Q&A Webinar: Dr Gupta answers questions posted to our Facebook page

    Karan Gupta
    09.12.18 06:04 PM Comment(s)

    Q&A webinar session

    This is not an arbitrary order that I picked, this is what you guys voted on. We’re going to start with the most liked question and work our way down the list.

    The first question is, there is a bunch of protein powders in the market. What’s your favorite form? Is there any criteria that play a role in the selection of a suitable form per individual? If you feel like you’re in catabolic physiology, then you should have somewhere around 1.2 to 1.5 grams of protein per kilogram of body weight, in your diet. You have to look up your body weight in kilograms and figure out where you should be in terms of grams of protein. For a lot of us, that’s a lot of protein – more than you could eat, so one way to get yourself out of catabolic physiology is to use protein powders. It doesn’t matter which type of powder, as long as you avoid soy based protein powders. Some people do great with whey, pea or rice proteins ... I don’t think it matters. The variables could be whether you like the taste of it or if you have any potential allergies. If you’re catabolic, it means you’re breaking down your tissues so you’re going to need a lot of amino acids to make up for that.

    Question 2, how does one know when your blood sugar mechanism has been restored? Most people that have blood sugar problems can’t tell that they have a problem, it’s not something they’re aware of. There are some obvious clues: afternoon fatigue, not being able to sleep or waking up in the middle of the night. There’s no exact way that you can tell, except that some of your symptoms are getting better. You should have a glucose level below 100 hopefully. Once your blood sugar is working properly, you can absolutely have a cup of coffee or dessert. It’s just that when your blood sugar is unstable, you’re going to make it a lot worse.

    Question 3, could you expand on the topic of mitochondrial dysfunction? If someone is dealing with fatigue, when you introduce mitochondrial support? I definitely recommend a supplement called Mitochondrial NRG from Designs for health, 4 capsules each with breakfast and lunch. It has all the nutrients for mitochondrial energy. If you took the engine out of a car, it wouldn’t be very useful because it wouldn’t be able other move itself. The mitochondria are the engine of the body. It’s making the energy of the body that every single cell in your body uses. If your mitochondria are messed up, you’ve got some serious problems. You’re going to be tired, depressed and you’re not going to feel very good. I use mitochondrial support from the very beginning for most of my patient programs, if it shows up on the lab testing that they need it. I don’t think it’s dangerous to support your mitochondria even if you don’t have a lab. You could still take it as an energy boosting supplement. The mitochondria are just sitting there trying to do their job in your cells, and they get damaged from oxidative stress. The more inflammation you have, the more tissue damage and oxidative stress, the more mitochondria get destroyed so your energy producing engine gets damaged from all these different variables – which is one of the reasons why people get tired all the time. You should Google mitochondria and read about it because it’s a pretty important subject - it’s an under-appreciated structure in the body.

    Some neurotransmitter questions: There are a couple of hundred neurotransmitters in the body and I can’t address them all. If you address serotonin, dopamine, epinephrine and norepinephrine, the others tend to fall into line because those are the main ones that control the major mechanisms. You can treat neurotransmitters specifically but you don’t necessarily have to. There are lab tests for serotonin and dopamine in the urine, but they’re not very accurate. The only way to get an accurate assessment for serotonin and dopamine is to do a spinal tap. We can measure urinary by-products of these chemicals very accurately. That’s not commonly done in conventional medicine but it’s something that we do in integrative medicine. Some lab companies test serotonin and dopamine in the urine in very inaccurate ways; you have to be careful about that.

    Next question: does tyrosine work much better than phenylalanine? In my experience, it does. Phenylalanine is hard to track and measure as accurately. With tryptophan and 5-HTP, sometimes one works better than the other. In general, 5-HTP is better for people who have inflammation ... we talked about kynurenate and the inflammatory mediators that go up when the brain is messed up. Tryptophan can feed the inflammation and make it worse; 5-HTP doesn’t cause that problem.

    Next question about fish oil: they’re the best supplement that you can take for brain health, is this true? Absolutely, it’s one of the well researched and safe supplements. You just have to use fish oils from a company that’s taking the time to pull mercury out of the fish oil, which all the top companies do. Whether you use cod liver oil or fish oil, I don’t think it matters. A lot of people don’t like the taste of cod liver oil, so gel caps are better for people like that. As long as you’re getting your fish oils, I think either is fine. A lot of people do cod liver oil in the winter months and fish oils at other times, because of the Vitamin D.

