Dr. Justin Marchegiani and Evan Brand plunge into a discussion about ear and sinus infections and how nutrition either boosts our immune system or makes our bodies susceptible to infections. Be well informed about the products and natural solutions they have used in successful treatment of infections they have encountered with young ones and adult patients, too.
If you have kids, pregnant, breast feeding or planning to breast feed, listen very well and get loads of beneficial information regarding the importance of breast milk, high-quality and nutritious diet, as well as supplements for the mom that may affect the babies in relation to infections. Also, learn more about recent research in antibiotic use and its possible negative effects in our ability to fight off infections.
In this episode, we cover:
02:47 Ear Infections
06:23 Antibiotics and its side-effects
10:26 Nutrition and the importance of breast milk
18:26 Natural Solutions & Product Recommendations
Dr. Justin Marchegiani: And we’re back. We’re live on YouTube and Facebook. Evan, how we doing today, man?
Evan Brand: Hey, what is going on? Good old technology.
Dr. Justin Marchegiani: I know. Excellent. I guess you got the memo. It’s the uh—blue polo day.
Evan Brand: Yes, sir. Happy Friday.
Dr. Justin Marchegiani: I love it. A little—I got my Lulu lemon on. We gotta get them as the show sponsor of our clothes.
Evan Brand: I agree. That will be a great sponsor.
Dr. Justin Marchegiani: You gave me that idea the other day. So I like that. I’m gonna jump on board with it.
Evan Brand: Yes. So this idea we’re—we’re gonna discuss today, we’re gonna discuss some allergy issues, sinuses, ear infections, which a lot of this could apply to children, but adults, too. I mean this is something we deal with all the time, we hear about all the time.
Dr. Justin Marchegiani: Totally.
Evan Brand: A lot of fear mongering all the time about ear infections and that’s one of the most common reasons that children are getting put on antibiotics. That’s like their first exposure to antibiotics as they get an ear infection. So we should dive in. This is gonna be fun.
Dr. Justin Marchegiani: 100%. So if you’re listening on Facebook, I’m gonna pin down a link so you can access the video on YouTube live. Coz YouTube live is where we’re gonna have the back and forth until we get the Facebook setup. So Evan, how’s your day going, man? It’s Friday morning. I’m really excited.
Evan Brand: It’s great. I’ve got the window open. It’s gonna be 80° today, the birds are chirping, the grass is green and growing. I can’t complain.
Dr. Justin Marchegiani: I love it. Oh by the way, I have an awesome announcement for uh—just for me, and you, an the listeners. My wife and I will be expecting our first baby this fall. So we are super excited. It’s a boy, too, so—
Evan Brand: That is awesome.
Dr. Justin Marchegiani: Hence why I’m wearing the blue today. The baby blues.
Evan Brand: Love it, man. Congrats.
Dr. Justin Marchegiani: Thank you. Excellent. Well, what did you have for breakfast, Evan ?
Evan Brand: Did I eat today? Yeah. I ate. I had bison jerky and some matcha tea.
Dr. Justin Marchegiani: Matcha. Love it.
Evan Brand: That was it. Actually, I just finished out the Matcha and now I’ve got some vitamin C here. I’m drinking about 3 g of vitamin C with some good clean water and that’s it. I was gonna do some berries this morning. My wife got some blackberries yesterday but I decided against it. Just went with the bison jerky, so I'm probably in a slightly ketotic state right now, which I feel pretty good and my brain is working.
Dr. Justin Marchegiani: That’s excellent, man. Very, very good.
Evan Brand: How about you?
Dr. Justin Marchegiani: Today I had some high-quality coffee with some butter and some MCT. I put about 10 or 20 g of collagen in it. And after the podcast today, I’m gonna make a nice little uh— green drink. Add a little MCT to that. You know, some fresh organic, green vegetables, maybe a little carrot to sweeten it up. And add some more collagen onto that just so I have some good fats and good protein and some good uh—micronutrients. So really, really excited there.
Evan Brand: Sound good, man. Sounds good.
Dr. Justin Marchegiani: Well, let’s dig in. We talked about yesterday, kinda in our—pre set up for the podcast about talking about sinus and ear infections. The natural solutions we can do to help address sinus and ear infections. So what do you think about that?
Evan Brand: Totally. Yeah. Let’s hit it. Like I mentioned in the beginning. Ear infections are gonna be the common reason that kids and children are gonna be put on antibiotics. A lot of times, ear infections are preventable which we can talk about because food allergies are gonna be one of the most common causes that you can modify. And so, we can talk about the influence of dairy, your sugar, your fruit juices, your grains, your gluten, your sodas. I mean all these things are impacting your immune system that can set you up for potential ear infections. And honestly, a lot of children that you and I work with, likely have tubes put in because the doctor fear mongers them and there’s actually no evidence that ear tubes actually even work that much. Mercola has got a great of studies about this showing that, in the short term, the ear tubes, they get put in, can reduce the time with the middle ear infection. But it in the long term, there is no longer benefit of tubes. And so, you know, when I quote one of the studies here, “The said tubes and watchful waiting does not differ in terms of language, cognitive, or academic outcomes.” Basically they don't do much. And a lot of times—what about the adenoids, too. I mean a lot of people get their adenoid removed for these things. That seems a bit extreme.
Dr. Justin Marchegiani: Yeah. And I can speak from personal experience because I tubes many, many times. I had chronic ear infection that the child. Now here’s kinda the vicious cycle, right? Because we talked about—And we’ll put here, we have some really good studies that we’re gonna put down below. Looking at the microbiome connection. That’s kinda the gut microbiota and its connection with healthy ears, right? Healthy ear, flora health, right? So if we have ear infections, because of other reason which we’ll go into, and then we start taking antibiotics for those ear infections, that then disrupts the microflora. And that creates further imbalance that will perpetuate more and more frequent ear infections down the road. So you see the vicious cycle that conventional medicine really throws down is they’re not addressing the root cause of why these things happen in the first place. And then they give medication that actually works to treat the symptoms in the short run. But then actually perpetuate a need for more of that intervention and more of these problems. And then I can’t tell you how many patients— patients that I see that have been on more antibiotics throughout their life tend to be sicker and have—they’re the hardest to work with because of chronic gut infections, chronic gut inflammation and extreme food sensitivity because their gut microflora is so screwed up. So we really want to mitigate the use of antibiotics only to like absolutely must-haves. Now, if I go back in time and look at the things that drove me to have all the ear infections, gluten and dairy was huge. And part of the being reason why is I think that it affects the microflora, it creates more of an inflammatory environment but it also is gonna affect lympha—lymphatics. Coz I remember my ears always feeling like there was crap in it. Like I would like go swab it when I was younger and there’s gonna be so much junk in it. And my ears always felt full. So I do believe the research show some lymphatic increases when these inflammatory foods are there. So to live with all this fluid that interplay between the tissue and the blood, and the more sluggish that is, right? The more viscous that gets, that can create the ability for these—for that stuff to hang out longer and potentially perpetuate uh— infections. So making sure those foods are out. Go ahead, Evan.
