Integrative Medicine & SIBO with Dr. Gayle Randall

– Hi everybody, Welcome back to the
Addictive Wellness channel. Today I am very excited to be here with my good friend, Dr. Gayle Randall. She originally got her medical degree at the University of Nebraska and went on to do her fellowship in Gastroenterology at UCLA
and she’s board certified as an Internist and in Gastroenterology. And she’s an absolute
pioneer in the fields of integrated medicine,
functional medicine, and this is going way back to before those things were popular. She was a real early
mover in those fields. And she is specializing,
also, in addiction medicine, in hormone health for both men and women, anti-aging, weight loss, such
a broad field of expertise, but also in the area of
mind and body medicine, which I think is very wonderful. So, thank you, Dr. Randall
– Oh, thank you. – For joining us and bringing this wealth of wisdom that you have to share with folks here
who are watching at home. – What a nice introduction. – My pleasure. So, what originally drew you
to the field of medicine? Was it something you wanted to be from a very young age, to be a doctor or– – I did, I did, I had a whole stable of like baby rabbits, and you know, all of the injured animals
in the neighborhood would end up at my house
and I’d be feeding them and I’d release them back into the wild. So I was always a caretaker in that way. I first thought I was going to be a Vet. – Okay.
– Yeah. But I actually got into Ames, Iowa, which was more competitive
than medical school. But, at the very end, I realized that people needed more
help than animals did. So, that’s why I chose people. And I still do. – Animals seem to have a little bit more still, of a connection in nature that– – Well, they’re more– – Teaches them how to
take care of themselves. – They’re more mindful, you know. Everything we go about trying
to learn, they’re there, they’re in the moment,
– Right. – The present.
– Yeah. – So they don’t have all that stress that we suffer. – I hadn’t planned to ask this, but as that comes up, do you think, is that connected to us being more aware of our impending demise as
people with a finite life that animals are not so aware of? Or what do you think causes
animals to not be so stressed? – I just think they live in the moment. – Yeah.
– Yeah. They don’t think about the past. They don’t think about the future. They only think about right now. And that’s what we’re
all practicing to do, so we can be more healthy.
– Trying to do our best, right?
– Yeah. – Yeah, and so, many people
end up going to medical school. Most don’t end up in the
field of Integrative Medicine. At what point did you kind of veer off or get pulled in the direction– Very early on actually. When I was a medical
student, and we were offered to go to Out-of-State,
Nebraska, I’m from Nebraska. – Yeah.
– Yeah. Or, ’cause I had to pay
my way through school. So that was the most economic way for me. – Right, I understand, I was the same. – Yeah, so anyway, so I had the choice to go to Out-of-State, Nebraska, and spend it with little country doctor or go to the Indian Reservation. And I chose the Indian Reservation. I actually chose both
because I’m an overachiever, but I really first chose going
to the Indian reservation and some very special
things happened to me there. There was an incident where a lady got blown up by her propane tank. I was the doctor there. The doctor goes on vacation
when the student comes. So I was the doctor, even
though I was a medical student. And there were no helicopters that came to the Indian
reservation at that time, this was the the middle
of South Dakota, you know, so they either had to drive from Sioux Falls or Rapid
City with an ambulance and so we called, of
course I did everything I could do to revive her,
Western medicine wise, and her eyes were, I mean her,
I was looking at your eyes, her skin was about the color your eyes. – Oh, yeah.
– She was blue. She wasn’t breathing well. And so I told the young man that was there that was helping me. I said, “Go get all of her relatives. “Go get them all. “Get everybody that knows her, “bring ’em here to pray for her.” And so they did. And they came and by the end, and then by the time the ambulance came, she started to turn pink again. – Wow. – And then at the very end,
the young man says to me, “The medicine man wants to see you “at his house at sundown.” And I went, “Uh oh.” You know, I did something wrong, you know. But as it turned out, it
was just quite the opposite. They were waiting on their porch, him and his mate, you know,
standing there smiling. They said, “Come in, have dinner with us.” And so that was the first meeting. But then they said, “Come
back next day at sundown.” And so it became a regular thing. And then they eventually told me that their ancestors told them to teach me their ways.
