Welcome to another live podcast with Dr. J and Evan Brand! This functional medicine podcast discusses dental cavitations and other issues this duo randomly answer during the live Q&A part. Watch as they explain more what cavitations are, how to identify and treat such, and what are the implications regarding health symptoms. Listen more as they address other nutrition, gut, and dental issues along the way.
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Dr. Justin Marchegiani
In this episode, we cover:
03:40 Cavitations
10:10 Wisdom Teeth Extractions and Dental Cavitations
12:30 The PRF Cavitation Procedure
16:20 Infection Feeds Off All Infections, Not Just Iron
27:56 Die-Offs Should Be Avoided
Dr. Justin Marchegiani: Hey, guys! It’s Dr. Justin Marchegiani here. I am in Kansas City here for the 4th of July weekend. Evan, how are things hanging over there in Louisville?
Evan Brand: Things are good. Everybody else is worried about uh— buying fireworks and blowing stuff up. I love doing that but since lear— learning that fireworks are one of the biggest sources of Perchlorate, which disrupts the thyroid’s ability to produce hormones, I’m less interested in fireworks now.
Dr. Justin Marchegiani: I would just say
Evan Brand: [laughs]
Dr. Justin Marchegiani: …I would say, don’t let that scare you. Just hit uh— extra wallop of Glutathione and maybe some extra Sulfur amino acids, some liver
Evan Brand: That’s— That’s good advice. I may go do that. There’s a brand of uh— mortars of that I love called Excalibur.
Dr. Justin Marchegiani: Oh, yeah.
Evan Brand: They’re the biggest, the loudest, the best. I mean, like when you launch an Excalibur compared to a regular mortar, like the whole neighborhood’s gonna know. I mean, it’s like that sound will echo for miles. So I may do it.
Dr. Justin Marchegiani: Awesome, brother. Awesome. Very cool. So, I’ll o kind of a live Q&A here. Anyone that wants to ride in feel free. We’ll hit up some questions here on today’s show. We’re also gonna go over some lab results of Evan’s
Evan Brand: Yeah, my cavitations.
Dr. Justin Marchegiani: We did a whole podcast on that last month so feel free. We can chat more about that as well. So, any other updates on your end, Evan? How’s the
Evan Brand: Oh, Candida Summit’s good. We’ve got 45,000 people registered.
Dr. Justin Marchegiani: Oh, wow.
Evan Brand: So, uh— We’re hoping we’re gonna end up at like 75,000, you know. It just kind of depends on how people promote it, and if they— if they hustle as hard as they said they’ll hustle to sign up, er— you know, to promote people to sign up. But I think it’s gonna be pretty darn successful, man. Uh— Probably not the biggest event ever, you know, like a hundred grand— a hundred grand uh— hundred thousand uh— participants will be cool, but I don’t know.
Dr. Justin Marchegiani: Cool.
Evan Brand: That’s a stretch.
Dr. Justin Marchegiani: Well, awesome, man. We will be shooting out emails for everyone, so anyone listening here now, head over to justinhealth.com/candida— justinhealth.com/candida, to get signed up for the Candida Summit. We will have more talks like this, more in-depth. That’s great.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Excellent.
Evan Brand: Yeah. Your talk was excellent so I think people should really enjoy it.
Dr. Justin Marchegiani: Well, thanks so much! So let’s dig in to your
Evan Brand: Yeah, share it.
Dr. Justin Marchegiani: Uh— An let me— just let me get this going here. Hold on.
Evan Brand: And while you’re sharing that, I’ll give people a little bit of backstory here uh— on what cavitations are, how do you identify them, how do you treat them, and what are the implications in terms of your health symptoms. So, uh— first things first, symptoms. Uh— I was having some issues with energy. I was having some heart palpitation issues, some blood pressure issues that I was talking with Dr. J about. And he’s like, “Oh, man. This is stress. Or this is this.” I’m like, “Man, I don’t think it’s stress.” And so, I ended up getting a hold of this uh— surgeon over in Texas. Uh— There it is, to your right. I don’t know if you can click on it.
Dr. Justin Marchegiani: Yup.
Evan Brand: I see it. Alright, there it is. Nope. Now you’re back to me.
Dr. Justin Marchegiani: Here we go. [crosstalk] There it is.
Evan Brand: Can you see that there?
Dr. Justin Marchegiani: Yup.
Evan Brand: There it is.
Dr. Justin Marchegiani: Perfect.
Evan Brand: So— So long story short, I was having these crazy symptoms that I thought was maybe like high Iron overload, high Ferritin type things, which was an inflammation problem. So I was doing some stuff like high-dose fish oil and turmeric and other things to try to get the Iron-Ferritin down. I did end up going to donate some blood, which helped. Whoah! Now, we’ve got like the matrix. [laughs]
Dr. Justin Marchegiani: I know, right? I think I had it fixed now.
Evan Brand: Uhuh—
Dr. Justin Marchegiani: Can you see it? [
Evan Brand: Yeah, I can see it.
Dr. Justin Marchegiani: Perfect.
Evan Brand: So anyway— So, basically, what a cavitation is, is it is an infection that happens into the jawbone area into your gums, and it happens at an old extraction site. So, whether this was a root canal site, whether this was a wisdom tooth extraction, whether this was a 12 Year molar extraction, the membrane can be left behind in the gum and get sewed up and it starts to rot, and then these various bacterial pathogens begin to accumulate. So you can see it on Justin’s screen here, anything from
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: …I swear to you, after that day, after that cavitation surgery that day, I did not have a single heart heart palpitation since.
Dr. Justin Marchegiani: So, overall, your heart palpitations are feeling pretty good?
