 Hey everybody, we're live this Friday afternoon from Boulder, Colorado, live here with you and I'm here to answer your questions. It's one of my favorite times of the month and I've already got a few questions that came in beforehand from patients and other fans and I'm going to just get the screen here so that I can see your feed. So if you just give me a moment. Interestingly enough, I have a funny story. We've had wildfires starting already. It's so dry there's a drought here in Colorado. So we desperately need the rain and it's supposed to rain this weekend which is wonderful. So I was at the coffee shop earlier which is where I love to write and work and do things and I got caught in the biggest downpour. I don't remember ever being in such a downpour and of course I had to get back home for an interview and also for this live Q&A. So I walked out and if I look a little bit like a drowned rat, I got completely soaked, hailed on and then I drove home at 10 miles an hour with windshield wipers going but I was so grateful for the rain because we desperately need it. So that's where I just came from. It was quite an adventure getting home to this Q&A but it was fun and I'm so glad for the rain. Okay so I'm just getting to the place where I can see your questions and answers and things pop in and tell me where you're from. If you're listening I would love to see y'all say hello as I see you guys in the feed and like I said I've got some questions and answers to start with. One of my patients had asked a question about leaky gut. So I think that's a great place to start today and gosh first of all how many of you out there have been told you have leaky gut or have symptoms of leaky gut? Let's talk just a little bit about what is leaky gut? What does this mean? Is it real? How do you heal it? Hey Taylor, hey Jennifer, hey Michelle, awesome start to Amanda. Oh my gosh hello everybody it's so great to start to see your hygiene from Iowa and awesome. Hey Marcia from Ohio, hey Tony from Boston, Mandy from Ontario. Awesome to see all you guys on today. So leaky gut. So basically what happens is we have these enterocytes that line the gut. These are the cells that line the gut and they are about one cell layer thick. They're like tiles on your bathroom wall and in between those tiles just like if it was on your bathroom wall there's grout. The grout is the tight junctions that keep things that should stay in the gut lumen in the gut lumen and keep it out of the immune system because between this so we have gut lumen that lines you know where the food goes from your mouth down to your bottom and then you have this one cell layer that is between the gut lumen and the bloodstream and that one cell layer is thin because you need to diffuse nutrients and get nutrition through that cell layer so really really important. However if there is toxic exposure like mold chemicals in your environment phthalates, parabens, BPA, etc in your food supply. If there's gluten and you're sensitive to gluten whether it's celiac or non-celiac gluten sensitivity or even if you're just a healthy regular person all people have some degree of increased permeability after a meal containing gluten because gluten happens to be a trigger to the little trap door that opens and closes the cellular junctions called zonulin. So that's one reason why you've probably heard me talk about before if you have autoimmunity or immune inflammation or leaky gut generally in my clinic at least I will take you off gluten temporarily sometimes permanently even if you don't have celiac disease because it decreases that inflammatory load on the immune system. So the intestinal permeability is in the medical literature that's a more technical term for leaky gut. In the late terms we call it leaky gut because it kind of describes what's happening but what happens here and again it's super prevalent because of our toxic load and the things that are harming our endothelial cells all of a sudden when we eat a meal it's called post-prandial or after we eat we have this leakage of food contents like corn antigen or peanut antigen or whatever we're eating and those antigens of the food maybe partially digested will go through between the cells where the tight junctions aren't doing their job and there's hyper permeability and they'll leak right into the immune system which is the blood and how we diffuse nutrients. So what happens in that immune system is we have Pac-Man that are called HLA dendritic cells this is part of our immune system that's always sampling so that HLA system is basically trying to protect us from things like parasites or bacteria in our food or salmonella or viruses which even like COVID can act in the gut. So what happens is if we get exposure to some infection our body will react appropriately and try to create antibodies to that virus or bacteria or parasite but unfortunately what can happen is if there's incredible increased permeability or leaky gut because of immune inflammation mold exposure toxic exposure poor diet stress etc those tight junctions become less tight food leaks in immune system gets irritable or irritated I always think of it like poking a bear and so this immune system then starts to overreact to the antigens from food which they're just food they're not bad guys but this can start an inflammatory cascade and we can see this manifest all over the body because as the immune system starts to overreact and create antibodies to these food antigens that are coming through between like where the grout should be between our cells then this creates a more inflammatory load on the immune system more cytokines are produced