How To Treat Toenail Fungus or Discoloration


How To Treat Toenail Fungus or Discoloration

Let’s go into like the most common things that you would see or hear of with complaints regarding nails. The biggest one is going to be toe fungus under the nail bed where it’s going to be a yellow or just a fungal-infected toenail.

Why Should We Address Gut Issues?

If it’s on the toenail, there’s definitely implications that it could be in the gut. The problem is you can address the gut a lot of times but that’s not going to be enough to address the toenails well. Just because the time you put herbs into the gut or whatever time it gets into the bloodstream, makes its way all the way down to your toe. Unless it’s a very minor fungal infection, most of the time you’re gonna need to hit it topically because your immune system and all these antifungals take a long time to get to the outer periphery of where this fungus is located. So in general, we should address the gut and then we should also address it topically on the nail. So we’ve got to hit it from both ends, inside and outside, to kind of put that fungus between a rock in a hard place.

Click here for a consultation with a functional medicine doctor to find out about treatments for toenail fungus and discoloration!

How To Treat Toenail Fungus or Discoloration

How Fungus is Treated Conventionally

Let’s just say you go to your foot doctor or your podiatrist and you say, “Hey, I’ve got a fungal infection on my toe.” They’re going to end up giving you Lamisil or some other type of a prescription or over-the-counter antifungal. But to me, I think that’s a shortsighted approach because that toenail is not having that infection for no reason.

How To Treat Toenail Fungus or Discoloration

How Fungus is Treated Functionally

If it’s really bad, you definitely want to be addressing your diet because a lot of the fungus or yeast, which is primarily that yellow-discolored nail is going to be fungus in that area.

  • You got to stop what’s feeding it. Look at the diet and stop feeding it all the refined carbohydrates.
  • You want to address the gut issues to begin with. The Candida, which is a kind of yeast or fungus, whether it’s Microsporidia Rhodotorula. You want to address and knock down some of these yeasts. More than likely we’re going to topically hit it as well.
  • Some of the Lamisil or the other medications that are antifungals are very hard on the liver. So if you’re going to go that way, definitely take some herbs like milk thistle and take some extra glutathione to help support and tonify the liver if you’re going to go that way.

How To Treat Toenail Fungus or Discoloration

Alternative Treatments for Toe Fungus 

  1. Topically, we can use things like Melaleuca or tea tree and/or oil of oregano and topically rub it on the nail.
  2. We can also do a fungal soak as well. The fungal soaks work phenomenal. There’s a herbal concoction that you mix it with apple cider vinegar which works amazing. You can do that and then topically rub something on after you soak your feet for 5 or 10 minutes. Some people they’ll just do the topical nail as well. I like doing the whole foot. That way if there’s any fungus between the toes or in the heel or wherever in the skin, you kind of get all of it versus just some of it. So nail fungal soak with also topically hitting the nail as well.

Anything that we can do to reduce that process of AGEing — the advanced glycation enzyme process — is also going to be one of the critical steps to this. The less stress in your body, the better. Nail fungus is really unique because once you fix a lot of the root cause stuff, that may not go away. So you gotta really topically hit it as well.

If you have any questions about toenail fungus and discoloration, please reach out to a functional medicine doctor and learn how to treat this condition.

Why Can’t I Tolerate Probiotics – Probiotic Intolerance | Podcast #293

Today’s episode talks about Probiotics. Probiotics is a live bacteria that is good for our body, especially in our digestive system. Probiotics are called good or healthy bacteria because it helps in keeping our gut healthy. Dr. Justin, together with Evan Brand talks about probiotic intolerance, how to tolerate them and how and when to take them correctly. Check out this link to know more.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

1:10   Probiotics

5:59   When Probiotics Go Wrong

8:33   How Do We Tolerate Fermented Foods

26:11  Dairy Infused Probiotics

31:22  Best Time for Probiotics

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Dr. Justin Marchegiani: All right. And we are live. It’s Dr. J here in the house with Evan Brand. Today we’re going to be chatting about probiotic intolerances. Why can’t I tolerate my probiotics? Let’s dive in. Evan, how you doing, man? 

Evan Brand: Doing really well excited to dive into this topic. Probiotics are one of those. What do you call them? Maybe low hanging fruit things that will pop up on a news article or on mainstream news, or maybe a TV commercial even. So your average person compared to something like using activated charcoal and berberine and those kind of more nuanced functional medicine, medicine things. Your average Joe Schmo probably is at least heard of probiotics. And the problem with when things become mainstream, is they lose all the disclaimers and they lose all the caveats to when these things are good. So you’ll hear somebody probiotic yogurt or probiotic this and it’s like okay, great. Probiotics must be good for you. I’m going to go take one and then I take it and then I run down The bathroom with diarrhea and I almost crapped my pants on the way to the bathroom. I’ve heard that story Why? And I’m like, Okay, well let’s unpack it. So that’s what today’s podcast is about.

Dr. Justin Marchegiani: 100% So, probiotics, right? What are they beneficial bacteria primarily in the family of lactobacillus bifida bachter, there are some other kind of pseudo probiotics like Saccharomyces boulardii, which is more of a beneficial yeast that can help potentially grow with the probiotics are beneficial bacteria and can help outcompete bad guys like fungus and yeast and other bad bacteria. We also have spore based probiotics, which are a little bit different tend to be more either soil based or spore base in the family of the bacillus family right, bacillus Clos Ei bacillus, subtlest Bacillus coagulants, like conformist, etc. And these are different types of bacteria. So typically when we talk probiotics, we’re typically talking more on the befo lactobacillus species side of the fence now, anthropologically, evolutionarily, we got exposed to a lot of good bacteria urea whether it was from just the soil right, not quite cleaning our vegetables, but having some having some soil on that and you get some of the bacteria in the soil on our food. Hence the the role for soil or spore based probiotics supplementally primarily you get through fermentation with whether it’s pickles or kimchi or sauerkraut or some kind of a fermented tea that we see more in modern day kombucha. These are typical ways that we get exposed to beneficial bacteria in our diets. And this is healthy, and today we’ve therapeutically, you know, gone one step above by dialing in probiotics from an oral pill, whether it’s VSL, three, or are different higher dose bifida or lactobacillus species, different kinds, whether it’s lactobacillus acidophilus or para kci or infantis or bifidobacterium, long GM, etc. all these different species that we see that have a lot of anti inflammatory effects according to the literature, they can help reduce back to infections, food poisoning, diarrhea, some cases they can help improve constipation. And again, these are things that we’ve seen clinically, right? When you do a study, Evan and I were talking about this pre show, you have to control a lot of variables. And let’s say someone’s eating, probiotics or fermented foods, but their diet stinks or their sleeps crappy as other variables in their life that could affect things. So clinically, we’ve seen amazing results with probiotics. It’s a powerful low hanging fruit. But the question really, today is what happens when probiotics go bad? Why is that occurring? Meaning what happens when probiotics cause negative symptoms or side effects?

Evan Brand: Yep, you did a great, great job to talking about the kind of the prehistoric aspect of this because, you know, the the average skeptical person who doesn’t want to buy supplements and thinks it’s snake oil or whatever. They may say, Well, why why all the sudden Do we need probiotics? My grandparents didn’t take probiotics and they lived till they were 96. And you answered it, you know, even if we don’t go as far back as the hunter gatherer tribalism It even just great parents, you know, great grandparents. They’re living off the land. Like my grandpa’s grandpa had 350 acres. They were eating chicken right out of the backyard. They were in the soil all day, he had a horse to help him till the dirt. I’m sure he was getting his hands dirty all day. And he had a great long, healthy life. So today, we’re removed from that you’ve got the conventional even in the organic industry, you’ve got things that are happening, like potentially the chickens being exposed to chlorine, or just even in tap water. You know, there’s all sorts of different products, chemicals, drugs, pharmaceuticals in tap water. So if you’re getting this conventional organically or organically raised chicken, and it’s at Whole Foods, is it better than like the factory farm stuff? Yeah, but now I’m even seeing there’s these organic factory farms that a lot of Whole Foods is using where they’re basically just big warehouses in their organic feed, but they have nothing to do with being pastured and that reduces the nutrient density of Animals. Of course, if you go out to a restaurant and go get chicken fajitas if it’s not labeled or classified as being free of antibiotics or getting a dose of antibiotics that’s killing the good bacteria in your gut. So there was a guy I believe his name is Jared. I believe his last name is leech. I think it’s Jared Leach, maybe Jeffrey leech. I have to look it up. But anyway, it’s a guy who went to East Africa and Tanzania and was looking at the guts, his whole Microbiome Project that he’s running. And he just looked at the diversity of people’s gut. And he compared typical American people versus these hostile people who were basically eating zebra meat and tubers, and honey, and the diversity of the bacteria was off the charts, and these people, so so I know, this is a long story and rant and I’m rambling but the point was, we don’t have diversity in our guts anymore. So probiotics are our attempt to help increase the diversity and increase the number of strains and the amount of strains of good guys that we have.

Dr. Justin Marchegiani: 100% so let’s kind of dive in to the aspect of when probiotics go wrong or when and probiotics create negative symptoms. So one of the first things if we have a lot of bad bacteria in our gut, right dysbiotic bacteria, right? This could come up on a stool test, we may run a breath test and see various gases at higher levels like methane or hydrogen. These gases can disrupt motility, right, more methane gas can create constipation, more hydrogen gas can create diarrhea, sometimes there’s just alternating between between the two. And when we have a higher amount of bad bacteria, like what’s bad bacteria, so we could have overgrowth of E. coli or central factor or klebsiella, or Proteus, or a bunch of other ones out there, Pseudomonas Mirabilis, right, different species of bad bacteria, these critters when exposed to probiotics, because probiotics are essentially a fermentable compound, right? So they’re kind of in that fodmap family, right. Fodmap stands for fermentable oligo disaccharide mono and polyols. Polyols being like xylitol, all right? So they’re kind of in that fermentable aspect of fodmap. So a lot of people with SIBO or generalized dysbiosis right, generalized dysbiosis just means there’s a bad bacterial overgrowth. SIBO says specifically were that bad bacterial overgrowth is ie the small intestine. When you consume these beneficial bacteria that can be a war in your tummy, where those beneficial bacteria ferment and feed some of that dysbiotic bacteria and can create more gases and those gases can then disrupt motility either create tummy aches, nausea, can throw off motility and either increase constipation or increased diarrhea.

Evan Brand: And it sounds a little bit cliche because we’ve said it so many times. But we talked about the order of operations with fixing the gut. And we talked about how you don’t want to fertilize the garden before you pull the weeds. And that’s essentially what you’re saying because if we come in, let’s say we have Jane Doe who comes in the door. She has gut complaints, maybe it’s gas, bloating, burping, constipation, etc. And she’s been on probiotics, she went to Whole Foods and bought some and she felt bad. She doesn’t know why we’re going to run a comprehensive stool test on her. We’re going to run an organic acid urine test on her, we’re going to look at it. And if we see that there’s all these major overgrowth, you’re talking about Pseudomonas and Morganella and Streptococcus and staff and whatever else, we’re typically going to pull them off the probiotics immediately, and then we’re going to come in with what probably some kind of an antimicrobial antifungal or combo.

Dr. Justin Marchegiani: 100%. Now one of the things that I see at my new patient consult and I’m dealing with patients for the first time, we’re typically dealing with patients that have already making a lot of diet changes. One of the first questions I ask is, how do you tolerate fermentable foods? Like when you have kimchi or sauerkraut or some kombucha? How do you deal with it? And they either tell me they do great or they have a lot of negative symptoms. Anytime someone tells me they have negative symptoms, I automatically know there’s more than one A bad bacterial overgrowth there. And it’s to the point where that small amount of beneficial bacteria from the fermentation process is feeding that bad bacteria and you’re getting a feeding frenzy. Right? Your child would that mean now sharks are there? 

Evan Brand: What would that mean when you say? Yes, Dr. J, I do kombucha and I feel bad. What are you expecting these people to report from that?

Dr. Justin Marchegiani: They’re talking about typically some level of bloating or gas, or some type of motility issue slow or fast motility, diarrhea, constipation, and then of course, you may even get belching, bloating, those kind of things on top of it. So those are the biggies. And then when we see that happening, it’s usually the bacteria is just feeding off of the fermentable carbohydrate, and is then now spitting out excess methane or hydrogen gas that’s creating those symptoms. And it could even be throwing off motel throwing off digestion too, because when you’re when you’re really gassy, and you’re really blody it’s possible that there’s not a lot of stomach Acid there. And that could create more stress in the intestinal tract, thus decreasing enzymes and acid production. So it’s very possible that now we have poor digestion and then we eat our next meal, and maybe even harder to break down. So all those things are very possible when we have this level of bacterial overgrowth and probiotics come into the mix. So first checkmark is Hey, how do you feel when you consume fermentable foods? Do you feel neutral? Better? worse? We’re yet with that the first lecture last?

Evan Brand: Let’s throw in the brain to because-

Dr. Justin Marchegiani: I’m sorry, the brain fog is one of the another big one. But we could talk about why that is to the whole mechanism.

Evan Brand: Okay, yeah. But that’s what I was going to mention because somebody’s listening to what you just said they’re going to go Okay, great. He said this, this, this and that. I don’t have any of those gut symptoms. I just get so brain fog. I can’t even find where I put my phone or my keys after I drink kombucha. What the heck does that mean?

Dr. Justin Marchegiani: So we’re just talking about kind of the the SIBO gas kind of mechanism. The other mechanism that we may see could be coming from histamine or various biological a means that are produced from the probiotics, right? So we could have a histamine release from the probiotics, right? or biological aiming stimulation, which is then going to, you know, the common histamine side effects or symptoms come into play. This could be headaches, this could be brain fog are cognitive issues. So, yeah, that’s a really good call on that, that kind of goes outside of just the the SIBO methane hydrogen kind of gas thing. That’s, that’s more of a histamine kind of response.

Evan Brand: Yeah, because that was me. I mean, I didn’t have that many gut symptoms. I remember being down in Austin, there’s like, it’s like the kombucha capital down there. And we were trying a bunch of different ones. We’d go out to like a grass fed burger joint, get kombucha on tap, and I would drink it and it was like I was drunk. And I was like, Whoa, I had major cognitive issues. So I think there probably was a histamine component, but I believe that whole acetal aldehyde issue is probably part of it as well, you and I’ve talked about this idea of Candida overgrowth producing this a pseudo aldehyde or other toxins and it’s similar to an alcohol molecule where people are basically getting drunk on their own internal alcohol production. And so that can for me, I think that can be a sign that something’s going on as well.

Dr. Justin Marchegiani: Yeah, I mean, with probiotics that they can, you know, you can have a little bit of alcohol production as a byproduct of fermentation, right. That’s how alcohol is made. So there’s a tiny bit there. All right, that that is also possible. Number two is histamine dilates blood vessels, right? And it brings immune cells to the area. That’s part of how the immune system works. Like if you go bump your elbow, it starts to swell up. Why is it swell up, that’s histamine was a swelling, it’s swelling, because the immune system is trying to open up blood vessels to help with the inflammation. So that’s kind of like the whole idea is you don’t want the immune response to go over too much. And that’s why you ice it down to keep it from getting to swelling. But as a combination, you want some of that there, but when you’re eating histamine and that immune reactions happening, and let’s say those blood cells, those white blood cells are going into your brain Well, we know the more immune activity activity in the brain can cause more brain fog, or we know the micro glial cells in the brain, when overly activated can create brain fog. And so if you’re noticing, you know, more swelling or redness, more itchiness, more cognitive issues, more headaches, that could be a big issue. Now, you could always just try consuming more da o enzyme with the hiss with the probiotics with the fermented foods. You could also look at doing oral probiotics that are lower in histamine species, like the lactobacillus para kci is one that’s a higher histamine one as well. The lactobacillus Helvetica is another one lactobacillus hell guardi and thermophilus and buck Neary are going to be lactobacillus species that are higher in histamine. So there are some species that will be lower. You can also try even consuming more soil or spore based probiotics, which can be helpful too. And or just consuming some extra da Oh, while taking the probiotics. See if that neutralizes as well. So a couple little experiments you can do to see if that moves the needle in the right direction.

Evan Brand: So let’s talk about the fact that when you address the gut, that your tolerance is going to improve of probiotics, right? Even if you, let’s say, you come in and let’s say you’ve got a bunch of parasites and bacterial overgrowth going on, if you come in and bring herbs in, just at the end of that protocol to eradicate or reduce those infections, you should, in theory, tolerate probiotics better Is this true?

Dr. Justin Marchegiani: So repeat that one more time, want to make sure I grabbed all that.

Evan Brand: Just knocking down the bugs alone, you’re going to tolerate probiotics more.

Dr. Justin Marchegiani: So a couple things. It just depends. So patients come in, they’re telling me Hey, I have problems with fermented foods. So one of the first things that we’re going to do is we’re going to go on a lower fodmap diet, and we’re going to starve out some of these critters. So the first mechanism is we’re starving. So lower fodmap kind of template, cutting out the fermentable oligo, disaccharide, mono and poly all foods that creates a starvation like effect and that can beat down the critters Without having to kill them just by cutting down their fuel source. It’s kind of like yeast and sugar, right? You go lower sugar, lower carb, you can starve out some of the Candida, that the one of the first things and then we work on digesting as well because if we have a lot of bacterial overgrowth, we know low stomach acid is a common issue with bacterial overgrowth. So we work on good enzymes good acid production, we make sure that we’re digesting our food well and we have good motility if we’re going into the bathroom every two three days, while we’re making ourselves toxic through our toxins in our in our stool. So we so there’s the six hour approach that I’ve done for a decade here, and it goes with every patient and now what there’s different aspects of each hour that we’ll talk about that we can implement. So the first art is removing the bad foods. Now for some patients that could be a paleo template for some that’s a paleo autoimmune low fodmap. Some it’s carnivore, some it’s a low salicylates low low fodmap kind of sad template. There’s there’s different ways and different levers that we can move within that First, remove our The second error is to replace and enzyme replace acid, maybe bile salts, maybe maybe bitters. It depends on how good or bad someone’s guts guts that for that. The third hour is going to be repairing the digestive tract or in and or repairing the hormones because hormones are specially adrenal, they play a huge role in reducing inflammation, and people that have a lot of gut issues. their immune system is overstressed. They’re usually inflamed, and they’re also pretty tired. So getting good hormone support can decrease inflammation, help with energy up with mood. The fourth hour is going to be removing the infections when we go after things in order of operations. So there’s different h pylori, there’s yeast, there’s parasites, there’s bacterial overgrowth, there’s an order of how we hit those for best success. And this is where the killing of a lot of this stuff comes into play. So the first major component that allows us to be able to potentially let’s say, get exposed to fodmaps or probiotics in the future and be able to tolerate it is first Start things out. The second thing is kill things. And the third thing is going to be crowded out. And then once we’ve done that fourth are the remover then we use specific botanicals to help knock these herbs down or knock these critters down, which then allow us to handle probiotics, or fermentable foods is now repopulating reenact collating with probiotics. And we may choose different species depending on what you can or can’t handle. So typically, I’ll come in there and I’ll challenge and see if our probiotic intolerance has changed. And we may add in different lactobacillus species or we may go to more spore based species or saccharomyces species or low histamine species. So I’ll kind of test it in between and we’ll see what works and then we retest, want to make sure that infections are gone and no new infections have come back sometimes a infection that wasn’t there originally could come back like h pylori or a parasite. So you have to test it on both sides to ensure that we’re knocking it out. 

Evan Brand: It does, are you going to retest before or after probiotic Like let’s say you do a round of herbs, knock bugs down, then you come in probiotics, are you going to test after that? Are you going to kill test, see what the results are then maybe kill again, then do probiotics.

Dr. Justin Marchegiani: I typically retest about one month into probiotics. And the reason why I do is because probiotics can help reduce inflammation. Right. So if someone’s guts inflamed, you’re going to see a major improvement, inflammation wise post probiotics, or at least, you know, given enough runway for them to work, I find that a month is usually pretty darn good. And then number two, the immune system can improve with probiotics. So we can see improvements in IGA and we know probiotics can help with digestion to and I would say the third thing after that is probiotics have been shown to help improve gut permeability partly through I think inflammation partly through crowding bugs out they can help with gut permeability, hence autoimmune stuff. And so those are the big reasons why immune digestion and gut permeability significantly can improve and inflammation right now. can improve post probiotics. So I give it about a month or so that I find patients got settle? Much better.

Evan Brand: Yeah, yeah. Good call.

Dr. Justin Marchegiani: What do you notice clinically?

Evan Brand: Well, I mean, it depends because if you come in let’s say you take Joe who’s got all these gut symptoms, he showed up with three parasites H. pylori, he’s done triple therapy. So he’s already been on antibiotics, you know, his guts a mess. He’s got calprotectin through the roof, we might come in and do six to eight weeks of herbs. And then I’ll let him just kind of rest not even probiotics yet, depending on how he’s feeling, maybe some gut soothing herbs just sprinkled in for a couple of weeks just to see how he feels when he gets off the end of microbials. And then if he’s off for a week or two, then we’ll kind of debate Okay, based on the progress or do we go into gut healing probiotics yet? Well, you know what, I’m still having major in consistencies with my bow some days it’s loose some days it’s good some days I’m really tired some days I’m really bloated. Okay, sounds like there’s an issue. She’s still going. So sometimes I’ll come in and just go ahead and run a second round of verbs to knock bugs down, then go into either gut healing probiotics and then a retest. So it depends on the person like every answer we talked about.

Dr. Justin Marchegiani: Yeah, some people do really great with probiotics afterwards, some can get a little bit of a loose stool. So I always try to ease it in there. But I find most people are going to do much better. Can I my analogy is this right? You go to the garden you don’t go throw down seeds. When there’s a whole bunch of weeds in the garden you kind of get the weeds pulled up why that creates space for the seeds to grow, right? weeds will outcompete the seeds. And when the seeds start to grow any anyone that’s good in lawncare will tell you once you have a really good foundation for good grass growing, the good healthy grass will actually crowd out weeds from growing. So I kind of use that philosophy cleaned it up, really get some good seeds down really work on that good healthy gut microbiome through through healthy diet and through you know, good you know, decreased consumption of sugar refined processed crap maybe add in a little bit of carbohydrate that may help feed gut bacteria very, very gently and that allows that the grass to grow which then outcompetes a lot of the bad critter so we d weed or D weed first and then throw it on the seat second, right? You go to the carwash you get the car wash. If you go to the automatic carwash, right. You go in what’s the first thing that happens? It washes your car first soap it, wash it, rinse it and then it waxes it right then it puts the wax or the rain acts on afterwards. You never put the wax on a dirty car. You got to clean the car off first before you get the wax on Think of the wax as the probiotics in this nature.

Evan Brand: Yep. And we’re not coming in with antibiotics ever because we don’t prescribe that stuff. When when somebody comes in. I had a woman last week Unfortunately, she had double whammy, C diff and H pylori. And she had already been through the triple therapy. So the doctors gave her all sorts of very, very powerful antibiotics. She did it for months and months and months we retest her stool. She’s Still has CDF she still has H. pylori. So we’re coming in with now botanicals instead. And luckily the success rate is very good. And the bacteria in general haven’t developed any sort of resistance to the herbs. So if you’re someone listening and you’re saying, Well, why is your all’s method better? Well, because the antibiotics there’s this antibiotic resistance phenomenon going on And the same thing is happening with fungus. Now the CDC is freaking out about Candida, believe it or not, they’ve got this huge bulletin about Candida. Oh my god, they antifungal drugs aren’t working anymore. Well, luckily, the antifungal herbs we use still work great and far better and safer than the drugs.

Dr. Justin Marchegiani: Well problem with with the antibiotics is the antibiotics don’t really address the efflux pumps that despotic or, you know, bad bacteria use so efflux pumps, essentially think of like you’re in a canoe, right? And the canoes got a hole in it and you start taking on water, right. Ideally, if you’re in that canoe and you don’t do anything would happen. into the canal,

Evan Brand: You’re going to sink.

Dr. Justin Marchegiani: Sinks, right? So think of efflux pumps has given someone a bucket and allowing them to bail that water out of the canoe. If you’re bailing water out of the canoe at the same speed that it’s coming in, you can stay afloat theoretically, right? Yeah, that makes sense. So think of the efflux pumps is giving that bad bacteria a bucket to bail that antibiotic back out into the intercellular space. And so essentially, these efflux pumps are like this bucket bailing the antibiotic back into the intercellular space. So some of these herbs actually have a flux pump inhibitor aspects to it. So it’s like ripping away that bucket from that person on the canoe so they can’t bail water. Now the canoe is doomed to sink now that bacteria is doomed to take on that antimicrobial compound and sink or be eradicated faster. Does that make sense?

Evan Brand: It does, and we’ve talked about that before I think. I think we talked about berberine and efflux pumps, didn’t we, maybe-

Dr. Justin Marchegiani: Berberine and Artemisha have really good success together. And a lot of these herbs work very good synergistically.

