Binder Support for Detox | Podcast #230

Our environment, the food we eat, and everyday activities may create toxins inside us. Most people want to detoxify by using binders. But what are binders and how can it help someone who is detoxifying? Find out more!

Today’s episode talks about toxins in our body, how to get rid of them through detoxifying, and of course, binders which can support it. Listen to Dr. J and Evan Brand as they discuss the important things to address the issues in a natural and functional medicine perspective. Stay tuned!

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

00:21 Detoxifying

00:50 Get to Know Binders

06:52 Environment Effects

20:46 Step-by-Step

22:28 Smart Ways


Dr. Justin Marchegiani: Hey guys it’s Dr. Justin Marchegiani, hope you are having a phenomenal morning. Let’s dive in. I got Evan brand here in the house. We are going to do a podcast on detox support and specific binders to help improve your health and rid toxins and stress from your body. So Evan how we do it today man?

Evan Brand: Hey man I’m doing just fine and I’m excited to talk about binders because I’ve been going full force into these things and I feel like this is something. It’s very hard to find good information on the internet about this because most people say binders like charcoal or clay, yep, take them and that’s all. People really say any article you see it could be something corny like, 7 Top Ways to Detox and then they’ll have bentonite clay and charcoal on there which are two binders that are very effective but there’s no real good advice on those, so I’m hoping that we can give people good advice and then talk about why would you even need to use binders, how long do you use binders, what about some of the risk where people talk about you depleting your minerals and throwing off your electrolyte balance because the binders are pulling out top toxins but also pulling out minerals, so let’s dive into it. Maybe we should first talk about how do you even know that you need binders. I mean, some could argue everyone is a good candidate for binders but you and I have specific cases where we use these.

Dr. Justin Marchegiani: Yeah, so a couple of different things I would say that we’d talk about is we’ll use binders sometimes when we’re doing detoxification programs I should say got clearing GI clearing programs. So if we’re working on dysbiosis or SIBO or parasitic infection and we’re killing off crud that could be in the gut tract, well our body has to do something with that. Our body has to stop up that dead debris and escort it out and if we kill too much, too fast, that can overwhelm our detoxification system, our lymphatic system and our immune system so putting a straightjacket on it whether we’re using activated charcoal, can help bind some of these things up, or bentonite clay can help bind some of these things up it does it via electrical it’s an adsorbent quality where it attracts it to it like a magnet similar to activated charcoal and it helps escort it out of the body so it’s not reabsorbed stimulating the immune system over in the body, so this is helpful and we’re clearing stuff out in the guts that eventually could make its way back reabsorbed into the body.

Evan Brand: Yeah, so let’s, let’s go through maybe a couple examples

Evan Brand: (Cross talking.) Yeah.

Evan Brand: Like, when we would bring this on board so actually I believe a couple of the supplements you and I manufacture not only have antimicrobial herbs but actually have clay in it so there’s one that you and I use. Mine is my microbiome support one. It’s got clay but then it also has berberine and Oregon grapefruit, a bunch of other things in it so there’s kind of an binder quality built into it but really when you and I are working on gut bugs, we noticed that these people have this, I guess, gut feeling that when you show up with a parasite they just say give me everything they want to throw everything at it and just kill kill kill too hard, yeah, but a lot of times people don’t have the, the strong enough constitution, so maybe we can talk about would you use binders in a more sensitive person would you use them regardless of a gut protocol. Like, how do you gauge that?

Dr. Justin Marchegiani: Well I think off the ‘bout the big thing is most people when they find out they have some kind of a gut issue, their main focus shifts to I want to go kill this thing” that’s the first thing they think about in focus. I think it’s a big mistake because a lot of times, the first focus needs to be on bringing inflammation down, bringing nutrition up and supporting our energizing systems around it because we’re gonna have a drop in energy. We may have more information, we may tax our nutritional needs to run other metabolic pathways in the body so it’s really important that we’re getting more nutrition in or reducing the inflammation and then we give more time for energy systems to come up because we may come backwards a little bit, it’s like hey we only get this big expense coming in one or two months. Let’s start a savings account where we start infusing more money into it so that in a month or two when this debt starts coming do you have that extra bit of money to throw at it, does that make sense?

Evan Brand: It does, yeah. This is important for people to listen. This is why we try to educate people that come to us because if we have uneducated clients it’s nothing against them but they’re not as motivated for the long haul if somebody just finds us on a random blog, a random video, but they don’t listen to us when they get a series of lab tests back. That we run on they may see four or five six different infections and Justin or I may say, hey look you know we’ve really got to take month one or month two to work on addressing your adrenal function calming down the inflammation as you mentioned because we may see high occult blood where they’ve got microscopic bleeding because their guts in such bad shape or we may see that the calprotectin is really high if we go straight into killing they may feel worse, and then they, of course leave the program so you know if you’re seeking out functional medicine, you want to make sure you, you and your mind are, you have your own agenda but listen to the practitioners agenda too, because if you’ve gone through this a thousand times, we can tell you straight up hey look if you’ve got way too much inflammation, I know you want to get rid of the bugs so do we but you may feel like crap if we do it too soon.

Dr. Justin Marchegiani: 100%, so we want to build everything up so we have that foundation ready to go. Number two, a lot of people there’s two ways to take a binder. So number one is you know you’re eating a questionable food or drink and you want it’s a B in your system – binary potential crud with that up, that’s where you would take that with food with that food. Number two, you’re in the middle of a detoxification program and it’s a longer-term thing. We probably don’t want you taking that binder every single day with regular healthy food so we would have you do it typically an hour before meal and or two to three hours after a meal to avoid binding up those minerals and nutrients. We would try to time it up on an empty stomach. Now sometimes it’s easier to do it midday between breakfast and lunch and lunch and dinner or some people will do it when they get up and then when they go to bed and just leave an hour before, you know, half hour forty-five minutes before breakfast in the morning and then at least two hours after dinner at night there was a really good prime times and of course a holiday weekend you can always take activated charcoal with any of your questionable foods and drink, that’s super helpful.

Evan Brand: Yeah and don’t sing wise, most of the time when you find activated charcoal, it’s gonna be in about a 250 milligram to 500 milligram dose and so I think there’s a range that people can do now. I will say I just kind of come to this realization over the weekend so I’m sharing this with Justin for the first time. ou know I’ve been battling dizziness and sort of this disequilibrium for probably like six months or so. OF not more actually, no, it was since last July so we’re talking almost a year and what I just kind of made the connection detoxification and binding you have to mobilize a lot of your toxins but you have to detox them at the same time so it’s kind of this seesaw where if I do too much glutathione which is another detoxification strategy we’ll mention but if I don’t do enough binders with it I feel worse but if I don’t do enough glutathione or enough binder, then I still feel bad, I still feel dizzy, so when I feel like my best and I’m not recirculating toxins. It’s the perfect dose of glutathione which for me is about 200 milligrams of acetyl glutathione with NAC one gram and then 500 milligrams of charcoal so glutathione would come first in the morning, let’s say 7:00 a.m. I would try to wait an hour do binders or in reverse order, you could do binders first thing like 7 a.m. binders glutathione it 8 and then breakfast right after so, so that’s kind of the hard part too is you know somebody pointed out in the comments that it’s confusing between the meals time because we’re often told to take our herbs they thought they would bind the herbs – yeah, that’s the hard part is I think the hardest part about binders it’s so simple and effective, but the hardest part is the timing, remembering to take them, and remembering to take them away from your medication your other supplements and herbs.

