What makes for a flourishing garden? 00:00:01.36\00:00:03.33 It's underground. 00:00:03.37\00:00:04.70 Rich, fertile, living soil is what helps plants ward off 00:00:04.73\00:00:08.57 pests and diseases, and results in the greatest yield. 00:00:08.60\00:00:11.87 When we talk about living soil, part of what we're referring to 00:00:12.27\00:00:15.44 is the diverse microbial population 00:00:15.48\00:00:17.91 that lives in the soil. 00:00:17.95\00:00:19.28 Yeah, microbes such as fungi and bacteria. 00:00:19.31\00:00:22.02 Like the soil in the garden, 00:00:22.32\00:00:23.75 your gut contains bacteria and fungi. 00:00:23.79\00:00:26.25 We call it the gut microbiota, or microbiome. 00:00:26.45\00:00:29.59 And like soil, it's dynamic, vulnerable to how we treat it. 00:00:29.62\00:00:33.90 It changes outcomes and plays a phenomenal role 00:00:33.93\00:00:36.90 in causing you to flourish. 00:00:36.93\00:00:38.80 Which is exactly what you were made for. 00:00:38.83\00:00:41.44 It's time, not only for another great program, 00:00:58.69\00:01:02.32 but it's time to gut it. 00:01:02.36\00:01:04.59 Meaning, let's do this thing of taking care of our gut. 00:01:04.63\00:01:08.50 The first step is, don't feed it junk food. 00:01:08.53\00:01:11.73 Because remember, anything you put into your mouth 00:01:12.03\00:01:16.00 that goes into your stomach eventually will go and be 00:01:16.04\00:01:19.67 communicating directly with the microbiome. 00:01:19.71\00:01:22.71 That's why one of the foods or products that I'm most 00:01:22.74\00:01:27.62 against and strongly advise my patients against using 00:01:27.65\00:01:32.02 is the artificial sweeteners. 00:01:32.05\00:01:33.76 Because they devastate the microbiome. 00:01:33.96\00:01:38.09 That's interesting that Dr. Youngberg brought up 00:01:38.13\00:01:41.16 sugar substitutes. 00:01:41.20\00:01:42.56 Now we tend to look at sugar substitutes as having 00:01:42.76\00:01:45.03 no affect upon us because they don't contain calories or carbs. 00:01:45.07\00:01:49.74 The majority of it literally goes straight through our 00:01:49.84\00:01:52.51 digestive system unabsorbed. 00:01:52.54\00:01:54.44 But on its way through, non-nutritive sweeteners 00:01:54.64\00:01:57.98 cause harm and destruction to our gut microbiome. 00:01:58.01\00:02:01.08 People choose sugar substitutes because they 00:02:01.75\00:02:04.09 think they're better for them. 00:02:04.12\00:02:05.85 And yet, they've been found to negatively affect us, 00:02:05.89\00:02:08.66 raise blood sugar levels, trigger insulin resistance, 00:02:08.86\00:02:12.03 and can cause weight gain, especially around the abdomen, 00:02:12.06\00:02:15.50 all without any carbs or calories. 00:02:15.53\00:02:17.77 They are not the health food we thought they were. 00:02:18.03\00:02:20.47 What else affects the gut microbiomes? 00:02:20.84\00:02:23.14 The average American lifestyle is horrible. 00:02:23.57\00:02:25.77 That's why we call it the SAD diet. 00:02:26.41\00:02:28.04 The standard American diet. 00:02:28.08\00:02:29.54 It does not support good microbiome. No. 00:02:29.74\00:02:32.31 So it begins with not putting unhealthy substances 00:02:32.51\00:02:37.82 into our body. 00:02:37.85\00:02:39.19 Making sure that the water that we're drinking is 00:02:39.25\00:02:41.66 clean and pure, and that it's properly filtered 00:02:41.69\00:02:45.69 so there's no toxins in the water that we drink. 00:02:45.73\00:02:49.80 Making sure that in our diet that we're not consuming 00:02:49.83\00:02:55.30 liquids, most liquids that people consume during the day 00:02:55.50\00:02:59.74 are unhealthy, okay. 00:02:59.77\00:03:01.54 And if somebody has chronic diseases or has excess weight, 00:03:01.58\00:03:08.35 they shouldn't even be drinking fruit juices. 00:03:08.38\00:03:10.35 I'm not against fruit juices for everybody, 00:03:10.39\00:03:13.05 but if you know that you have excess weight, 00:03:13.25\00:03:17.19 or that you have problems with blood sugars, 00:03:17.23\00:03:19.69 or problems with insulin resistance, 00:03:19.89\00:03:22.83 you know, I say, don't drink your fruit. 00:03:23.03\00:03:24.83 I'm all about eating fruit, but say don't drink it. 00:03:24.87\00:03:27.70 Because if you drink your fruit, you're eliminating 00:03:27.74\00:03:30.01 one of the most important parts of fruit, 00:03:30.04\00:03:32.37 which is the fiber most of the time. 00:03:32.41\00:03:34.98 So there are a lot of things that we can do, 00:03:35.01\00:03:37.91 including make sure you're just not sleeping inadequately. 