Evan Brand: It’s gone. I— It hasn’t happened a single time. Remember, I told you it was happening almost every night, like 8:00 PM?
Dr. Justin Marchegiani: Now, let’s go back to the Dental Cavitation Procedure…
Evan Brand: Yeah.
Dr. Justin Marchegiani: …’cause I had a wisdom teeth removed. I don’t have any soreness, though, or any pain in those areas. I know you had a little bit of soreness, right? You’ve been rubbing your jaws a lot. Is that true?
Evan Brand: I was sore. Yeah, up— up in just my back jawbone here. Yeah, I was real sore.
Dr. Justin Marchegiani: and when they ran an X-ray on you, and they looked on up did they saw kind of some black spots that kind of just like hollow black spots on the X-ray?
Evan Brand: Yeah. So when they look at the X-ray, you want to try to get a Pano X-ray, or you could do a 3-D Cone Beam. It’s called a Cone Beam, like a cone, C-O-N-E. 3-D Cone Beam…
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: …for anybody listening. And, uh— I just got like a standard pano X-ray, and the guy, as you see his name there, Stuart Nunnally. You know, he looked at the X-ray, and he said, “Yeah. I’m 95% confident that all four of your sites are infected.” He said the uppers were like 85% confident, but the bottom, he was for sure confident ‘cause when you look at the X-ray, it did look black. It looked like necrotic tissue. And he was right. So when…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …he cut it open, he said the one he had to drill or scoop or whatever he did in— into— into the bottom left or the bottom right like 14 mm or something. He had to go in…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …and get that out.
Dr. Justin Marchegiani: And I know we got strap— Streptococcus mitis. We have— These are the— the common one that causes cavities right here, produces a lot of acids then eat away at the enamel of the tooth. Streptococcus mitis, Prevotella…
Evan Brand: [crosstalk] Do you know a lot of these ‘cause [stutters] I know like some of the— the— you know, the Klebsiella and Ammonia of course but some of these I knew—
Dr. Justin Marchegiani: Klebsiella, Strep, Entamoeba, uh— can’t pull it back ______[6:22], cytomegalovirus. Some of these are the ones not quite. I’d be curious in to know how many of these show up past— You know, nine (9) is the threshold were looking here. I’d be curious to know what percent of the population would test positive without a cavitation, meaning above nine for some of these bacteria.
Evan Brand: [crosstalk] Well— Well, so zero— I mean, zero’s nothing, right?
Dr. Justin Marchegiani: Right.
Evan Brand: And then greater than what’s it say there, 7 ½ is…
Dr. Justin Marchegiani: Yes.
Evan Brand: …moderate risk, and then 9 is serious risk.
Dr. Justin Marchegiani: Yeah.
Evan Brand: So, I fit!
Dr. Justin Marchegiani: Some, yeah.
Evan Brand: …my level [inaudible] off the charts.
Dr. Justin Marchegiani: And I’d be curious to know that like— you know, do you even need— Was this like pulled directly from the cavitation spot, where they dug in or do they…
Evan Brand: Yes.
Dr. Justin Marchegiani: …just do a swab in the mouth, generally speaking?
Evan Brand: No. So when he scooped out like the little black necrotic part of the bone, he took that and put that into the tube and sent that off.
Dr. Justin Marchegiani: Okay. Interesting. I’d be curious to know like, you know— the— the part they scooped out the cavitation versus just a swab in the mouth, generally speaking. I’d be curious to know what the difference is.
Evan Brand: I know. I know. You make…
Dr. Justin Marchegiani: I know.
Evan Brand: …a great point.
Dr. Justin Marchegiani: You know, I’d be curious to know if it’s— if they can repeat this one. Maybe they just give you a swab. You just swab your mouth or just swab the general area of your— you gums and see where that comes back at. That’d be interesting.
Evan Brand: I know.
Dr. Justin Marchegiani: It’d be a great podcast.
Evan Brand: And then the question is, “Well, do you approach just the mouth and do like oral rinse, like a Silver Rinse to get rid of this? Or do you go in from the gut and you heal it from the inside-out, you know?”
Dr. Justin Marchegiani: You got to do both, and the question is, a lot of these bacteria can emanate from the gut, and the gut’s not too far away from the stomach
Evan Brand: Yeah.
Dr. Justin Marchegiani: So, it’s still pretty close. And I imagine these microbes can easily migrate up. So, I think, if you haven’t any oral health issues at all, you really have to work on the gut too. Would you agree?
Evan Brand: Absolutely. I mean,
Dr. Justin Marchegiani: Excellent. I’m gonna go exit back here to our video. Let’s see here. Let’s stop the sharing. Okay, good.
Evan Brand: There you are.
Dr. Justin Marchegiani: Can you see me?
Evan Brand: Yep.
Dr. Justin Marchegiani: Alright. Perfect. So in general, I mean, I think you have to address things, you know, topically. Or I think you can do that with Silver— some flushing, some rinsing of the Silver. I think you can easily do that with a really good toothpaste as well, like a really good Neem slash(/) kind of Melaleuca Tea tree oil kind of toothpaste, where you can brush that, you know, really in there. I think some Hydrogen peroxide, 3%,
Evan Brand: Yeah. I needed— I need to call them back and ask them ‘cause they gave me a
Dr. Justin Marchegiani: Oh.
Evan Brand: And that’s where I told you the H— they found a bunch of Spirorchids that were swimming around.
Dr. Justin Marchegiani: Hmhm—
Evan Brand: Now, that doesn’t mean Lyme. It just means other type of Spirorchids. And they gave me a protocol. I thought it was like Apple Cider vinegar mixed with Hydrogen peroxide. Anyway, I need to get that protocol ‘cause they claimed they created protocol that can eradicate all dental
Dr. Justin Marchegiani: Interesting. Well, I know things like Cat’s Claw in Samento are excellent for that too. And I— I think some of those things that you mentioned will probably be excellent and synergistic will all that. That’s great.
