 Hey, good evening everybody. It's Dr. Jill and I'm here live to answer your questions and all that we can get to. I have some from a previous session that I'm going to pull up as well. Let me just get to that screen and I look forward to hearing from you tonight. I'm going to get it set up so that I can see the feed beside my video here so that I can see you guys having any questions. If you haven't checked out my YouTube channel, I hope you will go there and subscribe. It's just under Jill Carnahan on YouTube and you can get all the videos that I've done in the past. I think there's like 43 or four of them now. Looking forward to seeing you there. You can visit my website, jillcarnahan.com. For lots of free information, we put out a weekly blog. It's all free. If you haven't signed up for my newsletter, I hope you will do that as well. I send out a weekly newsletter with free recipes, videos that I've done, just all kinds of great stuff. If there's some products that I've been using in my clinical practice, I'll often share those there. I would love for you to sign up for that as well. You can find that on my website, jillcarnahan.com. If you are interested in products or skincare, we've got some really amazing things, including a new NAD cream, excuse me, that my colleague Dr. Rusk and I recently developed. NAD is a precursor of ATP. It's one of the hottest items now for IVs and everything. Well, we have been experimenting for the last year. You can see my skin. It's in pretty good shape. I've been using this NAD cream and I have not found anything else that's been so profoundly powerful for the skin and for regeneration, for collagen, for healing. I used to have acne after the mold and this has been phenomenal for skin, especially if you're prone to acne. We have the NAD cream and then we also have the serum. The serum's a little lighter. If you are wanting something that's not so heavy like in the morning under your makeup, that's a great option. If you want, the cream is super moisturizing. If you have dry skin, if you live in Colorado like I do, that is a great one to use at night. You can actually use both of them. They're different formulas. They have not only the NAD ingredient, that's our secret ingredient, but they also have peptides and growth factors. It's really amazing. What we tried to do is make sure that it was super non-toxic so that it's a very clean formula that you can count on. I know I've seen some of the pharmacies will compound the NAD cream and that's what I first started to use, but it had aluminum in it. I was like, holy cow. Aluminum is not going to be good if I put it on my skin every day. We developed this NAD cream and serum without aluminum. I just have to tell you I had no plans to talk about the NAD cream coming on here, but as I'm getting ready, I wanted to just fill the time and share some of the fun things I've been working on, so I thought I would share that with you. Welcome. Hi, Lauren. Great to have you on and everybody else watching. Like I said, just please comment in the box here. I'm going to pull that up in just a second so that I can see your questions on the side. Let's do this and then I will go to the Q&A page. I have another set of questions that you had all put in a few weeks ago when we posted on Instagram that I was going to do a Q&A, and my plan is now to actually do this probably once a month. If you subscribe to my Facebook page, you can see when we'll be doing these. We'll probably put them on Instagram as well, and if you don't follow me on Instagram, it's just drjillcarnahan.com. We put lots of videos there as well, so all these places. It's all just free content. I love to educate you and share what I'm learning. This is just another way that I can do that. Let's first go to the document that I had for questions. It looks like that's missing, so I'm just going to go live with your questions right now. Hi, Pam. Hi, Jenny. Hi, Ann Warren. Thank you guys for joining me tonight. Just feel free to put in the comments your questions, and I'm going to start going through them. I'm sure we won't run out of content. I'll be here for at least 30, 45 minutes as long as we can get through some of these questions. Pam just says, hi. Jenny says, 24 to 36 hour fast makes me feel horrible. Why? This is interesting because if you caught, I did a really technical Facebook live earlier today with Dr. Richie Shoemaker, and we were talking about proteogenomic testing, some of the new transcriptiomics testing. Basically what this does is it allows us to check for gene expression in test and really cutting edge stuff that they're doing there. But one of the things that came up in that discussion was the fact that when people are exposed to mold or biotoxins, a lot of times they're hypometabolic. What that means is the mitochondria and the production of RNA and even insulin resistance, a lot of this stuff is affected by mold. For example, what I see really common in clinical practice is someone gets a mold exposure and they gain 20, 30 pounds. They have a pretty significant weight gain, and they actually start to have their labs look as if they have diabetes. Some people will have full blown. Now, you guys know sometimes I share my personal stories. I have something that I haven't shared super widely publicly, but when I had mold exposure in 2015, I got very, very sick. Part of that illness, my A1C went up to 6.0, which is on the border of diabetes, and I developed auto-antibodies, auto-GAD antibodies, and actually saw an endocrinologist and she diagnosed me with type 1 latent onset adult diabetes. I was actually clinically diagnosed with type 1 diabetes, which is the adult onset form, which means I didn't have it from childbirth, but also which means my pancreas was kind of conking out. It was like an autoimmune version of that. Now, some of the patients that I see with mold exposure, they will have actually like a type 2 diabetes developed just from insulin resistance and metabolic syndrome. Again, the mold does this, and I'm getting to