Episode Transcript
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0:00
Before we get into today's episode, I'd like
0:02
to take a minute to remind you some
0:04
exciting news. My new Cookbook, The Young Forever
0:06
Cookbook, will be released on Tuesday, June fourth
0:09
Nationwide. In my new cookbook, The Cooking Campaign
0:11
to my book, Young Forever, You'll find over
0:13
a hundred mouthwatering anti inflammatory recipes and are
0:16
going to help you live longer, healthier life.
0:18
You can preorder the Young Forever Cookbook A
0:20
Young Forever cookbook.com Just click on the preorder
0:22
button at the top right. I'm so excited
0:25
to share the Just Be With You and
0:27
so much more and again. The Young Forever
0:29
Cook. Book comes out on Tuesday June
0:32
fourth. pre order yours today. Coming.
0:34
Up on this episode of The
0:36
Duchess Pharmacy Twenty Environmental. Toxins.
0:38
Between that malnutrition, the sugar I
0:40
believe the genetic found ability catching
0:43
up with us. It's. Just an
0:45
can. A perfect storm. The had his
0:47
resulted in this meant to help Crisis
0:49
Or though yeah, I always stressed that
0:51
I I'm tired of hearing the term
0:53
mental health crisis. Yeah, because I think
0:55
the better term. These. For us
0:57
it's a crisis of care. It's the
0:59
miata. Yeah, because the A is treatable.
1:01
A such as numbers go on. Before
1:06
we get into today's episode, I'd like to
1:08
take a minute to remind you some exciting
1:10
news. My new cookbook, The Young Forever Cookbook,
1:12
will be released on Tuesday, June fourth Nationwide.
1:15
In my new cookbook, The Cooking Campaign to
1:17
my book, Young Forever, you'll find over a
1:19
hundred mouthwatering, anti inflammatory recipes that are going
1:21
to help you live a longer health your
1:24
life. You can preorder the Young Forever Cookbook
1:26
A Young Forever cookbook.com Just click on the
1:28
preorder button at the top right. I'm so
1:30
excited to share these recipes with you and
1:33
so much more and again. The Young Forever.
1:35
Cook Book comes out on Tuesday June
1:37
fourth. Pre order yours today. Hey,
1:41
we want it's Doctor Mark. As functional medicine
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practitioners, we need to get to the heart
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could help everyone by my purse or practice,
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4:07
I think. We. All know that we
4:09
have a mental health crisis, but. We.
4:12
Also, know that our current approaches
4:14
don't work. Things. Are getting
4:16
bad and even worse than bad if
4:18
for many people. And.
4:20
We had an amazing conversation on
4:23
the Doctors Pharmacy podcast with Doctor
4:25
James Green Black, who's been studying
4:27
functional. Psychiatry. For.
4:29
For. Decades plus an even in college
4:32
was setting that light him in be
4:34
three and mental health issues. And.
4:36
He's an expert of is in. We
4:39
go deep into how. Our. Current
4:41
understanding of mental health is completely
4:43
wrong and that we are not
4:45
looking at the root causes which
4:47
include nutrition toxins are gut, microbiome
4:49
and nutritional deficiencies and also some
4:52
other factors which aren't often looked
4:54
at in traditional psychiatric. Yes, we
4:56
taught deeply about issues like a
4:58
D D and depression, anxiety, Bipolar
5:00
disease, Schizophrenia, even things like Alzheimer's
5:02
and even eating disorder. So we
5:05
get in a really beautiful conversation
5:07
about what will be the future
5:09
of psychiatry for everybody. But you're
5:11
not hearing about it from your psychiatrist. so
5:13
check out the podcast, learn more about Doctor
5:15
That's work. It's quite amazing and I was
5:17
a very profound conversation for me. So I'll
5:19
be like a to and I hope enjoy
5:21
it. Really dive deep into. A does
5:24
that work you been doing for it last decades?
5:26
What it means for us today, and why it's
5:28
It's so critical to rethink Psychiatry. Take.
5:30
A drive. Hundreds of hours of
5:33
content that I've been teaching. That.
5:35
I really can avoid it and had to one sentence
5:37
to help. Psychiatrists, To switch
5:39
you alluded to we have a net. You
5:41
know what can exit of rain in
5:43
our body? And if our mental health
5:46
professionals understood that, Yeah, and then we
5:48
can kind of make inroads into. Understanding
5:50
what's going on yeah this is an important
5:53
point is years ago like maybe utmost or
5:55
years ago I started in a treating patients
5:57
and functional medicine. And. I was
5:59
feeding their. God. Nor there are
6:01
immune disease or their allergies or.
6:04
Hum nutrition deficiency, Arvind their blood sugar, the
6:06
list goes on. Whatever I found I would
6:09
track which is what we do. We take
6:11
out the best support of the good stuff
6:13
that sponsor medicine. The sense a nutshell. but
6:15
then I knows all these other things were
6:18
happening. The side effects were depression, middleweight, panic
6:20
attacks, ago, a bipolar disease and improve or
6:22
go ape P was autism when get better
6:24
Some is even the way kids lady Di
6:27
would normalize it as like Alzheimer's would reverse
6:29
and like. What? The heck is
6:31
going on here side? My jokingly call myself
6:33
the Accidental Psychiatry and I wrote a book
6:35
about a call the Alter My solution which
6:38
says is about how we need to fix
6:40
our broken rains by fixing your body first.
6:42
Less said see what we do So
6:44
how did you kind of first kind
6:46
of get the or how we're talking
6:49
about in college you are studying with
6:51
leading thinkers and say hi to time
6:53
duct tape and offered are some like
6:55
you are Psychiatry exactly as Paulie who
6:57
won two No prizes one for discovering
6:59
the structure protein, the other for the
7:01
Nobel Peace Prize for the Nuclear Test
7:03
Ban Treaty. He basically wrote this paper
7:05
that started the whole field called Earth
7:07
Molecular Psychiatry published in middle eating science
7:09
journals called Science and was called Autumn
7:11
Like the Psychiatry about Correcting. Or.
7:13
Thumb is to straighten and molecular news
7:15
magistrate molecules to fix her. Can.
7:18
Take. The intricacies. So how did you
7:20
can I come into that? really? By
7:22
accident, in college, I just had wrote
7:25
a paper on Vitamin B three. And.
7:27
Brain function as how I found or
7:29
the molecular medicine him and Abrahams half
7:31
or so that was be. I mean
7:33
I know I want to cause metics
7:36
Guy: No concept of thinking about psychiatry.
7:38
At always interested in nutrition and brain
7:40
function. Yeah. And I carried
7:42
that through like that. Diverted for bad
7:44
seven years where I went through psychiatry
7:47
and. Chances. Hygiene came out
7:49
as as cycle pharmacologists knit back
7:51
quickly realized why. When into medicine.
7:54
And data back and said why the concert in
7:56
it after and the cost and then you've got
7:58
out as though it health and racket. Learn
8:00
how most of what I was seeing with kids with
8:03
a D H D and I just realized that. Stimulants.
8:06
Weren't the answer and yeah cut back to
8:08
i went to medical school yards and say
8:10
me how to me i like our family
8:12
doctor oh so came in as a yoga
8:14
teacher, study nutrition and in a really. Focused.
8:17
On cinema, lifestyle issues and dion
8:19
how are we are always books
8:21
and and nitrous against Aziz that
8:24
I read in college by Roger
8:26
Williams and. Teach my
8:28
thinking about everything and I got into
8:30
medicine and definitely got sucked into the
8:32
pet into the black hole and and
8:34
realize that sees after for five years
8:36
are doing this. I. Was helping people
8:39
and that and I need to go back
8:41
to the way I was thinking before her
8:43
and then it was powerful and in his
8:45
in his view that you'd do be shifted
8:47
you're thinking what? What were the sort of
8:49
fundamental. Root. Causes that you're
8:51
finding that account for. The.
8:53
Magnitude of the Metal Prices for seeing now
8:55
and I and include mental health prices include
8:58
a D D and Autism and all these
9:00
things to eating disorders. All of it. Yet
9:02
mean the challenge. Thirty years gonna
9:04
challenge today. He. Said it's
9:07
complex. So. Everything
9:09
you mentioned that you look at as a
9:11
functional medicine doctor. Plays. A role in
9:14
in mental health. And then
9:16
we throw in strong genetic
9:18
vulnerability. We throw in stress
9:20
and trauma. And each
9:22
pace and even though they have the same diagnosis.
