048 - Breaking research on gastrointestinal health with Dr. Len Brancewicz & Jaclyn Shedden

All right. We're going to be talking about gastrointestinal health. I want to start out with just a quick question, show of hands. How many people have heard that the gut is your second brain? Not bad. We're going to show you that that's not true. Okay, so pay attention for that. That's going to be one of your takeaways from today. Now, I just want to start out this talk today with a story. I wasn't going to do this, but Jacqueline said I needed to. Back in January, my wife went in for her yearly physical with her gastroenterologist. I looked at it much like Christine does. This is a sales event. So I went in, talked to Matt, and I got to meet him, got to know him, and I said, look, my nickname in school was the gut guy. You're a gut guy. I tried to get him to come to this event today, but he's out of town. So anyway, my wife went in for a colonoscopy in January, and in February, Matt called me, and Matt had a couple stories for me, and I jotted down a few things, and I just want to share them with you. Real quick. Matt called, made my appointment for a colonoscopy. A few days later, in his office, Matt showed me a Keller diagram of the colon. Lengthy organ that appears to go all over the place. At one point, it looked like a briefing passed through Minnesota. Then Matt explained the colonoscopy procedure to me in a thorough reassuring patient manner. I nodded flatfully, but I didn't really hear anything he said, because my brain was shrinking. He's going to stick a tube, 17,000 feet up my behind. I left Matt's office with some written instructions in a prescription for a product called Movy Prep, which comes in a large box big enough to hold a microwave oven. I'll discuss Movy Prep in detail for now the suffice to say we must never allow this to fall into hands of America's enemies. I spent the next several days productively sitting around being nervous. Then one day before my colonoscopy, I began preparation. In accordance with the instructions, I didn't need any solid food that day. All I had was chicken broth, which is basically water, only with less flavor. Then in the evening, I took my Movy Prep. He mixed two packets of powder together and a one-liter jug. Needed to fill it with lukewarm water. For those unfamiliar with the metric system, the leaders about 32 gallons, it seemed like. Then you have to drink the whole jug. It takes about an hour because Movy Prep tastes and here I'm being kind like a mixture of goat spit and urine cleaner, just with a hint of lemon. The instructions for Movy Prep clearly was written by somebody with a great sense of humor that states that after you drink it, a loose watery bowel movement may result. This is kind of like saying after you jump off the roof, you may experience contact with the ground. Movy Prep's a nuclear laxative. I don't want to be too graphic here, but have you ever seen a space shuttle launch? This is pretty much the Movy Prep experience with as you are the shuttle. There are times when you wish the commode had a seat belt. You spend several hours pretty much confined to the bathroom spurting violently. I can't believe I'm doing this. You eliminate everything, and then after you figure you must be totally empty, you have to drink another liter of this stuff, which at that point is I can tell your bowels must travel into the future and start eliminating food you haven't even eaten yet. After an action packed evening, I finally went to sleep. The next morning, my wife Karen drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experienced occasional bouts of Movy Prep's spurtage, and I was thinking, "What if I spurt on mat? How do I apologize to a friend for something like that? Flowers wouldn't be enough." At the clinic, I had to sign in with many forms acknowledging that I understood and totally agreed with whatever the heck the form said. Then they led me to a roomful of other colonoscopy people where I sat inside a little curtain space, took off my clothes, and put on one of those hospital garments designed by satis perverts, the kind that when you put it on, makes you feel even more naked than when you were actually naked. Then a nurse named Edie put a little needle in my vein in my left hand, or nearly I would have faded, but Edie was very good. I was already lying down. Edie also told me that some people put vodka in their Movy Prep. At first, I was ticked off that I hadn't thought of that, but then I pondered what would happen if you got yourself tipsy and didn't make it to the bathroom so you were stagging around the house for five hours. When everything was ready, Edie moved me into the procedure room where Matt was waiting with a nurse and an anesthesiologist. I told Jamie this story because Matt had asked me what music I wanted and I said I needed some pink Floyd to play in the room. I looked around and I was looking for that 17,000 foot too, but I couldn't find it. I know it was hidden there somewhere. I was seriously nervous at this point. They had me roll over my left side and the anesthesiologist began hooking something to the needle in my arm. There was music playing in the room. Then I realized the song was dancing queen by Abba. I remarked to Matt that of all the songs that could be playing during this particular procedure, Dancing Queen had to be the least appropriate. You want me to turn it up, Matt said from somewhere behind me. Ha, ha, I said. Then it was time. The moment I had been dreading for more than a decade, if you're squeamish, prepare yourself. I was going to tell you an explicit detail exactly what it was like. I have no idea. I slept through it. One moment Abba was yelling Dancing Queen, feel the beat of the tambourine, and the next moment I was back in the room waking to a very mellow mood. Matt was looking down at me, asking me how I felt, and I said I felt excellent. He was even more excellent. Matt told me that it was all over, and then my colonid passed with flying colors. I've never been proud of an eternal organ. Then Matt gave me a few little chirps of what he's heard from some of his patients, and I'm just going to finalize with this. Number one, take it easy, doc, you're boldly going where no man has ever gone before. Number two, did you find a Amelia Earhart yet? Number three, can you hear me now? Number four, are we there yet? Are we there yet? Are we there yet? You know an Arkansas, we're now legally married. Any sign of trapped miners, chief? You put your left in, you put your left hand out. Hey, now I know how a muppet feels. If your hand doesn't fit, you must quit. Hey doc, let me know if you find my dignity. You used to be an executive at Anoron, didn't you? And the best of all, could you write a note for my wife saying that my head is not up there? Now, let's answer that question. That first question is the gut, your second brain. This is an artist conception of a drawing of a developing fetus at four weeks. This was done at McGee Women's Hospital in Pittsburgh. I was going to show you the actual ultrasound that came up, but this is the artist conception. And one of the things you're going to notice here. Oh, there it is. One of the things you're going to notice, brain hasn't developed yet. Heart hasn't developed yet, but you're going to see that the four weeks of age, sperm egg come together, the first organs that develop, or the whole gastrointestinal system. So in essence, you could say the gut is the number one brain, because it was developed in all of us before the brain was actually developed. Okay, and it's a factor when we go over this presentation today that is a crucial factor to understand how important gut health is. And we're going to try to drive that home. Prior to 1954, no human on the planet had ever ran a mile under four minutes. Some medical professionals at the time even thought that if you ran that fast, your heart would actually explode. Then came along Roger Vanister, and at the age of 25, he beat the record and ran a mile and under four minutes. Fun fact about him is that later on, he also became a doctor when his run career ended. Since that time, over 1700 athletes have also ran a mile under four minutes. Some of them are even high schoolers, but what happened? Did all of a sudden everyone just got faster? No. Seeing is believing. They saw that it could happen, and they believed that they could also do it themselves. And this also relates to our GI health, because our patients can't see their intestinal track. So they often feel like nothing is wrong. Let me give you an example. This is a picture of a cut finger. This is also what happened when Dr. Lenn tries to cook dinner. What are we going to do to heal this finger? We're going to give it a lot of TLC, right? We're going to make sure it's nice and clean so that it doesn't get infected. Maybe put a little ointment on it. We're probably going to wrap it in a bandage. What we're not going to do is run through the fast food, drive through, and get some toxic chemicals, food, and rub it on that cut. We're not going to don't get in a rum and coke on a Friday night. We're not going to pour sugar on it. We're going to give it a lot of TLC. You don't need a medical degree to know how to heal this finger because seeing