How to Get Your Energy Back Post-Infection | Podcast #365

When people start to feel better after an infection, it is often tempting to return to previous levels of work, leisure, and social activities. However, too soon, trying to do too much can often be counter-productive. It is easy to get caught up in a ‘boom and bust cycle of activity that can prolong your recovery.

Dr. J and Evan discuss that if fatigue and other symptoms persist, it’s important to remember to allow yourself time to recuperate by finding the right balance of rest, relaxation, and activity for your circumstances. It is essential to listen to your body and gradually build a physical and emotional recovery plan that can help you get back to your life and stay on track without experiencing too many setbacks.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
5:11   – The essential vitamins to boost your immune system
10:12 – What is the goal of the Krebs Cycle?
14:06 – Mitochondria and microbiota dysfunction in viral pathogens;
17:12  – The role of mitochondria, oxidative stress, and the response to antioxidants in chronic fatigue
20:08 – The neurotransmitters from amino acids and tryptophan pathways in B6 deficiency

Dr. Justin Marchegiani: With Evan Brand, really excited today. We’re gonna have a nice conversation on how to get your energy back post-infection. This is the topic that we’ve been getting a lot from our patients and again a lot of our inspired podcasts and videos come from real life clinical work with patients. So, we’re excited to bring you the real-life actionable information here to improve your health. Evan, how you doing today man? What’s cooking?

Evan Brand: Hey. Doing pretty well, uh, cooked some bacon this morning and that was about it with some organic blueberries and so I’m feeling good. my brain is clear and I look forward to helping people on this energy conversation, you know, so many people have chronic fatigue post-infection and they’re not fully bouncing back and so, I think that there are some easy low hanging fruit strategies that we can talk about but I’m just gonna jump straight to the big smoking gun which is looking at your mitochondria. We’re seeing a lot of issues with mitochondrial dysfunction or mitochondrial damage. I’m also seeing issues with neurotransmitters. So, I think, if you are to pick one and only one functional medicine test to look at to investigate yourself after this infection and fatigue, it would be the organic acids because you can get a great window into not only your gut health. We know that with infections, it does damage the gut, we know that there are ACE2 receptors in the gut so people that are ending up with irritable bowel or diarrhea or other problems during and post infection, we can look at that. A stool might be smart too but if you had to start with only one thing maybe the window into your gut via urine organic acids would be good enough. But more importantly, I want to see what the heck is going on with mitochondria and what kind of damage do we have because once you have the data then you can put together a protocol to fix it. 

Dr. Justin Marchegiani: 100% agree. So, we know with chronic inflammation, especially like, post-viral inflammation. We know one of the biggest drivers is gonna be oxidative stress, right? So, oxidation is nothing more than your body losing electrons, right? And one of the big things that helps oxidation within any type of infection pre, ideally, we’re doing these things pre to mitigate al of the oxidative stress that’s happening at the mitochondrial level but simple low hanging fruit, out of the gates, is gonna be glutathione, vitamin C, these are really powerful antioxidants. Vitamin D even kind of fits in that category, right?  Your big antioxidants are ADEK, um, I’m sorry, no, those are your fat-soluble vitamins but E is gonna be an antioxidant A is gonna be an antioxidant, right? I would even say E and K would for sure but your B and C are gonna be your water-soluble kind of more antioxidants for sure but the big are gonna plug in, you know, post-viral oxidative stress and/or pre is glutathione and vitamin C, out of the gates. And we can also look at low-hanging fruit on the mitochondrial side, which plugs into the Krebs cycle and the electron transport chain is gonna be B1, which is thiamine. I would say B vitamins as a whole was great but B1 has a major, major role and I’d even say B5, as well, pantothenic acid. So, you have thiamine, B1, right? You have Riboflavin, B2. You have niacin, B3; Pantothenic acid, B5; Pyridoxine, B6; biotin, B7; folate, B9; B12 is your methylcobalamin or hydroxyl or adenosine. And so, we’re talking B1 and B5 are gonna be big when it comes to post-viral fatigue. Those are really, really important nutrients that we can add in out of the gates and, why it’s all of this oxidative stress that’s happening when this infection is present. And so, the more you can do things like hydrate, keep inflammatory foods down like the excess Omega-6 fatty acids, um, keep the carbohydrate and the sugar in check, right? That’s gonna play a major, major role in not adding fuel to the fire if you will as well.  

Evan Brand: Yeah, and you can do oral glutathione. So, we have a combination product, which is an acetylated glutathione along with an acetylcysteine. So, you can give your body the nutrients to make more. You can give the precursors but then you can also take just straight glutathione. There are some liposomal versions. There’s reduced glutathione. There’s a nebulizer version that you can take so you can inhale glutathione if you feel that there was some lung involvement. You may consider doing both. I personally did both. I did oral and I continued to do oral glutathione daily and then, also, during the acute situation, nebulized glutathione with silver. And then, you mentioned B vitamins and you can measure all this, right? So that’s the important thing is, you know, you’re shouting out all these different names but people can look at this, right? We can look at this on organic acids. We can look at the various B6, B12. You can’t look at every single nutrient in the body but you can look at a ton of nutrients from one urine sample. So, it’s pretty awesome. And then, vitamin C, believe it or not, we’re seeing a lot of issues with viral infection and acute scurvy, which is pretty interesting. If you just put it some of this data and scurvy into the research, I guess, it’s due to the oxidative stress. It’s happening quickly and every single person I’m seeing post-infection is showing low vitamin C. So, we’re just keeping people on 2 to 3 grams every day. We’re doing a powdered version with a mixed ascorbate. So, you probably don’t want to do just straight ascorbic acid and you probably wanna do like a sodium ascorbate, magnesium ascorbate, if you can get some citrus bioflavonoids in there too and just take it ongoing. Don’t wait until you’re sick. We, as a family, we just take vitamin C ongoing because we know it’s important for the health of your capillaries and all that. Can you speak on that for a minute? Like vitamin C and skin and collagen, I mean there’s a role in other things. People think vitamin C, immune, but there’s other benefits to see, right?

Dr. Justin Marchegiani: Yeah. Vitamin C plugs into making collagen, which is all of the connective tissue for your skin, uh, hair, you know, cartilage, vitamin C is really important for that. Vitamin C is a very similar molecular structure as glucose, right? Don’t quote me but it’s similar to I think C6H12O6 or O8, it’s right in that molecular area, looks very similar. So, what does that mean?  That means, vitamin C has a docking site on the macrophage that actually goes and gobbles up bacteria and potential viruses and it’s gonna use that vitamin C that docks onto that macrophage to deal with the oxidation. So, I kind of think of it as like a firefighter going into a house and the vitamin C is like that fire fighter bringing that hose to squelch that fire, to squelch it, right? That’s kind of what I see vitamin C as, right? And, it’s almost like with the macrophage, it has a docking site and that glucose can actually come in there because it looks very molecularly similar to vitamin C and it can almost dock on that receptor site on that macrophage and take that vitamin C where to be used. It’s almost like giving the fire fighter a water hose, taking the water hose out and giving him a gas hose and he doesn’t even know. It’s almost like that and that’s why glucose and high levels of glucose and when it comes to a lot of these post-viral illnesses, you’re gonna see people that have very high levels of blood sugar, insulin resistance and even the extreme on the diabetes side are gonna have most of the side effects of most of the issues partly because of the oxidative stress, partly because of poor levels, you know, when you have insulin resistance that’s gonna affect oxygenation, right? Because, you’re not gonna have good blood flow and when you have poor blood flow and poor oxygenation, we need oxygen to plug into that mitochondria as well. It’s part of, you know, the key nutrients, right? We talked about B vitamins, B1, B5, very important to plug into the Krebs cycle. Well, guess what, when you have a high level of blood glucose and you’re on that pre-diabetic to diabetic side, right, 110 to 126mg/dl on the blood glucose side, your body has to process that and if you just go pull up, you know mitochondria, Krebs cycle and nutrients, right, you’re gonna see all the nutrients that are involved in that Krebs cycle to process that glucose because how it works in the Krebs cycle, everything gets funneled down to acetyl CoA, right? So, you have glucose comes to acetyl CoA, fatty acids come to acetyl CoA, they can also go this way into ketones and then you have protein coming down to acetyl CoA. Acetyl CoA pumps around the Krebs cycle twice and if you look, there’s gonna be nutrients that have to come in there to help that acetyl CoA to come around and a lot of those nutrients are gonna be B vitamins, magnesium, amino acids and so, if you’re coming in with lots of glucose and you’re not bringing in a lot of nutrients to funnel down to the acetyl CoA side, you’re gonna run that Krebs cycle twice and you’re gonna be using more B vitamins than you’re coming in. So, you can actually create a lot of nutrient deficiencies and oxidative stress when you consume a lot more glucose because it’s a transaction fee for your body to process energetically. 

Evan Brand: Nice. Nice. That’s a great way to put it. And, the truth is people are coming into this infection with nutrient deficiencies already due to bacterial overgrowth problems, Candida problems, maybe post-antibiotic therapy, you know, they have issues with the gut now and they’re not making enough of their nutrients in their gut. And so, a lot of people will just depend on diet and they’ll simply, well, can I just get enough on diet, can I just eat liver and grass-fed steak and all that and get enough nutrients from that and I’ll say, look I’ve tested and I know, you have too. Over a thousand people and many of those people were already dialed in with their diet for years before they got to us. Paleo, carnivore, autoimmune, paleo, we’ve had people that have been doing an incredibly job with nutrient density and they still show up with nutrient deficiencies and so I would love if everyone could just eat their way out of this situation but I just think with the modern stress that we’re under we’re dumping a lot of those Bs. You’re mentioning all these that are fueling this cycle. We’re so depleted and burned out emotionally, physically, chemically, we’re exposed to toxins. We’re just not living in Paleo time, so Paleo, you can’t just like paleo your way out of this and you know, that’s why I used to call my podcast years ago ‘Not just Paleo’ and then I got rid of it, just call it Evan Brand now but, um, that was my whole thought at the beginning. It was like, man, if everybody could just eat their way out this and get enough Bs in the diet then you and I wouldn’t be needed. 

Dr. Justin Marchegiani: 100%. Let me just kind of break this down for people just so they can get a better understanding of what’s happening here. So, when we have oxidative stress, oxidative stresses, we’re losing electrons. What’s the whole goal of the Krebs Cycle? The whole goal of the Krebs cycle is essentially gathering up electrons. Okay, so, you have fats like I mentioned before, they’re all funneling down to Acetyl-CoA. Proteins all funneling down to acetyl-CoA, right? Then you can see on the carbohydrate side like I mentioned, look at a lot of the nutrients that are involved in funneling the carbohydrates down to acetyl-CoA, different B vitamins, okay?   

Evan Brand: Zoom in so, 

Dr. Justin Marchegiani:  B1, B2, B3, magnesium, all play really important roles and then look at the carbohydrates, look at the amino acids that are involved. Cysteine, that’s a major precursor of glutathione, serine, really important for stress. Glycine, that’s your major amino acid in collagen, right? This is why, when you’re stressed and you’re sick, it’s why your grandma tells you to have chicken soup, right, especially with the whole bone in there because you’re getting a lot of these amino acids in a liquid form. So, if your tummy doesn’t feel good and you’re nauseous, right, because the infections tend to really cause nausea because your energy is going to fight an infection versus digestion. So, it’s trying to shut that down. That’s why your grandma said chicken soup, right? Ideally, we keep the noodles out now. Now, look at the fats, right, look at where the fats can go so the fats go down to acetyl-CoA but it can also go and create these ketones, right. This is beta-hydroxybutyrate. This is a ketone, okay? Now, really important here. So, we have this acetyl-CoA, right, this is kind of our energy currency that everything gets converted from our three major macronutrients, fats, carbs and proteins. And again, if you’re listening at home, there’s a video version of this of me going through it. I know, it’s a little confusing but I’m going to try to make, break it down. Acetyl-CoA comes around this citric acid cycle or Krebs cycle. It’s the same thing. It goes around twice, okay? And you can see GSH that stands for glutathione. Fe stands for Iron. So, if you’re a female and you’re very low iron or you’re anemic or vegetarian vegan, that could be a problem. 

Evan Brand: So, let me pause there, really quick, because I want to point out something. You’re showing here on this cycle that you’ve got to have not only glutathione but you’ve got to have iron so you gave a shout out to the anemic women and what I want to point out is that the women that came into this infection, anemic, which is extremely common. Women have hormonal imbalances. It’s an epidemic problem so many women have heavy periods or maybe post childbirth, their period was screwed up and they’re having heavy menstruation. So, they’re coming into this anemic or they’re coming into this with low ferritin and then that’s compounded by maybe a mold exposure where now they have low glutathione levels. The way you’re showing this cycle here, if you come in with low iron and low glutathione, you’re in big trouble.   

Dr. Justin Marchegiani: You’re in big trouble. And, women are more predisposed because if they have hormonal imbalances, guess what happens to their period, they get heavier. Heavier period, they’re just gonna lose that iron. Now, men on the other side, men have it, you know, they can have increased iron. They can cause oxidative stress because iron is like, you know can be like gasoline on the fire if it does get too high, right? But you can see glutathione, iron, you can see B vitamins, you can see magnesium, you can even see manganese here and you can see different B vitamins. And, what they do is you’re creating NAD and FADH and they’re grabbing hydrogen, they’re grabbing electrons, okay? So, typically comes around here twice and you get usually two NADHs and one FADH2 per cycle and then essentially all of these things will jump into the electron transport chain next. If I could find that section here, but the electron transport chain is the next big step for that kind of gathers nutrients but for really, for today’s talk, this is the really most important thing and then just kind of highlight, you can see some of these toxins over here that come in, right? You can see fluoride, Hg is Mercury, As is gonna be, uh, arsenic, Al is gonna be aluminum. So, you can see some of these toxins, how they can kind of come in there and sabotage some of these things. And, to kind of highlight one thing, this is an article we saw here. Mitochondria and Microbiota dysfunction with post-viral issues, you can see how the gut microbiome also plays a certain role and why is that? Well, I think, because 80% of the immune is in the gut so if you have a pathogenic or dysbiotic microbiome, it’s gonna affect toxins being produced, right? It’s gonna put you right here in a hyperinflammatory state, right? We already have a lot more cytokines being produced if we have an illness and so we have to be able to calm down our immune system’s inflammation to what’s happening from an immune stress standpoint. And so, the microbiome plays a big role, iron dysregulation, reactive oxygen species, right? Vitamin C plays a major role here. Vitamin, uh, glutathione plays a major role there as well.

Evan Brand: Yeah, right there, look at that one, the mitochondrial, the heightened inflammatory oxidative state may lead to mitochondrial dysfunction and so this is what we’re seeing on paper. We’re seeing this in the stool test. We’re seeing this in the organic acid test, this issue with the gut with the mitochondria. 

Dr. Justin Marchegiani: Yeah. It talks about platelet damage too which is important because what do platelets do, those are your clotting factors. And so, if we can have increased coagulation cascades, that means more clotting, right? And, you can see more clotting events, more thrombosis is that’s a blood clot, right? And so, you can see furthermore, mitochondrial oxidative just make, may contribute to microbiota dysbiosis altering coagulation and fueling inflammatory oxidative response leading to vicious cycles of events. So, this is really important and so things that we can do to be on top of the fatigue is gonna be the same things that we can do to help mitigate a lot of the inflammation. That’s gonna be keeping blood sugar in check, adding in some of these additional B vitamins, um, adding in anti-inflammatory anticoagulants. What do those look like? That could be ginger. That could be curcumin, which has anti-inflammatory and anticoagulation effects. That could be adding some extra Cod liver oil that has more vitamin A in it, which is a really powerful antioxidant but it also has natural blood thinning aspects because of the extra omega-3s in there. So, there’s different things we can do to really help reduce a lot of that inflammation. Any comments on that, Evan?  

Evan Brand: Yeah. On the more intense side of supporting hypercoagulability, lumbrokinase is gonna be your most powerful. That’s your earthworm-based enzyme, which is just a cool, cool thing. Natto, there’s also serratiopeptidase, so there are other enzymes that you can use and I personally take those. I take lumbrokinase, one per day just ongoing and it’s been very helpful. I also did a podcast with Dr. Thomas Levy, all about vitamin C IV and he’s got some dark field microscopy photos of people that we’re having blood clotting issues and the vitamin C along with ozone and IV was like a game changer and vitamin C can help energy too, so I don’t want to get too deep in the rabbit hole of blood clots but we’ll just say that the vitamin C is helpful for energy also. 

Dr. Justin Marchegiani: 100%. I want to show you guys one other journal article here, role of mitochondrial oxidative stress and antioxidants when it comes to chronic fatigue and so one kind of thing here, it talks about the known role of oxidative stress and how it can relate to essentially fatigue, as well as, potential, uh, specific therapeutic treatments for the mitochondria so that’s really powerful. And, you know, here are some of the big things, they’re gonna talk about vitamin C, talk about B vitamins, talk about glutathione and then also some of the more natural anti-inflammatory things but you know, each study is going to find out focus on a couple of their major things but, people in the literature are looking at these things. It is real and, um, we’re seeing it in our patients and we’re trying to apply some of these things to get people’s health back.  

Evan Brand: Yeah. So, the way you look at this is what you can do to protect against oxidative stress, we covered that glutathione. What can we do to help support the Krebs cycle? We talked about B vitamins. You’ve also got just things that are gonna help the mitochondria in general, like CoQ10 and then also you can do things like PQQ and there’s other nutrients that actually create what’s called mitochondrial biogenesis where you can literally make new mitochondria. And so, I don’t think it’s in that paper, it does mention CoQ10 there but 

Dr. Justin Marchegiani: Right here in the mitochondria, there are enzymes and coenzymes such as vitamin E, CoQ10 to remove ROS, that’s reactive oxygen species to prevent DNA damage. So, these are really powerful things that we can add in. For example, low CoQ10, they’ll see an increase in damage, so Coq10, PQQ, you know pyro quinolone, right? Vitamin E, and then, you know, we try to give Coq10 with vitamin E together for that same reason to prevent a lot of the oxidative stress while fueling the mitochondria. Any comments on that? 

Evan Brand: Yeah. Look at the next part there too, talking about exercise. People that come in with chronic fatigue and how they’re having an increased oxidative stress after exercise and that’s a problem that we’re seeing a lot too is people that now are having, uh, post-exertional fatigue, people that are crashing. Even athletes that were really high performing people that now their performance is just in the tank and a lot of that is just this ongoing oxidative stress and mitochondrial damage that’s not, that’s not been supported and you can’t just exercise your way out of this and I get kind of annoyed when I see like those motivational videos of people that are really sweaty like you just nee to suck it up, you know, pain is weakness leaving the body. It’s like, no, you’re wrong, you got to fix the mitochondrial damage. I hate those like raw-raw videos because it’s ignoring all the nutrients. That video really needs to be talking about, hey get your glutathione up, get your ribose up, get your CoQ10 up, come on people, like that’s what he used to say.  

Dr. Justin Marchegiani: And this is a similar marker that we use on the organic acid test, the one that we use 8-hydroxy-2-deoxyguanosine, this is very, very similar to that. But this is a marker for oxidative stress so we’ll actually use the same marker on a, um, on a mitochondrial test on the organic acid. So, we’ll look at some of these things to get a window of how stress these pathways are so that’s very powerful. 

Evan Brand: Yeah. Ribose is amazing. Carnitine is amazing. Acetyl-L-carnitine is amazing. Also, you know, let’s hit the, let’s go up a little bit like that picture there was a like a neurotransmitter picture there that you had. Maybe, we should talk about that a little bit because it’s not directly gonna be a mitochondrial support, yeah, right there, but I think, that’s cool to point out too, which is that, if we’re coming in with nutrients like phenylalanine or tyrosine, eventually some of that may convert over to your neurotransmitters but then also your adrenal hormones like epinephrine and I think a lot of people and I know you see this too, a lot of people are showing up with just low brain chemistry across the board. And so, I’m thinking out loud with you that like, the real magic remedy is the mitochondrial support plus throwing in some of these neurotransmitter supports as well. 

Dr. Justin Marchegiani: Well, that’s why we talked about B vitamins and I kind of went to the gamut, look how important B6 is in regarding the synthesis of tryptophan to serotonin, really important so you can see how B6 deficiency is really important in this process to convert this inflammatory product here, quinolinic acid, uh, back to tryptophan, it needs B6 or to avoid that whole thing it needs B6 so that’s really important. So, B6 is really important in the synthesis of amino acid tryptophan to serotonin, very important.   

Evan Brand: And so, vegetarians, vegans, obviously, you’re gonna be at increased risk of issues and your recovery is not gonna be as good as someone who’s getting these good animal proteins because you’re gonna be getting adequate tryptophan and other nutrients from your animal-based products. So, even if we could get these people on eggs, if we could get these people on organ capsules, if we could get these people on even like a protein like, I’ve got one we call carnivore collagen, which is a like a beef peptide, I mean something you gotta supplement at some level if you’re not eating those foods. So, please, if you’re a vegetarian vegan and you’re exhausted then look at some of this and hopefully we can convince you to change and improve your diet a bit. 

Dr. Justin Marchegiani: Yeah. No, I totally agree. I think that’s really important. I want to see if there’s anything else here, I want to highlight now because that’s enough, that’s powerful enough. Anything else, you wanted to highlight there?

Evan Brand: Well, we hit the urine, we hit the stool. Looking at the gut, you showed the study about the gut changing, we’ve seen that, I mean, you and I were talking about that march of 2020, I mean that was 2 years ago. We were talking about being affected. And so, obviously, our message is the same that it’s always been is get your stool looked at so we can see what kind of dysbiosis do you have going on because if you’re taking all these supplements, you’re doing all these foods but you’ve got malabsorption or you’ve got gut inflammation. You’re not gonna, you know, people say you are what you eat but you really what you digest from what you eat. So, if you have all these other issues in your gut, the grass-fed steak is not gonna be as valuable to you. Now, I’m not saying stop eating it, I’m saying still eat it but we’ve got to improve the digestion and assimilation of that. 

Dr. Justin Marchegiani: 110%. And one thing here, I just want to highlight here, just to kind of this article, it’s talking about mitochondrial function in infections in the gut because we’re trying to talk about mitochondrial and energy post-illness, that could be a viral illness, it could also be a gut illness, right? Because, it’s talking right here, even virus dedicated virulence factors and talks about downstream of an infection. It’s fascinating that a plethora of immune responses but, uh, be it against viruses, bacteria or LPS. LPS is lipopolysaccharides or endotoxin, this can come from H. pylori, this can come from SIBO, or dysbiotic bacteria and they strongly impact tht mitochondria which is really, really important because they’re toxic, they kind of throw a monkey wrench in how the FADH and the NAD is kind of moving around the Krebs cycle, collecting hydrogens and then bringing into electron transport chain. It talks about, um, governed by the mitochondria can be translated into active therapeutics to boost immunity against pathogens to over immune responses under control in the case of inflammatory disorders. So, essentially, the more you have these infections there, the more inflammation your immune system creates that can actually impact your mitochondria. Again, when you have a lot of these illnesses, it’s not just the stress from the illness, it’s the immune response from your own immune system that creates inflammation that can actually disrupt your energy pathway. So, sometimes, you’re just fighting against yourself. And so, using nutrients to help modulate the immune response i.e., glutathione, Vitamin D, vitamin C, right, really important nutrients there. I’d also say, you can do things like curcumin, or resveratrol as well. You can have immune modulating effects. These are powerful. So, it’s good to kind of get your immune system in check. Most people that are having longer term, we call it kind of long haulers type issue. It’s typically their immune system has over responded and it’s just creating so much inflammation. So here, this illness, they’re no longer testing positive for whatever this illness is and they’re prolonged 2 to 3 months out and they’re feeling like crap still, it’s because they really didn’t get their immune system’s inflammatory cascade in check afterwards.    

Evan Brand: Yeah. Well said. So, a couple comments. Number one, you can improve your energy by simply fixing your gut and that’s exactly what that data is showing and that’s exactly what you and I have seen and done clinically, hundreds and hundreds of times. People that were exhausted coming in, we give them a gut protocol, sometimes, not even giving them energy supplements because on paper they look good and all of a sudden, their energy level doubles and all we did is fix their gut so that’s the number one comment. And then number two comment is that, people need to stop waiting for some illness like this to take them down before they take this stuff serious. I mean, you and I are all about preventative approaches meaning getting your mitochondria, you gut, your brain chemistry getting all that stuff optimized now so that you’re a warrior on a daily basis so that when you do come across something like this and there probably will be more things like this that you do to get exposed to, you’re ready and you’re able to handle it and you’re not coming in so sick and looking for this emergency therapy at the end stage, it’s, in some cases, it’s too late. I think, a lot of times you can turn it around but you should have been working on your health years ago before you got this stage.  

Dr. Justin Marchegiani: Yeah. And a lot of it is, you know, anytime you have some type of illness coming up, the more you can be on top of a lot of these key immune modulating anti-inflammatory nutrients ahead of time and or during versus coming in at the end when the inflammation is super high. It’s like coming in when the fire is a little baby fire and knocking it out versus having a full five alarm and trying to stop it, right? That’s kind of the analogy. So, I always recommend telling people have a couple of nutrients. You may not be taking it everyday but they may in your medicine cabinet is kind of like a, um, you know, last ditch kind of effort to kind of come in there if you start to feel a little bit ill so on my line, we have Immune Supreme, which is nice because you have some green tea in there, you have some echinacea, you have some medicinal mushrooms, you have some antioxidants and some immune modulators, that’s kind of cool. Have that in your medicine cabinet. You start to feel the tiniest thing, start taking that to get that immune system, obviously, you can ratchet up, vitamin D, vitamin C. These are easy first line things, if you have any NAC or glutathione, we can ratchet that up. These are easy things that we can do to kind of take charge of our health and prevent our immune system from throwing us off.  

Evan Brand: Yeah. Well said. And, if you need help clinically, we do offer one-on-one consults around the world with people so we’re very blessed to be able to help so many people by getting the proper testing done, making the proper protocol to get you better. So, if you don’t test, you guess, you got to see what you’re up against first, look at your Bs, look at your gut, you know, once we get the data, we can help you more accurately and you’re gonna save a lot more money, a lot more time and a lot more suffering and you’re gonna get out of the dumps out of the trenches, out of the depths of hell, depression, whatever you’re dealing with. You’re gonna get out of that faster if you’re using clinical data and you have a tour guide to your body. So, if you need help clinically, you can reach out to Dr. J at justinhealth.com for consults worldwide or me, Evan Brand at evanbrand.com and we’re here for you guys. So, we look forward to helping you out.  

Dr. Justin Marchegiani: 100%. I appreciate it. Yeah. Anyone that wants to reach out, Evan already gave you the links, really appreciate it. Comments down below, I really appreciate your feedback on that and also, we’ll put links down below with some products that we chatted about. We have different ones that we recommend in our line. Just wherever you go, make sure you get them from a professional grade company because raw material does matter in the supplement world. You can buy, you know, the equivalent of the grass-fed steak from the local farmer or you can get it from McDonald’s, right? And so, we want to get the high-quality raw material that’s tested to make sure there’s no impurities and just building blocks are excellent. Evan, excellent chatting with you man, really appreciate it. Guys, um, have an awesome week and we’ll talk soon. Take care you all. 

Evan Brand: Take care, now. Bye-Bye. 

Dr. Justin Marchegiani: Bye. 

 

The Top 5 Causes of Bloating | Podcast #364

Abdominal bloating occurs when the gastrointestinal (GI) tract is filled with air or gas. Most people describe bloating as feeling full, tight, or swollen abdomen. Your abdomen may also be swollen (distended), hard, and painful.

Dr. J and Evan describe that gas is the most common cause of bloating, especially after eating. Gas builds up in the digestive tract when undigested food gets broken down or when you swallow air. Everyone swallows air when they eat or drink.

On the other hand, they also talk about different components of why you may be having to bloat that you may not notice. Plus, available testing and lifestyle modifications you need.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

1:57  – The role of acid-pH level in the digestive system
5:01  – The link of depression and anxiety to bloating
10:02 – The benefits of probiotics and effects of stress to digestive health
18:17 – Functional medicine strategies and testing to find the root cause of bloating


Dr. Justin Marchegiani: Really excited to have a podcast today. We’re gonna be diving into a couple of different topics. The big one here is gonna be bloating – one of the big root causes of bloating. We’re gonna talk about it from a biochemical functional medicine perspective. Evan, how are you doing man? What’s going on brother? 

Evan Brand: Doing pretty well, excited to dive in and talk about gut infections. I think that’s probably the first place to start because you and I have run thousands of urinary organic acids and genetic stool tests over the years. And years ago, you know, we used to use a three-day stool test. Now, with technology improvements, we could do a one-day one sample stool test and we can uncover so much. So, I’ll just kind of riff on things. I know we like to title things just for marketing purposes and call it top five but we may go into 15 by the time we’re done because just right off the top of my head here, high gut inflammation like how calprotectin may be an issue, low pancreatic enzyme function, bacterial overgrowth, where we’re gonna measure the dysbiosis, H. pylori infections, parasites, worms, specifically Clostridia and Candida can cause a lot of issues with bloating. So, in general, I would just say any gut infection but we can break that down as much as you want to. It could be a huge cause of bloating. And, the problem is this, when you go to a conventional medical doctor or a gastroenterologist and you get some sort of bloating remedy or some sort of digestive aid, maybe an acid blocker, antispasmodic medication. Obviously, these are not addressing these infections. You could take acid blockers for the rest of your life and never clear the H. pylori that’s driving the low stomach acid which then drives the fermentation in the gut which then drives the bloating. So, I just want people to have in their heads a clear mindset of what are you taking, is it actually fixing the problem, are you just masking your symptoms. And in the case of an acid blocker, you’re actually putting yourself deeper in the hole because you’re taking low stomach acid that’s driving heartburn or an infection and you’re making it worse. 

Dr. Justin Marchegiani: 100%. So, you know, the first catalyst for good digestion is a nice low pH. That good acid pH, we need good hydrochloric acid to make that happen. So, we need essentially hydrogen ions to bind to chloride in our gut and so we need chloride from minerals. So, we need good minerals, good quality sea salt that helps make stomach acid on our own. Now, if we’re under a lot of stress and our adrenal glands are in stress overdrive, it could be cortisol high or low imbalances, as well as adrenaline issues, right? It could be high or low cortisol stress issues that could put us in a fight or flight state and that sympathetic nervous system stimulus is gonna negatively impact our body’s ability to start with making stomach acid and digestive secretions and of course that stomach acid is almost like an antimicrobial. Think of like using lemon or apple cider vinegar is a natural cleaner right. They recommend these online. You can make natural cleaners usually some kind of acid as the foundation of the formula because acids are antimicrobial and so think of acids in your intestinal tract as being antimicrobial. They also, some kind of help tighten the sphincter, the esophageal sphincter from the stomach into the esophagus. It gets tightened with good acidity and so part of the reason why we get bloating and a lot of these gases rise up to the esophagus is inadequate levels of acidity and that keeps the esophagus open and then what happens when that esophagus is open over time, the fermentation acids that occur can actually, eventually irritate the bottom of the esophagus because we didn’t have enough acids to trigger that good closure in the beginning. 

Evan Brand: Yeah. Yeah. So, then you’ll get these, what are called silent reflux issues sometimes it’s called GERD. And once again, prescription drugs are what’s the common remedy but once again it’s not the root cause. It may reduce the symptoms because if you have that backwash it’s gonna help slow the backwash down but it’s not gonna fix the sphincter so we might come in with extra betaine hydrochloric acid or if you’re extremely inflamed which is that someone can’t tolerate a low dose of it but then we could do something like apple cider vinegar with a meal sometimes bitters. I personally don’t do bitters, I just do HCl and enzymes. 

Dr. Justin Marchegiani: Yeah. We can always test it with ginger. We can always test it with an acid like lemon, lime, or apple cider vinegar, start with a teaspoon of that and mix in a couple ounces of water and then kind of work our way up from there. So, acidity is a really important first step. Of course, if we have inefficient, um, inefficient acidity levels we can almost guarantee, we’re probably gonna have poor enzyme levels and probably gonna have poor bile acid levels, right? Bile acids are important because they help break down fat and bile acids are also slightly acidic, right, in the name of bile acid and it’s also antimicrobial. So, just like we talked about the acids having an antimicrobial benefit on the HCl side, also, bile acids have an antimicrobial benefit. We see in SIBO, a hallmark of SIBO is bile aids insufficiency and so with SIBO we don’t have enough acids there on the bile side so then we have a hard time breaking down fat and then a lot of times that fat will create indigestion, petrification because it’s not being broken down. Now, when we run certain stool tests, we’ll see increases in a metabolite called steatocrit, which is a breakdown of the fat that means it’s not being broken down in the stomach. It’s coming out at higher levels which means we’re not breaking it down. So, steatocrit is a big deal because steatocrit, if we don’t have good fat digestion, we probably have some protein digestion issues, we probably have some enzyme and acid issues and we probably have, um, some gas issues, bloating issues because these things require good digestion and if they’re not being broken down well, we’re probably getting some methane or hydrogen gases kind of rising up from that.

Evan Brand: And you know, we’re taking on the subject of bloating but it’s very common that someone with these issues you’re describing, they’re also gonna have issues with energy and probably mood like anxiety and depression because you’re mentioning this issue with fat digestion, protein digestion. Now, you’re not gonna get the aminos that you need to fuel your neurotransmitter so it’s very rare that somebody’s gonna come to us and say, hey I’m just bloated and I have nothing else. Usually, along with that bloating, you’re gonna have these tangential symptoms too like anxiety, depression, fatigue, and so I encourage people, you can focus on one smoking gun like bloating as your big thing you’re coming in for but you gonna make sure you understand there’s a bigger, deeper connection to your mood issues too. So, this is the person who’s on break, uh, someone just commented about severe brain fog. We could hit that too, uh, but somebody might come in and say, hey I’m bloated and then you tease apart their case and you go, oh so you’re actually anxious too. You’re on antidepressant and an acid blocker and this happens every day, all day. So, just to clarify, number one, we hit a low stomach or we hit infections first. Number 2, low stomach acidity, you mentioned low bile in the gallbladder. Also, let’s give a shout out to people that don’t have a gallbladder, what about these poor people, they’re gonna need a lot of supplemental help for the rest of their life. And so, unfortunately, this is a very very common procedure done in the U.S., where the gallbladders are removed and so these people are gonna need some purified bile salts forever in my opinion. Well, what’s your…?

Dr. Justin Marchegiani: Absolutely! They’re definitely gonna need bile salts and some extra enzymes like lipase but again, you gotta get to the reason why that gallbladder issue even happened. Now, most people, it’s women in their 40s who have an overweight issue and so what tends to be driving, that is usually food allergens whether it’s grains or inflammatory foods but also estrogen dominance. So, if you have an imbalance in estrogen, estrogen is gonna help promote more fat storage so you obviously have more estrogen more fat storage. A lot of times you’re gonna have PMS issues too so you may be moody, irritable, um, sleep issues, uh, you could have fibrocystic issues, uh, tenderness, a lot of pain around PMS time. So, you gotta get to the root cause of that as well. So, we started out with just bloating but you can see how then this estrogen issue can affect bile levels and good bile flow because estrogen causes everything to get really stagnant and not flow well and then you’ll start having mood issues and PMS issues and maybe even fertility issues. So, you can see how you start at one point which is bloating, which is the topic of the video but then it can spiral down this other kind of tangential pathway.   

Evan Brand: Yeah. Not to mention two, let’s just say it started out with heartburn, I just want people to kind of visualize this. So, let’s say it starts out with heartburn. You go to the target and you buy Prilosec, which is over the counter acid blocker medication, you reduce your stomach acid even more but you feel some relief from the heartburn and let’s say your spouse had H. pylori, you guys pass that between each other, so now you’ve got even more reduction of stomach acid levels, you’re on the acid blocking medication. Now, you’re anxious, you’re starting to get depressed, you’re getting a bit of fatigue. As you mentioned, now, you’re getting some hormonal issues, some hormonal issues like breast tenderness or PMS or ill ability, you’ve got this dysbiosis growing in your gut so you have this bacterial infection. It could be multiple things, Strep, Staph, Klebsiella, Pseudomonas, Bordetella. And now, you’ve got beta-glucuronidase issues. Now, you’re recirculating all this estrogen. You’re creating more problems with the gallbladder. Maybe, you get the gallbladder removed. Now, you’re in really big trouble then that leads to the diet so then you read some guy on the internet who says, you need to be doing 70 – 80% vegetables. So now, you’re doing all these veggies and you’re even more bloated and you’re even more gassy and you don’t know why. So, you’re eating broccoli, you’re trying to force all these leafy greens down, a lot of vegetables. Maybe, you’re doing a lot of avocados, these higher FODMAP foods that are fermenting in the gut. This is the case where you’ve got a really, to me, the best, most beneficial thing I’ve seen for these cases, get the diet very simple, focus on good quality animal proteins and for a time being minimize your vegetables so that you can let the gut rest. 

