How to Address Acute Tummy or Stomach Upset – Podcast #347

There are several things worse than having an upset stomach and diarrhea. This situation may completely throw off your day, limiting the foods and drinks you can enjoy and keeping you tied to your toilet. Understanding the root causes of these symptoms and how to manage them effectively can automatically cut down the effort and time you spend dealing with them.

Most of the time, tummy issues are treatable at home. As soon as you feel sick, begin regulating your diet to clear liquids in small amounts and frequents. Make sure to drink enough water to keep your urine clear or a pale yellow, and don’t hesitate to seek medical attention when things are getting worse after first aid treatments.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

1: 53:   Natural Strategies to get things under control

4:13:    What’s the possible root cause?

10:49:  This you can do with diarrhea

14:56:   Natural strategies and Testing

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Dr. Justin Marchegiani: We’re really excited today. We live on a bunch of different social media platforms at the same time. So excited to interact with a lot of different people; not just from youtube but, facebook, instagram, linkedin, a bunch of other still periscope as well. So really excited. Evan, how are you doing today my man.  What’s cooking?

Evan Brand: Well not too much i was dealing with little vomiting this morning with some kids. So I thought, well, why don’t we do an acute to me upset video and hopefully that will help some people. You know a lot of people at first, you need to have… Anytime, anybody’s sick now i mean,  everybody’s like COVID until proven innocent right? Whether you have sinus issues or smell issues, tastes issues, tummy issues, people freak out you know. Luckily, there are some really good at home rapid test that you can do with a 15-minute result now. It may be difficult to find those. You may have to order order them online but, Abbottt makes a good one so if people are at home and they’re worried, they get sick like, “What do i do?”  you know. A lot of people, they are just stuck In this fear response like, “Oh my god.” I’m going to die as soon as anything’s wrong. So you can get these rapid tests and have them at home. So i think that’s a good strategy just out of the gate for people. If you get into acute issues whether it’s vomiting, diarrhea, shortness of breath whatever you think is going on. For me, before you feel like you got to run out and go to the hospital, i think it would be good to do an at-home and mess before you could always go to a local clinic where you can get a rapid test. Supposedly, a little bit more maybe a few percentage points more accurate than at home.

Dr. Justin Marchegiani: Yeah i think those are good things out of the gates. Now one of the things we are heating today is because your daughter had a little bit of tummy upset over the weekend into today, and you know, there’s a– we’re parents, we have kids you know. Obviously, we see patients all over the world and we deal with some of these acute tummy upsets. Weather it’s vomiting or acute diarrhea, and what are some natural strategies to fix that? What’s the root cause? What are some natural strategies to atleast get it under control? So first off Evan um well, how did you handle your daughter? What happened with her over the weekend? What did you do that helped?

Evan Brand: Yeah she had sinus issues first where she just had really really tough time breathing out of her nose. So i tried to get her to do some sinus spray with a five-year-old. hey really don’t want stuff squirted up their nose so that wasn’t too successful. We were able to get some argentin in which is a professional silver hydrosol. So we did a little bit of that early and then with hit some antimicrobial drops. So we did some liquid antimicrobial, it depends on what you got going on. For us we did kind of a broad-spectrum formula but, there’s different ones that you can use. So olive leaf is a good option. There’s some that are full spectrum like microbes layer used called uh poseidon drops can be helpful too. So a few options we’re just kind of rotating through some of these, and then We are doing binders so just because you don’t know what’s going on If it’s bacteria or some sort of pathogen, it’s going to be pooping out these lipopolysaccharide endotoxin some kind of garbage. So we do Some binder within a half capsule of some binders Before bed with applesauce that seemed to calm things down but then, with the vomiting, we were talking about this before we hit record, You know what the coolest thing was in the most effective so so far was homeopathic so we did two of them; we did cinecom album and then did nux n-u-x vomica. So those two homeopathics, i would say really really changed the progression and helped her go down the fork in the road where it stopped the vomiting. Now, is it possible that she just got it out everything out of of her system and it was good on its own? Or Is it possible these homeopathics really you know, stop it? I’ve had a lot of success personally and clinically with homeopathics. It’s something that i didn’t know a ton about until i started experimenting but, these are very very good, safe things that can be tried and worst case scenario it’s not hurt. It can only help. So arsenical is going to be more For vomiting and nux is going to be more for nausea. There’s actually like if you look on the label either one of these could be used for food poisoning but, i’m finding that nux is better for the symptom nausea whereas arsenical is better for the actual symptom of vomiting.

Dr. Justin Marchegiani: Very good. Excellent. So out of the gates here you know, what’s the root cause? You know, most of the time i find when you have a root kind tummy upset, it’s usually going to be some kind of food poisoning thing out of the gate.  So of course I think some kind of e coli or some kind of toxigenic e coli or maybe a salmonella, or campylobacter. Some kind of like food poisoning bacteria out of the gate. It could also be a parasite too! I find food poisoning tends to be a little bit more acute and that’s kind of how you know at the moment. You may not be clear enough but out of the gates like you mentioned a couple different things, silver can be helpful, higher dose probiotics – probiotics can be very helpful because especially the bifidobacter and lactobacillus because one they are anti-inflammatory so they bring the inflammation down in the gut. Probiotics are shown to help with gut permeability issues so with the acute food poisoning or acute tummy stress there could be a lot of gut permeability which then increases the immune Response because then you have all these toxins leaking into the bloodstream potentially creating gut stress in immune stress. And then i would say after that, um, they’re going to help crowd out a lot of bad bugs so if you had a big whack of e coli or a big whack of campylobacter or salmonella something like that, listeria it’s gonna help crowd some of it out and so probiotics i think out of the gates for it’s calming effects and i think you can look deeper in run a stool test if some of these issues or more chronic. Parasitic issues maybe more chronic and then of course my good old favorite ginger tea is wonderful because ginger is anti-inflammatory, has some mild antimicrobial benefits as well and especially bacteria and also has some anti-biofilm benefits. So you can combined ginger with probiotics you can combine ginger with some antimicrobials as well, Two kind of help those herbs to be more Let’s just say virulent because you essentially are taking the shields out of these bacterias, you know, arms right. Biofilms are the protective shields the bacteria use and when you take the shields out, the bacteria are more vulnerable and then the herbs work much better, and they help kill them much better. So those are a couple of strategies out of the gates anything else Evan that you’re doing?

Evan Brand: We tried to go for the ginger tea her tummy was just so upset she couldn’t Keep liquids down so we just said ok to intense right now. We’re just going to just let it rest so luckily with a palette homeopathy she was just able to just put it under her tongue. Therefore she didn’t have to take in any new liquid so we tried to do just some other liquid tinctures. There were a couple mils but It was just too much so luckily, without It, we just gave the tummy a break. No more liquids hit the homeopathic and then boom! The gut’s calm for now, so we’re still in the middle of it at the time this is recording but, she has not vomited since we did those homeopathy remedies. So hopefully she’s, she’s over the hump now.

Dr. Justin Marchegiani: Yeah homeopathy is interesting i don’t see A lot of it as being like root causal like it’s not Fixing like lexi your daughter ate some food or Head of food allergen exposure or eat it, was eating while stressed, not enough stomach acid or got a bug It may not fix that but It’s going to help control sum of the symptoms, modulate the inflammation kind of help bump physiology back into the normal direction. Which kind of buys you time to fix whatever is going on. So i like that, so i think that’s a pretty good strategy out of the gates. I think also too is…

Evand Brand: The microphone depend on it.

Dr. Justin Marchegiani: Yeah i think also modifying…

Evan Brand: I’m just gonna say I’m not gonna depend on it. I wasn’t gonna depend on solely but, if i can buy your time like you said, and then If you see in a week there’s still an issue when boom! We’re going to run urine or we’re going to run stool.

Dr. Justin Marchegiani: Exactly yep and i like the idea of you want either fasting out of the gates. If it’s really a bad infection and there is really a lot of nausea, you could also do things like bone broth. Just where you get a lot of nutrition but it’s pre digested, so there’s not much digestion that has to happen to grab that glycine or grab those fatty acids because it’s pretty well digested. So some kind of bone broth is wonderful, some type of a ginger tea is great, some type of collagen amino acids is great. I think all those are you know, really good strategies out of the gate just to kind of help provide nutrition but not what a lot of stress on your tummy to be able to digest it and access it because when the gut’s really inflamed, It can be stressful absorbing those nutrients.

Evan Brand: Yeah good point she was complaining of stomach pain too. So as soon as her tummy settles down i think she can handle liquid. What were going to do, we’ve got a couple different formulas i know. You and i, we manufacture some but, there’s also some other good professional competitor brands. There is one from Innate response that i like it’s a GI like soothing formula That’s got like some raspberry flavor into it. It’s got some glutamine some larch tree extract. I believe it’s got some mutant chamomile aloe, those type of blends. So kind of a leaky gut permeability support those are good  in this situations too. When did make sure like you said you don’t know what it’s from It could be bacteria, virus, parasite; whatever this to me, honestly, at this point It doesn’t matter. I’m just in the acute phase, i’m trying to calm her tummy down. So if i can get her to do over the period of today a couple grams of glutamine, need some of these extracts that’s going to calm the gut down too. You and I have seen clinically beneficial like ulcerative colitis, crohn’s, any type of diverticulitis, any type of these flare-ups  or autoimmune flares. We’ll use Use some of these licky gut remedies, so i would then use that as a crossover right. I would use it in the same in the same situation.

Dr. Justin Marchegiani: Yeah, exactly. Now, out of the gates when deal a lot of these situation we always want to understand the root cause. Now, the nice thing about acute traumatic situation, like in your situation here, is the root cause is usually is a one off right. It’s going to be a food poisoning episode. It becomes more Of an issue if it’s an acute parasite and it lingers. And most of the time it’s a one off, and as long as someone’s diets reasonable, and they have decent health, you don’t really have to go super upstream and, and look at all of the underlying systems. You can find out just do triage with natural medicine which is kind of cool, Command bear with some of the different nutrients and herbs that we talked about, support some of the lymphatic system with ginger, or burdock root right. Slippery elms wonderful for the lymph, wonderful for calming the gut lining. L-glutamine is also wonderful for calming, Aloe’s also wonderful for gut lining. So there’s a lot of great things That we can do to calm the gut lining. Support barrier integrity get the inflammation under control. We don’t really have to worry about getting the root because usually, that root is an isolated situation especially when someone’s relatively healthy and then they have an acute episode.

Evan Brand: Right and then your system is going to get back to baseline on its own. We’re just kind of helping it. So like you said it might not need much more attention then just a couple of days which would be great.

