Paul Saladino MD Podcast

170. How to fix your gut!

Paul Saladino MD Podcast with Paul Saladino 2022-07-05

Summary

Paul Saladino deep dives into gut health optimization, covering common gut issues like SIBO, IBS, GERD, and gallstones. He explains what he believes causes these conditions and shares his approach to fixing them through dietary intervention, focusing on an animal-based framework for gut healing.

Key Points

  • Root causes of SIBO, IBS, GERD, and gallstones
  • Dietary approaches to fixing common gut issues
  • Animal-based diet framework for gut healing
  • How to optimize gut health through food choices
  • Why Western medicine often fails gut health patients

Key Moments

Blue light glasses as a sleep game changer

Saladino discusses how focusing on blue light at night with blue light blocking glasses has been a game changer for his sleep quality.

"Blood Work podcast coming next week. My friends at Blue Blocks have now rebranded. They are called Bon Charge, good energy in French, I believe. And I love what they're doing here. I think they make the best blue light glasses out there. Focusing on blue light at night has been a real game changer for me in terms of my sleep. And they make some amazing EMF protecting products. So I've got an EMF protecting mat."

UVB sunlight changes gut microbiome

Saladino shares an interventional study showing that UVB light exposure directly changes the gut microbiome, with his own vitamin D at 75 ng/ml without supplementation from sun exposure alone.

"The majority of them are not even known to humans. We haven't even sequenced their DNA. We don't even know what's in the gut. There's a lot of gastrointestinal dark matter, a lot of organisms living in our guts, we don't even understand. So for anyone to presume that they know what a healthy gut microbiome is or that they can interpret changes in the GI microbiome and say these are good or bad without giving some context, that is my favorite word for Western medicine in general. And I think where Western medicine messes up repeatedly, without giving some context of the health of the individual is really missing the boat. We see a lot of people who get And they may cut out fiber from their diet. They might cut out vegetables from their diet. They might do an animal-based diet of meat and organs and fruit, honey, raw dairy. But their gut microbiome might change in a way that some people would look at and say that is a negative."

Intermittent fasting as an ultimate zero-fiber gut reset

Saladino suggests intermittent fasting as a potential tool for gut health, calling it the ultimate zero-fiber diet that can help restructure the gut, while cautioning against overuse.

"The majority of them are not even known to humans. We haven't even sequenced their DNA. We don't even know what's in the gut. There's a lot of gastrointestinal dark matter, a lot of organisms living in our guts, we don't even understand. So for anyone to presume that they know what a healthy gut microbiome is or that they can interpret changes in the GI microbiome and say these are good or bad without giving some context, that is my favorite word for Western medicine in general. And I think where Western medicine messes up repeatedly, without giving some context of the health of the individual is really missing the boat. We see a lot of people who get And they may cut out fiber from their diet. They might cut out vegetables from their diet. They might do an animal-based diet of meat and organs and fruit, honey, raw dairy. But their gut microbiome might change in a way that some people would look at and say that is a negative."
Colostrum

Colostrum for gut healing

Discussion of grass-fed colostrum research showing benefits for gut health and immune function at doses as low as 1.5 to 3 grams.

"Also, stay tuned on Instagram because I'll be talking about which labs I did. I'll put a reel up of that, or we'll talk about it in the newsletter, which you can subscribe to at carnivoremd.com. We've got a new website, a total revamp of the website coming very soon. We will have an animal-based diet calculator where you can put in your weight, your activity level, and we'll try and give you some macros and help you structure an animal-based diet. So that is coming probably later this month, end of this month. It's the old website still. But if you want to sign up for the newsletter, you can do that at carnivoremd.com. Okay, let's talk about gut stuff. Gut stuff, not butt stuff, gut stuff. Well, I guess it is butt stuff if it's talking about gut stuff. It's just the end of the gut is the butt, but the beginning of the gut is the mouth. So we're talking about things that happen in the oral mucosa, in the esophagus, in the stomach, in all of the regions of the small intestine, which is divided into the duodenum, the ileum, and the jejunum, or the duodenum, jejuum, and the ileum, and then the colon, which has the In a retrograde fashion from the rectum, from the anus, and that's why people sometimes end up needing to have their parts of their colons removed due to massive inflammation. We'll get to those inflammatory bowel diseases later in the podcast, but that is the GI tract. That's what we're talking about today. So most people, when they talk about the GI tract, they're thinking about the gut proper, meaning the duodenum, the jejunum, the ileum, and then the colon, all of the pieces of the large intestine. So the small intestine, large intestine, maybe the stomach, probably the stomach as well. So, what is a healthy gut? I think we can define this symptomatically or the absence of certain symptoms, and then we can define it in terms of other metrics like alpha diversity, which I'll talk about in a moment. But I think symptomatically is probably the best definition of a healthy gut that we have. We don't really have a great definition of a healthy gut with other objective, more technical metrics like alpha diversity, or we don't really know what a healthy gut microbiome is because there are many healthy populations of people who have very diverse different populations in the gut. And there are thousands of species in the gut."

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