Dr. Justin Marchegiani: Yeah. Absolutely. From a solution standpoint, yeah, good proteins, good fats and then if we’re gonna do vegetables, make sure they’re cooked steamed, sauteed, maybe use an instant pot and try to make sure they’re on the lower fermentable side. Now, that being said, next, what’s another driving factor of bloating? increase in fermentable vegetables. Now, people are hearing all kinds of things about probiotics being helpful. Well, they are. There’s a lot of good benefits to probiotics and the microbiome and the endogenous nutrients they produce. They, um, whether it’s vitamin K2, whether it’s different B vitamins, really helpful. It also produces acidity which helps keep a lot of bugs and bacteria from growing in the gut, totally helpful. Now, if you already have a lot of bacterial overgrowth and bad bugs growing, sometimes, these extra good bacteria can actually cause more bloating, more gas. And then, of course, because they’re fermentable they can also create histamine too. So, the histamine may create more brain fog or headaches, more destruction there. So, you may have more histamine symptoms, you may have motility issues because they’re producing hydrogen methane gases maybe and that may cause either diarrhea on one side or maybe more constipation on the other side, definitely possible. 

Evan Brand: Yeah. Yeah. Good call on the histamine. And so, some of these bacteria on your gut, they’re gonna be releasing histamine too. So, if you’re combining high histamine foods, you’re doing leftovers, let’s say, last night, you made a steak, you’re cooking that leftover protein. That’s gonna be higher in histamine. Combined with the histamine being produced from this bacterial overgrowth problem, yeah, you mentioned brain fog, skin flushing, rashes. So, once again, here we are talking about bloating but we’re trying to elucidate this big spider web of other symptoms that may be going on.   

Dr. Justin Marchegiani: Correct.

Evan Brand: Um, also, what about a stress component meaning someone just simply not chewing enough, they’re rushing through their meals. I think this from a mechanical perspective. If you look at your average person, I mean I saw somebody on the highway the other day, I don’t know if it was a donut, a piece of pizza, it was some kind of junk. I couldn’t tell exactly what it was but either way there’s still people trying to do makeup, scrolling on their smartphone, eating a piece of pizza, all while driving on the highway at the same time and we wonder why they have digestive problems. So, maybe we talk about the impact of not being settled when you are eating and this sort of like, this parasympathetic process that digestion is supposed to be our ancestors, they didn’t have that level of stimulation while they were trying to eat. I mean, maybe there was a wolf trying to come, get their bison killed but beyond that there wasn’t this big sympathetic stress underneath all of our meal times.   

Dr. Justin Marchegiani: Yeah. We kind of started out the video talking about the parasympathetic-sympathetic balance and how important that is because the parasympathetic is part of that rest and digest that gets the digestive secretion going. It stimulates all the blood flow into the organs, the intestines. So, of course, setting really good boundaries for your meal, you know, I recommend kind of kind of go into a meal five times or ten minutes, just kind of relax, do some deep breathing, have some appreciate, appreciation about your day, the food in front of you, you know, just whatever blessings you have in your life, just try to really get to that parasympathetic state with just good breathing in the nose, right, four to five nasal breaths in and out. Focus on whatever’s good in your life, appreciation. Whatever you have to do, whatever kind of resonating prayer to put you in that state when you just feel better and then go into that meal keep it quiet or if you want to listen to something that kind of allows you to feel good and feel rested or relaxed, that’s fine. And then, go into that meal and make sure you chew your food really well. Try to avoid a lot of hydration with the food, you know, a couple of ounces of water for swallowing some pills or digestive support is fine but try to get into that meal, like, I just had to have a good routine. Get some good hydration ahead of time, try to go into some kind of meditation or prayer for five or ten minutes ahead of time to really get that parasympathetics going and then go into your meal and really just try to chew things up pretty well too, you know, about 30 chews per bite of food on the average, kind of get your food chewed up to about an oatmeal like consistency so it’s really broken down well that’s allow the enzymes and the acids to work a lot better too. 

Evan Brand: Yeah. You know, what’s interesting is a lot of people are kind of pressure into these business meetings like with their boss or with their co-workers, there’s this like work-meeting-lunch deal where people are going out with people they probably wouldn’t associate with outside of the workplace and they’re going and eating with those people. And so, I would just tell you, if you don’t like it and that’s not your vibe, don’t do it. If you feel more comfortable, more relaxed eating by yourself, don’t do it. I mean, I remember, l had some stressful conversations over lunch and dinner tables before with people over the years and I leave feeling like I didn’t eat anything and that my mind was so focused on even if it wasn’t a negative conversation. If it was on some sort of business deal or the state of the world or something and then I’m eating. I would get up from the table. I’m like, oh crap, did I eat and I didn’t process that and it would sound maybe like unnecessary advice but I think a lot of people need to be picky of what they talk about it at the dinner table.

Dr. Justin Marchegiani: Yeah. I think anything that’s gonna keep you in that parasympathetic state is great, you know, save the more stressful things before or after and I think, also, just have good boundaries. Try to make sure you get at least 20 minutes for a meal, um, to yourself, you know, I mean, if you don’t have 20, if you can’t put 20 minutes in your schedule for you to consume some good food and put yourself in that parasympathetic state then you got some boundary issues and you got to really work on roping in your schedule and getting some control over it, at least so you have that 15-20 minute to yourself and you can really process that food well. And again, I’m not saying there won’t be some exceptions or some stressful days here or there but on average try to make sure 80 to 90% of the time, you really have control over your schedule to that degree. 

Evan Brand: One of my favorite things to do even in the wintertime here, if I’ve got blue skies. I’m taking my shirt off, I’m going to sit on my front porch where I’ve got a nice comfy front porch patio chair and that chai is warmed up by the sun so I just take my shirt off sit there barefoot and in the chair and eat my bison burger for lunch and the sunlight is a mast cell stabilizer so I noticed the sun helps me if I have any kind of food reactions, the sun will stabilize that, obviously there’s nitric oxide benefits. There’s likely some nervous system benefits circadian rhythm benefits. So, for me, if you can get fresh air on your lunch that’s great and what the heck does sunshine have to do with bloating, well, I mean there’s even some studies on sunlight improving the diversity of your gut and we’re outside all the time now. So, if you just type in like sunlight microbiome, you can read the papers on this, it’s in a microbiology journal about how exposure to the UV rays can improve the gut diversity so it’s no surprise that all these people in offices buildings all day, they got poor diversity. Obviously from other things but lack of sunshine is a negative factor for your gut health. 

Dr. Justin Marchegiani: Yep. Yeah. Absolutely. I mean, also, there’s other bugs that are out there I think we already kind of talked about H. pylori because that can affect the stomach and that can decrease, um, acid production and thus when acid production is down, we know enzyme production is also down and then that can also affect biliary function, biofunction, so we know H. pylori is a big thing. Other bugs can be problematic, right? We already mentioned SIBO, which could be a whole bunch of different bacteria that are overgrown in the small intestine that could be Citrobacter, Prevotella, Klebsiella, Pseudomonas, Morganella, right? It doesn’t really matter the actual bugs but if there’s an overgrowth there, they can definitely disrupt digestion creating different gases on the methane and hydrogen side and that can create obviously more bloat. Other parasites can cause problems too. So, we see things like Blasto, Blastocystis hominis, right? E. histo, D. fragilis, Giardia, Cryptosporidia, these are all other bugs that could be problematic. Then even things like fungal overgrowth like Candida overgrowth, whether it’s a Rhodotorula species, Albican species, these types of imbalances can cause problems. So, it’s good to test and really make sure that we look at the whole microbiome and see what’s out of balance or not and then from there food wise, I mean, of course, general refined sugar, refined grains, right? These processed foods, excess fiber, lots of raw vegetables, uh, fermentable carbohydrates, right? These things are gonna be on the list, as well. And so, we’ll kind of add those. There are a lot of different things that we have to look at so I kind of gave you the top five or six on this list. Anything else, um, Evan, you wanna add to it?

Evan Brand: Well, I would just say that if you’re coming into this conversation, you’re listening, maybe you don’t have much background and listening to people like you and I talk about functional medicine strategy. Some of this may just go right over your head. You may just tune out because you’re hearing these things which sound exotic and they sound rare, like H. pylori. I don’t have that. Giardia, what the heck is that? Blasto, though I don’t have that. You know, I just have bloating. The reality is these are very common things. The problem is the testing that’s used in the conventional gastroenterology world is very outdated and very insensitive, meaning there’s a lot of infections that go missed and even if these infections are tested for, it’s not likely that you’re gonna find an accurate result. And so, what we’re talking about, these are not rare situations, you and I, between us both, we’ve seen several thousand clients and patients across the world over the last decade and we can tell you that these issues are something we see every day, all day. So much so that in fact when I see a whole big list of infections on the stool test, I don’t get shocked by it. Yep. Uh-huh. That’s it. That’s what we’ve got. So, if you’re listening to this, you’re like, ‘man, that’s not me. I’m just bloated and tired.’ Well, there’s a reason for that. And so, I highly recommend you get tested, figure out what the heck you got, going on because if you’re not testing, you’re guessing and if you’re going and taking probiotics or random enzymes and you don’t feel better or you’re confused about what you should actually taking and not taking and you’re building up a supplement graveyard. It’s time for you to get tested and figure out what the heck you’re up against. And so, if you need help, you can reach out clinically, Dr. J is at justinhealth.com. you can reach out and do consults worldwide. So, we jump on a video call just like we’re doing here, Zoom, facetime, skype, we can look at your labs that you run at home and we can figure out what’s going on and make you – a game plan to get better. And if you need help for me, it’s Evan, evanbrand.com and either one of us, Dr. J, justinhealth.com, evanbrand.com, we’re here to help you and the cool thing is you can reverse these issues and you can get to a point where you don’t even recognize your gut health. I mean, if I look back at myself even 10 years ago, I had such severe IBS. I did every diet under the sun and I made some progress but it wasn’t until I looked at my gut that I really made the magic happen. 

Dr. Justin Marchegiani: 100%. And so, just to kind of highlight a couple of things out of the gates, um, we’ll put some links below as well to some of the lab tests that we recommend, whether it’s the stool testing, whether it’s the organic acid testing which does look at bacterial and yeast metabolites. I love the organic acid because it’s very good at picking up Candida and yeast overgrowth, where a lot of times those tool testing will miss that and of course the, um, breath test will not touch any yeast overgrowth. So, it’s nice to have whether it’s stool test, whether it’s the GI map, whether it’s an organic acid, whether it’s a conventional lactulose, breath test, these are all good tests. We’ll put links down below. So, if you guys want to look at getting some of those to start out at the gates, you feel free, you can. Also, I like to compare and contrast like what we do versus the conventional gastroenterologist. So, most gastro docs, they’re just trying to rule out significant pathology, significant disease and so they may cross off the list by doing some kind of an endoscopy, which is camera down the mouth to look at inflammation in the stomach or esophagus and if they see esophagitis or gastritis, you know, what they’re going to do, they’re gonna recommend some type of PPI or Gaviscon or some type of a coding agent to kind of help reduce the inflammation but they’re not gonna really fix the root cause. Most of the time, they pull you off acids, which may be helpful in the short run but it’s forever altering your ability to break down protein or fat and it also can shift your bugs in a negative direction because now you don’t have the good acidity to keep the microbes down. You need the acidity to activate enzymes, you need the acidity to activate your bile salts. So, someone’s jumping in on the questions here saying that hey they feel better on keto but now they’re feeling more constipated. Yeah, super common because what’s happening is you’re cutting out a lot of the foods that are causing problems but you haven’t fixed your digestion, you don’t have enough acidity, enzymes, bile, there may be some bugs that are still impacting digestion and this is why being on good proteins and fats can be helpful but they also reveal weak links in your digestive chain if you’re not breaking down food well. So, just kind of getting back on the gastro doc kind of bandwagon, they’re gonna be looking at pathology inflammation in the stomach, you know, ruling out the big things like blood, um, in the ulceration in the stomach, you know, usually you’re gonna know that because you’re coughing it up but you’re seeing it in your stool. If you have irritable bowel disease symptoms like Crohn’s or ulcerative colitis, usually, you’re gonna have significant inflammation in the stomach, usually significant diarrhea, blood in the stool, they’re gonna rule that out and then what and then for the most part, once the big pathology things, ulcerations, cancer, massive amounts of inflammation are ruled out, they’re gonna typically give you like IBS diagnosis, whether it’s IBS-D for diarrhea or IBS-C for constipation and they’re gonna just manage whatever symptoms whether those symptoms are with different drugs. So, if it’s constipation, they’ll use laxatives. If it’s diarrhea, they’ll use things like Imodium or Pepto Bismol or anti-inflammatories. They’ll just modulate the symptoms with drugs and that’s it and they’re not gonna really get to the root cause. They’re gonna just try to spot the treat and then that’s where people come to us because overtime, those drugs will become less and less effective, you have more and more side effects, you’re not fixing digestion, you’re creating more nutritional deficiencies, maybe more gut permeability issues, maybe more autoimmune stuff and so these patients then come to us because they’re just tired of putting band-aids over band-aids. 

Evan Brand: Yeah. Well said. I forgot to mention the endoscopic procedure that is super common, uh, they wanted to do that on me, years ago, when I had IBS and I denied that because I even back then I had read about these infections that people were acquiring from getting scoped meaning the last person that they put the tube down, they didn’t properly clean or sanitize that so then they stick it down your throat and then you leave the hospital just to investigate and as you said, the only thing that’s gonna come out to that is they may say gastritis which is super generic. It doesn’t tell you anything about these infections and they’re not gonna give you an herbal protocol to address the infection causing the gastritis. But now, you’ve left the hospital with Clostridia or some other possibly antibiotic resistant infection that’s involved to evade the sterilizing and cleaning procedures. So, I’m all about non-invasive, accurate, functional medicine testing and that’s why we love what we do because there’s a very rare, maybe one every five years, yeah, is there a case where I’m like yeah, you need an endoscopy because there’s something crazy here.  

Dr. Justin Marchegiani: Yeah. Usually, with an endoscopy or colonoscopy which is gonna be going up the rectum to look in the colon. Usually, there’s gonna be blood in the stool, some type of significant inflammation, whether it’s excessive diarrhea, excessive inflammation, excessive blood in the stool, excessive weight loss. It has to be at the extreme ends for that to make sense. Most people just have inflammation and a lot of times the tests won’t kind of tell you enough about the root cause, they’re just gonna put you on medications to manage the symptoms and that’s where you’re kind of stuck in between. Now, a lot of my ulcerative colitis, IBD patients, they’ve already done that. Yeah, so then, it’s like all right, they’ve kind of already crossed that off their list any weird cancers, ulcers, it’s already done, they know, they’re just being managed with Lialda, Prednisone, a biologic and then it’s like, now what, right? And so, we still have to get to the root cause of that and get the immune system chilled out and figure out what stressors are there so we can get on top of that too.     

Evan Brand: Yeah. I mean, I know you and I have seen countless emails being sent to us with pictures of colons and you know different things from these scopes like hey there’s my scope results, you know, what do you have to say about it and the answer is always the same. Okay, there’s something there, let’s work on the infections. And so, uh, yeah, someone in the chat, uh, shelly said, yes that they all recommended me, every time, I go to the doctor. So, yeah, that, I mean that’s all they’ve got, they don’t have the stuff that we’re using maybe in 20 years from now you can go right down the street and get done what we’re talking about but for now you’ve got to seek out somebody like us that’s gonna be able to help you, uh, there’s one person in the chat too asking about a viral impact on the gut, it’s real. I did a whole section of that in my better belly course about that virus in the gut and so it’s definitely a big factor.   

Dr. Justin Marchegiani: Yeah, and just to kind of, uh, speak, kind of on the line here, so, um, we can, we don’t get censored, there’s certain viruses that are out there, right? There’s an ACE2 receptor site that gets impacted in these different viruses and the ACE2 receptor site, there are a lot of them in the gut and these receptor sites are really important for absorbing amino acids and so if you have any of these maybe chronic viral issues, one of the good things that you can do is actually extra free form amino acids to allow these receptor sites to absorb these amino acids easier, right? I think the free-form amino acids are already broken down. So, if you have this chronic immune stress and you’re having a hard time recovering from the immune stress adding in some additional free form amino acids can be very, very helpful on the healing side.  

Evan Brand: Yeah. I’ve seen a lot and there’s papers on this too but I’ve seen it clinically too. People post viruses that will look at their stool, there’s gut inflammation, there’s low secretory IgA, so we can see there’s been some damage and so we have been able to resolve it. So, yeah, we’ll wrap this thing up but if you al need help, please reach out clinically, we mention the websites one more time, Dr. J, that’s justinhealth.com, me evanbrand.com and we’re here to help you guys, so you can reach out and we’ll get to the bottom of this. 

Dr. Justin Marchegiani: And sometimes, we’ll even use some kind of an elemental diet with people that have chronic digestive issues just  because it can be hard, breaking protein and fat down and these are really good, important nutrients but sometimes we just got to break it down for them and using some kind of an elemental or a modified elemental, where maybe you make the first four to six hours of the day, really easy to process in some kind of smoothie or shake that has most of the amino acids in free form, maybe the fats more easy to process like in an MCT oil or something like that and then we use a lot of the vitamins and minerals all broken down. That could be very helpful and give the digestive system a chance to rest and some people they notice this because they just feel really good when they fast and so if you fast and you feel really good that’s excellent but you’re still not fixing the problem of getting nutrients in the system so that’s where using some kind of an elemental type of shake can be really helpful. 

Evan Brand: Yeah. Well said. Well, I’m done. I feel like we’ve covered a lot of good stuff here. 

Dr. Justin Marchegiani: Excellent. Yeah. I mean someone asked one question about flour substitutes. It just depends on where someone’s at, so flour, it’s a processed food so out of the gates, if someone wants, um, like a starch, um, I recommend maybe a greener banana, maybe yucca, cassava, maybe a Kabocha, spaghetti squash. Just look at some of the fibers, uh, non-starch, I should say, more starchy carbohydrates that are gonna be grain-free, see how you do with that. And then, if you want an actual flour, you can look at it like an arrowroot or you can look at it like a cassava is pretty good because it’s still grain-free but it’s still gonna be on the processed side. So, ideally, try to keep it grain-free so you don’t have extra gluten sensitivity connection with those.   

Evan Brand: Yeah. Definitely. That’s what I was gonna say too. Potatoes, rice, a lot of these things can still create problems for people. I’ve had many people feel like crap on some of these gluten-free breads. So, yeah, it’s still processed garbage in my opinion. 

Dr. Justin Marchegiani: Yeah. And then, someone wrote in about the, um, the onions there. Onions are very high in FODMAPs and that can be a problem and so if you head, your gut feeling a lot better and you can come back in and you’re noticing FODMAPs are creeping into your diet and causing a lot more bleeding definitely kind of, you know, rain that back in and see how much that back in and see how much that kind of brings you back to homeostasis. 

Evan Brand: Yeah. This person told, uh, they said that they’ve had similar issues with cabbage, brussels sprouts, and other similar veggies. So, yeah, I mean I would go more animal-based. See how you feel with just some meat and some berries for a little while. Maybe if you tolerate a little bit of some organic pecans, if you want to do a little bit of nuts but do like a bison burger and a handful of blueberries for lunch and see if you feel better. I suspect you will. 

Dr. Justin Marchegiani: Yeah. At least, just try, you know, cutting out the higher FODMAP foods because when you address microbes, right? You starve it on one side with restricting certain foods that can feed it, you can kill it with certain herbals and then you crowd it out with probiotics. And so, sometimes, we have to go back to the killing side and kill the microbes out a little bit more but I always just see how much the starving kind of works. Get the starving going again and then if you have to kind of return to a protocol, where we knock down the microbes with herbs, we can always do that too. 

Evan Brand: Yeah, and we’ve made these protocols a lot. It’s really fun to combine and mix and match and get the synergistic effect of this herb plus that herb. I mean, that’s where the magic really happens and there is an art to this too like you said when to cycle things on when to cycle them off, so there’s not just this one cookie cutter thing that you have to do. You really got to just work with the person. Certain herbs are used for certain parasites, certain ones we use for bacteria, certain ones we use for fungus. It depends on what you got, most of the time it’s a combination of all these bugs. 

Dr. Justin Marchegiani: Awesome. Hey, Evan, great podcast today. Hope everyone at home listening enjoyed it. Feel free to share with friends or family. Put your comments down below. Let me know what things that you guys have tried at home that have worked well or haven’t. Really appreciate the conversation. Evan, have an awesome day man. 

Evan Brand: You too, take it easy. 

Dr. Justin Marchegiani: Take care. Bye. 

Evan Brand: See you. Bye-bye. 

 

 

Post Viral Immune Support To Improve Energy | Podcast #363

What you eat after a viral infection, when symptoms of fatigue persist, can have a marked impact on your speed of recovery. Dr. J and Evan discuss that specific foods need to be avoided or included in your diet to improve your immune system. So what are the truth and the evidence about diet and post-viral immune support?

The good news is that most people will benefit from some considerations when recovering from illness or infection. Having post-viral fatigue means that you will not have your usual energy to think, shop, prepare or eat as before. Be very practical and kind to yourself. Dr. J and Evan added that diet modification is vital in your recovery.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
1:57   – The role of acid-pH level in the digestive system
5:01  – The link of depression and anxiety to bloating
10:02 – The benefits of probiotics and effects of stress to digestive health
18:17 – Functional medicine strategies and testing to find the root cause of bloating


Dr. Justin Marchegiani: And we are live. It’s Dr. J in the house with Evan Brand. Evan, how you doing man? How are your holidays? How’s everything going brother?

Evan Brand: Everything’s going pretty good. I’m trying to start 2022 off with a bang. I suspect it’s gonna be a better year than 2021. People are becoming smarter. They’re becoming more educated. They’re becoming more resourceful. People are waking up. There’s a lot of, we’re in the great awakening and so I think, this is an important time to be alive and an important time if you’re a parent, if you’re a husband, a wife, if you’ve got kids, if you’re a teacher. It’s important time to keep your eyes open and keep your ears to the ground because stuff changes quickly and you got to be like a little speedboot. You got to be able to take turns quick, you don’t want to be the titanic right now, you don’t wanna be slow in taking big turns, you gotta be nimble in these times and so what I’m alluding to is just you got to be able to navigate the world of health which is quickly evolving and that’s true. What we’re trying to talk about today is post viral fatigue and really that’s just the title but this really could apply to bacterial infections and parasites and mold exposure but we just wanted to try to zoom in a little bit specifically on post viral fatigue and things like Epstein Barr virus, many people are familiar with and there’s a lot of people that report their chronic fatigue, picking up after something like EBV, we’ve seen it a lot with the virus going around now which would probably get flagged and censored so we won’t say it but you know what it is and there’s a lot of post, uh, viral fatigue going on from that and so you and I have dealt with some of that, you’re still going through the thick of it right now but I think you’re coming through pretty well, you’re still working and obviously you’re on your feet right now literally standing so that’s exciting and yeah.  

Dr. Justin Marchegiani: For the listeners, I had COVID last week, actually symptoms started on Wednesday. Really two hard days of symptoms, I was able to work the whole time though, I mean I think that the symptoms for my COVID that were, um, tough was I would say achiness and then like sensitivity to cold like it was like 45 degrees out and it felt like it was minus 10. So, I would say sensitivity to cold and then also getting really hot at some points, getting out where I would sweat through my shirt. So hot and cold, achiness/ headaches and then like easily out of breath but I mean for me I mean, it was still fine where I could work and still do the things I had to do. So it wasn’t that bad, I mean, I had a flu in 2013 where I was literally laid up for over two days and I couldn’t do anything so I know laid up feels like it wasn’t even close to the flu of 2013 for me, that was really hard. So, definitely, um, not as bad, I actually was my own worst enemy because on Friday I was feeling like really good like 80-90% better and did like 2-3 hours of housework like cleaning my house like doing all this different stuff because it was a beautiful day and I’m like all right let me get on top of some work, work 3 hours probably walk like 15,000 steps and that next day there was a major relapse in how I felt. It was probably like I went backwards 30-40%. Here I was at 80% probably going backwards to 50. I was like whoa what happened and so then I just kind of got in the straight and narrow and just said okay I gotta really make sure I kind of make sure I kind of keep it easy until I get back to 100% because, you know, um, it just you didn’t realize how much, uh, things could go backwards so fast so you really gotta wait till you get a 100% on things and so overall I mean the only thing lingering for me right now is a slight bit of um out of breathiness and, uh, this little lingering deep tickle cough like right now you can feel it like someone’s tickling the back of your throat with your finger and you want to cough to scratch it, kind of like that and so that’s where I’m at now. That’s like kind of makes it feel like I scratch it right there, right. So, I’m doing some ginger tea, I’m doing with the Manuka honey that soothes it like that helps with the irritation. It’s not knocking the cough down. Doing some, Elderberry, um, doing some thieves, uh, natural cough drops with essential oils, um, also doing some nebulizer so I’m doing some glutathione nebulization so those are couple of things I’m doing and then obviously sinus flushes, the amount of mucus that is coming out of me is out of control so sinus flushes are really, really important because if you do not flush your sinuses, the amount of stuff that stays inside of you, oh my God. So, flushing my sinuses out 3-4 times a day, you know, really good saline reverse osmosis with a little bit of silver in there to kind of keep things flushed out is helping a lot. So, that’s kind of where I’m at but honestly feeling pretty good, um, the whole family got it purposefully, my wife had it and I’m like come over here honey gave her a big kiss and then I kissed all my kids, I’m like we’re done. We’re gonna get this thing all together, be done with it all that way we’re not, you know, I get it next month and then I’m isolating for two weeks and then my kids get no we’re gonna get it all at the same time and surprisingly my kids’ symptoms were 80% less than the adults, super, super minor.  I couldn’t believe how minor it was for the kids, so very interesting. So, that was kind of my experience with, uh, with the big C, uh, so to speak. And also, the big correlation I was listening to someone talk about this, the, a lot of the post C symptoms that we see after, right, people that have dysglycemia, and blood sugar issues tend to be a big driving factor of a lot of these post viral symptoms afterwards. Talking about post-viral fatigue, one of the big things is make sure you manage your glycemia, meaning you’re having good protein, you’re having good fats, you’re not eating a bunch of refined sugar, grains, those kinds of things. Make sure you put good metaphorical logs on the fire, good proteins, good fats to really work on blood sugar stability. 

Evan Brand: Yeah. Yeah. We’ll I’m glad that you’re coming through it. Regarding the shortness of breath, I would kind of put that in the same category as the post viral fatigue because that shortness of breath can create fatigue and the best thing that’s helped me and has helped many clients is doing the color oxygen. So, ChlorOxygen, you can get that on amazon, it’s readily available. And it’s just a, it’s a liquid chlorophyll extract. So, when you do that within probably 5-10 minutes, you can feel a difference, so it’s like C-h-l-o-r-Oxygen, ChlorOxygen. I would probably do 10-20 drops up to 3 times per day. That thing is absolutely incredible. You can go as high as one tablespoon in 20 ounces of water and just sip on that throughout the day. I had one guy in New York, major, major issues with shortness of breath in the acute and the long term and that ChlorOxygen literally just turned his situation around. So, I’d get some of that stuff. 

Dr. Justin Marchegiani: So, it’s C-h-l-o-r Oxygen?

Evan Brand: Yeah, ChlorOxygen. Yeah, and it comes in a little bottle tincture and it’s incredible. Also, something I’ve used personally, I’ve used with several clients too is Ailanthus. Ailanthus is three of heaven which is an invasive tree. I see a lot of it in Kentucky but you can buy Ailanthus tincture and that one is also really, really good. 

Dr. Justin Marchegiani: Interesting. Is this the one, right here, Is the ChlorOxygen? 

Evan Brand: Yeah. That’s the one. Yep. 

Dr. Justin Marchegiani: Okay. Cool.

Evan Brand: Get you some of that but should help because that’s the problem is, you know, the shortness of breath was pretty bad for me and I felt better, you know, I got infected a long time ago. It was like August 2020 and then six months later that’s when I started to have some shortness of breath which I was like, holy crap and so luckily, I was able to knock it out, uh, with Demectin and uh, yeah, Demectin really helped me and then the nebulizer and the ChlorOxygen, I would say that combination was an absolute game changer, luckily, I haven’t had any issues since then. But what we are seeing is that the mitochondria have a role in this and some of this post-viral fatigue we’re seeing is due to mitochondrial damage so I’ve been fortunate enough to see a few dozen people now. And in terms of organic acids testing after the virus, and we are seeing that the mitochondria definitely showed dysfunction. You and I talked about this many times on other podcast about the mitochondria. We can measure the dysfunction and so what we’re doing is we’re coming in with mitochondrial support nutrients so CoQ10, we’re coming in with carnitine, ribose, a lot of these amino acids and B vitamins like riboflavin which can help fuel the krebs cycle and then also we can use things like PQQ to help get the mitochondrial biogenesis going, meaning we’re literally making new mitochondria so we can measure this on paper. So, if you guys are suffering, you know, one of us can reach out or you reach out to us rather and then we can get the urine looked at because we can measure this. You don’t have to guess where is this fatigue coming from. If it’s a mitochondrial induced problem, we can measure that. Now, you have permission to have multiple things wrong with you so there could be a dopamine problem, there could be a mitochondrial problem, there could be toxin problem. So, rarely is there one issue causing this fatigue but the goal is for us to try to get as many puzzle pieces laid out in front of us and then make an appropriate protocol.    

Dr. Justin Marchegiani: 100%. I’d say, the worst thing about COVID for me right now, coffee tastes bitter like it tastes bitter, almost a little bit sour, does not taste like coffee. I’ve almost been like I’m not even gonna drink it right now until this thing gets better because it does not taste that good but for me I’m just alright, I got, you know, 20 grams of collagen in there, I got some good fats, I kind of look at it as like a meal replacement for me. So, that’s probably the worst thing the whole time. For me, it kind of felt like a cold. I’d say a mild, mild to middle of the road cold. The only thing that really surprised me was that, that back swing where I was like 80% better and then went backwards that was the hardest thing. 

Evan Brand: And, it could have been you overdoing it for sure, I mean, 

Dr. Justin Marchegiani: oh, you totally did. 

Evan Brand: Yeah. I mean I did have a little bit of that too where I kind of felt like I was better, overdid it and then I heard it again, so. 

Dr. Justin Marchegiani: Yeah. 100%. So, excuse me, anything else you wanted to highlight on that so far? I would say post-viral stuff, the things that I’m doing right now and I recommend people do, in general, are gonna be Adaptogens and I like medicinal mushrooms. So, Shiitake, Maitake, Reishi. Reishi is great. I love it because it does deactivate viruses. It does build up and support the natural killer immune cells so I do like that, uh, any type of ginseng, Ashwagandha, these are things that help support energy production, support the adrenals, help buffer the HPA excess. So, any of these types of things are gonna be, uh, helpful too.  

Evan Brand: You need to get on some Lion’s Mane too for your taste because what I’m finding is that the nerves are damaged and that’s affecting the sinus. So, the sense of smell, sense of taste, some of that is related to nerve damage. So, I would probably hit Lion’s Mane, maybe like two caps twice a day. That’s been helpful to restore the sense of smell and taste in some people. 

Dr. Justin Marchegiani: It’s probably not damaged. It’s probably just more inflammation, right? 

Evan Brand: Well, the long-term stuff, I’m talking to people just long-term. I’m talking to people that you know 6-8 months later say, I still can’t taste or smell. Bringing in Lion’s Mane, like 2 caps twice a day. It takes a few months but you know it does increase nerve growth factor and so I think that’s the mechanism. 

Dr. Justin Marchegiani: That’s interesting. Yeah. I do have some Lion’s Mane. I’ll definitely add that in. I mean, I think medicinal mushrooms are gonna be really good to, um, be on top of, uh, just supporting your immune system and like helping with, um, the body regenerate and heal better. 

Evan Brand: Yeah. Gabe was asking a question in the live chat on YouTube. How did you guys catch it? I don’t know, I mean I work from home. You know, I’ve got a home office, uh, Justin has a home office as well, you know, I do go out, uh. 

Dr. Justin Marchegiani: Personally, it’s the new variant. The new variant has an R-naught of seven, which is that’s equal to, uh, measles so the delta variant had an R-naught of 2 or 3 so that means for every one person that gets it, it can be passed to 2-3 on average, right. The new omicron variant, it’s seven, so you can literally pass it to seven people so I think my wife was in a yoga class with three people and they were like spread out across that broom like they were like way you know spaced apart, you know, for just all the safety reasons and it was still able to get it so my whole take on omicron, it’s very, um, I think the symptoms are milder than delta for sure. That’s what everything’s been reported but, um, it’s way more contagious. Everyone’s gonna get it at this point, you just gotta have your plan and, um, be ready ahead of time, right? People don’t have a plan and then when they get it then they get stuck and they feel like they have to go to the hospital and you don’t have as many options there so try to have a, um, outpatient plan ready to rock and roll but yeah, you’re gonna get it because the, um, our knot on this thing, right, is that seven which is at a level close to measles so it’s right there. So, if you haven’t got it yet, you will. Anything else you wanna highlight on the immune side, on the post-viral stuff obviously I’m a big fan of ginger, I think ginger is nice because it’s anti-inflammatory, anti-viral, uh, helps with lymphatic. So, if your kind of like have a lot of like stagnant lymph in the chest area or in the neck I really keeps the lymph moving all that’s very helpful. 

Evan Brand: Yeah. There was, uh, one person that commented if you’ve had delta you should have some memory T cells that will help if you get infected. Yes supposedly. Supposedly, um.

Dr. Justin Marchegiani: Yeah. You definitely should have memory T cells as well as memory B cells, right? So, even if you were to get sick again, um, you’re gonna be able to recruit antibodies way faster, right? Normally when you get sick if you’re first time getting exposed to an infection it takes about a week or so to really get those antibodies ramped up and so even if you were to get sick twice, you’re gonna be able to make those antibodies inside of, you know, 24 hours or so. So, you’re gonna be able to bring those antibodies to the table a lot faster and so that’s, um, that’s pretty cool. That’s pretty helpful. 

Evan Brand: Yeah. Other strategies, uh, post-viral fatigue hyperbaric oxygen has been helpful. I’ve seen several clients that luckily have lived in a city where they’ve had access to do hyperbaric oxygen. Essentially, what it is, is it’s replicating being under water under water about 10 to 12 feet so that pressure is helping to get oxygen deeper inside of you. So, some of these tissues may have been starved of oxygen. This sort of mild hypoxia or hypoxemia, you know, you can basically reverse that by getting the hyperbaric oxygen. There are some people that can do there’s oxygen cans, little portable oxygen shots, if you will but it’s nothing compared to an oxygen concentrator with the hyperbaric oxygen so that’s good ongoing, I mean, I’ve had clients with Lyme that have done hyperbaric we know that’s incredible for traumatic brain injuries and concussions and that sort of thing. So, even if this is just a long-term fatigue problem, not related to viral issues at all, you know, hyperbaric is another good tool, you’re looking at probably around 100 a session but, you know, what, what’s your health? What is your health worth? So. 

Dr. Justin Marchegiani: Exactly. One thing I did was very helpful was use my infrared sauna the last couple of days. That was helpful, just getting a really good sweat in felt very good, you know, raising that body temperature up can be very helpful just at um at your body knocking down viruses. That’s part of the reason why you get, um, chill while you get the nutshells but, uh, why you get a fever right. It’s part of the reason your immune system is actually knocking down some of that bacteria and or viruses by doing it that way so using an infrared sauna can be helpful too. 

Evan Brand: So, look at your mitochondria, get your organic acids test done, we can measure that and look at mitochondrial function come in with specific support whether it’s B vitamins, adaptogenic herbs like Rhodiola, you mentioned, Siberian ginseng or Eleuthero. There’s medicinal mushrooms like cordyceps which there is some benefits. There are some papers on cordyceps and athletes and improving blood flow. There may be some level of oxygenation that happens with cordyceps too. So, cordyceps, reishi mushroom, I think the Lion’s mane for the brain and for the nerves would be beneficial, the ChlorOxygen for any of the shortness of breath along with the fatigue, rest, I mean just getting good quality sleep, making sure you got to do whatever you can to get good quality sleep. So, all the same sleep hygiene habits we’ve talked about for a decade together apply in regards to candling down at night if you need some passion flower. Even melatonin, there’s some really cool studies on melatonin. We know, it’s a very powerful antioxidant and we are seeing higher doses of melatonin be beneficial. So, in general, somewhere around 5 milligrams but there are some papers going wat up 30 – 40 – 50 milligrams and beyond. I don’t know a ton about the high dose so I’ll just tell you that the regular dose standard dosing is better than nothing. 

Dr. Justin Marchegiani: It was that melatonin?

Evan Brand: Melatonin. Yes. 

Dr. Justin Marchegiani: Yeah. Usually, it’s like the higher dose is like 10 milligrams and that’s gonna help with the oxygenation and then 30 – 500 milligrams for the arginine that’s to really increase the oxygenation. 

Evan Brand: Yeah. The arginine for like nitric oxide production. Beet powder, you know, beet powder would be good too. So, anything you could do to create some vasodilation is gonna be smart. 

Dr. Justin Marchegiani: Very cool. Anything else you wanna add, Evan?

Evan Brand: I think that’s it. If you need help, reach out, get tested, hopefully you get back on the full mend here so, keep, keep rolling. You’re doing a great job and hope everybody is doing well and we’ll be in touch next week. If you need help clinically, please reach out. You can reach out to Dr. J at justinhealth.com or me, Evan Brand, at evanbrand.com. We’re happy to help you guys. Keep your head up. keep moving forward.   

