Strategies To Reverse Autoimmune Disease

Mark Hyman, MD

Full Transcript

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Narrator: Coming up on this episode of the doctor's pharmacy, Dr. Mark Hyman: We need to look at each person and say, Hey, do they have any allergy stuff? Is there gluten sensitivity infections that might be confusing their immune system? Or do they have a toxin like heavy metal or pesticides? What's their diet? Are they eating an inflammatory diet? How much stress do they have? All these things need to be considered. Welcome to the doctor's pharmacy. I'm Dr. Mark Hyman. That's pharmacy, not the place for conversations that matter. And if you or anyone has had an autoimmune disease, I think this conversation is going to matter a lot because we're going to get deep into why there's so much autoimmune disease, what the real causes are, and how to deal with it aside from taking medication that's extraordinarily expensive and has significant side effects. Today we're doing this part of our Health Bite series, which are a little small bites of information that you can use to take small steps every day to get yourself healthier and little long, healthy life. Okay, let's get into it. What about autoimmune disease? There are over 80 million Americans, some estimate a hundred million Americans who have an autoimmune disease. If you collectively take all the autoimmune diseases together, combined, it's more people than have cancer, heart disease, or diabetes combined. Wow. Okay. So how come we don't hear about it? Why? Because every specialty has their autoimmune disease. You've got the neurologist who've got ms, you've got the GI doctors, who've got colitis, you've got the rheumatologist, you have rheumatoid arthritis, you have the dermatologist, you've got psoriasis, and I could go on and on. You've got the thyroid doctors who've got grave disease or Hashimoto's. So essentially everybody's siloed. The problem is that autoimmune disease is not a bunch of really different diseases. It affects different people differently, but there are common principles that we can use to address the root causes and get people healthy. So this is really an epidemic, and it's getting worse and worse. And by the way, this is not something you see in countries that are really living in ways that are traditional. For example, I just got back from Mongolia on a horseback trip. There was nothing there. I mean, they were living in Eden in the way that they had done for thousands of years. There was no cell service, there was no wifi. They were living in earth. They were having yak milk, and they're living close to the earth. They're living on the ground, they're living in dirt basically. And these people don't get autoimmune disease. If you look at traditional hunter gatherer tribes, they don't get autoimmune disease. They don't get allergies, they don't get asthma. They don't get autoimmune disease. And yet in our Western society, we get a lot of these problems, allergies, asthma, autoimmune diseases, skin disorders. I mean, we just see it left. So the question is why? Well, it's because something has dramatically changed in our modern world. We're going to get into what those things are, but we're just seeing so many people with autoimmune disease and the rate of these diseases is going up as infectious disease went down. And there's some connections there we're going to talk about. So we're going to talk about the main causes of autoimmune disease. And yes, we know a lot of what the causes are, even though most judicial doctors don't treat the cause, they simply use medication to suppress inflammation and suppress the symptoms, which can make people feel better in the short run, but don't actually deal with the problem. It's like taking morphine and having a broken ankle and being able to walk on it. It still kind of works, but not the best idea. And yes, sometimes it can prevent more complications, more serious consequences about immune disease such as joint destruction or kidney failure or other things. So it's not that medications are all bad, it's just that if there's a better way, let's talk about it. So we're going to talk about the conventional versus a functional medicine approach. I'm going to tell you a story about a patient who I had. It's just remarkable. And if I'm not making this up, which I'm not, and if this is true, which it is, then what are the implications of this story of this young girl who suffered from one of the worst autoimmune conditions I'd ever seen and her recovery, if even one case could get better using a different approach than we currently use, shouldn't we be spending billions of dollars studying it? No, we do not doing that because it's not a drug. And yes, the biggest profit center for many of the pharmaceutical companies are these autoimmune drugs. It costs about 50 grand per person per year, sometimes more for these medications. So let's kind of take a step back and let's talk about what is autoimmunity, what causes it and why should we be so concerned? Well, autoimmune disease, like I mentioned, things like rheumatoid arthritis, psoriatic arthritis, lupus type one diabetes, graves disease, high, he disease, small sclerosis, Crohn's disease, colitis, I mean the list goes on are all diseases where the body is attacking itself. The immune system is out of control. It creates systemic inflammation. And depending on your genetic and the various issues you have, it attacks different parts of