Dr. Justin Marchegiani: Yeah, absolutely. So that’s pretty cool out of the gates. So we talked about diarrhea, a couple of things. We can do with diarrhea is a lot of times, you have to understand why the body is doing what it’s doing. So the body is usually getting exposed to some kind of bacteria, parasite, some type of toxin that is very irritating on the gut lining. And the body is thinking hmm, how can we dilute it, Dilute whatever that compound is and flush It out of the body as fast as possible. So what the body is typically doing and say, “Ok. Let’s bring a whole bunch of fluid and water into this system here.” Let’s flush it out, let’s increase motility time. Now what it’s going to do is it’s going to screw up your electrolytes a lot of times, It’s going to screw up your hydration status. And it’s also going to make it hard to absorb nutrients. So what’s the first thing we do? First thing is we can put some binders in so we can bind of those toxins so they are less irritating, less inflammatory. So are different binders could be activated charcoal, bentonite clay, different zeolites, different pectins. These fibers are great because they will bind up that toxin, and it will make it less mobile, less inflammatory. Kind of put straight jackets or handcuffs on it right. The next thing we’re going to do is make sure we are hydrating because the solution to pollution is dilution. We want to make sure there is enough water there. So we can dilute and not get dehydrated. And the next thing is make sure there’s enough electrolytes. Electrolytes are a big deal because, if we are low in sodium, and potassium, and magnesium, when you start having a lot of these bugs, what you start to notice is you may start getting dizzy, vertigo , or heart palpitations , or just feel totally off, and a lot of that can be from a lot of electrolyte issues due to the infection. And so we get the electrolytes right The hydration right, and then we also provide some good binders there that can prevent these toxins one from being as mobile, and being an inflammatory and um, and that can create make a better environment for the body to move the bowels out slower without losing all the nutrients as well.

Evan Brand: Yeah good point and this is kind of an Art right this is where the art comes in Ab medicine when your Trying to integrate these things at the right time That someone can tolerate so right now If i try to give her a big cup of electrolytes She might not be able to because she had trouble keeping down The mcqueen so you kind of have to know when Like you might hear this and go oh my god i’m going to do all the Things because i want to get better but there can be an o order of options. I think get Your got come down first if you can go on an hour or two if you’re in an active vomiting situation. If you can go an hour or two without vomiting, that might be the cost might be clear enough for you to try to work some of the other stuff, and whether its a liquid tinctures to kill or if you are doing something like a bio site or other antimicrobial drops, We use the dosage is usually so small, that i think you can keep it down because you’re not going to have to do a ton of drops right. If you could just do like five drops, That’s tiny your body is barely going to recognize that. And if it’s the tongue, i don’t think that’s going to create more vomiting but that’s kind of where the art comes in paying attention to what’s going on.

Dr. Justin Marchegiani: I agree doing some of the liquid drops are wonderful. Because if you can’t do a full capsule, hopefully you can right. But if you can’t you know getting some liquid drops in near epsom herbals can be super helpful, maybe some silver. Also, like you mentioned if you really have a hard time keeping things down, that’s very good iv iv fluids, iv electrolytes, iv nutrients maybe a good Idea because that bypasses the whole digestive system. So then it gets right into your bloodstream and does what it has to do so you can find some liquid iv services come to your house or find a facility near you where you can pop in, get it done. Ideally, if it’s acute Probably better off paying the money and having someone come to your house. Probably feel a lot better and i think it’s better than going to an ER. Unless you’re you know, really in rough shape. Then go to an Er but if not,   but if you’re better off doing it at home because there’s less um, infectious material You know at home than in the hospital right. So i think that’s good strategy out of the gates for sure.

Evan Brand: Yeah, well. And to take it a step further not only that but, if you do these mobile services, like i did this last summer you’re able to customize what you want. So the hospital is not going to put glutathione in IV like they did no i’m not going to give you 10 Grams of vitamin c like i requested. So you’re going to get a much much better menu if you will of nutrients if you were to go to th e hospital.

Dr. Justin Marchegiani: Yep! I agree. I 100% agree. So first thing out of the gates i would say is, Try to do liquid or even just fast and then if you really having a hard time with the with the nutrition try to do liquid whether it’s an elemental diet, or some collagen and amino acids, or someBone bro that’s great , and if you can’t eat the food down ideally try to get some kind of an I be going on there i think that’s a good strategy out of the gates. I think the next thing that would probably happen it would be like IV antibiotics if you absolutely had to but ideally, we don’t want to go there unless unless all the other natural strategies aren’t working. So we want to Really try the low-hanging fruit That’s going to have the best bang for the buck, The least amount of side effects, the least amount Collateral damage, And kind of go up from there so of course, try to look at what cost the problem. Did you eat some bad mayo, Did you eat some crazy seafood , what happened, try to isolate the cause If there’s a lot of vomiting or diarrhea. And um, vomiting is going to be harder because it’s not moving Through the intestinal tract it’s staying in the stomach essentially and the intestine upper small intestine and moving out right. So you’ve got to do things to calm yourself down. So i think the big things like you mentioned the homeopathic i think are great. I think the probiotics are great too. I think ginger can be great um, for the vomiting components but, Everything else i think the diarrhea stuff you know, The binders , the hydration , getting all that stuff going to calm down, the ginger. All that stuff’s wonderful. Anything else you did besides the homeopathics for the vomiting, Evan?

Evan Brand: No so far that was all she could get it down. But luckily it’s been good enough.

Dr. Justin Marchegiani: Cool. Yeah, that’s really cool. I like that. Alright! So Out of this out of the gates here um, We’re kind of hitting things like on an acute level right. So patients are coming in, they have these acute symptoms that are the kind of some of the strategies we would look at. Of course it’s easy for some of these people to move into the crowd. I’ve heard a lot of patients that are like, oh yeah. Like three years ago, i went To this place and i eat this food and i felt realistic for a week or two and then i started getting better but I didn’t get all the way better and now this stuff is lingering. And of course for some people this type of acute scenario, you may get over it but you may not all the way recover. And why is that? You can get another kind parasyte infection, you can get h pylori, There could be some food poisoning which we see on some of the testing we do. We’ll see some of the Shiga toxin some of the toxigenic e coli, What is it What is it truethe 0Oh157h right. This is the food poisoning type of e coli that you See in the spinach once a year and such so Lucy song on these things on testing. And some of these things can cross the acute Level into the chronic sphere. And People have had these experiences. Then they may not recover all the way and then, that’s where we think start to have to start integrating more tool testing to look at and see what’s happening.

Evan Brand: Yeah, well said. I mean there’s so many people that say they have Bali belly right. Name go to Bali, or they go Mexico or they go somewhere; they come back and then they are never the same. And it’s an interesting phenomenon because a lot of times We’re just trying to find them at the acute phase like ok, binders whatever but, then If they don’t fully recover, or sometimes they will reach out to us, we never got to help them in the acute phase. They’re just coming to us in the chronic like hey i’ve been sick for three years after this Mexico poisoning event. When that’s where we come in with a testings uh, you mentioned infections. We will see salmonella, we’ll see giardia, we’ll see crypto. If there was like a lake trip we’re maybe, got some fresh water contamination, or a backpacking trip where they got some parasites. Ee will find that on stool test pretty accurately, gut information we can measure. That’s where we might do a test for you know, just because i do it a couple of times a year but, If she get over this. Then I might rush to do it right away so it depends on the person right.

Dr. Justin Marchegiani: Yeah i mean i have a lot of Australian patients and it’s funny In that culture, um, it’s because they’re so close to Bali, a lot of them will take trips over there. Ang of course, the the I mean it’s like one out of every two of every two of my Australian patients they got sick in Bali and it is actually a cultural thing. I look it up we’re a lot of them would do this This raspberry cordial cordial drink it was a big thing and they would bring it with them to Bali, and we would drink it prevent totally while they are in Bali to mitigate the Bali berry uh  belly,  and i did a little research on it. Some of the berries that we’re used To make that drink actually have some antiparasitic antibacterial effects so they are kind of taken. Even though it is a sugary kind of not so great drink there is still some therapeutic benefits of some of those berries being antimicrobial. And so even people in australia kind of know, okay. We’ll take this raspberry cordial drink and bring it with us to Bali to sip it over for the next couple of weeks to prevent a tummy infection.

Evan Brand: That’s cool. Well, you and i talked to about That before i think we did whole podcasts on like travel supplements but, i mean that’s yeah enzymes, oregano oil, silver. Those kind of things, binders would come in handy.

Dr. Justin Marchegiani: Yeah i did a food poisoning podcast i think about two years ago. I was in a friend’s wedding and i remember i was In the north end and i had a nice rib eye steak In the north and right. Anyone that knows the Boston area north end’s a big Italian area, big restaurant Italian area. What a nice rib eye steak and i eat it and it was Just like it was like someone punched me in the stomach. It was like woah oh my gosh like i felt totally just incredibly a lot of nausea. And then i brought my GI Clear 4 with me. I hit that i remember I had like two, i had my GI Clear 1 and some oil of oregano and a hit that hard. It didn’t quite do it and the next day i hit the GI Clear 4 and within 30 minutes, It went away. I couldn’t believe it, it was like someone flipped a switch. It’s crazy! So sometimes you need synergistic herbs sometimes you know, the goldenseal and the high dose berberines, and some of the burdock root. It can’t really really calm down the gut lining.

Evan Brand: You know when people see my pantry or my cupboard full of different supplements, they’ll look and be like. “Oh my God. This is crazy! You’ve got like 50 60 bottles of stuff.” and i tell them look, I I don’t go to the doctor. I mean, if i’m dying, I’m gonna go but otherwise I’m gonna be working on myself, and i think it’s a very empowering thing to get experience and learn some of these herbs, learn some of these protocols. I just want people to not be fearful sickness you know, i think a lot of times even my why i told her i was like, “honey, you’re like freezing up” because you know, here’s my daughter vomiting and i’m running over there sprinting I want on the other side of the house but i’m sprinting over there with the trash can to give it to her because my wife was just kind of froze up and i was like, no you got You gotta get yourself out of this freeze response, don’t be afraid of this, we going to help her through it. I just want people listening to know that there so many good options and things that we’ve done for thousands of years period. We’re not talking crazy stuff here; these are not new inventions that we’re discussing. These are things that have been used traditionally in India and China, and other countries for forever. So these are things that are so powerful that i would say in the majority of cases, you are not going to need to hit as you mentioned like IV antibiotics. That’s on the extreme end of treatment. I think in most cases, these type of situations We are talking about will lead to that level of intervention.

Dr. Justin Marchegiani: 100%. So people Listening here, hopefully you have some strategies regarding acute situations of vomiting and diarrhea. Now why does one vomit over diarrhea? That’s a great question. I mean i would say the inflammation has to be stomach area upper intestinal tract, for vomiting to occur, and probably Information has to be more lower intestinal tract because once things have gone so far right. You just have natural gravities and two things downhill versus uphill. So i think a lot of that may depend upon where What inflammation is and how uh where all this toxic burden in the intestinal tract higher of i think on the vomiting side, Lower up in the diarrhea side. So either way i think you’re going to have similar root causes of why it is Happening and hopefully will give you a couple of ideas to kind of triage that.

Evan Brand: Yeah, I would say certain infections just attack certain parts of the body. More certain infections are going to go more for the stomach, like each pylori you know you’re going Do you have more heartburn in digestion type symptoms. You are not going to have so much diarrhea necessarily Web h pylori wear something like giardia or crypto.  Those are to me,  going to be more intestinal based you are going to. Because those are intestinal parasites so you have More diarrhea so i think it depends on what you are dealing when too. And that’s why we will use some of the testing To if this becomes more chronic we will use the testing to kind of, guide us on what to do because if it is more tummy upset. We made you this set of blend but if it’s more colin we might go this set . So there’s kind of that’s that’s the reason we have a toolbox that’s the reason we have testing.

