Hello and welcome to the Klash Institute. So, if someone could please raise their hand so I know my sound is working, then I can relax and not worry about technical difficulties. Ah, thank you, Susie. All right, so action time. So, life in the time of COVID. So, my take on what's happening now is that this is a generational disease. We're going through a generational change, which means you guys have a generation of work ahead of you. 20 years, it's a generation now in terms of sorting this out. When we have my advanced student group every Tuesday morning, 25% of people's practices have long-haul COVID. Right now, it's happening. It's the beginning of the chronic illness phase of this pandemic has just begun. And so, when I think about the ICU doctors that are in our training program, and like superheroes, you can name like superheroes, they're like Spider-Man and Wonder Woman kind of human beings, then we put in putting all this effort into, you know, surviving this pandemic for themselves personally and to take care of their patients at the same time. It's just incredible. Well, that kind of level of overwhelming work is heading your way too, if you're involved in functional medicine. Because one of the things that we do in functional medicine, as we're going to be talking about tonight, uh, for decades, for generations, I'm second, third generation, maybe third generation functional medicine doc. What we've been doing for generations in functional medicine is treating, uh, chronic infections, right? That's kind of one of the central things that we've been doing. And GI infections, we're going to talk about tonight. And turns out that there is a GI form of COVID too, right? Where it gets into the intestinal tract and attaches to those, uh, receptors, uh, same, you know, H2 receptors in the intestinal tract and causes destruction of amino acid transportation. And some of the people with long COVID symptoms are having pretty chronic GI issues. So, anyways, we've gotta, we've got a, a huge amount of work ahead of us. So, we've got to learn how to do all these things. And well, as always, the microbiome is sort of center stage in a functional medicine context, okay? So, we're gonna work on this.

And now, um, uh, let's see. I'm going to introduce myself. This is me, Dan Kalish. I founded the Klash Institute a while ago, 2006. I had been teaching for a long time. I started teaching like in 1995, you can believe that. And, uh, since 2006, we've trained, I've trained over 5,000 doctors in how to do this work. We do a lot of telemedicine classes, functional medicine classes. Mostly, we're, you know, focused on taking people who are interested in starting, uh, practice and giving them all the skills necessary, whether it's how to set up your EMR or how to interpret labs. My personal passion is lab interpretation. And, um, I've been forced to learn how to run a business, so I'm happy to share that information with you all too. But I, if someone took all the business stuff away from me, I'd be pretty happy to just be interpreting labs all the time. And to that end, I've done a lot of work. I've worked in the early 1990s with a man named Dr. Bill Timmons, who taught me pretty much everything I know about adrenals and GI and female hormones. And my name, Dr. John Lee, who is a well-known doctor in the 70s and 80s around hormones. It was one of my mentors in female hormones. And then more recently, um, I've been working with Dr. Richard Lord. And we'll talk about his work in the second part of tonight's talk, okay?

And, um, Rich is an incredible human being. He's the first scientist in our field to think about, conceptualize, and set up and run a microbiome test. And that test was, uh, Richard's, uh, sort of baby for many, many years. He's retired, long retired now, but that is called the GI Effects test that Genova runs. That is a hundred percent Richard Lord's work. I just spent three hours on the phone with the man today. He's still alive and kicking. He's 80 years old. He's charging around. He's living his best life. He's still researching. He's really into thiamine right now, in case you're tracking Dr. Richard Lord's thought processes. He's a, he's, I want to say the word obsessing, but he's deeply researching thiamine. And therefore, I'm learning a lot about thiamine for the last couple of weeks. But he and I, our the first couple years of our relationship, uh, focused almost exclusively, well, after we did organic acids for a couple years, we spent, uh, working on the microbiome. And that's a lot of what I want to talk about tonight. A lot of the sort of the work that I'm doing tonight is a derivative of what Dr. Lord and I, uh, were working on a few years ago and how he was training me. I'm also in practice too. I had patients all day yesterday, not today, all day yesterday. I did, and Tuesday as well. And my IFM certified, which is impressive because that's a really hard test. If you've ever taken that exam, I just barely passed it, to be honest. But I've been in practice for a really long time. Um, done work like with the Mayo Clinic. And I can show you the study here. The Mayo Clinic study is kind of interesting. If you guys want to take a look at it, we can send you a copy. But we did an evaluation of a functional medicine approach to treating fatigue and digestive issues in women with Suhot Shah. She's from Mayo Rochester. Lake Berdstrom is the head of Integrated Medicine at Mayo in Arizona. And, you know, the good news is, if you ever want to flip through and read this, this stuff really works, okay? This was like after, like, three years of working with Mayo Clinic. We published this thing. I was like, okay, thank goodness. The statistical analyses all came out. And I have not, don't have a PhD in statistics. I don't understand almost any of this stuff. I'm the clinician that did all the work here. But anyways, at the end of the day, conclusions were that everybody got, not everybody, many people got better. Statistically significant number of people got better. And maybe we should do some more research on a kind of thing. But the reason why I bring this up is because what I want to talk about tonight is exactly the protocols that we followed in this class and this research study, where we look at stress and the adrenal hormones and get that sorted out, lifestyle factors, yeah. And then we look at the gut microbiome and get that sorted out. And it's an integrated program with working with the adrenals. But adrenals is a word, that's a code word for stress, emotional stress, physical stress, dietary stress, inflammatory stress, right? So the lifestyle stuff, that's what adrenals are to me. Getting that sorted out. And then working on the gut. We're going to talk about the gut component tonight. And we'll have time to look at labs. And, you know, we did a survey of you guys and who actually listens to these things the other day. And some of you are just starting out. Some of you have been in practice for a long time and know a lot. And some of you haven't even started your practices yet. And it's about a third, a third, or third, a third haven't started practice yet. A third are just getting going. And a third is super experienced. So, I'm gonna, I saw that report this week and I thought, oh, that's hard. I'm actually gonna do two totally separate talks tonight. And this makes no sense at all. My staff doesn't know I'm doing this. But there's no one to stop me because I'm in charge. So, I'm just gonna do this. So, I'm gonna tell you guys what you're getting in for. I'm gonna do the basic talk that I'm supposed to be doing that everyone told me to do that, uh, has been promoted and marketed first. So, those of you that are here for that will be happy because you will hear that. And then I'm gonna stop. I'm gonna take a break. I'll probably get a glass of water. I'll be quiet for five or ten or maybe 15 seconds. Then I'm gonna come back and do a completely different talk for the higher level people that have been doing this work for a while. If you want to stick around for both, awesome. Great. We're gonna wrap it all up within the hour, anyhow. And I will, at the very end, then look at questions and review some labs all throughout, as much as we can, and design some programs, okay? So, we're gonna have the, um, what should be, I don't know, you could call it, an introductory level talk first. Have a few minute, a few second break, like a short intermission. And then I'm gonna get into an unplanned talk where I'm gonna show you the work that Richard Lord and I have been doing, kind of a little bit of behind-the-scenes talk. It's not an organized talk. I'm just gonna show you the stuff that we're actually working on so you can see how that's been developing. And I think it'll be of interest to those of you that are more advanced.