    Number 6: glutamine has never been mentioned as a gut remedy. Glutamine is really important for healing and repairing the gut lining tissue. It’s fine to take glutamine on your own – usually from 2000 to 5000 milligrams once or twice a day. I wouldn’t go higher than that. It has a faint sweet taste and I’ve never had any problems with it. There’s a practitioner that recommends water kefir as a probiotic for those of us with severe Candida overgrowth, because other probiotics can make the overgrowth worse. Unfortunately people have Candida upside down and confused, and most doctors are equally confused. The only reason I’m not confused is because I worked with some of the experts that were doing Candida programs since the 1970s, so I learned a lot about this when I was younger. It’s an opportunistic organism. Everyone has some level of yeast overgrowth in to gut; it’s a matter of it overgrowing because your immune surveillance is weak. That’s when the problems occur. If you’re eating tons of sugar or been on antibiotics or your immune surveillance is weak, it’s going to overgrow. One of the most common patterns that we see is that Candida is a secondary overgrowth to some other infection, like Giardia or Cryptosporidium. People will have make up these complicated stories like water kefir, but the Candida is going to be there until you clear out the other primary infections. There’s a primary bug that’s driving the immune system down and allowing the yeast overgrowth to proliferate. When we knock out the primary bug, we can effectively treat the Candida. If you’ve been on a Candida program for more than 5-6 months, there’s probably something else driving it and that’s where these questions come from. Once in a while, we’ll have a patient whose primary problem is Candida overgrowth. Those people usually have long histories of antibiotic use in the past. Every doctor is confused about that one. Rather than personal opinions, we’re basing this on science which is convenient.

    Question 8: if you’re doing a detox and you feel worse, should you stop? I’ve heard people who describe feeling worse before they feel better as a ‘healing crisis’. Is the healing crisis real or is it a sign to stop? Back in the 90s, my teachers were doing detox and in the early days of running these programs, they coined the term healing crisis. They noticed that a lot of people they detoxed got really sick, and then they pass through that and get better. Over the decades, they realized there were reasons why this was happening. The most common reason why a detox program would make you feel worse is because you’re liberating toxins from storage tissue, but not flushing them out of your body. If there’s a mercury molecule in your brain, it’s tucked away in your fatty storage areas and maybe some in your liver too ... your body is trying to block them out of the way, but it’s stored in the brain because the brain is made of fat tissue. Now you pull out that mercury from your brain or the benzene from your breast tissue, you’ve got to bind them up and escort them out of the body. Getting them out of storage sites is just the first part of the problem. You’ve got to pull them out so they get flushed out. If phase 1 is working and phase 2 is not, you’re going to have toxic intermediaries that are going to create a ‘healing crisis’. That’s not a good thing, it means your detox systems aren’t working well. You might get all the way through phase 1 and 2, but then if you’re constipated or your gut is not working well, you reabsorb these toxins and they circulate back into your system. We want to avoid the healing crisis. When we detoxify, we want to run phase 1, phase 2 and then bind up the toxins and flush them out of the body. It’s like a symphony of action there.

    What is your 9 minute power fitness program in the morning? What exercise would you recommend to boost metabolism, hormones and brain function in the morning? I don’t recommend this for everybody because you can hurt yourself doing this, but I’m going to tell you. I use kettlebells ... I have hurt myself with them so be careful. I do a 9 minute kettlebell workout with cleans and snatches. You could destroy your foot if you drop a kettlebell on it. It’s probably safer to use something that isn’t such an extremely heavy weight. You could do simple stuff like push-ups and sit-ups. It’s just a matter of getting the heart rate up quickly. Dairy question: with dairy, there’s lactose intolerance which means you can’t handle the carbohydrate portion of milk. It could be something that you develop because your gut lining is damaged. The cells that make lactase, the enzyme that we use to break down blood sugar are in the lining of the intestinal tract. When those cells are destroyed by inflammation and tissue damage, we become lactose intolerant. The most common pattern we see is that you’re gluten intolerant to begin with; that makes you lactose intolerant because the gluten destroys those cells that make lactase in the lining of the gut. You might have also been born lactose intolerant and that’s the way you are. If you’re lactose intolerant because gluten is damaging your gut, when you get off gluten you can start eating dairy again – that is true for many people. If you’re lactose intolerant from the get-go, you’re just going to have a problem with dairy. A second problem with dairy independent of lactose, is that you could be allergic to casein or some of the proteins in dairy. Those allergies can come and go depending on how damaged your gut is. Some people have both these problems, some people have just one. If you’re lucky, you get off your gluten and your ability to deal with dairy returns, then dairy can be a really healthy food. In general, most people tolerate butter well because there’s no protein or lactose in butter. You have to be careful with yogurt, cheese, milk and things like that. The third problem with dairy is that we’ve butchered it ... when it’s homogenized or pasteurized, it means that we’ve heated it at very high temperatures which kills all the good probiotics and enzymes in dairy. Pasteurization destroys what otherwise would be a really healthy food. When we homogenize it, it’s equally bad. In order so that the cream doesn’t rise to the top, they cram the dairy through these high pressure filters and it destroys all the good quality fats. By the time dairy is homogenized or pasteurized, it’s pretty messed up. The most common pattern I see with dairy is that patients react poorly to it because it’s homogenized and pasteurized. When they eat raw dairy, they’re fine. The second common pattern is that the person is lactose intolerant. When we get them off gluten, they can eat dairy again. The third and least common pattern is that you just can’t handle dairy all the time, no matter what. For all these groups, butter is usually ok.

