Gut-brain axis is one of the most hotly debated topics in chiropractic today. Research surrounding these connections has experienced significant growth recently …
(upbeat music)
– [Dr. Alex] Hello and
welcome to another webinar
hosted by Fullscript, my
name is Dr. Alex Keller
I'm the medical director of Fullscript
and I am super excited to be hosting
our esteemed guest, Dr.
Rob Silverman today.
Dr. Rob is a chiropractor
and clinical nutritionist
international speaker and
the author of an awesome book
"Inside-Out Health: A Revolutionary
Approach to Your Body."
Which was an Amazon
number-one bestseller in 2016.
If you haven't checked
out this book, I would
it's really an awesome overview of health.
It's both a great resource
for practitioners and for patients
just to get an in-depth
perspective on functional medicine.
So, Dr. Rob has an extensive list
of educational accomplishments
and we'll be talking
about those in a second.
But they include six different
degrees in clinical nutrition
and he also maintains
a busy private practice
as founder of Westchester
Integrative Health Center
which specializes in the
treatment of joint pain
using functional nutrition
along with cutting-edge
science-based, non-surgical approaches
and so just to highlight some
of the additional training
and certifications and degrees
that Dr. Rob has gone through
which I have an extreme and admiration for
because it shows Dr. Rob's passion
for the work that he does in this field.
He's a doctor of chiropractic medicine
he's a Masters of Science
in clinical nutrition
or human nutrition, certified
nutrition specialist
certified clinical nutritionist
certified strength and
conditioning specialist
NASM certified, corrective
exercise specialist
certified sports nutritionist
from the International
Society of Sports Nutrition
diplomate with the American
Clinical Board of Nutrition
and a diplomate with
the Chiropractic Board
of Clinical Nutrition, that is a long list
and that's not even all of them.
Dr. Rob, you obviously
have an extreme passion
for what you do, welcome sir
and thank you for joining us today.
– It's great to be here,
thanks for having me so much.
I'm truly excited and honored to spend
the next 60 minutes with
you and everybody out there.
I can tell you that I've
been anticipating this
and excited about it since you guys
gave me the go six weeks ago.
– [Dr. Alex] Awesome, so
great to have you here.
So why don't we start with a
little bit of your background
and how you got into first
chiropractic medicine
but then doing everything
that you're doing now
with functional nutrition
and functional medicine in general?
– Yeah, absolutely, thanks so much.
People always wanna know
your story and your why.
My why is real simple, I suffer
from congenital torticollis
you probably can see that,
it's asymmetry of the neck
I was damaged at birth,
so that was kind of tough.
I grew up in New York and
not a really good section
so not being like all the other kids
led to a lot of teasing
and I became very sensitive about it
was hoping to have something done about it
finally found somebody at 18 years old
that suggested to cut the
neck and pull on the muscles.
I didn't wanna do that,
my mom didn't wanna do it
at the time either, so I went to college
play basketball in college
and went to a chiropractor.
And I went to a chiropractor
and he changed my life.
I laid down at 21 and I
don't wanna sound corny
but I got up and I knew
that's what I wanted to do.
He talked to me, he helped
me, he made me feel better.
It was something that
I had never experienced
with a doctor before and I
always held doctors in esteem
and I always had very positive
experiences with doctors
previous to that, so
when I finished college
I had an accounting degree
I knew I wanted to track
into chiropractic school
and I did, and all through
chiropractic school
you know, I was exposed
to some other things
and I knew chiropractic was great
and I wanted to help people
like that chiropractor help me
but I always wanted to
spread with my armamentarium
and add different things to it.
So when I was finished, I
incorporated a lot of nutrition.
So the first thing you
do when you do nutrition
is you do a little
musculoskeletal chiropractor
you do some weight loss
because everybody asks for it
kind of common and then you
start seeing some tougher cases
and everything and then I'll
never forget the one time
that really pushed me over the edge
to really delve into functional medicine.
I was sitting with my five-year-old niece
she's from Singapore, literally
she was with a comic book
and a drawing book and I'm sitting there
and I'm, you know, trying to have an adult
to child conversation, except
I felt the roles reversed
and I simply said to
her, I was complaining.
I was complaining about a
patient and she just looked at me
as innocently as she can and she said
"You know, you're a doctor,
you're supposed to know."
(mumbles) My jaw dropped.
I just didn't know what to do at that time
and, of course, as opposed
to trying to figure it out
I tried to make some more excuses
and she looked at me
and she said, you know
"Mommy says if you're not good at your job
"find another one."
So I knew then, I mean, you know
the five-year-old put me in check.
I knew I needed to delve into
what they call functional medicine
but I like to call functional nutrition.
Start analyzing the body
start getting to root cause resolution
start being able to tell that patient
the reflection of their
health in the mirror
and how we wanted to change it.
From that day on I was on that mission.
So my mission issue was to help people
and it expanded to help people
by adding functional nutrition
into my chiropractic tools.
– [Dr. Alex] That's amazing
and aside from functional nutrition
you also use a whole bunch
of these innovative tools now
and techniques that are
helping people avoid surgery
and going down that
deeper path, all right?
– Absolutely, you know,
I still use my hands
we adjust, we do soft tissue,
I use instrument assistant
a huge laser proponent, found
it to be quite effective
healing the body from the inside out.
Really works with all chiropractic
you know, non-surgical advances.
I mix in the biochemistry.
So, if I were to say to you
you know, how would I
would describe myself.
I'm that guy who looks at the mechanical
adds the biochemical and
tries to get clinical outcome
looking at those two things.
– [Dr. ALex] That's amazing.
Not necessarily that novel
for chiropractors do that
but to connect that many
dots in one practice
that is quite novel and I mean, again
you can see, of course, just behind you
all the different
certifications that you have
and everything you're plugging in.
It's always a special experience, yeah.
– Yeah, those were my mom's
come in a little while
to get a treatment so, you know
we have those up there for her.
You know, one of the things that I found
that, you know, the world is growing
information grows so much, you know
social media what we're doing now.
So we always want to
try and be on top of it
and give the patient's, the
doctors, the leading edge
and that's why we do webinars like this
to really get to the (mumbles) of matter
and trying to share
some clinical takeaways
some protocols, you
know, I'm a big believer
in taking the science and bridging it
to what I call, Monday
morning next day application.
– [Dr. Alex] Absolutely, yeah
and going back to the
original term of doctor.
Doctor is teacher, you know,
you're doing a lot of that
not only with your patients
but with practitioners
you're just talking about the fact
that you're at a conference next week
presenting what you do.
Very often you wrote a book
you have a new book coming out this year
we'll talk about that in a second.
So, speaking of Education,
let's dive into it.
Because we have a lot to cover today
we're touching on a
lot of different topics
and I wanna make sure that
we get through the contents
where our listeners get to learn from you
the way so many people have.
So, we're gonna start
off first talking about
the microbiome and the gut health
and how the microbiome
has this overall effect
on health and disease, can you
start with something on that?
