Weekly Health and Fitness Corner

"...do you want me to just go down let's go down the so we haven't we have a long list we're not going to get through all of them we're going to spend about 15 or 20 minutes going over over these questions and we'll see how far along we get so the first one and these are quotes right off of the right off of the websites and from you so first one is a question about multiple sclerosis what is your thought on stress and multiple sclerosis so what I would say is that with most odd immune diseases what we find is that stress can be an exacerbating Factor when you look at the literature that holds true for many different conditions when it comes to Ms lots of times you'll read will stress may not be a major factor or Diet isn't a major factor but we would say in our clinical experience we disagree substantially any time an individual is under chronic stress just looking at the basic physiology of it you're going to decrease blood flow to the gas...hustle track is putting your body into a state of fight-or-flight ready to fight the line or run from it so to speak and in doing so we know the literature on Ms is robust on the gastrointestinal related to the illness meaning it has been shown that the gastrointestinal tract breaks down and patients who have MS and that leads to immune activation which is also seemingly associated with the immune activation in the brain so we would say stress can be a major component of Ms we've seen viral infections cause patients to go from you know basically secondary Progressive to primary Progressive we've seen the same thing with stress responses so stress is a major factor and if it is present not only in Ms or any other autoimmune illness it's one of the main factors that we have to address some yeah more in general if you're any type of a chronic pain patient the cliff notes on stresses when your chronic stress it can affect your brain it can cause short-term memory loss..."

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"...first question is do you ever see patients who experience inner Tremors can you address what this might be all about and I would say yes we can address what this is all about we see a lot of patients with a variety of some Tremors and inner tremors are something that have a specific medical understanding for us yeah and the internal Tremors can be a number of things you could be anxiety it could be an autoimmune response your thyroid it could be hyperthyroidism it could be something like a pheochromocytoma which is where your adrenal gland has a tumor on it and makes to me adrenal hormones so all of those are possibilities for the internal Tremors we frequently see it with autoimmune thyroid disease but we see a lot of so that so that's kind of our take on anxiety a lot of anxiety those are two things I would go to those two things first I don't know yeah okay but yes can you have fibromyalgia this is a great question because it's kind of fiber understanding of fibromyalgia can you have fibromyalgia not have irritable bowel syndrome and not hurt when someone hugs you or touches you great question the understanding of what it fibromyalgia is evolve and and we've stayed on top of that Gates has done continued to stay on top of the research so I think this is an interesting question to answer for people who are confused yeah like me right so if I were myalgia we had the 1990 criteria by the American College of Rheumatology and that criteria set forth that if you have tenderness at a certain number of the trigger points 11 out of the 18 I know they team basically then you had fibromyalgia to produce 11 out of 18 and then you had other Associated symptoms of brain fog and fatigue whereas the new criteria the 2010 American College of Rheumatology criteria that came out and it's predicated on not having the trigger points you don't have to be able to termed a low zdenek allodynia constitutes pain with a normally non painful stimulus so like somebody giving you a hug so you don't have to have that pain response when somebody gives you a hug and you don't necessarily have to have IBS either in order to be diagnosed with fibromyalgia now it can't be another condition that's causing the pain it can be associate with other pain but you have widespread pain so pain and many areas of your body there's a way to document that you have other disabling symptoms of fatigue and brain fog and the fatigue and brain fog half of these severe enough to be above a certain score level for you to be diagnosed with fibromyalgia so it's really more predicated on widespread pain fatigue and brain fog and then it also factors in other Associated symptoms like IBS but you don't have to have IBS you don't have to have trigger points to have fun that you can have other gut problems like I have Celiac can write or you could just have non-celiac gluten sensitivity.."

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"...and depending on how this goes we may end up doing in the first two weeks I don't know but we'll definitely do it today so I'm just going to get cut right to the chase here this seems to be a stress-related group of questions so is there a link between long-term stress of about five years and hyperthyroidism / Graves disease tell you what I'll just read this and and I'll keep my stuff out of this now I think we should turn back and forth but with Graves disease the literature does state that stress can precipitate the condition some people dispute that in the literature but overall it's pretty well accepted this stress does cause Graves disease stress is not as much identified as a trigger for Hashimoto's yet but we're anticipating that that's going to change because we hear it all the time or person goes through major stressor and then they develop Hashimoto's so just realize this is an evolving situation we don't have all the answers even here in...things are changing all the time but I just read an article this morning...and they were talking about stress as it pertains to hyperthyroidism so yes without a doubt without..."

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...so Alzheimer's is kind of an interesting topic I still keep hearing nobody's found the cause of it yet I'm not sure there is a the cause relative to that and and and then our observation we do a lot of chronic pain that's what we do for those of you haven't seen us we combine functional medicine and functional neurology to create a paradigm to address kind of the cornerstones of physiology that seemed to be the core of what causes chronic conditions chronic pain in general and so if a person comes in here let's say with fibromyalgia it's pretty common that they're going to have brain fog and short term memory loss and and people come in here and there in PTSD there they're going to have short-term memory loss they're going to have they're going to have difficulty sleeping and things of that natur...going to bed but a substantial portion of our patients come in here with short-term memory loss and brain fog and and other things that you know have that Nuance of is this house hi so the Alzheimer's type of thing we have seen Alzheimer's patients but more often we see people who would seem to me to be in the process of going in that direction so it's of Interest to us to know what's going on and and so this is something that isn't that is it's enveloped in that core of conditions and and of problems chemical problems chemical Pathways neuronal pathways systemic problems that cause chronic problems chronic pain fibromyalgia preferably chronic fatigue dizziness vertigo balance a lot of these things it's interesting how they kind of overlap...

