start eating things that I swore I would never eat again to start cracking myself out of just like that scrubbing myself clean with my diet. It's hardcore, and it isn't orthorexia, and it isn't eating disorder in varying degrees. But thanks for bringing it up, because especially when you're promoting a therapeutic diet, I always think the duty of care comes with making sure that people and patients are aware not to get stuck in it. Thank you for that.   Nirala Jacobi: (54:00) My pleasure.   Mason: (54:02) I had really a lot of fun chatting with you.   Nirala Jacobi: (54:03) I did, too. We've covered a lot of ground.   Mason: (54:06) We've covered a lot of ground. We run really fast on this podcast. Look, let's just repeat it again. The SIBO Doctor podcast, and it was episode 64 and 65 that we just talked about with Dr Will B. Worth probably checking out.   Nirala Jacobi: (54:26) It's on iTunes. It's on everywhere. You can go to The SIBO Doctor and just look around. There's resources. All the guides are free downloads, the handout on bringing that to your practitioner in terms of what caused you SIBO. It's a free download. There's a lot of videos, lots of stuff. I'm on Instagram, Dr. Nirala Jacobi, the SIBO Doctor.   Mason: (54:46) Perfecto. Thank you so much.   Nirala Jacobi: (54:48) Boom.   Mason: (54:49) Boom.   Nirala Jacobi: (54:50) Mic drop.   Mason: (54:52) All right. All right. That didn't work. That was a terrible mic drop.   Nirala Jacobi: (54:55) No, that's a very sensitive, very fancy road microphone.

Flagyl (metronidazole) is one of the commonest drugs (antibiotics) that have been abused so much a newborn almost knows about it. This episode sheds more light on the public perception on the use of flagyl as an anti motility drug rather than as an antibiotic.