the body. But essentially the process is the same where we create auto antibodies, we create antibodies which are normally designed to fight infection or even to kill cancer. We create antibodies to then attack our own tissues, and that's when we get into trouble. So basically we have this runaway inflammation. We have an immune system that's confused, and our immune system is supposed to anti up when we have foreign invaders like an infection or when we have cancer to kill the cancer and that's good. Or when we're maybe trying to deal with our gut and creating antibodies to different food things that are in there, although that usually is because of a leaky gut. And so basically your immune system is your first line of defense, but when it goes awry, it causes widespread destruction in the body and your own cells and tissues and organs get caught in the crossfire. And it's not a good thing. It's just not a good thing. It's good when it comes to dealing cancer. When it comes to infections, we want that what we see now is a total epidemic about immune disease that is being completely misunderstood. In fact, now there's even a conversation about pre autoimmune disease that a lot of people are seeing positive levels of a A antibodies, which we test [email protected], which is a testing platform where you can order your own tests essentially and get the results and have an interpretation and figure out what's going on. So we are picking up a lot of people, probably 30% of the people that we see, just young, various healthy people, not really sick people generally are showing up with an elevated level of an antibody called anti-nuclear antibody, which is an early sign of autoimmune disease. So this is really scary to me as a doctor. So the question is why is the body doing this? What is the root cause? Most doctors, when they think of a patient essentially go, well, here's the symptoms. Here's the lab test. Okay, you have these tests, you have these symptoms that are off. It means you have this or that disease. We name the disease and then we blame the disease for the problem. Now, this young girl, Isabelle, I was talking about before she came to see me when she was 10 years old, and she had a severe autoimmune disease called dermatomyositis. Dermatomyositis is nobody's best friend. Essentially, it's one of the worst autoimmune disease you can have with an attack. Everything, your joints, your skin, your liver, your blood vessels, your muscles, I mean, pretty much everything gets affected. And so you have widespread destruction throughout your body. Now, the doctors didn't say, gee, why is her immune system so pissed off? Instead, they gave her a pile of drugs, steroids, cancer drugs to suppress her immune system. They're about to put her on an immune blocker called TNF alpha, which is a antagonist, which is basically blocking the inflammation marker in the blood that's responsible for a lot of autoimmune disease, which can be helpful. But again, nobody was asking a very simple question is why is she so inflamed in the first place? Why is her immune system so pissed off? Now, as I mentioned, Isabelle, one of the most severe cases of autoimmune disease I'd ever seen. At 10 years old, she had severe skin rashes. That's the dermatitis. It's pretty much itis means inflammation. She had every kind of itis. She had vasculitis, which is inflammation of your blood vessels, causing ray nodes. She had gastritis causing inflammation of her esophageal tract and causing terrible reflux. She had hepatitis affecting her liver. She had inflammation of her blood cells. I don't even know what to call that, but she had low white count and low red cells. She had severe muscle damage, so she had myositis and very severely elevated muscle enzymes. She had also severe arthritis and joint swelling. So basically everything was under attack. Now, this cute little girl, Isabelle was 10 years old. She was from Texas. She loved riding horses. She do the most basic things anymore. She couldn't squeeze her hand or make a fist. Her tips of her fingers and her toes were totally numb all the time from Rayos disease, which is the damage of the blood vessels autoimmune condition. She had rashes all over her body that were irritated. She was exhausted. She felt miserable. Her hair was falling out, and she was being treated by doctors who were doing the best they could, but were using the old paradigm. They were saying, okay, well she's got inflammation. Let's get that under control. So they give her a huge dose of steroids, something called Solumedrol, which essentially a horse dose of 1200 milligrams intravenously should go to the hospital and get intravenous steroids every three weeks just to sort of be able to function. She was on methotrexate, which is a chemo drug because that's the depresses inflammation she was on. Also aspirin to thinner blood because the inflammation caused her blood to clot. She was on acid blockers because of the reflux from her stomach. She was on calcium channel blockers to help open up her blood vessels because of her ray nodes, I mean literal, she was on more drugs than I even 80 year olds beyond. And despite these mega doses of medications, she wasn't better. I mean, she was managed, you call it managing her disease. Her labs were all abnormal. Her skin was still inflamed, her joints were bl. She just wasn't in the hospital basically. And her doctors wanted to add another drug called the TNF alpha blocker. Things like Remicade or