Dr. Justin Marchegiani: I like it.  well if you guys are listening and you want to reach out Deeper you need some acute health or you want to You know get a long-term strategy 66 song on face chronic issues In your health see you free head over to, Evan’s available worldwide for consultation support, and again I’m Dr. J Is my site feel free there will be a little button, click in schedule we are available worldwide. Again we’ve been doing this for many many years many thousands of patients, of feedback, and support so kind of have learned over the years. I tell you, In school you develop a really good foundation. But then, In practice that is really where it gets you good because you see so many people, and you figure out what works and you develop the common themes and you can just rinse and repeat that over and over again.

Evan Brand: Yeah, getting your hands dirty, getting in the trenches. I mean it’s been a blessing for us you know, You and I learned so much from the people we work with. I mean More than probably any book or any course I mean it’s A real blessing to have like you said. Once you see the trend of people, it’s fun. It’s really fun to help people. It’s addicting. We love it.

Dr. Justin Marchagiani: 100%. Ok guys feel free to give us a share, thumbs up, like, put your comments down below. Let us know what you think and we’ll be back. Have a great day. Take care y’all. Evan Brand: Take care now bye bye.


Audio Podcast:

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Can Parasites Cause Thyroid Problems? | Podcast #316

Parasitic infections are a big problem in tropical and subtropical regions of the world. In this video, Dr. J and Evan will share how to handle these cases. One of these is giardiasis that may cause diarrhea, gas, upset stomach, greasy stools, and dehydration; cryptosporidiosis, which may cause stomach cramps, stomach pain, nausea, vomiting, dehydration, weight loss, and fever; toxoplasmosis may cause flu-like symptoms, including swollen lymph nodes and muscle aches or pains that can last for over a month. 

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:05    Parasites and Thyroid Issues

8:05    Conventional Medicines on Parasites

12:50   Thyroid Symptoms

16:54   Adrenals as Natural Inflammatory

19:55   Gut Healing Protocols

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Dr. Justin Marchegiani: Hey there, it’s Dr. Justin Marchegiani. I’m with Evan Brand, Evan, how are we doing today? My friend?

Evan Brand: I’m doing well. I’m excited to dive into this, you thought of the idea of parasites and thyroid issues? And I said, Well, that’s easy, because we’ve seen hundreds and hundreds of cases at this point where thyroid issues magically get better or even resolve themselves just by fixing infections. Now, I will I will say that, you know, even though the title of this is parasites and thyroid, I would argue other infections are probably going to be happening at the same time. It’s rare that you and I, when we’re doing functional stool testing, it’s rare that you and I find just a parasite, right? Like, we’re probably going to find some Candida, we’re probably going to find some cebo type stuff, maybe some CFO issues, maybe some worms, maybe some gut inflammation, but parasites can be a really big catalyst for thyroid issues. 

Dr. Justin Marchegiani: 100%. So we talk about these topics, you know, in a lot of different ways, so we try to nuance it a little bit. So if you’ve heard topics on parasite infections before from our podcast, we’ll try to make it a little bit different for you. So you get a little bit of a different perspective on this. So parasites are really a big deal. Gut infections is general and you can kind of lump in SIBO and Candida with this as well. Parasites can be a little bit more severe. Right, we have blasto, e, histo, Giardia, Cryptosporidium, any of the immediate miba infections, d fragilis. penta trichomonas, hominess. Trying to think of some other ones here, we have different worm infections, right. And these can all create inflammation in the body. But more importantly, besides inflammation, they can create gut permeability. And when the guts more permeable, we can have more immune stress, right, the more the immune system is stressed, because 80% of the immune systems in the malt, and the golf, right malt is the mucosal associated lymphoid tissue that’s in the stomach. I’m sorry, that that’s in the small intestine and the golf, that’s the gastric associated lymphoid tissue that’s in the stomach. And we have immune cells in these tissues. And the more stressed they are, the more gut permeability we have due to infections, that can really exacerbate the immune system. And they can wind it up so to speak. And the more wound up the immune system is that can facilitate an autoimmune attack. And that means your immune system starts making B cell or antibodies to the thyroid, and you may make things like TPO antibodies, which may affect the enzyme that helps bind that thyroid together, thyroid peroxidase. And that can affect the thyroid. And you may make thyroid globulin antibodies, which work on the extra cellular protein on the thyroid, and that can attack that. And so when you start damaging and beating up the thyroid due to autoimmune attacks, that can impair thyroid function and thyroid hormone binding. And a lot of that can start with the immune system. And the biggest trigger for that can be a gut infection. 

Evan Brand: So let’s roleplay a little bit if you don’t mind. So, you know, I’m Joey, and I go down to the the local gastroenterology clinic and I tell him that I saw this guy named Dr. Justin on the internet and he told me that, you know, blast over crypto or God may be causing my thyroid issues and the gastro doctor says no, you live in America, you know, not gonna happen. What do you say to that guy? 

Dr. Justin Marchegiani: Well, that’s kind of the the big thinking with a lot of conventional doctors is, hey, these parasite infections only happen in third world countries. And so it’s a big deal in third world countries. It’s like one of the number of top five causes of death in third world countries partly because you get amoebic dysentery, massive diarrhea, electrolyte depletion, cardiac arrest, or some kind of hyponatremia symptom, because you have massive diarrhea. Now here, you go to an ER, they put you on an IV, they flooded with antibiotics, and more than likely, you’re gonna be fine, right? You may have side effects later, that’s a whole different podcast, but you’ll be fine. The problem is, we kind of look at parasite infections having this acute symptomology that results from the infection. And a lot of times, that may not be the case, you may be in this kind of functional asymptomatic place where you don’t have over diarrhea, you don’t have over constipation. You know, you may have some but not a ton. And then a lot of times it’s just enough where they kind of throw the IBS diagnosis at you, they may run a scope they may not see anything, they may run a stool test not using the best technology so they may miss whatever’s there. Now, if you have a serious infection, there technology, you know, basic stool antigen looking under a microscope, they’ll probably catch it. But if it’s there’s not a lot of bolus of that parasitic material, they may miss it and that’s where some of the DNA technology maybe a little bit better for picking up parasites. So this is why they may miss it, number one, number two, you may have kind of these subclinical symptoms that may get lumped into the category of IBS, which is a diagnosis of exclusion, meaning they ruled out krones all sort of colitis, right? They ruled out bowel impaction acid reflux, all these other inflammatory issues, ulcers, right? And now, okay, all the serious stuff is ruled out. So they just say, okay, we’re going to just call it IBS. And then they’re going to just give you some medications to control whatever symptoms you have going on, whether it’s antispasmodics acid blockers, whether it’s um, constipation, medic medicate medication like laxatives, or bloating, medication, etc, gas x, that’s all they’re gonna do after that. And we know with functional medicine world, a lot of parasite infections can actually cause energy and mood issues. And so this is totally over their heads in conventional medicine world, because now they’re used to connecting gut infection to gut symptoms. It’s like an A, it’s like a one to one relationship. Right? Now you start going three dimensional here, when you start talking about gut infections, exacerbating your thyroid, causing an autoimmune attack, and now you have anxiety and heart palpitations in in fatigue and depression all throughout the day. Now what? And then now if those symptoms happen, you’re more than likely going to be prescribed a anti depressant or medication to treat those symptoms. So you’re kind of getting this really big cascade of symptoms that don’t quite match up with the conventional mindset. 

Evan Brand: Yeah, and it blows their mind and then they get overwhelmed, and then they’ll dismiss you and then they may send you off to the psychiatrist. And they say, Well, you know, I don’t really help with anxiety. I’m focused on the gut portion of this. Luckily, you know, what we do as practitioners we come in and we’re not neurologists and gastroenterologist and endocrinologist and, you know, kidney experts, but we’ve had enough experience to where we can actually address each piece of this spiderweb. I mean, you you eloquently described it here, you’ve got the GI complaint that most people think about, they think, okay, if I have parasites, I’ve got to have diarrhea, I’ve got to have stomach pain, not necessarily. We’ve seen hundreds of people where they’re just a little bit tired. And maybe once every few weeks, they have kind of a cyclical gut issue. Right? So for me, it was definitely, it was definitely like a cyclical pattern. And I was trying to track it down to the diet. I thought, okay, you know, is it dairy? So then we got off dairy and then we like, reintroduce grass fed dairy without Okay, is it that Okay, what about the grains is the grains? No, it was the infections, but they had a cyclical pattern. So when you start bringing stuff up like that, you’ll literally you just lose the ear of the the conventional practitioner. So back to the thyroid piece, or you mentioned like the immune cells, you mentioned the immune stress. Now, we’re also going to be looking at blood for this right? So you would suggest if we are seeing a lot of these hyper hypo symptoms, yes, we’re going to run some DNA stool testing. But we’re also going to want to look at blood too, because we may find some other answers there. Now, I would argue, and I’m guessing you may agree with me that the blood is going to be more of looking at the effect, not necessarily the cause. Meaning if you look at the gut infections, that’s more of a cause. But we may see the TPO antibodies, you may see the tg antibodies, you may sit, we may see like a high reverse t three. But but that doesn’t necessarily change the game plan, right? Because you still have to go to the gut to fix the parasites that caused the high reverse t three in the first place.

Dr. Justin Marchegiani: Correct. So how conventional medicine looks at things right may not pick some of these things up. So let’s say they’re even looking in the thyroid, let’s say they’re kind of let’s say they’re entertaining. And let’s say you listen to this podcast, you go in, and they’re testing your gut, and you’re like, Hey, can you also look at my thyroid, too, they may not even run these markers, as they typically run just TSH, and maybe if you’re lucky, you can get a T for free your total. That’s it. Now, if your TSH is overly high, then it’ll get picked up. But what is overly high, you know, maybe greater than four and a half to five. But it can take a long time for the TSH to go that high. Like TSH doesn’t just go high like that, in the snap of your fingers, it takes a lot of years, maybe even decade to get to that level. So if you have high TSH, you can just guarantee that that issues been going on for a long time. So that’s pretty much how you know if it’s a if it’s been going on for a while. And then now you have the downstream t four and T three that need to be looked at and T three is very important because T three gets converted from t four. So t four is your inactive thyroid hormone. T three is your active thyroid hormone. We almost never test this T three number. And a lot of times we can have a conversion issue. So your T four may be adequate. And then we have a drop in T three. So t three is not at an equal par In regards to the percentile of the reference range. And then we definitely know antibodies aren’t tested. That’s really tough. And partly because they don’t do anything because of it because treating a thyroid autoimmune condition with conventional medicine standards. They use high dose prednisone and immunosuppressive medications, those medications for a thyroid issue that would actually cause more side effects than the thyroid issue itself. So they tend to stay away from treating a thyroid issue. So they don’t really do any tests to reveal that it’s there. If it’s autoimmune, so you kind of get stuck in no man’s land. 