– Yeah, absolutely, and you know
I asked everybody out there
do you have the guts to be healthy?
What have you done for your guts lately?
So your microbiome and
we're talking to doctors now
but what I like to do, is I'm
gonna give you the information
but I wanna give you the information
so you can disseminate
it to your patients.
Because there's always
that loss in translation.
So our microbiome 80% of our
immune cells are in our gut
it's where our macro and
micronutrients are absorbed.
Our gut is without
question, when unraveled
at the surface error for tennis court
with a single layer
thickness of a paper towel.
So when you think about that
that's protecting the outside
of the body theoretically
from the inside of the body
not that thick, a single layer.
So when we talk about the intestines
let's define, there's the
small and the large intestine.
The small intestine does 90% of the work
it has a very thin mucosal lining
that's why the small intestine
is typically implicated
in so many of our gut issues.
The large intestine doesn't
do quite as much work
large intestine is typically
known to have IBS, IBD
small intestine leaky gut.
So let's wheel that back a little bit
with that idea of leaky gut.
Our gut is permeable, digested
foods, water and nutrients
are supposed to pass, the problem is
when it becomes semipermeable
and it now becomes permeable
the problem becomes that
too many things pass
certain things pass like
undigested food particles
bacteria, viruses and the
like, with that being said
our gut now becomes leaky.
In addition to the concept of leaking
you have something called
like a tight Junction.
The tight junctions open
up and those particles pass
so just to give the 35,000 foot view
we can have what we call a leaky gut.
We know our leaky gut can be
that our intestines are too permeable
or tight junctions open up or in theory
we can have a tear in
the intestinal tract.
So, ultimately testing with
symptomology and serum tests
are really gonna lead us down a path
of where that patient is.
But most people unfortunately
have a leaky gut
'cause the modern era with
the foods that we're eating
and the environment that
we live in damage our gut
again, it should be a
pristine single layer cell
that is the thickness of a paper towel.
– [Dr. Alex] Absolutely.
And so when you start having a leaky gut
again, a lot of the
listeners as practitioners
probably understand this
but you start having
things start to travel
through the gut lining
that shouldn't be traveling there
and that can start to lead
to other types of conditions
like autoimmune conditions,
can you draw, you know
a bit of a stronger
connection there in terms
of when we have a leaky gut scenario
what kinds of autoimmune
conditions can happen
and how they start to transpire.
– Absolutely, so when things pass our gut
and because it's leaky or damaged
they go outside our intestinal tract.
So our immune system, typically
our adaptive immune system
which is something that we
got about 10,000 years ago
has two buttons, one says
Self and one says Foreign.
So when the Foreign button gets pressed
immunoglobin brings
antibodies and it attacks it.
So, then it starts to attack it
and we have what we call
inflammation at that level.
When it goes and it
starts attacking ourself
when it starts to attack structures
our knees, our organs
and things of that nature
we call that autoimmunity.
And that happens very simply
because the body gets really confused
and our immune system gets confused
because it's under heightened alert
and that with something
called molecular mimicry
the protein sequences of these antigens
the antigens are the thing
that passed the gut, come out
their protein sequence of them
are almost identical to
certain particles in our body.
Sort of like a zip code,
my zip code here is 10605.
So the 10605, maybe that
part of the food particle
that passes but my knee may be 10606
and the body starts to attack itself
and when it attacks itself,
we call it autoimmunity
and that's kind of why it happens.
So for me, if a patient comes in
the biggest things I like to do
is manage and modulate
inflammation to avoid autoimmunity.
– [Dr. Alex] Yeah and your
analogy is a good one.
It's kind of one that I like
to use in my patients as well
where if it's unfortunately
not a pleasant one
but if you have a bomber
that's coming over
that has to bomb a specific area
right beside it there
might be collateral damage
and so if something looks very similar
feels very similar, the
immune system mistakes it
then you have that bomber
mimicry type of situation.
Awesome, so we've set the foundation
and we set the groundwork of leaky guts
autoimmune conditions,
how they start to connect.
Let's start to talk now about
how do autoimmune conditions
and leakey gut tie-in
to neurological issues
and neurological diseases.
Because that's a lot of
what you focus on as well.
– Yeah, a great question.
The gut and the brain are intertwined
they're interconnected, it's
a bi-directional connection.
So when something passes the gut
it goes into your bloodstream.
So I'm gonna try and get
up here, it passes your gut
and goes into your bloodstream
so it makes its way up to the gut.
Also it's directional, so what
most people don't understand
we'll take, you said
neurological condition.
Let's talk about neuro
order immunity in the brain.
But the fact that the gut
and the brain are intertwined
the brain barrier, we were
talking about a little bit before
or what we like to refer to
as the blood-brain barrier
is made up of the same
proteins as the gut.
So whatever happens to the
gut happens to the brain
whatever happens to the
brain happens to the gut.
So if you have a leaky gut
you most probably have a leaky brain.
Now, when you open the door to the brain
all you have is brain tissue
and it starts to attack the brain.
So you can think of all
the neurological conditions
multiple sclerosis, Alzheimer's,
Parkinson's and the like
there's a direct correlation
between that gut health
and that brain health, so for
us and functional medicine
functional nutrition, it's almost
we don't have to talk
about the gut anymore
it's sort of accepted.
It's the patients that we still
have to remind and explain
everything now we do to our gut
and really wanna talk
and go right to the brain
and get to the neurological issues there
or auto-immunity in a brain.
– [Dr. Alex] Yeah, I
think this is something
that we're not talking about enough
and with the work that you're
doing in concussions as well
it's coming out more often I'm sure
but, you know, the leaky gut
and the intestinal permeability
as a syndrome is something that patients
are maybe more aware of but the the leaky
blood-brain barrier is
something that they're not
as familiar with, so when you say
that the tissues are very similar
between the gut lining and
the blood-brain barrier lining
can you just elaborate
a little bit on that.
Like, what is actually the
tissue that we're talking about
and how when you have the leaky gut
to start to happen, how
is that directly connected
into the blood-brain barrier as well.
– You know, it's so
interesting that, you know
we as again, we were talking
about before the layers
of the blood-brain barrier and the gut
are made up of the same
protein, but deeper than that
the gut is connected via
what we call the vagus nerve
cranial nerve number 10
that parasympathetic nerve.
It is your rest and digest nerve
your gut communicates within
a millisecond to your brain.
That vagus nerve is very interesting
'cause it goes from the medulla oblongata
down through the transverse colon.
It goes through your jugular foramen
it innervates your heart,
it innervates your liver
it innervates your stomach,
it innervates your pancreas.
At the stomach level it
attaches to the outside
of what we call your transverse colon.
Now it's interesting in that
it's about 90% efferent.
So obviously, if they're efferent
it's carrying to the brain.
So the bulk of your messages in your body
go from your gut to your brain
even though it is bi-directional.
So it's four and a half times the amount.
So, with the gut in the
brain being a communication
the vagus nerve can
sense being so efferent
what's going on in your
gut, it senses dysbiosis.