Evan Brand: Yeah, I have some Cat’s Claw. I have been taking that just ‘cause I’ve been have had several tick bites, so maybe I’m already fixing in. I just don’t know it yet.
Dr. Justin Marchegiani: Exactly. It’s very possible. Anything else you want to address with your last before we go on with some uh— listener’s questions?
Evan Brand: Well, I would just tell people if you had wisdom teeth extractions— and I also had 12 Year Molar Extraction. So I’ve had eight teeth removed and the average person, it, gets four (4) removed. So, I’ve had double surgery, an so I was at double risk of Cavitations. And so, long story short, if you have had wisdom teeth extractions, if you had health symptoms, whether it’s any changes in your weight or energy, or like me, had ring harp— heart palpitations. I had some blood pressure spikes that were unexplained. I would advise you to just investigate this. Get a 3-D COne Beam or get a Pano X-ray and send it to somebody like Dr. Nunnally, who can evaluate this and tell you whether he thinks it’s cavitations. It’s very common. He says 90% of people who get their wisdom teeth out, 90% of those people have
Dr. Justin Marchegiani: Wow!
Evan Brand: …in the old site. So, that’s pretty darn high. Now, maybe you’re so strong, like you personally, maybe you don’t have symptoms but maybe you have cavitations, too.
Dr. Justin Marchegiani: Mn—
Evan Brand: So it wouldn’t hurt to at least get the— get the Pano X-ray and get it evaluated, and then if you think, at worst case scenario, he cuts you open and there’s nothing there and then he just seals you right back up.
Dr. Justin Marchegiani: Yeah, I see Dr. Joan Sefcik, and I know she’s skilled at reading X-rays for cavitations and she’s done some X-rays recently, she didn’t mention any cavitations. I should ask but I think she would have probably mentioned it if she saw it. I know she’s pretty skilled in that.
Evan Brand: [crosstalk] You ought to send me. You ought to send me your X-ray. If you have like a jpeg image or something, send me your X-ray ‘cause I can look at it. I’m not an expert but I’d like to just put it side by side with my X-ray and see if it looks the sa— same or does your bone look more white there in that old extraction site.
Dr. Justin Marchegiani: I’ll have to definitely do that. That’s a good call.
Evan Brand: ‘Cause— ‘Cause my bone— my bone looked dark. Like you could see it. It almost look…
Dr. Justin Marchegiani: Oh.
Evan Brand: …like a shadow on the X-ray. Remember—
Dr. Justin Marchegiani: It was like white, white, white, and then it was kind of like a little bit dark. You could see, definitely see, a shadow in that area.
Evan Brand: Remember? I sent it to you, didn’t I?
Dr. Justin Marchegiani: Yeah. Uhmhm—
Evan Brand: Yeah. So, I mean, i— it was pretty noticeable. I mean, I’m not a trained eye on this but it was noticeable enough for him to buy, “Owp! Ninety-eight percent (98%) confident, you’ve got it.
[long pause]
Dr. Justin Marchegiani: [crosstalk] Totally. Makes sense.
Evan Brand: That's how— That's how I want to say it is. If you have health symptoms. You work with a practitioner, hopefully a functional medicine practitioner.
Dr. Justin Marchegiani: Yup.
Evan Brand: If you have lingering symptoms, this may be another root cause for you to investigate. So, check it out. Those are called cavitations. Your average dentists likely does not have a clue. So I wouldn’t waste your time asking a conventional dentist. It’s got to be somebody who’s more holistic in nature.
Dr. Justin Marchegiani: One hundred percent (100%). Excellent. Anything else you want to address, Evan, before we go to some of the listener’s questions?
Evan Brand: Okay, yeah. One more thing. If they are going to do a cavitation procedure on you, you want to make sure that they do what’s called PRF, which is the platelets, where they take your blood. They spin it. They get to plate the top of it. And then they pack your extraction sites once they do the surgery. They pack it full of your platelets. That’s what they did to me. And like I told Justin when I was in town with them, I only had one stitch. So I avoided getting stitches and all of those sites because the platelets make a perfect seal, and it heals you up faster. They clean it out with ozone, which is also a number— number two important thing. And then number three was a VItamin C drip, which acted as like a natural antibiotic for when I was doing all of these procedures in getting all of these potential toxins into the bloodstream. I did a— a Vitamin C drip the day of and then a Vitamin C the next drip the next day. I really think that helped me.
Dr. Justin Marchegiani: I think it did too, man. I like stocked up my fridge here. Remember you grabbed a whole bunch of bone broth, Collagen. I think I gave you some of my Collagen, right? You were doing a whole bunch of green smoothies. You had a whole bunch of nutrients, and good fats, and good anti-inflammatories,
Evan Brand: Yeah. I did the best I think I could do. I mean, it’s not fun but I had to do it. And now I’m about 99 percent better.
Dr. Justin Marchegiani: That’s great, man. I love it. Very good. Totally worth it. [crosstalk] Anything else you want to address in that?
Evan Brand: No, that’s it on that topic. Let’s go for some questions.
Dr. Justin Marchegiani: Cool. “Are all probiotics like Salvatarius er— yes uh— Salivarius K12 actually effective or are you better uh— boosting your GI ones?” Uh— Not sure. I mean, there’s lots of different like Minutiae strains. There’s like Lactobacillus and bifidobacter strains. Like Lactobacillus KCI, plantarum, acidophilus. There’s various bifido ones, longum. Uh— I’m a big fan of just having the— the Broad Spectrum Lactobacillus, and the bifidobacter ones. And then there are more new ones. Ones that are like um— spore or soil-based probiotics, which can be be— tend to be more sensitive to some of the Lacto and Bifido ones. The ones that Evan and I use, I think, are— are dairy-free. The ones that I use are dairy-free.
