Dealing with Co-infections and Fibromyalgia | Podcast #284

Here comes another episode of Beyond Wellness Podcast. It turns out that herbs are just more powerful than we know. For this episode, we have Dr. Bill Rawls, who went live with us to discuss co-infections, fibromyalgia. Also, Dr. Rawls shares more information on some of his favorite herbs to address co infections and also formulating them into supplements. Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

02:13     Special Herb Formulas by VitalPlan

10:19     Manufacturing

13:25     Dr. Rawl Personal Health Journey

23:40     Gut Infections, Lyme Infections

32:11     Keeping a Strong Immune System

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Dr. Justin Marchegiani: And we are live. It’s Dr. Justin Marchegiani in the house with Dr. Rawls. We have an exciting interview, we’re going to be talking about co infections. We’re going to be talking about fibromyalgia. We’ll be talking with Dr. Rawls here about, you know, formulating supplements, some of his favorite herbs to address co infections as well as real live clinical experience. I’m really excited to have Dr. Rawls on the podcast Doc, how are we doing this morning?

Dr. Bill Rawls: Oh, wonderful. Thank you. Thanks for having me.

Dr. Justin Marchegiani: Well, thank you. Awesome. So how did you get into this field? Because obviously you were trained as a conventional medical doctor and you’ve had to go from go from medical school and get all this experience about things on the functional integrative medicine side. How did you make that journey from conventional medical doctor to more holistic, functional medical doctor?

Dr. Bill Rawls: Yeah, sometimes life forces you into things that you’re not expecting. I actually went into ob gyn as my specialty because I dealt with wellness and was not heavy Lee And embroiled in medications. So it was it was definitely more active. But it came with really bad night call and bad health habits bad night call my health crash by the time I was at the end of my 40s call it fibromyalgia. Later I found out I was curing the microbes that come with Lyme disease. And my conventional colleagues couldn’t help me. They couldn’t figure it out. They and so I turned away from conventional medicine, became certified in holistic medicine, but found my real salvation with herbal therapy and ultimately got my life back and nowadays 62 better health than most people.

Dr. Justin Marchegiani: Wow, that’s excellent. That’s really good. So I know you kind of have a lot of specific herbal formulas that you’ve created, you know, you’re over at, as well. And some of your herbs I find very interesting. Can you kind of talk about why you choose why you’ve chose some of the herbs that you have? And just some of your favorite clinically, as well, as you know, personally, because I think you have a story with some of these as well. Can you touch upon that? 

Dr. Bill Rawls: Oh, sure. Yeah, it’s, well, first of all, there are a lot of herbs out there that I think have value for Lyme disease, in really any kind of medical condition, especially chronic conditions. And even I think there’s some applications to things like COVID Yes, that are important. Herbs have antimicrobial properties, because if you look at what the earth is, it’s plant chemicals, what we call phytochemicals. So all plants producing a wide spectrum of chemicals to to protect themselves from various kinds of microbes, insects, free radicals, everything else. So when we take in that fight of chemistry of the plant, it’s especially intense and wild plants that we call herbs, we gain those benefits, we’re basically embracing the natural defenses. Where where it differs between plants is evolution, you know, one plant that evolved in one place will have a different spectrum of phytochemicals than another plant that evolved and another place. So like rhodiola, which is a really nice adaptogen and helps you to stress is grows in really harsh northern climates. So it’s not as much producing antimicrobials, but it produces chemicals that help resist stress, because that’s what the plants having to deal with. Whereas cat’s claw from the Amazon, while it’s having to deal with a lot of microbes, so it’s producing a lot of antimicrobials. So in our formulas, I typically use a balance and I think this is really Really important, um, the antimicrobial herbs like cat’s claw. Another one that I like is [inaudible], Japanese knotweed, garlic if you use a stabilized extract, [inaudible] is another one. Yeah, there’s there’s really a nice list of antimicrobial herbs. And these herbs have direct antiviral antibacterial properties. In fact, some of those herbs, there was actually a study out of John Hall, Johns Hopkins recently that showed these had better and some of these herbs had better antimicrobial properties than antibiotics, which is really cool. But, but you’re not getting just those those antimicrobial properties. You’re getting things that also stimulate immune system and drive things. But you can make the immune system too hot, you can drive it too hard. So I typically balance it with what we call immune modules. It hurts like reishi mushroom and cortisol and salvia militarize, which is a species of red sage. Okay, and so these things balanced the immune system and keep it from getting too hot. And that combination together, along with other supportive ingredients like Luna file can really do wonders for a lot of different conditions.

Dr. Justin Marchegiani: Now I find a lot of medical doctors, they kind of jump on the functional medicine or like the CO infection line bandwagon. A lot of them go really heavy on antibiotics, and I noticed you haven’t really taken that path. Have you evolved to this position? Were you more on the antibiotic path? Is there a place for antibiotics? It seems like you lean more to the herbs because it’s the immune building qualities, the immune modulation, the viral replication, a little bit more supportive than killing what’s your take on the strategy that you’ve chosen versus some of the antibiotics.

Dr. Bill Rawls: Yeah, You know it again, faith drives where you go in life so much. And when I when I, I struggled with fibromyalgia for years, and to get over that I started changing my diet, doing better health habits, etc, started doing some herbs. But then I found that I had the microbes was fine, but I immediately jumped on antibiotics and they made me much sicker very rapidly. So, I really was forced in this other direction of herbal therapy. And it was really years before I started figuring out why you know, what’s going on here? You know, I just said there’s a study from John Hopkins showing that some of these herbs were better than antibiotics. No, why are antibiotics such a problem? The problem with antibiotics is they’re indiscriminate. They’re, they target specific microbes, and they they’re very intense. So what happens when you use an antibiotic is you start a race as soon as you start that antibiotic, it’s like will I kill off the targeted the microbe I’m targeting before I kill off all my normal flora and destroy my gut and my system, which trashes my immune system even worse. So when you look at acute infections, and acute pneumonia, acute Lyme disease, antibiotics are effective, because they knock down the numbers. But this thing that antibiotics eradicate microbes is an absolute myth. There is no antibiotic on earth that will completely eradicate a pathogen. It’s always up to the immune system. And a good example of that is if you’ve got an elderly person or someone with AIDS, that has no immune system left and they get something like a pneumonia. It doesn’t matter how much antibiotic you give them, and they are going to die. That’s all right. Do it.

Dr. Justin Marchegiani: I find that I find that to be 100% true where antibiotics may be better for more acute infection. But like you said, I think combining the herbs along with it or like right after it just because of the immune building effects. There’s also a lot of data on the fact that antibiotics can create a lot of mitochondrial damage and oxidative stress. And the nice thing about Mother Nature’s antibiotics, they tend to be packaged with a whole bunch of antioxidants as well. And actually nutrition and a lot of cases, right. some herbs actually have extra nutrients like magnesium or zinc and such and can help support the body on the nutritional side as well. And I imagine when you’re seeing a person and there, they have co infections, you may be using other nutrients along with the herbs. I think you already just alluded to glutathione what other nutrients Do you like to stack in there to really work on building up that patient’s immune response?

Dr. Bill Rawls: Sure. Well, just to finish it up on the herbs, I guess, you the when you look at that complex biochemistry of Europe, you’ve got Think about the fact that the plant, it has to kill off the pathogens and not destroy its own normal flora. Yeah, one interesting factor that I found with the herbs is herbs tend to balance the microbiome. They don’t kill the normal Flora like antibiotics do. So you can use them long term for years and years and years without having that bacterial resistance and without disrupting normal flora. So that makes them a really, really useful tool. So in our regiments, we use primarily herbs, but there are some other nutrients that are found to be valuable. As topped the list NAC is a good one and acetal cysteine has a lot of value. Basic vitamins can be beneficial like and but using the natural forms of vitamin E, like the natural phalates instead of fully acid. Correct, some basic minerals, those things are most important for someone who’s struggling with chronic illness though and may not be absorbing those nutrients for healthy people, they don’t need those those nutrients as much. But struggling with chronic illness, I think they can be very important in that recovery process.

