Welcome to today's live podcast with Dr. J and Evan Brand! Watch as they dig into the different issues concerning gut health and supplementation, like Insulin-driven skin problems, malabsorption, enzymes, kidney stones, detoxifying and other digestion-related topics they randomly answer.
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Dr. Justin Marchegiani
In this episode, we cover:
02:15 Estrogen and Insulin-Driven Skin Issues
05:50 Enzyme Synergy Versus Digest Synergy
10:00 When to take what Supplements
16:25 HCl, Enzymes and Digestive Supplements
19:49 Organic Buckwheat Crisp
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Dr. Justin Marchegiani: Hey, there! It’s Dr. Justin Marchegiani. Evan Brand is here in the house as well. Evan, how is your Father’s Day, man?
Evan Brand: Oh, dude, Father’s Day was great. It was my second. Was this your first…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …Father’s Day?
Dr. Justin Marchegiani: I may— I guess it’s my First. My— My son last year at this time was in my wife’s belly…
Evan Brand: [laughs]
Dr. Justin Marchegiani: …I think six months— s— so, six to seven months in. So he was still— he was still alive and kicking, so it felt like my second. But, yeah. It was great. I got this awesome little gift from my wife.
Evan Brand: What did you get?
Dr. Justin Marchegiani: This. She made this little thing…
Evan Brand: [crosstalk] Oh! Dude, that’s great!
Dr. Justin Marchegiani: Yeah, and then that’s me with him. That’s Aden right there.
Evan Brand: Oh, man.
Dr. Justin Marchegiani: And he’s a super little healthy dude. [crosstalk] Really healthy…
Evan Brand: Actually nice.
Dr. Justin Marchegiani: But yeah. That’s— Melts my heart. [inaudible]
Evan Brand: [crosstalk] Yeah. Your wife was uh— Your wife was showing me his swimming skills when I was over at your house so we went to the pool. Uh— He— He’s doing pretty good for a little guy.
Dr. Justin Marchegiani: He’s doing great. I, too, took him out to a steak restaurant in Austin, and he had a little meltdown halfway through. He forgot to check his diaper. Like— It’s this like…
Evan Brand: Uuuh—
Dr. Justin Marchegiani: …the most obvious thing sometimes.
Evan Brand: [laughs]
Dr. Justin Marchegiani: It’s like phew!
Evan Brand: [laughs]
Dr. Justin Marchegiani: But he was eating a whole bunch of steak
Evan Brand: That’s amazing.
Dr. Justin Marchegiani: Yeah. He just crushed it. And the thing is he has had no real exposure to sugar outside of like having berries so it’s really interesting because he is totally carnivorous, will choose meat over anything else. Where— I see lots of other parents, where their kids are getting like lots of these like eating Yogurt, sweetened things, a lot of juices. I really feel
Evan Brand: Do you do uh— applesauce with them?
Dr. Justin Marchegiani: Uhm— Actually, we’ll just cut up apples.
Evan Brand: But no applesauce?
Dr. Justin Marchegiani: Uhm— In the beginning, we did a little bit but not much. I mean, we do like a little bit of mashed sweet potatoes or mashed Avocado. Uhm— But no, not a ton of applesauce. He’s able to just— We do a lot of
Evan Brand: That’s smart.
Dr. Justin Marchegiani: Yeah.
Evan Brand: That’s smart.
Dr. Justin Marchegiani: Yeah, absolutely. So I know we only have a little bit of time today so we’re gonna just do a live Q&A. We had a couple of questions here. So, we’re gonna just dig in. Let’s go through them.
Evan Brand: yes, let’s do it.
Dr. Justin Marchegiani: Uh— Gabe writes in, “Lately, my wife spends seeing more tiny moles started to appear on her face. Any explanation why?” So,
Evan Brand: Yeah. You got— You always got to start with the diet. I think that’d be the most simple thing, right? Make sure…
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: …she got like a Paleo template to start with, she’s regulating Insulin, and there’s always other root causes that could affect Insulin too. Like gut issues can affect blood sugar, which could affect these Moles.
Dr. Justin Marchegiani: Yup. So I would always look at the— the blood sugar, the quality of food. I’d look at pesticides and chemicals in the environment. I want to make sure those things are under control. And then, of course, you know, the gut’s a mirror of the skin. So,
Evan Brand: Good point.
