The Thyroid, Adrenal and Microbiome Connection | Podcast #255

Together with Evan Brand, Dr. Justin talks about the adrenal, thyroid, gut, microbiome, brain connection and a lot more. Go through this podcast to discover more about functional medicine world. Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

4:13 Potential probiotics to treat thyroid nodule

9:06 Microbiota modulate anxiety like behavior

15:02 Stress in gut

20:16 Chemicals in water

23:10 Eating organic



Dr. Justin Marchegiani: Getting ready to go live now go get it live this week. And we are live. It’s Dr. J here with Evan brand. Evan, how are you doing today? Man? I know in the pre show. We’re gonna we’re going deep, deep into the adrenal thyroid gut microbiome connection. How are we doing, man? 

Evan Brand: I’m doing really good. Yeah, this is trippy. You know, people talk about the gut brain connection. But when you actually look into the papers on this, you actually just found a paper that was from just a few months ago, that will have to dive into on gut brain, adrenal connection, thyroid cancer, all being tied into the gut. So where do you want to? Where do you want to start?

Dr. Justin Marchegiani: Yeah, so this one article, I just want to read the summary of his articles. I think this really shows you the connection of the microbiome with the thyroid and of course, we have some scientific articles looking at the microbiome with the HPA access and connecting to the adrenal, so this is really, really powerful. I just thought this one conclusion here, and I really wanted to highlight it because I just think medicine is just really going in a totally different direction. So the title of this article here, I’ll read it all for you all here is dis bios of the gut microbiome is associated with thyroid cancer and thyroid nodules. And there are correlated with thyroid function. And essentially, we know that autoimmunity which is the number one cause of thyroid issues with almost all people, right, that is a major association with cancer and with nodules, of course, the major cause of thyroid nodules are going to be autoimmunity. But the conclusion of this study was interesting they found our results indicate that both thyroid cancer and thyroid nodules are associated with the composition of the gut microbiome. These results may further support a clinical diagnosis to a great extent, and helping in developing potential probiotics to facilitate the tree Men have thyroid cancer and nodules. So conventional medicine in the Journal of endocrinology starting to come to the conclusion that, hey, we need to have probiotics to treat thyroid cancer and thyroid nodules. That’s pretty amazing.

Evan Brand: That’s a trip trip. Well, I’ve got another paper I was looking at here that was about babies. So let me read this one because this is pretty interesting and, and kind of up the same vein here that this was looking at 78 infants who were premature and were in the queue. And it was found that the infants that had despite AOSIS, which I just call an abnormal gut microbiome. They had more gut issues, even at age four of age, they followed these kids for four years. And if their gut was screwed from day one, even four years later, they still had gut issues. So not related to thyroid but just crazy how much the stress of the mom The diet of the mom the microbiome of the mom, if the mom doesn’t have enough good bacteria, not giving good bacteria to baby, this is crazy. I don’t want to get too off topic from from thyroid to babies, but there’s countless papers coming out on even there was another one I looked at two, which was about sun exposure, right. And the sun exposure paper was looking at people getting UVB as in Bob UVB light exposure. And they had significant changes with their gut microbiome but it only worked in the patients that were deficient in vitamin D. So there’s this you know, our mutual friend jack crews, he’s always talking about Sunlight, sunlight, sunlight, everybody gets sunrise get your skin exposed to the sun. It turns out Yes, that is totally true because in various studies, living in higher altitudes means there’s a higher risk of developing inflammatory bowel disease and Ms because at a higher latitude and higher altitude both you get less UV light. So now There’s this gut flora, sunlight link as well, but it only was in vitamin D insufficient patients. If the vitamin D levels were normal, the sunshine didn’t do as much to boost the gut bacteria.

Dr. Justin Marchegiani: Interesting, very good. So I want to just kind of connect the dots here with some of the more valuable Intel. So in the study that I just looked at, where they’re talking about potential probiotics to treat thyroid nodule, and of course thyroid function issues and thyroid cancer, the couple of things to highlight is what does that mean? So despite doses typically means a higher amount of bad bacteria in relationship to good bacteria. Now in this one study, just kind of giving people to take home is the bad bacteria they were looking at that they were looking at they were higher in these cancer patients was the streptococcus and the nice Syria bacteria, and the beneficial bacteria was the lactobacillus and they also looked at the beautiful record bonus and beautiful components. I think it’s just bacteria that helps make beautiful Beauty rate is the same fat that’s in butter. Okay, so eating healthy butter and things that help improve beauty rate bacteria could be very beneficial. Also, anything that’s going to be fermented is going to give you healthy levels of lactobacillus and support puter rate is great. So those are the big bacteria that we’re looking. So I mean, these studies are limited because you’re not looking at a whole suite of bacteria, right, or a whole suite of positive probiotics. So these studies are still a little bit myopic, and their focus, but I think it still gives us a little bit of insight that probiotics, beneficial bacteria important and some of the despotic bacteria can have negative implications even affecting your immune system and even cancer. So I think it’s good to keep that in the back of our head. So when we’re seeing patients, we’re recommending comprehensive gut testing, that’s DNA based, it’s looking at all kinds of normal Flora imbalances, despotic balances, we’re measuring it to, you know, the umpteenth degree because the DNA testing is about two to 3000 times more sensitive than your typical stool testing, and then we’re also looking at infections because the bigger thing here I think is we could have an H. pylori issue or a fungal overgrowth, or we could have a, a major parasitic infection that could be thrown off the bacteria too. So sometimes the bacterial issue isn’t necessarily the root cause. It’s an effect of something deeper in the gut. That’s kind of going wrong. And then also, we have to look at the fact that gut stressing gut inflammation can throw off digestion and when our digestion is poor, we’re not ionizing minerals. We’re not breaking down our Selenium and zinc and magnesium. We’re not breaking down protein as well. We’re not absorbing all the the hormonal building blocks like cholesterol and fatty acids and protein and fats to make our hormones and our neurotransmitters. So you can see this isn’t just an isolated issue, it spirals off into other systems not working well. That’s why you need some more the clinical picture clinical, I’m for this like me and you to dive in deep and kind of spiral off the intimate connection. And how and how and why this is a big deal.

Evan Brand: Well, I love that this paper exists because between you and I both we’ve put a combined 15 plus years of education and content about gut and how important it is and how it affects every other body system. But you still have people that go to their conventional doctor and they’ll say, hey, my guy and work with Dr. Justin told me that my gut is affecting the thyroid. And the endocrinologist says, No, it doesn’t know your hormone levels are just low. We’re going to bump up your your Synthroid, we’re going to give you extra t three and supplemental form and blah, blah, blah, and they never bring up the gut. Well, now here’s the proof in the pudding. Here’s the paper that proves what we’ve been saying the whole time. So it’s good. I like I didn’t need the validation, but I guess for maybe for our ego sake a little bit when you get good results with people. And we’ve seen countless time and time again that the thyroid antibodies and Hashimoto is go down when we fix the gut. I’ve always loved seeing that. But now we have the proof to be able to show why this is working.

Dr. Justin Marchegiani: 100% and I saw a patient just from a few years back, her antibodies were well over 2000 2000 regarding feral globulin and they were around 30. Now, so I mean, you’re looking at a 99% reduction with thyroid antibodies. And I’ve seen that quite frequently, and people listening and may not be practical to get your antibodies down, even below the reference range or even negative or to zero. That may not happen. But if we can have a 50 to 90% reduction regarding those antibodies, that’s going to be huge.

Evan Brand: Let’s Let’s move on. Let’s go into this other paper that you had sent me this was the one that was from frontiers and cellular and infection. microbiology. This was a 2017 paper. It was called microbiota modulate anxiety like behavior and endurance abnormalities and hypothalamic pituitary adrenal axis. Let’s go into this because this is another frickin awesome paper that proves what we’ve seen with regarding mood and the whole adrenal connection type into the gut. 

Dr. Justin Marchegiani: 100%. So if we go into the what’s that again? 

Evan Brand: This is the one I’ll I’ll put it back in the chat for you here. This is the pub man one, go check your chat I just put it in your chat on on zoom. This is the one that’s called microbiota modulate anxiety like behavior. And so I’m going to go into Yes, kind of the bottom section of this, where it’s showing all the pictures here about the connection between you’ve got your cortical, yes, hormone, your AC TH you’ve got the metabolic effect picture here. And what we’re finding is the microbiome, the gut, your microbes, your intestinal microbes, they are changing this whole brain gut access activity, and all of your gut microbes are responsible for your dopa mean, your Gabba, you’ve got histamine, you’ve got acetylcholine And regulating the function of the CNS, which is your central nervous system and the stability of the HPA axis. This is the crazy part to me, this last part of the sentence that the intestinal microbes regulate the stability of the HPA axis. Because when we talk about the kind of this brain adrenal connection, we just talked about, like adaptogenic herbs and you know, I meditate and and deep breathing and extra Asheville, ganda and all that and maybe you need some l theanine, which is all cool. But if you’re just doing that you’re missing the boat, you’re missing the fact that the gut is going to overpower any effort on your brain. It’s like, Oh, I’m going to go do yoga to calm my nervous system. You can’t if your gut microbes are screwed.

Dr. Justin Marchegiani: Exactly. I want to highlight one sentence in this study conclusion. I think it’s vitally important. They say here imbalances of the HPA access can’t cause by intestinal microbes. So now this study is kind of submitting to the fact that the microbes are calling HPA access imbalances could affect the neuro endocrine system in the brain. That’s the brain talking to the hormonal system primarily through the adrenal and the sympathetic nervous system and the parasympathetic result in anxiety like behavior. And the study suggests that intervention into intestinal micro Flora may provide a new approach for treating stress like diseases that is profound. They’re talking about altering the microbiome typically. And that’s going to be done in two ways. It’s going to be done by killing or knocking down this biotic bad bacteria or supporting beneficial good bacteria. Those are the two modulatory ways to do it. So that’s amazing. The fact that conventional research at no one even talks about this on the conventional medical side, partly because it’s about a 20 to 30 year lag between stuff and the literature making its way into conventional medicine and there needs to be a profit motive. So if a big pharma company cannot patent what’s happening here, and we probably won’t see this be applied, because there’s gotta be a reason to spend billions of dollars in research and get patents. And if we can’t patent it, what are you going to do?

Evan Brand: Yeah, so like the $30 bottle of probiotics that we sell after we do some type of a gut killing protocol, I mean, 30 bucks, is it your profit margins, not going to be like some of these cancer drugs, for example, they’re like 1000 to 10,000% markup, you know, you’ll have like, one vial of chemotherapy, that’s 10,000 bucks.

Dr. Justin Marchegiani: Yeah. And it’s not just a, it’s not just the the money you make on it, it’s the ability to guarantee that you’re the only one that can produce it. So if you get the patent, that you’re the only one that can produce it, then you can artificially make the price higher, right. So that’s kind of how it works. It’s not that there’s not a natural profit, you know, like a 50% markup or something like in a lot of stores that you see is going to be thousands of percent markup, and it’s going to be artificial, did a patent law.

