Speaker 1: This is the most dramatic podcast ever and iHeartRadio podcast
Speaker 1: Chris Harrison Company from the home office in Austin, Texas
Speaker 1: with a great guest and a great episode today. I
Speaker 1: love talking about our health, things we can be doing,
Speaker 1: things we should be doing. And with social media it
Speaker 1: is so hard because we're inundated with so much, especially
Speaker 1: about our diet, what is best for us, what should
Speaker 1: we be eating? And then you see something, Oh my god,
Speaker 1: I need to cut out eggs. I need to cut
Speaker 1: out this cheez I need to cut out So what's real?
Speaker 1: So joining us today is the foremost expert I could
Speaker 1: find on gut health. Doctor Joseph A. Selhabb, a gastro
Speaker 1: entrologist liz in Florida affiliated with multiple hospitals as an
Speaker 1: expert on treating colonoscopy, upper GI indoscopy among other conditions,
Speaker 1: and started following him on social media. And what I
Speaker 1: found is doctor Sahabb noticed that there was this push
Speaker 1: which is good for us to better understand and improve
Speaker 1: our gut health. Because what we have found, I guess
Speaker 1: to put it in as a good analogy, the gut
Speaker 1: is think of an old telephone operator who's connecting all
Speaker 1: of the lines. Our gut is the central kind of
Speaker 1: communication system for the rest of our body, and when
Speaker 1: those lines get disconnected or get cross it's a mess
Speaker 1: and it can lead to a whole host of problems
Speaker 1: and even serious issues and cancers, and so gut health
Speaker 1: has become so important. But there's so much misinformation out there.
Speaker 1: I wanted to talk to doctor Sahab and tell us
Speaker 1: what is real, what is not? What do we really
Speaker 1: need to pay attention to. So that is our guest
Speaker 1: today as we dive in to gut health. Joining me
Speaker 1: now is doctor Saalhabb. Doctor. First of all, are you
Speaker 1: coming to me from Florida?
Speaker 2: I am, yes, Orlando, Florida.
Speaker 1: At the time of this recording, the hurricane Debbie has
Speaker 1: just blown through. How you doing everything? Okay?
Speaker 2: Yeah, everything is good. You know where I'm at right now.
Speaker 2: There's a lot of heavy rainfall, but really it's not
Speaker 2: super bad. I was able to make it to work
Speaker 2: on time today. That's always a good thing. Traffic wasn't
Speaker 2: too bad. You know, with Florida, we get so many
Speaker 2: tropical storms and hurricanes that at this moment, at this time,
Speaker 2: we're kind of used to it, you know. So typical Tuesday,
Speaker 2: typical Tuesday. Ulest things get really bad, We're all scheduled
Speaker 2: to go to work and we try to meet those plans.
Speaker 1: It's kind of like snow across the Midwest. It's like
Speaker 1: when it hits the South, We're like, oh my god,
Speaker 1: it's debilitating across the Midwest, Like this isn't snow.
Speaker 2: Are talking about? Like this is nothing.
Speaker 1: Aside from your minor and meteorology. The reason I wanted
Speaker 1: to have you on today I am such a proponent
Speaker 1: and I am so interested in gut health. And when
Speaker 1: I saw you, and obviously being an expert, and I
Speaker 1: went through you know all that you have achieved in
Speaker 1: your career, congraduate relations because you look so damn young
Speaker 1: for being in this for two decades, but you are
Speaker 1: equally obsessed with gut health. And I'm sure both of
Speaker 1: us saw this trend on all social media where people
Speaker 1: who you don't really know, you don't know what their
Speaker 1: medical background is, started talking about gut health. And while
Speaker 1: I think it is a good thing to start the conversation,
Speaker 1: it can be a dangerous thing and that I don't
Speaker 1: know if these people know what they're talking about. So
Speaker 1: I've come to the expert today to talk all about
Speaker 1: gut health. What we need to know fact from fiction,
Speaker 1: What are the rumors, what are the things we need
Speaker 1: to pay attention to. So I appreciate you coming on
Speaker 1: today and not just talk about the weather, but talk
Speaker 1: about our gut health.
Speaker 2: Thank you so much for having me, And yeah, I
Speaker 2: agree with you one hundred percent. In fact, that was
Speaker 2: actually one of the first It's actually the main reason
Speaker 2: that I actually created my social media profile is because
Speaker 2: you know, we all use it. We all see the
Speaker 2: videos of the show up on our feed, and I was,
Speaker 2: you know, seeing a lot of videos that were just
Speaker 2: either you know, mischaracterizing gut health or saying some of
Speaker 2: the wrong things, and I felt like I had to
Speaker 2: kind of correct the record. And what better way than
Speaker 2: having a gast neurologist to someone who sees the stuff
Speaker 2: that treats it every day, to you know, make a
Speaker 2: video or response video and try to kind of you know,
Speaker 2: make complicated matters simple for people. You know, there's there's
Speaker 2: no gut health can be can get complicated from a
Speaker 2: medicinal standpoint, but there's also things that we can do
Speaker 2: every single day that are just simple to improve our
Speaker 2: gut health, and that's what I try to focus or
Speaker 2: emphasize on on my videos.
Speaker 1: And I want to talk about all of those things.
Speaker 1: And I hate to start with the negative, But what
Speaker 1: were the things that you were seeing on social media
Speaker 1: that made you go, man, I gotta I gotta get
Speaker 1: in because people need real information. What are some of
Speaker 1: the misconceptions and perceptions we have of gut health.
Speaker 2: So I would say one of the first things is
Speaker 2: that vegetables and fruits are out to kill you and
Speaker 2: they're bad for you, you know, And that's something that
Speaker 2: we kind of see all the time. And you know,
Speaker 2: there's a lot of you know, science behind you know,
Speaker 2: what they try to say. You know, they try to
Speaker 2: talk about this article or that article, or try to
Speaker 2: go over certain mechanisms. But we have human studies that
Speaker 2: show that fruits and vegetables are not only filled with fiber,
Speaker 2: which is essential for great gut health, but they lower
Speaker 2: your risk of chronic diseases such as you know, diabetes,
Speaker 2: heart disease, They lower your risk of colon cancer, stomach cancer.
