Watch these 12 seconds of truth. #monsanto #Glyphosate
Posted by Mike Mutzel, MSc on Friday, March 27, 2015
About Jill Carnahan, MD
Food allergies, toxins, sugar, antibiotics, parasites and stress can wreak havoc with your gastrointestinal system, upsetting the balance in your intestine as well as allowing harmful substances to enter the system. In this episode, Dr. Carnahan shares here expert opinion and will guide you through her approach to addressing complex gut imbalances.
Dr. Jill is Your Functional Medicine Expert! She uses functional medicine help you find answers to the cause of your illness and the nutritional and biochemical imbalances that may be making you feel ill. Functional medicine is personalized medicine that deals with root cause of disease instead of just treating symptoms. Dr Jill will search for underlying triggers that are contributing to your illness through cutting edge lab testing and tailor the intervention to your specific needs as an individual. She may use diet, supplements, lifestyle changes or medication to treat your illness but will seek the most gentle way to help your body restore balance along with the least invasive treatment possible. She seeks to promote wellness and create hope, health and healing by working with you!
Dr. Carnahan moved to Boulder Colorado in 2010 to join medical partner, Dr. Robert Rountree and practice Functional Medicine consulting. She currently has a waiting list for new patients to schedule at Flatiron Functional Medicine.
Contact Dr. Jill
Probiotics; but focus on the strain specific effects
#1 Health tip
Eating real food (JERF). Our food supply is adulterated, so spend money on local farmers for real whole, unprocessed foods and avoid GMOs
2:35 Dr. Carnahan’s Functional Medicine Journey: She was very healthy growing up, but during her third year of medical school, at age 25, she was diagnosed with an aggressive form of breast cancer. She had surgery, chemotherapy and radiation therapy, and in addition, involved naturopathic, nutritional medicine and prayer. She tried to include everything she had been learning in functional medicine. She wanted to not only survive, but thrive. Nine months after beating cancer, she was diagnosed with Crohn's disease. Crohn’s is an autoimmune disease where the body attacks the gut lining. It results in malabsorption and inflammation. Her doctor had told her that diet had nothing to do with it. She knew that was not true. Then Dr. Carnahan discovered and implemented the Specific Carbohydrate Diet. Within two weeks, she was symptom free and almost in remission. Thirteen years later she lives a very active life and considers herself in remission from Crohn’s and cancer.
8:10 The Gut and Genetics Influence on Cancer: Problems with methylation pathways, which help you with detoxification and DNA repair, is a starting point for cancer. Microbial imbalances in the gut affect inflammatory responses and your total toxic burden. A larger than normal colony of bad gut bacteria creates toxins that flood your methylation pathways in the liver.
10:25 Chemical Exposure and Health: Pesticides and herbicides, like glyphosate in Roundup, are most often endocrine disruptors, meaning that they interfere with hormones and can potential be a cancer trigger for those of us with poor genetics and cellular repair.
11:21 Glyphosate’s Possible Impact Upon Your Health: Some are linking the use of glyphosate in not only Roundup Ready GMOs, but in wheat sprayed with glyphosate prior to harvest, to the rapid increase in Celiac disease and gluten intolerance. It is believed that the chemical alters the wheat protein to make it more inflammatory. Often when people with gluten sensitivity travel to Europe, where there are fewer GMOs and where glyphosate is not used; they can eat wheat with no inflammatory response.
13:26 Glyphosate and the Gut: Research is showing that this chemical impairs detoxification of the liver. It produces a profound disruption on intestinal microbes in the soil and in the gut. Glyphosate binds to minerals like iron, manganese, cobalt, copper and many other trace minerals, making them unavailable for use in the body.
16:13 Ways to Minimize Exposure: One study done in Mississippi showed that 70% of rain samples contained glyphosate. Labeling is important for giving consumers a choice. Going organic is your best bet to minimize increasing your toxic load. Dr. Carnahan has her patients completely avoid wheat, corn and soy, since most are GMO. Grow your own organic, or get local organic produce. Restaurants most often use GMO corn or soy oil. Rapeseed/canola oil is also one of the top GMO foods.
18:53 Improving Detox Pathways: Diet is your primary intervention. Our soils have lost many of their minerals, causing even organic foods to be less nutritious than they were 100 years ago. We start with a diet of organic whole foods with lots of cruciferous vegetables, which enhance phase two detox. She supplements with a multi-mineral. She finds that most of her patients are deficient in zinc and magnesium. She supplements with glutathione precursors like N-acetylcysteine, turmeric, curcumin, resveratrol, glutamine, glycine and whey or pea protein. She is a big proponent of smoothies as a vehicle for consuming vegetables and greens. In her smoothies, she includes cilantro, parsley, green tea, and matcha powder to help detoxify chemicals and heavy metals. She adds chia seeds, flax seeds or psyllium for fiber, some sort of local frozen berry and whole unprocessed coconut milk.
