Listen Now

https://youtu.be/dKFgEdazq4M In this segment of Functional Medicine Back to Basics Dr. Rutherford discusses the thyroid and its roll in chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi Dr. Martin Rutherford here in the continuing series of functional medicine back to basics, and for those of you who have not tuned in to functional medicine back to basics. Before we are probably three or four months into a series of how to attack the chronic conditions that walk into most functional medicine, practitioners today – and I am presenting the ideal – seen the classic scene, the scene that was originally put together as how to attack a case From functional medicine, we have what we ‘ Ve talked about the basics we’ve talked about blood sugar, oxygen godwe, you can go back and you can look at all of those things just to let you know, because some I’m, going to refer back to some of that, Especially today and and we’re, going to continue on now with thyroid okay, I guess the point I’ll. Make here to those of you who have not been watching – or those of you have been watching – is that we’re finally getting the thyroid, and I think, one of the most common conditions that walks into our office is thyroid and my mentor dr. Crossan was the doctor who dust it off mr. Hashimoto findings from 1902 and said: Hashimoto’s is causing the vast majority of thyroid problems, and indeed he was correct, and that was years ago when nobody thought he was correct and those of us who Knew him had a strong suspicion, he was correct and we were using his his knowledge in his findings and the challenge back then was people would come in. I was probably 15 years ago or something like that and people would come in and say. Well, I got tired problem. I went to the doctor, it’s, not working. All my numbers are normal and I got all the symptoms and what do I do and and and I would start to walk them through what it meant to have a thyroid problem in today, Society, which is enormous, ly more elaborate than what’s. The newest supplement before that, because I don’t want to take the medication, and the answer was was there is no supplement for that, particularly you have to go through all the steps that we’ve gone through in the back-to-basics emotional Messaging protocol see which one the patient’s, have relative to different gut functions and bacterial infections and blood sugar or fluctuations, and these things and and all of those great inflammatory responses, and you have to go through all those first that didn’t go over very well by the way. Look those patients they’re, like I just came in here for my thyroid, and I was like this is rough now. The Mayo Clinic says that 85 to 95 percent of all thyroid problems or Hashimoto’s, which is the reason that we have done everything else first and it’s. The reason that a functional medicine practitioner should attack a thyroid problem in a certain fashion, so I’m. Not going to go through this is thyroid is what it does thyroid thyroid controls your metabolism, and it helps with calcium metabolism through through calcitonin through through working with the parathyroids, that’s, what it does if your thyroids working you have energy. If your attire is not working, everything slows down everything you put on weight. Maybe your hair starts falling out and you maybe get constipation. Maybe your gallbladder stops functioning as well, because because, when the thyroid goes down, all the receptor sites from thyroid hormone and all of those areas go down that’s. What thyroid does that’s, that’s? The extent that I’m going to get into the physiology of thyroid what I’m going to talk about, I was thought I was thinking about this earlier. I’m gonna talk about how I process a thyroid. In my mind, again, when you look at a book about thyroid – or maybe even some stuff, you see on ly about functional nonsense here’s, the thyroid here’s. How you do this, you give them that supplement, and it is it’s not like that for the patients who come in here anyway, because the vast majority of people come in here have already been everywhere and they’ve been their Doctor or they’ve, driven them crazy. There’s already. Symptoms are are normal or okay, but their numbers are off. So the doctor gives the medication to screw them up or vice versa. The numbers are okay, but they have 25 out of 25 symptoms of Hashimoto’s thyroiditis and the doctor, doesn’t know what to do for him and because and then gives them a medication, and that’s, gruesome or It doesn’t, do anything to them or any variety of things. So this is. We’re going to talk about thyroid. I’m gonna. Maybe do a separate one on autoimmunity because to me thyroid and autoimmunity or wan na in in the in the in the practical clinical world it’s almost always about automating. So let’s. Talk about that! Let’s! Talk about thyroid by the way when we first started doing videos on thyroid it had to be. I don’t, know seven eight nine years ago, and so we have a lot of videos on all the other things. I just told you, I’m, not going to talk about, and you can look at them up on power. He’ll talk calm in the early ones, you’ll notice. You’ll, actually have to look up hypothyroidism. The reason that they’re under that under the heading is because nobody was looking for Hashimoto’s back then, because nobody knew they had it. So we would talk about hypothyroidism and then people would check out our hypothyroid tape, arte for presentation or whatever, and and they’d, go like you’re talking, you’re. Talking about Hashimoto’s, it’s. Like I looked at, I have hypothyroid it’s like no. You’re like washing my toes so and then the later ones are about Hashimoto sweet. I I don’t, think I’m, exaggerating if I say we probably 20 hours or more on on on thyroid online. So you can look those up for more details, but here’s, kind of how it goes with me. Okay person comes in and it’s classic they’re. They’re, holding their thyroid. They’re, holding their thyroid labs for me to show me what they are and they’re, obviously not very happy where they are most of them have classic symptoms, and the vast majority of people who come in here have Hashimoto’s, it is a rare rare day when I see an actual hypothyroid case and and and and and those are the the first challenge is to figure out that right there, okay, but really now again, I’m, just giving you clinical experience Here, because you can look at all the other stuff elsewhere, okay, but really when a person comes in here and they have hypothyroid that’s, usually going to be, they have hypothyroid. They’re, taking the medication it’s, not working that & # 39; s, usually be going to be there’s there, several pathways there’s like 21 different pathways between your thyroid making thyroid hormone, and I’ll, go into a little of the science when your thyroid makes thyroid hormone. It is makes mostly like 93 to 97 percent of what it makes is in active hormone. Doesn’t. Do anything it’s. It’s inactive, so it can be flying around your system attached these little proteins and fly around your system all day long and it never attaches to anything to create a physiological response, meaning it’s, not gonna make you it’s, not gonna give you any energy until it becomes an active form of thyroid so and that active form is called t3, so the inactive form is t4, the active form is t3, and most of your thyroid medications by the way are t4. We’ll talk about that, so so you’re. So how does that happen? Okay, there’s. There’s 21 different things that can screw. That I mean I’m, not exaggerating. I’m, saying specifically 21 different pathways that we know of that can screw that up half of the drugs that people are taking that come in here people come in here. Half of the drugs are taking for these six other things that they have, that they’re. Taking drugs for can be screwing up that conversion factor that’s called conversion; okay, the big things that screw it up are. However, most of the conversion takes place in the liver, and so so, if you have a fatty liver, if you’re, not clearing your liver, if you have a golf lap and bad gallbladder that’s, backing up into your liver, you’ve have cirrhosis you drink too much. All of those things are gonna cause you to not convert your thyroid hormones, so you! So, even if you take the thyroid hormone, which is t4, it still has to be converted. Okay, so so in my world I’m. Looking at those things right off the bat I’m. Looking first of all, do I have I try to not just say everybody’s got Hashimoto’s. I try to make sure okay is this person actually have a hypothyroid? They wouldn’t like the five to ten to fifteen percent of people who does not have Hashimoto’s, who has a thyroid problem, and, and so, if that’s the case, I’m. Looking for these pathways, second pathway is the intestines if the person that has bad intestines, if they have poor hydrochloric acid in your stomach, if their gallbladders are decreased, if their pancreas is off, if their digestive enzymes are off, if they got information on the inside of Their intestines, all of that is going to contribute to an environment where the t3 cannot be converted. You cannot get the t4 to t3, so those are Biggie’s, so person comes in. They’re here. They’re interested. They’re hypothyroid. They’re, taking their their their medication. It’s, not working. They’re. Looking for supplements and a lot of you’re gonna say there are supplements for that now and there are, but we’re gonna talk about that, because that’s, not the classic way to start falling in Love with giving people supplements right away. Okay, for those two people, the issues fix the gut fix the gallbladder fix the fixed, fixed intestines and all the sudden they’ll, start converting properly other the other most common things that convert that caused you to not going to work properly. Are stress. Stress hormones, great inflammation, that alters cortisol, cortisol screws up your blood sugar, and that brings you to the next thing that screws up your conversion of t4 to t3, which is your blood sugar. So you can either have blood sugars just totally screwed up, because you’re eating like crap and and because or you’re trying. You know whatever you know you’re, all the things, your blood sugar drinking eating, eating too much sugar eating too many processed foods and all that type of stuff. So so the so the blood sugar is a big deal that will cause you to not be able to convert when that’s fluctuating the stress is a big deal. Stress, inflammation from stress will cause you to not be able to convert right. For many reasons. I won’t get into the whole physiology of that. The stress affects your pituitary gland. It stops talking to your thyroid, your thyroid yeah. Then. Maybe he can, or maybe can’t even make the thyroid hormone. It’s supposed to be, and then, when it gets to the receptor sites in your body, where it’s supposed to get in it can’t get in because of stress inflammation is screwing that up on top of Screwing up your blood, sugar or stress is a big reason that you can’t convert your thyroid hormones another than the other. Two big reasons that I see they come in here are hormone replacement therapy and I’m, not talking thyroid hormone replacement therapy. I’m talking in men who take testosterone and women who take estrogen. These hormones interfere with you with what’s called your sex hormone, binding globulin, and they also a fear, interfere with whether with the earlier thyroid, binding globulin and you can’t, and these are. These are proteins that actually carry this stuff around, carry the they carry the thyroid hormone from your thyroid to the liver into this and to the intestines and to the cell sites, and and and and without getting again. You know it into the extensive chemistry of that. Indeed, the conversion just doesn’t happen. So those are the main things that we see come in here and drugs like I said, the drugs right it’s. Not you look. I have literally I don’t have right here. I should have had it that would have been fun. I literally have three pages. This is enough. This is not it, but I have. I have three pages like like full of all the medications, because I can’t. Remember them all all the medications that screw up somebody’s thyroid. So first thing I do is this: I look in look at those medications to see if they’re on those, because I know that that’s going to be an issue. So this is usually what’s walking into the office, so it’s, not a matter of. Do I take google for my hypothyroid GU GU L. Do I take Google? It’s? No, it’s. It’s, it’s. It’s because it’s, not gonna work anymore. Then then, the medication is going to work, so this this is. This is even that’s even height. That’s hypothyroid! Okay, now you throw Hashimoto’s. On top of there and Hashimoto ‘ S is very, very complex. My mentor does a three-day twenty five hour seminar on the thyroid, okay and I go to it every year and I’m, always amazed that I always think I’m. Just gonna go get some CEUs and, and I get there and the next thing I know three hours later. I got 41 pages of notes that I’ve, just written out from what our understanding has advanced relative to autoimmunity and particularly Hashimoto’s just from the last year or two. So it’s. It’s. An evolving understanding of what’s, going on with your thyroid, and so so the thyroid is, is autoimmune. Thyroid is in arc in our practice, my god, it’s. It’s, 90 % to 95 % of what walks in the door. Mayo Clinic says it’s 85 to 95 percent of all hypothyroid diagnosis, whether you’ve been diagnosed correctly with it or not. So it’s very common. It’s, extremely common. The the thing about the hypothyroid. Is it’s, not functioning right and most of the time it’s, going to be those conversion factors that I just got done talking about? But when you have Hashimoto’s, that’s, an autoimmune attack on your thyroid. So this is your thyroid. This is the immune system. Your thought, your your immune system is, is hitting your thyroid, okay and, and – and so this really is the problem at least initially. Okay, there are things that you first need to determine. Does that person that Hashimoto said that’s? Not always that easy, because here’s, the nuances of it? Okay, the nuances are this here’s, a problem? Okay, it’s. The immune system, somewhere along the line. Something has happened there’s, been a stress there’s been a trauma there’s been an accident, so somebody had their third child and their whole life fell apart. They got an overwhelming infection, they got mono and and all their physiology fell apart. Usually what has happened is under those circumstances. The immune system is flared up and it’s N and for some reason you have a genetic propensity in your DNA to allow your thyroid to get attacked and it attacks, but some people it just attacks a little bit some people. It attacks a lot some people, even though they get a viral infection or taking really really good care of themselves and or eat and writing or exercise. And then they get a positive mental attitude and and and this attack is very mild and it doesn’t even cause any symptoms. You don’t even know you have it that’s called silent, Hashimoto, silent autoimmune attack. Then, as this attack keeps going, maybe the person goes through life, maybe their stresses. Maybe there’s ups and maybe there’s financial stresses. Maybe there was relationship stresses maybe you know. Maybe there’s. Maybe there’s, national political stresses, like all the things that people are going through, right and and and and those stresses will cause that immune system it’ll cause inflammation to keep attacking attack more and now what happens is that person Starts getting symptoms and the symptoms by the way are classic symptoms are hypothyroid. Are I’m tired? I’m tired all-time. I’m sluggish. I can sleep all I want I’m. Never I never feel like. I have energy. My hair is falling out. I’m, putting on weight for no reason at all, and I’m still exercising and I’m still eating right constipation. We could have hair thinning and that outer third of the eyebrows hair scalp and face genitals. You know having your hair, get thin or fall out dryness of the shins, particularly but dryness of skin dryness, of shins mental sluggishness, mental sluggishness edema around the ankles. I think those are pretty much the main ones for like hypothyroid and – and I mentioned hypothyroid, because, as you’re, getting beat up your thyroids getting beat up, you initially go into hypothyroid. I mean it’s, beating up tissue. That’s, making thyroid hormone, and you’re as kind of a like. You know like a boxer getting like beat up and and it starts losing its ability to make thyroid hormone, and you get all the hypo symptoms. But this guy is the guy that’s, doing it, and so eventually you start getting hypo symptoms and eventually you start getting hyper symptoms and the number one hyper symptom to me. That alerts me to the probability of the person sitting in front of me is Hashimoto’s. I get heart palpitations for no reason at all. Now, heart palpitations, the person usually has been to the cardiologist cardiologists check them out, told them everything’s. Okay, life is good. You’re, just stressed, and indeed they may be stressed, but heart palpitations is different from the type of feeling that you get when you’re stressed, and these heart palpitations come and go for no reason at all, and and they can Actually flare up and cause anxiety and they can cause heart palpitations and we’re trembling, increased pulse at rest, nervous and emotional night. Sweats insomnia people get night sweats, they think they got a hormonal problem dip and, in rare cases, difficulty gaining weight and and and and and now that’s. When you’ll have to look up, we have a. We have a presentation on the thin Hashimoto’s, patient most Hashimoto’s. Patients are heavy, so it’s, so some people call it autoimmune Ottoman hypothyroid. Some people call it Hashimoto’s hypothyroid because you get the hypothyroid stuff first, so we went from silent autoimmunity. I haven’t forgotten over to here to where we now have what’s called reactive autoimmunity. You’re, getting it. You’re, getting more damage to the tissue. All the sudden, you’re starting to get all of these symptoms right. You go to the doctor and everything’s, normal everything’s normal it’s. Wonderful but doctor. I have all of the symptoms. The doctor Rutherford chest cut and talking about every one of them and, and he says I have Hashimoto’s and and the doctors are well, he’s like a jerk. He doesn’t know what he’s. Talking about you know and and and what we found over the years was. It was legitimate to go by the symptoms, because the symptoms will come first before you start getting enough tissue damage for it to show up on the on the testing and then eventually, so so that’s, where a lot of my patients are when They come in here it’s. Like I got all these symptoms. I went to the doctor. He told me I’m normal. I go. I’ll, see in six months. I’m, like my hair’s falling out one bite, you know like that, so this is this is this is my job. This is what I do every day. This is. This is what I see and then the next thing is full-blown active autoimmunity and that’s, where you’re, getting all the symptoms, but now you go to the doctor and they go. Oh, your thyroid hormones are all over the place and maybe they check your prostate medicine. Maybe they don’t. Maybe they just give you something for your hypothyroid symptoms and they think that your heart palpitations anxiety and we’re trembling. Are that you’re just stressed, and and and and it’s more and more doctors are starting to look for Hashimoto’s, but here’s, the thing most people don’t. Well, let’s. I’ll, get to that in few minutes. So so more and more doctors are starting to look for Hashimoto’s and more and more doctors are starting to find it, and so the challenge there is sometimes doctors will say we don’t know whether you got it or not, Because there are varying ranges still on what’s, hashing motifs, and what’s not? And so when we started out the range you check these certain antibodies, they’re, called thyroid, peroxidase antibodies and anti-thyroid gamma globulin antibodies. And so basically, you check these things, and maybe they come up normal now in our world, since we were have been doing this since so long before anybody even thought she was real. The symptoms, weren’t enough for us to say we got to treat you for autumn unity and dampen the immune response and see what happens with your thyroid and and that’s. The ultimate takeaway from this today by the way. But what happens is you know? Usually there’s, an endocrinologist involved, and, and so there can be a little bit of a tug-of-war there, because the endocrinology so go well. Your your your, your thyroid, gobby and antibodies came up normal. So you don’t, have it or even better, they’ll, come up positive and they’ll go, oh, maybe you have it and then the next time your your test says normal and they ‘ Ll say you don’t, have it so I’m, not quite sure why this is a huge confusion today, but it’s, but but the reality is is is if you’ve gone to get test Board once you test positive one time, you’ve got it because what happens is the antibodies that tag anybody’s. The way it works is there’s, these antibodies in your immune system, and they actually tag what they think are bad guys. They tag bacteria to get killed by your immune system. They tag the viruses to alert your immune system to kill the virus. Unfortunately, four people have autoimmune disease, they’ve, tagged, an organ and in this particular case it’s thyroid, so they’ve tagged the thyroid Oregon and and when they tagged it when they’re up. When the antibodies are up, because you’re stressed because you’re eating like crap, because you got a cold or something like that, this really starts happening when they go down there’s less of an attack, but when They go down, you can test them and they can look normal on the test and and then the doctors go well. I I don’t know it’s. One day it’s positive in one days negative. So we don’t know where you got it. If you ask an immunologist, they’ll, say you have it you have it once you get the positive test, you have it again. I started going there in two ranges when we first got into this. The range for Hashimoto’s and to be positive, was zero to 100. This is the next confusion. Okay, then it came down to 64. Now our group and and my mentor after experimenting with a lot of Hashimoto’s. Patients, among maybe 35 to 50 of us, like practitioner, said it’s somewhere between zero to eight and zero to ten so pH. So it came down to third 64. Then the range came down at 32. I’ve, seen some ranges in the 20s and the 16s Mayo Clinic today says the range is zero tonight and in having treated people from around the world there. I think Belgium zero to five and there are some other European countries where it’s. It’s, zero to seven nine ten, so everybody’s got their little thing relative to – I guess their patient population here, but the reality is is so I just go to. Let me oh clinic because everybody goes Mayo Clinic okay, so so Mayo Clinic says zero tonight, and that was no small thing for them to come down and say that, but still in my town here in Reno Sparks area and Northern Nevada, I mean you can go To you can go to all the different labs and one of the one of the hospitals here has two laps one lab it’s, zero to nine and the other one is zero to thirty. Two, so point is everybody from nine to 64? Is being told that they don’t have Hashimoto’s, even though they have all the symptoms. So I said all that to say this so high, so that’s. Hashimoto’s, so first you got to figure out this person. Actually I’ve hypothyroid. They have silent autoimmunity, they have reactive autumn unity, they have just full-blown autumn unity, it kind of it kind of dictates your prognosis, okay, and from this perspective, a lot of people come in don’t want to take thyroid medication and they’re like alright, I don’t, take any medication. I’m like okay, I’m. With that I mean I’m, like like less medication. Better thyroid medication is kind of unique in this sense. If you can, if you have a thyroid problem and you can get the right dosage of medication, the side effect is your body works really well, okay, if you have too much, are you too little that’s, not good, because you’Re gonna either have hyper thyroid or you’re gonna have hypothyroid symptoms and for the Hashimoto’s patient, it is impossible almost impossible to dose that properly. Until you’ve done all of the other things we’ve talked about in all of the other videos, those of the of those conditions that are unique to that particular person. So if the person got sasebo or if the person’s got a bacterial infection or if they got h, pylori or if they got chronic stress or if they got gallbladder problems or like hydrochloric acid. Some all of those things create inflammation all those things raise cortisol more inflammation and then the next thing you know that causes a poor conversion factor and in the Hashimoto’s, patient it also flares up their thyroid. Are the attack against the thyroid? So you have to go about it that way. So in the beginning, you can imagine that people coming in here looking for like some herb or botanical now we have Peters whole screening and this therapy will get them walk out. Look what are you talking about? It’s, my thyroid it’s. Like I know my gut, my bad gut is like has nothing to do with this. I mean you know that I don’t get that anymore. Today there’s enough online, where a lot of you’re, probably saying why he’s even talking about this. I already know this stuff, but I mean, but I get a lot of people in here. They’re way, more educated about this stuff than used to me, so so that’s been nice, so so, okay, so so we figure out that you have Hashimoto’s or you have or you have hypothyroid. Okay, I put the IRA, it’s, easy frankly, one of the main reasons I don’t get hypothyroid. That often is because they’re. The people who take the medication and they’re Lou life – is good. Everything is wonderful. My weight is going away. My hair is growing back Mary. Why don’t you take this medication. Look at how wonderful it was for me and Mary takes the head of medication and just about blows her head off because she’s got a hyper hyper. She mutters hyperthyroid. So these are the things that that that you have to to understand about your Hashimoto’s. It’s, it’s, it’s. It’s. I’m, doing the thyroid very late in this back to basics protocol, because this is the way it goes. So when somebody comes in your Hashimoto’s like oh another thing, do you want to know? So if a person comes in here with Hashimoto’s and they have not taken any thyroid medication, so thyroid medication is, is the substitute it’s artificial. It’s, hormone replacement therapy, you put it in okay, you put it in and it and and now you have enough t4 flowing through your system. It may not be getting converted, but you have enough getting going through your system. That tells you a part of your brain that assesses these things called the hypothalamus. It says Doc & # 39; s, got enough thyroid hormone in them, and you and and that tells the pituitary gland at the master gland, to tell your thyroid to kick back and take a vacation and it doesn’t have to do anything. It doesn’t have to produce, because I don’t know where it’s coming from, but there’s plenty of t4 running around in here. So so kick back until we need you well, if you keep taking it, you’re, never gonna need your thyroid and then it atrophies and then it and then it can’t make tea for my guideline when people ask me, Am I gonna have to take thyroid. Medication is if they’ve been taking 50 milligrams, maybe 50 milligrams like the borderline, but but at the bottom of ends of the range, fifty milligrams or more for two years or more. It’s. My observation, that’s, a lot of there’s, not in any books or anything it’s. My observation that that person is probably gonna need hormone replacement therapy for us. They’re like okay, if they are not taking any thyroid when they get in here, and they’ve just been a trooper and suffering because they don’t want to take medication when they didn ‘ T. Think their doctor knew what they were talking about or they are or they’ve been taking it for like less than two years and it’s been fifty milligrams or less. I’d, say seventy percent of those people their thyroid ends up working again. It hasn’t yet atrophied. The point we can’t work and and and most of those don’t have to take a medication. But to me honestly, it’s, not about taking a medication or not with a thyroid, because most of ours are Hashimoto’s and it’s about. Do we get the let’s? Let’s, get the inflammation down. Let’s, get the food sensitivity, figured out, let’s, get the toxins figured out. If you have them, you know it. Let’s, get figured out what’s, causing the inflammatory responses in you and let’s, see what happens now at that point. At that point now, before you go to medication, you can use herbs and botanicals, okay and and and and there’s and there’s, different herbs and botanicals for it there’s herbs and botanicals. That’ll, just get your thyroid to start making tea for there’s other herbs and botanicals. That will help your conversion factor. They all have nutrients in there that will sensitize receptor sites so that they take your thyroid hormone in on the cells they have herbs, but they have herbs and botanicals in there. That’ll, get your your liver working better or your pancreas working better and and I’m. Sorry, you’re in your. Your gut function, working better receptor sites working better, so so, but it’s. The same thing until you get on the other hierarchy better, then you shouldn’t start you shouldn’t start using herbs or botanicals. Yet, okay, because you, if you get the other things under control, your thyroid might just start working. You might not even eat herbs and botanicals for your thyroid, then the next step is use the herbs and botanicals, and if the thyroid is gone, then then thyroid medication, full disclosure. I take levothyroxine okay. My story is, I probably got Hashimoto’s when I was 20 21. I had a severe bout of mononucleosis, I mean like. I was sick for months like three months. I was in bed – oh, my god. It was like sweats and and chills, and I was losing weight and and the whole thing and then even after I got out of it, I was I was a guy that played sports back then I had to miss a whole soccer season and and and my Baseball season that year, wasn’t all that one to put in the record books, to say the least, because I was fatigued for like 14 months. Well, we know now is, is that if you got Epstein, if you get mono it’s caused by epstein-barr virus and it lasts for more than 4-6 weeks. You would probably developed Hashimoto’s back then, so nobody figured out and then I started having a little trouble with my weight and my fatigue, and nobody figured out that I had Hashimoto’s until I was almost in my Earl late Forties and so my thyroid wasn’t coming back, so I take actually take 50 micrograms of levothyroxine and I even take a smidge of something called t3. I’m, not telling you to take these. I’m just telling what I do to give you some reality on like what I think is the reality of Hashimoto’s, especially for the people coming here. Oh no, no, never! Never! Medication! It’s like if I wasn’t taking medication. I wouldn’t, be sitting here doing this. I can tell you that, and why do I take that t3 because I have celiac? I have celiac and – and I have Ottoman gastritis, so I don’t break down the t3 properly. So I take a combination of both of those – and Here I am, my numbers are perfect. Your numbers can be valuable after you ‘ Ve done all that after you’ve fixed your stress after you’ve fixed your intestines after you’ve fixed your your gut after you’ve fixed all that stuff, then your your thyroid numbers actually become Useful, but, prior to all that that TSH, the t3, the T for that the doctors are are using. If you have Hashimoto’s, it’s strong probability. Those numbers are not representative of what your actual thyroid function is. So I think that’s, it I thought any other clinical pearls relative. The thyroid. Again, I mean, like I said, my mentor teaches a 24 hour 24 hour course, over a period of three days on this, and and I’m there, he ‘ S got another one coming up in June and I’m. Either gonna be there or watching it online or one or the other, because it’s. It’s, just it’s, a really it’s, autoimmunity okay, for the vast majority of you, it’s. Automated okay, here’s, another clinical problem, Hashimoto ‘ S is usually connected to a lot of other things. It’s. You it’s connected to autoimmune gastritis, it’s connected to celiac. It’s; connection connected to antibodies against your cerebellum. So those of you who, at the same time you started getting putting on weight, you started getting dizziness and balance problems and and stuff like that. It’s connected to that. It’s connected to autoimmune hepatitis. It’s connected to polycystic ovarian syndrome, all in different in different ratios, but like like them like. More often it’s connected to it’s, a celiac and the cerebellum that’s, a polycystic ovarian syndrome, but the bottom line is: is it’s connected to a lot of things? So if those things come in to me, guess what we have to go through the whole hierarchy right and then there’s. Those areas where you’re having to treat the the the gut and the thyroid at the same time, because the thyroid screw it up to gut against screwing up the thyroid. So you have to attack those both at the same time. So so so so for those of you who are like you know always looking online and you’re doing things. I encourage that because it’s, making my job a little easier with people coming in and having tried things and they haven’t worked or they understand what I’m talking about. When I talk about SIBO. Are it just helps? It helps a lot, but, but you need to understand there is. There is an organization to our system and this this autoimmunity. This has been there’s, a screw things up, majorly and it’s. It’s only it’s, the only last 30 or 40 50 years. I mean I’m, not treating the same patients. Now I was treating when I went to the practice 40 years ago. Yeah people don’t respond as well now as they used to and a lot of it’s. Because of these, these autoimmune problems that people a lot of people coming here, don’t even know they have them. They just know they’re, not feeling well, they’ve tried everything it didn’t work, so so I’m expanding a little bit into autumn unity there, because that’s. What most thyroids are all about, if you go and you I and you go, and you come in here and tell me: well, I got a doctor and he understands Hashimoto’s and and he’s, a wonderful person and she’s, wonderful person and they’re, doing a wonderful job and her sitting here, and they got 20 out of 20 symptoms of Hashimoto’s. I’m asked to plate. Lee tell them that we may not be able to do this if you think that what they’re doing is right, because I’m gonna change, what they’re doing, because you still have all these symptoms, so It’s kind of a unique area, but this is why it’s at the end. So for those of you who have may be frustrated with your thyroid approach from your doctors, I one last bit one last bit. I should tell you this, so if you there are doctors now that are getting more conversing with the fact that person’s got Hashimoto’s, however, they just keep treating at you as hypothyroid. There’s. The next level of doctor who finally goes you know this is an autoimmune problem, and, and there are those doctors who are actually using a little bit of hydrocortisone, which is which is a steroid that you use in autoimmune problems to bring down the information, and it Helps and it helps it because why? Because it’s addressing the problem, it’s. Addressing this, but people will say I don’t, take hydrocortisone rest of my life because it ‘ S got like a lot of bad side effects, which is true. Okay, then, the next thing that they’re doing is they’re, going like okay? I just know what to do with this. So here’s. What we’re gonna, do we’re, either gonna, take it out or radiate it from you. Take it out, radiate it, but this is still there. The immune system is still there and nobody has addressed dampening the immune system. Oh, but there’s, not tissue left. I’m, not so sure about that. Okay, I’m, pretty sure that when people take these thyroids out, I’m willing to be corrected. But I’ve. Seen hundreds of these and I’m, not exaggerating when I say hundred people had their thyroids out that come in, they stopped all the hype. Oh, they sell all the Hashimoto stuff. We put him through the automated protocol and in their symptoms, resolved, okay or improve substantially or whatever, and and and and the same thing with people who get radiated. So I’m, not sure. If the whole thing just doesn’t get radiated, I think they don’t, I just understanding from anatomy courses and doing anatomy and teaching in anatomy labs. In my younger days. I it would be hard for me to imagine that they can get the whole thyroid out without, like damaging other things, so there’s, either still tissue in there or just you got to get it’s just that they have not Addressed it the amine with component of it, so whatever it is, that’s. What I’m saying today, so they’re, more doctors who are recognizing it, but the the ultimate solution for a lot of doctors. They just take it out, just full disclosure. My thyroid is never coming out and unless it’s got cancer. That’s. It it’s not coming out for nodules. It’s, not coming out for undifferentiated cells that they’d, say: oh, we looked in there and did a biopsy and there’s, undifferentiated cells and we don’t know what they are. They’re, not cancer, but we’re gonna take it out. No, I mean I’m, just saying me: okay, so and and and by you know, inference. Maybe I’m telling you. You know what I think, and I tell you what I’m telling my patients, so so that’s, that’s more or less fibroid from a clinical experience perspective, it’s, it’s. It’s, really it comes in the door, it’s there. It’s, an autoimmune case first in a thyroid case. Second and it may get rid of the immune, you may dampen the immune response and the thyroid may just start working again and and – and I gave you the parameters for who that may work for and who ain’t know. But if you, if you do all of that, and you’re still having thyroid symptoms now the herbs, if you do the immune response approach, that would be the back-to-basics of the functional medicine things that we’ve talked to from the Ends of that, and you still have symptoms now, the herbs and botanicals may work, and if they don’t work. Now your doctor probably will be able to dial in your medication to where it works. It’s, complex thyroids, complex and that’s, really what you need to understand so that’s, thyroid it’s, one of my it’s. You know long with the with the adrenals, the blood sugar I mean these are, these are the key players and – and I haven’t – talked about male or female hormone problems, yet we’re going to because they are also, at the Behest of all the other things not because they’re autumn youn for different, but for different reasons. But if you are in menopause perimenopause, you’re having a lot of problems. If you’re 41 and you’ve been told that you’re in that a pause which is not likely the case. Okay, it’s. All this stuff. We’re talking about it’s, always things double you’ll notice. That comes after all, the things we talked about that just affects the thyroid and the thyroid. So, for those of you on hormone replacement therapy that’s, screwing up your thyroid. Okay, you can see there’s, a lot of vicious cycles there. We’ll, be talking about that next time, so, okay, so next time we’ll be talking about hormones. I kind of like that too. I kind of like that, because they kind of complete the cycle when you’re. Doing a full-blown autoimmune case full-blown got case a full-blown. I’m Aang’s, IAT case these types of things and we’ll talk about that so until next time. I hope you enjoyed this. Please give me any feedback. I love, I love the feedback. I’m amazed at how much feedback we get. I we do. I do have someone here who actually looks through all that and tries to sift through them and gives me the questions of like you know what seems to be the most likely things that are popular, and so please, please feel free to. Let us know whether you like this or you know that type of stuff, but but if you get any questions, let us know makes it easier for me to think of topics. So alright, so I ‘ Ll. See you next time. Bye, you Source : Youtube

https://youtu.be/3fCoWF-rRnQ In this segment of Functional Medicine Back to Basics Dr. Rutherford discusses the adrenals and their roll in chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, Dr. Martin Rutherford, we’re here today, continuing the series on functional medicine back to basics, and today we’re, going to go on to speak about the notorious adrenal glands, and I kind of I’m kind of Looking forward this, you could talk about the adrenals forever, but there’s there’s, several things that I did. I several points that I really want to hit, because when I first got into this, I got into it in a different way than a lot of people get into alternative medicine. And I wasn’t brought up on the. If you can’t fix the adrenals, you can’t fix anything much from, and in fact I had a I had a doctor one day. I was sitting here in my doctors quarters and he he was just going into functional medicine and he he was coming over here to see. If we had some extra equipment, we could help him with and, and he looked in the door, it said doc I’m. Going into functional metastasis can’t fix anything. If you don’t fix the adrenals, and I went like oh yeah that’s. True, it’s kind of not true. We already have a presentation online from several years ago on, I think it’s called the adrenals or the wrong target. I mean if I would, if I would edit that I would probably say they aren’t, always the initial target and meaning that my experience with the adrenal glands prior to the then, where have been any functional medicine doctor that you went to well, There was no functional medicine, then any alternative doctor or alternative medical doctor that you went into two things they always did. They always gave you something for your thyroid and they always gave you something for your adrenals. Either they gave you a cortisol boost for your adrenals. They give you a shot for your adrenals. They gave you a supplement support. They gave you something for your adrenals because duh everybody ‘ S stressed out right. So it’s. The adrenals you can’t fix anything because the adrenals do a lot of things. The adrenals are the they really are given their dubai, being called stress, glands, because then it makes everybody think that it’s, all about emotional stress, and certainly it’s about emotional stress that can be about. Eventually, it can be about mental stress, it can be about unhealthy relationships. All of those things can create stress hormones that will or situations where your pituitary glands time your adrenal to put out stress hormones, but it’s, but there’s. So many things that affect the adrenals and so, for example, you you can have food sensitivities. If you have food sensitivities, let me let me step back on this. So what happens when they? How do how the adrenals get activated? Basically, something happens where you either hit the fear center of your brain. We’ll, go with the mental stress first, that hits the fear center of your brain, so that is called the amygdala. So your frontal lobe here goes there’s. Danger I don’t like this. I don’t like that person. I’m, not happy with this situation, and and – and it tells this part of your brain called the amygdala to that and that’s. The fear center, your brain, that we need energy. We need energy because I’m, going into kind of a little fight flight response here or a big fight flight response, and then that amygdala tells the party a part of your midbrain. Your brain stem. Where your fight/flight response neurons are, your sympathetic nervous system is what it’s called to tell your adrenals be to start putting out stress hormones, and then they puts out the stress hormones of it puts out aldosterone, which raises your blood pressure, puts out Glucocorticoids cortisol cortisol has a tremendous effect on your blood sugar. When you’re, a fight flight, you want blood sugar going to your certain parts of your brain, your big muscles in your legs. You want you want going to the big muscles in your and your butt and your thighs and your hand strings everywhere, that you need to fight or flee. Okay, yeah it puts out it puts out up a nephron. It puts out hormones that will that will cause your lungs to cause you to start breathing dilate. Your bronchioles so puts out a number of things. It’s at that point. It literally shuts down your sex hormones and a lot of people. Aren’t aware that their adrenal glands during their productive years or their secondary second sex glands, and for those of you who are female once you have stopped your your productive years and you’ve morphed over into menopause. The baton has now been handed over to the adrenal glands as your primary sex glands, and you cannot make stress, hormones and sex hormones at the same time, and you can maybe see where that’s going okay, so the adrenal glands are highly underappreciated. Okay, if you get stressed and and and and then – and they put out all these all these hormones and and and and so one of the hormones being cortisol when that goes up, that stress hormone will also mobilize sugar from your liver. Okay, you have your store sugar and your liver, mainly for when you’re asleep, so that you can drip it out and keep your brain functioning, because your brain needs blood sugar and when that cortisol spikes up your blood sugar spikes up and eventually It’ll sensitize, your your your receptor sites, to where you end up developing high blood sugar from stress okay. Now most people know that most people know that the adrenal glands or stress glands, and they wear you out, but almost almost everything forget the other hormones for now. Almost everything in your in your physiology, almost anything that happens to your system that creates an inflammatory response. Is going to stress your adrenal glands, so stressing just stresses and just emotional stress it’s like if you’re. If you’re talking in the science world, you know, if you’re talking in the world of engineering there’s. You know they talk about the world of stresses on on beams as they’re building. Buildings here think of stress as like, like that it’s like if you have a bad intestinal problem. If you have leaky gut our air and and and and you start to develop inflammation in your intestines, that’s, going to raise cortisol that is going to and that’s, going to raise your blood, sugar and and that’s going to put a lot of stress on your system. If you have a viral or a bacterial infection, and your immune system excuse me, and your immune system is trying desperately to get that. Maybe so we’re working. Usually there’s, a little inflammatory response with it. First gonna have stress on your dream: glands, because that’s. Gon na raise cortisol inflammation raises cortisol. Cortisol then does its thing: okay, which in which which creates more inflammation and it and and it messes up your blood sugar. If you have food sensitivities and – and we already talked about blood sugar, bio – you’re gonna hear me mention blood sugar – a number of times here, because blood sugar tracks with your adrenal glands. So if your adrenal glands are initially activated and and you’re excited and your stress – you’re, putting out blood sugar. If you do that for long enough, we’re going to talk about that, then what happens? Is your adrenal glands are going to go to in what people like to call adrenal fatigue. Adrenal exhaustion I’ve, heard all kinds of names for it, but that takes a while to happen. It could take 20 years for that to happen, and when that happens, then your blood sugar drops, because you can’t put out cortisol and it’s. Gon na be hard for you to get your blood sugar up. If you have low blood sugar and low blood sugar is a big big problem, you can look at ours. You can look at our presentation on low blood sugar so back to the things that can cause that everything you can. You can have food. You can have food since activities, you’re gonna have food sensitivities, and these food sensitives will create an inflammatory response, and next thing you know your blood. Sugar is all over the place, because your adrenal glands have been stressed. They’re, putting out cortisol, your cortisol is flying up and down and and and I could go on – you cut your left – toe cut your left toe it’s. Stress on your adrenal. Glands pain is stress on your adrenal glands. Those of you are in chronic pain. Those are your fibromyalgia patients, peripheral neuropathy patients, people who are worried because they have a problem. This is now back to the mental stress, so so the adrenal glands they take a lot of hits. Is why the reason your blood pressure goes up is because the adrenal glands put out aldosterone that works with with with some chemicals, in your kidneys and, and that throws your blood pressure off. They should call the adrenal gland glands the homeostasis glands, and they and and and sometimes they should be, the first target and many times they shouldn’t be the first target, depending on how you’re. Going about this. I have a lot of people that come in here and they’ve, been to alternative government medical doctors. I have nothing against alternative medical doctors just for they’re just so you know. So you know I refer to alternative medical doctors for things that are not within my parameter. Okay, we have several of them here in Reno Nevada, where I live, and but I I’m gonna say one of the first things they do is. Is they they give people these adrenal shots? If they’re, you know, drean all fatigue, okay and we’ll talk about adrenal fatigue in a second here’s, a problem with that. I just have one of these. Like last week, so here’s, the problem with that, what they’re saying, is your adrenal gland. What the doctor is saying to you is your adrenal. Glands have been under strained for a long time. From all of these things, I mean our – I mean, like our whole society. Right now is attacking our adrenals, so you know like so from all of these things, so the first thing they want to do is they want to make you feel better because, like a lot of a lot of practitioners or in a medical field, they’re used to like acute care, so it’s like get the person feeling good today. Okay, that’s; fine, but if, if you give a person an adrenal shot and they have adrenal fatigue that adrenal shot isn’t going to bring him out adrenal fatigue because it takes. You could be in an cute adrenal response, which is like the initial response. Where you’re, all shaky and jittery, I can’t fall asleep perspires easily under high amounts of stress weight gain under stress because it’s. Spiking up your blood sugar wakes up tired, even after six or more hours of sleep, excessive perspiration or perspiration, with little or no activity. These are acute symptoms. These are like when you’re like in fight flight, and you can make a fight fly for twenty years before you move into adrenal, exhaustion or adrenal fatigue. I like to call it adrenal Malaga maladaptation, okay, and basically, at that point, if somebody gives you a somebody’s, not somebody’s. Not gonna want to give you adrenal shots. They’re gonna want to give you they’re gonna want to calm you down, but once you have started to move morph into now, your adrenals, your dreams just like. If they’re like a hormone factory, they make hormones. Okay. All of these are hormones that I’m. Talking about and your brain says, make those hormones they make them, and then they empty out, okay and over a long period of time. These these hormones basically empty out and eventually they can’t produce. The factory can’t produce the product anymore. So what happens as you go into adrenal maladaptation. The adrenal has lost its ability to adapt to all the things that are hitting it, and now you start going into that. I’m. Exhausted. Can’t stay asleep, I wake up in the middle of night. I wake up and I can’t and I can’t stay asleep. Why can you not stay asleep in the middle of night because you need blood sugar in the middle of the night to stay up so that you have? Because you’re fasting right? You’re, not eating. In the middle of the night, you’re supposed to eat like every couple of hours, unless you’re, doing the keto giant, ketogenic diet in a minute fasting. For those of you who aren’t, which is most of you, you should be eating every couple of hours. You know like grazing snacking because you’re on about a two and a half hour cycle with your blood sugar, and so your blood sugar stays out for about two and a half hours, so you eat. When the middle of night, you don’t, do that, so there’s, a mechanism in your adrenal glands, the stress, glands, okay and your adrenal glands that you’re. Also, the blood sugar glands because they work with your pancreas and your liver to control your blood sugar. So now you get this, you get this dump in your blood sugar because you’re, not eating, and usually you make it through the first phase, which is about two and a half hours, and you and and your brain says we don’t know Fletcher, and it puts out this thing called cortisol. What does cortisol do? It raises your blood sugar because it moves blood sure how to liver. This is the main reason it does that to keep you sleeping okay, but usually by the time. If people were compromised and their and their adrenals not and not adapting there’s. What I like the term mal adaptation, then what happens is the second phase they drain the blood sugar starts to drop because we’re, not eating, and what happens is the the the adrenal can’t? Do it they’re too weak? They don’t have enough, they don’t have enough to do it, but they have a backup and the backup hormone is adrenaline, and so you wake up and you go and you can’t get back to sleep. Most of the time, waking up in the middle of the night and not being able to go back to sleep is, is low blood, sugar and or low adrenal function. Low adrenal function may not be able to move the blood sugar, the blood sugar may be low and that’s, causing this whole cycle. Other things crave. Salt, if you crave salt, that’s because you’re, maybe because your adrenals aren’t working, because you need salt for that mechanism between the adrenals and the kidneys to work, to keep your blood pressure up. If you’re craving salt – and you might be one of those folks who has low blood pressure, I should probably do a talk on low blood pressure, because low blood pressure is not good. Okay, high blood pressure, bad low blood pressure, bad normal blood pressure are good. If you have low blood pressure, you’re, not getting enough. You’re, not getting enough oxygen to your extremities, particular brain, and then you can get dizzy when standing up quickly. If you have that, and you’ve been checked to see, if you have a trans ischemic attack and and and you don’t, it’s, going to be that your adrenals or mal adapting okay and so your adrenals. So when you’re stand up quickly. Your Bloods not going through your head because the adrenals don’t have the pump in there because you’re because you have a low function and your aldosterone, which is the blood sugar. What I’m, sorry, the blood pressure or hormone isn’t connecting properly with your adrenals and the blood stays here. You go up. The blood doesn’t, go up there, everybody’s. Checking your blood pressure. Should be checking it laying down sitting and standing and seeing if it’s relatively the same if it’s low, if you’re laying down and it’s good and by the time you get up, You’re standing. It’s like it’s like 20 points. Less, do you have an adrenal problem if it’s like 40 or 50 points less, that’s, a whole different story. That’s like pots disease, but but and that’s it, and that is adrenal, and that’s adrenal. So other things for fatigue, slow starter in the morning. Those of you who can’t get out of bed first thing in the morning. We do adrenal index adrenal stress index on that person and and if their cortisol it’s, all about cortisol, isn’t it mostly their cortisol, is low in the morning. This is your adrenal glands. If your adrenal and those these things are hard to fix that people get they get up, and you’re like hopping around and you have to have coffee first thing in the morning and all that type of stuff yeah. We actually have a. We actually give people like like licorice it’s like first thing in the morning. Get up take this licorice because it ‘ Ll raise your blood pressure and I want you to get up and I want you to vigorous activity for anywhere from two to seven minutes and and then take a cold shower. I mean literally, that’s like what these folks have to do. It’s that’s. Normally, that’s, going to be your adrenal glands, okay, other things that are your adrenal glands slow starter morning afternoon, fatigue afternoon fatigue again, I look at it more as a blood sugar thing, but again we did blood sugar already and I’ve talked about some of this because we’re, going through functional medicine, as it classically is practice and in functional medicine. There are foundational things and one of the foundational things that a person should do before they do. Anything else is check. The person’s. Fuels make sure that data on low blood pressure because they’re, not getting oxygen. It’s, it’s, oxygen and sugar, oxygen and sugar, oxygen and sugar are the fuels to every cell in your body. If you don’t, do those first, you’re gonna have a hard time getting a lot of other things better, so so so blood sugar, though, and adrenals again they track together. I’ve. Had a lot of people coming here with low in high blood sugar and they’ve taken medication. They’ve taken herbs, they’ve taken botanicals, and it was that they had Noor degeneration in their brain. They were kind of like they were kind of getting brain fog and they were maybe some of them were like going in the early Alzheimer’s. Maybe they just had neuro degeneration from years of not taking good care of themselves and and and and once we were able to get that under control their blood sugar corrected, because that got their adrenals. They get to do better and then that got their blood sugar. To correct so this is pretty cool stuff that I don’t see a lot out there, so I thought I would share this with you afternoon. Fatigue is usually, I usually think of it as blood sugar, but it could be. It could be that you have a blood sugar problem and and your blood Sugar’s dropping in the afternoon, or it could be that you have this. I’ll use the term adrenal fatigue because that’s. What most of you are familiar with this adrenal malla that patient your adrenals aren’t working, so your adrenals can’t, get up to bring your blood sugar up in the afternoon and by that time, those cycles of, even though you’re eating if you have the adrenal fatigue, even though you’re eating those cycles of eating every couple of hours. By the time you’re in mid-afternoon, it’s hard for your adrenals to keep up with that. For those of you have adrenal fatigue and don’t. You get that afternoon. Dump afternoon headaches afternoon, headaches it’s kind of, like all goes along with the afternoon fatigue, because, basically afternoon headaches, the adrenals are down the blood sugars down. You’re, not getting enough oxygen to your brain. If your adrenals are low, your blood pressure is going to usually be low yeah and your blood pressure is low. Your blood Sugar’s low. You don’t. Have you don’t have enough of either one of those foundational things get into your brain. There’s, a good chance that you’re, going to have afternoon headaches, headaches, which stress that’s. That’s. I think that pretty much would be understood from that. Most people get, this stress, stresses the adrenals and then the adrenals won’t allow if the if the adrenal been stress for a year or five 10, 15 20 years. However long it takes to get into the adrenal fatigue, then you’re, going to have a problem when you get stressed, because your adrenals can’t produce properly again your adrenals, they they work. They work to keep your blood sugar normal. They work to keep oxygen in you. The last one is weak nails. If you’re, not getting. If you’re, not getting. If your adrenals are low, you might not be able to. You might have weak nails because you’re, not getting oxygen. Your adrenals work with your blood pressure to get the the physiology to get all the chemicals that you need once your food is broken down and it gets into your system. It has to get to your extremities and your extremities are hard to get to, because your feet are a long way away from your heart, and your in your arms are a long way from your heart and your brain. The heart has to pump up like this. So if you have low blood pressure, your load renals you don’t have to have low blood pressure, but most patients would come in here by the time they get here. They usually have low blood pressure too. You’re, not getting enough pressure to get it out to your hands, your feet and your head, so it could be causing your headaches. It could be causing the fungus on your toes. If you have fungus on your toes, I’m test me. It’s because you’re, not getting enough oxygen to your feet, and this could be the reason why, if you’re, not and if you have weak nails, it could be because of this. Now I go all the way back to now, where I say you know you go into the doctor and it’s kind of an acute situation and and then they give you a shot of cortisol once you’ve gone into adrenal Exhaustion – and that usually makes the person feel better and and then they usually have to do it every week. Okay! Now, because that adrenal, those are those that person’s, adrenals are in exhaustion, fatigue maladaptation, whatever term you want to use it. Doesn’t mean they can’t come back okay, it just means they’re in exhaustion, and here’s, a problem there’s, a feedback between your brain and the adrenals through from your Pituitary gland it’s called a HP, a axis the hypothalamus pituitary adrenal gland for those of you who are who are like computer nerds and look at all this stuff and and that’s. That’s. The HP axis is is, is, is another name that a lot of people like to use for a stress response, okay, so the so the pituitary gland has to detect that you, don’t have enough of some of these hormones, whether it’s, cortisol or dosterone, or whatever it, and it has to tell the pituitary gland hypothalamus to text that it’s. That’s, a part of your brain that detects that and then it tells your particular hey. We don’t have enough cortisol going around and then that tells your adrenal glands to to make cortisol okay, even at that, so and and so basically that is a really like inviolate able loop in my mind. In other words, if you give a person cortisol, if you start giving cortisol shots or you give them certain supplements that just jack up their cortisol, the person’s. Gon na feel better, but here’s. The problems like any other. It’s like taking thyroid hormone or any other hormone. Okay, once you start taking that hormone from an external force, okay, then, then it’s, going to tell that part of your brain that hypothalamus, that you have enough of that hormone. In there that is then going to tell your pituitary gland to take a vacation and then go to a Perry. Gland is going to stop talking to your adrenals. Now they’re, going to atrophy that part of the adrenals is going to atrophy, and now you will not be able to fix your adrenals and you’ll, be to having to take those shots once a week for the rest of Your life so the point, the big, the big takeaway from this is when people come in here, I certainly adrenals or one of the top things I look at, but you’ll notice. I’m pretty far down the line here in in in in the back-to-basics, and for those of you who’ve been watching this series I’ve, been emphasizing. That is a hierarchy of care. Okay, there is a relative hierarchy of care as to how you attack these chronic cases, and so so I’ve already talked about. I’m talking about small intestines. I’ve talked about intestinal permeability too much ass in your stomach too little acid. In your stomach, multiple chemical sensitivities, I’ve talked about pancreas, SIBO, gall bladder liver and I ‘ Ve talked about sugar before all of those, and now we’re to the adrenals that’s. Going back to the, if you can’t fix the adrenal, as you can’t fix anything all of those things if they’re out of kilter out of whack, if they’re, if they’re dysfunctional biochemically are stressing your adrenal glands out, so when a person comes in, I try to assess this. What we call the brain, adrenal axis, that HPA axis and and I try to assess that person now, if that person comes in here’s, where I think the practical things that I’d like to share with you, come in. If that person comes in and they are in a bad relationship, whether it’s with their with their significant other or their child or their boss, or they hate their job, like one of those types of things are going through a divorce and it’s, just they’re. They’re battling it out in court. They’re, going through a bankruptcy. Something like these. These are massive things. These are massive stresses or if the person has like you know, maybe panic attacks, something that’s, really significant. That is directly just hammering that adrenal gland, then I and – and I also practice functional neurology too. So I think those have you been watching forever, probably know that that’s kind of where the functional neurology comes in in a sense of you know what maybe we need to hit that brain? First, maybe we need to the diet. You know we have diets, we use like 12 different diets we might use. You know we might look at a. We might look at a keto diet for that particular person, but what we’re gonna do. Is we’re? Probably going to help that person’s brain we’re gonna get into the herbs and the botanicals that will dampen those the ash. When God does the adaptive grins, the the phosphatidyl calling all the types of things you’re, probably familiar with I don’t get it. I’m, not getting into specific prescriptions. Here. I’m, just giving you a general idea, but I would probably go and if you look at all the adrenal stuff, that’s out there on the market, all these products are in it III that’s. When I would probably go for the adrenals first, okay, because if you don’t calm down that fight/flight response, that is, that is being caused by your brain, telling your adrenals to vomit out all of those hormones, the aldosterone, the epinephrine and norepinephrine. All of those things that are causing you to be heart, palpitation or your and your journey, all those types of things, though those those chemical processes are affecting all the other things I just got done talking about small intestines, large intestines, the stomach, the pancreas gallbladder. All that so it’s kind of hard to take care of those when the adrenals are the case and that’s, where, like you can’t fix the adrenals you can’t fix anything, however. However, if that, if that level of stress – and I forget to mention one other stress – overtraining overtraining – I’ve – had I’ve had two trainers come in here now and I know I have a patient coming in next week who or Who I can’t get one of them. I’ve. Gotten understand that overtraining was was was what was what was really getting their or their adrenals under control um? How distinct and they were lucky that they took a two and a half week. Vacation couldn’t train and they came back feeling so much better that they altered their their physiology, but overtraining actually goes in there with all those other things. Okay, so we’re training will bring. You ultimately damage your for all. You 80 year-old marathoners out there. So so, basically, though, if the? If so, if the stress it doesn’t raise to the point where I feel like it’s going to interfere with the other things I’m. Doing I’m going to do all those other things. First, because they’re each and every one of those that that gets better is going to decrease inflammation and it’s all about inflation right. It’s, going to decrease information. It’s, going to it’s, going to decrease cortisol it’s, going to take pressure off of the of the adrenal glands and the vast majority of the time those adrenals are gonna start working again. I prefer that okay, but people come to me and – and we set out kind of initial programs for several weeks or sometimes several months, and then we reevaluate. If, if I were to be along the way, go boy, those adrenals are not kicking in, then I would do a the adrenals and I do an adrenal stress index test and there’s, several of them out there that measure the core. You probably familiar with them a lot of you who are in and who are who are conversant in this world or where you take the cortisol. You take the saliva or the blood first thing in the morning and then at noon and edit for that night and and those can be helpful to kind of let you know where you are on that scale and maybe when you should intervene, it is my preference, Not to intervene unless, unless it’s, going to alter that case, where I can’t get where we can’t get there, leaky gut better, because when you’re in fight flight, when you’re in fight flight – you don’t need to be you don’t need to be peeing or pooping right. So when you’re in fight flight, you’re. Your stress response shuts down the acid. In your stomach, it shuts down the valve between your large and small intestines so that you can’t poop. It’s. It shuts down your bladder so that you can pee. This is the fight flight syndrome, but if you’re in chronic fight flight, it’s still trying to do that to a certain degree, and then that will stop you from fixing. Somebody’s intestines, because if the brain is continually putting out stress hormones that it’s telling the intestines not to move it’s, usually like the number one cause of constipation and so and then that causes back to Home balances and off to the races you’re, trying to fix somebody’s, leaky gut. That came from all of that. Good luck and you go online and you do all the you know. You do all the leaky gut stuff in the diet and you’re better for a week and then it comes back because the the fight/flight responses is his his is engaged, and so so there’s that balance there. Okay, so that’s, why I take a little bit of issue of if you can’t fix the adrenal. Just can’t fix anything, I would say if you can, if, if you’re, not in like if your stress level it’s not like at a level of seven, eight or nine or ten, maybe even eight nine Or ten, if you’re stressed a little not up there, you fix everything else. First and then the adrenals have come back and that’s better because you’re, not going to mess with that feedback loop and you’re gonna be able to have your adrenals for the rest of your life. But if you’re, taking exogenous hormones for your adrenals, eventually, your adrenals are not going to be good and and and then you have to depend on that person, giving your adrenal supplements forever giving you adrenal shots forever. Then you have to depend on them, giving you the right amount of adrenal shots and, and and that’s and that’s. A tough one. Remember, ladies, it’s, the adrenals that are causing you all of your female hormone problems when you are when you’re in menopause. So if you’re a menopause and you’re going like or if you’re having a bad perimenopause, it’s, it’s, it’s, adrenals and blood, sugar and and And and so, and because because your brain has cut out of talking to your ovaries, okay, because you don’t need to maybe make babies anymore and has now said. Okay, we’re just going to go with the adrenals. You either make stress hormones or you make male and female hormones and the adrenals and it’s just and and it’s, one or the other. So so, and stress hormones put a pressure on the adrenals screws up the blood sugar that’s, usually what is in menopause, and so so you’re, usually in our world we usually handle the stress in the adrenals and the blood Sugar before we start even throwing herbs and botanicals at you for estrogen or any of that type of stuff, so the adrenal glands are are a big factor, so you want them. You don’t want the early on. You know, you know having them. You know given medications for them and then having them not work, and now you’re, getting some menopause now you’re gonna have to take all of these herbs and botanicals and/or drugs. For for to help, you feel better when you’re when you’re in menopause, so the adrenals are like and they are, they are like our homeostasis glands, I mean like they keep us balanced everything that happens, screws them up everything. It happens, causes them to go up eventually, if too many things happen that cause them to go up and being excited and all that eventually the factory like the machinery starts to break down, and then you go into mental and mental. You’ll, go into mental exhaustion too, because you’re, not getting blood, sugar and and you’re, not getting oxygen to your head. But then you go into adrenal exhaustion and then there you are and then there you are so your dreams are important. They’re, hugely important, but again to recap: if you’re not like, if your stress levels, aren’t like a like, I’ll, go eight nine ten. Most people can gauge your own stress levels and go yeah that’s me seven. It’s kind of borderline. Okay, then it’s, everything else. It’s. Everything else you need to you need to it. You need to take care of the other things and the adrenals will come back and and that’s. What you want! You want to do that if, at all, if it’s all possible that you can’t and and then there’s, there certain cases, your balance and then there ‘ S are cases where you just got. Ta hit those adrenals first, so I just want to kind of clear that whole thing out, like you man, you could talk about the adrenals for hours and hours and hours, but I think this kind of this kind of I think it. This encapsulate all the basic principles that that I would like you to understand about the adrenals. I think I’ve, hit most of the major symptoms and and and issues with the adrenals, and eventually they got to be better. Eventually, they have to be better for you to be a normal, functioning, human being and and and from that perspective they are important. So, okay, so adrenals. So let’s, see so the next time we come back and yeah. Next time we come back. We’re gonna talk about thyroid. Okay, we’re going to do it. We’re gonna do kind of I we have. I have so many presentations online on thyroid. I mean hours and hours and hours and hours and hours and a lot of them are under the under the titling of hypothyroidism, because that’s. What people used to be looking for all the time. Many of them are now under the under the title of Hashimoto’s because we’re finding, yet that that’s, mostly what it is. So we’ll, be talking about thyroid next time. It’s, gonna be kind of an encapsulated thyroid that one. But if you’ll notice, I ‘ Ve talked about everything else. Before I’ve talked about thyroid. We’re gonna talk about why that is the next time that I talk to you so until then thank you for watching. I’m Dr. Rutherford, see you next time. You Source : Youtube

