Addressing EMF, 5G and Improving Your Athleticism – Justin Frandson | Podcast #379

Exposure to artificial radiofrequency electromagnetic fields (EMFs) has increased significantly in recent decades. Therefore, there is a growing scientific and social interest in its influence on health, even upon exposure significantly below the applicable standards.

In this video, Dr J and Justin Frandson discuss the possible harmful effects of EMF and 5G on our well-being and what the strategies are to keep our athleticism and overall health performance. To find out more, make sure to like, subscribe, and watch out for more evidence-based health tips!

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
0:28 – Athleticism
4:57 – Concussions
16:03 – EMF
25:30 – Correlation vs causation

 

Dr. Justin Marchegiani: Hey guys! It’s Dr. Justin Marchegiani here, really excited. I have Justin Fradson on today’s show. We’re gonna be talking about 5G, EMF, natural ways to help eliminate that, reduce it, neutralize it and also talk about improving athleticism as well. Justin, welcome to today’s show. How you doing, man? 

Justin Frandson: Really great. Thanks Dr. J for having me on. 

Dr. Justin Marchegiani: Yeah, awesome. And you got a new book that’s out called athleticism, whole body, whole brain performance. Can you just kind of what inspired you to write this book and what are some of the key take home points you want to highlight out of the gates.

Justin Frandson: Oh yeah, I’m pretty stoked on this book, I  must say, this is my life journey just. Oh, and between those two hard back cover so, I mean, I started working with the athletes about 25 years ago. Started athleticism.com. I had a Scripps clinic in La Jolla and work with the amateur and professional athletes develop sensory, motor, nerve work for sports performance. We do whole body, brain training, ambidexterity, and I treat concussions and do a bunch of stuff. 

Dr. Justin Marchegiani: OK, that’s very cool. So let’s talk about the, the, the ambidexterity training. What does that look like? What are some of the exercises? What are some of the therapies you run your athletes through to improve that? 

Justin Frandson: Well, we’re one of the only sports performance programs that actually has an ambidexterity program. And that’s great. The crust of it I think is, is to really get these bodies being a whole body and whole brain.Performer. So we do everything from juggling to washers to cup stacking. Uh, a lot of martial arts stuff as well. Stick training, just coordination with the hands and integrating with foot movements.Those are some of the ambidexterity stuff, just with the hands that people would think of. We also do the same things with the rhythms, with the feed and then everything’s nonlinear semi circles figure eights connecting to the infinite flow of the universe. 

Dr. Justin Marchegiani: So is someone coming to you and saying, hey, I wanna be a better athlete? These are some of the skill sets that I need in my sport and then you kind of come in and recommend various kind of modalities within your clinic. Is that how it works? 

Justin Frandson: Yeah definitely and then or I get bridge training post PT guys Sir kind of fed up with PT and or their sessions have expired and they don’t know what to do. They’re kind of left high and dry. So we bridge that gap all the way to high level performance and then do a lot of treatments as well for injury recovery like a stretching therapy and brain and trainment, light, sound, frequency, vibration, those are all my go to. 

Dr. Justin Marchegiani: That’s cool. And so when you have people that come in from PT, what do you see some of the big shortcomings of PT that maybe prevent some of the people that see you? Like why they’re not healing all the way? There are certain modalities or shortcomings philosophically or modality wise that are missing in that? That you kind of bring delight, if you will. 

Justin Frandson: Definitely. I really feel PT’s are some of the most gifted facilitators out there, but unfortunately a lot of them are held within the restrictions of billing and so they’re just going to ice, they’re just going to do 5 minutes of yeah, fascial work. They’re not able to do, use their gifts to the extent that they use them. So I think that one of the downfalls of the PT system is a really locked into the insurance space method and protocols most of our PT or excuse me post OP physical therapist so your session has expired. You certain point then you’re pretty much you’re done. I mean you then there are where do you go? And I have that same experience. I tore my ACL playing basketball while dunking on a guy and when I landed, he then bends his knee in the side of my knee and tore the ACL. And went through PT out of scripts clinic in La Hoya where I was officed out of. So the Orthos brought us in there and to work with the PT in them so they could have the system. So I’m like OK, I’m going to use this PT even though I got it three from a handful of other PT’s, well, he starts billing me. It was like $750 to ice my knee for the first visit. And then and three weeks, four weeks, four weeks in I had expired all my, my and I had like I had. I had like the best insurance he could have and I was done in like a month and so. And then he had built the just crap out of me. And so I’m going this is just a flawed system. And it ended up being my niche where I could take over that bridge, bridge that gap to where they really missed out on. 

Dr. Justin Marchegiani: OK, got it. And so when you see people that have come in with concussions, what’s your first step to addressing that outside of the, you know, the conventional model, right? The conventional model a lot of times is like sunglasses go sit in the dark corner maybe? Don’t, don’t fall asleep for a little bit, right? Is there anything else you’re doing that’s kind of specifically improving healing? Anything nutritionally, anything neurological exercise wise, to kind of help facilitate that healing? 

Justin Frandson: Well, the first thing I do is they go to a chiropractor. So the first thing I do? So go to Chiro, get everything adjusted. Make sure everything is structurally in place. I mean, that’s number one. When they come to see me, what I do is what I do. They work on sensory nerves so I level their horizon and get them connected to their center line, which is basically obviously their longitude latitude line. One thing I know where they are in space, everything will start to heal. 

Dr. Justin Marchegiani: So how does that work? Is that upper cervical type of stuff? How do you do that? 

Justin Frandson: No, through light therapy and muscle lights. OK, you are soggy. 

Dr. Justin Marchegiani: OK. And so what’s the input? You’re adding light or anything else to help that? 

Justin Frandson: Light and I use essential oils and I use muscle testing and energy work to do it. 

Dr. Justin Marchegiani: That’s cool. Excellent. And so someone comes in, they have these concussion issues, right? You’re using these different modalities and that’s you’re seeing that helps celebrate healing. Are you doing anything with a red light? Are you doing anything with nutrition at all?

Justin Frandson: Well yeah, I mean like red light is what we use, so I actually use GRT light most of the time Umm. And it’s red LED and infrared and it has different policies and mechanisms and then I’m actually using essential oils as well and nutrition is huge because your stomachs, your second brain. So, right. I had a guy who just had a client actually two days ago. Crazy. You bring this up, but he put a breath mint. He’s 14. Little kid got a concussion and I had seen him three times prior and I’m working on his nerves, on his REM patterns and he was, he held in the beginning of going right to left on his eye movements without moving his head, just moving his eyes.He put them in his mouth and I go to retest his eyes, and he goes weak. And guess what? Events are full of artificial… about his nervous system. 

Dr. Justin Marchegiani: That makes sense. Nutrition plays a major role, whether it’s additional toxicity coming in through junkie sugars or artificial sweeteners or potential food allergens or junkie fats, right. All those things matter. And what kind of diet changes do you make, I mean, most people that I see that come to me and they’ve seen PT in the past, most very rarely even look at nutrition or anything in that realm or get extra nutrients to help build back connective tissue or joints or bones. It’s kind of ignored 100%. You see it also, already conventional medicine too. What kind of changes do you make out of the gates in those areas? 

Justin Frandson: Well, the big thing is looking at all the different stressors of the body and you gotta look at what John rates like down regulates the nervous system. And so comically food, drink, air, EMF. So food is just basically eating real stuff like eating a real balanced intake. That’s a real food that’s not modified, that’s not real in pesticide, herbicide and also growing in the garage. That doesn’t come out of a bag and from an industrialized manufacturing plant. So some of the basic stuff on that. I love structured and structuring the water. Just get hydration down, have them start to own their power a little bit.More and then sleep is the other biggest thing which our grounding bags help with. So kind of normalizing a full spectrum of these athletes and you know that that’s where we’re really diving into. 

Dr. Justin Marchegiani: Any specific diet recommendations, are you making sure proteins are adequate? Or is there a certain amount of protein you want people to eat in relation to their weight? Half a gram per pound? One gram per pound of body weight? What does that look like for protein?

Justin Frandson: Yeah. I haven’t really gotten too granular with them on that. I just say balance it out. What I do look at is we have an MCT oil called Lean Oil. So it’s from the palm kernel, so it’s medium chain triglycerides.That’s right. So they’re the very fattest fuel. Uh. But you gotta kick in the oldest people valve, get some protein in the body. Yeah, first thing in the morning. I mean, these are some things that I like to do. Uh, and? That’s kind of where I go out and I’m not big on digitally quantifying like these specific ratios and it just feeds your body what you feel is right for you and does your food really well and dying, but enough fuel in your system too, so you’re not burning adrenaline. You’re burning fuel. 

Dr. Justin Marchegiani: Yeah, that makes sense.Absolutely.Yeah, I mean I thought protein is really important because if you’re athletic and you’re using your muscles, you’re creating this breakdown, your body trying to heal that back up. So proteins and it’d be really important. Also protein is going to be very blood sugar stabilizing, very satiating into preventing you from overeating, obviously good fats or super important because every cell in our body has a good healthy cell membrane and we need good healthy fats whether it’s coconut oil or good healthy grass fed pasture fed animal products. We want to really be avoiding a lot of the junkie more inflammatory process fats Omega 6 trans fat. So I think that’s, you know, important to have those components dialed in for sure. That makes a lot of sense. What’s next? So you see patients, they come in to you, your. What’s the next step the average person’s missing to make themselves more athletic? Like, if you could do one thing with the average person, what would it be outside of some of the things we’re already talking about now? 

Justin Frandson: Well, the first thing I recommend to them is to start balancing more, so when you’re probably the number one thing I dressed in the book. If you don’t balance, you can’t do anything. So that’s the biggest thing. I think right behind that would be flexibility to have some range of motion and once they get established a functional range of motion. Then you go into the stability components, and then we start to develop a foundation that we build on for speed, power, coordination, and it is just a human disguise of limits. And it’s unilateral versus jumping off of both feet and you just take the athletes and our new dimension. 

Dr. Justin Marchegiani: Yeah, that’s why I always like unilateral work, because I find that you can really show weaknesses to people. A single like deadlift for unilateral kind of opposite arm pull. I feel like when you do things that are unilateral it really exposes a lot of weaknesses. and imbalances in the body so that that’s really good. Plus you don’t need a lot of weight, you don’t need a lot of load. When you’re rolling, you’re only using half of that foundational stable unit. So that’s cool. Yeah. What’s one thing? 

Justin Frandson: Yeah. But the other thing real quick is I’ve been doing a lot of B3 bands. And which is blood flow restriction and, I found that’s really helpful for me because of limited time for workout. I’ll throw on the ban, it boosts my nitric oxide buildup and endothelial vascular growth factor. So I think more growth factors.That, you know what, I’m in my 50s, so, uh, I could use all that I could get right now naturally, and that’s been a fantastic way. And my strengths improve, my speeds improve. So for a quick workout, those B3 bands have been awesome for me.

Dr. Justin Marchegiani: That’s cool. And the goal of those bands is like a rubber band, almost like what they do if they were to take your blood, they wrap it around there and that’s restricting blood flow. And then as a result, it’s what, increasing growth hormone, increasing NO2, essentially. 

Justin Frandson: Yeah. The nitric oxide is oxide for it and what happens is, you develop these buffers and you just develop more growth factors from it. But B3 bands have Airways in that restriction, so you’re not starving the muscle of oxygen, you’re just constricting it. So my whole thing is like resistance. Resistance and the subtle resistance are vascular systems that just don’t have it until you put a ban on it. The two activities that restrict or provide resistance for your respiratory system are swimming because you’re exhaling into the water or playing a horn instrument as a musician. Other than that, we don’t develop that respiratory system with resistance. So there’s ways to look at fast resistance, respiratory system resistance versus just traditional strength training resistance and so that’s why we’re looking at all these components.

Dr. Justin Marchegiani: Very cool. Excellent. And so you are also very passionate about EMF and you sent me a couple of goodies which I appreciate. You sent me some EMF kind of neutralizing crystals, a Faraday bag, a couple things and they have a website, EMF rocks. Let’s talk a little bit more about EMF and just kind of some of the negative impacts out of the gate that you see, for instance, with your athletes that you work with? 

Justin Frandson: Ohhh, yeah doctor J. I mean, I saw an endurance athlete come through and this one.Higher arm when weak from wearing a smartwatch on his wrist. And so I’m like, oh wow, yeah, get that radiation off your wrist. His whole arm just got better. It got stronger again without me kind of radiation. Was it hooked up to Wi-Fi or was it just like a simple what kind of signal was it? Was it Bluetooth? Yeah. So it’s Bluetooth. They’re about 2.45 billion waves per second of one directional wave form. So let’s breakdown the.Difference of why that’s so challenging for our body. We’re built on scalar waves. Distributed equally in every direction. Man made stuff. Whether it’s electricity, dirty electricity or wireless, they’re all basically one directional wave forms or they don’t work. So when you put something on your wrist like Wi-Fi at 2.45 billion waves per second when our body optimizes that one to eight when we sleep and heal an 8 to 12 when we’re in the alpha state when we’re in the flow state, we’re competing. That’s where really close with the Schumann resonance of Earth, which is 7.83 Hertz so, when we add in 10 zero speed and it’s a one direction polarizing waveform, that’s localized radiation when someones weak or toxic or just has a sensitivity to it for some way shape or form even too young old. Their blood type is an RH negative.Those people will be more sensitive to EMF. 

Dr. Justin Marchegiani: And so what kind of EMF are we talking about? Like, are we talking like the Apple Watch? Would my small little Fitbit that’s charting my steps be enough to throw me off? 

Justin Frandson: Oh yeah, that muscle tests weak with that fit. Now out of the gate, they’re having challenges. And they had to lower the signals kind of where Josh still made a documentary movie called Take Back Power on the smart meters. They were ramping up these smart meter signals. They had to notch it down because everyone was getting sick and couldn’t sleep. Same with fit that it’s still now enough where you’ll task a week with it. So I would never, I mean again, this is my whole deal, Doctor J is we gotta get back to listening to your body and how your body feels, not having something tell you how it feels. This meta universe is not OK. It’s not the direction that we want to go into. 

Dr. Justin Frandson: So is there any technology you recommend if someone wants to kind of track their steps or make sure they’re doing enough activity during the day, what’s the best way to do that? Is there a certain way that you could adjust that so as a lower lower drain on you? 

Justin Frandson: Yeah, I haven’t really dove into the lesser of the evils. What I would say is. You only test athletes. We’ve established a baseline, maybe in the midpoint and point, and the task we’re not doing day-to-day. So know your stuff the day, track them and then use that as your baseline to say, hey, yeah, I feel like I did a few less than I did, you know, or I did way more today. And you’ll know that your body will just feel it. You don’t need something to tell you how you slept or what you did. You have to.Look into yourself to start to feel again.

Dr. Justin Marchegiani: That makes sense. And so what’s the, what’s some of these wireless signals, what’s the mechanism? What’s actually happening? How is it disrupting us? You kind of went into it a little bit more. I want to make sure I understand. Like how is that actually happening at a biochemical level there? 

Justin Frandson: OK, so when we introduce one-directional waveform. What happens is there’s an oration effect in our body, it’s just a secondary effect. Doctor Martin Paul talks about the voltage gated calcium channels opening up less. Yep, letting the positive team into a negative cell, in turn causing tremendous cell and DNA damage. Once that vibration secondary effect happens, what I’ve seen clinically as people’s eyes, their teeth, they’re large and they’re thymus and then they’re large intestine are the four primary areas that decharge EMF. We can use our grounding bags to tap on them and recharge those areas. I’ll go into that a little bit, but then the next level is what we see are cognitive, so focus, memory, behavior, anxiety, fatigue, stress, lack of sleep. They’re gonna be the first signs of EMF toxicity and challenges that people will feel especially.Actually.You know, athletes and they’re gonna make poor decisions, you know, when they’re competing. So this is a huge thing. So the other thing is, you’re going to see more non trauma concussion symptoms, so you’re gonna see basically headaches, more severe headaches, so, migraines. Uh, in the years. Muscle twitching, bloody noses, I mean, these are all the different things that you’re going to see. It’s going to be nausea, fatigue, tremor. Ears, bloody noses, and you go to Vancouver talked about this, the first attack of U.S. embassy workers on foreign soil with microwaves. You know, that was that’s a real deal. These guys are sick for months and then the hospital and they couldn’t get better because they were so toxic, then you go into the bigs, cancer, suicide, diabetes, Alzheimer’s, cardiovascular, and then, now after fertility and yeah, so I see a note here. Yes, today’s stress. Yes 245 ways per second destructores water. Yes, 60 gigahertz, which is a 5G level, changes what oxygen molecules are made out of as well. 

Dr. Justin Marchegiani: And so we have different kinds of Wi-Fi, right? You could have the EMF put it in that camp. We have EMF maybe on our wrist from our smartwatch. We can have our Wi-Fi signals in our House, right. And then we’re going to have cell phone towers, especially the 5G, those, those kinds of the big ones or is there anything else missing?

Justin Frandson: Yeah. So we categorize it into three different types? Yeah. Milligauss magnetic resonance would be one where you get a magnetic resonance where you get a milligauss meter. That is in the 50 to 60 waves per second spectrum. Then we do dirty electricity, which is a static in the line. It measures amps to volts. That would be 4000 to 100,000 waves for a second approximately. And then you have the acoustic meters, the radio frequency meters that measure for the wireless signals from 50 million to several billions per second. So there’s meters to actually quantify and those stressors and those levels of each of those singles. So wireless would be any wireless signal Alexis, NASA units computers that aren’t hardwired. Uh, you’re others smartest.Of the self driving mechanisms and cars, all that stuff off your it’s all wireless. The Dirty electricity would be static in the lines from bad wiring, grids crossing outside your home, rats heating lines, signals going in and out of a junction don’t meet.That would cost static transformers on LED lights inside these new homes will cause lots of jury electricity and then the the milligauss is all the electricity in your home.

Dr. Justin Marchegiani: So what do you actually do about it? Right, because these stressors are all around us. You’re not going to get rid of Wi-Fi. You won’t even get rid of cell phone towers. Obviously you could do your best to be far away from them or from, you know, at least not to have one right on top of your kids school right nearby. You do your best to kind of mitigate exposure, especially when you’re sleeping, you can control some of the Wi-Fi in your house hardline, or turn it off when you sleep. What can, what are the actual practical things outside of like don’t do it or don’t use it? 

Justin Frandson: Practical for. Well, I want to dive into something else, too. 

Dr. Justin Marchegiani: Sure. Let’s go ahead. Let’s hit that first thing, and then we’ll come back to it. 

Justin Frandson: OK. Yeah. So there’s a book I want everyone to read. It’s called the invisible rainbow by Arthur Firstenberg. Have you heard that one? 

Dr. Justin Marchegiani: I Have. I heard of the author before. 

Justin Frandson: Yeah, he’s one of the biggest names in EMF, and if you guys haven’t read it, I highly recommend it. He categorized as a history of electricity and life and correlates every major pandemic to spikes in the in the.Increased electrification of our atmosphere. So let’s do a little physics and biology lesson here. Our atmosphere is made of Ether and plasma, OK, these waveforms travel through these plasma waves and particles travel through because of that is our air. We’re connected. We are one with the universe, alright. This is how we are made off of scalar with. So everything has a residence that carries a frequency and on man made stuff is all one directional or one word, so if you’re standing up outside of it and you’re in the sunlight. You’re not in the sunlight in one spot and then out of it in another spot. It distributes equally in every direction or biofield of our body resonates. It doesn’t just go out like straight out of your right ear. It’s a residence all around you, the human residence of Earth, you’re not in the residence in one spot and then out of it in another. It’s up there. So that’s what these scalar waves are based on. And so this book, the invisible rainbow. Anything before 1918? Uh, well actually let me backup anything we’ve had since 1889 were solar flares, we’re cosmic shifts. That’s where people have got sick. So they called the flu the flu because it would fly in when there was a solar flare, a cosmic ship. People’s bodies would adapt and then, you know, they get better and then we move on to someone you know because their body just adapted when they needed to at the level they were capable.That’s what we saw before 1889 when we introduced electricity in the homes. So we got home with electricity got shoes on so we’re not grounding and 1918 winner introduced radio waves that was the that was the first the Hong Kong first excuse me that was that was, uh, 1980 Spanish flu and then satellites in the Van Allen belt where the Hong Kong flu, World War Two radar and then 5G for the last two years. So basically what these doctors are saying like Tom Cowan, Andrew Kaufman, Zac Bush, Kelly Brogan. I mean all these and they’re and MD’s, you know, not that MD’s other and they’ll say, well, I’m more of a Cairo guy myself, but this, these doctors that have been medically trained are out there saying that electricity stressors is an environmental toxin and a biotoxin, and what we’re doing is we’re adapting to these toxins and that’s what’s happening right now. 

Dr. Justin Marchegiani: OK. How do you distinguish correlation versus causation because at the same time the last 100 years you know we’re doing a lot of other stressors being introduced whether it’s toxicity and our food nutritional deficiencies, you know excess antibiotic usage as a lot of other things. So how do you make the correlation of these things happening, but is it really dry? Is it really the root cause or is it just another stressor that our bodies are having to deal with, among many others? 

Justin Frandson: Well, that’s a great question. I mean you no one can argue that all these combinations of stressors don’t add up to be a stressor, but I think, when there’s a breaking point, like look, we can call and talk to someone across the globe instantly, I mean, right? So there’s no scratch in your head that you can broadcast something instantly. There’s no scratching your head that there’s a shift in the atmosphere.Yeah, that’s gonna mess up our REM patterns. So there’s too much there for me to go and do that EMF is not often the number one stressor right now. Zach Bush will say it’s glyphosate for the last 40 years of research.I’ll go back and say, hey, look at the invisible rainbow. The bibliography is 150 pages, so most reference books for reading and this is 1889 when it starts. So, there’s no scratch in your head. For me, I live in Newport Beach, California. Healthiest place on the planet. No one gets sick in June, so this year everyone was getting sent to everyone. But a lot of people were getting sick in June. That’s when they ratchet up and turn stuff up. People’s bodies will shift. There’s times where there’s going to be higher levels of certain stressors that are going to be that shift, and that’s what I feel are these triggers for. A lot of these major pandemics and Tom Cowan and a former MD turned in his license, but he’ll say when you pollute the ocean, you know the Dolphins will get sick. Yeah it’s not backed off and given  that often a virus or hey let’s look at their genes you know and in 2020 all get sick now that would be stupid. So we’re looking at things like it’s all environmental toxins that are the challenge here and I feel the top two or you know, EMF, obviously the 5G and then glyphosate.

Dr. Justin Marchegiani: Totally makes sense. No, I think that’s a big one for sure. And So what can we do about it with the EMF, right? I mean, there’s different devices that you can plug into your outlets to kind of help clean up some of the dirty electricity you shot me over, different things. What we can do is like a Faraday bag and you can put your phone in that or turn your phone off, or definitely don’t sleep near it. Definitely don’t keep it right on your person, especially in your pockets next to your genitals or sensitive tissue. You mentioned crystals and different things like that or rounding math. Let’s kind of go over the top three to five things that the everyday person could do. That’s pretty easy and simple.

Justin Frandson: Yeah, well. First, I distinguished the difference in products out there. So if someone’s looking for a product to clear. Basically what we want to look at is, is it a GMO product or is it an organic product because we all want to get it, we all don’t want something that’s been modified. So for me, I look to the healing power to kick off her residence, to create a coherence with us. So we hand my crystals. The crystals have moisture, magnetic properties in it, you know, that’s where our money bags look like.The other man made devices are devices that are looking to over power another device like. That’s a futile effort, so that’s a genetically modified signal, that’s non-native, that’s looking to replicate what nature already does. So, my first thing is awareness and understanding of the different products that are out there, because if you’re going to look at a product.To solve this. You gotta look to nature to do it.There’s no one who is more intelligent and has those medicinal qualities like Mother Nature. So the first thing would be our grounding bags in your home and you not having bags in your home, you’re outside and you’re getting grounded outside so you’re getting barefoot your touching a tree, you’re gaining bodies of water. You’re doing your grounding protocols outside. 

Dr. Justin Marchegiani: And the goal of grounding is what like you, the goal is you dispersing some kind of positive ion charge in the body. Is that what you’re doing? 

Justin Frandson: Yeah, so one of my favorite books is called Electric body Electric Health by Eileen McKusick and she talks about your body being a body battery. You get a negative ionic charge from Earth, and we pull those electrons from it. You get a positive charge from the unpolarized light of the sun coming from above. And then breathe in the minerals and hopefully we get it from our food, but this is how our body battery recharges. And so we’re getting that, getting grounded by nature, being outside, so the sunlight will do it.Getting in those resonances, the negative charge we’ll deal with the bodies of water, touching trees barefoot, laying down on a picnic. Gardening, climbing rocks, all that good stuff like that’s gonna get you that grounding, that negative charge. So that’s how our body battery works.

Dr. Justin Marchegiani: That’s good. So you really happened and dispersed a lot of those positive ion charges which you’re going to accumulate when you’re around a lot of these wireless frequencies. Is that correct? 

Justin Frandson: Yeah, definitely. 

Dr. Justin Marchegiani: And how does the crystal work? How do the crystals work and do you have to keep them in the bag so they don’t get dehydrated? Can you take him out? 

Justin Frandson: Yes, exactly. They have to stay in the bag and they’re sealed and you use it as is, so you keep it sealed. They come like this. And there’s about 1 pound of crystals in here. They work the same way nature does as they kick off a resonance to convert the one directional wave forms and then they feed us the electrons. So that’s the way Mother Nature works. That’s why it feels so good to go to the beach and get grounded and going? You’re recharging your body battery. Literally, scientifically, that’s the physics and the biology that’s occurring. So, as far as using these protocols, well, you can do is you can accelerate this product going to your body. You can hold it top on it. Cover your eyes. Cover your teeth. Cover your thymus. Cover your large intestine one at a time and that’ll accelerate the medicinal properties to recharge you. Because when people have layers of toxicity sucking their energy field and biofield. They’re going to be more sensitive to EMF. If they have toxicity internally they’re going to be a more sensitive EMF, so an internal flush would be protease, digestive enzyme and then apple cider vinegar. That will be a very subtle detox for internal stuck EMF. External, you’ve got your grounding protocols outside and you gotta do the tapping with the grounding bag inside.

Dr. Justin Marchegiani: OK, that’s cool. And with the crystals there are certain types of crystal people can look forward to. I mean obviously we, you know we’ll put your site below is a good resource but is there any specific kind of crystal that you find works better. 

Justin Frandson: Well, yeah, they’re the average person won’t be able to find it, unfortunately. Amethyst Shanghai black tourmaline. They are known to have Tesla property or magnetic resonance. Well what happens is they’re getting overrun too quickly with all the access to EMF in our world. So we had to deploy a 1 pound bag of crystals of hand mine that would have moisture with the magnetic, so the combination of the moisture with that Mech properties is what allows them to be exponentially stronger for repelling EMF. So the average person is never going to find these colloid crystals anywhere. They’re hand mine, they’re over 85% of here. You’re not gonna find the purity and be able to bring that rest to your home like we have with fees.

Dr. Justin Marchegiani: That’s cool. And so the average person can do what with the crystal just put it in, put it on the night stand when they sleep to help kind of provide a filtration of a lot of the EMF frequency. Can they just get a small one, put it on their person. How do you use it? 

Justin Frandson: Yeah. So Doctor Justin, when you put it on your bed. At the head of the bed. And if it’s not on it,  If it’s under it.Lean it against the leg of the bed, at the head, the back. They’ll sleep 30 to 50% better.

Dr. Justin Marchegiani: That’s cool. That’s good to test it. I mean, the whole idea crystals always seem a little out there for me, but. You know, I get it like we can’t see Wi-Fi, we can’t see all these things around us and we know everything does have a frequency to it. So the more you can kind of harmonize that or or or neutralize the negative impact of these frequencies, it makes sense. We know there’s a stress component, especially 5G. And so crystals are one big tool. What else? Anything else we can do that simple? You mentioned the internal stuff, you mentioned enzymes, apple cider vinegar, you mentioned some clays or binders, what else? 

Justin Frandson: I mean those are some great things to do. People like carbon C64. I like doing methylation so I like to open up methylation pathways. So I need methylfolate, it is great. You gotta do magnesium. I like some calcium as well as magnesium. And it’s probably one of the biggest things that everyone really needs, like on a day-to-day basis. This is uh, uh, but for EMF protection, just keep hydrating yourself. Get some good distilled water with some minerals in it. That’ll be the most mineral dense water will do. And then structure it. That would be even better.So those are kind of the things that we’re looking at.

Dr. Justin Marchegiani: Very good, Justin. Well, we had a bunch of good things today. We’ll put the links down there below as good references for your site where they can get more information. Any other coordinates or information you want to leave to the listeners here?

Justin Frandson: Yeah. Thanks so much for having me on you got.I just really wanna encourage you to understand physics and biology and what health really is. And good health is really connecting above and getting grounded into nature and smiling and living and touching and hugging each other and being together and that’s that’s the answer. That’s the essence of living for life, having fun and smiling. A smile is the most contagious thing on the planet. So there’s bioenergetic resonances that naturally occur in nature that are stronger than anything. And I want people to stop living in fear and understand what true health is and that our viruses are just our adopted system at work. We’re dead proteins that we produce so there’s No Fear, there’s nothing flying around to kill anyone. We just smile and live for life and you guys the most important thing you can do right now for your health is to do all those and make sure you’re getting out in nature and getting grounded by nature and then when you’re inside use your  grounding bags and then also establish pro, turn your Wi-Fi off, turn your electrical off in your bedrooms. Create your home into a really quiet resonance so it’s closer to as human residence, not these one directional, billions of waves per second when you’re trying to sleep and heal. 

Dr. Justin Marchegiani: Very good, Justin. I appreciate it. What are your sights again? We have EMFrocks.com. 

Justin Frandson: EMFrocks.com. We have clinics all around the country and then athleticism.com is where we have our curated health and performance products and that’s spelled athletic SM for those of you who have trouble spelling athleticism. 

Dr. Justin Marchegiani: OK, perfect. I will put links down below. People can get access. Oh, by the way, Faraday bags. How, how do you use those by the way? And do you always keep your phone into a Faraday bag? Is it only at night when you’re kind of putting your phone away? 

Justin Frandson: Yeah. So we have two sides of the Faraday bags. Thanks for asking, Doctor J.

Dr. Justin Marchegiani: How does it work, by the way? How does it even work? Like, what is it exactly? 

Justin Frandson: Yeah. So people think of Faraday, they think of a very change where no frequencies going in and out of our static bags are 7 millimeters, so frequencies go in and out of them. So that’s the difference. But there’s a physics component that when you put a polarizing positive charge inside of it, it fairly back squash it to what bio initiative.org would consider safe levels and muscle testing. Applied kinesiology, would our body would feel safe levels that we can handle now what also happens so it dampens the signal strength of your cell phone to safe levels, your phone may or may not ring inside there, but what it also do is is it’s it does is it stops the data harvesting so it slows down the aggregation of all the information, they’re coming from you. That’s the drain on your battery. That’s why everyone’s battery dies so quickly because they are listening to everything. They’re aggregating every bit of your information every second of the day. They know all your biometrics now, if you’re giving him your retina scan, your voice, your face, your Palm imprint, I mean these. These are some of the most individual imprints of your body you don’t want to use for commerce so avoid using fingers, palm print, voice, Retina Face, imprint to get access to your phone, you don’t want that information. You don’t want to use it for commerce because they know your passcode, they know where you live, how fast you drive all this information. They’re just aggregating, sending it to AI to create this meta universe, so as much as I love technology is allowing us to connect where we probably one of because you’re more in Texas and I’m in California but this stuff is cool, we just have to develop proximity protocol with it and understand that it’s enhancing and certain times and then when you’re not using it and get it away from you. They’re already back. If you have to sleep with your phone on at night, make sure things inside the bag are tested and put in there, seal it. You’ll have the best night sleep, your phone will still ring and you won’t have the thing tapping on your shoulder all night long. Saying talk to me, talk to me. This is that it’s essentially, that’s what it does. It’s always looking for a signal. 

Dr. Justin Marchegiani: Is your phone safe if you put it on airplane mode and it’s on you? Is it safer? Is it still less signal? 

Justin Frandson: Way better. Way better, because there’s not that wireless looking for that signal. So definitely get it. Get in airplane mode. The next step would be to save your battery because they’re still gonna aggregate through airplane mode. They’re always having these signals on these.Telecommunication companies, they want all your information. They’re beaconing stuff. So they’re always doing this called surveillance marketing. It’s why Apple’s a multibillion dollar company. It’s not an office selling devices. Yeah, they sell a lot of devices, but.It’s this marketing that they’re doing and listening to. They’re selling your information. That’s where they’re really making the substantial revenue from. So slow down this aggregation information actually on your biometrics and we’ll be able to stop this meta universe and really get back to connection with God and getting grounded by nature. 

Dr. Justin Marchegiani: Yeah, with a lot of these tech companies you are the product, it’s good to keep your privacy and keep it yours. You know, have control over that. So I like having tools that put kind of these controls back in your hand. So Justin Fradson, really appreciate today’s podcast and we’ll put links down below for some of the some of the good products.That we talked about here today, and I’ll put links to the books that we chatted about in the show notes as well. Have a phenomenal day, Justin, great chatting with you.

Justin Frandson: Hey, thank you, Doctor J, man. Appreciate you.


References:

https://justinhealth.com/

https://www.EMFrocks.com

Recommended products:

https://amzn.to/3B6wHnX

https://amzn.to/3gYtKis

https://amzn.to/3iv69WU

 

Natural Ways to Reduce Pain, Break Spasms, Improve Motion & Disc Issues Garrett Salpeter | Podcast #374

Pain from injury, accident, or illness can happen to anyone at any time. You can do several things at home to feel better. So, in this video, Dr. J and Garrett Salpeter discuss natural ways to improve motion and reduce pain through physical medicine and Neubie Method.

The primary goal of physical medicine is to help people overcome issues that prevent them from being more active via various techniques. Since increasing exercise and activity can benefit many physical and mental health conditions and reduce overall mortality.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
0:59 – What is Neurobiolectric (Neubie)?
5:58 – Stretching
14:10 – Muscle Testing
16:23 – Neubie Equipment


Dr. Justin Marchegiani: Hey guys, It’s Dr. Justin Marchegiani here with Garrett Salpeter. Really excited to have Garrett back on the show. Garrett’s a regular here. Again, Garrett’s in Austin, Texas and he has his clinic called NeuFit. He has a bioelectric biohacking device called the Neubie uh something that I’ve used in my clinic for years. Very passionate about it because it helps accelerate uh inflammation reduction healing, human performance and we’re gonna just talk about injuries, performance uh range of motion just the whole nine yards because Garrett is an expert in Physical Medicine so really excited to have Garrett on the show. Garrett, what’s up man? How have you been?

Garrett Salpeter: Thank you so much for having me on. It’s great to be back on here to catch up with you and uh excited to dive in. 

Dr. Justin Marchegiani: Awesome man. Well, you’re always doing a lot of research. You’re on the cutting edge of what you do because you’re producing technological devices, you’re continuing education; you’re doing research so you’re always kind of have your finger to the win. What’s working best, what’s happening kind in your clinic with some of the research on, with using the Neubie, which is a biologic device and why don’t we just give people a little summary of what it is and just talk about what you’re seeing in your practice. 

Garrett Salpeter: Absolutely. So, the Neubie stands for neuro bioelectric and it’s a direct current stimulation device so if people have experience with electrical devices, you know, virtually all of them are alternating current. This is direct current and that’s important for a couple of reasons, the first is that the direct current electric field actually creates this electric gradient that can help orient or align and accelerate the function of the cells that control healing of bone, muscle, connective tissue, so if we have a physical injury, direct current can actually speed up the healing process and sometimes even more interestingly the second part, the second benefit of direct current is the effect that it has on the nervous system because we often have people who will come into our office you know in pain or with limited range of motion and in one session they’ll notice tangible significant improvements and there you know in the span of one session you might be doing only 10 minutes of actual treatment and it’s obviously far too short of a period of time for any meaningful tissue healing to happen right, ligaments aren’t regenerating in 10 minutes, right? it takes time to heal so  when we see these changes they’re more functional, more neurological working more on the software of the body instead of just focusing on the hardware and when we see those changes that the nervous system is the software you know of the body and that’s what controls pain, strength, range of motion, movement and also thoughts and hormones and digestion, all these things right? So, the nervous system is so important but when we see these changes when people have pain or spasms or limited range of motion being able to make these functional changes in the nervous system are super important and direct current allow us to bypass a lot of the protective muscle contractions and speak more powerfully and more precisely to the nervous system so we can make these changes more quickly and lead to longer more significant changes in the long term over time.  