Evan Brand: Oh, that makes sense. Yeah, you’re talking rather than 20 companies all making the same thing and charging 100 bucks if you’re the only soul guy, then you’re allowed to charge 10,000.

Dr. Justin Marchegiani: Yeah, you can charge a lot of money for it. Yeah, that’s how it works. That’s how you saw that with the, the epi pen when the patents went out. Only one company had it and they jacked it up. And that’s kind of that’s how it happens. So the more we can use things that are natural, that can’t be patented, you know, then you have a little bit more market force keeping the prices down. So that’s nice. So interesting. In this study, they also talked about however, the precise mechanism of action and how intestinal micro Flora means unclear. So it’s really interesting they have there’s some unknown pathogenic mechanisms I think with a lot of the the infections causing problems, my gas, all right, my into intuition really comes at it from the perspective of intestinal permeability. I think the intestinal permeability aspect is a big one. I also think a lot of the good bacteria has a modular Tory effect on your immune system, because we know your immune system is in the gut. So if your immune system is hyper regulate or hyper stimulated, that can do a lot of different things from increasing gut permeability, to just sucking up a lot of resources for energy. And I think it also has a negative impact on your mitochondrial function as well. And then I think the low hanging fruit is you may not be digesting, absorbing and assimilating a lot of the key nutrients in your diet, which go to make other systems work like your mitochondria, like your thyroid, like your adrenal, is we not getting enough selenium, we may have thyroid issues not getting enough. Magnesium, we may have issue with our mitochondria. So we need a lot of these nutrients. And if we have stress or interplay with the HPA axis and our gut, there could be some absorption issues for sure.

Evan Brand: We should almost just title this podcast which we already came up with a better title that you’re that you’re seeing or you already clicked on to download this, which was like the microbiome adrenal thyroid link, but really, we should call it yoga ain’t gonna fix you. gut. I mean, that’s basically the summary here.

Dr. Justin Marchegiani: Right. And again, there’s a lot of data on this where the stress in the gut and stress in the brain is bi directional. In other words, Stretton the stress in the gut can create brain stress, but stress in the brain can create gut stress. And we know this because high levels of cortisol stress in the brain that makes a CTH adrenal cortical tropic releasing hormone that stimulates the adrenal to make cortisol that can create gut permeability at high levels, it can break down the gut barrier, and we know stress in the gut through number one is gluten is a big one can easily create gut permeability, which can then also create gut stress. So these are important things. Quick Study I want to pull up here. I did not show it to you but this is called dietary gluten induced dysbiosis can create issues with the tight junctions. And that’s the summary of the title. The title is really convoluted, but

Evan Brand: I want to have that link from book market myself. 

Dr. Justin Marchegiani: Yeah, I’ll send this to you right now. So you have it. But this is fascinating. And basically they’re talking about gluten having a major impact on the gut bacteria and creating this bio system. And we know with this by osmosis, that can affect the whole neuro endocrine HPA axis cascade of things. And they talked about dietary gluten had effects on the streptococcus family, the lactobacillus family, the Koryo bacteria family, really, really, really interesting and how it affects different things. It Down regulated, the guts, absorption and a lot of different ways created inflammation. So there’s a lot of different potential cascades that happen when gluten comes into the equation. So the low hanging fruit that we talked about is kind of getting patients on a paleo template which is a grain free, grain free, dairy free legume free template. And then potentially even moving towards a paleo template where we’re going grain free, legume free dairy free, no nuts, seeds, nitrates and eggs.

Evan Brand: Yeah, you may have the autoimmune. So here’s the point that we’re trying to make is that the people who say, Oh, I eat gluten and I feel fine. It’s not about whether you feel fine. It’s about that internal biochemistry that’s changing. It’s about those microbes that are changing. Also, in that study that you just sent me here. It was talking about Prevotella being affected too. We know there’s a huge link between Prevotella and joint pain. We did a whole podcast on joint pain, you know, functional medicine. And so it’s not that like, Hey, you have to get a rash or you have to break out an acne after you eat gluten. That’s not it’s a lot more subtle, but the subtle changes over time, change the whole system.

Dr. Justin Marchegiani: As a lot of people out there that I hear I won’t mention their names but their podcasts out there and say, Hey, you know, you can have gluten if you haven’t, you don’t have any symptoms. You know, you’re fine. The problem is the inflammation that’s happening here. may not create a symptom, there may be a delay in the symptoms that occur. And that that’s kind of the myopic level of thinking. You can’t just you can’t go to that conclusion, well, if you don’t have symptoms, you’re fine. In this one study, they’re looking at inflammation associated with the micro RNA. So they’re looking at inflammation at the RNA level. I mean, that is a very myopic level, very, very microscopic level, I should say. And in this study, they had some people on a gluten free diet and some eating gluten. And they saw on the gluten diet, they saw this increase in inflammation at the micro RNA level, which is pretty profound. So it may take time to manifest into actual symptoms. And we know there’s data on the fact that there are people that even if they aren’t celiac, or even really gluten sensitive symptomatic Lee, they still saw permeability with their gut when exposed to gluten. So kind of my general recommendation is try to be grain free all the time, especially if you have an autoimmune condition. And if you’re going to cheat, try to choose gluten free cheat, if you can. Now, if you don’t have a known autoimmunity, then maybe you choose a little bit of gluten here or there but be very careful with it. Try to do things like extra enzymes, extra enzymes with DPP for maybe some extra activated charcoal include a bio and to kind of deal with the stress and the inflammation associated with that you can also add in some extra glutamine and things help with the gut lining. So these are some ways that we can mitigate it. So I kind of I tear things a known autoimmunity, no gluten ever, and if you’re going to cheat, try to make sure it’s gluten free. If you’re relatively healthy and no autoimmunity, then maybe you cheat a little bit with gluten but try to make it a special occasion holidays, birthday, etc. and then try to use things to blunt the negative consequences that may occur.

Evan Brand: Yeah, well said people aren’t even aware of that. We have some little cheats in our pocket, especially that will give to people around the holiday season, different enzyme formulations that can actually sort of break up or reduce the effect of some of those food allergens. Your dairy, your corn, your egg or soy, you know, you can use enzymes to help break those apart. But we don’t want people to get hooked on those or use that as a long term solution, because then you’re still cheating and it’s not going to be reducing the the impact 100% it’s just going to blunt it, as you said. 

Dr. Justin Marchegiani: Exactly. And one thing I wanted to highlight, I saw this article come across my desk too. It’s a compound called Tributyltin, is in the chemical paint that they paint on the underside of the hall of the boats, and this compounds getting in the water, and they’re finding that this compounds actually an obese engine, and it negatively impacts the gut microbiome and then you’re getting exposed to this in the waters. So I think this is really important, why we need to be filtering our water because it’s possible that these compounds may not be filtered out with conventional filtration processes. And this compounds Aaron obesogenic and they affect your microbiome. So another great reason why you should head over our sites get a good high quality Water Filter that we personally use or slash water. I’ll put the link in the description. Waters a big component is a lot of chemicals and toxins and tributyltin and it’s just one compound that could negatively impact your gut microbiome.

Evan Brand: Oh man, that’s amazing. Well, there’s countless like that I just got the Environmental Working Groups report on local Kentucky’s tap water. And you know, people say oh, we got voted the best tap water in the US because we’ve got a lot of limestone here naturally that kind of filters out our water. It was still garbage man. There was still tons of flame retardant chemicals that PFOA which is like the Teflon nonstick chemicals, foams, heavy metals, pesticides and herbicides. I mean, we had countless pollutants in our tap water here, even though it was voted best and it does taste good. But you might you’re not going to taste these part per million chemicals that like you said can be an obese adyen or disrupt hormones. So yes, drinking tap water can make you fat and sick. Absolutely.

Dr. Justin Marchegiani: Of course and then the number One thing you can do, this is a no brainer. Most of our audience and listeners know this is avoid glyphosate. So you really want to eat 100% organic because glyphosate, many, many studies are shown to affect the microbiome couple of rat studies, looked at different rats and microbiome and saw significant, you know, impact on the microbiome of these rats when exposed to glyphosate. So you really just got to be careful, make sure you eat organic as glyphosate, which is the major pesticide Roundup. And again, one of the studies I have up here now 13 weeks study, guess what bacteria were knocked down with Roundup. I mean, I’m going to guess all of them but probably lactobacillus. lactobacillus was the major one. It was reduced in the roundup study. And we know that the thyroid cancer study showed what that the cancer group had lower amounts of lactobacillus and then when we improved it, you know, we saw an improvement in the cancer. So we know lactobacillus is beneficial and glyphosate, roundup same name is going to negatively impact that.

Evan Brand: That’s a trip well, so people say, Oh, I haven’t done antibiotics doesn’t matter. You did an antibiotic and the glyphosate.

Dr. Justin Marchegiani: Yep, exactly. So you really want to be careful. This is another reason why you want to eat organic. There’s two reasons right? Number one, you’re avoiding toxicity, which is going to affect your microbiome and your immune system. Number two, increased nutrient density. Typically, organic farming will have higher level of nutrient density because the soil microbiome will be more healthy and the microbiome and the topsoil produce help the plants produce more nutrition. So we’re nutrition on one side, less toxic than the other side. And even if, let’s say you don’t buy what I’m saying about nutrition, just the fact that you’re getting less toxins, right? Because for it to be organic, USDA Organic, it has to have no pesticides in that soil for three years. You are definitely getting less toxins, for sure.

Evan Brand: Yep. Well, this has been fun. I mean, we could do Part 2 3 4 5 6 7 8 9 10 on this because this is like one of my favorite favorite things ever. So we’ll be back to talk more about I’ve got so so I’m just giving you I’ve been told you this, but this is what we’re going to cover. Next we need to cover the gut microbiome in the issue with pans, which is the pediatric acute onset neuro psychiatric syndrome and kids. I just sent you a paper on this one. Let’s Let’s hit this next time though, because it’s a whole nother can of worms, but it’s about all these children that are having behavioral issues and anxiety and different problems. And it’s related to certain species in the gut. And if you can shift the gut out of this pro inflammatory state, you can calm the brain down. I mean, we basically already hit on that but it’s a little different for kids and I’ve seen it personally and clinically, you have to So I do want to get into this and also, there’s talk about the specific bacteria this or ODR bacteria and the link to autism. And alzheimers. So Wow, this is I mean, it goes deep.

Dr. Justin Marchegiani: I love it totally, what I’ll do is I’ll put all the links of all the studies that we talked about today in the description so you guys can go take a look at it so you can see it for yourself. It’s amazing. Your conventional medical doctors aren’t going to know about this stuff. And it’s because of the 23rd 20 to 30 year gap between the literature and going into effect in the curriculum. And also there’s just has to have a profit incentive for the big pharma if if they can’t patent it, then you’re not really going to use it as a modality. And guess what, as functional medicine docs, we take that up and we put that in our metabolic toolbox. TV’s healing get better. So I love it. Is there anything else you want to highlight today? Evan? 