the answer to your question, I promise, but I think this is relevant. What happened is first of all, I didn't tell a lot of people because I wanted to see if I could reverse it. By decreasing the toxicity of mold and then using a variety of some of the peptides, nutrients, detox support, sauna, PMF, all these things we talk about, with mold detox, I have a completely normal A1C and a normal anti-GAD auto antibody, and I do no longer have type 1 latent onset adult diabetes. In the literature, this is considered irreversible, so this is a pretty big deal. Maybe someday I'll be able to write up my case and what I did to reverse that, but I actually have totally normal fasting blood sugars and totally normal A1C now, and that's just pretty amazing what the body's capable of. So back to your original question, Jenny, about fasting. If you are prone to having difficulty with insulin receptors and getting the sugar inside the cells and metabolism, basically, when you fast and you can't use ketones because you're diabetic, pre-diabetic, or have metabolic issues, you actually feel worse because you have no available source of sugar or fuel, and you can't use those ketones properly. So there are people that do not do well on the fasting, and I would look at toxic load and decreasing toxic load because if you address that, sometimes you can improve it so that you could do ketosis. And all that to say, I did this interview earlier with Dr. Richard Schuminger, and we were talking about how some people in the midst of biotoxin illness do very poorly on ketogenic diet because they are not able to utilize those ketones. Now, in the appropriate situation, I love ketogenic diets. I use them, prescribe them. I'm not against them at all, but for the person who has trouble with the glucose metabolism, you're not going to feel well. So that was a long answer, Jenny, to your question. Hi, Nikki. Oh my gosh, it's great to see you here. Please throw in some questions if you want. Jennifer, it's great to see you here too. What PMF Matt do you recommend? Well, my colleague, Dr. Charlize Pratt, turned me on to PMF a while back, and she has this amazing like $20,000 NASA version. And so back in the day, I was like, oh, that's a lot of money to invest on a mat. The ones I, the one I use now, I'm going to try to show you down on the floor there. I don't know if you can see it has a blanket on top. It says kindness matters. That mat is from higher dose. And I love this mat. This mat is under $1,000, which is really relatively inexpensive for PMF. I use it every day, at least 20 minutes, sometimes twice a day. If you go to my blog, I'll be sure and put this in the links. I wrote a blog about PMF just to tell you what it does and all of that. I'm going to try to find the link real quick right now. And I talk all about kind of the benefits of PMF. And I'll tell you personally, I have seen so much change in my own health by using the mat within 10 days of using that PMF mat. Some labs of mine that had not normalized in many years started to normalize. So granted, there was there's always other variables, but I really believe in fact, I believe so much in the PMF mat that I bought them for all of my siblings for Christmas and my staff. So I went into them to all experience this. So I'm a huge fan. You'll hear me talk about it. Higher doses the brand. And what I like about them is it's a reasonable, it's an affordable mat. And it really works. And when I again, talk to some of my colleagues who use these and use the real expensive mats, their take on it was PMF technology is not really that expensive. It's all the bells and whistles. So they felt like potentially these lesser expensive mats would get a good result. And that's what I've seen. So the higher dose is what I recommend just because it's affordable for the average person. And there's a setting on there for ions. So you have the crystals, the amethyst crystals in the mat, and it creates a negative ion setting, which is like the earth surface. So really good, like a grounding practice, almost like if you're walking barefoot on the beach. And then it also has a heat infrared heat setting. So it's kind of got like three in one infrared heat, the ionic setting, and then the PMF settings. And I'm I just can't say enough good about it because I feel so good since I've been using that, I think it was about a month or two ago that I started. If you do want the mat, you can get a discount by using the code Jill75 on the higher dose website. So just feel free to use that. I think it's there's no expiration date on that if you are interested. Okay, what else do we have here? It's so fun to see so many of you, which I know well. Thank you, Jennifer. And hi, Anne. Do you care any makeup that doesn't react to the eyes? This is a great question because a lot of people have the sensitivity over the eyes. I found bare minerals and tart to be kind of commercially available lines that chart uses a lot of Amazon clay. And again, it might be just a marketing play, but I've found it to be fairly clean. And I don't react to that brand. And you can find it at Sephora and and most of the kinds of places that we buy, you know, a regular old makeup. Jane Ireland has a line that you can get and super clean. So for those who are the most sensitive, I'm a huge fan of the Jane Ireland lip gloss. Sorry, I think I asked on my teeth. A lip balm and lip gloss and some of their eyeshadows are they're really clean as well. Maybe some of you who are in listening today might have some other suggestions. When I get set with makeup, I kind of use the same thing. And I use a lot of tart and bare minerals and Jane Ireland. Those are my main go-tos. And I don't tend to react to those. That's a great question. You know, there's another great resource. Skin Deep is a research from the environmental working group. So EWG.org has resources. And this one is all about skincare and makeup. And you can look up the rating there and some of the ingredients to see if there's any toxicity associated with it, like