Dr. Justin Marchegiani: Got it. So, in summary, you have hardware which is like bone, connective tissue, ligaments, tendons, you know, some of those that regenerate faster like muscles some like tendons, ligaments, cartilage take longer, right? Either way with some of the electrical healing modalities, you can still increase blood flow, drive better circulation and then of course decrease inflammation so that does accelerate healing on one side of the fence and then we kind of have the software upgrade where you’re really helping the nervous system to recruit other muscles around that area which then now can buffer the impact and force and then also were talking about before the show, I had a spasm from a deadlift like a month and a half ago and my body, I just could not get rid, I had to use a little bit of aspirin because it would just kind of buckled me over 45 degrees and I just walking around like I’m bent over and I took my Neubie and I just kind of got it into that area and I just did five minutes of exercising and loosening and it broke the spasm like that and it stayed for days, I did another movement pattern the next day and I was good so it’s just crazy that even though this is what I do, you forget how impactful just something like a few minutes can be when you’re in that much pain.  

Garrett Salpeter: Yeah. And the thing about that and why it’s so beneficial is that you’re really getting to the root cause of the problem there which in that case you know it’s very common for people you know quote and unquote throw their back out, you know, you bend down to pick up a pen or something and something seemingly innocuous can cause this reaction where the back you know just is incredibly painful gets into spasm and people think you know oh my gosh there must be some sort of structural issue but in most of those cases there is a minor irritation of the spinal cord or a nerve root and then what really causes the pain is the body’s reaction too. It’s not so much about what happens to us as it is about how we respond. 

Dr. Justin Marchegiani: It’s guarding. 

Garrett Salpeter: And yeah, so the body creates this hypersensitive spasm, guarding state and really tries to lock down that area to make sure you don’t irritate that nerve again and it’s the spasm, it’s the reaction that actually ends up creating the worst of the pain and the limitation and so with the device and this use of direct current and having this effect on the nervous system were able to go map around on the body to identify where that hypersensitivity or that protective mechanism  is being imposed on the body neurologically speaking being imposed on the body and then by stimulating that area it essentially creates a lot of feedback to the brain in a way that teaches the brain that It’s okay to actually move that area. Again, it allows the brain to break or you know down regulate or decrease that protective spasm. It’s like if you have a child who’s screaming and you can soothe them either by you know, holding them or giving them a you know a treat or a pacifier or something like sort of like that sort of thing.

Dr. Justin Marchegiani: Yeah, because I have my wife literally doing my precursor on me. I had her doing some soft tissue, I saw my message person I couldn’t even do Chiropractic outside of blocking because the spasm was just too tight but just five minutes on that was enough to kind of reset that software and so when you’re like dealing with someone like that where would stretching come in because I felt like stretching was actually making this extra problem actually worse. How would you incorporate that into someone’s program or like someone’s injured, how would that kind of come factored in?

Garrett Salpeter: So, when we talk about stretching, I think it’s really important to look through the lens of this software versus hardware conversation because when we stretch a lot of times, we think that we can literally, like, pull our muscles apart and make them physically longer, right? What we really want to do like that you know based on the image that a lot of us have of how the body works that sounds promising but what we, you can lengthen connective tissue over time but that takes a long time to remodel but what we really wanna do to increase flexibility is relax the muscles to change the tone or tension and that is 100% controlled neurologically so what we really need, want to do if we’re talking about stretching to increase muscle, you know length or increased range of motion, what we really wanna do is change nervous system signal or tone to relax that muscle so that it can go it can accommodate greater ranges of motion and there because it’s a neurological skill, you really need a neurological input so using a Neubie or using other techniques where you are instead of just kind of stretching and relaxing there. If you’re adding in if you’re adding in some breathing and you’re waiting long enough for the nervous system to relax you know there can be some benefits there or if you’re contracting the opposing muscles some of that is you know some of that can make it can make an impact but in terms of uh in terms of sorry there’s a lot alarm going off over there. No worries uh, I think it’s a smoke alarm from someone making my wife making breakfast uh so the um the uh the nervos system signal really is paramount and so finding ways to finding ways to address that are so important and that’s one of the benefits we noticed using the Neubie is that we often can help people not only break that spasm and guarding to reduce pain but also see increases in range of motion pretty quickly because we can send that signal there to teach the brain and nervous system that can allow that muscle to relax allow it to go through greater ranges of motion and open that up and then there’s an interesting question of okay if you open up this new range of motion then can you can control it because if you go into a new range of motion you know if you could only get your arm up to here and now it’s getting up to here but you don’t have any control up here you’re then at risk of injury also there so then you have to be able to create strength and motor control and coordination in those range of motion and again those are neurological skills and so using a toll like the Neubie can be very beneficial there as can isometrics at the extreme joint angle where you really get to focus on muscle recruitment over a period of time and you know strength training through complete range of motion can be helpful. Some of these more traditional approaches as long as you apply them in the right way and it really helps to keep this software and hardware framework in mind but that’s the main thing is that we only think about stretching more from the hardware side. 

Dr. Justin Marchegiani: Yeah. I always found that foam rolling was really helpful and just doing a full range of motion of whatever that was whatever it was a squat of a lunge whatever that was so a lunge for instance to work on my hip flexor just doing into that for a couple of seconds and coming out I felt like doing something more dynamic was always helpful because in life you’re typically not holding a move for 20 or 30 seconds. I also found that with the Neubie on my hip flexor and lower back and then going into that lunge for a couple of seconds I felt like just kind of getting it up to the first sensation was very effective as well from a stretching standpoint.  

Garrett Salpeter: I would agree with that and from my perspective at least I think a lot of people in stretching are kind of in this no man’s land you know they do like a 20-second stretch where you’re better off doing late like you did either of the extremes so like you did you know go into it in and out in and out like doing movements where you’re just holding maybe a couple of seconds of that end range right shorter time but more repetitions or longer being in a stretch for you know for two to three minutes so that you give the brain time to understand okay it’s not as threatening, you’re safe enough here to be able to let go and reduce tension so a lot of people are in that kind of no man’s land middle range where it’s not as effective as either the shorter ones or the much longer ones.  

Dr. Justin Marchegiani: That’s great and then so when you have people that have pain because a disc is bulging out or herniating out and hitting that nerve at the IVF or at the disc level what are you doing kind of with your techniques to kind of help reduce that disc pain because conventional medicine, I mean, outside of doing surgery I mean maybe you do some kind of decompression or you hang upside down or there’s some different like decompression techniques or tables that chiropractors use. What do you typically do in your clinic when you see a disc patient? 

Garrett Salpeter: So, one of the first things that we want to start with is actually education start to start about with talking about some of these really fascinating studies that show for example patients who have herniated discs and back pain you know if they there’s one group that has surgery another group that uses physical therapy or Chiropractic or more conservative care and after 12 months they end up virtually the same so there’s really very little long-term benefit and not to say that there are cases where surgeries you know not required or something like that you know I think it’s overprescribed and overdone but there certainly are cases where it’s the right move and it’s worth doing um the other thing that we like to share with people in this kind of educational process is that there are really fascinating imaging studies that show something like 30% of people in their 30s 50% of people in there 50s and even higher the older you ger have people who don’t have any pain at all you know half or more of them will still have some disc bulges or you know some herniations or different things show up on an MRI okay that you know normally you think oh that would cause pain and yet they don’t have any pain so the question is why why can someone else have the same thing you do and have no pain and yet you are coming here to see us in pain. There’s more to it than just the structural issues so a lot of it has to do with that same protective spasm that you had when you were talking about you’re dead lifted and then you got that you know that thousand mill backs a lot of it has to do with that kind of pattern you know the individual getting stuck in that pattern over time and not being able to break that cycle of spasm and pain neurologically so the first thing that we want to do is go through that same mapping process and identify where the guarding and protection is happening neurologically and do that same process and sometimes we notice people make significant progress even though again you know in one session their disk has structure hasn’t changed, the disc hasn’t healed or significantly moved back into you know back into place or anything like that but a lot of times someone will feel better even in that first visit because you’ve reduced that they’ve reduced that spasm and then we also want overtime to help better balance the structure, get the right muscles working so they’re no longer collapsing into that part of the spine and causing the pressure on the disc that’s gonna make it balls or herniate so we also want to even if someone’s feeling a little bit better right away we want to make sure that we continue to work on proper muscle activation, improve biomechanics so that they can then you know do more and more activity. They can increase the load on their body be more active and have the resilience to be able to do that without slipping back into that you know that kind of painful spasm guarding protective state.  

Dr. Justin Marchegiani: Yeah. I think that’s solid because when you have an injury right you talked about a kind of the study on the x-rays where they looked at x-rays or MRIs and they saw 50% of people that had bulge or issues that should cause pain, had no pain, right? So, there’s something functionally at play here where you look at the structure objectively obviously flip a coin someone could be in pain or not but then functionally something else is going on here and you kind of alluded to it earlier with the shoulder increasing range of motion at the shoulder you may have higher range of motion here but you may not have the stability within your supraspinatus your Pec major your Pec minor, your subscap to be able to stabilize that muscle up here so even if you were to injure, let’s say your AC joint right, acromioclavicular joint right the reason why would you injure that joint right it’s because typically there’s the muscles around that joint aren’t stable and so how are you looking at these joints and assessing is this joint fully stable, how are we assessing the muscles all around it?   

Garrett Salpeter: So, I like to do manual muscle testing and we teach a version of muscle testing for that just to kind of check at a high level can this you know this patient can this individual actually turn their muscles on in the first place can they actually get signal there or is there so much inhibition or you know the you know shut down is the muscle shut down or weak because of that habits or previous injuries um so we like to do like to do manual muscle testing just to see if there are any weak links in the areas where they can’t turn on and we like to do the scanning and mapping process with the Neubie were talking about and that lets us know where they’re again where’s that guarding and protection is present which also can mean inhibition or shutting down signal.  

Dr. Justin Marchegiani: How does that work; you mind taking the machine and just you don’t have to put it on how would you scan that?

Garrett Salpeter: Yeah. So, I don’t think you can see that in my frame.

Dr. Justin Marchegiani: I’m gonna have you go full screen. I’m gonna make you go big. Let me see if I can make you big here. Just me a second. See, if I can get you bigger on this here. All right. Well, let me see if I can do it. Well, I’ll have you keep on hold on. Let me turn it off. 

Garrett Salpeter: Oh, there we go, okay so this is the device right here, the Neubie, and what we would do is take one of the pads and scan around on the body like this so we’re scanning around what we’re doing is actually sending the signal as if that area of the body is being loaded so when it’s on the bicep, it’s as if you’re you know doing bicep curls or using that muscle there and wherever the muscles are working well, the brain sees that and says oh yeah that’s just you know that muscle doing it’s thing normally there’s nothing threatening about that but if we stimulate an area that hasn’t been working well recently because it’s been weak or you have bad habits where you haven’t been using that area or have adjusted around it because of old injuries if we stimulate an  area like that or where the brain is guarding and protecting in that area then we have a situation where we send that signal and the brain sees that and says that’s threatening that’s different that’s novel or new and so it’ll protect against that and so most areas that are working well feels kind of pleasant and then when we get that greater reactivity where we pick up on that hypersensitivity and some of those neurobiological issues that we were talking about the body reacts more and that helps us understand where we need to where we need to stimulate and then we stimulate those areas and we teach the brain to take off the breaks so to speak if it’s guarding and protecting it’s sort of like you’re driving a car hitting the throttle and the brake pedal at the same time which of course is inefficient and waste of energy and so we teach not necessarily teach you to like get stronger or put more force down on the throttle but we teach you to be more skillful neurologically and take the other foot off the brake and that’s what this does, this helps us find the reactivity where those breaks are being imposed and then lift them off to an appropriate level you know we have protective mechanisms to prevent ourselves from getting hurt and this just allows us to reset them back to the normal level not to any place that’s going to you know have us in a compromised position. 

Dr. Justin Marchegiani: That makes sense and then when you find, you kind of scan, you find some issues some disturbance some may manifest as pain then you anchor one pad and then you search on the, through the other pad right and so when you’re doing that are you trying to cross the joint, are you like, what’s your philosophy when you scan? Is it just kind of looking at the next best area or are you trying to go across the joint where maybe stability or anchoring? What happened? How does that next step work?  

Garrett Salpeter: So, I’m trying to find the first domino or the area of greatest impact so when we find, if we have a spot here uh you know on the pectoral muscle for example and then what we would do is yeah we figure out where to put the other pad where you know the grounding pad of the source pad or whatever you wanna call it and we would then find the area that’s gonna typically that’s gonna kind of maximize the impact here sometimes that spot itself might also be a hot spot or an area of greatest or greater need and we don’t necessarily need to go across the joint or more proximal and distal or you know higher up and further down, it’s more about finding the area of greatest need for that person neurologically where they have the greatest amount of protection or inhibition or dysfunction and working on that so sometimes the pads will be, I find another one here I show you something, they’ll be like right next to each other. Let’s imagine this is a pad sometimes they’d be right next to each other sometimes they’ll be across the joint like that and then sometimes they’ll be you know oriented along you know one lower down on the arm so they can be in different orientations, there’s not necessarily a set mechanism of, yeah, we’re trying to go across the joint and have them both longitudinally along the same muscle. It’s more about trying to find what is the area of greatest need for that individual person.   

Dr. Justin Marchegiani: And how many outputs or pads would you put on that joint, obviously, with the Neubie, the cool thing is you have up to eight, I mean, something as a shoulder, would you kind of keep it at two or three uh bigger joints you’d go more like what’s your philosophy on how many outputs, how many you know pads would you put on a joint in a given area?

Garrett Salpeter: It depends on where we are in the process. In the beginning, we are we’re doing that mapping process, we’re finding these hot spots or areas of interest or dysfunctions or trigger points, you know, sometimes we refer them with different words but we essentially want to let the patient’s body be our guide in the beginning and work on however many hot spots show up and so far some people it’s two pad you know it was one spot and we need a grounding pad or a source pad to stimulate that so far some people it’s just two pads and then for some they have you know eight or more hot spots so we might be using all eight pads even on a smaller joint you know or smaller area of the body so it’s more about that more about showing up what that patient is representing with and what their body’s telling us in the beginning and then as we progress once we get out of the acute stage where we’ve worked through those hot spots and those kind of more immediate more acute dysfunction then we want to talk about improving mechanics about strengthening about increasing muscle recruitment or relaxing muscles for greater range of motion and then we can use uh you know all eight pads depending on what we want to do so one of my favorites you know examples of this is to talk about the hip if we want to increase hip extension, we can actually use a couple of the leads on the front side of the hip you know on the hip flexors quads adductors on a setting that’s going to help them relax more and more and then on the back side of the hip so on the glute specifically we’re thinking there um to drive hip extension we can actually change the setting on the device to create more contraction in those muscles and so contraction on one side on the back side and relaxation of the front can help lead to greater hip extension range of motion so it depends a little bit on where we’re going definitely in the beginning we want to not necessarily work on a predetermined number of spots or pads but let that patient’s body be our guide.  

Dr. Justin Marchegiani: So, when you work up a patient right and you, kind of like map out these hot spots let’s say someone comes in with their shoulder area let’s say you find some hot spots here and, in the back, and then down here on the tricep are those kinds of your spots you’re going to hit for the next couple of weeks or are you trying to reinvent the wheel every time and then you’re scanning every single appointment and seeing if they change. How often do you keep the original spots going for that first assessment?  

Garrett Salpeter: So, that’s a great question most of the time the you know fortunate answer for a clinician is that you typically don’t have to rescan because typically these patterns that people have that are contributing to injuries are fairly deep-seated or deep rooted patterns that  are gonna take a little while take several sessions to fully you know we should see progress each visit and yet we should likely need a few visits to really make more lasting even more significant and meaningful changes so typically once we find those spots especially if they’re standing out clearly and there’s not a lot of them typically we’d continue to work those some ones uh. If there’s a lot of spots and we’re having to prioritize we may want to recheck those just to see you know sometimes if when A or B improve then we want to work on C, D and E. Maybe those become the next kind of highest priority areas to work on so um it depends a little bit on the circumstances but generally you know you’re not gonna see significant change in terms of what shows up when we’re doing that mapping, session over session unless someone you know, we definitely want to do it if someone isn’t making the progress that we wish to see or if there’s a new presentation a new symptom or you know they went out and played in a basketball game or tennis match and have some sort of new symptom or problem yeah we’d want to rescan then but generally speaking you’re picking up these patterns that are more than just like oh I slept wrong or more than just oh that’s because my you know my hamstring are sore from the work that I did the other day. It’s usually more uh, usually a layer deeper than that and so when it shows up we can work on it for, you know. at least several sessions.  

Dr. Justin Marchegiani: I think that’s great. I mean someone has worked in the physical medicine space for quite a while, I think this is an awesome tool to have. We’ll put links down below so if people on the patient level want to reach out to you Garrett and your stuff there’ll be a link down below that you can reach out. If you’re a practitioner and you or just someone who wants to access this technology at home for better health um kind of biohacking yourself more on a daily basis, we’ll put some information down below for that. Anything else you wanna leave the listeners with it that’s going in your clinics, anything new or cool that you wanna highlight?

Garrett Salpeter: One piece of news is that we just in the last couple of months published our first peer-reviewed scientific journal article on the new bible and it shows that we’re basically using the Neubie to uh without any weight without any external load at all and comparing that to the gold standard of exercise which is lifting weights with about 75 or 80% of one rep max so one rep max would be like the amount of weight that’s so heavy you can only lift it once 75 or 80% of that is you know a weight that you can lift maybe you know eight to ten to eight times or something like that so that’s yeah that’s essentially the gold standard of resistance training and we’re seeing that with the Neubie and no external load, you can get a very similar effects on muscle as using heavier resistance and more traditional exercise so that is something that is really cool because it opens up opportunities for people who can’t lift heavy because they have a joint injury or some other pain or issue they’re trying to work around or they’re in the middle of a professional sports season and this can help them get you know get training while better managing fatigue and stresses of the season also for older people who or people who have mobility problems or various neurological diseases and dysfunction that can’t really do traditional gym exercise weightlifting this can allow them to get metabolic hormonal muscle building benefits and gosh muscle I mean one of the most interesting bodies of research I think is shows the beneficial effects of muscle mass on longevity and how having more muscle helps with so many factors hormonally metabolically overall health wise that you maintaining muscle mass as we age is one of the key one of the biggest factors in all-cause mortality and extending life and health span.  

Dr. Justin Marchegiani: 100% agree. I think that’s awesome. Guys reach out to the NeuFit N-E-U dot Fit. We’ll put links down below where you guys can reach out. We have some other content with Garrett, we’ll put some old podcast links down below as well. Garrett, thank you so much for coming on the show. Really appreciate it. 

Garrett Salpeter: Thank you. It was a blast. I loved it. 

Dr. Justin Marchegiani: All right. Thanks. Take care. 


References:

https://justinhealth.com/

Recommended Product:

https://neu.fit/justinhealth

Audio Podcast:

https://justinhealth.libsyn.com/natural-ways-to-reduce-pain-break-spasms-improve-motion-disc-issues-garrett-salpeter-podcast-374

Hair Loss Restoration, Improve Testosterone, Inflamm-aging & Inflammation – Jay Campbell Podcast #373

Having a lush and full head of hair is a treasure we all want to enjoy. Having thick hair is seen as a sign of being youthful and having vitality — even being sexy. Millions of people find that they’re suffering from thinning hair or hair loss, called “alopecia” in medical terms. It’s a common problem that affects both men and women. Medical hair restoration is the only way back from thinning hair for many people. For a select number, though, their thinning hair is due to inflammation.

Dr J and Jay Campbell discuss that the good news is you can help your body control the amount of inflammation you’re experiencing by making simple changes in your diet and managing your stress levels. You can take a proactive approach to your hair restoration by eating a diet rich in anti-inflammatory foods. Try anti-inflammatory beverages and foods. While hair restoration is not an overnight process, making these small changes in your diet can support your body’s efforts to heal itself.

Reducing your inflammation can give your hair a chance to regrow. Be sure to reduce your intake of foods that promote inflammation and approach your doctor for a professional and safe course of action.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00  – Introduction
3:35   – Hormones
49:27 – Insulin Resistance
55:17  – Peptides


Dr. Justin Marchegiani: And we are live. It’s Dr. Justin Marchegiani in the house with Jay Campbell. Really excited for today’s podcast. We’re gonna be talking about a whole host of things from hair loss to improving testosterone, inflammation versus inflammation as well as just increasing consciousness. Jay, welcome to the podcast, man. How you doing? 

Jay Campbell: Doc, man, it’s an honor to be here always when I got a chance to speak with people in our profession who are knowledgeable. I’m privileged and humbled to be here. So, man, let’s make this amazing.  

Dr. Justin Marchegiani: Excellent. Very good. Well, in the functional medicine community kind of where I work, there’s a lot of people that complain about hair loss especially kind of people coming post-Covid, right? We’re doing a lot of nutritional things, diet things, improving digestion, absorption, trying to get inflammation down. But I kind of found you because you have a couple of products out there that I’ve heard some really good things about that kind of improve hair loss, improve hair restoration, outside of like you know your typical like Propecia, Rogaine, Minoxidil type of medications. I want to talk a little bit more about that just kind of out of the gates. Go ahead. 

Jay Campbell: Yeah. So, it’s, uh, again, thanks for being here. It’s an honor to be here with you today. I’m very excited always whenever I get the opportunity or the chance to talk about hair loss, um, when I speak about hair loss, I usually, for people that aren’t really up to speed, um, I kind of like dropped the hammer because as you know from reading my articles but you’re one of the few that actually wants to drill down to that rabbit hole because you know that article that was on ben greenfield’s website last summer that was three parts is over 10 000 words right? So, most people today don’t read in that depth but there’s a lot of science now out there that teaches us the real definition and cause of hair loss and drum roll please. Hair loss is caused by blood flow restriction to the scalp. There’s nothing else that causes hair loss but blood flow restriction to the scalp and blood flow restriction to the scalp is actually caused by a myriad, you know, number of things. I mean, there’s probably, I could give you a hundred answers as to what causes hair loss and you know that obviously is covered, uh, that is micro irritants that is you know heavy lead poisoning that is overexposure to the sun, that is stress, that is lack of sleep, that is hormonal related hair loss, right? So, DHT inhibition, uh, you know, women that have autoimmune disorders lack of sleep again causing cortisol spikes and you know over increases of prolactin, I mean, again, there’s so many different answers IGF-1, you know, insufficiencies and overproduction, so there’s  so many different things that can cause hair loss but we definitely at least now know that if we can control for the loss or the blood flow restriction to the scalp and do things to increase blood to the scalp, we can actually regrow hair and Justin what’s so cool is you know my product um you know without being a show or sounding like a shill. If you are suffering from a genetic predisposition which is you know androgenic alopecia or androgenic alloresia, there’s other ones you can actually minimize that by doing again the things that you need to remove inflammation from the scalp and increase what you would call angiogenesis to the scalp which is again increasing red blood cells and at some point, you know, as we get deeper into this you know, I’m happy to give people a lot of different things you can do, I have like a really cool meme that I can send you and you can post you know after the fact of like my and my business partner obviously nick  with our company but like our inner circle hacks of what you can do to massively increase hair loss as your hair regrowth as you age.   

Dr. Justin Marchegiani: Excellent and I saw this article, I had it up here on the screen as we were kind of chatting. This was a phenomenal article I saw earlier in the year because it talked about DHT, we kind of know DHT is this like testosterone metabolite and so, as you get older, essentially you have these hairs that are naturally prone to be DHT sensitive and we know there’s different medications are out there to block that so just kind of for the average person you have your finasteride medications, you could do oral or topical thing that kind of block that which can be helpful for some people but then you kind of and I always intuitively knew there was an inflammation component because I’ve worked that many patients over the last decade where we improved their diet, we got their gut working better, we modulated cortisol, we did things to help kind of the immune response, glutathione, NAC, things to help with the oxidative stress around the scalp and I saw hair improvements significantly so I know there had to be something more than just DHT in and of itself and then you kind of posted a couple of articles talking about that so just to kind of you know we have like one major track in conventional medicine which is like you finasterides which are you’re like 5-alpha-reductase inhibitors, then you have like Rogaine minoxidil which are your vasodilators. Those are your two major paths but then you kind of come in so just kind of talk about how you took the two major paths and how you kind of had this little side detour that you find to be better. 

Jay Campbell: Man, I’m so glad to talk to you today man because I haven’t had a chance to go this deep but this is you know really what we have been attempting to expound and obviously we did a pretty good job myself Nick and Ben and we did Ben’s podcast and you know again, the article was three parts and Ben did a lot of stuff into this but to your questions. Let’s go really big pictures. So, the conventional medicine route was always about inhibiting DHT. But anyone who’s ever inhibited DHT whether it was from the script which is you’ve already mentioned Propecia finasteride or dutasteride, yep, you know topically they realized that those, you know, medications actually attached to the follicular root in the scalp somewhat I always say someone and again you know read the articles that we’ve written if you want to understand the true science but they will prevent further miniaturization but here’s the big gotcha, the big gotcha is that 90% of people who use any of those products to again further miniature or reduce miniaturization. If you stop, all the hair falls out, because they have attached to those follicles in the scalp blocking that conversion so once you stop the you know the actual taking of again the drug or the vasodilator because this also applies to minoxidil and Rogaine, uh, the hair falls out and again anyone who’s used these things has experienced this the other big issue is that there’s a very large percentage. There’s really no number, uh, of men and women sadly because don’t report this like men do but who suffer all sorts of dysfunction. Sexual dysfunction, brain dysfunction, uh, bone mineral density dysfunction from these drugs and again as you know because you’ve read them and you just brought them up but you know we wrote an article about DHT inhibition causing cellular dysfunction over time and the problem and again, I don’t want to worry people and this is a big rabbit hole but again you know happy to point people and you will obviously and you’re doing it now to the articles on our site that provides the science on this but over time DHT, inhibiting DHT, which is again a natural biological pathway causes cellular damage and this can be seen if you do genetic testing, if you do methylated genetic testing, if you go to trudiagnostic.com it’s T-R-U , you know it’s Ryan Smith’s company or if you use the Glycan age test. Any of these people now that are doing this kind of DNA at the cellular level tests can see people who have been using DHT inhibitors and by the way this also extends into testosterone optimization. If you’re using an AI an aromatase inhibitor medication because again, you’re blocking from an x. Yes. Exactly. You’re blocking very powerful and profound biological pathways that should never be inhibited. Now, remember most of DHT medications and AI medications were originally created for people that we’re suffering from cancer, right? And then these medications were extrapolated and one of my good friends in medicine always like says extrapolation does not correlate to causation, right, you know, they’re putting them over into these other fields like hair replacement or hair restoration and of course suppressing estrogen and people using therapeutic hormones, uh, it was bad thing all together and now we have you know five seven 10 15 years of observation and we can see the harm that it’s causing but Justin, a lot of people will come out, you know, who and they’ll listen to this podcast and they’ll say but J I’ve been using a DHT inhibitor, it’s stopped my hair loss, I get my blood work done twice a year, I have absolutely no issues right. Like, I’m low body fat. I’m low inflammation, I take care of myself, I have clean diet and I will say that’s absolutely true but what do your telomeres look like. And so, this is a whole big thing and I would say that like over the next three to five years as more and more people start doing these DNA based tests and they can really look at the end caps and they can see what these DHT inhibitors and AI drugs or medications are doing. It’s gonna be a major reveal and I will just one throw one other thing I there just to like drop the hammer. The majority of men who have died in the last three years, uh, you know pro-body-builders physique athletes, performance athletes, competitors, even strong men of quote unquote heart attacks or sudden death because again, they’re using God knows, what you know in the kitchen sink, those guys actually died of what are called micro fissures in their vascular networks from using AIs. The AI’s literally are causing fissures.

Dr. Justin Marchegiani: Oh wow! That’s the reason why, huh? Yeah, I know, they’re doing a whole bunch of medications. 

Jay Campbell: I have. I’m the only guy that’s brave enough to come out and say this. And again, there’s nobody doing autopsies on these people and I’m not gonna mention names. I am very connected to people who worked with these guys or work with these guys, previous to them dying and we know what they’re using and

Dr. Justin Marchegiani: You’re not hearing this from the heart, the heart issues, the heart hypertrophy due to the steroids. Is there any component in that too?

Jay Campbell: Absolutely. Dude, there isn’t a single bit of research in the entire world that shows that testosterone causes anything. 

Dr. Justin Marchegiani: I imagine these guys probably aren’t just on bioidenticals, they’re probably. 

Jay Campbell: Exactly, kind of, I mean. Exactly, so we’re talking about that’s exactly right. So, we’re talking about when you’re taking super physiologic levels of all sorts of things, right? And all sorts of things are going wrong and all sorts of harm is being caused but what we definitely do know is it’s the Ais that are causing the blockage in the vascular network and look let me explain the science behind this because this needs to get out there more. You never inhibit estrogen, ever. Most doctors out there today still do not understand that there’s no such thing as estrogen or high estrogen symptoms or side effects. These side effects that are being caused are due to inflammation. People have too much visceral body fat. They’re on, you know, therapeutic hormones. Doesn’t matter whether it’s a man or woman and the exogenous hormones are causing an inflammatory response. Their inflammasomes being released from the visceral fat, normally that causes the quote unquote side effects of like you know water retention or you know irritability or mood disablement. All these people literally extrapolate that to high estrogen symptoms it’s completely a falsehood. All the science and evidence shows that you need healthy levels of estrogen to confer protection to biological systems so whenever you use testosterone whether you’re a man or woman you should never block estrogen, you know, again, through aromatization because that is what is going to convert protection to the vascular network to the brain to bone mineral I mean all of these things need estrogen and I dude, I go on Instagram yesterday. And I’m looking at, I won’t name names because they’ll name names but very very well-respected people with massive audiences way bigger than me who do not understand this still who are still recommending to their patients about preventing or miniaturizing or blocking aromatization. I know, we rabbit whole from hair loos but all of this stuff relates yeah and I’ll take it back very simplistically, you cannot block a God-created or biologically-created system in the body and not think that you’re gonna have if you’re, basically, you’re robbing Peter to pay Paul, right? They’re going to have downstream issues and effects that are going to show up within time, you know my business partner Nick love to call you know he’s a dork. Third order effects, right? But, like, the reality is you’re going to see nasty things happen when you do this and unfortunately medicine, conventional, not you and me, conventional loves to use these drugs to screw around with the biological cascade that was again created, you know in these perfect bodies that we have, not realizing that doing that is going to have long-term damage.  

Dr. Justin Marchegiani: Okay. So, what about using natural compounds because you’re talking about like you know the Aromatase inhibitors, right? You’re talking about some of the pharmaceuticals but just by keeping inflammation down by avoiding processed grains and excess omega-6 oils. That may also have an improvement on things just selenium and zinc and nutrients may have some mild DHT, estrogen metabolizing effects. Eating cruciferous vegetables and some of the sulfur-rich compounds may help with some of that too. So, we kind of draw a line between natural things that may have a more modulating effect versus drugs that may kidn of be in discretionary and kind of go too over the top too high or low on that. 

Jay Campbell: So, yeah. So, it’s a great question, so like I get this question a lot all the time, you know, people will ask me well what about natural stuff you know, like doctor, I got one, a question like to days ago Dr. Berg recommends, you know natural, you know using things to naturally suppress estrogen. Okay, so again, let’s go back. We do not want to suppress estrogen. What we do want and you already said it is, we want less inflammation. How we suppress inflammation is not being fat and obviously one of the talking points that we have on this call is what is the greatest strategy for a human being to minimize disease as they age. The greatest strategy and by the way, if you ask a hundred doctors that question one will get it right, the greatest strategy to minimize disease as we age is building muscle because muscle is the greatest deterrent to the disease of aging because muscle is the most metabolically active tissue and muscle does not allow for inflammation. Now, I’m not talking about becoming a huge body builder but I’m talking about being functionally lean as we age when you build muscle you have less fat, the more muscle you have, the less chance you have, the disease, again the less inflammation, the more bone mineral density you have, the more functional strength you have on and on it goes so I mean like the reality is all those things you said are great adjuvants you know cruciferous vegetables, uh, you know minimizing seed oil consumption, living insulin control, I love talking about this kind of stuff but at the end of the day, you have to build muscle and you know, I’m not one of those guys that says oh, you shouldn’t do cardio and you only build muscle, you have to have a holistic viewpoint. You know, if you’re a man, I mean I just got into this yesterday with a very, very big influencer, I won’t name her name, she’s very, very well, now we talk all the time and she’s like not doing cardio and she’s almost 50 and I’m like what, you know, I’m starting to get belly fat, I won’t do cardio, well then that belly fat’s gonna keep coming like there’s no amount of growth hormone or testosterone or peptides or anything that you’re gonna take, if you don’t increase movement patterning, right? So, I mean, at the end of the day, all those things are amazing but build muscle, be functionally strong, you know, we can talk mindfulness and yoga and meditation and doing all that stuff and being pliable but you got to build muscle because the more sick you get it’s not okay. 

Dr. Justin Marchegiani: Let me kind of go rapid fire, you hit a bunch of avenues I want to go down, so from a movement, um, muscle building standpoint are we just talking about functional movements, push pull band, squat kind of lunge type of patterns. Anything more like super slow, certain periodization bands, cables, I mean, kind of what does your routine look like, just you know, what would be that they, if you look at your routine kind of from a thousand-yard view, what would be the key core things you’d want to distill to other people that they can apply to theirs? 

Jay Campbell: Dude, man, I love your questions dude. You’re the best. You’re the best interviewer I’ve been on in a long time. Very, very knowledgeable man, so great credit to you. Um, that’s a very open-ended question, and I would say that, the answer is I’ll definitely give my, you know, regimen, my wife and its regiment and I’m 51 you know and I look literally a lot better than most people look at 20. Okay, and obviously grow. Everything but the kitchen sink at my body, you know, I use therapeutic testosterone, I use therapeutic growth hormone, uh, when I’m not using therapeutic growth hormone, I use peptides, uh, I take all sorts of insulin suppressing medications and supplements. I use metformin, I use you know, dihydro berberine. I mean, like I said man, I throw the kitchen sink in my body but I’m also very you know scientifically efficient, I use very precise dosages, I go by the research and of course the research for me is empirical, right? I got 30 years of doing this. I mean, I’ve been treating my body like a raprap for 30 years but to answer your question specifically because it is important, it’s an amazing question is, it’s gonna be relevant to the person’s age. A 25-year-old man or woman can train much more intensely and recover much better than a guy at 51 can, right? No matter, how well I take care of myself and how injury-proofed I am and all the shit that I take to recover and how good my sleep is, I still do not have the synovial fluid in my joint capsules as that 25-year-old does, right, so I have to modulate the intensity and the recovery from that age to a 50-year-old but you know to answer your question I think the answer is yes. You know, I would say all of the above, you know, weight training obvious bone bearing resistance training, you know, a lot of people that don’t have access to a gym with all the bullshit that’s happened in the last two and a half years then yeah, you got to do push-pull, push-ups, you know free standing squats, uh, you know if you have a pull-up bar hopefully if you have bands, I mean again, everything is good. My personal pet belief is it’s really not a belief it’s more of a knowing because I’ve been doing it for so long is, as you age rep range is more important that it when you’re in your 20s in your, let’s say like your early 30s because it’s all about taking the muscle to positive muscle failure, right, not eccentric, not negative but to a place where literally, your fibers cannot do another rep so like I have a formulation of training again I’ve created myself and I call it positive muscle fiber training. It’s PMF training. It’s a system that I sell it’s a video and I’m not here to sell my course or anything like that but I don’t even know about that wow, yeah, I mean I’ll do, I’ll send it to you after this and you can go through it. It’s pretty epic. I got a lot of people on it but and honestly I’m stepping on the shoulders of giants because you know I learned from Charles Poliquin, I learned from Jim Brown, you know, I learned from genius guys but the end of the day, the older you are the more you have to push your body’s ligament you know ligaments tendons and muscle fibers to a place where they reach exhaustion pretty quickly and so for me a couple of warm-up sets, two work sets each work set goes to positive muscle failure, again, I’m not doing eccentrics, I don’t have somebody spotting me and then I move, right and I train my body over usually six weeks, uh, you know, periodized, uh, rotations and it’s either full body Monday Wednesday Friday or it’s um kind of a push-pull split. It’s basically a split, you know, chest, back, leg, biceps and then delts, triceps, always finishing with core depending on where I’m at in the year, you know, I always foam roll before and after yeah. Sometimes, I do some pretty static stretching.    