Dr. Justin Marchegiani: 100%, and really important, we want to make sure we’re supporting the lymph right, so drinking enough water help support the lymph right. The solution to pollution is dilution I’d say that 4 times fast we want to make sure we’re providing hydration so the lymph can move. Ginger tea is awesome. I use this with a lot of my patients because ginger is anti-inflammatory. It’s essentially an anticoagulant. It keeps things moving. It’s also a biofilm buster so if we have biofilm which of these protective shields used by critters it will definitely help with that and take those shields out of their hand and allow the anti microbials to be more effective so that’s for sure. Now a couple other gentle lymphatic supports that we’ll do is we’ll do red route which is going to be a powerful anticoagulant. We’ll do things like slippery out/ We’ll do dandelion, we’ll do milk thistle, skullcap, rhubarb, rosehips, is shown to be incredibly effective at mobilizing toxins and just kind of gently nudging it out of the body so these are all very very powerful strategies that we can utilize to keep things moving and right, Evan?

Evan Brand: Yes, let’s move on. Let’s talk about other reasons when and why you’d use binders we talked about gut protocols rights of supporting people during parasite infections bacterial overgrowth. We talked about setting the foundation. First reducing inflammation, supporting adrenals before you even go into the killing so during the killing phase you can use binders to mitigate die-off because people talk about, well am I gonna feel bad, am I gonna have a herxheimer reaction on this protocol, well you shouldn’t. Now we don’t always see every piece to the puzzle right away so if we just see gut infection, well we don’t know that you have a major mold problem we may start to use glutathione to help you replace glutathione if we saw your organic acid tested low but now that glutathione could be mobilizing things like heavy metals, it could be mobilizing mold into this right interro hepatic recirculation, so now we have to do more binders right. So this is why we have to get a good work up on somebody if we just do a stool test lab and we try to make a protocol and throw in binders on, that it’s not very accurate so this is why we try to look at urine for mold, we do the organic acids, we can look at chemicals, we can look at stool, we can look at hormones and once you have all the puzzle pieces yeah you’re gonna spend some money up front to get all this data but it’s gonna save you more hassle in the long run because if someone does just stole in urine and let’s say you look at organic acids in stool we make a protocol and then they say, Hey Dr. J or hey Evan you know I’m not feeling good or I had a headache or I had extra joint pain, we’re gonna say well we’re missing something, we need to figure out what’s going on because this protocol here is great however something’s missing so now let’s go back and fix or fill in the labs that we didn’t run in the beginning. It actually cost you less money to get all the data in the beginning rather than waiting till the end because we’ll have people that’ll come on a budget which is fine, right, they’ll say I’m just gonna do stool tests but then we only see one thing, like let’s say we see blastocyst as hominis so it’s like, well do we use binders in that case. I mean, they could be helpful but we don’t know what else going on what if they have chemicals and molds and other things where they do need binders so that was percent, so what I was gonna, what I was gonna lead into was that my mycotoxin report I should be able to share my screen so let me see if I can because I wanted to show you when and why I started using binders and it was because of my mycotoxin report.

Dr. Justin Marchegiani: And that’s another big one. right we talked about using binders to help with clearing herbs but we may see people that have mold exposure, they may be, they may be in a moldy house or we may see that they are urinating out a lot of mold maybe from previous exposure they have a hard time getting the mold out of their body and that’s a great time to use specific binders especially modified citrus pectin or zeolite can be excellent and then you know we even we can even talk about it as well that we even utilize some air filters that have binders in it like activated charcoal and zeolite to pull potential mold out of the air as well so we can even use it in our air as well.

Evan Brand: Yep yep, so I’ve got my report pulled up if people are listening on audio, obviously you’re missing out you can go on Justin’s YouTube channel and look up this podcast and you’ll find this video screen, share but what we’re looking at here is my Hawker toxin levels in my urine which the reference range anything above four is elevated and anything above 20 is very high and I was at 196. Now the key component here is having people do glutathione for five to seven days before you actually collect urine because that’s going to give us a more accurate result. We find that the, the tip of the iceberg shows up if you don’t do glutathione, so that’s fine right like if you see just a tiny bit of mycotoxin you know that you have an issue but I would like to just flush it out as much as we can and then report it so this level may have not been as high if I didn’t have glutathione on my system-

Dr. Justin Marchegiani: But still some people say you shouldn’t do that but taking glutathione isn’t just you know put mold in your body and that molds already there. It’s just mobilize better so it’s we’re getting in a window and what’s actually there, which i think is more important. We want to know what’s actually there versus what’s stocking tissues and our body can’t get out right.

Evan Brand: Right I mean it’s the same, it’s the same thing as doing a profit for heavy metal testing right, I don’t know why people would be against using glutathione to look at mycotoxins if everyone supports the idea of using a key later or even a natural key later like chlorella for heavy metals collection before you collect urine or other samples for, for heavy metal so to me it’s a no-brainer and look at my levels, I mean it’s very, very high and then you see there’s different types of mycotoxins and some are more damaging than others so ochratoxin, it actually affects the cerebellum. Now I’ve learned this, I didn’t know this but that’s why you see balance and disorientation and dizziness with ochratoxin more than other mycotoxins because it does affect the cerebellum, so that’s why I notice if we go down here, you see, I just had some other stuff too. So treinen, this is another mycotoxin, I can’t even pronounce this one and ___[14:07] and B.

Dr. Justin Marchegiani: That was the upper toxin, where specifically did you get exposed to that problem is that just for water damage or-

Evan Brand: Yeah, that’s just that’s airborne so that comes from Aspergillus, you know I remember as a kid so that’s the report, so I’ll stop sharing, so you can go back to me but I remember as a kid my grandmother’s basement flooded and they had carpet in the basement and I remember them putting box fans down there and it took weeks to dry out and after you and I’ve spoken with Jeff and JW some of the mold experts, they’ve told us that after 48 hours you have mold growth if you have a moist material so you know, I remember being down there like playing games and doing puzzles as a kid while the box fans ran, which now I know was just blowing the spores everywhere so I think I probably had this toxic build up many, many, many years before I got symptomatic.

Dr. Justin Marchegiani: Anyone that has any family members that live in a basement, get your basement tested and get a whole house dehumidifier for your basement. There’s specific ones that are for the basement. Get that moisture percentage down to at least the low 40s. It’s really important that will prevent mold grow significantly especially if there’s no water damage plus you have natural heat exchange between foundation and the earth on the other side so you may get moisture occurring through that foundation to the heat exchange so because of that we really have to make sure we’re taking that water out of the air and it’s not accumulating.

Evan Brand: Yeah I check my humidifiers all the time and I have a bonus room upstairs above the garage that were converting into a playroom and that doesn’t have ductwork up there so the dehumidifier won’t work up there so I had a little humidity monitor over the weekend and it was at 62% which is way too high so I got a GE portable 70 pint dehumidifier and it has a little hose on it, so once I get all the plumbing done I’ll be able to hook that hose up to the plumbing to where it just constantly drains but for right now I’ve got the bucket so once a day or so I just drain the bucket until the plumbing’s done and I’ve already got it down on 20% now we’re at 42% humidity.

Dr. Justin Marchegiani: That’s where you want to be. So like my house right now, I’m in like the low 40s 41 42 from my first floor in second floor my office basement I’m in like the upper 50s low 60s so I already got an HVAC guy coming this week, we’re gonna go with the April air whole house basement dehumidifier. We’re gonna tap it in to the water line so we don’t have to worry about I just rather have it just draining all the time and not have to think about it because I know you can get a lot of water pulled out of the air for sure.

