 Hey everybody, good afternoon. It's Dr. Jill here live with you for a question and answer session. So good to see you today there virtually. I would love for you to say hello and let me know where you're from. Just chime in on the comments here. This will be recorded so if you want to watch later you can listen as well. But for now say hello. I'm going to get to that space so I can actually see you and see your questions and answers. So if you will bear with me for just a second here. I'm going to pull that screen up so that I can actually listen at the same time and see your comments. Please let me know where you're at, where you're from, where you're listening from. I am here today to answer your questions. Anything that you want to ask me. I typically talk about gut health, mold related illness, chronic infections. So if you have any questions on any of those realms I am here and I am looking forward to taking your questions. Though like I said just bear with me a second so that I can get that screen up and see you all at the same time that I'm doing the live here. So please say hi. Tell me where you're from. Look forward to hearing where you're from. Put in your questions. Jump right in. I would love to hear from you today. And like I said I'm just getting the screens parallel here so I can hear you. Hi Misty, awesome. Listening from Tennessee. Very cool. Like I said you guys just jump right in tell me where you're from. Get ready for questions. And now I've got my screen here so I should be able to see you. So let's start just a little bit about immune system and the importance of immune health. One of the things I see. Hi Rochelle. Hi Liz. Hey everybody. Continue just popping into the comments. Say hello. Throw in your questions. I look forward to hearing them and I will answer as many as possible in the next 30, 40 minutes or so. So I'm here like I said live to answer any questions that you might have. Let me know where you're from. Pop on in there. And in the meantime let's go back to immune system and start off with that. So immune system is so core because at the core of functional medicine most of the cases I see are chronic infection, infectious load and toxic burden. And between these two things what usually happens is one or the other is imbalanced. And often if the toxic load is too much for example if you get into a moldy home and that mold is affecting you it'll weaken your immune system and then old things like Epstein-Barr virus or herpes cold sores or old things like a tick-borne infection you maybe got bit when you were 12 and you were doing fine until you got in a moldy house and all of a sudden you're having joint pain or brain fog or fatigue. And so I see this very commonly in part of the equation is getting back to immune system. While I do treat Lyme disease and sometimes the antibiotics are necessary just throwing antibiotics so the problem isn't the whole issue and won't really solve the whole problem. You really have to go back to the immune system and say what is causing immune dysfunction? How do we get the immune system back online? Because having that immune system is really, really crucial. Christine, hi Liz, hi Rochelle, hi Misty, hey everybody. Question, Christine says what's your opinion on thiamine deficiency in relation to mold toxicity and gut issues? Well, thiamine is B1, vitamin B1. It's depleted by alcohol so we first saw some things like warnex encephalopathy and vitamin B1 deficiency in alcoholics but it happens in many other cases besides alcohol use or abuse and thiamine is very critical to mitochondrial function so it can be a game changer with energy with just anything to do with mitochondria which would be muscle, maintenance, endurance, stamina, energy, brain function. So B1 is one of those things that we don't often think about but can be just as critical as other vitamins. I often will do micronutrient testing to see about vitamin deficiencies. There's two main labs that do that there's probably others but the ones that I've used are spectrocell and the vibrant micronutrient panel. The vibrant micronutrient panel does both intracellular and extracellular vitamin status and it's a blood test so I find that to be really really helpful. I myself do it at least once a year maybe every other year to check in and see if there's anything I'm deficient in and that way I always say test, don't guess. That way you know exactly what vitamins a patient needs and I know probably many of you have a handful of vitamins like I do that you take every day and it gets to be a lot sometimes. I mean if you looked at the amount of vitamins I take every day I probably have like 40 vitamins that I take twice a day and I don't mind because I perform great. I feel great no problem but it can get expensive and hard to swallow literally so because of that I think nutrient testing can be a great way to find out deficiencies and more target the types of supplementation you're doing. So hopefully that answered your question about thiamine christine. Hi Misty questions about gut health recently had an endoscopy due to reflux and the feeling like