– Wow. – Which was very unusual.
– Yeah. – In the days of AIM.
– Yeah. – You know, American Indian Movement. – Right.
– And Lakota being very anti whites. But they felt something
different about me. And they knew that I would
be making a difference in the world is what they told me. So, that’s how it started. I right away saw people. I mean, I think I was born that way, but I had a system to
hang it on, you know? People were not just their bodies, their minds, their heart,
emotions, their soul, they’re everything, body,
mind, spirit and emotions. That’s the medicine wheel.
– Yeah. – So yeah, I was very honored by that and I took that with me. And that’s how I saw people
and I still do today. – So going on into your
medical career from there, you had a different perspective on things. – And then I had many different teachers and Native American teachers after that. Joseph Rael was one of
my biggest teachers. I worked with the Yaqui and
the Yaqui Dreaming Women that passed me down their teachings and– – Wow.
– Yeah. And I’ve been to other cultures, Africa, and Botswana, but
particularly the Amazon, I went and learned the teachings of the indigenous people there. – Yeah, that’s amazing to pull together the wisdom of so many cultures. Now when you’re picking up the wisdom, as I say, of these cultures, and then you have, on the other hand, the western medicine
that you’ve been taught, how did you go– Did they ever feel like they were just two different things
that wouldn’t connect? Or did it take some thought
or work on your part to kind of, as they
say, integrate the two? – Actually, it wasn’t work at all. To me, it was just natural. And I have very long legs. So I felt I was bridging the gap between Western and, call it Eastern, but it’s not even really Eastern medicine. But, you know, the word we
had then was alternative, which was a bad word. Because it was like an either or, and I saw it as one thing.
– Right. – I still see it as one thing. And I think we all are
getting to that point, now, I see that when I go to the
meetings, and I’m like, “Yay.” You know, everybody’s getting to where they think of it that way. – Yeah, it’s so wonderful
to see more others thinking that way.
– But when I was doing it, there was no word for integrated medicine. – So it was just alternative at the time. – It was complementary
alternative medicine or then alternative, you know. There was no word for
Integrative Medicine. I actually happened to be the head of Integrative Medicine at Miraval where I was recruited to, where I hosted the conferences to name and
define Integrative Medicine, in the year 2000.
– Wow, so you were not just a pioneer, but
you really were the force behind creating the name
Integrative Medicine. – Well, I don’t know if I was the force. I think of myself as being
on the tip of the spear. – Right.
– And breaking the water. I wasn’t even on the official
roster for the event, but I was there because I was the hostess. – Right.
– Yeah. – Yeah, when you have the power to bring the people together, I think a lot of credit is deserved for being able to create that movement. – Or maybe I just have
the Forrest Gump effect. – Well, that’s magical in and of itself. – Yeah, yeah. – That’s great. So, as you were kind of, in that time, taking Integrative Medicine
out into the world, was there, you see a lot of the world
opening up to it more, these things, but was there
a lot of friction against it? A lot of push-back from
mainstream medicine. – Yeah, you know, amazingly enough, I didn’t feel the friction. You know, I mean, actually, of course, before all that I was at
UCLA, I became a professor, and we were having the
first consensus conferences on different Integrative
Medicines, you know. We had chiropractors, and
back then that was a big deal. We had people that did Reiki, we had, you know, Oriental practitioners, Native American practitioners, and we did a landmark study
called The Healing Connection, where we had Native American, oriental and Ayurvedic practitioners,
see our patients that have reached a dead end, and then added one of those disciplines, ‘course they all did better. – Right.
– Big surprise. – Surprise, surprise. – But that was a huge
thing, then, you know? That was almost unheard of. – Right.
– Yeah. – What what time frame was that in? That was, well, it was
before I went, you know, so I was still at UCLA, so
it had to be before 1995. – So this was like, pretty– – In the early 90s.
– Yeah. So, you know, the internet has been such a boon for people finding
out about these things. But to pull something like that off before most people were even getting online and being able to Google
health information. – Yeah.