    Detox question: do you ever recommend augmenting your detox protocols with the following in an effort to bind and remove toxins – charcoal, coffee enemas, castor oil packs? You want to run phase 1 and phase 2 till you break down the toxins into something water soluble, so you can flush them out. Then you’ve got to make sure that you can bind them up in the digestive tract so they can be flushed out in the stool ... your liver and gall bladder have to be working pretty well to dump these things out also. Binding agents help grab the toxin and escort it out of the body, so that’s a critical part of an aggressive detox program. You can do charcoal or psyllium fiber, I use diatomaceous earth as a binding agent. Just don’t buy the kind that’s used to kill snails, buy the kind that says food grade diatomaceous earth. A tablespoon of that in some juice or water, it’s a great binding agent and it costs literally a penny per tablespoon. That’s my favorite version of a binding agent. The toxins that you don’t get rid of in your stool, they’re going to come out in your sweat or urine so you want to keep your water levels up.

    Question about MTHFR: Is someone born with an MTFHR defect or is it something that develops over time with exposure to a toxic world? Is it reversible? I think there’s a bigger question about genetics. Why are some people walking around fine but some people with the same level of toxins are depressed, inflamed and can barely function? Genetics play a huge role in all the things that we’re talking about – in inflammation, digestive function, in the brain and in detoxification. I’ve seen people with the worst possible genetic profile completely overcome all their problems and be healthy, so that is definitely possible. Genetics is only one of the many variables involved in this. The person’s attitude and willingness to make their life better is probably as important as their actual genetic framework. You shouldn’t let the genetic issues get you down too much. It’s given way too much priority because it seems like something that is fixed, but genes can be turned on and off and there are switches to them. It’s not an inevitable issue and it’s certainly not a determining factor in whether people are going to get better or not. I think attitude is way more important than genetics.

    What’s your opinion on gall bladder flushes? Can this be done even before you clean your gut? The general sequence is to make sure your gut is working well first. We deal at the stress, the gut, liver and then the brain in that order. Because the toxins have to come out through your gut, you want to make sure that your gut is working well before you start to bind them up and pull them out. I definitely recommend you get your digestive system working, maybe not perfectly but extremely well – certainly 70-80% and then you can go after toxins. The liver-gall bladder flush can go either way. I had a patient who was made incredibly ill by running these flushes. Now it’s 2 years later and we’re trying to put things back together, so they can be risky. If you have a gallstone in your gall bladder and you do one of these flushes, you can easily force the gallstone into the duct. It could get stuck there and that’s what we call a gall bladder attack, so you’ve got to take that seriously. The safe way to approach it is to loosen up the bile, weaken the stones and let nature do its own thing. If you’re under the supervision of a doctor, you can do the flush. Use simple things like beet leaf greens, BetaFood from Standard process, taurine ... they thin the bile and get it to flow better.

    Number 14: I have increased joint pain, my knuckles are starting to show deformities, pain is worse in the night when I sleep, negative for RA. I’m wondering what causes this. All of us are inflamed and catabolic, hence the joint pain and swelling. We’re in a breakdown state where our tissues are being broken down. We try to reduce the inflammation, reduce stress, getting better sleep, gut, liver and all those things we’ve been talking about ... then we want to try to reverse catabolic physiology by using amino acids. That helps us build back up. If you can reduce inflammation and use the amino acids, you can start to rebuild this. Remember that inflammation is something that you can generate with your mind, without even getting out of a chair. Anything that’s stressful is going to be pro-inflammatory. Whether it’s joint pain or back pain or rheumatoid arthritis, most people in the US are pretty inflamed. If you look at pictures of men and women from America from World War II, they were skinny ... it’s not that they were starving, that’s how people were in the 30s and 40s. They didn’t have excess food, they didn’t have any processed food whatsoever and their normal structure was lean and skinny looking. If you looked around in Paris 20-30 years ago, you would see they were very similar to the Americans of the 1930s. This is changing now as processed foods start to get introduced to Europe, but that inflammation is not a normal part of how the human diet is. We’re living in a country which has probably got the most inflamed human beings ever created, so we have a distorted view of what normal is.