Dr. Justin Marchegiani: How long is your workout typically?

Jay Campbell: Uh, my wife and I train together and my 14 years old daughter trains with us because she’s like a Mary Lou from Mary Lou Retton and Jim Freeze. So if  it’s al three of us probably 50 minutes but today my, she’s actually a cheer camp at woodward academy up in central California so my wife and I trained together this morning and we were like 36 minutes I think.  

Dr. Justin Marchegiani: Nice, nice and in regards to the cardio aspect are you kind of doing more of a tabata interval sprint stuff. There’s a lot og stuff on my twitter feed about people really more into like the zone two type of thing getting your heart rate around 120 for like 30 minutes and just kind of holding a steady state. What’s your thought process on both of those. What do you like? 

Jay Campbell: Amazing question, so I’m probably gonna be a little bit different here and you know take it a different direction and you know my background from a research standpoint is low-carb ketogenic dieting 20-plus years ago so I have a lot of experience with energy systems at one time, one time I worked with Lyle Mcdonald, I was kind of his research assistant before he wrote the first book on ketogenic dieting and exercise so you know all the science but at the end of the day a person’s cardio training should be relevant to their diet and the reason I say that is if you’re a faster okay or a very low carbohydrate person and that might be what paleo that could be carnivore keto, you have to use your training, you’re not your lifting but your cardio training should be relevant to your energy demand, right? So, if you’re somebody like me and by way I have a program that I’ve been following since 2010, it’s you know, one of the programs in my book which is called the metabolic blowtorch diet but it’s an every alternate day fasting. So, I fast on the non-lifting days and I eat on my lifting days, right? So, I eat, I train, Monday, Wednesday, Friday, normally and those are the days I eat and then Tuesday, Thursday, Saturday, Sunday, I fast and my fastening intervals are anywhere from 18 sometimes just full 24 hours, wake up early the next day and you know glycogen load before I train and that’s how I do it but in truth your cardio or the people watching this shows cardio should again be relevant to the energy that they have while they’re doing the cardio so that zone one, zone two is it’s great advice, I mean I normally I’m doing my cardio, fasted I’m normally in steady state and my heart rate is somewhere between 150 and 135, okay? Now, if I wanted to do a Fartlek, Tabata interval session, I would do it on my lifting day because I have glycogen and I would do 30, yeah, it depends 25 to 35 minutes of some form of an interval right and I would do that because I know that I have glycogen to fuel and not I’m in a place where I have, you know glycolytic deprivation and I could burn my muscles so here’s the big mistake, the big mistake that people make is they’re fasting and they do intervals and you don’t want to do that especially if you just fasted for 16 hours because your body is very prone tapping, uh, you know through what is it the enzyme muscle creatine kinase, yeah, muscle protein and any more catabolism. Yeah, exactly as soon as you do that, you’re now breaking down muscle tissue and fueling your body’s energy demand from the protein and so I always tell people like you just got to be cognizant where you are from an energy system so you know again if you’re a hardcore carnivore keto person then you should never be beyond zone two it should be always be steady state moderate intensity and let’s not forget depending on your age, low impact, do you know how many people who are 40, who like you know, take up crossfitting and go right into this like high impact ballistic shit and destroy themselves, I always used to I always used to make jokes I was like man if I was an Orthopade, I would put all my centers next to crossfit gyms. 

Dr. Justin Marchegiani: Oh, absolutely. Absolutely. Yeah, I mean for my whole cardio approach, like doing rowing because just because most cardio things, you’re in flexion state. 

Jay Campbell: Rowing’s amazing. 

Dr. Justin Marchegiani: It’s the only thing that opens you up and puts you in that extension. 

Jay Campbell: Rowing and swimming. Same thing. If you can do broad smoke swimming but I mean how many people have a lot, have access to a lap pool but dude, rowing is amazing. If you have one of those in your house, that’s the best form of cardio. 

Dr. Justin Marchegiani: And so, you recommend most people. Do you like it empty stomach doing your cardio, keep it more zoned too for most.

Jay Campbell: Yes. Yeah. So, like I mean again, it depends because there’s days when I train, I mean again, um, everything is relevant to what that person’s goal is right so like if you’re a 45-year-old person. Yeah. Exactly like you don’t give a shit about being ripped or you’re not in a you know a triathlete or some sort of like crazy weekend competition. It’s how do I look better with my shirt off, you know, how do I have good self-confidence in my job, you know, and then ultimately like as I age like can I bend over and I pick up my grandkids or my children’s kids you know what I’m saying without suffering without pulling something in my spine, um, you know, my wife and I are like really into looking good like we enjoy traveling, you know to exotic vacations so there’s like, you know, usually like three months out of the year sometimes four, we want to look amazing in a bathing suit, you know, I mean, to be an empty nester you know, so it’s like  I want to like travel the world with my shirt off and be like, yeah. I feel good about the way I look, right? It’s always about as you know Doc, functional strength as we age and the self confidence to that comes from being lean. I mean you know you look better in cloths you know, you don’t have to worry about like throwing your cloths away, you know, because you’re going down and up and all that stuff so again, inflammation will stay ay bay by maintaining strength, maintaining leanness and obviously you know preparing, you know, again, depending on your diet, the form of training. 

Dr. Justin Marchegiani: Got it. I think it was Charles Paulken, that said that most people’s health goals just revolve around wanting to look good naked right? That’s pretty 

Jay Campbell: much honestly, that’s probably the best way you could say it and you know there’s another thing though to do that too is like

Dr. Justin Marchegiani: At a functional aspect

Jay Campbell: Look for the opposite, most people don’t even give a shit not your watchers or mine but most people don’t give a shit about their health until they don’t have their health.  

Dr. Justin Marchegiani: Yeah. That’s true.

Jay Campbell: And then they throw everything, you know, including the kitchen sink at it and it’s like dude, you took 35, 45 years to get to this poor level. You think it’s gonna be fixed in a six week or nine-week program or boot camp. No. 

Dr. Justin Marchegiani: Right. Right. So, I want to crystallize. It so your workout, you’re working out for 30 to 45 minutes. What are you picking six to eight movement patterns your foam rollies are working on soft tissue quality and pliability, you know probably during the workout and so is that kind of you want to add a little more detail to that. Does that ring a bell. 

Jay Campbell: Absolutely. Let me add more detail I mean I just came from the chiropractor before I got on your show, okay so I mean I see my chiropractor at least once a week. You know my wife and I usually go together, he’s pretty advanced dude, uh, once a month I see my deep tissue lady who does cranial sacral and I did a five and a half hour session on Saturday and you know she clears out all the negative juju. Yeah and then I also have a body worker that I see every other week on Tuesdays which I will be seeing him tomorrow and you know he does the cupping and you know ART and you know just literally just realigning me and stuff so I mean we’re very hardcore, I would say you now most, more than most people and really like making sure that we maintain these physical avatar bodies as we age and as you know dude, it gets it doesn’t get easier, that’s all you can say. 

Dr. Justin Marchegiani: Yeah. I can imagine so your cardio routine, what does that look like now, give me that

Jay Campbell: That’s another great question, um, so I’m a big biker, I have, I don’t have a Peloton, I have a really nice life cycle. It’s literally, right over to the right of me in my studio. We also have in my house, we have the newest, the latest and greatest, uh, what is it, um, shit, the treadmill that goes up to 40-degree incline. I can’t even think of what it’s called. It’s insane. Like, if you, so we’re going to Peru at the end of July, I’m filming a television series there and it’s my second trip to Peru but I mean, you know, there’s 18-19,000 feet, uh peeks in Peru you know mount humane day is like 19,500 feet. So, you know, I wanna be ready and I mean I’m pretty good I you know, cardiovascular but I’m like, no, I’m gonna buy this. It’s a NordicTrack. I couldn’t think of this, the x32i. 

Dr. Justin Marchegiani: I’ve seen that.

Jay Campbell: The x32i, it’s like the, you know, the bee’s knees and we just got it like two months ago and it’s amazing, dude. Like, I mean, it’s the most amazing treadmill I’ve ever got, I mean there you have to be an absolute freak to walk for 30minutes at 40-degree incline at like 2.5 miles an hour. I mean, it’ll burn. I’m not exaggerating. It’ll burn 1500 calories in 30 minutes, that’s how insane. But it’s uh, it’s you know, we got it for that purpose but I normally do bike because I like to breed on my bike, okay, and my masseuse, my cranial sacral lady told me on Saturday, she’s like dude you got over patterning in your right, you know, lower quadrant, uh, you know, inside where your, uh, you know, your connective tissue is, uh, your psoas and all this stuff, you just got over patterning, you’ve been biking for so long and doing it so consistently I want you to move to the treadmill and she’s like don’t walk fast, you know, she’s like walk at a wide pace, so I mean I moved to that to do that but normally I’m a biker man, I mean, I should get an ergometer, you know, when you said that you’re like here’s another guy telling me that’s I got to get that in my house but uh, my wife is a treadmill walker on an incline and I’m mostly a bike guy but I mean again, you know, back to the heart rate stuff, I usually ride, at 15 intensity on my life cycle and my heart rate goes from you know, anywhere from at the highest like 142. 

Dr. Justin Marchegiani: How are you measuring your heart rate? Do you have a wearable?

Jay Campbell: I do have, uh, the amazon, uh, whatever the 60 little amazon thing is because that thing actually works with that new treadmill too. So, I got that like two months ago but besides that I mean my life cycle is you know just a hand meter, but it’s pretty accurate, you know, I’ve been using it for like six years now, I need to get a new bike by the way too because it’s just worn down but, uh 

Dr. Justin Marchegiani: So, you’re lifting three to four times a week, three to four times a week you’re lifting, cardio three to four as well?   

Jay Campbell: So, lifting three times, cardio is really just dependent on how much time I have in the day and how lean I want to be like, if I want to be absolutely shredded, I will probably do a second session of cardio on Tuesdays and Thursdays but again it’s just depending on whether I’m at if I’m home if I have access to cardio equipment if I’m on the road and I’m traveling, I’ll never do two sessions usually because you just don’t have access

Dr. Justin Marchegiani: Okay. Alright. I gotta, I gotta bunch of questions. I’m gonna go rapid fire at you so I’m really interested, I know you’ve done a lot of stuff on testosterone bioidentical supplementation. I want to know how you dose it, I see lots of patients that come into me that are using creams that are using extended release formulas typically if I recommend testosterone supplementation. I’m trying to keep my patients in that top 25% of the reference range. I’ve seen too many patients come way outside of the reference range then you get this receptor site down regulation, I like to keep the injections you know between two or four days, I feel like you can keep the dose more steady on that versus doing every seven days or ten days, I feel like you get this big kind of like you know have the steady levels.  

Jay Campbell: You got it right. 

Dr. Justin Marchegiani: I wanna know your, you know, what’s your best dosing gels, injectables frequency? Where do you like people to be in the reference range? Go ahead.

Jay Campbell: Okay. All great questions. Let’s start off with what you can’t do. Okay, and again, this is sad because there’s still so many endocrinologists and urologists that have no idea what they’re doing, giving patients this but you cannot give a bolus of testosterone at 7 or 10 or even 14-day interval and expect it to work because as you know Justin and they don’t and they should know because they went to school for this. The way the half life works of these medications, you cannot put it into somebody’s system, shut down their endogenous, again, with this exogenous supply and then understanding the bio or the half cycle life of that bioidentical hormone thinking that you’re gonna have any kind of efficacy after six days, I mean you’re not. I mean in fact you’re gonna have to crash and you’re gonna have all sorts of again you know perturbations of estrogen going sideways, testosterone crashing, I mean, there’s, it’s just a horrible situation, so two delivery systems that work. What you said is accurate. Now, what we want to understand and again for the people watching the show are not familiar with my work, I mean, this is like you know, my quote-unquote claim to fame and like

Dr. Justin Marchegiani: I’ll put links below for everything so people can see

Jay Campbell: Yeah. So, from the internet standpoint like you know I wrote a book in 2015 called the definitive TRT manual, it became the number one selling book of all time on testosterone, four years later, I wrote a book called the testosterone optimization therapy bible and it is the number one selling book of all time on testosterone so I work with the top docs, the top researchers, the top endos, the top epidemiologists, like all the people that really are the who’s who in this industry is the people that I work with in this so just to give you guys that clarification and that justification but at the end of the day what we wanna do when we use therapeutic hormones and this goes for by the way women or men is we want to mimic the body’s endogenous postal tool release as closely as we can. Now, you’re going to do that based on using a delivery system that is not spasmodic, right. It’s not a giant bolus, there’s a lot of testosterone delivery systems out there that are absolutely worthless. The only value that they provide is lining the pocket of the doctor who gives it to the patient, okay. I don’t have to mention some of those but at the end of the day you know I have doctors that will argue with me and they’ll be like, that may be true J but some testosterone is better than not been better than none and I can’t dispute that but I definitely argue that you know some delivery systems cause way more side effects than others and should be avoided but back to what you were saying, the best way to imitate or mimic the body’s natural pulsatile and usually diurnal release of testosterone is through every other day or daily uh, delivery systems so if it’s injections, uh, you know, it would be really nice if you were injecting with an insulin needle early in the morning with a bolus of like 25 to 35 milligrams or 15 to 20 milligrams again if you’re going daily and if you’re every other day then you’re looking at again depending on that person, uh, you know I’m mostly speaking about men for right now but you know somewhere between 40 and 60 milligrams every other day.  

Dr. Justin Marchegiani: Okay. What place in the reference range do you like people to be, I mean, it’s are you gonna recommend testosterone if they’re in the bottom 25% and then is there a goal that you want to fall within the range?

Jay Campbell: Okay. So, this is you know very unique stuff here. I’m not a physician. Okay, right? So, I’m not prescribing to men and I’m not also you know governed by state medical licensing. 

Dr. Justin Marchegiani: You’re speaking from your personal experience and people reporting back to you, where they feel about. 

Jay Campbell: Well, look, I understand your business very well okay. I’ve not been in the business but I could easily be in the business if I choose to be in business. I’m not in the business but I also with obviously literally hundreds of doctors, I understand this I’ve sat there and listened to the top teachers in the world and you know what happens to guys that are attempting to prescribe and you know again what can happen negatively if you know people are at one low end of the range and they prescribe and then they get audited and blah blah blah so this is what we know again from like a general universal conduct, the only thing that matters when you’re optimizing two people any person’s hormones males or females is if they’re asymptomatic and they feel good. Now, levels are again just a measurement, a qualifier so to speak of you know again various lab corp companies, right? So, what we have to understand Justin and this is big picture for people watching this is that whoever is behind the lab companies have been suppressing the standard mean deviations, right? So, the top and the low are pushing and being compressed and I think you know this. Five years ago, the high end of the range for both companies was between 1240 and 1400s and now between lab corp and quest and you know fact check me if you guys have to on this because they’re lowering them all the time now, 

Dr. Justin Marchegiani: 800 to 1000 typically 

Jay Campbell: Dude, it’s insane. It’s so much lower and if you ask people in the endocrine society or whatever the urology you know uh deal is, they’ll say oh well it’s not conspiracy theory J, it’s fat people are getting fatter and we’re just deviating for the compression of like lower testosterone due to metabolic disorder and dysregulation and blah blah blah but again if you ask the smart people who go to the endocrine society meetings every year and I know somebody who just went and you asked the smart people there like Abraham Morgan Tower who I love and has done more testosterone optimization than anyone he’ll tell you that is doesn’t make sense so in my opinion if you know we want to go full blown put tin foil hats on conspiratorial, they are making men fatter softer, weaker, I mean this is where, this is going, right, so it’s like to answer your question in a long convoluted way I would personally like to see men that have free testosterone levels and again depending on the measuring criteria of somewhere between 35 and 50, okay? and they feel good like they’re energetic, they have dopamine signaling, you know, increased cognition, there’s no brain fog, they’re obviously really goof sexually and have you know, erection, thick you know, firmer erections, morning wood, all that stuff that’s where you want to be from a free standard uh measurement you know is there a total number that’s great? No, but if you talk to the best docs, they’re going to tell you that like depending on when you test them, you know, at the peak or the nadir, you know, you want to see them somewhere between a thousand and 1500 now that’s not to say that somebody who’s at 2000 for you know an hour who’s now gonna function probably between 750 and a thousand during the week is bad. So, it really just comes down to like are they not having symptoms and do they feel good and that’s a shitty answer for you because like you know you want to like be like, okay well when they get tested I want them to be here or here or here but it’s kind of hard to say that because ultimately it depends on when you test them what the delivery system is now let me just also answer that there’s two forms of delivery system that are best okay. Now, I know there’s now oral products on the market and we can go deep down that rabbit hole if you want and talk about that in a second, I feel that they do have promise but they’re not there yet but the other one is trans-scrotal, right? So, a transdermal obviously is on the skin but what we now know scientifically is that the membrane of the base of the scrotum is eight times more permeable than any other skin location so if you’re gonna prescribe transdermal for a man and by the way this goes for women too trans labia right so right in the area of the clitoris and the vaginal lips is where you want to put testosterone cream and obviously with women that’s a little bit more complex you know you might have progesterone cream in there with them too whatever it’s a hold of the thing but at the end of the day the places where they can get the best absorption for the trans nerves is the best and so uh I’ve now been on testosterone therapeutic testosterone for almost 22 years, I was on injectable for close to 17 and a half and since then I’ve been on trans-scrotal and Justin I will never go back to injectable for a couple of reasons. Well, I travel the world a lot and I don’t like carrying needles in my hygiene bag because you never know when you’re going to run into some asshole at international airport who says what the hell is this, right? But then the other person reason is it’s just a lot easier to carry a transdermal cream you know in your hygiene bag as you travel around the word and obviously on the side of it you know it has your script and your doctor’s information and the codes and stuff like that versus like you know you’re going through a what you call it you know a screen point and they pull it out they see needles and they’re like ah I mean you know you’ve heard of stories of like you know just alone and all these guys getting pulled over but at the end of the day that’s why I changed you know there is some biological reasons uh cream on the scrotum increases DHT uh a little bit higher from a standpoint and obviously as you know DHT is the primary anabolic cascade so men will have better uh erections uh you know and but as far as anything else it’s equal, you’re not gonna have better energy or better muscle growth or better stamina or cognition or any of those things. They’re equal. But those are the only two delivery systems in my opinion that are worth the shit uh you know I know that the number one delivery system is pellets and I’ve done videos about pellets. I’ve brought on the best experts in the world about pellets this is what I’ll say about pellets because  people need to hear this. This is how you know pellets are worthless delivery system and I know I’m gonna offend people. There has never been a single scientific study on testosterone ever done using pellets. Now, if you knew that why in the hell would you ever consider using pellets for therapy and look I know there are thousands of people in north America right now using pellets especially women and they get great results and the doctors that use them and prescribe them and it might be you if you prescribe them you know, they’ll say hey dude some of these people are in the military and they’re in active duty and they’re in the field and they don’t have an option, they can’t inject you know, they’re being scrutinized they’re you know blah blah they can only get this like every six or eight weeks I get it.  

Dr. Justin Marchegiani: Right. That makes sense. 

Jay Campbell: That’s, most cases that’s cool but pellets are bad news from a delivery system because of the way they cleave as an ester in people’s body. Everybody’s biochemically unique Justin. We’re all end of one and a lot of people are hyper excretors and you can put in a pellet that’s supposed to be an eight week life cycle and they have four weeks 

Dr. Justin Marchegiani: And they’re the last half I always see them just drop out a ton. 

Jay Campbell: It’s horrible, dude. 

Dr. Justin Marchegiani: Yeah. Frequently. 

Jay Campbell: It’s horrible. But again, I’m not against it if it’s the only most efficacious path and it’s that person’s only option because again some is better than none. 

Dr. Justin Marchegiani: Okay. Now, when do you recommend doing testosterone because my philosophy naturally is all right someone comes in they’re overweight, they’re tired, they’re fatigue, my first thing is get the inflammation down, let’s improve your nutrient density, get your cortisol and insulin resistance in check. Let’s get you moving some cardio some resistance training. Let’s get everything fixed metabolically and then just kind of see where you fit and if you continue to improve excellent we can use some herbs maybe some Tribulus, different you know horny goat weed Epimedium, there’s different herbs you can use kind of when do you transition from herbal diets to going a hormone route and then do you ever use like things like hCG in between. How does that progression look for you? 

Jay Campbell: All amazing questions, uh, these are not easy answers and obviously I’m injecting a lot of my opinion on this, um, I’ve done a lot of research on herbs, testosterone boosters. Well, let me just first talk about testosterone boosters and by the way for the people that are new to me that watch this, this is live right? And then you gotta be on your youtube channel, okay, so the people that are new to me are watching this right now and I’m gonna be a chill but I highly recommend you go to my youtube channel and you watch the video that was part one last week with Dr. Keith Nichols and part two today in about two and a half hours and they are I’m telling you guys right now this is the state of the science on hormonal optimization for not just men but for women too today’s video is about 90 mins last week’s was like 48 minutes but I broke up the whole conversation 82 because I was like I want people to digest this we talk about prostate cancer we talk about vascular illness, I mean it is the state of the science, Keith is going to be, Dr. Keith Nichols, who’s interviewed with me, he’s going to probably at some point be the guy that replaces Dr. Neil Roger who’s the number one trainer on the planet for testosterone optimization or just hormone optimization in general and it’s just brilliant. I mean anyone can learn what he is talking about in there but you know to those questions there isn’t a single testosterone boosting herb or supplement on the planet that’s proven to work now as you know because we’re going to talk about consciousness at some point, the placebo effect is very real if a human being takes something and puts their energy and their intention into it that it’s going to work, they probably will create that reality, it’s absolutely possible but from a scientific standpoint if you analyze all of these different supplements and these again Tongkat Ali and  Horny goat weed and mocha these things, they don’t do jack shit. Okay? So, are the gonna work if the person believes in them, yes. But if that person that you’re working with and you said all the things decides that they want to stop being fat and stop being inflamed and exercise and eat better and control for insulin that’s gonna do just as much as any of those other things. Now, I’m not saying that adding those things in as you know additional adjuncts won’t help but I would say that you know before you go and we’ll get there a second but before you go the therapeutic adjuvant route like you just said do what you just said. Do what you just said, lower inflammation, lower belly fat, get them exercising blah blah blah but here’s where you know the really smart people in this industry will come in and say that’s great J. And Justin, but how are you gonna get a 50-year-old guy who’s got 30 pounds or 20 to 30 pounds of belly fat and a 135 total testosterone level with no free testosterone. How are you gonna get them the energy to do any of that shit without concomitantly optimizing their testosterone? So, for those people that I’m like well you know what dude like you’re probably gonna have to put them on a mild dose hoping and again this is where you as a physician really has to have discernment to decide whether this person’s committed because like if I’m you and again I’m not you but if I’m you, I’m not putting a fat person who comes in my office who’s a lazy pile of no way on testosterone because it’s not gonna do shitboard. If anything it’s gonna cause inflammation and again look man I want to say this because I’ve never had a chance to say this and someone so educated is you show uh I see a lot of fat guys and when I see fat guys, I mean they got big bellies, right? They got beer drinking bellies and they go on testosterone and it doesn’t work you know quote-unquote and it doesn’t work because they’re inflamed and they’re injecting testosterone into their fat visceral body in their stomach and that out of center adiposity right there and they get supreme inflammatory responses. 

Dr. Justin Marchegiani: It’s probably aromatizing as well. 

Jay Campbell: Well. Okay. It’s aromatizing that’s what you think it’s doing. What’s happening is just okay so let’s go to that because I want to address that so when we inject testosterone and it doesn’t matter the testosterone delivery system. Let’s just say for now when we’re injecting it. We want the estrogen to fall to the level that the testosterone is going to allow it to aromatize so yes we want to aromatize but the aromatization is not bad. The aromatization is providing the benefits. We want healthy levels of estrogen to provide protection to vascular networks to the brain networks to the bone mineral density into the skin. There’s a lot of all these amazing things so the problem is not in the aromatization, the problem is in the visceral fat which is causing inflammation so the inflammatory cascade which is happening for these people that have too much fat is absolutely causing the side effects but 90% of physicians and I’m not saying it’s you. They miss this and they think it’s high estrogen symptoms and side effects. It has nothing to do with high estrogen. It has everything to do with inflammation and the cascade of inflammation and so I’m telling you I’ve seen tons of men who literally quit because they’re like I can’t handle the side effects and their doctors tells them it’s high estrogen side effects. You know, water retention, itchy nipples, I could go on, no, it’s inflammation that you have systemically that the testosterone is adding to because the testosterone is an exogenous chemical that the body is like saying oh great another one. Top of the beer and the pizza, and the cheese and all the peanut butter and ice cream that you’re pounding in, I mean that’s causing the inflammation so ultimately it’s tough dude the people in America today because as you know we have what I mean saw a stat two days ago that says that is insane by the way. Seventy percent of men and women over the age of 40 in the united states are obese. 70%!

Dr. Justin Marchegiani: That’s insane!

Jay Campbell: 70% over the age of 40. I don’t want you know people to get confused that but that’s I mean dude we don’t have to worry about like the v or the c I mean that’s diabetes and you know what comes after diabetes I mean right, so I mean at the end of the day man if you’re a fat person and you know this is for you for a physician, if a really fat person comes in man, you got to do a psychological analysis like dude, are you sick and tired of being sick and tired like. Are you truly gonna change like are you gonna fight through this because I’m not giving a really fat person testosterone bro if I don’t think they’re gonna actually do the work because testosterone is just a it’s not a magic bullet as you know, its imagined.  

Dr. Justin Marchegiani: Right. 100%. It makes sense. Very good. Yeah. I wouldn’t argue I would just say things like insulin resistance are primarily gonna be driven through inflammation and internal resistance would it’s kind of all connected right. Excess carbohydrates, grains process, it’s all connected. 

Jay Campbell: So, you know, what, I’m glad you said that because I screwed up and missed that. So, all, so high estrogen symptoms is insulin resistance. That’s 100% the answer and again most people miss this so if you are again fat and inflamed it’s 98.9% likely that you have severe insulin resistance. 

Dr. Justin Marchegiani: Yeah. I think that’s great and you mentioned a bunch of things that you were doing for that obviously all the exercise things, you mentioned the berberine right you might think you mentioned metformin as well I imagine you’re probably doing some B12 with that because they know that. 

Jay Campbell: Yes, absolutely. Yeah. I take a very, a very, very complex uh I take uh B right from Gyro formulas. Yeah, yeah. Absolutely. So, let’s talk about bounce. So, yeah, let’s talk about that so if you’re gonna go on therapeutic hormones, what we now know and this is very cutting edge tip of the spear stuff is you cannot optimize the endocrine system without also optimizing the thyroid, the pancreas and the pituitary. Now, you already know these because you’re a functional medicine freak and you know all these things but the average guy prescribing this shit doesn’t know this especially for women. I mean do you have any idea how many people go on, you know, again, testosterone, progesterone, estrogen, you know depending on age, you know, perimenopausal, post-menopausal whatever and they’re not optimizing the thyroid. 

Dr. Justin Marchegiani: Oh yeah. Especially on the hair loss side for sure. 

Jay Campbell: Dude. It’s crazy. Though how often you see this so you know I like to say this it’s a triune, if you’re gonna go on hormonal optimization and again for me if you’re 45 and you’re in America with this and we haven’t talked about this before, you know we end the show but at the end of the day we are being bombarded bro. I mean you can’t from the blue light from the plastic in the water I mean this is the best water on the planet it’s still in a plastic bottle I mean I could pour it in metal if I wanted to right but it just will work but I mean we have to be so overly proactive in type a to you know intervene if not avoid this horrific biochemical onslaught to us so at the end of the day if you’re going to look to hormonal optimization in my opinion you have to at 40 to 45 again depending on your level of leanness and your inflammation uh I’m saying the way it’s done right is again depending on your woman or man age it’s looking at free testosterone to see if you’re eligible to start you know obviously therapeutic route it’s supplementing with uh desiccated slash porcine thyroid again relative to your you know relative to your metabolic issues and insulin resistance and then of course you have to control for insulin and you know again I obviously I’m the biggest metformin homer in the world I’ve written an article that’s you know cited on the Harvard education review you know it’s ten thousand words I met Mormon but I am a big metformin advocate because of all the things it doesn’t do outside of the great stuff. It does for insulin suppression right it’s can stop tumor formation and increases aqua Mancy I mean it does so many amazing things but at the end of the day if you don’t want to get metformin you’re afraid of metformin you know you’ve read all the bullshit on the internet about metformin then at least use dihydro berberine because again you’ve got to control for insulin and I know there’s new drugs you know there’s what is semaglutide and literally there’s a new one and they’re coming out all the time now all these things that suppress blood glucose and that’s cool but you know metformin is a plant and dihydro berberine is a supplement so you know I’m all about natural adjuvants but you know between desiccated uh you know therapeutic testosterone maybe some progesterone maybe a little of estrogen depending on your if you’re a woman or a man you know in your age uh and then uh suppressing and controlling for insulin I mean that’s the holy triune for me that’s the three long you know deal you if you do one or two without the other you’re eventually going to throw the balance of the other one off.    

Dr. Justin Marchegiani: No. That makes sense, you said metformin is natural yes from the French lilac flower so for sure a lot of good natural things there I love it. I just want to pivot here one sec before we kind of wrap things up. I want you to kind of five a little bit into the genesis of your hair formulation. We talked about well I’m going to kind of go through a couple of the ingredients, I just kind of want to pick your brain and kind of have you walk us through your thinking of why you put those in there so obviously you chose the grapeseed oil, I’ve heard some really good benefits of grape seed oil blends really well um what why is it you chose that fat I’m just curious 

Jay Campbell: Yeah I know  so great questions and I’m happy to go through and break them all down you know as much for whatever relative time we have left um so the grape seed so so version one of Auxana was MCT oil and again you know we’re just going and learning as we go and MCT oil as a carrier molecule uh pretty much the same but messy thicker constitution so we changed the grapeseed oil and we then put it in a spray bottle, we originally had a dropper but then all those bottles broke and that’s you know the story that we gave on Ben’s podcast last year but at the end of the day uh grapeseed oil is very texturized, it’s a very thin constituent and so as the carrier oil for you know the primary uh active ingredient which is carbon 60 uh it just settles in the hair as a spray and you can massage into the scalp a lot easier uh obviously grapeseed oil is very inert and there is you know some data in the world as you know kind of it’s like an essential fatty acid that it also helps neutral, it helps from a nutrient density standpoint in scalp but we’re really just using it as a carrier oil for carbon 60.  

Dr. Justin Marchegiani: Okay. Got it. Excellent. I put on screen here just so you can see as well all the ingredients there and then can you talk about a couple other you know more keystone ingredients. How about the peptides you chose?

Jay Campbell: Yeah. Let’s talk about the product. So, the product for everybody is called Auxana Grow uh and by the way you have an affiliate code in that so just make sure you put it in here but um and if you don’t um I think your assistant has it but if not just email me and I’ll give it to you but uh so Auxana Grow is developed or created for people um who do not want to use DHT inhibitor medications, you know, ever or if they’re on it now like how to wean yourself off I just did which is a very long time coming a video on how to wean yourself off of a DHT inhibitor medication while utilizing the natural uh peptide based product of us but so it’s two phase of Zara product, there’s um B and A okay um formula a or formula b. Formula a is the peptide uh copper peptide GHK-Cu, copperpeptide GHK-Cu is what we call the shamwow of peptides. It has so many uh you know modalities to help skin hair um the primary effectiveness of that peptide is that increases angiogenesis which is again uh the simulation or the stimulation of red blood cell formation so when you put it in the scalp and you massage it into the scalp it will increase again angiogenesis so it will bring more red blood flow blood cells to the scalp now as I told you off air I’m not allowed to talk about invasive procedures but if you are a smart person and you ask does microneedling or does uh derma rolling help, well do the math. Right. So,   

Dr. Justin Marchegiani: Right. Got it. 

Jay Campbell: What would be, you put serum a on first massage it into your scalp and if you want to then add red light, okay, if you have a red light technology in your home 

Dr. Justin Marchegiani: LED laser on top. Yeah.

Jay Campbell: Absolutely, uh, infrared and LED together for three to five minutes and then you would put serum b which is the carbon 60 and just let me explain the serum b so obviously you already talked about um the grapeseed oil extract but the carbon 60 does two things. Carbon 60 is a very powerful antioxidant okay but for our purposes it acts as a molecular sponge and it actually will attempt to pull in the serum a which again is the copper peptide but it also as a molecular sponge or as a superoxidative dismutase it’s going to help remove all of the micro inflammatory agents in your scalp so it’s like a two full process so the way it works just is two sprays of serum a, massage it if you want to do something you know quote-unquote with an INV to you know in uh and you know further stimulate you know absorption do that then hit it with red light then put serum b on you know 30 to 40 seconds and by the way for everyday less is more is not better for our product. Less is more because again this is not about spraying it into your hair especially if you’re a woman and you have a long hair. It’s about getting it into your scalp and then massaging it into your scalp and again scalp massage can be 30 seconds it could be three minutes. It’s totally up to you. Scout massage has proven scientifically without formulation without essential fatty acids or you know minerals you can just massage your scalp every day and you increase red blood cell formation it’s a fact right? So, obviously if you wanna massage your scalp after you apply the products it’s a good thing but uh for people that have aggressive hair loss and by the way you mentioned it earlier and this is important that we talked about this uh autoimmune dysregulation and you know hair loss cause which again this the big c causes hair loss we now know that people have c hair. This product dramatically improves covalent related hair loss I shouldn’t have said cova but I apologize but it definitely it definitely improves it again because this is as you said um you know oxidative related hair loss this is caused by you know whatever the big c is and your putting this into your scalp especially for women because a lot of women are reporting you know c-related hair loss more than men it dramatically will improve that hair loss and again we have you know hundreds of reviews on our website from women that have had that issue and they’re like oh my God it’s a miracle you know there’s a doctor you might know her in uh Pennsylvania um Dr. Amy Horman, she’s like the thyroid fixer. She’s got literally thousands of women you know using Auxana now because it’s the only thing that we found that actually will work against autoimmune disorder or dysregulated hair loss.   

Dr. Justin Marchegiani: Interesting. I imagine also too with the oxidative stress that also is what causes the hair to lose. The melanin and become premature gray. 

Jay Campbell: So, you know, so the fact that you say that I wasn’t gonna say that but a lot of women and men report that a natural positive side effect of using it is the darkening of the hair and by the way I mean. That’s me too. Okay. Because like I would be and I’m not using Auxana aggressively as I normally would because it is true even though this is crazy when I say this, you can get to a level with regrowth that you don’t need to keep using it although uh a very big influencer and I just did a podcast about this because he’s like hey man I stopped using it for a year and my hair is coming out again. I’m like well yeah, dude, you’re 47. So, at the end of the day age-related hair loss. There really is nothing that can you know completely stop it. Even a great lifestyle even our product uh you’re still gonna have to deal with that so you know the reality is it’s like you know use it every now and then we are going to be coming out with a maintenance product Justin because again so many people are asking for it you know kind of like a uh you know Jay Paul Mitchell pump the sponsor put in your hair when you get out of the shower at night you know go to bed with it or whatever but uh most people who get results and again this is not gonna work for everybody. Some people have really bad genetic hair loss. Some people are stressed you know some people have really severe trauma and inflammation that they just cant overcome but I’d say somewhere between 68 and 75% of men or women who live a clean healthy lifestyle as our uh as a person that runs our influence or marketing likes to say people who are serious about their health you know are going to get really positive results I mean anybody who knows me can just go back two years uh before this product came into the marketplace and I was nearly bold in fact I actually did the Vantis Procedure on top of my scalp which is like a henna tattoo you know to keep me with like the five o’clock shadow hair and you know people see me now in public yesterday I was out and saw hadn’t seen a guy in three years, he’s like bro do you have a hair transplant. I’m like no dude this is my product. So, you know people can regrow their hair with this product you were asking about is it a maintenance product because you have a lot of hair right now it absolutely is for someone like you, you know you would spray it into your scalp like once or twice a week massage it in and it’s an absolutely amazing. Yeah. It’s a very really strong maintenance product. You can also use it on beards we are gonna eventually have a beard problem really probably oh yeah. You can absolutely use on beard. It’s amazing on beard so the serum a is uh you know a water-based formulation so you can absolutely massage it into your scalp, you’re not gonna have any residue it’s gonna grow it’s gonna feel amazing but the serum b again with the grapeseed oil extract, it is slightly oily. It’s not oily oily but it definitely feels noticeable.   