cancer-causing ingredients. So I use that all the time. It's a database to look up cosmetics and things that we put on our body. Because really, honestly, that is so critical to our overall health. Many of you already know this, but at 25, I got breast cancer. And I remember trying to understand this, like, why in the world did I get breast cancer at 25? And I grew up on a farm in Illinois where there was lots of chemicals that had endocrine disrupting effects being used, including atrazine, which is banned in the European nations, but not here. And when I looked on the map to see the use of atrazine, I remember looking at Illinois, in Central Illinois, where I grew up was the darkest, reddest, most prevalent use of atrazine in the U.S. in the year that I was born and all the way through till I was diagnosed with cancer. And it's a known endocrine disruptor, which means it messes with our hormones. And breast cancer is a hormonal cancer. So again, I'm not saying the atrazine caused my cancer, but I think the chemicals I grew up with were part of the picture. All that to say, after I got cancer, I realized that my lotions, my shampoos, my conditioners, my bath and body products, these were all really, really important in detoxifying. So I literally went through all of my stuff cleaning products and made sure that I used very clean, nonchemical, nonparaben, non toxic, non phthalate containing things in my bath and beauty regimen, because I knew that that was contributing to toxic load. And sadly, our young girls, you know, if they're using lots of bath and body products and some of the most popular things that are in the mall are just junk. And they have, you know, the laurel sulfates in them, SLS is the common one, anything that says paraben at the end, phthalates and perfumes, especially are real common to contain these. So I've chosen to use just our essential oils for the most part or some sorts of perfumes that don't have the phthalates and parabens. If you do love your favorite designer perfume, I would recommend you spray it on your clothing and not your skin. And Robbie's trying to pop up to say hi here. So he just got a bath. We'll let him say hi, and then I'll put him down. So, okay, so thank you, Anne. Jenny mentioned last day when she's 5.6. So ideally with your A1C, you want it below 5.5 and lower is better in general. Now you can get too low if you had to have a lot of hypoglycemic episodes, you could be below 4 or 3.5, something really low, that can be an issue too. But generally, I like to see it below 5.5. When you start to get above 5.5, you're in that pre-diabetic range and blood sugar is such a predictor of mortality, of illness. So it's really important. Fasting blood sugar, I like to see below 90. And again, as I mentioned in my story here, when I had the mold exposure, I was running 97, 102, I was running much higher. Now I generally run 75 or 68 or 82, pretty low fasting blood sugars. Eliana, hello. Can I have systemic Candida? Five, 18 months of continuous. Yes, daily antibiotics to treat mycobacterium in the lungs, what do you recommend? So sadly, fungal infections are more and more common because yeast is a result of a weakened immune system and they're opportunistic. What that means is they will take advantage of a weakened system. So when our system is under siege by stress, lack of sleep, antibiotic use, pregnancy, other things, diabetes, which creates higher blood sugars, all of these things contribute to a predisposition towards having issues with fungal infections like Candida. Although there's other ones like rotatorlea and other species of Candida that can be there besides just the Candida albicans, which is the most common. So Eliana is asking what to do. If you have been on frequent antibiotics or on long-term antibiotics, you definitely want to think about this as part of the issue. If you're testing, what I usually do is I do serum Candida antibodies, which can tell you if you've had an immune reaction to the Candida and thus an exposure. The other thing we can do is a stool test, but if you don't have Candida in the colon, you typically won't show up on the stool. So you may have lots of Candida in your sinuses or in your upper gut, like the small bowel, and the stool test will be negative. So then you think you don't have it, but there's a real issue. What I've found to be the most helpful to diagnosis is organic acids, which is urine testing you can do, and different companies, Genova Diagnostic, Doctors Data, Great Plains, even US Biotech now is doing this, and they will test for different metabolites of the yeast in the urine, so that if you have several of those high, then we know that somewhere in the body, usually the gut, you have Candida. So, Eliana, what I recommend is you can do things like caprylic acid on my website, DrJillHealth.com. We have a Candida destroyer. It's one of my favorites, because it combines oregano, caprylic, and a couple of other things, and it's really a nice formula for treating yeast. You can use oregano by itself. You can use underlaceic acid. You can use powder arco. Many, many of these things have antifungal activity. If it's serious, I recommend talking to your doctor about niestatin, which is a non-absorbable antifungal that's fairly safe and well-tolerated, or even anazole, which would be fluconazole, or iatriconazole, or some of those kinds. Those are much stronger, and they can go through the liver and affect the liver, so you want to use those under a doctor's supervision. Hi, Patrick. You said, I have a Great Plain showing ochrotoxin, mycophenolic acid, and citronin. What do you recommend? Also, recently diagnosed with episcleritis, is this connected to the mold exposure? Thank you, Patrick, for your question, and I want to get an article that I want to share really quick, so give me one second, and then I want to answer this question because, okay, so back to the question. You were asking about the mycophenolic acid and the ochrotoxin and all of those. There is a lot of controversy about urinary