Dental Cavitations, Wisdom Teeth Extraction, and More! | Podcast #193

Welcome to another live podcast with Dr. J and Evan Brand! This functional medicine podcast discusses dental cavitations and other issues this duo randomly answer during the live Q&A part. Watch as they explain more what cavitations are, how to identify and treat such, and what are the implications regarding health symptoms. Listen more as they address other nutrition, gut, and dental issues along the way.

Stay tuned for more and don’t forget to share. Sharing is caring!

Dr. Justin Marchegiani

In this episode, we cover:

03:40  Cavitations

10:10  Wisdom Teeth Extractions and Dental Cavitations

12:30  The PRF Cavitation Procedure

16:20  Infection Feeds Off All Infections, Not Just Iron

27:56  Die-Offs Should Be Avoided


Dr. Justin Marchegiani: Hey, guys! It’s Dr. Justin Marchegiani here. I am in Kansas City here for the 4th of July weekend. Evan, how are things hanging over there in Louisville?

Evan Brand: Things are good. Everybody else is worried about uh— buying fireworks and blowing stuff up. I love doing that but since lear— learning that fireworks are one of the biggest sources of Perchlorate, which disrupts the thyroid’s ability to produce hormones, I’m less interested in fireworks now.

Dr. Justin Marchegiani: I would just say though, if it’s a one-time a year thing…

Evan Brand: [laughs]

Dr. Justin Marchegiani: …I would say, don’t let that scare you. Just hit uh— extra wallop of Glutathione and maybe some extra Sulfur amino acids, some liver tonifying herbs, maybe some activated charcoal, and I think you could still enjoy doing that without the deleterious side effects. What do you think?

Evan Brand: That’s— That’s good advice. I may go do that. There’s a brand of uh— mortars of that I love called Excalibur.

Dr. Justin Marchegiani: Oh, yeah.

Evan Brand: They’re the biggest, the loudest, the best. I mean, like when you launch an Excalibur compared to a regular mortar, like the whole neighborhood’s gonna know. I mean, it’s like that sound will echo for miles. So I may do it.

Dr. Justin Marchegiani: Awesome, brother. Awesome. Very cool. So, I’ll o kind of a live Q&A here. Anyone that wants to ride in feel free. We’ll hit up some questions here on today’s show. We’re also gonna go over some lab results of Evan’s uhm— of Evan’s local lab test, here, he did with his teeth. [incomprehensible]

Evan Brand: Yeah, my cavitations.

Dr. Justin Marchegiani: We did a whole podcast on that last month so feel free. We can chat more about that as well. So, any other updates on your end, Evan? How’s the uhm— Candida Summit going?

Evan Brand: Oh, Candida Summit’s good. We’ve got 45,000 people registered.

Dr. Justin Marchegiani: Oh, wow.

Evan Brand: So, uh— We’re hoping we’re gonna end up at like 75,000, you know. It just kind of depends on how people promote it, and if they— if they hustle as hard as they said they’ll hustle to sign up, er— you know, to promote people to sign up. But I think it’s gonna be pretty darn successful, man. Uh— Probably not the biggest event ever, you know, like a hundred grand— a hundred grand uh— hundred thousand uh— participants will be cool, but I don’t know.

Dr. Justin Marchegiani: Cool.

Evan Brand: That’s a stretch.

Dr. Justin Marchegiani: Well, awesome, man. We will be shooting out emails for everyone, so anyone listening here now, head over to—, to get signed up for the Candida Summit. We will have more talks like this, more in-depth. That’s great.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Excellent.

Evan Brand: Yeah. Your talk was excellent so I think people should really enjoy it.

Dr. Justin Marchegiani: Well, thanks so much! So let’s dig in to your uhm— results on this DNA Collection Lab. You had a swab done of your— your dental cavitation area, and we saw a whole bunch of bacteria. Let’s now share the screen here. Why not?

Evan Brand: Yeah, share it.

Dr. Justin Marchegiani: Uh— An let me— just let me get this going here. Hold on.

Evan Brand: And while you’re sharing that, I’ll give people a little bit of backstory here uh— on what cavitations are, how do you identify them, how do you treat them, and what are the implications in terms of your health symptoms. So, uh— first things first, symptoms. Uh— I was having some issues with energy. I was having some heart palpitation issues, some blood pressure issues that I was talking with Dr. J about. And he’s like, “Oh, man. This is stress. Or this is this.” I’m like, “Man, I don’t think it’s stress.” And so, I ended up getting a hold of this uh— surgeon over in Texas. Uh— There it is, to your right. I don’t know if you can click on it.

Dr. Justin Marchegiani: Yup.

Evan Brand: I see it. Alright, there it is. Nope. Now you’re back to me.

Dr. Justin Marchegiani: Here we go. [crosstalk] There it is.

Evan Brand: Can you see that there?

Dr. Justin Marchegiani: Yup.

Evan Brand: There it is.

Dr. Justin Marchegiani: Perfect.

Evan Brand: So— So long story short, I was having these crazy symptoms that I thought was maybe like high Iron overload, high Ferritin type things, which was an inflammation problem. So I was doing some stuff like high-dose fish oil and turmeric and other things to try to get the Iron-Ferritin down. I did end up going to donate some blood, which helped. Whoah! Now, we’ve got like the matrix. [laughs]

Dr. Justin Marchegiani: I know, right? I think I had it fixed now.

Evan Brand: Uhuh—

Dr. Justin Marchegiani: Can you see it? [incomprehensible]

Evan Brand: Yeah, I can see it.

Dr. Justin Marchegiani: Perfect.

Evan Brand: So anyway— So, basically, what a cavitation is, is it is an infection that happens into the jawbone area into your gums, and it happens at an old extraction site. So, whether this was a root canal site, whether this was a wisdom tooth extraction, whether this was a 12 Year molar extraction, the membrane can be left behind in the gum and get sewed up and it starts to rot, and then these various bacterial pathogens begin to accumulate. So you can see it on Justin’s screen here, anything from Streptokokas to Prevotella to Klebsiella and Ammoniae, which is something we see on the Stool Test all the time. Cytomegalovirus is on there at the bottom. And then you see the reference range, nine (9) or greater indicates serious risks and all of these bacteria for me, except for that one there, is above nine (9). So, I had some major issues going on. And I’m not joking. Maybe this is just uh— a what do call— a correlation? Or maybe this is a coincidence rather, but…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …I swear to you, after that day, after that cavitation surgery that day, I did not have a single heart heart palpitation since.

Dr. Justin Marchegiani: So, overall, your heart palpitations are feeling pretty good?

Evan Brand: It’s gone. I— It hasn’t happened a single time. Remember, I told you it was happening almost every night, like 8:00 PM?

Dr. Justin Marchegiani: Now, let’s go back to the Dental Cavitation Procedure…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …’cause I had a wisdom teeth removed. I don’t have any soreness, though, or any pain in those areas. I know you had a little bit of soreness, right? You’ve been rubbing your jaws a lot. Is that true?

Evan Brand: I was sore. Yeah, up— up in just my back jawbone here. Yeah, I was real sore.

Dr. Justin Marchegiani: and when they ran an X-ray on you, and they looked on up did they saw kind of some black spots that kind of just like hollow black spots on the X-ray?

Evan Brand: Yeah. So when they look at the X-ray, you want to try to get a Pano X-ray, or you could do a 3-D Cone Beam. It’s called a Cone Beam, like a cone, C-O-N-E. 3-D Cone Beam…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …for anybody listening. And, uh— I just got like a standard pano X-ray, and the guy, as you see his name there, Stuart Nunnally. You know, he looked at the X-ray, and he said, “Yeah. I’m 95% confident that all four of your sites are infected.” He said the uppers were like 85% confident, but the bottom, he was for sure confident ‘cause when you look at the X-ray, it did look black. It looked like necrotic tissue. And he was right. So when…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …he cut it open, he said the one he had to drill or scoop or whatever he did in— into— into the bottom left or the bottom right like 14 mm or something. He had to go in…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …and get that out.

Dr. Justin Marchegiani: And I know we got strap— Streptococcus mitis. We have— These are the— the common one that causes cavities right here, produces a lot of acids then eat away at the enamel of the tooth.  Streptococcus mitis, Prevotella…

Evan Brand: [crosstalk] Do you know a lot of these ‘cause [stutters] I know like some of the— the— you know, the Klebsiella and Ammonia of course but some of these I knew—

Dr. Justin Marchegiani: Klebsiella, Strep, Entamoeba, uh— can’t pull it back ______[6:22], cytomegalovirus. Some of these are the ones not quite. I’d be curious in to know how many of these show up past— You know, nine (9) is the threshold were looking here. I’d be curious to know what percent of the population would test positive without a cavitation, meaning above nine for some of these bacteria.

Evan Brand: [crosstalk] Well— Well, so zero— I mean, zero’s nothing, right?

Dr. Justin Marchegiani: Right.

Evan Brand: And then greater than what’s it say there, 7 ½ is…

Dr. Justin Marchegiani: Yes.

Evan Brand: …moderate risk, and then 9 is serious risk.

Dr. Justin Marchegiani: Yeah.

Evan Brand: So, I fit! Everybody, probably has some of these, but me…

Dr. Justin Marchegiani: Some, yeah.

Evan Brand: …my level [inaudible] off the charts.

Dr. Justin Marchegiani: And I’d be curious to know that like— you know, do you even need— Was this like pulled directly from the cavitation spot, where they dug in or do they…

Evan Brand: Yes.

Dr. Justin Marchegiani: …just do a swab in the mouth, generally speaking?

Evan Brand: No. So when he scooped out like the little black necrotic part of the bone, he took that and put that into the tube and sent that off.

Dr. Justin Marchegiani: Okay. Interesting. I’d be curious to know like, you know— the— the part they scooped out the cavitation versus just a swab in the mouth, generally speaking. I’d be curious to know what the difference is.

Evan Brand: I know. I know. You make…

Dr. Justin Marchegiani: I know.

Evan Brand: …a great point.

Dr. Justin Marchegiani: You know, I’d be curious to know if it’s— if they can repeat this one. Maybe they just give you a swab. You just swab your mouth or just swab the general area of your— you gums and see where that comes back at. That’d be interesting.

Evan Brand: I know.

Dr. Justin Marchegiani: It’d be a great podcast.

Evan Brand: And then the question is, “Well, do you approach just the mouth and do like oral rinse, like a Silver Rinse to get rid of this? Or do you go in from the gut and you heal it from the inside-out, you know?”

Dr. Justin Marchegiani: You got to do both, and the question is, a lot of these bacteria can emanate from the gut, and the gut’s not too far away from the stomach up the esophagus into the mouth. So it’s not too far away, maybe only a foot or two, right?

Evan Brand: Yeah.

Dr. Justin Marchegiani: So, it’s still pretty close. And I imagine these microbes can easily migrate up. So, I think, if you haven’t any oral health issues at all, you really have to work on the gut too. Would you agree?

Evan Brand: Absolutely. I mean, you— you— It’s the first place for any health issue. Really.

Dr. Justin Marchegiani: Excellent. I’m gonna go exit back here to our video. Let’s see here. Let’s stop the sharing. Okay, good.

Evan Brand: There you are.

Dr. Justin Marchegiani: Can you see me?

Evan Brand: Yep.

Dr. Justin Marchegiani: Alright. Perfect. So in general, I mean, I think you have to address things, you know, topically. Or I think you can do that with Silver— some flushing, some rinsing of the Silver. I think you can easily do that with a really good toothpaste as well, like a really good Neem slash(/) kind of Melaleuca Tea tree oil kind of toothpaste, where you can brush that, you know, really in there. I think some Hydrogen peroxide, 3%, uhmrince can be really good Hydrogen peroxide is excellent at killing all kinds of different things. And I’ll just do some oil pulling as well ‘cause that oil kind of sucks out some of that— some of those toxins that fat kind of just pulls it out. Ten (10) minutes of flushing of that coconut oil in your mouth in the morning and then just spitting it out, that can be another great way of pulling some of these toxins out. What do you think?

Evan Brand: Yeah. I needed— I need to call them back and ask them ‘cause they gave me a protocol, because another thing they did right before the surgery was they took a uh— little scoop of plaque down in my gum on to my back molar and they put it under the microscope.