Evan Brand: Yeah. So before we get into the functional approach to all of this, you know, we should talk about some of the side effects. So you mention what happens with antibiotics and now there is research that shows that antibiotics cause permanent damage to the DNA. So this is not something benign where you’re on the antibiotic for 4 or 6 or 8 weeks or even like a 7-day pack. This is lifetime impact. And I think we should probably add the question to our intake form when we’re working with our new clients. How many rounds of antibiotics have you—
Dr. Justin Marchegiani: Already on my intake form.
Evan Brand: Over—over your lifetime, though. I mean, yeah, a lot of times I’ve had people people would not even have a count because it could be in the dozens of times. I uh— typically like every 2 to 3 years, like what’s the last two to three year history of antibiotics? But I feel like we should almost say over the life, how many have you had?
Dr. Justin Marchegiani: I have that exact question on mind. I have one patient like a month or two ago, they said between 0 and 5 years of age, they had 120 antibiotic prescriptions.
Evan Brand: Oh my god.
Dr. Justin Marchegiani: Like you gotta be kidding me.
Evan Brand: That’s—that’s. I mean they are passed out like they are
Skittles, which is unfortunate now. Now, let’s talk about side effects. I mean if you are getting tubes, for example, then you could potentially have hearing loss from that.
Dr. Justin Marchegiani: Totally.
Evan Brand: I’ve read about some cases of hearing loss, you’ve got calcification of the tissue in the middle ear, and then also getting the, adenoids removed which I don't know why, but the they—they always tell, “let’s go ahead, remove your adenoids, too as we put in these tubes.” And then—I mean, you’ve got risk of hemorrhage, you’ve got bleeding issues, you've got potential infection sites that could pop out where you got the surgery removed. I mean, it’s just crazy. My wife when she was a nanny down in Austin, the kids that she was a nanny for, everyday, literally if the kids were fussy, the mom would say, “Hey, if ever they get fuzzy, just give them Ibuprofen or Tylenol and Motrin—
Dr. Justin Marchegiani: Terrible.
Evan Brand: Or give them– And just because they're fussy. And a lot of times, she said, “I would try to not give them the dose. I would act like I’m dozing them the medication.” But my wife knew what it was doing to their guts. And, of course, these kids get sick, they get up on antibiotics then both kids had tubes, then both kids had their adenoid surgery. It’s just crazy. So, yeah. Let’s talk about diet. I mean you hit on gluten and dairy, food intolerance is gonna be huge, and also, for me a big one is gonna be—which if you're an adult now, it's too late. But whether you were breastfed, or whether you are formula-fed because breast milk is like the most ultimate super food ever.
Dr. Justin Marchegiani: Absolutely. So you hit a couple of things that I wanna backtrack on for the listeners. You mentioned the adenoids. And the adenoids and the tonsils are the first vessel for the lymphatic system to come in contact with—with our environment. So the adenoids are kinda like in the upper sinus back area, where the tonsils are in the back of the throat. So it’s like tonsils – adenoids. And they’re that first— first vessel for the lymphatic system. And that lymph is designed—think of it as like the fit—the air filter in your house, or the filter in your pool. It’s really designed to pull out a lot of that crud. Now the thing is, if we’re constantly driving a ton of inflammation, and a ton of crud’s going in there, it’s like getting a smoker in your house. What's your air filter gonna look like in a couple of weeks? couple of month? It’s gonna be black. Now what’s gonna happen when that air filter gets so clogged that the pressure is increasing and now the HVAC and the heater has to work so hard now the heater is heating up, i.e. were having infections, right? Well, guess what conventional medicine would do? They would say, “Let's just pull out the air filter and put a new one.” Right? But in—in the real world, example, right? When you pull the tonsils out and the adenoids out it’s gone. You don’t put a new one in, right? So it’s like, “Let’s just pull out the air filter and leave nothing there.” Because now nothing get’s clogged, right? But holistically and functional medicine-wise we say, “Hey! You're smoking at my house, get the hell out, right? You’re clogging out my filter! Get out of here! Right? That’s kind of the solution. Now the smoke is coming from the smoker in your house but in a real world example, it’s coming from a lot of the foods—uh— especially refined sugar, it’s coming from refined dairy, it’s coming from gluten, of course, and obviously getting, you know, lack of breast milk is going to be huge. I did not get a chance to have breast milk that long as a child, alright? Did not. Only a couple of weeks. It’s kind of like that thing I really wish I could go back in time, and like, “Mom you need to breast-feed me longer.” She said, “Look I didn’t want it, whatever.” I’m a baby. I didn't know any better. C’mon. But in general, that's what I would've wanted to have happen. But the breast milk is a big thing, right? Having that breast milk, for at least that for six months minimum a year, World Health Organization says, 18 months. I try to at least get all my patients to do a year. That’s super, super important for starting the cascade of good microbiome health and thus, affecting the ear, too.
Evan Brand: Yeah. Now if you're an adult and like myself, too, I was formula fed for most of my baby years. I mean there's nothing we can do now but to work forwards. So this is involved – this is getting the testing run now. So if you're an adult, and you’ve had ear infections, or you had your tubes in, or you had the adenoids removed, well, you—you gotta get yourself tested because 9 out of every 10 clients that we test, we’re gonna find some type of issue in the gut. And this is bacterial in nature, which could be for previous antibiotic use. This is yeast so we’re talking, Candida mainly, we’re looking for albicans and SPT—
Dr. Justin Marchegiani: Yup.
Evan Brand: Although there is about 20 different species of Candida. And then we’re looking for parasites, too, because anything that's gonna damage the gut barrier, can also leave you susceptible to ear infections, sinus problems, any type of allergies. Because your gut is basically the foundation. So, you don't necessarily have to go straight to the ear which we’re gonna talk about some ear treatments that you can do to fix your infections and these problems. But a lot of times, do you agree this has to start in the gut. We’ve gotta make sure that you’ve got a healthy gut, and a healthy blood brain barrier, and a healthy—uh – basically a sealed-up gut, for lack of a better term.