Evan Brand: We’re going to be looking into your gut if you’re working with us, so if you’re like, Okay, what do I do? How do I investigate this? How do I fix it? I mean, we live and breathe and look at labs all day every day. So we’d be happy to run some panels on you and take a look at your gut and see how is your thyroid function affected by your gut? I guarantee it is how much is it affected. I don’t don’t know yet, but we can run some labs and figure it out. So if you do want to reach out clinically, you can do so at Justin’s website, which is he works with people all around the world. So do I, my website is, and we don’t care who you work with as long as you get better. So please reach out if you need help. That’s what we’re here for. Don’t wait till you’re super miserable. We got tons of people that like buy supplements and listen to podcasts and listen to summits and they buy 50 to 100 supplements and they don’t know what the heck they’re doing. You’re spending a lot more money in wasting time and maybe getting sicker by doing that. So it’d be much better to have somebody that can help walk you through the process rather than you buying this probiotic and it didn’t work and then you bought that gut healing supplement and didn’t work and then you bought this detox supplement, you felt like crap, Okay, stop doing that. You know, let us help you through what we found to work clinically.

Dr. Justin Marchegiani: 100% also we can get a window into the HPA access as well using cortisol rhythm testing. So we’ll measure your cortisol which is your major stress hormone. That’s the hormone that Made by or that stimulated by ACTA, that’s that brain chemical. That’s the neuroendocrine connection, the brain, the ACTH, the cortisol, we can look at that rhythm. And that gives us a pretty good interplay into HPA access functioning, because the data says that, you know, as that cortisol starts to get this regulator rhythmically, that’s a big sign that the HPA access is out of balance. And so we can use specific herbs, we can use protocols, we can work on fixing the microbiome, we can look at getting rid of some of the chemicals like we talked about, we only mentioned to today, the cyberbullying and the glyphosate, mold, and others toxins and metals could be another factor as well. That’s another podcast of the day. So there’s a big is a big net that we’re kind of looking into and trying to connect everything here because everything’s intimately connected. And I hope you guys are enjoying the Intel. If you’re feeling overwhelmed, just feel free to reach out to us we can help break it down. The big connection here today is stress, brain stress, HPA access. That’s the communication all feedback loop brain to the adrenal brain to the thyroid. Think of that as the thermostat to the heater thermostat to the air condition, right? Imagine you having that thermostat not talking appropriately to the heater when you want it to get hot, or the air conditioner when you want it to get cool. And that’s a big big connection. So when we talk brain stress, or HPA access, pretend like your thermostat in your house is not working or probably that’s kind of the equivalent here.

Evan Brand: Makes sense. Makes sense. Well said.

Dr. Justin Marchegiani: All right. Well, if you guys enjoyed it, give us a thumbs up give us hit the bell as well. So you subscribe. We appreciate great reviews, for reviews. And let us know your comments down below things that have helped you things that have hurt you in regards to the HPA access and your gut microbiome. We appreciate it. Evan, it was great chatting today man you have a phenomenal day. 

Evan Brand: Yeah likewise you too see you. Take care. Bye bye.


Audio Podcast:

Common Childhood Infections, Digestive Health, Gut Issues, Bacterial Overgrowth | Podcast #200

Kids are more sensitive than adults, but gut bugs don’t discriminate based on age. Do you want these little critters to devour your child’s health?

Today’s podcast talks about food consumption, infection, bacteria exposure, and kids’ health. Watch and know why children have gut bugs and how we can naturally address it. Sharing is caring!

Dr. Justin Marchegiani

In this episode, we cover:

06:36    Gut Health for Kids

10:54    Healthier Substitutes to Sugar

23:35    Breastfeeding Vs. Lab Formulas

26:27    Gut issues with school-aged children.

35:17    Alternatives to Flu Shots

43:16    Correct Dosing

48:15    Chlorine can Affect Gut Microbiome

51:29    Filter Systems


Dr. Justin Marchegiani: Hey there! It’s Dr. Justin Marchegiani in the house. Evan Brand, how are we doing today?

Evan Brand: Hey, man. I’m doing great. I’m super refreshed. I was so jealous of you getting out on your boat all the time, so I finally got to get out on the boat myself and I had a blast! I mean, when you’re out on the water and all you see are trees and blue sky and the reflections on the water, that’s a very recharging thing to do.

Dr. Justin Marchegiani: Oh, it’s totally recharging, especially if you get some fresh air, little Vitamin D– Maybe you do uh– some cold thermogenesis too. Get in the water where it’s a little cold.

Evan Brand: I jumped in. It felt great. We saw tons of different birds. I mean, I brought my binoculars out on the boat so we were just looking at all sorts of birds. We saw an Osprey bomb dive and catch a fish. That was really cool.

Dr. Justin Marchegiani: Wow! That’s cool. Do you know if you if you’re swimming in Lakewater, do they have– do they have a grounding effect like– like going barefoot on the uh–

Evan Brand: I’m sure.

Dr. Justin Marchegiani: -front grass wood?

Evan Brand: I’m sure it does. I mean, there is no electricity. It’s not like you’re swimming in uh– a pool that’s hooked up to a big water pump or something. You know, that’s about as primal environment zoo can get.

Dr. Justin Marchegiani: That’s great. Excellent. [crosstalk] so you guys in–

Evan Brand: I fe— I felt really good.

Dr. Justin Marchegiani: That’s good to hear. I see you got some weights behind you. You– You’ve been lifting some weights recently?

Evan Brand: Uuuh–

Dr. Justin Marchegiani: You’re looking a little bigger.

Evan Brand: Uuuh– Well, you know, those– those are the same weights back there that I’ve had. I just moved my desk around. But uh– But yes. I have been lifting more, and luckily, no pain. No– No pain. I’m– I’m– I’m back into the– to the weights without trouble.

Dr. Justin Marchegiani: Good. I got to get back a little bit more into lifting. Like– My big movement is, I’ve been doing a couple of Tabatas a week and then I’ve been getting like the last three days 15,000 steps per day the last three days. So, I’m getting uhm— you know, about 45 to 50 miles a week of walking.

Evan Brand: That’s insane.

Dr. Justin Marchegiani: Yeah. I mean, it’s nice. Then I got my little treadmill desk uh– Well, treadmill is up here, and then I have my little stepper that I do a lot of, you know, maybe three to five thousand steps there if I’m like– if I’m feeling a little bit more aggressive at night, I’ll– I’ll put it up in front of the TV and do some steps while watching TV is too.

Evan Brand: Oh! One update I do have for people; I did get an Oura ring. I do not have it on…

Dr. Justin Marchegiani: Oh, yes.

Evan Brand: …but I did get the ring and I do put it on airplane mode at night, and I’ve been tracking my sleep at night. And I think it’s kind of silly overall just to track your sleep and that’s it. So what I’m trying to do is, I’m gonna start experimenting with certain adaptogenic herbs and certain protocols and see if I can change the amount of deep sleep, if I could change the amount of REM sleep that I get. So for example, maybe I take Ashwagandha, maybe a little bit of GABA, and then see what happens. Do I get 20 minutes extra deep sleep by doing that? Or do I get more REM sleep? I want to see how the herbs change the sleep rhythm.

Dr. Justin Marchegiani: I think that’s smart, man. I mean, I’m gonna take some of my herbs right now here to get my adrenals prime and ready for a long week. But I think things like that are great because it’s not only– the perception is taking adaptogens helps you perceive stress better because input comes in and then you don’t feel as jazzed or as kind of uh– spider senses are tingling ‘cause it allows you to interpret that stress uhm— a little bit better so you’re not as wound up.

Evan Brand: Yeah.

Dr. Justin Marchegiani: And then, of course, you know, just having good healthy habits to go to, like movements, uhm— like exercise, like prayer or meditation or visualization. Having those kinds of techniques, I think there is another way to take that energy or stress and– any kind of channel it, I think is also great.

Evan Brand: Yeah. The other thing too that I’m interested in is to see exactly uuh— how like the blue-blocking glasses–

Dr. Justin Marchegiani: Uhmhm–

Evan Brand: –help me. Like, it’s my– because it also tracks your heart rate variability and it also tracks your resting heart rate. And you can see, your resting heart rate dropped towards the middle of the night. So, I’m curious to see. “Okay. Hey, if I blasted myself with some light before bed, did that actually impacted anything?” We know that it does but it’s gonna be good to be able to quantify stuff.

Dr. Justin Marchegiani: Totally. Like myself, I noticed, if I have a little bit of dark chocolate before bed, I get a little rev. Like, dark chocolate for me has– has some very good cognitive benefits. I am very focused. I’m very alert. I’m not overly stimulated but I definitely have this kind of steady energy. So I do notice, if I’m trying to get to bed earlier, I either do less or I just, you know, don’t do anything. So I’m– I’m moving like my snacks towards like uh– Almond butter, Green Apple with some Cinnamon as a kind of a snack so I kind of shifting my snacks a little bit, but I’d still, I’d find that if I do a blue-blocking glasses like my swannies, it does like make me tired. Like I just get tired really fast. I’m like, “Whoah!”

Evan Brand: That’s a good sign. Yeah. I’ve got these little yellow ones here. We were talking about flicker from screens. I won’t put them on here ‘cause I’ll look silly with the reflection. But these little yellow ones, they’ve been doing me pretty good so I’m gonna keep testing them, and I’ll report back to people. ‘Cause it’s like, “Hey, look.” We don’t want people to not enjoy modern life and technology, but there’s-

Dr. Justin Marchegiani: Totally.

Evan Brand: –a good way and a smart way to do it.

Dr. Justin Marchegiani: Oh, yeah, a hundred percent. And I know, we uhm— we’re chatting before the show, we were just talking about, you know, the investment that we’re making into our monitors, right? We both are all about– We have the– the– the flicker-free monitors along with the low blue-light. So, this allows us to be working with our patients and have all this technology. Uh– so we don’t, you know, deleteriously affect our health.

Evan Brand: Yes.

Dr. Justin Marchegiani: So we’re trying to find technology that allows us to perform well but also be functional.

Evan Brand: Yeah, I mean, Dr. Mercola, he– you know– basically, made fun of himself when I talked with him because he was using a 50-inch TV– 50-inch TV, blasting himself with blue light and flicker, etc., and then he gets on this whole EMF rabbit hole. And now, I don’t know what he’s using now but I’m guessing it’s not that TV anymore.

Dr. Justin Marchegiani: Yeah. The problem with TVs is, number one, they’re– you aren’t designed to be that close to them.

Evan Brand: Right.