Dr. Justin Marchegiani: Very interesting. And when you source the herbs, how important is the quality because I imagine you know, just like we go out and we can buy meat from McDonald’s, we can also buy the grass fed organic meat from the from the butcher or the local farmer down the street. How important is quality when you’re sourcing supplements? Because I mean, you’re manufacturing your product. So you’re choosing the raw material that you’re buying.

Dr. Bill Rawls: Yeah, everything you know, and if I can do it, I would grow everything myself and process it all the way through but it’s not practical because what you find is like I said, rhodiola grows in an Arctic regions where catalog grows in the Amazon. So if you want to get that that full spectrum, you’re going to have to get different herbs from different places. So it is really a matter of the trustworthiness of the company and whether they’re doing the things that we need to do. And that tends to cost more. We, you know, I have a supply chain manager that I can I work together sourcing herbs, and we’re looking for the suppliers that we can trace it back to the form that we can, you know, we know that this particular farm is doing the right things to potentiate the value of the Phyto chemistry of the earth. And we know that because we do testing, so some of it is third party testing that the supplier does that you get a certificate of analysis that defines it is the species that you’re looking for that it has that photochemistry that you’re looking for, and it doesn’t contain contaminants, chemical contaminants, like heavy medical, metal, organic toxins, but we don’t stop there, we actually take a sample of that extract that’s coming from that supplier. And we have independently tested to make sure that that’s, that’s the truth. And then we actually test three times during the manufacturing process to make sure that everything is being mixed properly, and that our customers are getting what they want, and that we’re going to have something that actually works and that is the thing that I can do that it’s a real proof in the pudding is that the products work and, and we’ve had great success with them.

Dr. Justin Marchegiani: Very good. Yeah, cuz I know like I’ve seen like supplements on Walgreens and CVS, I manufacture my supplements too. And I see things on the shelf. I’m like, that product is too cheap. I know if I buy kilograms of that raw material. At a bulk rate, not even encapsulating or testing, it’s costing more than what’s on the shelf. So I know there’s definitely a quality impact and people tend to look at and price shop, but quality supplements definitely cost a lot more you get what you pay for, for sure. 

Dr. Bill Rawls: Oh, absolutely. Yeah, yeah, no, no. And it’s worth put the money in something that has the value that does have those credentials find.

Dr. Justin Marchegiani: Absolutely. Now, I know you had a personal health journey, you kind of mentioned with certain co infections in fibromyalgia, which specific herbs or nutrients really move the needle for you that helped you get over some of the infections you were dealing with personally?

Dr. Bill Rawls: Yeah. That’s where I think about Lyme disease, I think a little bit differently. And a lot of other practitioners out there, in that. I feel like more than anything else, what we’ve got here is an insult to the immune system. Mm hmm. And that is true. Driving the whole thing. So when we look at these things that we define as co infections, borrelia, and all the different species of microbes, most of these things are not highly virulent, they don’t have a high propensity to cause disease. Like me, I probably had been carrying these things in my body for years and years, it wasn’t until I trashed my immune system that I got sick. So when you look at this concept of microbiome in the body, we all have pathogens were riddled with access. And if you pick up certain things from ticks, then you’re going to increase your risk of chronic illness. But that’s not going to happen unless you actually trashed your immune system. So whether you’re talking about the vizia, or different species of rickettsia, borrelia, or anything else, all of these things are commonly carried harbored by people that do not become ill ever So typically when I’ve seen patients with the chronic illness, what we call chronic Lyme disease, typically they all have a story, you know, you can trace it back to a perfect storm of factors. It’s, it’s nice, you know, most people, it’s not like, well, I remember the tick bite and I got sick right after the tick bite. When I go back and asset history, it’s more than that. Oh, yeah, you know, my house burned down my business laughs My wife left and I had all this stress. And that’s when I became ill. So I think when we’re looking at this concept, we’re talking about all of the different pathogens in the body start becoming active because the immune system has been suppressed and it becomes a vicious cycle. So we have these things throughout our body.

Dr. Justin Marchegiani: Imagine with yourself, you could probably try to trace it back to residency and years and years of being on call, and and maybe you know, I know medical school, there’s not really much education on nutrition. So maybe your nutrition wasn’t the tip top at that time, but that kind of be the sequence for you if you were to go back in time with that stress. 

Dr. Bill Rawls: Oh, absolutely. Yeah. You know, I was more I think enlightened. I was trying to do the right thing back in the 80s as far as nutrition, but we were getting bad information. You know, it was like, Oh, you got to eat all this whole grain. 

Unknown Speaker  


Dr. Bill Rawls: Yeah. And you know, so it wasn’t until later when I started to question those things. And I was well off gluten before the gluten free craze came along smart but yeah, you know, I I promoted good health practices in my practice, but you take call every second to third night that you don’t sleep and then back in the 80s. It was good people were questioning the value of well Do we really need to sleep added on into that. So yeah, so when I wasn’t on call, it’s like I was going to make up for all the time I was on call by not sleeping. And I was averaging maybe four hours of sleep most nights. And it caught up with me along with just pushing that stress button way too hard and eating on the run. You know, I was telling people how to eat. I wasn’t doing it because I didn’t have time.

Dr. Justin Marchegiani: So when you start with the patient, right, what are some of the simple diet and lifestyle changes that you’re making? It sounds like you’re having cut out gluten, which I find to be a huge game changer for me, I kind of lean on to a paleo template and then we kind of adjust macros and such and some people, you know, have autoimmune they need to cut out more foods. Some have a lot of SIBO and maybe even need to do you know, more restrictive things like fodmap but what are some of the foundational things that you do diet wise starting out and it sounds like you kind of set the foundation first and then and then do some of the others immune killing stuff maybe later on when they’re more supported. Is that right?

Dr. Bill Rawls: Yeah, we do have In the protocols that we do, we have a diet, a progressive diet program that’s in phases. It’s probably a lot like what you’re doing. But it’s just getting people off processed food. So when it comes to diet, I have three rules, three primary rules that I follow for myself. One, eat more vegetables than anything else. By the end of the day, you should have eaten more vegetables than any other thing. Solid. Number two is eat fresh food that comes from living sources, which I think is really important and that cuts out most of the processed food. Number three, donate any more calories and then you need in a day. And if you do those things, if you can find a way it doesn’t matter whether you’re a vegetarian or eat meat or have some carbohydrates or eat some grains, you know if you’re doing those basic things, You’re probably going to going to gravitate toward a healthier diet. But the big thing for me that I did years and years ago and lost 30 pounds pretty quickly in the process was just giving up bread and things made with flour. That single thing was huge.

Dr. Justin Marchegiani: Mhmm. And then when you’re seeing people with CO infant, I think it’s really it’s, you know, solid information. Like I always tell patients start with the low hanging fruit because, one, you’re increasing nutrients on one side, and two, those are foods or they’re suppressing your immune system. So you get a double whammy there. you support the nutrients that support the immune system, and then you decrease the stressors. So it allows that to come up a lot faster and better. How are you assessing Lyme? How are you assessing these co infections? Do you do any specific testing? Are you using symptom survey? Do you do any energetic muscle testing? What’s your perspective on assessing?