https://youtu.be/EGzwdXd2_y4 In this segment of Functional Medicine Back to Basics Dr. Rutherford discusses the liver and its roll in chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, Dr. Martin Rutherford here again talking about today, the liver, so for those of you who are just turning in because you looked online and saw than worse, researching liver. For some reason, this is a series that’s, being done relative to the title of its back to basics. As far as functional medicine back to basics and back the basics means this is kind of a classic functional medicine overall protocols that that I think one should expect to experience if they go into a functional medicine practitioners office. Unless the practitioner lets. You know that you know I’m, not doing that type of functional medicine, so to speak and and so so back to basics, liver and for those of you again who are just tuning in, I walked through this it from the eyes of a Daily practitioner and what they actually see in practice so, for example, on liver, I’m, not going to be going through cirrhosis and all the herpes viruses and all that we might touch on the virus a little bit because that’s. Not what we see we don ‘ T generally see people coming in here. You know a ten phase, you know liver cirrhosis in an alcoholic, you know cirrhosis or hepatitis or I just I rarely see those things that person is already gone and to the medical field and and and gotten all the tests and and and then they come here Or they or they get fixed that way, so so the livers kind of interesting in our world, the liver, does well, okay, just a little brief. We had livers pretty wild the liver. When I was in school, they said it did 250 things ten years ago. They said 350 things and now it’s delivered us 500 things. It truly is an amazing organ. It is massively regenerative. So for all of you, we ‘ Ll talk a little bit about fatty, liver for all those of you out there. They have fatty liver, which I see a lot. If you, if you do the right things, you have to worry about it, I mean it’s got to be really really gone for you to not get rid of that fatty liver. So the liver is, is just it’s, four different lobes. They all do different things. It’s, a detoxification center. Everything that you dump into your body that doesn’t belong there, that liver tries to neutralize or get rid of there’s. Several there there’s like seven different pathways in the liver that detoxify there sulfone ization glue. Colorization big one to me is the glutathione pathway, because I see a lot of autoimmune patients kind of hard to get autoimmunity. If you have enough glutathione, which is probably a separate topic for another day, it stores a lot of our nutrients particularly, is important in blood sugar management. It and, and so it makes vitamin K, it stores a lot of other fat soluble vitamins and has a has a it, has a process as fat, its cholesterol triglycerides. It has to do with making proteins. Oh, my god, it’s, just like that’s 500 things, so you could go on up for a long time. Processing the vitamins and but the big thing by the time person gets here, is usually it’s, not working right because of the lifestyle that the patient has had before they’ve gotten here, or maybe the patient’s. Been working around toxins, or maybe we’ll talk about some of the some viruses. What a herpes virus might mean to somebody who has a chronic condition, but mostly for us and another big thing that the liver does is it clears out all your hormones, and I mentioned that one because that another big thing it does and one that we see Mostly here is the liver, not clearing out people’s hormones correctly, particularly estrogen for the female. So the types of things we see is that we see females. They come in relative to liver that maybe have polycystic ovarian syndrome. Maybe there maybe they’re in menopause and they’re having hot flashes. Maybe they’re, not maybe there are not happening. Maybe women aren’t having their periods and and a lot of more surprised, and I said well, the first thing we’re gonna do is we’re gonna go and we’re gonna Clear out your liver, we’re gonna clean out your your gallbladder and your intestines, because you’re, probably not clearing, rest regions right when you’re, not clearing your estrogens right, it sticks in the liver. It sticks in the gall bladder and, and then you have, and then you have a deficiency of estrogen it’s. Not it’s not getting cleared and, and it’s interesting and deficiency of estrogen, as well as a as well as too much estrogen expresses itself the same way, because if you don’t have enough estrogen you out Here you have all the symptoms of not having enough estrogen and you got depression and you’re fatigued. Then you’re, putting on weight and all those wonderful things. But if you have too much estrogen in your system, because you’re, not clearing it out and it’s. Staying in your system in your liver in your gallbladder in your fat cells, okay, how to post tissue cells! Then then it shuts down what’s called the receptor sites for your for your estrogen molecules and then the estrogen can’t get in so it’s. Just like you, don’t, have enough estrogen kind of an interesting thing for a lot of you. So so the liver is kind of unique and and and that’s. One of the things that we in the functional medicine world see in the as far as liver, goes coming in a lot of female problems that are poor clearance. We have a staff member here who hadn’t had a ventral cycle and I think was two or two-and-a-half years and are we. There was put her on a six weeks class and two weeks into the cleanse she had her menstrual cycle back. So so that’s, how that works? It is about clearing in that particular case. It’s, not clearing out your estrogen okay. Maybe it’s and and and a detoxification is something gets ingested that shouldn’t, be there. It goes to your liver in your liver. There are the multiple pathways for clearing out toxins. We might just mentioned two of them: cellphone ization, glucose asian. There’s, methyl ization there’s, there’s, the glutathione pathways or seven pathways, and they all do different things and they all do different things, and so they take these substances and there’s. Two major major major pathways and one pathway, breaks everything down and makes it water soluble so that it can run through your system and then the second time the second pass through. What will happen is. Is there’s, a molecule attached to the broken-down protein, the broken-down substance, and that molecule attaches to that substance and allows it to go through the second part of detoxification and being attached to that molecule actually allows it to go through the proper detoxification Process and end up in the toilet, either through urine or feces, or maybe through and clear out through sweat, if that pathway, doesn’t, if that, if that second pathway is broken down – and you just have that first pathway working and the second pathway Isn’t able to attach that molecule to it. You become very sick. You are the person who cannot who cannot take medications. You’re. The person who cannot eat supplements, so you, because these, when these toxins only go through the first phase, you want to become water-soluble until something’s attached to it. They are toxic and if you’re, and so if certain aspects of your liver, aren’t working properly, then then that is the person who comes in here. It says I’m, not gonna be able to take. You to your supplements, okay, like why are you here? I’m, not gonna, because I can’t, take any medications, and so but but I I say why are you here, because we know what to do with that? So so that’s kind of like a general basics of the liver, I must say we had a conversation right before he came in here about the liver, backing up and gunking up in and and all the problems that can cause. But again I don’t, yet, basically the cirrhosis patient. In general occasion I’ll, get somebody who’s had cirrhosis for a long time. I don’t, get to hepatitis patient who’s in you, know acute hepatitis or anything like that, but so so so the liver does back up, but the most for the people coming here, but most of the time, the people – I Am seeing will go back to the to the back-to-basics gallbladder sections that I did last week? The vast majority of time here it’ll, be their gallbladder. That is not that is heavily connected to your liver or to me they’re. One in the same, although or at least close brothers, sisters or twins because they heavily work together, the gallbladder dumps out all of the bile and all the toxins from the liver into the into the intestines. To me what I’m, seeing a lot is it’s that it’s more the gallbladder, that is the problem, backing up the liver in my practice in the tighten the people who show up here into a functional Medicine practice and then that you start to get the symptoms of the poor clearance. So what are the symptoms, acne, acne and healthy and unhealthy skin? Well, that’s kind of a given when people come in here and they have and they have skin problems they’ve been to the doctor or they’ve, had the appointments and and they’ve. They’ve done shots and they think it’s an allergy, and they rub all this type of stuff. On most, the skin is an extension of the inside of your intestines, and so you might first look through your intestines for that. But they with, but when they win the gallbladder and the liver, and you’re gonna hear me kind of talk about both of them together are not clearing. Then those toxins are going to be not getting into the intestines and into the toilet. The way that they should they have to go somewhere and one of the one of the most common places that they go is the is the skin. Now you can have acne. For other reasons, okay, but not many other reasons you could have acne, because you have polycystic ovarian syndrome. Okay, you could act, you could have acne because you just eat like crap all the time, but that’s, not the patient, who usually shows up in here and so so when people come in here and they start like. I had one yesterday or two days ago and I’m – absolutely certain. It’s for liver clearance and she eats this stuff and she gets up. She gets a rash over her over her the bottom part of her legs. You’re gonna hear me, say: liver clearance, a lot because those two liver pathways that I talked about the phase, one that breaks it into water-soluble materials in the face too. That attaches the molecule and does the rest of the work. Those are that that is called hepato biliary bio transformation. That’s. A fancy word of saying, if bio transforms, that toxin into water-soluble attaches it and transforms it into something that can go into the toilet so that you don’t get sick, and so that’s. Largely what’s happening with with so many of the skin conditions, excessive hair loss? Why would you get excessive hair loss for liver, okay, the liver has a lot to do with clearing all of your hormones. If – and it has a lot to do with what we talked about in the first place, we talked about estrogen, okay, so you have to clear out estrogen if you don’t, if you’re, not clearing it out, you get symptoms Of not enough estrogen, even though you have too much estrogen yeah, you have symptoms of not having enough estrogen and that’ll. Make your hair fall out. The liver can ‘ T is also heavily influenced by the thyroid. If the thyroid hypothyroidism Oto’s, the liver might slow down because because the thyroid slows everything down when it’s, not working right now it’s, not detoxing. It could be a direct of fact that that’s, causing you to have not enough thyroid hormones cleared out of there. That can cause your hair to be falling out the if the liver is slowing down again it’s, not clearing the estrogen that can be making your hair falling out the vast, then that’s, a different mechanism than the liver. So there’s, a couple things that can cause your hair to fall out. I thought I write directly can cause your hair to fall out. I read indirectly can cause your hair to fall out relative to getting stressed, but the liver, the liver is usually a good bellwether if your hair is sort of pulling up that that you need to look at that liver overall sense of bloating. An overall sense of bloating, mainly the liver, if it’s, if it’s being overworked, and you’re tired. So what makes the liver, toxic? Okay, what makes it most of us know? Alcohol makes the liver toxic, but you know just toxins in general if you’re, if you’re inhaling toxins like molds, if you, if you have had some viruses and they’re low level and they haven’t reached the point of like hepatitis or something that can alter function, but it’s. Basically, you know you’re eating junk. You’re eating a lot of foods. You’re. Putting a tremendous you’re, creating inflammation in your intestines, you have small intestinal bacterial overgrowth. The bad bacteria have to be cleared somewhere. If you have an inflammation in your test, it has to be cleared somewhere. If you have food sensitivities, they create inflammation. The inflammation has to be cleared somewhere, so I mean the liver has a lot of things that that cause it the gunk up other than the obvious junk food fatty food fry foods which which Gunks it up by gunking up the gallbladder as well. So I mean it’s, just everything just thing anything: it doesn’t belong here by it has to go through that liver of you. If you walk into a if you walk into a perfume like buy through it like we have a Macy’s here, and you can’t, you have to walk in the front door, you have to walk by their cologne section and If you walk by that Cologne section and you’re like oh, my god, I can’t. Do this part of that, your liver for sure part of that is your liver. Those those molecules are coming in to your system. They’re, going. They’re, ultimately going through that phase 1 and phase 2, and those people have a glutathione deficit. A big glutathione deficit, because glutathione is a pathway and the liver is supposed to grab that molecule and supposed to kill it. If you don’t enough glutathione, that’s, part of the reason that you have that type of a sensitivity. So those are the things that caused the liver and go going back to an overall sense of bloating. Bloating usually is going to come from. It can come from small intestinal bacterial overgrowth, separate from that it’s, going to come from poor gallbladder function. Poor stomach function or poor pancreas function, if you have and and all of that is wrapped in with the liver, because it goes back to me saying a lot of times. The liver gets backed up because of the gallbladder. So if you, if you have poor stomach digestion, you don’t digest the hydrochloric acid isn’t you don’t, have enough hydrochloric acid in your stomach, which is there to to digest your proteins, then that’s going to cause you gas and bloating immediately after a meal, but that’s, also going to tell your gallbladder to work not to work and then that chain is going to tell your pancreas not to work either. One of those two in and of themselves can also cause gas and bloating, but the gallbladder will also back up the liver okay. So if we have a nut myth, but so by that time now you have a backup of a system that does 500 different things. So an overall sense of bloating will cause can be liver, fat and, and one of the more pathological things which I do see for some reason is people coming in here with like swollen ankles are swelling or edema in their in their feet or their or their Lower legs there, sometimes even there are higher legs that can be a more serious liver problem. For some reason I do see that occasionally, for some reason that gets passed, thought may because there’s, so many things that can cause swelling in the ankles. But but that can be a liver issue, because when things back up in the liver they back up the whole system backs up, and so it backs up into your bloodstream. It backs up yeah into into your kidneys, it backs up and then and then it’s not going anywhere. The fluids aren’t going anywhere, and the next thing you know gravity brings those fluids down to your legs bodily swelling for no reason at all. That’s. Basically, the same thing that I just got done talking about with the backup hormonal imbalances. I think we ‘ Ve already talked about that a little bit it’s, it’s. It’s, really more female hormone imbalances and again the liver is the main organ that detox is your hormones and a little review hormones are supposed to be made. They’re supposed to go to your cells and get used. They’re supposed to get go through the liver, the intestine or the gallbladder and the intestines, and then they’re supposed to find their way into the toilet. The unused estrogen progesterone test it’s supposed to find its way into a toilet. It’s, not supposed to be sitting around in your fat cells or getting backed up into other or just staying in the liver. So if that happens, then you’re, going to get symptoms of menopause or you’re, going to get symptoms of not having a period like our staff member. There is so so when we see hormonal imbalances, is it the liver or is it the female organs or is it or is it yeah detoxification or a female organs? So usually, we will go after the liver first for all of those of you who are sitting out there and hot flashes and and are having abnormal periods and heavy bleeding and not have been and and light bleeding, and just all of those things can be other Things that are causing that that are in that are causing your ovaries to not work well, one of those other things is the liver. So for for cases like that, if somebody comes in here polycystic ovarian syndrome or somebody comes in here with any of those types of female issues, we don’t even begin to directly address the female issue. Until we’ve handled their liver till we’ve handled their intestines, so we’ve handled the blood sugar and essential fatty acids, which doesn ‘ T have anything particularly to do with this particular presentation. But those do have to do with hormonal imbalances, so so so liver is a big part of that and detoxifying the liver to get all that excess estrogen out of there. If you’re taking, oh my god, if you’re taking like estrogen therapy and you’re, whether I don’t care, whether it’s oral or whether it’s, creams And creams are like the worst, they cannot be dosed exactly correctly for your system. As you might imagine, your system is a very delicate system and usually it creates usually there’s too much. Usually the the creams are absorbed into your fat cells and, and they stay there, the the capsules are over over dose. Then it’s, so so the body uses what it can and then a Gunks up that liver, the gallbladder and a part of your intestines. And then you get all of these hormonal imbalance symptoms. You go through your female doctor and drive her or him nuts, because they can’t. They can’t, get you properly dosed, and that’s. The reason for that weight gain weight gain is when people come in here. Weight gain is, is a sign that maybe your liver is gunked-up, you know, weight gain can be thyroid, it can be blood sugar, it can be adrenals, it can be gut problems, it can be viral infections. There’s. A number of things that cause awake in you’ll notice. I’ve, already, basically probably talked about all of them in some way, shape or form when liver detoxification has been popular for as long as they’ve. Been writing books about it. I read a book called the the Dao Dao of health, sex and and and physiology and and and it’s, the it’s. The American interpretation of the Chinese emperors internal medicine guide, which was written thirty five hundred years ago, and so they talked a lot about detoxification in their the way they talk about. It sounds like it had already been being done for maybe another thousand or two years. So so it has not been lost upon the human race that detoxifying your liver is is a good thing to do, and so because everything seems to pass through the liver, the liver can touch everything weight gain. We talked about thyroid if you have a perfectly normal thyroid, I mean, if you have a if you have a hypothyroid that slows everything down. It slows those detoxification pathways down. You’re, not converting, thyroid hormones properly there into active hormones which would allow you to keep the normal metabolism. Now you’re. Now your body metabolism slows down you’re. Putting on weight you can’t get rid of it. You don ‘ T know why blood sugar, the liver, has a lot to do with blood sugar swings. So you could argue that you could argue that your blood sugar swings. If I get low I get here to Bowl, I get shaky if I don’t eat or if I eat too much and I fall asleep afterwards. That could actually be connected to your liver. Those are blood, high and low. Those are low and high blood sugar symptoms, but your liver breaks down most of your other nutrients, particularly your your carbohydrates. It breaks it down into triglycerides and and and it met it’s stored into the liver. It breaks it down into primary glucose molecules, those are stored in liver and then and then, when you need that blood sugar, when your blood sugar goes low, your pancreas and your adrenal glands work with your brain to tell your liver to give up a little bit Of that stored sugar, so that you can so that you can have sugar getting back into your body and it’s, your brain, the main time I see this happening is in the middle of the night. Those of you go to sleep. Wake up. Can’t, go back to sleep that waking up and can’t. Go back to sleep is because your blood Sugar’s dropped in the middle of the night. Your brain, your body knows your brain needs blood sugar. So it tells your your adrenal glands to tell your pancreas and your liver to go get working, but specifically it tells your liver to put a lot of blood sugar out so that you have enough blood sugar for your brain. And if you have enough blood sure you don’t wake up. If you wake up it’s, because that mechanism is, is waking you up to give you more blood share. Sometimes we’ll, just same thing as the lady we talked about doing the cleanse and then having her period come back a lot of times. People can’t sleep like that. We just detox their liver and all sudden they start sleeping. They don’t know why it’s, because that liver was being sluggish in that mechanism of delivering that blood sugar to them in the middle of the night. So that could be a liver symptom weight gain could be a liver symptom in so many ways and and all of them run through the liver. If you have bad, gallbladder and and and skunking up the liver and and and your hormones are off, that could be waking, so so weight gain on a weight gain out of nowhere is usually thyroid, but if you have weight gain it’s, always Wise to go thyroid and liver blood, sugar and liver, gut and liver, and then, whatever you know, and and virus and liver, so poor bowel function. I think poor bowel function. First, when we happen, this is another liver symptom. I think when we have poor valve function. I don’t think livers. The first thing we think of, I think we think of stress – is the number one cause of constipation hypothyroid, probably the number two cause of constipation and then, when you get down into the actual gastrointestinal tract lack on where we ‘ Ve talked about all this on the other on the on the previous segments, lack of hydrochloric acid, in your stomach. If that’s, not breaking down your your your proteins, that’s, going to that’s, going to cause poor, bowel function and poor valve unction can be transmission or diarrhea. Okay, so you can have bacteria causing poor valve function. You can have gall bladder in not making not putting its enzymes out causing poor valve function. You’re, going to us pancreatic enzymes, that’s. One of the first go twos that people seem to go to when they come in here. They’re already taking pancreatic enzymes, but remember if that whole chain of physiology breaks down the hydrochloric acid in the stomach that that that doesn’t break down your protein and then that sends a hormone to your gall bladder and says. Okay, you need to stop working because I’m, going to send this food down there, that’s, not digested, and that’s actually going to possibly cause you to have inflammation. So the gall bladder stops working both of those things tell the pancreas to stop working. Then you’re gonna. Have you’re? Definitely going to that’s, a potential to have poor bowel function, and all of that will do what all that will back up your liver. So, basically, when you do a liver cleanse, you you clear all of that out you you clear the sludge out of the gall bladder you clear, the liver. You get all those pathways working now, the one and the one thing that the one thing that really lights me up, that the liver is a significant factor in what’s going on with that person is if the person has excessively foul-smelling, sweat. Okay, so you I mean, maybe maybe it’s, people who are just like they got this bad body, odor and-and-and and you get around that person and you’re, like ooh man. What is that, or, and in person maybe has had to alter or lifestyle frak? I’m telling you that is, that is a liver that has not yet reached either. That has not yet reached the stage of pathology, in other words, liver cirrhosis or things of that nature that liver can be helped in, and but it takes a lot more than just a basic, liver detox. At that point, you really got ta get in there and hit each one of the pathways with with different. We herbs, botanicals supplements whatever that person particularly uses homeopathic remedies, you got you have to get in there and and and that live at that point. Most of the time, the liver here is part of the problem. Okay, as you, it is kind of part of what I’m trying to say here. You can see it’s connected to all of these different things, as so many tentacles as to as that as to how it can affect everything, which is why the liver cleanses have been popular justifiably so for thousands of years. But when it gets to this point, when it gets to this point, the liver is really really the key, and so you you, you have to go after it aggressively and now the liver, instead of being part of the whole protocol. The liver becomes the issue, and at that point but but but to fix, deliver you got a you got to be pristinely clean. You have to make sure that the person is eating properly. They have no food sensitivities. This is where it really gets into like. This is a liver problem, but all this other stuffs got to go. They have to be digesting well so that it doesn’t back up the bile duct, because if you just do the liver cleanse and if you just do the liver, bile gallbladder cleanse it’s. Gon na work for about a week or it’s, gonna work for maybe maybe two or three weeks. Maybe the person’s. Foul-Smelling sweat is gonna go from severe to moderate, but it’s, not going away its way. So you have a serious clearance problem when you had that fel smell as well, but to step back. If you have really foul smelling sweat, that’s, where it’s at and that’s, my gauge in a case like that five somebody who’s in here and everything’s, doing better. But they still have that fell, smelling sweat. I know that everything that I did is gonna be for naught within a couple of weeks or a month or two that it’s all going to be coming back because that liver and that gallbladder are not clearing and, as you can see It’s connected to everything I mean I could go on for hours with all the things that’s connected to. If I, in a in the in the I went to one course that was called mastering blood chemistry and they had sections on, you know the gallbladder sections on the stomach and section on the sections on all these things. Were. You know like this, like this, the section on the liver. It was like this, you know so, fortunately, the liver is pretty as far as as as functional medicine goes by the time people get here, pretty much. What I just got done telling you is like the scope and breadth of the liver and and how do you know you have it a lot of times you’ll, go to the doctor and they’ll run ice and then they’ll run enzymes. I almost forgot this: they’ll run. Enzymes are not enzymes, they’ll rot and they’ll run yeah. They’ll, run enzymes on you and and and those enzymes are in most metabolic panels and and and they’ll say: oh, you’re, you’re, SGO t is fine and it’s. It’s, so you don’t have any liver piles. Meanwhile, you have every single one of these symptoms. Okay, so understand. First of all, it takes a long time for those symptoms to create enough damage for it to show up on the test, and for those of you have watched all of these videos. You ‘ Ll, see a pattern here. What we’re trying to do in functional medicine is get function normal again before it becomes pathology before it becomes cirrhosis of the liver. So so so, and what usually happens first is usually get a fatty liver. So most people know that fatty liver comes from alcohol abuse most of the patients. Here it comes from blood sugar problems and it doesn’t have to be diabetes. It can be that you have what’s called insulin resistance. You’re just on the first steps towards towards diabetes, it can be pre-diabetes and, and it’s in and of course, that comes from. Maybe it comes from alcohol, but it usually comes from eating a lot of junk, a lot of sugars, a lot of processed foods and processed carbs and all that type of stuff. The standard American diet, and eventually, what happens is that all that’s? Being turned into fat and you get what’s called a fatty liver if that fatty liver is is, is if the it is not too bad in the in the eyes of the doctor, because those transaminases, those enzymes that I talked about are not Over 200, then, the the range for transaminases should be like 10 to 25. If they’re and the doctors don’t usually get too lit up on you until it’s over 200. If it’s 35, you have you’re, you’re, developing a fatty, liver and, and that needs to go again. That also takes a little bit more effort to get that fatty, liver under control, because you actually have to fix the problem that is causing the fatty liver in addition to the fabula. So you’re gonna have to change your diet. If you’re drinking too much, you’re, going to stop drinking too much. If you’re, if there’s a there’s, a kind of a flow of understanding of in our intake forms as to what the types of things might be that are causing that thing, calm well, fatty liver is Not a death sentence it. It will frequently, if you find, if you understand what’s, going on it’ll, frequently go away. The doctors, usually they won -‘t handle it until your transaminases are over 200. Once they’re over 200. You, you now do kind of have a problem. I don’t see a lot of those here. I’ll, see I’ve, seen a handful and even they have done. Okay; okay, but at that point, that’s where you start getting into serious liver problems and maybe it starts getting tender and maybe it’s swollen because it’s, backing up in those types of things. So from a perspective yeah, so so having said all of that in the functional medicine world, it is largely about what’s called hepato biliary bio transformation. It’s, which is a fancy way of saying it’s about detoxing that liver. It’s about clearing that liver out. Unless you get into the high fatty acids or I’m. Sorry, the high fatty liver numbers, or unless you have that foul foul, smelling sweat most of the time. You know a good two. Three four five six week detox is kind of a good layer. What’s up? What am I saying, entry kind of a good entry protocol for almost everybody out there, who is suffering from almost anything and and and and hasn &, # 39 t had any success that liver detox there’s, general liver detoxes. There’s, aggressive liver, detoxes, the sicker, you are the gentle or you should go. I know it may seem counterintuitive, but usually going to do a liver, detox, the liver cleanse everybody’s got their products. We have our line of products that we prefer and – and I usually want people when you do liver cleanse – you’re, probably not going to feel too good. If you do it fast, you’re, not gonna feel too good, because you’re. You’re. You’re, just going to overload that liver with all kinds of toxins, because now your body is allowing that to happen. But even if you do a liver cleanse, you could feel not good for the first most people three to five days. I’ve, had people who haven’t felt good for the first ten days to two weeks. If you’re, doing a liver cleanse and you’re, not feeling good for more than ten days, then it might be that there’s, something else going on so that’s a nice. So that’s, the general again, I’m not into them that here to like go into like the whole, the whole issue of the liver. I’m here to kind of kind of focus you in on the types of things that that you would encounter yourself and that the functional medicine practitioner should encounter and how it should fit into that functional medicine model. So for me we did a big talk last week on gallbladder and to me it’s interesting, but here it’s, almost more gallbladder backing up the liver than it is liver, being a bad from. But frankly, if we treat one, we treat the other one because they’re together, so so that’s, liver and liver, gallbladder again, and so next week next week we’re, going to be talking about the adrenals and That’ll, be kind of fun because everybody back comes in here knows about the adrenals. For ever it’s been about the adrenals there’s, a stress hormones, the adrenals are pretty cool, but they’re. Actually, more, your home homeostatic, glands and, and we’re, going to talk a lot about that and how sometimes you there used to be at army? If you can’t fix the adrenals, you can’t fix person to a degree that’s true, but we’re gonna talk about why? If you don’t fix the person you can’t fix the adrenals next week as well, so I would or my next segment as well, so I would so for the for the adrenal fans. I would tune into that. You might hear some different stuff going on there that I think you’ll find very beneficial. So until then, doctor Rutherford with another exciting episode of functional medicine back to base is signing off until next time. Bye. You Source : Youtube

https://youtu.be/8YC0DxtIWT0 In this segment of Functional Medicine Back to Basics Dr. Rutherford discusses the gallbladder and its roll in chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, Dr. Martin Rutherford here certified functional medicine practitioner and other things. We’re gonna talk about one of my favorite subjects today, so and and and then something you’re gonna, like your really weird or whatever it is, but we’re gonna talk about the gallbladder today. This is like there’s like the continuation of the functional medicine back to basics. Again, for those of you who may just have seen gallbladder and I don’t know. Yet what we’re titling this or for those of the you who are just looking at gallbladder? Maybe this is the first time this is one in a series of presentations on what classic functional medicine should look like and and and and the emphasis on the is on the fact that there’s, a hierarchy to functional medicine and the way it Should be approached, and we’ve, been through that hierarchy from the very beginning of how to even evaluate a patient as to whether they should be a patient to what the basics are to to. We’re, called the the priorities of blood sugar and oxygen, and those have you been watching know what I’m talking about. So we’ve gone through the we’ve gone through the intestines. We’ve gone through leaky gut. We’ve gone through chemical sensitivities, pancreas stomach. We’ve gone through ulcers. We’ve gone through all that in an organized fashion. There is a hierarchy as to the way you should address a person’s overall case, and there’s and there’s, a specific hierarchy within the framework of that as to how you should address a gut function. There’s like 35 different things that can cause gut issues and a lot of people today know Co, functional medicine, as I do the former program or the flybar program for the gut, and I got on the autoimmune, Paleo diet and I took a Bunch of supplements that I got on dr. so-and-so this thing for leaky gut or SIBO or whatever it is, and didn’t work. So what’s? Going on what’s, going on as a person, didn’t, follow the hierarchy and in hierarchy of trying to get an intestines under control. Any other things I just got mentioning there’s, a couple of major major players that if you miss them, you could do all the all the intestinal permeability you want. You can do all the liver flushes you want. You can do all of the all of the SIBO diets and supplements and all the time and you’re, not getting better ever and one of the two biggest things and those have you been watching know what the other one is. Hydrochloric acid. In the stomach, I wanted two biggest things: if you don’t fix, if you have it, you don’t fix it, you don’t know you have it to fix it. You it’s missing and you don’t fix that. How can you fix that? We’ll talk about it? Okay, then you’re. Not getting better is the gallbladder. The gallbladder is like ginormously important to us. You wouldn’t think so with a gajillion gallbladder is coming out. I think it’s. I think it’s, God. How much is it seventy five thousand? I forget. I actually have notes in front of me today. I don’t, usually use notes, okay, but the gallbladder to me is so huge. It’s, so important that I really want to. I’m, not good at statistics and stuff, like that. I’m, not great at numbers so, but I really wanted you to get the whole idea of what’s going on now. Most of you know, and so I’m gonna – be looking down and reading off my notes. So if that looks unprofessional, then too bad that’s, where we’re gonna, do it so so is it gallbladder? Do okay, what most of you know that gall bladders break down fats? Most of you know, people have had their gallbladders out and it’s like oh. You know that pain. It took the gallbladder out, the pain went away, and then it came back or sometimes the pain went away and stayed away. But you know I don’t see those patients. I see the pain where they took it out. It came back, they took my gallbladder out. The pain never went away and and and and goblet or shouldn’t come out anywhere near as frequently as they’re coming out, like like 90 % less frequently than they’re coming out, and I’M not exaggerating when I say that they do a lot more than fat digestion. It does change your cholesterol, so cholesterol is kind of kind of accumulates in your in your liver has to be it has to be, it has to be broken down so that it can get into your system and then and it, and that’s. Done by bile salts and that’s done in your gallbladder, those of you who can’t eat fish oils, okay, those of you who can’t it. It helps to break down and it helps with the absorption of fatty acids. So it helps with the absorption of your fat soluble vitamins, not just the fish oils, not just a but it but also vitamin A vitamin D. Vitamin E vitamin K. So if you’re, taking all those things and are they’re coming out the other end or if you’re, taking these these things and you still have flaky skin and then you’re either. Not taking enough or you’re, not breaking it down and absorbing it. The gallbladder is one of the biggest reasons that you may not be able to take that the symptoms of gallbladder are symptoms of gallbladder or your patients will come in here and and and i’ll. You know i have a assessment format. People put out there’s old section on gallbladder. First question is, like you know: how did it what happens when you eat fried foods, fatty foods and a lot of people just leave it blank or they go nothing, and I have to ask them and say, because it’s, a zero to four Scale, zero, meaning nothing ever happens, so they mark zero. I’ll, always ask that person. Is that because you don’t eat fried foods and fatty foods, and things like that and the most the time they’ll, say yes? Why? Because it makes them not feel good. It makes it not feel good because their gallbladder is not working. Okay, some of the bigger ones for gallbladder are some of the bigger ones or I can’t. Do fish oils can’t eat fatty foods, gas and bloating a distension? A couple of hours after or after I eat fatty foods, but then a lot of times they don’t realize it’s. The fatty food, a big one, is, can’t. Take supplements, can’t. Take the fish oil supplements a burp up fish oil. I perp up fish oil. I burp up a fatty fish oil after I do it. I kind of woke up. One is really interesting. Two that are really interesting. Are it genus and the palms of your hands and just general itchiness it’s all over? I don’t know why? Because your gallbladder, or when it’s, not clearing things, those bile salts and the toxins from from not getting cleared and getting into the intestines, they got to go somewhere some of them and make it because because not having a gallbladder, also cause constipation. One of the things that can cause constipation, so if it’s not getting in if you’re, not clearing those those toxins, if you’re, not clearing those bile salts into the into the toilet, and you can only Clear so much through your kidney, it’s going to the skin. It’s going to each that’s like that’s like to me like one of the biggest things, and I see like get unis all over and it’s kind of generally, the the other one Is like dry flaky skin which can be thyroid? It can be, it can be. You know, a lack of essential fatty acids. I don’t need enough. Nuts. I don’t need enough fish. I don’t need enough. Olive oil – I don’t need yes, though, but then if the person is going well, I eat all that. Then it’s, not getting broken down it’s, not getting through the intestines. It’s, not getting even years into your into your system. You have dry flaky, skin, and so all of these are potential signs of gallbladder. The gallbladder helps with the secretion and detoxification of a lot of different things. One of the biggest things it helps detoxify is in women. Is your estrogen a lot of people, a lot of women who are who are like estrogen dominant? They may just have bad liver and bad gallbladder Ida. I have a actually an employee here and we were doing kind of a little bit of a beta trial here on the program. I, those of you who saw my my new year’s high. My new year’s, talk or my new year’s presentation my new year’s. My years cards to you, I’m verbal cartoon. We talked about how we’re. We’re working on different level programs that maybe we can offer that are more meaningful to people who can’t get here. You know people who you know are wondering whether this actually works or not, and so on and so forth. So anyway, we we tried it on all of our staff members here, not one staff member here who got our period within like two weeks, just detoxing, just in the initial detox face of one of the programs were considering because it detox their liver. It detox her gut and a detox, their gallbladder and all the sudden. She started clearing excess estrogen from her system because it was stuck in her gallbladder and was stuck in her liver and she got a period back after two and a half years. I’m, not having a period, and she was kind of happy about that, but but but so so the gallbladder is a big part of detoxing. Your estrogens now is that a big deal yeah a lot of you like a lot of your women, know too much. Estrogen is not a good thing. It gets in your cells, ultimately, can lead the cancers, but long before that it can lead to you getting it. Can it can imbalance you and you can get you into depression and you can get all kinds of things from the gallbladder from the gallbladder, not working and and if the gallbladder doesn’t work, the gallbladder and we ‘ Ve talked about this, the gaaah bladder has to work to actually activate the pancreas and to and then to activate the now expanding understanding of the microbiome. It actually helps to to to to cause the immune aspect of the microbiome to work better and that’s, because the gallbladder actually puts out enzymes that help your immune system so called Liars. A big deal, the mall, the gallbladder works with the pancreas. The decrease in or prevent and decrease inflammation in the intestines, so you can kind of see why this is one of my favorite subjects in a sense so – and I just have one the other day again. I say that, but this is what I do and the other day. So they are they. I have someone come in and they went through our program and then this is about three years ago and they were doing great and then apparently that stresses in her life went off the diet. I mean she was came in and just follow my lead all this out. I would hope the diet – and you know – and I I just got back on it ten days ago, I’m feeling much better. The final diet that we had come up with rehearses I I’ve, been kind of on and off with the supplements, and you know so I kind of – and we have a you know when we’re done. We tell people what supplements you should take. We try to tell it. We try to get him down as few as possible, but the ones we tend and take they better take and, and one of them was gall bladder and one of us gall bladder the other ones hijack lurk acid. The two things that I just got done saying it: your your your problems will come back or they’ll, never go away. If your, if either one of those aren’t working right and sure enough, you know she. She had the assessment form was all marked up. She had she had stomach Cynthia pancreas symptom Chicago. I was sent them. She, gas, bloating, blood, sugar symptoms. She had thyroid symptoms, just something called Hashimoto’s and we went when we finally came down to it. It was her gallbladder and it was her hydrochloric and it was her stomach. So we we started to start the hydrochloric acid again and then we’ll talk about you know what we do for gall bladders what you can do for gall bladders and she’s. She’s gonna. Do that. I’m gonna see what’s in two or three more weeks. I almost guarantee and she’s. Gon na go back on her diet. I almost guarantee she’s. Gon na be fine, even though the whole thing blew up okay, so it’s. A big deal temp, like the estimates, are like 10 to 15 to 20 percent of people in America, have gallbladder problems and, and that’s. That’s kind of it’s interesting there’s, different cultures, those of you who might be Indian Americans or Mexican Indians or Canadian Indians. I don’t, get into the whole reasons. Why, on that? And the politics of it, and all that, like seventy percent of female Canadian women in the end of Indian descent, American Indian descent makes an Indian cent get gallbladder problems and it’s, a lot more than what they eat all right. But but it’s kind of interesting and her other countries. You go to Africa, it’s like nobody gets it and there’s reasons for that. So it’s. It’s, so this country it’s, about 20 %, about 20 % of people get gallbladder. You know, and it’s, a lot to do, which dress and there’s, a lot to do with our diet and – and then this allowed to do it probably like seven tons of food by the time we’re, Like 55 years old, so, but whatever it is, you want it working. Okay, it’s, the most common cause of electric elective surgery in the country, approximately 750,000 surgeries per year. That’s, almost a million okay. I’m. Just gonna use that as round figures, 320 million people, given it’s like one out of 300 people, something like that gets their gallbladder taken out, not just gets a gall bladder problem: okay, 20 % of that 325 million. Getting gall bladder problems. Eventually but 130 gets it taken out approximately okay, that’s, a lot okay, that’s, not like you know that’s like enough one in 10,000, or even one, a thousand that’s a lot in And and, and it really really shouldn’t be taken out, what happens is is gall bladders how they break down they break down because of stress stress, causes. Every stress just causes your intestines to slow down when you’re in fight flight. You know your your nature has provided us. This thing this this mechanism that says don’t poop don’t eat don’t pee, because you’re in fight flight. You’re supposed to be fighting or fleeing, not pooping or peeing, or eating so kind of shuts down your throat. Those of you who have those of you who have trouble swallowing pills, look at your stress response. It shuts down your stomach. It shuts down the ability to make hydrochloric acid it slows down. Your gall bladder stress is the number one cause of constipation. Constipation could be a lot of things not like a hydrochloric acid. Pour gall bladder function are among those things. Okay, stress shuts down your your. Your your urinary tract so stress is a big common cause of it. Obviously, eating like a lot of junk is a big cause of it. Illness is a big cause of illness. Kinsel can its log off your your liver and then that can kind of gunk up. Your up, your gall bladder of fact you long before you get a gall bladder problem. You get sludge in your gallbladder, it’s, been it’s interesting. I have another case right now and we’ve been working. That case down for for several months and we the case is like probably 90 % better, even better than I thought it was going to be and then – and it was funny we were down to almost our last visits and I was like I keep looking at Looking at this, this, this this assessment form and and everything’s, clearing out except the itchiness, I’m going. You have a goal of everybody know they checked it out. I’d, have a gallbladder problem, my gallbladder spine. It’s, a jack thing. I said I’m telling you. You have a gallbladder problem, because that’s. What’s, causing your whole body itchiness? Now I’ve. Had it my whole life and it comes and goes I’m, like we’re gonna we’re gonna we’re gonna work with your gallbladder so and at that point, because we had Already figured out so many other things about chemical sensitivities and pathogens and fixing your gut and everything, Minh and, and that’s. The other thing that’s, the other thing, the gut problem that was gone, was starting to come back and – and I just got done telling you, you know, fix the gallbladder, it’s. Coming back you know, and, and so we so all we did at this point – was we gave this person a couple of supplements literally within four days, the itching went away that got problems the intestinal problems I tend to use the term gut and that’s very broad, the intestinal problems that were starting to come back, the gas, the bloody gone. I suspect that was the last piece to our puzzle. We’re, not always fortunate enough to get the whole persons whole system to get functioning again, but in this for the air case that gall bladder was the last thing now. My point of that was going to be. This tests were normal. I did lab tests on them. Her gallbladder stuff, like the called the GGT, was normal. Her liver enzymes were normal. They had checked her for gallbladder. Her ejection fraction was proper. What does a gallbladder do it? Just basically is a holding tank for this bile and and and for toxins out of the liver, and it just went when it gets the signal from the stomach to that that it needs to do something. It goes and it just squishes out bile, okay into the intestines, and then that does all the things we talked about before so long before you get a stone. We’ll talk about that a little bit long before you get a stone. Okay, you get sludge there’s, no test for sludge. I shouldn’t say that you can do an ultrasound and, depending on how much sludge you AB in there, you might see it and you might not. So you can go in, there, have an ultrasound done and, and they go it’s perfectly normal. They do your ejection fraction. It’s perfectly normal lab tests perfectly normal. That’s. Why we use assessment forms? The assessment form says that the person was having a little trouble still with the lot of job with the agent is a little bit of trouble, still with a little gas four hours after heating and and and and one or two other things I can’t remember, but the assessment form said there was a gallbladder problem. Symptoms come can come on five to ten years before you see anything in testing, so this is a problem, so this problem. This is why those of you who have your gallbladder is out. We’ll, be talking to you a little bit about that or going like. You know what do they think my gallbladder, or why didn’t that you know why didn’t? They know it’s, because we don’t take enough time to do what we’re talking about in this functional medicine, back to basics, which is, if you walk back, we talked about how you have to do a History, an exam first and again, we’re, trying to put together protocols and figure out how I can be comfortable that that person’s, going to give me enough data to be able to tell them which program would be best for Them, in other words, if you’re, going to do a lesser program and I’m, not gonna be involved. I’m, not gonna be involved very much. I’m gonna have one of my colleagues here at the office be involved. I want to know that if you’re going to be doing this program that there’s a and you’re gonna you know there’s, a cost involved. If you’re gonna be spending your time, your effort, you’re gonna trust this and you’re gonna pay. Us I want to make sure there’s, an awfully good chance that you’re, going to get improvement from that particular program, and so so so trying to figure that out and and and that assessment form is, I think it’s going to end up being a part of this, but because long before that you’re gonna get bloating. You’re gonna get distension. You’re gonna get burping after meals. You might get the gallbladder pain up here. You might get an upper back pain, you might just get chronic digestive issues, you might be getting an inability to now you’re, avoiding fats, you’re, avoiding like eating fit. You know fatty fishes your going to sushi – oh my god like. Why did I eat that hamachi and it’s like you know the overall itchiness, the bitterness, the bitter metallic taste in the mouth, that’s, a big one that your gallbladder bile coming back up into your throat? I get that down. Then, if I eat too much not that I ever eat too much and so so yeah, so this these things will happen. Sometimes, ten years before anything shows up on an ultrasound all right so bottom line, you will never be able to restore a healthy gut and microbiome function. If you don’t resolve a gallbladder issue that’s there. So let’s, see what else don’t want to tell you about gallbladder. I think I think that’s kind of like the basics of the background. They were gonna bladder. Okay. So what do you do about? It so you got a bad call bladder, so the medical profession. What do you do with the with the medical profession that medical profession has some drugs that that will that will break up like so that so the medical profession, usually doesn’t, get involved until they see something on the ultrasound? Okay, the the position there is the position there is. Is we’re gonna look and see? If there’s floods, we’re, going to look and see if there stones, we’re gonna look and see if the gallbladder is not pumping right. We’re gonna look and see if the gallbladder is is becoming gangrenous and obviously well, not obviously, but if it’s becoming gangrenous that predisposes you the potential of cancer, that’s, what they’re. Looking for okay, that’s called pathology. If you go in there with a bitter metallic test in the mouth and I can’t, he you know, eat, I can’t eat this. They’re, not gon. Na do anything I can’t eat. I can’t eat fatty. It’s in something they’re, not going to do anything because that’s, not the basic standard protocol locally or nationally. In the healthcare field it’s like they want to see something they want to see. They want to see. They want to see liver enzymes up on the test. Okay, they want to see they want to see. They want to see gall stones yeah. You got gall stones and not have any of these symptoms, and that can happen and they’ll. Take your gall bladder. Okay, you’re gonna, have every symptom in a gall bladder function and not have gall stones and they’ll. Go it’s, not your gall bladder. So I’m, not being a jerk. By the way, those of you watch me, you know I’m, not against the medical profession, but you know I’ve made the point many times that that the medical profession as it’s developed, is more of an Acute pain, acute condition, situation, a pathology situation, let me kill it. Let me take it out. Let me do something like that, that’s, what they do, okay and and – and so if you got that stuff, that’s where you want to be, you got this stuff. That may not be where you want to be, so there are things that they do is they have biles. They have kind of bile sequestering drugs that help you to bind your your, your your fats, because you’re, not absorbing them, and any other thing they do. Is they take it out? They do have a medication that they can use. They do have medication that they can use. Excuse me to kind of unlock it long before you get stones, you get, sludge sludge is manageable, even stones are manageable. Okay, we’re gonna get into that too. It’s a little bit so so that’s, kind of where the medical profession is on it. Probably before that, I should have done, showed you this. I I thought this was. I thought this would be fun to show you and, of course, I pulled out the wrong thing, not Carrodus, so though this would be fun to show you, so this is uh back in the 50s and back in the 60s and back in the 70s. This was how you and whether a person probably had gallbladder problems. Okay – and I’m gonna show you what the modified one looks like, but I thought it would be fun to show you that it was. It was female as me. They said it was, it was being female fat 40, they used the term fat and and – and that was pretty much like okay, that person and and has a gallbladder problem, and then and and today it’s. Today it they’ve expanded it. They’ve, expanded it quite a bit. Okay, they’ve expanded it once and they have expanded it twice. Why am i showing you this to show you that there’s? A lot of interest in the gallbladder now because people are starting to get how significant it is so risk factors for gall stones there’s, just a ton of them here. So I’m, going to read them mostly female. More being female, being 40 being overweight, they’ve, changed it to having a high BMI versus calling you fat being a Native American. We talked about that Mexican, American, Canadian, American, being overweight or obese losing weight very quickly because your because you’re, just not absorbing anything, because you’re, not breaking down a lot, because when your gallbladder is not working, it’s not only not breaking down the fats when it’s, not breaking down a fats. You’re, not absorbing them, but the gallbladder also has to. It also has to alert the pancreas to start working. So it’s, a chain stomach gall bladder pancreas. You pull the plug on the stomach. The gallbladder and the pancreas doesn’t work. You pull the plug on the gallbladder. The pancreas doesn’t work, pancreas doesn’t work. You don’t break down other other nutrients. They don’t, get absorbed, you start getting like malabsorption, and then you start losing weight quickly being sedentary got to get up move around. One of the things that you can do to like get your gallbladder like working good is exercise being sedentary. Is bad being it’s, bad, nothing! It’s, not bad, but being pregnant. During a period of time that you already are compromised, you have all the symptoms. Nobody knows you got to go all that our problem being pregnant, because it puts a lot of stress on the system that can bring it out eating a high-fat diet, eating a high cholesterol diet, obvious reasons: okay, eating a low, fiber diet. Fiber moves the moves of fat through. So if you don’t have any fiber, it’s, it’s there, and then it overwhelms your gall bladder having a family history of gall stones having diabetes, taking medications that can contain estrogen. We briefly talked about that. Such as oral contraceptives or hormone therapy drugs, so so that’s, big the drugs that can cause gall bladder problems. We talked a little bit already about estrogen if you’re taking, especially if you’re taking estrogen creams, because you put them on and it’s hard to dose those, and so they get absorbed into your. They get absorbed into your fat, they go into your system. Usually you’re, going to be taking too much of those okay, a lot of problems with estrogen creams, as they put you into estrogen dominance. There’s, not a good way to measure it. So what happens there & # 39? S? Is estrogen is supposed to be used all hormones, all hormones you make them. They’re supposed to go where they’re supposed to go, do what they’re supposed to do. Then they’re supposed to go through the liver and the gallbladder and the intestines, and they’re supposed to be detoxified through those three things, and then they’re supposed to end up in the toilet. Okay, that’s, the that’s, the hormone cycle, if you have constipation, they’re, not ending up in the toilet. If you had a bad liver, they’re, not ending up in the toilet. If you have a bad call bladder, they’re, not anything up in the toilet and if they’re, not hanging up in the toilet, they’re. Anything up in your liver. They’re going there or they’re gonna end up not being digested properly through your your stomach or they’re gonna get into your fat cells, fat cells or estrogenic, men and women. They absorb that and so, but it so it puts a tremendous. It puts a tremendous demand on the liver and again, as I discussed when that one came out one case that’s, what happened case with the staff member here we just cleaned her out. We just cleaned her out and cleaned out her liver. We cleaned out her gallbladder, we clean our stomach all sudden, her estrogen balance came back into into normal and and she had her period with like she came in and she was like. I just had a period I’m like well that’s, good! You’re, like you know, you’re, like 40 years old, that’s; okay, no! You don’t, get it haven’t had a period in two and a half years, and so and they’ve been normal. Since I mean I was like six or seven right, I don’t know. I forget six or seven eight months ago that to happen so, okay, so so estrogen drugs will caught statin drugs. You got ta look in the statin drugs. I will admit. I’m kind of like not a statin drug man. There’s, so many other different ways. You can get your cholesterol down: Minh statin drugs – I had gentlemen in here the other day and he was taking statin drugs. This doctor hadn’t, given him coq10 as muscles or cramping up. You know the statin drugs do so many things, one of the biggest things it does is it decreases your cholesterol and then, and – and it alters your abilities, cholesterol to synthesize into bile. That puts a strain on your on your on your gallbladder next thing. You know you get sludge next thing, you know that goes into into stones and so on and so forth. Diuretics diuretics will also increase the the biliary cholesterol saturation rate. So so you’ll, get too much being being absorbed and then that Gunks up the liver and the gallbladder antibiotics just increase sludge. I talked about sludge. Sludge is sludge, it’s. All these toxins, and all this other bile in the liver that just gets thick and it just won’t, go through the bile duct and won’t. Go in antibiotics, alter gut function significantly, if you haven’t liked. Taking a probiotic or something like that to get your gut function back, if you’re, even able to do that because you you, if you know good hydrochloric acid, you don’t, have a gall bladder, good, gall, bladder and stuff, and Sometimes that might be hard that, but if you, if you can’t get it back, then the antibiotics themselves will actually increase demand on your gallbladder. You get the sludge, you get all the symptoms, they take an ultrasound. Maybe they can see the sludge. Maybe they can’t. If you can’t see it, then you’re screwed and then – and we talked about statins already and that decreases gallbladder motility. Those are the big drugs. Those are the big drugs that you have to look at. Everybody comes in here. I have a list of drugs and I can’t. Remember them all so I have I have so. I have a couple of sheets that I’ve. Had put in plastic, so I can look at them. I one I have two and a half sheets of drugs that screw up your thyroid. I have you know I’ve sheets of drugs that screw up your your gallbladder, because if you don’t look at those before you start a case. Now, if we go back to basics and we go into priorities, if you don’t look at those before you start a case, and you got a gall bladder problem and are taking three of these drugs and you’re. Trying to give them some bile salts or something like that to get rid of it, so another clinical pearl there. So you need to like you need to understand that. So let’s, see let’s. See I see let’s, see they use medicines, okay, so okay, so we already went over. So you get a gallbladder. Basically you get the gallbladder from one of these many mechanisms we talk about. The gallbladder starts to slow down the gallbladder doesn’t, and then you start to get sludge and then ultimately, you start to get small stones and then later gets larger stones. If you get a stone stuck in in in the duct, this is the duct. This is called the cystic duct. If you get a that, then they have now. They have lasers that can blow those stones up, and you know if they have your gallbladder taken out. They use medications for the most part. If you have stones, they’re, taking it out; okay, so so it’s, medications taking it out so and so forth. It’s. It’s, sludge, it’s, it’s, it’s, stones, its blockages and it’s and and somewhere along the line. Somebody does an ejection fraction on you showing that your gall bladder is slowing down and then it’s and then it’s. Gangrenous larger than the large stones and ganger says kind of like the flow of. Unless you get the gangrenous. All those are things can be handled. Let’s, see what other things cause gall bladders problems. Brain injury can cause gall bladder problems. So this, why is like one of my favorite subjects? I mean look how long I’ve, been talking about this and look at look at how many things are going on here. Okay, so like brain to brain injury, a concussion can actually cause your gall bladder to slow down because your brain controls, your vagus nerve, your vagus nerve controls, your the the movement of your gall bladder and if your vagus nerve gets inflamed called hour, starts not working. So now you’re trying to fix the gall bladder, but you have like this post concussion syndrome and it’s not going away. There are the generative disease like Alzheimer’s, Alzheimer’s. Parkinson’s. These things, notably cause constipation. They notably slow down the whole bowels. When that happens, gall bladder chronic intestinal inflammation will will will cause the gall bladder not to work, because the gall bladder has sensitivity to information. We talked about oral contraceptives, Oh ovarian cysts, those of you have polycystic ovarian syndrome, it alters the amount and it can increase your testosterone or can increase your estrogen. Those things will screw up your gall bladder. Let’s see. I think that’s, it. I think that’s, all of the things that cause gall bladder problems and – and so the outlier is like an interesting thing and it’s. It’s because forever and ever and ever it’s, just been like the gall bladder is like just pumping. We don’t really need it. Just take it out and we’ll. Give you a medication and we’ll. Give me a call, a saira mean, and you’re good man. No, no! No! No! No! No! It’s. Okay, so I have a call that a problem – or I have my gallbladder out so so let’s, go without my gallbladder out. Okay got my gallbladder out. What can I do so here’s, the thing hierarchy? If you have your gallbladder out, you know and you got and you got and you have any of these things I talked about. You have nor degeneration from Parkinson’s or you have it from maybe early dementia or Alzheimer’s. Brain trauma or you have it, because your whole guts in flames or something yeah well, unfortunately, what you got to do is get rid of that, even if you have a gallbladder out, okay. Well, I’m going all our out. What does that have to do anything? When you get your gallbladder out, you still have a duct that’s called your cystic, duct, okay. This is a little duct, so the gallbladder pumps into this cystic duct and then that this duct dumps into where the it ‘ S called your duodenum, where it’s like the right to the top right outside of your stomach. The top part of your intestines and that and the pancreas dump in and then they they help to digest that that cystic duct becomes your new gallbladder okay and it tries to do the Wobble hours job it should try. It ends up expanding it’s, a duct, so it’s round it’s round it’s long, but then it ends up becoming like a pouch so that it can so that – and you can imagine So that I can transfer the bio well, you can imagine when you got a gallbladder, and this is this old duck just trying to do what the gall bladders doing. Maybe it’s. Gon na have a hard time doing a job, and so a lot of times what we’ve seen here is the patient comes in, have every single call letter symptom marked up and I go? Oh, you ‘ Ve got to go all black, probably go. I don’t, have a gallbladder and I’m like right. I see that on your on your chart, but you have this cystic duct. Well, you don’t, get. Usually you don’t, usually get stones at that point. Usually you have sludge in there, okay and and so it’s pretty standard for me when people come in to and they don’t have a gallbladder because it’s so important. They’re, going on some sort of a support for a gallbladder, oh yeah, you there or no, I’m, not treating them if they have a gut problem. I’m, not treating them if they have. If there are problems that I have to get to through the guy, I’m, not treating them, because what did I say it’s not easier or not gonna work or it’s. Gon na go away and come back, and so there are number of supplements there’s. Ginger there’s. Caps of can there’s curcumin there’s. Fenugreek onion enhances the secretion of bile acids and bile sauce there’s, the deliver stuff, the dandelion, the milk thistles. All of these things can can help that to work. We use a couple of supplements I used to come. I use it number of different companies, but I use this one product from apex. Energetics is the company. I think you can only get those through doctors, though, and it’s called bio men, and it has several of these things in it. I usually will use bio men and then something another product called lipo men that lipo lipo is like fat, okay, so those two things usually break it down. I usually have them take that for a month, and then I will have them take one of these herbs or botanicals forever, because you don’t have a gallbladder okay, and this is this – is probably one of them there’s. Probably one of them at people calling go. What can you tell me to do you know it’s like one of the things, I can actually tell you to do. Okay, that’s, going to be good for you that doesn’t really depend on anything else. You just need to to take this stuff. If you, if you want to, if you don’t have a gallbladder, the chances are you’ve, already decreased your fats and fried foods and carbs, and if you haven’t you should. You should decrease sugar, like the diet, you know whether you have gallbladder problems or whether you have a gallbladder al. It’s like decrease your fats and oils. After what we talked about for the last 30 minutes or whatever it is or more it’sit’s. That should be a no-brainer fried foods. Most of you are already not eating it. You know, decrease your carbs, you know not having a gallbladder is not the best thing for people on the ketogenic diet. Okay, so if you’re on the ketogenic diet, you definitely need to supplement for your gallbladder, even if you have it frankly. Okay, even if you have your gallbladder, you should supplement for that because it puts a demand, high fat diet right. It puts a demand on gallbladders. Twenty percent of the people have gobblers that’s. All they know forget, remember about the 10 %. That probably have gallbladder problems that they haven’t even figured out housing, yet okay, which is probably more than that 20 %. So you should be taking that sugar screw it up. You should increase your fiber. You can drink coffee for those of you who can drink, coffee or aren’t stressed out of your mind or you don’t drink coffee, and it makes you better. Coffee cannot be good for your stomach and your intestines see if you kind of have to gauge that if you have an inflammatory bowel disease, don’t drink coffee. You know I’ve, been planning about disease. You can drink coffee, coffee, enemas! I’m, not gonna go into coffee, enemas yeah! You know they’re good. Alright, there’s. There’s. The no coffee enemas are bad. Coffee. Enemas are good. They’re good for this. They’re good for this. I’m, not, and I’m, not everyday coffee and I’m a guy. Okay, but if you have a gall bladder problem, it’ll, get your gall bladder or sludge moving it ‘ Ll get your gall bladder. If you got small stones, it ‘ Ll get those out there’s. Tons of studies that’ll say that that that will work, and I’m talking still to those of you. Don’t have a gall bladder. I’m kind of talking to both of you right now. Get into people have a gall bladder a second so anyway, so all of that decreases increases your your irritability. For those of you, don’t have gall bladders. You have a cystic duct that’s. Trying to be the gall bladder, you need the support and bile salts, and I and I’m, a full disclosure. I just learned this like six months ago. I go to seminars all the time and – and I and I I know who’s, the who’s who and who to go to. I know who’s, a commercial guy. I know he’s good at selling it. I know who’s good at, but but that’s, not where I go. I go to the people who have been in this since the beginning. The people are doing the research. These people are money, everything they’ve ever told me over the last twenty years has come to fruition and they said don’t. Take bile salts, I’ve, been taking, tell people to take bile salts forever and and they work, but the position of my mentors who you can trust with your life. I let me tell you, is the bile salts are too harsh over a long period of time. They’re to us to ours, so you want to go more to these supplements. Okay, so for those of you who have the gallbladder, let’s, go back so don’t, be gallbladder. You have a gallbladder, it’s called it. It’s called the cystic duct. You just got to keep it moving. Okay, you got to keep the sludge out of there that’s. The way you know you can do it by exercise. Exercise is also really good because you’re. Moving around it increases vagal activity exercise is good for people who do and do not have a common factor. Size is good for everybody. You can do it if you find the right if you find the right, the right intensity level for you, you have a gallbladder here’s, the thing! Okay, you go to a doctor, you know how you, if you have the symptoms, you have the symptoms. If you have the symptoms, you’re, one of those people who’s like you’re on your way to stones. Okay, you can get small stones, you can get large stones as the stones are. Not impact is not about what you eat for the most part. It’s, not about it’s, not about your imbalance in calcium and all that type of stuff. Okay, it’s about it.’s about these things that we ‘ Ve talked about. Excuse me, and, and so well it’s about what you eat it relative to that you got to decrease your your fry, your fats and your oils, and your fried foods and and your carbs and your sugars. So I’ll. Take that back, so it is about those things, so you have to decrease those things and and – and you can use these herbs and botanicals and these stones will disappear now there are, I you know used to like I used to like, attach all the pure future Episodes but frankly I just don’t have time to do that anymore. So, but you can look these studies up. You can look on pop PubMed. You can look on the dissolution dissolution of stones by natural means, and there are tons of studies out there that will show before and afters of ultrasounds, where the stones are are have disintegrate, even large stones, even large stones with spikes on them or that, oh, you Got to get it out because it’s, gonna go in your duct and then well. You know I’ll, wait until it goes in my duct. Let me try this first, the it won’t work, and so so you can do that. You can do that. You do the exercise, you can change the diet, you can do herbs and botanicals and and and and and and those things largely are going to to take care of the problem you can do you can do the olive oil and lemon juice deal. It works. Okay. There there there’s, a lot of controversy on it, but at that seminar they presented a number of papers and they prevented they showed a lot of studies and they actually show pictures of where the stones would come out, and it would show you That you know what the stones look like and so on and so forth, and then there’s. The old coffee, enemas, okay, I’m, not gonna get into the details of coffee on us, but I have sheets here for people. I use it for people who have severe gall bladder issues that are not resolving and the other way, and I use it for people who have severe constipation. I don’t, use it that often most of the stuff that we we do. Everything gets going but but but but there’s there’s. There studies I’ll. Tell you the coffee and episodes don’t work. There are studies that will tell you they do work. So my experience, my colleagues experiences and my mentors experiences: are they work for these types of things? I would do all of that. The only thing they’re. My reason anybody’s ever taken. Source : Youtube