Evan Brand: That’s the other hard part we were talking about before we hit record on talking about studies, you know, you’ll look at this one strain or this one herb isolated. But we never do that. I mean, we may use 510 15 herbs in combination, and No, that doesn’t mean we’re going to sell you 15 bottles. That means we have formulas that we have where we’ve got five to 10 herbs in one formula. So if you take one capsule, you’re getting a broad spectrum of all sorts of antifungal, antimicrobial, anti parasitic together, and how in the world can you ever quantify the synergistic effects of herbs? I just don’t know of a way to do it.

Dr. Justin Marchegiani: Also, the amount the potency, right, you know, very, very high levels. So we can have a therapeutic effect, like we talked about the whole Pixie dusting effect. A lot of people that sell some of these compounds online and it looks pretty looking at the back to the ingredients but you need the potency. So when we have we have our patients taking it that microbials I mean the doses Pretty strong to ensure that we’re going to have a therapeutic effect.

Evan Brand: Yeah, I did a little plug before one of my podcast episodes the other day. So I’m going to just say kind of what I said in that plug, which was that you and I are working with people clinically, we’re in the trenches. We’re not just reading like a PubMed article than doing a podcast and trying to show that like, we’re the boss. We’re the experts here. We learn from the studies and papers, sure, but the most we learn is from clinically working with thousands of people and implementing things and figuring out what works and what doesn’t, and then tweaking the game plan according to that. And so, when it comes to supplements and herbs and nutrients we’re using, they’re all top top top tier, you can only access these herbs and nutrients and even get available products to put it in a bottle if you’re a practitioner. So we’re not doing consumer manufacturing, contract manufacturing, or you’re just grabbing random herbs in a warehouse throwing a label on it and putting it on Amazon. No, we have practitioners sort of over our heads that are helping to monitor the quality The purity, the potency, they’re testing for mold and mycotoxins and heavy metals and all that. So if you ever buy anything from us, whether your client patient or not, just know that you’re getting some legit good stuff.

Dr. Justin Marchegiani: Absolutely. Also a couple other components I wanted to highlight is some probiotics. They’re grown in the base of dairy. So if you’re getting probiotics that could have some dairy in it, whether it’s the casein in the dairy, that’s the protein, or whether it’s lactose that could potentially create a side issue. So a lot of times the probiotics that we’re using, and that we create, they’re going to typically be dairy free. So if there’s any dairy sensitivity issues, we can kind of pull that variable out. So my line I use one called pro bio flora, it’s got 12 to 13, lactobacillus and bifidobacterium species that are that work phenomenal, very potent, and they’re also going to be dairy free as well. So that’s one that I’ve used pro bio flora, I’ll put the link down below. Also a high quality, saccharomyces polarity, which does work excellent. You can have really good immune benefits and anti Candida benefits too. And then I’ll also have have specific spore based probiotics. So one of the ones that I’ve been using for a while is megaspore. biotic, which I do, like, I think it works really, really good. I like that. And these probiotics can hang around a lot longer, they can potentially eat a lot of the growth of other bacteria so they can help some of the other good bacteria grow. Probiotics don’t last forever. So like the whole idea that like I’m just I’m putting bacteria in my tummy and they’re gonna be there forever. Pulling up the case you lose about a four week kind of transients cycle. That’s why getting exposed to good probiotics, whether it’s from supplement or from fermented foods kind of more on a regular basis is good. I always tell patients, you know, get a bottle of probiotics in your system probably every quarter. If you know as they’re so good rule of thumb, even if you are not consuming even if you’re consuming fermentable carbohydrates and you can tolerate them IE kombucha, kimchi, sauerkraut, get a bottle of probiotics and once a quarter or number two, if you can’t tolerate any fermented foods at all, then you should be taking probiotics, you know at least one or two capsules daily. You know, in my line we’re typically doing, you know, 40 to 80 billion probiotics therapeutically. If you go too much higher than that probiotics can have a cathartic like effect, they can really crowd out ecological niches of bad bacteria. So you have to be careful, I always recommend starting a little bit low. And usually people are packaging about maybe five to 20 billion per capsule or so. And then you can kind of start with, you know, one to four, maybe up to six caps a max on that and see how you do and again, when we manufacture our probiotics, you’ll see on the outer label Cfu, which stands for colony forming units, and we’ll say how many colony forming units are in there. When we say how many CFCs are in there, we’re stating how much is there at expiration? Not at manufacturer manufacturing, there’s actually far more to compensate for the loss just have he and transportation so we always overpack it. So what you see as Cfu is at expiration, and a lot of the cheaper probiotics, you see, it’s the opposite. They say, what’s in there at manufacturing, and what’s in there and expiration ends up being far less. And that’s a little trick the supplement industry puts out, it’s a little bit deceiving. That’s why you want to spend good money on good probiotics that are going to label it more accurately.

Evan Brand: Yeah, great point. And that’s just another reason that we get five star reviews clinically, and on the podcast, too. So thanks for reviewing the podcast, but the clinical things, you know, the most important to us because at the end of the day, if we give you something and sell it to you, and we don’t get the result, you’re not going to be happy. You’re not going to tell your friends, your family, you’re not going to get them on board. So we have to perform we kind of have this performance pressure on us. And so yeah, we can’t play around and I’ve had too many people go to Trader Joe’s and I bought the probiotic at Trader Joe’s and it did nothing. It’s like oh my god, let’s open that can of worms. It’s not apples to apples.

Dr. Justin Marchegiani: Yeah. When you are facing the people that are buying the products you recommend And you need to, you need to perform therapeutically. You can’t cut corners on quality and potency and purity, you just can’t do it because you develop a reputation through getting people better. And it’s like if I’m a painter and I’m painting your house, I’m not going to just use the cheapest paint and then in three or four years you’re pissed off because you have to paint the house 10 years early, you choose the highest quality paint so you have the best result right? Same thing in the supplement industry. You can get the cheapest stuff or you can buy the more expensive stuff you can buy meat that’s McDonald’s quality, you can buy meat that’s from the grass fed, organic farmer down the street, right so we want to choose the highest quality which probiotics are in your lineup and I know mine’s the pro bio Flora I have sacro Flora I do a megaspore that I special order that I carry that one at my store. I love those. What do you use?

Evan Brand: Nice my two Well, I guess I have three bestsellers the pro bio might see same thing freeze dried Saccharomyces Boulardii, Profile my C’s, It’s amazing. The Pro Biosphere like these little balls with the with the delayed release technology and Oh, that’s nice. And then the Probiotic Pro like professional, that’s the one that’s the dairy free. So that’s the one with the fog in there the prebiotic fibers in the probiotic and that one is it’s killer for IBS and UTI. It’s hard to believe that you can put something in the gut and positively improve you t eyes, but it works like a charm for that.

Dr. Justin Marchegiani: Exactly. And now people always ask probiotics, if you do it with food or empty stomach, I kind of default to an empty stomach. Just because some of these probiotics these bacteria can be, let’s just say killed with acid. Now the spore based probiotics tend to be able to be acid resistant so you can use with food. There’s some beneficial effects of taking probiotics with food, though, from a digestive standpoint. So probiotics can actually help improve digestion on one side. But on the other side, though, if you’re trying to have more of a repopulation recalculation effect, I recommend it empty stomach, but some people see an improvement with digestion taking fermented foods. probiotics with it. That’s why some people they feel really good having their kombucha after their meal. They just feel like oh I feel really good on my digestion side that’s because of the acidity and and some of the, the various acids that are in become which can really help stimulate digestive acids I think especially if it’s ginger then you have some bitters in there that can stimulate more digestive juices as well. So I think that’s a component but I typically default to an empty stomach. Your thoughts?

Evan Brand: Yeah, I think I agree. I mean, I think it’s case by case before bed could be good too. Like if your guts really irritated and it’s affecting your sleep. I’ve had some people with IBS where they’re up in the middle of the night with cramping and such. You know, we’ll do like some of my gi sooth to which is an aloe extract. We’ll do that with probiotics before bed and people report Hey, I slept through the night because I was in less pain with my gut. So

Dr. Justin Marchegiani: Yeah, some patients that really have a hard time with probiotics. As we introduce them back in on an empty stomach. I’ll start with a little bit with the food. Just as a as a way to start getting an egg. Sometimes they can tolerate with food, but not quite. on an empty stomach, so I’ll kind of inch in that way too. So it just depends, like you said, case by case basis.

Evan Brand: Yeah, yeah, it’s hard, right? We’re trying to take 1000 different ways that it’s happened before and distill it into one podcast to refer to it’s like, well, tricky. 

Dr. Justin Marchegiani: Exactly. Anything else you want to highlight today? I mean, we’ve been going pretty good for a while we’re on a good clip here. Anything else you want to highlight?

Evan Brand: Just one one real quick study here. That was regarding anxiety and bacteria. There’s many studies out there if you just type in probiotic anxiety in PubMed, you can look at it but there was a mental health center in Shanghai. And they reviewed 21 studies that looked at 1500 people. Long story short, the probiotics versus the placebo group, the anxiety in these people was significantly reduced. So like the we know, the ram gnosis in particular is very beneficial, but there’s others as well. So, depression, same thing. You You could find studies on bipolar and depression and all sorts of mood issues and DHA. You and I talked about this, but we’ll say it again before we wrap up. A lot of the neurotransmitters a lot of the brain chemistry is happening first in the gut. So serotonins happening in the gut, the gut bacteria are producing toxins affecting neurotransmitters. So you’ve got to fix the gut to fix the brain in many, many cases with mental health. So if you’re depressed, if you’re anxious, if you’re angry, if you’re irritable, consider the gut.

Dr. Justin Marchegiani: Love it. Excellent. Excellent, excellent. Well, let’s wrap it up here today was a really great chat if you guys enjoy it, put your comments down below. Let us know your experience with probiotics beneficial bacteria, let us know the good and bad and kind of what’s giving you all the best results and if you guys want to dive in you can work with Evan,, you will meet Dr. J at and we are available worldwide to help patients out during this time. So feel free and reach out and we’ll put probiotics linked down below so you can see the actual ones that we recommend and if you want to support us, we always appreciate it. We’re trying to provide the highest quality products that we can do anything else, Evan.

Evan Brand: That’s it. Have a great day. Take care. 

Dr. Justin Marchegiani: Take care y’all. Bye now.


Audio Podcast:


Nutrition is Science-Backed Medicine

By Dr. Justin Marchegiani

Nutrient: “a substance that provides nourishment

essential for growth and the maintenance of life.”

You Are What You Eat

Why do people change their diet? While popular answers are to lose weight (fat), or to get in better shape (adding muscle), good nutrition is in fact about so much more than changing your physical appearance. Proper nutrition–diet and supplementation–is a science-backed way to improve your health. “You are what you eat,” and everyday you have the power to decide how the foods you consume will serve you. Let food be thy medicine: heal your gut, balance your hormones, improve your mood, boost your energy, and more.

Nutrition as Medicine

As kids, many of us were told to eat our vegetables–why? ”Because they’re good for you.”

As adults, we are told to eat our vegetables–why? “To shed some weight.”

Neither of these answers demonstrates the true healing nature of what we put in our bodies, so, without further ado, here are some of the most powerful science-backed healing properties of a healthy diet!

Click here for a personalized health plan from a functional medicine doctor!

Physical Appearance

We all know that changing our diet can help us lose weight, but did you know that a healthy diet can improve the appearance of your skin and hair too? B-vitamins, like biotin, have been shown to improve the appearance of skin and nails. Collagen also supports healthy hair, skin, and joints!

Increased Energy

A poor diet lacking in healthy macro and micronutrients–paired with a diet high in sugar, alcohol, and processed foods–can lead to headaches, brain fog, and fatigue. On the other hand, eating grass fed meat, healthy fats, and lots of fresh vegetables will give your body the fuel it needs to function optimally.

The Standard American Diet (“SAD” – a fitting acronym) is full of inflammatory processed foods and refined carbs & sugar which deplete the immune system, increase the rate of cancer, and increase the risk of developing autoimmune disease. 

Inflammation is the root cause of most diseases: but a diet rich in anti-inflammatory foods is the best gift you can give yourself to feel and function at your best!

Better Sleep

Poor sleep–whether you’re lacking hours, or your sleep quality is not that good– can increase your risk of diabetes, decrease your immune system, and accelerate aging. 

Alcohol and caffeine both impair sleep quality. Caffeine has a half-life of around 6 hours, so ideally you want to have your last cup by 2pm. Alcohol robs you of restorative REM sleep, which in addition to its dehydrating effects, lead to the next day’s dreaded hangover.

Food that positively affect sleep include veggies, grass-fed beef, chia seeds, sweet potato, wild-caught salmon, and those rich in magnesium. On the other hand, simple carbs and sugar negatively affect blood sugar and sleep–especially if consumed in the evening.

Balanced Hormones

Your body *needs* fat! Fat is required for your body to produce various hormones and keep inflammation low. Carbs, especially simple carbs, can actually increase inflammation and disrupt the delicate balance of your hormones.

If you suffer from leaky gut or other gut issues, you may be deficient in gut bacteria. Probiotics, like those from fermented foods–like sauerkraut, kimchi, and kombucha– provide your gut with beneficial bacteria which can help keep your hormones in balance.

Improved Mood

Did you know that dairy, sugar, and gluten are linked to depression? While the Mediterranean diet, rich in saturated fat, fish, and vegetables is associated with both decreased rates of depression *and* a longer lifespan!

Ready to Take Charge?

By now, you should have all the motivation you need to make a change for the healthier. Here are some resources to help you get started:

  • The JustInHealth Eating Plan
    • How to Eat, What to Eat, and the Healthy Meal Matrix
  • Nutrient Support
    • If you or your diet is deficient in certain nutrients, supplementing with high quality supplements shouldn’t be overlooked!
      • Iron Supreme: Hypothyroidism, anemia, and iron deficiency are all linked. Many women are iron-deficient, which can be remedied by eating red meat and supplementing with a high-quality iron supplement, like Iron Supreme.
      • Magnesium Supreme: Magnesium is essential for proper function of over 300 enzymatic reactions and for the performance of many vital physiological functions. A magnesium deficiency can lead to osteoporosis, blood sugar problems, poor sleep, muscle cramps, and more.
      • Multi-Nutrient Supreme: Your daily all-in-one for general nutrient support! Vitamins A, B, C, D, E and so much more!

Questions? Click here if you are ready for help learning how to take your health back into your own hands!


Jun S Lai, Sarah Hiles, Alessandra Bisquera, Alexis J Hure, Mark McEvoy, John Attia; A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults, The American Journal of Clinical Nutrition, 2014;99(1):181–197


Optimizing Your Functional Medicine Gut Program – Dr. J Podcast #164

In today’s video, Dr. Justin Marchegiani and Evan Brand discuss the topic of creating a functional medicine toolbox for your gut health. Learn about the natural ways to modify your diet, improve your digestion, and promote your overall gut health. Watch and listen as they reveal some of the tools in the trade.

Discover some protocols that help aid problems with gut fungus, yeast overgrowth and infection, gut bacteria issues and parasites in your digestive system. Learn about the different steps to take on how to ensure you’re taking the right path for better gut health. Also, stay tuned for more information about how to further catch some knowledge bombs from this functional medicine duo.Optimizing Your Functional Medicine Gut Program

In this episode, we cover:

03:30   Looking at the Food

04:23   Digestive Support

06:10   Silver in the Killing Phase

09:47   Probiotics and Antibiotic Therapy

13:48   Retest




Dr. Justin Marchegiani: Hey there! It’s Dr. Justin Marchegiani. Evan Brand, what’s going on, man? How are things?

Evan Brand: Happy Monday. Life is good. The sun’s gone, though. That’s sad. This time of the year just— gonna start that gray sky, so I’m kind of jealous. I’m sure it’s sunny in Texas right now.

Dr. Justin Marchegiani: It’s a little cloudy out here today, but I was actually in Lake Austin yesterday, water skiing. I got a new suit. It’s about a three-four millimeter kind of thickness suit, so it’s great. I go in the water, doing pretty good. I’ve got some little booties, too, that are neo-printed, and some gloves. The worst thing was the week before. I didn’t have the gloves— is you really— you know— ‘cause when you’re squeezing really hard, right? You kind of squeeze a lot of that blood out, right? You kind of like— you know, white knuckled, so to speak. You don’t have a lot of blood, so your hands get really cold with the air. So those new gloves made a huge difference

Evan Brand: Well, that’s awesome.

Dr. Justin Marchegiani: Yeah. How’re things going on with you?

Evan Brand: Things were good. You know, the baby’s running around and keeping me busy. She basically stole half of my lunch. She took all my carrots and almost stolen my peas, so that’s a lot of fun. You know, tweaking her diet. We just actually ran a GI Map on her. So, we’ll make it to Stool Test back. We’ll have to uhh— chat about what’s on there— Actually, no! I take that back. We got the results. She had Klebsiella on there. So, that’s pretty interesting.

Dr. Justin Marchegiani: Awesome, dude. I got my dog, Butter, here on the YouTube if you guys want to see her. Butter (kisses the dog). We love good healthy fats, that’s why we named her Butter. Uhm— but yeah— so, we’re in the same place. Aden’s doing really good, breastfeeding like crazy. He’s starting to sleep a little bit more, so we’re really excited about that. Really happy your daughter’s going good, too.

Evan Brand: What do you think about the Klebsiella with her? I mean, we’re using some herbs already. It’s like, at her age it makes you wonder. Did she pick up Klebsiella from somewhere? Did she have it? Was that passed through the placenta? I mean, it makes you wonder, her being that young.

Dr. Justin Marchegiani: Yeah. I mean, I would say off the bat, uhm— probably something from your wife? From you guys? And, I would utilize some probiotics and, maybe, one oil of Oregano Capsule a day, or something like that, or maybe decent to help. Keep it really low, though. [crosstalk] But use more probiotics. Anything else?

Evan Brand: We’re doing that tincture, I was telling you about, that’s got the uh—

Dr. Justin Marchegiani: Yeah.

Evan Brand: … I think it’s got the…

Dr. Justin Marchegiani: Yeah. [crosstalk] good one [silence]. That’s a great one. I like that.

Evan Brand: [inaudible] …worked it out. But anyhow— So, I’m sure we can do a whole podcast on that, but I figured, today, you and I should chat about creating a protocol. You know, if you’re trying to create a functional medicine toolbox for gut health, what would that look like? In that could involve things that could help with fungus, yeast, bacteria and parasites. We’ve hit on parasites and— you know, the influence of thyroid health and adrenal health. And we’ve hit on the link between parasites and leaky gut, and leaky gut and autoimmunity. So now, I feel like it’d be good for us to— you know, reveal some of the tools of the trade, which you’ve already mention one, which is the Oregano. So maybe let’s go into the order of operations first. Let’s talk about what comes first, like in this whole Functional Medicine approach. ‘Cause some people, they think probiotics are just be used anytime. And prebiotics, you can just throw them in. But really, there’s a— there’s a Science and there’s an order to herbs. Probiotics may not be the first thing that you should look at for an adult.   

Dr. Justin Marchegiani: Yeah, I know. I uh— I hundred percent agree with that. So, first things first is looking at the foods. If we have certain foods that are more offending and more inflammatory, that’s gonna potentially create the— the breeding ground on which bacteria can overgrow. There’s lots of different bacteria that can grow, so— I mean, we have more of our pathogenic type or Klebsiella, or Proteus, or Citrobacter, rella— or Morganella. These are our dysbiotic bacteria, not so good. They produce toxins in our body. They can eat up B vitamins. They can prevent our good bacteria from producing nutrition. So, of course, we want to make sure those things are under control. We will look at the foods first. Keep the inflammatory foods down. I think, potentially, in your daughter’s situation. They may have been some foods, they may have been slipping in some, like kind of pseudo-Paleo foods, potentially. [crosstalk] What food were you slipping in for her?

Evan Brand: Well, so we were doing the rice flour.

Dr. Justin Marchegiani: Rice flour? [crosstalk] Yep.

Evan Brand: Rice flour and also, there was some Tapioca starch and some of these like dried veggie snacks. They had Tapioca in there. So I’m thinking because, remember, I showed you that she had a small rash into her eye.

Dr. Justin Marchegiani: [inaudible] … improving?

Evan Brand: It’s gone.

Dr. Justin Marchegiani: And what food change did you make?

Evan Brand: The rice flour. We took it out.

Dr. Justin Marchegiani: I think there’s a gluten-sensitivity component there. So, I think [crosstalk] once you get that better, the gut bacteria will get better. So then, once that’s better, you know, looking at digestive support— so if they’re kiddos— I mean, you know, what can you do? So, typically, we’ll do like uhm— We’ll do some enzyme wafers that are really easy to chew and taste pretty good, for the little kiddos, they can eat.

Evan Brand: Is there any good brands?  ‘Cause I looked at some, and it looked like a lot of them had fructose in there, added.

Dr. Justin Marchegiani: Yeah. I mean, I like the Vitalzym’s chewables.

Evan Brand: Okay.

Dr. Justin Marchegiani: That’s a pretty good one. If they can swallow a pill, Then we’d  maybe have them do an HCL enzyme combo if they can get a pill. If they can’t, I’ll do a wafer.

Evan Brand: Ah— okay.

Dr. Justin Marchegiani: I would do that, and uhm— just really making sure they chew their food up really well. Uh— and then— you know, just cutting out the inflammatory food. So that would be my first two steps right there. And, I would even maybe do a smoothie for one meal a day and really just add some extra aminos, add some extra nutrients in there. So, it kind of gives her digestive system a break for at least one meal.

Evan Brand: That’s a genius idea. Did you know that the Vitalzym chewable has the DPP4 in there. So that would be great [crosstalk] if there is a cross-contamination issue going on.

Dr. Justin Marchegiani: Yeah. And that would be helpful. And the chewable— those taste pretty decent, too. Had a couple of kids— Yeah— fed them a couple dozen at least the last few years, do well with those. So, I like those, a lot. And then the next step is, you know, the Killing Phase. We kind of talked about, you know, the foods. We talked about enzyme support. Maybe we add them some gut-healing nutrients. Maybe we add them some collagen peptides. Maybe we add them some L-Glutamine to keep it really simple for the kiddos. Maybe we just put that in our morning shake. A couple of blueberries or berries, maybe a nice scoop of collagen or pea protein to keep it more hypoallergenic, maybe some coconut milk or MCT for some extra good fats, maybe we add some extra L-Glutamine— or like in my Lyme, we use like a GI Restore, some extra healing, soothing mucilaginous herbs, like Aloes, Slippery Elm, DGL Licorice; all very healthy and soothing. And then maybe we start the killing in a month or two later. We could start even with just like a teaspoon of Silver. Right? Twice a day, for your daughter who’s younger, right? Something very, very small. Maybe do one oil of Oregano Pearl, once a day. And over [crosstalk] Yeah.

Evan Brand: Talk more about the Silver. I mean, there’s antimicrobial benefits. I believe there’s antiparasitic benefits, possibly.

Dr. Justin Marchegiani: Yeah. I mean, Silver is proven to help with biofilms. They’re actually— My mom’s still a surgical nurse. She’s been a surgical nurse for like 45 years, and she has even— The last couple of years, they are actually adding in a Silver wrap. So, when they do like a total hip or a total knee, they’re actually wrapping the whole joint with this like Aluminum-foil-like thing, but it’s Silver. And they wrapped the joint before they closed it in that, uhm— to prevent, basically uhm— bac— antibiotic or just some bacteria coming from coming in.

Evan Brand: And that stays in?

Dr. Justin Marchegiani: No, it dissolves.

Evan Brand: Oh, it dissolves. [crosstalk] That’s cool.

Dr. Justin Marchegiani: It’s kind of like a cellophane thing that kind of dissolves. They do it— this one called Seprafilm. They put over like— you know, they do a surgery to prevent scar tissues. So, it’s similar to that. It’s kind of like a cellophane-thin kind of thing they wrap. Not sure of it’s up against the joint directly or if it’s around the fascia and the skin. I’m not sure about that. But it’s definitely enclosed around that joint for sure, to help with the biofilms and the resistant bacteria. Conventional medicine’s getting on board. And they have to, because they have a lot of problems with antibiotic-resistant bacteria. So, they kind of have to.

Evan Brand: Yeah, the C. diff, the MRSA. I’ve even heard of antifungal-resistant. Like this species of Candida diflucan and these other prescriptions aren’t working for even the yeast anymore. They’re— The yeast are evolving and getting too smart. Luckily, in our toolbox, we’re not using pharmaceuticals. We’re using herbs. And in this case, you know, if we’re talking about Candida, you mentioned the silver— We can use Silver against Candida, too. The Oregano can be against Candida. The garlic can be another good choice.

Dr. Justin Marchegiani: Yup, exactly. And there’s some liquid garlic options that we could always give her, too, as well. And then we could do some of the oil of Oregano. I like them ‘cause they’re smaller in pearl. So, like in my GI Clear 5 line, we have that, where we use the emulsified 75 percent Carvacrol extract, so it’s very potent. And it’s a pretty small uh— pearl, so typically, that’s easier to get down. And you can do that with the kiddo. You can do the Silver like I mentioned. And then we could always do some liquid garlic. So, those will be like kind of my options for kids that really had a hard time with pills, off the bat.