Evan Brand: Yeah.
Dr. Justin Marchegiani: I think the ones that Evan use are dairy-free as well. And, people that are sensitive to those. There’s also
Evan Brand: Yeah, I think the oral probiotics may be a little bit of a gimmick because your enzymes in your mouth, in your saliva, may be breaking down those probiotics. So, I’d be concerned about the survivability of the organisms, you know.
Dr. Justin Marchegiani: Oh! We’re talking about the probiotics in like toothpaste. Some like the— the
Evan Brand: Okay.
Dr. Justin Marchegiani: Yeah. I mean, I’ve heard some good things about those, but like you said, right? There’s a lot of acidity and enzymes in the mouth. How much of that’s getting there? But I mean, I think if you wanted to try a good probiotic or prebiotic toothpaste, I think that’s fine.
Evan Brand: Well, so uh— What I had in my mind for that question was some of
Dr. Justin Marchegiani: Yes.
Evan Brand: …oral probiotics.
Dr. Justin Marchegiani: Yes.
Evan Brand: But I don’t know what that would do really.
[pause]
Dr. Justin Marchegiani: Not sure. Not sure, but there’s definite some prebiotic too. I would say, clean up the bad stuff, feed the good stuff, and then really work on the gut and give that a try. I don’t think it’s gonna hurt.
Evan Brand: Yeah, for sure.
Dr. Justin Marchegiani: “Any thoughts on how to deal with trauma,” Bradley. Yes. You done a couple of different podcasts on this topic but EFT, NLP, Haven and EMDR— these are various techniques. Someone mentioned below my referral’s Daniel Hill. Daniel Hill is great. Google Daniel Hill EFT on Google, and you should be able to find it. He’s excellent. Tell him I sent you. “If I had low Iron, can I supplement? Does Iron feed bugs? I do have a leaky gut, but Iron, low, even though I eat lots of Iron-based foods.” So, number one, a lot of people are like, “Don’t give Iron because you have an infection and it’ll feed.” Here’s the deal. Right? Infections are gonna feed off of all the nutrients that you have, right? Not just Iron. And, does that mean you just not nourish yourself just so you can [
Evan Brand: [crosstalk] Yeah.
Dr. Justin Marchegiani: Does it matter, uh— Evan?
Evan Brand: Yeah. I would say with the Iron, you could supplement uh— with like something like a Lactoferrin. That could be kind of helpful. Uh— I would say, you got to look for fixing the infections ‘cause if you got like an H. pylori infection that’s reducing your stomach acid levels, you may not be [crosstalk] cleaving the Iron off of your meats. And so this is a really common problem. And the name is kitty, so I’m guessing this is a female. You know, if there’s any hormone issues causing like excessive bleeding, you know…
Dr. Justin Marchegiani: Yup.
Evan Brand: …you could just have that as an Iron issue as well, and you have to get your cycle better.
Dr. Justin Marchegiani: Hemorrhage issues caused by estrogen dominance. There also could be some type of Vegetarian-Vegan issue going on or just low stomach acid or enzymes, and you’re not breaking down your meat. It could be a combination of all that, for sure.
Evan Brand: Yeah. So get tested for infections. Make sure your hormones are okay. Make sure adrenals are dialed in, and then, yeah. You do have to fix the gut issue for sure.
Dr. Justin Marchegiani: Uhmhm— And then Bradley writes in same kind of question before with the emotional trauma stuff. Uh— After a procedure like that, you really want to work on the building blocks— the bone broth, the amino acids, the Collagen— to provide the good uh— building blocks for the tissue, and anti-inflammatory support, whether it’s, you know, [clicks tongue] Arnica Montana on the homeopathic side, or anti-inflammatory herbs like Liposomal curcumin, or Frankincense, or Boswellia. These are excellent. And then also make sure, if you have a hip replacement, get to the root cause of why you had a hip replacement. If your muscles aren’t absorbing force, and that force is going into your hip, and your labrum and your cartilage, and your soft tissue, and your bone, you want to get to the root cause of why that force is not being absorbed properly. So you want to get to that issue too.
Evan Brand: Yup. Charlie here, “What are your thoughts on getting your wisdom teeth extracted?” Well, I had to because my wisdom teeth never came out, and they were crooked. They were out like a 90-degree angle in my gums, as well as my 12 Year molars. I had an old X-ray form back before I get any teeth extracted, and uh— the surgeon who did it said he had never seen a case like mine in 30 years. Like, for both 12 Year molars and the wisdom teeth to be on their side like this, there’s no chance they ever would have straightened out and pop up. So, in that case…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …I had to get them out.
Dr. Justin Marchegiani: More than likely, there was nutritional deficiencies that have just kind of caused a little bit of a narrowing at the mouth and there’s less space for these teeth to grow into.
Evan Brand: I wasn’t breastfed, you know. I was on—
Dr. Justin Marchegiani: Yeah.
Evan Brand: I was on formula as a baby…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …so I guarantee I was probably deprived. I drank a bunch of sugary sodas as a— as a young kid so I’m sure I was— I was toast.
Dr. Justin Marchegiani: Exactly. That’s probably what drove that. And then once you’re that— once you’re in that place, of course, you can do all the good cod liver oil, and the organ meats and all the— the paleo type of template, but you have to, more than likely, you’re gonna need a surgical procedure just because you’re uh— You got to [stutters] in the chiropractic field, we call it limitations of matter, right? The structural tissue just isn’t there, so you’re gonna have to just pull that out.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Makes sense.
