Dr. Michael Ruscio is a doctor, researcher, author, and health enthusiast. He practices Functional Medicine with an emphasis on natural and nutritional solutions.

He gives smart, busy people who are suffering from symptoms of chronic illness simple steps to get better, and get on with life.

  • What is Functional Medicine?
  • What is irritable bowel syndrome?
  • Handling your digestive tract.

Links from today’s show:
Dr. Ruscio’s Website

Transcript

0:00take back your health now episode 28
0:06you’re listening to the take back your
0:08health now podcast the show that
0:11interviews the top doctors athletes
0:13trainers and entrepreneurs to help you
0:16find the holy grail of health now here’s
0:18your host dr. dan Margolin hi this is
0:25dr. dan Margolin with another segment of
0:28take back your help now where we pull
0:30out all the stops in search of Health’s
0:33holy grill we are really excited to have
0:35a our guest dr. Michael Ruscio is a doctor
0:38researcher author and health enthusiasts
0:41he practices functional medicine with an
0:44emphasis on natural and nutritional
0:47solutions he gives smart busy people are
0:50suffering from symptoms of chronic
0:51illness simple steps to get better and
0:54go on with their lives
0:56dr. we show how are you sir I’m great
0:58thanks for having me and Michelle
0:59excited to be here
1:01we’re excited to have you searched so so
1:02let’s just jump right in so you had a
1:04pretty interesting experience with your
1:06own health that changed the way you you
1:09look at help yourself tell us a little
1:10bit about that it has been a very
1:12interesting around i was in college when
1:15I kind of had this cathartic event that
1:18shape my future and kind of diverted my
1:21path and I was planning on going into
1:24conventional medicine didn’t really know
1:26what I wanted to do but I was kind of a
1:28young driven guy and medicine to be a
1:30good fit for my somewhat type a
1:32personality that and I also a symptom
1:37was a with a athlete i played college
1:39across and I was used to feeling pretty
1:42invincible right here in the early
1:45twenties got a ton of energy you can go
1:47go and and all subnet that changed
1:50pretty swiftly with with no known cause
1:52and I was going to have bouts of brain
1:55fog when I couldn’t think clearly very
1:57bad insomnia move dips lots of fatigue
2:02and so I went and saw a few doctors
2:05figuring out there’s probably something
2:07wrong this is what doctors are here for
2:09and figured out and everything we find
2:11but like many people may have
2:13experienced they had some testing done
2:15softly doctors and
2:17everyone said that everything was normal
2:19which it was really frustrating to me
2:21because clearly i could tell that that
2:23something was wrong it’s just I didn’t
2:24necessarily have an overt disease that
2:26had a you know easy diagnosis associated
2:29with it but rather some of these
2:31symptoms that don’t mean any disease
2:34specifically and don’t necessarily have
2:36a simple conventional medicine diagnosis
2:40associated with it so I eventually
2:43through some of my own research found
2:46the movement of functional medicine and
2:48i found a functional medicine doctor who
2:50thought that I had an intestinal
2:53parasite and at first i thought the guy
2:56was full of it because I didn’t didn’t
2:58really have diarrhea or any of the
3:00typical kind of you know all the sudden
3:02I tasted some funky restaurant had
3:04really better or be sure poisoning and
3:05ever since I I felt weird so because
3:09there wasn’t a lot of digestive symptoms
3:11i was a bit skeptical but I also figured
3:14well at this point what else we have to
3:16lose so i forked up the 300 something
3:20dollars to do a stool test which is a
3:24college student felt like a million
3:26hotter structure and balances the
3:28students
3:29yeah no money so and everything we walk
3:32with you must stop you must feel really
3:34bad to do that and you weren’t kidding
3:36you’re absolutely perfect no I i was
3:39feeling terrible you know that mean
3:42something is probably the worst part of
3:44waking up every maybe 45 minutes to an