mycotoxin testing, because some docs will say that it only comes from food. Clinically, I have not found that to be my experience, unless there is maybe just a little bit of ochre or aflatoxin, and there's been exposure to, like, peanuts or some moldy food of some type. In general, I do find that it needs to be at least something that leads us in that direction to look for mold exposure, so I don't always just stop with the urine mycotoxin test. What I want to do then is say, check your environment, look behind your walls, get an inspector, do an ERME test, do an EMMA test. You can do some of these things to actually check and see if there's mold in the environment, but if you have symptoms and you have mycotoxins and you have labs that are abnormal, it's likely that's an issue, and especially Patrick, when you say more than one mold, that is kind of usually a sign to me that there probably is a real issue. So what to do? One of the things, because I can't see everybody, I would love to, but I did develop that mold, Miracle Mold Detox Box, and you can find stuff on that at MiracleMoldDetoxBox.com. It is kind of an all-in-one, I call it the Happy Meal of Mold, which is probably a terrible analogy, just because for patients who can't see me or who are just wanting to get started, what it has in it is kind of the basics for detox. Now, you can make these things up yourself. You can go buy Glutathound in a binder. You can do that, and that is just fine. The only reason I did this is to help people who maybe can't get in to see a functional doc and need some sort of tool. And of course, it depends on who you are, how sensitive you are, how quickly you can take it. It's a 30-day box, which means all the stuff you need to take up the detox for 30 days are in there, but a lot of people say, well, is that all I need? And the truth is you almost never will detox mold completely in 30 days. So it's not about use it for 30 days and you're going to be well. In fact, the truth is as you start to detox, Patrick, you might feel worse before you feel better because as you get these toxins out of your body, there's sometimes collateral damage. You can get hives. You can get histamine issues. You can get reactive. You can not feel well like foggy thinking or fatigue or brain fog. Any of those things super common. So the key there is you go very slowly if you don't feel well. So whether it's my mold detox box or some other product that you're using to detoxify, you want to go very slowly at the rate of which you can tolerate that detoxification. So it's super important because if you overload, I always think of it as there's elimination and excretion. Sorry, mobilization and excretion. So mobilization is getting the toxins out of the tissues. Excretion is getting them out of your body. And everything we do is whether it's infrared sauna or epsom salt baths or alkalinization with mineral water or glutathione or binders. I'm always calculating with my patients where they are with mobilization and excretion because what happens is as you're mobilizing, if you go too quickly, you get these things out of your tissues and they have nowhere to go. They can't get out through the bowels or through the lymphatics or through then your body, every body has a capacity to detox. And when you kind of hit that threshold, you need to back up. So if you're having trouble or not feeling well, usually I say take a break, back up on dosing, increase your things that will help with excretion. And that could be things like epsom salt baths, it could be mineral water, alkaline salts are gold, anything to alkalinize the body. We heard today with Dr. Richie Shoemaker's very technical talk, but it was excellent. How we talked about metabolic acidosis being at the root of many of these things. And that's why when we alkalinize the patient, they feel better. So things that you can do to alkalinize, you can eat more leafy greens, you can drink mineral water like sand Pellegrino, Gerald Steiner between meals, you can take epsom salt baths, you can take alkalic acid or gold. There's all these ways to help alkalinize your body, get minerals in it. And that will usually help as well. So Patrick, hopefully that's a long answer to your question. Hi Anna, thank you. You said thank you. Congratulations on reversing your type one. For autoimmune, when should we make our decision regarding the vaccine? Oh boy, this is a tough issue. And I think you guys know me well enough to know I'm not a black and white kind of person. I always individualize it to the patient. The truth is we've had about two months of clinical trials on both of the vaccines that are out now. And we don't know for sure if there's any risk of autoimmunity. However, if there is, I do not believe we will see that risk manifest in the two months of preliminary trials. So my gut feeling is with someone with severe autoimmunity or inflammation, wait and see might be a better approach. But I always talk to the patient individually. I have someone the other day who was very, very worried. And I said, go get it. You know, I'm not I'm not black and white in this sense. I just feel like there probably are going to be more long term effects in certain people that we won't would not see in the eight week preliminary trials. So I would just like to watch and wait and see the data and make up our mind based on the science. And I'm willing to do that. I just we don't really know yet. So Nina says PEMF not PMF. Yes. So PEMF is pulsed electromagnetic frequency. And I think I included a link to the blog article about it. Naomi asked, what about sauna? Yes, Naomi, sauna is a fantastic way. So these are just different therapies. So sauna is more infrared sauna will help your tissues eliminate and excrete toxins through the skin. So sauna is a fantastic idea. I use that as part of my protocol a couple times a week as well. And you can do it for 30 minutes at 130 degrees or up to, you know, 150 degrees for some people up to 45 minutes, it depends on what you tolerate. If you have POTS or postural