Dr. Bill Rawls: You know, when I when I did a medical practice, I did a lot of different kinds of testing. I went through a phase where I was doing just tons and tons of functional medicine testing. And I, as I went through time, I found that I used those things less and less and found less value in them because I could learn so much just by talking to the patients. And I think that’s what so many doctors, especially conventional doctors don’t do is there’s really no rewards in our system for talking to patients. And that’s where you really learn the information. But when we look at this thing we call chronic Lyme disease. I’m not I can I see most illness is more of a continuum with chronic immune dysfunction right in the center. So I think there are people out there that have all the symptoms of chronic Lyme disease that aren’t carrying borrelia but they are carrying other microbes like borrelia, and they have immune dysfunction. So it’s basically all The same symptomatology, even technically they don’t have Lyme disease. And when you look at that, and that that concept of this disruption of the microbiome and picking up all of these opportunities to mystic microbes as we do through life, because we do you know, we pick up bartonella from pets, we pick up mycoplasma, we pick up chlamydia. So these are non tick borne things that all of us pick up that can cause the same symptoms. But about a year or two ago, I sat down in and researched all the microbes that I could find that or have the characteristics that we call stealth microbes, they live inside cells, they they manipulate the immune system, they tend to just have a presence deep in tissue inside cells. And I found well over 100 species of microbes that have the potential to be involved with this kind of chronic illness but can also be present In the body without causing illness. So there are a lot of potential things out there. So everything we’re touching the things that we’re testing for just really, it’s a drop in the bucket, you know, we’re barely scratching the surface. And that’s the cool thing. When you use comprehensive herbal therapy, you’re addressing all of these different things. So it often doesn’t matter is much. So I tend to use testing when people aren’t getting Well, you know, we put them on a basic protocol, change their diet, change their approach to life to put them on a regimen of herbs, and then if they’re not getting Well, well, that’s an indication that to seek out different kinds of testing, but most of the time 50% of the time or more, they will need it.

Dr. Justin Marchegiani: That’s great. In my practice, clinically, you know, we set the foundation we work a lot with you know, adrenal stress because the adrenal is kind of our the big interplay with that sympathetic nervous system so we a lot of times we see cortisol imbalances or cortisol rhythm issues, usually from HPA access disruption. So we fixed the stress, we fixed the diet, really support the hormones and you mentioned like rhodiola as being one big, big fan of those adaptogens. And that really supports the immune system. I find addressing a lot of stealth gut infections, I tend to prioritize that first because I know 80% of the immune systems in the gut. So if someone has h pylori or SIBO or maybe a Giardia infection, I clinically find knocking that down one helps them digest their food better. So they’re getting more nutrition from their food. But to these infections aren’t there they are creating gut permeability. They aren’t creating as much inflammation. What’s your take on gut infections and how do you sequence addressing gut infections in relation to like Lyme co infections?

Dr. Bill Rawls: Yeah, it’s, you’re right. You know, a significant portion of the immune system is surrounding the gut because the gut has so many challenges with we’ve got so much stuff coming Through our gut, we’re feeding all of those microbes. And if you’re eating bad food, you’re feeding bad microbes. Those microbes are very active as far as neurotransmitters they produce that affect our system, and damage to the colon itself. So you ended up with leaky gut, which I did, I was I did food sensitivity testing when I was in the throes of everything. And I was sensitive to 70 75% of foods that I was eating. And it was because and you see that commonly with leaky gut. So once the gutters damage, you get proteins that are flooding across. So a lot of times I didn’t know whether it was the microbes causing the symptoms or the food sensitivities causing the symptoms. And a lot of times it’s both. So yes, addressing that gut dysfunction is really important. Diet is the first step of course, because what you feed your microbes is so remarkable. Important some people find value with probiotics. I think it’s kind of hit or miss. And I think we’re you know, we’re still learning with probiotics but the thing that I found that addressed those those kinds of problems, more than anything else with the herbs again, especially herbs like berberine and berberine, containing herbs and others that support the gut. slippery elm is really good for protecting the gut and allow it to heal. But the other herbs that I mentioned also have some benefits to the gut to so the herbs tend to suppress the bad microbes suppress the bank microbes in the gut that are causing the SIBO suppress Canada. And if you’re, you know, getting people on good foods that are cultivating that, that normal, healthy Flora then then then you’ll get there. What were the struggle for a lot of people though, is our standard American diet is so bad and that’s what people have been used to since they were children. It’s really, really hard to move them over to a good diet. It’s a very gradual process. So we started out with a pretty strict diet that we, you know, use foods that don’t cause typically cause food sensitivities that cultivate good gut flora and move people to a better place beyond that.

Dr. Justin Marchegiani: That’s great. I know some of the herbs that you know one of your famous products advanced biotic you have the Japanese knotweed, the cat’s claw, the Andrew graphics, the sask. Birla, which are great for some of these co infections. Do you have any favorite specific herbs that you like for just general parasite cleansing or just some of the herbs you’ve had really good success with clinically?

Dr. Bill Rawls: Well, all of these things have parasite capabilities. The cat’s claw and underground fists are traditionally been traditionally used. Going beyond that, for people that feel like they need a parasite. So, defining parasite, we’re generally talking about intestinal worms, which are multicellular organisms. And they’re good a classic combination is Artemisia, or warm wood, and black walnut and clove. And those are pretty stronger. So I don’t typically use them long term. Not everybody will need to, though. I mean, it’s, you know, the difference between what we call parasites that are multicellular organisms and the microbes that are in our body which are single celled organisms, protozoa, bacteria, viruses, etc. The all of the the microbes can reproduce within the body, whereas multicellular organism cannot. The only way that you can get intestinal worms is ingesting either eggs or larva. So you have to have that constant re inoculation. These things are not breeding inside your body. So once they die off, they’re gone. If and the only way to perpetuate those things is to keep reenact you lating yourself.

Dr. Justin Marchegiani: How do you categorize amoebas? Like like blasto or like [inaudible], how do you categorize?

Dr. Bill Rawls: Well, they can they can reproduce in the body but but so some of those things are common and and they can take up residence and hang around for a long time, but your typical worms do not. So people in this country don’t have a big load of worms because we don’t have contamination of our food, typically with eggs, or or larva which comes from fecal contamination is really common in third world countries but we don’t carry as much of an intestinal burden, probably less than humans have ever carried. And in this country, it’s pretty much in been endemic throughout human history because of fecal contamination of food. And again, it’s still really common in third world countries, but not as common here. So I find that just most of the standard herbs would be under graphics and cat’s claw and those kinds of things will gradually take care of those problems. But then for people who feel like they have Giardia or can be Dora the kinds of things that they picked up, which do happen. That Art Museum close, but well not combination is great. And there are other ones that are good too. I mean, that’s a nice thing about herbs. There’s so many choices.

Dr. Justin Marchegiani: That’s very cool. Now clinically, is there is there any like low hanging fruit like it’s underrated people don’t really think about it as like a big clinical mover but you know for you, it’s better A big clinical success. In your practice, you use it a lot, but it may not be well known any like, Is there one or two big clinical pearls that kind of come to the tip of your head?

Dr. Bill Rawls: Hmm. Wow, probably just herbal therapy. I mean, I think that has more healing you than anything else out there. And there’s no doubt about it. And it’s just, it’s that different approach. You know, so much of what we do and how we’re how I was trained as a conventional doctor, is you, you take the patient, you collect the symptoms, you do a physical exam, you do labs to find the diagnosis and you treat the diagnosis with drugs or whatever. But what I started doing after my life changed by by chronic illness was working backwards to instead of asking the page, asking how a patient is He’ll ask why? Why is this patient You know? And so in my protocols, I always step back to look at the patient’s life, you know, what are they eating? how impressed what kind of exposure to microbes that they have? What kind of exposure to toxins, you know, that list and going down that list, and I always found answers. And most of the time, I could help a patient Well, before we even got to the point of finding the diagnosis.

Dr. Justin Marchegiani: I agree. I think a timeline history is so important I interview patients I like to find out Hey, when did things first start to go sideways? What was going on? And then what happened five years later after you move what happened after the divorce? I like that really understand with that timeline, the stressors and how did it impact you? Did you ever come back from it that you resolve it? Where are you at now and it gets really important because the history I think you know, good doctor will tell you history reveals a lot. I think that’s powerful. Next up any thoughts on this whole COVID crisis. I mean, we can go into it from you know, just your medical perspective, being a medical doctor as well as you know, what are things you’re doing to help protect you and your patients just to keep your immune system strong?