00:03:37.95\00:03:42.02 It's bad for the microbiome. 00:03:42.05\00:03:44.15 When we exercise and when we sweat, we remove toxins. 00:03:44.55\00:03:48.76 That's something that is beneficial 00:03:48.79\00:03:50.73 to the microbiome as well. 00:03:50.76\00:03:52.49 I also am very careful to analyze whether somebody is 00:03:52.53\00:03:56.80 sensitive to toxins through genetic testing 00:03:56.83\00:03:59.93 and through urine toxin testing. 00:03:59.97\00:04:01.80 Because what do toxins do? 00:04:01.84\00:04:03.91 They destroy the healthy bacteria in the gut. 00:04:03.94\00:04:07.44 That's why we don't want to inadvertently just take 00:04:07.91\00:04:11.01 antibiotics just to take them 00:04:11.05\00:04:13.05 or especially take them inappropriately 00:04:13.08\00:04:15.95 because they destroy the microbiome. 00:04:16.15\00:04:18.79 And so we need to constantly be thinking about ways 00:04:18.82\00:04:22.66 to restore and reseed and optimize the function 00:04:22.86\00:04:27.70 of the microbiome, of the healthy bacteria. 00:04:27.73\00:04:30.53 That might involve using some probiotics from time to time. 00:04:30.57\00:04:35.14 But the most important thing is, you've got to 00:04:35.34\00:04:37.41 feed it the right food. 00:04:37.44\00:04:38.77 The healthy bacteria, the microbiome, 00:04:39.57\00:04:42.74 basically live off of prebiotics. 00:04:42.94\00:04:48.18 These are fiber type foods or fibers found in foods 00:04:48.22\00:04:53.56 that various vegetables, etc, that actually are consumed 00:04:53.86\00:05:00.33 by the bacteria. 00:05:00.36\00:05:01.80 And the bacteria can use these fibers 00:05:02.20\00:05:05.10 to create other nutrients that we didn't even eat 00:05:05.13\00:05:08.60 that actually have a totally different chemical structure 00:05:08.90\00:05:11.97 because they have enzymes in them that we don't 00:05:12.17\00:05:15.11 that can actually convert all these healthy products 00:05:15.31\00:05:18.51 for our body to use and help fight disease, 00:05:18.55\00:05:21.52 and turn good genes on and bad genes off, 00:05:21.55\00:05:24.79 and do all the amazing things that our body was designed 00:05:24.82\00:05:28.32 to be able to do. 00:05:28.36\00:05:29.69 And be very intentional about rebuilding your microbiome 00:05:29.72\00:05:32.89 after you have a dose of antibiotics 00:05:32.93\00:05:34.96 because you know that has killed off a lot of your good bacteria. 00:05:35.16\00:05:38.80 Some research has revealed that after antibiotic treatment 00:05:39.20\00:05:42.80 most groups of bacteria recovered in a population group. 00:05:42.84\00:05:46.27 But some groups of bacteria didn't recover 00:05:46.78\00:05:49.88 even six months later. 00:05:49.91\00:05:51.85 And the level of restoration varied between the individuals. 00:05:51.88\00:05:55.35 I wish I could say that eating fermented foods and taking 00:05:55.38\00:05:58.65 probiotics would always cause a return to normal, 00:05:58.69\00:06:01.46 but they may not. 00:06:01.66\00:06:02.99 These strategies can be helpful, but depending on different 00:06:03.12\00:06:06.29 factors the microbiota may not always fully recover. 00:06:06.33\00:06:09.96 Scientists have found that modern man's gut microbes 00:06:11.03\00:06:13.57 don't look anything like our predecessors. 00:06:13.60\00:06:16.20 They found exceptionally well preserved ancient poo samples 00:06:16.24\00:06:20.01 from dry caves that date as early as the first century, 00:06:20.04\00:06:24.01 and they found that almost 40% of the microbial species 00:06:24.05\00:06:28.32 in the ancient stool had never been seen before. 00:06:28.35\00:06:31.85 In other words, whole families of bacteria gone. 00:06:31.89\00:06:35.76 And this is thought to be due to our modern world of 00:06:36.06\00:06:38.73 environmental chemical exposure, medications, eating overly 00:06:38.76\00:06:43.10 processed foods, and not eating enough plant varieties. 00:06:43.13\00:06:46.60 So we limit the diversity in our gut as a result. 00:06:46.97\00:06:50.07 And as a result of that, we have fewer types of organisms 00:06:50.27\00:06:53.54 to pass on to the next generation. 00:06:53.58\00:06:55.64 And on it goes. 00:06:55.68\00:06:57.01 Scientists are suggesting that this is one of the reasons 00:06:57.25\00:07:00.35 why we're seeing this rapid rise in chronic disease and obesity. 