Full Transcript Guest Introduction and Background 0:07 I'm so excited to introduce my next guest! 0:10 Doctor Peter Kan supports and manages clients with chronic conditions 0:13 using a comprehensive approach by merging the exciting advances 0:16 of functional neurology and functional medicine. 0:19 Doctor Kan is a board certified in Integrative medicine, 0:21 functional medicine, and a board certified chiropractic neurologist. 0:26 He is the creator of the Neuro Metabolic Integration, a science based virtual 0:30 online coaching program that identifies the root 0:33 cause of autoimmune and other chronic conditions 0:36 over 5000 clients from across the country have come to seek out 0:39 his holistic approach that is changing the lives 0:41 of those suffering from chronic conditions. 0:44 Born in Taiwan and immigrated to America at the age of 13. 0:47 Doctor Khan has a deep appreciation of eastern wisdom and Western advances 0:51 in natural health care. 0:52 He believes in the God given ability of the body to heal and regulate itself. 0:56 Doctor Kan, thanks for joining me. 0:58 Thank you so much for having me, Jason. 1:00 It's a pleasure. 1:01 Well, you know, I really do appreciate that about you. 1:03 The eastern plus Western, right? 1:05 This is a passion that I have, just in my own investigative, search for. 1:10 For what? Health is, right? 1:11 I mean, what is health? Where does it come from? 1:14 How is it maintained? 1:15 What is life? These are deep spiritual, 1:19 existential questions 1:20 that have been investigated for thousands and thousands of years for many, 1:24 many cultures. Right. 1:25 So there's so much wisdom in some of these ancient traditions. 1:28 And so anybody that's looking into that 1:30 and at least considering it as part of a Western approach, I think 1:33 can can really, come up with some profound insight into, how maybe even 1:39 deeper wisdoms that that Western medicine holds that it doesn't even realize yet. 1:43 Right? So there's there's really, really cool things there. 1:45 And before we got on your we were talking about functional neurology and, 1:51 something I've grown a deep appreciation for. 1:53 So maybe we can start there. 1:54 Just, if people aren't familiar with functional neurology, 1:57 how is that different from functional medicine? 1:59 And, and what are some of the key aspects of why it's such an important 2:03 area of study? 2:04 Yeah, that's a great that's a great question to start off with because, 2:07 I believe that understanding the brain is, is a key part to understanding 2:13 anyone with chronic conditions, not just brain specific 2:17 neurodegenerative degeneration disease, but any type of chronic condition. 2:21 There's always a brain component to it. 2:23 And, so the difference between functional medicine and functional neurology, 2:27 I guess, is more similar than it is different 2:30 because both are looking at the underlying mechanism 2:33 of why someone will have a specific symptom or specific condition. 2:38 Right. We're looking at the root causes. 2:39 It's a non-linear type of thinking, but it's still very base 2:44 and grounded in science. 2:45 And anatomy and physiology. 2:47 Very much so actually. 2:48 So we're just using the understanding that the basic how the body works.
Functional Neurology vs Functional Medicine 2:53 And we're reverse engineering to understand where the symptoms come from. 2:57 That's really what it is. 2:58 I think in functional neurology, what we do is we try to identify 3:02 a longitudinal level lesion. 3:04 And so what that means is that you have the neural axis. 3:07 Right. 3:07 So brain you have the brain and spinal core 3:10 and all the spinal nerve root I innervate every single part of the body. 3:13 And in functional neurology we seek to understand okay 3:15 where is the level of the lesion. 3:17 Is it all the way up here. 3:18 And the cortex is in the brainstem. 3:20 Vagus nerve is in the cerebellum is in the spinal core peripheral nerve. 3:24 So we try to understand where is the actual problem. 3:27 And then we will apply specific therapies. 3:30 Now the therapy could be specific type of exercises 3:33 specific type of therapy that we can aim at a specific part of the brain. 3:37 This could be electrical stimulation. 3:39 This could be adjustments. 3:40 This could be manual therapy like massage. 3:43 This could be vibration or temperature or sound or light stimulation to the eye. 3:48 So any type of these natural ways that we can stimulate the brain 3:52 or different parts of the nervous system, that's all we do. 3:54 Now I would include that we can also stimulate the brain with nutrition. 3:59 For example, if you have neurotransmitter deficiency 4:02 and you don't, you have low dopamine and dopaminergic neurons 4:06 don't fire as well because you're lacking the precursor to form neurotransmitters. 4:11 Then taking nutritional supplement 4:13 that give you the precursor so you can make more dopamine 4:16 can have a increase frequency of firing of that neuron. 4:20 That neuron will have more fuel to be able to make. 4:22 Neurotransmitter therefore will help it fire better. 4:25 Okay. 4:26 So there's different ways that we can go about stimulating the brain. 4:29 So understanding the brain and applying in a functional model 4:32 I believe really helps me personally and I believe will help all practitioners 4:37 to apply functional medicine better because you have that brain component 4:41 that you can actually further explore where you may not have gotten, 4:46 you know, or plateau or not gotten anywhere with a particular patient. 4:49 I couldn't agree more. That's fantastic way to approach that. Right? 4:52 Because functional medicine is great, and good medicine is a it's a framework 4:55 through which we can look at disease or, or health or dysfunction. 4:59 Right. 5:00 And and so when you have, a functional neurology background, 5:03 you understand how the brain, the nervous system, 5:06 is, is functioning and how it interrelate to all the other systems in the body. 5:09 Right? That is the key component. 5:11 And so with that sort of central, foundational understanding of 5:15 probably the most foundational system in the body, then we can start 5:18 to understand these things like gut dysfunctions and chronic pain and, 5:22 and, and sleep disturbances and hormone imbalances and all these other things. 5:26 Right. 5:26 And so I know that's 5:28 one of and sort of tapping into one of your big areas of focus, 5:31 which is sort of this access between the brain, the gut and the immune system. 5:35 Right. 5:36 And, and sort of you you've kind of coined this sort of big idea or big, 5:40 sort of acronym, right? 5:41 The brain, immune gut. And it's beautiful. 5:44 I wonder, I'm curious, what is it about those three systems 5:47 that you find are so synergistic in terms of the dysfunction and 5:51 and the function and the harmony? 5:53 How are those systems related? 5:54 Sort of on a big picture level. 5:57 Yeah. 5:57 And you know, I actually, I don't want to say stumbled onto it. 6:00 It's really just a lot of years of practice, you know, at a very high level. 