Evan Brand: Yeah. So I mean, to— to answer Charlie’s question, in terms of getting them extracted, it depends. I mean, if they look okay and they’re not causing you any issues, you may be able to leave those in and maybe those wisdom teeth pop in later in life. But for me, I was getting Chronic headaches. I had all sorts of symptoms that I had to get them out. They were pushing on my other teeth— my other molars. I was at risk of losing my other molars. Then I literally would have had no chomping powers. So my case was kind of different than possibly yours, but—
Dr. Justin Marchegiani: Totally. All that steak, you have missed, Evan.
Evan Brand: I know.
Dr. Justin Marchegiani: So glad you got them taken care of.
Evan Brand: Yup.
Dr. Justin Marchegiani: Awesome. Uhm— Let’s keep on rolling here. Bup-buh-buh! Hey, Spive, hope you’re doing well. [long pause] “Dr. J, I almost always have very warm feet, which developed after the first hour in bed and last until I wake. When I wake up, never an issue during the day, but when I’m up and about. Any thoughts?” Uuuh— Not sure. I need a little more information. So, it just gets warm when you go to bed. Uhm— There’s a— Is it warm during the day? Do you have Diabetes? Do you have any blood sugar issues? Is— Is it a peripheral neuropathy issue where it’s just tingling? Hard to say. I would need more information. Is it positional, where when you get up and move there could be like a— you know, let’s just say, maybe some scar tissue in the calf area or in the foot area that could be pinching a nerve? It’s hard to say. There could be some tissue rubbing up on those nerves. Need a little more intel about that. Vivek writes in here, “Is there some balance between good and bad bacteria in the mouth and the Silver Tea Tree Oil Cleanse will disrupt flora inside the mouth and cavity both.” Yeah. I mean, it’s definitely possible. Doing bads— you know, doing a whole bunch of antimicrobial herbs can wipe out some good stuff. That’s why you’d want to have really good probiotics going in the background. And if you wanted to get a good toothpaste that have some premium probiotics in, I think that would be a good balance in between.
Evan Brand: It’d be still minimal though compared to like antibiotics, you know.
Dr. Justin Marchegiani: Yeah.
Evan Brand: The good guys, they do
Dr. Justin Marchegiani: Yeah. And again, the herbs that we’re using also have some protective benefits. They have a lot of antioxidants that can pr— that can help perfect— prevent toxicity issues and overwhelm. A lot of antibiotics, they create oxidative stress and DNA damage into the mitochondria. So, some of the herbs we use are gonna have a lot of antioxidants packed in it, which is natural. It’s kind of how Mother Nature works. There’s a protective mechanism of some of these herbs. So, that’s kind of the benefit that we have there.
Evan Brand: Yeah. You want me to read out Charlie’s here?
Dr. Justin Marchegiani: Yeah.
Evan Brand: “What’s your opinion of the Finger Prick Blood Draw for thyroid versus LabCorp Serum Draw? Is it as accurate?
Dr. Justin Marchegiani: [clears throat] I don’t think it’s that accurate. I’ve done both on people and I have seen massive differences, so I would not go with that yet.
Evan Brand: Yeah.
Dr. Justin Marchegiani: And I think uh— with Ferronous— That lady, she’s a multi-billionaire but getting sued now ‘cause of all the fraud in the company that was just totally, you know— She made up all the— the stuff. And I saw patients that got the
Evan Brand: Yeah. That’s scary. I mean, that could change the whole course of everything ‘cause you may think something’s off when it’s not or…
Dr. Justin Marchegiani: Totally.
Evan Brand: …something’s good when it’s not. I mean…
Dr. Justin Marchegiani: Yup. I— Exactly.
Evan Brand: So, conventional blood draw then?
Dr. Justin Marchegiani: Yeah, exactly. “What are possible causes of Low Testosterone? Four hundred (400) in a 34-year old male.” I mean, let’s just start with poor sleep, poor diet, Insulin resistance, poor nutrition, poor digestion increased toxicity, increased— you know, estrogen load from the environment. I mean, those are the top seven (7) things I could say off the bat.
Evan Brand: Yeah, well said. Plastics uh—
Dr. Justin Marchegiani: Yes.
Evan Brand: …exposure to—
Dr. Justin Marchegiani: That’s Xeno-estrogens. [crosstalk] So, yeah.
Evan Brand: Yep. It’s always a good one. Soy is a good one.
Dr. Justin Marchegiani: Yup.
Evan Brand: Uh— Any type of medications.
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: So, I mean, all sorts of different pharmaceuticals could affect in lower Testosterone.
Dr. Justin Marchegiani: Yup.
Evan Brand: Uh— I would say, lack of exercise could do it too. I mean, that’d be a simple one. If you’re just too sedentary, Testosterone tends to drop. [pause] Adrenals, did you mention adrenals?
Dr. Justin Marchegiani: Yeah, I mean that would up be— I think that would be the end result of all this stuff.
Evan Brand: Yeah.
Dr. Justin Marchegiani: The end product of all those stressors would cause adrenal dysfunction, thyroid dysfunction, low testosterone. Of course, all those are the end result for sure.
Evan Brand: Yep.