Evan Brand: Oh god, that’s a great point. That’s what I was gonna say. I mean, it just frustrates me where you and I will have you know, new patients come and they’ll send us bloodwork and we’ll look at these, you know endocrinologist that may have even extra credentials, but yet their their thyroid panel is still more generic than what you and I are running. And it just infuriates me, because these people, they’re spending so much money, they’re traveling to Mayo Clinic and whatever else, and they’re still not even getting what you and I would consider basic or foundational screening, it’s really frustrating.

Dr. Justin Marchegiani: Yeah, it’s a combination of two things. It’s a combination of one they’re not aware, because they’ve kind of been like handcuffed, like, Oh, we can’t do anything about it anyway. So they kind of feel a little bit handcuffed and defeated. And then number two, they don’t want to piss off the insurance company. Because if they’re ordering via the insurance company, they don’t want the insurance company kicking them out of network for doing unnecessary testing, right? So you get in this position where you’re like, crap, well, how do I how do I handle this? How do I navigate as a doctor? And so we exist in the world of cash medicine, so we can do what we want and do what we recommend and need, what the patient needs. And we don’t have to worry about some insurance company dictating what we can do for the patient. The problem with insurance is they can’t they get in the middle. And they’re basically imagine someone getting in between you and your doctor and questioning everything you’re doing and saying, well, you probably don’t need that. So well. Let me talk to the patient about that. And see if the patient thinks we need it or not. I’m going to make a recommendation most of the time the patient’s like, yeah, that totally makes sense. Let’s do it. But imagine that insurance company stepping in between you and saying, Well, I don’t know about that. So we have that advantage in on the functional medicine side not going through insurance, because we can give the patient exactly what they need. 

Evan Brand: Yeah, great point. Yeah, I mean, the question my grandfather, for years, I would push him, Hey, I really want you to get full thyroid panel, I really want you to get vitamin D, and then the doctor would immediately push back, well, vitamin D is not going to be covered. Are you okay with that? You know, and then of course, it always ended up being covered. So it was this weird, like in between land where you feel like you’re not getting the proper care that you need, because they’re fearful, you know, the doctors are fearing that they’re going to go, like you said out of the network, or kind of out of their normal bounds of training. And then also, like you mentioned, that would illuminate any deficiencies they have in their treatment model, because if all of a sudden, they run TPO antibodies, and you do the follow up, and they’ve never looked at TPO antibodies, they don’t have a clue to say, Hey, why don’t we do a DNA stool test? Let’s go look at these infections in your gut. Now I’m connecting the dots here, you’re having anxiety, heart palpitations, you’ve got elevated TPO antibodies, and you’re having cyclical diarrhea, Hmm, I don’t know what the heck to do. Here is your thyroid medication. Here’s your Synthroid, or whatever. And then here is maybe, like you said, an IBS type drug. And that’s it. So let’s get back more to the action steps. I think we’ve done a great job of kind of illuminating, how does this happen? But first step, when somebody comes in and you see thyroid, you see gut issues. You mentioned DNA stool test, are you going to run blood immediately? Or is that more of like a downstream effect? So you don’t worry about it up front? 

Dr. Justin Marchegiani: You mean blood for the thyroid? 

Evan Brand: Yes. Like, are you going to do thyroid panel at the same time as a stool? Or are you going to just focus on the gut? 

Dr. Justin Marchegiani: Only if I see over thyroid symptoms, if there’s any family history, because a lot of times thyroid can overlap with adrenals. So I always look at the adrenals. First before thyroid unless we see a lot of hair loss, a lot of cool hands, a lot of cool feed stuff, a lot of weak fingernails, if we see a lot of low thyroid symptoms, that I’m going to take a look at it. Now most people they’ve already done some digging around their thyroid before they come see me. So usually, there’s some labs that have already been run that I can look at. And if not, then if we have those issues, then we’re either going to one, just go after the adrenals month one if we don’t have any overt symptoms, and see how we do. And then if we’re not having improvements out of the gates in regards to temperature, energy, those kind of things, then we do it. If we see that temperature and energy is a big deal out of the gates and we know cold hands cold feet hair loss, we can quantify that maybe with some basil, temperature testing, and we know it, then we’ll probably just rule out that low thyroid out of the gates just to make sure so it just kind of depends where patients are coming in from. And of course, if it’s family history that that’s we’re going to really dive into that. And because autoimmunity affects women five times more than men, if it’s a female patient, I’m a lot more on point with it. And if we have history of it, sister, aunt, uncle, mom, dad, whatever, then we’re going to be looking even more closely. But if I’m on the fence, usually I’ll just have patients do some basil, temperature testing with a really good digital thermometer. And we use the protocol in the members area, which is, you know, testing armpit axillary area and 97.8 to 98, two in the morning, or 98 to 98 six for the mouth. And we’ll just kind of test that we’ll do three, three temperatures test in the morning before you get up and move around. And we’ll just kind of get a window of how good that temperature is or not. 

Evan Brand: So if you’re on that low end, did you say 97.8 was at your low end?

Dr. Justin Marchegiani: That’s armpit axillary, same thing. So when you’re nine to 98, six for the mouth oral. 

Evan Brand: Okay. So if you’re at that very low end, is that still okay? Or you start to get concerned in that 97.8 level.

Dr. Justin Marchegiani: It would depend it would depend where the patient is if they have thyroid symptoms, I’d be more I start to get more concerned when they’re going below 97. Mm hmm. You know, also, I’m always I’m always in 97, like, I’m 97.8 all the time, and I’m thinking, well, crap, you know what, why am I not 98. But that isn’t that big of a deal. Like I’m getting a little more concerned, I’m below 97. But with women, you got to be careful because women’s temperature can dip right before oscillation and then peak as going through regulation. So if you grab that temperature, right before isolation, it could look a little bit artificially low. But also, if you grab it right in and after ovulation, it could be artificially high. So as a female, you know, the best time of the cycle to test is part of that first five or six days? 

Yeah, okay, that’s good information, you know, what’s it want to first aid, you bleed so that first five or six days, from bleeding onward.

Evan Brand: It’s a little bit of a tangent, but I’ll just mention it because you’re on temperature. So apparently, Lyme spy repeats affect the hypothalamus, which affects body temperature. So I’ve used temperature as well as kind of an investigation tool. And as we’ve treated people with Lyme issues, sounds like maybe the hypothalamus starts working more efficiently. And then boom, temperature regulation gets better, because that was a big issue for me, where, you know, I had major issue with the cold. And we’d always look at thyroid, we knew, you know, you know, my my gut story with parasite infection. So I would look at thyroid, and I would never see any issues, I was always perfectly in the functional ranges. So there are some other pieces to this puzzle. But I want to hit on the adrenal piece, too. That was interesting. So you had brought up like this adrenal thyroid connection to and that’s going to be tied into the gut, right, you’re going to see potential adrenal issues because of the immune stress based on the gut stress. So it could go gut affecting adrenals. And then adrenal is affecting thyroid, right? It might not just be gut thyroid, you’re saying the missing link in between those two is adrenals. 

Dr. Justin Marchegiani: It can be because the adrenals are your natural anti inflammatory. So if you have a lot of inflammation in the body, from a infection, your adrenals are going to be spitting out cortisol, natural corticosteroids to help with that inflammation and stress. So like conventional medicine, a lot of times we’ll do prednisone, right? That’s like a really strong steroid. Well, your body has its own natural steroids it would use so of course, if you’re whipping that tired horse, that can be something that gets affected. And then of course, when your immune system starts getting overly stimulated from infections from now, maybe an increased chance of food allergens, because now your guts more permeable, undigested food particles can kind of make their way into the bloodstream and create more immune stress because now your immune system sees foods floating around the bloodstream and digested that shouldn’t be there. And so then now, you know, your, your immune is maybe tagging those proteins. And we know the surface proteins on gluten, for instance, maybe dairy, those the surface proteins look very similar to the thyroid, so your body can actually start mistakenly attacking thyroid tissue because those proteins look kind of similar. 

Evan Brand: And yeah, and I just want to clarify this issue is going to be more common. It’s going to happen more frequently, when there are gut issues disrupting the immune regulation, correct. It’s not like in every person, dairies magically going to trigger thyroid antibodies, you’re saying in these gut compromised people that may have infections because of the intestinal permeability being increased? Now there’s more antigen getting in to the bloodstream and then boom. 

Dr. Justin Marchegiani: Yeah, I mean, it’s gonna be heightened more with an infection, because like, imagine the infection is like already kind of cracking the door open and your gut lining a little bit more. But let’s say you didn’t have an infection. It’s possible certain food allergies could be enough to crack that door as well. Right. Okay. But either way, let’s say you are sensitive and you have food allergy issues, and you have an infection now, it’s a double whammy, instead of that door being cracked open. Now it’s wide open, right? Yes, that makes makes that makes perfect sense. Yeah, for me, I mean, I used to do really, really poorly with dairy now really high quality dairy, I can get away with a little bit because I’ve healed my gut so much. So for me, I saw it. And it depends, right? Because not all dairy is created equal. So butter, fats and high fat dairy is usually different than dairy that has more casein, right? casein based areas tend to be like, more cheese or milks, right fat based areas and they’ll be like ghee, butter, maybe heavy cream. So casein tends to be the more allergenic portion of the dairy. And then, of course, we have lactose and lactose is the sugar portion of the dairy. So lactose, it’s more of an intolerance. And you just get more digestive disruptions where casein could be more of that immune stimulant. So things like people that have dairy intolerances, still may be able to tolerate ghee or butter. Because Because it’s not, it’s pretty low in casein much higher in the fat. Fats tend to be more neutral for people tend to be able to tolerate good fats, especially saturated fats because they’re, they’re not easily oxidized. 

Evan Brand: Yes, yes. Well said that’s a great point. So what about the influence of the gut healing protocols that we implement, and thyroid because people are hearing parasites, so they’re thinking, kill, kill, kill. And that definitely is part of it. And you and I’ve seen where just by eradicating infections, we’ve seen multiple things happen, which is pretty cool. So number one will see that the Secretory IgA, which is a marker, we look at on stool testing secretory, IGA will come up just as a side effect of clearing out infections. And that already indicates, hey, look, we’re starting to get on the healing path before we even did a quote healing protocol. And then we’ll see thyroid antibodies come down sometimes hundreds, sometimes 1000s of points, just by clearing the infections out. Okay, so that’s really like boom, clear infections out. But what about the gut healing phase? What are you seeing there? Are you seeing that that’s the, you know, the secret sauce, where thyroid really comes down in the gut healing phase? Are you finding, you know, if you had a pie chart, are you saying killing is doing most of the work for leaving the stress on the thyroid? Is it the gut healing phase? is there is there one that’s a bigger importance than the other? 