Evan Brand: Oh it’s amazing yeah, and so you know why binders came into the picture for me as well one of the best ways to give no to ___[16:37] talks in his binders so if you talk with any of the laboratories that do this testing for mycotoxins, they’ll tell you that you can use antioxidants like vitamin C to mitigate the damage but to really get the stuff out which is the goal number one is make sure you’re in a clean environment so that’s why Justin and I hit so much upon the home environment using high quality HEPA filters to take the mycotoxins out of the air, so you’re not breathing them in but even in that might not be good enough, right. An air filter won’t fix the bad environment, the air filters like the bonus after the environments already been fixed.

Dr. Justin Marchegiani: Although I have found patience though where there’s no active leak issues, I have found patients knocked down they’re a mold test pre and post significantly with just a good enter filter.

Evan Brand: Oh, I believe it, yeah, I think it’s a good catcher’s mitt for sure.

Dr. Justin Marchegiani: I mean, if it’s a humidity issue you probably have a greater chance if there’s actual water damage, it’s probably a little bit tougher and that’s where we have to bring in the fogging solution. But you know, my thing is get a really good air filter, I mean head over to or justinhealth, click on our shop link .look at our recommended products and there we’ll put links down below and that’s what we personally use there’s a couple different filters that we use like for instance I’m gonna be getting the Austin air filter for my basement office because that has zeolite and activated charcoal just because basements are more prone to mold. I’ll be using that specific filter but upstairs I have is the Air Doctor and the molecule upstairs and areas that are less prone so you know I’m kind of strategic and what filters I use and why and then also, um, you know testing and getting the whole house dehumidifier is huge so you just want to be on top of these things so you can create a really good home environment is part of Evans issues where this chronic accumulation, and now we want to be using binders in specific gentle mobilizers or I call it the lymphatic support or drainage support to kind of keep things moving in the right direction.

Evan Brand: Yep so the Austin Air’s great. I think you’ll love it. I have my grandmother over and she sprayed hairspray which just destroys me. The smell of it just tears me up. I told her don’t wear hair spray soon as she wears it and so of course she fills up the whole living room with the smell of the hairspray. I’ve got the Austin air right there all I did is crank it on high by the time she left, ten minutes later the air smelt like a fresh spring, I mean, that thing is amazing for smells and VOCs and so anybody that has allergies chemical sensitivities it’s, it’s incredible so reach out to Justin or me if you want to get an Austin air we are professional dealers for those and I mean it’s worth its weight in gold just from that one experience.

Dr. Justin Marchegiani: 100%, now what’s your experience, Evan using like sulphur based amino acids like Metheny and cysteine NAC. I know some of these things are biofilm Buster’s so they may be very helpful in dealing with SIBO especially with knack or NAC but then there’s also glutathione, so just my school of thought, is that people have significant chronic stress will tend to go more with lower dose glutathione, because the sulphur aminos have to get converted and if there’s any methylation issues or we’re missing certain nutrients that, that conversion may be a little bit halted, so I’ll tend to go more close, I own but sometimes we’ll do both which strategy and how do you incorporate glutathione versus two sulfur amino acids and the, and some of these herbs we talked about.

Evan Brand: Yeah, so the blend right now as acetylated glutathione, it’s a hundred milligram per capsule and 500 milligrams of NAC, so if I do two caps a day, that’s 1000 milligram Knack, 200 milligrams glutathione. To me that is like the perfect combination, I think there’s a little b6 added in there too but that’s the perfect combo for me, I noticed if I add any because-

Dr. Justin Marchegiani: That’s probably helping with the methylation.

Evan Brand: Yeah, it does make sense, yeah, I’ve got some methylation defects/ I’m not like a double, and double, what do you call it-

Dr. Justin Marchegiani: (Cross talking.) The homozygous one.

Evan Brand: The homozygous one yeah, yeah I’m hetero, so I’ve got the one snip of methylation issue, so I have some methylation probably not yeah so for me I tried this experiment where I did the 200 milligram glutathione a thousand milligrams AK, and then I added an extra 400 milligram of a liposomal glutathione in a teaspoon, I took a teaspoon of that and I had the worst headache of my life. That was like, the last last weekend or two. I called you, I’m like, yo I screwed up, you’re like, oh what’d you do, like I took glutathione and then I took extra liposomal glutathione on top of it, I’ve got the worst headache of my life and it lasted for man, I mean, hours six to eight hours probably, so I learned my lesson. Now maybe everybody else is fine but for my particular issue that mobilized way too many toxins, I mean it’s almost like I just opened the floodgates and my system just couldn’t handle it so, yeah, yeah, I know I take action yeah, so I did tons of water, we talked about doing some extra charcoal, you’re like, hey try some binders, then maybe if you mobilize too much why don’t you take some more binders so I went took a capsule with charcoal and then drank some vitamin C, took some electrolytes and then finally, finally I did some CBD oil as well that calmed it down so for me I’m a huge fan of what you said which is go more for the neck and the precursors rather than just hard-hitting glutathione because it is very effective but you can do too much there is there is such thing as too much of a good thing and, and I definitely found that that spot for me.

Dr. Justin Marchegiani: That’s excellent very, very good feedback so in general here, we got to figure out the goal, is what’s your reason for using these type of things are we doing it because it’s a holiday weekend and we’re gonna take some binders because we’re gonna have some food and drink. That’s questionable, that’s great by the way couple people on the questions that I drank some cheap alcohol and got headaches, I did the same thing this weekend on Friday night I added in some vitamin C with some additional vitamin C, like ester minerals like potassium, magnesium, zinc, chloride and I added the vitamin C with it and that way and with magnesium and that was really good that killed my headache, added some liposomal glutathione were good no problem, there so that was a huge help also improving the quality of my alcohol so last night we had some celebrations at my house, so I did some high-quality clean vodka Tito’s vodka. We did some half-line squeezed organic limes, and then we did some kombucha to mix it in, so we got additional B vitamins, additional good crap beneficial probiotics, we kept the sugar down extra minerals EGCG just beneficial antioxidants in there along with antioxidants and vitamin C from the lime juice, as well so that’s super helpful so if you are gonna drink, try to choose alcohol that’s not gonna add more toxic burden to you and then of course you can always, you could always take activated charcoal with that or if it’s cleaner alcohol you may want to wait and just take it before bed with a couple of shots of glutathione which is what I typically do if I have alcohol to a couple because usually I’m still eating a very nutritious dinner right, so I’m eating pretty good most of the time if I’m having some alcohol, so I’ll do activated charcoal before bed, couple of squirts of glutathione, some vitamin C and some additional minerals and it’s like boom, I got everything in case there’s any dehydration I’m drinking my toe but she goes in between drinks to maximize minerals and hydration as well.