6:05 And it just paying attention. Right. 6:06 Because it's very easy in practice to just do the same thing over and over again. 6:10 Oh everybody leaky gut. 6:11 Just take this and then, you know, whether people got better or not. 6:14 And sometimes, you know practitioner can blame it on something now as well. 6:17 They didn't follow the protocol or you know, they have Candida or they just old. 6:22 But if you really pay attention, what I found, 6:24 how I stumbled onto this big idea, is that I see when people come in 6:28 with Lyme disease or they're coming with mold issues, 6:32 or they're coming with fibromyalgia, or they're coming with Hashimoto's, right. 6:37 All these condition 6:39 and every time when I take an inventory and assessment of what they're struggling 6:43 with, invariably all these people with different conditions 6:46 all come with three sets of problems, brain symptoms, 6:51 and then and them and then got symptoms like almost without fail. 6:55 If you have fibromyalgia, 6:56 I'm seeing people with brain symptoms like brain fog and fatigue. 7:00 And they have immune system problem like inflammation. 7:02 And they have gut issues like gas, bloating, constipation. 7:05 When I see somebody with Hashimoto, same set of problems 7:07 when I see people with Lyme disease, a similar set of problems. 7:10 Certainly there's some differences, but I sort of see this common denominator 7:14 of brain immune gut symptoms. 7:17 Doesn't matter what the diagnosis is, which is another reason why I started 7:21 investigating a more because that helps simplify the clinical process. 7:25 Because if you're chasing diagnosis, you'll never get there 7:29 because a diagnosis doesn't tell you what's causing the diagnosis. 7:32 But by focusing on what's the common denominator between all of these people 7:36 with Lyme and mold and Hashimoto's and stuff like that 7:39 that have similar symptoms, then that help us to be able to target 7:43 the common denominator, which in this case turn out to be 7:46 this interconnection between the brain, immune and gut. 7:49 Now, it's no secret that there's a brain gut connection. 7:53 Some people say the gut brain connection, I think, depends on who you talk to. 7:57 They may say the brain gut connection, and they favor the brain. 7:59 They may say the gut brain connection if they favor the gut more kind of like 8:04 the person who says gut brain connection may say that, or the gut controls 8:07 brain function well. 8:08 And the folks who say brain gut, they'll say the brain controls gut function. 8:11 I've noticed this. 8:13 Yeah. 8:13 You know, so and reality is that it's it's a it's bidirectional. 8:17 Right. So we don't want to be we don't want to be. 8:19 So, a skew to the fact that it's not that, that the, 8:22 the gut is more important in the brain 8:24 or the brains are more important than the gut. 8:25 They're both equally important 8:27 because in the body, it's not the body's not compartmentalized, right. 8:31 Everything's working at the same time, all the time. 8:34 Every single part of your system is all connected and communicating 8:37 at the same time. 8:38 So we want to think about it is how are they interconnected.
The Brain-Immune-Gut Triangle 8:41 So we have the brain axis that's already been talked about many, many times. 8:45 And I think that my, my contribution to this will be that 8:49 I'm bringing the attention to the immune system 8:52 as part of this brain immune gut connection, 8:55 because if we just say brain gut connection, 8:57 we're kind of just thinking, oh, you know, your gut is dysfunctional, 9:01 take some probiotic and your brain, your depression will go away. 9:04 Well, it's not that simple, right? 9:05 Certainly there's research in that field that shows that yeah, your microbiomes 9:08 not working right. 9:09 It can definitely impact the brain 9:11 in a way that can cause brain inflammation, 9:12 that can lead to depression, anxiety and so forth. 9:14 And, and some studies have shown that improving the gut microbiome 9:18 can improve those mood disorders, but not in every single person. 9:22 Right. 9:22 We can't say every single person with depression that take a probiotic. 9:26 The depression is gone. 9:27 So certainly it's not a 1 to 1 ratio. 9:29 So then there's other things that's involved in it. 9:32 So so again, 9:33 the point of bringing in the brain in your gut is not just give stuck on. 9:37 Oh just fix my gut. 9:39 And everything in the brain will get better. 9:41 It's realized that there's a brain immune gut connection 9:43 and there's a three way triangle. 9:45 And furthermore, between the brain and in gut, 9:48 there are many factors that can throw off the brain. 9:52 Immune got access. 9:53 So it's not just like, okay, if I just improved my brain even got one, 9:56 I'll be fine. 9:57 So let me take a supplement for my immune system 9:59 and you take a supplement for my gut and take a supplement. 10:01 My brain and everything will be okay. 10:03 It's really understanding the brain, even gut. 10:06 Is that how symptoms manifest and how these three systems 10:10 coordinate so that you can have proper function, 10:12 but that there are other root causes and other triggers that can throw off 10:16 the brain or the gut so that that became a framework 10:20 for a roadmap that I developed a clinical roadmap to help me to simplify 10:24 the process of solving complex in addition to make it simple, right. 10:29 It's not necessarily easy, but makes it simpler. 10:31 So we're not chasing 50 different rabbit holes, but be able to like, 10:35 okay, let's focus on this bringing you got access. 10:37 And what do we need to do 10:38 first, second and third and be able to get results in a more predictable way? 10:43 Yeah. 10:43 No I think it's critical what you're pointing to this, this 10:46 this connection between all three, in this interrelated, aspect because, 10:50 you know, this is where if we can accept that that premise and that idea 10:54 and this is where we can we can look at things like, 10:56 and you mentioned before in your functional neurology sort of intro 10:59 things like light, things like sound, right, these sort of stimulative aspects 11:03 to the brain. 11:03 Well, if we can conceptualize that the brain is connected 11:06 to the immune system in the gut. 11:07 Now, I can understand that sound that light, 11:10 can actually impact my immune system, can actually impact my gut. 11:13 And that's a fascinating thing to try to work out, 11:16 because we may not know the all the exact mechanisms 11:19 or perhaps some people do, but but this is where I think 11:22 it becomes really profound when you when you create this, this, 11:25 this triangle, of interconnectedness between these three systems. 11:28 Now we're starting to recognize, oh, it's not just what I eat that impacts my gut. 11:32 And it's not just the probiotics. 11:34 It's not just the may be fasting or or what things that I do to directly 11:38 try to impact the Gut system, but it's all these other things too, right? 11:42 It's the exercise. It's the sleep. 11:43 It's the, the the emotional turmoil, a stress or perhaps a childhood trauma 11:48 that's affecting things. Right? 