All right everybody It is now time for the gut check project. Let's talk about some of our sponsors for today's show, Episode Number 31. Of course, we're going to start it off with Atrantil you can get your own Atrantil at lovemytummy.com/KBMD chock full of nature's best defense against IBS and bloating polyphenols. Dr. Brown, what do you want to add to that? One of the things is that we know that the future of protecting our microbiome and if you listen to this podcast, you will realize that we're it's all about health span. It's all about protecting your health. And the microbiome is the most important thing that you can actually augment Atrantil augments the microbiome. If you happen to be somebody that has IBS and bloating well we fix that also. So in other words, if you have issues take Atrantil. If you want to protect your health span take Atrantil.So Atrantil, not only for your gut health protect your lifespan lovemytummy.com/KBMD, lovemytummy.com/KBMD. Don't get it from, Amazon. Get it directly from the Atrantil manufacturers themselves. You know what, because you need to just get on with this, I'm going to correct you on this. You said lifespan, I said healthspan. Two different things. I want you to be healthy. That's the bottom line. Doesn't matter how long we live. If you end up with Dementia, Alzheimer's Parkinson's, and things like that healthspan, my brother.That's why we get Dr. Brown on the show and not just me. So lovemytummy.com/KBMD. Now talking about KBMD, we also have another sponsorship, KBMD CBD. KBMD CBD is all organic CO2 extracted and has been used clinically where we gotten results correct?Correct Absolutely. So one of the things is everybodyis talking about CBD, CBD these days, but getting the proper CBD is the key here. If you cannot get direct access to a Certificate of Analysis, you're starting off on the wrong foot. All KBMD CBD lot number to lot number. Every single run, has an associated Certificate of Analysis so that you know that inside that bottle is exactly what appears on the label. And everything that we've ever or the Dr. Brown has ever found as a benefit from CBD has been tested in his own GI clinic and not just with himself with many of his own colleagues. So KBMD CBD, you can get your own at KBMDhealth.com. And you can also find the Dr. Brown signature protection package, which includes CBD and Atrantil. Now why would someone want to do that?That is great question Eric. And the reason why is because when we've been talking to scientists, we realize that when you take Atrantil with CBD, it actually augments your own endocannabinoid production. Meaning, you explain that please.Well, if you enhance your own endocannabinoid production, what you're going to do is give your body all of the elements that it needs to balance your immune system along with your nervous system. And by having that type of balance, you begin to decrease the, the negative effects of over inflammation. Or you could find out that you could sleep a little bit better that you just don't say have the same aches and pains. Essentially, there's a great reason that we're discovering that CBD is essential as a micro-nutrient that we could consume every single day. I'm so proud of you. Thank you. You've learned so much. I've learned so much.Go to KBMDhealth.com, use code GCP save 20% on anything that you wish to purchase.So ultimately, what happens is that the polyphenols Atrantil actually decrease the enzyme that breaks down your own endocannabinoids and that's how come I started getting into the science of this and I realized that every time everybody takes the KBMD CBD with Atrantil they do better. It augments, it meaning, they work together. 20%? That's on top of the discounts that already come in the...Sounds like i'm going to lose money on that. What's important, is that everybody can rest assured you will not have money as a barrier to entry for your health.You know, that's exactly it. I don't even care about that. So we're gonna lose a little money on this, but you guys get healthy. I'm on it, my kids are on it, my staff is on it, you're on it, your kids are on it, everybody's on it. Everytime you get in front of somebody. Our job with the gut check project is to promote health.100% And this is one way to do it. Speaking of promoting health, we have our first external sponsor that we'd like to go ahead and talk about that is going to be somebody who made it a an appearance on episode number 30. The Unrefined Bakery so unrefinedbakery.com, unrefinedbakery.com. You can use, code gutcheck to save 20% off your very first purchase. And it doesn't matter where you live, even though they are based in the DFW Texas Metroplex, anywhere you live, they can ship to you. Gluten-free, paleo, keto compliant, whatever you're after in your special diet. That's what they specialize in. Low sugar, breads, cupcakes, mix. It's incredible food, that just happens to be gluten free. What do you think of the of the foods that Unrefined Bakery made this week?Absolutely amazing. They were absolutely delicious. But, here's something else I want to say. I had a patient that just came to me, and they went to the Mayo Clinic they were Cleveland Clinic. They were like desperate, right? And they were told by their gastroenterologist that gluten sensitivity is not a thing. Weird. Guess what? Gluten sensitivity is a huge thing to me. Because every time I eat it, I'm pretty much stuck in the bathroom. So Unrefined Bakery. I love the fact that we brought them on. We had Taylor and Ann. And they, they crushed it. They're super smart.Definitely. They're dedicated to their customers without question. Dude, they have the same passion that we do, which is ultimately just promoting health, that's it.Absolutely. So I know, I had to laugh. This patient came to me and he goes, Yeah, my doctor told me that gluten sensitivity was not a thing. Like it, really is because I live it.Yeah, absolutely. Unrefined Bakery, unrefinedbakery.com, use code, gutcheck, save 20% off your first order. Make it a big order. So save 20% off a bunch of stuffed. 20%? They're losing money also.Absolutely. If you walked away thinking you can't have bread anymore, start here. They sell bread, they sell bread dough, they sell cupcakes, they sell cookies they sell like I said.Can you get on the rest of the show, because I'm gonna drive there. Right now. And go get some cupcakes.Unrefined Bakery. You're doing too good of a job of selling this, holy cow.We may not have a show, this may be it. This may be Episode 31 right here. So unrefinedbakery.com. Be sure and check them out. Use code gut check. And now we're onto the show. You're gonna love Episode 31. Dr. Brown is going to dive pretty deep and we'll get started here in 3,2,1. Alright everybody is now time for the gut check project. It's Episode 31, we got a special topic here today that Dr. Brown is going to cover. Has anybody ever thought about fecal microbial transplants almost screwed up the way I said it, just then.No, no, no, you can't screw up poop.You can't screw up poop. You can't screw up poop.No, so I didn't. It's like. It's like everything's fine.Yeah, I want to try something completely different here. So what, what happened and the reason why I'm to do this show, you and I is that I were surprisingly getting some reach. I got reached by somebody, instant messaged me from Sweden.Someone from Sweden, Sweden.Because they actually had GI issues developed bacterial overgrowth, SIBO. And then, in her desperation, she did a fecal transplant. In other words, she took somebody else's poop and put it in her body. So if this sounds weird, it's not that weird. It's something that's like gaining a ton of traction. And then she reached out to me because she ended up feeling way worse and developed several autoimmune issues. And that's what I want to get into the fact that FMT, Fecal Microbial Transplant is not a totally benign thing. And if, Are you open to maybe having me interview her?I think it'd be fantastic if you interviewed her. There's nothing like real world conversation with people who have real world elements with real world answers.That's so awesome. Because one little thing that I want to discuss is a recent article was sent to me in the Journal of Psychology Okay? Where openness to experience is linked to several things. So I would like everybody listening. The gut check project is about checking your ego at the door and being open to different things. So one of the things that I'm really proud of is that every time we do this show, people reach out to us we get a lot of email, we get a lot of people talking to us, and then I have to address it. Well, this particular show where I interview Helly, I want to make sure that if you have IBS, if you have SIBO, bacterial overgrowth, if you suffer from anything. Watch this because what I'm going to do is put a face to the disease. And she was so kind to reach out to me and say, film me, and I want everyone else in the world to know. So the Swedish person, who was very open about everything. She has exactly what I do in clinic, every single day. So what you're going to watch is what I do with her. It was a two hour interview. I cut it down to 15 minutes Right? So if you know anybody, please refer them. If you actually wants to sit there a little little bit more, we have our friend, Shivan Sarna.Shivan Sarna, with SIBO SOS Summit. SIBO SOS Summit, yeah, absolutely.SIBO SOS Summit. She's interviewed all the experts. I actually directed Helly over there, but more importantly, be open. So if you're like, if you're about ready to go ah, no, I'm not into it. What I'm going to tell you is, a recent study came out in Psychology Today, that talks about openness. All right. And the fact that you said open, makes me super excited.I hope I'm as excited when this is all over.I love how we show up. I hold papers and you're like, where are you going with this?Sometimes you give me papers I don't even know they're there. Alright, put simply.Okay.Openness is the drive to explore novel aspects of human experience. Okay? Now, here's what's fascinating. This article did this whole interview where they looked, and 95% of Americans feel that they are more open to new experiences than other Americans. Well, Wow, that's amazing.There's only that 5% that everyone's competing with.I know. So it's funny, because as we sit there and look at this, we realize that 95% of these Americans responded that they're more open than everybody else. But, as it turns out, when they actually went through the rest of the questionnaires, they're not. Okay. As we age, we become very entrenched in our own habits.Familiarity, I'm sure is probably already 100%. It's gotta be.I love the fact that I threw a curveball at you here on the show. And I'm like, you look I'm gonna we're gonna do a zoom with a person in Sweden. So that's pretty much our gas this time.Sweet. So, anybody who is open to experiences, they have shown that the people that are more open to new experiences tend to be financially better, tend to have better relationships, and they tend to be happier. Okay. So as much as you sit there and say, oh, well, I have my routines, being open and jumping off bridges and that, I don't mean that literally. Sure, sure. Yeah, yeah. The figurative. Figuratively because you and I jump off a lot of bridges, figuratively. But doing that more, actually results in a more prosperous life.Doesn't that make sense though, because whenever something's new, it expands your mind. You have a new experience, and doing the same thing over and over again. Look what happens with people who have quote unquote, "stale relationships." They say we did the same thing. And if that happens, then you people always use the term spice things up. Where does spice come from? Spice comes from, from change, right? So embrace the change and take, take what's coming at you.Embrace the change. So what we're going to talk about today is a couple simple techniques. So this study, and then we're going to get into the interview. Okay? And then I'm going to, I mean, I wish I had some way to geek out like some signs. It's like, Okay, I'm going to geek out now because the article I'm going to get into..Yeah, geek out, like now we're gonna geek out. So I mean, I find myself I had a patient in that was a PhD, and I was sitting there, tell her about some stuff, and we started talking and next thing I know, it's like 30 minutes and we're way beyond the actual issues that she came in to see but I'm like, I'm like eating her brain about what she knows and, and she's like, Oh my gosh, hey, if you do this, and this and this and this and this. Like the inner connection of what we can do when we start pulling our mind power together, is really amazing. Yes, it's kind of what this is about. This is being open to new and novel things..Maybe Paul can put a little sciences geek out.Alright So I'm going to tell you how to be open. Okay So rather than argue whether it's good or bad.. so the number one nudge the edge of your comfort zone, ..Okay So it has been shown in human studies that the more that you push things, as we grow older, we tend to confine ourselves more and more and more and more. YeahAs kids, they will push themselves. And you know, they'll just try anything. There's no established boundary. There's no established boundary. As adults, we tend to say this is my boundary, so I should not do that. I am not going to dance, because that's not who I am. I am not going to be silly. I that's I guess that's why I love comedians. They just get up there and just throw down.Sure yeah, I love my grandpa or my granddad, used to have funny little sayings. And one of the things he always said is "you otta throw it against the wall, see if it sticks." I love it.You know, you turn, turn the key and see if it starts anything like that you he's basically just using metaphors for trying things out.We have one shot at life and we tend to limit ourselves because of the fear of the unknown.I would agree with that.Quit doing that. Nudge your boundary, push your confidence to levels. And guess what? It's okay to fail.It is okay to fail.That's the thing. Number two, the number two way to actually become more accepting in that to openness is prototype over perfection.Prototype over perfection. Kind of interpretation of that would be it doesn't have to be perfect to be used. Doesn't have to be perfect to be tested. Right?That's funny how you interpreted it that way. Because the way that I read it was Eric Rhaegar. And Ken Brown, we are prototypes over perfection.Quick, get some microphones and a camera. And let's see what happens.Now, so Thomas Edison made 1000 unsuccessful attempts at making a light bulb. Yeah. And he actually was asked, how did it feel to fail 1000 times. Edison's response was, I didn't fail 1000 times the light bulb was an invention with 1000 steps. Absolutely.So whatever it is that you're doing, whatever it is that you're trying to do, you're not failing. No. It just becomes a step in the process. Be open to more things. Hundred percent.Yeah, I couldn't agree with that more.And when you realize that people like Edison failed 1000 times. Step up. Yeah, no more excuses. And then this is my favorite, right? The number three way to be more open. Follow your curiosities, not your passions. So you have two boys Gage and Mac.Correct? And you know we always sit there and tell people follow your passion, follow your passion. But the reality is, a passion is a very weird and personal thing. Yeah. And curiosities. Are, can be stimulated in many different ways.. I agree with that. Curiosities can be built from different angles. They can be built from experiences they can be built from whatever follow the curiosity the curiosity will lead to a passion. I'm gonna brag on my oldest here right quick, because he does play competitive basketball and they both do Gage and Mac both play competitive basketball and Mac hasn't had this opportunity. So this story is really just about Gage but he has or had some opportunities after he graduates high school this year to go and possibly explore playing basketball in a smaller school setting, etc. But as much as he enjoys playing basketball, he, he doesn't think that's what he wants to define him. He wants to keep his passion as his hobby, and be inspired by being a traditional college student being able to discover because he's afraid that for him, not for everyone, but being a collegiate athlete would basically wall him off from his ability for exploration. I mean, that's almost verbatim how he described it. He wants to be able to be a young man to still explore beyond the boundaries of a basketball and I think that's completely awesome would have been a lot cheaper, on everybody play basketball but that's that's not we all live once and that's not what was going to make him happy.Is that fascinating? Because I know that I mean, we've talked a lot about Gage, Gage explores his curiosity..Sure.He plays music he artist does artists, he does video editing, he does different things. My kids do the same thing where I just didn't cure. I want to encourage the whole curiosity aspect of it. And I didn't even realize that that is what makes you open. Sure. When you're curious, you're open when you're open, you accept other ideas. When you accept other ideas, you accept other people, you can see that there's a whole path here. You eventually by being open, you have empathy. Oh yeah. You end up saying, I get where you're coming from. I could see what this is. You don't wall yourself off.Yeah, absolutely. Now I'll brag on my younger one Mac Mac is often times with his large massive collection of friends, which spans about eight years in each direction. He, he often times refers to them from their station in life if they've had like a struggle or big win I've heard him say, they must be feeling this because this looks like that this would have felt good or bad and then kind of gives their you know, their environment perspective. So yes, I agree with that that the curiosity would would breed empathy like that. That's really cool. So this particular doctor when they wrote this article, they said while passion is fickle, and high voltage curiosity, on the other hand is deep and abiding. When you approach something with a curious mindset, you're seeking growth and newness, for the sake of novelty. So stay curious, my friends.Yeah. And it sounds like somebody else who said that. Yeah. Somebody else I'm sure we can reference it becauseNot supposed to.So I just, I think it's interesting that and in this particular show, we're going to do something unique or we're going to put in a video of me interviewing a patient, but being open to new ideas being curious.Sure. That is the kind of stuff,so as a physician, when I'm curious, I went down some rabbit holes on this particular topic event. I bet.And I loved it. I love it. I'm a I'm a better doctor. This shows makes me a better doctor, this show is going on Shivan's webcast makes me a better doctor, I have to prepare for it. I have to do different things. I mean, we all have to sit there and realize, okay, I am going to be curious about this topic. I'm going to learn it, I'm going to do it. And then all of a sudden it opens up a new door and you're like, we haven't thought about that. No.That's what this shows about. So if you ever heard about Fecal Microbial Transplant, meaning poop transplant, that's what this is about, and there's a lot of hype around it. If you haven't heard it. I listened to multiple podcasts on this. Dave Asprey had an expert on I mean, like all people that I like to listen to.Sure Ben Greenfield.Ben Greenfield did this. Everybody did this? I'm going to sort of rock the whole ship here. Okay, today, I know. Let's be open everything. Let's be open. The fact that if you're open, you're going to be open to ideas. You're going to be open to different perspectives. But the reality is it's gut check project, check your ego at the door. What we're going to talk about is SIBO bacterial overgrowth, IBS, and if you want to watch somebody spilled their guts and really be genuine and be open. I have an interview here that we're going to play in the next few minutes. With Helly from Sweden, nice and she was open and cool. And you're not alone. If you have any digestive issues, you're not alone, and that's the bottom line. So she the story is this. She got sick then she was not right. Then in her desperation, meaning like she had the typical SIBO stuff. She got a fecal microbial transplant, she went to a doctor, he did a colonoscopy and placed poop from another person into her. And then she got sicker. Oh, that wasn't what they were after. That's not what they were after, right? And then she went back to the doctor. He's like, well, let's try again. And let's try again, and then she contacted me because she developed a multitude of autoimmune issues. Interesting. And she is essentially, she feels like she's dying. Hmm. So I would not normally respond to a message but she said, Hey, I need your help. I'm like, Look, here's what we're going to do. I don't know if I can help you. But if you're willing to share your story, we'll play it and we'll learn together. So what I want is everyone, every doctor, every patient to listen to this and say we're going to find something new to fix people. That's what that's what this is about. So let's go ahead and turn it over. This is my interview with Helly from Sweden, who reached out about having complications from a poop transplant, Fecal Microbial Transplant.All right, tune in.So tell me a bit about yourself.Okay, I'm 36 um, I've always been healthy until 2015. But after Flagyl everything my health went downhill. I started it gave me horrible panic attacks, I started getting depressed in movement. This is this sounds strange, but I could actually feel it in my stomach. It was like a nervous kind of feeling. You know, when you have butterflies in your stomach, but it wasn't like a good feeling. You're like you don't have an appetite. It was just like that. Yes, brain fog and the worst thing I had ever felt in my life was something called the realization. You know, when I had nausea all the time all the time. For two years I had not imagined you have a stomach flu that goes on every single day, every waking hour for two days, for two years, that's what I had. And I lost my new job that I had gotten a week before I got Flagyl so I couldn't stay so I it for three years this brain fog and, and my my, because my also my bowel movements. I mean, I had never always gone to the bathroom every day. I got maybe once every two days or something. But after Flagyl my my stool wasn't the same horrible horrible fatigue. I the brain fog I couldn't focus I couldn't I was always panic this this panic was the worst. I wouldn't I mean, if you have panic attacks.So essentially 2015 you get the antibiotics. You start with this down this path you are you eat specially carby foods, you get very bloated. And then you ended up having quite a few beginning with neurologic issues where you had the brain fog, panic attacks and depression some sleep disturbance out of frustration. You had, insomnia, you you went to several different doctors One of them was an advocate for FMT, known as Fecal Microbial Transplantation. And you got ultimately over over a course three different fecal transplants. First one being with a colonoscopy. Second one being with an enema and then an enema again. Okay, so both, and after each one, you had a reaction to it where you had what you felt like the flu and you had lymph nodes that got big. And then since then, you've had very significant skin and scalp issues with Alopecia meaning your hair's falling out. You've had biopsies which are permanent. And now the really unusual one is the hypermobility and the feeling like your joints are getting slightly bigger. And, that is something that seems to be progressing with you right now. Is that correct?Yes. Okay. Yeah, it's in jaws, back. It just pops and pops everywhere. Okay.That is quite the history there Helly. And I'm very sorry, you're going through all of that. Let's try and make a little bit of sense. I don't know if I can help you. But I do at least want to try and explain a few things just so that you're, you're very intelligent. A ton of reading, I'm going to share my screen real quick. So one thing that we do realize when we talk about, this is a moving target as you can see, and so you have a history which is very consistent for somebody to develop bacterial overgrowth. We know that SIBO can happen if you go through a stressful event. If you take care antibiotics are having an infection. And you kind of had all three happen at a similar time. We know that that can affect the motility and all comes down to motility. So you've already learned the basics of bacterial overgrowth, a SIBO and you understand that it's a can be population of bacteria growing where it shouldn't. So when you eat the bacteria break it down. These are just some recent studies that we've been looking at that kind of show how these different gases can affect things. So this is the effects and mention of how methane affects ileo-motor function. And if you listen to Dr. Pimentel talk, what he discovered in his lab, is that what the methane does, it doesn't just shut it down. It actually makes your intestines do an uncoordinated contraction. So it's like it just sort of spasms. And when it does that it doesn't move anything, thus allowing bacteria to continue to grow. Now we know that you drew out both hydrogen and methane. And we do know that when you have hydrogen, if it can actually bind and produce hydrogen....But more hydrogen. Yes.More hydrogen. So what what I see in my practice is that it is the multi biome. It's how these different organisms interact with each other, including fungal organisms producing possibly CO2 or the or the methane back background. Now hydrogen sulfide is a big deal, because what we do know is it's it can actually, the cysteine residue that normally reproduce on our diet gets absorbed and gets converted, but when you have bacterial overgrowth, it produces hydrogen sulfide, which leads to inflammation. Ultimately, inflammation is the root cause of all of this. And so what I think we're seeing in you, yes, that you have root causes the inflammatory process. You're exactly right, that when you had your your Genova stool test, that when you had the fat in there, you are mal-absorbing fat now are you mal-absorbing fat due to bacterial overgrowth, it could also be pancreas and we do see this overlap with that. But it is completely linked all these different things that a lot of times other doctors say well, you just have chronic pain, Fibromyalgia fatigue, migraines, but your initial presentation was all about the brain. The thing that I think you'll find it interesting is that once we know that we set this inflammatory cascade off, I want to show you this arrow right here. Yes, new data has shown that when a mass cell gets stimulated, it'll release histamine and serotonin proteases. But the histamine itself will actually stimulate the enteric nervous system, which will go straight to the CNS. So when you mentioned earlier, I do know that there is a gut brain connection vaguely? Well, it's mediated through the entire nervous system and it is very, very, very sensitive. So have intestinal inflammation, there is your gut brain connection. So if you look at this, the new evidence is now showing that this gut brain connection is in all different kinds of Dementia, Autism, Anxiety, ADHD, you know, the newest term it's really fascinating is leaky brain, because what they've done is that they've actually shown that you can soak colonic tissue in inflammatory mediators. And then they soaked blood, the blood brain barrier, and they show that both of them become permeable. So know that there is no doubt about it. It's not in your head, that whole depersonalization, that anxiety that depression can all be related to leaky brain. I do I am getting into quite a bit of research and cannabidiol or CBD. And there is there are some in vitro studies where they actually looked at how they can improve the blood brain barrier, which ultimately helps with all that so my fear is that these kind of things will continue. Like like you're already worried, continue to progress to lead to more autoimmune issues to lead to more things like that. So the whole FMT thing is really fascinating to me, because we got very excited about it. And then the FDA came in, and then and then they basically pulled the plug. And then we said, no, it's very effective in clostridium difficle infections. Yes, I know that. Yeah. And so that's what it's really only allowed for here, though, the whole concept of just saying we'll just take somebody's super donor a poop. Getting back to the how we prepare it, you may have a super donor right here, meaning you have a diverse microbiome. But once we process it, you may decrease the viability of that even if you do DNA analysis, you don't know if that bacteria is viable. So what I'm getting at is I think it would be very interesting to, in somebody like you, let's say that we advanced the science of this we can go oh okay, Helly, I think that unfortunately, we this particular donor did not have enough of butyrate producers bacteria. How do we get more of that in that? I am a big fan of spore based biotics. megaspore biotic.Megaspore?Yeah, so if you want..That's a probiotic, how can I take that?So I want you to go to our show, I actually we actually interviewed their their CEO, PhD, ..., and beautiful how he explains the science of probiotics. And it's incredible how he explains how the spore based biotics send signaling to other bacteria. So one of the things that they can do and the reason why we're teaming up is because we realized that the polyphenols and Atrantil can actually help feed the spore base bacteria. And what it does is it goes through and doesn't become out of its spore phase until it gets to the illeum at which point signaling goes it goes, Oh, we're gonna end up in the colon. Then it gets to the colon wakes up and starts tapping other bacteria and goes hey guys, we need to diversify a little bit. And they've actually shown that they can deliver vaccines this way and stuff. So the whole concept of spore based biotics is, is really fascinating and new barnwood spore based but so..But can I just ask you Atrantil I have there sir, I know that three ingredients. One is from peppermint, which is fine. I just don't know all that much from about this bark tree thingy.. is it?Well, you know that all really good questions all extremely complex. So, the bark you're talking about is Quebracho, Quebracho Colorado. That's the thing that makes us so unique is because we actually are the only product that has this. Quebracho Colorado is a proanthocyanidin or a tannin. So it's the tannins are proanthocyanidins combined into a large molecule. So the thing that we needed to help with SIBO is that we needed Atrantil to be a poorly absorbed molecule. So when we were talking about scientists, then we looked at all the animal data that had been done. And so what we do know is that in animal models, sheep and cattle that are fed this tend to have a much healthier microbiome, they tend to produce better milk, they tend to have increased weight gain and things like that. So from an animal perspective, we've been feeding cattle for a long time. from a human perspective, you're getting it in a lot of different sources that you didn't really realize, for instance, wine. Things like that, you're getting a lot of this. polyphenols, yeah, but polyphenols is a huge umbrella. Before every time somebody does some research on it, it appears that they are beneficial in ways that can that can become very complex. So this is that whole post biotic conversation that when you take a polythenol and or an undigested polysaccharide that gets to the colon, bacteria can break them down into different things. There are different molecules so that bacteria can break something down, and then produce a molecule called eurolithin. Eurolithin signals old and sick mitochondria to die. So that is my topic. So this is this is the kind of complex signaling that's going on.So when they die, those new mitochondria that does the body produce more or?..Yes, so it's like autophagy. Autophagy...YesIt's