Full Transcript Introduction 0:02 Hey, Margie here. Today, we're focusing 0:02 Hey, Margie here. Today, we're focusing on oxalates because I've been getting so 0:04 on oxalates because I've been getting so 0:04 on oxalates because I've been getting so many questions. What are oxalates? Is it 0:07 many questions. What are oxalates? Is it 0:07 many questions. What are oxalates? Is it something I really need to deal with? 0:09 something I really need to deal with? 0:09 something I really need to deal with? How is this affecting my bones? What can 0:12 How is this affecting my bones? What can 0:12 How is this affecting my bones? What can I do to reduce the oxalates in the food 0:14 I do to reduce the oxalates in the food 0:14 I do to reduce the oxalates in the food I'm eating? 0:15 I'm eating? 0:15 I'm eating? So, we are going to get those questions 0:17 So, we are going to get those questions 0:17 So, we are going to get those questions answered today. And what I decided to 0:20 answered today. And what I decided to 0:20 answered today. And what I decided to do, Dr. Kim Millman did a fabulous 0:23 do, Dr. Kim Millman did a fabulous 0:23 do, Dr. Kim Millman did a fabulous masterclass for my community. So, I on 0:26 masterclass for my community. So, I on 0:26 masterclass for my community. So, I on this podcast, I'm going to share that 0:28 this podcast, I'm going to share that 0:28 this podcast, I'm going to share that recording. And then at the end, I have 0:31 recording. And then at the end, I have 0:31 recording. And then at the end, I have some other things that I've added 0:33 some other things that I've added 0:33 some other things that I've added dealing with bile and oxalates. So, make 0:35 dealing with bile and oxalates. So, make 0:35 dealing with bile and oxalates. So, make sure you stay tuned till the end. And 0:37 sure you stay tuned till the end. And 0:37 sure you stay tuned till the end. And let me just tell you a little bit about 0:39 let me just tell you a little bit about 0:39 let me just tell you a little bit about Dr. Millman. She is a Stanford, UCSF, 0:42 Dr. Millman. She is a Stanford, UCSF, 0:42 Dr. Millman. She is a Stanford, UCSF, USC trained integrative medicine 0:45 USC trained integrative medicine 0:45 USC trained integrative medicine physician and research scientist. She's 0:47 physician and research scientist. She's 0:47 physician and research scientist. She's been working for over 18 years 0:49 been working for over 18 years 0:49 been working for over 18 years specializing in an integrative approach 0:51 specializing in an integrative approach 0:51 specializing in an integrative approach to osteoporosis. She sees patients 0:54 to osteoporosis. She sees patients 0:54 to osteoporosis. She sees patients individually and teaches an online 0:56 individually and teaches an online 0:56 individually and teaches an online program called Restore and Rebuild, 100 0:58 program called Restore and Rebuild, 100 0:58 program called Restore and Rebuild, 100 Days to Healthier Bones. And Dr. Millman 1:01 Days to Healthier Bones. And Dr. Millman 1:01 Days to Healthier Bones. And Dr. Millman and I together co-founded the Bone 1:03 and I together co-founded the Bone 1:03 and I together co-founded the Bone Health Academy and the Certified 1:05 Health Academy and the Certified 1:05 Health Academy and the Certified Integrative Bone Health Practitioner 1:07 Integrative Bone Health Practitioner 1:07 Integrative Bone Health Practitioner Program. 1:09 Program. 1:09 Program. And so, anyone that's heard Dr. Millman 1:11 And so, anyone that's heard Dr. Millman 1:11 And so, anyone that's heard Dr. Millman before, she's really a wealth of 1:12 before, she's really a wealth of 1:12 before, she's really a wealth of knowledge and this is full of so much 1:15 knowledge and this is full of so much 1:15 knowledge and this is full of so much great information. Stay tuned. 1:19 great information. Stay tuned. 1:19 great information. Stay tuned. >> [music] 1:21 >> [music] 1:21 >> [music] >> Welcome everyone to today's masterclass 1:24 >> Welcome everyone to today's masterclass 1:24 >> Welcome everyone to today's masterclass on oxalates. I'm so happy that everyone 1:27 on oxalates. I'm so happy that everyone 1:27 on oxalates. I'm so happy that everyone is here and took the time to come. 1:31 is here and took the time to come. 1:31 is here and took the time to come. So, from my point of view, the oxalate 1:34 So, from my point of view, the oxalate 1:34 So, from my point of view, the oxalate discussion is really the elephant in the 1:37 discussion is really the elephant in the 1:37 discussion is really the elephant in the room. So, I have personally and 1:40 room. So, I have personally and 1:40 room. So, I have personally and professionally avoided this subject for 1:43 professionally avoided this subject for 1:43 professionally avoided this subject for many, many years because of the fact 1:47 many, many years because of the fact 1:48 many, many years because of the fact that oxalates are are found in so many 1:51 that oxalates are are found in so many 1:51 that oxalates are are found in so many healthy foods and it was the last thing 1:53 healthy foods and it was the last thing 1:53 healthy foods and it was the last thing that I wanted to do was to recommend 1:57 that I wanted to do was to recommend 1:57 that I wanted to do was to recommend that people start to take these foods 2:00 that people start to take these foods 2:00 that people start to take these foods out of their diet. But oxalates are 2:03 out of their diet. But oxalates are 2:03 out of their diet. But oxalates are central to the metabolism of calcium and 2:06 central to the metabolism of calcium and 2:06 central to the metabolism of calcium and other minerals that are very important 2:08 other minerals that are very important 2:08 other minerals that are very important for your bones, and it can be a reason 2:11 for your bones, and it can be a reason 2:11 for your bones, and it can be a reason why you can't absorb your calcium and 2:14 why you can't absorb your calcium and 2:14 why you can't absorb your calcium and other minerals. And so it can also be 2:17 other minerals. And so it can also be 2:17 other minerals. And so it can also be damaging to tissues causing pain and 2:20 damaging to tissues causing pain and 2:20 damaging to tissues causing pain and inflammation and migratory symptoms that 2:23 inflammation and migratory symptoms that 2:23 inflammation and migratory symptoms that just don't make any sense. And so I 2:27 just don't make any sense. And so I 2:27 just don't make any sense. And so I thought that it was important to start 2:29 thought that it was important to start 2:29 thought that it was important to start looking at oxalates and to at least 2:33 looking at oxalates and to at least 2:33 looking at oxalates and to at least educate people on the subject. And I 2:35 educate people on the subject. And I 2:35 educate people on the subject. And I want to really emphasize to people this 2:38 want to really emphasize to people this 2:38 want to really emphasize to people this is not something that everyone needs to 2:41 is not something that everyone needs to 2:41 is not something that everyone needs to do, and I think that there really is a 2:43 do, and I think that there really is a 2:43 do, and I think that there really is a process to figure out whether it is 2:46 process to figure out whether it is 2:46 process to figure out whether it is important for you, and I'm going to 2:48 important for you, and I'm going to 2:48 important for you, and I'm going to teach you the process that I've 2:50 teach you the process that I've 2:50 teach you the process that I've developed over the last few years. 2:58 So in the in the webinar we're going to 2:58 So in the in the webinar we're going to be describing oxalates and how they 3:00 be describing oxalates and how they 3:00 be describing oxalates and how they damage tissues and cause pain and 3:03 damage tissues and cause pain and 3:03 damage tissues and cause pain and inflammation, the symptoms that you 3:05 inflammation, the symptoms that you 3:05 inflammation, the symptoms that you might have if you were having problems 3:08 might have if you were having problems 3:08 might have if you were having problems with oxalates. We're going to go over a 3:10 with oxalates. We're going to go over a 3:10 with oxalates. We're going to go over a list of the top oxalate foods and we're 3:13 list of the top oxalate foods and we're 3:13 list of the top oxalate foods and we're going to I'm going to give you a 3:15 going to I'm going to give you a 3:15 going to I'm going to give you a validated oxalate food chart. When you 3:19 validated oxalate food chart. When you 3:19 validated oxalate food chart. When you go to my site 3:21 go to my site 3:21 go to my site and then I'm going to give you some 3:23 and then I'm going to give you some 3:23 and then I'm going to give you some practical guidance on what you can do to 3:25 practical guidance on what you can do to 3:25 practical guidance on what you can do to reduce oxalates if you decide that 3:27 reduce oxalates if you decide that 3:27 reduce oxalates if you decide that that's something that is right for you. 3:32 that's something that is right for you. 3:32 that's something that is right for you. So what are oxalates? Oxalates are the
Oxalates and why they matter 3:35 So what are oxalates? Oxalates are the 3:35 So what are oxalates? Oxalates are the same thing as oxalic acid. They are 3:38 same thing as oxalic acid. They are 3:38 same thing as oxalic acid. They are little crystals. They are very small. 3:41 little crystals. They are very small. 3:41 little crystals. They are very small. They're like shards of glass. They can 3:43 They're like shards of glass. They can 3:43 They're like shards of glass. They can lodge in into any tissue 3:47 lodge in into any tissue 3:47 lodge in into any tissue and they cause tissue inflammation, 3:50 and they cause tissue inflammation, 3:50 and they cause tissue inflammation, damage, and pain. They also bind to our 3:54 damage, and pain. They also bind to our 3:54 damage, and pain. They also bind to our important minerals and other nutrients, 3:57 important minerals and other nutrients, 3:57 important minerals and other nutrients, especially calcium, magnesium, 3:59 especially calcium, magnesium, 3:59 especially calcium, magnesium, potassium, iron, 4:02 potassium, iron, 4:02 potassium, iron, uh and some B vitamins. 4:04 uh and some B vitamins. 4:04 uh and some B vitamins. Oxalates are found in plants. Um and 4:07 Oxalates are found in plants. Um and 4:07 Oxalates are found in plants. Um and it's interesting because the plant 4:10 it's interesting because the plant 4:10 it's interesting because the plant mechanism is that if the ground water is 4:14 mechanism is that if the ground water is 4:14 mechanism is that if the ground water is too rich in calcium, then the oxalates 4:17 too rich in calcium, then the oxalates 4:17 too rich in calcium, then the oxalates act like a calcium sink. So, the 4:20 act like a calcium sink. So, the 4:20 act like a calcium sink. So, the oxalates bind to calcium and then uh 4:23 oxalates bind to calcium and then uh 4:23 oxalates bind to calcium and then uh take it away from the metabolism of the 4:27 take it away from the metabolism of the 4:27 take it away from the metabolism of the of the plant and then the plant can grow 4:30 of the plant and then the plant can grow 4:30 of the plant and then the plant can grow normally. 4:31 normally. 4:31 normally. And oxalates are found in many 4:33 And oxalates are found in many 4:33 And oxalates are found in many vegetables, a variety of seeds, nuts, 4:36 vegetables, a variety of seeds, nuts, 4:36 vegetables, a variety of seeds, nuts, beans, and fruits. They're highly 4:39 beans, and fruits. They're highly 4:39 beans, and fruits. They're highly reactive. They are attracted positively 4:42 reactive. They are attracted positively 4:43 reactive. They are attracted positively to charged minerals and some uh and some 4:46 to charged minerals and some uh and some 4:46 to charged minerals and some uh and some B vitamins as uh I just described, and 4:50 B vitamins as uh I just described, and 4:50 B vitamins as uh I just described, and they can cause nutrient deficiencies. 4:54 they can cause nutrient deficiencies. 4:54 they can cause nutrient deficiencies. They really are not just a worry for 4:57 They really are not just a worry for 4:57 They really are not just a worry for kidney stones. They have multiple 4:59 kidney stones. They have multiple 4:59 kidney stones. They have multiple effects throughout the body. And it can 5:02 effects throughout the body. And it can 5:02 effects throughout the body. And it can be related to even just mineral 5:05 be related to even just mineral 5:05 be related to even just mineral imbalances. And then it can affect uh 5:08 imbalances. And then it can affect uh 5:08 imbalances. And then it can affect uh your muscles and your joints and your 5:10 your muscles and your joints and your 5:10 your muscles and your joints and your connective tissues. 5:13 connective tissues. 5:13 connective tissues. It can cause inflammation anywhere. Can 5:16 It can cause inflammation anywhere. Can 5:16 It can cause inflammation anywhere. Can be a trigger for autoimmunity. It can 5:19 be a trigger for autoimmunity. It can 5:19 be a trigger for autoimmunity. It can can can change uh and degrade your 5:22 can can change uh and degrade your 5:22 can can change uh and degrade your mitochondrial function, which is the uh 5:25 mitochondrial function, which is the uh 5:25 mitochondrial function, which is the uh power source or the energy source of 5:28 power source or the energy source of 5:28 power source or the energy source of your cell. It can affect your 5:30 your cell. It can affect your 5:30 your cell. It can affect your circulation, your heart, your 5:32 circulation, your heart, your 5:33 circulation, your heart, your vasculature. It can affect your thyroid 5:36 vasculature. It can affect your thyroid 5:36 vasculature. It can affect your thyroid and other glands, uh like your adrenals. 5:39 and other glands, uh like your adrenals. 5:39 and other glands, uh like your adrenals. And it absolutely affects your urinary 5:42 And it absolutely affects your urinary 5:42 And it absolutely affects your urinary tract um all along it, including kidney 5:46 tract um all along it, including kidney 5:46 tract um all along it, including kidney and ureter and bladder. And it can cause 5:49 and ureter and bladder. And it can cause 5:49 and ureter and bladder. And it can cause paralyzed gut and poor gut function.