Speaker 2: And when I was seeing those type of things, I
Speaker 2: wanted to just make sure that people didn't get the
Speaker 2: wrong information regarding that because those type we have enough
Speaker 2: of a problem in America where people don't get enough fiber,
Speaker 2: you know, they don't eat their vegetables and fruits, and
Speaker 2: that was one of the things that scared me. I
Speaker 2: did not want people to be under the impression that
Speaker 2: those things were bad for you, and that was one
Speaker 2: of the things I wanted to correct because I know that,
Speaker 2: you know, with colon cancer on the rise, especially in
Speaker 2: younger people, a lot of it can be related to
Speaker 2: our our diet, and I wanted to make sure that
Speaker 2: people knew the facts. People knew the food that you
Speaker 2: should eat that could lower your risk of things like
Speaker 2: colon cancer and stomach cancer, to make sure that, you know,
Speaker 2: we're not afraid of them. And it's hard enough being
Speaker 2: able to eat right, you know, nowadays with everybody throwing
Speaker 2: all these things at you. So you know, that's what
Speaker 2: I tried to do at least, and that was one
Speaker 2: of the first things that I wanted to try to correct.
Speaker 1: So number one, everybody, fruits and vegetables are still good
Speaker 1: because you know, fruit. Talk about something that's gotten a
Speaker 1: real bad rap lately is fruit. Obviously there is sugar
Speaker 1: in it, but it's not processed sugar. It's not the
Speaker 1: sugar like that's in a Snicker's bar or what have you,
Speaker 1: that we need to stay away from. Natural sugars are Look,
Speaker 1: can they be overdone like everything? Yes, but this is okay, absolutely.
Speaker 2: And the thing about fruits is that, you know, nature
Speaker 2: is really clever. I mean, when you have fruit, it
Speaker 2: comes packaged with fiber, prepackaged, you know, so to speak.
Speaker 2: And that fiber helps regulate, you know, the absorption of glucose,
Speaker 2: and it helps with the digestion process, helps you know,
Speaker 2: use the restroom, helps eliminate waste and toxins and things
Speaker 2: like that. And not only did they come pack packed
Speaker 2: with phyto nutrients and all of those things together. When
Speaker 2: you put it all in one, they're super healthy for you.
Speaker 2: So you're not just taking the sugar you know, from
Speaker 2: the fruit and just ingesting that with nothing else, which
Speaker 2: is kind of what you get with juices sometimes, you know,
Speaker 2: they say, you know, don't if you're gonna, you know,
Speaker 2: do it, you know, blend it, don't juice it, because
Speaker 2: if you're juicing it, you're taking out some of the
Speaker 2: important parts that the fruit was made to come with.
Speaker 2: And so this is what I tell people too. I said, look,
Speaker 2: if you want to make a smoothie, don't hesitate to
Speaker 2: blend it, you know, don't don't juice it, keep the fiber,
Speaker 2: keep the good stuff with it, because that's going to
Speaker 2: be good for you as well.
Speaker 1: Eat the apple, not the apple juice, right exactly, there
Speaker 1: you go. So, but you just mentioned something, and again
Speaker 1: this was on social media and it was getting a
Speaker 1: big play for a while of if you blend your fruits.
Speaker 1: You know, allah are smoothies which a lot of us
Speaker 1: make every day that will diminish the good that comes
Speaker 1: in biting into an apple or eating a whole banana.
Speaker 2: What have you?
Speaker 1: Is is that fact or fiction?
Speaker 2: Yeah? It doesn't. It Actually, blending it does not do
Speaker 2: anything to its absorption. It does not affect its nutrient quality.
Speaker 2: In fact, it's almost like you're predigesting it, right, I mean,
Speaker 2: you're you're going to chew it. It's going to by
Speaker 2: the time it makes it to your stomach, it's going
Speaker 2: to be mushy, it's going to get absorbed. So really,
Speaker 2: what that does is for a lot of people, actually
Speaker 2: gives them a practical way to meet the fruit and
Speaker 2: vegetable intake. When you can blend it, put it in
Speaker 2: a smoothie, be on the go, go to work, go
Speaker 2: to school. It makes it a nice easy way to
Speaker 2: get the amount of fruits and vegetables that you need
Speaker 2: on a daily basis. And it really does not affect
Speaker 2: the nutrient quality. In fact, a lot of things that
Speaker 2: I tell a lot of ways I tell my patients
Speaker 2: to get the fruit and vegetable take is, even get
Speaker 2: frozen stuff. If you get the frozen fruits, for example,
Speaker 2: they really have I mean, the nutrient quality that they've
Speaker 2: compared between frozen fruits and the fresh ones are they're
Speaker 2: almost practically the same but one. But frozen fruits last
Speaker 2: way longer, and they're so easy to put in a smoothie,
Speaker 2: and they're just so practical to use that. I also
Speaker 2: tell them that you could use that too. Yeah.
Speaker 1: Another thing I saw on this is like last week
Speaker 1: was this battle about carrots going back and forth and
Speaker 1: like chopped carrots in this and it's they're they're full
Speaker 1: of you know, they cover them because everything's about the
Speaker 1: pesticides and what's on them right right, Like for example,
Speaker 1: they say strawberries are one of the dirtiest, most contaminated
Speaker 1: fruits because of the pockets and things that the pesticides
Speaker 1: can settle into. But carrots was really on the forefront
Speaker 1: of getting a bad rap last week, and then I
Speaker 1: saw some doctor get on and say, well, if you
Speaker 1: wash them, all that stuff is going to come right
Speaker 1: off and it's you know, it's chlorine, and you know,
Speaker 1: they kind of explain that you don't need to stop
Speaker 1: eating carrots.
Speaker 2: Right, yeah, absolutely, I think you know, I try to
Speaker 2: be careful when I talk to people about this stuff
Speaker 2: because you don't want to give them a reason not
Speaker 2: to eat the healthy foods, right yeah. And yeah, I
Speaker 2: mean we once you get the produce. And I'm a
Speaker 2: big fan of this, and I even talked about this
Speaker 2: on one of my episodes about washing your fruits and things,
Speaker 2: whether it's avocado, kiwi, whatever it is, when you get home,
Speaker 2: you wash it. Some people wash it in with just
Speaker 2: soaked water. Some people just use water. Some people use
Speaker 2: baking soda and things like that. Either way, if you
Speaker 2: bring it home and you wash it and you stick
Speaker 2: it into a container, that will keep the shelf life
Speaker 2: a little bit longer. Most of those fruits, you'll you'll
Speaker 2: remove most, if not all, of the bad stuff.
Speaker 1: For you, what do you suggest in the in the
Speaker 1: in the cleaning process, because again you just mentioned three
Speaker 1: different styles and it's like, how crazy do we need
Speaker 1: to be? What do you suggest?