Dr. Justin Marchegiani: I think the big thing out of the gates is to make sure you have time to sleep, rest. Don’t overdo it. Just know your body still needs more time even when you, when you’ve gotten through the whole thing to recover. Don’t overdo it. That’s really important. Keep the foundational nutrients dialed in so that would be like zinc, vitamin C, vitamin D, you know, you can keep those things in there. You may not have to use them at such a high level that you did with the infection but keep some of those nutrients. Don’t go from something to nothing. Keep something in there the whole time, find a medicinal mushroom that you like, find an adaptogen that you like. Maybe keep a little bit of ginger tea going. Something that has some antiviral support and um, you know, try to get a little bit of movement but if it’s making you feel winded then just try to do just enough where you can feel like you’re doing something but not where it’s overly taxing you. I think it’s really important to kind of meet that right in the middle. 

Evan Brand: Last thing, two last things, a low histamine diet is generally pretty helpful because there are a lot of issues with mast cell activation being triggered from this. So, a lower histamine diet, fresh meat, and no leftovers is very important. And then, histamine support. I’ve got a product called histamine support but essentially it’s quercetin plus some other nutrients so anything, you can do to stabilize your mast cells that’s gonna be helpful because muscle activation can cause fatigue, meaning, after the viral issue was over, the immune system can sort of have PTSD for lack of a better terminology and the immune system will go into this crazy state where it will shut you down so that fatigue trying to rebuild that energy back up is re-regulating the immune system so like the quercetin, other mast cell stabilizers are very helpful. 

Dr. Justin Marchegiani: Love it. Love it. Love it. Makes total sense and again not everyone’s gonna have that issue but you know, it’s kind of good to know if you fit into that camp. Those are a couple of strategies out of the gates. Anything else, Evan?

Evan Brand: No, that’s it. Take it easy. If people need help, reach out justinhealth.com and evanbrand.com will be available. 

Dr. Justin Marchegiani: Yeah. We’re here to help you guys. I’ll probably be back later on today here. So, keep a lookout, comments down below. Let us know your thoughts on the topic, we appreciate a review. We appreciate shares to friends and family. Really helps us get the word out. You guys have a phenomenal day. We’ll talk soon. 

Evan Brand: Take it easy. Bye-bye

Dr. Justin Marchegiani: Bye you all. 

 

Recovering From The Holidays | Podcast #362

The holiday season is meant to be a joyous occasion that brings family and friends together. But even amid all the excitement, there are often moments of stress and anxiety. If you are recovering from health issues, this broad spectrum of holiday emotions can challenge even your best intentions for recovery.

Dr. J and Evan Brand talk about these issues and handle them. Though the risk of relapse runs high during the holidays, it is not inevitable. If you are in recovery from any health issues, you can take steps to stay healthy and safe. Becoming aware of potentially triggering situations and knowing how to prepare for them can help minimize your risk of relapse and allow you to enjoy your holiday season truly.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction;
3:15 – The link of EMF to overall health
8:43 – Helpful enzymes, foods, and tests for health recovery


Dr. Justin Marchegiani: It’s Dr. J here in the house with Evan Brand, our post-holiday show. Today’s gonna be just a quick podcast on how to recover from holidays, uh, case you don’t know, my whole family has COVID right now, so we are dealing with that and doing all kinds of natural immune support, all the things that I talked about with my patients and talk about on the past to help improve and boost your immune system, so overall feeling actually pretty good, feeling pretty good, my family’s actually doing pretty descent so we are plowing through it, feeling great. Evan, how you doing man? How are the holidays for you?

Evan Brand: Doing really well and yeah like I told you before we hit record, sorry to hear that but also, it’s good to get it over with. We know that natural immunity is the best immunity far better than any other immunity that other people might like to convince you and that it is free and the best and most robust immunity. So, it’s amazing because paying attention to the media, you would think that you should be like laying out right now but here you are standing up at your standing desk, you’re doing your normal thing and you’re here on a podcast so I love to just blow through the narrative of the and blast through the fear. So, beyond that we’re doing great over here man, we’re ready to dive into the holiday talk and this time of year is where you get like 50-50. Like half the people are like, okay I’m gonna go haywire, I’m gonna eat whatever the hell I want and I don’t care and then the other people like, no way I gotta get dialed in, new year’s coming and for some reason January 1st is this symbolic day where people feel like they want to get stuff together. I encourage you to do it now, don’t wait until January to try to get yourself better and so this idea of like cheat days or the holidays are here so I’m gonna go off the rails, I personally don’t do that at all. I stay completely dialed in just because I know it’s gonna affect my brain it’s gonna affect my gut, I don’t wanna have that bad poop, I don’t wanna have bad sleep, I don’t wanna have skin outbreaks, so for me, personally, I do the same thing I always do. If I want like good treat and I want to feel like I’m getting something good, I might go for like a Siete cookie and it’s like maybe one gram of sugar per cookie max but I’m not just gonna go eat a bunch of gluten and rolls and dairy and all that just because it’s the holiday so I personally think like this idea of like a cheat day or a cheat weekend, I just think, it’s crap because you and I’ve talked about this before but like gluten antibodies, they can go up for months after eating gluten so for me, I’m not just gonna go do that and set off the immune system for potentially that long.  

Dr. Justin Marchegiani: You know, I totally agree. So, what we kind of did is we had, um, squash pie from a true food kitchen, we bought one or two of those and we used that as kind of our dessert so it’s kind of a gluten-free, grain-free dessert option. So, we had that true food kitchen’s great. Their desserts are amazing. We also had some bacon-wrapped dates which were awesome, I mean you get the sweets and savory there and then we also got some poblano peppers, we put some cream cheese in it, again, cream cheese is a little bit better than regular cheese, a little more lactose casein, um, lowering that at least but a little bit of dairy and we wrap bacon around that. So, those were kind of our two [2:49] I got the grill fired up. Got some atria buys just cut them really, really thin. Put some toothpicks in them and just had a lot of finger food like that and that was nice, really simple, really easy, um, so we try to, you know, try to mitigate a lot of the destruction by choosing healthier, less inflammatory options but also things that allow us to feel pretty satiated and pretty full and not have these blood sugar swings that people get when they don’t have enough protein or fat with their meal either.    

Evan Brand: Yeah. If you want a crazy book, we had a question coming on the live chat about detoxing from EMF coming back to work with headaches and this does pertain to the holidays too. I’ve been reading this over the past weekend. It’s a book called, “The invisible rainbow”, it’ll blow your mind so if you want to read that book it’s all the scientific studies organized into one place about EMF exposure and how we’ve known since the 1800s when the telegram and the telegram wires first came out, people were having reactions to electromagnetic fields and this certainly does affect you. So, all the people just got new, uh, apple air pods, and apple watches and all these, uh, cell towers that they keep on their wrists and in their pocket, you know, I think it is smart to try to mitigate some of that going into the new year. There’s some studies in that book too about EMF and blood sugar and how even people that were dialed in with their diet had elevations and fasting glucose simply by being exposed to radio frequencies so all you with your new tech toys that you got over the holidays, I would encourage you, I think seeing is believing, not everyone is sensitive, meaning they’re not going to feel it but at a biological level there probably is something going on so you could get an rf meter, there’s one out of Canada called Safe and Sound, that’s what I used and I’ve measured, I stood face to face with the cell phone tower and that was about 10,000 microwatts per  square meter, an apple watch that a friend of ours had was 2 million microwatts per square meter so people freak out about cell towers but they’ve got. I can’t even do the math, a 100x the radiation of a cell tower on their wrist all day so on the EMF subject, I would not use or recommend those devices.  

Dr. Justin Marchegiani: Yeah, what I do is I have a little tripod here. I take my phone and I put it on a tripod and I put it in front of me and I’ll just use siri to kind of call my patients like that so I’ll put it away from me which is nice. That way it’s not on my person and then I use, um, just little holster like this and I tuck my phone in like this and a couple of things you can do so you can actually, I don’t do this personally but you can slit the side here and you can put some aluminum foil in and that will create a protective barrier with the phone going into your skin so that’s an option if you’re really sensitive. I put it on my back right hip so there’s a lot of tissue there. There’s a lot of bone, a lot of meat, a lot of glute muscle, um, and the cell phone. It really is exponential, it has a logarithmic intensity so the first inch is the most intense and that it logarithmically drops off. Now, if you put the, your phone in your front pocket and it’s right over your ovaries or uh, genitals, that’s a problem, right? Because that’s gonna negatively, now your like inside a couple of inches of that tissue and it’s more sensitive tissue and you don’t have a lot of meat i.e., thick muscle like the glute or a lot of bone in the way, right, that tissue’s kind of much more dense and so ideally, you know, if you’re a female, keep it in your back pocket, don’t put it over tissue like that. That’s bad. Don’t put it in your front pocket female or male, keep it in your back pocket or get a holster like I do, put it right in the back part of your hip and if you’re more sensitive just a little slit in and put some aluminum foil right up against it and that’ll give a protective barrier. 

Evan Brand: Yeah. A lot of times, they sell like silver fabric too, like, I got, I’ve got a shirt that’s like a silver lined shirt, I’ve tested it. it literally, I mean I had a cell phone right in front of me, it was like a million microwatts per square meter, throw in the meter just haywire and I put the shirt on put the meter inside my shirt and it was nothing it was in the green so a lot of these are lined with silver. These fabrics that are really cool so I have had some sensitive clients in the UK who, we’ve got them some of that EMF protective clothing and it has been helpful like you said distance is your friend so getting away from that is key and then I do all my calls just on my computer so I use google voice or I’ll use skype and so I’m just on a hardware connection so I’m using, I’m making zero, uh, radioactive calls during the day or like you and I know we do a lot of zoom calls with our clients too, so zoom, facetime those are good options if you guys are having to do a lot of calls for work and mitigate your risk, you can do facetime on the computer which is what I do and it’s a zero RF way of talking to people and then were hardwired, I’m hardware, I know you go, like wireless headset but I go hardwired on everything.  

Dr. Justin Marchegiani: Yep. And I use this headset right here so then the signal, the receiver’s here versus so there’s about an inch or so of tissue, uh, you know, fabric here because the phone really is the first inch is the most and where it’s really concerning is when you have those I, uh, with the little pods in the ear, they go right deep in the ear and everything the receiver is right in there and so there’s not a lot of tissue between you and your external auditory meatus and going into your brain. Something like this where it’s denser and it’s actually more outside or I use these on purpose because it’s the signal is in here and it’s farther away from the head. But in general, um, Bluetooth is pretty weak though, in general, like, Bluetooth only can travel like 30 or 40 feet so I’m not really worried about that. I’m not worried about the 5g signals that are traveling miles upon miles upon miles. A 30-foot signal isn’t as big of a deal as one that can go miles and miles so, I think, if you can plug in, that’s great or use a speakerphone or you have the talk on your phone at least an inch or two away because even apple in their handbook when I understand fact, check me or not, it says you wanna hold your phone at least an inch away from their head, your head. So, that’s really important. 

Evan Brand: I think there was something in the fine print about that about the emissions that come from it. Yeah. On the topic of more, you know, back of back, back to like diet and food exposure and that kind of thing I know you and I both sell professional enzymes that we use clinically with people so I think that’d be a good strategy if you do feel like for some reason, you’re off the rails or maybe you’re not dialed back in yet. I do recommend, like, a broad-spectrum enzyme. Just because you can start to break down dairy and gluten molecules using enzymes so I’m not telling you to eat those things but people got to live and people are not always gonna be dialed in. So, I think a good broad-spectrum enzyme would be a smart thing to do and then first thing of the year that I know you would recommend as well as me is I would get some labs done, I would look at your stool, I would look at your urine and start your year with some data so that you’re not coming into the year blindly. You’re coming into the year with some information about your mitochondria, how they are performing. What do your neurotransmitters look like? How’s your dopamine and serotonin levels? What about your nutrients? How’s your vitamin C? How’s your B vitamins? What’s your glutathione status? Do you have bacterial overgrowth? Do you have Candida? Do you have parasites? Do you have gut inflammation? Do you have gluten antibodies? And your immune system is pissed off right now, I think it’d be a great strategy to start off the year with getting data. So, if you need help clinically, you can reach out to us, we can run these labs on you, we send them to your home, you do an at-home stool and at-home urine, we’ve done this literally thousands of times, you can get over a hundred pieces of data just with one stool and one urine sample so I’d highly recommend that, I think that’s the best thing you can do. I think, it’s great to get all the foundational pieces in order but when you really want to tease things apart and figure out what you’re up against, you’ve got a test not guess and so if you go buy some random energy supplement or some random fat burning supplement or some random, you know pre-workout formula, you don’t really know what you’re doing. 

Dr. Justin Marchegiani: 100%. So, just kind of foundational things out of the gate, you’re through the holidays, try to mitigate the damage by choosing foods that are gonna be less inflammatory still give you the feeling of your enjoying life right, you’re cheating a little bit but it’s mitigating the damage like Evan said, higher quality broad-spectrum enzymes and acids especially when you’re eating those food. There’s a lot of foods that you’re more intolerant to. You have a hard time breaking it down and the lack of breakdown of that food can create more bloating and gas and constipation. So, we’ll put our recommended digestive supports below in the links below so you can see them. We have different HCl, enzymes and bile support products and then we have different binders or detoxification support with glutathione or sulfur or aminos, down below. Also, the immune support I’m using right now, just to give you kind of top five things I’m taking right now, of course vitamin D, of course an acetylcysteine, really important, um, vitamin C, quercetin, and I would say reishi mushroom is an excellent thing, these are all things that I’m doing right now, of course, a couple other things that I’m doing, uh, preventively are going to be sinus flushes where I rotate between either a sinus flush with saline between iodine, silver and hydrogen peroxide, all diluted and I’ve been doing a little bit of nebulizing hydrogen peroxide. Now, I’ve been just taking the 5mL saline blister packs and doing about 3 to 4 drops of hydrogen peroxide in there which brings the amount to about point one percent and that works really good just trying to keep, um, kind of disinfecting that upper respiratory tract airway. That’s where the virus tends to replicate and grow and if we can knock that down with flushing or nebulizing that prevents the viral load from going up which that’s what creates all the inflammation right so if you keep the viral load down, keep some good natural anti-inflammatory going, keep your immune system supported of course, sugar suppresses your immune system get 12 hours of sleep at night all these are foundational things out of the gates. 

Evan Brand: Yeah. And your lungs believe it or not make hydrogen peroxide so when people, there’s you know, the internet supposed fact checkers which in the court of law now Facebook admitted that their fact checkers are simply opinions and they’re not truly fact checkers so that’s important for people to know but there’s been some stuff online about hydrogen peroxide telling people this is dangerous and all that. We make hydrogen peroxide in our bodies, so you’re taking it at a diluted rate. I took it straight, I did this straight three percent to see how it was, it burned a little bit in my nose but other than that it was fine, I did a whole podcast with doctor Thomas Levy on this. He’s a cardiologist, who’s been speaking, I think, he did, uh, a talk with Dr. Pergola about the topic so if you wanna listen to it, it’s Thomas Levy, we talked all about the hydrogen peroxide nebulization and the IV vitamin C which he’s using for the rouleaux formation from people that are getting the injection, uh, he’s using IV vitamin C to help break up the blood so really, really cool resource. Thomas Levy, he’s a genius. 

Dr. Justin Marchegiani: Very cool. Yeah. So, you want to bring it down to about point one percent so it’s more gentle. If you go a little too much, you know, it’ll just give you a little burning and such and make sure it’s saline that you’re using. I use blister pack saline. I’ll put the link down for that as well. You want one that’s specific for a nebulizer just so you don’t irritate your respiratory tract. You wanna make sure it’s good, clean, and sterile saline with just the right amount of minerals to be in harmony with that, um, mucosal tissue. Well, anything else here, Evan, you wanna highlight? We’ll keep it really quick today. 

Evan Brand: I’m happy you’re doing good and you’re doing all the right thing so definitely all the things that should be headline news, the things that are very safe and effective and as Dr. Levy made the point to me, you’re talking pennies or less than pennies per dose and some of the supplements and nutrients that you’re taking so just in regards to cost this is almost free, the protocol you are using, this is very safe at-home early treatment protocol so I’m just really proud you’re doing that and spreading the word and hopefully we can help more people. 

Dr. Justin Marchegiani: Absolutely, Evan. Really appreciate it and guys listening if you wanna get your 2022 off the right start and you have some health issues you wanna dive into feel free to head over to evanbrand.com to reach out to Evan or myself, Dr. J in justinhealth.com, we are here to support your natural health kind of root health needs. We’re here for you, we’ll put our recommended products and things that we chatted about in the description notes below and if you guys enjoyed, shared with your friends and family and write us a review, we’ll all the links down below, you guys have a phenomenal holiday season and I hope your Christmas and holidays are great.

Evan Brand: Yep. We’ll see you all soon. Take it easy, stay strong, keep your head up, and stay motivated. Don’t give in to fear, everything’s gonna be okay.

Dr. Justin Marchegiani: Take care you all. Bye now. 

Evan Brand: See ya. 

 

Natural Solutions to Address Eczema | Podcast #361

If you live with eczema, you know what it’s like to search for relief from red, itchy skin. You’ve probably already tried a variety of products. Unfortunately, some items can leave your skin feeling drier and even more irritated.

Dr. J and Evan emphasize not giving up hope yet! In addition to medications, there are many options you can try at home to help with your symptoms. They talk about drugs and natural remedies that may help replenish moisture and protect your skin’s natural barrier.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
4:29 – What is Eczema and Its Signs and Symptoms?
6:51 – The Comparison between Eczema from Rosacea
10:38 – What to eat and not to eat when you have eczema
16:20 – Helpful products that can help avoid and or alleviate Eczema
19:25 – The link of glutathione in skin conditions


Dr. Justin Marchegiani: In the house with Evan. Today, we’re gonna be talking about natural solutions to address eczema at the root cause level. Really excited to chat about this topic here today. Evan, how we doing my friend?

Evan Brand: Hey, doing better. I was super stiff over the weekend so I thought, my God maybe we’ll do a whole, like stiff neck podcast but for now I’m mobile and I’m on my feet so that’s good and excellent. We’re recording this in December and winter is usually a time when people start coming of the woodwork with more skin issues and I think a lot of it is because they’re indoors more than in spring, summer, fall and so if they’re indoors and they don’t have good indoor air quality, they’re gonna be exposed to more dust, mites, molds and other toxins which may aggravate or irritate the skin. Also, in general, when you start to kick on the heater, you’re gonna be drying out your home and so generally your humidity level in your home may be like in our house it’s give or take 10% lower than it is in the summer so with the whole house dehumidifiers, I keep our house at 40% in the summer but in the winter with the heater on, man, we’re down into the mid20s, 25, 28% humidity. That’s pretty dang dry so sometimes it could just simply be an environmental change like that but I think some of it is also related to the toxins that people are getting exposed to. And now instead of playing outside with their kids, now they’re inside all day with their kids and their skin is reacting to those toxins so you’re really got to get your air quality dialed in and the winter to me just exposes the poor air quality that people have. 

Dr. Justin Marchegiani: Yeah, 100%. I mean especially this time of the year, we have our humidifiers on, it has a tiny bit of moisture into, um, the ventilation system because it’s like, you know, in the upper teens, low 20s so just adds a little bit in there just to take the edge off, I mean that can be helpful to add a little more moisture to the air obviously, you can do more moisturizer on the skin. Remember that is gonna be your internal moisturizer. So high quality coconut oil, grass-fed butter if we can tolerate those things. That’s gonna be the best way to do it but obviously we can add more moisture directly onto the skin but we wanna always internally moisturize with good fat and again hydration as well that’s the carrier for that moisture to the skin so that’s a really important thing. I remember in college, just having chronically dry like my legs were really dry all the time and I realized, you know, at that time I was trying to be a little bit lower fat because I thought that was healthier and I started kind of understanding okay more coconut oil, more saturated fats, I’m like all right and then I noticed the dryness really improved and went away so fat consumption is really important thing for natural moisture to skin. 

Evan Brand: You know, what is interesting now that you mentioned that, I mean, years ago, like my wife and I first got together, I mean, we were eating grass-fed beef but I wasn’t really prioritizing the fats, I wasn’t necessarily seeking them out, I was just maybe cooking with a little bit of butter but I wasn’t intentionally going for good fats and I remember in the wintertime having to put lotion on, man, I don’t use lotion at all anymore. I literally don’t need it, my hands are perfectly dry, they’re not itchy, they’re not patchy like it’s a miracle and you kind of forget where you’ve come from. Once things start to improve, you forget that that used to be a problem where I used to have to put a lotion on. Imagine how much of a hit to the lotion industry you could create if you could simply get everyone optimizing the strategies we’re talking about today, I bet we could reduce the need for lotion by 80%.   

Dr. Justin Marchegiani: Oh, totally, 100%. 

Evan Brand: And to mention conventional lotions are actually one of the big triggers of eczema because when you look at conventional lotions and some of these products that are advertised, you’re getting into propylene glycol, you’re getting into artificial fragrances, you’re getting into many, many synthetic toxic chemicals that people are lathering on their skin just to supposedly fix their skin but they’re actually making their skin worse so you mentioned like topical coconut oil. There’s many good, like, organic shea butter type lotions out there, like Dr. Bronner’s, they make a really good lotion, um, the everyone brand, I know they make a good soap, I believe they make a good lotion too. Trader Joe’s, they had a pretty good quality, low priced lotion that was really clean ingredients so that’s the problem is like people are trying to do things to fix their skin but they’re actually making it worse with these topical toxins. 

Dr. Justin Marchegiani: 100%. Now, when it comes to eczema, eczema does have an autoimmune component, right? So, eczema is a type of dermatitis, just to be 100% clear. So, think of, you know, dermatitis, think of, like skin inflammation, essentially dermatitis, the derma, that’s the second layer of the skin, epidermis first. Derma, um, dermis is the second layer and then essentially, um, titis is inflammation and so you have different types of dermatitis. Okay, so you have atopic which is kind of the one that eczema, uh, falls into. Atopic is the major one that you’re going to see there. There’s other kind you’ll see contact dermatitis which is kind of what poison ivy kind of falls into. There’s this dyshidrotic eczema, where you get more blisters. There’s hand eczema, there’s neurodermatitis, which is another one as well. Uh, there’s nummular eczema as well and then there’s one last one called stasis dermatitis. Those are the big ones. So, atopic is gonna be where eczema falls under and there’s an autoimmune component, there’s all kinds of studies showing that people that has celiac, Crohn’s, irritable bowel disease issues, lots of different autoimmune issues, there’s an increased risk of eczema, so there’s an autoimmune component there and if you look at a lot of the medications that are used to address eczema, you’re gonna typically have like your anti-inflammatory steroids like cortisone which are gonna be topically rubbed on that area. The problem with that is, it tends to not actually fix it. It just calms it down but it can also thin out that skin and make it more prone to have a flare-up later on so it can be helpful in the short run but you’re kind of robbing Peter to pay Paul, right? And then you have other medications like, um, Eucrisa or Elidel that are, like, kind of more on the calcineurin inhibitors. They’re kind of an immunosuppressant so there’s definitely like an autoimmune component there because you’re coming down the immune response to kind of like chill out, um, the eczema and it can be helpful, those kind of medications could be helpful if you’re working on fixing the underlying root cause, the problem is most people don’t address the root cause and they just rub these medications on and then the problems continue to stay at the root level and so over time it’s gonna come back and get worse and worse and worse because you can’t just suppress the immune system in the long run and expect for a lasting solution. So, these medications may be okay if you’re working with someone to really get to the root cause so that’s pretty much what conventional medicine has for options. It’s gonna have those things. Now, just kind of highlight, um, you have eczema, you have Rosacea and psoriasis, they kind of have an overlap, all right, there’s like an overlap with these three conditions and I want to just kind of show a comparison guide for this because it’s really important. I want to just highlight this really quickly. Um, okay, here’s what I want you guys to see. All right, perfect. So, out of the gates, right, all of these skin issues are gonna have redness with all of them right, eczema, rosacea, psoriasis, they’re both gonna itch so there’s gonna be similar out of the gates the big thing with psoriasis, you’re gonna see a lot of the silver and white scales. That’s gonna be psoriasis and the difference with rosacea, you’re gonna see a lot more flushing across the skin, all right. Both are gonna have dry skin, both can have raised bumps. Psoriasis sometimes raised here says none. But the big issue is rosacea, more of a flushness with the redness. Psoriasis, more of the silver, um, scaliness. That’s the big difference. Just so, if someone’s like, what do I have, right, um, that’s kind of the big thing out of the gates there. Hope that makes sense. And there’s a couple of things I wanted to highlight with eczema is food components make a huge difference so autoimmunity, autoimmune diet plays a big role, really reducing inflammation makes a big role. Trying to cut out a lot of the scents and fragrances can play a huge role so of course like free and clear types of, um, laundry detergent, you can do all has a free and clear, Seventh Generation has a free and clear. There’s all kind of different brands that have a free and clear, um, all’s recommended by the, um, eczema dermatology association. So, you really wanna cut out all scent’s fragrances, dryer sheets that play a huge role out of the gates. 

Evan Brand: Yeah, it’s a big, big stressor and it’s a big stressor for people like me that have to smell it, people don’t wanna smell that crap anyway but you’re poisoning yourself, you’re poisoning your children too, you’re sending them off with those synthetic fragrances and those are irritating to the skin but also those can affect the hormones too, I mean, synthetic fragrances, in general, can have some xenoestrogen type compounds to them, meaning that you’re gonna be increasing the estrogen. We’re in a highly estrogenized society and that creates a big problem. Hormonal changes, hormonal imbalances, they are a big factor in skin issues and we see that with a lot of women that have irregular menstrual cycles or maybe heavy bleeding or something that happened especially after childbirth. A lot of times, they’ll be skin issues that would pop out and we fix it in a roundabout way and I want to go back to one thing you said earlier which was the fact that people that have eczema, they may be linked or more common in people to have issues like celiac and that of course takes you to the big gatekeeper of these skin issues which is the gut and so you and I found with hundreds and hundreds, now we’re into the thousands of clients between us that the major way to fix the skin is to obviously do some of the easy low hanging fruit like you said get rid of scented detergents and all that but it’s really focusing on the gut because if you have gut infections, I mean, if you even look at like some of my very, very old earliest YouTube videos, when I have H. pylori and other gut infections, my skin was nowhere to where it is now in terms of my skin health. My skin health in the last seven years has gotten way better and honestly, it’s just been by working on the gut, my diet was already dialed in back then so I just wanna address one thing with people which is that if you’ve already gone polio or autoimmune or keto or carnivore, you’re eating good quality food and you’re still struggle with your skin, you’ve got to dig deeper, it’s time to look in and see if you’ve got these gut infections, bacterial overgrowth, candida, all these things inside your gut are gonna be making toxins disrupting your gut barrier. So, I don’t care how much bone broth you drink, you’re not gonna fix your skin if you don’t fix these infections.

Dr. Justin Marchegiani: Absolutely! I mean there’s two categories, right? Infants and kiddos, right, in the first year of life, they’re gonna be a lot more sensitive because of their immune system, so, I mean, of course, the big thing you have to look at is high quality breast milk and really got to look at what the mom’s consuming. The mom’s consuming a lot of potential food allergens. I recommend an autoimmune diet out of the gates. Sometimes, we even have to look at potentially pulling out salicylates. Salicylates can be anti-nutrients in vegetables. Here’s a couple things out of the gates, right. Salicylates are natural chemicals found in many fruits and vegetables, they’re really good things and so out of the gate, I wanna pull these foods out as a means of calming down and chilling out the immune system. Uh, this is really important so you can see, kind of the negligible, the low, the moderate, the high and the very high. I just try to tell patients to, like focus on the 80-20 because there’s so many foods that are, like, really good for you that are high in salicylates and a lot of times it’s not about being perfect, it’s about calming down, you know, kind of the 80-20. So, what are the 20 of things that you eat the most frequently that are the most high and we’ll try to sub that and put that in the negligible to low category that can be really helpful as well. So, you can see the different vegetables, you can see the different nuts and seeds, you can see the different, obviously, meats tend to be on the lower side unless you’re doing a lot of processed stuff, that’s where you get into trouble there. 

Evan Brand: That’s why so many people do so well with carnivore-ish diets. That’s kind of what I say I’m eating carnivore-ish because I still do berries, I still do rice and I feel okay with that, um, I still do on occasion, I’ll do some organic pecans as kind of a treat and those are delicious and those don’t appear to affect my gut or my skin. So, in general, if you’re going for more animal based good-quality fats, you’re knocking out as you mentioned, you’re knocking out salicylates, um, you’re knocking down lectins, you’re knocking down oxalates, you’re knocking down all these things.  

Dr. Justin Marchegiani: Yeah. Here’s my oxalate guy. We may wanna look at oxalates as well. There’s kind of a members area for my patients here. If you’re a patient, you have access to this area, top right-hand corner of my website. And you can see I have a low oxalate handout as well and again I don’t recommend going crazy out of the gates. I just try to look at what’s the 20% of food that you eat the most and let’s try to cut out the high stuff out, right, and then sub that with the lower one out of the gates. That can make a big difference especially if you have a baby who has a lot of eczema issues. If we can really get a good autoimmune diet, kind of get the oxalates and the salicylates down, that could make a big difference. But, like Evan said, we have to look at gut microbiome stuff, we have to look at things you may be getting in contact with in regards to detergents, even essential oils on the skin. Some of these things can be stressful on the body, so we really got to calm all of these things down. Got to look at good bacteria, maybe have to address bacterial imbalances. Again, if you’re not a baby, you’re an adult, we have to look at the hormones because of times if you’re chronically stressed hormonally with the adrenals or you have estrogen dominant issues as a woman that can affect your immune system and that can make you prone to having some immune imbalances and your immune system is kind of hyper responding and overly sensitive and of course we definitely test the gut because we have SIBO, bacterial overgrowth, dysbiosis, H. pylori, fungal overgrowth, right, fungus and candida can actually produce oxalates too so you can have endogenous oxalate production via candida. These things can stress out your body thus stressing out your immune system. So, really looking at the adrenals, looking at cortisol, looking at the female hormones, estrogen and progesterone dominance, really looking at the gut are you able to digest and break things down, are the anti-nutrients in vegetables a problem. Again, I hate cutting out the anti-nutrients in vegetables, if we don’t have to because there’s a lot of good food there. So, cooking these foods down can help but it’ll lower it a notch. It won’t take a high food to make it a low food. It may not make a high food, maybe like a medium food. So, cooking obviously, avoiding a lot of the raw salad steaming sauteing can help a little bit and kind of lessen that load for sure. 

Evan Brand: Yeah. Well said. Detox is important and detox can get screwed up by your gut infections. We’ve talked about this before but there’s a pathway called glucuronidation in the body and this gets impaired due to bacterial overgrowth. So, sometimes we’re coming in and fixing the gut but then we’re also trying to upregulate these detox pathways so that could include specific support for the liver that may include binders that may include liver gallbladder combinations, maybe there’s some acid and enzymes that we throw in. You know, when you look at someone’s face or just their skin in general, to me, it’s really the window into their gut, into their immune system. So, if you see somebody with just major, major issues with their face generally, there’s a gut problem, I had a woman, she was young when she first started with me, I think she was around 20, 21, and we got on facetime together and my God, her face was so terrible, she hardly wanted to be seen on facetime but she said, I think, it’s important for you to see me, to see how bad this is, I’m like, yeah, I appreciate you showing me this, and man by the time we got through working through some of the tests and the gut protocols her skin was flawless and I even had to ask her like do you have make-up on, I just want to clarify and confirm do you have makeup. No, I don’t. so, it’s amazing to see what you can do and timeline wise, I mean, we’re talking maybe a few months but within a couple of years, I would say you could completely reverse many of the skin issues that people are suffering with and that’s actually a really short timeline, I mean, we’ve seen people that have had skin issues for decades and as you mentioned they’ve been on these topical steroids or other medications for a very long time and not once has the dermatologist ever said, hey maybe you need to go animal-based with your diet and see how that goes. I’ve never heard that conversation, if you’re a dermatologist out there practicing like that let us know maybe we can chat with you, but in general, that conversation is not happening at all. 

Dr. Justin Marchegiani: Yeah. I’m in a lot of eczema groups online, on Facebook and it’s amazing how resistant parents are and I just, people are, in general, to change in their diet when it comes to eczema. It’s unbelievable. They’re like oh, I’m gonna go get this food allergy test from there, like, dermatologist and like most of the time that’s just like an IgE kind of skin prick test and then again IgE stuffs, you know, it’s okay, but it’s, that’s kind of more on the anaphylactic side that tends to not be the massive driver of course, you know, if you have any IgE stuff like environmentally like dander and cedar in Austin, obviously we can get a really good high quality HEPA filter with a activated charcoal filter as well to kind of filter a lot of this stuff out to keep the indoor environment good. I’ll put, we’ll put some links down below for the recommended air filters that we use with our patients. Cutting out all of the scents and fragrances in detergents in laundry, everything, no dryer sheets, all that stuff makes a big difference. Keeping the skin moist does help because if the skin’s already dry, you’re more prone to itching, if you itch it, you increase the inflammation, it’s this vicious cycle and the problem is if you’re kind of naturally oriented a lot of the things that may have like an essential oil or something in there that may be more natural that you may think is helpful because the immune system is already hypersensitive that may actually  flare it up and make it worse and so one of the things that we’ll use, it’s just a really clean super hypoallergenic moisturizer. I’ll put a couple in the links down below that I found to be successful, there’s a couple off the back of my head, I could think of, um, uh, Vanicream makes one called Vaniply, that’s a really excellent one. There’s one by a La Roche-Posay, it’s a Lipikar Baume, that’s another really good hypoallergenic one. Aveeno makes one that’s decent with a little bit of oatmeal in there, the colloid and the oatmeal can be helpful but keeping that skin moist can be helpful so you’re not scratching. It won’t fix it though, right, there’s no magic solution but it will at least help to calm it down and then I find like if you’re a mom and you’re breastfeeding your kid, you have to change the foods that you’re eating because that is going to get passed down to your child and can stimulate their immune system and so typically for a good month or so and then we do a very methodical reintroduction, I know with my wife, eggs were a big trigger for a while and now she can do eggs and like my kiddos can do eggs but for a while, they couldn’t and so we had to keep that really under control for a bit and probiotics did help as well and really helping to support good bacteria help but we had to really do everything kind of full cycle and we did use a little bit of that Elidel calcineurin inhibitor, just a little bit to calm it down but it’d be like foa a day or two and then we would do all the other things and salicylates were a little bit problematic as well so we did try to cut some of those things down and it’s like the, imagine the immune system’s all wound up and we’re just trying to calm it down, calm it down and once you have it below a threshold so to speak, you kind of have a little bit more wiggle room but until you calm it down to that level, you don’t quite have that ability to move. 

Evan Brand: Yeah. Yeah. Well said. There was one other paper too we were looking at on glutathione and this was just a, it was a quite old study but still very, very timely in terms of like glutathione. We have it in our conversations all the time and depressed glutathione levels were observed in patients with psoriasis, eczema, dermatitis and other skin issues and so we know that glutathione is gonna be depleted when you’re exposed to toxins whether it’s chemical whether it’s mold toxins or other things, we often see glutathione levels depleted and this is one of your master antioxidants and so you may need to work into the detox protocol, sometimes that can aggravate people so you just gotta work with the practitioner on this because I’ve taken too much glutathione and reacted poorly to it before so you got to go slow  and steady with it, sometimes it’s gonna flare people up if they’ve got a big toxic load and it starts mobilizing things that may overwhelm your system and you may feel worse or have some sort of like a die off or what feels like a Horkheimer reaction. What about zinc too? Do you want hit on like some nutrients for skin too?   

Dr. Justin Marchegiani: Yeah. So, I think, out of the gates, like probiotics are really helpful. Omega-3 plays a really great role in anti-inflammatory. Vitamin D plays a good role in modulating the immune system. If you’re doing glutathione and you’re breastfeeding mom, be careful because you don’t wanna overly mobilize toxins out of the breastmilk, so you may wanna go really gentle on that or maybe a little bit of NAC and just kind of naturally, you know, increase that very slowly as long as you don’t have any die off, you’re probably okay. I would say zinc is also gonna be excellent as well, it’s gonna be a good building block for the skin, really good building block for the immune system so is selenium, so some of these may just get in a really good multivitamin, uh, some you may get from eating high quality grass-fed meat, fish, some green vegetables, seafood. So, a lot of these may come from whole foods sources, as well as, supplement sources as well. And then, you know, we have some really good anti-inflammatory things that we can do whether it’s curcumin, resveratrol, these are kind of plant-based antioxidants that are very powerful, also, there could be a histamine connection as well. And so, histamine from the environment, from allergens, you know, good air filtration is excellent and then we can do things to help modulate the immune system, like quercetin, like stinging Nettle. These can be very helpful and very calming on the immune system in regards to the histamine response. Anything else you wanna highlight there?

