1 00:00:01,560 --> 00:00:09,039 Speaker 1: You're listening to I Choose Me with Jenny Garland. Hi. Everyone, 2 00:00:09,200 --> 00:00:12,120 Speaker 1: welcome to I Choose Me. This podcast is all about 3 00:00:12,119 --> 00:00:15,640 Speaker 1: the choices we make and where they lead us. Let's 4 00:00:15,680 --> 00:00:20,560 Speaker 1: talk about our bellies aka our gut. Having a healthy 5 00:00:20,640 --> 00:00:24,960 Speaker 1: gut is vital to our overall health. It not only 6 00:00:25,000 --> 00:00:29,960 Speaker 1: aids in proper digestion and nutrient absorption, but it's also 7 00:00:30,040 --> 00:00:34,199 Speaker 1: associated with positive mental health and emotional well being, a 8 00:00:34,360 --> 00:00:39,720 Speaker 1: robust immune system, and protecting us from chronic inflammation and 9 00:00:39,880 --> 00:00:44,440 Speaker 1: other chronic diseases. My guest today is someone I think 10 00:00:44,479 --> 00:00:47,520 Speaker 1: we all need to listen to because what we're about 11 00:00:47,560 --> 00:00:51,560 Speaker 1: to discuss. Yep, you guessed it. Gut health is connected 12 00:00:51,760 --> 00:00:55,680 Speaker 1: to so many different things in our bodies. She is 13 00:00:55,720 --> 00:01:00,560 Speaker 1: a gastro enterrologist and the author of Gut Renovation. Please 14 00:01:00,640 --> 00:01:06,160 Speaker 1: welcome doctor Roshini Raj to the podcast. Hi, Hi, thank 15 00:01:06,200 --> 00:01:09,360 Speaker 1: you so much for being with us today. This is 16 00:01:09,400 --> 00:01:12,399 Speaker 1: going to be good, Okay, Gut health This is my 17 00:01:12,520 --> 00:01:15,760 Speaker 1: number one and most important question. Gut health is linked 18 00:01:15,920 --> 00:01:19,200 Speaker 1: to the aging process. Right. If we don't get our 19 00:01:19,240 --> 00:01:21,280 Speaker 1: gut health in check, what are some of the possible 20 00:01:21,360 --> 00:01:23,160 Speaker 1: risks we could be facing? 21 00:01:23,600 --> 00:01:25,520 Speaker 2: One hundred percent So I wrote a book a couple 22 00:01:25,520 --> 00:01:27,720 Speaker 2: of years ago called Gut Renovation, and it is all 23 00:01:27,760 --> 00:01:31,440 Speaker 2: about exactly what you're discussing. How does gut health affect 24 00:01:31,440 --> 00:01:34,600 Speaker 2: how we age, how we optimally age, and everything from 25 00:01:34,880 --> 00:01:37,920 Speaker 2: external things like our hair and our skin, but also 26 00:01:38,000 --> 00:01:40,399 Speaker 2: our internal aging, which is so important. You know, whether 27 00:01:40,440 --> 00:01:44,200 Speaker 2: we develop certain chronic diseases, things like heart disease, you know, 28 00:01:44,240 --> 00:01:47,720 Speaker 2: autoimmune diseases, inflammation throughout the body, which we know is 29 00:01:47,800 --> 00:01:50,320 Speaker 2: kind of the key to how we age, as well 30 00:01:50,320 --> 00:01:53,040 Speaker 2: as things like even cancer. So what we know now 31 00:01:53,120 --> 00:01:55,960 Speaker 2: is that our gut microbiome and that's that community of 32 00:01:56,000 --> 00:02:00,440 Speaker 2: bacteria organisms that live inside our gut, really dictate most 33 00:02:00,440 --> 00:02:03,200 Speaker 2: of the processes that go on throughout our body from 34 00:02:03,280 --> 00:02:06,160 Speaker 2: head to toe. And it can influence even things like 35 00:02:06,640 --> 00:02:09,600 Speaker 2: collagen breakdown and elast and breakdown in our skin. It 36 00:02:09,600 --> 00:02:13,680 Speaker 2: can influence whether there's inflammation, you know, causing build up 37 00:02:13,760 --> 00:02:17,359 Speaker 2: of cholesterol in our arteries, in our heart or brain. 38 00:02:17,560 --> 00:02:20,680 Speaker 2: So it really does affect everything, you know. I think 39 00:02:20,760 --> 00:02:23,640 Speaker 2: mental health is a huge connection that we're now really 40 00:02:24,360 --> 00:02:27,240 Speaker 2: mind connection. So I really think if you look at 41 00:02:27,280 --> 00:02:31,040 Speaker 2: any aspect of aging, there is definitely like a line 42 00:02:31,120 --> 00:02:33,359 Speaker 2: you can draw to your gut microbiome. And that's why 43 00:02:33,600 --> 00:02:36,400 Speaker 2: I'm so passionate about taking care of your gut microbiome. 44 00:02:36,560 --> 00:02:39,960 Speaker 1: I know, I'm so glad you are because I don't 45 00:02:39,960 --> 00:02:41,960 Speaker 1: know a lot about this, but I know how it 46 00:02:42,000 --> 00:02:44,080 Speaker 1: can really mess you up. So if you have an 47 00:02:44,160 --> 00:02:46,720 Speaker 1: unhealthy gut, also, is there another word that we can 48 00:02:46,760 --> 00:02:48,200 Speaker 1: call it other than gut? 49 00:02:49,080 --> 00:02:51,320 Speaker 2: We can for sure, we can say microbiome, we can 50 00:02:51,360 --> 00:02:52,079 Speaker 2: say digestion. 51 00:02:53,440 --> 00:02:53,800 Speaker 1: I don't know. 52 00:02:53,840 --> 00:02:55,679 Speaker 2: I don't know the word. 53 00:02:55,520 --> 00:02:58,239 Speaker 1: Gut just freaks me out a little bit. But let's 54 00:02:58,320 --> 00:03:01,600 Speaker 1: keep going. Let's use gut because that's what people know. Okay, 55 00:03:02,000 --> 00:03:06,880 Speaker 1: what are some signs that you might have an unhealthy gut? 56 00:03:07,560 --> 00:03:10,120 Speaker 2: Yeah, it's a great question. So I'm a gastroentrologist, so 57 00:03:10,360 --> 00:03:12,839 Speaker 2: I definitely see people in my office every day who 58 00:03:12,919 --> 00:03:15,200 Speaker 2: have signs of an unhealthy gut. And I think some 59 00:03:15,280 --> 00:03:19,240 Speaker 2: of the more basic or maybe obvious things are, you know, 60 00:03:19,360 --> 00:03:23,760 Speaker 2: bowel irregularity, you're bloating, or pain in your abdomen, things 61 00:03:23,840 --> 00:03:27,119 Speaker 2: like that. But what I think people don't realize could 62 00:03:27,160 --> 00:03:30,640 Speaker 2: also be signs of an unhealthy gut are mood changes, 63 00:03:30,800 --> 00:03:33,720 Speaker 2: just feeling kind of foggy, you know, feeling tired all 64 00:03:33,800 --> 00:03:37,560 Speaker 2: the time, fatigued, joint pain. All of these things can 65 00:03:37,640 --> 00:03:41,880 Speaker 2: be related to a disordered gut or disordered microbiome, meaning 66 00:03:41,920 --> 00:03:44,560 Speaker 2: the balance of your good and bad bacteria is not 67 00:03:44,640 --> 00:03:46,839 Speaker 2: where you would want it to be. And so that's 68 00:03:46,840 --> 00:03:50,160 Speaker 2: why I think it's so important to take care of 69 00:03:50,200 --> 00:03:52,880 Speaker 2: your gut, you know, investigate what's going on there, because 70 00:03:52,920 --> 00:03:55,839 Speaker 2: you may notice positive changes once you have a better 71 00:03:55,880 --> 00:03:59,200 Speaker 2: gut microbiome in every aspect of your life, not just 72 00:03:59,520 --> 00:04:01,560 Speaker 2: how often you're gowning the mouth room that kind of thing. 