– It’s amazing. – Yeah, we didn’t have Dr. Google then. But you know, I thought
the dean was gonna come take me away in handcuffs. But, it was, you know,
he liked it, turned out. – That’s great.
– Yeah. – It says something about you, I think, that you’ve been able to
manifest the right support along the way, every step of your journey, whereas others who are
not so aligned as you may have found more direct resistance. – Yeah, maybe, you know,
and God bless them, too. – Yeah, yeah, of course. So, in finding your specialty, what led you to Gastroenterology? I know you have a practice now where you, it’s a very holistic look at things from a multitude of different angles. But how’d you end up
picking Gastroenterology? – I don’t know, I think
it was more metaphoric. I was always attracted to
looking into everything. Turning over every stone, you know, to get the answer. Whatever it took. I mean, I was giving IV vitamins to my patients when I was an intern. – Amazing.
– Yeah. I even turned over a guy that
had sideroblastic anemia. And he kept getting
pneumonia over and over again and I’d giving him IV folate. It turned him around, ‘course
I change his lifestyle. Got him to quit smoking and quit drinking and got him back to church. – You need all the pieces.
– Yeah, all the pieces. But that, when I was an
intern, I was doing that. But yeah, so I was always,
you know, internal medicine is like looking inside of things, get digging down to the root cause or what we thought was the root cause in western medicine way.
– Right. – And then Gastroenterology
is looking into, but I love the technology. You know, I actually, I loved both. But the problem with the Western medicine, and still a bit of the problem is, we were taught that it’s
science is the altar that we draw our tools from. And maybe sometimes it is. ‘Cause I don’t ever say
Western medicine is bad. It’s a good thing. But when you combine it with
all the other things we know, that’s a great thing.
– Right. – Yeah.
– Absolutely. When you take all the tools, new and old, and you just use what works, right? Rather than only taking
a certain category. – Yeah.
– You can do so much more. I think that’s really wonderful. – Yeah.
– So, going at the things in Gastroenterology, something a lot of people are dealing with today is SIBO. And that’s a word that
really has just kind of popped into people’s awareness. It feels like in the past year or two, that it’s come into kind
of the public conversation. Even though, you know, in
the medical world, of course, it was discussed earlier. Compared to things like IBS
and Candida that people, you know, we’re talking about
20 or 30 years ago, already, this is something that seems fairly new. What is going on? Walk us through what SIBO is. – Okay. I think that it’s a continuum. You know, all of the things
that go wrong with our gut. Our gut is, I say, where life comes from. – Yeah.
– You know, and it’s a continuum. You have people that have
no symptoms and their gut seems to be working pretty good. And then you have people
that have symptoms, and then you have people
that, over here on this end, which may have C. difficile
colitis, you know, super bad dysbiosis, leaky gut, and SIBO. – Right.
– So it’s, you know, we’re all somewhere in there. – Right over here they’ve got
all the big stuff going on. – Sorry, I didn’t mean to put it on you. – No no no, I didn’t
perceive it that way at all. – So yeah, so I mean, is it
happening more frequently? I think so. Is it because we’re recognizing it more? Possibly. But there’s a lot of things we have now that we didn’t have then, you know? And I don’t mean just
in a diagnosis sense, I mean, you know, if you really wanna get to the root cause,
because I do stool testing. – Right.
– Okay. And I really think that’s a key thing. – Yeah.
– I got to listen to Dr. David Brady this last week at the Academy for Integrative
and Holistic Medicine and I was very, I’m always very happy when people substantiate my beliefs, because it’s just, it’s fun, because they do the research, the hardcore scientific research, not I don’t do any, but, you know, and then I go oh wow, well that, yay. – Yeah.