11:50 Like there's so many things that start to work into this triangle. 11:53 And now I can understand that there's a it helps bring me into a framework whereby 11:58 all these other things can start to make a big impact on all these three systems. 12:02 Right? 12:04 Absolutely. 12:04 And I think you brought up a very good point, Jason, that, 12:08 you know, speaking of light and sound, how that impact the brain. 12:11 Okay. 12:12 So people may be asking, okay, so light and sound, you know, your brain process 12:16 light and sound. 12:17 How does that throw off my immune system or my gut? 12:20 Well, let me give you an example, 12:21 if I may, because this will help people to see that that connection 12:25 so light and sound when it enters your brain, right. 12:29 Light perceived by your eye and then sound perceived by your auditory 12:32 nerve, go through to a part of your brain 12:36 that's called an Mes and cephalon, that's a part of your midbrain. 12:38 The midbrain is on 12:39 the very top of your brain stem, and that's the very top of your autonomic 12:43 nervous system. Control center case. 12:45 Autonomic nervous system as a part of nervous system 12:47 that controls everything on autopilot, 12:49 including your heart rate, your sweating response, fight or flight response. 12:52 Parasympathetic nervous system function, digestion. 12:55 So that means in cephalon, which is a midbrain has an area 12:58 in there called a superior calculus and inferior colliculus. 13:02 And this is where the light and sound information ultimately after filter. 13:06 So the optic nerve an arbitrary 13:07 nerve filters through that those area in the reason cephalon. 13:11 So why am I telling you this well means and cephalon 13:14 is the starting point where that that nerve signal for 13:19 sympathetic response comes from. 13:22 So your favorite fight or flight response comes from the reason cephalon game. 13:25 So what that means is that if you shine a light in someone's eye that's 13:29 really bright, you actually will trigger a sympathetic response. 13:33 Not necessarily. 13:33 This person will freak out and panic, but you'll start to see pupil constriction. 13:38 And that's a sympathetic response right now in someone who's already 13:42 sympathetically driven, like in a fight or flight response, 13:45 chronically to the point where they're or they have PTSD. 13:49 That's driving the sympathetic response to the point 13:52 where they're constantly anxious and not sleeping well. 13:55 They're getting inflamed because of it, because there's a pathway from 13:58 being in fight or flight triggering inflammation. 14:01 That's called neurogenic inflammation. 14:03 So when you're already stressed and fragile and inflamed 14:07 and in fight or flight 14:09 and you shine a bright light into someone's eye, you might actually 14:12 just overwhelm that area that's already on fight or flight. 14:15 And you shine extra light input, which triggers more fight or flight. 14:18 Now they just get pushed into panic mode, or they crash and they start 14:22 feeling terrible. 14:23 In fact, you know, a lot of people with migraines, 14:25 many times they'll oh yeah, bright light, loud sound noises. 14:29 When I have migraines, 14:29 I have to go in a dark room, shut all the lights off and right. 14:32 And a lot of people experiences, even if they don't have migraine, that 14:35 chronic condition, many people will say, yeah, bright lights and loud. 14:38 That loud noises bother me. 14:40 It makes my fatigue worse or brain fog worse. 14:43 So that's the connection between the brainstem and light and sound 14:46 input that can potentially potentiate a sympathetic flight, 14:50 fight or flight response that can actually make their immune system 14:53 more activated, which makes them more inflamed. 14:56 So there's your brain immune connection. 14:58 And when you get into more fight or flight response, then you're decreasing 15:00 the parasympathetic function which decreases vagus nerve function. 15:04 So now your digestion is compromised. 15:05 So that's your brain gut connection. 15:07 So you have this brain immune gut connection that can be triggered 15:10 in someone that get exposed to too much light and sound. 15:14 If they're already 15:16 overly activated in that part of the neural access. 15:19 So this is where identifying a problem in that specific region 15:23 can give us clues and even how to help that person. 15:26 Maybe we can block out sunlight and wear red glasses or, 15:30 you know, block out some sound, you know, put, earplugs when they go 15:33 to, you know, store when it's very loud and so forth. 15:36 So those are things that we can do to help that person get better. 15:39 Yeah. 15:40 And, you know, one of the, tests that I know, that is sometimes done 15:44 in, in, functional neurology is, you know, might snap into somebody's ear. 15:49 Right. 15:49 And it's fairly, fairly moderate sound, but it scares the, the heck out of them. 15:55 Right. And then you have a really strong response. 15:57 Right. These type of things. 15:58 So so that's a perfect example where there's something going on 16:02 at the brain level. Right. 16:03 And if you know that 16:04 and then you have an understanding of how it's connected the immune system 16:07 and, and the gut. 16:09 Now we can, we can really trace a lot of dysfunction 16:12 that's going on in the body that seems not really connected. Right. 16:15 So this is again pointing to functional neurology. 16:17 And with some of the the amazing tools that you guys have to 16:19 to to do an analysis on, on the different regions of the brain. 16:23 And another thing you thought of that I thought of, as you 16:25 mentioned, that is that we're all familiar with is sort of this preset phallic 16:28 phase of digestion. Right? 16:30 So even smells right, like if somebody is cooking an amazing, meal 16:33 and we smell that, well, all of a sudden, you know, 16:36 if things are working properly, we start to salivate, right? 16:38 The digestive function starts to increase. Right? 16:40 So I guess I'm just continuing 16:42 to point to this idea that there's so much interrelated aspect to 16:46 to these things that you're talking about and why it's so important to 16:49 to focus on all three. Right? 16:51 And not just one, 16:52 which is a very common thing, you know, when you, 16:54 when it comes to autoimmune dysfunction, right, or, 16:56 or any inflammatory hyper inflammatory conditions, 17:00 there tends to be this look at one dominance 17:02 to, you know, and really hyper focus on the immune system. 17:06 We can kind of lose sight of the fact that, you know, 17:08 maybe there's some brain dysfunction going on. 17:10 Maybe, maybe there's really, 17:11 maybe this gut is driving this thing, or maybe it's all three. 17:14 Right? 17:15 So maybe you can talk to me about some of the kind of autoimmune conditions. 17:18 And this is a fairly rampant issue that we're seeing now, whether it be, 17:23 you know, directly autoimmune or perhaps even, food sensitivities 17:27 and some of these things that we're seeing on that side.
