Latest / The Driven Athlete / Kids’ Health, Rooted In The Gut with Dr Nelli Gluzman | Ep 108

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Kids’ Health, Rooted In The Gut with Dr Nelli Gluzman | Ep 108 · The Driven Athlete

• 0:00
  SPEAKER_00: If you're a driven active person who wants to reach and pursue a higher quality life with some ambition, then guess what?
• 0:06
  SPEAKER_00: This podcast is for you.
• 0:08
  SPEAKER_00: This is the Driven Athlete Podcast.
• 0:12
  SPEAKER_00: What's up, y'all?
• 0:12
  SPEAKER_00: It's your man, Dr.
• 0:13
  SPEAKER_00: Kyle.
• 0:13
  SPEAKER_00: Welcome back to the Driven Athlete Podcast.
• 0:15
  SPEAKER_00: We got Dr.
• 0:16
  SPEAKER_00: Nellie Glosman with us.
• 0:17
  SPEAKER_00: She is a local um pediatrician and um really diving into like functional medicine for kids, which is super interesting because like there's a lot of that for adults, but I mean I haven't heard of that for kids, you know, like this kind of integrative approach.
• 0:34
  SPEAKER_00: So thanks for coming in.
• 0:35
  SPEAKER_00: I know you're busy.
• 0:36
  SPEAKER_00: So thanks for coming in.
• 0:37
  SPEAKER_01: Thank you so much for having me on.
• 0:39
  SPEAKER_00: Um share about where you're looking like your where your practice is at, where you're located, and uh like what kind of clientele you see.
• 0:46
  SPEAKER_01: Yeah, I'd love to.
• 0:48
  SPEAKER_01: Um my practice is Blossom Pediatrics.
• 0:51
  SPEAKER_01: It's uh it it was primarily based in the Tri-State in New York, expanded into New Jersey.
• 0:58
  SPEAKER_01: And uh with my move to South Florida, I expanded into the Miami area, now expanding into the Palm Beaches where I live now.
• 1:09
  SPEAKER_00: Yeah, awesome.
• 1:10
  SPEAKER_00: When did you move here?
• 1:11
  SPEAKER_01: Oh uh the practice I opened uh like a year ago in the I already knew I was moving and uh just a couple of months ago, it feels like forever.
• 1:19
  SPEAKER_01: I I am I feel like uh I've been here forever.
• 1:22
  SPEAKER_00: I mean, yeah, you're really easy to like get along with, so I'm sure you've you've integrated well.
• 1:28
  SPEAKER_01: Like 60 degrees was already freezing for me, so yeah.
• 1:30
  SPEAKER_00: I mean it was chilly this past week.
• 1:32
  SPEAKER_00: Yeah, I mean, like we were all like you know, getting our sweaters out and stuff.
• 1:35
  SPEAKER_01: I did it too, which means I'm a local now.
• 1:37
  SPEAKER_00: Yeah, I mean, but it's also like I I feel like you know, low 60s here feels a lot colder than low 60s up north because of the humidity.
• 1:46
  SPEAKER_00: I mean, it's like dense, you know, it's chilly.
• 1:49
  SPEAKER_00: But anyway, yeah, I'm I've I'm I'm definitely Florida, you know, Florida blood for sure.
• 1:55
  SPEAKER_00: Um, so blossom pediatrics is what it's called.
• 1:58
  SPEAKER_00: Yes.
• 1:58
  SPEAKER_00: And what do you what do you specialize like what's like your clientele base?
• 2:02
  SPEAKER_01: Yeah, um so it's the language that we use is is an interesting um issue because uh in out in in the world, most most parents don't know what functional medicine is.
• 2:17
  SPEAKER_01: They might know what integrative medicine is.
• 2:19
  SPEAKER_01: If even that is not a commonly common way to explain what we're doing or what we're trying to do, or the goal, or how it differs from a conventional way of practicing.
• 2:30
  SPEAKER_01: Um uh some parents might call it holistic approach, a holistic approach.
• 2:35
  SPEAKER_01: And that could also be a word that's very triggering for others.
• 2:39
  SPEAKER_01: So I it's you know, it's a mouthful, but I call it an integrative functional and holistic practice.
• 2:45
  SPEAKER_01: And uh really it's very simple.
• 2:48
  SPEAKER_01: It's it's looking to reverse chronic illness in kids by treating the root cause and not just treating the symptoms or the trigger.
• 2:58
  SPEAKER_00: Gotcha.
• 2:59
  SPEAKER_00: And I want to dive into like what that what that stuff means.
• 3:02
  SPEAKER_00: Um, what led you go to med school in the first place?
• 3:05
  SPEAKER_01: I was obsessed with the show ER.
• 3:08
  SPEAKER_00: Oh, okay.
• 3:10
  SPEAKER_01: Uh and um and I also at this so so that led me to like working always at high school and all through college, like full-time as the front desk of all these different medical practices.
• 3:21
  SPEAKER_01: And I was just obsessed with the medicine behind it, and then the the physicians that were so kind that I worked with took me under their wing, and then they started to let me do things like vital science.
• 3:30
  SPEAKER_01: And I I just became absolutely obsessed, and I switched my major from I I was studying applied mathematics.
• 3:37
  SPEAKER_01: I did finish with that degree.
• 3:39
  SPEAKER_01: Wow, and and then I I also did pre-med.
• 3:42
  SPEAKER_00: Wow, but so the dual major in essentially, yes.
• 3:45
  SPEAKER_00: I applied mathematics.
• 3:47
  SPEAKER_00: That sounds like the worst for me.
• 3:49
  SPEAKER_01: That was super fun.
• 3:50
  SPEAKER_00: That's fun, that's really fun.
• 3:52
  SPEAKER_00: I like algebra and math.
• 3:54
  SPEAKER_00: I just get really excited.
• 3:56
  SPEAKER_00: That's funny.
• 3:56
  SPEAKER_00: That's not me.
• 3:57
  SPEAKER_00: Um, well, where'd you go to school?
• 3:59
  SPEAKER_00: Where'd you go to undergrad?
• 4:00
  SPEAKER_01: Uh near undergrad was in Manhattan, Pace University.
• 4:03
  SPEAKER_01: Um, my first day of school was when 9-11 happened, actually, like right down the street.
• 4:08
  SPEAKER_01: Uh my gosh.
• 4:10
  SPEAKER_01: So it was the college experience was was really shifted for me as a New Yorker.
• 4:16
  SPEAKER_00: Yeah.
• 4:16
  SPEAKER_00: Um how did you what did you do?
• 4:18
  SPEAKER_00: I mean, that was your first day of school.
• 4:19
  SPEAKER_01: I assume you went home and like were I didn't even know which direction to go to go to class, like to go to school.
• 4:25
  SPEAKER_01: And it was it it was uh yeah.
• 4:28
  SPEAKER_01: I mean, then so like half that year was was gone the first year.
• 4:32
  SPEAKER_01: Uh but um very quickly the community in my university, Pace University, really rallied together and um the mental health impacts were addressed so well, I really applaud them because this was at a time that this it wasn't a popular way to approach like teen or older or young adult traumatic events.
• 4:55
  SPEAKER_01: Looking back now, I I really applaud them for a job well done and the services that they provided everyone.
• 5:02
  SPEAKER_00: Amazing.
• 5:02
  SPEAKER_00: I mean, I feel like the mental health component of of that is relatively new, like a new thought and approach.
• 5:08
  SPEAKER_00: Yeah, it is.
• 5:08
  SPEAKER_00: It really is.
• 5:09
  SPEAKER_00: Um, wow, well, that's crazy.
• 5:11
  SPEAKER_00: All right, so you well, shifting gears, you went to a Manhattan Pace University for undergrad.
• 5:16
  SPEAKER_00: And then where'd you go to medical school?
• 5:17
  SPEAKER_01: Uh then I did one year of clinical research and sleeps.
• 5:20
  SPEAKER_01: I was a data analyst with my math degree of in a sleep study.
• 5:24
  SPEAKER_01: So I was doing uh clinical trials, so very like scientific, uh, and a sleep lab in the city in Manhattan.
• 5:33
  SPEAKER_01: And um, and then I went to New York College of Osteopathic Medicine, which is in Long Island, also New York.
• 5:38
  SPEAKER_00: Oh, okay, cool.
• 5:39
  SPEAKER_00: Awesome.
• 5:40
  SPEAKER_00: So you're born and raised in like Manhattan, New York area.
