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    #213 Supplements for oral health, flossing and slowing gum recession with Dr Victoria Sampson

    enSeptember 13, 2023

    Podcast Summary

    • The Importance of Oral Health for Overall WellbeingFloss twice a day for optimal oral health, gum recession can be slowed with gentle brushing and supplements, and informed choices in mouthwash and testing can enhance overall health

      Oral health plays a crucial role in overall health. Everything we consume or breathe in passes through our mouth, making it essential to maintain a healthy mouth to prevent viruses and bacteria from traveling further into the body. In today's Doctor's Kitchen podcast, Dr. Rupi and expert guest, Dr. Victoria Sampson, discuss various aspects of oral health and its connection to general health. They touch upon topics like flossing, Alzheimer's, the oral microbiome, and supplements for teeth. Dr. Victoria emphasizes the importance of flossing, as 30% of the bacteria in our mouth resides between our teeth. Flossing twice a day, along with brushing, ensures we're effectively tackling 100% of the oral bacteria. Other key points include the reasons for gum recession, such as brushing too hard or using abrasive toothpastes, and how to slow down the process using better toothbrushes and supplements like CoQ10 and Vitamin C. The conversation also covers the importance of mouthwash choice, salivary tests, and microbiome testing. Dr. Rupi even shares her own test results, revealing some surprising truths about her diet. By understanding the connection between oral health and overall health, we can make informed decisions about our daily habits to improve our wellbeing.

    • Effective oral hygiene includes flossing dailyMake flossing a daily habit using tape-type floss, correct technique, or alternatives like floss picks or interdental brushes. Seek professional help if needed.

      Effective oral hygiene goes beyond just brushing your teeth. Flossing is an essential part of maintaining good oral health, but it can be challenging to make it a consistent habit. To ensure maximum efficacy, the speaker recommends flossing every time you brush, using a tape-type floss instead of string for a smoother experience, and learning the correct technique to properly clean around the teeth and gums. For those who struggle with reaching the back of their teeth with floss, alternatives like floss picks or interdental brushes can be helpful. However, it's important to use these tools correctly and with the right size and shape for your mouth to avoid damaging your gums. Overall, the key is to make flossing a daily habit and to seek guidance from a dental professional if you have any concerns or difficulties.

    • Maintaining oral health through flossingFlossing daily reduces tooth decay, gum disease risk, and potentially Alzheimer's disease by eliminating bacteria and reducing inflammation in the mouth

      Flossing is an essential part of oral hygiene that goes beyond just brushing your teeth. It helps remove bacteria and food particles from between your teeth, where your toothbrush can't reach. Regular flossing not only reduces the risk of tooth decay and gum disease but also has a positive impact on overall health by reducing inflammation in the mouth. Studies suggest that inflammation in the mouth caused by bacteria can travel to the brain and increase the risk of Alzheimer's disease. Therefore, flossing daily is a simple yet effective way to maintain oral health and potentially reduce the risk of Alzheimer's and other health issues. If you experience excessive bleeding while flossing, it's important to seek professional help as it could be a sign of gum disease.

    • Gum disease and Alzheimer's: A potential linkGum disease may contribute to Alzheimer's through the bacterium porphyromonas gingivalis, which releases toxic enzymes that can damage brain tissue. Maintaining good oral hygiene is important for overall health, but more research is needed to determine if managing oral health can slow or stop Alzheimer's progression.

      There is a potential causative link between gum disease and Alzheimer's dementia, with the bacteria porphyromonas gingivalis being a key player. This bacterium, which is elevated in patients with gum disease, releases toxic enzymes called gingipains that can travel to the brain and break down brain tissue. Patients with Alzheimer's have significantly higher levels of these enzymes. While more research is needed to determine if managing oral health can slow or stop Alzheimer's progression, it's clear that maintaining good oral hygiene is important for overall health. It's also important to remember that Alzheimer's is multifactorial, and there are many contributing factors beyond oral health. As for the claim that not flossing can lower life expectancy, this is still a topic of debate and more research is needed to confirm this.

    • Maintaining good oral hygiene impacts overall health and well-beingGood oral hygiene prevents various diseases, including heart disease, high blood pressure, infertility, chronic kidney disease, and Alzheimer's disease, while poor oral health can lead to antibiotic resistance and the spread of viruses and bacteria throughout the body.

      Oral health plays a significant role in overall health and well-being, contributing to quality of life, life expectancy, and the risk of various diseases. While brushing may not directly increase life expectancy by several years, it's still crucial for maintaining good oral hygiene. Furthermore, research suggests that gum disease and oral bacteria can impact conditions like heart disease, high blood pressure, infertility, chronic kidney disease, and even Alzheimer's disease. Oral bacteria can also travel from the mouth to other parts of the body, causing issues such as infective endocarditis. Antibiotic use can disrupt the oral microbiome, leading to oral health problems and potentially increasing the risk of other conditions. The mouth acts as a gateway to the rest of the body, making it essential to maintain a healthy oral environment to prevent the spread of viruses and bacteria.