Dr. Justin Marchegiani: Is it better at night to do it so it can absorb? 

Jay Campbell: Uh, I mean it depends on I think you know the length of your hair like if you were you know something not you but somewhat balding man with patches you’re not gonna notice it. But for a longer hair person like you or a woman and you spray a couple of sprays and you don’t get into the scalp and some of it sits in the hair you will definitely probably notice a little bit of residual. A lot of our patients slash patients a lot of our customers report back that they like it as a texturizer and they don’t have to use quote-unquote product to mess their hair or mousse their hair or anything like that so it doesn’t 

Dr. Justin Marchegiani: Probably get that benefit going from MCT to the grapeseed I imagine right now

Jay Campbell: Now, yeah 100% on that and that’s why Nick actually did that um the other thing I would say is um the beard product is that’s coming will be similar to serum a now because you’ll see it because it’s harder to use unless you got a big long you know beard which I know a lot of guys have that now the neckbeard people. It’s harder to get to the base because remember again it is a health of the skin product. It’s copper peptides so the longer your beard it’s going to be harder but when we have um the product for beards it’ll be more of like a balm roll on versus the spray now which is for the scalp so but you can definitely use it in the beard now we have tons of people have been using it in their beard for over a year and they’re like it’s the best product to have. 

Dr. Justin Marchegiani: So, serum a first and then if you do any laser stuff and then serum b will be the last component. 

Jay Campbell: Yeah and you know it goes to mention because I know you have a lot of different patients I mean our skin products which is royal blue serum and sky blue cream are the best on earth. In fact again don’t leave the guy who’s the hype man for the company. Go read the reviews you know we have women who are very well to do affluent sophisticated ladies that use Lemur and Rhode island fields and all the high-end shit and they’re like we threw it all in the trash and we buy the bundle of your guys product every month. 

Dr. Justin Marchegiani: So, is the hallmark ingredient in the um royal blue is that gonna be at the peptide as well? 

Jay Campbell: Same thing, so GHK-Cu is the shamwow of peptides. It’s the number one skin peptide uh and by the way just so you know so people understand this you can absolutely buy GHK-Cu and inject it in your scalp, I mean if you’re insane enough to inject it into the skin on the top of your hair you know which is gonna hurt like shit but it works I mean I have hundreds of people you know who have messaged me about that and saying man I use your product as like the base and then I inject GHK but yeah it regrows your hair better than anything man 

Dr. Justin Marchegiani: So how long to get results because like the data on like Medoxomil or um uh with Rogaine or Minoxidil or Propecia usually nine to twelve months, right?   

Jay Campbell: You see results, okay so let me temper my enthusiasm. It depends on the cellular health of the end user right so someone like me who’s no inflammation you’re gonna see results in literally three to five weeks. Okay, we have women that see results in 10 days. Women that have covid-related hair loss start regrowth their hair back immediately. Now, as far as like when is the dosing of this we’d never tell anyone to dose more than twice a day and personally and again this is my opinion I already said less is more uh it’s more important that you massage it into your scalp than it is spraying it in twice a day because again so many people think that if I spray two sprays and I get great results then three spray it’s gonna be better it’s not that way it doesn’t work that way so when we sell the bottle we say up to a 90-day supply because it is expensive it’s not cheap to manufacture the stuff. It’s really really high-level  GHK-Cu product it’s not coming from China. It’s all USA made It’s expensive um we do not tell people to over apply it and I swear to God Justin it doesn’t matter, you know, we live in a super size. More is better economy. They always  want to put more in but like if you’re a guy and you’re hair you’re watching this in the rerun or now or whatever and you have hair like mine literally just do it once a day for a month, see what happens. It’s gonna still last you for three months. I mean, my hair, two bottles which is one order is gonna last 90 days but if you have longer hair and you don’t like you know it’s harder I mean let’s be honest it’s harder to massage in the scalp with longer hair so 

Dr. Justin Marchegiani: Maybe after a shower when your hair is a little bit wet and you make it more visible

Jay Campbell: Yeah. I mean yes and no I mean it really depends right if you’re a woman and you have a mop on your head like my wife’s got long curly hair you know, it’s still not gonna get into the scalp like it would for somebody like me.  

Dr. Justin Marchegiani: Yeah, right. 

Jay Campbell: It’s just gonna get absorbed by the hair so no matter how good you are massaging into the scalp it’s still gonna be more difficult but that’s why we say up to 90 days because longer hair people are not gonna get so much out of the two bottles as a short hair person is. It’s just not gonna happen. 

Dr. Justin Marchegiani: Okay, and one other question too I’ve noticed this with a couple of patients where they have DHT patterns of hair loss. Yet we, they’re we working on all the core foundational things. Their DHT levels look really good on the blood test, right? Can you have DHT issues at the scalp level but have it not show systemically in the blood. 

Jay Campbell: So, I’m gonna blow your mind with this, if you prescribe this is where it really gets crazy about DHT. If you prescribe them a DHT cream they will grow their hair back on their scalp like a wolf  man. So, DHT in that article as we said, is secondary and most likely tertiary effector and causal agent of hair loss. It’s not anything to do with dihydrotestosterone and again that’s how we know that in the article that if you write somebody a script for a DHT cream, and they put it all over their scalp, their hair grows back now the only thing to answer that question though that’s important is um you cannot put our product on a bald patch that does not have active hair follicles. You know, that’s and again we’ve been very transparent from the very beginning that where our formulation is now and you know I’ll shed some light on this in a second it won’t work that way. You know, but as my the genius formulator brainiac Nick Andrews, my partner Nasir says he goes oh eventually I’ll be able to grow hair on a cue ball. And that’s where it’s coming so that’s where we’ll eventually go I’d say we’re integrating stem cells and such exactly we’re that exactly right we’re like two  phases away so we’re in V2, V3 is coming and V3 will be a one phase liposomal system so it will literally be bottled squirt it into your hand massage it the oil based carbon 60 will be in a nanomolecule you know incased in the water-based formula and it’ll break open when you massage it into the skin and then version three four will have what you just said it’ll have all sorts of other peptides like micro agents and abrasions and it’ll be like uh it’ll essentially be a derma roller uh you know uh what do you call it uh invasive product just by yourself. Yeah, that’s excellent. yeah awesome. It’s coming. The technology’s amazing but you know we’re not there yet. 

Dr. Justin Marchegiani:I love it. Well, it was amazing you have a new on today’s podcast. I really appreciate all the significant knowledge. Any last points you want to make before we end the show. 

Jay Campbell: No man. I mean I want you to come on my podcast because I know It’ll be just as awesome um you know for anybody that wants to connect with me uh I actually have a link I always do for everyone I go on podcast you can go to Jay C middle initial jaycampbell.com/freebooks and you can download should I think maybe all my books are free now but I know there’s at least three books up there, the testosterone bible is up there for free uh my book on the fasting the blowtorch diet is up there for free and then I have a book on consciousness which the next time you and I talk we’ll go deeper on that. The only other thing, it’ll say is that uh this week, I finally acquired my domain and jaycampbell.com is gonna be my website so I’ve had a guy cyber squad for a long time. Yeah. Yeah. It’s funny story, he asked me for a lot of money and I usually delete him and ignore him and I finally wrote him back and I said you know what man this would be the last time I ever responded to you. I will offer you blank and it was a lot less than what he was asking for and if you don’t say yes off and I’ll you’ll never here from me again and I can assure you no one will ever offer you that amount of money again for jaycampbell.com so you actually said yes so anyway I will be on yeah I will be on jaycampbell.com effectively Thursday of this week the transmission or the domain transfer is starting on Wednesday so it’s totally cool for me because whatever I tell people go to jaycampbell.com they’re like jaycampbell or they do j-a-y and then put campbell I mean it’s just a nightmare man so I’m like really grateful that that’s going away but uh no man I mean I’m so blessed to be here today you got me going a million miles an hour because you asked the most amazing questions I wish people could ask questions at the level you could man because then I can actually like talk about things in greater depth but uh I can’t wait for you to have you to come on my podcast  brother I appreciate it man, we’ll work that out I really appreciate it. 

Dr. Justin Marchegiani: I’m gonna put all the links down below people can get access to my favorite articles some of the products you mentioned as well as the uh the free books to look. Thank you so much Jay for everything. Look forward to connecting with you real soon man. 

Jay Campbell: Yeah for sure Justin. Just uh you know let them know it’s you know if they buy it you know if with your affiliate link or uh code, you’ll have a link and a code. It’s 15% off so. 

Dr. Justin Marchegiani: Oh, that’s great. That’s awesome. Well thank you so much man. It was great chatting with you we’ll talk again soon. 

Jay Campbell: For sure my brother. Thank you.

Dr. Justin Marchegiani: Take care. Bye. 


References:

https://justinhealth.com/

https://drjockers.com/

Recommended Products:

GHK-Cu Sky Blue Cream & Royal Blue Serum Bundle

Auxano Grow V2 Hair Growth Formula

Audio Podcast:

https://justinhealth.libsyn.com/hair-loss-restoration-improve-testosterone-inflamm-aging-inflammation-jay-campbell-podcast-373

The Top 7 Root Causes of Inflammation with Dr. Jockers | Podcast #372

When your body activates your immune system, it sends out inflammatory cells. These cells attack bacteria or heal damaged tissue. If your body sends out inflammatory cells when you are not sick or injured, you may have chronic inflammation or other underlying issues.

Dr. J and Dr. Jockers suggest checking in with your healthcare provider if you experience a problematic injury or health issues. Also, talk with your functional doctor if you have ongoing pain, swelling, stiffness, or other symptoms. They can narrow down the cause and find ways to help you feel better.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
0:36 – Inflammation
4:41 – Acute Inflammation
5:21 – Root Causes
10:30 – Food Recommendations
18:22 – Herbs and Compounds


Dr. Justin Marchegiani: Hey guys! Dr. Justin Marchegiani here. Today, we have an awesome podcast in the queue, the top seven root causes of inflammation. I am here with Dr. David Jockers. Really excited to have him today to chat with David. How are we doing man? 

Dr. David Jockers: I’m doing great, Justin. Always great to connect with you. You’re one of the leading minds in functional health, functional medicine and so always great to collaborate and discuss really important topics that are affecting so many people around the world. 

Dr. Justin Marchegiani: Oh. Excellent man. I’m really excited to chat with you. I mean, you could just pull up one of your blog posts and just have the infographic run the whole entire podcast, right? So, uh, I’m really stoked to chat about it. So, first off out of the gate, I think we should just kind of define inflammation for listeners. How would you define it pretty simply? 

Dr. David Jockers: Inflammation is an immune response that’s actually designed to help protect your body. See our body is hardwired to protect us from dying from an infection so you know our ancestors when you know they would go out hunting or let’s say they were in war or something like that, it would be attacked, they would have some sort of a flesh wound and then bacteria could get into that flesh mood into their bloodstream and then spread throughout their body and get into their lungs cause pneumonia, get into their nervous system cause meningitis and kill them. This is really the leading cause of death throughout the history of mankind. Even when people were in war, they really, they tended not to die like it was they were more commonly were dying from an infection they got from a wound than the actual wound itself and so the body is adapted to create this inflammatory response whenever you have an injury, right, and when we think about injuries we think about, okay, a sprained ankle. Let’s say what happens? You end up with a lot of inflammation in that joint and that inflammation is there to help protect against any pathogens getting in. It also helps break down damaged, uh, ligaments, tendons, different structures that are in there that are involved and it’s all part of the healing and remodeling process and so inflammation itself is actually very therapeutic, very healing and it’s designed to keep you alive. The problem is that most people in our society now are dealing with chronic inflammation because their main injury is actually in their gut. It’s in their digestive system. So, the gut when that becomes damaged, the body responds just like if we sprained an ankle or if we got a cut or a burn it creates this inflammatory response. You just don’t see it. So, you don’t actually see it and oftentimes, you don’t even feel it at least not in your gut like a lot of people are not feeling gut pain or even you know just like a stabbing pain even though the gut is damaged but when that happens when the gut becomes damaged, now proteins are seeping into the bloodstream and the body says okay these are abnormal proteins, abnormal bacteria in here. Let’s turn up inflammation throughout the body so that person may experience eczema or some sort of skin inflammation, acne, rashes. Another person may experience joint pain so when they have a leaky gut and their body’s ramping up inflammation, they notice it in their joints. Different joints are hurting. Another person may have a lot of brain fog and fatigue so it can impact us in different ways but in our society today, the inflammation is less so coming from like a physical injury and more so coming from injury in the gut. 

Dr. Justin Marchegiani: 100%. So, kind of my simple kind of metaphor to understand inflammation is you have breakdown and build up catabolic anabolic. Anabolic builds you up. Catabolic breaks you down. Things that are responsible for the breakdown like cortisol, stress hormone, interleukin, cytokines, right? Inflammation, in general, is a good thing. When you go to the exit, when you go to the gym and you lift weights and you do push-ups, you’re creating an inflammatory response in the pec area but then you have this anabolic build up of remodeling proteins so your chest gets stronger and bigger but there’s a healthy balance, right? And so, what we’re talking about here is the inflammation causing a little bit more of a breakdown than you’re able to build up and so over time, whether it’s your brain, connective tissue, joints, cartilage, gut lining, all of this inflammation is causing the body to break down and depending on where that tissue breaks down is where the symptoms occur if it breaks down on the cartilage, arthritis. It breaks down on the blood brain barrier, brain fog, mood issues. If it breaks down the gut, you can have more autoimmune issues, you can have digestive issues, it breaks down, let’s just say in other tissues in the body it could be MS or type 1 diabetes. And so, yeah, so, depending on where the tissue is, is where conventional medicine puts that ICD-10 code but we’re looking deeper under the hood and we’re trying to get to the underlying mechanism. So, first off, we kind of define terms and then now we can go into, you know, other, um, other root causes and root palliatives to kind of support it. Any thoughts?   

Dr. David Jockers: Yeah. For sure. And you have, you know, that acute inflammation which again is very therapeutic and healing and then you’ve got chronic inflammation. The big difference there is, the body when it’s in this breakdown, build up cycle. That is normal and healthy but when that never gets turned off and the body is continuously in this sort of healing cycle and it never gets turned off, that’s when we end up causing a lot of long-term problems that are happening in our society.

Dr. Justin Marchegiani: Yeah. Inflammation is a good thing because of the remodeling that takes place. It’s the out-of-control chronic-ness and especially when we look deeper at the hormones like cortisol, adrenalines if that’s kind of chronically high or even chronically depleted that’s where we’re gonna start to have big symptoms. What would you say are the next big root causes?  

Dr. David Jockers: Yeah. So, you know, at the root a leaky gut is a huge factor with all of this, right? Because, again, if the gut is damaged now we’ve got proteins, we’ve got bacteria, yeast, different things like that seeping into that bloodstream and that tells the body, okay wow we need to signal the alarm because these things, we shouldn’t have abnormal proteins or bacteria going around in our bloodstream that puts at risk for pneumonia, for meningitis for something like that so we’ve gotta turn up and ramp up inflammation and the body kind of has this threshold level for how much abnormal protein and bacteria should be in the bloodstream and once we get over that threshold, it’s like a massive alarm throughout the whole body and then we’re releasing a lot of cortisol, right? We’re releasing a lot of hormones that are associated with fight-or-flight and that suppresses the hormones that have to do with healing and repairing, sexual reproduction, you know, our anabolic, our testosterone, our estrogen, our progesterone because we’re putting all of our energy into fight or flight cortisol and epinephrine and this is why leaky gut can cause issues with sleep for example. A lot of times people have insomnia. It’s really related to leaky gut and damage in their gut. So, that’s always the first thing that I look at and then kind of building off of that is just we have to look at their diet, right? Inflammatory foods are one of the main triggers for leaky gut.   

Dr. Justin Marchegiani: Yep. 100%. So, of course, like the big, you talked about proteins, right? So, the big proteins I think, you agree, would be your glutinous proteins from grains and it could even be gluten free grains too. Sometimes rice can be a problem, corn can be a problem, especially if there’s GMO residue on that, right? Like, uh, the pesticides that are used, right? Round-up, etc. and then of course high fructose corn syrup can have a lot of different corn residue as well. Casein and a lot of dairies especially if it’s more conventional based dairy with a lot of the hormones and things in there. So, all those things can be a problem and then of course, the more our digestion is optimal. So, if you don’t have enough acid and enzyme and bile salts, we got to break these proteins down into smaller units called peptides and amino acids when these globules are just too big, that can create more food allergies because our bodies have these big proteins, they’re seeing in the bloodstream and that can create more stress so we got to break things down and if that fight-or-flight sympathetic nervous system is going, those enzymes and acids and bile salts may be really um, and at non-optimal levels and we have these bigger food globules in our intestines. 

Dr. David Jockers:  For sure we weren’t meant to eat on the go, right? So, we really need to be in a more relaxed state. Take a few deep breaths, you know, always pray before we eat, right? That puts us in a state of gratitude, activates that parasympathetic nervous system, the vagus nerve which travels from your brain down into the stomach into the gut and activates the production of those key digestive juices so you can really break down the foods effectively. So, yeah, we definitely need to eat with the you know we have to have mindful eating habits and eat foods that are nutrient dense and not foods that are higher on the inflammatory spectrum like you talked about. So, yeah. That’s huge. And then, we got numbers, you know, the third big thing is keeping our blood sugar stable, right? So, blood sugar stability is super important. So like, if you’re eating breakfast and your breakfast consists of let’s say, you know an apple or a banana or something like that and you’re only eating let’s say fruit even though it’s a healthier you know, more nutrient dense food basically all it is is sugar and so what happens then your blood sugar goes up, insulin comes out, brings that sugar down and now your blood sugar is down and now your body says okay blood sugar’s down and if you’re not metabolically flexible, your body’s not very good at burning fat for fuel that becomes, you know, again, the alarm gets signaled because it says okay wow we don’t have enough sugar to fuel the brain so we’re hypoglycemic now. So now, we need to pump out more cortisol, more epinephrine to get the blood sugar up because cortisol is a glucocorticoid meaning that it activates, uh, blood sugar released from the liver from the muscles into the bloodstream to get the sugar back up but with that we also kind of get this effect on our brain, this high cortisol, epinephrine, where it can cause us to have cravings, it can cause us to have mood swings, irritability, anxiety a lot of different issues like that and that just drives up inflammation in our body as well. For sure we weren’t meant to eat on the go, right? So, we really need to be in a more relaxed state. Take a few deep breaths, you know, always pray before we eat, right? That puts us in a state of gratitude, activates that parasympathetic nervous system, the vagus nerve which travels from your brain down into the stomach into the gut and activates the production of those key digestive juices so you can really break down the foods effectively. So, yeah, we definitely need to eat with the you know we have to have mindful eating habits and eat foods that are nutrient dense and not foods that are higher on the inflammatory spectrum like you talked about. So, yeah. That’s huge. And then, we got numbers, you know, the third big thing is keeping our blood sugar stable, right? So, blood sugar stability is super important. So like, if you’re eating breakfast and your breakfast consists of let’s say, you know an apple or a banana or something like that and you’re only eating let’s say fruit even though it’s a healthier you know, more nutrient dense food basically all it is is sugar and so what happens then your blood sugar goes up, insulin comes out, brings that sugar down and now your blood sugar is down and now your body says okay blood sugar’s down and if you’re not metabolically flexible, your body’s not very good at burning fat for fuel that becomes, you know, again, the alarm gets signaled because it says okay wow we don’t have enough sugar to fuel the brain so we’re hypoglycemic now. So now, we need to pump out more cortisol, more epinephrine to get the blood sugar up because cortisol is a glucocorticoid meaning that it activates, uh, blood sugar released from the liver from the muscles into the bloodstream to get the sugar back up but with that we also kind of get this effect on our brain, this high cortisol, epinephrine, where it can cause us to have cravings, it can cause us to have mood swings, irritability, anxiety a lot of different issues like that and that just drives up inflammation in our body as well. 

Dr. Justin Marchegiani: Yep. 100%. And also, just having blood sugar go up and down, up and down, if you’re relying on lots of glucose to be your fuel source unless you’re doing lots of exercise and burning it up and you kind of have that ectomorph body type. These are the people that are kind of your basketball players, your marathon runners. These are the ones that when they eat a bunch of carbs, they just have to go right around the block because their glucose just triggers their bodies. They need to move. If you’re not, you know keto adapted, right? Glucose is a dirty fuel in your body, and tends to cause a lot of oxidative stress. This is why diabetics with high blood sugar that kind of oxidation is gonna create problems with the eyes the vasculature, peripheral nerves and so it’s good especially if you’re not super active to be doing a lot more to be more keto adapted and to kind of really switch your fuel source to be more kind of fat based which creates less oxidative stress. 

Dr. David Jockers: Yeah. So, you really wanna build your diet around protein and healthy fats, right? I recommend typically when you eat, you want to eat roughly about 30 maybe 40 grams of protein if you’re trying to put on muscle mass, let’s say your weight lifting or something like that, you may even need more but when you sit down and eat a meal you should be looking at somewhere around 30 to 40 grams of protein in there. You know, roughly around 30 grams or so of fat in there, um, somewhere in that range is usually a good range depends you know can obviously range a little bit depending on the individuals body size or gender their activity level but somewhere in that range where you’re getting the fat, you’re getting the protein and then you know, you might have a little bit of carbs and some vegetables or maybe some berries, some low glycemic fruit but you know, you don’t want a tremendous amount, you don’t, you really want to minimize the amount of starch that you’re consuming throughout the day. Starch and sugars and just get them from real foods after you have your protein and your fat levels, your macros right on your protein and fat.  

Dr. Justin Marchegiani: 100%. And kind of my philosophy is anywhere between a palm to a full hand of protein, that’s usually three to six ounces again if you’re bigger and may go higher to eight ounces, if you’re done doing a lot of lifting of weights, you know, you may be able to shift that and then usually carbohydrate-wise, I kind of say between two fish the two full hands and I would say mostly vegetables is pretty good. And if you’re gonna throw some starch in there, you know, there are some theories, I tend to go later in the day because of the carb backloading theory of just being more insulin sensitive later in the day and I try to stack in the fast at night with really lower carb throughout lunch to really tap into more being able to utilize ketones and fat for fuel. What’s your thoughts on that?  

Dr. David Jockers: I completely agree about that. In fact, that’s what I talked about in my book keto metabolic breakthrough when I talked about carb cycling and even getting keto adapted in the beginning is really trying to push those carbs into the later in the day. Even a lot of people say well then you’re gonna store them as fat it’s not necessarily true because if you go low carb throughout the day, your body’s actually gonna burn up all your sugar stores in your liver and your muscles and so now you’re gonna have this wide open available storage for those carbs when you consume them to put it right back into the liver, right back into the muscle in the form of glycogen so you’re not just gonna turn it right into fat and I think that’s a much much better strategy and what I’ve noticed is that when people go lower carbs throughout the day. They have less cravings throughout the day. The earlier you eat more carbs earlier in the day, cravings go up and your overall, the amount of calories and the amount of carbs that you’re gonna consume throughout the day goes up.   

Dr. Justin Marchegiani: So yeah. A part of the big reason why exercise, especially lifting or interval training is so beneficial is one it makes your muscles a little bit bigger and then muscles are like a sponge for glucose and so one you’re wringing out the sponge when you exercise so you’re burning the glucose but then you’re also hypertrophy in the muscle making it bigger so it’s like taking a big sponge and cleaning up that messy table I had a patient just do this as an experiment, he tested his blood sugar after meal, it was 140, 140, right, mg/dL and I tell patients, if you, you know, make a mistake with your carbohydrate or just too much junk after meal just do a five or ten minute walk. Well, he did an elliptical, a ten-minute kind of like interval on the elliptical that measured his blood sugar. 10 minutes later it went from 140 to 85. 

Dr. David Jockers: He was activating that skeletal muscle. And another quick tip there too is you could even just do, if you know, you’re gonna have a higher carb meal, do 50 air squats right or 20 air squats or whatever you’re able to do, just do that. Get yourself kind of in a state where you’re breathing heavily. Give yourself a few minutes just kind of calm down, take some deep breaths and then eat your meal. Now, you’ve activated the Glut-4 receptor, right? So, the Glut-4 receptor, right? So, the Glut4 transporter protein that actually acts like insulin to pull the sugar into the cell and again you gotta get that sugar out of that cell because the sugar will create more oxidation and will create a process called glycation or browning inside of your body. If it’s stuck in the bloodstream at a high level like that 140 like your client there. So, we want to pull that out and we don’t wanna do it with a lot of insulin, right? So, we want to be able to get the sugar out of the bloodstream and into the cells with the least amount of insulin production and that’s what the exercise will help with. 

Dr. Justin Marchegiani: Yeah, and that’s why I recommend like during the day I have a stand desk here so I have a treadmill over here that I can control with the remote so I’ll move my desk over there like yesterday on my fitbit here, I walked 18 to 19000 steps yesterday. So, I moved it over my treadmill. I’m working with patients and then I have my little Cubii stepper over here so I lower my desk and now I’m able to pedal so I’ll go from pedaling to just standing and then doing actual walking at three to four miles per hour. I can go one or two miles per hour if I want. If I’m really focused, I don’t want to put a lot of energy out and put more brain energy. So, it’s good if you’re in those work environments. Start with just the Cubii where you just get the little pedals, put them onto your desk and just try to get an extra 5000 steps a day with just that alone. That makes a huge difference. 

Dr. David Jockers: Yeah. That’s great. And I can tell, you know, from the last time I talked to you, you actually look more muscular and trimmer as well.

Dr. Justin Marchegiani: Oh yeah. Thanks. Appreciate it. 

Dr. David Jockers: It’s working.

Dr. Justin Marchegiani: You got it. You got it. Uh, What’s number four? 

Dr. David Jockers: Yeah. So, number four is gonna be infections. So sometimes, you can eat a great diet, right? You can really try to put your body in the right mindset, right, and in parasympathetic mode so you’re able to produce the right amount of digestive juices but you’ve got infections particularly gut infections that are driving up inflammation in your gut, driving up inflammation, driving up cortisol levels and these bad gut microbes which could be Candida, right, or some sort of a yeast or fungal overgrowth. It could be bacteria like Klebsiella for example, it could be parasites, it could be worms, it could be, um, you know, Blastocystis hominis and different Amoeba and different things like that. These things are gonna eat the nutrients that you’re consuming. They’re going to poop out toxins, right? Toxins are gonna drive up inflammation in your system. So, sometimes, we need to use some herbs and different compounds to help remove these infections and follow specific protocols, uh, to get rid of these infections. That’s really the next thing that we got to focus on there. 

Dr. Justin Marchegiani: Yep. 100%. So, first off, just being in a really healthy parasympathetic state with good acid and enzyme and bio levels. Those actually provide like almost like natural bleach for like the dirty picnic table so it makes it harder for microbes to grow when there’s good acids there, a good bile, these things have a natural antimicrobial effect, number one and then typically good beneficial bacteria in the gut it’s also gonna produce some level of acids whether it’s glucuronic acid or different acids that are very helpful for keeping bugs in check but then when you’ve eaten too much sugar or been exposed to antibiotics or your sympathetic fight-or-flight’s off, these microbes start to overgrow and then you’re in this then it starts to shift the whole milieu so then you kind of have to fix everything. You have to fix the digestion, fix the diet, use the herbs to knock down whatever microbes are going on. There can be different microbes and sometimes when those microbes are in there, you can’t just go back to doing lifestyle things changing your diet and digestion that may not be enough and sometimes the herbs are really necessary to kind of knock things down. 

Dr. David Jockers: Yeah. Absolutely. So, just like you said, I mean, naturally if you’re producing enough stomach acid, bile, stomach acid really helps to sterilize the stomach and then bile is very alkaline, stomach acid is very acidic, bile goes in, really helps clean out the small intestine, you know, a lot of people are developing bacterial overgrowth in the small intestine. Sometimes, these are good bacteria but they’ve translocated from the large intestine into the small intestine and now they’re fermenting foods, you know, they’re eating foods before they should be creating a lot of extra gas causing poor nutrient absorption and this is oftentimes related to poor stomach acid, poor bile flow, not really creating the right environment and now these bacteria are translocating up there. So, yeah, these are all things that we need to get rid of. We need to really optimize stomach acid bile flow. So that’s key. And then sometimes, some different herbs, different compounds can be really helpful. Things like garlic, um, let’s see Berberine, can really, really be helpful here. Olive leaves can be a great one. Black walnut, right? What are some of your other favorite antimicrobials? 

Dr. Justin Marchegiani: I’d say, the oil of Oregano’s wonderful. Ginger, um, silver, I like wormwood a lot too. These are all excellent compounds that are very helpful. And then, typically, when we do a lot of killing, we may even throw some biofilm boosters in there whether it’s ginger or silver or an acetylcysteine can work wonderfully to help the herbs work even better, kind of disarm the bug so to speak.  

Dr. David Jockers: Yeah. Super important. And I know we’re running low on time so the next two I’m gonna put together. Chronic stress and poor sleep habits. So, these kind of go hand in hand, obviously, if you’re under a lot og stress, it’s gonna cause higher cortisol levels, higher epinephrine levels, which is gonna cause more laxity in that gut so when you have high cortisol, the tight junctions that keep the gut, uh, connected and with a lot of integrity become loose also high cortisol will cause a reduction in the mucous membrane which is kind of like the first line of defense in your gut before you get to the gut lining so you’ll have less mucus production, lower levels of secretory IgA which is your key immune component that helps protect your gut lining, it helps protect against pathogen buildup in your gut and then the gut junction will become more leaky or more loose and will tear more easily so it predisposes you to leaky gut and of course we know chronic stress will also impact your sleep quality and then if you’re not sleeping well that also is gonna cause more issues with stress with higher cortisol, higher adrenaline and you know, obviously, that’s gonna compound your gut health and your ability to just heal and repair and produce the right amount of anabolic sex hormones in order to repair and really thrive.  

Dr. Justin Marchegiani: 100%. We talked about anabolic building up and catabolic breaking down. Well, cortisol, our stress hormone, the glucocorticosteroid, you mentioned, is on a circadian cycle so it’s higher in the morning and lower at night. Now, the problem is it goes down at night which allows melatonin, the sleep to come up but the problem is when we start to have overstimulation sympathetic nervous system stress, that rhythm can start to almost, it can actually pick up at night which then throws off our ability to make melatonin which throws off the parasympathetic restoration that happens when you sleep and growth hormone going up and all of your neurotransmitter turning over so like you kind of mentioned that sleep, it’s so important because when that throws off that prevents the healing and recovering and so it’s almost like a double whammy so to speak. 

Dr. David Jockers: Yeah. You really can’t recover if you’re not sleeping well. That’s actually, it’s one of the most foundational things. I know I can help somebody if we can get them sleeping well. The faster we get them sleeping well, the faster their body is gonna heal. 

Dr. Justin Marchegiani: Yeah. You can get like, um, like a fitbit where they have an HRV function or like the whoop or the aura ring and you can test kind of your HRV and your sleep depth and I’ll do different things, I’ll like take extra GABA or Athenian or Magnesium or avoiding alcohol like I’ll just have one like night alcoholic drink like two to three hours for bed and my HRV score will be way lower that next morning so get a device where you kind of test and see the different inputs and outputs in regards to healthy supplements and lifestyle strategy and see how that moves the needle. You may see it with blue blocking glasses or prayer or meditation or breathing or cold showers. These are all important inputs and then you can see how your body responds as a result. 

Dr. David Jockers: Yeah. Totally. Totally. And the last thing is just environmental toxins. So, we’re being exposed to pesticides, herbicides, mold, you may have mold in your home that you’re being exposed to or in your office or something along those lines. Heavy metals, let’s say you’ve got Amalgam fillings in your mouth, um, you know, you can obviously get, get, get toxins from that, um, lead, let’s say you’re in an old home and there’s lead paint or something along those lines or you’re using conventional lipstick which actually has lead and you’re putting that on every single day. So, there’s a lot of different exposures to environmental toxins that you know may be causing you not to be able to heal effectively and drive up inflammation in your body. So, we gotta do the best we can so I always recommend trying to go as organic as possible with food at least trying to get non-GMO for sure and organic as possible with your food. That eliminates one of the major causes of you know toxicity and just a build up of toxins in your body. It’s like, we all have this bucket of toxins we can handle, we have a certain threshold that we can handle and our body will eliminate those things. And so, when we build it up though once that bucket gets to the point where it’s overflowing, that’s when we start to have the major symptoms. All our systems start to shut down so the more that we can reduce the amount that we are going into this bucket the better off we’re gonna be at eliminating them and so you know just trying to reduce exposure is key. Get natural household cleaning products. You know, try to get outside a lot, breathe fresh air as much as you can and uh and exercise, right? So, trying to exercise, you can obviously get in a sauna and try to sweat, try to open up all the drainage pathways and try to minimize your exposure to these toxins. That’s really the key. 

Dr. Justin Marchegiani: Totally. And, each one of those seven could be a podcast in and of itself and of course we got lots of recommended supplements as well. We’ll put maybe a link below and you can put some of your favorite products and uh below. So listeners that are wanting to understand. Hey, what can I do to sleep? What can I do for inflammation? Like, I will put our favorite ones below and you guys can take a look at that, um, and then also feel free to reach to Dr. Jockers. J-o-c-k-e-r-s dot com. David’s got all kinds of supplements and tools and great information there and I’m Dr. J, justinhealth.com, you can reach out to podcast videos and functional medicine consult worldwide there. Dr. David, anything else you want to add?

Dr. David Jockers: You know, I just want to inspire you guys to know that you can heal if we can find the root causes and move those right and eliminate and reduce those. Your body has this natural built-in mechanism to heal, right? It’s the innate intelligence that runs you that God designed you with. And, you can heal and you can repair and can get inflammation under control. Inflammation is there to support you, you’ve got to just find out what’s causing it to be chronic, what’s causing it to be turned on all the time, start reducing that and now your body is going to be back into a mode where it can heal repair and you can really thrive in life even if you’ve tried these things we’ve talked about and you’re not getting results, reach out somebody like Dr. J here or my health coaching team. You’re gonna need a professional to help, walk you through the process, put you on protocol and get you the results that you want. 

Dr. Justin Marchegiani: I love it and there’s a lot of foundational information out of the gates. People can kind of take and turn with and then kind of get that extra, you know, uh, that extra guide or that Sherpa helps that kind of get to the top of the mountain so to speak. So, Dr. Jockers, I really appreciate today’s podcast. Great intel, great information. Awesome man, you have a great day. Good chatting with you. 

Dr. David Jockers: Awesome. You too Dr. J. You’re blessed.  

Dr. Justin Marchegiani: Thanks Doc. 


References:

https://justinhealth.com/

https://drjockers.com/

Recommended Products:

Magnesium Supreme

TruKeto Collagen

Trucollagen (Grassfed)

Enzyme Synergy

Organic Grassfed Meat

Amino Acid Supreme

Genova NutErval

Audio Podcast:

https://justinhealth.libsyn.com/the-top-7-root-causes-of-inflammation-with-dr-jockers-podcast-372

 

The Mold Gut Connection – How Your Digestive Issue Maybe Caused by Mold Toxins | Podcast #371

If you’ve encountered mold from a water-damaged building or contaminated foods, you’ve likely encountered mycotoxins—toxic byproducts of mold. They’re common environmental toxins, and they have adverse effects on many body systems, including the gastrointestinal tract.