3:46hour and being hard to get back to sleep
3:49and that leads to 15 the next day and
3:51fatigue meets the bad food choices and
3:54and yeah it was it was terrible is
3:58really really bad so I was somewhat
4:01desperate and i’m glad that i did do
4:02that stool test is that still test did
4:04reveal that I had an intestinal amoebic
4:07infection
4:08yeah and and you know typical parasites
4:12like amoebas norms are actually fairly
4:14rare it’s fairly common for people to
4:17have problems in their gut similar to
4:20parasites that
4:21but true parents like I had are somewhat
4:23rare but my story is actually pretty
4:24common for people listening so it was
4:28treating of the digestive tract problem
4:32that really enabled me to start feeling
4:34better and what I think was one of the
4:37most noteworthy things that took away
4:38from that experience was before I had
4:41had this diagnosis treatment of the
4:43intestinal parasite I had done quite a
4:46bit of research on my own and self
4:50diagnosed myself with adrenal fatigue
4:52and hypothyroid or or poor thyroid
4:56conversion and some people may be
4:58reading about sure and and I thought
5:01maybe I had some detox application
5:03issues and so I did a home your intense
5:06for mercury and try doing some mercury
5:08detox and adrenal hormone support my
5:11retirement support and all these all
5:12these things that if people do a little
5:14bit of research on the internet they end
5:16up at these alternatives pretty quickly
5:18and none of them really have a
5:20significant impact and I learned a very
5:22important lesson from that which was if
5:26you have a few different symptoms and
5:29there’s a gut problem that’s driving
5:32those symptoms
5:33nothing else will work unless you get to
5:36the root public got problems so if it
5:38got problem that looks like hypothyroid
5:40or I got problem that looks like a dream
5:41fatigue or a problem it looks like
5:43female hormone imbalances or male
5:44hormone imbalances so that is
5:47manifesting with those symptoms if you
5:50treat those symptoms you’re not really
5:52going to get very far and if you treat
5:55the underlying issue in the gut then
5:58that can in many cases leads the
6:00resolution of the symptoms so it’s kind
6:03of loud
6:04no no I will talk a lot of that doctor
6:07show how did you did you were looking
6:09back on how did you get the infection
6:10did you figure out how that happens or I
6:13probably just ate some poorly cooked
6:15food by someone who had at amoeba you
6:19pour le either poorly cooked food that
6:21that have you need a real sport in it or
6:25someone who had the amoeba and didn’t
6:27really watch your hands very well after
6:28going to
6:29I can handle my food and then I it so I
6:32hadn’t traveled to any third world
6:34countries or anything like that so there
6:35is there’s no travel out but these these
6:38organisms are in our environment and
6:40every once in a while it’s just like
6:41winning the lottery and you get out of
6:43your time yeah congratulations
6:45congratulations but a so-so i like that
6:48so in terms of you know somebody that’s
6:50not getting better they tried these
6:51alternatives there they’re getting this
6:53insomnia now we are you getting in
6:54sunday we waking up because you’re in
6:56some sort of pain or that wasn’t really
6:58nice thats that’s really the interesting
6:59part about this is that it wasn’t like I
7:02was waking up like someone who has
7:03chronic low back pain maybe after the
7:05car accident and and they wake up in
7:07pain it was clearly information might
7:11get but wasn’t information that
7:13manifested any type of pain ratchet like
7:16there was no abdominal pain bloating but
7:19what’s interesting is we do have pretty
7:20good documentation that inflammatory
7:23conditions of the gut can lead to
7:26insomnia and many of these don’t
7:28necessarily cause this mincing pain but
7:31it probably has something to do with a
7:32stress response that happens in your
7:34body when there’s information in your
7:35gut and then that’s response ends up by
7:38waking you up
7:39well I’ve never I’ve never heard that
7:40before thanks for sharing that what dr.