Evan Brand: Let’s chat about some statistics. I’ve seen kids as young as one, two, three, four years old, and they have infections, parasites, bacterial problems, a lot of Candida problems. ‘Cause the kids were unfortunately exposed to antibiotics early on, and now they’ve got a massive systemic yeast overgrowth.

Dr. Justin Marchegiani: Yeah. So, of course, anytime you have to use antibiotics. ‘Cause there may be sometimes— you know, you’re scared as a mom or dad, right? You’re like, “Oh my gosh! She’s getting out of control.” Number one, like have some things in your medicine cabinet like the Silver. You know, you could do even some ginger capsules is good, or some higher-dosed ginger tea if you can’t get that downward. It’s gonna be great. Of course, keeping the sugar out. But if we uhm— had to come at it with some probiotics during the killing, we can always add in some probiotics, some powder probiotics, and some saccharomyces boulardii. And we can put it in— in their drink, right? We can get them to have a nice little smoothie. We that in there. Or we could just mix it in, maybe their Kombucha or something. Or we could just come up with some kind of a drink they like and put it in there. That could be some really good options during the killing, and of course, we would do it after for at least one or two months.

Evan Brand: So, what do you think about Probiotics. I mean, some of the training I’ve seen and some of the protocols recommend probiotics during a killing phase and then some protocols don’t recommend probiotics. I mean, it— like—

Dr. Justin Marchegiani: It depends. There is some research showing that probiotics during antibiotic therapy can actually be beneficial. And again, most conventional antibiotic therapies don’t go longer than two weeks. So, I’m not that worried about it ‘cause we’re gonna be giving probiotics afterwards for at least two months. So, I’m not worried about if we want to go do it for two weeks. Do the probiotics while we do the antibiotics. I’m okay with it, especially if you have digestive issues. And let’s say the probiotics really helped and they’re soothing. Maybe they help keep you regular. Maybe you have a history of a lot of rebound yeast overgrowths ‘cause of post antibiotic therapy in the past, then I would. If you don’t, then I would just wait until afterwards. I don’t think you can go wrong if you do. Some people, they have histories of just antibiotics or let’s just say probiotics causing a lot of bloating and gas. And if that’s the case, and I’d probably wait. Yeah. May use some different strains. May use some coil or spore-like strains, or just doing it after the antibiotics. A lot of that flora’s gonna be knocked down. So, maybe the probiotics are more tolerable after that as well.

Evan Brand: And the same thing would apply for just straight herbs. If you were just doing straight herbal protocol. Sometimes, you’re gonna use probiotics during the killing. Sometimes, you’re not. Or you’re always using.

Dr. Justin Marchegiani: Uh— I only use probiotics during the killing, if we’re on a repeat protocol, like if we retested and we have new infections or other factions, just because I want to prevent any rebound overgrowth from happening

Evan Brand: Yeah.

Dr. Justin Marchegiani: Just kind of where you knock them out of the floor down. You even knocked the good stuff back, but we all know, if you do weeding in  the garden, you never have to go back and purposefully plant weeds, right? Weeds automatically grow.

Evan Brand: Yeah.

Dr. Justin Marchegiani: So, it’s kind of like that. We’re just kind of throwing down extra seeds during the process to take up the space that maybe those weeds would take. So, it’s kind of like a preventative thing, as well as— It can have benefits with inflammation and it can have benefits with regularity and motility as well.

Evan Brand: That’s good advise. And also, too. You and I see the Beta-glucuronidase enzyme on the Stool Test that we’re running. And if that enzyme is elevated, that could mean your recirculating your toxins and hormones and drugs and stuff like that. And one good way that we can get Beta-glucuronidase back down into normal range is probiotics. So, I love that you bring up [inaudible]—

Dr. Justin Marchegiani: Also— We can also use phages, too. Phages have some really good beneficial effects at knocking down that bacteria. And then, you know, depending on how regular you are, we can even slide in some activated charcoal, too. Some activated charcoal or some like Modified Citrus Pectin, trying to act like a little sponge and soak up a lot of the crap that are maybe sitting around your gut from all that bacteria.

Evan Brand: When would you make the call on that? Would that be like if you have a ton of bacterial infections plus parasites, they could try to treat five or six things at once? Like what if it was just H. pylori? Are you gonna hit the charcoal or not?

Dr. Justin Marchegiani: Depends on the person’s resilience. If they have a lot of fatigue, and they have a history of being more sensitive, or they have a history of lots of antibiotics and like they tell me like— you have like, in the past, antibiotics have really wiped me out, or I’m just really tired or if in fatigue, then maybe I would add in preventatively. I they’re pretty— like if energy’s pretty decent, then I would say, “Let’s wait and see.”

Evan Brand: Yep. .

Dr. Justin Marchegiani: …wait and see. But it’s something that’s always there, you know. Kind of undecked so to speak. So if we need to go, we can go to it. Of course, then one of the first things we can do is ginger tea, ‘cause ginger really helps the lymphatic systems. It’s very anti-inflammatory. Keeps things moving. It’s also a biofilm buster, too, so it helps— it actually helps the uhm— antibiotics work better. There were studies using Silver and ginger and they found that when they used the Silver and ginger, the antibiotics actually work better. So, I tell patients, if you need to use the antibiotic, use the ginger and Silver with it. And then, you can even add in the probiotics to prevent any rebound overgrowth. That way, you get the best of both worlds.

Evan Brand: Nice. That is awesome. And then, uh— I guess the last step in our toolbox— you know, we’re talking protocol, would be another test. Because, once you go through the— you talk us through the process, removing bad foods, replacing enzymes, repairing the gut…

Dr. Justin Marchegiani: Hmmn— hmmn.

Evan Brand: [inaudible] …infections re-inoculating probiotics. Then the last step in this whole protocol is the test itself. Retest and make sure [crosstalk] all the stuff we implemented was successful.

Dr. Justin Marchegiani: Hundred percent, yeah. So, if we have a specific infection we’re going after, we definitely want to put in their crosshairs, we want to aim at it. And then we want to go look to that scope again and make sure we actually hit it right. That’s kind of where that lab test retest would come in. Sometimes, if it’s just insignificant smaller amounts of yeast or smaller amounts of bacteria, and there’s not any major stuff— there’s no H. pylori, there’s no like significant bacterial overgrowth, there’s significant fungal overgrowth or any parasites, then we’ll just based it off of symptomatic relief?

Evan Brand: Yup.

Dr. Justin Marchegiani: Is there anything significant, then I want to make sure that we retest for sure.

Evan Brand: Yeah. It’s a great point. People ask it all the time. You know— “Should I retest?” “Do I really need to retest?” Maybe. But if you feel amazing, maybe we can assume. And your hair’s better, and your skin’s better, and your nails are better— like for me, I noticed when I thought my infections were gone because my weight loss stopped. Like, my weight stabilized, but I still did the retest, ‘caused I had the Giardia, Crypto, H. pylori, Pseudomonas, Candida— I had all of it. That was just too much for me to not spend the money on the retest.

Dr. Justin Marchegiani: Yeah. I wouldn’t give you the choice for those kinds of infections. But let’s say you had just a little bit of like yeast, or you had just a little bit of Citrobacter. It wasn’t off the charts and you didn’t have really awful symptoms, then I would probably say, “Hey, if you feel and improvement, that’s good.”

Evan Brand: Yeah.

Dr. Justin Marchegiani: I would say, “Let’s just keep you in the loop to retest once a year.”  

Evan Brand: So, people say, “Well, how would I know if I’m feeling good Dr. J? “ That would be things like what? If your brains working? Your…

Dr. Justin Marchegiani: Yes. [crosstalk] Everytime I— I chat with the patient, we always go over wins, challenges and corrections, diet, lifestyle, review, supplement review. So, of course, wins and challenges, what’s moving in the right direction at each appointment and what’s moving in the wrong direction. And of course, we have our baseline audit in the beginning. Patient comes in day one. Do patient exam. I got bloating. I had gas. I have diarrhea. We follow up. Make diet changes, lifestyle changes, supplement changes, how much better, what are our wins. “Oh, well. Bloating is down; 80 percent. Diarrhea is down; 90 percent.” And we continue to follow that all the way down. So each time we chat, we’re always checking in. We’re keeping our pulse on everything. I want to know exactly what we’re at, so to speak.

Evan Brand: Yep, well said. So, if those symptoms are still there, maybe the hair’s better but you still got the gas bloating. Well, could still be some yeast or bacteria going on there. Is that safe to say?

Dr. Justin Marchegiani: Yeah. And if we’re running— Let’s say, we’re running like our GI Map or our 401H and it’s looking relatively clean, then the next place we’re gonna go is the Breath Test. We’re gonna go Breath Test next ‘cause then, there may be some bacteria on there we not necessarily are picking up. And the Breath Test is kind of more of uh— a broad general spectrum because it’s looking more of the gases that bacteria is producing. So, not necessarily the bacteria, but it just tells us that there are bacteria there, producing gases if you will.

Evan Brand: How about the [crosstalk] organic acid?

Dr. Justin Marchegiani: The analogy is this, right? The analogy is this. You’re on top of the water. Is someone under the water swimming? Well, how do you know if you can’t see him? Well, you look for bubbles coming up, right? So, think of the gas that comes back on the Breath Test is like looking for bubbles on the surface trying to see if someone’s in the water.

Evan Brand: So, may I ask you this, too. What if someone’s like, “Aaaah! I don’t want to do SIBO Testing.” What about just coming in and giving some Broad Spectrum Antimicrobial Support— maybe we throw in some of the SIlver or some of the garlic?

Dr. Justin Marchegiani: Yeah. It depends. I mean, typically, when I’m recommending SIBO Testing, people are having more severe issues and the issues have been more chronic, and they’re just more motivated to get answers. So, it just depends, right? The more intense the symptoms are and the more chronic some thing’s been, people typically wanted to know what’s real. They want to be able to put their finger on it, so to speak. So I, typically, will recommend that. Uhm— if they said let’s just try it first, then I can get more to agree that, “Hey. if we didn’t get it to improve, then Round two.” “I don’t want to retest” I’ll try to get that negotiation moving.

Evan Brand: Yeah. So, long story short, you know— we try to base everything on labs cause if you don’t test, you’ve guessed. And we try to minimize guessing and checking ‘cause a lot of practitioners do that. We’re just not huge fans of guessing because you spend more money in the long run and the clinical outcome is not as good. Then that comes back on us. “Hey. Why didn’t it work?” “Well, ‘cause we’re shooting into the dark.”

Dr. Justin Marchegiani: . Well, also like. Let’s say, we come back. Let’s say, we did a Breath Test, right? And let’s say, hypothetically, the person was at a hundred for Hydrogen and 50 for Methane, okay? And then let’s say, we did a protocol. And let’s say those gases cut in half but they were still symptomatic. Well, does it kind of— Isn’t it nice to know that you had 50 percent improvement on some of those gases and that you’re moving in the right direction? Like, imagine you had a map, right? And— like Google map, right? And they only told you, you are on the right path once you got there.

Evan Brand: [laughs]

Dr. Justin Marchegiani: Well, don’t you have to want a confirmation that you’re moving in the right direction, right?

Evan Brand: Yep.

Dr. Justin Marchegiani: That’s kind of how I look at it. And the more complex and the more severe someone is, the more I like that because it gives me confidence as the doctor, that we’re doing the right stuff. But the patient is doing really well and some of the things and some of the things are really working well, then sometimes uh— I’ll let that one slide. But, I’ll let them know as a caveat that if— if we go in the wrong direction that’s gonna be our Plan B. And also I want to let people know what our Plan B is, just so they don’t think like, “Uh! Well, uhm— That’s all I got. I’m a one-trick pony,” Right? So, I want to let them know we got second options and third options, so to speak.

Evan Brand: Have you used a BioHealth? I know they’ve got a SIBO. I know they talked about a lot.

Dr. Justin Marchegiani: That’s the panel I use. I use the 900 SIBO Breath Test. .

Evan Brand: Oh, okay. That’s the best one.

Dr. Justin Marchegiani: I like it. It’s a three-hour.

Evan Brand: Okay.

Dr. Justin Marchegiani: It’s a three-hour test, and that’s nice to see the three-hour because you can get that whole window and you can see where it transitions at two hours to three, which is nice.

Evan Brand: Awesome. And then, what do you want to see on there? I mean, does that kind of like an adrenal profile where you’re gonna have a reference range?

Dr. Justin Marchegiani: Hmm— Yeah. We want to see Methane three or below, and we want to see Hydrogen 15 and below. Below 15, ideally.

Evan Brand: And— and— So, let me ask you this. If you have an overgrowth of good guys, you know, on the GI Map, sometimes, we’ll see the beneficial bacteria show up high. People always target these bad bacteria, but it— you can’t have too much of a good thing. If you have too many good guys, could that also show up and trigger those?

Dr. Justin Marchegiani: Well, if we’re running an Organic Acid Test, we would look at the lactate being elevated and if we saw that there, most people are gonna know because they’re gonna feel more bloated and gassy with probiotics. They’re gonna feel it. They’re gonna be more probiotic intolerant. So, we’re gonna know that, alright? There’s gonna be— you know, We’re gonna have specific symptoms that we’ll be able to see clinically. And then I would just be using more spore-based probiotics, instead.

Evan Brand: Okay.

Dr. Justin Marchegiani: That I’ll probably use Saccharomyces boulardii and spore-based probiotics. First is— you know, like in my line, we used like the Probioflor, which is like bifidobacteria lactobacillus. The unique thing about my Lyme is we have the Phagen. So, the phage does have some antibacterial effects and it comes from a non-dairy culture. So, a lot of people can tolerate mine. But if you’re just doing a run on the milk probiotics, and there’s no phage and— and there’s dairy in there, potentially, then there may be a problem.

Evan Brand: Yep. Yep. Well said. I think that’s it. I think we killed that one fast, but very effective. Were there any pieces to the whole protocol talk you wanted to mention?

Dr. Justin Marchegiani: I think we hit it pretty good, man. I think we’re really on the right track. Let me just see if we got any questions. I have kept my uh— question window down. I apologize for ignoring everyone.

Evan Brand: Let me see.

Dr. Justin Marchegiani: We got—  Oh, then we do now some questions. Let me see what’s going on here guys.

Evan Brand: Uh, Waled said that he hopes that we talk about Lyme disease treatment. Maybe we can do a whole podcast on that. I mean, Justin and I are continuing to learn more about the different protocols. There’s many protocols for Lyme.

Dr. Justin Marchegiani: I think a lot of people with Lyme are overtreated though. I think there’s a sequence that you have to go and work through. Like if you have a cute Lyme and you came back with uh— a bull’s eye rash, or you got any tick bite and then some symptoms follow right away, definitely go after that right away. But if it’s a chronic kind of thing, you need to get everything worked through. You need to get all your hormones work through, digestion worked through, diet and lifestyle worked through, worked through all the gut stuff, worked through the detox, and then get to the Lyme later. Uhm— so, a lot of people I find, I think, are misdiagnosed. Their immune system’s so screwed up ‘cause of other things, and then they’re seeing some Lyme come back, because, of course, everything’s gonna come back. Their immune system is down, right? It’s like, you open  your house up, and you got— you know, you come home one day, and there’s ten homeless people laying in the kitchen. Of course! Your house is wide open, right? [crosstalk] So, think of that as kind of like your gut when your immune system’s super low.

Evan Brand: Yep, well said. And, you know, the thing with the Lyme, antibiotics are very, very, very overused. And if you read some of the work that Steven Buhner’s put out. He’s got multiple books on this subject about antibiotics. Unfortunately, in many, many cases, for chronic Lyme, they just don’t work. And he’s seen a lot of people get sicker from the antibiotic. So, herbs, luckily Lyme and these other bacteria, they are still susceptible and allowed to be killed from herbs. Antibiotics— it’s not working.

Dr. Justin Marchegiani: And this is really important, too. This kind of dovetails with today’s podcast. If we do a whole bunch of killing, where does that all go? Well, it typically will and get dumped in via the hepatobiliary system and then obviously, some of the killing will happen in the gut. And then, what if our motility is not good? What if our digestion is not good? Well, it’s gonna back you up even more and you’re gonna reabsorb more of those toxins, right? So, that’s why we really want to make sure things are moving, digestion is doing good, our motility is doing good, our immune system is better. And then we have things that really help with uhm— coagulation, meaning, we’re keeping things moving. We’re not letting them— things get like static and coagulated and sticky and stuck. We want to keep it flowing.

Evan Brand: Yeah, well said. I mean, I think we may— maybe oversimplified the protocol talk, but part of that is just making sure that you’re not constipated. I mean, pretty simple, if you create all the garbage but you never take the trash out, that’s not good. You’re gonna have an overflow.

Dr. Justin Marchegiani: Totally. Totally. So, couple other questions here. Thanks Monmon for sharing the live show on your Twitter. I really appreciate it. Question for me. How old I am? I am almost 34.

Evan Brand: Nice.

Dr. Justin Marchegiani: Almost 34. Uh— Suggestions for root canals? I would uhm— do your best to try to read Ramiel Nagel’s book. I would do oil pulling and I would do your best to try to avoid it. See natural doctor. If you have to get it, get a full extraction. There is new research or new therapies coming [crosstalk] Stem cell therapy as well. I posted a video on my YouTube and my Facebook channel about it today. Take a look at that,— I should say,, or click on the the facebook link. I don’t know what the topic is. I came in late. Okay— So, Pheochromocytoma. I think that’s a tumor on the kidney that produces excess aldosterone. I’m going back to like doctorate school physiology class. I think that’s the aldosterone-producing tumor. So, I mean, all the stuff we would do for cancer: Ketogenic diet, uhm— toxicity, coffee enemes, crucumin— all of that. I’ll let you hit the rest of them. Go ahead.

Evan Brand: Yeah. Let’s see what else we’ve got. Uh— Tessa. Wanting to know about starting Iodine, what to do to get started. Uh— Dr. Korosin talks about Iodine a lot in the aspect that many people are doing it, but if they have thyroid antibodies, it’s making the situation worse. So my advice would be get your thyroid panel run. Look for the antibodies first ‘cause you could if you have [incomprehensible], you could make yourself worse if you go start pumping a bunch of Iodine. And uh— Korosin’s got a bunch of literature he link’s, too about that conversation.

Dr. Justin Marchegiani: Keep the Selenium in there, two to four hundred micrograms. And once you’re stable, if you want to play around with some Iodine, hundred and fifty micrograms to start at one drop or one hun— 150 microgram dose, you know, per week, installing increase. They just make sure the B vitamins, the vitamin C, the Selenium, the Magnesium, and the Zinc are all in with it. And also, stay tuned for my Thyroid Reset Plan book that will be coming out in the next six months.

Evan Brand: Oooh!

Dr. Justin Marchegiani: It’s [inaudible] … draft for the first half of the book, just the other day, so I’m really excited about it.

Evan Brand: Congratulations.

Dr. Justin Marchegiani: Yeah. Thank you.

Evan Brand: Alright. Let’s keep going. Uh— Home remedies for flu and what to eat everyday to avoid s—

Dr. Justin Marchegiani: Uh— Remedy. Last week’s podcast. We did a whole podcast on it. Also I did a whole blog post: “What to do when you get sick” Part 1, Part 2. Part 1’s on the diet and lifestyle. Part 2 is in the supplements. So, that answers your questions right there.

Evan Brand: Man, Justin is killing it today. All great. Another question. Is it necessary to take HPA Access Support during a Kill Phase if you’re in Stage 1 or 2? I would say, it depends on your constitution. I think Justin would agree and…

Dr. Justin Marchegiani: Yup.

Evan Brand: … depends on your sleep, your stress level, how many hours are you working, how much rest are you getting. Are you working or are you off from working? What’s your circadian rhythm look like? Are you travelling? What’s going on? Like, what’s in that stress bucket?

Dr. Justin Marchegiani: I would say yes. It’s always gonna be good. And then depending on how much stress would be what we’d— what specific herbs we would recommend.

Evan Brand: Oh, we take adaptogens everyday, so we’re gonna say yes always.

Dr. Justin Marchegiani: Yes. I got some Ashwagandha here. So today, I’m crushing the Ashwagandha Supreme, right here. Absolutely. I’m gonna hit two right up now. I love it. It helps with my mood. It helps with sleep. It helps with energy. I find two. I can take it before bed if I— I get like disturbed or like stressed out, because— I don’t know. I watch the news or uhm— just something happens. Like, I just got some project. I got to do some deadline. Taking that really helps kind of curtail the Cortisol rush at night, along with uhm— some GABA and Magnesium, too.

Evan Brand: Yeah. I’ve been hitting Ashwagandha, the Reishi, the Motherwort, the Ziziphus, Albizia, the GABA, Chewable PharmaGABAs. I love them. Those were all good choices. “Hello, Dr. J and Evan. How much probiotics  are appropriate for a two-year old after antibiotic treatment for Bronchitis. If you’re looking into those infant strains that we’re using, some of the infant probiotics, typically— if we’re talking powders, it ends up being about…

Dr. Justin Marchegiani: Quarter teaspoon, right?

Evan Brand: … about quarter to a half teaspoon per day…

Dr. Justin Marchegiani: Yup.

Evan Brand: … for my daughter. We’re doing that currently. And she’s a little less than two years old but we just put it into her drink of water, and she just sips on it all day.

Dr. Justin Marchegiani: Yeah, and then for us, like my son Aden, I’m just like basically tipping my finger a little bit and some— Like I dump some probiotics on like the uhm— the container, and I’ll just kind of slip my finger and I’ll just touch it. And then I’ll apply it to his gums. Or like, we’ll put it on my wife’s breast, where like my child will feed from and just apply it there. And then, when he feeds, he gets the probiotics that way. So, you can do either way, if [crosstalk] they’re still not doing solids.

Evan Brand: That’s a good idea.

Dr. Justin Marchegiani: The infant’s strain’s great. That’s really what you want, I think, up to age four. [pauses] Yeah, up to age four, like that’s when you want to be just doing the infant’s strains.

Evan Brand: Uh— Tessa gave us some more follow-up about the Iodine question. She does not have a thyroid and has grave disease. Would that change your—

Dr. Justin Marchegiani: So, Dr. Wright has a protocol for graves where he does really a high amount of Iodine to basically overload the Iodine symport system, and then downregulate uhm- hormone Iodine or let’s just say thyroid hormone production. There’s that protocol. What’s out there? Dr. Wright’s— Jonathan Wright’s Protocol. I personally— and again, you need to be working with the clinician with this. Graves, it’s really serious. I mean, all of these conditions, I don’t recommend just doing Dr. Google. Like, we’re giving a lot of good information, which is great. But you really want to be working with someone in applying it. But for hypothyroid graves, we’re doing L-Carnitine, we’re doing Melissa and Lemon Balm, okay? Blue Flag— We’re also gonna be doing Lithium Orotate. Okay. And of course, an autoimmune Paleo type of template. I did multiple patients over two hands full that I had taken them out of grave-like states, so to speak.

Evan Brand: What’s the Lithium doing?

Dr. Justin Marchegiani: Well, Lithium has an effect on modulating the thyroid hormones.

Evan Brand: Oh, wow! That’s cool.

Dr. Justin Marchegiani:  Yeah. Lithium Orotate, we— I typically just uh— a formula used with the combination of Melissa or Lemon Balm and Blue Flag, and a couple of other herbs in there that are really helpful. The Carnitine, the Lithium; that’s gonna be great. And of course, you know, we added some Selenium, too, to help with the antibodies.

Evan Brand: Nice. Nice. Great. Great follow-up there. Very— Very good. Uh— does oil pulling really help? Yeah. It does. We’ve used uh— oil pulling ourselves. Both of us have, but there’s some— there’s some cool things you can do with it too. And there’s actually some testing you can do to look for all these different infections, like Hidden Cavitation infections. In the oil pulling, there’s some cool literature on like Silver and coconut, and all that, helping with like oral bad guys.

Dr. Justin Marchegiani: Absolutely. Vitamin K, too, is gonna be excellent for root canal stuff. Of course, collagen. Your teeth’s gonna be— have protein as well. So, good collagen peptides is gonna be excellent as well.

Evan Brand: Uh— last question here from Roslyn. “My SIBO test results are Methane 60+, Hydrogen 20; probiotics do not agree with me.

Dr. Justin Marchegiani: Yeah. Imagine, Roslyn. Are you also constipated, too? Can chime in there? Methane— typically, he put in a Methane diameter and a more constipated Hydrogen, dominate more diarrhea. You’re still positive on the Hydrogen, too. So you may have a— you may also alternate with the two. So, if you can Chime in there fast and let us know what your motility is like, I can answer you more specifically.

Evan Brand: Yeah. And we’ve used that ___[30:51] Formula. It’s got some of the Quebracho extract in there, which can help drop Methane.

Dr. Justin Marchegiani: Quebracho. [crosstalk] Love it.

Evan Brand: Quebracho. Sounds like a part here something. I don’t know.

Dr. Justin Marchegiani: I love it. It’s great.

Evan Brand: Like if— If Roslyn doesn’t get back to us, then we’ll just assume that if Probiotics are not agreeing and Methane’s that high.