Dr. Justin Marchegiani: So if you’re that close, you’re getting a ton of that, and I don’t think they have like the low blue light, low flicker TV stuff. I know they have it from monitors ‘cause people have the eyestrain issues ‘cause they’re so close. So I think, going with the monitors like I’m on a Viewsonic that’s got uh– a no-flicker, low blue light, which is great. I know we talked about you. You’re gonna be tested in the Viewsonic, the new Viewsonic, as well as the– What’s the other brand?

Evan Brand: The other one is BenQ.

Dr. Justin Marchegiani: BenQ. So, anyone here is on monitors or needs them for work and stuff, really look at a good external monitor that has the low flicker light, as well as the uhm— low blue light. So, I’ll put a link to the ones that I have. I have three big 30-inch ones, and then my laptop monitor, so four t– technically, I’d usually only use just the three external ones, and they work phenomenally.

Evan Brand: That’s awesome. So, what we’re kind of chatting about– and then, of course, we can go into other topics– but we get a lot of questions about kids now that the kids are back in school at the time we’re talking and towards the end of September here. A lot of moms are saying, “Hey, look. My kids got these symptoms like they’re complaining of tummy aches. What should I be doing to investigate my child’s health?” And the question is great. It’s really not that different than what you would do with an adult, but I think there are some important things that we can talk about that are a little different for kids in terms of gut health. So let’s dive into this.

Dr. Justin Marchegiani: Absolutely, and I– you know, myself, I have a 13-month old child. You have a– a 2-year old child. So, we have a kid. We know what it’s like. We’re in the trenches. So, we’re talking about it from a place of empathy. I think when you have kids. You have to have like you’re non-negotiables, right? Like my kid’s not gonna whine to the point where I say, “Okay. Okay, Aden, you know, you don’t have to wear your seatbelt in the car today.” Right? Or, “Hey. When you go on your bike, you don’t have to wear your helmet when you’re on your bike.” Right? Like, these are like non-negotiables, I’d say, for 99.9% of parents. But it’s amazing though, those non-negotiables– For me, I have certain foods that are non-negotiable, right? So I have non-negotiable foods but how parents will negotiate with foods, and then those foods become a habit, right? So, with my son, Aden, he drinks– He doesn’t do a ton of green vegetables, right? Just a little bit. But what’s the substitute. Well, we do green juice. So he does Spinach, Kale, Celery, and Cucumber, and uh– Parsley and Basil, and it’s all ground up in a green juice, no added sugar. So we got a little bit of green juice. He’ll do a little bit of sweet potato. He loves his berries. He r– rotate between Blueberry, Raspberry, Strawberry, and Blackberry, and we noticed that he had uh– some would start to come out in a stool after a period of time so we just rotate between those. And then, he has meats — pork– you know, pork, chicken, fish, and then, some egg yolks. And then, of course, we have like a couple of starches– squash, sweet potatoes. And then we try to get some veggies in there when possible, like cut up Broccoli. Broccoli, in thin strips, sautéed in– in uh– in uhm— butter with some sea salts, and then we’ll do the green juice. So we kind uh– we were able to figure out what the substitute is so we can get some more greens in, but it’s a non-negotiable.

Evan Brand: Yeah.

Dr. Justin Marchegiani: And, we just celebrated his uhm— birthday recently. We had two birthdays for him. Uhm– One with his other family, with uh– my wife’s side of the family, so they could be there. And we got him this organic, gluten-free cake and he took one bite of it and threw it on the ground.

Evan Brand: That’s awesome.

Dr. Justin Marchegiani: Right?

Evan Brand: [laughs]

Dr. Justin Marchegiani: And it– it’s because– This is why I try to get a hold of my parents that I– that I coach, that have kids. It’s that kids’ taste buds reset.

Evan Brand: Yes.

Dr. Justin Marchegiani: And they become less sensitive, and then when you palm them with sugar, it’s like, “Whoah!” It’s like, you’re used to like watching stuff on your TV and now you’re going into a movie theater with huge speakers surrounding sound and subwoofer, and you’re like, “Whoah! Okay. This is overwhelming.” So it’s kind of like that. But the things are, so if kids are eating a whole bunch of sugar, and now that’s being pulled out, their taste buds are kind of like have to down-regulate. It’s like, “Okay. You’re at the concert. Lots and lots of music. Lots and lots of speakers. Then you come home, and it’s like everything sounds like a whisper.” So their taste buds are just under-stimulated, and it will take a couple of weeks for those taste buds to reset. Now the big thing you can do is we can make sure Zinc is present. We can make sure good quality; essential fatty acids are present. We can supplement with Cod Liver Oil, right? We can– We can use uhm— smoothies, where we provide a little bit of sweetness with some berries, or maybe add some Monk Fruit or Stevia to get some of those nutrients or Collagen amino acids in there. So we just got to make sure like– Alright. What are our non-negotiables? Let’s make sure we prioritize food. Food is really important. I think parents– most parents get lulled into it ‘cause their– their kids watch TV or they go to uh- you know, other kids’ houses. Most parents don’t prioritize it, so it’ easy to get them sucked in and then they want it. ‘Cause, remember, these foods are designed to be addicting. So, once your kids are addicted, they’re gonna be on you to feed them. So you have to do your best to kind of create the shelter. And remember, your kid’s palate in the first five years of their life, that’s where their taste buds and their palate is formed. So, you don’t have to be perfect ‘til they’re 18. You just really have to give them those first couples of years up to age 5. You really form that palate and then their taste are gonna be dialed in, and then you’re gonna have that kind of effect like my son had, where it took the cake through on the ground ‘cause it was just too much for him, right?

Evan Brand: Yup.

Dr. Justin Marchegiani: So just– We know, you don’t get to be perfect but you just got to have alright, “What are the goals?” And then find the healthy substitutes. Like, I’m still gonna give my kid some cake on his birthday because, you know, he’s a kid. I want them to have those experiences, but we found healthier substitutes, right? Find the substitute. You don’t have to take away your kid’s experience but you can just find the healthier versions.

Evan Brand: Yeah. And even if you have to make something and you can’t find store-bought, I mean, there’s like grain-free cookies. There are grain-free cakes. I’ve seen some. There’s a brand, I think it’s called Simple Mill or Simple Mills, with an ‘s.” But they have a grain-free option like Almond-flour cookies, and it’s like less than one gram of sugar per cookie.

Dr. Justin Marchegiani: Awesome. Like, for instance, my wife and I over the weekend, we had pizza. What did we have? We got the cauliflower crust, and then, we just had some organic tomato pizza sauce. And then I had some Almond cheese that has coconut oil in it. No bad fats. So we just do- here’s the crust already pre-bought. We just spread some tomato sauce on it. Got some Almond cheese. We cooked up some grass-fed meat and laid it on top. Cooked it for 10 minutes. It’s out. And we hit a phenomenal meal.

Evan Brand: I’m gonna have to buy that. My wife’s been wanting pizza superbad so I’m gonna have to do that.

Dr. Justin Marchegiani: Oh, yeah! Yeah. I mean, you can get, I think it’s Caulifornia.

Evan Brand: Okay.

Dr. Justin Marchegiani: Caulifornia kind of a little plant cau— cauliflower in California. And they have a great pizza crust, very low carb, organic, nutrient-dense. And then, you can just get, if you want, the cheese. Just there are some pretty decent Almond cheeses out there that taste really good. And uhm— just got to look at the ingredients in the back. Some have Canola oil, some have junkie fats in it. Some don’t. So you just got to look at and see which ones make the most sense. I mean–

Evan Brand: And where’d you find the crust of that? That was whole foods?

Dr. Justin Marchegiani: We– Yeah, hopefully, it has it. You can order online as well. I think Cappello’s also has one as well. And then you can figure out what you like. They do have a nice Cassava Tapioca one that’s very good. It– It’s like– kind of like uhm— It’s really stiff and kind of hard, so it gives you that little bit more body to it. But it’s nice. So you can– you can do these things. You can– you can have the experience. You can give your kids the experience without all the side effects.

Evan Brand: That’s– I mean, that’s the best part of it too. It’s like, they get made fun of so much already for bringing a healthy lunch to school. You know, we talk with these moms and their kid gets bullied ‘cause they brought a lunchbox and they have like an organic apple. And all the other kids are drinking chocolate milk at school, which is high fructose corn syrup and a bunch of other garbage.

Dr. Justin Marchegiani: Yeah.

Evan Brand: And if the kid does it, they come home with a tummy ache. Now, I think the diet piece was great. Let’s chat about infections and kids. I mean, this is very, very common. I’ve already tested my daughter’s stool twice. She’s two years old but I’ve already tested her gut twice just to be sure what’s going on. And she did have some bacterial overgrowth that we did use some herbs to address. And her gut and her poops are awesome. They got a little bad, so we thought something was weird. Tested it. Showed up–

Dr. Justin Marchegiani: Yeah.

Evan Brand: -with Klebsiella. She had Klebsiella overgrowth and then something else. I don’t remember what it was. Maybe Streptococcus or something, but we did get rid of it and retested to confirm. And uh– I see infections in one-year-olds, two-year-olds, three-year-olds, five-year-olds, ten-year-olds, 20-year olds– I mean, these bugs don’t discriminate based on your age. That’s for sure.

Dr. Justin Marchegiani: Totally. Just to highlight one more thing before we dive into that, ‘cause you brought up a great point. As the– As the parent, uhm— it’s really important. Don’t project what your– what you think your kid needs. I see a lot of parents that uhm— they project like a lot. It’s been so ingrained in our society that part of the kid being a kid is then having and experiencing junk food.

Evan Brand: Right.

Dr. Justin Marchegiani: And I think it’s really important that’s– that’s all marketing. As m– my parents grew up in the 50’s, right? There really wasn’t processed junk food out there at all. Like you just– it didn’t really exist. There were just real whole foods and the whole, you know, junk food industry really hadn’t begun ‘til the 60’s and 70’s. So these weren’t even options for most people. Uh– My parents, for instance, didn’t have that option. This is all newer stuff. So, try to– if you– if you’re a parent today like I’m challenged to say I want to give my kids some fun experiences but I want them to be healthy. So, find the healthy substitutes out there. There are lots of good bloggers that specialize in this stuff, and they have lots of good substitutes that will give your kid that feeling and that great, you know, the atmosphere of being a kid and experiencing different things but also having to be healthy. So have the health mindset first. Make eating healthy for your kid a non-negotiable. Okay. Like if we’re gonna have pasta, for instance, here’s what we’re gonna do. We’re gonna do miracle noodles that are glucomannan-based, which is like a Japanese Konnyaku yam and had zero calories, zero carbs, and we’ll sautee them and some ghee. We may add some coconut cream with it, and then we’ll put in some grass-fed meat. So we get some extra protein and maybe a side of some vegetables. RIght? So we can do healthy things and have those experiences and not go without too. So just think like that. Now–

Evan Brand: That sounds delicious. Do you get those miracle noodles? DO you order those or do you buy those locally?

Dr. Justin Marchegiani: I get them on Amazon.