something stuck in my throat and horrible pain and chest after swallowing results were hyaluronia and a ring which can happen from that I'll talk about that in a minute told to take nexine for the rest of my life any suggestions. Thank you for your question Misty so let's talk about swallowing, GERD, reflux, all this and then some solutions to that. So first of all what can cause heartburn well I want to talk about mold related illness and heartburn because I see a lot of patients and many of you who are fans or followers have experienced mold related toxicity mold is one of those things that can increase mass selectivation and mass selectivation can increase production of things like histamine and prostaglandins. Histamine and prostaglandins can cause issues and especially histamine can contribute to heartburn. So there's many other causes of heartburn but one of them is excess histamine and especially if MCAS or mast cell activation happens after mold exposure so believe it or not one of the symptoms I see after mold exposure is heartburn or GERD. So if that's the case you need to lower histamine that's why H1 and H2 blockers can work things like azirtech or zantec or pepsid and those are not a problem to take short term even proton pump inhibitors like the one you mentioned Misty nexium or the generic form of that can be helpful short term they're really only indicated for about 14 days not lifetime. If someone has Barrett's esophagitis which can be a pre-cancerous condition it is indicated to be on proton pump inhibitors but a lot of times Barrett's esophagitis is misdiagnosed and there really isn't those pre-cancerous cells so it's always worth getting a repeat endoscopy to see if that clears up but let's talk about alternatives to medications like proton pump inhibitors. So things that I like to use are deglycerized licorice, glutamine powder, plantain can be helpful, also zinc carnicine 75 milligrams twice a day can be incredibly helpful and I really like the combinations of powders that have glutamine and aloe and DGL too that you can find at drjilhealth.com would be gut calm powder and gut shield they're very similar so it just depends on the flavor what you like the gut shield comes in chocolate and vanilla and the gut calm is just a plain flavor if you don't like the chocolate or vanilla and all of those products can be really helpful at soothing and coating the esophagus when you have something like irritation. Now hiatal hernia is actually a issue where the stomach comes up through the diaphragm into the place where the lung should be so it's like squeezing up into that the diaphragm is like a band of muscle that prevents the stomach and the contents of the stomach from coming up into the chest but sometimes you can have an opening which is that hernia it's a hiatal hernia and the stomach can slide up into the chest cavity and as you can imagine it shouldn't be up there and when it does it creates kind of a bubble so that the food and things can kind of stay up there and reflux into the esophagus causing heartburn so hiatal hernia I often recommend someone like a chiropractor or a massage therapist or a physical therapist who's been trained in the manipulation of the gut and they can actually do a maneuver that will help that hiatal hernia stay down that can be helpful otherwise if it's severe sometimes surgery is necessary but things like I said glutamine zinc carnicine deglycerate licorice one of the other tricks I love is marshmallow root you can get this as a tea or a tincture and you can actually buy bulk marshmallow root we have an apothecary here in Boulder where I recommend patients go and they can buy that marshmallow root and put a couple tablespoons in cold water and put it in the fridge in a quart bottle and then they can just pour out a couple ounces at a time and sip that through the day you can also make hot marshmallow root tea and those are really good at coating and soothing the esophagus if it's irritated they can give great relief another thing that could be helpful is just gentle teas and things peppermint in particular can decrease spasm so a peppermint tea can sometimes be helpful for that as well hopefully that answered your question misty um Rochelle let's see Rochelle ask about mold causing gallbladder issues and adenomas on the adrenal glands um sounds like you had exposure to penicillin for years and your body's shutting down I'm so sorry to hear that Rochelle I'll talk a little bit about um this and try to address some of those issues so when we have mold exposure um any sort of toxin in our body often is fat soluble it gets in our tissues this is one of the reasons things like infrared sauna can be so helpful because that infrared sauna penetrates the skin and allows us to kind of sweat out the phthalates the parabens sometimes metals and definitely mycotoxins and sometimes um I should say maybe all the time sweating is a real core part of detox so if you're not sweating or you have difficulty with sweating um it's best to start gently and to start getting your body warm in the sauna or a hot bath or hot shower and start