Evan Brand: Yeah. Well said. I think it’s a good start olive lead, we use a lot too and some of the gut protocols and that may help some of the skin issues too. So, it really just depends. I don’t want people to just go out and buy everything we just mentioned and assume it’s gonna fix their issues, I think it’s really important to try to get a good work-up and figure out where your issues are coming from, I think it’s great to be able to look into some of the topical stuff, get rid of your conventional shampoos and conditioners, go high quality organic products with your skin care but beyond that you really need to get some investigation done and figure out what the heck is going on because for years I was doing good clean products topically but I still have skin issues and it was all because of my gut. So, I really encourage people to reach out if you need help. Dr. J and I work with people around the world so we can get at home lab testing done to where we can investigate the root cause of your skin issues and often, we’re gonna be using urine and stool. Those are probably the two most common things you’re gonna be looking at and these are far more effective than what you’re gonna get run from a conventional doctor. We’re gonna be able to tell you what the heck is going on. Your dermatologist is not running stool tests but they should because the issues they’re seeing in their clinic would certainly be improved if they could fix the issues that we’re finding on these stool panels so I think it’s really important to test not guess, figure out what the heck we’re dealing with because you could take probiotics for your whole life and never fix these infections.  

Dr. Justin Marchegiani: Totally. Yeah. I agree. And again, if you go to the dermatologist, it’s pretty typical, right? They may recommend like oatmeal bath or a diluted bleach bath or Eucrisa or a corticosteroid or Elidel. They may recommend these things but that’s not gonna be the solution. Again, some kids naturally grow out of it because their immune system evolves, gets better, their gut becomes less leaky naturally, um, maybe they start making healthier food choices as their parents become more aware of what’s going on, right? There’s a lot of different things that can shift and things can just, kids can grow out of it, and if you’re an adult that probably may not be that way. It’s a little bit different there. So, you’re really gonna have to make changes and you really have to look at the root cause and not just get hyper obsessed with just something topically that’s gonna fix it and that’ll be it, probably not the case. And so, you really have to look at the gut, you really have to look at stress, you have to look at how digesting and breaking down your foods, you have to look at the nutrients that modulate your immune system like zinc and selenium and vitamin D and glutathione, you have to look at gut bugs that can have a negative effect on your immune system and also beneficial bacterial balance. These play a massive role and again you may have to get stricter with the diet, like some people, a paleo template may be enough. Some have to go to way more extremes like autoimmune, cutting out salicylates or at least being salicylate and oxalate conscious that may have to happen as well.   

Evan Brand: Yeah, and the good news is this stuff is in general pretty reversible, I mean, like I said, we’ve seen amazing before and after, working with people, and it’s just a wonderful thing because there’s so much of your confidence level that comes from having good skin, I mean, in regards to seeking new jobs getting a raise, finding a date, finding a spouse, I mean, your kids, wanting your kids to not have any, uh, self-confidence issues so I mean, I just tell you just the impact of skin, it could change your income if you don’t feel attractive enough, may be you’re not gonna seek that higher paying job or maybe you’re not gonna seek that raise, If you have self-confidence issues because of your skin or maybe you feel like you can never leave the house without making makeup, I mean skin is one of those things that really is important to address so sometimes it seems like a vanity-based thing but that vanity really does turn into success and so I think it’s really important for people not to feel self-conscious and just you know that you can fix this thing so no matter how down in the dumps you are you gotta keep digging.

Dr. Justin Marchegiani: Yeah. And skin can be a really good sign if you’re healthy or not and it’s  a lot of times, it’s gonna tell you if you have gut issues, gut, uh, food allergy issues, microbial imbalances, also, consuming good fats, good collagen, good proteins, this is the building block of your skin, so you really wanna make sure you have good dietary, nutritional foundations and we chill out a lot of the food that’s gonna throw off our gut bacteria. Now, topically, there’s a couple of things you can do topically, I mentioned some of the moisturizer that can be helpful to provide moisture relief which then helps decrease the itching, which then decreases that perpetual inflammatory cycle, there’s some soap that you can do that are descent, um, I find just a 10% sulfur soap can be excellent. It’s been used in dermatology for decades but just 10% sulfur soap unscented works wonderfully. Usually, the sulfur comes from like volcano ash or some type of, uh, soil that’s very high in sulfur but sulfur has an anti-inflammatory quality to it. It can have some anti-fungal, anti-bacterial quality so that it can be calming. You don’t wanna lather it on too long because it can be very drying to your skin. But sulfur is good and again, it’s just one part of the equation. There’s no magic solution, magic soap, magic potion, that’s gonna fix it but it can be very helpful as long as you’re plugging in all the other things to the big equation.

Evan Brand: I wonder if that’s because it’s helping with detox support on the skin or something, I mean, if you think about glutathione and the sulfur connection there. I’m mentioning topical sulfur that’s pretty interesting. 

Dr. Justin Marchegiani: Yeah. Topical sulfur, I mean it’s a lot of different data on it being very helpful for acne, I mean with that it can be very cleansing for the pores, cleaning out the sebum, there’s also the anti-inflammatory effects to it, very helpful with like seborrheic dermatitis, psoriasis, eczema, so I think it has some anti-inflammatory qualities, um, to it, I mean it’s been used in dermatology for decades so it’s natural so I kind of like it. 

Evan Brand: Very cool. Well, I think we’ve covered everything I wanted to cover. 

Dr. Justin Marchegiani: Yeah. I mean I think a lot of it too, with the sulfur is. There could be a fungal, bacterial imbalance issue, right? And I do think sulfur does have antibacterial, anti-fungal, it also helps break down a lot of the keratin, excess in your skin, so like if you have, um, a keratosis pilaris (KP), where you kind of feel like the bumps in the back of your arm, it can kind of help break down those excess keratins that form in the pore so the back of your arms don’t feel as bumpy, so that’s really good too. I know, a lot of women have that. Of course, you know, getting your omega-3s up can also help that too, omega-3s and zinc. 

Evan Brand: Yeah. I was gonna say, my kids had a little bit of that early on. We just bumped up the omegas and then boom, we knocked out the keratosis pretty easily so that’s, that’s probably one of the easier things to address. Sometimes, this thing gets tricky, like you mentioned, there’s no magic bullet or potion, a lot of times it’s a combination of us getting small gains and different categories of the body. 

Dr. Justin Marchegiani: Yeah, it’s nice. Just get a nice 10% sulfur soap and you know lather that up, put it on your kids for like 30 seconds, rinse them off, it can be a very helpful kind of cleanse out that keratin, keeps the pores really healthy and it’s totally natural. So, I’ll put some links to the ones that I like, uh, down below on the ones that I personally use. 

Evan Brand: Sounds good. Well, if people need help, they can reach out, we work with people online so wherever you are in the world with skin issues, we’re happy to help. You could reach out to Dr. J at justinhealth.com or me, Evan Brand at evanbrand.com, and we’re happy to work with you, help you run labs, figure out what we need to do to get you feeling better, more importantly get your skin looking better. If you have issues, don’t give up, uh, it’s okay, we’re gonna get you taken care of.  

Dr. Justin Marchegiani: Absolutely. And to be a great functional medicine practitioner to really solve a lot of these things, you have to be a master general practitioner, you really have to understand the gut hormones, diet, skin. You really have to kind of connect everything together. If you’re like a master skin person and but you don’t have the diet or anything else to kind of interweave and connect to it then you’re not gonna be able to help your patients 100% so, it’s really important that you, if you’re working with someone, you find a master generalist that really understands how all the systems connect and you don’t want to just work with the hormone person or the gut person, you wanna work with someone that really understands the connection so that’s really important that people are interviewing their practitioners, really try to make sure they have a full 360 kind of perspective on it and if you wanna reach out, evanbrand.com for Evan, they’re be link there for Evan. And for myself, Dr. J. at justinhealth.com. We are available worldwide to help you all out and we’ll put links down below for some of the recommended products that we talked about today, things that we actually use with our family and patients. Outside of that, Evan, phenomenal chat with you man, you have an awesome week, and everyone listening appreciates your support, comments down below and share with our friends and family. 

Evan Brand: Take good care. See you next week. 

Dr. Justin Marchegiani: Thanks. Bye you all. 

Evan Brand: Bye-bye. 

 

 

How to Reduce Inflammation and Improve Joint Mobility | Podcast #359

When you think of joint mobility issues, you’re probably thinking of inflammation. Inflammation is a process in which your body’s white blood cells and immune proteins help protect you from infection and things like bacteria and viruses.

In this video, Dr. J and Evan Brand discuss that your immune system triggers an inflammatory response when there isn’t anything to fight off in some diseases. With these diseases, called autoimmune diseases, your body’s immune system damages its tissues. Your body responds as if normal tissues need to be fought off. These are all linked to diet modification and testing that needs to be done to make you health better.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 –  The benefits of movements to joint mobility
5:23 –  The benefits of ergonomic chairs and tables for your back
18:56 – The vital role of proper diet for better joint mobility of reduction of inflammation
30:04 – The anti-inflammatory benefits of ginger for joint health


Dr. Justin Marchegiani: With Evan Brand, we’re gonna be going into reducing inflammation in the joints and how to improve joint mobility. We’re gonna be talking about it more from a biochemical kind of metabolic inflammation standpoint. So excited to dive in on that topic. Evan, how are we doing today man? What’s cooking? 

Evan Brand: I’m doing pretty good. I was telling you about my shoulder. I was lifting some heavy things over the weekend and my shoulder got a little tight on me. I thought, oh oh. So, uh, that spurred the idea of this conversation and I hit some arnica homeopathic 30c which worked very well. It’s not necessarily the root cause but it has been helpful and you know I wasn’t trained on homeopathy so this is something you and I have kind of dove into in our personal lives with our kids and such and it’s been a game changer. So, I mean, out of the gate, I think that’s something to have on hand even if you don’t know biochemically your root cause, what’s going on, at least you could remedy your situation, feel a little bit better well and buy some time while you’re investigating. 

Dr. Justin Marchegiani: 100% So, when I look at joint issues right, you have physical inflammation that’s being caused by physical things, right? The most common things are going to be either over exercising too much, probably less common on that and the other one is just very poor posture, right? So, the easiest thing out of the gates is you’re either sitting in a really poor chair that has very poor lumbar support, right, lower back curve support or cervical curve support. So, the easiest thing is just getting a really high good quality rated ergonomic chair especially if you’re sitting a lot, right, that has cervical support and lumbar support, that’s super helpful. In that way that part of the spine is supported. Ideally, being able to stand a portion of your day. I mean, right now, I’m standing. I don’t think you are. So, I stand at least half of my day. I have a treadmill that I’ll slide it under there. I have a Cubbi stepper. So, I’m always trying to keep some movement in there. I get about 15,000 steps a day so it’s very helpful to be able to move, get some steps. That’s helpful for the joints. The disc in the joint get hydration through inhibition. So, the joint has to pump and move to get hydration into the joints. So, movement through the joint is super helpful. So, being able to stand for a portion of the day, sit a little bit with good support, getting some movement, super helpful. And then depending on the kind of where you’re at, if you have inflammation, if you have pain, I mean, you can do some simple core kind of postural functional movements to strengthen that area. I mean, one of the things I like, uh, is a book by Eric Goodman called Foundation Training, where he just does some simple posterior chain work like a standing prone cobra with the chin pull back, right, that activates the deep cervical flexors here. I mean, you can bend down to a 45-degree angle like this for 30 seconds. You can also bring it up like this and get the whole posterior chain activated and then you can also reach down and then create traction with the spine so go look at Eric Goodman’s work. He is a, just that these three or four movements called the founder that, those are really good movements to get the posterior chain like this, like this. Simple stuff out of the gates. And so, I like that to get the posterior chain, good stability with your chain, investing good money on your desk chair. Get sine ability like a stand desk to be able to stand up throughout the day even if you’re just kind of moving going back and forth. These are super easy ways to kind of get simple movement through your spine during this, you’re not sitting all day. And if you’re sitting all day, at least invest in a really good chair and try to get some of the stand desk where you can go up and down.

Evan Brand: I do this little bar stool too and that way I could just lean my butt on it. So, I’ll just put my butt on that but I’m still standing. I’m just kind of leaning back on it. I know there was some really expensive thing, I can’t remember the name of it, a few years, I think Marxism was promoting it but it had like rocks. It has this thing that he learned. It was almost like a pogo stick with a seat and so it was like this imbalanced chair. You’re sitting but you’re standing but there’s some like rocks on the floor and so he’d put his bare foot on the rocks. I don’t remember what it was but this is kind of my homemade version of it, this little bar stool that It’ll just kind of leave off kilter. In that way my butt’s just taking a little bit of load off because if I just try to stand all day, my back hurts. So, standing all day just doesn’t work for me but with a little bit of lean, it helps.  

Dr. Justin Marchegiani: Yeah. They have these, um, these little, they’re called like wobble board chairs. There’s one called the Luna standing desk tool. It’s kind of like that, it’s kind like a pogo stick, right, but it’s got a flat surface, that’s kind of oblong so then you’re kind of sitting on that. You kind of have balance so then it activates the core but then you can kind of move around, kind of get some movement in your hips which is good for your spine. You can also just get like a Swiss ball, right? Just sit on one of those in that way, you can get some movement. And you won’t have so much support in the back so you really have to activate your core, activate your back so you can sit up there straight. That’s good, nothing wrong with that so that’s helpful. You probably wouldn’t want to do it all day because you’d be really keeping these muscles active all day but it’s nice if you’re at a desk, you can at least bring that in and bring the wobble board stool type of chair in there. These are a couple options, you know, minimal cost to bring in some good core activation. And when I say core, core is everything. It’s like the whole core thing is your back, it’s multifidus, it’s your iliocostalis muscles, right? It’s your longissimus muscles, it’s obviously your TVA, it’s your rectus abdominis, it’s your oblique, transverse, external, internal oblique, right? It’s everything around your back and front abdominal area. 

Evan Brand: People may be listening and go ‘God, why does that be so complex, I gotta get to this fancy chair or this or that’. Because, we didn’t really evolve if we were sitting like this all day staring at a screen. I mean, we’re just not really built for this, so it’s no surprise that we see so many people with mobility problems. I mean, I’ve been to several different physical therapy people over the years, just for random injuries and aches and pains and they all tell me that in their careers, these are people that have worked 20, 30, 40 years. They’ve seen just the rise of younger and younger people having worse mobility because they’re just sitting at a desk all day and how it’s shortening the muscles. I think it’s the hamstrings, right? It’s shortening the hamstrings when you sit all day?   

Dr. Justin Marchegiani: Well, I would say it’s probably shortening the hip flexor muscles, right? Because the hip flexors, right, when you flex the hip, you’re shortening that muscle so you’re creating that muscle shortens and that muscle, its insertion is on the lesser trochanter in the hip flexor in the femur muscle, in the femur, uh, bone so the lesser greater trochanter muscle, the top part of the femur but then it inserts, no, that’s where it inserts. Its origin is I think from L1 to L5 on the spine. And so, when you have tighter hip flexors, it pulls super tight on the origin which is going to be L1 to L5, I think, transverse process, and even the ribs.  So, it’ll pull really really hard on that back and so a lot of times, your chronic lower back pain is gonna be from the shearing force from really tight hip flexors, that’s part of how lower crossed syndrome happens, right? Lower crossed syndrome is nothing more than super tight hip flexors on one side and on the other side weaker glutes and weaker lower abdominal muscles. Weaker abdominal muscles, weaker glutes because you’re not using glutes to step up or squat or lodge and then you’re getting these shorter, tighter hip flexor muscles and that’s the lower crossed syndrome, right? One cross is weak and loose or weak and tight, that’s your hip flexors, the other one is, um, weaker, that’s the glutes and that is the lower abdominals. And so, this is common and so people talk about investing a lot of money in beds, right? I have a nice Tempur-Pedic bed, that’s pretty expensive. I know you have a nice bed as well but we spend just as much time in bed as we do sitting in our chairs all day, so I think, you should, people should have, you know, enough money invested in a really good chair that has good postural support. You can go to like different ergonomic stores. There’s one in Austin called Human Solution on Anderson Lane. They have a lot of great options. I got my stand desk from them. They have some really good ergonomically certified chairs that are excellent, that have the cervical support as well as the lumbar support. These are really good options to kind of start out of the gates. So, kind of my thing is start with like, you know, the easiest buy-in, right? The easiest buy-in out of the gates is upgrade your chair, maybe get some swiss ball that you can sit on, maybe get your desk, get your stand desk so you can go up and down throughout. These are just some simple, easy investments. And if you already have these things and you wanna get more kind of biohackerish-like we are, I have a Cubbi, little pedals here so I can pedal. I have my little, um, I actually got a new treadmill desk that’s under my desk that’s lighter and it goes four and a half miles per hour and I have a remote, I can just hit it. 

Evan Brand: Spell Cubbi. 

Dr. Justin Marchegiani: C-u-b-b-i. And then my other treadmill, hold on, let me go look at real fast. And my new treadmill desk is Rhythm Fun. I’ll put the links down for Amazon below. Take a peek at. But the cool thing is the remote because you can just kill it, turn it off, turn it on. Without having to go touch it. 

Evan Brand: Now, if you don’t sit at a desk all day, congratulations. Hopefully, you’re out working in the field or something like that, you know, years ago, I was working in the woods and building hiking trails and restoring different natural, you know, natural areas, nature parks and stuff but man, it killed my back. I mean, it was a lot of work, a lot of labor and not much pay at all, could raise a family on that wage. So, if you are out and you’re physically great, that’s awesome or if maybe you’re just doing that in your free time, maybe that’s counteracting your desk work. I mean, that’s what I try to do, it’s even in the middle of the day for lunch, I’ll just try to go out and walk around even if I just like hiking up and down my driveway. Just something simple, just to break it up. And I forgot what her name was, it was, uh, Joan Vernikos. I had her on my podcast probably almost like 10 years ago. I think she worked with NASA or for NASA, but anyway, she talked about the importance of just standing up and sitting down and just the change in posture was more important than anything. She said, it wasn’t necessarily the actual exercise, it was just breaking up you’re sitting. So, if you’re sitting for 20 minutes and then you can stand for 10 seconds, that was enough she said to, you know, positively impact your mobility.  

Dr. Justin Marchegiani: Yeah. I mean, adding another 90 degrees of extension onto my hip flexors, right? If your hip flexors right at your leg to your hip you’re at 90 if you’re sitting. Well, if you’re standing you go to about 180, 160 – 180 right? So, I create more length to my hip flexor which means it’s less likely to get tighter and shorter and create lower back pain. And so, that’s the easiest thing, so there’s a lot of different buy-ins, right, so like we’re not trying to give a one-size-fits-all, we’re trying to say okay if you already have a good desk or already have a really good ergonomically supported chair, maybe upgrade into a stand desk or just get a simple physio ball. Ideally going from sitting to standing is ideal. So, I would say good chair, then go to a good desk and then if you wanna add a physio ball or a wobble chair, that’s great. And then, if you wanna go to the next level and get a treadmill that slides underneath, I think mine was 500 bucks which is great though. My other one was a Rebel Desk treadmill that I used for five years, I just got rid of it because of the belt, just like almost I wore though and I’m like doing the math. I’m like all right it’s about the same cost to repair it as to get a new one. That goes a little bit faster and I get the remote. So, that’s kind of where I’m at. So, there’s a lot of different buy-ins. Now, that’s kind of like the lifestyle exercise movement standpoint and remember, I’m not saying crazy exercise. I think the more you can get movement throughout the day that’s non structured is better. Meaning, if you can get 10, 15 thousand steps throughout the day where it’s non-structured throughout a 10-hour, 12-hour a day that’s good because if you just exercise for 30 minutes and you sit on your butt for 10 hours, is that really that good? You’re still sitting down not moving for 10 hours, that’s still not great. So, if you can get a little bit of movement in and you can also have a lot of unstructured movement, that’s even better, I think overall. 

Evan Brand: I would say so, I mean, I certainly can tell you the days that I exercise and then sit for too long, I’m just as stiff as if I did an exercise compared to times where I’m moving around throughout the day. So, yeah, I think throughout the day is better. Let’s get into some of the chemical stuff too, some of the infection stuff, I mean, I’ll tell you personally with some of the stuff I’ve had from tick bites. whether it’s Lyme, Bartonella, Babesia different things that create inflammation and affect blood flow, I would tell you that there are some waxing and waning periods like where hands, feet, knees, hips, that kind of thing can get tight and so I think, ultimately, you gotta test not test. So, you and I have talked about this before. Not all testing is a hundred percent accurate but we do feel that the DNA connections report does give us a pretty good read for different types of Borrelia that we can look into Lyme then some of the co-infections which the name co-infection kind of sounds like it always comes with Lyme, I do believe some people just have Bartonella or Babesia. And those things can really affect people in terms of mobility so for me, things like Japanese knotweed are very helpful and I take a tincture of Japanese Knotweed and of course we’ll mix that into some of the other stuff we’re gonna dive into but you have to investigate this. So, if you’ve got mobility stuff or if you sit for a while and you get stiff or if you’re having issues just making a full fist, you can’t fully get those fingers in, make a full fist, there’s probably something there, infection-wise.    

Dr. Justin Marchegiani: Well, anytime you create chemical, so I kind of look at like, all right, we have structural inflammation and we kind of just talked about postural things like things that you’re gonna be doing sitting, standing kind of lifestyle habits, so not like going to the gym like, right? That’s kid of like our physical but you know more lifestyle. Now, we have our chemical and the more inflammation we put in our body, the more it decreases blood flow to tissues, the more it exacerbates prostaglandin 2 and arachidonic acid which are more pro-inflammatory. It’s gonna decrease inflammation, decrease blood flow and then we, when we, sorry, increase inflammation and decrease blood flow, decrease oxygen, so when we do that, the tissue starts to become less pliable, right? So, think of like beef jerky, very like not pliable, like you have to rip and tear it. The more inflamed you become, the lack of blood flow that you have, right, the lack of nutrition to the muscles, the more your muscles become less pliable, less like a nice raw beef tenderloin and more like beef jerky. That’s not good. So, when you do movements, you’re more likely to tear and injure tissue. And obviously, if you tear muscle, that’s more vascular tissue, it has good blood flow so it can heal better. But as soon as you start affecting cartilage and tendons and ligaments, that tissue is very avascular, very poor blood flow so it’s gonna be very difficult for that to heal. So, big things that we can do is, you know, more vegetables less fruit and carbs so keep your carbs in check. Again, if you’re more active, you can do more carbs, be very careful of your Omega-6 vegetable oils, ideally, you know, two to one on your high-quality saturated fats, really important and then you can do on your vegetable side, you’re better off doing your mannose, right? Avocado, olive oil, be very careful of your nut and seed-based oil and your omega-6 like sunflower, corn, soy, canola, very inflammatory and of course things like gluten, processed dairy, processed grains, sugar, these things are gonna drive more inflammation, they’re gonna decrease blood flow and just when the more inflamed you are, it just, it can create a lot of inflammatory molecules going through the body and they just make your body more stiff, more inflamed. The more stiff you are, you can’t get full range of motion, your tissues start becoming less pliable and easy to tear and injure and you feel just more stiff throughout your movements. 

Evan Brand: Yeah, well said. And then on the conversation of Lyme, for example, I mean, we know that Borrelia, in general, likes to eat up your collagen, I mean, it’ll really try to hid out in joints and such, so I think, collagen supplementation may be helpful too, just trying to replenish some of what’s eating up. But then, you just got to clear some of the infections, I mean, I’ll tell you, if I’m doing some of the anti-Borrelia formulations whether personally or clinically, people can move better. So, if you’ve had tick bites if you grew up anywhere, almost anywhere in the U.S. except for maybe Nevada or New Mexico, supposedly there’s not many ticks there. But beyond that, if you have tick bites from childhood, I mean that could be a factor to look into. This could be a dormant infection that’s left you alone for 30 years and then all of a sudden, you got exposed to mold or you had a death or a divorce or a move or a major job stress or even just the pandemic that’s been going on. And some of that stress people out of the sudden, boom, they have these major joint problems so who knows, there could be a trigger but like you said, it could just be, over time lack of blood, inflammation together. So, what about, like..

Dr. Justin Marchegiani: All these things modulate the immune system, right? And so, like, what you’re gonna see is you’re gonna see an increase in arachidonic acid, which a lot of these things are come from meat, so it’s not bad to have too much arachidonic acid but if we increase prostaglandin 2, that’s a more proinflammatory pathway. So, vegetable seed oils, omega-6, too much arachidonic acid but if you balance it with omega-3, high quality grass-fed meat which is very high in GLA. It’s not necessarily the fact that you’re getting it, it’s more of the ratio of where you at with the others and so that’s why, really what’s gonna tip you over is the processed sugar, the hydrogenated oils, the trans fats, the soy, the canola, the sunflower, too much nuts, too much seeds, that’s gonna tip you over and put you into a more proinflammatory state. And then the more sugar you eat, the more grains you eat, the more your tissue starts to become less pliable. Now, I have a history, like, doing applied kinesiology work and using percussion work, and um, chiropractic work. I remember working on a patient and they literally, their tissues literally felt like a bag of cement and this person, like, couldn’t like, so we would use a percussor, we’d do some soft tissue but we, I noticed that when we got gluten out of that person’s diet and grains out of that person’s diet and sugar out, the tissue quality totally changed and it’s like if you’re inflamed and you have such poor movement, you’re not gonna want to move but then if you don’t move the tissue gets tighter and if it gets tighter then now you restrict your range of motion and you’re, it’s a vicious cycle, right? So, you kind of have to get some movement in there, you have to loosen up the tissue, you have to make the diet changes so you get better blood flow but you got to work into it because if someone’s coming in, really inflamed and they go too over the top, they may create so much inflammation that they have a paradoxical reaction to feel worse, so you really wanna ease into it. And so, if you’re not used to walking, just walk a little but try to exercise just enough where you repeat it. That next day, you may feel a little bit sore but you can still function, you can still do all the things you do. If you feel too sore the next day, where you can’t do what you have to do, you probably did too much. So, just enough to feel it and know you did something but not enough where it affects your you being able to function.   

Evan Brand: Yeah. I got a few physical therapists clients and they tell me straight up that they know they’re never fully gonna get their patients better because of their diets and these people are coming in, you know, they’re eating like a subway sandwiches as they walk into the physical therapy office, so the physical therapist doing the best they can but they know just listening to us that they’re never fully gonna get them better without the diet changes and then they’re like well that’s out of my scope of practice. I can’t, you know, educate them much on diet so I’ll try to hint at it but yeah. It’s sad because you see billions and billions of dollars being spent per year on physical therapy, occupational therapy, physical rehab, that kind of stuff, people maybe had car injuries, for example, where there was a traumatic event that led to this mobility problem but then they never fully recover because they go right back eating the RB sandwich, you know, the roast beef and the bread and the ketchup and they never fully get better. So, I think, there’s a place, hopefully, people pick up on this, you pass this information onto maybe a physical therapist, get people off of grains, get people off of dairy, at least temporarily of dairy. I think butter, there’s maybe a place for that in most people’s diets. But I will tell you personally, I’ve seen the changes in my own family members if we can get them off gluten or off grains even for a month, we see improvement and so it’s just this doesn’t make money for people, I mean, there’s so many pharmaceuticals that people are taking instead, right? What’s the conventional approach for these issues like Aspirin, Tylenol, maybe Aleve and maybe some anti-inflammatory steroid drugs, right, I would say in severe cases, those are being useful. 

Dr. Justin Marchegiani: Yeah. I mean, you have your, like NSAIDs, which are gonna be like your Ibuprofen, your Advil, your Aleve, right, I think your Aleve’s kind of your time-release Ibuprofen, right. These are gonna help with the prostaglandin 2. And then acutely, you know, for a couple of days, if something happened that may not be a bad idea. The problem is if you’re chronically needing these medications that’s the problem. And then you have your acetylsalicylic acid, that’s your aspirin and then you have your acetaminophen, which is Tylenol, again Tylenol blocks the pain receptors so it’s not an anti-inflammatory. Aspirin is a mild anti-inflammatory. Ibuprofen is an anti-inflammatory. And then you keep on going up into the steroids where you actually get an injection, the problem with that is after one or two injections, your anesthesiologist or your pain doctor will tell you, yeah, we’re gonna start to break down tissues and cartilage and tendons, that’s not good either. And so, I tell patients, you know, one, you don’t wanna jump on injections right away because you want there to be some pain signal to tell you you’re doing too much when you’re rehabbing. So, it’s good to have some pain signals that will tell you, ‘hey I’m doing too much because the problem with this medication is it covers up the pain and then you may be doing things in your life movement wise, it’s actually creating more pain but you can’t feel it right. So, then of course, you go up the ladder and you’ll eventually be on opiates and that’s the problem and that opiates are very addicting, it’s just basically telling it’s blocking the brain’s ability to perceive pain and then essentially the longer your on an opiate, um, you know Suboxone, of course, you have the incredible, your morphine post-surgery, you have Fentanyl which is like incredibly higher version above your oxytocin which is like time-released opiate, it rewires the brain and you start to need more of it to then block that pain signal and then that creates more addiction right. So, you really wanna not be on these pain medications. Now, my problem with physical therapy and chiropractors is that a lot of times they can apply therapy that does not fix the underlying issue. So, chiropractors are very notorious for just, you know, adjusting a segment of the spine and creating some movement on that spine and calling it a day, right? But, if the person’s inflamed from their diet and lifestyle, that’s not helping it and also the soft tissue component should be addressed. So, when I was a chiropractor doing these kind of work, we would do like, percussion, I’d have a percussion instrument, just a couple of minutes to get the tissue warmed up and that way when I would adjust, I wasn’t having to adjust through all this soft tissue that was so hard, the soft tissue was more loose and I could move that segment and I’d always talk about how we get some better movement in the spine with exercise too because you wanna, you don’t want only movement in that spine to be through adjustment right? And so, getting these soft tissues under control using some active release techniques to help lengthen the muscle, help break up fascial adhesions, super, super helpful and so physical therapy, they’re notorious, oh I have knee pain, let’s just focus on that knee, maybe they do like an anti-inflammatory you know, uh, Russian stim or microcurrent or ultrasound, that’s good from an anti-inflammatory standpoint but physical therapy is common, we just only exercise that joint, we only stretch that joint, that’s it. They don’t look at the instability above and below the joints. Joints are very rarely just become unstable at that joint unless it’s an acute injury, someone took out your knee, it’s usually there’s instability either above and below so a good chiropractor, PT person will make sure the joint above and below is doing well. If I see knee issues, I’m gonna make sure there’s good glute activation, I’m gonna make sure that the hip flexors are facilitated, they’re not overly tight, I’m gonna make sure glute mi, glute max, all the adductor muscles in the middle are doing good. I’m gonna make sure the tip fib joint at the ankle has good stability. I’m gonna look at everything above because if there’s instability above and below that knee can compensate and have to work harder. So, I’m gonna make sure all the muscles around the knee, the glutes that stabilize the hips, the hamstrings that go to the glute that go up to the hips and also help stabilize the knee, the sartorius, the gracilis, semitendinosus, and semimembranosus, make sure everything is stabilized. 

Evan Brand: Yeah. You and I have coached many different, uh practitioners, a lot of them chiropractors and so many of them tell me, I’m just straight up sick of cracking backs for a  living because they know they’re gonna have to come back every week, they’re gonna crack the back again and then they’re gonna send the patient on their patient on their way and they’re never gonna get better and when I was working out of that brick and mortar practice and I started doing functional medicine consults, doing lab testing, getting all of the existing patients in the clinic, simply to make diet changes, it was funny but I guess not so funny for his bottom line, the chiropractor I was working for because, now instead of Betty needing to come in every week, she’s like no I’m fine doctor, I’m gonna come in in two weeks or three weeks or four weeks and it’s because the underlying inflammation was improving based on me fixing the gut, getting the diet improved. So, it’s kind of funny because people got in this routine of like, I’ll see you next Friday. It’s like, she shouldn’t need to be cracked again next Friday, you’re cracking her today, like what the heck.    

Dr. Justin Marchegiani: Yeah. It just depends how acute. If it’s an acute episode, you know, you’re gonna need to do it more frequently the first couple of weeks but if it’s more of a chronic thing, yeah you gotta get the soft tissue under control, or you gotta get the systemic inflammation in the body to the diet under control. And if you’re a chiropractor, you definitely wanna look at upper cervical, right, C1, C2, malalignments can create a lot of problems so that you definitely want to make sure that’s kind of crossed off your list because that can really cause a lot of issues and that could be a root cause as well but most people, it’s like poor posture, poor sitting, not enough movement, crappy diet, lots of inflammation and then of course, you know, muscles can also pull joints out of alignment too and cause them to feel sticky too. So like, I find the best chiropractor are like the applied kinesiology chiropractors because they would like use a percussion instrument even just for a minute or two is huge or they would do like origin insertion work, they would do like SOT technique, which uses blocks to get the hip alignment better I found those techniques were really helpful for chronic back issues and then when you have disc issues too, like you need to pump that back whether it’s a flexion distraction technique to help open up that disc, whether it’s an inversion table or whether it’s an inversion table or an inversion device for the neck that goes over the door or cuff to kind of create that negative pressure to pull that disc in off the nerve roots can be super helpful but then you got to get the muscles train down the road so a good PT or a good postural program like you can start with Eric Goodman’s foundation training. There are a couple of really good PTs online that are excellent, Bob and Brad, they go, they do a lot of nice postural videos at home stuff that are very helpful to people that are in pain. So, those are good guys, I’ll give them a, you know, a hot tip. Anything else you wanna highlight on the structural stuff we can go talk about the supplements next. I think that’s a good kind of ending point. Anything else, Evan? 

Evan Brand: Now, let’s move into the supplements, I had already mentioned like some of the enzymes, so I mean, we’ll use some of those and we often use these in combination, I mean sometimes people are taking so serratiopeptidase or I’m even personally doing lumbrokinase, I do a lot of lumbrokinase too because that’s like way more potent than serratiopeptidase and so we use that for blood flow problems with some sort of coagulation issue so whether it is an infection or mold toxin, Lumbrokinase, it’s a game changer.

Dr. Justin Marchegiani: But I want to hit that one. I wanna just hammer that one spot for a second. If you have poor blood flow which diet and infection can drive poor blood flow, if we can’t get the blood flow improve, we’re not gonna get the inflammation out and nutrition and oxygen in so ginger, the enzymes getting your diet under control, one of the biggest things that helps coagulation, if we decrease coagulation, we improve blood flow, we improve blood flow, we improve oxygen, we improve nutrition, we work on pulling inflammation out, that’s like a foundational mechanism to getting pain under control.

Evan Brand: Yeah. Well said. And there’s a lot of issues we’re seeing with post-viral coagulation issues or even acute coagulation issues, so make sure if you get some viral stuff going on, you gotta be knocking some if that too and we’ve seen people that are having chronic issues months and months later. So, to be honest in the time that we’re under I am personally staying on and recommending a lot of clients stay on some sort of enzyme just as an ongoing coagulation support, I think it’s a very, very smart insurance policy.  

Dr. Justin Marchegiani: Correct. And when we talked about these enzymes, for people that are listening at home, these are enzymes you take with food, we’re talking about enzymes we take an hour away from food on an empty stomach, you know, some of the best ones are gonna be the Lumbrokinase the nattokinase, the serratiopeptidase. Some are really good at taking them, um, enterically coated so they break down in the small intestine away from food so they get into the bloodstream. These enzymes can one break up scar tissue, they improve blood flow and they also can decrease a lot of interleukins and cytokines that are flowing in the bloodstream. So, if you’re chronically inflamed and you have a lot of these cytokines and interleukins in the bloodstream, these chemical messengers from inflammation, it can actually start to break them down a little bit, which is good. So, that starts to relieve pain. Now, if you get to the root cause, where you’re getting some movement, you’re working on your posture, you’re working on sleep and diet. This is powerful because now that starts to accelerate healing even better faster.   

Evan Brand: Yeah. And these are proteolytics so when you’re like researching these proteolytic enzymes as opposed you said the ones you’re taking with food are digestive, so they’re still called enzymes. 

Dr. Justin Marchegiani: Two different things and they cost a lot more too than digestive enzymes. They’re not the same price. 

Evan Brand: Right. Yeah. Like Lumbrokinase, I mean a bottle of it, retail on the one we use which is the Bolouke from Canada RNA. It’s like the best one, as far as I know right now. It’s like 98 bucks a bottle retail. So, it is pricey but man it’s incredible stuff, I mean in terms of hands and feet, my blood flow is incredible. That plus beet powder, which is maybe another thing I’ll go ahead and mention now increasing blood flow, I do like beet powder and I will use some of that supplementally. Yeah. Arginine, citrulline, I’ll take some those in liquid form and I’ll mix those together and drink it all down. Those can be very, very helpful. You mentioned ginger too, let’s talk about ginger because you’ve talked a lot about ginger for like nausea and digestive benefits but you and I were looking at some of the papers on it and it does have a lot of really anti-inflammatory benefits too. So, that’s kind of cool, we’re saying that it’s a digestive aid but also a systemic inflammatory aid, correct?   

Dr. Justin Marchegiani: Yeah. I try to add things into protocols that just have a wide net so I love ginger because (1) it’s a natural bitter, so it will stimulate digestive juices, (2) it’s an anti-inflammatory so it’s very calming, (3) it’s a prokinetic so it helps the digestive tract empty because if your have like some kind of chronic inflammation or gastroparesis, food and acis can sit in there too long and create burning, (4) it helps with coagulability so it helps with coagulation so it decreases it, so there’s less clotting so you improve the blood flow, it also helps with blood pressure as well. So, a lot of and then also it’s an antibiofilm, so if we’re using ginger, um, to help with like, you know, killing it, it can actually help strip the biofilm, which are the protective shields that bacteria use to prevent themselves from being killed so it helps with the biofilms which allows the herbs we use to be even better and again the enzymes we use also help with biofilms too. 