Dr. Bill Rawls: Yeah, yeah, that’s we can have a whole nother big session on COVID. And I, I followed it from the beginning. And it’s, it’s quite an enigma. You know, the thing about this Coronavirus that makes it very frustrating is that most people don’t get very sick. It’s not nearly as virulent as I think everybody thought in the beginning. And typically, that concept of virulence is important. If something is very highly virulent than most people will get sick and you can identify the people that are sick very readily and you can quarantine them that’s why quarantine works so well for something like a bola virus. That’s why quarantine worked with the previous SARS and Mears outbreaks because those those microbes were much more virulent, they made people sick. So you could identify the people that were sick and quarantine them and contain it. This thing isn’t nearly as virulent you know, it’s looking at as they’re coming out with serology, it’s looking like this, the the mortality associated with this virus is closer to influenza, maybe even less than a year, I’ve seen that and half of people barely get sick at all, may not even have its symptoms of a common cold. So it is very, very difficult to control it. So whereas I think isolation was a good idea in the beginning to get let the hospitals catch up with supplies and everything else. Because some people do get really, really sick with this thing. Then I think that was a good idea. But I think as we go through time, it’s great. Going to become less and less and less valuable because it’s just going to destroy the economy. But what I don’t hear and what I really, really frustrated about is when I listened to the news when I listened to the medical establishment, I am hearing the latest statistics and what drug they’re looking for all of which have side of really bad side effects and when we’re going to get a vaccine so we can actually control this thing, and absolutely nothing about immune health. Nobody is promoting the importance of immune health. And what I can tell you is the people that keep their immune system healthy, have a much, much, much lower chance of ending up in the hospital and dying from this thing. And, and, you know, we’re just not hearing anything about that. And we do know something about some of the herbs. Some of the things that are already out there have been found a habit tivity again, Against previous Corona viruses. So Japanese knotweed Chinese skullcap some of the things that we’re actually using for line actually have good value have been shown to be effective for Coronavirus glue to fire them has been shown to reduce the severity of the the illness. Ginger, good old ginger tea has been shown to decrease the potential for these viruses defined for the to the respiratory tract. Yeah, so you’ve got all these and vitamin C, Vitamin C is extraordinary zinc. So we have all these natural things and we’re hearing nothing about them. In fact, they’re even being demonized by some people as Oh, we don’t know anything about that because nobody studied it yet. But and this knee jerk thing to to to incriminate natural therapy is being non effective, even though there’s evidence to the client Contrary, nobody’s looking at so I’ve found that to be hugely frustrating.

Dr. Justin Marchegiani: I 100% echo those sentiments. I think we are playing a defensive approach, washing hands social distancing, I think we kind of know intuitively to stay away from people that are sick, right? And, you know, a we can learn to wash your hands. That makes sense, but we need to get offense right. And the offense, like you mentioned, are some of those essential nutrients like I’ve been recommending ginger tea for over a decade. I mean, like you mentioned, the viral replication aspect for ending the virus from sticking on. You know, in this case that that h2 receptor site, you also mentioned, the lethality aspects and I’ve been talking about this quite frequently. And the data coming out of studies out of MIT, USC, Stanford, so when you calculate you know, mortality rate, people listening at home, right, you take the numerator, which is how many people died and then you put it over a denominator how many cases they are. The problem is there’s about 25 to 50 times more people that are part of that denominator that we don’t even know about. So then when you add the 25 to 50, then that makes that death rate a lot lower number two, if there’s 25 to 50 times more people now we got a lot more herd immunity out there, which is preventing that infection from being passed around, which I think is vitally, vitally important. And the other third issue I have is, I don’t know You can tell me because you’re in the medical you know, seen more. They created two diagnostic codes for this infection you owe 7.1 you owe 7.2. You owe 7.1 is an objective diagnosis with the PCR testing. Ul 7.2 is an epidemiological diagnosis that does not require any objective testing. If you have any upper respiratory tract symptoms and you die. You can be classified as you Oh, 7.2 totally subjective. Do you know any other diseases that have two diagnostic criterias and one that’s totally subjective. 

Dr. Bill Rawls: Well, I yeah. Coding System is-

Dr. Justin Marchegiani: Is the flu like that at all?

Dr. Bill Rawls: No, I’m not sure about the flu. But I tell you, the whole coding system is a mess. And I think you and I are right on the same wavelength without one. You know, when when I started hearing, I mean, you’re being really immersed in this concept of microbes for the past 20 years. And just that concept of virulence has been very, very important to me that I don’t think a lot of doctors, including many infectious disease experts, really don’t understand the concept of virulence and how important it is and how these microbes function. But when I first started hearing the reports out on China, they were saying, okay, you know, the mortality that is 2.5% so it’s like, Okay, well, right up front, that’s a whole lot less than SARS, which was 10%. So we’re dealing with something that’s very much less virulent. And then they were saying, well, 80% of people will not be medical care, and that the testing that they were doing it was was not widely available. So right up front, I’m going, Okay, let’s put two and two together here. We’ve got a stated mortality of 2.5%. That of the cases they know about, but probably at least 50% of the mild cases aren’t being reported at all. Yep. And they don’t know about them. That means the actual mortality is probably around point 5% or lower. And now that we’re getting around to doing serology testing, that’s about where it is. Not to say this isn’t a serious illness, and yes, people are dying from it. And I’m not suggesting that we should be complacent about that. But I do think that we should be like you said morally offense of doing things to protect our elderly people that have immune problems. For everybody doing things to protect their immune system, herbs, better diet, sleep, everything, social distancing is very reasonable. But I think that people aren’t approaching this thing from a common sense point of view.

Dr. Justin Marchegiani: I agree. And I’m gonna be doing a video on this later on. Today I guess some of the data from Italy which are 2-3  weeks ahead of us in this whole situation. But this data showed  about all the people that passed from the infections– 61% have 3 or 4 comorbidities and over 90% had at least 1 comorbidity. And the average age of death is 90 or 81. I look at that and you gotta say, the working age, economy will be shut down or should have a more strategic way. Quarantined people like Sweden, Brazil, that’s number 1. The second component on top of that is the Covid 19 tends to not be doing as well with people that are put on ventilators. 10% survive. So there’s something different with the ventilators, corona vs the flu. I have some thoughts on it, do you have any takes on that?

Dr. Bill Rawls: Well I think anytime someone is put up on the ventilator, it’s always low. I mean their whole system is struggling and their lungs are all fluids. But ventilators in general are just really really hard on the body. And it’s anybody ends up in ICU and has a ventilator, they are going to have a very long recovery if they survive. Unless its for like a destructive procedure, something like that, where a person is healthy in the beginning but yeah, this virus does seem to act differently than influenza. It affects cells differently than it can, it has a modus operandi that’s different from influenza. But as you mentioned earlier though I think there are [inaudible] cases of probably influenza. They got bundled under covid too. And there could been some co infections that people have both in influenza and covid. If you look at this thing, there had been like, millions and millions of cases like 15 million cases of influenza since october and the death rate for influenza the last time was 15,000 people in the United States and this is a virus that we have a vaccine for. This vaccine does not work a lot of the time, people are dying and people don’t have a healthy immune system. So, you know it’s been kinda crazy that we got all these spotlights focused on this person on the ICU bed, struggling for covid, you shine the camera down away, struggling with influenza. It’s been such a visible thing and then neglecting some other things out there too.

Dr. Justin Marchegiani: I totally agree. Use your strategy in using extra ginger, I like that. I think you said Vitamin C and Vitamin A. Are there any specific things, also NAC got a big one with viral application and keeping mucus and inflammation in the lungs and helping those pathways. Is there anything else you wanna highlight that you’re doing in an offensive approach, aside from washing your hands and standing away from the people?

