Latest / Gladden Longevity Podcast / A New Era of Innovative Technologies in Gut Health - Episode 336
Transcript
- 0:00Probiotics are like flowers in a vase.
- 0:02They're beautiful, they smell good, they give you the psychology of prettiness.
- 0:05After a couple of days, they wilt and die.
- 0:06That's literally what happens to probiotics.
- 0:09They just transient.
- 0:10Welcome everybody to this edition of the Gladden Longevity Podcast.
- 0:13I'm your host, Dr.
- 0:14Jeffrey Gladden.
- 0:14And today I had the opportunity to go down the rabbit hole on the gut biome.
- 0:19I met with Oscar Cotease and with his partner, Danny Arnold, and we go down into the most interesting conversation I've ever had on the gut microbiome.
- 0:29I think you're going to be blown away by the insights that come forward in this podcast.
- 0:34It's a real winner.
- 0:35So I hope you enjoyed as much as I did chewing it.
- 0:37He went from saving hearts as a cardiologist to rewriting the entire aging playbook.
- 0:43Dr.
- 0:43Jeffrey Gladden believes 100 is the new 30 and he's got the science to back it up.
- 0:48This is the Gladden Longevity Podcast.
- 0:51Hi Oscar and Daniela.
- 0:53Welcome to the Gladden Longevity Podcast.
- 0:55We're excited to have you here to talk about things in the stool.
- 0:58You know, it's always a hot topic, no fun intended.
- 1:01So welcome to the podcast.
- 1:04Yeah, thank you for having us.
- 1:05So you guys both work for designs for health and you're both involved in clinical education.
- 1:10And you know, when I think about clinical education, I think about it from the standpoint of training clinicians.
- 1:16But in this podcast, we're really also training the audience as well, because the audience is very savvy and they're very curious and inquisitive and they take a lot of initiative
- 1:26on their own.
- 1:27so.
- 1:28was for having this conversation, I'd like you to kind of be thinking from the standpoint of educating the audience as much as talking to me.
- 1:36So that would be the invitation.
- 1:38So with that being said, do you want to talk a little bit?
- 1:41Maybe one of you wants to jump in and talk a little bit about your perspective on the gut biome, just in general for some broad strokes, and then we can dive into some specifics.
- 1:50There's a lot to go through.
- 1:51Yeah, thanks, Jeff.
- 1:52I'd start with that and I'm sure that Danielle would follow suit.
- 1:55So for me, the microbiome is a very misunderstood thing.
- 1:59I think we've always just looked at it as this bunch of bacteria living in our gut and some of them are good and some of them are bad.
- 2:07But as we dig into the science and understand the metabolic influence and neurological influence that these microbes have,
- 2:15I personally think you need to look at it more as like an organ system, like an accessory organ system.
- 2:20I think you really need to look at the microbiome almost as a kidney or a heart or a lung because it has that level of influence in the body now.
- 2:29Now the critics might say, well, you know, you can live without the strain of bacteria.
- 2:34Yes, but how long before it starts affecting some metabolic category that then leads to a chronic disease that kills you?
- 2:41You know, so there's always a compensation, but if you have to
- 2:44to, if I have to give you the little nugget, that's it.
- 2:48To me, that's an organ.
- 2:50It's an organ and we need to put it that way.
- 2:52I think it's a really nice way to look at it.
- 2:53You know, we, learned about the gut microbiome a while ago, of course.
- 2:57And we started to realize that there were more of them than there are us.
- 2:59So either we're living with them or they're living with us.
- 3:03I'm not sure which.
- 3:04Probably both.
- 3:04It's a, we're commensal with each other and we make life better for them and they make life better for us when we take care of each other.
- 3:11Right.
- 3:12So it's, it's kind of a neighborhood.
- 3:13It's kind of a system in that regard, but to actually think about it as,
- 3:17kind of an auxiliary organ system, I think is a really appropriate way to do it.
- 3:21Because when you think about what an organ actually does is it has many different functions, right?