00:07:00.38\00:07:05.15 A healthy gut microbiome protects us against 00:07:06.69\00:07:10.69 the development of chronic diseases. 00:07:10.73\00:07:13.33 Now where there's imbalance, 00:07:13.73\00:07:16.10 chronic diseases will be the result. 00:07:16.30\00:07:19.30 It's about the diversity or the abundance of how many 00:07:19.90\00:07:25.21 kinds of bacteria live in your gut. 00:07:25.24\00:07:27.34 You want to have as many beneficial 00:07:27.38\00:07:30.15 guys in your gut as possible so that when a disaster comes, 00:07:30.18\00:07:34.32 like, for example, you need to take antibiotics. 00:07:34.35\00:07:37.29 They will destroy some of the bad guys, 00:07:37.92\00:07:41.12 but also some of the good guys. 00:07:41.16\00:07:42.76 So you want to have like a good buffer of all the good guys 00:07:42.79\00:07:47.76 that are in your gut so that the disaster is not exaggerated. 00:07:47.80\00:07:52.27 So it's about diversity of the gut microbiome 00:07:53.17\00:07:56.07 and it's also about specific bacteria. 00:07:56.10\00:07:58.81 An example would be one cute bacteria that's called 00:07:59.44\00:08:03.95 Faecalibacterium Prausnitzii, which is a complicated name. 00:08:03.98\00:08:08.05 But this bacterium tends to be low in people with diabetes. 00:08:08.45\00:08:12.72 It's a bacterium that feeds on fiber 00:08:12.99\00:08:15.72 and produces the short chain fatty acids 00:08:15.76\00:08:18.63 that improve your insulin sensitivity, 00:08:18.66\00:08:21.26 decreases inflammation, and also helps our heart work better, 00:08:21.56\00:08:28.37 helps our brain work better. 00:08:28.40\00:08:30.57 So you want to increase this bacterium in your gut. 00:08:30.87\00:08:34.31 Now, people with diabetes have a lower count of 00:08:34.58\00:08:37.68 Faecalibacterium Prausnitzii, which is also associated 00:08:37.71\00:08:41.82 with increased insulin resistance. 00:08:41.85\00:08:44.29 So that's the jammed door lock where insulin cannot 00:08:44.45\00:08:48.82 open the door for glucose to come in. 00:08:48.86\00:08:51.93 And that's why there is higher blood sugar. 00:08:51.96\00:08:55.36 And also its associated with inflammation. 00:08:55.76\00:08:58.93 Now we put people on a low fat vegan diet for 16 weeks 00:08:59.53\00:09:04.21 and we measure their gut microbiome. 00:09:04.24\00:09:06.84 And after 16 weeks the abundance of Faecalibacterium Prausnitzii 00:09:07.11\00:09:12.78 increased, which was also associated with weight loss, 00:09:12.81\00:09:18.05 it was associated with fat loss, and the loss of visceral fat. 00:09:18.15\00:09:22.72 That's the most metabolically dangerous fat. 00:09:22.76\00:09:25.49 So when the visceral fat was decreased, 00:09:25.53\00:09:28.23 that's a significant improvement in health. 00:09:28.66\00:09:30.83 How do we get diversity in our gut microbiome 00:09:31.03\00:09:34.44 and all the bugs that we have in there? 00:09:34.47\00:09:36.24 And how do we make sure that they're not out of balance, 00:09:36.27\00:09:38.84 that the damaging ones aren't predominant 00:09:38.87\00:09:42.28 and that the healthy ones are really doing their job? 00:09:42.54\00:09:46.45 And so when I think about the gut, those are things 00:09:46.48\00:09:48.45 that I think about first and foremost. 00:09:48.48\00:09:50.22 The microbiome only survives if it's being fed properly, 00:09:50.25\00:09:54.46 if it's getting the proper nutrition. 00:09:54.86\00:09:56.62 If you have an inflammatory storm going on in the gut, 00:09:56.66\00:10:00.56 a lot of the microbiome is going to start fading out. 00:10:02.00\00:10:04.73 What starts coming in more are the yeasts. 00:10:06.03\00:10:10.04 So again, 30 years ago if you believed in systemic candidiasis 00:10:10.91\00:10:16.18 you were a quack. 00:10:16.51\00:10:17.85 Now everybody knows there is candidiasis in the gut. 00:10:18.28\00:10:21.32 And we see it elsewhere. 00:10:21.35\00:10:22.68 Yeah, I mean, I think we used to think there were 00:10:22.88\00:10:25.19 just a few that were the good ones. 00:10:25.22\00:10:26.79 And I think as more and more research has come out 00:10:27.12\00:10:29.32 we're just starting to understand, well, we don't 00:10:29.36\00:10:31.09 know exactly all the good ones, but we know that diversity 00:10:31.13\00:10:34.36 is the biggest marker of health. 