How Light, Sound, and Stress Affect the Nervous System 17:29 How does the brain, come into play as well as the gut? 17:32 And how do we think about that from a resolution perspective? 17:36 That's a great question. 17:37 And I think I'm going to start with what, is it kind of maybe intuitive for 17:42 for most people who's heard of the broken gut brain gut connection? 17:46 And is that if your brain start to lose its frequency of firing? 17:50 When I say frequency of firing, meaning that your neurons, 17:52 your brain cells fire in a specific frequency, right? 17:55 They fire on and off like this. 17:57 And that's why you 17:58 when you do EEG, you have the alpha wave, you have the delta wave. 18:02 These waves are how fast is your brain kind of beating like this. 18:06 Right. 18:06 So a delta wave when you're sleeping is beating slower, like a five hertz 18:10 or an alpha wave. 18:11 You are about 10 to 15Hz or a beating about 10 to 15 times per second. 18:15 So your brain has this frequency of firing and that drives the brain function. 18:19 So in someone whose brain is inflamed 18:23 or lack fuel delivery to the brain, 18:26 then that brain cell may not be able to work as strong. 18:29 It's kind of like, you know, you have a horse 18:30 you're trying to racehorse and you don't feed the racehorse any food, 18:34 and then you want it to run and it doesn't run or run slower. 18:37 So we have slower frequency of firing. 18:40 Not only do you experience it mentally, such as brain fog, difficulty retrieving 18:45 words, you may have, you know, short, concentration problem or focus issues. 18:50 You may have short term memory loss. 18:51 New you would have neurological symptoms. 18:54 But downstream what happens is your brain drives 18:58 this neuro axis downstream, like through the vagus 19:01 nerve, through the parasympathetic, through the spinal cord. 19:04 So if your cortex, your brain's not firing, 19:07 then everything down below will be slow, slower as well. 19:11 So this can result in decreased vagus nerve function decrease parasympathetic 19:15 and much of brain function, by the way, is to inhibit sympathetic. 19:19 Much of what your brain does is inhibit the monkey mind. 19:23 Right. 19:23 It's the brakes on things. Right? 19:25 Yeah. Exactly. 19:26 It's to put a brake on because by default we have monkey mind. 19:29 By default we're sympathetic by default we have the lizard brain, 19:32 the primitive brain that's always driving us 19:35 to be aware of predators and look for food and so forth. 19:38 So much of the brain's function is to put the brake on things so we can stay calm. 19:43 Right. 19:43 That's the expression, the ultimate expression of a 19:46 of a highly functional, functioning and actualized human is one who's, 19:50 you know, like a Zen master that's meditating and, someone is 19:53 meditating is not monkey mind, like meditating and moving all around. 19:57 So the brain's function is to inhibit and calm us down. 20:01 But if we lose that brake pedal, then things downstream, 20:05 some function will slow down, right? 20:07 Some function that requires activation, like parasympathetic and vagus nerve 20:11 will slow down, and other functions that need to be inhibited, like blood pressure. 20:15 And and you know, sympathetic response will not be put on the brake pedal, 20:19 therefore overexpress so we can start to have this downstream effect. 20:24 And this is really important because 20:27 if you have brain 20:27 symptoms you have to start to realize that that's going to have effects downstream. 20:31 You can't just say well I just have depression. 20:33 Well if you have depression or brain fog, that automatically means 20:38 that you have some problem within your brain, 20:40 meaning you're not either you're not getting fuel or nutrient 20:44 to your brain to make certain substrates or neurotransmitter, 20:47 or your brain's inflamed, therefore can carry out its function. 20:50 So you have to think like that and then downstream what other effects it may have. 20:55 And the effect is really far reaching. 20:57 So coming back to our domain I set the stage here. 20:59 So how does that impact autoimmune? 21:01 Well if you have to decrease brain function 21:03 you may have decreased vagus nerve function. 21:05 It's very well known that it does that. 21:06 You know it's not just vagus nerve. 21:08 It's just overall parasympathetic function. 21:10 A lot of people have heard of vagus nerve. 21:11 But maybe just just give us an idea 21:13 of what the vagus nerve does for those who aren't familiar. 21:15 Yeah. Vagus nerve is a part of your cranial nerve. 21:17 You have 12 pairs of cranial nerve that exit your skull. 21:20 That's why we call the cranial nerves. 21:22 And the 12 nerves have function that 21:24 control sympathetic parasympathetic function. 21:26 A lot of it controls your facial movement and tongue movement and so forth. 21:29 The vagus nerve control your muscles of swallowing 21:33 and then also go further down and innervate your heart. 21:36 Lung has animation to your gut, and so is really one of the things 21:39 that drives your gastric function, your your digestive function as far as motility 21:44 and secretions of enzyme and stomach acid and bile flow and so forth. 21:49 So when you have decreased brain function, everything downstream is going 21:52 to be compromised. So then the vagus nerve gets compromised. 21:55 So not firing at a same frequency of firing. 21:57 So it slows down. 21:58 So therefore that the function that innervates slows down to 22:01 which will be motility. 22:02 So people will experience constipation decreased secretion of digestive enzymes. 22:06 So then you don't digest food as well. 22:08 All of this may lead to food that sits in your intestinal tract 22:11 because they're not digesting well, nor is it moving down south. 22:15 So it just sits there and they ferment. 22:16 And that can create opportunity 22:18 for dysbiosis and inflammation, which then can drive leaky gut. 22:22 Just so you know, you intestinal tract is a factory for inflammation, 22:26 like your intestinal tract is so good at producing inflammation. 22:29 All it needs is an excuse. Right. 22:31 And the excuse will be being despotic. 22:34 You have too much bad bacteria and not enough good bacteria. 22:36 The good excuse could be like eating processed food 22:39 or food that you're sensitive to alcohol, right? 22:41 Like alcohol or high blood sugar. 22:44 Stress, environmental toxins. 22:47 So it just needs a reason for it to fire. 22:50 Let's turn on the factory to make inflammation. 22:52 So your gut is an inflammation factory. 22:54 And once I turn that inflammation factory, you develop intestinal permeability 22:58 or leaky gut. 22:59 You also drive this inflammatory response in the body that ultimately 23:03 leads to the increased production potentially of antibodies. 23:06 And you have a lot of antibodies, which is are these immune 23:09 proteins that that targeting specific pathogens. 23:13 But when you have a lot of antibody production, 23:14 sometimes these antibodies can target your own tissue. 23:17 So then you develop autoimmune. 23:18 So I you know, this is a long train. 23:21 But it starts with the brain losing its function, losing its break, 23:25 losing a stimulation. 23:26 The vagus nerve started causing gut issue and started causing immune system problem 23:30 like inflammation and leading to autoimmune. 23:32 So that's your brain even got in a five minute summary 23:36 there I would I love that now you painted a really great picture right? 23:39 Because one of the most common autoimmune conditions 23:42 that we see particularly in women is Hashimoto's. Right. 23:45 So we we take a look at Hashimoto's thyroiditis. Right. 23:47 And we think there's an issue that there's an immune issue with the thyroid. 23:51 Right. There's something wrong with the thyroid. 23:53 And, and so, with your, you know, the picture you just painted. 23:57 Now we can perhaps take another look at this and say, well, this Hashimoto's 24:02 may actually be, let's say, first, related to the gut issues that are going on. 24:06 Well, the gut issues may be caused by by some brain issues that are going on. 24:10 Right. 24:10 And so and mean and other immune issues. Right. 24:13 So I mean, we can have this brain issue causing a migrating motor complex issue
