I'll ask people, A, are they taking digestive enzymes? And then B, or have they in the past if I see that they haven't. And um, you know, digestive enzymes, there's there's a lot of different types of digestive enzymes on the market.
There are ones that have hydrochloric acid in there. There are ones that just kind of work with um pancreatic enzymes. There are ones that have bile acids in there.
There are ones that have um different enzymes that help us to break down fibers. Um there's lots of different types of enzymes that are on the market. And so if one person has tried one enzyme, but maybe it was just, you know, it didn't have any hydrochloric acid in there and you needed the hydrochloric acid or maybe it didn't have any fiber digestive enzymes and you needed those fiber digestive enzymes in order to help you to break the the the food down effectively.
We have to kind of really kind of figure out what it is your back to the individuality. What does your body need? where is the hitch and the getalong in terms of your body's ability to break that food down.
Now, not everybody needs enzymes. Not everybody needs that level of support. So, I'll just start there.
Um, but most of my clients do and I've had situations where uh, you know, I work with a lot of mass cell activation syndrome where just those mass cells are just going off in the gut all the time and that's kind of what's feeding into the, you know, reactivity that they're experiencing. And just by giving some level of digestive enzyme to them, it calms that that mass cell activation, it calms the histamine release. Because now, you know, let's say you weren't digesting or able to to to break down those fibers and we have the appropriate enzyme in there for you to help you break those fibers down.
We're getting less undigested food in the gut. We're getting less fermentation overall. We're just getting less agitation overall.
we're actually able to kind of utilize what's, you know, what we're what we're we're getting. So, you know, think about so I've had situations where um somebody has severe, let's say, diarrhea and they just have not been able to get in on top of it and then I see that oh wait a minute um you know the diarrhea only started you know after you had a colisctomy after we took out the gallbladder. Okay.
So, that really Okay. Okay. That's obvious, right?
And so, they've, you know, tried all sorts of different things that the doctor has prescribed and nothing cholestered. And I said, well, listen, have you tried any kind of like fat digesting enzymes like lipase or or, you know, bile acids or things like that? And well, no.
You know, I've taken in a digestive enzyme, but when I look at the enzyme, there's only a few hundred units of lipase in there. So what just by bringing in additional lipase just by bringing in some level of bile acid to help we start to see that they can then you know help themselves digest that fat and look all of a sudden we don't have the diarrhea anymore and you know I'm kind of using that that's a little more obvious because they just had the colisectomy but I'll I will assess that in all of my clients right so you know I'll listen to like what foods actually feel more problematic to do the starches, the fats, is it the proteins, is it the fibers, is it the vegetables? And they'll usually have a sense of like, yeah, I cannot do protein.
It just sits in my gut. I cannot do any kind of vegetable. It just agitates.
That gives me a sense of where we might want to kind of um dial in to specific enzymes coming through. Maybe we just target the fibers. Because I also say is that if you give yourself say pancreatic enzymes, but that's not the problem.
Right? You're you're you're you are producing adequate amounts of amalayise and lipase and proteias and you're bringing those things in. Putting more enzymes in there, it often doesn't feel very good.
We see more crank. We might see more bloat. We might see more agitation or burning, right?
Because the pancreas is like, I got it, man. I can take care of this. No problem.
Why are you giving me more? And so if we see that when we're giving someone an enzyme and they're getting worse, then it's like, okay, let's let's pull back on that, but maybe we need to be kind of thinking and again back to listening to the individual. Where might you need additional support for fats, for proteins, for enzymes, and brush water enzymes, lots of different enzymes, lots of different acids, lots of different things being produced in that gut that maybe there are more individual things we need to be thinking about.
So let's let's chunk these to try to give people some specific uh presentations along with what they should take. You had mentioned first in that list fat malabsorption. So you notice you eat too much fat, maybe you're bloated, maybe you have loose bowels, maybe you have sort of greasy stools that tend to float.
So you're thinking here Yeah. So you're thinking here lipase and bile. Are you doing these together?
Is there a formula you like? What do you do here? I might so if that were the case I might start with lipase specifically um and you there's and you can get just straight lipase you know you can get ones that are smaller amounts of lipase and you can get ones that are larger amounts of lipase so I might just start with the lipase specifically depending upon the sensitivity of the client if I see that they're really you know like they don't have good food tolerance or they taking enzymes or taking any kind of supplement really freaks them out because they're so reactive this is big in my world, right?
[laughter] Um, I might start with like small or hundreds, you know, and just kind of see like a do you tolerate this first? Always the question, do you tolerate it? And then B, does it do anything for you?
And if there's some indication that there's some benefit to it, then okay, can we take another one and see? And then maybe we're seeing that, yeah, the more I do that it's helpful, but I still need more help. Well, let's maybe go to the larger formula and build that in and see how that works.
And then if that's only getting us so far, but we do feel like the fat >> Sorry, sorry, not not interrupt you. Just just one one quick clarification there. When you say larger formula, do you mean lipase plus bile or what?
What does that larger? >> No, maybe just more lipase. >> A higher dose.
Okay. >> Yeah, I use one. Yeah, just higher dose lipase basically.
So I I have ones where that are lower dose lipase and ones that are higher dose lipase. So I might just kind of, you know, veer into those just depending upon how they're doing. um then I might consider bile acids are kind of strange.