Evan Brand: Yeah. A cool study here was just saying that in rat models of liver cancer, ginger extract counteracted oxidative stress and inflammatory damage and it restored levels of superoxide dismutase catalase glutathione and prevented an increase in COX2, which is one of those pathways you and I were talking about that like some of the natural NSAIDs work on, ginger is basically a natural COX inhibitor. 

Dr. Justin Marchegiani: Yeah. It modulates, right? The problem with a lot of the COX inhibitor drugs of the early 2000s like Vioxx COX is called cyclooxygenase enzyme 2. That enzyme is also very important for repairing the gut lining and repairing the heart. So, if you block that all together like Vioxx did, you can destroy the heart and the gut lining, so with herbs it tends to more modulate not overdo it but bring it down in a modulatory kind of gentle way, kind of like an adaptogen works for adrenals and cortisol and stress. Shut it down but it pushes it in the right direction. 

Evan Brand: That’s an awesome way to think about it. So, ginger is an anti-inflammatory adaptogen? 

Dr. Justin Marchegiani: Yeah. Yep. 

Evan Brand: Pretty cool. Okay. Let’s hit the others too because there’s others we use in blends, how about some of the polyphenols like the quercetin, the rutin, the resveratrol, the rosemary. I talked about Japanese Knotweed earlier, the main benefit of the knotweed is because of the resveratrol in it.   

Dr. Justin Marchegiani: That’s Japanese knotweed. That’s very helpful. Yep. 

Evan Brand: It’s amazing for like rheumatoid arthritis, like I said Lyme type of arthritis, which a lot of RA probably is Lyme but it’s been not properly diagnosed. So, I love those. I personally take some sort of that all the time. You know, quercetin, I love too, it’s in the vitamin C family. I love it because it’s a great mast cell stabilizer. So, if you are dealing with mast cell activation in the case of mold toxin or Lyme or Bartonella, Babesia, Borrelia, Mycoplasma, any of these things, even viruses that are triggering mast cell problems and you have all this histamine out in your system, the quercetin is really gonna calm that down so that’s why I love it. And you can do too much of the good thing but in general something like 250 to 500 milligrams 3 times a day of course for me is a game changer. 

Dr. Justin Marchegiani: 100% I would say next, we could do curcumin much better off to take it liposomally that’s very important. So, liposomal curcumin also, you know, make sure you cut out nitrates, nitrates and of course grains and refined sugar can create joint issues, so you’d be surprised how many people that have many chronic issues just making those changes help. So, liposomal curcumin for better absorption. 

Evan Brand: Why the nitrates? Will you riff on that for a minute because nitrates..

Dr. Justin Marchegiani: The alpha-Solanines, their compounds, their anti-nutrients in the nitrate family, tomatoes, potatoes, eggplants, peppers, these alpha-Solanine can get into the joints and they can kind of create a lot of inflammation similarly with people that have oxalate problems. Oxalates can get into the joints. These oxalate crystals and create a lot of pain issues in the joint tissues, in the muscle belly too. Now, again, I don’t go into oxalate restriction out of the gates because there’s a lot of healthy foods that have oxalates in them. Spinach and green vegetables. So, if someone’s coming off of a processed food diet, the last thing I want them to do is not to be worried about oxalate because that restricts a lot of vegetables. So, I don’t worry about oxalates out of the gates if someone’s diet’s crappy. So, I would just, I would work on their diet very clean and then potentially in some organic acid test that we do, we could see if oxalates are really high. If do they have a history of kidney stone problems, those kinds of things are helpful.  

Evan Brand: Well, yeah, don’t forget to mention too, Candida, I mean we’ll see oxalate. 

Dr. Justin Marchegiani: A ton from a kid’s problem. 

Evan Brand: Yeah. So, I’ve seen people on like a low oxalate diet for years, they still show up off the charts and they’re having these joint pain issues, we simply just fix the yeast overgrowth or the fungal problems and then the oxalate markers go down and their joints are better. So, make sure that when you’re doing a work-up on these type of issues whether it’s mobility or pain or otherwise, make sure you’re looking for these fungal colonization markers, you’re looking at the Candida, you’re looking at some of the bacterial overgrowth because all of these things are gonna act as we’ll just say toxin in the bucket and if you get this infection plus that infection plus yeast then you really have much, much higher chance of having these problems and you go take the ibuprofen, you’re not knocking any of that stuff out. The yeast is still there.   

Dr. Justin Marchegiani: 110%. So, the oxalates, maybe more of a yeast issue, not necessarily an oxalate problem. So, something we add to our list, we can use, uh, things like Boswellia or Frankincense, very, very helpful, very good. Again, these things, how they’re working is they’re primarily modulating interleukins, they’re primarily working on cytokines, reducing some of these inflammatory compounds they may be working on the COX enzyme C-O-X-2, they may be working on nuclear factor beta, right? These are different inflammatory signals or chemical messengers, uh, may be working on prostaglandin E2, so they may be helping a lot of these things. So, we have to make sure if we use supplements though we’re not just covering it up like a band-aid, we’re actually trying to get to the root cause. So again, herbs tend to be better than like an ibuprofen long term because these things kill tens of thousands of people a year, not in the right way. Go look at Wolf et. al., 1998. New England Journal of Medicine Ibuprofen kills 19,000 people a year taken incorrectly. So, using these medications like Ibuprofen or NSAIDs in the short term may be fine, it’s the long-term use because you’re not getting to the root underlying issue. The nice thing is if you use the herbs and the natural things, long-term, there’s virtually no negative impact using those but again we’re not still getting to the root so use the herbs and the natural stuff long term to get to the root, get to diet things, that’s your best kind of foundational things. We can also add in some CBD oil, which is very anti-inflammatory. Anything else you wanted to highlight supplement-wise?  

Evan Brand: I would say magnesium would probably be one other one that’s located.. 

Dr. Justin Marchegiani: Great muscle relaxer

Evan Brand: How about, also, some of the herbal muscle relaxers too, I mean like Valerian and Passion flower, there’s some benefit from these. There is kind of a dual purpose, right? You could use it for sleep. Yeah, poppy would be good too. You could blend all those as kind of a sleep but also like a pain remedy and then I like topical magnesium also I love the Epsom salt bath. I like it more in a float tank though. I mean, Epsom salt bath, you’re like what a couple of pounds at most whereas a float tank, you’re getting 800 pounds, so just not eating.. 

Dr. Justin Marchegiani: I still absorb a ton though; I just do my fit. Just like a scoop or two but I still feel a huge difference but I agree if you can do the float tank, great, but if not that’s still a good in-between at home. Try it out for sure. 

Evan Brand: If I was like super stiff and I’m like my God, I can’t move, I’m going in a float tank because, I tell you I’m so flexible in there like when I first get in that so folks listening, this is basically like a large bathtub with 800 pounds of salt give or take. Super filtered water, it’s warm, it’s your body’s temperature, you take a shower, it’s usually at a spa setting, you get in there, you float on the surface of the water, you have your own little private float tank or float room usually and you’re just floating there and you’re there for an hour and your nervous system relaxes, they’ve used it for trauma and PTSD, so in terms of mental benefits, there’s incredible anti-anxiety benefits from it, but for physical too also, I tell you man, when I’m in there I fell, I mean, I feel like I’m made of jelly like, I mean I can just move so much better. One of my things. 

Dr. Justin Marchegiani: I would say, that, you know, from a nutrient standpoint amazing, a good myofascial release massage person, a good active release chiropractor, some kind of soft tissue technique, even if you’re doing, um, you know, foam rolling or get one of the hypervibe percussive tools at home. Just something to improve pliability, add in some of these nutrients that we mentioned CBD, curcumin, resveratrol, anti-inflammatory, I think also incredibly underrated collagen, I mean I do my true collagen 20-40 grams a day, um, collagen is a building block of your connective tissue that we don’t get a lot of because we’re not getting the knuckles and the bones unless you’re doing lots of soups with the whole carcass in there, we’re not getting these nutrients. So, adding extra collagen is essential for good building blocks or your joints and connective tissue.  

Evan Brand: I would agree. I mean, a forgotten nutrient that we just don’t eat in our diet, you can’t get that at a steakhouse, I mean, you’re just getting lean muscle. 

Dr. Justin Marchegiani: Unless, you’re getting bone marrow, unless they cut the long bone and they have all the marrow for you and eat that, that’s the only way you get it. Work in soup but most people aren’t getting it and so we’re getting more muscle meat, so that’s a good step out of the gates. I mean, I had my little coffee here, I had 30 grams of collagen this morning. People aren’t getting it. 

Evan Brand: Sweet. So, regarding 

Dr. Justin Marchegiani: A lot of anecdotes of patients, a lot of anticipations of just getting more collagen and changing their diet, huge chronic joint pain just shifting. 

Evan Brand: Oh, yeah. And yeah the diets used. So, yeah, I mean, labs, I mean we’re gonna look at stool, we could look at urine, we could look at blood too but you know but this is part of a work-up that we do, so if you need help please reach out. I’m sure we could get to something that hasn’t been found, I mean, even the Prevotella infection we look for in the stool like 75% of cases of Rheumatoid Arthritis are linked to in certain studies this Prevotella infection, which is the bacterial we test for. So, you’ve gotta look for the microbiome type issue, you gotta look for the deeper stealth infection issues, intracellular parasite type issues. There’s a lot of stuff too but we just have an approach to it, you know, we kind of peel back the layers here and we get to the root of it so if you need help, you can reach out. We both work worldwide with people via video and phone calls so you can reach out to Dr. J, it’s Justin at justinhealth.com or me, Evan Brand, evanbrand.com and like I said we work online so we’re very blessed to be able to help people in every nook and cranny of the globe and it’s a wonderful thing to be able to help people find things that they never found in 20 years of suffering and we just love to provide that, I don’t know, the pot of gold at the end of the rainbow, I suppose. 

Dr. Justin Marchegiani: 100% and you just mentioned some bacteria issues and different joint issues we know ankylosing spondylitis, which is an autoimmune issue that affects the lower back, your Klebsiella is a common bacterial imbalance, we’ll see affecting the lower back and causing AS that’s another issue, we kind of add to the list so very powerful. So, yeah, again evanbrand.com, justinhealth,com for me, we’ll put the list of recommended products and different herbs that we use in our practice clinically if you wanna support, uh, the podcast and support us, feel free click down below, look under the references and you can get all these things that we recommend for our patients and ourselves right down there. Anything else, put your comments below, we really appreciate you interacting, sharing with family and friends and most people that we interact with, we don’t even get a chance to see and they get benefit so we love to hear your stories and your success. Evan, anything else man? 

Evan Brand: Yeah. If you’re on apple either on Justin’s podcast or mine since we will publish these episodes on each other, make sure you give us a review, we would really love it on the apple podcast, it helps to keep us up in the top of the charts of health and fitness so we can provide real root cause functional medicine strategies, there’s millions of people out there suffering and maybe a fraction are gonna get to hear this so please sharing is caring. Leave us a review, tell us what you think the show deserves and we’ll love you forever. 

 Dr. Justin Marchegiani: Thanks guys. Have an awesome one. Take care. Bye. 

Evan Brand: Take care. 


References:

https://justinhealth.com/

https://www.evanbrand.com/

Recommended Products:

Magnesium Supreme

TruKeto Collagen

Trucollagen (Grassfed)

Enzyme Synergy

Organic Grassfed Meat

Audio Podcast:

https://justinhealth.libsyn.com/how-to-reduce-inflammation-and-improve-joint-mobility-podcast-359

Why You Can’t Put On Muscle – Functional Medicine Solutions to Avoid Being Flabby | Podcast #357

For most people, Dr. J and Evan state that most of the end goal is to build muscle and tone up. While you may have done your research and watched plenty of workout videos online, many still make a variety of common mistakes that can lead to hampering gains and slowing down their progress.

It would help if you also had protein which contains amino acids, the compounds that help build and repair muscle tissue. While cardio is essential, too much of it can also harm you and possible lack of sleep. Moreover, Dr. J and Evan emphasize that monitoring your diet or food template is vital in the entire process.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction

1:53 – The role of protein and diet in building muscles

5:31 – Helpful exercises to stimulate muscle building

12:12 – The gut connection of a flabby body

18:04 – The effect of too much sugar and carbohydrates in muscle growth

30:56 – Helpful strategies and lifestyle modifications to boost muscle growth


Dr. Justin Marchegiani: Today, we’re gonna be talking about putting on muscle mass, how to avoid being flabby. We’re gonna be talk about digestion, exercise, being able to absorb and break down protein, also you can work on helping to be, you know, strong, functionally strong, lean, etc. we’re really excited to dive into today’s topic here. Evan, how you doing man?

Evan Brand: Yeah, doing really well and you guys asked for this. We didn’t just come up with this how not to be flabby topic. You guys said this during many so much consultation that Dr. J and I had done personally with people that’s what women say. So, were gonna address that. They say, “I’m flabby and I don’t want to be and what do I do about it?” And if you were to ask like a conventional weight trainer, bodybuilder type person, they’re gonna tell you to probably eat more calories and just work out more harder. And most of the people that have come to us, they’ve already been down that rabbit hole and they’re far more symptomatic and sicker than at the level of where they can just try to hit the gym harder and that’s really to me not the answer because I’m lean. I stay lean. Now, granted I’m not a 50- to 60-year-old woman that has this particular issue, but I don’t have any sort of issue to where I feel like I need to eat less. I don’t count. I don’t measure. I don’t think any of the women and men even listening or watching this, I don’t think you need to count, or measure or weigh. I mean this food obsession. Our ancestors didn’t do this. They’re not out in the past year in, you know, native American times looking at the bison and saying, “oh no, that’s my two ounces of beef, I gotta stop” or “my bison, I can’t go beyond that four-ounce portion that’s too much”. There’s deeper root causes like estrogenic compounds in the environment and mycotoxins that effect your leptin receptors and create this fat storage mode so there is some more modern toxin issues that hopefully we can dive into today.  

Dr. Justin Marchegiani: Yeah, absolutely. So, first thing out of the gates, we need to make sure we’re consuming enough protein. That’s really important. So, protein is essentially the building blocks to help out put on muscle and to keep our body strong and so what’s kind of the general sliding scale. Again, it depends upon how much you’re wanting to exercise, what your goals are right. So, as a female, you’re not gonna just be able to hit some lifting and then get overly bulky, it’s just not gonna happen. But, kind of general scale is about half a gram to one gram per pound of body weight is a pretty good rule of thumb so if you’re a guy like I’m six to 215 pounds, I would probably if I wanna really get bigger, I need to be doing at least 200, 230, you know, grams of protein per day, right? Typically, I’m at about .6 to like three quarters a gram per pound of body weight, so like maybe around 150 grams. I’m usually about 5 – 6 ounces of proteins per meal and so that’s kind of where I need to beat at one protein is very satiating, I’m making sure, I’m consuming fat with it, so, then it’s stabilizing blood sugar. It’s providing a lot of amino acids which are, you know, important for brain chemistry, blood sugar stability, mood. Also, adding fat with it which one fat tends to have good high-quality cholesterol from animal products, so, that provide building blocks for hormones, fat soluble vitamins, really good nutrients. And from there, your carbs are going to be dialed in based on your activity levels, that’s where more starch, if you’re more active, if you are pretty lean, you could probably handle more starch. If you’re carrying extra weight, you want to mitigate the starch, go lower on the starch and focus more on non-starchy vegetables, maybe a little bit of low sugar fruit and kind of time that up. The next thing is stimulus. You’re gonna need to more your muscles ideally and it’s not have to be a crazy amount. It depends on your goals are. If you’re just a woman then you wanna have your muscles just feel solid, that could be something like Pelatis, where you’re doing body weight or cable movements, you know, typically finding a movement where you could do about 12 to 15, as a female, reps, um, with maybe 1 – 2 reps the tank. And I like, 1 – 2 reps in the tank, just because it makes it so you’re probably gonna hurt yourself. The more skilled you are, the more you can go right to failure, that’s better. The less skilled you are with the movement, if you don’t have a good trainer watching you, you know, probably leaving one to two reps in the tank will help prevent you getting injured. But, just recommend starting with push-ups with good full-range push-ups. I like having a borrowed push-up because I can go deeper which is great, my face won’t hit the ground, right, so I can go deeper, go all the way down and then go all the way up, so full range. Here, you can get a TRX which is a suspension trainer, put it in the door jam, I have one over here in my gym and you can do a full range pull so you’re working in the push, pull, and of course you can also do, uh, Lat pulldowns like this, or hands facing to you, so pull up, chin ups in the face, do more of the Lats, yeah, chin ups, more Lats, pull up is gonna be more biceps. So, you’re working, trying to work every single range that comes at you and ideally with the pull up you could get some elastic bands that hook around your bar and that go around your knee that gives you that little extra push. So, the key is just to find simple movements that you can do to failure plus or minus 1 or 2 reps in the tank. That’s a really good stimulus out of the gates and the next thing is really dialing in the protein, so we talked about amounts there and then we can go other things like digestion and other gut issues that could be impairing that protein absorption later on. 

Evan Brand: So, I can hear a woman saying, “you’re nuts, I’m not gonna do a pull-up, there’s no way I can do a push up, I’m not anywhere close to that fitness level”. And I would say, if you’re not, if you do have access to a gym, if you’re into a gym, I’m not anymore, I used to have a gym membership, I don’t need it anymore, I’ve got a good setup at home, so I feel like I’m great without it. But if you were to have access to a gym even for 10 bucks a month. There’s a lot of good ones like planet fitness that are out there now to where you can do some of these assisted like, uh, type exercises where they have assisted pull-ups or they have like assisted, uh, dips where you have weight that literally pushes you. It like, if you weigh 200 you add 50 pounds that it’ll make you feel like you weigh 150 and you can start there. So, you’re really starting with like a negative weight of your true weight. So those machines are available if you could feel like you’re just so out of shape, you can’t even do one push-up or one pull. And you can just go on your knees too, I mean you could start out push-ups on your knees as needed. You gotta find people, where they’re at. So, if you’re like, ‘man I’m too discouraged, I can’t do a freaking pull-up, I give up, I’m not doing anything’, you don’t have that attitude about it and if you could have one piece of equipment, I mean, I gotta say I love the row machine, I’m glad you got one too. 

Dr. Justin Marchegiani: The roller is lovely machine.   

Evan Brand: It works your legs, it works your arms, it works your backs, works your arms, your traps. I mean if I could take one thing to an island, some are gonna argue with kettlebell, which probably is more functional, but in terms of enjoyment, I gotta say, I really enjoy and love the rower and I still think, there’s a place for kettlebells and dumbbells, I mean those are awesome, universal things. But for women, that and, and I just know this based on personal experience. Maybe younger females are not gonna be turned away. But I can tell you, if I try to take a kettlebell to a 70-year-old woman, she’s not gonna be interested in swinging that thing around. She’s gonna be worried about hurting her back or swinging the wrong way and it’s a lot more intimidating than sitting down and just simply rowing. So, this is hard to give one universal prescription because there’s different people listening, but I would say rower is very easy, low impact on your joints and not intimidating at all.  

Dr. Justin Marchegiani: Yeah, and then what’s the name of the rower that we have? 

Evan Brand: It’s called a concept 2. 

Dr. Justin Marchegiani: Concept 2. Yeah. I think I have the D. You have the D as well? 

Evan Brand: Yeah. I think, yeah. I think the D is, there’s a little different but yeah concept 2-D, it’s a rower. It’s vey very sturdy. You get what you paid for. So, it’s around a thousand bucks but it’s worth it.

Dr. Justin Marchegiani: It’s worth it, you could stand it up, so it saves a lot of space too. Yeah, I like that more for my interval stuff, so I’ll do a 30 sec on, 20 sec off, I’ll do eight sets of that. That’s gonna be more of like high intensity, just really good cardio interval stuff. I like that, just for keeping metabolism up, keeping the body a little bit leaner and more functional. I like the fact that you’re doing something that’s on the cardio side that’s putting you more into extension like this and you’re using your hamstrings to pull yourself as you slide right back and forward, you’re using a lot of your hamstrings and then a lot of the back where a lot of cardio stuff like, you know, whether it’s a bike or you’re on Peloton or you’re on elliptical, you kind of hunched over in this flexion position. I love the fact that you’re opening things up and extension. So, I like that. That’s good. That’s definitely on the cardio side. Now, like Evan talked about earlier like, easiest thing out of the gates a TRX suspension trainer is great because you can just change the angle in which you’re at so like, if here’s the suspension trainer hanging, and if I’m like at this position, this is going to be, meaning I’m flat with the ground, I’m like a 90 degrees angle from that suspension trainer, that’s gonna be the hardest. So, you can always just change it so you’re at 45 degrees or less. It’s like the equivalent of like kneeling or doing a wall push up, right, the angle is less, um, less perpendicular, therefore you’re gonna have less force, so you can always just do a TRX trainer and just change the angle so that push up or pull up is gonna be less and then in between you can also even do cables, whether you have cables at a gym or you can get some flexible bands that either wrap around like, um, like let’s say, I have a big, um, squat bar, so I’d wrap it around that and so it would be behind me like this and I would do pushes like this where I could do pulls like that, that’s great. Just, if you’re wearing, if you’re doing cables, if it’s not fully secure, I do recommend wearing safety class. People have gotten those things that have snapped and hit you in the eye, you can get some safety ones that like have like a little protective, I wanna say, like a wrapper around the cable. So, if it does break, the wrapper prevents it from whacking you in the eye. Does that make sense? So protective band or really kind of a safety-based cable that’s not gonna break, um, if it does it won’t whack you. So those are good options for you out of the gates for stimulus, because you need to have the stimulus, right? Push, pull, right, pull in the vertical motion, you can even do a row in that motion, uh, you can do hip extension movement which is the easiest thing there is gonna be like a kettlebell swing, that’s gonna be easy or some type of a deadlift, right, it’s gonna be really an easy one there out of the gates. Anything else you wanna say about just the lifting? I recommend just, kind of, keep it simple. Do primal movements that are just gonna one put resistance in that plane of motion and just work within that, plus or minus, you know, 1 – 2 reps of failure. So, you’re not gonna hurt yourself but you also feel a little bit fatigued the next day. 

Evan Brand: Well, just simply moving throughout the day, I mean a lot of people are listening right now, they’re sitting at an office chair, they’re sitting in their car, you and I are both standing up, right now and we both do stand and sit. Sometimes, I’ll put my desk on the very lowest setting to where I’ll just literally be on one knee, like proposing and I will work on one knee for a little while. So, you and I are doing something very unnatural and many people are listening, we’re looking at screens and we’re, um, in a box working on a computer and so that’s very unnatural. So, I try to counteract that as best as I can by trying to either do the row machine on my lunch break and go from sitting to standing to kneeling and just try to do these positions. So, people listening, I’m not saying you gotta stand all day, I did that for a while, they hurt my back, so I think too much of one thing is not good either and if you’re a woman you’re in an office and you’ve got high heels shoes on, you’re trying to do it, obviously take your shoes off, try to go barefoot, you can get a really good like silicone, like rubber mat that they use for like washing dishes at the same time. Yeah, like an anti-fatigue mat, I mean, I would do something like that. These are the simple strategies. Now, would it be more optimal to be out in the sunshine all day, mostly skin exposed grounded, walking the beach 2miles a day and eating grass-fed meat all day and you know having, you know, handsome men, like wave banana leaves and keep you cool. That’d be awesome but people still have to work so I think you’ve got to work in some of these functional strategies with your normal real life. And then let’s go into the more, I guess you would call it nuance but really more of the deeper root causes because I’ve had people lose 50 to 75 pounds by changing nothing in regards to diet and nothing in regards to fitness. These were people that were relatively active. These were people that already had their diet dialed in, they were mostly animal based good quality meats, doing fine on the protein and the fats but they had these other root cause issues and I’d say that the first place would be to go is the gut and you and I have talked about this in other aspects but in other podcasts too but the gut can really be a big place where you gonna become flabby and this is really due to the recirculation of toxins, when you have bacterial growth in your gut, which is an extremely common thing, this is not rare. When you have a bacterial overgrowth, in general, that can create an elevation of what’s called Beta-glucuronidase, which is an enzyme that’s gonna cause you to recirculate hormones and so, you have this personal trainer beating you up and you’re not making progress. If you don’t look at this marker and you don’t fix the gut, you’re likely not gonna have many results and the personal trainer is gonna take it personal. They’re gonna try to hit you harder, they’re gonna try to kill you and I’ve heard this before when women are literally dropping out of fitness classes because the instructor’s just beating, beating, beating and it’s like that’s the definition of insanity. So, you got to get this root causes. If you’ve got this recirculation of these hormones and or toxins like mycotoxins, I don’t care how hard you hit the CrossFit, you’re not gonna get the results that you want. 

Dr. Justin Marchegiani: Absolutely. And also, just if the fats over that muscle, you’re gonna feel a little bit flabby even though the muscle underneath is getting a little bit stronger. So, you know, I always recommend getting your micronutrients dialed in, getting your carbohydrates in check so you’re not overdoing it, uh, because the more carbohydrates you make, the more insulin, the more you’re gonna be storing your fuel as fat. And again, the more your metabolism is higher, you’re more ectomorphic, you’re leaner naturally, you can handle more carbohydrates, right? The goal is that we individualize things for each person because, you know, we talk about low carb or keto, some people don’t need to do that and some people can be keto and much higher levels of carbohydrates. Some people can be ketogenic at 100 grams, for 200 grams of carbohydrates a day based on their activity and their metabolism. Some needs to be like minus 20 or 30 net. So, everyone’s a little bit different, I think that’s the important. There’s some individuality there. I would say the next thing is we, um, if you’re a female, it’s really important, menopause can really throw women’s metabolism off. If there’s low thyroid or Hashimoto’s that can really throw metabolism off. So, if you’re struggling, you’re having a hard time, we have to look at your thyroid function, look at your T3, your thyroid levels, look at antibodies, make sure that’s under control. If progesterone and estrogen is very low especially estriol and progesterone that can affect muscle building. Progesterone is really important for collagen and elasticity formation. It’s part of the reason why women get a lot of varicose veins is low progesterone, which has a major effect on the elasticity of the veins. So very important there. And then I would also say, um, toxin exposure, right? If you have lots of estrogen, if your estrogen dominant from birth control pills or estrogen from meats or milks or soy, that can put you in more of a fat storing mode because these hormones produce more fat and then guess what your fat also has an exocrine function in regards to producing estrogen. The fatter you get then the more fat you get and the more estrogen your fat cells produce. It’s just like downward spiral that just kind of, is a positive feedback loops that gets worse and worse as you go along. So, you really have to look at toxins in meat, pesticides which are all hormone-based, drugs that are gonna have estrogens in it, birth control pills, etc., milks, plastics, eating your foods out of plastic especially plastics that you’re warming things up on or you’re letting UV light hit, definitely not a good thing out of the gates.   

Evan Brand: Yeah. Well said on the thyroid too and your personal trainer is likely not testing your thyroid, so obviously, that’s were gonna be doing. And then also you know, we have a lot of experience with fitness. So, we try to educate people and give fitness plans and advice where we can there. And, I think the big people are skipping the foundational pieces. I mean, it’s fine if you just want to sign up for a class and try to get active but really, I would say, get some of these labs run first. Get your gut looked at so we can see what type of bacterial overgrowth you have, as I mentioned this is an epidemic problem. This is not a rare situation and the gut can be one of the big wrenches in your gears. That’s not allowing you to lose the weight properly and like I said, have people literally lose 75 pounds, just by fixing some of these strategies like fixing digestion. Now, for some people it could go to the other way. Some of these issues with females, it’ll cause weight loss and they’re having issues with getting muscle back, you know, building it back. And so, it depends on where you’re at. Some, they lose muscle and they still have body fat but they’re thin they’re like a skinny fat, they call it, you know, you could have a woman who’s five foot two and she’s 140lbs. And then all of a sudden, she gets sick, loses weight, now she’s 120 but she still looks flabby. That could just be because she lost that muscle due to malabsorption due to these infections like H. pylori. You and I’ve talked about the story of me where I lost 25 pounds without trying, I didn’t really have much weight to lose, but I got super skinny due to my gut infections and so it took me literally several years to build the muscle back but the first step to building back was to get rid of the gut infections and then still working on detox. I had a ton of mold toxin issues and that really screwed up my metabolism to where I was very hungry like 2 – 3 hours, I’d have to eat and no matter if it was a grass-fed steak or what. And now, I could literally go from 7am to 1pm without food and I feel like perfectly fine. I feel satiated, my brain works better, I have more mental clarity, so a lot of it’s the as you mentioned. It’s the blood sugar involvement too so you have to fix that.  

Dr. Justin Marchegiani: 110% So like the big checklist out of the gates is don’t do too much carbohydrates. Too much carbohydrate, too much sugar will make you a little bit flabby whether it’s through cortisol, whether it’s through inflammation, oxidative stress. Of course, if you’re eating a lot more carbs, right, you’re not really getting enough protein typically, right? Unless, you are someone who’s higher metabolism and really making sure proteins and carbs are dialed in and you’re doing a lot of activity. Most people, they do too much carbs too much sugar, they tend to not be getting enough protein. So, half of your body weight in grams is usually pretty decent out of the gates and then you can go up to one gram per pound of body weight depending on how active you are. So, some are gonna be good, most women are gonna be good, somewhere between a half to maybe two-thirds to three-quarters. And a lot of male people that wanna get really big, they may want to be one gram per pound of body weight. That’s kind of a good sliding scale. 

Evan Brand: Now, in the beginning, I was saying I don’t think people need to count, measure, weigh and then now you’re giving numbers so I just want to clarify kind of where I am with it. I think you can and should, to get a ballpark of where you’re at based on your meals but you should not be obsessing about it. 

Dr. Justin Marchegiani: Yeah, so I keep it really simple, right? And so, what is, um, what is about four ounces of protein is gonna be about 25 – 30 grams of protein, right?  And so, for most women, that’s gonna be about a palm to a fist size. And so, when you looking at, picking up, you know, you’re serving yourself a meal, it’s very simple, you know, there’s no weighing or measuring, you’re just kind of like what is about a palm to a fist size in regards to my hand, in regards to that serving of protein on the plate and you just scoop yourself up that amount anyway and that’s your amount. So, there’s no real crazy amount of weighing or measuring, it’s just kind of eyeballing kind of your own anatomy comparatively to what’s on the plate, and that’s usually a pretty good rule of thumb. And you know you did pretty, pretty good it’s because you’re gonna feel satiated after that meal, you’re going to eat about 10 minutes after you finished eating. The goal is we want to feel satiated enough where we can go 4 – 5 hours to the next meal. So, that’s kind of give you enough. We’re not pulling on a scale. We’re not having to measure but you got to know that like in the end, if you’re eating enough, well, what does that really mean? You ate some size amount. What is that size? It’s probably gonna be between 3 and 5 ounces of protein on average and then you can just use your hand as a good frame of reference when you’re serving yourself up. Keep it simple. 

Evan Brand: Yeah. Thanks for clarifying that because I said a lot of people, they’re just so brainwashed from conventional dieting and stuff and they get freaked out about food. They have like a PTSD of food portioning and all that and they think they have to do that. And you don’t and once you get clued in with your satiety signals. It’s so easy, you don’t need to think about it and. 

Dr. Justin Marchegiani: It’s a good frame of reference, right? Because in the end, you’ve gotta serve yourself up something. How do you know to serve yourself up this much versus this much, right? You know, usually, you know, 3 – 6 ounces, 3 – 5 ounces would be pretty good. So, like for a guy, right, I’m 6 – 10-ish, right? I have bigger hands to like I may serve protein amounts the size of my hound. So, go between a palm to a palm, to a fist to a full hand is usually that frame of reference. The more active you are, the more stressed you are, the more act, you know, the more you’re doing exercise, move to a protein amount the size of your full hand. The less active you are, you can go to that palm size. And if you just starting out like you’re coming on board like being like a vegan vegetarian where there’s not a lot of protein. Start with a quarter palm then kind of work your way up. And again, if you have problems with your protein, it typically means you have low hydrochloric acid, low enzymes and you have to really work with a good functional medicine person to get your HCl and enzymes up and you may have H. pylori and SIBO and other bacterial imbalances that are impending your digestion so you have to look deeper if those symptoms come up. It’s not the protein, it’s the fact that your digestive system is weaker and cannot tolerate the protein. 

Evan Brand: Yeah. Well said. A lot of people blame the meat, ‘oh, I feel bad when I eat meat, so I’m not gonna eat meat’. It’s like, no. That’s, you’re supposed to be doing that. Like, I have a client the other day that was in South Dakota, super strict vegan. And I’m like, ‘okey how dedicated are you to being vegan?’. Like, well, they’re totally like, ‘I’m total dedicated’. Like, okay, so if let’s just role play, I was like, ‘okay, if there were no planes, no trains, no buses, no semi-tracks and it’s the middle of February and there’s a foot of snow on the ground in South Dakota, are you gonna be able to stick to your diet?’ The answer is ‘no way’. I’m like, ‘what would you be eating that’s in the landscape?’ Animals. So, we don’t have to turn into that podcast but I just want people to know, how important these things are. They really do help stabilize blood sugar. Could you make vegetarian vegan diets work? Maybe, if you try really, really hard. But that’s a whole other podcast. Let’s go back to the mycotoxin piece for a minute because something we’re seeing is something called Zearalenone, which is highly, highly estrogenic mycotoxin and it comes from a mold Fusarium which grows in water damaged buildings. Now, you will get exposed to some of this from moldy contaminated grains but I would say that vast majority, 90% of it, I would estimate is probably from buildings meaning whether your mother had mold and passed it in utero and if you are breastfed, if you went to moldy daycare as a kid, moldy elementary, middle, high school, moldy homeschool, moldy college, moldy dorm, moldy office building. I mean this is an epidemic problem. I see it literally every single day, all day and Zearalenone really screws up your estrogen, actually far more than soy. It’s way more estrogenic than soy. So, we do talk about, you know, the pitfalls of doing like soy protein and that kind of thing. But man, Zearalenone will screw you up way more than soy protein. And this is something you have to use binders to pull it out of the system. So, if you’re struggling with weight loss, you are having these estrogen dominant symptoms. Maybe, you’ve worked on the hormone piece, but you’re still struggling. Maybe you’ve implemented something like calcium D-Glucarate to work on that glucuronidation pathway but you’re still suffering, you may need to look into this and we measure this via urine. So, this is where, like you mentioned, a good work-up comes in handy. We’re gonna do urine, we’re gonna do stool as needed. We can look into these different body systems and find the dysfunction but this is the real root cause, functional medicine strategy to have lean muscle mass and lose body fat. And unfortunately, this is a very, very not talked about discussion. You and I talked before we hit record, there’s a lot of talking heads on the internet. People that will say this study says that and this study says that but none of them are actually doing the clinical work and we wouldn’t be able to do what we do if we didn’t get results. And we get results because we’re running the right labs, we’re doing the right root cause strategy which is getting these toxins out of the system. And I’ve seen it in children as young as five, I’ve seen it in two, three, four-year-old. I’ve seen it in my own kids, we tested their urine and see mycotoxins. So, this is a problem that it does affect kids. Now, you know, obesity in children usually there is diet issues but I have seen in some cases, I have a lady in New York, her 8-year-old was basically eating paleo but she was obese and she had extremely high levels of Zearalenone. Luckily for this little girl, we were able to do binders, she was able to swallow pills which was great because it made it easier and boom this kid lost weight, she didn’t change anything with diet. She just detoxed. So, honestly with so much toxins that we’re up against, I would say detox support for life is really how I approach the conversational people. 

Dr. Justin Marchegiani: Exactly. So, if you’re in a moldy home, you know definitely get your home tested. If you have a lot of mold toxins out of the gate, you know, it depends on kind of where you’re at. If there’s an active mold stress in the environment, I typically recommend work on getting your digestion, your diet, your inflammation dialed in. If there’s no active mold in your environment and then work on dealing with mold detoxification once you have more stability with all your other organ systems and immune function. So, it just depends upon where you’re coming from. If you have like active mold in your environment, that’s the easiest way to detoxify out of the gates is to get the environment kind of more dialed in and we have a podcast on that topic that we can put in the links down below. Evan, anything else you want to highlight for the listeners? So, I mean digestion is really important, HCl, enzymes, bacterial overgrowth, poor digestion, we talked about getting enough protein and again we thought you kind of talked about measuring not measuring but just kind of using your own anatomy as frame of reference because you have to serve yourself anyway in regards to what you’re eating. So, it just gives you a good frame of reference that you know how much to give and then ideally enough so you feel full and that you’ll last about 4 to 5 hours. Now, if you’re working with trainers out of the gates, do enough where you feel sore not overly sore, the next day or two make sure you walk out of the gym feeling more energized than when you started. Make sure you can emotionally repeat what you are doing, you’re not emotionally exasperated and then also that next day or that later on that day. If it’s a morning workout, make sure you don’t feel run over by a bus, make sure you’re doing just enough where your body can adapt to. It’s all about adaptation, can you adapt to it, from it, can you feel better then afterwards. And again, if you’re doing a brand-new movement, you may feel a little bit sore and it’s a new movement so just, you know, try to keep that in the back of your head too.  