Not only can it sense dysbiosis.
After it senses the dysbiosis
it communicates with something called
Pattern Recognition Receptors.
Toll-like receptor 4 is a great example.
Essentially, their immune
stimulant receptors
are on the inside of you gut,
it sends a signal to them
cascading all this
innate, immune responses.
So therefore, the vagus
nerve is a critical element
something, natural path that you are.
Chiropractor, MD, DO, we're
all very familiar with it
we all have to start looking at
and decide how that plays
into communication skills.
Now, that's just one.
We all know the gut and
the brain are communicating
not just of nerves like we talked about
but it's also autoimmune
and also hormonal.
– [Dr. Alex] Right, yeah and this is
where it becomes a
little bit more technical
in trying to understand
where exactly the problems are happening
and working with the entire
system to draw those connections
so that you can enter your treatment plan
where it's necessary.
Yeah, the vagus nerve is
obviously coming up a lot
and it goes the other way as well
in terms of the migrating motor complex
and making sure that digestion
is still functioning properly
going the other way,
which can be affected too
but why don't we talk a little bit
about what environmental
and lifestyle triggers
can actually affect both
digestive leaky gut syndrome
and also the blood-brain barrier syndrome.
– Absolutely, we're gonna get back to that
migrating in more to complex
if we talk about SIBO a little later
'cause that's gonna be
a great preface to that.
So things that injure your gut,
let's start real basically.
Gluten, wheat, possibly
rice, so I tell everybody
adhere to my GPS, no gluten,
no processed food, no sugar
no dairy, no nicotine, no
artificial sweeteners, no alcohol.
There are seven things right there.
Flame retardants, really
can damage your gut
glyphosate, which is in roundup
is extraordinarily deleterious to you gut.
It damages your microvilli,
gonna give you leaky gut
can lead you down a tremendous
path of adverse health
BPA, phalates, people don't
realize it was a great point
environmental plus food really
can lead you down a path.
So in my current book she
asked me, she being my editor.
"Could you give me 25
things that damage the gut."
I woke up and I realized it was at 52
and I hadn't covered everything.
So there's a lot of things unfortunately
that's damning to the gut, very wunuious
if you will to the gut
but those are the big ones if you will.
By the way, clearly
non-steroid anti-inflammatories
and obviously antibiotics,
those are the (mumbles) ones
so you have to realize
we're not anti antibiotic
no pun intended there
we just want people to know
taking it prophylactically
does not probably work for overall health
and if you take it you've gotta, you know
repopulate your gut.
– [Dr. Alex] Yeah, so avoidance
is one big part of the picture
but also the healing after
the removal has been done
as well as another component
that we have to think about.
And you have something
called Dr.Rob's gut matrix
right, that is usually the first place
that you kind of get into
you know, in helping
to heal the gut lining.
– Absolutely, my gut matrix.
So I'm gonna try and be
as evocative as I can.
So the gut, right, you know
I always wanted to use a PowerPoint.
So the gut's right here,
so as we talked about it
it's very pristine, 80% of
your immune cells are there
when they gut is
compromised things can pass
and lead you down a path of immunity
or if you will autoimmunity.
Some of the items that are very particular
something called LPS and
most of our listeners
know that lipopolysaccharide.
Lipopolysaccharide is
on the outer membrane
of the inside of the gut, it
holds gram-negative bacteria
on the inside of the gut.
When lipopolysaccharide is expressed
it leads us down a path
of systemic inflammation.
It is extremely adverse and
dangerous to overall health.
In addition, which I'm
sure we'll get into more
if we talk about SIBO,
the gram-negative bacteria
carries something called
cytolethal distending toxin
that is 10 times more damning than LPS
and that is coming up in
the literature right now.
So when the gut has been
damaged or if you'd like
can we call it leaky,
make it nice and easy.
Leaky gut has shown to increase the amount
of toxins to your liver,
so that's my matrix
going to your liver, 75% of the toxins
that go from your gut to your liver
go through, via your bloodstream.
25% go via through what
we call the portal vein.
Literature has really indicated
that an increase in LPS
and leaky gut takes you down
a path of increased insulin
insulin sensitivity, insulin resistance
diabetes, obesity, musculoskeletal issues.
As a chiropractor, I told
my chiropractic brethren
someone comes in with
a rotator cuff injury
someone comes in with a back injury
yes, you have to treat the area
but you have to treat that person
and treating that person
would mean treating their gut.
Damaging the gut releases cytokines
as we talked about before,
systemic inflammation
and since those cytokines are again
and matrix metalloproteinases
which of body's own proteolytic enzymes.
They're eating fibrocartilage,
those are your discs
that's in your rotator cuff.
Leaky gut or leaky heart.
Three times the incidence of heart attack
with an increase in LPS
and what we've been talking
about it all day long
leaky gut, a leaky brain, gut
on fire means brain on fire
decreases tidy if you
have damage to your gut
increased neurodegenerative disease
and let's not forget the
thyroid true autoimmunity.
– Absolutely.
– On and on and on.
– [Dr. Alex] You just made like 60
different connections
there, all the same time.
– You got it, you got
it, I think that's live
we can do that next time,
get that white board on.
– [Dr. Alex] Or some
sort of an infographic
that you can send out to everybody
because that was, it was amazing, right.
And that's what a lot of people don't get
you know, we we all see
physical medicine cases
where people have got
pain, chronic pain, Q pain
whatever might be but,
that connection between
the nutrition and the gut
it's just not often there
when the people are thinking about pain
and thinking about, you
know, I've got a disc issue.
Well, the disc issue is
very much tied to your gut
tied to your liver
tied to these toxins that can be secreted
tied to your nutritional status, all this.
So, yeah, we need some sort
of infographic from you.
Whether you have it or
not we're gonna develop it
so that we–
– I will send you a PowerPoint
of Stephanie sitting
right here, she's hiding
and she just made a
note to take care of it.
And a disc is, I know
we're limited on time
but a disc is a great example
because most people come in,
eight out of 10 Americans
have lower back pain, it's something
that every one of us has
different types of practitioners
but all colleagues in the same
common goal of helping
people are gonna see somebody
with a lower back pain
and I can tell you this
you're never gonna get your outcome
unless you also fix their gut.
And I tell all my medical doctors that
and they understand it and
we're bringing 'em in fold.
– [Dr. Alex] Yeah, well and
again, like I mentioned before
you know, there are a lot of chiropractors
and chiropractors are often considered
you know, the back doctors.
The ones that focus on back
pain or all sorts of pain
but it's kind of like this shift
is really just starting to happen now
where a lot more chiropractors, especially
are starting to think about,
if I make an adjustment
or I do any type of soft
tissue work or something
if it's going to hold, I need to make sure
that the foundations of
health are there as well.
And you're absolutely addressing those.
So that's why I love the
connections that you just made.
I know we're doing a
bit of rapid fire here
and it's going by quick
but I just wanna make sure
that we cover some of the common protocols
that you'll use, nutritional protocols
with some of the more
common musculoskeletal
issues that you see.