Um, we have things coming up in February. On the 16th, we have this Business Essentials Bootcamp. We do this once or twice a year. It's become one of our more popular classes. And it's a couple month deep dive into what you should be doing in your business. We have people starting out their practices taking this class. We do have an emphasis on telehealth, telemedicine. That's something that you're interested in. We have information on that. We have very advanced doctors taking this class that just their business has gotten out of control and they just need to organize it and make it more profitable and more suitable for what they're trying to do. So, if you're listening to this mini-series, you get $100 off. Enter that code MINI BEB22. Good luck remembering that. If you can't remember the code, just email my office. We'll give it to you. Just say, "Hey, I was in the mini-series, I want to sign up for Bootcamp on Business." And this is a really, really good class if you're wanting to, you know, make your practice really successful financially. That's really what we're after here, so that you can be less stressed emotionally. So, that's coming up in February. And we don't do those very often. So, if you think about it, do it. You probably do it.

And then we have our Mentorship, which is the flagship one-year program. And that's starting at the end of January. And this is our group of just amazing human beings that take this class. I am honored and privileged every week to just step up and teach. I don't even know if he's teaching. It's more like I'm facilitating, maybe is the word. But this is all about lab interpretation. This is like one full year of you figuring out how to be best in class at lab interpretation. And I can honestly say, when people graduate from this mentorship after one year, I would put them up against anyone else in the industry in terms of lab interpretation skills because you can't get this training anywhere else. You know, um, it doesn't exist. And the volume of tests that we review and the conceptual framework that Dr. Richard Lord has provided to us, who is the scientist, as I mentioned, he not only developed the GI Effects. We were joking about this the other day. He's the first guy that ever ran an organic acid profile. He's the first one that went out and bought a machine to even think about that. And amino acids and fatty acids. It was all Richard Lord. And all of his information has seeped into this mentorship. This is the kind of Richard Lord experience.

Now, um, I'll tell you a story. When I was at an IFM conference about three or four years ago, I was in a bar. It wasn't late. It wasn't like a CD bar, it was a hotel bar, okay? I'm in the bar at the hotel and I was just sitting there having a drink and, um, waiting for some people to show up. And this doctor comes up who's a very famous doctor. He sits down. We're just talking. He's like, "Hey, you guys are going to get Michael." And he said, "What are you doing?" I'm working with Richard Lord. And I told this famous doctor I'm working with. And he started crying. It was like seven or eight at night in the middle of a bar. He started crying. He said, "Richard." So, if you're a senior functional medicine practitioner or doctor, and you hear the words Richard Lord, you start crying. This is the man that really developed this field for us in so many different ways. I'm just a brilliant scientist. So, anyways, if you want to really be an expert at lab interpretation, sign up for the mentorship when you're ready. I know it's a lot and it's a big commitment, but you get a $799 discount if you use that code, which I just covered up there. Mini 22 is the code. What's more realistic is just email the office and say, "Hey, I'm interested in the mentorship." And one of our staff will get on the phone with you and give you a Zoom tour of what the class is like. And you can see how exciting and cool it really is, okay? So, we offer Zoom tours for the mentorship. And we have the Bootcamp coming up.

All right, now I'm gonna get to the topic at hand here, which is, um, GI disorders. And so, we're gonna go through, again, this is the basic introductory lecture. Then we're going to stop. And then we're going to look at some more advanced conceptual stuff because I think it'll be interesting for some of you. So, this is a really common problem. 40% of people throughout the world have a GI problem, yeah. As the same in my practice, at least half of my practice could be anything from heartburn to reflux to constipation to diarrhea, food allergies, you name it. And the problem is that when you have a GI disorder, it's gonna spiral out and cause problems all throughout the body. And so, you could have a neurological condition that's directly related to your gut. You could definitely have an autoimmune condition that was triggered by a gut problem. You could have joint pain related to your gut. You can have fertility problems. See it all the time. You can have a fertility problem that's coming from your gut. Hormones, brain, cardiovascular systems, all the systems of the body rely upon a healthy microbiome. And when I was learning this work in the early 1990s, that was sort of a speculative thought, wasn't it? You know, the naturopaths knew this because they've been doing this for hundreds of years. But now, every year, thousands and thousands of research studies on the microbiome, does XYZ, you know, it's become common knowledge in the scientific community that the microbiome is really important. How does it really work? Well, we're going to look at it purely from a clinical perspective right now. This is purely clinical. This is just practical, how you would treat it. And everything I'm about to say is only necessary for you to know in relation to interpreting a lab. So, we're skipping 99.9% of the information that is out there on the microbiome. And we're just looking at it from, I have a lab report in front of me, perspective. I'm not sure what to do. How do I interpret this lab? Because we want you guys to start ordering labs so you can start helping patients. And if you don't know how to interpret a GI lab, it's very intimidating and you might not order them. And by the way, if you're ordering labs and you haven't heard about Rupa Health yet, you should check out Rupa Health. We were talking about them for like an hour today in one of my office meetings. Seems like we talk about Rupa almost every day because every day it's like my staff is like, "And you guess what? Rupa does this too." I'm like, "No way." They're like, "Yeah, and they Rupa does that too." Like, "Really?" Okay. So, anyways, Rupa is a way, a distribution company that you can order labs through. And they take care of all the lab hassles. It's one of the most expensive parts of running my practice is dealing with the lab testing and the tracking of the labs and the getting of the blood draws and all that stuff. One of the most expensive parts of my practice for 29 years has been this. Rupa takes all that away. And you don't pay them anything. In fact, the patients pay them. You don't even deal with the payment part, okay? So, Rupa Health, if you're not using them yet, you should use them because they will save you a fortune. All right. It's a really well-designed program or system, I should say, okay?