– That was always right here. – It’s nice to see when
that comes around, right? – Right, so, and he ended
up substantiating that, you know, there probably is more SIBO now. ‘Cause he talks about the microbiome, but of course, SIBO was part of it, and dysbiosis and leaky
gut and everything. But my whole approach with SIBO is that I don’t go straight to anti-biotics. You know, the Rifaximin
that they have showed up. I mean, when did they discover SIBO? Someplace that Cedars-Sinai
is a place in– – I don’t know the
exact date of discovery, but it’s relatively– – It was a while ago and they found that there was these increase
gases that were performed. – Right, like she had like hydrogen gas and methane gas coming
out of a breath test. – The methane gas apparently lives off, partly, off the hydrogen gas, which I thought was interesting. – How interesting. Before we go further into that, just for people who are hearing SIBO – For the first time.
– For the first time. Tell ’em little bit about–
– Yeah, well see– – What it is, what’s going on there. – What’s going on there
is, most of the time, most of the bacteria in
your gut is in your colon. – Right.
– And then when you get SIBO, Small Intestinal Bacterial Overgrowth, for some reason, they move north, and they go into your small bowel. Now, why do they go in your small bowel? I don’t think is well understood. – Right, there’s kind
of a variety of reasons that are being thrown out there, but nothing is definitive yet. – So that’s what happens. But I believe it also has to do with what is your microbiome. You know, do you have more methane producing bacteria in there? And what is causing that? – Right.
– I think is what the root cause is.
– Yeah. – And I have some, you know,
theories about that, but. – What might people be
experiencing symptomatically? ‘Cause like people will hear this and say, “Oh, SIBO, I have no idea. “Is that something I need to worry about?” So what so what would be the symptoms that one would look for that maybe? – Okay, it’s mostly constipation prone, although diarrhea can be seen. They get extreme bloating,
extreme bloating, I mean, like pregnancy. – Oh, wow.
– Big. And gas, passing gas, but
pain can be abdominal pain. But the most prevalent
symptom is bloating. – Right.
– Bloating and gas and constipation, but diarrhea
can also be part of it. And it’s severe and is
persistent, and it’s annoying. I mean, I have patients
that I get on treatment, and they’re so uncomfortable. They may bolt and go to the emergency room in the middle of treatment because they just can’t stand it
anymore and they end up, doctors telling them they don’t have it, and doing CT scans on them and stopping their medication and then we have to start all over again. – That’s frustrating. – But you know, in my experience, we can definitely treat this. And that’s why I brought up David Brady, because he agrees with me that the best way to treat this is naturally. – Right. – With natural– – Because with anti-biotic treatment, it very often, SIBO will recur. – Exactly.
– It just comes right back. – It just comes back. – Yeah, and then you’ve also decimated your good bacteria population.
– Exactly. – Leaving you ripe for Candida. Now you’ve got large and
small intestine problems. – Exactly. But sometimes if people are
so terribly symptomatic, they’re not responding fast enough, I will give them the antibiotics and then immediately follow
up with the natural medicine. Intestinally coated oregano,
I find to be very helpful. Berberine, of course is really good. – Yeah, berberine is one
of my absolute favorites. It works for so many things. For this, for candida.
– There’s 90 different things that it
can be used for, right? So those are my two favorites. And then of course, like I said, I look at the microbiome,
so I see what else is there. We do RNA, quantitative RNA testing through Diagnostic Solutions. Very good company. I’m really pleased with them. David Brady uses the
same, as it turns out. – And so this, are they testing,
is this from a stool test? Would they look at that? So there’s kind of two ways that one can test for SIBO, right? There’s the breath test. – And I do the breath test. – Right and–
– It’s not 100% – That’s exactly why I bring it up, because the breath test they’ll look for hydrogen and methane. But from my understanding, there can also be hydrogen sulfide being produced by SIBO, which
is not necessarily tested for. And there’s not set parameters necessarily that have been established on a wide scale for what breath test results mean you have SIBO and what doesn’t. So I think it’s amazing that you have used the combination of these two tests, that’s kind of a checks and balances to have a higher degree of certainty. – Yeah, I think the main
thing is your clinical. You know, I say a test is only
as good as what it shows you. – Right.
– If it doesn’t show you and you still have this
symptomatic patient, you don’t tell this symptomatic patient, you don’t have something. – Really it’s amazing when doctors kick you out of the office and say, “There’s nothing
wrong with your tests. “Your symptoms are–” – You’re fine.