Dr. Justin Marchegiani: 100%. It all starts in the gut, it all starts with the food. Now, I see people, I seen parents online and I—I jump on there, and they’re like complaining about their kid’s ear infection and I’m just like, “Alright, I’ll be a good Samaritan doctor.” I'll be like, “Hey! Do this, do that, and it's always ignored.” Like, I look at all the likes and the comments, people are like “Oh! Poor thing! Get this done! Get antibiotics!” And then my comment that actually addresses a solution goes like, unanswered, kind of ignored because it actually involves making some changes. So, people— I think people are getting the idea that the conventional solutions for these things aren’t working and are creating more problems. But uhm—you know, it’s definitely some extra effort that you have to do, but in the end, I remember of having tubes and chronic ear infections for so long up into my— even early teens. It was terrible, I was miserable! Now I didn’t get a lot of the sinus stuff, my brother got a lot of the sinuses. But in my opinion, whether its ears or sinuses, it's just the weak link in the chain. The same mechanism that’s affecting the sinus issues is the same thing that’s affecting the ear issues.
Evan Brand: Yup. Well said.
Dr. Justin Marchegiani: What about allergies too? I mean you and I talk a lot about the stress bucket, and so what you and I were talking about before we went live is, how many people have allergies? And it's almost per trade, is it's a “normal thing”, but I always tell people just because something is common, like saying ear infection or sinus issues or allergies that doesn't mean that it's normal. And you’ve got these Claritin commercials and you’ve got these other pharmaceutical drugs to get on TV, and they make it seem like everybody needs—everybody needs that, everybody has allergies. The outdoors, it—it's just a crazy environment, there's grass, and trees, and flowers and oh my god, you're not meant to live outdoors. You’re meant to live in your little bubble, and anytime you go outdoor, well, you need our pharmaceutical protection. And that's just crazy. If you do have environmental allergies, there's likely some deeper stuff going on. That could be adrenal related, it could be gut related, the yeast, the bacteria, the parasites. It could be detox problems, if you got sluggish liver, if you're not digesting your foods well, if you've got food sensitivities, so you’ve not remove the gluten and the dairy from the diet, that stress bucket’s full. Then you go outside and then you do get allergies which gives you the sinus problems and maybe that gets worse and worse and turns into some type of ear problem. We have a question, from—let’s see—Genesis, on here, he said, “Why do my ears ache when it's windy?” What's your take on that? To me, I would just say go you get your gut check. But I’m not sure why that would happen.
Dr. Justin Marchegiani: Yeah, that's kind of—that’s kind of vague—uhm—typically, the more inflamed certain parts of the body are, the more sensitive to certain things it will be. Like if I have from chronically inflamed to shifting my manual car may create some elbow inflammation. Now, is the shifting of the car really the problem? No. It’s the roomful of gasoline or the roomful of gas fumes and it’s that small little match that— that burns down the house. Even though the match went off, it's with the inflammatory environment of all the gas fumes that are hanging out. That’s the issue. So I was always look at the underlying inflammatory environment that’s setting up the milieu to then when that spark goes off to create that issue. And that spark essentially being the wind there.
Evan Brand: Yup. Well said. I wanna go back to not just making it an anti-antibiotic podcast but I do want to mention the fact that—that even the US Center for Disease Control and Prevention they write that ear infections will often get better on their own without antibiotic treatment. Taking antibiotics when they're not needed is harmful. Un— unwanted side effects like diarrhea, rashes, nausea stomach pain, more serious side effects can occur.
Dr. Justin Marchegiani: Right.
Evan Brand: Which can include life-threatening allergic reactions, kidney toxicity, severe skin reactions. And each time your child takes antibiotic, the bacteria that live in the body ,skin, mouth, intestine. And now we know that there's a microbiome of the ear. Isn’t that crazy?
Dr. Justin Marchegiani: It's crazy. The microbiome of the ear. Everywhere. I mean vaginal canal, gut, everything. It’s all—It’s interconnected, for sure. So also, couple of side effects with the antibiotics that we really need to talk about is the mitochondria.
Mitochondria are like these little power houses of the cell that generate ATP which is the currency of energy in which our body functions. And that's so important for optimal energy. I mean, Dave Asprey has got a book coming out or it’s coming up very soon. He'll be here in Austin next week. And its called, Head Strong and it’s all about basically improving your mitochondria. And your mitochondria is so important. Just google “mitochondria and antibiotics” you'll see a strong connection. We put some of these links in previous podcasts. I’ll let the viewers do your homework. I will post a reference section on the bottom. Antibiotics and mitochondria, you'll find significant disruption of the mitochondria with antibiotics. And obviously, it’s dose-dependent, right? The more you do it, the more you use it, the potential that increase has to happen. So that's another mechanism. Now, we can talk about some solutions. Any thing else you want to address, Evan, before we actually dig in with some solutions?
Evan Brand: Sure. I’d like to just pile on top of the mitochondrial thing you mentioned. You know, a lot of clients come to us with brain fog and chronic fatigue as well as a starting place and maybe they've had these type of infections but they've also got chronic fatigue. And you’ve just brought the word “mitochondria” so it sounds like to me, we could infer based on someone's use and history of antibiotics that we can infer. Well, here's a root cause of chronic fatigue is the mitochondria that's been damaged from antibiotics. So that's really gonna make us have to do a lot more work on supporting mitochondrial health, but then getting the gut back in check, too.
Dr. Justin Marchegiani: Absolutely. And also, cortisol. I mean if—if we’re bringing babies into this world that are adrenally-depleted, again, this is kind of weird but if a woman is stressed, especially that during pregnancy, you can put on certain you can activate certain epigenetics that will start exacerbating or stimulating that babies adrenal in the third trimester. And the more stressed that mom is throughout pregnancy, you’re activating certain epigenetics, but also in the third trimester, gonna be stimulating the babies adrenal glands. So if you bring a baby into this world with a lot of adrenal dysfunction, off the bat, they may have an inability to regulate inflammation in general coz they’re not spitting out enough cortisol. Now we don’t ever want to treat a baby directly, you know, supplement-wise. We would do it by getting the mom really healthy. Uhm—the only thing I recommend to a child, probably off the bat, if they're having issues, is probiotics. And then we could talk about maybe some homeopathic drops, or some natural solution to be put in the ear topically uh—to hit the area very focused versus do a systemic kind of atom bomb dropped.