• 5:43
  SPEAKER_01: I was born in Ukraine, but I grew up in New York.
• 5:45
  SPEAKER_00: Oh, okay, cool.
• 5:46
  SPEAKER_01: Yeah, and I'm losing I'm losing the language big time.
• 5:49
  SPEAKER_00: I mean, I know like I mean if you're immersed in it, you know, like like because I learned I went to the University of Miami, right?
• 5:54
  SPEAKER_00: So like I learned a little Spanish there and I was like immersed in.
• 5:56
  SPEAKER_00: I was getting a little bit, I was getting somewhat good, you know, with like clinical terms and stuff.
• 6:00
  SPEAKER_00: I mean, as soon as you like as soon as I left, like I a lot of it's you know, fading away.
• 6:05
  SPEAKER_00: Um wow.
• 6:07
  SPEAKER_00: Okay, so from Ukraine originally, moved here.
• 6:09
  SPEAKER_00: How old were you moved to six?
• 6:10
  SPEAKER_00: You were six.
• 6:11
  SPEAKER_00: Okay.
• 6:11
  SPEAKER_00: Do you remember much of your Ukraine?
• 6:13
  SPEAKER_01: I do, yeah, yeah, yeah.
• 6:14
  SPEAKER_01: I absolutely do.
• 6:15
  SPEAKER_00: Okay, cool.
• 6:16
  SPEAKER_00: That's awesome.
• 6:16
  SPEAKER_00: All right, so then all right, so you went to DO school, medical school.
• 6:20
  SPEAKER_00: Um what made you want to go to pediatrics then?
• 6:22
  SPEAKER_01: Oh, uh I didn't know if I wanted to go into pediatrics or I I really had no clue I was completely wide open to all the fields.
• 6:30
  SPEAKER_01: Um, but when in in medical school, it's uh it's four years, but the first and second year are all like in a classroom mostly.
• 6:37
  SPEAKER_01: Uh and the third and fourth year are in the US are rotations.
• 6:42
  SPEAKER_01: So you get to see as a student what it's like to be a surgeon, what it's like to go through all the all the main like specialties, and then you get to decide what you're interested in pursuing for your residency.
• 6:54
  SPEAKER_01: Uh, and so I I just never felt enough empathy for like adults to be able to treat them the way that I needed to treat them, to be their physician.
• 7:05
  SPEAKER_01: I was kind of like, you know, you're an adult, so you did this to yourself.
• 7:10
  SPEAKER_00: Like take care of yourself.
• 7:11
  SPEAKER_00: Yeah, that's the problem here.
• 7:12
  SPEAKER_01: A lot of it is preventative medicine and not everything, but um uh yeah, so it had to be pediatrics because I never I never met a parent that I didn't resonate with, even not being a parent.
• 7:26
  SPEAKER_01: That's another thing, is a lot of times it like uh folks who go into decide to go into adult medicine, they're like, I just can't deal with the parents, they're so stressed out.
• 7:36
  SPEAKER_01: But I actually really do understand where they're coming from and it makes perfect sense to me.
• 7:41
  SPEAKER_01: So I I I'm I'm with them like every step of the way, energetically, emotionally.
• 7:47
  SPEAKER_01: It was always very easy for me to understand why they're so stressed out, why they might be um in a place where they are when it comes to their kids' health.
• 7:59
  SPEAKER_01: I wasn't a parent then, but now I understand even more.
• 8:02
  SPEAKER_00: Yeah, yeah, totally.
• 8:02
  SPEAKER_00: And you how many kids do you have?
• 8:03
  SPEAKER_00: I have one 13-year-old.
• 8:04
  SPEAKER_00: 13-year-old.
• 8:05
  SPEAKER_00: And she's up, she's at Benjamin.
• 8:06
  SPEAKER_00: Oxbridge.
• 8:07
  SPEAKER_00: Oxbridge, it's right, Oxbridge, yeah, yeah.
• 8:09
  SPEAKER_00: Uh, because we've seen her a couple times in the clinic.
• 8:10
  SPEAKER_01: Yeah.
• 8:11
  SPEAKER_00: She's doing her homework, you know.
• 8:12
  SPEAKER_00: Yes, good.
• 8:13
  SPEAKER_00: She seems very studious.
• 8:14
  SPEAKER_01: Good, good.
• 8:15
  SPEAKER_00: Um, yeah, it's I mean, like, I mean, I got three kids, you know, two.
• 8:19
  SPEAKER_00: Mine are younger.
• 8:20
  SPEAKER_00: My mine are my daughter's five, my son's three, and my youngest is a my youngest son's 11 months.
• 8:25
  SPEAKER_00: But um, it's crazy, like different perspective shift, you know, when you have kids.
• 8:29
  SPEAKER_00: It's like my drive home from the hospital after my first kid was born, my daughter.
• 8:34
  SPEAKER_00: Different, even then, like the drive home.
• 8:35
  SPEAKER_00: I was careful, I was like, it's just a different mindset and different perspective.
• 8:40
  SPEAKER_00: Um, but I'm sure parents can be there's like a lot of emotions involved.
• 8:45
  SPEAKER_01: A lot of emotions involved, yeah.
• 8:46
  SPEAKER_01: And absolutely.
• 8:48
  SPEAKER_01: I mean, what could be more more daunting to a parent than a child who's not well?
• 8:54
  SPEAKER_01: Nothing.
• 8:55
  SPEAKER_00: Totally.
• 8:56
  SPEAKER_00: Um, so what are some of the most like what are the most common things that you see patients like your pediatric patients?
• 9:02
  SPEAKER_01: Well, before I I decided to switch the way that I practice into this a very uncommon approach.
• 9:12
  SPEAKER_01: Um, I was a pediatric hospitalist for like 13 years.
• 9:17
  SPEAKER_00: Oh wow.
• 9:18
  SPEAKER_01: So my specialty was hospital medicine.
• 9:21
  SPEAKER_01: So if a child is admitted to the hospital and cannot go home because they're so sick, that was my specialty.
• 9:27
  SPEAKER_01: And I taught in the field, and that's what I did day in and day out.
• 9:32
  SPEAKER_01: And I I already was a hospitalist and I thought I was so good at what I did.
• 9:36
  SPEAKER_01: Um, when my own daughter was about three or four at the time, um, she started getting sick all the time.
• 9:44
  SPEAKER_01: And not like regular viruses that all kids get, but hers would linger and she would get eczema and asthma and allergies and wheezing.
• 9:52
  SPEAKER_01: And like one year she was on like seven courses of antibiotics.
• 9:56
  SPEAKER_01: And she she couldn't breathe, she was just always congested, she wasn't thriving, she just looked so sickly.
• 10:01
  SPEAKER_01: And I went to all the specialists and I had access to all the best doctors, but we were able to treat the problem each time, but never really reverse her from getting into this spiral and loop and over and over and over and over again.
• 10:21
  SPEAKER_01: Like this in one year, I think she missed more days of school being sick than in school, like pre-K pre-K3.
• 10:28
  SPEAKER_01: So um I quickly realized that this is just what I know is not enough.
• 10:33
  SPEAKER_01: Yes, life-saving medicine is what I know.
• 10:35
  SPEAKER_01: I could get a really sick kid home to their parents.
• 10:38
  SPEAKER_01: Um, I can go to deliveries and resuscitate, and I could go to the ER and I I was I was really good at that, but I really quickly realized that there was just none of the fields that were able to address the acute issue and get her from not getting pneumonia but with antibiotics or not getting sepsis and being able to breathe and stopping her rashes, uh, but really preventing it from happening.
• 11:03
  SPEAKER_01: And and that's why I had to, for my own kid, try to figure out what was going on.
• 11:07
  SPEAKER_01: And it was surprisingly difficult.
• 11:09
  SPEAKER_00: Interesting.
• 11:10
  SPEAKER_00: Um my roommate in college is a pediatric hospitalist.
• 11:14
  SPEAKER_00: He went to he's in Tampa right now, from my understanding.
• 11:17
  SPEAKER_00: But he went to USF.
• 11:18
  SPEAKER_00: But um, I was asking him like his position as a hospitalist.
• 11:22
  SPEAKER_00: So I mean it's heavy, you know.
• 11:23
  SPEAKER_00: He's like just helping kids not die, you know, and then get them home as best as possible.
• 11:29
  SPEAKER_00: Um, what made you shift from that to what you're doing?
• 11:34
  SPEAKER_00: Like what was like the what was the moment?
• 11:36
  SPEAKER_00: Was it your own daughter's experience?