Symptoms from high oxalate intake 5:54 paralyzed gut and poor gut function. 5:54 paralyzed gut and poor gut function. Just to show you all of the symptoms and 5:58 Just to show you all of the symptoms and 5:58 Just to show you all of the symptoms and the different multiple organ 6:01 the different multiple organ 6:01 the different multiple organ systems that that oxalates can affect, 6:04 systems that that oxalates can affect, 6:04 systems that that oxalates can affect, I've prepared these two charts. 6:07 I've prepared these two charts. 6:07 I've prepared these two charts. And so, just in general, it can cause 6:10 And so, just in general, it can cause 6:10 And so, just in general, it can cause fatigue and sleep issues. You can be 6:14 fatigue and sleep issues. You can be 6:14 fatigue and sleep issues. You can be slow to heal, feeling weak, all kinds of 6:17 slow to heal, feeling weak, all kinds of 6:17 slow to heal, feeling weak, all kinds of circulation issues like having cold 6:20 circulation issues like having cold 6:20 circulation issues like having cold hands and cold feet, and even having 6:23 hands and cold feet, and even having 6:23 hands and cold feet, and even having heart palpitations. All kinds of things 6:27 heart palpitations. All kinds of things 6:27 heart palpitations. All kinds of things to the muscular cell 6:29 to the muscular cell 6:29 to the muscular cell skeletal system and especially pain. So, 6:32 skeletal system and especially pain. So, 6:32 skeletal system and especially pain. So, if you're having pain in migratory 6:35 if you're having pain in migratory 6:35 if you're having pain in migratory areas, it moves around, it comes and 6:38 areas, it moves around, it comes and 6:38 areas, it moves around, it comes and goes, it it changes in severity, then 6:42 goes, it it changes in severity, then 6:42 goes, it it changes in severity, then that's very suspicious. Can cause low 6:46 that's very suspicious. Can cause low 6:46 that's very suspicious. Can cause low muscle mass, which we know is bad for 6:49 muscle mass, which we know is bad for 6:49 muscle mass, which we know is bad for our bones, and can cause problems with 6:53 our bones, and can cause problems with 6:53 our bones, and can cause problems with your tendons and and your joints. 6:56 your tendons and and your joints. 6:56 your tendons and and your joints. All kinds of issues with brain function 7:00 All kinds of issues with brain function 7:00 All kinds of issues with brain function and peripheral neuropathies, 7:02 and peripheral neuropathies, 7:02 and peripheral neuropathies, whether it be in the central nervous 7:04 whether it be in the central nervous 7:04 whether it be in the central nervous system or whether it be in the 7:05 system or whether it be in the 7:05 system or whether it be in the peripheral nervous system, oxalates can 7:08 peripheral nervous system, oxalates can 7:08 peripheral nervous system, oxalates can really bind anyway, anywhere. Eyes, you 7:12 really bind anyway, anywhere. Eyes, you 7:12 really bind anyway, anywhere. Eyes, you can have a gritty feeling like you've 7:14 can have a gritty feeling like you've 7:14 can have a gritty feeling like you've got a foreign body sensation in your 7:16 got a foreign body sensation in your 7:16 got a foreign body sensation in your eyes. Definitely watery eyes, red, being 7:21 eyes. Definitely watery eyes, red, being 7:21 eyes. Definitely watery eyes, red, being having blurry vision. 7:23 having blurry vision. 7:23 having blurry vision. You can have 7:25 You can have 7:25 You can have TMJ, clenching, 7:28 TMJ, clenching, 7:28 TMJ, clenching, gum inflammation, sinus pressure, 7:31 gum inflammation, sinus pressure, 7:32 gum inflammation, sinus pressure, hearing deficits. And with the bones, it 7:35 hearing deficits. And with the bones, it 7:35 hearing deficits. And with the bones, it can affect the bones in the spine, in 7:40 can affect the bones in the spine, in 7:40 can affect the bones in the spine, in the hips, in the in in the teeth, and 7:44 the hips, in the in in the teeth, and 7:44 the hips, in the in in the teeth, and can cause brittleness and even cysts. 7:54 The immune system, it can be a trigger 7:54 The immune system, it can be a trigger for autoimmunity. It can cause food 7:57 for autoimmunity. It can cause food 7:57 for autoimmunity. It can cause food sensitivities, chemical sensitivities. 8:00 sensitivities, chemical sensitivities. 8:00 sensitivities, chemical sensitivities. Uh it can calcify within 8:03 Uh it can calcify within 8:03 Uh it can calcify within uh the the kidneys causing kidney 8:05 uh the the kidneys causing kidney 8:05 uh the the kidneys causing kidney stones. Uh it can cause calcinosis, 8:09 stones. Uh it can cause calcinosis, 8:09 stones. Uh it can cause calcinosis, which is the calcium deposits around 8:12 which is the calcium deposits around 8:12 which is the calcium deposits around your joints. Uh excessive dental tartar. 8:16 your joints. Uh excessive dental tartar. 8:16 your joints. Uh excessive dental tartar. Uh in the skin can cause all kinds of 8:19 Uh in the skin can cause all kinds of 8:19 Uh in the skin can cause all kinds of things with like rashes and hives uh and 8:22 things with like rashes and hives uh and 8:22 things with like rashes and hives uh and hypersensitivity 8:24 hypersensitivity 8:24 hypersensitivity in the skin, wrinkling, 8:27 in the skin, wrinkling, 8:27 in the skin, wrinkling, uh and a whole host of digestive issues 8:30 uh and a whole host of digestive issues 8:30 uh and a whole host of digestive issues because it does paralyze the guts. But, 8:34 because it does paralyze the guts. But, 8:34 because it does paralyze the guts. But, it can cause diarrhea and constipation 8:37 it can cause diarrhea and constipation 8:37 it can cause diarrhea and constipation and bloating. A grainy looking stools is 8:39 and bloating. A grainy looking stools is 8:40 and bloating. A grainy looking stools is very very suspicious for being oxalates 8:43 very very suspicious for being oxalates 8:43 very very suspicious for being oxalates because the oxalates are kind of grainy 8:46 because the oxalates are kind of grainy 8:46 because the oxalates are kind of grainy themselves. It can be you can have pain 8:49 themselves. It can be you can have pain 8:49 themselves. It can be you can have pain and burning, a leaky gut. It can cause 8:52 and burning, a leaky gut. It can cause 8:52 and burning, a leaky gut. It can cause imbalances in the microbiome. It can 8:55 imbalances in the microbiome. It can 8:55 imbalances in the microbiome. It can cause even ulcerative colitis and 8:58 cause even ulcerative colitis and 8:58 cause even ulcerative colitis and Crohn's disease. And the kidney bladder 9:00 Crohn's disease. And the kidney bladder 9:01 Crohn's disease. And the kidney bladder is very very specific to oxalates. So, 9:04 is very very specific to oxalates. So, 9:04 is very very specific to oxalates. So, if you have urinary tract infections 9:07 if you have urinary tract infections 9:07 if you have urinary tract infections that seem chronic and you go to the 9:09 that seem chronic and you go to the 9:09 that seem chronic and you go to the doctor, there's no bacteria there, then 9:12 doctor, there's no bacteria there, then 9:12 doctor, there's no bacteria there, then that's very suspicious of an oxalate 9:15 that's very suspicious of an oxalate 9:15 that's very suspicious of an oxalate toxicity, something called interstitial 9:17 toxicity, something called interstitial 9:17 toxicity, something called interstitial cystitis, which is not a um urinary 9:21 cystitis, which is not a um urinary 9:21 cystitis, which is not a um urinary tract infection, but it is pain in the 9:24 tract infection, but it is pain in the 9:24 tract infection, but it is pain in the bladder is very very suspicious for 9:27 bladder is very very suspicious for 9:27 bladder is very very suspicious for interstitial cystitis. Um 9:30 interstitial cystitis. Um 9:30 interstitial cystitis. Um Uh urgency 9:32 Uh urgency 9:32 Uh urgency incontinence, blood. 9:35 incontinence, blood. 9:35 incontinence, blood. Um definitely, if you have a urine 9:38 Um definitely, if you have a urine 9:38 Um definitely, if you have a urine analysis and you see calcium oxalate 9:41 analysis and you see calcium oxalate 9:41 analysis and you see calcium oxalate crystals, obviously that's a dead 9:43 crystals, obviously that's a dead 9:43 crystals, obviously that's a dead giveaway. And then vulvodynia and 9:46 giveaway. And then vulvodynia and 9:46 giveaway. And then vulvodynia and prostatitis. So, vulvodynia is pain in 9:49 prostatitis. So, vulvodynia is pain in 9:49 prostatitis. So, vulvodynia is pain in the vulva vulvar area and it can be 9:52 the vulva vulvar area and it can be 9:52 the vulva vulvar area and it can be quite severe and really um, we don't 9:56 quite severe and really um, we don't 9:56 quite severe and really um, we don't really have a reason why that can occur 10:00 really have a reason why that can occur 10:00 really have a reason why that can occur and sometimes it can be from oxalate 10:02 and sometimes it can be from oxalate 10:02 and sometimes it can be from oxalate toxicity. 10:04 toxicity. 