While you’ve probably heard about other symptoms that can follow mold exposure, Dr. J and Evan discuss that mycotoxins can also cause severe problems for your gut. They also talk about how mycotoxins impact gut health and the microbiota and what you can do to help restore your gut health once you are exposed to mold.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
1:57 – Mycotoxins
10:16 – Functional Medicine Approach
13:54 – Dopamine Mechanis
15:20 – Mold Inhalation Effects

Dr. Justin Marchegiani: And we are live, It’s Dr. J here in the house with Evan Brand. Today’s topic is gonna be wonderful for the podcast. We’re gonna be talking about the mold-gut connection and how your digestive issues may be exacerbated by mold toxins, so great topic here Evan, personally been affected by himself and we see lots of patients all the time with these issues so let’s dive in. Evan, how are we doing today man?

Evan Brand: Yeah man, doing really well, and a lot of people have been to naturopaths, they’ve been the functional medicine people they’ve been a conventional doctor, they’ve been treated for SIBO and SIFO, whether it’s Rifaximin or natural SIBO protocols, maybe they’ve done SIBO diets or some of these rotational food diets and that sort of things, maybe they’ve tried berberine, oregano, garlic, and maybe they’ve made some progress, but then they’re still stick, they’re still suck, I’m gonna mix up my words, they’re stuck  and sick so that’s a bad combination of essays and this is likely due to a mold toxin problem because I’ve seen it too many times and I suffered on my own and even the labs now tell us they give us a cookie-cutter report but that cookie-cutter report nonetheless is still valuable because even the lab has painted the connection between mycotoxins which are essentially mold farts that you breathe in, in a water damage building and the connection to certain bacterial overgrowth, specifically Clostridia but also Candida and the mechanism of why this is so damaging especially to young children is because we know that Clostridia bacteria screw up the organic acid levels called HPHPA and this affects levels of neurotransmitters, so when you get these children, they have behavioral issues, they may be diagnosed with something like PANS, which is a Pediatric Acute Neuropsychiatric Syndrome. These kids usually have sensory problems, food sensitivity, skin issues, histamine problems, allergies, maybe they’re biting children, maybe they’re angry or irritable, this can all be traced back due to this toxicity.

Dr. Justine Marchegiani: 100%. So that’s quite interesting, now you talked about mycotoxins essentially being mold fart, so essentially the mold off-gasses, right? And, your different kinds of mold, right? It could be Penicillium, it could be Aspergillus, right? It could be the black mold, Stachybotrys, these types of things and then they produce various mycotoxins and when we do different tests, like plate testing on homes, supposedly each mold or so can produce about 300 different mycotoxins, whether it’s Ochratoxins, or aluminum is that correct?

Evan Brand: Yeah, which is crazy because we can only test for a very, very small amount on the urine so really, we’re trying to just look for some evidence of this bonfire, we’re looking for the ashes, Oh my god, there must have been a fire here, this big mold exposure, we’re only looking at the tip of the iceberg so yeah, you’re right. Our testing is good but it’s still very primitive compared to the amounts of mycotoxins that are being produced.  

Dr. Justine Marchegiani: Yeah.  And the type of organic acid testing that we’re doing is on the great plains. We’ll look at some of the organic acid compounds that correlate with, like Aspergillus or different mold toxins. Is that correct? What are those big mycotox? What are the big organic acids again? 

Evan Brand: So, it’s all on paper. 

Dr. Justine Marchegiani: Membranes

Evan Brand: Yeah. So, you’ll see oxoglutaric. You’ll see citric acid can be high in a fungal overgrowth too so it’s all page 1. Oxaglutaric, you got hydroxybenzoic which is related to bacteria. I could pull up an O but in general it’s just page one. It’s typically numbers 1 through 18. If you see any big red flags on that either a combination of a bacterial overgrowth specifically a clustering problem and or Candida or fungal colonization and the lab indicates that so tartaric acid would also be on there, carboxy citric acid is also on there. So, in parenthesis, you’ll see under these organic acids now which is great because this has improved over the years that you and I’ve been running these labs. It now says Aspergillus so on number 6, which is tartaric acid under number six, it’ll now say Aspergillus. And you’ll know if that’s elevated, you’re colonized for Aspergillus which means that you’ve now been exposed to a couple situations could have happened either you had a large enough amount of mold, you were exposed to mold, long enough or your immune system was weak enough where now you become a mold factory. So, you can be a mold reservoir, more specifically a mycotoxin reservoir where you just have this exposure at the moldy hotel in Mexico and then you come back home and you’re sick or if you were weak enough, now you’re growing mold. Even if you move to the desert to avoid mold, you stay sick because you’ve got that colonization so with 

Dr. Justine Marchegiani: Ionization, that’s happening.      

Evan Brand: Yeah. So, you can prove that which is very important because now that would justify the use of herbal antifungals to try to remedy this situation. 

Dr. Justine Marchegiani: That makes sense. Let me go pull up one of my old tests. Let me see if I can find it. Hold on. 

Evan Brand: Now, the conventional treatment is typically antifungal medications that are gonna knock this out. But, as you and I with our functional practice, we don’t like to use that. So, number 4 would be classified as the fungal, the ferran-2,5-tricarboxylic, you’ve that Ferran carbonyl glycine. Yeah. So, number six. Yeah. So, this is old enough where they didn’t have the molds but on the new ones in parentheses 

Dr. Justine Marchegiani: Let me say Aspergillus. It is primarily Aspergillus for all three of these. 

Evan Brand: Yeah, and the number nine tricarboxylic is Fusarium.  

Dr. Justine Marchegiani: Fusarium. Yep.  And then Arabinose and Tartaric are also correlated with yeast overgrowth. This test here for instance, I did a great plane and a Genova test at the same time and this one actually came back much higher on the Arabino side than the great plains. then the Genova tested. So, it’s interesting you know different samples and such. But yeah, this one Arabinose is strongly correlated with Candida but then 

Evan Brand: I just ran my own, I’ve got Candida right now too so I’m on a protocol, right? Now, I just run. Yeah. I showed up with Candida and I want people to know because you were a speaker on the event. It was called the Candida summit which I ran like  five years ago and you know we had like 30 people talking about it and I could look back but I tell you I don’t think anybody had made the connection here which was the mold Candida connection back then and now what I’m finding is basically you’re just playing whack-a-mole with Candida until the mold’s gone meaning you may rotate through various rounds of antifungals but out the back door, you’ve got to be using the appropriate binders to pull out the mycotoxins so if you’re just beating Candida down and it keeps coming back. It’s probably the mold, not the Candida that you need to be after. 

Dr. Justine Marchegiani: Yeah. And, that’s where it’s good to run a test like this. Also, maybe a urinary mycotoxin test or just make sure your environment’s good because I always tell patients if the environment’s not good and you’re having reoccurring issues then you’re just not getting to the root cause. So, the first thing is to isolate the environment. Make sure the environment, your home, your apartment wherever you’re living run a high-quality mold plate test on there. We’ll put links down below where you guys can access the plate testing.  Isolate that, right? Make sure there’s no water damage or if there’s been leaks. Make sure it’s been addressed and dealt with. Make sure that’s dialed then the second thing is you can run a test like an organic acid test with your functional medicine provider. See if there’s any colonization. And, it that’s chronic, yo can get to the root on that and then you can always run urinary mold where you’re looking at mycotoxins coming out in the urine that can also be helpful but typically if this is good and there’s nothing at the home then you’re probably in pretty good shape and it’s probably more of an acute kind of dysbiosis thing probably from poor diet, poor digestion other bugs, other infections, etc. 

Evan Brand: Yeah. And the cool thing is that you can kill two birds with one stone or even three birds with one stone and what I mean by that is let’s say you run that oh and you showed the elevated Arabinose, you know, there’s a Candida problem but if we see tartaric above that’s high and then down below, we see some of the bacterial overgrowth markers, the blends that you and I formulate and have, we might be able to kill bacterial overgrowth, fungal overgrowth and a Candida problem. All in one fell swoop and that’s incredible and you know your gastroenterologist or even your mold doctor is likely not gonna be able to do that. They may come in specifically with itraconazole or fluconazole or nystatin. But as you know, we’re facing this big problem of antifungal resistance just like we’re finding with antibiotic resistance and so now, you’ve got these very virulent strains which are difficult to kill with conventional medications. You and I have talked about this before but the long story short of it is all the different alkaloids and terpenes and beneficial nutrients in the plants, those don’t have this resistance problem. And if you’re mixing this herb and that herb, it’s not one plus one equals two, it’s one plus one equals ten. You get the synergistic effect. 

Dr. Justine Marchegiani: Yeah. You see the same thing with addressing bacteria and other bigger bugs and berberines and Artemisia Wormwoods have synergistic effects. Also, the fact that you get a lot of antioxidants in a lot of these herbs. And so, especially if they’re high-quality, you get a lot of antioxidant support because when you start killing bugs, it’s a lot of oxidative stress that’s happening. And then, when you provide like an antifungal like Diflucan or an Amphotericin or a nystatin or a ketoconazole, obviously, there’s no antioxidants in those drugs and so you’re gonna have a lot of oxidative stress so it’s nice to have a blend different herb in there. One, to prevent the resistance. And then, also, people have yeast issues and a lot of times they have bacterial bugs as well and efflux pumps are a big thing that a lot of bacteria and bugs use to kind of protect themselves. So, I cannot say, like bacteria is like a sinking canoe, right? and essentially, you poke holes in that canoe with a lot of the herbals and think of the efflux pumps as the person in the canoe, baling water, right? So, they try to keep on bailing water, bailing water, so they don’t sink, right? And so, think of the herbals when you inhibit the efflux pumps whether it’s a ginger or different antimicrobials, it’s like taking the buckets away from the bacteria that’s bailing water and allows then to sink that allows them to effectively be destroyed that along with addressing biofilms too. 

Evan Brand: Yeah. That’s awesome and the cool part too is you can minimize the die off if you’re doing this right. You know a lot of people when they hear these conversations, they get afraid. They go oh my God, Candida, mold, bacteria, parasites, worms like oh my God, this is a lot of stuff in me. I want it out of me but now I’m afraid. Am I going to feel worse before I feel better and the answer is if you do it properly that should be minimal to a nonexistent problem? I think you and I have refined our protocol so much over the years now that we have these tools and these other therapies in place that are standalone products but we often add those in or if we see that we hit a roadblock or a big bump in the road like a die off, we can change dosing. We can rotate. We can add in other support. We’re always talking about liver and gallbladder and binders and hydration and biofilms. These other pieces, these other variables, these are the make-or-break things for some people. 

Dr. Justine Marchegiani: 100%. And when people kind of want to go after the gut, we live in an antibiotic like kill, kill, kill generation so people tend to, when they find out they have an issue, they want to go kill, kill, kill and that can be very stressful in the body so it’s always very important to calm down the inflammation, get the immune system stronger, get the hormones that help with anabolic metabolism which is healing, recovering, anti-inflammatory support that kind of sets the table because the more stressed and inflamed you are, your lymphatic system, your detoxification system, your immune system won’t work as good and plus people forget your detoxification system, right? The cytochrome p450 oxidized pathways, especially the phase two pathways, they’re gonna run off of a lot of sulfur-based amino acids and so if we don’t have great digestion and we’re not eating you know good healthy animal protein or good healthy plant cruciferous vegetables. If we can’t tolerate them, we can’t break them down. May not have a lot of those sulfur building blocks to run those phase two pathways and so that’s why kind of getting the deck set so to speak so we can really hit phase two better just not with support but just getting digestion working better and a good diet working better sets the table and allows us to effectively kill so much better.

Evan Brand: Yeah and I know we’ve talked about a lot in a short amount of time, we’ve gone fast so listen back as needed but I want people to understand the connection because of the title of this episode, I want people to understand the mold-gut connection. So, the connection is the following: the mycotoxins weaken the immune system and allow the opportunistic bacterial overgrowth to thrive along with the Candida. So, if you’re working upstream at the SIBO-SIFO situation but you’ve got an underlying mycotoxin problem, you’ve got to address that if you fully wanna get better. The other mechanism of the mycotoxins is a couple. Number one is they damage the microbiome so we know specifically that mycotoxins do the same thing as, like food allergens, they disrupt the gut barrier and create intestinal permeability. So, that’s another reason you want to pull those out of the circulation by using specific binders based on your labs. And then the other mechanism too is we know mycotoxins affect the brain chemistry and specifically lower dopamine so when you get into pain signaling, you get into motivation and mood and just your overall vitality. If your brain chemistry is affected, we can also measure that but it could be directly attributed to the toxin for example in like rat studies when they inject them with mycotoxins or expose them to mold toxin, the dopamine levels crash. So now, all of a sudden, you’ve got this brain chemistry piece to address too, now people have heightened pain sensitivity, they’re depressed. They may be just more flat with their life. Once again, they go to their psychiatrist. They’re not gonna bring up mold toxicity, they’re putting them on an antidepressant medication. They’re never gonna say, “hey, oh your basement is flooded, that’s why you’re depressed and anxious and you have diarrhea”. So, the connection of the gut symptoms too, the diarrhea, any type of bloating, burping, digestive pain especially in children. Children don’t use the same language as adults. So, if your child is complaining about stomach pain that could be one clue that there’s something related. That was my issue for my daughter, Summer. She was complaining of tummy aches so we did run stool on her. She did have H. pylori when she was two. We tested real high. Maybe I gave it to her by sharing water bottles or something but either way, we took care of that and then stomach pain was continuing that was when we had got exposed to mold. Luckily, I got her on binders. Now, she’s in a better place. So, I’ve seen it unfortunately with my own kids and it’s stressful to see your kids suffer but it’s a good lesson. It’s a good learning lesson that your children are not crazy and if your kids are complaining of a chronic issue like this with pain, you know, consider this as a possibility especially if you as the mother are toxic because the toxins go through the placenta and they also go through breastmilk. So, if you have your own digestive skin, whatever problems, mood problems in your kid, has similar issues as you, well, it could be the generational passing of toxins. 

Dr. Justine Marchegiani: So, let’s go over that mechanism one more time with dopamine. So, obviously dopamine is a neurotransmitter and when we’re chronically stressed, physical, chemical or emotional, dopamine can go downstream and get converted into adrenaline which kind of helps manage the acute stress response. Is it just a fact that the mold is inflammatory and creating a stress response and activating the sympathetic nervous system that the dopamine is being taken and depleted downstream or is there something else? I want to make sure I get that mechanism hammered down.       

Evan Brand: I don’t know. Type in rat dopamine, mold or rat dopamine, mycotoxin. See if you can find it. There were several papers on this. I don’t know if they discussed the mechanism in it or not. My assumption would be that it’s multifactorial. I think the big mechanism would be that the mycotoxins affecting the gut barrier then affecting nutrient absorption then there’s likely less amino acid conversion to dopamine. So, I’m thinking, it’s more of a malabsorption problem but also we know that ochratoxin for example damages

Dr. Justine Marchegiani: Like malabsorption, like it’s affecting the absorption of protein in the gut? 

Evan Brand: Yeah. I think that’s one mechanism. I think the other mechanism would be direct brain damage. We know that okra toxin for example damages the cerebellum. We know that the Verrucarin and the Stachybotrys mycotoxins affect the brain and the prefrontal cortex which impairs, like your ability to think clearly. So, I think it’s both. I think it’s the gut damage and I think it’s the direct brain damage too. I am going to pull it up here. Can you see it on screen?  

Dr. Justine Marchegiani: Yep. 

Evan Brand: Let me make it bigger on my side here. 

Dr. Justine Marchegiani: Yeah. So many mycotoxins, trichothecenes. We test that in some of the mycotoxin tests. Yeah. Induced neuronal cell apoptosis so some of that could be you’re just causing the cells in the brain and especially in the substantia nigra of the midbrain. That’s where dopamine cells are being produced. Some of it could be apoptosis that means programmed cell death and or inflammation in the olfactory epithelium.

Evan Brand: Interesting.

Dr. Justine Marchegiani: So, it seems to be a neurodegenerative and then look it says it caught ochratoxin A causes acute depletion of dopamine and its metabolites. 

Evan Brand: Look at that. 

Dr. Justine Marchegiani: So, I wonder if that’s a, it sounds like it’s possibly a stress response, right? Because dopamine can, tends to go downstream to adrenaline. It could be almost like an autoimmune response because you’re having apoptosis. This is neuronal cell death, program cell death. This is part of the reason why apoptosis is important, right? Because if you don’t have good immune function, this is how cancer forms, right? Your immune system helps program cells to die when they need to die. This is apoptosis but if you can’t do that then cells can overgrow hence you have a tumor, right? And so, this is actually happening to unhealthy or the very healthy tissue that you need to be functionally healthy that produces dopamine in the midbrain. So very interesting. 

Evan Brand: Yeah. Talking about the hippocampus too, we know that hippocampus, I’ve got two of them. Remember, that’s why a lot of people have brain fog problems and also I would say that short-term to long-term conversion is impaired.

Dr. Justine Marchegiani: Can you see this one here? The mold inhalation one 

Evan Brand: I’m just seeing that you’re highlighted on the hippocampus word for now.  

Dr. Justine Marchegiani: Let me switch back to the other one here. This is mold inhalation. This is interesting. Let’s go pull this up. All tight. Mold inhalation causes innate immune activation, neural cognitive and emotional dysfunction.

Evan Brand: So, this is pretty new. July 2020 paper here so relative. 

Dr. Justine Marchegiani: Yeah. Yeah. So, the ability of mold to cause such symptoms is controversial since no published research has examined the effects of controlled mold exposure on the brain. Patient symptoms following mold exposure are indistinguishable from those caused by innate immune activation by bacterial or viral exposure. Interesting. So, in this study here they added in. See here. Toxic and nontoxic mold stimuli would cause innate immune activation with concomitant neural effects and cognitive and emotional behaviors. We internationally administered intact stachybotrys. This is black mold extracted non-toxic stachybotrys spores and a saline vehicle to mice.  

Evan Brand: You don’t want to be that mouse. 

Dr. Justine Marchegiani: Wow. No. As predicted, intact spores increase interleukin 1 beta, immune reactivity in the hippocampus both spore types decrease neurogenesis. This is forming new neurons in the brain and causing striking contextual memory deficits in young mice while decreasing pain thresholds. So, this is another word saying, causing more pain in the body. So, if you have mold exposure, joint pain could happen, right? And enhancing auditory acute memory in older mice. Nontoxic anxiety. Yeah. Also increase anxiety like behavior. Levels of hippocampal immune function correlated with decreased neurogenesis that’s creating new neurons in the brain. Contextual memory deficits, right? Obviously, less memory and or enhance auditory cued feared memory. I wonder what that means. Maybe it’s just like, uh, you’re more sensitive to external stimuli.    

Evan Brand: I read that. Yeah. I read that as sound sensitivity which is yeah part of the toxin and light sensitivity too so people will often have to wear sunglasses even when it’s not very bright. You and I talked about that in the context of adrenals years ago but that’s also a mold toxin thing. 

Dr. Justine Marchegiani: Yep. And an immune activation may explain how both toxic mold and nontoxic mold, skeletal elements cause cognitive and emotional decline. So, it’s really important. We don’t wanna be in an area where there’s a bunch of mold toxins and we can do a whole other podcast on how to mitigate mold toxins as a whole. I mean, of course, get your home tested. That’s the first thing. If you have water damage, make sure it’s mitigated by a professional right away because mold starts to form when sitting water in as little as two days. Got to make sure that’s under control and then if you’re on the fence, get yourself tested, right? We’ll run an organic acid test. Maybe run a urinary mycotoxin test and see what your actual load is but again one of the big telltale cue signs is you know, get your home. If there’s mold there and you start feeling significantly better and you go back, you notice an increase and definitely get your internal mold tested as well via urine. 

Evan Brand: Yeah. Well. I know we got to wrap this thing up. We got calls to get to but I hope this is helpful for people. We can always get geekier and dive deeper and go longer but I think you guys get the gesture, the connection of the brain toxicity, the gut damage. There’s a mitochondrial element with the chronic fatigue piece. So, if you are suffering from any chronic issue whether it’s mood like depression, anxiety, energy problems like chronic fatigue, low libido, poor erectile function, cold hands, cold feet, increased light sensitivity, blurry vision could be other things but this is a big smoking gun and all of us are inside way too much. We’re not outside like the Amish are all day. They might have moldy homes but they’re not breathing it in the majority of time. They’re outside in fresh air where the toxins are diluted. So, us with our indoor lifestyle as modern humans, we’re at more risk of this stuff and our buckets are already full due to pesticides and other toxicity in the environment so this is a really, it’s an epidemic problem, maybe the biggest one.

Dr. Justine Marchegiani: And not everyone is as genetically sensitive, right? Some people, they go into a moldy area. They get brain fog, right away. Some people do fine. Either way, it’s definitely a stressor in the stress bucket and if you know it’s there, you definitely wanna pull it out because it’s gonna help give you more resiliency and more adaptability. Great podcast today Evan. Everyone listening on the audio version, we pulled up some studies and some lab tests on the video version. We’ll put the link down below so you can see the video version. We’ll put some links to some of the labs and the products that we talked about today so you guys can take a look at those. Evan, great chatting with you. Head over to evandbrand.com to reach out to Evan via functional medicine nutritional support worldwide as well as justinhealth.com, Dr. J myself at justinhealth.com for me myself. We are here to help and support you guys wherever you are. Have a phenomenal day everyone.  

Evan Brand: Take it easy. Bye-bye.

Dr. Justine Marchegiani: Take care. Bye now. 

Top 5 Reasons You Are Losing Muscle Mass | Podcast #369

Muscles are essential to everyday movements, and if you noticeably lose muscle mass — especially without knowing why — it can be alarming. Losing some muscle mass is normal as you age. However, losing muscle mass quickly or atrophy, especially in the context of other symptoms, can indicate an underlying illness.

In this video, Dr. J and Evan discuss the top reasons you lose muscle mass aside from aging. Preventing a loss of muscle mass can also be achieved by exercising regularly (such as functional strength training) in conjunction with a balanced food template of lean meats and proteins, fruits and vegetables, healthy fats, and whole grains.

However, if the loss is due to an underlying illness, it must also be addressed and mindfully managed with a trusted healthcare professional or your functional medicine doctor.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
2:33 – Functional movements
3:37 – Infections
7:21 – Vegan-vegetarian
9:35 – Autoimmune digestive disorders
12:21 – Hormones
15:06 – Types of muscle building


Dr. Justin Marchegiani: And we are live. It’s Dr. J here in the house with Evan Brand. Today, we’re gonna be chatting about the top five reasons you are losing muscle mass. This is really important. All right. If you’re losing muscle mass, it’s gonna be essentially an all-cause predictor of mortality, increased mortality. So, we gotta make sure that we’re keeping our muscle mass and or improving our muscle, especially as we get older, we need good muscle to support and stabilize our body so we don’t get hurt, we don’t slip, we don’t fall, we don’t get injured. We don’t slip a disc so to speak. So, we have to make sure that we are keeping our muscles strong and functional. Evan, how are we doing today man?  

Evan Brand: Doing really good. I talked with a guy actually this morning where his mother, due to age and related muscle loss, fell, broke her hip, got in the hospital, had to get surgery, got an infection, died. So, I’m not saying everyone is gonna end up like that. But my God, look at how quickly something just like a fall due to lack of muscle strength and mobility could turn into something scary where you’re hospitalized, you’re getting surgeries, you end up with a hospital acquired infection then you’re on antibiotics then you go septic, I mean, this is crazy and so I hope we can help people prevent. This is such a common story. I mean, how many times have you heard, like, old granny falls, breaks her hip and that’s the end of her. She never recovers. It’s like, that’s not good. And so, fortunately, in the past, up until the past couple years, both of my grandparents right around 80 years old, they were playing tennis and they were still active in mobile so I just encourage you guys, just because you’re getting grow older that doesn’t mean that you need to become a couch potato. Even some of her friends that she’d played tennis with are in their mid-80s, still playing tennis, still moving well on the court. So, I just encourage you to find something that you love first and foremost. Use exercise as a side effect of having fun, meaning, if it’s pickleball, if it’s tennis, if it’s ping pong for all I care, I mean, basketball, volleyball, I mean, whatever you can do it. It doesn’t have to necessarily be intense. That’s all fun stuff, maybe competitive, fine. But exercise is a side effect of it. But if you’re just trying to depend on willpower to go run a mile, I think that’s a terrible long-term strategy and I don’t think you’re gonna like to continue with it, like my row machine, you and I both, we have the same row machine, we love it. You can go on there, and you can do little games, you could do just row, you could pick like, oh, I’m gonna, I wanna burn 10 calories or I wanna grow 500 meters and you have this like goal that motivates you to do something, but at the end of the day, all this physical performance is gonna pay dividends. 

Dr. Justin Marchegiani: No. Exactly. 100 percent. So, when I kind of, when I lift weights, I’m always trying to do functional movements, I think as you get older, especially as you know, you move into adulthood, you want muscles, right, you want to look fit or lean or trim right? You wanna feel solid but you wanna have functional muscles. One that allows you to do housework or click pick-up your kids easier and feel more confident or do well at your sport or just be able to enjoy life and feel good like if you think about, like, getting into a car, right? You get into a car, it’s like a one-legged kind of squat, right? So, I’m a bigger fan. As you get older, trying to do more unilateral body movements, meaning like a one-legged squat, a one-legged lunge or a lunge obviously with that, you know, you can look at discrepancies in your body. If you’re doing a squat, you know, you have other sides that you can compensate for but when you’re doing one-legged movements either a dead lift or a squat or a lunge or a step-up, it magnifies imbalances in the body. I like that because most of the time, when you’re moving, you’re actually on one foot in a sense and so it’s good to do movements like that so you start to develop a lot of the stabilizer muscles that support you when you’re moving so you don’t get hurt. 

Evan Brand: Let’s get into the functional stuff, like the functional medicine stuff, not functional movement but like functional reasons, I’m gonna go ahead and say, number one as a category of infections and you and I can break this down as much as you want. Yeah. I’m gonna say infections because you know my story, you saw me, I lost like, 25 pounds without trying and some of it was related to H. pylori. I think the parasite also wrecked me so I would just say infections as a whole. 

Dr. Justin Marchegiani: Yeah so when you have inflammation in the gut, right, it can be cause by infections like a parasite like Cryptosporidium, Giardia, Blasto, H. pylori, bacteria in that category, SIBO, general dysbiosis, bacteria imbalances, right? It creates inflammation in the intestinal tract, right? Whether it’s small intestine, large intestine, if you look at where these nerves sit on the spinal column, they sit in the lower thoracic to lower lumbar spine, and you know, let’s say t10 to L5 or so. Maybe even, maybe even S1 and when you have inflammation in the intestines, it’s on a two-lane nerve root highway from your intestines to your spine back to the muscles, right, so we have what’s called a visceral somatic reflex. So this Visceral means organ, somatic means muscles. So inflammation in the organ can actually take that signal of inflammation put on that two-lane highway to the muscle and it can actually create that muscle to shut down or not be fully facilitated or active and so with inflammation in the intestines can cause that. Now, women know this just think about the average women that has PMS and has PMS symptoms of back pain. It’s their ovaries having inflammation or hormonal imbalance that’s then refluxing to the muscle, right, visceral organ, somatic muscle. So, women know that if they have PMS or if you ever had a gallbladder issue, you feel it in your shoulder, if you have appendicitis, you feel it in that lower right hip quadrant, right? If you have a heart attack, you feel in the jaw down the left side down the left arm so we know there’s this organ muscle connection so a lot of people can have muscle issues because their core and their back gets very weak due to inflammation in their intestinal tract and the more inflammation there is the less likely you’re wanna, you’re gonna, wanna lift and want to do one of them, you know put resistance on your body because you’re just more inflamed and you’re more likely to get hurt and injured. 

Evan Brand: Yeah. So, if you, now, not all people lose weight and I’ve seen many women who gain weight magically 20, 30, 40, 50 pounds, sorry ladies, sometimes it happens that way. It’s where you gain weight due to infection but for me and I’ve seen other men the same, you lose weight, so I don’t know, I would just say this, any fluctuation whether it’s weight gain, including muscle loss so you could gain weight and still lose muscle right. You could gain body fat and lose muscle so whether it’s a significant, let’s say 10, 20 pounds or more weight loss or weight gain with no explanation, I would definitely look into the gut, start looking for infections  and as you mentioned, the strength is important and people don’t want to get strong if they feel like crap and so for me, luckily, my gut’s much better and now I feel good with resistance training whereas before I was just so depleted. So, let’s go into reason number two, I’m gonna say nutrient deficiencies, now, this ties directly into infections right because in the case of H. pylori, if it’s reducing stomach acid. Now, if you’re eating this good grass-fed steak, you’re not really getting as much nutrition from that and so these nutrient deficiencies compound over time because if you don’t have the amino acids being cleaved off the meats to produce muscle mass that also creates a big problem so nutrient deficiency and we could go any direction you want with this even vegetarian vegans, we could talked about the deficiencies there and how they’re gonna have trouvle with muscle mass. 

Dr. Justin Marchegiani: Yep. 100%. So, of course, if we have vegan vegetarian, we’re not gonna get enough carbohydrate, we’re not gonna get enough protein, typically or if we get enough protein, right, let’s look at the combination of rice and bean which is a pretty common one. Well, you end up getting 70 grams of protein to 15 grams or so of carbohydrates so you get a lot of carbohydrates. Now, if you’re not that active or you’re more insulin resistant, you know some, most people are gonna need probably a minimum of half their body weight and in ounces of protein so if you’re like 200 pounds that’s 100 grams of protein. Well, do the math if you’re getting 15 to 20 grams of protein per 70, 75 grams of carbs that’s you know, 75 times five, you’re looking at like 340 to 400 grams of carbohydrates. Obviously, you can fix some of that by doing, like, a protein shake, like protein or hemp protein, you know, you can fix some of that. But again, you’re still relying on artificial sources, not whole food sources. Now, the benefit of the animal product is you’re gonna get all the protein, none of the carbs and you’re typically, if they’re grass-fed and pasture-fed, you’re gonna be getting excellent good fatty acids along with it and you won’t be getting a lot of the excess omega-6 fatty acids like you’re not gonna get on the vegetarian vegan side. So, you have this nutritional density that you get on the animal side which is wonderful and as long as we’re choosing you know, avoiding the factory farm, you know, we’re doing grass-fed pasture-fed, you’re gonna be in great shape and the next thing after vegan vegetarian is low stomach acid so if we have achlorhydria, low stomach acid, and that typically connects with low enzymes too, we may have a hard time breaking down a lot of that proteins. So, I know when you had some of your gut infections years ago, I think you had what Cryptosporidium, Gardia, H. pylori, that’s it Three Amigos, right? And so, when you had this gut infection, you also had lower stomach acid, lower enzyme levels. So, supplementing the enzyme and the acid so we can break down those amino acids and then also adding in or cutting out the bugs is helpful and then sometimes adding in some amino acids in a free form can be helpful because 40% of the Energy that you get from the protein actually goes into digesting the protein. It’s like having a credit card with a 40% transaction fee, right? Very expensive. So, there is some benefit by doing amino acids, if it’s already broken down but we still wanna make sure the whole food is dialed in and that we’re getting enough, uh, we’re getting access to the whole food nutrients via hydrochloric acid and enzymes too. 

Evan Brand: All right. Moving on to another cause here, and this is inspired by a comment here from Teresa, she said that she has muscle wasting from my colitis. So, we could just say, any gut issues and that one include autoimmune gut issues, right? So, colitis or what’s called pancolitis would be the whole colon, even celiac, Crohn’s, I mean, any of these autoimmune gut issues oftentimes that’s gonna create a lot of muscle wasting that ties directly into what we just said though which is nutrient deficiencies and infections. A lot of these people with major gut issues, like this, there’s usually a trigger. Now, in the case of like, celiac, obviously, that may or may not have a parasite infection involved but this is still part of the equation and we can use gut healing nutrients to work on this, you can put some of this stuff into remission but you know what, I don’t want people to do, you know, what I don’t want people to do is like eat clean all week and then they go eat garbage on the weekend. 

Dr. Justin Marchegiani: Correct. Yep. 100%. And so, of course, if you have colitis, right? Whether it’s microscopic or ulcerative colitis, you know, it’s an extreme irritable bowel disease, you gotta look at the foods and then sometimes the foods could even be in vegetables it could be in the oxalates, the phenols, the salicylates, the FODMAP, so sometimes even healthy foods on paper could be problematic and then of course, you know, the grains and the dairy and he refined carbohydrate and the omega-6 fats of course those right. So, getting the inflammation via food is super important, we talked about dysbiosis, we talked about SIBO, H. pylori, of course is super common because H. pylori is notorious for lowering stomach acid and so of course, if we’re just taking stomach acid and enzymes and we’re not fixing the H. pylori, you know, that may not get to the root cause. So, if we’re taking supplements like hydrochloric acid or enzymes or bile support, we also got to make sure we’re getting to the root cause of any additional bugs that could be present and if we’re chronically stressed like the adrenals if we’re in sympathetic fight or flight the sympathetic fight or flight nervous system tends to be more catabolic than anabolic. So, anabolic is building back up, healing, recovering, getting stronger. Catabolic is breaking down. So, from this fight-or-flight state, our bodies always tend to be it. You know, running versus, building and growing and so if you’re catabolic from the adrenals being over active with cortisol, that’s gonna make it hard to build muscle, you’re gonna be breaking down the muscle instead, making glucose out of it and it’s also gonna be harder to digest because your body’s hard wired to take blood and bring it to the extremity so you can fight, flight or kind of run versus to the organs so you absorb and break down. So, that fight or flight is really important in fir digestion, for where the blood goes and also and how it allocates nutrients. It’s more likely to break down muscle than build muscle back when that fight or flight is really active.

Evan Brand: That’s a good call. That’s exactly where I was gonna go next is hormones, I was gonna talk about maybe low testosterone. We’re seeing that in men in their 20s, 30s, 40s, I mean just low hormone levels and women need some level of testosterone too. So, if you do hormone issues whether that is adrenal related cortisol, thyroid hormone, maybe you can riff on that for a minute because I think people are focusing on gut gut gut, which is great but there’s also this other connection of the hormone piece and I will tell you my cortisol was completely depleted when I did a salivary panel  years ago. My cortisol was flat all day and it was really tough no matter how much I tried in the gym, I was weak. Like, just my God, I could not make progress, fortunately better now, but man I’ve been through it. 

Dr. Justin Marchegiani: Yeah. Some people, they may be high with their cortisol and we have to use adaptogens to calm it down of course, like good diet and lifestyle things, some may be low and typically you don’t just go low all of a sudden. You ten to be on the higher over stimulated side for a while and then you ten to crash and that’s where that low cortisol kind of comes together and with that chronic cortisol, a lot of times we see low DHEA, and DHEA is important because that’s gonna be a precursor to a lot of men and women’s sex hormones and so women will go more down the estrogen side. Men, it will trickle more down testosterone. These are both anabolic hormones and so if we have lower DHEA, that tells us the adrenal issues that are going on are more chronic and DHEA will go downstream to more of these anabolic building up type of hormones so very important to take a look at your DHEA because that could tell you if you’re more catabolic inflamed place. And also too, if you do exercise, I get it if it’s like your first couple of movements, It’s like a new exercise kind of thing, you may be a little bit torqued. It’s new but you shouldn’t be overly sore after your workouts. If it’s a new thing, fine, or it was really you know, an acute hard workout but in general you shouldn’t be overly sore, you know, more than two days or so later. You really shouldn’t, you should still be able to function like maybe you feel it like it feels like you did something but it’s not overly sore if you are um and it was a reasonable amount of exercise, it wasn’t like you did too much you’re probably in a more catabolic state, and it’s also you could be over exercising too. So, you gotta make sure you’re not over exercising.  