Dr. Justin Marchegiani: Uhm— But— Yeah. But, you know, a lot of the herbs we may use. Like in my
Evan Brand: Yeah. You— You kind of briefly mentioned some of your supplements, but I want people to understand that uh— you know, part of your goal is to provide professional grade supplements to people even if they’re not your clients or patients. So if you guys tune in to this in the future, if you’re tuning in right now, you can go check out justinhealth.co— justinhealth.com. There’s an entire library, basically online natural pharmacy so to speak, of various nutraceuticals and things that Dr. J has formulated. So when he says like, “Hey! My GI Clear 4,” that’s what it means. And you can go check out those formulas. So, we’re always happy for people to piece together these herbs but,
Dr. Justin Marchegiani: Thanks, Evan. Thanks for the plug. And then,
Evan Brand: Yep. Good advice. Uh— Let’s go over here to uh— Juan. He was asking, “A Glutathione injection, is it great in an IV?”
Dr. Justin Marchegiani: Uh— IV, I think is great if it’s— if it— if you have a really acute exposure. The problem is most people can’t afford or do an IV daily. So, I think an IV, acutely, is a good situation,
Evan Brand: That’s far smarter. You don’t need an IV. I think an IV is unnecessary because of the Liposomal technologies.
Dr. Justin Marchegiani:
Evan Brand: Yeah. I agree.
Dr. Justin Marchegiani: And then, uh— Charlie writes in, “What’s the difference between Enzyme Synergy and Digest Synergy?” Uhm— Digest Synergy, basically has some different types of acids and a little bit of Pepsin. It— It’s lower on the HCl and has
Evan Brand: Yup. Good. Good. Good, good.
Dr. Justin Marchegiani: Yeah.
Evan Brand: Both great products. So here’ another one from uh— Juan, “I took Lamisil. It worked great for my fingernail, fungus and toenail fungus. How can I detoxify my liver from the medication? I tried other things like T3, Oil Oregano, oil, and nothing worked.” Well, first, uh— I mean, you give me your two cents here, Dr. J, but I would say, you got to get tested. I mean, you’ve got to take a look at your liver. If you’re concerned, and you want to detoxify, why don’t you look at your
Dr. Justin Marchegiani: Uhmhm—
Evan Brand: …before you go down some like liver detox program. You might not need that.
Dr. Justin Marchegiani: Yeah. I think that’s great. And then, if you’re really having a hard t— You said, “I took Lamisil. It worked great on your fingernail fungus and toenail fungus.” So you’re saying— I
Evan Brand: Yup. Yup, well said. Let’s go over here. Uh— Don’t know who this is. Kind of weird name. Uh— “Small amounts of Calcium citrate a meal’s okay with kidney stones?”
Dr. Justin Marchegiani: Well, with
Evan Brand: I don’t think you want Calcium, period. Nora Gedgaudas, a mutual friend of ours, has a great article on Calcium. You really just don’t need Calcium supplementation uh— hardly, ever.
Dr. Justin Marchegiani: Yeah. So, basically, Calcium citrate does reduce the risk of oxalate deposition in the kidneys. So does the Potassium. So does Magnesium. I just rather be using Magnesium and Potassium personally. Uh— it’s harder to get those minerals,
Evan Brand: Yup. Yup. Let’s keep going here.
Dr. Justin Marchegiani: I had a large in my back. It fell off after Keto and fasting. Totally makes sense. That’s all about Insulin, right?
Evan Brand: That’s cool.
Dr. Justin Marchegiani: Yup. Makes a lot of sense. Seen that before.
Evan Brand: Here’s Tom. I’ll read this one for you. “Vitamin D, trying to optimize absorption one meal a day in the evening. Should I take Vitamin D on an empty stomach or with the meal in the evening and risk melatonin interference? Any suggestions?”
Dr. Justin Marchegiani: I mean, I would just try to do it in the morning because it makes sense. Vitamin D is typically gonna happen when the Sun’s up, not when the Sun’s down so try to time it in the morning. If you forget, as long as you can take it, and it’s not gonna mess up your sleep and you can relax and wind down, I think it’s fine. A lot of my
Evan Brand: Yep. Sounds good. Keep going here. Anita, “Can you talk about the best time to take probiotics, Vitamin D, Vitamin C, Biotin, Zinc? Is it too much to take all together with a meal?” The answer is no. You can take all of that together. The main issue is standing here. So first, I’ll have my two cents. You need to get…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …your Ferritin look there. So, I’d get a blood panel run to look for Anemias ‘cause you can take these magic— magical mira— miracle supplements like Biotin, which every woman under the sun is taking now, and it might not resolve your hair uh— thinning issue. So get the blood work done. Investigate, first of all, and then, in terms of probiotics, we always recommend that you do those on an empty stomach or maybe around bedtime, because then you’re not competing with stomach acid. So, the probiotic can kind of
Dr. Justin Marchegiani: Yeah. I would just say, anything mineral or amino acid-wise, do it with the food and I’m fine with it. Probiotics, empty stomach, unless, let’s say, acid resistance strain like Omega Support, that can be done with food.
