馃攳
COVID-19 Risk for SIBO, IBS, and Autoimmunity Q&A 04/17/20 - YouTube
Channel: unknown
[31]
you
[39]
hi Creston
[41]
I'm going to get started shortly just
[42]
trying to figure out how to livestream
[137]
I might be recording I'm just trying to
[193]
check on Facebook to see if I'm actually
[196]
live-streaming or if it's just live at
[198]
zoom then we'll get going okay I think I
[206]
might be good well either way I will
[209]
record the zoom recording and then I'll
[210]
put this on youtube if nothing else so
[212]
welcome welcome I think the big question
[215]
on everybody's mind is whether or not
[218]
you are at higher risk for kovat 19 and
[220]
that's what we're going to try to cover
[222]
with this Facebook live I will be able
[225]
to see your comments definitely in the
[228]
chat I will try to log on to Facebook
[230]
towards the end of this and see if I
[232]
could pull up the stream on there
[234]
hopefully I can get to your live
[236]
comments while we're going and if not I
[238]
will double back look at them after the
[240]
video has ended and then I'll answer
[242]
them in the comments so don't worry I
[243]
will get to them at some point let me go
[246]
ahead and share my screen in just a
[248]
second because I'm going to do an awful
[251]
lot of this in my very favorite program
[253]
hold on my favorite
[258]
which is Microsoft Paint yes I am an
[261]
elder millennial as we are called
[263]
so to establish the framework that we're
[266]
going to talk about we first need to
[268]
talk about immunology and even if you're
[270]
not an immunologist I think it's
[272]
important to have at least a broad
[274]
understanding of how the immune system
[275]
works and particularly there's going to
[278]
be an emphasis on antiviral immunity and
[281]
the autoimmune piece of this because I
[284]
work with a lot of folks with
[286]
autoimmunity or gut problems those are
[288]
kind of my two big areas of expertise
[291]
and I've seen this come up in a lot of
[293]
forums with autoimmunity and as well as
[296]
IBS and SIBO the question is whether or
[299]
not you are intrinsically at a higher
[300]
risk of complications from kovat 19 due
[303]
to pre-existing gut health issues or
[307]
autoimmunity and to frame that we're
[310]
going to talk about immunology a little
[311]
bit so here we have the wonderful
[314]
program Microsoft Paint I'm going to
[315]
scoot myself over a little bit and one
[318]
of the things that comes up in the
[320]
autoimmune world in particular is this
[322]
idea that there's an immune seesaw or a
[325]
teeter totter depending on what you grew
[327]
up calling it and that is going to
[329]
strike a balance hopefully between th1
[332]
that's T helper 1 mediated immunity vs.
[336]
th 2 now most of my patients have heard
[339]
this schtick before so bear with me
[341]
broadly speaking this is totally
[345]
oversimplifying a complex system th1
[348]
immunity is going to be largely your
[350]
anti tumor and antiviral immunity and
[353]
th2 immunity is the side of the immune
[356]
system that's good at smoking out big
[357]
things like parasites and worms they
[359]
also are the side responsible for
[361]
creating histamine and the allergenic
[363]
response now with autoimmunity there's
[366]
been a lot of talk over the last couple
[368]
of decades whether or not there is a
[371]
skewing of this immune seesaw where one
[373]
side goes up and the other side goes
[375]
down whether it be this way or that way
[378]
is very contested amongst the autoimmune
[380]
crowd and that's a topic for another day
[382]
but suffice it to say these are two of
[384]
the big arms of your immune system now
[386]
what I think is possibly not being
[391]
talked about enough or be
[392]
oversimplified is that there's a lot
[394]
more to the immune system than simply
[396]
these two types of th cells you also
[399]
have th 9 th let's see there's th1 th2
[404]
th 3 aka the T helper cell cell T
[410]
helpers I'm sorry th 3 also called T
[414]
regs sorry there's th 9 th 17 and th 22
[418]
so even amongst these T helper cells
[421]
there's an awful lot of different ones
[423]
and in the discussion of covin 19 our
[427]
focus is probably going to be a little
[429]
bit less on this look where else could I
[432]
make a beautiful thing like that the
[434]
Microsoft Paint our discussion is
[436]
probably less about this and more about
[439]
the cytokine storm that seems to be
[441]
related with th17 I'm gonna toggle back
[444]
to myself here and I'll kind of zoom
[447]
[Music]
[448]
back here okay so you have these two