00:10:34.40\00:10:36.93 And as a person loses health, they lose diversity. 00:10:37.13\00:10:40.27 And so there's this really direct connection between 00:10:40.30\00:10:42.57 diversity and health, which is really kind of cool 00:10:42.60\00:10:45.21 to think about. 00:10:45.24\00:10:46.74 And then some of the studies that say, well, you know, 00:10:46.78\00:10:49.54 what you eat directly impacts what microbiome grows 00:10:49.58\00:10:54.18 and what thrives versus what doesn't. 00:10:54.22\00:10:56.48 And as you switch a person's nutrition, 00:10:56.52\00:10:58.82 how quickly the microbiome can shift. 00:10:58.92\00:11:01.19 Within just hours to days you can start to see 00:11:01.22\00:11:04.66 this adaptation of the gut bugs to grow, 00:11:04.69\00:11:08.06 you know, according to what you feed it. 00:11:08.10\00:11:09.90 And again, this, I think it's amazing that God 00:11:10.10\00:11:12.77 created us so flexible and so adaptable, so resilient, 00:11:12.80\00:11:16.50 right, to try to adapt to what environment we are 00:11:16.60\00:11:20.38 creating in our bodies. 00:11:20.41\00:11:21.94 But in some ways, you know, the fact that we get to 00:11:22.64\00:11:25.95 adjust and adapt so quickly can be difficult for us 00:11:25.98\00:11:29.32 when we're giving ourselves the wrong input. 00:11:29.35\00:11:31.52 The changes in gut microbiome happen actually fairly quickly. 00:11:32.62\00:11:37.66 For example, when people start consuming a high fat diet, 00:11:37.86\00:11:42.50 the bad guys in the gut start multiplying fairly quickly. 00:11:43.13\00:11:47.77 Within a few days they start taking over. 00:11:47.80\00:11:50.64 Now, many people think, if that happens, what helps me 00:11:51.04\00:11:54.84 is probiotics. 00:11:54.88\00:11:56.68 "I will just get some yogurt or Bifidobacterium 00:11:56.71\00:12:01.52 in a drink, or so." 00:12:01.55\00:12:03.45 Well, that may help only short term. 00:12:03.95\00:12:07.02 But you need to keep in mind, if you're consuming 00:12:07.06\00:12:10.99 the pro bacteria from fermented foods, let's say, 00:12:11.86\00:12:17.10 and you still keep eating the high fat diet, 00:12:17.57\00:12:21.20 that's like a fuel for all the bad guys in your gut. 00:12:21.60\00:12:25.37 So the probiotics will not be as helpful. 00:12:25.41\00:12:30.71 In contrast to eating prebiotics, which is the food 00:12:31.21\00:12:36.08 for the right kind of bacteria in your gut. 00:12:36.12\00:12:38.62 Now what is the prebiotic, what is it in? 00:12:38.65\00:12:41.82 It's in all plant foods, but in some foods more than in others. 00:12:42.09\00:12:47.36 So the highest concentrations of prebiotics in plant foods are 00:12:47.63\00:12:52.43 in whole grains. 00:12:52.47\00:12:54.10 So you may want to stock up on brown rice 00:12:54.14\00:12:57.41 and millet and buckwheat. 00:12:57.44\00:12:59.14 And it's also in onions and garlic. 00:12:59.47\00:13:02.48 And in other vegetables and fruits as well. 00:13:02.51\00:13:05.05 Unity and diversity is a hallmark of health, 00:13:05.65\00:13:09.38 especially in the gut. 00:13:09.42\00:13:11.02 How can we nurture healthy diversity inside of us? 00:13:11.42\00:13:14.26 Believe it or not, it's not just about food. 00:13:14.32\00:13:17.06 People with larger social networks tend to have a more 00:13:17.36\00:13:20.46 diverse microbiome. 00:13:20.50\00:13:22.00 Meaning they have more different kinds of beneficial microbes. 00:13:22.03\00:13:25.67 Unity and diversity with each other is good, 00:13:25.97\00:13:29.27 even for the gut. 00:13:29.30\00:13:30.64 In fact, the majority of individuals who have a 00:13:30.87\00:13:32.87 significant other have higher microbial diversity 00:13:32.91\00:13:36.18 than the average single individual. 00:13:36.21\00:13:38.31 And if you have children, it's even better. 00:13:38.55\00:13:41.18 Another reason why it's not good for man to be alone. 00:13:41.52\00:13:44.25 We know that people, for example, in rural Africa 00:13:45.12\00:13:49.26 have a larger diversity of their gut microbiome 00:13:49.56\00:13:53.29 compared with people living in western countries. 00:13:53.33\00:13:56.33 Now, why is that? 00:13:56.63\00:13:58.07 One factor is a predominately plant-based diet 00:13:58.60\00:14:02.77 in rural Africa. 