Evan Brand: Oh, do you? Okay.

Dr. Justin Marchegiani: Yup. I get them on Amazon. I love them. I sauté them in some ghee for five minutes, and then they’re done. And then I’ll cut up some uhm

Evan Brand: Do you cook them first? Do you cook the noodles like you boil them in water or something first?

Dr. Justin Marchegiani: No. I mean, for me, I strain them out with some cold water, and then I put some ghee on a uhm— on a griddle, just a pan. And then I just sauté them in there for three to five minutes and then serve them.

Evan Brand: And they’re done?

Dr. Justin Marchegiani: That’s it.

Evan Brand: Then do they have different flavors or is it just miracle noodle and that’s it?

Dr. Justin Marchegiani: Well, I mean, there’s not really flavors when it comes to noodles but they have a different type. They have angel hair, fettuccine.

Evan Brand: Oh.

Dr. Justin Marchegiani: I believe they have miracle noodle rice too, which is great if you want a rice substitute. So I like that if you– if you want that kind of pasta feel. I mean, I grew up in an Italian household.

Evan Brand: Right.

Dr. Justin Marchegiani: We had pasta a lot. And it’s kind of nice to have that so– And then, we’ll do the spaghetti squash as well, uh– spaghetti squash noodles. I love those, and then we’ll do the zucchini noodles. These are great.

Evan Brand: That’s great. Yeah.

Dr. Justin Marchegiani: Miracle noodles really feel like noodles.

Evan Brand: I’m gonna have to try them. I mean, typically, we just do organic white rice, maybe once a week in the pressure cooker, and I do really, really good with it. No issues. No skin rashes in the baby from the rice. So we do that once a week. But besides that, we don’t do any- any grains but it will be fun to have it like a pasta alternative. So I may look at–

Dr. Justin Marchegiani: Yeah.

Evan Brand: –any of those.

Dr. Justin Marchegiani: Yeah, and we got the pizza alternative and we got the–

Evan Brand: That’s cool.

Dr. Justin Marchegiani: –alternative. That’s–

Evan Brand: Very cool.

Dr. Justin Marchegiani: Excellent. So getting back on your thing, gut health’s really important. Now, why do kids have issues with their guts? Uhm– It’s a combination of number one, what did the mom eat when she was pregnant, right, was there pesticide exposure, was their antibiotic exposure, uh– was there excess sugar and carbohydrate issues uh– when she was pregnant. That’s number one. Uh– Number two, what– was there a vaginal birth? Did you get some good vaginal uhm— bacteria activation with the birth? And then number three, what kind of exposure did the child have off the bat? Uhm– Growing up, I only breastfed, I think, for the first like three or four months, and which my moms like, “Oh! You only wanted to eat that long?” I said, “Well, I sh– three or four month-year olds shouldn’t get a choice. [laughs]

Evan Brand: [laughs]

Dr. Justin Marchegiani: [crosstalk] –for at least a year but anyway, that’s neither here nor there.

Evan Brand: I got uh– I got zero– zero days of breastfeeding so–

Dr. Justin Marchegiani: Yeah. So there you go. So I mean, you can be healthy, right? But uhm— obv– obviously we’re healthy but there’s a lot of research out there. The longer breastfeeding you have, uh– the better chance of health. My son, Aden, is 13 months and he’s not gotten sick once. World Health Organization recommends 18 months, a year and a half. My son’s 13 months and he’s doing well with that, but uhm— moral of the story is, I was fed lots of dairy and grains in that first six months, and I got lots of ear infections. And the ear infection caused lots of antibiotics. I needed tubes eventually in my ears because–

Evan Brand: Oh.

Dr. Justin Marchegiani: –of the chronic ear infections. And I had ear infections into my even early teen years. Once I stopped gluten and conventional dairy, gone.

Evan Brand: Surprise!

Dr. Justin Marchegiani: Something to do is uh– this– this– the sequelae, right? Your kids are on gluten or dairy. They start getting ear infections. What happens? Antibiotics. Antibiotics. Antibiotics. Gut flora goes down, down, down, down. Dysbiosis, yeast, and fungal overgrowth. Yeast and fungal overgrowth perpetuate what? More refined sugar consumption because these critters produce chemicals to make you crave these refined carbohydrates, and the cycle goes on and on and on. The gut gets leakier, and this is the kind of autoimmune zonulin leaky gut food allergy. More zonulin, tight junctions open up. Autoimmune conditions start to occur. So this is the pathology that we want to stop. This is like this pathological downwards cycle. So we want to make sure to cut out the most allergenic foods. Keep your kids healthy initially, and this is gonna get you off this antibiotic exposure cascade. And then, of course, you know, the pesticides and the roundup, the glyphosate, all intensify this downward cycle.

Evan Brand: Yeah, well, you brought up a great point about the autoimmune disease. The term Juvenile Rheumatoid Arthritis did not exist until pretty recently. I don’t know if this was a five-year-old term or three years old or ten years old, but you’d used to not hear of such a thing as Juvenile Rheumatoid Arthritis now. They– When I say they, I’m guessing the FDA, whoever creates diseases so that they can then legally market a drug for them. They had to come up with the juvenile term because they were seeing that so many people, younger and younger were getting Rheumatoid Arthritis, and that used to be something that quotes on quote started to occur in your 40’s or 50’s, and now it’s occurring in five-year-olds, ten-year-old, fifteen-year-olds. They have no idea why. So what do they do? They just put the word juvenile in front of it, and but we know, behind the scenes. It’s the same mechanism. We know that uh– for example when we test uh– a lot of children in teenagers and adults as well. We test our guts. There’s uh– There’s an infection called Prevotella copri. If you just Google Prevotella Rheumatoid Arthritis, you’re gonna find that 75% of people who were newly diagnosed with Rheumatoid Arthritis. They actually have a Prevotella infection, and so, we can’t legally say cure. But what we can say is if you get rid of that infection, you could shut this autoimmune disease down. And there’s a whole category of bacteria that Justin and I test on every single client. There’s a whole category of potential autoimmune triggers. Meaning, if you have this bacterial overgrowth, you have stress, you have the Zonulin elevated, which is taking those tight junctions and ripping them apart. You’ve got the potential to get an autoimmune disease, and those bacteria, or parasites, or worms, or protozoa, or the yeast that you mentioned from the antibiotics, or the sugar. All those things add up and then all the sudden the trigger on the gun gets pulled, and then you got this autoimmune disease. So what our goal is, is practitioners is– Let’s try to prevent the disease from occurring. You know, why wait until somebody gets a diagnosis. Then they’re motivated. It’s like, “Well you should have been motivated before you got the diagnosis because it’s much, much easier to get someone out of the rabbit hole before they entered the hole.

Dr. Justin Marchegiani: 100%. ‘Cause it’s not just one thing. It’s the– this one thing happens and it knocks over all these other dominoes that– that push you more in this direction to the next to the next to the next. Kind of like the ear infection thing perpetuated the antibiotics which perpetuated the yeast overgrowth which perpetuated more gluten and more dairy which perpetuated the antibiotics. And then you’re like, you know, five, eight, ten years down the rabbit hole, and you got a whole bunch of issues. So, we want to educate parents, and– you know– “Okay. What are these first dominoes that could fall and where could they go?” So, there’s that, and I think the first intersection is, “Okay. We want that good bacterial stimulation at birth.” So, my wife would have to have a C-section because of uhm— she had a fibroid that was removed a while back that was on the bigger side, and based on our timeline, we– we couldn’t use natural means because of how long it may take. So, we had to have her fibroid removed. And once it’ removed like that, most obese are not gonna allow a vaginal birth just because of the potential uterine rupture that can happen. So because of that, we have to do a C-section. Now, what do we do to help prevent that? We do a technique called vaginal seeding or we put a– a moist sterile uhm— medical kind of towel into her vaginal area about one to two hours before birth. So before she had the C-section, we had it in there the little bit of saline solution to kind of stop up any of the bacterial flora. And then when the baby came out, it was good. I went over to the baby and I basically dabbed him everywhere — face, eyes, mouth, butt cheeks, general private area, armpits. He basically got exposed everywhere to that bacteria that he would have gotten in the vaginal canal. And so that kind of. That starts to activate that immune process and gets that immune system going. So, if you aren’t able to do a vaginal birth– and you know, I’m very holistic-minded. I did everything I possibly could to make that caption– happen. Uhm– I’d weighed out the risk and didn’t want a uterine rupture, and even if it was a small percent chance, we went that way. And this is was the other kind of thing you could do. So if you can’t do a vaginal birth, you could still get some of these immune benefits with vaginal seeding techniques.

Evan Brand: Well sound like it worked ’cause he hasn’t gotten sick and all kind of void and also he’s   so we know that he’s getting tons of different immunoglobulin and all sorts of other good things from the milk too and, your wife’s diet dialed in too so I mean, I think you can circumnavigate some of the downfalls of that pretty easily.

Dr. Justin Marchegiani: Yeah on the breastfeeding side it’s really important most women don’t understand that uhm— when a child exposed to something the bacteria or whatever they’re being exposed to in their mouth –  hits the nipple; it’s a two-way valve. So then, the other side, the woman or the wife’s gonna – your mom, the baby’s mom – is gonna start making antibodies that will go out in the breast milk so baby has some kind of immune stressor that hits here and the nipple goes in, the immune system goes to work on the mom’s side and starts making antibodies that go back to the baby so there’s this wonderful two-way valve that’s there. So, when my son’s in the new environment my wife’s they’re like swapping it up trying to get her immune system exposed so she can start going to work and making antibodies for him. Uhm– if he needs him, he’s not getting sick and then when she gets a little run down we have boosted her up with a little bit of adaptogens and uhm— we have used some additional mushrooms when she’s a little bit more immunocompromised, higher dose Vitamin-C and some immune support cod liver oil to kind of get her boosted up. You gotta be careful with the child because you can’t really give the– the child too much but we give my wife some of the immune-boosting support then she can pass some of that down to the– the baby.

Evan Brand: Now I think we’d talked about this before but did you ever see that photo online? There was a woman who shared a picture of two different bags of breastmilk that she had collected from herself. One was just a normal day of breastmilk and then the other, it was like a day or two after her child got sick. She collected breastmilk and bagged it up and the– quote and quote uhm— “sick day” where the baby where the baby was sick. The mother’s milk that day was so, so dark and yellow. It was almost as if, it became super milk full of immune supporting benefits after she figured out her baby was sick.

Dr. Justin Marchegiani: Yeah I mean this is why formula will never be able to compare because you’d have to have a laboratory where it’s constantly being tweaked and designed and then you have to, you have to essentially uhm— add stem cells in, and specific antibodies. I know people that have worked for, let’s just say drug companies that have told me that the internal research that the drug companies have done, uhm— comparing breast milk to a formula, don’t even compare. It cannot even come close. Yeah this is internal research so it doesn’t get out there but I talked to people on the inside that have done these type of, you know, internal research and they just say, “we can’t even come close to it”.