[452]
sides of the immune system you've got
[453]
th1 and th2 that's going to mediate how
[456]
well you could smoke out the virus
[457]
initially what seems to be the problem
[460]
with Koba 19 is less about those arms of
[463]
the immune system and it's more about
[465]
the inflammatory cascade that gets
[467]
cookin a couple of days into the
[469]
infection and that's more related to th
[472]
17 now th 17 and its associated chemical
[476]
messengers do seem to be associated with
[479]
autoimmunity particularly if you have
[481]
more aggressive form of disease and
[483]
autoimmunity there is war th17 activity
[486]
so it seems so theoretically I do think
[489]
that a lot of people with autoimmunity
[491]
particularly if it's severe could be at
[494]
a higher risk of Koba 19 risk more
[498]
complications now whether that is true
[501]
for you as an individual we'll get to in
[503]
a little bit but I wanted to frame that
[504]
first while I'm on this topic I also
[508]
wanted to mention though that there's
[510]
discussion about the use of herbal
[512]
remedies like elderberry and echinacea
[514]
and whether or not that would set you up
[516]
more for a cytokine storm and whether or
[519]
not you should or shouldn't be taking
[520]
these things so for what it's worth and
[523]
I'm gonna link to some herbalist that I
[525]
really respect
[526]
some of their blog posts as well the
[529]
elderberry piece of it I think is very
[531]
shaky at best for what it's worth
[534]
elderberry has traditionally not been
[537]
used so much as an elderberry syrup but
[539]
elderflower has been used more
[541]
traditionally as an herbal medicine we
[543]
actually don't have a lot of good
[545]
clinical data on elderberry we have a
[546]
handful of studies that suggest that it
[548]
can either prevent colds and flus or
[551]
shorten their duration if used in an
[553]
acute setting but other than literally
[556]
like a couple of studies we don't have a
[558]
lot of good clinical evidence on
[559]
elderberry it's delicious it seems to
[561]
work I do recommend it a lot for
[563]
prevention but as far as chugging it all
[566]
season longer all year long I don't know
[568]
if I'm a big fan of that there's one
[570]
study that suggests that elderberry
[572]
could increase levels of il-6 and I am
[577]
flat ori messengers that is seems to be
[579]
involved in the cytokine storm
[581]
particularly with cope at 19 so
[584]
theoretically if you are already
[585]
inflamed and then you take elderberry
[588]
and that jacks up your il-6 a little bit
[590]
more that could be a bad thing for you
[593]
but again we have shaky data at best
[595]
whether or not
[596]
elderberry does in fact do that and if
[598]
it does that across the board or in very
[600]
specific circumstances what I would say
[604]
is a few things is that hardly anybody
[608]
including myself measures interleukin 6
[611]
on a clinical day-to-day basis we I just
[614]
don't do it it's cost prohibitive and
[616]
measuring inflammatory mediators in
[619]
blood doesn't always reflect the
[622]
inflammation load in the tissue which is
[624]
what I'm really trying to get at when
[625]
I'm helping somebody with a specific
[627]
illness there are other ways to assess
[631]
inflammation and blood work that I think
[633]
are much more useful and you could even
[635]
have some of this done already if you're
[637]
a patient of mine you darn sure I've had
[638]
all of this run at some point on you but
[640]
even if you haven't been a patient of
[642]
mine somebody like your primary care
[644]
doctor or your GP of whatever form could
[648]
have done this on you already the couple
[650]
of things I would pay closest attention
[651]
to is a marker called c-reactive protein
[653]
or CRP that comes in either a high
[657]
sensitivity or a cardiac marker
[659]
both I think could be used for this
[660]
purpose CRP is an inflammatory marker
[664]
that's made in the liver secondary to
[666]
aisle six elevation so I use that as a
[670]
marker not only of inflammation but of
[672]
this particular flavor of inflammation
[674]
and also I tend to see it more as a gut
[677]
liver axis type of inflammation so if
[680]
you have an elevated c-reactive protein
[681]
anything above one is noteworthy in my
[684]
opinion if you go based off of LabCorp
[687]
or quests ranges then they would say
[689]
anything above three or four or
[690]
sometimes they'll use a range of ten
[692]
which is absurd anything about three
[694]
typically is going to be elevated per
[696]
standard lab ranges but that is
[699]