00:14:02.80\00:14:04.34 And another factor is also living 00:14:04.37\00:14:07.64 in more contact with soil. 00:14:07.68\00:14:09.71 With the level of sanitation in the western countries 00:14:10.91\00:14:14.02 in contrast to just getting all your fruits and vegetables 00:14:14.05\00:14:18.65 from the garden and maybe just washing them in water, 00:14:18.69\00:14:21.52 not necessarily in soap, that helps increase the 00:14:21.56\00:14:25.49 diversity of the gut microbiome. 00:14:25.53\00:14:27.50 Get your hands dirty. 00:14:27.53\00:14:29.40 That's one of the most important factors for your 00:14:30.33\00:14:32.83 gut microbiome as well. 00:14:32.87\00:14:34.20 I love that Dr. Kahleova directed us 00:14:35.07\00:14:38.11 to getting our hands dirty. 00:14:38.14\00:14:39.81 There's a time to be clean and a time to get dirty. 00:14:39.84\00:14:42.98 Gardener's gut microbiomes are more diverse 00:14:43.24\00:14:45.91 than those of non-gardeners. 00:14:45.95\00:14:48.02 Eating a diversity of whole plant-based foods 00:14:48.32\00:14:50.65 from the garden also makes a huge difference 00:14:50.69\00:14:53.86 because these kinds of foods have the most beneficial 00:14:53.89\00:14:56.52 impact on the diversity of the good guys in the gut. 00:14:56.56\00:14:59.93 In fact, you may have heard eating at least 30 different 00:15:00.63\00:15:03.87 plant-based foods each week will result in more varied 00:15:03.90\00:15:07.70 diverse gut bacteria, 00:15:07.74\00:15:09.40 and ultimately a healthier gut microbiome. 00:15:09.44\00:15:12.17 There are so many different kinds of fruits and vegetables, 00:15:12.54\00:15:15.44 beans, greens, grains, nuts, and seeds. 00:15:15.48\00:15:18.78 Time to get out of our rut. 00:15:19.08\00:15:20.68 Make it fun, get adventurous for your gut's sake. 00:15:20.72\00:15:24.39 Every microbe in the gut likes certain things. 00:15:24.79\00:15:31.16 So that's why it's good to eat a variety because 00:15:31.19\00:15:33.73 they all feed on different things. 00:15:33.76\00:15:37.20 And as long as it's whole food and plant-based, 00:15:37.73\00:15:40.47 you are growing the ones that need to grow 00:15:40.80\00:15:43.10 and suppressing the ones that need to be suppressed. 00:15:43.51\00:15:47.11 Yeah, so prebiotics, well, where are prebiotics? 00:15:47.14\00:15:49.08 Prebiotics are in all the fiber in the plant foods that we eat. 00:15:49.11\00:15:53.48 Everything that God created for us is what feeds the 00:15:53.52\00:15:57.02 healthy gut microbiome and helps the healthy gut grow. 00:15:57.05\00:16:01.22 Like, God created that. That's so amazing. 00:16:02.49\00:16:05.49 And what are those prebiotics? 00:16:06.19\00:16:08.03 Again, fiber, fiber, fiber. 00:16:08.73\00:16:11.80 And plants, plants, plants. 00:16:12.00\00:16:13.94 Because you're not forcing the issue by, "No, here, 00:16:13.97\00:16:17.04 you bacteria are going to be created by these pills 00:16:17.07\00:16:19.11 that I'm going to give you." 00:16:19.14\00:16:20.48 You're going to give it the fuel that by itself 00:16:20.51\00:16:23.24 creates the natural microbiome that starts from your mouth 00:16:23.28\00:16:27.32 all the way down to the lower gut. 00:16:27.62\00:16:30.62 In fact, the majority of it is in the gut, 00:16:30.95\00:16:32.72 in the large intestine. 00:16:32.75\00:16:34.22 And 60% of our poop is microbiome that goes away 00:16:34.52\00:16:39.19 and then we recreate it. 00:16:39.23\00:16:40.60 So every meal recreates the microbiome, 00:16:40.93\00:16:43.30 recreates the environment that is a factory. 00:16:43.50\00:16:46.60 It's a pharmacy. 00:16:46.90\00:16:48.24 It's a pharmacy that creates so many chemicals in your body. 00:16:48.70\00:16:52.11 And if you're giving it the wrong food, 00:16:52.41\00:16:53.91 wrong environment, wrong chemicals, 00:16:53.94\00:16:55.54 you're destroying the good factory 00:16:55.74\00:16:57.58 and you're bringing an artificial factory 00:16:57.61\00:17:00.05 that creates tension, anxiety, stress, brain damage. 00:17:00.08\00:17:03.39 The microbiome is important. 00:17:03.79\00:17:05.32 You don't have to rely on gimmicks. 00:17:05.52\00:17:07.19 Eat fiber, eat plants. 00:17:07.39\00:17:09.96 One of my favorite people is Dr. Denis Burkitt 00:17:10.09\00:17:13.86 who passed away as an elderly man in 1993. 00:17:13.90\00:17:18.40 But he was an amazing surgeon. 00:17:18.77\00:17:21.54 A medical missionary to Africa. 00:17:22.40\00:17:24.74 And he was one of the first physicians to discover 00:17:24.77\00:17:28.58 how to address certain pediatric cancers. 