So, now, um, you have a lab. Here's a scenario. You've got a lab back. I'm going to show you the tests so you can see what we're up against here. Here's a GI 360 from Doctor's Data, classic. One of the best tests. You can see they have this dysbiosis index. They have this key findings page here, okay? They have, um, page after page of these commensal bacteria, which we're going to talk a lot about. They get into, you know, parasitology workup. They have pathogenic bacteria. They look at some of the viruses. They look at all the GI function, okay? That's a GI 360. Um, here, I was just looking at this is just from a couple days ago, yeah. It's our mentorship class. So, in the mentorship class, people submit labs. So, I'm just going to show you a couple that just came in. Uh, so here's an adrenal lab. We're not talking about that tonight, but every patient workup should include that. And then here's the GI. So, here's the GI Effects from Genova, okay? And similar to the GI 360, they look at the microbiome, they look at the metabolic factors, they look for infections, etc. And then the third one that's quite popular in the industry, and you need to learn how to read all three of these. I'm just, sorry, I'm just going to scroll down because I know there's one in here because I saw it earlier. This is from Tuesday morning's call. I think that's a hormone panel, but I know it's here. Coming up. Just wait, wait. There it is. GI MAP. Diagnostic Solutions. Diagnostic Solutions, the GI MAP. Look, this patient has C. difficile toxin B positive. That's a painful and not good thing to have. A little bit of H. pylori. Ouch. It's got the commensal bacteria, dysbiotic bacteria. This person is pretty messed up. And then yeast overgrowth markers are checked. And then they have a section on the GI health, okay? So, you have GI 360, you have GI Effects, you have GI MAP. You need to learn how to read all three. And what I want to talk about right now is a system that you can apply to all three of those tests so you can glance at them and in five or ten minutes have a general sense of what you're going to say to the patient who's waiting in the other room, okay?

Three stages of GI dysfunction. This is what you're looking for, whichever one of these labs you have. It's just a very practical, simple, easy way to interpret things. This is actually, not to be too self-effacing or self-deprecating or whatever, this is actually how I do it, really, in my own brain. I look, is there a pathogen present? Are there GI organ issues? Is there a problem with the, with the commensal bacteria? This is my thinking process, one, two, three, like that. So, I just put it into three stages because this is how, when I grab these reports, is what I'm thinking. I'm looking for. I'm looking for these three things. And what are they? Microbiome disruption, that's number one. Number two, GI organ issue problems, okay? And we'll come back in a minute. I'm just going through this fast, kind of. And number three, some kind of parasitic problem, bacterial problem, yeast problem, some kind of infection. All right. So, let's go back and just kind of take a deep breath and look at these a little more detail. So, there's three different things that we're looking at, three stages. The first stage, and the earliest stage for most people, is a problem with the microbiome itself. And what do we mean by that? That's the commensal bacteria that these all these labs measure now. And I'm not saying that I had a really difficult time earlier in my career, but I am saying that we never had these microbiome tests like these didn't exist 30 years ago, you guys. Not even, not even a little bit. No one had PCR technology then. They hadn't invented it yet. PCR is to stool testing what, like, um, I don't know, batteries are to cell phones or something. You know, it's like going from a landline to an iPhone 17 or whatever they're up to now. It's a really big deal to have this technology. We were looking under microscopes for a long time to try to find these things. Now they just run the DNA. I mean, that's a pretty big upgrade, going from a human being looking under a microscope to looking for DNA. It's a big deal. So, anyways, you should talk to the labs about this if you don't know a lot about PCR because it's pretty impressive technology.

So, the first stage here is PCR-driven testing for commensal bacteria, the good guys. And all kinds of things can mess them up. You can eat, if you have a patient with a really messed up microbiome and you get them eating the right food for three or four days and you redo the stool test, it'll look totally different. Doesn't take long. Every bite of food that we take impacts the microbiome. Three or four days of a healthy diet can make a huge difference for people. You can also have problems with stress, lack of sleep, toxic relationships, or toxins themselves. All these things are going to contribute, you know, antibiotics, overuse of antibiotics, to disruption of the microbiome, okay? And that's what I call stage one. If that goes on for long enough, then eventually the GI organs start to get involved and we have what we call stage two. Now you've got GI organ dysfunction and immune weakness. Weakness of the immune system. The mucosal immune system is weak. That's the next stage. And then the third stage is that people have infections. The immune system is so weak, it can't surveil everything anymore. And all these infections start to break out. Now the person's off and running in a really bad way. So, when you look at each of these labs, you're simply looking for an infection, an organ dysfunction, and the microbiome itself. And ignore everything else. Ignore everything else. Once you've looked at that and you decide what's going on, that then you can fill in the details. Then you can fill in the details a little bit later if you want. Like, for as an example, not that I'm obsessed with cars, but I did buy a new car pretty recently. I bought an Audi Q3, the whole black optic edition thing. It's kind of like the nicest one that they make. And so I'm thinking, I don't know, what do I think about the car? I like the way it looks. I really like the wheels. I like the black optic thing. And then I like the, um, the best part about this whole car is the backup cameras. It has cameras like all around the car. So, I bought this car because the camera system, because of the wheels, and because I really like the paint. Now, I was in the car today and I hit a button and something happened in the car and I didn't, I don't know what I did. But the whole display changed. I was like, I don't even know what button I hit. Okay? That's what we're talking about with the labs here. You're starting with this high level, okay, paint, wheels, backup camera, stage one, stage two, stage three. There's all kinds of, I'm sure I could spend hours and hours reading through the Audi booklet about the details of how that car works. I'll probably never do that. And you don't need to know the details. You don't need to know the details to drive that car. You don't need to know the details of these labs in order to interpret them and treat patients at a high level. If you wait until you understand every commensal bacteria on one of these tests, you will never get started. I mean, look at this. I'm just going to show you the GI 360. There's so much data here. Even if you decided to get a PhD in microbiology starting tomorrow, good luck getting through understanding each one of these markers at the depth that you really need to. So, what we rely on with these labs is for them to summarize this information. And if you look at the summary information, it's all these algorithms and computers cranking out all this information. And you get a really good representation of what's going on, okay? So, you don't need to know the fine details. I don't need to know every little button in that car to drive it around and have fun in it. You just need to know three things. You master these three things, you'll be in really good shape because these are the three things that you're going to treat directly that are going to move the needle. The microbiome can be disrupted by diet, by bad sleep, problems with stress, all kinds of things. But once that microbiome gets thrown off, now you're starting to have inflammation. The immune system is getting a little wonky. Things aren't working well. And if that goes on for long enough, then you enter into what I call stage two. Now, not only do you have the microbiome and inflammation, but now the organs are reacting. And there's not that many that can react. You can have a stomach problem and not make enough stomach acid. You can have a pancreas problem and not make enough enzymes. You can have a gallbladder problem and not make enough bile. And then you can have inflammation and weaken immunity. And all that leaky gut, if you want to call it, just a gut problem in the intestines. And so, you need to figure out with each patient, am I going to treat the stomach, the pancreas, the gallbladder, or the intestines? Which organ is involved? And the lab will tell you, okay? And, um, just treat that organ again. So, when you're looking at these markers, you're thinking, okay, is there a microbiome problem? Yes or no. And every lab will have a chart, little graph, that'll tell you that. And then you're looking, okay, which organ do I need to treat, or organs? Okay, stomach and gallbladder. Okay, got that. And then you look to see if there's an infection. It's that simple, okay? So, again, the microbiome first, then the organs. Three biggies: pancreas, pancreatic enzymes, you'll see markers for that. Bile, all these labs have markers for gallbladder function. Is there a problem there? And then the immune and inflammatory responses in the intestinal tract, is your leaky gut? Those are the three big ones. And then stomach is kind of in the mix there. Now, if you have a microbiome imbalance and a bunch of organs that aren't working really well, it's just a matter of time until the natural defenses in the body diminish. And then you start to get a problem with an infection, okay? Infections start to pop up. And by the way, I have to give credit to Paul Larkin. Paul Larkin is a wonderful scientist and a great scientist and a great human being. He and I work together on this lecture. And Paul is the head of education at Pure Encapsulations, okay? So, I got to give him a shout out because a lot of this is his little diagrams and stuff. It's me saying what I want to have happen, and then Paul making it really look great and getting all the science together for this stuff, okay?