I I not a lot of my clients tolerate them very well even if they might actually need them. Um they may not tolerate them very well. And so I'm I'm a little judicious with those.
But if I kind of see that that might be beneficial, I might add those in. But and usually again start at very small doses, 125 milligrams. Just kind of come in and see how that goes.
Now I'll just kind of maybe move into this whole other aspect of things so we can come back to the enzyme piece because we are on fats is that I do see a fair amount of bile acid insufficiency uh and bile congestion in my clients with food intolerance that really can feed into not just fat malabsorption but dismotility constipation fer excessive fermentation things like that. So um I will also just kind of try and see not just giving bile acids but can we kind of open up those massage those bileducts a little bit more so that maybe you can you know empty out more bile acids and we can do that with digestive bidters we can do that with castor oil packs we can do that with chapedra tutka we can use different things that could help to kind of open those up and see if that doesn't actually help with more of your own ability to digest your fats. That's what I like about things like bitters and and that type of idea is what can we do to get your own system back online so that it can >> digest itself.
>> Have you have you used um LVGB? That's a product by designs for health. It's got I think fenugreek dandelion.
It's sort of like bile thinners and things to help um silarins in there too. >> Yeah. Not specifically, but yes.
Yeah. Not that project specifically, but yeah, that type of thing. I work with bofinning.
I just got to step aside for a second and say like working your biles from my perspective and once I learned this uh uh maybe a few years ago in my practice, this has really become a really key area for me. I work this angle a lot because I feel like there's a lot of people that are not detoxifying well because of congested bileducts and who are not eliminating well because of congested bileducts. And those things can really kind of feed into the dispiosis that we're looking to clear things like SIBO, SIBO, SEO, things like that.
Um or the detoxification of molds or or whatever else we're taking in through our environment. And so, you know, if we're not tolerating treatments or we're not tolerating our food or things there's a significant dismotility where we either can't move our gut or there's too much gut movement, I assess those every single time. So, enzymes and assessing bileducts for me become a really key piece in terms of trying to kind of help you tolerate your food and help that gut mood.
>> And when you say assessing bileducts, how are you doing that? >> I'm basically I can't poke them. what's [laughter] either a different that could be like the formula you talked about.
Um, depends upon the person. So, uh, if there it's a very sensitive person and we're not going to give them anything orally um because we want to kind of back off a little bit. Um, I might say uh do some abdominal hydrotherapy over the liver.
Hot, cold, hot, cold, hot, cold back and forth. Sometimes that can kind of release. Um, I might do castor oil packs and see if that doesn't help.
A nice conurgic. I might give some um digestive bitters. Um and I try to keep it one single ingredient, no alcohol.
Um something very easy. Um see if that stimulates some things. Um that might be our first kind of thing for someone who's super super super sensitive.
Um if they're feel like I got a little bit of, you know, I can maybe get in there a little bit more. I use a lot of stone breaker, a lot of chunka pedra. Um it's an herb that basically can uh help to break up any kind of micro stones and that can be applied to kidney stones or gall stones.
Um and so I use a lot of that. You got to be careful of that stuff though. You got to go super slowly because and I've learned this the hard way.
[laughter] You got to go really slowly with that stuff because it works. And do you notice is diarrhea is that a common thing that you'll notice if you go too aggressive liver cramping >> liver cramping and then yes looseness of the stool. So um I'll come back to that but like if if um you know we start putting something in there that's really working on any kind of like stone formation in those bile ducts.
It's going to hurt. It's going to be a little agitated and crampy. So you got to go in really slowly with that and then build as you are able up to the recommended dosage because dosages are usually like take two capsules of this twice per day and it's like don't take two capsules of this twice per day.
[laughter] Take a quarter of a capsule in a little water and we'll start there. Um so the the the bile ducts I think are are incredibly important in terms of really helping things to move um considerably. Um what I will say is that if you do take something like that like chonopedra or tudka or any of those sort of bile thinners um be careful um if you are managing your um uh constipation with things like magnesium or trifula or things like that, right?
If you're if you're using a lot of those things to have a bowel movement, but part of why you can't have a bowel movement is because your bile ducts are congested. Once you start opening those up, to your point, yeah, diarrhea is gonna happen in which case you got to pull back on things. >> And just to clarify for people, bile is is kind of a laxative, you know, in a good way, right?
So that's that's that's how this connects in terms of if you need something like uh motil, ginger, magnesium, vitamin C, then you start mobilizing more bile. It might not actually be that you're having a negative reaction to the bile thinners or flowing agents. It could be you need less magnesium or vitamin.
And that's a key thing. It's the what we would hate to have happen is someone thinks, "Ooh, it gave me diarrhea bad. I'm going to stop.
" So just to keep uh keep your feelers out for that, guys. >> Yeah. Because we we want to assess that like when I'm assessing somebody to start and I see I might ask them, "Do you have constipation?
" And they say, "No. " And then I look and I see that they're on three different prokinetics and magnesium and vitamin C and I go, "Well, wait a minute. What happens if we take that away?
" Oh, yeah. Now I've got constipation. Then it's like, "Okay, you're you're managing.
" Better to have the bowel movement. Like you've got to keep that flowing. Nothing against those things, but if really the issue is that the bile acids are not being secreted, then yeah, you can lift those things out and let's get to the to the core of what's going on and use those things that help that bile flow.
That's what we're looking for.