Dr. Justin Marchegiani: Oh.

Evan Brand: And that’s where I told you the H— they found a bunch of Spirorchids that were swimming around.

Dr. Justin Marchegiani: Hmhm—

Evan Brand: Now, that doesn’t mean Lyme. It just means other type of Spirorchids. And they gave me a protocol. I thought it was like Apple Cider vinegar mixed with Hydrogen peroxide. Anyway, I need to get that protocol ‘cause they claimed they created protocol that can eradicate all dental spirorchids.

Dr. Justin Marchegiani: Interesting. Well, I know things like Cat’s Claw in Samento are excellent for that too. And I— I think some of those things that you mentioned will probably be excellent and synergistic will all that. That’s great.

Evan Brand: Yeah, I have some Cat’s Claw. I have been taking that just ‘cause I’ve been have had several tick bites, so maybe I’m already fixing in. I just don’t know it yet.

Dr. Justin Marchegiani: Exactly. It’s very possible. Anything else you want to address with your last before we go on with some uh— listener’s questions?

Evan Brand: Well, I would just tell people if you had wisdom teeth extractions— and I also had 12 Year Molar Extraction. So I’ve had eight teeth removed and the average person, it, gets four (4) removed. So, I’ve had double surgery, an so I was at double risk of Cavitations. And so, long story short, if you have had wisdom teeth extractions, if you had health symptoms, whether it’s any changes in your weight or energy, or like me, had ring harp— heart palpitations. I had some blood pressure spikes that were unexplained. I would advise you to just investigate this. Get a 3-D COne Beam or get a Pano X-ray and send it to somebody like Dr. Nunnally, who can evaluate this and tell you whether he thinks it’s cavitations. It’s very common. He says 90% of people who get their wisdom teeth out, 90% of those people have caviations, which are infections…

Dr. Justin Marchegiani: Wow!

Evan Brand: …in the old site. So, that’s pretty darn high. Now, maybe you’re so strong, like you personally, maybe you don’t have symptoms but maybe you have cavitations, too.

Dr. Justin Marchegiani: Mn—

Evan Brand: So it wouldn’t hurt to at least get the— get the Pano X-ray and get it evaluated, and then if you think, at worst case scenario, he cuts you open and there’s nothing there and then he just seals you right back up.

Dr. Justin Marchegiani: Yeah, I see Dr. Joan Sefcik, and I know she’s skilled at reading X-rays for cavitations and she’s done some X-rays recently, she didn’t mention any cavitations. I should ask but I think she would have probably mentioned it if she saw it. I know she’s pretty skilled in that.

Evan Brand: [crosstalk] You ought to send me. You ought to send me your X-ray. If you have like a jpeg image or something, send me your X-ray ‘cause I can look at it. I’m not an expert but I’d like to just put it side by side with my X-ray and see if it looks the sa— same or does your bone look more white there in that old extraction site.

Dr. Justin Marchegiani: I’ll have to definitely do that. That’s a good call.

Evan Brand: ‘Cause— ‘Cause my bone— my bone looked dark. Like you could see it. It almost look…

Dr. Justin Marchegiani: Oh.

Evan Brand: …like a shadow on the X-ray. Remember—

Dr. Justin Marchegiani: It was like white, white, white, and then it was kind of like a little bit dark. You could see, definitely see, a shadow in that area.

Evan Brand: Remember? I sent it to you, didn’t I?

Dr. Justin Marchegiani: Yeah. Uhmhm—

Evan Brand: Yeah. So, I mean, i— it was pretty noticeable. I mean, I’m not a trained eye on this but it was noticeable enough for him to buy, “Owp! Ninety-eight percent (98%) confident, you’ve got it.

[long pause]

Dr. Justin Marchegiani: [crosstalk] Totally. Makes sense.

Evan Brand: That’s how— That’s how I want to say it is. If you have health symptoms. You work with a practitioner, hopefully a functional medicine practitioner.

Dr. Justin Marchegiani: Yup.

Evan Brand: If you have lingering symptoms, this may be another root cause for you to investigate. So, check it out. Those are called cavitations. Your average dentists likely does not have a clue. So I wouldn’t waste your time asking a conventional dentist. It’s got to be somebody who’s more holistic in nature.

Dr. Justin Marchegiani: One hundred percent (100%). Excellent. Anything else you want to address, Evan, before we go to some of the listener’s questions?

Evan Brand: Okay, yeah. One more thing. If they are going to do a cavitation procedure on you, you want to make sure that they do what’s called PRF, which is the platelets, where they take your blood. They spin it. They get to plate the top of it. And then they pack your extraction sites once they do the surgery. They pack it full of your platelets. That’s what they did to me. And like I told Justin when I was in town with them, I only had one stitch. So I avoided getting stitches and all of those sites because the platelets make a perfect seal, and it heals you up faster. They clean it out with ozone, which is also a number— number two important thing. And then number three was a VItamin C drip, which acted as like a natural antibiotic for when I was doing all of these procedures in getting all of these potential toxins into the bloodstream. I did a— a Vitamin C drip the day of and then a Vitamin C the next drip the next day. I really think that helped me.

Dr. Justin Marchegiani: I think it did too, man. I like stocked up my fridge here. Remember you grabbed a whole bunch of bone broth, Collagen. I think I gave you some of my Collagen, right? You were doing a whole bunch of green smoothies. You had a whole bunch of nutrients, and good fats, and good anti-inflammatories, uhm— so you had it— you had it dialed in.

Evan Brand: Yeah. I did the best I think I could do. I mean, it’s not fun but I had to do it. And now I’m about 99 percent better.

Dr. Justin Marchegiani: That’s great, man. I love it. Very good. Totally worth it. [crosstalk] Anything else you want to address in that?

Evan Brand: No, that’s it on that topic. Let’s go for some questions.

Dr. Justin Marchegiani: Cool. “Are all probiotics like Salvatarius er— yes uh— Salivarius K12 actually effective or are you better uh— boosting your GI ones?” Uh— Not sure. I mean, there’s lots of different like Minutiae strains. There’s like Lactobacillus and bifidobacter strains. Like Lactobacillus KCI, plantarum, acidophilus. There’s various bifido ones, longum. Uh— I’m a big fan of just having the— the Broad Spectrum Lactobacillus, and the bifidobacter ones. And then there are more new ones. Ones that are like um— spore or soil-based probiotics, which can be be— tend to be more sensitive to some of the Lacto and Bifido ones. The ones that Evan and I use, I think, are— are dairy-free. The ones that I use are dairy-free.  

Evan Brand: Yeah.

Dr. Justin Marchegiani: I think the ones that Evan use are dairy-free as well. And, people that are sensitive to those. There’s also d’lactate-free ones that are specific strains to Lactobacillus and Bifidobacterium. And then we have the spore and the soil-based ones to have been more sensitive but uhm— regarding our oral probiotics, like— like cell there, dude, I’m not sure about that. Not know how to an— No, not sure ow to answer that one, specifically.

Evan Brand: Yeah, I think the oral probiotics may be a little bit of a gimmick because your enzymes in your mouth, in your saliva, may be breaking down those probiotics. So, I’d be concerned about the survivability of the organisms, you know.

Dr. Justin Marchegiani: Oh! We’re talking about the probiotics in like toothpaste. Some like the— the prebiotic— probiotic toothpaste ones. Is that what these from?

Evan Brand: Okay.

Dr. Justin Marchegiani: Yeah. I mean, I’ve heard some good things about those, but like you said, right? There’s a lot of acidity and enzymes in the mouth. How much of that’s getting there? But I mean, I think if you wanted to try a good probiotic or prebiotic toothpaste, I think that’s fine.

Evan Brand: Well, so uh— What I had in my mind for that question was some of the  professional brands you and I use. They do have like lozenges or chewables of…

Dr. Justin Marchegiani: Yes.

Evan Brand: …oral probiotics.

Dr. Justin Marchegiani: Yes.

Evan Brand: But I don’t know what that would do really.


Dr. Justin Marchegiani: Not sure. Not sure, but there’s definite some prebiotic too. I would say, clean up the bad stuff, feed the good stuff, and then really work on the gut and give that a try. I don’t think it’s gonna hurt.

Evan Brand: Yeah, for sure.

Dr. Justin Marchegiani: “Any thoughts on how to deal with trauma,” Bradley. Yes. You done a couple of different podcasts on this topic but EFT, NLP, Haven and EMDR— these are various techniques. Someone mentioned below my referral’s Daniel Hill. Daniel Hill is great. Google Daniel Hill EFT on Google, and you should be able to find it. He’s excellent. Tell him I sent you. “If I had low Iron, can I supplement? Does Iron feed bugs? I do have a leaky gut, but Iron, low, even though I eat lots of Iron-based foods.” So, number one, a lot of people are like, “Don’t give Iron because you have an infection  and it’ll feed.” Here’s the deal. Right? Infections are gonna feed off of all the nutrients that you have, right? Not just Iron. And, does that mean you just not nourish yourself just so you can [incomprehensible]? Look at kids in 3rd World Countries, kids that are starving. They are still loaded with infections because low nutrients will also compromise the immune system, and then, it will make it harder to have a stronger immune system to fight these critter. So, I think you need to work on nutrition no matter what. And then you work on killing these bugs. I think trying to starve things out while at the same time starving you is kind of a false errand, so to speak.

Evan Brand: [crosstalk] Yeah.

Dr. Justin Marchegiani: Does it matter, uh— Evan?

Evan Brand: Yeah. I would say with the Iron, you could supplement uh— with like something like a Lactoferrin. That could be kind of helpful. Uh— I would say, you got to look for fixing the infections ‘cause if you got like an H. pylori infection that’s reducing your stomach acid levels, you may not be [crosstalk] cleaving the Iron off of your meats. And so this is a really common problem. And the name is kitty, so I’m guessing this is a female. You know, if there’s any hormone issues causing like excessive bleeding, you know…

Dr. Justin Marchegiani: Yup.

Evan Brand: …you could just have that as an Iron issue as well, and you have to get your cycle better.

Dr. Justin Marchegiani: Hemorrhage issues caused by estrogen dominance. There also could be some type of Vegetarian-Vegan issue going on or just low stomach acid or enzymes, and you’re not breaking down your meat. It could be a combination of all that, for sure.

Evan Brand: Yeah. So get tested for infections. Make sure your hormones are okay. Make sure adrenals are dialed in, and then, yeah. You do have to fix the gut issue for sure.

Dr. Justin Marchegiani: Uhmhm— And then Bradley writes in same kind of question before with the emotional trauma stuff. Uh— After a procedure like that, you really want to work on the building blocks— the bone broth, the amino acids, the Collagen— to provide the good uh— building blocks for the tissue, and anti-inflammatory support, whether it’s, you know, [clicks tongue] Arnica Montana on the homeopathic side, or anti-inflammatory herbs like Liposomal curcumin, or Frankincense, or Boswellia. These are excellent. And then also make sure, if you have a hip replacement, get to the root cause of why you had a hip replacement. If your muscles aren’t absorbing force, and that force is going into your hip, and your labrum and your cartilage, and your soft tissue, and your bone, you want to get to the root cause of why that force is not being absorbed properly. So you want to get to that issue too.

Evan Brand: Yup. Charlie here, “What are your thoughts on getting your wisdom teeth extracted?” Well, I had to because my wisdom teeth never came out, and they were crooked. They were out like a 90-degree angle in my gums, as well as my 12 Year molars. I had an old X-ray form back before I get any teeth extracted, and uh— the surgeon who did it said he had never seen a case like mine in 30 years. Like, for both 12 Year molars and the wisdom teeth to be on their side like this, there’s no chance they ever would have straightened out and pop up. So, in that case…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …I had to get them out.

Dr. Justin Marchegiani: More than likely, there was nutritional deficiencies that have just kind of caused a little bit of a narrowing at the mouth and there’s less space for these teeth to grow into.

Evan Brand: I wasn’t breastfed, you know. I was on—

Dr. Justin Marchegiani: Yeah.

Evan Brand: I was on formula as a baby…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …so I guarantee I was probably deprived. I drank a bunch of sugary sodas as a— as a young kid so I’m sure I was— I was toast.