Evan Brand: Yeah or I’m thinking like what about lactic acid build-up too due to gut bacteria or a mitochondrial issue due to some sort of toxin where they’re just depleted, they’re not recovering well, they’re not performing well. So, maybe not directly related to muscle mass but I think mitochondrial issues could be something to look into. You and I measure this and look at this on an organic acid test and we often find a lot of issues, I mean we’re in a toxic world with a lot of chemicals, metals, pesticides and so these things damage the mitochondria which to me would directly impair your ability to perform. Is it directly reducing muscle mass? If your mitochondria are damaged, I’m not sure on that. I’m sure we could look into it but it makes sense. 

Dr. Justin Marchegiani: Yep. Absolutely. So, a couple different types of um ways you can build muscle, right, we talked about resistance training is obviously gonna be my favorite, right? So, we can do resistance training that kind of acts like cardio so if we do let’s say three or four movements back-to-back to back-to-back that kind of acts like cardio like or instance if I do like bicep curls, right, this is resistance training, you’re probably not gonna see a big bump in your heart rate which is bicep curls, right? So, there’s resistance training where you’re not getting a cardio effect and it’s resistant training where you’re actually getting a cardio effect. So, just like, people think cardio, like, oh, I’m gonna try them all that’s cardio. It’s well no, you can do exercise that’s resistance and still have a cardio effect. So, if I just did like bicep curls or tried extensions probably not a big cardio effect. Now, if I did like bicep curls and then I paired that with the next exercise, let’s say kettlebell swings, right and then the next exercise being some type of full body row or a lunge, you can see how you start getting more muscle groups involved. Your heart rate starts to go up significantly. So, that’s nice because there’s some benefit if you look at some of the zone two exercise theories that are out. With zone two exercises, essentially, when you’re working at about 60 to 70 percent of your max heart rate so if you’re at typically like you know, typically around if you’re like max heart rate for most people in their 40s or so will be like maybe around usually, it’s 225 minus your age and so if you’re like 40 that’s like what 225 minus 40 would be like what 185 and so you do 185 times 60 or so that should give you then you’re around like typically around 120 or so for your heart rate so they want you to stay around 120 for about 30 minutes. Now, you may find that you kind of have that zone 2 type of benefit while you’re actually doing lifting, if you kind of do it in a circuit fashion, then you choose movements that are more compound, you may find your heart rate stays that high. Now, the benefit of zone two is you get this really nice drop in your resting heart rate. There’s a lot of people that are reporting a lot of their data from like their fitbits or their or rings where they just have a significant drop in the resting heart rate that they wouldn’t necessarily see for like interval training or I’m sorry like a type of a tabata training where you’re like high intensity low, right? So, this kind of steady state thing for 30 minutes, you know, could have some cardiovascular muscle benefits and you may also be able to get some of that like if you do circuit movement so you can, you know, get one of these fitbits and measure your heart rate while you’re doing it and see if you can stay around 120 for that 30 minute phase that kind of put you in that zone two category around 120 or so. 

Evan Brand: Very cool. There was a comment in here from Selena, what about muscle wasting with chronic Lyme? Yeah. 100%. Unfortunately, I’ve dealt with Lyme with co-infections from many tick bites over the years and that’s a big big factor because Lyme loves collagen. It really likes to eat up your collagen reserves and then the inflammation it creates, that invites other things like the Bartonella to move in and create more inflammation in your joints. I’m sure that is a big big factor for you. I think you can get better from it. I’ve certainly gained muscle mass even with the infections, I would still throw it in the infection category though. I think the gut infections are a big one too so don’t go all in online and forget the gut bugs because if you’ve got H. pylori, I think that’s a bigger smoking gun for your digestion. Lyme could still wreck you and cause you to lose muscle, I know one of the girls that I used to work with, I saw her recently at a park and she was so skinny, skeleton skinny and she’s had Lyme for like a decade so I know it really affected her in that way but I do think some of that is reversible if you work on the bugs and get your gut better. 

Dr. Justin Marchegiani: Yeah. And also, people that have Lyme, it’s very rarely it’s just Lyme. It’s like Lyme but then they have, like a ton of dysbiosis, really poor digestion, so it’s usually people are already in this kind of not so great state and then Lyme comes in there and it’s the straw that breaks camel’s back and because it was the thing. They pushed them over the finish line. They just look at Lyme as being the culprit for all of it and therefore, I think it’s all then all they do is focus on that one thing because they think, oh well this is the root cause because this is what happened when everything went sideways and they get myopically focused on just that and then they’re on these crazy herbal antibiotic protocols for years and they don’t fix the other thing so still get back to the basics with your digestion with your, you know addressing the guts, um, really addressing all the stressors, the adrenals, make sure all of that’s kind of dialed in. Also, how did you do with collagen, I mean I found collagen it’s just great for building up that connective tissue because even like in today’s day and age, we’re getting a lot of muscle meat from our protein source, we’re very, we’re not getting enough of our connective tissue or skin or hide or those type of things like the soups and bone broths probably our ancestors used to do. We’re not getting a lot of those amino acids which are really important for connective tissue. 

Evan Brand: I do good with it. I do it every day. I do collagen protein every day so it helps man. I don’t have any elbow problems anymore, my knees are better so like my joints are like so much better, my skin is probably better, hopefully that’s helping with the muscle too. She commented that she did have Bartonella and Babesia. So, yeah, that’s a triple whammy, I mean, you gotta keep working on it, I’m not a fan of the antibiotics, this is a topic for another podcast but you had mentioned that you were doing antibiotics and you know that typically causes the Lyme to go into like a cyst form where it hides from the immune system and a lot of people rebound and relapse on that so I prefer herbs.

Dr. Justin Marchegiani: Yeah. And also, if you go look at all the antibiotic side effects, they all match Lyme as well and so it’s like joint pain, fever, malaise, and so there’s like you see a lot of these conventional or should I say more natural minded medical doctors like oh that’s just 

Herxheimer, that’s like but it’s like you literally are giving something that has the same side effects of the disease you’re trying to treat and so that’s why we tend to like herbal treatments that are more gentle and we’re trying not to hurt and we’re trying to kind of choose a low dose of herbs that are gonna allow us to support the immune system, still have an antimicrobial benefit, we’re still providing a lot of antioxidants and nutrients in the herbs which is the benefit of the herbs and they don’t cause as much mitochondrial damage while we work on everything else. So, we’re still not gonna ignore everything else and we’re gonna find a treatment that makes sense and doesn’t make you feel sicker and have this self-fulfilling prophecy that the side effects actually match the disease that you’re taking.  

Evan Brand: No joke. I mean, we do a whole podcast. Let’s do one sometime on this but she said that she was tired of antibiotics, it’s been three years. Yeah. I mean, that’s affecting your gut which is affecting digestion. We know antibiotics damage the mitochondria so if someone had muscle mass and they had done antibiotics, obviously, you got to look at the gut so I would recommend that you do a stool panel. Do organic acids, try to uncover it, somebody said I look like Arnold Schwarzenegger with the beard, I hope that’s a compliment. Thank you.     

Dr. Justin Marchegiani: Yeah. There you go. I like it. Very good. So, I hope this helps everyone out of the gate here. I mean, just kind of like start from the basics like all right, so to keep your muscles strong you have to have one not be stressed, right? So, do not put yourself in a catabolic state. Think of like, your adrenals being an overdrive, think of like good sleep, good hydration, good food, allowing yourself to be in a parasympathetic nervous system state. Deep nasal breathing, right, appreciation, gratitude, right, make sure we have good digestive support enzymes, HCl, we’re eating a really healthy anti-inflammatory, nutrient dense, low-toxin template, again, I have some patients that have autoimmune conditions where they have to be even more carnivore because they’re really sensitive to the plant nutrients then after that, looking at all the bottlenecks that could be absorbing things or causing absorption problems in the gut, right, like Evan mentioned, Evan had three Amigos, right, Giardia, Crypto, and H. pylori. And then looking at any of the other bugs there and then of course what types of movements are you gonna do, right? You can start out with just walking if that’s kind of a foundational level then you could start off with some type of a you know circuit training, picking three or four movements and going back-to-back-to-back. You could do some kind of a zone two cardio thing where you do about 30 minutes or so at 120 beats per minute and you can do something non-impact. I like rowing because rowing devices you’re using upper and lower body and you’re putting your body into extension or most of the times on like cardio, you’re kind of like hunched over and like doing your elliptical or you’re running like this or you’re kind of in this flexion state where a rower you’re kind of opening up so that’s kind of cool so those are a couple of tools you know to stimulate the muscles and to um make your heart work as well as make your muscles work. 

Evan Brand: I love the rower. Hiking too. I mean, hiking is so easy. 

Dr. Justin Marchegiani: Yep. Hiking is great.

Evan Brand: I really love it because there’s a lot more variability in your movement as compared to walking on a flat surface so I’m having to like bring my leg up more to go over that rock to go over that tree root like it’s a lot of more leg involved than a flat surface so I love it as long as I’m not getting a tick bite, I’m happy in the woods. 

Dr. Justin Marchegiani: Yeah. And my favorite functional movements would be like a one-legged squat, uh, it’s excellent and you could just have a chair underneath you where you sit, touch and come back up and you could put up like a phone book on it or something so you don’t have to go all the way down to parallel, uh, a single leg deadlift is excellent and step up. I know, right. I know you can just grab whatever book right. I’m thinking up like the thickest book I could think of right. You know something like that. And then, you could do that and then you could do a step up which is great like on a plyo box and step up. That’s what this is.  

Evan Brand: How about, I mean the jumps? Obviously, that’s more intense but man those jump boxes, my God, that’ll, you talk about workout, that’s intense. 

Dr. Justin Marchegiani: Yeah. Yeah. I mean those plyo boxes are wonderful, I mean, I like is that 

Evan Brand: What it’s called the plyo like p yeah how you spell that? 

Dr. Justin Marchegiani: Yeah. Like P-L-Y-O like a plyometric box

Evan Brand: That’s where you’re jumping up and down up and down? 

Dr. Justin Marchegiani: Yeah. I actually like going on top of those and then just jumping off and then get into a squat because then you’re teaching your body like I’m generating all this force and I’m trying to absorb it so you’re teaching your body to be a shock absorber like just soak up energy which is great.  

Evan Brand: To think about that, that hurts my knee. Thinking about jumping off, I used to, I screwed up my knee years ago though you know, I was jumping off loading docks like behind warehouses when I was a kid with a skateboard and when you bail off the skateboard I would land flat on the concrete, my God. That hurt. That was done.  

Dr. Justin Marchegiani: No. Totally. But yeah, if you’re putting your joints in that kind of intensity, make sure your form is good. Some people say don’t go knees over toes, there’s a whole knees over toe guy on I think Instagram that talks about knees over toes but if you do that just make sure your form is good and you’re not causing any inflammation. Make sure you have enough protein and collagen, amino acids on board as well so you’re dialed in. 

Evan Brand: Yeah. And if you need help please reach out, we work with these issues all the time. We’ll help you investigate what’s going on. You may have this root cause, you may have that root cause, you may have multiple root causes but we’re happy to help find the puzzle pieces because you can’t fix what you can’t find so that’s where we come in, we’re happy to help you with this issue. If you want to reach out clinically, we work around the world with people we’d love to help. You can reach out to Dr. J directly at justinhealth.com and there’s consults available everywhere, lab testing, we can get it to your door. It’s no problem. If you’d like to work out with me, not physically but work out with the labs, let’s do it at evanbrand.com. So, justinhealth.com, evanbrand.com, we’re happy to help. 

Dr. Justin Marchegiani: Yeah. We’re here to help and we’ll put some of the products that we talked about like collagen and some of the nutrient support, we’ll put them in the description below so if you wanna access some of the things that we recommend for our family and patients and take ourselves, feel free and access that. All right guys, hope you have a phenomenal day. Take care of you all. Peace. 

Evan Brand:  See you. Bye-bye. 

Dr. Justin Marchegiani: Bye.

Evan Brand: Bye. 

How to Address Sinus Infections Naturally | Podcast #368

A sinus infection, also called sinusitis, is a common problem that causes your sinuses to swell up. The sinuses become inflamed and cause symptoms similar to the common cold. Many people can contract a sinus infection after having a cold or the flu. A bacterial infection usually causes sinus infections, but viruses or fungi can also cause them. These infections can either be acute or chronic.

Dr. J and Evan discuss nasal flushing, which can help clear the mucus out of your sinuses. It is one of the most effective home treatments for a sinus infection. They also emphasized the importance of rest, filtered air system, and other nutrients to boost the immune system.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 –   Introduction
2:17 –   Nasal flushing products
10:03 – Mucus and nebulizer
16:54 – Sinus anatomy


Dr. Justin Marchegiani: For today’s podcast, we’re gonna be talking about how to address sinus infections naturally with Evan today. Really excited. Good topic here. It’s a common topic that people are experiencing especially in the winter season so we’re gonna go through it. What we gotta do to heal fast from sinus infections naturally. Evan, how are we doing today? 

Evan Brand: Hey, doing really well. Why don’t we start with the conventional approach? What is that? If you go to your ENT with a sinus infection, what are they doing? 

Dr. Justin Marchegiani: Well, it depends, I mean, some are gonna be more antibiotic hesitant and say well you know it could be a viral infection, right? You know, almost a quarter of all antibiotics are actually prescribed for sinus infections. You know that? It’s crazy. So, most of the time, they’ll wait and see how bad it is. See if you have a fever, uh, usually like you have that punch in the face kind of feeling where your teeth are really starting to hurt, chronic headache and then you’re having a fever usually they’re waiting seven to ten days or if it’s gotten better and then gotten worse again and it’s usually seven to ten days out with a fever then they’ll start to, you know, typically prescribe antibiotics. Again, most sinus infections are viral so you know, you have to get to the root cause of that so a lot of times antibiotics won’t work. The problem with antibiotics is you’re swallowing it, it’s going 2 or 3 feet away from the actual issue so you’re basically dropping a systemic bomb to instead of hitting a localized area. Now, there are some more, I would say functional based medical doctors that may do some kind of an antibiotic in a compounded powder like an amoxicillin, something like that in a suspended solution or powder and they put it in a sinus rinse bottle like this and then you can flush your nose with that. Better, right? At least it’s more localized. We’ll talk about some strategies using saline flushes and different things that I recommend to help get that under control, naturally and not have to destroy your microflora in the gut. So, that’s a big thing out of the gates which can be very helpful. I got a sinus infection last week from a viral infection that my kids brought home. I never have been exposed to so many bugs since I have two young kids, 2- and 4-year-old boys that go to an outdoor wilderness school and they bring stuff back home from all their classmates and so I’m getting inoculated every single day and so we’ll talk about some of the strategies that I take so I can recover fast. 

Evan Brand: Yeah. I still hear a little bit of you. So, what are you doing? You mentioned you got some kind of tools on your desk there. 

Dr. Justin Marchegiani: Yeah. So, couple of things out of the gate, you know, to irrigate or flush that area out can be very very helpful. One, to flushing the viral particulate out. Two, we may add in some components to actually help kill what’s up in the nose as well. So, we have our saline, so you can either do NeilMed saline, which is really good. We’ll put links down below. The Neti Xlear is really great. I’ll kind of go back and forth between those. I have both. And so, we’ll take this and you’ll add eight ounces of water in one of these types of bottles. This is actually the best bottles. It’s made by Xlear. It’s Xlear’s bottle. It’s the best because of the plastic isn’t cheap so when you press it, it recoils really fast so when you’re doing good flushes, sometimes you’re pressing and then you’re having to let it reload so to speak and it’s just a really good plastic. Some of the plastics are weak so then, it kind of just stays sunken in so I also have a NeoMed bottle, definitely a cheaper plastic. And there’s another bottle by Walgreens. It’s even cheaper. So, this one is okay, you know, they give it away with like 60, 70 packets of saline so it’s pretty cheap. It’s a nice bottle. I have like three or four of them lined up in my office sink so when I’m in between patients, I’ll just give it a good flush. And so, we’ll take the saline packet. We’ll mix 8 ounces of water; we’ll add it to it and then I’ll take either food grade hydrogen peroxide. You could do regular hydrogen peroxide from the drug store. It’s not as big of a deal if you’re nebulizing it. Again, it you’re flushing it, if you’re nebulizing it, you probably wanna go more food grade just to make sure any stabilizers are out. And then, I typically just fill it up just enough to cover the bottom part of the cap. That’s it. Just about that.  

Evan Brand: That’s like a dash. I mean just a tiny amount. 

Dr. Justin Marchegiani: Yeah. And you know, you went too much if you put it into the water and then I would just pour it into the saline, my finger over and just shake it up and then you know you did too much if you feel any kind of irritation or burn. You can so you can always start less and kind of work your way up and then if you do too much you can just add a little bit more water to it and back off so that’s a good option right there. Another option I have is I’ll do like my GI clear 3 silver and I’ll add a cap full of that to it. You can do that. You can add just straight up betadine iodide. I’ve stopped doing that because of the orange color. It just stains. It’s really annoying so I’ll go to, like, a clear simple potassium iodine which is good. Those are a couple good options out of the gates and so we’ll basically irrigate 2 to 3 seconds of flow, clear everything out and blow your nose in between. 2 to 3 seconds of flow below your nose. That’s a good way to do it out of the gate. Now, there’s a couple of other strategies that you can do, so some of my sinus sprays that I’ll use and so I have 3 big sprays so here’s extra rescue which is really a good one because it has six different herbs in there. It has, like pau d’arco, parsley, eucalyptus, oil of oregano, tea tree, right, so it’s really good. Six different herbs and so what I’ll typically do out of the gates if you’re new to using the product. I’ll do it, about 2 sprays in each nose, about ten minutes before a sinus flush. What I find is, it starts to, like, agitate and release all the mucus. That’s kind of stuck to the inside of the sinus cavity and so like five to ten minutes before spray it, wait, and then do a sinus flush. I find that it releases things a lot better. So, that’s really good there. And once you’re better with it and you feel more comfortable, you can do it after as well. Just see how you feel. If you’re really, really inflamed too, there’s another product called Xlear max, which is a good one.  

Evan Brand: I’ve never tried that one. I’m scared of that one. 

Dr. Justin Marchegiani: Yeah. Well, the rescue one, I think, is like the strongest form, like a killing perspective. The Xlear max is more, like anti-inflammatory. So, the big difference is, this, the last one was grapefruit by the way and the Rescue.  

Evan Brand: Okay. 

Dr. Justin Marchegiani: And so in the max, the difference is it still has the same saline, still has the same xylitol. So, this has xylitol plus six herbs, okay, saline. This says xylitol saline, the difference is it has aloe so it’s a little bit more soothing, all right, for the sinus. It has the grapefruit as well, which, so it still has some killing effects in it and it has some capsicum which is like a homeopathic anti-inflammatory. So, this is like, if you’re like the tissue is really inflamed, really raw, this is a better one. This one’s really good for killing because of the different herbs that are in there. And then, there’s a regular one out there. I have it upstairs, as well, which is the regular Xlear and that’s more like people that have chronic sinus issues, you can use that more every day and it’s a little bit more gentle where it’s just the xylitol and the grapefruit extract and it has the saline and again the benefit of that, the xylitol, it really kind of knocks down some of the bacteria that could be there. It prevents biofilms from adhesions so biofilms are like the protective shields that a lot of the bacteria used to protect against the bugs. So, that’s very helpful. And so, the nice thing is if you do the saline, right? Oh, by the way, the water reverse osmosis or distilled, make sure it’s high quality filtered water. Do not use your general tap water, very bad, so make sure it’s really good. Don’t even use, like, river water, it’s gotta be really good clean filtered water. Like even now and then, I’ll use the water out of my faucet because I have a whole house activated charcoal system so it’s still good but I also have a RO system where my countertop is, so that’s where we cook in and drink out of that water so I use that 99% of the time. So, I’ll use that, I’ll add the packet, fill it up to 8 ounces, pack it and then I’ll add either hydrogen peroxide or silver. It’s good to have a couple that you rotate through just in case there’s some resistance which is, you know, meaning like there’s some bacteria or viral resistance. It’s going to have a couple of things there and then I also have just a straight grapefruit and saline solution as well. This one is okay. It’s gentle and so those are good ways to do it. I recommend, start to do it before you flush like 5-10 minutes before because a lot of times it just releases a lot of mucus and then it allows the flush to do really well and then depending on how you feel afterwards, you can also try it after a flush and then give it a sprayer. So, once everything’s really clean and see how you do afterwards. So that’s a good start out of the gates. Of course things like N-acetylcysteine are wonderful. NAC is great. That helps with the inflammation. Really helps drying up the sinuses. I’ll do glutathione, as well. I’ll do high-dose vitamin C. We’ll add in some different nutrients, zinc, those kinds of things as well. All the good immune nutrients, vitamin D decrease all the sugar consumption. A lot of that is very very helpful. I also have a red light in the office and so I’ll kind of go up against it and let the red light get in there because that’s very anti-inflammatory as well. 

Evan Brand: Man, I should have paid better attention to the label on that Max. I was afraid of that one because I thought that one was more intense than the rescue. I’ve done the Rescue forever. I kind of like the berm. You will get a little burn with that Rescue one but the way you talk that Max is actually more soothing than the Rescue. The Rescue is more hardcore so I need to try the Max, I’ve never experimented with it. 

Dr. Justin Marchegiani: Yeah. I think the big thing in the Max is just people are already, like more inflamed because there’s less killers in there, it’s grapefruit. It’s got the same sodium chloride, it’s got the aloe which is soothing and that has the Capsicum. I’ll do that right now actually. 

Evan Brand: That’s very cool and the question came in about colloidal silver so in some of the rinses you could do a little bit of silver. We, also, have talked about it. 

Dr. Justin Marchegiani: I already talked about that so I said you can do the hydrogen peroxide, add it or like I’ll do my nano silver like my GI Clear 3 or some kind of a silver so you’d add like a dropper or 2 worth of silver in there which is what I have for there. So, you can do silver, you can do hydrogen peroxide and you can also do some iodine. Those are your three good ones that you could do. You could also throw in like someone in the chat wrote about like oil of oregano or tea tree or something of that. Maybe overkill if you’re already using the Rescue afterwards or before because you’re already adding that to it.  

Evan Brand: Yeah. And so, we could do that in a nebulizer protocol too, so if we’re doing a hydrogen peroxide or a glutathione or a silver nebulizer that could be another sinus support. 

Dr. Justin Marchegiani: Yeah. The problem with the nebulizer, I find it’s just, it’s deeper, it’s better for, like lower respiratory stuff. The problem with, like the mucus that comes out of the nose, it’s very tarry. It’s very sticky, right? And so, what is the mucus? Well, you have one just mucus which is clear which is like your body trying to flush bacteria or virus out and then you have the immune system interacting with the infection and then the dead soldiers, right, of that fight, that battle are essentially all the green and yellow and so the more dead soldiers, right, the more battle we go from like light yellow to yellow to darker yellow to green, right? So, the darker, right, and the, the more chunky the mucus is, the more there’s an immune fight happening up there and so what happens is, you have, you know not that, this is the best analogy I can think of is you have all these dead soldiers from the immune reaction just like sitting up there and sticking all to the sinus cavity preventing breathing oxygen exchange and also some of that can eventually go down the eustachian tubes which connects to the back which can go to your ears then you can start to get an ear infection and all that dead debris can also become like fertilizer for like a bacterial infection down the road. So, you got to get it out. So the problem with nebulizer, it’s in a vapor form so it doesn’t have the ability to push the junk out and so with a nice bottle like this pressurized, you can come in there and you can really pull all that stuff out and push it out where you’re not gonna get that with a nebulizer so your nebulizer is gonna be, you can still do it, I still did it daily but it’s gonna be better for lower respiratory issues and this have all the same stuff in it a nebulizer will, the difference you’ll have the pressurized force behind it to really get it out. Push it out. That’s the difference. And there’s some like I mean there’s sometimes, I mean I won’t get graphic but like I’ll blow my nose I’m good right? I’m good, go flush it out and then there’s twice the amount of junk left behind after the flush that was that what I couldn’t get out through blowing and so you get a much deeper cleanse of the sinus cavity with this because a lot of times you’re getting stuff out literally in this upper forehead area in here and so you’re just getting a lot better release.  

Evan Brand: Yeah, you mentioned NAC already, which NAC got banned from amazon so if you need access to it, Justin seems on your store, I believe I’ve got a glutathione NAC combo. I do not have an NAC by itself. What do you do, do you have something to offer there? 

Dr. Justin Marchegiani: Yeah. We have different products like in my line have a detox amino product that has more other stuff in it. I just have a straight NAC here. I’ll go, there’s a couple of brands that I’ll go back to before, in between 90% are out so a lot of times I just have to get brands right now. That I typically wouldn’t get if we had a better supply chain with NAC right now but yeah we’ll put a link down below anyone needs NAC, they can reach out to the office but to highlight back on what you’re saying there, NAC is super helpful and then also there’s a Nasaline you can get which is like a pressurized syringe which is great. So, you suck up the saline from the bottle, it’s like a syringe, you put it up against your nose and you press it, that’s helpful. Also, I find too if things are really stuck, sometimes you need to go like pulsations so you need to like squeeze hard, relax, squeeze hard, relax, squeeze hard, relax because I find that the pulsation sometimes will free up some of these mucus that’s really tarry and sticky so that can be very very helpful.     

Evan Brand: Knock on wood, I never ever get sinus infections. 

Dr. Justin Marchegiani: I don’t either. It’s my first time. 

Evan Brand: I don’t know what to, what to attribute them to like you said is it an exposure, is it a weak immune system, is there a gut connection to it?

Dr. Justin Marchegiani: It’s just part of the viral infection so viruses tend to go in two major areas. They go upper respiratory or lower respiratory, right? So, a viral infection that goes too deep can eventually become pneumonia. A viral infection here can become a major sinus infection and so by being on top of this, you have your tools, your sinus flush is your best for your upper respiratory, your nebulizer is best for your lower respiratory and so you can prevent those things once you have viral infection, it’s replicating it creating inflammation. You could prevent these things from going too far with those tools. 

Evan Brand: Well, that’s a great point you just made which is the possibility of it turning into pneumonia so people listening are like well why should I care, why should I try to do this and speed the process up, why should I try to intervene? Well, because you don’t want to create more systemic inflammation or lead to something more serious especially in a person who’s 80 years old or above, you know, that could create much more problems if they didn’t treat it while it was just up here and it went further south. 

Dr. Justin Marchegiani: Yeah and if someone’s sick and they’re trying to prevent it, I think two to three flushes a day is good for, like, prevention especially while you’re sick. I think it can’t hurt just doing straight saline rinse once a day in general. I wouldn’t add any killers or anything to it. Just a straight saline. I think it is fine, just to kind of keep your nose clean at the end of the day. You wanna do that, I think it’s fine. If you’re sick, I’m going like every hour or two, I’m flushing my nose out just because at one it feels really good. It’s really clean and just as long as you’re not irritating the mucus, you know, its isotonic solution, so you have like the sodium, the chloride, it has the bicarbonate in here. Those are the two major compounds, right? Like sodium chloride is basically your sea salt, right? And then, you have your bicarbonate in there. So those are the two major ingredients and then of course this is like USP grade so it’s just really really clean.

Evan Brand:  And what do you mean by that? For people listening, what you’re saying is that pH balance so it’s not gonna irritate your sinus cavity. 

Dr. Justin Marchegiani: Yeah. You can’t just take regular, like, clean water and put it in your nose. If you will absolutely burn it and irritate it. It would feel like someone punched you in the face because the mucous membranes need a certain pH and a certain level of sensitivity so it’s kind of like using eye drops, right? Same thing. You need to have, like, saline-based eye drops. This is, you’re using sodium chloride.  Pharmaceutical grade plus the bicarbonate which is baking soda. That’s everything nice and balanced for the tissues. So, when you flush it, it shouldn’t irritate the sinuses and it should have allow it too feel nice and smooth and gentle afterwards and then if you have some kind of infection brewing even preventative for a bug just add a little bit of silver or hydrogen peroxide in there or a couple of drops, you know, some iodine that’ll give you enough killing capacity to knock down any bugs that could be multiplying but I’m going every hour or two, for me it just feels really good very soothing. It feels like plus if you blow your nose too much, you just keep your nose all raw around the side so it’s nice to have a nice clean flush. I kind of call it like, it’s like a bidet for your nose. It’s kind of how I look at it. 

Evan Brand: That’s hilarious. You know, this would be a good strategy for travel too. So, if you need something portable like the excellent Rescue. If you’re on a plane or after you get off a plane it’d be a good idea to boom boom do a couple of sprays that’ll be great. 

Dr. Justin Marchegiani: Oh, also, amazing for kids. Kids cannot honk their nose, blow their nose or the damn right. They just cannot get a good blow in there and you get these things on the market like a nose Frida which you know we have one you get like that deep in the cavity. We’ll do the whole nose Frida for you to think about the nose and then we’ll do this with my kids, flush it out and you’ll see so much junk come out. This is how kids get ear infections right? If you look at sinus anatomy, once you go up this far, there’s this canal, right here that goes straight to the ears and it’s called the eustachian tube and with kids it’s a little bit flatter a delta kind of angles up a little bit so it’s harder to get things uphill with kids because it’s a little bit flatter so it’s easy for the mucus and the junk to go into the ear and then you have an ear infection and of course like if your kids are getting ear issues to the food, sugar and of course high dairy products are gonna create more mucus, more mucus in the sinus cavity can make their way and so if your kids are more mucusy, one make the diet changes but two get their nose cleaned out as well so it doesn’t travel to the ear and this is why you want the mucus cleared up because if you let all the mucus and all this coagulation of all the immune soldiers so to speak, stay up there, it can make its way to the nose and now you have an ear infection. 

Evan Brand: Yeah. Good point about the diet. I know we got to run here in a minute or two but that’s a good point about the diet if you are looking for like preventative maintenance strategies, I mean obviously you can’t just live in a bubble and not get exposed to things but you wanna have the good foundation of your diet to reduce inflammation, I mean so many people come in and say they have quote sinus problems, really it appears that they’re food allergies because once they clean up their diet, they get rid of gluten, they get rid of dairy all of a sudden their sinus is clear. 

Dr. Justin Marchegiani: Yeah. And people have, like, allergies to the environment. One, have a really good high quality air filter. We recommend the Austin air because it has the activated charcoal, the Zeolite plus the Hepa. Hepa is, like, usually standard in most if you’re on a budget. You know, go with the Hepa to start but definitely get one that has an activated charcoal, Zeolite, the Austin air, the filter lasts five years per replacement so you don’t have to spend as much money replacing it every six months and the activated charcoal and the zeolite filters out more toxins but I’ll tell patients like you know, do a flush you know in the morning when you get up, do one after you’re outside working and then do one before bed. Just the saline’s fine. You could do a little bit of spray, you know, before or after. Try before that’s helpful but just try to get the allergen out especially before bed because if you have all these allergens way up here and they’re creating inflammation that could be a stress response during sleep that’s preventing you from deeper restorative sleep and so the sinus can be flush really helpful along with some of the uh some of the remedies that we have here. 

Evan Brand: It’s a good call. Well, if people need help, they can reach out. You can book a consultation with Dr. J at justinhealth.com. So, if you have sinus issues or other health symptoms, you wanna talk, see what’s going on, see if we can help that would be justinhealth.com for Dr. J, or if you need help from me, that’s Evan, evanbrand.com. We’re available worldwide. So, most of these products we can get and we can ship to you. I know a lot of people internationally have trouble getting some of this stuff, silver and NAC. Some countries are just weird and it’s hard to import stuff but usually we have. Our team is great with logistics. So, I think it’s good to just have a stash of this stuff if you don’t already, don’t wait till you get the sinus infection then try to order, get it. Get it now. Get it, get prepped. 

Dr. Justin Marchegiani: They have a bottle of it there. Someone said, can you do too much of it. I would say it depends, right. I would say, if you have an active infection, I think you’re gonna be fine just make sure the water is clean, RO high quality water. Make sure you’re using a good quality sodium bicarb, I think if the killers are making you more sensitive, right? You could always do your spray or killers before and then do the just the saline without anything in it after so then everything’s clean and flushed out so then you don’t have anything overly abrasive in your sinus after the fact, that’s a good way to do it and if that’s still a problem you could even, you could even just do a saline flush and not anything else after that. It’s still better than nothing just to get everything out of the sinus cavity but worst case do your spray before and then afterwards just the flush. And they have spray that are just silver too, so you have, I have a silver spray too. You can just do that, I’ll do that for my kids sometimes because they’ll complain about it like just the feeling it’s a tiny tinge of a burn for like 10 seconds and so I’ll do the silver sometimes with them. Oh by the way, my kid had a pink eye issue, used to silver spray, opened his eye up, I just like this, I went, gone in two days. So, silver is excellent for some of the pink eye stuff, I would never do it with this. That would burn but the silver is good. I hope that makes sense. Any other questions about that so far?  

Evan Brand: I think we got most of the questions answered here, there was one question about getting mucus after food and these were things like yogurts, ice cream, soy sauce, wheat products, well yeah, I mean it sounds like food allergy so obviously I would clean up your diet. I don’t recommend any of those foods, maybe if it’s like a coconut cream ice cream with low sugar maybe but beyond that all of those foods to me sound like potential irritants. 

Dr. Justin Marchegiani: Sugar and inflammatory foods, especially excess sugar and inflammatory foods will cause mucus, that’s part of the inflammatory response, that’s just part of it. Yep. That’s part of the reason why people have sinus infections outside of just getting upper respiratory tract viral issues.  

Evan Brand: Yeah. Absolutely. How many people are going to the ENT and getting a paleo diet prescription, probably not many.

Dr. Justin Marchegiani: No, and there just gonna recommend steroids, Flonase, steroids, antihistamine, they’re not really ever get to the root cause that’s the problem and so It’s really good that people are bringing these things to the light, you know, this guy Dr. Mehta, I think it’s Dr. the NeilMed guy, he’s really been on top of it, which is great. I mean this is an MD that’s talking about using really good options to clean out your nose and then you know having more of these sprays together is really good and having things that can add to them, I mean, just amazing and a lot of these viruses live in your nose so preventatively we can be on top of it, you’re out with a bunch of people, you know, instead of being overly worried about washing your hands which you know, that’s fine, wash your hands but flush your nose, easiest thing, flush your nose.    

Evan Brand: Totally more valuable in my opinion for sure.

Dr. Justin Marchegiani: Yeah. So guys, to reach out to Evan, evanbrand.com. Evan is available worldwide for health consultation support. I am as well, Dr. J, justinhealth.com, we are here to help you out. We’ll put some links here. Give us a little bit of time. I’ll put the links down below very soon so you can see some of the products that we use. Also, we’ll put some of the products that we recommend from our own store so you guys can get an idea of what we like. All right, any questions feel free to put them in the chat. We appreciate it. Share with family and friends, they could benefit and have a phenomenal day. Take care.

Evan Brand: Take care. See you next week.

The Gut Connection With Urinary Tract infections (UTI) and Yeast Infections | Podcast #367

Urinary tract infections (UTIs) are a common medical problem affecting millions of people worldwide. The primary source for UTIs is presumed to be the gut. That’s why in this video, Dr. J and Evan talk about how gut bacteria can contaminate the urethral opening, eventually propagate themselves in the bladder, and cause symptoms of a UTI and possible yeast infection.

They also added that women are significantly more likely to get UTIs than men. It is due to anatomical differences that make it easier for disease-causing bacteria to travel to the urinary bladder after accidental transfer from the bowels. They also discuss the other clinical and evidence-based factors with helpful tests to find the root cause of these issues.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00  – Introduction
1:53   – Urinary System
10:54 – Antimicrobials and probiotics
18:55 – UTI and Yeast Infection


Dr. Justin Marchegiani: Excited to be here with Evan Brand. Today, we are gonna be chatting all about the gut connection with urinary tract issues, UTIs and yeast infections. Really excited to dive into this topic. This is the common female topic that we deal with. I mean, men deal with UTIs as well but men have a longer urethra area so it’s harder for men to have UTIs with them. Women have a much shorter urethra so bacteria can make its way up to the urinary tract and blood much faster and easier and so probably more of a female issue but we’re gonna dive in. The physiology is similar between the two so men listening will still get something of it as well. Evan, how are we doing today?