Speaker 2: You know, I've seen a lot of people use things
Speaker 2: from baking soda to vinegar to all that stuff. What
Speaker 2: I usually do is I usually just wash it with water.
Speaker 2: I occasionally use baking soda, but that's pretty much all
Speaker 2: you need. Anything else that you're going to do really
Speaker 2: isn't going to make that much of a difference. It's
Speaker 2: usually the surface of the fruits and vegetables that you
Speaker 2: really need to clean thoroughly. I mean, think about it
Speaker 2: this way. If you're getting an apple, right, I mean,
Speaker 2: how many people have touched that apple before it made
Speaker 2: it into your bag? Right? So it's it's it's dirty.
Speaker 2: It needs to be clean. So you just go back.
Speaker 2: You clean it thoroughly, You scrub it, you can use
Speaker 2: some baking soda, you can let it kind of sit
Speaker 2: in the water for a little bit. As long as
Speaker 2: the outside cover is clean than the you're good to go.
Speaker 1: The strawberries in general again got another bad rap because
Speaker 1: AaB they're they're porous and all that. But I don't
Speaker 1: know if you follow Tom Brady and that kind of
Speaker 1: shade diet, and I mean the shade of the fruit.
Speaker 1: He is very he's never had a strawberry, won't eat
Speaker 1: them because he says it, I believe for inflammation purposes
Speaker 1: are there? Do you believe or subscribe to that shade
Speaker 1: theory on certain vegetables, fruits, et cetera.
Speaker 2: I don't know. It's only because I don't feel like
Speaker 2: there is a whole ton of robust proof that those
Speaker 2: type of things really are make a difference or a
Speaker 2: detrimental to your health, at least in our human control trials.
Speaker 2: I mean, we know that for example, strawberries, you know
Speaker 2: they're packed with vitamin C. And those fruits, for example,
Speaker 2: with different shades of colors like red and blue. In
Speaker 2: each one of those colors represents a phyto nutrient that
Speaker 2: those fruits contain, and we know that they're healthy for you.
Speaker 2: So I tell my patients, the more colorful actually your
Speaker 2: diet can be, the more varied it can be, the
Speaker 2: better overall from you, because each one gives you something
Speaker 2: a little bit different. And with strawberries, for example, I mean,
Speaker 2: they contain vitamin C, which we know help the good
Speaker 2: gut bacteria grow in your gut. We know that the
Speaker 2: fiber within berries are beneficial. They lower your risk of
Speaker 2: colon cancer. They contain a bunch of phyto nutrients that
Speaker 2: can help with inflammation and not cause inflammation. So I
Speaker 2: don't subscribe to that theory. I don't know where it started,
Speaker 2: to be honest with you, but if you look at
Speaker 2: the literature and you look at the evidence that's out there,
Speaker 2: you pretty much won't, in my opinion, it won't be
Speaker 2: convinced that you need to avoid those type of things.
Speaker 1: Gut health has really come to the forefront, and which
Speaker 1: is great. Many doctors are now saying, this is the
Speaker 1: engine that runs your entire body. Everything comes from what
Speaker 1: is in your gut. What are the things that we
Speaker 1: should know, What are the most important if you know
Speaker 1: a quick list of these are the things we should
Speaker 1: know about gut health and how to keep it healthy,
Speaker 1: even if we're just starting this process.
Speaker 2: Absolutely so, the way I think of your gut is
Speaker 2: like a garden, right, So it's like an ecosystem. So
Speaker 2: for example, the plants in the garden are like the
Speaker 2: probiotics that live in your gut. There's trillions of probiotics
Speaker 2: that live in your gut, and they are beneficial for
Speaker 2: you because they not only help digest food, but they
Speaker 2: produce beneficial compounds. So, just like any garden, you have
Speaker 2: to let the plants grow and thrive, right, So the
Speaker 2: way to do that is with So let's take the
Speaker 2: example of sunshine and rain to make the plants grow.
Speaker 2: The sunshine and rain for the gut is actually prebiotics.
Speaker 2: So what prebiotics are are These are carbohydrates that feed
Speaker 2: the good and gut bacteria and allow them to grow
Speaker 2: and thrive. And often you get these prebiotics from vegetable sources, right,
Speaker 2: things like sweet potatoes, whole grains, spare I guess, broccoli,
Speaker 2: things like that. These are the type of thing that
Speaker 2: feed the good gut bacteria, allow them to grow and thrive,
Speaker 2: and then as a result, the probiotics make what we
Speaker 2: call post biotics. So think about the way the plants
Speaker 2: make oxygen right when they grow and they thrive to
Speaker 2: allow the environment for us to live. Pretty much same way,
Speaker 2: the probiotics make something called post biotics. These post biotics
Speaker 2: are compounds that are what actually benefits us. So, for
Speaker 2: an example, one of them would be something called butyrate,
Speaker 2: and we know that when the probiotics in your gut
Speaker 2: make more butyrate, we tend we tend to have it better,
Speaker 2: healthier gut and even lowers your risk of things like
Speaker 2: colon cancer.
Speaker 1: And where does butyrate come from? Where do we derive
Speaker 1: that from?
Speaker 2: So we derive that from the gut bacteria. So when
Speaker 2: you have good, healthy gut bacteria, they use the prebiotics
Speaker 2: and they make things like butyrate.
Speaker 1: So it's the pree So it's the eat of the
Speaker 1: vegetables and all that will create that. There's nothing more
Speaker 1: that will help that.
Speaker 2: Yeah, there's nothing more that well, our gut, our gut bacteria.
Speaker 2: A lot of it starts with our diet. Yeah, a
Speaker 2: lot of it starts with the healthy stuff that we
Speaker 2: need to try to eat. And what I try to
Speaker 2: emphasize is one of the first things you want to
Speaker 2: do is make sure that your diet is rich in prebiotics.
Speaker 2: And with prebiotics a lot of times comes fiber. Right, So,
Speaker 2: as we talked about before, you know, things that contain fiber,
Speaker 2: whether it's insoluble fiber or soluble fiber, those things allow
Speaker 2: the gut bacteria to thrive, and the gut bacteria are
Speaker 2: always kind of talking to your body. They are interacting
Speaker 2: with your body. There's a thin membrane between the gut
Speaker 2: bacteria and your immune system. They are constantly talking to
Speaker 2: your immune system, they're talking to your brain, they're talking
Speaker 2: to everything else in your body. And in fact, we
Speaker 2: know that, for example, people that suffer from chronic diseases,
Speaker 2: they can have a depletion of certain good gut bacteria.