https://youtu.be/84wbMv-I7do Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, Dr. Martin Rutherford, we’re next segment of functional medicine back to basics. Last time we were talking about stomach and it’s and its place in the great hierarchy of taking care of patients with functional medicine. The the concept that I keep hoping to get to you is that there are a lot of moving pieces to this there’s, an organization to it. You really need to in the beginning, when you attack a case kind of get a feel for what all the moving parts are for. That particular patient is what we’ve been talking. We’ve talked about that there’s. What we’ve, been talking about up until now, and and now we are at the pancreas and pancreas is kind of interesting. Most people know pancreas relative to somebody who drinks too much acute pancreatitis. Most people know that that’s, not a good thing, and that if you hear that you start making plans and not always, but it’s, you know when their pancreas gets that bad. It’s. It’s. You, it couldn’t, frequently be a life in death situation. Most people know pancreas with diabetes, particularly diabetes type 1. People are getting real familiar with their pancreas, but it’s. Interesting. We don’t normally see the pancreas being a huge huge player in our world as far as the necessity to start throwing pancreatic enzymes on it are our bovine pancreatic tissue at it or anything like that, because of the way that we dressed cases, The way that classic functional medicine should address cases symptoms of the pancreas. I have a cheat sheet here. Okay, so difficulty digesting roughage our fiber okay and it’s, not so not after protein. It’s, a lot of it’s very similar symptoms to lack of hydrochloric acid, which we talked about last week, and you get these symptoms after you. But you get these symptoms after you digest a starch, not after its starch fibers. Not after you digest protein, okay, so difficulty digesting roughage and fiber indigestion and fullness lasting two to four hours after eating, because you’re, not digesting those the roughage or the fiber pain, tenderness, soreness on the left side of the rib cage. Okay, so pancreas actually goes from about here over. Can you see the kidneys I’m, not sure. If you can see this, it actually goes from here over all the way to here kind of behind the stomach, and so you can get it. Excessive passage of gas can be a number of things, and but certainly if your pancreatic enzymes aren’t doing their job, then you can get excessive passage of gas, nausea vomiting you get nausea and vomiting from the stomach. You can get it from the liver. You can get it from anything that stimulates your vagus nerve, but you can get nausea vomiting from the pancreas, so it’s, not like. Oh. I got nausea vomiting it’s, the pancreas okay. It’s like you got to start looking around, go okay, it’s. Can I do. I have no stomach problems. Pancreas problems, stool, undigested, foul-smelling mucous like and greasy and poorly formed, and and I’ll, maybe kind of a little bit like the gallbladder. Okay, it could kind of float. You’re gonna find out why, in a second, because the gallbladder and the pancreas kind of work together and when one stops working the other one kind of stops working a frequent loss of appetite. These are the most common symptoms of gallbladder function. A lot of them are similar to symptoms of not having enough hydrochloric acid, and I tell you that not to confuse you, not enough. Hydrochloric acid talked about in the last segment is usually usually due to stomach, not having enough hydrochloric acid in your stomach, not breaking down your protein and in the last segment we talked about how, when you don’t break down your proteins, because you Don’t have enough of hydrochloric acid. It sends a signal to the pancreas and it tells the pancreas to it says I’m, going to send you a bolus of food that’s, not well digested. Thus it’s too acidic, and there’s, a duct now that these that thing that the gallbladder dumps into and that the pancreas dumps into there and and and so this common duct okay, if you it also is dumps into where The food comes right out of the stomach, so if you have an acidic bolus coming out of there, Nature has already kind of figured out. You could screw up your gallbladder and your pancreas. This is mostly what we see I don’t normally see the person who is drinking themselves to death. They’re, not usually somebody who is like attracted to alternative functional medicine. Just at least I’ve only seen a few and and we don’t, usually see people who have severe acute pancreatitis. Usually the pain is so much that they’re in the hospital. So we see the chronic pancreas issue, but nobody ever comes in here for that it and – and we don’t, have people come in here with. Oh, I’ve got all these problems and then we find out that they have diabetes type 1. Usually they have found that out long before they get to my office and and if you’re, a physician watching this usually to your office. If you’re doing functional medicine, so we get the person whose pancreas isn ‘ T functioning properly why isn’t it functionally? Probably the number one cause is usually a lack of hydrochloric acid in the stomach, and then a signal is sent to that pancreas and the pancreas just stops putting out pancreatic enzymes. Part of the reason that you get undigested foul-smelling mucous, like greasy stools, is because the pancreas has a lot of different enzymes. So most people who come in here and have some a clue of what the pancreas does usually connected the blood sugar, and indeed you can get blood sugar symptoms. Also that will alert you to a pancreas problem. You could feel like you have insulin resistance. You can be, you can be fatigued after meals and you can crave sweets and you can urinate a lot and things of that nature. You can have that that can alert you to a pancreatic problem, but that, but the key Technic pancreas is is: is this the key to the pancreas? Is that the hydrochloric acid, in the stomach in the functional world? Usually it’s? The hydrochloric acid? In the stomach that’s, causing the bolus not to not be digested properly, the bolus is not has an abnormal chemistry by the time it hits that duodenum, where the, where the food dumps out of your stomach into this part of your upper intestine, Is called the duodenum that’s where all of these things dump and it’s healthy and it kind of tells the pancreas to not work. And then the pancreas puts out enzymes to digest your starches. Okay, not particularly fibers, but it can it can. It can do a little bit of that, but pancreas also puts out enzymes that has to do with immune responses, but but the big thing is it puts out enzymes that dampens inflammation there. It puts out anti-inflammatory enzymes that dampen inflammation in the intestines. So if so, if you put, if you put a lack of hydrochloric acid together and you put a decreased gallbladder function, the other which we will talk about here in the next segment actually and you put pancreatic dysfunction together, you’re gonna get A leaky gut, if you put that together, you’re gonna have you could have irritable bowel syndrome? Yeah you could have. You could develop irritable, bowel disease. If you have that trio, I put these together kind of as a trio. Frankly, I look at them when I look at a person’s case. I look at a hydrochloric acid in the stomach pancreatic symptoms. Are they there? Okay and gallbladder symptoms and the two things that I find to be more important and that was verified to me by some some of my seminars. I kind of went to about a month ago on autoimmunity by my mentor dr. cross and that I, it always seemed to me like it was the it was the decrease hydrochloric acid in the gallbladder, and indeed it turns out that hydrochloric acid in the gall bladder Are two links in the chain that if either one of them go there about it’s important to address as pretty much anything else? You’re going to do to your to your gut, so the pancreas is usually secondary to that. I don’t use a lot of pancreatic enzymes simply because if you followed this series and and and you’ve heard the mantra move there’s, a hierarchy there’s, an order to treat this. If I see a acid indigestion in the stomach, if I see person burping right after a meal full, they have all these low, hydrochloric acid symptoms, which we talked about in the last segment. I’m, treating that and and in treating that, and if they have a lot of gall bladder symptoms. I might be treating that at the same time or I might be waiting because it’s, a tad bit down a little chain to chain of command. I might wait on that, or am i doing both the same time and the vast majority of time in my practice, those symptoms go away now. This is separate from the approach of okay. You have all these digestive problems. Let me give you digestive enzymes and hydrochloric acid, and the person is going to feel better okay, if you do that, maybe if they get their diet properly under control but-but-but-but. This is more of what functional medicine was meant to be, which was to be getting your system to start functioning. Normally, the vast majority died in my practice. We get the hydrochloric acid, we get the stomach under control if they don’t have an autoimmune problem in their stomach. As we talked about in the last segment, you get that under control and the and the function of the pancreas is going to usually follow. If you get that and the gallbladder under control, then the pancreas is going to is going to follow. If I get those two under control and I stop pancreatic symptoms, then I’m going to be looking say. Okay, do we have some rare case rare in my office? Okay, do we have some rare issue where, where the person has panco diabetes, type, one and doesn’t know it or do? Are they getting in an early phase of some sort of a liver issue? And then I’ll run the the labs that would be appropriate to to find out if the pancreas cells are producing properly and and doing their job. So pancreas is pretty clean. It’s kind of like a if it’s, not a severe acute problem in functional in the functional world and with the type of people that are drawn to most functional offices. It’s, kind of like it’s kind of like a step along the way that’s, that’s, not the biggest step in most cases that come into the office, and so that’S kind of how we see it, that’s, how I, that’s, how I’ve experienced it, and so this is a fairly efficient presentation this week, because in my mind I’m, not treating acute Pancreas as most of you or not or probably shouldn’t be, and so so there’s, not a whole lot, get to go more to go over a relative to pancreatic function and how to get it going properly. Mostly its treat. The gut treat the stomach and and possibly and possibly treat the gallbladder, so so that’s it for today. So I’ll for you for all you, pancreatic fans. I hope that that fed your appetite for pancreatic function, data and next time we will be going over the gallbladder and the gallbladder is quite a bit more involved than I think most people understand, and I and I say that, having spoken to literally hundreds and hundreds Of people who’ve had their gallbladders out, and so it’s kind of fascinating. The gallbladder is far more than just breaking down your fats and the ways to manage it are are a little bit more than the pancreas and possibly even the stomach. So I’ll, be looking forward to that. Talking to you on that subjects. One of my favorite subjects, and so any questions that you have on this, please send them to me, and I will be looking forward to talking to you next time about the gall bladder you Source : Youtube

https://youtu.be/_JFzbgUtK0M In this segment of Functional Medicine Back to Basics Dr. Rutherford will discuss the stomach and its roll in chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi this Dr. Martin, Rutherford and word: this is a segment on functional medicine back to basics. Last segment was on chemical sensitivities. We went into that pretty extensively. Chemical sensitivities can be there. They can be at that spot right after the gut right after small and large intestines, they can be, they couldn’t, be later it’s, something that it depends on the person’s history, but right now. This is a good relative order. In the way you would attack a chronic condition case, which is mostly why we see chronic conditions. Neuro inflammation, we see autoimmunity a lot, but but even just a strict gut case. This is why you would you would attack so this week’s on stomach stomach is, I think it’s highly underestimated, as as a part of chronic conditions. Most people are really aware of the intestines. Now it’s on the four-hour program, the heal, your gut, all these different programs. For that, do it do that audio, mute, alio, diet and and and take some supplements – and you know, kind of keep your fingers crossed and sometimes it’s going to help. But the stomach is frequently missed and if you’ve done it automating, paleo diet or if you’ve, been diagnosed with small intestine bacterial growth and you’ve done that or you’ve done any number Of things for your diarrhea or constipation, and they work for a short period of time and and then they stopped working, you’re gonna find out. Why? Right now, because the stomach has a huge player in not only helping to get those under control, but they are a huge player in keeping them under control. Once you’ve done one of those programs, so there’s, so the stomach it digest your food and – and one of the main things it does is one of main features of it is hydrochloric acid hydrochloric acid is, is designed to Primarily digest your protein, it’s. Your stomach’s, a very acidic area for those of you who are alkaline people, you tend to dampen this response, which is not a good thing. The and, and so it is the beginning of the chain, it’s, it’s. Actually not the beginning of the chain of digestion. The beginning of the chain of digestion is actually smelling your food, seeing your food that actually creates a beginning of the digestive process in your stomach in your pancreas and your gallbladder and, of course, chewing your food. But then, after that, the next thing is hydrochloric acid. So cyntha so first there’s low there’s, low hydrochloric acid symptoms and their high hydrochloric acid symptoms. If people think about their stomach and they think about symptoms, what I my experience is mostly they say. Well, I don’t have an ulcer or they say I’m, taking yeah I have or or they say I do have my do taking in acids, because I have acid indigestion and, and one of those is one of those – is Too much acid one of those is too little acid. The problem with the stomach environment is usually too little acid and I think it’s, important to walk through that. Let’s. First, walk through other symptoms that our stomach symptoms that you may not connect with the stomach one is excessive, excessive belching, burping or bloating, and I think that’s. What seem like it could be number of things, but that would be excessive, belching, burping and bloating after you’ve eaten the protein. I just had a lady yesterday patient and we’re close to the end and she started the range to do some food. Oh she that’s, one of what she switched over to keto diet. Typically, she’s, starting to eat more meat than she probably should, and she’s having a hard time and she’s having a hard time digesting and she’s getting gas play. Well, it’s because she she doesn’t have enough hydrochloric acid in her stomach and she’s now, trying to digest more pro team. So so, usually the guests and the bloating from the stomach versus a pancreas or gallbladder or SIBO would be. If you are not able to digest protein, I eat a protein meal again gas and bloating that’s, usually lack of hydrochloric acid. In your stomach way, more about hydrochloric acid in a minute, so guess immediately following a meal same thing offensive breath. So so many of the people come in here our health minded. They are brushing their teeth. They are flossing their teeth. They have going to the dentist. They’re, doing the right things, and yet someone come in here and they and their breath is really horrible and they’re embarrassed by it. Of course, we smell their breath to see what it smells like, because breath coming from a lack of hydrochloric acid in the stomach has a very distinct smell, and it can alert us to the fact that that person, doesn’t have on the hydrochloric Acid understand difficult bowel movements, one of the number one causes of constipation, possibly the number one cause of constipation is stress and stress – creates a situation where it puts you into something called fight flight and when you’re in fight flight, your nature kind Of knows that you don’t need to be eating peeing pooping, so it shuts all of that down. So if you’re in chronic stress, it shuts down your stomach, your intestines, your your goblet, your not your gallbladder, your urinary, bladder and so stomach. If it shuts that down what happens, is you stop making hydrochloric acid for that period of time? But if you’re chronically stressed, and you shut down that hydrochloric acid there’s, a chain reaction from hydrogen from not having enough hydrochloric acid, and that chain reaction is. Is you’re, not making enough hydrochloric acid? That sends a signal to your gall bladder not to work, because doesn’t want you, you’re here. You’re in fight flight. We don’t want your gall bladder to work either you don’t need your gall bladder doing anything while you’re, trying to run from the barre right and then that will help to shut down your pancreas. For all you, pancreatic enzyme fans, and so and and and that is a stressors and then those if you’re in stress long enough, can create inflammation in the intestines and for their. I’m just trying to point out at this point in time how important not having an of hydrochloric acid in your stomach is and where it comes from. So we’re, so so difficult bowel movements will happen when you have all that happening. You’re not to just in your protein. You’re, not digesting your fats, you’re, not digesting your and your your your starches, because all those organs – aren’t working, that’s number one cause of constipation sense of fullness during the other thing. By the way, second, most common cause of hypochloride Rhea low hydrochloric acid is thyroid. Hypothyroid Hashimoto’s thyroid slows down the ability to make hydrochloric acid sense of fullness during and after meals. Of course, you’re, not digesting your meal, because you have enough hydrochloric acid difficulty, digesting proteins with meals, undigested food found in the stools. These are symptoms of low hydrochloric, acid they can and and and that can be caused by that can be caused by stress that can be caused by high power. Just said late, just a few minutes ago, it can be caused by low thyroid. Those are the two most common causes that come into this office that can be caused by h, pylori, h, pylori is a bacteria that you get in your stomach. That will actually cover the inside of your stomach and cause you to not make well. You’ll still make hydrochloric acid, but the hydrochloric acid can’t be expressed because the parietal cells that are making it are being covered by a bacterial infection. So not having in my world not having enough hydrochloric acid is probably more important to look for immediately than whether the person has too much hydrochloric acid, because, as I’m, going to tell you here second to little. Hydrochloric acid leads to you having symptoms up too much hydrochloric acid, just they are with me on this okay. So so what are the symptoms of too much hydrochloric acid, more people know these then know the symptoms of not enough. Chloric acid stomach pain, burning aching when just right after eating use of antacids. This is like the number-one thing feeling hungry an hour to after eating heartburn when lying down or bending forward. I’m gonna stop on that one heartburn when bending down or lying for it can also be a hiatal hernia, and I don’t have any to my knowledge. We should do something on high auto hernia, because I don’t think I have any presentations online on hiatal hernia, but hiatal hernia is when your stomach pushes up through your esophagus. It can because you were vomiting it because it could be because you’re bent over too much. It could be because we sit too much and because you can live to much and it pushes up your stomach into your esophagus. And then your acids become available to your esophagus and then it starts burning your esophagus long-term hypochloride, Riya, low low acid, long-term hyper chlorhydris too much acid or long-term hiatal hernia all can caught lead to something called Barrett’s, esophagus esophageal esophagitis. Some of the things that some of you watching this may have it’s, something I see semi commonly heartburn. When you’re laying down or bending forward, then can be too little. Hydrochloric acid. It’s, usually too much hydrochloric acid and it can be a hiatal hernia. Temporary relief by using hand acids that’s too much acid in your stomach digests. Their problems subside with rest and relaxation that’s too much acid heartburn due to spicy foods, chocolates citrus peppers, alcohol and caffeine. By that time, the inside lining of your stomach is starting to disappear. Okay, so we have a low hydrochloric acid in stomach problems. We have high hydrochloric acid and stomach problems. Now we briefly have talked about the importance of low hydrochloric acid, because if you have low hydrochloric acid to go over it again and take it one step further, you eat food. The proteins don’t, get digested. The the the food then sits there. The proteins actually sit there. This is this. This is a step by skipped. Previously, the protein sits there. It is what becomes acidic in a case of low hydrochloric acid. This is by far the more common reason for you having acid indigestion, because it takes a long time to get where we’re going to get to in a minute with the high hydrochloric acid. So the protein starts getting acidic and then what happens is is, is it gets putrid and you know it starts to. It starts to burn, and then your your, your, your digestive system, has a lot of checks and balances. A lot of failsafe mechanisms. A lot of Governors, if you will okay, and so this is the biggest one. If you Dom enough hydrochloric acid, the food gets putrid. The food gets acidic and now sends out a hormone to your gall bladder called cholecystokinin, and it kinda tells your gall bladder to not pump for all you. People have had your gall bladders out. Why did they take it out because it started pumping slower? What did they tell you? Your ejection fraction is slower and when that happens over a long period of time, guess what else happens? You start to get sludge and then guess what else happens that ends up turning into two to two small stones and then large, donuts and so on and so forth. If you’ve had low hydrochloric acid over a long period of time, from usually chronic stress or hypo and or ultimately, maybe h, pylori. These are the things that caused it. Okay, now that gallbladder and that stomach also now alert your pancreas hey. I’m about to send a bolus of food down in there that is not digested properly and is acidic stop working pancreas, because if you keep pumping out enzymes through your little duct inflammation from that as city acidity of that food is gonna Get in there and you’re gonna get sick, okay, and this is how some people get pancreatitis without drinking alcohol, okay, so so, but the bottom line is low. Hydrochloric acid shuts sound gallbladder, both of those shut down your pancreas. Now you’re, not putting out pancreatic enzymes. Now you’re, not digesting your proteins, you’re, not digesting your your fats and most people. Don’t realize that these organs do more than that. Your gallbladder. Actually helps with immunity. It helps with inflammation. Your pancreas puts out enzymes that are anti-inflammatory. If you want to know how to get an inflamed intestine, then don’t have enough hydrochloric acid, in your stomach. How did that happen, usually by stress usually by low thyroid, usually by h, pylori? Those are the biggest ones. There are other things, but that’s, probably 98 % of the reason two people have low hydrochloric acid and the next thing you know you start getting bad bacteria in your stomach. Why do you get bad back to your in your stomach? And then you get bad back to your in your intestines. Why do you get bad bacteria intestines? Because the hydrochloric acid is not just there to dance to to to digest your protein? It’s there to kill bad guys. It’s. There to kill bacteria, in fact, even though it’s kind of a reciprocal thing, even though h pylori infections can cause out like a hydrochloric acid, you almost can’t, get a hydrochloric h, pylori infection in your stomach. If you have enough hydrochloric acid, because it’s going to – and i’ll tell you in a minute why the other thing would be, but because it’s, usually going to kill that it’s. Usually going to kill that bacteria, it’s, going to kill Candida it’s. Gon na kill viral infections that come in, even if you’re like if you like, out there and and and you’re drinking bad water. You have enough hydrochloric acid. That may even kill that, although the water goes through a lot quicker, it may even kill that okay, so the hydrochloric acid also is like the guard at the door to try to make sure you don’t get bad viruses. You don’t, get bad yeast. You don’t, get all that stuff in there. Now you don’t have enough hydrochloric acid. All that stuff starts starts happening. If you don’t have enough hydrochloric acid. For a long enough period of time, then you start to get damage to the inside of your intestines, because you have because you have infections in there, because you have food, that’s, not digesting properly and most people say and then and then what Happens is you start getting very acidic now? Let me stop at this point at this point. Many of you are taking antacids, but antacids are gonna, do what they’re, going to kill what little acid you have left. This is so common. It’s like mind-boggling. How common this is? Okay, so you’re now perpetuating the problem. So now we know what a little bit of acid being left causes. Now you have no acid left because you’re killing. Everything now you’re, perpetuating everything we just got done talking about, and now you’re, taking them over a long period of time. The inside lining of your intestine starts getting bad because there’s, inflammatory responses because you don’t have the enzymes and those types of things to kill it, and the next thing you know you stop absorbing things now you can get Malabsorption now you can get osteoporosis and you get all the other things that you can get in your intestines. You can get all kinds of intestinal problems so, like you know, omeprazole, and that’s. What is it pants? Oprah’s own. Those types of things you, if you, if you, if you, if you are taking those and you have been confirmed as not having an ulcer, find another way, there are lots of other ways, herbs, botanicals or a lot of other ways to get over that acid indigestion. Until you take care of whatever is causing it, I mean bad diet could cause it to, but the number one and two causes are usually stress and thyroid, and so now so we move from hypo chloride, Riya to hyper acidity okay, but you get the hyper acidity Because now after you’ve had low hydrochloric acid for a long period of time. And if it’s. Because of stress for sure you’re now going to have a so long that it’s. Going to start to damage the inside of your intestines now at this point, when you have the day when you have damage the inside of your intestines, you’re, definitely going to check that person to see if they have h, pylori, okay, because they’re because they’re, not going to be killing their bacteria because first they had low hydrochloric acid. Now they have high hydrogen. I dab high acidity because the inside lining of their stomach is being affected. They have, they can’t eat any of these things. They’re, taking antacids and and and so the damage is happening to something called the parietal cells in in there. The parietal cells are what make hydrochloric acid. So when you start getting damage to that stomach now from from from having it from having the the hypo acidity for so long that’s now causing the damage. Now you start getting an inability of the cells in the lining to make hydrochloric acid because they’re being damaged, so that could be because you had hypo acidity for so long. You could get that hyper, acidity separately other than the low hydrochloric acid. If you have an automated problem, so if you have let’s say you have Asha Moto’s, let’s say you have rheumatoid arthritis. Let me sit and lupus whatever you have. You can get other antibodies. That will attack the inside of your stomach separate from everything I just got done saying, and so, if you come into a person and and if you come into a doctor and you have that type of an issue, they should be checking you for a hypo chloride. Riya they should be checking you for autoimmune antibodies, in other words, antibodies to the inside the parietal cells. On the inside of your stomach that are being destroyed by the acidity that you’re. Having at that point in time, they should be checking you for h, pylori B, if you have nothing torque, hydrochloric acid or if you’ve advanced the point where you’re, having stomach symptoms or actually ulcers. You’re, not making enough acid to kill the bacteria h. Pylori is almost a standard. If you do the test, it’s, almost always going to be there, and – and so this is stomach. Okay, and and and and the big thing about this is – is as you’re following me: you’re, probably thinking wow, it’s, pretty important to have like enough hydrochloric acid in my stomach, because it screws everything else Up and the answer is that’s right, but the hydrochloric acid comes first, so you have to figure out. Where are you? Are you just at the point? We don’t have enough hydrochloric acid or you point. Are you at the point where you’ve crossed over to the dark side, and you now have actual damage to the inside of your intestines and or do I have h, pylori and do I have or do I have in parietal cell antibodies that Are attacking the inside of my stomach? This is stomach. Okay. This is something there’s, a lot of weird things that can happen through the stomach other than that, but these are pathologies that rarely happen, and there’s, something that people would see if they do an endoscopy or something like that. This is ninety nine and nine-tenths percent of the people who come in to this office. This is the flow and again we’re talking about flow. We’re talking about there being a we’re talking about there being a an organization to this and a hierarchy so and and and many of you, if you go back, you’ll understand we’ve. Already looked at stress responses: we’ve, already looked at those types of things and we’ve, looked at your intestines, your intestines being violated can in turn like if you’ve developed celiac or if you’Ve developed Crohn’s, disease or ulcerative colitis. First, the inflammation from there can certainly feed back and can certainly cause an abnormality in stomach function, and so that’s. Another thing that you kind of need to be aware of. As far as that goes, but again, those are not a huge part of the population. I don’t know what the percentage is. Maybe six percent people who have got problems have those autoimmune issues the this is what you’re. Looking at so so so the big takeaway from this to me is I go back to those of you today. Everything’s on the internet, everything everything people come in to me today. It’s. It’s way different when I started when people had no clue as to anything about anything relative to why they had autoimmunity or why the what was going on through thy right or what’s, going on with their gut now. The for our program, the 5-hour program, the SIBO program, the automated Paleo diet. All these programs are all over the place, and people who are looking at this, like yourself, probably have already looked at all those things. Many of you have probably tried all of those things. Many of you have gotten no help from them, or many of you have – or many of you have gotten help from them for a short period of time and then two weeks later, four weeks later, six weeks later, eight weeks later, boom everything came back. You got discouraged, you said, oh, my god, I thought I had SIBO. I was right out of textbook. I did everything was better now it’s. All back. I’m, so bummed out. Oh my god, like it’s like and it’s, not that, but it could have been that. But if you have small intestinal bacterial overgrowth, okay and you do that whole thing that whole that whole dietary regime and and you used to and you use the proper herbs and botanicals and stuff – and it comes back it’s because most likely you Didn’t have enough hydrochloric acid in your stomach, to kill it and keep it away and by the way for those of you who are the alkaline people, you need at least a little bit of acidity in your intestines, and you need a lot Of acidity in your stomach so that you can kill things and so that you make the environment in your intestines just a little hostile, so that these viruses, these bacterias and stuff don’t, come back once you’ve killed him so That’s kind of, I think the extent of really what you need to know about stomach. I I think that’s, really the critical core of it for those of you who have gone through again. This whole series is relative to back the basics of what functional medicine is supposed to look like and and and and the breadth of functional medicine. The organization of functional medicine, the hierarchy of how you attack things to the degree that you can do that, and so that is really this is. This is a huge, huge, huge, huge key to the entire hierarchy of attacking almost any problem that walks in this door. Relative to gut problems got problems having immune responses that are attacking other things. If you do all the right things and you don’t get the I and you don’t, get the acidity in your stomach under control. You don’t, get the stomach under control. You’re, not gonna get a long term response. So this is one of my favorite subjects. I could go on for hours and hours and hours and hours on this, but I, but but there’s. Lots of data online relative to this particular type of a condition. And if you want to, like you know, look those things up and verify it, but this is the core of stomach. This is the testing that you would do, and this is the testing that you would do when you would do it and I and it’s. It’s such an important part that if you’re having any these problems, I would like rewind this thing. Rewind this thing I would replay this thing. You tell where I’m at right. Where I come from, you can replay this thing a couple of times and then kind of compare it to your symptoms and I think you will find and and that and and and a success. The solutions are dietary. The solutions are supplements, sometimes the solutions are are just you know getting hydrochloric acid in there. Sometimes you take hydrochloric acid and you burned you, so you have to actually you know. Maybe you got autoimmune gastritis because you have positive antibodies against your bridal bed cells and then you’re, not making enough hydrochloric acid. So you may have to get the immune response. That’s, a whole nother animal! That’s, a whole nother presentation, but it is extremely doable the vast majority of the time, so so so that’s, an important presentation back to basics, and I’m, a big back to basic guy. I’m, a big fundamental guy there’s, a reason for that, and – and this again I can’t reiterate this enough. This is one of the most important aspects of what we’re doing so next time we’ll, be going onto pancreas, which will be frankly a pretty short presentation. So I’ll, see you, then, with pancreas, you Source : Youtube

https://youtu.be/ivwLmHH1SpM Chemical Sensitivities can be a major issue for many of our patient population. Today Dr. Rutherford will discuss them and how they fit into his treatment flow. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi Dr. Martin Rutherford today we’re, going to be going over and continue our series on functional medicine back to basics. We, for those of you have been following. You know it’s, a whole series. I’m. Taking you from beginning to end the what functional medicine should look like if you walk into a functional medicine practitioners office and it doesn’t. Look like this trust me. They’re, not practicing classic functional medicine. There’s. A lot of moving pieces to it, we’re, trying to give you all of those pieces, the piece and last week we talked about leaky gut. We talked about intestinal permeability and how it relates to chronic conditions, chronic pain, how you address it? How you prevent it from being sabotaged once you’ve, gotten done with your leaky gut. Everybody comes in here today knows about leaky gut, they’ve done it, but it’s back by the time they get here. We do a test on them and they got like it Willie. He got that’s blown wide open and they wonder why. So we just so we and and and then we talked about how that could be stressed. It could be that they didn’t, have a hydrogen of hydrochloric acid on and on and on so that’s. That’s last week again, and I mentioned that because again this layers on top of each other. Today, we’re talking about multiple chemical sensitivities. Okay, when you’re, when you’re, when you’re, go to functional medicine, most people come to my office or coming in for chronic conditions. Okay, they’re not coming in, because their diabetes is off. Some come in for weight loss, but the vast majority come in here with dizziness vertigo balance: migraines fibromyalgia, peripherally chronic fatigue, irritable, bowel syndrome, Crohn’s; disease rheumatoid arthritis. Most people come in here with with chronic conditions that usually have an autoimmune component to it and or or and frequently also have a stress component to it. You put those two things together and your entire system starts to collapse varies from person to person, so there’s, a number of different, pretty well defined and known categories as to how to address those problems. But the problem is on the internet. They’re, not well-defined. You’re, a million different people talking about a different things. You know must be that one, this one it’s. Not that way, so we so so we ‘ Ve talked about the bowels, we talked about large and small intestines. We’ve talked about leaky gut, even though it’s very difficult. To clearly say this is the next thing. Next thing we’re going to talk about? Is going to be chemical sensitivities because you can’t get chemical sensitivities without having a leaky gut okay, so we’ve already dealt with the leaky gut. You almost can’t have chemical sensitivities. If you have a strong frontal lobe now, we have not talked about that, because that’s, separate that’s, that’s like that’s like functional neurology, but but but we will talk about it as Time goes on, you almost can’t hat. You almost can’t have chemical sensitivities. If you’re, if you’re, if you have enough glutathione, so we’re. So let’s, talk about multiple chemical sensitivities, so chemical sense, since they reside patients that come in here and and some of them I’ve. Had the patients coming here ago. I can’t be in here. Well, I’d, say why? Well we’re. I don’t know there’s, just something in here that you know I can smell your your front desk person who is like a hundred feet away as cologne on or something along those lines, and that and and so essentially when, When, when you have that amount of sense of activity it’s, called it’s called chemical intolerance and and and frankly it’s. It’s, intolerance of your of many things. So so it’s, so it’s, a it’s in its autumn. It’s. You there’s, usually autumn unity involved, but it’s. Self intolerance, though you’re. You’re. Ultimately, you’re. You’re chemically your system is intolerant to chemicals. Now, how do you get chemical sensitivities? Okay, there’s, a couple of different ways that you get them live or walk through. How do you get them you? Can you get them one of two ways you get them? Let me let me rephrase that as you as you you there’s, two types of chemical sensitivities. Maybe that’s, a better way of going about there’s like a chemical sensitivity where you’re, just like blasted by it, you’re blasted by it. You you you, you, you work in a gas station. You work in a laundromat. I guess I don’t know if people still work in laundromats, but you work in a lingerie. You’re somewhere, where you ‘ Re continually exposed to County working out a hairdresser or where you would get your nails done, or something that we’re, continually exposed to chemicals and and a lot of times. These chemicals will go in, they just overwhelm your liver, or you have detoxification mechanisms to get rid of this stuff. You have in your liver. You have several pathways that are designed to detox your body. One is specifically designed to detox these chemicals and it’s, a glutathione pathway, so a lot of you’ve heard of glutathione and and glutathione is kind of cool when it comes to this. For the person who just has like an overload: okay, basically the glutathione Xin, the chemical comes in okay and it comes in, and here it is, and in that this is the chemical right there and it comes in and the glutathione does this and the glues. I grabs it and then it like I don’t know. If you can see me do this, but it does this, it goes, it beats it up and it chops it up and it kills it and it crushes it, and that’s. What glutathione does and it makes it so that it can. It can be managed by your liver and that it can be docks fied by your liver by your by your gallbladder, by your by your your intestines and then go out through the toilet, the urine your sweat and get out of you, okay, so that’s one so that’s, an easy one, because it’s easy and it’s. Not because if you have that type of chemical sensitivity that and then your your your your liver frequently and your detoxification mechanisms frequently can take care of it. But the number one thing to do is to get away from it. Okay, and if it happens to be your job, then that makes it maybe not so easy to get away from it, but that is one type of chemical sensitivity just to clear things. Up now there’s now type of chemical sensitivity that normally walks in here into probably the most functional medicine practices is different. It’s, a chemical sensitivity where you develop what I already talked about when I said chemical and tolerance, and what happens is the chemical comes in to your system and it attaches to a protein? So proteins are a lot. Most people know proteins, muscle, proteins, muscle proteins like do everything in your body like everything they there they become enzymes. They just do a zillion things. Okay, so proteins carry things around in your body. All of your hormones have to attach to a protein to fly around your body before they get attached into a cell and then go into your cell okay, so it’s, the same thing with chemicals there. There are chemicals that come into your system and then they attach to a protein, and then they become a new. What’s called antigen? They become a new irritant to your immune system, okay and so your immune system. So it’s. So now it’s, not even that it’s, the chemical it’s that it’s, the chemical attached to the protein. Why is this? Why is this important? Because this is the person I was just talking about that walks in the front door. I goes I got ta get out of here. I can’t. I can’t. Take your clone. I don’t know. Well, I haven’t put on Cologne in three days. I can still smell it: okay, that’s, that person they have developed a chemical intolerance. This is now become an immune and problem because your immune system has developed a sensitivity to this new antigen. There’s, no longer a chemical problem. This is a problem to the chemical being attached to this. This protein called albumin, particularly okay, and it attaches to that and now it becomes an issue and it because it’s, not something I can just be cleared by your liver, that it’s, and and what do we do for all Chemicals and or metals we detox deliver or we detox detox detox, but it’s about more than that, and so, if you have the second one which MO which, if you have multiple chemical sensitivities, if you have intolerance to smells jewelry, if you have Intolerance, shampoos, lotions, detergents, multiple cat smell and constant skin outbreaks. If you have like a combination of those, then this is probably what’s happening, not the overload the Ola Bert comes in it goes it’s gone. Maybe you can detox adavi by doing a little bit of detox or taking a bunch of glutathione and you’re fine. But for those of you who have these real chemical sensitivities, you know you’ve done that and it’s, either not work or it’s works for a little time and it’s. Come back. So, okay, so that’s chemical sensitivity, so who gets chemical sensitivity? The second one, the one that shows up in in offices all over the country? The one that can’t be taken care of the one where people come in with masks over their face and and these types of things, okay, it’s; a combination, it’s, a combination of a number of compromises That have already become present in your system before you before you got there. We already talked about glutathione and its ability to take the chemical and indication. Now that’s, the ability to take the chemical and crush it, but it doesn’t work that cleanly, when the chemical attaches to the albumin and becomes an antigen and becomes an actual like like something that that your body sees as A foreign object that sees it sees it now it sees the chemical it’s more than just a chemical. It sees it as something that’s, going to assault its immune system. So so, usually people who become sensitive to this have lost immune tolerance already now immunity autoimmune, your immune system, you picture it as flying around in your bloodstream and and and maybe attacking viruses and stuff like a, and that is correct. There was a part of your immune system that does that, but vast majority of your immune system is located on the inside of your sinuses inside your throat on the inside of your lungs, on the inside of your intestines and on the inside of the blood vessels. In your brain to keep out all the bad guys, this is where all the bad guys enter in and your brain has its own separate barrier, because nature kind of like says brain is pretty important so like maybe we should take care EE, good care of that And keep the crap out of there right. So so, basically, people who get multiple chemical sensitivities usually have these barriers. They’re called barriers because the blood-brain barrier, the lung barrier, the intestinal barrier. We talked last week about intestinal permeability that’s, the intestinal barrier, that’s. Why we’re kind of doing it in this order? Okay, you have intestinal permeability, you’re, more susceptible it doesn’t mean you’re gonna get it, but you’re more susceptible. You have intestinal permeability or lung permeability, or you have bad blood brain barrier permeability. You’re gonna be more susceptible to this. If you have overwhelming infections, let’s say you’ve had leaky gut for years, and you have food sensitivities and it’s, overwhelming your liver and your liver, ISM detoxing as well. You’re, going to be more susceptible to this. You’re, usually going to be more susceptible to this. If you have glutathione deficits, if I remember correctly, I think, even though the glutathione pathway is one pathway, I think it’s. I think it’s responsible for up to like 60 or 70 % of the of the detoxification that deliver death. If you have good glutathione it’s almost impossible to develop autoimmunity. If you have good glutathione, you are probably not going to get chemical sensitivities. Okay, however, a lot of us don’t have good glutathione, because we’re stressed. We have infections, we have viral infections, we have pathological infections, we’re stressed out of our minds. We have a leaky guts, we have SIBO, we have h pylori, all of those things put us and are we drink or you drink. A lot of alcohol, or we’re, taken like five or six or seven or eight medications, all these things that put a strain on the drug. Maybe we maybe we, maybe we have fatty liver. All of these things will create a challenge and a deficit in that area, and the glutathione can become crop-top compromised and when it becomes compromised. You now are more susceptible to these particles that come in at attached to the protein that are supposed to be cleared by there and they can’t clear it and then maybe you have a big stress. Maybe you get a treatment a trauma? Maybe you get a surgery, maybe you have a emotional trauma in women’s cases. Maybe you have a child. All of these things that create a huge stress response of cortisol cortisol is a hormone in your in your adrenals cortisol’s. Most of you know it’s, a stress hormone. What also happens to have a lot to do with your immune system has a lot to do with those barrier systems there’s, a lot to do with blood or sugar. That’s in your liver that it has to move out. You put this huge demand on your system and boom the next thing. You know you have an automated problem so and and along with an autoimmune problem, you can get you that can also be one of the things that can cause you to have these multiple chemical sensitivities, not everybody that comes in here has multiple chemical sensitivities. Has an autoimmune problem, but my paid patient population, most of the people come in here haven’t who have multiple chemical sensitivities, has an autoimmune problem so and the other thing that so the things that you’ll, see in the person That that gets these chemical sensitivities just to recap, because because I didn’t say everything you’re gonna see low glutathione. You’re gonna see barrier system problems, so you’re gonna see. Leaky gut – and we talked last week about – I think the best test word – is a cyrex to test with nighttime. Again I have no financial interest so with cyrex to zero. Okay, I just think that’s, the best test, lung barrier test you want to find out for your lungs or good start, taking deep breaths like that, if you feel I mean really deep breaths and it really throw it out, you see how you Heard a wheeze in me that’s, because I had a pneumonia that lasted for almost almost six weeks back in the early 2000s and damaged in a damaged lung tissue. For me. So I have bad lung barrier, which I take care of which I take care of, and and so, but that could tell you if you have a bad lung there. If you have COPD, if you have asthma, if you have bronchitis yeah well, you have a bad lung barrier. If you have any of that stuff and a bad blood brain barrier is a little bit more difficult to to to determine as far as figuring it out. Some of the things that we do to figure it out, I’m, not sure I should share with you there challenges of certain neurotransmitters that if you take them and you fall asleep, you can look it up online. I’m. Not I’m, actually not going to get into that, because I think it’s, something that should be done in a doctor’s office. But but I will say this, you know if you eat your food and it makes you see you probably you have you probably uh yep, you probably a bad blood-brain barrier, if you, if you, if you find you’re one of those people who, Like takes a bowel movement and also in your whole brain clears up you probably bad lung blood brain barrier. There’s. There’s, a number of things like that, but those are some of the more practical ways of trying to determine or whether you have a bad blood-brain barrier. So if you have a bad blood-brain barrier or a bad lung barrier or an intestinal barrier, all three of them and you’re susceptible. You’re very susceptible to getting this. If you have any of the other things, I talked about it. If you have a fatty liver, if you have low glutathione most people, don’t know that a lot of people don’t know a glutathione is those who have it don’t know it can be tested. If you have a low vitamin D, if you’re, one of those went to the doctor and your vitamin D is like really really really low and it’s really low. You you you, you want to think of two things you want what you want to think of. I should get my vitamin D uh beep most people come into my office have low vitamin D. Autoimmunity has a lot to do with that, yeah in and and and if you have low vitamin D and multiple chemical sensitivities, they kind of go together. If you got low vitamin D, that’s a bit of a problem now chemical sensitivities – and this came with this – this – this situation of chemical sensitivities also morphs over into the metals okay, and so so this is kind of like this is kind of Like a little bit of a controversial area, because there are entire areas of the alternative world that have hung their hat on heavy metals and the heavy metals is a whole topic unto itself. And I’m gonna briefly kind of try to go over that topic with you, because this is a this. This can be a big part of this, but you have to be very careful about how you go about them. How you evaluate whether you have them if you’re, doing hair analysis, if you were doing urine analysis, if you’re doing things like that for heavy metals these. These are not very good thing: tests for heavy metals stuff and throwing tomatoes at the at the camera there, because I’m. Sorry, they’re. Not now you can take a serum test. You can look if you take a hair analysis. You take a urine announced. Your analysis is very inaccurate because it’s already after your liver and your and your kidneys have already cleared everything and – and – and I know a lot of you use these and you think they’re very accurate. But everybody has heavy metals like everybody, you’re a met. You are metals. Okay, you’re eating iron right every day. Your your your, your, your breathing things in you go to gas stations. You get your everybody’s. Got heavy metals we we eat, you know we eat so that we can get magnesium and that we can get all of these metals into us because we need them right. We need them to make red blood cells and so on and so forth. So it’s, not unnatural, that we would have heavy metals in our body. It is unnatural. I have to money and and and but how do you figure that out it’s not through the hair? It’s, not through urine analysis. Now you can take blood and do serum to find out if you have heavy metals and that’s. Okay, it ‘ Ll. Tell you if you have heavy metals, but it usually is only going to tell you if you heavy metals in the last couple of days. So again I go back to Cyrax just because say and and and I’ll, go back Cyrus again. I don’t have any affiliation with him. These people picked up the mantle ten years ago or so and and and they were – I want to say there’s – a huge autoimmune population out there. We need to know what to do to help them and they continue to work to develop testing to help those of us who wish to do this and they do have a chemical intolerance. Again, we’re talking about intolerance. Now too, they do have a chemical intolerance test. Now here’s, the deal. Okay, I told you about. I already just said that urine is not good in the in the in the in the hair. Analysis is not good and that serums kind of good, because those are more for the person who just gets the inundation. Okay, they get the inundation it’s there. If you wait long enough, it’s, going to go away and and manure liver detox it’s, going to go away. If you do a liver detox and take some glutathione, it’s, going to go away alright, but the difference is and and and – and this gives me the opportunity to tell you what the differences for the chemical that comes in and attaches to the Albumin this becomes a new antigen when the chemical comes in attaches to albumin, it becomes a new engine. This goes for metals, too, okay, and so when it comes in and it becomes a new antigen, an antigen is something that is attacking you. Okay, an antigen would be a virus, a bacteria or something like that. Okay, but this is an antigen. It’s, a chemical it’s. An environmental damage is a chemical attached to your human, and when that happens, your immune system goes up. That’s like like not supposed to be there. Let’s, create something called an antibody to it. Okay, so that we can tag it so that the next time it comes in the immune system can can kill it, but it’s a little different because it’s, a chemical it’s, not a bug. It’s, not something that ‘ S got DNA, that it can be killed, but it, but here’s. The point you’re not really going to have problems with heavy metals unless you have developed antibodies to that complex. So for the people who have the mercury people go, get all the mercury out of your mouth, which I did back in the day and it didn’t do anything for me and I was chronic fatigue immunodeficiency disease. That was, you know, which is we didn’t know what it was back then, and – and I did have my mercury taken out it didn’t, do anything okay, but there are some people get the mercury taken out of mouths. Like a miracle right, these people have developed antibodies to the metal. Now that has to be taken care of. So what is the challenge? There is the challenge to get rid of the metal or is the challenge to dampen the antibodies challenges that dampen the antibodies and that can still go back to you know if you have the things that you were suffering from, that made you susceptible to getting the Chemical sensitivity, firstly, usually have to be taken care of. If you have a leaky gut, they have a bad blood-brain barrier. If you have bad lung barriers, they have to be treated when and then treating the leaky gut is treating the leaky gut. You want to know about that. Look at our last episode and and and that can get a little bit involved depending on what’s going on in your gut, and we talked about testing for that and and and and but but stress, if it’s because you’re stressed stress will cause you to create a lot of cortisol that can that can affect your liver. That could actually cause fatty, liver. Okay. So so you have to fix those things and then you have to dampen immunity. Well, we’re, two things that dampen immunity the best. Well, ironically, one of them is glutathione. It dampens the immune response against your barrier systems, particularly your intestines, in your brain well and your lungs, all three of them and then the other one. I mentioned was vitamin D: vitamin D is low because either you have an immune system or you have something that’s, causing your system to over fire. Your your immune system Network and then vitamin D is what stops your immune system from from flaring up too much and attacking things that it shouldn’t like in autoimmunity. So an autoimmunity vitamin D is usually low because it’s being used that well it’s. The same thing once you’ve made this chemical connection, okay with the metal attaching to something and then a body being created that’s like an autoimmunity. It’s not, but it’s a it’s very similar to your immune system. I gonna autumn unity, and so the vitamin D is trying to help you to dampen that it the attack against it and eventually the vitamin D goes well. So vitamin D is a big part, but I mean it, but it’s like you have to treat it like an autoimmunity. You have to figure out what your food sensitivities are. You have to figure out. You have to figure out the leaky gut. You have to get the barrier systems under control, you get your glutathione up, get vitamin D up and and then you can do like your detox, then you can do your liver detox. Most of you who talk about these chemicals do now at home, liver detox is and stuff like that. Now a lot of you go well. What about with the? What about the actual key lations I do chelation. I just have one patient. I have one patient who just came up from Texas. I think it was Oh No well wherever they came from it. Doesn’t matter, and so I just have one patient from out of state and and and very very educated in the world of the internet and all the different millions of things. They are the miracle cure and that you can and and the metal group is like one of those it’s, all metals, its metals. You got it and you have to chelate it and then, of course, chelation. I don’t know course. If you know this like the years ago, chelation and it cost like thirty thirty-five thousand dollars to go through this chelation and get the medals he laid it out of you. We have several doctors in Northern Nevada who do chelation and – and so I’m – very familiar with it because I went through it and I did it, and but now they have qhn online. They have different types of chelation. It’s. A very dangerous thing to do for someone who has all of these compromises: okay, because if you’re using like DMPs, if you’re using DMS a to challenge yourself to find out. If you have heavy metals with the urinary thing or you’re using it, along with other things, to try to pull it out of your system or if you’re actually going to a doctor and having it chelated out of you. If you have all those things going on, you’re, pulling metals out of your system and they’re, going to eventually find their way through your bad blood-brain barrier to your brain and to your nervous system. Does this ever happen? I have had probably three dozen patients come in here after they make elated and they have severe neurological symptoms. They’ve, been told it’s, just the detox it’s, a hurting thing they’ve, been told all these different things it is, it is I my mentor was talking about it. Dr. Crosby was talking about it in a seminar that I went to that he he put on last week and he almost quit practice when he had two people that he sent for chelation get worse. One of them ended up in a wheelchair, from neurological damage from from from having, and I’m, not telling you thinking. He talked about this at the seminar he fully talked about this, so you have to be very careful if, if metals are a perpetuating factor in your disease issue, you have to get rid of other things. First, you have a lot of times when we’re, doing the hierarchy of functional medicine, and we do the gut. We do the SIBO and we’re and we’re healing up the intestinal permeability, getting rid of the bugs whatever the hierarchy is for that patient a lot of times these chemical sensitivity symptoms disappear without doing any type of a chelation. Now, if we do all of that, and there’s still chemical sensitivities symptoms, it is only at that point in time where the blood-brain barrier is, he only got brain barriers healed. The lung barriers healed. Your glutathione stores are off your vitamin DS good. You’ve, taken care of any of the bugs you of the immune system as pristine as you’re, going to get it in that person. At that time it’s, potentially okay, to do some sort of chelation. Because now, when you draw those metals out of your system, they’re, not going to go into your brain. I mean they’re gonna go a lot of other places, but you don’t want them in your brain. You don’t, want metals in your brain or in or attacking your nervous system, and, and so you know, and even that is still a little iffy, maybe if the person is doing really really really really well, you know you have a conversation kind Of go like do we really want to go there, you know: do we want to do that if it is, if it’s, a matter of going and taking the mercury out of your mouth, that’s, a different animal? If, if you have antibodies to the mercury, and you go, take the mercury out your mouth, you’re, probably going to feel better. It’s. Gon na be one of those miracles. Oh, my god, like everything’s gone that’s; the cause of everybody’s; fibromyalgia! No! It’s. Cause of your fibromyalgia because you had antibodies to your teeth. To your to the mercury in your by chelating is a different animal. Okay, chelating is a different animal and, and that’s, a point where you have to have a a serious discussion with your with with your practitioner as to you know what they’re feeling is on what they eat. What are they using? How far they want to go or they gonna? Let go like the whole full board. There’s a whole chelation, or they’re. Just gonna use the world’s stuff, and are they gonna use chlorophyll or are they gonna use like glutathione or where they gonna use their? Are they gonna use like the MPs or DMS a you might want to pass? I know this is religiously heretical to a lot of the heavy metals out there and but but trust me everything I’m telling you is based on volumes of research and data in clinical trial and errors, so so that’s. Multiple chemical sensitivities, now I mean I again, you can do it, we could do ours on it and type of stuff, but that is the that is kind of like the hierarchy. Is you know the next thing we’re gonna probably gonna? Be talking about is gonna, be the stomach, but the chemical sensitivities in in this order. We’ve, put them after the small intestines and and at the large intestines, and we and and and gut problems, and it’s. Have some permeability, because so much of that precedes you getting the chemical sensitivity and so that’s where that came in at this point in the hierarchy. The next thing we’re gonna there. We’re gonna start talking about your stomach next time and that’s gonna. I think that might open quite a few eyes. People know stomachs, get all servers and they know I get acid indigestion and I get gastro esophageal reflux this it’s. It’s, even a bigger deal than that. Your stomach is a huge linchpin in the rest of your physiology. So so sometimes you all be treating the stomach and the chemical sensitivities go away. Sometimes you’re gonna have to treat the the intestines and the barriers and, and then the chemical sensitivities for stomach they go away. We’ll talk about so there’s, so there’s. There’s, a lot of vicious cycles. Here the hierarchy is there to give us a framework of how we should look at a case and then once you’ve looked at the whole case. Together, the hierarchy may change for that person, but it’s. Gon na stay relatively close to what we’re, presenting to you so multiple chemical sensitivities, heavy metals that’s – that pretty much covers it for today. So I hope that you enjoyed that. I will be very interested to hear your comments on this either way. It helps me helps me understand what my patients are being told out there. I’m, always happy to answer questions, and so next week it’s. Gon na be stomach, and we’re gonna take to talking about hypo and maybe high perchloric acid next week. If you’re, if you’re enjoying this, then then you know please don’t miss next week. Next week is kind of a big big deal in most people’s journey to wellness. So, okay, that’s it for this week. Thank you for watching again and take care. Source : Youtube