So, now we're gonna, let's just look at some labs. Now, when we look at a lab, is there stage one present? Is there stage two? Is there stage three? And then treat one, one, or all three of these. Now, stage one, we're going to look for the microbiome itself. And then we're going to look for short-chain fatty acid problems, including butyrate, especially butyrate. For the organ issues, we're going to look for pancreatic enzyme problems, stomach problems, inflammation, immune problems, right? And then for pathogens, we're looking for pathogens. So, let's look at some labs. And then let's look at labs for a minute. I'm going to design a little program or two here or there. And then, uh, oh, we can get into the second part of the second section of the lecture stuff, okay? So, here we are. We've got this GI test back. And by the way, who do you order these tests on? When I was trained, Dr. Timmons ordered, before you could talk to Dr. Timmons and do a consultation with him, you had to have completed an adrenal and a GI test. And for, I knew him for a long time until he died. I mean, I knew him for about 10 or 15 years really well. I always thought that was like a little overkill. But now I do it myself. Because you get older, you're like, oh, that was a really good idea. So, in Dr. Timmons' practice, who's, he was a naturopath, one of the great naturopaths of the 80s and 90s, really well, it's a wonderful man. Anyways, when, when in his practice, every single patient, it didn't matter if you had cancer or toenail fungus, if you wanted to have a baby, or if you were a baby, it didn't matter. Everybody did a GI test because he believed in functional medicine and he believed that the microbiome and the gut were the center of all illness and that we had to check the gut, okay? So, in regards to who you do this with, it's pretty much everybody.

So, here's a GI MAP. And we're looking for three things now. And this is, I'm doing this on purpose. This is confusing. I'm showing you the three main tests that are used in our industry. And we have to try to wade through these because this is reality-based education here. So, nobody does the markers in the same order. Everyone's got different little things here or there. But that's like the button on my Audi that I hit by a mistake. Every car, you can just look at the color, the wheels, and the camera system, you know, that's that. We're looking at boom, boom, boom, one, two, three. You can look at a BMW, you can look at Mercedes, you have Alfa Romeo, you can look at a Ford, and you can just see that's what we're doing. So, we're looking at three different companies, three different labs. They're presenting the information completely differently. But we're just looking for three things: pathogens, organ issues, and the microbiome. So, let's just do them in order. Stage one is microbiome. So, in this lab, you have to cut down to the section that says microbiome, except for they don't call it microbiome, and they call it normal bacteria. But what they mean is microbiome, same thing. So, there it is. It's not the beginning of the lab. In fact, it's kind of towards the bottom of what appears to be stage two of page two. Sorry, page two. Stage one is on page two. Normal bacterial flora for this lab. This is the microbiome portion of the test. Does it look good to you? Doesn't look that good to me. Some are low, some are high. Clearly, there's a problem. So, you get your little checklist, check. There's a problem with the microbiome. What kinds of treatments are you going to do? That's a good question. So, let's look at that. This doesn't have to be as complicated as it seems. In fact, the simpler that you make these treatments, the more effective they will be. So, we have a stage one, meaning a microbiome problem. How do we know that? Because we just looked at the normal bacteria and they were all up and down all over the place. So, then what are we going to do? The treatments are prebiotics, probiotics, and butyrate. You can't imagine how effective and amazing butyrate is. You should spend, please don't do this right now, but maybe tomorrow, look up butyrate and see the things that butyrate does. And butyrate is now available. Uh, Pure Encapsulations carries it and Designs for Health carries it, okay? And it's a rather incredible product for many different reasons, the least of which we're talking about here, okay? So, stage one, microbiome. You're going to do prebiotics, probiotics, or butyrate. You can figure that out, okay?