Dr. Justin Marchegiani: Exactly. That’s probably what drove that. And then once you’re that— once you’re in that place, of course, you can do all the good cod liver oil, and the organ meats and all the— the paleo type of template, but you have to, more than likely, you’re gonna need a surgical procedure just because you’re uh— You got to [stutters] in the chiropractic field, we call it limitations of matter, right? The structural tissue just isn’t there, so you’re gonna have to just pull that out.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Makes sense.

Evan Brand: Yeah. So I mean, to— to answer Charlie’s question, in terms of getting them extracted, it depends. I mean, if they look okay and they’re not causing you any issues, you may be able to leave those in and maybe those wisdom teeth pop in later in life. But for me, I was getting Chronic headaches. I had all sorts of symptoms that I had to get them out. They were pushing on my other teeth— my other molars. I was at risk of losing my other molars. Then I literally would have had no chomping powers. So my case was kind of different than possibly yours, but—

Dr. Justin Marchegiani: Totally. All that steak, you have missed, Evan.

Evan Brand: I know.

Dr. Justin Marchegiani: So glad you got them taken care of.

Evan Brand: Yup.

Dr. Justin Marchegiani: Awesome. Uhm— Let’s keep on rolling here. Bup-buh-buh! Hey, Spive, hope you’re doing well. [long pause] “Dr. J, I almost always have very warm feet, which developed after the first hour in bed and last until I wake. When I wake up, never an issue during the day, but when I’m up and about. Any thoughts?” Uuuh— Not sure. I need a little more information. So, it just gets warm when you go to bed. Uhm— There’s a— Is it warm during the day? Do you have Diabetes? Do you have any blood sugar issues? Is— Is it a peripheral neuropathy issue where it’s just tingling? Hard to say. I would need more information. Is it positional, where when you get up and move there could be like a— you know, let’s just say, maybe some scar tissue in the calf area or in the foot area that could be pinching a nerve? It’s hard to say. There could be some tissue rubbing up on those nerves. Need a little more intel about that. Vivek writes in here, “Is there some balance between good and bad bacteria in the mouth and the Silver Tea Tree Oil Cleanse will disrupt flora inside the mouth and cavity both.” Yeah. I mean, it’s definitely possible. Doing bads— you know, doing a whole bunch of antimicrobial herbs can wipe out some good stuff. That’s why you’d want to have really good probiotics going in the background. And if you wanted to get a good toothpaste that have some premium probiotics in, I think that would be a good balance in between.

Evan Brand: It’d be still minimal though compared to like antibiotics, you know.

Dr. Justin Marchegiani: Yeah.

Evan Brand: The good guys, they do diet for many natural antimicrobials that we use. Like /if we’re working on parasites or something, there are some good guys that die in the battle but pretty small amount.

Dr. Justin Marchegiani: Yeah. And again, the herbs that we’re using also have some protective benefits. They have a lot of antioxidants that can pr— that can help perfect— prevent toxicity issues and overwhelm. A lot of antibiotics, they create oxidative stress and DNA damage into the mitochondria. So, some of the herbs we use are gonna have a lot of antioxidants packed in it, which is natural. It’s kind of how Mother Nature works. There’s a protective mechanism of some of these herbs. So, that’s kind of the benefit that we have there.

Evan Brand: Yeah. You want me to read out Charlie’s here?

Dr. Justin Marchegiani: Yeah.

Evan Brand: “What’s your opinion of the Finger Prick Blood Draw for thyroid versus LabCorp Serum Draw? Is it as accurate?

Dr. Justin Marchegiani: [clears throat] I don’t think it’s that accurate. I’ve done both on people and I have seen massive differences, so I would not go with that yet.

Evan Brand: Yeah.

Dr. Justin Marchegiani: And I think uh— with Ferronous— That lady, she’s a multi-billionaire but getting sued now ‘cause of all the fraud in the company that was just totally, you know— She made up all the— the stuff. And I saw patients that got the Ferronous pricks and id, you know, some of the LabCorp Standard Testing. You just need more blood to get a good sample of it. When I found people’s levels like were off by a factor of two or three on the Ferronous Finger Prick test.

Evan Brand: Yeah. That’s scary. I mean, that could change the whole course of everything ‘cause you may think something’s off when it’s not or…

Dr. Justin Marchegiani: Totally.

Evan Brand: …something’s good when it’s not. I mean…

Dr. Justin Marchegiani: Yup. I— Exactly.

Evan Brand: So, conventional blood draw then?

Dr. Justin Marchegiani: Yeah, exactly. “What are possible causes of Low Testosterone? Four hundred (400) in a 34-year old male.” I mean, let’s just start with poor sleep, poor diet, Insulin resistance, poor nutrition, poor digestion increased toxicity, increased— you know, estrogen load from the environment. I mean, those are the top seven (7) things I could say off the bat.

Evan Brand: Yeah, well said. Plastics uh—

Dr. Justin Marchegiani: Yes.

Evan Brand: …exposure to—

Dr. Justin Marchegiani: That’s Xeno-estrogens. [crosstalk] So, yeah.

Evan Brand: Yep. It’s always a good one. Soy is a good one.

Dr. Justin Marchegiani: Yup.

Evan Brand: Uh— Any type of medications.

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: So, I mean, all sorts of different pharmaceuticals could affect in lower Testosterone.

Dr. Justin Marchegiani: Yup.

Evan Brand: Uh— I would say, lack of exercise could do it too. I mean, that’d be a simple one. If you’re just too sedentary, Testosterone tends to drop. [pause] Adrenals, did you mention adrenals?

Dr. Justin Marchegiani: Yeah, I mean that would up be— I think that would be the end result of all this stuff.

Evan Brand: Yeah.

Dr. Justin Marchegiani: The end product of all those stressors would cause adrenal dysfunction, thyroid dysfunction, low testosterone. Of course, all those are the end result for sure.

Evan Brand: Yep.

Dr. Justin Marchegiani: Oliver writes in, “Opinions on tattoos? ‘They bad for health?” Uh— There’s a couple of different. So some tattoos, they have corn starch in there or cor— some corn-based derivative in there with the dye. So if you’re very gluten sensitive, there may be some type of issue with that. Hard to say. Some involves specific metals.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Metallic compounds— I mean, I would personally stay away unless you can try to get some kind of natural dye. I mean, it just depends. The healthier you are, probably not an issue. The more unhealthy you are, could be an issue. So, not an expert on that topic but you’d want to make sure that you figure out what types of dye uhm— you’d be getting and figure out what options you have. Uh— Imagine, there’s probably more natural alternatives out there. But I guess if you really want the tattoo to look good, you’d have to weigh the difference between how it would look versus— you know— the toxicity aspect.

Evan Brand: Yeah. Just like hair dye, there’s like Organic hair dyes but how does that work compared to like a conventional chemical hair dye that’s toxic for you? I mean, I don’t know. I’ll read this next one here from Neem. Uh— Is it better to avoid Keto with unresolved infections slash(/) parasites?

Dr. Justin Marchegiani: I think it depends. I think Keto is great because most people are Insulin-resistant, so Keto does help reduce Insulin-resistance. Again, some people can just cut their carbohydrates. They don’t make— They don’t necessarily have to go into that full Ketogenic state, and they can get a lot of the same benefits. Maybe you cut your carbs down to 50 or 75 grams a day of whole food carbs. That may be enough to fix a lot of the issues. Infections and parasites tend to like the easier metabolized fuel sources like sugar. So, of course, going Ketogenic or lower Carb tends to cut all those things out ‘cause it’s impossible to be in Ketosis while sugar is in there. And then, number three, is if you have infections, sometimes your digestion is gonna be off. There’s gonna be lower enzyme and Hydrochloric acid levels, so more protein and more fat can actually reveal a weak link in the digestive chain. So, sometimes, people feel worse going Keto, and that may just because your digestion is now fully magnified because of all the protein and fat. And that low Hydrochloric acid and enzyme’s now really shows itself. So, if you did it, you do want to make sure Hydrochloric acid enzymes maybe bile salts are there. Make sure your stools are sinking, and make sure you see a whole bunch of particulate of food in the stool.

Evan Brand: Yeah. My experience with the Keto with infections, it didn’t go well for me because my blood sugar was affected too. I had H. pylori, so that was messing up my stomach acid levels. So, I kind of crashed and burned a little bit when I went Keto. So for me, I was having to do basically three meals per day, sometimes snacks, and I was doing starch— sweet potatoes, organic rice, etc., just to try to keep my self stable. Once I cleared out the infections though, I feel much, much better. Uh— I had a lower Carbohydrate. So, I agree with you. Looks like these type of questions, there’s so many different caveats. We could spend a whole hour just on that topic, but it’s never gonna be black and white. You’ve always got to figure out what other body systems are affected and then what’s the status of those ‘cause if they had weak adrenals, like I did, maybe those infections screw you up a bit more and you couldn’t got to a Keto. Maybe you couldn’t adapt as well as you’d like to.

Dr. Justin Marchegiani: Yeah, and some people, they— they forget. They think, “Oh!” like, “I’m gonna go Ketogenic, and the whole goal is I’m gonna restrict carbohydrate consumption, and I’m gonna go into Ketosis.” People don’t understand that when you go into Ketosis you also go into, typically, Gluconeogenesis, and your body may overproduce carbohydrate in gluconeogenesis, versus if you actually aid a little bit more carbohydrate.

Evan Brand: Yeah.

Dr. Justin Marchegiani: So, another words, let’s say, as you go into Ketosis, you start going into Gluconeogenesis. Let’s say your body makes this much sugar from protein, or from your muscle sources, but let’s say if you would eat, this much carbohydrate, that may decrease the difference between the top and the bottom. Sometimes, eating a little bit of carbohydrate can decrease the excess carbohydrate you make indigenously. Does that make sense?

Evan Brand: Yes, it does.

Dr. Justin Marchegiani: Okay. So, keep that in the back of your mind.

Evan Brand: I’ll go for this other question here.

Dr. Justin Marchegiani: Yup.

Evan Brand: Uh— We talk about the Testosterone already, so let’s move on to the one…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …from Vevek here. “Does die-off happen every time to each and every one or is this something that happens to some people, not everyone?” I’ll give my two cents first here, which is that my opinion is kind of that die-off is a myth, not in the sense that it’s not real; in the sense that it really shouldn’t happen. And so many practitioners push people like, “Yeah. Keep going. Keep going. Die-off. We must be killing the bugs.” And it’s like, “No. That’s your body telling you something’s not right.” So whether that means you’re going too fast, you’re going too hard, your liver is overburdened and can’t keep up with the toxic load, the adrenals are too weak. Something’s not right if you have die-offs, so I don’t think it should happen to anyone.

Dr. Justin Marchegiani: I’m doing my GI Clear 1, 4 and 5 right now. I’m doing a parasite cleanse and I’m having zero die-off.

Evan Brand: See.

Dr. Justin Marchegiani: Okay. Now, some people have die-off, and again, in my Die-Off Reaction Handout, if you’re a patient listening, the biggest thing the patients do that drives me nuts is they push in a die-off and they feel like crap, and then we chat and they’re like, “Oh my God! This is so bad.” Like, “Did you see the Die-Off Reaction Handout? Did you see where it says ‘Work Up To’, you know, a negati— you know, full dose or negative symptom.” And if a negative symptom happens, back off until it— until it stops. And again, we typically throw in ginger tea, which helps with, you know, anticoagulation that keeps things flowing.. It keeps the sludge moving. We may add in some binders as well. So we have strategies to do it but we never want to push into that place. Now, if some people like feel a tiny issue and it’s not that big of a deal, maybe like a 10% drop in energy…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …fine. But if it’s uh— affects your quality of life, you got to calibrate that dosage to what you can handle. FInd that dose that works, and then every week try to work up without having those negative symptoms.

Evan Brand: Yeah, and I just tell people too. You’re not gonna win a trophy if you go straight up to the full dose of something we recommend.

Dr. Justin Marchegiani: Bingo!

Evan Brand: So first thing to do…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …like six a day of some formula. Maybe you start with one a day and you work your way up over two weeks. Like if you go straight to six a day of an antimicrobial, yeah, even if it is natural, you may feel it. So we— we’re not in a rush with the stuff, and some people get in the rush. They see these bugs. They’re like, “Okay. Get it out.” They just want to do the protocol, but there’s an order of operations that we follow in functional medicine.