https://youtu.be/vplapBskG-M Today Dr. Rutherford will be going over the next segment in our Functional Medicine series discussing Leaky Gut. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, this is Dr. Martin Rutherford, clinic director here at Power Health, and we’re, continuing our series on functional medicine back to basics; the effort to continue to present to you the public, some data on. Maybe what your visit to a functional medicine practitioner may be, should look like and or and or maybe how you should be getting treated. We are kind of into the area now, where we’re talking about you’re in the office and you’re getting taken care of, and as this is being confirmed that this very moment by my mentors that there Is a hierarchy to care and that’s? What I’m trying to present here it’s. This is not about throwing spitballs at the wall are looking at some sort of an assessment form and saying you have a hundred different symptoms. Let’s drove thirty two different supplements out it that’s, not functional medicine. Ok! So last week we did our last at least the last episode we did intestines we did the intestines and the intestines in general, or, as most people know, a significant factor in our health. A growing understanding of the microbiome is is is, is really fueling our ability to to take care of more and more symptoms in a better quicker or more efficient fashion. And so we started off with the intestines in and of themselves and and and how they can affect just so many things we’re kind of kind of going to go on to the next aspect of that a classic functional medicine doctor should be. Should be following some sort of an order, this is an assessment form that, probably you can argue, was one of the starts of functional medicine. It has different categories: it’s relatively organized in the categories of a relative order of the way you should think of attacking that person’s physiology. The person fills it out and it tells you what symptoms they have they have patterns. Should jump off and then you should look at those patterns relative to some sort of an organized thought and then attack in that direction. Last week we did intestines. Then we’re, going to kind of continue with intestines. We’re gonna do leaky gut okay and we’re used to yeah. I don’t know I’m, a stickler for language in terms and the matura intestinal permeability, because it’s. Not a colloquial term because when you’re talking to a medical doctor, some medical doctors, you’re talking to serious people. They got like you got that’s, a stupid thing. It doesn’t exist and that term kind of lends it to that, but it exists and there’s. I know there’s at least a hundred and twenty-five different research projects on this that have been done. As of a couple of years ago, I don’t even know how many there must be now so in so leaky gut is actually starting to find its way into the literature as a term leaky gut, and this is – and this is a kind Of a really significant one, because here’s, one of the problems that I’ve observed – and I and I think I was one of the first functional medicine practitioners in the poll. I think it’s. I think it’s, legitimate to say that we were doing we’re, doing functional medicine when nobody knew what it was and nobody was showing up the classes. And so I’ve, gotten a chance, an opportunity to to observe how how this has evolved and it hasn’t completely evolved the way it was intended that’s. Why? I’m. Presenting this series. Functional medicine is not a term. That is something that is, is regulated, so anybody can call themselves a functional medicine practitioner and but it really has a specific meaning and, and this is part of it, but what’s happening? Is this different pieces have been taken and and commercialized online, and we we do that? We’re entrepreneurs here in this, in this country and and and more and more in the world. So there are lots of leaky, got programs out there. Okay and I read every entrepreneur online and I’m, not going to mention names that’s, their leaky gut protocol and there’s, leaky gut set of of supplements and and and and the reason why you should you Will do there’s and it’s, going to fix all these things and all of you do it and maybe ten percent of the time it gets better and stays better. I’m, going to tell you why that is here in a couple minutes and the rest of time it either doesn’t get better, it gets worse or it gets better and it comes back that happens probably eighty to ninety percent. At a time, we’re going to talk why that is so that’s kind of where functional medicine is breaking down a little bit. As I walk through these, you’re gonna see there’s. Numerous areas – a blood, sugar or leaky gut and and and people have gone in there go. I’m, not gonna learn. All this. I’m, just gonna go out and do diabetes and leaky gut or I’m gonna do diabetes in thigh or something like that. But that’s, not the way the body works and that’s. How functional medicine came to be so leaky got, is a big big deal? Most people come in here. Have it? What is it it’s when the inside of your intestines gets damaged and when it gets damaged? The inside of your intestines, I’ll, take a step back, you eat. Food goes in, it should get digested in the stomach and that mainly in the small intestines and the nutrients should be absorbed. Excuse me on the inside of your intestines. Are these little hair like fingers called villi dish? The nutrients should be absorbed there and the toxins should go into the toilet. You’re constipated and they’re, not going into the toilet. You’re, not detoxifying, so that’s. The whole that’s kind of the whole simplicity of that flow. These toxins should not go in through your gut and into your bloodstream. Okay, because they don’t belong there. They are toxins, they belong in the toilet when they get into the bloodstream. Your immune sees these toxins and other things that will get through. We’re, going to talk about in a few minutes as foreign bodies and they will attack. This is one of the ways you get inflammatory responses immune inflammation. We’re gonna talk about something called lipopolysaccharides that when it gets that, when it’s in your gut, they’re fine. When it gets out of your glut, it can create massive autoimmune, inflammation or inflammation in general. So, okay, so we have this leaky gut and basically what happens is that the gut can be compromised and then things that should be going into the toilet are going through the inside through the side of your intestines and into the and into the bloodstream, where it Doesn’t belong. This is a big big problem. Okay yeah and I’m, going to tell you right now. If you’ve ever had a surgery on your intestines. You know people say well what’s? What what causes leaky gut and and celiac causes leaky got Crohn’s. Disease can cause leaky gut because it can go through all throughout your system, from your from your large intestine to your small intestines to even your stomach and throat and mouth and it’s done, we can throw an esophagus celiac gluten intolerance. If you have a gluten, intolerance is one of the more common causes of leaky gut. It breaks down the villi. Those little fingers, I talked about stress stress, increases cortisol responses, okay, cortisol, that little that little or not so little a chemical that your adrenals make when you get stressed hormone and it gets up and and it and cortisol is actually a good part of your immune System, but when it goes up because of stress responses, they can screw up your blood sugar and create inflammation one of the things it does is. It has an affinity for the inside of your intestines, because cortisol is part of your immune system response to inflammation, and so cortisol is part of that 70 % of the immune system. That’s on the inside of intestines. It has an affinity for the inside of your dozens, but when it’s too much when it goes up to hundred three hundred four and five hundred percent as a very stressful situations, it’ll attack and damage. The inside of your intestines and the next thing you know you will have leaky, got antibiotics. Okay, who of us I’m. Who of us has not had antibiotics, at least in my age group. I just realized the other day. Now I am a Boomer I just I just came to that understanding. So for those of you who who are in the Boomer age group and you’ve, you’ve had antibiotics for sure, but antibiotics are still being fairly cavalierly used. They’re finding out now that one exposure to antibiotics changes your microbiome forever. That’s a subject for another day, just telling you that that’s, a big cause of leaky gut. There are a lot of other things. I mean you: can you cannot have enough hydrochloric acid in your stomach from stress to maybe your gallbladder is not working right. Most people don’t realize that your gallbladder, your pancreas don’t just put out digestive stuff. As far as breaking down fats and breaking down your starches and carbohydrates, but they also put out anti inflammatory enzymes, so there’s, a lot of things that cause the leaky gut, say one of the biggest. What and and and I want to say, one of the biggest, but one of the more profound causes is surgery, so a lot of people will have surgeries on their intestines. You have a permanent leak. You got okay, I had a surgery on my intestines at like five weeks old and I and I’m sure that I have permanent leaky gut. I’ve been tested for leaky gut. I have it, I take care of it, but I think if I took the test today, I would probably test for leaky gut. So so these are just kind of the general parameters of leak you got leaky gut is why is leaky got important? Okay, leaky gut is important because when things get out of the gut, then they can create issues. So if you get food sensitivities, they get that undigested food particles that get out of there, that’s. One of the ways that you can develop food sensitivities because when they went those particles get into your bloodstream, then the immune system sees them. They attack and you get a sensitivity to food sensitivity which can be controlled by the way. But there’s. There’s, other things that are that are significant, that when they get out of the gut, they create big-time problems. They’re, not conversant yet with all of the all of like the bacteria in the in the gut that’s, causing a lot of things. Now you’ve. If you’ve watched a lot of my presentations, you’ll, know that I ‘ Ve talked about bacteria that cause rheumatoid arthritis and bacteria that cause the lupus, and that model is starting to fall apart. It was through a seminar back in early September and they were saying that it’s, not that clear that it’s one-to-one between this bacteria and rheumatoid arthritis. But it is clear that the gut is affecting rheumatoid arthritis. It is clear that the gut is a it is affecting and/or, probably creating a lupus, but it’s a little bit more amorphous than they thought that it was so when these things get out. When he’s, bacteria get out, they cause problems, and it was Hippocrates who said, look to the gut for the cause of all sickness and disease. That was, I think, 450 or 500 BC. It’s, kind of and – and I think the Chinese like a couple thousand years ago, said fire in the belly fire in the brain. And so we’re. Finding out that that this data has been around a long time. But it’s now becoming pretty well confirmed. So this leaky gut is no small thing and, and some people will argue that you can heal your leaky gut and but but but people that I study with and the people that I count on for a hard core data that counts data that I can use To help to create improvement and positive results and in clinical practice their position currently, is you never heal it leaky gut you, you get it under control and you keep it under control with diet and supplements and stress management and fight. If there’s, a disease there, you get rid of that, and so so so so leaky gut is very high in the hierarchy of treating autoimmune problems, endocrine problems, brain problems, a lot of people come in and they’re surprised when We put I we have an Alzheimers patient right now and we have been able to get the testing that we wanted yet and we’re just getting the testing done. So the patient’s, been we do functional neurology. So we’ve done functional brain rehab exercises. We have the patient using oxygen because they didn’t have enough oxygen to your brain. If you’ve watched the previous segments, then you ‘ Ll understand why oxygen is important. It’s, a basic getting better and we ‘ Ve got our using oxygen. We’ve got to do a little, some general it’s called exercise with oxygen therapy. We were doing that getting oxygen to her brain and we ever do her brain exercise and she’s on her diet and we had nothing magic. We’ll use 10 different diets. She’s on the autoimmune, Paleo diet, plus a few more foods taking off a bit to dampen immune information and to dampen inflammation in general. She’s gone. She’s, probably gone from like a stage 5. There’s, a couple of rating systems and I used the one at 0 to 7. She’s, probably gone from an early stage, 5 to a late stage, 3, just doing that. Okay, just doing that. What is that telling me? It’s telling me that dampening immune inflammation to her intestines is part of what’s, causing her hippocampus to be, which is where Alzheimer ‘ S starts and proceeds before it gets into the really bad areas is what’s, causing the inflammatory responses in her brain and they’re dampening down. She’s, noticeably better. It was very exciting to see her the other day, because both her and her husband were like really like. We haven’t even started on supplements yeah, okay, so it’s, pretty cool, so so the guts big it’s, big it’s, big it’s, big and and that so Leakey got The so League he got his hi hi hi on the on the on the scale of hierarchy in taking care of chronic conditions period. I don’t care. What’s? Fatigue care was chronic fatigue. If it’s, brain fog, if it’s Alzheimer’s, Parkinson’s effect. They’re, saying that Parkinson ‘ S starts in the gut. Now I mean like definitively saying that it starts in the gut it’s way more than just irritable, bowel syndrome, gut it’s. There bacteria we’re gonna talk about right. Now they can cause diabetes. Even if you’re eating properly, even if you’re exercising, even if you’re thin and also – and you like, develop diabetes going happen, yeah we got no guarantee. So basically, how do you figure out the Otley? He got okay, one of the things could be. If you’re, one of those people can’t eat anything and, and and – and I every single food I eat is – is a sensitive issue. You start thinking, maybe I got a leaky gut. Maybe it was undigested. Food particles are getting through and the next thing you know I’m developing food sensitivities. There’s, other things that cause that type of what’s called mucosal or oral intolerance. There’s, histamine responses. There are other things but leaky, but if you have that one of the first things you probably gonna think is, I probably leaky got. I can’t come I’m just sensitive to all these foods. I can’t eat them. I want a better diet and you’re gonna give me and – and I and I’m, still, not getting better, because you’re, probably developing new food sensitivities to the food. You already have all of those things in a patient. History is going to learn me to the fact of the fact that the patient may have a leaky. You got classic symptoms, increasing frequency of food reactions, just what I just said: unpredictable food reactions. Food reactions like broccoli, okay, food rations of foods that you’re like asparagus, I can’t eat asparagus like what the heck is that what the heck is, that is that an undigested asparagus particle got through your gut and into your Bloodstream and you have a sensitivity now, I understand not an allergy – that’s, going to be another whole segment: okay and unpredictable, abdominal swelling, okay, this and and frequent bloating and distension after eating. These are bacteria. These are bad bacteria that are getting out again. We’re, going to talk about those in a second that could be a sign of small intestinal back to your overgrowth and then aches and pains and swelling throughout the whole body. Just what I said: okay and the main one that causes – that is something called a lipopolysaccharide. So inside of your intestines okay, so we have leaky gut. You get those symptoms. You got any of those symptoms. You guys started thinking, I probably ki got. Then you look online and you go. Oh there’s like a zillion people who have leaky gut programs with their leaky gut autoimmune, Paleo diet probably ought to be prepared, is the most common one I see online, and then they have their the glutamate. You take this where the digest is ends IMC, take the probiotics and take all that type of stuff and with some people it’s different, so they can differentiate themselves. So it’s, aloe vera or whatever. Okay, I mean it’s known out there, what heals your gut! It has been frankly for a couple thousand years, so you do it. It doesn’t work, so so number one. How do you know you got leaky gut? You have those symptoms: what’s? The test, for there is not a great test in the medical model. Okay, those of you watch me like for like 800 hours, not anti medicine. You know that by now, okay, but the medical model, doesn’t, even brace leaky gut. Yet go to your go to your your internist, who’s. Gon na set you up for a colonoscopy at 2:30 on Thursday afternoon, because that’s. When the slot is open and the colonoscopy area and – and you’re gonna go, you think I got leaky gut. They’re gonna laugh at you, okay, I it’s, ridiculous easily there ‘ S got to be a couple of hundred studies out there. On least you got by this time. When I say about 125, I think we did that one like four years ago, where we maybe even longer that we produced 125 reference peer referenced journal articles on on leaky gut, so that’s, kind of where you’re at on That, when you go to a functional medicine practitioner depending on the level and which they participate in functional medicine, and they may use the functional norms to of just of a blood panel and on your complete metabolic panel, they may look at your protein and your globulin And if it’s high or low, that was one of our earliest markers that we use to determine leaky gut in combination with the symptoms. Hell we go yeah, you got, we’re gonna treat you for it. Next, we’re, not doing anything else until we see if we can get down and control. Most of you are familiar with the for our program. Well, maybe most of you are not familiar with the for our program, but that’s. The program that everybody’s been using, since you know, since this whole thing started and and and and and so that you they wouldn’t, give you stuff to kill and everything. If there’s bacteria in there and they would give you stuff to decrease inflammation and then they say have to replace the probiotics and you’d – have to replace what enzymes and that model works for, like ten percent of leaky gut. Maybe maybe a little more, maybe a little more okay, because we didn’t know all about. Like you got, then the along came a lab called cyrex labs and cyrix lab specializes in antibody testing for chronic conditions, neurologically, autoimmune, wise and – and I use them – and I must tell you no test – is perfect: okay and and doctor Rajdhani, who runs that lab and Who’s produced any of these tests would be the first one to tell you that, however, once you’ve gathered the data once you’ve done an exam. Once you’ve done these tests. You can go a long way towards getting a longer-term response with the leaky gut, so leaky guts breaks, so leaky gut is a gut that breaks down. Cyrex has a has a test called and I don’t have any affiliation with cyrex by the way. Okay, I don’t make any money off of doing this. I should call them and make some money off this right. It’s, it’s. The way to do it right so anyway, so here’s, the point there is this many types of leaky gut there’s. Four types leave again: there’s, not one type of leaky gut and there’s and it could argue there’s five type, but I’ll, explain that so, basically, there’s. Four types of leaky gut when your gut breaks it down. A number of things can happen there’s. These there’s, these parts of the of the of the intestinal chemistry, the gluten and zhonya, and these hold your cells together. So that they don’t fall apart and then allow stuff to get in between them and into the bloodstream. There’s, acto myosin, so the act of myosin is is, is the it is another type of protein that that holds everything together, but it’s different than the as you’ll, see that including Sanyal in once. Okay, so these end up telling us whether we’re having cells that break apart, that a leak allow you to leak, toxins and undigested food particles into your bloodstream, or it tells us whether the cell itself, that the the acto myosin the cell itself Is actually just being damaged and it, and literally it’s going through your cells and then or for, is both of them or both of them being damaged. Okay, are we having both the occlusion and are we having the ACTA myosin damage? So once called para cellular permeability, one’s called Tran cellular permeability, and then we have this. Then we have this guy over here called lipopolysaccharides. You can look these up. Put in capital, L capital, P capital s and see what comes up. These are bad bad buggers. They are the outside walls of bad bacteria that are in your gut. You got the gas, you got the bloating, you have those types of things you have you pride these bacteria. If they stay in your gut no problem, they’re part of the microbiome. They balance out good bacteria, but when, but when, when they break down and they get out of your gut and go into the bloodstream instead of the toilet, they have not even come to understand the complete breath of what they cost. But let me tell you a little bit about what they know. We know that when these lipopolysaccharides lipo means fat saccharides are related to sugar, they’re, the cell walls of a bacteria when the bad bacteria breaks down and those cell walls become independent and they get out of that of that gut and they go Into the bloodstream they’re called an endo toxin, so you can look up endotoxins. Endotoxins means a toxic piece of matter that comes from the endo comes from the intestines and, though means intestines next thing. You know this stuff creates massive inflammation. If you have post-concussion syndrome, I will guarantee you that your leaky gut is perpetuating your post-concussion one of the things that our that is doing it if you are fit, or at least thin, you eat relatively well, you exercise a little bit or a lot, and you’ve developed, diabetes, type 2 lipopolysaccharides have been shown to alter the ability of insulin to work and cause type 2 diabetes. It is argued that it may be one of the causes of Hashimoto’s. Thyroiditis. Remember when I said one of the one of the symptoms of intestinal permeability is aches and pains throughout the body. This is it Oh, easy, lipopolysaccharides get out and then they in flare up and autoimmune responses, and if you have immune antibodies, let’s, say against joint tissue. You’re, going to get joint pain if you have it against thyroid or if you have you’re, going to get thigh roid symptoms. If you have it against nerve fibers, you’re gonna get. Maybe a fibromyalgia is type of pain or maybe a peripheral neuropathy, but this is no small thing. These things are bad buggers, so they’re. Okay, winner, in your test, students are in the toilet, but they’re, not okay, when they break down and they go into your into your intestines. How do you find out if you have this, you find out? If you have this, this is the only test. I know I know other tests are developing, so I’m, not familiar with them. There are other companies who are developing this test. I can’t, make a comment on if those are great tests or not, because I’ve only seen a couple of them come across my desk and I just know this company I know cyrex was the first one in the poll. I know to fudged on he’s serious about this stuff. I’ve used theirs, their their their tests and their interpretations, understanding the parameters of them with great success, and, and so so, basically you, you would have to have something like this test to understand, which type of which type of intestinal permeability that you Have to know how to take care of it if you just have, if you just have lipopolysaccharides and and you don’t, you could have, you know just have like well polysaccharides and not have all these things. You’re. The person who has what we just called dysbiosis we talked about that last week, you’re, a person really doesn’t need to be in here. What you need there is you need to clean up your diet. You need to exercise, you need to get enough sleep, you need to stop drinking. If you’re drinking too much, you need to do the things they’re just going to allow your intestines, the yell. If you come in here, I’m gonna look at that, and if I pick that up before him, I’m gonna say one of two things I’m, say you this one sounds like the me: you Can go home and do this is if it doesn’t work come back or we can run this test, and if it comes up like this, just here’s, what you need to do you just need to go home eat this Diet, I have a copy of their like a diet that would be normal for everybody, whether you’re, sick or not eat this diet. I don’t even tell them. Take supplements it’s like eat. This diet, don’t, drink alcohol or don’t drink too much alcohol, at least you know, hydrate yourself, properly sleep exercise and I’ll get better all right. This is not you’re, not gonna, and and so it’s kind of cool, because you’re gonna tell that now, if you get into here – and you have para cellular leaky God with with that with Endotoxin me, in other words the lightbulb Olli saccharides, are getting now or you can have it with them not getting out. We’re gonna have trance Lu with them getting out or not getting out. Then that tells you what you need to do. Do you need if they got out, you got ta, kill them, you guys, somehow you got to kill them there’s, a ton of different ways to do it. There’s, a ton of different supplements. You can look them up online and in herbs and botanicals and there’s, homeopathic remedies and there’s and and so so everybody’s got their there one. But basically you know you’re, going to be using some sort of a high-powered natural antibiotic or combination. Anybody’s herb these are bad dudes, so they need to. They need to die. They go away. Okay, so, and then you can tell also how aggressive you need to get with your intestinal permeability when you have this, when you have the Junction’s break so that so that so that chemicals and toxins and food particles from here and go into Your bloodstream, okay and you have the cell breakdown the. If you look at this and a microscope on a microscopic slide where they take a biopsy, a it’s, unbelievable it’s like your whole. Intestines has just like given away, and there’s just stuff just flowing in there. It’s way worse than if you have one or the other it doesn’t change the approach technically, okay of getting on an anti-inflammatory diet and killing the lipo pie sackers and then using all of the stuff that you would use To heal, but it is gonna change, the timing of it, somebody who has like just a little leaky gut it’s, a little parasail you’re, the Junction ‘ S are broken. They don’t have lipopolysaccharides, i mean they might be better a couple weeks, okay, but somebody who has all that you might take 20 weeks to get that under control and it might take higher doses to get under control. So that’s, something that maybe at that point, maybe some of you out there have the ability to kind of try to figure that out, but that’s, something where clinical experience really comes in that’s, something we’re having the test data comes in that’s, something we’re. Having that we’re, knowing what the person’s, symptoms are, how long did they have them? What exacerbates it? Does it come and go there’s, a lot to evaluating that leaky gut? I think my biggest purpose in doing this other than bringing you through the hierarchy. Okay and as you’re, doing bring you through the hierarchy of intestines and now fine-tuning that hierarchy within the intestines leaky gut a little bit next. Next time we’re gonna go on to chemical sensitivities, because intestines leak, you got chemical sensitivities or kind of a hierarchy. They kind of they kind of go together. For those of you have multiple chemicals since the series that’s going to be our next subject and at the same time, you’re. Doing those, if you’re in chronic stress response being a functional nur into a functional neurology, okay, you’re going to you’re gonna have to do your distress response. At the same time, because I talked about one of the things that causes leaky gut is stress responses if you’re in a chronic stress cycle and you’re trying to fix leaky gut. Even if you have the simple version that I said you know gets really easy, it could be really easy. It’s, not gonna be really easy. If you’re continually flooding the inside of your intestines with with stress hormones, okay and you’re on the leaky gut diet and you’re, taking the leaky gut stuff. Even if you, even if you have the simplest one of just the lipopolysaccharides and no damage so there’s, that hierarchy, but my I think the the biggest thing, the second biggest thing I want you to get other than the hierarchy is, I you Know you can’t. Look, you can’t just look online on these things. You can’t. You can look online on these things. There’s. A ton of people will tell you how get how to get it better, but the I, the vast majority of time, that does not person does not get better for any length of time. Some of you do, okay, but for those of you who don’t this, why okay! This is why so so back to basics, Leakey got theirs. I could you know you could talk Leakey god, oh my god, you could talk leaky gut for like hours. You know there’s, so much cool stuff to talk about it because it’s such a nice. It’s. Such a piece of so many different conditions, and and and it’s and it’s and it’s again it once it starts getting a little bit more complex. It’s, really an art to get it under control food sensitivities. You’ve, got to figure out what the person’s. Food sensitivities are it, it really becomes. It really becomes quite a in art. We have a sign around here. That said, we didn’t say it was gonna be easy. We said it was gonna be worth it and that’s. One of the reasons is because that protocol of figuring out that person’s gotten how to get it under control between the stress hormones and between the dietary proteins of leaky Mpho, that that caused food sensitivities and all that it’s. Kind of it can get and get a little hairy, but it’s. Everything it’s, a hierarchy. Everything is a gradient. Okay, there’s, leaky gut it’s, a tender it’s like you got that’s a 1 and everything in between another reason that you may not respond to a cookbook approach, so that’s, the key got, I think, as much as as you probably need to know, to understand your own situation or search your own situation. So next time we’re going to be talking about next time. We’re, going to be talking about chemical sensitivities. We’re gonna be talking about you. Can that could be you? Those of you have multiple chemical sensitivities. They’re high in the hierarchy relative to treating chronic problems. If you have the symptoms of chemical sensitivities, it already tells us a lot about your physiology and we’ll, be going into that in greater in greater detail, and it tells us it gives us a running start as to where to go. And you literally cannot get those chemical sensitivities without having a leaky gut, and thus you can’t get those chemical sensitivities without having some abnormalities in your intestines, and there are more things to that. So that’s, gonna be the next one. So until then thank you for listening. I hope you enjoyed this. This is one of my favorite subjects because it’s, one of the most important subjects relatives to get to addressing all kinds of chronic conditions. Thanks for watching you Source : Youtube

https://youtu.be/zPjGmuhN4oc In this episode of Functional Medicine – Back to Basics Dr. Rutherford begins to delve into the nuances of how he goes about treating patients who are suffering with chronic conditions. Today he will be discussing the large intestines and why they are one of the first things that may be tackled. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi Dr. Martin Rutherford this is the next in a series of our functional medicine back to basics. I’ve. Had many people clamoring to me when you’re gonna start doing the asset with the treatment part. So I’m, doing the treatment part, and so so we’ve talked about basics, we’ve talked about about exams, we’ve talked about histories, we’ve talked about priorities. We’ve talked about really the foundational stuff that needs to be set up for your treatments, even to really be effective in in the functional medicine world. A lot of times we’ve talked about how, when you do those back to basics, then when you do those basics that that a lot of times a lot of times, a lot of the problems will clear up, doing blood sugar, doing stress hormones. Doing doing low blood pressure and getting those things under control, you can look back at the at the segment on priorities to see what I’m talking about. If that’s, something that sounded like that was interesting to you. So once you start getting the physiology and under control there’s, there’s, a there’s. I think the important thing in functional medicine is there’s, a hierarchy of care, and fact I was just at a seminar this past weekend with my mentor dr. KRAS Ian, and he was talking about gut function and he was. He was talking about a north, the South approach, meaning you should look at the gut from north, meaning your mouth to south, meaning the other end of the other end, and and you should – and you should look at it in a specific order. Well, that expands across the board to to every case that comes in here. If you have a person where people come here with neurological cases, dizziness vertigo balance migraine people come here with gut cases, people come here, fibromyalgia, chronic fatigue, thought Hashimoto’s, autoimmune. Those types of things that expands a gut as part of that, but but but you have to evaluate that case and then you have to figure out for that particular case. What should a specific hierarchy be for that case now that doctor I just mentioned doctor Razi and actually developed something called a metabolic assessment for him. I live and die by this form. You can’t get it unless you go to his classes. Okay and he’s got a copyrighted, and so I can’t. Send it to you, because he – because I’m talking about it on here, and he would sue me so he probably wouldn’t. He’s, a really nice guy, but I can’t, send it to you so anyway, so so it’s kind of in an order. It’s, kind of in an order of the way that you would treat so the first parts like what’s called dysbiosis, which largely happens in your that you went in your large intestines and then the next part is leaky gut And the next part is chemical sensitivities now, technically, this is an order in which, in theory, the physiology breaks down, but everybody doesn’t break down the same way. So this gives you the opportunity to gather an awful lot of data from the patient and then be able to having studied functional medicine know the hierarchy in which you should in which you should proceed. But I’m, going to kind of go. I’m gonna spend the next several weeks, probably more than several weeks going over the the specifics of this metabolic assessment form, because the this metabolic assessment form directs you to treatment, and if you, if we go back to diagnosis, it also directs Us to what what tests we should be doing and and within framework of each of these categories, category one in general is large, intestines and dysbiosis, but within each of these categories there are also specific questions that lead you to start to understand. What’s going on with the patient, so the first category is a category relative to the gut bacteria, so you’ve heard about the microbiome, the infamous microbiome. Sometimes we start out with the gut. Sometimes we started out with the liver. Sometimes we start out so pay. Let’s. Let’s. Just use fibromyalgia! Okay, because that we’ve, seen a zillion fibromyalgia cases and then, for some reason, everything that seems to be a big interest. In my in my audience, fibromyalgia, chronic fatigue and and thyroid seemed to be very popular, very popular among my patient population, and so let’s just say you have Hashimoto’s. Let’s, say I’m. Sorry, let’s. Just say you have fibromyalgia, so we wouldn’t. We would gather all of the data relative to what we’ve said and then we would and then we would. We would look and see what you have here on your metabolic sessemann form if you are in chronic stress response, that is a hierarchy for us and we will talk about the brain after we talk about the rest of the system, but but we will usually find Out what we think is wrong in the in the in the in the general immune digestive, endocrine system, okay, and and treat that at the same time, we would treat the chronic stress responses which are all over our website. So if you want to know about that, you can go to power, he’ll talk, comm and look about stress and chronic disease and fight flight syndrome and those types of things so the gut, so the gut frequently is, is the first place. We start not always, but the gut is frequently the first place. We start. I went to that seminar last weekend. Dr. Crosby made two statements that I thought were very very prescient. He says it’s. You can ‘ T supplement your way out of most of these cases. They’re, a part of it, but that’s, not how you do it, that’s. What people are trying to do online and – and he said – and he’s – getting really upset because functional medicine is becoming all about the gut in the diet. He says: function, medicine. Now you got a doctor, you got a function, medicine doctor. They put you on like the for our program to get get your gut under control and they give you and they put you on the automated Paleo diet and and they and they that’s. Functional medicine. It’s, not, but it’s a part. It’s, a big it can be a big part of it. We start out with the larger size. A lot of people don ‘ T realize that the dysbiosis that all these things that they’re hearing about a lot of them are are in the, and I made a mistake when I said microbiome that’s more your it’s more than the Small intestines, but but your large intestines, so we’re, so large intestines, so here’s, the symptoms. Okay, if you’re, let’s, say a fibromyalgia. Let let’s say we’ve, already discovered that with you have fibromyalgia, you have an autoimmune problem because you usually do, and so we’re gonna be looking to dampen your autoimmune. Prop your your autoimmune responses and one of the first places we’re gonna look, mister your large and small intestines large intestines. The symptoms would be feeling that bowels do not empty completely so and within the framework of this entire category, there are specific, so lower abdominal pain, relief by passing stool or gas passing store. Gas means we have a bacterial problem. Gas is a bacterial problem. Okay, it’s, it’s, it’s, it’s, the breakdown of bad bacteria. You can get a couple of different types of gases, but if you get, if you get a methane gas, that’s, SIBO and small, that’s, a small intestinal bacterial overgrowth that can be gas. That can be bloating. That can be passing large amounts of foul-smelling air, so you’re, passing large amounts of foul-smelling gas and you get distension after you eat there’s, a good chance that you might have something called small intestinal back to your overgrowth, that Alternating constipation diarrhea now just now understand we’re, treating a case. We’re, looking at the gut and we’re, like ok, 75 % of the immune system is in the gut this person that’s. How she Moto’s whatever it is. If you have an autoimmune problem, which most of my patients do, 75 % of the immune system is in the gut. Most of you have mystery diseases. You’re struggling. You can’t figure out what’s, going on yeah and and everything’s normal and your doctor’s, telling you to say that mostly you do have an autoimmune component to your condition. Okay, so so another symptom, alternating constipation and diarrhea. This is called irritable, bowel syndrome. Okay, irritable bowel syndrome is art alerts us to the fact that person is probably in a chronic stress response. They’re now calling irritable, bowel syndrome, irritable brain syndrome. Again, you could look at our irritable, bowel syndrome, presentations on power, Aalto, calm, but but this area directs us to directs us to a number of things, because irritable bowel syndrome is gonna tell you you had work, you got to work, you have to work with The brain you, however, that particular practitioner works as a brain. They may actually I practice functional neurology, also, okay, so we do brain rehab exercises. We have a lot of tools here that we use to calm down the stress responses in the brain and give that person the tools we have herbs. We have botanicals, we have brain, we have exercises, we have different types of techniques here that we can help to have the patient, take home and and and so so so from looking at the we’re. Looking at the bowel aspect of this metabolic assessment form and it’s telling us it’s, brain okay and other symptoms of your large bowel Riya alone. If you just have diarrhea alone, I hate diarrhea, because it can be so many different things. It can be segmented, filamentous bacteria that’s. Some of the other bacteria that can break down the number one causes of diarrhea here is usually people, aren’t drinking enough water or they have a bacterial infection in their gut, but there’s a there. You know if you’ve been up in the mountains. Of course. We you know it ‘ S like you have a you, have a parasite, but but constipation is, is a little bit easier. Constipation number one cause is usually stressed. The set number two causes usually is usually thyroid problems. Constipation can be again, it can be not your persons not drinking enough water, hard drive, small stools same thing as constipation a little bit different. That also will indicate to us that the persons either got a thyroid or or a stress response, coded tongue or fuzzy debris. Most of you out there probably know we would use the term dysbiosis. A lot of you would say that’s, probably candida and – and it can be, can certainly be Candida. What we see more, a more broader bacterial infections passing passing large amounts of gas that smell. We talked about to how that might be small intestinal bacterial overgrowth. So these are this. This is like the category of bowel symptoms. Now, why why would you go to the bow first? Why would you not go to the small intestines first, you kind of do. I’m going over, but I’m going over the bowel right now. The bowels of the small intestine certainly work together, but they are very differentiated and in in the way they are treated. So so so, if you’re having like a chronic problem, the first place is you’re gonna go to? Is you’re gonna? Go to your your? If you, the people who come in here, this may not be you, but the people come in here all or it’s, some sort of a chronic fight flight response. So so you’ll notice that a couple of times I said that’s. What’s, causing the bowel problem? So the person has that bowel prof that has that problem they can take all they want to do. They can take, they can take, they can think Metamucil. They can take magnesium, they can. They can do all the things that they want to do and they’re in and there and they’re there. Constipation is not going away unless you fix that stress response. The what I’m. What I’m going over here is everybody, wants the magic bullet. Okay, everybody wants the magic bullet. What do you? What do I do for this? But, as you can see, these bowel symptoms have different causes. Some of them have bacterial causes. Some have different types of bacterial causes. Some of them have a brain cause. Okay, some of them have a specific, like maybe Candida, type of things. Some of them are small intestinal bacterial overgrowth, so those are all different. Now, as I talk – and I’m talking a little fast here today but like as I talk, if you have the, if you have the passing a large amounts of foul-smelling gas, you’re gonna want it like you’re gonna want to look up, see Bo you’ll want to look it up: small intestinal bacterial overgrowth, and you’re, going to want to look up treatments for that, and we’re and we’re gonna talk about that. Okay, but but basically see Bo. You’re gonna have to kill the bacteria you’re gonna have to starve the bacteria, so that’s, a special diet. If you’re looking at the fuzzy tongue there, that’s, a special diet, okay, and that that may be different, then or it may be the same as the SIBO diet. But most of the time that’s, a different diet and then you can use herbs and botanicals and things of that nature. Most of you in the alternative, feel know to starve the back the candida bacteria from by not giving it sugar. You know to you, may not know that you should kill it, but you may also not know that later on, we’re, going to talk about hydrochloric acid, and if you do all of this stuff and you don’t, take your Bragg’s, apple, cider, vinegar or hydrochloric acid tabs that once you have once you’ve, taken the things that you should take to get this under control. It’s, going to come back because the hydrochloric acid, that’s, not there in your stomach, should be there to kill these bacteria when they try to come back. So constipation is a huge one. It’s, one of the biggest reasons we start with, with with this aspect of the physiology. The two reasons that we start with the gut is autoimmunity and the other reason we the three reasons it’s, autoimmunity leaky gut and food sensitivities and constipation. Constipation is because why, if you’re, not if you’re constipated and you’re, not pooping, you’re, not detoxing. All that heavy load that your that is being done in your and your liver and your gallbladder, your intestines, to detox you if it’s not getting into the I was not getting in the toilet. It’s getting into you now your itchy. Now you may be getting skin that different types of skin things so so constipation is, is very, is very important and – and so that is so – that’s, something that if you do have constipation, if you do, if you can take magnesium, if you Do have a number of of these alternative medicines that that they gave that can get your unconsummated that’s, a good thing to do most of the time. If you, you have to get the stress response under control, you have to get the physiology under control, then you have to get the thyroid under control and then your constipation will go away. Sometimes it can be sluggish gall bladder. Sometimes it can be a sluggish liver, gall, bladder or maybe even pancreas, and you’re, not getting the enzymes there. So sometimes enzymes will go, but the trick is get the liver, gallbladder or pancreas under control, and so to do and – and so I mean there are lots of different things that you can use, but you have to figure out what it is. So I’m, so I’m. Not I’m kind of going through this to show you that, like a lot of things, why a lot of things you’ve done is failed and why sometimes you need to figure out like find something or somebody who can put Put all this thing together for you and say which one which one he thinks should you do? You might go on a baseline diet where you get on the autoimmune, Paleo diet and you take out all of the allergens and all of the antigens, all the foods that will flare up autoimmunity and this all might go away. It might all go away because it may be that those things were the things that were flaring everything up. Okay, if they don’t go away, then you should stay on that diet, because that sets a baseline. It takes all this inflammation away and then you look at it. You go wow, you know I have. I have this coded fuzzy tongue and, and it’s still there and I’m on the diet, so that didn’t go away. So now what you would do is you would actually do a test that we would do something called a GI stool test. We would look to see it. What’s in your stool? We let’s, see do you have other bacteria there’s, a lot of things. Are you making pancreatic enzymes? Are you making gallbladder enzyme or is the gallbladder making ejecting it’s? It’s, it’s, bile and creating anti inflammatory enzymes and and breaking down your fats and so on and so forth. So again, just the the the internet thing is like okay for some things, but really the internet thing is like selling supplements it’s, selling herbs and selling botanicals, and, and it’s and it’s. It’s, really it’s, really not for the chronic condition patient it’s. It it’s. It’s, something that you need to to get involved in a little bit understand a little bit more. What’s going on so you can attack and then understand you can take the you can take you. You know you can take herbs and botanicals for the fuzzy tongue, but you get it. But you have to understand if, if those herbs and botanicals are killing the bacteria and if the diets killing the bacteria and you’re feeling better. But it comes back later. You have to look at the rest of the hierarchy of what’s going on and find out it didn’t come back because I don’t have enough hydrochloric acid in my stomach, and these are these are. This is like um there’s, not a lot of other things that what I’m talking about. So let me just be clear when I say I’m, giving you I am giving you some some clinical pearls here. So, in other words, is it is it that there’s, a lack of hydrochloric, you’ve done your candida cleanse. Is it that there’s, a lack of hydrochloric acid? Do you need to start and start saying, Bragg’s, apple, cider, vinegar or hydrochloric acid enzymes, or something like that and enzymes? Or is it that there’s? A stress response is causing the hydrochloric acid problem and that’s, that’s, the main flow for the gut, no matter what you have in the gut, if you’re, if you’re, if you’re if you’ve done it. If you’ve gone through a small intestinal bacterial overgrowth protocol and it worked. If you’ve gone through a cleansing at work, you’ve gone through a fast, and we’re gonna always comes back the big, the two big things to look that to the three things to look through is, Is your thyroid working because your thyroid slows your gut down? So if that slows, your gut down, you’re, not making enough hydrochloric acid or you are you’re stressed. If you’re stressed that’s, going to cause you to not make enough hydrochloric acid in your stomach. Hydrochloric acid decrease is what happens before long before you get all sorts, or do you just not make enough hydrochloric acid there’s, something called parietal cell antibodies in your test. Ins, parietal cells and the pride of cells make hydrochloric acids. Sometimes people can’t. Those cells, don’t work. Sometimes there’s. There’s, an immune attack against those cells. So do you even make hydrochloric acid people have Hashimoto’s. Have this parietal cell antibody thing a lot, maybe 40 50 60 percent of the time, so that person’s. Gon na have to take hydrochloric acid for the rest of their life, the other two people. Maybe they get their thyroid better and they get their brain better and all of a sudden, all sudden they start making hydrochloric acid. Now they do their Candida thing. Now they do their SIBO thing and they’re better, and if you do that, as we’ll talk about future, maybe a lot of these other things get better. Maybe the leaky guts gets better. Maybe the hydrochloric acid is now good. As we’ll talk about later, maybe that’ll help your gall bladder your pancreas to start working, that’s, functional medicine. Okay, this is functional medicine. It’s, not throwing something. You know you know, throwing darts or throwing spitballs at different things, and and and just hoping that one of them takes there’s, a hierarchy to care, and we’re gonna go through that hierarchy, so that so the starting hierarchy Is usually look to the brain? Okay, so it’s. Gon na be look to the brain. Maybe you meditate. Maybe maybe you exercise, maybe you maybe you knew do tapping exercises. Maybe you do self guided meditations? Maybe you take herbs or botanicals whatever? It is you if you treat this gut without treating the brain there’s, a good chance. You’re gonna fail, and so so the hierarchy is. First, we’ll, get brain and in general the intestines is a pretty good place to start for people who have chronic conditions that won’t get better. It’s, not the it’s, not the it’s, not the mother lode. You know for most people, but it is a good place to start because then it can clean up a lot of other things. You Source : Youtube