– Well, let's talk about
the disc and essentially
I usually do something in what we call
the three phases of
care, make it very basic
in that, the first phase
typically is the acute phase
in the first 72 hours,
inflammation is high
then I go to what we
call the sub-acute phase
where repair and remodeling
are of prominence
and that's usually about day four
through and including week eight
and then you've got to chronic conditions
which are 12 weeks, 16 weeks, years
and we always have the
prevention and wellness.
So in acute, I always recommend
using some proteolytic enzymes
should be taken in between meals.
Really to take to cellular
debris out of the way.
unlike a lot of natural
anti-inflammatories at the beginning
to manage and modulate
the inflammation turmeric.
Turmeric is, it is some one of the most
versatile things you can use,
within the turmeric, ginger
and boswellia, which decrease
an inflammatory pathway
the five lipoxygenase pathway.
Calcium, magnesium are
great in a proper ratio
enumeration and a multivitamin calcium
is two to one to magnesium,
however it's inverted
when you're talking about muscle spasms
which will usually be
prominent in the acute phase
and in that cute phase
it would then obviously
be a magnesium to calcium, two to one.
Fish oils, great choice, take
a little while to get in there
they're great and it's
nothing new to the market
that are a few companies are
now pro-resolving mediators
and the only thing we've seen
to allow for the
resolution of inflammation
while allowing for the homeostasis.
Homeostasis between the
initiation and the resolution
of inflammation and that's great
I've front-load a lot of that, part two
or that sub-acute phase,
glucosamine and chondroitin
collagen, different selective
kinase response modulators
once again, turmeric is one of those.
The collagen, I like collagen number two.
Collagen number two is big on joint
collagen one and three are
skin, hair, nails and gut
so pick and choose as you will.
Again, you would always
continue with your fish oils
and chronic, chronic is the
real issue that we get to.
That's believe it or not when I actually
dose a little bit higher
and you, specific again
those fish oils, those glucosamine
and not to be too long-winded
but when we're talking about
wellness and prevention
multivitamin, multi-mineral,
final-multi, omega threes
Vitamin D, probiotic
and a good green drink.
That's something that you
and I probably take every day
plus a few, is something
on the box listening
should probably take, so
if it's good enough for us
why not share it with our patients.
– [Dr. Alex] So,
foundational health is key
but really looking at the different phases
acute, sub-acute, chronic
and being definitive
in what you're using in those phases
makes quite a difference.
You list all of these different protocols
and how you're dosing, what you're using
in "Inside-out Health", as well, right?
– I did it in my book, "Inside-out Health"
and what I'm gonna do for you guys
is I'm, once we're done I'll re-watch
and I'm gonna make a full protocol list
and share it with all the viewers.
– [Dr. Alex] Awesome,
that's perfect, super great.
So let's talk then about shifting back
away from musculoskeletal.
If you're dialing in on
healing someone's gut
which it sounds like you're really doing
as a foundational thing
with most your patients.
You have this seven R step approach
when you are trying to heal someones gut.
Can you elaborate a little bit on that?
– Absolutely, seven R
action steps, real simple.
We're gonna reset their lifestyle
we're gonna remove pathogens
we're gonna replace digestive
and pancreatic enzymes
we're gonna regenerate and repair the gut
or as I (mumbles) and seal
we're then gonna reinoculate, so notice
there's a little bit of a
change in the standard order
and I'll address that in one moment
then we're gonna reintroduce foods.
And I can tell you, if we
don't reintroduce foods
that they may no longer be allergic to
if you don't give them
something that they want to eat
they're not going to
be our patient too long
'cause the door is a two-way street
and ultimately we want them
to retain their health.
So reset.
First thing you're gonna do when you reset
with somebody is gonna change a lifestyle.
Lifestyle is gonna be
diet, so ketogenic diet
a big proponent of a ketogenic diet
if it's right for that individual patient.
Mediterranean is always a great choice.
Those are the two that I go to most often
if you're gonna use the ketogenic diet
medium chain triglycerides
are a great choice
from coconut oil, C8 and C10
try and avoid the palm oils a little bit.
Excellent, excellent choice,
if you're on a ketogenic diet
you wanna take a good magnesium supplement
add a little fiber just
to make yourself regular.
The Mediterranean diet,
it's excellent again
easy to follow, in addition
we're gonna talk about
lifestyle, let's get moving.
How about 15,000 steps a day?
How about some flexibility training?
How about some gratitudes in the morning.
I mean, I'm type-a, everybody knows that
if they didn't know that
they knew that in the first
30 seconds, I'm moving
I'm moving my hands,
I'm pumped to be here.
So it's a big deal for
me to get that gratitudes
and for me, you know, I don't meditate
but I do certain gratitudes in the morning
and get myself set, have my organic coffee
things of that nature.
The replace, the remove,
excuse me, remove.
Number two, we're removing the foods
but we're gonna remove the
bad bacteria, diets not enough
removing the bad bacteria,
we can do so with oregano oil
which takes care of the airway bacteria
we can take care of the dysbiosis
of the bow with berberine
HCL and in addition to that
I found very effective
serum bovine immunoglobins.
They're actually putting
the antigen inside the gut
by taking it out from inside the gut
you're now binding or if
you will, the mop of the gut
you're taking it out, so this bad bacteria
no longer can be expressed outside.
Great choice in the remove, replace
you can replace with
those digestive enzymes.
For the stomach, you're gonna
do (mumbles) and HCL and papin
for pancreatic enzymes,
protease, amylase, lipase
they're gonna be great
choices for pancreatic enzymes
regenerate, we don't have enough time
for me to tell you all the ingredients
you should take in your
powder but the heavy hitters
clearly will be our glutamine,
okra, nag, zinc carnosine
because they all help in
building the intestinal wall
track back, whereas you
will take all your turmerics
and the such, which would allow
for an anti-inflammatory
environment in the gut.
Collagen, great choice
to take at that point.
Omega-3 fatty acids, Omega-3 fatty acids
attenuate those toll-like
receptors and in addition
they also allow for
biodiversity in the gut
then you wanna reinoculate,
genus, species and strain
you just look up your probiotics
and see which one is more strain specific
Elles Aloe Veras,
lactobacillus acidophilus
l plantarum 299v, now I wanna stop
and people are gonna say, Rob you're nuts
but I've heard that one before.
And you're gonna say you're nuts
because you're doing the
reinoculate after the regenerate
that's correct, 'cause as of October 28th
the literature said, that
if you had a damaged gut
and especially damaged by LPS
the good bacteria passed
the intestinal tract
and started you down a
path on inflammation.
So let's heal and seal.
Now, if you wanted to take a
probiotic just for dysbiosis
take Saccharomyces boulardii at that point
which will come up multiple
times, it's a yeast
and that Saccharomyces
boulardii is a yeast
it does not affect the body
as a bacteria, in addition
it eats up all the bad bacteria.
Also 'cause it's hungry,
last, don't forget.