Evan Brand: Hey, doing really well. And so, looks like about 90% of infection in the bladder, 90% of these cases of these infections of bladder, urethra and kidneys, it’s all related to E. coli, which of course E. coli are in your poop and can generally just take route up that way and they can migrate and populate within the urinary tract and so women obviously know these symptoms if they’ve had it but it’s you have to urinate more frequently, it’s painful urination. It could be pressure in the pubic area. It could be fatigue. It could go more severe into kidney injury but most women are usually so miserable before they get to that point that they end up doing some sort of conventional treatment. So, why don’t we just talk about the conventional approach because I think it’s great to highlight what people are doing and then what we’re doing differently that we may argue is a far more sustainable solution without the side effects. Antibiotics are gonna be huge and we’ve got some statistics on this. Antibiotics are prescribed for 33% of women to combat a UTI before the age of 24 but of course these synthetic antimicrobials are not without short- and long-term consequences.    

Dr. Justin Marchegiani: I’m gonna just share one thing here on screen just so everyone can see. So, you can see the female anatomy, right here is the urethra, here’s the bladder so you can see a very short distance from the urethra to the bladder. You can see here in the male anatomy, right at a much longer distance to get up here. Obviously in the urinary tract, you’re just typically with the UTI, it’s the bacteria that’s making its way up here, okay, into the urinary tract that’s causing the infection like Evan already mentioned that’s mostly gonna be bacteria, right?  Usually on the UTI side, it’s gonna be E. coli there, can be some Pseudomonas, it’s mostly E. coli. And so, it’s really easy for women to get bladder infection because you can see it goes up faster. Again, things like birth control pills we’ll talk about and antibiotics really shift the urinary pH and the intestinal pH which has a major effect on the bladder and the urinary tract and it makes it easier for bacteria to grow that tends to be why women are a little bit more susceptible than that for bladder infection obviously but in general you’re gonna see that with birth control pills because how estrogen affects the pH and then also women when they menstruate, right, just that whole vaginal area right there, sloughing off that endometrial lining. All that blood flow does shift that whole entire are to be way more alkaline because bloods around 7.3 pH so it does shift that whole vaginal tract to be more pH higher on the pH side which can increase other bacterial infections more on the vaginal side but hopefully that helps. Any comments on that, Evan?  

Evan Brand: Yeah. It’s totally interesting and this is stuff that maybe you didn’t pay attention to in school and biology class but now in adulthood it’s a lot more important and I think people just don’t even understand the anatomy of it and this is something that according to the research here, 25% of people treated for UTI, they will experience a recurrence 6 – 12 months later. So, I mean, that’s a quarter of these people that now have another UTI and they just go on this merry-go-round. And of course, every time you go on these antibiotics, you’re damaging the mitochondria, you’re damaging your gut microbiome in total, so it’s not just this one thing that you’re doing, it’s the sum to your system and it can really add up.   

Dr. Justin Marchegiani: Yeah, when we deal with urinary tract issues, I kind of look at, okay, you have yeast issues over here. They’re kind of, they intermingle right and how the different things happen. You have bacterial issues over here, right? So, your UTI issues are primarily bacterial, right, affecting the urinary tract. You can have BV, bacterial vaginosis, that’s another bacterial issue. Usually, Gardnerella bacteria is one that’s affecting the vaginal canal. So, a little bit different, right? Different, you know, same general area, different anatomy per se. You’re gonna have similar sequelae of tissues affecting it, right?  The big difference with the BV issue is you’re gonna get the potassium hydroxide odor which is, that’s kind of the fish smell. That’s what the bacteria in the vaginal canal does, it creates that potassium hydroxide that’s the fish odor. You’re not gonna quite get the odor with the UTI but you will have the burning during peeing. So, that’s gonna be the big differentiating factor. Sometimes, more odor on the BV but sometimes you can have none and then of course more pain during urination on the urinary tract issue and then if that continues to be left up that bacteria will eventually continue to go north and eventually hit the bladder as you can see that anatomy pretty short on video here. But, one of the big common issues is I would say like the big three, anytime I look at this problem, they tend to be the same. It’s gonna be a combination of antibiotic use so we’re wiping out a lot of the good flora in our intestinal tract which also affects the vaginal or urinary microbiome and then that affects the beneficial probiotics that actually make hydrogen peroxide like probiotics usually make hydrogen peroxide which is antibacterial. They’ll make different acids, glucuronic acid, they’ll make acidic acid. Different acid acids that actually help keep the microbes in check. They make hydrogen peroxide H202 and it keeps a lot of the bad bugs down. So, the first thing is we have a wiping out of the beneficial flora that also drive yeast overgrowth too so the same thing where it wipes out the good stuff, the beneficial probioflora, the probiotics the Bifidobacter, the Lactobacillus. The different species within the Bifidobacter and Lactobacillus, right? There’s Rudaea, casei, plantarum, lactis, these are all beneficial species, okay, that keeps the bacteria in check but also when you knock down a lot of the good stuff that can also causes this rebound overgrowth and yeast and that’s a lot of doctors today even on the conventional side tend to give an antifungal after an antibiotic in a lot of these female patients because they see a lot of these symptoms happen frequently. 

Evan Brand: Wow. And, you’re mentioning the antibiotic that starts this whole cascade and that’s not necessarily the antibiotic to treat an existing UTI and then we’re talking about these recurring UTIs. We’re talking antibiotics for something simple like, I’ve heard of some women going in for a dental cleaning or something just that seems benign and then boom the antibiotic just really had forced them to take another fork in the road with their gut health and of course the vaginal health is affected. 

Dr. Justin Marchegiani: Exactly. Now, with urinary tract issues, I mean they’re simple things, right? Sometimes, just after intercourse, after sex, just not peeing. Sometimes that sperm and the semen being up there can kind of create some issues with bacteria so urinating after sex can be very helpful. You’ll see it with younger kids just wiping the wrong direction, right, essentially wiping back to front bringing some of the bacteria in the stool into that urinary vaginal area can be a problem. Sometimes different contraceptive methods like that involve, like a spermicidal intravaginally can sometimes mess up the milieu of flora in the vaginal tract. Having bladder stones or kidney issues can sometimes have problems, going in for a surgical procedure where they put in some of a catheter, you know, those are, you know, gonna be way unlikely but you know just kind of given the gamut of those across the board. And then of course, you know, the antibiotic exposure and I would even say just too much sugar, too much carbohydrate, a lot of bacteria like acellular easy to digest refined processed carbs. So, more carbohydrates, more sugar, more grains, more flours are definitely gonna work, you know, increase those microbes’ kind of having a feeding frenzy if you will.   

Evan Brand: And, how can you find this out? Well, there’s an easy to do at home test that you can buy for less than 10 bucks. You can do these test strips at home. These urinary test strips and if generally, you see a dark purple, you’ve got a big issue and so it’s something that people should have on hand if you’ve suffered for a while. I know a lot of women; they just hate having to go to the doctor’s office and get tested and then they leave with another antibiotic and then they’re on this merry-go-round. So, we talked about the conventional approach, they really as far as it goes antibiotics 

Dr. Justin Marchegiani: So, with the test strips, I think most of them are primarily looking at either immune cell in the urinary tract. I think, a lot of times with yeast or bacteria. They’re looking for, like leukocytes or leukocyte esterase, they’re looking for bacteria or I’m sorry immune cells in there. I know, some of the yeast ones are looking at pH so they’re looking at a more alkaline type of pH. The more alkaline the pH moves from six to seven to neutral, right, neutral is around 7. Into the 7-ish range, that tends to say that okay we have more yeast issues or we’re starting to move back in the direction of bacteria if we’re starting to see some of these leukocytes moving into the urinary tract. 

Evan Brand: Yes. It’s kind of an indirect marker, right? You’re looking at those leukocytes and that’s what you would be seeing in terms of like, the light purple, dark purple, extreme purple on the test strips.  

Dr. Justin Marchegiani: Yeah. So, they’re looking at the immune system starting to come in there and obviously with a BV issue, bacterial vaginosis. They probably need a swab to see what’s going on there, see if it’s like a Gardnerella or a Pseudomonas or Klebsiella, you know, what the bacterial species is. Now, typically with yeast issues in the urinary tract, I’m sorry with, uh, yeast infections primarily gonna be Candida or Candida subspecies. With BV, it’s primarily Gardnerella and with UTI’s it’s gonna be E. coli, typically.    

Evan Brand: Now here is the cool part. Are you ready to talk about some of the transitions you hit on the diet piece of a bit of sugar process things? Maybe we should hit this first and then we’ll talk about, like, the functional strategies that kind of thing. You and I were talking about this before we hit the record that so many people, they want the solution to an issue like this but they haven’t even got the foundation styled in, in regards to their sleep, in regards to stress, proper hydration, nutrient density, lack of antibiotics if possible. Just those foundational pieces, a lot of times, are gonna keep women in a place where they’re not gonna end up with this problem so if you’re just tuning in, somehow you found us and you’ve not been listening for a while and you’re just now hearing us and you’re looking for this magic remedy, you got to make sure you get the foundations in order first because in theory, this should not happen if you’ve got the foundation style then.  

Dr. Justin Marchegiani: Correct and so first thing out of the gates is just foundational things like hydrating enough because if you have a UTI issue just having constant good water flow and also you know with some electrolytes in the water that can be very helpful kind of having an antibacterial effect. And just keeping that good water flowing, the solution to pollution is dilution so that can really kind of keeping things flushed down. Obviously, being very careful if you’re having antibiotics. Why did you have the antibiotics? Was it for routine preventative things? Was your diet off and your immune system’s weak and you got sick and you needed it? Why, right? So, you want to look at that and if you had chronic antibiotic use, you know, what does the bacteria in your gut look like because odds are, if your bacteria or yeast imbalances are present in the vaginal tract or the urinary tract, you probably, also have issues in the digestive tract. You may have SIBO, you may have bloating, you may have gas, you may have poor digestion, low enzymes, low acids, H. pylori, parasite infection, you may have to look deeper in the intestinal tract and actually work on knocking down some of those microbes fixing the gut and then really work on repopulating some of the good bacteria after the fact to really work on fixing the gut because you start to fix the gut pH and the gut bacterial milieu that does help improve IgA levels and that does help with the immune system in the vaginal area as well. 

Evan Brand: Yeah. Well said. So, if you’re coming in with the UTI, most of the time, there’s gonna be more than just a UTI present. There could be as you mentioned a number of, we have someone coming in and UTI or recurrent UTI is one of their complaints, I can tell you, you and I are gonna wanna run the stool panel and we’re gonna run organic acids because we’re gonna want to look at the whole microbiome and certain things may get missed on the stool and the urine should feel in the gaps like we might find Candida in the urine and it got missed in the stool. So, stool and urine, there are things that your typical doctor and your lab locally is not gonna run. They might run a urine panel but this is not the same urine panel as an organic acid, we’re talking something far more advanced, far more comprehensive whereas the urine panel, locally, is primarily just gonna look for bacteria or maybe leukocytes as you mentioned you might get a positive or a trace or something like that but it’s not a detailed description of what’s going on you mentioned several bacteria too, like Klebsiella and Prevotella, we can identify this on a stool panel. So, that’s why it’s so important to get the data and could we just throw a woman on an herbal UT formula, we could but you know, we want to do our due diligence, we want to do a good work-up on these people too to make sure that we’re not just cut straight to the chase and we skip something huge that we would find on these tests.  

Dr. Justin Marchegiani: Right. I mean a lot of the antibiotics they’re gonna be using are gonna be like Bactrim or any of these kinds of, um, Mors, Augmentin’s a big one. Bactrim and Augmentin, those are a couple definitely be very wary of any of the fluoroquinolone families because they have significant side effects regarding tensing tendons and ligaments and mitochondria so be really careful of using fluoroquinolones. Of course, when we work these patients up, we’re doing a really good history so we understand how everything came to fruition regarding the UTI, yeast infection or bacterial vaginosis. We’re trying to understand it, right? Obviously, with certain things like yeast infections, BV, like making sure things are dry in that area. If you’re in a very moist environment keeping things dry helps because yeast and mold love a very moist environment. So, keeping things dry tends to be very helpful. Soaping up some of those areas you’d be very helpful too that you can use a really nice, um, as long as the mucosa is not like really, um, irritable, you can really use a really nice sulfur soap especially in the outside air if there’s anything yeasty on the outside are, anything internally. There are definitely internal things that we can do. So, on the internal side, just getting water in there, maybe helpful using raw cranberry juice, not anything with added sugar but raw organic cranberries, you know, 4 ounces at a time diluted some water is pretty good. You can drink that. That’s gonna have a nice low pH in it, which helps prevent the bacteria from growing. It also helps with some D-mannose in the cranberries. Can also internally do things like different berberines, can be very helpful, that’s excellent boric acids, another excellent compound. You gotta be careful with these by, enlarged by itself because they can be a little bit irritating so you want some nice things that provide some moisture whether it’s aloe or shea butter. There’s different, like moisture compounds that can provide the moisture so you don’t dry out that tissue as well. 

Evan Brand: You know, how about some of the suppositories. Have you used those before? I’ve seen some of these like pH suppositories, those have been helpful, also I think it’s integrative, I know Aviva Romm did a talk or an article on it one time. There was a specific probiotic that we had used, I think, it was called pro-flora that we had used, uh, that was supposed to be inserted vaginally and that was like a game changer for BV and some other related issues. So, not only taking oral probiotics but vaginal probiotics as well. That has been a game changer for many women. It’s not something we have to go to a lot but it is a good tool if someone just in bad shape and the conventional strategies failed them or made them worse then something like these vaginal probiotics are helpful. So just to be clear, there’s some strains specifically for vaginal health that are taken orally but then there’s also other blends that you can insert vaginally and the women have reported great success with those. 

Dr. Justin Marchegiani: Yeah. You want to make sure the hydration is there, whether it’s aloe or beeswax or shea butter or coconut oil, some of those can be helpful. Again, the antimicrobials that we may use would be the boric acid, some of the neem, some of the different berberines. And again, we may want to also add probiotics in and around there that can be very helpful. In regards to, like yeast issues or, um, UTI issues, you got to be very careful because when you women menstruate, well more with yeast and more bacterial vaginosis because that’s affecting the vaginal canal more. When women menstruate, that blood is like 7.3, right? So, that’s very neutral to alkaline. So, when you’re menstruating, you’re taking that acidic pH in the vaginal tract and you’re moving it backup to a more neutral pH when you menstruate so that’s gonna actually make it easier for bacteria and potential yeast to grow and you could have a BV issue or yeast issue that can happen due to your menstruation. So, when you’re already more susceptible in that vaginal area, you know, you gotta, you may actually wanna do a suppository in and around your period too, because that pH is gonna move up and that can start to cause microbes to grow. Some women have to be more careful with that, you know, if they have a chronic yeast or bacterial issue just to make sure it doesn’t come back. 

Evan Brand: I want to hit a few more herbs and then I want you to riff on the birth control conversation because I think that’s huge. So, you mentioned berberine and some of the other related herbs. Also, we’ll use the antifungals at the same time. So, you and I have our own custom blends that we use and so we may use something like Pau D’arco, French tarragon, horse tail, olive leaf, things that have antifungal and antimicrobial properties. So, that’s the cool thing about what we do is as you mentioned Backstrom or some of these other conventional strategies. It’s just a big sledgehammer, right? It’s not a targeted tool. It’s one sledgehammer. We don’t know exactly what we’re gonna kill but it’s an antibiotic, were just gonna drop the nuclear bomb into your gut and we’re gonna disturb not only your gut microbiome, we’re gonna negatively affect the production of your nutrients in your gut. We’re gonna negatively affect your mitochondria. We may knock out the UTI but as you saw in the papers, 25% of those UTIs are gonna come back within 6 months to a year and so when we’re coming in with these antimicrobial herbs, also, throwing in antifungal herbs, that’s where the magic really happens because there could be a combination as we talked about. It’s rare to see just UTI, it could be a combination issue meaning there’s some Candida, there’s some bacterial problems, maybe there’s parasites in the gut too. Maybe there’s H. pylori like you mentioned. And so, that’s the fun part is when you take a blend and you’re working people through this protocol. You’re now knocking 4,5,6 issues out all at once in one fell swoop when they originally just came in with the complaint of UTI. When you do the labs, you wanna uncover so much more and that’s where the beauty is. 

Dr. Justin Marchegiani: 100%. Here’s one study here looking at the perceptions using contraception birth control pills. So, usually this is like a synthetic estrogen mostly, right, an ethanol, estradiol. I’m looking at the influence on the vaginal microbiota and so really the take home here inside of the gate, the vaginal state was significantly modified hormone administration apparently corrected the alterations uh, but has the potential of being an accurate tool. Where is it? Right here, um, there it is, I’m sorry. Statistically significant association between, this is, um, this is contraception and normal microbiota was observed after three months when the vaginal microbiome was modified at 6 months inflammatory reaction was detected in almost half of the women. So, only seven women but you can, it created an inflammatory state in the vaginal microbiota and then also yeast colonization was increased and it created an inflammatory reaction in three out of seven women and it altered some of the beneficial bacteria in the vaginal area. Now, small study but you can see, you know, three out of seven, it affected this and this is what we see clinically with a lot of our female patients is some of these things can be affected because it’s affecting: one, it’s creation; two, it’s causing yeast to grow impacting some of the good bacteria and how does it do this, it does it mostly via LDH. If you alter someone’s digestive pH, right, let’s say you give them a proton pump inhibitor, you’re gonna have all kinds of digestive issues and maybe even nutrient deficiencies that can affect things long term. Obviously, with birth control pills, there’s other things they do, they can create issues with nutrient absorption or they can cause nutrient deficiencies in areas of B vitamins, folate and also calcium and magnesium. So, we see a lot of women that do birth control pills have a lot of those nutrient problems. So, if you’re on a birth control pill, ideally, it’s better to use something that’s more barrier based or if you want to set it and forget it method, you know, potentially looking at the ParaGard which is a copper IUD, you just have to make sure you can handle the copper. I find if you want to set it or forget that the copper tends to be better than the hormones but ideally, you know, a barrier method it’s not internal all the time. It’s probably better so that just kind of gives you a couple options there. 

Evan Brand: Yeah. I’ve heard some stories, some horror stories about the copper ones too. So, like you said it cold be a problem but

Dr. Justin Marchegiani: Not everyone has problems with it. I mean, women that like tend to cramp a lot, they could have, because that cramping, IUD being in that uterus sometimes that can cause pain but it just depends kind of where women are, you know. Some parents may be pushing kids to have a method because they don’t want their kid getting pregnant and maybe they feel like they aren’t responsible enough at maybe 18 or 19 and they set it and forget it method. If you want that, I would recommend doing the ParaGard before you go to a hormonal method. 

Evan Brand: Yeah, for sure. And, not to mention too we’re already in a society of so much estrogen dominance and you and I have done podcasts about the impact of gut imbalances in issues with the glucuronidation pathway which is then causing further issues. So, we could see this estrogen problem in a woman who’s not on birth control. You could still see that manifest in this way and so that’s why you’re getting off of the xenoestrogen, you’re cleaning up your makeup. You’re getting rid of plastics. You’re fixing your gut. You’re improving detoxification. All these other functional medicine strategies are directly impacting your ability to beat this situation. So, we know, we always want people to look at the big picture. Don’t just look for the magic, uh, like, berberine, Pau D’ Arco remedy. And there’s a question here in the chat, ‘how many Pau d’ Arco capsules is needed for someone who has Candida in their gut?’. I have no clue because we rarely use it in isolation. We’re always gonna use it in a blend. And I doubt you have just Candida. You’ve probably got other issues too. 

Dr. Justin Marchegiani: Yeah. Somewhere when they come in, they could have a combination of a little bit of a bacterial, a yeast issue, UTI thing. That could be a kind of combination of 2 or 3 different things happening. This one may be more predominant. So, we never wanna just go all in on one thing. Again, if someone’s having vaginal issues specifically, there’s gonna be things that we insert intravaginally like some of the boric acid, like some of the neem or the berberines and we’ll probably interchange in some probiotics because part of the big problem is you have to get the bacteria flora in the vaginal area, back up to where it should be because it’s the good bacteria that will help keep the other bad bugs in check through their natural acid and hydrogen peroxide production. 

Evan Brand: Well said. 

And so, the point I was making is that I don’t want people listening and going okay just give me the freaking remedy. What’s the natural urinary tract remedy? That’s what I’m here for. And we’ve talked about some of those, you know, the mannose, the cranberry, the berberines, the Pau d’ Arcos, the French Tarragon, this whole blend, you know, that may be the solution but what got you here is important. Have you fixed the other issues that have gotten you here. And so, I hope people see the big picture. Sometimes, you and I are happy to just go boom, hit the oregano oil and were happy to just throw out just this natural solution but like you said before we hit the record, you don’t want people skipping out on the low hanging fruit. 

Dr. Justin Marchegiani: Exactly. And so, it’s always good to do history. I find the big issue is antibiotics can be a big factor. I also find just some of the low-hanging fruit like the intercourse and hydration can also be a big factor as well. You’ll be surprised. And so, my wife comes to me, she’s like, ‘my friend has this issue, what should I recommend?’. Well, it’s hard, I can’t really recommend a lot of things because I don’t know much about them if eating like crap and they’re not hydrating and they’re drinking lots of soda and they’ve been on lots of antibiotics, you know, I may say, hey, all right, do this [24:34] but that’s gonna be palliative and not fix the whole lead up and how everything went down. And so, the lead up and I call it the timeline history of how we get to this point matters so much because, you know, if not, you were just becoming naturopathic doctors that are using nutrients and herbs like MDs use drugs. Now, again, I think that’s better because a lot of these things are natural, have less side effects but still we want to be holistic and still root cause. 

Evan Brand: Yeah. Well said.  That’s the problem. There’s a difference between naturopathic approach to this issue and functional medicine approach to this issue. So, I think you made that clear, which is, you go to the naturopath, it’s hey, here’s the oversee, functional medicine is gonna come in and say, ‘okay, well, how did you get to the UTI?’. Oh, you took antibiotics, you’re on birth control for 20 years, you had a sexual partner who had extremely poor microbiome health, maybe there was some issue there, maybe you had multiple partners, maybe one of them had H. pylori. You have low stomach acid. You ended up with dysbiosis, then you got Candida overgrowth, then you drank too much alcohol, you loved to do wine in the evenings. You ate a little too much chocolate, you know, it’s like, that’s the more investigative route and that’s where people need to be thinking.  We’ve got friends that are naturopaths, good people, but you just got to go deeper most of the time.  

Dr. Justin Marchegiani: Yeah, and a lot of times too, if I’m, if someone has chronic issues, I wanna know more about their gut because the microbiome has such an impact especially with IgA and with the overall immune system. So, if there’s chronic issues in the vaginal area, you have to look up to the intestinal tract. Very important. 

Evan Brand: Yeah, and you would say there’s gotta be some link between the low secretory IgA that you and I are seeing on the stool test and what’s going on with the vaginal microbiome too, right? You would assume that’s a system-wide defense shield that’s gonna be affected.  

Dr. Justin Marchegiani: Yeah. It’s part of the mucous membrane barrier. So, mucous membranes in the eyes, the mouth, the intestinal tract, the urinary tract, the vaginal canal. So, if we see low IgA issues in the intestinal tract, that barrier is a little bit weaker. Think of the force field, you know, you see star trek, they put, like their force field up, right, so they, so when the Klingons go to shoot them, it kind of bounces off, right? Think of the force field we have in our intestinal tract and our vaginal canal and our urinary canal that kind of protects and so probiotics can help, obviously getting rid of the dysbiotic microbes can help, avoiding a lot of things that create the imbalances to begin with, which would be a lot of the antibiotics or maybe pesticides or GMO foods that produce a lot of antimicrobial compounds too. All those help avoiding those things too. 

Evan Brand: You know, what’s happening even in the functional medicine world, is that everything’s becoming isolated. Are you noticing that? Like people are focusing on just the gut. So, it’s like this leaky gut formula, this leaky gut protocol and they’re ignoring the fact that you just mentioned this IgA, this mucosal barrier is kind of a system-wide problem. So, there could be oral, vaginal, gut all at the same time, all related to the same dysfunction of these force fields being down. I think it’s just marketing, right? People just want to market that they’re the gut guy, they’re the parasite guy, they’re the Candida guy. I think that’s just a marketing probe but hopefully people are seeing this and of course if they’ve been listening to us for months or years, they’re seeing that this is a system-wide problem, it’s just manifesting in this way. 

Dr. Justin Marchegiani: Yeah. In the functional medicine world, a lot of people market to niche areas and symptoms which is fine because a lot of people when they get focused on something, they think they have these issues, they’re going into google or they’re typing that issue. So, for you to be relevant and for that person that has health issues to find you, you do kind of have to market to a symptom but then when you find that person and you talk to them, you wanna make sure that their approach is globally where they look at things holistically and you’re not seeing the gut person that only deals with the gut and they’re not looking at your thyroid or your anemia or your low glutathione. They’re not connecting the dots. So, you got to make sure they’re still able to connect the dots but multiple systems and they’re not just focused on one issue. So, it’s okay for doctors to market to that, you just have to make sure that their philosophy is a holistic philosophy that encompasses everything in there. 

Evan Brand: Yeah and holistic spelled w-h-o-l-e a wholistic, the whole thing, the whole body, the whole person, not just holistic as in natural, it’s gonna be the whole piece and I think that’s where I suffered for a long time because I focused on my gut for so long but I was ignoring toxicity issues, I was ignoring dental issues, I was ignoring tick bite infections. So now, oh crap, I see the whole picture and I would miss that if I just dialed in the gut so and that’s what you and I do. We’ve done this over with clients worldwide, we look at the whole picture. If you’re suffering, if you’ve been through the conventional rabbit hole or maybe you’ve been fortunate to avoid the conventional rabbit hole, you don’t want to go down it but you need help, feel free to reach out. Dr. J and I work with people around the world. We can send these labs that we’re talking about stool and urine. These are at home, these are non-invasive. It’s rare that we need to do invasive testing but most of the time it’s at home functional medicine tests can be sent to your door, you do them, you send them back to the lab. We get the results. We jump on a call. We run you through them. We interpret those. We make a protocol for you and get you better and get you off the merry-go-round. So, if you need help, feel free to reach out, Dr. J is at justinhealth.com and me, evanbrand.com and you can reach out, book a call with us, we’d love to talk with you, help you, find and fix the root causes if you just have UTIs and you think that’s all it is, maybe you’re right but maybe not, either way, we’re gonna help you get to the bottom of it. 

Dr. Justin Marchegiani: Very good. Excellent. So, for women that are listening and kind of want to recap here, first thing, make sure your diet is right, keep in the process refined sugar, grains, flours out, makes a huge difference. Omega-6, seed oils, in general, should be reduced as well. Hydration, make sure hydration is good, clean and filtered water, um, you know, good mineral water, especially if you have more health issues, more minerals in there is gonna be better. Next thing out of the gate, you know, urinate after intercourse, those kinds of foundational things. If you have chronic gut issues, definitely, get your gut looked at. If you’re on hormone, if you’re on birth control pills, definitely get your hormones looked at and figure out why you’re on them. Most women aren’t even on hormone or birth control pills for birth prevention. They’re on it for off-label issues like acne or headaches or lots of PMS and so most women could totally get off it because they’re not even using birth control pills for the original intention. They’re for off-label use and so that would require looking deeper at the hormones. Next, you can get tested, you can do either a, um, a MONISTAT test to look for yeast, you can get those at the drugstore, you can do one of the strip tests to look for leukocyte esterase or I think it’s nitrites in the urine for more of the UTI issues and of  course, if you have a lot more of the odor-like, uh, issues, you can get a vaginal swab from your OB or your primary to rule out any of the BV issues as well, again, similar solutions, you know, some maybe more internal in regards to what we recommend, some maybe more internal like with swallowing pills so maybe internally, intravaginally and of course the more chronic the issue is, the more we have to really support the vaginal microbiome with the right beneficial bacteria getting in there internally as well. And then, of course, just keeping up with a lot of the menstruation because that can really affect a lot of the, um, the bacterial issues and yeast issues in the vaginal canal because it’s gonna shift that pH from very acidic to more neutral to alkaline at that time of the month when you menstruate. So, hopefully, that’s a good kind of crash course, out of the gates and kind of you guys understand kind of our spitball kind of philosophy and how we look at the whole history and really connect the dots and we have our little toolbox of all these things but we just got to make sure it’s catered to the history.  

Evan Brand: And alcohol too, I think, we briefly mentioned it but alcohols got to go. It’s just, it’s not gonna help you. It’s going to promote all sorts of issues. It’s gonna aggravate the immune system. It’s gonna affect your IgA levels. It may promote dysbiosis and it may promote more yeast problems and so I’ve heard many stories where a woman’s like, oh yeah we went to Napa Valley and we drank wine and ate chocolate and salami and cheese all weekend and now I had a flare up. It’s like, well, yeah, duh, I mean, that’s incredibly damaging. Everything that you’ve done, you binged on wine all weekend so I think wine kind of gets like this people think that they’re not drinking alcohol. Somehow, they think they’re getting off the hook. Oh, it’s just wine, like, it’s so socially cool, it’s like coffee. It’s like coffee and wine, like wine is so accepted into the culture but it can be a big problem, I tell you. Some of those California women, the ones in San Francisco, like, it’s part of the culture here. I had one woman argue with me that she didn’t want to get off alcohol. I said, well, what if it’s gonna help your gut. She’s like, well maybe I’ll consider it. So, sometimes as practitioners, we’re having to bargain with people and try to make trades and make healthy swaps, we’ll swap it for this and try this and what if you do a binder afterwards. So, sometimes, you gotta work with people, they’re not just in a vacuum. We got to work with them and help educate them so that they’re more dedicated to the lifestyle changes but I just want to mention alcohol because I think a lot of people, don’t even consider the impact it has on the gut but then on this flora.    

Dr. Justin Marchegiani: Yeah. A couple things with alcohol, number one it’s diuretic so it will increase the frequent urination and kind of make you more dehydrated so good hydration helps prevent a lot of that bacteria from growing. Number two, out of the gates, you know, it may be necessary out of the gates for the first month so as you get things under wrap. There’re also healthier versions of alcohol. I mean, you can always get, like a Cosmo martini that has the fresh lime juice in there and cranberry juice. Just make sure it’s, like not the cranberry with sugar or the lime with sugar. Make sure, it’s fresh lime or actual juice cranberries with, like a nice Tito’s vodka, I mean, Tito’s vodka is, um, it is charcoal filter, right? So, it’s gonna be really clean and you can get some nice cranberry and lime in there that should be almost be beneficial in a way, obviously, you know, keep it, you know, a drink or two maybe once or twice a week max but once you better that maybe a good option to add things back in and just stay away from a lot of the sugary stuff and of course the glutinous drinks and you’ll be in a lot better position.   

Evan Brand: Yeah. It’s a funny thing you have to mention. There’s got to be real cranberries because most of the time you go to a bar, it’s like that. It’s garbage. The heart or it’s the high fructose corn syrup concentrate. 

Dr. Justin Marchegiani: Yeah. So, worst case, you can always just do a fresh lime squeezed in there and see if they have anything that’s just a pure, you know, extract and that’s a much way to do it. Of course, dry or white wines and you know just a good Tito’s vodka is always great with just the lime in and of itself. That’s an easy way to do it and keep the sugar and junk down but also keep a nice acidic pH there which is helpful for the vaginal area. 

Evan Brand: Yeah. We’ll hope, as you mentioned, no I think we covered It so if you need help, we mentioned the links here Dr. J, that’s Justin at justinhealth.com. You can reach out for consult worldwide. Me at evanbrand.com, either way, we’re here to help you guys. We love what we do. We have a blast and it’s fun to educate people. It’s fun to empower people and take back your health and it’s possible. Whatever you’re dealing with it’s possible to make progress so just keep your head up. Stay motivated. Don’t always run straight to that antibiotic if there’s another way. You may try another solution. If you’ve been doing this for a decade now and you’re still battling it, you’re not out of the woods yet, it’s time to look deeper.    

Dr. Justin Marchegiani: Excellent. Great chat, Evan. Everyone, have an awesome week. We’ll talk soon. Take care of you all. 

Evan Brand: Take care, now. 

Dr. Justin Marchegiani: Bye now. Peace. 

Evan Brand: Bye-bye 

How to Investigate The Root Cause of Your Gut Issues | Podcast #366

In functional medicine, it has long been familiar that gut health is paramount to the rest of the body. We didn’t fully understand why for years, although we knew the gut was the seat of the chronic inflammation and immune system. With the gut microbiome renaissance, we also need to understand how integral gut bacteria are to our health.

Dr. J and Evan discuss that screening for more serious underlying issues is essential. These may include gastric ulcers from an h.pylori infection, leaky gut, and other digestive system problems. Finding out whether these conditions are an issue also impacts how you manage gut health.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
3:34 – The Signs and symptoms of digestive disorders
7:35 – What tests are effective to find the root cause of gut issues
13:58 – The downside of ordering lab tests on your own
26:21 – Food template modifications that will fit for your gut health


Dr. Justin Marchegiani:  Here, Dr. J, with Evan Brand. Really excited to have an excellent podcast today. We’re gonna be chatting about how to investigate the root cause of your gut issues. We see lots of patients come in and they’ve gone to see the SIBO doc or the Candida doc or the parasite doc or the thyroid doc and whatever the symptoms that they’re dealing with, magically that issue, that doc only focuses on is the problem, how coincidental right? And so, we want to talk today about having a holistic mindset not being necessarily attached to what the diagnosis or what we think is the root issue but really be focused on the outcome and the different tools we use and have to investigate and support healing. Evan, how you doing man?  

Evan Brand: Doing good. And not to mention too, the conventional approaches, right, maybe they get to the SIBO guy or to the parasite guy or to the worm guy, maybe they went to the endocrinologist first for their hormone symptoms and then they got referred to the gastro doc and then the gastro doc did an endoscopy or a colonoscopy or a barium x-ray scan like you did to me and then they say oh you’ve got gastritis and that’s the only thing they can pull out of you is hey there’s some inflammation and then it ends there so whether you’re coming, listening from the conventional approach whether you have tried to go more natural holistic approach. As you and I’ve talked many times, people over-specialize and that’s the problem. You and I are what I would consider very good specialists but we also have a generalist undertone to us, meaning, we’re not gonna get caught up in just the SIBO, we’re not gonna get caught up in just the parasite, it’s rarely that simple. 

Dr. Justin Marchegiani: Absolutely. It’s like, imagine, like you hired a handyman to come over and fix something in your home and the handyman just takes this Phillips flat head screwdriver and it’s like, or, I’m sorry, not, but let’s say a regular Philipps screwdriver and just say hey I’m gonna use this Philipps screwdriver even if it requires a nail, even if it requires a wrench or a drill, I’m married or attached to this Philipps head screwdriver and we don’t want to be attached to the tool, we want to go in, know that we have a myriad of tools in our tool belt and pick the right tool for the right job. There’s a nail, I’m going to pick a hammer. Hey, there’s a, you know, a wrench, you know, we’re gonna use something that is good for a wrench etc. So, we’re picking the right tool for the job and we are focused on the outcome, getting the results and we’re not focused on how we get that outcome, right? The vegan diet people, they’re gonna make it so everything is solved by a vegan diet and that’s it, right? And so, we are independent of the tools that we use to get the success that we need. 

Evan Brand: Yeah. Yeah. That’s a great point and a lot of this comes from just experience but also our own personal journey too, I mean, you know, my story, you helped me through my story of having digestive issues and skin issues for decades of my life and we looked at the H. pylori, worked on that then it was parasites then it was bacterial overgrowth then it was Candida then it was mold, I mean, so, I went through the ringer personally and I think personal suffering but of course clinical experience really gives you the non-biased approach and I think that’s what you need because if you’re trying to just sell book or you’re just trying to just get clients in from a book you wrote on SIBO, as you said, everything’s gonna be SIBO and if somebody is not in that box, you’re gonna still give them the same treatment, you’re not gonna get them better and then they’re gonna move on and the average person who comes to us has already been to 5, sometimes 10 or 15 practitioners, so it’s not surprising when we look what they’ve done and they’ve still missed some of the pieces. So, why don’t we talk now about some of the pieces, like when we’re looking at someone with gut issues, what are the pieces we’re trying to lay out on the table in front of us to gather enough information to find what’s truly going on and then of course how to fix it.    