https://youtu.be/I886tphw7CE In this episode of Functional Medicine – Back to Basics Dr. Rutherford discusses stress and how it can be a major contributor to chronic conditions. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi I’m Dr. Martin Rutherford, again back with our back to basics of functional medicine and what functional medicine should look like and how you go about treating a lot of the chronic cases that we particularly see in this office. We’ve gone over just a number of things. Now I can’t put them all in order and review them that we’ve gone through the history. We’ve gone through the exam we’ve gone through, so many of the basics of what needs to be done. The foundational one easily done, and now we’re, going to start moving into a little bit more into treatment and and and this this topic today, which is stress and how chronic stress, creates and/or, perpetuates chronic conditions. It’s, kind of a it’s kind of a borderline foundational issue and it’s kind of a it’s kind of also a huge functional issue. As far as relative to the future, talks are going to be, for example, about the large intestines of small intestines, the stomach, how they all play into each other, the order in which to attack them, and so, when purse comes into our office, we once we decided That they’re, probably a good candidate. We haven’t, fill out an 18-page history and it has questions on all of those areas and we have one section of about maybe twelve questions on the intestines and then we have another test area on maybe five questions on intestinal permeability. We have five pages of questions on the brain and and and brain chemistry and brain chemistry when it goes abnormal results in anxiety, it results in panic, attacks or results of the pression. It results in inflammation. It results in breaking down what’s called the blood-brain barrier. The bottom line is all of these different physiological neurological abnormalities create a lot of problems. I would make the argument that it’s, at least a ginormous contributor to this expand. The group of patients who are the chronic pain patients, the autoimmune patients and and I’m gonna we’re gonna understand why I think that by the time we’re done with this. So so basically yeah. You have you know, the brain can pretty much controls everything and I’m, not gonna get into you, know the neurons and all that type of stuff, but the brain pretty much controls everything it controls your arms and controls moving and controls. It controls whether you move your finger, controls your thinking and controls all that we’re. Pretty we’re, pretty much aware of all that, and and and we know that if our arm starts not working and we start getting tremors, we start thinking. Oh there’s, some nerves, that’s going on and sometimes those nerves are are coming from the brain. Sometimes they’re, not news, but we kind of a relative grasp of that. But what we see in this office, this, I can say with full accuracy, virtually every day in in probably 95 % of the new patients that come in here, people who come in here for consultations, people who start care is that the vast majority of them have A chronic stress response going on that’s, separate from the motor nerves. That I just got done talking about. Motor nerve is something that allows you to move your hands and move your feet, and then it’s separate from and that’s separate when that’s separate from the thinking part of your brain. Okay, the thinking part of your brain is all of these ripples. All these Ruge i in in in the in that what’s called a cerebrum okay. So this is thinking, but we’re, not talking about those parts of the brain. We’re talking about the part of the brain. That is, and is the automatic part of the brain, the autonomic part of the brain, which controls your entire physiology. Without you, even thinking about it, the stress response is is is so important that I don ‘ T think that you can get somebody well long term, unless you’re. Addressing this response, I don’t, think you can get a person’s, irritable, bowel syndrome on long term. Unless you address the response, I’m about to talk about. I don’t believe you can get like persons. Leaky got better. If you don’t address this response and I could go on and on you’re, not gonna happen. This goes kind of back to for those of you who might be familiar with the alternative care. This goes back to the days I mean. If you can’t fix the adrenals, you can’t fix anything, but you can ‘ T fix the adrenals. If he can’t fix the stress response. You I’ve done talks online that were titled. I believe the adrenals are the wrong target, so so that so so in our world we talked about doing a complete neurological exam on every chronic pain, patient that comes in here, and certainly that’s warranted. If you have fibromyalgia, preferably those are nerves, but we do it on somebody comes in here and if they have chronic fatigue or if they have irritable bowel syndrome and they don’t have fibromyalgia or some neurological problem like MS or something like that, We still do it for this reason, so so let’s say I’m. Looking for a looking for a tool here here’s, my tool, okay. So so there’s. A part of the brain called the brain stem for those of you who are students, you might have heard it called the old brain and the lizard brain. It has a number of different names, but but technically it has nothing. To do with. Thinking has nothing to do with any of that type of stuff; it does a million things, but that, but we’re, particularly interested in in this presentation. Is that fact that it houses something called the autonomic nervous system? You can almost think of it. As the automatic nervous system and what it does is it keeps us balanced. It speeds us up, it slows us down, it controls your saliva, it controls your eyes tearing it controls your eyes, dilating and contracting. It controls everything dilating, attracting it controls your arteries, dilating and contracting. It controls your breathing. It controls your bowel movements. In fact, it controls your sleep. There’s, a part of it that actually works with a place in your brain, called the hippocampus to control your circadian rhythm. I go you’re, going to sleep and waking up are my patients, but my I can’t go to sleep and I wake up and I can’t go back to sleep and they’re. Now calling this the rest and digest system, because if this system is working properly, you’re sleeping well, your bowels are moving well, and so this is this and, and this system is, is, I believe, the key to long-term success in the functional world. In it in any world I mean, if you’re, trying to get yourself better and you’re. Having this type of a stress response, there’s, a you, you may be someone who goes to a chiropractor and and and you can’t get better because and the adjustments hurt you because your muscles are stiff and they never get. Soft or you may go to the physical therapist and they can or the massage therapist and they say: oh, your muscles are like knots and and and it hurts when you get taken care of or just a number of things where this stress response is going to Prevent you from even getting well with with with treatment. So what is this stress response? This is the this. Is the brainstem and, and there’s, three parts to it. The bottom two-thirds for those of you who are more academic out there is the pons and the medulla, but the bottom two-thirds, basically houses the parasympathetic nervous system. We’ll, call it the rest and digest relaxation mechanism. Okay – and the important thing to understand about this mechanism is that this is kind of where we’re supposed to be the way your brain is set up is, is it works by stimulation and we get a lot of sensory input from a lot Of things from walking from feeling things from smell like this, and they all feed back to the brain and they stimulate certain parts of the brain and the brain needs to be stimulated to work right. Ninety-Five percent of stimulation that comes into your brain goes up through your thalamus, and it goes into your brain and all this type of stuff feeds back to stimulate this part of your brain. Why do I tell you that? Because when I’m, trying to to show there is that nature knows that we need to be calm all the time, because if this area of the brain is dominating, if it’s strong, if it’s working, we’re, going to become we’re, going to be sleeping well, our bowels are going to be working well in absence of some sort of a pathology. This is going to keep this working. Well, this so calm, believe it or not. Is your natural state of being all right? Now there are neurons there’s a there’s, a small pool of neurons here in the upper third of your brain. Okay and those neurons are the neurons that run your sympathetic nervous system and I don’t know why they call it sympathetic. I do know why they call it some of that, but it sounds like it would be sympathetic to you, but it’s, not very sympathetic, because it makes you go crazy because when this goes on, it makes it jittery now. This is actually a a core survival mechanism for us, so what happens is when, when this is the for those of you who are familiar with the fight flight mechanism? Ok, this is the fight flight mechanism. This is our innate primitive survival mechanism, the ok, the Bears chasing me, the Lions. Over there I got a like. I like I like anything, got to throw the spear at it or I get to get out of here, one or the other. Ok, so here’s, how this works a little bit more of an updated example. Let’s, say you let’s, say you you, you think, like you’re gonna be walking down a street. You’re gonna get attacked or let’s say you simply have to give a speech for the first time and you ‘ Ve, never talked in front of five people in your whole life. Both of those create a response in what’s called your frontal lobe right here. Ok and this don’t follow them part on me, and this is your frontal lobe, ok, and so this is your front. This is your thinking. This is who you are. This is your personality. This is where your brain goes. There’s a problem here. I need energy that’s. What the frontal lobe does. The frontal lobe then sends a signal to these guys. They’re called the amygdala Magdala are the fear center of your brain. Remember that it’s. The fear center of your brain is this Center also happens around your whole emotional system. That’s, important that’s. Gon na be important to us in a few minutes. So this frontal lobe goes there’s, danger front Allah says we, we need energy, it tells the amygdala the fear center. Brain hey be fearful because we need energy and then that tells the little neuron pool here in the upper brain to start making energy right now. This sympathetic nervous system and here’s, an important point. This then shuts down the relaxation response. Now again, a more salient even a point than that is you’re either here or you’re here, but you’re. Never in both, you might be in the fight flight response and be like a1 on a scale at 1 to 10, or you might be a 10 on a scale at 1 to 10. But while you’re in that flight mechanism, this is pretty much shut down. The relaxation response where we’re supposed to be in our normal state of being, is shut down. When relaxation responses is is dominating, we are feeling pretty darn good okay, but we need to get out of here right now, because the bear is about to eat us, so this shuts down, and then it sends a signal down here down here. This is your spinal cord and it sends it out to something called your adrenal glands, which are too little kind of kind of cone, shaped a little glands that are sitting on top of your kidneys and then those adrenal glands start vomiting out hormones. You would, you would know them as stress hormones, although they do a lot of other things they would. They would vomit out adrenaline. So adrenaline starts making your heart pounds right, and so then then they then they start putting out something called epinephrine. So now you start being able to breathe more. You’re, you’re, you or bronchial tubes. Nell start to dilate, you’ll, you’ll, actually be able to take more oxygen and they put out something called aldosterone. Aldosterone works with your kidneys to raise your blood pressure. Why would you want to raise your blood pressure? Because you got to get blood to your big muscles in your chest, your back, your arms, your butt, your thighs, you know all the big muscles that are gonna, allow you to fight or flee. It starts moving blood sugar. There’s, another hormone that the adrenals put alcohol doubt dust our corticosteroids, so the corticosteroids then start moving blood sugar out of your liver and into your and into your bloodstream, and a lot more things happen than that. But basically, all of that’s happening to put sugar into your muscles sugar into your frontal lobe electrolytes. It’s, moving everything into the big muscles so that they can fight or flee. In the meantime, it’s, draining blood from your intestines. It’s, telling your bladder shut down and whether you realize it or not. It actually even shuts down your throat, because you don’t need to be eating and you don’t need to be peeing and you no need to be pooping right. While you’re, fighting or fleeing so nature puts you in the optimum position neurologically and chemically to be able to fight or flee, and this is where that superhuman strength comes from. Where you’ve heard the word. I haven’t heard this one lately, but during my lifetime it’s, always been the little old gal who, like weighs about 90 pounds, who picks the car up off of the kid that the car just rolled on top of. And these things have happened and they’ve been documented, and then, when it’s over the person drops the car and everything goes back to where it should be, and that’s. What should happen this is, should be a very short-term response. What should happen is once the danger is gone or once that speech is over or once the kids out from under the car. What should happen is, is this frontal lobe should now say you know what okay I don’t need all that energy anymore, because you’re gonna I’m gonna you know you’re gon Na be in good shape, if I, if I, if you keep putting all that energy out and then it tells the fear center to tell something down here – called your cerebellum to shut down this midbrain sympathetic, fight/flight response. And then you go back to rest and realize section: okay, that’s, not the patient that shows up in here. Okay, the patient that shows up in here is continually in some gradient or level of fight flight and and – and so here’s, how that happens? Okay, so it’s, the same mechanism, but what happens in the person that has most chronic conditions? Again, I’ll, say 95 % of the people that come in here. What happens with them is this fear center? It gets programmed so it gets programmed like a computer. It’s, actually still a survival mechanism, but I just got done saying that it’s, not a survival mechanism. If it goes for more than five or ten or fifteen or twenty or thirty minutes or a couple of hours or a couple of days, okay and it’s, not so why does it get program and why is it a survival mechanism? Well, it’s, a survival Megan for the reasons that it gets program and the reasons it gets. Programs is usually some form of emotional trauma that that person’s, brain perceived as egregious and the women it’s, usually for well. I shouldn’t say that anymore, because I ‘ Ve had men that have gone through this to verbal physical abuse, verbal abuse, sexual abuse. I hate to tell you how frequently that comes in it could be. You know they’re. Your parents were alcoholics that they left you. It could be there’s. A lot of very specific things I mean I lady came in here was standing there with her husband got shot. You know these are. These are like abnormal, like out of our reality type of things, and they create such massive fear that the brain will produce something called negative. I’m. Sorry negative neuroplasticity, so neuroplasticity is when your brain changes to help you more in your endeavors a simp. The simplest way to put that may be simple. This example, I can think of is is playing the piano okay, so playing the piano. So if you’re playing chopsticks do dundun dundun dundun, you know the rest okay. So basically, this part of the brain right here just I’ll, put my finger right there right. There is allowing you to do that. Okay! Now let’s say you get into something a little bit more complex than than those two fingers. Okay, let’s, say you get into something very simple, like just simple old songs like Sinatra, songs or Beatles, songs, or even a simple ballad from today, something where the chords are simple, but it’s a little more complex, a larger Part of the brain will start to help that original area to be able to move the fingers more completely. In a more complex fashion, that’s called neuroplasticity. The neurons, the brain cells will actually reach out, with these little tentacles called dendrites to other neurons, to recruit them to help by the time you’re, two playing Tchaikovsky. It might be that this whole part of your brain has been recruited to help that you stopped playing for ten years. It goes back to that. So your brain is plastic when you, if you ever hear that term, that’s, what it means so there’s, positive neuroplasticity, that’s, positive neuroplasticity and there’s negative nor plasticity and two things. I see in this office that are negative. Neuroplasticity is chronic pain where the brain has lost its ability to be able to filter out pain and and negative neuroplasticity of this amygdala, which, for starters, creates the situation of the brain not being able to filter out pain. If pain is what you have so this amygdala, this fear Center now gets from one of those other thing. Oh one thing I fried to mention is: what else will prime this is? You could be a perfectionist or you could be like a type-a and because that type of brain is always looking to be right. So everything’s got to be right. Everything’s got to be moved right here. Everything’s, you know it’s like everything’s, gonna be perfect, so you’re. Continually. Stimulating this and or or a type-a is just it’s. Never enough! You always got to do more. You got to do more, you got to do more. You got to do more. All those keep stimulating this this, this part of the brain, and so all of those things will create negative neuroplasticity. Even if you’re, a type-a and you own 12 businesses and you’ve just built half of like you know a big city and everything is wonderful. It’s, not because usually this is being stimulated and you’re in this fight flight response. So what happens? Is this negative neuroplasticity causes us the MiG d’leh to continue that fight flight response, where all those hormones are being put out like 24 hours a day. Some like this, some like that, sometimes but but always being put out high low medium. This person, who can’t, go to sleep they wake up, they can’t fall asleep there’s, a number of signs that this is going on your brain, never shuts down. So this is negative, neuroplasticity and, and and what’s worse is the latest research shows that, as that occurs, this amygdala, this fear center actually grows. So basically it’s, trying to either help you. If you’re, the perfectionist or the or the type-a, but it’s, trying to protect you from this, egregious act of maybe being raped or beaten or shot or or alcoholic parents are abandoned. So it’s. Keeping you aware all the time: okay, so that’s, the mechanism, but here’s. Why? I’m going through all of this, and here’s, why? I said this is kind of foundational to getting better, but it’s also something that creates problems. It certainly perpetuates problems, and here’s, why these adrenal glands that are putting out you can’t, see me down here, but my DS, adrenal glands, I’m, pointing to on top of my kidney, these adrenal glands keep Putting out stress hormones, because the brain keeps telling them to keep this relaxation response shut down and keep putting out adrenals hormones, and so they are so intermittently. You keep putting out things that are altering your blood, sugar or things that are causing stress hormones, things that are making you breathe heavy those types of things, but more than that, there’s. One particular hormone that’s, that’s, that is extremely destructive and it’s. Cortisol most people to come here know cortisol as being bad. They’ve, looked on the internet and cortisol is bad bad, bad. That but it’s not until there’s too much of it. Cortisol helps us to maintain our blood sugar cortisol works with certain chemicals and balance with our sex hormones cortisol. It helps to modulate our immune system in a good way until it’s too much. And when is it too much when you’re in chronic fight flight and you’re, putting out too much cortisol. And what does the cortisol do? I’m just gonna give you kind of like the Cliff’s. Notes part here, because this is this could be like you know, a twenty hour lecture, but but but but the core of it. What you need to understand is the stress hormone. Cortisol has a wonderful affinity to damage your frontal lobe here’s, the symptoms, depression, anxiety, panic attacks; okay, so so it’s. It’s, rare that you’re gonna have those without being in a chronic fight flight response. Cortisol has been shown to create inflammation in the brain and be part of virtually every migraine that’s ever been. There was a couple of parts of migraine, but cortisol. The stress hormone is a huge part of creating the chemistry that you’re now, starting to see online. They’re, ultimately making drugs for to to take care of your migraines. It’s. It’s, the the the the tightness in your neck that headache that you’re taking medicine for you’re, going to the chiropractor for the massage therapist or the Agron physical therapist, and won’t ever Go away that tightness in the neck and going all the way down into your shoulders and all the way down your back. The cerebellum causes that well, I thought we were talking about cortisol yeah, we are the cerebellum, so it’s, be shutting down the stress responsible when it’s, going like this all the time cerebellum wears down stiffness and then that dizziness Balance blurred vision, all of those things come secondary from that mechanism, so it’s, a it’s. It’s, a big they actually are now thinking that it is one of the causes of the immune inflammation. It attacks. The thyroid better known as Hashimoto’s, the things that we see an awful lot: chronic sinus infections. You have a chronic sinus effects. You’ve, got to the doctor. You’ve gone to the allergy guy. You’ve, had your deviated, septum removed, you has holes plugged up in there and you ‘ Re still are getting chronic problems. It’s because it’s, because we talk now about 70 % of your immune system being on the inside of your intestines okay. But it’s actually in the inside of intestines, on the inside of your lung cavity. On the inside of your throat and on the inside of your your nasal passage and we step back a minute to where we talked about cortisol being part of what helps to modulate your immune system. So it goes to those areas to help alert the immune system. To invaders coming in and and and calling to white blood cells, and things like this to get a lot of the immune system, neutrophils narsings, to come and attack until it becomes the problem. Cortisol and high doses is called catabolic its destructive, so those very tissues that it’s. Norley helps it starts destroying now you start getting chronic sinus infections. Now you start getting food sensitivities because cortisol remember we go back now to the fight flight response. The stress response does what shuts down your throat so a lot of times. If you’re chronically stressed you’re. One of the patients that can’t swallow pills that feels like you got. A lump in your throat that can’t swallow those types of things frequently that’s. The stress response overwhelming the cranial nerves here, but remember when you’re in fight flight, it’s, shutting down the throat it’s, shutting down the intestines in the bladder, so it shuts down the stomach and the intestines. Also, okay, it shuts down the stomach in the intestines. It shuts down the lungs. This is the number one cause of chronic non-pathological asthma. Athletic asthma is chronic stress, hormones or immune inflammation, but chronic stress hormones play a big part in these chronic asthma cases. But the gut is like the huge thing. Most people understand that stress causes ulcers and they people have known that my whole lifetime. Okay, so, but now we know why we now know it kills hydrochloric acid in the stomach, and then you can’t digest your proteins and now the protein sits there and it becomes acidic. And now what do you do you go to doctor? They say I got acid ingestion and they give you an antacid, a MEP rizal, and they tell you to take this, which now kills what little hydrochloric acid. You have left and kind of duplicates the physiological effect on your stomach and your intestines. That’s already being caused by the stress response. This is bad because now you’re, not making hydrochloric acid, you’re, not digesting your proteins that becomes acidic. This is the number one cause of gall bladders, not working, because the because there’s, a signal sent from the stomach to the gall bladder to say, hey, don’t work is a signal sent to the that was called cholecystokinin. That’s, it that’s, a hormone there’s. Another signal incentive pegasus that don’t work because the pancreas and the gallbladder all empty into the same area that the food empties into, which is the duodenum right below your stomach. And so you’re. Your body’s wired to make sure that those try to not get in fact that are inflamed. But once you have this stress response that’s. Shutting down the the the ability to make hydrochloric acid in your stomach, then it starts doing that now. Long-Term. That stress response kills those parietal cells that are making the gastrin and the hydrochloric acid, which are the chemical things for the chemical nerdy, guys out there, and once once once that happens, and it keeps happening that’s. When you get an ulcer okay and when then you get an ulcer and then what happens you can’t, kill bacteria, you get h, pylori, you can’t, kill bacteria. You get small intestinal back to your overgrowth, because these bacteria either sit in your stomach or make their way into your intestines. These stress hormones have an affinity for the inside of your intestines, because cortisol is part of the immune system. Seventy percent of your immune system is on the inside of your intestines. It’s called secretory IgA that starts getting damaged, it starts flaring up and the next thing you know you get, you start getting. You start getting leaky gut from that. You start getting food sensitivities while you’re in fight flight, your your intestines are shut down, so it’s, not only so so so in the long term. Is it’s? It’s. You know creating inflammation in there, which creates all this other type of symptoms, but it also decreases blood supply to your intestines and also overwhelms the stress response. Okay, I can’t see how high do I need to hold this, but this stress response. Okay, that’s going from here it’s. Shutting down your your your parasympathetic nervous system. Well, your vagus nerve, which it comes from right here, is what controls your bowel movements. This is the number one cause of constipation. By far, there are other causes. Don’t get me wrong, but this is number one cost. Oh, what else is here? The mechanisms to filter out pain is here. So if you have a central pain syndrome like like fibromyalgia or some of these other central pain syndromes, like reflex, sympathetic, dystrophy, it’s partially or largely because your stress response is overwhelming this area. This is a big part of those things and when you – and so so this this is like they’re now calling irritable, bowel syndrome, constipation or diarrhea. Three days a month for more than three months, they’re now calling that irritable brain syndrome, and the last thing I see a lot here, and particularly in women, two last things I just did it. I just did a talk just a few minutes ago before we started this on infertility. Okay, this is a huge part of causing infertility, polycystic ovarian syndrome, those types of things and it’s. Also, the number one cause of chronic cystitis pain in your bladder because, again, when you’re in short-term fight/flight, your bladder is like is like your bladder is shut down. Okay, but when you’re a long term fight/flight I mean when you’re, you, you have constipation at some point. You know your your. Your small intestines are having to empty into your large intestines and at some point, even though your brains telling it to shut down. You know your your your bowel, you have a separate nervous system and there was going. I got ta go. I’m. Full it’s, the same thing with the bladder. The bladder fills up it’s, confused the brains telling it. I’m in chronic fight/flight don’t pee that, but there are reflexes in the inside of bladder, go. I got ta pee and because I’m getting full up, then you start getting pain next thing. You know you you, you you, you’re Nate, okay, for those of you like urination, better than pee your your Nate and then the next thing. You know because there’s, an abnormality in a way this functions, you get urine in your urinary tract, and this is the number one cause of chronic urinary tract infections. So what happens to those you go to the doctor? They give you they give you antibiotics right and what does it do it screws up the stomach that’s already being screwed up by the same mechanism that’s, causing you chronic urinary tract infections, and I go on with this for, Like ages, oh my god, there’s like so many. It literally affects our Ken effect, literally every single cell in your body. So when somebody comes in with a chronic condition and and and they’ve been through, they’ve, been through everything, yeah they and and they’re taking and and they’re, taking medications for their sort Of depression or for their panic attacks or for the anxiety and and they’re, taking medications for their gut and they ‘ Ve changed your diet and they’re and they’re. Doing all of these things. They really haven’t addressed the chronic fight flight response. That person is never going to get better, they might get better for short periods of time. They might have certain things get better. Maybe you go on a maybe you find out. You have small intestinal bacterial overgrowth, which is probably to talk about the next in the next presentation, and then you get on the fodmap diet and then you take the let’s, say berberine is one of probably dozen things you can use to get Rid of those bacteria and they go away for a week or two, so you’re. Still, you’re, you’re starving it. You’re killing it they go away for a week or two or maybe even six weeks, and that comes back. Why? Because the perfect perpetuating factor is the stress response that’s, killing the hydrochloric acid in the stomach. That’s, not allowing you to have the hydrochloric acid that should be killing any new bacteria, that’s, creating that and that has to be taken care of, and it’s and it’s. It’s, you know it’s, the biggest challenge. Honestly, the biggest challenge is to get that brain under control. We use a number. We use a variety of of complementary approaches, but it’s, a little different for each person. It’s, sometimes when that person is in chronic fight/flight imaging if they get it’s like a seven, maybe a definitely a nine or a ten. You may have to go to the to the to the length of counseling. We’ve, sent people to traumatic trauma counselors. We have a clinical hypnotherapist that we work with. There are functional psychiatrist. I’m here in Reno Nevada, so these people are here in Reno, Nevada, don’t. We work because sometimes even brain rehab exercises and self guided meditations and tapping exercises and herbs and botanicals and nutraceuticals and neurotransmitters aren’t enough for when that brain gets. So what we call it, we call it sympathetic wind up when it when you get sympathetic line of them. You just came back from you, know the the war in Afghanistan or or or something like that, and you’ve. Had one of those experiences been in the middle of combat, then that has to be, if I have a patient that comes in and they’re in that situation or if I have a patient that comes in and I just have. I’ve had one or two in the past couple of weeks, who are in the middle of a massive trauma, and I’m like you’re in the middle of a divorce and it’s. Just divisive and you’re going the court, and who knows, I even had one word that they couldn’t afford to live apart, so they were still living in the same house. You’re, not getting a person better when that type of trauma is there day in and day out those people. I will advise no matter how sick they are that they need to get through that first, then they can come in and then we can start working on them and then we ‘ Ll get a response because trying to overcome that you know it’s like having this massive fire. I’m trying to put it out with like a garden hose, so these are like the perspectives. I’m. Trying to give you relative to the stress response, because and and I even have people come in here and say they’re, not stressed. How do you know your stress, how you know if you’re this responsible? One of the things I talked about was that this I can’t go to sleep. I wake up. I can’t, go back to sleep, that’s, largely a stress response and a blood sugar response and and that cortisol also screws up your blood sugar as well as causes all those stress responses. Another thing is: if you find yourself, if you, if you close your eyes just gently and you find your eyes fluttering like that – that’s called blepharospasm clamminess on your feet and oh that’s. Just me, you know that no it’s, not just you, you’re in a fight flight syndrome. If you’re, one of those people are sitting there rattling your leg, all the time or doing something like that. That is an instinctive response of your nervous system to move some body part that will send stimulation back to your cerebellum. If we go all the way back to about 20 minutes ago – and I said, the cerebellum is what it’s supposed to shut down. The stress response, then, that that’s, an indicator that that you’re in that fight flight response, because that leg, movement or those things that they try to do some people have other other mechanisms. They do. That feeds back your cerebellum and temporarily strengthens it. This is why exercise this is two reasons why exercise helps to calm down, stresses it dampens that it strengthens that cerebellum and dampens that stress response. It also helps to control your blood sure, which I’m, not going to get into all the chemistry of how that brings down your stress response, but it does too so that’s. I think that’s, kind of like as much as you need to know about stress at this point in time and and III, go back to saying that I believe that it’s. The I there’s me okay. This is me, but I believe that they’re gonna come out one day and say this is the cause of the chronic situation that’s, going on out there and at first I thought it was autumn unity, my mentor dr. T score asean was the gentleman who first developed the understanding of something called Hashimoto’s, thyroiditis that’s; an immune attack against the thyroid that was long before anybody did even heard of that. Everybody just thought everybody on hypothyroid, and so we found out that the vast majority of it was some unit acts. Now everybody’s got immune to tax right back at that time. Nobody had it and was just MS and was a couple of things, but but I think it’s. The stress response that’s, breaking down the gut and the and the immune system inside of the sinuses, the lungs, but particularly the gut. I think that’s, panning out into the rest of the system, and I think that I think that is what’s, causing this autoimmune explosion. It’s, a much much more stressful situation in society than then when I was younger and I’m in my late 60s. So it just it. Wasn’t perfect, but but it was a lot less stressful and we didn’t have the stimulation, the constant stimulation to our brain. This thing’s. This thing seemed to be more stable back then, in just so many ways, and as I and as I see this over the years, we’re gonna we’re, not getting less people who have autoimmunity. We’re, not getting less people out, but we’re, getting more and more and more and more, and so I very least this is a core of people getting sick. But as you can tell, this also perpetuates the things that I believe that it that it might create in the first place now it’s off to the races. Now it’s, parasites. Now it’s ease. Now it’s Candida. Now it’s, small intestinal bacterial overgrowth, an IBS and blah blah blah anyway, that’s. The way we see it, it’s, been a pretty successful approach for us to treat that at the same time, we’re, treating other things that’s stress, so you see why I say it’s Kind of like like, like it kind of like straddles the is that a foundational thing, or is that a treatment type of a thing? Again? We have two two pages that summarize virtually the rest of the person’s entire physiology, and we have five pages on brain function and stress so I mean I kind of like that kind of represents how we see it and and – and I think It’s, just important for you to know that, so that’s. I think that’s enough. I think that I think that kind of covers it. I think that should light you up and really give you kind of like like where it’s out relative. So you give you an opportunity to think whether that’s happening or not with you. So I stress next so next time we’re gonna get into the actual physiology kind of an order. Again, this is back to basics. This is functional medicine back today, some people would argue, though I just went over, is not functional medicine. My mentor just just went through a doctor crossing just in a three day course on neuro inflammation and how it affects everything and basically 90 % of what I just told you is that course, so it is function. It is within the realm of functional medicine, and, and so we’re gonna get it now. We’re gonna get into the breakdown or and and and kind of, the order. There’s, not an exact order of breakdown and to how to attack this. But there is a general order of how to go about this and we’re, going to start on that. The next time that we meet and that’ll, be back to basics, on functional medicine, keep it simple, as my producer said, and and and and that’ll, be the start of the treatment portion of this series. So I hope you’re enjoying this. I like doing it. I like feedback, please feel free to comment on this. Let me know if I’m going in the right direction. Let me know if this is something you’re interested in you have any questions feel free to send them. I’m, not I’m, not the best email guy in the world. So I’m. Not going to get back to you in 24 hours, but but I will get back to you and and so until next time, dr. Mark Rutte, fir’d, certified functional medicine, practitioner or power health signing off bye. You Source : Youtube

https://youtu.be/QzfwauL9Z6Y In this episode of Functional Medicine – Back to Basics Dr. Rutherford discusses the good and bad of supplements and what to look for and what to avoid. Hi I’m Dr. Martin Rutherford. I am the clinic director here at Power Health, in Reno, author of power health back to basics and a certified functional medicine practitioner. This is another segment there’s, another segment in our functional medicine, back to basics series, and we got a lot of for those of you. Aren’t familiar with it. We’ve, been going through. We’ve, been going through what classic functional medicine was intended to look like, and we’ve already been through taking histories and doing exams, and they’re, pertinence and so on and so forth. We got a lot of good feedback last week on the gluten and the last two segments have been on diet and specifically on gluten, and so we have gotten a lot of good feedback on it. And so we will continue to do these as though, because they seem to be getting through and and and kind of fulfilling the purpose that that I wanted it to fulfill. So now we’re gonna talk about vitamins and supplements. So I’m gonna try to keep this the less than four hours. Okay, because that’s about how long I could go on with this. But it’s. It’ll, be a lot less than four hours. Hopefully it’ll, be a lot less than 40 minutes, because I get a patient in about 40 minutes. So, okay, so so supplements again and and many of these supplements you’ll, hear me draw from experience and say when I started this and I think in December first I’m, going to be starting my 40th year in practice. So so we’ve had a little experience who had over 40,000 people come through these clinics. You know in that period of time and just to watch the difference in trends and and it went from Oh supplements and you’re. A quack and and that type of stuff too, now supplements every where they’re. Actually in this town and I’m sure in your town, there are now doctors more frequently nurse practitioners, physician’s. Assistants that are now seem to be agreeing with, and even suggesting supplementation for things like high blood pressure and and high cholesterol and so on and so forth. So that’s, quite a switch. That acceptance has been a two-edged sword because supplements are not regulated for the most part and and so creates kind of. Like you know, I mean here in Reno Nevada, which is like used to be the wild wild west. Some degree it still is the wild wild west, but but but but not having the rules not having. The regulation allows for a lot of a lot of things to take place, a lot of creativity and and and a lot of profitability unsub limits that maybe aren’t. The best supplements, so we’ll, probably be talking about that. In a number of other things, right now, my attention is on supplements. People using the right supplements. People using supplements are going to be effective. I’m. I do a lot of work with people who are not in my city and and who travel to get here and, and sometimes they travel a long distance. Sometimes I mean I have patients from. I had to currently have a patient from Hong Kong. Sometimes it’s hard to get our supplements to them, so they start saying, can I get mine? Can I get mine at the local Costco, or can I get mine at the local, Walmart or local tax? They have all these in China, apparently and and that – and that makes it that makes me a little bit. I’m trying to help people to get well and the one thing about drugs. Is there’s, a fair consistency in drugs? I’m, not a I’m, not an anti-drug guy person. I’m, not a pro drug guy per se, but there is a consistency with with medications. You know what you get you take it you feel better. You have terrible side effects, you’re, sloppy, you take another one. We don’t seem to have that agreement in the supplement world. Okay, I cannot tell you the scores and scores and hundreds and hundreds of coming here with bags and bags of supplements, and we’ll. Talk about that and – and I’ll say: are they helping you and astonishingly, they’ll, say no. I don’t know if they’re. Helping me, I know, or I don’t know. If they’re helping, but they’re afraid not to be taking them because they’ve, read that they need them, because this one is for oxidation, and this one brings down inflammation and those types of things just like Drugs, you should know whether your supplements are helping you or not like when you’re using a pharmaceutical nutraceutical grade supplement you’re gonna know you’re, not gonna come in to me and go. Oh. You gave me this and I don’t know if it helps with me or not. If a person comes in and they’re. Taking a high grade supplement that I’ve, given them and it’s. Not creating an effect it’s because it hasn’t been dosed up enough and then you would know to dose it up if a person comes in and I give them a supplement most of the time. But the next time or two I see them, they’re gonna say I feel better. I feel worse either. I’m good, either way because it tells me something about their physiology. Okay, that’s. What you should be experiencing, if you’re taking like handfuls of summons you don’t know if they’re helping you they’re, not helping you there’s, not this magical, mystical thing And, and and or the other way that you should determine whether they’re helping, you is by testing, and there are a lot of testing facilities out there. Now that online, that’ll. Tell you whether your supplement loads are high or low, and and from that supplemental perspective you would you would your money would be much better spent? Looking these testing facilities up online, one at once called an organics assets s. I think it’s, Genova that puts it out. I get no money from Genova. Okay, I’m, just used to test and, and it will tell you and it’s, not a cheap test, but it will tell you where your, where your nutrient deficits are, what supplements you should be taken, and I will tell you You will come away from there with a lot of supplements, but that’s. The person who is just looking to take supplements they’re, not changing their diet to change the fact that they probably don’t need some of those supplements. They’re, not finding out that day. We talked about these. In previous, what I’m about to talk about for some of you, viewers who haven’t seen the previous ones. I’m, referring to things we ‘ Ve already talked about. You know they don’t know if they don’t if they have a lack of hydrochloric acid and and so they’re taking probiotics and they’re, taking things for their SIBO and they’re taking things for intestines and all they need is one. Maybe one supplement with hydrochloric acid dates: Beth pain, hydrochloric, acid and a wipeout. The need for those other three you won’t know any of that, but you will know where your deficits are. If you, if you use some of the tools that are out there to tell you where they are one of the one of the things that so so okay, so this all comes from, I’m. Putting these things together to if you will go back all the way to my original functional medicine presentation, I you know I’m concerned there’s, a lot of stuff going on out there. People are coming in to me. I’ve, been this. They’re telling me. I’ve, been the six functional medicine doctors and it’s, not helping there’s. Just so many reasons, and we’re covering them in this series. This is one of them, and this is a big one. A lot of people come in to me and they bring all their supplements. And again I mentioned the three bags, sometimes that three bags comes from another functional medicine practitioner, that’s, not functional medicine. Okay, functional medicine is designed to help your physiology to work as much as possible, so that you can, you know, do it with. As few interventions as possible, I think everybody agrees that the the least amount of drugs that you take, the better, if you know if you can find another way to get things done, because drugs alter physiology drastically to do what they do, they increase physiology. They dampen physiology, they destroy physiology, they kill neurons, they do all kinds of things, but the trade-off might be. Ok. If you don’t know any better supplements. We don’t seem to supplements so so those types of interventions into your system, if you can avoid them long-term. Obviously it’s better, even even the nurses that I treat Sara, I mean it’s like yeah. Of course, it’s better. If, if, if you’re, not taking any drugs, we don’t seem to have that same thing with supplements, because the promotion has been. You got to take the supplements because we’re deficient in everything and and and that argument is it necessarily true, but it could be true in you and various patients and and that’s for another day to decide who that is, Who that is correct for it, who it’s, not correct for but my goal when I have a patient who’s going through our protocols is by the end, to actually have them on as few supplements as possible. Usually the last phase of care is the patient’s, feeling pretty good. They’re on a number of supplements that have been targeted based on testing based on histories based on lab tests. They’ve created their effect, and now we’re, going to start withdrawing those supplements to determine. Has that part of that person’s? Physiology started functioning on its own and, if so, do they even need to take that supplementing or the whole goal? Functional medicine is to get your physiology functioning again because we have no regulation. It has been bastardized to me. I’m gonna get you functioning again by giving you this for that function, and this for that function, that’s, not what it was meant to me. Okay, so this so the supplement thing is a big part of it because we use we use, supplements and diet. Along with in our in our office. We also do functional neurology, so we use brain rehab exercises and we use things to calm down, stress responses and and but the supplement thing is huge: it’s, it’s, a significant part of what we do so so it’s important that the person has the right supplement it’s, important that they don’t. Take the wrong supplement. It’s, important to me that they don’t, take a supplement. They just flat. Don’t need because the more supplements a person has to take the lower compliance. If you’re, taking like 30 supplements a day, you’re gonna have less compliance, and if you’re, taking five supplements a day for two reasons: it’s hard to swallow 30 pills three times A day and it’s, expensive and a lot of people are taking manure doing that are not following their program, so they’re, not getting the benefit from the five they need, even though they’re taking 30 and Then they stop taking it, they don’t just stop taking one, they stop taking the whole thing so, and I don’t think, and I think this is pertinent. I think this is like something where I’m, just kind of blabbing on for nothing, because I see this all the time and my goal in our patients is once they’re done to have them to be able to take care Of themselves, what they’re, taking 37, that’s a day that ain’t gonna last, for very long and and frankly, it’s almost never necessary. I’ll, say it’s, never necessary. I don’t know anybody who needs to be thanking 30, something that’s a day, some more, some more specifics on soso. So for me, when, when a person comes in here, I’m, really really trying to target as specifically as possible what their needs are. We do the history, we do the exam, we do all the stuff we talked about previously and then we do testing some of the testing. We do is specific to specific supplements that we see are kind of foundational to a person getting better. We talked about the foundation of functional medicine. What that is, and some of the foundation is vitamin D and some of the foundation is vitamin A and some of the foundation is essential fatty acids. Some of the foundation could be coq10 there’s. Some foundational supplements relative to what we do, which is which is general physiology and brain function. We do a couple of tests and we’ll find out what is that person’s, essential fatty acids? People go out there, they start taking fish sauce fish oils, the big thing today, a lot of people are coming in here and they’re, taking fish oils, but their skins still flaking. They’re still dry. They start their blood sugar stuff. All these things that the fish oil should be helping are still there when they get here. They’re, never taking enough, never will always will always evaluate them and and and they’re frequently taking for them for them. We have a test that will show how much you’re supposed to eat. They’re, frequently taking if they’re taking it. They’re, frequently taking 25 % on average of what they need for their specific physiology, vitamin D historically low and everybody’s in here on D. Now there’s, DS all over the place. You should take it. You shouldn’t, take it, you should take it if your vitamin D is low, you should take it problem with vitamin D problem with vitamin D. First of all, most people read an article. They need vitamin D and somebody tells them they should take a thousand in a day in an article in the magazine, so they take it. It’s, not doing anything. If you have a vitamin D problem, you usually need be at like 5,000 units a day now, don’t, go running out and start five thousand years a day, and unless you go get a vitamin D test. Okay, because on the there there are nuances to vitami that you might store vitamin D so 5,000, they might be too much for you. There’s, not that many people that 5,000 a day might be too much for, but it would be just my luck that you would be the one that it was too much for okay, so you need to go test it. You need to go test it and find out if you actually, you may store vitamin D and you may, and if you store it too much, then even a little bit of D can be too much, but the vast majority of people come in. They’re, taking a thousand two thousand units. Now I’m, not gonna get into my specific protocols for vitamin D, but I’m, going to tell you that we we do vitamin D and everybody comes in here and with very very few exceptions. People’s, people’s, ranges are much lower than the norm and this is an interesting thing. That applies to other supplements, but I’m using vitamin D. As an example, I’m not going to walk through every supplement here. The range for vitamin D in most labs in the United States of America is 30 to 100. Most people come in here. The people come in here, sick people coming here have autoimmune problems. People come in here on PTSD people come in here, have leaky gut its food sensitivities, see both, I mean it. Some have all of it. Okay, they’re. Vitamin D is usually going to be below the norm. It’s just because vitamin D is trying to help to dampen a lot of the immune responses and inflammation that’s, causing a lot of other problems. So it’s just being sucked up at it, but so they’re taking, so they’re taking D cuz. Now their doctor told him to take their so it’s. Again. It’s. Popular now it’s correctly popular now, okay, so it’s, so it’s popular, but we’re, not dosing enough. Now I’m just going to tell you I’m. Just gonna tell you what I tell my patients: okay in we treat people, we treat people from a lot of different countries and in other countries the ranges are for vitamin D are like 100 to 300. So if you go back to what I said just a few minutes ago, the American range is 30 to 100. You’re several countries in Europe. It’s. Like a hundred to three hundred the lady from Hong Kong. Their range is 95 to 233, so basically, we’re, not taking enough vitamin D. Okay. Now I’m just gonna leave it at that. The point is this: dosing is important, so you go to store your vitamin D. A lot of people go to Costco. Now I’m, not having I’m, not putting a bang on Costco stuff. There are things in there. There are things in some of their supplements or more than some of their supplements that my patient shouldn’t be taking because there’s things in there. That could create allergic responses. Most of my patients have autoimmunity. They have leaky gut dance, they have seasonal allergies, they have they have food sensitivities. These folks do not do well with supplements that are not cure, but, but I think Costco’s. Something was probably having them what they said. We’re gonna talk about that in a second here, but but people go, I took this bottle and it’s, so much cheaper than yours and stuff like that except their body. You have to pay like ten of their capsules to get one of what’s in this bottle. Just something small like that, like not looking at the the milligrams and and and the dosages. So so they really weren’t saving a whole lot of money getting that big bottle of fish oil over there, although their fish oils, actually okay. But there is a little bit of stuff in there that that that, for my patients, not for everybody but for my patients, I’m a little uncomfortable with we’re ongoing with this, as I’m talking to you, Because I’m trying to get people better here and and and our supplements are not cheap – our supplements are are probably among the most expensive supplements that are out there. They are only sold to doctors, they are pharmaceutical nutraceuticals, they are powerful. You do not take them and say I I don’t know I don’t know if it’s, helping me or not, you’ll. Come back to me and say you know. I took those dog and I feel like crap, I’m dizzy or you’ll, come back, go it’s, a miracle. I love that stuff so because we use the right supplements and we eventually understand how to get the person to the right dosages. We do the testing to find out what supplements the person really potentially needs and doesn’t need, and so you can be very targeted on this and I go back to saying it’s. The wild wild west out there. So so, because I’m a small business, if you will, I can only order so many of these supplements at a time. I order them from companies that are pristine. Several of my companies that I use are from California and and and it’s popular to California today, and I have been known to do that. Occasionally we’re like ten miles from California, where I’m sitting right here, so we have a lot of interaction with Californians that we tease each other, but but California has a strict district district. This rules on the planet for making supplements – I mean they’re. They that was thing called prop. 63. I think it is. I’d like to be able to pass that. I mean your supplements have to have what they say. They can’t have any binders in them. They got to be pristine. You got to be able to eat off this floors of these labs when you’re walking through a lot of these shopping stores and and out there in grocery stores and stuff. Not all of those supplements meet that level and there might be some okay, but there’s, not a lot. I have an article in front of me here. I have a page, so I so so I’m trying to get patients better. I I’d, like to have consistency and understanding what’s going on them. If I gave them a clonazepam – and they told me this made me do this – or this maybe do that – which I’m, not a medical doctor, I don’t. Do that, then you would know. If you took my supplements, they’re, not my supplements. Okay, if you took the supplements that we get from these companies same thing, but when I start getting people taking compliment because they went out to find the cheapest ones, they could find. I’m, not sure if that person’s, not getting better because it’s me or if that person’s, not gonna get better because it’s. Those supplements III keep. Now. I keep referring to slate in Hong Kong so that’s, not to impress you it’s just that it’s, just really amazing, to see how different it is here and there. So she goes and we’re, giving her something called DHEA based on testing based on the need for it. Now because she read some article and said I think DHEA is gonna give me a lot of energy and I think it’s really good. Now you take tha when you don’t need it. It is not a good thing to take okay when you need it. It’s, a very good thing to take, but it’d, be nice. If, when you got the bottle and had DHEA in it, so our DHEA that we use it is rare that I will get up to something called 7 milligrams on a patient ever that this stuff is powerful. It works it’s, drops it’s, it’s like if you need it, you start taking it. You get up to 10 drops you’re gonna go. Whoa 10 drops is like two point: five milligrams. Now I don’t expect you all to be math geniuses or milligram geniuses, but here’s. The point this patient was taking 150 milligrams. I just said I must never get up to seven. She was taking a hundred 50 milligrams because I told her your test said you need this, so she didn’t order it for me, so she went and and and and she got these supplements from – I won’t say which store Because it’s, American store there and 150 milligrams, nothing! No change. I said there’s. Nothing in there. As I’m telling you there’s, nothing in that capsule. They says it may say DHA. There’s, nothing in there they was. It was a little bit of a hard sell, but we did send her. The drops and literally within ten drops she’s. Her hot flashes started to go away. That’s. Another thing they sell DHA for is for hot flashes, so in her hot flashes were like horrendous okay. So I’m, so I’m trying to school you on supplements. This is like trying to teach you to read a label to find out what’s in it, so that you’re, not eating gluten or you’re, not eating other things like that. So so to that, let’s, bring that back to America. Here I have a couple of fairly recent articles here and in, and you need to understand this one article, so I’m talking about how, when you go into a doctor’s office, two things. If you go into a doctor’s office, and they have it personally and they have a personal, they have their personal name on there, its private labeled, okay, it’s, dr. Rutherford’s DHEA and, and it’s, like you, think, doctor Rutherford made the formula it’s like that’s, not that’s, not true. Okay, it’s like it’s like normal DHEA or not DHEA. It’s, it’s. No, usually, those will have they’ll have the stuff in it, but it might be like like official, it might just be a normal fish oil and then and then they and then the doctor writes up a big thing on there. It’s, got their name on it, it looks like they did it, they did there’s. Several doctors online, who are doing this by the way, who are selling their products for fibromyalgia and this and that and they’re not and their products are okay, but they’re, not particularly a products that we’re. Talking about and and I’m – not going to get into that specifically because I don’t want to get in a in a pissing war with these people, but but but i, but they’re, pretty well known, and So when you start seeing the doctors, the doctors name on it, it doesn’t necessarily mean that it’s, a good like another. What’s? What I’m saying is that’s. Usually, a supplement you could probably get at one of those stores is what I’m, saying: okay, there there are III, there was one I was reading the other day and I researched and the doctor actually had put this formula together. He had a patent on it and so and so forth. So I don’t know if you were gonna go to that length to see if Susie supplements are are actually hurts, but just for the just across the line. These doctors did not put these formulas here unless they have a patent okay, but the more important thing is is, for example, the the supplements I use. You cannot get online, so I was dealing with one patient and and and and she wasn’t doing very well, and I said that’s. I said I really can’t make it a decision on this, because you’re, not taking my supplements, you’re, not ordering anything. I see you’re, not taking anything from here yeah I’m. Not I’m, not here to sell supplements. Frankly, I’m here to get you out of here with as few as possible, but that’s because I use real supplements. No, I’m. Taking all your supplements and one of the wonder that wanted to I’ll, tell you one of the supplement lines I use is called eight energetics. I have no financial fiduciary thing there, okay, just for the record, but these guys have been great. The products are good, they’re. They’re ahead of the curve. They’re, a great company, but you can’t get them online. You can only get them at medical doctors or chiropractors or functional medicine. Doctors offices, but this idea claims she was getting them online. Apex will tell you when you go to their summers. If you get them online, they are counterfeits and people are like shocked. How could that be a counterfeit? Well, here you go. This is not from very long ago, natural news exclusive from natural news: exclusive Amazon sells fake supplements. Now, Amazon, isn’t like perpetuating this okay, so don’t get me in trouble with Amazon all right, but the, but the the natural news investigation has confirmed that amazon.com is functioning as a retail front for a rapidly expanding list of Dietary supplement counterfeiters, they’re, not doing it on purpose. Okay, who profit by exploiting amazon.com trust factor to sell fake products to unsuspecting Amazon customers. Some of the things that that natural news learn counterfeit dietary supplement companies are very easily able to repeatedly and successfully sell multitude of counterfeit nutritional products through amazon. com. I am Telling You that patient thought she was taking my supplements and she wasn’t and when we did start getting her to take some of them, we started to see change. Okay, amazon.com is unable to adequately police. These sellers amazon.com actually lends counterfeit products a higher trust factor by assigning high star ratings to products which are wholly counterfeited. There’s, a whole process to that by the counterfeiters, and one of the interesting things in here was one of the counterfeiters was able to get Amazon to take the actual, the actual supplement manufacturer like off of their site and and replace them with Them that’s kind of a like a general characterization, what happened, but it was pretty mind-blowing it’s in this article. The other thing is, and and and and again I I’m – a big fan of Walgreens. I Walgreens when I need things because it’s right around the corner from my house. My wife loves target, but FDA finds majority of herbs supplements at GNC, Walmart, Walgreens and Target don’t contain what they claim. Indeed, cheap fillers like wheat and soy powder, so I’m. Not one of these radical guys. There’s like trying to go out there and do this. I’m, trying to tell you that when I when, when, when your doctor wants you to take their supplements and if they’re, not Susie, doctor supplements and and and they’re, they come from really really good. Companies like like, like like apex like biotics, like integrated health systems like there’s, just a number of them that we use, but but but really really quality companies that that meet the standards. Then you, then, you’re, definitely risking the chance of throwing your money away and taking a bunch of supplements that you don’t need, and what was really astonishing was like like they did us. They did a review here and like products by Walmart Spring Valley brand. Sorry, I mean, like I’m, not trying to get you know, but they bought. This are being handled by the way. Okay, their echinacea know echinacea or plant materials found in the supplement saw palmetto a garlic and rice were found in the product. Some samples contain small amounts of salts small mouths. I’ve sold plum out of some samples ginseng no ginseng detected, ginkgo biloba. No ginkgo biloba detected Saint John’s, wort no st. John’s. Wort detected, so I think they just picked one two, three four or five: they just picked six okay and they went through them. Garlic. One sample showed small amounts of garlic, the product included rice, pine palm jessenia, and we I mean none of my patients could take that they would all react negatively to that and but most of them astonishing he had little to no of the sub of the supplement. In here now again, I’m, not one of these whistleblowers or anything, but we’re trying to get people better. We go to we spent years and years putting our pharmacy together with quality supplements, and I’m running into this a lot more lately, simply because there’s more of it line the this article. If I really went into it, it is staggering the-the-the, the millions and millions and millions and millions of dollars of counterfeit supplements that are that are that are sold online. So you have to be really careful and – and you have to do your investigation and you can even you you can only go so far, but but at least, if you’re aware of this, maybe you could ask questions. Maybe you could find out a little bit more if you see somebody online or you go into your doctor’s office and they’re selling you their their brand. Maybe you you know, maybe you look into it and see if they have a patent on that brand and and and and if they’re selling you that brand and it’s your doctor, then maybe you can’t. Go to the store, get one that’s as good or not as good. There’s a lot of marketing out there. On this other things I’ve seen I I deal with tons of people are gluten sensitive because I deal with a ton of people or autoimmune. I saw something come out about two or three years ago, maybe more from one of the most famous doctors out there who has their newsletter. I won’t mention his name, but I should to give it credibility, but oh heck, it was dr. winter. Christmas, like what am I going to say, the guy’s like he’s got the newsletter and he does all this stuff, but the the supplement was legitimate. Okay, so let me put that out there, but the, but the promo was. Was over the top and the promo was all you, people who are being told you can’t eat gluten because you have celiac and because you have gluten sensitivity, you don ‘ T have to worry about it anymore. Just take this supplement and you take this something before you eat and you will you can eat gluten. This, has this mushroom enzyme in it and you can eat gluten and and and and and you’ll – be fine. Well, that was a big mistake, because I actually know the company that made that very first supplement and that company says don’t tell people that what they said is give it to people who are gluten sensitive when they know they’Re gonna get stuck in a corner so that they can take a lot of it before and after during the eight and after they eat and and then that will cut down their response to a degree. But it’s. Never going to take this, the replace of that there’s only, and that was a big flaw. I went out all across the country I’m sure they made a couple of million bucks off of it, but I never saw that flyer again and there’s, a reason for that. Okay, it’s, probably because of what I just got done saying. So beware of the magic miracle supplement that is going to that’s going to be the supplement. I mean just imagine on that one flyer how much might have been sold on that. So you know the money was made. It was fine, you go on with it. It didn’t, kill anybody to do through what they said, and so, okay, let’s, see patients using their own supplements. Supplements supplements vary from case to case. The whole idea is, if you come into a functional medicine practitioner, to bring it back the functional medicine. If you have like, if you have, if you have let’s, say you have let’s say you have a bad intestines, which is very common and you have acid and ingestion and you end up loading it. You got guests and your stools are coming out wrong and you eat vegetables and you blow up, and you have all these things which could be hydrochloric acid. That could be a decrease in parietal cell anybody and for ourselves making her hydrochloric acid. It could be Candida. It could be small intestinal bacterial overgrowth, it could be dysbiosis, it could be all these things. Okay, you read some online, you take you take you take all the supplements and you feel better for a while, and then it comes back. This is this has to do with supplements being advertised online and these things online. Do this. Do this specific diet? We’ve already talked about that. Take these supplement, maybe some ones don’t work at all. You keep taking them because the supplement guy says you just need to keep taking them. It just takes time, okay or maybe – or maybe it’s – that you know you’re, taking the supplements and, and they’re, not making you feel worse, they said well, you’re gonna feel worse Before you get better, I’ve heard that what about it many times, okay but but the reality is, is maybe that’s, not even a problem. Maybe your problem is: is that you’re chronically in fight/flight that you’re stressed when you ‘ Re stressed your your your stress mechanism actually is damaging. The inside of your intestines in your stomach stress, causes ulcers right long before it causes ulcers. They causes stomach and intestinal problems, and you’re, taking all these supplements and then somebody walks up to you. The next thing goes, you know I’m, the same thing you have and I’m, not selling drugs here and and they’ll say because I’ve heard this a million times and doc. I and I took his annex and all my stomach problems by the way. Well, they actually kind of got to the source of the problem and those other people were taking like 20 supplements three times a day and they weren’t getting to the problem because nobody evaluated them and so a substantial portion of you really don’t have the background to evaluate these types of things online. I mean that’s, just the fact it’s not meant to be an insult, and if you’re insulted, then you’re. Probably won’t, be a good patient here. Yes, because this is complex stuff, and so so you have to really. I mean you have to really evaluate. Look at your supplements. Are you really getting a benefit out of them? Are they helping? You? Are you just taking them, because some magazine tell you to take them or because somebody online are you buying from the person online that told you to take them and they’re? Not? And you’re, not getting any better or you’re, getting better four to four weeks at a time, and it keeps coming back because why? Because maybe the supplements don’t have anything in them. Maybe you’re, not taking the right amount of something that’s. Maybe you’re, not taking the right dosage of supplements. Maybe you’re. Not maybe you don’t even need those supplements, or maybe there’s. One supplement that would create what that would take care of the cascade of problems that you’re taking all of these other supplements. For so I think that really kind of covers yeah. I think that kind of covers is like there’s any and the other. Like the last thing there’s, no one supplement for any given condition. I’d: sleep like jumps right out at okay. Everybody comes in here’s. Take him to a Latonia. Now I’m. Melatonin helps a lot of people and it’s. Fine thing to take. If you’re taking it and it’s safe and so on, it’s over, but most people come in here are taking melatonin and they can’t go to sleep and they wake up, and they Can’t go to sleep anyway, but they’re still taking the melatonin, because I told them to take the amount of time I mean we use so many things for sleep. Sleep actually is getting your stress response under control and get your blood sugar under control. First, if you can get those two things under control, usually you’re, going to be able to go to sleep and stay asleep. If not, maybe you have sleep apnea. If you don’t have sleep apnea, then you start getting into melatonin 5-htp it’s. Interesting, it could be melatonin, it could be 5-htp. It could be st. John’s wort. They could be ashwagandha, it could be holy basil, it could be rhodiola, it could be ginseng. I mean I can name 15 15 things that can cause you to go to sleep, but they didn’t. But but but you say, I’ve tried most of those well. If you’ve tried most of those it’s because you haven’t fixed. This is the other thing I want to get if you, if you tried most of those and you’re, honest leave me it’s because nobody’s, fixing your stress response or your blood sugar is dropping in the Middle of the night, or you have a sleep apnea that you’re, not aware of, and and and and and and things of that nature, so that’s. Just the last thing relative to supplementation that you need to be aware of it. If you’re using all of these, and sometimes one works and another isn’t working and honestly, I can’t. Tell you why I don’t think you’re. A biochemist could tell you why so so. For that particular example for sleep, it’s, a matter of trial and error. Some people we used to use gaba. They’ve, now kind of seems like they’ve kind of outlawed that for for us in the in the alternative world, but there are gaba precursors that ‘ Ll help you to go to sleep there are. There are all the supplements i just got done talking about and and some will work for some people and some one I’ll, give some people 5htp and and in st. John’s wort and Sammy Effy. It won’t, you bother, I get another person, I give them like. You know five HTTP and they’re like oh, my god. I like that’s too much for me. I’m, like I slept all the way through the night and I feel like I got my head in a bag, so everybody’s. Physiology is different. I mean different just because you’re. Looking at the next person in line who’s about to buy that vitamin off the off of those off of the counter that doesn’t have anything in it or has a lot of fillers in or something they don &. # 39 t particularly have the same physiology you haven’t. I guarantee you. They know the physics ain’t physiology as yo, because if they did, my life would be a lot easier. Okay, but they don’t, and so so you have to be aware of that aspect of it because it helped your neighbor doesn’t necessarily mean it’s. Gon na help you – and so these are all these are. I think that’s, kind of like the pretty much the gist of of supplementation and – and I think I kind of hid all the parts I mean when I said I could go for hours. I could go into each one of these areas very extensively. I don ‘ T, really think it’s necessary. I think it’s really necessary for you to understand that you need to be diligent about finding your proper source of supplements and they’re gonna be more expensive and they’re, not going to be more expensive Because they’re gonna work and they’re gonna work and have you start getting things better and then be able to withdraw it or they’re going to work? And you’re gonna get benefit out of it instead of buying supplements and supplements and supplements elements that aren’t working, but you’re just reading like, but I should be taking them because I’M probably deficient in them, and they’re necessary for this, and then the flyer said that so you should be looking at supplements that are our top shelf. You should be looking at supplements that don’t have fillers in them. You should be try to be aware of someone if they, if they even have anything in them. I don ‘ T know how you can be aware of that. You have to understand dosing. It’s, probably best. If you had some testing, especially if you’re, taking supplements for something specific, I’m. Taking for my blood pressure, I’m, taking it for whatever, but but but you should probably, if, if you can, if your finances are such that you can do that organics acid test there’s, any number of tests out there again. I’m. Not promoting Genova just happens to be a test I use, but there any number of tests out there that will that will help you to understand. I use a test called brain span for for brain chemistry. It is awesome. It’s, a hundred bucks and it’s, a blood spot test, and I don’t. Actually, don’t know if they just do it, the doctors or not, but but it will tell you about your essential fatty acids. If you have a lot of inflammation coq10, selenium it’ll tell you all that I use it. I use it it’s in and it’s. It’s beautiful because because it might just be inflammation, the person’s, essential fatty acids might be fine, so testing, I think, is important. I think. Beware, look you get a flyer that tells you about it. It’s, a miracle get rid of it. I’m, just telling you right now. I have never seen one that was not selling something that wasn’t. Maybe wasn’t particularly illegitimate, but maybe it was overstating dramatically the effect of the supplement. Let’s see. I think that’s. It I think, and if you go in the doctor’s office and they say our functional medicine doctor and you end up walking out there with three son three shopping bags, full of supplements, you’ve, just well, you should. You should rethink that you should you should rethink that that that doctor-patient encounter so so I think it’s. It I think I covered it. I think I think, usually afterwards, I’m, always going to remember something I wanted to say, but I think we covered it pretty well and if you can, if you can understand now what I’m saying here, I think it’ll make you a lot more effective as a consumer, and if you become my patient, it ‘ Ll. Make me a lot more successful as functional medicine practitioner. So, okay, so next week it’ll, be fun, because now we’ve laid the foundation. I think I’ve gone through all of the general aspects of what I, what it really takes to have all of the pieces. Together, all the data that you need to execute a case have the proper tools to have the you know. They have the proper labs to use the proper supplementation all of those things. So so, starting next weeks for those of you who want to be armchair functional medicine practitioners, I’m gonna start walking through kind of how walking through the systems. I keep talking about functional medicine, being a systems based discipline. I’m gonna start walking through the symptoms. It’s going to take a while, because we’re gonna go to large intestines. We’re gonna go through leaky gut. We’re gonna go what we’re, really going to go through it in a very practical way in a rubber meets the road type away. In other words, this is the data that I need to know to be able to help people to get well, and I’m gonna put it in a total perspective, it’s, just not going to be leaky gut. It’s, gonna be how leaky gut attaches to this and how this affects that and it’s. Gon na be brain leaky gut and it’s. Gon na, be it’s. Gon na be like that, so this is something really interested in the leak you guys, probably not gonna, be the next one. Next one’s, probably gonna be intestines gastrointestinal tract. So so I hope you enjoyed that. I enjoy all of your comments. Thank you. It’s really nice to hear from all of you any suggestions now from here on out that you want to give to me, I’m, always looking for topics that are interesting to you. Please do so and I will now wrap up until I see you again next time take care. You Source : Youtube