is believing. And I think as medical professionals, it is our job to really help patients understand how to heal their guts and take care of them with just as much TLC as we would this finger. And that's what Len and I are going to go over with you. Here's a little cartoon. Food for thought. It's because you move for a brain. Now at this juncture, I'm going to take a two second pause because I had promised Jacqueline when we put this presentation together and we started this months ago that I was going to order her present. You kind of threatened me. It wasn't. Which came in. And it's one of these customized designer bags that said my microbiome made me do it. All for you. Thank you. Not guilty. Not guilty. Just the facts, please. Number one category in drug stores. As you walk in, you see the little placards on the house. Where do the majority of people that go to Walgreens, CVS, wherever go. Number one is laxatives. But they're up 38.5 billion dollars in sales for PPI's. Someone has some sort of symptom, a little reflux. What do they do? They pop a thumbs. They go in prilosec. Colin cancer is now 15.8% of all cancers. Growing more rapidly than any other cancer in this country. Colin cancer is obviously on the rise. I'm going to be 43 in a few weeks. Insurance is now covering colonoscopies in 45 year olds and above. So that's lower than it used to be. But obviously the insurance companies are aware of it and they're not going to want to pay for colon cancer down the road. So they're going to screen for it early. But that really reflects on how healthy our gut is that we're having to test 40 year olds for colon cancer. If you just watch the news, you see big numbers being thrown out all the time. Here's a big number. Total sales of gastroproducts in all healthcare facilities. This is prescription and over the counter. Was it 58.6 billion last year and it's currently growing at 12% every year. And gastro cases are actually third. Now I thought pain would have been above this, but gastro is only below cardiovascular and oncology. You notice oncology is up there as far as a number of visits to a medical professional. And lastly, the gut brain link is now acknowledged in medicine. For the first time in 2024, the gastroenterology groups have made the opinion to all their participants that you have to pay attention to the gut brain link. It's a crucial factor. We were going to take this slide out. There's a guy saying that's our gastroespecialist. The idea here is my friend Matt is one of the few that actually takes care of himself. But you see so many of doctors that just will write prescriptions but really don't take care of themselves as far as their health goes as far as nutrition. Let that one sink in for a second. Leaky gut syndrome. Ever hear of leaky gut syndrome? He says, "I'm still thirsty. Maybe I've got leaky gut syndrome." Our digestive system is a series of hollow organs joined in a long twisting tube from the mouth to the anus. Pretty much a given. We are going to be doing much more pathology in this presentation than you're used to seeing. Because in getting prepared for this, we realized a lot of practitioners couldn't tell me where the pancreas is located or where the liver was and where the gallbladder is in relationship to the liver. So inside of this presentation are going to be a lot of giveaways and pieces that you can use in your practice with your patients. Jacqueline put together some of these. She's going to go over with them. We put these together in a format that you can use in your practice. Inside this tube is a lining called the mucosa, which contains tiny villi that produce fluids to help digest and assimilate food. I think pretty much a given. So this is a great example of one of our diagrams. You can use this with your patients, but I think a lot of people like Len was saying they really don't understand like how close the gallbladder and the liver are and the pancreas. And just to show them how small the esophagus is, it's really only about 12 inches long. This next slide gives you a lot of great insights and in each one of these you're going to see a description of everything from the mouth. Consider the starting point of the microbiome. The dental academies are now accepting the fact that keeping the microbiome of the mouth and saliva in the proper format is the start to good gut health and good health in general and then working your way down. So we're going to use this as an example that we're going to touch on the various organs in the various disease states and protocols based on from the head on down. So we're going to go and follow the same kind of pathway. We're going to work our way down from the mouth now to the esophagus. So the biggest thing about the esophagus is that it's susceptible to a lot of diseases, right? Baird's esophagus being one of the most serious ones. But its main job is really just to transport food. And when it becomes damaged is usually when the LES or the low esophageal sphincter doesn't close properly. And if you look on and you say that the epiglottis closes and prevent foods from going down, transports foods, moods, food with muscular waves. And again, we know that the esophagus is susceptible to gastric juices. We're going to start with baird's. You may not see patients with baird's in your practice, but you're going to have a lot of patients that walk in saying, "My gastroenterologist said, 'I'm a candidate here, that this may be something that started with me.' He did a scope and he saw some pre-cancerous cells in my esophagus. What's the most typical way we treat that? We put them on a PPI. We think that if we suppress the stomach acid, that's going to be the endol for baird's. The esophagus is damaged by acid reflux, which causes the lining to become thickened and become red. You actually see the tissue at the base of the esophagus actually turn into a plastic-like material. The cells are really buried where they can go into a strange mode of reproduction." That second point, severe heartburn reflux, and this is a crucial factor when you're talking to somebody that may say, 'You know what, I hurt right here all the time, right after I eat.' And even water makes it hurt. But up a flag, we may already have the damage started because when we drink water, even if that's coming down to those points at the base of the esophagus, it may be the starting points of some abnormal cells. Seeing is believing, right? So a lot of these patients may have these symptoms for years and not really seek treatment to treat it themselves, but the key is for them to have an endoscopy so they can actually have the biopsy and actually be diagnosed so they can make sure that they're getting it treated. Some of the factors that are going to affect it definitely die at weight, smoking, and acid use, and then hiatal hernia, which we're going to go over in quite a bit of detail too. We talked together last night, we were going over this, about the weight issue, and how the obesity epidemic has pushed this dramatically. So when you do have somebody that comes into your office that's morbidly obese, ask the critical questions about digestion. We're starting in the mouth, we're starting the esophagus. Is there anything going on there that we need to know about? And it's because of the pressure, right? So it's the valve. You want the valve to close, but if there's a lot of pressure in the stomach, then the valve can open and that's when the gastric juices start to come out. Hopefully you can see this. You can see the pink tissue of a normal esophagus, and this is Barrett's. These are pre-cancerous cells. If you see these little white specks, they are actually glare from the camera taking these pictures. That it has become plasticized, and the cells underneath that plastic lining are starting to become abnormal. So we're starting to run the risk factor here at that base of the esophagus, and you also see the esophagus can't close anymore. Right at the base of that sphincter, we started to have so much plasticized that this sphincter cannot close. So we have this self-propagating problem now. The contents of the stomach cannot stay in any longer. We're going to have that continual bath all the way up onto this tissue over and over again. So once it starts, it gets to be the point of getting propagated again. I think you're here. Did you skip? No. This is the next one. Okay. Oh yeah, that's right. So this is a great picture of the valve. One is open and one is closed. So this is obviously expected to be closed when you're not swallowing. But when it's not, that's when all the juices start to creep up into the esophagus. Next we're going to move down to Hyadoharnia. Now Hyadoharnia, weakness in the diaphragm that allows the esophagus to dilate can result from injury, weight lifting, chronic coughing, repetitive vomiting, pregnancy obesity, straining during constipation, heavy lifting, injury, trauma to the area, sort of like the force from a seat belt, excessive exercise. And this is a critical factor when we're talking about Hyadoharnia's. KPI use is now on the list of contributing factors for Hyadoharnia. Once again, as Jaclyn said, the lower esophageal's fincter does not close. And this is a critical factor. Jaclyn and I were talking about this last