9:24
ten kids with a D H D. We're.
9:27
Looking at ten different. Causes. So
9:29
the only path. To. Really?
9:32
Binding. A precise treatment plant is
9:34
the object of testing. Bozos just.
9:37
Doesn't happen in traditional psychotic. It's
9:39
is symptomatic based medicine. And
9:42
you just down to the dice, maybe it'll
9:44
work, maybe it won't Yeah I'm in. It's
9:46
as if we're moink because. Traditional.
9:48
Psychiatric diagnosis is just based
9:51
on describing symptoms. Few.
9:53
Have these symptoms. Image. Where
9:55
this egnos as if you're have low
9:57
energy, if you're sad and hopeless helpless.
10:00
The crowded time, you know, and he can sleep
10:02
in your nice insect. Oh, you're depressed. That's what's
10:04
wrong with you. That's the cause of your symptoms.
10:06
Know it's not the cause is just the name.
10:09
Of those symptoms not the cause And
10:11
so how do you navigate to the
10:13
cause? Take us to the thinking the
10:15
you have when someone comes in with
10:17
depression. Let's say. How do
10:20
you unpack that for them? Make you Said there's.
10:22
Ten people with depression or hundred people there are
10:25
different. How do you be enough? Sort.
10:27
Through the things that are root
10:29
causes for these patients and the
10:32
first is is working with the
10:34
individual Utilizing you've mentioned Roger Williams
10:36
a concept of biochemical individuality. Everyone's
10:38
different. Setting. The pace is here
10:41
that. They're hopeful. And that
10:43
we're gonna look objective lee what's going
10:45
on for and so it's set. Functional
10:47
Medicine Worker. It's. Looking at
10:49
war moans and minerals. And
10:52
it's understanding the guests.
10:54
And. So it's a it's a big
10:56
objectives laboratory work up. To. Press type
10:59
one. And. I think would miss
11:01
to the functional medicines mean a lot. Is
11:03
step two and three know because.
11:06
Yeah. You might be twelve efficiency and
11:08
yeah, my. Dad Hypothyroidism? Yeah and
11:10
they'll feel better. But. Just
11:12
for they had three generations of depression.
11:15
And there's something else going on biochemically
11:17
been so there we need then add,
11:20
you know, then the second and third
11:22
layers. And sometimes his medicine
11:24
or a number three, but they're
11:26
also blight south changes or to
11:29
nutraceuticals. air. New trees that we
11:31
can use has higher doses to
11:33
affect behavior. So it's not just.
11:36
A pure functional Madison work they are.
11:38
It's functional. Plus yeah totally. I mean
11:40
I I just think photo medicine just
11:42
way of thinking and in includes all
11:44
of it includes pharmacology. It includes anything
11:46
that work for their it's trauma therapy
11:48
or so a cyber him whenever read
11:50
it is fighting the right she me
11:52
whether a person and if someone had
11:54
a D promise. No. It's not
11:56
a dozen just registered nurse Ecology Rigs
11:58
is awesome. Their biology we know this
12:00
from their childhood events score, the advice
12:03
show that events or the A score
12:05
that is highly equally with not just
12:07
psychiatric issues but also I mean disease,
12:09
cancer, heart disease, diabetes and obesity you
12:11
name it. So if and some as
12:13
perspective is really different because you're So
12:15
we unpack. Like. They were causes
12:18
die at the helm exercise. Toxins.
12:20
Allergens, gut microbiome, nutritional.
12:23
Biomarkers. And.
12:25
Even looking at unofficial. Ah
12:28
factors in in in a very different ways a
12:30
new your name metabolites. Looking at. Various.
12:33
Kinds of biochemistry that can tell
12:35
us for yep of his information
12:37
the brain but we also a
12:39
good genetics. He misses her family
12:41
history that people have three generations
12:43
and now there's a whole field
12:45
of of nutritional and and metabolic.
12:47
Psychiatric. Genetics. So. We
12:50
can see. What? Risk factors you
12:52
have that predispose you but that are
12:54
modifiable. Time It. Dot
12:56
doomed. If everybody of him is depressed,
12:58
the stuff you can do about it?
13:00
absolutely yeah. And we have some clear
13:02
genetic. Variants. We know like me
13:04
been and teach and teacher far. Gene.
13:07
But. The and as we get more
13:09
details family history, The. Other times we
13:11
don't know the jeans but we know. There.
13:14
Are three generations of depression or
13:16
anger? Other mental illness and
13:18
eight just kind of puts perspective is
13:20
too. But. The treatment model could
13:23
be and were medications might have my not
13:25
said and protect us. Who said I'm through
13:27
the depression patient. And and what what
13:29
would be the things you're gonna set of. Start
13:31
with one of the feature in a look forward
13:33
of com and a unified as you say could
13:35
be anything as it is a great cartoon f
13:37
and would use my lectures A shows up a
13:39
family doctor looking and. Somebody his ear
13:42
those whom it could be anything. And.
13:44
Then the captain is a way to
13:46
general practitioner faggots Cook there are but
13:48
there are things that we know. The play
13:51
a big rock. So. Maybe consider
13:53
start to share what one of the comedy
13:55
you're seeing. In new patients
13:57
who have depression that are modifiable? Sure
13:59
Emmys Seven. The. Nutritional. Deficiencies.
14:02
At that are pretty common that any
14:04
family.could do would be Vitamin B twelve
14:07
in Hindi and Vitamin B twelve is
14:09
a pet peeve of mine because our
14:11
normal range a lab subs might say
14:13
to twenty the up to eleven hundred.
14:16
And nobody feels well with a level
14:18
of to twenty mother times. We've.
14:20
Treated people with severe depression.
14:23
That. Were told by the peaceably of
14:25
normal B twelve and a B twelve
14:27
sought and then they're on a different
14:29
path. Yeah, so some simple nutritional deficiencies.
14:32
And then we get into a
14:34
death. Does Bios is so he
14:36
looked at organic acids. We look
14:38
at trace minerals. Hormones.
14:41
And try to understand what's going on for
14:43
that individual com or more common things that
14:45
Zoc com looked at. Ah protective
14:47
for women I've found is low levels
14:49
of the me the last it noom
14:51
serum amino acids being low even other
14:54
eating their perfect you know. Protein.
14:56
Rich, organic, viewed wiser, their lack
14:58
of hydrochloric acid and absorbing. and
15:01
they're not to adjust to absorbing
15:03
any of the protein. Take the
15:05
women that have been to stress
15:07
her trauma, smothered digestive system Discuss:
15:09
don't. at some point
15:11
years before. That. A press
15:13
and not producing acid not absorbing
15:15
amino acids we do testing it's
15:17
and there to the every amino
15:19
acid or and that's been com
15:21
and critically and went to give
15:23
him and what one digestive enzymes
15:25
with acid and just freeform amino
15:27
acids and. Say. Feel better in
15:29
a week they do to specific ones like
15:32
piracy Nerf in allowing are essential Amino Irish
15:34
D P are. So. Initially a
15:36
be all essential amino acids so at
15:38
as a bland and then sometimes we
15:40
would increase with five H, D, P
15:42
and Finland it was like a but
15:44
the powder preda just to the meanwhile
15:46
yes a benders gets absorbed easily without
15:49
having to go through all that process.
15:51
A breakdown? Absolutely up. Yeah simple are
15:53
so easy to malnutrition and most nutrient
15:55
levels right which play a role again.
15:57
Regardless a diet to plus bang lot
15:59
of money. These. Perfect. Healthy
16:01
foods and a look at their
16:03
tests and their malnourished. Yeah, and
16:05
there's a lot of things. A
16:08
pyro meant out Magnesium Seeing Omega
16:10
Three Fats Rate Copper. Category.
16:12
Some of those and how they payroll. Sure, I
16:15
mean, I think Omega Three is probably the
16:17
most well researched. And dramatic, a
16:19
nurse research from when we were
16:21
in college began Omega Three and
16:23
Depression anxiety as suicide risk. The.
16:25
Military as actually. Fortified.