• 11:38
  SPEAKER_01: Yeah, my daughter's experience.
• 11:39
  SPEAKER_01: So when when I finally it was it was so simple, and I I finally found that one one pediatrician in all of the tri-state area, like New York, New Jersey, Connecticut, um, that was a more of a holistically root cause-oriented doctor to go to.
• 11:58
  SPEAKER_01: The wait was forever.
• 11:59
  SPEAKER_01: Like a half a year I waited to see him.
• 12:01
  SPEAKER_01: Really, brought her in.
• 12:03
  SPEAKER_01: He gave me just like a few simple steps.
• 12:05
  SPEAKER_01: Like I'm I don't want to, you know, I could say what the other was some nutritional changes, take out some things that are not serving her.
• 12:13
  SPEAKER_01: I it it's it's personalized.
• 12:15
  SPEAKER_01: It was specific to what he believed she needed, but essentially the format was take the things out that are not helping her, inflammation, immune system, put the things in that will give her the building blocks needed to heal.
• 12:29
  SPEAKER_01: I'm paraphrasing what he actually explained, but and then using some very specific supplements in a key way to restore health, not to rely on them forever, but really to restore health long term.
• 12:42
  SPEAKER_01: And within a couple of months, she was a completely different child.
• 12:45
  SPEAKER_01: Really?
• 12:45
  SPEAKER_01: I was so surprised.
• 12:47
  SPEAKER_01: We I did I at first I was like, this cannot possibly be so simple, but what can I do?
• 12:52
  SPEAKER_01: I mean, we waited this long.
• 12:53
  SPEAKER_01: We I have no other choice.
• 12:56
  SPEAKER_01: It can't be this simple.
• 12:57
  SPEAKER_01: And and it really was, and she has never went back to being a sick kid again.
• 13:03
  SPEAKER_01: She was thriving, she was happy.
• 13:05
  SPEAKER_01: And so this is when I knew that it's not okay for even as a pediatrician with all the resources and knowledge to only have access to this one position in all of the tri-state, he's no longer practicing.
• 13:19
  SPEAKER_01: Um that that's just not okay for me.
• 13:21
  SPEAKER_01: Like my eyes, I I could never go back to just that.
• 13:24
  SPEAKER_01: So relearning everything took time, and I helped him practice.
• 13:28
  SPEAKER_00: Interesting.
• 13:29
  SPEAKER_00: Well, it's amazing.
• 13:30
  SPEAKER_00: Um, if you don't mind sharing, like what was so I imagine a lot of the patients you see now, the kids, had a similar issue your daughter did.
• 13:37
  SPEAKER_01: Yeah.
• 13:38
  SPEAKER_00: Which uh it sounds like a lot of gut GI, gut biome, um, metabolic breakdown that causes like inflammation responses.
• 13:48
  SPEAKER_00: Is that accurate?
• 13:50
  SPEAKER_01: Yeah.
• 13:50
  SPEAKER_00: So yeah, what was going on?
• 13:52
  SPEAKER_01: Um, with my, you know, it's multifactorial.
• 13:56
  SPEAKER_01: It's not ever one thing.
• 13:58
  SPEAKER_01: Okay.
• 13:59
  SPEAKER_01: Uh in the conventional medicine.
• 14:01
  SPEAKER_01: So conventional medicine, when I say that, I mean like your regular pediatricians whose job is so important to make sure that all of the anticipatory guidance is done, to make sure that they're developing properly, they're growing, they're getting their basic eye checks.
• 14:17
  SPEAKER_01: Those annual exams are absolutely essential.
• 14:19
  SPEAKER_01: Baseline must must happen.
• 14:21
  SPEAKER_01: That's like first line of a defense.
• 14:23
  SPEAKER_01: If a specialist is needed because there's something that keeps happening or we don't know what's happening, you have to go.
• 14:30
  SPEAKER_01: You have to go to your allergist to find out what the allergy is.
• 14:33
  SPEAKER_01: You have to go to your dermatologist, you know, just get a right diagnosis.
• 14:38
  SPEAKER_01: You have to go to your pulmonologist if there's constant chronic wheeze or respiratory issues, uh, psychiatrist, those fields treat the symptom of the problem very well.
• 14:49
  SPEAKER_01: They could also identify what is triggering the issues so well.
• 14:53
  SPEAKER_01: But if if you're relying, if your child is relying on all of these visits over and over and on and put on medications that stop the symptoms for not just a short period of time and then it goes away and it's not a problem anymore, but for months and years, but they're only three, four, five years old babies who are on steroids for most of their life because their eczema is just flaring and flaring.
• 15:19
  SPEAKER_01: Um kids who are not digesting their food, they're not growing, they're not thriving, they're always constipated and needing to be on laxatives to stool uh for months at a time, and this is so common.
• 15:32
  SPEAKER_01: Then you have to look outside of that approach to address the root cause.
• 15:37
  SPEAKER_01: And conventional medicine doesn't really have the um methodologies or the approach, like it's a different field, it's a completely different field to reverse the root cause and not.
• 15:51
  SPEAKER_01: And so I completely deviated from the question, but it's multifactorial.
• 15:57
  SPEAKER_01: Like, why does my kid keep having whatever problem?
• 16:00
  SPEAKER_01: That's not normal.
• 16:02
  SPEAKER_01: Just because everyone in the classroom has a food allergy, that's not normal.
• 16:06
  SPEAKER_01: Just because everyone has seasonal allergies, that doesn't make it normal.
• 16:11
  SPEAKER_01: It just means that there's a lot of issues going on with many people.
• 16:15
  SPEAKER_01: And so it's it's multifactorial.
• 16:17
  SPEAKER_01: There's many different factors.
• 16:18
  SPEAKER_01: There's always a genetic factor.
• 16:20
  SPEAKER_01: Those fields will say there's a genetic predisposition.
• 16:23
  SPEAKER_01: Yes, absolutely.
• 16:24
  SPEAKER_00: I know.
• 16:24
  SPEAKER_00: I don't like that.
• 16:25
  SPEAKER_00: I mean, yes.
• 16:26
  SPEAKER_01: It's yes, but everything's genetic.
• 16:28
  SPEAKER_01: Of course.
• 16:28
  SPEAKER_00: What's making it express that?
• 16:30
  SPEAKER_01: Right.
• 16:30
  SPEAKER_01: I feel that in my practice right now, um, yes, there's environmental factors.
• 16:37
  SPEAKER_01: Yes, there's a lot of toxins out there.
• 16:39
  SPEAKER_01: Uh, sure, there's so many stressors that our kids are are undergoing.
• 16:44
  SPEAKER_01: Yes, our food supply could be much improved.
• 16:46
  SPEAKER_01: But I feel like the most root cause issue is a breakdown of the of gut health in general.
• 16:53
  SPEAKER_01: And that could look like different things for different kids and probably adults as well.
• 16:57
  SPEAKER_01: But we're seeing it with kids in such a massive way.
• 17:03
  SPEAKER_01: It's not all bad news, by the way, because this is not hard to fix, especially in in kids.
• 17:08
  SPEAKER_01: It's not, it's you have to just it it's a few small changes that can make the biggest impact to reverse chronic problems in kids.
• 17:16
  SPEAKER_00: Amazing.
• 17:17
  SPEAKER_00: Well, good, you know.
• 17:18
  SPEAKER_00: Um yeah, what what so what does that look like?
• 17:21
  SPEAKER_00: Like, well, what thing what does that come about?
• 17:23
  SPEAKER_00: And like, what does that look like?
• 17:24
  SPEAKER_00: And then um, yeah, what changes do you make?
• 17:28
  SPEAKER_01: It's always customized, like there's never the same approach for two different families, two different kids.
• 17:34
  SPEAKER_01: Um what we're seeing, let's say the rise in eczema, asthma, allergies right now, um skyrocketing.
• 17:44
  SPEAKER_01: I mean, when I first meet families and I ask them what medication is your child on, most of the time, and I I for the families listening right now, I um I'm gonna ask you what medication is your child on?
• 17:59
  SPEAKER_01: And you'll list them off.
• 18:01
  SPEAKER_01: And then if you forget the allergy medicine, that's a red flag because you're already putting that in the bucket of this is normal.
• 18:10
  SPEAKER_01: Like the the out the zertec, claritin, uh, floonase medications that kids are on.
• 18:16
  SPEAKER_01: What what medication is your child on?
