In this podcast, Dr. Vincent Pedre, author of Happy Gut, shares his cleansing program to help you lose weight and gain energy. He also discusses SIBO AKA small intestinal bacterial overgrowth from a whole new vantage point and why everything that ails us, from fatigue to weight gain to bloating and bad skin, can be traced back to the gut.
About Vincent Pedre, MD
Dr. Vincent M. Pedre, Medical Director of Pedre Integrative Health and President of Dr. Pedre Wellness, is a Board-Certified Internist in private practice in New York City since 2004. His philosophy and practices are a blend of both Western and Eastern medical traditions. He is a Clinical Instructor in Medicine at the Mount Sinai School of Medicine, as well as certified in yoga and Medical Acupuncture. His unique combination of medicine is best described as integrative or defined by a functional, systems-based approach to health. With his holistic understanding of both sides of the equation, he can help each patient choose the best course of action for their ailments to provide both immediate and long-term relief. His holistic approach incorporates positive, preventative health and wellness lifestyle choices.
Contact Dr. Pedre
Yoga stretches, deep breathing and a smoothie packed with nutrition from greens, berries, protein powder, L-glutamine etc. Then just prior to starting his workday, he tries to do a few minutes of meditation to connect to the day.
#1 Health Tip
Use more body metric devices to track health progress; this is motivating and gets people healthier, faster.
1:21 Introduction to Alternatives: Prior starting medical school, Dr. Pedre read Quantum Healing by Deepak Chopra and Spontaneous Healing by Andrew Weil and began meditation and yoga. He completed his residency and medical school. During a sabbatical after school, he worked with victims of 9-1-1 where he began to discuss meditation and yoga as a means of helping to heal trauma.
4:12 Introduction to Functional Medicine: Dr. Pedre read Total Renewal: 7 Key Steps to Resilience, Vitality, and Long-term Health by Frank Lipman. He met with Lipman, who introduced him to Functional Medicine. It was through his acupuncture training that he was able to understand the system based biology approach. Through this understanding, Functional Medicine made sense.
6:24 System Approach to Gut Health: Dr. Pedre takes a 360 approach to health. For example: When eating with other people, in community, we stop to talk and listen, slowing down our eating and lowering stress hormones for better digestion. One of man’s earliest traditions and rituals was sitting down and eating together.
10:26 Breakfast: Most of us must get out the door quickly in the morning, so Dr. Pedre to his patients that they drink a smoothie that is packed with nutrition; protein powder, berries, and other phytonutrient rich ingredients.
11:33 Lunch: Even those of us who can take a lunch break, do not it. Dr. Pedre recently read the book The One Thing, The Surprisingly Simple Truth Behind Extraordinary Results by Gary Keller. It says “What is the one thing you could do now that would make your life easier?” You ask yourself this throughout the day and it helps you to prioritize what you are doing. There is no such thing as balance in life. It is juggling.
13:52 Dinner: It is the easiest time to eat in community; sit with family, potluck or inviting friends over for dinner.
16:06 Microbiome Diversity: Eating a diverse diet promotes a biodiverse gut bacteria. A study looked a biodiversity in gut bacteria in adults with metabolic syndrome. A fecal microbial transfer from healthy volunteers to those with metabolic syndrome and over the course of 6 weeks, the test subjects got better even with the same diet. Insulin sensitivity improved and their bacterial diversity increased, especially one bacteria called Roseburia Intestinalis, which produces butyrate. This brings into question the role of butyrate in insulin sensitivity. Butyrate is one of the major energy sources for the colon and helps to maintain its lining. It can be administered as an enema along with L-Glutamine.
23:44 Parasites: It is difficult to diagnose parasites. For Dr. Pedre’s patient who is not getting better with other therapies, he would consider doing a parasite cleanse even with a negative test. Luckily, for him, in New York there is a Dr. Cahill who will do a sigmoidoscopy with a lavage. He will find parasites that will be missed by others.
25:42 SIBO: Dr. Pedre may not jump to administer antibiotics when SIBO if found. He prefers to start with an antimicrobial herb as an entry point while still supporting the health of the gut with things like bone broth and L-Glutamine.
30:34 Fermentable Fibers: SIBO can be one or both of these things; a predominance of hydrogen producing bacteria or a predominance of the methanogens, archaea. Hydrogen feeds the archaea to make methane. Carbohydrates/plant fibers feed the hydrogen producing bacteria. The type of SIBO predicates what type of therapy and diet they require. He prefers the Low Fodmap to the SCD diet, because it is easier to follow.
32:34 Antimicrobials: Soil based probiotics have antimicrobials that keep other organisms in check. Dr. Pedre believes that antimicrobial herbs have a broader spectrum of antimicrobial activity than antibiotics and seems safer for the patient.
34:36 The Journey with the Patient: Functional medicine is a team approach with the patient. The idea is that you are getting a person from point A to B. It may take 3 months, 6 month, or a year. Treatments can take people out of balance, but it is in an effort to achieve balance.
37:15 Foods or Symptom Clues to Archaea or Hydrogen Producing Bacteria: Prebiotic food and short chain carbohydrates that promote hydrogen producers and the hydrogen feeds the archaea which produces the methane. A distinguishing factor is, if your gas doesn’t smell than it is methane and if it does smell, it is hydrogen sulfide. Bloating after eating is a sign of SIBO or yeast overgrowth.
40:26 Herbs for SIBO: Dr. Pedre uses Berberine, as it helps with abdominal weight loss and glucose metabolism. He also uses Cat’s Claw, Huvaorsey, Oregano Oil and Lauric Acid. Often he treats yeast at the same time as SIBO. Not everyone responds well with herbs. Sometimes he treats with both herbs and pharmaceuticals. Every patient is different.
44:36 Happy Gut: Dr. Pedre’s book Happy Gut is coming out at the end of 2015. The gut is the seat of all health. It has been the most neglected systems, but one of the most important.
47:03 Dr. Pedre’s Morning Routine: Yoga stretches, deep breathing and a smoothie packed with nutrition from greens, berries, protein powder, L-glutamine etc. Then just prior to starting his workday, he tries to do a few minutes of meditation to connect to the day.
50:15 Meditation: Dr. Pedre spends more time in meditation before going to be. He began using imagery based meditation. Then he used a breath oriented medication, using yogic alternate nostril breathing. He continues to explore different types of meditation. Brainwave Music, the bi-neural beats trains the brain into an alpha rhythm. Meditation takes practice.
55:40 Body Metric Devices: Wearable devices provide movement feedback and a community for competition. You can tell people to do things, but until give them real data, there is a lack of motivation. If you can’t track it, you cannot improve upon it.