Humira you might've heard about, or you probably saw the ads on tv, tons of ads for these drugs on tv, which is a whole nother topic that farmers should not be advertising on tv. But anyway, basically this drug can be helpful, but if you don't have anything else to do to fix the problem, but it increases the risk of cancer and also infections because it suppresses the immune system. So it turns off the inflammation, and we need inflammation from cancer and infection, but not for autoimmune disease or allergy, right? So that's a problem. Now, her mom was not happy with this plan, so she brought her see me, and we did a pretty simple program. It wasn't that hard, but I asked a very different set of questions. I asked not What's the inflammation, but what's the cause? Not what's the name of her disease, but what's the cause of her problem? What's pissing off her immune system? And so that's the job of a functional medicine doctor, to be a detective, to look deeply into the root causes and to try to understand why. And I always say functional medicine is the medicine of why medicine, conventional medicine and medicine of what disease do you have and what drug do I give? Not why. In fact, I always say just because you know the name of your disease, it doesn't mean what's wrong with you. Say it again. Just because the name of your disease, let's say dermatomyositis, it doesn't mean you know what's wrong or what's causing it. Dermatomyositis just means skin and muscle inflammation. Those are the two most prominent symptoms. It doesn't mean anything. It's just a fancy medical word describing the symptoms. Nothing to do with the cough. So functional medicine gives us a map to help understand why. To understand inflammation, I often call myself an ologist, and that's what we should be. Ologist and fact, inflammation in autoimmune disease is a real issue. And obviously in allergy and asthma, but also in heart disease and cancer and diabetes and obesity and dementia, pretty much all the age-related diseases are all diseases of inflammation. In my book, young Forever, I did talk a lot about how one of the hallmarks of aging is inflammation or what we call inflammation. So when we look at the causes, how do we start to think about causes systematically? How do we have a organized approach to diagnosis about what is causing the body to react to something? Now, what we really know is that the body's not really attacking itself on purpose. It's trying to do the job that it's supposed to do, which is fight bad things, right? Bad things. What are the bad things? Allergens, bugs, microbes, and mostly imbalances in your gut or your microbiome. We'll talk about that. Toxins and also stress and poor diet also drive inflammation, psychological stress, physical stresses. But basically there's really five causes of almost all disease allergens. And that can be a food sensitivity, it can be a true allergen like peanut allergy, it can be microbes, it can be something like Lyme disease or hepatitis or anything like that. Plus it can be just dysbiosis imbalances in the floor, in the gut. It can be toxins, petrochemical toxins, environmental toxins from pesticides, herbicides, plastics, as well as heavy metal toxins, flame retardants. I mean the list goes auto road. So in fact, there's a whole school of research now on what we call autogens are environmental toxins that trigger an autoimmune response. So all these factors need to be investigated. We need to look at each person, say, Hey, do they have any allergy stuff? Is there gluten sensitivity? Are they harboring latent infections that might be confusing their immune system? Or do they have a toxin like heavy metals or pesticides? What's their diet? Are they eating an inflammatory diet? How much stress do they have? All these things need to be considered and need to be investigated, and that's really what functional medicine does. It helps you investigate the root cause. It's really a diagnostic model to think about an operating system, to think about the body as a system, to think about root causes and to help the body restore balance. That's the goal. So basically, you got to figure out the cause. If you want to fix that, if you want to fix autoimmune disease, you got to get to the cause. And unfortunately in medicine, we don't do a good job at that. We get a little bit of that, but not much, right? If you have pneumonia, it's caused by streptococcal infection, okay, you give penicillin, that's fine. But most diseases, chronic diseases, which by the way, six out of 10 Americans have, which are accountable for over 85% of our healthcare costs, which are now 4.3 trillion. Yikes, caused by an infection like streptococcal pneumonia or hepatitis C. I mean, those are real and they need to be treated, but that's not really the majority of problems people are seeing. So functional medicine docs really understand the body of the system. It's an ecosystem. And we seek the cause. We understand the basic interactions between them. We know when things go wrong, how to fix it, and understanding the interconnections between symptoms and organs and systems rather than all these specialties. I always say, I don't really need to know anything about the fine points of a particular autoimmune disease or be a specialist in that area, but I need to understand inflammation and I see the root causes and I can treat. I'd never seen a case of dermatomyositis in my life other than traditional medicine care when I was in residency