7:43you went to a functional medicine doctor
7:46could you
7:47what is that what is a functional
7:48medicine dr. waters functional medicine
7:50share so it’s have a broad term
7:53admittedly the functional medicine is is
7:57an area where i think a lot of
7:58integrative and holistic medicine is now
8:00going and there are all different types
8:03of practitioners and providers that
8:06practice underneath the term functional
8:09medicine there are conventional medical
8:11providers like md’s and do is there are
8:14doctors of chiropractic DC there are
8:17naturopathic doctors and bees there are
8:20even some phd’s there are nutritionists
8:23who practice there are acupuncturist and
8:26there are even while it may not have any
8:29no formal medical or health care
8:31training and so there’s kind of a lot of
8:36options for the healthcare consumer and
8:39it’s just important because
8:40one of those different options in
8:42relation to who you are and what you’re
8:44looking for if you’re someone who is new
8:47to this and has it hasn’t even really
8:48change their diet then seeing someone
8:51like a health coach r or a nutritionist
8:53who practices in the functional medicine
8:55model might not be a bad place to start
8:57if you’re someone that has pretty
9:00progressed IBS and they have tried a few
9:03therapies and haven’t responded or they
9:05have Crohn’s disease and they’re really
9:07looking for an option then you may want
9:09to elect to you go with a provider that
9:11you know it is some type of a doctor
9:13because you need that a higher level of
9:17clinical skills from the reactor with
9:18your condition so those are the types of
9:22providers that can practice and to put
9:24it simply it’s it’s a really a form of
9:26Integrative Medicine where there is I
9:29think a collective desire to try to
9:30mitigate or eliminate any use of drugs
9:33and try to find underlying cause of
9:36whatever whatever disease symptoms
9:38dysfunction is present and try to treat
9:40that with friendly diet lifestyle and or
9:43vitamins and herbal treatments kind of
9:45bends more cause focused natural
9:48treatment model dr. so limited so how
9:51easy would it be to diagnose that type
9:55of an infection i imagine it wouldn’t be
9:56that easy and I imagine a lot of people
9:58have those infections for many many
10:00years is that is that true and water
10:03than the outcome if you hadn’t actually
10:04figured out the right diagnosis
10:06well the outcome you know I don’t know
10:10maybe I would have been an
10:11antidepressant and eventually just
10:15accepted the fact that I wasn’t going to
10:18have the level of energy or performance
10:21that I had a few years ago which would
10:24be very very sad
10:25wow you certainly it’s certainly if that
10:28was undetected
10:29I would not have achieved nearly as much
10:31as I have achieved today because it was
10:33a pretty severe impediment to to doing
10:37anything and that anything could be
10:38learning how to play guitar which I
10:41learned in college or me and my medical
10:43studies or just being a good you know
10:46son or friend or whatever
10:50because you need energy and cognitive
10:52function really to do anything so I
10:55don’t know where I’d be but it certainly
10:57wouldn’t be where I am today so I’m very
10:59thankful that I figured that out and in
11:02terms of testing the testing isn’t very
11:05hard just it’s not always performed
11:07right so so the way I was tested anyone
11:11could do I at their local for example
11:15football for example labcorp and quests
11:18are two pretty large claps and companies
11:22that you know that if anyone’s going to
11:25a doctor and a blood test there’s a
11:26fairly high probability that went to
11:28labcorp or request the hacker or done
11:30when they can do still testing in blood
11:33testing that would test for the
11:34inspection and i had to those labs also
11:36so it’s not incredibly difficult to do
11:40it’s more so the issue of it actually
11:43done and and you know what i would say
11:46this is important point to make the the
11:48parasites are very common but there’s
11:50another condition or a couple other
11:52conditions but one most notably is known
11:54as small intestinal bacterial overgrowth
11:56that’s often abbreviated Zeebo or si bo
12:00small intestinal bacterial overgrowth
12:02this is actually fairly common because
12:05what happens here is there’s no invader
12:08that shouldn’t be in your body that gets
12:10in but rather the bacteria is already in
12:13your intestines over grows cry and and
12:17that is depending on the literature that
12:20you read may affect you know anywhere up
12:23to maybe thirty percent or maybe even
12:24more depending on how you look at some
12:26of the literature of the population
12:28environment I that’s amazing that’s
12:31amazing because I PSX irritable bowel
12:35syndrome IBS which which is mainly
12:37comprised of gas bloating abdominal pain
12:40altered bowel function that might be
12:42constipation or diarrhea or the
12:44oscillation of the two that may affect
12:46thirty percent maybe even a little
12:47higher
12:48sometimes you think that thirty percent
12:49is actually underreported and some
12:52studies have found up to eighty four