Dr. Justin Marchegiani: Oliver writes in, “Opinions on tattoos? ‘They bad for health?” Uh— There’s a couple of different. So some tattoos, they have corn starch in there or cor— some corn-based derivative in there with the dye. So if you’re very gluten sensitive, there may be some type of issue with that. Hard to say. Some involves specific metals.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Metallic compounds— I mean, I would personally stay away unless you can try to get some kind of natural dye. I mean, it just depends. The healthier you are, probably not an issue. The more unhealthy you are, could be an issue. So, not an expert on that topic but you’d want to make sure that you figure out what types of dye
Evan Brand: Yeah. Just like hair dye, there’s like Organic hair dyes but how does that work compared to like a conventional chemical hair dye that’s toxic for you? I mean, I don’t know. I’ll read this next one here from Neem. Uh— Is it better to avoid Keto with unresolved infections slash(/) parasites?
Dr. Justin Marchegiani: I think it depends. I think Keto is great because most people are Insulin-resistant, so Keto does help reduce Insulin-resistance. Again, some people can just cut their carbohydrates. They don’t make— They don’t necessarily have to go into that full Ketogenic state, and they can get a lot of the same benefits. Maybe you cut your carbs down to 50 or 75 grams a day of whole food carbs. That may be enough to fix a lot of the issues. Infections and parasites tend to like the easier metabolized fuel sources like sugar. So, of course, going Ketogenic or lower Carb tends to cut all those things out ‘cause it’s impossible to be in Ketosis while sugar is in there. And then, number three, is if you have infections, sometimes your digestion is gonna be off. There’s gonna be lower enzyme and Hydrochloric acid levels, so more protein and more fat can actually reveal a weak link in the digestive chain. So, sometimes, people feel worse going Keto, and that may just because your digestion is now fully magnified because of all the protein and fat. And that low Hydrochloric acid and enzyme’s now really shows itself. So, if you did it, you do want to make sure Hydrochloric acid enzymes maybe bile salts are there. Make sure your stools are sinking, and make sure you see a whole bunch of particulate of food in the stool.
Evan Brand: Yeah. My experience with the Keto with infections, it didn’t go well for me because my blood sugar was affected too. I had H. pylori, so that was messing up my stomach acid levels. So, I kind of crashed and burned a little bit when I went Keto. So for me, I was having to do basically three meals per day, sometimes snacks, and I was doing starch— sweet potatoes, organic rice, etc., just to try to keep my self stable. Once I cleared out the infections though, I feel much, much better. Uh— I had a lower Carbohydrate. So, I agree with you. Looks like these type of questions, there’s so many different caveats. We could spend a whole hour just on that topic, but it’s never gonna be black and white. You’ve always got to figure out what other body systems are affected and then what’s the status of those ‘cause if they had weak adrenals, like I did, maybe those infections screw you up a bit more and you couldn’t got to a Keto. Maybe you couldn’t adapt as well as you’d like to.
Dr. Justin Marchegiani: Yeah, and some people,
Evan Brand: Yeah.
Dr. Justin Marchegiani: So, another words, let’s say, as you go into Ketosis, you start going into Gluconeogenesis. Let’s say your body makes this much sugar from protein, or from your muscle sources, but let’s say if you would eat, this much carbohydrate, that may decrease the difference between the top and the bottom. Sometimes, eating a little bit of carbohydrate can decrease the excess carbohydrate you make indigenously. Does that make sense?
Evan Brand: Yes, it does.
Dr. Justin Marchegiani: Okay. So, keep that in the back of your mind.
Evan Brand: I’ll go for this other question here.
Dr. Justin Marchegiani: Yup.
Evan Brand: Uh— We talk about the Testosterone already, so let’s move on to the one…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …from
Dr. Justin Marchegiani: I’m doing my GI Clear 1, 4 and 5 right now. I’m doing a parasite cleanse and I’m having zero
Evan Brand: See.
Dr. Justin Marchegiani: Okay. Now, some people have die-off, and again, in my Die-Off Reaction Handout, if you’re a patient listening, the biggest thing the patients do that drives me nuts is they push in a die-off and they feel like crap, and then we chat and they’re like, “Oh my God! This is so bad.” Like, “Did you see the Die-Off Reaction Handout? Did you see where it says ‘Work Up To’, you know, a negati— you know, full dose or negative symptom.” And if a negative symptom happens, back off until it— until it stops. And again, we typically throw in ginger tea, which helps with, you know, anticoagulation that keeps things flowing.. It keeps the sludge moving. We may add in some binders as well. So we have strategies to do it but we never want to push into that place. Now, if some people like feel a tiny issue and it’s not that big of a deal, maybe like a 10% drop in energy…
Evan Brand: Yeah.
Dr. Justin Marchegiani: …fine. But if it’s uh— affects your quality of life, you got to calibrate that dosage to what you can handle. FInd that dose that works, and then every week try to work up without having those negative symptoms.
Evan Brand: Yeah, and I just tell people too. You’re not gonna win a trophy if you go straight up to the full dose of something we recommend.
Dr. Justin Marchegiani: Bingo!
Evan Brand: So first thing to do…
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: …like six a day of some formula. Maybe you start with one a day and you work your way up over two weeks. Like if you go straight to six a day of an antimicrobial, yeah, even if it is natural, you may feel it. So we— we’re not in a rush with the stuff, and some people get in the rush. They see these bugs. They’re like, “Okay. Get it out.” They just want to do the protocol, but there’s an order of operations that we follow in functional medicine.
Dr. Justin Marchegiani: Exactly.
Evan Brand: That’s for a reason.
Dr. Justin Marchegiani: Exactly. And I see Jeff on the— on the YouTube thing here. Jeff, that’s your reason too. You got to slow it down, and we got to check in. See where you’re at, man. So make sure you reach out.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Anything else you want to say there? Anything else?
Evan Brand: Oh, no. That’s it for that one. Let’s move on to another one.
Dr. Justin Marchegiani: Cool.
[long pause]
Evan Brand: Uh— Let’s see. “On maly— on many Collagen supplements, especially fish. It says not to mix with other protein as they hinder and compete with Collagen absorption. Your thoughts?