• 18:18
  SPEAKER_01: If you forget the epipen that they have to walk around with because they could have an anaphylactic reaction any minute, even if you never used it, that's a chronic problem.
• 18:28
  SPEAKER_01: Um if you forget the albuterol or the preventative inhalers that your kids have to be on, the inhaled steroids, if you forget the steroid creams that you're always using, even the overcounter hydrocortisone, if you're using them all the time, all the time to make sure that there is no eczema popping up or rashes all the time, you're that's a chronic problem.
• 18:52
  SPEAKER_01: And so the fact that that families are forgetting that these are chronic medications to suppress inflammation, and they do a very good job, and they're very important to use short-term, there's a chronic issue.
• 19:07
  SPEAKER_01: And most of the the improvement in reversing these issues and the prevention of them getting worse, like worse allergies, worse anaphylaxis, uh, later on could develop into autoimmune illnesses of all sorts, uh, behavioral issues, it all really stems from gut health, optimizing that.
• 19:30
  SPEAKER_01: And um, it varies the exact details, and I'll go over like the basics like what do you need to do right now in home listening if you feel like this is your child.
• 19:39
  SPEAKER_01: There are steps that you can take without seeing somebody like me to get going that will make a massive impact on your whole family's health.
• 19:47
  SPEAKER_01: But um uh it's it's gut health.
• 19:50
  SPEAKER_01: It's when the gut lining starts to break down and the microbiome can't support it, and then you have a cascade of issues, uh, gut permeability, toxins.
• 20:00
  SPEAKER_01: Large molecules get into the bloodstream, mounting a very appropriate immune response.
• 20:04
  SPEAKER_01: This is not usually looking like constipation or abdominal pain or bloating.
• 20:08
  SPEAKER_01: Sometimes it does.
• 20:09
  SPEAKER_01: And then we're seeing this so much more now.
• 20:12
  SPEAKER_01: And this is this is something that is easy to test.
• 20:16
  SPEAKER_01: We have all the data, we have all the science that the microbes that protect the gut lining and make it healthy and make it not so leaky is that common term, are from generation to generation of antibiotic use, not restoring healthy microbiomes, the way that we're eating, multiple generations of like C-sections, all of that is impacting our kids in a massive way.
• 20:41
  SPEAKER_01: And it's manifest as these inflammatory illnesses in kids.
• 20:45
  SPEAKER_00: And the com the common ones for that, the inflammatory illnesses, eczema, asthma, and allergies.
• 20:50
  SPEAKER_01: It's all the digestive issues that are chronic, it's it's the behavioral issues, it's the developmental problems, autoimmune illness, it all the most root root, if you're really looking at the root cause of everything, it's usually gut health.
• 21:07
  SPEAKER_01: But what what exactly is going on with the gut varies in so many kids.
• 21:11
  SPEAKER_00: Interesting.
• 21:11
  SPEAKER_00: So the thought would be like the gut is so influential because what you consume consistently just sets the stage for things to be not broken down well.
• 21:20
  SPEAKER_00: Inflammatory responses, those consistent inflammatory or lack of breakdown in the gut sends things in your bloodstream.
• 21:27
  SPEAKER_01: That's one route.
• 21:28
  SPEAKER_01: Yeah.
• 21:28
  SPEAKER_00: That then causes a lot of these genetic um issues to to be expressed and then cause issues down the road.
• 21:36
  SPEAKER_01: Yes.
• 21:36
  SPEAKER_01: Um, or yes, that's one route.
• 21:38
  SPEAKER_01: That's like one thing that could go wrong.
• 21:40
  SPEAKER_01: Or you could have an over so if there's not enough benefit, this is like a simple way of saying it, if there's not enough beneficial microbes in the gut to protect the microbes that are okay to have in very small amounts that are inflammatory, they'll they'll overtake the system.
• 21:56
  SPEAKER_01: This is why when a child takes antibiotics, you can have an imbalance, dysbiosis.
• 22:01
  SPEAKER_01: This is why when an adult takes antibiotics that can cause some imbalances in the system, like like thrust or yeast infections for adults, not as common in kids.
• 22:09
  SPEAKER_01: But but uh and I'm not antibiotics are life-saving medicine.
• 22:13
  SPEAKER_01: I will absolutely prescribe them when they're needed.
• 22:15
  SPEAKER_01: But remediation has to happen afterwards to make sure that we bring in those healthy microbes in a very specific way to restore health to the gut lining, to the microbiome.
• 22:27
  SPEAKER_01: Um, very often you'll and this is all testable.
• 22:31
  SPEAKER_01: There's there's companies that do a fantastic absolutely fantastic job in the pediatric setting in letting us know exactly what the problem is.
• 22:39
  SPEAKER_01: So it's not a some of it as a guessing game, like what do we eat while we wait for the results?
• 22:43
  SPEAKER_01: And some of it is these specific probiotics, these specific supplements for a short period of time to do what they're supposed to do so that their uh balance is restored in the healthy microbes versus the pathogenic or or harmful inflammatory ones.
• 23:00
  SPEAKER_00: Yeah, yeah.
• 23:00
  SPEAKER_00: Gotcha.
• 23:01
  SPEAKER_00: So um what do they present like what are really common what what does that look like?
• 23:06
  SPEAKER_00: Like commonly?
• 23:06
  SPEAKER_00: Like what's like a common uh because it's like one route you said was what I described, the other routes you're describing, like what's a really common case that you look at, and then what how what do you do?
• 23:15
  SPEAKER_01: Okay, uh, so uh I kind of like them them the bigger bigger issues.
• 23:20
  SPEAKER_01: Uh the gut is in in my practice, the first brain.
• 23:25
  SPEAKER_01: So anytime there's a child with neurodevelopmental issues, we have to restore we have to look at gut health first.
• 23:35
  SPEAKER_00: And that'd be like cognitive delay.
• 23:37
  SPEAKER_01: Yeah, gross motor, fine motor delays, um speech delays.
• 23:43
  SPEAKER_01: Uh it could be psychiatric issues, it could ADD and ADHD.
• 23:49
  SPEAKER_00: Um I feel like that's so really pr overly diagnosed, in my opinion.
• 23:55
  SPEAKER_00: I don't know, but not my specialty.
• 23:58
  SPEAKER_01: Hard to say.
• 23:59
  SPEAKER_01: Um for many reasons.
• 24:01
  SPEAKER_01: I guess what I mean is like podcast that I could talk for hours about that.
• 24:04
  SPEAKER_01: But if you're if you need to put your, if you need to address like that, that so much of optimizing sleep, make uh making sure that the child is able to be resilient enough to get the most from their therapies, any behavioral issues, so much can be improved by optimizing gut health.
• 24:25
  SPEAKER_01: And it's so simple to do.
• 24:26
  SPEAKER_01: So that's that's like one approach in my practice that I tend to lean on as the most foundational step because I see so many kids having that as an issue.
• 24:36
  SPEAKER_01: But that there's other things that could also be optimized.
• 24:38
  SPEAKER_01: I look at precision medicine, genomics, usually not first line, because so much improvement can happen with these just optimizing gut health.
• 24:47
  SPEAKER_01: Optimizing gut health, meaning like give the body, give the child the building blocks that they need to heal the gut lining.
• 24:53
  SPEAKER_01: Another one, um, chronic ear infections where a child is starting to have um maybe they need their adenoids removed, tonsils removed, maybe they need to be on floatase to stop the inflammation.
• 25:05
  SPEAKER_01: Maybe they're mouth breathers chronically.
• 25:07
  SPEAKER_01: Maybe they're getting sick all the time.
• 25:08
  SPEAKER_01: Have they been on multiple courses of antibiotics for ear infections already?
• 25:12
  SPEAKER_01: All of those are red flags that the microbiome is imbalanced.
• 25:16
  SPEAKER_01: And there's a microbiome in the ear, nose, and throat system as well that differs a bit from the microbiome of the gut, but that can be optimized too.
• 25:25
  SPEAKER_00: Interesting.
• 25:26
  SPEAKER_00: So let's say somebody comes in with neurodevelopmental issues and we're and you're suspecting with the lens that the the microbiome has affected the gut.
• 25:35
  SPEAKER_00: What do you like?
• 25:36
  SPEAKER_00: What do you what's what are the simple changes?
• 25:38
  SPEAKER_01: Not just neurodevelopmental changes, but okay, uh really anything chronic, anything chronic, if uh simple changes, take simple, take the things out of your child's system, body, life that are absolutely not good for them.
• 25:57
  SPEAKER_01: Like you know they're not good for them.