Dr. Bill Rawls: Well, what i’m doing is I take immune modulating herbs and I think this is something looking at covid. One of the things that the virus does too is the immune reaction so it can be severe and creates a storm and is very damaging. And it has evidence that some stimulating anti microbial herbs like echinacea and astragalus can actually enhance the storm because they’re heating things up you know. So I think the immune modulating herbs are really impt. Take reishi, cordyceps. But I also take some antimicrobials that are not quite so hot. Our products with [inaudble] japanese knotweed, and we have chinese skullcap these are things that are commonly active. We have a product  with glutathione and NAC. I think glutathione is just as valuable. Something that you know you just pick up little bits of information. we get our glutathione from a company called Century and I spoke to the medical director when we were deciding on that as an ingredient, and he said you know I’ve been working with a group of high

cystic fibrosis, in cystic fibrosis is an excess of mucus and there’s a glutathione mechanism

behind that, and he said you know I’ve got him on this product and they’re living normal lives and it just stuck with me. So this the glutathione NAC both have some wonderful new coletek properties and some supportive health promoting properties in the lungs. Vitamin C another study from years ago medical school that really hit home is you know humans of the only humans of primates are the only creatures that don’t produce vitamin C. All other creatures do. And there was an experiment where they took rats and they took the rats and they just tested them in a non-stressed situation and they were producing about the equivalent of us taking 200 to 500 milligrams of vitamin C a day. So they stressed these rats and then measured how much vitamin C they were putting out and it was the equivalent of us taking 21 thousand

milligrams a day.

Dr. Justin Marchegiani: Wow! 

Dr. Bill Rawls: It just shows that when we’re stressed we burn up a lot of vitamin C, and we use it. Well I typically I’ve been taking extra each day but if I get sick with a cold or a flu I take about a thousand milligrams an hour up to about 6 hours so I’m taking anywhere from 3 to 6,000 milligrams a day. Effort stories if some places doing 16,000 I typically use the buffered vitamin C, take a little bit of zinc with that and the herbs and and drink a lot of ginger tea these days. Yeah I’m following good social isolation practices. You know most of my work is from home now so I’m using good common sense. I’m definitely not being cavalier. I don’t want covid or anything else but you know I was doing that before I’m pretty clear about these things as it was and I’m doing everything I can to keep my immune system healthy and those things are just really critical. With covid or anything else.

Dr. Justin Marchegiani: I know well the interesting thing is you know 20 years ago if you were in your OB practice right now you’d be shut down but you’re still able to help people and I’m still able to help people with with the whole virtual environment we have right now so we’re really a really benefiting from the technology and the times we live in.

Dr. Bill Rawls: Yeah, thank you. 

Dr. Justin Marchegiani: Well doctor, is there anything else you want to leave us with? I’m gonna let the listeners know Dr. Rawls, his website is We’re gonna put the links down below. Dr. Rawl supplements that is we’ll put the links down below and then my favorite product that he has is the advanced biotic, we’ll put that down below. Doc you also have a book coming out, so I’d love to have you come back on the podcast when that book comes out. We can chat about that. Is there anything else you want to leave the listeners here today?

Dr. Bill Rawls: After I took a year off of my life and a lot of people have found that valuable right now, I’m working on a book called for about healthy aging, and the how important this concept of microbes in the microbiome, and immune system gets in the healthy aging process or the aging process and just staying healthy as you age, so hopefully in some months, three months, six months we’ll have all that done out there. But thanks for the opportunity. It’s been a real pleasure 

Dr. Justin Marchegiani: Thanks Dr. Rawls. We’ll put all the links that you mentioned down below and love to have you back in the next few months when that book wraps up. It was excellent chatting with you. Have a phenomenal day and you stay healthy. 

Dr. Bill Rawls: Awesome, thank you very much.

Dr. Justin Marchegiani: Bye now.


Audio Podcast:

Fibromyalgia Natural Solutions – Dr. J Podcast #159

Dr. Justin Marchegiani and Evan Brand discuss about Fibromyalgia including its cause and symptoms. Learn how some of the symptoms connected to it such as anxiety, depression, IBS, memory problems are also seen in other health conditions.

Listen as they talk about some of the viruses, infections, gut health, heavy metals, thyroid and adrenal imbalances as possible contributing factors or underlying issues leading to unfavorable health symptoms. Gain some valuable information regarding natural solutions and lifestyle changes that you can do to combat these symptoms.

 Natural Solutions for Fibromyalgia

In this episode, we cover:


02:15   Fibromyalgia Symptoms

03:48   Viruses and Infections

07:20   Gut Health

10:31   Adrenal Issues

13:19   Heavy Metals


Just In Health iTunes

Just In Health YouTube

Dr. Justin Marchegiani: It’s Dr. J here in the house. Evan, how we doing today? Happy Monday!

Evan Brand: Hey, man!  Happy Monday to you. Life is good.

Dr. Justin Marchegiani: Yeah. We had a little technical difficulty here. But we are rolling. The show must go on. So, any any updates for me here that you want to bring to my attention before we dig in and get dirty?

Evan Brand: Well, I’m just excited. I’m excited to talk with you about fibromyalgia. This is one of those things in that category like IBS where the conventional doctors—

Dr. Justin Marchegiani: Uh-hmm.

Evan Brand:.. give people diagnosis and then they just end up with drugs in their pockets and they don’t have any real success. And people struggle for years and years and years, they end up with these other symptoms that come along with fibromyalgia like anxiety or depression or IBS. And once again, conventional Docs, they just don’t really have a high success rate with this issue.

Dr. Justin Marchegiani: A hundred percent agree. And fibromyalgia is one of these interesting types of diagnoses. Basically you have to have uh—central allodynia pain, which is kind of like this uh— pain that may be true like 11 different random spots of the body. So they look for these different pain, tender spots, shoulders, chest, hips, back. And they are looking for like at least 11 out of the 17 or so spots. And if you have it, great, you have fibromyalgia, right? Coz basically what is a central allodynia? That means your nervous system is so hypersensitive that it’s dectecting, you know, you rubbing like this, just things that shouldn’t cause pain. It’s sensing that it’s pain. And that’s the biggest issue coz  the nervous system is so upregulated, it’s like having an antenna that’s so hypersensitive that it’s picking up stations uhm— that shouldn’t be picking up.  And it’s the same kinda thing. Your nervous system is an antenna that’s picking up all these nociception or pain sensation where it shouldn’t be. So we want to get to the root cause of why that is. Go ahead.

Evan Brand: Yeah. There is uh—conventional drug that a lot of people end up on. The Lyrica, which I’m sure you’ve heard of.

Dr. Justin Marchegiani: Uh-hmm.

Evan Brand: Huge pricing commercials for it. And I’ve had people taking that and they just don’t notice much and then sometimes the side effects, maybe not without drug, buy any of the drugs, can be worse than the actual thing that you’re trying to fix into the first place. So that’s just— it’s scary because when you want to get a root cause answered, you’re not gonna get it unless you start running some of these functional medicine testing that we’re talking about. So I just have a list of symptoms I wanted to read that could come along with the fibromyalgia. So that could be anxiety, that could be concentration and memory problems, depression, fatigue, headaches, irritable bowel syndrome. Now, that sounds like a lot of other things that we need to talk about.

Dr. Justin Marchegiani: Exactly. And here’s the thing, right? A lot of people may have gluten sensitivity or hypothyroidism or heavy metal issues or gut microbial imbalances, the issue is that some people may manifest with Hashimoto’s. Some may manifest with fibromyalgia symptoms who have a lot of the central allodynia pain. So it is interesting because some people, they can have the exact same core underlying issue, but have a totally different diagnosis. And all of diagnoses is a constellation of symptoms that are typically put into one category, right? The chronic pain symptoms—that’s gonna be in the fibromyalgia category. Memory symptoms—that’s gonna be in the category. Fatigue symptoms— that could be in the thyroid or adrenal category. Gut issues— depending on where that inflammation is located, that could be in the Crohn’s or Ulcerative Colitis or there’s no inflammation in the tissues that can be in the IBS category like you. So this is where it’s tough because all conventional medicine is tyring to categorize known symptoms in the categories call the “disease”. We are trying to trace it upstream. And the hard part about functional medicine is certain people can have the exact same imbalances and manifest with totally separate diseases. That’s the hardest part people to wrap their heads around.

Evan Brand: Yeah. Let’s go into the viruses. My wife when she had joint pain several years ago, you said, “Evan, the first thing you need to look into is going to be some of the viruses.” And so we got a blood test run on her. She did not show up with Lyme, fortunately, but she did show up with the cytomegalovirus and then also the mycoplasma. Can— so can you speak about those a bit? And how that could be causing joint pain that could get misdiagnosed?