00:17:28.88\00:17:32.45 Burkitt lymphoma was named after Dr. Denis Burkitt. 00:17:34.22\00:17:37.95 And I remember when I was just early in my faculty 00:17:38.32\00:17:45.06 assignment at Loma Linda University School of 00:17:45.16\00:17:47.43 Public Health in the early 90's. 00:17:47.46\00:17:50.67 Dr. Denis Burkitt came to Loma Linda and gave a talk. 00:17:50.70\00:17:54.84 It was such an amazing talk. 00:17:54.87\00:17:56.81 Just such an amazing Christian scientist, medical professional. 00:17:56.84\00:18:02.44 And he very wittingly talked about the impact 00:18:02.64\00:18:08.98 of fiber on health. 00:18:09.02\00:18:10.59 He said that everywhere he went, he said that when 00:18:10.62\00:18:14.16 he noticed that the patients that he had 00:18:14.19\00:18:18.23 had large bowel movements, okay, the hospitals in those areas 00:18:18.26\00:18:22.53 were very small because you didn't need many hospitals. 00:18:22.56\00:18:25.80 He said, but when he went to other places of Africa 00:18:25.83\00:18:29.30 where the patient's bowel movements were very small, 00:18:29.34\00:18:32.87 in other words, they had a very low fiber diet, 00:18:32.91\00:18:35.74 they lived more in the cities, then they needed 00:18:35.78\00:18:38.48 large hospitals because there were so many people that 00:18:38.51\00:18:41.22 needed medical care for all types of chronic diseases 00:18:41.25\00:18:44.95 requiring his surgical expertise. 00:18:44.99\00:18:47.86 And so he became one of the biggest advocates 00:18:47.89\00:18:51.09 of optimal, what we call plant strong diet, 00:18:51.13\00:18:54.60 promoting lots of whole plant-based foods. 00:18:54.90\00:18:59.63 And so he was the fiber doctor. 00:19:00.00\00:19:03.61 He was the fiber doctor, because now we understand that 00:19:04.01\00:19:06.57 fiber actually gets converted by bacteria in the colon 00:19:06.61\00:19:13.42 into short chain fatty acids. 00:19:13.45\00:19:15.95 So the body is amazing. 00:19:15.98\00:19:17.82 It can enzymatically, through something that's not even 00:19:17.85\00:19:21.22 really part of your body, it's part of the healthy bacteria 00:19:21.26\00:19:24.29 that reside in our body, in our digestive tract, 00:19:24.33\00:19:27.56 that can actually convert a fiber, non-nutritive substance, 00:19:28.46\00:19:32.83 into a nutrient. 00:19:32.87\00:19:34.24 They can convert fiber into a fatty acid 00:19:34.70\00:19:39.17 called butyrate that actually turns off the cancer genes 00:19:39.21\00:19:44.55 in the colon, dramatically limiting the risk of 00:19:44.58\00:19:48.05 getting cancer, and it actually acts as an anti-inflammatory 00:19:48.08\00:19:53.02 for the whole body. 00:19:53.05\00:19:54.66 So it wasn't too long ago that I was even being taught 00:19:54.69\00:19:59.13 that, you know, fiber is not that important. 00:19:59.16\00:20:00.86 There's really no nutritional value. 00:20:00.90\00:20:02.66 Therefore, white bread is no different 00:20:02.70\00:20:04.77 than whole wheat bread. 00:20:04.80\00:20:06.13 Of course, I totally rejected that concept 00:20:06.17\00:20:09.50 because of people, the real giants like Dr. Denis Burkitt 00:20:09.54\00:20:13.68 who was explaining that fiber is essential. 00:20:13.71\00:20:16.88 But now we know that it actually turns into a nutrient 00:20:16.91\00:20:20.82 that's so, so powerful. 00:20:21.02\00:20:22.88 But you know, the sad reality is that over 90% of Americans 00:20:23.32\00:20:28.36 are fiber deficient. 00:20:28.39\00:20:30.53 Yeah, the average American consumes only 1/4 to 1/3 of 00:20:30.56\00:20:35.33 the fiber that we need. 00:20:35.36\00:20:36.93 We're starving the good guys in our gut, which makes us 00:20:36.97\00:20:40.10 more prone to a struggling imbalanced immune system, 00:20:40.14\00:20:44.01 not producing the beneficial byproducts that Dr. Youngberg 00:20:44.04\00:20:47.38 just mentioned, and more likely to experience pain 00:20:47.41\00:20:50.85 and inflammation. 00:20:50.88\00:20:52.21 Well, we focus on our lifestyle pain management program, 00:20:53.11\00:20:57.52 you know, by helping them to develop good nutrition, 00:20:57.89\00:21:01.16 good exercise patterns. 00:21:01.86\00:21:03.49 Making sure they're getting plenty of vitamin D, 00:21:03.53\00:21:06.39 that they're having healthy relationships. 00:21:06.43\00:21:08.26 All those things are connected. 