Dr. Justin Marchegiani: So, of course, you know, if let’s say she is more constipated, then we would do things like ginger and natural prokinetics to keep things moving. We use ginger tea. Uh— maybe some of the Iberogast formula to keep things moving. Another support I used, called MotilPro, which is excellent. And then, we work on knocking down that bacteria. We probably hold off some of the probiotics if it makes it worse. But we’d make sure things are moving. Maybe even some uhm— Magnesium citrate to keep things moving too.

Evan Brand: Yep. Good advice. Vitamin C, too. You could pump by, what? Two to five grams or so. Vitamins C. That should be enough to move the bowels.

Dr. Justin Marchegiani: Probably a little higher than that, but yeah. I mean, I think, two maybe a little light, but definitely five to eight, five to nine will probably move it for sure.

Evan Brand: Okay, cool. Uhm— more more question here. Why can’t my eyes handle bright light? It could be due to the adrenals.

Dr. Justin Marchegiani: Adrenals, yup. Hundred percent.

Evan Brand: Typically, weak uh— weak adrenals, so definitely get your adrenals tested and looked at some of the adaptogens to help handle bright light. Like the people, you know, especially the women who come out of the grocery store. The first thing they do is pop down those sunglasses on and they just can’t live without them. That tells me adrenal problems.

Dr. Justin Marchegiani: Yeah. I agree. Hundred percent. Alright, cool. I think we answered almost everything. Would spore probiotics Just Thrive be enough to repopulate to the  gut after the Kill phase or should you rotate the— I would rotate other strains. I’m not familiar with Just Thrive. I’m a big fan of MegaSporeBiotic. We have it on our site,, under Gut Section. We’ll put the links in the Show Notes. I like that one. There are a couple of others that are out there that are really good. I know uhm— Primal Defense by Garden of Life is a decent one. I like the MegaSpore, though.

Evan Brand: Yep. Cool.

Dr. Justin Marchegiani: And then, Sue says, “My—” ‘Kay. So, I don’t know. Yeah, so that’s about the Pheocytochroma. Not sure if you have. That’s a tumor. So, you’d really want to get that uhm— resolved there with your doctor. But you’ve got to go on  like anti-cancer protocol for that. Uhm— hope that helped guys. Any other questions, comments, or concerns, Evan?

Evan Brand: I think that’s it for today. If people want to reach out. Schedule a consult with you. Check out Justin’s site, You can book a consult with him. If you like to book a consult with me, either of us, we’re happy to help you. You can just check us out; is me. And make sure you subscribe to the YouTube channel here. We’re what? Thirty three plus thousand so— [crosstalk] Let’s get Justin up to fifty grand, you guys. and then a hundred, and then a million. So, subscribe, subscribe, subscribe, and share, because sharing is caring. And Education is the first step to greatness. How can you approach this stuff if you have no clue. You can’t. You got to learn, and then you can apply.

Dr. Justin Marchegiani: Absolutely. And just so everyone know, if you’re listening to us on YouTube. You know, we have the conversation and the video kind of going back and forth, so you can see our ugly mugs. But we also have the podcast link, and we are recording our podcast in super high audio quality. So, if you want to upgrade the audio, feel free and subscribe to our podcast channels. Again, we’ll have them in the show notes if you listen to Evan or I. We have the upgraded audio for you and that’s only been the last month or so. So, we’re really trying to up our game, guys. We want to make sure you get the best information at the highest quality on your fingertips.

Evan Brand: Yeah, so that’s on iTunes. So, look up Justin Marchegiani, or just type in Beyond Wellness on your iTunes or podcast app. And you can subscribe there. Cool thing I’ll tell about, Justin, iTunes just released a Podcast Analytic so now we can check and see our people actually paying full attention for the full episode or is everybody stopped listening after 20 minutes. Now we can see the drop-offs. That’s pretty neat. And then, for my show, it— just type in my name, Evan Brand, and you’ll find it.

Dr. Justin Marchegiani: Absolutely. I think if you go to, there’ll be a link for your podcast. If you go to or, there’ll be a link there for the podcast. Click it. It will bring you to the button where you can subscribe. And then, we’ll make sure you get updates as soon as you can. And then also, if you’re listening on YouTube, smash the bell. YouTube’s doing some funny things you’re not gonna get the notifications if you are subscribed. So, hit subscribed and then smash the bell right next to it. That way, you’ll get all the notifications. And we’re gonna try to continue dropping lots of knowledge bombs. Let us know. Give us some comments below the channel if you’re listening on YouTube about this. We want to hear some of your concerns. We’re gonna work on responding on them a little more. And also, we want to get more feedback on what you guys want to talk about. So, let us know. We really want to engage you and bring more information. You know, our goal is to help, you know, ten million people. So, you know, we’re doing in the thousands range right now. We want to help more. So, allow us to help you by figuring out what your needs are and let us help you fulfill it, okay?

Evan Brand: Amen. We’ll see you guys after Christmas. So, I hope it’s good for everyone.

Dr. Justin Marchegiani: Yeah. Merry Christmas to everyone. Happy holidays, too. And hope you guys have a happy healthy New Year. And check out our hacking the holidays podcast. Lots of good solutions there so you guys can kick butt, stay healthy and not get sick throughout the holidays.

Evan Brand: Amen, brother.

Dr. Justin Marchegiani: Hey, Evan. great chat with you, man. You take care and Merry Christmas.

Evan Brand: Take care. Merry Christmas. See you.

Dr. Justin Marchegiani: Take care. Bye now.

Evan Brand: See yah.


Jonathan Wright’s Protocol by Dr. Jonathan Wright

Steven Harrod Buhner

Reversing Autoimmune Disease

Reversing Autoimmune Disease

By Dr. Justin Marchegiani

When your immune system response can’t distinguish between your body and any toxins you’ve ingested, the result is called ‘systemic inflammation:’ when your body attacks its own tissues. Your body might intend to fight off an infection or an allergen, but instead points the attack at your joints or your thyroid, or maybe even your whole body. This is how autoimmune conditions, such as arthritis, celiac disease, thyroid disorders, and lupus, begin to grow.

Causes of Autoimmune Disease

Causes of Autoimmune Disease

Autoimmune diseases typically stem from one of the following causes:

Genetic Predisposition: While your genes alone do not condone you to a fate of autoimmunity, having a family history is a good indicator that you should be proactive in preventing an autoimmune disease from developing.

The pathogenesis of autoimmune disease is multifactorial, meaning, just because you may have inherited the genes for an autoimmune disease, it does not necessarily mean you will develop one. Studies have shown that some combination of genetic and environmental factors are what ultimately cause or prevent autoimmunity from developing. In this article, we are going to break down some of the ways to prevent this from happening.

Leaky Gut: Food allergies, toxins in our food and environment, stress, gut dysbiosis and an inflammatory diet are causes of leaky gut. Leaky gut occurs when the gut lining is compromised, allowing large food particles and toxins to leak into the bloodstream, causing inflammation and autoimmunity.

Autoimmune conditions affect at least 50 million Americans, as well as millions more worldwide. However, autoimmune disease seems to exist almost exclusively in first-world countries. This is possibly linked to the diversity of the microbiome: in developed countries, we are regularly exposed to antibiotics and consume genetically modified foods laden with pesticides. These contribute to reducing the diversity of our microbiomes. Those in less developed countries have a wider range of gut flora, and don’t suffer from the same autoimmune diseases.

Click here if you are suffering from brain fog, digestive issues, or insomnia!

Trauma: Overwhelming stress or trauma, whether it be physical or emotional, such as a difficult break up, the death of a loved one, or a car accident, is enough to send your body into overdrive and trigger autoimmunity. The immune response due to physical stress (injury) causes profound inflammation, which is known to trigger autoimmune disease.

Up to 80% of people note that they experienced uncommon emotional stress before the onset of their autoimmune disease. Stress-related hormones are presumed to cause immune dysregulation, resulting in autoimmune disease. Stress can be responsible for more than just the onset of autoimmunity, it also feeds continues a vicious cycle of feeding the condition.

Prevention and Reversal of Autoimmunity

Prevention and Reversal of Autoimmunity

  • Eliminate any foods causing allergies or sensitivities. Here is a breakdown of what an elimination diet entails. Basically, by eliminating foods that are potential allergens, you’ll learn what your body feels like when you aren’t ingesting inflammatory foods. Then, you add back foods gradually and are able to pinpoint which foods are triggers for your autoimmunity or other issues you may have been experiencing.
  • Heal your gut to reduce inflammation. Your gut houses 70% of your immune system. If you don’t have a healthy gut balance, your immune system will be severely affected, contributing to autoimmune disease. An elimination diet can help you learn which foods are serving you and which are hurting your gut.
  • High quality probiotic supplements, eating and drinking probiotics in the forms of kombucha and sauerkraut, and drinking bone broth will all support a healthy gut!
  • Proper vitamin D levels. Research shows a strong correlation between vitamin D deficiency and autoimmune disease, cancer, and other serious diseases. This article studies the link between vitamin D and autoimmune disease in depth. Getting time in the sun, as well as supplementing with quality vitamin D, are ways to reverse and reduce risk of developing autoimmunity.

Click here for a personalized wellness plan!

  • Glutathione, the “master antioxidant,” helps your body detox any toxins you ingest. Glutathione is also a major player in immune system regulation, meaning it plays an important role in autoimmunity.
  • Zinc is essential for white blood cell production, and provides powerful immune system support (maybe you’ve heard zinc recommended to get over a cold quickly). In fact, studies have shown that those with a zinc deficiency are more susceptible to developing diseases.
  • Get good sleep will lower inflammation, heal your body, and reduce cravings for carbs, sugar, processed foods, and other junk that contributes to autoimmunity.
  • Magnesium A deficiency in magnesium increases production of proinflammatory cytokines, raising your body’s total level of inflammation, a trigger for autoimmunity. Magnesium deficiency is rampant in our society due to chronic stress, soil depletion, and high-sugar diets, so it is important to supplement with magnesium.
  • B vitamins support your immune system, hormones, sleep patterns, and much more. Vitamin B12 plays a role in your body’s production of white blood cells, which are essential components of your immune system. With lowered white blood cells, you are much more susceptible to illness, including autoimmunity.
  • Reduce stress Studies show stress can act as both a trigger and a modulator in autoimmunity, and stress-reducing techniques (yoga, meditation, massage) are viable treatment options.
  • Activated charcoal can be taken if you have consumed a food you are sensitive to, or any less than ideal foods. Activated charcoal binds to toxins to protect your body from inflammation.

If you are dealing an autoimmune disease, or have suspicions, please schedule a consultation with a qualified functional medicine doctor to assess your needs and help you heal.

Click here to talk to a functional medicine doctor about autoimmunity!


Using Spore-based Probiotics (Sporebiotics) to Improve Your Health – Podcast #157

Dr. Justin Marchegiani and Evan Brand talk about spore probiotics and their importance in modulating the immune system. Learn about Th1 and Th2 immune system, understand the negative effect of vaccines on them and know the role of  probiotics in the imbalances created by vaccines.

Gain information on some of the probiotics strains and know how their acidity and timing of intake impacts absorption. Discover the answers and explanations to questions about lectins and digestive enzymes in relation to probiotics. 

Sporebiotics to Improve Your Health

In this episode, we cover:

03:00   EMF’s and Infections

06:29   L. Gasseri and Histamine

09:16   Th1, Th2 immune system

18:55   Paleo template and IBS

24:48   Lectins






Dr. Justin Marchegiani: Yo, yo, yo! It’s Dr. J here in the house. It’s a great, magnificent Monday. I got my little Topo Chico, a little sparkling bubbles here. Evan, how was your weekend, man?

Evan Brand: Oh, life is good. I don’t remember the weekend. The weekends are so weird once you have a baby. I’m sure you figured out the same thing. The weekend is just like, it go by and then all of a sudden, it’s Monday again. And I just love working so much that it’s like, “Oh, it’s Monday, my favorite day of the week.

Dr. Justin Marchegiani: I feel the same way, too. I love Mondays coz I love getting back in the swing and creating content and seeing patients and getting all these uh—great feedbacks of people getting better or you know, you get challenging cases that really cause you to roll up your sleeves. So I definitely like that, for sure.

Evan Brand: Me too. And how was it for you?

Dr. Justin Marchegiani: It was great.  Uhm—this weekend, my wife—coz we’ve been—we had a baby like a month and a half ago, it’s the August 21st and for the first, she went out Friday and Saturday night. And I had babysitting duty. It was great.

Evan Brand: Oh man, I’ve never done that myself_ the 15th month old.

Dr. Justin Marchegiani: Not yet? Yes. She went out and she gave me a bottle, you know breast milk in a bottle. And just gave me uh—you know, a little bottle but, you know, it created a little balance there because she’s been basically breast-feeding often on every hour or two for the last six weeks. It’s hard because she was—

Evan Brand: Did she text you the whole time missing the baby?

Dr. Justin Marchegiani: Well, I was kinda giving her updates. But she was feeding, doing the SNS and then pumping and then the time that all finished, the next feeding started in 45 minutes. You can imagine that for five or six weeks. It’s really hard. Now it’s getting like two hours after or an hour and a half to two hours. So now it’s like, “Oh, it’s getting a little bit better.” You know, two hours, you can at least close your eyes and get a little bit of be restorative sleep in there. So that’s good.

Evan Brand: That’s great. Cool. So you were uh—you were the babysitter.

Dr. Justin Marchegiani: That’s it, man.

Evan Brand: That’s awesome.

Dr. Justin Marchegiani: Life is— it’s crazy how life is, man. Just things continue to evolve and you get satisfaction out of different things. You wouldn’t think it. Holding your baby and having them smile at you or just hold your finger whatever could be that satisfying but—ain’t it funny how that all changes?

Evan Brand: I know, man. It’s great. It’s like DNA trick. So we’ll take care of them.

Dr. Justin Marchegiani: Exactly. Now, we wanted to talk today about the probiotic, speaking of DNA. We want to talk about probiotics. And probiotics—again, we’re gonna hone the topics. We talked about probiotics before but we’re gonna really address the area of spore probiotics which are like the cell walls of the specific spores called bacillus spores. There’s a couple that we use in our clinic called Bacillus Clausii Subtilis and Coagulans. Bacillus Coagulans, Subtilis and Clausii. Those are the big ones that we use and these are the basically the cell wall of these kind of bacteria which is the spore. And they have an awesome, awesome benefit of modulating the immune system. Couple other things we find – a lot of these microbes in our body— fungus and bacteria and parasites— EMF’s or electromagnetic frequencies have a real negative effect on making these infections worse. And what refining is some of these bacillus strains, some of the spore strength can really help combat against the negative effects that EMF has with some of these critters. That’s another good benefit. I’ll open up the floor to you here, Evan.

Evan Brand: Yeah. So EMF— I mean I’ve done episodes on this since the inception of the podcast in 2012. So it was five years of talking about it in some shape or form. The more I learn about it, the more that I learned it affects everybody’s systems. So like you just say, uh—I’m gonna say it in a different way. The EMF can actually strengthen the virulence of these infections. So someone’s got parasites, yeast, fungus— we may need to look at bringing probiotics in and really upping and upping and upping the beneficial bacteria to try to counteract the effects of EMF. Now just because you’re not sensitive to EMF, doesn’t mean that it’s not a factor, right? You might not have the headaches or the— the ringing of the ears that a lot of people talk about where the heart palpitations. Like you may not have true EHS like Electronic Hypersensitivity Syndrome or EHS or they have different names for. If you’re not that sensitive, it doesn’t matter. You’re still going to benefit by protecting yourself and protecting your microbes by using either these bacillus spores that we’re going to talk about or just by using other types of probiotics. And at the right time, uh— one thing I wanted you to hit on Justin is talk about the timing of bed and how we can work this in because many people go to whole foods and they buy a probiotic and they take it and then come back to us and they say, “Dr. J and Evan, I took probiotics and I feel worse. What’s going on?” It’s all about timing.

Dr. Justin Marchegiani: Yes. So there’s a couple different things. So a lot of probiotics like your bacillus uh—sorry—your lactobacillus, acidophilus, right? Your bifidobacter kinds of probiotics, right? These probiotics tend to be more acid-sensitive. Now there are some that Evan has in his line that are acid-resistant because during this—this like a sphere that it kind of is acid-resistant. And taking that and kinda get through some of stomach acid. We may also just hide it on an empty stomach to bypass the stomach acid so we can have that bacteria intact when it gets to the small intestines, the colon. And then we can have a lot of benefits with immune modulation. We can have uhm— a lot of benefits of boosting up the healthy bacteria so we get better B vitamin pers—uhm— increase coz we get the good bacteria produce a B vitamins. Also, healthy bacteria, I know with the bacillus strains that we see, one of the great things as it helps convert sugar to vitamin C. And vitamin C is super important for collagen, for immune function, for oxidative stress, right? Oxidation is the apple that you cut open then it sits on the countertop and turned brown or the nail left outside that gets rusty. That’s oxidation. That’s a loss of an electron. Antioxidants like vitamin C can help donate electrons to prevent the oxidative stress. So healthy bacteria and particularly the bacillus strains can really help with the vitamin C uhm— conversion from sugar, which is great. And then your other strains like the bac—like the lactobacillus acidophilus, right? These produce acids, which are great coz acid– acidic environment actually keeps a lot of the bad bacteria and fungus in check from growing. That’s why a lot of people do great with apple cider vinegar. It is like this cure-all because the acetic acid has got a very low pH that makes it really hard for microbes and not so nice microbes to work and also can stimulate your own HCl production as well.

Evan Brand: Yup. We have a question from Haley. She said she read that the strain L Gasseri reduces histamine. Have you ever heard of this? Yes. I have heard of certain strains of probiotics helping to reduce histamine. I don’t know if this is correct, but I remember seeing that the Rhamnosus species—I could try find this journal I had bookmarked— I believe the lactobacillus Rhamnosus was something that actually increase histamine, which is why some people may feel worse. I just found it here. Histamine production by lactobacillus Rhamnosus. And Haley just said she read other strains can increase. Yeah. I’ve read the same thing as well, which is why typically, we’re gonna use a combination. And we’ll likely going to have a blend. So if you’ve got some things that are stabilizing histamine, you’re typically going to counteract the other one that could increase histamine.

Dr. Justin Marchegiani: Yeah. Again, people that typically are histamine-sensitive, a lot of times probiotics in general can create histamine intolerance. Uhm— so I see a lot of people that will just do a really good, you know, lactobacillus or bifido bacter or lactobacillus plantarum, whatever, like that may cause them to get bloated or gassy. If they are probiotic intolerant, one of the things we go to is we go to a spore-like probiotic because people that are histamine-sensitive tend to be able to tolerate that well. And one thing we like about the bacillus spores is it’s acid resistant. So you can actually take it with food, which can make it a little bit easier to process than taking it may be on empty stomach. So we like that.

Evan Brand: Yeah. Now, like you mentioned, you and I use some specific types of probiotics out there. They can have an encapsulating technology, where you can reserve them.

Dr. Justin Marchegiani: Yes.

Evan Brand: So this doesn’t mean that you have to ditch all other probiotics. It just means unless you’re using the formulas that Justin and I have, if you’re not using ours, then you want to use a spore-based because all the other ones, unless it says, “Hey we’ve got some special— if you’re looking at the label— unless it says, “Hey we got a special tableting technology that protects from stomach acid” you’re kinda wasting your money on most of the probiotics.

Dr. Justin Marchegiani: Oh, absolutely. I know the ones that we typically use they will put like colony forming units on there, which you know, that’s like how many probiotics that are in there. There’s a couple of things to look at. Number one is— is that the colony forming units of the probiotic that were put in there when it was bottled? Or how many they expect to be in their expiration one or two years later? So number one, when we put the CFU on that bottle, that’s gonna be how many we expect to be there in 1 to 2 years later when it expires. So, you’re ideally adding so many extra in there. So you’re compensating for potential things that may knock it out like heat or shipping or storage stuff. Just things that are normal with getting that product to the patient. So when you know what’s in the bottle there, you’re typically getting more than what’s in the bottle because we have to make sure we overshoot and compensate for all the little mishaps that may lower it.

Evan Brand: Right. Well said. So, talk about the immune system a bit. You wrote some notes before the show about the TH1 and the TH2 immune system. Can you talk us through that and kinda break down what TH1 is, and 2, which some of us are TH2 dominant in the modern world now mainly from vaccines. And that the TH1 system, this kind of seesaw can be balanced out with the use of these spore probiotics.

Dr. Justin Marchegiani: Yeah. Great question, Evan. So a lot of people their TH2 immune system is over stimulated and your TH2 immune system— think about it— it’s the antibody-based immune system. It’s the humoral-based immune system. So the whole goal of like your immune system is you have like the front-line defense. This is like the Army Rangers, the Delta team; Seal team six, the Navy SEAL’s, right? These are the people, they get in there first and they make—they make stuff happen, right? These are the guys that go in there first. They radio back and then the infantry comes in second, right? So they give the infantry, they come in a few days later once they got Intel and you know everything’s been surveilled, right? All the special forces, they radio in the special forces are the cytotoxic or the natural killer kind of that cytotoxic first branch of the immune system, the TH1. And the TH2 is kinda more that delayed antibody-based immune system that comes in after the fact. And when we look at what vaccinations do is they boost up to give a little bit of that compound that you’re trying to develop an immune response to i.e. the infantry and you’re trying to boost that up. So you’re trying to keep basically this infantry that’s hanging out, that’s waiting—that’s waiting for that critter to come in. The problem is when you boost up that infantry more, more, more, more, more, more, well, there’s collateral damage that can happen like allergies and other issues on the immune side if you continue to boost it up too high. And that’s why one of the big trade-offs that has happened with a lot of vaccinations over the years is a lot allergies, there’s a lot of ADD, there’s a lot of other parts, a lot of symptoms that can happen just because that a part of the immune system is so over stimulated. And when we dig to some of these bacillus spores, right? That can help knock down the TH2 by boosting up the TH1. Think of it as a seesaw as one side goes up, one goes down. So when you boost that TH2 up so high, you’re basically decreasing that cycotoxic, those Navy SEALs, those Army Rangers, right, that Delta force, right, that were lowering that. So by knocking that seesaw down on the  TH2, we do it by boosting up the TH1 and those bacillus force can be super helpful at doing that.

Evan Brand: Yup. And medicinal mushrooms, too. We can stack mushrooms on this.

Dr. Justin Marchegiani: Yup.

Evan Brand: …with these and we can help modulate TH1. So—

Dr. Justin Marchegiani: We can totally do that.

Evan Brand: We got a couple questions. We have one about food combinations, we have one about infrared sauna. Here’s one from Tessa that’s on-topic about probiotics. “Is it good—is it good to take with digestive enzymes?” I guess you’re saying, “Is it good to take digestive enzymes and probiotics together?” My answer would be no. Generally, just because the stomach acid is likely going to kill those. Now even if you are taking a super high professional grade formula like Justin and I are using with you, still, we don’t want to try out a breakdown that technology. If we can preserve those bacteria and get that to the colon, where it’s really gonna do the good thing, I would take your probiotics before you go to bed. Because there’s no competition for stomach acid at that time.

Dr. Justin Marchegiani: Exactly. Yup. So I think taking up probiotics in the morning when you get up first thing or before you go to bed at the very end. Take your enzymes with food typically you can do enzymes before meal, too.

Evan Brand: Uh-hmm.

Dr. Justin Marchegiani: Uhm—again, but typically, with the meals also fine as well. And regarding uhm—did you ask about food combining, yet?

Evan Brand: Well, I didn’t read the question yet. I just said best food combinations. Once you can’t go wrong with like meat and salad.

Justin M: Yeah. It’s typically meat and non-starchy. Meat and non-starchy vegetables, chicken and broccoli. Those kind of things. Typically, fruit by themselves. Again, that may cause blood sugar stuff. So, again, I typically only deal with food combining stuff where maybe starch and fruit are eaten a little bit away from things if there’s a lot of digestive issues. And if there’s a lot of like fructose malabsorption, when you really can’t digest much fruit either, fruits gone.

Evan Brand: Yeah.

Dr. Justin Marchegiani:  And they may not be able to tolerate much starch. And again, some of these changes when you go lower FODMAP, too. When you go lower FODMAP fruit or lower FODMAP starch that may get better. And if you also up the HCl and the enzymes, some of those symptoms that you may see a relief from when you food combined correctly, right? You may not need that.

Evan Brand: Yup, well said. There were two other things we wanted to mention about the TH1, TH2 system. One, you mentioned like ADD or you know, some type of developmental problems like autistic children, they could have an issue with—with their TH1, TH2 balance. So this is where the spore biotics can come in to the equation and fix it and then also food sensitivities. Now a lot of the stuff gets better, too. You know Justin and I talk so much about parasites things like H. pylori infections, bacterial infections that are suppressing stomach acid. So food intolerances are typically related to the gut, but also, we found that this whole immune system thing can also be a factor and just by getting more beneficial bacteria and the right strains as well, all the sudden food sensitivities go away and you can start adding stuff back in that you used to not be able to tolerate.