– Yeah. – No, no, I don’t. Yeah, you gotta go with what’s
happening with your patient. Although I will say
I’ve never seen anybody with a completely negative breath test and a completely negative stool test. I’m not seeing that. – Everybody’s got– Oh, so if the symptoms are there, always something will come out. – Yeah.
– In those tests. – Yeah.
– Yeah. Is SIBO like a scale where everybody’s got a little bit of
bacteria in the stomach and some people have more,
and some people have more and some people have
way more, would you say? Or is it– – You mean like in small intestine? – Yeah.
– Yeah. – Or is it like an on and off thing? Like you have it or you don’t.
– I don’t know. I think we’d have to do
small bowel endoscopy and test everybody to know that. I don’t know if that data exists. – We don’t have enough people signing up for that test, I guess. – Yeah, and it’s very expensive. ‘Cause that is another way you
could diagnose it, of course. – Right, my mom actually
had it tested in that way. – Really?
– She was experiencing some symptoms that, she has
a bad taste in her mouth, that she hasn’t been able to deal with for years and has come at it from many different angles and, she was, you know, due for a colonoscopy. And so they said, “Well,
why don’t we check your “small intestine as
well while we’re going?” And it wasn’t SIBO. But yeah, so that is the,
I guess, the ultimate the most highest way to test. – Yeah, exactly. It’s too expensive to do for everybody. And I think we can get at the answer with these other tests and
with our clinical acumen. – Right, yeah, yeah. Putting together, kind of, triangulating between stool test, breath
test and symptoms, right? So what we got into a
little bit a moment ago with berberine with you right now, but what do people do dietarily? If they’re doing it with SIBO,
once they’ve had a test done? – Okay, usually what I asked people to do at least temporarily, believe it or not, is ’cause they have too many bacteria in their normal category as well. Is what you’ll see on the stool test. – Oh, interesting.
– Yeah. So, and maybe that’s because people are more tuned in to taking probiotics or fermented foods– – They’ve tried do something already. – I ask them to not take fermented foods and to avoid gas producing,
like cruciferous vegetables, broccoli, cauliflower, you know, cabbage, things like that,
because they produce gas. – Yeah.
– And it helps, it helps. And I also ask them to
remove refined carbohydrates. And then I’m a big no gluten fan. So I throw that in. Because I think it makes the gut healthier and better able to resolve itself, whether or not that’s adding to the, you know, gas problems, I don’t know. – Right, you just stack
the odds in your favor, rather than your body having
a fight against gluten, while it’s also trying to heal
the SIBO situation, right? – Exactly. And alcohol.
– Right. – Processed sugar.
– Yeah. – And also causes leaky
gut in and of itself. As does gluten or zonulin. – Right.
– Is associated with that. – Yeah, so do you often find, now, looking at kind of three things that seem to often co-occur, I’m curious to know what you
think their connection is, if one is causative of the other or if they are just caused by the same third party kind of factor, but you see, leaky gut, you see SIBO
and you see IBS happening rampantly these days with people. What do you feel is that
the link between those? Is it a combination of many things? Is there one thing that
kinda connects them? – I think there are a few things. You know, if you think about it, and you think, and I like to think big, I also like to think really small. But what do we have now
that we didn’t have before? And the thing that we have more that’s more prevalent
than anything is stress. – That’s what I was just about to say. – We have more stress. And, you know, everybody
has this sense of urgency. And we run around with
this sense of urgency. And what does that do? That makes flight or
fight neuro transmitters, that makes toxins in and of itself, which kill off the good
bacteria in your gut, and, you know, open the doors for, what I call, the gangsters
to move in and take over. – (chuckles) The
gangsters, that’s so good. – And maybe the methane
producing bacteria. – Right.
– To take over and start causing problems. Now that could be the beginning. That’s your leaky gut, you know, and then when that goes, then your membrane permeability is not working and the other thing we have, and I think about it, is toxins. – Right.
– Glyphosates. Glyphosate is a very strong antibiotic. – Right.