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"Answers to top-on-the-list health questions from our listeners Every week with board-certified chiropractic neurologist Doctor Gates. I am a certified functional medicine practitioner dr. Gates, I am a board-certified chiropractic neurologist and say that from now on because I always mess it up and together we have chronic pain assessment and treatment sessions say it every week kind of just evolve kind of developed on its own frankly in the efforts are actually in the efforts of me to get better from my issues but ultimately with the help of some very very talented people and we've been doing it for a while and we it's pretty much all we do now so we share we're sharing with you what we know out of long years of experience and practice because a lot of most people everybody comes in here with these ideas from the Internet or from their research no offense to those of you who do your research but research on the Internet is fraught with landmines I would but I think that would be an understatement but because doctors would agree with that almost got it was in today's day and age..."

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"...you start out with the large intenstines we see a lot of people don't realize that the dysbiosis all these things that they're hearing about are a lot of them are are in the and I made a mistake when I said microbiome that's more your that's more to the small intestines but but large intestines the symptoms would be feeling that balance do not empty completely so and within the framework of this entire category there are specifics a lower abdominal pain relief by gas passing store gas means we have a bacterial problem gas is a bacterial problem okay it's the breakdown of bad bacteria you can get a couple gases but if you get if you get a methane gas that's sibo and small that's a small intestinal bacterial overgrowth that can be gas that can be bloating that can be passing large amounts of foul smell you have sir has in large amounts of foul-smelling gas and you get distension after you eat there's a good chance that you might have something called small intestinal bacterial overgrowth that alternating constipation diarrhea and I first and we're treating a case we're looking at the gut and we're like okay 75% of the immune system is in the gut this person has Hashimoto's whatever it is if you have an autoimmune problem which seventy-five percent of the immune system is in they got most of you have mystery diseases you're struggling you can't figure out what's going on in and everything's normal and your doctor's time you have an autoimmune component to your condition okay so so another symptom alternating constipation and diarrhea this is called irritable bowel syndrome okay here will bowel syndrome is our alerts us to the fact that person is probably in a chronic stress response..."

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"...I am a certified functional medicine practitioner dr. Gates, I am a board-certified chiropractic neurologist and say that from now on because I always mess it up and together we have chronic pain I say it every week kind of just evolve kind of developed on its own frankly in the efforts are actually in the efforts of me to get better from my issues but ultimately with the help of some very very talented people and we've been doing it for a while and we it's pretty much all we do now so we share we're sharing with you what we know because a lot of most people everybody comes in here with these ideas from the Internet or from their research no offense to those of you who do your research but research on the Internet is fraught with landmines I would put I think that would be an understatement but because doctors would agree with that almost got it was in today's day and age going with that yeah so so so anyway so we're going to talk about "berberine" what we want to do is put it in a context because it can be a pretty amazing adjunct to what we do some really good success with them but lately I have been seeing pamphlets going out to the nation on various things one of them was on gluten one was a for those of you have Celiac for those of you who are Gluten Sensitive it was a pamphlet to said take this supplement you can eat pizza for the rest of your life I'm trying to assimilate my disastrous that must have been for a lot of people but they probably sold a lot of their product but one right now I'm seeing a lot of is burglary products that have significant success in clinical populations are frequently taken to Market by some unfortunately some..."

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"...I am a certified functional medicine practitioner dr. Gates, I am a board-certified chiropractic neurologist and say that from now on because I always mess it up and together we have chronic pain I say it every week kind of just evolve kind of developed on its own frankly in the efforts are actually in the efforts of me to get better from my issues but ultimately with the help of some very very talented people and we've been doing it for a while and we it's pretty much all we do now so we share we're sharing with you what wheeler because a lot of most people everybody comes in here with these ideas from the Internet or from their research no offense to those of you who do your research but research on the Internet is fraught with landmines I would put I think that would be an understatement but because doctors would agree with that almost got it was in today's day and age...going with that yeah so so so anyway so we're going to talk about berberine what we want to do is put it in a context because it can be a pretty amazing adjunct to what we do some really good success with them but lately I have been seeing pamphlets going out to the nation on various things one of them was on gluten one was a for those of you have Celiac for those of you who are Gluten Sensitive it was a pamphlet to said take this supplement you can eat pizza for the rest of your life I'm trying to assimilate my disastrous that must have been for a lot of people but they probably sold a lot of their product but one right now I'm seeing a lot of is burglary products that have significant success in clinical populations are frequently taken to Market by some unfortunately some..."

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...just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done and now we're going to start moving into a little bit more into treatment and this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of a its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when a person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety it results in panic attacks or results in the Prussian it results in inflammation it results from the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and I'm going to we're going to understand why things

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just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done and now we're going to start moving into a little bit more into treatment and this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of a its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when a person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety it results in panic attacks or results in the Prussian it results in inflammation it results from the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and I'm going to we're going to understand why things

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