So, then what I'm thinking, oh, stage two. So, organs. So, the organ markers on this test are at the end. I've looked at thousands of these, so I just kind of remember that. So, there it says intestinal health, digestion, steatocrit, that's gallbladder. Elastase, that's pancreas. Uh, immune response, secretory IgA, that's going to be inflammation, immune reactions, right? Calprotectin and the immune response. This is basically the intestinal tract, how strong is the intestinal tract immune response? What's happening in terms of intestinal tract inflammation, okay? So, if steatocrit is abnormal, gallbladder problem, treat it. If elastase is abnormal, pancreas problem, treat it with enzymes. Uh, if SIgA or calprotectin are out of balance, you may need to refer out, sometimes to a doctor, a gastroenterologist. Or in many other cases, you're just going to treat the inflammation and immune response, okay? So, stage two, and stage two is organs. GI organs. There's only four of them, okay? So, there's only four choices here. So, um, well, let's just say gallbladder support. Every company has one gallbladder product. Usually, they only have one or two, you know, it's not a big topic. You know, I don't know why. Gallbladder is probably the most undertreated problem in the GI sphere that I inhabit, at least when I see patients that have been around. And this really should have been fixed a long time ago. It's almost always gallbladder. So, if you get a complicated case, just think gallbladder. Let's see, oh, uh, pancreatic, pancreatic enzymes, right? And then you can do the things for SIgA or inflammation. So, anti-inflammatories, you know, classic ones would be like curcumin. Some people use SPMs, anti-inflammatory. And then a lot of people use immunoglobulin stuff, IgG stuff, or glutamine powders. All those things for leaky gut repair, okay? That would be stage two. And then we're looking for pathogens. So, we gotta, and I actually do it this way when I get these tests in my practice. And when I show these tests to patients, I don't go through them in order. I just skip around and find stuff. Oh, this is a really good case. You want to see this case? Check this out. So, Megan presented this case this Tuesday. Five-year-old kid, okay? Five-year-old, five-year-old kid with really bad digestive problems. Check this out. H. pylori, that's a pathogen. Dysbiotic bacteria, that's a stage three. Those are bad bugs. We want to kill. Dientamoeba fragilis and Pentatrichomonas hominis. Ding, ding, ding. That's three different markers that qualify this child for stage three. So, stage three. This kid is for sure going to get better. That's all I'm going to say, okay? So, what do we have? Um, bugs. This is called GI bugs. Pathogens. Sounds so serious. GI bugs. In terms, I always try to speak in the way I speak to patients. If you say pathogen, pathological, I don't know. People don't, this is not a friendly term. If you say you have GI bugs or your kid has GI bugs, I just think it's a lot easier. So, H. pylori in this case, D. fragilis, and there was some dysbiosis. Oh, and there was Pentatrichomonas hominis, okay? So, now, in this particular case, and this is often the case, you may need to treat more than one stage. So, then the question comes up, which one do you want to treat first? Different philosophies here. A lot of people always treat the pathogens first. So, they would go for the stage three first. When that's better, straight to organs. When that's better, do the microbiome. You know, that's kind of like the remove, repair, replace kind of thing. The really old people that I hang out with, like the doctors that are in their 80s, I've been doing this 30 years. The ones that have been doing this for like 50 years, 60 years, they do the opposite direction. They're old. I don't know if that means that they're, they have this infinite level of wisdom, you know? Or I also think a little bit, it's that they're not worried about their practice and making people feel better. They want to operate this really high level. They all started the microbiome because they're like, well, wait a minute, the microbiome imbalance is what started all this. Let's get to the root cause of the microbiome imbalance and fix this. If we get this fixed and the diet fixed, everything else will get better. I personally don't do it that way. I'm 57 years old. I haven't reached this level of enlightenment yet. But I'm telling you, all the people that are senior to me start with stage one. I start with stage three. You can do it either way. Clearly, pick a lane. Doesn't really matter as long as you cover everything that's on here, okay?

So, now we're going to take that same conceptual framework and we're going to look at a different lab company's test. Oh, and in the, um, mentorship, we do organic acid testing like a lot. So, these cases have, have that element too. Let's see, uh, it's not the right one. Hand, I think I went the wrong direction. Sorry. It's this one here, maybe. Uh, here. So, I want you to just get a little exposure to other tests so you can see how this would work with different tests, okay? So, here's the Genova GI Effects. A lot of you probably seen these. The great format, great way of presenting all this information. But we're taking it from five areas that they've summarized down to three. So, we're just, what are we looking for? Stage one, microbiome. Stage two, is there an organ problem? Stage three, are there any infections? So, let's see here. Let's just see if there's another one in here. No, that's the only one. Okay, we'll have to work with what we have here, okay? So, what you do on that, on this test, first of all, you look at their little charity graphy colory thing here, okay? And it'll give you a general sense of what's happening with the, here it is, with the commensal bacteria, commensal microbiome analysis. This is the microbiome part. This is the stage one part. And they've summarized it and put a big circle with the U there, not like the letter U, but like a Y-O-U. So, it's like, you. They should have the patient's picture there. That'd be hilarious if they actually put, like, digitally impose the patient. I think that'd be funny, but not great, right? Green is great for all of these lab companies. Green is great. Red is bad. Everyone agrees on that. It's not like one company does it the other way. So, then we go back up here and you can see, um, under microbiome support, the microbiomes, it's a six. So, you know, there's a microbiome imbalance. And then I can just show you here, so you can kind of cheat and not have to look at the lab products of protein breakdown. There's a problem there right away. Now, you know there's a problem with the stomach. If the pancreatic elastase was all messed up, then you know there's a problem with the pancreas and you need enzymes. And if fecal fats were off, you know they need gallbladder support. So, basically, for this lab company, this is the stomach marker. The pancreatic elastase is the enzyme marker. And the fecal fats is a gallbladder marker. And yes, there is an HCL problem there. And there is a microbiome problem. And then are there any pathogens or infections? Doesn't look like it, okay? So, for this particular test, and there's pages and pages of data here, but we're just going for the heart of it, right? One, two, three, punchy, punch, punchy. So, now we have on this particular case, let's just flip down here. We just said that they had a stomach problem, right? So, they need betaine HCL. Give them a couple of those with each meal. That's for the stomach. They had no pathogens, so no GI bugs. But there's sort of this dysbiosis, commensal bacteria thing going on. The microbiome was off. So, they do need the pre-probiotic approach. And maybe even some butyrate if you want to, like, push them a little harder. That's for the stage one part. This is the organ involvement, right? This is stage two. That's it. They didn't have, maybe they need a little dysbiosis tune-up. And dysbiosis is defined differently by the different labs. For some of the labs, it means that the commensal bacteria are out of balance. For some of the labs, it means that the potential pathogenic bacteria are out of balance. So, dysbiosis as a term is used in a lot of different ways. And it's very confusing because people are confused. It's not inherently confusing. It's just that people are confused as they use the term sometimes to describe commensal bacteria that have gone wild, and sometimes they use it to describe potential pathogens that are out of balance. I don't know if that's ever confused you, but I think it's pretty inherently confusing to me. You're supposed to sort through those two things, okay? And then let's look at one more. So, again, just drilling this down, microbiome, organs, and pathogens. Here's a GI 360. It equally, it's a nine-page lab report, okay? There's no way you're going to understand this in your lifetime. Like, I can guarantee you, there's no way anyone that's listening to this is going to understand all 54 of these commensal bacteria and how they interact with one another. Even if you went today and got a PhD in microbiology, starting tomorrow, good luck getting through understanding each one of these markers at the depth that you really need to. So, what we rely on with these labs is for them to summarize this information. And if you look at the summary information, it's all these algorithms and computers cranking out all this information. And you get a really good representation of what's going on, okay? So, you don't need to know the fine details. I don't need to know every little button in that car to drive it around and have fun in it. You just need to know three things. You master these three things, you'll be in really good shape because these are the three things that you're going to treat directly that are going to move the needle. The microbiome can be disrupted by diet, by bad sleep, problems with stress, all kinds of things. But once that microbiome gets thrown off, now you're starting to have inflammation. The immune system is getting a little wonky. Things aren't working well. And if that goes on for long enough, then you enter into what I call stage two. Now, not only do you have the microbiome and inflammation, but now the organs are reacting. And there's not that many that can react. You can have a stomach problem and not make enough stomach acid. You can have a pancreas problem and not make enough enzymes. You can have a gallbladder problem and not make enough bile. And then you can have inflammation and weaken immunity. And all that leaky gut, if you want to call it, just a gut problem in the intestines. And so, you need to figure out with each patient, am I going to treat the stomach, the pancreas, the gallbladder, or the intestines? Which organ is involved? And the lab will tell you, okay? And, um, just treat that organ again. So, when you're looking at these markers, you're thinking, okay, is there a microbiome problem? Yes or no. And every lab will have a chart, little graph, that'll tell you that. And then you're looking, okay, which organ do I need to treat, or organs? Okay, stomach and gallbladder. Okay, got that. And then you look to see if there's an infection. It's that simple, okay? So, again, the microbiome first, then the organs. Three biggies: pancreas, pancreatic enzymes, you'll see markers for that. Bile, all these labs have markers for gallbladder function. Is there a problem there? And then the immune and inflammatory responses in the intestinal tract, is your leaky gut? Those are the three big ones. And then stomach is kind of in the mix there. Now, if you have a microbiome imbalance and a bunch of organs that aren't working really well, it's just a matter of time until the natural defenses in the body diminish. And then you start to get a problem with an infection, okay? Infections start to pop up. And by the way, I have to give credit to Paul Larkin. Paul Larkin is a wonderful scientist and a great scientist and a great human being. He and I work together on this lecture. And Paul is the head of education at Pure Encapsulations, okay? So, I got to give him a shout out because a lot of this is his little diagrams and stuff. It's me saying what I want to have happen, and then Paul making it really look great and getting all the science together for this stuff, okay?