- 3:25There are metabolic functions, anatomic functions, there are structural functions, there's, you know, all kinds of things going on, energy production, nerve signaling,
- 3:33everything that an organ would do is being done by the microbiome.
- 3:38I think the fascinating thing about your kidney is that, and your liver is that you can't actually just change it.
- 3:44Right.
- 3:45But with the gut microbiome, you, if you don't like it, you can, in many respects, you can kind of reprogram it, right.
- 3:52To be something different.
- 3:53So in one sense, it has an advantage over other organ systems in that it's, I'll call it reprogrammable to some extent.
- 3:59don't know how you feel about that, but
- 4:00No, I think that's a good point.
- 4:02think what you're touching on there is the only organ that has intellectual capacity and adaptability.
- 4:09So it literally can adapt to, well, within reason.
- 4:12We can't really adapt to the modern lifestyle that we have and all the pesticides and herbicides and antibiotics and stomach acid.
- 4:19We're not designed to truly adapt to that.
- 4:22However, I do feel that if we really investigate it over the long term,
- 4:29we're probably gonna discover that it's more intellectual than our own brain.
- 4:33know, this gut brain thing, I think we're probably gonna get to a point where we realize that this thing has more say in our brain than we have in their brains.
- 4:41Well, that's interesting because we have a brain and they don't, but, I think we have a brain, but you're right.
- 4:50I mean, they have a collective brain.
- 4:51That's the beauty of these ecosystems that, you know, trees, for example, a forest has a collective brain.
- 4:56And now we're learning about all the signaling that goes on and how mother trees actually feed nutrients through their root system to their offspring, preferentially versus other
- 5:06trees that are next to them.
- 5:07Right.
- 5:07So there's lots of, you know, kind of.
- 5:10personality, if you almost could think of it that way, personhood almost to these, to these organisms, which is super cool really.
- 5:17So what do you think?
- 5:19And, know, one of the interesting things is that the gut biome has adapted not only to many individuals, but to many cultures and many geographic locations and atmospheric
- 5:28conditions and food conditions and soil conditions and nutrient conditions.
- 5:32And so, you know, one of the things is that I think for people to understand is there is no normal gut microbiome.
- 5:38It doesn't, it doesn't exist.
- 5:40There are many, many well adapted gut microbiomes and many misadapted or maladapted gut microbiomes, but there is no one, you know, one microbiome that we're going for per se.
- 5:51don't know if you want to comment on that or expand on that, but.
- 5:56Yeah, no, I think, um, that the more we're exposed to in different, these different locations, the more different our microbiome is from other people in other locations.
- 6:07I think some of the bacillus strains that we've even used to colonize have come from super remote locations where they haven't had any exposure to pesticides and they haven't had
- 6:19any um exposure to uh any of our modern day conveniences that we have.
- 6:27they've actually, when we take them, they actually become a em upgrade to our microbiome.
- 6:35You've kind of launched into the category of probiotics now is what I hear you kind of pushing into.
- 6:41And when I first got into this field a long time ago, I was reading about probiotics and I thought, well, that's really cool.
- 6:46You can take probiotics.
- 6:48It's kind of like you're seeding the garden with certain bacteria.
- 6:51Then I realized that you're not necessarily seeding those bacteria, but you're actually signaling the garden that you do have through those bacteria to do certain things.
- 6:59And then I learned about prebiotics, which were, you know,
- 7:03kind of a loose analogy, kind of fertilizer for the garden, so to speak, know, fibers and inulin and things like this.
- 7:08And then I learned about postbiotics, which are actually factors that are made by a healthy gut microbiome that when you take those factors in actually facilitates your own
- 7:19microbiome getting healthier as well.
- 7:21So there's now pre, pro and post biotics that are included in certain, you know, probiotic supplements and in others, you cobble them together.
- 7:31Do you want to talk a little bit about
- 7:32of the spectrum there, the pre, the pro and the post elements and how you guys think about that?