12:54percent of these cases of IBS may be
12:57caused by the small intestinal bacterial
12:59overgrowth which underlies it
13:01so it can be fairly common but the thing
13:04that to remember is that not everyone
13:07with this bacterial overgrowth has these
13:11over to digestive symptoms kinda like I
13:13learned with my own similar case where I
13:15had a digestive problems that didn’t
13:17manifest this digestive symptoms but
13:19rather manifested as things like fatigue
13:21brain fog insomnia so that’s that’s
13:26fairly common we see a lot of that in
13:28the clinic and i just mention that
13:30because sometimes people go reading on
13:32the internet and i think there was this
13:34older relief from maybe the last
13:39generations crop of alternative
13:41providers that that really blames
13:43parasites for almost everything and
13:46write our darling
13:47yeah yeah i think over the
13:48well-intentioned but I think we’ve
13:50updated our understanding quite a bit to
13:52know that these things may like they
13:56look like a parasite meaning you have
13:58some of these symptoms are loosely
14:00associated with parasites but it’s
14:02actually just the bacteria that is
14:05normally inside of your body but his
14:07overgrown and got into the wrong areas
14:10of the body and about why would you
14:12think that
14:12why would it start / gross at the wrong
14:14foods that are being a visit the
14:16alkalinity or the acid acidity of the
14:18why would it do that
14:20well there’s a number of things that can
14:21lead to this overgrowth and you one is
14:25that people have been using acid
14:26lowering medications like pilot second
14:29axiom long-term use not sure to measure
14:32using something like this for a month or
14:34two to hear an officer not a big deal
14:36but if you’re using some of these
14:38absolutely medications for months and
14:40months and months or years mirrors then
14:42we have observed they increased
14:44incidence of bacterial overgrowth in
14:47those populations also people that have
14:50had or have a glory which is another
14:53infection that can inhabit the stomach
14:56and cause things like ulcers or reflux
14:58or GERD that shows increased association
15:02with this small intestinal bacterial
15:04overgrowth antibiotic use may that that
15:09tend to create other similar problems
15:11that are fumbling nature more commonly
15:12think about
15:13this may may predispose people have had
15:16food poisoning listening may actually
15:19initiate a series of events where the
15:24motility in your gastrointestinal tract
15:27which is just the ability to kind of
15:28keep food moving through right goes from
15:31your mouth to your esophagus your
15:32stomach to your small intestine to your
15:34large intestine to your rectum and then
15:35you know into the toilet right that that
15:38proper movement and flow through can be
15:40interrupted by food poisoning and it’s
15:43kind of like water if water is running
15:45it doesn’t necessarily foster bacterial
15:48growth that’s why become stagnant libro
15:50you never think pond water cuz it’s that
15:52fosters a lot of bacteria so that same
15:54type of thing happening in the
15:56intestines if there is inflammation or
15:59there’s been food poisoning that damages
16:01motility and then allow this bacterial
16:03overgrowth so it’s really not being
16:04flushed out it’s actually stagnating
16:06yeah exactly exactly and it’s not that
16:09it’s truly stagnant is just slow down
16:11enough to where now bacterial overgrowth
16:13gotcha gotcha
16:15wow that’s that’s while so what would be
16:18the the most common symptom of that
16:20would it be the insomnia would be those
16:22things you just spoke about what would
16:23be the most common thing you would see
16:25in a situation like that so the most
16:27common symptoms that you’ll see we’ll be
16:30more of your traditional ideas like
16:33symptoms which would be gas bloating
16:36abdominal pain and altered bowel
16:39function either being constipation or
16:41diarrhea or a mixture of the two but
16:43like I said a moment ago we’re learning
16:45that some patients won’t have any of
16:48those digestive symptoms but will rather
16:50have things like joint pain or insomnia
16:54or high cholesterol and blood sugar and
16:57what’s even more exciting is we’re
16:58starting to see some treatment data
17:00showing at treating this small
17:01intestinal bacterial overgrowth can
17:04improve things like blood sugar and
17:05cholesterol levels insomnia joint pain
17:09and and I’ve certainly seen things like
17:12rosacea or or skin conditions improved
17:15restless leg syndrome pelvic pain
17:17syndromes improve and we’re learning a
17:19lot more about the association between
17:21the gut and
17:23a lot of the research has been centered
17:25around the small intestinal bacterial
17:26overgrowth and causing other non
17:29digestive symptoms so that’s why I’m a
17:32fairly strong proponent of the approach
17:35of first improve your diet and lifestyle
17:39and then if you still have any lingering
17:41symptoms get good got evaluation to see
17:43if there might be something that’s
17:45contributing to those minor spots of
17:46symptoms do either as a doctor we do get
17:49patients that come in with these sort of