    • Maintaining Microbiome Balance with Antibiotics and Preventing Gum RecessionAntibiotics can harm good bacteria in the microbiome, so take pre and probiotics. Overuse and misuse of antibiotics is a concern. Prevent gum recession with a pressure-sensing toothbrush, non-abrasive toothpaste, and avoiding harsh toothpaste ingredients.

      Antibiotics can be effective in eliminating bacteria, but they can also disrupt the balance of the microbiome, allowing harmful bacteria to grow. To mitigate this, it's important to take pre and probiotics while on antibiotics to help recolonize the microbiome with good bacteria. Overuse and misuse of antibiotics, particularly broad-spectrum ones, is a significant problem in society. In other news, receding gums, where the gum line recedes and more tooth is exposed, are a common issue. Causes include overzealous brushing and using abrasive toothpaste. To prevent gum recession, use a pressure-sensing electric toothbrush and a non-abrasive toothpaste. Additionally, avoid toothpaste with essential oils or sodium lauryl sulfate, which can be aggressive to the gums.

    • Reasons for gum recession: brushing too hard, past infections, genetics, and orthodontic treatmentBrushing too hard, past infections, genetics, and orthodontic treatment can lead to gum recession. Proper oral care and awareness can help prevent or minimize it.

      There are several reasons why some people may experience gum recession. Brushing too hard or using abrasive materials like SLS or essential oils can contribute to this issue. Previous infections, such as gum disease, can leave remaining gums more vulnerable. Genetics also play a role, as some people naturally have weaker gums or teeth that lie outside the bony envelope, leaving them with less support and increasing the risk of recession. Additionally, orthodontic treatment that expands teeth can sometimes lead to this issue. It's important to be aware of these causes and take proper care of your teeth and gums to prevent or minimize gum recession.

    • Orthodontic treatments and genetics could contribute to gum recessionOrthodontic treatments that expand arches and testing for collagen breakdown through saliva tests can provide insight into potential gum recession risks. Coenzyme Q10 supplementation and proper brushing can help prevent or slow down the process.

      Genetics and orthodontic work could potentially contribute to gum recession. Orthodontic treatments that expand the arches and keep all the teeth can sometimes put extra strain on the jaw and gums, potentially increasing the risk of recession. Additionally, individuals with high levels of collagen breakdown, which can be indicative of gum disease, may be more prone to gum recession. While there is currently no consumer genetic test to identify an increased risk of recession, testing for collagen breakdown through a saliva test can provide insight into oral health and potential vulnerabilities. Coenzyme Q10 supplementation, both orally and topically, can help reduce gum inflammation and improve collagen production, potentially slowing down the process of gum recession. Using a soft toothbrush and ensuring thorough brushing in areas of severe recession can also help maintain oral health and prevent the self-perpetuating cycle of gum recession and neglect.

    • Maintaining good oral health requires proper brushing, protein adequacy, collagen supplements, and essential vitamins and minerals.Proper brushing, protein intake, collagen supplements, and vitamins C, D, K2, and calcium support oral health. Address deficiencies through supplements or diet.

      Maintaining good oral health involves proper brushing with a soft toothbrush and non-abrasive products, ensuring protein adequacy through diet or supplementation, and the use of collagen supplements to support gum health. Additionally, vitamins C, D, K2, and calcium are essential for overall oral health and can be taken as supplements if dietary intake is insufficient. Vitamin C, in particular, plays a crucial role in collagen production. Low levels of vitamin D, which is common in many populations, can also negatively impact oral health. Antioxidants like liposomal glutathione can also be beneficial for reducing oxidative stress in the mouth. Regular testing for vitamin deficiencies and addressing any identified deficiencies through supplementation or dietary changes can help improve oral health and prevent gum recession.

    • Benefits of Vitamin C, K2, and D3 for HealingConsider supplementing with Vitamin C, K2 (MK7), and D3 for optimal calcium recycling and healing effects. Minimum dosage for Vitamin D3 is 1,000 IU, but individual needs may vary. Consult a healthcare professional before starting any new supplement regimen or using natural remedies.

      While maintaining a green diet may provide adequate amounts of Vitamin C, individuals may benefit from supplementing with Vitamin C, K2 (specifically MK7), and D3. These vitamins work together to support calcium recycling and have healing effects. A minimum dosage for Vitamin D3 is 1,000 IU, but individual needs may vary. Natural remedies for recessions, such as Manuka honey and propolis, have been suggested but lack substantial scientific evidence. Always consult a healthcare professional before starting any new supplement regimen or using natural remedies. The German Nutrition Society recommends a daily intake of up to 4000 IU for Vitamin D3, but more research is needed to confirm this safe upper limit.

    • Identifying gum disease risk with a saliva testA point-of-care test for AMMP 8 in saliva can help identify gum disease risk before symptoms appear, enabling early intervention and preventing progression and potential health issues.