    How would you detox mercury if your body has a weak genetic disposition for removing it? The genetics don’t determine everything. I don’t want to give specific advice, but you don’t want to just get too overly focused on one body system. There’s mental and emotional stress on one side, there’s digestive function, detox, the brain ... an integrated program needs to include all these. If a Candida program is not working, that usually means there’s something else going on in the gut or maybe the adrenals or immune system are weak. Low immune function leads to Candida overgrowth, so an adrenal problem that lowers the immune system function could cause the Candida overgrowth. The same with detox: if your body can’t detox well, there could be a gut or stress related component that needs to be addressed at the same time. The downfall of human beings is that no one can know everything. You might be seeing the best GI doctor or specialist, but they may not know about detox and so on. This is true in conventional medicine and functional medicine as well. What I’ve tried to do is try to present a more broad view, so you can see there are these different body systems and you need to see a generalist that can handle multiple body systems.

    Another detox question about gall bladder: improving liver and gall bladder function while you’re healing the gut is absolutely fine. It’s very common to use a gut program with some gentle liver and gall bladder support. That could be silymarin, artichoke or turmeric, milk thistle ... the active ingredient in turmeric is curcumin, a powerful anti-inflammatory.

    Do you have a specific brand of water purification system? What I’ve decided on is a middle of the road solution that doesn’t waste a lot of water and doesn’t cost a lot, but gets out the really bad stuff. The guy’s name is Howard, he runs a website called waterexchange.net. Every year I call him, he just says I need a new filter for the fluorine ... he’s the only salesperson I’ve met that consistently tries to talk me out of buying things. Ask him for the triple filter and you can read about it on the website. Most of the filters last for 1-2 years, it’s pretty inexpensive and I highly recommend him.

    Then there’s a question about getting amalgams removed? Ultimately we should all have our amalgams removed, but you want to stage it properly. It’s usually the last thing that’s done, if at all possible. I don’t know about laminate floors but it’s safe to say that we’re all saturated with chemicals.

    Is there any concern for parasites being in raw vegetables? People ask this question about sushi too. The parasites that we’re worried about are coming from people, not from fish and stuff. If you buy a basket of farm fresh strawberries, who knows if that person washed their hands ... you really don’t know. There’s a simple solution to this and it cost about a dollar a month. Buy a big jug of cheap, white vinegar – don’t buy it at Whole Foods. When you get home from the farmer’s market, get a big tub and fill it up with water. Add in a quarter cup of white vinegar in about a couple of gallons of water, dump all your produce in there and let it soak for 20 minutes. Then you pull it out, rinse it and put it in the green bags to preserve it. That’ll kill all the bad bugs in the fresh produce, and you’ll find that your produce will literally last twice as long. You can’t do this with strawberries because they’ll taste nasty, so those you have to wash really well. You can do that with lettuce, most vegetables, fruits and greens ... don’t spray them with vinegar because it’s not going to work as well as soaking them for 20 minutes.

    Detox question: B12 and folic acid are listed on the detox pathways. If we opt for the methylated form of each, can’t we also say that they also support phase 2? Absolutely, B12 and folate support both phase 1 and phase 2. How do you view supplementing with acetyl carnitine to support acetylation in phase 2detoxification pathways? That’s absolutely fine, it’s in a lot of products that we use. I have leaky gut, chronic fatigue and Hashimoto’s Stool test shows +4 on the bacteria ... since I don’t notice any difference in symptoms when removing or adding back foods, how do I know what causes inflammation? There are 2 ways that you would know about inflammation. One is that you do something bad and then you feel bad ... you drink alcohol and the next day you’re more inflamed. That’s kind of obviously, you avoid the things that cause inflammation. But my main job is finding hidden sources of inflammation and convincing people to deal with the obvious sources of inflammation. If you’re in a really bad marriage, that’s going to make you inflamed. You’re not going to reduce your inflammation in relation to other things until you get marriage counseling or get out of the marriage. We want to eliminate the obvious places where people are getting inflamed; get coaching so you can do that. Number 2, you want to do the lab testing to find hidden sources of inflammation. We’re looking for pathogens, food allergies, toxins and chemicals - all the hidden sources of inflammation that you wouldn’t know about otherwise. If you’re wondering if a food is inflaming you or not, you can do a food allergy test. They’re not the most accurate tests, so you can just weigh yourself on the scale every day. When you eat a food that’s inflammatory, it tends to kick your body weight up a tiny bit right after you eat it. In the old days, they used to check it with the pulse too. If your pulse goes up, maybe you’re allergic to it.