10:04 toxicity. So, the problem is is as you've seen in 10:07 So, the problem is is as you've seen in 10:07 So, the problem is is as you've seen in the last two slides, oxalates can cause 10:10 the last two slides, oxalates can cause 10:10 the last two slides, oxalates can cause symptoms in almost any body system and 10:14 symptoms in almost any body system and 10:14 symptoms in almost any body system and um, many of these symptoms overlap with 10:17 um, many of these symptoms overlap with 10:17 um, many of these symptoms overlap with other conditions. So, it's very 10:19 other conditions. So, it's very 10:19 other conditions. So, it's very difficult from a symptom perspective 10:22 difficult from a symptom perspective 10:22 difficult from a symptom perspective whether or not you have an oxalate 10:23 whether or not you have an oxalate 10:23 whether or not you have an oxalate toxicity. However, one of the things 10:26 toxicity. However, one of the things 10:26 toxicity. However, one of the things that you can look at is the migratory 10:29 that you can look at is the migratory 10:29 that you can look at is the migratory pain is something that would be 10:31 pain is something that would be 10:31 pain is something that would be suspicious um, and anything occurring in 10:35 suspicious um, and anything occurring in 10:35 suspicious um, and anything occurring in the bladder or the kidney, urinary area, 10:39 the bladder or the kidney, urinary area, 10:39 the bladder or the kidney, urinary area, vulvodynia, interstitial cystitis, um, 10:43 vulvodynia, interstitial cystitis, um, 10:43 vulvodynia, interstitial cystitis, um, kidney stones, of course, having 10:45 kidney stones, of course, having 10:45 kidney stones, of course, having problems with digestion, and of course, 10:48 problems with digestion, and of course, 10:48 problems with digestion, and of course, one of the biggest thing is having 10:50 one of the biggest thing is having 10:50 one of the biggest thing is having multiple systems um, multiple symptoms 10:54 multiple systems um, multiple symptoms 10:54 multiple systems um, multiple symptoms in multiple body systems. So, when you 10:58 in multiple body systems. So, when you 10:58 in multiple body systems. So, when you go to those two slides, okay, I've got 11:00 go to those two slides, okay, I've got 11:00 go to those two slides, okay, I've got something neurologically, I've got 11:02 something neurologically, I've got 11:02 something neurologically, I've got something circulation, I've got 11:04 something circulation, I've got 11:04 something circulation, I've got something kidney, bladder, maybe that 11:07 something kidney, bladder, maybe that 11:07 something kidney, bladder, maybe that all could be related to oxalates. And if 11:10 all could be related to oxalates. And if 11:10 all could be related to oxalates. And if that's happening for you, then 11:13 that's happening for you, then 11:13 that's happening for you, then going on a low oxalate diet for some 11:16 going on a low oxalate diet for some 11:16 going on a low oxalate diet for some time and doing some oxalate clearance be 11:19 time and doing some oxalate clearance be 11:19 time and doing some oxalate clearance be just empirically to find out if uh, 11:22 just empirically to find out if uh, 11:22 just empirically to find out if uh, that's a problem for you could could be 11:24 that's a problem for you could could be 11:24 that's a problem for you could could be a reasonable approach. 11:28 a reasonable approach. 11:28 a reasonable approach. So, I'd like to go through a list of the 11:30 So, I'd like to go through a list of the 11:30 So, I'd like to go through a list of the top foods so that you really understand 11:33 top foods so that you really understand 11:33 top foods so that you really understand what are and I'm not going to do this in 11:35 what are and I'm not going to do this in 11:35 what are and I'm not going to do this in detail because of course you're going to 11:38 detail because of course you're going to 11:38 detail because of course you're going to have the resource which is a validated 11:41 have the resource which is a validated 11:41 have the resource which is a validated oxalate food chart from Harvard. 11:44 oxalate food chart from Harvard. 11:44 oxalate food chart from Harvard. Um but just wanted to go through a few 11:46 Um but just wanted to go through a few 11:46 Um but just wanted to go through a few of the really really top top foods. 11:51 of the really really top top foods. 11:51 of the really really top top foods. So when I think about um uh
Top foods that contain high oxalate levels 11:55 So when I think about um uh 11:55 So when I think about um uh oxalates, of course I'm thinking about 11:58 oxalates, of course I'm thinking about 11:58 oxalates, of course I'm thinking about greens like spinach and Swiss chard and 12:03 greens like spinach and Swiss chard and 12:03 greens like spinach and Swiss chard and beet greens and there are a few more. 12:07 beet greens and there are a few more. 12:07 beet greens and there are a few more. Um nuts, uh almonds and cashews are very 12:11 Um nuts, uh almonds and cashews are very 12:11 Um nuts, uh almonds and cashews are very high. Uh there can be beans that are 12:14 high. Uh there can be beans that are 12:14 high. Uh there can be beans that are high and moderate. 12:16 high and moderate. 12:17 high and moderate. Uh raspberries used to be high. They 12:19 Uh raspberries used to be high. They 12:19 Uh raspberries used to be high. They it's been recategorized 12:21 it's been recategorized 12:21 it's been recategorized and so um but there can be many many of 12:25 and so um but there can be many many of 12:25 and so um but there can be many many of these top um oxalate foods that you're 12:28 these top um oxalate foods that you're 12:28 these top um oxalate foods that you're going to find on the validated uh food 12:31 going to find on the validated uh food 12:31 going to find on the validated uh food chart that you're going to have as a 12:32 chart that you're going to have as a 12:33 chart that you're going to have as a resource. 12:35 resource. 12:35 resource. So one thing that I think about when um 12:38 So one thing that I think about when um 12:38 So one thing that I think about when um I look to take the second part of is 12:42 I look to take the second part of is 12:42 I look to take the second part of is oxalate are oxalates important for you? 12:44 oxalate are oxalates important for you? 12:44 oxalate are oxalates important for you? The first part is do you have oxalate 12:46 The first part is do you have oxalate 12:46 The first part is do you have oxalate symptoms? The second part is how much 12:49 symptoms? The second part is how much 12:49 symptoms? The second part is how much oxalates do you get in your food? So you 12:53 oxalates do you get in your food? So you 12:53 oxalates do you get in your food? So you can use a free app called Cronometer and 12:56 can use a free app called Cronometer and 12:56 can use a free app called Cronometer and you can put in your daily diet and then 12:59 you can put in your daily diet and then 13:00 you can put in your daily diet and then it will give you an estimate of how much 13:02 it will give you an estimate of how much 13:03 it will give you an estimate of how much oxalates you have in your food. And I 13:05 oxalates you have in your food. And I 13:05 oxalates you have in your food. And I like to think of these in different 13:07 like to think of these in different 13:07 like to think of these in different categories. So there was a study that 13:10 categories. So there was a study that 13:11 categories. So there was a study that showed that anything over 250 mg per day 13:16 showed that anything over 250 mg per day 13:16 showed that anything over 250 mg per day of oxalates in your food increased the 13:19 of oxalates in your food increased the 13:19 of oxalates in your food increased the 24-hour urinary oxalates from somewhere 13:23 24-hour urinary oxalates from somewhere 13:23 24-hour urinary oxalates from somewhere um all the way up to 40 13:27 um all the way up to 40 13:27 um all the way up to 40 uh and I've forgotten the units, but 40 13:29 uh and I've forgotten the units, but 40 13:29 uh and I've forgotten the units, but 40 per 24 24 hours I think it's milligrams. 13:32 per 24 24 hours I think it's milligrams. 13:32 per 24 24 hours I think it's milligrams. 20 40 40 mg per 24 hours. And that is 13:36 20 40 40 mg per 24 hours. And that is 13:36 20 40 40 mg per 24 hours. And that is considered high. So, we can excrete 13:40 considered high. So, we can excrete 13:40 considered high. So, we can excrete about 250 mg of oxalates, and so 13:44 about 250 mg of oxalates, and so 13:44 about 250 mg of oxalates, and so anything over that is really high. When 13:47 anything over that is really high. When 13:47 anything over that is really high. When you're having, just for example, a half 13:50 you're having, just for example, a half 13:50 you're having, just for example, a half a cup of spinach is around 750 mg, so 13:54 a cup of spinach is around 750 mg, so 13:54 a cup of spinach is around 750 mg, so it's really really high high. So, if 13:57 it's really really high high. So, if 13:57 it's really really high high. So, if you're having spinach every day, and a 13:59 you're having spinach every day, and a 13:59 you're having spinach every day, and a half cup is not very much of spinach, if 14:02 half cup is not very much of spinach, if 14:02 half cup is not very much of spinach, if you're having a handful of 14:04 you're having a handful of 14:04 you're having a handful of of almonds, if you're having a spinach 14:07 of almonds, if you're having a spinach 14:07 of almonds, if you're having a spinach smoothie with almond milk every day, 14:10 smoothie with almond milk every day, 14:10 smoothie with almond milk every day, then you may be in this very high 14:13 then you may be in this very high 14:13 then you may be in this very high oxalate category. And so, it's a good 14:17 oxalate category. And so, it's a good 14:17 oxalate category. And so, it's a good idea to find out what category you're 14:20 idea to find out what category you're 14:20 idea to find out what category you're in, and also if you want to reduce 14:22 in, and also if you want to reduce 14:22 in, and also if you want to reduce oxalates because that you you made a 14:25 oxalates because that you you made a 14:25 oxalates because that you you made a decision that that is important for you. 14:28 decision that that is important for you. 14:28 decision that that is important for you. Again, it's not important for everyone, 14:31 Again, it's not important for everyone, 14:31 Again, it's not important for everyone, but you've you've made a decision to do 14:34 but you've you've made a decision to do 14:34 but you've you've made a decision to do that, it's good to know that 14:38 that, it's good to know that 14:38 that, it's good to know that what these categories are, and that you 14:40 what these categories are, and that you 14:40 what these categories are, and that you can reduce, say you're at 500, you can 14:43 can reduce, say you're at 500, you can 14:43 can reduce, say you're at 500, you can reduce down to 250 for a while, reduce 14:46 reduce down to 250 for a while, reduce 14:46 reduce down to 250 for a while, reduce down to 100, and then low oxalate diet 14:49 down to 100, and then low oxalate diet 14:49 down to 100, and then low oxalate diet is considered 50 mg per day.