00:21:08.30\00:21:10.93 So you're saying that more than just nutrition 00:21:11.20\00:21:14.00 affects the microbiome? 00:21:14.04\00:21:15.50 Absolutely. 00:21:15.54\00:21:16.87 You know, the gut and the brain are very closely connected. 00:21:16.91\00:21:22.08 And when a person is not in a good place mentally 00:21:22.31\00:21:25.55 or emotionally, that really affects the gut. 00:21:25.58\00:21:28.05 I mean, a lot of people when they become nervous 00:21:28.35\00:21:31.55 or stressed out, where do they feel it? 00:21:31.59\00:21:33.42 They feel it in their gut. 00:21:33.72\00:21:35.06 Another non-food gut influencer is exercise, yes. 00:21:35.82\00:21:40.93 I want you guys to get excited about this topic. 00:21:41.13\00:21:43.40 Scientists at the University of Illinois recruited 00:21:43.43\00:21:46.30 32 men and women who did not exercise. 00:21:46.33\00:21:49.14 Half were obese, and the rest were normal weight. 00:21:49.17\00:21:51.97 They tested the composition of their gut microbiome 00:21:52.17\00:21:55.48 at the beginning of the study. 00:21:55.51\00:21:56.85 And then these 32 men and women began supervised workouts 00:21:57.05\00:22:00.55 which increased over time. 00:22:00.58\00:22:02.35 They started at 30 minutes of easy walking or cycling 00:22:02.68\00:22:06.32 and they built up to about an hour of vigorous jogging 00:22:06.35\00:22:09.42 or cycling three times a week 00:22:09.46\00:22:11.53 with no change to their normal diets. 00:22:11.56\00:22:13.80 After six weeks of exercising, their gut microbiome was tested. 00:22:14.86\00:22:19.10 And they were told to stop exercising. 00:22:19.13\00:22:21.37 So they went back to being sedentary. 00:22:21.40\00:22:23.81 After no exercise, their microbiome was tested again. 00:22:23.84\00:22:27.74 And what they found was that the microbiome 00:22:27.94\00:22:30.88 responded to whether or not they were exercising. 00:22:30.91\00:22:34.85 Amazing beneficial changes occurred in response 00:22:34.88\00:22:39.12 to exercising. 00:22:39.15\00:22:40.49 But when they stopped exercising, the gut community 00:22:40.52\00:22:44.43 reverted back to what it was like 00:22:44.46\00:22:46.66 before they started exercising. 00:22:46.70\00:22:48.73 I mean, that is just incredible. 00:22:48.76\00:22:51.13 I told you this was going to be an exciting topic. 00:22:51.37\00:22:54.04 Now what's the saying? 00:22:54.30\00:22:55.64 Take care of your gut and your gut will take care of you. 00:22:55.87\00:22:59.17 This trillion amount of bacteria we have, they are fighters. 00:23:01.74\00:23:07.55 When my patients start to change their diet, 00:23:07.58\00:23:10.69 and they don't receive this food they're used to, 00:23:10.72\00:23:13.25 they fight you. 00:23:13.29\00:23:14.62 You're going to feel weak, you're going to feel toxic, 00:23:14.66\00:23:17.36 you're going to feel nauseous. 00:23:17.39\00:23:18.76 You feel like you know, gassy. 00:23:18.79\00:23:21.96 And my patients are like, "This food is not good. 00:23:22.00\00:23:25.07 These plants and fruits and vegetables you're telling 00:23:25.10\00:23:26.94 me to eat, they're no good. 00:23:26.97\00:23:28.30 I'm feeling so sick." 00:23:28.34\00:23:29.67 And I say, "Wait a second. Give your body time. 00:23:29.70\00:23:32.71 These bacteria have to die. 00:23:32.74\00:23:34.64 We need to starve these bacteria. 00:23:34.84\00:23:36.64 These bacteria are fighting it. 00:23:36.68\00:23:38.95 Once we kill these bacteria, and the new bacteria start forming, 00:23:39.31\00:23:43.28 then you're going to start feeling the good results." 00:23:43.79\00:23:46.55 I call it a civil war, an internal civil war. 00:23:46.76\00:23:49.29 Yeah, and you know, when patients are on twenty 00:23:49.39\00:23:52.86 medications, and I say, "Okay, I'm going to give you, 00:23:52.89\00:23:56.97 give me four weeks. 00:23:57.00\00:23:58.63 Give me four weeks. It's all I need. 00:23:59.10\00:24:00.80 Let's get rid of these things and let's see what happens 00:24:02.10\00:24:05.01 with your blood pressure. 00:24:05.04\00:24:06.37 Let's see what happens with your sugar. 00:24:06.41\00:24:07.74 Let's see what happens with your reflux." 00:24:07.78\00:24:09.44 Okay, they are on Omeprazole. 00:24:09.48\00:24:10.88 I have patients that have high blood pressure 00:24:10.91\00:24:14.72 that are on medication that causes swelling, 00:24:14.75\00:24:16.48 so they have a diuretic for the swelling. 