Speaker 2: There's almost like a signature for that. So we know
Speaker 2: that if we can get those gut back to those
Speaker 2: good ones to really grow and thrive, they produce these
Speaker 2: beneficial compounds such as the butrate, and that's what actually
Speaker 2: gives us our healthy gut.
Speaker 1: Is there a difference, in part of my ignorance, between
Speaker 1: prebiotic and probiotics.
Speaker 2: Yes, so a probiotic is the actual living organism, So
Speaker 2: it's the actual bacteria that lives and thrives in your gut.
Speaker 2: What a prebiotic is, it's food. Prebiotic is food for
Speaker 2: those gut bacteria. Got it. And though that prebiotic feeds
Speaker 2: the gut bacteria allows them to grow, thrive, and populate.
Speaker 1: Let's go over some a few things that again, we're
Speaker 1: trends that are kind of sexy, were and some that
Speaker 1: still are for apple cider or vinegar every morning, apple
Speaker 1: cider vinegar.
Speaker 2: I don't see anything wrong with it. I am a
Speaker 2: fan of apple cider vinegar myself. I guess it's important
Speaker 2: to figure out what they're taking it for, right. So
Speaker 2: if people say that, for example, apple cider vinegar is
Speaker 2: going to cause you to burn fat and lose weight
Speaker 2: and do all those things, I think that's probably a
Speaker 2: little bit overblown. Is apple cider vinegar probably healthy in general?
Speaker 2: Does it contain compounds that are probably beneficial for your gut? Absolutely.
Speaker 2: There are people who feel like they have and this
Speaker 2: is one of the things that I tried to correct
Speaker 2: on the record, where they have acid reflux and they
Speaker 2: take things like apple side or vinegar. But there's no
Speaker 2: real proof that apple side or vinegar can help with
Speaker 2: acid reflux in and of itself, because acid reflux is
Speaker 2: basically is just where acid is just pretty much going
Speaker 2: up the esophagus causing a burning sensation, and sometimes for
Speaker 2: people vinegar can actually cause that. Yeah, But what I
Speaker 2: try to tell people is that look, that burning sensation
Speaker 2: that you have in your test may not be as reflux.
Speaker 2: There's a lot of reasons why you may have that,
Speaker 2: including something called bile reflux, and bial reflux is more
Speaker 2: alkaline than acid, and maybe when you mix a little
Speaker 2: bit of apple side or vinegar it helps kind of
Speaker 2: balance that out, and that's why some people feel good.
Speaker 2: So I think it's really important to figure out what
Speaker 2: you taking the apple sid or vinegar for. If you
Speaker 2: feel good on it and it causes no problems and
Speaker 2: it helps you use the restroom and it helps you
Speaker 2: get on with your day, I think it's absolutely fine.
Speaker 2: I don't think there's any harmful effects to it.
Speaker 1: A kombucha became such a cool trendy thing, especially in Hollywood.
Speaker 1: It started, you know, I noticed that things become cool
Speaker 1: when they're on the set, you know, at craft services,
Speaker 1: and all of a sudden, every cooler was filled with kombucha.
Speaker 2: Yeah thoughts, Yeah, I think you know, if you're I
Speaker 2: think is a good healthy drink. I think there are
Speaker 2: certain ones that are very well populated with good gut bacteria.
Speaker 2: So the problem is with taking probiotics. You know, whether
Speaker 2: it's in a pill form or whether it's in a drink.
Speaker 2: For example, is you don't know how much of those
Speaker 2: probiotics actually make it into your gi track, because by
Speaker 2: the time it actually gets into your stomach, the acid
Speaker 2: mixes in with it. How much are killed off, how
Speaker 2: much are there whatever's left. Does it really populate any
Speaker 2: any other part of your gas dur intestinal track for
Speaker 2: any benefit. That is what we don't know right now.
Speaker 2: I don't think we're there yet. So when people ask
Speaker 2: me about probiotics and specific I say, look, I think
Speaker 2: the best probiotics actually a pre biotic because you're feeding
Speaker 2: the good gut bacteria. But as far as putting bacteria
Speaker 2: in your gut, it's hard to say whether that works.
Speaker 2: But I think as a as a and a healthy
Speaker 2: alternative to other drinks, I see there's I see nothing
Speaker 2: wrong with kimbucha. I think it can definitely be beneficial.
Speaker 1: Greek yogurt has become very popular now.
Speaker 2: Yes, good, I love Greek yogurt. Yeah, I know, Greek
Speaker 2: yogurt is great. Yeah, absolutely, I love Greek yogurt. Yogurt
Speaker 2: is such an underrated food for a few reasons. The
Speaker 2: first thing is that we have some studies that show
Speaker 2: that people who eat more yogurt tend to have a
Speaker 2: lower risk of colon cancer.
Speaker 1: Oh, interesting, men and women, Men and women.
Speaker 2: Yeah, And why we think that happens is because a
Speaker 2: good Greek yogurt usually is populated with probiotics, and again,
Speaker 2: everything goes back to the gut bacteria. So if you can,
Speaker 2: if you can get a diet that fills your gut
Speaker 2: with good probiotics and prebiotics, you generally have a lower
Speaker 2: risk of things such as colon cancer. And from my standpoint,
Speaker 2: I love greek yogurt. I eat it every day. It's
Speaker 2: just a good alternative to you know, you know, it
Speaker 2: depends on what you want to eat sometimes, you know,
Speaker 2: sometimes I like cream, cheese and things like that a
Speaker 2: little bit higher in calories, But Greek y over for me,
Speaker 2: is something that I try to eat every day just
Speaker 2: because of the probiotics that are in it and because
Speaker 2: it helps populate the good go back here. So yeah,
Speaker 2: I'm a big fan.
Speaker 1: Is cottage cheese right there as well?
Speaker 2: Yeah, cottage cheese right there too. The nice thing about
Speaker 2: cottage cheese it also gives you a little bit of
Speaker 2: extra protein too, so, and greek yog is actually a
Speaker 2: decent source of protein as well. But yeah, I would
Speaker 2: say cottage cheese is there right at that level.
Speaker 1: Too, And I know it. Correct me if I'm wrong,
Speaker 1: but I know predominantly percentage wise, men worry more about
Speaker 1: the colon cancer. Obviously, I am of age. I've had
Speaker 1: my colonoscopy all clear.
Speaker 2: That's how you do it. I mean, that's how you
Speaker 2: you know, people tell me what's the best thing you
Speaker 2: could do to prevent colon cancer, and I'm like, get
Speaker 2: your colonoscopy, you know, that's really the best thing that
Speaker 2: you can do.