17:51generalized joint pain and you do the
17:53whole workup the rheumatoid arthritis
17:54profiles different are 30 profiles line
17:58titers and all those things and
17:59sometimes they come back completely
18:01negative and it’s a little bit baffling
18:03so this is like some area that we
18:05wouldn’t normally even think to look at
18:07you know quite frankly it’s not
18:09something that were necessarily taught
18:11so i love it i love this this whole you
18:14know it’s funny and just doing these
18:15podcasts that consistent theme you know
18:19because we’re looking for that holy
18:20grail of health seems to be coming back
18:22to the gut and it’s just over and over
18:25and over and what this realization of
18:28this will assist in the last several
18:30years and last decade or what went one
18:32is this really started to come to the
18:34forefront
18:35well I think over the past maybe five
18:37years you’ve seen quite a bit more
18:40interest and I think the interest is
18:43coming from this whole microbiome and/or
18:46microbiota in each of the literature
18:49that that’s emerging and and the
18:51microbiome with microban is essentially
18:53the world of bacteria that live on and
18:56in your body so there’s a whole world of
18:58bacteria that live on your skin that the
19:01skin microbiota there’s a whole world of
19:03bacteria that live in your gut that’s a
19:04gut microbiota and we’re learning a lot
19:07about how healthy people and sick people
19:10and people that were born on a farm
19:12compared to kids that were born cesarean
19:15birth have different looking gut
19:17bacteria and I got bacteria correlates
19:20with different diseases and sometimes
19:22that good bacteria causes certain
19:24diseases and
19:25and we’re learning much more about this
19:27ended and the association between the
19:29gut and my gut bacteria and then how the
19:33gut and my gut bacteria can affect all
19:35these different things like skin and
19:37sleep and memory and cognitive function
19:40and metabolism so well i think the the
19:44major shipping interests have been in
19:47the past maybe three to five years but I
19:49think clinicians have been working with
19:50the gut have been seeing these things
19:52for a while and now with great to see
19:54that really the the research community
19:56and I think the public interest are both
19:59really started behind this and we’re
20:01learning much more about the profound
20:04connection between the gut and all these
20:05other systems of the body and then how
20:08would things like you antibiotics of
20:11maybe even vaccines for children
20:13everything any studies that show how
20:15that affects these areas
20:17yeah that’s very interesting research
20:19regarding antibiotics and you know
20:22antibiotics certainly have their time in
20:26their place and they can be incredibly
20:27helpful for preventing very damaging
20:31rating deadly infections especially for
20:34for infants but it’s when the
20:38antibiotics are used indiscriminately I
20:40think we run into problems and what
20:43we’re really learning is the first few
20:46years of a child’s life is incredibly
20:49important for development of that world
20:53of bacteria in the gut and that will the
20:57bacterium I got also Co forms someone’s
21:01immune system and we see that things
21:05that happened early in life can affect
21:07your immune system many many years later
21:11for example if antibiotics are given at
21:16a year of life so 12 months compared to
21:19nine months compared to six months
21:20compared to three months
21:22the earlier the antibiotic is
21:24administers the higher the incidence of
21:26certain diseases or conditions later in
21:29life like allergy eczema atopic
21:32dermatitis somebody’s while
21:35an immediate so for just a few months of
21:38the laying the introduction or the use
21:40of antibiotics we see these diseases
21:43decrease and it’s probably because these
21:46antibiotics kill bacteria and get the
21:49earlier you lose of bacteria that more
21:52damaging it can be in that manifest as
21:54problems in the immune system and then
21:56conversely we see some evidence showing
21:59that the earlier one uses probiotics the
22:02more helpful they can be in fact there
22:05was one very interesting study believe
22:06in type 1 diabetes that showed us his
22:09children use and I’m sorry probiotics
22:11probiotics before 27 days of life to
22:14prevent it greatly decrease the
22:16incidence of type 1 diabetes later in
22:19life which is the other means form of
22:21diabetes or as if the chromatics were
22:24used later than 27 days of life
22:26it didn’t have that effect so it seems
22:28like the the good things are even better
22:30if they’re done earlier like probiotics
22:32and that bastings are you can worship
22:33their done earlier like antibiotics
22:36wow that’s amazing that’s amazing thank
22:38you also talk a little bit about thyroid
22:41health go into that a little bit would
22:43you know when somebody looks at you said
22:45what somebody starts to look at fatigue
22:46or they go on the internet they started
22:48the first thing that’s going to come up
22:49it’s probably gonna be there by Reuters
22:51that is that true is that not true