orthostatic tachycardia or any of the mass cell issues, you may want to go slowly because that heat can be a trigger for mass cell issues or for hypotension where you feel dizzy or lightheaded. And I usually recommend if you're doing sauna and you're prone to that, electrolytes will help. So you can try that. But yes, I'm a huge fan of sauna. And it's it's different from PEMF. So these are different things. PEMF, on a really simplistic level, this doesn't do a justice, but I think of it as like plugging yourselves into a battery. So it's almost like giving your body the energy that it needs to recharge and renew. And there's different hurt settings. So some of them are for more of a calming setting to induce a deep sleep. Some of them are more for healing, healing collagen, healing bones. There's studies with osteoporosis. There's studies with healing, ligamental injuries and pain syndromes, studies with brain and cognition. So lots of stuff. If you look up PEMF in the data, you're going to find lots of studies on that. Hi, Lauren. I wonder if you can discuss low WBC, low neutrophils, high lymphocytes might indicate. So when I see low neutrophils or low white blood cell on a test, it could be some sort of immune suppressive effect. So like chemotherapeutic drugs can cause that. Certain drugs that are used to treat rheumatological disorders can cause that. So the first thing is check your drugs. Make sure there's nothing that you're taking that's suppressing your white blood count. And then the second thing I look at is if there's some chronic infection. The things I might find most common with a low white blood cell count is either chronic viral infections or chronic Lyme or co-infection. So it could be like Lyme, Bartonella, Babesia, Ehrlichia, Anaplasma, any of those. And so I might go looking for Lyme disease or co-infections for the chronic low white blood count. Lianesis, would you recommend Infridsana and PMF, Matt? Is that too much? No. The problem is cost, right? All these things cost money and you sometimes have to make choices of what to do. So Infridsana is a really great detox tool. And because of our toxic environment, gosh, we probably all should incorporate that. And you can get anything from those little boxes that you sit in. I have an infrared blanket you can lay in. I have a full Infridsana at the office. So again, depends on what you can afford. But those are great for detoxification and they're really important. PMF is a little bit different. It's more of a tool for healing, for cellular regeneration, for brain, for cognition, for energizing your body, for inducing better sleep. So it's a little bit different in the technology. The Matt that I was telling you about does have that infrared setting. So I'm assuming there'd be some detoxification as well. So they would both help detoxification, but the Matt is a little bit different use. And like I said, I included my article so you can read more. Shawna, what are your thoughts on the connection between EVV and IC? So IC is interstitial cystitis. Maybe some of you suffer from that. That's that inflammatory condition of the lining of the bladder. The biggest connection I see with IC is histamine. So usually there's some histamine issues, either breakdown of histamine or issues with mast cells that cause irritation to the bladder. And then certain foods can be triggers and other things as well. So that's a little complex because there might be some other infection or toxic thing that's driving the histamine that's driving the IC. But that's usually one of the underlying things. So you ask about Epstein-Barr. I have not seen a direct correlation with the virus causing IC, but I could see the virus or any infection for that matter causing increase in histamine, which could cause IC. Oh, Mitzi, beauty counter. You're right. I love beauty counter and I forgot to mention. Thank you for mentioning that because that's a great clean brand. I know one of my colleagues for Christmas gave me a bunch of beauty counter products and I can't wait to try them. So thank you so much for, I knew our listeners would have good ideas here. Let's see, Naomi. Also breast cancer thriver. Awesome girl. That's fantastic. Yeah, I am 20 years this year, 2021, 20 years ago when I was 25 years old. So I turned 45 this year and I had breast cancer. And so good for you, Naomi. I'm sure there's a lot of people. It's such a common thing. I'm sure you all listening have a mother, a sister, an aunt or even yourself that's had it. So kudos to all of you who are survivors and thrivers. So you asked, do you monitor your blood sugar daily or how do you recommend blood sugar? So I don't anymore, although I used to have a glucocomotor when I was in the throes of trying to control my diabetes and checking it. I did frequently and what I would do is I would check it after meals when I was fasting because I wanted to see what patterns were correlating to fasting overnight or first thing in the morning or after a meal because that gives you great data in what types of foods will raise your blood sugar or what things don't. For example, like rice might raise your blood sugar more than a piece of candy. And that's not a great example because they might be equal, but you might be surprised at types of things like white potatoes, white rice, as far as how much they raise your blood sugar. But it's individual. Everybody's a little different as far as how they metabolize the sugar and use it. So I find that to be really good feedback in how to eat and how to do all that good stuff. And I told you earlier about my experience and I didn't mention, of course, I eat super clean with no sugar and all of that. But as I've gotten away from that diagnosis, I'm able to eat a lot more fruit and berries and even sugar once in a while, once in a great while, and it doesn't affect me like it used to. So Hain says, what do you think about chemical produced citric acid from, sorry, I can't say this, chemical produced citric acid E330 from aspergillus Niger. So mold is used to