something that is very tightly
[700]
associated with il-6 and il-8 okay and
[704]
that seems to be in question for the
[706]
cytokine storm so if anything I doubt
[709]
anybody on this webcast has had il-6
[711]
measured in serum but I bet a bunch of
[713]
you have had CRP drawn in the last
[714]
couple of years that's probably your
[717]
number one bet as far as assessing your
[720]
inflammatory load and your particular
[722]
predilection towards this type of
[724]
inflammation beyond that there are other
[727]
ways to measure inflammation at odds
[729]
even but they all mean slightly
[731]
different things what we're looking for
[733]
is markers of this particular
[734]
inflammatory soup so an example of what
[738]
I think has less promise to assess your
[741]
risk is a marker like homocysteine
[743]
homocysteine is a marker of inflammation
[746]
but it has much more to do with your B
[749]
vitamin metabolism and how you're
[750]
recycling some of your amino acids it
[752]
doesn't to the best of my knowledge have
[755]
any correlation with il-6 and cytokines
[758]
and immune system activation it's more
[761]
of a metabolic type of inflammation so
[764]
in my opinion high homocysteine is
[766]
probably less of a risk factor high C
[769]
reactive protein I do think is going to
[771]
show promise for that I follow a lot of
[774]
my colleagues on social media and some
[776]
of them have shared posts from other
[778]
colleagues who are in emergency rooms at
[780]
Urgent Care right now and I've seen a
[782]
couple of them mentioned that prior to
[784]
the cytokine storm lab values of C
[787]
reactive protein seemed to go up in the
[789]
patients with kovat so that would make
[791]
sense for that context but that's just
[793]
you know I wanna off from an ER
[795]
physician I think that was in San
[796]
Antonio that I saw that so herbs I would
[801]
say we just don't have a lot of clinical
[802]
data as far as herbs exacerbating aisle
[805]
six type inflammation what I would say
[809]
the silver lining to all of this is this
[812]
particular inflammatory soup as I call
[814]
it where this particular flavor of
[816]
inflammation this il-6 interleukin-1
[819]
beta nasty cytokine store business for
[822]
all that it is not a good type of
[824]
inflammation to have if you were going
[825]
to pick one it is how previously well
[828]
researched the cellular machinery that
[831]
turns on this type of inflammation is
[833]
very well understood and very well
[835]
researched so if you look up natural
[837]
compounds that are anti-inflammatory
[839]
quote-unquote almost all of them will
[842]
have some research involving interleukin
[845]
6 C reactive protein or something called
[849]
stat 3 which is the gene the the gene
[853]
activator that turns on il-6 production
[856]
and if you could inhibit one of those
[859]
you're basically inhibiting the same
[861]
thing and that should put you in a
[862]
better position for the cytokine storm
[864]
and if you think about it resveratrol I
[867]
will link in the doobly-doo below on
[870]
YouTube / Facebook I found one article
[873]
not specific to kovat but I found one
[876]
article looking at the cytokine storm
[878]
particularly I believe was for the flu
[881]
and they documented that tumeric shocker
[884]
but like one of the big
[885]
anti-inflammatories everybody's talking
[887]
about tumeric suppresses the cytokine
[889]
storm and could be useful for the
[891]
influenza cytokine storm so it stands to
[894]
reason it would be useful for the
[896]
cytokine storm as well so things like
[898]
tumeric resveratrol green tea buzz well
[901]
iya you know heck even fish oil a lot of
[906]
the traditional anti-inflammatory things
[909]
that you would have gotten from a
[910]
functional medicine provider or an
[912]
herbalist probably have some impact on
[914]
this particular type of cytokine storm
[916]
so that's the good news the bad news is
[918]
that this type of inflammation really
[920]
sucks and it could kill you with Koba 19
[922]
the good news is that we know that it
[924]
sucks and we've known it for many many
[926]
years and the thing that that has done
[928]
is it's given us a lot of research so
[930]
any of these anti-inflammatory compounds
[933]
I will list some of my favorites but to
[935]
work was very tall green tea fish oil
[938]
kind of top out the list as far as I'm
[939]
concerned and then everything else
[941]
beyond that is kind of gravy so those
[944]
are the big things as far as suppressing
[945]
that cytokine storm from an herbal
[947]
medicine perspective I did see an