- 7:38Yeah.
- 7:38So the prebiotics are pretty much like the food for the probiotics and the postbiotics are what the probiotics are making from that food.
- 7:47So it's kind of like a full circle.
- 7:49So a lot of times when you take those exogenous probiotics or something like that, like lactobacillus or something that comes from outside of the body, a lot of times those don't
- 7:57stick around and engraft, but
- 8:00when we take them, find many benefits from them because we get the metabolites and because we get the production of those post biotics when they are present in the body.
- 8:08When we stop taking them to your point, we stop getting the benefits from them.
- 8:13So that's kind of the connection of all three.
- 8:15Yeah.
- 8:16So I'd like to add to your analogy because I like the flower analogy.
- 8:20That's literally what I do to train people in bacteria because it's literally an ecosystem, right?
- 8:26So if you look at an ecosystem where there is affected soil, the first thing that you're going to see is a couple of weeds would come up, right?
- 8:35And that is not because weeds are bad.
- 8:38That is because the weeds are trying to recolonize and re-associate proper soil.
- 8:44so that the other guys can move in and live their life.
- 8:47So we're very similar.
- 8:49So if we look at stool testing, for instance, Jeff, we would look at commensal or good bacteria, right?
- 8:57And then we also look at opportunistic bacteria, which are bacteria that are not gut that have a purpose, but in excess, they could have a negative effect.
- 9:06So those are literally kind of like the weeds and the good flowers, if you want to call them that.
- 9:11You don't want to just go in there and kill the weeds because the weeds are the reason or the signaling message that is maybe telling you, hey, something is wrong with the soil
- 9:20here.
- 9:20We're going to try and fix it by changing the pH and more minerals or whatever we can bring to the equation.
- 9:27But the objective is not for us to live here.
- 9:29We want to have fungi here.
- 9:31We want to have other things here.
- 9:32But now I'm going to throw something else into the equation.
- 9:35So in your garden, you have the flowers, you have the seeds, you have the fungi, you have the bacteria.
- 9:40But there is a group of bacteria in there that are called anaerobes.
- 9:43And anaerobes are the bacteria that live in a non-oxygenated environment.
- 9:48So with your garden analogy, I want you to pretend that those bacteria are the earthworms.
- 9:53Okay, so those are the worms that are at the bottom of the soil.
- 9:56They're digging the tunnels and there's actually different levels of earthworms.
- 10:00The ones at the top aren't the same as the ones at the bottom.
- 10:02They live in different environments.
- 10:04They feed off the garbage that's coming from the top.
- 10:06They send it back down.
- 10:07And then these earthworms are clearly also digging
- 10:10trenches and holes for better water distribution and mineral distribution.
- 10:14So there is a shift in the probiotic market now that is more going to the earthworm to help the base and the distal area of the garden to help the rest because there are certain
- 10:35strains called keystone bacteria.
- 10:37So keystone, imagine
- 10:38an arch and there's a stone in the middle and that's your keystone.
- 10:41So these keystone bacteria, they are literally the ones that engraft and then cross feed with each other.
- 10:48So these specific strains of bacteria that make short chain fatty acids, they produce something that the other one is using and the other one is making something that the other
- 10:58one is using.
- 10:59And that's when your other probiotics flourish their best.
- 11:02So all the other probiotics are primarily transient, right?
- 11:05So like Danielle says, they go through your body when they're there, they do a great job.
- 11:09But there are ways now that you can bring anaerobic strains of bacteria with very, very high-end technology into the gut system that can literally plant.
- 11:20And like you said initially, Jeff, there are now bacteria and probiotics that can seed themselves.
- 11:26And then if you provide it with the right substrate,
- 11:29And that's what we're doing research on as well.
- 11:31What exactly is feeding this strain and what's feeding this strain?
- 11:34What's keeping this strain happy?
- 11:35And it's normally fibers and polyphenols and things like that.
- 11:39But there's a way now to bring these things in and then graft them.