– So it’s shifting our microbiome and whether or not, this lady that spoke at
the conferences last week, talked about her microbiome and she was overcoming
some health illnesses and she said, she was eating so pure, and so clean, like, you
know, probably you and I do. And she was still,
she’s testing her urine, she still tested positive for glyphosate. – It’s almost, it’s
pretty much in the air. – Exactly. She goes, “Where’s it coming from?” And so it told her that, you know, it’s not just the food. But the other thing we have
to think about is water. You know, because it can be in the water. – Right.
– And so if it’s killing off all the bad things on, you know, herbicides, pesticides, fungicides, it’s doing the same thing in us, you know, it’s a potent antibiotic. – And it’s designed, as I understand it, to explode the stomach of bugs that would try to eat the plants, right? And we think oh, well, clearly it’s not exploding our stomachs. Nobody’s Walking around, like,
with their guts pouring out. But on a micro level,
this is right in line with how much leaky gut
we’re seeing in the world, that it’s creating these micro holes in the gut and breaking
open those tight junctions. And then for people who are
new to the idea of leaky gut, the small food particles can then enter into your bloodstream, right? And good bacteria can’t
properly settle in. – Yeah and the lipo, you
know, polysaccharides from the plant gram-negative bacteria will and then that causes more toxicity. – Right, and then now you
deal with autoimmunity and chronic inflammation. – Yeah, well, we know now there’s certain bacteria associated
with autoimmunity and that’s the other reason
I do the stool testing. There’s a bacteria called prevotella, there’s a bacteria called, sure
you’ve heard of klebsiella, and citrobecter, which are definitely associated with autoimmune. – Yeah, those are the real gangsters. – Yeah, when I see those, you know, I’ve even had people come in
and I check their thyroid, and one of the things I like to check other than the Free T3, Free
T4, I check out TPO antibody, which is thyroids against your own, I mean, excuse me antibodies
against your own thyroid. – Right, thyroid peroxidase–
– Antibodies, yeah. And when you find those, you
know you think Hashimoto’s. And if you can find those antibodies and immediately clean up
their gut, and I’ve done this, the antibodies go away and the risk for getting Hashimoto’s is over. – That’s amazing.
– Right, isn’t that great? – That’s spectacular. – Yeah, ’cause you’re
saving them from a life– – If I had issues with Hashimoto’s, that’s like, that’s horrible.
– Yeah. You’re saving them from
a lifelong commitment to taking thyroid. – Right, that’s what
I always say to people whenever the thyroid
conversation comes up, is try doing everything natural possible before you get on a medication. Because once you’re on
it, you’re kind of stuck. – Yeah, but I mean, you have to– – In certain cases it is necessary. – Yeah.
– Sure. But, but it’s worth
giving all natural means, such as, you know, dealing
with gut issues, a shot to, you know, maybe you don’t have to take thyroid medication
for the rest of your life. But, you know, as medications go, it’s not one of the most evil, in terms of the side effects.
– No, but it’s, you know, addicted to it.
– That’s right. – Once you want to take
it you have to have it. And anybody that’s a
thyroid patient knows that and thank God we have it.
– Right. – But if you can, if you test for it, and you can pick it up early,
– For the antibodies. – You can you can reverse it. – That’s amazing. Is there a connection, do you think, between thyroid and SIBO? And I just hypothesize this, because, it seems that part, one of
the hypothesize causes of SIBO is a lack of proper stomach acid levels. And the thyroid has such a role
in metabolism and digestion. Is an underactive thyroid kind of setting the stage perhaps,
for SIBO to come in? – I hadn’t really made that connection but you could be right. – That’s just me hypothesizing. – Yeah, to me, it’s more about
the acid thing you mentioned. Because there’s so many people that go, “Oh, I have a little reflux, “let me take some over
the counter Pepcid AC “or Famotidine, let me take
some Zantac,” you know, or Ranitidine, or even worse, you know, Prilosec or some kind of potassium ATPase proton pump inhibitor, which
totally removes your acid. When you remove the acid, that’s
your first line of defense. – Yeah, and now you’re no longer getting nutrients out of the food. – You don’t, yeah, because
you’re not activating your digestive enzymes if
you don’t have the acid, but the more important thing, you’re not killing off those gangsters. They’re getting straight in, you know, just open the door, you know. – Yeah, you’re very welcoming to them. – Yeah, so there are very
many natural ways to treat, you know, reflux, which
is another subject. – Yeah, well, I’d love
to go a little bit down into that area of digestive
acids and how to increase that, because, as it’s very interesting here, because as people age,
they usually produce less hydrochloric acid, right? And fewer digestive enzymes, on average. – They usually do, yeah, but you can train the body.
