 Hello everyone and happy Friday afternoon. I'm live here on Instagram and shortly I'll be on Facebook as well and I am here to answer your questions. Anything you want to talk about say hello. Tell me where you're from and just chat in the box whatever you want to talk about today. I've got some topics from my new book unexpected that we're going to talk about many of you already read it and thank you for your feedback on that and I'm going to go live to Facebook so give me one sec here and we will get on that screen and we'll try to take questions from both audiences. So Instagram just say hello tell me where you're from and now we are live on both Facebook and Instagram. I want to just bring up the feed on both places here so that I can say hello to everybody and in the meantime say hello tell me where you're from I'm here live to answer your questions on either Facebook or Instagram and just going to put this all set here so that I can see both screens and be sure and actually say hello and to get to your questions so I can see the comments. Hi on Facebook say hello tell me where you're from and type in your questions today and hello everybody on Instagram as well. Today here in Colorado it's crazy stormy right now it's kind of clear but if our so go it looks like a tornado and I think we have a warning tonight any of you local you might be experiencing storms as well. It seems like the last month here in Colorado has been full of rain and storms. It reminds me of Illinois with the tornado warnings and thunderstorm warnings and all of that but it's been lovely my balcony with flowers is so full and growing and flourishing and there's green everywhere which is kind of unusual at least last time this year in Colorado was dry and barren so it's nice to have that water so hi everybody with you on Facebook or Instagram say hello tell me where you're from and I'm here live to answer your questions so pop in and if you have anything specific you want to know about today I was going to just start with a little excerpt from my book you're on you know Facebook or Instagram here you are there's probably know about this if you've been following me and maybe some of you've gotten the book pipe in with the comments if you read it or if you're in the middle of it if you like audible if you're like me and you're like walking or driving or doing things and actually reading the book that way by audio I read the entire book myself and you can get that on audible or wherever you find your audio recordings and people have been telling me they enjoy hearing my voice on the book I hope you will enjoy that as well if you happen to get that copy so today I just want to start while we're waiting on questions and talk about travel so summer is a time I don't know any of you on the road right now for the fourth of July weekend getting ready to take a trip or travel I have the last several months been so busy with travel because I've been doing book signings and teaching and interestingly I think because of COVID a lot of the conferences were planned in Florida because I've had three trips to Orlando in the last I don't know six weeks and there's lots of mold there there's lots of humidity so some of my favorite travel tricks I wanted to share with you because it really can be hard if you have chronic illness or if you have mold related symptoms to thank you MV Vic for the book the for the feedback I just see you in Instagram there thank you for commenting and sharing so I wanted to share today some travel tips because if you're like me traveling can be kind of hard on your system so some of the things and this is on page 147 in the chapter on supercharging healing through flow on some of my favorite travel tips one of the things is airports are notorious for stress and not great air quality and also just not great food right so one thing I always do is I have a little cooler that's kind of a soft side cooler it's a very small little cooler with long handles and I pack food always because in the airport you just really can't always guarantee that you're going to get good food and sometimes you're stuck on the plane my last experience just a week or so ago there was hail storms in Denver I was supposed to fly in from debt from Orlando that night and the storms were so bad we got rerouted to Salt Lake City so this is like midnight we get rerouted to Salt Lake City and then we're on the tarmac because a bunch of planes from Denver had gotten rerouted and we're all sitting on the tarmac there was no gates and we were on the plane for probably two hours and then they finally brought out something to unload us onto the tarmac it took a bus to the terminal so it was quite an ordeal and all that to say I had food and I had extra snacks and so I was fine it was no big deal but if you don't really think ahead a lot of times you don't have food or you're stuck on an airplane in the airport or somewhere else and it's hard to get good quality food so I always pack I typically pack like a fresh salad with lots of vegetables all in like a little glass sealed container and then I'll pack a separate little container full of organic chicken or or salmon or something to put protein to put all my salad and then lots of nuts and seeds I'll pack some dried mango maybe some red and green and orange and yellow bell peppers those are my favorite snack on the go I'll cut up sliced apples and peanut butter any sort of nuts and seeds or nut bars and seeds dried fruit that's like my typical and I'll pack at least one meal and then lots and lots of snacks I always pack some dark chocolate some organic you know high percentage dark chocolate and just having that food and then I put some ice packs in there never have trouble