Evan Brand: Yeah. Well said. I thought that was crazy 3-4 years ago when I heard the fact that you can basically steal your—your baby your fetus’ adrenal glands. This is why some women report feeling so good during pregnancy and some of it could be that they're deriving some of their boost from the adrenals of the baby and then you give birth. Now instead of having four adrenals that your thriving energy from, you got two adrenals just—you’re driving energy from. And some women have kind of that postpartum either Hashimoto's or some type of postpartum depression. So yeah, that's a trip. There was a question here, “Can your sinuses get clogged for years?” I mean I would say, “Absolutely!” What do you think? If you've got these uhm— food allergies in your diet for years and yeah, you could stay clogged up all the time.
Dr. Justin Marchegiani: Yeah. Absolutely. So that congestion can happen. Now we also have to look at physical structure issues, especially in the nasal area. So being a chiropractic doc, you really want to make sure that you are well-adjusted like make sure you at least see a good chiropractor once a month and make sure your cervical spine and everything is doing well, number one. Number two, you may have some turbinate issues with these bones up here in the spine. You may need a technique called “nasal specific” where they put these balloons up and they can help declog any of these turbinate issues whether from trauma or malformation. And again, Weston A. Price talks about poor nutrition. One of the things that happens is narrowing of the middle third with this area— here is broken into a third – a third – and a third. And the more nutritionally-deficient the parent was that brought you into this world, this middle third starts to narrow. So one of the biggest signs of gluten sensitivity and poor nutrition is a narrowing middle third and a very large upper thirds. So when you see people walking down the street with that big forehead and you see that smaller middle third, with that smaller lower third, gluten deficiency, poor nutrition of the parents, big time, off the bat. So again, some of this we can't really change, right? Like the parent stuff, that's all epigenetic stuff. But we can at least be aware that we’re bringing kids and babies into the world, right? We got to get the nutrition dialed in. That’s number one. Number two, uhm—chiropractic’s helpful on the spine as well as the nasal canal and nasal specific. And also, acutely, chiropractic can be great for the—uhm— for the canal of the child. The person with the ear issue. Now when you're younger, the ear canal tends to be more parallel, right? So it won't drain as well. You have that—that draining angles. So one of the things that some chiropractors will do is, pull my ear front out, they’ll do a specific adjustment where they rotate the ear, they pull it, they rotate it in clockwise and they tug. And that tug kinda opens up the uhm—the nasal canal and will allow some of that junk to drain. Now, is that root cause? No. Is it palliative without any— without very little side effects and no— not affecting the microbiome and inflammation? Yes. So it's a really good from a palliative perspective. Again, spine, really good. Nasal really good and then the ear adjustment, that’s the next really good step.
Evan Brand: That's great. Now what happened with my wife, I believe, I don't know if we were swimming in the ocean, or where we were, but she came home and her ear which is clogged. And we thought, “Man, this is gonna turn into an ear infection.” Coz she had this water that was just in her ear for like a week. And I said, “Justin, what do I do?” And you said, “Evan, you’ve gotta go get these—these eardrops. Do you remember that?
Dr. Justin Marchegiani: Yeah. Yup.
Evan Brand: And—
Dr. Justin Marchegiani: That was the Citricidal Eardrops. Those are great. Little bit of grapefruit seed extract in there. Those eardrops are phenomenal. Also, men, Hydrogen Peroxide, 3% it’s like two dollars at your uhm— drugstore. Just a little cap for that, it will bubble like crazy. Leave it in there till the bubbling stops and then you can dump it out. That was my go-to ear infection. I was waterskiing on Lake Traverse two years ago and I took a header. And I perforated this eardrum and uh—whole bunch of you know, bacteria and crap from the lake got in there. And one of the things I did was hydrogen peroxide and I diluted with a little bit of silver. So hydrogen peroxide – silver. That way, I could just clear that crap right out.
Evan Brand: That’s amazing. Now when-when you did that to your eardrum, was there any other bad side effects? What happened?
Dr. Justin Marchegiani: Just the side effects of a perforated eardrum. It’s irritated, it’s inflamed. Uhm— when you have an ear issue, man, it screws everything up because just sounds that come in are just like balance, just you’re over hyped up. So everything is irritating and kinda bother you. That my wife just leave me alone for a few days but then we just gonna do all the good things that help with the inflammation and all the good healing nutrients. I use the uh—the Similasan’s. Similasan’s, they have a really good homeopathic eardrop that we used. I use the Citricidal eardrops. I use some silver and I used some hydrogen peroxide and I kinda just rotated those. And growing up, hydrogen peroxide was absolutely phenomenal for the ear coz it’s just so cheap and it's great. And actually that's a natural—uhm— flu or cold kind of cure because they say a lot of ways that viruses kinda vector into your body is through the ear. So just doing like a little capful of that 3% hydrogen peroxide, it can really knock out potentially any viruses or bacteria making their way into the body.
Evan Brand: I think I told you when I met with one of the—the higher-ups at designs for health, which is a professional healthcare company if people are listening. I met with one of the higher-ups and he said he travels like 250 days a year. He's always concerned about picking up sinus infections or ear infections from being on airplanes all the time. And one of his preventative measures was he was taking the silver in a spray bottle and he would spray his ear canals.
Dr. Justin Marchegiani: Yup.
Evan Brand: Then he would spray his nose, right? You know, kind of like a barrier protection around his holes of his— his nostrils in his ears. And the guy never got sick, so—
Dr. Justin Marchegiani: I love it. Totally make sense. So, off the bat, we kinda have the preventative stuff with the mom to baby, and stress in the adrenals. Obviously, try to have a vaginal birth. It’s gonna be essential because the activation of the bacteria in the vaginal canal and how that affects the child's immune system. Number two, if you can't get, for some reason, emergency happens where the cord gets wrapped around the child, the child's oxygen levels drop and you have to have a C-section or the baby's breach, number one, see a chiropractor beforehand. Get Webster technique to get that baby to go headfirst. But let’s say you can prevent that. Number two, go in there, and again, the doctor and the midwife probably won't do this. So you have to get in there, get in there with a good swab. Swab your wife's vagina area and then afterwards, when that baby comes out, you swab the baby with it because the baby would be getting exposed to that, anyway and now it's not. So do a good swab, put it in like a little baggie and then after the C-section, then you— when you're doing skin-to-skin, have that baby all swabbed on. Now don’t tell the— the doctor or nurse what you're doing coz they’re probably look at you like 10 heads. And this is—you know, I told my OB about this ahead of time, she’s like, “Oh, well, you know, you can do that, but just keep it to yourself. We don’t have a problem with it, but you just keep it to yourself.” So that's what we’re doing if that does happen. So have a back up plan, ideally.