Evan Brand: And, if you can’t recover then there’s probably some level of mitochondrial dysfunction. We’re also gonna look at that, if we look at chemical profile testing, there’s a marker there. If we look at organic acids, we can look at mitochondria there. So, for me, after I got exposed to mold, I would tell you, my performance and my recovery was terrible. I mean, I used to recover in like a day or two. It was like 3 days, I was still sore, I was like, man, this is not right. Once I got the mitochondria working better, retested, look at it, I confirmed, hey, that was directly correlated. And we’ve talked about this I think briefly before but the issue of bacterial overgrowth and that producing high levels of lactic acid so you could have a high baseline level of lactic acid which creates this soreness even just from the overgrowth in your gut. So, we’ll have a woman that’ll say, ‘oh my God. I’m sore and I haven’t done anything, all I done was go in the garden, why am I so damn sore’. Their bucket was already so full due to the gut infection. So, fix that, test it, and fix it. The last thing I was gonna say was on the environment, which is that you can’t get well in a sick environment. So, whether that’s bad lighting, LED lighting, try to use incandescent bulbs, like half natural lights, like I’m surrounded by a bunch of windows. Getting that bright light exposure to help regulate your cortisol rhythm, making sure you’re using twilight or some other app at night on your phone, if you’re doing blue light at night, because we know that blue light can make you fat through various mechanisms affecting glucose and cortisol making sure your detoxing making sure you’re not wearing synthetic fragrance, I mean there’s so many people we asked this on the intake form. Do you use scented products? I will tell you, I’m very surprised how many people are seeking out natural functional medicine and they still use scented laundry detergent, dryer sheets. All these synthetic fragrances, they can affect your hormones and they’re not good. They are bad toxins. They’re endocrine disruptors. So, go free and clear. It’s not expensive, every mainstream brand has a free and clear unscented version. So, implement that easily. You don’t want to be wearing endocrine disruptors on your clothes all day, you’re already exposed to those. If you go out, even to Chipotle, which I think is one of the best places you could go if you have to eat out. Even their bowls have those non-stick chemicals in there. So, you’re getting exposed to toxins even if you’re not trying, the last thing you want to do is wear those and put your husband or your kids in those clothes. So, go fragrance free please. 

Dr. Justin Marchegiani: And also, by the way, you know, if you show up to the store like my wife got Thai the other day. I went and picked it up for and they like scooped it and put it in like, like this hot coconut, you know, curry in a plastic container. So, I recommend, if you can, you know, keep a Pyrex container in your car, so if you go out to these places, literally bring your own glass Pyrex. Hey, can you please put it in this. 

Evan Brand: They might. They might comply. Yeah. 

Dr. Justin Marchegiani: I’ve done it before. I’ve done it with Thai a lot of times because it’s so hot so I’ll just bring it but like hey can you please have the cook put it in this place. 

Evan Brand: That’s awesome. I travel with my own. We travel with our own, you know water bottles, we’ll bring our own stainless-steel cups everywhere we go. So, we’re not drinking water that’s gonna be contaminated with small amounts of pesticide and herbicide and pharmaceutical drugs. You can look up the environmental working group. For people listening, type in, EWG water report. You can put in your zip code. Here in Kentucky, where I am, we have certain chemicals in the water hundreds of times higher than the safe levels that are all highly carcinogenic and endocrine disruptors. So, this is not just, we’re being picky, no, the water in tap water is toxic. So, you need to travel with filtered water and you’re saving your gut. We know that parts per billion of glyphosate damages good bacteria which creates bacterial overgrowth. So, unfortunately it has become more complicated to become healthy. Have you seen those memes, I’m sure you have of like a bunch of skinny people at the beach in the 1960s and all the obese people in the 2020s at the beach and it’s like ‘what happened? ‘. And there was a lot less of that toxic exposure back then than now.  

Dr. Justin Marchegiani: Yeah, there was also carbohydrates too, I mean there was no trans fat back then. If you look at carbohydrates, if you look at, like, the macronutrients per decade, proteins relatively flat, you’ll see fat drop and you’ll see carb increase. So really, it’s a lot more carbs, a lot less good fat. So, of course, good healthy saturated fats, I mean up until 1988, McDonalds have beef tallow, up until the uh, I think it’s the CSPA whatever one of these vegan groups came in and wanted soybean oil which just disastrous, I mean if you had reasonably non-GMO free, um, potatoes in some beef tallow that’s amazing, that’s actually not even that bad. Um, but they changed it to soy in ’88 so you have a lot more processed vegetable oils, omega-6 that just really damaged, uh, that gets into your cell membrane and really toxifies your cell membrane, and it takes years to come out. So, make sure, you’re consuming really good high quality animal saturated fats and if you’re doing, you know, monounsaturated to keep it like avocado, keep it to high quality cold pressed olive oil and try to get at least half of your fats from high quality saturated fats. That’s important. 

Evan Brand: Yeah. The oils are, men, we can do, let’s do a whole like oil special but in general the seed oils and all that are no good. 

Dr. Justin Marchegiani: If you guys enjoyed today’s podcast, let us know. Put it in the notes. Put it in the description, please give us a share with your friends or family, also give us a like and a thumbs up that helps the search algorithm. And if you wanna reach out to Evan, head over to evanbrand.com. There’ll be a link where you can click and work with Evan. Head over to my site, justinhealth.com. I’m Dr. J, we’ll put links down below. If you’re gonna work with us, we are available worldwide. We work with a wide variety of patients from the young, from the old, females, men, etc. A lot of hormone issues, a lot of gut issues, a lot of toxicity issues that’s our specialty. We’re here to help you out and if you want to support us, we’ll put down the links below to different products that we recommend in regards to today’s podcast. Evan, anything else?

Evan Brand: Yeah. Last thing I would say, so many people have already tried everything and been to everybody and seen many, many people before they come to us, so I’m not bragging about that but it just happens to be that you and I are the people who are working with people generally somewhere close to the end of their rope and that puts a lot of pressure on us clinically to make sure that we get good results and we come through with that and you can read hundreds and hundreds and hundreds of 5 star of our clinic reviews, not just the podcast reviews but the clinic reviews too. So, I encourage people that if you’re like, ‘oh God could these guys really help, I don’t know I’ve already seen this person and that person. I’ve seen a lot of people do what was called functional and was not functional like, ‘oh I went to this integrative doctor’ and she ran one blood test for the hormones and that was it, like that’s not a functional protocol. I’m sorry. You didn’t get anywhere close to the functional workup that they’re claiming. So, functional is becoming this marketing term but there’s so many people that are not truly doing that. And I want to just encourage you and give you inspiration that we’re doing the real deal here. 

Dr. Justin Marchegiani: 100% Really appreciate it. All right guys, if you enjoy it, thumbs up comments below. We’re here to help. Have a good one you all. We will be back again. Take care. 

Evan Brand: See you. 

Dr. Justin Marchegiani: Bye-bye 

Evan Brand: Bye. 


References:

https://justinhealth.com/

https://www.evanbrand.com/

Recommended Products:

TruePaleo Protein Chocolate

TuePaleo Protein Vanilla

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Genova NutrEval FMV

Audio Podcast:

https://justinhealth.libsyn.com/why-you-cant-put-on-muscle-functional-medicine-solutions-to-avoid-being-flabby-podcast-357

The Neufit Method wtih Garrett Salpeter – Faster Healing and Optimal Performance | Podcast #354

In this video, we have Dr. J and Garret Salpeter, the founder of Neufit Technology. Performance and recovery go hand in hand when training or doing physical activities, regardless if you’re an athlete or not. The Neufit Method improves performance and muscle health and optimizes recovery. Further, this video will tackle optimizing performance in fitness, improving the recovery process, and breaking down the significance of The Neufit Method.

Garret Salpeter emphasizes that even if you are not an athlete, you should know how to let your body rest, heal, and recover properly from any form of injury or physical activity. Everyone has their activity levels to maintain. It may not be sports-related, but everyone demands effort from their bodies on a day-to-day basis.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
4;49 – What makes The Neufit Method different?
7:48 – The neurological response to injury and trauma
17:12 – The link of soft tissue of mobilization and nervous system
21:35 – The recent add-ons of Neufit Method
32:31 – Foundational diet changes to improve healing


Dr. Justin Marchegiani: Hey guys, it’s Dr. Justin Marchegiani here. I am with Garrett Salpeter, who is a CEO founder of NeuFit technologies down in Austin, Texas. Garrett is a great friend, as well as, an amazing colleague and he’s got a new book that we’re gonna chat about today. So, I’m gonna go through some of the, I think, the biggest take-home items that anyone listening can use to help accelerate their body’s ability to heal and perform better. Really excited to have Garrett on the podcast today. Garrett, how you doing man?

Garrett Salpeter: Thanks, Justin. It’s awesome to be here. Great getting to catch up with you before hopping on here and, uh, I’m excited to be on and appreciate the opportunity to talk about the book.   

Dr. Justin Marchegiani: Awesome. Very cool. Love the graphics, love the cover, um, really nice, really enticing, been kind of going through some of the aspects of the book different parts of the book. What was the process of, you know, your last ten-year journey writing this book? I mean, do you just kind of go through and think about your biggest clinical wins with patients like how do you kind of go in and get this thing moving because there’s so much that you can talk about over the last 10-12 years of seeing thousands of patients? How do you go about and just start crystallizing that?

Garrett Salpeter: It’s, you know, it’s an interesting process. It’s something that was on my mind for a while like for a couple of years before I finally decided to start and then I worked on it, you know, in early morning hour before the kids woke up and in evenings and you know, so I worked on it off and on again for a couple of years. The original catalyst for doing it was a combination of two things: one is people telling me hey you know you gotta write a book to share you know you here all these great stories about how these technology helps these create these miraculous recovery stories and then what really motivated me to finally do it is I kept getting ask by people like hey where can I read more about this, hey where’s the book in this and I my answer until recently was well it’s you know stuff that I’ve learned by combining reading textbooks and combining different mentorships and workshops and experiences that I’ve done in the field of physical therapy and functional neurology and pedagogy and physiological psychology. And so, there wasn’t a place where everything was kind of brought together in one way and so that was a big motivating factor for me was to have a resource, to be able to share with people and then, um, and then I kind of fell into this trap of making it, you know, just going like super deep on all these areas that I’m interested in. Originally, the first version of the book was probably too dense and academic and so I had written, you know, I’d got to get up in the morning for an hour before the kids wake up and write this over the course of, you know, a year and a half probably. Got to 130,000 words, which is like a, you know, a huge like a thick textbook encyclopedia type thing. And then, we finally, you know, we’re talking with our team about hey what’s gonna be the most valuable thing that we can offer to people and we decided that it would be something that was more accessible that more people, you know, clinicians and lay people alike would be able to read and so I worked with an editor to help break it down from, you know, from 130, 000 words to 60, 000 literally like cut it half and then this is the finished product.   

Dr. Justin Marchegiani: Very cool. Because I know you started off your PhD in this type of field in exercise physiology, human performance and a lot of, uh, electoral physiology technology and how it connects to healing. So, you kind of had this thesis kind of in mind and took that and kind of translate it back into a handbook that people can apply kind of day in day out for performance. So, it’s a big shift at the doctoral level, back to the everyday human level. 

Garrett Salpeter: That’s right. It’s been kind of interesting thing, you know, like that it’s very true what I describe to people when ask me for the book before this was out was, you know, I’d say it’s a kind of this breadcrumb trail that I’ve been following through the research and these different disciplines and as part of my journey in trying to piece together this knowledge base in a meaningful way that can be beneficial clinically and in all these different settings, you know, part of my journey like I was  so passionate about learning about this stuff and that I ended up going back to school into this neuroscience based PhD program in emphasis in motor control and I ended up ultimately leaving that in order to launch our product and, you know, do the other things that I’m doing now but we have a PhD neuroscientist who’s our director of research now, who’s been able to do that even better than I could or would. So, that’s great but, yeah, I mean, I literally have had to go all these different directions to piece it together and it’s just, you know, it’s very exciting to be able to come back full circle and package it together into a book like this that draws on all those different disciplines.   

Dr. Justin Marchegiani: Yeah. Very cool. Because how I first came across you before I moved down to Austin is I found a lot of your YouTube videos online. And one of the things that struck me was you had a lot of these, you know, stories, this kind of timeline, um, situations. Where someone would come in with an injury and you would kind of timeline their ability to heal over 2 or 3 months or so of major injuries that would take six months – twelve months and I was blown away with the idea that you could take people that hey this injury according to conventional orthopedics is a one year to finish to heal and you would take these people and get their injury recovery time down in half or even 60 or 70% faster. I thought that was amazing and it kind of sold itself that hey what you’re doing is working and so that was pretty cool. Can you talk about, you know, some of the tenets that you are applying that you were applying that was allowing you to do better than what the conventional PT, Orthopedic surgery route was?     

Garrett Salpeter: That’s a great question and that is, is kind of like, okay what’s the special sauce, what makes it different and that’s one of the biggest themes in the book that we talk about is making this distinction between hardware and software, between how most typical therapeutic interventions, most traditional physical therapy orthopedic medicine, is focused really enamored with and obsessed with tissue and structure whereas, there’s a whole other side of that coin, right? There’s function like hardware and software. The software, the function, which is of course is controlled neurologically is so often overlooked and ignored in these traditional models. And we’ve found that being able to prioritize the neurological response to injury and trauma is a huge catalyst for this breakthrough and a lot of it, is just as simple as, you know, look if you’re if your body naturally bracing and guarding and creating a bunch of tension around an injury, it can be impairing, blocking some of the blood flow and impairing the ability of the body to send nutrients and raw materials to heal there. So, the tissue of course that hardware component is important but the neurological response to injury is an impediment that blocks or delays that tissue healing process. By putting that first, by looking first at that neurological response to injury by finding where in the body it’s being imposed and resetting ang recalibrating that to an appropriate level, we’ve been able to open the floodgates if you will. So, the body’s natural healing process can progress without impairment and when it goes at its normal rate it’s not like we’re not doing anything we’re just allowing the body to heal and it’s just, you know, so if few people have been able to experience what the body can do when it’s really unleashed so to speak, that those faster healing times seem miraculous and really the miracle is in just removing those impediments, getting them out of the way and allowing the body to do it’s thing because it is a miracle.   

Dr. Justin Marchegiani: So, essentially, conventional medicine they’re just kind of, they’re cutting out the injured inflamed tissue, there’s not really a lot of look at how that tissue got injured from a mechanistic standpoint then they hand them off to the PT that’s just stretching, typically stretching or strengthening that area without really looking at that whole chain. So, essentially, you’re looking at everything like it’s connected to the kinetic chain. So, you’re looking at all the muscles and the joints above and below, and you’re looking at the nervous system’s ability to recruit and stabilize those different areas. So, you have your Neubie device, so you’re using that as a means of one I think rehabbing and strengthening the muscle and the nervous, but you’re also using it as a means of detection. Can you talk about how it has dual purposes? 

Garrett Salpeter: Yeah, absolutely. So, when we talked about this neurological response to injury and trauma, there’s the concept and then there’s actually the process of finding where in the body it exist and what it’s doing in the body and to understand what it is, one of my favorite metaphors is actually to talk about this notion of imagine a snake was, you know, come in, so I’m in my home office here imagine a venomous snake was coming into my office for me to react like this and you kind of run away or mobilize some energy so I can protect myself, that’s useful, that’s a valuable, you know, it’s a fear-based flight-or-flight response that mobilizes me to take action so I can you know fight or defend or protect myself or run away and flee and that’s valuable. However, if I react the same way to a rubber snake that my rubber snake that my daughter put there, that’s an over reaction that’s inappropriate. I’m wasting this energy, um, you know, trying to protect myself from something that’s not a real threat and our brains and nervous systems do this to us and you know forgetting these examples of like pain and injury for example. A lot of people have these experience, you know, thinking about someone who gets really nervous before they go public speaking for example, something like that. That’s the brain’s way of saying, hey this is life threatening we gotta protect you from this risk of being embarrassed because if you go out there and make a fool of yourself, you could get kicked out of the tribe for example, there’s like a deep survival fears associated with that. I think we all recognize that, you know, that fear is a kind of a hypersensitivity or it’s an overreaction or it’s a little bit mis calibrated to the situation like we recognize intellectually that we’re not really gonna die, if we go out on stage, because it feels like that because we’re overreacting. And the similar type of thing happens where, if we have an injury, you know, it’s football season, we’re working with a lot of professional and college and high school football players, you know, if an athlete goes out and sprains his ankle and they are totally shutting down as a response to that injury and that trauma, if they’re you know creating tension to lock down some muscles and totally shutting down others, that can be potentially productive if like if they were gonna roll that ankle again, it could that bracing could be protected there but if they’re not doing that if they’re trying to rehab and get to normal movements those patterns actually stand in the way, they delay that recovery process, they’re reacting, you know, as if they’re as if they’re pounding that ankle again, like there’s a real snake coming in when really it’s a rubber snake and they’re safe now, they just have to get themselves in the right state where they can heal. And by shifting by first of all identifying where so, to actually answer your question, if we’re able to take the Neubie device and scan around in their body, we can find where those hypersensitivity are in the nervous system where the brain and nervous system are shutting down muscles or creating these bracing and guarding patterns where they’re holding on in other muscles. We can find where those are and then send this very unique direct current stimulation to rest and recalibrate the nervous system and what does that really mean, well, it means, you know, an athlete who comes in with a sprained ankle who’s on crutches or can’t put any weight on their leg often times after that first session can walk normally it can load that weight, the load weight on their leg without pain and they make these amazing transformations in 15 minutes and you think, gosh, what happened to that 15 minutes. Did the ligament that was partially torn, you know, if it was a grade 2 and it’s a partial tear of the ligament, did that ligament heal in 15 minutes? No of course not. What happened was you reset and recalibrated those that suite of neurological protective patterns which some of which are tension, some of which are inhibition or turning off muscles and part of that is also pain. Pai is a protective output of the brain that’s part of that whole host of protective patterns and by resetting that, you immediately restore function back to a normal healthy level. They’re not ready to go back on the football field after that session, however, they’re in a state where they can move better, their muscles can better support that injured tissue as it heals and you’ve opened those floodgates, so healing mechanisms can actually work at their normal rate and do what their capable of doing.  

Dr. Justin Marchegiani: What was always fascinating for me is when you would use the Neubie device to kind of search and scan the different tissue. Let’s say, you had direct pain on the knee, when you would search, you know, let’s say, from the hip down the quad right biceps femoris to rectus femoris into the calf, you would find hot spots or pain areas that would that the Neubie would pick up that you would perceive as pain but they wouldn’t necessarily be in the areas of pain. I think this is kind of what you’re taking about is conventional medicine would say oh I feel pain on the knee they’re focus on the knee. But you would scan it and you would get this feedback, that the patient would feel and they would feel areas of pain totally away from where that is. How does that happen, how does that work?

Garrett Salpeter: So, that speaks to a couple of these really powerful concepts like the difference between structure and function and also this notion that you talked about a lot about getting the root cause of the problem, right, you know, if you’re walking around all day and part of your quad muscles doesn’t work, you’re just kind of collapsing into that knee joint all day long and you’re gonna be setting yourself up for injury and you know eventually the knee starts hurting and you go and treat the knee but you’re not if you don’t go upstream and address that dysfunction or why it happened in the first place, you’re never gonna have a true long term resolution of the problem. And so, what the mapping allows us to do is to find where the dysfunctions are, which..

Dr. Justin Marchegiani: How do you measure that, like what’s the Neubie putting through like is there resistance in the tissue due to inflammation, lack of blood flow, like what’s causing that feedback at the tissue from a biochemical physiological level? 

Garrett Salpeter: Ah, yes.  So, the reaction, one of the things we’re working on is being able to measure some of these quantitatively and that so we should have some really cool information on that, you know, in the next couple of years as we build out our research program. What we know now, and what we’re identifying are areas where these exact neurologic protective mechanisms are present. So, what we’re doing as we’re scanning around, so if I have an electron pad, like this, and I’m scanning around the body what’s really cool about this current, so traditional first, we need a little context here so this makes sense, traditional electrical stimulation device is alternating current, tens units, Russian stim, they, when you turn them up to a high enough level to really make a difference, they cause muscles to contract and that becomes the limiting factor whereas with Neubie, we can at least to some degree, we can bypass a lot of that protective muscle contraction and speak more directly and powerfully to the nervous system. So, again, a little bit difference between structure and function, thinking directly about the nervous system. When we scan over the body, we’re sending a signal to the nervous system in the brain saying hey this area is being used, this area is being loaded, then we go here, hey this area is being used, this area is being loaded, here, hey, this area is being used being loaded. And wherever the body is working well, the brain sees that and says, you know, if were scanning it says oh that’s just Dr. Justin’s deltoid doing its normal thing, that’s just Dr. Justin’s biceps doing its normal thing. There’s nothing alarming about that, but if we stimulate a muscle or an area that either hasn’t been working recently because that habits or an area where one of these hypersensitivity and these, you know, these protective patterns that are being imposed on the body, if we scan one of those, the brain sees that and says whoa whoa whoa that’s threatening that’s alarming and it fights it, it reacts kind of a trigger point. If you were working on somebody and that you find that trigger point area that’s more sensitive. So, we find these areas of hypersensitivity and then we want to stimulate them and teach the, ultimately the brain, teach the brain and the nervous system that it can calm down that hypersensitivity. So, it’s, instead of you know, it’s like if you’re driving your car either you hit your throttle down harder or you can just take your other foot off the brake. Here, we’re trying to train you, you know, train your body to take the foot off the brake where it hand been imposing these limiting patterns.  

Dr. Justin Marchegiani: Very cool. So, I know with the Neubie, unlike with your typical tens unit, right, you’re typically not gonna be exercising with like a tens unit, it’s like more like an electric aspirin. It’s kind of blocking the pain going into the brain. Here you’re actually able to move it in rehab. I’m just curious, a lot of different techniques in soft tissue world like Graston and active release technique, part of the reason on how they promote healing is they work on improving blood flow and they help release the fascia from the muscle belly. My experience using it, when I exercise with the pads on the various areas that in the current, I feel like there may be fascial release on that muscle helping to improve pain. Just curious, what’s your take on that fascia and the muscle kind of being mobilize and moving better?

Garrett Salpeter: This is really an interesting topic and there’s a few thoughts I have on that. One is people are doing manual therapy, it’s kind of this interesting..

Dr. Justin Marchegiani: I’m sorry just to add one little context. If this is my muscle belly, the fascia is like my shirt on top of it, so when tissue gets inflamed it’s like wearing a wet t-shirt it’s hard to get it off and so, just kind of giving people a visual imagine the we t-shirt on someone’s body that t-shirt is stuck and so helping to mobilize that t-shirt so to speak can help promote healing, go ahead. 

Garrett Salpeter: So, there’s really, really important interesting connection between the movement of tissues and the function of the nervous system, so like in your example if that fascia or that shirt is glued down on the tissue underneath it, you miss out on that gliding and sliding between layers and you don’t get the neurological input from that area, so it goes out, you lose out on that, so the nervous system is this big feedback loop and all of the outputs of the nervous system which of course includes movement and pain. It also includes hormones, it includes heart rate and blood pressure, digestion like the nervous system controls our visceral organ function. So, all of these outputs of the nervous system that are relevant for health and cognitive performance and athletic performance and overall well-being. All of these outputs of the nervous system are vitally dependent on the inputs given to the nervous system and that can that of course is the things that you talk about in functional medicine, nutrition and diet and these lifestyle factors. It all absolutely to do with movement, also these neurological inputs of, including the tissues gliding and sliding over each other are super relevant for the overall health of the nervous system which is super important for the health of the overall body. So, being able to, there’s a few things that happen, being able to get movement in into those tissues is very important. A lot of manual therapists, when they say, you know, I’m releasing adhesions or I’m feeling this tissue move or something like that. A lot of what we’re learning is that, what they’re really doing is not making as much of those structural changes as they think, but they’re actually giving neurological inputs, the mechanoreceptors, the nerve receptors. They’re actually activating those to create more functional changes than structural changes and ultimately though, you need both, like you need the tissues to move over each other and you need to move them through enough ranges of motion to create the inputs so the brain gets enough inputs so they can maintain healthy function and get all the inputs it needs to drive appropriate controls of the body for movement and everything else. And when we’re working with the Neubie, you’re affecting both, you’re moving and affecting structures, you’re getting mechanical tension which can, uh, which can definitely move, you know, create the kind of friction that helps break up issues between the layers of those tissues and you’re getting the neurological input. So, it can work well in combinations with those other, you know, manual therapies and ultimately you need both. I mean, you need good structure, you need good function and, uh, I hope that adequately addresses the question but I think ultimately, we’re trying to work on both.    

Dr. Justin Marchegiani: So, we’ll put some links below for people that want to get more information either about seeing Garrett or Garrett’s clinicians at his clinic or if you’re a practitioner and you want to get more information on, um, being able to use this device at your clinic or if you’re someone abroad that wants to work with Garrett’s stuff virtually, we’ll put some information down below. So, someone comes in, right, you give them a work up, you have a full physical exam, you’re looking at neurological signs, you’re testing muscles as well, to help find which muscles are off and on for compensation pattern stuff. You’re using the Neubie, you’re scanning looking for all these areas of dysfunction, you’re always evolving your method, right, the NeuFit method. What else has been plugged into the NeuFit method, the last year or two that you kind of added on recently? 

Garrett Salpeter: So, the biggest thing that we’ve done in the last year is really explored the benefits of using very specific frequencies and this is one of the biggest champions of this type of work is a doctor named Carolyn McMakin, who has seminars on frequency specific microcurrent and the basic premise is that if you, uh, basic premise is resonance so for example, if I have the keys to my car and I go out in the parking lot, I hit the unlock button, this key only unlocks my car, it doesn’t unlock your car or my friend’s car or the other car across the parking lot. It only unlocks my car because that signal resonates with that car. It’s also the same thing if you ever heard of like the opera singer who hits that note, oh, you know, much better than I would dip, and that particular frequency of that note resonates with the lead atoms in glass and it breaks the glass. So, we can apply certain frequencies in the body that will resonate or preferentially go to and interact with certain tissues. So, if you’re trying to recover from an Achilles tendon injury, for example, we can, in addition to our usual treatments working on neuromuscular function, we can use a particular frequency that would direct that signal to the tendon tissue and help even further speed up the healing and amplify the healing effect of that, increase more blood and more resources specifically to that tissue.  

Dr. Justin Marchegiani: Is this a new feature on the Neubie, where you can adjust the frequency? 

Garrett Salpeter: So, it’s something that, um, we’ve had, we built it in to the Neubie, because I had kind of glimpses of this and we’ve only started to explore the, you know, the full benefits or more of the benefits of that in the last year and it’s part of, you know, clinicians who are in our, have completed our certification. It’s actually, that’s part of the level two stratification that we put out, um, in the, sometime in the last year and that’s been really exciting to see some of the, some the, you know, outcomes that people have been able to create with that and, you know, that can go down, that goes down a whole road of, you know, like Dr. McMakin, for example, has frequencies for different organs and things like that. We with the Neubie, our work and our scope is more around, you know, neuromuscular conditions and pain and things like that, so you know, we’re not necessarily able to, you know, speak about or make direct claims related to the health of certain organs or things like that, um, but, you know, there are some really cool things that people are able to do with this concept.  

Dr. Justin Marchegiani: Very cool. There are two more things I want to hit on the book. You talked about heart rate variability which is essentially the unevenness between the heart beat and it’s a good window into recovery and the parasympathetic nervous system response. How are you gauging the amount of workload that the people you worked with can handle? Are you using HRV? How do you know, you’re doing too much? How do you know you’re on the sweet spot? How do you apply that with your patients?

Garrett Salpeter: That is, that’s a great question and this is I think part of the future of medicine and sports performance training is this notion of stress management and what heart rate variability, what it basically shows us is, it answers the question of how well are you, this individual standing in front of you, how well are you able to keep up with all the stressors in you life right now, you know, if you are, if you’re not, if you’re just like holding on to keep up with everything, you don’t have as much bandwidth to adapt to these subtle changes in air pressure as you don’t have these minor fluctuations in your heart rate, whereas if you are able to keep to keep up with that then you have more bandwidth to adapt to these subtle changes and so, heart rate variability is a great measurement. So, we look at a couple of different things that’s a big one, you know, if we look at someone’s HRV status when they come in for a session, and we see like dang they’re really in a stressed-out state. We may have a more recovery-oriented session with them that day. Over time, we also, you know, for people who have these wearable devices that tract their sleep, check their HRV, we have them do that, we just completed a study with Biostrap, who makes this one that I’m wearing in my wrist. It’s the best clinically validated of these, you know relatively inexpensive wearables, uh, they’re within one percent measurement of the gold standard, uh, of electrocardiograms like when you put electrodes all over the body and 

Dr. Justin Marchegiani: that’s called Biostrap 

Garrett Salpeter: Yeah, uh, so they have, you know, we worked with them and we saw that doing sessions on the Neubie, that people increased their heart rate variability, they decrease their resting heart rate without doing any cardiovascular training at all, um, also improved sleep and arterial elasticities, blood flow and blood vessel health and so, you know, all of that factors into, to saying looking at heart rate variability is something that we like, we don’t always look at it within a session, sometimes it’s you know, there’s a little bit of a delay in feedback. It’s well, you do something that day, see how their numbers were that night and the next day and then dial it back in the next time they come in. So, sometimes you get real-time feedback, sometimes it’s, you know, a day or two and you have to, you have to kind of start slow, see how much they can handle walk up to that line and you also have to factor in the stresses, you know in there because someone one day, if they’ve slept well and eat well might be and it’s, you know, weekend or something, might be able to handle a lot more than if they come in, in the middle of a week  when they have a deadline, if they just have, uh, a fight with their spouse or fight with their boss at work or something like that and they didn’t slept well the night before and they’re sick and they’re going to be able to handle way different amount of stress and input in those days too.  

Dr. Justin Marchegiani: Yeah. Which is totally different training philosophy, you know, 10, 20, 30 years ago was kind of like no pain no gain, you have to build a character, this is to toughen you up and it’s like well, really the goal of training is to add a stress into the neuromuscular system so your body can adapt from it and get stronger not so it can get weaker because if you can adapt to that stress, you just breaking your body down versus building it up and training and so it’s really kind of being training smarter versus harder kind of mindset. 

Garrett Salpeter: Amen. Yeah. You know, I just think about it as, if I’m gonna invest the time and effort and possibly money to go to a physical therapy session or to a training session, you know, I just wanna have a return, I wanna have some benefit to show for that. So, it’s about, you know, ultimately about finding, you know, it’s not minimal or maximal, it’s optimal, it’s that kind of bell curve, it’s finding the right amount of input to get the correct output. 

Dr. Justin Marchegiani: Love it.  Very cool. You also started working with Terry Wallis, who is a popular figure in the functional medicine community, especially, on the autoimmune side. Dr. Wallis’ kind of story is for the listeners, she had multiple sclerosis was that one point even in wheelchair bound and couldn’t, you know, couldn’t walk and then was able to make different changes in her diet to help reverse her MS and MS is an autoimmune condition that affects the myelin which is the coating around the nerve so she was able to change her nervous system or her change her immune system, uh, attacking on her nerves so then she could actually start to heal and recover and now she’s fully walking. So, you’re using the Neubie device as a means to help stimulate growth, healing. Can you talk more about that application is? 

Garrett Salpeter: Yeah. So, Dr. Wallis, I’m glad you mentioned some of her story, because it’s super inspiring and she’s now been able to help through her Wallis protocol and her book and her research, been able to help hundreds of thousands of people, stop the progression of or even reverse their MS and it has to do with a functional medicine approach reducing the inciting or damaging influences that are causing the immune system to haywire and create this autoimmune environment. All this stuff that, you know, you know more about than I do and that you talk about your podcast and the reason we worked with her is that she had this limitation in her program where she could get, she could help people stop the progression of their MS and then they get to the point where they say, okay that’s awesome. Now, what can I do to restore the function that I lost, now what can I do, if I wanna be able to drive my car again or you know, not to have caregiver at home or I wanna regain autonomy, I want to be able to walk or play the piano again, like okay, like that’s awesome.  We stopped further damage but now, how can we do that and that’s where we got connected by a mutual friend and she saw, you know, I was describing NeuFit to her and some of the work we’ve done with some other neurological patients and she saw, hey, this kind of fills in, you know, this next step in our program, and since then she’s you know, invited me to speak at several of her, uh, seminars and live and virtual events and she very graciously gave an endorsement for my book and we’ve been able to work with her to share this message and kind of plug in NeuFit as part of her program and so through her, we’ve been able to introduce this to hundreds of thousands of people and many thousands of people have, you know, some have worked with us or gotten their own machine and worked remotely and many more have found NeuFit practitioners, we have on our website, we have a directory that we can link to, a directory of certified practitioners around the world who offer NeuFit and so many of these patients have gone and found people in their community, you know, sometimes they can find someone across town or, uh, nearby that they can go see and do this work, and we’ve seen people, you know, sometimes restore a little bit of sensation and function. Sometimes get out of a wheelchair and walk again and we’ve seen some of these transformational, really inspiring and amazing stories. 

Dr. Justin Marchegiani: So, when you work with patients like that, are you doing a scanning method throughout that muscle belly area or are you just generally hitting the major muscles that aren’t working appropriately? 

Garrett Salpeter: So, we typically will do a scan so that we can direct that stimulation, you know, in basically the areas where we’re going to get the most bang for the buck and we typically would do a scan, sometimes you can guess where you’re gonna put the pads and you can guess correctly based on knowing where their impairments are but sometimes there’s some nuances or different segments or different areas that pop up so we do like to do a scan , you know, at least in he first session as part of an assessment and then there we get the information to build a custom program and figure out, okay, where we need to stimulate to help get sensation or function back in the hands and feet or start to build enough strength so they can work towards standing and then walking or start to rebuild, uh, dexterity to be able to do the activity is that they wanna do. 

Dr. Justin Marchegiani: Very cool. And then last question I have for you out of the gates here would be, nutrition is obviously important, right? It’s the building blocks of all of out nerves, our muscles, right? Quality is important, we don’t wanna add more toxins via, you know, plastics and hormones and pesticides, those kinds of things. What are some of the foundational diet changes, that you work on with your patients to really accelerate improvement? Is it the quality of the protein? Is it a certain amount, is it fats? What are the best bangs for your buck with nutrition to get better, your healing?

Garrett Salpeter: So, we’re looking at everything through a neurological lens and when we do that, we end up drawing many similar conclusions as you do through a functional medicine lens so there’s a ton of overlap. Maybe the way we speak about it or maybe the, you know, something some of the things we prioritize or emphasize are a little bit different but for us, one of the biggest in, especially in these autoimmune conditions right when you talk about the immune system and inflammation gone haywire but also just for brain and nervous system health overall. Inflammation is such a key, because if you eat an inflammatory meal, you’ll see IQ drop 10 or 20 points because the inflammation impairs brain function so significantly, and impairs peripheral nervous system function. [inaudible]

Dr. Justin Marchegiani: Blood flow too. 

Garrett Salpeter: Yeah, absolutely. So, for us reducing inflammation is one of the highest priorities be whether you’re adding in overall health or you’re looking specifically through that lens of trying to optimize neurological function. So, that becomes a big deal, reducing inflammation. So, we’re looking at you know reduce, cutting out as many Omega-6 seed oils as possible but getting more saturated fats from good heathier sources. I mean, we’ve talking about, you know, grass-fed beefs or pasture-raised other animals or wild-caught fish, different things like that, you know the sources of fat become really important in reducing the Omega-6, having good monounsaturated fats like avocado and olive oil, you know, assuming someone is screened for food sensitivities and none of these things are gonna be like an individual’s person’s kryptonite or something like eggs can be great for some people, have a good health profile, if they have those nice, good dark orange yolks, um, but for some people have sensitivities and shouldn’t have them.     

Dr. Justin Marchegiani: So, essentially, you’re really pulling out the inflammatory stuff, the refined sugar, the grains, those kin of things, maximizing good fats, maximizing good proteins, obviously having enough building blocks so the tissue we’re breaking down. There’s enough reserve to build that tissue back up as well. 

Garrett Salpeter: That’s right. Yeah. So, you know, all those sources of fat I mentioned, the meats and eggs, you know also happen to have good, very good sources of protein associated with them, I also like collagen protein, if we’re trying to help someone rebuild tissues, um, and then also when we talked about inflammation and health of the nervous system, the gut is so important. So, you know, I’m a big fan of, uh, you know, different fiber powders that I put in my drinks every morning, um, and then, uh, you know the nervous system also is a big, big, big input. So, trying to do what we can to get that parasympathetic activation, you know, as many times as we can throughout the day to help with digestion is also a huge deal. 

Dr. Justin Marchegiani: Are you still doing the ample drink every day? 

Garrett Salpeter: I haven’t done those in a while. I like those, uh, I haven’t done them. Let’s see, nut there was a reason I stopped. Oh yeah, I think I didn’t, I didn’t, I really like the concept, I just didn’t love as much of the like whey and egg white proteins. I’m more of a collagen and you know meat guy.