um oh low let's just say make it easy low butyrate make it easy on ourselves and low uh commensal bacteria that's kind of the same the same thing isn't it because it's the commensal bacteria that make the butyrate.

okay so with if you had a case like that i should show you one real protocol i would give digestive enzymes coupled with each meal. we'd want to treat the h pylori so we do that with mastica 500 milligrams this is right out of the mayo clinic by the way is exactly what we did with them. then usually some dgl or something else like that right to calm things down and maybe some other additional support uh stomach support let's call it you know some other anti-inflammatories like slippery elm stuff like that. so there's our uh h pylori program and then after that is completed you treat the giardia. let's say the patient doesn't want to take antibiotics because they've had too many antibiotics in life or something or maybe they want to take antibiotics then they can just do flagella here but they say they don't want to do it then you do a herbal parasite program or antibiotics. a lot of my patients use antibiotics i'm not against that it's okay if you want to do that sometimes it's faster and better. and then if they have low butyrate then you would use butyrate. there's two different forms of it the sunbutyrate that's from pure and there's tributaries a pill one's a liquid they're basically the same thing from designs for health let's use that three times a day okay and that would be like a basic stage one stage two stage three program.

uh oh no no so so we're doing um the enzymes that's for the pancreas the mastica and dgl to get rid of the h pylori some extra stomach support because of the h pylori these are the antimicrobials oh yeah and this is from a stage one is a butyrate so we've got really combined here this is a stage one supplement kind of we're kind of mixing and matching here um this would be a stage two supplement so i guess you can mix and match them too i never thought about it that way you can treat one stage and then the next in this case we're kind of mixing and matching a little bit kind of or letting them overlap and this is a stage three depends on how many other supplements they have and how much do you think they can deal with this is like a stage two one okay so you can't combine them i guess i just did kind of unintentionally there.

oh and then the h pylori treatment is for two months. two months of the mastica then stop give them a little break for a week or two and then you go after parasites either with medications or with herbs.