Dr. Justin Marchegiani: Exactly.

Evan Brand: That’s for a reason.

Dr. Justin Marchegiani: Exactly. And I see Jeff on the— on the YouTube thing here. Jeff, that’s your reason too. You got to slow it down, and we got to check in. See where you’re at, man. So make sure you reach out.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Anything else you want to say there? Anything else?

Evan Brand: Oh, no. That’s it for that one. Let’s move on to another one.

Dr. Justin Marchegiani: Cool.

[long pause]

Evan Brand: Uh— Let’s see. “On maly— on many Collagen supplements, especially fish. It says not to mix with other protein as they hinder and compete with Collagen absorption. Your thoughts?

Dr. Justin Marchegiani: I don’t really know what to think about that. I mean, in p— personally, all the amino acids are gonna get absorbed so I’m not sure what that thought process is, I wouldn’t— I wouldn’t personally worry about it. I mean, if you eat piece of beef and a piece of chicken, you know, those all get broken down into amino acids and they’ll all get absorbed. So, of course, the more amino acids you have in there, you know, the more competition in general. But, you know, in general, just takes longer to break those things down. If you’re taking a Collagen support, it should already be in a peptide form ideally, if it’s good, and it’ll be very easy to absorb. So, I wouldn’t worry about it personally.

Evan Brand: That’s my new show. I mean, that’s not gonna [crosstalk] change…

Dr. Justin Marchegiani: Yeah. I mean, people, you know, they try to like nuance things out there. Make it more complicated or more different. But in my opinion, I think that’s— that’s not a dealbreaker.

Evan Brand: Yeah. I would agree. Uh— You want to hit this one with uh— Rounin here?

Dr. Justin Marchegiani: Yeah. “Partner has Raynaud’s, what can y0oou do to help with it? What’s the cause?” So Raynaud’s, typically, has an autoimmune component. There’s, typically, Hashimoto’s involved with it as well so you want to make sure you hit to the root cause. So gluten sensitivity, maybe a gut infection, maybe autoimmune Hashimoto’s. Got to get all those things looked at.

Evan Brand: Yeah. Run blood, stool, urine…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …working to look at saliva for adrenals. We got to clean up the diet piece. We’ve got to remove bugs if they’re there. And, you can fix Raynaud’s. I mean, it’s not a—

Dr. Justin Marchegiani: I’ve seen it. I’ve helped dozens of people reverse the Raynaud’s.

Evan Brand: Yup.


Dr. Justin Marchegiani: Alright. “I don’t tolerate bone broth or anything with high Glutamine. I have low Serotonin due to the kind of urine and pathway. Uhm— CNS inflammation due to the high C4A history of mold. Do you think is— SPO Probiotic would help?”

Evan Brand: The soil-based, I’m guessing?

Dr. Justin Marchegiani: Soil-based, yes. Soil-bose— Soil-based would be good or spore-based would be good, or potentially a d’lactate-free would be great. I would look at those three types. Megaspores are pretty good one for a lot of patients that have chronic issues. They can tend to do well with that.

Evan Brand: Yeah. Here’s another one here. “Are proteolytic enzymes effective on the mouth as well?”

Dr. Justin Marchegiani: Not sure about that. I mean, proteolytic is gonna be more protein-based. Protein digestion happens in the stomach. A small amount of carbohydrate breakdown happens in the mouth so I would probably say no on that.

Evan Brand: Yeah. Uh— Kurt, “What’s the best test for leaky gut. I mean, you could do an Intestinal Permeability Screen, which could be done in a couple ways, blood or stool. Uh— We mainly just assume that there’s a leaky gut situation based on the IGA levels that we can see plus the infections that are present, so if you got a bunch of parasites and yeast and bacteria on your stool panel plus low IGA, probably a leaky gut situation. You could pay the extra 700 bucks to confirm, about kind of unnecessary.

Dr. Justin Marchegiani: Yeah, there’s three major tests. Uh— There’s an add -on we do with the GI Map called Zonulin, and Zonulin is a protein that goes up with intestinal permeability, number one. Number two, there’s an old test that’s been out for a while called the Lactulose Mannitol Test. Lactulose is a very large sugar molecule, so if that decreases, so they— you, you know, you take a solution. You collect your urine and you want to see that lactulose in the urine. If it’s not in the urine, then it’s basically assumed that there’s a leaky gut because that’s been absorbed, where the— the smaller Mannitol should be absorbed. So do you— when you see a uh— a discrepancy, when you see the— the large Lactulose have decreased absorption in the same area of the Mannitol, that’s what tends to say leaky gut. So, how it works is less, I should say, uh— more of the Lactulose should be in the urine and less Mannitol. But when you see kind of an equal amount and they’re both low, that tends to mean leaky gut. And then number three is a test by Cyrex that looks at acute Occludin and Zonulin. These various tight junction proteins, and when they show antibodies to that are increased in LPS, Lipopolysaccharide antibody that can also be a distinguishing factor of leaky gut. Leaky gut is n effect not a cause, so we don’t necessarily need to look at the effect. We look at the causes of it, and we just assume that this is already happening because the cause is here.

Evan Brand: yeah, a lot of people like to run that just to sound fancy and smart. Oh! Let’s test you for leaky gut. It’s kind of irrelevant, really. You got to clear the bugs.

Dr. Justin Marchegiani: Yeah. I may, you know— I call it circumstantial evidence, right?

Evan Brand: Yeah.

Dr. Justin Marchegiani: Let’s say, you know, the direct evidence is the Zonulin, is the Occludin, is the Lactulose Mannitol. I’m in my house. I don’t have a window outside but I hear lightning. I hear lightning and thunder, and I— and I hear rain coming down my roof. Do I actually need to see that there is rain and thunder happening.

Evan Brand: No.

Dr. Justin Marchegiani: Not necessarily, right? I can just hear it. So, that’s kind of what we’re doing with some of these things.

Evan Brand: Yup. Let’s hit up uh— this question here about blood work. “What blood work to test for Insulin issues?”

Dr. Justin Marchegiani: Fasting Insulin will be great. You can also do a Functional Glucose Tolerance Test. Take your blood sugar before meal. Do a  one-two in the three hours that’ be excellent.

Evan Brand:  There’s a question from Gabe. “Evan, how much weight did you lose when you were sick, and what did you do to regain your weight?” I lost like 25 lbs. I was like 160. Think I got down to maybe 135, something like that. And, what did I do to regain my weight? He spelled ‘wat’. He didn’t put an ‘h’ there. ‘Wat’ did…

Dr. Justin Marchegiani: I know.

Evan Brand: …you do?

Dr. Justin Marchegiani: ‘Wat’ [laughs]

Evan Brand: Uh— Anyhow, I had to clear the gut bugs, and Justin was the guy who looked at me and said, “Hey, man. You probably got parasites. You need to test your stool.” And I was like, “Okay. I’m gonna listen to you ‘cause you’re a smart guy. So, I tested my stool. Sure enough. He was right. I had parasites, so I had to get rid of the gut bugs so that I could regain my weight.

Dr. Justin Marchegiani: And you may have to make sure you’re getting enough nutrition. Like you may have to measure your calories. And again, calories are just an easier measurement of the nutrition, right? So, reading whole foods, there’s gonna be calories and whole foods. Me— Make sure we eat enough whole food calories. And then, number two, we may actually get some extra free-form amino acid and nutrient sources that are pre-broken down, so it’s easier to digest. And then of course, you know, make sure that you’re eating with HCl and enzymes and— and bile salts…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …to make sure you can break those foods down. Keep an eye on your stool. Make sure you’re not seeing food particulate. Make sure the stools aren’t floating. Make sure those things are there. And enough, if you’re getting nauseous and bloaty after the meal, you can try going a little bit smaller and more frequent meals to make it easier on the digestive process.

Evan Brand: Yup. Yup. Uh— I’m getting muscle back. I mean, I’m not back to the full size, but I’ve got something here. I’ve got a little bit of gun show…

Dr. Justin Marchegiani: Yeah, baby.

Evan Brand: …going on. Uh— I’m hitting— I’m hitting the weights back though. I’m slowly building back up, and uh— and I am feeling stronger—  stronger than I have in a while. Uh— Let’s hit this— Let’s hit this uh— I— There’s— There’s more coming in— more questions coming in. I know yu’ve got to roll. I’ve got to roll here…

Dr. Justin Marchegiani: Yup.

Evan Brand: …but let’s hit this one from Vevek, and then, we can wrap up. Uhm— This feeling sleepy after eating food mean that your blood sugar is getting too high.

Dr. Justin Marchegiani: Yeah, two scenarios. You ate too much carbohydrate or you ate too much food in general.

Evan Brand: Or—

Dr. Justin Marchegiani: A bigger meal. If you go— [crosstalk] If you go and have like a 20 ounce steak right now, you probably gonna feel a little tired afterwards. Even if it’s like a steak and veggies.

Evan Brand: I would say low acids and enzymes too though, ‘cause like when I had H. pylori, if I would even need a small meal, I was exhausted.

Dr. Justin Marchegiani: Yeah, indigestion. Well, it makes sense, right? Because a large amount of food is gonna put stress on those digestive systems. But even me, like if I go and have a 20 ounce like porterhouse something, and I do a lot of enzymes and HCl, I still may be a little bit tired. But, yes. I agree. Insufficient digestive juices and enzymes and acids, too big of a meal, in general, and then there’s too much carbohydrate, especially if it’s refined, you get this like buzz right afterwards, and then you crashing out later.

Evan Brand: Yeah. Yeah. So I would say, yeah. I would agree with you. Make sure the— the meal size is not too big.

Dr. Justin Marchegiani: Yeah.

Evan Brand: There’s a Japanese proverb that says fill yourself with 80% food and 20% air— something like that. So basically, don’t be a glutton and stuff yourself.

Dr. Justin Marchegiani: Eighty percent full is pretty good. Your brain takes about ten minutes to catch up with your tummy so always err on the fact of saying, “Hey! I’m gonna just stop for ten (10) minutes, and if I’m hungry then I’ll go back and have some more.” I think if you do that, it tends to be helpful.

Evan Brand: Yup. Uh— James had a question. I’ll just answer this one here. He said is there any way to order test without a follow-up?” Well playmate,  “Can I get a test results emailed to me?” Yes, Justin’s team, my team, we both can provide testing. However, why would you want to do that because you need us to help you. Take a protocol based on your results, unless you’re just so smart. You can figure it out on your own. [crosstalk] That’s fine.

Dr. Justin Marchegiani: Uh— I think it’s always good to at least schedule on a quick, a quick uhmfollow-up to review it.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Because especially if there’s any infections that come back, you know, you want a strategy and a plan. Again, if nothing comes back and it’s super easy and simple, that’s fine, but a lot of times you just don’t— you don’t know uh— what that case is. So it’s always good to have just a quick little check in for the fish for that for sure.

Evan Brand: Gabe said, “Next time we get together, we should do an arm wrestling match.” I don’t know, man. My wrist is kind of weak ‘cause I was doing like a lot of heavy lifting. I think you’d probably break my wrist. Your wrist  looks a little bigger than mine.

Dr. Justin Marchegiani: Yeah. You may be right. Maybe right. We’ll try it. We’ll do it, brother. I love it. Any other questions, comments or concerns?

Evan Brand: Not, say, for today. So you guys take care. Uh— If you want to reach out, schedule a consult with Justin. You could do so at his site. That’s Reach out. And he’s got another doc on staff too. So, if he’s availability is crazy, you can get in to see his other doc sooner. Uh— Me, check out my site, evanbrand, E-V-A-N, last name Brand, B-R-A-N-D, dot(.) com, and you just schedule a consult there. And I’ve got a gal who’s also functional medicine certified as well. So, if my availability is crazy and you want to see somebody, then, you know, we’re here. So you guys reach out and— I mean, look. We love people doing it themselves but at a certain point, you’ve just got to get the data. I mean, we’re biased. We love data, but without it, you’re guessing. So, it’s like, “Oh! Shall I take this supplement for my Testosterone? Should I buy this Magic Collagen powder?” The answer’s like, “Maybe, but get yourself tested. Figure out what’s going on first ‘cause you can take all the— Somebody mentioned some herb earlier for Testosterone. Tribulus. You take all the Tribulus in the world but like, if your digestion sucks and you’ve got way too much Estrogen, you got to fix that. So, work on that.