• 25:58
  SPEAKER_00: Candy.
• 26:00
  SPEAKER_01: I'll let you parents decide for yourselves.
• 26:02
  SPEAKER_01: Uh I'm happy to help.
• 26:04
  SPEAKER_01: It's if most processes most people listening to your podcast have an idea of what that might be.
• 26:09
  SPEAKER_01: Yeah.
• 26:10
  SPEAKER_01: Do it, maybe doing an honest inventory.
• 26:12
  SPEAKER_01: But the key here is not stressing anyone out.
• 26:18
  SPEAKER_00: Okay.
• 26:18
  SPEAKER_01: I could say in adult medicine, we could say you've seen them all, all the protocols, protocols for this, that, autoimmune, you know, biohack, whatever.
• 26:26
  SPEAKER_01: Um, that doesn't work with kids and families.
• 26:29
  SPEAKER_01: That's not how life works.
• 26:30
  SPEAKER_01: It has to be something that is not going to stress them out.
• 26:32
  SPEAKER_01: Stress is a common trigger.
• 26:34
  SPEAKER_01: And if you have a kid who's used to eating with their friends in school and everything, but they're already sick all the time.
• 26:39
  SPEAKER_01: They're already under stress.
• 26:41
  SPEAKER_01: Uh, they maybe already have um food aversions.
• 26:46
  SPEAKER_01: Maybe they're not growing or thriving.
• 26:47
  SPEAKER_01: You can't just take all the things out like this and say, good luck, or I will never sit there and go, here's the perfect protocol for your child.
• 26:54
  SPEAKER_01: This is what they should not eat.
• 26:55
  SPEAKER_01: This is what they should eat.
• 26:56
  SPEAKER_01: It's never gonna work.
• 26:58
  SPEAKER_01: It has to be small changes over time that will not stress out mom, dad, siblings, the dog, and especially the child.
• 27:04
  SPEAKER_00: The kid themselves, yeah.
• 27:05
  SPEAKER_00: Yeah.
• 27:05
  SPEAKER_01: So, so, so I it's it's surprising at how small changes make such a big impact.
• 27:12
  SPEAKER_01: Like, even if you just leave them alone at school because they're eating their stuff at school and there's birthday parties, I would never say, like, don't celebrate your stuff unless there's really I rarely say that.
• 27:24
  SPEAKER_01: Like, there's holidays, weekends, birthdays.
• 27:27
  SPEAKER_01: That mental health component is so important.
• 27:30
  SPEAKER_01: Like, but if you're all eating together as family, let's make some small changes anyway, and for the whole household.
• 27:37
  SPEAKER_01: Usually everyone benefits from these.
• 27:39
  SPEAKER_01: That's that we we know.
• 27:41
  SPEAKER_01: We know refined sugars are not good for kids in large amounts, especially.
• 27:45
  SPEAKER_01: We we know that dyes are not great for colorings, chemicals, foods that are not foods.
• 27:49
  SPEAKER_01: We know all this.
• 27:50
  SPEAKER_01: Yeah, but even more importantly than what are we taking out is what are we giving them to what are those building blocks?
• 27:57
  SPEAKER_01: What does the gut lining need to heal?
• 28:00
  SPEAKER_01: Because this is the gut lining, is where we absorb nutrients and where kids especially absorb nutrients and detox.
• 28:09
  SPEAKER_01: This is where neurotransmitters are made.
• 28:11
  SPEAKER_01: It's the first brain.
• 28:13
  SPEAKER_01: Most most physicians understand this at this point that if you want to heal any uh neurological, behavioral, psychiatric issues in kids, the gut is is connected.
• 28:28
  SPEAKER_01: So it's the first brain.
• 28:29
  SPEAKER_01: Start there.
• 28:30
  SPEAKER_01: Um so what do we add to that gut lining simple?
• 28:36
  SPEAKER_01: I I tend to lean on nutrition dramatically because it's more helpful than any supplements, honestly.
• 28:42
  SPEAKER_01: Like some key things that I tend to very often add into my protocols for my the families that I treat and my patients, the kids, is bone broth and lactofermented fruits or vegetables.
• 28:58
  SPEAKER_01: Don't get overwhelmed, it's very simple.
• 29:02
  SPEAKER_01: Um, bone broths are the amino acids and collagens that the gut lining needs to repair itself.
• 29:09
  SPEAKER_01: That gut lining is one cell layer thick.
• 29:11
  SPEAKER_01: It's called the endothelial lining.
• 29:13
  SPEAKER_01: It needs building blocks to heal.
• 29:19
  SPEAKER_01: Bone broth.
• 29:20
  SPEAKER_01: This is traditional wisdom.
• 29:21
  SPEAKER_01: I didn't make this up.
• 29:22
  SPEAKER_01: It's been around forever.
• 29:23
  SPEAKER_01: Most traditional cultures have a version of this.
• 29:26
  SPEAKER_01: You can make them make bone broth yourself in five minutes.
• 29:30
  SPEAKER_01: Uh it really takes five minutes with a slow cooker.
• 29:32
  SPEAKER_01: Quality bones matter.
• 29:34
  SPEAKER_01: It could be chicken, it could be beef.
• 29:36
  SPEAKER_01: Uh, I could do a whole episode on this.
• 29:39
  SPEAKER_01: Um, look up um bone breath recipe, slow cook, make sure it's quality.
• 29:45
  SPEAKER_01: If your child, if you're saying, wait, my kid is not gonna drink bone broth, that's totally fine.
• 29:50
  SPEAKER_01: I most won't.
• 29:52
  SPEAKER_01: Uh add it to the foods that you're eating that are not being drained of it, their liquids.
• 29:57
  SPEAKER_01: There you go.
• 29:58
  SPEAKER_01: So add them to the rice, the quinoa, the soups.
• 30:01
  SPEAKER_01: It's soups now that we're recording.
• 30:04
  SPEAKER_01: At least in the northeast.
• 30:05
  SPEAKER_00: Yeah, soups.
• 30:06
  SPEAKER_00: Yeah.
• 30:06
  SPEAKER_00: It's like soup week when it's like cold here, you know.
• 30:09
  SPEAKER_00: And then the next another week.
• 30:11
  SPEAKER_01: Yeah.
• 30:11
  SPEAKER_01: Um, so bone broth, I feel like most families can add into their kids' system.
• 30:18
  SPEAKER_01: Um, there are very few that have histamine sensitivities that I would tread lightly with.
• 30:24
  SPEAKER_01: Um, talk to your doctor if you're not sure.
• 30:26
  SPEAKER_01: Although most conventional medicine doctors don't really think about histamine.
• 30:31
  SPEAKER_01: Um, okay.
• 30:33
  SPEAKER_01: Usually those are the kids with like multiple allergies or in the middle of allergy season that might be sensitive to the histamine that is naturally found.
• 30:41
  SPEAKER_01: And histamine is not our our faux.
• 30:43
  SPEAKER_01: Um, it's just a normal part of life and in certain foods.
• 30:48
  SPEAKER_01: And then the second edition is it it's a it's a wordy one, it's not scary, it could be done easily.
• 30:53
  SPEAKER_01: I promise you.
• 30:53
  SPEAKER_01: It's lactofermented fruits or vegetables.
• 30:56
  SPEAKER_01: So we think about sauerkraut, kimchi.
• 30:59
  SPEAKER_01: I know your kid won't eat it, don't worry about that.
• 31:00
  SPEAKER_01: There's very kid-friendly ferments out there.
• 31:03
  SPEAKER_01: They just, you don't need to make it yourself.
• 31:05
  SPEAKER_01: You can.
• 31:05
  SPEAKER_01: I'll teach you if you want.
• 31:07
  SPEAKER_01: Um, you could buy it, very high quality brands.
• 31:09
  SPEAKER_01: You just need like a tablespoon a day.
• 31:11
  SPEAKER_01: Why?
• 31:12
  SPEAKER_01: Um most probiotics that most people will agree might be helpful.
• 31:19
  SPEAKER_01: They're they are super expensive sometimes, they're great sometimes.
• 31:23
  SPEAKER_01: Uh, they're measured in colony forming units, and they're typically in the billions, as like the most high quality ones.
• 31:29
  SPEAKER_01: And I use probiotics in my practice all the time for specific strains that are not available through foods.
• 31:34
  SPEAKER_01: So most supplements, probiotics, are in the billions range that are high quality.
• 31:42
  SPEAKER_01: A tablespoon of a high-quality lactofermented fruit or vegetable.