22:54well it’s certainly I think there’s a
22:56lot of fiber information out there on
22:57the internet and rightfully so i think
23:01we can improve a bit upon the standard
23:04conventional thyroid care paradigm but
23:08also unfortunately I think a lot of this
23:10is this kind of just marketing to what
23:14the common symptoms people are suffering
23:15with our and what condition most
23:18logically is associated with those
23:20symptoms and so you unfortunately see a
23:23lot of kind of marketing type siren
23:26information on the internet and I think
23:27it’s although intention but it’s just
23:29important for the healthcare consumer to
23:31do not get overly swept into some of
23:34these things because in many cases i
23:36found that what looks like symptoms with
23:40hypothyroid are actually underlying
23:44problems in the guys that haven’t been
23:45addressed not
23:47and yeah there’s a lot to say here at
23:51the office a few maybe broad structures
23:53for the audience that can be helpful
23:54social type of hypothyroidism manifest
23:58at the number of symptoms that are
23:59nonspecific but a few of the symptoms
24:02are fatigue depression waking feeling
24:06cold thinning hair maybe you can also
24:09include that constipation
24:11so the broad array of symptoms that most
24:14people are probably going to have at
24:15least some trouble with some point in
24:17their life and so when they going to
24:18innovate start looking things up it’s
24:20pretty easy that they can arrive at
24:21fibre is a potential culprit
24:24now there’s maybe two ways we can look
24:27at mr. someone who has Frank
24:29hypothyroidism and then they go to their
24:31doctor they do a blood test and their
24:34hormones come back off their TSH is high
24:37because fire is stimulating hormone
24:39which is the harmonic motion the brain
24:40to the thyroid gland tells us that we
24:42gonna make hormone and then that home
24:45actually comes out of the thyroid gland
24:46the t4 is actually low and and so that’s
24:50a pretty straightforward diagnosis and
24:53these people oftentimes are pretty much
24:55all the time we need to go on to some
24:57type of thyroid hormone and likely like
24:59a rockstar simulator are typically used
25:01and for some people that takes care of
25:04other symptoms the lab work goes back to
25:06normal and everything’s fine
25:07ok there’s a subset of people that go on
25:11medications and their lab work becomes
25:14normal but they don’t really feel any
25:16better
25:17yes many times these people also have a
25:20problem in the gut that’s causing
25:22symptoms that look like hypothyroidism
25:24and you know they have addressed
25:26hypothyroidism technically with with
25:28medication and their their lab work
25:30looks normal
25:31the symptoms that were being associated
25:32with that hypothyroidism haven’t
25:35responded because there was another
25:36factor present which is a problem that
25:38gut that was causing are also
25:40contributing to the fatigue or the
25:42weight gain and addressing that enables
25:45them to finally respond and the reason
25:47why I make that distinction is because
25:50sometimes people them end up doing what
25:53I did which was going on all these
25:54elaborate supplement program to try to
25:57almost find tweak their
26:00level of the thyroid hormones but the
26:02problem wasn’t really a fiber comment
26:04itself was other issue and that got that
26:07was manifesting as problems that look
26:09like the hypothyroidism
26:11so really the gut is starting to really
26:14be the main culprit in a lot of these
26:16diseases that we’ve been attributing to
26:18other organs and things like that and a
26:20lot of the cases yeah and it’s not to
26:22say that the panacea and it’s the only
26:24thing that you should do but to prevent
26:26someone from barking up the wrong tree
26:28and doing additional that’s a thyroid
26:30testing and fired or vitamins and not
26:34meeting them and not responding and
26:36wasting time and wasting money i come
26:38back to my no initial recommendation of
26:40start with your diet and lifestyle if
26:44after improving your diet and lifestyle
26:46you don’t feel a lot better have a
26:48thorough evaluation to that is probably
26:52the most you know common thing that I
26:54see is contributing to some of these
26:57symptoms and then treat that problem and
27:00evaluate if there are symptoms still
27:01there then move on to something else but
27:03i would make that they got workup and
27:05improving the health of one’s got right
27:08after the diet and lifestyle pieces
27:10dr. Russo our show is about looking for
27:13the holy grail of Health writing
27:15probably you’ve answered that but but in
27:17in this respect if we were in search of
27:19that holy grail what would you say it is
27:21it is this what you’re talking about the
27:23gun
27:23yeah in my opinion I think for for the
27:27majority of cases it would be the guys
27:29it’s not a fancy and I don’t want to
27:31paint a picture that if someone has a
27:35bank disease diagnosis by their
27:37documentation disregard that and stop
27:38seeing their doctor and just looking to
27:40the gut but it should be a fundamental
27:43part of someone’s endeavor to try to
27:45improve their health definitely and dr.