– And you see more SIBO as people get older, it occurs
more in older population. But I’d love to hear your thoughts on how you can train
the body, as you said. – Yeah, a lot of people just
knee jerk at practitioners. Here’s some digestive enzymes. – Right. – I’m all into biomimicry. And I’m all into trusting the body, knowing the body, trying to get the body to do what it already knows how to do. – Yeah.
– So I love love love bitters. Because, you know, if you
give a person bitters, it says, okay, the food is coming, make some digestive enzymes. You can actually train the body, you can actually get
people off these drugs that I had mentioned before for reflux by giving them bitters. And before they eat, and
then their body will begin to make enzymes more and more and, and it isn’t necessarily young people, – Right.
– All the time. – Yeah.
– So it’s biomimicry– – As long as it’s still got
a spleen and a gallbladder. – And a pancreas.
– And a pancreas. There is something you can activate there. – Yeah, yeah. And, you know, but there
are bitter receptors all the way, they’re everywhere. They’re in your brain. They’re, you know, not
just in your tongue. They’re from here all the way down. They’re throughout your body. So by taking, Standard Process has a great product called Digest Forte. It’s a great mix of bitters.
– Yeah. – And if you take it
right before you eat– – Is it a liquid, a tablet? – It’s a tablet. – So that’s easy. People don’t have to deal
with the taste so much. – Yeah, you don’t have to. – I’ve seen lots of
– I love my bitters. – Liquid bitters that
people like you and I who are very hardcore can enjoy it. But for some people, it
would be kind of a barrier to have to deal with the bitter flavors that they’re not used.
– Yeah. No, it’s a great way to do it. And it can retrain your
body to make you proper, you know, digestive enzymes. – Oh, that’s very cool. Yeah, that’s fantastic. – It’s probably how I get
people off those medications. – Right, and it’s so funny because it’s the exact opposite
of what many people would initially think is the solution. If they’re having, you know, heartburn and acid reflux to
think this is too much acid. – Right right right. – I need to take down my
acid but, when in fact, by getting your body to
produce more natural acids, that’s the way out. – And the Chinese know this. ‘Cause I’ve studied some
Chinese medicine as well. It’s reversed stomach chi.
– Yeah. – People with SIBO, people with bloating, people with the even leaky
gut, get reverse stomach chi. – Yeah.
– And then they get reflux. – Right.
– So if you give them bitters, treat the imbalance in the gut, – Right. – So some of the ways
that we discussed it, it corrects itself, it gets
it going the right way. – So we talked now about diet
and gut health practices. How about in the category of like supplements and herbs? What are some of your
favorite supplements and herbs to incorporate with SIBO? – For SIBO, yeah, I mentioned
it earlier a little bit. But for the cycle effect, or getting rid of the bad bacteria, or the methane producers, although it’ll get rid of across the board. You know, all the bad bacteria
is enteric coated oregano. And it’s called Gut Flora,
by Standard Process. I love that.
– Enteric coated, for those who are not
familiar with the term, is so that it doesn’t
get absorbed too soon. – Yeah, oregano oil, it does work, but it’s very hard to take. It burns, it’s difficult. – Right, and so you wouldn’t want somebody just taking a bottle of
oregano essential oil and just putting that in their mouth. – Although people do. I think a much better way
is to do it enteric coated. And you wouldn’t even know you took it. – Right.