https://youtu.be/Ksg7vzb-pfg In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses gluten and why in his opinion anyone suffering from an autoimmune issue should cut it out of their diet completely. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Alright gluten is kind of a subset of what we’re, doing relative to talking about functional medicine, basics of functional medicine and kind of a subset to diet, and yet it’s kind of its own, unique subset. It’s, kind of a subset or in the same, in the same environment as as supplements which we’re gonna be talking about in the near future. Maybe the next thing, maybe the next segment and so gluten. When I first got into practice functional medicine practice well, actually I had I had. I had a really really interesting case years and years and years ago and like in the early 1980s, were where I had a person who had a car accident was treating her from musculoskeletal problems. As I was treating her for this car accident, which was neck pain migraines, it was low back pain. She kept getting worse and worse and worse, she kept coming back. I’m, not quite sure. Why, and, and and – and you know at some point, it was like we’re, not helping you and I’m, not sure why you’re getting worse, because I do this with other people and and and the manipulation And the therapies, the types of things that you would treat a person for for a car accident rehab those types of things, and they said that so I mean we’re missing something I have no idea what it is. She disappeared as she should have and and then showed up five months later and and first of all, looked marvelous lost. Like 50 pounds, the tenderness was gone from her neck. The tenderness was gone from her back. She was showing up for an adjustment I and as though, as you watch me know, that that I’m a chiropractor also, I’m practice, chiropractic for quite some time, but at that time that was my full practice and she came In for an adjustment and said wow, you know I just need to adjust me a tweak in my neck and I’m. I’m standing there like who are you like? I didn’t even recognize her. She’s, like 50 pounds less and she’s. Asking me for adjustment, same adjustments that used to make her worse. She went to a local alternative doctor here in Reno and this was 1983 and he he told her to get off of wheat. Okay was wheat back then she said I got off a wheat and this is what happened. I did not believe her and I know the doctor actually knew him very well and and subsequently had a communication with them, and he explained to me, wheat and it’s in its sensitivities and and the dramatic effects it could have on physiology. And I just kind of liked that he was like I thought. Okay, I don’t know what it was, but it wasn’t weak, okay. Well, it was it was. It turned out that that young lady in retrospect had a severe gluten sensitivity in a lot of various aspects to gluten, and I’m not going to like. Do the whole look online and get every single aspect of the gluten protein and discuss and make it a whole book, but the bottom line is is gluten, is a is a huge it’s, not just it’s, not just a Protein that creates abnormal physiology in our immune system. It also happens to be an excruciatingly ly, trashy carb, so I’m, going to talk for just a few minutes about gluten in a functional medicine practice. I’m gonna talk about gluten in chronic conditions and chronic diseases, which is which is it’s just my practice. My practice is the great mystery disease practice of like I got pain everywhere. It moves here moves there, but all I’ve been the 26 doctors, but all of my all of my all my tests are normal. You know so some of my colleagues call it the mystery disease practice. So gluten is a big part of that. Lewton is potentially a big part of that. I want to clear up a few things on gluten: okay, so gluten without getting into it too heavily glutens and pro team that’s, found in wheats naturally-occurring. There’s. A lot of different theories as to why it’s becoming a big problem and, and you can find them online – I’ll – just hit a few of them. One of the theories is that we’re modifying we’re, genetically modifying it, so that we can make more wheat and feed the world okay, and that’s. A nice thing to do, and it’s. Very odd twisting the way that we can feed the world is because now we can use more of the toxins that we put on there to kill the bugs. And then we’re, able to make more more crops, larger crops and and thus make more week. Okay problem is, is the genetically modified wheat gluten is what’s called a very sticky protein? Okay, we’re gonna talk about that a little bit more in a few minutes, but the sticky protein is why it’s used in everything it’s. Why it’s used in soy sauces. It’s. Why it’s using cake mixes. It’s. Why it’s used in pizzas, and every day it sticks things together, okay, and also because of that stickiness. It also has a significant propensity to damage the inside of our intestines and, as the many of you understand that the inside of our intestines is where 70 % of our immune system, it has a significant profound effect on our immune system. A lot of the time gluten also is so it’s a so. It’s, a sticky protein, and I know it’s so and also the chemicals. So it’s also theorized and I think properly. So that the chemicals I’m hearing on, I’m hearing on the radio now, so this is April. 19Th. 1920. 19. I’m hearing on the radio right now. Some of these lawyers who do these national. These lawsuits, where everybody is involved and everybody kind of jumps on board, but it’s now being advertised that Monsanto is known, that that roundup was a problem since 1981 and and so, if you’ve had cancer. If you’ve had these types of things, then them no and you can get in lawsuit and they can win it and you can get four bucks out of it and they ‘ Ll probably get a lot more, but it’s. Just now that that’s starting to come out and it’s been known for quite a while that the toxins very probably are contributing to the gluten issue. So and there’s other things, but those are those are kind of the two main things so gluten is found in so glutens found in in wheat. It’s found in barley, rye, and it is also found in oats. It is not naturally occurring in oats, but still to this day, it seems like oats are being processed in the same in the same facilities and on the same equipment that is processing the wheat and the barley and the Rye. And so it seems like oats are pretty consistently across the board a problem don’t eat. If you’re, if you’re gonna listen to me and not eat gluten. Okay, then don’t eat oats. Unless it absolutely says these are gluten-free oats on them, and I understand that now some people are coming out with those products so gluten gluten in the in the in the clinical perspective. Okay, so it’s, a sticky protein and it has chemicals on it. We eat it. Okay, we’re talking about our mouth and if you’re like most people, you chew your food three times and then it goes so it doesn’t really get. You know broken down it’s, a it’s, it’s. A lot of the testing on gluten is based on the protein in the gluten being broken down, so that there’s, less mass. For things to cling to and for them to have less effect, it’s. So, if you, you know so chewing would be a nice thing, but most of us don’t and then it gets down to our stomach and that makes it harder on our on our stomachs to digest it. So if we, if, if we didn’t haven’t chewed it enough or if we don’t have enough hydrochloric acid, because we’re because we’re stressed or because we have a Thyroid problem, or or we have back to your bad bacteria in there, these proteins, don’t get broken down, and this is a third ass effect of gluten that a lot of people aren’t, very aware of which is when the Gluten protein doesn’t break down. It becomes much more available for even more toxins to cling to it and create significant cross sensitivities, other food sensitivities that can really really be confusing to the person so gluten in this sauce. Oh, so those are the those kind of mechanisms of the gluten messing you up the when I first gotten started doing functional medicine, which – and I was I & – # 39 ve said it many times. I was definitely in the very first first first group of functional medicine practitioners years ago, and we thought it were really hot when we would like people come into us at fibromyalgia, and we’d, go okay! You’re gonna get off a gluten, and people would argue with us and they’d. Go it’s in everything and it’s gluten, and this is stupid and it ‘ S like it looks like why it’s stupid it’s like how could that be, causing my fibromyalgia and and on and on and on I don’t. I rarely rarely really get that anywhere, but but I got a lot back then, and then you know certain people would not do it. I thought I’m. Not gonna do your program because I’m, not get off good. Okay. Well then, don’t, do it you know, but but the ones who did we had a number who you know a percentage, maybe 10 15 percent, maybe 20. That actually saw a huge difference, just getting off a gluten. That was our diet. It was like get off a gluten and then people get off of gluten. They’d, feel so much better. We do forget us, we really know we’re. Doing we’re, like you know, we’re, like the smart guys in the world, and that was it. But then we had a lot of people got off of gluten and they didn’t get any better and they didn’t have any changes, and in the beginning it was confusing. But now that we’re starting to understand the mechanisms that occur, we now understand that some people, even though they might have a sensitivity to gluten or they might have a condition in which they should not be eating gluten. And I’m, not sure. Yet, if I want, if I’m on the bandwagon of, nobody should be eating gluten, but I think I’m inching it more and more towards that these there’s. Other things that will, let us know if you should be off the glue, so in other words we had people who got off of gluten. There was no change and then they want to get back on it, because obviously there was all their favorite fruits in the whole world and and then we found out later on that them getting back on gluten, was sabotaging a lot of what we’Re doing because of this abnormal breakdown of proteins gluten was was even though it wasn’t, making a huge effect in their physiology per se. It was helping them to develop other food sensitivities, other cross sensitivities, cross sensitivities to other grains. This is where you look online to go. Ok, get off all the grains, and that may be okay, but you may not have to do that if you figure out which aspects of the which grains are okay for you, which not but but gluten can cause Cross sensitivity, the other grains. So we started to realize that if you got off a gluten and you didn’t have any change, there was that you either had cross sensitivities to other grains or you had cross sensitivity to other to other other non grained foods. Because gluten has a big factor in leaky gut like he got his stress hormones. Leaky gut is poor, hydrochloric acid and your stomach like he got his MS, is all those things causing poor bacterial dysfunction. Like you got his port. Okay, Lisa go thou, but leaky gut is heavily heavily heavily, contributed to and or caused by gluten in a substantial portion of cases when people come into our office. I just say just know: you’re gonna be off of gluten. I I I think I attend you know two or three seminars a year from people who are my colleagues. People are my mentors people. I respect people. I know who are in the forefront of this have been for years. They’re, doing the research they’re, doing the research at Harvard they’re in practice. They’re, taking care of the most difficult patients and they start off. They start off their seminars by saying just want you to know. I know you just paid seven hours to come here and you’re sitting in this hotel that you’re, just paying some ridiculous amount of money for per night to come and hear me talk and you’re Eitan Or expensive restaurants – and I’m just gonna tell you right now, don’t eat any gluten. I’m gonna tell you. This gluten is the devil and that’s, how they started off and they’re like if you’re, not going to take all of your patients that come off up in your office off of gluten. Then a lot of what I’m, going to tell you this weekend, isn’t going to work that’s proven to be the case. Okay, I so gloomy is so gluten. Is it is the most obnoxious? Is the most severe food sensitivity that we know? Corn is now starting to be called the new gluten? I am seeing evidence of that, but this is about gluten and and right now I think gluten is still out front in in being the most like, the most challenging food, the most aggressive protein that we put in our body – and it also happens to be a Trashy carb, so if you’re eating, so if you’re on two or three, if you’ve got diabetes type 2 and you’re, taking two or three blood sugar medications. But you’re eating like pizza and you’re eating and you’re drinking beer and you’re. You know you’re, probably not drinking beer for diabetes type 2. But if you’re, if, if you’re, even if you’re, even if you think you’re doing well with your carbs, but you’re still eating gluten. That gluten is gonna. This is going to keep your it’s, going to keep your blood sugar up, be more so than a lot of things that you might be more likely to think is going to keep your blood sugar gluten. The the III brought one – and I brought one thing here so that I mean I’m, not having as much trouble with this today. But I did bring one thing and just to say I have. I have an article in front of me. As of April, the 10th 2019 and this art – and this is the internet – okay like the internet – is – is like still it’s, the wild wild west. Okay, anybody can say anything on there. It’s. Anybody anybody can make things sound. Like they’re, really great, there’s still people on the Internet to make their position that you should be eating gluten that it’s, ridiculous that those of us who tell you not to eat it work some sort Of whack jobs, or something like that and and then you’ll, find that they have their magic potion to to have you be able to eat gluten. I know years ago, Whittaker, dr. Whittaker, who was he & # 39? S got his stuff out there, and I know years ago when the gluten thing became big. I got the big flyer in the mail, and the flyer said you don’t have to listen to these people to tell you to get off a gluten, because, even though you’re bad, when you, when you get you get bad After you eat gluten, we have the magic pill that’ll help you to eat gluten. Now we have that magic pill too. In fact, my mentor was the guy who developed the first one and it ‘ S got an enzyme in it that did disengages that that and that breaks down the gluten protein in your gut. So in theory, you’re, not going to get you’re, not gonna get an effect from gluten. If you, if you eat these now, I have celiac, okay and and even that the hardest of hard rock heads in the medical world go okay, I’ve celiac. You should be off of gluten. I take that pill. I think that pill I’m, taking that pill now before I eat, while I eat and after I eat, because it’s just hard to not get gluten into your system, and I’m very, very sensitive to it. But for those of you who don’t have that type of definitive like I have celiac, so I’m, never going to eat gluten again it’s, more easy for you to be to be kind of like swayed By something that says, no, you can eat pizza and pasta and beer, and all that kind of stuff and and and and and no problem, don’t. Do it? Okay, don’t. Do it. These things are meant for accidental exposures. Dr. Witter put this thing out. Yeah I’m sure he made like a good chunk of money. You aren’t sending it all over the country. Certain people found out it. Didn’t work, never bought it again, maybe other people. It did work for him because they didn’t have much of a problem. Maybe they didn’t need it. Who knows, but I would beware of these products. I would I have a gmail in front of me from of all people, my wife who thought this was an interesting who thought this was interesting for me to read mainly because hit this this article sites very, very prominent people such as Deepak Chopra and the, and It cites a a debate between Deepak Chopra and dr. Perlmutter. If you’re, not familiar dr. Perlmutter, he’s written brain grain. He’s, written Wheat Belly brain maker, all about gluten all about gluten. He sees he’s shown up on PBS. He’s, a very well known, neurologist, mainly because he was brave enough to step outside of his medical model of God. Now these people are right. This glutton is screwing up. I’m a neurologist, and this is why a lot of people are coming into me. It’s, causing them it’s, causing them brain fog. It’s, causing them it’s. It’s, contributing to their migraines and and their memory loss, and so on and so forth. So, ok, so so so anyway, so these people argue gluten is is fine. It’s. Not that way it’s, not gluten. It’s, not the weak, and they say if you really want to get to the bottom of the problem. The key is hog berry that’s. What the key is, the key is hog, mare and and and then you know in the next page, it’s. This special offer. I want to send you a special report on how you can gain better natural health. I mentioned this because this is popular in the gluten in the gluten world, because everybody wants see, you know gluten because it there’s, an aspect of the gluten protein that goes into your system. It actually stimulates the same receptor sites in your brain as cocaine, which is why you want to eat it. Ok, it’s like you’re addicted to it, so, okay, so that’s gluten in general gluten in application to your problems. This is a I basically, this is a. This is probably I’m. Getting nothing for this and I’ve exit out the patient’s, name! Okay! This is probably the best test in the world for finding out. If you need, if you need to cut gluten now, most of the gluten tests, the blood tests are terrible. They are not accurate. They all there’s. There is there’s 25 aspects of the gluten protein that need to be evaluated to determine if you’re allergic to gluten. If you have it’s called cyrex labs. Ok, I get no fiduciary. I have no fiduciary like connection to cyrex labs, but this is the best test and I think it’s. It’s. It’s like it’s like 80 or 90 percent accurate, which among testing for food sensitivities, is very, very good, except it’s, not a hundred percent accurate and that’s. What I need, but the point I wasn’t say is: is there’s 25 different aspects of the protein that needs to be tested and then they and they test it and if, like this person, has just like four of them? This person should never eat gluten again. Okay, the blood test test, one of those one of them, so the chances of you getting a blood test and being told that you are okay to eat gluten. When you’re, not okay, to eat gluten is substantial that you would be told you can eat it when you can also this. This test brings me to the next point. There are a couple of things at the bottom of this test that tests for transglutaminase is now. I only run this test for two reasons. I will run this test if the person is gonna be a rock head and they’re gonna go no well, I’ll get off the gluten. Why are you treating me, but then I’m gonna go back on it. So this will. This won’t, give the person some hardcore data going not doing more, so the test will also tell us potentially what it is that the person is what the gluten is affecting. So there are, there are Michael transglutaminase, and these are enzymes throughout the body and they they basically fold in different ways and and they help you to process proteins properly and they can affect your immune system. If there’s, the proteins aren’t folded properly and and so, but basically there are microbial transglutaminase and if and if, if the gluten comes in and it is attacking one of those, it is causing one of those enzymes to develop Antibodies to those to those particular microbial transglutaminase is that will cause autoimmunity. Okay, so gluten can actually cause autoimmunity there’s. A there is a very known well known. Now there’s. A very well known thing called a molecular mimicry between the gluten protein between the between the proteins on on your thyroid. They’re, actually metabolites on your thyroid and metabolites on something called your cerebellum cerebellum. You just got to know just no dizziness vertigo balance, stiff neck blurred, vision and and and and overreacted stress responses that’s, cerebellum, okay, so basically the the you can eat we it can affect these. These. These transglutaminase is in these microbial transglutaminase is a big, and then they all created an immune response, and because you have metabolites on this gluten protein that look exactly like metabolites in your thyroid that look exactly like metabolites on your cerebellum. All three things can be can be attacked at once. This is very, very well known in common and expanding understanding of autoimmunity, okay, and so you so you eat gluten and all sudden yeah I’ve got. You may be all sudden yeah. I’ve got problems all of a sudden. You have all the thyroid symptoms. All the sudden. You have all the cerebellar issues. You got a doctor with 26 different with 26 different symptoms and they go yeah right. You got all these symptoms while you’re testing is normal and so on and so forth. These were the people that we would take gluten away from years and years ago, and all sudden everything got better and and they thought it was a miracle and the doctor thought that the person was a hypochondriac. So there are these transglutaminase, there are tissue. Transglutaminase –, is they number them there’s, one called tissue transglutaminase two. If, if you find that this one, it comes up on you on one of these tests, you have celiac. This is the even in the medical model. This is the test that they use to confirm if you have celiac, if you have tissue transglutaminase three, that is very possible. They, you’re eating gluten and it may be affecting your skin. Your hair follicles, it may be flaring up. Your eczema may be flaring up your psoriasis. It may be causing your your atopic dermatitis, your eczema and and and those types of things, and then there’s. A tissue transglutaminase for this is one I run it for most just for me, because we do functional neurology as well as functional medicine, and we do it. We see a lot of neurological problems. In fact, I have a case right now. I was working on this morning before I did this, and and and I’m gonna run this test on her and and and she has cerebellar neurological issues symptoms. She has symptoms and of like I’m, not gonna go into the case too much because she may end up watching this, but but she has neurological findings. Okay, this will tell us if those findings are hitting your brain. If it’s hitting your nerves, that was hitting your peripheral nerves and and and and it’ll tell us if this is a component of what’s actually causing that neurological play. I did have a dramatic case of this year, a couple years ago, a couple sisters and they both had an immune attack on their thyroid in their cerebellum, and we confirmed that by testing they had been to multiple research hospitals. They had been to some of the most famous hospitals in the country we took gluten away from them. They weren’t able to walk, they would walk one day. Their legs would go weak. This is called cerebellar ataxia. They’re, their legs would go weak and and and then the next day they would and then they would and then they wouldn’t. They had what was called gluten sensitive a taxi. The gluten was actually attacking their cerebellum. Are these things rare? You know not in our practice they’re, not rare. There’s varying degrees of how much the gluten can affect you. So you could have significant gluten sensitivity and just have mild, dizziness and and stuff like that, or you could have severe gluten sensitivity to the cerebellum and not be able to walk on days when you eat too much gluten. So gluten is mostly known as as affecting the God’s. So when we talked about gluten, everybody goes no. I don’t have a gluten problem on my that’s; fine, so if glutens affecting your gut, then you probably have celiac there. There’s, a little bit more nuances to that too, between older patients and younger patients. But but in general, if it’s, if it’s affecting your gut at the very least, you know you’re, you’re. You’re. Having this microbial transglutaminase thing that we talked about 40 75 percent of your immune systems in your gut, so I can affect autoimmunity or it can directly cause a beat, causing a problem in your gut, so you so but 70 percent of the time. The gluten response is not in the gut seventy-five percent of time. The glutens response is in the brain on the skin in the peripheral nerves, so you can get burning in your feet now, most of the time people come in here get burning of the feet. It’s, usually gonna be a component of a small fiber neuropathy and frequently it’s. Gon na be blood sugar, but guess what it can be autumn, unity it can be gluten and it’s actually called gluten gluten sense. It’s, a peripheral, neuropathy small fiber neuropathy. So you can get an attack in your brain. You can get it, it can be severe to your cerebellum or it can be brain fog. I can’t. I just can’t think I just my memory is going. I can’t, find my words and stuff like that. It can flare up autoimmunity, so maybe you have autoimmunity, maybe you have chronic asthma or something like that and or or the skin issues that we talked about you’re, not connecting it one day your skin issues flare up and you go like well. I’m, not stressed because most people will have psoriasis or eczema or something connect it to stress. But I wasn’t stressed how come how come it blew up? It could be an exposure to gluten, because this transglutaminase shows us that it that it can affect your your, your skin, your hair, those types of things so so glutens pretty complex. I mean I don’t have like out. I do have hours and hours to go over, but I’m, not going to go over for hours and hours, because once you have the framework of this, then you can kind of go online and maybe you can be a little bit more well-armed In my world person comes in here they’re, not getting off a gluten. We’re, not treating them. Person comes in here and they tell me they’re, not getting off a gluten. No, I’ll. Get off the gluten, but they’re gonna go back to it because they’re, not convinced they’re. Getting this test. Okay, if they have some really mystery neurological diseases, they’re. Getting this test. The test is called cyrex or a3. I forget how much it costs. I think it’s like 220 bucks, or something like that. So for the amount of data that you get out of it, it’s. It’s. It’s, actually pretty reasonably reasonably price test, but the reality is: is the vast majority of my patients? It’s, pretty much. I got off a gluten and I felt better and that’s. What I’m getting tonight and now – and people tonight are coming in here – they’re already on the Paleo diet. They’re already on the ketogenic diet. They’re already on the I’m awful white and sugar diet. They’re already on some diet. The vast majority of them have tried to get off of gluten and a lot of them, just guy got off gluten felt better. That’s. All I need to know I don’t even run an expensive test once they tell me and that they’ve had a positive response to it. So I think that kind of summarizes everything that I really wanted to say to gluten. This is really more the clinical aspect of it. This is really more. The legit I’m. Not here to argue whether gluten is is, is bad or not. I gave you a little bit of an example of people out. There will be happy to sell you a product, because, because we think that this gluten thing is a bunch of crap, let me tell you: it is not a bunch of crap. I’ve been doing this for a long time. It is a key component when people come in here and they say why can’t, I you know, I can’t do your program because I can’t. Do it. I’m. I’m leaving or I can’t afford it right on time or whatever it is. Okay, they’ll. Ask me: is there anything I can you tell me to do and the answer is usually no because, because there’s, not much, I can tell person to do without examining him and doing the history. If you’ve been watching this series, you would you would know why. I say that, but the one thing I can tell them is: they can say, listen, get off gluten and see what happens. So when we’re gonna get off of gluten and nothing’s, gonna happen, others are gonna get off of gluten. You’re gonna feel little bit better and others are gonna get off on gluten and they’re gonna be that 15 percent that thinks it’s a miracle. You have chronic problems, their chronic conditions if they’re in the realm of anything. I just got done saying: get off the gluten, get don’t, get off the gluten for three days, get off the gluten for three months and and and and see what happens and eat and and that’s and that’s, the wanted piece of advice I can give people who who just asked for what is that one thing you could tell everybody there this for all the of those that want to know if we’re keeping something back from you know there’s. One thing I can tell everybody which is which is get off the gluten: it’s, not gonna hurt you. It could only help, and I’m. Like I said, I’m kind of moving towards gluten, like probably isn’t a good thing for anybody, but right now for my patient population it definitely is a non-negotiable dietary change. So so that’s gluten, and I hope I hope that this is helpful to you. We will be continuing with this series on some more specific and detailed aspects of what functional medicine should look like when you walk into somebody’s office, and I will be looking forward to talking to you about whatever our next subject is. I think it might be supplements the next time that I talk to you so dr. Martin Redford check us out at power health talk.com, and if you want any more information on us, then you can find the information there. So I will talk to you next week. You Source : Youtube

https://youtu.be/wWL7RiA2Gao In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses why diet and why it is so important for people suffering from autoimmune issues to find the proper diet for them. He also discusses why it is so confusing to many and why there is no simple answer to the question: “What diet should I be on?”. So I’m dr. Margaret furred. I am the author of power, health back to basics. I’m, the clinic director of power health here in Reno and and we are doing the next in a series that we put together called functional medicine back to basics, and we put this series together because we, I was probably in the beginning wave Of functional medicine, practitioners learned classical functional medicine, from who, today, how many of the people who were were considered the luminaries in in the functional medicine world and, and I’ve, just had a lot of people coming in to me now who’ve been to a lot of functional medicine, doctors and it didn’t work and and what they’re. Describing to me doesn’t sound like functional medicine, but the other thing is for those who you don’t know us. We have about 600, maybe 700 hours online, talking about different chronic conditions. Our practice is a chronic condition patient. When my colleague says we have the mystery disease practice and that probably is a good description, but we do dizziness vertigo, but we also do fibromyalgia, chronic fatigue, the type of diseases and conditions that nobody can put their hands on there’s. No specific tests for, and so we’ve developed that type of a practice and and in functional medicine, and we’ve. We’ve, combined that with something called functional, neurology and and in doing so we get a lot of the folks who who are searching, and it used to be that when people came in here, they didn’t. They didn’t know a functional medicine is now they know a functional medicine is and it hasn’t worked for them, and and and so again that’s. One of the reasons we do this. The other reason we do this is in in having all of those 700 hours online. We have a lot of people who give us really nice reviews and thumbs up, and but they say you’re, not telling us how to get better. You’re, telling us what our peripheral neuropathy you’re telling you’re. Making us feel like we’re, not crazy. You’re, telling us what our IBS is your time, but you’re, not telling us what that is going to be like getting better. What what do I do with what supplements do I take? What do I eat yeah? All those types of things, so this series is for that. So for those of you who might just be coming in on this now, we’ve, already started on what is classic functional medicine supposed to look like it’s, a very comprehensive approach and it’s. Not it’s, not an easy approach. It’s, not a it’s, an inner it’s. It’s. It’s. A very, very you have to be able to critically think you have to be able to gather a lot of data. You have to know as much as you can humanly know about that person to be able to make the decisions that you need to be able to make as to, for example, what their diet should be this week is about diet. Okay, this week is it’s, going to be about diet, and we’ve gone through. We’ve gone through what the exam should look like. We’ve gone through what a history should look like. We’ve gone through obstacles to cure. We’ve gone through the basics of foundational basics of what needs to happen before you even get to a diet or before you get the supplements. Some of those foundational basics are blood sugar control. Getting oxygen into your system and and those are our previous presentations so for today we’re, going to go on with we’re gonna go with diet and we’re, not gonna go with diet in the Way that you might be used to looking up diet online, as my producer said before we started doing this, people are always asking ok, he gets all of the data from you. He gets all of the other requests and questions and the questions are ok. What’s, the right diet? For me, I have fibromyalgia. What’s there? I for me, I’m for up the I’m. What’s, the right diet? For me, I have chronic fatigue. What’s, the right diet? For me, I’ve, irritable, bowel syndrome. Right then, what’s the right time for me? Well, I did the Paleo diet or I did the caveman diet or I’m. A vegetarian, so we’re gonna we’re, not going to go into all of those. What we are going to go into is what we have distilled down from that vast warehouse of information that is online and and and kind of help you to understand what we have come up with and how we use diet. Okay, diet is a huge, huge part of people getting better and it is complex. There is not one diet for fibromyalgia there’s, not one diet, for chronic fatigue and on and on irritable, bowel syndrome. There’s. No, there is not one diet. Frankly, for anyone, we, we have a different patient population today than we had 40 years ago, and I’m. I’m right around my 40th year in practice here and, and people used to respond better to what we did. I wrote a book power, health back to basics and in there I talked about diet and then people say I want to get your book. I say: well, you can get my book because the basics are still there, but I would write an addendum, and that would say if you did all of the things that are in my book and you didn’t get better here’S why and here’s? Why would be autoimmunity and here’s? Why might be that? Were the most chronically stressed out group of human beings on the face of the earth? Maybe in the history of the world I don’t know, and I’m, not saying that cavalierly we observe this every day, so diet is is, is very important. Yet it’s it. Yet it’s. Difficult to assess, I have tried, and, and some of my more revered colleagues are using certain types of food sensitivity – testing to fine tune their diets. I have found that that, for my patient population is a disaster. We’re going to talk about that. A few minutes I mean the last five times. I got lazy and try to use this very expensive food sensitivity, testing approach and I won’t, say the company because there, because the company is a very good company, I don’t want to disparage them but know food sensitivity. Testing is proper. No, I want to say proper. No foods Nativity testing is 100 %. Accurate. Some of them are mind-numbing ly. Not accurate person gets the test, it tells you you’re sensitive to all these foods. You go eat all the ones that says you’re, not sensitive to, and the next thing you’re getting sick. What just happened to me about five times blew up the whole program, and food sensitivities are as big a part of what is the diet for me, what diiiie for fibromyalgia? What do I show you for our irritable bowel syndrome as anything, but they’re? Not the only thing. Let me walk you through what we’ve come up with okay. Now I understand we’ve treated. We’ve, had over 40,000 patients come through this clinic over over the period of time. I’ve been around and although we haven’t treated all of them, we’ve treated, most of them or a lot of them well, probably well over half of them, but we ‘ Ve interviewed all of them and we’ve evaluated all of them, so we have a pretty good idea kind of coming ongoing clinical trial of like what works and what doesn’t work, the everybody who comes in to us. Well, not everybody. Today, today my patient population knows about diet. More than ever before, I’m, usually shocked when I have a patient like the other day who came in it was kind of surprised that diet could possibly be a part of their of their way to health. If you will so most people today are coming in, they’re already on the Paleo diet or or they’re already on the vegan diet, or they’re already eating better than ninety percent of the human race and Are wondering why whatever diet they’re on? They’re on the ketogenic diet, I know, and and it and it made him feel better for a while. But then it didn’t or it didn’t work and, and they’re wondering why are they still sick? So we’ll start out with that. Okay, we’ll, start out with the clinical pearls. Now this is real hardcore brasstacks get down till you got a sick person sitting in front of you and you got to start understanding what’s going on and and and that person is already telling me. Basically they’re telling me look dude. I know more about diet than you do. I’m already eating better than you. You know, then you’re gonna make me someone talk to me about diet. I’m, not gonna do any more diet. I’m. Just show me what the pills look like. That person has a number of things going on. They either have intestinal permeability, which you probably know better, is leaky gut. So they’re, probably developing new food sensitivities to the diet that ‘ S are already on the diet that’s better than anything on planet earth. But when you have intestinal permeability – and I’m – not gonna get into the mechanisms you can start, you can be continue to develop new food sensitivities to the foods you’re eating, even if it’s, broccoli. Okay, even if it’s, asparagus or things of that nature, that person may also have be stressed. There may be a massive stress component going on in their life. They might be in post-traumatic stress syndrome and a chronic emotional trauma, and they just may be going through. A massive stress stress hormones, flood the inside of your intestines. Yes, this has a lot to do with diet. Okay, you want to know why your diets, not working if you’re really stressed, stressed, stressed out of your mind if you were in chronic fight/flight. If you have anxiety, depression, panic attacks, those types of things are helping to flood your system with cortisol that damages the inside of your gut. That can lead to imbalance in bacteria that can lead the league. You got food sensitivity, my diets, not working okay, you could have poor hydrochloric acid in your stomach. If you don’t have enough hydrochloric acid in your stomach, then you’re, not digesting your proteins. That leaves you open to food sensitivities. That leads you open to being more susceptible to the genetically modified foods. That leads you more open to having food sensitivities. So now you’re eating great, but you’re building food sensitivities again to the foods that you’re eating. So this is these are kind of foundational issues relative to why the person is oh and there’s, one other you they could have poor, liver clearance. If this is, this, may more refer to those of you who are more sensitive, the medicines and supplements we’re gonna use supplements not next, not the next segment, but two segments from now, and you’re sensitive to all. These supplements, you probably have a liver, detoxification pathway, problem between your face 1 phase, 2, liver pathways, and – and so I’m – not here, to teach all that. Ok, these are things. These are things you can individually look up online. These are things that we have presentations on on power. Health talk calm, but I want you to get the idea before you even get into diet. You have to understand who you are and what you are. First, what’s? The right diet for me? Well, if you’re stressed out of your mind, you have no hydrochloric acid. You got like you got. You have intestinal permeability, small tests, they’ll back them back to your overgrowth and dysbiosis, and imbalance between bad and good bacteria. No dice good for you. Ok, maybe the starve. The bacteria but diet might be good to you and we’ll talk about that in a second, but it’s, not gonna be the diet. It’ll, be part of the dietary approach that needs to happen in that person’s case alright. So so we’ve you, so we’ve reviewed, compromised, toast. Okay, what are the things they &? # 39 ll screw up your diet now next, so diets. So here we use, we, we use the Paleo diet, but we we actually use a a version of it that many of you may be familiar with called the autoimmune Paleo diet. There’s book out there. It’s, a colleague of ours. I don’t personally know her, but she’s been in classes that I’ve been in and and and so we used. So the automated Paleo diet – a lot of people come in here today – are on versions of the autoimmune, Paleo diet or the Ottoman Paleo diet, because a lot of people today actually know about autoimmunity again. When I started out, I tell people they were autumn you and they thought it was like. What are you talking about? My doctor says I’m totally normal, so so a lot of people are onto that. They come in. I’m already on the automated Paleo diet. We use the audio, mean Paleo diet as a baseline diet to figure out people’s diets other diets. We use it as a baseline diet to figure out their food sensitivity’s. We actually take out a few more foods that’s, that we have seen people be allergic to tomatoes, peppers, nuts seeds, eggs, our that’s off our diet too. So and of course, grains are witches off of that diet. So so we we use this diet after tremendous experimentation, okay with all of the diets out there. We use this diet as a baseline diet, so that’s. The important part there is no right diet for anybody until you figure out what that right. Diet is for that particular person. Are there people for whom the keto diet is appropriate long term? Maybe okay, maybe it’s, a very difficult diet to follow, and there’s a lot of nuances there we use it, for certain reasons. Is that is the Paleo diet? Is it this? The answer is no. The answer is, you have to figure out what your diet is for you, which one of those would be best for you, but food sensitivities, which I highly poo-pooed when I first started getting into this are so a part of your diet, food sensitivities, food intolerances are Significant, so we use this baseline diet, we put everybody on the diet. If person comes in here, they don’t want to go on the diet. Then we don’t treat them it’s, just that simple III have on five different occasions bent, as I told you before at first, I can’t. Do that diet? I just want to do. I understand that this company has all these great allergy testing procedures, and I want to do that and they do that and then, like three weeks into the diet they go out and they’ve been told they can eat wheat or gluten and and They go out and have a pizza and a beer and everything blows up on them, and then they get all kinds of allergic response. Is all their symptoms start coming back? Maybe it stays like that for a couple days, maybe a couple of weeks and blows the whole program apart. So we don’t. Do that? Okay, the allergy elimination diet. Is it’s? Tough, it’s. It’s, it’s; food that’s; basically meats fruits, vegetables, some oils not and for people who have different type of blood sugar problems, not a lot of fruits and for people who had fraud. Map problems not a lot of vegetables, but but but it’s a it’s, a very doable thing under proper supervision. So we use this diet. We use the autoimmune, we use a variation of the Ottoman Paleo diet. We we we use that and then and then we use other diets based on the history and the exam that we talked about in the in the previous segments that we then so let’s say we put a person on our Ottawa, our modified Autoimmune Paleo diet, okay, and we put it on there and about two weeks later they go man I’m. Getting yes, I’m, getting bloating every time I eat a starch every time I eat too many like a fruit every time. I eat something that’s. There’s, a little sugar in it any the most fiber. I’m gas bloating those types of things own, those probiotics that I was taking. They’re making me they’re. Making me go like that. That person ‘ S probably got small intestinal back to your overgrowth. No, you may not want to hear about small intestinal bacterial overgrowth, but you want to hear about diet. I’m, walking you through how to figure out your diet. Okay, so these persons eating better than anybody on planet earth, but they’re. Getting gas bloating diarrhea things of that nature. They probably have small intestinal bacteria. At that point, we would use the fodmap diet. Okay, there are people who come in here who are on the fodmap diet for years. That should not be okay. You should only be on the fodmap diet as long as you need them. If fodmap diet is a diet where you’re taking out all of the vegetables that feed the sugars in the person’s gut all right, so so so we would switch that diet. We would switch from our baseline diet to that. Fodmap diet and and pretty much what’s happening. Is that person that’s, bad back to your in their gut and that bad back to your and they’re, got either to be starved by going on this diet, or it needs to be killed, will use a supplement along with That diet to kill that and um you know it could be any one of a number of supplements that that you’ve heard about them all there’s. There’s. Caprylic acid! There’s. Berberine there’s. There’s. Oregano there’s, a dozen of them. You can use okay, everybody responds difference in different ones, so you could do that and for those of you, so I already did that. I was already on the diet and I already did that and it didn’t work. It’s because there’s more stuff going on, but that’s, the baseline of what you need to do to get rid of the SIBO and it’s, some of the more stuff that’s going on is you’re stretched? You got a bad thyroid problem. You got a lack of hydrochloric acid in your stomach and again this is, for those of you say how come you’re, not telling me how to get back. How’d? It get better okay, so the bottom line is, is we we would use? We use a, we might be used a specific carbohydrate diet or we use a far pod map diet. They’re, both very, very, very close. Once a person reacts to the baseline diet that we use, which is the Ottoman Paleo diet and and it’s – a variation at the autoimmune, Paleo diet and those are the diets we use to establish a baseline. It is for those of you who have been online and you have. I just used the perfect example, and you have small intestinal bacterial overgrowth or you have acid indigestion or you’ve tried so many different diets and and they’re. Not working, and we already talked – you talked about some of the reasons that they’re, not working and, and you’re, trying to figure out what your supplements are. It is almost impossible to figure out what you should be taking or not taking until you have established a baseline. What does that? What does the diet’s? I just got done talking about. Do it establishes a baseline? What does that mean the in my patient population? Most people come in here or in some level of chronic stress response, which is continually flooding, their gut, which stress, hormones and, and most of my patients are have autoimmunity. Frankly, most of my patients that both of those and then a ton of other stuff – okay, so you cannot so you it’s, so you have to calm that inflammation down. We’re gonna talk in a couple of segments about how starting with the brain and the gut is really where most of these cases should start. So you have to calm that gut down 75 % of immune system is in your gut. If you’re autoimmune, you have to calm the immune system. Down. Stress hormones from your brain are screwing up your gut. Your God has 70 % of the immune system in there. So so you want to know about diet. This is what we have come up with and it has been consistently successful for us for years and years and years and years and years so baseline diet calms down the inflammation. It takes out all of the foods that you would be sensitive to all of them, and it’s, not fun. The more you stick to it, the quicker you can stop doing it. Okay, Tommy with this is the broad way we get a lot of moaning and groaning around here, but but if you want to get better, I’m telling you. This is where it’s at so baseline diet, dampens, immune responses by taking out all the foods, all the anti all the inflammatory foods well, and some of you will say meats are inflammatory in to a degree they are, but all of the immune, Inflammatory foods a lot of people in in our office feel better immediately. A lot of you are out there probably experienced this. It’s almost like putting you on a fast, ok, those those of you who are really chronically sick and have gone on fast. Most of you will tell me I felt crappy for a day or two, and then I felt better than I felt a long time, but I have to eat right and I don’t know what to reintroduce, and then I reintroduce foods and I Feel like crap, so this is why we’re telling you why that’s going on. So basically those are the two diets that we play with most of the time now. So if somebody goes on the first diet and which they should feel better or no difference, but if they like, if they go into one of you paleo, they should feel better no different. If they feel worse, they probably had they probably have these FODMAPs. They probably have these reactions FODMAPs or fructooligosaccharides saccharides. They’re, all sugars, okay, they’re. All it’s, an acronym for different types of sugars, your feet and they’re in there in there in different vegetables. You’re eating vegetables. Do you think it’s? Great those vegetables are feeding the bad bacteria in your gut and it’s blowing you up and you got that bad bacteria, because there’s, a lot of vegetables on the on the automated Paleo diet, so that’s. A huge nuance to starting off into chronic conditions. So then we’ll. We we have people who are kind of they’re, hoping again weight loss. They’ll, be losing. We have. You know a whole program that we do. This is the baseline. It allows us to maneuver and figure out what supplements we should do and what neurotransmitters are easier to do and what other changes we should make in in their daily activities. But we do use other diets we do use. We use a vegetarian diet, occasionally, okay, here’s, what we use it for – and those of you watch me before may and may know that I was. I was a vegetarian for almost 18 years and and and I can be an advocate of it and – and I can tell you why I got off the vegetarian diet here in a second, so that all the vegetarians don’t start throwing tomatoes at At the screen here with with me saying, I’ve kind of gone back to a meat diet which was a mentally challenging for me, but the vegetarian diet we use kind of a vegetarian Paleo diet. We use it for two reasons. If we’re doing what we’re doing, we have the person on the baseline diet. We’re using the supplements we need, in that particular case or botanicals or or nutriceuticals or neurotransmitters, or whatever we’re using for that particular case and and and the person hits a wall dietarily relative to losing weight because we get A substantial number of people in here overweight when they come in then we’ll, go to a couple of things. We might go. The first thing we’ll go to will be a keto diet, which we ‘ Ll talk to in a minute, or we might go to a veget in diet, so vegetarian diet basically resets your it’s, a cleanse vegetarian dies like being on a cleanse if you’re, a true vegetarian. Okay, if you’re vegetarian, true vegetarian and you’re just eating vegetables, you’re, a vegan, you’re, basically on a cleanse, and that seems to set the metabolism to allow the other things that we’re, doing with supplements and and and other methods to work that a lot of times we’ll, get the person off that plateau or it’ll, just start, allowing them to lose weight. We also use a vegetarian diet for rheumatoid arthritis. We have seen over a period of time that rheumatoid arthritis seemed to do much better with vegetarian diets. We’ve, had the full spectrum of everything from people literally having the rheumatoid arthritis pain subside immediately to to just varying degrees of improvement, and that has a lot to do with it. Dampens the immune responses in the intestines rheumatoid arthritis comes from bad bacteria in the intestines. The vegetarian diet does not feed those bacteria and it tends to be like a cleanse and and if you get on the vegetarian diet, you start getting gas and bloating and stuff. Like that, I guess what you have, those FODMAPs, you have those you have those you have those those vegetables that are feeding bad bacteria in your gut and you have to take those out and then you would work with that now. This sounds like a lot. It is, it is this. These are the things that you’re running into now I did mention. I did mention the I did mention the keto diet. Okay, we we do use the keto diet. I am, I’m, still not on board, with the keto diet being a life time diet. I know they’re. I I’ve, read several books. I have a book behind me here called the art and science of low carbohydrate living, and it makes a lot of sense. Your your your your body, basically is designed to primarily run on blood sugar. We’ve talked about how vital blood sugar is to your diet, so diet is also about keeping your blood sugar properly eating the proper amount of times a day for you eating the right foods, not eating the wrong foods, the proper amount of times A day for you, this is a critical part of diet and and then you will get your blood sugar will stay normal. You’ll, get enough blood sugar to your brain. You’ll, get enough blood sugar to your muscles. You won’t, get irritable and shaky and nauseous and anxiety and want to kill people, or you won’t, be sleeping after meal blood. Sugar is a big part of that. The keto diet switches you from the primary fuels of oxygen and sugar to the primary fuel, so oxygen and ketones, and that ketones and yeah ketone. So so, basically these are amino acids. They actually burn much much much more efficiently in your body than the sugars. They were primarily started to be understood as a primary food source for epilepsy, and your brain does seem to in some ways prefer that fuel. If I recall correctly, it’s like you, make like eighteen times more calories of energy per gram of ketones than of sugar, so it would be like we should be doing that, but the diet is inflammatory. The diet is, is, is, and – and this book will argue, that it’s, not and – and I think in a purely scientific setting. They’re correct, but I think in the setting of real life. My observation has been that the ketogenic diet is a difficult diet and and and to and so to to use the ketogenic diet and tonight’s, popularly used along with the fasting to use the ketogenic diet and the fasting which we already at, which We also do it’s, challenging for the patient they have to. They tend to end up eating too many meats they can’t get through. The concept of that fats are are like a main source of what’s. Breaking down what’s, actually breaking down and creating the energy source, and so and and and they have to you – have to stay in the key to you know in the ketogenic zone and and it’s just so, it ends up Becoming it seems like the vast majority of time, it ends up becoming an inflammatory diet, because people just start to going eating meat. They starting a lot of live stress roles. They won’t eat, the fats are supposed to eat, so I just think it’s, a very difficult diet to execute now under the right supervision like us, or somebody who walks you through it and figures out your the amount of Calories and you got to figure them out all along the way. Once you’ve lost weight, you got to stay in the zone, will use it if a person needs to lose weight. If a person has hit a wall again, it will reset your system and in ways that will generally get that person off of the though it’ll, get them off of the off of that plateau and allow them to start losing some weight. There are other diets that we use clinically we might use a low histamine diet for a short period of time, that’s, another that’s. It’s, a fairly simple issue of not eating certain foods, not eating foods. That are rancid not eating leftovers. There’s, there’s, and, and we have a lot of people who have histamine responses. In fact, as long as I’ve been in practice, I’m starting to realize that either more and more people are getting histamine responses, which is probably the case or I’ve, been missing them for a long time. So histamine response is what we see is. Is we get the person, our baseline diet and the baseline diet? They feel good. All of the foods that are caught, making them feel bad have been eliminated. We’re working with them. We’re there. We do brain rehab exercises here. We’re, doing we’re, doing we’re, doing the supplements and nutraceuticals and herbs and botanicals, and they’re getting better, and then it comes time to reintroduce foods. We reintroduce food and they’re sensitive to it. Okay, well that’s. What’s supposed to happen in a food reintroduction type of a situation? Well then, we’re introducing food and they’re sensitive to that and the third food and they’re sensitive to that and the fourth ruin their sense of that we have heightened their histamine response, and so so we So we can use a diet, you can use a diet for that and you can look it up online. It’s very simple: it’s, it’s, the mean that I just takes out certain amounts of foods. Pretty much tells you just don’t eat leftovers, and, and or we are there are, there – are some powerful supplements out there for that? Histamine response well usually well, usually make it a decision on a patient’s patient basis, and what are they’re at and how much of a hassle it might be for them to do both or or should they go on the Histamine Dyer: do we just need to give them the histamine natural, histamine, dampeners, and, and so we will use. We will use that when we, when we have a patient, that is on the diet and they’re going through the program and there’s. Their symptoms are improving and they’re getting better and they’re getting and they’re excited and life is good and suddenly they decide to go out and party and and and and the program blows up on them Or sometimes, or sometimes just to emphasize how sometimes this can be pretty hairy. This can be pretty a little bit of a complex procedure, sometimes during the food reintroduction. Now this is the downside of food reintroduction, the debt, the gold standard for figuring out what your food sensitivities are is the other allergy elimination diet. That is, that is in the literature it’s in the research and – and I can tell you in clinical practice, it is the gold standard, the problems with it. Is it’s hard for the patients stick to it, and the other problem is this: when that person is really really clean, they’re feeling good there. There are inflammations down there. Immune responses are down. Sometimes, when you introduce a food and they’re allergic to it, it can affect them for a long time. Sometimes they can affect them. For a couple of days, I’ve had a response when I was doing this. That affected me for, like a couple of weeks, shakes your confidence makes you feel like everything went back, but when you do that and and it’s froze if you and it’s rose you off, then the thing that you have To do is you have to go back to the original diet and you and and you have to give that time to calm down and then there’s, herbs and botanicals that you need to take to to kind of calm everything down, and you Have to start all over again, hopefully Minh 12th food that you’ve reintroduced. Unfortunately, you have to start all over again ups, if for you, if you’re fortunate, it’s like the first food to reintroduce. Then you don’t have to start all over again and I’m, not trying to be labor. This again, I’m talking to I’m, probably not talking to all of you. So a lot of you may be going. You know why you’re going into all this. I’m gone. I’m. I’m talking to the patient population out there or the audience that says. Tell me how to get better that the? Why aren’t you telling me how to get better and and then we you know, would respond to say: look it’s not like. We can tell everybody what to do so. So what is your diet going to look like your diets either gonna be an autoimmune, Paleo diet or a Paleo diet, or your it’s. Gon na be a variation of the automated Paleo diet or or or it could be. You know I it could be, it could be a vegetarian diet. It could be a specific carbohydrate diet which, which is a diet, that we also use. I’ll use a specific carbohydrate diet, sometimes with Crohn’s disease or will bowel syndrome all sort of colitis. It’s kind of a variation of the SIBO fodmap diet, and you can look these up. Okay, I’m, not here, to like go over every die and what it is and how you do it, and I’m here to answer the question of how do I get better, okay and, and so so we use that diet. Sometimes, when people have massive reactions to things, sometimes we’ll. Just I mean I mean we’ve had patients that we just eat had to eat like I have yet to find somebody who’s allergic to chicken. Now I’m sure I’m gonna I’m sure we’re gonna get something that says I’m allergic to chicken, but sometimes we just put them on chicken, spinach and And, and maybe something innocuous like if they’re not sensitive to potatoes, and the point is, is when you react, you just need to let the gut calm down and because you’re, not putting a lot of other foods in there. That it’s sensitive to it’ll. It’ll, heal to the degree that there are another, not other factors that’ll cause it the heal. This is diet. Okay, this is night. Now I realize there’s, a lot of diets out there. I’m all over fasting. I have people who have the fasting and don’t eat until 5:00 and donate until 7:00 and don’t. Even I feel better that way there’s, all kinds of ways to trick your metabolism or to reset your metabolism, and – and but you know, a lot of this is marketing in a sense of I was in that I was in the back in The late 90s – I was late 90s early 2000s. I I was in the radio. I did radio with a radio show okay, and we interviewed a lot of the people that you are reading. Peter diamo, who does the the eat right for your blood type, diet and and and many other people like that. I mention him because he was a very, very sweet guy and he was kind of like a great interview because he kind of conceded online like well. Yeah, this is kind of a theory. You know this is kind of a theory and then and and indie and in the end, when I learned back then and and and decided not to be in that industry. What I learned back, then, was: if you have a theory, if it looks different, if it isn’t going to kill somebody and you and and and you can articulate and you can get online or you at that time, there wasn’T an online and at that time it was couldn’t you get on the radio and articulate it and it was, can you can you go on Oprah which which which which was everybody’s, dream price still is then then the People who were in that industry would write a book for you. They were. They were looking for a different angle to a dietary issue so that they could promote another book and – and I don’t mean that I’m, just giving you a little bit of like inside data on how to evaluate things. Not to not to point out Peter, but our conversation along with Peter, I think I can reveal, and it was pretty much look. People are usually eating, not so well when they decide to change their diets, and so when people change their diets, whether it’s, gonna be fasting or it’s, gonna be fasting until 12 and then eat properly or whether It’s. Gon na be fasting, kutzle 9, then 8. Then I’m, sorry 9, then 12, then 5, then 8 and then or or people have been fasting once a month forever. People have been fasting for the first three days in a month for our once. You improve your your general overall food intake. That alone should tell you how important food is because pride 30, 40 percent of people are going to feel much better. Just doing that, and then those are the people that did you get the testimonials from, and then you go okay. This is the new way and and and there might even be certain people that that is correct for, but I say that to say this: what we found was getting down to the basics. I continue to pound getting down to the basics. We talked about how critical blood sugar is many times we will get people’s blood sugar under control. I had a couple of people this week who found that going back on their CPAP machine for their oxygen oxygen is a foundational basic between that getting their blood sugar under control, 60 % or their fibromyalgia pains, went away. Okay, then, then we put them on the baseline diet and took out all the foods more of they’re. More of their sensitivities went away. People who don’t have enough essential fatty acids, and I’m, not sure we ‘ Ve talked about that yet or not, but that’s foundational to being a human being. These are the basics. You get. The essential fatty acids in there you get the blood sugar stable. You get inflammation down, you get these and and and all of a sudden these mystery diseases. Aren’t mystery diseases, you’re, the people start getting better. Then the magic has to begin. Then you have to figure out the diet and figuring out the diet is which of these is the right diet for that particular person. It’s, massively about figuring out that person’s, food sensitivities and food intolerances as much as anything else. It’s really about the blood sugar. It’s really about the food sensitivities. It’s, it’s, it’s, it’s heavily about those things, and – and at that point you probably don’t need to be so focused on. Do I do an autumn and Paleo diet, because you have figured out all the things that are flaring up your autumn unity? Now you’re just eating right. You’re eating properly, so your blood sugar stays normal and you can eat foods. Should you eat organic foods versus others? If you can afford it? Yes, if you can’t afford it once your physiology starts working. Well, it doesn’t matter, whether you go to to Whole Foods or whether you go to window, probably in the beginning, it does probably in the beginning it’s, probably better, to not be getting anything into your system. Those are the things that are most, that’s. What we use that’s, what we use like the autumn, upo FODMAPs SIBO. Those are the diets we use that we’ve, just experimented with all of them. I know their diets out there that people say well. You didn’t talk about this diet. I use and I feel better. I just explain why that can be. I understand that, but basically, in the end, really what the and what really what the takeaway is for those of you who are eating these other diets and film, is you’re eating good? You’re. Finally, eating good food. You’re. Finally, eating good food. You’re, probably eating in a way that your physiology is cleansing. Hopefully you’re eating away that it’s, establishing good blood sugar. You’re, getting irritable or shaky and or nausea, or your sleep after after you, then you’re, not establishing good blood sugar. These are the these are the diets that people are most abled and easiest to follow. The ketogenic diet is just it really is designed for decreasing and feeding the brain and decreasing inflammation of the brain for seizures. I use it a more final disclosure. I mean that we use it for will use of for concussions post concussion syndrome as well as seizures. So we do use it for those things when it’s specifically to the brain, but in the end, that’s, diet, and I say that with some confidence, because we where this is where the rubber meets it right. When people come in here, you know we don’t. We don’t recommend care to everybody comes in here. We evaluate them to determine whether they are a properly selected patient. Do they have any obstacles to cure? Are their thing? Is this gonna work for them herbs, botanicals and brain rehab like so it doesn’t work for everybody? Is this gonna work for them? Okay? So we’re very serious about that, and so we have a very high success rate and I will tell you figuring out. The right diet is not easy, but it is a major key to success in virtually all of those instances. So that’s, diet, so that’s, a diet. Next week we’re going to talk about our two week. I don’t know if we’re doing these every week or every other week now, but the next presentation will be gluten. I didn’t talk about gluten, but if you are cognizant a diet, you’re gonna notice that all of those are gluten and free diets that we were talking about so gluten in this office is the devil and Psyche gluten. Is like and when we first started doing functional medicine here’s, how we did it here’s, how we did diet. We said this is we called? We would say you’re off gluten? You’re off. You’re off gluten. You’re off eggs, your off casein, you’re off soy and you’re off corn. That was it. That was our diet and it worked off an awful lot of the time and – and we thought we were pretty hot when we would put people and give people that diet and and and they were starting to get better. You know that we were, we know more than all those other dummy medical doctors and they don’t, know anything and it’s type of stuff, like we thought we were really cool and but that’s. There’s, still a lot of truth to what’s going on the other thing I used to do even before that was. This is just one last dietary thing. I can’t resist this one. I used to have people write down, I would say, write down your five most beloved foods and they would write them down frankly, half the time. I would even look at him and I and I would just hand it back the person saying. Okay, you’re, not eating these for the next three months, and then I would watch them go into a meltdown right because we know today that those foods are going to be the most likely foods that you’re gonna be Sensitive to so a little bit more on dietary tips, but we’re gonna be talking about the bad guy of bad guys gluten in our next presentation. So so that was a lot and I talked a little faster than I than I usually do. So I hope that was okay. I hope it was presented in an organized fashion. It wasn’t designed to go deep into things. You can take those bits and pieces, look up things that you want to look up on the internet. All all the details are there, so I will talk to you next week. Thank you for watching and please let us know what you think about our our presentations here. You Source : Youtube