Dr. Justin Marchegiani: Yeah. I’m a big collagen guy too. You just don’t get enough connective tissue, amino acids, the hydroxyl proline, proline, glycine, interesting. I have the same situation. What’s one clinical pro you’ve come across recently that you think most of the audience will be able to benefit from like, just anything in the last couple of months that’s like a real heavy hitter that would help a lot of people? 

Garrett Salpeter: That’s a good, that’s a good question. Um, I mean in our realm, when we’re doing a lot more of this, you know, pain, movement, dysfunction, injury, helping people, uh, you know, the frequencies that I already mentioned, the biggest thing that jumps to my mind the last few months is some of this, some of this work that we’ve done on frequencies and, um, being able to find these resonant frequencies that it’s really cool when you feel this kind of resonating effect, it feel like this, you almost get these charges building up so it’s something that admittedly someone would  have to you know, find a provider who has our device in order to experience it but for our practitioners being able to identify this and initially this frequencies were only used really in the micro current realm but use them with stronger power delivery with stronger current levels and deliver that power, that’s been one of the biggest things that really jumps out and, um, I just I have seen, already seen some really cool things happen there so that’s one of the biggest, uh, more for practitioners who do have access to this device admittedly but, uh, it’s really, it’s a really cool effect when you see, when you feel that resonance happened. 

Dr. Justin Marchegiani: Very cool. Awesome. Well, thanks for all the excellent information, Garrett. Again, the NeuFit method, all kinds of good info and more we talked about the couple of things in the book here as well, um, take a look at it. If you have chronic pain issues, and you’re not healing or you have lingering injuries that aren’t getting over the top, we’ll put a link down below, where you can reach out to Garrett and his staff and we’ll put a link to the book as well. Appreciate it. Anywhere else Garrett, the listeners can go and check your information on it? 

Garrett Salpeter: So, we’re most active social media wise on Instagram and the handle is NeuFit RFP and its N-e-u like neurological F-i-t and then RFP for rehab fitness performance. So, I’m on there, our team’s on there, we respond to DMs and comments and everything about, uh, we’d love to interact with you there, and hopefully if you’re, you know, if you’re interested with the book, hopefully, you’ll, uh, read it, if you check it out on amazon, please do leave an honest review on there. That feedback is wonderful. It helps us know what people like, what people don’t like. What content we can provide more of and I can assure you that having put in the hours on the book, I really appreciate that feedback very well much. 

Dr. Justin Marchegiani: Very cool. If you guys are listening and driving, we’ll put links down below where you guys can reach out and support the book. Okay, Garrett, awesome chatting with you. Have a great day man. Good chat. Take Care. 

Garrett Salpeter: Thank you, Justin. It’s been a pleasure. 

Dr. Justin Marchegiani: Same here. Bye now.     


References:

https://justinhealth.com/

https://neu.fit

Audio Podcast:

https://justinhealth.libsyn.com/the-neufit-method-with-garrett-salpeter-faster-healing-and-optimal-performance-podcast-354

Recommended Product:

Neubie

 

The Top 5 Ways Your Water Could Be Hurting You & How to Fix It | Podcast #350

We need to stay hydrated but is the tap water in your home safe? When we drink water at your house, it must meet strict safety standards as well.

Water can be contaminated in several ways, according to Dr. J and Israel. It can contain bacteria and parasites that get in the water from human or animal fecal matter. It can contain chemicals from industrial waste, spraying crops, and many more. That’s why it is essential to invest in water filters if you can or make sure that your water source is safe to avoid health problems in the long run.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

1:19 – Fluoride
6:06 – Chlorine
10:45 – How does Clearly Filtered work?
18:47 – Herbicides/Pesticides
19:56 – Pharmaceutical Drugs
26:03 – Contaminants Detected
30:53 – Benefits and advantages of Clearly Filtered


Dr. Justin Marchegiani: Hey guys, it’s doctor Justin Marchegiani here. I have Israel Passwater on the show today. We are gonna be talking about water, water filtration, some of the top five toxins that may be in your water and hurting your health. So, really excited to have Israel on today’s podcast. Israel, how we doing today man? 

Israel Passwater:  Doing good man. Thanks for having me, Justin. It’s a great day, great to be here. 

Dr. Justin Marchegiani: Absolutely, really excited to have you on. Um, one of the reasons why I have Israel on, he’s an expert in water and water filtration and the different technology but Israel also has a product to it’s basically, the better Brita filter right. We all know the Brita filters, right. The problem with them, they make the water taste a little bit better but they don’t filter out a lot of the other toxins. In Israel, it’s a product that actually filters out more of the toxins and It’s a kind of a low-cost product to kind of get into the water filtration space and I’m really excited. I talk about whole house water filtration, a lot of counter top, um, reverse osmosis systems. Those are great, they also involve a little bit of install, you may not be at a property that allows you to do it. So, this technology allows you to do it passively. It’s like a Brita filter for your fridge but gets of more of the toxins and more of the crap out of the water. We’re gonna go into the technology and some of the things that we need to be avoiding in our water to have healthier metabolism. So first off like, what is the number one thing in water today that needs to be filter out that could be hurting our health? 

Israel Passwater: That’s a great question. It depends on who you ask, um, from our perspective fluoride would probably be the number one, because it’s in about 75% of the water supply, uh, internationally and nationally. So, that’s one that we believe to be in science has shown that there are, uh, issues or questions at least on the long term effects of that, uh, so typically when people are looking for, uh, like a water filter that will come about us, they say I’m looking for best water pitcher that filters fluoride or heavy metals or whatever it is you’re, you, you look on the news and you say, oh there was a contamination outbreak and there’s lead in the pipes and it’s in the water supply that’s where you know good parents like us will go and say, okay well, I need to find a solution to that. And that’s usually where people will find us without, oh wow clearly filtered. I think I’ve heard about them. If they haven’t heard of us, oh that’s pretty cool. So that’s usually the start of the journey is realizing that there is, uh, there’s toxins in the water and it’s not ah, oh maybe, oh gosh, I wonder if it’s really a real thing. It’s proven scientific. Um, so that’s usually where people kind of stumble upon us and not to start off with a scare tactic but again, that’s kind of what we do. We provide a layer of safety to bring help, people live healthier lives, you know, so we’re just. 

Dr. Justin Marchegiani: So, awesome, yeah. So, we have fluoride. Right now, there’s a lot of misconceptions on fluoride. A lot of people think of fluoride, they think of like, um, calcium fluoride, there’s some natural fluoride in the environment. You know, what we’re talking about is more of the Hydrofluorosilicic acid, more of the synthetic fluorides that, um, you know, a lot of dentists that are well-intentioned topically, may put on someone’s teeth to help make the enamel stronger, the problem is when you’re swallowing it, it’s a little bit different. It’s like seeing the benefits of sunscreen, so you don’t get burned and saying well let’s put in in the water and drink it right, so there maybe, you know, a lot of the data out there, maybe some of the benefits of fluoride, maybe more topical, but we’re talking about ingesting it orally. So probably not the best right? It’s good if you’re gonna, if you’re gonna be on a medication which fluoride is that you actually dose it. You don’t really control the dose when you put it in the water supply. So, I think that’s a good point and uh, keeping that out is beneficial and there’s a lot of studies if you go on pubmed and fluoride in the water supply and fluoride correlations affecting thyroid function and going down and even IQ going down. So, a lot of things there to kind of highlight from an implication standpoint. 

Israel Passwater: I hate going to the dentist. But last time you go to the dentist, they do the fluoride treatment, what they tell you to do, they don’t tell you to swallow it right, they say no, rinse your mouth out, right? It’s like, it’s like they go, okay well, that makes sense but then people realize that you had fluoride and stuff like chloride being in the water. It may serve a purpose but maybe not the purpose they intended it to do so. I think maybe good intentions or at the time in 1920s or 30s when they started fluorinating the water. It was because not everyone had great dental care and access to dental, dental health, you know, so again, the rationale for doing was much different, well, and then it also depends on who you ask but again that was one of the main historical pinpoints why they started doing that but as we know, doctors also used to recommend smoking for lung capacities too in the 1920s and 30s. 

Dr. Justin Marchegiani: And even sugar consumption as well, and anyone that has a kid that has like, you know, typical Colgate toothpaste, go look on the back of it, right it says you know, pinky size, pinky size amount and then it says, if you swallow, call poison control. So you know, there’s some understanding that this stuff is harmful and it’s always better to use a healthier toothpaste as well and get the fluoride out of your water, I think that’s a good first step. Also, I think half of all cavities, I think in teenagers and caused by dental fluorosis, meaning too much fluoride actually, causing the enamel almost crack. 

Israel Passwater: Yeah. It’s an over-fluoridation that the concentration. So, yeah, there’s again, it depends on who you ask, but most people that have spent anytime and obviously you have looking and researching and I would encourage everyone and again, I’m a big believer because again, I come an educator’s background, um, again, I want everyone to do their own research, always like trust but verify, um, but the internet is a powerful place and there’s a lot of things, and Justin and I were talking right before we went live and I think the cool part about, you know, living in the society that we have and sometimes scary part is the access to technology that you have at your fingertips on your iphone, uh, stuff you can research, you know, if you have trouble sleeping at night. It’s like there’s a lot of information out there, so again, I like to encourage people, whatever you know, if it’s you know, our brand or another brand, whatever, just do the research, find out what your, what’s on your water supply and you know, be aware you know and obviously drive cautiously in that sense, you know. 

Dr. Justin Marchegiani: Yeah. People are listening, if they’re really interested, I put a link down below for the clearly filtered water filter, justinhealth.com/clearly-filtered. It’ll be right below, so if you guys want to take a look at it, we’re going to just go into what those big toxins are and the technology in a few minutes. So, we hit fluoride, why don’t we go to chloride next, right, I mean chlorine has well-intentioned right? It has reasons there to kill bacteria and kill things like that, but the problem is they leave it in right and it kind of has a smell that everyone knows what that chlorine smell looks like or smells like, because of being in pools and stuff. Uh, let’s go over chlorine. 

Israel Passwater: Yeah. I mean it just depends, like again, the rationale for keeping chlorine in the water was that for transportation, you know, the idea was that they’re transporting in pipes long over long distances, you know that was the intent initially. But again, they’ve seen that chlorine vapor can cause long term damage to vital organs and they’ve there’s all sorts, there’s no reason they should be, uh, in the water supply. So, from our perspective, again, that’s another villain that people obviously don’t think about you know. They don’t think about it, oh it’s chlorinated. We’ll, that chlorine smell is, you know, what do you do when you get out of the pool, you rinse off right? It’s like you go to your face. Hopefully it’s salt water, you could. If you’re fortunate enough to have a saltwater pool but you know, what you go, you’re going to rinse off, you don’t want your hair to turn all nasty and green if you have blond hair.  So again, there’s all different reasons that you say, okay well yeah, that’s chlorinated but should I be consuming that. You don’t drink pool water, but again there’s lesser concentrations obviously in the tap water but it does exist. So again, another reason people find us say, okay well, I want to take the chlorine out of my water, oh okay cool, so.  

Dr. Justin Marchegiani: And a lot of times with that motivation, it’s more of just the taste and the smell, they just want the water to taste and smell a lot better right. So, there’s more of an anesthetic to that right?

Israel Passwater: Great point. So, a lot of it, like, if you go on our website, okay, this is I don’t want to make this salesly at all but I think if you look up different types of, uh, the contaminants we remove, a lot of the ones that are cancer caused into parts per billion not parts per million, so parts per billion. Like you take a medicine dropper, drop it in an Olympic sized swimming pool, since we’re talking about swimming pools but stay with the analogy that you take a mess and drop or drop, one drop some of these things are poisonous and parts per billion and that’s considered toxic and you think there’s a lot and the concentration is a lot higher than a lot of these. So, again, people don’t realize this and once they start to realize, they go, oh my gosh that’s really my water and there’s lots of different ways you can check your local water supply and see what’s in there and it’s truly eye-opening and if not scary. 

Dr. Justin Marchegiani: Oh yeah.  And being a functional medicine doctor, I’m very concerned about gut health and I know chlorine has a lot of negative impacts on the microbiota in the gut too. 

Israel Passwater: Yeah. Oh, I forgot one of the things I was gonna say, a lot of the things you were talking about like odor so like chlorine. Like chlorine taste and odor is pretty standard like when you look at the industry for like water filtration kind of like benchmark. It doesn’t really much, but it’s like oh it tastes good, okay great, it must not be toxic. The problem is, most of the things that are cancer causing and you know, all sorts of detrimental things, you know like are, you can’t smell it, they’re odorless, they’re tasteless and you can’t see them because they’re microscopic. So that’s kind of going around with the sun, this illusion of safety, um, but again a lot of times you can’t see something that’s going to potentially be very harmful for you and your family. And that’s, I mean it’s scary but it’s true though so when people say, oh it tastes fine okay well or like, you know, I think my water taste fine because I live next to an aquifer or something like it. Again, the assumption is it’s safe but reality is that you know, most of the population has again with fluoride that 75 plus percent of the water supply is fluorinated, so. 

Dr. Justin Marchegiani: Yeah. And then can’t chlorine convert to chloramine as well? Can you talk about that one?

Israel Passwater: Yeah. Uh, I’m trying to remember the process but yeah, they, It can, It can interact and one, the interaction sometimes can have detrimental effects as well. I’m blanking on the term, if you can prompt me that’s fine, but the point is these things shouldn’t be in the water supply anyway so, um, so yeah but yeah, so typically that’s how people find out about us or start thinking about us and that’s where we come in is like, a really good option, you know, so it’s like yeah you know, like I’m looking at your success pyramid, you know, like a lot lies underneath the surface and the same thing with water filtration. 

Dr. Justin Marchegiani: Yeah. It makes sense because they’re putting a lot of these compounds there because they’re trying to prevent, you know, the bacteria getting in the water along the way but in the end you’re gonna drink it and so it makes sense that there is some kind of end stage filtration that we put that water through before it goes in our mouth and we know if chlorine is affecting bacteria in the water well what’s what about all the eight pounds of bacteria in our gut. 

Israel Passwater: Yeah, it’s correct. 

Dr. Justin Marchegiani: So, it makes sense, we know 80% of our immune system is there. So, it’s gonna have negative impact with our microbiome, our immune function, so it’s good that we have ways to get it out.

Israel Passwater: Yeah. Especially if you’re immunocompromised too, that’s a real significant topic, you know, for people that are like yeah or just sensitive to certain things. You know, 

Dr. Justin Marchegiani: 100%

Israel Passwater: There you go. That’s our website, um, so

Dr. Justin Marchegiani: I just pulled up on screen first thing, we hit the, um, the first thing we talked about was fluoride, we talked about fluoride and the Hydrofluorosilicic acid right? Before Hydrofluorosilicic acid, we talked about, you know obviously the percent removal. This is great and this is all confirmed via lab testing is that correct? 

Israel Passwater: Correct. Yeah. That was the thing I was gonna touch on too. Whatever you choose, okay, so like, when I’m talking to people that may or may not know about us or have you know, a medium  interest in water, you know filtration, um, they say, well okay well, you know, how do you compare to brands x, y, and z and go okay well, we do actually if you go on our website, we actually have a few comparisons like how we compare to like, you know like Berkey, Aquatru or some these other brands that you know are might be larger companies might have you know bigger marketing budgets but they again, when it comes down to it, it’s all what is testing is proven to do and then how was it tested, where was it tested and that what are the standards. So again, the cool part about our, uh, filters is they’re tested at EPA and NSF, uh, certified laboratory. Uh, we test stuff all the time, we actually just recently updated our pitcher testing so like for now we’re, uh, up to 273 known contaminants. Oh yeah, that’s a cool video too if you have ever wanted to check it out like the red dye test. But it just kind of gives a powerful visual of you know what our filters are doing and again imagine the red dye being toxin xyz. 

Dr. Justin Marchegiani: Toxins, yeah exactly. 

Israel Passwater: Yeah. The cool part again, again our filters are tested. They work and again we feel we have the best option in the space or and again we’re not the only option but we’re probably the best, uh, as far as when you’re looking at water pitchers especially or our point of filter systems like our under the sink or inline filter for your refrigerator, I mean, we really in, again, we have bottles so we kind of fit in the niche of like between like, hey I don’t want to put in a whole house system because there are some good house systems like as you and I were kind of chatting about yeah, but I want something portable, I want something I can take with us, something I’m renting a house and I want to be able to have clean and safe water for my family, we fit in really well, there so. 

Dr. Justin Marchegiani: Excellent. Very cool. So, let’s continue to hit, so we talked about fluoride, we talked about chlorine which I think is really important for all the reasons, we mentioned chlorine right here 99.5 and also the chloramine which is a metabolite too so we’re knocking a lot of these down. Let’s go into the plastics. I think this is really important because of the microplastics so you have different plastic compounds BPA, various estrogen chemicals. You could probably put, um, pesticides, perforated chemicals in there, different chemical pesticides runoff.

Israel Passwater: Yeah. A lot of time, they think, well how do microplastics or like us pesticides end up in the water supply because when you think about it, you know, I see you know, neighbors of ours out there were like you know roundup  and which is equally horrible but they’re spraying killing weeds and stuff I got to go but what people don’t understand over long periods of time that ends up and seeps into the water supply and then again local municipal water department doesn’t necessarily have the tools in order to filter that out, you know, so again, the assumption of hey it’s safe or with microplastics  a lot of industrial runoff, you know, we build and create things and that ends up also in the water supply too so there’s a lot of different ways because of runoff and seeping and leaching over long periods of time that can come downstream to us and things that we’re just becoming more, uh, clear about it, more, uh intentional about, um, I think that what again why people go. Oh my gosh. There are actual pharmaceutical drugs or another one. How are pharmaceutical drugs..

Dr. Justin Marchegiani:  Exactly

Israel Passwater: Well and yeah

Dr. Justin Marchegiani:  Exactly. With a lot of these chemicals too, a lot of times they’re still like pecs, piping that’s plastic, there’s still some plastic piping. So, a lot of these things may be running through that as well 

Israel Passwater: Which are not BPA-free as we know so and yeah and again BPA is limping like all sorts of nasty stuff too. So again, It’s really just kind of like a systematic like, aha, moment like, oh there’s a problem with my water supply potentially oh okey tell me more about that and that’s typically where people like I said like gravitate to and again gravitate it doesn’t have to be us but again we are certified to remove more contaminants than most of your, your top brands, you know, so uh, again, we feel like we have the best big mousetrap to use the term you never talked about, um, and uh again sometimes, you know people ask me like about a compound, we haven’t tested for. I go, you know what probably but I can’t say it until we’ve proven it but again all of our lab test is available on the website, you can download it and take a look at it. So, the biggest thing, I would like to say too is like for anyone in that space and interested in that, do your research but ask, you know, if the testing data isn’t available on the company’s website or on the packaging, ask for it. If say, hey I want a copy of your testing data and a lot of they can’t prove that or it’s tested for five gallons or in-house. I’ve heard something on the radio today, you know, it was like yeah 4 out of 5 people said that they felt that better, I think it was like a like a protein powder or something like. I gotta go, I go, that’s a perfect example like oh trust me it works it’s fine, well we tested it in-house for people that are on the payroll, you know, so stuff like that, that’s what you have to pay attention to, you know.  

Dr. Justin Marchegiani: 100% Yep. That makes a lot of sense. Let me keep by hitting other things. So, we also just have general bacteria and viruses right, I know, that’s really important especially with what’s happening today in the world right, um, so viruses getting that out of the water whether it’s a Rotavirus etc. or just general bacteria, E. coli. Different various cysts, I know, parasitic cysts, Klebsiella, Giardia. These are all different microbes that could be in the water as well. Let me just show that here as well, that’s important. Tell me a little bit more about that and so you’re saying conventional water filtration, they’re not gonna be getting rid of some of these bacteria, cysts, viruses?

Israel Passwater: They won’t, because again they’re servicing like volume. So, one of the things you’ll notice too like when you first makes …, is that they’re again, it’s a catch-all. They’re doing, I would not say they’re doing there best, they’re trying to service a very large population because like at least here in California, is like, when they were building the infrastructure like yesterday, I assigned a new place ice hockey or driving on the freeway through L.A. and he’s going why are the roads so bumpy they go we’ll again because they’re old and they weren’t you know why are we hitting traffic well, they weren’t designed to service this many people. Same thing with the water supply. Again, when California’s infrastructure was built, you know, 100 years ago, it wasn’t planned. They weren’t planning on having this many people live or what again, great place to live, um, whether wise but gain from an infrastructure standpoint for water filtration like servicing a lot of customers and they can’t again. That’s why good filtration takes time, um, so like you know people know it’s like oh wow, how long does it take to develop your water pitcher, usually about 10-15 minutes. I go, oh wow, that’s kind of slow, no it’s actually good because it’s doing its job so, um, it really just depends on how you look at it but again trying to service a bigger catch, uh, a bigger net but against letting some of those particles and contaminants through because again, they can’t, they’re not set up to do that and that’s okay but knowing that you say okay well I gotta go take the next layer, the next step in order to protect my family and myself, you know, so

Dr. Justin Marchegiani:  That makes sense because it takes a while for water to fit through and if you’re trying to get millions of gallons out, it’s gonna be pretty costly and it makes sense to filter it source you know. I mean where it’s coming into the home so it’s most like that this should be just something that everyone should have anyway. So, they’re trying to make the water decently clean, so you don’t get really sick, taking it in but it’s still not gonna have the health properties that we need overall. 

Israel Passwater: Right.  And that kind of goes with the assumption of like, okay so like I have you know even if you have like a whole house system, some of them are rated different rates and some of them aren’t rated at all so it really like depends on it so again that’s the first step but the second step typically is like people like oh well I have a fridge, a refrigerator, LG refrigerator that’s got a filter and it has a light that goes on when I need to replace like filter and they say oh cool great and they asked the same question, oh well, what is the filter actually doing, they kind of have the deer in the headlights look like, I don’t know, I have no idea well it’s again the assumption of safety the illusion of safety is like oh it’s a filter okay it’s like a seatbelt was it crash tested, I don’t know, it’s the seat belt though, you know, so but again we wouldn’t again I’m kidding, it might be a poor analogy but like that’s the kind of assumptions that you walk around with like oh okay, it’s gonna filter okay cool. Well, what does it do, I have no idea but part is that we do have an idea and we can prove it.

Dr. Justin Marchegiani: Yep. And we kind of already highlighted the herbicide that is a big deal because of pesticide runoff. It’s coming in from different farms, it’s going into our water supply and again this is like a wide category right, I mean, there’s all kinds of organopesticides and these affect our nervous systems. They are hormone disruptors, so they can really throw off hormones. This is a big one right. Any comments on the herbicides at all?

Israel Passwater: Yeah. I mean especially typically when someone’s asking about the herbicides and pesticides, a lot we have a lot of mothers are asking about that they’re expecting getting out..

Dr. Justin Marchegiani: 99.99% out so this is great. So, this is really significantly reducing our reduction and just not cut you off but these things are really powerful at very low doses so you don’t need a lot of it to affect your body, right?

Israel Passwater: Correct. Yeah. They get effective dose on or the, the lethal dose but yeah it doesn’t take a whole lot in order to do a whole lot of damage, um, and that’s again a scary thought, you know. 

Dr. Justin Marchegiani: 100% So we talked about pesticides that’s important because we’re getting exposure there, I would say the next thing, um, we talked about pesticides and herbicides. They’re kind of the same camp, right? In the same camp there, I would say the next thing after that I think is really important, um will be medications. Can we talk a little bit more about the medications and like statins, antidepressants so if even if we just like pee right these metabolites are going through our kidneys and they get into the water, right? 

 Israel Passwater: Well, because you think, like how on earth could like this kind of stuff be in the tap water and then initially when we started talking about this, I go really there you go, that’s, that’s a thing well yeah obviously our body filters it through our own filter system and it excretes all the toxins that’s what your body designed to do but that also includes trace amounts of insert whatever, uh, pharmaceutical drug you’re taking, you know, so that stuff shows up in traceable amounts in the water supply and people are kind of shocked when they find out, you know, like roundup. Okay I see like, my neighbors sprinting around up on his on his yard or something about ant killer or whatever the toxic thing yeah, I can see that it rains it runs down the drain it goes into the water suppl, makes sense but pharmaceutical drugs, you think, how on earth that well okay, when we think of it from us being the carrier or at least the disseminator of that or if you’ve ever dumped pills down the drain or down the toilet that can also end up with water supply too. So again, there’s a variety of ways that happens, um, but it’s something that we need to pay attention to, uh and something that’s very easily overlooked. 

Dr. Justin Marchegiani: Yeah. I mean just looking here on, on the list that you guys are actually testing right deep. That’s insecticides or you know, uhm spray for mosquitoes, right? 

Israel Passwater: You think, okay like that makes sense. You know but some of this other stuff is like, like way hardcore you know. So it’s like..

Dr. Justin Marchegiani: This phenol A, obviously a plastic compound, a lot of the hormones that women maybe on which we don’t want men being on right?

Israel Passwater: Correct. 

Dr. Justin Marchegiani:  That’s like GABA medication, right? And then you have, um, just trying, I don’t recall some of these names, Naproxen, that’s some pain medication. 

Israel Passwater: Yeah. Again, I’m not a medical doctor, my degree in exercise physiology so like but again from a from health perspective, you think of all the things you do, during the week, you know, you know, like I’m a runner you know, it’s like, like training I’m running 60 miles a week, I’m stretching, I’m cross training, I’m taking some supplements, I’m trying to eat healthy and you know not drink too much or whatever it is you’re trying to do but again an easily overlooked one is like what, how, not just how much water you are drinking what kind of water are you drinking so that’s where really people go, oh, yeah you’re right, you know pesticides as we see, you know, its like, you know, those kind of things. They’re there, there proven and uh, I don’t know if you’ve shared with your audience 

Dr. Justin Marchegiani: For this handout people here, this is uh, anyone listening we have some stuff on the screen shared here. This is the actual lab assessing assessment testing on 100 gallons. This is cool. So, we’re seeing this is also getting removed like we know it and so on the website, you, kind of have it here right, you, kind of have it oh, you had it listed here, what was being removed but then we actually have the lab assessment here so that’s cool. 

Israel Passwater: Yeah. Yeah yeah.  And again, yeah, we’re going to be adding some features on the website so if you look over the next week or two or three. It’s gonna have some other tools that we’re adding not to tease it but again we, the way it kind of the way I see is like, you know, from not just like we’re not selling water filters will help them educate people too that’s obviously why you and I are connecting on the podcast today but I think it’s important to if you take away nothing else from this podcast other than, hey I maybe need to rethink what other kind of water filter or if you’re not doing it, go do some research and find out some of the ones that’s best for you because again like what I said we’re not the only company that does this but we’re the ones that do it, obviously a greater extent, um, and again we’re decently in our opinion very affordable, easy to work with, um, independently tested and certified. So, I can, I, I see it’s kind of a no-brainer but it really starts with in an individual saying, you know what let me think about that, let me see what, what is my fridge filter is doing or is it doing

Dr. Justin Marchegiani:  Exactly. Yep. That makes sense. That’s good. I like that. So, we hit the fluoride right and get a big one, we hit a lot of the viruses and bacteria stuff and then we hit a lot of the plastic compounds we can put, like phthalates in that category, we have to put microplastics in that category. 

Israel Passwater: I’m trying to think of any, like the top offenders too, like for people but again you know, fluorides usually where people like or in heavy metals or where people start you know like..

Dr. Justin Marchegiani: Pharmaceutical drugs, right?

Israel Passwater: Pharmaceutical drugs, radiological elements, obviously, that’s one that we do too but I mean it really just depends on like everyone has a different you know top of their pyramid, they also have a different fear points here so they like whatever is most fearful of them or what’s most recent as far as exposure or you know, you know whatever that is again, we can service of those needs you know so and occasionally someone will say, well what about this and go well if we’re not certified to remove it we won’t claim it because we don’t know. 

Dr. Justin Marchegiani: Yeah, that makes sense.  

Israel Passwater: And it’s also too very costly and very timely to do this, so it’s not like we can’t just run down the street and have it done, it’s like no we have to have it send out and it cost thousands of dollars and so we’re very intentional about the ones we test for, um. 

Dr. Justin Marchegiani:  Exactly. Yep. That makes sense. And so just kind of the big five, right, we have pesticides-herbicides, we have fluoride, we have chlorine, we have pharmaceutical drugs, right and we have a lot of the you know, heavy metal here as well too, mercury, lead. These are important right, a lot of pipes used to be lead, I mean there’s a reason why, um, plumbers are called plumbers, I think, what is it the periodic table for, uh, lead, I think it’s plumbum is, is lead, right? How, that’s I think Latin for Lead is like plumbum the, in the periodic table of elements Pb which stands for plumbum and that’s what plumbers got their name from because plumbers dealt with pipes that were literally lead so lead pipes and plumbers were kind of synonymous, so it makes sense there may be still old piping out there in certain areas so you want to make sure you’re pulling the lead out, pulling any mercury out, pulling any, uh, compounds out that could be problematic. So heavy metals, pesticides, plastic compounds, uh, then we would have a lot of our pesticides and then chlorine fluoride. So those would be our top five here today. Anything else you want to talk about regarding other problematic compounds we didn’t dive in deep enough on?

Israel Passwater: No, I, I think I would just encourage everyone there’s a fun open-source tool they call the environmental working group that’s the EWG. They actually have a database where you can pull up your zip code. So, you can punch in like mine’s 19694 so you know where I live now, but it’ll pop up but hey here’s the, the compounds that we found in your lab testing. Yeah, here we go, perfect.

Dr. Justin Marchegiani:  Yeah, here’s mine. This Austin, right here. This is Travis country, so you can look here, we see, 

Israel Passwater: Like, well, let’s see, like oh, there you go, yeah and again and also too I wanted to mention that a lot of these substances are regulated by the EPA, so they say well, you know, the EPA is there to protect us and they are but again a lot of these things aren’t regulated or if it’s regulated it’s not to a healthy extent because you shouldn’t be like chlorine, you shouldn’t be ingesting chlorine but it is regulated so

Dr. Justin Marchegiani: Right, and then if we go here. Let me go pull this back up, right and we look at some of the testing, so we so in my area, I think the big one we saw was a lot of bromines, so there’s bromo, your bromochloroacetic acid, that would filter that out and we, I think we saw a bunch, um, you look at what else we saw there, the chloroform, so that that’d be that’d be your chlorine, right? 

Israel Passwater: Right. Correct. 

Dr. Justin Marchegiani: Over there. 

Israel Passwater: And that’s the kind of the fun part is because you can thumb through and our goal is to be as transparent as we can, you know, so like I said, if there’s something we haven’t tested for, we just said, you know what we haven’t done that, we’ll put on  a list, you know, and were  constantly building a list and we’re constantly retesting you know, like I said we retested our pitcher, uh, this year and we’ll be doing the same thing with our inline filters but again, everything were certified to do, is like what we have proof of you know and it’s like yeah

Dr. Justin Marchegiani: Here’s your chloramine and here’s your, uh, your chloride. So, it’s then you can kind of go in there and say, okay cool like at least have some coverage, um, for some of these issues, so that’s good and high levels of chromium too. 

Israel Passwater: And yeah, I just want to mention, so this information is getting pulled from the universal database, so EWG just proved like, compiles all the data and then kind of google and then it kind of presents it in a very, uh, I think eye-opening way, um, so one of the cool parts is that you say well if you don’t believe me that your water supply is there’s probably something to be worried about, go here and then they’re a non-profit, we have no, we don’t paid by them or anything like that. So again, I like to show that is kind of like for someone who maybe new on that journey, um, towards, if either finding us or finding something else, say you should do something because you should consider this and that’s usually like, oh my gosh, I can’t believe that. 

Dr. Justin Marchegiani:  That makes sense. That’s great. I want to just compare the technology to like you know your general breeder. I’m on your site here right. Where’s the best way to go see that, I know that you have like a comparison on here. Is it a featured pitcher? Is that right side?  

Israel Passwater: Uh, yeah. The comparison I’m trying to think about the comparison, it already should, I should know this. 

Dr. Justin Marchegiani: I went, I went through here earlier and I saw it and I thought it was really good. So, I’m gonna, I’m gonna put her around here as we, as we’re chatting to see if I can pull it up here. 

Israel Passwater: And I’m trying to think, I, we have like a blog session, a session section, excuse me, that like really showcases, like, some interesting articles like us versus Brita versus Aquatru, us or Insert brands. Again, like I said we’re not the only people that do water filters but again kind of goes through like, how we’re.. 

Dr. Justin Marchegiani: Here it is. Right here. I got it right here. So, there’s, you know, you clearly filtered standard carbon, zero water, so let’s just kind of go through the big thing here. So the big one is obviously fluoride, microplastics, lead, a lot of the, um, the I think these are volatile organic compounds, right here. So, we’re really filtering a lot out so most are going to do pretty good. In regards to what’s probably more lead and then what else. Let’s, let’s use the easiest one, one of the easier ones to test for too and you know if you have any carbon block filter of any type, it should remove some percentage of that. So again, we never want to just like, to discourage other brands, that’s never my thing, it’s like hey whatever you are, you’re using even a Brita filter for example because they’re the most know brand because they’re been around the longest and they’ve had the most like a said the most marketing budget for longest time but again, it’s going better than drinking tap water, so it’s definitely better amount of good so that, which is a good thing you know so it’s like you know, hey well, you start here and then you move here and move up, you know, but uh, I think too, one of the things that keep in mind too is like, uh, when you’re looking at comparing like, brand A to brand B to brand C. You got ask yourself, you know, three main questions: how is it tested, is it tested, those are two parts and then to what degree, who’s testing it and then also to the other part is how long does it last, you know how easy is it to work with, you know, is it made domestically or is it made overseas that’s the one thing to consider, um. Again, all very important questions to consider when you’re looking at but I think the biggest thing is transparency because there’s a lot of non-transparent, uh, practices and a lot of unregulated. So, we try to be as up like I said as upfront as we can about with people and I think they appreciate that, you know, I do.

Dr. Justin Marchegiani: It’s good. That’s good. Let’s talk about kind of what like the technology. So, if someone’s researching a brand, someone’s saying I want really investigate a water filter and what makes a water filter great and they want to look at different brands what should they be looking at. So, let’s kind of compare and contrast using the technology you have, how would you know, you’re dealing with good tech? Let’s just kind of contrast what you have and how people should be educated on this. 

Israel Passwater: Yeah. Yeah. Great question. 

Dr. Justin Marchegiani: So, I’ll put the screen back up here so you can, you can kind of use that as a guide to walk through it. 

Israel Passwater: Yeah. Thank you. Yeah.  That’s fine. So again, our technology, it’s, it’s our own technology. It’s affinity technology, we’ve spent tens of thousands of dollars in multiple years coming up with the filter, uh, yeah, so we actually ever realized what was made up. Well, we don’t disclose the ingredients list but again we’re not using activated charcoal or bone char or anything that’s going to be problematic so it’s all, it’s all up and up and obviously if we’re tested so we need to update that graph, by the way sorry, um, you’re constantly finding things but yeah again the technology basically the way this simple elevator answer is your water supply or your water, uh, your water supply is polluted, we have a technology to remove it. Takes out all the bad stuff, the toxins, the chemical, the PFAS, the lead, uh, the VOCs, and retains the nutrients in the water so that. that’s the secret. So, a lot of times even when you look at like an RO system, RO systems aren’t inherently bad they pull everything out of the water and then a lot of that they added back in the salts and stuff like that. But the cool thing is like, with our filters is that we have the ability to remove all the toxins, so our filters are smart they’d be able to discriminate between filter or sorry between water, uh, nutrients and then toxin. So, that’s really where people go wow, that’s pretty cool and it is. It’s awesome. Like, I said, we put a lot time and energy into that, our design team is constantly working on ways to innovate, uh, we have some new things coming out that I can’t quite share yet but, um, things that I think will be really well received and making a little bit easier for our customers. But the big thing is, we know how to remove the bad stuff keep the good stuff in and the other stuff too, oh yeah, like I was saying, like with the RO systems, uh, they’re about 75% less water efficient, so for every clean gallon of water, it makes, it wastes three and a half gallons. So, for us, we don’t do that. So, we’re also eco-friendly, um, again all of our stuff like you see, our testing data is fantastic. Uh, it’s independently third-party test and lasts a long time. So again, we see it as like a slammed up for the right person who’s obviously open to that, um, but again when we’re looking at different types of filters, you know, yeah like I was mentioning, like our pitcher filter, it takes you know, 10 mins to fill the reservoir. Well, it’s doing its job. So sometimes fast is not a good thing. So 

Dr. Justin Marchegiani: Exactly! I love the, the water pitcher because one, it’s not expensive at all, especially when we know how important water is to our health. This is like, it’s just about prioritizing our health and knowing that 70% of your body is water and making sure it’s clean, right? You’re literally swimming in your water and if it’s clean then that’s great, if it’s toxic then it’s poisoning us, that’s a problem, and some people are in apartments and they’re traveling they haven’t the ability, so I love the ability to bring it with you and just put it in your fridge. So, I like this as a great option here. Can we talk so like, talk to me about the technology, so we have phase 1. There’s some kind of a medium, it’s flowing through like other brands are using charcoal or bone char. You have your kind of medium that’s a non-toxic medium that it’s, it’s moving through and then what’s, what’s there after that, like what’s the next step? So, there’s some kind of a filtration medium. What’s the next level up after that?