Evan Brand: I believe it.

Dr. Justin Marchegiani: So if you have the ability to breastfeed, uhm— work it and do it as much as you can and hire a lactation consultant. We had some issues to start with just because I think when you have a cease action there’s some trauma that happens and that creates a stress response and then you can maybe add some pain drugs that can decrease your flow, you were able to what is really hard the first month but it’s the best gift you can give your child. So, really don’t– don’t take it for granted. It– it’s important if you know what’s coming out of stem cells and antibodies and the constant shifts to what your child needs is very important.

Evan Brand: Yup, and let’s fast forward to let’s say five-year-olds, ten-year-olds,  , you know, school-aged children, you know, that may no longer be breastfeeding uhm— I mean, I’ve had– I’ve had a couple women, breastfeeding their kids at five years old you know, like once a day, or– you know, once at night or something like that, you know, and I– I pass no judgment. Most societies gonna judge people for that but you see tribes that do it for a long, long time. But, either way, wherever you are in that spectrum, however old the kid is, we see infections all the time in five-year-olds,  , fifteen-year-olds. I had a mom who brought two five-year-old twin boys to me. They’re about to get kicked out of school because of their behavioral problems, and we tested both of the kids gut and they had tons of parasites man. The bac– bacteria level growth, they had candida, they had all of it and so, we know, we talked about this before, we did a whole show on it but, with the cluster of bacteria, causing a buildup of dopamine ‘cause it messes up in the enzyme in the gut. And all we did is we just made a herbal protocol to get rid of the infections in the gut and the kids were able to take the capsules luckily than you have to swallow pills. We’ll talk about what you can do if you can’t but, and then we got rid of the bugs and then the mom emailed me and she’s like “what did you just do to my kid?” And I was like “whoa what do you mean?”. And she was like: “Well the kids can actually sit still”. They were never able to sit still in their chair before for more than five minutes. And I was, “because we just calm the gut down which then calm the brain down – their behavioral problems disappeared. And they didn’t make your regulane or whatever pharmaceutical drug that a conventional doctor would have put them on.

Dr. Justin Marchegiani: [Sighs] Totally. And when you’re dealing with kids, that can be a little tough because I see in my kids, they don’t like to chew food at that well. I’m not sure if you might notice this with your kids, they don’t really chew really well. So one of the things is we haven’t done it yet but uhm— one of the things of we need to, you know, I have chewable enzymes that we use that taste kind of good, they’re very low in sugar but they’ve really good enzymes in there that can be super helpful so we’ll give some enzymes if needed. We also give something at night my son call gripe water which basically has some herbs in there that help in digestion. It’s kind of a little ginger in there and some phenyl, which is a really good kind of a natural uhm— digestive, stimulates enzyme and acid production internally. So we do some of that and then, you know, for having any mobility issues, we’ll give them some lypozomo or some sublingual uhm—  magnesium as well to kind of help in motility, just to keep things moving because kids’ intestinal tract they don’t have their parasympathetic– parasympathetic nervous system kind of dialed in yet that’s why they uhm— can’t control uhm— motility as well. So that really kind of keeps things moving. We don’t want them getting backed up either. So enzymes are great. And then we also do some specific probiotics the first couple of years, you know, three to four years of life, the ___[29:01], is a really important ___[29:03] in probiotics uhm— kiddos need. And you not might see that in your typical adult uhm— based probiotic. There’s the lactobacillus, uhm— ___[29:14] uhm— it begins with an “r”… I have to go look it up again…

Evan Brand: Rhamnosus one…

Dr. Justin Marchegiani: Yes, that one, that one. So the Lactobacillus rhamnosus is really important with the little guys, and so is the infantus. So those are the really good ones you wanna look at and then we’ll have the good enzymes there as well and then we can use some digestive kind of liquid compound. I like gripe water. There’s a couple of other compounds that are great that really can help with the digestion especially when if your kids are not chewing food that well.

Evan Brand: Yup so the enzymes could be great but if you have infections you have to clear those. So the question may become “well, how do you do it?”. Well, it depends on the weight of the kid first of all so, you always have to go based on weight. You’re not gonna give a full strength, you know, parasite killer, for a two-hundred-pound man for a thirty or forty-pound child. So you always gotta make sure that you dose the herbs appropriately. Now, these things are really-really safe in compare to pharmaceutical drugs but you still want to be smart with it so you’ll typically do like a quarter of an adult dose or a third of an adult dose of the herbs that you use.

Dr. Justin Marchegiani: Yeah, kind of get the foundations dialed in. Also, when you’re changing your kid’s diapers, look at their stool. I noticed a whole bunch of blueberries in my son’s stool a month back, so we rotated things out. We started doing blackberries, and raspberries and strawberries. We kind of rotate it and if I saw some particulate that I could recognize more frequently, that was pulled out of the rotation for a week or two and then we add a back in. When we add a back in, I kind of looked, and it looked relatively clean. So, keep an eye on what you’re noticing in the stool – that could be helpful. Enzymes can be great, probiotics can be great. And then the next thing is well– “when should we go to the next step?”. I think if your child still has symptoms or distress or behavioral issues then I think looking deeper to the gut is gonna be that next step where Evan just mentioned, getting a comprehensive gut test. We like the GI math test as well that’s a great one. And then we can look and see what that next step is.

Evan Brand: Yeah some, if you got a five-year-old or a ten-year-old here, you’re probably not gonna see what their poops look like. Those kids are probably flushing the poop and they don’t want you to look at it, they’re embarrassed so you can’t check out their poop then you just have to take their word for it. If they say they have stomach pain, then you gotta investigate. A lot of kids do report that to the parents, “Mommy my tummy hurts”, you gotta get him tested. And, I found two-year-olds, three-year-olds, four-year-olds, all with giardia, crypto, and h pylori and bacterial overgrowth so, just because you’re young doesn’t mean and just because you haven’t travel about in the US does not mean that you’re free from infection because you definitely could have stuff. And we saw pinworms. We saw pinworms in our daughter’s stool.

Dr. Justin Marchegiani: Yep.

Evan Brand: We tried as many things as we could in terms of herbs to get rid of ’em. You know what the final straw was – they helped us – was the diatomaceous earth. And we only did it for about four days. And we just did a tiny amount. We mixed it in with her other liquid tincture supplements and we finally got rid of the pinworms. Those things were terrible. She was up all night, her butt was itching, you could tell.

Dr. Justin Marchegiani: Oh yeah, tell them that could be a yeast issue, it could be a worm issue, could be a parasite issue. Have your kids take a picture of their poop. I mean, I got patients emailing me pictures of their poop all the time. I am totally desensitized to it I mean, you can just imagine like what my family talks about when we’re totally desensitized about poop, you know, “how are your ‘BM’s’ today? how’s your gas doin’?” It’s all totally normal to be able to talk.

Evan Brand: I had a guy who pooped out a   worm a couple of weeks ago. We opted a dosage of the mimosa because he was starting to see small worms and I thought, hey, let’s go a little higher, we did and I don’t know how I confirmed three feet but I’m gonna believe him.

Dr. Justin Marchegiani: Yeah that’s, that’s quite a number to share. So, like, for me, my son has no digestive issues right now. Am I gonna do a gut test on him right now? Probably not. But in the few years I will, or if some things come up uhm— I definitely will look at that. So I guess, you know, we kind of have to draw the line. We evolve the functional support to help enhance digestive support good bacteria, support gut lining integrity, and then we kind of have this line that we crossed where symptoms aren’t being resolved, and then we’ll have to look at that next step. So, on Evan, how did you kind of draw that line with uhm— your daughter somewhere?

Evan Brand: Yeah well said. Now is exactly it, she wasn’t sleeping well. Now thanks to the Lord she’s sleeping through the night for the first time in two years which is excellent because we finally got over her…her gut issues resolved, but, it was when she was waking up five or six times a night, she was tossing and turning. We could tell that she was uncomfortable. It wasn’t a normal cry like “I want milk”, it was more of like “I’m awake, I’m awake right now, I’m in pain and I don’t wanna be awake but I can’t go back to sleep because of the pain”. We could tell based on the sound of the cry that it wasn’t normal so that’s when we got this stool test. We did see a few bacterial infections, bacterial overgrowth, and then that’s when we did some liquid tinctures and, it was like olive leaf and a little bit of a garlic a little bit of oregano, some other liquids we did for like maybe three or four weeks if that. And probiotics at the same time and then we just cycled off of it.

Dr. Justin Marchegiani: Very good points. And if you guys have any questions that are kind of remained to this topic feel free and try them in. There’s a couple here that remained so let me go over. Spectra cell could be a good way to look at some of the micronutrients so we will go look at spectra cell for some of the zinc, and vitamin A and some of the other things. I’ll even look at inorganics as well. Spectra cell is a uhm— blood test. So you gotta be careful, you gotta figure out if your kids [are] old enough to deal with a blood draw like that. So maybe I’ll wait for like two or three for that test – maybe not when they’re so young. Uhm– Organic acid test is a little bit easier but, I mean, you gotta collect the urine so maybe it was that you could ask to be potty trained to be able to grab that initially.

Evan Brand: Yeah let me make a comment real quick…

Dr. Justin Marchegiani: Yeah.

Evan Brand: So if people are listening to the podcast on iTunes, they’re like: “What is Justin doing, he’s going on some crazy uh– different topic?”. Well if you’re following on– Justine’s YouTube channel, if you go on YouTube [and] type in “Just In Health” and you could subscribe to the channel there, you’ll see every time we go live like we’re doing now, you’ll be able to chime in and put questions on the YouTube video itself. So that’s where these questions are coming from.

Dr. Justin Marchegiani: Very good point, yup! We are functional medicine on demand, totally non-rehearsed, raw, in the flash, what you see is what you get. That’s the difference between us and most people here, not very rehearsed at all so, hope you guys appreciate it. And then the last question was uhm— “Do you give your kids flu shots?”. No, I do not— Flu shots [are] relatively ineffective there’s still a good deal of ’em that have about 25 micrograms of ethyl mercury in them as well. So that’s not really good. I don’t think there’s any research with them, even tested them on little people yet like you know, one, two, three-year-olds. I think they have some of the researchers on the seven and eight-year-olds but nothing on younger kiddos, and then with the Mercuries, I definitely would not— there are other medicinal mushrooms and things like vitamin D and things like vitamin C that we can get, that actually enhance the immune system, the TH-1 immune response. Remember, when you give a vaccine, you’re just increasing the antibody— the TH-2 response. That’s only one part of the immune system. Think of the TH-1 part, that’s the special forces. That’s the navy seals, right, that’s the army rangers, that’s the— the— delta team if you will. These are the first responders. Think of the antibodies that come later, that’s the infantry that lags behind. So, my opinion personally is the TH-1 immune response is really important because if you don’t neutralize the invader, coming in off the but, that’s the TH-1, that’s gonna be a lot of the herbs that we talked about in the nutrients, uh— that’s gonna be the TH-1. So that’s really important, and the vaccine does not touch that. There’s actually some research showing that when you increase the TH-2 response really, really high, you can actually drop the TH-1 response and weaken those first-line invaders because in TH-2 and TH-1 immune work on a see-saw. So when you really jack up the TH-2, you can really drop down that TH-1. So that’s some of the immune benefits that you get when you use some of the natural compounds. You can get those TH-1 responses up.