Soluble vs. insoluble oxalates and absorption factors 14:57 So, not only is it important of how much 14:57 So, not only is it important of how much you consume, but obviously it's 14:59 you consume, but obviously it's 14:59 you consume, but obviously it's important of how much you absorb. So, 15:04 important of how much you absorb. So, 15:04 important of how much you absorb. So, there are soluble oxalates, and there 15:07 there are soluble oxalates, and there 15:07 there are soluble oxalates, and there are insoluble oxalates. So, soluble 15:09 are insoluble oxalates. So, soluble 15:10 are insoluble oxalates. So, soluble oxalates are the ones that are 15:12 oxalates are the ones that are 15:12 oxalates are the ones that are absorbable, and insoluble oxalates are 15:15 absorbable, and insoluble oxalates are 15:15 absorbable, and insoluble oxalates are the ones that are bound to usually 15:18 the ones that are bound to usually 15:18 the ones that are bound to usually calcium and magnesium and potassium, and 15:22 calcium and magnesium and potassium, and 15:22 calcium and magnesium and potassium, and they are passed through the stool. And 15:26 they are passed through the stool. And 15:26 they are passed through the stool. And so, one of the things um that can happen 15:30 so, one of the things um that can happen 15:30 so, one of the things um that can happen is that if that is not absorbed, like if 15:34 is that if that is not absorbed, like if 15:34 is that if that is not absorbed, like if you have um fat malabsorption, 15:37 you have um fat malabsorption, 15:37 you have um fat malabsorption, then the fat will come and bind to the 15:41 then the fat will come and bind to the 15:41 then the fat will come and bind to the calcium and the magnesium, 15:43 calcium and the magnesium, 15:43 calcium and the magnesium, thereby leaving more in insoluble I'm 15:48 thereby leaving more in insoluble I'm 15:48 thereby leaving more in insoluble I'm sorry. Thereby leaving more soluble 15:51 sorry. Thereby leaving more soluble 15:51 sorry. Thereby leaving more soluble oxalates to absorb. So, you have to make 15:53 oxalates to absorb. So, you have to make 15:53 oxalates to absorb. So, you have to make sure that your gut is working properly, 15:56 sure that your gut is working properly, 15:56 sure that your gut is working properly, and that you don't have fat 15:58 and that you don't have fat 15:58 and that you don't have fat malabsorption. 16:00 malabsorption. 16:00 malabsorption. And as I teach in my class, um if you do 16:02 And as I teach in my class, um if you do 16:02 And as I teach in my class, um if you do have fat malabsorption, you can use a 16:04 have fat malabsorption, you can use a 16:04 have fat malabsorption, you can use a digestive enzyme like Lipogold, which 16:07 digestive enzyme like Lipogold, which 16:07 digestive enzyme like Lipogold, which has lipase in it, which will help to 16:09 has lipase in it, which will help to 16:09 has lipase in it, which will help to break down the fats so that you can 16:11 break down the fats so that you can 16:11 break down the fats so that you can absorb your fats, and then they're not 16:13 absorb your fats, and then they're not 16:13 absorb your fats, and then they're not going to bind to your minerals, and that 16:16 going to bind to your minerals, and that 16:16 going to bind to your minerals, and that way you're going to keep your oxalates 16:19 way you're going to keep your oxalates 16:19 way you're going to keep your oxalates insoluble, so you get rid of them in 16:22 insoluble, so you get rid of them in 16:22 insoluble, so you get rid of them in your stool. 16:23 your stool. 16:23 your stool. Also, because leaky gut um can uh cause 16:28 Also, because leaky gut um can uh cause 16:28 Also, because leaky gut um can uh cause um 16:30 um 16:30 um it can increase absorption just because 16:32 it can increase absorption just because 16:32 it can increase absorption just because the tight junctions are no longer a good 16:35 the tight junctions are no longer a good 16:35 the tight junctions are no longer a good barrier against the oxalates, and the 16:38 barrier against the oxalates, and the 16:38 barrier against the oxalates, and the oxalates can come through the cells 16:40 oxalates can come through the cells 16:40 oxalates can come through the cells instead of coming through the 16:41 instead of coming through the 16:41 instead of coming through the microvilli, which is the proper way to 16:44 microvilli, which is the proper way to 16:44 microvilli, which is the proper way to absorb.
Gut bacteria, probiotics, and oxalate metabolism 16:55 So, your microbiome is also a important 16:55 So, your microbiome is also a important in your oxalate health. So, there are 16:59 in your oxalate health. So, there are 16:59 in your oxalate health. So, there are strains of bacteria that degrade 17:02 strains of bacteria that degrade 17:02 strains of bacteria that degrade oxalates, and um there's called 17:05 oxalates, and um there's called 17:05 oxalates, and um there's called oxalate-specific 17:07 oxalate-specific 17:07 oxalate-specific bacteria, and then the 17:08 bacteria, and then the 17:08 bacteria, and then the non-oxalate-specific bacteria. The one 17:11 non-oxalate-specific bacteria. The one 17:11 non-oxalate-specific bacteria. The one that is specific is called Oxalobacter 17:14 that is specific is called Oxalobacter 17:14 that is specific is called Oxalobacter forminogenes. 17:17 forminogenes. 17:17 forminogenes. And um it is very very sensitive to some 17:20 And um it is very very sensitive to some 17:21 And um it is very very sensitive to some of the antibiotics that are often used 17:23 of the antibiotics that are often used 17:23 of the antibiotics that are often used for upper respiratory infections, and 17:26 for upper respiratory infections, and 17:26 for upper respiratory infections, and these include the macrolides. And um you 17:30 these include the macrolides. And um you 17:30 these include the macrolides. And um you may have 17:31 may have 17:31 may have um taken one of these macrolides in the 17:33 um taken one of these macrolides in the 17:33 um taken one of these macrolides in the past, uh erythromycin or azithromycin, 17:37 past, uh erythromycin or azithromycin, 17:37 past, uh erythromycin or azithromycin, and this will basically um decrease the 17:41 and this will basically um decrease the 17:41 and this will basically um decrease the concentration of this very important 17:44 concentration of this very important 17:44 concentration of this very important bacteria. And once this bacteria is 17:46 bacteria. And once this bacteria is 17:46 bacteria. And once this bacteria is gone, the bacteria will be in your gut, 17:49 gone, the bacteria will be in your gut, 17:49 gone, the bacteria will be in your gut, and it will be degrading your oxalates 17:53 and it will be degrading your oxalates 17:53 and it will be degrading your oxalates that are there in your gut. And so and 17:56 that are there in your gut. And so and 17:56 that are there in your gut. And so and then you will have less of the oxalates 17:59 then you will have less of the oxalates 17:59 then you will have less of the oxalates that will actually be absorbed. And they 18:01 that will actually be absorbed. And they 18:01 that will actually be absorbed. And they have looked at studies where they've 18:04 have looked at studies where they've 18:04 have looked at studies where they've looked at people who have a significant 18:08 looked at people who have a significant 18:08 looked at people who have a significant burden of oxalobacter forminogenes, and 18:12 burden of oxalobacter forminogenes, and 18:12 burden of oxalobacter forminogenes, and those who are no longer colonized with 18:15 those who are no longer colonized with 18:15 those who are no longer colonized with it, and they see much bigger uh 18:17 it, and they see much bigger uh 18:17 it, and they see much bigger uh increases in 24-hour urine oxalates 18:21 increases in 24-hour urine oxalates 18:21 increases in 24-hour urine oxalates after a challenge with oxalate. So it is 18:24 after a challenge with oxalate. So it is 18:24 after a challenge with oxalate. So it is very important. But again, um it a lot 18:28 very important. But again, um it a lot 18:28 very important. But again, um it a lot of people have lost this bacteria 18:30 of people have lost this bacteria 18:31 of people have lost this bacteria through antibiotic use. And at this 18:33 through antibiotic use. And at this 18:33 through antibiotic use. And at this point, there is no probiotic that 18:35 point, there is no probiotic that 18:35 point, there is no probiotic that includes it. Although they are looking 18:38 includes it. Although they are looking 18:38 includes it. Although they are looking at uh this bacteria in research studies, 18:41 at uh this bacteria in research studies, 18:41 at uh this bacteria in research studies, and it is an important area of research. 18:44 and it is an important area of research. 18:44 and it is an important area of research. Um there are a couple of other bacteria 18:47 Um there are a couple of other bacteria 18:47 Um there are a couple of other bacteria that they're looking at, uh 18:48 that they're looking at, uh 18:48 that they're looking at, uh lactobacillus um 18:50 lactobacillus um 18:50 lactobacillus um rhamnosus uh GG, uh and I I think that's 18:54 rhamnosus uh GG, uh and I I think that's 18:54 rhamnosus uh GG, uh and I I think that's in Probiomed 50. 18:57 in Probiomed 50. 18:57 in Probiomed 50. And um some of you in my class, you 19:00 And um some of you in my class, you 19:00 And um some of you in my class, you know, we talk about uh the Supergut 19:02 know, we talk about uh the Supergut 19:02 know, we talk about uh the Supergut book, which Dr. Davis talks about uh 19:05 book, which Dr. Davis talks about uh 19:05 book, which Dr. Davis talks about uh lactobacillus rhamnosus GG. Um also uh 19:09 lactobacillus rhamnosus GG. Um also uh 19:10 lactobacillus rhamnosus GG. Um also uh bifidobacteria lactis has been one. Uh 19:13 bifidobacteria lactis has been one. Uh 19:13 bifidobacteria lactis has been one. Uh lactobacill bacillus paracasei. 19:16 lactobacill bacillus paracasei. 19:16 lactobacill bacillus paracasei. So in as far as in emerging research, 19:20 So in as far as in emerging research, 19:20 So in as far as in emerging research, they're looking at the bacteria that 19:23 they're looking at the bacteria that 19:23 they're looking at the bacteria that actually can be uh supplanted as 19:25 actually can be uh supplanted as 19:25 actually can be uh supplanted as probiotics that can help to break down 19:28 probiotics that can help to break down 19:28 probiotics that can help to break down the oxalates and it is an important area 19:30 the oxalates and it is an important area 19:30 the oxalates and it is an important area of research um that can be promising um 19:34 of research um that can be promising um 19:34 of research um that can be promising um for later. But at this point um I like 19:37 for later. But at this point um I like 19:37 for later. But at this point um I like ProBioMed 50 uh as as being able to um 19:42 ProBioMed 50 uh as as being able to um 19:42 ProBioMed 50 uh as as being able to um just 19:43 just 19:43 just increasing your probiotic strains. 