73 00:04:01,640 --> 00:04:04,080 Speaker 1: Well, we're learning so much about women's health, so much 74 00:04:04,120 --> 00:04:08,640 Speaker 1: more about women's health now, thank god, and we're learning 75 00:04:08,640 --> 00:04:13,240 Speaker 1: a lot about menopause and fatigue, brain fog, achy joints 76 00:04:13,320 --> 00:04:16,680 Speaker 1: are all signs symptoms of menopause too, Like how do 77 00:04:16,720 --> 00:04:17,800 Speaker 1: you know what is what? 78 00:04:18,560 --> 00:04:21,520 Speaker 2: Yeah, it's not always easy to distinguish, but I will 79 00:04:21,520 --> 00:04:24,520 Speaker 2: say that your gut health is also affected by menopause, 80 00:04:24,600 --> 00:04:27,680 Speaker 2: because just like your gut is related to your mind 81 00:04:27,760 --> 00:04:30,520 Speaker 2: and there's like a two way conversation there, your gut 82 00:04:30,600 --> 00:04:32,840 Speaker 2: is also related to hormones and there's a two way 83 00:04:32,839 --> 00:04:35,320 Speaker 2: conversation there. And as we go through the changes of 84 00:04:35,320 --> 00:04:39,279 Speaker 2: menopause and all the different hormonal fluctuations that can affect 85 00:04:39,279 --> 00:04:42,760 Speaker 2: your microbiome and vice versa. So it's not always easy 86 00:04:42,760 --> 00:04:45,200 Speaker 2: to tease out. We know that, you know, making sure 87 00:04:45,200 --> 00:04:48,160 Speaker 2: your hormones are sort of in the right balance during 88 00:04:48,160 --> 00:04:51,520 Speaker 2: menopause can make a huge difference in symptoms, but things 89 00:04:51,600 --> 00:04:55,080 Speaker 2: like bloating, irregularity, all of that can come as symptoms 90 00:04:55,080 --> 00:04:58,400 Speaker 2: of menopause as well. And sometimes if you just rebalance 91 00:04:58,440 --> 00:05:01,240 Speaker 2: your microbiome, whether that's through die or taking a probiotic, 92 00:05:01,520 --> 00:05:04,440 Speaker 2: you can experience significant relief even if you're not taking 93 00:05:04,800 --> 00:05:06,800 Speaker 2: actual hormone replacement and things like that. 94 00:05:06,839 --> 00:05:10,080 Speaker 1: Interesting, that's so exciting because yeah, I guess it's all 95 00:05:10,080 --> 00:05:13,280 Speaker 1: one and the same basically, So if you get your 96 00:05:13,279 --> 00:05:16,159 Speaker 1: gut healthy, then it will have a positive impact on 97 00:05:16,279 --> 00:05:19,039 Speaker 1: the rest of your body exactly exactly. 98 00:05:19,279 --> 00:05:20,240 Speaker 2: It's really important. 99 00:05:20,560 --> 00:05:24,680 Speaker 1: Is it possible to get your gut health under control 100 00:05:24,960 --> 00:05:27,480 Speaker 1: and sort of reverse the signs of aging? 101 00:05:28,640 --> 00:05:30,960 Speaker 2: Yeah, I think it is. I think that you know, 102 00:05:31,080 --> 00:05:33,919 Speaker 2: sometimes people and it's funny because I write about this 103 00:05:34,000 --> 00:05:36,800 Speaker 2: in sort of introduction to my book, where as a doctor, 104 00:05:36,839 --> 00:05:40,280 Speaker 2: I see sometimes an eight year old woman walk in 105 00:05:40,360 --> 00:05:42,880 Speaker 2: and she literally jumps on the table and has so 106 00:05:43,000 --> 00:05:45,280 Speaker 2: much energy and just you know, oh I love that. 107 00:05:45,920 --> 00:05:46,640 Speaker 1: Yeah, she just. 108 00:05:46,600 --> 00:05:49,080 Speaker 2: Looks and it's so inspiring, and she looks and feels 109 00:05:49,360 --> 00:05:51,800 Speaker 2: so much younger than her actual age that's written in 110 00:05:51,839 --> 00:05:54,080 Speaker 2: the chart. And then I can see the opposite. I'll 111 00:05:54,120 --> 00:05:56,120 Speaker 2: see let's say a forty year old woman come in 112 00:05:56,160 --> 00:05:59,039 Speaker 2: and she's you know, she's just walking very slowly or 113 00:05:59,120 --> 00:06:02,000 Speaker 2: hunched over. She just looks miserable, and she looks much 114 00:06:02,040 --> 00:06:04,400 Speaker 2: older and feels much older than her state of age. 115 00:06:04,440 --> 00:06:08,120 Speaker 2: So I think that definitely what's going on internally can 116 00:06:08,160 --> 00:06:11,479 Speaker 2: absolutely affect how you age. And then yes, because I 117 00:06:11,480 --> 00:06:14,240 Speaker 2: can sometimes see those same people that didn't you know, 118 00:06:14,320 --> 00:06:16,800 Speaker 2: look or feel so great, come back, you know, or 119 00:06:16,800 --> 00:06:19,240 Speaker 2: a year later or six months later when they've really 120 00:06:19,240 --> 00:06:21,480 Speaker 2: been working on their microbiome, and it's like a different person. 121 00:06:21,640 --> 00:06:23,320 Speaker 2: Ten years have been erased from there. 122 00:06:23,480 --> 00:06:26,159 Speaker 1: Okay, that's good, that is from there, that's what I 123 00:06:26,200 --> 00:06:26,680 Speaker 1: want to hear. 124 00:06:27,000 --> 00:06:29,839 Speaker 2: Yeah, So it's definitely not, by any means a done deal. 125 00:06:29,880 --> 00:06:32,000 Speaker 2: There are definitely things we can do, and our microbiome 126 00:06:32,120 --> 00:06:35,000 Speaker 2: is always evolving, which is why you know, you do 127 00:06:35,120 --> 00:06:36,920 Speaker 2: have to keep on it. It's not like a one 128 00:06:36,960 --> 00:06:38,560 Speaker 2: and done. I took care of it. Now I'm good 129 00:06:38,600 --> 00:06:40,040 Speaker 2: for the rest of my life. You have to really 130 00:06:40,040 --> 00:06:41,880 Speaker 2: pay attention to it. Like most things when it comes 131 00:06:41,920 --> 00:06:43,960 Speaker 2: to our health, you need to kind of pay attention 132 00:06:44,040 --> 00:06:45,239 Speaker 2: to it on a daily basis. 133 00:06:46,760 --> 00:06:50,880 Speaker 1: Okay, we've all heard about probiotics prebiotics. What is the 134 00:06:50,920 --> 00:06:54,480 Speaker 1: difference between a prebiotic and a probiotic? 135 00:06:54,720 --> 00:06:59,320 Speaker 2: Great question. So a probiotic and literally pro means four 136 00:06:59,480 --> 00:07:02,880 Speaker 2: and iotic is your health basically, So, a probiotic is 137 00:07:03,320 --> 00:07:07,800 Speaker 2: a good bacteria supplement or or actually within foods, good 138 00:07:07,880 --> 00:07:11,240 Speaker 2: bacteria that confer some health benefit to a human being, 139 00:07:11,280 --> 00:07:14,880 Speaker 2: to the person who's taking it. Now, a prebiotic is 140 00:07:14,960 --> 00:07:18,240 Speaker 2: something that feeds a probiotic. So if you think about 141 00:07:19,000 --> 00:07:20,640 Speaker 2: your gut, which I know you don't like that word, 142 00:07:20,680 --> 00:07:22,600 Speaker 2: when we think about it as like a field of 143 00:07:22,640 --> 00:07:24,000 Speaker 2: beautiful flowers, the fly. 144 00:07:24,440 --> 00:07:27,360 Speaker 1: Is a field of beautiful flowers. Okay, I'm envisioning it. 145 00:07:28,560 --> 00:07:30,560 Speaker 2: We're going to transform that word for you. But yeah, 146 00:07:30,800 --> 00:07:33,280 Speaker 2: so it's beautiful flowers. The beautiful flowers are your good, 147 00:07:33,360 --> 00:07:36,440 Speaker 2: healthy bacteria, the things that are protecting you, and they're 148 00:07:36,480 --> 00:07:39,920 Speaker 2: secreting hormones and neurotransmitters and all sorts of important things 149 00:07:39,920 --> 00:07:42,080 Speaker 2: for your body that you really need. So those are 150 00:07:42,080 --> 00:07:45,080 Speaker 2: the flowers, and you want them to grow and be beautiful. 