Autoimmunity, Hashimoto's, and Downstream Effects 24:18 that's not allowing the food to move through the gut, 24:21 creating excess inflammation, leaky gut, you know, the wrong 24:24 food choices creating on these Ottawa antibodies. 24:27 Right. 24:27 And all of a sudden down the line here, we go. 24:31 Right. And you're in the genetic susceptibility right. 24:33 For each individual it's going to be unique. Right. 24:35 So this is what I think is fascinating is 24:38 we take this old paradigm of Hashimoto's thyroiditis. 24:41 There's something wrong with the thyroid. 24:43 And now we could ultimately be looking at this. 24:45 The primary issue was, started in the brain. 24:48 Right. 24:48 And the choices that we're making, in our lifestyle 24:50 that cause the brain issues that then lead to gut issues. 24:53 And now we got brain gut now causing immune. Right? 24:55 I mean, it's and this is where I think 24:58 when as a as a clinician, as a practitioner, what I found is, 25:01 is that when the people that come to see me, 25:03 that's the point they're at, they're at this point where there's 25:06 multiple systems that are in dysfunction and, and there's still a desire 25:11 for the client or the patient to say, where is the problem? 25:15 Right? 25:15 And it's like, well, you know, it's actually everywhere, right? 25:18 Like we're at the point now where multiple systems are involved 25:23 and we need to intervene, at least in one of them, 25:26 if not in multiple areas, clean up the the entire lifestyle picture. 25:30 Right. And and it can be overwhelming. Right. 25:32 So and I don't want to sort of, press that too much. 25:35 But it's, it's the opportunities are everywhere to improve. 25:38 Right. And that's really the key difference. It's not like 25:41 oh no, there's problems everywhere. 25:43 It's actually, 25:43 hey, there's opportunities everywhere to, to create a better health outcome. 25:47 That's a great way to look at it. 25:48 And I just want to point one thing out, Jason, you brought up a really good point, 25:52 is that, yes, a lot of people, by the time they come to seek out 25:55 functional medicine care, the problem has spread to multiple areas. 25:59 Perhaps the brain, the immune and the gut is all involved. 26:03 That does not mean that that the brain is always 26:07 the starting point of the problem, because it's a three way triangle. 26:10 Sometimes for some people, the problem started with the gut right itself. 26:14 For other people, the problem started with the immune system having an infection. 26:18 Some type that they can resolve for other people. 26:20 It could be, you know, the brain, but but invariably, no matter where it starts, 26:25 all three system eventually gets touched. 26:28 Eventually the consequences spread to brain. 26:30 You mean God. 26:31 This is why in the beginning I said, when people come in with chronic health 26:34 issues, typically I see brain immune gut symptoms all three 26:38 because by then it's already spread, but may have started 26:40 with just a brain issue, or for another person, 26:42 may have just started with a gut issue, but now is turning into a brain issue. 26:46 So, I don't want people to think that it's always starting at the brain. 26:50 So this is why we have to think non-linearly be flexible in our thinking, 26:53 but have that framework to help us to say, okay, 26:56 do we have this brain even got access? 26:58 That's all it is, functioning together or if not, 27:01 if this person just have got issues, could potentially lead 27:04 to a brain issue down the line like neurodegeneration, 27:08 neuro autoimmunity or Alzheimer dementia and so forth. 27:11 So we can start intervening right away. 27:13 Yeah, I know I love that. 27:14 And just to kind of give one more brain example, to tie in this concept 27:18 is something like a traumatic brain injury, a concussion. Right. 27:21 And I used to play football as in the contact sports and boxing in another one. 27:25 Hockey. Right. 27:25 There's a lot of these contact sports where, 27:27 you know, if anybody's experienced some traumatic brain injury. 27:31 A concussion play, it can really lead to some problems 27:35 down the line in these other areas. Right. 27:36 So this is where I just want to point to this idea 27:38 that we think that something like a concussion is is brain specific. 27:42 And to some degree it is. 27:43 But but but then it has impacts throughout the body. Right. 27:46 And and again to, to take the other side of what you were 27:48 just mentioning, the sort of acute assault on the gut. 27:52 Right. 27:52 We may have some acute infection that we, that we acquired. 27:55 Right. 27:55 Or we may take, pretty significant round of antibiotics, 27:58 or we may be on birth control for a long period of time. 28:01 Right. 28:01 And that's causing a specific assault on the GI system. 28:05 And then what are the downstream effects of when something starts 28:08 to assault the GI system? 28:09 You mentioned leaky gut 28:10 and the effects on the immune system, but how how does that specifically relate 28:14 to maybe causing or potentially eating grain issues down the line? 28:19 Yeah, absolutely. 28:19 If you if you have gut inflammation, let's just say leaky gut, for example. 28:24 And what's going to happen 28:25 is you're going to create this double whammy of malabsorption and inflammation. 28:29 Okay. 28:29 And again the gut is an inflammation factory is really good 28:32 at making inflammation. 28:34 These are cytokines. 28:35 And you can trigger a neutrophils and macrophages to go 28:38 you know fight the bad guy. 28:39 So inflammation is not bad by the way. 28:42 Inflammation is your body's attempt to clear out some pathogen 28:46 right to protect you. 28:47 But if that process is being trigger excessively 28:50 and it doesn't calm down readily, 28:52 then you're going to have 28:52 too much of that action going on which can start to damage your own tissue. 28:56 Now you're going to have tissue debris, and now you have more things to mop up, 29:00 which triggers more inflammation, because inflammation is also 29:03 the same process that's used to mop up cellular debris from damage. 29:07 So that's all the immune system's job. 29:09 And it can start in a gut. 29:11 And leaky gut is one of those things. 29:12 I can promote this inflammatory response. 29:16 And then once you promote the inflammatory response, then what happens? 29:19 You can actually create, blood brain barrier breach, because we know that 29:22 the small intestinal tight junction protein, the psycho architecture 29:26 of the small intestinal tight junction, it's the same as the blood brain barrier, 29:31 which are the blood vessels that supply blood to the brain, 29:34 those endothelial cells, the blood vessel lining at the same site architecture 29:39 as the gut lining. They have Zombieland. They have actin. 29:41 They have cloud ins and the glued ends, 29:43 these proteins that kind of hold the cells together. 29:46 So when you have antibodies, 29:48 by the way, when you have leaky gut, how do we even measure leaky gut? 29:51 Well, we measure it by measuring antibody 29:53 against these proteins in your small intestinal lining. 