16:28
Rations: The Us military fortified
16:30
grasses with omega threes to
16:32
decrease suicide. But. Is
16:35
still not standard practice. So who have
16:37
to a more research on omega threes
16:39
and brain How that any pharmaceutical? Yeah
16:41
but start standard practice. Not as tight
16:43
as doesn't doesn't The car had the
16:45
radar when you walk. Miss Psychiatry Office
16:47
is kind of part of our me
16:49
about your mother out of her eyes
16:51
on our ass and right is still
16:53
alternative. Even those research. See. Mention
16:55
the omega threes, the trace minerals magnesium
16:57
is probably the most common deficiency know
17:00
and certainly anxiety, depression and a D
17:02
H D. Insomnia since
17:04
across all major psychiatric
17:06
illnesses. And. And the
17:08
zinc copper ratio. Most the time we
17:10
see elevated copper and kids with hyperactivity
17:13
but impression sometimes we see very low
17:15
copper. Yeah, so it's testing and then
17:17
treating. the objective test. Yeah, I heard
17:19
a story from a patient once about
17:22
their brother. I didn't treat them at
17:24
a. And. The Road in Europe and. Ah,
17:27
the brother had schizophrenia. There was pretty
17:29
bad and. Somehow he
17:31
heard about or she heard about or somebody
17:33
told them about using zinc. And. He
17:35
took high dose think and as Schizophrenia went away.
17:37
Have you're receiving like that? Fortunate.
17:40
Had one foot in traditional psychiatry. have
17:42
always been in impatience. I've seen. The.
17:44
Sickest. You know that we have mental
17:46
illness. And. And we've
17:48
seen Psychosis reverse. Am
17:51
gluten is actually really com aggravated
17:53
forgot psychosis yeah, Vitamin B three
17:55
and ends at High Copper as
17:58
well. So their number. Variables.
18:00
That. If we just tested it looked for yeah
18:02
we could reverse major gets important to me. I
18:05
read a by discuss the front of paces fine
18:07
on how much the issue but I i i
18:09
was out of I get you buy less look
18:11
and see what we can correct and let's see
18:13
how you do. It's amazing to see how people
18:15
improved. I mean at in the did I lose
18:17
your i looked at. The. Letters by
18:19
the says curious but a lot seventeen
18:21
percent of people with Schizophrenia have silly.
18:23
X is absolutely of his undiagnosed, So
18:26
in other words, you give her the
18:28
gluten and they can't wake up from
18:30
there psychosis. Then I read a chapter
18:32
in and a half or his book
18:34
just on gluten and psychosis. This.
18:36
As a silly act, diseases, other
18:38
mechanisms. The non silly act. Yeah,
18:40
and now it's all the am.
18:43
And a fuss and metabolic psychiatry
18:45
the key to jannik diet allium.
18:47
Other tools yeah to treat psychosis.
18:50
So. There's. Information.
18:52
Available. Is to
18:54
not. Be. A Part of Gun
18:56
I Go Pray Answer? You know Christopher
18:58
Promise Work has been on the podcast
19:00
and talked about has worked with psychosis
19:02
and how he accidentally cured of Schizophrenia
19:04
patient. By putting my kitty take died
19:06
for weight loss and is psychoses runaway bride and
19:08
he wrote a book about how brain intervene he's
19:11
been out there was is fantastic and as to
19:13
his body go it i i e iron part
19:15
of this you know this has like I read
19:17
my book like fifteen years ago. He's.
19:19
Like and I said you might wanna check it out. The
19:21
he can email you eggs you he says
19:24
I get the Santos her I promise I
19:26
didn't plagiarize anything. I magnets Okay this is
19:28
how the By works. yoga. everybody's got. Figure
19:30
it out eventually. I guess I had rocket
19:32
science but it's definitely not medical practice. And
19:34
the good news. Is. That the
19:37
information that they you i've been
19:39
talk i'm up at thirty plus
19:41
years is now seeping into academic
19:43
medicine. Yeah to their metabolic clinics.
19:46
at Stanford we're psychosis. Mcclain.
19:48
Starting one now. So yeah, it's it's getting there
19:51
does not have them optimistic. This is amazing, but
19:53
again I would. I would kind of worry that
19:55
that they're going to get shortsighted again. Be sick.
19:57
Oh. It's. Just a key to didn't die and
19:59
that. Solution know it's not as all these other
20:01
things because you can Ya que je died of a
20:03
to have high level of heavy metals other. Guts.
20:06
A mass. Or they're. Having Nasa
20:08
missions efficiencies. That's
20:10
been in a mate. Pet. Peeve from.
20:13
You know, Psilocybin, Takita, Jannik Diocese
20:15
are tools they help. But. If
20:17
you're not looking at the big picture, yeah,
20:19
you're gonna miss something. He: I think that's
20:22
important and I think you know it that
20:24
the whole theory. Now I'll start off with
20:26
the concept of the mad Madison civilization and
20:28
the different. Epics in
20:30
history where we had a different view
20:32
of mental illness and now it's shifting
20:34
to another view. I think this is
20:37
closer to reality in I think it's
20:39
a much closer view Basher, what's happening
20:41
because historically your tools have been just
20:43
really bad for your mental health might
20:45
be of therapy. We have some drugs.
20:48
Into. Which work out little but not
20:51
that great you know? Yep. Beers gets a
20:53
friend again or help budget. A zombie stayed
20:55
but he on the chemical straitjacket we call
20:57
it. What does that really solving the problem?
21:00
The problem you know over the years for
21:02
me in teaching this material is as simple.
21:05
Ma'am I make jokes you know as as have
21:07
been a hand surgeon you know to. To.
21:09
Learn six inches of of the
21:12
body yeah vs we don't know.
21:14
Much about the brain: The complexity of
21:17
whom body is infinite. And
21:19
it's impossible for any one person
21:21
physician to understand, even if you're
21:24
Einstein. Or. You know, The.
21:26
Smartest Doctor and the planet. It was one
21:28
fifty five Nobel Prizes. You're still married. We
21:30
have a figure out the infinite complexity of
21:32
human body this thirty seven billion trillion chemical
21:35
reactions. Every second you got a hundred thousand
21:37
and petty bytes of data. and your microbiome
21:39
you pet thousands and thousands of metabolize. You
21:41
bet tens of thousands of peptides of is
21:43
is so much going on all the time.
21:46
That it's almost impossible to really understand
21:48
it. But I would say using. Principles.
21:51
Theories. Laws of Nature
21:54
which I think. Is. What
21:56
folks on Medicine attempts to do is really describe
21:58
the laws of nature when it comes even. Algae.
22:00
We. Can start to do things they
22:03
work even if we don't completely understand
22:05
them right. We can help people improve
22:07
their micro by on my team their
22:09
diet by giving them pre bodies probiotics.
22:12
We can get rid of bad stuff
22:14
every, get them antibiotics for a C
22:16
bauer any fungal treatments and it improves
22:18
or overall brain health and mental health
22:20
and wellbeing to meet at actually understand
22:23
everything about it. But. We can still
22:25
do it and it still works which is kind
22:27
of exciting. So yeah it's I we have to
22:29
oh my god after understand everything and then we
22:31
can search of fighters who can apply right now
22:34
and and and suffering for so many. Be Botswana
22:36
really seen now. And this
22:38
is worrisome to me is is this explosion?
22:41
Of of psychiatric issues
22:43
and illnesses of attention
22:45
issues so autism. Of
22:48
violence, aggression, behavior, suicide, whole
22:50
spectrum. and it it just
22:52
seems like it's more and
22:54
more more than it was
22:56
fifty years ago. And
22:58
as I wonder if you have any insight
23:00
because you you been in this for about
23:02
that launch this is what? What's he's and
23:04
is is is is really true. That is
23:07
all increasing than it. is it better detection
23:09
or it or is actually the more people
23:11
are messed up. I think it's clearly increasing
23:13
at the good news people now talking about
23:15
it. And I think absolutely
23:17
rates of childhood major mental illness
23:19
from eating disorders de D H
23:21
d it's increasing and at the
23:23
factors are pride and mean or
23:25
died said these you know alter
23:27
processed foods. At Damn are
23:30
Not setting up with asked last
23:32
thirty years has profound implications for
23:35
child mental health care. Social media.
23:37
You. Know, I don't see it as a cause I use
23:39
the term the gasoline on the fire in the up so
23:41
I don't I don't think it's causing it, but it's kind
23:44
of. You. Know the gasoline on the fire.
23:46
And then you know all the environmental things
23:48
that bind. And. Nutrients are
23:51
a lot of My interest has been
23:53
with them to trace mineral Lithium mean
23:55
thousands of air. Tessa pick kids with
23:57
lithium. Me: I started in a good
23:59
thing. Twenty. Five thirty percent
24:01
undetectable lithium in the hair. Now.