Evan Brand: Totally. And why? Why—why would they— why is it have to be so hush-hush, I don’t understand what the deal is?
Dr. Justin Marchegiani: Well, it’s – in conventional medicine, there’s a conveyor belt man. Like here is what you do, here's the cookbook, great. 1-2-3-4-5. And anytime you put a kink in that step, or something that disrupts that flow, you know, everyone perks up and it’s like, “What—What’s happening?” You know. So the more you can just lull them to keep that procedure going uh—it’s ideal.
Evan Brand: Makes sense. Yeah. Yeah. I had a client who—I’m trying to—who it was—it was either yesterday or the day before and she actually went to her conventional doctors to show the lab test, the organic acids test and he's like, “This isn't even a valid test. I've never heard of this before.” It’s like just coz you never heard of organic acids testing, doesn't mean it's not valid. You try to say that uh—instead of the herbs that were gonna use for Candida that she should just be using a Diflucan and— which is a prescription which is just unnecessary, so—
Dr. Justin Marchegiani: There can be a lot of side effects with Diflucan. I tried it before the—with the uh— with the fungal infection in the past. Coz I just was trying all these different things and one of the side effects I found was lightheadedness. That drug cause a ton of lightheadedness, insane.
Evan Brand: That's scary.
Dr. Justin Marchegiani: Yeah. And there’s some research that it can cause neurological problems, too. So I mean, some people it may not be a bad thing, uhm— if you're combining it with herbs and everything else and it’s just a part of the program, but just as like a, “Hey, you know, don’t change your diet, don't do anything else, just take this.” —probably not gonna be the best long-term solution.
Evan Brand: Yup. So I think—I think we —we've we kinda jumped around. We jumped into some—some solutions and side effects and all that’s— I mean really diets can be first step, getting a nutrition plan in place it's gonna be more like a Paleo or autoimmune paleo diet, potentially getting rid of your grains, your sugars, of course your sodas, your juices gotta go, pasteurized dairy—it’s gotta go. I remember for me, with my skin, you were like, “Evan, even though it's organic grass-fed cheese, you still gotta cut it out.
Dr. Justin Marchegiani: Yeah. Your skin look so much better compared to last year.
Evan Brand: I know. So I had to get rid of it, even though I miss it and it was delicious. I rather feel good and, you know, have— have better skin. So you've got a get out the— the dairy except for butter. Sometimes you can do okay with butter and the wheat. I mean we talked about that but any type of gluten issues you’re gonna be creating the intestinal permeability. Even if you don't have celiac, doesn't matter. The gluten is still gonna affect the gut which is therefore going to make you more susceptible to ear infections and allergies and sinus problems. Uhm— secondhand smoke, we talked— you talked about that a little bit, that analogy. But yes, uhm— there is research that secondhand smoke also increases the risk of ear infections for children. So if you’re going over to a family's house or someone in the family smokes—
Dr. Justin Marchegiani: Yeah.
Evan Brand: And then when you hold the baby, uhm— don't let them do that. Also, if you are gonna bottle feed for some reason, apparently, bottle-feeding while lying down increases your risk of ear infections. That’s something that I just learned this morning with some research, but it makes sense.
Dr. Justin Marchegiani: Yeah. Yeah. Absolutely. Also, the quality of the food that the mom eats has a huge effect on the baby, okay. I'll give you an example, alright? My neighbor —her child had a really difficult time sleeping continuously, up every half-hour. The big thing that they did is they pulled out eggs, and it was one nightshade family made up of eggs and tomatoes. And that one tweak, change the composition of the breast milk and the baby slept like just magic. So quality of breast milk is incredibly important and is dependent upon what the mom eats. So if you're having issues with your child off the bat, even if it's just sleep or ears, get your diet super, super clean. Super, super clean. Just because you're feeding a baby or growing the baby, it’s not a license to eat whatever the heck you want. Nutrient density is incredibly important. With my wife being pregnant, we— we’re doing lots of things to increase nutrient density. She gets exposure to a little bit of liver everyday. Uhm— she does a green smoothie with organic vegetables in the morning, we mix in some MCT oil there. We do some collagen. She gets some Pasteur-fed eggs and Pasteur-fed bacon from time to time. And she’s eating 3 solid meals a day. And then get one good, healthy, organic shake in there. And really mitigating stress, and some probiotics and some magnesium to keep the bowel moving. So when you get pregnant with the hCg and all that stress down, it can create some issues with regularity. So that’s — I don’t wanna go too much on that, that’s a separate podcast. But, you know, we could just— we could do a podcast marathon and be here for 8 hours—I think, it allows us to do 8-hour straight, so we should uh—we should push that one time.
Evan Brand: We could. We could to a marathon.
Dr. Justin Marchegiani: Yup.
Evan Brand: So we—we hit on the—the eardrops, there’s garlic eardrops, too that I’ve read about. I’ve personally not use those. I’ve only used the uh— grape seed extract. Also, breast milk for eardrops. If you have a small little dropper, you can use breast milk for your drops, And it’s gonna be safer, less expensive, far better than antibiotics. Also, I don’t know if read about this, but coconut oil eardrops apparently exist, where basically I mean, all I would—I wouldn’t buy a specific drop, I would just take a load of the coconut, heat it up a bit, and then put into a container.
Dr. Justin Marchegiani: Exactly.
Evan Brand: You’re gonna get the caprylic acid in there. Which is probably gonna be the best thing. What else you—you got capric acid in there, or two that maybe gonna acts as a natural antimicrobial.
Dr. Justin Marchegiani: Absolutely. So let’s kinda go through some of the sinus stuff. So, off the bat, with the sinus, you can do Xlear, too, which is great. Xylitol which is an anti-biofilm kinda type of sugar alcohol and it also has an effect of being antibacterial. So that’s excellent.
Evan Brand: What is it called?
Dr. Justin Marchegiani: Xlear or X-Y-L-E-A-R. We’ll put links below the video and in the transcription, we’ll put some amazon product links, too. So if you guys wanna support us, you can get some of the things that we’re talking about through our affiliate links.