and the cytokine inflammation is what can cause systemic symptoms like brain fog or fatigue or joint pain or autoimmunity like thyroiditis or rheumatoid arthritis or multiple sclerosis or any number of things that are inflammatory in nature and often this gut immune interface where I'm talking about where leaky gut happens this is where the start of auto immunity manifests because this is our interface with the world that gut lumen is our way to interface with the outside world so hopefully that explains a little bit about what is leaky gut why it's so much more prevalent and why eating a low antigenic diet which would be like an elimination diet the common foods that I have people eliminate sugar dairy gluten are the top three if I have to pick just one it's gluten if I have to pick three it's gluten dairy sugar and then there's some more common diets that are more like seven or eight antigens they're called elimination diets a whole 30 has been a way that's popularized these elimination diets and typically those will eliminate dairy egg gluten corn soy sugar alcohol sometimes peanut because those tend to be the top inflammatory foods so if you're out there you think you might have leaky gut you've been dealing with leaky gut you probably are already on somewhat a restricted diet but it can be very important in the healing process to take out those antigenic foods temporarily while you heal so that's just a little background on leaky gut and the patient's question that had asked about this is how do you know when you're healed how do you know when you no longer have leaky gut well let me tell you from experience I 20 years ago now was diagnosed with breast cancer totally overcame that but through that breast cancer experience I had chemotherapeutic drugs to treat the cancer three drugs for six weeks six cycles and one of those chemotherapeutic drugs was particularly hard on the gut it was called cytoxin and that drug created a more permeable gut and then six months after I was finished with chemo finished with cancer I got diagnosed with Crohn's disease now what's interesting about that is I didn't know it but I also had silent or latent celiac disease where I was creating an inflammatory response to gluten and damaging the um villi of the gut that line the gut to create an absorptive surface so those villi were becoming damaged and I didn't even know it and gluten was contributing to that so unbonostomy I had celiac that was undiagnosed and then I had these chemotherapeutic agents and pretty heavy-duty toxic therapy that created more permeability and then I also had a genetic predisposition called NOD2 and that makes me more prone to Crohn's and colitis basically an abnormal immune response to normal microbiome so this was the perfect storm for me to be diagnosed um several months after the cancer was done with treatment um with Crohn's disease so what happened was I had to dive in and figure out how to treat my Crohn's disease I'm completely free of it now a lot of people don't believe it they're like well you must be in remission I'm not only in remission I am cured I don't have any sort of signs and symptoms for the last probably 16 or 17 years of Crohn's disease now I just tell you that story to give you a framework because all of that is a way to understand the gut immune interface and understanding how I treated the Crohn's disease and how I healed my own gut is part of this healing leaky gut because I was the perfect poster child I was like a guinea pig and I had to figure it out for myself so I did take out those antigenic foods and I've actually remained on a low antigenic diet I'm grain-free egg-free dairy-free gluten-free I do a fairly low histamine diet I don't eat a lot of tomato potato some of the nightshades but what happens is when I eat very clean like that with a low antigenic diet I don't have any symptoms I've got dysfunction and my Crohn's is gone so often when you're trying to heal your own leaky gut taking out those foods is a first step and then the second steps that you want to do it are looking at the microbiome so this is where a great functional medicine doctor can help you because they can look at organic acid testing or stool testing or small bowel intestinal overgrowth bacterial overgrowth like a breath test a lactulose test where they will see if there is manifestation of hydrogen or methane in your breath because of overgrowth of bacteria in your gut they a doctor can also do testing for yeast overgrowth they can do blood work for antibodies they can do organic acids which are markers in the urine that show yeast or they could do stool testing and any of those three that are positive could indicate a yeast overgrowth as well so we have not only bacterial overgrowth we have fungal overgrowth some people have parasites I see this a lot if you've traveled to foreign countries if you've had food poisoning if you eat a lot of raw foods or you go camping hiking swimming in streams or you know mountain lakes or things where there could be giardia or cryptospridia or some of these other bugs that live in freshwater places so all of those things can contribute to leaky gut and when I'm looking at a person with leaky gut which is very common what I first want to do is go to find if there's any infection or overgrowth or bacteria or fungus because I'm not going to be able to heal that leaky gut until I go deeper and try to find the root cause and the root cause is often related to an infection or a toxin or an overgrowth of bacteria or yeast so that's where you start once you get that overgrowth of bacteria or yeast taken care of then you can start using things like