[950]
article which I will also link that
[952]
vitamin D could be used to reduce the
[956]
risk of infection and death from kovin
[958]
19 which oh I see that I've got one
[962]
question I'll get to the questions in
[964]
just a minute I did see that I would say
[966]
the vitamin D Association I also I
[970]
recommend vitamin D practically for
[972]
everybody through cold and flu season
[973]
anyway I do think vitamin D is going to
[976]
show to be protective against Coppa 19
[978]
there's mixed reviews as far as Co vyd
[981]
I'm sorry as far as influenza pneumonia
[984]
and vitamin D the biggest area where
[988]
I've seen that research lacking is that
[990]
they frequently don't dose vitamin D
[992]
appropriately so in studies if they
[995]
actually look at people serum levels and
[998]
try to get them up to a respectable
[999]
level or if they do a high enough dose
[1002]
that it'll just get everybody up to a
[1003]
respectable level vitamin D does show
[1005]
promise for influenza and pneumonia risk
[1009]
and it'll probably do the same for Kovan
[1011]
the key is that most people need at
[1014]
least 2,000 IU's of vitamin D per day
[1017]
every day preferably with a fat
[1019]
containing meal because it's fat soluble
[1021]
a lot of people do really well on 5,000
[1023]
I one of those people I typically start
[1026]
people at 5,000 and then I adjust up or
[1028]
down if I need to based on lab values
[1030]
but even if you haven't had vitamin D
[1032]
tested in the last year you will
[1034]
probably tolerate 2,000 IU's of d
[1036]
marvelously and there's very very little
[1039]
risk with vitamin D for 99 percent of
[1041]
people so vitamin D I think also makes
[1044]
the list as far as I'm concerned and
[1045]
then I also found an article more
[1048]
recently that I shared on my Instagram
[1049]
account and then cross posted to
[1051]
Facebook that there's a research article
[1054]
hypothesizing that melatonin might be
[1057]
useful for Kovan now the reason
[1060]
being is that not only hold on let me
[1062]
see if I could share my screen again
[1067]
sure screed okay so going back to this
[1072]
lovely doodle that I created for you
[1074]
guys like I said before th one immunity
[1077]
is really the site of the immune system
[1079]
that is in charge of antiviral immunity
[1082]
more than anything else th - less so
[1085]
when your seesaw is skewed in favor of
[1088]
th - in favor of the allergenic and
[1091]
hissed emetic response
[1092]
you're probably in less of a position to
[1094]
fight your viruses efficiently melatonin
[1097]
in addition to being a really potent
[1100]
anti-inflammatory and side note
[1102]
prokinetic for all of you SIBO people it
[1105]
is also a pretty potent th1 promoter so
[1108]
if you are taking melatonin you get the
[1110]
nice added benefit of it being an
[1112]
anti-inflammatory which is good for the
[1114]
cytokine storm potentially and it
[1117]
increases your antiviral th1 immunity so
[1120]
I think melatonin is probably going to
[1121]
show a lot of promise now because I said
[1124]
that and because the study just came out
[1126]
in the last week or so mellow tones
[1127]
probably gonna fly off the damn shelf so
[1129]
people like me who take it more
[1130]
regularly are gonna see a shortage but
[1132]
melatonin if you tolerate it well could
[1136]
be really useful the only thing that
[1138]
melatonin really does that I've noticed
[1140]
is a look at people really funky vivid
[1142]
dreams so if you're one of those people
[1144]
that melatonin is probably not the best
[1146]
bet for you and you're better off going
[1147]
with something like turmeric or
[1149]
resveratrol or green tea but as long as
[1153]
you tolerate melatonin well that is
[1155]
something that you could have in
[1156]
addition to everything else and then the
[1159]
you know kind of the given coming from a
[1163]
nutritional therapy practitioner and
[1165]
what I do is to try to continue to eat
[1167]
as healthy as you can even amongst all
[1169]
of the craziness and the grocery
[1171]
shopping is the nightmare I know frozen
[1173]
fruits and vegetables have become kind
[1174]
of a mainstay in our household at least
[1176]
as well as just going out about weekly
[1178]
to get fresh but trying to get as many
[1181]
fruits and vegetables keeping your
[1182]
microbiome healthy and as diverse as
[1185]
possible with plant foods and fiber is
[1187]
going to be really key and also that
[1189]
will ensure that you're hopefully
[1190]
getting adequate levels of selenium
[1193]
vitamin C etc you could certainly run
