1 00:00:01,000 --> 00:00:06,000 Speaker 1: This is the most dramatic podcast ever and iHeartRadio podcast 2 00:00:07,920 --> 00:00:11,000 Speaker 1: Chris Harrison Company from the home office in Austin, Texas 3 00:00:11,280 --> 00:00:15,840 Speaker 1: with a great guest and a great episode today. I 4 00:00:15,880 --> 00:00:19,880 Speaker 1: love talking about our health, things we can be doing, 5 00:00:19,960 --> 00:00:23,000 Speaker 1: things we should be doing. And with social media it 6 00:00:23,120 --> 00:00:27,040 Speaker 1: is so hard because we're inundated with so much, especially 7 00:00:27,080 --> 00:00:29,760 Speaker 1: about our diet, what is best for us, what should 8 00:00:29,760 --> 00:00:31,560 Speaker 1: we be eating? And then you see something, Oh my god, 9 00:00:31,600 --> 00:00:33,080 Speaker 1: I need to cut out eggs. I need to cut 10 00:00:33,120 --> 00:00:35,760 Speaker 1: out this cheez I need to cut out So what's real? 11 00:00:36,240 --> 00:00:39,920 Speaker 1: So joining us today is the foremost expert I could 12 00:00:39,960 --> 00:00:45,360 Speaker 1: find on gut health. Doctor Joseph A. Selhabb, a gastro 13 00:00:45,720 --> 00:00:52,760 Speaker 1: entrologist liz in Florida affiliated with multiple hospitals as an 14 00:00:52,800 --> 00:00:57,680 Speaker 1: expert on treating colonoscopy, upper GI indoscopy among other conditions, 15 00:00:58,440 --> 00:01:01,240 Speaker 1: and started following him on social media. And what I 16 00:01:01,280 --> 00:01:04,959 Speaker 1: found is doctor Sahabb noticed that there was this push 17 00:01:05,080 --> 00:01:11,039 Speaker 1: which is good for us to better understand and improve 18 00:01:11,080 --> 00:01:13,280 Speaker 1: our gut health. Because what we have found, I guess 19 00:01:13,280 --> 00:01:15,039 Speaker 1: to put it in as a good analogy, the gut 20 00:01:15,080 --> 00:01:18,480 Speaker 1: is think of an old telephone operator who's connecting all 21 00:01:18,520 --> 00:01:22,360 Speaker 1: of the lines. Our gut is the central kind of 22 00:01:22,560 --> 00:01:25,600 Speaker 1: communication system for the rest of our body, and when 23 00:01:25,600 --> 00:01:28,959 Speaker 1: those lines get disconnected or get cross it's a mess 24 00:01:29,000 --> 00:01:30,920 Speaker 1: and it can lead to a whole host of problems 25 00:01:31,120 --> 00:01:34,840 Speaker 1: and even serious issues and cancers, and so gut health 26 00:01:34,880 --> 00:01:38,240 Speaker 1: has become so important. But there's so much misinformation out there. 27 00:01:38,240 --> 00:01:40,840 Speaker 1: I wanted to talk to doctor Sahab and tell us 28 00:01:41,000 --> 00:01:43,479 Speaker 1: what is real, what is not? What do we really 29 00:01:43,480 --> 00:01:45,679 Speaker 1: need to pay attention to. So that is our guest 30 00:01:45,720 --> 00:01:49,320 Speaker 1: today as we dive in to gut health. Joining me 31 00:01:49,360 --> 00:01:52,400 Speaker 1: now is doctor Saalhabb. Doctor. First of all, are you 32 00:01:52,440 --> 00:01:53,640 Speaker 1: coming to me from Florida? 33 00:01:54,600 --> 00:01:56,360 Speaker 2: I am, yes, Orlando, Florida. 34 00:01:56,680 --> 00:02:01,200 Speaker 1: At the time of this recording, the hurricane Debbie has 35 00:02:01,240 --> 00:02:03,000 Speaker 1: just blown through. How you doing everything? Okay? 36 00:02:03,960 --> 00:02:06,280 Speaker 2: Yeah, everything is good. You know where I'm at right now. 37 00:02:06,320 --> 00:02:09,440 Speaker 2: There's a lot of heavy rainfall, but really it's not 38 00:02:09,960 --> 00:02:11,720 Speaker 2: super bad. I was able to make it to work 39 00:02:11,760 --> 00:02:14,760 Speaker 2: on time today. That's always a good thing. Traffic wasn't 40 00:02:14,800 --> 00:02:17,400 Speaker 2: too bad. You know, with Florida, we get so many 41 00:02:17,960 --> 00:02:21,079 Speaker 2: tropical storms and hurricanes that at this moment, at this time, 42 00:02:21,080 --> 00:02:24,280 Speaker 2: we're kind of used to it, you know. So typical Tuesday, 43 00:02:24,880 --> 00:02:27,880 Speaker 2: typical Tuesday. Ulest things get really bad, We're all scheduled 44 00:02:27,880 --> 00:02:30,600 Speaker 2: to go to work and we try to meet those plans. 45 00:02:30,919 --> 00:02:33,720 Speaker 1: It's kind of like snow across the Midwest. It's like 46 00:02:33,760 --> 00:02:35,440 Speaker 1: when it hits the South, We're like, oh my god, 47 00:02:35,480 --> 00:02:38,640 Speaker 1: it's debilitating across the Midwest, Like this isn't snow. 48 00:02:39,160 --> 00:02:42,240 Speaker 2: Are talking about? Like this is nothing. 49 00:02:42,280 --> 00:02:47,760 Speaker 1: Aside from your minor and meteorology. The reason I wanted 50 00:02:47,760 --> 00:02:50,720 Speaker 1: to have you on today I am such a proponent 51 00:02:50,760 --> 00:02:52,760 Speaker 1: and I am so interested in gut health. And when 52 00:02:52,760 --> 00:02:56,000 Speaker 1: I saw you, and obviously being an expert, and I 53 00:02:56,080 --> 00:02:59,120 Speaker 1: went through you know all that you have achieved in 54 00:02:59,160 --> 00:03:01,760 Speaker 1: your career, congraduate relations because you look so damn young 55 00:03:01,800 --> 00:03:04,080 Speaker 1: for being in this for two decades, but you are 56 00:03:04,120 --> 00:03:08,280 Speaker 1: equally obsessed with gut health. And I'm sure both of 57 00:03:08,360 --> 00:03:12,600 Speaker 1: us saw this trend on all social media where people 58 00:03:12,639 --> 00:03:14,839 Speaker 1: who you don't really know, you don't know what their 59 00:03:14,840 --> 00:03:17,800 Speaker 1: medical background is, started talking about gut health. And while 60 00:03:17,840 --> 00:03:20,600 Speaker 1: I think it is a good thing to start the conversation, 61 00:03:21,080 --> 00:03:23,640 Speaker 1: it can be a dangerous thing and that I don't 62 00:03:23,639 --> 00:03:25,280 Speaker 1: know if these people know what they're talking about. So 63 00:03:25,320 --> 00:03:27,800 Speaker 1: I've come to the expert today to talk all about 64 00:03:27,880 --> 00:03:30,639 Speaker 1: gut health. What we need to know fact from fiction, 65 00:03:31,120 --> 00:03:32,880 Speaker 1: What are the rumors, what are the things we need 66 00:03:32,919 --> 00:03:35,720 Speaker 1: to pay attention to. So I appreciate you coming on 67 00:03:35,760 --> 00:03:37,560 Speaker 1: today and not just talk about the weather, but talk 68 00:03:37,600 --> 00:03:38,480 Speaker 1: about our gut health. 69 00:03:39,640 --> 00:03:41,480 Speaker 2: Thank you so much for having me, And yeah, I 70 00:03:41,520 --> 00:03:43,000 Speaker 2: agree with you one hundred percent. In fact, that was 71 00:03:43,000 --> 00:03:46,120 Speaker 2: actually one of the first It's actually the main reason 72 00:03:46,160 --> 00:03:48,840 Speaker 2: that I actually created my social media profile is because 73 00:03:49,160 --> 00:03:50,440 Speaker 2: you know, we all use it. We all see the 74 00:03:50,520 --> 00:03:53,200 Speaker 2: videos of the show up on our feed, and I was, 75 00:03:53,480 --> 00:03:55,960 Speaker 2: you know, seeing a lot of videos that were just 76 00:03:56,120 --> 00:03:59,400 Speaker 2: either you know, mischaracterizing gut health or saying some of 77 00:03:59,400 --> 00:04:01,080 Speaker 2: the wrong things, and I felt like I had to 78 00:04:01,160 --> 00:04:04,119 Speaker 2: kind of correct the record. And what better way than 79 00:04:04,160 --> 00:04:06,760 Speaker 2: having a gast neurologist to someone who sees the stuff 80 00:04:06,760 --> 00:04:08,560 Speaker 2: that treats it every day, to you know, make a 81 00:04:08,640 --> 00:04:11,760 Speaker 2: video or response video and try to kind of you know, 82 00:04:11,880 --> 00:04:15,360 Speaker 2: make complicated matters simple for people. You know, there's there's 83 00:04:15,360 --> 00:04:18,719 Speaker 2: no gut health can be can get complicated from a 84 00:04:18,720 --> 00:04:21,040 Speaker 2: medicinal standpoint, but there's also things that we can do 85 00:04:21,160 --> 00:04:23,320 Speaker 2: every single day that are just simple to improve our 86 00:04:23,320 --> 00:04:25,000 Speaker 2: gut health, and that's what I try to focus or 87 00:04:25,040 --> 00:04:26,400 Speaker 2: emphasize on on my videos. 88 00:04:27,120 --> 00:04:29,159 Speaker 1: And I want to talk about all of those things. 89 00:04:29,160 --> 00:04:30,880 Speaker 1: And I hate to start with the negative, But what 90 00:04:30,880 --> 00:04:33,320 Speaker 1: were the things that you were seeing on social media 91 00:04:33,520 --> 00:04:36,040 Speaker 1: that made you go, man, I gotta I gotta get 92 00:04:36,040 --> 00:04:38,479 Speaker 1: in because people need real information. What are some of 93 00:04:38,480 --> 00:04:42,200 Speaker 1: the misconceptions and perceptions we have of gut health. 94 00:04:43,440 --> 00:04:45,680 Speaker 2: So I would say one of the first things is 95 00:04:45,680 --> 00:04:47,800 Speaker 2: that vegetables and fruits are out to kill you and 96 00:04:47,839 --> 00:04:50,080 Speaker 2: they're bad for you, you know, And that's something that 97 00:04:50,120 --> 00:04:52,280 Speaker 2: we kind of see all the time. And you know, 98 00:04:52,360 --> 00:04:55,560 Speaker 2: there's a lot of you know, science behind you know, 99 00:04:55,600 --> 00:04:57,880 Speaker 2: what they try to say. You know, they try to 100 00:04:58,200 --> 00:05:00,280 Speaker 2: talk about this article or that article, or try to 101 00:05:00,279 --> 00:05:03,080 Speaker 2: go over certain mechanisms. But we have human studies that 102 00:05:03,120 --> 00:05:06,120 Speaker 2: show that fruits and vegetables are not only filled with fiber, 103 00:05:06,160 --> 00:05:09,120 Speaker 2: which is essential for great gut health, but they lower 104 00:05:09,200 --> 00:05:12,159 Speaker 2: your risk of chronic diseases such as you know, diabetes, 105 00:05:12,200 --> 00:05:15,520 Speaker 2: heart disease, They lower your risk of colon cancer, stomach cancer. 