      A point-of-care test for activated matrix metalloproteinase 8 (AMMP 8) in saliva can help identify patients at risk of gum disease before symptoms appear. This test measures collagen breakdown caused by the enzyme AMMP 8, which is particularly relevant to gum health. Elevated levels of AMMP 8 indicate increased risk, and regular testing can allow for early intervention, such as more frequent hygiene appointments or switching toothpastes. For those at high risk of recession, additional treatments like guided biopharm therapy may be recommended. This test is particularly useful because gum disease can be invisible until damage has occurred, and early intervention can prevent progression and potential systemic health issues.

    • Gentle dental treatment for gum recession areasGuided Biofilm Therapy effectively removes plaque and bacteria around gum recession areas using a special machine and antimicrobial solution, providing comfort for those with dental anxiety.

      A gentle dental treatment called Guided Biofilm Therapy, which involves using a special machine and antimicrobial solution, can effectively remove plaque and bacteria around gum recession areas without causing damage or discomfort. This therapy is particularly beneficial for individuals who have a fear or dislike of traditional dental hygiene appointments. The antimicrobial solution used is a fine version of erythritol, which is a sugar alcohol that has been studied for potential health risks but is safe when used in this context as it doesn't get ingested. The therapy also involves using a warm water jet spray to remove plaque, making the experience more comfortable for patients. This therapy can help prevent plaque buildup and gum disease, making regular visits every 2-3 months recommended. Additionally, an oral microbiome test was conducted, which identified specific microbes present in the mouth, but further clarification and interpretation of the results are needed.

    • Understanding Oral Health Through Mouth Bacteria TestingMouth bacteria testing reveals potential health issues through analysis of specific bacterial presence and levels in saliva, including indicators of high sugar diet, chronic inflammation, and gum disease.

      The results of a mouth bacteria microbiome test can provide valuable insights into potential oral and systemic health issues. The test, which involves spitting into a cup after a 30-minute fast, analyzes the presence and levels of various bacteria and fungi in the saliva. High levels of specific bacteria, such as strep mutans and lactobacillus, can indicate a high sugar diet and potential decay. Other bacteria, like Pravetella intermedia, can signal chronic inflammation, while red complex pathogens, such as Tanorella forsythia and Acetaminomycetal, are associated with gum disease. The presence and levels of these bacteria can provide important information for preventing and treating oral and systemic health issues.

    • Microbiome tests provide valuable information but should not be used as sole diagnostic tool for oral health issuesWhile microbiome tests can reveal the presence of certain bacteria, they don't indicate active infections or diseases. Consult a healthcare professional for proper diagnosis and treatment recommendations, and consider lifestyle factors to maintain a healthy oral microbiome.

      While microbiome tests can provide valuable information about the bacteria in your body, they should not be used as a sole diagnostic tool for oral health issues. A clinical examination by a healthcare professional is necessary to accurately assess the presence of diseases or problems. The presence of certain bacteria in your microbiome does not always indicate an active infection or disease. For instance, some strains of P. gingivalis may not cause active gum disease. Additionally, the severity of an infection may not be reflected in the test results alone. For example, a person with slightly elevated levels of Candida may not show any symptoms or signs of infection in their mouth. Therefore, it's essential to consult a healthcare professional for proper diagnosis and treatment recommendations. Furthermore, lifestyle factors, such as diet, can significantly impact the growth of certain bacteria in your mouth. Reducing sugar intake and avoiding refined carbohydrates can help prevent the overgrowth of Candida and other harmful bacteria. In summary, microbiome tests can be a useful tool for understanding the bacteria in your body, but they should be used in conjunction with clinical examinations and professional recommendations for accurate diagnosis and treatment of oral health issues.

    • Frequent sugar intake affects oral health more than large quantities at onceRegularly consuming small amounts of sugar can negatively impact oral health more than having larger amounts less frequently. Maintaining a diverse microbiome and getting regular tests are important for overall oral health.

      The frequency of sugar intake may have a greater impact on oral health than the quantity consumed at once. Consuming sugar in small amounts frequently throughout the day can negatively affect oral health more than having a larger amount all at once. Additionally, maintaining a diverse and balanced microbiome is important for overall oral health, and regular microbiome tests can help identify potential issues. Regarding specific bacteria, porphyrymonas gingivalis is a common association with gum disease. Campylobacter rectus, on the other hand, is not typically found in the mouth and may indicate gut problems. Mouthwash, while it can kill bacteria, can also damage the mucosa in the mouth and should be avoided, especially alcohol-based mouthwashes. Instead, personalized and specific mouthwashes can be beneficial. In terms of testing, microbiome tests should be done every six months after two guided biopharm therapy treatments. A new test that focuses on indicators of a healthy microbiome is in development. It's important to remember that oral health is complex and multifaceted, and addressing potential issues requires a holistic approach.

    • Consider the impact of mouthwash on your unique microbiomeMouthwash isn't for everyone, alcohol-based types should be avoided, consult a dental professional for advice, probiotic mouthwashes are safer alternatives, and use it separately from brushing for best results.