Dr. Justin Marchegiani: A hundred percent. So there are certain infections like mycoplasma is one of them they can manifest in the joint tissue, for sure. So that’s one of those conditions that an infection can really be driving a lot of that joint pain. And we know certain infections and certain imbalances can manifest with certain symptoms. Like we know that hypothyroid issues, low thyroid function can manifest having low thyroid hormone in joint pain. We also know like infections like mycoplasma can also cause or call  the lower thyroid function and then potentially manifest in joint pain. We also know it could potentially manifest in the joints and you know certain antibiotics like Minocycline to help knock it out. We prefer to use some of the herbs coz it tends to be safer on the gut microbiome in the long run, number one. And then with your wife symptoms, we notice that she already had a pretty good diet.  And there was a tick bite involved in your wife’s last issues. Is that correct?

Evan Brand: That’s right.

Dr. Justin Marchegiani: And so because of that, you know, we were leaning towards, “Hey, let’s just to after the infection and see what happens.” And when we knocked out the infection, everything got a lot better. So that was good to see that.

Evan Brand: Yeah. It was so— it was so it was so easy, too. So simple. Just modify the immune system, all of a sudden things are better. So, if you have fibromyalgia or you have joint pain and general pain stiffness, you gotta make sure you roll those in. So go to your doctor if you’ve got a natural path or functional medicine practitioner, that’s even better. Try to get them to test you for the Lyme, plus the co-infection. So coz like I said she had a negative result for Lyme, but she was positive for these other things, Cytomegalo and the Mycoplasma. So you gotta go look for them.

Dr. Justin Marchegiani: Hundred percent. So, again, any issue any like disease issue, like if you’re someone and we’re focusing on fibromyalgia today because that’s got a certain bit of symptoms that manifest in pain. So if you resonate with that, great. This is going to help you. If you don’t resonate with fibromyalgia symptoms, but you have something else, this podcast is still gonna be helpful because we always trace it back to the underlying imbalances, which can manifest itself in different symptoms. But one thing that’s gonna be uniform across the board is looking at the gut. The gut is really important coz that’s where a lot of your immune system is. 70 to 80% that’s where your body digests and breaks down nutrients, that’s where uhm—your— essentially you digest and break down all the food you’re eating. So if we’ve a bottleneck in the breakdown of our nutrition, we’ve a bottleneck in how our immune system functions, if we have a leaky gut and your immune system’s being overreactive, or if we have an infection there, that can create a lot of underlying stress that may manifest itself in different symptoms. And again, kinda linking it back to fibromyalgia, if you have these chronic pain issues, those 11 kind of places a central allodynia pain to touch, right? Your diagnosed 11 places of pain on your body, at least. And you have the fibromyalgia, the diagnosis, then we definitely have to rule out the gut. And again, here’s a thing that really throws people for a loop is that you can have gut issues and not have gut symptoms – that’s the really hard thing. You may not have the bloating, the gas, the diarrhea, the constipation, the acid reflux, and you may still have a gut issue.

Evan Brand: Uh-hmm. H. pylori we see it every week in the clinic. So if you’ve got H.Pylori, you’ve got that bacterial infection, that’s suppressing HCl production, therefore you’re not digesting your food. So if you’re seen floating stools or you’re seeing undigested food particles in your stool, that could all be adding up to this whole picture of the depression, the anxiety, the fatigue. Maybe even skin issues, too. So maybe you don’t have the fibromyalgia diagnoses, but you’ve got fatigue, depression, anxiety maybe some sleep problems maybe some skin issues. That could all be tied into leaky gut— that intestinal permeability. It could be something as simple as H. pylori or like Dr. Justin Marchegianientioned, it could be H. pylori plus Mycoplasma plus maybe some bacterial overgrowth like the SIBO case or plus parasites, which is something we often talk about, plus fungus. You know, typically it’s not just one thing. Most of the time, by the time people get to us, they’ve been suffering for quite a long time and therefore, there’s usually a handful of things that we’ve got to address. Now on the thyroid, is the pain going away just a side effect of you fixing your thyroid? Like all the sudden thyroid function improves and the pain just goes away. Could it be that simple if that were your biggest root cause?

Dr. Justin Marchegiani: Well 100%. So you can see it quite frequently that just getting someone on some T3, some thyroid hormone can really help because they may be on thyroid hormone, T4, but they’re not able to convert and activate it. So there’s TSH, right? The pituitary hormone that most conventional docs measure to look at thyroid function may look nice and pretty but they’re not making that conversion from T4 to T3. So their T3 levels may be low, and if you come in there with some activated T3, you may start to put some of their thyroid symptoms on remission. Now, we have to understand, from a functional medicine perspective, what’s palliative and what’s root cause. So we have to make sure we actually fix the underlying conversion issues, if it’s nutrient or if it’s inflammationm if it’s gut, if it’s immune. And we also had to fix the underlying nutrient absorption issues, the infections, the autoimmunity, right? So whatever those issues are. So, we kinda understand that there are certain natural medicine things we can do. There are palliative, which are great. And there are certain things like, I think you mentioned earlier about the uhm—your child has a little bit of eczema and you know, putting a little bit of coconut oil in there helps. But you recognize, that’s palliative not root cause. So we try to get to the underlying foods that may be causing it.  Same thing in this analogy with thyroid. And thyroid, low thyroid hormone can express itself in about 70 different symptoms—hair loss, fatigue, uhm— brain fog, anxiety, right? All these different symptoms. Also, the pain symptom is one of the.

Evan Brand: Yup. Well said. And if it’s Hashimoto’s, if it’s an autoimmune thyroid condition, that T3 could help symptoms improve. In this case, you could get more energy, could help reduce pain. But if you haven’t stop that autoimmune attack by addressing infection, supporting the adrenal glands, making sure the diet is dialled in, and you don’t have any foods that are creating antibodies against the thyroid. You know, those are some of the big three needlemovers you got to have on board to fix this thing at the root and not just be stuck on T4 or T3 or combination for the rest your life.

Dr. Justin Marchegiani: Hundred percent. So we also know that adrenal issues— adrenal imbalance is not necessarily adrenal fatigue, of course, you know, most people in the conventional medical world will hear adrenal fatigue and think adrenal failure like Addison’s disease, okay? Which is valid but we also know that there can be imbalances in cortisol that may not be a full disease failure kind of situation. It may be just lower adrenal cortisol issues, lower DHEA because of HPA axis dysfunction. And if that’s the case, we want to make sure we support that because adrenal, zero adrenal glands produce cortisol, which is your natural anti-inflammatory hormone. And again, people that have chronic pain issues, a lot of times, we put on like COX 2 inhibitors, things like that. Severe pain, of course, Opioids is an Oxycontin, which is a another big issue in itself. But also, Prednisone and Corticosteroid drugs that basically have the ability to knock down inflammation, the problem is, why aren’t your own glands working enough to cover up that inflammation, too? So, if we get the adrenals working better, we can kinda make some of our own homemade Prednisone on our own—our own homemade Corticosteroids to help cut that inflammation down.

Evan Brand: So talk about what happens. Let’s say somebody is on the steroids long-term, that’s also going to affect the adrenals as we’ve seen on some lab results.

Dr. Justin Marchegiani: Yeah. It will throw off some of the feedback loop, so will disrupt the HPA axis, that’s the brain talking to the adrenals. That’s that nice feedback loop or that kind of internal thermostat that our body has. So we do have that there that we have to work on because that can affect that thermostat. Uhm—number two, it can really throw off your blood sugar. So taking a lot of synthetic steroids that when we create protocols for a patient, we may use small amounts of precursor hormones like Pregnenolone or DHEA. And these are gonna throw things off in the same way that a drug would. Because these drugs are very, very powerful. They can mess up the feedback loops. But if you’re using a corticosteroid, it can really mess up your blood sugar and in the long run, it can even create osteoporotic situations. It can really thin out the bones. It can really weaken the gut lining because these steroids break things down,right? They’re anti-inflammatory but they are also very catabolic. So it’s great in the short run, right? When we get back on track, but not good in the long run coz it can really mess up our glandular physiology. How that—how our hormonal systems work. And the feedback loops that kinda keep them connected.