106 00:05:15,960 --> 00:05:17,560 Speaker 2: And when I was seeing those type of things, I 107 00:05:17,600 --> 00:05:19,480 Speaker 2: wanted to just make sure that people didn't get the 108 00:05:19,480 --> 00:05:22,720 Speaker 2: wrong information regarding that because those type we have enough 109 00:05:22,720 --> 00:05:25,480 Speaker 2: of a problem in America where people don't get enough fiber, 110 00:05:25,600 --> 00:05:27,760 Speaker 2: you know, they don't eat their vegetables and fruits, and 111 00:05:28,200 --> 00:05:29,599 Speaker 2: that was one of the things that scared me. I 112 00:05:29,600 --> 00:05:31,560 Speaker 2: did not want people to be under the impression that 113 00:05:31,600 --> 00:05:33,960 Speaker 2: those things were bad for you, and that was one 114 00:05:33,960 --> 00:05:37,359 Speaker 2: of the things I wanted to correct because I know that, 115 00:05:38,040 --> 00:05:40,080 Speaker 2: you know, with colon cancer on the rise, especially in 116 00:05:40,120 --> 00:05:43,000 Speaker 2: younger people, a lot of it can be related to 117 00:05:43,040 --> 00:05:45,600 Speaker 2: our our diet, and I wanted to make sure that 118 00:05:45,640 --> 00:05:47,560 Speaker 2: people knew the facts. People knew the food that you 119 00:05:47,560 --> 00:05:49,320 Speaker 2: should eat that could lower your risk of things like 120 00:05:49,360 --> 00:05:51,960 Speaker 2: colon cancer and stomach cancer, to make sure that, you know, 121 00:05:51,960 --> 00:05:54,400 Speaker 2: we're not afraid of them. And it's hard enough being 122 00:05:54,400 --> 00:05:56,599 Speaker 2: able to eat right, you know, nowadays with everybody throwing 123 00:05:56,640 --> 00:05:58,760 Speaker 2: all these things at you. So you know, that's what 124 00:05:58,800 --> 00:06:00,200 Speaker 2: I tried to do at least, and that was one 125 00:06:00,200 --> 00:06:02,120 Speaker 2: of the first things that I wanted to try to correct. 126 00:06:02,320 --> 00:06:08,000 Speaker 1: So number one, everybody, fruits and vegetables are still good 127 00:06:09,600 --> 00:06:12,120 Speaker 1: because you know, fruit. Talk about something that's gotten a 128 00:06:12,120 --> 00:06:15,240 Speaker 1: real bad rap lately is fruit. Obviously there is sugar 129 00:06:15,240 --> 00:06:18,320 Speaker 1: in it, but it's not processed sugar. It's not the 130 00:06:18,800 --> 00:06:21,640 Speaker 1: sugar like that's in a Snicker's bar or what have you, 131 00:06:21,720 --> 00:06:25,480 Speaker 1: that we need to stay away from. Natural sugars are Look, 132 00:06:25,520 --> 00:06:29,800 Speaker 1: can they be overdone like everything? Yes, but this is okay, absolutely. 133 00:06:29,839 --> 00:06:32,640 Speaker 2: And the thing about fruits is that, you know, nature 134 00:06:32,720 --> 00:06:35,359 Speaker 2: is really clever. I mean, when you have fruit, it 135 00:06:35,440 --> 00:06:38,480 Speaker 2: comes packaged with fiber, prepackaged, you know, so to speak. 136 00:06:38,520 --> 00:06:43,479 Speaker 2: And that fiber helps regulate, you know, the absorption of glucose, 137 00:06:44,040 --> 00:06:46,800 Speaker 2: and it helps with the digestion process, helps you know, 138 00:06:47,000 --> 00:06:50,360 Speaker 2: use the restroom, helps eliminate waste and toxins and things 139 00:06:50,400 --> 00:06:52,359 Speaker 2: like that. And not only did they come pack packed 140 00:06:52,360 --> 00:06:55,720 Speaker 2: with phyto nutrients and all of those things together. When 141 00:06:55,760 --> 00:06:59,080 Speaker 2: you put it all in one, they're super healthy for you. 142 00:06:59,160 --> 00:07:01,520 Speaker 2: So you're not just taking the sugar you know, from 143 00:07:01,560 --> 00:07:04,000 Speaker 2: the fruit and just ingesting that with nothing else, which 144 00:07:04,080 --> 00:07:06,200 Speaker 2: is kind of what you get with juices sometimes, you know, 145 00:07:06,400 --> 00:07:08,680 Speaker 2: they say, you know, don't if you're gonna, you know, 146 00:07:08,839 --> 00:07:11,239 Speaker 2: do it, you know, blend it, don't juice it, because 147 00:07:11,240 --> 00:07:12,960 Speaker 2: if you're juicing it, you're taking out some of the 148 00:07:13,000 --> 00:07:16,040 Speaker 2: important parts that the fruit was made to come with. 149 00:07:16,360 --> 00:07:18,640 Speaker 2: And so this is what I tell people too. I said, look, 150 00:07:18,680 --> 00:07:20,640 Speaker 2: if you want to make a smoothie, don't hesitate to 151 00:07:20,640 --> 00:07:23,160 Speaker 2: blend it, you know, don't don't juice it, keep the fiber, 152 00:07:23,280 --> 00:07:25,120 Speaker 2: keep the good stuff with it, because that's going to 153 00:07:25,200 --> 00:07:26,000 Speaker 2: be good for you as well. 154 00:07:26,280 --> 00:07:29,520 Speaker 1: Eat the apple, not the apple juice, right exactly, there 155 00:07:29,560 --> 00:07:31,559 Speaker 1: you go. So, but you just mentioned something, and again 156 00:07:31,600 --> 00:07:33,400 Speaker 1: this was on social media and it was getting a 157 00:07:33,440 --> 00:07:36,880 Speaker 1: big play for a while of if you blend your fruits. 158 00:07:36,920 --> 00:07:39,040 Speaker 1: You know, allah are smoothies which a lot of us 159 00:07:39,080 --> 00:07:44,640 Speaker 1: make every day that will diminish the good that comes 160 00:07:44,680 --> 00:07:47,000 Speaker 1: in biting into an apple or eating a whole banana. 161 00:07:47,040 --> 00:07:47,480 Speaker 2: What have you? 162 00:07:47,880 --> 00:07:49,840 Speaker 1: Is is that fact or fiction? 163 00:07:50,360 --> 00:07:54,000 Speaker 2: Yeah? It doesn't. It Actually, blending it does not do 164 00:07:54,160 --> 00:07:57,280 Speaker 2: anything to its absorption. It does not affect its nutrient quality. 165 00:07:57,320 --> 00:07:59,760 Speaker 2: In fact, it's almost like you're predigesting it, right, I mean, 166 00:07:59,800 --> 00:08:02,480 Speaker 2: you're you're going to chew it. It's going to by 167 00:08:02,480 --> 00:08:04,000 Speaker 2: the time it makes it to your stomach, it's going 168 00:08:04,040 --> 00:08:06,800 Speaker 2: to be mushy, it's going to get absorbed. So really, 169 00:08:06,920 --> 00:08:09,239 Speaker 2: what that does is for a lot of people, actually 170 00:08:09,320 --> 00:08:11,280 Speaker 2: gives them a practical way to meet the fruit and 171 00:08:11,320 --> 00:08:13,240 Speaker 2: vegetable intake. When you can blend it, put it in 172 00:08:13,280 --> 00:08:15,880 Speaker 2: a smoothie, be on the go, go to work, go 173 00:08:15,920 --> 00:08:18,760 Speaker 2: to school. It makes it a nice easy way to 174 00:08:18,920 --> 00:08:21,000 Speaker 2: get the amount of fruits and vegetables that you need 175 00:08:21,160 --> 00:08:23,720 Speaker 2: on a daily basis. And it really does not affect 176 00:08:23,720 --> 00:08:25,920 Speaker 2: the nutrient quality. In fact, a lot of things that 177 00:08:25,960 --> 00:08:28,679 Speaker 2: I tell a lot of ways I tell my patients 178 00:08:28,680 --> 00:08:30,400 Speaker 2: to get the fruit and vegetable take is, even get 179 00:08:30,400 --> 00:08:33,840 Speaker 2: frozen stuff. If you get the frozen fruits, for example, 180 00:08:34,160 --> 00:08:37,480 Speaker 2: they really have I mean, the nutrient quality that they've 181 00:08:37,480 --> 00:08:40,600 Speaker 2: compared between frozen fruits and the fresh ones are they're 182 00:08:40,640 --> 00:08:44,760 Speaker 2: almost practically the same but one. But frozen fruits last 183 00:08:44,800 --> 00:08:46,959 Speaker 2: way longer, and they're so easy to put in a smoothie, 184 00:08:47,000 --> 00:08:48,800 Speaker 2: and they're just so practical to use that. I also 185 00:08:48,920 --> 00:08:51,040 Speaker 2: tell them that you could use that too. Yeah. 186 00:08:51,040 --> 00:08:53,120 Speaker 1: Another thing I saw on this is like last week 187 00:08:53,720 --> 00:08:56,320 Speaker 1: was this battle about carrots going back and forth and 188 00:08:56,440 --> 00:08:59,520 Speaker 1: like chopped carrots in this and it's they're they're full 189 00:08:59,559 --> 00:09:01,959 Speaker 1: of you know, they cover them because everything's about the 190 00:09:01,960 --> 00:09:04,680 Speaker 1: pesticides and what's on them right right, Like for example, 191 00:09:04,840 --> 00:09:08,079 Speaker 1: they say strawberries are one of the dirtiest, most contaminated 192 00:09:08,080 --> 00:09:11,080 Speaker 1: fruits because of the pockets and things that the pesticides 193 00:09:11,080 --> 00:09:14,120 Speaker 1: can settle into. But carrots was really on the forefront 194 00:09:14,160 --> 00:09:16,480 Speaker 1: of getting a bad rap last week, and then I 195 00:09:16,520 --> 00:09:18,560 Speaker 1: saw some doctor get on and say, well, if you 196 00:09:18,800 --> 00:09:21,679 Speaker 1: wash them, all that stuff is going to come right 197 00:09:21,720 --> 00:09:24,000 Speaker 1: off and it's you know, it's chlorine, and you know, 198 00:09:24,040 --> 00:09:26,720 Speaker 1: they kind of explain that you don't need to stop 199 00:09:26,760 --> 00:09:27,920 Speaker 1: eating carrots. 200 00:09:28,160 --> 00:09:33,079 Speaker 2: Right, yeah, absolutely, I think you know, I try to 201 00:09:33,080 --> 00:09:35,160 Speaker 2: be careful when I talk to people about this stuff 202 00:09:35,200 --> 00:09:36,960 Speaker 2: because you don't want to give them a reason not 203 00:09:37,000 --> 00:09:39,520 Speaker 2: to eat the healthy foods, right yeah. And yeah, I 204 00:09:39,520 --> 00:09:41,440 Speaker 2: mean we once you get the produce. And I'm a 205 00:09:41,440 --> 00:09:43,160 Speaker 2: big fan of this, and I even talked about this 206 00:09:43,240 --> 00:09:46,920 Speaker 2: on one of my episodes about washing your fruits and things, 207 00:09:47,040 --> 00:09:50,360 Speaker 2: whether it's avocado, kiwi, whatever it is, when you get home, 208 00:09:50,440 --> 00:09:53,480 Speaker 2: you wash it. Some people wash it in with just 209 00:09:53,520 --> 00:09:56,080 Speaker 2: soaked water. Some people just use water. Some people use 210 00:09:56,160 --> 00:09:58,640 Speaker 2: baking soda and things like that. Either way, if you 211 00:09:58,640 --> 00:10:01,520 Speaker 2: bring it home and you wash it and you stick 212 00:10:01,559 --> 00:10:04,360 Speaker 2: it into a container, that will keep the shelf life 213 00:10:04,400 --> 00:10:06,800 Speaker 2: a little bit longer. Most of those fruits, you'll you'll 214 00:10:06,840 --> 00:10:09,760 Speaker 2: remove most, if not all, of the bad stuff. 215 00:10:09,760 --> 00:10:11,280 Speaker 1: For you, what do you suggest in the in the 216 00:10:11,559 --> 00:10:14,440 Speaker 1: in the cleaning process, because again you just mentioned three 217 00:10:14,440 --> 00:10:17,160 Speaker 1: different styles and it's like, how crazy do we need 218 00:10:17,200 --> 00:10:19,640 Speaker 1: to be? What do you suggest? 