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Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Released Wednesday, 29th May 2024
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Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Functional Medicine Psychiatry – Getting to the Root Cause of Mental Illness

Wednesday, 29th May 2024
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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

1:43

practitioners, we need to get to the heart

1:45

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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

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and used to confinement for twenty

28:33

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

1:03:52

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