Evan Brand: Yup. Yup. Uh— Let’s go over to Oliver here. Would drinking Water Kefir with mears— meals help or hinder digestion as regular water would?
Dr. Justin Marchegiani: Uhm— I would just say, it probably would help ‘cause a lot of the Kefir
Evan Brand: Yeah
Dr. Justin Marchegiani: That’s a pretty good rule of thumb. And also, do you feel undigested? But when your digestion is more compromised, you got to be by the book. When your digestion is less compromised, you can have a little bit more uh— latitude in what you do. But as long as you feel good, you’re okay.
Evan Brand: Yup. Let’s keep going here. What’s your time? I know we got— How many minutes more do you have like?
Dr. Justin Marchegiani: We got five more minutes.
Evan Brand: Okay. Uh— Here’s a question from uh— Charlie. Can you just do the H. pylori part of the diagnost— diagnostic solutions test? The GI Map is too expensive. Charlie, I don’t know if you can do it on the GI Map. I know you can with BioHealth. You can do just an H. pylori antigen. However, I would hardly not recommend you do that because if you’re gonna spend money, period, to get any testing done— you know, whether it’s Dr. J or my protocol, our protocols are very importantly based on having a full picture. So imagine like trying to estimate what your— what a puzzle is just by looking. What’s that analogy where you look at the tail of something and you’re like you have no idea there’s an elephant in the room ‘cause all you saw was the tail.
Dr. Justin Marchegiani: Yeah. Yeah. It’s basically you’re walking in around— you’re walking in there blind, or you’re just each person stealing the part…
Evan Brand: Oh, yeah.
Dr. Justin Marchegiani: …of the elephant trying to guess what it is, right? And, there’s also an assumption too. The assumption is, “Oh, I treated the H. pylori— or I treated the other parasites. I only had the H. pylori. Therefore, I only want to look at that.” And a lot of times, you may have other infections that come back on the retest ‘cause these infections were barred in deeper into the gut lining. So you want to rule that out.
Evan Brand: Well, use me as an example.
Dr. Justin Marchegiani: Yeah.
Evan Brand: I— I had Crypto. I had Giardia. We came up with the protocol and guess what? On the retest, the parasites were gone and H. pylori showed up. So then I had to do a second protocol to kill H. pylori ‘cause it was barely in.
Dr. Justin Marchegiani: Exactly. Now, some people like ninety or a hundred percent of their symptoms go away. Okay. Fine. You know, you’re feeling amazing. You only want to test for one thing. Money’s tight, fine. But, if not, I will always retest the whole thing, just to be in the safe side.
Evan Brand: Okay. Okay. Yup. I would agree. If so, how much is it? Uh— Pricing varies. Pricing changes.
Dr. Justin Marchegiani: Yeah. You can go to my site, GI Map test cash is 3.99 and then, we provide the superbill codes so you can always submit it with insurance and you can also use
Evan Brand: Yup. Yup. Uh— Let’s see here. Gabe, “Uh— I like to make my 7-year old smoothies, which he enjoys (he does look a bit underweight) Is it okay to add a bit of your guys’ Collagen…
Dr. Justin Marchegiani: Yes.
Evan Brand: …and protein pow— Yeah.
Dr. Justin Marchegiani: Uhmhm— [crosstalk] Of course, without a doubt.
Evan Brand: Super high-quality. Uh— “Iron.” This is a question from Michelle, “Iron-68, Ferritin-51 after a high-dose Vitamin C IV, which resulted in oxalates everywhere. It caused hair loss too. Trying to recover. All those levels suboptimal? I feel oxalates were chelating minerals.”
Dr. Justin Marchegiani: I don’t know. Those le— Those levels are good.
Evan Brand: Yeah. I think so.
Dr. Justin Marchegiani: Again, I like to see Iron saturation in your— in your UIBC and TIBC, but overall, those look good.