Dr. Justin Marchegiani: Totally. I think that’s a great— great idea. Give us a thumbs up. Hit the Subscribe. Hit the— the Reminder’s button. That way you can be present with these chats. Again, if you really enjoy then give us a share. Share it with your friends. Sign up at the Candida Summit, And then, my Thyroid Summit’s coming this fall,

Evan Brand: Alright. Thanks for your support.

Dr. Justin Marchegiani: Hey, Evan have a good one. Take care, man.

Evan Brand: Take care. Bye.

Dr. Justin Marchegiani: Happy 4th. Bye.

Evan Brand: You too.



Revitin® Prebiotic Natural Toothpaste

Dental Cavitations and Other Issues | Evan Brand In Person Podcast #189

Welcome to the first live podcast of Dr. J together with Evan Brand appearing in person! Watch as both answer questions regarding dental cavitations, post-puberty growth issues, gut issues, sexual drive and more! Listen as the duo discuss functional medicine protocols together.

Keep tuned for more, and don’t forget to share. Sharing is caring!

Dr. Justin Marchegiani


Dr. Justin Marchegiani

In this episode, we cover:

02:00   Cavitation Tooth, Meridian Charts, and MELISA Test

07:50  Stress and Sex Drive

15:50  Bristol Stool Chart

20:30   Growth After Puberty

23:46  Anti-Estrogen Supplements





Dr. Justin Marchegiani: And we are live, in person, Evan Brand, in the flesh. He took a uh— early morning flight to come visit me out here in Austin, Texas via Kentucky. Evan, how are you doing, brother?

Evan Brand: Dude, glad we could get together, man.

Dr. Justin Marchegiani: Excellent. Very happy. So let’s dig in, Evan. What brings you here to our beautiful Austin, Texas?

Evan Brand: Well, of course, to see you.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Uh— But then tomorrow, I’m going to get a dental cavitation procedure done. And, I guess we can go into the cavitations a bit. So, 90 percent of people when they get their wisdom teeth out, they don’t get their— I think you call it a periodontal membrane. Is it called something else that you remember?

Dr. Justin Marchegiani: It sounds about right.

Evan Brand: Periodontal membrane.

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: It’s a membrane in your gums that most surgeons don’t remove.

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: And so, I’ve had this random, like— like I was showing him like this jaw tension— this jaw uh— I would almost call like a lockjaw, so to speak, and I’ve had several people say, “Evan, it has to be cavitations.” And so, there’s this dude here in outside of Austin in Marble Falls that I should do a podcast with cause…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …he was actually on the Holistic Oral Health Summit.

Dr. Justin Marchegiani: Oh, wow! That’s cool.

Evan Brand: None— ____[1:04] was.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Uh— So, tomorrow, I’m going in and they’re gonna sedate me— conscious sedation. They’re gonna use Fentanyl, and I was like, “Ain’t that what killed Prince?”

Dr. Justin Marchegiani: Yeah.

Evan Brand: That’s an opiate, I think.

Dr. Justin Marchegiani: Yeah.

Evan Brand: That’s not good.

Dr. Justin Marchegiani: Yeah.

Evan Brand: That’s not good, but that’s what they have to do because otherwise I…

Dr. Justin Marchegiani: It’s anesthesia, right?

Evan Brand: …would probably be miserable. Yeah.

Dr. Justin Marchegiani: Yeah.

Evan Brand: It’s— It’s Profanol and— and Fentanyl.

Dr. Justin Marchegiani: Right.

Evan Brand: And it’s gonna be conscious sedation, which I’ve never had. I’ve only had normal, like fully asleep.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Anaesthesia, so I don’t know how it’s gonna go. Uh— But that’s what I’m here for so I’m hanging out with Justin today though. Uh— I came in a day early to make sure we can hang out.

Dr. Justin Marchegiani: Very cool. And then you mentioned on the X-rays for this. There were a couple like a spots or shadows.

Evan Brand: They looked black. I don’t know if you can find it. A lot of things, it’s on your phone and that I texted it to you.

Dr. Justin Marchegiani: Do you have your phone?

Evan Brand: I could pull it out.

Dr. Justin Marchegiani: Yeah. We’ll get Evan’s phone here and we’ll show it to you all so you can see what we’re talking about. So, very cool, trying to get Evan’s uhm— stealth infection at his jaw addressed, which could help with some of his uh— adrenal symptoms too.

Evan Brand: Well, cause if you all listen to the— the uh— the episode we did— When was it— in the last month or so…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …on blood pressure. I was—

Dr. Justin Marchegiani: Yeah.

Evan Brand: How my blood pressure was randomly…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …spiking. And, we’re thinking that it could be these cavitations. And so, that’s uh— That’s what we’re trying to investigate. So, I’ll put this up to the camera. But this is my X-ray, and I’m gonna show Justin first the black spots or what they’re saying is the—

Dr. Justin Marchegiani: Oh, right there?

Evan Brand: …the Necrotic Bone.

Dr. Justin Marchegiani: There and there?

Evan Brand: Yeah.

Dr. Justin Marchegiani: Oh, wow!

Evan Brand: You see that?

Dr. Justin Marchegiani: Oh, yeah, totally.

Evan Brand: So, I’ll show you all here. Find the camera. [inaudible] So, you all can look at my X-ray. Look on the uh— Look on the bottom edge here…

Dr. Justin Marchegiani: Right.

Evan Brand: …and then here. That’s where we’re seeing what we think are cavitation.

Dr. Justin Marchegiani: Yeah, where that little shadow is. Let’s show Facebook.

Evan Brand: Yeah. Sorry, I was away from the microphone. But, this is what we’re thinking or the cavitations. It’s these black spots here. So, look in the corner there. [crosstalk] You should be able to see it right there.

Dr. Justin Marchegiani: …and down in the mirror side. So, we pull that over, right in that mirror side. Right in there.

Evan Brand: Right there. That’s where we’re thinking the black spots— We’re thinking that’s a Necrotic bone, and hopefully, we’re wrong and I’d spent all this money and time to travel here and the guy cuts me open and says, “Owp! Nothing was there.”

Dr. Justin Marchegiani: Yeah.

Evan Brand: “You’re done, Evan.” But, I’m— He said he’s 95% confident, and I’m pretty sure based on how I told you. It’s just constantly soaring, achy— There’s gotta be something going on.

Dr. Justin Marchegiani: Yeah. I think so too. I think a hundred percent. So, that’s what brings Evan into town. So, we’re excited that we’re connecting in person for the first time in a little while, and wanted to see if you guys had any questions. We didn’t really plan this chat today, so—

Evan Brand: Hello, Rosa. Is that, say, Rosa?

Dr. Justin Marchegiani: Yeah.

Evan Brand: It’s kind of small.

Dr. Justin Marchegiani: Yeah. [crosstalk] It’s small.

Evan Brand: Hello, Rosa.

Dr. Justin Marchegiani: Yeah, totally. So, any questions, feel free and chime in. Anything else on your mind here, Evan, that you wanna chat about?

Evan Brand: Well, I’m hoping if— I’m hoping to figure out if the whole heart palpitation thing was connected to this too because— I think it was you or was it _____[3:43], or both, that told me that you’ve got these— You guys can look up a Tooth Meridian Charts.

Dr. Justin Marchegiani: Yeah.

Evan Brand: And, you can see that these teeth— Can Amalgam fillings cause you to be in a Chronic sympathetic state? I would say so.

Dr. Justin Marchegiani: I would say so. It depends on the levels and it depends on how sensitive you are. There’s a test called a MELISA Test, ‘cause uhm— some people— The degree to which Mercury is the degree to which you’re making antibodies to it. So the MELISA Test will actually look at antibodies to Mercury, and that can kind of give you a pretty good rule of thumb of how much the Mercury could be a stressor.

Evan Brand: Nice.

Dr. Justin Marchegiani: I think it’s always good to— to have it removed. But again, some people, they go and they remove it and it’s the missing link and all the people doesn’t do anything, and the question is why. So, you got to make sure all the foundational things are— are dialed in too.

Evan Brand: How do you spell? He’s probably gonna want to know.

Dr. Justin Marchegiani: What’s that? Oh!

Evan Brand: MELISA Test?

Dr. Justin Marchegiani: Yeah. M-E-L-I-S-A. It’s— It’s almost like Melissa.

Evan Brand: Okay.

Dr. Justin Marchegiani: So, it’s like, you know, the ELISA Test, Enzyme Linked Immunosorbent Assay. It’s like M— same thing, M and then ELISA, Enzyme Linked Immunosorbent Assay. So, M-E-L-I-S-A.

Evan Brand: Rosa, she says, “Dr. Justin and Evan, I have gallstones. Is surgery my only option?” No.

Dr. Justin Marchegiani: Absolutely not. I mean— Again, it depends. Like, a lot of people, they come into the surgeon and they were like massively inflamed. There’s an infection, and— and a significant elevation in white blood cells, and you’re in massive pain. Uhm— the surgeon may push for that, but if you have a little bit of time to work on it and cut out the most common food allergens, and work on HCl and enzymes and good digestion, and there could be infections like Giardia and other things lingering up there too. But, of course, work on the— the diet and lifestyle strategies. Work on the enzymes and HCl. There’s a uhm— If you’re patient, I have an article. You can Google it. Dr. Jonathan Wright Gallbladder article. Dr. Jonathan Wright, W-R-I-G-H-T, Gallbladder article. There’s some other foods that are even Paleo-friendly, like bacon…

Evan Brand: Eggs.

Dr. Justin Marchegiani: …eggs, nut seeds that are even Paleo-friendly. That may be driving gallbladder issues. So, you may have to cut those out, and look at Jonathan Wright’s Gallbladder article.

Evan Brand: Well, there’s a lady too. I just— I actually downloaded a podcast. I didn’t listen to it ‘cause it was kind of boring but Wellness Momma did one with this uh—

Dr. Justin Marchegiani: Yeah.

Evan Brand: … gallbladder lady. I think the website— Rosa, you can look it up. I think it’s And, this lady did a whole article or a whole podcast about what can you do if you’re in— if you have gallstones currently but you don’t want to get surgery, just get like a protocol for it. So, I think it’s Uh— Ryan, he said he just gets Dry Mouth often. He was thinking that maybe the cause— I mean, I get Dry Mouth often too. I don’t know. Maybe it’s gut related.

Dr. Justin Marchegiani: Yeah. It’s hard to say. With Dry Mouth, the first thing I would try to do is just try to get uh— more electrolytes in, right? He was talking about our friend, where…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …like this is the catch all.

Evan Brand: Yuh.

Dr. Justin Marchegiani: He can go nameless but uh— electrolytes I think are helpful. So, Topo Chico mineral water, right?

Evan Brand: [crosstalk] I know. He’s out of water. He needs a refill. But I don’t want to transfer my gut bugs to you so I would…

Dr. Justin Marchegiani: [laughs] It’s all good. It’s all good. I could wait a few minutes ‘til we’re done with this and get another Topo, maybe even head over to the pool and do a— uh— kombucha.

Evan Brand: Yep. Let’s look at the— we got a question here on YouTube, too. Tim, thanks for the feedback. Uh— We’ve got one here. I don’t know how to pronounce that name so we’ll just answer the question. “What’s the underlying causes of losing sex drive for men…” That’s not really on topic for— but we didn’t make a topic so I guess we’ll answer it. “…and what are the solutions?” what would you say? Losing sex drive— I mean, stress is a huge simple one like—

Dr. Justin Marchegiani: Excess sympathetic stress— I mean, there’s like the pregnenolone steal, where like the building blocks for all your hormones kind of go more to the inflammation side, away from the sex hormone side. A lot of people are saying that’s kind of not true or they’re debunking it, but we do know from a sympathetic fight or flight response, the body is always hardwired to prioritize and deal with stress right now. And inflammation— Our stress and inflammation now, healing, recovery, libido, fertility tomorrow, right? So, it’s like this kid that’s constantly procrastinate in getting his homework done. The body continues to procrastinate libido. It continues to procrastinate healing and recovery if there’s chronic stress and inflammation now. So, I think that’s kind of like, if you look at the allocation or maybe even the Maslow’s hierarchy of needs, it kind of fits into that, so it make sense. So, work on all the— the physical, chemical and emotional stressors that we always talk about, and then, look at the body systems that may be under stress— gut, hormones, detox, nutrients.