Dr. Justin Marchegiani: Depends on how acute the infection is, but we’re doing so many things at once. Like, this is the question I get, like, what’s causing What? And it’s like, it’s very difficult to know that because what’s the most important number in a combination to your safe log? what’s the what’s the most important ingredient in the recipe your mom makes, right? Well, it’s a combination, everything, right. And so when you’re dealing with an infection, I’m very rarely coming in there and practicing Acute Care Medicine where we’re just going after an infection where we’re changing the diet, we’re decreasing inflammation by having a healthy anti inflammatory kind of paleo template, we’re improving digestion, that in its own right starts to improve nutrient absorption, we may add in some extra nutrients as well, that are easily bioavailable. So then we can get those in our bloodstream and start utilizing the metabolically. Obviously, the thyroid needs some zinc, it needs some selenium, it needs some iodine. Of course, we don’t want to ever go overly high with iodine because that can actually increase autoimmune attack, but a couple 100 micrograms, as long as there’s not an acute attack may be fine. And then of course, we’re working on supporting hormones, right, we working on maybe supporting thyroid, if the thyroid is depleted, meaning you’ve had a decade or so autoimmune attacks, you may need some thyroid hormone, depending on how much that that thyroid been beaten down. If the thyroid still functioning, well, then just doing a lot of the good nutritional strategies may be enough to help it do what it’s what it needs to do. And then we’re coming in down the road going after the infections a little bit later. Now we’re an antibiotic kind of focus generation, right? It’s like, Oh, I have an infection, you have this antibiotic, antibiotic antibiotic. So that’s kind of translated to people wanting to kill whatever they have right away. Now, if it’s an acute infection, you went to Mexico, you ate something like you just got diarrhea, and you’re having like a dozen VMs a day, right. And it just diarrhea, that we may have to handle that differently than like a chronic infection that’s been happening over the long run. So I always put infections in two different groups, acute or chronic. And then we always still have to work on doing all the foundational things. If it’s acute, it may be a lot more compressed over a couple of days versus a month or two, if it’s a more chronic issue, and regarding how we start going after the gut. 

Evan Brand: Yeah, and the adrenal is maybe less important to deal with right away, if it’s a really bad, acute thing. It just depends upon like, Hey, I’m great, I’m great, I’m great, boom, I’m going to the bathroom a dozen times a day, it’s not good. My tummy feels like crap. If it’s that kind of an acute thing, and you were relatively okay ahead of time, then we’re going to look at that differently than a chronic infection. I love the analogy, what is the what’s the most important, you know, numeral to your to your safe code? Because I know the answer to the question I asked you, which was like, what’s a bigger deal here? Is it clear in the infections? Is it you know, healing the gut? Is it reducing food allergens? And I asked that just because I’m just playing devil’s advocate, because that’s what clients and patients always ask, you know, when we’re working with them, they’re like, Okay, well, you know, what’s my biggest priority right now? It’s like, I’m all of it. So it may sound a little overwhelming. But as we’re taking small steps with the diet, the lifestyle, we’re getting you to bed sooner, we’re helping with adaptogenic herbs to support the adrenals where, you know, let’s say you’re in between jobs, you’re moving house, I mean, there’s lifestyle stuff that’s important. You know, that’s, that’s affecting your hormones, which is affecting your sleep, which is affecting your gut and your recovery. And so we’re factoring in all of this at the same time, so rarely in a vacuum. Are we just coming in, like you said, and just boom, here’s your random microbials. Have a nice day. That’s very rare situation, right? 

Dr. Justin Marchegiani: I mean, like, let’s say, you’re healthy, right? You go down to Mexico, you pick up crypto, and then you just start having really a lot of diarrhea, we may handle you a lot differently. But like a lot of people that come in and I see usually there’s a combination of maybe some kind of a food allergy issue happening in the background. So then we clean that out, that maybe helps a third and then maybe they’ve really had poor digestion for a while like you know inadequate HDL or enzyme levels, that starts to help maybe a third or a quarter. And then that starts to modulate and calm down the immune system. So now the immune system kind of can relax a little bit, maybe that’s 10% 20%. And that we have, we’re getting access to maybe more Selenium or more zinc in our diet now. And that starts to help modulate the immune response, maybe that nourishes thyroid conversion, and then let’s say the infection, right, let’s say that’s the last 20%. So it could be a combination of certain things, you know, 10%, here, 20% there, 30%. There, and it just adds up. And so in the end, it’s hard to know exactly which one’s going to be the winner, right? And sometimes it’s equally spread out. That’s why if we just do the things that we know, we need to do on our checklist, our chance of results, good results is going to be much higher. 

Evan Brand: Absolutely. Well, I’m out of time. So I don’t know if you have a lot more to say if so I’ll just leave but if you don’t, then let’s wrap it up together. 

Dr. Justin Marchegiani: That sounds great. I think let’s wrap it up here to reach out to Evan head over to again, Evan and I are available for consultation worldwide, which is excellent in today’s day and age. And then myself, Dr. J over at We’re happy to help you out and work deeper on any thyroid issue. Gut issue infection issue where we can kind of dive in deeper and get to the root cause make sure you put your comments below and subscribe and share the episode with friends and family. We really appreciate it. 

Evan Brand: Absolutely. Yes, sharing is caring and there’s probably someone in your family or your life that has a thyroid issue. So please give this to them. Hopefully, even if they have to listen to it two, three times. Hopefully it helps guide them in the right direction to heal to recover to live life fully. So take care. 

Dr. Justin Marchegiani: Awesome and have a good one man. Bye


Audio Podcast:

Natural Solutions for Diarrhea | Podcast #239

Diarrhea is a common sickness that deals with disruptions in your gastrointestinal system. Diarrhea is characterized by frequent, watery stools, abdominal cramping, and bloating. In most cases, diarrhea can be treated at home and it will resolve itself in a few days. You might experience Diarrhea as a result of a viral or bacterial infection, sometimes, it’s because of food poisoning. If left untreated, it can cause pain and dehydration to a patient. 

Learn more about the natural solutions for diarrhea, what to do when you have diarrhea, and look through what natural medicine can do with curing diarrhea. More info with Dr. Justin himself and Evan Brand.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

00:20 Everything about Diarrhea

05:01 Common medications

09:29 Chronic Infections

20:25 Food and natural solutions

26:36 Essential Oils


Dr. Justin Marchegiani:
Hey guys it’s Dr. Justin Marchegiani here. Welcome back to the podcast. Evan, how are we doing today my man?

Evan Brand:
I am doing great. We’re here to talk about a glorious topic that somebody has to cover because if we don’t cover it, well then who the heck is going to get to the bottom of their gut issues.

Dr. Justin Marchegiani:
I know everything about diarrhea it’s there all the key things about diarrhea. What you can do? Why is it happening. Natural solutions. You really want to focus on getting to the root cause.

Evan Brand:
I had IBS for a long time, probably a decade.

Dr. Justin Marchegiani:
Oh by the way just to kind of chime in before we dive in on the diarrhea aspect is we’re really working on upgrading the audio quality today everyone. So you’re listening on YouTube. We’ll put a little podcast link as well so you can listen to the higher grade audio give us some feedback on it, let us know what you think and if you really enjoy it, please give us some extra shares.

Evan Brand:
This should be like the ultimate studio quality based on how we’re recording it now.

Dr. Justin Marchegiani:
Yeah. So we’ve changed kind of how our recording methods. If you guys like it, let us know. We appreciate it.

Evan Brand:
So I had IBS for prolly like a decade. IBS is really a terrible stupid term because it really just means that you don’t have a clue why you’re suffering from gut issues. So, we will mention constipation just because it’s often for people to alternate where one week or one day, they may have diarrhea, and then the next day, or the next week, they may have constipation. So a lot of people do alternate like that and there’s many different causes. So our goal today is to try to break down some of these big triggers, and then talk about some of the testing options to investigate this problem, and then talk about some of the solutions, like what are the palliative things, what are the little low hanging fruits that you can do, but then what are the root cause strategies you have to implement as well.

Dr. Justin Marchegiani:
Exactly. So one of the first things that’s happening with diarrhea is obviously motility is fast. Now the problem with that is, you’re going to you’re going to have malabsorption. It’s gonna be harder to break down protein absorb fat ionized minerals and absorb a lot of these key minerals for healthy metabolic function, thyroid function, mitochondrial function. So it’s really easy to have brain fog, fatigue, and to not feel like yourself. And especially to this inflammation of your body sucking out a lot of these minerals, pulling water into your small intestine and colon to kind of get whatever irritant is out. So then if these minerals are low, that can lead to more [inaudible] issues as well and minerals are important for healthy blood pressure. So if you’re getting dizzy, or standing up fast or having heart palpitations, or feeling anxious. These are all common side effects with diarrhea. Now we look at the long term effects of diarrhea or long term solutions or I should say solution slash causes, because they’re connected, are going to be chronic infections; parasites bacterial overgrowth H Pylori. We’re going to see a combination of low enzymes, low hydrochloric acid, levels and obviously inflammation in the gut. And the more inflamed the gut is the more things will be shuffled through the intestinal tract at a faster rate making it harder to absorb a lot of these nutrients. And when these nutrients aren’t absorbed, it creates this downward spiral because we need these nutrients for healthy metabolism, healthy adrenal, healthy thyroid right, selenium, magnesium zinc for healthy thyroid, magnesium for healthy mitochondria.  Well now we start to have more and more nutrient deficiencies which continue to make these problems worse and worse and worse every single week. So it’s really this downward spiral and we have our chronic issues like I mentioned. And then we have acute issues, food issues, could be like food poisoning, like an E.Coli or salmonella, or [inaudible] chemical Baxter type of infection that causes an acute diarrhea, could be a gluten sensitivity issue as well. We’re gonna expose to a food allergen like dairy or gluten casein etc. and that’s creating inflammation that’s causing your intestinal tract to not be happy and to move things out faster. Also bacterial overgrowth typically with hydrogen gas, dominance regarding SIBO, the hydrogen gas can really affect motility and typically cause things to move along faster.

Evan Brand:
Yep. All great points. In my case I had H Pylori. So we know that was messing up all my acid production which is why I wasn’t digesting my food very well, once I got rid of the H pylori, then I retested the stool and that’s where I showed up with those parasites like crypto and giardia. And then once I got rid of those, finally I was able to get the diarrhea under control, and so I told the story to you many times on different podcasts we’ve done together where when I was in college I would have to figure out where the bathroom was, and that was just part of my lifestyle. I just thought OK, just find the bathroom and you’ll be fine. And many people they take the Pepto-Bismol or the Ammonium AD or whatever other type of prescription or over-the-counter anti diarrheal medication, and they just live with it. They keep it in their purse, they keep it in their backpack, and they just assume I just need this medication. And we always want to point out diarrhea is not a deficiency of anti diarrheal medication. There is something going on. So don’t just keep putting duct tape over the check engine light. You have to address why your check engine light is on in the first place.

Dr. Justin Marchegiani:
What are the most common antiviral medications. We have things like Pepto-Bismol, all right. These are gonna be anti diarrhea, Maalox would be another big one, those are the big kind of like over-the-counter types. Now one of the things that we’ll use in natural medicine which I think is great, is if we have some kind of toxin or irritant. The easiest way to help decrease that effect on the motility is bind it up. So we’ll use activated charcoal or bentonite clay taken with that food or questionable food were taken while motility is on the faster side and that can really help slow things up.