27:48you said also before that they would try
27:50they should improve their their diet you
27:52know in their lifestyle
27:53what like what you mean by that would be
27:55how would they do that somebody that’s
27:57eating the regular sort of American diet
27:59what would they change or what would be
28:01the right direction to go on whether
28:03there’s a couple diets that I think are
28:05you know worth experimenting with and
28:07how i would use these further for the
28:09people listening to this
28:10would be trying to diet for two to three
28:12weeks if you don’t notice a market
28:16improvement how you feel that’s playing
28:18out the right diet for you and I’d move
28:19on and there’s probably two diet I’d say
28:21to try the first would be the Paleo diet
28:24people may have heard of this is also
28:28sometimes called the caveman diet or the
28:30hunter-gatherer diet but it’s
28:32essentially just eating a diet of foods
28:35that when we were living as
28:37hunter-gatherers we’d be eating mean if
28:40you couldn’t hunt it fish it forage it
28:43then you don’t eat it so that really
28:45limits you to healthy cuts of meat and
28:48fats and fruits and vegetables and nuts
28:50and seeds and nothing processed and just
28:53a natural wholefoods diet and it’s very
28:55easy to search on the internet and find
28:58a food list for the Paleo diet and
29:00follow that and it removes again
29:02essentially processed foods but also
29:05things like grains which can be a
29:07problem for many people and dairy which
29:09can also be a problem for many people so
29:12that can be pretty remarkably helpful
29:15and just a quick side note is really
29:17unfortunately everyone smile you see
29:19some nutrition Association kind of
29:22bashing the Paleo diet as if it contains
29:25maybe too much fat or too much protein
29:27and you know I i just wrote a book on
29:31the microbalance and a lot of this and
29:33so we went through a pretty intense
29:35review of the literature and we do have
29:37a number of studies that put people on
29:40two different diets to compare them to
29:43see which one would healthier who’s most
29:46most diets relative to the standard
29:50American diet are going to be helpful or
29:52how helpful but if we were to compare
29:55one healthy diet to another healthy diet
29:57and kind of a head-to-head clinical
29:58trial then we can start to say well
30:00which diet is healthier and we’ve had
30:04these trials done when we compare the
30:06Paleo diet to more traditional kind of
30:09heart-healthy no higher carbohydrate
30:12lower-fat type diet sure and pretty much
30:15across the board the Paleo diet seems to
30:17have the edge and this this research is
30:20mostly focused on metabolic conditions
30:22like
30:23metabolic syndrome and type 2 diabetes
30:24and overweight but you know we do have a
30:28number of trials that have looked into
30:29this and show the Paleo diet have a
30:32slight edge both eyes are helpful but
30:34the Paleo diet seems to be slightly more
30:36helpful and so I just offer that to
30:37people because depending on you know who
30:41you are who your friends are and what
30:42they’re reading you may hear people say
30:45I don’t do that p of diet i read
30:46something on a Facebook post from this
30:48nutrition Association that appealed is
30:50very unhealthy for you and unfortunately
30:53that’s really not based in science it’s
30:55based in dogma i think which is in that
30:58argument image from some of these
31:00interesting associations were very
31:01vested in the kind of low-fat high-carb
31:06dietary approach when you get helpful
31:08but they didn’t they don’t favor very
31:11end they have been very resistant to
31:13this different type of diet which is a
31:14paleo diet which will have a little bit
31:16less carbon a little bit more fat
31:18relative to the other diet and rather
31:21than looking at the information
31:23objectively and saying well I was
31:26trained as a classical nutritionist to
31:28recommend this diet this you know this
31:31lower fat higher carb diet but now I see
31:34this new diet coming into the scene
31:36called the family of that let me see
31:37what the evidence shows and i’ll update
31:40my opinion accordingly instead of that