glutamine bovine immune globulins zinc carnicine nutrients like vitamin A and vitamin D all those are critical essential fatty acids sometimes gamma linoleic acid all of these things are critical to start to heal the gut and then there's probiotics probiotics there's a whole bunch of them out there there's lots of evidence on spore probiotics I'm especially fond of them things like bacillus subtilus bacillus coagulans and then combination products mega spores one of my favorites but all of these products can be really really helpful and especially when used in conjunction with colostrum or bovine immune globulins or glutamine palette powder or aloe or zinc carnicine and then the patient's question which I asked a few minutes ago how do you know when the leaky gut is healed well one of the things that people come in with is this where they keep reacting to more and more foods and you've probably seen this or maybe you're experiencing this or your box of foods that you can eat just keeps getting smaller anyone out there raising your hand you can sure comment if you want but a lot of people feel like they have less and less ability to eat foods and they're getting more and more restrictions that my dear is a leaky gut that's part of that and it's also toxic load so your toxic environmental load which could be contributing to leaky gut all of this is creating a fact that your immune system is more reactive and you're less able to eat freely I never like to keep patients there I don't like to make their box smaller now once in a while temporarily we will take out some antigenic foods or we'll test them and if you've done with your doctor a test for IgG food sensitivities those are systemic antibodies and what happens is you really shouldn't be creating systemic antibodies to food so what that means is you've got some degree of permeability happening if your IgG thanks for the raised hand Amanda I know you guys out there understand this um so basically when you have permeability those IgGs to food start to develop because of the thing I described earlier which is this transfer between the cells of food antigens and then those IgGs you can measure in the blood so if I do a food antigen profile like 96 or 144 or 200 foods and I see them light up like a Christmas tree where there's tons and tons of food allergies that's pretty much a guarantee that there's intestinal permeability now it's important because sometimes you see those food antibody tests and you're like oh my gosh I'm allergic to everything there's like four foods I can eat raise your hand again you know metaphorically or virtually because you probably have been there or know someone who has where you have all these food allergies the issue there is not that you want to eliminate all those foods some of the big ones yes like the top seven that I mentioned earlier dairy egg gluten soy corn sugar alcohol peanut however what this means is there's intestinal permeability and because there's like these gut these cells are so leaky that you're getting antigens in there and you continue to react to those foods the problem is not the solution is not just taking out more and more foods the solution is actually getting to the root cause getting to the toxic load the mold exposure the chronic infection the overgrowth of bacteria the overgrowth of yeast the parasites the low stomach acid the low pancreatic enzymes any of these things the low short chain fatty acids any of these things can contribute to that permeability so you really have to go to the root now like I said back to the patient's question was how long does it take to heal or how do I know when I'm healed this is tricky because like for me I'm 20 years out I'm completely healed from Crohn's I will probably always have more permeability than someone who's never been through what I've been through so for example I still eat a fairly restricted diet now it's much much less restricted than it was 10 or 20 years ago but I still choose to eat a very clean low antigenic diet because I feel better and then I still choose to take vitamin A and vitamin D sometimes glutamine lots of other nutrients for the gut because I want to continue to restore that so those of you who have had leaky gut you might always be prone to some degree of permeability and you can push the boundaries but you might find like me if I drink too much alcohol which I pretty much don't drink at all or if I eat the wrong foods I could still have symptoms at times and so it's it's important to find that balance but how would you know is when you can have more variety in your diet and you have no symptoms you have no dysbiosis your digestion is good you have normal form stools and you feel great good energy no brain fog that'd be the the ultimate end goal okay that was a lot on leaky gut but I think it's so important I hope that was helpful for all of you I'm going to go through and look at questions now and see what you guys are wanting to know hi from Ben Coover hello everybody if I didn't say hello to Asheville hi Adam Joseph from New Jersey hello hello so forgive me if I'm missing any of you it's awesome to have you here and listening and I'm just going to kind of randomly pick out a few questions what can a person do to help after vaccine so I feel like I'm pretty neutral on this but they're definitely whether it's the spike proteins from COVID itself in the long haul or spike proteins from the vaccination they can be inflammatory triggers temporarily and what I'm recommending at this point is calming the cytokines through things like Boswellia, Chinese skullcap, B-propylous, n-acetylcystine, Corsitin, vitamin C all of these things