Not last but don't forget
that we wanna reintroduce.
No gluten, no dairy, no
sugar, that's out, I'm sorry.
However, if you're no
longer allergic to the foods
and you did a food test, give it to 'em
'cause remember, you
may be allergic to foods
because you had leaky gut prior
now's a good time to
know, reintroduce things
that patients will like, if
they can eat it, no fried foods
and again, retain your health.
I mean, it's as simple as that
put yourself on that super 5 if you will.
– [Dr. Alex] (mumbles) boom.
– Sorry about that.
– [Dr. Alex] We need another infographic
just for that one too but–
– Steph, write that down.
– [Dr. Alex] For those seven R's
what's your approximate
timeline typically?
How long will it take to go through?
– That is an outstanding question.
So the realism is, that
I have it in one month
because a lot of new Doc's
are like, it takes too long
and the real issue is,
if you have leaky gut
and LPS is expressed, it typically
takes three months to heal.
If it's zonulin, which is
from the tight junctions
as well, you know is expressed
and zonulin can be expressed
as simply from taking NSAIDs
in those tight Junction
damage, it's six months
and if you have a
intestinal barrier injury
and the order immunity, it
could take up to 12 months.
Now, I practice like you do.
"Hi patient, how are you."
12 months, "I'm sorry,
where are you going?"
"It was nice knowing you."
Yes, you have to, you
may have to switch them
and put them together, so the timing
will really matter on the extent
of the individuality of
that patients injury.
– [Dr. Alex] Yeah, now
it's a really great point
and especially where you
have a lot of practitioners
who will apply, let's say
a 30-day elimination diet
and then start to reintroduce after that.
If you haven't done
that underlying healing
you're actually potentially
just causing the problem to happen again.
The analogy that I like to use is
when you have a muscle injury,
you develop scar tissue
and that scar tissue tends
to be a lot more brittle
than the original muscle.
If you go and start competing right away
without breaking down that scar tissue
then you potentially
will cause a re-injury
much more likely than if you take the time
to probably heal the muscle
and same thing with the gut
if you don't give it those three, six
or potentially 12 months to properly heal
you're just going right back
and potentially setting
yourself back again, you know.
– You know, if you were to say to patients
that if you had $10
million one year from now
that one year wouldn't sound that long.
They can value their health enough
to understand really not
that long period of time
and it can be a lot less
and they'll feel better
probably within a month.
Those who do it are nodding
your head like you and I
and those who are little new
and trying to integrate it
we do share a one-month program
just to give it to the
patient to get them started
and to build the
confidence with the patient
with you as a functional
nutrition practitioner.
And the reason I say functional nutrition
is because, you know,
pharmaceutical medicines great
and Dr. Bland is everybody's idol
and we thank him for what he's brought.
But, you know, I like to use the word
functional nutrition because
not every practitioner
that's listening can do medicine
in their respective state
but they can do functional nutrition.
– [Dr. Alex] That's a really great point.
Absolutely I love that you said that.
Two quick questions before
we jump on to brain health
and concussion specifically.
So, first with with the seven R's
the reset phase at the beginning.
you know, a lot of what you talked about
actually just using other
art work, but routine
routine is huge and getting people
into a very consistent good routine
can be, you know, one of the most
significant shifts in their health
and it sounds like a lot of what you do
is just getting people into
that consistent routine.
– Thank you for adding
another part to my book.
I do appreciate that, I think it's great
reset your routine.
– [Dr. Alex] For sure, yeah.
So there's that and the
other question I had
actually was, with the reinoculation phase
do you ever use prebiotics,
as well, alongside probiotics?
– Yeah that was a little miss on my part
you always wanna give the
pre and the probiotics
and you prefer to give them together.
Prebiotics studying on there alone
have shown to decrease body
fat, improve immune function
they're a critical element
because you wanna combine
the pre and probiotics
'cause the prebiotics feed the probiotics.
You know, my dad had the best line.
My dad, my 80-year old dad
I was explaining to him
why I needed to take a
probiotic and he said to me
"So, they're good renters
in my bed and breakfast
"as long as I feed them
and then they're great."
And I'm like, you can't
get it any better than that
so you've got to feed those
probiotics with good prebiotics
you can get them from food typically
but you also would want a combination
you know, inulin always
comes to mind first.
– [Dr. ALex] Absolutely, good renters
in my bed and breakfast,
that is fantastic.
Okay, let's transition over to concussions
and brain health in general.
So, maybe just give kind
of a high-level review
on concussions and how you're assessing
and understanding
concussions in your practice
and what's going on in
that industry right now.
– Absolutely, you know concussion
is not diagnosed appropriately enough.
There's about 4 million concussions now
about half a million concussions
go to the emergency room
concussion and traumatic brain
injury are used synonymously
they're not, if I took a
spear and put it in my head
that's traumatic but
it's not a concussion.
Concussion comes from
the whipping of the head.
Remember, the brain is 3 pounds
with the texture and
consistency of jell-o, jell-o.
So I did a Facebook
Live and I took my wife
sugar-free jell-o and I went like that
and I told everybody I'm inside the head.
So that jell-o, your brain,
my brain waves back and forth
hits the hardest bone
in your body, the skull
and in this whipping and ripping
can rip up to about 50% more
commonly with women than men
we can delineate that if needed later.
So this damage to the brain
is tremendously decreasing
in their ability to think.
It rips axons and unfortunately
so much of the old-school people
were not diagnosed with concussion
many of the practitioners
at the time they went to
said rest, rest is out,
exercises is in for concussion
and when you have to look at
the plethora of things to do
to really get the clinical
outcome in a concussion.
It can be a little scary
but let me shed some light .
I will say this about a concussion
concussion is the window
into functional medicine
functional nutrition,
because as we said before
the brain and the gut are intertwined
so if you damage your
brain, you damage your gut.
If your guts damaged, your
brain is never gonna heal
and hence the idea of why
it should be a main course
on everybody's menu in
any functional medicine
functional nutrition seminar etc.
– [Dr, Alex] Absolutely, yeah.
We'll tie that into your
conversation with SIBO
in a second as well but I
just wanted to quickly go back
to what you said about
the ripping concept.
You know, I think that's
something that's fairly novel
you know, understanding
of concussions now too
because people used to always interpret
that concussions were just
a bruise in the brain.
You know, just an impact
where there might be some
blood vessels that got damaged
and you know, potentially
local pooling of blood
which causes neurological issues
but this concept of ripping
is a relatively new thing as well.
So can you spend a little bit
on what happens to the axons
and how nutrition will
then be potentially used
in order to heal these axons
and heal the tissue of the brain?
– The axons are ripped, so
the shearing tears the axons
and tails the brain tissue.
So that's one of the reasons
why we need nutrition
why we have to change their
diet and give them nutrition
because we need to heal those structures.
Now, what's interesting is, how fast?