– Yeah. It’s awesome, there’s no rebound. – It can actually get
to where it needs to go. Yeah.
– Yeah. So I love that. And of course, we mentioned berberine. There are a lotta companies
make really good berberine. Actually, you can tell
I like Standard Process. – Yeah.
– They have organic herbs, and they’re sourced from
all around the world. Best Places to grow them. And I’ve visited these places. – Oh, wonderful.
– Yeah. I’ve visited the farms,
so I’m really impressed with them and their
herbs are way more potent than a lot of other ones. But I’m sure you know. – Yeah, no sure, certainly
with with herbs there’s huge variations in quality and potency and purity out there in the market. – Yeah, so that’s why I
do these site visitations and pick the best one. – That’s so good.
– Yeah. – So berberine– – So they just came out
with Berberine Active, which I love love love. So, that works very well, – Yeah.
– In the mix. And then there’s something
from Designs for Health that has a little berberine
in it, but I like to use it if there’s parasites involved. It has black walnut, or else
I’ll use just black walnut by itself, for parasites. You gotta look and see what’s there. – Right, so parasites and bacterial and gut issues can very
often be co-occurring. – Oh, yes.
– And it can, it’s hard just to heal from one if you don’t heal from all. – You know, it’s funny, because back in the late 80s I think it was, yeah, I was looking, always wanting to know why is this, what’s in there? And so, you know, I was doing stool test, and I was working with a company called, they were called the Great Smokies. – Oh, I know Great Smokies. – Now they’re Genova Diagnostics. – Right, but there’s
also now Great Plains, who they kind of split
a faction out of it. They keep splitting and
changing names, it’s so funny. – Yeah, yeah, yeah.
– Yeah. – But anyway, they did stool testing and everybody back in
the day, this shows you how much things have changed.
– Right. – Thank goodness for us.
– Yes. – And our people that, you know, everybody thought I was nuts. You know, it doesn’t matter. It’s commensal. Commensal, meaning it belongs there, or it’s always found there, or it doesn’t really cause any problems. And we’re talking about yeast, we’re talking about blastocysts, we’re talking not just a
parasite or other parasites, and I’m going like, “I don’t think so.” ‘Cause I was working in the Inflammatory Bowel Disease Clinic and in the Irritable Bowel Disease Clinic and I was finding big differences from just regular people.
– Yeah. – And so, I began to
do it clear back then. Always looking into the microbiome. – That’s amazing. Yeah, it’s so fortunate for everyone who has the opportunity
to be in front of you and get this wisdom from you when it was not generally accepted for so long. – Yeah, thank goodness it is now and that we’re looking at these things. Although there’s some argument about what kind of stool
testing and this and that, but I prefer the quantitative RNA testing. And there’s another test by
Thorne that’s really good, which is DNA. But I think, you know,
it’s pretty equivalent, but to get to it is a little
more difficult for my patients. – Okay.
– But the test is good. – Yeah. So either, is it with Genova Diagnostics, who you normally get an RNA test with? – There’s Genova Diagnostics also. No, it’s Diagnostic Solution.
– Okay. So they’re kind of the two options for the stool test here would be the Thorne one for the DNA Or Diagnostics Solutions for the RNA. – Yeah, although Genova has added a genetic part to their stool testing, so I don’t want to discount them because– – Right now they do a lot
of great stuff as well. – I’ve used them for so many years. – Of course, they’re wonderful. – And I do nutrient testing with them. – Right, so okay, great. Well, thank you so much, Dr. Randall. This has been wonderful, insightful. I’m sure people have learned
a great deal from this. I’d love to send all of you guys to Dr. Randall’s website to check her out. Dr. Which is spelt just And you can also find her on Instagram. You’re @drgaylerandall
on there, is that right? And she puts out a lot of great educational information as well. I think you guys will really enjoy it. Any last thoughts you’d
like to share, Dr. Randall? – No.
– Okay. – I love you guys. Come see me. – We love you too, Dr. Randall. Thank you so much for
sharing your time with us and sharing your wisdom with us. – My pleasure.
– I really appreciate it. Thank you so much.

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