- 11:42So what we're seeing in stool testing, when we're looking at it from a functional perspective, we see that a lot of people are very low in these keystone commensal
- 11:52bacteria.
- 11:53And you can't replenish them with traditional probiotics because they were aerobic, right?
- 11:58So they would...
- 11:59They can live in an oxygen environment.
- 12:01These guys can't.
- 12:03So it took many years to create the technology that you can actually produce these.
- 12:08But these have a much more metabolic effect on the body and a much more signaling effect on the system.
- 12:15I don't know, Danny, is there anything you want to add to that?
- 12:17That's a really good, a really good analogy, a really good description.
- 12:20think, you know, one of the things just for the audience, aerobic means that it utilizes oxygen, anaerobic of course, means it doesn't utilize oxygen.
- 12:28Oxygen can actually kill it.
- 12:30So it's not just that it's anaerobic and can live without oxygen.
- 12:33Actually it needs to live without oxygen, which is part of the issue when you think about trying to take something orally.
- 12:40I mean, there's going to be oxygen in your mouth, your stomach, small, you know, blah, blah, blah.
- 12:44So.
- 12:44How do you actually get something to get into the colon where it's going to set up shop without it being damaged or destroyed?
- 12:51And I think that's probably part of the technology that you're talking about in terms of the delivery mechanism, right?
- 12:56How do you, how do you protect it until it can get where it needs to go so it can then implant itself and, you know, turn the corner in terms of these keystone activities that
- 13:06will create a healthy microbiome.
- 13:08That's kind of what we're talking about, right?
- 13:09Correct.
- 13:10So Danny, do you want to go on the technology?
- 13:13What's that?
- 13:14It's called life fullization, Oh, life like, like freeze dry.
- 13:20Yeah, exactly.
- 13:23And that way and then some of some of the bacteria that we have found, they actually form spores as well too.
- 13:29So that means that it's resistant to oxygen.
- 13:32In some cases, it's resistant to the production, it's resistant to traveling and, then going through the stomach acid and can make it all the way down.
- 13:41So some of it at a certain percentage can do that.
- 13:43But the other way is just the new technology that they've been able to freeze dry it and make sure that it can make it down to the.
- 13:50So there's several steps involved to that, know, and I'm not going to go into the depth of that for the listeners, but just imagine that in real layman's terms, right?
- 13:59Everybody has heard of things called fecal transplants, right?
- 14:02There's been traumatic success with people transplanting a healthy fecal donor into a sick person and they can actually cure C.
- 14:09diff, right?
- 14:09So this is a mechanism similar without the poop.
- 14:13let's...
- 14:13I was thinking as you're telling me this I'm thinking this is like a fecal transplant without having to do a fecal transplant, right?
- 14:20So you don't have any of the negative side effects, potentially some of the genetic DNA expressions, things that sometimes come with these fecal transplants, but they have in
- 14:29layman's terms taken the bacteria out of the poop, freeze-dried it in such temperatures that it cannot be toxic, but you're getting the benefit of that bacteria.
- 14:38And then they encapsulate it in a way after several steps.
- 14:42I think it's six or seven steps.
- 14:44that they can put it in a capsule and go all the way down.
- 14:46You've got acid doesn't touch it.
- 14:47Nothing touches it.
- 14:48Once it gets down there and that pH that it likes, it can kind of engraft itself or plant its own seed.
- 14:54Now, if you provide it with the right nutrients and fertilizer, now it's going to really grow.
- 15:00So one other thing I wanted to mention, Jeff, just for your listeners, so they understand, because you were talking about anaerobic and aerobic.
- 15:07Let me just make it clear to the listeners that most bad bacteria or pathogens
- 15:13love to be in an aerobic environment.
- 15:15So if you bring an anaerobic environment, you actually crowd out the opportunistic and the pathogens.
- 15:22And that's the most exciting part for me about this, where the technology and the science is going.