[1196]
out and try to find the last remaining
[1198]
bottles of vitamin C and zinc and
[1199]
selenium or you could just get as many
[1202]
fruits and vegetables in your system as
[1204]
humanly possible and then maybe take a
[1205]
multivitamin on top of that depending on
[1209]
the multivitamin a lot of them do have
[1210]
fairly robust amounts of zinc and
[1212]
selenium in them so I don't know if I
[1214]
would recommend taking extra for most
[1216]
people I think just a multi will cover
[1217]
that base let me scroll back up I had a
[1221]
couple of topics I wanted to really make
[1222]
sure I hit all right I bored you with
[1226]
immunology 101 cytokines think
[1230]
autoimmunity has the potential to be a
[1234]
risk factor in addition to you know the
[1238]
CDC has posted a list I don't like that
[1240]
too of conditions that put you at higher
[1242]
risk like asthma chronic lung disease
[1244]
diabetes obesity liver disease actually
[1248]
made the list I noticed so there's a
[1250]
myriad of chronic diseases that put you
[1252]
at a higher risk automatically but I do
[1254]
think that autoimmunity broadly we're
[1257]
probably going to find that that makes
[1258]
the list in some way at some point
[1260]
another one that I actually wanted to
[1262]
touch on I stumbled on this article a
[1264]
couple weeks ago right at the beginning
[1266]
of the co-ed madness particularly low t3
[1270]
levels so now we're jumping into thyroid
[1272]
world low t3 levels or what is called Yu
[1276]
thyroid sick syndrome where your TSH and
[1279]
t4 are possibly normal but your t3 is
[1282]
low that does have a little bit of
[1284]
research being associated with worse
[1286]
outcomes in situations of I believe it
[1289]
was hospital acquired pneumonia and I
[1292]
will post a link to that I don't want to
[1293]
fear monger or get people worried over
[1295]
nothing but if your t3 levels are low or
[1298]
on the lower side of normal that may or
[1301]
may not bode well for you as far as
[1302]
kovat risk also it's hard to say this
[1305]
was again in a pneumonia research
[1307]
article it was a couple of years old
[1308]
probably 2017 I think but I thought that
[1311]
that was noteworthy anyway so your
[1312]
thyroid might also play a role in how
[1314]
you recover from kovat and the cytokine
[1317]
storm although that was not specifically
[1319]
mentioned in that article
[1326]
okay I think that's a lot of what I
[1329]
wanted to cover and then to circle back
[1331]
to the gut health piece of the
[1333]
conversation what I've seen a lot too is
[1336]
people asking again are am i at higher
[1338]
risk automatically because of IBS or
[1340]
SIBO or autoimmunity
[1342]
so autoimmunity had already answered I
[1344]
think that there's a solid maybe leading
[1347]
towards yes for a lot of autoimmune
[1349]
people unless you're in remission if
[1351]
your autoimmunity is well controlled or
[1353]
in remission then you're probably at no
[1355]
higher risks and your average Joe but if
[1357]
you have autoimmunity that is still
[1360]
running but anchors then yes you're
[1362]
probably at a higher risk you could try
[1364]
to assess that more accurately with
[1365]
something like C reactive protein
[1367]
possibly inflammatory markers like
[1369]
elevated ferritin or other acute phase
[1372]
reactants type markers could be useful
[1374]
in this situation but I think C reactive
[1376]
protein is really going to be the most
[1379]
commonly used and best way to assess
[1380]
that now for IBS and SIBO folk I don't
[1385]
know if I'm convinced that you guys are
[1386]
going to be at a higher risk
[1387]
intrinsically because of the
[1390]
pre-existing condition of IBS or C Bo I
[1392]
don't know if I'm gonna go with that I
[1394]
think that you guys are probably at
[1396]
average risk with the caveat a lot of
[1398]
people with autoimmunity also have IBS
[1401]
or C though and it goes both ways
[1404]
so if you have C Bo and autoimmunity
[1407]
then you're going to default to the
[1408]
conversation we had about autoimmunity
[1410]
if you have post infectious IBS if you
[1414]
have the C Bo that is inherently
[1416]
autoimmune and it's your immune system
[1418]
attacking your nerve endings that's
[1420]
destroying your MMC that's a variant of
[1423]
autoimmunity and you would be more in
[1425]
the camp with autoimmune people in that
[1427]
circumstance but if you have C Bo for an
[1430]
unknown reason or you develop SIBO
[1432]
secondary to PPI use or adhesions or
[1436]
something else unrelated to food
[1439]