24:04
Seeing seventy five percent while
24:06
cinema they've bids the bottled
24:08
water. we're not getting lithium
24:10
from our natural tap water
24:12
sources. Or. Other environmental
24:14
things binding it. But. I
24:17
believe that's a factor, so. Between.
24:19
The Environmental. Toxins. Between
24:21
a malnutrition, The. Sugar.
24:24
The. Time I believe the
24:26
genetic vulnerability catching up with us. It's
24:29
disturb can a perfect storm. The
24:32
had his resulted in. Ten of
24:34
this mental health crisis? Or though? yup,
24:37
I. Always stressed said. I am
24:39
tired of hearing the term mental health crisis.
24:41
Yeah because I think the better term. This.
24:43
For us it's a crisis of tears
24:46
them yard or yeah because yeah is
24:48
treatable is such as numbers going up.
24:50
The are I've views on Portman. it's
24:52
hard people the understand. The. Power.
24:56
of this approach oh okay take a buy
24:58
them in here to your died there may
25:00
me to do this or that it and
25:02
will help but. We're. Talking about
25:04
radical system people's biology that
25:06
affects their depression a mean
25:09
I I remember when Pacer
25:11
had who had really severe
25:13
depression. She also had really
25:15
severe weight issues. And.
25:18
Got issues and a million other things
25:20
going on. An introduction really
25:22
house and mercury. And we treated
25:24
her and her hours in his runaway her
25:26
depression away known most psychiatrist or not, checking
25:28
for mercury, the not fucking a poop test
25:30
and not checking your vitamin levels and allocate
25:32
know your most probably maybe a look a
25:34
little bit of thyroid if you're a free
25:36
so they'll give you a t three but
25:38
this is kind of not even on the
25:40
radar out so blown away by the degree
25:42
of improvement in these patients and them for
25:44
using the same thing I want to be
25:46
may be share a few stories. has some.
25:49
Of. Your cases over the last year's and mutt
25:51
went what you found be so kind of my boys.
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and used to confinement for twenty
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percent off was free shipping. These.
28:42
Are. Politically. Children who were
28:44
put on a trajectory of of
28:46
major mental illness. You. Know impatient
28:48
hospitals. A sad. And. Multiple
28:51
medication ones from that path.
28:53
It's it's hard to get off that
28:55
Jane near. you know I have a
28:57
bunch of cases with to Celiac disease
28:59
so chronic malnutrition for made six. Page
29:02
Twelve Harm is done up
29:04
for some individuals result in
29:06
major mental illness while inside
29:08
a depressant. An industry you
29:10
silly act as he says him to get better.
29:13
So. My favorite stories are kind of these
29:15
irritable aggressive kids ticked at a private
29:17
school. Yeah yeah yeah. schools that are
29:19
getting a lot of money. Reality, Hair,
29:22
and. And. Album low dose
29:24
nutritional Lithium Kind of was the
29:26
answer. And. They
29:28
have that family history. Of
29:30
major mental illness. Tear.
29:33
Cresses their irritable. And
29:36
small amount nutritional lithium was enough
29:38
to cannot. Keep. Them. From.
29:41
M behaving to make bigger issues a D H
29:43
D and these were obtained a more severe but
29:45
they were a D H D but the impulse
29:48
control was had for they was hit or the
29:50
kids though bio decades here. And and
29:52
they been a sociopath of what about know they
29:54
have their say felt bad the sociopath when feel
29:56
bad for have easily are of say it. And.
29:59
Then they feel. Herbal Our just couldn't control
30:01
their empire, but his tiny amounts of
30:03
nutritional lithium they were able to. Kind.
30:06
Of inhibit that aggressive impulse. And
30:09
dumb. And be able to
30:11
massacre back in school or reminds me of
30:13
a a case I had who had severe
30:15
behavior problems, he was twelve years old. Been.
30:18
Going to get a kindergarten
30:20
for a disruptive and was
30:22
on Ritalin for years and.
30:24
You. Had died fully. Junk food. Processed.
30:27
Food to struggling you out and very
30:29
very sick and also other issues he
30:31
had like got issues and nero a
30:33
bow and allergies and I headaches and
30:35
some the and anxiety and less. oh
30:38
yeah whole process about bright anal aging
30:40
and I have these in most occasional
30:42
and pay attention to her care about
30:44
but they are all bits of data
30:46
they were highly important so things in
30:48
most cases of a discarded so that's
30:50
not my domain are actually the answer
30:52
by rights and they that look in
30:54
place and and this kid was such
30:56
a second case because. We
30:58
bbc Pimentel money and diet got him
31:00
on Whole foods replenish. Delicious! He was
31:02
missing. was missing everything zinc, magnesium, omega
31:05
threes and hi trans fats. He had
31:07
low be six and mean just to
31:09
hold. Back. Base was empty we
31:11
got rid of a little Led the was in his
31:13
system and we fixed is god he had lot of
31:15
grover growth obese because all the sugar and everything aid
31:17
and we can a clean up as got and to
31:20
must say the mother comes back and she's like. Mode
31:22
when. The kids better. Alec
31:24
really? Say. Get his his homework from
31:27
before and after. Here's his handwriting before and after
31:29
and and where to put in the show notes.
31:31
I wrote an article about this and and and
31:33
medical journal and I published a good was to
31:35
so compelling. And. And you could
31:37
read his handwriting. he had severe because this
31:39
graph yet which is really bad handwriting. I
31:42
got mine after medical school sound the
31:44
guess here's my sack over the early
31:46
onset conditions thoughts but it but. It.
31:49
Is him reading in two months when
31:51
from illegible to perfect image at was
31:53
no I know occupational therapy or hand
31:55
riding lessons or any that it is
31:57
his brain when from being completely. Asynchronous,
32:01
Chaotic and dysfunctional. Devotional and
32:03
coherent. And. He was able
32:05
to actually knowing and better head reading but
32:07
not have a D D anymore. Not.
32:10
Have behavior issues now have any was other
32:12
health issues like as got issues and is
32:14
headaches and his skin issues as as all
32:16
went away and as a cloud is amazing
32:19
stuff and as kind of what got me
32:21
to read this book the action of this
32:23
soldier my solution and and I talked to
32:26
this kid near years later he graduated from
32:28
like aerospace engineering or something in acts of
32:30
and we we we really have all generation
32:32
of kids that are not bitter being neglected.
32:35
in my view they're being maltreated. Because.
32:37
They're not actually take advantage of the current evidence
32:39
of science is or talking about as us up
32:41
we made up. You. Know in our garage
32:43
it suffers in the literature. Is
32:45
just not be applied by so maybe take
32:47
us through the with him story because. And.
32:50
He was your men out. Heard about this. Ah,
32:52
Lithium sounds like it's a me a
32:55
tree. Bipolar patients with is something it's
32:57
with our medical schools. toxic, have to
32:59
measure blood levels and you want to
33:01
take too much of editing thyroid suppression
33:03
and it's like a little bit of
33:05
a hairy thing. We use it as
33:07
a doctor so can you can take
33:09
assume that The difference between therapeutic. Medication.
33:13
Pharmacologic doses and nutritional sort of their
33:15
beat what we measured some of the
33:17
causes filtering water of this in our
33:20
soil. it's inner. Dinner. Water but
33:22
we were were not know getting those Now
33:24
as you see was increasing in some nutritional
33:26
with him deficiency we'll think of as a
33:28
vitamin or mineral we need calcium and magnesium
33:30
needs. A good know is are you the
33:32
lithium right. So. In my
33:34
world and and my work isn't quite
33:37
convince your such a thing as a
33:39
Lithium deficiency disorder. So Lithium the
33:41
sorry. It goes back. And thirteen
33:43
point, eight billion years. the Big Bang.
33:45
He also they're only three elements: hydrogen,
33:47
helium, and Lithium. Rarely in the big
33:49
Bang. So. Lithium goes way back and
33:52
the earth's crust is filled. The Lithium.
33:54
So. Lithium is a natural
33:57
element. And it's essential for
33:59
human health. In small amounts. And.
34:01
The Early Studies and and lithium. In.
34:03
The seventies. Demonstrated. The
34:06
amount of lithium. In. Our when
34:08
the tap water in our drinking water. A
34:11
very geographically if you for studies were
34:13
in Texas one part of Texas High
34:15
Lithium. Guess. What they had: low
34:17
rates of suicide and mental illness. And
34:19
other part attackers had low lithium. May.