Evan Brand: Perfect.
Dr. Justin Marchegiani: And these are things that I usually that I bought and used, too. Anything we talk about and recommend are things that I have personally done myself or have seen my patients do it with great success. So what you’ll read, though—we’re all about clincial results first. So Xlear is great, or Xylear, however you pronounce that. Next is gonna be—Dave Asprey’s got a good bulletproof sinus rinse which is really good. You got a big salad bowl. We’ll put the link for this, too. You put a whole bunch of—just gently warm water in there. You do about a quarter of a teaspoon of some high-quality salt—sea salt in there. And a couple of drops iodine for the most part. And then you’re gonna dip your head upside down, and then you’re gonna breathe or you’re gonna suck that in to the nose. Keep your mouth out of the water, of course. Suck it in to the nose. So it will kinda feel like you’re drowning, not the nicest feeling, uhm—but that will be really, really helpful. So half a teaspoon of high quality sea salt for every cup of water. That will prevent bacterial overgrowth. You can add a little bit of iodine in or a little bit of Xylitol. So basically, you’re gonna do the whole little dippy bird, a little—tip—tip your head back. Don’t tilt your head back or you’ll gag. So keep your spine parallel to the floor and then you’re gonna breathe in to the nose. And I will put the protocol down below. So blink your eyes a few times. The iodine will sterilize the lining of your eyes if you get it in your eye. So be careful with the iodine in your eyes and that will significantly help clear out. And I will put protocol down below as well. Next, you can do a Nasaline, as well. And I’ll do the Nasaline with the Neti Xlear or the NetiXlear, which is potassium biocarbs, some salt and uh—Xylitol, and a little bit of uh—I think that’s pretty much it. And it goes into the solution, and then you can pump it through with a Nasaline which is basically a plunger for your nose. So a Neti Pot’s one thing but you just pour it and it’s gravity that goes through. The Nasaline, it goes through in one nostril and it’s a plunger where you push it. So you get full contact of the sinus canal and then will go through and rinse that everything with full contact.
Evan Brand: That seems way better than the Neti Pot. I’m glad you brought that up because—because my wife she did the Neti Pot and something happened. I think she—she had some weird drainage and I think that that actually lead to her getting like kinda an ear pain from the Neti Pot. So what you’re talking about sounds way better.
Dr. Justin Marchegiani: Well, think about it, right? If this is like your sinus canal, right? And we’re putting water in there. The water is just gonna hit the bottom part, right?
Evan Brand: Yeah.
Dr. Justin Marchegiani: For the most part. But if you get plunger in there, and you’re plunging it with actual pressure, it’s gonna have full contact of that sinus canal. So better chance of getting all the debris out.
Evan Brand: And that’s called what?
Dr. Justin Marchegiani: That’s called a Nasaline. We’ll put the link below. We’ll put the uhm—with the references. That’s gonna be great. That’s a really good product that I had a lot of patients used with great success. So you have the Bullet Proof Sinus Rinse, you have the Nasaline. If you already have the Neti, you can feel free and use the Neti. And the key things is just using the minerals using the Xylitol and/or adding some iodine. And/or just adding some silver. Like a simple thing you can do, too, is just lie back, ten drops in each nostril, three to the four times a day of high-quality silver. You know, in my line, it’s GI Clear-3 that we use and that has the 15 to 20 ppm of nano silver, not colloidal, but it’s nano. And again, don’t worry about argyria or turning blue with that. That’s gonna primarily happen from your homemade silver products.
Evan Brand: Why is nano silver better than colloidal? You got a lot of people promoting and selling colloidal out there but can you tell us why nano is superior?
Dr. Justin Marchegiani: Just the structure of it. It’s a different structures of a colloidal structure. It’s nanostructure so you’re gonna get better absorption for the most part.
Evan Brand: Sounds like it’s gonna be tinier the way that it’s gonna be structured.
Dr. Justin Marchegiani: Yeah. And you can go look at—I think it’s Dr. Gordon Peterson. He’s an immunologist that’s talked a lot about this kind of silver and he’s helped formulate that kind of silver. So the nano silver, in my line, GI Clear-3, is the one we like uh—to help with that.
Evan Brand: Love it. Should we answer any couple of questions. We had a question about goat cheese. For me, dairy is dairy, regardless of the animal. I’d say pull it out especially if you’re—you are struggling. You’re better to just go completely dairy free for 30 to 60 days.
Dr. Justin Marchegiani: People asking the questions, try to keep pertinent to the uh— podcast so we can connect it here. And then regarding ghee—ghee is definitely a good first dairy to add-in. So if you’re dairy-sensitive, you pull the dairy out for a few weeks to a month, and the first thing you add back in should be the ghee. Ghee is clarified butter so they suck out the lactose part. They suck out the casein part. All you got is the butter fat. So you have, basically, you know, very little casein, maybe microscopic levels and very little lactose. So you— it's gonna be even better than butter, per se. An then if you do go with ghee, then you can try a little bit of grass-fed butter which will have very tiny amount of lactose and very tiny amounts of casein which may be acceptable level for you.
Evan Brand: For me, I could to the good quality grass-fed butter without a problem.
Dr. Justin Marchegiani: Cheese, though—ee—cheese and even raw milk, man. I don’t do good with those. I just—I really don’t. Skin breakouts, gas, bloating—not good. But I can do great with ghee and great with grass-fed butter.
Evan Brand: Isn’t it amazing, though. I mean just that one simple swab you got on me, you’re like, “Evan , man, you’ve gotta get rid of the cheese. Coz I would talk you through, you know, we’re kinda—you and I will talk off-air about what you eat, what do you do in diet-wise and what's working and I told you, “Man, I’m doing this organic cheese.” And I don’t know if would say I was having sinus issues, but I definitely had some—I guess I would call it head pressure. Basically, kind of like a mild headache in the front of my—in the front of my head. I did not know that that was caused from dairy. And it was.
Dr. Justin Marchegiani: Your skin looks a thousand times better since you cut a lot of that cheese out.
Evan Brand: Yeah. I feel good. And I cut out corn, too. Now, I will do a little bit of some organic—blue—uh—blue corn chips maybe once a month or something now. They just taste so good.
Dr. Justin Marchegiani: Alright. That’s one paleo demerit down there.
Evan Brand: Hey, I know you’ve done some corn in 2017, right?