Evan Brand: Good, good, good, that’s all great strategies. I like you’re focusing on quality because see, people think alcohol and you say that it’s like, well there’s a huge range of quality you could go for some really garbage stuff that’s got tons of sulfites and pesticides etc, or you can go really high quality like you’re talking about with your alcohol, so I think being smart if you’re going to consume it, be smart about what you’re using and then what I will say about the other binder my favorite or one of my favorites is zeolite I’ve noticed with zeolite it’s actually a better toxin capsulation process than charcoal, so charcoal as you mentioned it has this property like a magnet where it kind of drags the toxins out through the intestinal tract but if you have a leaky gut situation going on, if you have gut infections you most likely have a permeable gut barrier some of those toxins will get reabsorbed as you’re dragging them through the intestinal tract and pooping them out with the charcoal, so you can actually do too much charcoal and feel like crap I’ve done it now zeolite though I’ve noticed I can bump up my zeolite quite significantly and I don’t feel anything bad from it so I’m not an expert on the you know molecular level of how zeolite is working, but I believe it’s more of a complete encapsulation of the toxin charcoals more of an adze orbit, I believe zeolites more of a encapsulator of the toxin because if I bump on, bump up and keep raising Xilai I never have a reaction where I feel like I’m doing too much, I do get really, really thirsty on it but I don’t ever notice a bad symptom like I do if I do too much charcoal for example.

Dr. Justin Marchegiani: Is the gold still the same is it – in capsule a, an escort out of the digestive tract in general.

Evan Brand: Yeah, exactly. Same thing pull things out and zeolites great because it can help with not only ochratoxin and other micro toxins but it can help with the alcohol molecule, I’m sure and then heavy metals pesticides etc, there’s some cool research on even like BPA and phthalates and other man-made chemicals that zeolite can remove

Dr. Justin Marchegiani: Do you have a good brand of zeolite you recommend?

Evan Brand: So there’s there’s a couple different ones I believe it’s called results RNA-

Dr. Justin Marchegiani: Yeah I think is that Gordon’s lab or Gordon’s company

Evan Brand: I don’t know, I just, it’s got a gold label on it and it’s a spray and it’s, it’s just purified water and then co light so that one’s really good I did carry the vitality detox drops for a while these little small bottles and it’s just a little dropper you just squeeze it onto the tongue however it does have citric acid and I think it even had a preservative in it, so I was just trying to go more clean, so that’s why I went with the results brand and you’ll get really thirsty on zeolite but to me that’s a good sign, that you’re starting to pull stuff out so just stay hydrated extra minerals extra water, you know ,I’ll kind of rotate in like some VG every once in a while or I’ll do like this Icelandic like glacial spring water, which yeah, it’s in plastic, but you know the water inside of it’s good, so I’ll kind of rotate and play with a couple different things. The Fiji is helpful because of the silica content so I would consider Fiji as part of a detox protocol too. Yhere was some guy out there on a member, his name some doctor who did an experiment where he had his patients drink nothing but Fiji water for like a month and they’ve reduced their aluminum content in their body with the help of the silica by like 60%

Dr. Justin Marchegiani: That’s great, yeah, they said, look does a good natural detox it’s also a good it’s you know one of the main building blocks of your teeth too, so it’s really powerful for building up healthy and animal

Evan Brand: Yep, so I would just say long story short with people, is get your testing done you know work with a practitioner, if it’s Justin, if it’s me, we don’t care who you work with just as long as you get help and you get the proper data right, cuz you could go to Whole Foods and go buy charcoal and take it, you don’t know what you’re doing, you don’t know why you’re doing it, what’s the purpose, how long do you need, to do buy undersea work, we’re getting a clinical piece of data and we see okay, look Evans got a ton of ochratox and we’re gonna do these specific binders, plus sauna, plus mitigating the environment, making sure everything’s clean, plus helping the liver, plus making sure the gut bugs are clear, I looked at my stool as well and then you retest did it work do we still need to do binders right so I think this is in the category of stuff that that can definitely help you and it’s not gonna hurt you ,however I just don’t recommend doing it without a plan it’s much smarter to have a plan

Dr. Justin Marchegiani: Exactly, and then with your experience with zeolite, is it more selective and not binding up nutrition and minerals like activate it, well, is it is it like more indiscriminate like activated charcoal based on your experience or is it more selective at avoiding the binding of nutrition and more encapsulating the mold?

Evan Brand: Mmm, hard to say. I would have no idea how to prove if I was preserving my mineral content, I would just say I get really thirsty, so to me it sounds like it may be pulling out minerals as well I just don’t know.

Dr. Justin Marchegiani: So zeolite more encapsulates where the charcoal or the clays adsorbent and kind of electrically-charged that toxin nearby, that’s what it feels like pulls other things into.

Evan Brand: That’s what it feels, like there’s a couple articles on this, I don’t have anything bookmarked right now, but I had read something about zeolite being better at keeping the toxin away from the bloodstream away from reabsorption compared to charcoal, being more of just it’s dragging the body through the house and leaving a blood trail, I sting versus the zeolites more hiding it in the bag and taking it out but like I said this is all just stuff I’ve, I’ve read and I’ve felt personally not bad from doing high dose zeolite where if I go high dose charcoal, I do feel bad so this is kind of just what I’ve read plus some personal and clinical.

Dr. Justin Marchegiani: So use the creepy analogy right, pardon, is analogy we’re dragging the body versus pulling out the neat body bag and then putting it, putting it in there, picking it up without, right-

Evan Brand: (Cross talking.) It makes it makes perfect sense-

Dr. Justin Marchegiani:  It does. I get sure okay that’s cool and then one more thing we talked about a couple of other binders a couple of people who chimed in on here, we already mentioned modified citrus pectin and citrus pectin is kind of in that plant base of fiber community, which is very helpful at binding up metals like lead and Mercury, and also molds as well so we like the modified citrus pectins, as well and let’s not forget chlorella, chlorella is gonna be really good as any more selective at binding up, mercury tend to be mercury in the gut, so chlorella could be really good if you’re going out and getting sushi, definitely want to bring some chlorella with you and take it with the meal, that way it’s binding with a lot of the mercury that may be in your gut and then you can also do activated charcoal for that but chlorella is really, really good at that so there’s a couple other strategies that we can incorporate as well

Evan Brand: Yep, so you could play with all this on your own if you’d like and you’re probably not gonna hurt anything unless you’re got a really important medication that you’re taking and you’re taking binders with your pharmaceutical medication, and now your heart doesn’t work the way it should right, like, don’t take this stuff with medication at the same time separated by at least an hour but really get the data you know if you have symptoms there’s probably a reason for your symptoms there’s a root cause for something, so if you feel fatigued, there’s a reason for that, if you feel dizzy there’s probably a reason for that, if you feel joint pain there’s probably a reason for that, so investigate, investigate, investigate, get the data first, get the puzzle pieces laid out on the table, you’re not gonna, you know, draw that be like you’re a character caricature artist, you know, out of an art fair and the person is turn the other way and now you’ve got to draw what their face looks like and they’re in there, not they’ve got their back towards you like you just can’t do it, it doesn’t make sense so for you to go and buy zeolite and buy charcoal, and I’m gonna play with all these binders, you don’t even know what you’re up against, that’s silly, so you know, find a good practitioner that you want to work with, if it’s us, great, we know we love helping people across the world, if you’ve got somebody else helping you, great, just make sure you get the data, don’t just have them put you on a bunch of chlorella for no reason.

Dr. Justin Marchegiani: Absolutely, head over at, you can reach out to Evan,, you can reach out to me as well, I’ll also be doing a live YouTube Q&A within a few minutes after this podcast here, I see a bunch of questions in the queue that are more patient oriented so I’ll be there for a nice little live Q&A action so if you guys want to hang out for 5 or 10 more minutes I will be back. Evan ,today was phenomenal, great information, great back and forth, we put this together last minute just the nice thing about it is, you know, we have so much patient experience every week so we can look at, hey what are some of the questions or issues or challenges our patients are having and then we can say, let’s create a podcast, and a lot of times our podcast or patient inspired and more importantly they’re designed to help the general public, as well as patients, so if you guys are patients and already listening to this, make sure you’re subscribed and you utilize as much of this information to support the program you are already on. Anything else you want to add, Evan?