to re um orient your body to the ability to sweat if you're super toxic sometimes your body won't sweat at all and that's a real problem I usually consider patients to be pretty toxic if they've stopped sweating or if it's really hard for them to sweat so typically with infrared sauna I recommend starting at uh 100 degrees and letting it heat up to 130 and maybe getting in the sauna around 100 degrees starting with five minutes and letting the temperature rise and then maybe next time you go to seven or eight minutes and then ten and you just go slowly to see what's tolerated if you feel absolutely drained or exhausted after the sauna then you've probably done too much you've probably mobilized too many toxins I'll tell you a real quick example from my own life um recently in august and september I had some exposure to ketomium and uh got sick every once while unfortunately for me now I know how to detox so even if I had an exposure within 12 to 24 hours I would feel pretty normal however lately when I've tried to sauna since I've had this exposure I think my load is a little higher because when I do that sauna I'll get really tired so if I go in there for 20 or 25 minutes I just did it last night and normally when I stay up till 10 or 11 at night uh last night I was in bed sound to sleep by 9 15 and it was partially that sauna I had created this detox mobilization of toxins from the mold and made me really tired now today I feel fine so it's okay to go ahead and sauna but you want to go slow and if you feel really exhausted or you feel like you're paying for the sauna you probably overdid it so start with five or ten minutes 100 degrees work up to 130 degrees for 30 to 45 minutes um you can go up to 135 degrees but I don't recommend generally going a lot higher than that because at 140 150 you intend to sweat a lot and lose electrolytes but you're not really detoxifying as well as you would be at 100 down your 30 so that's a little bit about infrared sauna back to your question about the gallbladder and the detox so when you have a mold exposure basically you use this it's called bio transformation it's your liver gallbladder axis and this is why we've got the liver I always call her the queen we need to take care of the queen and it's so important because the liver gallbladder is the area where your body takes toxins from the tissues transforms them into water soluble elements so that you can eliminate them from your body and one of the ways this does this is mycotoxins will get released from the tissue through exercise or sweating or glutathione and then they get put into phase one they get stuck from phase one to phase two in this intermediate the intermediate is actually more toxic than the original particle of mycotoxin or whatever toxin your body's dealing with and so it happens if you ramp up phase one coffee can do that and at the expense of phase two if your phase two is very slow you may get stuck in the middle with those intermediates and feel even more toxic so one of the things you can do is dry brushing epsom salt baths infrared sauna rebounding anything you can do to circulate lymphatics or to help that phase two phase two is very reliant on leafy greens and sulfuric veins and glutathione and b vitamins and n-acetyl cysteine and many many things that you need methionine and sami and b vitamins and if you don't have all those nutrients you may be stuck there in that intermediate and you may feel worse when you try to detoxify so real important for all those things now all those toxins get excreted into the bile which gets stored in the gallbladder so your original question that you would ask was about the gallbladder and mole toxicity and definitely you're going to have sluggish bile and things that happen in the gallbladder related to a toxic load so things that can support your gallbladder would be an herb called tadka for the liver it will help excrete the bile bitters taken with meals things like absinth which is one of the original bitters we use that in switzerland when i was at the swiss mountain clinic quite often actually with every meal during the liver gallbladder detox that i spent a week there doing this was before covid a couple years ago but that whole liver gall that are really important and if your bile is stagnant or sluggish you're actually holding on to toxins one of the other key components is the enteropatic circulation which is our very highly efficient circulation where we reabsorb about 95 percent of our bile acids and recycle them that all sounds great until you know that toxins are stored in the bile and if you just recirculate and recycle them it doesn't do you any good this is where binders come in because they will help to grab a hold of the bile and escort it out of the body into the stool so super helpful so hopefully that explains you can definitely have a toxic effect on both the drenals on the gallbladder on the liver if you have a large exposure to mold okay hi taylor any info on exosomes oh exosomes this is in the realm of peptides exosomes some of the newer things that are happening and a lot of these are signaling