can be really supportive for the immune system so that's a good way to support your immune system after you've been vaccinated. Tony says piggybacking on previous interview about immune resilience, mold, Lyme, etc. bigger issues now from modern-day toxicity so Tony's referring to I just did if you didn't see it I did a great interview with Dr. Eric Lundquist and it's really great you can go back and watch that it was just the hour before this such an expert and brought so many good points there and we were talking about how there's more prevalence of immune dysfunction and chronic infection and things because of the toxic load so Tony's question is is this turning out to be true with COVID long haulers? Yes yes yes yes and that's why like for those of us who've done functional medicine and kind of chronic infections and toxins the long haul stuff is no surprise not at all because we've been doing this for CMB which is cytomegaly virus, Epstein bar, coxecuviruses, all of these other viruses can cause basically what you could call a long haul symptom where they reactivate or cause immune dysfunction it's not really new now COVID is a novel new virus so we're seeing more of it related to this but the the mechanisms of what's happening from toxic load weakened immune system and chronic activation of the immune system is not really a new concept and so we kind of know already how to treat this there are things that are antiviral that can be helpful there's anti-inflammatory things like I said things that decrease cytokine so Boswellia curcumin, Corsetin, B-propylous, Chinese skullcap and many many others these are all really helpful at calming the immune response one particular product I love is are it's called cytoblox I'll be sure and I'll link that there it's an amazing combination of Chinese skullcap B-propylous and turmeric so I'm going to find that and link that up for you right now because I've really been recommending that a lot for inflammation that people are suffering from because it's got a great combination the Chinese skullcap in particular is super helpful for mast cell so the mast cell activation and so I'm always recommending that and if you're seeing me looking around I'm trying to find the link for you here so I can put that in there okay any Mandy just ask about sugars so I think I'd mention in the elimination diet cane sugar is particularly inflammatory if you do need to substitute I'm a huge fan of organic natural stevia it's a plant that can actually be antimicrobial to dysbiosis or even for lime monk fruit coconut palm sugar and some of these alternatives are a little bit lower glycemic and lower inflammation so if I do use even natural honey that's local from wildflowers can be helpful as well just use it in moderation because any sort of sugar is going to feed if you have yeast overgrowth or certain types of bacteria and taube yes we have so much crap today you're right our food supply is so contaminated it's a lot of the food has additives and things and those things actually do glyphosate for example which is round up when it's sprayed on foods and gets into our gut it actually affects not only our microbiome it preferentially kills lactobacillus which is one of our good probiotics and causes things like clostridia which is a problem if it overgrows to proliferate so it can really disturb the balance of the microbiome and it can keel eat minerals in the gut which are critical for our own function and for the function of the microbiome so any sort of food that's non-organic and sprayed with glyphosate can affect our gut very determinedly hi genie hi mycophanolic acid showing up oh gosh so mycophanolic is a mycotoxin and is particularly harmful for the immune system so this one in particular when I see it it can be assisted with aspergillus or penicillin or some of the other molds but the bigger issue is mycophanolic acid is used in cell sept and some of the immunosuppressive drugs and so it's used to actually create immune suppressive drugs so it does suppress the immune system so patients who are colonized with mycophanolic acid often have a little suppression of immune system they might have more infections or viral load or they might have more yeast infections as well so thanks for asking that genie as far as what to take for that I would recommend basic clay charcoal I'm a huge fan of GID talks I'll include a link to that as well and also just plain old charcoal those are all super helpful there's a bind aid that we have that's a glycomanin and that's a really nice gentle one if you're sensitive to binders it's called bind aid like I said I'm going to actually link that up right now they can find it easily for you the GID talks the charcoal bind aid all these guys are really good and I always like using a combination of binders because sometimes they have different affinities so when you combine binders if you can tolerate them you're getting more activity for more types of mold and toxins so those are super helpful okay let's see what else we have here Tony Mandy sugars we talked about genie we talked about that day in the life of Jill's diet I always find these questions funny because I'm like you know I do my thing personally for me and it doesn't necessarily mean it's the right thing for you but I will tell you my day in the life of my diet and what's funny is the difficulty is if you're someone who likes variety I just talked to a friend who's like has to have a new food every single day every single meal I'm like well I probably couldn't survive because I do tend to eat some of the same stuff because I am somewhat restricted now first thing is so important I have