night. How many patients do we have to come in and say, I'm feeling this? I sort of kind of, and we're afraid to go have an endoscopy done. I don't want somebody probing that way. It's a difficult thing. We added the line, Jaclyn added this last night, don't wait. These kind of issues may seem minor, and the surgical procedures to correct them are fairly easy. But if it stays where it is, it can lead to cancer, ulceration, and again, more intense surgery down the road. So another diagram, if one of your patients does have a Hyadoharnia, they might not really understand it. But it's actually just the weakness in the diaphragm, and then everything just poaches above it. And then that valve, again, can't close. So just a good example with a diagram that you could use for your patients. Just looking at the differences between the two, right here on the diaphragm, and you see the difference when there's a hernia present in that part of the body. Talk to most patients, and they say, well, Dr. Set of Hyadoharnia, pictures like this can draw it in, this explains specifically where things are going on. Now, you wouldn't think that there are many therapies for this, but we came up with a protocol for Hyadoharnia. If it's caught in the early stages, if it's caught before it becomes so in need of surgery, the number one symptom is heartburn, which we see, if the hernia is small, may not have any symptoms. The traditional medical approach from the pharmaceutical side is heavy-duty acid blockade, and a drug called carophate. Carophate would try to stimulate tissue growth on that base cell of the esophagus. And again, functional medicine approach, the approach that will work, probesimes with each meal, and GI complete one scoop in water or shake a day. How many of you guys use GI complete in your practice? Yeah. It's the first product I ever used with nutritional frontiers, and by far the best. We'll talk a little bit about GERD. So, GERD is what's causing, right? The Baratisophagus, the Hyadoharnia is going to cause you to have some GERD most likely. So, we just wanted to throw in another picture of showing, you could see with the arrow pushing the juices up with the abnormal valve function, the funnel can actually close. So, that's when you're going to have the symptoms. And I would say most patients have some sort of GERD at one point in their life, but when it becomes chronic, that's when you really want to question what is actually going on. Is the patient taking a PPI every single day, have they been on it for years? Because that's really when it becomes concerning. The protocol for GERDs. And we're going to put Barats into this as well. Again, question the patient about caffeine, alcohol, weight, smoking, history, diet and sleep habits. Lack of sleep has been a contributing factor. Lack of not having at least seven hours of sleep every night can be a contributing factor to these kind of issues. Did you have a pulmonary function test done? People, they were, why do you have to have that done? Oftentimes, if they've been self-treating this and eating anacids or taking a Miprazole on their own, we can come into a situation where we actually have A-chloridria, which means we've so over-suppressed the proton pumps in the stomach lining that we aren't producing any. So, every time food goes down, we start off gassing CO2. Just like an alcohol-celsor in water. And that CO2 is going to come up the esophagus because that valve is not closing and we're going to inhale it. So, what you'll see in even a home pulmonary function test is that you'll see their pulse ox numbers go from 99 to 98 to 97 to 96. And once you're down below 96, you start to have some levels of concern. So, for like $25, you can buy a pulse ox emitter and do that right in your office. Also, don't forget, endoscopy surgeries. Do you have a history of anemias? Do you have a history of anemias that are unexplainable? We don't see blood loss. We don't see anything when we do a stool analysis. We don't see anything in the urine analysis. But we have this history of low hemoglobin. Could it be a contributing factor here? You want to go over the protocol? Yeah. So, this is a little bit more aggressive with the probesign. But again, the GI complete. You're going to actually do it twice a day. So, they're going to need two containers, right? But it's so simple to take because you can just mix in in water with food or without food. And then the probesign, they're flavorful and you just chew them. So, you want to do it before and after you eat for the first two weeks. That's going to really help you esophagus. And then you can do it just with the meals once. And then again, eating smaller meals is really, really important just to help keep that pressure down for the valve. By the way, I'm just going to interject this right now. Jamie wanted me to tell you this story that three or four days ago is on my back. It was the first time I've been sick for like ever. I just don't normally get it, but somehow I picked up something to the point where I couldn't breathe. And I'm still on the tail end of this, but I told Jamie, I got to bottle that immune boost, which says take five capsules at once. And it's like, okay, that's a therapeutic dose. Well, I I read it as five capsules five times a day. So I was going through a whole bottle of this stuff. And I'm here today. It got me up out of bed. So I'm telling you what, look at that prep. You don't have to do five five times a day, but I'll tell you what, it knocked it for a loop. I was running a fever. I couldn't breathe. And it really started to turn things around. This is the protocol we put together again for now. This is different than what you just saw. And this is an extremely important slide. Somebody comes to you with a diagnosis of GERD or Barrett's esophagus that is currently on a PPI. And they come in and say, I want you to help me. And the first thing that we will typically try to do is eliminate the amyprosol or the nexium or the protonix, right? We're going to try to stop that. I'm here to tell you that if you study the history of the PPI's and how they work, now they work on the human body, you have to do this very carefully. They are an addictive medication to the human body. If you just arbitrarily stop amyprosol, you're going to have a rebound so dramatic that that person may be hospitalized. Be very, very careful. If I took any one of you up here and just said, if you don't have GERD, I don't have any reflux. And I gave you amyprosol once a day for five days. Just take this each morning for five days. And then I'm going to stop. You will have the worst reflux you've ever had in your entire life. It's very difficult to do, but you've got to understand the first step. Overlapped the PPI with GI complete one scoop and water daily for 90 days. The person wants to come off of amyprosol. They got to commit to a 90 day protocol. Secondly, at two weeks into this, at two weeks after you started the GI complete, you're going to have an H2 blocker. The body is going to need some level of support when the PPI goes away. The old fashioned H2 blockers like Xantac are tagamette work well. So right now, at this two week period, if they're taking the amyprosol in the morning, we had a Xantac at bedtime. And we overlapped that. At 30 days, we reduced the dosage of the PPI in half. If they're doing it a particular Saturday, that link system broke. And he started bleeding internally. He then. went in for emergency surgery at the most recent hospital he could get to, which was in maternity hospital. With air, they cut his abdominal aorta, and he was helicoptered over to Allegheny General Hospital in Pittsburgh where he died on the operating table. So I had a partner for 15 years that passed away with this link system. So again, it's an option. There's people that have had it and have had good success with it, but it's one of those ones that you've got to use with some good sense. For women that would have this down, the simple act of pushing a vacuum cleaner could be enough to relocate that thing. So you got to be very careful, you know, you almost have to become sedentary with that system. So when's emphasized the use of enzymes? The beta-zine is my favorite for the hydrochloric acid and it has really everything you need. If we can treat these patients quick enough, and they come to us soon enough, we can fix this problem so that they don't need surgery. Have we got to that? In the stomach disappeared. Okay. Okay, we're down to the stomach now. For some reason, the header disappeared. It's called in the stomach, three mechanical tasks to take place in the stomach. It stores the swallowed food and drink. Combines the food with the enzymes. It is going to empty the contents into the small intestine. And again, it is a temporary storage site, critical factor. So obviously semi-glute titers epitide is a pretty popular drug, right? I think a lot of people have taken it. I like to experiment on myself when I do things with my patients. I've tried all the supplements and protocols. And I also tried the terzoepitide. When they talk about delayed gastric emptying, they are not kidding. So I gave myself an injection in the next day. My husband made a really delicious dinner, trout and roasted carrots. And I wasn't