molecules to our body to do a certain thing so for example certain peptides and exosomes will tell the body to make more muscle decrease body fat some of them will say increase thymus immune system function other ones of them will help with repair of tissues like tendons and ligaments so there's many different ones and these are all signaling the body to do different things and to kind of push it into a state of healing and there's many exosomes and there's many peptides that do that specifically hi Curtis from Minneapolis thank you for your kind words hi misty you are so welcome other question about gut health son diagnosed with ulcerative colitis and now on a biological medicine for the rest of his life oh yes yes yes many of you know i was diagnosed with breast cancer at 25 very aggressive i went through three drug chemotherapy lost all my hair got so sick destroyed my gut in the process i don't have any regrets because i think it saved my life but i've spent the last 20 years restoring my gut and just one year after i've finished treatment for cancer i was diagnosed with Crohn's disease so i can very much relate to your son's diagnosis ulcerative colitis and Crohn's disease both are inflammatory bowel conditions where the body starts to get confused they're autoimmune diseases that basically the body starts to attack the gut lining what we know to be true is they're slightly different one is ulcerative colitis is more in the colon and it affects one area in the rectum or the colon where there's ulcerations Crohn's can affect air any area of the bowel from the mouth all the way to the anus and it causes granulomas and these tissue inflammation pockets both can be lifelong inflammatory conditions that can really affect digestion of nutrients and pain and weight in all of these things and can also cause fevers and other symptoms so they can profoundly affect and i'm so sorry that your son has to deal with that however in my case i was able to look at the microbiome and really heal the gut and i'm considered cured today 20 years later i do have no symptoms and no evidence of the Crohn's i remember going to my gastroenterologist back when i was first diagnosed and i was clueless i didn't know much about it but he point blank looked at me and said Jill you're going to need lifelong surgeries you may lose your colon you're probably going to be on biological medicines or steroids for the rest of your life and there is no cure and then i said well doctor um what about diet can i do anything with my diet and he shook his head and said Jill diet has nothing to do with this and i remember thinking in my gut i didn't know a whole lot it was a 30-year medical student just had survived cancer but intuitively i thought well how in the world can diet not have something to do with a gut issue and so i went out to explore and research and find answers and i didn't take steroids and i didn't take biologics and through um much searching i found the specific carbohydrate diet and i thought well what do i have to lose right this is better than drugs and surgery and i started it and within two weeks my symptoms of fevers and pain and all the symptoms that went along with the Crohn's were gone now i was not cured in two weeks so don't get me wrong here but what i found out was diet does have something to do with it and when we have Crohn's we have a genetic predisposition towards an abnormal response to a normal microbiome so what does that mean for me that meant that the chemotherapy had really induced a pathological leaky gut it had really destroyed like artillery and the lining of my gut destroyed the integrity of my gut lining so all of a sudden that gut lumen that enterocytes the cells that line the gut that were supposed to keep the bacteria inside the gut lumen and keep that from the bloodstream had been destroyed by the chemotherapy and unbeknownst to me i had celiac disease and i was eating gluten i had no idea that that was causing part of the problem creating more permeability so after the chemo on a gluten full diet i was developing this massive leakage of gut contents into my bloodstream into my immune system and because of my genetics nod2 is one of the genes and there's others my immune system was hyper reactive to that threat that lipopolysaccharide or bacterial coating that was triggering this response and it got confused and the immune system started to not just attack that bacteria but to attack my own gut lining and that led to Crohn's disease so what i found was changing the diet taking out gluten and taking out the triggers not only to the inflammatory antibodies in my blood to those certain foods like gluten and dairy and i took out sugar as well but also stopping that inflammatory leakage of contents and stopping that inflammatory reaction so diet did have a lot to do with it now i did a lot over the last 20 years at looking at the exact contents of the microbiome and taking out healing and treating any sort of parasitic infections any yeast overgrowth which is also called fungal dysbiosis if you haven't seen my blog go right over to jillcarnahan.com look at the