Israel Passwater: As far, as far as our filter or other yes

Dr. Justin Marchegiani: Yeah. Yeah. Well, it’s just for yours and then in general. What would other people have? 

Israel Passwater: Yeah, I mean, it’s again, think of layers, so it’s like, you think of like a layer cake, it’s just. 

Dr. Justin Marchegiani: So just, I got the image up so we have like a woven mask, some people would have the charcoal with a bone char because that’s kind of step one, right?

Israel Passwater: Yeah. And then go to step 2, you can scroll through and then

Dr. Justin Marchegiani: So, then you have your coconut carbon

Israel Passwater: all right and then you go to step 3 and then combine the shell, kind of like holds it together and stuff like that. So again, it’s again, even if we gave you the ingredients list like coke for example, like no they, they keep that under lock and key, what’s the secret, you know recipe for coke, we know right, right part of the sugar, part of this diet, the other thing but again we can give you the ingredients list but the way it’s put together that’s really what comes together. So again, not the first people that come up with the idea like this but again we have the best one. So, uh, but again think of like a meshed layer that can woven together and again it’s how it’s put together and what stage and how it’s composite in and what not. I can’t say much more than that but again, that’s right

Dr. Justin Marchegiani: So, so most people are just primarily having this stage 2, right? It’s a kind of stage 2 thing or

Israel Passwater: Yeah. Yeah. 

Dr. Justin Marchegiani: You kind of have your pattern on page one. 

Israel Passwater: Yeah. Right. 

Dr. Justin Marchegiani: With your mesh and then you have the stage 2 and then you obviously your stage 3 compartmentalized at all. That makes sense. 

Israel Passwater: Most part, you’re not gonna take them apart inside like how is this put together it’s more like how fast is it doing, is it doing it and does the water taste good, again that’s just literally like the way I would have looked at it before, we started clearly filtering like, oh, okay, it goes, it’s going through, it’s not leaking, it’s not gonna leak into the reservoir. Okay great. Awesome. But again, stage 2 up for like a coconut carbon, it’s just like a block of, it’s gonna remove some stuff. That’s better.

Dr. Justin Marchegiani: And then we have all of our test results so we kind of know what it’s doing, that’s good. I like it. I think it’s great. If you guys wanna, if you guys enjoy the information and you wanna have an additional level to clean your water, justinhealth.com/clearly-filter. We’ll put the link down below, um, we’re just trying to provide a lot of education for everyone because, you know, I see a big gap in this field is, I recommend a lot of under the counter whole house systems but there’s a lot of people that, that can’t do that so this is a kind of a better mousetrap in that way, um, and we know water is so important. Anything else that, you know, Israel, that we talked about today, we didn’t go deep enough in, that you wanna highlight?

Israel Passwater: Yeah, no, I, I think one of the things too where we play really well is like you’re saying like on the go for people living in apartments and stuff like that. I think for, you know, just a skim, even when you’re traveling that’s why you’re getting more bottles you’ve got to wear filtered bottles which are kind of cool.

Dr. Justin Marchegiani: Oh, you got a bottle too? See a filtered bottle that you can bring with you to. That’s great. 

Israel Passwater: Which is good because like you know, my wife and I, we went to Hawaii for work, uh, a couple of about a month and a half ago and it’s like we brought our bottles and I actually brought a pitcher because I go, I want that convenience it actually fits into the refrigerator for like you know a Hawaii size you know, uh, refrigerator. So, I was like, that’s pretty cool, so you know again, we played really well for, for we offered the service then obviously you know great technology, great customer service, um, again, transparent, easy to use, easy to work with and again you know that’s really why I think kind of fun part about us, helping people live healthier lives is that where it, it’s easy to do so

Dr. Justin Marchegiani: That’s cool, so you got a portable bottle as well with that same mesh and activated charcoal technology that still filters out a lot of that while almost all the fluoride, all the chlorin, heavy metals, so it still has similar benefits as the actual. That’s great.  Wow. 

Israel Passwater: Yeah and most people like because they think like okay well I’ll have to fill up, you know, they have refilling stations at your gym, there’s nothing wrong with that but again they’re they have a filter on it but we’ll kind of filter it well, I don’t really know exactly and that’s where you think, well, you don’t have to worry about that it’s like or if you’re going to the airport now,  that people are traveling now, hope it’s kind of helpfully winding down, you know, it’s like yeah and now that people are back to going they’re really focused on that, so that’s something that you think from an economic standpoint and typically, uh, I believe the stat was most people are spending about 1200$ a year in bottled water so you gotta Costco get the coarse blend, you know, 24, 36, and 48 packs, that’s a lot of money savings too so again if it’s money if it’s you know obviously chemical reduction, uh, indigestion, that’s, uh, something that we can definitely help with, you know.

Dr. Justin Marchegiani: That’s really good. Well in general, I think really important the solution to pollution is dilution. So you wanna have good clean water. Your cells need to regulate temperature, to pull toxicity out, run to help run our kidney, so really important to make sure kind of as a foundational right, clean food, clean water, good sleep, good movement, these are essentials to being healthy, so here’s another great product that I recommend, that recommend for patients and use myself that I think people would benefit from. Anything else, Israel, you wanna leave the listeners with? 

Israel Passwater: Yeah, no, I think the biggest thing is like, you know, where if, if they’re interested in, you wanna choose, that make sure you did your research like do your homework and that’s with anything if you talk about supplements, uh, anything again, we read you know the back of packages, you know what I’m eating, so the same thing goes  with like water filter so if it’s just us or somebody else, do your homework. Make sure you’re getting into, uh, I think that and we will shine after that but, uh, I think I really, it’s more just like I just again always encourage people to do their homework, think for themselves, question everything and that’s really important because again there’s a lot of misinformation out there or lack of transparency, um, so that’s kind of one of the downsides to our industry. It’s not very straightforward and so you really, really dig into the weeds there and again we’re busy too, I mean I work full time, my work works full-time, you’ve got a life, you’re trying to work out be healthy, you know, all those things but again, if you’re gonna invest in yourself, you can definitely want to make sure, you know, what you’re doing, you know, so if that goes with anything we’re not the whole piece of the pie but we are one piece of that, that’s overlooked like. I said, you know. 

Dr. Justin Marchegiani: Well, yeah. A lot of people that already are using a simply, you know using a filter already and it’s just we’re gonna exchange it out for something better that’s gonna clean the water better and then also I always tell patients, I’m not worried about stripping minerals out, they’re always, they’re already good supplements out there, where you can pinch a little bit of minerals back in. It’s easy to re-mineralize, it’s harder to pull out toxins. 

Israel Passwater: Correct, yeah, correct. And remember, yeah like I said it’s a lot easier to do that than the opposite, you know, so that’s why obviously, we’re around and that’s why it’s something, the way I think it’s like, it’s one less thing to worry about, um, so if you worry about stuff being a parent, you know, being a healthy or not then you know, this gives you. One less thing, you know, have to consider, you know, if it’s at home on the go so. 

Dr. Justin Marchegiani: Anytime you can set like your health habits on automatic, like okay I’m just plugging this in and then I’m just gonna continue with my routine and then now, I have a higher quality food or higher quality water, you get the benefit, right? The more we can set these habits on unconscious competence where it’s just automatic, it’s always better. I love that. 

Israel Passwater: Yeah yeah and then one thing on the automatic too that, we’re talking about easy to work with, again, we have a subscription service so again, we ship domestically for free, uh, for anyone on our, uh, subscription and, uh, basically, the cool thing we need to talk about like not having a room with things I forget everything, you know, so I have to have everything written down or a calendar reminder, uh, but the cool part is you know, we can put it on auto ship so if you want one every two, three, four, five, six months, you control them, so the cool part is like that ability to be able to choose not to have to think about it or if you need to push it back, they can do that so again, we make it super easy for you, um, again, we have really great customer service team and we take good care of everybody, so  I think again, that’s one less thing that I have to worry about, you know, imagine like, you know you have that with entire rotation, somebody automatically does that for, you instead of having to go down,  the entire shop, get the oil change and entire rotation so we want to make it easy on you, you know but, um, that’s also powerful to know that you have full control of that too, so

Dr. Justin Marchegiani: Very good. Anything else, Israel, you wanna leave enlisted with? 

Israel Passwater: No, I just thank you for your time. I’m really, I’m excited, I’m glad I get to be part of your audience and uh and here with you guys today and if they have questions, um, I don’t know if you want to funnel through you to me but they can, I can give you all my contact info, you can share that later too. I’m happy to give a resource to you, if I can and yeah

Dr. Justin Marchegiani: Any questions you guys, put them in the comments that’d be awesome. You can always come back around on the youtube video and respond back and if you guys enjoy, I’m always trying to hunt down good products and this is definitely one we can add to that list. Everyone and then justinhealth.com/clearly-filtered and I’ll put the link down below. If you’re driving just go down below, first link, click it and you’re good. All right, Israel, phenomenal chatting with you, thanks for dropping all these knowledge bombs and have a phenomenal day. 

Israel Passwater: Thanks Justin, good to see you man. 


References:

https://justinhealth.com/

https://www.evanbrand.com/

Audio Podcast:

https://justinhealth.libsyn.com/the-top-5-ways-your-water-could-be-hurting-you-how-to-fix-it-podcast-350

Recommended products:

Clearly Filtered

Water Filtration Device

Whole House Water Filter

 

 

 

 

The Gut Lung Connection – Your Gut Health Can Affect Your Breathing | Podcast #348

In this podcast, Dr. J and Evan talk about the connection between the gut and respiratory system. You might not immediately associate gastrointestinal problems with lung disease, but the two frequently coexist. The tissue and glands in your lungs and intestines are the same and react to the same triggers.

At first look, the operations of your digestive and respiratory systems appear to be somewhat dissimilar. Though, the systems are connected in a variety of ways. The digestive tract can function because of the outcomes of respiratory action and vice versa. In addition, the systems collaborate to deliver energy to the body’s cells.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

3:08:   Key factors of lung inflammation

7:48:   Probiotics as regulator of immune response

11:56:  Foods major role in gut-breathing connection

20:17:  Available Testing and Herbs

Dr. Justin Marchegiani: And we are live. It’s Dr. J here in the house with Evan Brand. Today, we’re gonna be talking about the gut, lung connection. This is really important. Lung health today, it is very important. We have to get good oxygenation. We have to make sure that inflammation from different microbes in the environment, whether it’s allergen or infections, we have to make sure that we’re able to still breath and transfer oxygen even with those stressors in the environment. We’re gonna talk about how the gut is connected to that, how inflammation in the gut can be bi-directional and can affect the lungs as well. So, let’s dive in. Evan, how are we doing today man?  

Evan Brand: Hey. Doing really well. Starting this thing off, I was looking at some papers this morning. I told you this was just too important for us not to cover so in the journal of immunology from this year 2021, I’m just gonna read you one, really, really big thing here which is the fact that intestinal dysbiosis is associated with increased mortality in respiratory infections due to an exacerbated inflammation and decreased regulatory or anti-inflammatory mechanisms in the lungs and the gut and they say here, pointing to this important relationship. So, this was actually the first time I’ve heard. You and I have been talking about stuff for years, I mean, we’ve done between us both close to, you know, thousand podcasts and we’ve been talking about gut-brain axis, we’ve talked about the gut-thyroid axis, we’ve talked about the gut-skin axis but I don’t think we’ve ever hit on the gut-lung axis and so this paper is just really reviewing the literature on this and it’s absolutely incredible because guess what, the beneficial bacteria helps respiratory infections and there’s 30 pages, if not more, I haven’t even had a chance to review all the papers on this but there are countless, countless papers now and pages of papers showing that the probiotics actually can reduce the inflammation in the lungs, however, if you’re in the hospital or if you were in the unfortunate situation of being in a critical care unit, an ICU, you’re gonna be getting antibiotics more than likely and you’re not gonna be getting probiotics. And, we could go into the mechanisms but I think the mechanisms will probably bore people but long story short, there’s an increase natural killer cells and obviously decreases in inflammatory cytokines and there’s many, many other mechanisms but long story short, probiotics are absolutely amazing and we know that the antibiotics that you’re gonna get in these situations are gonna do the exact opposite.  

Dr. Justin Marchegiani: Absolutely. Here’s a great study here. I know, we’re kind of referring to some of it. I’m going to share my screen here with the audience so everyone can see it, all right. Let me know if you guys can see this here. I’m gonna pull this up here so you guys can see it. All right. Can you see my screen there? All right. Awesome. All right. So, off the bat right, one of the key driving factors of lung inflammation is gonna be dysbiosis, right? Why is this? A lot of this has to do with the fact that bacteria, 80% of the immune system is in the intestinal tract, right? You have some in the GALT, which is gonna be the gastric associated lymphoid tissue, that’s in the stomach, right here. And then, you have the MALT, which is the mucosal associated lymphoid tissue. So, the mucosal, uh, that’d be the intestine. So, the small intestines in the middle here and then the peripheral on the outside is the large intestine. And so, a couple of the big things that you’re gonna see is when the immune system is overactive. One of the first things the immune system does is when it’s overactive, it actually creates inflammation, right? Part of inflammation is vasodilation so it can bring the immune system, the immune cells there to help fight it off. Think if you get bumped in the eye. What happens to the eye? It gets swollen, right? And so, you create this low-grade inflammation which is part of how the immune system works. The problem is, you know, most that inflammation that we’re seeing in people, it’s not an oops, I broke my elbow, it’s gone in a day or two, it’s a chronic low-grade inflammation and so you can see, um, when we add in things like probiotics over here, right, probiotics do a bunch of different things, they regulate the Th1, the Th2 immune cells, right? So, Th1, Th2, right, so that’s gonna be the natural killer cells on the Th1 side versus the antibodies on the other side and so, we have this balance between helper natural killer on the one and we have the antibodies on the two. So, we have this good balance and if they have it out of killer, like, let’s say we have higher Th2, you may see more allergies and things like that which can obviously stress out the lungs and obviously if we have some kind of infection in the lungs, we want good Th1 modulation because if the Th2 is really high, the Th1, those natural killer cells are gonna be lower. And so, you can see, obviously, it’s gonna express several viral defense genes. It inhibits various cytokines and chemokines so the chance of you having, um, what’s that, what’s the expression they call it here, it’s the inflammation after a virus kind of comes in and ravages the lungs 

Evan Brand: Like the cytokine storm

Dr. Justin Marchegiani: Yeah. Cytokine storm and so this really helps modulate the imbalance in cytokines after the fact, right? And obviously, it’s gonna modulate immunoglobulins, that’s your antibodies, your IgG, IgA, IgM, IgG and then to modulate your innate and adaptive immune system and obviously it’s gonna help with the allergenic anti-allergenic property, so that’s gonna be a Th2 stimulator. So, you can see, it’s gonna really help modulate this here. And again, this article doesn’t even really address it but if we don’t have good gut absorption of let’s say of vitamin A or vitamin C or vitamin D, right, if we don’t have good absorption in the gut then obviously all those nutrients play a major role in modulating the immune system too. Any comments on that, Evan?

Evan Brand: Yeah. Well said. So, I’ll take it a step further. We see all sorts of dysbiosis, bacterial overgrowth, Candida, parasites, worms, gut inflammation coming from the diet. You alluded to the malabsorption. So, let’s say, you’re giving someone X amount of zinc, let’s say you’re giving someone X amount of quercetin and vitamin D and vitamin C and you’re thinking that you’ve got a good protocol, well, we talk about this all the time. It’s not really about what you eat or what you take, it’s about what do you actually digest, what do you absorb and what do you assimilate from that so the problem is I have first-hand experience now with some really, really intense medical cases, we’ll just leave it at that for now. And, this particular person has been getting vitamin C in a crushed-up tablet form where in reality, we should be getting IV vitamin C. So, it’s not just about what you get, it’s how you get it, it’s how much you get it, it’s how much what you get from what you’re taking. And, there’s a lot of issues and if you say you’re getting 2 grams orally in a crushed-up low-quality form, we know that Vitamin C. In general, we see it low all the time on organic acids testing. Maybe, you’re getting a tenth of that so you’re really just gonna get the therapeutic amount so a lot of people I find are either being fairy dusted or fairy dusting themselves because they’re putting so much hope into the products they’re taking and they’re just not getting much from that due to these underlying issues with the gut. And, you and I have beat the drum on the gut for freaking 10 plus years and we’re still having to beat the drum on the gut but I hope that you feel as good as I do about all the work we’ve done because we know that everything, we’re doing with the gut is improving people’s responses so that if they do get exposed to something, they gonna have a much, much healthier, better response to it. 

Dr. Justin Marchegiani: 100%. I want to show one more article up here if you don’t mind. We’re trying to incorporate some of these new systems here so people can kind of see what’s happening with some of the articles that we’re looking at while we go live. I think it should be helpful. All right, there’s one thing I wanted to post here. So, we’re looking at different infectious stress on the lungs and what’s happening but look at what’s happening with probiotics, right? Probiotics are having an effect on modulating TNF alpha, Interleukin-6, it’s having also effects on modulating over here, your CD4 cells, these are your natural helper cells. Probiotics, actually, have a major role in modulating this whole immune response and so, you know, I think one of the best things you can do if you have poor gut health out of the gates here is potentially adding in some probiotics, uh, maybe adding in some fermented foods as long as you are getting bloated or gassy. Now, some people that have SIBO, these things may make it worse and so if you’re one of those people that probably won’t be the best thing but if you’re trying to be more in preventative mode, we probably want to get some of this dysbiosis under control and work on building up good bacteria after the fact, kind of my general analogy is you get your car washed before you get it waxed. You go and throw down seeds only after you’ve done the weeding in your lawn. Anything else you wanna add, Evan?

Evan Brand: Yeah. Except for like in acute situation, you might have to change the order of operations, you might have to go hardcore in it maybe some bloating, some burping, some gas, some kind of reaction, you know, you gotta make a pros and a cons list, right? There’s always a risk benefit analysis and those short-term effects from a probiotic if it were in the wrong order per se are not gonna be a huge deal, long-term.  

Dr. Justin Marchegiani: Yeah. Absolutely. Let me just kind of, all right, good, so I think that’s really good. So, first thing I wanted to add on top of that is we know gut permeability is a major stress on the immune system because you’re allowing undigested food particulate potentially or potentially like endotoxins which are like the outer shell of the bad bacteria, potentially even mycotoxins from fungus or mold, right? These things affect gut permeability. When the gut is more permeable, that allows more foreign antigens, think of antigens as like foreign proteins, right, so you could put bacteria, viruses, food, all in that kind of anagen category. It exposes more things to the immune system and the more you expose bigger chunks of things to the immune system, the more responsive the immune system will be. And so, ideally, we don’t want to poke the bear, right? Think of it like, gut permeability is poking that sleeping bear and we don’t want to over stimulate that and create immune responses unless we really need to.

Evan Brand: Yeah. You know, what’s crazy too, this, I mean, we’ve seen so many things with obesity and you know worse outcomes and diseases and you know. I went to the restaurant yesterday, I got some delicious chicken wings, some grilled chicken wings and I look around and everyone, this is on a Sunday, everyone’s drinking mimosas and bloody Mary’s and whatever else and the majority of the people are obese and they’re getting pretzels and nacho cheese and then they get donut holes delivered to their table and then they get a sandwich with like six pieces of bread and the cheese is going off the sandwich and then they go and get chocolate cake afterwards. It’s like, my goodness, just imagine how much better we could be if people just had chicken wings like me for lunch. I didn’t have donuts, I didn’t have queso, I didn’t have freaking pretzel, I didn’t have bloody Mary, like, come on. People, it’s like, they don’t care about their health until they are forced to care about their health but by the time you get to that point it’s already too late so I guess my little rant here is just, I really want people to start taking their health seriously now. Stop waiting until you’re at rock bottom before you decide you wanna change things. Use this information that Dr. J and I are providing and implement it now, like, people listen, listen, listen and then the implementation is just not there. I really hope people implement the stuff you and I talked about. 

Dr. Justin Marchegiani:100%. So, I mean, out of the gate, I mean, of course, you know, you have caught people on a bad day, maybe they’re 90%, you know good and 10% off and you caught them on their cheat day, right? But odds are that’s probably not the case but we have patients who are really good and may have a bad day every now and then. And so, hey fine, if you’re doing great and you’re on point and you’re in great health and you want to cheat every now and then, I always recommend trying to choose the least damaging cheat possible, right? That probably isn’t the best example of that but in general, food plays a major role, right? Because food’s gonna have nutrients to run your immune system, right? Our fat-soluble vitamins, our antioxidants, you know zinc, magnesium, selenium, all play major roles with the immune system. Our antibodies are made from proteins so if you’re not getting and digesting good protein, you’re not gonna be able to make good antibodies for your Th2 immune response and then obviously, if you’re eating inflammatory food, the more omega-6, the more you stimulate your prostaglandin E2, that’s more the side inflammatory side, the more you’re gonna have unprovoked immune responses and you’re just gonna be chronically inflamed and then you may have this cytokine storm we talked about because you don’t have good balance to your immune system and so, also, on top of that, right, we know how much carbohydrates, especially refined processed carbohydrate. It feeds a lot of bad bugs. So, if you have a lot of fungus overgrowth, yeast overgrowth, bacterial overgrowth, these bugs prefer refined processed foods, right? It’s gonna just be easier to digest, easier to feed them and so you’re gonna create overgrowths like that. And these bad bugs, obviously, produce other types of toxins in your body, right? Bad bugs eat your nutrients and poop. And then, instead, versus eating your poop and producing nutrients, right? Bad bugs take the nutrients you’re eating and they’ll produce more toxins and endotoxins and different metabolites, lithocholic acid, etc., versus producing B vitamins, producing vitamin K, producing different beneficial acids that prevent the colon from overgrowing, right? Probiotics, acidophilus, literally, translates to acid loving and so good probiotics actually produce and lower the pH in the intestinal tract which actually makes it harder for bad bugs to grow, right? Bugs tend to prefer an alkaline type of environment to actually grow in the lower intestines.     

Evan Brand: That’s a great point. I don’t think many people know that about acidophilus. I’m glad you broke that simply for people that you actually want lower pH environment because that’s not really a place for these pathogens to thrive versus when you’re on proton pump inhibitors, for example, acid blocking medications or if you’ve got an H. pylori infection, you’re gonna have that higher pH, you’re gonna have that more alkaline gut and then that’s where things really get into trouble, I mean you and I, I think we’ve done a whole podcast on this but the brief spark notes are lower stomach acid, age, stress, not chewing your food, that’s gonna increase malabsorption and feed the bugs too. So, this once again goes back to the same thing and we’ve said 100 times you get your gut tested. Figure out if you’ve got this overgrowth going on. Don’t wait until you’re in a critical situation. We got to get your gut fix now. Think of working on your gut as preventative medicine. How revolutionary is that?  

Dr. Justin Marchegiani: Absolutely. And then also, when you consume too much carbohydrate, we talked about how you’re gonna feed the bad bug. We talked about what the bad bugs do in regards to impeding nutrients, adding more toxins, pooping poop, right? There was one more thing I wanted to kind of highlight on that realm, we talked about the gut permeability and the overstimulating immune system. Also, high levels of carbohydrates, glucose looks very similar molecularly to vitamin C and so you have these macrophages, little Pac men and Pac women that go along in the lymphatic system and in your bloodstream. They gobble up bacteria, gobble up viruses, gobble up crud. 

Dr. Justin Marchegiani: Also, high levels of carbohydrates, glucose look very similar molecularly to vitamin C, and so you have these macrophages. These little pacmen and pacwomen that go along in the lymphatic system and in your bloodstream. They gobble up bacteria, gobble up viruses, gobble up crud. Vitamin C kind of docks on that macrophage and and kind of supercharges the macrophage so it can gobble things up more. Guess what glucose can actually come in there, and docks on that macrophage, and it can decrease the macrophages’ ability to gobble things up. Now in literature, the literature logs to make things confusing, so there’s kind of like two sets of language. There’s like the lay language right where we’re kind of communicating it in a way that everyone gets it. In the literature, they’ll call it the phagocyte index, right P-H-A-G-O-C-Y-T-E-S, so phagocyte with a P-H, right? So go on PubMed, type in phagocyte index and you’ll see, that’s the macrophage. The ability to gobble critters and bacteria up, and so if we decrease the phagocyte index, it’s going to be just they’re not going to be able to gobble things up as much, and so this is really important and so high levels of glucose, high levels of insulin, which, again, glucose and fructose stimulate insulin production, right? And so, you’re going to have. Less gobbling of your pacman and pacwomen in your bloodstream to be able to control these critters.

Evan Brand: That’s crazy. Ok, so you’re saying if I’m in the hospital and the nurse or whoever brings me my lunch, which I saw when my grandmother was in the hospital couple years ago for heart issues. You know what they brought her for lunch? It was this little like packet of peanut butter which was corn syrup and like peanuts. And then I think it was probably a piece or two of bread and then it was a little Jelly packet. And guess what that was? Corn syrup and like fake artificial flavor and purple dye and whatever else. So, you’re saying that’s not the optimal diet for good macrophage. I guess you would call it bug eating per southeast.

Dr. Justin Marchegiani: No. One, it’s going to feed a lot of despotic bacteria. Two, it’s going to decrease the phagocyte index, so your body’s ability to gobble up the bacteria and such. And then I would say on top of that, the more insulin resistance you have, ’cause, how, how It works is right? You take in glucose, you take in fructose, right? When there’s fiber attached to it, it actually decreases; glucose and fructose is damage. I.e. like if I consume some fructose from blueberries 1, there’s a bunch of antioxidants with the blueberries. Bunch of different course. It ends and bioflavonoids and vitamin C on that. There’s also fiber so fiber kind of blunts the effects that you may get from fructose when you consume things like blueberries or strawberries. But when you consume fructose without the fiber, i.e., high fructose corn syrup, right or table sugar, which is sucrose to gross is fructose and glucose. High fructose corn. Syrup is just like 55-45 fructose to glucose. Where table sugars, half and half right? When you consume it without the fiber and out the nutrients. What happens is the body says ok, we gotta go store it in the liver. So, in the 1st place it goes to to dump that fructose is stored In the liver. Once the the fructose sources are done. There can’t store it anymore. It starts to convert it. With that, and then once the liver starts getting fatty, all this fructose just hangs around in the bloodstream and it’s creating all this oxidative stress. It’s like putting a barbecue sauce right on your chicken before you barbecue it. It creates this browning effect. And so when you have all this high level to fructose in your bloodstream because your liver saturated, your liver is now fatty. It can’t store anywhere else. You have high levels of insulin now you start browning all the arteries. And then what does that do? It creates inflammation and makes your platelets and your blood cells just more sticky. So you have increased chances of clotting. What’s going to happen when you have clotting in the lungs? It’s going to create a whole bunch of lung stress, right? Obviously hard issues if it’s in the heart. Brain issue is in the brain. And so if we can get the fructose and the high levels of insulin down, one, that’s going to help blood flow. It’s gonna decrease your oxidative stress reserves and so when you have high levels of oxidative stress, what does that? Due to your needs of vitamin E and vitamin A and vitamin C? It increases it, because your body is having to put out these fires and think of these antioxidants is like the fire extinguisher. So, it’s wanting to use all these antioxidants. And of course the fuel that feeds a lot of this stuff is going to be high sugar and crap that also feeds the bacteria, which then makes the immune response worse so you can see all these things, they kind of compound on each other one after another.

Evan Brand: Yeah, yeah, that was a great way to put it out so I was kind of picture in my head. This snowball effect that gifts. You and it gets nasty quickly.

Dr. Justin Marchegiani: It does. It really gets nasty.

Evan Brand: And then if you’re really, really bad and then you’re on the feeding tube, I mean we’ve seen, and I know you’ve talked about this before with your some of your work in the medical industry years ago. I mean, you’ve talked about some of this stuff they feed people. It’s it’s bad. These feeding type solutions. I mean, I’m pretty sure it’s just straight garbage. I don’t have an ingredient list in front of me, but I know it is not good.

Dr. Justin Marchegiani: Yeah, 100% and uhm… You know sugar is used, it hits that opiate receptor, right? It’s, it’s people use it to kind of modulate pain, modulate all the bad stuff that’s happening so it’s you know it’s very addicting. You know, once you’re stuck on it. We had a question come in, “How do you test for some of these things with the bacterial overgrowth?” So you can do a SIBO breath test Lactulose breath test. We can do one of the different organic acid tests that we’ll look at some of the bad bacteria metabolites like benzoate, hiparate 2, fat 2 3 phenylacetate, Indicam; These are different organic acid or bile acid markers that we can look at. Will also run good, comprehensive DNA stool tests that will look at some of these bacteria, and if they’re overgrown right, some of the common bacteria will see, or Klebsiella, citrobacter, prevotella, morganella, Pseudomonas, right? There are some of the common ones that we’ll see, and there will be elevated way outside the reference range when this happening.

Evan Brand: Yeah, you’ve got strep. You’ve got staff. We’ll look at Candida on the stool, even though it’s not as accurate as the urine will look at. The parasites too. What about like blasto and crypto and Giardia? What about H. Pylori infections? All these things add up against you, so our goal is really trying to get everything on paper and figure out what all you’re up against and the. Cool thing is. A lot of times, you and I are knocking out infections that maybe we didn’t even know were there because we can’t test for everything like we have really, really good testing. But I’m sure there are still different pathogens that we don’t even know, but the cool thing is with these herbs and with these synergistic formulas that we’re using clinically with people is that you may have some antiviral, antifungal, antimicrobial antiparasitic properties all to these same compounds. So you may knockout 4 different infections with the same nutrient as opposed to, let’s say a specific drug designed to target a specific pathogen, like an anti-giardia antiparasitic medication. Whereas herbs we may come in and knockout, giardia plus crypto, you know. Plus the H. Pylori all in one fell swoop, so that’s the benefit and not to mention. Let’s say it’s berberine, that we’re using for antimicrobial support. We may help support glucose there. We may, with some of these.

Dr. Justin Marchegiani: Yeah, yeah, there’s some of that.

Evan Brand: We may. We may lower inflammation at the same time as we’re eradicating the infection, so that’s just really beauty. Once you get the data, the beauty is that you can work on multiple mechanisms at the same time getting someone to the finish line fast.

Dr. Justin Marchegiani: Yeah, and also when you take some of these herbs, these herbs are going to have antioxidants in it so the oxidative stress that you kind of create with the killing of these microbes. These herbs are going to have some antioxidants present in them just due to their their phyto signature. Obviously when you take in an antibiotic, right, you’re not going to have a lot of nutrients or antioxidants present with that. They actually they can create more oxidative stress. Just going to PubMed type in antibiotics and oxidative stress or antibiotics and mitochondrial stress. There is a study supporting this, so the part of the benefits with the herbs is that you’re going to get some antioxidant nutritive properties ’cause based on their phyto signature and again, this is all going to be dependent upon. These herbs being higher quality right, not cheap ones, and if they’re grown in soils that have high levels of lead or mercury then that could obviously be a negative impact. So we want to make sure we’re sourcing out high quality herbs. That’s why we want to have a professional grade where we have third party testing on them to make sure they’re adequate. The next thing on top of that is there’s synergy between some of these herbs. So, for instance, you talked about berberine’s right very helpful. Barbarians also help modulate lipids, right, triglycerides, cholesterol, right. They also help with blood sugar and guess what? Berberine’s combined with warm wood our shown actually have antiviral qualities which is very helpful. So if you have any kind of lingering viral stress that can also be very helpful. I see people when we do gut killing, they, they may start to flare their herpes because their immune systems going after it. Sometimes that can happen too. Or there may be very helpful with their EBV or something else going on in their bodies. So we gotta keep an eye on all those things.

Evan Brand: That’s cool. Yeah, that’s really fascinating. Oregano 2, right? We love oregano will use that as a broad spectrum too. That has a lot of cool different antiviral into microbe properties olive leaf is another great one. That we use and…

Dr. Justin Marchegiani: Yep, olive liters of antiviral properties to anti inflammatory for sure.

Evan Brand: Sure, and it’s gentle. You know some of these things are just so gentle that even in young children that were seeing with these issues, I mean, I know with you and. I you know. I’ve actually had couple clients, they they’ve really tooted you and eyes horn. They say you know that you and doctor J or kind of the only guys out there with young kids that actually are doing functional medicine because so many people are doing like, functional medicine theory you know? Or maybe they’re clinician and they’re older. Maybe they don’t have kids, so I wanted to pass that feedback on to you that are our clients. They they really love that about us that we’ve got young kids, ’cause we’re implementing this stuff with our kids too. I know you and I have both done antimicrobial nutrients and other supportive stuff for our children, and it’s been really great because there’s so much fear and I, I guess you would just call it misinformation when it comes to to kids. Kids are so resilient, but they do sometimes need help and you know, you’ll often get the recommendation or the the comment that, Oh well, the pediatrician doesn’t know anything about that. For the kids, I will tell you, personally herbs are great for kids and we use protocols and kids all the time. There’s so much to be done with kids.

Dr. Justin Marchegiani: 100%. So, just kind of out of here just if we kind of re summarize what we’re trying to, you know, make sure you. Guys extract from here. Is number 1, beneficial bacteria is going to help modulate the immune system, decreased permeability, immune permeability, which or gut barrier permeability, which takes stress off the immune system. it’s going to modulate the cytokines the interleukins. So, when your immune system comes in there you’re not going to create more damage from the immune system, so it’s kind of like the firefight is coming in and you have a small fire and instead of putting it out with one of those portable little fire extinguishers they bring the whole big ladder and truck in there and spray so much water they knock down all your walls. It’s kind of like, well, that’s kind of an inappropriate response to that kind of fire. Same thing with your immune system. We don’t want your immune system to be creating stress and inflammation because the response is inappropriate, right? We could see this with other stress infection. We see it with allergies, right? And so we want to make sure we have good immune stress. We want to make sure that your gut is healthy where it’s extracting all of the nutrients we’re putting foods in there that aren’t feeding the bad bugs, but also providing lots of good beneficial healthy fiber and healthy full spectrum antioxidants and nutrients that help the gut in the immune system as well. Any comments on that Evan?

Evan Brand: Well, you know that just kind of spurred the five and we could do a whole Part 2 on this, but I mean there is a role of some leaky gut support outside of probiotics. During this, you and I have our own custom professional formulas that we use with various nutrients like Aloan, Muk and cama meal and other things that you can use to actually support the gut lining. So this would be another great thing to. Implement if you’re in these situations, maybe you’re unable to get testing because you know it takes. You know, couple weeks, turn around time or a little more, depending on what you’re doing. So if you’re kind of in a more acute situation, I think not knowing what you’re up against, you still could bring in some of these leaky gut supports now. And then if you’re in a situation like I’m telling you to wait before you hit rock bottom, wait before you know, don’t wait before you hit rock bottom. Don’t wait before you have to go. To the hospital work on your gut now. If we have all the data we can work you through these steps here and then we may have already gotten you to the gut healing point to where you’re not coming into this infection with a leaky gut. I would much rather someone come in with a healthy gut. We know we’re gonna, they’re gonna do far better and with this discussion you and I talked about today of the gut-lung axis, now is the time to focus on your gut, so you don’t have to focus on your lungs.

Dr. Justin Marchegiani: 100% and it gets great. Makes a lot of sense. So you guys listening to you enjoy today’s content here, we’ll put a list of some of the products that we use. Some of the probiotics that we that we specifically like in use with our patients. I’ll put some of the the immuno-nutrients that we’d like to kind of modulate the breathing pathways- quercetin stinging nettle-all excellent. I love ginger tea as well, we’ll put that in the links down below those are all excellent things. And of course some of the herbs that we like as well will put some of the clearing herbs that we like for the dysbiosis and such in the comments or in the comments, ah description below. And if you want to support us, you can purchase some of those things there. If you also want to reach out, we’re available for functional medicine consultation support all around the world. Will put that link down below as well; evanbrand.com to reach out with Evan. Doctor J, justinhealth.com to reach out with myself. Thanks so much. Evan, any last things you want to highlight?

Evan Brand: No. That’s it. If people need help, feel free to reach out. We’re here for you. We’d love to help you do, do an overhaul. You know what I mean?  If we got to look at your system, let’s look at your system. Please reach out if you need help. Doctor J at justinhealth.com me, Evan, evanbrand.com. Would love to help you and we’re here for you.

Dr. Justin Marchegiani: Awesome! Alright. Have a good one everyone! Take care. Bye now.

Evan Brand: Take care. Bye, bye.


References:

https://justinhealth.com/

https://www.evanbrand.com/

Audio Podcast:

https://justinhealth.libsyn.com/the-gut-lung-connection-your-gut-health-can-affect-your-breathing-podcast-348

Recommended products:

Genova SIBO Breath Test

Genova NutrEval® FMV

Probio Flora

Immuno Supreme

Antioxidant Supreme 60 caps

Vitamin C Synergy

Dopa Replete Plus 60 caps

Aller Clear 120 caps

GI Clear 1

GI Clear 2

GI Clear 4

GI Clear 5

GI Clear 6


The entire contents of this website are based upon the opinions of Dr. Justin Marchegiani unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Justin and his community. Dr. Justin encourages you to make your own health care decisions based upon your research and in partnership with a qualified healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Dr. Marchegiani’s products are not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using any products.