extremely hungry, but I was kept eating and I kept eating. I'm like, "Well, I woke up the next morning and immediately I was like, "Oh, oh, shoot." You get the salivary glands going and I was like, "Everyone was sleeping. We have two young kids." And it all came up. Undigested, sorry to be gross, but we're all medical people here. So if you have a patient that's on a medication like this, make sure that they're taking probes. I just ate too much, I think, but the probes I'm really going to help with any type of symptoms of nausea and stuff and also digesting the food. And then since it is so delayed, you want to make sure they're having a bowel movement every single day. So I always have patients on mag complete if needed as well. A couple more statistics about the stomach. It's protected from self-digestion by amucosal barrier. We'll have some pictures coming up. When we realize there are three distinct layers in the stomach to protect the acid from actually eating into the tissue. I don't think a lot of us even realize the stomach can hold up to four liters. So it can withstand quite a bit. Lept in a grail and are two hormones that come under, look, see right now from the brain, got links about, am I hungry or am I not hungry? Is the digestion system fixed or not? And is it time to empty? So that would be another whole subject matter. And we're going to probably do a seminar coming up in the near future about the brain, got link. Those two come to the table quite often. One and a half hours is the typical time for food to come in, finish the digestive process and empty into the small intestine. We have to realize that a core hydria is a possibility. And I'm finding this in more and more patients that have been on PPI's. Instead of the three weeks it's recommended, three years, five years, 10 years, 20 years. To the point where if I can't get them off of that through that protocol, we're running into issues. And the digestive process is a real issue. And then Jaclyn told you the story about the semi-glutide issue and delayed gastric emptying, which is the biggest problem we have with it. But it's actually how it's working right now by delaying that gastric emptying so that you have a feeling of fullness for a longer period of time. There it is. We can't. We love our photos. Yes. So you have the esophageal sphincter, but then you also have the pyloric sphincter. So we want to make sure that both of those are working. And then one of the key factors like Ron was saying is that our stomach doesn't digest itself because of the outer layer. It has the mucus on it. And that's going to prevent it from eating itself essentially. You know, when you look at situations, if you've studied helibacter pylori, you realize that that's a bacterium that typically resides somewhere in that second layer up in this area here. It's part of the digestive process. But when it manages to show its head for a lot of different reasons and come down into the stomach pouch itself, we can start running into issues with ulceration in this part of the body or down here in the duodenum. You will often hear about duodenal ulcers. And you also hear a lot about helibacter pylori. And we're going to talk in a few minutes about what the various therapies are for that. This is a very cool picture because most times we think of the stomach lining as something very smooth. It's an extremely poofy-looking area so that we get the maximum digestive process going on. So it looks like pillows or marshmallows that just continually line it. But that's the way the stomach lining should be looking. I think if you click it, yeah. There we go. These are the diseases or conditions that we're going to go over with you. Gastritis will touch a little bit on age pylori, some ulcers, and then the difference between high acid levels and low acid levels because they can actually present similar. Protocol for helibacter pylori. Pharmaceuticals from gastroenterologists would involved two different antibiotics simultaneously with a bismasalt. That's the typical pharmaceutical. It's about 40% effective in eradicating helibacter pylori and typically you'll see that person go through a lot of hurt during those kind of therapies. And then it's typically repeated at least two more times before the doctor would actually feel comfortable enough by doing a methane breath test that the helibacter pylori is now been resolved. Now, for those of you that ever used Argentin products, you can go to their website, they've have a very specific protocol that they've actually shown to the FDA about the use of colloidal silver in various tiers of therapy over the course of a week that has been shown to be one of the most effective tools for eradicating helibacter pylori. And also, as Jacqueline and I were doing this, we saw one of the old, old remedies that's been around forever is called Mastic Gum. And it's been usually an add on something you could add on to a therapy with like a colloidal silver to try to get that problem resolved. So again, this isn't one where we'd love to add GI complete to this scenario, which you could, but we'd rather go after this aggressively and try to get rid of the problem in the shortest period of time. We're going to go into the ulcers now. So the treatment, obviously, they're going to be seeing a GI as well, but you want to make sure that you understand where the ulcer is, and put them on GI complete right away. It's so well tolerated, you know, they should have no problem going on three doses a day, just in water. And then the probes I'm again, there's our two favorites for GI health, the probes I'm again like before, you're going to do it before and after meals, and it's really important to get them off any other type of medications that could be causing any type of irritation to the ulcer. Don't forget about that line that next to the last line, backing down to most other supplements. Typically, when we're trying to deal with ulceration, even a multiple vitamin that's even in a good delivery form could be enough to aggravate things. So for a period of time, we do a fast from almost all other supplements. Anybody here been using GI complete more than two or three times a day? Totally effective when you have these kind of issues like ulceration where you might want to use a full dose of GI complete before breakfast, before lunch, and before dinner so that you can actually aggressively go after healing that tissue. So gastritis is pretty rampant right now. My nephew who's eight years old got a pretty bad case of it at school and gave it to his younger brother. He actually had to be hospitalized for asthma reasons, but my mom, she went down to help my sister. And then she got within less than 24 hours, one of the worst cases of gastritis, and ended up in the hospital herself. So this is something that you really want to have on hand because my mom, you know, she takes a lot of the nutritional frontier supplements, so she was able to start this. But it's something that you want to have on hand when something is happening that comes on so quick, you're not going to want to go out to the office and pick it up or your patient and you're not going to get you're not going to be able to get it to them as fast. So just the pros I'm with every meal and then that GI complete, you can get some aloe. I like Georgia's aloe and you just put that you know a few ounces with the GI complete in water and sip it all day and you can do it a couple times a day just to help heal that lining. Okay, we worked our way down through the stomach. Now we're going to work our way down into the small intestine. This is a critical factor to understand. The small intestine is the longest section. A lot of people didn't realize that. It's called small because of its diameter but it has the surface area of a tennis court. If you opened it up for maximum absorption, it's covered in villi, almost all absorption takes place here and there's blood vessels that transport the nutrients away from the intestine to the liver on the other side of the small intestine. So again, the sites of potential problems, leaky gut syndrome in this kind of an area, but it's a critical factor to realize the size and scope of the small intestine and how it needs to be handled properly. So since we, I had to throw in a picture of my daughter. So I have a five year old and I was thinking, okay, if a surface area of a tennis court is for an adult, pickleball is a pretty big sport right now. So if you do treat kids, you can use the pickleball reference because it's going to be about the same because it's about half the size of a tennis court and there's my daughter's guy. She's so cute. Look at her cute shoes. Another good picture of the stomach. Little factors here to, you know, just to pay attention to, where is the pancreas located? Okay, there we go. Where is the gallbladder located in relationship to the liver? There we go. Where is the common bile duct right here going down where? Down here below and also coming in from the liver and down into the stomach pouch. Again, the descending region of the duodenum here and this fincter down below. That's a good factor for, again, pathophysiology of the stomach liver, pancreas and duodenum. This is a picture of normal duodenum and if we go