last couple editions of my blog and you'll see an article specific on Crohn's disease and fungal dysbiosis this is something not a lot of doctors are talking about but i wrote about it very recently take a look at jillcarnahan.com just hit the blog button on the menu and you'll see just a couple weeks ago i posted a very important article about this and about how that fungal dysbiosis the yeast overgrowth whether it's candida or saccharomyces will often trigger Crohn's and colitis so very relevant and part of my healing was treating that fungal dysbiosis the other thing that often happens is SIBO small intestinal bacterial overgrowth and the specific carbohydrate diet one of the reasons that it works is it starves those bacteria so you can get a decrease in bacterial overgrowth as well now diets one of the pieces microbial antimicrobial herbs are another sometimes antibiotics i've taken several those in my lifetime can be influential as well so that's a lot on the Crohn's and colitis the bottom line is getting to a good functional doctor that can look at the gut microbiome through stool testing organic acids make sure there's no other triggers like infections toxins etc and then treating those imbalances and i've seen many many many people either remission or cure of Crohn's and colitis by treating the root cause so hopefully that helps misty and i know it's hard to see your son suffer isn't it oh rachel you had your gallbladder removed today oh sweetheart i hope you're healing well and resting and taking good care of yourself so once your gallbladder removed that's just a sac that holds the bile and sometimes it gets so sticky and full of gunk and debris that taking it out is appropriate so from now though you're going to have the liver directly common bile duct dripping bile into your small bowel so some people after surgery after gallbladder surgery have a little more difficulty with loose stools and that and i would say digestive enzymes and things can be really helpful if you've had your gallbladder removed so i hope you heal quickly my dear hi ana oh great to see your name and face there happy thanksgiving to you as well and everybody listening i hope you're all looking forward to a wonderful week with family or just by yourselves or whatever you're going to do and eating some healthy wonderful foods you know it's funny i'll tell you a little secret about my thanksgiving i'm allergic to some of the main thanksgiving foods like turkey and cranberries so i typically make my own salad and chicken and veggies and things that aren't really typical thanksgiving fair because i can't really eat most of those things however i do have a paleo pumpkin pie if any of you are paleo want to make a pumpkin pie that is absolutely out of this world it uses no cane sugar no sugar at all just coconut palm sugar in small amounts and the crust is gluten-free so be sure and check that out on my website under recipes look up paleo pumpkin pie and you can make your own this week if you want um hi christine mold toxicity sensitive to oxalates um and following antifungal protocol okay so let's talk about oxalates and mold so basically um one of the causes of excess oxalates is not breaking them down that can be genetic another one of the causes in contribution to this is production of oxalates oxalates can be produced by yeast or mold sometimes also by clostridia so many times the excess oxalates i see in someone that can cause pain inflammation interstitial cystitis uh joint pain um all kinds of symptoms it's like little shards of glass in your tissues so as you can imagine it's pretty painful and oxalates can cause like i said the painful bladder that mimics interstitial cystitis or bladder irritation it can cause all kinds of symptoms joint pain kidney issues etc and usually part of the root cause is a fungal or a mold overgrowth or excess in the body so one of the ways that we can decrease oxalates is looking at those issues and treating either the mold issue or the yeast issue with antifungals or doing detox for the mold another thing that's important is oxalates are in the diet and here's the deal oxalates are in very many wonderful foods like almonds and blueberries and kale and spinach so just taking out oxalates number one if you take if you go from an oxalate full diet where you're eating blueberries and almonds and spinach and all these wonderful foods and you just stop eating those you might dump oxalates and actually feel like you're getting worse so i never recommend going 100 miles an hour to zero and stopping oxalates but what you can do is be aware of oxalates and food look up the list you can find one on my website under my blog at jillcarnian.com and uh you can look up the list of oxalates and what i recommend is decreasing or just making sure in a day that you don't have a very heavy day of oxalates because you may have more pain or inflammation and then the root cause is getting rid of those organisms like yeast or mold or claustridia and you're right there are oxalate degrading bacteria so diversity is key one of the ways to increase diversity in the gut would be to