and early practice. But when as a functional medicine doctor, I'd never treated one before, but I knew exactly what to do because I followed the methodology of functional medicine to provide the fundamental different, fundamentally different way of solving medical problems, gets to the root of the illness and understand the disturbances that really are going on. So let's talk about Isabel a little bit more. Was seen good doctors and their response was to let's shut down this kid's immune system. Let's this kid's suffering. Let's just throw the whole kitchen sink, the whole barn, everything. And that would've been okay. She might've done improvements in her symptoms, but she would've had a high risk for cancer, infection, osteoporosis, muscle weight things, psychiatric illnesses. And by the way, would've cost a huge amount of money forever, right? This is a 10 year old girl. She's going to be on a drug that costs 50 grand a year for the next 60 years. You do the math, that's one person. So we're talking about it, just an untenable thing. So I asked really a simple question with Isabelle, which is why I didn't focus on what the name of disease was. I want to know why she's inflammation started, how we could really find the root causes and how we get to restore balance in her immune system. So it's not just not finding the cause, it's also understanding how to get the immune system working better, taking out the bad stuff, putting in the good stuff. So some insults usually are triggering some confusion. We call it molecular mimicry. There's a theory of immunity called molecular mimicry that, for example, some food you're eating or gluten somehow confuses your immune system and it thinks your thyroid is some foreign object, but it's just cross reacting with the gluten antibodies, and that's why you end up with autoimmune disease. So we were looking for toxins or looking for allergens or for bugs for dysbiosis. And by the way, a lot of autoimmune disease starts in the gut, and a lot of it starts what we'll call leaky gut, which clearly she had. So when I kind of did her history, I very detailed history is really important. She had to find out what the story is, not just, oh, here's your disease, but what is your background, right? She had exposure to severe toxic mold, and that can be a trigger. That's a toxin. Stack of bot is black mold, and that was in her house. And her mother also worked in limestone pits when she was pregnant, and she was exposed a lot of toxins and fluoride, even heavy metals. And she also also had her immunizations before 1999 and before 1999, the American ketamine pediatrics and the CDC had not removed Marisol from the vaccines for childhood vaccines. So they were getting a lot of 167 times the amount of mercury in the vaccines until they go, oh, wait a minute, we haven't had it all up. And it's a lot of mercury. We never get it out. So they did remove it except for flu shots. And so if you're getting a multi-dose file, flu shot, which is what most people get, single dose doesn't have fi Marisol, but it's a preservative. So when you stick the needle in over and over, you've got a multidose file, you use it, but it's in the flu shots. So she was getting flu shots every year. And now she also loved to eat sushi. So she had large amount of tuna sushi, which she ate regularly, adding more mercury. She also had diet that was very high in sugar, lots of dairy. She also had many infections over her life, ear infections, sore throats, because she was on a lot of immunosuppressive drugs too. And steroids also cause problems. She had lots of antibiotics, so lots of antibiotics, lots of steroids, which causes real damage to the gut. So mold, mercury, antibiotics, sugar, dairy, gluten, junk food, all were potential irritants. So when I dug in, I looked at her lab test pretty carefully, and on the conventional labs, they were amassed, right? So they were high levels of muscle enzymes called CPK. Her liver function tests were off the chart. She had many autoimmune antibodies that were not just slightly high. They were off the chart high, like highest I've ever seen. Anti-nuclear antibodies, rheumatoid factor anti SSA or Sjogren's antibodies, anti double stranded, DNA, anti R np, lupus anticoagulant, a lot of big mumbo jumbo medical terms. But basically the whole soup of autoimmune antibodies were just off the chart with her. And by the way, most autoimmune specialists do not check antibodies after the initial check because they, oh, they don't ever go back to normal. Well, no, they don't. If you don't get rid of the cause, they do. If you get rid of the cause. And we saw that with Isabelle. So she had also a lot of problems, lots of elevations in other markers of inflammation like tect protein. Her white count was really low, her red cells were low, her vitamin D was severely low. She had really high antibodies to gluten, which by the way is a common cause of autoimmune disease, probably the most common and can trigger a significant inflammation and leaky gut, her mercury level, we did a challenge test. It was off the chart and the only way to really check is to actually give people a drug that pulls out the metals like DMSA. And she had a level 33. Normal was less three, so it was very high. And then the first visit, I simply didn't do too much. I just put her on an anti-inflammatory elimination diets, but no gluten, no dairy, no sugar, no processed foods, got rid of the most common allergens. I gave her