back, again, looking at the duodenum down at the very bottom of this, it's what it's supposed to look like. How many of you guys treat leaky gut syndrome? We should all be treating it. So that's probably the most common thing. I love healing the gut. I love hormones the best and I do a lot of pellets in my clinic and Thursday I had a patient that came in. She had very low testosterone so I was going to do hormone replacement with pellet therapy. But we looked at her labs because I always do a really great panel of labs. She was pre-diabetic. She had her alkaline phosphatase if you've taken Tracy's course, alkaline phosphatase when it's low. She had deficiency. She had low B vitamins and she had Candida symptoms and she also had her gall bladder removed back in 2009 and the doctor put her on a well call and she'd been on it since then. And the day after she had her gall bladder taken out, she suffered with symptoms. She had completely loose stool for weeks and that's why the doctor put her on that medication and they haven't been the same. Now she suffers with more constipation. So although she came into my office for hormones, she was pre-diabetic and she also had a lot of GI issues. So yes, I did the pellets on her but the majority of the treatment that I recommended, I did a beta-zyme and we're going to go over in detail exactly the protocols but I did beta-zyme. I did my gut healing protocol in detox. I gave her super B-complete and Adrenomax because often when we're focused on one thing, we forget about all the other surrounding issues that these patients have and that's why I always include GI health into the care of my patients and thyroid also because they're also interconnected and someone's hormones may be perfectly balanced but they're still not going to feel well. If their GI health isn't healed and their thyroid isn't working well. Again when you look at the intestinal issues that we're going to go through leaky gut syndrome, Candida Overgrowth which has again been very popular for therapies, irritable bowel syndrome. We're going to break that down into the three components, IBS, IBSC, IBSD, how the treatments differ from each one of those. Extrativ colitis, we're going to show you some pictures of what that looks like. We're going to show you a picture of what polyps look like. These aren't from me, I didn't have any polyps when I had my colonoscopy but we're going to show you some pictures of polyps and actually give you a picture of what it looks like to have colon cancer. What actually causes leaky gut? We're going to show you a diagram in a second about how close the cells are and how close they should be, but Zonulin is really the issue here. It's just a protein that's synthesized in the intestinal cells and the liver but it is actually a biomarker for leaky gut or intestinal permeability. The cool thing about it is it is completely reversible. When I talk to a patient about leaky gut syndrome, I'm like it's okay. We can heal it in about six weeks and we'll show exactly how to do that. The two major triggers of Zonulin release are bacteria and gliadin. Gliadin is a protein found in gluten and how many of your patients are coming into your office and eating gluten. That's why it's so important to have them on an elimination diet while you heal the gut. I hear it over and over and over again where patients come into the office and they're like, "Well, I took some supplements but I didn't change my diet or I did take some supplements and I didn't change my diet, they either do one or the other." When I talk to somebody about leaky gut syndrome, I make sure that they're cutting out gluten and dairy so that that gut can heal. If you look at the data this, National Institutes of Health all the way back in 2016 was a recognition there, but that's a big issue. These are actually downloadable at Jacqueline's website. She's going to go over that with you and I'm just going to break the top two together which again, if you look at it, just the artist conception of the villi that line the small intestine healthy, but we're looking here at the gaps in between these various tiers of villi. Here's the food coming in for absorption through these villi. Under attack, we're starting to see some spreading of areas in between the various villi. It's not full blown yet, but we're starting to see some of the problems. Food inflammation, due to gluten and a lot of different other areas including bacteria that can actually make that spread. As this process continues, it's going to worsen, right? Their symptoms might start developing and things that they're eating or taking orally if it's medication's alcohol, that's going to start continually sleeping us, slipping into the. Oh my gosh. You got it? Yeah. So, then you're going to have undigested food particles, so they might start having some symptoms to food that they're becoming allergic to, even if it's something healthy. Then it crosses the blood brain barrier, they might start out with some inflammation on their arms and their legs, maybe some psoriasis, eczema, and they might also start getting more sick more often. So, this is another thing that I show to my patients, because a lot of times when they think that they have leaky gut, it has to be GI related. But as you can see, it really affects the whole body, and what a really cool thing that I like about this is that you can see how many autoimmune issues happen from leaky gut syndrome. So, myself included. So, back when I became a nurse practitioner and I was working for a doctor, we did blood work on all of our patients, so I also did it on myself. And I found out that I had Hashimoto's, and I had no idea because no one had ever checked it before. So, I was like, okay, I need, and I was like in my early 30s, so I was like, okay, I'm going to cut out gluten completely, and I was really, really good at keeping it out. Continue to check my labs, and things got better. I didn't need medication and stuff, then I got pregnant, and my Hashimoto's went a little bit crazy again. But now, after being over seven years being gluten free, I don't need medications anymore, and my Hashimoto's is completely healed. And it's really because I healed my gut, and I continue to eat gluten free, and also dairy free, no processed foods. So, it really does make a difference, and I tell my patients that sometimes they're not able to see their antibodies go down drastically like that, but there is hope, and it's really just about maintaining a healthy diet is really going to be the key. Now, we can go back to one of Tracy's seminars about a year and a half ago, when she brought up a concept of leaky brain syndrome, how about when the tissue that we're looking at, here's a problem. If it's that big of a problem. problem in a person could also be a big problem in their brain as well. So we can see difficulties in maintaining what's going in and out of the brain. So it can be one of those pre-dimension, pre-brain inflammation issues that can go hand in hand. I like this chart because if you look at the thyroid, often times I'll see patients come in. They go to their endocrinologist and they've either been on armor thyroid or a compound or just unsynthroid. Then they go six months out and they get their labs checked and all of a sudden their TSH which was 1.2 now went up to four and the doctor can't figure out why. So we increase their thyroid medication. Now the next time they come in, their TSH is down to 0.2 and they cannot get it regulated. This is another issue that we have to keep into concern that part of the difficulties in maintaining thyroid stimulating hormone levels that are correct, correct T3, T4 levels, oftentimes related around leaky gut syndrome. Same thing with the adrenals. If we're treating that, we're using adrenomax or we're using the new adrenal glandular and we're still having major energy deficits. We can look at mitochondrial function, etc. But consider this as a possibility that leaky gut syndrome could be one of those factors that's causing a depletion in the body. And the last thing that I'm going to say as far as this goes is if you want to test the waters here, have the individual eat the same food every day for nine days. There's a magic nine-day number. Have them have blueberries, nine days in a row. Then watch if they develop the sensitivity to blueberries and all of a sudden I developed a rash that's unexplainable. So when we have consistency of food, if we suspect this, we got to make sure that we're using a rotating diet that we're saying no two days in a row should you be eating the same foods. Don't have oatmeal every single morning. Switch it around. Make a big change and allow the body to go through a period of time to heal. So this is the protocol that I use. If detox and leaky gut, I separated into two months. The first month I do the ultimate shake, the proling greens and the tincture. So like Jamie said before, Rashida and I got together after I came to one of their conferences and I was like I need to put a program together because they talked about the ultimate shake so much and how much it did for the patients plus the proling greens together and how those two supplements have over 92 nutrients for the body. So I this is exactly what I did for my patient the other day. I