all right now i want to um pause for a moment i will answer questions at the end but for those of you that are you know been doing this for a long time i wanted to show you this other stuff okay we just have to we're officially wrapping up the talk now the regular talk so if you need to run go ahead and run if you want to stick around um let's just do a little informal thing about how i just want to show you some really cool stuff because i think there's there's you know the reason why i'm doing this is you know there's the drudgery of being in practice you know after 30 years i mean i don't enjoy every patient and every you know some i mean i i overall enjoy it a lot it's like glenn said 95 of the time it's the best job in the world glenn frieder told me that 30 years ago he's right but five percent of time it kind of sucks you know like the patients oh that's not getting better or you're having a bad day or i don't know something's going on you know the universe is just not in alignment and i think that they're sort of the drudgery of the day-to-day part of the practice there's the joys of watching an autistic kid speak for the first time i mean that's happened to me two or three times in my career the kid has never spoken his or her whole life we put him on a program kid is talking now i mean that just brings tears to your eyes you know and this is like the joys of practice are really intense in this business you see things like that all the time and it's really kind of my numbing how much better a lot of people get but there's i think the need to not only have the practical application skills of like okay stage one say two three you need this supplement for that but then there's also the need to really kind of dig in behind the science and understand what we're doing so what we're talking about now is purely theoretical you don't need to know any of this other stuff but it really helps me stay engaged in my practice and in my patients to learn these other ideas to not just memorize algorithms for treatment you know but to also just get a deeper understanding of what's going on behind the scenes with all these things so i'm going to just spend five minutes on that okay and then in particular and specifically in relation to the microbiome so these are just like almost like my personal notes from working with richard and i'll show you um the bigger picture so if we're trying to step back and just look from a 30 000 foot view what the heck is the microbiome what's going on here it's complicated right so it's a process it's an interactive process of these trillions of organisms literally feeding off one another so we eat dietary fiber this is just one aspect of it i'm just showing you just one process of many but we eat fiber these bacteria some of them convert that dietary fiber like you chewed on a piece of broccoli okay you ate an apple they turned that fiber into fat i mean that's a little bit of a miracle we call them short chain fatty acids but these are fats they convert the fiber into fat so what happens is the bacteria the some of these bacteria right a group subset of them grab that fiber they use it as a fuel supply for their own bodies and what they eliminate their waste product their waste product that they're getting rid of are short chain fatty acids the main one is butyrate it just so happens that that butyrate then is 70 of the fuel for your intestinal tract lining that's incredible and what's even more amazing is when that butyrate leaves your gut when that butyrate leaves your gut the butyrate these these bacteria made from fiber when that butyrate leaves your gut gets into your bloodstream goes to your brain does anybody know what it does type it in if you know what it does see if anyone knows this one this is directly related to long-haul cova treatments when people have neurological symptoms that's a clue okay when butyrate hits your brain it stimulates the production of brain-derived neurotrophic factor bnf right bdnf bdnf levels go up in the brain from butyrate in your gut hitting your brain that's how crazy this is so if you eat fiber your brain starts to heal and repair and grow better that's how crazy this is okay so then those bacteria oh there's another group of bacteria that make hydrogen okay and then there's another group of bacteria that consume hydrogen so you can see where this is going right if you don't have these guys then these guys take a hit if you don't have the hydrogen then these guys have nothing to consume so they're all completely dependent on one another and they're all looking to you for what you're chewing on to see how this is going to go down and if you're chewing on a snickers bar a bunch of nachos and butter pecan ice cream i'm naming my three favorite things i try to not eat i i don't know if i've ever had all three of those at the same time i probably have but snickers bar butter pecan ice cream and nachos not a lot of dietary fiber going down this whole thing gets completely screwed up that whole meal you just might as well you know go take a bottle of probiotics or something just have a drink of whiskey go sleep or something because you just screwed up your microbiome really bad okay so now there's also bacteria you can look at these bacteria also just by their abundance by how much of them there are right and this is a little chart that shows you and here's our fecal bacterium present inside there's a lot of that stuff in your gut should be anyways and then you can also look at them by their functions and again these are like notes of mine it's not really a lecture per se but uh yeah check this out we make energy using oxygen everybody knows that you breathe in and out and then the oxygen enters your mitochondria but these bacteria that we're talking about these commensals are in the large intestine there's no oxygen down there okay and so they take when we when we're functioning and we have all this hydrogen that's a result of making energy right all the little protons are floating around then we use oxygen we bind it together and turns into water but these bacteria have to make energy in an environment that has no oxygen so they take all their leftover hydrogen there's no oxygens in there to bind to to make water they bind it to other hydrogens and they make um hydrogen gas these hydrogen come to get right that's how crazy it is and so we're making co2 and water these guys are making short chain fatty acids and hydrogen gas that's insane and then to make it even crazier there's a whole nother bunch of bacteria in there that can only live on hydrogen gas so they can't function unless the hydrogen producers are there this is so insane and this is just so complicated you can't even believe it and then there's a whole bunch of them these are the hydrogen removal ones here methanovir methanobreverbacter smithai d piger acromancia these these are the ones that live on that stuff oh no acromancy is even more special and cool acromancia lives on mucin okay oh it's this so the stories for each one of these are just insane so the idea being that it's complicated and that there's no way you can say this one bacteria is low and we're going to try to treat it until it gets better right there's just too much going on to make that work you have to think in generalities when you're dealing with the microbiome so you can use dietary fiber prebiotics probiotics butyrate you can use diet itself because if we're eating the right foods these bacteria naturally start to grow out properly and what does that mean so there's two i don't think i have a slide on this but there's two major categories of stuff you have to eat to make this microbiome thing happen one would be here i can just write it in here how's it when you're coaching patients on this one would be fiber and we talked a ton about fiber already for obvious reasons you know you need the fiber to make the butyrate you need the short chain fatty acids so they can make the hydrogen you need the hydrogen producers so the hydrogen consumers can work so if you don't have fiber that whole cycle i showed you just doesn't work and so fiber primarily from beans lentils are the best but i don't really like lentils that much i don't know if you like lentils but you can use any kind of bean black beans you know garbanzo beans any kind of beans that has the ultimate type of fiber many other foods have fiber but you should have beans in your diet every day a little bit not a lot but a little bit and then you need polyphenols and for that i don't know i like have this thing now about cranberries i eat blueberries every day i ate blackberries if the kids don't eat them they're kind of expensive and you know get them for the kids but if the kids don't need them i'll eat the blackberries um there's a bunch of other things probably you can get polyphenols from green tea if you like to do that you know many other sources of polyphenols but polyphenols feed the good bacteria fiber feeds the good bacteria and that if you're doing that on a daily basis oh you know what we're doing now a lot i'm putting pomegranate on my salads i have this really killer salad now with the pomegranate a little bit of the cranberries and then all the greens and that's like it's like a polyphenol party so dietary changes you know are obviously a huge part of this as well okay so let me just recap and then we can look at some questions so the key points here are where's my powerpoint uh here that's yeah here we go uh key points here are oh there's the cranberries where'd they go oh yeah there's the pomegranate um oh and i gotta talk about this stuff too okay so the key points are that there's three different stages you can look at this really simply microbiome organs and pathogens and start to treat those and explain this to patients using that language business essentials bootcamp for those of you that joined us late is coming up in february we do this once or twice a year one of our more popular classes you get 100 bucks off if you use that discount code this is two months of looking at business operations financial planning business planning telehealth legal aspects infrastructure staffing all the things that go into running a business and it's very activity oriented like you have to write out a business plan you have to write out a financial plan and then we get into our group online and we talk about all these things every week and people find this a really inspirational class and if you're thinking about starting a practice or you're working on your