multivitamin. I got her vitamin D. I gave her some B 12 and folate because of the acid blockers blocking that to get fish oil, which is anti-inflammatory evening primrose oil, which is anti-inflammatory. So I kind of gave her some basic nutritional support and I also gave her an antifungal NYS stat. It's not absorbed, but it's used to treat yeast overgrowth. And I suspect that she had that due to the multiple course of antibiotics through the sero Shemin taking also give her liver support, something called ncal cysteine supported liver and boost glutathione. And I told her parents probably over time, she's fine. She's paper off her acid blocker, the calcium channel blocker of her nose and the steroids. If she could, two months later, she comes back and I didn't know know what to expect. Two months later, she came back and she said her symptoms were completely gone. Her rash was gone, her joint pain was gone, her hair was growing back, her muscles weren't hurting. There was an upper medication. Her autoimmune markers were much, much better. Her muscle enzymes, her liver function, her C-reactive protein, all normal. Now this is two months. Then I added probiotics to help her digestive system heal a little bit and reduce the gut inflammation. I got her an accumulating drug called DMFA to combine the metals from her tissues and help her to treat it and help get off the prednisone. I gave her some herbs to help her adrenal glands because she was on a lot of steroids and she tapered those down. Some of them months later, everything was normal. All of her lab tests were normal, including her white count, her liver function, her muscle enzymes, the autoimmune antibodies, except for one called RMP. But every other autoimmune antibody that we mentioned that were off the chart, a a rheumatoid factor, all that stuff, completely normal, never see that, right? Her mercury came down from 33 to 16. After 11 months, her mercury came down to 11. Her gut inflammation was gone. Oh yeah, she had a lot of gut inflammation even though she have digestive symptoms, she had a test that we look at stool testing and why would I look at stool testing for an autoimmune patient? But basically every autoimmune patient should have a stool test. We use GI FX by Genova, essentially look at calprotectin, which is a marker you can actually get at a regular lab. Quest or LabCorp. And calprotectin is a marker of gut inflammation that it's super important because it's used for colitis or Crohn's disease. But if you have just slight elevations, it all indicates a low level of inflammation. So really, really important. Now, after a year, she was off all her medications. Her labs were normal. She felt great. She was able to ride her horse again to show, and she was just so excited. And I checked in with her many years later and she was great, and she was still fine, and we fixed the problem. So when you get rid of the cause, it's not like stuff keeps coming back. Now, I've treated autoimmune disease for decades this way, and I've seen patient after patient got resolved. Not everybody a hundred percent, but the majority get better if not cured. Now, her case really isn't rare, and I take a similar approach pretty much with all autoimmune disease, you have to be detective and be an ophthalmologist and what's going on. Now, what I'm saying is true, like I said before, this should be major effort from the NIH and the US government and private donations to actually fund research to look at this in a different way. But everybody's in their silos. Everybody's got their specialty. Nobody's thinking of the body as a whole system. Even at Cleveland Clinic, when we did research looking as sort arthritis from arthritis, comparing the top rheumatologists there to our clinic with functional medicine doctors, our patients did better in terms of all the objective metrics and the scoring systems for rheumatoid arthritis and psoriatic arthritis. So I think this is really possible. So what are the 10 steps to think about to reverse autoimmune disease as well? It's really, really easy. First, take out the bad stuff and you have to find it all. And so for Isabelle's, a lot, it was mold, it was mercury, it was yeast in her gut, it was gluten, it was heavy metals, it was all this stuff. And then you have to add back the good stuff. We add back the good stuff, all the ingredients for good health, right? Whole foods, levels of nutrients, the balance, hormones, light air, water movement, connection, meaning love, purpose. All these things are really essential ingredients for health. So if you have an autoimmune disease, I really encourage you to find a function medicine doctor and work with them. We see patients as Ultra Wellness Center. Check your labs out. Try function health.com, get your panel done. You can see if you have pre autoimmune disease or other markers, and I think you'll be able to really move forward. So what do you need to do first? Get tested for hidden infections. Now, there are a lot of things that can go wrong. When I say infections, it can also be dysbiosis, which is imbalances in the gut flora that cause gut and cause damage, where by the way, 70% of your immune system is in your gut. So if there's a damaged gut lining, you're getting food and bugs leaking in, and your immune systems seeing that, it's like, ah, this is bad. Or respirating immune response. And that's essentially what happens. But that's probably the most common cause. Gluten is a big factor in causing leaky