Speaker 1: And by the way, can I just go on record,
Speaker 1: it's not that big of a deal. It's not that
Speaker 1: big of a deal. Especially the actual colonoscopy is nothing
Speaker 1: because you're asleep. You know, that's really probably a bad
Speaker 1: day for the doctor. It's not a bad day for you.
Speaker 1: It's the pres you know, as everybody says, the prep
Speaker 1: sucks or you could even say it's very crappy. But
Speaker 1: other than that, it's a good cleanse. Think of it
Speaker 1: as a good gut cleanse. And it's a day you
Speaker 1: get some rest.
Speaker 2: Yeah. Absolutely, a lot of people say it's the bestleap
Speaker 2: of your life. You know, you go to sleep, you
Speaker 2: wake up and you're already done. And you know, when
Speaker 2: I try to talk about preventing colon cancer, I'm very
Speaker 2: careful when you know, obviously there's a lot of dietary
Speaker 2: and lifestyle habits we can do to lower our risk
Speaker 2: for colon cancer, but there's nothing perfect because there's a
Speaker 2: lot of colon cancer can also be genetic. Right, So
Speaker 2: no matter what healthy lifestyle you do, no matter the
Speaker 2: healthiest foods you can eat, no matter how fit you are,
Speaker 2: if you're genetically predisposed to forming colon cancer, it's probably
Speaker 2: going to happen. And so what we do in our
Speaker 2: colonoscopies is that we think that every colon cancer starts
Speaker 2: off as just a little anybody pollen. And when we
Speaker 2: do the colonoscopy, we remove those polyps. And when we
Speaker 2: remove them, they never have a chance to become cancer.
Speaker 2: And that's why the kolonosky is important for not only
Speaker 2: detect and diagnosing colon cancer, but it's also the best
Speaker 2: thing we have at preventing cancer.
Speaker 1: And the polyps aren't bad necessarily, you don't know, That's
Speaker 1: that's why, but you take them out because they may grow,
Speaker 1: they may not grow.
Speaker 2: Right.
Speaker 1: One thing I also noticed when I went in for
Speaker 1: my colonoscopy because I think I think I maybe I
Speaker 1: did it when I was fifty, which was three years ago,
Speaker 1: But now they're saying forty five forty like to get
Speaker 1: it to start earlier for men. Why is that what
Speaker 1: has brought that on? Is it just science or is
Speaker 1: it just our environment that's changing.
Speaker 2: It's both. You know, we have been seeing and I
Speaker 2: certainly have been seeing colon cancer at younger ages. Not
Speaker 2: only have we been seeing colon cancer at younger ages,
Speaker 2: but we're seeing pre cancers at younger ages as well.
Speaker 2: So it took a little bit of time, but we
Speaker 2: finally got it lowered to forty five, which the science
Speaker 2: is showing is definitely going to be is going to
Speaker 2: benefit more people because we're going to not only be
Speaker 2: catching more colon cancers, but we're going to be preventing
Speaker 2: more of them as well. The problem that we're going
Speaker 2: to see now is is at some point it going
Speaker 2: to get even lower, and that's going to be I
Speaker 2: guess that's going to remain to be seen. They're going
Speaker 2: to run the numbers they're going to you know, obviously,
Speaker 2: when it comes to healthcare, at least in America, there's
Speaker 2: always like a cost benefit ratio a risk benefit ratio,
Speaker 2: So we have to make sure that if we're screening
Speaker 2: people that there's a benefit to it, right. But part
Speaker 2: of the reason why we had to lower it to
Speaker 2: forty five is just we're just seeing younger and younger
Speaker 2: patients with it. I know that I've had people in
Speaker 2: the hospital twenty five year olds, thirty year olds that
Speaker 2: come in with rectal bleeding and I do a colonoscopy
Speaker 2: and I find in early colon cancer. And had they waited,
Speaker 2: had they waited in another year or two before coming
Speaker 2: into the hospital. But you know, we sometimes we do.
Speaker 2: Sometimes we tend to ignore things like that it could
Speaker 2: have spread, could have gotten bigger, and instead of it
Speaker 2: being stage one, could have been stage four.
Speaker 1: Yeah, and that's probably the biggest bit of advice for everybody.
Speaker 1: If you notice something, if something's irregular, like, don't be
Speaker 1: the typical guy. Just go it's not that big of
Speaker 1: a deal. What's a bigger deal is dying from something
Speaker 1: you didn't need to die from.
Speaker 2: Colon cancer is probably one of the most preventable cancers
Speaker 2: that we have because we have the ability to normally
Speaker 2: detect and treat it when it's you know it's when
Speaker 2: they're small, but we check for it often and there's
Speaker 2: signs and symptoms of it. I tell people, like, look,
Speaker 2: pay attention to your to your stool, you know, I know,
Speaker 2: you know, some people think it's a little bit gross,
Speaker 2: but it really isn't that. It really tells you a
Speaker 2: lot about your stool, tells you a lot about your health.
Speaker 2: If you're going, if you all of a sudden have
Speaker 2: a change in about habits, if you're not going as
Speaker 2: much as you used to, or the opposite way, if
Speaker 2: you're having more diarrhea than you you normally have, if
Speaker 2: you notice blood on the toilet paper or in there,
Speaker 2: if you notice that you have aches and pains in
Speaker 2: your belly that just don't go away, Like, don't ignore
Speaker 2: those things. Talk to your doctor about them, tell them
Speaker 2: what your bowel habits are, because you never know what
Speaker 2: could be a symptom that seems insignificant to you but
Speaker 2: may actually be a warning sign of colon cancer.
Speaker 1: Yeah, and that's again so so avoidable. And for guys,
Speaker 1: I know, there's obviously colon and then the prostate, Yes,
Speaker 1: tell me that obviously, the differences of what we're looking
Speaker 1: for when you get the prostate check, which is kind
Speaker 1: of changed too. They're saying they don't really have to
Speaker 1: you know. That's by the way, the for those that
Speaker 1: don't know, the finger up the butt they're checking the prostate. Yeah,
Speaker 1: they don't really have to do that as much if
Speaker 1: they check your blood because the PSA levels that they
Speaker 1: can kind of determine if you need it correct.