151 00:07:45,200 --> 00:07:48,240 Speaker 2: A prebiotic think of it as the fertilizer that you're 152 00:07:48,280 --> 00:07:50,800 Speaker 2: sprinkling on it that's going to feed those flowers and 153 00:07:51,080 --> 00:07:54,840 Speaker 2: allow them to flourish and grow and blossom. So prebiotics 154 00:07:54,840 --> 00:07:59,040 Speaker 2: are basically food for your good bacteria. Most probiotics come 155 00:07:59,080 --> 00:08:01,840 Speaker 2: in the form of fiber. So that's why fruits and 156 00:08:01,920 --> 00:08:04,640 Speaker 2: vegetables and whole grains are so great for you. One 157 00:08:04,640 --> 00:08:06,240 Speaker 2: of the reasons. One of the reasons they have great 158 00:08:06,320 --> 00:08:10,000 Speaker 2: vitamins and antioxidants and all that, but the fiber content 159 00:08:10,400 --> 00:08:13,600 Speaker 2: is really what's feeding your microbiome. And that's that's why 160 00:08:13,600 --> 00:08:17,040 Speaker 2: we always encourage people, you know, Americans, it's said only 161 00:08:17,400 --> 00:08:19,760 Speaker 2: about ninety five percent of Americans are not getting the 162 00:08:19,800 --> 00:08:22,240 Speaker 2: recommended amount of fiber, so we all could be doing 163 00:08:22,240 --> 00:08:24,120 Speaker 2: a better job with that. And this is one of 164 00:08:24,160 --> 00:08:27,200 Speaker 2: the reasons why fiber is so crucial, because it feeds 165 00:08:27,200 --> 00:08:29,280 Speaker 2: you the good stuff and make sure you maintain a 166 00:08:29,280 --> 00:08:30,280 Speaker 2: healthy microbiome. 167 00:08:30,400 --> 00:08:35,120 Speaker 1: I've just added fiber into my diet, so fabulous. I'm 168 00:08:35,160 --> 00:08:36,079 Speaker 1: feeling good about that. 169 00:08:36,440 --> 00:08:38,400 Speaker 2: It's so important. I mean That's what inspired me to 170 00:08:38,400 --> 00:08:41,240 Speaker 2: start ya Day, you know, our probiotic Fiber company, and 171 00:08:41,960 --> 00:08:45,360 Speaker 2: I just think it's a real need in our society, 172 00:08:45,440 --> 00:08:49,360 Speaker 2: especially American the American diet, and I find that as 173 00:08:49,360 --> 00:08:52,920 Speaker 2: a gastroenttrologist, I recommend fiber to I don't know seventy 174 00:08:52,960 --> 00:08:55,520 Speaker 2: percent of my patients because like almost every GI condition 175 00:08:55,600 --> 00:08:58,240 Speaker 2: can be improved with fiber. But a lot of times 176 00:08:58,240 --> 00:08:59,960 Speaker 2: they don't follow through because they don't like the way 177 00:09:00,080 --> 00:09:02,640 Speaker 2: it tastes, or they feel like it makes them feel 178 00:09:02,640 --> 00:09:04,880 Speaker 2: ancient if they're taking fiber every day, you know. So 179 00:09:05,120 --> 00:09:07,520 Speaker 2: we really with Yaday, tried to come up with a 180 00:09:07,600 --> 00:09:13,320 Speaker 2: much more modern, fresh, tasty, delicious formula. 181 00:09:18,440 --> 00:09:22,680 Speaker 1: It's a little confusing, I gotta be honest. Pre biotic probiotic, Okay, 182 00:09:22,720 --> 00:09:25,200 Speaker 1: So do you don't have to take one before the other? 183 00:09:25,520 --> 00:09:28,160 Speaker 1: Or because when I think of pre I think you 184 00:09:28,160 --> 00:09:29,480 Speaker 1: should take that before. 185 00:09:30,960 --> 00:09:34,600 Speaker 2: Does imply that? But no, because you in your body 186 00:09:34,679 --> 00:09:37,520 Speaker 2: right now as we speak, have plenty of good bacteria 187 00:09:37,559 --> 00:09:39,719 Speaker 2: that could use nourishment at any time of the day 188 00:09:39,760 --> 00:09:42,880 Speaker 2: or night. So you can take a probatic whenever you want, 189 00:09:43,360 --> 00:09:46,200 Speaker 2: and then again because you already have your probiotics naturally, 190 00:09:46,240 --> 00:09:49,199 Speaker 2: you don't necessarily need to take a probiotic, but if 191 00:09:49,240 --> 00:09:51,280 Speaker 2: you want it to take one, I do think you 192 00:09:51,320 --> 00:09:55,720 Speaker 2: can get it imformented foods, you know, whether that's yogurt, kimchi, sauerkraut, 193 00:09:55,800 --> 00:09:57,040 Speaker 2: me So there are a lot of different ways to 194 00:09:57,160 --> 00:09:59,880 Speaker 2: get it, or taking a supplement can definitely be ben 195 00:10:00,040 --> 00:10:03,240 Speaker 2: official in certain circumstances for certain things. But what I 196 00:10:03,280 --> 00:10:06,440 Speaker 2: like about probatics it's sort of feeding all your good bacteria, 197 00:10:06,480 --> 00:10:08,480 Speaker 2: as opposed to a probatic that might just have one 198 00:10:08,520 --> 00:10:10,719 Speaker 2: strain or two strains or you know. 199 00:10:10,720 --> 00:10:14,120 Speaker 1: Yes, yes, that's another question. They always say how many 200 00:10:14,320 --> 00:10:16,199 Speaker 1: thousands of whatever strains? 201 00:10:16,760 --> 00:10:18,880 Speaker 2: Yeah, billions and billions. 202 00:10:18,559 --> 00:10:21,680 Speaker 1: Billions strains, so that you want just like the higher 203 00:10:21,720 --> 00:10:23,960 Speaker 1: the number, the better, No, And. 204 00:10:23,760 --> 00:10:26,400 Speaker 2: I think that can be kind of confusing and also 205 00:10:26,440 --> 00:10:30,160 Speaker 2: a bit of marketing, where twenty billion is necessarily better 206 00:10:30,200 --> 00:10:32,880 Speaker 2: than five billion, you know. I do think that usually 207 00:10:32,880 --> 00:10:36,440 Speaker 2: you need a certain threshold, like one billion at least 208 00:10:36,559 --> 00:10:39,360 Speaker 2: to have a good clinical effect, but beyond that, it 209 00:10:39,440 --> 00:10:41,840 Speaker 2: really depends on the strain, how they're you know, what 210 00:10:41,880 --> 00:10:44,480 Speaker 2: they're mixing it with. So I wouldn't get sort of 211 00:10:44,520 --> 00:10:47,480 Speaker 2: seduced by this bigger is always better when it comes 212 00:10:47,480 --> 00:10:50,000 Speaker 2: to biotics, and it is confusing. I mean, I don't 213 00:10:50,000 --> 00:10:52,320 Speaker 2: even know how many out there. Probably there's probably a 214 00:10:52,320 --> 00:10:56,360 Speaker 2: billion of companies out there, maybe not that many, but 215 00:10:56,400 --> 00:10:59,120 Speaker 2: it's very hard to choose which one. And I think 216 00:10:59,400 --> 00:11:01,320 Speaker 2: that's when I do you think talking to your healthcare 217 00:11:01,360 --> 00:11:04,760 Speaker 2: provider can be helpful? Because different proetics are helpful for 218 00:11:04,800 --> 00:11:07,960 Speaker 2: different things. They're probatics for vaginal health. We were talking about menoplause. 