gut. It's probably one of the biggest factor because it increases something called zolin, which disturbs the tight junctions in the cells that hold 'em together and allows and bacterial proteins and things that leak in. But other things can be factors too. You can have parasite, for example. Parasites are associated with rheumatoid arthritis. It can be Lyme disease, which has been linked to autoimmune disease. Other tick infections. You need to be a detective and be able to figure that out. Check for heavy metal, check for environmental chemicals, really important like mercury, fix your leaky gut. Really important. And that's so important, I think we just talked about leaky gut, but get rid of the bad bug Gs, parasites, bad bacteria. Provide this program that you need to actually heal your gut. We call a five R program in functional medicine, which is removing the bad stuff like bad foods and inflammatory foods and allergens, bad bugs. And then replacing things that are missing, like digestive enzymes or prebiotics, rein inoculate with healthy bacteria, probiotic repair, which is provide the nutrients for gut lining healing. For example, glutamine and zinc and oil and promo oil. Many other compounds are really important. Vitamin A for healing gut. And then the fifth R is restore, which is to reset your nervous system. And that means dealing with stress differently. Super important. So make sure you check that. Also, if you think you have an on disease or you think your mind you hundred percent want to get checked for celiac. And you want to look at gluten antibodies, anti glide antibodies, as well as tissue transaminase antibodies, iga and IgG for both. And we'll put this all in the show notes, but it's super important as a screening test. And even if you don't have full-blown celiac, there's non celiac gluten sensitivity. So you may have, even with levels that don't approximate a level that would be considered celiac actually, you might still have a lot of reaction. So that can be important. Also, I encourage people to try elimination diet as a first step. And I wrote something called the 10 day detox Diet. Really important. And I wrote this because I saw so many patients in my practice who are struggling with various autoimmune diseases, gut issues, metabolic issues, pre-diabetes, weight issues. And by far, this is the most powerful therapeutic tool that I have in my arsenal, which is basically an elimination diet, getting rid of processed food, sugar, dairy, gluten, grains, beans, nuts and seeds and things you're going to have, but the other things you can't. So it's basically lots of veggies, protein, not suchy, veggies, and it's quite healing and powerful. So I encourage people to try that. It's super low cost, super easy to do. We're going to put a link in the show notes to my book, the 10, A detox side, which you can follow as a cookbook as well. Also, you can take things that help calm your immune system down, making sure you're on the right nutrients. So vitamin D is essential for autoimmune disease prevention. If you have ms, for example, we know you have low levels of vitamin D, the link to MS and other conditions. So vitamin D, fish oil, vitamin C, probiotics, a lot of things are available. And you can find 'em all on our online store at store dr hyman com. Antiinflammatory herbs can work great. So curcumin, VAs, ginger, you often use a product called Xin, Z-Y-F-L-A-M-E-N-D, which is a combination of different herbs, also known as inflammasome, can be very helpful. Regular exercise, very inflammatory, dealing with stress, very inflammatory. So meditation, yoga, deep breathing, sleep is superin, inflammatory, get eight hours every night. Super important. So these are just sort of high level thinking, but this is not hard for most people. Most of the time you don't need a doctor, although sometimes you need to do some investigations like a stool test, having mental tests and so forth, food sensitivity testing. But I encourage you to really not accept the traditional view of autoimmune disease and to actually start to take ownership by digging into the root causes. So no matter what autoimmune disease you struggle with, get deeper into it. Figure out the cause. Work with a functional medicine doctor, you can go to ifm.org and look in your area with a good functional medicine doctor. You can get my ebook. It's called the 10 Day Detox. The Autoimmune Solution give you a basic framework of how to think about it. And that's it for today's Health bite. So I hope you enjoyed it. Be share this with your friends and family on social media. I'm so many people have, like I said, over a hundred million people have autoimmune disease, and I think it'd be very helpful. Also, share with us how you dealt with your autoimmune disease. What have you learned? What's worked, what hasn't worked? What insights do you have? We'd love to learn from you, and we'll see you next time on the Doctor's Pharmacy. Narrator: Hi everyone. I hope you enjoyed this week's episode. Just a reminder that this podcast is for educational purposes only. This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, seek out a qualified medical practitioner. If you're looking for a functional medicine practitioner, you can visit ifm.org and search their find a practitioner database. It's important that you have someone in your corner who's trained, who's a licensed healthcare practitioner, and can help you make changes, especially when it comes to your health.