increase use of spore forming probiotics increase use of prebiotics and probiotics that can help diversity and just increase in a plant-based diet with lots of fiber and fruits and vegetables to feed those good bacteria um diet is the number one way to increase diversity in the gut so a probiotic won't do it by itself you gotta use diet and you gotta make sure your diet is diverse in the things that bacteria love which is prebiotic fibers uh Jerusalem artichoke and different plant fibers can be really helpful hi tracy from minnesota um you are so welcome um and uh thank you for thanking me hi Diego um products uh seabodic i have not heard of that i think i've had a few patients using that product um i do like biocitin it's not always my first choice i use a lot of different things um i use i'll be sure and put a few links in here but my two favorites at drjilhealth.com are the berberine 1000 it's a high-dose berberine that could be really good for cibo and then also the candida destroyer so you can find those at drjilhealth.com and that combination treats both cibo and cifo and that's a great way to start hi kelly uh relation between mold toxicity and interstitial cystitis well i talked just a little about that and there'll be two things oxalates and histamine so oxalates are often produced by aspergillus and penicillin so if you have a mold toxicity issue exposure or colonization the sinuses of the gut you may produce more oxalates which can um inflame the bladder and cause cystitis and then so can histamine and as i mentioned before with the reflux often if you have a mold exposure your body will produce more histamine because mast cells are activated and then when mast cells are activated you can have things like heartburn or bladder irritation from the histamine this is why antihistamines either natural things like corsetin you can check out my hist assist at drjilhealth.com another game changer product if you have allergies or mast cell issues or histamine issues hist assist at drjilhealth.com recommended dose is two twice a day for most people and it really will decrease that production of histamines other things like benadryl, zirtex, zantec and allegra claritin can all help temporarily as well hi jill barron oh my gosh great to see you here bless you my dear friend hi misty let's see thank you so much and you're right yes diet does have something to do with it rachel um taking you patients oh you're so kind you guys are so beautiful i love coming here and hearing your words and your feedback and your thanks um you know what i do have a pa her name is crystal and she is taking you patients so if you do want to come to the clinic or do a virtual consult you can find crystal on my website at jillcarnian.com and she is taking you patients and i review almost every single case with her so you'll still get input from me if you see crystal she's amazing it took me seven years to find a good pa and i'm just blessed to have her there um hi misty one oh there's your question do i take telehealth um right now i am close to new patients except by referral but like i said i have a pa and um we're hoping to expand to more doctors in the future so stay tuned i know there's so many patients who are looking for functionalness in doctor and um you can also check at ifm.org which has functional doctors who are trained all over the united states you can search by zip code um and you can check ici that's international society for environmentally acquired illness for docs that understand mold and Lyme disease and some of those things that's a great resource as well because i know if you're depending on where you're at sometimes it's hard to find a doc who knows how to treat these complex things hi Christy uh what do you recommend for candida so i mentioned this earlier and i'll be sure and pop in here later it's always kind of hard to talk and do links at the same time but at drjillhealth.com i have a candida destroyer that works really really well i'll put a link in the chat here and wherever you're watching this from so that if you're interested in that and there's so many other products other things out there would be oregano um so i love using oregano powder argo caprylic acid um berberine garlic many many things i'll pop back in here if you just pop in and you know once we end the call you'll be able to see all the links but i'll put some more links in here about things that you can use for candida so great question i do find you have to treat candida often for months not just weeks so plan on being on something antifungal maybe even four to six months and especially if it's herbal it works now sometimes prescriptions are necessary so you could talk to your doctor about nice statin which is a non-absorbable antifungal or fluconazole which is a stronger antifungal that goes through the liver so if you have any liver issues you probably wouldn't want to use it but you can use that with your doctor to treat yeast infections or overgrowth as well and it's amazing many people especially with the weakened immune system they really have fungal issues that are systemic and need