Dr. Justin Marchegiani: A little bit. Well, I mean—obviously, it’s a Mexican restaurant, called Maddy’s. And we’ll do a little bit of their gluten-free organic corn chips that are like in a plastic bag. So it’s totally a waste, there’s no cross contamination. So, I will, from time to time, as a little reward. It’s Friday, you know, a little—little NorCal margarita, a little bit of Dr. J’s Moscow Mule. Yeah. Absolutely. Love it. Add it to the list.
Evan Brand: And now is that—are—or now is that blue? Or is that—is that yellow corn? I may be one up on you in the blue here.
Dr. Justin Marchegiani: Uh—Yeah. I think it’s probably just the yellow. But it’s least organic and GMO free which is essential.
Evan Brand: Totally—totally.
Dr. Justin Marchegiani: Yeah.
Evan Brand: Maddy’s is good and what was it—Tacodeli down there in Austin. They’ve got organic, pasture-raised pork shoulder tacos.
Dr. Justin Marchegiani: Unbelievable.
Evan Brand: Have you had those?
Dr. Justin Marchegiani: I’ve not. Tacodeli?
Evan Brand: Oh my, god. You’ve gotta go, man. It’s off uh—I wanna say it’s off of 360. Shouldn’t be too far from you. And they do organic uhm—they do organic tortillas as well and pasture-raised pork, so.
Dr. Justin Marchegiani: Love it. Love it. Very cool. So let’s kinda summarize, alright? So you’re coming into this here and you missed the whole 45 minutes chat. So what are the key take homes? Diet, of course, refined sugar, dairy, gluten, grains—cut that out. If that's not enough, you can go do an autoimmune template where we cut out, nuts, seeds, nightshades and eggs. You’ve left meat, vegetables, maybe a little bit of low, sugar fruit, maybe a little bit of starch and healthy fats minus dairy and uhm—nut and seeds. So that’s our good first step that we need. Now, after that, there are some preparation and things we can do ahead of time but may not help you in the moment. That’s the healthy pregnancy, that’s the stress, that’s getting the vaginal canal in contact with the baby on the way out to activate the immune system, that is the good quality breast milk, that is all that good stuff there. And keep them mom’s nutritional density high when she is breastfeeding because that becomes the building blocks to a lot of the uhm—raw material in the breast milk. You know my expression is you can’t make chicken salad out of a chicken shit, right?
Evan Brand: Yup.
Dr. Justin Marchegiani: If you got crappy quality ingredients going in that mom, guess what, you can’t make this awesome breast milk with bad ingredients. So let’s really keep the quality high. Next, we have for the sinuses, you have structural issues, you can do the nasal specific chiropractic technique, you can do adjusting of the spine, and the whole—the neck as well, especially the upper cervical area and then adjusting Eustachian tube to help increase the angle to allow the ear to drain, right? Now we have the rinses for the sinuses. We have the bulletproof rinse, we have colloidal silver uhm—for the sinuses. And we also can do hydrogen peroxide in water, 50-50 split and do drops in the nose, 4x a day, 10 drops. And then we also have the ear. We can do Similasan Homoeopathic, we can do the Citricidal; we can do the Hydrogen Peroxide; we can also do the silver. And then you can also do a little bit of garlic oil in there, as well. What do you think, Evan? I think we just like hit it all at once.
Evan Brand: Yeah. That was good. And treat the gut, too.
Dr. Justin Marchegiani: Of course. And the best things—the supplement you can use on your baby if they’re newborn, Infantis Probiotic. Infantis is a specific type of probiotic. One that we like is Ther-biotic Complete for Kids. That’s a great one uh—for kiddos. And—and that can be powder so you can just put in on your finger and then you can just put it in the gums or if you’re breastfeeding, you can put in the nipple area and have the child, get it from that. And also, give it to the mom and it will help with any potential translocation via the breast milk as well.
Evan Brand: I will say one last thing about breast milk and this is probably gonna only apply to maybe just a few listeners, but there are breast milk donation services out there, where for some reason if the mother is just too busy, she is working too much, I've seen women going and getting breast milk from other moms. I would never do that from my baby because who knows what that moms diet is like. Who knows how much glyphosate is in that. If the mother is not eating organic. We know, I just chatted with Dr. William Shaw in my podcast, you know, we’re talking about parts per billion of glyphosate which is what’s used a non-organic produce. Parts per billion being enough to disrupt uh— gut bacteria and kill beneficial bacteria in the gut which can lead to these ear infections. And so for me, I would never ever, ever, ever unless there’s was just something so wrong with the mother that she could not feed the baby—her breast milk. And she had to get another mom’s breast milk, I would literally have to do an interview process of that— of that mother. Is your diet organic? Are you eating gluten? Are you eating dairy? Because that’s gonna—breast milk is not all created equal, like you mentioned.
Dr. Justin Marchegiani: Yeah. I mean, it’s really simple. You just pay a little bit more money. You—you provide that food for that mother who’s donating the milk if that’s your only option.
Evan Brand: Yeah.
Dr. Justin Marchegiani: I mean, for the first 6 months. What you’re doing there, for 6 months to your kid is a better investment than paying for college or any of that. That’s like the best investment. So if you’re in that position and you have to do that, then definitely find someone. You know, the Lalecheleague’s a really good reference for that. But really find high-quality breast milk, if you need. There’s some Weston A Price recipes where you can do some home-made breast milk with liver extract and cod liver oil and raw milk or raw goat’s milk. But then also, like if the mom can’t breastfeed, it’s typically something wrong from a stress perspective and from a diet perspective, so really look at getting the diet fixed. I see a lot of women who go low fats have problems with producing breast milk. So—
Evan Brand: Yup.
Dr. Justin Marchegiani: That's really, really important. And then don't quit. Like, don’t quit. Like can you imagine, like evolutionary times where like food’s like, you can’t feed. You don’t have like formula, you didn’t have all these things. So you couldn’t breastfeed your kid, like what would you do? That was it.
Evan Brand: You’re done for.
Dr. Justin Marchegiani: This is it. They can’t eat solid food, right? Too young, what do you do, right? So maybe there will be another woman in the tribe that you give the baby off to and they would lactate for you. But ideally, you gotta get the diet right, you gotta get the stress right and then also, make sure that the inflammatory foods are out of there so the highest quality nutrients are coming through.
Evan Brand: Yeah. It sounds like we have to do a whole breastfeeding.
Dr. Justin Marchegiani: Yeah.