21:24 Signs and Symptoms of SIBO (Small Intestine Bacterial Overgrowth): This is often the trigger for ulcerative colitis, Crohn’s disease, and inflammatory bowel disease. We should only have a small amount of bacteria in the small bowel. Sometimes, low hydrochloric acid in the stomach, pancreatic digestive enzyme insufficiency, or slow bowel motility, cause an overgrowth of bacteria in the small bowel. The intestinal lining is not designed to handle this amount of bacteria and it becomes permeable. This overgrowth of bacteria releases toxins, which leads to an overload of toxicity in the liver. Because of the burden on the immune system, a candida overgrowth is likely. She also tries to figure out why a patient has SIBO. It could be gut motility issues, low stomach acid, opioid use, or a bowel resection.
23:19 Symptoms of SIBO: Symptoms include bloating, belching, and diarrhea or constipation, depending upon the type of bacteria. This often correlates with leaky gut, which is linked to autoimmune disease, eczema, gall bladder problems, psoriasis, and arthritis.
24:07 How is SIBO Triggered? SIBO can be caused by poor diet, poor food choices, eating late at night, stress, GMOs, and chemicals in our food like artificial colors and artificial sweeteners. Dr. Carnahan estimates that 70% of her patients have gut dysbiosis, an imbalance in gut bacteria.
25:32 Testing for SIBO: Most of the time she can diagnose SIBO by her patient’s description of digestive dysfunction. She seldom uses the hydrogen/methane breath test. Instead, she does organic acid testing, which also shows detox pathways, micronutrients and oxidative stress. She uses the Ion Profile, Cardio Ion Panel, or NutrEval blood/urine tests from Genova Diagnostics. The ONE (Optimal Nutritional Evaluation) test is a morning urine test, which still provides gut markers. She uses this on children, people who cannot have a blood draw, or as a recheck of previous tests. She typically does IgG testing for food sensitivities to find triggers for inflammation and, if the patient tests positive for numerous food sensitivities, she knows that they have leaky gut.
29:13 Treating SIBO: She must first determine whether there is a yeast overgrowth in addition to SIBO, which is common when the immune system is suppressed. If that is the case, administering antibiotics causes yeast to become more pathogenic. She tests using the organic acid test and a stool test, because the yeast could be in the small or the colon. If, indeed, her patient has SIBO and yeast, she has them take antimicrobial herbs because they treat both the SIBO and the yeast at the same time without flaring either one. With just SIBO, you often need to use higher dose single agents like garlic, oregano, berberine, or caprylic acid, alone or in combination. If her patient has severe SIBO and no yeast, she might use Xifaxan, a prescription antibiotic that is active only in the intestine. Hydrogen predominant SIBO tends to present with diarrhea. Methane predominant tends to present with constipation. Hydrogen predominant SIBO responds well to Xifaxan. The methane dominant may require Xifaxan combined with metronidazole or neomycin. Dr. Carnahan makes sure that she restores gut flora with probiotics and addresses other digestive issues like leaky gut.
34:32 Treating Leaky Gut/Permeable Intestine: Getting the microbial population in balance is the first step to healing. Unless you address SIBO, yeast or parasites and food sensitivities, you will never get leaky gut under control. Daily use of pain medications, like Aleve or Ibuprofen, increases intestinal permeability. Curcumin is her favorite anticancer, anti-inflammatory herb. She also likes frankincense. N-acetylcysteine is also helpful for the gut. Dr. Carnahan encourages her patients to cook with fresh herbs like rosemary and ginger.
36:05 Histamine Issues: Rashes and skin allergic reactions are histamine mediated. Histamine is not only produced by mast cells, but can also be produced by gut bacteria. People with poor methylation tend to have difficulty breaking down histamines. Coresatin, or a DAO inhibitor and reducing high histamine foods, would benefit these patients. Generally, people who have difficulty with alcohol or fermented foods have histamine issues.
39:00 Dr. Carnahan’s Favorite Herb or Nutrient: Fish oil and probiotics are her top two. She is excited about new research into using specific probiotics to treat specific issues. Fish oil is a very good anti-inflammatory. Eating fish is even better. Magnesium is her third choice.
41:56 One Health Tip for Americans: Eating real organic local unprocessed food is at the core of health. Our food is adulterated and we need to protect it so we have clean food for the generations to come.