    Question about allergies: I’m guessing they’re a reaction to an environment that your body considers toxic. If you’re allergic to cats, pollen or you have hay fever at certain times of the year, any kind of allergy like that is an immune system that’s completely overwhelmed, and a liver that can’t process all the things coming at it. We have in our body antigens and antibodies. If you’re reacting to a cat or some grasses, that is not supposed to happen whatsoever and it means that your liver is completely overwhelmed and toxic, so it can’t handle this innocuous burden. The direct treatment symptomatically would be to treat the liver in all the ways that we talked about. You also generally have a gut problem because the gut is dumping toxins on the liver. The gut and liver treatments combined are a great solution for allergies; that works almost all the time. If you want something informative about microwaves, buy this tape series by a man named Paul Chek called ‘You are what you eat’. That’s where I learned everything about microwaves. Out of all the things I’ve done in my life that scared me about eating healthy, that was the one thing that got me to completely stop all the bad foods. It’s a really well done series. Is it likely the liver is making less bile? There’s no way to know. This is maybe too complex for the kind of testing that I do. There are solutions you can do strictly for the gall bladder; I mentioned those earlier. It’s pretty hard to differentiate those two problems.

    Since the parasite test is tricky and costly and the treatment option is to take supplements, I’m thinking I would just take the supplements. Why don’t I just do a parasite herbal program and call it a day? This is a common misunderstanding. What if you take the herbs and you drive the parasite deeper into the liver? What if you kill the easy to kill organisms, but you stop too early and the nasty treatment-resistant organisms continue to live? Now they reproduce and you’ve made the infection worse. What if you take the herbs and feel great? Do you have any idea whether you actually solved the problem or not? Not at all. I never recommend parasite treatments unless the person has been thoroughly tested with 1-2 labs, because the odds on you making yourself worse are too great of a risk. People take parasite herbs on their own all the time, but I wouldn’t do it in my practice because I’ve seen it go bad too many times. Under what circumstances are antibiotics warranted? We use them in certain contexts within natural medicine; they’re not always bad. There are definitely times when you need to take antibiotics … the one thing I’ve learned is that conventional medicine has its place. As the years go by, you start to appreciate medical doctors more and more for the times when you need them. The problem is that it’s hard to find that people understand both sides of the coin. It’s changing now, we’ve got a lot of medical doctors starting to study natural medicine. If you do have to take antibiotics, you should definitely take some Sach. Boulardii. It’s a special probiotic that’s used after antibiotics, plus the regular probiotics as well. You can do that for a month after the antibiotics.

    If you have the MTHFR mutation, would it be apparent by a certain age? It varies. It’s genetics plus your exposure plus your attitude, plus all the other things that go into it. It’s not inevitable. The genetic mapping stuff is really popular now, but it doesn’t take the place of common sense things like meditation and exercise. You can change your whole genetic structure by sitting down for an hour and meditating. They’ve proven that with telomeres … you can lengthen your telomeres - which means lengthening your life, just by meditation and they can measure that. Leg cramps and muscle tension during sleep; that’s usually due to minerals. Almost everybody is low in magnesium, calcium or potassium. If you’re cramping, your levels are really low in one of those minerals or maybe all 3. You can buy them as individual minerals, you can buy a multi-mineral and see if that works. There’s not a lot of downside with taking too much magnesium; you may get some loose stool and diarrhea. It’s pretty self-limiting in terms of overdosing on it.

    Meditation question: someone asked me this question about doing Sudoku, puzzles and stuff for neurological development. The last thing we need to do is think more. I think it’s better if we can calm ourselves down. I don’t think there’s going to be a substitute for meditation in our lifetimes. I’m not saying it’s easy and it’s not interesting most of the time what your mind is generating … once you get past the 30 year mark, that whole thing starts to calm down and your brain starts to go into a different place when you meditate. It’s worth the investment and you’re not going to get that from a machine.