business now this can be really transformational and almost almost everybody loves it if you're not comfortable talking about money then maybe it's a little awkward but you know we have to all get over that at some point we have our mentorship that's coming up at the end of january this is our flagship one year course where you really get to learn how to interpret labs at a deep level and we get to do what we did for an hour today but every week hour after hour after hour so we have one live call for each group in the mentorship and then i have a pre-recorded curriculum for you guys and then we have hundreds of hours of special lectures and topics that i've recorded so it's a pretty in wonderful experience if you really want to become an expert at lab interpretation that is the way to go okay and you also get a discount 799 bucks off if you use that code and that is starting in about a week if you guys are interested in mentorship okay all right so now let me turn towards questions and see we won't get through all of them but let me see how many i can do let's see you can't really go wrong the first question from linda is which of these three tests should i order they each have their own special applications i use all three of my practice on a routine basis you can't really go wrong and then what ends up happening after a few years you'll develop your favorite because of certain markers they have or maybe just the sales rep that you like more at one place or you like their turnaround time is faster or something like that so they're you can't really go wrong any three of those they're all same kind of scientific quality same kind of commitment by the lab directors and i know the lab directors of each one of these companies i know tony hoffman who does a gi map test good friend known him for many years i just talked to him a few weeks ago i know the guys at um daryl uh who owns doctor's data and is devoted to our profession like no one else i mean he's an amazing person and he's put everything he can into the gi 360 to make that a flagship test and then the gi effects was developed by my teacher richard lord so i use all three though because each have special features we don't have time to get into but you can't go wrong okay and um you really can't go wrong with any of them uh so then kathleen's asking do i treat infections after stage one and two no i don't so i do the killing part first i'm not saying that's better remember i said all my teachers say don't do that but i'd like to get results kind of fast and i really like to kill things and it's maybe a personality defect on my side but it's worked for me but you can absolutely do it the other way okay you don't have to do that whatsoever let's see what kind of stage three treatments you know all the basic stuff so like um this morning we're talking about flagella and linea if you want to use medications for parasitic infections uh people use uh various things for what i can mention for h pylori if you want to go the herbal root you can use things like mastica for a pair anti-parasitic programs use a lot of artemisia black walnut berberine grapefruit seed extract cola silver it's all the standard things you know that all the basically most all the companies that we work with carry nothing super special um and for each bug i have my own personal preference i pretty much 100 still do what dr timmins taught me 30 years ago in terms of the pathogen treatments because they work so well i haven't changed one milligram of anything since of what i was taught so the stuff i teach in the mentorship program is exactly what tim has taught me in terms of the herbs let's see if they can't afford the gi test then you want to start with stage one and the diet beans which are cheap i was at whole foods a couple months ago buying beans and the woman that was checking me out ringing me up was i don't know she was maybe 25 years old she kind of young and she's looking at me like like suspiciously i felt like it was like a drug dealer or something because i had like a bag of black beans and a bag of pinto beans and like and and and she was clearly not comfortable with the fact that i was buying all these beans clearly this didn't happen very often i was like is anything wrong she's like oh no no you know it's just like people don't usually buy beans here and i was like okay well you know what it's not a popular food i don't know why you know even at a place like whole foods people are not buying beans so we should all be buying beans so beans and then the polyphenol containing foods that'll get your microbiome going faster than anything you know um h pylori treatments last for two months you wait for two months after the treatment before you retest for any of these bugs that's standard okay um i most of the time treat h pylori unless there's a reason not to reason's not to maybe she's pregnant maybe as a young child there may be some reasons why you wouldn't want to okay never treat the parasites in h pylori at the same time now i i was taught that and i tried to i've tried to do it many times it really goes bad so it's just too much for the body so just do them one at a time it's not worth doing them both and myra got the bdnf brain derived neurotrophic factor question right so 10 points for myro she's the only one and then [Music] keto diet in relationship to healing the microbiome that is too complex to get into that can work depending on the patient's circumstance what's more commonly effective is a plant-based diet a lot of patients that have severely damaged gut linings cannot handle a plant-based diet because they can't even eat vegetables or fruit so you're in a bit of a conundrum there and you can't use what might be the ideal diet so you have to work around that and just kind of work with where the patient's at you know bad bacteria feed off all the bad stuff you know basically sugar starches stress the mentorship is for all types of practitioners we have chiropractors naturopaths medical doctors physical therapists psychologists a lot of acupuncturists tons of nurse practitioners mds of all stripes ob gyns radiologists a lot of family practice doctors we have a couple icu doctors right now um oncologists pediatrics specialists it's kind of the whole gamut um people that end up taking that uh let's see i'm gonna run out of time and one more second here i just wanted two more questions um oh the dates business essential boot camp february 16 mentorship this is for uh dorinda i think here um let's see business decisions boot camp is the 16th oh and then the mentorship is 26. those are the dates okay um let's see yeah it's one infection at a time this is from charney i really it's better to do one infection at a time i mean this is one of the things that timmins was really clear about if you're going to go after h pylori don't give them like 500 milligrams of mastica give them a thousand milligrams three times a day that is a lot of mastica okay that's three or four times more than most practitioners use so you're giving that much massacre you don't have much room for anything else and so he was a naturopath and these naturopaths were fearless the naturopaths from the 60s and 70s and 80s they didn't care about licenses none of them were licensed there weren't there wasn't licensure for naturopaths in the united states at that time they were on the fringe to begin with and when they did treatments they were very serious about it you know they didn't namby pam be around and so i inherited a little bit of that in my protocols and so yeah if you're going to do an aggressive treatment program you can really only do one at a time like if i went to a doctor a regular doctor and i you know and they said well we're going to treat i don't know like two completely different conditions at the same time with two different antibiotics i mean you would just be like well let's just slow this train down a little bit so these treatments are pretty significant in their effect and you really don't want to overlap them much okay the next mentorship starts is for sarah in about two or three months and so if you're wondering about that you can do a zoom tour with jennifer she can give you all the dates but we tend to start one every quarter so there'll be one in january one two or three months later and like that and the mentorship only opened up for new applicants once per year and no we do the mentorship yeah like i said so i think there's five start times it's gonna be january then add two or three months to each one of that you know and you'll see i don't know if we have all the dates published but um you can ask jennifer if you guys want to do a little chat with her so we do a new group every two or three months and uh you guys can think about it and get ready if you're interested and if you're interested reach out because we have a whole staff that is you know designed to help answer your questions about the mentorship or the boot camp a lot of people take both in fact probably half the people in the boot camp ended up doing the mentorship because they want to get their business going and then they realize oh crap i better learn how to interpret labs somewhere in the middle of all this okay so we're trying to offer you guys everything you need to get your practices going all right i'm way over time here i'm sorry about that kind of rambling on but i wanted to give you that extra little info for the more advanced people and let me just make sure that i got most of the questions if you're looking for doctors that do this work you can go to the ifm website um and if you have a genova test i do help interpret labs i still have a practice so you can go to the k-lish wellness website if you're a patient and and see if you want to work with us through that way okay um dietitians yes you can do this sarah if you're a dietitian you probably schedule a call with me i can explain to you how you can partner with another practitioner so you can order the labs that's very doable king i think i got a pretty much covered here okay thank you guys for attending i appreciate it very much we've it's a mini me it's a mini series sorry it's a mentorship mini series which means this is the first one we're gonna have a couple more talks coming up and i hope to uh you know connect with you on one of those okay bye for now you

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Mentorship Miniseries - Microbiome Diagnostics: Three Stages of GI Dysfunction

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