- 15:27Maybe we are now getting to a point where we've learned that some of these keystones can actually be so powerful in combination that they can crowd out pathogens instead of us
- 15:37jumping down the line of killing everything in sight.
- 15:40That might be the most exciting thing for me, fairly early stage in science right now, but that I can tell you that I feel it's gonna move the needle.
- 15:50Well, that's interesting.
- 15:51So let's say someone does a stool test and they get back that they have a number of uh pathogenic bacteria and their ratios are off or this or that, and they don't have enough
- 16:00Bifidobacterium and they're low in lactobacillus or, you know, it could be a combination, not enough acromansia or whatever else.
- 16:06I think what you're saying is that's looking at the flower bed, but what you're talking about is, okay, if we're going to deal with the flower bed, yeah, we can give you
- 16:13acromansia, we can give you lactobacillus, whatever else, but how about if we actually, actually rejuvenate the soil?
- 16:19and put in the prebiotics, which you're talking about, along with the anaerobic microbiome, keystone microbes that can actually set the stage for the right flowers to
- 16:31grow in the first place.
- 16:32That's kind what you're talking about.
- 16:34Is that right?
- 16:34Yeah.
- 16:35know, Danielle and I always use this analogy.
- 16:37say that probiotics are like flowers in a vase.
- 16:40They're beautiful.
- 16:41They smell good.
- 16:42give you the psychology of...
- 16:44I don't know if they smell good, maybe it depends on your sense of smell.
- 16:48And then you have your flower garden that you create on your own.
- 16:52So the problem is that the flowers in the vase after a couple of days, they wilt and die.
- 16:56That's literally what happens to probiotics.
- 16:58They just transient, right?
- 16:59So they don't have that engrafting or growing ability.
- 17:02So your analogies are right up the alley of the way we even educate practitioners, because this is a completely novel thing, right?
- 17:10You completely shifting the paradigm and saying, know, probiotics as a standard rule work.
- 17:16but they're not permanent.
- 17:17And that's very hard sometimes for people to take that next step, right?
- 17:21It's almost like, hey, limes prevent scurvy.
- 17:24Takes 200 years before we start eating lemons on ships.
- 17:28You know what I mean?
- 17:28I hope it doesn't take that long, but that's kind of the level of shifting of paradigm that you're talking.
- 17:34Yeah, well, it's really cool because when you think about it, it has a very agricultural analogy, right?
- 17:40I mean, when you think about soil, even when you think about weeds, the thing about weeds is that they are the hardiest plants.
- 17:46So, you know, when there's a volcanic island and it's rock, the first thing that can actually get a foothold there is going to be a weed, right?
- 17:53It's that strong.
- 17:54It's that hardy.
- 17:55So, you know, God bless weeds.
- 17:56They actually set the stage for everything else to happen, right?
- 17:59They start breaking down the rock, creating soil, blah, blah.
- 18:01So, you know,
- 18:02Weeds can be good in their own way, but I love the idea of the soil.
- 18:07So I read uh a book by a farmer who was got into regenerative farming and the title of his book is dirt to soil.
- 18:16I think is the name of the book.
- 18:18And, know, he was basically going broke, trying to run a farm, you know, plowing the field for one thing, then fertilizing the field and weeding the field and doing all this and
- 18:29getting a certain crop.
- 18:31And he started being exposed to the ideas about that when you plow the field over and over again, you're actually destroying the soil and, you're not helping it.
- 18:40And so then you plant, then you, then you got to replenish it with the fertilizer.
- 18:43Then you got to weed it.
- 18:44And so he got into this whole thing of rather than growing plants, he decided to kind of grow soil and he used plants to help him create the soil.
- 18:55Yeah.
- 18:56And so.
- 18:57My son has actually done this in his front yard in Denver, Colorado.
- 19:02And they have all these different plants that compliment each other.
- 19:05One's putting in the nitrogen, one's taking out this, one's adding that.
- 19:08And basically what happens is one of them is killing off the weeds, right?
- 19:13One of them is keeping the insects at bay and there's all this complimentary.