31:42happening sometimes unfortunately what
31:44happens is people just dig in their
31:46heels ahead and make sure they don’t
31:48know this this is the way we’ve always
31:49done it and so we’re going to fight this
31:50so not to get on too long of a tangent
31:53but just for people listening if you are
31:55objectively looking at the science side
31:57I don’t think you can really say that
31:59the people who die isn’t any way to
32:00perform an unhealthy diet and certainly
32:02it’s was a two to three-week trial we
32:04evaluate how you’re doing and then if
32:07it’s working for you stay with it is not
32:09consider a different diet and this by is
32:12probably better for people that have
32:13lots of digestive symptoms like gas
32:16bloating good reflux heartburn
32:18constipation diarrhea loose stools
32:21this is known as a low fodmap diet s.o.d
32:24maap and essentially the little fodmap
32:29diet limits types of carbohydrates that
32:33feedback teria remember how we talked
32:35about
32:36bacterial overgrowth being common in a
32:38lot of these estimations yo that would
32:41make sense that if you ate a diet that
32:44limited food that feedback teria you
32:48would then in effect kind of star of
32:49those bacteria that material we’re going
32:51to get more of the good bacteria than
32:53the bad ones you’re right in a sense so
32:56what this low fodmap that will do is it
32:59will it won’t really robust we feed
33:01bacteria and we’ll start of this
33:03overgrowth and it can be very helpful
33:05there’s been a number of clinical trials
33:08even even science a level above a
33:10clinical trial which is known as a
33:12systematic review and or a meta-analysis
33:15which is like your gold standard
33:17top-shelf scientific support has shown
33:19that this little five-minute I can be
33:20very helpful for those with IBS ivd gerd
33:25reflux so that would be done another
33:30option that you can try for about two
33:32weeks and if either one of these Giants
33:35are going to be helpful for you you
33:36should be able to feel some improvement
33:38at least by the first week or two and if
33:40it works for you keep going with it if
33:43it doesn’t try one of those other two
33:44diet so that’s a diet pieces and
33:47lifestyle you know get some exercise a
33:49few days a week make sure your sleeping
33:50at least 17 hours a night drink water
33:53take some time for relaxation there’s
33:55some of those basics but they’re so easy
33:57to forget it works at least click
33:59absolutely where the world is today
34:00absolutely dropout doctor who shows that
34:02advice is phenomenal
34:04how would people find out more about
34:05your book how they find out more about
34:07you so they go to my website that’s
34:10where they can kind of plug into
34:11everything we do have a believe is 25
34:15pages a 25-page look it’s a free
34:17download is called start with the gut
34:19and I kind of outline some of this that
34:21we’ve been talking about like I want to
34:22peel your diet a lot 5 map that may
34:24explain the connection between that got
34:26everything else and then they can also
34:29plug in to be notified about my book
34:31when it releases to the website also the
34:34website is just my name which is dr.
34:37show that calm which is dr r us
34:41cio.com dr. usha thank you so much for
34:45joining us sir was awesome and the list
34:48is going to get a great deal out of it
34:49sir
34:49and apply there thanks so much for
34:51having me this episode is sponsored by
34:54New Jersey Foot and Ankle Center in
34:57Oradell New Jersey remember when you
35:00have a foot problem you’ve got a foot
35:01doctor in the family weekend and evening
35:04appointments are available call us at
35:072012 619 445 once again that’s 2012 619
35:14445 thanks for listening
35:16check out the show notes / as dr. dance
35:18be stopped if you’re loving the show
35:21head over to iTunes and leave the review
35:23and we’ll catch you next time
35:26voice-overs for this episode were
35:30provided by Randy Ramos jr. to see and
35:34hear more of his work visit Randy Ramos
35:37jr. dot-com junior dot-com junior
35:40dot-com junior dot-com

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