29:57 And because this 29:58 the the similarity between the subtle architecture of these proteins 30:01 that are found in this small intestinal lining 30:03 and the blood brain barrier, when you have antibody against, 30:06 say, Zombieland in the small intestine, that same antibody 30:10 can attack the Zombieland that's in your blood brain barrier. 30:13 So then this is why when we have leaky gut or 30:16 gut inflammation, we all you not always. 30:20 But there maybe there's a pathway for getting brain inflammation as well. 30:24 Okay. 30:24 So it's important to know 30:25 that not every single person with leaky gut is going to have leaky brain. 30:29 But it's a there's a pathway that leads to it and it can happen. 30:32 So it all depends on the individuals, how aggressive 30:35 they are at doing the lifestyle things. 30:37 What are their preexisting health conditions? 30:39 If you're already diabetic 30:41 or already inflamed, you already have high blood pressure. 30:43 Then you're the person that's going to do worse when you have leaky gut 30:46 or have a concussion and things like that to suffer more consequences of that. 30:51 Yeah, and correct me if I'm wrong, but my my perception is, is that, 30:56 you know, while that can go wrong in the gut 30:57 and we can have an inflammatory gut ecosystem, 31:01 there seems to be a little bit quick of a response to recovery at the gut level 31:06 when we get things right versus when the brain starts to turn on fire, 31:09 and you get these glial cells and micro glial cells with inflammation. 31:13 Sometimes that can just remain on and it can be hard to turn off. 31:16 Right. 31:16 So I mean that's that's one of the impacts sometimes of of that gut brain 31:20 connection is when we start getting inflammation at that brain level, 31:24 then, you know, it can take some real intervention and getting things, 31:27 very correct in order to sort of calm that inflammation down, I 31:31 would say that's correct. 31:33 And because, you know, your gut lining turns over every 2 or 3 days, 31:37 your intestinal epithelial cells renew itself every 2 or 3 days. 31:41 And so you're constantly putting food in there is constantly doing things. 31:44 So I think that the response time in the gut maybe faster in the brain, 31:49 specifically with micro glial cells when the micro glial cells become primed. 31:53 So when, when, when you go through brain injury, your micro glial cells, 31:56 which are basically macrophages, it's a type of immune cell in the brain, 32:00 the same as you have in the rest of the body called macrophages, like a big eater. 32:04 But in the brain they just have they look different. 32:06 They have like big arms 32:07 like the glia have like these arms that we call a ram ified processes. 32:12 And these glial cells can actually when they become inflamed and trigger 32:16 they can literally change their morphology or their shape into a 32:21 a type where it's constantly triggering inflammation. 32:24 So literally, and someone who have repeat a concussion or brain inflammation later, 32:29 Michael, glial cells can actually change into a shape and behave in a way 32:33 that's kind of stuck on inflammation, and it doesn't want to come off of that. 32:38 And this is one of the reason why it's so difficult for some people 32:41 with brain issues to resolve these brain inflammation that they happen. 32:45 Yeah, I mean, it's 32:46 I've seen a couple of these cases where sort of this micro glial priming 32:49 occurs and it's, you know, it's chronic anxiety, it's difficulty sleeping. 32:54 The smallest triggers can just really exacerbate a response. 32:57 Right. 32:57 And I really feel for these, these people because it's it's a really 33:01 challenging situation to, to get a hold of. 33:03 But Doctor Con there's, there's, there's aspects to of, of the gut ecosystem
Gut Health, Microbiome, and Immune Function 33:09 that I'd love for you to touch on 33:10 with regard to the immune system specifically, because this is where 33:14 some people say a majority of our immune system is housed. 33:16 Right. But there's an intimate relationship with the gut. 33:19 Ecosystem and the immune aspects of the gut. 33:23 So maybe you can talk to me a little bit about that. 33:24 Why that's such an important, directional relationship. 33:27 Bidirectional relationship. 33:29 Right. It. 33:29 Because the microbiome. 33:31 And that's what we're kind of referring to here, that the gut ecosystem, 33:34 I mean, it's throughout the entire gut, by the way, and, 33:37 throughout the entire GI track and the GI tract starts at the mouth, right? 33:40 So you have the oral microbiome, 33:42 you have the gut microbiome all throughout the GI tract. 33:46 So it's not that you know, in your small intestine, 33:49 say, in the duodenum or jejunum, the midsection of small, 33:52 that you have zero bacteria, you just have a lot less 33:55 and you have a lot more bacteria 33:57 that are supposed to be there in a large intestine, in a colon. 34:00 That's usually where these microbiome, most of them are residing in the colon. 34:05 And because the the gut is such a large surface area. 34:09 Right. 34:09 And then remember earlier I said the gut is an inflammation factory 34:13 and by default, what that means the gut is 34:15 the gut lining is a place for surveillance. 34:19 Right. 34:19 Because to trigger inflammation 34:21 you first have to detect what you want to kill first. 34:24 Inflammation is your immune system way of killing a pathogen. 34:28 So you have to first survey, research and destroy. 34:31 So you got to have a searching function 34:33 which is surveillance, and then destroy a kill function. 34:36 So your gut, the entire GI tract from the mouth 34:39 all the way down to the other end is lined with immune cells. 34:41 You have immune Sega Secretary IGA, immunoglobulin A, you have a ton cells. 34:47 You have got associated lymphoid tissues. 34:50 So you have all these things that are part of the gut immune system. 34:53 So I think if we're going to talk about how gut play a role in immune function, 34:57 we don't want to make it sound like just the beneficial bacteria 35:02 or the bacterial flora in the gut 35:03 is the only thing that's playing a role in in immune function. 35:06 Right. 35:07 There's a lot of other things like the lymphoid tissues, like, you know, 35:11 dendritic cells in the small intestine, 35:12 the lining immune cells in this in and throughout the entire gut. 35:16 That's play an important role. 35:17 But certainly 35:18 the microbiome, the bacteria in the gut play a very important role in that. 35:22 Basically what they do, a lot of it is basically through competition, right? 35:26 There's scarce resources. There's only so much food around. 35:29 And so all these bacteria down there, 35:30 whether good or bad, they all compete for the same amount of resources. 35:35 So if you have a lot of 35:35 beneficial bacteria, you basically are crowding out the bad guy 35:39 by competition of resources. 35:41 So having good amount of microbiome that are supposed to be there in abundance 35:45 helps a crowd out that the pathogenic bacteria. 35:48 And then secondly, these microbiome play very important role 35:52 in cytokines and immune signaling. Right. 35:55 So much of it is all done through signaling. 35:58 Right. 35:58 It's not that the bacteria is down there eating up the virus 36:01 is that the bacteria down there is is signaling and is causing 36:06 the cytokines to release to help your body to be able to do its job better. 36:11 It's already looking, searching and destroy everywhere, 36:14 not just in the gut throughout your tissue, 36:17 but when you have cytokines and make that communication more efficient. 