00:24:16.52\00:24:19.05 And they have medications that causes reflux, 00:24:19.32\00:24:21.99 so they are on medications for reflux. 00:24:22.02\00:24:23.56 So all this cascade of disease and side effects. 00:24:23.59\00:24:27.53 So some patients are willing. 00:24:27.83\00:24:30.03 And I say, "Just give me four weeks. 00:24:30.67\00:24:32.87 Let's try and see. 00:24:32.90\00:24:34.24 You can go back to your previous diet." 00:24:34.27\00:24:36.50 So I will tell your audience the same thing. 00:24:36.81\00:24:39.17 Just try two, three, four weeks. 00:24:39.21\00:24:41.34 It takes 21 days, they say to change your taste buds. 00:24:41.38\00:24:44.95 So all that craving, sugar craving, salt craving, 00:24:45.28\00:24:48.95 or grilling craving, whatever that is, it can get better. 00:24:48.98\00:24:52.22 You know, you will, as you have your berries in the morning, 00:24:52.25\00:24:56.39 you will have less and less crave a doughnut, 00:24:57.49\00:24:59.79 because you will find the berries are not just good for 00:24:59.83\00:25:04.80 you, but they keep you awake, and then you don't have this 00:25:04.83\00:25:07.24 sugar crash, you know, in four hours. 00:25:07.27\00:25:09.24 So yeah, it's just powerful. 00:25:09.90\00:25:12.51 But the spectrum of change, keep that in mind. 00:25:12.71\00:25:17.28 I think it gives hope to people. 00:25:17.31\00:25:20.15 Yes, it is definitely true that our gut microbiome 00:25:21.42\00:25:25.55 affects the absorption rates and absorption capacity 00:25:25.95\00:25:30.06 of all the wonderful micronutrients and the 00:25:30.09\00:25:32.63 polyphenols that we introduce in our body. 00:25:32.66\00:25:35.36 But the good news is, so that everybody doesn't kind of 00:25:35.40\00:25:38.63 get scared about this, the concept of rehabilitation 00:25:38.67\00:25:42.24 applies to our gut too. 00:25:42.27\00:25:43.67 The gut is very forgiving. 00:25:43.71\00:25:45.41 And if people have had dietary patterns that have not really 00:25:45.44\00:25:49.91 supported a healthy gut microbiota, 00:25:49.94\00:25:52.41 they can change that. 00:25:52.51\00:25:54.15 And over time, you can reintroduce a new population 00:25:54.35\00:25:58.55 of gut microbiome or gut bacteria that can, 00:25:58.59\00:26:02.92 you know, produce the necessary chemicals that 00:26:02.96\00:26:05.23 are important for our health 00:26:05.26\00:26:06.83 and really, really change the way our body absorbs nutrients. 00:26:06.86\00:26:11.37 I think that's great news. 00:26:11.40\00:26:12.73 Greens, beans. 00:26:13.27\00:26:15.44 - Brown rice. - Not subsidized. 00:26:17.37\00:26:19.27 - Brown rice. - Brown rice. 00:26:19.31\00:26:20.64 - What else? You're the chef. - Sweet potatoes. 00:26:20.68\00:26:22.78 Sweet potatoes, yes. 00:26:22.81\00:26:24.15 And mix those up twelve different ways. 00:26:24.18\00:26:25.68 It's incredible. That's medicine. 00:26:26.11\00:26:28.08 That's literally medicine. 00:26:28.12\00:26:29.72 There are a variety of ways to approach health and disease. 00:26:30.72\00:26:34.92 And there are different tool bags that practitioners 00:26:35.12\00:26:37.46 bring to the table, depending on their education. 00:26:37.49\00:26:40.76 What we've been looking at is the lifestyle tool bag. 00:26:41.10\00:26:44.63 Lifestyle, meaning, what we put into our body, 00:26:44.93\00:26:47.50 what we do with our body. 00:26:47.54\00:26:49.37 These are ways of programming how our body functions. 00:26:49.40\00:26:53.68 And as we've learned, even programming the gut microbiome. 00:26:53.71\00:26:57.38 I appreciate how Dr. Sherzai emphasized greens, beans, 00:26:58.35\00:27:02.32 sweet potatoes, food, as having the capacity 00:27:02.35\00:27:05.85 to be like medicine to our bodies. 00:27:05.89\00:27:08.12 Food is expensive these days. I totally agree. 00:27:08.62\00:27:11.79 Unless you're growing your own. 00:27:12.26\00:27:13.66 But eating cheap food is expensive too. 00:27:14.00\00:27:16.90 Expensive in the long run. 00:27:16.93\00:27:18.80 Expensive in the toll it's taking on your body. 00:27:18.83\00:27:22.74 Thank you for joining me today 00:27:23.27\00:27:24.87 on one of my absolutely favorite topics. 00:27:24.91\00:27:28.38 I hope you're taking something valuable away 00:27:28.41\00:27:31.15 that you will start incorporating into your life 00:27:31.45\00:27:34.48 and have a healthier gut. 00:27:34.52\00:27:36.02 It's what we were made for. 00:27:36.55\00:27:38.05