      Mouthwash is not a one-size-fits-all solution for oral health. While it may be necessary for some individuals, it's essential to consider the potential impact on your unique microbiome before using it regularly. Alcohol-based mouthwashes should be avoided, and even if you opt for a prescription mouthwash, it's crucial to use it at a separate time from brushing to maximize its effectiveness. Probiotic mouthwashes are a safer alternative for those who want to use mouthwash without causing harm to their microbiome. These products contain beneficial bacteria that can help crowd out harmful microbes. When considering mouthwash, it's best to consult with a dental professional to determine if it's necessary and which type is right for you. Mouthwash is an additional tool in maintaining good oral hygiene, but it's not a replacement for brushing, flossing, and using appropriate toothpaste.

    • Essentials for Optimal Oral HealthBrush well, floss regularly, have a balanced diet, and book regular dental appointments for optimal oral health.

      Maintaining good oral health doesn't have to be complicated. Brushing well with a good toothpaste and toothbrush, flossing regularly, and having a balanced diet are the essentials for optimal oral health. Victoria, a dental professional, emphasized keeping it simple and focusing on doing these basics consistently. Additionally, she encouraged listeners to book regular dental appointments for professional cleanings and check-ups. It's important to remember that taking care of our teeth and gums is a crucial aspect of overall health and well-being. While there are various products and techniques available, sticking to the basics and doing them well is the most effective approach. As always, if you have any questions or would like to discuss further, feel free to reach out. Stay tuned for more episodes of the Doctor's Kitchen podcast, where we delve deeper into various health and nutrition topics. And don't forget to sign up for our free weekly newsletters for the latest ingredient insights, nutrition news, and delicious recipes. Until next time!

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    Microbe of the episode: Streptoverticillium mobaraense

    News item

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    The central nervous system, including the brain, is a protected area of the body. Pathogens that get in can do a lot of damage, including memory loss, paralysis, and death, so there's a strict barrier in healthy people that keeps most things out of this area: the blood-brain barrier. The immune system is also kept separate, so special cells called microglia do the patrolling and protection of the brain.

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    Other interesting stories:

     

    Email questions or comments to bacteriofiles at gmail dot com. Thanks for listening!

    Subscribe: Apple Podcasts, Google Podcasts, Android, or RSS. Support the show at Patreon, or check out the show at Twitter or Facebook.

    #054: Medicinal Mushrooms w/ Jeff Chilton

    #054: Medicinal Mushrooms w/ Jeff Chilton

    Jeff Chilton studied Ethno-mycology at the University of Washington in the late sixties and in 1973 began a 10-year career as a large scale commercial mushroom grower. A founder of MycoMedia, which sponsored 4 mushroom conferences from 1979-1985, Jeff is the co-author of The Mushroom Cultivator, published in 1983. In 1989, Jeff established Nammex, the first company to supply medicinal mushroom extracts to the Nutritional Supplement industry. In 1997, he organized the first organic certification workshop for mushroom production in China. 

    Intro

    [02:00]     Jeff Chilton bio and background

    [06:25]     Nutritional benefits of mushrooms. Protein, good carbs (not starch), beta glucan (the compound that makes them medicinal), fiber prebiotic that feeds the microbiome, B vitamins. Try shiitake mushrooms!

    [13:50]     The best way to cook mushrooms.

    [16:50]     Mushrooms are an adaptogen which creates balance in the body.

    [18:00]     What is a mushroom?  Grow from spores. 

    [25:25]     Information on our show partners Perfect Supplements and Amazon.

    [28:00]     Best time to go mushroom hunting – Fall. Be sure you are with a professional that can identify them and ensure they are safe.

    [29:00]     Medicinal properties:  Stimulate immune response. Function as preventive medicines.   

    [30:00]     Lions mane,  cordyceps, and reishi mushrooms.  Food is medicine.

    [39:00]     Mushroom supplements. Quality is key!! What to look for…do not want made in the USA.

     www.realmushrooms.com

    www.nammex.com

      

    Amazon Link:  Click HERE to use our affiliate link to make purchases

    Perfect Supplements: www.perfectsupplements.com/kim  (Enter coupon code KIM10 at checkout for 10% off all products.)

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    Join our Facebook group: A Whole New You Podcast Community

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    EP 17 | The Great SIBO Breath Test Debate: How to Prep, Interpret Your Results, and Look at the Bigger Picture with Dr. Patrick Fratellone

    EP 17 | The Great SIBO Breath Test Debate: How to Prep, Interpret Your Results, and Look at the Bigger Picture with Dr. Patrick Fratellone

    SIBO breath testing has been the subject of some pushback in the wider medical community. Today’s episode discusses some of the controversy around the effectiveness of breath testing, when it’s worth doing, how to make sure your results are accurate, and what other tests might be better at getting to the bottom of your gut issues.