Evan Brand: I think it’s worth mentioning heavy metals, too. I don’t think it’s good to be

necessarily the number one cause for most people, but we notice that if there is a gut issue, let’s say somebody does have these gut bugs, they could have a detox problems, too. Just coz their body, their liver is just so overburden. Let’s talk about metals a bit. So could be just amalgam fillings or could be occupational exposure or could be too much of a lower quality or too big of a fish like a tuna that’s causing issues. Let’s talk about that for a minute.

Dr. Justin Marchegiani: 100%. So we can definitely have toxicity issues like Mercury which can be very inflammatory. Mercury also is similar to the halide group so it could fit into the receptor site where Iodine would typically bind in. Fluoride and bromine can also pinch-hit there as well. So that can create a lot of issues regarding that. Mercury can also jam up the mitochondria. I mean feel free and go to PubMed and just type in “Mercury and mitochondrial function” and you’ll see increase in heavy metals can decrease mitochondrial function. And again, as—as glycolysis and our Krebs cycle turns and we have betaoxidation on the flipside, we generate about 36 ATP’s per pump and those ATP’s work is kind of the cellular currency for energy, right? It’s how our body kind of you know, creates energy and you know, has aerobic metabolism to create ATP, which is our body functions and that’s kinda the byproduct of having a healthy metabolism.

But if we go in there and all these gears are moving spitting out all these ATP, which is basically cellular energy, and we messed that up, we throw kind of a monkey wrench into the gearbox, that’s gonna prevent optimal ATP function, which is gonna throw off our energy and our body ability—our body’s ability to function, right? Lower energy is gonna create symptoms. Anytime you have lower energy, you  tend to start having brain fog issues, mood issues, fatigue issues, pain issues, sleep issues because energy is the byproduct of a healthy metabolism. So when energy goes, metabolism is going down. And when that’s starts to go, other symptoms tend to manifest as well.

Evan Brand: Yeah. I’ve gotta say two things. One is glyphosate. If you’re not 100% organic, make your goal to be a 100% organic as close as you possibly can. I love that people are honest. I had a guy who on his intake form, I asked the question, “What percentage or diet is organic?” He said 0%. I’m like, “Man, you’re getting glyphosate.” We can measure it. We can prove it on a piece paper, but just know if something is not labeled organic, especially your fruits and veggies, assume it’s contaminated with glyphosate. Just like Justin mentioned about Mercury, antibiotics, glyphosate. Those are all mitochondrial killers and so there’s nothing worse that you could possibly do than have glyphosate in your system. Now, fortunately, you can detox it by using the sauna. There’s other methods that we talked about but just make it a goal. Throw out the—you know, go donate or throw out the non-organic stuff. Swap it out. Pay the extra buck. Pay the extra 2 bucks. It’s gonna be much, much more valuable in the long-term and much cheaper in the long term because you’re gonna prevent yourself from having health issues associated with glyphosate toxicity.

Dr. Justin Marchegiani: Hundred percent. Hundred percent. I had a conversation with someone recently that say, “Hey, you you realize organic food doesn’t have any more nutrients than conventional food.” And I said back to them,”Well, it depends.” There are some studies that do say organic food does have more nutrients. I mean there are some people that say that’s there are some studies by Temple University that shows a much higher level in nutrition with organic food than conventional food. I just think it depends on what kind of organic we’re talking about factory farm, you know, big corporations have started labeling things organic. And again, are they gonna have the same high level as a local farm regarding fertilization, you know, rotating the crops. I mean, if you just have an organic farm without pesticides, but you just continue to heat that crop season after season, don’t let it rest, don’t switch spots, and don’t you know, add synergy to the land, right? Some synergy is like, for instance, when the cows pass on their— basically have their manure, their bowel movements, you’re bringing the chickens afterwards to kind of help uh knock out all the grubs, right? Which prevents other animals from coming in. So you can add synergy to the land that helps, number one, increase uhm— fertility to the soil, right? Increases that top soil. But number two, it helps other past and creatures from growing, which can create havoc down the line. And so, in other words, uhmm—some people can really hit that soil hard and decrease the nutrient densities of the organic food. It has less nutrients, anyway. But anyway, so let’s just pretend this person is right. They told me organic food has the same nutrition as conventional food. Alright. Fine. We do know the research is quite conclusive that organic food has less pesticide residue. Of course, coz to be organic, you can’t have pesticides on it. So just the fact that— let’s the nutrient’s density is the same from organic food. While I’m definitely not getting the pesticide exposure, which Evan mentioned earlier with Glyphosate or Roundup. It’s so important. coz there are so many studies on that coming out that it’s very toxic on the body, on the liver, on the gut. And essentially many other places.

Evan Brand: You know, the European Union, they’re successfully banning it. I’ve been trying to keep up with this is much as I can. It looks like glyphosate is seeing the end of the rope in the European Union. I hope something is to follow in the US, but I just don’t think it’s gonna be anytime soon here.

Dr. Justin Marchegiani: I agree.

Evan Brand: One of the thing I wanted to mention is on the CDC’s website about fibromyalgia, they say that much much much higher rates of ankylosing spondylitis occur with fibromyalgia and Justin and I mentioned this on a mini podcast. That’s an autoimmune condition. And so it sounds like what they’re saying without saying it because maybe they’re not noticing the link, is that this whole thing is likely just a autoimmune issue. The IBS, like you mentioned, the Crohn’s or the Colitis, the Hashimoto’s, like this could all just be autoimmunity at the root. And we’ve just got to go through all of our causes and fix the autoimmune issue and then all of a sudden you can reverse the symptoms.

Dr. Justin Marchegiani: Hundred percent. And again, there’s like over a 180 autoimmune conditions. So my analogy is anytime you have a physical chemical or emotional stress, or  you know, imagine having this fancy pearl necklace, every time you put tight, that’s a physical chemical or emotional stressor in your life. And let’s just say every little spot where that pearl connects to the necklace, they’re not all the same strength. There maybe some part to that chain that are little bit weaker. Think of that as genetic predisposition at work. You’re gonna have certain genetic links in the chain that are going to be a little bit weaker. Now what does that mean to you, as that stress comes on, that part of the chain may be more likely to break than another part. Let’s say  Pearl 33 is more likely to break them Pearl three or Pearl four, right? Now, Pearl 33 may be ankylosing spondylitis. And that stressor may be Roundup or could be Hashimoto’s or let’s say Pearl 4 is Hashimoto’s for someone else, right? So think of every little link in that chain as a different disease that could manifest if that link is broken. And where that link you for you, is gonna be based on your genetic predisposition. What we have control over is not pulling that damn chain type. Let it go. Let it relax, right? How do we do that? All of the diet and lifestyle things. Just cutting the Round up out. Eating organic. That pulls the stress off. And getting that good sleep, having good thoughts, fixing your gut, fixing infections, making sure you can digest and break down all that really good food that you’re eating. Get your hormones under control if there’s imbalances there. Does that make sense, Evan?

Evan Brand: Oh, it sure does. I mean, just like you picture a big wall think of like a submarine. You’ve got a 1000 switches in all these red switches are flipped on. We’re just gonna go down the list and just flip all those red switches off, and all of a sudden you turn off, you’ve not pulled the trigger. You’ve got the loaded gun, but we’re just gonna decide not to pull the trigger. People think that like genetic testing is the end-all be-all and “Oh, my gosh! I’m genetically predisposed to X.” It’s like that doesn’t change the protocol at all. That just means you need to be even more diligent. If your family had a history of this condition or other conditions, you just have to be more diligent. That doesn’t mean you’re toast. That doesn’t mean you’re definitely going to get XYZ disease or condition. That just mean you got pay attention. You’ve gotta make sure you’ve got all the pieces going in your favor.