produce a lot of things. For example, a lot of our B vitamins that are like food based, if you get a food based B vitamin, it's probably grown on aspergillus or saccharomyces. So patients who have a reactivity or hypersensitivity to yeast, they probably won't do well with those kinds of vitamins. So I literally look at patients bring me in their vitamins, I look at the label, because it will say it on there. So citric acid produced from aspergillus Niger could be a trigger for people who are sensitive to aspergillus. Absolutely. Jenny, so I might have to investigate detoxing from molds, right? Yes. Great question. Because sadly, it's very, very common. Angie, hello. Suggestions for teenagers with attention focus issues. We try to do little no sugar, clean diet, but it's so hard. Oh, gosh, yes, this is so hard for teens. And I actually love seeing teens on college kids because, you know, so they come in there and their arms are crossed and you can tell they don't want to be there. But what you want to do is find what motivates them, because they're not going to be motivated by a lower blood sugar or less, but they might be motivated by less acne. But you need to find what is their buy in, because if you can correlate their health issues and the interventions that are needed to something that matters to them, that's where you get the buy in. And then what you want to do, what I do in clinical practice with teenagers is I try to find something simple that they will agree with me to do for 30 days. And then if they see a result, so say, for example, a teenager has acne and we say, you know, what's the buy in? Well, I don't want to look bad for school or on zoom calls nowadays. So then the buy in would be my skin's clear. So I say, well, if we could get your skin to be clear in 30 days, would you agree to do a few things? And, you know, sometimes yes, sometimes no. But if I can get the buy in the agreement, and then I would say the start, the very basic gluten free diet, number one, dairy and sugar tend to be number two and three with acne and with food sensitivities. So if I can get a buy in with dairy, gluten and sugar, that's a hard one. I would try for all three. If I can't, I would try for at least gluten. And if not, I could test food sensitivities and find out the biggest trigger. Often with women, young girls, there's excessive androgens like in PCOS. So I usually check hormones. You might have thyroid dysfunction. There's a lot of things nutrient depletions like too little zinc, too much copper. So lots of different things that can tie into acne. And what I found as well is dysbiosis in the gut. So SIBO or SIFO, overgrowth of bacteria or yeast will also contribute. So I'm always checking the gut. Again, that's deeper. But if you can get them a little buy in and then they actually see a difference, if you can kind of negotiate for 30 days, that's probably your best bet. EL, what's the safest empiric bet to try to balance bacterial gut dysbiosis? So it looks like you're out of the country. So not easy to get testing. So this is great because I love SIBO testing. It's a breath test. I do stool testing and I do organic acids, but you don't have to do that to start treatment if you want as far as herbal things. Burberry tends to be a really good bet. And I often use the Medigenics Candabactin AR and BR together. They were studied against Cyphaxin and they have good efficacy against for SIBO. So you can do that. You can do burberry and you can do garlic. You can do oregano. You do grapefruit seed extract. And you can combine these things as well. But a good antimicrobial for six to eight weeks, herbally, will often treat the bacterial dysthiosis. Hi, Karen. Any new treatments on the horizon for chronic fatigue syndrome? So gosh, interestingly, we were just talking about that earlier today with Dr. Shoemaker about the hypometabolism, which is more like a word that sounds like it would be just metabolically associated like diabetes, but it's actually way deeper than that. It's like your mitochondria aren't really working well. And so everything's affected. You increase more lactic acid in the serum. You get more muscle pain like fibromyalgia, chronic fatigue. So the only thing I've really found is looking at infectious load and toxic burden. If I heard me say that before, but usually between the two of those, I can find infections or toxic load and start to detoxify and treat the infections and see some improvement. Antivirals have shown minimal benefit, not frequently, but there are some people who have CMV or Epstein Bar. And if they test high, sometimes the antivirals either naturally or prescription can help. But there's not a one-size-fits-all, unfortunately, and there aren't any easy answers. LENAS, could I have developed fibromyalgia from antibiotic use? Well, there's a lot of things that go into that. So it's not like the antibiotic causes fibromyalgia. But as we mentioned, metabolic acidosis causes lactic acid in the serum. And then that could increase pain in your tissues. So there's lots of reasons for that, but toxicity and infections could be part of it. Hi, Anna again. What's your opinion on pulsing supplements versus taking them every day? So this is really interesting. Not all of you are super intuitive. I'm learning more and more that I have a really strong intuition, and I kind of usually know what's good for me. If you do what I recommend, sometimes I take a lot of supplements every day, probably more than most of you. So I always show if patients complain about their supplements, like, well, look how many I take because it's probably 40 twice a day. However, having said that, there's days when I have the sense like, I don't need those today and I won't take them or won't take certain ones of them. And I do believe depending on your gut and your system and what else is going on, it isn't a bad idea to take breaks. And to get to know, especially, like maybe I had a patient the other day who stopped some things and they felt a massive difference. I felt worse. So then