    Joining me is Dr. Patrick Fratellone, a functional cardiologist and herbalist who used to practice with the late Dr. Robert C. Atkins. He takes us through how he does his gut detective work as a functional medicine doctor, including what comprehensive tests on genetics, vitamin levels and intestinal permeability can tell you about your bigger gut picture.

    If you’re someone who’s been debating whether or not to get a breath test for SIBO, this episode might help you weigh that decision.

    A quick taste of what we’ll cover:

    • Whether doing a SIBO breath test is worth your time, money and energy
    • What other tests are necessary to determine how your small intestine is functioning
    • Why vitamin D levels are great indicators of your gut health
    • How Dr. Fratellone goes through his process of elimination (hint: SIBO is not the first condition to rule out)
    • MTHFR genes and what they tell you about your health picture, including SIBO
    • Genetic origins of IBS and how to test for them
    • Candida versus SIBO: how to tell the difference
    • Testing for leaky gut / intestinal permeability and why it’s important
    • How to prepare properly for a SIBO breath test so your results are accurate
    • IGG reactivity testing and what it actually tells you

    Resources, mentions and notes:

    This episode is brought to you by Epicured, a low FODMAP meal delivery service that understands that food is medicine. Each menu is created by Michelin star chefs and honed by doctors and dieticians at mount sinaii to restore digestive health for those with IBS, SIBO, Celiac and IBD. Everything they serve is 100 percent low FODMAP and gluten-free, with no cooking required! My favorite part about their dishes is the healthy spin on takeout gems like shrimp laksa and PAD THAI! Their version had a great balance of fresh veggies mixed in with the noodles that left me feeling both satisfied and completely free of my usual carb coma. Listeners to this podcast can get 20% off their order by using code SIBOMADESIMPLE. Just click here to learn more. 

    If You Don't Feed It, It Will Eat You. If You Kill It, You Will Die - Microbiome

    If You Don't Feed It, It Will Eat You. If You Kill It, You Will Die - Microbiome

    Welcome to Episode 3 of The Visser Podcast

    Below are a few key research links to further dive into the world of Microbiome and your overall health. I have also included an audio transcript to follow along in English, Spanish, and Turkish.

    Enjoy

    https://www.theinvisibleextinction.com/

    https://www.stylist.co.uk/fitness-health/wellbeing/monks-meditation-better-gut-health-microbiome-balance/754518

    https://metro.co.uk/2022/02/18/how-eating-fermented-food-like-sauerkraut-could-improve-your-sleep-16129653/

    Episode 03: English (US)