34:21
Have high rate is the same and we've.
34:24
Done these studies all around the globe. And
34:27
the amount of lithium. In.
34:29
The tap water. Projects.
34:31
Exactly rates of suicide.
34:34
It's high lithium. Low. Rates
34:36
for and and we can fifteen different
34:39
countries. Millions. Of of
34:41
data points was a pretty strong correlations or
34:43
as a semblance is pretty strong correlation, right?
34:45
And so it is essential. Metro and damn
34:47
convince the genetic. some people need more. And
34:50
also to was drinking tap water anymore.
34:53
And. We don't get a loss from our food. Most of it
34:55
was from the water. So. The small
34:57
amount of lithium to micrograms. Milligrams
35:00
a day might be what we need. Some
35:02
pls mint. Many. People are getting
35:04
out of there. was a day when tap water
35:06
was safe to drink knows more has fuck are
35:08
we there are about want hours ago use drugs
35:10
without water and those. Individuals with family
35:12
histories. Of Addiction
35:15
Aggression Bipolar. Am.
35:18
I believe those his family's up to
35:20
the higher need for lithium and if
35:22
they're in the wrong. You know,
35:24
geographic area they're going to have symptoms
35:26
so small amounts of. What? We
35:28
call nutritional lithium one
35:30
two milligrams. Can. Have
35:32
major implications for mental.
35:35
One. Or two milligrams I started. One or
35:37
two. Maybe go up to ten or twenty
35:40
milligrams in medicine or use it for bipolar
35:42
disease. Like three hundred or six hundred milligrams?
35:44
Or eighteen hundred? Correct? Yeah, yes. Has six
35:46
to eighteen hundred. It is. It
35:48
is toxic. does have side effects.
35:51
Expired kidney. So. As psychiatrists,
35:53
we shy away from prescription
35:55
lithium for. But. As functional
35:57
dogs, we should be thinking about.
36:00
Low dose nutritional if and how do you measure
36:02
it is a blood test you can do or
36:04
and yep you do a hair analysis. Air analysis
36:07
is I'd find the most helpful who has the
36:09
should be no blood level of lithium for any
36:11
of us so blood test aren't going to hell.
36:14
So. I heard test and we also have a
36:16
little lithium in our hair. And you'll
36:18
see many individuals have undetectable as the up
36:20
so normally when you have something in your
36:22
diet the mineral he gets excrete it in
36:24
the hair weather's heavy metals like mercury or
36:27
mineral so I hear Tuscan check for minerals
36:29
get can check for metal so it's very
36:31
useful to we'll use and much in medicine
36:33
a little bit. Thirty years was a a
36:35
wouldn't get up prefer my colleagues and talk
36:38
about a haired test but now it's so
36:40
essential to my practices child psychiatrists. I'm very
36:42
comfortable. Talking. About watching both
36:44
heavy metals. Lithium. Magnesium
36:47
Copper thing the Abbey the I was
36:49
there was a gem article of his
36:51
years of about ha Ha President Andrew
36:53
Jackson. High. The article was
36:55
of basically talking about how crazy he
36:57
was. And. And how they
36:59
found a bunch of his hair. And.
37:02
They analyze his hair. And
37:04
it is here. They have high levels of
37:06
mercury and lead and which makes you crazy
37:09
sir. And the mercury came from a remedy
37:11
that was used for most everything. Back amazing.
37:13
Have called Column our. Houses out
37:15
of memory for infection that from he
37:17
was everything to losing factor across the
37:19
country and also he was a bit
37:21
of a pot head and he would
37:23
get all these duels and get August
37:25
lead buckshot and him said alleged victims
37:27
heard the gunshots and the mercury mabel
37:29
nuts half hours hedge access but that
37:31
was a haired test that they published
37:33
in Jama. Self decided that medicine doesn't
37:35
understand that these things are in here.
37:38
What is a sort of level of
37:40
evidence around with the him use and
37:42
and the issues around me to help
37:44
other any clinical trials. Is at all. Is.
37:46
It all sort of population base data.
37:48
Like What it, what it? What are you know about the date on
37:51
this? You know we have some. A
37:53
lot of literature and at the
37:55
sec attic doses you know being
37:57
helpful for dementia as well as.
38:00
Gretchen irritability lover and we
38:02
have lot of epidemiological data
38:04
extensive on these trace amounts
38:06
in the water supply. So.
38:08
We know again: suicide risk,
38:11
dementia risk. Greyson.
38:13
Based. On how much is in the water. There.
38:15
Has not been lot of studies on
38:18
low dose. Nutritional. Supplementation.
38:21
Is. A few. Based
38:23
on research looking at dementia
38:25
and Alzheimer's so low dose
38:27
preventing cognitive decline and a
38:29
few looking at the addiction
38:31
treatment your medicine we have
38:33
Club Smarty Bureau of Anecdotes
38:35
with i'm Eric does but
38:37
the. Know they're also had
38:40
a data. And they're
38:42
also work what were you how and
38:44
of one studies where if you have
38:46
a person you do something in their
38:48
their own control. Ah now course placebo
38:50
poser on what other factors but your
38:52
the killer. Some of the stories about
38:55
cases where you found significant deficiencies. settling
38:57
Mission eighty, the. What?
38:59
What has been the clinical outcomes from
39:01
using was low dose of wonder. Five
39:03
milligrams? Yeah, think the term that damn
39:06
cuts across. All major
39:08
second feel this isn't and many of
39:10
us would be the concept of irritability
39:12
Phones had to me dad is this
39:15
symptom that lithium help? So I've seen.
39:17
You know, a woman came to see me
39:20
for depression. Adams couldn't get
39:22
afraid to depress and she was
39:24
an alcoholic. Family history of alcoholism
39:26
or we're waiting for the testing.
39:29
And because of a family history I just
39:31
keep or five milligrams of Lithium. Which.
39:33
Comes back in the artist score the testing.
39:36
She started crying. Fairly.
39:38
Why? to see? One.
39:40
Seltzer good sign. Milligrams A let
39:42
him She said she didn't realize how angry
39:45
a nasty she. Was to for adolescent
39:47
daughter and her husband. While.
39:49
But to said five milligrams, Elysium
39:51
completely took that away. Again, wouldn't
39:53
be for everybody. But. We have
39:55
found that she learned this from Johnson right
39:57
forty years ago. Those with family, his his
39:59
buddies, Particularly. Responsive
40:01
to the slow. Does Lithium really
40:03
is such a benign treatment? And
40:05
it's so inexpensive. Like literally pennies
40:08
a day or a right. No
40:10
blood level, no side effects. How
40:12
does it work to ya? works?
40:14
It's fascinating actually. There are hundreds
40:16
of mechanisms you a both affecting
40:18
genes, second messengers. Affecting your
40:20
transmitters? I mean, really, That list
40:22
of twenty or thirty. And. Mechanisms
40:25
that we like gonna fight over
40:27
the years. And which
40:29
mechanism. Yeah. Is the answer.
40:31
It's hard to tell. I mean
40:33
Lithium increases Bdnf prayed arrived in
40:35
or throwback both the. App
40:38
that genetic as synthesis. As
40:40
well as some. Of rates in the
40:42
in the Serum and to of literature supporting it.
40:45
That's amazing and yours. Talk about both
40:47
him as a treatment and the Alzheimer's.
40:50
Perrier. The Prevention Yeah, and again
40:52
we've known prescription lithium. Those.
40:54
With bipolar taking it less dementia rates
40:57
in the turtle looking a low dose
40:59
lithium. We. Have one to
41:01
the some for your studies.
41:03
It prevents cognitive decline Now.
41:06
There. Are biotech companies looking at?
41:09
Drug. Said our country estate.
41:11
Three inhibitors right? And Lithium
41:13
Izzard Tsk three inhibitor so it cannot
41:15
prevent some of the build up by
41:18
these towel proteins and was him a
41:20
job. Parent. Also see which is
41:22
bringing spencer than easy to do. A.
41:24
Noninvasive. Should. Be part of
41:26
every new. Psychiatric. Practice. I.