219 00:11:08,000 --> 00:11:09,920 Speaker 2: I mean, there are many different ways you can take 220 00:11:09,920 --> 00:11:12,560 Speaker 2: care of your gut and other microbiomes in your body. 221 00:11:12,600 --> 00:11:16,559 Speaker 2: So I think some guidance is important on a more individual, 222 00:11:16,600 --> 00:11:18,360 Speaker 2: personalized level when it comes to that. 223 00:11:20,280 --> 00:11:26,240 Speaker 1: Okay, I have another question about probiotics. You know, when 224 00:11:26,240 --> 00:11:29,280 Speaker 1: you go into the fancy grocery store I won't name names, 225 00:11:30,440 --> 00:11:33,880 Speaker 1: and there is a sea of wall, a literal wall 226 00:11:33,960 --> 00:11:39,960 Speaker 1: full of probiotic quote unquote healthy sodas. Yes, are those 227 00:11:40,320 --> 00:11:44,120 Speaker 1: actually good for our gut? Because there are so many 228 00:11:44,600 --> 00:11:47,400 Speaker 1: and they're so pretty, like there's all beautiful cans. 229 00:11:48,240 --> 00:11:50,280 Speaker 2: Yeah, I know, I know, and I mean some of 230 00:11:50,280 --> 00:11:52,760 Speaker 2: them are doing really well. You see prebiotic sodas, you 231 00:11:52,800 --> 00:11:56,000 Speaker 2: see probiotic sodas. I think one thing that you need 232 00:11:56,040 --> 00:11:58,880 Speaker 2: to be careful of is what else is in the soda, 233 00:11:59,120 --> 00:12:02,360 Speaker 2: and you know, make sure you're looking at the other ingredients, 234 00:12:02,440 --> 00:12:05,400 Speaker 2: because if there are some probiotics in there, you know, 235 00:12:05,760 --> 00:12:08,480 Speaker 2: all the health benefits will be negated by the massive 236 00:12:08,520 --> 00:12:10,880 Speaker 2: amounts of sugar that might be in there. I think 237 00:12:10,920 --> 00:12:13,920 Speaker 2: that the artificial coloring or you know, whatever it is 238 00:12:13,920 --> 00:12:16,480 Speaker 2: that's making it look so pretty, So definitely read your 239 00:12:16,520 --> 00:12:19,840 Speaker 2: labels carefully. I will say that, you know, for many 240 00:12:19,880 --> 00:12:23,960 Speaker 2: companies like that, you do have to really wonder about 241 00:12:24,080 --> 00:12:26,319 Speaker 2: are they just sort of sprinkling some probiotics in there 242 00:12:26,400 --> 00:12:28,800 Speaker 2: or is it the actual dose that you would need 243 00:12:28,840 --> 00:12:30,679 Speaker 2: to see a benefit. And I do think some of 244 00:12:30,720 --> 00:12:34,040 Speaker 2: the bigger ones, because they're under they're bigger, they're under scrutiny, 245 00:12:34,080 --> 00:12:37,240 Speaker 2: they have been, you know, pretty good about making sure 246 00:12:37,240 --> 00:12:39,960 Speaker 2: they are giving you at least a decent amount. It's 247 00:12:40,000 --> 00:12:43,600 Speaker 2: not all marketing, but I mean you raise a valid concern. 248 00:12:43,679 --> 00:12:46,160 Speaker 2: It's it's not easy to know for sure if those 249 00:12:46,200 --> 00:12:49,599 Speaker 2: are really helping. And I think for me personally, I 250 00:12:49,640 --> 00:12:53,240 Speaker 2: think trying to get your probiotics through foods and your 251 00:12:53,280 --> 00:12:56,080 Speaker 2: probatics through foods that are also healthy for you. In 252 00:12:56,120 --> 00:13:00,559 Speaker 2: many other ways, like fruits and vegetables. I talked about fiber, 253 00:13:00,960 --> 00:13:03,840 Speaker 2: you know, I think fermented foods. These are ways that 254 00:13:04,360 --> 00:13:05,920 Speaker 2: not only are you going to get you know, you're 255 00:13:05,960 --> 00:13:08,239 Speaker 2: going to get a healthy dose of probiotics and probotics, 256 00:13:08,240 --> 00:13:11,000 Speaker 2: but you're also getting vitamins and antioxidants and all the 257 00:13:11,040 --> 00:13:13,800 Speaker 2: other fabulous things that come along with those foods. 258 00:13:14,040 --> 00:13:17,400 Speaker 1: Okay, So if I do succumb to buying a pretty 259 00:13:17,440 --> 00:13:21,320 Speaker 1: can of pro or prebiotic beverage, what is the dose 260 00:13:21,400 --> 00:13:23,880 Speaker 1: that I'm looking for that would be beneficial? And does that? 261 00:13:23,960 --> 00:13:25,000 Speaker 1: Does it say it on the can? 262 00:13:25,480 --> 00:13:28,120 Speaker 2: Yeah, it should say it, probably in fine print on 263 00:13:28,160 --> 00:13:31,960 Speaker 2: the can somewhere. But you do want to I mean again, 264 00:13:32,000 --> 00:13:34,760 Speaker 2: I don't think I would rely on drinks or sodas 265 00:13:35,080 --> 00:13:37,640 Speaker 2: write as much as you need on a daily basis, 266 00:13:37,679 --> 00:13:40,480 Speaker 2: but it certainly can't hurt. So if you say something 267 00:13:40,559 --> 00:13:42,920 Speaker 2: like a billion, I think you're in good shape. If 268 00:13:42,920 --> 00:13:45,360 Speaker 2: it's less than that, I mean, and you're probably don't 269 00:13:45,400 --> 00:13:48,280 Speaker 2: you don't want to drink several cans a day necessarily? 270 00:13:48,760 --> 00:13:50,840 Speaker 2: I would say, drink it because you like it, but 271 00:13:50,920 --> 00:13:54,200 Speaker 2: not necessarily because you're going to get some huge probiotic benefit. 272 00:13:54,320 --> 00:13:57,960 Speaker 1: Okay, that's that's very revealing. I like that you said 273 00:13:57,960 --> 00:14:00,160 Speaker 1: too about like the sugar content is very important than 274 00:14:00,240 --> 00:14:04,080 Speaker 1: anything I think. I don't eat sugar, and I see 275 00:14:04,200 --> 00:14:07,400 Speaker 1: massive benefits to my overall well being in health and 276 00:14:07,480 --> 00:14:14,040 Speaker 1: mental health. Oh man, does sugar damage the gut? Is 277 00:14:14,080 --> 00:14:16,280 Speaker 1: it going in there and killing all the good stuff? 278 00:14:16,559 --> 00:14:20,400 Speaker 2: Yeah? In a word, yes, so definitely there are certain 279 00:14:20,440 --> 00:14:23,320 Speaker 2: things that are damaging to your gut microbiome, to those 280 00:14:23,360 --> 00:14:26,760 Speaker 2: healthy bacteria that you want to be flourishing and blossoming. 