poisoning and the autoimmunity then I
[1441]
don't know if you're intrinsically going
[1442]
to be at a higher risk what I would say
[1444]
with SIBO and IBS is a couple of things
[1447]
is that you guys are going to be at a
[1448]
higher risk of malabsorption
[1450]
so making extra super double mega sure
[1453]
that you're getting all of your
[1454]
nutrients from food
[1456]
and covering your bases with a
[1457]
multivitamin I think is going to very
[1459]
much behoove you getting you know a
[1462]
normal person theoretically you could
[1464]
get by with just 100 percent of your
[1466]
daily value of zinc maybe you want to
[1468]
get a hundred and twenty percent to kind
[1470]
of make up for any sort of malabsorption
[1472]
that you may or may not have because of
[1473]
the SIBO your microbiome does very much
[1478]
influence the immune system that's kind
[1480]
of the shtick that functional medicine
[1482]
and naturopathic medicine has been
[1483]
saying for a lot of years how it will
[1486]
affect COBIT outcomes is hard to say
[1489]
what I would say is that you could
[1491]
probably use your body's tendencies in
[1495]
your history to your aid in this case I
[1498]
always ask my patients is your immune
[1500]
system strong or like are you the kind
[1504]
of person who somebody could sneeze in
[1506]
your face and you're not gonna get sick
[1507]
for are you the person where one person
[1511]
five cubicles away gets a cold and you
[1514]
automatically know you're gonna get it
[1516]
because your immune system sucks that
[1517]
bad if you are in the latter category
[1519]
then you're probably at a higher risk of
[1522]
catching kovat because it's just it's a
[1523]
viral infection just like anything else
[1525]
if you're at a higher risk seemingly to
[1527]
catch a cold or flu then that probably
[1529]
will stand true with Co good
[1530]
likewise knowing your immune system
[1533]
where do you get inflamed do you get
[1535]
super inflamed or does your body seem to
[1538]
regulate at least somewhat like are you
[1541]
a person who needs to go hit the
[1543]
steroids or get a prescription
[1546]
medication to take down inflammation or
[1548]
are you good if you just rest and
[1550]
hydrate for a couple of days and your
[1552]
body naturally seems to recover if you
[1554]
are a person for whom you need that
[1556]
prescription intervention and your body
[1558]
goes just all in when it gets inflamed
[1562]
or if you get really aggressive
[1563]
autoimmune flares that probably means
[1566]
that your ability to ramp up those
[1567]
inflammatory cytokines is exaggerated
[1570]
compared to the average Joe and that
[1572]
could put you at a higher risk if you on
[1575]
the other hand are a person who you get
[1577]
inflamed and then you bounce back within
[1578]
a couple of days and you just need to
[1580]
like rest and hydrate and maybe sip on
[1582]
some tea for a few days then I don't
[1584]
know if I would necessarily think you're
[1585]
at a higher risk
[1586]
I think IBS and SIBO could go both ways
[1588]
depending on
[1589]
going on now IBD which I also work with
[1592]
IBD is automatically loved in with the
[1594]
autoimmune folk so that's that's gonna
[1598]
kind of default back to our autoimmune
[1600]
conversation let's see alright so let me
[1604]
try to answer questions now because I
[1606]
feel like I've talked a lot okay hold
[1613]
that thought
[1614]
and I'm gonna try to pull up the
[1617]
Facebook why
[1620]
I'll check there and then I'll pull up
[1622]
zoom and like I said if for some reason
[1628]
I can't get the technology to cooperate
[1631]
/ if there's user error on my part then
[1635]
I will just read the comments later and
[1638]
answer them as they come up okay I can't
[1656]
figure out how it's telling me that I am
[1658]
live so that's good but I can't figure
[1661]
out how to see the questions as they
[1665]
appear so I clearly have more learning
[1667]
to do on that front I do have one on
[1669]
Zoom Kristin asked what do you think
[1675]
about Astros anted supplements I don't
[1677]
have a lot of experience with it
[1678]
honestly it's not as well researched of
[1683]
a compound as tumeric or was very tall
[1685]
or green tea or fish oil so as far as
[1689]
like picking out things in a hierarchy I
[1691]
would probably reach for those first it
[1694]
does have anti-inflammatory effects I
[1696]
believe it has an antihistamine ik
[1697]
effect if I remember correctly I just
[1700]
don't really have any any real
[1702]
experience with it as a nutraceutical so
[1704]
I'm sorry I can't offer more of an