Speaker 2: Yeah. So you know, when it comes to prostate issues,
Speaker 2: usually you'll have urinary issues. So for example, with with
Speaker 2: like an enlarged prostate or even a prostate cancer, you'll
Speaker 2: notice that you're not urinating as much, or it's hard
Speaker 2: to your innate or painful to your innate or you'll
Speaker 2: see blood in your urine. And that's kind of where
Speaker 2: you know, going to the bathroom is really important because
Speaker 2: you have to really pay attention to those things. And
Speaker 2: if you notice that there's a sudden change in either
Speaker 2: or if you're if you're if your urination is changing
Speaker 2: or your bowel habits are changing. It's just something that
Speaker 2: you don't have to feel embarrassed to when you talk
Speaker 2: to your doctor, you mentioned it to them and then
Speaker 2: they can figure out what other tests you need from there. Nowadays,
Speaker 2: you know the prostate exams I think probably maybe are
Speaker 2: being done less, but certainly they order. There's more blood tests,
Speaker 2: and there's better images that we have, ultrasounds, MRIs, even
Speaker 2: things like CT scans can can better take a look
Speaker 2: at your prostate for the colon. Though interestingly enough the
Speaker 2: images are not there yet, Like we can't. It's really
Speaker 2: hard to see like a small colon cancer on a
Speaker 2: CT scan. And that's actually a question that I get
Speaker 2: quite a lot. A smaller developing colon cancer may may
Speaker 2: just look absolutely normal on the CT scan, and really
Speaker 2: the only way to diagnose that is with a colonoscopy.
Speaker 1: Okay, that's good to know. We haven't found a way
Speaker 1: around it yet. Just go get it done, Just get
Speaker 1: it done.
Speaker 2: Yeah, Yeah, it's the best way to prevent, best way
Speaker 2: to detect. That's that's all you need to know, you know.
Speaker 1: And what about women in that regard, Yeah.
Speaker 2: With women, absolutely the same. Now, women are more actually
Speaker 2: likely to get cancers in a certain part of their colon,
Speaker 2: specifically on the right side of their colon. And this
Speaker 2: is why I tell people, like, when you do your colonoscopy,
Speaker 2: make sure you take all the preparation, make sure you
Speaker 2: do it you can't cheap coalon prep. You know, make
Speaker 2: sure you take everything, make sure you have a nice,
Speaker 2: squeaky clean colon, because what the doctor does is they
Speaker 2: start from the bottom and work all the way up
Speaker 2: to the beginning of your colon, and you have to
Speaker 2: survey every single part of your colon because a colon
Speaker 2: cancer could actually form anywhere, and that's where we're seeing
Speaker 2: more colon cancers in women. And when it comes to
Speaker 2: the symptoms, the symptoms are essentially the same. There tends
Speaker 2: to be I think a little bit of discrepancy and
Speaker 2: dismissiveness by you know, for women's symptoms when it comes
Speaker 2: to abdominal pain, because you know, there could be a
Speaker 2: whole lot of reasons for abdominal pain, right you have
Speaker 2: your gynecological organs that are there, you have other things
Speaker 2: that could be causing abdominal pain. But when female patient
Speaker 2: comes to me gives me symptoms abdominal pain, one of
Speaker 2: the first things I tell them is, look, we need
Speaker 2: to check your colon because I need to rule that
Speaker 2: out as a cause of your pain before we proceed
Speaker 2: into any other examinations here.
Speaker 1: And it's something most women probably don't think about it
Speaker 1: because typically it's a guy disease, it's a guy problem.
Speaker 1: You know. They always talk about guys getting the colonoscopy
Speaker 1: and all that. So it's probably something that most women
Speaker 1: it's just kind of out of sight, out of mind,
Speaker 1: thinking it's a guy thing, but it can be a
Speaker 1: woman thing.
Speaker 2: Absolutely. Absolutely, we're certainly seeing it in both men and women.
Speaker 2: And it's just something when it comes to abdominal pains
Speaker 2: or changes in your bowel habits, constipation for example, it's
Speaker 2: just something you just don't want to ignore and chalk
Speaker 2: it up to, oh, well, you know, my body's changing now.
Speaker 2: There might actually be a serious reason behind that, and
Speaker 2: that's something you should always talk to your doctor about.
Speaker 1: Do you see a dramatic change as we head into
Speaker 1: you know, perimenopause, menopause for women as far as gut
Speaker 1: health goes, And are there things that women heading into
Speaker 1: those phases of life as you're starting to get there,
Speaker 1: that you can change or do to help mitigate some
Speaker 1: of the effects.
Speaker 2: Yeah. Absolutely, I find that as we tend to get
Speaker 2: to that age, one of the most common things that
Speaker 2: I see is actually more constipation. And what I try
Speaker 2: to tell my patients is, look, as we get older,
Speaker 2: you know, our colon does not work as well sometimes
Speaker 2: as it used to. We tend to get more things
Speaker 2: such as diverticulosis. I'm not sure if you've heard of
Speaker 2: that before, but diverticulosis can cause something called diverticulitis, which
Speaker 2: diparticulosis are little pouches that form on the surface of
Speaker 2: the colon. And we think, at least in the US,
Speaker 2: part of the reason is genetics and a lack of
Speaker 2: dietary fiber in your diet. And when you're constipated, you
Speaker 2: tend to form these pouches on the surface of your colon.
Speaker 2: They can be painful, they can get infected, and they
Speaker 2: can bleed. So I try to tell people that as
Speaker 2: we age, it's just the golden rule. Let's try to
Speaker 2: get as much fiber as we can and theether. Let's
Speaker 2: try to have Let's try to regulate our about movements.
Speaker 2: Let's try to you know, that goal is to have
Speaker 2: at least one valut movement per day. Increase your fruits
Speaker 2: and vegetables, try to eat things, try to eat less
Speaker 2: red meat. You know, I know that everyone wants to
Speaker 2: have fun every now and then, talking about drinking alcohol
Speaker 2: and things like that, and you just those are the
Speaker 2: types of things that you just want to lower or
Speaker 2: at least you know lesson, and then just try to
Speaker 2: get your dietary habits and check. You know, as we get.
Speaker 1: Older, does the carnivore diet trend keep you up at night?
Speaker 2: It does? Yeah, it does, only because you know, we
Speaker 2: know that, we know that foods that are high and
Speaker 2: saturated fat is a risk factor for cancer, risk factor
Speaker 2: for many cancers, in fact, especially colon cancer. And not
Speaker 2: only that, when you're completely eliminating all the sources of
Speaker 2: dietary fiber, that just makes things much worse. Now, I
Speaker 2: don't want to go and say that, look, eating meat
Speaker 2: is bad for you and it's going to cause cancer,
Speaker 2: because some of the studies we have show that you
Speaker 2: can still eat red meat, but if you pile on
Speaker 2: the veggies with it, in fact, there are times there
Speaker 2: you could actually lessen that risk or at least equalize
Speaker 2: that risk. So as long as you if you're eating meat,
Speaker 2: but you're eating your veggies and get your fiber with it,
Speaker 2: then you probably don't have to worry about much. But
Speaker 2: if you're going to completely just saturated fat and just
Speaker 2: completely take out all of the fruits and vegetables that
Speaker 2: we know are beneficial for you. Then, yeah, that sounds
Speaker 2: like a recipe.