mytophagy. It's just the signaling to say, hey, you're an old and functioning powerhouse. And we need a new one over here. So okay, so then the big argument if you talk to in vitro scientists or bench researchers that look what they know is that these polyphenols like reservatrol, like berberine, like, all these molecules are similar like quercetin like tumeric all these. They'll say, Oh, well, one of the problems that Is that it actually creates a little bit of stress on cells. And so that's that antioxidant thing that you're talking about, which is too many antioxidants, then we don't know what it does. in vivo, I think what's happening is is that that is a version of hormesis. Actually, I think there's a term for it. It's called xeno- hormesis, meaning you're outside of hormesis is the adaption to a stress. So the reason why you work out and the reason why exercise is functional is because that's, that's a hormetic response. The reason why Oh, you're in Sweden, you guys are loving saunas, right? You guys are a big sauna society?It's more Finland. But yea.I'm a huge sauna fan, because that's a great example of turning on,  heat shock proteins. And so what that does is you stress your body a little bit to make it adapt more. So you get this bigger, this bigger response. I think that the whole emerging role in the US were we're really limited by the research that we do is usually funded by pharmaceutical companies. Yes. Here that's what that's really what I'm trying to do is try and bridge this gap and say, okay, how do we look at some of this consistent research that's been done in the lab done in animals, some small studies in humans and say, can we translate this to benefit somebody like you? So I want I what I will tell you all I will do is I'll try and dive more into the FMT thing ask around if they've had some different challenges like this. And in the meantime, I hope that this helps you discuss a little bit more with your doctor and.. I will.. You know Helly, I think we should probably wrap this up. But..Yes. So what's the next step? You will you will get in touch with me when you've found someone and then we can set up a meeting for, for them for the new thing for the new recording. The show or what..Yea, we need to heal you and bring you back on so that we can heal? .. Next step is for you to tell everybody to watch the gut check project so that maybe one FMT expert will see it and go, okay, I'm willing to talk and then we can pick their brain. Okay.Perfect. Thank you so much. So. So..Hang in there. I hope that this..I will. I hope the zoom at least helps you to relax a little bit. And we know that people are still trying. There's a lot of scientists out there working on a lot of these things. The joint thing, I'm a complete loss. I've always thought of the EDS as a genetic thing. But then again, we have this whole epi genetic field where yes, you carry a gene, and then something happens that turns it on that's another process. So.Yeah, yeah. So it will be interesting to see if I have that gene. I'm going to ask for investigation in that too, because if I don't have it, then it really really is proof that it it's something with SIBO or from the gut. Yeah, and I would know.Yeah.Fascinating. Yeah.. Yeah. Okay. Dr. Brown, thank you so much for your time. And..Helly thank you so much for allowing us to share this with our audience. A lot of people realize that you put a face to a problem. A lot of people feel alone when they're doing..Yeah, yeah. Yeah they do. Hopefully we can figure this out? Yeah. Okay. Dr. Brown, thank you so much I don't want to take much more of your time now. Thank you. You too.Keep in touch okay? I will. Thank you. Bye.Alright, so we're back after the video. Hey, I get to see you at the procedure setting whenever we do the colonoscopies. Is it like that every day in the clinic side because we don't have those kind of interactions with the patients whenever we have them come through so I mean we just heard about the Hashimoto Ehlers-Danlos and screwed up how to say.Ehlers-Danlos.Thank you, but so we hear that that's what she said. Alopecia. Losing hair. Yeah. I mean, this is a beautiful woman who's this has disrupted her life. That's why I wanted it, you know, and thank you to Helly for letting us do. Thank you Helly very much.Yeah, you're right, Pedram. Yes, it actually adds a face to the disease. This is what I do every day people come in and they're desperate. And I want to talk about something unique that nobody's putting this thing together. Let's do it. And hopefully, people like Shivan Sarna can spread the message about what I think I uncovered. When I was preparing for this, with with Helly and listening to her like, Oh my gosh, wait a minute, I think I know what's going on. Because the key to Helly is so it was a two hour interview and I cut it down to 15 minutes. So there's a lot that's left out. Okay. Much like Shojai Pedram, what's his name? Yeah. When when he interviewed me for his Netflix movie, and we did Like 30 minutes of filming, and I got like 30 seconds of airtime.Well, the goal is not through everything. Not all golden hills.Pedram Shojai. Yeah. Pedram Shojai. Yeah. So he's got he does this docu series.You said right the first time he did it with a with a last name comma first name. Oh. So yeah, that was a you end up on the editing floor and I remember like to love it said why don't you just be more interesting and you'll make it into the actual film..Love it holding back.Alright, so anyway, so it was a two hour interview that we that I clipped down so that the thing that people want to hear and if you're that person, and if you have SIBO or IBS or autoimmune issues, there's a high likelihood that some of what she talked about is relevant to you.Correct. Which the thing that kept resonating to me is the anxiety. So she can deal with most of it, but the anxiety and the depression and the panic, never had in her entire life and just something happened. So that's what I want to get into post fecal microbial transplant. She ended up having all these issues.Yeah and your right, having anxiety basically takes away the ability for the coping mechanism to deal with the other present problems. And it's just a it's compounding the issue.Yeah, it's like insult to injury. Yeah, yeah. So you can have gut issues, but now you're having brain issues.And I can't even reason through it without feeling kind of terrible. Well, I want to explain all that. And I started looking into this. And then I started doing some Google searches, on FMT, which is fecal microbial transplant. Sure. And one of my partners that I was gonna interview Dr. Ackerman, who's actually done a bunch of this. We started talking about the consequences of this, and hey, we don't really understand exactly what's going on. So if you Google it, it looks Looks like it's the panacea. People are offering this for autism, Parkinson's or Alzheimer's. They're saying I have the cure to this. But I'll let you know right now that the FDA is regulating this because there's been recently two deaths on fecal microbial transplant. And so the FDA is getting involved. So a lot of these different clinics and stuff are doing in outside of the US.Yeah, Mexico, Mexico, and Central America, Bahamas. Exactly.So patients always ask me about this. And if I had a way to say I'm about ready to geek out, I'm gonna geek out. So I want to go into a deeper discussion into the science and talk about improving the risk and improve the beneficial effects of fecal microbial transplant. I remember I've had so many friends call me up and they're like, hey, my mom has Dementia. Do you think a microbial transplant ? If you've never thought about it, it seems weird. But once you're desperate, it seems like the easiest thing that you can do. Sure. I'm gonna take my poop from this good, healthy person, but in somebody else, and people are discussing how it affects all these other diseases. This is an example of how somebody did it. And it unlocked diseases in her..Interesting..The epigenetic phenomena. epigenetics means that you have genes in you. And then when you have an environmental shift, you end up unlocking these genes and they become relevant. It's super complex. So in my own practice, I've actually had twins that had all sort of one had ulcerative colitis, and they gave a fecal microbial transplant from the healthy twin to the the one that had ulcerative colitis, and they did it multiple times. And so the colitis better.Good. Interesting.She also took on the traits of the twin. She ended up having acne, she ended up putting on some weight, she ended up doing some different things. Fascinating. Yeah, think about that. I can sit there and put this. So then I started looking into it. And then there's mouse studies where they have looked, and they have shown that if you take a mouse that has Parkinson's, and they can genetically modify mice to have that, and then you give a non-Parkinson's mouse or a non Parkinson's mouse and you transplant, they end up developing Parkinson's. And that happened with blood pressure, diabetes, stroke, obesity. traits get transferred in the bacteria, it's nuts. So we sit there and go, Oh my gosh, that's like a big deal. So The original studies that have actually been done have looked and humans have shown this, where when they do a microbial transplant, nobody's writing about this. Everybody's saying it's a fantastic thing. Sure. There's this biome.org thing where they're collecting poop and they're given to people. What I want to get into is why I'm not saying it's good or bad. What I'm what I want to discuss is the science of how bad things can happen...which is very unpopular. Like, everybody wants it to work. Everybody wants it. So do we.. we'd be awesome. But..So like in Helly's case, she developed, I really think that she developed Ehlers- Danlos syndrome from it. It's nuts.Yeah, that is nuts. And just just as a caveat, this is not to undermine the research the application of FMT whatsoever. It's just basically just what gut check projects for let's discuss everything that's applicable here.So in a recent review, so FMT, I'm just gonna refer to as FMT, fecal microbial transplant has emerged as it legitimate treatment for the FDA recognizes it for C. diff infection, Clostridium difficile infection, which.. which is real bad. What happens is if you take antibiotics, you can actually wipe out all your other bacteria in one lives, and then they just sort of colonize and create habit. So we do know that it works very well for that. But in a recent review, 2 to 6% of people that have actually done FMT had very serious adverse events. Infection was noted in 2.5%. One of the problems is that the current screening process is very similar to blood. So if I'm going to take your poop put it in me, I'm just going to say do you have had a, b, c, AIDS.. you're good? Because we're treating it like blood, but it's not blood. It's not blood. We don't know enough about it. Yeah, so the current process is that this is what we're actually doing. And then I started looking online, and I found out that there's all these DIY, I do it yourself. Hmm. websites that tell you how to do it. So they're not even screaming for that. They're just saying fine. Now that I do not know, there's DIY websites for how to do an FMT on your own.Dude, I got so deep into the weeds in this thing, the fecal microbial transplant thing everybody wants to say it'll fix I mean, it'll fix everything you name a disease, somebody saying that it fixes it. This is what I want to talk about right here. This is why we do this show. The problem is that right now, a super donor, which is what Helly had. So her doctor gave her a super donor, which is a somebody that has no infection that they could find, okay, and they had a broad microbial species is more important than anything else.. What we don't really take into account is how does that super donors bacteria that that person developed their entire life. And they interact in an epigenotic way, meaning that they actually interact with your body. Why would that be the same as you? I don't know. Because, you know, it being a.. because it essentially a micro environment that's inside, what if you don't live in the same region of the world that I do? What if you don't participate in the same activities that I do?If you don't eat the same foods that I eat? It's there's a lot left open to interpretation and understanding, it seems to me.Totally. And then as it turns out, one thing that we're not even discussing is the byproducts of bacteria.. So when I say byproducts, I don't mean that as waste. What I mean is that the bacteria, the bacteria that we have in our bodies, that our micro biome produces certain beneficial thing..Urolithin and all kinds of cool stuff like that..Post biotics.Post biotics. Well, I I love it because when I gave the lecture at natural grocers, I was talking about post biotics and one of the dietician said, Well, what about short chain fatty acids? And I thought on a local level butyrate, which helps colonocytes? And I said, Well, I, I don't consider that a post biotic. She's like, I think you should reconsider, because the reality is that those short chain and then guess what she was 100%. Right. She was spot on. Spot on. Yeah. So props to natural grocers to hiring super smart people and teaching me and as it turns out, the short chain fatty acids probably pay a huge role in this whole process. Sure. It's a byproduct of bacteria. And what happens is when you eat vegetables, or complex polysaccharides, or prebiotics, or polyphenols, they all kind of do the same thing. They basically go to the colon where your bacteria then break them down.. and they produce certain short chain fatty acids, these short chain fatty acids interact to the body in different ways. So it sounds really chemistry, but it's one is called butyrate, which as it turns out is fantastic for your body sure what it's called acetate. Oh, acetate, is that the thing that develops when you workout really hard and deplete your ATP? Yes, same thing. So, as it turns out, that crosses the blood brain barrier.... And creates inflammatory process... So these short chain fatty acids, what I'm getting at is I'm going to take somebody else's poop, put it in you, and we're hoping that it all works out. This particular article looked really deep into the different short chain fatty acids that are actually produced.. And in Helly's case, even though she got her transplant from a super donor. I think that one of her issues is that her body's own micro biome may have interacted and she produced more lactate producing bacteria interesting, which crossed into her brain which caused her panic attacks.So lactate of course, is something that we measure on somebody who has over activity if somebody has a rhabdomyolysis, and then there's all kinds of implications of too much lactate, and of course, that's related to lactic acid. You get that whenever you're fatigued, so she has bacteria, you can only imagine if they're over producing that, that that would, of course make her fatigued and more inflammed, right?Absolutely. Satish Rao, who's a gastroenterologist all over gusta George's, the SIBO expert. I think Shivan interviewed him actually Satish. Yeah, yeah. He published a study which showed that if you take a lactate producing bacteria, that those people that take a probiotic with SIBO, they end up with more anxiety and more depression. And it all fits.Interesting. So Helly if you if you want to Interview Heloise like the thing that bothered me the most was my anxiety and my panic. She even talked about a deep personalization experience, where every time she she's like, I don't get it. I've never been like that. I'm telling you that the bacteria produced lactate that cross the blood brain barrier that resulted in brain inflammation that resulted in your anxiety.The behavioral change.A behavioral change. Yeah, just from bacteria. That's, I mean, it's, it's wild, but it's, it's probably true. I mean, micro biome has evolved in the gut together, and it's very complex. They signal if you watch our show with Kieran, he talks about how the bacteria talk to each other. Definitely. So when we sit there and say, oh, we're going to wipe this one out, or I'm going to give more of this one that may adversely affect the chain downstream.Well, it's probably all the more reason why a DIY FMT is a is a poor idea. Your there's some much more research needs to be done.You know, the whole FMT thing is, is scary because well, it's just because we just don't know what to do know. We don't know enough yet. We don't know enough. Yeah, Peter Aditya said it past where he was like he goes, we have the ability to test tool. We don't know what to do with it. Yeah, he did. He's the first person just blunted it down.But he said it several times. And I agree with him. Yeah.So the one thing we know is that we do need a high diversity. Correct? So the more diverse your microbiome is, the better. So now here's sort of the cool part. In a healthy individual, the colon is predominantly, gonna get geeky, ready?Ready. The colon is predominantly dominated by obligate anaerobes. Obligate anaerobes, okay. Do you know what that is? Lack of oxygen. Lack of oxygen.Yeah. They need to exist in order to proliferate with a lack of oxygen. Correct? Correct. Okay.So they need to, they will proliferate in an article oxygen free environment.. names like bacteroides infirmities and these different phylum that we talked about. This allows for a higher production of butyrate, the short chain fatty acid.Which is beneficial to colonocytes.Which is beneficial to colonocytes. And as it turns out, it's beneficial to all intestinal tract stuff. Colonocytes just is a fancy way of saying colon cells. So just so you know.You're so nerdy. Yes, you're right. A lot of sites are colon cells. Alright, so our friend Dr. Pimentel, he's actually described how when he's been treating people with SIBO, bacterial overgrowth, small intestinal bacterial overgrowth that he has shown that there are blooms..Oh okay.Of facultative anaerobes and he uses the terms blooms.Facultative anaerobe. What he means is somehow the SIBO people end up with more facultative anaerobes in the colon. So, SIBO is small intestinal bacterial overgrowth, bacteria growing where it shouldn't. And then when we try and look at them, he's got the technology at Cedar Sinai, just show that they're colonic bacteria. They have an overabundance of facultative anaerobes. Meaning.. what? What does that mean?I don't know. Because when you use obligate anaerobes, it's almost like an interchangeable before I didn't really I'm not really used to the adverb, oblogate and facultative so kind of explore that. This is new to me.Yeah, it's awesome. So basically, it's a badass bacteria that can swing both ways. Oh, if you give it oxygen, it will.Different result?It will say I can deal with oxygen. I prefer anaerobe. Wow. So if you take the oxygen out, I will do better but in Oxygen environment, I'm going to proliferate more, but meaning you have this balloon. So Pimentel describes it as a bloom, meaning we're producing too many facultative anaerobe..Interesting Oh it's super wild.So just as an analogy, what we're saying here is there are some freshwater fish and there are saltwater fish, but you also have those fish that can basically change the way that they handle their respiration and their, their salt water content. And they can exist in both brackish they can exist in brackish water and go back and forth between fresh and salt. So this is kind of like what a facultative..You know what, thank you for making that analogy, because I wasn't thinking like that at all. But yeah, you're exactly right. The transitional bacteria. Yeah, it's a transitional bacteria that will adapt to the environment.Interesting.This is really interesting. So what he has said is that when you have these blooms of facultative anaerobes these bacteria will prefer an anaerobic environment, but they will switch to oxygen and grow quickly. This may be the root cause of dysbiosis. So this could be the reason why I see the SIBO people. Yeah. And they're bloating, it's better but they're still constipated, they're still..So the problem is just adapting.So what was it turns out is and we're going to get into it a little bit. We may be promoting the facultative anaerobes. Okay.And this is why it's a chronic condition. So if you're somebody that is suffering with SIBO I think that maybe your diet choices could be singularly selecting a facultative anaerobe, which does not produce butyrate.So when you're doing current, we need to take things that encourage butyrate production that we're getting to?That's exactly what I'm doing to. So I'm circling around everything where I'm like, we are not producing enough butyrate or body.So knowing and I don't want to jump ahead, but just to bring the audience along, knowing kind of that we want that and that that is typically a byproduct of the bacteria that we already have. I would assume the most natural way for us to execute this is to give those bacteria the tools to make butyrate correct? Is that where we're going? You're spot on. You're a smart Dude, you don't know about that?But I think that I want my, my colon bacteria to produce butyrate.So this is all a lead up to this one particular article, this to my knowledge. This is the first article to address how the actual process of FMT may affect what we're doing to people.... And when I think back to Helly, I'm like, I think this happened to you. Yeah. So currently, if you take someone's poop. What they do is for a fecal microbial transplant, you take someone's poop, you screen it for the typical pathogens. So you're going to look for AIDS, Hep C, whatever, the same stuff we always do for, for blood and they're gonna say, look, it's it's not there. And then they will label them as a super donor if they have a huge diversity.. so now your proof is actually worth something if you actually want to, I know that you donate a lot of plasma and sperm and everything else that you do to raise money. It's, it's all I could do to get here today. Yeah, I know, it's for gas money. But now, if you actually have, if you're a super poop donor, you can you can label that one on there. It just sounds like another 30 minutes of my day.So a super donor, somebody that has actually a broad diversity of, of bacteria. And so in Helly's case, what she did is that she received a colonoscopy when they were they did there and then she did two enemas afterwards. Okay, so they did a slurry. So I started getting into it. And I started looking at this. And this particular article made total sense to me. I'm like, why would Helly have such horrible issues when they've used this stool? So this particular Institute in Sweden uses this super donor all the time, they found what they thought was a super donor. These guys showed the problem is, is that the process is to take someone's poop. And you mix it with sterile water.. and then you blend it.Okay?You blend it...Meaning that the blending process draws oxygen into the compound. So now you're facilitating not the action that you wanted. And there's going to be oxygen dissolved in water. It's the first time ever that somebody has thought about this where they said by the blending process by the actual process of what we're doing for the fecal microbial transplant, we're automatically promoting facultative anaerobes, not obligate anaerobes. Wow, interesting. And it's in I would imagine by proxy, now you're decreasing the byutrate production of these exact..100%. Okay. And that's exactly what we don't want, right?Yeah. So they actually propose that if you're going to do this, so these, by having the facultative anaerobes means that we're going to have less butyrate. And we're going to have more of the lactate. .. the proprynate and these different short chain fatty acids, which by the way, they have shown that they took mice and as I mentioned earlier, where they when they transplanted, but one of the really cool things is that they show that the level of lactate not only affected the brain, but it affected insulin resistance and blood pressure.Has to if you think about the way the body responds to high exercise and fatigue, yeah, because that's what we do.So we're sitting here giving drugs to people were like, wait a minute... is the real way to health to feed the microbiome so that it produces more butyrate? So what they did is they took a mouse model, they went Holy cow, is there a way to produce more butyrate producing bacteria. So they did a fecal microbial transplant test where they did anaerobic slurries. OkayI don't know how they do that. But they basically kept oxygen out of the blender somehow.Okay. And then they stored it with prebiotics.Interesting, oh, and allowed them to.. And allowed the bacteria..To build some butyrate.To build some butyrate. Nice And then they transplanted the butyrate concentration in the mice that they did that with went through the roof. That's, that's what we want. That's exactly what we want. So then they looked at that and went, well, what What actually produces the most butyrate and I looked at prebiotics. Prebiotic is and an undigested fiber. And then I started looking at different studies. And as it turns out, people have done this research already..Polyphenols man.Polyphenols, so as it turns out, polyphenols, same ones, and Atrantil actually get the bacteria to produce more butyrate.Shout out to Joe, Joe Botel out in Exeter University in the UK who was doing the research on athletes and talking about butyrate just the same. That's that's exactly why she said that anthocyanidin polythenols were so, so powerful and helping athletes. So anyway, just to piggyback on that..Our little superweapon just sent me an article this morning that show that proanthocyanidins are extremely protective against Alzheimer's disease through the mitigation of rat reactive oxygen species. But I would counter that and say I I think this is all a big venn diagram. I think it's butyrate ROS or RNS, which is reactive nitrogen species and everything.That's so funny because that's what Joe was talking about was the ROS. side. And now we got your example with Helly, where we're trying to reduce lactate all the while producing butyrate. Correct? Correct. So you're exactly you're right. It's a Venn diagram on why the correct prebiotics to allow the right microbiome to break them down into the beneficial products that your body needs is important. And that's why having enough polyphenols would be essential.All right. So let's tie this back in what's the point of reading all these articles if you can't sit there and apply it? So one of the things I said at the early the first part of the show is that I love doing this because it forces me to be open.. I just told you why being open is important, right? It forces you to be open to accept new ideas and new Now let's apply this particular article that talked about FMT and how blending it creates oxygen, which leads to the wrong type of bacteria growing Correct. We do this in our SIBO people, we tell them to eat low fodmap. We tell them to do SCD we tell them to elemental. So we're trying to protect our small bowel. So we should increase fodmap. Well, in the reality, we're starving, the obligate anaerobes that wants to produce butyrate.Yeah, we're changing their environment.. We're changing their environment!They're response is to not make buytrate.This is the aha moment that I had. I went, Oh my gosh, I'm sitting here looking at this we bridged the gap. That's our job is to bridge the gap. Now I've got you know, the low fodmap diet. Yes, it'll make you feel better. But guess what, maybe that's why Pimentel goes now we have blooms. This is tying it all together. This is why now it's a chronic issue. So I'm sitting with my patients going Know what? So when we had Doug Wallen on the show, yeah, Episode 29. him and I talked afterwards and he said when he first started doing a plant based diet to get super bloated, when he powered through it, he's never felt better. I believe we're doing something wrong by telling people to restrict their diet. I think we should muscle through it. I think that we should tolerate the bloating. I think that we should take Atrantils, ifaxim, and neomycin whatever you're going to do carry out that exact thing in the small bowel. But you have to feed your bacteria so that you have the proper bacteria to produce butyrate and decrease the inflammatory response.That is really interesting. You know, I like analogies. So if you had if you had a dog in the backyard, okay. This is how just kind of picture.I know you love analogies, but sometimes your analogies I'm just like, what?Yeah, you got a dog in the backyard right? And you're supposed to be feeding him. I'm looking at you right now. I kind of feel like Rick and Morty.Yeah, as long as your Morty. Here we go hop on the spaceship. Let's go. Yeah. So, but I just think of it like a dog that's in the backyard and you're feeding it and you're feeding it and feeding and suddenly one day you don't feed it anymore and you have this nice wooden fence all the way around. That dog doesn't want to die. That dog is going to chew a hole in that fence and destroy your nice little fence and it's going to go and find food somewhere else now that that holes the breach that hole is the illness that hole is the overproduction of lactate that's kind of the..You're exactly right. It's it the dog is the bacteria wants to eat..It's going to survive, one way or the other.It's going to make its adjustment because it doesn't want to die. And so feeding it the correct meals. The prebiotics is probably a much better avenue than just avoiding everything that it was after.So expanding on your analogy, the way that I would view it is a little bit like this that you have I'm horrible analogies, I would say. Okay, so you have the same fence. You have the same yard.Yeah, you're really original.And you have two seals. And one dog. Okay. No water. Yeah. So there's so there's,  there's a pool. So that PETA doesn't come. So there's pools so the seals are hanging out, and every day you out there, and you throw fish at the seals and the dog, and the dog doesn't like fish.Right? So the dog will chew its way out. Correct. The seals are like, Let's have a party, they get on their cell phones and they call more seals.. And then you end up in a backyard full of seals. And now you have to keep feeding fish. So the analogy is similar, but basically you're, you're pre selecting. YeahBy doing low fodmap all these other things. You're not you're not having a diverse microbiome, the ideal backyard would be a harmonious zoo. Right? I'm in a menagerie. Yeah.Much like your own backyard. That's right. So many animals. Would you please explain what a menagerie is? And why..You could go back to some other episodes and like going back that far, like menagerie is a word for a collection of a bunch of different animals. That's all you need to know.Yes. So it's, it just got me thinking, I'm like, I'm gonna change how I do. I'm gonna change how I treat SIBO, what we need to do is we need to get rid of the bacteria. And then we need to feed the bacteria. How can we do that? Oh, Mind blown. That's why I think Atrantil has worked over time. So as it turns out, I found a bunch of articles, mouse articles, human articles, movies, other things where I would have people that would come to me and be like, you know, I've taken it for like three months and now I'm better I believe that we fixed SIBO and then we fed the bacteria every single day.That's I mean, in all honesty, pulling the curtain back, that's not the way that we've been studying the polyphenol effect from the beginning. This is very eye opening, it actually is still, I mean, I can still see how FMT is could probably still be incredibly beneficial, but it has to be delivered and prepared the right way.Oh, these authors went into a whole different deal where they were trying to figure out how can we improve FMT? And they thought about, like, putting it with antibiotics to decrease certain bacteria, and then what they realized is, you can't play God..That's a mess. That's a hot mess. That's like chemical warfare. An that's how come they said, why don't we just throw a bunch of prebiotics in there and see what happens.Let me ask you, so what