said let's just start you on these two products plus the lymphatic tincture and then I'm going to see you back in a month. Now you could do all six of these at once but I usually don't because I want to make sure that they're detoxing properly that their nutrition is improved before I start killing off stuff with candy kill. I'm going to do the elimination diet of course. I have a list of everything that I cut out and I include Chick-fil-A because a lot of people think that that is not fast food. It's just that cute little cow, I guess. They see all over the billboard. And then oftentimes I'm going to actually continue the ultimate shake in the proling greens for the second month because people that have high inflammation, they're pre-diabetic or diabetic, they're going to need that and they can really take that forever. I mean I give these two products to my two kids every single morning. The GI complete we've talked a lot about that's going to heal and steal the gut. I use the sidezime for the program and then I use the candy kill and I do three in the morning and one at night and that is going to help get rid of all that bacteria and Candida that they developed because they usually have some sort of sugar addiction. That's a critical factor too and we talked about the risk factors for leaky gut syndrome. We said bacteria comes in issue in probably nine out of 10 cases it is Candida that maybe we don't do testing for whatever but adding candy kill in here at this is a very safe alternative, something you can do to actually start to make a difference. This is another protocol for intestinal permeability if the symptoms are severe. What's severe? I just went to my allergist and they did time testing in my back and they injected and I'm severely allergic to pollen, dust mites and dander which I think 99.9% of people that have that test positive for and he wants to start me on injections because I'm having trouble breathing and sinusy all the time. Start GI complete twice a day for 30 days at a two-week period. This is typically where I'll wait two weeks. I don't put the IGG in initially. I wait for two weeks. I'll let the GI complete go in for two weeks at twice a day then at the beginning of week three I add IGG in for two more weeks. That's gonna finish your 30 days. The IGG has a great way of enhancing eucosal lining so that we can go in and really initiate a stronger repair than even GI complete can do on its end. The end of 30 days we stay with GI complete once a day then we restart superbiotics to twice a day. The superbiotics a very specific strain that has now resurfaced again is one of the most advantageous strains of probiotics. I will add HA+ in here and Jamie and I are gonna be talking about the biocell that's in HA+ a little later today. HA+ can deliver some of the nutrients that are needed for a really disrepaired section of the colon and then also I'll consider suppressing histamine by using airmax. I'll add that in as a histamine blocker even a load does one twice a day so they get through this so that we're going to try to eliminate any of the leaky get kind of issues that they're having with their sinuses or their breathing. So leaky gut can start really young. It usually starts in childhood given antibiotics, multiple antibiotics. I ask that question a lot with my patients where you sick a lot as a child and sometimes they'll be like yeah I got antibiotics like several times a year for ear infections or strep and what do we give our kids we give them sugar. Just one serving of apple juice is 26 grams of sugar and when we go out to eat you know the baby is too little to eat off the kids menu but the kids menu suck. I mean they're so bad all it is is carbs and processed foods gluten and dairy and if they've already had antibiotics for multiple years then we're going to take them out and give them this type of food. No wonder we're going to have leaky gut. Next slides on candida overgrowth again common causes antibiotics high stress lifestyle anybody in here have high stress lifestyles okay oral contraceptives diets high and sugar carbs as we just said dairy products alcohol processed foods the most common symptoms bloating constipation brain fog irritable bowel sugar cravings are very often intense that's another one of those critical factors that sometimes we overlook we're thinking oh my god they must have prediabetes could be an issue dealing specifically with candida white tongue rectilitching thrush with women vaginal yeast infections so we can see all of those of contributing factors or looking at candida overgrowth in the body. Floating brain fog and sugar cravings are the three most common things that I see in women that come to the office and have some sort of candida overgrowth those are three really big questions you want to make sure you're asking them you can test for this I typically don't spend the money on the testing because the virus have a hunch I can just rather treat it but I'm gonna heal the gut right I'm not just gonna start out with candy kill I'm gonna make sure that they're on that ultimate shake the proling greens first a lot of the patients are going to have some sort of blood sugar issue so that's where the neutral gluteide comes in this is very very very very strong I do not use it with anyone that is on semi-gluetide urchers epitide it works really really well at bringing down the glucose and then you can always of course add in that GI complete the probe-zine or side-zine with each meal just a quick word as far as testing goes Aaron a good friend of mine is here right now from Accela Labs I X C E L A Aaron put your hand up there she is if you have any questions they just came up with a new form of testing that uses blood drops and it actually measures 11 metabolites that come out of the blood it can indicate gut issues they can also give you a blood draw for serotonin levels which I think is a critical factor when you're looking at gut health and how critical that is this one we had a discussion about we looked because we both saw the same article we saw an article as we were searching through and getting ready for this about a study where they showed that the antibiotics before age three permanently destroyed a specific strain of bacteria in the gut permanently where it was never able to come back we looked everywhere and we couldn't find it but we did find a couple different studies these are PMID numbers if you want to look those up you just go to the public library of Congress and you can type in those numbers and pull up the study again you'll be getting a copy of this antibiotic exposure into the [BLANK_AUDIO] development of autoimmune diseases in children? One of the greatest we're looking at. Juvenile diabetes, now becoming a big issue. Again, with antibiotic exposure before age three, first exposure to antibiotics and neurodevelopmental outcomes. Could this be behind why we're seeing higher than normal levels in 30 and 40-year-olds now developing MS? There's a couple of celebrities we've seen with it. Antibiotic used for age three, affecting long-term health University of Melbourne. Antibiotics for age two, leading to chronic disease recognized by the Mayo Clinic. So again, we're looking at trying to do substantial gut health with all members of the family. I was showing Jacqueline right before we started this presentation, I got a text message from my daughter. My granddaughter is seven going on eight next month. And for the first time in her life, she was to the doctors yesterday for strep. We've had her protected, not vaccinated, went all the way through, and it's never seen an antibiotic in her life. And now this is the first time my daughter is literally devastated right now. And we were sending her down to the whiners center. She's not that far from there, the wellness center, to pick up some specific probiotics for. So this is where all the magic happens, the liver. Gonna take up nutrients, it's gonna produce bile, but it's the major detoxification organ. And with the quality of our food and just our lifestyle, most of us are toxic on some level. And that is why I just have such a love for the ultimate shake in the proling greens. Because it's so gentle, I can give it to my 14 month old. They like it, my five year old likes it, and my patients love it. Largeest organ in the body. Let's always remember that. Again, when we see so many different factors, and even from a pharmaceutical perspective, you know, when somebody's on a specific remedy, let's say synthroid, if the liver isn't doing its task, even with that, to convert that synthetic form of T4 into the active components of T3, which you need to take place in the liver, we're gonna run into difficulties. So again, liver health, critical factor, and I agree. Every patient I see is on ultimate shake in proling greens every day. From cancer patients to acne to rosacea, I will start everybody that way for 30 days and watch what happens, and it's just literally amazing to see the differences. This is just not real clear, but it's showing you basically the liver all the areas to the side, and what the gallbladder actually looks like, attached to the liver. We've always heard it's a walnut-shaped organ, not really a walnut-shaped organ, it's sort of long and descends down into