https://youtu.be/OAruI2Wyj1k In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses blood sugar and why that is an important metric to monitor for people suffering from chronic health problems especially autoimmune issues. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi I’m dr. Martin Rutherford, author of power, health back the basics clinic director here at power, health in Reno Nevada, and today we’re, going to be talking about sugar. We’re, going to be talking about blood sugar and I’ve. Give me a minute or two here: I’ll. Tell you why we’re talking about blood sugar and we’re gonna be talking about every type of blood sugar, probably except for diabetes type one, because everybody’s, pretty familiar with that, and that’S a this is a part of a series that were that we are doing and this series generated from, I am also a certified functional medicine practitioner and I’ve, been, I would say, I was one of the first group of certified functional medicine Practitioner so I’ve been doing it for a long time and I’m, seeing the change in in functional medicine and I’m, getting a lot of people who come in now, who have already been the functional medicine. Practitioners, except what they’re telling me, has been done to them. Doesn’t sound, like what functional medicine practitioners are were originally at least taught to do, and I think what are being taught in several of the courses out there and the other reason we’re doing. This is because we have, I don’t, know five or six hundred hours online. Talking about all of the things that we treat. We have a sort of more or less a chronic condition, chronic pain practice, and so we treat five imagine four frothy and chronic fatigue. Vertigo dizziness balance irritable bowel syndrome, but we treat the things concussion syndrome. We treat the things that come and just won &, # 39 t go, and there are certain elements to that and we have. We saw. We have like 500 hours online with addressing each one of those polycystic ovarian syndrome and blood, sugar and obesity, and all that and that’s, a power health talk.com, and in doing that, the thanks that we’ve got is actually a Lot of a lot, we get a lot of positive feedback, but we get a lot of well. You’re, not telling me how to get better. You’re telling me what fibromyalgia is you’re, not telling me how to get better and in the end I could have a finer fibromyalgia patients in here or 100 migraine patients in here and they’d. All be, you know a little different, so I can’t. Do that so, based on all of that, we came up with the idea this year, maybe just going through a series of what is functional medicine. So this is, I don’t know. This is fifth or sixth. In the series we’ve already talked about the foundation of functional medicine and what it should be. We’ve talked about how you do exams where you know phone and what they mean in functional medicine. We talked about testing and what that means. In functional medicine, we’ve talked about the initial consultation and how to how? To kind of how to kind of screen out what I call well, I don’t call them, like my colleagues and mentors called them obstacles to cure, and so I certainly do that because it’s. Important to have people who are able to go through the type of a program that needs to be gone through to get better, and so then we started off. And then we started into the foundational aspects of treatment last week and we talked a lot about oxygen and and how oxygen is very foundational. So in functional medicine online it seems like mostly it’s, the magic right. Now it’s. To take this pill for that and do your SIBO and take your take your berberine for your C bows. Take this for your leaky gut and take this powder and take glutamate and all that’s out there. But people are still getting sick and not getting better. This series is addressing why so, ok, so back to the foundation, so so foundation of treatment is what we’re going through now, and the first foundation of treatment is follow. The fuel the fuel to our body is largely largely oxygen and sugar, and it is seems to be across the board, almost universally ignored when patients come here from other doctors and and it looks and they’re. Taking all the supplements that I probably would use, I probably would use as many, but but but you know they’re using tumeric and they’re using berberine and they’re using adapted friends and they’Re using all this stuff, but they’re sitting here and they’re still sick, because things have been missed. Okay, and so we’re, going through what those things are and sugar is like, like among the top top top physiological abnormalities that are missed so so blood sugar is. I will talk just briefly about the ketogenic aspects of fuel. Okay and we’ll, we’ll. Do it relative to relative to the sugar that we’re talking about today, so we’re going to talk about sugar and we’re gonna talk about how it is so important to those of you who have Chronic problems, so people come in here and if they have diabetes, okay, if they have diabetes, type 1 or diabetes type 2, they’re, being attended to and and and that’s because that’s, where the mindset is Right now let’s, wait until for like the 25 years that it takes to develop but diabetes, type 2 or diabetes type 1. And then, with the exception of juvenile diabetes and let’s and then let’s. Take care of it then, after there’s been 25 years of damage done to that person’s, brain and arteries, and heart and all that type of stuff. But that’s where at because that’s. The medical model not anti medicine, it’s, just that the medical model is is designed for heroic care. It’s, designed for what it’s designed for emergency care, keeping people alive, and then, when things start to not work, then we can give a drug and and of course, if a person has diabetes type 1, they’Re not making any insulin or pancreas they take insulin, diabetes, type 2 is a different animal and we’re gonna talk about that in a little bit, but even that at least you’re going to the doctor and they have A lot of different names for it now metabolic syndromes syndrome, X, insulin, resistance, and we’re going to talk about that. But but the diabetes type 2 is getting a little bit more attention. They ‘ Ll. Basically, tell you exercise tell time the doctors will you to tell you to change your diet, eat better exercise, go! Take a walk! 40 minutes three times a week, 20 minutes five times a week, 30 minute four times a week. Whatever a doctor you go to, and then maybe if that doesn’t work, maybe they give you a Matt Foreman which there are actually better natural alternatives for that and we’ll talk about that in a minute, but that’s the blood sugar world right now the problem is most of the people who come in here. Their problem is low blood sugar and most of them actually have something called reactive hypoglycemia, which invariably is almost never addressed, and invariably the patient, doesn’t even know that they have it. So these are those are those of you out there who want to know you know what are the reasons I’m, not getting better, taking my supplements and and eating better than anybody on planet earth. This is a big one all right! This is a big one, so basically low blood sugar is huge. If you get low blood sugar, low blood sugar symptoms are I’m irritable, I get shaky. If I don’t eat, I get fatigued. No. That would be high pleasure. I get irritable, I get shaky, I want to kill people when I don’t eat. I get. I know I get I get nasty. Maybe I get some anxiety it’ll, be you could have cravings for sugar. A big one. Is I eat and I feel much better after I eat, I feel much better. It’s not like I’m hungry I eat, and then I just go on with it. It’s. Like I’m fatigued, I’m. Getting brain fog. I can’t. Think I’m in a dumps and then I eat and I’m. Like I’m fine again, okay, those are symptoms of low blood sugar and there’s more. I think I said crave sweets and if I didn’t and crave, sweets is one of them. So so that’s, something that isn’t really normally addressed. But here’s here’s. What blood sugar is supposed to look like here’s, how your blood sugar works; okay, yeah! Basically, everything that we eat breaks down into sugar. Your way in, and unfortunately most of us still in this country run mainly off of carbohydrates. Okay, we have. We have a hark hike, hydrate tight for the most part, with the exception of those. Have you been, you know, fine-tuning your your diets a little bit more, but basically it goes like this. You eat, you eat something and it, and if it’s and if it’s protein, it breaks down into amino acids and that breaks down as a shirt. If you, if, if it’s good, if it’s, carbohydrates without getting into the whole premise a so like acid cycle and and all of the breakdowns, those break down at the inter sugar, they break down into glucose. Okay, go ahead, and these things either the sugar either goes into your cell. It breaks down and goes into your liver and becomes triglycerides, and, and so we’ll, get into that. We’ll get into the the fatty part of this. Here in a little bit, but but basically it it’s going to be stored, it’s, going to be it’s, gonna be broken down or it’s. Gon na be mobilized out of out of the liver where it’s stored that’s, that’s, your shirt and in the muscles the site it’s, like your muscles store, like 400 grams of blood Sugar per 100 grams, that’s stored in your liver, but basically you read it: it breaks down to sugar. It gets stored until you need it. Okay, if you eat the sugar okay, if you eat the food and it breaks down into sugar, then here’s. How it should go here’s, how the cycle of sugar should go. You eat it! You break down! You’re satisfied. Okay, you’re hungry. How do you? Why do you get hungry? You get hungry because your blood sugar drops? Okay for the record you get hungry because your blood sugar drops and you eat. Then you shouldn’t be hungry, then you should wait and wait and wait if, if you’re normal okay, most of the patients are come in here. Aren’t normal. They’re, sick, okay and then they wait and then you get hungry again. You eat your blood. Your blood sugar drops, you eat. It comes up that’s, that’s, the normal that’s. The normal flow of blood sure, but we don’t necessarily do that. Okay, in this country, don’t, we don’t. We don’t necessarily eat the way that we should and we don’t necessarily follow that simple pattern. But what we see is all the things that we just got done talking. We don’t see that we see people don’t eat breakfast because they can’t look at it in the morning. We’re, going to talk about that. We have people who skip meals, we have people who skip breakfast. We have people are changing their metabolism with new diets to make it happen to make to make it work properly, but the circadian rhythm for for our main fuel, which is glucose, should be eating about every two and a half hours that doesn’t Mean a full meal, it means I get up. I eat about two and a half hours later. Maybe I start getting a little hungry. I take just a little snack. I mean I get hungry at lunch. I eat. Maybe I don’t get hungry in the afternoon, but a lot of my patients do because their blood sugar drops and and then you eat, okay and then and then, and you just feel fine. You don’t get all of these symptoms. The person who gets up first thing in the morning, doesn’t want to eat Naville of blood sure they have low blood sugar. Okay, low blood. Sugar is bad. Okay. Now that now the medical model for low blood, sugar or the range for glucose for those of you who are into that ass-end of it is 65 to 100. Now I got to tell you in the medical in the functional world we’ve tightened. Those those lab ranges up because 65, you’re, not getting any sugar through your brain, your your your brain needs sugar, and we’re gonna and and and so 65 is a little love. The the functional medicine world has tightened that up to eighty five to ninety nine. So, as my patients ask me all day, what is my fasting blood sugar supposed to look like it’s supposed to look like eighty five to ninety nine, at least in the 80s, with no symptoms and the symptoms are the ones that I talked About, but here’s, a typical patient that comes into my office. Okay, they they they can’t, go to sleep; they wake up, they can’t go back to sleep. What was I got to do it? Sugar? It has a lot to they were sugar, then they get up in the morning. They don’t wan na look food in the face it’s, like that, I I can’t eat. I can’t eat first thing in the morning anything so so then they start to have a later on. They started to get low, they start to get a year of all shaky. They start to get. You know. Their temperament starts to get off and then maybe they eat something their sugar to bring their sugar out. They think they’re diabetic, which, and so they so they mimic that diabetic, who, when their sugar drops, starts eating something that’s. Sweet and and and they could eat anything at the time that they’re, irritable and shaky and it would bring their sugar up and and so it goes, and so it goes, and maybe they that lunch day at the right time or as a Consistent time, maybe they know and and and then and then they eat the lunch and then shortly after lunch they’re either like they’re either like I their dopey, they can’t, think or or maybe after lunch. They crave more sugar, so these are all signs that your blood, sugar or else and there are more signs of low blood sugar than they are of high blood sugar. So here’s. How here’s? How blood sugar runs through the night? Okay, you go to sleep, so blood sugar. Let eleven linked. Let me step back on so so blood sugar is. It is involved in all of these things: okay, low blood, sugar. You have low blood sugar, your frontal lobe, which is what gets irritable and che get your brain to work well needs it needs an absence of inflammation, it needs enough oxygen, it needs enough fatty acids and it needs pristine tightly controlled blood sugar, not too high, not Too low it gets too low. You get irritable, you get shaky. You want to kill people, because your frontal lobe is not getting enough blood sugar. You get too high. It’s too much blood sugar that blood sugar starts getting broken down into actually into fats, and this is has a lot to do it with with why the ketogenic diet has come along and when it does that. That is a very energy draining thing to break down: sugars into fats and storm in your liver. It’s, energy draining. So after dinner you go so the brain needs proper blood sure not too high, not too low. If you don’t have enough blood sugar, you can’t make dopamine and serotonin. Today I’m finding that a lot of people know what that is. When I, when I talk to them, those are neurotransmitters. Serotonin. Is your nice happy transmitter? Your life is good transmitter. Dopamine is more unlike motivation. I want to do things. You know I want to get up out of bed in the morning. I want to get going. You can’t make those if you have low blood sure you can pay. How many, how many of you come in when chronic fatigue or how many of you come in with with five-round and have these symptoms and and think it’s? Something else or don’t realize that the low blood sugar may be the aspect of what of what your case is because your doctor told your blood sugar is going well, meaning you’re, not diabetic, so so blood sugars cause that Low blood sugar is one of the main causes of people not being able to convert their thyroid hormones properly, but that means is your thyroid makes a hormone it’s in the thyroid hormone that is made is usually inactive, then that has to be Made to become active in that active hormones called t3 and that’s. What gives us our energy? That’s? What goes to the mitochondria in your cells and gives you energy, okay and you’re fatigued. The low blood sugar in and of itself is going to fatigue you in between meals to low blood. Sugar itself is one of the main issues in in not allowing you to make proper thyroid hormone, even though your your thyroid tests are normal, and even though your you know your your, your taking your thyroid, you can’t convert it to make it Work right, if you have a little blood sure, though blood sugar causes a lot of problems, it is a huge trigger and cause of anxiety and, ultimately, panic attacks, maybe not enough itself, but certainly in conjunction with other things. And if you have these other things that are allowing your brain threshold of its ability to to react to stimulus, in other words, if your brain is here and you get stressed and you have a reaction bag, you get a little stressed and you walk on. But if you’re, but if your brain function is here because it’s inflamed, then there’s, essential fatty acids that are missing and you got blood sugar problems. Now you have that same reaction and you had anxiety, because all of these things are there, but now maybe the low blood sugar for that hour that you didn’t eat. You got here a little shake. It puts you over the edge, and now you got anxiety and me and if it’s bad enough, you get a panic attack. Low blood sugar is a huge part of chronic problems and low blood. Sugar will put your put a tremendous stress on your adrenals and it’ll. Put a tremendous stress on cortisol and cortisol is a hormone that controls your blood sugar. So let’s, go and and then that will create an inability for your immune system to respond the way it should respond to say, flus and calls. Maybe you don’t need to go, get a flush and say that, as I say, maybe I don’t need to go. Get a flu shot, maybe need to like get your blood sugar right. So don’t don’t. Take that the way that I think it might have sounded so anyway, so blood sugar. So let’s. Just go back to let’s. Go back to blood sugar. Let’s. Go back to the biggest thing I see when people come in here. Blood sugar is insomnia. Blood sugar has a lot to do with insomnia, particularly if you can go to sleep, but you wake up in the middle of the night and you can’t go back to sleep, so everybody comes in here I mean I’m, Telling you, if somebody comes in here and they are, they can go to sleep and they wake up and they can go back to sleep theories are taking drugs for it or there’s, something very weird about their case, because that’S very normal for a patient as chronic conditions, because the chronic conditions can also screw up your blood sugar and the stress can screw up your sleep. So I’m, not used to seeing people can sleep person who goes to sleep and wakes up camp back, say 90 % of time it’s. Low blood sugar here’s. How it works! You go to sleep, okay and you haven’t eaten! Let’s. Say you ate. At 6, o’clock, say ate at 6, o’clock, so you’ve, eaten a meal and you’ve, eaten proteins and you being carbohydrates and who knows? Maybe you need some junk and that lasts for maybe 2 or 3, maybe 4 hours. So let’s say you go to bed about eleven o’clock at 11, o’clock. You got and after about two hours, your blood sugar will start to drop alright, because you’re, not eating. You’re on a fast all night long, so so your brain still needs that blood. Sure. Never! We talked about the brain needing proper blood sugar. Your brain still needs that your whole body needs it, but you’re. Not really. You know you’re, not really using your muscles at night, but you’re. You’re using your brain, believe it or not. I know it goes down, but you’re dreaming and and your brain just cannot do without blood sugar, so the blood sugar starts to drop and there’s. These things called the adrenal glands, which we’ll talk about in a future segment and these adrenal glands, the the brain senses that there’s, low blood sugar and without getting into the whole pathway. The brain ultimately communicates the adrenaline. So we need we need pleasure, not the pranker is not the liver, which most many of you may know has a lot to do with with that sugar function, but the adrenal and then the adrenal glands, put out something called cortisol cortisol then moves blood sugar out Of the liver, where it’s being stored after it’s, broken down, you know when you ate it and they couldn’t get into the cells it gets into the liver. It’s stored for times like this. So now, basically, the cortisol moves the blood sugar out of the liver and it moves it in to your system and then the blood sugar goes up and your brains, okay, for two hours. Okay and the way goes is, is then two and a half hours later. Maybe it’s. Maybe it’s. Four o’clock. You get another squirt of cortisol. Okay goes up two and a half hours later. You know our squirt goes up say it’s. Six o’clock now now, if you don’t get up by seven. Now I’m. I’m, going on a model and you went to bed at 11:00. So now, if you don’t go up about seven o’clock, the cortisol goes up and, and it it stimulates, this thing called the reticular activating since the system. In other words, it activates your brain to wake up, and you should wake up and you should be like energetic your sugar should be good. You should be hungry because you just haven’t eaten since six o’clock. The last night right, you should be hungry, you should get up. You P. Frankly, you should urinate first thing in the morning and then you should go and eat and that’s. How it should be. That would be the normal flow you would eat because you’re hungry because you haven’t eaten since 6:00. O’clock the previous morning. For all those of you who can’t look food in the face first thing in the morning me being one of them: okay, so that’s normal, so that’s, the normal rhythm, but that’s. But that’s, not who walks into my office normal, normally healthy people, don’t walk into my office very often when you have a lot of different problems in your body. When you have inflammation, you have food sensitivities, you have parasites, you have bad bacteria of small intestine bacteria, all those things stress, all those things, but a strain on your adrenal glands, and so your adrenal glands are the guys remember who are supposed to be controlling the Sugar and what happens in those cases is when you go to bed and the sugar drops. Maybe you get a cortisol response initially and maybe you don’t. So let’s say you get one. So let’s say you get a cortisol response and and it moves the blood sugar out of your liver and into your brain and you’re fine. So now it’s, like 2 o’clock, but the four o’clock response. You just can’t get that cortisol because you’re sick and the adrenal glands are being beat up. The adrenal glands don’t have enough strength to produce the number amount of cortisol that you need. So what takes over adrenaline adrenaline now becomes the guy that wakes you up. Okay, for those of you, are not familiar with adrenaline. That’s, the fight/flight hormone and so adrenaline takes over moves. Liver out of moves moves, blood, sugar out of your liver, but it wakes you up and now you’re awake and, and you’re like yeah, and your brains going a million miles an hour and you’re. Looking at the clock – and you can’t, go back to sleep and and you’re waiting and and of course you fall asleep back right about you know about fifteen minutes before you got to get out and and that’s a bad thing: that’s, that’s; another whole story, so that’s. Blood sugar, okay, low blood sugar is what almost always is involved with the person going to sleep and waking up and can’t, go back sleep not going to sleep. Frequently is more poor, sleep, hygiene or stress most of the times stress poor sleep hygiene. You know you’re, watching your videos until 11, o’clock at night. You just watched your favorite basketball team, get their butt kicked and you’re. All stressed out, you can’t, go to bed things of that nature, okay, so so those are the things that will cause you to not go see, but it is low blood sugar that will cause you to wake up and not be able to Go back to bed, and that was really the core of insomnia, how many people walk in here with insan? Yes, everybody walks in here with insomnia because the off low blood sugar, so there’s, a low blood sugar, so that’s. I went through all that because that’s, the foundation for the next things I’m, going to walk through and it’s going to make it a lot easier for me to just hit those other things with you. So, basically, blood sugar, so there’s, a low blood sugar. The next thing is reactive hypoglycemia. How do you know you have that reactive hypoglycemia is me, as my wife and and my staff will tell you if I don’t? If I get really busy – and I don’t get to do my mid-morning snack because I have reactive hypoglycemia, then I start to get I start to my head starts to Bob. I started. I start getting brain fog. I start getting fatigued. I can’t, think I go to lunch. I eat and by the time I leave wherever it is, I’m eating if it’s at home or if it’s at a restaurant, I’m. Fine. Everything comes out, but remember it. Shouldn’t be like that blood, sugar and eating should be. I feel good I get hungry I eat. I feel good. I wait until the next time I get hungry should be that you get here. It alone shake he shouldn’t, be they fall asleep afterwards, it should be. They fall asleep beforehand that’s. All blood sugar, okay, reactive hypoglycemia, means that there are things in your system that just aren’t working right. Relative to the liver pancreas: these are the things that control your blood, sugar and adrenals, and what’s called the receptor sites on the cells where the sugar has to get so there’s, a lot of herbs and botanicals. For that I take some of those they work. Sometimes once you get a person through a protocol that gets the inflammation down and gets gets, gets the infections better and all these things any adrenals start working about. Sometimes person doesn’t need to take supplements. Sometimes they just need to go back to learning how to eat they. They’ll, get up first thing in the morning and they’ll be hungry because their blood sugar is correct. So the point is that when these things aren’t working, you can eat right and you’re sick. When these things aren’t working and you’re sick, you can eat right, you can eat in the morning for sit down. You can need a little mid breakfast meal. You could do lunch, a mid breakfast mid-afternoon meal dinner, maybe a maybe some protein before you go to bed, to help your blood sugar to not drop so easily, and you can still have all those symptoms that’s called reactive hypoglycemia and those those Structures those organs, those receptor sites, they need to be rehabilitated. If they can’t. If they can be rehabilitated, then you know, then you can and then it’ll work with just the diet. If they can’t be rehabilitated. There are a lot of herbs for those of you who think I’m, always holding back on you out there. The the one herb that the Indians use is, I ‘ Ll have to think of it. Now I forgot of it. It’s. I’ll. Think of it because I this is embarrassing. I I just I just prescribed it yesterday. So, okay, I’ll. Tell you what it is when I think of it, so basically that’s, low blood, sugar and and then there’s low pleasure and that’s, reactive hypoglycemia. So the next thing is, as you are, having these issues, the blood sugar, your is, is continually pounding up against your your your cells and, if you’re somebody who eats a lot of so so basically what happens is you? You eat the blood. Sugar comes in insulin, you’ve heard of insulin. It comes out of your pancreas, the brain says: tells your pancreas, but not insulin, insulin, hit yourselves and, and the insulin is what opens up your cells so that the blood sugar go into it, and so so, basically, that’s. The mechanism of proper blood sugar, but if you eat a lot of hard carbohydrates, if you eat the standard American diet, if you too much, if you too much junk okay, the sugar that insulin keeps hitting this cell and it becomes what’s called Resistant, okay, it comes this becomes resistant to the insulin and what happens? Is the blood sugar sits in your cell in your arteries instead of going in here, and for those of you are gonna like get into the chemistry I get that it’s more sophisticated than this, but but not everybody that’S watching this is a biochemist okay, so basically it keeps hitting this. This won’t open up, it becomes numb, it becomes resistant. Okay, it won’t respond and then this sugar has to be broken down and it’s broken down into triglycerides sugars, glucose Glu triglycerides are tri GL. Why glycerides dly Glu as sugar, so your triglyceride count that is really high on your liver when you get it is not a fat problem, it’s, a blood sugar problem and it’s any means, and it’s. The very first sign of that you’re going into high blood sugar that you’re, going towards diabetes, that your insulin resistant just a little tip for you. So when you look at your blood labs, if those triglycerides are high and you go wow, they’re high, but my cholesterol is good and, and everything else is good and and you’re starting to get symptoms. Where are you eating? You fall asleep afterwards and you can’t lose weight and these are signs of pre-diabetes. These are signs of insulin resistance. These are signs of higher blood sugar. Then you need to start changing now. That is a sign that you’re. Going into insulin resistance, insulin, resistance can take ten years to show up on your blood panel. So one of the things several of the symptoms that insulin resistance causes is fatigue after meals feels better when you eat. Sometimes, if you have, if you have high end low blood sugar symptoms, I get irritable, I get shaky, but I also eat and then I feel bad after meals. You are now in insulin resistance. You are, you are having both of the symptoms. Okay, you’re. Having low blood sugar symptoms, I’ll. Assure all of those symptoms are from blood sugar. All those symptoms are symptoms that our patients suffer from, and don’t know that it’s. Their blood sugar because they’re coming in with low blood sugar and some resistance, and nobody’s, treating because nobody’s going to treat them until, at the very least they can say you’re pre-diabetic And usually not until you’re diabetic, what can insulin resistance cause insulin? Resistance is the number one causes something called small fiber neuropathy, peripheral neuropathy. If you have numbness tingling, burning, sharp, shooting pains and your feet your legs, your feet, your ankles. Well, maybe all the way up to your knees, you’ve gone. They’ve done a nerve conduction velocity test on you, it doesn’t, show anything because it mostly doesn’t show small fiber neuropathy, and I just had this case in here two days ago and with the lady who Was in here two days ago and she has a small fiber neuropathy she has, I said you probably have insulin, resistance or pre-diabetes. She says I do and – and I said, did anybody connect it to your feet? They, no, they didn’t. So, in some resistance also is the cause of polycystic ovarian syndrome, polycystic ovarian syndrome for those of you or women out there who may be having difficulty conceiving or caring. The term is the number one cause of infertility in this country. It is responsible, is deemed to be responsible for half half of infertility in this country and when that person goes to the doctor, they are now beginning to understand that that that is the case, not all doctors but a lot of them, and so what do they Do they give the person metformin, which is designed to move sugar out of the liver and get the sugar in there that form it comes with a lot of side effects. A lot of women can’t, take it if they can ‘ T take it, it comes with a lot of side effects, but I’m, making the point that blood sugar about the only people who are getting really truly evaluated at this point in the in the blood sugar flow relative to their chronic conditions. At this point time, our women trying to get pregnant and not all of them, okay, but but but that pre-diabetes again it has a lot to do with your thyroid, not working. It has a lot to do with your brain, not working brain fog. Mental fatigue fatigue not making dopamine, not making serotonin your your. You know your intestines, 90 % of your intestinal motility is due to serotonin. If you have low blood sugar reactive icing, we are pre-dive our insulin resistance. You’re, not making serotonin. You’re. Looking for the reason you’re constipated, nobody’s. Looking at that, you fixed the blood sugar. All this stuff starts getting better. It may not get make it all the way better make it a little bit away, but it is a huge part of that person’s, chronic clinical picture. If they have these things so insulin resistance is a big deal. It’s. The reason that you fall asleep afterwards insulin resistance then works into pre-diabetes. Our pre-diabetes means insulin. Resistance is finally shown up on your blood test. Okay, now they do the blood test and they have these little. They have these little ranges there, and this is this is pre-diabetes, and this is diabetes type 2, and this is diet and his diabetes type 1 and a lot of doctors store in treating even when you get to diabetes type 2. A lot of them are saying: yeah you’re, not diabetic. Yet so let’s. Just just wait and see, exercise change your diet. Some doctors will give you metformin. Some doctors won’t. It just depends on that. Doctors, sensibilities may be how much time they have with you. Maybe your insurance there’s, just a lot of things that will affect as to whether they’re, going to treat you or not. So once you start getting into pre-diabetes, you have a problem because pre-diabetes should not be called pre-diabetes. It should be called diabetes because it does all of the things and diabetes does, but it just hasn’t raised your blood sugar numbers enough, because there, just hasn’t been enough damage to those little cells. Yet to leave enough to stop enough sugar from not going in, and so they say that we’ll wait. What does that do? What does prediabetes does everything a diabetes? Does it can cause you? It can cause you more than small fiber neuropathy. That can start the more from small fiber neuropathy and the large fiber neuropathy large fiber neuropathy is bad. You don’t want to have that, okay and it can it – and this is where, when this sugar, alright again it’s. Gon na be more sophisticated than what I’m about to tell you, but when this and chemically, but when this sugar is not getting in to the cell, okay, it ‘ S got to do something one of the things it does. Is it breaks down into the triglycerides why we talked about before and and then eventually it makes it can turn into that fatty liver they’ve told you had okay at this point. This is this is usually turning into fatty liver. So those of you been told you have fatty liver there’s, usually a reason why okay and then and then it creates all the other things that we talked about relative to serotonin, the dopamine, the but it this is where you start getting. The inflammatory responses in the arteries – this is where so, when blood sugar, doesn’t get into these cells and it hasn’t been broken down yet to go into the liver, it starts to become inflammatory, and this is where you start Getting inflammation and your arteries, your coronary arteries, your brain. This is the beginning of strokes. This is the beginning of where it is for strokes. So so now you’re getting into the area of polycystic, ovarian syndrome, infertility, strokes, cardiac problems and peripheral neuropathy. I don’t see that many cardiac problems. I do see post stroke, patients, we see a ton of infertility. We see an awful lot of small fiber neuropathy and most these people, don’t, really understand either don’t know that they have pre-diabetes or they don’t. They know that they have it and they don’t understand that it’s, a part of their problem because they didn’t, get the diabetes type 2, yet nah not to be one of these, like conspiracy, theorists right. Thank God, this is just the way it is. Is most doctors are treating you until you get the diabetes type 2, because now diabetes type 2. They have a definitive diagnosis that has an icd-9 code that they can bill for, and they have a drug or a set of drugs that they can give to you and then that set of drugs will and that set of drugs will will be paid for by The insurance company now the next and last area I’m, going to go into is the person who comes in here with diabetes type 2 and they’re on three medications. They’re on a metformin, maybe on Humalog. Maybe are on land, maybe on a a insulin, medication and and their blood Sugar ‘ S are like we’re 400 or 500 or 600, and now they’re down to 200 and they’re happy. Okay again, this is a part of chronic pain conditions, brain needs, proper blood, sure not blood sugar, that’s. 200. Okay, 200. You’re still inflaming your arteries 200. You’re, still messing up your dopamine 200. You’re, still messing up your gut so and I didn’t get into that part. We’ll, get into that right now. So, basically, what is that? How come that person’s? Blood sugar is up and the doctors have given them three medications and those medications are not bringing their blood sugar down here’s. Why? Okay, there’s, a number of things that are not being addressed. What are the things that can affect blood sugar, well diet, but they bite. Usually, by that time, the person is on a diet exercise, a lot of mard exercising some of them can’t because remember these blood sugars cause a lot of abnormalities in their brain. Some. A lot of these people are starting to get effects and their feet. Numbness tingling burning they can’t walk as far it’s. It’s, it’s, it’s, draining their energy. Well, let’s, say they’re, exercising let’s, say they’re, even eating right, let’s say they ‘ Ve now started eating right. They’re exercising, but they’re, not losing weight. So the reasons for that are some of the other things that we ‘ Ve talked about the things that can raise your blood sugar, for example. We actually have our patients. Take their blood sugar two hours after every meal until we get a good grip on what’s happening in your physiology and it so they understand what’s. Going on in your physiology and here’s, things that can raise blood sugar, the person might be. We put them on a diet on a very strict allergy, elimination, diet and so the person it might be eating perfectly normal. Yet they see a spike in their blood sugar. What we’re going to look for is we’re, going to look for? Well, I ate right doc, so it couldn’t, be that we’re Alex II. Was that a food sensitivity? Because when you have a food sensitivity, you eat the food, it creates inflammation inflammation, cause something call the cortisol response there’s cortisol again, but don’t. All you need to know is: when is when blood sugar goes up. Cortisol goes up when blood sugar goes down, cortisol goes down when cortisol goes up. Blood sugar goes up, the cortisol goes down blood sugar goes it’s. A one-to-one relationship, okay, so and cortisol is highly inflammatory. So when your blood sugar goes up, you create a lot of inflammation. Okay, when your blood sugar goes. I mean I’m. Sorry, when your when you, when you have a like a bacterial infection. Okay, let’s. Talk about like you! Have a bacterial infection in your I moved on from stress. I moved on from food sensitivities. Let’s. Go back to eating. Okay! Let’s! Go back to eating. So basically I was talking about the diet. I was talking about us keeping our blood sugar under control, and then we eat something good and it goes up. A food sensitivity will cause an inflammatory response that inflammatory response will cause cortisol to go up and so and then cortisol will then raise your blood sugar. So a food sensitivity will raise your blood sugar. You’re on three medications. You’re wondering why your blood Sugar’s still up. You could have a number of food sensitivities. Most people by now know the number one food sensitivity out there that screws them up is gluten and it is, and then number two is milk. After that it’s, Katie bar the door. It could be broccoli, it could be anything we’ve done this for a long time. It’s, amazing. What people in you have food sense theories through. So so, if you’re watching okay, there’s, a couple of nuggets. You know you’re on medication. It’s, not working, maybe maybe eliminate gluten and milk products and casein from from there from your diet for a month and see what happens see if your blood sugar starts coming down. Another thing that would cause their blood sugar to go up would be. I had already started to move on to that. Another thing: wouldn’t, be stress. You’re sitting there, you’re arguing with somebody you’re upset. You’re thinking about your bills. Whatever it is, you get stressed, stress hormone, the main stress hormone. It goes up as cortisol. Cortisol raises blood sugar blood. Sugar goes up. If you’re in a chronic stress cycle, it’s hard to get your blood sugar down. Unless you handle that chronic stress cycle, you might do that by getting rid of stress. You might do that by meditation yoga. You might do that by using herbs or botanicals, but that stress is what needs man, let’s say I’ve stressed, and you had food sensitivities. Gon na be hard to get your blood sugar down. Okay, let’s, say let’s say you have a bad gut say you’re, let’s, say you get gas bloating and and and you gas and bloating, maybe diarrhea every time you eat fruits or Vegetables or starches, okay, that’s, called that’s, probably something called small intestinal bacterial overgrowth there’s, a bacteria in your intestines, that is, that bacteria, it’s called small intestinal bacterial overgrowth. That’s, the bacteria in small, intestine overgrowth, and that bacteria, actually, when when when, when those bacteria break down, they become toxic to the system, and then they cause the gas in the bloating. But what else they do is they can get through your gut and most people who have that have a leaky gut. They go into your bloodstream and they can actually alter the way your insulin works in getting the blood sugar into your cell next thing. You know you have insulin resistance or if you have diabetes type 2. This is going to add on to the stress this is gonna add on to the food sensitivities. This is gonna add on to through all of those things, and you put them all together and guess what you’re. That forum is not gonna work and the next thing you know they’re on to lantus. You know, and the next thing you know they’re on the Humalog and the next thing you know you’re in here ago. I got peripheral neuropathy and they told me nothing can be cured because I ‘ Ve got three, you know blood sugar medications and they said that there’s. Nothing can be done. We’ve, got it dad it’s great. It’s, not 600. Now it’s, honey. You’re still gonna have a heart attack or a stroke. So I’m, not sure why everybody’s so happy about that. But these are the reasons that your blood Sugar’s not coming down. Now I can talk about blood sugar for the next six hours in case you, you know in case you didn’t get that because each one of these cases could be expanded upon drastically. But the point is this: until you get that you know the whole summation is this is until you get to diabetes type 2. Nobody’s, really taking your blood sugar serious and when you get to die to be DS, type, diabetes, type 2. And if you’re on the diet and you’re walking, you’re exercising and and you’re. Taking three medications. You’re, pretty much done there’s. There’s like nothing else that the medical model will look at, but you need to, and there’s more okay, there’s more than the bacteria there’s more than just the stress there’s more than just the food sensitivities there’s, other things that will cause your blood sugar to not come down, and but those are the main ones. Those and those are the ones that you can really kind of kind of glom onto and and and maybe look at them in your own world. Now again, this is a part of fuel blood sugar. Blood sugar is you? Can you can talk about diabetes, type 2? For a long time, I’m, not gonna get into metabolic syndrome and syndrome, acts because those are just variations of pre-diabetes and and insulin resistance, and so so again it goes low blood, sugar, reactive hypoglycemia in some resistance and then pre-diabetes. All of those all of those are causing you physiological damage and all of, and if you have them, they are playing heavily heavily into your physiology. Source : Youtube

https://youtu.be/y7aRrzXZ81k In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses the importance of oxygen to our body and its ability to heal. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi, so we’re doing this week’s segment of functional medicine back to basics. I’m dr. Martin Rutherford certified functional medicine practitioner chiropractor. I am the clinic director here at power, health in Reno, Nevada and the author of power, health back to basics, and this a lot of what we’re. Doing in this series is back to basics. For those of you who just looked at this one, because you were scratching your head wondering what oxygen had to do with anything as far as getting better and you clicked onto this, this is part of a series on functional medicine. I’m, presenting classic functional medicine principles because I’ve, been in practice a long time I’ve been. I was one of the early functional medicine practitioners and now I’m, seeing a shift where I’m, getting a lot of people who are coming in who’ve already been the functional medicine practitioners, it hasn’t worked, and I have another group of patients who know not patients with what we have another group of viewers for those of you haven’t seen us. We have about 600 hours discussing chronic pain on power, health talk comm. We have a lot of viewers who have asked over a period of time. Okay, you’ve, told us what it is and we feel good about that. It’s great and I know I’m, not crazy, and but but now tell me how to fix myself. You’re, holding back on me and, and we’re, not holding back on you and that’s. What this whole series is about, we’ve, talked about what functional medicine is obstacles the cure we’ve, talked about how a functional history should be taken and how its pertinent we’ve talked about functional. How functional exam should be done and how nobody does exams anymore and and that there’s, so much data that you can get to them, particularly in the functional world, and then we talked about testing last week. I think we did testing last time. So so the series goes on, and now we’re, going to start to get into a little bit of what you might call treatment. But if you’ve seen any of the other presentations you’ll, you’ll, know that I have said that one of the reasons that what you’re doing online or what a functional medicine practitioner who May not be taking the time to practice functional medicine, why those things will fail is because you are missing the basics and over the next couple of weeks, we’re, going to be going over. What foundational things need to happen for your physiology to work properly and the basics you take supplements. You change your diet. Everybody wants to know about diet. We’re, probably going to talk about diet, a couple of segments from now extensively and – and I think that’ll – be very interesting because everybody wants to know about that. So everything on line is diet and supplements, but I took them and they didn’t work. This whole series is about why you took them and they didn’t work or why it took them and they worked for a little while and then they didn’t work or why the diet worked for you, but it didn’t work for your neighbor and and and and on and on and on and and and if you really are practicing functional medicine, you should cover all of those bases for the patient. You should know what diet they need eventually and there’s, not a lot of diets that you really need to consider. You should know what supplements that person these and I lady, come in here the other day and literally she was literally taking like 30 over 30 supplements multiple times a day. We’re gonna talk about that’s, probably not the way to go, but today we’re gonna get to back to we’re gonna get to oxygen. Okay, we’re gonna talk about following the fuel, so the first thing of the basics of getting better is to follow the fuel. Now, what is the fuel that makes our physiology work? The two main fuels that make our physiology work are oxygen and glucose, okay and don’t again. Don’t underestimate these suppose it’s, simplicity of where I’m going with this, because we’re going to talk about glucose in our next presentation. Okay, today is going to be strictly about oxygen, and you know people say well, you know I get oxygen. If the person’s like can’t, breathe and, and they’ve had a stroke or they’ve had COPD or they something like that. They they need oxygen, but the reality is is most of the people running around on planet Earth or at least in this country and well, and we’re finding out several other countries from people who come here. They don’t have enough oxygen going to their extremities. They don’t, have enough oxygen going to their brain, and a lot of us would argue. That means they. Don’t have a lot of oxygen or enough oxygen. Going to their enteric nervous system, meaning the nervous system that controls your intestines so oxygen. Is it’s kind of I don’t? I think most of you realize that if you stop breathing for a short period of time, that probably would be a good representation of how important oxygen is okay, but on a subtle level, we need oxygen to make energy. Okay, if functional medicine is about anything, it’s, probably about looking at all of the organ systems in the body. All of the feedback mechanisms in the body, all the biochemical systems in the body that contribute to chronic conditions that are not working and balancing them. That person who came in yesterday and yesterday in day before and she said – and I’m, taking all of these things to boost my immune system. Frankly, most people come in here. Don’t need to boost their immune system. They need to balance their amuses. In fact, we need to balance everything it’s really about homeostasis. It’s about getting your body back in balance to the degree that is possible based on your present condition and and the amount of tissue damage that you might have incurred or not incurred and oxygen is kind of oxygen and glucose are kind of The beginning, where you begin with getting your physiology better, so so so what about oxygen? You need oxygen to create something to create ATP ATP. You might better in the term as the term of energy, okay, energies made in your mitochondria and I’m. Not going to get into the whole Krebs ass, excite all acid cycle, but there are these little things these little organelles in your cells. They’re called mitochondria, most of you probably heard of them and mitochondria when they’re, not working, not only create fatigue, but they create an imbalance in your system. You cannot create homeostasis to the degree that you can or cannot create. Homeostasis you can or cannot help that patient’s physiology to help them to overcome many of the symptoms and many of the conditions that they have so it all starts with oxygen. Sleep apnea is something that is on the top of our list of evaluating when patients come into our office with chronic problems. I don’t care. If you’re coming with dizziness vertigo balance, migraines irritable, bowel syndrome, I don’t care. If you’re coming in here with fibromyalgia for apathy, chronic fatigue, you don’t have enough oxygen. Going to those extremities. You don’t have enough oxygen to go into the brain. You don’t. Have enough oxygen in the cells it’s not happening. One of the biggest biggest violators of oxygen is sleep apnea, and I I was actually turned on to this by one of my mentors and I remember sitting in the class, and I was kind of like taken back by it. It was like sleep apnea like wow, and he went on to say well it’s, sleep apnea causes diabetes, it causes heart disease, it causes liver problems, sleep apnea, causes weight, gain, it causes heart disease, it causes stroke and it causes neurological diseases. It even causes spinal or brain stem problems, and it’s listed as that one of the number-one and one of the top two causes of erectile dysfunction all of these conditions or conditions to walk in here. So he kind of got my attention on that and, as I delved more and more into sleep apnea, I started to realize that it creates a massive oxygen death said. I walk. I came back to the office after that presentation and I started asking a lot of my patients. Have you been diagnosed with sleep apnea here’s? What I’ve got here’s. What I got well yeah somebody told me that I had sleep apnea a while ago my husband says I snore all the time when I was like norm at the time my husband says I have to like he has to wake me up, because you know you Know he doesn’t know if I’m like breathing or not, but but you know I I don’t. I don’t know I didn’t, really go, get checked where I went or I went and got checked and they told me I had sleep apnea, but I didn’t. Really. I didn’t. Really. You know follow through on it and you know I didn’t. He didn’t. Tell me like whether was that important or not or yeah. I got diagnosed with sleep apnea, so my next question for that person would be. Are you using your CPAP man? I hate that thing. It’s on my face. It doesn’t work right. It’s, it bothers my sleep and and the statistics that that were presented in a class where that only 30 % of the people who are diagnosed with sleep apnea use their CPAP. That was about the statistics I saw in answering my in questioning my patient population, but what was more stunning was almost 80 % of 70 to 80 % of people. I asked that yeah I’ve either been diagnosed and sleep apnea. I’ve, been checked for it. I’ve, been told. I have it or I have it for sure, and I’m and I’m using my CPAP or I’m. Not that was pretty stunning. The next thing that I did was tell people. Okay. If you don’t start using your CPAP, we’re, probably not going to get as good a result as we get the results varied from mild to moderate doc. I don’t know. If I need to do your program anymore, because my peripheral rough, these better, my dizziness, is better, my vertigo has gotten better. I’m sleeping for the first time in 20 years, so yeah. It helps it helps getting the energy in there’s, help my hands have gotten warmer. It seems like I’m, responding better to the program, but following the fuel, getting the proper fuels in your system is is, is critical to being able to have your supplements work better. Your supplements will part of them, will work by breaking down and and and then becoming part of this krebs acid cycle citric acid, so that causes that creates energy. You need energy to get better, so sleep apnea is like it’s like on top on top of the list. If you’re, not making oxygen and sleep apnea, I now think is one of the top causes that I see here in my office. You’re just sitting around making lacketh lactic acid lactic acid. Is that stuff that burns? When you’re doing exercises, or you’re lifting something and your muscles start to burn, and there’s, a whole chemistry behind. Why that burn? Is there and it’s there to help you to get more glucose into your into your muscles? But you shouldn’t, be sitting around burning. You shouldn’t, be sitting around creating lactic acid because you don’t have enough oxygen in you and you’re. Making a lactic acid, because you don’t have enough oxygen to lift the heavy weights or and those types of things, and it’s highly. That’s highly inflammatory, so so not having oxygen in your body. What it! What is one of the keys that we will talk about eventually, one of the keys to overall chronic pain. One of the keys in most cases is chronic, inflammation, okay and, and you become as a functional medicine practitioner and in if Lemaitre, and one of the things that causes inflammation significantly is lack of oxygen. So sleep apnea is is a topic that is on the top of my list. When I’m talking to my patients, every patient that walks in here gets their blood pressure taken and all of you get your blood pressure taken and you go to the doctor and the doctor says: wow, you have a low blood pressure. That’s really great! You know you’re, never gonna die of a heart attack and you’re, never gonna die of a stroke. Well, you may not die of a heart attack. They may not die of a stroke, but you probably not going to get better either and you’re, probably going to have chronic problems, because low blood pressure creates a situation in which you you, don ‘ T get enough oxygen going to your system when you have low blood pressure, you’re, not getting enough oxygen. Going to your head. You don’t, have enough oxygen going to your extremities. You don’t, have enough oxygen. Going to your feet, so this is, if you have cold hands and feet, and and and and and you’ve tried to get your cold hands and feet better by doing a number of things, one of the things that will cause you to not Have enough oxygen going, there is low blood pressure. You need enough blood pressure. You need a high enough blood pressure, preferably high enough meaning normal blood pressure, for you to be able to create enough of a pressure so that so that your heart here in the living room, okay, needs to be able to get the blood up into the Attic. To your brain, you need it for that. You actually need a blood pressure, higher blood pressure, more normal blood pressures, so that you can literally without getting too scientific push the nutrients in through the cell walls or through the arterial walls into your cells. If you don’t have enough pressure. There, you’re, not going to be able to get the nutrients in to your into your into your cells, and so all those supplements you’re. Taking you’ve heard the oh. I’m taking supplements. Maybe I’m, not breaking them down. Maybe I’m, paying them into the toilet. Maybe I’m as we’re. All, oh, that’s. True yeah! We’ll talk about that when we talk about supplements and and and and and the nuances that the low blood pressure is something that needs to be corrected, because low blood pressure will not get things where they need to be. If you come in here, and you have dizziness vertigo balance headaches, you have anxiety, you have depression, your panic attacks, you have fatigue. These are all the brain is a big part of all of those okay. We many of you watch know that we practice functional medicine. We also practice functional neurology. This series is not about functional neurology, it’s about functional medicine, but you also know that we practice them both because everything that affects the brain, everything that affects that it’s affecting you affects the brain chemically and the brain. Pretty much controls everything else and affects the rest of your system. So we put the two two therefore, and it seems to work pretty well, so the brain needs proper blood sugar, which we’re talking about next week, right, proper fuel. It needs absence of inflammation, which we’ll, be talking about in a segment in the future. It needs proper, essential fatty acids, which we’ll, be talking about in a set in a segment in the future, and it needs proper oxygen. Your cerebellum, the the part of your brain that sits down here, and it has a lot to do with dizziness and vertigo imbalance and postural muscles and blurred vision and it synchronizes your whole brain uses something like 40 or 50 percent of the oxygen that comes into Your body, okay, so we need the oxygen to to to be able to get brain function, feel normal mehar to get a brain to work. If the chemistry is not right and oxygen is probably the biggest player it’s, it’s. It I almost have to say oxygen and blood, sugar and and inflammation are close, but oxygen is definitely the number one player if you have low blood sugar, that’s. Eighty under 64 for a young person, if you have blood pressure for an older person, that’s 90 over 65, maybe maybe even maybe even a hundred under under 100 over 70. You know you’re. Just you’re, not getting blood to your brain, not getting blood to your brain. You’re, not getting blood to your extremities and and and so it’s. It make and you’re, not getting blood into the cells and and if you have high blood pressure, most people know we have a big thing in this country about hi we like high blood sugar. We’re gonna talk briefly about that in the future, but we’re gonna talk a lot about low blood sugar, okay, well, hypertension. Most of you are familiar with high blood pressure. High blood pressure does a lot of bad things. One of the things that does is is constricts your arteries and if it constricts your arteries same thing, it constricts your arteries. You can’t, get you get vasoconstriction, you can’t get the blood where you need to get it, and so blood pressure is vital for us. Normally, blood pressure is a part of what we need to address anyway. To help that person to normalize and and and and and this is considered again, this is considered foundational to us getting the blood pressure under control is considered foundational to us. You come in here with three blood pressure: medications that’s kind of a red flag. That means like wow. We have three blood pressure medications. We got an issue here. We got to get other control because that’s. Doing a lot of bad things, including not allowing us to get let’s, say the nutrients that we’re using with people to get where they need to go so again: oxygen. High blood pressure, low blood pressure, low oxygen, sleep apnea. They’re kind of foundational things. Okay, what else would cause lack of oxygen? Okay, going. Sarah, I heard three of you out there say: anemias, okay, anemia is caused lack of oxygen. I that’s, a kind of like a duh. If I have anemia, I don’t have oxygen. Okay for those of you, don’t, know the chemistry of anemia. Basically, if you, your your oxygens, carried around your system and delivered to all the different places by your red blood cells, if your red blood cells are low, you have low red blood cells. Then then you have an anemia hard to get oxygen. Two different places: the anemia is, we see the most are our iron deficiency. Anemia is, we see, we see b12 anemias and they they need to be corrected and they’re fairly easy to correct. You have the person iron, you have the person beets. Well, but we get the one we see most commonly is the anemia of what we call the anemia of chronic disease. Now that’s, not the anemia that you’ve ever heard about most likely. If you have it, it’s, you, you’ve, heard out about it like this, you have chronic anemia and we checked everything there’s. No bleeds you don’t have fibroids. You have any of the reasons you don’t have ulcers, you don’t have any of the stuff that would cause the chronic anemia. So we don’t want it to we. Don’t know what it is, that’s, probably normal for you, so just live with it. Well, it’s. Not normal nimi is anemia. If you have low blood cells, you’re, not carrying you &. # 39 re not carrying oxygen to your brain, to your extremities, to your intestines to your feet. It’s, just not getting there. It’s, it’s, so what we have come to understand is that chronic anemia is usually an anemia of chronic disease. Now it can be an iron when there’s, inflammation iron will not break down properly and get into your bloodstream, and thus you ‘ Ll have low iron in your bloodstream, and you ‘ Ll have an anemia. What causes that anything that causes inflammation can cause that anemia, so I mean to just hit a few: you can have you’re gonna have high blood sugar that causes inflammation. You’re gonna blow blow sugar. That causes information. You have gut infections that causes inflammation. You can be stressed that causes inflammation. You can have an emotional trauma stress which you’ve, had your whole life, that causes inflammation and on and on and on, and we’re, probably going to do a segment on inflammation. So so, and so these chronic anemias that people have these are significant. They’re, not when you’re, told oh, that’s, that’s normal it’s, not a problem. Don’t worry about it. It’s, it’s, it’s, it’s, just it could be, it could be a gluten sensitivity yeah. It could be so many things. It could be. A mycotoxin there’s, so many things that cause it, but those things that are causing it are known, and the point here is, is not only do you have the anemia of chronic disease where your low Bloods, where were you where you have chronically Low red blood cells, okay, chronic anemia, but many of the things that are causing those chronic anemia are also the things that are causing inflammation, that’s, contributing to your chronic disease, so anemia oxygen basic, you’re gonna hear me Say we’re gonna be on basics for a while, and you’re gonna hear me say the basics not being attended to are for sure part of what’s, causing your foray onto the internet to not Work: okay, whether it’s, a diet, whether it’s supplements whether it’s, breathing exercises or whatever. So so so so these basics are there treatment, but they’re treatment that people don ‘ T pay attention to they’re, presented to you in a fragmented manner. They’re, not really connected to anything. You have fibromyalgia. Nobody’s, telling you that you need to breathe better and you’re like yeah. I need to breathe better because I need to like live, or sleep or III need oxygen, so I can feel better. But but nobody’s really connecting it to the chronic conditions that are coming in and and treating it as you would treat a medication or, as you would treat a pill or as you would treat a diet or you were treated in our case. Like brain rehab exercises, it is that important and and so other things that will cause a decrease in oxygen: okay, low t3. What is t3 for those of you who know it? That is it’s. It’s, a thyroid hormone, so so hypothyroidism or Hashimoto’s. Thyroiditis will cause low t3 t3 is the thyroid hormone that gets into your cells, and it actually contributes to this. This mechanism that we talked about earlier in the mitochondria that will also cause not cause you to not have enough energy. Okay, and if you don’t have enough energy. Then there’s, going to be a cascade of things that are going on. You’re gonna get low blood pressure. You’re gonna you’re gonna you’re gonna have your physiology, just as not everything is going to slow down your guts going to slow down your your your your stomach’s. Gon na slow down, all of these things are going to slow down because you’re, not making enough energy, and you’re gonna be looking at it and going well. Okay, I got low oxygen and now I’m doing what you told me to do, but it’s not coming up and then you find out. You have a thyroid problem, and now you treat that person’s thyroid problem now their t3 comes up to normal and all of a sudden, the oxygen that they’re taking starts working. Now I went through that because I’ve been again. This goes back to those of you want to know why we weren’t able to tell you how to get better. Those are vicious cycles. Those are vicious cycles. Do you? Do you take care of the oxygen? Do you take care of the t3? Do you take care of the chronic anemia, because low thyroid is another one of those causes that will cause the chronic anemia it’ll slow everything down, so you just can’t make enough red blood cells. This all goes under the heading of follow the oxygen. This is the first step that we take when people come in is is following as though, after we do the history and so on and so forth, and we gather all the data if the oxygen is low. We have one doctor that just specifically works with those patients on getting their oxygen, that we use oxygen here in our treatment. We actually take people in the back. We do brain rehab exercises and we use oxygen. Part of the reason is we’re in Reno Nevada. We are at 4,000 feet. I think 4,200 feet right here at the base of the city, and so we have less oxygen here than they have in say, San Francisco, which is a couple of hours from here, and we noticed that all of our patients, red blood cell counts, were high. That’s called polycythemia. If you here would look up polycythemia, you can kind of freak out about it. A little bit except everybody here has probably psyche mia, because we’re at a higher altitude. You have to make more red blood cells for the oxygen and, and so we started to understand and reason that a lot of our patients needed oxygen simply because they weren’t getting it because for some reason, their bodies, weren’t. Adapting and we started using oxygen concentrators and we put an oxygen concentrator on people while we have them doing their brain ring, rehab exercises, and just with just from that, we see noticeable differences. We recommend exercise with oxygen therapy to patients now and that could mean having buying a used oxygen concentrator at home and and using it on your treadmill or use it on your bike. You stick it on and I can’t prescribe and I can’t tell you how much to do it, because I can’t. Do that? Okay, I’m. Just it’s, a it’s, a kind of like a malpractice type of thing so, but I can tell you that it helps that it helps our patients. It’s, a very low-grade way of increasing your oxygen. So so thyroid anemia of chronic disease, high blood pressure, low blood pressure, sleep apnea – these are the ones that we see that are that are controllable or that we can address within the framework of our functional medicine model. There are things you can do for low blood pressure, and you want to talk to your doctor about it. You know there there are herbs that you can use to bring up your blood pressure. It’s all over the internet. You can use licorice, you can use things of that nature you can, you can use salts must be made. You know if you look online, everybody’s. Gon na tell you take teaspoon fulls of salt. Do it with your doctor’s, recommendations, talk to your doctor, your doctor might tell you nothing not to bother having low blood pressure is really good. You’re, not gonna die from a heart attack or stroke, but believe me, you having enough having enough oxygen in. There is a big deal now. Those are kind of things we can control things, we can’t control, and I and – and I and I in list these also among obstacles to cure. If the person can’t do this and can’t can’t change or, if or if they have an irreparable problem in irreversible problem, chronic obstructive pulmonary disease. We treat people with that, but I warn them ahead of time. We’re gonna get a limited response because you’re, not breathing. Well, you’re part of your lung is damaged and we’re. Not going to be able to get enough oxygen into the places where you want to, but I don’t have like this crystal ball, to tell you how well you’re gonna get so we’ve had varying Degrees of response, but surely we never get responses as well as we do with people who don’t have COPD asthma, asthma is kind of an interesting one. Asthma severe asthma is can be a problem. We see it a lot in kids, but, on the other hand, asthma seems to be more of in an immune, inflammation type of a situation that’s, really exacerbated by stress and allergies and and the vast majority of time we actually treat asthma. The vast majority of time the asthma will ultimately get under control, so we’ll, actually use supplements that will increase oxygen to the person in a case like that, because they don’t have enough oxygen going on smoking cigarettes. I used to not take people if they were smoking cigarettes and then I thought well it’s, not fair. I just need to let them know they may need to like know that we are. We may not get as good a result and then we didn’t get as good of results. We talked to people about it. I let him know that they they they would be better off smoking cigarettes. I have people who would just stop smoking immediately when you stop smoking immediately. When you stop smoking, your blood pressure will reduce, usually within about 72 hours by the way, and and so so not only does it not only smoking decrease oxygen to your brain by like about 40 %, but it causes it contributes to high blood pressure which constricts Your arteries, which causes less oxygen. Okay, we’ve, used a clinical hypnotherapist to help people stop smoking. It’s. It’s, not something that’s. Gon na stop me from taking people on, but it’s, something that that’s. Gon na cause me to have to sit down and kind of, reassess the prognosis and and set some realistic expectations, because those people are gonna do as well. That’s aside from the chemicals that that the cigarettes cost lack of exercise. You know you need to get up and walk around. We’re, going to talk about that in one of the in one of the presentations that we’re gonna do, but you know right now. I just have I’m gonna point. My life, where I’m working a lot and, and I just don’t – have the time to do exercise the way I’d like to do it. I have a little black dog that runs around here and I take that dog for a walk every night and I and I’ve, got it unfortunate. I got a neighborhood that’s, kind of hilly and I walk up and down those hills. Sometimes I walk 20 minutes. Sometimes I 4045 minutes. I do a little stretching. I you know I, but I get exercise – and I do a couple of just very simple yoga – exercises totally to keep everything flowing, to get oxygen to my brain, to get oxygen to my hands, to get oxygen in throughout my system so and then and then the Biggest thing that causes oxygen deficits – people come in here is stress, and I I don’t know. If you, you’ve ever paid attention to how you breathe most people, don’t breathe from their abdomen anyway, which is, I wrote a book called back to basics, power, health back to basis, and I’ve old chapter In there I’m breathing and it all chapters just on one, simple, breathing technique that shows you how to breathe with your diaphragm it talks about. It opens with a story about how the first Americans, the first white people that that came upon the islands of Hawaii, were we’re laughed at by the Hawaiians and they called them Halley’s. I think a lot of you and Hawaii know that you call white white white Caucasian people, Halley’s and holly ‘ S means men without breath that’s, what it means and they were laughing because everybody was breathing like here. Nobody was breathing from their abdomen. Okay, nobody was breathing with their diaphragm. The number one reason people don’t breathe from their diaphragm is stress because when you are stressed there’s, something called your sympathetic nervous system and it takes over and it kind of paralyzes your diaphragm to certain degree. During the period of time that you’re stressed well, I’d, say at least half of this country is stressed all the time. At least me right now, at least based on my observation. Certainly there is, there is a it &. # 39 s, a rare patient who comes into this office with some sort of a chronic condition who is in an a chronic fight/flight response? But if you become aware of that, you can learn to do some abdominal breathing. We teach almost virtually all of our patients to do this on the first visitor to you can do you can learn a simple abdominal, breathing technique and you can actually use those techniques, not just oxygenate your body in your brain and but you can use those techniques To calm down that stress response, because when you do that it’ll calm down that fight/flight response and it’ll allow the relaxation response to come back in and if you ever happen to be relaxed notice. You’ll. Probably notice you’re breathing from your abdomen so way so, but this is an important part of oxygen. If it sounds silly to you, then I’m. I feel bad for you because you know we’re, really one of the things that I’ve noticed over the years of doing this, and this is my 40th year as my mom I’m just about to enter My 40th year in practice, is we really we really and are enamored with all the new things that come out and and there’s value to many of them, if not all of them, but but it’s, not about the new Things getting well is not about the new things getting well is about breaking the is fixing the things that are broke. First, it’s, it’s, it’s, it’s bowing to nature, and nature says you need oxygen in every cell of your system. You need proper blood sugar. You need proper, essential fatty acids. You need a lack of information. Nature says you should only be stressed for very, very short periods of time when you need the energy and then you should be in a relaxation mode. This may sound silly, but these are the things that we drive home with patients. We give them techniques to do these types of things, and I know, and you’ll hear me say this a number of times. This is just the first of the basics that we’re talking about. But when we fixed the basics of oxygen and when we fixed the basics of blood sugar and when we fixed the basics of essential fatty acids and then fixing the basic of getting rid of inflammation becomes quite a bit more complex in a lot of different patients. But when you get the hose under control a lot of times, these mystery diseases that people have come in with start to not be a mystery anymore. A lot of times these patients get 50 60 70 75 % for better. Just doing that, and before you even get into the functional the actual functional medicine part of things, so that’s oxygen, you know the basics, never go away. The basics will never go away. We are human beings we have to. We have to. We have to kind of adhere to certain rules. We’re. You’re going to know. If you follow this series, you’re, going to know what all those rules are. You’re gonna know that those rules are gonna dictate your success. If all those rules, don’t get you better and you’re still sick and you go to a functional medicine practitioner for you. Those are your functional medicine, practitioners and watching me, I mean I mean it’s not like. I know everything, but I’ve been doing this for a while. We have a lot of people come here after they ‘ Ve been to ten functional medicine practitioners. Now these are the things that are being missed and if you, and if you don’t miss them and you do go to your functional medicine practitioner, your functional medicine practice gonna find it. You get a lot better result with the types of things that they do so that’s oxygen I mean I could talk on oxygen for a long long time. Maybe this all. Maybe this will cause you to maybe look on the internet and and and and and look these things up and and investigate that next week we’re gonna, but this is following the fuel okay. This is kind of, like the basics, part one of foundational functional medicine, and this is, like part, part one of two parts of following the fuel. Next week we’re, going to talk about sugar, the two main fuels to your system or oxygen and sugar. We talked this morning about food being your fuel, but really the foundational fuel is oxygen and sugar. After we talk about those, then we’ll, get into diet and we’ll. Give you our observations on diet relative to people using diets to get well. Okay and – and i’ll and i’ll. I’ll, give you my will give you our our experience on it and and diets one that i also hesitate to get to, because there’s. I’m out there and everybody ‘ S got their variation of every single diet, but I think I can break that down for you. So next week will be sugar, it will be blood sugar, it will be high blood sugar. It will be insulin, resistance, it’ll, be metabolic syndrome, it’ll, be reactive, hypoglycemia and and and how the how that plays into so much of what what people are coming in here with. So, thank you for watching again. If you have any questions or comments, you can send them. The power health talk calm and we are looking for direction. You know I want to. I want to make this valuable time for you. So so, if you have anything that you specifically want to hear about this morning, I heard that we specifically want to hear about diet. We will definitely cover that in either a whole segment or as part of a segment, and we’ll. Let will let you know when that is so until next week. Thank you for watching and take care. You Source : Youtube