treatment and especially if you had mold exposure and your immune system is in a weakened state it's super common to have fungal overgrowth that needs treatment so do talk to your doctor about herbs and maybe even medications for that okay let's just do a couple more questions here you guys have any more questions and you're listening pop on in and i will answer and let's talk just a little bit about one of my other favorite topics that you're not going to hear from a lot of doctors and that's coffee enemas what in the world right um i'm going to put a link here so here's the story you may have heard me talk about this before but i went to switzerland to the swiss mountain clinic for a two-week liver um and gallbladder detox and i know some of you listening ana were there with me um so you may remember or maybe if you stay tuned in the future after this whole you know thing pandemic quiet's down i will be back um and i take a group usually to stay tuned because it's so much fun you to spend two weeks with me in switzerland with a liver gallbladder detox and we're at this cord just resort not really resort it's a medical clinic but it feels like you're a resort in the mountains pristine no emfs um just lovely lovely place you get treatments the whole week you get served um five-star meals that are all vegetarian to live rest your liver and gallbladder and a couple of things we did during that week were coffee enemas colonics um treatments with your acupuncture auricular therapy herbs vitamins nutrition we did a gallbladder cleanse so it's really amazing to go there and to get a detox and back to the original question of coffee enemas so one of the things we're not taught about this in medical school in fact it's not even talked about at all and i remember being there with um a population that was quite a bit older than myself and seeing them all go through this detox and do really really well and i was just puzzled to think about why is it that they're doing so well at this intense detox and not having trouble or die-off or issues and i realized that part of the um therapies there were um helping were the both the colonic hydro therapy that was usually weekly and then the coffee enemas because what happens is as i talked about earlier the liver gallbladder dumped the bile into the gut lumen and this is one of the ways we detoxify and if you have constipation or not good bowel function or you're not eliminating regularly um that can really get reabsorbed and add to your toxic load so surprisingly to me i realized coffee enemas can be an important part of a detox and when you do a coffee enema it raises the glutathione production by the liver by about 600 so it's a really great way to enhance detoxification so um as i came back to the us i realized we don't really have any good kits or systems and one of the things we had in switzerland was this coffee enema kit that was a nice vpa free bottle that you could just squeeze right into the enema with an instant really clean coffee that contained charcoal so it was so easy to use you just put lukewarm tap water fill it up shake the bottle and use it and you could be done in 10 15 minutes so we now have those at our store imported from switzerland directly from the swiss mountain clinic and i'm putting the link here just because many people don't know about this and don't know how easy and effective it can be so and with the kit comes instructions and everything you need so check that out okay just the last couple minutes i will do another question um kelly international society for environmentally acquired illness and i will put a link to them in the chat box or wherever you're watching this right now because that is a great resource to look for doctors who understand mold related illness i just stuck that in the in the box there um and let's see we have one more question here margo comment on apparent high prevalence of arsenic cadmium lead in many herbs and spices yeah so this is an issue isn't it yeah because we think our supplements are all clean what i recommend i wrote an article maybe three years ago on um trying sorry to say this to avoid amazon for your supplements because the quality control where they're stored where they come from um isn't always the greatest uh so it's best to get professional grade products from pharmacy doctor some reputable location uh because then you know they're stored properly and that's one reason like on my dr jill health web store dr jill health dot com you'll find only professional grade products so stuff that i've actually resourced to make sure that there's no lead contamination or anything like that in those because gosh it can be tricky and i've even you know i remember us first finding out we were doing some investigation and getting product shipped from amazon just to see and we found like products that were discolored and probably heat sensitive that weren't properly stored so you just want to be careful where you get your stuff and make sure it's clean all right everyone thank you so much for joining me tonight a joy is always even though we're virtual um sending you lots of love