    Hi, I'm Dr. Richard Visser. I spent my whole life in the pursuit of health, wellbeing, and longevity. In this podcast, I will take you on a journey through the wilderness of scientific research and experiential knowledge. Together, we will clear a path towards optimal health, wellbeing, and longevity. I'm excited to share my methods, knowhow, and experience with you. So please join me on the Visser podcast. In today's podcast, which is our third, will be continuing our talks about the microbiome. And this is kind of post introduction, post the first encounter. And the first encounter is at birth through the vaginal canal, our birthing process. That's where we get bathed with our first set of microbiome. Super important. If you do a cesarean section or there isn't another way, then talk to your physician about fecal matter transplant or vaginal fluid transplant to the baby so that the baby does get that first inoculation that is so needed further. And we've discussed this in the last episode. You can review that if you need to. We've discussed a lot of things there that are important. But moving on, we're really looking at, okay, so what's next for the child, the baby until before they reach puberty. And it's key that they get exposed. They need environmental antigens, playing in the dirt, getting dirty, eating some dirt, you name it. We cannot be hyper cleanly with the kids. This is key. And I know we're in an age of post COVID or post heavy COVID continues in this age. We're used to just cleaning our hands, sanitizing over sanitizing over and over again, and this is killing the microbiome. So let's not have this happen to our kids. Let's not do this to our kids. Our kids need to be exposed at the earliest age to as much as possible so they can create their diverse microbiome, which will protect them, protect them against food allergies, protect them against changes in chemicals in their brain that basically signal, hey, I need to eat more. I need to eat more. Obesity, changes in the mood through the serotonin that's produced with the microbiome. We're looking at changes in the immune diseases, autoimmune diseases, protection against Lupus, Hashimoto, et cetera. Really, this is key. The research is just starting here, but the indicators show us that these are real things that we're dealing with. So it's important to really step up as parents at a younger age and really expose our children to the environment, have these environmental antigens be their lessons, their teachers, they're boosting their immune system. So we really need to do this. When we look at food and gut diversity and why it matters, well, it matters because when we look at the connection of a diverse gut and not a diverse gut, we see stuff like in a gut that's not diverse, we see obesity, diabetes, cardiovascular disease, arterial stiffness, irritable bowel syndrome, allergies, colitis, rheumatoid arthritis, Parkinson's, depression, autism. All these things can come from a non functioning or bad functioning microbiome. So we really, really have to tend to our garden, to our microbiome. And we're going to talk a little bit about how we do this. But first there are other chemicals that influence our microbiome, heavily influence our microbiome. One of them is antibiotics. The intake, especially the early age. I'm a prime example. I was a premie and in the incubator, started with antibiotics, had allergies, had respiratory problems, had asthma, had allergies against dust, animals, dander, you name it. I ended up rotting out my baby teeth because of the antibiotics. And this just went on and on and on to where I was a mess, I was a mess. At an early age, I really had to build myself up from scratch and I still have the remnants of that. So good start is key, the opposite of what I did. That's why this is so important. And obesity is one of these things. So when we look at emulsifiers preservatives in our food, artificial sweeteners and other additives no good for a microbiome. Not only that, but with artificial sweeteners we're seeing an example of sucralose, we're seeing a spike in our glycemic index. So yes, our body it's touted as. Yeah, it's not real sugar, but our body sees it as sugar triggers it and we got the same problems. So when I look at studies, one of the studies I love to look at is the Twin UK study, fiber microbiome study, that is the largest in twins. And the reason is because then you kind of, you know, you, you pull out the, the gene card because you're dealing with identical twins. So with 300 twins aged 30 to 80 followed for ten years. So ten years they've been, they're being studied. As they could see, most of them gained weight. The ones with high fiber intake had significantly less weight gain and visceral fat. So that's key. Each extra gram of fiber reduced the weight by 2 kg. So each extra gram of fiber in your diet consistently reduces your weight gain by 2 kg. That's significant weight changes and fiber correlated to microbial world diversity. So really the diversity was key with these twins. When we look at the twins, we also realize that the difference genetically so genetic differences with people accounts for 10% of the obese and lean. So it's not that huge. It is there, but it's not that huge. The microbiome is a much bigger identifier of the problem and kind of lets us know that we're in trouble when the diversity is low. So really this is where we have to look. When we look at these twins, we notice one other thing and that is we're always looking at glycemic index of foods and we need to, because it does have an effect, have a huge effect on our insulin, on our hormonal management and the hormonal management of what we eat and how we eat. Has a huge impact on how we gain weight, how we lose weight, how we're able to maintain weight. So the GI index is a great way to look at it. And the problem with the GI index is that it's been generalized. So it's been like, okay, all your starches soap, potato, rice, pasta wine, beer, et cetera, it's all going to give you a high spike, give you an insulin spike. But what we've seen is that we looked at a study with the twins again, and both of them had Prosecco to drink and they had a monitor, blood sugar monitor on. And it's funny, the more obese of the twins was the one that spiked really high. Like we're going pre-diabetic with the Prosecco and the leaner twin, no spike, didn't even do anything with their glycemic index. So indicating that the leaner twin had enough microbiome or a more diverse microbiome and could handle Prosecco in their bodies. And it didn't have the effect it had on the obese person. And we see this, we see people that can eat everything or almost everything, drink almost everything, and I'm not gain weight. And then some of us just look at bread and we're bloating. So this is another key that we've been missing in diet, where the simplest thoughts we had was energy and energy out. No, that's not just scratching the surface. It is a fact, but it's scratching the surface. There's so much more to play, and especially with the hormones. And now we're looking specifically at the GI interaction, the gut microbiome interaction, and it's huge. So what's the recommendation here? The recommendation here is that we all should be checked individually. And that means have your microbiome sequenced if you have that opportunity. If you don't have that opportunity, do a check, do a glycemic check, put a glucose monitor on and look at the foods that you like and the drinks that you like and see what it does, see which ones spike, see which ones don't. So you can really manage better what and how you eat. I might not spike with red wine. I like red wine, so that's perfect for me. I might spike with bread, probably spike with bread. And so I need to avoid bread. So this gives us a much better picture. We have to go at this individually, and the microbiome is super individualized. It's not only specific to geography that we come from, specific to how we ate when we were young and how we eat now, but also just individually complete different microbiome. So we have to look at this if we're going to solve any of these issues, whether it's obesity, whether it's chronic disease, whether it's autoimmune disease, whether it's mood, depression, anxiety, any of this stuff, we have to look at it individually. So that's the key. Looking at it individually, one of the other things, and talking about obesity, which is my specialty, one of the things that they looked at was getting two mice, and these mice were sterile. So no bacteria, no gut bacteria, nothing. So they could really see the effects. That's good and bad one, we can see the effects, but it doesn't mean it goes over to humans because we have so much more at play in a living human. But okay, it gives us a start. So what we're seeing here is that Crystala is an antifat bacteria which reduces weight gain after transplantation into the mice. Ackermancia does the same. So we saw these two mice. One is on the same diet, one got huge obese, the other one stayed nice and lean. So this gives us a clue where we need to be looking at these typical specific bacteria. Now, another thing that came up and another thing we spoke about in our last episode was fecal transplant. So they're also seeing that in mice with the fecal transplant, that the donor, the mice that actually the recipient mice starts being like the donor. So you get a lean mice that gives their stool to you, transplant the stool to the obese