Dr. Justin Marchegiani: Yeah. Some of that just because there is a little bit of peanut oil sometimes in some of the vaccinations as a preservative and uhm—there’s also uhm—some proteins in there. So a lot of peanuts, you know, peanuts the last 20 years has been a huge one. I mean you can’t even take a lot of times peanuts into a regular elementary school.

Evan Brand: I know. It’s crazy.

Dr. Justin Marchegiani: So I think that’s part of it. I there’s a lot of theories that are out there saying that. So, I mean, may not be super hard evidence on it, but we know that the amount of vaccines have, you know, triple, quadruple over the last 20 years since 91 really—1991. That—that could be a driving factor. That would make sense, for sure.

Evan Brand: Yeah. I was glad uh—Eric Berg. He put out a video about vaccines. Did you happen to see that one?

Dr. Justin Marchegiani: No, I didn’t.

Evan Brand: He has a good video. Look it up when you got time. But  it was a good video. He was just like, “What’s my take? People asked me.” He’s like, I don’t like him.”  And he’s got full list of all the different things that are inside of those and then plus he talks about all the different things that were deemed safe by the FDA like DES that all those women were taking and then you have all these different birth issues—

Dr. Justin Marchegiani: Thalidomide—with the—with the kids with uh very short arms.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Totally. And again, on the vaccine, though, too, if you look at—there’s a big study that was done. I think in 2014. But they looked at kinda vaccine dosages across, you know, how many dosage, or how many individual vaccines across all the countries. And I think it was a lot of the Scandinavian countries that had 75% less vaccinations and better health— better overall health.

Evan Brand: Right.

Dr. Justin Marchegiani: So I mean, I think just kinda keeping in mind that there may be some benefits from vaccines, but it’s not health never comes from a needle. Not just because you get a vaccine, it does not replace sleep and nutrition and hydration and obviously, a cleaner environment, too, which is huge, right? Plumbing and those kinda things make a massive difference when it comes to infectious disease. But these countries show that you know, much less vaccines dosage-wise, huge difference. I mean they were much— you know, far beyond us health-wise.

Evan Brand: Yup. So if you can’t go back in time and change how you were vaccinated as a kid, this could also give you inspiration about how you approach adult vaccines. Coz now I’ve got a lot of clients I know you do, too that are approaching us and asking us about shingles vaccines that the doctors are really pushing hard for people over age 60. And then also the flu vaccines, which I’ve had people who get the flu after they got the flu vaccine.

Dr. Justin Marchegiani: Yeah. It’s a live attenuated virus. You look on the vaccine inserts, it’s 20% chance of having flu-like symptoms because of the vaccine. It’s on the insert. I mean this isn’t even controversial stuff, unless you actually go in there and ask for the vaccine insert like I have. And then you just_ the side effects and you say, “Hey, look here’s a side effect right there. And it’s I mean, chills, malaise, headaches, you know, achy, tired—that sounds like the flu to me. What do you think?

Evan Brand: It is. I mean, well, it is the flu. And the issue, too, with the CDC is that when they’re making those flu vaccines, they’re only coming up with certain strains, right? So if there’s another strain outside of the one you got vaccinated for, you’ll still get the flu that year and still feel terrible.

Dr. Justin Marchegiani: Yeah.

Evan Brand: Plus, you’ve got the aluminum and what other preservatives or things in there that are activating that virus for your or—

Dr. Justin Marchegiani: Right. Totally. So kinda the idea is when the vaccination side is your manipulating your infantry, right? You’re boosting up, you’re getting a special reserve of that infantry that’s gonna be specially trained for that one little critter that comes into your body, which you know, definitely has uhm—some use for. Now, my philosophy is let’s just get your immune system so freaking strong.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Let’s get all these infantry guys lifting weights and— and you know, rock-solid with the nutrition and diet, so then they’re so ready to go. They’re gonna just plow through any critters and that’s kinda what we’re talking about with all the diet, lifestyle, the nutritional support, uhm—the nutrients to up regulate the immune system, the probiotics like mega spore biotics is one that we use. We’ll put a link below for the link here, my store for that. If you wanna see that. It’s the one that I use. It’s a bacillus clausii, subtilis and coagulans strain that can help balance that TH2, drop it out, pop the TH1—that’s great. Uh—also, medicinal mushrooms like __and other herbs, too. Astragalus,__—

Evan Brand: Yeah.

Dr. Justin Marchegiani: Andrographis, uhm—silver, vitamin D, of course, glutathione. These are all great immune modulators so we can really get that infantry boosted up and stronger, right?

Evan Brand: Yup. Perfect. Rachel, nice to see you. She’s got a question, “My husband was regular before we went Paleo / Primal, but since about two years, he’s slower, no longer pooping daily, we eat lots of veggies, he’s not a stress personality type. Any advice to improve? Justin, what do you think?

Dr. Justin Marchegiani: Well, off the bat, very simple. I would look at just increasing a little bit more starch, little bitt of sweet potato that may shift things, number one. Uh—n number two, make sure the veggies are cooked if you’re doing this more raw stuff, and that’s causing him to backup, do a little bit more cooked, steamed, sautéed— that’s number two. Number three, adding some enzymes and HCl. Uhm— and then number three, get your gut looked at. If there’s still issues with maybe dysbiosis. What happens is sometimes that starch can help feed some of that beneficial bacteria and that gets drop-down when the starch goes down. So pop it up a little bit of sweet potato, plantains, squash, may give that good bacteria a little pop. Uh— but in the meantime, it’s just as a palliative. Uhm— not pooping daily, not passing 12 inches of stool daily is not good. You get something called autointoxication where you start to reabsorb a lot of the toxins in your stool. So a little bit of magnesium citrate daily to keep those bowels moving and then taper off uhm— down the road. You know, give yourself a few weeks to kinda make those changes and see if you can be regular on your own.

Evan Brand: Rachel, I believe you’ve got your stool test back from— from me. Uh so look on there, too. Uh—you know, one thing that I would suggest, too, get your husband a stool test and look at the beta glucuronidase enzyme like Justin is talking about with autointoxication piece. We can measure that with the enzyme and we can fix it. Milk thistle and supporting the liver and getting rid of gut bugs but you know, if there’s H. pylori or parasites or other bacterial infections that he could have, you guys could be passing things back and forth. The infections could be slowing down the motility. I just put out a podcast with this guy, Ken Brown, who’s a gastroenterologist and he was teaching me more about methane and how certain species of these uh— bacteria during SIBO cases are actually slowing the bowel transit time. So, literally, bacterial overgrowth could just be the culprit due to the methane production. And of course, he’s selling his supplement to reduce methane but if you just fix the SIBO, that will also get your bowels more regular. So I hope that helps.

Dr. Justin Marchegiani: Love it. Very cool. Well, anything else you want to add about uhm— spore based probiotics?

Evan Brand: I think it’s something that should be in everybody’s toolbox. I don’t know if it’s the silver bullet. I don’t know if it’s the—you know, a lot of people find something that helps them, so then it’s like this is the only thing you can use out there. I still think there’s other benefits to other probiotics that we use, but I do think it should be in everyone’s toolbox and they should at least consider looking at it and potentially using it. Could you just randomly go and take it if you’ve got a bunch of symptoms? What’s your take? I’ve had so many people take probiotics so willy-nilly and they feel worse. So I really think it’s important to get tested first before you spend your money on this.

Dr. Justin Marchegiani: Yeah. I find that’s— it’s one of those things where it is other deeper issues there. It’s not gonna be a root causal thing, right? There’s too many other things going on in motion. The more other things are happening in motion, and they aren’t stopped or they aren’t addressed, that it may help a little bit, but it may make no difference at all. So I always say get the low hanging fruit under control and then if you want to add it, then great. If you want to work with a functional medicine provider like us that kind of get things lined up for you, make sure everything’s in order, and then add it in. Some patients I see, it really doesn’t change anything; Some patients, it makes it a little difference; some patients, it makes a huge difference. But we’re not ever hanging your hat on one thing, but sometimes one thing can make a big difference but we never expect to. So then we’re always pleasantly surprised if we get one of those great cases.

Evan Brand: Yup. Well said. Well, I’d say, before we just become a rambling man, we can wrap it up. I think this was a helpful episode for people. Add it to your toolbox, do a little bit of research. I think we may have done other shows. I’m sure we hit on probiotics all the time, but—

Dr. Justin Marchegiani: I think so.

Evan Brand: But if you’ve got, if you’ve got people in your family that have issues maybe they just won’t change the diet, they could potentially get benefit. Maybe if you’re looking for that one thing to try to get someone started into this field of functional medicine, maybe that spore probiotic is the first step. And then maybe that excites them and that encourages them to pursue the diet, the lifestyle, the sleep, the stress, the infections, the testing and all that. If that’s the catalyst, then that’s awesome.

Dr. Justin Marchegiani: Yeah. How we talk about any supplement is in kind of context of a whole program. Like we’re doing all these different things, we’re addressing all these things and then this is another maybe piece that we plug into. We’re not saying, “Oh, we plug this piece into someone who doesn’t—who’s not doing a darn thing.” We’re plugging it into a program.

Evan Brand: Yeah.

Dr. Justin Marchegiani: Where everything is being looked at. So that’s just kind of our context. S if you’re one of these people that aren’t on a program or aren’t doing anything diet or lifestyle wise that’s really healthy and then you think it’s gonna be that magic bullet, just want to make sure we set your expectations accordingly. And just, you know, don’t forget that majority of antibiotics aren’t just true antibiotic prescriptions if they are in the food supply. So being more organic and eating healthy animal products healthy fats, that’s gonna be helpful so you won’t get that antibiotic exposure which will throw off your gut. And healthy gut bacteria, it produces nutrition, right? Uhm— good bacteria eats, poop and poop nutrition. Bad bacteria eats nutrition and poop. In other words, back it up. Good bacteria provides nutrients in your body just like I mentioned with the spores and the vitamin C which then helps with vitamin K which then helps with vitamin D, of course, and healthy bones, too. But it also—the bad stuff produces a whole bunch of crappy toxins. LPS, lithocholic acid, etc. These things help open the gut lining, make your gut a little bit more leaky which then gets that TH2 immune system overreacting because you got all these undigested food particles that you start developing an immune response to. Not so good. That really gets your TH2 now even more jacked up.

Evan Brand: Yup. Well said. We have one question from Neil. He said, “Do you think lectins are an issue?” Some are saying lectins are real problem, other say beans and legumes are one of the common factors of the blue zone areas. The blue zone, for people listening, that’s like the people that are living to 9000+ years old. They are eating a lot of beans and such. “Love the podcasting.” Thanks for the feedback, Neil. Justin and I when we talk about grains, for example, like with rice pressure cookers, the way to do it. If I do any organic white rice, it’s typically like a treat for me. I put it in the pressure cooker I tend to feel much, much, much better. But beans, I don’t really do beans. Justin, what’s your take?

Dr. Justin Marchegiani: I’ll do beans every now. Uhm—but like maybe once a month, but it’s all about context. Let me give you, for instance. “Evan, our massage is good for you.

Evan Brand: (laughs) I would say yes.

Dr. Justin Marchegiani: Okay, great. Our massage is good for you. Do they feel good when you have a really bad sunburn?

Evan Brand: Oh, not really.

Dr. Justin Marchegiani: No. Well, think of your gut as like a sunburn. Like your gut, it’s all irritated and inflamed with critters. So the more sunburn and the more intense that sunburn is, the more you may not be able to handle things that have lectins or these gut-irritating compounds in them. So the sunburn gets better, you can handle that nice massage. Your gut gets better and healthier and more infection-free and more good bacteria build backup. Could you tolerate a little bit of uh—legumes here and there? Yeah, more than likely. Some may not, right? There’s not a be-all end-all thing but some may. So it’s all about the context. Typically, the less inflamed you are, the better ability you have to adapt to a stressor like lectins, for instance.

Evan Brand: Yes. So now I’m gonna say the guys name because I don’t want to give them anymore—uh—anymore press he deserves. But there’s a lot of anti-lectin people out there—

Dr. Justin Marchegiani: Yeah.

Evan Brand: And it’s just like, to me, it’s a sales pitch. It’s probably gonna sell a lot of books coz it’s like, “Oh, my God! Plants are bad for you.” And then I had people emailing like, “I might as well just starve to death. I can’t eat this, I can’t eat that. I might as well starve to death.” And I just—I’m not a fan of any—I’m not a fan of promoting things that instill fear in people. I agree with your analogy. I miss your analogies, by the way. That was a good one.

Dr. Justin Marchegiani: That was a good one, right?

Evan Brand: Did you come up with that right on the spot?

Dr. Justin Marchegiani: Off-the-cuff, man. It’s how my brain thinks. If I can’t create that analogy, if I can’t wrap my head around it, I can’t expect, too, either.

Evan Brand: Well, that was a good one. And so back to my point. I don’t want to instill fear upon people. I agree with your—your strategy and your analogy. Lectins— sure, if you did beans and rice every day, maybe you could have some issues. But if you’re infection-free, your adrenals are healthy, you’re going to sleep on time, you’ve got good relationships, you like your job, you like your boss, you’ve got a great spouse, like you could probably do more lectins, more rice, more beans whatever. And maybe you could get away with it and feel okay.

Dr. Justin Marchegiani: Yeah. If it was in your 80-10 or 80-20 or 90-10, yeah, you know, it’s part of your 10 or 20, you probably would be okay, borrowing all the things you said.

Evan Brand: Yup. I’m sure we can ramble on about that point. That was a great question, though. Uh—

Dr. Justin Marchegiani: And then, also, too, certain foods and have more lectins. Of course, grains are going to be the bigger offender, right? And then you know, you have your legumes, right?  Your beans or lentils, but you know, just soaking them has a huge reduction in getting those lectins down. And even vegetables that do, just cooking them can have a huge effect on reducing some of them. So a lot of times, it’s not just the sheer amount. It’s well, how can you prepare to reduce those lectins as well.

Evan Brand: Yup. The pressure cooker for me has been a game changer for the rice.

Dr. Justin Marchegiani: Yeah. And just the Paleo template or autoimmune template is a start. I think has probably the best effect at reducing most of those right there, off the bat.

Evan Brand: Yup. Tessa had a question. “My brother has celiac disease. Are probiotics a good idea in his case?

Dr. Justin Marchegiani: Well, you—you’d wanna really do a bunch of things, but would probiotics be a part of that plan? Yeah, absolutely. You do a six-hour protocol with this. You’d remove the bad foods. You replace enzymes, acids. You would repair the gut lining and the adrenals and the hormone systems. You remove the infections. You retest or you repopulate healthy probiotics, then you retest.

Evan Brand: Yeah, I agree. Celiac is quite a bit—celiac is the manifestation, but there’s probably 5-6-7 puzzle pieces that have to be laid out.

Dr. Justin Marchegiani: Uh-hmm.

Evan Brand: Probiotics maybe 5% of the equation, it may be 15%, who knows until we—

Dr. Justin Marchegiani: Yeah. And if you add in some good probiotics, like in my line Probio Flora or something like that. Would that be helpful?  Yes. But if he did it in conjunction with drinking his wheat beer and continuing to eat grains all day, it may be like using—it may be like using a beautiful golden nail on some rotten wood. It’s just like, “Argh, it’s not enough.”

Evan Brand: Right. You got to go deeper. Even the diet— we’ve had celiac clients and patients that come to us where even the diet is not enough because it got infections that are tearing apart that gut lining, creating that leaky gut situation and they’re reacting to everything. So even the Paleo or a gluten-free diet may not be enough. And usually it’s not. That’s why we do what we do.

Dr. Justin Marchegiani: Bingo. Love it, man. Hey, let’s chat again real soon. We got information coming up for our listeners. Have a great rest of the week, Evan.

Evan Brand: Take care. You guys, if you need to reach out, We are available.

Dr. Justin Marchegiani: And if you like the audio quality, guys, give us the thumbs up. We’re making some tweaks, we’re making some changes. Give us a share. Sharing is caring. We appreciate it. Leave a comment below. We wanna know what you think about. Give us feedback. You drive kinda what we want to talk about next and we’ll answer those questions to you, too.

Evan Brand: Yeah. Don’t be a lurker. Give us some comments. Your comments are our oxygen.

Dr. Justin Marchegiani: Absolutely. I don’t want you creeping in those YouTube post. We want you out there kinda getting some good info. We appreciate it.

Evan Brand: Alright. Take care.

Dr. Justin Marchegiani: Evan, take care, man. Bye.


Probiotics 101 How to use probiotics to enhance your health – Podcast #73

Dr. Justin Marchegiani and Evan Brand get into an in-depth discussion about probiotics, on what they can do for you and where you can get them. Listen to this podcast to find out more about the benefits of good bacteria in your body and where you can source them out. Find out what the recommended ones are according to Dr. Justin. 

probiotic-bacteriaDiscover the different probiotic supplements, the different strains, and what foods contain probiotics in this interview.  Learn more about how probiotics can influence inflammation by reducing it. So if you’re having digestive symptoms, this podcast is for you to get more information on how you can naturally reduce digestive symptoms.

In this episode, topics include:

2:03   What are probiotics and what they do

7:17   Beneficial fermented foods

10:58   Probiotic supplements

17:50   Mood benefits amd effect of taking probiotics

30:03   Lab testing










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Dr. Justin Marchegiani:  Evan, it’s Dr. J, man.  What’d you have for brekky?

Evan Brand:  What did I have?  Oh, I cooked a bison burger.

Dr. Justin Marchegiani:  Bison, nice.

Evan Brand:  I–I ate probably about 8 ounces.  I made–I took a pound of bison, cut it up into 4 sections so I had about 4–4-ounce patties and I ate two of them.  I put some aminos on there with some different spices–

Dr. Justin Marchegiani:  Uh-hmm.

Evan Brand:  And seasonings.  It was great.

Dr. Justin Marchegiani:  That’s awesome, man.

Evan Brand:   And I did some organic blue corn chips.

Dr. Justin Marchegiani:   So Jeopardy question of the day.  How many grams of protein were in those 8 ounces of bison meat?  What do you think?

Evan Brand:   Mmm.  That’s a good question.  I’m gonna say about 30 grams.

Dr. Justin Marchegiani:   I would guess a little more.  Typically about 4 ounces would be about 25 to 30, so I would say probably closer to 50-ish.

Evan Brand:   Well, that’s–

Dr. Justin Marchegiani:   I could be wrong.

Evan Brand:  That’s good.

Dr. Justin Marchegiani:   Yeah, I’ve done a couple of blog posts on that.  So we’ll have to have that like our kinda trivia for the week if anyone can get it exactly right.

Evan Brand:   What do they win?

Dr. Justin Marchegiani:   Can’t use Google.  They–they win a consult with you.

Evan Brand:   They got the very big prize right there.

Dr. Justin Marchegiani:   Pretty big prize, absolutely.  So I had coffee with some butter and MCT which is great, kinda my staple in the morning.  Before that, I actually had some bone broth.  Well, I made a–my wife actually made a stew last night.  She put like–I think it was a big pork shoulder with the bone in with some vegetables.  We did some onions.  We did some carrots.  We did some celery and we did some broth with a little bit of apple cider vinegar to help kind of pull some of the minerals out of the bone.  A little bit of sea salt and I just had maybe 4 or 5 ounces of meat and some vegetables and some broth that was great.  And then my coffee, and then some of my adaptogens, it’s not the medicine.  I’m rocking it, man.  Just in between patients here, had 4 patients this morning, and then I got you here and then I got 7 more patients this afternoon or 8 more patients this afternoon.

Evan Brand:  Good Lord.  It’s a busy day but we’re rolling right along.

Dr. Justin Marchegiani:   Oh, absolutely.  I mean, this is–this is fun for me.  I know it’s fun for you, too.

Evan Brand:   Oh, yeah.  It’s a blast.

Dr. Justin Marchegiani:   Cool.  Well, today, we’re talking about probiotics a bit.  I’m excited.  What a great topic to talk about.  Anything you wanna add off the bat?

Evan Brand:   Well, so probiotics are a foundation for me in terms of helping people.  It’s almost–it’s almost like nutritional insurance, like a good quality multinutrient or multimineral, multivitamin.  I would almost consider a probiotic a multivitamin in a way to basically ward off all of these other issues that we have.  There’s the link between the gut and the brain that we know about and I found some research that’s even talking about anxiety being helped by having a good amount of certain probiotics.  So who knows what we don’t know about bacteria and what it can do for us in terms of our health?

Dr. Justin Marchegiani:   Absolutely.  Well, let’s kinda dig in.  So probiotics, what are they?  Well, essentially they’re beneficial bacteria, right?  You take the word pro, that’s beneficial or form, and then biotic means life.  So it’s a life-affirming type of bacteria.  It’s beneficial.  We like that and probiotics have a lot of different benefits.  They actually produce nutrients.  They actually help stimulate the production of B12, buterate, and vitamin K2 which is super important.  Alright, buterate is that same fat in butter.  I love this little factoid that vegetarians and vegans don’t understand but with good beneficial bacteria they’re taking a lot of that plant matter they’re eating and they’re actually turning it into buterate, the same fat in butter.  So it’s like, “Hey, you can ferment it and you can ruminate out the buterate in your gut or you can just actually eat the real thing.”  Which I prefer to eat that smooth goodness, don’t you?

Evan Brand:   Amen.

Dr. Justin Marchegiani:   Absolutely.

Evan Brand:   Yeah.

Dr. Justin Marchegiani:   Love it.  So we have vitamin K2, right?  We have B vitamins.  We have B12 production, not that it actually produces it but it helps absorb it because B12 is it’s bound to this protein in the stomach called intrinsic factor and then we reabsorb it at the end of our small intestine called the ileum.  So it’s really important for B12 absorption.  We get small chain fatty acids, right?  This is like butter.  Butter’s a small chain fatty acid.  We get other healthy fatty acids.  We get a lot of our immune cells modulated.  IgA is one of these important immune cells that lines our gut.  And then also beneficial bacteria eats poop and poops nutrients, where bad bacteria eats nutrients and poops poop.  So it’s kinda like a tongue twister in your head, right?  But if you think about it, good bacteria spits out nutrients.  Bad bacteria steals your nutrients and eats–or steals your nutrients and spits out toxins.  So we’d rather have the latter.  We rather have the–the toxins going into good nutrients.

Evan Brand:   Maybe shall we talk about what destroys good bacteria in the first place, how people get themselves in trouble with overgrowth and things like that.

Dr. Justin Marchegiani:   Yeah, so we kinda just went over the benefits, right?  Right, that’s important.  Gut lining, nutrients, right?  It’s gonna help with good gut motility, keeping the gut moving is important because if it’s not moving, we reabsorb toxins.  This is called auto-intoxication.  These are all important pieces.  Now to your point, let’s talk about what actually hurts it.  So some of the big things that’s gonna hurt it are gonna be antibiotics.  It kinda makes sense, right?  One is pro.  One is anti.  So antibiotics are a big one especially if you’re not following up with probiotics.  You then create this rebound overgrowth of more bad bacteria or more fungus which can make that lower probiotic issue even worse.  I would say overconsumption of sugar.  I’d say having water that is unfiltered where there’s chlorine in it and such.  Pesticides and/or GMO foods are gonna be bad because pesticides kill bacteria in general including good bacteria.  I’d say gut infections are gonna weaken the–the gut tract.  It’s gonna skew that bad bacteria to good bacteria ratio.  And then it’s also gonna cause low enzyme and hydrochloric acid levels which if we can’t break down our food, it sits in our tummy and rots and putrefies and rancidifies and creates more stress.  And then obviously, you know, grains and refined foods and you know, medications and such.  All the chemicals in the medications and gluten and such.  Do you wanna add anything?

Evan Brand:   Yeah, I would even go a step further and say adrenal issues could be tied in because if you’re stuck in sympathetic, you’re in that fight or flight all the time and now you’re not actually producing enough HCL.  To me, it seems like at the top of the food chain, if you’re stuck in that mode, you’re not gonna be able to have the same healthy digestion in the first place, that’s gonna be able to break down your food and everybody that has adrenal fatigue, a lot of the times, and I know you see this, too.  Digestive issues come along with that because the body is trying to run from the tiger and is not actually absorbing and breaking down all the amino acids and assimilating it and things like that.

Dr. Justin Marchegiani:   Absolutely.  So those are some of the big things off that bat, filtered water, eat organic food, cut out the sugar, only use antibiotics with life-saving situations if you really need it; if not, use herbs.  And then try to get fermented foods in your diet.  I’d also say not getting enough fermented foods.  So let’s–let’s run down some beneficial fermented foods.

Evan Brand:   Kombucha is the–I–I mean, I love the Kombucha.  It’s the easiest way for me because I don’t have to eat anything.  I just get to drink it.  So you and I talk about our love for GT Dave’s because of the low sugar content and I like raw cheese, too.  I’m actually okay with dairy.  I had some last night.  We did a–a bison stew actually last night.  We took some Pacific–they have a bison broth.  So we use that–

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   As a base and we did some stew and I just added a couple chunks of some raw cheese into the stew and it was all melty and gooey.  Oh, it’s amazing.