19:45 increasing your probiotic strains. 19:46 increasing your probiotic strains. Uh SIBO and SIFO can also be 19:49 Uh SIBO and SIFO can also be 19:49 Uh SIBO and SIFO can also be contributors um and increasing the 19:53 contributors um and increasing the 19:53 contributors um and increasing the absorption of uh of oxalates and fungus 19:57 absorption of uh of oxalates and fungus 19:58 absorption of uh of oxalates and fungus and yeast and mold uh including candida 20:02 and yeast and mold uh including candida 20:02 and yeast and mold uh including candida produce oxalates. And so that is another 20:06 produce oxalates. And so that is another 20:06 produce oxalates. And so that is another reason to look at your microbiome and 20:09 reason to look at your microbiome and 20:09 reason to look at your microbiome and have good gut health. 20:12 have good gut health. 20:12 have good gut health. >> Hey, Margie [music] here. High-quality 20:14 >> Hey, Margie [music] here. High-quality 20:14 >> Hey, Margie [music] here. High-quality supplements are a big part of a 20:16 supplements are a big part of a 20:16 supplements are a big part of a comprehensive osteoporosis program. To 20:19 comprehensive osteoporosis program. To 20:19 comprehensive osteoporosis program. To help you I offer significant discount 20:21 help you I offer significant discount 20:21 help you I offer significant discount every day in my supplement [music] store 20:24 every day in my supplement [music] store 20:24 every day in my supplement [music] store through Fullscript. Fullscript has the 20:26 through Fullscript. Fullscript has the 20:26 through Fullscript. 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So 20:51 favorite bone-building supplements. So make sure to check it out [music] and 20:54 make sure to check it out [music] and 20:54 make sure to check it out [music] and the link will also be in the show notes. 20:56 the link will also be in the show notes. 20:56 the link will also be in the show notes. So let's get back to the show. 21:04 >> Okay, so then there is the amount of 21:04 >> Okay, so then there is the amount of oxalates that it are come from dietary 21:07 oxalates that it are come from dietary 21:07 oxalates that it are come from dietary contributions 21:08 contributions 21:09 contributions and how much we absorb is related to 21:12 and how much we absorb is related to 21:12 and how much we absorb is related to some of the things that we just talked 21:14 some of the things that we just talked 21:14 some of the things that we just talked about including our gut health. But not 21:17 about including our gut health. But not 21:17 about including our gut health. But not only do we get oxalates from our diet, 21:21 only do we get oxalates from our diet, 21:21 only do we get oxalates from our diet, but we also make them inside our body. 21:25 but we also make them inside our body. 21:25 but we also make them inside our body. So, 21:28 So, 21:28 So, there's an estimate that that our 21:31 there's an estimate that that our 21:31 there's an estimate that that our dietary contribution is about 50% 21:36 dietary contribution is about 50% 21:36 dietary contribution is about 50% and that our endogenous synthesis, what 21:39 and that our endogenous synthesis, what 21:39 and that our endogenous synthesis, what we make in our bodies, is about 50% 21:42 we make in our bodies, is about 50% 21:42 we make in our bodies, is about 50% and they've looked at studies to find 21:45 and they've looked at studies to find 21:45 and they've looked at studies to find out what are these dietary precursors 21:49 out what are these dietary precursors 21:49 out what are these dietary precursors that actually contribute to the 21:52 that actually contribute to the 21:52 that actually contribute to the production of oxalates within our body. 21:56 production of oxalates within our body. 21:56 production of oxalates within our body. And it's thought to be that some of the 21:58 And it's thought to be that some of the 21:58 And it's thought to be that some of the genetic 22:00 genetic 22:00 genetic it's called hyperoxaluria. 22:03 it's called hyperoxaluria. 22:03 it's called hyperoxaluria. Some of these these people who have 22:06 Some of these these people who have 22:06 Some of these these people who have genetics who make too much oxalates in 22:10 genetics who make too much oxalates in 22:10 genetics who make too much oxalates in their body and they have recurrent 22:12 their body and they have recurrent 22:12 their body and they have recurrent kidney stones and they actually get 22:14 kidney stones and they actually get 22:14 kidney stones and they actually get kidney damage 22:16 kidney damage 22:16 kidney damage quite early. 22:17 quite early. 22:17 quite early. They have problems with 22:20 They have problems with 22:20 They have problems with being able to degrade oxalates and they 22:22 being able to degrade oxalates and they 22:22 being able to degrade oxalates and they make oxalates 22:24 make oxalates 22:24 make oxalates too readily. 22:26 too readily. 22:26 too readily. And so as far as endogenous oxalate 22:30 And so as far as endogenous oxalate 22:30 And so as far as endogenous oxalate production, one of the things that the 22:32 production, one of the things that the 22:32 production, one of the things that the research studies have bore out is that 22:36 research studies have bore out is that 22:37 research studies have bore out is that ascorbic acid taking vitamin C as 22:40 ascorbic acid taking vitamin C as 22:40 ascorbic acid taking vitamin C as ascorbic acid 22:43 ascorbic acid 22:43 ascorbic acid is about 50% of the contribution 22:47 is about 50% of the contribution 22:47 is about 50% of the contribution to endogenous production of oxalates and 22:51 to endogenous production of oxalates and 22:51 to endogenous production of oxalates and the studies have shown that 2 g of 22:54 the studies have shown that 2 g of 22:55 the studies have shown that 2 g of vitamin C either from supplements and 22:58 vitamin C either from supplements and 22:58 vitamin C either from supplements and and from diet is around the sweet spot. 23:01 and from diet is around the sweet spot. 23:01 and from diet is around the sweet spot. So, if you take more than 2 g of vitamin 23:04 So, if you take more than 2 g of vitamin 23:04 So, if you take more than 2 g of vitamin C per day, then uh it can increase your 23:08 C per day, then uh it can increase your 23:08 C per day, then uh it can increase your endogenous synthesis. 23:10 endogenous synthesis. 23:10 endogenous synthesis. Um 23:11 Um 23:11 Um and then the other major contribution is 23:15 and then the other major contribution is 23:15 and then the other major contribution is hydroxyproline. 23:17 hydroxyproline. 23:17 hydroxyproline. And hydroxyproline is the component that 23:20 And hydroxyproline is the component that 23:20 And hydroxyproline is the component that is in gelatin. So, this is not only 23:24 is in gelatin. So, this is not only 23:24 is in gelatin. So, this is not only collagen, but it is also bone broth 23:27 collagen, but it is also bone broth 23:27 collagen, but it is also bone broth contains a lot of gelatin. Now, its 23:30 contains a lot of gelatin. Now, its 23:30 contains a lot of gelatin. Now, its contribution, it's it's dietary 23:32 contribution, it's it's dietary 23:32 contribution, it's it's dietary precursor contribution is only 15% to 23:35 precursor contribution is only 15% to 23:35 precursor contribution is only 15% to the endogenous synthesis. But, 23:38 the endogenous synthesis. But, 23:38 the endogenous synthesis. But, interestingly enough, I had a patient 23:42 interestingly enough, I had a patient 23:42 interestingly enough, I had a patient who 23:43 who 23:43 who um was having some symptoms that she 23:46 um was having some symptoms that she 23:46 um was having some symptoms that she thought might be related to oxalates, 23:48 thought might be related to oxalates, 23:48 thought might be related to oxalates, and so she went on a low oxalate diet. 23:51 and so she went on a low oxalate diet. 23:51 and so she went on a low oxalate diet. And we measured and I'm going to go into 23:53 And we measured and I'm going to go into 23:53 And we measured and I'm going to go into the testing options next, but she 23:55 the testing options next, but she 23:55 the testing options next, but she measured her 24-hour urine oxalate 23:57 measured her 24-hour urine oxalate 23:57 measured her 24-hour urine oxalate level, 23:58 level, 23:58 level, and it was 40, and 30 is normal. So, she 24:01 and it was 40, and 30 is normal. So, she 24:01 and it was 40, and 30 is normal. So, she was a little bit high, and 3 months 24:04 was a little bit high, and 3 months 24:04 was a little bit high, and 3 months later, her 24:06 later, her 24:06 later, her oxalate level went up to 60. 24:09 oxalate level went up to 60. 24:10 oxalate level went up to 60. So, we were a little bit perplexed as to 24:12 So, we were a little bit perplexed as to 24:12 So, we were a little bit perplexed as to why her dietary oxalate level had gone 24:16 why her dietary oxalate level had gone 24:16 why her dietary oxalate level had gone down, but yet she was showing a higher 24:20 down, but yet she was showing a higher 24:20 down, but yet she was showing a higher oxalate burden. 24:21 oxalate burden. 24:21 oxalate burden. And one of the things that she realized 24:24 And one of the things that she realized 24:24 And one of the things that she realized was that she had started collagen right 24:27 was that she had started collagen right 24:27 was that she had started collagen right around the time. Um now, this just 24:30 around the time. Um now, this just 24:30 around the time. Um now, this just recently happened a few months ago, and 24:32 recently happened a few months ago, and 24:32 recently happened a few months ago, and so um I I told her that, you know, it 24:37 so um I I told her that, you know, it 24:37 so um I I told her that, you know, it maybe it's a good idea to go off the 24:39 maybe it's a good idea to go off the 24:39 maybe it's a good idea to go off the collagen for a few months, and we'll 24:41 collagen for a few months, and we'll 24:41 collagen for a few months, and we'll retest and we'll really find out if it's 24:43 retest and we'll really find out if it's 24:43 retest and we'll really find out if it's from the collagen or not. Um and she was 24:46 from the collagen or not. Um and she was 24:46 from the collagen or not. Um and she was very reluctant to go off of the collagen 24:48 very reluctant to go off of the collagen 24:48 very reluctant to go off of the collagen for very good reason. 24:51 for very good reason. 24:51 for very good reason. Uh and so, whether or not this is a 24:54 Uh and so, whether or not this is a 24:54 Uh and so, whether or not this is a problem for anyone, this is a very minor 24:56 problem for anyone, this is a very minor 24:56 problem for anyone, this is a very minor contribution. 24:57 contribution. 24:57 contribution. um but I want to just have the 24:59 um but I want to just have the 24:59 um but I want to just have the information out there.