mice. The obese mice starts losing weight. So we're seeing that this is a trigger. So there's been for specific diseases, there's been pills developed, poop pills, stool from healthy individuals that people take in, and then it reduces recurrent bacterial infections. It's very effective of that we're looking at, does it affect the weight? The studies up to now has shown inconclusive, but there's potential there. So they keep looking, but we found that different diseases can be helped by this and it can be held better than the regulatory medical treatments or antibiotics. When we look at, I want to kind of have you see a picture of the large intestines. So just kind of a side view of the wall, of the large intestines. On the left side, up top, you're going to see the microbiome. Huge, colorful, full. I mean, we're talking trillions of these bacteria, virus, fungi, cells that are there that are helping us, that are creating the essentials that we need to survive the energy. And when they do create that, then it can pass the wall. And if we look at the wall, the green that's the thick, nice mucus wall that we have there to the internal cells of the large intestines to be absorbed. So when we look at this, we can see that this wall is key. We look at our next picture and we look at starving microbes. And this is the point I want to get to guess what starving microbes mean. They're not getting their fiber that they live off. They're not getting their fermented foods that they live off, et cetera. We're just doing a bad diet. It's a McDonald's diet or a fast food diet or just a bad diet. What we're seeing is that the microbiome needs to survive and start eating the wall. This is not good. When they start eating the wall, you know, it's not good. It's not good for our health. And it's because it's fiber deficient. So fiber deficiency only comes when we're consuming a lot of sugars, when we're consuming processed foods, and we get ourselves in trouble. So that's kind of where I want to go. The microbiome relies on complex carbohydrates to really feed itself and feed us. So it feeds itself, it stays healthy, which is beneficial to us because in return, it gives us what we need to survive and to thrive. So how does it do this? If we look at the complex carbohydrates, which are the fiber based foods, the fruits, vegetables, and I'll have some examples seeds, nuts, et cetera, they go to a microbial metabolite. They become microbial metabolites. They get processed by the microbe, and that eventually goes in our bloodstream, improves metabolism and our immune system. It has blood glucose control and satiety. So we really see that the functions of this are immense. And when we look at us eating simple sugars like cake and junk food and stuff, we see that the uptake is in the small intestines. It goes sucrose, starch, goes right into a circulation, spikes our glycemic index and causes havoc. So really, we need to watch this process. Really, we need to look at the importance of fiber. If we look at and we touched upon it, the geographical differences. I have a chart here that I got from this study that was done, and we're going to see that in the west, you'll see that, man, our diversity is small and poor. If we look at the other countries that aren't in the west, we see huge diversity. We see much healthier populations and a much healthier gut biome. And it's because they're eating from the land, they're eating non processed foods. And if you look at the industrial populations, you'll see that just degradation in the gut biome. And this is what we need to work on to stay healthy. Not to stay healthy. To stay healthy. It helps us in well being and longevity. So all three. It hits all three. So what do we what do we look at in time? In time, when we look 10,000 years ago? Huntergatherers our microbiome, huge, diverse, exactly how we want it. The agricultural era, which was 600 years ago, you see it already compacting, getting smaller industrial era, even smaller, processed, sanitized food. Oh, my God, it's tiny, causing more and more diseases, allergies, et cetera. You know it, you see it. So how do we optimize? How do we get this most important thing that we're dealing with? Is the gut microbiome up to par? Well, let's start with high fiber foods. We need to consume more high fiber foods, 40 grams plus a day. And we're looking here at seeds, beans, nuts. We're looking at fruits and vegetables raw. Look at it. We need to look at high fiber foods, and we need to be eating high fiber foods every single day. This feeds the microbiome. This keeps our microbiome healthy and keeps our bodies healthy. It is absolutely needed. Now, if we want to go to the next level, which is basically getting really pushing this diversity in our microbiome, we have to go to fermented foods. So again, the next level is fermented foods. We're talking keffer, we're talking yogurt. Yes, kefir is much better. Sauerkraut, kimchi Kombucha these are the things that we have to incorporate in our diet and find ways to incorporate it, because it's the only thing that really moves us forward in diversifying our microbiome. And a diversifying microbiome is where we get really healthy. This is what is really needed. So when we look at the fermented foods kefir, sauerkraut, cottage cheese, kimchi Kombucha gut shots, look at these. These are things we need. Fermented foods lead to decrease in inflammatory cytokines, really, the inflammation. Once these inflammatory cytokines go down, our state of health goes up. Less chances of chronic disease, less chances of issues with heart disease, et cetera. This is key for our health. So when we look at fermented foods and how they do different things to the colon, the large intestines, we look at the difference. When we see the fiber foods come in, we look at more microbes, better functioning, lower inflammation. If diversity is high, if diversity is high, it doesn't change diversity. When we look at the fermented food coming in, we're seeing actual higher diversity. And when I talk higher diversity, I mean, if 10% of fermented food brings in 10% more diversity, we actually see 90% more diversity come in. So it causes us to retain new microbiomes that weren't even introduced with the fermented foods. So the fermented foods basically helps us hold on, take care of a more diverse microbiome. So it increases it Ninefolds, and we're looking at a much lower inflammatory response, which is key. We've also seen a lot of advertisements on probiotics and prebiotics, probiotics and postbiotics. Well, just to really go quickly over what this means, prebiotic is basically fiber. And like, has it shown to work yet? Shown to work if you already have a good diverse microbiome. So if you're already eating healthy, it helps. If you're not eating healthy, it doesn't help. So the research up to now shows this. If we're looking at probiotics, probiotics is actual introduction of the bacteria back into the gut. We're seeing that if you already have the bacteria, it doesn't do anything, it doesn't add to it. So it depends what bacteria you have. And so this is where a lot of people now are saying, okay, I need to sequence my microbiome so I know what I have and what I don't have, and I can add what I don't have in the specific probiotic. So that is a route we could take. The probiotic is good, and you should talk to your physician about this after coming off an antibiotic cure. So you need the probiotic to kind of reseed the microbiome population. And the postbiotic really is the metabolites and that of what the micro herbs are using. So it's bringing in the metabolites, which is okay. But I think with the key here being we need to go to fiber foods and we need to go to fermented foods. That's the key in a small recap birthing process. Super important. Make sure we do it good, do it right. Exposure to environmental antigens at an early age, meaning playing in the dirt, getting exposed to all the bacteria that are very important to create diversity. We know that to optimize our gut biome, we need to incorporate a lot of fiber and we need to incorporate fermented foods. When we're looking at our glycemic index, which is important for our diet, for maintaining our health and maintaining our weight, we really need to individualize this. We need to measure it, and we need to look at what triggers us. Can we drink wine? Can we eat cheese and not have to trigger a rice? So really individualize that to see what triggers you and what you can eat so that you can personalize your diet. And trust me, there's so many diets out there, most of them work well. Make sure you get your macros in, make sure you got your proteins in. As you age, you need to really be looking at holding muscle mass. That's the key to longevity and strength. So those are future topics, but that's on the horizon. And so in doing all this work, we have to really kind of redefine how we live, how we eat, and how we exercise. And so we're going to continue mixing it up a bit. And I'm going to start going more into exercise and continue into nutrition. And we're going to also go into mental health. So stay tuned. It's going to become more exciting and more exciting and it's all stuff we can use today. This is the idea to take the science, to look at what works in real life, to look at what's being done, what's being said, and how we can optimize our own health wellbeing and longevity. Thank you. Please subscribe, ring the bell for notification. See you next time.