Dr. Justin Marchegiani: Yeah. And I pretty much work with the genetic stuff. I don’t get so hyper fixated on it. I just assume the worst for everyone. And that way, we’re making the changes in hydration, with sleep, with water, with toxicity, with gut. We’re not gonna give synthetic folic acid. We’re gonna give super high quality methylated B vitamins. We’re just making that assumption for everyone because I can’t be hurt by making that assumption in that direction. If I make it the opposite direction and say, “Hey, it’s okay. You probably don’t have a folate issue. I’m gonna save some money and put some crappy synthetic folic acid in my multivitamin instead of high-quality activated folate. Then I can go wrong, right? I may save a little bit of money but because we’re interfacing with our patients daily and weekly, we know that we’re better off rolling the dice in favor of there being an issue with that. So we always have the higher quality nutrients in there to cover our butts.

Evan Brand: Yeah. And I had a a woman who emailed me this morning she said, “Evan, I had a reaction to gluten. Do you think it’s time that I go get tested for celiac?” And I told her, “It’s better cheaper and likely safer just to assume that you’ve got a massive allergy to gluten,” Then you just need to stay way because really, going to the gastroenterology process where they make you eat— what is it two slices of bread for like a week or two and then they cut out a piece of your intestine to try to see if all those cilia where destroyed or flattened. And then a lot of times, there’s even false negatives there. So you could do all that work. Destroy your body, create inflammation and then say, “Oh, it says negative.” It’s like just stay away and be more diligent. Don’t tell people that it’s a preference. Just tell it—  tell people at a restaurant it’s a gluten allergy. Make  they change their gloves. And you’re gonna be much safer as opposed to waiting for that diagnosis. So that’s kinda what my message is. If you have these symptoms, maybe  you’re not been officially diagnosed with fibromyalgia, but you’ve got these symptoms, you’ve got pain and the sleep and fatigue. Just go ahead and think, “Okay, maybe I’ve got XYZ but now I’ve just gotta start working on all these big pieces we talked about.

Dr. Justin Marchegiani: Hundred percent. Yeah. Makes a lot of sense. And someone’s chiming in here on the YouTube live here, chat saying that uhm—their local farmer told him it’s certified organic, allows them to spray toxic pesticides two times a year. Not sure what kind of certification that is.  Typically, the USDA certification’s pretty good. The fied has to be—the land has to be for three years without pesticides to even get that certification. So I’m not sure if we’re talking about the same USDA certification, number one. And a lot of farmers they’ll use other compounds that tend to be a little less toxic to help with spring. So like for instance we have our property done which had to use probiotic spray and we tend to use essential oils. And again, there may be chemicals in there, of course, but they may be harmonious and have less toxic burden. I’m more worried about the toxicity of the pesticides. And let’s say you bought an organic food that was, you know, in one of these farms that was spray twice a year,  well, isn’t that gonna be better than a farm that’s sprayed weekly?

Evan Brand: Right.

Dr. Justin Marchegiani: So I’m kinda like good-better-best. Hey, if I’m gonna cheat or if I have a choice option between something that was spray weekly versus twice a year, I’m still gonna go with twice a year because that toxicity burns is gonna be good. Also, we can just utilize the Clean 15 and the dirty dozen. Great, if we’re gonna buy a food that’s conventional or somewhat conventional with pesticides. Let’s look at the Clean 15 and see the foods that have less pesticide residue and avoid the dirty dozen and/or just get a really good uhm— vegetable or fruit wash that you can wash off some of the external pesticides at least.

Evan Brand: Yeah. And some of the regulations under the USDA, there’s a difference between 100% organic and just certified organic. So, obviously, the best thing to do which is contact a local farmer, which is what I do. I buy some bison meat and other products locally. And I know that they don’t ever use chemicals ever and if they do have to use chemicals, they’ll tell you. And they’ll say, why, what happened how much, what did they actually use. So if you just look up local harvest and go look up type in your ZIP Code, your location, go find some local people and just talk with them. That way, you  don’t have to guess anymore whether something’s actually legit from the grocery store. I still go to the grocery, but I try to source other things outside where I can check the person’s hand. It’s just a lot more viable experience that way.

Dr. Justin Marchegiani: Yeah. And again, we just have to do your best, right? Sometimes we don’t have the best options you know, when we’re traveling or we’re going out to eat. But if we can control the 80 to 90% when we’re home and we’re in our house and the foods that we choose in our area, that’s gonna be the most important thing. Also, when you’re healthy, you get a little bit more wiggle room; when you’re chronically sick, you don’t. So if you’re chronically sick, then you really got to be careful and make the best decision possible and uhm— if you’re not, then 10 to 20%, I’m totally okay with. And if you’re going to get exposed to things, activated charcoal is a great option uhm— taking some extra detox support may be helpful, too. So all that’s really good if you know you’re gonna be getting exposed to not so good things.

Evan Brand: Yeah. Take in your enzymes, too. Take in your acids, your enzymes. You and I both use enzymes that are gonna contain special ones that helps. So if you do get  to it. exposed to gluten, that can help reduce the flareup. If you are sensitive, you are react to it.

Dr. Justin Marchegiani: Exactly. And then James here, talks about uhm— his fatigue still lingers daily, can’t shake it. Thyroid tested good with me, uhm—Modafinil works great and gets me to the day. And Modafinil or Provigil aspirin is a big fan of it. Not a huge fan long term. I mean I think it’s not fixing any of the underlying issues. So the diet helps I mean I would look more at the adrenals, I’d look more at the mitochondria. I forget your specific case, James, I know you’re doing good for a while. So if you just had a backward slide recently, we’d wanna chat and figure out what underlying stressors have creeped up or make sure the infections are gone, or make sure the mitochondria are functioning as optimal as possible. So I wanna look a little bit deeper. I’m fine, though, using Modafinil Provigil punctuated time frames, you know, a work deadline comes up, major stressors you know, you have to induce some extra stuff on the weekend with your family or work stuff, then fine. Take that to really upregulate your body but just keep in mind there’s something deeper we got a look at. And just  you know, things like sleep and things like hydration and people forget those all the time.

Evan Brand: Yup. Very simple but sometimes the most simple stuff moves the needle.

Dr. Justin Marchegiani: Yeah. I mean Daniel talks about here, uh— talks about what can cause jellylike lumps in the semen sometimes painful to pass. Well first off, I would do like a urine analysis first, just to make sure there’s nothing, no UTI your uhm—you know, nothing that’s kidney or bladder base. Make sure there’s no infections in the piping, so to speak. Uh—again, I would also rule out epididymitis. Make sure there’s no infections in the epididymis. There could be a bacterial issue that’s just causing these uh— the semen to kinda agglutinate or stick together. And also, even just run a sperm analysis. Just to make sure this— the semen are actually alive and it’s not a whole bunch of dead semen uh— in there as well. So, I would look there first. If the diet’s good, if everything else is good, I would just make sure any type of infections and that urinary area are also clear too. E. coli, those kinda things.

Evan Brand: Awesome. Well, we gotta wrap up. Both of us gotta get back to our calls, but we hope you guys enjoy the show and leave us questions. You can leave us questions in the future. So if you didn’t catch this live, go to Justin’s YouTube channel. Go on his video, write in your questions, we’ll try to answer as many as we can or will save those for future show. And then same thing for topics. If you have topics that you want us to address, please put them on there. And if we need to reach out for a consult, check out Justin’s site. It’s You can schedule a consult. If you wanna schedule a consult with me, check out my site and we are happy and willing to help you. So please reach out if you’re suffering around the world, just phone in and Skype consults make it easy for us to help you.

Dr. Justin Marchegiani: And check us out on our podcast channels, too. We’re trying to do our videos here on YouTube, but we’re also trying to record everything in higher-quality audio. So, if you want to hear  us in some higher quality audio, check out our podcast channels. Again, if you go to Evan’s site, or my site, click on the podcast and you can subscribe to get updated, audio as well. Anything else you wanted to add, Evan?

Evan Brand: I think that’s it. Awesome and Ross, yeah, Mastic Gum is great for H. Pylori.  Awesome show today, Evan. Great as always. Appreciate your energy and your insights and let’s chat real soon.

Evan Brand: Likewise, man. Take care.

Dr. Justin Marchegiani: Take Care. Bye now.

Evan Brand: See you.






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