281 00:14:27,040 --> 00:14:30,920 Speaker 2: Sugar can be directly toxic to your microbiome. So you 282 00:14:30,960 --> 00:14:34,120 Speaker 2: can see people who have like a high sugar diet, 283 00:14:34,200 --> 00:14:36,760 Speaker 2: they'll have a shift in their microbiome towards a more 284 00:14:36,880 --> 00:14:40,480 Speaker 2: unhealthy mobile. The good bacteria are not as plentiful in 285 00:14:40,520 --> 00:14:43,600 Speaker 2: that situation. Other things that can be toxic to your 286 00:14:43,600 --> 00:14:48,240 Speaker 2: gut are alcohol, antibiotics for sure, that can definitely wipe 287 00:14:48,280 --> 00:14:51,480 Speaker 2: out your all your healthy bacteria. So definitely, sugar is 288 00:14:51,480 --> 00:14:53,400 Speaker 2: one thing you want to be mindful of in your 289 00:14:53,440 --> 00:14:56,720 Speaker 2: diet for many reasons, but particularly if you're looking to 290 00:14:56,840 --> 00:14:57,880 Speaker 2: have a healthy gut. 291 00:14:58,400 --> 00:15:01,920 Speaker 1: So cut out sugar for one. And also you said 292 00:15:02,400 --> 00:15:06,120 Speaker 1: alcohol and the antibiotics, so for anybody that doesn't know 293 00:15:06,600 --> 00:15:09,720 Speaker 1: when you take an antibiotic because the doctor prescribes it 294 00:15:09,720 --> 00:15:12,600 Speaker 1: for you, it's really really important to give your gut 295 00:15:12,680 --> 00:15:13,760 Speaker 1: back the. 296 00:15:13,760 --> 00:15:17,240 Speaker 2: Healthy stuff exactly. Yeah, because you know, it's such an 297 00:15:17,240 --> 00:15:18,920 Speaker 2: interesting I mean, this is why I find the whole 298 00:15:18,960 --> 00:15:24,000 Speaker 2: probiotic microbime story is so fascinating because you know, whenever 299 00:15:24,080 --> 00:15:26,520 Speaker 2: antibiotics were discovered, I think it was around World War two, 300 00:15:26,520 --> 00:15:28,520 Speaker 2: it might even World War One, but it was such 301 00:15:28,560 --> 00:15:31,840 Speaker 2: a huge medical breakthrough, right because people were dying from 302 00:15:32,120 --> 00:15:35,640 Speaker 2: seemingly in our world, minor infections that would just ravage 303 00:15:35,640 --> 00:15:39,240 Speaker 2: their whole body. And then finally pedicillin was discovered and 304 00:15:39,280 --> 00:15:41,760 Speaker 2: you were saving so many lives on the battlefield and 305 00:15:42,040 --> 00:15:45,720 Speaker 2: then just with regular people. And it wasn't until maybe 306 00:15:45,960 --> 00:15:49,200 Speaker 2: twenty now, I would say, thirty years ago that this 307 00:15:49,240 --> 00:15:53,280 Speaker 2: whole concept emerged of actually not all bacteria or bad. 308 00:15:53,320 --> 00:15:55,480 Speaker 2: There are some that we want to keep around that 309 00:15:55,520 --> 00:15:58,880 Speaker 2: are good. And so the antibiotic story, which was the 310 00:15:58,920 --> 00:16:03,360 Speaker 2: hero of me medicine for several decades, then became something 311 00:16:03,400 --> 00:16:06,800 Speaker 2: of a villain. And there's still absolutely life saving and 312 00:16:06,880 --> 00:16:10,440 Speaker 2: necessary in many circumstances, but you really want to be 313 00:16:10,520 --> 00:16:13,360 Speaker 2: cautious of when you're using antibatics, because now we know 314 00:16:13,840 --> 00:16:17,920 Speaker 2: they can really have detrimental effects on your microbiome, because unfortunately, 315 00:16:17,920 --> 00:16:21,200 Speaker 2: most antibatics are not so selective that they only kill 316 00:16:21,240 --> 00:16:23,480 Speaker 2: the bacteria you want to get rid of. They kill 317 00:16:23,640 --> 00:16:27,240 Speaker 2: almost all your healthy bacteria. And sometimes that's a temporary effect, 318 00:16:27,520 --> 00:16:29,760 Speaker 2: but sometimes it can have more long term effects. I mean, 319 00:16:29,760 --> 00:16:33,440 Speaker 2: they're really interestingies looking at children who had repeated courses 320 00:16:33,440 --> 00:16:35,880 Speaker 2: of antibatics for ear infections, which we know children get 321 00:16:35,960 --> 00:16:39,720 Speaker 2: very frequently, and the kids that had the more frequent 322 00:16:39,800 --> 00:16:43,560 Speaker 2: courses twenty thirty years down the road had higher incidences 323 00:16:43,600 --> 00:16:47,240 Speaker 2: of autoimmune disease and things like Krohn's disease or things 324 00:16:47,280 --> 00:16:50,760 Speaker 2: like asthma. So there are effects that you really and 325 00:16:50,840 --> 00:16:57,240 Speaker 2: so I'm always very hesitant to take antibiotics or prescribe 326 00:16:57,280 --> 00:17:00,840 Speaker 2: antibiotics unless I think they're absolutely necessary, because now we 327 00:17:00,880 --> 00:17:03,160 Speaker 2: know there's definitely a potential downside. 328 00:17:03,560 --> 00:17:06,600 Speaker 1: It's just so hard though, because like for in my 329 00:17:06,920 --> 00:17:10,560 Speaker 1: personal experience, I take my daughter to the doctor and 330 00:17:10,760 --> 00:17:15,080 Speaker 1: they just automatically give her antibiotics, and if I were 331 00:17:15,119 --> 00:17:18,399 Speaker 1: to I'm assuming if I were to say is this 332 00:17:18,520 --> 00:17:22,720 Speaker 1: absolutely necessary, they would probably say, yeah, it. 333 00:17:22,600 --> 00:17:25,040 Speaker 2: Is well, it depends. I mean, I do think it's 334 00:17:25,080 --> 00:17:28,640 Speaker 2: important as a parent or a consumer to push back 335 00:17:28,680 --> 00:17:31,600 Speaker 2: a little bit. And when that decision is made by 336 00:17:31,600 --> 00:17:34,399 Speaker 2: the doctor and is it, you know, is this something 337 00:17:34,400 --> 00:17:36,520 Speaker 2: we could maybe wait and see, or is it something 338 00:17:36,520 --> 00:17:39,040 Speaker 2: we should do right now? And you know, you have 339 00:17:39,080 --> 00:17:41,119 Speaker 2: a doctor that you like and trust, and if they 340 00:17:41,160 --> 00:17:43,000 Speaker 2: say no, we really should give it now, then then 341 00:17:43,040 --> 00:17:45,400 Speaker 2: that is the right decision. But at least to make 342 00:17:45,440 --> 00:17:48,800 Speaker 2: everyone think about it a little bit without having, you know, 343 00:17:49,040 --> 00:17:50,760 Speaker 2: a sort of a knee jerk reaction to give it. 344 00:17:50,800 --> 00:17:54,520 Speaker 2: And I do think most most physicians realize exactly what 345 00:17:54,520 --> 00:17:57,600 Speaker 2: I'm saying, that antibiotics do not come without potential down 346 00:17:57,880 --> 00:18:00,960 Speaker 2: you know, a downside, So they are thoughtful of it. 347 00:18:01,000 --> 00:18:04,320 Speaker 2: And I'm hoping that your europe nutricians are giving it 348 00:18:04,440 --> 00:18:06,920 Speaker 2: because they think it's really necessary and not just kind 349 00:18:06,960 --> 00:18:09,480 Speaker 2: of throwing it at people because we've all seen the 350 00:18:09,840 --> 00:18:10,480 Speaker 2: effects of it. 351 00:18:10,960 --> 00:18:21,720 Speaker 1: Yeah, okay, I'm seeing all over the TikTok the trend 352 00:18:22,240 --> 00:18:26,359 Speaker 1: of when people start their day with a spoonful of 353 00:18:26,560 --> 00:18:31,359 Speaker 1: live probiotic coconut yogurt or something like that. Does that 354 00:18:31,440 --> 00:18:33,440 Speaker 1: actually work and what are the benefits? 