Evan Brand: Yeah. Well, I would just say, take a vacation too. I mean, so many guys, like if you go on vacation, all of the sudden your sex drive, like, doubles or triples.

Dr. Justin Marchegiani: Yeah.

Evan Brand: You’re just too stressed out.

Dr. Justin Marchegiani: Yeah.

Evan Brand: So, it could just be something that simple. And it sounds silly to say that, but i mean, I’m gone on a vacation myself and then my sex drive’s way higher than normal. So—

Dr. Justin Marchegiani: Food.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Making sure you can digest the food. That’s the assumption. A lot of people say, “Oh. Get your diet right.” But then, it’s like, “Whoah! Can you even digest that good food…”

Evan Brand: Yeah.

Dr. Justin Marchegiani: “…right?” So, get your diet right. Make sure you can digest it, the food, right. Make sure your sleep is right. Get to bed at least before 11:00. Sleep 11:00 to 7:00. Eight hours is ideal. And then, uhm— I would say, “Make sure your not over-exercising.

Evan Brand: Bright light exposure in the morning.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Sunlight.

Dr. Justin Marchegiani: Yep.

Evan Brand: Got to get that Cortisol….

Dr. Justin Marchegiani: Exactly.

Evan Brand: …peeking. So, I think that could help. And then, what are the solutions? Well, if there’s gut bugs, fix the gut bugs. If it’s…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …adrenal stress, fix the adrenal stress.

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: If you don’t have enough light or you have a terrible sleep pattern, go to bed on time. I mean, that’s freaking simple but effective. Uh— Let’s answer this one from Kaye, and then Ryan’s got one here too. You want to read Kitty’s?

Dr. Justin Marchegiani: Yeah. So, Kitty writes in, “Great to see you at the same place. Love it. What about the GI Map comes clear and the patient sells a lot of symptoms like Brain Fog and Fatigue. So, if that happens, one, we try to run an Organic acid test ‘cause we can get a window and there’s some window and there’s some gut bacteria metabolites, Clostridium metabolites, and fungal metabolites. Uh— If a GI Map comes clear, almost always, the organics would show something if those symptoms are present. And if that still wasn’t— That still came back clear and everything looked good, then I would potentially look at running the 401-H or a SIBO Breath Test. It would just depend if there’s more bloating and SIBO symptoms or there’s— there’s other deeper infection symptoms, and it would just depend on the patient presentation while it recommend either or.

Evan Brand: Yeah. I would agree. I think the O Test will be great, and it’s pretty rare for the GI Map to show nothing but it does miss Candida all the time.

Dr. Justin Marchegiani: Yeah. It does. It does. If like the patient told me like, “Oh yeah, but I do feel really good on a low FODMAP diet. I would say, “Okay. Let’s run a Breath Test.”

Evan Brand: Yeah.

Dr. Justin Marchegiani: But if we didn’t like see any correlation with symptom improvement and FODMAPs, then I may need to run a 401-H.

Evan Brand: Or, I mean, another option…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …would be, you could just run a gut protocol. You could just throw some Olive leaf or you could just throw in maybe some Berberine…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …or something, and see if you get symptom resolution or if the symptoms changed. You’re gonna know you’re onto something in the gut. And then, maybe, you kind of scraped the bowl.

Dr. Justin Marchegiani: Yeah. I would say I— I agree. I just think that 95-99% of the time, we’re gonna see something we can [inaudible]

Evan Brand: Absolutely.

Dr. Justin Marchegiani: Right?

Evan Brand: Yeah.

Dr. Justin Marchegiani: Agree?

Evan Brand: I don’t like to guess and check.

Dr. Justin Marchegiani: Yeah.

Evan Brand: It sucks. It sucks to guess and check ‘cause then the— cause the person comes back and then like, “Okay. This protocol’s not working.” ANd I’m like, “Well, if it was a budget issue, then, that’s just something we have to work through and we just try to just do one test at a time. But if it’s truly that the person just wanted to hurry up and take a protocol and not test. And yeah, we can’t take the blame for it ‘cause then we’re kind of shooting a shotgun approach. And it can work ‘cause we’re pretty darn good with the protocols, but…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …you want to get the best data first.

Dr. Justin Marchegiani: Exactly. Tim writes, “What stool test you guys prefer? Doctors data? Any good ones?” Uh— We like the GI Map. Doctor’s data, the— the three sample’s good. We like the 401-H. Uhm— I like the GI Map. Uh— And then, on the Organic acids eyes, those can be helpful. They’re not quite a gut test specific, but they do give us a pretty good window. And again, feel free if you like our information, head over to the Evan Brand or justinhealth, and click on the store link if you want to purchase any of those from us.

Evan Brand: Not Just Paleo’s gone.

Dr. Justin Marchegiani: Uh— What is it now?

Evan Brand: It’s just my name. [crosstalk] It’s just Evan Brand. Well, actually though, if you do go to notjustpaleo…

Dr. Justin Marchegiani: It forwards alright.

Evan Brand: …it will redirect.

Dr. Justin Marchegiani: It’s gonna redirect.

Evan Brand: Yeah, I did a permanent—

Dr. Justin Marchegiani: Permanent—

Evan Brand: …a permanent redirect.

Dr. Justin Marchegiani: Smart.

Evan Brand: Yeah. We do the GI Map, so get your practitioner to get one or if you need to get one from us…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …go for it.

Dr. Justin Marchegiani: We appreciate—

Evan Brand: We’ll help you out.

Dr. Justin Marchegiani: Yeah, absolutely. Appreciate the uh— the complements there, Tim. Appreciate it. Is Organic Acid Test or Food Sensitivity the best option to determine what is causing Psoriasis patches in the body? I would say off the bat, just start an autoimmune…

Evan Brand: Yep.

Dr. Justin Marchegiani: …Paleo template first.

Evan Brand: Amen.

Dr. Justin Marchegiani: Yeah. Boom! Explode! Uhum— Start the Autoimmune Paleo template first, and the also work on the six R’s. And then also, work on the six hours. Move the bad foods, which is kind of where the Autoimmune template comes in. Uh— Replace enzymes acids. Repair gut lining, adrenals, hormones. Fourth R is remove the infection. That’s what we got to dig deep and figure out what’s happening infection-wise. Five R— Fifth R, re-populate or renoculate. Sixth R, retest. Sometimes, new infections come back.

Evan Brand: And this works. I mean, this seriously works. I had a guy last week. It was actually a husband. It was a reluctant husband of a wife. You know…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …those clients.

Dr. Justin Marchegiani: Yeah.

Evan Brand: The wife’s on board and then she’s like, “Oh, my husband has problems…”

Dr. Justin Marchegiani: Yeah.

Evan Brand: “…but he doesn’t want to do a consult.” And then eventually he’s convinced to do it. He had Psoriasis. We did AIP for six weeks…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …while we’re running the testing…

Dr. Justin Marchegiani: Yep.

Evan Brand: …came back with a ton of gut bugs. That time we did the follow-up review to go over the labs, he’s Psoriasis is already like 98 percent better.

Dr. Justin Marchegiani: Love it.

Evan Brand: Just by the diet— I mean, just AIP alone. So, yo— you have to have to have to do that. I mean, it’s just crazy because— Like, if you go to a— a conventional doctor, what are they gonna do for Psoriasis?

Dr. Justin Marchegiani: Mhm—

Evan Brand: They’re gonna take you to a dermatologist. And then, they’re gonna do what? They’re gonna give you a steroid cream…

Dr. Justin Marchegiani: Yup.

Evan Brand: …and maybe it works for a little bit…

Dr. Justin Marchegiani: Yup.

Evan Brand: …and then, you don’t get to the root cause.

Dr. Justin Marchegiani: Exactly.

Evan Brand: And then you come off the steroid.

Dr. Justin Marchegiani: Exactly. My son, Aden, who’s nine months, I think, today. A month— Yeah, today. Well…

Evan Brand: Happy birthday, Ade.

Dr. Justin Marchegiani: …time flies. I know, happy nine-monther. Uhm— Eggs, and Strawberries we’re causing his Psoriasis.

Evan Brand: I believe…

Dr. Justin Marchegiani: Actually, it was Eczema. Eczema for him. We call those out.

Evan Brand: I’m telling you, man. Eggs are it.

Dr. Justin Marchegiani: And my wife keeps a food journal for him when we add the foods. Each week…

Evan Brand: That’s smart.

Dr. Justin Marchegiani: …we write it down and then we wait a couple of days, and if the Eczema pops up, we’re like, “Oh, okay. Eggs.” And then, so eggs and straw— eggs and strawberry is on this list.

Evan Brand: Were you doing too many strawberries?

Dr. Justin Marchegiani: I don’t know. If—

Evan Brand: Like daily?

Dr. Justin Marchegiani: I don’t know if it was too many because you know, at that age, like most of it ends up on them.

Evan Brand: Yeah.

Dr. Justin Marchegiani: First in their mouth, right? And I found a good uhm— a good cream for Eczema that I’ve been using for a bit. I’m using it on him a bit too. That works good. It’s about Puriya— Puriya? I think it’s—

Evan Brand: This is different than what we’re just talking about?

Dr. Justin Marchegiani: No, it was the…

Evan Brand: [crosstalk] The moisturizer?

Dr. Justin Marchegiani: It was the same one. Uhm— They make one called Wonder Balm.

Evan Brand: Oh, a no—

Dr. Justin Marchegiani: …from—

Evan Brand: Uhm— From that Sara— the Sarah V stuff.

Dr. Justin Marchegiani: Oh, that— that’s—

Evan Brand: That’s different.

Dr. Justin Marchegiani: That’s for like severe sensitive people.

Evan Brand: Oh, okay.

Dr. Justin Marchegiani: But, yeah. There’s one that called Wonder Balm. It’s the— The other one’s Mother of All Cream, I’m pretty sure. The Mother of All Creams. Mother of All Creams is really helpful for Dermatitis, Psoriasis, Eczema. I had good success with that by Puriya— Puriya.

Evan Brand: I’m telling you, this guy right here finds all this stuff. I’m like, “How do you even find all these things?” He’s always got some like unique new ones product that I haven’t heard of.

Dr. Justin Marchegiani: Yeah.

Evan Brand: And this— this is another one to add to list. So, you’re telling uh— James here that he can look this up, the Mother of All Creams and try it.

Dr. Justin Marchegiani: Yeah. Put it on Amazon, Mother of All Creams. Give it a try.

Evan Brand: Yeah, James. Type that in, and you’ll find it, the brand here. It’s P-U-R-I-Y-A. Pur— Puriya? And it says here, “Ninety-nine point six naturally derived. and they say, for Psoriasis, Eczema, Dermatitis.” So, there you go. Hope it helps.

Dr. Justin Marchegiani: Yep. Give it a try. I’ve had some good success with it. Okay, cool. And then I have uh— a little Periodontal dermatitis on my face. It’s right here, and it was ninety-nine-ninety-five percent gone until I put sunscreen on yesterday. Uhm— Basically, I was rubbing some essential oils on my face for about two months too long.

Evan Brand: What was it? What was the essential oils? What kind?

Dr. Justin Marchegiani: It wa— I was mixing a couple together.

Evan Brand: Oh.

Dr. Justin Marchegiani: It was a mistake. I shouldn’t be mixing stuff like…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …it was. And then it flared up. And then I was like— I was doing like everything except like my toner. I’m doing my toner. But even that was just keeping it flared. So, then now, I’m doing nothing, and I— I do find that like the most hypoallergenic thing in the market from moisturizer is Cerave. There’s a little bit of Paraben in, and there’s a couple of things I don’t like…

Evan Brand: Spell it.

Dr. Justin Marchegiani: …tell you. C-E-R-A-V-E. It’s the best from a hypoallergenic standpoint. The ingredients aren’t like awesome, like if you went to Skin Deep…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …or Cosmetic Safety Database, you wouldn’t be like, “Oh my God! That’s awesome.” But, I will tell you from an immune standpoint, it’s good. And then for me, I have to just avoid those ils and stuff for at least like one to two months. Let my immune system like just chill out, you know.