with security and that way I can take that on the plane and actually have a meal that's good that's clean either in the airport or on the plane then when you get to the airport gets the hotel you can ask for a fridge in your room nowadays most hotels have fridges in the room so it's a little less of an issue but all of these things if you just say it's for medical necessity you know I need clean food or I have a medical issue that requires me to eat organic food they will let you bring that food on the plane they will let you have a fridge at the hotel and this is some really really just practical tips because knowing how to travel well creates resilience and allows you to go places and do things even if you struggle with fatigue or chronic illness like I do sometimes so those are just some of the tips you can research all the options when you get there and nowadays it's so common to get Uber Eats or get places where they deliver your food but back in the day before anyone knew about Instacart I was like the first user and years ago I would have Instacart deliver food to my hotel room or to the concier to put into my room in my fridge so I would literally arrive to the hotel with food in the fridge that I could eat things like green drinks or fresh apples bell peppers berries coconut milk those kinds of things so like I said ask your questions today wherever you're at I see you on Instagram hello everybody I'm here to answer questions but I'm just starting with a little bit of tips and tricks for travel because tis the season of travel airports are crazy nowadays and like I just got done telling the story of how I got stranded in Salt Lake City overnight I didn't finish the story but we ended up being on the tarmac until like 2am didn't really get out of the airport into the hotel until 230 or three and then I had to catch an early flight back to Denver so I had like one hour of sleep back into the hotel to the airport and then back and again thank goodness I had packed food and so I had enough food to last me the whole night the next morning for breakfast and I was just fine but thinking ahead to plan that food and to take it with you is really a key part of me surviving lots and lots of travel that food is key me getting good nutrition um and there's something you really need that you know you can't get or you have food allergies like I pack organic coffee usually for the hotels I'll usually call ahead and I'll actually ask them do you have a cure egg or do you have a you know what do you have I have a travel hot pot that boils water that's silicone and collapsible I have a travel french press I have a travel coffee grinder and I don't always take all these things but sometimes I do and it's really really worthwhile to get those kind of good clean things when you're traveling sleep is so critical when you travel so whether you have I can sleep anywhere on a plane on a rock and on a train and you know on a house with a mouse upside down on the roof that's me I sleep about anywhere I need to sleep but if you're one of those people who has trouble sleeping you could pack a GABA you could pack melatonin if you're going across time zones that can help reset your circadian rhythm and any of these things can be really helpful or say you're getting on a plane and you're going to europe and you want to sleep on the way there so you arrive and are rested but it's like you know seven o'clock at night you can use melatonin to kind of put your body into that new circadian rhythm I always say the day or so before you leave for overseas or for more than eight hours of time zones you can start that melatonin and then when you get back when you're coming back you can take that for up to two weeks to reset your body clock other tips pack a stainless steel water bottle with a filter my favorite is clearly filtered I have their fridge picture which filters out over 200 chemicals and also I have their water bottle because that will also filter out things on the go or if you're in a country where there's no clean water it filters it out right in the water bottle if you want to know a link and a discount you can get that on my website on jillcarnian.com products we love and all those links are there if you want to know how to get the clearly filtered water bottle noise canceling headphones are a must because nowadays pets and kids and all kinds of people and young young people are traveling and not all of them are quiet so I always use my noise canceling headphones to get a good concentration sometimes I just listening to calm classical music or my audiobook but on the plane that is a lifesaver it's actually best you might be surprised you might think keeping those windows open on the airplane is better but that peripheral light into your retina depending on their time zone and what you're trying to do can be really really disruptive to your circadian rhythms so I always recommend if you have a choice to put the window shades down that's actually better so believe it or not when you're flying so that your body doesn't have that peripheral light into the retina creating an alarm response what else okay wearing blue blockers or some sort of blocking glasses to avoid ambient light on the airplane can be helpful there's a dark gosh I'm trying to remember the name of it it's on my website under products we love but there's a dark field glasses that are really helpful for that I always take a huge dose of vitamin D when I'm getting on the plane that's a huge immune booster anywhere from 20 to 50,000 now you do not want to take this more than a couple times a month but if you take it when you get on the plane or get off the plane you're traveling maybe once a month it's a great way to boost your immune