https://youtu.be/3NqHRYgeT-Q In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses proper testing and how more testing is not always better. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi I’m Dr. Martin Rutherford back again with our functional medicine back to basics series I’m Dr. Martin Rutherford, chiropractor, functional medicine, practitioner or clinic director here at power, health in Reno Nevada, and today We’ve done history. We’ve done. It is a series for both some of you who, just for some reason, poked. You know, decided to watch a video on testing. We’ve already done a general overview of what functional medicine should look like. We’ve done something called obstacle secure. We have done the history and the application to a functional medicine practice versus a medical practice. Same thing, with with the testing we’ve done testing, functional medicine practice versus a medical practice. As far as the exam exam testing, and today we’re, doing lab testing. We’re. Probably there’s. A lot of lab testing that you can do there’s, a lot of specialty testing that depends on who you’re, treating what you’re treating, but I’m going to go over the core of Testing today and I’m gonna make, I’m gonna try to make it clear what the confusion is out there relative to lab ranges, and also I’m gonna walk through kind of a just, a General overall basic testing test list of tests that I choose from to run across the board on so many of our patients, because it’s relevant to our patient population and our patient population is, is chronic pain, autoimmunity pretty much anything short of cancer. That comes and won’t, go away yeah, essentially so so that’s. We’re gonna do today, and I’m gonna start off with lab testing. One of the things that propelled functional medicine into the into the into the lexicon into the conversation was was the the changing of lab mangez. Now, when you go to your doctor, you go to your doctor and you get a lab test and the lab test has has the wit they’re testing, so it’ll, say glucose, and then it has the result. In this particular case, it’s 94, and then it ‘ Ll have something where it’s a flag and that flag will say high or low or normal, okay and and and then that flag is usually relevant to the range that they say you should have for glucose. So in here the range would be 65 to 99, all right, and so, if you’re in that range, they would say they would say nothing if they were above it below it, the flag would say high or low okay, so that’s pretty basic, I’m feeling. Most of you are pretty familiar with that. If the problem is is when we started doing this, and – and we was a group of doctors that I was involved with a long time ago – and and we were on a boards together – and we shared information and and and the problem was that, as you’ve already heard everybody comes in here, and everybody probably comes into most functional medicine. Practice comes in with lab ranges that are normal. There’s, nothing wrong with yesterday. Yesterday, one’s, got polycystic ovarian syndrome and the other one probably has Graves disease, which is a fairly serious thyroid problem. But yet both of them had normal ranges, they all had. They all had the labs. I mean they all had that. All of the symptoms of these conditions, but they’re, but they’re live ranges were normal. So what do we do with that back then? What do we do with that? Well, there’s. A gentleman named Harry Einar. He is a biochemist at a –, biotics and Harry is a pretty bright guy and Harry spent. I believe, ten years taking all of the pathological lab ranges and shrinking them down until they started to look like the patient sitting in front of us. If the patient sitting in front of us has had a polycystic ovarian syndrome, maybe they’re losing their hair, or maybe they got? Maybe they’re overweight? Maybe they’re. Maybe they’re having bad period. It’s, hot flashes, to lengthy periods to short periods. Anything you know too heavy bleeding too little bleeding they can’t get pregnant, they can’t carry the term, yet all their lab tests are normal. Okay, so Harry spent a long time looking at an awful lot of lab tests and bringing them down until we. This this lab range is the lab range that says there’s, a problem here so, for example, in the in the example I just used glucose in this lab here in Reno Nevada. This labs range is 65 to 99, for your glucose Harry found that once you get to 65, your brain is practically dead, because glucose is the main nutrients of your brain and if you lose too much glucose, you’re there, but that’s, the normal range interesting so Harry, says from all of the data that he and numerous doctors collected over a period of I think was about 10 to 12 years that it should be 85 to 99. Now that’s now called a functional range okay, so in other words we’ve. The vast majority of ranges were tightened there’s, a few that were widened and and and they were and and each one was done. So to reflect the patients that were sitting in front of us now, the range that comes from the medical community is usually designed to pick up pathology and, and frankly, it fits today’s. Medical model and I’m, not anti medicine. I’ll, get that out of the way. Okay, as you’ll, find out as I go through this series, but but but but those ranges are for pathology, the medical model, the insurance model, the diagnostic code model. All of these models are based around pathology. I gave you two perfect examples. You know dementia people who have dementia there’s like seven ranges of dementia and Alzheimer’s. There’s like seven ranges of Parkinson’s; disease there’s and it’s. Seven, seven, seven different stages, not ranges, seven different stages or something like a kidney disease. There’s there’s, depending on which which diagram in which rating system you’re. Looking at there’s, either four or five stages to kidney disease function in all of those, there is a there. The the in the medical community, there is mamada Liz to wait until you start to see all of the symptoms in the in that that they ‘ Re allowed to look for in that person and you must have the damage, in other words like in Alzheimers, Parkinson’s. You must see the Lewy body damage in the brain. You must see on this MRI. You must see these white spots, okay or or the alpha synuclein, that for the Alzheimer’s there or or if you’re talking about the kidney, I mean the kidney you just they just keep. Looking at the bun, the create creatine rate, they just look at it at the kidney markers, but those of you have kidney problems know what I’m about to say it’s, correct where the kidney it’s. Pretty much wait until there’s, so much pathology and and and it stops working and then what what you want dialysis. So the point is, the medical model is built around kind of oddly different things. One is like acute come in. You know you. I have acute bacterial infection or cubano infection, kill it kill the bacteria, get it and get it under control as quickly as possible. On the other end for chronic problems like walk in here, all the time it’s, wait until it’s so far gone because not because they want to, but because that’s, the model. The model is to wait until we can see something on the MRI see something on a cat scan and then we’ll treat it. These ranges reflect that you can have pre-diabetes for ten years before it actually shows up in your medical model. Ranges. Okay, I should use the term pathological ranges, but in the meantime, you’re having irritable on shakiness, you get tired after meals, you get irritable and shaky. If you don’t need anything, you know you’re. Putting on weight you can’t get rid of it. You have all of the symptoms of free of high and low blood sugar symptoms craving foods. You eat, you eat food, you feel better. You eat food. You fall asleep afterwards. That’s, a combination of high and low blood sugar symptoms, and that’s. What people usually have insulin resistance? They’ll experience that for 10 years before it gets into a pathological range and what is that pathological range? It used to be diabetes type 2. Now, if you look on these tests they actually have a pre-diabetic range, but still it takes 10 years to get into the pre-diabetic sorry. So I have a patient sitting in front of me. They have small fiber neuropathy, one of the most common causes of small fiber neuropathy is pre-diabetes, but their numbers are normal because they’re using the pathological range which more or less is for diabetes, okay, but they’re, not getting treated Because it’s going to take ten years before it gets to diabetes, and at that point you got numbness. You know your feet are starting to turn blue and now the doctor will say: okay, let’s, do a nerve, conduction velocity and hopefully that shows something and if it shows something they ‘ Ll give you a gabapentin, but that’s, that’s. Pathological ranges and functional ranges. You’re picking things up, hopefully before it’s, creating the damage that becomes permanent or the damage that becomes irreversible. It’s, you’re, picking up abnormal function and and and you’re doing that by looking at it earlier and and this this glucose range number is perfect. Example, I mean 65 by the time you get down in the range in the medical model and the physiological model 65 to 99. The range in the functional model is 85 to 99. So if you dip below 85 and you’re 80, your doctors telling you normal, we’re. Looking at your symptoms and you’re, getting irritable and shaky! You’re nodding off, you. Have you got sugar cravings? We look at that and go you know in the functional range you are. You have low blood sugar and we need to treat you for that and we use a combination of the history forms that we talked about in the last couple of presentations to see what that patients, where that patient’s. Symptoms are every week because we will actually go by those symptoms and by the functional ranges and – and it can get pretty complex in in trying to figure out what’s wrong with somebody. Just give you an example: I’ll stay with blood sugar. I have this happen all the time because blood sugar, as we’re gonna talk about in the next couple of presentations, is foundational to you getting better. If your blood sugar is not pristine it, it creates a lot of abnormalities throughout the body. Sigh roid brain anxiety, inability to sleep install through the night does a lot of bad things, and so you’re, trying to fix stuff and it’s, not working because your blood sugar is off. Okay, you’re, trying to take an herb for staying asleep, but it’s, not working because your blood Sugar’s dropping in Melanie. Why so? We need to know about blood sugar, but but it’s hard, because I just got done talking about blood sugar and saying you could be pre-diabetic for 10 years before it shows up. So what we do is in blood sugar. We actually have people take their blood sugar, two hours after after they eat every meal, and some of our patients are eating six times a day. Some of them are eating three times a day. They take it after every meal, and then that gives them a number. Then we look at their assessment forms that we have people fill out every week and those are the symptoms. Remember the symptoms can be there for 10 years before you have a problem, and then we look at the blood panel. We have regularly have this happen where the blood panel says they have high blood sugar, the the the the blood glucose or that their thing says they have low blood sugar and their symptoms say they have something else, preferably in that case it would say they have Been some resistance, what we would do is we would treat the insulin resistance because the because the symptoms believe it or not in that particular case are more accurate. We’ve had just the opposite. We’ve, had the home, the home test tell the person that they have high blood sugar. We have the a1c glucose tone, they have low blood sugar and then we have the symptoms, saying high blood sugar without getting into that a great leg. There, probably in some resistant to moving from high blood sugar to to from low blood sugar, it’s, a high blood sugar. So I’m, not trying to confuse you. I’m just trying to show you pathological ranges versus functional ranges and and and and and I’ll just say this okay Cleveland Clinic is now doing functional medicine. They are adopting many of the functional ranges that are still not being adopted in labs. Around the country Mayo Clinic has adopted the functional ranges for autoimmune thyroid disease. It used to be in the pathological range used to be 0 to 100. For as long as I’ve been a functional medicine, it’s been 0 to 9, so everybody from 9 to 100 is being told you’re. Fine, they’re, not, but they have all the symptoms of an immune attack against their thyroid 20 out of 20 symptoms. But they’re being told they’re normal because they’re, 40 and and and and now the range in a lot of the labs is 0 to 32. On that, for those of you who may have Hashimoto’s and go no, those are those are wrong numbers. Now there’s 32. In a lot of labs, we have a hospital in town, a 0:32. We have another hospital in town. It’s 0 to 9 in the pathological range, so they’re coming down to these ranges, and I think it ‘ Ll continue to do so because they’re, finding it more effective to be able to treat people before the damage is so far gone that that you can ‘ T that you can’t do anything for them, so that and so to two subjects. Why are the ranges different and and this story in the labs? Okay, what you? The ranges are different because each laboratory that you go to really does kind of a bell curve of all the people that are coming in and then they kind of cut off the ends and and then they use the ranges that that patient population has for their Pathological range and in whichever they’re embracing if they’re embracing 32, is the range or 33 or 34 is the range or 0 to 40? Is the range or 0 to 16 is range, whichever ones the closest, when they do that? That’s, the range that they use, that’s, why they differ from lab to lab? But you’ll notice that these numbers tell a story: okay, we just got done talking about. We just got done talking about blood sugar, and we got talking done talking about how you have to really they tell a story and they’re, not accurate. There’s. All I actually was at a seminar this year in which the doctor, whom I have had a lot of respects for said the only truly accurate blood test out. There is the strep test and I raised my hand. I said you mean like in infectious diseases. He said no, I mean like period. He said that’s, really the only accurate test out there IIIi think I can embrace that, based on under based on looking at thousands and thousands of labs and seeing how they are, how they are and and – and you have to understand the the Body, the body is a mechanism of millions and millions and millions and millions and millions of chemical reactions that are going on all the time. Many many many many vicious pathways, a vicious cycle pathways and and and and so the medical model again goes back to. We’re gonna target, one particular aspect of your physiology and that’s. How these tests are used in the medical model. You have something with your kidney. Then we’re going to well. I just used that as saying they’re, not kind of too much for your kidney and they’re not, but they might do something for your kidney. They try to ameliorate it until it fails and then it’s. In and you’re put on on dialysis, but but but the medical, but the functional model is, is not to is not to wait for that to happen. The functional model is look at this and and look at this cycles and systems. So the functional model is to look for the story in these labs. So, for example, if you have somebody who has a heart problem and and and and they do all these cardiac that I forget – which one now it is there’s, a lab it ‘ S like Harvard has a Boston. It’s. Boston has a cardiac screen that a lot of doctors are doing now and then it’s. Give you statin drugs. If you’re a doctor or it’s, give you coq10 or let’s. Give you whatever that for your heart, but here’s, a thing: okay, we in functional medicine, we don’t even really have a section on our metabolic assessment form for heart, okay, and when I was just looking at a lab this Morning with a gentleman who’s had multiple heart attacks. He’s on statin drugs, but we’re, not going to treat his heart because that’s, not functional medicine, functional medicine is why did your heart clog up the reason his heart clogged up is because there was inflammation In the arteries in his heart – and he may or may not have had a high what’s called c-reactive protein C reactive protein is an inflammatory marker for the heart, but but hopefully he did, but if he has a high C reactive protein, you Know there’s, an inflammation in the heart. The medical model is let’s, do something and give something for that inflammation. Let’s, go in and do that and and them and the functional model is like wow. Okay. What’s, causing inflammation and, interestingly enough? We you will find that that that those inflammatory markers are they can be caused by so many different things and and and one of the things that can cause it is blood sugar. So I’m. Looking at a heart problem, I’m gonna leave. Looking at that person’s, blood sugar – oh wonder of wonders. The gentleman has blood sugar problems. Okay, he has. He has a1c of eight, which means he ‘ S got diabetes type, two okay! Well, why is that important? Because diabetes actually will break create the inflammation first of all, and then it causes you to not that your insulin, doesn’t work right. It causes you to not get this. Your your blood sugar into your cells, it ‘ S got to go somewhere, it breaks down into triglycerides. We can. I could spend an hour talking about why your cholesterol panel is not about cholesterol or triglycerides or low-density limits. It’s about blood sugar if you have high, triglycerides and and and and everything else is normal. You’re, getting blood sugar problems and you can tell that from the triglycerides. You can tell you’re getting pre-diabetes years and years and years at a time so, and so it’s. It’s, so so the point being that it there’s, a story there. It’s, the heart it’s, the inflammation it’s. What’s, causing the inflammation? The diabetes is probably what’s, causing part of the inflammation. The diabetes is actually hitting the the is causing the high blood panel. So if you have high cholesterol and you have a bad heart, what are you gonna do well in the medical model, you start treating. Basically, you usually give a statin drug to make sure that this doesn’t clog up, and then you start treating the cholesterol wrong. You would treat the diabetes and when you treat the diabetes, the cholesterol panel would get better. The inflammation would cut and wouldn’t be now and if you’ve caught it in time, you’re done, so this is functional, medicine versus pathological medicine, and this is – and this is how you read the labs. So I do that that took a little bit of time, but but it’s. It’s. It’s, a challenge in here when people come in and I go through the functional labs and they go. But my doctor said it was okay and I want to say I know your doctor said it okay and but you still have your problems and you’re here. So so let’s. Talk about the let’s. Talk about functional norms, so some of the and some of the interesting things I could walk through this whole. I could walk through this whole lab process and and and go through all of these labs, and I’m. Just gonna hit some interesting things here that might help you to to to assess your cases better. The djinn, the genesis of this whole series was that power health has like six or 700 hours online yoga power, health talk comm, you name it just about anything. Comes in here we have a presentation on. Some of them are short, some of her very lengthy. I think there’s over a couple of million views on them. They’re there. They’re well received. We got a lot of good feedback, but people say, but you’re, not telling us how to get better. So I’m walking through this whole procedure. To tell your wife, we don’t. Do that, but also to help you to know what you know, what should functional medicine look like if you walked into it? If you’re, really walking into it, you want to get. You want to get a real functional medicine feel when you walk into an office, and frankly, there’s, no discipline board, or there’s. No regulation board on functional medicine, so anybody can call themselves a functional medicine practitioner. I’m gonna walk through some, so I’m gonna walk through some of the more salient things I like that. I think you might be interested in and then I might go through some and then I might go through some just some testing that I that that I keep in mind on every patient that walks in the door. So this is actually a test that we do on everybody. It’s, a test that’s extraordinarily comprehensive, and it really is designed to tell us everything that we need to know about the chronic patient relative to inflammation and autoimmunity. These are all standard lab tests. None of them are. These are not special D tests and I’m not going to get into specialty tests today, like Lyme, testing and stuff, like that, it’s controversial and frankly, the vast majority of the time you don’t need as Much of that, as you need of this, if so so, the a1c, so the blood sugar testing is very important because of what I just said: okay, it’ll. Take you, 10 years before your blood sugar becomes looking like like pre-diabetes and and the range for pre-diabetes is five point. Seven to six point. Four. We like to see it too. We like to see it below five point four and I’m, going to give you some clinical pearls as to why we look at this. So the functional range is below 5 point 4 and above 5, point 4 usually indicates there’s a little bit of something called small intestinal bacterial overgrowth in our patients, and these are things that we’re looking for, because that can Cause a lot of problems, and somebody most of you watches, probably heard that, and this is a way of finding it, the testing for it. Isn’t great. It’s. Okay. You know the C bow breath test, but this is kind of a cross-check on that. Uric acid is a marker that we use for most of you would know if we gap our range is as much as much again it’s. It’s, much more contracted, but it well. If we see it in the functional range, we use it as an inflammatory marker. We know that we, we are inflammatory hunters that’s. What we do here I mean this is this: is this? Is three-dimensional medicine where you’re? Looking for the story, you’re. Looking for the vicious cycles, you’re. Looking for the feedback loops, you’re, not just looking for something to drop a pill on alright, you’re, looking to change physiology here, so your egg a-sixes hints of inflammation. There are kidney markers here which we look at sodium and potassium, for us is more of an adrenal marker. If it’s in the functional range, we we all do adrenal testing some adrenal specialty testing, but potassium and chloride are controlled that the adrenals they can tell you a little bit about the kidneys. But for us those are adrenal markers protein and globulin people will look at those for disease purposes. The medical pathological model will look at those mostly for disease purposes. Those are large molecules that should not get through your intestines, your intestinal barrier. So if we look at that and and and we see that they’re, either high or low it’s, an indication of intestinal permeability, leaky gut so and a lot of people come in here from a lot of difference. What sort I’m, looking for abilities to a liability, different different layers of economic abilities, okay and if testing is, is, is going to be a financial issue. A lot of times you’re, going to work largely off of this test, because there’s. A good test for specialty test for Leakey got out of out of the lab called cyrex labs, and I and I and and and you can do it – it’s $ 120 desai entirely and reasonable. But if the person is on a budget shall we say, then you can look at this protein and globulin ego? You know what you probably have: a leaky gut there’s, something in here called lactic dehydrogenase lactic dehydrogenase is, is, is used for in the medical profession and their model. It’s used to find disease in in, in your kidney and your liver and muscles throughout the body in different structures throughout the body it’s, a sugar based molecule. We use it to look for blood sugar under a hundred and fifty is, and the range for the medical pathological model looking for these pathologies is 120 to 225. Let me see: is that correct, yeah, 120 to 225 and and and and we like to see it above 150? Okay, if it’s above 150, we’re fine if it’s below 150 functionally. That person has something called reactive, hypoglycemia, another blood sugar marker that we can use because the blood sugar markers can be affect your blood. Sugar is affected by so many things we’re gonna talk about that. It’s affected by food sensitivities, stress sleep apnea, so it’s really hard to get exact blood sugar numbers. It’s. Going back to the fact that he said that the one gentleman said the strep is the only real solid number. This is another indicator that that that the person has a blood sugar problem liver there’s, lever enzymes, ast and alt. The medical model is zero to forty. We are zero to twenty five. It tells us that the person has a fatty, liver. The medical model waits until it’s like zero to a hundred or until you have a real pathology there, and then they start doing some pretty aggressive stuff in our world. Once we have a over 25, we know there’s, a fatty liver they’re functionally. That means you’re, not going to clear your liver properly. You’re, not going to clear your estrogens properly. You’re, not going to be you’re, not going to be all those nice fatty vitamins that you’re. Taking the fat soluble vitamins ad Ek, you’re, not going to be processing those properly. You’re, not going to get in their system in our in our understanding above 25, between 25 and 100, the medical model doesn’t care. They’re. Looking for pathology, we’re, looking for it to work, okay and, and so that helps us a lot same thing with the with the gallbladder iron. A lot of medical models, don’t include a ferritin in their iron panels. They should ferritin is extremely important if your ferritin is high your iron and you don’t need to, like you know, go into the chemistry of this. The iron in your system is going to be low and ferritin is massively inflammatory, but most most most panels that are dictated by insurers, never run it. So the point being this: if your ferret ins high and you got inflammatory issues and they don’t run it and they don’t know you have it and they just run an iron panel without it and your irons love they’re gonna give you iron, as though you’re anemic, and then it’s going to and ferritin is, is high because it’s, not breaking down it’s, something in your cells That’s, not breaking down. It should break down into iron, which goes into your bloodstream. If it’s, not breaking down it’s, gonna get more and more because it’s really really really bad. They call that hemochromatosis, if you’ve ever seen somebody with hemochromatosis they are in bad shape, so ferritin is important. We just talked briefly already about the cholesterol in our world. Cholesterol is like almost never. The problem. Cholesterol is like the good kind. Cholesterol goes in and it patches up bad things. Cholesterol goes in and goes into your system and makes all of your hormones, except for your thyroid hormone cholesterol. If somebody is comes in here and they’re polycystic ovarian syndrome and and and and they’re vegan and they and and they’re vegetarian and and and i and i honor that and i honour philosophical beliefs. But the reality is, is cholesterol makes our your hormones? It’s kind of hard to get that person to be able to get their hormones right. So they get babies if they insist on being vegan, even because even those people you can give them essential fatty acids to go, get their cholesterol triglycerides and up, and it’s hard to do. If your so the point, but the point is cholesterol – is not the bad guy. Okay, well, cholesterol: doesn’t heart attacks as it goes in and it and it patches up the damage from the inflammation that, in the example I used before, was actually caused by the diabetes. If your cholesterol is really high and your inflammatory markers are really high like something called you should get, you know if you got chronic problems, you should probably get a c-reactive protein and a homocysteine run if they’re high. Now you now your cholesterol matters, because now, if you’re, you got high cholesterol, then you got a better chance of having a stroke or a heart attack. But if your inflammatory markers are under control, your cholesterol could be 500. I know that’s, heretical to say that, but you’re Rick correct. You could be out of the range for sure and and it’s. Okay, so cholesterol in our world is really more of a blood sugar marker or or the or the lipid panel is more of a blood sugar marker, because the blood sugar breaks down when it can’t get in his cells and it breaks down The triglycerides and then that and then that whole panel starts to look bad tyroid on. Tell you here on thyroid. Is you should have you should you should have one two, three, four, five, six, seven, eight nine there’s, ten markers! You should run! Okay and your thyroid panel should look something like this okay, your thyroid panel should look like that. Not like not like this, not just the TSH and a T, and sometimes a t3 and t4. There should be 10 markers there and and and then you can tell the story of thyroid now, thyroids a whole thing unto itself. You should look on our website. You should look on power, he’ll talk, for we have so many thyroid presentations. Their thyroid has to make the thyroid hormone, it has to then get somewhere and, and the way gets there is on these on these proteins. These proteins can be affected by blood sugar stress, birth control, pills steroids. Those of you guys who are taking testosterone, steroid hormones and stuff like that that can all screw up the ability of your thyroid hormones to work properly. Then it has to get to the liver. So you have to live wrens here then it has to get through the gut. Then we looked at leaky gut that you can see in here and then it has to get to your cell sites and there’s, a lot of drugs. That can stop this that from going in so you have to review the person’s drugs. You cannot. You cannot tell relative to if that’s happening or not, unless you look at unless you look at all of these markers and you need to know all of that to be able to assess somebody’s thyroid and, frankly, their overall Physiology thyroid is almost more reflection of what’s going on in your entire physiology, and you need something like this to to be able to understand that we already talked a little bit about Hashimoto’s. Basically, the the thing you need to know about Hashimoto’s. Is the lab range right now and the lab range, I think, is going to become the standard 0 to 9 and most of the half the labs out. There are zero to 34. I’ve seen it was zero to 20. I’ve, seen him in 0 to 16. I haven’t, seen too many zero to 60s, but I ‘ Ve saw one within the last couple of weeks, so it’s. It’s, pretty wild it’s like the wild wild west out there when it comes to Hashimoto’s, zero to nine and the Mayo Clinic is using this standard right now: okay, vitamin D, vitamin D: the the lab Range just cure it, and just interesting lab range is 30 to 100. Here I just I just saw one of our old keys to success where one of our doctors said that they didn ‘ T want to want it over 70, which was correct at the time there are places in Europe, South America, where the lab range is a hundred to three hundred, and we just had a patient from hong kong and their lab range read: zero to 222, so lab Range is for vitamin d are all over the place. Okay, we like to see vitamin d up around that hundred mark in our patients. I can go into vitamin D sometime if, if you show interest than that it’s, it’s. A big deal, vitamin D is a big deal. If your vitamin D is below this lab range, you probably have autoimmunity and that’s, something that we discuss again in in a lot of these videos that we’ve done already on power. Health talk, comm white blood cells. There’s a whole, it’s. There’s, a CBC with white blood cells. So you’re. Looking for autoimmunity, you’re. Looking for anemias, we’re gonna talk about oxygen and II means they’re gonna be part of it. Those have you been told, you have anemia for ever and ever and ever, but just don ‘ T worry about it because it’s low. It just must be normal for you. It’s, not normal, usually chronic disease due to chronic information and inflammation, and you have to have oxygen getting to your extremities and your brain and your hands and your feet and everywhere for you to it’s. One of those foundational things we’re, going to talk about a little bit more in the upcoming episodes and, and so so so anemias are very important to us white blood cells. We have a lot of people coming here, so my white blood cells have been low forever. They’ve done all kinds of testing. I don’t have any pathologies again again. The the medical profession is looking for pathologies. They want to know if you have polycythemia leukemia, they want to know you know if you have high red blood cells, high white blood cells or low, they’re. Looking for that, by that time, your blood cells have been doing damage to you for a long time, so chronic low white blood cells usually mean if they’re, not pathology, and if they’ve been ruled out, they usually mean either Chronic inflammation, they may mean autoimmunity, they could mean a chronic viral infection, a chronic bacterial infection like an Epstein, Barr virus or cytomegalovirus, or something along those lines. There eosinophils are interesting on your on your CBC. Eosinophils can be a check as to whether you maybe have parasites. If you have Cinna fills. This is functional. Okay, eosinophils here there’s, not an established norm in the in the medical profession. For us, if it’s over two, then we’re. Looking for we’re. Looking for allergies type 1 allergies, you know like I like I got like here – would be that sagebrush, where we’re like right at the foot of the Sierra Mountains here and then from there on it’s desert, and so so It would be that, but the eosinophils can be a marker for parasites. Have you been out of the country? If you’ve been out in the woods they’ve been drinking the water I’ve diarrhea. If the Essene fills are over to then, then you should do it. You know, then you would do a parasite test. Okay, didn’t there’s neutrophils and lymphocytes a lot of doctors, don’t. Really they do some interesting testing for viral infections and stuff, but it’s. Not all that accurate. You can look at your neutrophils and lymphocytes here and if they’re, if they’re like more than 40 points apart depending on which ones more will tell you what’s going on. So what I’m, looking at in front of me, actually has a bacterial infection. They’re neutrophils are there? Nutrients are a viable infection, they’re, neutrophils are 25 and their limps or 71. Lymphocytes are representative of viral issues. Neutrophils are representative of bacterial issues. They have much more it’s more than 40 that they have a viral infection. In fact, this person has epstein-barr virus, so so that’s, so that’s that we do it. You know we do a CBC, pretty pretty basic. I’m. Sorry, we do, it urine analysis, pretty basic and then the rest of our testing. We do is more specific to the patients, but we and and and they’re, not and they’re and and they’re and they’re like we like. If we have a. If we have a female that has polycystic ovarian syndrome, then certainly we’ll. Do hormonal panel testing for that. If we have a person, a patient who comes to me, that’s, andropause a male overweight, mmm, high blood sugar and high blood pressure and and testosterone low, and all that we’ll. Do that type of testing. We do do some specialty where we do a lot of specialty testing, but the ones that I think are more basic to the patient population out there. Looking for what can I do for myself? Okay and most patients should check their essential fatty acids. Essential fatty acids are foundational. We’re, going to talk about that. The vast majority of patients I check for essential fatty acids are low. We get them up to normal and just that foundational issue alone can change a lot of things. Essential fatty acids have a lot to do with a lot of stuff blood. Sugar inflammation brain function mood a lot of things skin a lot of things that’s. A lot of my patients have those things and they think it’s like for me. I mean I’ve, full disclosure. I had dry skin forever and I thought it was my Hashimoto’s and I was had my uh schmoes under control and then I finally tested my essential fatty acids and they were almost non-existent. And now I have healthy skin again, so anti parietal and cell antibodies. The hydrochloric acid in the stomach is massively underrated. I mean it does so many bad things. If you don’t have enough hydrochloric acid, so we usually run anti Prell and anti parietal cell antibodies on almost everybody walks in here to see if they have an immune attack against there, if they, even if they have a low hydrochloric acid. According to their symptoms, then we’re gonna know that that is going to cause a cascade of problems throughout their intestines, and so we run those two and anti-prior so antibodies is an autoimmune problem we want to see. Are we going to need? Can we fix that, or is this something they’re gonna have forever and they’re gonna need these supplements forever. We run those another another test. We run on everybody’s called the DHA sulfate. It tells us it gives us a big heads up on the health of the adrenal glands. Those of you are in the alternative world. No, you don’t fix the adrenals. You know fix anything that’s, that’s. One thing we do on just about everybody: let’s, see what else most of the rest of our tests are specialty tests that we do based on on the cases. So we have we do. You know we use something called cyrex labs for most of our autoimmune testing. There are some other labs that are coming out now. I’m, not a big fan. Just for those of you’re lying people. I am NOT a big fan of Lyme testing. I have actually been to seminars where the people who do the I Jenna stood up there and said how bad it was, but it’s. The only test we have so that’s. The test we have to use, if you want to know about lime, look at it. Look on our. You know, look at power, I’ll, talk, calm and look at our lime presentation. I think it gets very, very, very positive reviews from those people who have not kind of drank the lime. Kool-Aid is what I said. Usually, I put it relative to the whole have to take antibiotics for years and all that type of stuff, so lime testing is, is a whole different animal. If you have anxiety, I, like I like to see the zinc and copper your zinc should always dominate your copper. A lot of people have anxiety there’s. A lot of other things that go in anxiety at thyroid can go anxiety. Hashimoto’s can go into anxiety, low blood sugar can go into anxiety. There’s, a ton of things they can go into anxiety. I’m going through all this. For all of you who say why don’t, you tell me how to get better just by telling me how to get better so that. But so if you have anxiety, zinc’s, a good thing to do there’s, some specialty tests, if you’ve, had your anxiety for your entire life. There’s, a good test out there, but it’s. A specialty test called the Geno mind test there’s, a lot of other tests. I mean there’s, a that we probably use. I don’t know we probably use 25 or 30 other tests depending on the patient and what they need and those are specialty testing. We there’s a there’s there, the whole stool industry out there is vying for who’s, the best test out there and to me it’s between Genova stool tests and Diagnostics, diagnostic solutions, stool Tests, but but that’s all here and there the main thing is the understanding of when I what I just went through you through through you with you. What I just went through with you was to tell you here’s. Why the functional norms are important because we are looking at you functionally. We are looking at to put your physiology back together by the time you wait until it’s, pathological norms. Yes, you can use those lab rain and and, and you don’t know how much damage is there by the time the persons in diabetes type 2 and you don’t know how much damage is there by the time they’re in stage 3, can you function but you so? You may still be able to recruit that, but you build off of the whole picture that is presented by these because you’re. Looking at the person’s, entire physiology and you’ll notice. I kept saying this means this means inflammation. This means inflammation. This means that you know this means that their blood Sugar’s off, even though that’s, not a blood sugar marker. So we’re looking globally, that’s, functional medicine testing to the best I can. I mean I get spent like the book on this. I’ll, just pull it out. This is the book right. This is this is the book. This is the initial okay. Just this one. This is the apex one okay, so this is one of the supplement kind. This is the initial book on the basics of reading these lab tests. There’s there’s, so there’s, so much data in there. It would take three days to go through it, but I’m, not looking to make you experts on this. I’m, looking to help you to understand it, so that when you go into your functional medicine doctor, you understand what they’re trying to accomplish, so that should wrap it up for today and then next week we are gon. Na start into the foundation, now we’re gonna start into treatment, okay and and – and I go back to the fact that when I first got into this, nobody knew what a functional medicine practitioner was. People come in here out of told desperation. It was an interesting experience. Some of them would really kind of like abuse you like, what do you think you’re? A medical doctor and Michael might think would be like well. What are you doing here? You don’t want to know what I’m talking about, and it was like that it was. It was actually like that you know it’s crazy! Well, my mother, the doctor, said you’re, a quack and well. I’m gonna go check with my medical dye, so we didn’t have very much going back then now medical Central medicine is pretty well. It’s at the Cleveland Clinic and there’s. There’s. There’s. There’s. Several colleges around the country that are teaching functional medicine. I know my mentor doctor doing some work at loma linda he just got done doing a hundred. Fifty million dollar research project be participating it on the gut and at harvard, so it certainly changed since the time I’ve been here and now what I’m. Seeing is I’m, getting a lot of people coming here. I’ve, already been to functional medicine, doctors, homeopathy, naturopaths and naturopathy frankly, was kind of you know the precursor, through functional medicine and and and yet still, they’re doing a lot of the right things. But – and this may be this particular patient – isn’t getting better a lot of times it’s because the foundational issues have not been addressed. I briefly mentioned sugar as a foundational injury issue. I briefly mentioned the essential fatty acids of a foundation I chew, so we’re gonna get into that over the next couple of weeks, because it’s hard for you to get better if the foundation is not set, and there’s, certain things that just make us human beings like proper blood, sugar and proper, essential fatty acids, and there’s. A handful of things like that, so we’re gonna talk about those next, so we’re, so we’re more or less getting into treatment a lot of times. You set the foundation and these mystery diseases that nobody can tell you what is start getting better okay, so my whole world is back to basics. I’m. The author of book called back to basics. It actually needs to be edited, because I need to go okay. I wrote this before the whole explosion of autoimmunity, but but in the end it’s still about back to basics. Nothing has changed. We’re still: human beings, it’s, not magical. We have work, we just need to get back to understanding physiology, and so next week we are gonna start really getting into the physiology of autoimmunity and by going over the very basics of what we’re doing and we ‘ Ll start with, we’ll start with oxygen next week, so that’s. What we’ll start with next week, and I’ll. Source : Youtube

https://youtu.be/0HBFoQSnJvE In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses the importance of doing a proper exam on the patient. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi I’m Dr. Martin Rutherford certified functional medicine practitioner author of power, health back to basics. You’ll, see I’m, a back-to-basics guy and and clinic director here at power. Health wellness & amp Rehab in Reno Nevada, and we’ve, been we’ve started a series on functional medicine. I believe this is the fourth in the series we did an introduction. We talked about what’s. Functional medicine was this was the answer. The questions of? Why can’t? You’ve got 600 hours online. Talking about all these different diseases, but what but you don’t tell us how to get better, and I’m explaining why we can’t do that by doing a series of of presentations on functional medicine and functional Medicine and and and how it was how it’s, been classically taught how it’s taught in the classic functional medicine, universities, functional medicine Institute – and I’m doing this, because the vast majority people who are doing functional Medicine, it may not be following this to the enth degree. A lot of people come in here want to know why we have to do such a therapist like thorough history and thorough exam. So the last one was on history, the one before that was on obstacles to cure things that you can know about a patient before they ever even open their mouth or before they ever even get into an exam, or should they even be examined, obstacles secure. That’s, an interesting one. We talked about that. This is going to be about examination. I have I’ve had an interesting week on that. I know if it’s, just because I’m focused on this, but I’ve. Had several patients in here. One yesterday was a nurse from Southern California and she came in and – and she is a nurse and she was great at Shh and and at the end she said you know. I know that we learned how to do examinations in school, and I know her doctors. There, but nobody does so anymore, and she said I’m gonna – have to rearrange my practice and start doing exams again because it brought back to her how much data you can get out of an exam and understand. I went to school before when I was going to school to learn how to be a chiropractor and/or doctor. You know it’s, it’s and you may not know, but like the very first half or whatever of medical school chiropractic is almost identical. You’re learning how to diagnose, and you’re learning. How to do histories and exams, and when we went back when I was going, there was no such things as MRIs. There was no such thing as cat scans. There was no such thing as nerve conduction velocities, and we understood we understood that even the blood testing was ballpark and even today the blood testing is ballpark and that’s, something we may or may not get into in too extensively either now or Maybe in the future, so so we do an extensive history and extensive exam back. Then we had to make a diagnosis and we had to do it by doing and it used to take at least an hour an hour, long history exam. And then we were expected to come up with a what. We call the differential diagnosis, which, which was the three most likely options. That is wrong with that person and then, ultimately, that was supposed to guide your testing. It wasn’t about okay. We have a chest in the pain, a pain in the chest chest in the thing we have a pain in the chest and so let’s, and so let’s. Do let’s. Do an EKG! Let’s. Do an echocardiogram, let’s. Do an MRI, let’s. Do a cat scan, let’s. Do it, and oh my all that’s like all that’s, normal? No, you, you would do you would do an exam. Maybe it’s, a chiropractor. We would find out that the person has a rib out of place actually sticking up here. Maybe it’s, a functional medicine doctor. We might find out that that maybe the pain is is because somebody’s got to go all bladder problems before we even did a gall bladder test. So so this is the reason we’re going through this. This seems to be a big issue with a lot of patients that come in here are usually pretty pleased or usually like pretty blown away and all the data that you get from exam. And I wanted to go over this because we we went through the history and how important that was. I want to go through the exam, so you see what kind of data could be gotten from the exam and again this goes to your question of why aren’t. You telling me what’s? What how to fix my polycystic ovarian syndrome or my blood sugar, my diabetes or my fibromyalgia, or whatever it is that you come in with, and it’s because everybody’s different! It’s because there are a lot of moving pieces to it and that’s, something I explained in our initial two episodes in which we talked about whack-a-mole medicine versus functional medicine. Now functional medicine I’ve, been the classes. I know many of the people who were the developers of function, mice and they all, although, although all the manuals all have functional medicine exams in there, our exam is a combination of a functional medicine and functional neurology exam, because we practice functional medicine. We practice functional neurology, but the exam is incredibly important and and and so our exam sheets in front of me here as a as a guide – and I’m just going to walk through this with you. And as I talk about the different areas of examination, gonna find, most of them are examination procedures that you’ve been through okay, but you’re gonna, but I’m gonna go through. Why, from the functional perspective, they may be a little bit more important to delve into so first thing we do when a patient comes. Is we take their vitals? Do you go to, though you got a doctor and your vitals are taken, but the difference between functional medicine and medical medicine is pathology. Okay, the medical community, although small parts are starting to morph over towards towards what we’re doing it’s, mainly about pathology, it’s. Many of that look. Your tests are okay, your kidneys. Okay, you’re only in stage 2 or stage 3. A dysfunction of shut down will wait until it’s like gone, and then we’ll, do in dialysis, it’s. It’s about you. Having pneumonia, we’ll, give you a medication for it, and I am not anti medicine. Those of you know me have watched me and know that, but but they are, it is about pathology and it’s, a meaning. They’re waiting until you have developed something that can be cut out, radiated medicated or something in in. In the air of their toolbox, we’re looking for function so like, for example, first thing we do is we take your blood pressure? We take it’s. Seated, we take it standing, we take it laying down there’s reasons for that there’s there. There are conditions that we have called pots that we that we’ve seen, but also we treat people for adrenal problems and if a person gets lightheaded when they go from sitting to standing, we know if they’re, not having a Ti a stroke which they usually aren’t because that usually be checked by the time they got here. Usually that’s, a sign of poor adrenal function. Usually it’s, a sign of low adrenal function, the blood pressure. Also could be high, we might I’ve. Had I’ve, so many patients have come in here and and and we took their blood pressure and their blood pressure was significantly low like significantly and they were on blood pressure, medication and it turned out what had happened was every time they go To the doctor, they have white like coat syndrome and meaning that they got nervous when they went to the doctor. The doctor gave them blood pressure medication and then it drove them into low blood pressure. Why is that important? Whether they’re in low blood pressure because of that or whether they’re in low blood pressure because they have low blood pressure, that’s, not good doctor tells you it’s great! You’re, not gonna dive, a stroke or a heart attack. I’m gonna tell you. We need normal blood pressure yeah. If you have a low blood pressure, you’re, not getting yeah. You know your heart’s here. You know your heart’s here and your and your brains here you’re, not getting you’re, not getting enough blood to your brain. You have low blood pressure. You’re, not getting enough blood pressure to your extremities, so you’re, not getting oxygen to your extremities. If you have a low blood pressure, it’s more difficult to get nutrients to your brain nutrients to your extremities nutrients to push into your cells. So a blood pressure does a lot crusher pushes things in through to the to the extremities and it pushes nutrients into the cells. Well, if you’re trying to fix somebody with herbs and botanicals or your online here, goes to one of those reasons why you might not be telling you what to do. Okay, if you’re, if you’re online and you’re, taking all these supplements and they’re, not working, and you have really low blood pressure and somebody’s told you that that’s. Great low blood pressure is not great. Low. Blood pressure usually leads to long term types of conditions that that just don’t get better. You don’t, get better as well when you have low blood pressure, so low blood pressure from a functional perspective in a place where you’re using nutrients and diet, and you’re using these types of things. If it’s air, it’s, important it’s, got to come up, and and and I’m – not gonna get into all the ways that you do that, but that’s. It’s, it’s. Actually in most cases it’s, not that hard and you can. Then you can do your internet search. For that. We do same thing. We do. We do the we actually do tissue perfusion. We actually try to find out. We put it, we put a a device on your finger that measures how much oxygen you’re, getting into your finger and and and we and we test the lungs to how much so most of you may be familiar with testing oxygen. We’re gonna talk about the basics and foundation of getting better next time, and one of those things we’re going to talk about is having proper oxygen, which means having proper blood pressure and and and and a number of Other things this all goes to the exam. So if we find out that your tissue perfusion into your fingers and your toes is not good, we immediately start looking towards the fact that if this is something a patient decides to do or we decide to extend care to, we’re gonna Have to we’re gonna have to get we’re gonna have to get blood into those extremities, because I have news for you. If you’re, not getting blended, your extremities, you’re. You’re, probably not getting it to your brain and you’re, probably not getting it to your intestines and so and and you could have a normal lung perfusion. So you can have like for those of you who, maybe from the with that you’re gonna in the into the doctor, and they teach you and they and they they check you for it and and they’ll, say: oh, It’s, 93 %, and that’s great and nine anything about ninety percent of oxygen perfusion into your lungs. A capacity into your lungs is good. We like to see it at 98 % functionally that’s. What makes everything works better, that’s? What makes people get better? That’s more oxygen, that’s? What makes nutrients work better? Okay, most of our patients are in and around you know the 90s. Most of them are good, some of them come in, they’re, not, but then we look at their tissue perfusion. Is it getting from the lungs to your extremities? And if your tissue perfusion is like almost gone like most of our patients are because they’re stressed because they have a thyroid problem because they have a little blood sugar, because their t2 is low. Their t3 is left there’s, not even a t2, because there’s. Thyroid hormone is love if they’re active thyroid, oh and so, and a number of other things smoking a number of other things that do it. It depending on severity to that case, we might even we might not even take the case if the person is not willing to stop smoking depending on the severity of the case. If it’s a less severe case, we might take them, but it’s. It’s, a big factor. It’s, a big factor to understand what’s going on there. So, of course, we Charlie we check height weight. Obviously we want to know if the person is overweight and that leads to different things about looking for diabetes, looking for insulin resistance over weighted. This also causes high blood pressure. So people come in here for high blood pressure. They lose the weight a lot of times. It goes away that person comes in here and that’s. What they want to do that’s. What they’re in here for is because weight loss, then you know it. It starts to. Let us put the puzzle together as to as to what’s going on. We auscultate the heart. I do believe so. I’m, not a I’m, not a medical doctor. I don’t. Try to be. We do a very thorough evaluation exam. I work very well with the medical community, where I am very good relationship here. We do a full evaluation, so we checked the heart. Actually, the heart is not something that we directly, even though people might come in here with coronary artery disease. The heart’s, kind of like at the affect of everything else. So you know we’ll check the heart. It may or may not be something valuable for us to know, but if we find something that the person that’s, a problem with, we have a hospital about six blocks from here. The ten blocks from here. Whatever it is, we look for so we look for things along those lines. We’ll. Look for. We check people’s veins. We check people’s arteries because we want to know if there’s. Blood flow getting to different people now, one of the bigger things we do is is we palpate the thyroid? Now this is functional. I’m talking that we’re in the world, a functional though, but we palpate the thyroid. A lot of people are surprised. A lot of people come in here for thyroid problems. A lot of my mentor doctor duties. Kasnian was the original Hashimoto’s guy I don’t know if it’s out of the picture, but it’s book sitting right up here. Why do I still have thyroid symptoms when my lab tests are normal, he could have called it. Why do i? Why do I still feel like crap, when I’m, taking all my medication and and my lab tests are normal, but but thyroids complex? The vast majority of them clinical pearl for you, the vast majority of our Hashimoto’s, whether you have come to that to embrace that or not or you’ve ever heard of it, and so we palpate the thyroid. People are shocked. A lot of times that no one’s touched theirs library yeah. If it’s enlarged. If it’s got nodules. There are certain things that would alert us to the fact that maybe it’s, pathology and maybe it needs to go and and and be checked. But if it’s enlarged and it’s tender. And we look at the sheet that we had that we went over last week and we look at that at that history sheet and and they have 18 out of 20 symptoms of Hashimoto’s and they’re thyroids tender there’s, a about a 99 percent probability that person has Hashimoto’s and that’s, something really valuable to know, because when we move into the testing at some point we’ll talk about testing! You can test for Hashimoto’s and you could be full-blown Hashimoto’s in your test. Come up normal, like the book says, okay, so in that world, fine art! Well, because we don’t use drugs. We use herbs. We use botanicals, we use diets, we use brain rehab exercises. We’ll talk about that later, because we we do functional medicine and functional neurology, but I think most of you listening here are interested in the functional medicine that allows us to start to advance our treatment, because, even though the the test would be Normal because we would have the history is where we start to understand. We would have a history, it says 18 out of 20 things say the person’s got thyroid problem. We have a palpation here. That says you have a thyroid problem. Maybe we need to send you out for a nodule that feels like it might be a potentially 100 chance of cancer, but for the most part, if you’re inflamed the chances of you having Hashimoto ‘ S is high. We can start in that direction safely and and and frequently get you know some sort of results in very early on now we we palpate people’s, lymph nodes. What do we do for a living? We treat our office is kind of like the kind of tree we try to treat mystery diseases. We treat fibromyalgia, preferably chronic fatigue. You can look online, vertigo dizziness bouncing, but all of these have have unique components by the time patient gets here. Usually they have unique components of autoimmunity and they usually have unique components of chronic stress responses, one or the other, or both we’re gonna palpate, the lymph nodes, and if we have a history of person, has their tonsils out their adenoids have Been out or they keep conflating their throat, their lymph nodes are swollen all this came on after a baby or if they had an accident or have something yeah. We know that we know they have a lot of unity’but my doctor says I don’t have it. My tests came back normal well, we we, we can’t afford that here I mean we by the time patient gets here. They’ve, been told everything is normal and all their testing is normal. There’s, nothing wrong with them here. Take these drugs palpating. The lymph nodes can be very, very valuable and it’s, something that we do on every patient and if it’s correlative with their disease. But they’ve already been checked by their doctors and they don’t, have any pathological diseases, guess what they probably have an autoimmune problem going on, so that’s, valuable to us. We pat, we look at their eyebrows. It seems like now a lot of folks know that if the outer third, your eyebrows are gone or if your eyebrows just kind of go away, there’s, a good chance that you have a thyroid problem, that’s, a it’s, a very cardinal sign of thyroid and it used to be considered a cardinal sign of hypothyroid and it still is, but the statistics are that if you’ve been diagnosed with hypothyroid there’s about a depending on who You’re following there’s, an 85 to a 95 % chance. You have Hashimoto’s, and so again this is diagnosis. You have a person sitting in front of you. You know what the research says you’ve got the history, you ‘ Ve got the exam. You should be able to come up with those three differential diagnosis still today, even though we have all these wonderful things to confirm, you should be able to come up with those differential diagnoses for the functional medicine patient so that you can delve into their case with A with an organized approach and organize understanding the probability of what’s going on to them and know more or less precisely what testing you should do that not having standardized testing. This helps us to do that. We auscultate the we inspect the abdomen. We inspect it for for to see if there’s any surgeries there. We ask about surgeries stretch marks, I’m, not sure if you’re aware of this, but stretch marks frequently indicate autoimmunity. There are women who get stretch marks and they’re women, who don’t get stretch marks they’re guys who get stretch marks when they lose a lot of weight. But basically this goes to the patient, who has had surgeries. They get a surgery and then, like a year later they have scar tissue and then the scar tissue comes back and they have to keep getting it cleaned out. It’s similar to what happens with those stretch marks. So if we see those stretch marks again right, then in there we’re thinking. Okay, we may have autoimmunity here, so this is. Hopefully, this is kind of a new Under standing to you, because a lot of people come in here in durka. They’re confused, rightfully so about autoimmunity, because autoimmunity is confusing that it’s. It’s. It’s. What has complicated our life here over the last probably thirty years, and and it’s, and it’s, something that the testing is still in its infancy. It’s, we everybody comes in here, says. Well, it was my task. My room toward arthritis test was normal, but then it wasn’t when that was normal, but then it wasn’t. My lupus test was, I have all signs, but my lupus said: look if you have the signs and and and and you have the symptoms and you have and you’re and you’re having the rash and you’Re having all those things you have it, but doctors will be hesitant to diagnose you with it and thus, if they won’t diagnose you with it. They’re, not gonna hit you with a bunch of steroids because they’re gonna be afraid. If they make a mistake, they’re gonna get sued, so the functional medicine we’re, not going to do anything. It’s going to earn anybody. We can t