Speaker 1: For trouble eating a good salad asparagus, broccoli, something to
Speaker 1: kind of go in and clean the pipe along with it.
Speaker 2: Yeah. Absolutely, that's what I try to do. I mean,
Speaker 2: you know, I'm not a vegan or vegetarian. You know,
Speaker 2: I eat my fair share of meat and chicken and
Speaker 2: things like that. But what I just try to do
Speaker 2: is try to bounce it out with veggies. And I'm
Speaker 2: still here.
Speaker 1: Well, and do you do you treat those the same
Speaker 1: or do you think of them as the same as
Speaker 1: like so steak you know, or chicken fish?
Speaker 2: You know?
Speaker 1: Do you do you categorize all them all the same
Speaker 1: as far as red meat and meat goes, or do
Speaker 1: you treat the red meat a little different?
Speaker 2: I treat the red meat a little bit different. I
Speaker 2: try to follow what we call a Mediterranean diet, right,
Speaker 2: which is what everyone talks about. And you know, there
Speaker 2: is a lot of data behind the Mediterranean diet. We
Speaker 2: know it's been extensively studied in for example, fatty liver disease,
Speaker 2: which is going to be the number one cause of
Speaker 2: liver problems in the US. If not, it's already the
Speaker 2: number on one cause it's going to be the number
Speaker 2: one cause of liver transplants, of liver failure when it taught.
Speaker 2: When we talk about acid reflux, when we talk about constipation,
Speaker 2: we talk about everything. It all kind of They studied
Speaker 2: a whole bunch of diets with regards to this, and
Speaker 2: the Mediterranean diet still remains king. And part of it
Speaker 2: is because the Mediterranean diet is a lot of fruits
Speaker 2: and vegetables, which we talked about. They do eat their
Speaker 2: fair share of chicken and fish and then a little
Speaker 2: bit of red meat, like not a whole ton. So
Speaker 2: it's all about you know, eating you know, if you
Speaker 2: want to eat like that type of thing, I would say,
Speaker 2: try to increase your fish intake and then eat more
Speaker 2: fruits and vegetables. Chicken is good, and then just lessen
Speaker 2: your red meat to maybe once or twice a week,
Speaker 2: and then you know, you should be okay with that.
Speaker 2: And that's what the Mediterranean diet.
Speaker 1: Everything in moderation. It's anytime I hear a diet where
Speaker 1: I'm just doing this, I'm just eating this, or just
Speaker 1: it's like you're just you're taking so much out of
Speaker 1: play that your body needs.
Speaker 2: Yeah. Absolutely, And I think that that leads to you know,
Speaker 2: can lead to malnourishment, can lead to not getting the
Speaker 2: vitamins and nutrients that you lead and also can lead
Speaker 2: to some eating disorders because then people start getting afraid
Speaker 2: of certain foods that are actually really beneficial for them.
Speaker 2: They were just taught that it was back for them.
Speaker 2: And I'm not talking about the foods that when people
Speaker 2: know that they eat, they makes them feel bad, right,
Speaker 2: I mean, there are foods that people like. For example,
Speaker 2: if I eat something that's super tomatoe, you know, tomato soup,
Speaker 2: I'll get acid reflux. Right. But I'm not going to
Speaker 2: completely stay away from tomatoes, you know, I'm just going
Speaker 2: to moderate my intake maybe lessons. They probably not eat
Speaker 2: it as a soup or something like that. But yeah,
Speaker 2: we're talking about people who just you know, they see
Speaker 2: something that's been demonized, they take it out, they never
Speaker 2: want to eat it again, but then later realize, hey,
Speaker 2: this was actually probably beneficial for me. Yeah.
Speaker 1: It's that feeling, It's that regret when you lay down
Speaker 1: and you have that you're like, yeah, I did that's
Speaker 1: myself tonight. Yeah, exactly one thing that may mitigate that.
Speaker 1: And apparently taking a walk has gotten a pr makeover
Speaker 1: because I see you're shaking your head. They're calling it
Speaker 1: the fark walk. This is the post dinner fart walk,
Speaker 1: and sorry for that. That is the term that's being used.
Speaker 1: There was the hot girl walk, Now there's the flart walk.
Speaker 2: You've heard this, I have, yeah, And it was so
Speaker 2: a good friend of mine, Marilyn Smith, she is somebody
Speaker 2: who is very famous in Canada. Actually she came up
Speaker 2: with the term at least, or at least popularized it,
Speaker 2: and she was she made a video about going on
Speaker 2: a fart walk, and she was saying that it lessens
Speaker 2: her risk of diabetes. And I had commented and I
Speaker 2: had made kind of a response video to it, and
Speaker 2: part of what I was talking about there is not
Speaker 2: only is it good for you know, lowering your blood
Speaker 2: sugar after you eat and helping with the digestion process,
Speaker 2: but it's also good for everything else in the gut.
Speaker 2: Because when we know that when you do physical exercise,
Speaker 2: food moves through the gut, you tend to have less
Speaker 2: acid reflux. Because of that, you tend to have better
Speaker 2: absorption less bloating whenever you're exercising and moving around all
Speaker 2: of the gas and all the stuff that's moving throughout
Speaker 2: your intestine and out the other end. So that's why
Speaker 2: they call it the part walk, because you know, you to,
Speaker 2: you tend to part whether it's silent or not, you know,
Speaker 2: and but that is healthy. That helps you digest, helps
Speaker 2: you know, relieve a lot of the pressure within the abdomen.
Speaker 2: Makes you feel good, and it's one of those things
Speaker 2: that I think a lot of people could really benefit from,
Speaker 2: especially if you suffer from those things already, like if
Speaker 2: you suffer from constipation, or you suffer from acid or reflicks,
Speaker 2: and you suffer from bloating. Try going for a walk,
Speaker 2: you know, just thirty minutes after you eat, and you'll
Speaker 2: notice right away that you'll feel much better.