Evan Brand: Oh, that’s it. I would just say take good care and I will be back next week for some more fun so if you have suggestions, topic suggestions, you know write those in the comment or if Justin’s doing a Q&A, bring up those topics to him and we’ll jot it down and we’ll make sure we bring it up.

Dr. Justin Marchegiani: Wonderful. All right man, you have a phenomenal day, enjoy your family and I’ll be back in a few take it everywhere, bye.

Evan Brand: Bye.


Austin Air Health Mate Junior Plus

Audio Podcast:

Stomach Acids, Enzymes and Insulin-Driven Issues and Supplementation | Podcast #191

Welcome to today’s live podcast with Dr. J and Evan Brand! Watch as they dig into the different issues concerning gut health and supplementation, like Insulin-driven skin problems, malabsorption, enzymes, kidney stones, detoxifying and other digestion-related topics they randomly answer.

Stay tuned for more functional health information, and don’t forget to share!

Dr. Justin Marchegiani

In this episode, we cover:

02:15  Estrogen and Insulin-Driven Skin Issues

05:50  Enzyme Synergy Versus Digest Synergy

10:00  When to take what Supplements

16:25  HCl, Enzymes and Digestive Supplements

19:49  Organic Buckwheat Crisp



Dr. Justin Marchegiani: Hey, there! It’s Dr. Justin Marchegiani. Evan Brand is here in the house as well. Evan, how is your Father’s Day, man?

Evan Brand: Oh, dude, Father’s Day was great. It was my second. Was this your first…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …Father’s Day?

Dr. Justin Marchegiani: I may— I guess it’s my First. My— My son last year at this time was in my wife’s belly…

Evan Brand: [laughs]

Dr. Justin Marchegiani: …I think six months— s— so, six to seven months in. So he was still— he was still alive and kicking, so it felt like my second. But, yeah. It was great. I got this awesome little gift from my wife.

Evan Brand: What did you get?

Dr. Justin Marchegiani: This. She made this little thing…

Evan Brand: [crosstalk] Oh! Dude, that’s great!

Dr. Justin Marchegiani: Yeah, and then that’s me with him. That’s Aden right there.

Evan Brand: Oh, man.

Dr. Justin Marchegiani: And he’s a super little healthy dude. [crosstalk] Really healthy…

Evan Brand: Actually nice.

Dr. Justin Marchegiani: But yeah. That’s— Melts my heart. [inaudible]

Evan Brand: [crosstalk] Yeah. Your wife was uh— Your wife was showing me his swimming skills when I was over at your house so we went to the pool. Uh— He— He’s doing pretty good for a little guy.

Dr. Justin Marchegiani: He’s doing great. I, too, took him out to a steak restaurant in Austin, and he had a little meltdown halfway through. He forgot to check his diaper. Like— It’s this like…

Evan Brand: Uuuh—

Dr. Justin Marchegiani: …the most obvious thing sometimes.

Evan Brand: [laughs]

Dr. Justin Marchegiani: It’s like phew!

Evan Brand: [laughs]

Dr. Justin Marchegiani: But he was eating a whole bunch of steak and and red wiine. He’ll pound down five ounces for a steak in a meal.

Evan Brand: That’s amazing.

Dr. Justin Marchegiani: Yeah. He just crushed it. And the thing is he has had no real exposure to sugar outside of like having berries so it’s really interesting because he is totally carnivorous, will choose meat over anything else. Where— I see lots of other parents, where their kids are getting like lots of these like eating Yogurt, sweetened things, a lot of juices. I really feel like like that numbs your taste buds ‘cause they really don’t want to eat meat or these higher protein and fat-rich foods. They’re just like all about the sugar. So that’s one thing I’ve noticed. So any parents out there— you know, your kid’s coming to this world with this blank slate. Keeps their taste buds as “El Natural” as possible.

Evan Brand: Do you do uh— applesauce with them?

Dr. Justin Marchegiani: Uhm— Actually, we’ll just cut up apples.

Evan Brand: But no applesauce?

Dr. Justin Marchegiani: Uhm— In the beginning, we did a little bit but not much. I mean, we do like a little bit of mashed sweet potatoes or mashed Avocado. Uhm— But no, not a ton of applesauce. He’s able to just— We do a lot of baby like weanings so we just cut up the thin strip of apple or the thin strip of pear, or the thin nectarine, and then just let him eat— let him eat it like that.

Evan Brand: That’s smart.

Dr. Justin Marchegiani: Yeah.

Evan Brand: That’s smart.

Dr. Justin Marchegiani: Yeah, absolutely. So I know we only have a little bit of time today so we’re gonna just do a live Q&A. We had a couple of questions here. So, we’re gonna just dig in. Let’s go through them.

Evan Brand: yes, let’s do it.

Dr. Justin Marchegiani: Uh— Gabe writes in, “Lately, my wife spends seeing more tiny moles started to appear on her face. Any explanation why?” So, couple of things. When you see moles grow, the first thing I always want to know is Estrogen and Insulin. So, really make sure carbohydrate and Insulin is under control. Insulin will cause things to grow. And then, we can just do a little bit of Google Search and do Hyperinsulin— Hyperinsulinemia and Moles, right— and you’ll see it. Skin manifestations of Insulin resistance, and you’re gonna see that a lot of uhm— skin stuff can be driven by Insulin. A lot of Acne as well. Right? A lot of Acne as well, because Insulin causes things to grow.

Evan Brand: Yeah. You got— You always got to start with the diet. I think that’d be the most simple thing, right? Make sure…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …she got like a Paleo template to start with, she’s regulating Insulin, and there’s always other root causes that could affect Insulin too. Like gut issues can affect blood sugar, which could affect these Moles.

Dr. Justin Marchegiani: Yup. So I would always look at the— the blood sugar, the quality of food. I’d look at pesticides and chemicals in the environment. I want to make sure those things are under control. And then, of course, you know, the gut’s a mirror of the skin. So, everytime I see a gut— a skin issue, I always think gut, so you can always do a nice little gut cleanse. Uh— You get to do some gut testing, do some gut clearing, and then uhm— you can always work on some detox as well because things will get pushed out via the detoxification system, which will be the skin as well. So, activated charcoal, glutathione, Sulfur amino acids are gonna be great, and then uhm— You know, there’s always a chance that it could be a viral thing, too, like a Papillomavirus thing.

Evan Brand: Good point.

Dr. Justin Marchegiani: Uhm— But— Yeah. But, you know, a lot of the herbs we may use. Like in my GIClear 4 and 6, there’s a lot of Olive leaf, so I would just use a 4 and 6 in there and that extra Olive leaf will have some good antiviral effects too.

Evan Brand: Yeah. You— You kind of briefly mentioned some of your supplements, but I want people to understand that uh— you know, part of your goal is to provide professional grade supplements to people even if they’re not your clients or patients. So if you guys tune in to this in the future, if you’re tuning in right now, you can go check out— There’s an entire library, basically online natural pharmacy so to speak, of various nutraceuticals and things that Dr. J has formulated. So when he says like, “Hey! My GI Clear 4,” that’s what it means. And you can go check out those formulas. So, we’re always happy for people to piece together these herbs but, obviously it’s better if you get some lab testing to figure out if you actually need them. But if you’re searching fish oils, Collagen, proteins, which his is amazing, uh— all that stuff is on that Just in Health store. So if you’ve not browsed it, now’s a good excuse to do that.