355 00:18:33,960 --> 00:18:36,800 Speaker 2: Yeah? I mean, I definitely think yogurt, whether it's the 356 00:18:36,800 --> 00:18:40,280 Speaker 2: coconut yogurt with bacteria or just regular yogurt, has live 357 00:18:40,320 --> 00:18:42,400 Speaker 2: and active cultures most of the time. You can check 358 00:18:42,440 --> 00:18:44,720 Speaker 2: the label to be sure. I mean, I definitely have 359 00:18:44,840 --> 00:18:47,840 Speaker 2: that every morning. I have yogurt every morning because I 360 00:18:47,880 --> 00:18:51,280 Speaker 2: want to get my dose of probiotics that way. And yeah, 361 00:18:51,280 --> 00:18:53,080 Speaker 2: I think it definitely is a great way to help 362 00:18:53,200 --> 00:18:56,960 Speaker 2: introduce and keep introducing on a daily basis healthy bacteria 363 00:18:57,040 --> 00:19:00,040 Speaker 2: into your system, which will then kind of settle, you know, 364 00:19:00,200 --> 00:19:03,520 Speaker 2: set up shop in your gut and reproducing. But I 365 00:19:03,560 --> 00:19:05,720 Speaker 2: definitely think that's a great, great way to start your day. 366 00:19:05,840 --> 00:19:08,320 Speaker 1: Well, that's a lesson learned from the TikTok, So thank 367 00:19:08,359 --> 00:19:11,320 Speaker 1: you to all those people doing it. Also, this is 368 00:19:11,359 --> 00:19:14,440 Speaker 1: another one I wanted to ask you about castor oil 369 00:19:14,840 --> 00:19:16,399 Speaker 1: packs on your belly button. 370 00:19:17,000 --> 00:19:20,440 Speaker 2: Yeah, that I've seen vaguely. I don't think that there's 371 00:19:20,480 --> 00:19:24,720 Speaker 2: any good evidence to support that being beneficial in any way. 372 00:19:24,760 --> 00:19:26,600 Speaker 2: But if I'm. 373 00:19:26,000 --> 00:19:28,000 Speaker 1: Doing it, and I have no idea, why. 374 00:19:29,800 --> 00:19:34,040 Speaker 2: Say it for whatever reason makes you feel calmer or 375 00:19:34,280 --> 00:19:36,800 Speaker 2: suits you in some way, Like I'm all for it, 376 00:19:36,880 --> 00:19:40,200 Speaker 2: that's fine, But do I think it's somehow like sweeping 377 00:19:40,240 --> 00:19:43,480 Speaker 2: in and causing actual internal changes in a good way. No, 378 00:19:43,840 --> 00:19:44,479 Speaker 2: I don't think so. 379 00:19:45,160 --> 00:19:48,919 Speaker 1: Yeah, I know a lot of people, probably some of 380 00:19:48,960 --> 00:19:53,240 Speaker 1: our listeners right now are sober or sober curious. 381 00:19:53,760 --> 00:19:53,960 Speaker 2: Yeah. 382 00:19:54,400 --> 00:19:56,880 Speaker 1: We talked about this briefly in the effects of alcohol 383 00:19:57,240 --> 00:19:59,040 Speaker 1: on the gut? Are no bueno right? 384 00:19:59,440 --> 00:20:00,280 Speaker 2: Correct? Yeah? 385 00:20:00,480 --> 00:20:01,320 Speaker 1: A hammer at home? 386 00:20:01,800 --> 00:20:04,680 Speaker 2: Yeah it is, and it's you know, it's been unfortunate, 387 00:20:04,720 --> 00:20:07,840 Speaker 2: I guess, unfortunate in the sense that we used to think, well, 388 00:20:08,480 --> 00:20:12,080 Speaker 2: drinking and moderation actually could be healthy for you overall, 389 00:20:12,240 --> 00:20:15,280 Speaker 2: and then we found well, moderation isn't what you may think. 390 00:20:15,359 --> 00:20:18,720 Speaker 2: Moderation is only one glass for a woman per day, 391 00:20:19,119 --> 00:20:22,040 Speaker 2: and now it looks like even that is not healthy. 392 00:20:22,160 --> 00:20:23,959 Speaker 2: I mean, if you're doing it because you enjoy it, 393 00:20:24,000 --> 00:20:26,960 Speaker 2: then do it, But don't do it because you think 394 00:20:27,000 --> 00:20:30,160 Speaker 2: there's a health benefit. Now it looks really not. It's 395 00:20:30,200 --> 00:20:30,800 Speaker 2: better not to. 396 00:20:31,560 --> 00:20:33,920 Speaker 1: I just heard it all but different ways, like, yes, 397 00:20:34,080 --> 00:20:37,040 Speaker 1: it's good to drink a glass of red wine every day, No, 398 00:20:37,280 --> 00:20:38,879 Speaker 1: you should never drink alcohol. 399 00:20:39,640 --> 00:20:41,639 Speaker 2: Yeah, I think that's I mean, I think the research 400 00:20:41,680 --> 00:20:44,880 Speaker 2: research is showing us that none is better than some. 401 00:20:45,680 --> 00:20:48,679 Speaker 2: That doesn't mean in moderation is the worst thing in 402 00:20:48,720 --> 00:20:50,760 Speaker 2: the world. There are many worst things you could be doing, 403 00:20:50,800 --> 00:20:53,600 Speaker 2: but I wouldn't say you should really kid yourself to 404 00:20:53,640 --> 00:20:56,600 Speaker 2: think that it's doing you any good and over time 405 00:20:56,640 --> 00:21:00,360 Speaker 2: about the gut directly or you know, specifically, No, it's 406 00:21:00,400 --> 00:21:02,240 Speaker 2: not good for your gut at all. I mean, we see, 407 00:21:02,280 --> 00:21:05,840 Speaker 2: I do endoscopes, colonoscopies, and you see this is more 408 00:21:05,880 --> 00:21:11,120 Speaker 2: with heavy alcohol use, but you actually can see, you know, irritations, tears, redness, 409 00:21:11,160 --> 00:21:13,080 Speaker 2: all these things going on in the stomach and the 410 00:21:13,080 --> 00:21:17,800 Speaker 2: digestive track because the alcohol is directly toxic your digestion. 411 00:21:18,119 --> 00:21:21,480 Speaker 1: Okay, let's get down to really brass tacks here. Yes, 412 00:21:21,640 --> 00:21:22,639 Speaker 1: let's talk about poop. 413 00:21:23,000 --> 00:21:24,400 Speaker 2: Yeah, I thought you were going to go there. 414 00:21:25,359 --> 00:21:27,479 Speaker 1: I mean, everybody must go there when they talk to you, 415 00:21:27,920 --> 00:21:29,080 Speaker 1: so exciting. 416 00:21:28,920 --> 00:21:29,600 Speaker 2: They're supposed to. 417 00:21:29,760 --> 00:21:33,240 Speaker 1: Yeah, okay, So does how frequently you use the bathroom 418 00:21:33,760 --> 00:21:36,359 Speaker 1: have anything to do with your gut health? And what 419 00:21:36,440 --> 00:21:39,520 Speaker 1: about the consistency of the poop? 420 00:21:39,920 --> 00:21:43,040 Speaker 2: Yeah? Well, I mean I definitely get this question a lot. 421 00:21:43,160 --> 00:21:45,480 Speaker 2: And one thing I want to say is I don't 422 00:21:45,760 --> 00:21:48,920 Speaker 2: want people to get too hung up on a certain 423 00:21:49,000 --> 00:21:52,080 Speaker 2: magic number that if they're not going that number, there 424 00:21:52,119 --> 00:21:54,440 Speaker 2: must be something terribly wrong, because I do think as 425 00:21:54,880 --> 00:21:59,280 Speaker 2: gastroinrologists what we look for is changes or you know, 426 00:21:59,359 --> 00:22:01,960 Speaker 2: things that are outside your normal routine. So I could 427 00:22:02,000 --> 00:22:05,919 