Evan Brand: Yep. Uh— Mike, “I got my Viome Test in 23andme Test done. Just wondering which other labs I should run? (many health symptoms)” Mike, you got to get an adrenal test run uh— Justin and I would point you towards the Dutch, which is
Dr. Justin Marchegiani: Yup.
Evan Brand: …BioHealth #201 CAR…
Dr. Justin Marchegiani: Yep.
Evan Brand: …Adrenal panel. And also, we would recommend you would get the GI Map. The Viome Test sounds sexy and the marketing is great but the
Dr. Justin Marchegiani: Yeah. I’m gonna go
Evan Brand: Yeah.
Dr. Justin Marchegiani: …really smart guy. But I mean, they’re just on his Viome test. They’re just recommending foods to put there like your gut bacteria back in the balance. And it’s like— It’s like sweet potato, Avocado, Romaine lettuce. It’s like really like is that gonna be the key? ‘Cause there’s always people that I’m already seeing. They’re already eating a really good Paleo template where they’re getting a variety of those kinds of foods are ready.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Uhm— I just don’t— I—
Evan Brand: Yep, right. Just a couple more then we’ll wrap up here.
Dr. Justin Marchegiani: Yeah.
Evan Brand: Josh, “Can long-term Ox bile cause problems? I’m having less bloating with eating fat but much more constipation than some nausea.” I’m guessing he means while taking Ox
Dr. Justin Marchegiani: Yeah. So, I want to know. Are you taking Hydrochloric acid and enzymes with it? I want to make sure that’s dialed in. I want to make sure that you actually got to the root cause of your low bile issues. So, were you having a lot of gallbladder issues, or are you having a lot of floaters? If you were and that helped, that’s a good sign. You can always taper off the bile a little bit and see if that helps. But make sure the HCl and enzymes are there, and then also make sure that you really fully address the gut issues ‘cause sometimes parasites like Giardia and stuff can kind of cause bile issues, so can SIBO. So I’d want to make sure all of the root issues are addressed but all the other digestive secretions are also supported as well.
Evan Brand: Yeah, well said. Uh— Digestive supplements are great but there’s a reason you’re having to use those to mitigate symptoms. So there’s probably something under the hood. Uh, Shanice, uh— “Which herbs are best to treat H. pylori?” There’s a ton. We use many different ones.Dr. J’s got a whole line that he uses for H. pylori. I’ve got a whole line that I use for H. pylori. So, it depends because if it’s just H. pylori by itself, which is pretty rare, usually there’s uh—
Dr. Justin Marchegiani: Bingo!
Evan Brand: Uh— I want to see. Don’t think we could just give you a list and then, you throw it together and have success. You need to get tested.
Dr. Justin Marchegiani: Yeah. But in general, like Mastika’s gonna be uh— one that’s used for a while. I like Clove. I like Berberines. In my line, it’s like GI Clear 2. It’s my H. pylori killer. But you really want to get treated ‘cause most people very rarely just had H. pylori so you don’t want to fall for that.
Evan Brand: The domestic gum, yeah, that is one thing you could—
Dr. Justin Marchegiani: Yeah.
Evan Brand: …you could throw at it and it could definitely help mitigate it.
Dr. Justin Marchegiani: Yeah. Mastic gum has adaptogenic qualities too so it is a very safe herb too.
Evan Brand: Yeah.
Dr. Justin Marchegiani: Yep. Absolutely.
Evan Brand: Yeah. “There is Candida too,” she says, so yeah. That— That’s very common.
Dr. Justin Marchegiani: Exactly! So you want to combine that. And then Josh writes in, “No floaters but uh— no poor Steatocrit on my GI Map.
Evan Brand: Good.
Dr. Justin Marchegiani: So that’s a good sign. So uh— I don’t know why you’re pushing
Evan Brand: Yep. I just want to add two more cents to the question…
Dr. Justin Marchegiani: Yeah.
Evan Brand: …form Shanice about the H. pylori. And then, she said
Dr. Justin Marchegiani: Yeah.
Evan Brand: …which generally does in a Candida Overgrowth. So it’s very common. I’d say, 90+ percent of the time, we see Candida and H. pylori together.
Dr. Justin Marchegiani: Yes! One hundred percent.
Evan Brand: Uh—
Dr. Justin Marchegiani: Yeah.
Evan Brand: Cha— Charlie says Dr.J have you killed H. pylori with your patients in 30 days using GI Clear 4?