really learned to accept this like I love the diet I love the foods that I can eat I don't miss anything I mean granted cheesecake that was really good pizza that was really good but it's not like I'm routinely craving or missing those foods so it's kind of nice if you can get to the point where you accept what your limitations are for the time being and learn to enjoy those foods and I really feel like the things that I don't eat I don't really miss I really love the foods that I eat so fruits and vegetables pretty much all fruits and vegetables I love and I'm not super restricted unless it's a high histamine I don't do tomatoes I don't do potatoes white potatoes I actually don't do a lot of sweet potatoes or starchy vegetables either I do a more low starch diet but breakfast is typically like a grain-free cereal some of the great brands out there are lark ellen farms purely elizabeth which is a local boulder company and there's many more but I love nuts and seeds a kind of a rich high calorie I'll often use a coconut an organic coconut fermented yogurt now if your histamine issues sometimes those yogurts can be a little bit tricky I have found no problem colina so delicious brand there is a koyo there's a bunch of great brands out there I have no affiliation with these brands but I know a lot of you're like where do I get this what do I eat so I'm trying to tell you specific brands for that purpose I love unsweetened coconut milk on there too so what I'll do is I'll do a grain-free granola pour on some fresh organic berries and then add a little scoop of coconut yogurt and then add in sweet and coconut milk that's usually my breakfast an alternative that would be a smoothie with lots of leafy greens maybe coconut milk I often add a scoop of collagen powder our um it's called collagen boost that we have in our retail store love this it's got three patented brands of collagen super helpful for hair skin and nails and anyway good comments thank you on my skin um part of it I think is I use collagen every single day I'm going to share the product that I like it's called collagen boost but you can use any good collagen product as well but I actually put a scoop of that in my grain-free granola so every morning I have that I also I don't drink near as much coffee as I used to I think coffee can be a very good antioxidant if it's clean and um good quality my favorite brand is purity so that's a really good tested for mycotoxins and pesticides and all of that bulletproof is another great brand and often if I do drink a cup of coffee I will put a collagen creamer from vital proteins in there so delicious you can make your own latte my recipe for that is um stevia organic stevia one scoop of vital proteins collagen creamer which I'm going to link up here in just a second and then um a little bit of cinnamon love cinnamon in my coffee so the coffee the breakfast um the alternative breakfast like I said would be leafy greens all kinds of varieties there maybe a little coconut or almond milk collagen powder you could put fresh turmeric fresh ginger in there partially is really good for detox if you like cilantro and it doesn't overpower it with that soapy taste and then I often will add chia flax or hemp for some fiber and usually some frozen berries like blueberries strawberries raspberries are a combination if you want a little sweetener I will add stevia and that makes a great breakfast or snack lunches and dinners are typically leafy greens and sometimes a little chicken or fish sometimes I just do nuts and seeds I don't always have meat with that um and then other things would be like roasted vegetables are some of my favorite with either coconut oil or olive oil or you can do um you know baked chicken I love wild salmon I love trout some of the smaller white fish low mercury for sure um if you're doing salmon I would recommend you do wild coho sockeye or king and do not touch the farm salmon it's one of the most toxic foods on the planet um so that's where I I go with foods that's kind of it in a nutshell okay let's go back to your questions here um Mary Kay recently saw some information on endocrine disruption from stevia um so I have not seen issues with stevia but the key is this a lot of the commercial brands contain other things so they might be combined with splendor they might be combined with urethritol so what I try to find is a pure stevia extract either powdered or tincture mine is alcohol free um and it is um just pure stevia extract so that's really part of the important thing I have not seen endocrine disruption in Mary Kay if you want to share anything on that I am happy to look and comment on that because it could be something that's new that I don't know about yet um but I have not seen any issues with endocrine disruption on pure stevia okay um Talb you've got a real specific question on the neutraval um I would have to look that up because that is a very specific amino acid I will try to come back and answer that for you um but right now I don't want to go to find a neutraval and find that specific amino acid okay Talb asked I missed it what did you say for good substitute for sugar um monk fruit is the low glycemic and coconut palm sugar and of course stevia all of those are fairly low glycemic and uh well tolerated natural honey or maple syrup can also be used and again just use it in moderation I'm not a fan of cane sugars that's the one I usually have people totally avoid and certainly aspartame or um splenda sucralose are not advised at all um okay I think I'll do another question or two and then we'll wrap up today this is always so fun um feel like I'm with old friends uh let's