And it's fast, Brown
University did a study
and found out that brain
cells died within six hours
or started to die, in
addition, they also found out
that zonulin is released
six hours after concussion
and just to piggyback on
that LPS, lipopolysaccharide
is released within three
hours after concussion.
So how quick do you want nutrition
how quick do you wanna treat them, ASAP.
With that being said,
nutrition is a critical element
because you wanna be able to adhere
and help those axons, those
tissues and the gut heal.
So I can share you some insights
into which nutritional
supplements or ingredients, diet.
So if someone comes in today
and they just had a concussion
and they've already been diagnosed
and the diagnosis that are out there
is I use what we call the
visual-oculomotor screen
you can download it,
it's two to four pages.
Everything is going in the eye
it's all about eye and head movement.
Another very easy test,
it's called the, you know
heel to toe test, we used to call it that
I'm not sure how old you
are but when I grew up
it was, walk a straight line
see if you were drunk test.
– [Dr. Alex] The Cop test we've got here.
– The cop test. But if you
can't walk a straight line
you have some problems.
MRIs now have been very very effective
and they're newer blood tests now
that are really speaking
to the idea and spit test
being very specific for concussion.
With that being said, you wanna
get specific nutrients in.
so high level, when you
look about it, fish oils
in an acute state, grams
and grams of fish oils.
15, 18 grams of omega-3 fish
oils, DHA most prominently
and the triglyceride form.
Let me say that again,
in the triglyceride form
'cause that's a critical element.
So many studies and so many
stories I've heard from people
have said, you know, I only
gave him two or three grams
not in the brain and acute state.
In addition to that, the
pro resolving mediators
are a great choice because they allow
for the decrease in
inflammation in the brain.
Magnesium l3 Innate, Magnesium l3 Innate
is a great choice because
it's been studied by MIT
came out in September of 2016 and is shown
to decrease brain aging by 9 to 14 years.
It also makes more bioavailable magnesium
in the brain by 50%, 50%
in the cerebrospinal fluid
and because you're more susceptible
to Alzheimer's after a concussion
decreases your incidence
of Alzheimer's by 80%
if you have the APOE4 gene.
Turmeric, turmeric's is a great choice
because it decreases NF kappa-b.
Vitamin D is also shown to be great
'cause it puts the break in
and inflammation in the body
and also increases the use
of heat shock proteins.
Choline's also great,
phosphocholine is a great choice
zinc boswellia, boswellia
has been shown to decrease
diffuse axonal injury,
coffee fruit extract
el glutathione, glutathione decreases
brain tissue damage by 70%
and the first thing I do
when someone comes in, is
I get them into ketosis.
Ketone bodies fuel the brain
much quicker than sugar.
So I'm gonna give him some MCT oil
and I'm gonna give him some ketone salts
get him into ketosis.
If someone has a neurodegenerative disease
and/or a concussion,
do not give them sugar
the brain is 60% to 70% fat,
get them on a ketogenic diet
that's what it was made for.
– [Dr. Alex] That's massive
because as you're probably known
in common sporting
environments, oftentimes
sugar is given very consistently
on the sidelines, right.
So right after concussion is sustained
sugar might be administered to the patient
or administered to the
person and that can further
cause inflammation and shift the person
away from their healing state.
The other thing that you
tend to talk about a lot
when it comes to concussions is protein.
So along with the ketogenic state
is make sure that their
proteins are increased as well.
– Yeah, well, that's a great point
because, you know, keto
is about 70%, 75% fat
and 20% protein, you
mix those two together
you're giving it energy
and ability to heal
and unfortunately, post concussion
the body can't even process carbs
and you're right, as soon as they get hit
what do they give them?
A Gatorade, let's say or
Powerade or something like that
a Fructose, Dextrose, sugar
with artificial sweeteners
artificial coloring the etc etc
it's just a drink of
death for brain cells.
– [Dr. Alex] Absolutely, yeah,
hey before we go too far here
can we backtrack a little bit
and can you spend on PRMs?
And just exactly what those are
and how they're used therapeutically.
You've touched on them quite a bit here
but I just wanna get a little
bit more specific on those.
– Problem resolving mediators.
Essentially, fish oils
should be anti-inflammatory
but they're not able to
convert to that last leg
because our host, our bodies
are not able to convert them.
The metaphor that I use is
how well this flaxseed oil
convert to EPA and DHA, poorly.
Flaxseed oil is great, it's an omega-3
but only converts between 3% and 5%
the same thing occurs from Omega-3's
they're not able to make the conversion
to these resolvedins, these marysins
and these protectants so
they are the precursor
these PRM's they are the precursor
to these resolving mediators.
What's most interesting is,
there's two things to make note
if you use them, number one,
you do not wanna take them
with NSAIDs or cox-2 inhibitors
'cause they shut off the conversion.
They basically stop, the lipid class
switch at the cell membrane,
when the macrophages come in
and the macrophages now
have been stimulated
to be resolving macrophages.
Macrophages are the captain
of the ship of inflammation
they talk to neutrophils and leukocytes.
In addition, you should take them
not in place of fish oils,
in addition to fish oils.
You get that combination,
triglyceride form fish oils
you do that and you're gonna
see people's inflammation
precipitously decrease.
– [Dr. Alex] Again,
it's such a great point
that we just don't talk about enough.
So I'm glad you specified
and drill down into that.
Again, that's something
that's in your book
so if people want more information on that
they can review that there.
Before again, we jump on
one last thing to clarify
you mentioned blood
testing for concussions
is becoming more and more common now
can you touch on that a little
bit, in terms of assessment.
What would you typically run
probably testing perspective?
– Well, you know, what
I'm running now the most
there are some tasks that
are 97% and 99% accurate
but they're hard to do in the office.
I'm testing the blood-brain barriers.
So unfortunately, most
doctors aren't gonna see
somebody in acute state
they're gonna go to the emergency room
their family practitioner
and they're gonna see them
day two, day three or week
three, four maybe a month later
with that being said, we've got to test
the blood-brain barrier,
so I'm a big proponent
on obviously barriers,
so I believe barriers
are a critical element.
you know, it's so funny
when you talk about barriers
people say, well, what's the big deal?
Well, you know if you rip your skin
you put a bandaid on it.
Well, you can't put a band-aid on you gut
there's no way I can get inside
but think of this, when
you have a tear in your gut
things go through your whole body system
and somehow, someway
people don't get it scared.
If you have a tear in
your blood-brain barrier
you're guaranteed everything
that's not supposed to go in
your brain goes in your brain
and that's why as you alluded to before
the gut is what we've talked about
but it should be at the brain
and the brain-barrier levels.
– [Dr. Alex] Yeah, we should
be talking about it more.
Absolutely, okay so
let's transition now into
we went from the gut up to the brain
and now we're gonna go back to the gut.
And talk about how a
traumatic brain injury
or a concussion can actually
cause problems down the line
in the gut, we'll touch on SIBO first
and maybe just a very high level
let's talk about what is SIBO
and the difference between methane
and hydrogen dominance SIBO
just so that people have that
foundation work real quick.
– Absolutely, fabulous.