system so like I said I'm taking your questions I'm going to go back and try to answer some of those I see hi Natalie hi Carolyn on Facebook I'm going to go ahead and talk about those things in a bit but I wanted to start out with travel tips because now as a season to travel a few more things again ask for mini fridge get good clean food delivered to your room you can ask that some of these places for hypoallergic rooms or for them not to use toxic cleaners before you arrive make sure if you have a choice you have a room with windows that actually open because when you can open those windows you can dilute the effect of the toxic cleaning chemicals or if there's mold in your room so lots and lots of things hopefully that's helpful for your travel wherever you're going and like I said I'm going to go back and answer some questions hi Mimi hi Caroline Natalie asked what can I do to help recover and detox from a trip if I think my hotel was moldy great question Natalie because this is such a common thing like I said I just got done doing three different trips in the last six weeks to Orlando two of the trips were great and the hotels were fine one of the trips was full of toxic mold in the hotel I knew within seconds of being in the exhibit hall that it was very very toxic I had brain fog I had the congestion in my sinuses I just felt achy so what do you do right so I would say if you're like me when you travel actually travel with the little packets of tripodified glutathione or glutathione capsules you can find any of that the good stuff at drjilhealth.com my favorite is our glutathione essentials it's little capsules and I'll take this little three by three plastic baggies and stick those in and label them so I have like one baggie of vitamin D a baggie of a charcoal and binders and a baggie of glutathione and then if I get exposed I'll take a dose of that glutathione once or twice a day followed an hour later by charcoal and I always travel my travel bags right here and guess what I'll show you guys because it's so so I have a little bottle here activated charcoal and I take that with me it's in my travel bag it goes everywhere I go and if all else fails and you have bad food you have too much to drink alcohol I don't really drink but some people do or you have a mold exposure charcoal is a game changer for those exposures so Natalie when after you get home what I would recommend is doing infrared sauna red light therapy doing some more extra glutathione either ivy oral liposomal and doing binders and that will kind of detox your system after flying Caroline asks what do you think about using ozone for treating bacterial mold or various issues you recommend ozone capsules for treating SIBO or gut issues okay so ozone is three oxygens together and it tends to uh it's a antiviral, antibacterial, antifungal but if you have an SOD mutation you're going to create more reactive oxygen with ozone so if you're in a really highly oxidative state and you're sick or you're sometimes ozone can be a bit much because of that reactive oxygen that happens after you get ozone for some treatment can create more reactive oxygen so I'm just caution with who I use it in and you can insufflate in the nose you never never never want to inhale ozone that's toxic and can be extremely harmful but you can actually hold it into the nasal cavity and clear out the sinuses a lot of naturopathic doctors will use rectal insulation for ozone to clear out SIBO and SIFO I don't do that at my office but with the right practitioner you could consider that because it does give a systemic effect and then other practitioners do five and ten pass ozone in the blood where they take your blood out they ozonate it and then put it back into your body and the idea there is to kill the virus's bacteria it can be very very helpful but like I said you need to know yourself and if you're someone who has reactive oxygen or SOD mutation you may not do well with ozone hi Mimi just saying hello hello John EDV and kidney cancer so if you guys haven't seen I just got off alive with Dr. Kasha Kynes it is on my Facebook page at Flatter and Functional Medicine under Jill Karnan MD and I will also have that as next week's podcast episode on iTunes and YouTube and we talked all about epstein bar reactivation and treatments and it's a really wonderful comprehensive interview so that'll be my next episode on Dr. Jill Live that's coming soon I just got done recording that so John hopefully that will help okay hey everybody I just stopped by to let you know that my new book unexpected finding resilience through functional medicine science and faith is now available for order wherever you purchase books in this book I share my own journey of overcoming life-threatening illness and the tools and tips and tricks and hope and resilience I found along the way this book includes practical advice for things like cancer and Crohn's disease and other autoimmune conditions infections like Lyme or Epstein bar and mold and biotoxin related illness what I really hope is that as you read this book you find transformational wisdom for health and healing if you want to get your own copy stop by readunexpected.com there you can also collect your free bonuses so grab your copy today and begin your own transformational journey through functional medicine in finding resilience hopefully that will help okay now I'm going to scroll through all these wonderful comments on Instagram and go back and try to get your questions as they came through so hi Maria hi Yenny, hi Madeleine, hi Sheeran, hi Seaside, hi Susan, Megan, lipstick granola awesome name Sheeran, domestic, Samantha, Sarah, okay and now I'm trying to get questions here hi Lacey, hi Christina, thank