Testing options available 25:02 information out there. 25:02 information out there. So, how can you test for oxalate burden? 25:04 So, how can you test for oxalate burden? 25:04 So, how can you test for oxalate burden? Uh you can do a 24-hour 25:07 Uh you can do a 24-hour 25:07 Uh you can do a 24-hour urine oxalate level. And so, um more 25:11 urine oxalate level. And so, um more 25:11 urine oxalate level. And so, um more than 38 per 24 hours of um of oxalates 25:16 than 38 per 24 hours of um of oxalates 25:16 than 38 per 24 hours of um of oxalates is high. And then, citric acid is 25:20 is high. And then, citric acid is 25:20 is high. And then, citric acid is something that inhibits the stone 25:24 something that inhibits the stone 25:24 something that inhibits the stone production or crystal production. So, it 25:27 production or crystal production. So, it 25:27 production or crystal production. So, it inhibits calcium in the blood from 25:30 inhibits calcium in the blood from 25:30 inhibits calcium in the blood from forming a stone with the oxalates. So, 25:33 forming a stone with the oxalates. So, 25:33 forming a stone with the oxalates. So, we want our citric acid to actually be 25:36 we want our citric acid to actually be 25:36 we want our citric acid to actually be high. Um and the level in the 24-hour 25:40 high. Um and the level in the 24-hour 25:40 high. Um and the level in the 24-hour urine um that we want to see is 600 mg. 25:45 urine um that we want to see is 600 mg. 25:45 urine um that we want to see is 600 mg. And um and these are the two tests that 25:49 And um and these are the two tests that 25:49 And um and these are the two tests that nephrologists do when they're following 25:53 nephrologists do when they're following 25:53 nephrologists do when they're following people with kidney stones. And 25:54 people with kidney stones. And 25:55 people with kidney stones. And nephrologists are kidney doctors. And uh 25:58 nephrologists are kidney doctors. And uh 25:58 nephrologists are kidney doctors. And uh they recommend somewhere between one and 26:01 they recommend somewhere between one and 26:01 they recommend somewhere between one and two juiced lemons in water per day to 26:05 two juiced lemons in water per day to 26:05 two juiced lemons in water per day to bring up the citric acid. Um and also, 26:08 bring up the citric acid. Um and also, 26:08 bring up the citric acid. Um and also, I'll show you some other things that I 26:10 I'll show you some other things that I 26:10 I'll show you some other things that I recommend as well. 26:13 recommend as well. 26:13 recommend as well. >> Now, this is this is this is
How to know if you have an oxalate problem 26:20 >> Okay, so how do you figure out if you 26:20 >> Okay, so how do you figure out if you have an oxalate problem? Um so, the 26:23 have an oxalate problem? Um so, the 26:23 have an oxalate problem? Um so, the first thing is you look at your diet and 26:26 first thing is you look at your diet and 26:26 first thing is you look at your diet and put it into categories. And are you 26:30 put it into categories. And are you 26:30 put it into categories. And are you moderately high or are you above that in 26:33 moderately high or are you above that in 26:33 moderately high or are you above that in your oxalate dietary 26:35 your oxalate dietary 26:35 your oxalate dietary um contribution? Uh 26:38 um contribution? Uh 26:38 um contribution? Uh what about your oxalate symptoms? Are 26:40 what about your oxalate symptoms? Are 26:40 what about your oxalate symptoms? Are any of them severe? Um 26:43 any of them severe? Um 26:43 any of them severe? Um anything that's really suggestive of 26:45 anything that's really suggestive of 26:45 anything that's really suggestive of oxalate toxicity like those that I I 26:48 oxalate toxicity like those that I I 26:48 oxalate toxicity like those that I I talked about earlier. Um 26:51 talked about earlier. Um 26:51 talked about earlier. Um when a person is uh is deficient in 26:55 when a person is uh is deficient in 26:55 when a person is uh is deficient in calcium, then the 24-hour urine 27:00 calcium, then the 24-hour urine 27:00 calcium, then the 24-hour urine oxalates will be higher. So, having 27:03 oxalates will be higher. So, having 27:03 oxalates will be higher. So, having enough calcium in your diet and through 27:06 enough calcium in your diet and through 27:06 enough calcium in your diet and through supplements is very important. And then 27:09 supplements is very important. And then 27:09 supplements is very important. And then magnesium and potassium as well. Uh 27:13 magnesium and potassium as well. Uh 27:13 magnesium and potassium as well. Uh do you have any gut um 27:15 do you have any gut um 27:15 do you have any gut um dysfunction, any kind of um dysfunction 27:19 dysfunction, any kind of um dysfunction 27:19 dysfunction, any kind of um dysfunction in the gut that would contribute to a a 27:22 in the gut that would contribute to a a 27:22 in the gut that would contribute to a a higher absorption level of oxalates. 27:26 higher absorption level of oxalates. 27:26 higher absorption level of oxalates. Um and do you have a fair amount of 27:29 Um and do you have a fair amount of 27:30 Um and do you have a fair amount of dietary contributions that could be 27:33 dietary contributions that could be 27:33 dietary contributions that could be pushing your endogenous synthesis of 27:36 pushing your endogenous synthesis of 27:36 pushing your endogenous synthesis of oxalates high, like um taking a lot of 27:39 oxalates high, like um taking a lot of 27:39 oxalates high, like um taking a lot of ascorbic acid or having a lot of bone 27:43 ascorbic acid or having a lot of bone 27:43 ascorbic acid or having a lot of bone broth or collagen. Um having a 27:45 broth or collagen. Um having a 27:45 broth or collagen. Um having a vegetarian diet or a vegan diet for a 27:48 vegetarian diet or a vegan diet for a 27:48 vegetarian diet or a vegan diet for a long period of time, uh that can put you 27:51 long period of time, uh that can put you 27:51 long period of time, uh that can put you at risk. Um and then when you look at 27:54 at risk. Um and then when you look at 27:54 at risk. Um and then when you look at the testing, is your testing high? 27:58 the testing, is your testing high? 27:58 the testing, is your testing high? So, I want to absolutely uh in um 28:01 So, I want to absolutely uh in um 28:01 So, I want to absolutely uh in um encourage people to understand that not 28:04 encourage people to understand that not 28:04 encourage people to understand that not everyone needs to do these things. Um 28:08 everyone needs to do these things. Um 28:08 everyone needs to do these things. Um that that oxalates are not necessarily a 28:12 that that oxalates are not necessarily a 28:12 that that oxalates are not necessarily a problem for everyone. It's not as if I'm 28:15 problem for everyone. It's not as if I'm 28:15 problem for everyone. It's not as if I'm saying that anyone with bone disease has 28:18 saying that anyone with bone disease has 28:18 saying that anyone with bone disease has a problem with oxalates. It's something 28:20 a problem with oxalates. It's something 28:20 a problem with oxalates. It's something to be on on on your radar, and it really 28:24 to be on on on your radar, and it really 28:24 to be on on on your radar, and it really can uh potentially improve your health. 28:27 can uh potentially improve your health. 28:27 can uh potentially improve your health. And if you have a high oxalate diet, 28:29 And if you have a high oxalate diet, 28:29 And if you have a high oxalate diet, there's some ways to mitigate it. Um and 28:33 there's some ways to mitigate it. Um and 28:33 there's some ways to mitigate it. Um and um and so I think it's it um 28:37 um and so I think it's it um 28:37 um and so I think it's it um I kind of I just like the idea of having 28:41 I kind of I just like the idea of having 28:41 I kind of I just like the idea of having a you know, not having a very, very high 28:44 a you know, not having a very, very high 28:45 a you know, not having a very, very high oxalate diet, but then doing things in 28:47 oxalate diet, but then doing things in 28:47 oxalate diet, but then doing things in moderation and whether 28:50 moderation and whether 28:50 moderation and whether moderation means um 28:57 in this case moderation would be oxalate 28:57 in this case moderation would be oxalate foods. So, moderation of spinach, 29:00 foods. So, moderation of spinach, 29:00 foods. So, moderation of spinach, moderation of almonds, and then when 29:02 moderation of almonds, and then when 29:02 moderation of almonds, and then when you're having these high oxalate foods, 29:04 you're having these high oxalate foods, 29:04 you're having these high oxalate foods, you do something to mitigate it.
Dietary strategies to reduce oxalates safely 29:11 So, what are some options to reduce the 29:11 So, what are some options to reduce the dietary oxalates? Um and so, you have a 29:15 dietary oxalates? Um and so, you have a 29:15 dietary oxalates? Um and so, you have a few options. You can look at the very, 29:19 few options. You can look at the very, 29:19 few options. You can look at the very, very high oxalate foods like your 29:22 very high oxalate foods like your 29:22 very high oxalate foods like your spinach and beet greens and Swiss chard 29:26 spinach and beet greens and Swiss chard 29:26 spinach and beet greens and Swiss chard and quinoa uh and and some of almonds. 29:31 and quinoa uh and and some of almonds. 29:31 and quinoa uh and and some of almonds. And then you can take a few of these 29:33 And then you can take a few of these 29:33 And then you can take a few of these very, very high oxalate foods and swap 29:36 very, very high oxalate foods and swap 29:36 very, very high oxalate foods and swap them out with low to medium foods. You 29:39 them out with low to medium foods. You 29:39 them out with low to medium foods. You can reduce the frequency. If you have a 29:41 can reduce the frequency. If you have a 29:41 can reduce the frequency. If you have a spinach salad three times a week and a 29:44 spinach salad three times a week and a 29:44 spinach salad three times a week and a spinach smoothie two times a week, you 29:46 spinach smoothie two times a week, you 29:46 spinach smoothie two times a week, you can reduce the frequency. 29:49 can reduce the frequency. 29:49 can reduce the frequency. Um and also um 29:52 Um and also um 29:52 Um and also um if um you if you are really looking at 29:56 if um you if you are really looking at 29:56 if um you if you are really looking at trying to reduce oxalates to get to a 29:59 trying to reduce oxalates to get to a 29:59 trying to reduce oxalates to get to a low oxalate point, you don't want to do 30:02 low oxalate point, you don't want to do 30:02 low oxalate point, you don't want to do this dramatically because what can 30:04 this dramatically because what can 30:04 this dramatically because what can happen is that the tissues can start to 30:07 happen is that the tissues can start to 30:07 happen is that the tissues can start to dump oxalates. This is called oxalate 30:09 dump oxalates. This is called oxalate 30:09 dump oxalates. This is called oxalate dumping. 30:11 dumping. 30:11 dumping. So, if your oxalate contribution goes 30:14 So, if your oxalate contribution goes 30:14 So, if your oxalate contribution goes low and your tissues still have a lot of 30:17 low and your tissues still have a lot of 30:17 low and your tissues still have a lot of oxalates in it, then the tissues don't 30:20 oxalates in it, then the tissues don't 30:20 oxalates in it, then the tissues don't really dump when the bloodstream has a 30:23 really dump when the bloodstream has a 30:23 really dump when the bloodstream has a fair amount of oxalates in it, but they 30:25 fair amount of oxalates in it, but they 30:25 fair amount of oxalates in it, but they start to dump when the bloodstream gets 30:27 start to dump when the bloodstream gets 30:28 start to dump when the bloodstream gets clear of oxalates. So, you want to do 30:30 clear of oxalates. So, you want to do 30:30 clear of oxalates. So, you want to do this over a slow period of time or you 30:33 this over a slow period of time or you 30:33 this over a slow period of time or you could get sick from the oxalate dumping. 30:43 There are different kinds of things that 30:43 There are different kinds of things that you can do to reduce the absorption of 30:46 you can do to reduce the absorption of 30:46 you can do to reduce the absorption of the oxalates when you have a meal that 30:49 the oxalates when you have a meal that 30:49 the oxalates when you have a meal that might be and have a higher amount of 30:51 might be and have a higher amount of 30:51 might be and have a higher amount of oxalates. So, you can take somewhere 30:54 oxalates. So, you can take somewhere 30:54 oxalates. So, you can take somewhere between 150 and 300 mg of calcium 30:57 between 150 and 300 mg of calcium 30:57 between 150 and 300 mg of calcium citrate. Citrate is the best form. You 31:00 citrate. Citrate is the best form. You 31:00 citrate. Citrate is the best form. You can also take magnesium citrate. You 31:03 can also take magnesium citrate. You 31:03 can also take magnesium citrate. You have to be careful with magnesium 31:04 have to be careful with magnesium 31:04 have to be careful with magnesium citrate because it can cause loose 31:07 citrate because it can cause loose 31:07 citrate because it can cause loose stools. And then potassium citrate as 31:09 stools. And then potassium citrate as 31:09 stools. And then potassium citrate as well. 31:10 well. 31:10 well. Um you can do food combining. So, you 31:13 Um you can do food combining. So, you 31:13 Um you can do food combining. So, you can take high oxalate food and combine 31:16 can take high oxalate food and combine 31:16 can take high oxalate food and combine it with a food that has quite a lot of 31:18 it with a food that has quite a lot of 31:18 it with a food that has quite a lot of calcium. And then the calcium will bind 31:21 calcium. And then the calcium will bind 31:21 calcium. And then the calcium will bind to the oxalates and reduce the 31:24 to the oxalates and reduce the 31:24 to the oxalates and reduce the absorption. Uh there are a lot of 31:27 absorption. Uh there are a lot of 31:27 absorption. Uh there are a lot of different cooking um and um cooking uh 31:30 different cooking um and um cooking uh 31:30 different cooking um and um cooking uh methods. So, you can boil vegetables and 31:35 methods. So, you can boil vegetables and 31:35 methods. So, you can boil vegetables and and then you take the um the water and 31:38 and then you take the um the water and 31:38 and then you take the um the water and you discard the water and a lot of the 31:40 you discard the water and a lot of the 31:40 you discard the water and a lot of the water has the oxalates in it. Um and you 31:44 water has the oxalates in it. Um and you 31:44 water has the oxalates in it. Um and you can steam and uh and you can soak 31:48 can steam and uh and you can soak 31:49 can steam and uh and you can soak overnight. So, those are really good 31:51 overnight. So, those are really good 31:51 overnight. So, those are really good ways to reduce the oxalate content in 31:53 ways to reduce the oxalate content in 31:54 ways to reduce the oxalate content in the food. 32:00 Uh fermentation and sprouting, uh those 32:00 Uh fermentation and sprouting, uh those are good ways to reduce oxalate content. 32:03 are good ways to reduce oxalate content. 32:04 are good ways to reduce oxalate content. You can cook in milk. Of course, that's 32:05 You can cook in milk. Of course, that's 32:05 You can cook in milk. Of course, that's because of the calcium. Uh macerating 32:08 because of the calcium. Uh macerating 32:08 because of the calcium. Uh macerating with whey. 32:09 with whey. 32:10 with whey. Of course, that's because of the calcium 32:11 Of course, that's because of the calcium 32:11 Of course, that's because of the calcium as well. And you also want to drink 32:13 as well. And you also want to drink 32:14 as well. And you also want to drink plenty of water to flush the oxalates 32:16 plenty of water to flush the oxalates 32:16 plenty of water to flush the oxalates out of the system. Because remember a 32:18 out of the system. Because remember a 32:18 out of the system. Because remember a lot of the oxalates do that are absorbed 32:23 lot of the oxalates do that are absorbed 32:23 lot of the oxalates do that are absorbed are tend to go through the kidneys.