41:29
Would think some at certainly mirek me they got
41:31
back of the we have so many tests is
41:33
functional medicine doctors by do think. They're. A
41:35
core set of four or five tests
41:37
that should be done every psychiatric patients
41:39
to be able to can. A start
41:41
I have ride what are yours A
41:43
copper mine for? Yes I face it
41:46
out. B M. Crypto. Pyro
41:48
ah the new acid fatty
41:50
acid or Ghana gas A
41:52
and I had test besides
41:54
the routine. You know, Lab
41:56
Core Clock B Twelve Indiana Leicester V
41:58
I'm made of results. Yeah Celia
42:00
I couldn't absolutely as up there so
42:03
you just mentioned a bunch of stuff
42:05
that are probably muscle in your her
42:07
about me was testing organic as testing
42:09
for prepared testing. at desert things
42:11
it part pretty common in the photo medicine world
42:14
but that are not part of center medical practice
42:16
of he got your doctor after us as part
42:18
of has and ask for to him as have
42:20
a crypt apparel test or again augustus to look
42:22
at you like you're. Not. From
42:24
another planet How how a psychiatrist or
42:26
someone in mental health of the start
42:28
to learn about this is challenging and and
42:31
us where we started Six Hp redefine
42:33
so it's really set up for professionals.
42:35
To Bit is cover to your training
42:37
prone to the invested time and help
42:39
them understand some of these tests. And
42:42
to interpret them and then had a. Treat.
42:45
Patients. Because. In are
42:47
sick. Patients are sometimes. Challenging.
42:49
For lots of reasons. Switches to twenty
42:52
supplements at them so there is a
42:54
an art and science to it. So.
42:57
The are many The lab companies offer
43:00
trainings. But. It's that focused on
43:02
mental How? yeah? So. You
43:05
know, listen And my plan to. Be.
43:07
Teaching this some years ago,
43:09
but there just wasn't enough
43:11
out their nutritional punctual medicine
43:13
Psychiatry. Is. Something It's is
43:15
such a gap in the in the
43:18
field of medicine and they're just a
43:20
few people doing it now. Ah,
43:22
I. Am the stunted how
43:24
effective it is. You know. It's. All
43:26
those things and in medicine or like, wow,
43:28
this is just. Sort. Of
43:30
a miracle as he to be hyperbolic about it.
43:33
But. It he night when you if he can him. Check.
43:36
Out doctored be was books and read
43:38
my book cause for my solution uses
43:40
his case after case a verbal Stuart
43:42
Mill hits Mccain. A girl who was
43:44
this by a little grosses nine years
43:46
old. super aggressive. And to
43:49
get a class ten times a day. Can
43:51
make it home on the bus or must stop
43:53
like ten times in a busy i was suspended
43:55
from school is beautiful little nine year old girl.
43:57
Is. Was beating up on her sister and Terry.
44:00
of her family apart, just like kind of a tear.
44:03
And she didn't have any gut symptoms, but I
44:05
did check her organic acids. And
44:07
I found this is a urine test, non-invasive,
44:09
easy to do on kids. And
44:13
she had extremely high levels of bacterial
44:16
overgrowth and yeast overgrowth. And by the
44:18
way, for people listening, it's kind of
44:20
shocking to think about it. But
44:23
there's a lot of things that
44:25
happen in your gut. And those things get
44:28
translated across your intestinal membrane and get absorbed in
44:30
the blood and they can come out of the
44:32
urine or you can check them in the blood.
44:34
So we're going to be able to soon look
44:36
at your microbiome by doing a blood test. So
44:39
that's crazy to think about. But I was talking
44:41
to Leroy Hood, who was the father of systems
44:43
biology yesterday, and he was going through
44:45
this. I was like, this is amazing. So this little
44:47
girl had really high levels. So what did I do
44:49
for her? I didn't give her a psychiatric
44:53
drug to calm her down
44:55
or some anti-psychotic or some
44:58
thing to kind of suppress her symptoms.
45:01
I just gave her an antibiotic and any fungal. And
45:04
I gave her a little gut repair. And
45:06
the mother came back a few weeks later and she's
45:08
like, she's perfect. I'm
45:10
like, really? You got to be kidding me.
45:13
That couldn't have worked, but it
45:15
did. And it doesn't mean that every kid
45:18
like that has that problem. Like we said
45:20
at the beginning, just because you know
45:22
the name of the diagnosis doesn't mean you know what's wrong
45:24
with you. You got to dig and you got to find
45:26
out because it's different for everybody. So you
45:29
just mentioned a word that probably no
45:31
one's ever heard about, cryptopyriluria, which
45:33
is a big gobbledygook mouthful
45:35
of scientific term that is
45:38
basically something that has
45:40
been linked to psychiatric disorders, behavior
45:42
issues, aggression, autism, ADD. It's something
45:44
we don't learn about in medical
45:46
school. It's something I learned about
45:48
afterwards. And it's something that we
45:50
can actually test and treat. So
45:52
what is this compound? What is
45:54
cryptopyriluria? Why does it occur? And
45:58
what is a cause? And how do we begin to think about it? about
46:00
treating it and testing for it. As you
46:02
said, it is a simple urine test that
46:04
I believe has profound implications for
46:07
mental health. The problem
46:09
for me, it's one of the few things
46:11
that I teach now. I don't
46:13
have a lot of research, but I
46:15
have thousands of clinicians and my 30 years with
46:19
clinical experience that if we can
46:21
detect this chemical in the
46:23
urine, we know that
46:25
these individuals are going to be functionally
46:27
deficient in two nutrients, B6 and zinc.
46:29
So this is some kind
46:32
of pyromolecule. Most
46:34
people don't have high amounts. If
46:36
you do, it binds B6 and
46:38
zinc and both are
46:40
critical for mental health, B6 for
46:42
neurotransmitters, this is zinc for hundreds
46:44
of enzymes. So over time,
46:47
the depletion of B6 and zinc, we
46:50
see symptoms from anxiety,
46:52
I've seen depression, I've
46:54
seen paranoia, I've seen actually
46:57
every psychiatric symptom. It
46:59
doesn't always is the answer, but until we
47:02
treat it, we can't treat
47:04
anything else. So again, it's an inexpensive
47:06
test. Implications
47:08
are profound. We give B6 and
47:10
zinc and some of these
47:12
kids have tremendous. The zinc is pretty normal,
47:14
30, 60 milligrams. The
47:19
B6, we can actually push up, so much
47:21
higher than I might normally. So it
47:23
could be 50, 100, I've been up to 400 milligrams. Again,
47:27
it's such a simple test. We just make
47:29
sure it goes down and under stress,
47:31
we can see individuals will produce
47:33
more. Yeah. Cryptopyrrole, so
47:35
they can kind of modulate stress by taking
47:37
more B6 and zinc. So what
47:40
causes it? Is it a genetic thing? Is
47:42
it acquired somehow by what you're doing or
47:44
eating or? We don't know. The
47:47
kind of word in
47:49
the community is likely genetic in
47:51
terms of how we produce it
47:53
and then
47:56
under stress, it just gets higher. But
47:58
it is a screening test on... Every.
48:01
An. Illegal activities the treatment mean as it does
48:03
it really work when you give most dramatic.
48:06
That. Be six insects Now might be when
48:08
have any Thc killer might have elevated
48:10
Crypto Pyro. Hi. Copper and
48:12
Law Magnesium. So. He
48:14
caters to the be six and zinc you're gonna
48:16
give all these kids my i'm reading other were
48:18
really different we gotta cover. It. Up the
48:20
kitchen sink and it's it's. a very. Are
48:22
selected group of intervention space, a map,
48:25
To. Color person's. Filings,
48:28
And as is really precision, Psychiatry is really
48:30
where we're headed. Absolutely. And precision
48:32
medicine in general. It's not one size
48:34
fits all Qaeda Press Take Prozac and
48:36
stuff like depression is on prozac deficiency
48:38
eight. It is not a real and
48:40
efficiency right and Nina were moving on
48:42
pretty quickly. And Oncology and other medical
48:44
specialties in you don't. Psychiatry in mental
48:46
illness has just really. Lag. Behind
48:49
that concept of precision medicine? Yeah and it
48:51
as exciting the media see that are actually
48:53
started happily you mention law and major academic
48:55
institutions are the parents and Nutrition, Psychiatry, Metabolic
48:57
Psychiatry at the Microbiome and Mental Health I'm
48:59
it's quite. It's quite amazing to see the
49:02
changes happening since old bastard here so I'm
49:04
pretty excited about it. And he has ah
49:06
Sas enough for him. Out of people that
49:08
are suffering. Of. But it's is
49:10
pretty Quotes you're one of the things
49:12
you work on that I think is
49:14
really important and it is tough condition
49:17
to treat which is eating disorders. You
49:19
know most people. Have a view
49:21
that indices goes back to the result sort
49:23
of. Conversation. About myself for
49:25
Cohen mans and civilization. I bet that
49:27
eating this or as a result of
49:29
controlling parents and it's the parents' fault
49:31
and the kids is trying to control.