[1706]
opinion on that one I might do a quick
[1710]
you know a quick PubMed dive and get
[1713]
back to you though and I'll put it on
[1714]
the Facebook live feed and I'll I'll let
[1717]
you know if my opinion changes but I
[1719]
think as far as herbal medicines and
[1723]
anti-inflammatories I think those four
[1725]
would round out my top my top four fish
[1727]
oil which I think most people should
[1729]
take just indefinitely probably vitamin
[1733]
D you could also lump in as an
[1734]
anti-inflammatory and obviously it's a
[1736]
vitamin in and of itself tumeric
[1739]
resveratrol green tea I think all of
[1741]
those are probably going to beat out
[1743]
most other supplements and if you could
[1745]
get them in a cocktail or combine them
[1748]
they seem to have a synergistic effect
[1749]
Oh sulforaphane that is another one my
[1751]
god it's a little hard to source right
[1753]
now Jaros been on backorder for a little
[1756]
while and I think they just got it back
[1757]
in but there is a antioxidant from
[1762]
broccoli seed you could either get the
[1764]
broccoli seeds and grow them yourself
[1765]
which I encourage most of my patients to
[1767]
do or you could do you know a product
[1771]
like brocco Max or some sort of
[1772]
sulforaphane supplement and that does
[1774]
have beneficial effects and
[1776]
anti-inflammatory effects for your
[1778]
microbiota as well as your immune system
[1780]
and it is a stat3 il-6 inhibitor so that
[1783]
is also a very useful one in the same
[1785]
category of usefulness as tumeric and
[1787]
resveratrol I've got another question
[1790]
what brand of vitamin D there's a lot I
[1794]
tend to recommend designs for health
[1796]
they have a nice product that has
[1798]
vitamin D with a little bit of k2 thrown
[1800]
in which I do think is important there's
[1803]
also an ortho molecular product I use
[1805]
called kforce and that has a bit higher
[1808]
of a dose okay so for my people who have
[1810]
osteoporosis or lots of cavities and I'm
[1813]
suspicious that they have a vitamin K
[1814]
deficiency I'll usually use kforce for
[1817]
somebody who doesn't have overt signs of
[1819]
K deficiency and I'm not super super
[1821]
worried about it but I want to just have
[1823]
that insurance policy I'll usually use
[1825]
decides for health I think they just
[1827]
call it vitamin D supreme if I remember
[1829]
correctly but I could double-check that
[1831]
if I'm incorrect I'll let you know okay
[1834]
well I wasn't sure if I'd be able to
[1837]
fill up a whole webcast odd Kovach
[1839]
because I don't I'm not an immunologist
[1841]
I'm not a coping expert by any stretch
[1843]
of the imagination but I wanted to at
[1846]
least put out some information and
[1849]
answer a question since I've seen this
[1850]
pop up in so many of the autoimmune and
[1852]
SIBO forums lately so as I think of
[1855]
things I will probably comment on this
[1856]
thread and let you know as I chew on
[1859]
this more let's see have been another
[1861]
one recommend are these recommended
[1865]
additionally to the multis yeah so I
[1867]
would say your multivitamin you're gonna
[1870]
want to do just indefinitely in my
[1872]
opinion I think most people would do
[1874]
well on a daily multivitamin just to
[1875]
cover your bases and that's going to
[1878]
make sure that you're getting adequate
[1879]
levels of vitamin C zinc's
[1882]
etc usually bull ties are pretty lacking
[1885]
as far as magnesium and calcium but most
[1887]
other nutrients they do okay on the
[1890]
vitamin D would be in addition because
[1894]
multivitamins typically only have like
[1896]
400 IU's which is a total wuss dose you
[1900]
really need 2,000 minimum for most viral
[1902]
infections maybe even five for a lot of
[1904]
people Christine hi Christine yes I do
[1907]
have the DK in in my office if you want
[1910]
to orchestrate a time where we can do a
[1912]
pickup and you don't have to come in
[1914]
contact with me my cooties I'll just
[1916]
wave at you from my back office how
[1917]
about that but yeah so multivitamin I
[1921]
think multivitamin and fish oil
[1922]
everybody should already be on those
[1924]
anyway if you're not go ahead and start
[1926]
for multis there's a lot of them that I
[1928]
like I tend to be pretty choosy because
[1930]
I work with people with complex
[1932]
conditions Thorin has a good one I
[1935]
really like the seeking health products
[1937]
also and I carry a lot of their
[1938]
multivitamins in my office depending on
[1940]
what I'm going for
[1941]