the common bowel duct, but that's the placement smack dab right inside the liver. The gallbladder is really actually quite small, but super, super important, and when it gets taken out, a lot of people don't pay any attention, but that's when a lot of symptoms start for patients. - Even that story that you told us a few minutes ago about that patient, nine years ago, got her gallbladder out, and her health is deteriorated since then. Disorders of the liver, production of gallstones, probably one of the most common, jaundice, which we don't see a lot of except in newborns, but it's still an issue, hepatitis A, effective B viral C, the potential for cancer, acute versus chronic. Again, we see these hepatitis issues that just show themselves occasionally, and then there's the cases of some of these hep B or hep C cases where it seems to be buried within the liver for decades. And then maybe 30, 40, 50 years from now, it shows itself. And then the link to hep C, developing liver cancer, cirrhosis. And this is the big one that we're gonna spend a few seconds with, non-alcoholic fatty liver disease, not really related to alcohol causing the problem, but the liver itself starts to get fat. It starts to develop layers that are being deposited there from extremely poor diet, which is making the liver have a more and more difficult time in doing the tasks that needs to do. So the liver does so much. Now I love hormones. And when I see a patient that has estrogen dominant, I always think liver. And I, again, go back to the ultimate shake and the proling greens to help metabolize that out. If they have high CRP levels, I'm also gonna think liver. - This next slide, if you take a look at it, is one you've probably seen before. It's been in a lot of nutritional frontiers areas. But the critical factor here, when you look at this and what I like about this slide, is the required nutrients. If you go down that list, that are required for the liver just to operate. B vitamins, folic acid, glutathione, antioxidant, milk, thistle, carotenoids, vitamin E, and vitamin C. And also on the other side, the amino acids of cruciferous vegetables, garlic, onions, broccoli, et cetera. So again, that's a critical factor. The toxin list, metabolic end products, microorganisms, contaminants, pollutants, insecticides, pesticides, food additives, drugs, and alcohol, all of which can take a toll on liver functionality. Again, when we start out using pyroclins, what used to be pyroclins, did we not change that one? Ultimate shake, the proling greens, and live complete, does an amazing job of helping the body go through all the phases of elimination of waste products and getting the liver back to its healthy state. - And I think it's really important to you can actually print this out and laminate it and just show the patients, 'cause they don't really understand how important nutrition is for the detox of the liver and how easy it is to fix with just these three products. - So this is our protocol for the fatty liver. Now, I always do an ultrasound on a patient if they have any abnormal liver enzymes. I'm also gonna check the A1C insulin, look at their triglycerides, see their CMP, get a good HMP, how much alcohol do they drink and then what's their family history? Always we're gonna put patients on the greens and the ultimate shake. - Don't forget, NAC, anacetal cysteine, 500 milligrams, two twice a day, build glutathione, but give me some of the precursors to it, live complete, giving you also a boost to glutathione. I love using buffered vitamin C. That's been a foundational one for me for a long period of time. I take six grams twice a day. In this case, we're using two grams twice a day to maintain the alkalinity of the system. The liver will work better with an alkaline bloodstream coming through there. If we're overly acidic, the liver's gonna have trouble processing. So again, using buffered vitamin C just for its alkalinity, calcium and scorbate can come in and help keep the whole system as alkaline as possible. - I like that. - Critical factor here too. And I didn't mean to interrupt you. When we wrote this slide again, I think it may even go higher, but vitamin D levels above 80. The new recommendations now have the upper limits of vitamin D going up to I think 128 now. And you all have doctors that come in and if you say my patients vitamin D level is 82 and they go into a panic state. Oh my God, they're toxic. You know, that went on the news a couple of weeks ago about a patient in Europe that passed away from vitamin D, which had absolutely nothing to do with the vitamin D. - If a patient has a vitamin D level below 50, I always start them on super K2 plus two capsules every day with the fattiest meal of the day. If it's below 50. If it's above 50, typically one capsule a day with food. - Causes of gallstones, need picture up there. That's what they look like blown up. In a size of a grain of sand most times, but they can get that large. Form one bile stored in the gallbladder, heartens into a stone-like material, more common in patients with cirrhosis of the liver. Excessive cholesterol and bilirubin formed solid particles. Formation of stone is usually a long process. It may take up to eight years for a stone to form from the, we first see the sludge followed by a stone. Hydration and maintaining a healthy weight is helpful for prevention. Nine out of 10 patients with stones are dehydrated. Give them good, clean water. Keep them hydrated. - This is the treatment I use for someone that doesn't have gallbladder. I make sure that they're going to be taking it with every single meal that they eat. If they have a snack, they don't really need to take it. But if they're having a real meal, they want to take beta-zyme because it is a complete enzyme. It has the ox bile for the fat, the pets in for the protein, and then it has the betaine HCl. - And don't be afraid of that. I know a lot of patients say, well, first time I gave it to my patient, They said they had this real warmth. filling in their tummy. That means it's getting there and you might want to tell them that they might feel that initially. It's not going to burn. It's going to feel a little warm in your tummy because you're starting to reacidify and teach the pridal cells how to produce the correct amount of hydrochloric acid for digestion. pancreas digestive systems main enzyme producing organ 1.5 liters. I hate that word juice but that's what they produce. Highly alkaline. Insulin and glucagon also produced there in the pancreas. Again becoming more and more of an issue with this pancreatic cancer. I mean unfortunately it's usually asymptomatic. The most common risk factor has been smoking and again very resistant to therapy. You know it's been one of those very difficult ones. Now we've seen a lot more success in the last couple years with therapies for this but it's going to be a very difficult case. Again pay very close attention. Look at Tracy's lab work again dealing with blood sugar regulation and make sure that we understand those levels and we can find out whether or not we're even walking the course of exceeding what the pancreas can do. Colin also known as a large intestine that's where the absorption of fluid is going to happen. Lots of bacteria. It's also very sensitive, right? If we're on antibiotics for some sort of pain medication. Constipation is a huge issue with a lot of patients and most patients never eat enough fiber. We're going to go through some pictures. There's no normal cold and lining ice and smooth. I think that's what mine looked like but that's okay. This is actually a blow-up during a colonoscopy. I keep telling my patients that's a centrum. It wasn't digested but you see a pill that actually sitting on the lining of the colon. There is a polyp. That's what it looks like. There's coming up with a snare. That's when they're going up to remove. That's what the doctors actually looking at. Small acro just like a little blister. There's a large one. There's a problem. That's the one where we're going to have to be a little bit more intense and what the doctor's surgical procedure is going to be. This didn't show up well but if when you see it looking down and you see this area in the very front, how swollen it is, it's like puffy and all swollen up right there at the entrance to the colon. That's the starts of colon cancer. This is called black colon and again talking to your patients that say, "I need to take a laxative every day. I'm living on docalax." They're not doing anything else naturally. This is the effect of overuse of laxatives. It's called black colon and doctors will go up and if they see this, they're going to start asking questions like, "Why have you been using so much in the way of laxatives?" So Eard will bow. Our guts are angry, but we just don't listen to them. IBS can include constipation or diarrhea and we're going to give you some protocols on each one. First you want to get a good history. If someone has chronic diarrhea for a while, I'll do his test. I'll do a biomefx test on him or her. I really want to make sure they're having a bowel movement every day. Most patients that come into the office, they are every other day, typically and that is not normal. If you think of an animal, our little