219 00:10:20,160 --> 00:10:21,960 Speaker 2: You know, I've seen a lot of people use things 220 00:10:22,000 --> 00:10:25,720 Speaker 2: from baking soda to vinegar to all that stuff. What 221 00:10:25,760 --> 00:10:28,640 Speaker 2: I usually do is I usually just wash it with water. 222 00:10:28,960 --> 00:10:32,040 Speaker 2: I occasionally use baking soda, but that's pretty much all 223 00:10:32,080 --> 00:10:34,440 Speaker 2: you need. Anything else that you're going to do really 224 00:10:34,480 --> 00:10:36,679 Speaker 2: isn't going to make that much of a difference. It's 225 00:10:36,800 --> 00:10:39,240 Speaker 2: usually the surface of the fruits and vegetables that you 226 00:10:39,280 --> 00:10:41,120 Speaker 2: really need to clean thoroughly. I mean, think about it 227 00:10:41,160 --> 00:10:43,120 Speaker 2: this way. If you're getting an apple, right, I mean, 228 00:10:43,120 --> 00:10:45,320 Speaker 2: how many people have touched that apple before it made 229 00:10:45,320 --> 00:10:47,480 Speaker 2: it into your bag? Right? So it's it's it's dirty. 230 00:10:47,520 --> 00:10:49,680 Speaker 2: It needs to be clean. So you just go back. 231 00:10:49,720 --> 00:10:52,600 Speaker 2: You clean it thoroughly, You scrub it, you can use 232 00:10:52,600 --> 00:10:54,520 Speaker 2: some baking soda, you can let it kind of sit 233 00:10:54,600 --> 00:10:56,480 Speaker 2: in the water for a little bit. As long as 234 00:10:56,480 --> 00:10:59,880 Speaker 2: the outside cover is clean than the you're good to go. 235 00:11:00,880 --> 00:11:05,440 Speaker 1: The strawberries in general again got another bad rap because 236 00:11:05,480 --> 00:11:09,240 Speaker 1: AaB they're they're porous and all that. But I don't 237 00:11:09,240 --> 00:11:11,760 Speaker 1: know if you follow Tom Brady and that kind of 238 00:11:11,880 --> 00:11:15,199 Speaker 1: shade diet, and I mean the shade of the fruit. 239 00:11:15,240 --> 00:11:17,679 Speaker 1: He is very he's never had a strawberry, won't eat 240 00:11:17,760 --> 00:11:21,720 Speaker 1: them because he says it, I believe for inflammation purposes 241 00:11:22,640 --> 00:11:25,880 Speaker 1: are there? Do you believe or subscribe to that shade 242 00:11:25,920 --> 00:11:29,280 Speaker 1: theory on certain vegetables, fruits, et cetera. 243 00:11:29,840 --> 00:11:32,240 Speaker 2: I don't know. It's only because I don't feel like 244 00:11:32,280 --> 00:11:34,560 Speaker 2: there is a whole ton of robust proof that those 245 00:11:34,600 --> 00:11:37,160 Speaker 2: type of things really are make a difference or a 246 00:11:37,240 --> 00:11:40,040 Speaker 2: detrimental to your health, at least in our human control trials. 247 00:11:40,080 --> 00:11:43,040 Speaker 2: I mean, we know that for example, strawberries, you know 248 00:11:43,160 --> 00:11:46,680 Speaker 2: they're packed with vitamin C. And those fruits, for example, 249 00:11:46,679 --> 00:11:49,720 Speaker 2: with different shades of colors like red and blue. In 250 00:11:49,800 --> 00:11:53,400 Speaker 2: each one of those colors represents a phyto nutrient that 251 00:11:53,440 --> 00:11:56,600 Speaker 2: those fruits contain, and we know that they're healthy for you. 252 00:11:57,240 --> 00:12:00,319 Speaker 2: So I tell my patients, the more colorful actually your 253 00:12:00,360 --> 00:12:02,040 Speaker 2: diet can be, the more varied it can be, the 254 00:12:02,120 --> 00:12:04,600 Speaker 2: better overall from you, because each one gives you something 255 00:12:04,640 --> 00:12:08,040 Speaker 2: a little bit different. And with strawberries, for example, I mean, 256 00:12:08,080 --> 00:12:11,280 Speaker 2: they contain vitamin C, which we know help the good 257 00:12:11,280 --> 00:12:15,520 Speaker 2: gut bacteria grow in your gut. We know that the 258 00:12:15,559 --> 00:12:18,760 Speaker 2: fiber within berries are beneficial. They lower your risk of 259 00:12:18,800 --> 00:12:22,240 Speaker 2: colon cancer. They contain a bunch of phyto nutrients that 260 00:12:22,240 --> 00:12:25,600 Speaker 2: can help with inflammation and not cause inflammation. So I 261 00:12:25,640 --> 00:12:28,640 Speaker 2: don't subscribe to that theory. I don't know where it started, 262 00:12:28,679 --> 00:12:30,640 Speaker 2: to be honest with you, but if you look at 263 00:12:30,640 --> 00:12:33,000 Speaker 2: the literature and you look at the evidence that's out there, 264 00:12:33,080 --> 00:12:35,199 Speaker 2: you pretty much won't, in my opinion, it won't be 265 00:12:35,280 --> 00:12:48,480 Speaker 2: convinced that you need to avoid those type of things. 266 00:12:49,840 --> 00:12:53,520 Speaker 1: Gut health has really come to the forefront, and which 267 00:12:53,559 --> 00:12:57,520 Speaker 1: is great. Many doctors are now saying, this is the 268 00:12:57,559 --> 00:13:01,120 Speaker 1: engine that runs your entire body. Everything comes from what 269 00:13:01,200 --> 00:13:04,200 Speaker 1: is in your gut. What are the things that we 270 00:13:04,240 --> 00:13:06,560 Speaker 1: should know, What are the most important if you know 271 00:13:06,720 --> 00:13:09,320 Speaker 1: a quick list of these are the things we should 272 00:13:09,320 --> 00:13:12,080 Speaker 1: know about gut health and how to keep it healthy, 273 00:13:12,400 --> 00:13:14,080 Speaker 1: even if we're just starting this process. 274 00:13:14,840 --> 00:13:17,320 Speaker 2: Absolutely so, the way I think of your gut is 275 00:13:17,400 --> 00:13:21,280 Speaker 2: like a garden, right, So it's like an ecosystem. So 276 00:13:21,840 --> 00:13:24,720 Speaker 2: for example, the plants in the garden are like the 277 00:13:24,760 --> 00:13:28,760 Speaker 2: probiotics that live in your gut. There's trillions of probiotics 278 00:13:28,840 --> 00:13:32,920 Speaker 2: that live in your gut, and they are beneficial for 279 00:13:33,000 --> 00:13:36,800 Speaker 2: you because they not only help digest food, but they 280 00:13:36,880 --> 00:13:40,800 Speaker 2: produce beneficial compounds. So, just like any garden, you have 281 00:13:40,880 --> 00:13:43,360 Speaker 2: to let the plants grow and thrive, right, So the 282 00:13:43,400 --> 00:13:46,280 Speaker 2: way to do that is with So let's take the 283 00:13:46,320 --> 00:13:48,880 Speaker 2: example of sunshine and rain to make the plants grow. 284 00:13:49,360 --> 00:13:52,719 Speaker 2: The sunshine and rain for the gut is actually prebiotics. 285 00:13:52,800 --> 00:13:56,040 Speaker 2: So what prebiotics are are These are carbohydrates that feed 286 00:13:56,080 --> 00:13:58,880 Speaker 2: the good and gut bacteria and allow them to grow 287 00:13:58,920 --> 00:14:02,319 Speaker 2: and thrive. And often you get these prebiotics from vegetable sources, right, 288 00:14:02,640 --> 00:14:07,320 Speaker 2: things like sweet potatoes, whole grains, spare I guess, broccoli, 289 00:14:07,360 --> 00:14:09,520 Speaker 2: things like that. These are the type of thing that 290 00:14:09,600 --> 00:14:12,640 Speaker 2: feed the good gut bacteria, allow them to grow and thrive, 291 00:14:13,040 --> 00:14:16,000 Speaker 2: and then as a result, the probiotics make what we 292 00:14:16,040 --> 00:14:18,920 Speaker 2: call post biotics. So think about the way the plants 293 00:14:18,920 --> 00:14:21,320 Speaker 2: make oxygen right when they grow and they thrive to 294 00:14:21,320 --> 00:14:24,760 Speaker 2: allow the environment for us to live. Pretty much same way, 295 00:14:25,120 --> 00:14:28,840 Speaker 2: the probiotics make something called post biotics. These post biotics 296 00:14:28,880 --> 00:14:31,640 Speaker 2: are compounds that are what actually benefits us. So, for 297 00:14:31,680 --> 00:14:34,400 Speaker 2: an example, one of them would be something called butyrate, 298 00:14:34,800 --> 00:14:38,200 Speaker 2: and we know that when the probiotics in your gut 299 00:14:38,280 --> 00:14:41,240 Speaker 2: make more butyrate, we tend we tend to have it better, 300 00:14:41,680 --> 00:14:44,800 Speaker 2: healthier gut and even lowers your risk of things like 301 00:14:44,880 --> 00:14:45,600 Speaker 2: colon cancer. 302 00:14:46,200 --> 00:14:48,680 Speaker 1: And where does butyrate come from? Where do we derive 303 00:14:48,720 --> 00:14:49,240 Speaker 1: that from? 304 00:14:49,640 --> 00:14:51,840 Speaker 2: So we derive that from the gut bacteria. So when 305 00:14:51,880 --> 00:14:56,320 Speaker 2: you have good, healthy gut bacteria, they use the prebiotics 306 00:14:56,760 --> 00:14:58,400 Speaker 2: and they make things like butyrate. 307 00:14:58,680 --> 00:15:00,200 Speaker 1: So it's the pree So it's the eat of the 308 00:15:00,280 --> 00:15:02,440 Speaker 1: vegetables and all that will create that. There's nothing more 309 00:15:02,560 --> 00:15:04,320 Speaker 1: that will help that. 310 00:15:05,040 --> 00:15:07,760 Speaker 2: Yeah, there's nothing more that well, our gut, our gut bacteria. 311 00:15:07,880 --> 00:15:09,840 Speaker 2: A lot of it starts with our diet. Yeah, a 312 00:15:09,840 --> 00:15:12,000 Speaker 2: lot of it starts with the healthy stuff that we 313 00:15:12,040 --> 00:15:13,680 Speaker 2: need to try to eat. And what I try to 314 00:15:13,720 --> 00:15:16,120 Speaker 2: emphasize is one of the first things you want to 315 00:15:16,160 --> 00:15:20,000 Speaker 2: do is make sure that your diet is rich in prebiotics. 316 00:15:20,040 --> 00:15:23,360 Speaker 2: And with prebiotics a lot of times comes fiber. Right, So, 317 00:15:23,440 --> 00:15:26,200 Speaker 2: as we talked about before, you know, things that contain fiber, 318 00:15:26,280 --> 00:15:30,160 Speaker 2: whether it's insoluble fiber or soluble fiber, those things allow 319 00:15:30,200 --> 00:15:32,640 Speaker 2: the gut bacteria to thrive, and the gut bacteria are 320 00:15:32,680 --> 00:15:36,320 Speaker 2: always kind of talking to your body. They are interacting 321 00:15:36,400 --> 00:15:38,560 Speaker 2: with your body. There's a thin membrane between the gut 322 00:15:38,600 --> 00:15:41,800 Speaker 2: bacteria and your immune system. They are constantly talking to 323 00:15:41,800 --> 00:15:45,040 Speaker 2: your immune system, they're talking to your brain, they're talking 324 00:15:45,120 --> 00:15:48,080 Speaker 2: to everything else in your body. And in fact, we 325 00:15:48,160 --> 00:15:51,000 Speaker 2: know that, for example, people that suffer from chronic diseases, 326 00:15:51,520 --> 00:15:55,240 Speaker 2: they can have a depletion of certain good gut bacteria. 