Dr. Justin Marchegiani: I don’t really know what to think about that. I mean, in p— personally, all the amino acids are gonna get absorbed so I’m not sure what that thought process is, I wouldn’t— I wouldn’t personally worry about it. I mean, if you eat piece of beef and a piece of chicken, you know, those all get broken down into amino acids and they’ll all get absorbed. So, of course, the more amino acids you have in there, you know, the more competition in general. But, you know, in general, just takes longer to break those things down. If you’re taking a Collagen support, it should already be in a peptide form ideally, if it’s good, and it’ll be very easy to absorb. So, I wouldn’t worry about it personally.
Evan Brand: That’s my new show. I mean, that’s not gonna [crosstalk] change…
Dr. Justin Marchegiani: Yeah. I mean, people, you know, they try to like nuance things out there. Make it more complicated or more different. But in my opinion, I think that’s— that’s not a dealbreaker.
Evan Brand: Yeah. I would agree. Uh— You want to hit this one with uh— Rounin here?
Dr. Justin Marchegiani: Yeah. “Partner has Raynaud’s, what can y0oou do to help with it? What’s the cause?” So Raynaud’s, typically, has an autoimmune component. There’s, typically, Hashimoto’s involved with it as well so you want to make sure you hit to the root cause. So gluten sensitivity, maybe a gut infection, maybe autoimmune Hashimoto’s. Got to get all those things looked at.
Evan Brand: Yeah. Run blood, stool, urine…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …working to look at saliva for adrenals. We got to clean up the diet piece. We’ve got to remove bugs if they’re there. And, you can fix Raynaud’s. I mean, it’s not a—
Dr. Justin Marchegiani: I’ve seen it. I’ve helped dozens of people reverse the Raynaud’s.
Evan Brand: Yup.
[pause]
Dr. Justin Marchegiani: Alright. “I don’t tolerate bone broth or anything with high Glutamine. I have low Serotonin due to the kind of urine and pathway. Uhm— CNS inflammation due to the high C4A history of mold. Do you think is— SPO Probiotic would help?”
Evan Brand: The soil-based, I’m guessing?
Dr. Justin Marchegiani: Soil-based, yes. Soil-bose— Soil-based would be good or spore-based would be good, or potentially a
Evan Brand: Yeah. Here’s another one here. “Are proteolytic enzymes effective on the mouth as well?”
Dr. Justin Marchegiani: Not sure about that. I mean, proteolytic is gonna be more protein-based. Protein digestion happens in the stomach. A small amount of carbohydrate breakdown happens in the mouth so I would probably say no on that.
Evan Brand: Yeah. Uh— Kurt, “What’s the best test for leaky gut. I mean, you could do an Intestinal Permeability Screen, which could be done in a couple ways, blood or stool. Uh— We mainly just assume that there’s a leaky gut situation based on the IGA levels that we can see plus the infections that are present, so if you got a bunch of parasites and yeast and bacteria on your stool panel plus low IGA, probably a leaky gut situation. You could pay the extra 700 bucks to confirm, about kind of unnecessary.
Dr. Justin Marchegiani: Yeah, there’s three major tests. Uh— There’s an add -on we do with the GI Map called Zonulin, and Zonulin is a protein that goes up with intestinal permeability, number one. Number two, there’s an old test that’s been out for a while called the Lactulose Mannitol Test. Lactulose is a very large sugar molecule, so if that decreases, so they— you, you know, you take a solution. You collect your urine and you want to see that lactulose in the urine. If it’s not in the urine, then it’s basically assumed that there’s a leaky gut because that’s been absorbed, where the— the smaller Mannitol should be absorbed. So do you— when you see a uh— a discrepancy, when you see the— the large Lactulose have decreased absorption in the same area of the Mannitol, that’s what tends to say leaky gut. So, how it works is less, I should say, uh— more of the Lactulose should be in the urine and less Mannitol. But when you see kind of an equal amount and they’re both low, that tends to mean leaky gut. And then number three is a test by Cyrex that looks at acute Occludin and Zonulin. These various tight junction proteins, and when they show antibodies to that are increased in LPS, Lipopolysaccharide antibody that can also be a distinguishing factor of leaky gut. Leaky gut is n effect not a cause, so we don’t necessarily need to look at the effect. We look at the causes of it, and we just assume that this is already happening because the cause is here.
Evan Brand: yeah, a lot of people like to run that just to sound fancy and smart. Oh! Let’s test you for leaky gut. It’s kind of irrelevant, really. You got to clear the bugs.
Dr. Justin Marchegiani: Yeah. I may, you know— I call it circumstantial evidence, right?
Evan Brand: Yeah.
Dr. Justin Marchegiani: Let’s say, you know, the direct evidence is the Zonulin, is the Occludin, is the Lactulose Mannitol. I’m in my house. I don’t have a window outside but I hear lightning. I hear lightning and thunder, and I— and I hear rain coming down my roof. Do I actually need to see that there is rain and thunder happening.
Evan Brand: No.
Dr. Justin Marchegiani: Not necessarily, right? I can just hear it. So, that’s kind of what we’re doing with some of these things.
Evan Brand: Yup. Let’s hit up uh— this question here about blood work. “What blood work to test for Insulin issues?”
Dr. Justin Marchegiani: Fasting Insulin will be great. You can also do a Functional Glucose Tolerance Test. Take your blood sugar before meal. Do a one-two in the three hours that’ be excellent.
Evan Brand: There’s a question from Gabe. “Evan, how much weight did you lose when you were sick, and what did you do to regain your weight?” I lost like 25 lbs. I was like 160. Think I got down to maybe 135, something like that. And, what did I do to regain my weight? He spelled ‘wat’. He didn’t put an ‘h’ there. ‘Wat’ did…
Dr. Justin Marchegiani: I know.