Dr. Justin Marchegiani: 100%. So, the first thing that I think is essential is you got to do a good history, you have to understand how everything unwound, right? And so, when you look at most people’s history, a lot of times there’s poor diet, there’s usually some stress issues, a lot of inflammation compounded by junky fats, um, poor digestion, in general, not being able to break down proteins and fats, lots of refined sugar usually processed grains, excess omega-6 or trans fats and these things just continue to put the body in a pro-inflammatory state and what that means is, when you become overall inflamed at a higher level, your body starts to break down faster than it can heal and so the goal of being anti-inflammatory, right, is restricting a lot of the foods that drive inflammation, so your body can heal faster than you break down. So, there’s always this net buildup versus net breakdown and so when you’re breaking down over time what starts to happen is just as you know from a joint standpoint, you’re starting to feel a little bit inflamed, stiff from a mood standpoint, you may have anxiety, depression, obviously fatigue starting to creep in. Because, the more inflamed you are, your body’s having to deal and allocate adrenal resources to deal with the inflammation, to deal with the stress where normally those adrenal resources would help with energy and good mood and good circadian rhythm and so of course then that starts putting stress on the thyroid then you start having mood issues, temperature, hair loose and then of course the more stressed you are, the more that starts to suppress your body’s ability to digest optimally. So, HCl levels, enzymes levels, maybe bile salt levels start dropping. You start to have a harder time breaking down protein, breaking down fat. You may start getting burpee or gassy or more flatulence, now, your motility starts to go south typically more on the constipated side but you can still have more diarrhea too. And then, your absorption starts to go south and when that starts to go south, now you start to have, um, a bottleneck and all the nutrients, whether it’s B vitamins, flat soluble vitamins like A, D, E, K, whether it’s minerals or amino acids to help your brain chemicals or cholesterol to help your hormones. Those building blocks start dropping and then those pathways start getting shorted and they don’t have the resources to run optimally. And, when we don’t have the resources, more symptoms start to happen. And of course, this kind of compound in this whole journey is the immune system starts to drop and then when the immune system starts to get weaker, now, bugs start coming into the situation, whether it’s parasites or yeast overgrowth or SIBO or bacterial overgrowth or H. pylori. And again, we don’t have to be married to which one or which system is the one, right? But we have to look at things objectively and, um, I think it was Dr. Kaler said this to me over a decade ago, it was kind of a good line, he said, ‘patients have the right to have more than one issue, more than one infection, more than one hormonal imbalance going on at the same time, so don’t get married to one thing because you have the right to have lots of things going on.

Evan Brand: Yeah. Yeah. And you illustrated beautifully, just the constellation of symptoms that can happen. So, if someone is coming in with gut symptoms that’s usually the tip of the iceberg. Underneath that iceberg, just like your poster, you got right there. If we put the tip of the iceberg is gut under the water there, it could be the anxiety, the depression, the fatigue, the low sex drive, the cold hands the cold feet, the brain fog, the concentration issues, the memory problems, the skin issues. And so, once you do a good history, you’re also gonna be talking about pharmaceuticals too, what kind of like proton pump inhibitors were you on. That’s a big thing, like were you on acid blocking medications, were you on other things disrupting your gut. So, of course, figuring out, if you’re still on those medications, you’re not fully gonna get better, if you have a ton of drugs that are causing these side effects and then you get into the testing. Now, this is where you and I differ from other people. Some people, they’re married to the SIBO test and I don’t want to speak for you, I’ll ask you about this but me personally, I think a SIBO test is a waste of time because when we look at a GI map stool test, we’re gonna see a more detailed breakdown of specific pathogens like Strep and Staph and Pseudomonas. And the way I look at it is your mouth to your but is one long tube, so, if there’s dysbiosis in there identified on the stool or the urine organic acids, we can assume it’s probably in the small intestine but the protocol, the herbs that you’re gonna use, are gonna treat the whole thing. So, to me, I want to hear your thoughts on this too, but to me, if I see positive hydrogen or methane, all I’m going to go and do and say is gonna to be, ‘yep that makes sense’, but beyond that those breath tests are not really that helpful.     

Dr. Justin Marchegiani: Yeah. I mean, a SIBO breath test is just looking, it’s an indirect measurement, looking at the gas created by the bugs, so methane or hydrogen gases that are created. So, if we can find bugs that typically produce those gases or an imbalance in but bugs that shouldn’t be there, then we know more than likely, there’s something going on in that SIBO realm. It doesn’t change the treatment that much because a lot of the herbs we use to knock down those bugs that they’re gonna be similar if not the same on the SIBO side. Now, my philosophy may be a tiny bit different than yours but I find anyone with these type of bug issues we’re running a comprehensive stool test and usually an organic acid test and on one or two of these tests, we’re gonna see either the bugs, the bacteria imbalances, whether it’s Citrobacter, Prevotella, Morganella, Pseudomonas, Klebsiella, or H. pylori or parasites. We’ll see these bugs elevated if we don’t almost always, we catch it on the organic acid side when we’re looking at 2,3 phenol acetate or benzoate or Hippurate or D’arabinitol for yeast, usually we’ll catch it there. If I don’t catch it on any of those tests on the stool test or the organic acid test then I’ll pull out a lactulose breath test but I’d say 99% of the time we never have to go that far.  

Evan Brand: Okay. Okay. Good point. Maybe it’s a 1% of the time test for you and I guess what I would do if let’s say we missed it, we felt like we missed it on stool and urine, I might just come in or if sometimes if someone just has no budget to do anything, we may just look at symptoms scan history and just come in with some herbs and see how they do. And, a lot times, a lot of these antimicrobials, antifungals, anti-parasitic herbs, a lot of times it clears up the issue anyway so we don’t like to come in blind but in a few rare cases we have come in blind and we’ve still had good benefits. A lady just chimed in on the live chat here, my gut is not happy, chronic constipation after using pain meds for pain and recovery from five back surgeries. Yeah, that’s a common issue with the opiates, right? Because that’s gonna slow everything down so yeah, I guess the answer is eventually this person’s gonna have to try to get off those opiates, right? But there are some, maybe some brain-gut motility activators we can use, right?  

Dr. Justin Marchegiani: Of course, you know, if you’re on those opiates, you probably had some surgeries and surgeries man, meaning typically anesthesia, maybe a lot of antibiotics along the way so that’s probably really screwed up the gut microflora. So, first off, you have to get to the root cause of the pain. Second thing is you have to have a good, uh, doctor to work with to taper you off those medications while providing anti-inflammatory support because you need whether it’s systemic enzymes or anti-inflammatory herbs plus that brain takes time to get rewired from the opiates because you’re processing pain totally differently. Remember, opiates don’t have an anti-inflammatory mechanism, they just block pain at the brain level which isn’t good because pain is a good indication like if I have pain in my ankle and it’s there then I can know okay I shouldn’t walk on it because I’m causing more damage, right? So, even if I were to take Ibuprofen and my pain went away, I would still want to be very careful, I don’t do too much on it because I’m gonna cause damage, right? So, most people that are chronically inflamed by these opiates, they’re just causing more and more damage because just because they can’t perceive the pain, they’re still causing this inflammatory breakdown.  

Evan Brand: Yep. That’s true. Someone else has chimed in, my gut has been destroyed by many rounds of antibiotics. And, that’s super common, I mean how many times have you and I see that where someone comes in after a round of antibiotics, I mean that’s probably one of the top five things we see, right?  

Dr. Justin Marchegiani: 100%

Evan Brand: They said they’re dealing with IBS-D so that would be diarrhea and eating a limited vegan diet. So, my first thought is, uh, oh vegan diet, raw leafy greens, if you’re dealing with diarrhea, vegetables are gonna irritate the gut, I would push you more towards getting some good animal proteins in even if you could only handle like a carnivore collagen like a beef peptide protein powder or you know collagen shake maybe with some organic berries that’ll be my first thought. How would you think about this one? 

Dr. Justin Marchegiani: Yeah. I mean, you could definitely look at reducing some of the fermentable carbohydrates and really look at cooking and steaming a lot of those things so it’s easier to break down but you really got to reach out to a good functional medicine doctor that can kind of help navigate you through it because if you don’t have all the digestive enzymes and acids there, it may be hard to break these things down. Also, someone chimed in, what about Vagus nerve issues. So, this is kind of a classic area in functional medicine where people try to talk about things differently in a nuanced way and they’re just talking about the same thing in a different way but people think it’s a new thing, right? So, when we talked about like inflammation and adrenal stress, when the more stressed you are and the more you activate the sympathetic and the more inflamed you are, right? Guess what happens when inflammation goes up and the sympathetic nervous system goes up, the vagus nerve or the parasympathetic nervous system always goes down, does that make sense? So, when we talk about these things it’s implied that the vagus nerve or the parasympathetic branch of the nervous system that would helps with healing and recovery is always going to be impaired and so people talk about things kind of as a way to nuance themselves make them seem different kind of market themselves in a different way which is fine but, you know, the average person may get a little confused about it and so just know that, that’s kind of under same umbrella that we’re talking about. We talk about the vagus nerve or the parasympathetic, it’s being factored into this whole adrenal stress inflammation umbrella, I think, yeah, inflammation is the bigger umbrella then you can put adrenals and parasympathetic and sympathetic all under that umbrella. 

Evan Brand: Yeah. Very true. Very well said. Teri chimed in, I’ve been experiencing constant belching, a new symptom for me. So, once again, you got to get the labs run, I want to look at your organic acid, see what’s going on there. Get a GI map stool test run. Are you on proton pump inhibitors? Are you taking supplemental acids and enzymes? How old are you? If you’re above the age 40, you probably have low acid, low enzymes, maybe gut infections too. So, with stool, urine sample and good workup, you could probably resolve belching. I mean, that’s a pretty easy one.  

Dr. Justin Marchegiani: And, I strongly recommend, do not get these labs on your own because, just because you get a lab, you’re not gonna have any ability to know what to do next and that’s everything, right? You gotta know what the plan is next, uh, and then typically you wanna look at like when I order a lab, it’s in conjunction with we’ve done a b c d e f and then not the lab is gonna plug in at g. Does that make sense? So, it’s never just this is a or this is it. There’s a whole bunch of, sequence of things that we’re doing before we get to all the data from the lab. And so, when you work with someone, most people are gonna have that plug in at some level in the clinical chain downstream. So, most people think, oh this is just it, this is a, this is the whole piece of the puzzle and it’s not. So, just kind of keep that in the back of your head. I know that can be a little bit confusing when you’re a lay person coming in there but it’s important information. I think, just start off with a lot of the foundational things first, just kind of wrap your head around it. Don’t get kind of myopic in this tunnel vision. Oh, it has to be Candida, it has to be this, be very open minded that it could be many different stressors and just have that really good differential kind of diagnosis list of all the things that we’re gonna go and hit and not get overly focused on one thing. 

Evan Brand: Yeah. Good point. I’ll also say too, I’m not saying go to your doctor who’s failed here for the last 10 years and try to ask them for organic acids test or stool test because even if they were able to run it which most of the time, they don’t have accounts set-up with the lab so they’re not going to. But even if they were able to and they run it, they’re not gonna know how to interpret it, they’re not gonna know how to make a protocol based on it. So, this is a shameless plug for you and I and what we do as functional medicine practitioners, we work clinically around the world with people. So, uh, Teri’s asking where she can get the labs from. It depends, uh, we use a couple different companies. It depends on where you live and what you got.

Dr. Justin Marchegiani: We’ll do this, we’ll put some links on the videos below so for you and on your site and mine. So, if you want to get it from us, I recommend getting it from us and then work with Evan or work with myself. We’re here to help you. We’ll put the links below or you can go to evanbrand.com for Evan or Dr. J here, justinhealth.com for me. And then, just to kind of highlight what you’re saying, I see so many people that have some of these tests sometimes and the first question is walk me through what your doctor ordered this test, said about it. Did they give you a real thorough review? How much time, oh, hey they just spent a minute, they just said x y z and it really was, I’m like wow, you know, you have all this information here and yet it really isn’t thoroughly addressed, I would say 90 plus percent of the time. So, it’s really important when you get these tests ordered. You really want to come through it thoroughly, so you can extract as much actionable information as possible. And, if your doctor doesn’t have that level of, uh, skill set of information on it, that’s fine, just find someone else. 

Evan Brand: Yeah. You make a great point. I mean, so many times, I know, you and I have a section on our intake form where you can, like attach previous labs. I’ll see 5, 10, 15, 20 labs and I’ll be from a medical doctor or a chiropractic or some other type of practitioner. I’m like wow, they did a really good work-up on you. Like, how did this go, why are you coming to me, what was the protocol? Oh, they didn’t have a protocol. Like, well, why’d they run the labs? ‘Because I wanted them to’. Okay, then what did they say about the labs? ‘Oh, well, that was not bad but I could use a little improvement and so they gave me an enzyme’. And it’s like, they give you an enzyme, you’ve got 20 pathogens, you’ve got parasites, you’ve got H. pylori, you’ve got major gut inflammation and the sequencing of this is important too. So, even if they read a cookie cutter protocol where it says like take oregano oil, you might not be a good candidate for that if you’ve got a bunch of inflammation. Your gut’s irritated, you go throw a, you know, a nuclear bomb in there, you’re gonna irritate your gut more. So, the sequencing is important. So, I guess, just to highlight here what we’re talking about, it’s the sequencing. As you mentioned, when does the lab come in? That’s not just the end all BL tool, there’s other strategies you’ve implemented up until that point. And then, when you work in the killers, is it right out of the gate? Do you got to settle the gut first? 

Dr. Justin Marchegiani: Yeah. It’s never. The problem is people have done, the patients come in and they’ve done a lot of different things. So, like maybe, they’ve tweaked their diet and so they think, okay I’ve made these diet changes, right, whether it’s enough or not is besides the point but they think, okay I’ve done these diet changes, check. Diet isn’t part of the equation, so in their mind they kind of check that off. So, when they see another practitioner, they kind of have this list of things in their mind they’ve checked off. And then, they’re like okay, I’ve already worked on the diet stuff. Yep, I’ve already done some digestive support. So when I lay out my plan, there’s kind of like, we’ll I’m not gonna do this because I’ve already done some of this or I’m not gonna do that. No. it’s like, if I give you a safe and the combination is 6 or 7 numbers. You don’t say we’ll spin number 33 on my other state therefore I don’t have to do it this time around. The combination has to be done in sequence together. The other analogy is cooking. If you want to crack the eggs after you bake the flour, well that cake’s gonna be pretty nasty, okay. So, it’s kind of the same thing as a sequence and just because someone has done something before in the past. One, it may not have been all the way there but we still have to plug that sequence back into the overall flow of things. Does that make sense?    

Evan Brand: Yeah. It does. And I know

Dr. Justin Marchegiani: You’re smiling, so it sounds like that’s something that you deal with and hear a lot. 

Evan Brand: Oh yeah. Yeah. Well, it’s just, you know, once 

Dr. Justin Marchegiani: It’s so much easier dealing with patients that have done nothing that have no, um, no predisposition to like what’s next, they’re like a blank state because then you can kind of come in and there’s zero resistance and you can work through your flow. When people have done a lot of things and they think they’ve done everything in that area, it’s always hard, you kind of have to convince them to redo these things over again. That could be tough. 

Evan Brand: Now, well, I’m just smiling because of the safe analogy, you know, you always kill it with the analogies and I’m also smiling because I don’t know if it was your kids or my kids screaming, I’m like, I’m pulling my headphone out like is that my kids is that Justin’s kids. And, one of the things that I hope you guys love and appreciate about us is that we’re dads, we’re family men at the end of the day. And so, we’re working, we’re hustling, we’re grinding with our clients but we’re implementing this stuff into our family we’re helping kids, our own personal kids, we’re working with kids clinically. I’ve got kids that are 1 year old, 6 months old, 3 years old that are clinically working with us to get help. And so, we’re practicing what we’re preaching with our family too and I just want to highlight that because there’s so many people out there, so many practitioners that they were so focused on medical school or their practice that they never have the chance to even start a family, you’ve got these mid 40s late 40s upper 50s practitioners out there. They have no family experience and I think that’s where you and I are different because we know when you’re working on a gut protocol. Let’s talk about that for a minute. When you’re working on a gut protocol with a kid and you’re like okay, we’ve got terrible tasting tinctures that we can try, we’ve got some capsules that maybe mom or dad can open up and put into apple sauce. You know, you and I have personally and clinically dealt with the logistics of implementing this stuff so even if you’re gonna get this perfect gut protocol put together, the logistics of following it and getting your kids to take it, 3-year-old Johnny who doesn’t want to take the Artemisia, you know, it’s like, well how do you get that in. That’s the important thing because the proper labs is a step, the proper nutrition is a proper step, the protocol is a step, but the implementation of it and then what do you do after step one and then you if they react to that herb, how do you go to step 2, this is where the hand-holding is necessary. So, you know, when we talk about labs, I think, it kind of devalues the art of medicine a little bit because you and I have so much artist, you know, artistry to what we do and it’s hard to translate that just with a lab test because, you know, anybody could start running labs and like you said we’ve seen 5, 10, 15 labs come in from previous practitioners but they did nothing with it. So, the real art is when you take the protocol, you take it with, you and I are injecting confidence and we’re injecting motivation. I talked with the client this morning who said that she came to me because she was so afraid of her gut symptoms and she came out of fear but now we have basically transformed that fear into empowerment and education and the labs were a tool to help change that. So, don’t put all your eggs in this lab basket, they’re still amazing, you and I still run them on everyone but there’s other stuff that’s injected into that lab that really makes the magic happen.    

Dr. Justin Marchegiani: Yeah. 100%. I think, the hardest part too is you work on dealing with the stressors, with patients. You fix their stress. You get your digestion better. You fix a lot of the microbiome. You knock down a lot of the bugs. Again, in the realm of Candida or dysbiotic bacteria, it’s still going to be there. You’re never ever gonna knock it out 100%. So, there’ll always be a small residual bit, maybe lingering in the background, way beneath threshold but if the stress starts to come back or if people start to add too much of food that’s questionable into their diet, sometimes these things can come back and the amount of flexibility, some kind of can follow the 80-20 principle. If they’re right 80% of the time on things 20% they have a little bit of flexibility. Some got to do 95.5 or some got to be 100 but just really try to make sure if they cheat, they still keep grain free anti-inflammatory etc., like last night, I went to True Food Kitchen for my birthday, and I had some of the, um, their chocolate cookies which inside the cookie, it’s like cassava and banana based. So, that’s great. If I’m gonna cheat, I’m gonna try to do it in a way that’s not gonna cause me to get bloated or gassy or have any skin issues or you know, digestive problems. 

Evan Brand: Uh, a lady commented and Dr. J seems super energetic today. Yeah. He’s a birthday boy. That’s why he’s feeling better.

Dr. Justin Marchegiani: Oh, yeah. No problem there. 

Evan Brand: So that’s good. Another comment here, I wonder which lab test should I run, uh. 

Dr. Justin Marchegiani: I would say just here, out of the gates, regarding labs, I don’t wanna name specific companies on these videos because if we change it in the future and someone just watches the video, um, that they may just go to the old one. So, we’ll put links down below. That way, if we decide to change things in the future then you could just go look at the links down below and so my staff typically will update this in the next 12 hours or so. Just check back at the end of the day or tomorrow, we’ll have everything in there so just keep an eye on that. In that way, if something changes, um, it’ll be reflected in the description below. 

Evan Brand: But here’s what we can say, we’re still gonna run a stool sample, now, maybe that type or whatever. 

Dr. Justin Marchegiani: Cutting edges, some kind of stool testing is gonna be great, right? Organic acid is gonna be excellent. I love that because of the, I mean, every now and then I’ll get a stool test coming back and the gut issues look pretty good like not too bad nothing crazy but then you’ll see a lot of yeast because sometimes you miss the yeast on the stool test, that’s common or you’ll see 3 or 4 markers like Hippurate, benzoate or 2,3-phenylacetate right or D-lactate really hides. Okay, good, I’m glad I had this extra net to catch it because the stool test missed it. 

Evan Brand: I had that last week actually. You know, I had a lady and I kind of got freaked out at first, you know, I was looking at the stool and I’m like, oh my God, this lady has every gut symptom in the book and normally on page 3, page 4 you’ll start to see some crazy stuff going on. In this lady, it was clean, oh man, like, is she crazy, I didn’t really think that but you know partly it is like, uh-oh, where’s it coming from, is this really her stool test. Then we get to the organic acids and holy smokes, as you mentioned, oxoglutarate, D-arabinose, tartaric acid, tricarbolic acid, everything was off the charts and I go, oh, thank you Jesus we have the answers on the organic acid. So, that’s why we love to run both urine and stool because certain things get missed and it’s the synergy of the information from the labs. You may find a parasite on stool and then you may find the Candida on urine then you really go, oh holy crap, that’s where it’s coming from. So, um, let’s hit this other one here. There was a person

Dr. Justin Marchegiani: I want to hit one of the questions. Anthony wrote to me there, thanks Anthony for the great feedback, and again guys, we’re trying to interact with you guys live and I want to answer questions live, so this is like I call it, uh, functional medicine improv, right? You know, you get your comedy shows, this is our functional medicine show so I appreciate that. Thanks for the feedback Anthony. Isabella writes in waking up distended, right in the morning. So, with that, a lot of times, you got to calm down a lot of the fermentables in the diet. If you’re waking up distended in the morning, almost always there’s a lot of fermentation happening in the gut and these gases are being produced. Now, there’s a couple of variables that you can do to help that. One, you starve it out by reducing all the foods that feed that. Two, you have to be able to break down your food because even if it’s good food, if you’re not breaking it down well, it’s gonna essentially have the ability to rot and rancidify and putrefy. So, you got to make sure enzymes, acids, and potential bile salts are addressed because HCl, hydrochloric acid, and bile salts, if you have low levels of that, those things in and off themselves are actually antimicrobial. They have a mild antimicrobial effect, not like oil of Oregano, but they have a mild antimicrobial effect. So, if you have, like, digestive distress and you have poor levels of these things, guess what, these bugs are more likely to grow and of course we have to come in there and do some killing, you know, making assumptions that like if you have a lot of distention like there’s no fiber, there’s no raw vegetables even though you read all these things have this big salad, you know, you could steam some of these things, you may want to look at low fermentable things that’s great. You may want to make sure your stress is good and you’re chewing your food up really well and you’re you know avoiding hydrating outside of an ounce or two of, you know, water to swallow and some supplements so that’s kind of your starting point. And if you wanna reach out, Isabella, you feel free to use the link down below, you can reach to Evan and I. 

Evan Brand: Let’s read the rest of her comment here because I think it’s helpful for people. So, she said that she tested negative for SIBO, I’m guessing that might have been a breath test and she said she’s 21 years old and it affects her daily life. So, when I hear 21-year-old female, a lot of bloating as you mentioned, I think the veggies, I think cutting out leafy greens, no salads, maybe or 

Dr. Justin Marchegiani: If you do it, keep them low FODMAP and steam it or sauté it like I’m pretty sure Bok Choy and Kale. That’s low FODMAP, if you sauteed that in some coconut oil or some ghee or some kind of good animal fat, you’d probably be okay but test it, right. I’m all about testing not guessing. 

Evan Brand: True. True. So, I think about hormones, I think okay, she’s 21, right? This is a healthy fertility age. Is there some sort of issue with hormone imbalances? Are there estrogen dominance type issues as well? What about breast tenderness? What about PMS, irritability? Are there mood issues as well or is it just an extremely distended belly? 

Dr. Justin Marchegiani: Now, in the history that’s gonna come out with a good history because you’re gonna see it cyclically happen typically premenstrual or typically ovulation. So, a good history will fret that out. Let’s assume it’s every day, hormones are probably not the root cause but of course we know we’ve already talked about it, chronic digestive issues will eventually cause hormone problems because of the inability to digest the nutrients to make the hormones overtime. 

Evan Brand: Good point. And, the bacterial overgrowth which will crank up beta glucuronidase. That creates the recirculation of toxins. So maybe that. What about birth control too? Is that in the equation? I start thinking about that so 

Dr. Justin Marchegiani: Birth control pill will, it definitely has an effect on, um, alkalizing some of that tissue in the intestinal tract and the vaginal tract. That’s why one of the big effects that you see with, like birth control pills is yeast infections, right? Because it’s shifting the pH. It’s also creating a lot of nutrient deficiencies. So, if you have birth control pill issues, they can definitely put you in that microbiome, um, area where it kind of goes the wrong way there. 

Evan Brand: Yeah. So, hopefully that helps and as you mentioned if you wanna reach out, you can. Dr. J at justinhealth.com and me at evanbrand.com. With a stool and a urine and a good workout, we could probably get to the bottom of that. I would say that digestive issues are something you and I have the most experience of out of anybody that I know because all the people that have failed others then they come to us. 

Dr. Justin Marchegiani: Absolutely. The hardest part too is once you kind of get on that straight and narrow, finding out how much latitude you have, right? Some people, they may not be able to do dairy afterwards. Some may still have to be grain free, they can’t even do rice or, um, oatmeal, right? So, some people they got to be a little bit tighter on their diet. Some can be a little bit looser. And it’s hard. The hardest thing I think is with kids because kids, I mean, I have two, a two- and four-year-old boys, right? And most kids in their age eat like crap. It is just like absolutely mortifying to see how most kids eat. And, normal and typical are two different things, right? So, people say, I wanna be a normal kid, I wanna eat like a normal kid. It’s like no, you wanna eat like a typical kid, like normal 60 years ago was a totally different diet than normal today, right? 60 years ago, everything was mostly organic. Kids ate relatively, you know, whole foods and there wasn’t all the GMOs and all the crap and all the excess omega-6 fats and trans fats and people were eating good proteins in every meal and we had actually home-cooked meals and home-cooked dinners. That’s totally different today, right? And so, typical and normal are two different things. 

Evan Brand: Yeah. Not many seed oils or non-existent seed oils or go back a little further, go back 5000, 15-20000 years in United States, even just a few hundred, you read the native American stories, I mean those kids were eating Bison, breakfast, lunch, dinner, you know, what were having, they were having Bison. If it was a time where they maybe didn’t get a kill, they had pemmican which is gonna be like a dried meat product, maybe some tribes, they would integrate berries into it. But if your food has a brand to it, now there are some exceptions like there are some really good companies that make Bison meat and all that but in general

Dr. Justin Marchegiani: The jerky, yeah, there’s some good stuff, there’s some decent paleo granola. If you can handle nuts and seeds then that stuff’s okay as well. 

Evan Brand: But in general, my point is if your food has a brand to it, it probably has some level of processed. Now, if you say a farm, like a farm name, I don’t consider that a brand. I’m talking about, like Kellogg, that’s a brand. If your food has a brand to it, it’s probably not something good. I’m not looking at the brand of my wild blueberries, I guess technically they have a name or a store but they’re blueberries. So, you just got to think simply and as you mentioned long term, there may be dietary changes but overall, I think a lot of people can get back to foods that they previously avoided or were previously afraid of, not to mention, people that are afraid of meat, so many people are afraid of red meat. We interview people all the time and they say, oh, I eat red meat a couple times a month, I eat red meat every day, like why, and oh well you know, my cholesterol or my heart or my doctor said this and so there’s still so much programming. I think you and I forget, now, I know you have TVs and you probably have some exposure to this but in general I don’t have any exposure to pharmaceutical ads and so I forget just how much indoctrination and programming of dietary information people have and so part of the art of what we’re doing too is just removing any of the historical programming, they’ve had about certain foods. I think some people freak themselves out so much, they’ve been told a certain food is so bad for them, they go into it, thinking if I eat this steak, I’m gonna have problems and they literally will put so much stress and emotion into the worry of food. That then drives further symptoms.  

Dr. Justin Marchegiani: Yeah. I always start with you gotta have a framework on how you analyze any data or any concept, right? So, my first framework that I look at anything with is old foods don’t cause new diseases, right? When you look at most of the diseases we have today, the regular there routinely Neolithic, right? They weren’t at the same level that we saw a hundred years ago, right? Obviously, we had different problems back then because we didn’t have the same level of water sanitation, indoor plumbing, antibiotics which you know for like, you get a major cut, you had an infection, you don’t have antibiotics, you could die, right? So, we have that, that’s different. So, Neolithic foods cause most diseases. And so, when you look at good proteins and animal fats and these kinds of things, they have been eaten for as long as you can go back. So, those typically aren’t going to be the problem, right? It’s mostly gonna be the processed foods, the excess omega-6. And also, you know, the whole vegan bent that’s something that’s not really supported by anthropological data. You look at the works of western price so you look at people that studied indigenous societies, almost always meat was consumed when it was available. The only societies that typically didn’t consume meat were societies that didn’t have access to it. And if you look at the works of Western price when meat was accessible, it was typically consumed. It wasn’t like, oh let’s just not consume it. It’s typically, they didn’t have access to it and when they did eat it. And so, people that tend to do really good on a non-vegan diet are your ectomorphs, these are people that can handle lots of carbohydrates. It’s impossible to do a vegan vegetarian diet for the most part and not be very, very high carbohydrate and also, typically, you also got to plug in a lot of protein powders to do it well, whether it’s free form amino acids, whether it’s collagen or pea protein or rice protein or hemp protein, mostly having to plug in a lot of amino acids to get enough especially if they’re trying to put on muscle and be, you know, on the fit side.  

Evan Brand: It’s hard to be Vegan, it’s easy to be an animal-based person, I’ll tell you that. There’s just a lot of hacking, have to do. So, Isabella chimed back in, she was a little bit behind on the live stream so she chimed in here. So, here we go, we got some more evidence guys. I hope you’re having as much fun as we are because this is like a, you know, on the fly functional medicine, uh, workup here. So, she said, loss of period for six months as well, mood issues like anxiety and racing heart upon waking irritability which is what I was thinking some kind of hormone stuff. I’m a bit behind wanted to input that so.  

Dr. Justin Marchegiani: The problem with a lot of those symptoms, it requires me having to ask a very important question, I won’t ask that question but we’ll just say the meat of that question begins with a letter v and we’ll just let people linger on that and Isabelle, if you want to reach out feel free. I think we chatted in the part, so feel free to reach out, I’m happy to help you.    

Evan Brand: Yeah. Yeah. That’s a very, very good point and would make perfect sense especially with the timeline here. I would be wanting to look at some blood work. You know, actually, I had a woman last week, 33 years old, loss of period, other issues, we ran her blood, elevated D-dimer that indicates breakdown of clotting so we’ll leave it at that for today but mid-30s women should not be having elevated D-dimer. 

Dr. Justin Marchegiani: Yeah, and we’re speaking kind of like we are in a very, uh, discrete type of manner because we want to keep this information flowing to you, okay, so people out there hopefully you most, you mostly get that and you want to continue to see us on the air. That’s our goal. 

Evan Brand: Here’s another question then you and I can wrap this up here in a minute. So, can gut health issues cause high resting pulse and arrhythmias. Let me tell you my personal experience and maybe we could chime in on the clinical side too but when I had gut issues when I had H. pylori, I was anxious, I had issues with my blood pressure. I had heart palpitations. I had panic attacks. I had all sorts of mood issues. I had heart issues. I had sleep issues. I had skin issues. So, 100%, gut issues can cause this.  

Dr. Justin Marchegiani: Yeah. The bugs in and of themselves definitely can cause anxiety so you can go type in their scientific studies, type SIBO or H. pylori and anxiety, there’s definitely mental health association, connection with the two. Also, if you have digestive issues, you tend to have hydrochloric acid issues. When you have hydrochloric acid issues, you tend to not ionize minerals and absorb minerals optimally. The two big minerals that are intimately connected with your heart and heart rate and heart rhythm are potassium and magnesium and a lot of times people aren’t getting sodium and chloride as well. So, the electrolytes have to be looked at and potassium and magnesium have to be looked at and most don’t get enough, you need 4 7 00 of potassium a day, most get half that and so I have a product called potassium synergy that does about 13 00 per 150 in magnesium or so side by side. It’s really hard to get enough. Most supplements for potassium stink, they’re like 50 or 100 milligram capsules so you got to take like 15 or 20 capsules a day so sometimes, you need to plug in a supplement if you’re having issues, I mean you can go look at the most potassium-rich foods, salmon, avocadoes, sweet potato. Those are really good options of course, um, some animal products as well, are going to be right up there as well. And again, avocados have twice the amount of potassium as bananas, I know we’re kind of o a carb-centric society. If I say potassium, you’re gonna say bananas, right? But avocados have twice the amount.  

Evan Brand: Yep. Good call. Good call. So, long story short, gut issues definitely cause other issues, mood issues are very common. Fatigue is also very common and so that’s gonna affect neurotransmitters so we would be looking at all that. We’d be looking at neurotransmitters, gut inflammation, um, secretory IgA. You can look at fecal fat. There’s a lot of stuff that goes into that, that may affect the high resting pulse. Also, seeing a lot of things right now with viruses and high resting pulse rate. So, if there was a current infection, previous infection, pulse rate could be there. You mentioned potassium. 

Dr. Justin Marchegiani: Hydration, sodium chloride and then your potassium, magnesium. Those are gonna be your big ones out of the gates. And then also, blood sugar, you know, some people, they really get into a stressed-out state if they wait more than an hour or so to eat. And if you have digestions, a little wonky, you may want to start with something really simple like some gentle ginger tea or some collagen amino acids or something really light and simple in the morning and some electrolytes even before that. 

Evan Brand: Yeah. Yeah. Good call. Sometimes, you know, herbals, I might come in with like motherwort or passion flower, valerian, some kind of like calming ginger.   

Dr. Justin Marchegiani: Yeah. I was looking at the nutrients first because the nutrients could be actually root cause and the herbals will never be root cause but they are a palliative supporting mechanism, right? You know, it’s like, you can do passion flower or lemon balm or you can do a benzo on the pharmaceutical side. It’s like obviously the herbs are better and then even before the herbs the actual nutrients that may be deficient that are driving it. 

Evan Brand: Very good at all. I’m ready to wrap this up, if you are

Dr. Justin Marchegiani: Herbs aren’t going to have the, you know, the side effects so I’m always down with supporting something palliatively if they aren’t going to have the side effects or you know any of the negative consequences like some of the meds may. 

Evan Brand: Yeah. Well said. Are you ready to wrap this up? 

Dr. Justin Marchegiani: Yeah. Great chat with everyone here today. I’m glad everyone’s on the chat interacting. We really appreciate it. Functional medicine improv is our flow here, uh, you guys wanna reach out to evanbrand.com for Evan, Dr. J here, myself at justinhealth.com. We’ll put links down below. If you’re seeing it on youtube, you know, great, excellent. If you’re listening to this on itunes or any of the podcast places, there will be a video link below. If you wanna see us interacting as well, there’s that as well. And phenomenal chatting. Anything else, Evan? 

Evan Brand: Yeah. If people wanna chime in and they want to watch, if you guys are listening or if they’re on my podcast because we’ll upload these on my show as well. If you want to check us out here on video, give or take somewhere around 11 to 12 eastern on Mondays on Dr. J, justinhealth YouTube channel. So, if you wanna look for us, join the party. Look up Justin on YouTube justinhealth, Justin Marchegiani, Dr. J something like that. You’ll find him on there and, uh, we’ll put the link in the show notes too. So, if you wanna join the YouTube community, you can. There’s what 60 something thousand on there. So, that’s pretty

Dr. Justin Marchegiani: Also on Rumble, also on Betshoot, also on a couple other places. So, we’ll put the links on the websites so you can get the banners, get the links but Rumble’s our new one that we’re going to just get more exposure, people. 

Evan Brand: And you’re reuploading the YouTube videos too there, right?

Dr. Justin Marchegiani: Yep. You got it. 

Evan Brand: No live function on there or anything yet? 

Dr. Justin Marchegiani: Not yet. Not yet. 

Evan Brand: Okay. Okay. All right, well, you guys take it easy, we look forward to helping you get your gut health back, just stay patient and don’t give up. And so, we’ll see you next week. 

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

 

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. 


References:

https://justinhealth.com/

https://www.evanbrand.com/

Recommended Products:

Audio Podcast:

https://justinhealth.libsyn.com/how-to-get-your-energy-back-post-infection-podcast-365

 


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