Dr. Justin Marchegiani: Thanks, Evan. Thanks for the plug. And then, topically, you can always do like a higher quality Vitamin C serum or high-quality Retinol or Vitamin A serum with antioxidants. That’ll always be good topically as well.

Evan Brand: Yep. Good advice. Uh— Let’s go over here to uh— Juan. He was asking, “A Glutathione injection, is it great in an IV?”

Dr. Justin Marchegiani: Uh— IV, I think is great if it’s— if it— if you have a really acute exposure. The problem is most people can’t afford or do an IV daily. So, I think an IV, acutely, is a good situation, uhm— but daily, it may not be the best. So you get like a Liposomal Glutathione like this, and then you just give it a little squirt a couple times a day if you want that.

Evan Brand: That’s far smarter. You don’t need an IV. I think an IV is unnecessary because of the Liposomal technologies.

Dr. Justin Marchegiani: Yeaah. Liposomal technology has really helped. Now, if you get an acute issue, that’s fine. Like if you’re sick or your kid drops a  th— you know— a Mercury-based thermometer kind of thing, right? That’s— You know, for an acute thing, I’m— I’m okay with it, but in general, you want something that you can use daily.

Evan Brand: Yeah. I agree.

Dr. Justin Marchegiani: And then, uh— Charlie writes in, “What’s the difference between Enzyme Synergy and Digest Synergy?” Uhm— Digest Synergy, basically has some different types of acids and a little bit of Pepsin. It— It’s lower on the HCl and has a little bit of enzymes. The Enzyme Synergy’s pure enzyme. So, typically in my line, I use Enzyme Synergy and HCl Supreme together because I get a high dose of HCl and a high dose of enzymes. So if I have digestive issues, I can more therapeutically hit that. Digest Synergy kind of consolidates two into one so it’s lower on the enzymes and it’s lower on the HCl, but for most people that don’t have an active digestive issue, it’s enough. So it’s basically just consolidating the two together. People that don’t have core or very minor digestive issues.

Evan Brand: Yup. Good. Good. Good, good.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Both great products. So here’ another one from uh— Juan, “I took Lamisil. It worked great for my fingernail, fungus and toenail fungus. How can I detoxify my liver from the medication? I tried other things like T3, Oil Oregano, oil, and nothing worked.” Well, first, uh— I mean, you give me your two cents here, Dr. J, but I would say, you got to get tested. I mean, you’ve got to take a look at your liver. If you’re concerned, and you want to detoxify, why don’t you look at your AST. Look at your ALT. Look at your GGT. See if there’s anything like, actually manifesting…

Dr. Justin Marchegiani: Uhmhm—

Evan Brand: …before you go down some like liver detox program. You might not need that.

Dr. Justin Marchegiani: Yeah. I think that’s great. And then, if you’re really having a hard t— You said, “I took Lamisil. It worked great on your fingernail fungus and toenail fungus.” So you’re saying— I sounds like the toenail fungus and all that stuff’s better. So, ideally, if you’re gonna take that stuff, you should be on Glutathione uhm— and/or like milk thistle and liver tonifying support. So, like in my line, it’d be Liver Supreme and Detox Aminos, and you can even add in extra liposomal Glutathione along with it while you’re doing it. So you typically want to do it while doing it because— I mean, what’s the half-life on that stuff? It can’t be that long. So, it’s probably out of your system already. So, you just want to build back your system up to make sure it’s fine. That probably iis fine. It’s unless you use it for a incredibly long time. So I wouldn’t worry about it, but better to do it while you’re actually doing the treatment.

Evan Brand: Yup. Yup, well said. Let’s go over here. Uh— Don’t know who this is. Kind of weird name. Uh— “Small amounts of Calcium citrate a meal’s okay with kidney stones?”

Dr. Justin Marchegiani: Well, with uhm— kidney stones, you’re typically gonna be doing more Magnesium— more Magnesium with kidney stones ‘cause a lot of the kidney stones are oxalate-based. So Magnesium tends to be good, and then also Potassium. I don’t think you want to be doing Calcium citrate. Let me see. I think the citric acid may—

Evan Brand: I don’t think you want Calcium, period. Nora Gedgaudas, a mutual friend of ours, has a great article on Calcium. You really just don’t need Calcium supplementation uh— hardly, ever. There’s very rare situations where you will need that.  

Dr. Justin Marchegiani: Yeah. So, basically, Calcium citrate does reduce the risk of oxalate deposition in the kidneys. So does the Potassium. So does Magnesium. I just rather be using Magnesium and Potassium personally. Uh— it’s harder to get those minerals, nd they have more enzymatic roles than Calcium. So I wouldn’t worry. I would use the Potassium and Magnesium over the Calcium, personally.

Evan Brand: Yup. Yup. Let’s keep going here.

Dr. Justin Marchegiani: I had a large in my back. It fell off after Keto and fasting. Totally makes sense. That’s all about Insulin, right?

Evan Brand: That’s cool.

Dr. Justin Marchegiani: Yup. Makes a lot of sense. Seen that before.

Evan Brand: Here’s Tom. I’ll read this one for you. “Vitamin D, trying to optimize absorption one meal a day in the evening. Should I take Vitamin D on an empty stomach or with the meal in the evening and risk melatonin interference? Any suggestions?”

Dr. Justin Marchegiani: I mean, I would just try to do it in the morning because it makes sense. Vitamin D is typically gonna happen when the Sun’s up, not when the Sun’s down so try to time it in the morning. If you forget, as long as you can take it, and it’s not gonna mess up your sleep and you can relax and wind down, I think it’s fine. A lot of my uhm— Vitamin D’s gonna be at a beta MCT Oil, so take it with a meal.

Evan Brand: Yep. Sounds good. Keep going here. Anita, “Can you talk about the best time to take probiotics, Vitamin D, Vitamin C, Biotin, Zinc? Is it too much to take all together with a meal?” The answer is no. You can take all of that together. The main issue is standing here. So first, I’ll have my two cents. You need to get…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …your Ferritin look there. So, I’d get a blood panel run to look for Anemias ‘cause you can take these magic— magical mira— miracle supplements like Biotin, which every woman under the sun is taking now, and it might not resolve your hair uh— thinning issue. So get the blood work done. Investigate, first of all, and then, in terms of probiotics, we always recommend that you do those on an empty stomach or maybe around bedtime, because then you’re not competing with stomach acid. So, the probiotic can kind of do its job on its own. Vitamin D, do it with a meal ‘cause it’s fat-soluble. Vitamin C, recommended in the morning ‘cause it can help stimulate the adrenals a little bit. Zinc, I don’t think it matters.

Dr. Justin Marchegiani: Yeah. I would just say, anything mineral or amino acid-wise, do it with the food and I’m fine with it. Probiotics, empty stomach, unless, let’s say, acid resistance strain like Omega Support, that can be done with food.

Evan Brand: Yup. Yup. Uh— Let’s go over to Oliver here. Would drinking Water Kefir with mears— meals help or hinder digestion as regular water would?