• 31:46
  SPEAKER_01: So any fruit or vegetable can be fermented naturally to be a probiotic powerhouse naturally.
• 31:52
  SPEAKER_01: So all you're adding is salt to the mix, and it's an anaerobic process under I'm gonna get a little science.
• 31:59
  SPEAKER_01: Basically, you just need the the vegetables or either.
• 32:02
  SPEAKER_01: Let's say it's cabbage, very common one, cabbage water from the cabbage, which is uh it's the brine, so that's released when you add salt to it from the actual cabbage, and then you suspend it onto in its brine, which is that liquid um salt, liquid um solution, and then it sits there, and so all of the microbes that will rot the cabbage will die, and the natural microbes that are essential to human health in these vegetables and fruits will thrive under that waterline.
• 32:38
  SPEAKER_01: And so one tablespoon of one tablespoon of a high quality lactofermented fruit or vegetable is about 1.5 trillion beneficial and alive microbes that are so much more bioavailable because when you ferment a vegetable, you're pre-digesting it, so it's a lot easier to digest.
• 32:59
  SPEAKER_01: You just need a tablespoon a day.
• 33:00
  SPEAKER_01: You could mix it into anything that's not too hot.
• 33:02
  SPEAKER_01: And a lot of companies are now making really fun ones like fermented carrot sticks, fermented cucumbers.
• 33:08
  SPEAKER_01: Don't convince these with pickles.
• 33:11
  SPEAKER_01: Pickles are in vinegar and they're not uh probiotic powerhouse that will create a diversity of healthy microbes in a gut.
• 33:19
  SPEAKER_01: This is these are the two things that I really tend to lean on a lot.
• 33:23
  SPEAKER_01: Um, yeah, so there's brands that make really kid-friendly ones like fermented applesauce, pear sauce.
• 33:28
  SPEAKER_01: Um, it doesn't have to be hard or gross.
• 33:32
  SPEAKER_01: You don't have to convince your kids to to eat it.
• 33:35
  SPEAKER_01: Fermented lemonades or whole food cells, them.
• 33:40
  SPEAKER_01: You just have to know where to look and what the quality is.
• 33:42
  SPEAKER_00: So the probiotic powerhouse and bone broth are two common things that you find yourself suggesting to patients for different things.
• 33:50
  SPEAKER_00: Yes.
• 33:51
  SPEAKER_00: Interesting.
• 33:52
  SPEAKER_00: Um, it's getting personal.
• 33:54
  SPEAKER_00: My one of my kids um salivates a lot, and he's three, and then he um is a mouth breather.
• 34:03
  SPEAKER_00: And he, you know, he's a little bit more food, just like picky, you know, um, or like I don't want to eat right now or whatever.
• 34:09
  SPEAKER_00: And then with times we'll crush food, you know.
• 34:12
  SPEAKER_00: Um, but it was it's interesting you mentioned that because we are gonna get some consult on that.
• 34:16
  SPEAKER_00: We were told to go see an ENT first.
• 34:18
  SPEAKER_01: I agree.
• 34:19
  SPEAKER_01: But why?
• 34:19
  SPEAKER_01: Because you have to know where the problem is coming from, if it's anatomical, and how severe is it?
• 34:26
  SPEAKER_01: Um, if the adenoids are really enlarged, if there's anatomical obstruction happening cause causing the mouth breathing.
• 34:34
  SPEAKER_01: And I'm so glad that you're going because this a proper breathing in somebody your child's age is absolutely essential to neurodevelopment.
• 34:43
  SPEAKER_00: Yeah.
• 34:44
  SPEAKER_01: And so um, so yes, ENTs will be able to check with X-ray or scope to see where the problem is.
• 34:51
  SPEAKER_01: And then they might offer solutions that calm the inflammation.
• 34:54
  SPEAKER_01: It could be a surgical approach.
• 34:56
  SPEAKER_01: Um, you know, it it varies, it depends on what the problem is and how severe it is.
• 35:01
  SPEAKER_01: Um, some very often they'll prescribe nasal steroids to calm the inflammation.
• 35:05
  SPEAKER_01: They'll work.
• 35:07
  SPEAKER_01: But if this keeps happening, um sometimes surgery is the way to go, but you could also add things into the into the system that will help inflammation of, let's say it's adenoids, it's common, uh, calm down naturally.
• 35:24
  SPEAKER_01: Like there's probiotics that are very specific to the ear, nose, and throat system that will help combat some of the inflammation.
• 35:33
  SPEAKER_01: There, I love xylitol nasal spray.
• 35:36
  SPEAKER_01: I think it's really a very underutilized modality that is available for everyone.
• 35:40
  SPEAKER_01: And because I'm always thinking about what building blocks does a child's body need to combat this inflammation, to give it more resiliency.
• 35:49
  SPEAKER_00: Yeah.
• 35:49
  SPEAKER_01: And so it has to start with what environment are the nasal passages in?
• 35:55
  SPEAKER_01: Um, xylitol nasal sprays, uh, like one company that I really like, because it's like not a promo or anything, it's called X-L-E-A-R, like Xclear, basically.
• 36:05
  SPEAKER_00: Okay.
• 36:06
  SPEAKER_01: Uh, xylitol is going to feed basically feed the beneficial microbes in the nasal passages.
• 36:14
  SPEAKER_01: And it doesn't have chemicals that a lot of nasal sprays have as preservatives that could actually dry out things in the long run.
• 36:21
  SPEAKER_01: So this is like a nice easy approach.
• 36:24
  SPEAKER_01: I I can't say it's going to fix everything, but sometimes when you take all of these preventative measures together, you might be able to avoid surgery, adenoid removal, um, needing antibiotics, needing to rely on nasal sprays for a long time.
• 36:38
  SPEAKER_01: Another essential component that you're an ENT might check is are there allergies causing all that inflammation?
• 36:47
  SPEAKER_01: And so if there are, then again, it would be the same thing: a nasal spray or something like uh over-the-counter allergy medicine to stop that histamine response temporarily.
• 36:58
  SPEAKER_01: And these things are always going to work.
• 37:00
  SPEAKER_01: They work short term, they block the histamine uh connectors.
• 37:04
  SPEAKER_01: Like if you've uh moms and dads listening out there, or anyone listening right now, you know that if you've ever had seasonal allergies, that's runny nose, runny eyes, itchy sneezing.
• 37:14
  SPEAKER_01: If you take one like Zorotech, claritin, whatever it is that you take as your allergy medicine benadryl, it's going to work for a short period of time, but it does nothing to heal anything.
• 37:23
  SPEAKER_01: Um, so yeah, so that's like another option that could be offered.
• 37:28
  SPEAKER_01: And then maybe you'll need to go to an allergist and see what are the allergies that are triggering all this, and they'll tell you these are the allergies.
• 37:34
  SPEAKER_01: Maybe it's a dust mate allergy.
• 37:35
  SPEAKER_01: So then you could make take take some changes, make some changes, excuse me, to the environment, so important.
• 37:42
  SPEAKER_01: Like maybe put in uh covers, if that's the case, for the mat on the mattress, for dust mites, super common allergy.
• 37:49
  SPEAKER_01: Maybe you'll take away the foods that might be your child might be severely allergic to.
• 37:54
  SPEAKER_01: Uh, but then you have to ask yourself what caused this to be the problem in the first place.
• 37:59
  SPEAKER_01: It's not normal for kids to be allergic to foods.
• 38:02
  SPEAKER_01: It's not normal.
• 38:03
  SPEAKER_01: It's a symptom of a bigger problem.
• 38:05
  SPEAKER_01: And it's not normal for there to be seasonal allergies.
• 38:08
  SPEAKER_01: I see it a lot less in South Florida.
• 38:10
  SPEAKER_01: A lot less.
• 38:11
  SPEAKER_01: Uh, but it's it's a problem everywhere in in most developed countries.
• 38:16
  SPEAKER_01: And it's not normal for a child to be sneezing and or yourself when there's pollen or dogs or cats or trees, or that's not a normal thing.
• 38:28
  SPEAKER_01: That's an overinflamed system.
• 38:31
  SPEAKER_01: That's a symptom of a bigger problem.
• 38:33
  SPEAKER_01: And so addressing that is so, so important for long-term outcomes in kids.
• 38:38
  SPEAKER_00: Yeah, yeah.
• 38:39
  SPEAKER_00: So let's say hypothetically, adenoids are inflamed.
• 38:42
  SPEAKER_00: We do the what was the nasal spray called again?