327 00:15:55,320 --> 00:15:58,200 Speaker 2: There's almost like a signature for that. So we know 328 00:15:58,280 --> 00:16:00,600 Speaker 2: that if we can get those gut back to those 329 00:16:00,640 --> 00:16:03,680 Speaker 2: good ones to really grow and thrive, they produce these 330 00:16:03,680 --> 00:16:06,240 Speaker 2: beneficial compounds such as the butrate, and that's what actually 331 00:16:06,320 --> 00:16:07,920 Speaker 2: gives us our healthy gut. 332 00:16:08,320 --> 00:16:10,440 Speaker 1: Is there a difference, in part of my ignorance, between 333 00:16:10,720 --> 00:16:12,520 Speaker 1: prebiotic and probiotics. 334 00:16:13,360 --> 00:16:17,960 Speaker 2: Yes, so a probiotic is the actual living organism, So 335 00:16:18,160 --> 00:16:21,640 Speaker 2: it's the actual bacteria that lives and thrives in your gut. 336 00:16:22,120 --> 00:16:26,400 Speaker 2: What a prebiotic is, it's food. Prebiotic is food for 337 00:16:26,440 --> 00:16:29,760 Speaker 2: those gut bacteria. Got it. And though that prebiotic feeds 338 00:16:29,760 --> 00:16:32,720 Speaker 2: the gut bacteria allows them to grow, thrive, and populate. 339 00:16:32,920 --> 00:16:35,560 Speaker 1: Let's go over some a few things that again, we're 340 00:16:35,560 --> 00:16:38,800 Speaker 1: trends that are kind of sexy, were and some that 341 00:16:38,880 --> 00:16:42,680 Speaker 1: still are for apple cider or vinegar every morning, apple 342 00:16:42,720 --> 00:16:43,280 Speaker 1: cider vinegar. 343 00:16:43,440 --> 00:16:45,600 Speaker 2: I don't see anything wrong with it. I am a 344 00:16:45,640 --> 00:16:48,000 Speaker 2: fan of apple cider vinegar myself. I guess it's important 345 00:16:48,000 --> 00:16:50,040 Speaker 2: to figure out what they're taking it for, right. So 346 00:16:50,120 --> 00:16:52,760 Speaker 2: if people say that, for example, apple cider vinegar is 347 00:16:52,760 --> 00:16:54,920 Speaker 2: going to cause you to burn fat and lose weight 348 00:16:55,040 --> 00:16:57,600 Speaker 2: and do all those things, I think that's probably a 349 00:16:57,600 --> 00:17:01,320 Speaker 2: little bit overblown. Is apple cider vinegar probably healthy in general? 350 00:17:01,360 --> 00:17:05,359 Speaker 2: Does it contain compounds that are probably beneficial for your gut? Absolutely. 351 00:17:05,400 --> 00:17:08,239 Speaker 2: There are people who feel like they have and this 352 00:17:08,280 --> 00:17:09,679 Speaker 2: is one of the things that I tried to correct 353 00:17:09,680 --> 00:17:12,360 Speaker 2: on the record, where they have acid reflux and they 354 00:17:12,600 --> 00:17:15,280 Speaker 2: take things like apple side or vinegar. But there's no 355 00:17:15,320 --> 00:17:17,399 Speaker 2: real proof that apple side or vinegar can help with 356 00:17:17,560 --> 00:17:20,320 Speaker 2: acid reflux in and of itself, because acid reflux is 357 00:17:20,400 --> 00:17:23,440 Speaker 2: basically is just where acid is just pretty much going 358 00:17:23,520 --> 00:17:26,800 Speaker 2: up the esophagus causing a burning sensation, and sometimes for 359 00:17:26,880 --> 00:17:30,239 Speaker 2: people vinegar can actually cause that. Yeah, But what I 360 00:17:30,320 --> 00:17:33,000 Speaker 2: try to tell people is that look, that burning sensation 361 00:17:33,040 --> 00:17:34,840 Speaker 2: that you have in your test may not be as reflux. 362 00:17:34,840 --> 00:17:36,600 Speaker 2: There's a lot of reasons why you may have that, 363 00:17:36,640 --> 00:17:40,560 Speaker 2: including something called bile reflux, and bial reflux is more 364 00:17:40,840 --> 00:17:43,480 Speaker 2: alkaline than acid, and maybe when you mix a little 365 00:17:43,480 --> 00:17:45,040 Speaker 2: bit of apple side or vinegar it helps kind of 366 00:17:45,040 --> 00:17:47,280 Speaker 2: balance that out, and that's why some people feel good. 367 00:17:47,760 --> 00:17:50,879 Speaker 2: So I think it's really important to figure out what 368 00:17:50,920 --> 00:17:52,600 Speaker 2: you taking the apple sid or vinegar for. If you 369 00:17:52,680 --> 00:17:54,960 Speaker 2: feel good on it and it causes no problems and 370 00:17:55,000 --> 00:17:57,520 Speaker 2: it helps you use the restroom and it helps you 371 00:17:57,520 --> 00:17:59,400 Speaker 2: get on with your day, I think it's absolutely fine. 372 00:17:59,400 --> 00:18:01,200 Speaker 2: I don't think there's any harmful effects to it. 373 00:18:01,680 --> 00:18:05,280 Speaker 1: A kombucha became such a cool trendy thing, especially in Hollywood. 374 00:18:05,280 --> 00:18:07,760 Speaker 1: It started, you know, I noticed that things become cool 375 00:18:07,760 --> 00:18:10,280 Speaker 1: when they're on the set, you know, at craft services, 376 00:18:10,320 --> 00:18:12,600 Speaker 1: and all of a sudden, every cooler was filled with kombucha. 377 00:18:13,200 --> 00:18:17,240 Speaker 2: Yeah thoughts, Yeah, I think you know, if you're I 378 00:18:17,240 --> 00:18:20,199 Speaker 2: think is a good healthy drink. I think there are 379 00:18:20,200 --> 00:18:23,840 Speaker 2: certain ones that are very well populated with good gut bacteria. 380 00:18:23,920 --> 00:18:26,520 Speaker 2: So the problem is with taking probiotics. You know, whether 381 00:18:26,560 --> 00:18:28,320 Speaker 2: it's in a pill form or whether it's in a drink. 382 00:18:28,359 --> 00:18:30,400 Speaker 2: For example, is you don't know how much of those 383 00:18:30,440 --> 00:18:33,159 Speaker 2: probiotics actually make it into your gi track, because by 384 00:18:33,160 --> 00:18:35,760 Speaker 2: the time it actually gets into your stomach, the acid 385 00:18:35,800 --> 00:18:38,080 Speaker 2: mixes in with it. How much are killed off, how 386 00:18:38,160 --> 00:18:41,120 Speaker 2: much are there whatever's left. Does it really populate any 387 00:18:41,359 --> 00:18:43,399 Speaker 2: any other part of your gas dur intestinal track for 388 00:18:43,440 --> 00:18:46,080 Speaker 2: any benefit. That is what we don't know right now. 389 00:18:46,119 --> 00:18:48,680 Speaker 2: I don't think we're there yet. So when people ask 390 00:18:48,720 --> 00:18:51,200 Speaker 2: me about probiotics and specific I say, look, I think 391 00:18:51,240 --> 00:18:54,000 Speaker 2: the best probiotics actually a pre biotic because you're feeding 392 00:18:54,000 --> 00:18:56,280 Speaker 2: the good gut bacteria. But as far as putting bacteria 393 00:18:56,359 --> 00:18:58,600 Speaker 2: in your gut, it's hard to say whether that works. 394 00:18:58,640 --> 00:19:00,800 Speaker 2: But I think as a as a and a healthy 395 00:19:00,800 --> 00:19:03,440 Speaker 2: alternative to other drinks, I see there's I see nothing 396 00:19:03,440 --> 00:19:06,040 Speaker 2: wrong with kimbucha. I think it can definitely be beneficial. 397 00:19:06,440 --> 00:19:09,560 Speaker 1: Greek yogurt has become very popular now. 398 00:19:09,840 --> 00:19:12,440 Speaker 2: Yes, good, I love Greek yogurt. Yeah, I know, Greek 399 00:19:12,520 --> 00:19:17,000 Speaker 2: yogurt is great. Yeah, absolutely, I love Greek yogurt. Yogurt 400 00:19:17,119 --> 00:19:20,359 Speaker 2: is such an underrated food for a few reasons. The 401 00:19:20,400 --> 00:19:22,760 Speaker 2: first thing is that we have some studies that show 402 00:19:22,760 --> 00:19:25,200 Speaker 2: that people who eat more yogurt tend to have a 403 00:19:25,240 --> 00:19:26,560 Speaker 2: lower risk of colon cancer. 404 00:19:26,800 --> 00:19:29,200 Speaker 1: Oh, interesting, men and women, Men and women. 405 00:19:29,320 --> 00:19:32,280 Speaker 2: Yeah, And why we think that happens is because a 406 00:19:32,359 --> 00:19:37,000 Speaker 2: good Greek yogurt usually is populated with probiotics, and again, 407 00:19:37,080 --> 00:19:39,800 Speaker 2: everything goes back to the gut bacteria. So if you can, 408 00:19:40,040 --> 00:19:42,399 Speaker 2: if you can get a diet that fills your gut 409 00:19:42,440 --> 00:19:47,520 Speaker 2: with good probiotics and prebiotics, you generally have a lower 410 00:19:47,640 --> 00:19:51,639 Speaker 2: risk of things such as colon cancer. And from my standpoint, 411 00:19:51,640 --> 00:19:54,360 Speaker 2: I love greek yogurt. I eat it every day. It's 412 00:19:54,440 --> 00:19:57,439 Speaker 2: just a good alternative to you know, you know, it 413 00:19:57,440 --> 00:19:59,119 Speaker 2: depends on what you want to eat sometimes, you know, 414 00:19:59,160 --> 00:20:00,800 Speaker 2: sometimes I like cream, cheese and things like that a 415 00:20:00,840 --> 00:20:03,199 Speaker 2: little bit higher in calories, But Greek y over for me, 416 00:20:03,240 --> 00:20:04,960 Speaker 2: is something that I try to eat every day just 417 00:20:05,000 --> 00:20:07,800 Speaker 2: because of the probiotics that are in it and because 418 00:20:07,800 --> 00:20:09,560 Speaker 2: it helps populate the good go back here. So yeah, 419 00:20:09,560 --> 00:20:10,200 Speaker 2: I'm a big fan. 420 00:20:10,320 --> 00:20:11,920 Speaker 1: Is cottage cheese right there as well? 421 00:20:12,160 --> 00:20:14,000 Speaker 2: Yeah, cottage cheese right there too. The nice thing about 422 00:20:14,000 --> 00:20:15,600 Speaker 2: cottage cheese it also gives you a little bit of 423 00:20:15,640 --> 00:20:18,000 Speaker 2: extra protein too, so, and greek yog is actually a 424 00:20:18,000 --> 00:20:20,040 Speaker 2: decent source of protein as well. But yeah, I would 425 00:20:20,040 --> 00:20:23,280 Speaker 2: say cottage cheese is there right at that level. 426 00:20:23,000 --> 00:20:26,320 Speaker 1: Too, And I know it. Correct me if I'm wrong, 427 00:20:26,359 --> 00:20:31,200 Speaker 1: but I know predominantly percentage wise, men worry more about 428 00:20:31,200 --> 00:20:33,359 Speaker 1: the colon cancer. Obviously, I am of age. I've had 429 00:20:33,400 --> 00:20:35,280 Speaker 1: my colonoscopy all clear. 