Evan Brand: Yeah it makes perfect sense and even the Center for Disease Control came out and talked about how ineffective the flu vaccine was, and I think they said something like a 13-18% success rate which is just terrible.

Dr. Justin Marchegiani: Exactly, yup! 100%. Now some people ask what type of mushrooms? I like reishi mushroom— is really good, it’s a really good product. For some of the kids, there’s a great product by the Science for Health called immuno berry which is a nice little mushroom, kind of immune-support tincture, uh– I like that as well. Cod liver— cod liver oil can also be great especially if it has some extra vitamin A in it which I like a lot. I’ve got a product called immuno-supreme which is a lot of medicinal mushrooms and monolaurin in there, may not be good for super young kids but, you know, kids, that can swallow pills— that’s a really good product, uhm— for as well. Anything else you want to have at Evan?

Evan Brand: Well, they even have like the monolaurin or the coconut extract in the powdered form where you could add a little bit to a kid’s smoothie if you needed to. And then there’s also certain types of weight protein, there’s a couple that we use uh— there’s some that come from beef, and then there’s actually a new one from designs that I’ve been using that actually comes from the serum albumin, they call it an immunoglobulin concentrate,

Dr. Justin Marchegiani: Yup.

Evan Brand: That one’s great. Yeah, I think they’re called the IGG— that one’s really good. So we use that a lot and you know, Justin and I been beating the drama on mushrooms for years now so we just love ’em and we personally both do mushrooms all the time.

Dr. Justin Marchegiani: Yup. And, good adaptogens are great, and again some people are asking about like, “what your might one-year-old do”. Well, number one, if your one-year-old still breastfeeding, work on the mom, work on supporting her, uhmm— some additional mushrooms. I don’t like to go too high with certain things just because, it’s not that these things aren’t safe with children or, you know, little, or young people at one or so years old. It’s just there’s not research, right. Who’s gonna sign up they’re kid, they’re one-year-old for the study on this stuff? It’s just not gonna happen, right.

Evan Brand: I know…

Dr. Justin Marchegiani: So, you’re just kind of playing with fire. So we’re just trying to be very conservative on our recommendations. Support the mom, support her immune response so then she can pass down all the really good antibodies to the younger one. But once they’re, you know, two, three, four and they can swallow things better, then you can kind of go lower dose, you know, one-quarter to one-third maybe of the adult. I’d say maybe go to one-quarter of the adult dose. So if like the adults are able to do four or six capsules a day, you know, you start with half a capsule, twice a day with uhm— child. And if it’s a powder you can always mix it in some uhm— applesauce or if you can find a good tincture, that’s mixed with a vegetable glycerin, you can always put that in a smoothie or like a sparkling water or something.

Evan Brand: Yup, I do wanna uh— read this question and answer here from Josh. He asked, “You have any thoughts on the validity of restore or is it a scam?”. So the restore, it’s a product that— is— created by Zach Bush. Yeah, who’s a— he’s a medical doc and, it’s mainly like a fulvic acid supplement. I believe it’s coming from like some type of volcanic rock extract— something like that. But the goal of it is supposed to eradicate glyphosate from the body as well as to fix a leaky gut situation by healing the tight junctions. So we actually measure that, we can measure the tight junctions, we can measure intestinal permeability. I’ve not had many people that have used it long enough whether it’s legit or not but I have had two women that I can think of specifically over the past month who have taken that product for over a year— and— we got their IGA levels back from their GI map stool test. The IGA is the mucosal barrier—

Dr. Justin Marchegiani: Yep.

Evan Brand: And— their IGA levels were less than a hundred and the normal reference range that Justin and I use currently is 5, 10 to 2010. We like to see the IG around a thousand, meaning the mucosal barrier is really in good shape. And both of these women were less than a hundred. Now they did have infections, right? So they had parasites, they did had bacterial overgrowth so— the point may be well, did the restore take them from a really terrible leaky gut, say a 50 IGA to a 75, and it helped them heal up the gut a little bit? Or did it do nothing? Or was it that the infections were so bad that they were erasing the mucosal barrier no how— no matter how much restore those women took. I don’t know— I don’t know the answer to it.

Dr. Justin Marchegiani: Yeah, I think when we deal with like things in the third face of the GI healing— so the six faces are, first ones are moving bad food, second ones, replacing enzymes and acids, third ones repairing the gut lining and the adrenals and hormones. The repairs are important, but it’s not everything. If we haven’t cut the foods out or if we’re not digesting the foods, you know, that— those are linchpins and we have to have those dialed in first. And that may prevent, you know, imagine, like you’re getting chronically scraped all the time— right? Because you’re walking through thorn bushes all day but, you’re just tryna’ put saav on it— but you’re not getting to the root issue. Or, let’s say you’re putting saav on it and you’re not pulling the thorn out. Well, you have to— it— you need a— a program that’s addressing the root cause, also pulling the thorn out as well. And, there are other nutrients that are involved in healing the gut lining: calycin, glutamine, TGL— all the other compounds, vitamin u, other nutrients that can be really helpful ___[42:02] that as like one— you know, one tool in your two belts. Not saying don’t use it but if— we— something you wanna work into a comprehensive program, and if I were to use it that would work into the third R of my program.

Evan Brand: Yeah, and— and you make a great point too which is it— that there’s a correct order of operations, so if you just go straight to the silver bullet to magic thing that’s gonna heal up your gut— well you didn’t eradicate the infections that are causing the damage to the gut— we know, giardia, crypto…

Dr. Justin Marchegiani: Yeah.

Evan Brand: …h-pylori; you know, these things produce stomach acid and enzyme levels that cause rotting and putrefaction of the foods. Those undigested food molecules can also create a permeable gut barrier. So— no matter how perfect the supplement may or may not be to heal the gut, if you’ve got these bad guys, you made an awesome analogy, as always, if you— if you haven’t got rid of the bad guys, first of all, you gotta test for ’em so first get tested. Step two if there are infections fix them with the help of a practitioner. Then step three, maybe then you’re ready to move on to the healing phase but man— if you’re gonna spend 0060 bucks a month for gut supplements— but you haven’t tested in 50 bucks first, you kind of wasting your money.

Dr. Justin Marchegiani: Yep, 100%. And I see another person here wrote in, uhm— we already addressed the code remedy for one-year-old, uhm— we had another person, “elderberry okay for kids?” I mean, depending on how old if they’re two or three I think it’s safe, we just wanna use the correct dosing, based on uhm— the che— the— the person’s age the— kid’s age, I mean I would look at the product and make sure it’s the product that’s designed for uh— a child, and I would dose it according to what they need. I know with the immuno berry product we just dose that according to the dose on the back. And that one is good for younger kiddos so I like that one a lot.

Evan Brand: I have seen children specific I believe the guy of a professional line has a few specific elderberries for kids. I mean

Dr. Justin Marchegiani: Yep.

Evan Brand: It’s— it’s direct uh— extract ratio or correct strength rather.

Dr. Justin Marchegiani: Yep, exactly and then— another person writes in about uhm— let me see here— anything else I wanna highlight, I wanna keep it on point, a lot of questions are on point. Anything there that you can see Evan that you wanna address?

Evan Brand: You know we can hit this one I mean, we did chat about gut health so let’s take this one from Josh here, he’s asking about, “Can one have intestinal bacterial overgrowth or a small intestinal fungal overgrowth and still test negative on three different breath test, a lactulose breath test”.

Dr. Justin Marchegiani: I would say personally; I always jump to a good comprehensive stool test first…

Evan Brand: Yep.

Dr. Justin Marchegiani: Because sometimes you can have sibo or sifo symptoms and have it because by a parasite or h-pylori— or something else. Sometimes there’s a despotic overgrowth and may not be necessarily coming from the intestine— maybe coming more from the colon. So if you are doing a two-hour breath test, it may not come back on the breath test. So that’s why we always tend to jump towards a comprehensive stool analysis first, and then once that’s clear we if still have symptoms then we go to a breath test later.

Evan Brand: Yeah we would still wanna get the organic urine test as well because…

Dr. Justin Marchegiani: That would be helpful.

Evan Brand: Yeah. Candida does get missed quite often on the stool test ’cause it’s not the best way to find it so we do look for the gases that come from the urine, and that way you can confirm whether you have a fungal overgrowth. And if you do, here’s a great news. Justin and I have done this literally a thousand plus times. And— we can get rid of this issue within 4-6 weeks as long as everything else is dialed in. So— first, you gotta get the data, otherwise, you’re wasting your time and spend your money in supplements you may or not need— may or may not need to fix these issues.

Dr. Justin Marchegiani: Yeah, the organics is nice ’cause that you can get a window into the bacterial stuff. The uhh— urine, and again— may not correlate all the time but you can do— you can see some markers like hippurate or benzoate or 2-Hydroxyphenylacetic these are all uhm— bacterial metabolite issues you’ll see in the urine. We can see things like the lactate in the urine, we can see things like the arabinitol in the urine which are all metabolites or fungus as well….

Evan Brand: Citric acid… Citric acid goes up too. Which is— which has been linked to the yeast. ‘Cause sometimes it’s weird. Sometimes the arabinose won’t show up high but then the citric acid or the carboxy citric acid or tartaric shows up, and it’s like weird maybe these candidas not producing arabinose but is producing this and this and this instead. Do you— do you ever see that?

Dr. Justin Marchegiani: Yep. I do see that, I mean, on the ___[46:09] test you know we’ll also see the uhm— tartaric acid that you mentioned. I think we’ll also see the oxalates come up as well. Because those can go high with the yeast overgrowth too.

Evan Brand: That’s right, yeah. So Josh just gave us a follow-up here he said that these fungal and bacterial markers were elevated on organic acids so binggo there you go.

Dr. Justin Marchegiani: There you go, binggo. That’s why we like to have the organics kind of they’re in the background that gives the extranet to catch something in case you missed it.

Evan Brand: Yup, awesome. I think that was all the questions related to gut health so I would just say to— to wrap up, you know, you talked a lot about mom’s health which is really important. So many moms and parents— and this is nothing against them. They just don’t think about it, they don’t think about themselves first.

Dr. Justin Marchegiani: Right.

Evan Brand: They just think, “hey, something’s wrong with my kid that I happen to be breastfeeding”. The mom does think, “I need to clean up my gluten dairy. I just cleaned up my kid why is my kid still having this eczema even though he’s gluten dairy free, but yet, I’m eating gluten dairy every day for breakfast and then I breastfeed him. That’s like you gotta address the whole family.