Evan Brand:
I’ve got my favorite one right here on my desk. Toxins Bind from Beyond Balance. You can only get it through practitioners but this is a game changer for me, one, the detox mode. Two, it’s very helpful to slow things down just a little bit. It’s not going to get you to a point where you’re constipated. You know some people can’t get constipated on binders if we are doing some type of detox protocol, but it’s very easy to mitigate that. Just throw in some extra magnesium and vitamin C and usually it’s no problem at all. It’s kind of like a gas pedal. You know some people they’re so into diarrhea territory they need full those binders multiple times a day to slow them down enough to have normal stools. But if you’re on the other side where you may tend towards one loose stool here or there, and then you get slowed down too much, then just throw in the extra vitamin C magnesium and you’ll be in the sweet spot.

Dr. Justin Marchegiani:
Exactly so the big thing is we’ll throw in the binders like we talked about. Also dehydration is big. So we may add an extra minerals whether it’s Redmon’s Real Salt you know a full teaspoon with water shoot it down, a lot of conventional people are gonna go in the direction of PD light, which is going to have a lot of junky dyes and high fructose corn syrup and not the highest quality minerals so we want more natural minerals support. So Redmond’s real salt is a great way of doing that. You can also sip apple cider vinegar is excellent. Get some really good mineral support you can sip sauerkraut juice is excellent. There’s also some really good electrolyte formulas that are kind of blended together don’t have all the extra dyes and flavors and sugar in there. So those are good options as well. And if we need some extra glucose or extra carbohydrate we’ll just throw in some coconut water. Coconut water is your natural electrolyte formula with glucose or with sugar in there because it got a little bit of coconut sugar, but it’s not going to be on the natural side and it won’t have all fructose corn syrup in there that’s kind of going to be extracted from corn, right. So you’ll get some extra potassium from the coconut water and then we can always throw in some extra Redman’s real salt or even some new salt which is potassium chloride based salt so we can get our potassium and we can up our magnesium, and our sodium, and our chloride, and our magnesium ,and our sulfates. These are great ways we can get our minerals up. Also extra Pellegrino or Topo Chico good quality mineral water. On top of that will be really helpful for rehydration and getting your electrolytes.

Evan Brand:
When my tummy is upset. I’ll go for ginger tea. I’ll do a double bag a ginger tea, or even mix one bag of chamomile with one bag of ginger and then just throw in like a half or a quarter teaspoon of raw honey. And that’s pretty good too. You know some argue there’s a lot of different minerals and trace nutrients and stuff in honey. I don’t really use honey as a source of nutrition though, I just use it to taste good.

Dr. Justin Marchegiani:
Yes I think that’s great. Now ginger is excellent as well. Typically ginger has some natural prokinetic effects to it. So it really helps with slow motility, but let’s not forget diarrhea tends to have an inflammatory component to it. So a lot of these natural prokinetics that help with slower motility. Well they also have anti inflammatory qualities to them. So if we can decrease inflammation in the intestinal tract, that can really help modulate motility. It’s too fast and kind of bring it back down.

Evan Brand:
Yeah. Now, speaking of inflammation, it is possible that your diarrhea situation is more than just an irritable bowel situation that could be triggered by parasites H Pylori, bacterial overgrowth Candida. It could be an inflammatory bowel disease or some type of autoimmune disease like Crohn’s or also Diff Colitis. So we don’t want to discount the fact that your situation could be more serious. So, we don’t want you to listen to this podcast and just go drink ginger tea and think everything’s gonna be OK. You really need to work with a practitioner who can help you get the proper testing done to make sure it’s not something more serious, especially if you’ve been suffering with chronic diarrhea.

Dr. Justin Marchegiani:
One hundred percent. So we have these chronic infections that need to be looked at. So you really want to hook up with a good functional medicine doctor that can help you look at what potential infections or gut stressors could be there. And then let’s not affect this is really important. Let’s not forget the emotional stress. So we know emotional stress is going to interplay with the adrenals, and the adrenals is are part of that stress handling sympathetic nervous system. So we have the bridge to the parasympathetic which is the relaxation. Calm down, that’s the break. That’s the brake on the car to kind of slow things down, and then we have the gas pedal which is go go go go go, and the bridge from the parasympathetic, the brake, to the gas pedal, go go go. The sympathetic are the adrenal. And so when we’re activating those adrenals and we’re heading that fight or flight response, one of the big things that’s going to happen is motility tends to go faster or it can go faster because digestion disrupted. So when we have poor digestion because the sympathetic nervous system’s up, we have less enzymes, we have less acid. We’re going to have less breakdown of these food. So I said that things can go faster. They can also go slower too. When we have poor digestion, things can go fast or they can go slow. So the same root cause may be in effect though. That’s the kind of hard thing is, you could have someone can have diarrhea. The other person could have constipation and it could be similar root causes regarding adrenal and stress and in digestive aspects. You really have to look at everything from a root cause lens, and we connect the hormone component to it as well. And then let’s not forget, thyroid, one of the main symptoms of low thyroid can be low motility. Because thyroid hormone has a natural migrating motor complex stimulating effect, meaning it helps stimulate those wave like contractions. That’s the migrating motor complex which helps move food through. Now, with diarrhea, thyroid typically may not be as much of an issue but definitely with constipation, it could be. So slow motility low thyroid increase adrenal stress, increased cortisol, increased sympathetic nervous system. We could very well have diarrhea partly because of that and who knows what kind of stressors in the gut are affecting it. Food could stress it out. Infections could stress it out. It’s a two lane highway of communication going from, you know, the adrenal to the gut. It’s not just a one way, it’s two way; stress in the gut can cause adrenal stress, stress in the adrenal it can cause gut stress and vice versa.

Evan Brand:
Yeah. Think about a time. Yeah it totally does. Think about a time where you’re really scared. You know you had to slam on your brakes in the car, or you had a big business meeting, and you’re worried, you’ve got to sit down with the boss, man. You get scared and people get that nervous tummy, makes perfect sense. I think people forget about how much stress could play a role in their gut symptoms.

Dr. Justin Marchegiani:
If you look at kiddos, right kiddos, they don’t even have the ability to manage their urine or bowels, it’s because at their age they don’t have the parasympathetic nervous system kind of built in yet, so they’re more sympathetic dominant. Cause sympathetic stress causes bowel or urinary release. And think about it, right, we all have had that story of someone who literally whether they wet their pants because they were so scared. Right. Why is that. Because the sympathetic nervous system can cause a release of the bladder or even the intestines. We see it more with the bladder because it’s more readily available. It’s easier to do. So we’ll see a lot with that level of stress can affect the bowels and affect the urinary tract.

Evan Brand:
Well I’ve read stories of different people in the military where they are in an active shooter situation or they’re in a hostage situation that people poop their pants. You know it happens. It’s not fun but it happens. So that just goes to show what the adrenal stress and the hormone peace can do to your gut. Now you mentioned medications, so we didn’t talk about drugs that people are taking that could be messing them up though. So what about like acid blocking medications? I would suspect that acid blockers are going to make the situation worse. And if you’re trying to control your reflux situation, but now you’re lowering your stomach acid, now you’ve got all this undigested food, you’re going to be much more likely to have diarrhea type issues if you’re on acid blockers.

Dr. Justin Marchegiani:
100 percent so acid blockers make everything worse. Let’s say it was an acid issue, and you’re coming down the acid levels in your intestines, well a lot of times that’s not an excess acid issue. Usually it’s the guts lining is worn down so thin it just can’t handle much acid at all. It’s kind of like you want a great massage because you’re back some pain but that back when you have a sunburn at the same time so that back massage causes pain even though it’s really not, it’s just you’re in hypersensitive mode, right. The same thing with your gut when you when that gut lining, when that gastric ecosystem that you just can’t handle much, so you may actually need more, but your tolerance is too low, and the number two, if you don’t have enough acid or esophageal sphincter which is basically the connection between the stomach and the esophagus can stay open and we don’t have enough acidity. So then the food sits it rots acid after the fact forms from the rotting of that food, then it can raise up through that open esophagus sphincter, and start burning that lower part of the esophagus.

Evan Brand:
Let’s talk about kids for a minute. We do see quite a lot of kids, you know infants, toddlers, you know, five six seven eight nine teenagers, that are dealing with gut issues of different types. So if we start at really really young kids, you know, like breastfeeding age and those kids have diarrhea, most of the time we’re going to blame that on mom, probably having gluten or dairy or some other food allergy. And the diet now, so my daughter Summer, and when she was about maybe one and a half, we got her first stool tests done and that’s where she actually showed up with H Pylori plus a virulence factor. And she had either one or two parasites. I want to say she had a blast though and inaudible] amoeba but I can’t remember without looking at her labs. And so she had multiple factors. You know mom’s diet was clean, so we knew it wasn’t that, but you know she had just act like her stomach hurt, you could just tell she was in pain. And so, we gave her some liquid antimicrobials and we got rid of it. We retested the stool the H Pylori was successfully gone, and then she had some bacterial overgrowth and Candida. So we did another round of antimicrobials and then finally her guts and in a good place now. So it’s hard with kids because sometimes if they’re too young, they can’t express to you what’s going on, but you know by the time they’re age three four or five, hopefully they can tell you, Hey, my tummy hurts and if the kids [inaudible] then you know, hopefully paleo template and they’re still having issues, then you can get testing done on kids. It’s easy, stool and urine can provide a lot of information.

Dr. Justin Marchegiani:
One hundred percent. My son Aiden had significant diarrhea a few weeks back, significant, I think it was a food issue. So one of the first things we did is we kind of gave them some extra anti inflammatory support, we have some ginger in a liquid form to kind of calm his tummy. We added some extra binders and activated charcoal to bind things up, and then I just kind of looking at him I could tell, though based on how everything came about. There was definitely a food poisoning episode to it. So I got him on some specific liquid anti-microbial herbs and within twenty four hours his bowels were solid.

Evan Brand:
That’s great.

Dr. Justin Marchegiani:
Two days of like pure liquid. And anyone that has infants that we’re diapers, is not fun to clean up. So I was able to get that stabilized within 24 hours, made a huge difference and he’s on a regimen right now, more than likely he got some kind of infection. So we have him on an antimicrobial regimen, that’s liquid, because it’s easier for kiddos to get the liquid down, and then we have months and probiotics as well. Now that’s one other thing, probiotics can have some really good anti inflammatory benefit. So with diarrhea, we may even add in probiotics while we’re doing the herbs, just because they can really help kind of calm the gut down which may provide some relief with the diarrhea. And that’s important because I need to make sure we’re absorbing those nutrients, so we can get diarrhea. Like you know, compressed or dialed in. Then that’s going to help nutrition absorb a lot better. And then we used all the antimicrobials as well, that made a huge huge difference. But one other thing I want to highlight, because you were talking about acid blockers in the spiral of negative consequences that can happen with that, well same with antibiotics, because antibiotics are commonly prescribed for diarrhea as well. What if it’s not a bacterial issue? What if it’s a parasite? What if it’s a yeast overgrowth? What if it’s a gluten sensitivity reaction? Well guess what? Now you just knocked out a whole bunch of beneficial bacteria, maybe you create more inflammation. We know antibiotics can create mitochondrial stress. So it’s not good taking unless you know it’s an a help. Right? So then you could create a whole bunch more issues with the guts. Now we have this rebound overgrowth occurring and now we may have more issues that intensify over time because of that antibiotic. So we really got to be careful if we’re going to just throw medications at things kind of willy nilly.