Dr. Justin Marchegiani:   Are you sure you’re able to handle it?

Evan Brand:   I think so.

Dr. Justin Marchegiani:   Are you sure?  Because I’m–I’m–

Evan Brand:   We’ll see what happens.

Dr. Justin Marchegiani:   Tempted to give you like 5 Paleo demerits right now but I’m holding back.

Evan Brand:   I–I know what you’re–I know what you’re saying.  Yeah, I mean, so I’ve cut it out for 6 weeks.

Dr. Justin Marchegiani:   You added it back in and you did okay?

Evan Brand:   Yeah, and I did okay.

Dr. Justin Marchegiani:   Okay.  Yeah, myself like I did–I had a patient get me like a big gallon of raw milk last year and I wasn’t sick the whole year.  I was feeling great and then I had a couple glasses of that raw milk and then next day I was sick for 2 days.

Evan Brand:   What happened?

Dr. Justin Marchegiani:   Like, whoah.  Just sore throat, like super runny nose.  Just like it kinda hit me all of a sudden then it really came in and around, just I would say within 12 hours of that milk consumption.  So I think for me, there’s some kinda compromising effect with even the raw dairy, even like the–the milk kinda thing.  I do really good with butter though.  I feel great with butter.  I feel great with ghee.  So it probably has to do more with that casein protein in the dairy that’s affecting it.

Evan Brand:   Now some cheese does, I mean it–it just causes all sorts of symptoms with me.  Sometimes I’m okay though.  I don’t–I don’t do it too much.  It’s more of a treat, but when I do, it’s–it’s great.  Yeah, I like Kombucha, too.  I like miso soup.  I have some miso that I’ll make at home or sometimes I’ll do to like a–like a Japanese restaurant.  They’ll have miso there.  I know there’s a bunch of other fermented foods, too.

Dr. Justin Marchegiani:   Got it, yeah, absolutely.  So I would say Kombucha, GT Dave’s.  I love the ginger kind.  Again, be careful.  There’s a lot of other Kombuchas out there.  You might as well as be drinking soda, folks.  I mean, yeah, you get some of the extra B vitamins and probiotics, but when you’re getting 20 or 30 grams of sugar per, you know, glass, that’s not too good.  So after Kombucha, low sugar Kombucha.  GT Dave’s my favorite.  They should be a show sponsor, I think.  We should reach out.

Evan Brand:   That’s a good idea.

Dr. Justin Marchegiani:   I know.  Sauerkraut would be next.  Love that.  I like a–

Evan Brand:   I used to eat tons of sauerkraut.  I haven’t eaten much here recently.

Dr. Justin Marchegiani:   Sauerkraut’s great.  I–I like Bubbies.  Bubbies rocks.  Kimchi is good, too.  That’s kinda like your spicy sauerkraut, right?  It’s kinda like the–the Korean, kinda Asian cultured veggies with some spices on there.  Next, I’d say coconut kefir is a really great one, especially if you can avoid the–the carrageenan and such, some of those binders.  So coconut kefir rocks.  Next I would say, natto which like a fermented soy.  They’re natto, miso or tempeh can be great.  Tastes absolutely awful.  I would never take my advice and actually eat it.  But there’s a lot of beneficial effects with enzymes and vitamin K2.  People that are lacking in K2 can be a great source of it.  After that, I would say yoghurt.  So yoghurt, if you can tolerate.  You may do better with a goat or even a coconut kinda based yoghurt to start.  But if you can handle like a raw grass-fed cow one, that’s great.  On top of that, I would say a–a beet kvass is phenomenal as well.  Beet kvass rocks pretty good, could be a little tasty, too and it’s from beet.  People don’t get too much beet so it’s a really good hypoallergenic source.

Evan Brand:   Now, do you do probiotic supplements yourself?  Do you take different capsules or spheres and things like that?

Dr. Justin Marchegiani:  Uh-hmm.  Yeah, I take a dif–a couple different kinds.  I rotate through them.  Again, it’s so hard to get the amount of probiotics you really need through food.  You can but you know, it’s tough.  I–I do sauerkraut.  I do also fermented pickles are really great.  I do Kombucha.  Those are my big 3 and then I get some probiotics in just because some of the strains that I–I get in the probiotics I take, I don’t really get in some of the food per se.  So yeah, definitely.  I definitely some.  I think we’ll go to that really soon.  We’ll talk about some of the benefits and some different strains.  Anything else you wanna add about that?

Evan Brand:   Nah, I think that’s good coverage there.

Dr. Justin Marchegiani:   Okay, cool.  So off the bat, there’s a couple big probiotic brands that are out there.  VSL3 is that big patented one.  You get a whole probiotic supplements in there.  The bifido bactrim, bifidobacterium brevi and longum and infantis and lactobacillus aphido– acidophilus, lactobacillus plantarum, lactobacillus paracasei, bulgaris, streptococcus thermophiles, right?  There are all these big, you know, Jeopardy-sounding words and that’s in like the biggest kind of–that’s like the medical-grade probiotic.  That’s the–the VSL3.  That’s a really big one for IBS or IBD, etc.  We have a couple of versions in the clinic that we use our self.  One I like is by a company called Klaire Labs.  They have one called Ther-Biotic Complete that works great.  We actually custom formulated one ourselves in the clinic called Probio Flora.  If you go to our website–we’ll put it below.  You could check our store.  But that’s one that has about 6 or 7 of those top strains which are great.  They’re packaged in a sphere that allows maximal potency and absorption.  A lot of people are looking at the CFUs.  That’s the colony forming units.  You know, on the bottle, how many you have.  The best companies will always write down the CFUs at expiration typically 2 years from the manufacture date.  So if you see like 20 million or 30 million per capsule, the–the best companies will do it at expiration so it’s like typically 2 or 3 times that.  If it’s 2 years from expiration, so that’s good.  The bad companies will put what’s in there, when it’s manufactured, and then when you actually get it, it’s probably, you know, 50 to 70% reduced.  So you gotta be mindful of that.  You’re gonna get what you pay for when it comes to probiotics.  So I like, if you’re gonna go to the medical route, the VSL3, it’s more of the medical sponsored one.  Ther-Biotic Complete’s a great one.  We have formulated Probio Flora, that’s a phenomenal one that–that we created.  There’s also specific prebiotics and phages in there that are great at feeding bacteria and also knocking down–knocking down bad bacteria as well, because these phages are patented by Eli Lilly over a hundred years ago.  They were kind of gonna be used before antibiotics were created and patented to knock down bacterial issues.  And then antibiotics were created within 5 or 10 years after and that was synthetic so they could patent it, so you–you don’t patent–you can’t patent natural things so they went with the synthetic patent and that, you know, phage type of formula which just sat on the shelf and a couple of companies have taken it up and they’re adding it into their probiotics to act as a prebiotic–pre meaning it feeds good bacteria.  It feeds it and it also knock–knocks down some of the bad ones.  So that’s the Probio Flora that we have.  The next I would add is one of my favorite that I typically combine is one called MegaSpore.  That’s a pheno–a phenomenal product that actually uses specific bacillus-based strains.  Bacillus coagulant strains that are very good.  They tend to be anti-inflammatory and they tend to be helpful even with people that are really sensitive to probiotics.  They tend to do very, very well.  So we have like the bacillus subtilis, the bacillus licheniformis.  We have the bacillus coagulants.

Evan Brand:   Does that one have the rhamnosus–bacillus rhamnosus, RH?

Dr. Justin Marchegiani:   I think it actually has that one as well.  It has a couple of different bacillus strains that are phenomenal that are anti-H. pylori.  And one of the things that people forget about probiotics is they–they can really help influence inflammation, right?  They can really reduce inflammation and if you’re having digestive symptoms, we typically talk about doing kind of the probiotics after the killing, kinda have as that receding, refeeding effect.  But we can do it actually even during killing or before especially if it’s helping with the inflammation, it’s helping with the regularity, it’s helping with the digestive symptoms.  It can be a great way to reduce a lot of these symptoms naturally without creating problems.

Evan Brand:   Yeah, so the one that I was talking about the rhamnosus, the reason I mentioned that one–that was when I first started getting into like researching about probiotics and that was the one where they found that it–the lactobacillus rhamnosus showed “significantly fewer stress, anxiety, and depression-related behaviors”.  This was in mice obviously, but a lot of these things do translate over to humans.  So I’ve seen many probiotics that contain that rhamnosus, so you could say it’s an anti-anxiety–

Dr. Justin Marchegiani:   Oh that’s–

Evan Brand:   Effect, too.

Dr. Justin Marchegiani:   That’s great, I love that.  Yeah, I’m pretty sure the rhamnosus is in in the Probio Flora that we–we formulated here.  I’ll pull that up in a second and I’ll see if that’s the case.  Is there anything else that you wanted to add, Evan, to some of the probiotics that I listed?  There’s a few more I’m gonna go after in a minute.

Evan Brand:   I think that’s a pretty good cover.  I mean, the truth is there’s so many out there and like you mentioned, if you’re just rotating through, that’s gonna be the best way to ensure that you’re covering your bases and you’re not just sticking to one brand.  The interesting thing is that human–I think it’s called the Human Biome Project.  It’s that guy out in Africa where he’s sampled the gut biomes of different people in Africa and the variety of species in their gut is incredibly massive compared to us, like United States people we have very low variety in the species of beneficial bacteria where Africans over there that are eating a more traditional diet, they have, I don’t know, 5 times, 10 times–it was a crazy number, amount more of good bacteria.  So that’s just to say vary your diet, get exposed to dirt, go play outside.  You’re gonna get probiotics that way.  There’s some that live on your skin.  It’s not just in the gut.  They’re out there in the world.  So–

Dr. Justin Marchegiani:   Got it.

Evan Brand:   Yes, clean your hands if you’re in a nasty place, but it’s fine to go and play in a lake and sw–you know, swim around and play in the dirt, too.

Dr. Justin Marchegiani:   Yeah, and you mentioned the rhamnosus was the anti-anxiety–

Evan Brand:  Yeah.

Dr. Justin Marchegiani:   One, right?

Evan Brand:   Yeah.

Dr. Justin Marchegiani:   Yeah, we have that in the Probio Flora.  It’s in the–it’s in the lactobacillus rhamnosus which is again–

Evan Brand:   Yup.

Dr. Justin Marchegiani:   That’s another good one.  And we see a lot of people when they go on these probiotics, they have significant mood benefits.  Whether it’s anxiety, depression, or just even brain fog reduction and we really hypothesize it.  That’s really due to the inflammation reduction.  Remember inflammation in the gut, inflammation in the brain.  So if we reduce inflammation in the gut, we’re automatically having a very positive effect on the brain.

Evan Brand:   I think I’m gonna go take some probiotics after this podcast.  I didn’t take mine today.

Dr. Justin Marchegiani:   Love it.  Love it.  Next I would say here would be Prescript-Assist. That’s a good one, that’s a–much of–much of a soil-based one.  Again–

Evan Brand:   See I’ve heard–I’ve heard people having bad reactions to that.  I don’t know.  I don’t know if it was like a Herx reaction or what, but I remember hearing, I don’t know if it was a client of mine of somebody else’s.  They said they started the soil-based stuff and they had like a flare-up.  Do you know anything about that?

Dr. Justin Marchegiani:   I’ve seen it from time to time.  People that have significant gut bacteria balance ratios that are like off like a lot of pathogenic bacteria, throwing good bacteria in the gut that’s really out of balance can create this type of die-off reaction because of the competitiveness of the good bacteria with the bad.  And we see this type of histamine response or probiotic intolerance where they feel like crap.  So when that happens, Prescript-Assist probably wouldn’t be the best.  That’s got 29 different soil-based strains.  I typically go more to the MegaSpore product because it’s just more anti-inflammatory and people that, especially have none–have like the extra lactate bacteria in there, the extra lactate, d-lactic in the there.  The d-lactic is an organic acid made from the bad bacteria.  We’ll see that on an organic acid test.  We’ll go with more of the MegaSpore and sometimes even the Probio Flora because it will help.  It’ll be more beneficial.  But sometimes we can’t even do that.  Sometimes we really have to work on killing before we go in and actually do some of the receding.  So we have to do more on the weeding, right?  Killing and then do some of the–the seeding or throwing down the seeds.  And we throw down some of these probiotics.  They’re not gonna last like forever.  Some of these are just transient.  They’re gonna go in for a couple of weeks, maybe a month and then pass through us.  That’s why it’s good to always have them in our diet or rotate them through every quarter or so or get a new bottle here and there, and then also have some fermented foods in your diet because they’re not gonna be living there forever, but while they pass through they’re having some really great benefits along the way.

Evan Brand:   Yeah and something that you said, without saying directly.  There is an order of operations to this whole madness.  There is a method to the madness.  So if you hear this and like, “Oh man, I’m just gonna go buy everything on the shelf and just go for it,” maybe not, maybe you–may need to dig a little bit deeper first because I’ve–I’ve heard many a stories and I know you have, too, where people they hear something and then they go and go buy it and do it and then they’re like, “Huh, why is this not working?  Why is this not giving the effect?”  Well, there’s other stuff under the hood that could be happening first.

Dr. Justin Marchegiani:   Big time.  I hundred percent agree with that.  So when we deal with people with gut issues, again making sure the big stressors for the gut are out, right?  The sugar, the antibiotics, the pesticides, the chemicals, all that crap; the grains gone.  That’s like number one.  Number two, we’d wanna dig in a little bit deeper because if we’re just taking probiotics but you have an infection, that can definitely mess things up.  That’s just like throwing down a whole bunch of seeds in your garden when there’s a whole of weeds there.  So a lot of people are gonna benefit from doing some weeding first.  Again, some will actually benefit by throwing some probiotics down.  You’ll know because you’ll feel better with the probiotics.  You’ll feel better.  People that are more sensitive, the MegaSpore or the Probio Flora will be a better way to start.  But from there, a good stool test will be required to see, is there a SIBO infection or overgrowth?  Is there an H. pylori or parasitic infection.  I just had a patient one hour ago, came back with H. pylori, Giardia, and Blastocystis hominis, right?  Three major infections.  We can’t out–we can’t out probiotic those infections.  We have to go in there and wipe them out and then this person will benefit–benefit far more by adding in these awesome probiotics next.

Evan Brand:   Yeah, a lady I think I was talking to you last week, she popped up with Cryptosporidium.  She was having this once a month–it was once a week or once a month–I can’t remember what she’d said where–boom–diarrhea pops up and then it goes away.  So that’s been happening for years and she never thought anything of it.  It’s just like, “Oh, it’s normal.”

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

Evan Brand:   That’s my weekly diarrhea cycle or what–whatever her time period was.  I’m like, “That’s not normal at all.”

Dr. Justin Marchegiani:   Yeah, I know.  Yeah, what’s normal and what’s typical are two different things.  And frankly people don’t know how good they can feel until you get them to that new level–

Evan Brand:  Yes.

Dr. Justin Marchegiani:   And they look back and they’re like, “Crap, how did I ever put up with that?”  Like–

Evan Brand:   I know.

Dr. Justin Marchegiani:   You know, it’s just kinda like you don’t realize how dirty you were until you take that clean shower and you’re like, “Wow, like I feel really good right now.”

Evan Brand:   Well, I think you get conditioned by the media, too, right?  Because every commercial is about XYZ drug or bowel problems or depression, or whatever, so you think that you just have to tolerate it because everybody else has that.  That’s like, “No. Just because it’s common doesn’t mean that’s normal.”  And that you should just live with it, right?  Just be a man.  Just be tough.  That’s why our client base is heavily slanted towards females because I think guys like us, we–I don’t, but maybe guys in general have a problem admitting like, “Okay, something’s messed up with my gut, I need to dig deeper and figure out what’s going on.”

Dr. Justin Marchegiani:   Absolutely.  I had someone I know come to me and they were just kinda complaining about something like they’re health issues and they were just saying, “Yeah, I’m just getting older and this is what you have to look forward to.”  And I’m just like, “Hell, no.”  I’m like, “You’re eating grains–grains.  You’re so inflamed.  Your blood sugar is in the pre-diabetic range.  Your gut flora is all messed up.  You take antibiotics all the time.  You don’t have any beneficial flora in there.  That is–that is not my destiny.  That’s not my future.  I am taking responsibility and accountability for my health.  I’m investing in better foods, better supplements, sleep, et cetera.”  And again, this person could have the same benefits, too.  But they just don’t have that awareness and haven’t taken the time to educate themselves and also take the actions, right?  You can educate yourself til the cows get home, but you actually have to put the right things in your body, do the right things with your body regarding rest and sleep to get the benefits.

Evan Brand:   So here’s a question for you.  You and I both will go out to certain restaurants–

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   Now, obviously we try to go high quality as possible.  Is this something that you personally just turn an–an eye to or you’re like, “I know this is a good quality steak, but there could still be some–some antibiotics in it maybe.”  I mean, even the nicest steakhouse, they may not advertise antibiotic-free.  Do you just take some extra HCl and turn an eye to it?  Do you drink the–the water at the restaurant?  Like, what do you do?

Dr. Justin Marchegiani:   Well, good, better, and best.  I just put out an article for Paleo Effects, it will be out this weekend on how to stay healthy during the holidays.  And I think because the principles that were in that article ring through, but good, better, best, right?

Evan Brand:   Yup.

Dr. Justin Marchegiani:   If you follow Pareto’s principle, when you do the right stuff 80 to 90% of the time, I can get away with the suboptimal stuff.  I can go to a steakhouse, get a really awesome, you know, dry age steak that maybe grain or corn-fed and get away it.  Yeah, I’ll bring HCl and enzymes and no, I never drink the water because I can just get some Pellegrino or some Voss or in–in Austin, we do Topo Chico which is mineral water, and I can get really good clean water sources.  I bring my extra enzymes, maybe I take some extra Vitamin C or N-acetylcysteine or charcoal or fiber to help bind up any toxins.  So good, better, and best.  If there was a grass-fed steak in the menu, would I have chosen it?  Heck, yeah.  If not, well, am I not gonna eat an awesome steak like at, you know, Forbes steakhouse up in California or at the–what’s the one I went to–it’ll come to me here in a bit.  Nice little steakhouse in Austin, one of the only steaks that are dry age down in Austin and I–and I went and I had it just last week and it was great and I just did all the extra things I could do to–to mitigate the–the side effects.

Evan Brand:   Yup, I–I figured you’d say that and I’ve tasted Austin tap water.  It is not good.  It tastes like grass.  I mean, there’s so much–

Dr. Justin Marchegiani:   Wow.

Evan Brand:   It–it’s awful and I’m sure it’s fluoridated, too.  Lowell tap water here is voted like one of the best tap waters ever but it’s still fluoridated so in a pinch, you just have to do your best.  Now if I’d–had like a Berkey system and filtered out this tap water, I would probably not do spring water anymore.  I would probably just do tap and take out the fluoride because it tastes so good here.

Dr. Justin Marchegiani:   Exactly.  Yup, totally.  I agree.  So with steaks and stuff, I always do my best.  I mean, I’m not willing to–to not have a steak,

Evan Brand:   Right.

Dr. Justin Marchegiani:   But at home, in my house like I got grass-fed steaks.  I got grass-fed rib eyes.  I got Delmonicos.  I just buy them in advance–

Evan Brand:   Yup.

Dr. Justin Marchegiani:   And have them so then I’m good to go, so then I could have a good healthy steak at home but when I go out, I do my best.  If there’s a grass-fed on the menu, I try to get it.  And then you could even take some probiotics afterwards to mitigate any of the potential residual effects of any antibiotics being in there.  But typically a good steakhouse though, they’re gonna have at least the hormone-free stuff kinda dialed in.

Evan Brand:   Right.  It’s just funny how we have to have this discussion where 60 years ago, it wouldn’t have existed because there were no corn-fed cows.

Dr. Justin Marchegiani:   Oh, yeah.  I mean, it just comes down to like–

Evan Brand:   Everything is grass-fed.

Dr. Justin Marchegiani:   Yeah.  Oh by the way, just to give a little props.  Fleming’s was the steakhouse here in Austin.

Evan Brand:   Oh, awesome.

Dr. Justin Marchegiani:   They’re a big chain but I like them.  They have really, really awesome dry age steaks.  I mean, there’s something about the dry age steaks that’s got a little bit of a flavor they have off it.  Oh, my gosh.  It’s amazing.  I don’t do them too often because you know, because you know, you get all the extra grains and stuff in them but–or the potential residue but you know, when I go out, I really enjoy that.  I bring the enzymes, the HCl, and all the stuff I mentioned and it can be a good way to mitigate the damage.

Evan Brand:   That’s cool.

Dr. Justin Marchegiani:   So kinda summarizing here, we talked about some of the big foods, right?  Probiotics, sauerkraut, fermented pickles, beet kvass, maybe some–some yoghurt or cheese if you could handle it.  We talked about our favorite probiotics, or my favorite at least, the VSL3 or a Ther-Biotic Complete.  My patented or my–my blend of Probio Flora and then also MegaSpore and Prescript-Assist are really good one.  There’s another one by Garden of Life called Ultra Defense.  That’s a good one or Primal Defense I think.  That’s a good one.  My go-tos are the Probio Flora and the MegaSpore and sometimes the Ther-Biotic.  Those are my–my big ones there.  And then outside of that, if you’re having issues, you wanna dig deeper.  Look at the gut infections.  Look for H. pylori.  Look for other parasitic imbalance or even SIBO that could be really skewing the beneficial bacteria ratio.

Evan Brand:   That’s great.  Yeah, and a lot of people think, “I’m in the United States, how am I gonna have a parasite?”  It is far common.  I mean, before you and I started talking every week, I didn’t think it was that common.  But now that you and I both talk and test this stuff like, “Wow!”  It is a lot more common than–than you would expect, parasites and different pathogens.

Dr. Justin Marchegiani:   Yeah and I–I’ve seen it, you know, statistically, the CDC says more than 60 to 70% of the people in this planet have parasites, and again, yeah, a lot of that is gonna be third world but you know, up to I’d say 50% of people in this country in the US probably have a parasitic infection.  Now the question is, is their immune system strong enough to kinda keep it at bay and kinda isolate it and keep in the straitjacket, yeah.  But once you start getting sick, once you start getting stressed, once the HCl and the enzymes get promised, then the adrenals get compromised, BAM! Now you’re gonna actually have to get that infection removed or eradicated typically before you really start to get better.

Evan Brand:   And everyone loses HCl with age.  I mean, you look at Dr. Wright’s book–

Dr. Justin Marchegiani:   What book?

Evan Brand:   Why Stomach Acid Is Good For You, you see the chart of HCl production decreasing after about age 25, 30, and starts really dropping downhill so it’s no surprise that people have a mid-life crisis at the same time all of these other, you know, biochemical factors start going against you.

Dr. Justin Marchegiani:   Yeah, and then even CBS News here says the CDC says at least 15% of the United States population has a parasite.  And I would–I would gander to say that that’s much higher because the typical labs that most doctors are using to diagnose parasitic infections are just terrible labs.  They’re your hospital-based labs that’s a single sample. They’re not doing multi-vial.  They’re not looking at PCR or polymerase chain reaction, looking at DNA.  They’re really missing the boat on a lot of these stuff and we see lots of people that have come in with their conventional Quest or hospital stool testing with negative results and then we run some of our more specific lab testing and they come back positive.

Evan Brand:   Yeah, that’s–that’s the most mind-blowing part about all this, it’s quality does matter in terms of–

Dr. Justin Marchegiani:   Huge.

Evan Brand:   Lab testing.  It’s gotta be a functional medicine-based lab company. You don’t want it to be just your standard run-of-the-mill generic stuff.  It doesn’t cut it.  I can’t tell you how many times people–even with blood work.  My doctor said all my blood work is perfect.  Yeah, because they’re measuring the blood that doesn’t really change.  That–some measurements on your blood are not gonna change even if you are sick.  But as soon as you throw in even one biomarker, like vitamin D, then you realize you’re 50 points lower than you should be, you know.  That’s when you get us the stuff that matters.

Dr. Justin Marchegiani:   Yeah, not to mention the standard laboratory ranges are based on 95% of the population, right?  Two standard deviations in any direction for all you stats nerds out there.  So go to an airport, you tell me that 95% of the population is healthy.  No way in heck, alright.  No way in heck.  We know that typically a more optimal range would be kinda like that middle 25% of healthy people and then you can go kinda to the slightly suboptimal to that middle 50% range and then go out from there in different derivations.  But to say 95% of the people are healthy and derive that laboratory range off that?  No way.

Evan Brand:   Yup.

Dr. Justin Marchegiani:   So we gotta remember that.  Lab tests can also be helpful if we’re using functional ranges, too.

Evan Brand:   Yup, totally.

Dr. Justin Marchegiani:   Well, anything else you wanna add to this stellar episode here, Evan?

Evan Brand:   That’s it.  This was fun.  It was a good one.

Dr. Justin Marchegiani:   So do you have in–in your store that’s probiotic-based that you wanna recommend to the listeners?

Evan Brand:   Mmm. I don’t think so.  I don’t think I have put that on there yet.  I’m slowly building up that store as you know.