Dr. Justin Marchegiani: Yeah there’s a massive disconnect in society today that like what happens to the kid, is there isolated kind of circumstance or whatever it is that has nothin’ to do with the mom and there’s nothing to do with their diet, and nothing to do with the kid’s diet, there must be some kind of genetic thing goin’ on here and we have a direct correlation with food, direct correlation with the mom’s food especially if they’re still breastfeeding, uhm— all those things. And also just uhm— I see it a lot— I mean in that— I’m around in a lot of moms too that feed their kids lots of— sugary drinks or the drinks are sugar-free and they’ve asked for tame or Splenda in there.

Evan Brand: Oohh…

Dr. Justin Marchegiani: And Splenda has three molecules of chlorine— of chloride attached to it and that can, there’s research out of Duke showing that can affect gut microbiome and set them up for dysbiosis down the road. So remember, like the Splenda, sugar-free stuff can really disrupt your gut and that’s what 80-90% of your immune system is, not to mention that you shouldn’t be signaling to your kid— “sweet, sweet, sweet, sweet, sweet”, every time they drink something.

Evan Brand: Well man…

Dr. Justin Marchegiani: You know what the message happening…

Evan Brand: Alright, we gotta extend this podcast by one minute because it just brought up— brought up the word chlorine. I mean I can’t tell you how many kids go to swimming pools whether indoor or outdoor swimming pools, their breathing in and bathing in all that chlorine and they have tons of issues with their gut— from swallowing the chlorine. We know that even in tap water if you don’t filter out chlorine, we know that your tap water is contaminated. That could kill the good guys that were tryin’ to build up on your child’s gut as well.

Dr. Justin Marchegiani: Yeah, it’s not even the chlorine, it’s the chloramines that form from the chlorine. That— that’s even the bigger issue that’s even stronger. Like in my pool, we have a salt-water pool now that does have some chlorine but it’s very small. And I’m looking at putting a UV light in— so we can even lessen the chlorine, to begin with. ‘Cause if you don’t have a little bit, you start getting algae and stuff growing in the pool too, which is like, you know, it’s like— ahh! you got this double-edged sword so, I’m tryin’ to— to— to fret that out but for— having a salt water pool definitely helps and then using the— Ultraviolet if you can, if you can even make it better.

Evan Brand: I didn’t know that. You’re saying that even with salt water, you still have to use something else.

Dr. Justin Marchegiani: Well what happens is, when you put the salt water in there, the salt water through the ionization process, chlorines form as a byproduct from uhm— the salt water process. So there are natural chlorines that are made. It’s when you have to add a whole bunch of chlorine too and then you get this chloramine byproduct which is stronger.

Evan Brand: Ah, got it, got it. We had one of the questions here from “AOAT”, and– they were asking, “What is the fastest way to get rid of a yeast overgrowth”. I would say before you even worry about getting rid of it, you need to test and figure out what’s going on because the protocol that Justin and I designed for you could be different depending on what’s goin’ on. For example, if you have parasites, that’s gonna be a big issue you have to fix. If you have bacterial infections, that’s gonna be a big issue.

Candida is usually just along for the ride; it’s just joining the party. We rarely see candida by itself. So that being said, we wanna get you tested first because if you just take all these magic supplements to kill yeast, you’re gonna be one of the thousand-plus people we’ve seen that say “Hey I took all this candida killer supplements and I still have candida, why?”.

Dr. Justin Marchegiani: And then what’s the root cause, like you just kinda ___[50:15] it to number one: were you on antibiotics before now you’re having a rebound yeast overgrowth? Number two, uhm— is there an issue where you’re just eating a whole bunch of refined or– or a kind of carbohydrates that are fueling it? Number three, are you exposing yourself to– roundup or various pesticide that could be creating a rebound overgrowth, like what’s the underlying issue? Yup, I mean those are connected so we wanna get to what’s the underlying issue– if we know what it is, and then we get you tested to make sure that’s the only issue then we can– we can prevent the cycle from repeating itself over and over again.

Evan Brand: Yeah and this– I mean this is the whole reason why our philosophy is tested and don’t guess, because if you don’t test, then you’re just  gonna go and buy something your whole foods the supplement guys told you, it’s called “candida buster”, or whatever and you come home and you take it and you’re like, “okay, I may be felt something, maybe not”, then you’re not really inconsistent because you don’t really know what you’re going after and then you stop taking it, and then eventually you just throw your arms up and you’re like “what do I do from here?”. Well, that’s why you gotta figure it out.

Dr. Justin Marchegiani: More of your constitutions weaker and then all the– the dead– toxins and debris and the acid aldehyde byproducts that release from the fungal killing started making you sick then it’s like: “well now what do you do?” Well, probably have to work more on the overall constitution before we di– dive into the killing, right?

Evan Brand: Very true. Very great point. Now we had one question here from kate ___[51:31] to talk about chlorine and tap water, “can you recommend a good filter system?”. I’ve got the Pelican, they have really, really good reviews at the whole house system from Pelican. If you look up their reviews, their stellar, and– I just purchased new filters– and I kinda put together a custom system ’cause our city, unfortunately, does add fluoride to our water, so, I didn’t have to buy an extra fluoride filter to put on to the whole house and then we use the Berkey shower filter and then we use the Berkey for– the counter tap for– like, cooking and the drinking water.

Dr. Justin Marchegiani: Good. So for me, I use the ___[52:06]. I have a whole house water filtration through Aquasana. Uh—– to see the one I have and then I use the Pelican countertop reverse osmosis for drinking and cooking. So– that one’s already been filtered twice, right. Once through the whole house, and then once through the– the reversed osmosis and then there’s op– opposed filters that add some minerals back in and then I also put a– little jar of real salt uhm— on my kitchen counter tap so if we have water we just add a dash of the extra minerals to the water, so then that water is super-super clean. Like the whole house, because uhm— one, I could still drink out of it if I want to, it’s still really clean. So if I’m upstairs if I don’t wanna go downstairs I can still you know, grab a glass and drink out of my faucet in my bedroom. Or number two, the– water that comes out of the shower hoses or– shower faucets are really good too. So my shower is still super clean, I’m not spending you know, 50 or a hundred bucks a year on each shower I had in the house.

Evan Brand: Yup, yup, well said. There was a– there was a uh– a pitcher filter that a client had sent to me the other day I can’t remember it but it was great for people that– like we’re just on the go I mean it removed so many chemicals that were almost as good as the Berkey but it was a pitcher filter. Most pitchers like the Breda, are absolutely terrible…

Dr. Justin Marchegiani: Yeah

Evan Brand: …they do most of nothing.

Dr. Justin Marchegiani: And I would strongly recommend for you Evan uhm— to get, you know– get a good reversed osmosis counter tap. I mean the biggest problem I had with the Berkey– I still have a Berkey and I— I use it in case something were to happen we can– you put rainwater in it. It’s kinda my emergency thing in the case like you know, a hurricane… what was the one that hit South Carolina?

Evan Brand: Yeah, Florence?

Dr. Justin Marchegiani: Yeah, hurricane Florence comes to like and at least take rainwater to run it through it, right. So I have that as my backup, backup but there would be days where I like, we forgot to put water in the Berkey the night before, and then I was like, “oh crap”, we don’t have water the next morning, right? So I like the counter top because it’s always got a gallon and a half, and it’s always at a gallon and a half so if I use a half gallon, it starts filling up– so we don’t have to worry about that aspect of it.

Evan Brand: True. Yeah, I’ve got the uh– I’ve got the– quite a few filters in it, it goes pretty darn fast.

Dr. Justin Marchegiani: Do you have the– do have the countertop one?

Evan Brand: I do, yeah but when you’ve got four filters in there that ___[54:11] filters very fast.

Dr. Justin Marchegiani: So if you have a countertop, you don’t even– you don’t even need the Berkey then.

Evan Brand: No, no, no, I don’t know– I’m sorry. I mean, I have the Berkey on my countertop. I do not have a…

Dr. Justin Marchegiani: Oh.

Evan Brand: …I do not have a countertop filter though but I do have the Aquatru and that’s the one that is not connected to your countertop, but it is a countertop system you– up there and then that is ___[54:32], and that only takes maybe 30 seconds to do like, 2 gallons.

Dr. Justin Marchegiani: Okay, ’cause mine, like the whole system underneath the sink and then it’s just the spout on top.

Evan Brand: Okay, yeah, yeah.

Dr. Justin Marchegiani: So I just turn the knob and then it comes up but it– they’re called countertop but it’s really under the kitchen sink…

Evan Brand: Yeah

Dr. Justin Marchegiani: …and then you have the spout on top.

Evan Brand: Here’s the one. I’m not affiliated with these people, I probably should be an affiliate but I’m not currently, but it– the company is called Clearly Filtered. You ought to check it out for yourself, Justin, to it. It’s clearly– and this is the one that removes 99.9% of lead, fluoride, pesticides, herbicides etc. and it’s all done with the pitcher. It’s just one of those little old generic looking pitchers ___[55:12]the water in and you pour it. So if you’re like in the pinch and you only have 60$ to spend, that’s probably the one I’d get.

Dr. Justin Marchegiani: Very cool. Yeah and just remember anyone that– that could recommend a product, its because we’ve actually used the product and liked it, and think it’s great. So we only recommend things, so, yup, well– we make it a reimbursement or a commission offer but we only choose ones that we like and use ourself with our family that’s a– there’s a lot of options that our there and we just choose what’s best. And you guys get the– the advantage of uhm— getting our recommendations.

Evan Brand: Well it’s this time when we give recommendations too, we’re giving links to people that give you somewhat of a discount which is always good.

Dr. Justin Marchegiani: Yup, that’s the thing. We can work up with these companies and say, “hey…”, you know, “…we like this, we’re gonna recommend it to our patients or our clients” and then they allow us to offer a discount as well which is great.

Evan Brand: Yup I’ve got nothing else to say in this topic, do you, before we wrap up?

Dr. Justin Marchegiani: I think we hit it. I think just everyone listening, if you guys appreciate it, we love the thumbs up, we love the share, sharing is caring, uhm— give us some. Hi– hit the– you guys hit the subscribe button but also hit the bell right in the middle. The bells which gonna allow you to get these notifications in the future so you guys can be a part of this conversations.

Evan Brand: Yup, well if you wanna reach out to schedule a consult with either one of us you could reach Justin at his site, its You could schedule a consult there with him or his other doc on staff, and– for me, you could reach out my site, And we look forward to helping you. Stay tuned and we’ll talk with you again next week.

Dr. Justin Marchegiani: And for your comments below I’ll try to answer more of them during my free times so, put your comments below, look forward to catchin’ up with ‘ya and chat with you later.

Evan Brand: Take care, bye bye.

Dr. Justin Marchegiani: Evan, take care. Bye, ya’ll.


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