Join the EMGuideWire crew once again for this month's series on Sepsis in honor of Sepsis Awareness month. Episode 3 will cover antibiotic use and selection. Antibiotics for Sepsis Take a history and perform a chart biopsy first! Consider past infections, bug susceptibilities, healthcare acquired vs. community acquired infection, foreign travel, and comorbidities.  Always check local antibiogram and prior culture results. Septic shock - Start broad spectrum antibiotics within 1 hour. Stable patient - find the source! UA, CXR, and a good skin exam are fast and can help guide antibiotic choice. Remember some patients need surgical management!  Antibiotic choice in septic shock. 1st agent - Piperacillin/Tazobactam (covers GP/GN + Pseudo)  2nd agent - Choose based on patient characteristics Ceftriaxone - simple community acquired infections. Vancomycin - covers MRSA. Meropenem - use for patients with a hx of ESBL. Flagyl + cefepime/meropenem - Use for intra-abdominal infections. Clindamycin - Useful for skin infections (toxin suppression).  Cefazolin - IV line infections, endocarditis, soft tissue infections w/o MRSA (covers MSSA, GAS, GBS).  Summarized by: Travis Barlock, MD PGY-1 References: Alam N et al. 2018. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. The Lancet. Respiratory Medicine. 6(1): 40-50.  Dellinger RP, Levy MM, Rhodes A, et al. 2017. Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup: Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2016. Critical Care Medicine. 44(3):486-552.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Krista: I have two questions regarding EMF exposure : 1. Do you think the EMF exposure from a fitbit (or like device) is worth it if it improves a pre-teen/teen's activity level? Any specific recommendations? 2. How do I know if a sauna is safe regarding its EMF output? I have read a few articles from those who have personally tested various saunas with widely different results. I'd like to follow your advice on taking advantage of the health benefit of infrared saunas, but am confused as to how to make sure the EMF levels are safe. Thanks as always! Chris: Can you point me in the right direction in terms of chronic MAC infection of the lungs? My mother was diagnosed many years ago but things have escalated quite a bit in the past few months. She has a constant dry cough, fatigue, lack of appetite, etc. Her escalated symptoms began a few months after moving to a different house. I suspect something about the new house may be a factor.Thank you, Chris Beth: Hello Dr. Cabral. Love your podcast! I have learned so much from you and I continue to learn daily the more I listen. I'm hoping you can help point me in the right direction with this...but I have been dealing with clogged ears for the last several months. A bit of backstory to assist, back in August of 2018 I decided to take some strong antibiotics (Flagyl to be exact) in order to combat a bacterial overgrowth (please note I am health conscious and so I rarely got sick or had to deal with any health related issues prior to this). During the time I was taking the 10-day antibiotics, I got sick with what seemed to be bronchitis. While sick, I took a flight for a vacation we had planned and my ears refused to pop. It was as if the congestion from the cold or whatever I had was pushed into my ear canals. Ever since, not only have I been sick multiple times (one time resulted in IV fluids, steroids and more antibiotics), but my ears have never recovered. I know that taking the antibiotics was a horrible idea, no matter how desperate, because it destroyed all the good bacteria I had in my gut and left me completely susceptible to everything. I went to the ENT and was told my hearing was perfect and that my ears were clear, yet I still can't pop them. I feel a bit unbalanced and my ears feel full and muffled. And if I eat anything inflammatory, my right side starts hurting. On top of that, I have ongoing "post-nasal" drip feeling in the back of my throat, which again, worsens with inflammatory foods like sugar. Any suggestions you may have to help me heal are greatly appreciated! Thank you for all you do! Tony: Hi Dr. Cabral, Love your DESTRESS protocol and all your work, however, what seems to be missing is a focus on trauma.What are your thoughts on those who's health have plateau'd because of childhood trauma that has conditioned such strong subconscious beliefs, that even the Monday Motivations aren't resonating with these conditioned core beliefs?There are modalities like EMDR, but I'm curious on your take and what you see in your practice, as I put Cabral and his team as the gospel of truth on health, wellness, and spirituality :) Keep up the fantastic content! Annette: Hi Dr. Cabral.Thank you for sharing your wonderful knowledge in the world. I would like to know some information regarding hair loss. I'm considering ordering some of your tests but don't know which one would be appropriate for me. I'm going to be 45 years old and in the last few years I've lost maybe half of my hair... the loss continues... and every time that is my hair wash day I just get so scared and anxious thinking "how much hair I will lose again today!” I do not take birth control. I'm vegetarian but do not eat eggs. My TSH level is 1.42 and my C-Reactive Protein level is 0.8 and total Protein level is 7.1 I would love to get some guidance and advice as to what I should do and what might cause my hair loss issue. ( Am I premenopausal?) It's to a point that I can not leave my hair loose. Thank you so very much for your help and time.Annette Joanna: Hi Dr Cabral I have a few questions.1. What would you suggest for ovarian cysts and what can cause this? 2. Iv been having upper left abdominal bloating for a few months now usually after eating or if im a little stressd around where the stomach is situated i think i may gastritis or bile reflux. I have candida and bacterial overgrowth high histamine issues and currently doing the CBO. What do you suggest i can do to heal this naturally. I want to avoid a endoscopy if i can? 3. What are your thoughts on slippery elm in healing the gut and even treating gastritis. thanks im currently doing IHP and post regularly on the facebook groups. Many thanks for all you do joanna from australia :)   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions!  - - - Show Notes & Resources: http://StephenCabral.com/1205 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -   Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox  (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake  (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend  (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil  (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements  - - -   Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test  (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. 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In Episode 138 of Keto Talk, Jimmy and Dr. Will Cole answer your questions about Arteriosclerosis Reversal, Acetyl-CoA, Gastro Event Requiring Antibiotics And Pasta, Fasting And Appendicitis, Keto Aggravating Adrenals and more! HOT TOPICS: VEGAN CORY BOOKER SAYS MEAT EATERS’ DAYS ARE NUMBERED  Why is cheating on your keto diet everyone once in a while a bad thing?  What do you think about the new sweetener allulose being used in keto products? Does using collagen, bone broth, and MCT oil break your fast and turn off autophagy?  Could the carrageenan typically found in heavy cream be the cause of my skin issues? Does having chronic pancreatitis requiring prescription pancreatic enzymes preclude someone from eating keto? “Buyer beware when it comes to some of these food substitutes on the market.” – Jimmy Moore “It's not fair that some of us can tolerate certain foods while others can't, but we have to accept where we are on our health journey at this moment.” – Dr. Will Cole HEALTH HEADLINES: We’ll Always Eat Meat. But More of It Will Be ‘Meat' This Mediterranean diet study was hugely impactful. The science has fallen apart. Scientists Accidentally Discover Drug that Prevents Weight Gain Fasting's Health Benefits May Be Broader Than Scientists Previously Realized Are You A Super Pooper? STUDY: Newly isolated human gut bacterium reveals possible connection to depression Jimmy and Will answer your questions: –  Is there any research showing reversal of arteriosclerosis with keto and other lifestyle changes?  Hi Jimmy and Will,  I’m a big fan of the ketogenic diet and you guys consistently provide some of the best information about this way of eating online. I’ve been doing a lot of research lately on how to reverse arteriosclerosis since it seems most people have some varying level of this develop during their lifetime. I've seen people talk about things like taking magnesium and the MK7 variant of Vitamin K2, but these are only theoretical in nature. Is there any scientific evidence that this actually reverses the progression of heart disease? Is there any research that demonstrates keto and other lifestyle approaches help with this reversal of arteriosclerosis? Thanks again for your fantastic podcast.  Tom – Is there any concern with an increased production of Acetyl-CoA when a Type 2 diabetic is eating keto?  Hey guys,  I have someone in my life who has a biochemistry background claiming that going keto is about the worst thing a person with Type 2 diabetes could possibly do because of excessive production of Acetyl-CoA and that it induces a state of ketoacidosis (which I know is flat-out wrong). When I inquired about the mechanism about how the higher Acetyle-CoA issue happens and what the end result would be from this, she responded with something about DNA damage being done on a neurological level. This doesn’t make any sense to me from what I know about healthy nutritional ketosis and I’d love to offer up a counterpoint to her arguments. She seems to be really confused and it would be great to help educate her on this. Thanks for your help!  Sue   – What is the best way to recover my gut health from three rounds of strong antibiotics?  Hello Jimmy and Dr. Cole,  I recently had a gastro event that my gastroenterologist put me on two strong antibiotics (Cipro and Flagyl) for. As a keto dieter, I was shocked when he recommended that I eat lots of pasta before having a colonoscopy. When I told him I eat for ketosis, he chided me by staying that diet is merely political and not actually based on any sound science. I’m almost sure I have leaky gut and declined having the colonoscopy since the antibiotics have surely almost entirely wiped out my gut flora. I’m now eating the Specific Carbohydrate Diet (SCD) and am doing well on it so far. I did have to take another antibiotic (Methylpred) for a pulled tooth recently, so I know my gut health is majorly compromised now. Is there anything else I can do to help further improve my gut health so I don’t have to go through these rounds of antibiotics and recommendations of pasta anytime soon? This has been a very hard winter for me. Thank you for responding to my questions.  Mary  – Does extended fasting lead to appendicitis and gallstone development?  Hey Jimmy and Will,  I was inspired to start doing some longer fasting because of your podcasts and decided to do a 7-day fast. It was surprisingly easy for me to do and I felt great after it was finished. But one week after I finished that 7-day fast, I developed appendicitis. Was this somehow related to the fast or is this merely a coincidence? Checking Dr. Google didn’t help me answer this question at all which is why I’m writing to you today. They did find I had a developed a a gallstone which Dr. Valter Longo has said can happen on fasting. I’d love to go back to my regular 24-36 hour fasts, but now I’m scared because I don’t want to lose my gallbladder. Can you help reassure me about this issue?  Thank you and best regards, Andy in the Philippines   KETO TALK MAILBOX:  – Is keto making my adrenal issues worse?  Hi Jimmy and Will,  Thank you for all you do on Keto Talk to get sound information about healthy eating out to the public. I’ve been keto for just over a year and have lost 32 pounds while improving many of the symptoms of insulin resistance. I’ve felt energetic for my active lifestyle of mountain biking, running, cross country skiing, and snowshoeing. However, lately I’ve been having a few episodes of what I suspect may be symptoms of adrenal insufficiency. I have dealt with low thyroid and my naturopath put me on thyroid hormone replacement to deal with this—but it didn’t help or hinder. The focus of my treatment has been on healing the gut microbiome and I’ve been consuming copious amounts of bone broth and fermented food like yogurt to help with that along with periods of intermittent fasting.   I recently dealt with a virus that wouldn’t let go leaving me pretty sick and worn out for about two weeks. When I started feeling better, I noticed my lymph nodes in my neck were noticeably swollen and tender to the touch. At night, the back of my legs were achy near the back side of my knees. Waking up in the morning felt like I was hungover with my eyes swollen, a low-grade headache, nausea, and incredibly lethargic. When my chiropractor touch my T12 on my back, I felt a hot stinging sensation and immediately because nauseous. She told me that is directly tied to the adrenals. Is keto making these adrenal issues worse? From what I’ve seen, the recommendation for adrenal problems is to eat more carbs, but I don’t want to do that for a lot of reasons.   Thank you for helping me try to figure this out.   Kathy ITUNES REVIEWS: Leave us a review on Apple Podcasts