dog at home, I mean, she has a bowel movement at least three times a day. This is for IBSC with chronic constipation. We're using frontier fiber. One capsule three times a day. We can actually go higher with this if we need to. G.I. complete one scoop and water twice a day. Again, during chronic constipation, think outside the box. Take it up to twice a day. This is one of what you use the specific saccharomyces probiotic. The SPC one capsule twice a day. A very strong, resistant string of probiotics. Mag complete. Four to eight capsules at bedtime. Get your magnesium levels up to a high level. And after two weeks again, I always will lay out some protocol in a two week period of time. I add IGG twice a day for two weeks on an empty stomach. So again, go in and sue the colon lining so we can get the correct movement coming through the colon when there's been chronic constipation. So for IBSD, we're going to up the fiber content. We're going to continue. You know, we're going to do the G.I. complete. And again, you're going to want to test for this. I've had patients that had tests in the past. They weren't sensitive, sensitive enough. And they did end up having C.D. You notice we use frontier fiber for constipation? We use frontier fiber for diarrhea. I've had patients that have had diarrhea for up to six months. And I've gone to six capsules of frontier fiber five times a day till we got solidification of the stool. It helps to get the moisture content balanced within the colon. This is a critical one because we think is one of the closing comments for today. Create your own signature programs. And in our opinion, every single one of them should include the ultimate shake and proling greens, tailor it to your practice, detox, and heal the gut. We're just going to go over quickly some of our favorite products. Of course, G.I. complete. I use this anytime leaky gut. Someone comes out and or they just had surgery. I'm going to use this. The gastritis. Here's all your all you need as far as digestive enzymes go. Probsimes are chewable. Sibesym you're all around. And the betazyme which again is adding the baitane in there for specific use. Studying these. See where they apply because pick the one that you need and use it aggressively so that you can get the effects that you need. We're going to finish with this one because it's the last slide. The brain got linked. You know, if all else fails, I guess, or you may want to be like I do. I hate to make ever make assumptions, but there's a lot of psychological factors for all of what you saw. You know, when a person's just not feeling right, when I've got all kind of digestive problems, oftentimes using calm day three to four times a day can make a huge difference. I use control to boost up dopamine levels. That's the way I use it. So if you find somebody that's down in the dumps dramatically and you feel like their dopamine levels are in the tank, I can use control one or two a day to try to boost that up to get more of a feeling of well-being. With that, I think we have five minutes left. Any questions that you have? I can't wait. I'm coming baby. I can't really. Okay, I'm just going to make this real quick. Let's talk about parts and gas. I have a lot of clients that, you know, we clean up their diet. We do elimination protocols. We do the healing and all that and they still have gas. So, you know, what are some of the causes of that? And what do you recommend? Let me just. Are you wearing a lot of men? I'm just asking. No, women too. Women too. No, it's only men. It's only men. For one client in particular that I'm dealing with right now, she is significantly embarrassed and it impacts her life. You know, going to yoga, going to, you know, and exercising and things and she's, you know, just really struggling with it and it's impacting her daily life. I get it. I'm just teasing. Okay. I'm putting it into the cabinet. What you got? The typical factor is its IBSC. It's IBS with constipation. No matter what she says. Oftentimes, if you can go back and do a bowel evacuation, not as intense as getting ready for a colonoscopy, but clean house. I'll oftentimes use buffered C to bowel tolerance and you can get the similar kind of situation where you can actually cleansing of the colon because typically, the gas is going to arise by movement throughout the colon. And you'll see when I have somebody that has said, I've got chronic gas pressure in passing gas. If we do a complete ultrasound of their gut, we're going to see backup of stool up into the ascending colon. Oh, yeah, I'm going two times a day, but I probably have four more days inside of me. So oftentimes, if you clean that out, we don't have a problem. Secondly, if their gut is clean, gas will not have an odor. Okay. It doesn't necessarily have to. That's it. That's a particular client. She's like, you know, if I'm working with her, she's like, Oh, my God, I'm really sorry. I'm really sorry for what? Like I can't hear anything. Yeah. Typically, I would say unless you I think it's just there's a constipation issue going on there that they may not even realize. She's not acknowledging that, but that I see your point about, you know, they're being stool packed up into that. and testing that she's not aware of. Thank you for that. - Thanks. - All right, come on over here. Sorry, lady, what's going on? With the consultation that you were talking about and you had Meg complete as the protocol is Meg citrate just as good or there's a reason why you recommend one over the other. - You wanna come in on that? - Go ahead. - Personally, it's been the gold standard. It was the gold standard. And as far as, let's say acute versus chronic. If they have a chronic problem, going to Meg complete is gonna build up their magnesium stores in the body and keep it there. Meg citrate's gonna do this. It's gonna go up and come back down. It's gonna go up. So you're gonna be relying on Meg citrate over and over again. My goal is to try to use something aggressively for a period of time so that we teach the body to be able to maintain that. And if I can keep their mag levels up to a high level of normality, without having to use it at that high dose, their ball issues tend to go away. So again, is it gonna work? Meg citrate will work, but you're gonna end up having to use it over and over again. It's sometimes going to even higher doses. - All right, more. All right, I'm coming. I'll come to the back. I'll be back there in a second. - This is you. - I just wanted to say thank you first for the talk. It was amazing. I learned a lot, my name is Tanya. I wanted to ask about acid. You might have mentioned I was outside the room for a little bit, but with reflux, I've heard sometimes with reflux symptoms or heartburn even. Sometimes it can be related to low acid. And I didn't know if you covered that already, but if you can explain that to me, I didn't understand the mechanism when I was reading about that. - The issue there was called aclarhedria again. We mentioned that. That's actually in the medical textbooks right now that says if I'm on, and that's one of the reasons when the FDA allowed a mipresol to go over the counter. They said it's still in the box today, do not use for longer than three weeks. If you extend over three weeks, you'll start to cause the cells that are producing the hydrochloric acid and the stomach that become very lazy and lazy. And the longer you're on it, I have people been on it 30 years. If you stop that, they're gonna have a tremendous rebound reaction, but aclarhedria can present and look just like hyperchlorhydria. So when we have excessive alkalinity in the stomach pouch, and we're off-gassing CO2, CO2 can burn the esophagus just as much as the acid will. Aclarhedria can also call caused barits of soft agitist just as much as the acid wash can go. So doctors sometimes astounded when they put somebody on a PPI for barits and they go back in and scope them six months later and there's been no improvement. And that's typically what you see. The aclarhedria is still a problem. - All right, Dr. Len, we have a question back here, too. - That's typically what's going on. Just by adding it into an alkaline pouch in the stomach and the churning, you're gonna give off CO2, which is gonna weaken that sphincter and go up the esophagus. That's typically when you see the patient come in, always clearing their throat, they've got mucus built up all the time here, because that CO2 really dries the vocal cords and then the sinuses start to reduce mucus on top of that. - Hey, back here. - Thank you for the great talk. How would you treat post-COVID gastroparesis? - Hot potato, who wants it? - That's a good one. (laughing) Post-COVID gastroparesis. I haven't seen that, but I can understand how it could happen. - Oh, she's got the answer. Okay, okay. - Dr. Wengali has something to throw in. - I would use probably a combination of braids on the side zone. - Okay, thanks. - So use BPC157. That would be great. And a vagus nerve stimulator, like we use trubega, but there's another one called gamma core. I think it's the same thing, honestly. But that would help the gut brain situation from what the COVID's doing to the brain. - BPC, the peptide. (laughing) - All right. Okay, I know there are a lot of questions.