    Waking up in the middle of the night with heart racing – a lot of people wake up usually between 2 and 4 AM. That could be form skipping breakfast, not having a bedtime snack so this is obviously blood sugar related things. It can be from toxicity, that’s when the liver is really active. Sometimes it’s just a stress response or an old pattern that the person is locked into. The amino acids can help with that and sometimes it’s an adrenal problem. That one is all over the map.

    What are your thoughts with combining conventional medications with supplements? Imagine you had a basketball game and you changed the rules a little bit. You decided that there were still going to be 10 guys out there, but everyone was going to score for themselves. Instead of 2 teams, there are 10 people competing against each other. What if they got a point from making a basket and for blocking a shot too? What if you took away 2 points for a foul and you gave them extra points for a fancy shot? You can imagine the chaos. When there’s this much going on in a patient, there are just way too many moving parts. Within functional medicine, I just try to calm it down and bring it down to a couple of key things. If we approach complicated, system-wide problems like this from this basic model, it works incredibly well. We test and correct hormones, gut and detox and we design programs in that order. If you don’t have an organization to it, it ends up becoming chaotic … you can’t do a one-for-one kind of thing. That’s not really an answer to that question, other than that there isn’t a simple answer to that question.

    What could be the reason why 5-HTP has a paradoxical effect and makes your insomnia worse? The key is that in the brain, you have 2 major systems working together – the serotonin side and the dopamine/catecholamine side. If you stimulate one, it has an impact on the other. 5-HTP affects your dopamine levels just like it affects your serotonin levels. Tyrosine affects your dopamine, epinephrine and norepinephrine … if you give enough tyrosine, it affects your serotonin levels too. It’s because in the brain there are dual gate structures, so when you take one amino acid it impacts the gates for both. Think about it like a turnstile on the subway. If one of the turnstiles got blocked, it would impact the other turnstile. It’s the exact same thing in the brain. If you take tyrosine and 5-HTP, it would impact all the brain chemicals simultaneously. It’s pretty complicated, so it doesn’t necessarily mean it’s paradoxical. It could be acting on a completely different chemical. With an organic acids profile, you can measure homovanilate, vanilmandelate and hydroxy indoleacetate. These are the chemical breakdown products of serotonin, dopamine, epinephrine and norepinephrine. The labs that measure serotonin and dopamine in the urine, generally as a baseline test are not very accurate. You can measure the metabolites quite accurately. There are some very specialized tests that can measure urinary levels in different ways. Just find someone who has a lot of experience doing this.

    Some people are highly reactive to supplements across the board, and that is just going to be a problem. If you’re extremely reactive to all supplements and you have tons of gut inflammation, it’s almost guaranteed that you have a gut infection. A lot of the labs can miss these infections. If you have a chronic illness pattern like that, you’ve got to keep testing until you start to get a bigger picture. It’s very different for people with multiple symptomatic pictures, to even figure out an avenue to get started with. When I teach doctors, we try to develop a strategy for figuring out how all this is going to work. I think your best bet is to find a doctor who deals with patients that are this complex all the time.

    Next question: what if I’m going to be under stress for a long time? Let’s say that your husband got diagnosed with Alzheimer’s and he’s 62, and you’re going to be caring for him for the next 10-15 years. Let’s say your kid just died from a heroin overdose ... when really traumatic stuff happens, you’re not just going to get up and recover. Let’s say you’re working 50-90 hours a week and you’re expected to perform your job in a completely unrealistic way … having 2-3 kids is dooming yourself to 20 years of chronic stress. When you’re in a situation where the stress is going to be ongoing, then we’re more into a ‘let’s make sure this person doesn’t get sick’ mode, versus ‘let’s make you feel like a million bucks’ mode. A large part of my practice revolves around people who are under stress and can’t stop the stress, in which case we do the same programs. They take on a lot more importance but we’re not expecting life-changing results. We’re just trying to keep the person from slipping back. Most people get sick initially when they’re under a period of prolonged stress. If we can prevent that process from kicking in by doing an adrenal-gut-detox program while you’re under the intense stress, it stands to reason that the next step of illness will never develop in the first place. That’s one of the goals that we have.

    Last question: when is supplementation with pregnenolone needed? That’s based on abnormal cortisol results. Depending on where the labs are, you give different amounts of pregnenolone. I wouldn’t take it randomly, you want to have somebody test it first.

    I think we got through the most liked questions. Thank you and keep them coming!