• 38:44
  SPEAKER_01: Uh, the the one I like, X-L-E-A-R.
• 38:48
  SPEAKER_01: There's a kid's one.
• 38:49
  SPEAKER_00: Oh, okay.
• 38:49
  SPEAKER_00: Um let's say you do that and like, oh, noticing a change.
• 38:53
  SPEAKER_00: But then as soon as you stop, things return.
• 38:55
  SPEAKER_00: What yeah, what's what's the how do you do you just you manage it with that anti-inflammatory medication or thing for temporarily?
• 39:03
  SPEAKER_01: So and then add in well, so nutritional stuff.
• 39:07
  SPEAKER_01: Well, it depends.
• 39:08
  SPEAKER_01: I mean, it really like it it varies.
• 39:10
  SPEAKER_01: Yeah.
• 39:10
  SPEAKER_01: Um what we're trying to do is restore the building blocks of health.
• 39:15
  SPEAKER_01: So maybe you'll make some nutritional changes for all your kids, they probably benefit.
• 39:20
  SPEAKER_01: If um uh the goal, if you restore a healthy microbiome with probiotics that are beneficial in both the gut and in the ear, nose and throat system, that would be helpful.
• 39:33
  SPEAKER_01: So it's approaching it from different, like the inside-out approach and the and the outside in approach.
• 39:38
  SPEAKER_01: And in general, lowering the inflammatory bucket for your child is always going to be helpful.
• 39:45
  SPEAKER_01: And what that means is making sure that when they need to detox properly, what they're exposed to naturally, and then there's a process of detox that happened, they need to be able to poop properly.
• 39:55
  SPEAKER_01: So always thinking about that, optimizing gut health and then uh It it it's it's like the most root cause, making sure that their nutrients are in order.
• 40:04
  SPEAKER_01: Do they need to be on vitamin D supplement or zinc?
• 40:06
  SPEAKER_01: These are so easy to test.
• 40:08
  SPEAKER_01: These are so simple to check for.
• 40:10
  SPEAKER_01: Filling in those macro and micronutrient gaps is important.
• 40:14
  SPEAKER_01: Um I can't say that it's going to be like absolute miraculous recovery forever with a mouth breathing if we add some key supplements, but it's going to lower the overall inflammatory burden and most importantly, create more resiliency in your child's system.
• 40:32
  SPEAKER_01: So if there is a trigger, maybe it's an environmental trigger of some sort, they're exposed to something that they're sensitive to, or if they have a cold, they'll be able to recover quickly.
• 40:41
  SPEAKER_01: So really what we're doing is trying to create more resiliency in a child's body.
• 40:45
  SPEAKER_01: There's also a field that I think is highly is just not thought about a lot, and it's dentists, pediatric dentists that specialize in airway health.
• 40:54
  SPEAKER_01: So I would because then they're able to assess is there a palate issue?
• 40:59
  SPEAKER_01: Uh that's a that's a specific type of dentistry field in pediatrics.
• 41:04
  SPEAKER_01: These are airway trained dentists that can assess if it would be helpful to anatomically change how the tongue is held in the mouth that could be obstructing the airway.
• 41:17
  SPEAKER_01: So it's like two different paths and both are important.
• 41:19
  SPEAKER_01: And I do agree that starting with ENT to get the right diagnosis is very important.
• 41:23
  SPEAKER_01: It's like the best first step.
• 41:25
  SPEAKER_00: Yeah, yeah.
• 41:26
  SPEAKER_00: Good.
• 41:26
  SPEAKER_00: Interesting.
• 41:27
  SPEAKER_00: Um, we'll we'll we're gonna be diving into that, like personally, you know, soon.
• 41:32
  SPEAKER_00: Um you mentioned asthma as well, and then with uh like kids, I mean, running, exercising, and exercise-induced asthma, is that what you're describing?
• 41:42
  SPEAKER_01: Well, actually, no, I'm I'm yes, uh, in a way, that's not as concerning to me as the kids who are um they might not be diagnosed with asthma, they might have okay, like it's called reactive airway, it's baby asthma.
• 41:59
  SPEAKER_01: So to get a diagnosis of asthma, you just have to have enough of these episodes happen.
• 42:05
  SPEAKER_01: The kids that um every time they get a cold, they need to use nebulizers with albuterol or albuteral inhalers.
• 42:12
  SPEAKER_01: The kids that not like one time but multiple times needed to be on oral or intramuscular or IV steroids to calm the inflammation emergently in their lungs.
• 42:24
  SPEAKER_01: The kids that need to be on medications like singular or just to prevent these, the need for albuterol all the time.
• 42:34
  SPEAKER_01: Um, the kids that need to be on inhaled um inhalers uh that have steroids in them chronically, those that that population.
• 42:43
  SPEAKER_01: So it might not, they might not officially be diagnosed with asthma, um the, but it's essentially the same thing, just waiting for that diagnosis on paper.
• 42:53
  SPEAKER_00: Interesting.
• 42:54
  SPEAKER_01: Exercise induced, I know that you know we're in the realm right now of physical therapy, sports medicine, athletes.
• 43:02
  SPEAKER_01: I I I I would actually say that it's not as concerning to me when I see a child who is very athletic and then they need their inhaler for yes, it does fall into the same category, and I do think that there is optimization that needs to happen, but I wouldn't be as concerned as if it's like colds or environment that are, or we just don't know, that are triggering them all the time.
• 43:25
  SPEAKER_01: And they're also I it depends on location.
• 43:28
  SPEAKER_01: Like I see a lot um more mold-related issues here in South Florida than I do in the tri-state.
• 43:37
  SPEAKER_01: I so it's it's environmental as well.
• 43:40
  SPEAKER_00: Yeah, interesting.
• 43:40
  SPEAKER_00: I mean, the mold, I mean, it makes sense because here's so hot and humid and stuff.
• 43:44
  SPEAKER_00: And I've heard that a lot too, like just harboring whole mold, and it's not extremely detectable, like in the walls or like uh visually.
• 43:51
  SPEAKER_00: Right.
• 43:51
  SPEAKER_00: But um, what happens with that?
• 43:53
  SPEAKER_00: Like we inhale it, it gets a lot just harbored in our olfactory system.
• 43:59
  SPEAKER_00: Great question.
• 43:59
  SPEAKER_00: Yeah, what happens with that?
• 44:00
  SPEAKER_01: I I I think I sometimes I can't sleep at night trying to because I think about this so much.
• 44:07
  SPEAKER_01: What happens with it?
• 44:09
  SPEAKER_00: Think about so much.
• 44:10
  SPEAKER_01: Yeah.
• 44:11
  SPEAKER_01: Um, sometimes I wake up in the middle of the night confused about it because it's it's not, you know, mold is everywhere.
• 44:17
  SPEAKER_01: It's not that, yes, there could be a household with a ton of dangerous mold, but mold is also in the grains.
• 44:25
  SPEAKER_01: Like when I I do I check a lot of my patients for mold with a simple urine test all the time.
• 44:31
  SPEAKER_01: If we're if that's the concern, it's something we can check for.
• 44:36
  SPEAKER_01: If there is an accumulation of mold and mold toxins in the body, um but it's I I as the physician that likes to think about root cause, it's not like why it's not about exposure, as it is about why is your child reacting to it.
• 44:57
  SPEAKER_01: Yeah, yeah, yeah.
• 44:58
  SPEAKER_01: Yes, of course, if there's like an absolute terrible like uh mold growing in the household, most people will react, but usually that's not the case.
• 45:08
  SPEAKER_01: Some kids are very sensitive to it, and that could that can masquerate so many medical problems in kids that are chronic.
• 45:15
  SPEAKER_01: That's why I can't sleep at night sometimes thinking about it because we just don't know a lot about it.
• 45:19
  SPEAKER_01: And even in functional and integrative medicine, there's so many contrasting viewpoints about it.
• 45:24
  SPEAKER_01: How aggressive in adult medicine you can get really like aggressive with the ways that we detox and chelate and treat environmental exposures if it's mold or heavy metals.
• 45:35
  SPEAKER_01: Um, in pediatrics, these are not always this the approaches that we need to be taking in a two, three, four-year-old IV chelation.
• 45:44
  SPEAKER_01: So uh, you know, how aggressive do we want to be pulling these things out of the system?
• 45:51
  SPEAKER_01: But also, yes, we treat it, right?
• 45:53
  SPEAKER_01: But then how do we prevent this problem from happening again over and over and over again when they go to school and schools have a lot of mold typically?