you for the book love and if any of you haven't gotten it readunexpected.com you can get your copy it is my own story but also lots of practical tips on travel, mold related illness, autoimmunity, et cetera, Seaside sandpiper my question is about pernicious anemia maybe what causes it and how to properly test for it with a doctor okay we're going to talk about that in just a second I'm just scrolling through if you are here live on Instagram or Facebook just pop in your questions navigate mold and hotels Christine I kind of just talked about that so I want to come back to pernicious anemia but because I was talking about travel and mold and hotels thanks to Natalie's question let's talk about that real quick so mold and hotels we talked about glutathound binders are kind of the things that I always take with me you can take a travel air filter I have one of those too but sometimes with my travel coffee pot travel french press air filter I need a whole another bag for all of these things right and I will say if you guys haven't heard me before I always say it's okay to be high maintenance if you're high performance and that is my line if I'm in an elevator for a weekend trip and I have two large bags and someone looks at me and says what you go into Europe for two weeks like it's okay to be high maintenance if you're high performance so all of you can steal that if you need things to take with you when you're traveling I just started being like you know what it's okay to take what I need and I no longer apologize and yes I do take multiple pairs of shoes and changes of clothing as well okay so back to your question about pernicious anemia so pernicious anemia is anemia related to low b12 so ways that you can test that are a regular cbc which is really easy to get and now with direct labs to consumer you guys can all order that yourself if you want and what you're going to look at is hemoglobin and hematocritin you want those to be normal ranges if they're on the low normal it depends on which lab but usually 12.5 and below is starting to get into the anemic range again depending on the lab it might be 11 or somewhere in that range but lower than 12.5 is starting to get on the anemic range and then after that you're like well what is the cause well mcb and mch can help you determine the cause because that's the size of those blood cells the red blood cells and if they're large the mcb will be higher and if the mcb is higher it's more likely to be a b12 deficiency and not an iron so we call that macrocytic the larger b12 i'm sorry the larger the larger red blood cells and that macrocytosis or macro macrocyte means that you're likely deficient in b12 now there's a normal acidic so that'd be like when the mcb is totally normal that can be from chronic disease or other things and when they're really small it's micro acidic so if the mcb is tiny or lower than normal that would be an iron deficiency so first on your question of pernicious anemia that would be how you'd start looking for it if you'd see a low normal or low hemoglobin and hematocrit and then you'd see a high mcb that would indicate that b12 might be the issue now that could just be someone who's been vegetarian for years and not supplementing b12 because that's another cause of low b12 and macrocytosis and anemia it could be many many other reasons but another reason is this inability to absorb b12 and you need intrinsic factor you need hydrochloric acid and you need to function in ileocecal region so some people have their ileocecal valve taken out through surgery like with Crohn's or colitis or colon resection some people will have severe bacterial overgrowth like SIBO these are all patients who'd be at risk for a b12 deficiency and be that pernicious anemia and you can also check serum b12 level which may or may not be accurate sometimes people have normal serum b12 and at the level of the intracellular they're actually deficient methylmalonic acid is another way that you can test in blood to see if you're b12 deficient so those are just some of the ways and you can actually check intrinsic antibodies for pernicious anemia as well so hopefully that answers your question Christina we talked about how to navigate mold in hotels um looks like uh true blue is talking about keeps us from eating the wrong foods when we take our lunch into the airport good good good um Vic uh FM Vic pre and probiotics let's talk about that next penicillin in the lungs okay so Jordan has some good questions there so pre and probiotics so my thoughts on pre and prebiotics are the new hot item you've probably seen all of these pre and probiotic combos and a lot of them are saying this is the you know thing that's going to fix your gut so there is a caveat to prebiotics because if you have severe bacterial overgrowth or fungal overgrowth or dysbiosis and you give the wrong prebiotics you could actually feed the bad guys instead of the good guys so my thought is I always when I'm treating patients get rid of the dysbiosis treat the SIBO or SIFO first because you want that to be fairly healthy diverse microbiome before you're giving a lot of um prebiotics even selective prebiotics like mega spores mega pre um phytopree for more the molecular these are all available at drjilhealth.com and they're selective prebiotics but even so I still find that if someone has fungal overgrowth they'll have gas and bloating with those so you want to take care of that first now the beautiful thing is you don't need a bunch of pills things like Jerusalem artichoke and fiber rich foods and chia and flax and inulin and are all sources any vegetable fibers are often sources of prebiotics so you can do asparagus artichoke broccoli cabbage cauliflower garlic onion