Happy National Preparedness Month! Joe and Amy Alton often  talk about the risk of infectious diseases and some of the antibiotics that I’ve been able to find in veterinary form that you can access without a prescription. Of course,  in normal times, you should seek out a qualified medical professional first. One of the antibiotics we think is most useful in survival settings is something called metronidazole, brand name Flagyl). Metronidazole (aquatic equivalent: Fish-Zole) 250mg is an antibiotic in the Nitroimidazole family that is used primarily to treat infections caused by anaerobic bacteria and protozoa. Find out more! The diligent medic will be successful in accumulating various medicines that will help keep his family healthy.  What happens, however, when all these stockpiled drugs pass their expiration date”?  The short answer is:  In most cases, not very much. Shocked? Find out why Joe Alton MD says so in this episode. Plus, a short talk about endemic, epidemic, and pandemic diseases. What makes something endemic and something else an epdemic or pandemic. Plus, Nurse Amy talks about a new compact kit she's designed! Wishing you the best of health in good times or bad, Joe and Amy Alton Find us on Facebook at Doom and Bloom(tm), Twitter @preppershow, and YouTube at drbones nurseamychannel! And don't forget to check out Nurse Amy's entire line of medical kits @store.doomandbloom.net!  

Happy National Preparedness Month! Joe and Amy Alton often  talk about the risk of infectious diseases and some of the antibiotics that I’ve been able to find in veterinary form that you can access without a prescription. Of course,  in normal times, you should seek out a qualified medical professional first. One of the antibiotics we think is most useful in survival settings is something called metronidazole, brand name Flagyl). Metronidazole (aquatic equivalent: Fish-Zole) 250mg is an antibiotic in the Nitroimidazole family that is used primarily to treat infections caused by anaerobic bacteria and protozoa. Find out more! The diligent medic will be successful in accumulating various medicines that will help keep his family healthy.  What happens, however, when all these stockpiled drugs pass their expiration date”?  The short answer is:  In most cases, not very much. Shocked? Find out why Joe Alton MD says so in this episode. Plus, a short talk about endemic, epidemic, and pandemic diseases. What makes something endemic and something else an epdemic or pandemic. Plus, Nurse Amy talks about a new compact kit she's designed! Wishing you the best of health in good times or bad, Joe and Amy Alton Find us on Facebook at Doom and Bloom(tm), Twitter @preppershow, and YouTube at drbones nurseamychannel! And don't forget to check out Nurse Amy's entire line of medical kits @store.doomandbloom.net!  