36:20 However, the cytokines can also go the other way. 36:22 It could become too efficient, 36:24 and now you're triggering too much of an inflammatory response. 36:27 So I like to kind of likened the gut microbiome to what you want 36:32 is balance, right. 36:34 People tend to think like oh, if microbiome is low. 36:36 So more is better, right? 36:38 No. What you want is balance in these beneficial bacteria. 36:42 So it's not like just shoving 36:43 like unlimited amount of probiotic is going to solve the problem. 36:46 Right. 36:47 Because there are over 1000 species 36:49 and there's many more that's being discovered all the time. 36:52 And there's not a probiotic that you take that has like all of these different 36:56 thousand species. 36:57 Now if you do fecal transplant potentially. 36:59 But remember everybody's microbiome is a unique fingerprint 37:04 so that you can get somebody else's. 37:05 You know, fecal matter their their microbiome implanted into you. 37:10 But that's their fingerprint. That's not your fingerprint. 37:12 Right. Kind of like organ rejection potentially. 37:14 It may not work for you. 37:15 So this is why fecal transplant doesn't work across the board for everyone 37:19 where it works, it's like, wow, miraculous. 37:21 How does that work? 37:22 But there's also times where it doesn't work. 37:24 I know this 37:24 because I have a lot of clients in Europe and in England, actually, there's 37:28 fecal transplant clinics where you can go and just pay cash and just get it done. 37:32 And a lot of people come to me like, oh yeah, 37:34 I done that already three times, actually, and it didn't work. 37:37 So it doesn't mean it never works. 37:39 It just didn't work for that person. 37:40 So what I'm saying is it can work, but it's not universal. 37:44 So we have to always think about, okay, what's the backup plan? 37:47 What's our contingency plan. 37:48 And when it doesn't work, why is there other pathways. 37:51 There's other things that we can do. 37:52 So we start to think long non-linearly and flexibly. 37:56 Then. 37:56 Then we become 37:57 okay with not knowing everything, but we know enough to make a change 38:01 and to do something right, to help people to make their own lifestyle change. 38:05 Because ultimately 38:06 that's going to lead to the most important thing they can do 38:08 is the things that people do 38:09 every day, rather than a fancy pill that we can give them. 38:13 Well, you led into my next question exactly which is, 38:17 okay, so we got all this information 38:19 about the brain, the gut and immune system and how any one or multiple of 38:23 these systems can dis regulate or reregulate the others. 38:27 What do I do about this? 38:28 You know, obviously there's targeted clinical interventions that you work with 38:32 specifically with each client. No question. Right. 38:35 But but how do I think about this either from a lifestyle perspective? 38:39 What are some things that I can do to help 38:41 create more balanced function and harmony in these systems? 38:45 And then if I've got some maybe known dysfunctions, whether it's 38:48 brain, gut or immune or otherwise, you know, 38:51 what are some tests or how do how can I go about investigating this deeper? 38:55 Sure. Yeah. 38:56 And I think, it's important to say, Jason, that 38:59 the lifestyle things or whatever intervention 39:02 you choose to do a supplement or, take on a specific diet before you do it, 39:07 you want to first identify what is the actual problem, right? 39:11 Because just doing something without even knowing what your problem is, is, 39:15 it's not helpful. 39:16 You know, a lot of people say, well, you know, 39:18 I want to just do low Fodmap and do a stable diet. Why? 39:22 Or because I think I have Sibo. 39:23 Do you really? 39:24 Are you sure? Right. Let's find out. Right. 39:27 Because a lot of people just suppose they have some problem 39:29 and they're doing taking the supplement, doing some kind of, you know, intervention 39:33 without actually knowing whether that's actually the problem. 39:36 So they're doing things because it sounds like it's a problem, but it's not. 39:39 And this is the reason I bring up the brand name and got access 39:42 because the symptoms can sound very similar, right? 39:45 It can overlap Hashimoto's look like fibromyalgia, look like Lyme patient. 39:48 They all have brain fog. They have inflammation. 39:51 So which one is it. 39:52 So it's important to know which one is it okay. 39:54 But how do I help people to do this is that 39:58 I like them to follow like a roadmap a roadmap meaning okay, 40:02 there's a sequence to where there's certain things that are more important 40:06 than others as far as setting up the foundations of health, 40:09 because if you do things out of sequence, then you may not get there. 40:13 Kind of like the password to your phone, you know, if the password to your phone is 40:16 one two, 1234, you type in four three, two one. 40:19 Well, heck, it's the same numbers. 40:22 Same number of numbers. 40:23 It just in opposite order. And guess what? 40:26 Your phone doesn't unlock in your body. 40:28 It kind of works that way. 40:29 Okay, so a perfect example would be this one of the first step on the roadmap 40:33 that I look at to kind of identify what where do we start. 40:36 Right. A lot of times people with chronic condition with brain even guy have brain. 40:39 You you've that where do I start. Is that do I take a brain supplement. 40:42 Do I take a new supplement? Do I do supplement? 40:44 The first place you start is actually looking at fuel delivery. 40:48 Okay. 40:48 Fuel delivery means your ability to deliver fuel to your working tissues. 40:52 Because if you can deliver a fuel you can't produce mitochondria, 40:56 you can't produce ATP, you can't carry out the processes 40:59 that will help you to make new tissue, to detox, to transport. 41:03 Nothing works. 41:04 So a lot of people are skipping the step and they go straight into 41:08 I must have mercury issue because I have mercury amalgam. 41:11 So I gotta do a metal detox. 41:13 Well, maybe you do, maybe you don't. 41:15 Because if you have fuel delivery issues, you do a detox. 41:18 This is how you set one somebody up to feel crappy 41:21 and potentially make them worse, especially with a brain problem. 41:25 You know, if you make a brain problem worse, you're risking losing brain cells. 41:29 And brain cells are post mitotic. 41:31 They don't go through mitosis. 41:32 They don't divide and make new brain cells. 41:34 So if you lose brain cells at a faster clip than aging, 41:38 then you're advancing that neurodegeneration. 41:40 So we want to protect brain cells at all costs. 41:42 And doing aggressive detox without setting up 41:46 the foundations of the body is basically asking for,