- 19:17And so in there, if you take a trowel and you dig into the soil in their front yard, you pull up all these, this dark, rich soil.
- 19:25that has, you know, worms in it and different microorganisms and all these things that are feeding the plants.
- 19:31What you've done is you've recreated the rainforest in your front yard, right?
- 19:34And, the idea is not to focus on the plants, but to focus on the soil.
- 19:40So the fact that you're talking about, you know, how we get into the soil of the gut biome is, it's a revolutionary thought because all of us have been focused on the flower bed, so
- 19:50to speak, or the, or the crops, right?
- 19:52So I think I love the analogy.
- 19:53It really resonates.
- 19:54We're really going into farming here.
- 19:56We're farming our, our guts.
- 19:58So, yeah, we're talking about ecosystems too.
- 20:00So.
- 20:01Yeah, and let the guts do what they do.
- 20:03You you were saying earlier that guts or microbiomes are different.
- 20:07Yeah, if you look at a Kalahari Bushman to a Northern Territory Canadian native to a Central African individual, the microbiomes are going to be completely different.
- 20:21But one thing that is consistently the same with them are anaerobic keystone strains.
- 20:27So you might find
- 20:30more acrimansia in population A than B, but you're always going to find acrimansia, you're always going to find rosberia, you're always going to find anerystipes.
- 20:39Those are not bacteria that are not going to be there.
- 20:42That's why they are called keystones.
- 20:43What we don't know at this point is how many more does Alaska have than the other one?
- 20:49And obviously then your microbiome gets adapted to the substrates that you provided.
- 20:56If you're eating a high fish,
- 20:58fatty fish diet, clearly you're not going to have the same level of carbohydrate feeding bacteria, but it doesn't mean that they can't be reignited when that person moves to
- 21:09Africa in six months to a year.
- 21:11The adaptability of the microbiome is amazing.
- 21:14And I think that's the thing that we've lost as a world.
- 21:17We can get on a plane, Danny and I and Jeff can get on a plane from America and fly to Alaska in 24 hours.
- 21:25Okay.
- 21:25We can be there.
- 21:26Our guts are not going to be adapted to that at all.
- 21:29That's right.
- 21:30if we live there six months, our gut will progressively adapt.
- 21:33But when we were nomads, you know, we moved from one place.
- 21:37took us three years to get to another one.
- 21:39So there was a very gradual time of adaptation.
- 21:42So we were also in the first generation the last hundred years since airplanes have been designed that we are messing with our microbiomes quite extensively by international
- 21:53travel.
- 21:53So this whole travel diet, the travelers diarrhea thing.
- 21:57Sometimes I think is an ill-adapted microbiome to that specific area.
- 22:01It's not necessarily the water or something that's off, you know.
- 22:05No, that's right.
- 22:06I think one of the things that you brought out is that, you know, the microbiome, at least the flower bed is different wherever you go around the world.
- 22:12I think it's really interesting to hear that the keystone bacteria are the keystone bacteria wherever you go.
- 22:17That's almost kind of reassuring.
- 22:18It kind of simplifies the equation and dealing with the gut.
- 22:22The other thing though that we hear about is that, you know, different tribes or whatever that are in the bush, let's say, I don't know where in New Guinea or wherever else, that
- 22:29they have the most robust diversity of microbes in their gut.
- 22:34of anybody because they're eating all these different plants and there's different soil, you know, and microbes coming out of the soil on the roots and all this kind of stuff,
- 22:42right?
- 22:43Not everybody's washing everything completely.
- 22:45And the point is that there's value in kind of just sheer diversity.
- 22:50And do you have any take on that as to how we, you know, in a first world country maximize our diversity?
- 22:58That's where I think that the gut microbiome responds the best is to diversity.
- 23:03You want as many colors as possible.
- 23:05want as many different fibers as possible, resistant starches, non-resistant starches, polyphenols.