430 00:20:37,800 --> 00:20:40,359 Speaker 2: That's how you do it. I mean, that's how you 431 00:20:40,359 --> 00:20:41,680 Speaker 2: you know, people tell me what's the best thing you 432 00:20:41,720 --> 00:20:43,320 Speaker 2: could do to prevent colon cancer, and I'm like, get 433 00:20:43,320 --> 00:20:45,639 Speaker 2: your colonoscopy, you know, that's really the best thing that 434 00:20:45,680 --> 00:20:46,120 Speaker 2: you can do. 435 00:20:46,240 --> 00:20:47,880 Speaker 1: And by the way, can I just go on record, 436 00:20:48,040 --> 00:20:49,800 Speaker 1: it's not that big of a deal. It's not that 437 00:20:49,880 --> 00:20:52,520 Speaker 1: big of a deal. Especially the actual colonoscopy is nothing 438 00:20:52,520 --> 00:20:55,959 Speaker 1: because you're asleep. You know, that's really probably a bad 439 00:20:56,040 --> 00:20:57,680 Speaker 1: day for the doctor. It's not a bad day for you. 440 00:20:59,200 --> 00:21:01,800 Speaker 1: It's the pres you know, as everybody says, the prep 441 00:21:01,880 --> 00:21:06,040 Speaker 1: sucks or you could even say it's very crappy. But 442 00:21:06,520 --> 00:21:08,520 Speaker 1: other than that, it's a good cleanse. Think of it 443 00:21:08,520 --> 00:21:11,080 Speaker 1: as a good gut cleanse. And it's a day you 444 00:21:11,080 --> 00:21:11,720 Speaker 1: get some rest. 445 00:21:12,400 --> 00:21:14,439 Speaker 2: Yeah. Absolutely, a lot of people say it's the bestleap 446 00:21:14,440 --> 00:21:16,720 Speaker 2: of your life. You know, you go to sleep, you 447 00:21:16,760 --> 00:21:19,720 Speaker 2: wake up and you're already done. And you know, when 448 00:21:19,720 --> 00:21:22,000 Speaker 2: I try to talk about preventing colon cancer, I'm very 449 00:21:22,000 --> 00:21:24,960 Speaker 2: careful when you know, obviously there's a lot of dietary 450 00:21:25,040 --> 00:21:27,640 Speaker 2: and lifestyle habits we can do to lower our risk 451 00:21:27,680 --> 00:21:29,680 Speaker 2: for colon cancer, but there's nothing perfect because there's a 452 00:21:29,720 --> 00:21:33,760 Speaker 2: lot of colon cancer can also be genetic. Right, So 453 00:21:34,040 --> 00:21:36,600 Speaker 2: no matter what healthy lifestyle you do, no matter the 454 00:21:36,600 --> 00:21:39,080 Speaker 2: healthiest foods you can eat, no matter how fit you are, 455 00:21:39,400 --> 00:21:42,600 Speaker 2: if you're genetically predisposed to forming colon cancer, it's probably 456 00:21:42,640 --> 00:21:44,439 Speaker 2: going to happen. And so what we do in our 457 00:21:44,480 --> 00:21:47,600 Speaker 2: colonoscopies is that we think that every colon cancer starts 458 00:21:47,640 --> 00:21:50,280 Speaker 2: off as just a little anybody pollen. And when we 459 00:21:50,359 --> 00:21:53,720 Speaker 2: do the colonoscopy, we remove those polyps. And when we 460 00:21:53,760 --> 00:21:56,920 Speaker 2: remove them, they never have a chance to become cancer. 461 00:21:57,280 --> 00:21:59,560 Speaker 2: And that's why the kolonosky is important for not only 462 00:21:59,640 --> 00:22:02,359 Speaker 2: detect and diagnosing colon cancer, but it's also the best 463 00:22:02,359 --> 00:22:03,760 Speaker 2: thing we have at preventing cancer. 464 00:22:04,000 --> 00:22:06,680 Speaker 1: And the polyps aren't bad necessarily, you don't know, That's 465 00:22:06,800 --> 00:22:09,359 Speaker 1: that's why, but you take them out because they may grow, 466 00:22:09,400 --> 00:22:10,600 Speaker 1: they may not grow. 467 00:22:11,160 --> 00:22:11,360 Speaker 2: Right. 468 00:22:11,680 --> 00:22:14,119 Speaker 1: One thing I also noticed when I went in for 469 00:22:14,200 --> 00:22:17,119 Speaker 1: my colonoscopy because I think I think I maybe I 470 00:22:17,119 --> 00:22:20,200 Speaker 1: did it when I was fifty, which was three years ago, 471 00:22:20,280 --> 00:22:23,840 Speaker 1: But now they're saying forty five forty like to get 472 00:22:23,840 --> 00:22:27,560 Speaker 1: it to start earlier for men. Why is that what 473 00:22:27,680 --> 00:22:29,440 Speaker 1: has brought that on? Is it just science or is 474 00:22:29,480 --> 00:22:31,320 Speaker 1: it just our environment that's changing. 475 00:22:32,440 --> 00:22:35,480 Speaker 2: It's both. You know, we have been seeing and I 476 00:22:35,560 --> 00:22:38,000 Speaker 2: certainly have been seeing colon cancer at younger ages. Not 477 00:22:38,040 --> 00:22:40,280 Speaker 2: only have we been seeing colon cancer at younger ages, 478 00:22:40,320 --> 00:22:42,720 Speaker 2: but we're seeing pre cancers at younger ages as well. 479 00:22:43,200 --> 00:22:46,280 Speaker 2: So it took a little bit of time, but we 480 00:22:46,640 --> 00:22:49,840 Speaker 2: finally got it lowered to forty five, which the science 481 00:22:49,880 --> 00:22:52,040 Speaker 2: is showing is definitely going to be is going to 482 00:22:52,040 --> 00:22:53,800 Speaker 2: benefit more people because we're going to not only be 483 00:22:53,880 --> 00:22:56,160 Speaker 2: catching more colon cancers, but we're going to be preventing 484 00:22:56,160 --> 00:22:58,479 Speaker 2: more of them as well. The problem that we're going 485 00:22:58,520 --> 00:23:01,040 Speaker 2: to see now is is at some point it going 486 00:23:01,080 --> 00:23:04,159 Speaker 2: to get even lower, and that's going to be I 487 00:23:04,200 --> 00:23:06,159 Speaker 2: guess that's going to remain to be seen. They're going 488 00:23:06,200 --> 00:23:08,000 Speaker 2: to run the numbers they're going to you know, obviously, 489 00:23:08,040 --> 00:23:09,840 Speaker 2: when it comes to healthcare, at least in America, there's 490 00:23:09,840 --> 00:23:13,159 Speaker 2: always like a cost benefit ratio a risk benefit ratio, 491 00:23:13,200 --> 00:23:14,719 Speaker 2: So we have to make sure that if we're screening 492 00:23:14,720 --> 00:23:18,040 Speaker 2: people that there's a benefit to it, right. But part 493 00:23:18,040 --> 00:23:19,439 Speaker 2: of the reason why we had to lower it to 494 00:23:19,480 --> 00:23:21,879 Speaker 2: forty five is just we're just seeing younger and younger 495 00:23:21,960 --> 00:23:24,760 Speaker 2: patients with it. I know that I've had people in 496 00:23:24,800 --> 00:23:28,399 Speaker 2: the hospital twenty five year olds, thirty year olds that 497 00:23:28,480 --> 00:23:31,600 Speaker 2: come in with rectal bleeding and I do a colonoscopy 498 00:23:31,640 --> 00:23:34,360 Speaker 2: and I find in early colon cancer. And had they waited, 499 00:23:34,440 --> 00:23:37,639 Speaker 2: had they waited in another year or two before coming 500 00:23:37,640 --> 00:23:39,719 Speaker 2: into the hospital. But you know, we sometimes we do. 501 00:23:39,800 --> 00:23:42,360 Speaker 2: Sometimes we tend to ignore things like that it could 502 00:23:42,359 --> 00:23:44,600 Speaker 2: have spread, could have gotten bigger, and instead of it 503 00:23:44,600 --> 00:23:46,400 Speaker 2: being stage one, could have been stage four. 504 00:23:46,920 --> 00:23:51,080 Speaker 1: Yeah, and that's probably the biggest bit of advice for everybody. 505 00:23:51,840 --> 00:23:54,679 Speaker 1: If you notice something, if something's irregular, like, don't be 506 00:23:54,840 --> 00:23:57,600 Speaker 1: the typical guy. Just go it's not that big of 507 00:23:57,640 --> 00:24:01,000 Speaker 1: a deal. What's a bigger deal is dying from something 508 00:24:01,080 --> 00:24:02,160 Speaker 1: you didn't need to die from. 509 00:24:02,960 --> 00:24:06,600 Speaker 2: Colon cancer is probably one of the most preventable cancers 510 00:24:07,080 --> 00:24:09,120 Speaker 2: that we have because we have the ability to normally 511 00:24:09,320 --> 00:24:11,920 Speaker 2: detect and treat it when it's you know it's when 512 00:24:11,920 --> 00:24:15,040 Speaker 2: they're small, but we check for it often and there's 513 00:24:15,160 --> 00:24:17,440 Speaker 2: signs and symptoms of it. I tell people, like, look, 514 00:24:17,480 --> 00:24:19,520 Speaker 2: pay attention to your to your stool, you know, I know, 515 00:24:19,760 --> 00:24:21,160 Speaker 2: you know, some people think it's a little bit gross, 516 00:24:21,160 --> 00:24:23,600 Speaker 2: but it really isn't that. It really tells you a 517 00:24:23,640 --> 00:24:26,080 Speaker 2: lot about your stool, tells you a lot about your health. 518 00:24:26,960 --> 00:24:28,679 Speaker 2: If you're going, if you all of a sudden have 519 00:24:28,680 --> 00:24:30,679 Speaker 2: a change in about habits, if you're not going as 520 00:24:30,800 --> 00:24:32,600 Speaker 2: much as you used to, or the opposite way, if 521 00:24:32,600 --> 00:24:36,000 Speaker 2: you're having more diarrhea than you you normally have, if 522 00:24:36,040 --> 00:24:38,360 Speaker 2: you notice blood on the toilet paper or in there, 523 00:24:38,400 --> 00:24:40,040 Speaker 2: if you notice that you have aches and pains in 524 00:24:40,040 --> 00:24:42,240 Speaker 2: your belly that just don't go away, Like, don't ignore 525 00:24:42,280 --> 00:24:44,560 Speaker 2: those things. Talk to your doctor about them, tell them 526 00:24:44,600 --> 00:24:47,240 Speaker 2: what your bowel habits are, because you never know what 527 00:24:47,359 --> 00:24:49,840 Speaker 2: could be a symptom that seems insignificant to you but 528 00:24:49,920 --> 00:24:51,919 Speaker 2: may actually be a warning sign of colon cancer. 529 00:24:52,440 --> 00:24:56,720 Speaker 1: Yeah, and that's again so so avoidable. And for guys, 530 00:24:56,760 --> 00:25:01,280 Speaker 1: I know, there's obviously colon and then the prostate, Yes, 531 00:25:01,520 --> 00:25:04,240 Speaker 1: tell me that obviously, the differences of what we're looking 532 00:25:04,320 --> 00:25:07,239 Speaker 1: for when you get the prostate check, which is kind 533 00:25:07,280 --> 00:25:09,359 Speaker 1: of changed too. They're saying they don't really have to 534 00:25:09,840 --> 00:25:11,920 Speaker 1: you know. That's by the way, the for those that 535 00:25:11,960 --> 00:25:15,440 Speaker 1: don't know, the finger up the butt they're checking the prostate. Yeah, 536 00:25:15,480 --> 00:25:16,840 Speaker 1: they don't really have to do that as much if 537 00:25:16,840 --> 00:25:19,320 Speaker 1: they check your blood because the PSA levels that they 538 00:25:19,320 --> 00:25:22,040 Speaker 1: can kind of determine if you need it correct. 