49:34
The thing that they can control and which is
49:36
why they starve themselves, are they have, believe me,
49:38
and. And. It's not quite as
49:40
simple as that, right? so can you tell impact
49:43
But we know from the phone some other some
49:45
perspective about anorexia and I and I had a
49:47
number of his patients early on. Our taught me
49:49
a lot about. About. His condition. But
49:51
what do we know about? How to think
49:54
differently about taking care of these patients in
49:56
a way that actually helps them. Sort.
49:58
Of he gets one. I didn't know when I
50:01
got in the field of eating soldiers. Is.
50:03
It is he most term life
50:05
threatening psychiatric illness. So. Eating
50:08
Disorder patients have the highest risk
50:10
of suicide. Highest mortality rate
50:12
the same as have a dose is so
50:14
it's so life threatening. Illness: And
50:16
our traditional model with no
50:18
medications. And. No consistent therapy and
50:20
we're Karen Carpenter. She was like or emotional.
50:22
Must Note: Know there are others who like
50:24
as as a bad way back emissary ever
50:26
Donors are she had anorexia? She died from
50:28
it. Yes. And so our model for
50:30
years was just some. Feeding. Calories and
50:33
they would gain weight and then go home
50:35
and relax. and they give junk food at
50:37
anything to gain we are calories. And
50:39
so what? We're now understanding that I'm
50:42
still hitting. You. Know my head
50:44
dead trying to get people to appreciate
50:46
his. Is. Pretty clear these his
50:48
videos are malnourished. I. Believe around
50:50
anorexia. Nervosa in particular is a
50:52
zinc deficiency disorder. Oh, hes a
50:55
class of them. Puberty We have
50:57
a higher need for. And
51:00
does. Sometimes a as a diet deficient
51:02
is and sixty seven percent of kids
51:04
die his ulcer process food which he
51:06
says he has nosy colonel or anything
51:08
else except server and process ingredients and
51:10
the we go through puberty we have
51:12
a higher need freezing. Am.
51:16
And guess what? have? A
51:18
genetically vulnerable individuals. So what we
51:20
do know: bad eating solder is
51:23
highly genetic. And
51:25
then one of that causes
51:27
is malnutrition. And then
51:29
this. Disorder. Those. Others
51:31
clearly. Other factors in
51:33
of sector so soil and social
51:36
media. And parents and
51:38
pediatricians calling these kids. Sad.
51:41
Or they need to lose weight their
51:43
multiple sand. yeah, But what happens? Is.
51:45
A change in diet. Restrictive.
51:47
Eating. Malnutrition, But.
51:50
But is a took of the a great a beer if you
51:52
don't need I was having remained nurse but as i would cause
51:54
I'm gonna be in the first place know. Sell.
51:56
Anything my cause him to ninety I need
51:58
to lose two pounds. Or. I want
52:01
to lose weight for this sport. So.
52:05
Any form of dietary restriction
52:07
starts that process. But. Again,
52:09
ten kids who got a diet.
52:11
Only. One might develop, but we
52:14
call anorexia Nervosa this unrelenting
52:16
and of fear of food
52:18
And so again, it's a
52:20
genetically vulnerable individual. Malnutrition,
52:23
Psychological factors: A perfect
52:25
storm. And. It's a life
52:27
threatening illness. yeah it's really resist into treatment.
52:29
So so how do you treat as a
52:31
new was a success for your seen in
52:34
these patients well is a standard of care
52:36
is. Somewhere. You know,
52:38
fifty sixty percent. I think the
52:40
program said that I work and a wall down
52:42
and. Other programs where we have been
52:44
able to kind of. A diverse
52:46
fine and look at micro nutrients. I
52:49
think this is has had my higher
52:51
and paces Se and our patients who
52:53
can really follow. A make
52:55
a nutrient replacement plan. Completely.
52:58
Can recover. Guts. Credible of
53:00
us really powerful story because her some
53:02
angry said it's one of the most
53:05
serious I get for conditions and it's
53:07
go know kind of culture of. That.
53:10
Being afraid of being overweight and
53:12
and. Body. Dysmorphic. It's
53:15
a real thing in an example by
53:17
bar culture, but. But. The underlying.
53:20
Com. Place. Where out? Glue.
53:23
On top of is a place of. Have
53:25
all sorts of other factors and or predisposing
53:27
people act interest on deficiencies. Yeah, there's an
53:29
underlying to that. x. Clearly.
53:32
Biology and brains different. Everything's different.
53:34
Part of my goes just stopping
53:36
is that the blame game of
53:38
parents flaming kids into my me
53:40
parent they can appreciate as a
53:42
serious medical illness. There's a
53:45
path to treatment. One cat who were
53:47
mint illness I don't agree really been
53:49
tighter much his personality disorders. Narcissism.
53:52
Sociopathic behavior. I talk about this for
53:54
the podcast for the a read a
53:56
study of a stays about given on
53:58
things centers and press so they saw
54:01
about. The Bad: food for good
54:03
food and is like nineties hims and
54:05
drop and mileson tied juvenile detention centers
54:07
or. Fifty. Six percent drop in
54:09
prisons and eighty percent of yeah to bite
54:11
him in science. So what? What about precise
54:13
or is? because it's kind of a black
54:15
box and medicine. There's really no good treatments.
54:18
There's really no get approaches to a to
54:20
no drugs for it. And what
54:22
have you found your career as as as
54:24
a psychiatrist who practices way. That.
54:27
May be helpful for some of these
54:29
personality sort of patience for the be
54:31
I just cut back up homeless and
54:33
where we define precise or isn't medicine
54:35
is you know as as a neurotic
54:37
person their neuroses. Is. Someone who.
54:40
Thinks. Everyone else is fine. They drive yourself crazy.
54:42
And. Precise order things, they're fine, Advisor
54:44
videos crazy that or he's up these
54:47
tasks. The Definition: Since we just separate
54:49
some of the personally disorders have be
54:51
take one that some. Common
54:53
talked about borderline personality. These
54:56
are individuals who are. impulses,
54:58
Emotional, irritable, angry
55:01
label. Of so we called
55:03
a personality disorder We'd say it's is to
55:05
you are we can't treat it. But
55:08
those. Are all responses to nutrient?
55:10
Intervention is particularly to Lotus Lithium.
55:12
I talked about the omega Threes,
55:14
I talked about the Up and
55:16
magnesium that you brought up be
55:18
a sub seen these personality disorders.
55:21
The. Some of that disabling symptoms. Disappear.
55:24
Punahou. Yeah. So.
55:26
In a in a way I'm member board
55:29
eyes is from from borderline. Psychosis has little
55:31
bit more it seemed kind of. What about
55:33
narcissism is that is an ulcer? Really know
55:35
probably the present disorder but maybe some of
55:38
the symptoms. But. If we again just
55:40
took that. Irritability. And and
55:42
quick to anger he to yes that
55:44
might be responsive to. Magnesium.
55:46
And attritional lithium phone but some
55:48
of the other can a personally
55:51
structure. Is. Probably to you walk.
55:53
While. I'm just so are inspired
55:55
by the conversation because I think
55:57
that most people. Have
55:59
a. fatalistic view of mental health
56:01
issues. If you're depression, it's kind of a
56:04
terminal illness. If you have anxiety, you just
56:06
have anxiety. If you have a schizophrenia,
56:09
well good luck. If you autism
56:11
or ADD, you've got
56:13
to live with it. What you're proposing
56:16
is a whole new rethinking of psychiatry
56:18
and reimagining of mental health that
56:21
redefines it based on our current understanding of how
56:23
the brain and the body are connected and how
56:25
everything from nutrition to exercise
56:28
to our gut health to toxins
56:30
to our genetics to anything that drives
56:32
inflammation because basically most psychiatric issues are
56:35
really about neuroinflammation in the brain. Whether
56:37
it's autism or Alzheimer's or ADD or
56:39
depression, we're learning that they're all basically
56:42
inflammatory disease of the brain. Suicide
56:45
risk. We know inflammatory markers
56:47
in the brain predict
56:50
suicide. We have the research ignored.