that was just a good evidence that, wow, these things that I'm taking and spending money on every day, I do feel a lot better. So sometimes you can really differentiate by stopping a few of them or, of course, you can work with your doctor, that's what I do all day long is create recipes for my patients of what the best thing for them to take is. Yes, Jenny, you can watch after this will be recorded and it'll be on my YouTube channel. And so you can watch it as much as you want. Hi, Sarah, thanks for joining us. Awesome to have you here, Lauren. Hello from Monument. Thank you so much. She says you're an inspiration. I appreciate that. You know, there's no greater thing than to inspire you, like truly at my heart core. Inspiration is probably my main motive and goal. So Lauren, that touches me deeply. And I really appreciate it because that's what I want to do. That's why I'm here. And especially if anything, if you're sick and you've been, you know, through the ringer and you've had a tough last year like we all have, hoping this year will be better. One of the keys is if I can give you just even a nugget that gives you hope and allows you to keep going and know that there are answers because there are sometimes it's a matter of finding your right group of supportive friends or family or the right doctor or the right coach or the right tools. But you there's always hope. And like I said, I have overcome so many things. I'm like the guinea pig for illness and how to overcome it. So if I can inspire and help you, I love to do that. Rhonda says a period of time in the healing journey when she was unable to take salt baths. Have you heard of this? Yeah. So anybody can have reactions to anything at all. And epsom salts have sulfates. And so if you have trouble processing those, that could be an issue. Often as we get more heal than well, we can tolerate more things. And that's what I found. Even with sauna, I used to have to do, you know, five, 10 minutes of sauna. And now I can do 30 minutes, no problem at a high temperature. Is it normal that mold can cause low blood pressure, which aggravates our dizziness? Yeah. And excuse me, a little water down the wrong tube. So yes, mold can cause histamine release. And when that histamine is released, a lot of times you'll have low blood pressure. So Jennifer Lindberg, what can I do for subclinical graves? Excuse me, I'm going to cough really quick. I'm going to put me on mute so you don't have to hear okay, I'm back. All good. So Jennifer says, what can I do for subclinical graves disease? I'm currently on a low iodine diet. Jennifer graves is a tough one because graves is when you have autoimmune or inflammatory reason causing hyperthyroid. And the traditional treatment is radiating or giving radioactive iodine to kind of suppress that production, basically kill the thyroid gland. I have found L-carnitine can bind free T3 and free T4. So high doses of L-carnitine might be able to relieve the symptoms. It doesn't cure you, but if you're having symptoms of hyperthyroid, L-carnitine can be helpful. Lori Lyme. Love your name. How do you approach Lyme and Bart when incredible food sensitivities high histamine only eat four foods? Oh, you poor deer. I'm so sorry. This is tough because when you're in the midst of a chronic infection like Lyme or mold exposure, you can become so reactive, so overloaded. You know what I would recommend is looking at limbic retraining or anything to do with limbic deactivation. This may sound like just fufu kinds of things, but it's so critically important because our limbic system is connected with trauma. And when I say trauma, I used to think of, oh, abusive childhood or something like that. Not all of us have that kind of thing. We might have some very happy situation. And what happens is that trauma gets linked to the mold. Excuse me again. Okay. I think we're good. I need to grab some water. Okay. Well, folks, that's real life. I think I choked on some water and had to go cough, but I'm back. So we were talking about when you're in the midst of Lyme disease and these chronic infections and you're so reactive. So limbic deactivation or retraining would be a great way to go. DNRS is a program with Annie Hopper. Dr. Gupta has a great program. And then some other things like heart math, where you're looking at cohesiveness of the heart. And I love bioronal beats, which is a way to have different frequencies in different ears and is a really calming, different breathing practices, lots of things you can do to deactivate the limbic system. Okay, let's keep going. Let me do maybe another question or two. Stacey, hi. Stacey, having some brain fog, difficulty finding words, memory issues, occasional stutter. I don't have any mold toxicity symptoms. So it could be. What do you suggest? So yes. So I don't know how old you are, Stacey, but I'm assuming by the looks of it, you may be fairly young. And if that's happening in your under 50, you really want to look at Lyme mold infections, toxins. Like I said before, infectious load and toxic burden is often the underlying cause. So it could be an infection, could be a toxic load. But yes, I would actually recommend looking at mold as a possibility. You can just get the testing to see. Okay. What's the best tea to consume with mold toxicity? Black tea has been shown to be a little bit higher risk of having mold contamination. And not all black teas, I'm sure have mold, but some of them. And so I typically recommend green or herbal tea for that. Angie asked, my husband almost 50 has low testosterone and been getting pellet injections, also fibromyalgia. Any suggestions? So this is often how we present with the hormones or the thyroid, but underlying there's these deeper issues. Pellets, obviously replacement is good because a man who has normal testosterone is at less risk for diabetes or heart disease or some of these things. So that's perfectly appropriate. But with the fiber on that, I would look at other underlying causes I have seen, I know you think I keep talking about