• 46:01
  SPEAKER_01: Um that's the real key is like, why are they not resilient enough to be able to combat it appropriately?
• 46:10
  SPEAKER_01: Why are they not detoxing it properly?
• 46:11
  SPEAKER_01: Is there something about their detox pathways that we really need to optimize once we're done with the acute remediation in their system of these toxins and these molds?
• 46:21
  SPEAKER_00: Yeah, good question.
• 46:22
  SPEAKER_00: Yeah.
• 46:22
  SPEAKER_00: And it's similar.
• 46:23
  SPEAKER_00: I mean, like if all these a lot of kids are at school and then there's some kids that are harboring it or have behavioral issues and allergies and all that stuff, and then other kids don't.
• 46:33
  SPEAKER_00: It's like, okay, uh it makes sense the lens of like they're all exposed to the same environmental factors.
• 46:38
  SPEAKER_00: Why are these kids not uh processing it well or filtering it well enough, managing it well in their own resilient enough to manage it in their own body and then manifesting as these issues.
• 46:48
  SPEAKER_01: And it it really usually leads back for me.
• 46:51
  SPEAKER_01: I would say that there's like I wouldn't be surprised, I would I would I I think I would say confidently that most of my patients, there is a significant improvement, like maybe like an 80% improvement if we optimize gut health.
• 47:05
  SPEAKER_00: Interesting.
• 47:06
  SPEAKER_01: In resiliency of the whole body, not needing as many antibiotics, not being so reactive to mold, not needing uh not getting all these like ear infections over and over again every time they get sick, not having digestive issues all the time.
• 47:19
  SPEAKER_01: Like whatever the problem is, it I I that's why I lean so much on that because there's just so much improvement.
• 47:25
  SPEAKER_00: I mean it makes total sense.
• 47:26
  SPEAKER_01: Every system of the body relies on gut health to work properly, and this is where I see the biggest breakdown in the pat in kids that were born in the past like 15 years.
• 47:34
  SPEAKER_00: Yeah, totally.
• 47:35
  SPEAKER_00: I mean, like if we're constantly being we're eating all the time, so what we're consuming is always entering our body, and then we're gonna react to that.
• 47:41
  SPEAKER_01: Even better than that, everything in the environment we're swallowing.
• 47:45
  SPEAKER_01: So the things that we're breathing, we're swallowing.
• 47:48
  SPEAKER_01: And the the gut is actually our is outside our body.
• 47:53
  SPEAKER_01: Fa tube.
• 47:54
  SPEAKER_00: Oh yes, yeah.
• 47:55
  SPEAKER_00: Yeah, totally, yeah.
• 47:56
  SPEAKER_01: That's the the inside and outside, like the difference between the inside and the outside of the body and the gut is just one cell.
• 48:07
  SPEAKER_00: Interesting.
• 48:08
  SPEAKER_01: Right onto that one cell are capillaries that absorb the nutrients.
• 48:13
  SPEAKER_00: All of that, yeah.
• 48:14
  SPEAKER_00: Totally.
• 48:14
  SPEAKER_00: Nutrients or toxins.
• 48:16
  SPEAKER_01: Exactly.
• 48:16
  SPEAKER_00: And then if we're constantly in a state of um inflammatory battle, yes, then our system's not gonna function well.
• 48:24
  SPEAKER_00: And then it gets expressed as diseases or issues.
• 48:27
  SPEAKER_01: So interesting.
• 48:28
  SPEAKER_01: Parents who are outside are like, is this my child?
• 48:30
  SPEAKER_01: Here are a few things to think about.
• 48:32
  SPEAKER_01: Like, is is this is this your child?
• 48:34
  SPEAKER_01: Uh do they need to be on medications for more than like three months?
• 48:40
  SPEAKER_01: Do they have a ton of specialists that they go to?
• 48:44
  SPEAKER_01: How much school did they miss this year?
• 48:46
  SPEAKER_01: From illness or going to their doctor's visits.
• 48:51
  SPEAKER_01: Um have do they have do they look sickly to you?
• 48:55
  SPEAKER_01: Like, you know, do they have bags under their eyes?
• 48:58
  SPEAKER_01: Are they always tired?
• 48:59
  SPEAKER_01: Do they have behavioral issues?
• 49:00
  SPEAKER_01: Are they complaining of belly pain?
• 49:02
  SPEAKER_01: Are they constipated?
• 49:03
  SPEAKER_01: Do they have seasonal allergies, environmental allergies?
• 49:06
  SPEAKER_01: Do they have food allergies?
• 49:07
  SPEAKER_01: All of do they have eczema that is like ongoing and ongoing?
• 49:11
  SPEAKER_01: All of those to me are symptoms of a chronic inflammatory issue.
• 49:16
  SPEAKER_00: Interesting.
• 49:17
  SPEAKER_00: Yeah, yeah.
• 49:18
  SPEAKER_00: That makes total sense.
• 49:20
  SPEAKER_00: Wow.
• 49:20
  SPEAKER_00: But also good that like it's there's actionable steps, practical actionable steps that can be taken to act to take to take action on this, you know, and actually improve functionality.
• 49:33
  SPEAKER_00: Yeah.
• 49:33
  SPEAKER_00: Versus um, I don't know, you know, cert like something like surgery or just constant medications and stuff, which sucks.
• 49:41
  SPEAKER_00: Um that's uh that's crazy.
• 49:44
  SPEAKER_00: You know, it's good though that we can figure this, like that we can take action.
• 49:48
  SPEAKER_01: Absolutely.
• 49:49
  SPEAKER_01: And the action, the the the small changes will make a big difference if if they're the right ones.
• 49:54
  SPEAKER_01: Sometimes it's just starting to look in that direction.
• 49:58
  SPEAKER_01: You don't have to change everything all at once.
• 50:00
  SPEAKER_01: You don't have to go and throw everything out of your fridge.
• 50:02
  SPEAKER_01: Yeah, it's more about adding things in, really.
• 50:05
  SPEAKER_01: Um, there's a book that I love.
• 50:06
  SPEAKER_01: It's by somebody that I consider to be a mentor because she was Dr.
• 50:10
  SPEAKER_01: Elisa Song, um, who is one of the first few pediatricians to speak on gut health and its importance.
• 50:17
  SPEAKER_01: Dr.
• 50:17
  SPEAKER_00: Elisa Who?
• 50:18
  SPEAKER_01: Song, S-O-N-G.
• 50:19
  SPEAKER_01: And her book, I I feel like it should be a must-read for every parent.
• 50:24
  SPEAKER_01: It's called Um Healthy Kids, Happy Kids.
• 50:28
  SPEAKER_00: Healthy Kids, Happy Kids.
• 50:30
  SPEAKER_01: Yes.
• 50:30
  SPEAKER_01: And it's like a it's a must-read.
• 50:33
  SPEAKER_01: It's for parents.
• 50:35
  SPEAKER_00: Love that.
• 50:36
  SPEAKER_01: She's one of the few providers.
• 50:38
  SPEAKER_01: She doesn't see patients in person anymore.
• 50:40
  SPEAKER_01: She's out in California.
• 50:42
  SPEAKER_01: Um, she's one of the very, very few providers that are advocating for optimizing gut health in a way that is livable and doable and accessible to everyone.
• 50:56
  SPEAKER_01: So I really recommend that book.
• 50:58
  SPEAKER_00: We're gonna get it.
• 50:59
  SPEAKER_00: I'm gonna order it.
• 51:00
  SPEAKER_00: We're doing it totally.
• 51:01
  SPEAKER_00: Well, thanks.
• 51:02
  SPEAKER_00: Well, we have to let's let's land a plane here, but um, and we'll have to get you in again because stick top on a lot of stuff.
• 51:07
  SPEAKER_00: I'd love to.
• 51:08
  SPEAKER_00: Um, how can people reach out to you?
• 51:10
  SPEAKER_00: How can they find you?
• 51:11
  SPEAKER_01: Easy.
• 51:11
  SPEAKER_01: Uh, my website is the easiest way to get all the contact information for my practices.
• 51:16
  SPEAKER_01: It's blossompediatrics.com.
• 51:19
  SPEAKER_00: Blossompediatrics.com.
• 51:21
  SPEAKER_00: Simple, awesome.
• 51:22
  SPEAKER_00: And if y'all have any questions, comments, concerns, don't hesitate to reach out.
• 51:25
  SPEAKER_00: And we'll catch y'all next time.