    How To Address Gut Issues And Get Back To Optimal Health

    How To Address Gut Issues And Get Back To Optimal Health

    This episode is brought to you by AG1, AirDoctor, HigherDOSE, and Super Simple Protein


    So many people are plagued every day with uncomfortable symptoms like bloating, cramps, diarrhea, constipation, and pain that often reduce quality of life or derail daily activities. Thankfully, emerging research has helped identify the real underlying issues of digestive conditions, which means we are developing an understanding of how to actually treat—and fix—gut dysfunction.


    In today’s episode, I talk with Dhru Purohit and Dr. Elizabeth Boham about the importance of a healthy gut and how to treat common symptoms like bloating, malnutrition, dysbiosis, and more.


    Dhru Purohit is a podcast host, serial entrepreneur, and investor in the health and wellness industry. His podcast, The Dhru Purohit Podcast, is a top 50 global health podcast with over 30 million unique downloads. His interviews focus on the inner workings of the brain and the body and feature the brightest minds in wellness, medicine, and mindset.


    Dr. Elizabeth Boham is a physician and nutritionist who practices Functional Medicine at The UltraWellness Center in Lenox, MA. Through her practice and lecturing she has helped thousands of people achieve their goals of optimum health and wellness. She witnesses the power of nutrition every day in her practice and is committed to training other physicians to utilize nutrition in healing.


    This episode is brought to you by AG1, AirDoctor, HigherDOSE, and Super Simple Protein.


    Head to drinkAG1.com/HYMAN to receive 10 FREE travel packs of AG1 with your first purchase.


    I’ve teamed up with the makers of AirDoctor to give my listeners the best deal yet on this amazing filtration system. Right now, if you go to drhyman.com/filter you can get the AirDoctor filter for $329.


    Elevate your wellness game today by going to HigherDOSE.com. You can use promo code HYMAN at checkout or just go to higherdose.com/hyman to save 15% site-wide.


    Right now, you can get 10% off Super Simple Grassfed Protein by heading to drhyman.com/protein and using code protein10.


    Full-length episodes (and corresponding links) of these interviews can be found here:

    3 Things That Destroy Your Gut Health

    Underweight, Overtired, and Malnourished: How To Get Your Health Back On Track

    Why Gut Issues Are On The Rise And How To Fix It

    Bloating: Getting Rid Of Your Food Baby With Functional Medicine




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