Dr. Justin Marchegiani: Uhm— I would just say, it probably would help ‘cause a lot of the Kefir uhm— tends to have like a lot of acids in it, like glucuronic acid or a lot of uhm— various acid from the fermentation process. And that may be helpful with the digestion, so I would just say, see how you feel. How do you feel when you have that with the fo— with meals. Do you feel bloated or gassy, or do you feel better. Uhm— So I would give it a try and see how you do. I— I will do my ow— one exception to drinking water with food is uhm— Well, number one, the healthier you are, the more you can do it, right? I would still would do it sometimes, like I ate 30 minutes ago. I’m drinking a little I’m sipping on a little bit of water. I’m not downing it, right? But I always try to drink five to ten minutes before food. But in general, uhm— a good rule of thumb is, if you’re burping a lot and you’re smelling the food, ann your burps right after a meal, you drank too much water. Right?

Evan Brand: Yeah

Dr. Justin Marchegiani: That’s a pretty good rule of thumb. And also, do you feel undigested? But when your digestion is more compromised, you got to be by the book. When your digestion is less compromised, you can have a little bit more uh— latitude in what you do. But as long as you feel good, you’re okay.

Evan Brand: Yup. Let’s keep going here. What’s your time? I know we got— How many minutes more do you have like?

Dr. Justin Marchegiani: We got five more minutes.

Evan Brand: Okay. Uh— Here’s a question from uh— Charlie. Can you just do the H. pylori part of the diagnost— diagnostic solutions test? The GI Map is too expensive. Charlie, I don’t know if you can do it on the GI Map. I know you can with BioHealth. You can do just an H. pylori antigen. However, I would hardly not recommend you do that because if you’re gonna spend money, period, to get any testing done— you know, whether it’s Dr. J or my protocol, our protocols are very importantly based on having a full picture. So imagine like trying to estimate what your— what a puzzle is just by looking. What’s that analogy where you look at the tail of something and you’re like you have no idea there’s an elephant in the room ‘cause all you saw was the tail.

Dr. Justin Marchegiani: Yeah. Yeah. It’s basically you’re walking in around— you’re walking in there blind, or you’re just each person stealing the part…

Evan Brand: Oh, yeah.

Dr. Justin Marchegiani: …of the elephant trying to guess what it is, right? And, there’s also an assumption too. The assumption is, “Oh, I treated the H. pylori— or I treated the other parasites. I only had the H. pylori. Therefore, I only want to look at that.” And a lot of times, you may have other infections that come back on the retest ‘cause these infections were barred in deeper into the gut lining. So you want to rule that out.

Evan Brand: Well, use me as an example.

Dr. Justin Marchegiani: Yeah.

Evan Brand: I— I had Crypto. I had Giardia. We came up with the protocol and guess what? On the retest, the parasites were gone and H. pylori showed up. So then I had to do a second protocol to kill H. pylori ‘cause it was barely in.

Dr. Justin Marchegiani: Exactly. Now, some people like ninety or a hundred percent of their symptoms go away. Okay. Fine. You know, you’re feeling amazing. You only want to test for one thing. Money’s tight, fine. But, if not, I will always retest the whole thing, just to be in the safe side.

Evan Brand: Okay. Okay. Yup. I would agree. If so, how much is it? Uh— Pricing varies. Pricing changes.

Dr. Justin Marchegiani: Yeah. You can go to my site, GI Map test cash is 3.99 and then, we provide the superbill codes so you can always submit it with insurance and you can also use uhm— your HSA of Flex Spending too.

Evan Brand: Yup. Yup. Uh— Let’s see here. Gabe, “Uh— I like to make my 7-year old smoothies, which he enjoys (he does look a bit underweight) Is it okay to add a bit of your guys’ Collagen…

Dr. Justin Marchegiani: Yes.

Evan Brand: …and protein pow— Yeah.

Dr. Justin Marchegiani: Uhmhm— [crosstalk] Of course, without a doubt.

Evan Brand: Super high-quality. Uh— “Iron.” This is a question from Michelle, “Iron-68, Ferritin-51 after a high-dose Vitamin C IV, which resulted in oxalates everywhere. It caused hair loss too. Trying to recover. All those levels suboptimal? I feel oxalates were chelating minerals.”

Dr. Justin Marchegiani: I don’t know. Those le— Those levels are good.

Evan Brand: Yeah. I think so.

Dr. Justin Marchegiani: Again, I like to see Iron saturation in your— in your UIBC and TIBC, but overall, those look good.

Evan Brand: Yep. Uh— Mike, “I got my Viome Test in 23andme Test done. Just wondering which other labs I should run? (many health symptoms)” Mike, you got to get an adrenal test run uh— Justin and I would point you towards the Dutch, which is a urine or do the…

Dr. Justin Marchegiani: Yup.

Evan Brand: …BioHealth #201 CAR…

Dr. Justin Marchegiani: Yep.

Evan Brand: …Adrenal panel. And also, we would recommend you would get the GI Map. The Viome Test sounds sexy and the marketing is great but the read out is terrible and not very clinically usable this time, so we still would highly recommend you get a GI Map in Organic acids uh— test done, which is urine.

Dr. Justin Marchegiani: Yeah. I’m gonna go uhm— I’m gonna go have Steven Berry on my show. Uh— He use the one on the inventors of this test. I think it goes Naveen something. Uugh! I forget his name, but he created the Viome test. I saw him at a conference. He’s like a multi-billionaire Indian dude. Really…

Evan Brand: Yeah.

Dr. Justin Marchegiani: …really smart guy. But I mean, they’re just on his Viome test. They’re just recommending foods to put there like your gut bacteria back in the balance. And it’s like— It’s like sweet potato, Avocado, Romaine lettuce. It’s like really like is that gonna be the key? ‘Cause there’s always people that I’m already seeing. They’re already eating a really good Paleo template where they’re getting a variety of those kinds of foods are ready.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Uhm— I just don’t— I— I’m just really underwhelmed by that intel. [crosstalk] And the biggest issue I see is, you know, you got to get rid of the infections that may be present, that may be driving the Malabsorption. So, I think it can be helpful but I would not put all your stock in it.

Evan Brand: Yep, right. Just a couple more then we’ll wrap up here.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Josh, “Can long-term Ox bile cause problems? I’m having less bloating with eating fat but much more constipation than some nausea.” I’m guessing he means while taking Ox bile.

Dr. Justin Marchegiani: Yeah. So, I want to know. Are you taking Hydrochloric acid and enzymes with it? I want to make sure that’s dialed in. I want to make sure that you actually got to the root cause of your low bile issues. So, were you having a lot of gallbladder issues, or are you having a lot of floaters? If you were and that helped, that’s a good sign. You can always taper off the bile a little bit and see if that helps. But make sure the HCl and enzymes are there, and then also make sure that you really fully address the gut issues ‘cause sometimes parasites like Giardia and stuff can kind of cause bile issues, so can SIBO. So I’d want to make sure all of the root issues are addressed but all the other digestive secretions are also supported as well.

Evan Brand: Yeah, well said. Uh— Digestive supplements are great but there’s a reason you’re having to use those to mitigate symptoms. So there’s probably something under the hood. Uh, Shanice, uh— “Which herbs are best to treat H. pylori?” There’s a ton. We use many different ones.Dr. J’s got a whole line that he uses for H. pylori. I’ve got a whole line that I use for H. pylori. So, it depends because if it’s just H. pylori by itself, which is pretty rare, usually there’s uh— other bacterial overgrowth, we may switch up the herbs a bit. So—

Dr. Justin Marchegiani: Bingo!

Evan Brand: Uh— I want to see. Don’t think we could just give you a list and then, you throw it together and have success. You need to get tested.