Evan Brand:
Well said. Well, take someone who has chronic fatigue. You mentioned the mitochondrial damage. We know that’s associated with antibiotic use. So you’ve got someone that’s tired maybe because they’ve just been pooping so much, they’re exhausted from all the mineral depletion, we talked about the adrenal stress. You take that chronically fatigued person, you throw antibiotics in the system, they’re going to become more tired. So now they’re not even motivated enough to get up and cook the healthy nutritious foods they need to heal their gut. So I love that you brought that up because my next thing I was going to say was, well let’s go down the rabbit hole and change that. Let’s turn the tables a little bit. Let’s take my daughter. Let’s take your son and let’s put him through the conventional medical rabbit hole. What would have happened. We would have taken your son to the pediatrician or my daughter to the pediatrician and they would have said, Oh they’ve got diarrhea. Well, probably a bacterial issue. Let’s give them a round of antibiotics. There’s going to be a huge rebounding of Candida possibly skin issues that would happen.

Dr. Justin Marchegiani:
What if there was a parasite?

Evan Brand:
Exactly. It wouldn’t it worked.

Dr. Justin Marchegiani:
Yeah. What if my son got exposed to some gluten. No. Well no. It’s not going to fix that.

Evan Brand:
And most of the time when people come to us they’ve already been through that route. You know I’ve had many people that have been to their pediatricians with their children’s health issues and they’ve been disappointed at the level of care they’ve received. So they come to somebody like you or I. And we say look we really don’t want to use antibiotics in this case, number one because we have the clinical data. We’ve run the genetics full testing, we’ve run the urinary organic acids, we can tell you with confidence on the piece of paper, look, we’ve got this parasite, this bacteria, and we’ve got Candida overgrowth. So, yes you could use antibiotics for those bacteria but our success rate is so high using herbs. Why throw in the big guns if we can use things like olive leaf and Berberine and clove and other herbs that will still do the same antimicrobial benefit without killing mitochondria without killing good guys. There’s just a better way to do it and that is the way to do it.

Dr. Justin Marchegiani:
Exactly. We also may make changes with foods, we may cut out from fermentable carbohydrates, if there’s bacterial stop being fed by it. We may lean more on a gaps or a kind of a soup or stew or kind of bone broth type of template where foods are more in a liquid form to make everything easier to digest. And also we’re going to add an extra anti inflammatory [inaudible], aloe, slippery elm of course, Evan mentioned ginger already. These are excellent things to help kind of reduce inflammation maybe even turmeric or curcumin. Conventional medicine typically won’t touch that because, what are their anti inflammatory medications? Well they’re Prednisone, maybe [inaudible] right. These non-state real anti inflammatory is which actually can rip up the gut lining more and create more problems. So a lot of times these medications won’t be recommended because they may create more issues on the intestinal side. You know the major side effect of [inaudible] is alterations that kill 20000 thousand people a year, according to a New England Journal of Medicine. So they tend to not to to reach for many of these anti inflammatory is because they tend to cause more problems than not. But in natural medicine world, we have a lot more anti inflammatory that are natural and they aren’t going to have those side effects and can be added into your diet and really have beneficial effects.

Evan Brand:
Yeah. It’s crazy how quickly you could get down the rabbit hole and not end up any healthier than when you went into a hospital or immediate care center. You know, when we talk about antibiotics, we’re assuming that if you did have a bacterial infection, we’re assuming that that is a non antibiotic resistant strain. But what if you’ve got C. Difficile for example, which kills so many people you know diarrhea could be C. Diff.  C. Diff is something that we see as an infection. Yep. And C. Diff has become very very resistant to antibiotics to where these gastroenterologists are recommending stronger and stronger drugs sometimes, even resorting to I.V. antibiotics to kill the Clostridium. I’ve never had an issue getting rid of Clostridium using herbs. I’ve seen it countless times I know you have to. It disappears with the antimicrobials that are natural because see, herbs are not a single mechanism, right, you can’t just say well there’s this one alkaloid or this one polyphenol it doesn’t work like that in nature. There’s so many things that we don’t even fully understand what’s in there. We just know hey Berberine has all this other stuff that comes with it and the package deal gets rid of C. Diff where antibiotics just may not.

Dr. Justin Marchegiani:
Exactly. That’s why we’ll add in specific Sacramice  or bifida or lactobacillus species to really calm things down. My big kind of warning for everyone listening is if you have an excess of blood in the stool, it’s not stabilized or the electrolytes in the minerals dropped so low lower, so fast that we’re dizzy, light headed we may need to go to an E.R. to get an I.V. and they kind of get things stabilized while you get things on track. Same with the blood and the stool. So just keep an eye. Things are really intense. And symptoms are ratcheting up fast and you can’t get fluid in, you can’t get electrolytes in, you can’t get things stabilized. Conventional medicine may need to be used to at least get things stable, and that’s going to be on the extreme side. We’d like to at least draw a line for people listening so they aren’t incredibly dogmatic and only go the natural route for the majority of people that would probably be fine. But if you’re in that camp where you can’t stabilize, an I.V. with electrolytes will be helpful. If excessive blood in the stool, then we may have to look at getting that at least stabilized in the meantime while we come back to this we should never ignore it. We should always come back. We may need some level of stabilization first.

Evan Brand:
Yeah well said that happened to my grandmother she had started. I think it was privately to a medication she had started, this was a couple of years ago where she ended up vomiting and having diarrhea. So she was losing liquids out of both ends.

Dr. Justin Marchegiani:

Evan Brand:
She couldn’t keep any water down. Her blood pressure was starting to get messed up. She’s already dealing with atrial fibrillation. So she had some heart issues going on as well. I just told her, look, this is a situation where you just got to go. So she went to the E.R. they gave her fluids. Unfortunately, they put her on antibiotics. So then she ended up having more issues with the antibiotics but as soon as I got her back home I was able to pump her full of 50 to 100 billion couple times a day of probiotics and then within about three days, one overnight, but within about three days, we got her bowels normalized again. So she was in a situation where you know especially at her age, she could have gotten really big trouble if she didn’t go to the hospital.

Dr. Justin Marchegiani:
Same thing happened with my son. We were just able to get enough activated charcoal to slow the motility up and all of his drinks had extra electrolytes, extra minerals, extra nutrients, in the drinks. And then we just kept everything really cooked and really easy and on the lower FOB map side as well, and that kind of helped stabilize things, and then getting some of antimicrobials and really help too.

Evan Brand:
Yeah I mean if you have vomiting going on with diarrhea at the same time, one things that our pediatrician did say that was helpful early on in my daughter’s life was, I think she was around six months old. She got, we think it was like a rotavirus or some other type of virus maybe a no real virus. You know vomiting and diarrhea, so coming out of both ends and in the pediatrician we spoke with she’s supposedly more functional. However she still recommends a lot of antibiotics and things we don’t agree with. But, she said, give it two to four hours after vomiting before you try to throw anything and even breastmilk, even water, just let the gut rest. And I thought you know what. That’s actually a pretty good idea because sometimes, if it’s diarrhea and vomiting you get in a rush to throw stuff back in. But if the gut is so irritated sometimes you may just need to just fast for a couple hours and don’t do anything yet. Obviously, there’s a podcast, we’re not consulting with you also you see how there’s so many huge variations of this, and there’s such a spectrum of what may need to be done.

Dr. Justin Marchegiani:
Yeah. How I would handle that is I would just come in there I’d let it rest for a bit. I’d add in some bone broth, some ginger tea, everything very liquid, bone broths, maybe some collagen and amino acids keep it very simple, very gentle, start working in a little bit of probiotics in there as well, start working in a little bit of binders and just kind of get your bowels stabilized, and if we can’t, big deal we just go get an I.V. on board well that buys us a little bit more time. We don’t have to worry about any electrolyte or hyponatremia issues from losing too much fluids.

Evan Brand:
Essential oils or something we should mention, some people get crazy with essential oils, like they’ll say that all essential oils are for everything, or essential oils cure this and cure that. You know I’m not going to go there, all I’m going to say is that essential oils can be helpful. There are some clinical double blind randomized placebo controlled studies of patients with irritable bowel syndrome and by using peppermint oil.

Dr. Justin Marchegiani:
Peppermint’s great.

Evan Brand:
They have significant improvements in quality of life-

Dr. Justin Marchegiani:
That’s fine.

Evan Brand:
So coconut oil, avocado oil, put a little bit of carrier oil, just put a couple of drops of peppermint oil, rub it onto your tummy, that can be a game changer. Now I’ve seen people like putting like, lemon essential oil and stuff in their water. I just I don’t personally ingest essential oils, I just use them topically.

Dr. Justin Marchegiani:
Yeah. That can be helpful though. The dilimening in those citrus oils or essential oils can definitely help with the diarrhea. So there is the component limiting in the citrus or orange or lime or lemon that does have some natural antiviral qualities, but again, when it’s more subtle that works, some of the herbs that we’re doing, the amount that we’re giving, acutely is so high. And if you were to take that, let’s just say an essential oil liquid form, you’d be shooting down like half the bottle a day and some of these oils can be very abrasive. That’s where it’s nice to have it in a capsule form or a liquid form that’s designed to allow it to get down smoothly without all the taste problems.

Evan Brand:
Yeah that’s where I get concerned. It’s like, OK, grapefruit seed essential oil, maybe that’s a good thing but lowered. I don’t want that going down my esophagus really.

Dr. Justin Marchegiani:
Yeah. So it me essential oils can be great when it’s gentle stuff, can be really great for kiddos too, when they can’t swallow just being able to get a couple of drops in them. It can be very soothing on their tummy but when it gets more acute, that’s what we’ve got to pull out the big guns.

Evan Brand:
Yeah. So fever, that was another situation we forgot to mention, and we talked about the bleeding. We talked about the vomiting situation that can make things more tricky complicated. And then also fever but fever may be the body’s natural response too. So like this immediate idea to suppress a fever may not be wise either. I think it’s just a case by case basis. That’s why a conversation like this gets kind of hard.

Dr. Justin Marchegiani:
Yeah in general my perspective on fevers, if it’s below a hundred and five degrees, we don’t worry about it. Fevers for the most part are always going to be fine as long as there’s not head trauma, if there’s head trauma in the hypothalamus maybe has an inability to regulate temperature then we get a little bit concerned. So head trauma from a car accident, or a fall, and then a fever ensuing afterwards may have to be a little more careful of that. But if there’s no head trauma involved, then we have a fever, then we’re just going to work on supporting the immune system because that’s the body raising the temperature to kill off Mesophilic bacteria. Medium temperature bacteria that will die around 100 hundred and one hundred and two. So it may go up a little bit, that’s below 1 0 5 you’re more than likely fine, conventional medicine we’ll typically recommend Tylenol way sooner which in my opinion is going to decrease glutathione. Actually not my opinion. That’s according to research. It will decrease with glutathione levels, and it will decrease your body’s ability to kill that bacteria. So my opinion is hundred and five or below you’re probably fine as long as there’s no head trauma. Either way please see your conventional MD regarding that. Just to be honest.