539 00:25:22,200 --> 00:25:24,320 Speaker 2: Yeah. So you know, when it comes to prostate issues, 540 00:25:24,400 --> 00:25:27,920 Speaker 2: usually you'll have urinary issues. So for example, with with 541 00:25:27,960 --> 00:25:30,240 Speaker 2: like an enlarged prostate or even a prostate cancer, you'll 542 00:25:30,280 --> 00:25:32,520 Speaker 2: notice that you're not urinating as much, or it's hard 543 00:25:32,520 --> 00:25:35,000 Speaker 2: to your innate or painful to your innate or you'll 544 00:25:35,040 --> 00:25:38,200 Speaker 2: see blood in your urine. And that's kind of where 545 00:25:38,359 --> 00:25:40,359 Speaker 2: you know, going to the bathroom is really important because 546 00:25:40,400 --> 00:25:42,680 Speaker 2: you have to really pay attention to those things. And 547 00:25:42,800 --> 00:25:44,800 Speaker 2: if you notice that there's a sudden change in either 548 00:25:44,920 --> 00:25:47,720 Speaker 2: or if you're if you're if your urination is changing 549 00:25:47,760 --> 00:25:49,879 Speaker 2: or your bowel habits are changing. It's just something that 550 00:25:49,920 --> 00:25:51,760 Speaker 2: you don't have to feel embarrassed to when you talk 551 00:25:51,800 --> 00:25:53,760 Speaker 2: to your doctor, you mentioned it to them and then 552 00:25:53,840 --> 00:25:56,560 Speaker 2: they can figure out what other tests you need from there. Nowadays, 553 00:25:57,000 --> 00:25:59,639 Speaker 2: you know the prostate exams I think probably maybe are 554 00:25:59,680 --> 00:26:02,640 Speaker 2: being done less, but certainly they order. There's more blood tests, 555 00:26:02,640 --> 00:26:05,680 Speaker 2: and there's better images that we have, ultrasounds, MRIs, even 556 00:26:05,720 --> 00:26:07,960 Speaker 2: things like CT scans can can better take a look 557 00:26:08,000 --> 00:26:11,520 Speaker 2: at your prostate for the colon. Though interestingly enough the 558 00:26:11,600 --> 00:26:14,800 Speaker 2: images are not there yet, Like we can't. It's really 559 00:26:14,880 --> 00:26:17,040 Speaker 2: hard to see like a small colon cancer on a 560 00:26:17,040 --> 00:26:19,040 Speaker 2: CT scan. And that's actually a question that I get 561 00:26:19,119 --> 00:26:22,960 Speaker 2: quite a lot. A smaller developing colon cancer may may 562 00:26:23,119 --> 00:26:25,480 Speaker 2: just look absolutely normal on the CT scan, and really 563 00:26:25,520 --> 00:26:27,960 Speaker 2: the only way to diagnose that is with a colonoscopy. 564 00:26:28,240 --> 00:26:31,440 Speaker 1: Okay, that's good to know. We haven't found a way 565 00:26:31,440 --> 00:26:35,200 Speaker 1: around it yet. Just go get it done, Just get 566 00:26:35,240 --> 00:26:35,520 Speaker 1: it done. 567 00:26:35,640 --> 00:26:37,640 Speaker 2: Yeah, Yeah, it's the best way to prevent, best way 568 00:26:37,640 --> 00:26:39,720 Speaker 2: to detect. That's that's all you need to know, you know. 569 00:26:40,000 --> 00:26:43,159 Speaker 1: And what about women in that regard, Yeah. 570 00:26:42,960 --> 00:26:47,280 Speaker 2: With women, absolutely the same. Now, women are more actually 571 00:26:47,320 --> 00:26:49,560 Speaker 2: likely to get cancers in a certain part of their colon, 572 00:26:49,600 --> 00:26:53,000 Speaker 2: specifically on the right side of their colon. And this 573 00:26:53,080 --> 00:26:57,080 Speaker 2: is why I tell people, like, when you do your colonoscopy, 574 00:26:57,160 --> 00:26:59,159 Speaker 2: make sure you take all the preparation, make sure you 575 00:26:59,160 --> 00:27:01,160 Speaker 2: do it you can't cheap coalon prep. You know, make 576 00:27:01,160 --> 00:27:02,760 Speaker 2: sure you take everything, make sure you have a nice, 577 00:27:02,800 --> 00:27:05,520 Speaker 2: squeaky clean colon, because what the doctor does is they 578 00:27:05,560 --> 00:27:07,919 Speaker 2: start from the bottom and work all the way up 579 00:27:07,920 --> 00:27:09,800 Speaker 2: to the beginning of your colon, and you have to 580 00:27:09,800 --> 00:27:12,080 Speaker 2: survey every single part of your colon because a colon 581 00:27:12,119 --> 00:27:16,520 Speaker 2: cancer could actually form anywhere, and that's where we're seeing 582 00:27:16,520 --> 00:27:19,800 Speaker 2: more colon cancers in women. And when it comes to 583 00:27:19,840 --> 00:27:23,200 Speaker 2: the symptoms, the symptoms are essentially the same. There tends 584 00:27:23,240 --> 00:27:26,440 Speaker 2: to be I think a little bit of discrepancy and 585 00:27:26,640 --> 00:27:29,920 Speaker 2: dismissiveness by you know, for women's symptoms when it comes 586 00:27:29,920 --> 00:27:32,399 Speaker 2: to abdominal pain, because you know, there could be a 587 00:27:32,400 --> 00:27:34,199 Speaker 2: whole lot of reasons for abdominal pain, right you have 588 00:27:34,200 --> 00:27:36,880 Speaker 2: your gynecological organs that are there, you have other things 589 00:27:36,920 --> 00:27:39,440 Speaker 2: that could be causing abdominal pain. But when female patient 590 00:27:39,480 --> 00:27:42,119 Speaker 2: comes to me gives me symptoms abdominal pain, one of 591 00:27:42,160 --> 00:27:43,600 Speaker 2: the first things I tell them is, look, we need 592 00:27:43,640 --> 00:27:45,960 Speaker 2: to check your colon because I need to rule that 593 00:27:46,080 --> 00:27:48,760 Speaker 2: out as a cause of your pain before we proceed 594 00:27:48,800 --> 00:27:50,320 Speaker 2: into any other examinations here. 595 00:27:50,320 --> 00:27:52,600 Speaker 1: And it's something most women probably don't think about it 596 00:27:52,600 --> 00:27:55,560 Speaker 1: because typically it's a guy disease, it's a guy problem. 597 00:27:55,560 --> 00:27:57,719 Speaker 1: You know. They always talk about guys getting the colonoscopy 598 00:27:57,760 --> 00:28:00,000 Speaker 1: and all that. So it's probably something that most women 599 00:28:00,160 --> 00:28:01,680 Speaker 1: it's just kind of out of sight, out of mind, 600 00:28:01,760 --> 00:28:03,840 Speaker 1: thinking it's a guy thing, but it can be a 601 00:28:03,840 --> 00:28:04,360 Speaker 1: woman thing. 602 00:28:04,680 --> 00:28:09,160 Speaker 2: Absolutely. Absolutely, we're certainly seeing it in both men and women. 603 00:28:09,400 --> 00:28:13,200 Speaker 2: And it's just something when it comes to abdominal pains 604 00:28:13,280 --> 00:28:17,000 Speaker 2: or changes in your bowel habits, constipation for example, it's 605 00:28:17,040 --> 00:28:18,680 Speaker 2: just something you just don't want to ignore and chalk 606 00:28:18,720 --> 00:28:20,919 Speaker 2: it up to, oh, well, you know, my body's changing now. 607 00:28:21,119 --> 00:28:23,639 Speaker 2: There might actually be a serious reason behind that, and 608 00:28:23,680 --> 00:28:25,440 Speaker 2: that's something you should always talk to your doctor about. 609 00:28:36,960 --> 00:28:39,600 Speaker 1: Do you see a dramatic change as we head into 610 00:28:39,800 --> 00:28:44,520 Speaker 1: you know, perimenopause, menopause for women as far as gut 611 00:28:44,560 --> 00:28:48,200 Speaker 1: health goes, And are there things that women heading into 612 00:28:48,200 --> 00:28:50,480 Speaker 1: those phases of life as you're starting to get there, 613 00:28:50,880 --> 00:28:54,080 Speaker 1: that you can change or do to help mitigate some 614 00:28:54,160 --> 00:28:54,920 Speaker 1: of the effects. 615 00:28:55,240 --> 00:28:58,760 Speaker 2: Yeah. Absolutely, I find that as we tend to get 616 00:28:58,760 --> 00:29:00,760 Speaker 2: to that age, one of the most common things that 617 00:29:00,800 --> 00:29:04,680 Speaker 2: I see is actually more constipation. And what I try 618 00:29:04,720 --> 00:29:08,200 Speaker 2: to tell my patients is, look, as we get older, 619 00:29:08,720 --> 00:29:11,760 Speaker 2: you know, our colon does not work as well sometimes 620 00:29:11,800 --> 00:29:13,480 Speaker 2: as it used to. We tend to get more things 621 00:29:13,480 --> 00:29:15,840 Speaker 2: such as diverticulosis. I'm not sure if you've heard of 622 00:29:15,840 --> 00:29:20,120 Speaker 2: that before, but diverticulosis can cause something called diverticulitis, which 623 00:29:20,440 --> 00:29:23,560 Speaker 2: diparticulosis are little pouches that form on the surface of 624 00:29:23,600 --> 00:29:26,720 Speaker 2: the colon. And we think, at least in the US, 625 00:29:26,880 --> 00:29:30,280 Speaker 2: part of the reason is genetics and a lack of 626 00:29:30,320 --> 00:29:34,120 Speaker 2: dietary fiber in your diet. And when you're constipated, you 627 00:29:34,160 --> 00:29:36,640 Speaker 2: tend to form these pouches on the surface of your colon. 628 00:29:36,760 --> 00:29:39,040 Speaker 2: They can be painful, they can get infected, and they 629 00:29:39,040 --> 00:29:41,720 Speaker 2: can bleed. So I try to tell people that as 630 00:29:41,760 --> 00:29:44,200 Speaker 2: we age, it's just the golden rule. Let's try to 631 00:29:44,200 --> 00:29:46,120 Speaker 2: get as much fiber as we can and theether. Let's 632 00:29:46,120 --> 00:29:48,120 Speaker 2: try to have Let's try to regulate our about movements. 633 00:29:48,200 --> 00:29:49,760 Speaker 2: Let's try to you know, that goal is to have 634 00:29:49,800 --> 00:29:52,760 Speaker 2: at least one valut movement per day. Increase your fruits 635 00:29:52,800 --> 00:29:55,800 Speaker 2: and vegetables, try to eat things, try to eat less 636 00:29:55,800 --> 00:29:58,600 Speaker 2: red meat. You know, I know that everyone wants to 637 00:29:58,600 --> 00:30:01,160 Speaker 2: have fun every now and then, talking about drinking alcohol 638 00:30:01,320 --> 00:30:03,200 Speaker 2: and things like that, and you just those are the 639 00:30:03,240 --> 00:30:05,080 Speaker 2: types of things that you just want to lower or 640 00:30:05,120 --> 00:30:07,960 Speaker 2: at least you know lesson, and then just try to 641 00:30:07,960 --> 00:30:10,480 Speaker 2: get your dietary habits and check. You know, as we get. 642 00:30:10,320 --> 00:30:13,000 Speaker 1: Older, does the carnivore diet trend keep you up at night? 643 00:30:13,640 --> 00:30:16,160 Speaker 2: It does? Yeah, it does, only because you know, we 644 00:30:17,120 --> 00:30:21,320 Speaker 2: know that, we know that foods that are high and 645 00:30:21,400 --> 00:30:24,960 Speaker 2: saturated fat is a risk factor for cancer, risk factor 646 00:30:24,960 --> 00:30:28,640 Speaker 2: for many cancers, in fact, especially colon cancer. And not 647 00:30:28,680 --> 00:30:31,840 Speaker 2: only that, when you're completely eliminating all the sources of 648 00:30:31,880 --> 00:30:35,720 Speaker 2: dietary fiber, that just makes things much worse. Now, I 649 00:30:35,720 --> 00:30:37,840 Speaker 2: don't want to go and say that, look, eating meat 650 00:30:38,000 --> 00:30:39,800 Speaker 2: is bad for you and it's going to cause cancer, 651 00:30:39,840 --> 00:30:42,440 Speaker 2: because some of the studies we have show that you 652 00:30:42,480 --> 00:30:45,160 Speaker 2: can still eat red meat, but if you pile on 653 00:30:45,280 --> 00:30:47,760 Speaker 2: the veggies with it, in fact, there are times there 654 00:30:48,240 --> 00:30:50,800 Speaker 2: you could actually lessen that risk or at least equalize 655 00:30:50,800 --> 00:30:53,560 Speaker 2: that risk. So as long as you if you're eating meat, 656 00:30:53,680 --> 00:30:55,760 Speaker 2: but you're eating your veggies and get your fiber with it, 657 00:30:56,360 --> 00:30:58,520 Speaker 2: then you probably don't have to worry about much. But 658 00:30:58,600 --> 00:31:01,760 Speaker 2: if you're going to completely just saturated fat and just 659 00:31:01,840 --> 00:31:04,120 Speaker 2: completely take out all of the fruits and vegetables that 660 00:31:04,160 --> 00:31:06,720 Speaker 2: we know are beneficial for you. Then, yeah, that sounds 661 00:31:06,720 --> 00:31:07,800 Speaker 2: like a recipe. 