Roadmap for Healing and Foundational Lifestyle Steps 41:50 you know, speeding up inflammation, which can potentially be in the brain 41:53 or in other places of the body. 41:54 How right now, as far as fuel delivery, let me just say this real quick. 41:58 What I mean by fuel delivery is number one oxygen 42:02 and number two blood glucose. 42:04 That's what I mean by fuel delivery. 42:06 Yeah. 42:06 Really I would incorporate and include digestion in that one 42:09 because if you can't digest your food, 42:10 you can't deliver nutrient or fuel to your body either. 42:13 But but oxygen and glucose is the most important thing. 42:16 In fact, in functional neurology, module number one, when I went to a function 42:20 neurology school, first thing they tissue's like, hey, neurons. 42:24 For them to survive requires two things fuel and activation. 42:28 And I add the third thing no inflammation. 42:31 So fuel is oxygen. 42:32 And glucose activation means you got to use your brain. 42:35 Your brain has to be constantly be firing. 42:38 And the way you fire the brain is not just by thinking, but result by movement. 42:42 When you move, you're firing your brain. 42:43 Proprioception. Right? 42:44 So, so fuel and activation is the first thing 42:47 we learn in function on reality. 42:48 So that's just how important it is. Right. 42:50 But a lot of time in functional neurology in the past 42:52 the fuel was kind of like not really looked at 42:54 because they didn't really work with nutrition. 42:56 Yeah. 42:56 It was accepted that optimal, you know, delivery was happening right is right. 43:00 But but we can't accept we can't assume that. Yeah. 43:03 Because if someone was anemic they're going to have low oxygen. 43:06 We gotta fix that. 43:07 Or the functional neurology 43:09 rehab the exercise we do to rehab the specific parts will not work 43:13 because the brain cells too tired and doesn't have fuel to be able to heal. 43:17 Right. So so oxygen is important. 43:19 So we look at anemia, we'll look at blood pressure issues. 43:23 We'll look at circulatory problems as a proxy to indicate 43:27 whether there's an oxygen issue. And obviously blood glucose. 43:30 Pretty obvious. 43:30 We'll get blood sugar stability 43:32 whether you have hypoglycemia or insulin resistance. 43:34 They're both bad because the both are going to impact your delivery of fuel 43:39 to not just your brain, but every single cell in your body. 43:41 So those are the things I look at first. 43:43 Well, this is this is really interesting because, you know, 43:45 I think blood glucose is it's some common awareness right now. 43:49 Right. 43:50 You know, we've got the continuous glucose monitors which are cool. 43:52 We've got finger sticks. 43:53 We can 43:54 we can actually test our blood 43:55 glucose, fairly readily as a, as a consumer population. 43:58 And yet I, I think not only in the consumer, population 44:02 in the general public, 44:03 but also even in the practitioner doctor world, I find that there's 44:06 still an appreciation for, for blood glucose and the importance 44:10 of maintaining good blood glucose and not having it go all over the place. 44:14 And no matter what disease you're looking at, 44:16 no matter what dysfunction, improving blood glucose and keeping 44:20 blood glucose, as well as, insulin stable, as stable as possible. 44:25 Good regulation is fun, is fundamental. 44:28 It's foundational. Right. Like I actually brain. 44:30 Yeah. 44:31 And it's it's wild how underappreciated it is. 44:33 So I think that's I love that you start there. Right. 44:35 And and you you mentioned oxygen right. 44:37 Another thing that comes to mind when it comes to oxygen is is breathing. 44:41 Right. And so we don't need any doctors. We don't need anything. 44:43 This goes back to kind of 44:44 our eastern, talk at the beginning, but but learning how to breathe properly. 44:48 Right. 44:48 The pranayama is from the Vedic culture, 44:51 the eastern cultures and in circulating qi. 44:54 Right. 44:55 I mean, qigong is a 44:56 is a practice that I have grown to love, and it has to do with awareness in breath. 45:00 Right. 45:00 And and this is fundamental to all those, those traditional. 45:03 Right. 45:03 So, so learning to breathe and, and incorporating 45:06 some kind of breathing practice can be really, really helpful for these things. 45:10 Right. 45:11 Absolutely. 45:12 So so it comes down to identifying what is the the actual problem 45:17 and what is the biggest problem for that person and how do we set it up. 45:20 So doing the first things first rather than jumping all over the place 45:23 doing everything. 45:24 So if someone who's very stressed and they have really shallow breathing 45:28 and you see 45:29 they have low O2 saturation, 45:30 then yeah, breathing exercise will be absolutely the thing to do for them. 45:33 But if this person was already a a Yogi mastering the breathing every day 45:38 and this person is breathing every day and vegetarian 45:42 and very anemic, guess what do you go you look at the diet, 45:45 okay, maybe you're being too strict and you're not eating enough iron. 45:49 And this is why you're anemic. 45:50 Then we fix that, not the breathing, so that the 45:53 the solution is dependent on what the problem is. 45:56 I think there's so much emphasis, Jason, out there in that in a, 46:00 you know, summit world and this information world, right? 46:04 It's almost information overload that people are looking for solutions 46:07 rather than looking for identifying the problem. 46:10 Totally. 46:11 And what I really encourage 46:13 our learners, people who are in our program to do is to learn 46:17 how to identify the problem first, before you even take on any solution, 46:21 because once you identify the problem, the solution comes. 46:24 It's easy. 46:25 Once you know what the problem is, the solution is plenty. 46:27 But the problem? The hard part 46:29 is identifying the real issue and how to set up a process. 46:33 So you're addressing it in a way that can untangle these issues. 46:37 I love it, and you're really teaching people 46:39 how to think like an integrative functional practitioner, right. 46:42 Like that's really how what you're teaching them. 46:44 Because even with something like Sibo. Right. 46:46 Like when I learned that there was like six different causes of Sibo, one 46:50 being causing stemming from the from brain issues and perhaps a migrating 46:54 motor complex, creating the environment 46:57 for which Sibo can can, can manifest. 47:00 Well, then all the chemo treatments aren't going to resolve 47:02 until I get that migraine motor complex 47:04 and potentially the brain issue that's causing it resolved. 47:07 Right. 47:07 So, again, that that only came through functional integrative 47:12 training, to be able to understand that that's that there's all these mechanisms. 47:15 And so going about it in a, in a precise way 47:18 and developing a proper roadmap, I agree, is fundamental and it's critical. 47:21 And even for, for those practitioners out there 47:23 who maybe haven't been trained in this way, you know, your roadmap is, 47:26 is, is a fantastic way to go about something like this. 47:29 So, Doctor Khan, where can people find more of your work? 47:32 I know you've got some masterclasses, you've got a lot of great things out there 47:35 and trainings. 47:36 How can they find them? 47:37 Yeah. 47:38 Thank you for, give me a chance to share. 47:40 Yes, we have, a brain immune gut masterclass. 47:44 And, this masterclass where I give people, like, the 30,000ft view 47:47 of what we've been discussing, but a little bit more detail. 47:50 So that's a great primer on understanding, bringing gut 47:53 and how different parts of the roadmap, that I use to help to heal that. 47:57 And I also have a 47:59 pretty well stocked YouTube channel so people can, just search on YouTube. 48:02 Doctor Peter Khan, wall head a Chinese guy will pop up pretty easy to narrow. 48:06 So there's a lot of great videos there that's a free resource for people. 48:09 Our Facebook page is also pretty cool, too. 48:11 So, find me on Facebook as well. 48:13 Connect with me on social media. 48:15 Well, I will say, yeah, your YouTube channel is fantastic. 48:17 I've taken a look at some of your videos and you do get into some great detail, 48:20 a very good, educational resource, 48:23 for anybody out there, whether they're a practitioner or, 48:25 or just in the general public looking to improve their health. 48:28 So, Doctor Khan, thank you so much for coming on 48:30 and sharing us, sharing with us your wisdom, 48:32 and your amazing insights into the the brain immune gut access. 48:36 Thank you so much for having me, Jason.
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