Evan Brand:
Yeah. Well said CBD oil just give a brief mention to it. You know I think people overstate the benefits of CBD oil just like they do with essential oils, like you can, oh my left pinky hurt, oh! CBD oil. You know so people get a little carried away with it however I used it for my daughter, I use it for myself, CBD oil does have benefits, now is it going to be as helpful as an  aloe extract, the raw ginger extract, or berberines or Pau de Arco or olive. Probably not, really. I mean I think it’s great and it can modify things, but I just don’t think it’s necessarily root cause as much as some of the other things we talked about.

Dr. Justin Marchegiani:
I a hundred percent. So that was an excellent podcast. He really went in deep on the clinical side. I hope everyone is valuing this information. If you do, give us the thumbs up, give us a share, and let us know your comments below, what you liked about this article, and what future topics you would like us to chat about. And if you want to dive in deeper, if you feel like this article resonates with you or a friend or family member, head over to to schedule a consult with Evan, or to schedule a consult with myself. We’ll put links down below. We work with patients virtually all over the world and we’d love to help you out if you’re ready for that next up.

Evan Brand:
Sounds good. Well great conversation I hope this helps people and we’ll be back next week.

Dr. Justin Marchegiani:
Excellent. Hey man it was great chatting with you. We’ll talk soon.

Evan Brand:
You too. Take care.

Dr. Justin Marchegiani:
Take care. Bye.

Evan Brand:


Audio Podcast:

Mitochondria 101: The Key to Longevity

Mitochondria 101: The Key to Longevity

By Dr. Justin Marchegiani

We all remember the mitochondria as the “powerhouse of the cell” from biology class. While most of us haven’t thought about these organelles since high school, the incredible power of the mitochondria has recently been gaining more and more attention. Today we’re going to take a refresher course in mitochondria, and learn how the mitochondria just might be the key to longevity.

Mitochondria 101: The Key to Longevity

What Are The Mitochondria?

Mitochondria are small organelles floating in our cells that produce about 90% of the chemical energy, adenosine triphosphate (ATP), that cells need to survive. Depending on how much energy a cell needs, some cells have thousands of mitochondria while others have none. These tiny organelles turn the electrons in the food we eat into energy our cells can use to power our bodies. Mitochondria are so important that they even have their own DNA, known as mitochondrial DNA (“mtDNA”).

Apoptosis: Cellular Suicide

In addition to creating energy, mitochondria produce other chemicals your body uses for various tasks, like breaking down waste, recycling waste products, and something called “apoptosis.” Apoptosis is programmed cell death and is crucial for a healthy body. When your body senses viruses and gene mutations, it may trigger apoptosis to prevent these from spreading. Cancer and tumors grow when left unchecked; apoptosis is needed to reign them in.

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Take Care of your Mitochondria

Healthy functioning mitochondria are essential for many of our life-sustaining metabolic processes. As essential to life as mitochondria are, they are also delicate and quite susceptible to damage. Mitochondrial dysfunction is currently characterized by a variety of metabolic illnesses. Mitochondria 101: The Key to Longevity

The following conditions are associated with changes in the structure of mitochondrial DNA or are symptoms of mitochondrial damage or malfunctioning include

  • Multiple Sclerosis: A neuroimmune disease, multiple sclerosis patients generally have impaired ATP synthesis, which is evidence of malfunctioning mitochondria. Most MS patients also have chronic oxidative stress.
  • Autism, Asperger syndrome, ADHD
  • Fatigue: One of the most common symptoms of weak mitochondria is chronic fatigue.
  • Motor skill problems, including trouble walking, talking or swallowing; loss of motor control; balance and coordination issues.
  • Digestive issues: vomiting, diarrhea, constipation, bloating, acid reflux.
  • Muscle aches, pains, weakness
  • Heart, liver, kidney disease or dysfunction.
  • Neurological problems,
  • Age-related hearing loss
  • Cancers
  • Cyclic vomiting syndrome
  • Cytochrome c oxidase deficiency
  • Neuropathy, ataxia, and retinitis pigmentosa: muscle weakness, vision loss
  • Stalled growth and development
  • Respiratory problems
  • Migraines
  • Hormonal imbalance

Mitochondria 101: The Key to Longevity

Supporting Your Mitochondria Naturally

>>Healthy Lifestyle Habits: Avoid blue light at night, get full-spectrum sunlight, make conscious choices regarding the products you buy, get enough sleep.

Additionally, it’s important to be conscious of carcinogenic EMFs and minimize your exposure to these man-made electromagnetic frequencies. Healthy mitochondria can protect you from suffering too much damage from acute exposure, but constant bombardment from EMFs including cell phones, computers, Wi-Fi routers, microwaves, etc. will wear down your mitochondria. You can read more about protecting yourself from EMF radiation here.

>>Healthy Nutrition: Eating organic, whole foods is important for everyone. For an extramitochondrial boost, consider supplementation. I recommend Mito Synergy for a packed-punch of antioxidants and mitochondrial supporting nutrients.

Mito Synergy contains:

  • Vitamin B: B vitamins are integral to mitochondrial energy production and proper mitochondrial function. A deficiency in any of the B vitamins disrupts normal energy production, leading to an accumulation of toxic byproducts and increasing oxidative stress.
  • Creatine: Creatine is a substance similar to amino acids that you find in muscle cells. It can help increase muscle mass, strength, exercise performance, and protect against neurological diseases.
  • L-Carnitine: Carnitine is an amino acid produced by the body, and is also found in red meat! It is involved in transporting compounds and also stimulates glutathione production⁠—the master antioxidant⁠.
  • CoQ10: In order for our bodies to make use of the food we eat, our mitochondria has to turn food and oxygen into usable energy in the form of ATP. This conversion process requires the presence of CoQ10. Read more about CoQ10 here.
  • Alpha Lipoic Acid (ALA): ALA has actually been labeled a “mitochondrial nutrient” by researchers due to its ability to improve the structure and function of mitochondria. ALA has also been studied for its ability to increase antioxidant levels, restore vital enzyme activity, prevent oxidative damage, and protect against cognitive decline. 
  • Curcumin: Curcumin is anti-inflammatory: it works on a control switch called NF-κB. Genes generally aren’t turned completely on or off, it’s more like adjusting the volume on your stereo. Curcumin helps downregulate or turn down the volume on NF-κB, which results in less inflammatory markers and less inflammatory stress. Curcumin also upregulates glutathione, known as the master antioxidant that also protects mitochondria, by up to 600%!

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Benefits of a Food Elimination Diet

What are the benefits of a food elimination diet

By Dr. Justin Marchegiani

What is an Elimination Diet?

What is an Elimination Diet?

An elimination diet is an eating plan whose goal is to determine food allergies and intolerances. It is a short-term plan, usually lasting between 3-6 weeks, that allows a person to learn which foods may be causing digestive distress, skin irritation, and brain fog. In an elimination diet, certain foods are cut out of the diet for a few weeks, before being slowly reintroduced, one-by-one, in order to pinpoint troublesome foods.

What to Eliminate

 Foods To Eliminate

The law requires foods to be labeled if they contain common allergens. The eight foods identified by the FDA are:

  • Milk
  • Eggs
  • Fish (e.g., bass, flounder, cod)
  • Crustacean shellfish (e.g., crab, lobster, shrimp)
  • Tree nuts (e.g., almonds, walnuts, pecans)
  • Peanuts
  • Wheat
  • Soybeans

These eight foods constitute over 90% of allergic reactions! However, allergy tests don’t pick up on food intolerances and sensitivities.

Foods to eliminate in a food elimination diet include some of the common allergens listed above: gluten, dairy, soy, and nuts, but also encompass the common culprits of inflammation, digestion issues, and brain fog. These include nightshades (eggplant, peppers, tomatoes, and potatoes), alcohol, and processed sugar!

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Benefits of a Food Elimination Plan

Food elimination plan benefits

Eliminating sources of inflammation will allow your body to heal and can enact a plethora of positive changes within your body.

Recovery from Leaky Gut Syndrome: Leaky gut occurs when the intestinal lining becomes inflamed, which can be caused by the consumption of gluten, sugar, or other foods you are sensitive to. The inflamed gut lining allows food particles and other toxins to slip through into the bloodstream, creating more inflammation. By eliminating the foods that cause the gut to become inflamed, it is possible to break the cycle and heal your gut!

Reduce skin irritations, such as eczema and acne: Dairy and grains are two food groups which studies have shown have a strong link to acne and other skin irritations. Try cutting them out of your diet and watch your skin clear up in just a few weeks.

Prevent/treat learning and attention disorders: Studies have shown that a strict elimination diet can treat symptoms of (and in some cases defeat!) ADHD. There is promising research showing that even just avoiding artificial colors and preservatives can also lessen symptoms.

Reduce migraines: You may have heard the gut referred to as the “second brain.” In addition to all the functions, the gut is in control of, the gut actually communicates with your brain as well! An inflamed gut (due to consuming “bad” foods), can send signals to your brain signaling migraines and headaches.

Reduce bloating, diarrhea, and constipation: We’ve all experienced the feeling in our stomach after eating something we know we shouldn’t have had. Eating problem foods causes a relatively immediate stomach ache and possibly diarrhea, but regularly eating foods you are sensitive to – even unknowingly – can actually cause long term gastrointestinal distress! People who have gone on food elimination diets often say they didn’t know there was something wrong until they cut out the foods that were causing them to suffer. It’s like a weight lifted from your shoulders!

Bonus: add in a quality probiotic supplement to help your good gut bacteria rebuild!

Help heal autoimmune conditions: Food sensitivities can create and worsen autoimmune disease. Not only is it possible to stop the severity of your autoimmune disease from worsening, but it is even possible to reverse your autoimmune disease by removing inflammatory problem foods!

Starting a Food Elimination Diet

How to start a food elimination diet

If you suffer from digestive distress, skin breakouts, rashes, or suspect you might have a food allergy or intolerance, an elimination diet is always a good idea. The antibodies your immune system makes when it reacts to a problematic food you’ve eaten take about 3 weeks to dissipate; imagine feeling like a whole new person in only 3 weeks!

A food elimination diet generally last between 3-6 weeks, and can focus on one or two specific foods, or it can target a wide range of foods. For a preview of what an elimination diet looks like, and when to add foods back in, check out our post outlining what you can eat and when you should reintroduce foods.

Consult with a healthcare professional to determine your best plan of action!


The entire contents of this website are based upon the opinions of Dr. Justin Marchegiani unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Justin and his community. Dr. Justin encourages you to make your own health care decisions based upon your research and in partnership with a qualified healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Dr. Marchegiani’s products are not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using any products.