662 00:31:07,360 --> 00:31:11,000 Speaker 1: For trouble eating a good salad asparagus, broccoli, something to 663 00:31:11,480 --> 00:31:13,280 Speaker 1: kind of go in and clean the pipe along with it. 664 00:31:13,960 --> 00:31:16,040 Speaker 2: Yeah. Absolutely, that's what I try to do. I mean, 665 00:31:16,120 --> 00:31:18,560 Speaker 2: you know, I'm not a vegan or vegetarian. You know, 666 00:31:18,600 --> 00:31:20,880 Speaker 2: I eat my fair share of meat and chicken and 667 00:31:20,880 --> 00:31:22,120 Speaker 2: things like that. But what I just try to do 668 00:31:22,240 --> 00:31:25,800 Speaker 2: is try to bounce it out with veggies. And I'm 669 00:31:25,840 --> 00:31:26,440 Speaker 2: still here. 670 00:31:26,760 --> 00:31:29,160 Speaker 1: Well, and do you do you treat those the same 671 00:31:29,240 --> 00:31:30,800 Speaker 1: or do you think of them as the same as 672 00:31:30,840 --> 00:31:36,360 Speaker 1: like so steak you know, or chicken fish? 673 00:31:36,720 --> 00:31:37,000 Speaker 2: You know? 674 00:31:37,080 --> 00:31:39,200 Speaker 1: Do you do you categorize all them all the same 675 00:31:39,320 --> 00:31:42,280 Speaker 1: as far as red meat and meat goes, or do 676 00:31:42,320 --> 00:31:44,800 Speaker 1: you treat the red meat a little different? 677 00:31:45,480 --> 00:31:47,000 Speaker 2: I treat the red meat a little bit different. I 678 00:31:47,000 --> 00:31:49,719 Speaker 2: try to follow what we call a Mediterranean diet, right, 679 00:31:49,760 --> 00:31:52,000 Speaker 2: which is what everyone talks about. And you know, there 680 00:31:52,080 --> 00:31:54,640 Speaker 2: is a lot of data behind the Mediterranean diet. We 681 00:31:54,760 --> 00:31:58,479 Speaker 2: know it's been extensively studied in for example, fatty liver disease, 682 00:31:58,960 --> 00:32:01,080 Speaker 2: which is going to be the number one cause of 683 00:32:01,160 --> 00:32:03,560 Speaker 2: liver problems in the US. If not, it's already the 684 00:32:03,640 --> 00:32:05,560 Speaker 2: number on one cause it's going to be the number 685 00:32:05,560 --> 00:32:08,960 Speaker 2: one cause of liver transplants, of liver failure when it taught. 686 00:32:09,000 --> 00:32:11,960 Speaker 2: When we talk about acid reflux, when we talk about constipation, 687 00:32:12,040 --> 00:32:14,560 Speaker 2: we talk about everything. It all kind of They studied 688 00:32:14,560 --> 00:32:16,240 Speaker 2: a whole bunch of diets with regards to this, and 689 00:32:16,280 --> 00:32:19,040 Speaker 2: the Mediterranean diet still remains king. And part of it 690 00:32:19,080 --> 00:32:21,480 Speaker 2: is because the Mediterranean diet is a lot of fruits 691 00:32:21,480 --> 00:32:23,959 Speaker 2: and vegetables, which we talked about. They do eat their 692 00:32:23,960 --> 00:32:26,640 Speaker 2: fair share of chicken and fish and then a little 693 00:32:26,640 --> 00:32:29,360 Speaker 2: bit of red meat, like not a whole ton. So 694 00:32:29,440 --> 00:32:32,680 Speaker 2: it's all about you know, eating you know, if you 695 00:32:32,720 --> 00:32:35,160 Speaker 2: want to eat like that type of thing, I would say, 696 00:32:35,160 --> 00:32:38,240 Speaker 2: try to increase your fish intake and then eat more 697 00:32:38,280 --> 00:32:40,960 Speaker 2: fruits and vegetables. Chicken is good, and then just lessen 698 00:32:41,040 --> 00:32:42,960 Speaker 2: your red meat to maybe once or twice a week, 699 00:32:43,080 --> 00:32:44,840 Speaker 2: and then you know, you should be okay with that. 700 00:32:44,920 --> 00:32:46,440 Speaker 2: And that's what the Mediterranean diet. 701 00:32:46,640 --> 00:32:49,160 Speaker 1: Everything in moderation. It's anytime I hear a diet where 702 00:32:49,560 --> 00:32:52,120 Speaker 1: I'm just doing this, I'm just eating this, or just 703 00:32:52,200 --> 00:32:55,400 Speaker 1: it's like you're just you're taking so much out of 704 00:32:55,400 --> 00:32:56,640 Speaker 1: play that your body needs. 705 00:32:56,720 --> 00:33:00,360 Speaker 2: Yeah. Absolutely, And I think that that leads to you know, 706 00:33:00,440 --> 00:33:03,360 Speaker 2: can lead to malnourishment, can lead to not getting the 707 00:33:03,400 --> 00:33:05,680 Speaker 2: vitamins and nutrients that you lead and also can lead 708 00:33:05,680 --> 00:33:08,040 Speaker 2: to some eating disorders because then people start getting afraid 709 00:33:08,040 --> 00:33:10,560 Speaker 2: of certain foods that are actually really beneficial for them. 710 00:33:10,600 --> 00:33:12,840 Speaker 2: They were just taught that it was back for them. 711 00:33:12,840 --> 00:33:14,920 Speaker 2: And I'm not talking about the foods that when people 712 00:33:15,080 --> 00:33:17,400 Speaker 2: know that they eat, they makes them feel bad, right, 713 00:33:17,640 --> 00:33:19,320 Speaker 2: I mean, there are foods that people like. For example, 714 00:33:19,320 --> 00:33:22,840 Speaker 2: if I eat something that's super tomatoe, you know, tomato soup, 715 00:33:22,880 --> 00:33:25,000 Speaker 2: I'll get acid reflux. Right. But I'm not going to 716 00:33:25,040 --> 00:33:27,200 Speaker 2: completely stay away from tomatoes, you know, I'm just going 717 00:33:27,240 --> 00:33:29,400 Speaker 2: to moderate my intake maybe lessons. They probably not eat 718 00:33:29,400 --> 00:33:32,440 Speaker 2: it as a soup or something like that. But yeah, 719 00:33:33,080 --> 00:33:35,360 Speaker 2: we're talking about people who just you know, they see 720 00:33:35,360 --> 00:33:37,400 Speaker 2: something that's been demonized, they take it out, they never 721 00:33:37,440 --> 00:33:39,200 Speaker 2: want to eat it again, but then later realize, hey, 722 00:33:39,200 --> 00:33:41,160 Speaker 2: this was actually probably beneficial for me. Yeah. 723 00:33:41,160 --> 00:33:43,200 Speaker 1: It's that feeling, It's that regret when you lay down 724 00:33:43,240 --> 00:33:45,280 Speaker 1: and you have that you're like, yeah, I did that's 725 00:33:45,320 --> 00:33:48,960 Speaker 1: myself tonight. Yeah, exactly one thing that may mitigate that. 726 00:33:49,080 --> 00:33:54,760 Speaker 1: And apparently taking a walk has gotten a pr makeover 727 00:33:55,400 --> 00:33:57,920 Speaker 1: because I see you're shaking your head. They're calling it 728 00:33:58,360 --> 00:34:02,520 Speaker 1: the fark walk. This is the post dinner fart walk, 729 00:34:02,760 --> 00:34:05,200 Speaker 1: and sorry for that. That is the term that's being used. 730 00:34:05,360 --> 00:34:08,000 Speaker 1: There was the hot girl walk, Now there's the flart walk. 731 00:34:08,280 --> 00:34:11,120 Speaker 2: You've heard this, I have, yeah, And it was so 732 00:34:11,160 --> 00:34:14,360 Speaker 2: a good friend of mine, Marilyn Smith, she is somebody 733 00:34:14,360 --> 00:34:17,560 Speaker 2: who is very famous in Canada. Actually she came up 734 00:34:17,600 --> 00:34:20,040 Speaker 2: with the term at least, or at least popularized it, 735 00:34:20,400 --> 00:34:22,680 Speaker 2: and she was she made a video about going on 736 00:34:23,000 --> 00:34:25,560 Speaker 2: a fart walk, and she was saying that it lessens 737 00:34:25,600 --> 00:34:28,799 Speaker 2: her risk of diabetes. And I had commented and I 738 00:34:28,840 --> 00:34:31,640 Speaker 2: had made kind of a response video to it, and 739 00:34:31,840 --> 00:34:33,719 Speaker 2: part of what I was talking about there is not 740 00:34:33,760 --> 00:34:36,040 Speaker 2: only is it good for you know, lowering your blood 741 00:34:36,080 --> 00:34:39,280 Speaker 2: sugar after you eat and helping with the digestion process, 742 00:34:39,320 --> 00:34:41,600 Speaker 2: but it's also good for everything else in the gut. 743 00:34:41,680 --> 00:34:45,239 Speaker 2: Because when we know that when you do physical exercise, 744 00:34:45,760 --> 00:34:48,640 Speaker 2: food moves through the gut, you tend to have less 745 00:34:48,680 --> 00:34:51,719 Speaker 2: acid reflux. Because of that, you tend to have better 746 00:34:51,760 --> 00:34:56,200 Speaker 2: absorption less bloating whenever you're exercising and moving around all 747 00:34:56,239 --> 00:34:58,160 Speaker 2: of the gas and all the stuff that's moving throughout 748 00:34:58,160 --> 00:35:00,960 Speaker 2: your intestine and out the other end. So that's why 749 00:35:00,960 --> 00:35:03,480 Speaker 2: they call it the part walk, because you know, you to, 750 00:35:03,520 --> 00:35:05,719 Speaker 2: you tend to part whether it's silent or not, you know, 751 00:35:06,080 --> 00:35:09,240 Speaker 2: and but that is healthy. That helps you digest, helps 752 00:35:09,440 --> 00:35:11,640 Speaker 2: you know, relieve a lot of the pressure within the abdomen. 753 00:35:12,080 --> 00:35:15,040 Speaker 2: Makes you feel good, and it's one of those things 754 00:35:15,080 --> 00:35:17,960 Speaker 2: that I think a lot of people could really benefit from, 755 00:35:18,040 --> 00:35:20,160 Speaker 2: especially if you suffer from those things already, like if 756 00:35:20,200 --> 00:35:22,880 Speaker 2: you suffer from constipation, or you suffer from acid or reflicks, 757 00:35:22,920 --> 00:35:25,160 Speaker 2: and you suffer from bloating. Try going for a walk, 758 00:35:25,239 --> 00:35:26,879 Speaker 2: you know, just thirty minutes after you eat, and you'll 759 00:35:26,920 --> 00:35:29,040 Speaker 2: notice right away that you'll feel much better. 