are all sources so you don't have to take a pill you can actually eat real foods hi paul hi natalie let's see paul says apparently cows have low mycotoxins due to high colonization of vestilis subtilis what do you recommend paul great question oh my gosh I love it when you talk about strains of probiotic that's my language and I will say um vestilis subtilis is one of my favorite probiotics it is a spore probiotic and both vestilis coagulants and vestilis subtilis I'll just tell you my short story paul on this is 20 plus years ago when I had crones I didn't know nearly what I know now about probiotics but what I knew is the typical lack of vestilis and those kinds of probiotics not only didn't help but they caused my symptoms to be worse and I found this one thing called vestilis coagulants I didn't know what it was back then but what it was was a spore probiotic and when I had crones it was the one that helped me the most and this was way before all the research now on spore probiotics but I knew there was something special about this so now looking back I think it was part of my my journey to healing from crones was these spore probiotics and vestilis subtilis is one I love it's the one I take right now another name for that is h u five eight and again you can find it on Drjillhealth.com if you want like a one-size-fits-all probiotic for a tough gut that's what I take that's what I recommend to patients who have SIBO, SIFO, or history of IBD and paul that's a great question because this probiotic has been studied and it's been shown to passively bind things like yeast viruses including SARS-CoV-219 and including H. pylori and fungal candida other bacteria like Klebsiella so it's kind of one of those things that's going to help you get rid of the bad guys I just love it and what we know now with spores is we used to get this advertising of a hundred billion of this probiotic and this and that and the high doses well I don't really see any evidence behind those really really high doses is just not supported by science it was kind of a marketing gimmick so I'm just a huge fan of you don't need huge doses and using a lot of spores now in certain cases like active crones or colitis sometimes people will use bis biome or like our probiotic 100 billion because there are some studies and select episodes of those inflammatory conditions where they can be helpful but in generally speaking if you don't know what to start with I would start with bacillus subtilis and thank you paul for that great question hi Natalie what can I take instead of Advil for my that's better for my liver so Advil, Ibuprofen, these NSAIDs are classes of molecules that are of course anti-inflammatory anti-prostaglandin they help with pain they help with inflammation but they can be harmful to both the liver the kidneys and even the gut long-term so one of my favorite new things is PRMs pro resolve and meat eaters these are a class that goes from EPA DHP DHA all your fish oils and down at the very bottom is this class called PRMs now years ago there was one company on the market that had the only product and they were super expensive because they were the only ones that had it they could charge a lot now a lot of the companies are seeing the benefits especially post-COVID it's been a powerful anti-inflammatory it is one of my go-to like I won't leave home without it and we have omega pro PRM which instead of the old version was like 80 PRMs per cap is now 400 per cap so you only need one or maybe two at the very most before you needed like four caps the old version so you can find omega pro PRM and it's 400 per cap and it's phenomenal for those of you who maybe need something like Ibuprofen but don't want to take that it's a good anti-inflammatory anti-mass cell anti-prostate Glandon and all of the above so really really good on that realm okay let's see what other questions we have here got you hi Misty what do you recommend for difficult swallowing stuck in throat okay I want to talk about that specifically that's a great question and then just check in on Instagram parasites and mold and hierarchy so we're going to talk about swallowing we're going to talk about parasites and mold hi Deborah share integrative approach to ensure cancer doesn't return oh that's a big one isn't it and hi everybody on both platforms wherever you're at thanks for all your questions okay first of all Misty we're going to talk about swallowing so swallowing difficulty can be multifactorial I'm going to give you kind of a differential of what I'm thinking of if you're having trouble swallowing first of all you could have an obstruction like a thyroid nodule or a thyroid cancer or something in your throat so I would always start with making sure you get imaging and ultrasound make sure there's nothing going on have a physician examine your thyroid make sure there's no nodules or anything there second would be trouble with the esophagus and this could be like a esophagitis for an inflammation of the esophagus it could be like silent reflex could cause this where you're having that acid coming up your stomach and causing damage to the esophagus you could have laryngeal spasm or issues with the larynx which typically more goes with voice like constriction of voice or difficulty with singing or producing sound but it could also manifest with some swallowing issues and then the last thing that's actually maybe what you're talking about Misty and who knows for sure what cause it is but some people who have autoimmune disease can develop antibodies to their salivary glands it's called Sjogren's syndrome and one of the things with Sjogren's is a difficulty with eye dryness with cavities because you don't have any saliva in your mouth