Evan Brand: …you do?
Dr. Justin Marchegiani: ‘Wat’ [laughs]
Evan Brand: Uh— Anyhow, I had to clear the gut bugs, and Justin was the guy who looked at me and said, “Hey, man. You probably got parasites. You need to test your stool.” And I was like, “Okay. I’m gonna listen to you ‘cause you’re a smart guy. So, I tested my stool. Sure enough. He was right. I had parasites, so I had to get rid of the gut bugs so that I could regain my weight.
Dr. Justin Marchegiani: And you may have to make sure you’re getting enough nutrition. Like you may have to measure your calories. And again, calories are just an easier measurement of the nutrition, right? So, reading whole foods, there’s gonna be calories and whole foods. Me— Make sure we eat enough whole food calories. And then, number two, we may actually get some extra free-form amino acid and nutrient sources that are pre-broken down, so it’s easier to digest. And then of course, you know, make sure that you’re eating with HCl and enzymes and— and bile salts…
Evan Brand: Yeah.
Dr. Justin Marchegiani: …to make sure you can break those foods down. Keep an eye on your stool. Make sure you’re not seeing food particulate. Make sure the stools aren’t floating. Make sure those things are there. And enough, if you’re getting nauseous and bloaty after the meal, you can try going a little bit smaller and more frequent meals to make it easier on the digestive process.
Evan Brand: Yup. Yup. Uh— I’m getting muscle back. I mean, I’m not back to the full size, but I’ve got something here. I’ve got a little bit of gun show…
Dr. Justin Marchegiani: Yeah, baby.
Evan Brand: …going on. Uh— I’m hitting— I’m hitting the weights back though. I’m slowly building back up, and uh— and I am feeling stronger— stronger than I have in a while. Uh— Let’s hit this— Let’s hit this uh— I— There’s— There’s more coming in— more questions coming in. I know
Dr. Justin Marchegiani: Yup.
Evan Brand: …but let’s hit this one from
Dr. Justin Marchegiani: Yeah, two scenarios. You ate too much carbohydrate or you ate too much food in general.
Evan Brand: Or—
Dr. Justin Marchegiani: A bigger meal. If you go— [crosstalk] If you go and have like a 20 ounce steak right now, you probably gonna feel a little tired afterwards. Even if it’s like a steak and veggies.
Evan Brand: I would say low acids and enzymes too though, ‘cause like when I had H. pylori, if I would even need a small meal, I was exhausted.
Dr. Justin Marchegiani: Yeah, indigestion. Well, it makes sense, right? Because a large amount of food is gonna put stress on those digestive systems. But even me, like if I go and have a 20 ounce like porterhouse something, and I do a lot of enzymes and HCl, I still may be a little bit tired. But, yes. I agree. Insufficient digestive juices and enzymes and acids, too big of a meal, in general, and then there’s too much carbohydrate, especially if it’s refined, you get this like buzz right afterwards, and then you crashing out later.
Evan Brand: Yeah. Yeah. So I would say, yeah. I would agree with you. Make sure the— the meal size is not too big.
Dr. Justin Marchegiani: Yeah.
Evan Brand: There’s a Japanese proverb that says fill yourself with 80% food and 20% air— something like that. So basically, don’t be a glutton and stuff yourself.
Dr. Justin Marchegiani: Eighty percent full is pretty good. Your brain takes about ten minutes to catch up with your tummy so always err on the fact of saying, “Hey! I’m gonna just stop for ten (10) minutes, and if I’m hungry then I’ll go back and have some more.” I think if you do that, it tends to be helpful.
Evan Brand: Yup. Uh— James had a question. I’ll just answer this one here. He said is there any way to order test without a follow-up?” Well playmate, “Can I get a test results emailed to me?” Yes, Justin’s team, my team, we both can provide testing. However, why would you want to do that because you need us to help you. Take a protocol based on your results, unless you’re just so smart. You can figure it out on your own. [crosstalk] That’s fine.
Dr. Justin Marchegiani: Uh— I think it’s always good to at least schedule on a quick, a quick
Evan Brand: Yeah.
Dr. Justin Marchegiani: Because especially if
Evan Brand: Gabe said, “Next time we get together, we should do an arm wrestling match.” I don’t know, man. My wrist is kind of weak ‘cause I was doing like a lot of heavy lifting. I think you’d probably break my wrist. Your wrist looks a little bigger than mine.
Dr. Justin Marchegiani: Yeah. You may be right. Maybe right. We’ll try it. We’ll do it, brother. I love it. Any other questions, comments or concerns?
Evan Brand: Not, say, for today. So you guys take care. Uh— If you want to reach out, schedule a consult with Justin. You could do so at his site. That’s justinhealth.com. Reach out. And he’s got another doc on staff too. So, if he’s availability is crazy, you can get in to see his other doc sooner. Uh— Me, check out my site,
Dr. Justin Marchegiani: Totally. I think that’s a great— great idea. Give us a thumbs up. Hit the Subscribe. Hit the— the Reminder’s button. That way you can be present with these chats. Again, if you really enjoy then give us a share. Share it with your friends. Sign up at the Candida Summit, justinhealth.com/candida. And then, my Thyroid Summit’s coming this fall, thyroidresetsummit.com.
Evan Brand: Alright. Thanks for your support.
Dr. Justin Marchegiani: Hey, Evan
Evan Brand: Take care. Bye.
Dr. Justin Marchegiani: Happy 4th. Bye.
Evan Brand: You too.
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REFERENCES:
https://justinhealth.com/candida
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