Evan Brand: Yep. Well, this uh— Is this Ryan?

Dr. Justin Marchegiani: Yeah.

Evan Brand: What was his question?

Dr. Justin Marchegiani: Ryan wrote, “Thanks, guys. One last question, if you can, what should your stool test look likes— or stool like sink flow? How many times a day should you be on number two. Alright. So, rule of thumb is 12 inches of stool a day. That’s number one. Number two, if you Google— Google image Bristol Stool chart. Bristol Stool chart, you want to be about at number four. So if it’s— If you’re on the constipation side, one or two, it’s like rabbit pellets. Seven’s like pure liquid Diarrhea. Six kind of moves more solid. Five, more solid. Four is like right in the middle. Like if you look at the Paul Chek “How to Eat, Move and Be Healthy.” That’s like The Poopie Policeman, right? You want about 12 inches of stool a day.

Evan Brand: I don’t know that. The Poopie Policeman?

Dr. Justin Marchegiani: Oh, dude. Right there. Look! It’s on my wall.

Evan Brand: Oh, yeah.

Dr. Justin Marchegiani: See that?

Evan Brand: You got it over here.

Dr. Justin Marchegiani: Right there. I keep right in my left as well.

Evan Brand: [laughs]

Dr. Justin Marchegiani: It’s called the Poopie lineup. [crosstalk] Uhm—

Evan Brand: W— We would show you guys but we’d have to take it off the wall and it’s mounted, and— But it’s a funny image. It’s like these different.

Dr. Justin Marchegiani: Uh— I got you— I got you over my house and you’re already talking crap already. [crosstalk] Come on, seriously.

Evan Brand: There’s different poops with the—

Dr. Justin Marchegiani: You’re already talking crap.

Evan Brand: With the uh— the spotlight’s on…

Dr. Justin Marchegiani: I know.

Evan Brand: …and that’s hilarious.

Dr. Justin Marchegiani: I know. That’s a good one. I had that in my office— in my office in California.

Evan Brand: That’s pretty should look like, kind of like a banana, give or take. And then, how often should you poop. I mean, at least once.

Dr. Justin Marchegiani: But, I had that in my office in California, in the bathroom. You…

Evan Brand: O, you did?

Dr. Justin Marchegiani: …go ever into the bathroom and it’s sitting right there. I know it just be a great conversation starter.

Evan Brand: Yeah. That’s awesome.

Dr. Justin Marchegiani: Patient will be like, “Hey! You know, my— my— my Poopie Policeman’s kind of like that…”

Evan Brand: Yeah.

Dr. Justin Marchegiani: “…or that.” So, number four, Bristol Stool Chart, uhm— relatively solid, uh— ideally, less three wipes or less, at least 12 inch of the stool a day.

Evan Brand: Yup. Uh— Rose, “I hope Dr. Justin’s gonna be on the Candida  Summit.” Of course he is!

Dr. Justin Marchegiani: Boom! I already was.

Evan Brand: Done.

Dr. Justin Marchegiani: Yeah. Make sure you subscribe. Justin—

Evan Brand: July 9th.

Dr. Justin Marchegiani:

Evan Brand: Let’s make sure that works.

Dr. Justin Marchegiani: should be a link where you all should be going. So, if you’re listening…

Evan Brand: There it is.

Dr. Justin Marchegiani: …to me now,

Evan Brand: Will it— Will it let you share the screen? I almost want to show people this. I mean, it’s getting close to primetime. It’s almost June.

Dr. Justin Marchegiani: Let’s— Let’s make sure they see it. Alright, I’m gonna do a little screenshare.

Evan Brand: Yeah. [crosstalk] Let’s show them.

Dr. Justin Marchegiani: Let’s go promote this year. Alright.

Evan Brand: You guys got to check this out. So, this is my event, and of course Justin is part of it. And then, he’s the only person that’s on there uh— twice.

Dr. Justin Marchegiani: Yes.

Evan Brand: Yep.

Dr. Justin Marchegiani: Very fortunate, and you on my summit as well.

Evan Brand: I know.

Dr. Justin Marchegiani: The Th— Thyroid Reset Summit. So, Check the summit out. Amazing experts— Again, a lot of people that have gut issues, there’s Candida is typically kind of connected in there at some way. It may not be the big thing. It may be a peripheral thing. It may be the big thing. So—

Evan Brand: Let’s scroll down. Let’s go see your pretty face and my face on there too.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Hey, look. You get my book.

Dr. Justin Marchegiani: Yeah. Look at that. Wow.

Evan Brand: That’s a registration gift. I didn’t know that they were doing that. That’s cool.

Dr. Justin Marchegiani: Right. Look at that. Antibiotics, High Sugar Diets— Totally.

Evan Brand: I’m telling you, Candida Summit, this is gonna be one of the biggest of the year.

Dr. Justin Marchegiani: You got Ben Lynch there.

Evan Brand: Look at this lineup.

Dr. Justin Marchegiani: It’s great, man. Got Wendy there, perfect. Love it. Dr. Osborn— Look at you. Look at you. You’re even a featured speaker.

Evan Brand: I know. Well, of course, on your own summit.

Dr. Justin Marchegiani: Yeah. Of course.

Evan Brand: You’ll be a featured speaker on yours.

Dr. Justin Marchegiani: Oh! Dr. Keelers, Dr. Jo— Oh, look at this guy right here.

Evan Brand: Oh! Dude, look at that lineup right there.

Dr. Justin Marchegiani: Yeah! Wow! Look at that lineup. Klinghardt’s there.

Evan Brand: That’s a functional medicine mafia.

Dr. Justin Marchegiani: Yeah. Wolfman, perfect.

Evan Brand: [crosstalk] I’m telling you…

Dr. Justin Marchegiani: Perfect, man.

Evan Brand: …this gonna be—

Dr. Justin Marchegiani: This is gonna be a great summer. Really happy to be a part of that, and then while you’re there too, everyone, head over to Thyroid Reset Summit.

Evan Brand: Yeah. [crosstalk] Do they have a page for you yet?

Dr. Justin Marchegiani: Boom!

Evan Brand: Yep, an early registration. Look at that logo. It looks great.

Dr. Justin Marchegiani: Subscribe. Absolutely. So—

Evan Brand: Yes, so Justin’s event’s gonna be fine. As you see the date’s there’s September, so we’re hoping that our two events are like the biggest. Uh— So, the Keto— Keto Summit…

Dr. Justin Marchegiani: Yes.

Evan Brand: I don’t know if this is uh— supposed to be private or not, but let’s just say, well over 50,000 registrants.

Dr. Justin Marchegiani: Wow! Amazing!

Evan Brand: So—

Dr. Justin Marchegiani: That was the great summit.

Evan Brand: I want to beat it.

Dr. Justin Marchegiani: Yeah.

Evan Brand: I want to beat the 50.

Dr. Justin Marchegiani: Uh— I think you could do it. Ketoedge is the link for that. Did you have one for that?

Evan Brand: I did not. No.

Dr. Justin Marchegiani: Did you f—

Evan Brand: I…

Dr. Justin Marchegiani: …it out?

Evan Brand: …did not. I did not promote it. I was too busy promoting a bunch of other stuff, right? It was a very successful event.

Dr. Justin Marchegiani: Yeah, That’s Dr. David Jockers. He just had a— a child, too, this last week or two. Uh— Which is great. So, I know David had the summitt going on and— and the kid coming into the world. So that must have been a lot—

Evan Brand: Chssss—

Dr. Justin Marchegiani: …you know, multitask—

Evan Brand: I hope he’s taking his adrenal support.

Dr. Justin Marchegiani: I know! Absolutely.

Evan Brand: Have to ask him.

Dr. Justin Marchegiani: Exactly. Rosa writes in, “I hope that Justin is gonna be—” Oh! You already answered that one. Is there anything else we didn’t answer here?

Evan Brand: I don’t think on Facebook. [crosstalk] Let’s go back on— Let’s go look on the YouTube.

Dr. Justin Marchegiani: Yes.

Evan Brand: You closed that chatbox out?


Dr. Justin Marchegiani: Yeah, perfect. I need that, man. That allows us to go live on everything it wants.

Evan Brand: That will be cool.

Dr. Justin Marchegiani: Okay. Cool. Hey, Sam.

Evan Brand: Yow, Samuel, how are you doing?

Dr. Justin Marchegiani: “Can a person get taller after puberty?” If so, what amino acids and supplements can help? Well, once your growth plates close, you can’t. I mean…

Evan Brand: Yeah, you’re toast.

Dr. Justin Marchegiani: …it will if you get a— a pituitary tumor, right? And the inte— interior pituitary tumor, they cause us what’s called acromegaly, which is after your uhm—  your growth plates close, you kind of get like a deformation. You can kind of see it a little bit, Tony Robbins. So, it’s got that like kind of Cro-Magnon job.

Evan Brand: Oooh.

Dr. Justin Marchegiani: He had a little bit of A— Acromega— You know— You know who diagnosed Tony’s…

Evan Brand: Who?

Dr. Justin Marchegiani: …Acromegaly? Deepak Chopra.

Evan Brand: Really?

Dr. Justin Marchegiani: His endocrinologist said uh— I think Mass General or Beth Israel in Boston at the time.

Evan Brand: How did you figure it out? I wonder.

Dr. Justin Marchegiani: I mean they…

Evan Brand: Blood?

Dr. Justin Marchegiani: …probably just ran uhm— They probably just ran an HGH or uh— HGH Suppression levels.

Evan Brand: These levels are too high or something?

Dr. Justin Marchegiani: And you know how they run the…

Evan Brand: What?

Dr. Justin Marchegiani: …HGH Suppression test?

Evan Brand: What?

Dr. Justin Marchegiani: They actually give you glucose and they watch your growth hormone drop. So, what does that tell you?

Evan Brand: Oh, my God!

Dr. Justin Marchegiani: It tells you that excess carbohydrate and sugar will actually decrease growth hormones.

Evan Brand: Well, I bought some pineapple. Do you think I’m gonna alright then? [laughs]

Dr. Justin Marchegiani: Well, I mean, it’s different when you do something like that too because, number one, you’re getting a whole bunch of nutrients.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Right? And antioxidants, so you’re actually getting s whole bunch of stuff. But, yeah. I mean, if you did that too much for sure.

Evan Brand: Yeah.

Dr. Justin Marchegiani: And you weren’t burning up. That— That makes a lot of sense.

Evan Brand: About the pineapple ‘cause I’m hoping with the…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …brownie laying, I’ll be able to heal up my cuts sooner. [crosstalk] Yeah.

Dr. Justin Marchegiani: The enzymes would be good. Absolutely.

Evan Brand: Yeah. Wish me luck. It’s not gonna be too fun but uh— hopefully, I’ll be back next week and be back on?

Dr. Justin Marchegiani: Oh, dude. You’re gonna be—

Evan Brand: No chipmunk face.

Dr. Justin Marchegiani: Yeah. you’re gonna be rock solid. James writes in, “My mother was on Gabapentin for nerve pain. I think it’s also Neurontin, isn’t it? Uh—

Evan Brand: Yep.

Dr. Justin Marchegiani: For nerve pain, but allegedly was on— But was— But allegedly was the cause of Edema in her legs and feet. Two weeks off and the medication of Edema is still there. No heart or lung issue just some— So, I think…

Evan Brand: And then you put past SIBO and gut issues.

Dr. Justin Marchegiani: Okay. So, number one is I’d make sure the inflammation in the diet was like— really good. I make sure like the diet stuff super clean. I’ve throw in the ginger. The ginger’s a really good anti-inflammatory, and it’s a good anticoagulant, so it’ll keep whatever’s causing the Edema, keep things flowing and moving. You could always do a rebounder or a uhm— or a vibration plate to help kind of support the lymphatics. Ginger will help the lymphatics as well. So, I would start with that first before you did anything else.

Evan Brand: There is a— There is a formula. Let me see if I can find it real quick.

Dr. Justin Marchegiani: Yeah, it’s— the formula you’re thinking of is— is Lymphagogue by Herbfarm.

Evan Brand: Well, no. There’s another one.

Dr. Justin Marchegiani: Okay. [pause] Oh.