Speaker 1: It is funny when whatever I, you know, was traveling
Speaker 1: in Europe or even in New York, when you you know,
Speaker 1: you don't take a cab home, if you walk the
Speaker 1: ten or fifteen blocks or in Europe, you're just walking
Speaker 1: a lot, and you get that half mile walk in
Speaker 1: after dinner, even if you had a few cocktails, you
Speaker 1: feel so much better. And that's also I think to
Speaker 1: make it applicable for the everyday person, and if you
Speaker 1: don't necessarily want to go for a walk or whatever,
Speaker 1: eating at a certain time, eating a little earlier and
Speaker 1: not eating at nine thirty at night and going straight
Speaker 1: to bed and laying down, that's that's the most basic
Speaker 1: version of that.
Speaker 2: Right absolutely. So we know that the closer you eat,
Speaker 2: you know, towards you go to sleep, you're at Morris
Speaker 2: for acid reflux. I try to tell people try to
Speaker 2: eat about three or four hours before bedtime because it
Speaker 2: takes about four hours for your stomach to empty, you
Speaker 2: know completely, So if you're going in and you're laying down,
Speaker 2: it's physics, right. You know, the food's going to come
Speaker 2: pile right back up into your esophagus. It's going to
Speaker 2: give you that heartburn, it's going to make it tough
Speaker 2: to sleep. And they've also had studies where the more
Speaker 2: you separate your food from your bedtime, the better you
Speaker 2: will sleep. You know, your body's not focused on the
Speaker 2: digestion component. You'll you'll sleep for longer periods, you'll feel
Speaker 2: a better quality of sleep. And then when you win
Speaker 2: and when you eat earlier too, you have a chance
Speaker 2: to kind of use it right, you have a chance
Speaker 2: to burn it off. So like, for example, if you
Speaker 2: do want to have an early dinner and you want
Speaker 2: to go for that thirty minute post dinner walk, it's
Speaker 2: a nice way to kind of, you know, burn off
Speaker 2: a little bit of the calories you just ate, as
Speaker 2: opposed to you know, eating and then just going and
Speaker 2: hibernating where you're just kind of sitting still doing nothing.
Speaker 2: You wake up feel bloated, you feel constipated, and you know,
Speaker 2: so that's what that's another great benefit I think of
Speaker 2: eating earlier.
Speaker 1: As you said, our takeaways today are vegetables good. Fart
Speaker 1: walks also good. If you learned anything today.
Speaker 2: If you learn if there's two things that you need
Speaker 2: to try to make a change today, it's those two things. Yes.
Speaker 1: I like how they rebranded taking a walk. It reminded
Speaker 1: me like during the pandemic. I you know, one of
Speaker 1: these millennials or somebody gen z 's or wherever they are,
Speaker 1: the young ones. They were like, okay, so I have
Speaker 1: this new drink. You got to follow me here. You
Speaker 1: take vodka, you put soda in it and then you
Speaker 1: squeeze lime. I said, did you just invent a vodka? Soda.
Speaker 1: That's what's happened here. Like we just invented going walking, well.
Speaker 2: Exactly, just called it something trendy and cool. You know.
Speaker 1: It's like, well I saw this thing on TikTok. Apparently
Speaker 1: you put on shoes and you walk. It's amazing. But hey,
Speaker 1: as long as it's cool and it's good for you,
Speaker 1: that's fine.
Speaker 2: Absolutely. And it's one of those things that sometimes you
Speaker 2: may not realize, right, I mean, you don't realize that
Speaker 2: how something simple like going for just a simple leisurely
Speaker 2: walk can really benefit you in so many different ways.
Speaker 2: And that's one of the things that I try to
Speaker 2: get across, you know, my social media. I try to
Speaker 2: find little things, simple things that we can do that
Speaker 2: are free, they won't cost you anything, but things that
Speaker 2: you may not realize that over the long run, it
Speaker 2: can make you feel a whole lot better.
Speaker 1: And where as we wrap this conversation up, where can
Speaker 1: we find you? Because your social media has been great,
Speaker 1: your tips are great, your expertise is obviously there, and
Speaker 1: you will continue on this journey for us. So where
Speaker 1: can we find you?
Speaker 2: So on Instagram you can find me as the Stomach
Speaker 2: Doc and same thing on TikTok and on Facebook. I
Speaker 2: have a whole ton of videos on there. I talk
Speaker 2: a lot about acid reflux, you know, constipation, diarrhea, things
Speaker 2: that simple things that you can do to improve your
Speaker 2: gut bacteria, things that you can do to improve your
Speaker 2: gut health. I don't even talk a whole lot about
Speaker 2: about medicines. I talk about the lifestyle changes you can make.
Speaker 2: I try to talk about things that are practical, things
Speaker 2: you can implement today, things that won't cost you much,
Speaker 2: but things that can really go a long way if
Speaker 2: you implement them regularly.
Speaker 1: So go check out and follow the stomach doc. And
Speaker 1: you're right.
Speaker 2: I mean.
Speaker 1: The great thing about this if you start this path
Speaker 1: and you don't have to be psychotic about it, but
Speaker 1: when you start this path, you may find, you know what,
Speaker 1: I don't need to take these medications for heartburn or
Speaker 1: for you know, stop taking the privo sect, stop taking Tom's,
Speaker 1: like all these things you can kind of eliminate because
Speaker 1: you realize I just needed better gut health.
Speaker 2: Absolutely. And it's one of those things that we don't
Speaker 2: realize how much of the symptoms we mask with the medications, right,
Speaker 2: and then when we don't make the lifestyle change. We
Speaker 2: continue to use the medication you know forever, but these
Speaker 2: medic I try to tell my patients these medications were
Speaker 2: not meant to be used forever. They're meant to be
Speaker 2: kind of a bridge towards getting you to feeling better quicker,
Speaker 2: but then allowing you to make the lifestyle changes that
Speaker 2: you need to solve it permanently. Great.
Speaker 1: That is an awesome positive note to end on.
Speaker 2: Doctor.
Speaker 1: Thank you so much, man, I really really appreciate your time.
Speaker 1: You guys follow a doctor Sahab and continue this great work.
Speaker 1: And as we come up with new trends like the
Speaker 1: fart walk, I'll check back in with you and you
Speaker 1: can keep us up to date on what's good, what's fact,
Speaker 1: what's fiction.
Speaker 2: Thank you so much, Chris, I really appreciate it.
Speaker 1: Doctor Salhab, take care. Thank you so much, you too, byebye,
Speaker 1: Thanks for listening. Follow us on Instagram at the most
Speaker 1: dramatic pod ever and make sure to write us a
Speaker 1: review and leave us five stars. I'll talk to you
Speaker 1: next time.