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   So I don’t think right now I do.  I will.  I’m still coming up what my fancy probiotic name.  I’m not sure what it is yet.

Dr. Justin Marchegiani:   Yeah, I mean, we all kinda create the probiotics that we think are gonna be the best and I do it one based on how I feel and then two, on how I can get my patients better because I need to have a clinic effect so I can really help my patients who are sicker really get to new level of health.  So I like the Probio Flora.  I like MegaSpore.  Those are some great ones and if anyone wants to pick that up, is a good place.  Outside of that, all the other feedbacks are gonna be helpful and just don’t forget one thing.  This is so easy to forget but the hormones are a really important piece because a lot of people are super inflamed and we forget that our natural anti-inflammatory comes from the adrenals and if your adrenals are really shot, that hormonal system one is really in dire need of repair, it’s gonna be hard to regular inflammation and that’s gonna be an important because if you can’t regulate inflammation, your body is gonna be in a more catabolic state and it will just break down faster than it builds up which isn’t a good recipe.

Evan Brand:   Yup.

Dr. Justin Marchegiani:   Anything else you wanna add, Evan?

Evan Brand:   That’s it.  Go leave a review for the show on iTunes if you haven’t already.  It takes a couple of minutes but it’s huge for us to stay in the top of the charts.  We are competing with Vegan podcast at the top of the charts and maybe they’re promoting organic produce which we do, so that’s fine.  But this is the–this is the–the only way to make sense what we’re talking about here to get people better and to live at that top 1% of the population in terms of vitality.  So review that show, help us be up in the top of the charts.  We appreciate it.

Dr. Justin Marchegiani:   Great, just for everyone else, too.  Evan and I are in the trenches seeing patients every week.  So a lot of podcasts that are out there are really just theoretical stuff which is a great.  A lot of that is still true, it doesn’t take away from it but we’re actually providing clinical, applicable information that’s right there from our working with patients every week.  So just kinda remember that.  Use it.  Apply it yourself, because if you’re not applying it’s not really–it’s just, you know, for Jeopardy knowledge.

Evan Brand:   Yup.

Dr. Justin Marchegiani:   And just kinda remember that and if you look and dig a little bit deeper with your health, reach to Evan, reach out to myself, if you’re kinda on the fence and again, continue sharing this info with people that could really benefit from it.

Evan Brand:   Yeah, practice is more important than just theory and a lot of people are just theory.  I think this, I think that, and they put it up and the world’s like, “I’m gonna try it.”  But it’s never been proven with a client like we’re doing.  So–

Dr. Justin Marchegiani:   Right.

Evan Brand:   Keep that in mind when you’re listening.

Dr. Justin Marchegiani:   Yeah, knowledge is really only power if it’s applied.

Evan Brand:   Yup.

Dr. Justin Marchegiani:   Cool.  Awesome.  Well, this may be the last podcast before Christmas and the holidays here but hopefully not, but if it is, Happy Holidays to everyone and Happy New Year, too!

Evan Brand:   Absolutely, likewise, man.

Dr. Justin Marchegiani:   Alright, Evan, have a good one.

Evan Brand:   You, too.  Bye.

Dr. Justin Marchegiani:   Bye.


A Six Step Strategy for Healing a Leaky Gut

By Dr. Justin Marchegiani

We are hearing the term leaky gut a lot these days, but what exactly is it and how do we heal it?

When we hear the word “leaky” associated with anything, we know that can’t be good, and a leaky gut is no exception. Just as a pipe gets holes and leaks water, causing damage to everything around it, the gut can get holes and leak toxic intestinal contents, causing damage to other parts of the body.

This article provides a five step strategy for healing a leaky gut and preventing a leak gut in the future.

What Exactly Is a Leaky Gut?

To understand how to heal it, we first have to understand what a leaky gut is.


leaky gut

The intestinal lining contains layers of cells connected by tight junctions. The intestinal lining is supposed to only allow the appropriate nutrients to pass through and into the bloodstream. When the tight junctions become inflamed due to gluten or other irritating foods or even infection, they can open up, and food particles can slip through, introducing toxic materials, such as yeast, bacteria, and parasites, into the bloodstream.

The bloodstream carries these toxins throughout our body where they are absorbed in a variety of locations, creating inflammation. As we continue to feed our bodies offending foods, the leaky-gut cycle continues, keeping our bodies in a constant state of inflammation.

The Impact of a Leaky Gut

Leaky gut can present itself in a variety of ways and can lead to chronic conditions. Some people may have irritable bowel syndrome (IBS), Crohn’s disease, or other pathological conditions. Others may have skin issues, bloating and gas, or gastroesophageal reflux disease (GERD). Still others may fall somewhere in the middle.

All of these conditions have a common etiology: leaky gut. So we have to get the gut healed.

Click here if you are wondering if your chronic health issues might be due to a leaky gut.

Strategies for Healing a Leaky Gut

leaky gut

1. Remove Hyperallergenic Foods

The first step is to remove irritating foods causing the leaky gut. Physical, chemical, and emotional stressors can lead to inflammation, and inflammation tends to cause our bodies to break down faster. Irritating, hyperallergenic foods introduce physical and chemical stressors to the body.

Stressors cause the immunoglobulin A (IgA) in the mucosal barrier in our gut lining to break down. When this happens, we may see sinus infections, gut issues, irritation, fungal infections, or even urinary tract infections. Removing irritating foods can help remove this stress to the gut.

infection cycle

What foods to remove varies by individual. Common irritating foods include, but are not limited to, the following:

  • Grains
  • Sugar
  • Dairy
  • GMO foods
  • Processed foods

If there is an autoimmune issue as well, we may need to add a rotation component to the diet and also eliminate foods that include the following:

  • Nuts
  • Seeds
  • Tomatoes
  • Potatoes
  • Eggplants
  • Peppers

Again, there’s not a one-size-fits-all plan here. Each person has to find his or her offending food and eliminate it.

Since 70% to 80% of our immune system is located in our gut, removing allergenic foods is very important to keeping the body healthy.

2. Replace Enzymes, Acids and bile salts

When our body is under the control of the sympathetic nervous system (SNS), it’s in a fight-or-flight state. As we get more stressed, our blood rushes toward the extremities so we can fight or flight. As blood leaves our digestive system, we are not able to produce the enzymes, hydrochloric acid (HCl), and bile salts we need for proper digestion. This makes the environment more susceptible to dysbiosis, small intestinal bacterial overgrowth (SIBO), and chronic infections.

Our parasympathetic nervous system (PNS) is our “rest and digest” state. The PNS actually brings the blood inward toward the gut, and this allows for proper enzyme, HCl, and bile salt production. So getting our bodies back under the control of the PNS is important.

3. Repair with Healing Nutrients and Adrenal Support

There are specific healing nutrients that will help repair the gut. What nutrients, how much, and whether or not they are needed will depend on the specific gut issue, how long it has existed, and if there is inflammation. L-glutamine, slippery elm, marshmallow root extract, aloe vera, and licorice are soothing and will assist with healing the gut.

Having healthy adrenal glands also is very important for healing the gut.

The adrenals produce cortisol, which helps neutralize inflammation and maintain a healthy gut lining. If we have too much cortisol—if we’re too inflamed, and our body’s inflammatory response is too high—we’ll actually break down our gut lining. If our cortisol function is too low, we won’t have enough of it to build our gut back up.

So having an appropriate stress response, having healthy adrenal function is important to creating the right hormonal response, to having healthy levels of cortisol. Cortisol is also there to help deal with inflammation, so if we have inflammatory compounds in the gut, cortisol can also put out that flame before it grows into a five-alarm fire.

4. Remove Infections

Removing infections is imperative, and this step is often missed in traditional medicine. Infections can drive a leaky gut, keeping us in a stressed-out state, which keeps the SNS activated, preventing digestion.

Blood work or a comprehensive stool analysis needs to be done to determine if there is an infection (SIBO, dysbiosis, bacteria, virus, etc.) and what infection we are dealing with.

There is a reason removing infections is near the bottom our list of strategies: it can actually be stressful to your detoxification system and immune system to remove an infection. Also, in some people the hormonal system (adrenals, thyroid, and male or female hormones) must be addressed first to decrease the risk of side effects and other issues.

5. Reinoculate with Probiotics

Imagine you have a backyard garden full of weeds. You can’t plant new seeds in that weedy garden. There’s not enough room for those seeds to grow. You’re going to have to pull out the weeds and prepare the soil before you can plant your new seeds.

In our first four strategies, we removed all the weeds (the bad stuff) and prepared the soil (our gut). Now we can reseed (reinoculate)—put the good bacteria back in.

cross section of colonMany people have issues with adding in probiotics. These issues occur when they are trying to plant seeds in a garden that’s full of weeds. Get the first four strategies in check first, and then introduce probiotics into your properly prepared gut.

6. Retesting to ensure infections are clear

It’s important to ensure infection are cleared after treatment. Some patient may have other new infections that would burrowed deeper into the gut lining that will be exposed on retest. Some patient may need a few rounds of clearing herbs to clear them. Some patient may also get reinfected from a spouse or partner who maybe carrying an infection symptomatically (like in h. pylori).


Following the five strategies presented here may not be simple, but leaky gut is not a simple condition. Taking the challenge and putting forth the time and effort to heal your gut will be worth it when you see the drastic improvements in your overall health.

If you have questions on the five strategies and how to get your gut healthy, click here to get help!


“4 Steps to Heal Leaky Gut and Autoimmune Disease.” Dr. Axe Food Is Medicine. accessed 6/12/15.

Reasoner, Jordan. “Leaky Gut Syndrome in Plain English-and How to Fix It.” SCD Lifestyle. accessed 6/12/15.

Leaky Gut image from

Skin Care with Kevin Gianni – Podcast #23    

In this episode Dr. Baris interviewed the founder of Renegade Health, Kevin Gianni author and blogger on diet, fitness and natural health.  He has done extensive research and interviews with health experts and has studied different diets and protocols like vegan, raw food, fasting and more. 

In this podcast learn more about what type of diet is good for you and why we need to run blood tests to see if our diet is working for us.  Know the different sources of fermented foods and how it provides natural healthy bacteria for good health.   This episode also talked about a good skin care line that is all-natural, all-organic that really works best for our skin without the toxic chemicals.

In this episode we cover:

09:39   Blood Testings

14:02   Supplements for vegans

28:21   Fermented Foods and Probiotics

32:22   Detoxification and Skin Care

36:25   “Kale and Coffee”







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Baris Harvey:  Thank you guys for tuning in to another episode of Beyond Wellness Radio.  And today’s podcast I have an awesome interview with Kevin Gianni.  For today’s episode we do not have Dr. Justin.  He is actually at the Bulletproof Conference giving a presentation down in L.A.  So he will be a little mixed up by the time he got to his hotel or over his Skype connection.  But we are surely going to have an awesome interview for you.  Make sure that you guys go to and make sure that you subscribe and get the latest because we do offer up a lot of bonuses and specials and you get the access to all of the interviews a lot earlier than just being tuned in to ITunes.  So make sure that you go ahead and do that.  Also go to  You can also find that clickable at and that is where you can find all of Dr. Justin’s links.  He does functional medicine and it will be awesome if you guys have any questions for him as well.  You guys can go ahead and leave him questions and also get a free 15-minute consultation.  Again you guys can also work with me.  You guys can go to and leave me a contact if you have any nutritional concerns and wanted to discuss that.  So on with today’s radio show, Kevin Gianni how is it going today?

Kevin Gianni:  Great, Baris.  How are you doing?

Baris Harvey:  I am doing very well.  The first thing that I always want to ask our guest is, “What is your story?”  Kind of give the background of what got you into wanting to become healthier and then kind of try to change the world, right?  And send a healthy message.  What brought you into the health space?

Kevin Gianni:  Well for me, when I was younger I played sports in high school and then I played football, basketball and tennis.  And I was always really into fitness.  So I was always working out.  I was running.  You know just really focusing on that side of it.  But my idea of a healthy energy-boosting snack before a tennis match was a pack of Twinkies and a Mountain Dew.

Baris Harvey:  Uh-hum.

Kevin Gianni:  So you know the nutrition side, you can probably say was a little bit lacking.  And add to that, I used to drive my mom’s Caravan with my tennis partner, my doubles partner right after school.  After our snack and we would smoke a cigarette and then we play tennis.  (Laughs)

Baris Harvey:  (Laughs) Yes.

Kevin Gianni:  Somehow we made it to the stage but you know I do not know. I am sure I could have been a lot better if I actually did focus on both parts of fitness and in nutrition.  And so that kind of spurred my interest.  I met my wife after I had run a marathon and I have hurt my leg.  And I was working a job but I did not really like it.  And I said, “You know, we can be personal trainers.”  Because I am the one in the gym that everyone’s always asking questions about.  She is an athletic trainer.  The two of us together we thought could make a pretty good team and we did.  We were in Southern Connecticut and we were personal trainers for a bunch of years and then we just got a little bit tired working one to one with people about health.  So we started to go online and started blogging about all our experiences.  Whatever we were doing.  Whatever diets we were into, whether it is raw foods or vegan or exercise, body weight exercises.  Everything that we are learning about we are blogging about.   That is kind of how all this came into be.

Baris Harvey:  Yes.  Awesome.  It is funny how you have a similar story with me.  I was all about athletics when I was younger.  I still kind of am but that is what kind of drove me to be like, “Hmmm maybe the big box of pizza is not the best workout food.”  So you guys were trying to get your message out to the masses versus just doing a one-on-one thing.  When did you start to notice that the nutrition side was needed to be changed for you?  Because for me, I know I did not really changed my nutrition until I started gaining a lot of weight.  When I was younger I was like super lean and was able to do whatever I want because of my sports.  But after a while, my metabolism unfortunately did not hold up.  When did you notice that, “Hmm, maybe I should change my nutrition as well?”

Kevin Gianni:  Well, it happened twice.  First it happened when a friend of mine gave me a collection of MP3s and I popped them on to my IPod.  I was running still after college.  I was a personal trainer and I started running.  And I just went running again and he gave me these MP3s.  And every once in a while I will bring the IPod with me to run and so one day instead of listening to some music that I have I said, “Oh, maybe I should listen to some of these MP3s”.  And the information that was on some of these audio were just so mind blowing to me.  It was so simple but so mind blowing in the same kind of space that I just totally, my mind just totally switched about nutrition.  I just was not thinking about nutrition in that way.  And the audios were by David Wolfe.  They may be part of David Wolfe’s, known some of his work.  And so that kind of put me into a really interesting space because I was already healthy.  I mean had very little body fat.  I have a friend, you know, like doing the calipers on me.  And he was just like, “Wait a minute.”  He was a personal trainer, too.  “Wait a minute.”  I have never seen anyone at this reading.  I think it was like one percent or some five percent.  Almost maybe too low depending on what your opinion is.  And so I just said, “Well, maybe I will just try this broccoli thing that he is talking about.”  Because if I am healthy now and it feels good I want to be even more healthy.

Baris Harvey:  Yes.

Kevin Gianni:  And so I went on this long experiment of vegan and raw food and that was not fully raw for 6 years but I was definitely vegan for that long.  And it was an interesting experience.  My wife and I, we traveled around the country interviewing different health experts trying to kind of get to the heart of what the best diet for any human being is.  And along the way my health actually started to decline.  So I started to get some adrenal fatigue which I did not recognize what it was at that time.  I just knew that I was tired.  I was not able to get out of bed.  I was grumpy.  I was just feeling strange.  Just you know, kind of, I would fly off the handle quickly and I get angry at things very fast.  I just did not know what was happening.  And eventually it got so bad that I needed to go to a doctor.  And luckily, we have traveled around and we have seen so many fantastic health practitioners.  I had a Rolodex.  Well, not a Rolodex, that is an old term.  (Laughs)

Baris Harvey:  (Laughs)

Kevin Gianni:  I did not really have a Rolodex.  I had a hypothetical or imaginary Rolodex of all these people that I could call.

Baris Harvey:  Yes.

Kevin Gianni:  And so I called Dr. James Williams, J. E. Williams who is a not only a colleague but a friend.  And he ran some of my blood.  He did some blood testings for me.  And this was kind of my first foray into functional medicine.  I have known about Dr. Mark Hyman for a long time and Ultra Wellness was the book.  But what really influenced me as well was the one before that with Dr. Mark Liponis.  I knew about it but I have never really fully bought into it.  And so Dr. Williams did ran a whole bunch of blood test on me.  When I got them back, you know, the proof was kind of right there on the paper.   All the blood markers he pulled maybe, I do not know, 30 or 40.  The evidence was right there that what my diet was not healthy for me.  And my Pregnenolone was in a 6 which is like the equivalent of an 85 year old man.  And I am at that time was 31.  (Laughs)  Like even serious things happening and I do not really know what would happen if I continued any longer.  So, that kind of spurred me on what do I do next.  It is really tough to be in a situation where you were eating a diet for so long and just get indoctrinated by the philosophy behind it and then you look at the numbers on the paper and just say, “Wow! I do not know I am doing it wrong?  Or it is just not working for me.”

Baris Harvey:  Yes, definitely.  Yes, so I kind of have two questions on that but one I kind of go into a question that I wanted to prepare for and I noticed that even on your side at the that you supply testing as well.  And this is probably one of those reasons why you found it important because it is important to you for your transformation in your journey going along.  But just to explain to the listeners, why is testing so important?

Kevin Gianni:  It is important for two reasons.  One is more like a scientific kind of reason.  The other is just almost like a mind, just a chilling out kind of like mind relaxing reason.  I tell you it is a mind relaxing reason to begin with.  So anyone who is listening to this or anyone who listens to health podcasts or watches videos or reads blogs, health blogs online, health books or whatever, there is always this argument about diet.  You know, what diet is right?  And there are so many camps.  I mean there is low carb.  There is high carb.  There is vegan. There is Mediterranean.  There is Atkins.  Paleo.  There are all these diets that people are trying.  And for me, the blood test I kind of describe as the ultimate proof that your diet is working and it gives you permission to try any diet that you want and if it works for you, you can run with it.

Baris Harvey:  Yes.

Kevin Gianni:  There is just one thing.  You know one thing that I cannot stand is like sitting at the dinner table around the holidays and listening to Uncle Tom, you know, who has read like half of a health book in his life talking about the benefits of protein, you know.  (Laughs)

Baris Harvey:  Yes.

Kevin Gianni:  It is like, you know, suddenly you are a vegan and you are in front of your family members and they are suddenly telling you what you should be doing in your diet.  And you have been around the country for two and a half years and interviewed hundreds of health experts.  And their reference is like CNN or Fox News for health.

Baris Harvey:  Yes, definitely.

Kevin Gianni:  And within that, when someone is challenging you about your diet there is always this thing where you just like, “Uh-hmm.  Are they right?”

Baris Harvey:  Yes.

Kevin Gianni:  You know there is always this kind of like, “Wait a minute.”

Baris Harvey:  Yes, where you are second guessing.  Yes.

Kevin Gianni:  Exactly.  And so the blood test really gives you a piece of mind.  I think it allows you to continue doing what you are doing or it gives you a pre-warning sign.  You know, so not when it is too late.  But if you know how to read them correctly as a good functional medicine doctor would or even a health practitioner.  These days everyone’s getting in this which is just great.   You can adjust your course before it gets too bad.  And that is where it gets into the, you know, the second reason, the more scientific reasons that our audience are trying to maintain a homeostasis.  And if they are not maintaining that you will see it on the blood test, and then you can make minor or large adjustments in the diet and tweak just enough so you can stay healthy.  Because I mean the ultimate goal is to live long, happy and healthy, right?  So by doing a protocol blood testing on a yearly or twice a year, or for some people who are sick maybe they need to do it even more frequently.  What that does is it kind of narrows your course.  So you just do not shoot off too far in one direction and then shoot back across the other way.  You kind of can stay within these parameters of optimal wellness or beyond wellness, I guess that is right?

Baris Harvey:  Yes.  Definitely.  And for listeners out there the previous episode if you did not listen, we talked about Functional Lab Testing 101.  Yes.  Definitely.  That is a really good one.   I did not even think about the peace of mind thing where we can think, “Oh, do I have or are my markers right?”  I can kind of assume I feel good but I do not know.   But if you get the blood work done, and you get the salivary test and all the different metabolic markers tested then you can actually see like, “Okay, I am on track or okay there is something messed up that I did not know about.  And I can feel even better than I do now.”

Kevin Gianni:  Well, you can save money, too.  I mean that is another big thing.  If your vitamin D levels are fine you can pause your vitamin D supplements.  Or if your B12 is good, folate, I mean like if your B vitamins are fine you do not need to take your multivitamin or super green grass herb, you know, that kind of whatever.  And then you can look at that as a decision that you make to like so and I am not knocking super green herbs supplements.  I take them.  Believe me.  Then you can make that decision based on not like a fear-based kind of thing like, “Oh my gosh, do I have enough?”  It is like, “Oh, I just want to add this in.”  And that is coming from a much better a place.

Baris Harvey:  Yes, definitely.  And speaking of supplements and you talked about being vegan and raw vegan in the past.  What are some supplements that you noticed might be important for someone who is out there who is a vegan listening to the show or maybe a raw food vegan?  What might be important for them to take?  Because there are going to be some vitamins that we know like vitamin B12 they might be low in iron.  Some of these nutrients that are hard to get from plant-based foods.  What are some supplements that you think might be beneficial for vegans?

Kevin Gianni:  The first thing, of course, before the supplements is when anyone is doing an extreme diet like vegan or raw food, and look, I think just any healthy diet can be considered extreme just because not too many other people are doing it, right?  A Paleo can be extreme as well.  You know, so I am not just calling out like eating raw food is extreme.  Because I think you know in the outskirts of diet there are actually some really good places that are extremes.

Baris Harvey:  Uh-hmmm.

Kevin Gianni:  But first off, get your blood tested. Do not mess around.  So you are doing something that needs to be monitored.  You need some because it is like you are moved from just like surviving to now you need to be and then you put yourself in a scientific experiment.  So you need to monitor yourself.  So that is like the first thing to do.  With supplement, yes I mean a lot of people talk about B12.  People who eat meat as well can be deficient in B12.  I have seen studies.  I mean, you never know some of these studies but I have seen everything from like 15% to like 80% deficient.  (Laughs)  So I do not know the numbers there but I mean the blood test will be able to tell you.  You know, if you yourself are deficient and forget about whether half of the population is or not.  You know, vitamin D could be one that a lot of people need to.  You know for some people a plant-based protein is really good because you metabolize fast.  You are a fast metabolizer if you are hot.  If you are more like in the Ayurvedic space like a Pitta type body type, warmer, sweatier, more fiery.  Those types of people definitely need some extra protein.  We can get it from plant-based foods, too.  I mean it is not like you just need to go straight to supplements, or to a protein supplement but those type of people definitely function better with higher protein in their diet.  Omega 3 is always a big one.  You can get some plant-based omega 3 as well.  Or if you are just not vegan enough to be able to accept like krill oil or something like that then that can be something that you can take as well.   But there are also some plant-based essential fatty acids that are good as well from algae.  So those are like the main ones.  But that is not always the main ones for everyone, right?

Baris Harvey:  Yes.

Kevin Gianni:  Those are things, like the first that you would tick off the dial if you need to get healthy, right?

Baris Harvey:  Yes, definitely.  And like you said that usually does not mean something everybody takes.  Like I take, you know the fish oil capsule and my buddy who is a vegan he is going to take an algae thing to get some extra omega 3.  So, definitely, definitely important things to take.  I am going to go back real quick.  You were talking about your traveling across the country interviewing different experts, interviewing different ideas.  So two things.  One, you are recording all of these interviews on your camera, right?

Kevin Gianni:  Yes.

Baris Harvey:  So you have this massive, massive content on YouTube that people can find.  They just search Kevin Gianni or Renegade Health or they can find your YouTube page.  The second thing, how were you selecting your experts and was it like just recommendations off the same thing or are you getting a lot of varied ideas?  And how would that change like on a week to week or day to day basis on how you ate?  Like if you just went to one doctor and said, “Oh, now like kale is the most awesome food in the world.”   And the next guy says, “Well, it has all these things that mess with your thyroid.”

Kevin Gianni:  (Laughs)

Baris Harvey:  Like how do you go?  Would you just buy a bunch of kale one week and the next say like, “Oh, I made a mistake!”  And then the next week say, “Oh I need more.” How was this kind of journey going on?

Kevin Gianni:  (Laughs) I have this kind of a duality kind of principle about all these.  It is like you trust very deeply but disbelieve at the same time.  It is kind of like this thing where I kind of define the edges.  I think it helps because believing, you know, we could go into one doctor’s office and set up the camera and listen to something and I would be just totally into it.  I would be totally convinced this is exactly what I need for my health.  And I would go out and I make it a point to do my best.  And let us say I do about 80% of the time.  When I do an interview with someone I do one of the things that they mention.  It is just ingrained in me now like that is what I could do.  I do it every time I read a book, too.  When you read a book that could be like a thousand things you can do.  I just pick one and I do it.

Baris Harvey:  Yes.