Tips for managing oxalate intake for better bone health 32:32 So, if you um if you don't get very much 32:32 So, if you um if you don't get very much calcium from your diet, um I like I just 32:35 calcium from your diet, um I like I just 32:35 calcium from your diet, um I like I just said, you can take calcium with a high 32:39 said, you can take calcium with a high 32:39 said, you can take calcium with a high oxalate meal. 32:40 oxalate meal. 32:40 oxalate meal. You can add lemon juice to your foods 32:43 You can add lemon juice to your foods 32:43 You can add lemon juice to your foods and to your smoothies to increase the 32:45 and to your smoothies to increase the 32:45 and to your smoothies to increase the citric acid so that you're not forming 32:48 citric acid so that you're not forming 32:48 citric acid so that you're not forming stones. 32:49 stones. 32:49 stones. And I really don't think it's a good 32:51 And I really don't think it's a good 32:51 And I really don't think it's a good idea to have a very very high oxalate 32:55 idea to have a very very high oxalate 32:55 idea to have a very very high oxalate diet where you would be having spinach 32:57 diet where you would be having spinach 32:57 diet where you would be having spinach and almonds on a regular daily basis. So 33:01 and almonds on a regular daily basis. So 33:01 and almonds on a regular daily basis. So I feel like swapping out some low and 33:04 I feel like swapping out some low and 33:05 I feel like swapping out some low and medium oxalate foods for high oxalate 33:07 medium oxalate foods for high oxalate 33:07 medium oxalate foods for high oxalate foods is a very good idea. 33:10 foods is a very good idea. 33:10 foods is a very good idea. So um I like this electrolyte repletion. 33:15 So um I like this electrolyte repletion. 33:15 So um I like this electrolyte repletion. Um what it is from Trace Minerals, it's 33:17 Um what it is from Trace Minerals, it's 33:17 Um what it is from Trace Minerals, it's called 40,000 Volts and it has boron, 33:20 called 40,000 Volts and it has boron, 33:20 called 40,000 Volts and it has boron, sulfate, magnesium, and potassium in it. 33:24 sulfate, magnesium, and potassium in it. 33:24 sulfate, magnesium, and potassium in it. And so that is going to replete some of 33:26 And so that is going to replete some of 33:26 And so that is going to replete some of the minerals that get depleted with 33:28 the minerals that get depleted with 33:28 the minerals that get depleted with oxalates. And then if you squeeze a half 33:31 oxalates. And then if you squeeze a half 33:31 oxalates. And then if you squeeze a half a lemon, uh you take a teaspoon of 33:33 a lemon, uh you take a teaspoon of 33:33 a lemon, uh you take a teaspoon of 40,000 Volts, you squeeze a half a lemon 33:36 40,000 Volts, you squeeze a half a lemon 33:36 40,000 Volts, you squeeze a half a lemon and and into a big thing of water and 33:39 and and into a big thing of water and 33:39 and and into a big thing of water and drink that throughout the day, that can 33:41 drink that throughout the day, that can 33:41 drink that throughout the day, that can be a good way to start repleting those 33:44 be a good way to start repleting those 33:44 be a good way to start repleting those minerals. And so I have a little recipe 33:46 minerals. And so I have a little recipe 33:46 minerals. And so I have a little recipe for you. 33:52 Uh in addition, uh you may want to 33:52 Uh in addition, uh you may want to specifically look at calcium. 33:55 specifically look at calcium. 33:55 specifically look at calcium. Uh I really like the the form of calcium 33:58 Uh I really like the the form of calcium 33:58 Uh I really like the the form of calcium in the dimalate form and magnesium. 34:02 in the dimalate form and magnesium. 34:02 in the dimalate form and magnesium. Uh you can do citrates, uh dimalates. 34:05 Uh you can do citrates, uh dimalates. 34:05 Uh you can do citrates, uh dimalates. Potassium would be citrate and 34:08 Potassium would be citrate and 34:08 Potassium would be citrate and bicarbonate. And one of the B vitamins 34:11 bicarbonate. And one of the B vitamins 34:11 bicarbonate. And one of the B vitamins that really gets depleted uh is B6. And 34:15 that really gets depleted uh is B6. And 34:15 that really gets depleted uh is B6. And you want to you want to take the active 34:17 you want to you want to take the active 34:17 you want to you want to take the active form of B6 as P5P. 34:24 So some other strategies. Some other 34:24 So some other strategies. Some other strategies would be drinking plenty of 34:27 strategies would be drinking plenty of 34:27 strategies would be drinking plenty of hydrating beverages and water, uh adding 34:31 hydrating beverages and water, uh adding 34:31 hydrating beverages and water, uh adding lemon juice to the water so that you get 34:33 lemon juice to the water so that you get 34:33 lemon juice to the water so that you get enough citric acid. Uh, you want to 34:36 enough citric acid. Uh, you want to 34:36 enough citric acid. Uh, you want to address any kind of gut dysbiosis and 34:39 address any kind of gut dysbiosis and 34:39 address any kind of gut dysbiosis and clear candida. 34:41 clear candida. 34:41 clear candida. Uh, you can take probiotics with 34:43 Uh, you can take probiotics with 34:43 Uh, you can take probiotics with bifidobacterium lactis and probiomed 50 34:47 bifidobacterium lactis and probiomed 50 34:47 bifidobacterium lactis and probiomed 50 does have that uh, probiotic in it. Uh, 34:51 does have that uh, probiotic in it. Uh, 34:51 does have that uh, probiotic in it. Uh, oxbile is something that you can take 34:54 oxbile is something that you can take 34:54 oxbile is something that you can take uh, 34:55 uh, 34:55 uh, for uh, reducing the fat malabsorption. 34:59 for uh, reducing the fat malabsorption. 34:59 for uh, reducing the fat malabsorption. Uh, something like lipase is something 35:01 Uh, something like lipase is something 35:01 Uh, something like lipase is something that you can do. Um, you can take B6 in 35:06 that you can do. Um, you can take B6 in 35:06 that you can do. Um, you can take B6 in the form of P5P, um, but be very careful 35:09 the form of P5P, um, but be very careful 35:09 the form of P5P, um, but be very careful because doses above 300 mg of P5P can be 35:13 because doses above 300 mg of P5P can be 35:13 because doses above 300 mg of P5P can be neurotoxic. 35:16 neurotoxic. 35:16 neurotoxic. So, I did want to share uh, some
Possible benefits of removing oxalates 35:19 So, I did want to share uh, some 35:19 So, I did want to share uh, some benefits that a few of my students have 35:22 benefits that a few of my students have 35:22 benefits that a few of my students have had. Um, so I had a a a student who was 35:25 had. Um, so I had a a a student who was 35:26 had. Um, so I had a a a student who was having urinary tract infections almost 35:28 having urinary tract infections almost 35:28 having urinary tract infections almost monthly. 35:30 monthly. 35:30 monthly. And 35:32 And 35:32 And some she would take a urinary um, 35:35 some she would take a urinary um, 35:35 some she would take a urinary um, a urinalysis and sometimes there would 35:37 a urinalysis and sometimes there would 35:37 a urinalysis and sometimes there would be bacteria and other and other times 35:39 be bacteria and other and other times 35:39 be bacteria and other and other times there were not bacteria. So, she was 35:42 there were not bacteria. So, she was 35:42 there were not bacteria. So, she was constantly taking antibiotics. It was 35:45 constantly taking antibiotics. It was 35:45 constantly taking antibiotics. It was breaking down her gut and then she 35:47 breaking down her gut and then she 35:47 breaking down her gut and then she listened to the talk on oxalates and she 35:50 listened to the talk on oxalates and she 35:50 listened to the talk on oxalates and she thought, "Well, I might as well give it 35:52 thought, "Well, I might as well give it 35:52 thought, "Well, I might as well give it a try and just go on a low oxalate 35:54 a try and just go on a low oxalate 35:55 a try and just go on a low oxalate diet." And her chronic UTIs went away. 35:59 diet." And her chronic UTIs went away. 35:59 diet." And her chronic UTIs went away. So, she was very thankful, um, not only 36:03 So, she was very thankful, um, not only 36:03 So, she was very thankful, um, not only just to um, have the information, but 36:06 just to um, have the information, but 36:06 just to um, have the information, but she was really worried about what um, 36:09 she was really worried about what um, 36:09 she was really worried about what um, chronic chronic antibiotic use was going 36:13 chronic chronic antibiotic use was going 36:13 chronic chronic antibiotic use was going to do to her health long-term and so it 36:16 to do to her health long-term and so it 36:16 to do to her health long-term and so it made her feel very empowered and she was 36:18 made her feel very empowered and she was 36:18 made her feel very empowered and she was very grateful. Uh, another student of 36:21 very grateful. Uh, another student of 36:21 very grateful. Uh, another student of mine was just eating exceptionally 36:25 mine was just eating exceptionally 36:25 mine was just eating exceptionally healthy. She was having spinach salads a 36:28 healthy. She was having spinach salads a 36:28 healthy. She was having spinach salads a lot um, and she was eating beets and 36:30 lot um, and she was eating beets and 36:30 lot um, and she was eating beets and almonds and she had chronic moderate to 36:35 almonds and she had chronic moderate to 36:35 almonds and she had chronic moderate to severe neck pain that was uh 36:39 severe neck pain that was uh 36:39 severe neck pain that was uh it had been going on for decades and she 36:44 it had been going on for decades and she 36:44 it had been going on for decades and she went on a low oxalate diet and most of 36:46 went on a low oxalate diet and most of 36:46 went on a low oxalate diet and most of that neck pain disappeared. 36:48 that neck pain disappeared. 36:48 that neck pain disappeared. And so she was actually a chiropractor 36:51 And so she was actually a chiropractor 36:51 And so she was actually a chiropractor and she told her chiropractor about it 36:54 and she told her chiropractor about it 36:54 and she told her chiropractor about it and they were both really really quite 36:56 and they were both really really quite 36:56 and they were both really really quite thrilled that it was a dietary solution 37:00 thrilled that it was a dietary solution 37:00 thrilled that it was a dietary solution and it was 37:01 and it was 37:01 and it was it was empowering for her. 37:03 it was empowering for her. 37:03 it was empowering for her. Another student had chronic leg pain and 37:06 Another student had chronic leg pain and 37:06 Another student had chronic leg pain and it was soreness and it was getting in 37:09 it was soreness and it was getting in 37:09 it was soreness and it was getting in the way of her being as active as she 37:12 the way of her being as active as she 37:12 the way of her being as active as she wanted to be and that leg pain and that 37:15 wanted to be and that leg pain and that 37:15 wanted to be and that leg pain and that leg soreness and it was kind of 37:16 leg soreness and it was kind of 37:16 leg soreness and it was kind of heaviness as well that went away when 37:19 heaviness as well that went away when 37:19 heaviness as well that went away when she went on a low oxalate diet. Now I 37:22 she went on a low oxalate diet. Now I 37:22 she went on a low oxalate diet. Now I don't know that this is going to be a 37:25 don't know that this is going to be a 37:25 don't know that this is going to be a solution for something that's going on 37:27 solution for something that's going on 37:27 solution for something that's going on with you but it is important to be 37:30 with you but it is important to be 37:30 with you but it is important to be informed that this is a possibility and 37:34 informed that this is a possibility and 37:34 informed that this is a possibility and it doesn't take very much effort to go 37:36 it doesn't take very much effort to go 37:36 it doesn't take very much effort to go on a low oxalate diet and do the 37:39 on a low oxalate diet and do the 37:39 on a low oxalate diet and do the repletion 37:40 repletion 37:40 repletion strategies 37:42 strategies 37:42 strategies and so 37:43 and so 37:43 and so you know it is worth a try it especially 37:46 you know it is worth a try it especially 37:46 you know it is worth a try it especially if you have some of these like 37:48 if you have some of these like 37:48 if you have some of these like interstitial cystitis or vulvodynia or 37:52 interstitial cystitis or vulvodynia or 37:52 interstitial cystitis or vulvodynia or kidney stones or chronic UTIs it's worth 37:55 kidney stones or chronic UTIs it's worth 37:56 kidney stones or chronic UTIs it's worth a try. 37:58 a try. 37:58 a try. And so I am going to be giving you these 38:00 And so I am going to be giving you these 38:00 And so I am going to be giving you these resources. I did produce these for my 38:03 resources. I did produce these for my 38:03 resources. I did produce these for my program. 