So one of the reasons why
people have SIBO post-concussion
and actually it's up to in
different pieces of literature
or up to 60%, one of the biggest problems
is, once again that vagus nerve.
So when the vagus nerve gets decreased
you typically sympathetic after concussion
so the parasympathetic system
your vagus nerve shuts down
when your vagus nerve shuts down
your vagus nerve is critical
and this is why you get SIBO
or one of the reasons
why, but it overrides it
your digestive enzymes,
your bio gets shut down
and your pancreatic enzymes get shut down
in addition you refer to MMC,
you're migrating motor complex
or migrating motility complex
which is peristaltic contractions
in your small intestine
which should occur nine
to eleven times per day
when after concussion,
your vagus nerve shuts down
it only moves three so therefore
you're not moving your
food bolus, in addition
your ileocecal valve,
which is your doorway
between your large intestine
and small intestine.
It is not a valve, it
is a flap, doesn't close
and then you get a regurge,
if you will from your lodge
to your small intestine, because SIBO
small intestinal bacterial overgrowth
should not have bacteria
in your small intestine.
It should be pushed through.
So when you have an
overabundance of bacteria
in your small intestine, you get SIBO
which is symptomology,
very similar to leaky gut.
So I'm gonna say this
here, we're gonna come back
we're gonna talk in three years
and I'm gonna say, I think
most people have leaky gut
people don't realize they also have SIBO.
We know that they get SIBO
from irritable bowel syndrome
or disease, 'cause that's large intestine
but most people don't
realize that they have SIBO
because the tests, we haven't
got to the highest level
so methane and hydrogen is a breath test.
So, methane usually if you
blow positive for methane
usually implies that you
have constipation with it
where hydrogen's associated
more with diarrhea
SIBO is typically associated
with IBS or diarrhea IBS.
I hope I tied that all
in in one tight bow.
– [Dr.Alex] Yeah, that was perfect.
And, yeah, quite frankly I have to agree
that the amount of testing
that we're doing that with SIBO
you know, we're seeing in our clinic
every two to three patients or so
are testing positive for SIBO
and there's, you know, it's multifactorial
and having a concussion or
a traumatic brain injury
is part of that, but, you
know stress affects the MMC
having IBS previously or other
types of digestive issues
due to an inflammatory type diet
is gonna push things up the pipe
and that IC valve is
critical and understanding
what's going on between
the gut small intestine.
So you touched on a lot
of awesome things there.
Let's now talk about exactly what happens
when someone sustains a concussion
and how that directly ties
into a diagnosis of SIBO
and I'd also like if you could end that
with how do you explain that to patients
so that they get it in a
way that the brain injury
is actually affecting their
gut and in vice-versa?
– Well, it's a great point.
So I asked them, you have
any gastrointestinal upsets?
And it brings me to a lot
of stories with patients
and they'll go, yeah.
So I had a patient that
came in, a female patient
Ivy League school, captain
of the lacrosse team.
She came in and she says she
sustained multiple concussions
I said before I look at your intake form
how do you gastrointestinal
tract since then?
she said, It's very funny
that you mentioned that
they now think I may have
seen, well, she did it.
"They now think I may have celiac."
"Did you throw up after the concussion?"
"Oh, my goodness I threw up."
Well, symptoms will lead you to the sign
that something's wrong in a system.
So if you hit your head
why are you throwing up?
Because your gastrointestinal
tract or your GI tract
is intertwined with your brain
and it gets back to that vagus nerve
'cause it's a rest and digests nerve
so when it gets shut down
you can't digest, so she regurgitated.
And all that, those issues cause.
Now interesting, I said three
hours after the concussion
LPS gets elevated, if you
have LPS you have leaky gut
that pipes it back up to the brain.
So, if you're just trying to fix the brain
and you're not addressing the gut
you're not looking at
the by directionality
you're not looking at
the full system time.
Remember, there's only up
to 14 systems in the body
as long as we, as you
put it connect the dots
we're plausible for a clinical outcome.
So that story usually resonates
and many of the people
have hit their head.
Again, another story
where I have a 12 year old
came in he's an elite rock climber
and he came in and I, you know
he was suffering from concussions.
And I asked him and his
mom and I said, you know
he's got psoriasis.
I said, did he have the psoriasis first
or did he have the concussion first?
She said, he had five concussions
before he had psoriasis.
So connect the dots, there you go.
He damage hi gut, we tested him Psoriasis
is obviously autoimmunity
at the skin level
comes from inside, it's
not here, it's here etc.
So when I'm able to do that
and that's how you really wanna
talk to all your patients.
Go through their history,
you'll realize it's there
that's a great term, connected
dots for the patient.
They will have their epiphany,
the light bulb will go off
and then you're gonna be
talking about common ground.
– [Dr. Alex] Yeah and such a big part
of this medicine as well,
doctors, teacher again
taking the time to educate the patients
that they get those
connections and are compliant
with the treatment plans down the road
because then they are understanding
why they're actually doing
what you're telling them to do.
So, that transitions us into
can you give us some examples of, you know
some particular case studies,
you just gave us some
but some case studies and
protocols in, you know
some tough cases that you've had
or, you know, cases that you
really had great outcomes
to show how you connected those dots
and then how you
implement a treatment plan
and brought it full circle
so that the patient was on
their way feeling a lot better.
– I'll do with concussion,
so I have one famous
race car driver, and he always
lets me talk about his case
I won't mention his name,
just because I don't want him
getting flooded with emails after this.
So he had seen a lot of practitioners
they really didn't, as
you said, connect the dots
and he had Crohn's disease.
Now, when a guy calls you up and says,
"I am gonna be your best patient
"I will drink motor oil if
that's what takes to get better."
So When you hear that, you roll
your sleeves up, you're in.
So we went through that seven-hour program
great feedback, got the clinical outcome
he's now the poster boy,
he works with the Crohn's.
A more personal thing.
One of my patients had come
in and she'd been everywhere
and she was suffering
from tremendous depression
after hitting her head,
tremendous depression.
And she just wasn't treated correctly
with concussion had a lot
of gastrointestinal issues
20 pounds lighter, applied the protocol
and she felt better but that was a time
where I didn't believe everybody had SIBO
or enough to check that everybody
who had a concussion at SIBO.
So we went in and did a SIBO protocol
so within the SIBO protocol in phase one
in the first 30 days, I increased
bile flow with bile acids
taurine and digestive enzymes
then I used in addition,
oregano oil, berberine
and they also used saccharomyces boulardi.
I used a separate formulation
that had zinc carnosine
and I had an option between two diets.
I had an option between a fog map
which has really poor compliance
and if you google the fog map
you'll have five different fog maps
on five different googles.
So it's either the fog map but
don't eat any carbohydrates
or put her on the ketogenic
diet, with a concussion
I chose the ketogenic diet.