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I’m looking forward to sharing with you some of our community’s questions that have come in over the past few weeks…  Let’s get started! Karin: Hi Dr Cabral, I heard your podcast with Melissa Ambrosini and have since been obsessed with your podcast. You have given me some hope. My issue is ... acne. And I know you see it a lot and have talked about it a lot but I can't really get a clear view of what my cause is and what I need to do. See I live in Australia and can't do your detox, if you know of a similar one in Australia that you would recommend please let me know. My acne started as a teenager, over the years I have gone on roacctune which has helped, but I never ever want to do that again. Horrible drugs. I was diagnosed with PCOS a few years ago. I then changed my lifestyle, eat well and cleaned out a lot of the chemicals and toxins in my house and life. I would say I am on a good path. Through these changes I was able to regulate my period however my skin never cleared. I feel like I have tried it all. 2 years ago I fell pregnant and my skin was amazing throughout breastfeeding. Then when i stopped and my period began again the acne came back. It started as lots of tiny bumps on my forehand and then around my mouth, on my chest and the odd one on my back. I feel like this might give you some insight. A few questions: - Does the location of the acne relate to specific problem areas? E.G- forehand with digestion? Chin with hormones? - I had a jaw operation as a teenager and have 2 screws in my jaw now for life. Would this metal have an effect on me? Not exactly sure what type of metal it is. - If I cant do your detox, how do I clean my blood? Other suggestions or detoxes you can recommend? - From my story can you tell where the problem is coming from? - I saw a naturopath and she advised I am slightly acidic and prescribed an alkalizing drink as well as a vitamin C and zinc supplement (i was also low in zinc). I must say this has helped and I would like to continue with this. - What kind of lab test would you recommend? I will have to look into where I can find them here in Oz. Thank you for your help! There must be an underlying issue, but I am just not sure what to do to find out what it is. Another random question.... we don't really get wild caught salmon here much. What is your take on canned wild caught salmon? Leigh: Hi, I am interested in your hormone testing kit but I live in NSW Australia, is there anyone over here that you could suggest that offers similar testing? Regards Leigh   Panagiota: Hi! I love your podcast !! I have reoccurring cold sores on my lip . I have been using Abreva it helps but I constantly need to use it. I’m looking forward to your advice is hard to deal with it’s very annoying problem. Thank you Panagiota     Kelly: Hello and Happy New Year, Dr. Cabral! On podcast #702, you mentioned you needed someone to reorganize your podcast collection. I would be happy to work for you remotely as I live in Colorado. I listen to multiple Cabral Concept podcasts each day and really find the work you are doing honorable! I am employed 40 hours Sunday-Wednesday, but would be available Thursdays and Fridays to work for you remotely. I use your search function frequently and have ideas on how it could be improved for ease of use. I am currently employed in Medical Records department of a major healthcare (aka Sickcare) system, but just left my previous career in public education after 10 years. I have a B.S. Degree in Psychology and a Masters of Education degree. Please email or call if I could be of service to your organization! Thank you for all you do in disrupting the corrupted healthcare system and helping people get well! I'm currently on day 6 of a 21 day Cabral Detox! Lynn: What are your thoughts on Les Mills Body Pump classes as a 3 days per week full body workout? The classes are full body weighted exercises with a focus on high reps thus requiring lower weight than what I would normally do for weighted execises with 8-10 reps. Michelle: Hi Dr. Cabral, I love your show and am currently attempting to go through the backlog of your shows for information to help my family become healthier, its such an amazing source of information. Thank you for the transparency of information, its such a blessing. I have just received my sons stool results, he's an Autistic 3 yo with a clostridium overgrowth and high fecal inflammation. We are being put on Flagyl. I was wondering if we should also use biocidin once we are off the antibiotic? We are giving him Sacc B while on the antibiotic. We have also found high levels of metals and I was wondering if we should wait to heal his gut before beginning any sort of natural chelation or heavy metal detox. What would be your course of action and timeline for my son? On a side note, Ive bought your detox program but am waiting to hear whether I should wait to begin the program until after I am done breastfeeding. Thank you for all you do for our community. Joshua: Hi Dr. Cabral. I started taking a supplement called restore4life and immediately got violentlly I'll. Extreme pain around my pelvic bone/lower back, side cramps, and flu like symptoms. I took a couple days off, but upon re-introducing it the symptoms returned. Is it possible I'm having a Herx like die-off? I can't decide whether or not I should continue taking this product. Thank you! Josh   Michael: Hey Dr Cabral and staff, My name is Michael and I have been listening to your show just over a year now. Love the information you are providing on all aspects of health. Particularly how you're now adding a lot of Ayurvedic influence into your podcast now. I have recently purchased a couple of Ayurvedic books myself and started adding it to my daily routine and listening to your shows just gives me more insight and perspective on the ancient practice. The reason I am contacting you today is actually pertaining to your CBD oil. I have been working with CBD oil for 3 years now and I have not come across a Supercritical CO2 extracted oil that just contains hemp. Other oils have MCT oil, or coconut oil, sunflower seed oil etc. I'm not against those oils because I know there are benefits to those oils as well, but I am looking to start my own CBD oil company in NV and start selling them to my clients(I have personal trained for 13 years now) and I would like to carry an oil like your in my facility. I would appreciate if you can point me in the right direction on getting started on purchasing oils in bulk. Thank you for your time and dedication to providing top quality information and products. Michael Thank you for tuning into this weekend’s Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes & Resources: http://StephenCabral.com/751 - - - Get Your Question Answered: http://StephenCabral.com/askcabral  