38:05 program. 38:05 program. We have an oxalate symptom and food 38:07 We have an oxalate symptom and food 38:07 We have an oxalate symptom and food assessment which can go through and you 38:10 assessment which can go through and you 38:10 assessment which can go through and you can try to figure out whether some of 38:13 can try to figure out whether some of 38:13 can try to figure out whether some of the symptoms that you have are 38:15 the symptoms that you have are 38:15 the symptoms that you have are indicative of of oxalates. Again there's 38:19 indicative of of oxalates. Again there's 38:19 indicative of of oxalates. Again there's a lot of overlap between oxalate 38:23 a lot of overlap between oxalate 38:23 a lot of overlap between oxalate symptoms and other chronic conditions 38:25 symptoms and other chronic conditions 38:25 symptoms and other chronic conditions and there's a food assessment. So, how 38:28 and there's a food assessment. So, how 38:28 and there's a food assessment. So, how often are you eating these very high 38:31 often are you eating these very high 38:31 often are you eating these very high oxalate foods and we give you a scale to 38:35 oxalate foods and we give you a scale to 38:35 oxalate foods and we give you a scale to look at that. Um and we within an email 38:40 look at that. Um and we within an email 38:40 look at that. Um and we within an email stream also giving you some additional 38:42 stream also giving you some additional 38:42 stream also giving you some additional information about how to get on to 38:45 information about how to get on to 38:45 information about how to get on to Cronometer and and also how to 38:49 Cronometer and and also how to 38:49 Cronometer and and also how to categorize 38:50 categorize 38:50 categorize your 38:52 your 38:52 your oxalate levels into those categories 38:54 oxalate levels into those categories 38:54 oxalate levels into those categories that I showed you. And then if you're 38:57 that I showed you. And then if you're 38:57 that I showed you. And then if you're finding that you're having some high 38:59 finding that you're having some high 38:59 finding that you're having some high oxalate foods, all you want to do is 39:01 oxalate foods, all you want to do is 39:01 oxalate foods, all you want to do is just do some swapping out of very high 39:05 just do some swapping out of very high 39:05 just do some swapping out of very high oxalate foods with some low to medium. 39:07 oxalate foods with some low to medium. 39:07 oxalate foods with some low to medium. We have this validated food chart that 39:10 We have this validated food chart that 39:10 We have this validated food chart that was from Harvard that was just updated 39:13 was from Harvard that was just updated 39:13 was from Harvard that was just updated in 2023 39:16 in 2023 39:16 in 2023 and we have the updated chart. So, you 39:19 and we have the updated chart. So, you 39:19 and we have the updated chart. So, you can do the food swapping with that 39:22 can do the food swapping with that 39:22 can do the food swapping with that chart. And then all the things that I 39:25 chart. And then all the things that I 39:25 chart. And then all the things that I was talking about 39:27 was talking about 39:27 was talking about as far as mitigation strategies, we've 39:29 as far as mitigation strategies, we've 39:29 as far as mitigation strategies, we've got some guided email support around 39:31 got some guided email support around 39:31 got some guided email support around that. All you need to do in order to get 39:34 that. All you need to do in order to get 39:34 that. All you need to do in order to get these two resources is go to 39:36 these two resources is go to 39:36 these two resources is go to themilmanclinic.com/oxalates 39:42 and you'll get 39:42 and you'll get about a six or seven day email stream 39:46 about a six or seven day email stream 39:46 about a six or seven day email stream with all these resources and helpful 39:50 with all these resources and helpful 39:50 with all these resources and helpful tips for 39:52 tips for 39:52 tips for helping you to learn about oxalates. 39:56 helping you to learn about oxalates. 39:56 helping you to learn about oxalates. >> I hope you enjoyed this masterclass and 39:58 >> I hope you enjoyed this masterclass and 39:58 >> I hope you enjoyed this masterclass and now have a better understanding of 39:59 now have a better understanding of 39:59 now have a better understanding of oxalates. There's something that Dr.
Bile flow and oxalate absorption 40:01 oxalates. There's something that Dr. 40:01 oxalates. There's something that Dr. Milman and I recently discussed that was 40:03 Milman and I recently discussed that was 40:03 Milman and I recently discussed that was not part of this masterclass, but I 40:06 not part of this masterclass, but I 40:06 not part of this masterclass, but I think it's so important that I want to 40:08 think it's so important that I want to 40:08 think it's so important that I want to talk about it now. And that's the 40:10 talk about it now. And that's the 40:10 talk about it now. And that's the connection between bile flow and oxalate 40:13 connection between bile flow and oxalate 40:13 connection between bile flow and oxalate absorption. So, when you eat fat, the 40:16 absorption. So, when you eat fat, the 40:16 absorption. So, when you eat fat, the bile helps break it down so your body 40:18 bile helps break it down so your body 40:18 bile helps break it down so your body can absorb it properly. If the fat isn't 40:21 can absorb it properly. If the fat isn't 40:21 can absorb it properly. If the fat isn't absorbed well, it remains in the gut and 40:24 absorbed well, it remains in the gut and 40:24 absorbed well, it remains in the gut and binds to calcium. So, when the calcium 40:27 binds to calcium. So, when the calcium 40:27 binds to calcium. So, when the calcium gets tied up with the fat, there's less 40:29 gets tied up with the fat, there's less 40:29 gets tied up with the fat, there's less available to bind to oxalates and carry 40:32 available to bind to oxalates and carry 40:32 available to bind to oxalates and carry them out of the body. And what this 40:34 them out of the body. And what this 40:34 them out of the body. And what this means is more oxalates get absorbed, 40:37 means is more oxalates get absorbed, 40:37 means is more oxalates get absorbed, which can increase oxalate-related 40:40 which can increase oxalate-related 40:40 which can increase oxalate-related issues throughout the body. Dr. Milman 40:42 issues throughout the body. Dr. Milman 40:42 issues throughout the body. Dr. Milman has been seeing this clinically and 40:44 has been seeing this clinically and 40:44 has been seeing this clinically and finds it's an important, often 40:46 finds it's an important, often 40:46 finds it's an important, often overlooked part of oxalate management, 40:49 overlooked part of oxalate management, 40:49 overlooked part of oxalate management, especially if you have sluggish bile 40:51 especially if you have sluggish bile 40:51 especially if you have sluggish bile flow or have had your gallbladder 40:52 flow or have had your gallbladder 40:52 flow or have had your gallbladder removed. But there are a few things that 40:54 removed. But there are a few things that 40:54 removed. But there are a few things that she talks about that helps. Ox bile 40:57 she talks about that helps. Ox bile 40:57 she talks about that helps. Ox bile supplements, lipase enzymes, or a 41:00 supplements, lipase enzymes, or a 41:00 supplements, lipase enzymes, or a bile-supporting product. And the one she 41:02 bile-supporting product. And the one she 41:02 bile-supporting product. And the one she likes is Seeking Health's Bile 41:05 likes is Seeking Health's Bile 41:05 likes is Seeking Health's Bile Nutrients, which contains betaine, 41:07 Nutrients, which contains betaine, 41:07 Nutrients, which contains betaine, dandelion, artichoke, milk thistle, and 41:10 dandelion, artichoke, milk thistle, and 41:10 dandelion, artichoke, milk thistle, and ginger. 41:11 ginger. 41:11 ginger. So, I just think this is important. We 41:13 So, I just think this is important. We 41:13 So, I just think this is important. We don't want to overlook digestive health 41:15 don't want to overlook digestive health 41:15 don't want to overlook digestive health when it comes to oxalates. And for many 41:17 when it comes to oxalates. And for many 41:17 when it comes to oxalates. And for many people, this is really an important 41:19 people, this is really an important 41:19 people, this is really an important piece of the puzzle. 41:21 piece of the puzzle. 41:21 piece of the puzzle. So, before we end, I did want to tell 41:24 So, before we end, I did want to tell 41:24 So, before we end, I did want to tell you about a course that Dr. Milman 41:26 you about a course that Dr. Milman 41:26 you about a course that Dr. Milman teaches called R&R, Restore and Rebuild, 41:29 teaches called R&R, Restore and Rebuild, 41:29 teaches called R&R, Restore and Rebuild, 100 Days to Healthier Bones. And I teach 41:32 100 Days to Healthier Bones. And I teach 41:32 100 Days to Healthier Bones. And I teach two of the modules, and it's just really 41:34 two of the modules, and it's just really 41:34 two of the modules, and it's just really a phenomenal class where you'll be able 41:37 a phenomenal class where you'll be able 41:37 a phenomenal class where you'll be able to learn all about your labs and do the 41:39 to learn all about your labs and do the 41:39 to learn all about your labs and do the testing and really figure out root 41:41 testing and really figure out root 41:41 testing and really figure out root causes. So, there's more information 41:44 causes. So, there's more information 41:44 causes. So, there's more information about that, as well as a coupon code to 41:46 about that, as well as a coupon code to 41:46 about that, as well as a coupon code to get $100 off in the show notes. So, 41:50 get $100 off in the show notes. So, 41:50 get $100 off in the show notes. So, thank you so much for tuning in, [music] 41:52 thank you so much for tuning in, [music] 41:52 thank you so much for tuning in, [music] and I look forward to seeing you on the 41:54 and I look forward to seeing you on the 41:54 and I look forward to seeing you on the next episode.
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