Evan Brand: And I didn’t want to say it ‘cause I didn’t know— Oops! I didn’t know if this was the right name, but I’m pretty sure this is it. [pause] Let’s see if I’m right. I want to see what was in. Oh, yeah. Here it is. [pause] I think it was uh— some type of diuretic. Let’s go to our herb section. [pause] Just Taurine.

Dr. Justin Marchegiani: Just Taurine.

Evan Brand: What?

Dr. Justin Marchegiani: Taurine and B6.

Evan Brand: I thought it was something fancy. Okay.

Dr. Justin Marchegiani: There’s another one called Lymphagogue by Herbfarm. That’s a pretty good one too that you can use. You know, 30 to 60 drops in water twice a day, and the ginger, I think will be good too.

Evan Brand: Thanks, Naveen. I hope I would do get soon, better.

Dr. Justin Marchegiani: You’re gonna do great. Cool. And then, “Hey, guys. Is there a best timing for anti-Estrogen supplement?” Well, s— just looking at your name here Gu— Oh! That’s a hard name to pronounce.

Evan Brand: I don’t know how to pronounce….

Dr. Justin Marchegiani: [crosstalk] I’m not sure…

Evan Brand: …it either.

Dr. Justin Marchegiani: …that’s male or female, so I— I don’t know the context of that. Oh, hey. Hannah just chimed in.

Evan Brand: Hi, Honey.

Dr. Justin Marchegiani: [laughs] But uhm— regarding male or female, the best anti-Estrogen is gonna be just eating your cruciferous uh— green veggies, number one. Number two, not getting food with pesticides on it. Number three, not uh— putting your foods in plastics, and that’d be the first best thing to do for anti-Estrogen.

Evan Brand: Yeah. Anti-Estrogen supplement, is there a best time? I don’t even know what they’re talking about.

Dr. Justin Marchegiani: I’m not sure what time is. I don’t think so. But I mean, you can Dim Diindolylmethane.

Evan Brand: Yep.

Dr. Justin Marchegiani: You can get Indole-3-carbinol, which gets converted by Dim.

Evan Brand: [crosstalk] I had Sulforaphane.

Dr. Justin Marchegiani: Yeah, Sulforaphane, which is a— a sulfur amino acid compound.

Evan Brand: Broccoli extract if you look up, or just grow your own Broccoli sprouts. We did it.

Dr. Justin Marchegiani: Yeah.

Evan Brand: It stunk so bad.

Dr. Justin Marchegiani: Yeah, totally.

Evan Brand: With the basin jar?

Dr. Justin Marchegiani: Oh, yeah.

Evan Brand: We did that last year.

Dr. Justin Marchegiani: Yup.

Evan Brand: You get the Broccoli uh— sprouting seeds.

Dr. Justin Marchegiani: Yup.

Evan Brand: Hello, babe! Hey, do you remember when we did that? We got the uh— People like, “Who’s babe?” My wife is watching on Facebook here.

Dr. Justin Marchegiani: [laughs]

Evan Brand: Remember we did the Broccoli sprouts, the seeds? And then we put it in the mason jar, and we ate the Broccoli sprout. It was strong…

Dr. Justin Marchegiani: Oh, wow!

Evan Brand: …like, straight sulfur.

Dr. Justin Marchegiani: You know Mercola talks like it’s a hundred times more potent than…

Evan Brand: Oh, yeah. It is.

Dr. Justin Marchegiani: …any…

Evan Brand: Supposed to be.

Dr. Justin Marchegiani: Yeah. If you’re on a budget, I think the Broccoli sprouts are huge.

Evan Brand: They’re cheap too. I mean, it was like, I don’t know, ten bucks, and it was like a thousand. [crosstalk] You can never beat that many sprouts.

Dr. Justin Marchegiani: Yeah.

Evan Brand: It was insane.

Dr. Justin Marchegiani: Totally. Cool. And then uhm— Christian writes in, “How long does it take to get off on Nepresol?” which is like Prilosec, “before the rebound effect stops?” Uh— It’s hard to say. I mean, I would never take someone off unless we dialed in the digestive support. Like, I will not— I want to make sure we hit that HCl, enzymes, and digestive support dialed in. I want to make sure we have the food changer dialed in too. So, it’s not just taking someone off, it’s making all the other changes too.

Evan Brand: Yeah, you can’t. If you just go cold turkey off of an acid blocker, you could have— you could have issues. So, yeah. I— we always do some type of enzyme. But, some cases…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …no HCl.

Dr. Justin Marchegiani: Some cases, no HCl. And we ma— may— we may not even do bitters or a— or ACV, Apple Cider Vinegar, or even lemon. We may just do just the enzymes to start and then work in the bitters.

Evan Brand: Or, we do like uh— a GI Soothe or you’ve got one with the GI Restore.

Dr. Justin Marchegiani: Yeah, like an— uh— like Glutamine—

Evan Brand: Yeah, like a leaky gut formula. We may do that first as we’re weaning off…

Dr. Justin Marchegiani: Yes.

Evan Brand: …the acid blocker. Now, we never can legally say, “Hey! Stop taking your prescribed drug, but if it just so happens to be that you heal up your gut, you’re bringing in the gut-healing nutrients, then you in enzymes. And then, maybe you go every other day with your— with your acid blocker, you— you could be okay. You could get away with it.

Dr. Justin Marchegiani: Yeah, man. Just make sure your food is predigested, nothing raw, everything cooked. Of course, if you want err in the side of putting it more in a crock pot or soup form, that’s also helpful to make sure you can absorb it well.

Evan Brand: So, that’s no salads. I mean, I have so many people that eat salads and they stopped eating salad, and they feel better.

Dr. Justin Marchegiani: Yeah.

Evan Brand: So, that’s like low-hanging fruit. Look at Ja—

Dr. Justin Marchegiani: Hundred percent.

Evan Brand: Look at James. Uh-oh! James is hung over. “Dr. J, I overdid it with the Titos this weekend. Do you think the distilling process will clean the GMO component of the corn-based Vodka?

Dr. Justin Marchegiani: Yeah. Titos is pretty good. They filter like 7x. Uhm— I’m good with them. You know, you can always do Belvedere too, which uh— they get it from potatoes.

Evan Brand: What’s Deep Eddy? They had Deep Eddy on the airplane. I didn’t know.

Dr. Justin Marchegiani: Oh!

Evan Brand: I had a free coupon but they were like, “You can’t—” I was gonna bring it to you and they’re like, “You can’t take it off the plane.” I’m like, “Well, I’m not gonna drink the— the” uh— what is it? Vodka?

Dr. Justin Marchegiani: The Deep? That’s the drunkest I’ve ever seen my wife….

Evan Brand: Oh!

Dr. Justin Marchegiani: …this vodka. Because, if they have one that’s like uh— Deep Eddy’s will be red…

Evan Brand: They had a grapefruit. Is that the one?

Dr. Justin Marchegiani: Dude, that’s it!

Evan Brand: Oh.

Dr. Justin Marchegiani: And like, you can’t taste the vodka. It feels like you’re just having like Kool-aid or something.

Evan Brand: Oh my God!

Dr. Justin Marchegiani: And it is like unbelievable. So, we got to be careful with that. But number one, the key is have one of these in between each meal or between each drink, ‘cause that gets the minerals in. Because a lot of the issues [bottle dropped on the table] with the hangover come from the minerals.

Evan Brand: Yeah.

Dr. Justin Marchegiani: And then, number two is, you know, charcoal.

Evan Brand: Yep.

Dr. Justin Marchegiani: Activated Charcoal, baby, right there. [shows supplement]

Evan Brand: No free brand deals.

Dr. Justin Marchegiani: Yeah, no free brand deals here.

Evan Brand: [laughs]

Dr. Justin Marchegiani: Then, one to two, uh— for drink. One to two per drink, and then of course, afterwards, you can always do some Sulfur amino acids. So, like— We do like in my line detox, aminos, but it’s got like all the Sulfur ones— Glycine, Glutamine, uhm— Taurine, Methionine— those things.And you can also do liposomal Glutathione…

Evan Brand: NAC?

Dr. Justin Marchegiani: …Vitamin C, and N-Acetylcysteines in that product too. But any NAC by itself is still great. Yeah.

Evan Brand: Yup.

Dr. Justin Marchegiani: Totally.

Evan Brand: Yup. Uh— We had a question from somebody with not really a name, more of like initials here. They had said, “A Zonulin score of 394.1… What’s next?”

Dr. Justin Marchegiani: You got leaky gut.

Evan Brand: That’s a leaky gut, yeah. What’s next? You got to dial in your diet. You got to figure out why is your Zonulin so….

Dr. Justin Marchegiani: Six R’s.

Evan Brand: …so freaking high. Probably Gluten is the one. If you’re not on a Gluten-free diet, then you need to be. And if you have gut bugs and  you got to fix those to get that Zonulin down. ANd, should you just go take a bunch of leaky gut supplements?

Dr. Justin Marchegiani: No.

Evan Brand: I mean, you’re gonna waste your money.

Dr. Justin Marchegiani: A lot of people out there are doing webinars on that.

Evan Brand: Ain’t that ridiculous?

Dr. Justin Marchegiani: …like the missing thing.

Evan Brand: Leaky gut. Fix your leaky gut. And he’s like, “Okay, there’s a step before that, multiple steps before that.” It’s so annoying because from a marketing perspective, it sound sexy. I even heard a radio ad the other day. I sent it to my wife. It was a lady who was talking about like parasites and leaky gut on a radio advertisement. I thought, “Wow! Parasites are becoming ]mainstream.”

Dr. Justin Marchegiani: I know.

Evan Brand: But then, it was like Glutamine and Aloe.

Dr. Justin Marchegiani: Yeah.

Evan Brand: yeah, it’s like, “That’s not gonna kill your parasites.”

Dr. Justin Marchegiani: No. It won’t kill it. Absolutely. What’s the best time to take probiotics to get them in uhm— to save them from stomach acid and maximize benefit?” I mean, I do first thing in the morning and then, first thing before bed. But then, I have the mega support that I do with food that’s acid-resistant, so it depends, I think.

Evan Brand: Yeah.

Dr. Justin Marchegiani: It’s grains.

Evan Brand: Yeah, I always have people do before bed, just because you’re not competing with stomach acid and…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …you’re not competing with digestion.

Dr. Justin Marchegiani: Cool.

Evan Brand: Uh— We have not tried— I don’t know. I’m not— I don’t want to speak for you. I have not tried in for Red Light therapy. I had the— I had several companies try to uh— They actually wanted to give me a demo version or something of a Red Light therapy device, and I was just like, “Aah! I’m not interested.” Is it cool? Does it work? I mean, probably does something, I just haven’t played with it.

Dr. Justin Marchegiani: I’ve seen little things. I’ve tried a couple of things. They have won a lot of the seminars that put up their nose, and then…

Evan Brand: I’ve seen that.

Dr. Justin Marchegiani: …[inaudible] nose.

Evan Brand: Yeah. Why?

Dr. Justin Marchegiani: So to some— I mean, I think that they find like this bacteria and viruses hiding in there so they kill it. But— And I think it also can get over the brain.

Evan Brand: Oh! Speaking of [crosstalk] v— viruses, I have the Xlear. I need to go squirt…

Dr. Justin Marchegiani: Oh, yeah.

Evan Brand: …that spray at my nose. I brought it.

Dr. Justin Marchegiani: Good.

Evan Brand: I’m gonna spray all the bacteria from the plane out of my nostrils.

Dr. Justin Marchegiani: Oh, yeah, totally. So, outside of that, guys, I think we answered everything. I’m gonna go. We’re gonna go jump in and do a little lunch action here but phenomenal. Glad we’re able to do this in person. Hope you enjoy the today’s chat. Anything else, Evan?

Evan Brand: I’ll have to fly down here next week.

Dr. Justin Marchegiani: I know, man. We’ll make it happen. I love it.

Evan Brand: Alright.

Dr. Justin Marchegiani: I have to go to Louisville, Kentucky soon too.

Evan Brand: See you, guys.

Dr. Justin Marchegiani: [crosstalk] Take care, guys.

Evan Brand: Take care, guys.

Dr. Justin Marchegiani & Evan Brand: Bye



Gallbladder Attack: Symptoms of a Gallbladder Attack, Gallbladder Pain


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