Kate Rentz, director, photographer and adventurer Kate Rentz: Kate Rentz is a director and photographer living in Los Angeles, CA.  She's enthusiastic about the outdoors, culture, travel, art, and human connection.  Kate was diagnosed with Lyme Disease in 2015 after suffering for 15+ years going undiagnosed. During those 15 years, Kate experienced extreme pain, insomnia, and brain fog which she complained about in countless doctor's offices. The diagnoses came back varying: Endometriosis,  IBS, and the infamous, "it's all in your head." Kate Rentz found the majority of her healing in Flagyl, herbs, ozone therapy, AND the great outdoors. IG: @katerentz The Weekly Challenge: This is new my friends so I hope you're on board for some change! My podcasts are now due to come out on Mondays and with each episode I will be releasing a "weekly challenge." But what IS  a weekly challenge!? It's something for you to do each day of that week that will contribute to your healing. Remember: Do not beat yourself up, we are simply striving to do this, it is NOT about perfection. Also, please take the challenge and mold it to suit you. The best part (for me): I'm going to do it, too! So, hop on over to my Instagram @sheajackie and follow me to see IF I'm able to do it! Ready for this week's challenge? GO OUTSIDE. Each day, for at least twenty minutes, get yourself out. Whether that means sitting on your stoop and staring at a tree, going for a hike, walking around the block, or going skiing—I don't care what or how. But get outside during the sunny hours and look at some nature. Your lawn? The bird up there? The clouds? Whatever. I'm going to be in NYC this week so it will be an extra challenge. Giddy-up. Listen to this Episode if you are Especially Interested In: Lyme disease Holistic healing Parasites and how to treat them Listening to your own body and how it helps you heal How to get outside when you're totally exhausted What to do when you have flare-ups Resting when you hate resting How nature can heal you References Listed in This Episode: Dr. Melanie Gisler  Wi Spa Flagyl Happy Listening! SaveSave SaveSave