56:52
That's incredible. Suicide
56:55
is a third leading cause of death in
56:57
teenage boys. This is a big deal. What
56:59
causes inflammation? Mostly our processed
57:01
food diet and environmental toxins and our
57:03
screwed up gut microbiome from eating that way.
57:07
It's like a simple fix really
57:09
if you look at actually what's going on
57:11
and yet we don't really approach
57:13
it that way. Your whole reimagining
57:16
psychiatry, you call it psychiatry redefined, I think
57:18
it's just an incredible gift to the world.
57:21
I think your work is so important. I
57:23
still don't want to close by talking about
57:26
what you call the plus minus
57:28
healing plan in psychiatry
57:31
because I think it's a useful, a stick or
57:33
rule of thumb to use
57:37
to think about how we start to approach
57:39
people with pretty much any disease but we're
57:41
talking here about mental health. Yeah. That's
57:44
how we wrote the finally
57:46
focused ADHD book. How
57:48
to explain functional medicine to
57:51
a parent. We just came up with
57:53
this plus minus plan. Plus meaning what
57:55
things do you need to add and
57:58
that could be everything from nurturing
58:00
to magnesium, to
58:03
other phytochemicals, and
58:06
then what things do you need to minus? And
58:08
that could be food additives, ultra-processed
58:10
foods, high copper. And
58:12
so we just listed 10 things plus
58:15
minus, help them kind of with
58:17
a guide of how to test and
58:20
then how to treat. But I just
58:22
think it was a simple framework to help
58:24
parents really appreciate that there are things
58:27
that might be contributing to their kid's
58:29
symptoms. Yeah, it's very similar to my
58:32
mentor who I'm sure also you
58:35
learned from as well, Sydney Baker. Absolutely.
58:38
I think one of the unsung heroes of
58:40
modern medicine has really came up with a lot
58:42
of the fundamental concepts or heuristics
58:45
or frameworks to think about complex
58:48
chronic illness. And he
58:50
said you have to think about what you need to get rid of
58:52
and what you need to get. So
58:54
you get rid of the bad stuff and you put in the good stuff
58:56
and the body knows what to do. And
58:58
actually, you have to understand it all. You just kind of
59:00
have to go hunting for what's the bad stuff and get
59:02
rid of it and have to go hunting for what's the
59:04
good stuff and add it and what's
59:07
missing, right? The stuff that's missing. And
59:09
there's basic ingredients for health and impediments to health. And
59:12
if you remove the impediments, you add the ingredients, the
59:14
body is pretty smart. And even if we
59:16
don't know exactly how it all works, it
59:18
works and people get better. And that's
59:21
the end of the day. What we care about is
59:23
helping our patients and helping people and needless suffering. And
59:25
that for me is really what drives
59:27
me. And
59:30
I'm flooded every day with
59:33
requests for help because of what
59:36
we do and I'm like, God, this is so
59:38
easy to solve and nobody's helping you. And I'm
59:40
so sorry. And I'll try. And they
59:42
come to my practice at the Aljuana Center. It
59:44
goes to you where you
59:46
practice and at Walden, which is a
59:48
psychiatric treatment center, people
59:50
can get this help, but it's far and
59:52
few between. It just really needs to be
59:55
developed at scale. So if you're
59:57
out there listening and you're meant to help professional, if you're
59:59
a psychologist, psychiatrist, a counselor in
1:00:02
any space, this is something
1:00:04
you should pay attention to and check out Dr.
1:00:07
Riemlet's work, go to psychiatrydefined.org, you can
1:00:09
take the courses. The reality is a
1:00:11
lot of this stuff doesn't require any
1:00:13
kind of sophisticated
1:00:15
treatment other than diet, lifestyle,
1:00:18
and sometimes supplements that can be
1:00:20
very helpful. So the basics actually
1:00:23
are quite simple to implement. Like you say, take
1:00:25
out the bad stuff, put in the good stuff,
1:00:27
cross your fingers, see what happens. You're going
1:00:30
to fix everybody, right? You're still going to have
1:00:32
to then go dig in. That's what you need to help
1:00:34
from somebody like you or me who can
1:00:36
really dive deeper into the story and figure
1:00:38
out what the issues are and do deeper
1:00:40
diagnostic testing. But I'm curious how you receive
1:00:42
now in terms of your work
1:00:44
around the psychiatric community. Are they welcoming
1:00:46
now? Are they dismissive? Are they curious?
1:00:48
Are they like, I don't know, I'm
1:00:50
busy, don't bother me? Well,
1:00:52
I mean, I've kept my one foot
1:00:55
in traditional psychiatry by treating anorexia
1:00:57
for 25 years because
1:00:59
I could talk about zinc and fatty acids because
1:01:01
everyone was malnourished. But I would say
1:01:03
the last five years, I've been doing
1:01:05
more talks for traditional psychiatrists, big
1:01:08
psycho farm conferences, and hundreds of
1:01:10
docs. And it's been amazing to
1:01:12
me. I've been talking about this
1:01:14
and they're asking questions about themselves
1:01:16
and their families. Yeah, of course.
1:01:19
They're not realizing that they could
1:01:21
utilize this information to treat their
1:01:23
patients. But
1:01:25
at least the traditional psych
1:01:27
world now clearly is ready for
1:01:29
the information. Yeah. So,
1:01:31
yeah. It is. It
1:01:33
seems like it's a very auspicious time where
1:01:35
things are actually starting to shift and change
1:01:37
and the paradigm shifting and the convergence of
1:01:40
systems biology and diagnostic testing
1:01:42
and the ability to
1:01:45
actually track what's going on. I co-founded a
1:01:47
company called Function Health, which
1:01:49
allows people to get access to their own
1:01:51
data and their own lab testing. So a
1:01:53
lot of things you're talking about, we measure,
1:01:55
right? We measure metabolic health. We measure nutritional
1:01:58
things like B12. and methylacic acid and
1:02:01
vitamin D and magnesium and zinc, just
1:02:03
standard, right? Copper we look at and
1:02:05
we can also look at omega-3 fats.
1:02:07
It's a lot of things that you're
1:02:09
talking about we do and I think
1:02:11
it allows people to start to have agency
1:02:13
and ownership over their own health and become
1:02:15
the sealer in health and be guided by
1:02:18
simple insights that could be helpful. So it's
1:02:20
super exciting. I think people can check
1:02:22
out your book, Functional Medicine for
1:02:24
Antidepressant Withdrawal. You have another one
1:02:26
called Finally Focused, The Breakthrough Natural
1:02:28
Treatment Plan for ADHD that restores
1:02:30
attention, minimizes hyperactivity and
1:02:33
helps eliminate drug side effects.
1:02:35
You've got a psychiatry defined fellowship and
1:02:37
ADHD intensive for practitioners. Could have just
1:02:39
kind of sailed off into the sunset
1:02:42
and relaxed playing golf somewhere but
1:02:44
you're working hard to make sure
1:02:46
that all the amazing wisdom that
1:02:49
you've accumulated through decades, literally almost
1:02:51
half a century of practice and learning,
1:02:53
are accessible to the next generation of practitioners
1:02:55
and they're going to help millions of people. So thanks
1:02:57
so much for your work and what you've done. Any
1:03:00
final thoughts? No, I think we hit a lot and I
1:03:02
think we've said it a couple times but I think the
1:03:04
most important thing in functional medicine
1:03:06
for psychiatry is everyone's different and
1:03:08
we really need to kind of
1:03:11
provide the path for hope
1:03:13
as we look for what's going on with
1:03:15
that individual. Yeah, so I would say if
1:03:17
you're out there listening, hope is really the
1:03:19
word I would leave you with which is
1:03:22
despite what you may think and what
1:03:24
you've been told by the traditional psychiatric world,
1:03:27
there are a tremendous number of things that you can
1:03:29
do and learn about and get
1:03:31
help for that are outside the box that are
1:03:33
really not outside the box that are in the
1:03:35
scientific literature but they're not in the practice, they're
1:03:37
not in the clinic. You can learn more about
1:03:39
it. I can check out my book Ultra Mind
1:03:41
Solution. We're going to put all this in the
1:03:44
show notes. So thank you all for listening today
1:03:46
to this conversation with Dr. James Greenblatt. Thank
1:03:48
you. Thanks for listening
1:03:50
today. If you love this podcast, please share
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it with your friends and family. Leave a
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1:04:03
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