Kevin Gianni:  And if a want to revisit it I can.  If not it is fine, too.  But that is really kind of what I focus on.  It is just like one thing.  So you go to one doctor and they say just like you said, “Eat a lot of kale.  Raw kale.  Eat it with your smoothies.  Drink it with your green juice.”  And then you go to the next doctor two days later in Cleveland or if you are driving up through Ohio or something from Columbus to Cleveland and then the next doctor said, “Well, you should not be eating it raw because now it is going to damage your thyroid and you are going to be sluggish.”  And you are just like, “Whoa!  Wait a minute!”  And so for me, I always take the baseline of kind of longevity studies.  And that is where this new book that will be out in July 2015.  I wanted to separate myself from like the minutiae, like the little details and then take a larger look at kind of everything.  That is all our diets and what it kind of comes down with.  But the thing that we want, again, what most of us really want is longevity.  So it is that long, healthy, happy life.  And so for me, what is the best way to figure out what that is?  Well, it is just fine cultures of actually live long, healthy, happy, right? (Laughs)  And then see when they do it almost try to be constructive a little bit.  Unfortunately, when you go to the studies of some of these cultures what you realize is they do not give a crap about nutrition.  (Laughs)  They are going to eat what is there.

Baris Harvey:  Exactly it is just like, “Oh, this is what is food on the mountain.”

Kevin Gianni:  Right.  Which is why I think it kind of gets us into trouble because I have seen it in Peru when I have spent some time with the Caral. The Carals was long lived as some of the people from the blue zones, you know like Dan Buettner’s book with the people like the Okinawans, the Nicoyans, Sardinians or Loma Linda, the Seventh Day Adventist in Loma Linda, California.  But the Caral, they were longer lived before they started coming down from the mountains up in the Andes into the cities.  And I have been around some of my Caral friends who, they will be up in the mountains and they will be eating just like Apopka and potatoes and like 80 to 90% of their diet is of potatoes.  And then they will come down into the city and they will just walk into like a little corner shop and just buy junk foods.  You know what I mean?  I do not think it is just a thing like it is just food. (Laughs)

Baris Harvey:  Uh-hmm.

Kevin Gianni:  And they just eat it.  Whatever it is that is just available they will eat.  And obviously there is this sensory kind of explosion that comes with high salt or high sugar or high fat kind of foods.  So I always go back to these very basic kind of friends like, “Well, alright what would the Okinawan do?  Or what would someone from Sardinia doing?”   And they just would eat like real food.  You know, what I mean.  Like you know my friend Sean Croxton said you just need real food.  So with that baseline it is real easy to kind of explore but also just always know that is the bottom line.  Lots of plants, you can eat some meat it is great.  Do not eat too much oil; you do not need too much.  And salt is okay.  But you do not need like totally blowout, you know.  Just neutral with salt.  And just enjoy your life.  (Laughs)

Baris Harvey:  Right.

Kevin Gianni:  Really comes as a simple equation.

Baris Harvey:  Yes.  So that really kind of guides you to just eat raw food from like becoming orthorexic and getting crazy into these things.  I could guess if we go to different experts and then like, “Yes, I am going to take this tactic and implement it now.”  And then you have a lot of people switching what you are thinking.   There might have been a period in time where there might have been a little orthorexia in there, right?  Maybe, I do not know.

Kevin Gianni:  For me, yes.  I mean I remember I would be sitting in the RV, at this time I was a full raw food vegan.  So I have this big bowl of salad.  And I mean this thing was, I probably could have fed a horse, right?

Baris Harvey:  (Laughs)

Kevin Gianni:  And I would sit there and I would chew this salad for an hour.  Take an hour, an hour and a half.  But I would literally look at the clock and then I would just eat and I am going to be thinking about things and then I would just maybe read something and still eating and still eating.  And I just get up and, “My gosh, I just spent an hour of this day eating, one twenty fourth of this day eating this nacho salad.”  And what was crazy about it is that about 30 minutes since eating that salad I was wondering what the heck I was going to eat for dinner.

Baris Harvey: (Laughs)

Kevin Gianni: Because I was just so consumed about my food, right?

Baris Harvey:  Yes.

Kevin Gianni:  And that is orthorexia.  You know what I mean.  So, I was so concerned about it.  So what happened was after all these stuff kind of happened and I have adrenal fatigue and then I started to go off with vegan diet kind of just was a little bit disheartened by everything.  And I am like, “Well, this extreme diet did not work the way it would everyone.”  Well, not everyone but the people that I was talking to would tell me to do this super powerful longevity diet.  I might as well eat literally like I want as long as it is organic.   That is just like eat real foods maybe like squared or something like that so make it double.  And that does not work either.  You know, there is definitely a sort of conscious moderation that needs to be put into play when you are consuming real food, too.  Because again you know based on some of our genetic response, a little bit, our bodies respond to factors like taking the genetics too far.  Let us say, well, you know we are all just so super individuals.  I do not know how super individuals we are.  There definitely is a collection of types.  You know, whether five or ten, or twenty or forty even a hundred.  You know, there are definitely collection types of people.  So you cannot just follow a whatever-goes-diet if it is organic.  I will not.  And there are some rules that you cannot pass by for your health.

Baris Harvey:  Yes.  It is funny.  Something that I would like to say when I would compare myself to Harvey’s it is like, “Oh, well, like a polar bear is going to eat a bunch of meat and a panda bear is going to eat a bunch of bamboo.”  So that one is like vegan and one is carnivorous.  But neither of them is eating McDonald’s.  You know what I mean?

Kevin Gianni:  True.

Baris Harvey:  So there is kind of like the individuality part.  But then we know out of baseline kind of thing where it is okay but we know generally most people should eat this type of way.  But there is still your kind of genetic individual kind of spectrum as well.

Kevin Gianni:  I think the most solid piece of dietary evidence that I found through all of the research I have done, all of the interviews that I have done is that the diet is not what is getting you to be healthy per se.  It is what you need out of your diet, right?

Baris Harvey:  Yes.

Kevin Gianni:  So, if you look at all the different peoples who are eating and living long.  So, the Okinawans, you know, at one point they were eating 85% of their diet of sweet potato.  Then you look at the Nicoyans who tend to eat rice, beans just typical life in Central and South American kind of cuisine.  And then when you look at the Greek and Sardinian people who are eating, you know, just again a lot of fresh vegetables and some meat.  I mean the medium is different, the food is different.

Baris Harvey:  Yes.

Kevin Gianni:  So it is not like you can just pin all your health on one food.  It is not just like goji berries are the most important berry in the world.  It is no, they are not.  I mean there are blueberries which are amazing and they grow in New Jersey and they grow in all these places that are local to Americans but we go to goji berry from China.

Baris Harvey:  Yes.  It is funny that you said that because my girlfriend, she is a Nicaraguan and you mentioned that a lot that is in the American cultures.  You may be eating like rice and beans and it is totally different than if I was just preaching like, “Hey, well, you are supposed to be Paleo.”  And we eat meat and we do not eat beans or legumes or rice and it is like, “Whoa, maybe that is what her family’s generation after generation after generation has eaten.”  And so sometimes it might be hard to change something like that and maybe it is okay for her to eat a little bit more of that than I would be able to handle.

Kevin Gianni:  Yes.

Baris Harvey:  Definitely.  So I want to talk about probiotics real quick.  I know that this is something that continually grows in the market.  I never really watch so much TV but when I do I will see even a commercial on probiotics or even like your plain yoghurt would probably say something about like they have probiotics in their yoghurt or what not.  Can we talk about probiotics real quick and then talk about where can we find rich probiotic sources in our food?  And whether it is more important to make sure that we are getting that in our food first.

Kevin Gianni:  Yes.  I definitely subscribe to that sort of belief system and there are probiotics out there that can be kind of like therapeutic probiotic.  But for me, getting my healthy bacteria from fermented foods is absolutely the first place to go.  And I have heard so many stories.  I have known Donna Gates for a long time.  And I have interviewed Sandor Katz a few times and I have just heard so many stories about people healing from eating just a regular dose of healthy bacteria every day.  But for me, again it is one of those things that if you were to put the top 10 list of things that are good for your health.  I mean again, I have talked about what you need out of your diet is more important but probiotics is probably up in there.  Maybe in the mid, between 7 and 5.

Baris Harvey:  Yes, definitely.  Can you name some…

Kevin Gianni:  You want me to name some foods?

Baris Harvey:  Yes.

Kevin Gianni:  For me just cultured vegetables.  I mean just eating some sauerkraut; homemade sauerkraut, raw sauerkraut and not the sauerkraut that you will find in a plastic a bag at the grocery store.  It is probably by far the best.  And you can put this on anything.  You can put it on a salad.  You can put it on whatever you are eating.  It literally just goes with absolutely everything.  And that is the first one.  Sometimes I have some kefirs.  I do not drink a lot of dairy or eat a lot of dairy anymore.  To me it just does not settle that well.  I am not saying that people should or should not eat it.  So kefirs can be really good. And it is always best if you made them.  Here in the Bay Area there are always someone who does it better than you, right?  (Laughs)

Baris Harvey:  Right.

Kevin Gianni:  You can find it somewhere.  But that is not the same for everywhere.  So, if you are not in the area where you can access this then you are going to have to make it yourself because it is better.  Because you know that the bacteria are thriving.  But that is really important.  And that is why I get skeptical about some of the probiotic supplements just because you know a lot of the ones that you are just going to find at maybe in your local health food store.  But definitely you know some of the other places if someone is walking into Trader Joe’s or something like that I would be really concerned buying your supplements there.  But you know, I question the effectiveness of these bacteria in the actual strength of the strain if you are buying them off the shelf at a grocery store.  And that is not to say that you should not do that, I am just saying it is really good to add in.  It is almost like an insurance policy to add in the fermented foods as well.   So you can actually be pretty darn sure that you are getting what you need.

Baris Harvey:  Yes.  And like in diverse kind of foods and also I know a lot of people sometimes if they are on a more strict kind of diet sometimes they feel like they are limited.  Well, try some probiotic foods out and it really enhances the flavor of your food as well.  So it is really a good idea.  I wanted to go into skin care and detoxification real quick.  I know that nowadays there are so many new toxic ingredients put into just everything that are introduced to earth because of man-made toxic chemicals that we created.  And sometimes we start to fix all of the things wrong with our diet but then we are still smearing like horrible stuff on our skin.  You with your wife actually came out with an all‑organic and all-natural skin care line.  Can you tell me a little bit about it and why you guys came up with it as well?

Kevin Gianni:  Well, we are eating a healthy diet.  Well, at least a healthy diet we thought was healthy.  But we are definitely purists at that time and to some degree I still am.  And we were getting a lot of questions.  That is right; we are getting a lot of questions as we are doing our videos people would ask me and Marie, “What are you putting on your skin?”  And I never would have thought of skin care.  As a guy it just never really came out across my radar.  I was focused on food now and I was focused on some fitness before so like skin care I just did not get it.  I mean, like we just use soap in the shower, right?  And you wash your hair with shampoo, you know.  (Laughs)  So that is my extent of body care.  And so we started to look around for a product that we can just recommend.  And once we started doing that we realized that there was a lot of shady stuff going on in the skin care industry including when we decided finally not to actually just represent a line.  We decided that we wanted to create our own.  We went to formulators and we would get a list of ingredients that we would look at them like, “This is not what we want.”  And they said, “Well, you do not have to put a couple of these on the labels.  It is fine.”   And we said, “Whoa!  Wait a minute.” (Laughs)  What on earth is happening?  This is like a bizarre world.  This is not how I do business or this is not even how I am as a person.  You know what I mean?

Baris Harvey:  Yes.

Kevin Gianni:  This is crazy, totally for me.  It is like under reporting your taxes or something, you know.  It is just stuff that you do not do.  So we ended up finally running into an organic spa in Arizona and Annmarie found a line which was used, “Oh, my gosh!  They just absolutely made them.  And so we contacted the owner of the company and we said, “Can we sell it?  Can we have it on our online stores?”  And she said, “No, we only sell to spas.”  So we were really disappointed and hung up the phone and the next day I was like, “Wait a minute!  Why don’t we ask her if she can help us formulate a line?”   And so we called her back and she said, “Sure!”  So it was kind of like, “What did we ask her the first time?  Why did not she recommend she could do that for us?  Maybe she did not think we would.  So we did that with her and since then it has been five years now.  We have been providing this super natural organic but beyond organic kind of products.  But a lot of people are really enjoying it which makes us very happy.  Nontoxic, none of that garbage in there and everything is on the label, you know.

Baris Harvey:  Yes, definitely.  The way it is supposed to be, right?

Kevin Gianni:  Uh-hmm.

Baris Harvey:  Yes, definitely.  That makes a big difference.  And you guys can find that at Annmarie Gianni or just kind of like Marchegiani, has the same Italian last name.  So, yes definitely.

Kevin Gianni:  Uh-hmm.

Baris Harvey:  So you also have a book coming out in the future like you mentioned called “Kale and Coffee”.  Can you tell us just a little bit about that and what would we be looking out for?

Kevin Gianni:  Yes.  This book is kind of the synthesis of my extreme diet, getting it healthy and then turning around and saying it is good.  I am just going to eat whatever I want as long as it is organic and then gaining 30-35 pounds and even more depending on where you started.  Like when I was eating raw food I was like 160 pounds and then I got up to 223.  So I mean, I am not going to count like good 20 pounds from like 160 to 180 because that was like underweight, right?  But I have totally flipped the switch and went off on the other side just because I was tired of it.  I really was just done.  And then of course when you are 30 to 100 pounds over your ideal body weight you do not feel comfortable or do not feel good either.  And it was very strange to me because I have never felt that way.  And I have worked with people who, you know, were even 120, 130, 140 pounds overweight and I just did not really feel, at that time I did not feel the way I think I can feel a little bit more for them.  I almost wanted to go back and call my personal training clients and apologize a little bit and just say I did not even understand, you know.  And so when I kind of put that sort of hat on, I wanted to see how I could get back to being healthy in where I could have the healthy things that I really like for my healthy lifestyle or my extreme diet lifestyle.  But also kind of have a little bit of, “Hey, you know what?  I can do this.”  So just to give up some of the real strict kind of diet and have some of the things that I really just did not want to live without.  And for someone, for anyone listening that could mean anything.  For someone that could be a little bit of carbohydrates, to be able to have sugar, to be able to have coffee, can be a little wine, beer or whatever.  You know, whatever your thing is.  And so I went back and I re-analyzed everything.  I looked back at almost all my interviews and I did new research and I came up with this book that essentially just picks out the most important things that you can do to live that long, healthy and happy life.  And that kind of puts aside all the other stuff.  There were a lot of research about different foods and particularly categories of foods like sugar and carbs, gluten, coffee, alcohol.  And I just analyzed them and really kind of come down to the conclusion about whether these are healthy or not.

Baris Harvey:  Yes.  Definitely.  So you mentioned that thing in your book because I know that it is unique and different for everybody.  And you had adrenal fatigue in the past.  You mentioned coffee.  For you, how does that kind of plan, how does that work for you?  Or if it does not work for you what are some alternatives?

Kevin Gianni:  I want coffee to work for me so badly. (Laughs)

Baris Harvey:  (Laughs)

Kevin Gianni:  I want it to work.  And I have tried so many ways for it to work.  But for me because I do tend to have adrenal type, whether I just am an adrenal type, I tend to get adrenal fatigue very fast.  Caffeine, it is just not good for me.  And even green tea.  When I was writing the book like I was not even drinking coffee anymore because I knew that would just make me a total monster.  But I was drinking green tea and I got to the point where I was starting to feel how I feel if I drink coffee on an extended period of time.  And so I just kind of stepped back from that.  You know, when I drink caffeine I get heart palpitations.  It could be a genetic thing actually.  So for me, it is just you know that side of my life is almost over.  I still would have green tea every once in a while but for me I just know I cannot do coffee.  But with that said, for the book I did interview Dave Asprey and we did talk about mycotoxins in coffees.

Baris Harvey:  Uh-hmm.

Kevin Gianni:  And I told him the grains and beans that we eat they do tend to sit in place for a while sometimes before we even get them into our pots and pans at home. And so you do know your better options.  I think Dave’s coffee is a better option.  David Wolfe has a longevity coffee which I think is a better option.   So there are better options.  But for me it is just one of those things, it is just not on that list of things that I can still have. (Laughs)  You know what I mean?

Baris Harvey:  Yes. Definitely.

Kevin Gianni:  It is disappointing.  Every once in a while I will have a cup of coffee but I have come to a point now where I just know that I need to stay away or else it is just going to make me feel miserable.

Baris Harvey:  Yes. Definitely.  So, for you out there, you guys can get genetic testings.  I know there is 23andMe and there are some other companies.  But sometimes you can just tell.  Like I have not done that test yet but I can tell I am probably a fast metabolizer of caffeine just because I can drink coffee and go to sleep.

Kevin Gianni:  Yes.

Baris Harvey:   I have like the exact opposite results.  I know there are some people that are like, “Yes, I can drink green tea and sometimes get jittery.”  And it is like, “Okay, yes.”  So if you are in tuned with your body sometimes you just know.

Kevin Gianni:  You just know.  And I am a slow metabolizer of caffeine.  So I have that mutation in my, oh, actually I do not know if that one is a mutation or it is just normal.  I do not know which one is but I have it. (Laughs)  I have this slow metabolism with coffee.

Baris Harvey:  Yes, definitely.  So for the listeners out there, you guys can find Kevin at the Renegade.  Is it Renegade Health show on your YouTube, right?

Kevin Gianni:  It is Renegade Health show on YouTube and it is on the web.

Baris Harvey:  Definitely.  Go there and then also Annmarie Gianni for the skin care line.  Do you have any other sites that we can point you at or are those all?

Kevin Gianni:  No, man.  That is it.

Baris Harvey:  Yes, you got a lot of stuff online and a lot of content.  And like I said you have a thousand videos on YouTube.  It is great.

Kevin Gianni:  It is 937 I think.

Baris Harvey:  Oh, there you go, yes.  It will be where your podcasts so get there soon.  Yes. Definitely.  And then also, yes you have a podcast.  Is that also called the Renegade Health Show?

Kevin Gianni: It is Renegade Health Radio that is on ITunes.

Baris Harvey:  Definitely.  You guys subscribe there as well.  Kevin, thank you so much for coming on the show today.  And for the listeners out there make sure you go to Beyond Wellness Radio, subscribe and go to ITunes and give us a rating.  It really helps to get the show out and boost our visibility to other people so we can get this message out.  So thank you guys so much.


The Good, Bad, and the Ugly of Your Gut Bacteria

By Dr. Justin Marchegiani

Did you know that the bacteria in your gut has a huge effect on your immune system? Your gut houses 70% of your immune system. Gut-associated lymphoid tissue (GALT) and mucosa-associated lymphoid tissue (MALT) reside in the gastrointestinal tract, and these lymphoid tissues produce antibodies that fight bacteria, viruses, parasites, and infections.

If you don’t have a healthy gut balance, your immune system will be severely affected. There are three main types of bacteria that determine the health of the gut: beneficial, commensal, and pathogenic.

3 Main Types of Bacteria Involved in Gut Health

Beneficial Bacteria

Beneficial bacteria include probiotics, such as Lactobacillus and soil-based probiotics. They aid in the following:

  • Nutrient Breakdown
  • Energy
  • Immune Function
  • Detoxification

gut bacteria

You need certain nutrients and absorption of these nutrients to help run your detoxification pathways. If you don’t have beneficial bacteria, you can produce enzymes known as beta-glucoronidases that can negatively affect how bile conjugates hormones. Beta-glucoronidase and good bacteria levels are an inverse relationship. If you have high beneficial bacteria levels, you’re going to have low beta-glucoronidase.

The good bacteria in your gut also produce acids, like lactic acid or CO2, that can lower the pH. When the pH in your gut is lower, it’s harder for bacteria that are bad, or pathogenic, to proliferate. Yeast infections proliferate more in an alkaline urinary tract than in an acidic urinary tract. That’s why things like cranberry extract and resistant starches can be beneficial. Resistant starches feed butyrate (butyric acid), which helps decrease microbes.

You need healthy hydrochloric acid (HCl) levels in your stomach. Without it,  you can’t break down proteins, start protein metabolism, or ionize minerals. If you can’t ionize minerals, you can’t absorb minerals. Protein digestion starts in the stomach, so the first domino falls over in the stomach. If that domino doesn’t fall, then the dominoes in the gallbladder, where fat is emulsified, and pancreas, where lipase and other enzymes and fats are produced, won’t fall. So beneficial bacteria is very important for helping the first domino of digestion fall.

Commensal Bacteria

Commensal bacteria are switch-hitters that can become either beneficial or pathogenic. Stressors, the factors shared later in this post, can push them to one side or the other.

benefits of gut bacteria

Symptoms of Bad Bacteria Levels

If you have any of the following symptoms, there is good chance that your bacteria levels in your gut are tipped more toward the pathogenic side. Unless changes with diet, gut bacteria, infections, and stress are changed, symptoms tend to get worse over time!

  1. Bloating
  2. Gas
  3. GERD or acid reflux
  4. Constipation or not having a bowel movement at least once per day
  5. Diarrhea
  6. Stomach pain
  7. Any active gut infection

Pathogenic Bacteria

Pathogenic bacteria include bacterial infections (e.g., H.pylori), parasites (e.g., C.difficile), and infections. They can produce the following:

  • Toxins

    These toxins include mycotoxins, endotoxins, or various biotoxins produced by infections. These infections disrupt peristalsis, which can cause bowel movements to take longer and can cause the body to reabsorb a lot of toxins from the bowel, resulting to autointoxication.

  • Malabsorption

    If you’re not able to absorb certain nutrients and minerals, it’s going to have an effect on your energy systems, the Krebs cycle, and the electron transport chain. You must have nutrition to run your energy pathways.

  • Leaky gut

    Leaky gut drives autoimmune conditions. In a leaky gut, the tight junctions in our bowel start to open up, forming various cracks and allowing food molecules and bacterial infections to slip into the bloodstream. The immune system creates a hate response to these foreign molecules, and because a gluten molecule may look similar to the thyroid tissue or a dairy molecule may look similar to the pancreas, other tissues start to get destroyed by mistaken identity.

If you think your gut bacteria is out of balance, click here.

Factors That Push “Gut Bacteria”

There are many factors that push gut bacteria in one direction or the other. All of these tend to be opportunistic, which means we start to see a decrease in HCl, enzymes, and nutrition. You aren’t what you eat; you are what you eat, break down, absorb, and assimilate.

The following factors push us in the direction of the pathogenic bacteria:

  • Medications

    Proton pump inhibitors (PPI), such as Nexium and Prilosec, shut down HCl production, but HCl production is important for the first domino of digestion. When acidity is low, HCl will trigger the esophageal sphincter to close. If it doesn’t close, it’s very easy for the acids to rise up, burning the throat and creating a reflux disorder. Acid breaks down nutrients, and if you don’t get good breakdown, it creates a downward cycle that only gets worse. A good doctor can find the root cause of the issue and pull you off a PPI responsibly. Don’t randomly take yourself off it.

  • Sugar

    If you’re eating too much refined and processed sugar, it feeds the bad bacteria in your gut. About one hundred years ago, each person was consuming and average of 3–4 pounds of sugar per year; now it’s about 150 pounds. Too much sugar consumption feeds the funguses and pathogenic bacteria in your gut.

  • Emotional

    Emotional stress will increase interleukin 6 (IL-6), which is an immune compound that can throw your immune system out of balance. Your immune system and gut are intimately connected, and you should minimize emotional stress to have a healthy gut balance.

  • Decreased probiotics

    Maybe you’re not eating probiotics via fermented foods, like raw milk if you can tolerate dairy. Get natural probiotics from foods you can tolerate.

  • Increased antibiotics

    The consumption of antibiotics wipes out everything in the gut and causes rebound overgrowths to occur. If you wipe out everything in a garden, the first thing that grows back, unless you plant seeds, is weeds. If antibiotic use is an issue, you need to consume good seeds (prebiotics and probiotics) for balance.

  • Infections

    Infections tend to be opportunistic, which means they happen when someone already has a compromised immunity. A tick bite causing Lyme disease can drive one person into a pathogenic episode while another can be bitten and recover quickly. Everyone is a little different, but the more stressors a person has, the more complicated the infection can be. Those who bounce back quickly may be feeding, and have a greater abundance of, the beneficial bacteria in their gut. An infection can prevent healing even when these stressors are removed, and the infection may need to be addressed for you to fully heal. Some patients can get exposed to a parasite, like Giardia, or pathogenic bacteria, like H.pylori, and not recover from the infection and get sick.

  • Leaky gut

    Foods and unwanted bacteria in the intestinal track can slip through the tight junctions into the bloodstream. This can put stress on the immune system and is the main cause of autoimmune disease for most people.

leaky gut issues

Most people who have a digestive problem seem to have a higher amount of bad bacteria as well as a potential active gut infection. These problems tend to be active for many years before symptoms start to even show. Getting the gut fixed is one of the most important codes to crack for any functional-medicine doctor trying to get his or her patient healthy again.

If you need help balancing your digestion, feel free to click here.

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