Speaker 2: have a patient who goes to the bathroom once every 428 00:22:06,200 --> 00:22:10,240 Speaker 2: two to three days, but she feels totally fine. She 429 00:22:10,280 --> 00:22:13,520 Speaker 2: doesn't feel bloated or uncomfortable or anything, and that's been 430 00:22:13,560 --> 00:22:16,040 Speaker 2: her pattern for the last twenty years. So for her, 431 00:22:16,080 --> 00:22:18,960 Speaker 2: I'm like, that's fine, if you feel good, there's nothing 432 00:22:19,080 --> 00:22:21,399 Speaker 2: dangerous going on in your body, that's just your colon 433 00:22:21,440 --> 00:22:23,560 Speaker 2: seems to move at that pace, and that's all good. 434 00:22:24,080 --> 00:22:26,919 Speaker 2: But if she was, you know, normally going every day 435 00:22:27,080 --> 00:22:28,440 Speaker 2: and all of a sudden she says, for the last 436 00:22:28,480 --> 00:22:30,879 Speaker 2: six months, I've been going at once every two or 437 00:22:30,880 --> 00:22:34,600 Speaker 2: three days, that's definitely an alarm in my mind that, okay, 438 00:22:34,600 --> 00:22:36,680 Speaker 2: we need to figure out why that is. And could 439 00:22:36,720 --> 00:22:41,080 Speaker 2: be something as simple as, you know, she changed her diet, 440 00:22:41,240 --> 00:22:43,879 Speaker 2: or she's not exercising as much so she's not moving 441 00:22:43,920 --> 00:22:46,399 Speaker 2: and that's affecting her bowels, or she's more stressed. It 442 00:22:46,440 --> 00:22:49,119 Speaker 2: could be something very serious like a tumor in her colon, 443 00:22:49,160 --> 00:22:50,760 Speaker 2: you know, So we definitely need to get to the 444 00:22:50,760 --> 00:22:52,879 Speaker 2: bottom of it. But I would say this is a 445 00:22:52,920 --> 00:22:58,479 Speaker 2: general rule of thumb somewhere in between going two times 446 00:22:58,520 --> 00:23:02,000 Speaker 2: a day to once every three days in that range. 447 00:23:02,520 --> 00:23:05,240 Speaker 2: If that's if that's your pattern for many years, that's 448 00:23:05,280 --> 00:23:08,680 Speaker 2: totally fine. If it's beyond that, if you're going every 449 00:23:08,760 --> 00:23:11,560 Speaker 2: four days or five days, that's probably something you want 450 00:23:11,600 --> 00:23:13,520 Speaker 2: to get checked out, even if that's been for a 451 00:23:13,560 --> 00:23:15,800 Speaker 2: long time. And if you're going, you know, four or 452 00:23:15,800 --> 00:23:18,760 Speaker 2: five times a day, that's also something that you probably 453 00:23:18,800 --> 00:23:19,159 Speaker 2: want to end. 454 00:23:19,480 --> 00:23:23,080 Speaker 1: Yeah, yeah, I think that's good. Okay, that's a really 455 00:23:23,160 --> 00:23:29,120 Speaker 1: good guideline. And especially if your pooh rhythm changes. 456 00:23:29,440 --> 00:23:33,480 Speaker 2: Correct changes and then yeah, sorry, you asked about the consistency. 457 00:23:33,640 --> 00:23:35,000 Speaker 1: What did your poo look like? 458 00:23:35,560 --> 00:23:37,600 Speaker 2: Yeah, so you want it to be And again it 459 00:23:37,640 --> 00:23:39,440 Speaker 2: can change with so all of us. If we eat 460 00:23:39,440 --> 00:23:41,560 Speaker 2: something that we're not we don't normally eat, or something 461 00:23:41,560 --> 00:23:43,720 Speaker 2: a little different, you might notice that your your poop 462 00:23:43,720 --> 00:23:45,320 Speaker 2: looks a little different than it normally. 463 00:23:45,320 --> 00:23:47,680 Speaker 1: Do I'm want to laugh every time we say poo 464 00:23:47,760 --> 00:23:49,399 Speaker 1: or poop. I don't know what is wrong with me. 465 00:23:49,920 --> 00:23:50,400 Speaker 1: That's okay. 466 00:23:50,880 --> 00:23:53,840 Speaker 2: But if you notice a consistent change where things are 467 00:23:54,240 --> 00:23:57,359 Speaker 2: much looser than normal, or they're sort of falling apart 468 00:23:57,520 --> 00:24:00,360 Speaker 2: in the toilet bowl and through the water. You really 469 00:24:00,400 --> 00:24:04,560 Speaker 2: wanted to be somewhat formed. Solid. You want to have 470 00:24:04,640 --> 00:24:08,399 Speaker 2: a fair size. You don't want tiny little pellets or right. 471 00:24:08,720 --> 00:24:10,800 Speaker 2: And then too hard is also not good. So I 472 00:24:10,800 --> 00:24:12,600 Speaker 2: said solid, But you don't want it to be rock 473 00:24:12,640 --> 00:24:14,840 Speaker 2: hard or painful to come out or anything like that. 474 00:24:14,960 --> 00:24:18,920 Speaker 2: So that's also a sign that things are not optimal inside. 475 00:24:19,040 --> 00:24:21,080 Speaker 2: So yeah, you just want it to be kind of 476 00:24:21,080 --> 00:24:23,520 Speaker 2: like a nice they say, a sausage shape or an 477 00:24:23,640 --> 00:24:26,639 Speaker 2: s shape, but that kind of thing. And again I 478 00:24:26,640 --> 00:24:28,679 Speaker 2: don't want I don't want people to become obsessed with 479 00:24:28,720 --> 00:24:30,720 Speaker 2: like it has to be the perfect poop every time. 480 00:24:30,840 --> 00:24:34,720 Speaker 2: But generally they're if you're not straining, you're not wiping 481 00:24:34,840 --> 00:24:37,720 Speaker 2: for thirty minutes because it's so loose or it's a 482 00:24:37,760 --> 00:24:40,760 Speaker 2: strange consistency, you know, then you're probably okay. 483 00:24:40,800 --> 00:24:42,520 Speaker 1: If you're not doing I don't know how you do 484 00:24:42,600 --> 00:24:44,720 Speaker 1: your job. I couldn't do this, like I couldn't talk 485 00:24:44,760 --> 00:24:46,760 Speaker 1: about people's poo all day every day. 486 00:24:46,840 --> 00:24:49,280 Speaker 2: That's yeah, yeah, well we're a strange breed. 487 00:24:51,800 --> 00:24:55,480 Speaker 1: God bless you, so definitely, God bless you. Okay, So 488 00:24:55,880 --> 00:25:00,840 Speaker 1: my manager, mister showbiz he does intermittent fasting. Is that 489 00:25:01,840 --> 00:25:03,639 Speaker 1: good or bad for your gut? 490 00:25:04,200 --> 00:25:06,760 Speaker 2: That's a new question. I think intermittent fasting that the 491 00:25:06,800 --> 00:25:09,280 Speaker 2: research is sort of mixed on it overall, not just 492 00:25:09,720 --> 00:25:13,760 Speaker 2: gut health, but for overall health. And some research suggests 493 00:25:13,760 --> 00:25:16,600 Speaker 2: that it can be quite beneficial. Other research as it 494 00:25:16,640 --> 00:25:19,080 Speaker 2: really doesn't make a difference. I don't think it essentially 495 00:25:19,119 --> 00:25:21,879 Speaker 2: going to be harmful for your gut or your health. 496 00:25:22,160 --> 00:25:25,720 Speaker 2: What I do think is it's hard to maintain. It's 497 00:25:25,800 --> 00:25:30,680 Speaker 2: a pretty difficult, not sustainable for most people kind of 498 00:25:30,920 --> 00:25:35,040 Speaker 2: eating pattern. I don't think there's you know, I don't 499 00:25:35,040 --> 00:25:37,200 Speaker 2: think there's evidence to show that it's good for your gut. 500 00:25:37,200 --> 00:25:38,880 Speaker 2: But I don't think there's evidence to show it's bad 501 00:25:38,880 --> 00:25:40,960 Speaker 2: for your guts. So if you're doing it for other reasons. 