lips can be dry and you can also have trouble nuance that troubles swallowing and so this is one of those things you can check auto anti Sjogren's antibodies in the blood you can do an endoscopy to see if there's damage to the esophagus but some of the things Misty that I recommend for that would be DGL we have a DGL plus cap that's amazing that you can take prior to meals that will soothe any sort of heartburn or esophagitis in some of the other countries outside of the US they use zinc carnicine to heal instead of prilosec or omaprosal or those meds so you can actually find our zinc soothe it's called at drjohelp.com it's zinc soothe very simple one twice a day that's my go to to start that healing and if you want something a little more powerful with more ingredients like the DGL and the zinc carnicine altogether our gut calm powder is amazing patients who are on that never want to stop because it soothes and heals that difficulty swallowing so Misty check your thyroid check imaging have a endoscopy and you can always try gut calm powder zinc soothe or DGL plus caps those are some of the tips okay back to instagram we had a question here about parasites and mold and then about integrative approach to cancer and thank you true blue bringing your own coffee grinding it before you go also using clearly filtered yeah love this love this love this okay so back to mold and parasites so chronic complex illness tends to almost always be toxic load plus infectious burden you've heard me talk about this before this combination of these two things and often mass activation immune inflammation there's all these layers right and you would think I mean my job is to look at this complex chronic milieu of things and say where do we start so order of operations typically if there's any sort of mold or limbic activation where there's a bite or flight response which can happen to chemical exposures you want to do the work around whether it's tapping or emotional freedom technique or somatic behavioral therapies or neuro linguistic programming or thought field therapy brain spotting EMDR or just like meditation or calming or prayer find something that for you helps calm the nervous system that's like number one if you have any of these kind of chronic complex illnesses because your nervous system is if it's overactive and it feels unsafe for any reason you're not going to heal right so that's first second is mass selectivation which is becoming more and more common you want to really start with mass cells and mass selectivation that could be antihistamines h1 blockers h2 blockers quercetin bromelain our histocyst at drjilhealth.com is amazing works so well for antihistamine you can use Chinese skull cap our cytoblox has Chinese skull cap so the combination of histocyst and cytoblox are amazing to down regulate that histamine you can also use like I said zirotech zantec catatophen is a medication all these meds sometimes you have to layer and get that under control and maybe you're saying well I don't have limbic activation I don't have mass cell so then the next level is toxic toxic exposure and mold would be the first one so if you're looking at mold and parasites you can start to do some things together but I always start with the toxic load first and then I go back heavy metals parasites bacterial over both in the bowel Lyme disease or co-infections and that would be kind of the order so you'd start with limbic activation calming the nervous system making sure your body feels safe next would be mass activation then you go with mold and environmental toxicity and then after that you can layer metals parasites and all these other things and it's complex isn't it all of you listening anybody who's suffering this raise your hands say amen because I know how it is when you're suffering and there's all these things going on and you don't know what order to do things hopefully that's helpful you're welcome misty so you mentioned a small nodule yeah so that could be you know it's interesting so misty's talking about a little nodule that she might have been told on the thyroid for swallowing so make sure that's not something larger but sometimes that could be an indication of thyroiditis which is autoimmune and this whole chogrens and autoimmunity is in the same bucket so it wouldn't surprise me if you had a small thyroid nodule that wasn't affecting your swallowing but that maybe we're developing some sort of an autoimmune condition around the salivary glands and that could also be just related to the autoimmunity so what I would do is check your antibodies maybe get a scope and see if that helps hopefully that helps misty hi Barbara trying to figure out being exposed to mold plate testing okay we'll talk a little bit in the last few minutes here about testing what you can do for mold thank you Cheryl thank you Barbara um and what do you do with chogrens okay let's pop into that and then we'll talk about mold and I'm still watching on Instagram if you guys have questions just pop in say hello and uh putting your questions so let's talk about chogrens so we talked about someone asked misty asked about swallowing difficulty I said it could be gastritis esophageitis it could be all these other things but one of the things could be autoimmunity related to salivary glands that make it difficult to swallow because you don't have enough moisture um and that could be first of all you test chogrens antibodies to diagnose that and you probably have starting to get dry eyes dry mouth dry membranes that's part of chogrens is a lot of the dryness menopause can do that too so any menopause of them are like amen yes I'm all dry um and hyaluronic acid can be helpful college and powder but if you really have