Dr. Justin Marchegiani: Uhm— I would never do it by itself, but if I were to do a minimalist protocol, I would do at least GI Clear 4 and 2, or typically, 1, 2 and 4. One (1), 2, and 4, or if there’s Yeast along with it, we’ll do 1, 2 and 5. So, it just depends on what other stuff is going on, but 2 has to be in there. And if there’s no Candida, I would probably throw a 4 in there with it ‘cause it’s very high in Berberine and Goldenseal.
Evan Brand: And— And just to also add ‘cause I know how you work. Uh— You’re likely gonna be doing some type of adrenal support, potentially, some binders [crosstalk] or detox for it too. So—
Dr. Justin Marchegiani: Bingo.
Evan Brand: Uh— We— We can’t just come in and kill, kill, kill! Uh— We got to support the other body systems or you won’t make it through the protocol.
Dr. Justin Marchegiani: Yeah. I mean, most people, you know, they’re used to like, “Oh! I have chapped toe. It’s antibiotics.” Or, “Oh, hey! I get an STD. Here’s—
Evan Brand: Yup. Yup. Let’s wrap up if you’re ready.
Dr. Justin Marchegiani: Yeah. And then, hold on. One last thing, “Organic Buckwheat Crisp because of bre—” Uh— So, yeah. Buckwheat is more of a root, so it tends to be okay. But if you’re Gluten-sensitive, definitely cut it out for a month. But that could be something you try to add back in. And then, Ali Mo writes in, “Is
Evan Brand: Yeah.
Dr. Justin Marchegiani: That’s how it works.
Evan Brand: M— My uh— My— I just saw that coming— come through about the Buckwheat. My comment would be that it is a cross-reactive food. So—
Dr. Justin Marchegiani: Can cross-react.
Evan Brand: Uh— Your body can still think that it’s Gluten and could still trigger an autoimmune issue or something. Or if you ar— already have autoimmunity, you probably need to step away from buckwheat and its— and the other
Dr. Justin Marchegiani: Yeah. At least an AIP Protocol for uh— a month, and then you can add it back in. Don’t make it a staple, but if you want to have it a couple of times a week, uh— I’m okay with it. Just make sure it’s— you know, your issues are under control and you add it back in methodically.
Evan Brand: Yeah. And if your gut is healthy, you might be able to get away with it. If your gut’s not healthy, you may have a flare of some sort. You just have to pay attention.
Dr. Justin Marchegiani: Very cool. Hey, I like that picture of the bird over your right shoulder there.
Evan Brand: Oh, thanks, man. Yeah. I took that picture. Let’s say uh— female cardinal.
Dr. Justin Marchegiani:
Evan Brand: I got a bunch of uh— whenever you come over to my house, I’ve got a bunch of canvasses everywhere of pictures I’ve taken of different birds and stuff over the years.
Dr. Justin Marchegiani: Yeah, and you recommended that bird idea. Bright…
Evan Brand: [crosstalk] Oh! You’ve got birds in?
Dr. Justin Marchegiani: [crosstalk] …a lot of kind of birds.
Evan Brand: Oh, yeah. I was playing actually. I heard a pileated woodpecker, which is the largest woodpecker in North America, the other day, about this tall. I heard him calling so I got out the bird app and I played the song— his song. And then, he flew in to go see who is singing. And, he flew right over my head.
Dr. Justin Marchegiani: Oh, my gosh! That is cool, man. Yeah, the older I get, I kind of get into things like that. Like when I was younger, I was like, “Who cares?” But now, I’m like, “Oh! That’s cool.” [crosstalk] It’s cool watching birds.
Evan Brand: I love watching birds. I love birds, trees. Yeah, I love it all.
Dr. Justin Marchegiani: Awesome, man. Oh, hey! Today was a great chat. Appreciate it. We’ll be back next week, my man.
Evan Brand: Yeah. Tell— Uh— Tell people about the— the links.
Dr. Justin Marchegiani: Oh, yeah. So, uh— click below for the Thyroid Summit, thyroidresetsummit.com. And also, Evan’s got his summit going on right now, justinhealth.com/candida. [emphasis] justinhealth.com/candida, to get signed up for Evan’s [crosstalk] Candida summit.
Evan Brand: I got to go check out. Go check out the Candida Summit ‘cause we had a couple people in here talking about gut issues.
Dr. Justin Marchegiani: Yeah. And we need to get you a link for your— for my— for the summit for me, so then you can get some credit there.
Evan Brand: For sure.
Dr. Justin Marchegiani: Awesome, man. Hey! Great chat with
Evan Brand: Bye.
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REFERENCES:
https://justinhealth.com/healthy-living-store/
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