see Michelle asked about three days after gallbladder removal chronic inflammation and pain all over now only able to eat a handful foods a SIBO and H pylori positive okay so let's talk about gallbladder you've got a whole bunch of symptoms there and I'm so sorry you're suffering um Michelle so gallbladder is the storage container for bile bile is our storage for both cholesterol and toxins like mycotoxins and toxins from other things and it also as we excrete bile from the gallbladder into the small bowel it helps to sterilize the bowel so that we don't get bacterial overgrowth so it's no surprise that in your question you said you know I have my gallbladder was out things have never been the same sense and I have SIBO and H pylori because there is a connection now when you don't have a gallbladder all that is is the storage bag for your bile it doesn't mean that you don't still have bile but the bile now without that storage facility it just drips drip drip drip so because of that you're not having a bolus of bile with meals to help emulsify the fats so you can tend to have more loose stools or trouble with your bowels or trouble with fatty foods because you don't have that bolus of bile helping to emulsify fats with your meals instead you're just dripping and between meals that bile acid can cause diarrhea or loose stools or symptoms or burning or pain but you mentioned you have these infections and it's kind of no surprise because of the bile function isn't adequate then you're going to be prone to overgrowth so it's real common even if you still have your gallbladder to have dysfunctional bile acid so what could we do about that now if you had your gallbladder removed do you want to talk to your doctor and make sure that this safe for you and also watch for symptoms but bitters Swedish bitters or any of the bitters I like quicksilver bitters X I like Gaia herbs bitters I like better bitters and we have all of those on drjilhealth.com you can take a look yourself and using these with meals that can enhance secretion of bile acid we went to the swiss mountain clinic the last couple years before one of the things that was part of the liver gallbladder detox that we did for a week was taking absinthe which is one of those original bitters with every single meal super bitter I happen to like the bitter taste so I don't mind it but I literally carry a little vial of absinthe in my purse to use with meals at times and sometimes I share it for fun with friends and it's fun to see the faces because that bitter is so bitter you get these amazingly contorted faces when you share your bitters so it's kind of fun so bitters tadka have you heard of tadka tadka is a great product to help with bile flow so I'm a huge fan of tadka let's see if I can find a link for you to show you the product that I like it's also at drjilhealth.com I'm looking and I don't see it listed there so we'll get you a link for that but tadka is a great product as well so those are just some things you can do with your meals okay I'm going to do one more question and then we will wrap it up for today and I'll be back in next month I have a question on intermittent fasting and diets to suppress latent viruses oh we got so many good questions and thank you Michelle for your thanks so low IG okay I think I'm going to answer a couple of these love tadka Taylor that's what I just mentioned intermittent fasting okay so intermittent fasting has so many benefits fasting is one of the few things that has shown reversal of mitochondrial aging so it's probably the most strong evidence for anti-aging so I'm a huge fan that would be like 12 to 16 hours overnight fasting and then so maybe you stop eating at 7 p.m and then wait till 10 or 11 a.m to have your first meal and part of why that does that is every time we eat a meal if you heard Dr. Eric Lundquist and I talked in the hour previous go back and check out that video because every time you are eating even if you're healthy you are increasing the load on your immune system because we have some permeability that happens after your meals so when you fast you basically give your immune system a break and that's really cool now the other thing we do is we can induce a decreased leptin and increased metabolism of glucose and increased usage of ketones which are alternative fuels to glucose and because of that you can often have more resilience metabolically so you can reverse some of the stuff that's going towards diabetes or reverse if you're having trouble losing weight and you have leptin resistance so I'm a huge fan of intermittent fasting now the caveats are if you have severe adrenal dysfunction hypoadrenia or HP axis dysfunction fasting can be stressful on the adrenals because when you're fasting you're requiring your liver to release glucose to sustain blood sugar and if your adrenals aren't working optimally that may not happen you know well so you may be prone to low blood sugars if you're pregnant I don't recommend it if you are extremes of age I don't recommend it or if you're just you know metabolically if you're really sick it can be a little bit of a stressor to the body now stressor isn't bad that can be good but some of those extremes I wouldn't recommend intermittent fasting or if you have blood sugar issues okay I think for today I'm going to wrap this up I will be back next month stay tuned if you watch the feed you'll see right now it's every fourth Friday we'll be back here at 4 p.m. mountain to answer your questions so please come back and join us thank you all so much today I hope you have a wonderful weekend and it was great to see you all virtually we'll talk soon bye