chogrens autoimmune disease autoimmunity is always a triad so there's some genetic component where you're predisposed to autoimmune and then there's often an environmental trigger that could be gluten that could be a toxic exposure like mold that could be we just got been talking with Dr. Kasha Kynes earlier today on facebook about epstein bar it could be epstein bar it could be lime it could be some so what you want to do is say what is the trigger to my autoimmunity and start to address that and then the gut immune interface so the lining of the gut is it's like vegas it's where everything happens all the action happens so you always want to address the gut immune interface and any permeability in the gut when you have autoimmune and I wish there were just like one simple simple answer Cheryl but there's not of course with autoimmunity you got to deal with the gut immune interface heal a leaky gut take out inflammatory foods like gluten dairy maybe corn or soy all processed foods eat a clean diet um deal with any permeability in the gut you could do that with spore probiotics like we just talked about and we have a spore spore probiotic with ig that's amazing all all in one at that doctor jillhealth.com that'd be your gut protocol you could do something like gut immune powder or gut calm powder to calm and heal and those things would actually be important in healing from chogrens um hi Cheryl need an appointment yeah there's a lot isn't there hi paul let's see talked about bacillus chinese skullcap brilliant gosh i love your comments paul because they're at the super high level um so he's talking about um uh let's see i can't even pronounce the name but it's chinese skullcap um and oh gosh i can't even say it but it's scolitaria is another name for it chinese skullcap is an amazing calming of mass selectivation it's anti-inflammatory i use a lot of chinese skullcap and i really like there's tinctures and like in our product called cytoblox c y t o b l o x dr jillhealth.com is amazing it's got b propolis and chinese skullcap and turmeric it's one of my favorite things to calm an angry immune system so if you have pain inflammation autoimmunity that's a great place to start is cytoblox um so check that out okay guys i'm going to do one more question here so i'm looking on um facebook um oh misty so you're giving us more and more information here you have a little ring there that's probably part of your issue with um if trouble swallowing for sure okay and on instagram it's so fun to see you all here thank you guys for joining us i'm going to be back every last friday the month i'm here live to answer your questions and of course i will save this and put this up if you're just joining now you can watch the whole recording i've got lots of tips for travel and all those kinds of things so um Lyme disease we have seaside sandpiper asking um some information about difference between Lyme and late stage let's answer that one lastly and then i'll see if there's anything here else that i can answer before i go gosh there's so many good questions guys um like i said i'll be back at the end of the month every friday at last friday the month oh you have so many good questions on instagram i do want to remind you many of you already got my book and thank you for the feedback but if you haven't please please uh grab a copy readunexpected.com or anywhere you get books i think you'll really find this helpful because a lot of the stuff i'm talking about today is actually in the book and i share my own story with overcoming cancer, Crohn's disease, mold related illness and all of my stuff see my life's journey is to experience things so you don't have to so i tell you all about it in here and hopefully um not all of you have to go through what i did to learn those lessons but it's all in the book so please grab a copy if you haven't and anyone who has you know be sure and leave a a note there but last question Lyme disease okay so this could be a whole half hour i'm going to make it short and sweet ticks are everywhere now in all states we've actually identified Lyme disease in all of the states in the united states so it's not something that's just on the east coast wisconsin michigan florida california it's actually all states including my home state of colorado um what happens is uh as the ticks are encroaching on on places where people are living it's becoming more more common and uh ticks typically carry borrelia but there's many different strains there's some of strains on the east coast and then like in my area things like borrelia miimoti which is a tick-borne relapsing fever which will never be caught on a classical western blot on lab core quest because they don't have that strain borrelia miimoti so if you get a negative western blot on your conventional hospital lab it doesn't mean you don't have Lyme or tick-borne relapsing fever or co-infections because that's just one strain of Connecticut Lyme that's being tested so if you've got it anywhere else it's another strain it's going to be missed um and again this is a very complicated story i will tell you this there's a new movie out that's now streaming that my friends produce called quiet epidemic it's called quiet epidemic i highly recommend if you're like confused about Lyme or want to know more about it watch this film it's so worth it i'm so proud of the director Lindsay who took seven years filming and filmed patients and really tells the story of why there's so much confusion with conventional medicine and the cdc and Lyme disease so if you want to know more watch quiet epidemic it's such a great film so well done and it'll kind of explain a lot of the questions you guys have had here so um with that i am going to sign off