so everybody should be on a multivitamin
[1943]
and a fish oil probably for fish oil I
[1946]
really like Nordic Naturals they don't
[1947]
smell fishy
[1948]
they don't have fishy weird verbs they
[1952]
are the triglyceride form of the fish
[1954]
oil and that seems to be absorbed better
[1955]
and their purity tested out the wazoo so
[1958]
there's no metals or weird stuff in them
[1959]
so Nordic Naturals is definitely worth
[1962]
the increase premium price for them the
[1965]
multivitamin there's many that are good
[1967]
but I really like seeking health that's
[1969]
probably the one that I use the most of
[1971]
is one of their products and then the
[1974]
anti-inflammatories on it as the basis
[1976]
if you're at an average risk and you
[1979]
know you have a run-of-the-mill case of
[1981]
SIBO that's not due to autoimmunity and
[1982]
you're not suspicious that you have on
[1984]
immunity then I don't know if I would
[1986]
run out and tank the shelves up there
[1989]
tumeric it's kind of like the toilet
[1990]
paper right like if all of us run out
[1992]
and get toilet paper when we don't
[1994]
actually need it yet then the people who
[1996]
really need it are could have access to
[1998]
it so I don't want people to run out and
[2000]
immediately buy out all of the sulfur Oh
[2003]
Phaedra spiritual turmeric and green tea
[2005]
but from a food based standpoint throw
[2008]
some to work in your food and my husband
[2010]
bless us all he just put tumor in his
[2012]
coffee the other day because Joe Brogan
[2014]
does it was the cutest thing ever
[2015]
I might keep your watching so you know
[2018]
you could sneak to work in just about
[2019]
anything heck you could even just mix
[2021]
tumeric with a little bit of coconut oil
[2023]
make it into a paste and then just take
[2026]
it down like a champ get it done and
[2028]
over with and then you got a pretty high
[2030]
dose with the fat that'll help it get
[2031]
absorbed resveratrol you officially have
[2034]
my blessing to have one or two glasses
[2036]
of red wine per week I think that's
[2039]
reasonable if you want to supplement
[2040]
beyond that that's gravy and then green
[2043]
tea there's a lot of reputable types of
[2045]
green tea try to get organic if you can
[2047]
Trader Joe's green tea I think tested
[2050]
pretty well in purity testing so that
[2052]
could be a good one that's successful to
[2054]
most people but having a few cups of
[2056]
green tea a day also wouldn't be a bad
[2058]
idea and it's food based and it's pretty
[2060]
cheap so that um I think that's gonna
[2063]
cover the bases for most everybody and
[2065]
with that I think we're gonna wrap up
[2068]
and like I said I will look at the
[2070]
questions as they come up on the
[2072]
Facebook live once it posts and the
[2074]
YouTube video I'm gonna just share this
[2076]
directly on YouTube so once this post on
[2079]
youtube I will monitor comments on both
[2081]
Facebook and YouTube let me know if you
[2083]
have questions and I will share a couple
[2085]
of those links that I promised in both
[2087]
of the descriptions and I'm also going
[2090]
to link to a an article that a herbalist
[2094]
trying to mind shared and it's just so
[2097]
thorough and such a breath of fresh air
[2099]
I really highly recommend hey I
[2101]
recommend this book he has a book on
[2102]
Amazon and elsewhere he has a marvelous
[2105]
herb school and if you want to do a
[2106]
consult with one of his herbalist
[2108]
students I highly recommend that and
[2110]
this article in particular is really
[2112]
useful so go check out Thomas's stuff
[2114]
I'm gonna link to that it's the eclectic
[2115]
school of herbal medicine and he has an
[2117]
article about Kovach 19 where he gives
[2119]
other ideas for herbal strategies and
[2121]
some of his non bullshitting advice
[2123]
which is great the and I meant to
[2127]
contrast that not that he has
[2128]
advice normally just like the Internet
[2131]
in general it's refreshing when
[2133]
somebody's not biessing you so I'm going
[2134]
to link to Thomas this article and I
[2136]
will put other goodies in the doobly-doo
[2138]
as I think of them but thank you all for
[2140]
joining me hopefully that helped you
[2142]
understand whether or not you're truly
[2143]
at an increased risk of coping 19 in the
[2146]
meantime keep washing your hands stay
[2148]
stay far
[2149]
away from everybody in there cooties and
[2151]
I'll see you in another video at some
[2154]
point I'm sure take care
Most Recent Videos:
You can go back to the homepage right here: Homepage