Did that for 30 days then
switch to 60-day program
where I did a gut
restoration formula, again
the powder switched from
the saccharomyces boulardi
at that point to regular bacteria
always keeping the bio flow,
you know, it's interesting
the small intestine has its own mechanism
for being healthy, it's
peristaltic contractions
its digestive enzymes, its bile enzymes
it's pancreatic enzymes.
Anytime you stop any
one of those three, four
five needed things, the ileocecal valve
you're now susceptible to SIBO.
So I took it through that
and kept her on continuously
the gut protocol, which
incorporated things
to increase bile flow,
a probiotic and again
gut restoration after that
90 days, no more SIBO.
Interestingly enough,
two studies have come out
since I've worked with her.
Study number one says you can
give a probiotic on day one
and study number two
says, if somebody has IBS
and you give a probiotic without SIBO
the symptomology goes away
about slightly over 10%
however, if they have IBS and
SIBO four different strains
71% of the people symptomology decreased.
So if anything, probiotics
are a critical element
to incorporate in somebody SIBO protocol.
– [Dr. Alex] Can you
list those four strains?
I'm sorry if I've put you on the spot.
– No, it's all right, it's good.
It's acidophilus, it's
beta lactam, is plantarum
and I think it was routi.
No, rhamnosus instead of routi.
Sorry about that.
– [Dr.Alex ] We can reiterate
that after the fact as well.
If we'll have some show notes–
– I can cite the source if
I got the fourth one wrong
we can cite the source.
I'm almost ready to get my laptop now.
Stephanie is writing that
down, shaking her head
I got a thumbs down, oh my god.
My mom's coming–
– [Dr. Alex] Right, behind
there usually have there
to write things down (laughs)
– That's a great idea, I think
I'm gonna do that next time.
– [Dr. Alex] I just
wanna touch on one case
that you listed in your
book about a soccer player
who had sustained multiple concussions
maybe that was the same one
that you just mentioned earlier
but you got her back into
the game within three weeks.
Three weeks you turned her around
and that ties into what
you had said earlier
about attractive, we're
not focusing on rest
as much as we are focusing on
activity and active movement
after concussion, now, can
you quickly speak about
the assessment and the
protocol that you did with her
and how you got her back
into play so quickly.
– Well, you know, it's funny
you mentioned three weeks
'cause the time frame is critical
'cause the new literature says
that myelin sheath, post-concussion
takes two weeks to loosen and it can take
up to two months to heal,
93% of professional athletes
go back to their athletic
event within the first week.
So the timing was critical.
So when you think about it
nobody should go back post concussion
according to that study,
in the first two weeks.
So the reason she was able
to get back so quickly
was it was a mild concussion,
she came in acutely
and I was able to apply within 60 minutes
of the concussion the
nutrition that was needed.
I use a lot of laser, I
was able to laser her brain
I was able to laser her vagus nerve
I was able to get her
into ketosis right away
and I was able to get her on activity.
And the activity that you're
looking for is steady state.
The reason steady state
is you don't want the
head to move too much
because if the head moves like I just did
the problem is it'll
increase the symptomology
and instead steady state is picked
like an elliptical will
walk, a treadmill etc
because you're in there,
so swimming doesn't work.
And she responded, I held
her out for three weeks
in theory she could have
stayed another week or two
probably now I would have
but it's all worked out
and fortunately because
she came in with the hour
she did not start to have
the gastrointestinal issues
that so many people do 'cause
they just wait too long.
– [Dr. Alex] That's
amazing and unfortunately
for a lot of amateur athletes
they're not gonna be able
to have access that quickly.
So, I think awareness building
is massive in the space
and if you're a practitioner
who works with athletes
continually reminding them
that if something happens
come in fast and start dealing with this
as quickly as you can.
So, Dr. Robert, we're running on time here
I just wanna wrap up
with a few fun questions.
Two of which are, the first
one we talked about routine
so what is your morning routine?
– Well, my routine is when I get up
I'm the first one up in the house.
So, one, I'm really happy that I'm up
because it implies that I have another day
to try and help a whole bunch of people.
My routine is I go down
and I start brewing the
coffee, that's my job
it's the only thing that
I can prepare adequately
without burning the house down.
So I'm an organic coffee
because I believe that organic coffee
comes with coffee with
benefits, I sit down
and before I open up that phone
I write my five things down,
I write my five gratitudes
and then I write five things
that I want to accomplish during the day
and then drink my coffee and
I immediately start saying
what did I miss last night
in sports for two minutes
and after that (mumbles)
you know, 'cause, you know I gotta watch
you gotta see my basketball,
I'm a basketball, I'm a fanatic
and more so than that I start
looking at different articles
and everything like that
and see how that pertains to the day.
But I start today with my gratitude
and one of my gratitude is I
get to drink my organic coffee.
– [Dr. Alex] You put some
coconut oil in there?
– I have a little (mumbles) I do.
And I admit I have a little coconut sugar.
I maybe have 10 calories of coconut oil
so, I don't wanna lie.
– [Dr. Alex] A great way to start the day
nice and simple, okay, last question.
If you want our listeners to
walk away with one key message
or one key lesson, what would that be?
– Well, here it is, health is
wealth, as Jim Rome once said
take carry your body, it's the
only place you have to live.
– [Dr.Alex] Amazing, I love that.
Okay, you've got a new book coming out.
Its coming out later this
year, that's super exciting
can you quickly tell us
a little bit about that.
– Absolutely, it's all about
the gut to brain access
what a shock and right
now, the working title
we'll work on it some more is,
"The Superhighway to Health"
I'm gonna really explain in
detail what we talked about
in the gut to brain, we're
also gonna have a section
on the microbiota gut to brain
and now we're adding the
microbiota gut to heart to brain.
So, gut to brain, three-way calling
microbiota gut to brain,
conference calling
microbiota gut, heart to brain.
Protocols and the like
and we're gonna have a special
section on how to assess
and treat a concussion with flowcharts
and yes, recipes, I
promise everybody this book
you'll get recipes,
'cause the practitioners
need to share the recipes and what to eat
with their patients.
– [Dr.Alex] Flowcharts and recipes
that sounds (mumbles)
– [Dr. ALex] Exactly,
Super Highway to Health
you're referring to the
vagus nerve obviously
that's a really great name,
you can keep it at that
but that sounds great, so keep an eye out
for "Superhighway to Health".
Check out "Inside-Out Health"
Dr. Rob's number one
best-selling book in 2016.
If people want more information about you
where can they find you?
– Okay, real easy, my
come visit me, I do a lot of social media
so the two big ones are
Facebook and Instagram. and we've got
which I'll invite you on, we've
got my own podcast webcast
called Proven Health Alternatives.
– [Dr. Alexa] Awesome, beautiful.
Thank you sir for joining us today
we will see you next week
at the epic functional medicine conference
have a great time until
then and thank you again.
– I will see you there and
guess what I'm talking about?
The blood-brain barrier.(laughs)
– [Dr. Alex] Can't wait, can't wait.
Hey thanks everybody checking in as well
we really appreciate it,
wishing you all a great day
we'll talk soon.
(upbeat music)

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