Dr. Justin Marchegiani: Yeah. But in general, like Mastika’s gonna be uh— one that’s used for a while. I like Clove. I like Berberines. In my line, it’s like GI Clear 2. It’s my H. pylori killer. But you really want to get treated ‘cause most people very rarely just had H. pylori so you don’t want to fall for that.

Evan Brand: The domestic gum, yeah, that is one thing you could—

Dr. Justin Marchegiani: Yeah.

Evan Brand: …you could throw at it and it could definitely help mitigate it.

Dr. Justin Marchegiani: Yeah. Mastic gum has adaptogenic qualities too so it is a very safe herb too.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Yep. Absolutely.

Evan Brand: Yeah. “There is Candida too,” she says, so yeah. That— That’s very common.

Dr. Justin Marchegiani: Exactly! So you want to combine that. And then Josh writes in, “No floaters but uh— no poor Steatocrit on my GI Map.

Evan Brand: Good.

Dr. Justin Marchegiani: So that’s a good sign. So uh— I don’t know why you’re pushing uhm— bile salts the, if that’s the case, you know, therapeutically. I’d only push bile salts if I saw uh— floaters or if I saw high Steatocrit on my stool. If not, I push more enzymes and Hydrochloric acid because the Hydrochloric acid’s really important because if you have low Hydrochloric acid, that’s gonna be the stimulator to stimulate Cholecystokinin, which is this hormone that’s released in the small intestine  that stimulates the gallbladder to contract. So I’m more concerned about the Hydrochloric acid because that gets the gallbladder moving.

Evan Brand: Yep. I just want to add two more cents to the question…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …form Shanice about the H. pylori. And then, she said that, “Yes. There also is Candida.” Uh— when you lower stomach acid levels, that low stomach acid causes these foods to rot in putrefying the gut…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …which generally does in a Candida Overgrowth. So it’s very common. I’d say, 90+ percent of the time, we see Candida and H. pylori together.

Dr. Justin Marchegiani: Yes! One hundred percent.

Evan Brand: Uh— last question then we got to roll. Uh—

Dr. Justin Marchegiani: Yeah.

Evan Brand: Cha— Charlie says Dr.J have you killed H. pylori with your patients in 30 days using GI Clear 4?

Dr. Justin Marchegiani: Uhm— I would never do it by itself, but if I were to do a minimalist protocol, I would do at least GI Clear 4 and 2, or typically, 1, 2 and 4. One (1), 2, and 4, or if there’s Yeast along with it, we’ll do 1, 2 and 5. So, it just depends on what other stuff is going on, but 2 has to be in there. And if there’s no Candida, I would probably throw a 4 in there with it ‘cause it’s very high in Berberine and Goldenseal.

Evan Brand: And— And just to also add ‘cause I know how you work. Uh— You’re likely gonna be doing some type of adrenal support, potentially, some binders [crosstalk] or detox for it too. So—

Dr. Justin Marchegiani: Bingo.

Evan Brand: Uh— We— We can’t just come in and kill, kill, kill! Uh— We got to support the other body systems or you won’t make it through the protocol.

Dr. Justin Marchegiani: Yeah. I mean, most people, you know, they’re used to like, “Oh! I have chapped toe. It’s antibiotics.” Or, “Oh, hey! I get an STD. Here’s— Here’s antibiotics. Here’s a Ziprac.” Right? So most people are like, they find something. They want to kill it right away. But with these chronic infections, it’s a little bit different of a mindset.

Evan Brand: Yup. Yup. Let’s wrap up if you’re ready.

Dr. Justin Marchegiani: Yeah. And then, hold on. One last thing, “Organic Buckwheat Crisp because of bre—” Uh— So, yeah. Buckwheat is more of a root, so it tends to be okay. But if you’re Gluten-sensitive, definitely cut it out for a month. But that could be something you try to add back in. And then, Ali Mo writes in, “Is DiatomaceA, D.A., okay for humans?” Yeah. D.E.— .D.A. is based— or D.E. is basically uhm— just super, super high in Silica. How it works is basically is it dehydrates the exoskeleton on the bugs, and they basically die.

Evan Brand: Yeah.

Dr. Justin Marchegiani: That’s how it works.

Evan Brand: M— My uh— My— I just saw that coming— come through about the Buckwheat. My comment would be that it is a cross-reactive food. So—

Dr. Justin Marchegiani: Can cross-react.

Evan Brand: Uh— Your body can still think that it’s Gluten and could still trigger an autoimmune issue or something. Or if you ar— already have autoimmunity, you probably need to step away from buckwheat and its— and the other pseudograins.

Dr. Justin Marchegiani: Yeah. At least an AIP Protocol for uh— a month, and then you can add it back in. Don’t make it a staple, but if you want to have it a couple of times a week, uh— I’m okay with it. Just make sure it’s— you know, your issues are under control and you add it back in methodically.

Evan Brand: Yeah. And if your gut is healthy, you might be able to get away with it. If your gut’s not healthy, you may have a flare of some sort. You just have to pay attention.

Dr. Justin Marchegiani: Very cool. Hey, I like that picture of the bird over your right shoulder there.

Evan Brand: Oh, thanks, man. Yeah. I took that picture. Let’s say uh— female cardinal.

Dr. Justin Marchegiani: Whoaf! Beautiful!

Evan Brand: I got a bunch of uh— whenever you come over to my house, I’ve got a bunch of canvasses everywhere of pictures I’ve taken of different birds and stuff over the years.

Dr. Justin Marchegiani: Yeah, and you recommended that bird idea. Bright…

Evan Brand: [crosstalk] Oh! You’ve got birds in?

Dr. Justin Marchegiani: [crosstalk] …a lot of kind of birds.

Evan Brand: Oh, yeah. I was playing actually. I heard a pileated woodpecker, which is the largest woodpecker in North America, the other day, about this tall. I heard him calling so I got out the bird app and I played the song— his song. And then, he flew in to go see who is singing. And, he flew right over my head.

Dr. Justin Marchegiani: Oh, my gosh! That is cool, man. Yeah, the older I get, I kind of get into things like that. Like when I was younger, I was like, “Who cares?” But now, I’m like, “Oh! That’s cool.” [crosstalk] It’s cool watching birds.

Evan Brand: I love watching birds. I love birds, trees. Yeah, I love it all.

Dr. Justin Marchegiani: Awesome, man. Oh, hey! Today was a great chat. Appreciate it. We’ll be back next week, my man.

Evan Brand: Yeah. Tell— Uh— Tell people about the— the links.

Dr. Justin Marchegiani: Oh, yeah. So, uh— click below for the Thyroid Summit, And also, Evan’s got his summit going on right now, [emphasis], to get signed up for Evan’s [crosstalk] Candida summit.

Evan Brand: I got to go check out. Go check out the Candida Summit ‘cause we had a couple people in here talking about gut issues. There’s 30 talks in this Candida Summit. It launches July 9th, so go register. Use Justin’s link. Go register. It’s free. Then, you can choose to buy the talks and support the mission. Uh— It’s gonna be a great— great event. It’s all online. Coming up in what? Two or three weeks? So—

Dr. Justin Marchegiani: Yeah. And we need to get you a link for your— for my— for the summit for me, so then you can get some credit there.

Evan Brand: For sure.

Dr. Justin Marchegiani: Awesome, man. Hey! Great chat with you brother. Everyone, give us a thumbs up. Give us a share. Smash the like button. Subscribe. We appreciate you guys, uhm— tuning in. Have a great day. Bye.

Evan Brand: Bye.



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