Evan Brand: Or optimal baby podcast.
Dr. Justin Marchegiani: Yeah.
Evan Brand: But I’ve heard many women, who they’ve completely just given up on breastfeeding because they said they were too stressed or too busy or something like that. But you really gotta try to modify that to make it possible because—
Dr. Justin Marchegiani: We’ll do a whole podcast on this. We’ll do a whole podcast on it. There’s a lot of nutrients and stuff you can do like fenugreek, you know, uh—mother’s milk tea. Just all kinds of things. And also, get a doula. If you’re having a hard time, get a doula. There are so many things. Like most women, it’s like, “Oh, I tried and it’s done.” No, get a doula. Like try for days, use—get someone who’s done it. So many times, they know all the tips and tricks to make it happen.
Evan Brand: Yup. Totally.
Dr. Justin Marchegiani: And that’s coming from someone who wasn’t breastfed ideally long enough. So I’m really passionate about getting that information out there.
Evan Brand: Me too. Me too. Well, we’ll send people back to your website. They can type in, Justinhealth.com to check out Justin and schedule consult with him. We deal with this stuff all the time, every single week, in the clinic. And my website notjustpaleo.com or just google our names: Justin Marchegiani Marchegiani Evan Brand. You’ll find us and make sure you subscribe here on the YouTube channel. Justin have over 25,000 subscribers on YouTube. Congrats. Whoo—
That’s uh—make sure we push that closer to a hundred grand because this is important information that is not readily available. Even in 2017, somebody's gonna go down the street to the clinic, and maybe regret the mode of action that was taken. So we want to save you from that.
Dr. Justin Marchegiani: Absolutely. Any other questions you wanna answer in the queue there, Evan? I don’t think so. Was there any for you?
Dr. Justin Marchegiani: Uhm—again, someone said- Sam asked about Probiotics for a 7 year-old. Well, I’d probably still go with the Infantis. But you know, you’re gonna go, you’re gonna have a blend of Lactobacillus, Bifidobacterium Infantis in there . So you’re probably good with that one. I recommended it.
Evan Brand: Yeah. And I would say for a 7-year old, too. Believe it or not, I had a three-year-old girl but I just had her stool test back and she had 2 parasites and Candida and bacterial overgrowth. So, I mean, if the seven-year-old has got symptoms go ahead and get a—get a GI Map stool test on her I wouldn't be surprised if she’s had antibiotics her seven years of life. She might have some type of overgrowth already. And you just don’t wanna come in and just try to fix it with a probiotic. A lot of times, that won’t be enough. You can’t just out probiotic your way out of an infection, unfortunately.
Dr. Justin Marchegiani: Absolutely. And the easiest way to get kids to eat healthy. And again, this may, you know, sound kind of patronizing, right? But it—it’s a 100% true. Number one, don’t have crap in the house. Clean out all the crap in the house. Number two, you have family meals together and you will role model what good eating looks like. Mom and dad, they sit down to have their meal and they role model what it looks like. And the whole idea, you know, once the kid’s eating solid food, and they actually have teeth and they can chew and stuff, the whole idea behind baby food versus kids food, once they—once the mastication’s dialed in is ridiculous, right? They should be eating adult food and just, you know, cut it up small and make it really easy to digest. But those foods need to be done as well and you just role model it to the kids. You just parrot it back and the kids want to be like the mom and the dad. And they’re gonna wanna just do what the parents are doing. So you role model it and you create a really good environment and family meals.
Evan Brand: So we’re in those something funny uh—and we’re getting off topic but it's Friday so we’re having fun. Uhm—
Dr. Justin Marchegiani: It all connects back to that because if you don’ get to diet, right? Then you’re gonna have sinus infections and ear infections all day long.
Evan Brand: A 100%. So it is on topic. Yeah, for sure. So my wife and I, we were discussing last night, “When do you make the transition from baby foods over to solid food?” You know, from pureed foods to real foods. And well, she said, “They tell you.” And our daughter, she’s starting to fuss about the pureed foods. And she's trying to grab of mom's plates. So like last night, for example, we some steam broccoli, we had some peas and carrots that we did for lunch, with our veggies and we did some meats. And we gave her her own little plate of peas with some butter on there and some carrots, and some broccoli. And she ate it up—insane. And she’s 10 month old, I thought, “Oh, my lord, look at her appetite. She’s probably starving to death waiting for real food.” She’s like, “I’m sick of this pureed crap. Give me some real food.”
Dr. Justin Marchegiani: Exactly. Plus the teeth are coming in. So it’s a natural progression, right?
Evan Brand: At six months, you may start to add in some smooshed peas, some smooshed avocados, 95% of it doesn’t get in the mouth. It’s more of that tactile play experience. But eventually it gets in there and the teeth come out. And then you can start introduce it. And you’re doing a great job with how you’re doing it. Keeping it mashed, keep it simple, staying away from the hyper-allergenic food. That’s great.
Evan Brand: Yup, yup. So we have uh—we gave her a little bit of chicken yesterday, too, which she did fine with. It was very plain, not much seasoning on it.
Dr. Justin Marchegiani: Yup.
Evan Brand: Just some—some baked—pieces of some baked uh chicken thighs and she loved it. She ate it up. So it's a lot of fun—a lot of fun—
Dr. Justin Marchegiani: I love it.
Evan Brand: to eat healthy.
Dr. Justin Marchegiani: Awesome, man. And well, it’s great little Friday, here in Austin. I’ll be uh—doing a little waterskiing this weekend.
Evan Brand: Nice.
Dr. Justin Marchegiani: Really excited about that. Any plans for you? Well, uh—we’re gonna go scope out—scope out some eco-friendly uh—paint and flooring options. And figure out what we can do about—about this house, so—
Dr. Justin Marchegiani: I love it, man. Excited about it. Keep me posted.
Evan Brand: Sure.
Dr. Justin Marchegiani: And everyone listening, we appreciate your attendance. If you like these live ones, these live podcast, give us feedback. Let us know; like it; share it; give us a five-star review on iTunes as well. We’ll put—we’ll repost them on iTunes. If you listening on iTunes right now and you wanna see Evan and I go back and forth, duking it out in the flesh, click the link below so you can watch the uh—YouTube link. And uh—we’re excited to continue to do more of these and share more information.
Evan Brand: Take care. Have a great weekend.
Dr. Justin Marchegiani: Evan, my man, take care, buddy. Bye.
Evan Brand: Bye.