Lyme disease, but I've seen a lot of patients present with low testosterone with Lyme disease. So I would at least rule that out, especially if you grew up in Minnesota, Wisconsin, Connecticut, Rhode Island, Florida, any place that's endemic, I would check that out as well. Hi Blake, what's the best way to heal the brain for someone with sears or mold? Well, the best way is to start with the detox and start getting the toxic load decreased. And then using things like sauna, PEMF, you know, any of these kind of neuroplasticity techniques is super helpful, because you can actually, we've seen changes in hippocampal volume when you treat mold, but the toxicity has to be addressed first. What can be done for numbness in the hand or tingling, especially sleeping with hypothyroid? Well, actually, did you know that carpal tunnel, sometimes if you have hypothyroid, you can mimic carpal tunnel, which is that nerve issue with the hands. So the first thing would be treat the thyroid because it might go away. But it could be overactive or underactive thyroid that causes that numbness and tingling. Also, if you put your hands like this and you sleep, you're taking this carpal tunnel and you're trapping those nerves. So if you tend to block or trap those nerves like that while you're sleeping, just that alone can cause issues. So you can get those skateboarder risk guards from, you know, Target or Walgreens anywhere and wear them at night to keep your wrist at this angle so that you don't do this. That will often help on the issues with the wrist. Lory Lyme, history of trauma, Rx, I can calm it down. This you'd obviously want to talk to your doctor about, but there's lots of things that we can use to calm. I love alphaenine and GABA. I use them frequently. So those are great things to calm that down. Some studies have used clonidine, which is actually a blood pressure medicine, but blocks the PTSD response. They've used that in, you know, young boys and children and even adults with PTSD. And there's all kinds of other things out there that, you know, again, you'd want to talk to your doctor about, hey, Natalie, awesome. There's so many protein powders. What should I look for to help distinguish good from the bad? So what I look for in protein powders, I'm not a fan of soy. The only studies that have shown soy beneficial were with Japanese women with miso and tempo, which is fermented soy. So I'm not opposed to that as a food group, but soy protein powders, not a fan. So if it has soy in it, not a good idea. Weight protein is amazing for increasing immunoglobulin. So if you have sarcopenia or immune issues or your muscle loss, but a lot of our patients are sensitive to whey, which is from cows or dairy usually. So I'm a huge fan of plant protein. And I do have a new plant protein complete. I'll be sure and put a link up there to that. We have a special this month with, if you do order that, you get a free shaker cup and a free 21 day detox guide that I put together for January. So just a side note, thanks for asking that, Natalie, because we do have a great plant protein that's super clean. You want to make sure there's no colors, additives, fillers in that. And like I said, I like the plant protein because it's very digestible and hypoallergic for those of us who are sensitive to wheat or soy or dairy. Hi, Nancy. Husband and I both test different molds, different ones. Would there be a chance we're not getting exposed in our home? Yes, this is possible. But I often see different people in different environments excrete different molds. So it doesn't, that didn't really make sense. Different people in the same environment excrete in different molds. I do find if it's a common, like say it's in the wall of your bedroom or something, you're probably gonna have somewhat similarity crossover on the microtoxin testing or some of the other tests that you do. But yeah, unfortunately, the mold is so common that people can get workplace condo, ski condo, home, and have all different exposures. And so then you might have a little different things coming up on the test. Rhonda, thanks, Jill. You're an encouragement as I navigate the health journey. Oh, thank you. Thank you for those kind words, Rhonda. I sure appreciate it. Daniel, would emulsified D be a reasonable solution for no improvement in 25 hydroxy D3 on a blood test? Yes, you could try. So sometimes vitamins A, D, K are all fat soluble. So if you have malabsorption of fats for some reason, you may need to do an emulsified or do it with food or something like that. That's not uncommon. So check your gut for absorption issues. If you can't get the D, you can try emulsified. That might help get sunshine. That might help. Those are all ways to get vitamin D up. Medical mushrooms. I am not the expert in medical mushrooms. There are people who do who are, and it sounds like plant medicine. I don't feel like I'm qualified to answer that. But I do feel like there's lots and lots of data coming out about the potential benefits. And I think if we watch that, we're going to see more and more about potential benefits. Right now, the mushrooms I do use in clinical practice, cordyceps, metaki, shiitake for immune support, those can be really powerful. Lauren, I have not heard of MUD mudwater and coffee alternative. Very cool. No, it sounds delicious as long as it has no mold. It sounds amazing. And then Evelyn mentions pea protein with histamine intolerance. It really depends on the person. I would say I find more patients, more patients tolerate plant-based proteins that could be from quinoa or pea or rice than they do some of the others. But it really is individualized. There are some people who love the whey protein and have no issue with it at all. Okay, good. Well, I think we will wind it up for tonight. And sorry about the missing end action for the cough. But I will be back next month. I'm going to try to do this regularly. So thank you so much, everybody who joined me. I will have this recorded and you can watch it later as well. Have a great evening.