Joe and Amy Alton, aka Dr. Bones and Nurse Amy, come down with the flu after their successful appearance at the SHOT show in Nevada, just one of 47 states reporting widespread outbreaks of influenza. Find out how hard it is to escape becoming a victim, even if you walk around with hand sanitizer in your pocket all day! Nurse Amy gives her advice for speeding recovery and Dr. Bones talks about the anti-viral drug Tamiflu and how it works to shorten the duration of illness. Also, Dr. Alton was the first physician to write about the use of fish and bird antibiotics as a survival tool, but this stuff isn't candy, and has to be used wisely if at all. Having a supply, however, may avoid the preventable deaths from infected cuts and other minor ailments that could become big trouble in hard times. Some general advice regarding appropriate usage is given, and a useful antibiotic called  metronidazole (Flagyl, Fish-Zole) is spotlighted. All this and more in the latest Survival Medicine Hour with Joe Alton MD and Amy Alton ARNP! Follow us on Twitter @preppershow, FB at Doom and Bloom(tm), and YouTube at DrBones NurseAmy Channel!

Joe and Amy Alton, aka Dr. Bones and Nurse Amy, come down with the flu after their successful appearance at the SHOT show in Nevada, just one of 47 states reporting widespread outbreaks of influenza. Find out how hard it is to escape becoming a victim, even if you walk around with hand sanitizer in your pocket all day! Nurse Amy gives her advice for speeding recovery and Dr. Bones talks about the anti-viral drug Tamiflu and how it works to shorten the duration of illness. Also, Dr. Alton was the first physician to write about the use of fish and bird antibiotics as a survival tool, but this stuff isn't candy, and has to be used wisely if at all. Having a supply, however, may avoid the preventable deaths from infected cuts and other minor ailments that could become big trouble in hard times. Some general advice regarding appropriate usage is given, and a useful antibiotic called  metronidazole (Flagyl, Fish-Zole) is spotlighted. All this and more in the latest Survival Medicine Hour with Joe Alton MD and Amy Alton ARNP! Follow us on Twitter @preppershow, FB at Doom and Bloom(tm), and YouTube at DrBones NurseAmy Channel!

ARR RAW Round Table Discussion with Travellers - Episode 8 Featuring Grant Johnson, Sam Manicom, Graham Field and Jim Martin.  First Aid Training before leaving? What kit if any, do you have?  What should all riders have with them for First Aid - minimum? First Aid Kit - Courtesy of Sam Manicom Keep it to a minimum! – Store in Air/dust tight container Thermometer – normal oral temperature of 98.6°F (37°C) Crepe bandage and safety pins Triangle bandage – no more – tear up a t-shirt Gauze Wound dressings - breathable Paraffin Gauze dressings – burns Wound cleaning gauze Band-Aids – waterproof yet breathable Compeed - blister plasters Dry disinfectant powder – weeping wounds Hand disinfectant gel – clean hands before start work. Suture kit Tweezers Duct Tape! Surgical gloves Iodine tablets – clean water for wound washing Sachet of Hydration salts Saline eye drops Pain killers Imodium - for the treatment of diarrhea Flagyl (metronidazole) is an antibiotic. ... Flagyl is used to treat bacterial infections of the vagina, stomach, skin, joints, and respiratory tract Malaria prophylaxis - preventive treatment of malaria Vaccination certificate and prescriptions from Doctor for any regular drug requirements List of blood group, allergies etc, medical contact details, travel insurance contact details *Added by Elizabeth for women riders: Oral Fluconazole - used to treat vaginal yeast infections Off the Cuff An open discussion between Grant Johnson, Sam Manicom, Graham Field and Jim Martin RAW PLUGS Grant Johnson - www.horizunsunlimited.comPLUGS : HUMM Spain - Aragon - Oct 17-20 - Register now at www.horizonsunlimited.com/events HUBB - California HUBB - Nakusp - RAW Recording Live Website Upgrade: www.horizonsunlimited.com. Looking for gps co-ordinates for anything such as repairs shops, border crossings, points of interest. Testers for new system: looking for user input. Contact Grant or Susan at www.horizonsunlimited.com.   Sam Manicom - www.sam-manicom.com PLUGS: Irve Seaver BMW Orange CA 3rd September San Jose BMW 8th September Horizons Unlimited California, Mariposa 22nd to 25th September   Graham Field - http://grahamfield.co.uk/ PLUGS: Copdock Classic Motorcycle Club Bike Show: http://www.copdock-cmc.co.uk/Events-TheShow.htm KTM 950 Adventure for sale on eBay Jim Martin - www.adventureriderradio.com PLUGS: HUBB - Nakusp - RAW Recording Live If you like the show and want to keep it coming to you free, please consider dropping a donation to help keep it going. Donate here.

Mike Spencer Bown - 193 countries Mike is a true traveler and explorer, who over a twenty plus year time period has traveled to every country in the world. Mike shared with me some incredible travel tales, including a road trip with a nun in a war-torn, African country.   Mike has been on the road for over twenty years, exploring and discovering the remote corners of our planet.  He travels slow and espouses a simpler lifestyle with all of his belongings in one bag.     More about Mike Spencer Bown:   Born in: Canada Passports from: Canada Favorite travel book:  I like old Jack Vance fantasy travel books such as The Dying Earth and Cugel’s Saga.  Also, early travel accounts such as the First Footsteps in East Africa.   Favorite travel site:   I’m kinda old school, not a big user of the internet. I don’t travel with electronics, not even a phone or camera. Must carry: Mosquito net, a Swiss Army knife, Flagyl (for Giardia) and Coartem ( for Malaria).  I bring a collared shirt for embassy visits.  I also bring an outfit similar to what an NGO or U.N. inspector would wear, including clipboard for impersonating officials to get past roadblocks. And finally a journals for writing in. Favorite food: Any kind of exotic fruit or fish. Favorite drink:  Soursop juice.  Chinese whisky with ‘special’ herbs. Favorite Airline:  The cheaper the better. For example, I liked those old Tupolev flying in Iran. Favorite Hotel:  I like to find one that used to be the best hotel in the city, but say, in the 1920s, and nothing has been done to upgrade or refurbish it, so it's a charming semi-ruin, in the $5 to $10 a night range. Facebook   mike.s.bown       About Counting Countries Counting Countries is the only podcast to bring you the stories from the dedicated few who’ve spent their lives on the singular quest of traveling to every country in the world. Less people have traveled to every country in the world than have been to outer space. Theme music for this podcast is Demeter’s Dance, written, performed, and provided by Mundi. About GlobalGaz Ric Gazarian is the host of Counting Countries. He is the author of three books: Hit The Road: India, 7000 KM To Go, and Photos From Chernobyl.  He is the producer of two travel documentaries: Hit The Road: India and Hit The Road: Cambodia.   Ric is also on his own quest to visit every country in the world. You can see where he has traveled so far and keep up with his journey at GlobalGaz.com How Many Countries Are There? Well… that depends on who you ask! The United Nations states that there are 193 member states. The British Foreign and Commonwealth office states that there are 225 countries and territories. The Century Club states that there are 324 sovereign nations, territories, enclaves, and islands. The Most Traveled Person states that there are 875 unique parts of the world. The Best Traveled states that there are 1281 unique places in the world. Me? My goal is the 193 countries that are recognized by the UN, but I am sure I will visit some other places along the way. Disclaimer: I will earn a fee if you order from Amazon/Agoda.

In this episode of the Survival Medicine Hour Podcast, Joe and Amy Alton, aka Dr.Bones and Nurse Amy, discuss principles of herbal healing, how penicillin was invented (by accident), the antibiotic Metronidazole (Flagyl, Fish-Zole), and the perils of antibiotic overuse.

In this episode of the Survival Medicine Hour Podcast, Joe and Amy Alton, aka Dr.Bones and Nurse Amy, discuss principles of herbal healing, how penicillin was invented (by accident), the antibiotic Metronidazole (Flagyl, Fish-Zole), and the perils of antibiotic overuse.

Flagyl is a commonly used medication that is effective at killing bacteria it is used commonly in hospitals and ICU settings.  Check out our book “140 Must Know Meds” at medoftheday.com The post Flagyl use in the ICU for treating UTIs and other infections appeared first on NURSING.com.

Every week Kendall and Dr. Dan answer your questions related to health, diet, sleep, wellness, functional medicine, age management, fitness, sexuality, hormones, balance, mindfulness, and much more. Send yours in to questions@ephysiologix.com.  This week's questions:   1. What are your recommendations for natural ways to improve my ability to fall asleep, I will lay in bed for an hour at night trying to fall asleep, any suggestions would be appreciated.  - Melissa 2. Kendall - Our son who will be 6 in November, has had chronic diarrhea since the end of February.  We started with IgG testing which showed he is allergic/sensitive to many foods, including dairy, soy, gluten, almost all nuts (except walnuts), potatoes, coconut, lentils and a host of other things. We've known he has had a dairy and soy issue/intolerance/allergy since he was an infant (to cow, not goat).  We removed all foods that showed up on his IgG testing and two months later things were still the same. We've since done 3, 3 day stool samples that have been sent for testing and all have come back negative for everything - fungus, bacteria, parasites.  We have done a proactive 14 day course of Flagyl just in case. We've been to see the pediatric GI and an infectious disease doctor.  We've been to acupuncture.  He still has diarrhea - or I should say it ebbs and flows between a week of diarrhea and then soft stools.  The next step is to do a scope but we're trying to avoid that. We are pescatarians - so not paleo by a long stretch.  However, our pediatrician feels strongly that this is related to food and nutrition. 3. We have a question wondering why we talk about directed supplementation but we sell multi-vitamins on the site. What's up with that?