760 00:35:29,280 --> 00:35:31,600 Speaker 1: It is funny when whatever I, you know, was traveling 761 00:35:31,640 --> 00:35:34,920 Speaker 1: in Europe or even in New York, when you you know, 762 00:35:34,960 --> 00:35:36,600 Speaker 1: you don't take a cab home, if you walk the 763 00:35:36,640 --> 00:35:38,960 Speaker 1: ten or fifteen blocks or in Europe, you're just walking 764 00:35:39,000 --> 00:35:40,759 Speaker 1: a lot, and you get that half mile walk in 765 00:35:40,800 --> 00:35:43,120 Speaker 1: after dinner, even if you had a few cocktails, you 766 00:35:43,160 --> 00:35:47,759 Speaker 1: feel so much better. And that's also I think to 767 00:35:47,840 --> 00:35:50,920 Speaker 1: make it applicable for the everyday person, and if you 768 00:35:50,920 --> 00:35:52,960 Speaker 1: don't necessarily want to go for a walk or whatever, 769 00:35:53,880 --> 00:35:56,960 Speaker 1: eating at a certain time, eating a little earlier and 770 00:35:57,040 --> 00:35:59,280 Speaker 1: not eating at nine thirty at night and going straight 771 00:35:59,280 --> 00:36:02,760 Speaker 1: to bed and laying down, that's that's the most basic 772 00:36:02,840 --> 00:36:03,479 Speaker 1: version of that. 773 00:36:03,480 --> 00:36:07,560 Speaker 2: Right absolutely. So we know that the closer you eat, 774 00:36:07,760 --> 00:36:09,840 Speaker 2: you know, towards you go to sleep, you're at Morris 775 00:36:09,840 --> 00:36:11,520 Speaker 2: for acid reflux. I try to tell people try to 776 00:36:11,520 --> 00:36:13,920 Speaker 2: eat about three or four hours before bedtime because it 777 00:36:13,920 --> 00:36:16,480 Speaker 2: takes about four hours for your stomach to empty, you 778 00:36:16,520 --> 00:36:19,359 Speaker 2: know completely, So if you're going in and you're laying down, 779 00:36:19,400 --> 00:36:21,719 Speaker 2: it's physics, right. You know, the food's going to come 780 00:36:21,760 --> 00:36:23,840 Speaker 2: pile right back up into your esophagus. It's going to 781 00:36:23,840 --> 00:36:25,359 Speaker 2: give you that heartburn, it's going to make it tough 782 00:36:25,360 --> 00:36:29,239 Speaker 2: to sleep. And they've also had studies where the more 783 00:36:29,280 --> 00:36:31,319 Speaker 2: you separate your food from your bedtime, the better you 784 00:36:31,360 --> 00:36:33,960 Speaker 2: will sleep. You know, your body's not focused on the 785 00:36:34,000 --> 00:36:37,839 Speaker 2: digestion component. You'll you'll sleep for longer periods, you'll feel 786 00:36:37,840 --> 00:36:40,160 Speaker 2: a better quality of sleep. And then when you win 787 00:36:40,280 --> 00:36:43,359 Speaker 2: and when you eat earlier too, you have a chance 788 00:36:43,400 --> 00:36:44,799 Speaker 2: to kind of use it right, you have a chance 789 00:36:44,800 --> 00:36:46,400 Speaker 2: to burn it off. So like, for example, if you 790 00:36:46,400 --> 00:36:48,040 Speaker 2: do want to have an early dinner and you want 791 00:36:48,040 --> 00:36:50,040 Speaker 2: to go for that thirty minute post dinner walk, it's 792 00:36:50,080 --> 00:36:52,080 Speaker 2: a nice way to kind of, you know, burn off 793 00:36:52,080 --> 00:36:54,120 Speaker 2: a little bit of the calories you just ate, as 794 00:36:54,120 --> 00:36:55,880 Speaker 2: opposed to you know, eating and then just going and 795 00:36:55,960 --> 00:36:59,120 Speaker 2: hibernating where you're just kind of sitting still doing nothing. 796 00:36:59,239 --> 00:37:03,160 Speaker 2: You wake up feel bloated, you feel constipated, and you know, 797 00:37:03,200 --> 00:37:05,880 Speaker 2: so that's what that's another great benefit I think of 798 00:37:05,920 --> 00:37:06,720 Speaker 2: eating earlier. 799 00:37:06,719 --> 00:37:11,360 Speaker 1: As you said, our takeaways today are vegetables good. Fart 800 00:37:11,400 --> 00:37:15,560 Speaker 1: walks also good. If you learned anything today. 801 00:37:15,400 --> 00:37:16,960 Speaker 2: If you learn if there's two things that you need 802 00:37:17,040 --> 00:37:19,839 Speaker 2: to try to make a change today, it's those two things. Yes. 803 00:37:19,920 --> 00:37:23,080 Speaker 1: I like how they rebranded taking a walk. It reminded 804 00:37:23,120 --> 00:37:25,440 Speaker 1: me like during the pandemic. I you know, one of 805 00:37:25,440 --> 00:37:28,359 Speaker 1: these millennials or somebody gen z 's or wherever they are, 806 00:37:28,400 --> 00:37:30,920 Speaker 1: the young ones. They were like, okay, so I have 807 00:37:31,000 --> 00:37:33,640 Speaker 1: this new drink. You got to follow me here. You 808 00:37:33,680 --> 00:37:36,080 Speaker 1: take vodka, you put soda in it and then you 809 00:37:36,120 --> 00:37:39,560 Speaker 1: squeeze lime. I said, did you just invent a vodka? Soda. 810 00:37:39,800 --> 00:37:43,920 Speaker 1: That's what's happened here. Like we just invented going walking, well. 811 00:37:44,040 --> 00:37:46,840 Speaker 2: Exactly, just called it something trendy and cool. You know. 812 00:37:47,440 --> 00:37:49,520 Speaker 1: It's like, well I saw this thing on TikTok. Apparently 813 00:37:49,520 --> 00:37:53,640 Speaker 1: you put on shoes and you walk. It's amazing. But hey, 814 00:37:53,719 --> 00:37:55,839 Speaker 1: as long as it's cool and it's good for you, 815 00:37:55,920 --> 00:37:56,600 Speaker 1: that's fine. 816 00:37:57,080 --> 00:38:01,080 Speaker 2: Absolutely. And it's one of those things that sometimes you 817 00:38:01,120 --> 00:38:03,239 Speaker 2: may not realize, right, I mean, you don't realize that 818 00:38:03,320 --> 00:38:06,360 Speaker 2: how something simple like going for just a simple leisurely 819 00:38:06,400 --> 00:38:09,240 Speaker 2: walk can really benefit you in so many different ways. 820 00:38:09,520 --> 00:38:10,800 Speaker 2: And that's one of the things that I try to 821 00:38:10,800 --> 00:38:12,440 Speaker 2: get across, you know, my social media. I try to 822 00:38:12,440 --> 00:38:15,319 Speaker 2: find little things, simple things that we can do that 823 00:38:15,400 --> 00:38:17,920 Speaker 2: are free, they won't cost you anything, but things that 824 00:38:17,960 --> 00:38:20,080 Speaker 2: you may not realize that over the long run, it 825 00:38:20,200 --> 00:38:21,479 Speaker 2: can make you feel a whole lot better. 826 00:38:22,400 --> 00:38:24,879 Speaker 1: And where as we wrap this conversation up, where can 827 00:38:24,920 --> 00:38:27,200 Speaker 1: we find you? Because your social media has been great, 828 00:38:27,239 --> 00:38:29,839 Speaker 1: your tips are great, your expertise is obviously there, and 829 00:38:30,200 --> 00:38:32,200 Speaker 1: you will continue on this journey for us. So where 830 00:38:32,200 --> 00:38:32,880 Speaker 1: can we find you? 831 00:38:33,719 --> 00:38:36,280 Speaker 2: So on Instagram you can find me as the Stomach 832 00:38:36,360 --> 00:38:40,520 Speaker 2: Doc and same thing on TikTok and on Facebook. I 833 00:38:40,560 --> 00:38:42,480 Speaker 2: have a whole ton of videos on there. I talk 834 00:38:42,600 --> 00:38:46,480 Speaker 2: a lot about acid reflux, you know, constipation, diarrhea, things 835 00:38:46,560 --> 00:38:49,400 Speaker 2: that simple things that you can do to improve your 836 00:38:49,400 --> 00:38:51,239 Speaker 2: gut bacteria, things that you can do to improve your 837 00:38:51,280 --> 00:38:53,719 Speaker 2: gut health. I don't even talk a whole lot about 838 00:38:53,800 --> 00:38:56,560 Speaker 2: about medicines. I talk about the lifestyle changes you can make. 839 00:38:56,600 --> 00:38:59,080 Speaker 2: I try to talk about things that are practical, things 840 00:38:59,080 --> 00:39:01,759 Speaker 2: you can implement today, things that won't cost you much, 841 00:39:02,080 --> 00:39:04,319 Speaker 2: but things that can really go a long way if 842 00:39:04,360 --> 00:39:05,640 Speaker 2: you implement them regularly. 843 00:39:06,160 --> 00:39:08,160 Speaker 1: So go check out and follow the stomach doc. And 844 00:39:08,400 --> 00:39:08,759 Speaker 1: you're right. 845 00:39:08,800 --> 00:39:09,000 Speaker 2: I mean. 846 00:39:09,080 --> 00:39:11,120 Speaker 1: The great thing about this if you start this path 847 00:39:12,160 --> 00:39:13,759 Speaker 1: and you don't have to be psychotic about it, but 848 00:39:13,800 --> 00:39:16,239 Speaker 1: when you start this path, you may find, you know what, 849 00:39:16,320 --> 00:39:20,960 Speaker 1: I don't need to take these medications for heartburn or 850 00:39:21,000 --> 00:39:23,920 Speaker 1: for you know, stop taking the privo sect, stop taking Tom's, 851 00:39:24,000 --> 00:39:25,920 Speaker 1: like all these things you can kind of eliminate because 852 00:39:26,160 --> 00:39:28,080 Speaker 1: you realize I just needed better gut health. 853 00:39:28,719 --> 00:39:32,439 Speaker 2: Absolutely. And it's one of those things that we don't 854 00:39:32,440 --> 00:39:36,000 Speaker 2: realize how much of the symptoms we mask with the medications, right, 855 00:39:36,040 --> 00:39:37,960 Speaker 2: and then when we don't make the lifestyle change. We 856 00:39:38,000 --> 00:39:40,239 Speaker 2: continue to use the medication you know forever, but these 857 00:39:40,280 --> 00:39:42,680 Speaker 2: medic I try to tell my patients these medications were 858 00:39:42,680 --> 00:39:44,480 Speaker 2: not meant to be used forever. They're meant to be 859 00:39:44,640 --> 00:39:47,640 Speaker 2: kind of a bridge towards getting you to feeling better quicker, 860 00:39:47,960 --> 00:39:50,600 Speaker 2: but then allowing you to make the lifestyle changes that 861 00:39:50,680 --> 00:39:53,320 Speaker 2: you need to solve it permanently. Great. 862 00:39:53,400 --> 00:39:55,960 Speaker 1: That is an awesome positive note to end on. 863 00:39:56,800 --> 00:39:57,080 Speaker 2: Doctor. 864 00:39:57,120 --> 00:40:00,560 Speaker 1: Thank you so much, man, I really really appreciate your time. 865 00:40:01,560 --> 00:40:06,680 Speaker 1: You guys follow a doctor Sahab and continue this great work. 866 00:40:06,719 --> 00:40:09,319 Speaker 1: And as we come up with new trends like the 867 00:40:09,320 --> 00:40:11,239 Speaker 1: fart walk, I'll check back in with you and you 868 00:40:11,239 --> 00:40:13,880 Speaker 1: can keep us up to date on what's good, what's fact, 869 00:40:13,880 --> 00:40:14,400 Speaker 1: what's fiction. 870 00:40:15,440 --> 00:40:17,279 Speaker 2: Thank you so much, Chris, I really appreciate it. 871 00:40:17,520 --> 00:40:20,680 Speaker 1: Doctor Salhab, take care. Thank you so much, you too, byebye, 872 00:40:21,000 --> 00:40:23,560 Speaker 1: Thanks for listening. Follow us on Instagram at the most 873 00:40:23,640 --> 00:40:26,160 Speaker 1: dramatic pod ever and make sure to write us a 874 00:40:26,160 --> 00:40:28,839 Speaker 1: review and leave us five stars. I'll talk to you 875 00:40:28,880 --> 00:40:29,360 Speaker 1: next time.