502 00:25:40,960 --> 00:25:43,600 Speaker 2: For some people it just helps them overall control their 503 00:25:43,600 --> 00:25:45,640 Speaker 2: eating and calorie and take and that kind of thing, 504 00:25:46,040 --> 00:25:48,600 Speaker 2: then it's fine. But again, I don't think there's strong 505 00:25:48,640 --> 00:25:50,760 Speaker 2: evidence showing that it's hugely beneficial. 506 00:25:51,920 --> 00:25:56,399 Speaker 1: Okay, I'll let him keep doing it. Then I just 507 00:25:56,560 --> 00:25:59,840 Speaker 1: have two last questions. Is there a difference between men 508 00:26:00,480 --> 00:26:04,560 Speaker 1: and women's needs when it comes to gut health. 509 00:26:04,920 --> 00:26:09,120 Speaker 2: Yes, there is so I talked about fiber and why 510 00:26:09,160 --> 00:26:12,120 Speaker 2: it's so important that most Americans are not getting enough fiber, 511 00:26:12,560 --> 00:26:15,840 Speaker 2: and actually the women's needs are different from men, and 512 00:26:15,880 --> 00:26:18,760 Speaker 2: in some stages of life, women need more fiber, other 513 00:26:18,800 --> 00:26:20,879 Speaker 2: stages of life, men need more fibers, So that that 514 00:26:21,000 --> 00:26:23,080 Speaker 2: is one difference. The other thing is when you look 515 00:26:23,080 --> 00:26:25,600 Speaker 2: at a lot of GI conditions, things like irritable bealve 516 00:26:25,640 --> 00:26:28,359 Speaker 2: for example, you definitely see a higher prevalence in women, 517 00:26:29,800 --> 00:26:33,040 Speaker 2: and we're not exactly clear why that is. And you know, 518 00:26:33,080 --> 00:26:36,560 Speaker 2: there's some overlap with some anxiety and things like that, 519 00:26:36,600 --> 00:26:39,360 Speaker 2: which are also more women. But I also think there's 520 00:26:39,400 --> 00:26:44,880 Speaker 2: just biological differences in female digestive tracts compared to men, 521 00:26:44,920 --> 00:26:46,760 Speaker 2: and I'm sure the hormones play a role in that. 522 00:26:46,840 --> 00:26:49,440 Speaker 2: I don't think we're one hundred percent clear why there 523 00:26:49,480 --> 00:26:52,679 Speaker 2: are differences, But like most things in life, you know, 524 00:26:52,720 --> 00:26:55,280 Speaker 2: women's bodies are different and we have to kind of 525 00:26:55,320 --> 00:26:58,320 Speaker 2: recognize that and treat it accordingly, for sure. But it's 526 00:26:58,359 --> 00:27:01,400 Speaker 2: interesting because you talk about, you know, feeling uncomfortable talking 527 00:27:01,440 --> 00:27:03,720 Speaker 2: about battle movements, and even there I see a difference 528 00:27:03,720 --> 00:27:07,600 Speaker 2: where men actually often are much more comfortable not talking 529 00:27:07,640 --> 00:27:11,080 Speaker 2: about these things. Wouldn't feel like it's not ladylike, or 530 00:27:11,400 --> 00:27:13,800 Speaker 2: they're much more embarrassed when they have to tell me something, 531 00:27:13,800 --> 00:27:15,600 Speaker 2: whereas men kind of just lay it all out there. 532 00:27:15,640 --> 00:27:20,000 Speaker 1: And lucky for that. I don't know. Yeah, I'm gonna okay. 533 00:27:20,040 --> 00:27:21,959 Speaker 1: First of all, I'm going to read your book. I 534 00:27:22,040 --> 00:27:26,480 Speaker 1: recommend everybody reading Good Gut Renovation. And then I'm also 535 00:27:26,600 --> 00:27:29,800 Speaker 1: going to go back and read the children's book Everybody Poops, 536 00:27:30,320 --> 00:27:32,560 Speaker 1: and maybe I will get more comfortable with it. There 537 00:27:32,600 --> 00:27:38,480 Speaker 1: you go, before I let you go, Doctor Raj, what 538 00:27:39,080 --> 00:27:41,359 Speaker 1: was your last I Choose me moment? 539 00:27:42,240 --> 00:27:44,760 Speaker 2: Oh? Wow, let's see. 540 00:27:45,000 --> 00:27:46,399 Speaker 1: You take care of a lot of people. 541 00:27:46,760 --> 00:27:49,640 Speaker 2: I do. I do as I think most of us do. 542 00:27:49,880 --> 00:27:54,480 Speaker 2: But I guess my last I Choose Me moment was well, 543 00:27:54,840 --> 00:27:57,360 Speaker 2: I think you're into home design, so maybe you'll appreciate 544 00:27:57,400 --> 00:27:57,879 Speaker 2: the song. 545 00:27:58,200 --> 00:27:59,440 Speaker 1: Yes, I saw this. 546 00:28:00,119 --> 00:28:06,399 Speaker 2: Beautiful on Facebook marketplace, this beautiful antique settee like Rosewood, 547 00:28:06,560 --> 00:28:10,040 Speaker 2: so pretty. I need some re string. But my fance 548 00:28:10,280 --> 00:28:12,240 Speaker 2: didn't like it. I knew it was going to be 549 00:28:12,280 --> 00:28:14,840 Speaker 2: a big hassle to get to my house, but it's like, 550 00:28:15,040 --> 00:28:16,480 Speaker 2: I'm going to get this for myself. 551 00:28:16,520 --> 00:28:19,959 Speaker 1: So you bought yourself a settee. I did I love that? 552 00:28:20,119 --> 00:28:21,639 Speaker 2: Well, well, it's going to go at the foot of 553 00:28:21,640 --> 00:28:23,959 Speaker 2: the bed. But and I carried it in with the 554 00:28:24,000 --> 00:28:26,080 Speaker 2: guy who was selling it. It was really heavy, but 555 00:28:26,119 --> 00:28:27,160 Speaker 2: I brought. 556 00:28:26,960 --> 00:28:30,920 Speaker 1: It in And you didn't even ask. You didn't even 557 00:28:30,920 --> 00:28:32,080 Speaker 1: ask for your husband's help. 558 00:28:32,400 --> 00:28:35,120 Speaker 2: No, no, I knew it was all right. Right. 559 00:28:36,720 --> 00:28:39,840 Speaker 1: Listen. We are we are innovative, We get around things. 560 00:28:39,880 --> 00:28:41,560 Speaker 1: We can make it happen if we really want to 561 00:28:41,560 --> 00:28:42,880 Speaker 1: make it happen. I'm proud of you. 562 00:28:44,240 --> 00:28:45,280 Speaker 2: Thank you well. 563 00:28:45,520 --> 00:28:50,080 Speaker 1: Enjoy sitting on your settee and it's been such a 564 00:28:50,080 --> 00:28:52,440 Speaker 1: pleasure talking to you today. Thank you for being on 565 00:28:52,560 --> 00:28:52,960 Speaker 1: the pod. 566 00:28:53,280 --> 00:28:55,320 Speaker 2: Thank you. Just have the same I as many of 567 00:28:55,360 --> 00:28:58,280 Speaker 2: my generation. Huge fan of nine O two one oh. 568 00:28:58,520 --> 00:29:01,080 Speaker 2: My collegemates and I were just glued to the screen 569 00:29:01,200 --> 00:29:04,360 Speaker 2: every week, so big band to talk. 570 00:29:04,440 --> 00:29:08,960 Speaker 1: We grew up together. Yeah, thank you, Thank you so much. 571 00:29:09,000 --> 00:29:09,640 Speaker 1: Have a great day. 572 00:29:09,760 --> 00:29:10,360 Speaker 2: Heare you too. 573 00:29:10,560 --> 00:29:12,720 Speaker 1: Bye bye