- 23:10The more colors, the better, the more diverse your microbiome would be, which is why people in, you know, that are still living kind of like a nomadic eating from, know,
- 23:20without washing their vegetables and things like that, or not even vegetables, probably just like plant matter and eating those.
- 23:26That's why they have such a diverse microbiome is because of their diet.
- 23:30Yeah, exactly.
- 23:31I'll add to that because I've actually been looking at this particular, I think you'd really enjoy this article if you wanted to read it.
- 23:38It's called Evolution of Bacteria and Human Gut in Response to Changing Environments.
- 23:43So it basically looks from the ancestral Paleolithic era from what they could gather.
- 23:48And what they found is that the Paleolithic ancestral diet contained about 100 to 150 grams of fiber per day.
- 23:55Our modern diet in the US is about 17 to 20 grams.
- 23:59So that's about a 75 to 92 % reduction in fiber.
- 24:05Secondly, a lot of these countries and areas that you're talking about with these diverse microbiomes, those people are still exposed to things called protists and helmets, right?
- 24:16So they still have a worm or something in their body.
- 24:19Now for a lot of people, that might sound very disgusting, but think of it from a logical standpoint.
- 24:24If I have a couple of cohesive worms in my gut, my immune system is not going to attack a gluten protein, it's going to attack the excess worm, right?
- 24:34So my immune system actually has things to do that it was supposed to do.
- 24:37So with this whole sterile world, right, that we've removed all the worms and all the bacteria and all these kinds of things, we've created this niche space in the gut.
- 24:49That's literally what we can call it, a niche space.
- 24:52Now that niche space that now you've got rid of these helmets and these protests, and humans can live with those things in their gut, by the way.
- 24:58As a matter of fact, there was things called helmet therapy where they literally give a person a worm in their gut to kind of fix a, it's a very alternative way of practicing gut
- 25:08medicine, but that's been done in the past.
- 25:11So this niche space can go one of two ways.
- 25:13You can populate it with not great guys like fungi and opportunistic and pathogenic bacteria.
- 25:20Or you can do what Danny is saying.
- 25:22You can start eating more fiber.
- 25:24You can start eating more colors and polyphenols and resistant starches and inulin-based fibers that would feed these other guys into this niche space.
- 25:35I'm not saying we need to bring protests and helmets back.
- 25:38I'm just saying that you have this gap.
- 25:40And if you don't fill this gap with good things, it's gonna fill with bad things.
- 25:45And that's when we have all this IBS and chronic conditions in the gut.
- 25:49that we're looking at today.
- 25:51And that's why they call the bad guys, the opportunistic bacteria, because given the opportunity, when you have that vacancy, they're going to move in.
- 25:57They're going to move in.
- 25:58Yeah, exactly.
- 25:59Now I think it is interesting in all the processed food, we don't get enough fiber, right?
- 26:04So I use a fiber product every day, a couple scoops of it and things like that.
- 26:08And then I
- 26:08When I go to the grocery store, I try to buy different things and I try to buy fresh plants and pomegranates, know, whatever it is, whatever, whatever looks good, right?
- 26:16Any color and whatever.
- 26:17And that's all helpful.
- 26:18I thought you were going to talk about how you were going to liquefy worms so we could actually take the.
- 26:24Well, that therapy is actually out there.
- 26:26you go look at helmet therapy, that's actually been incorporated in several countries as a treatment for certain IBS conditions.
- 26:33And just as a point of interest, right?
- 26:35People with helmets do not have skin disorders.
- 26:40Like that's a known fact in Africa.
- 26:42So they don't have these typical skin issues that other people have, you know, like these autoimmune related things, autoimmune diseases in those countries are
- 26:52very far and few between now it's really hard to find them nowadays because you know processed food and and that kind of stuff has kind of spread its wings pretty badly but I
- 27:02always find that that interesting you know that
- 27:05So what you're saying is my lifelike worms have a chance, right?
- 27:10I think it's a great idea as a patent that you might want to put out there intellectual property on that soon.
- 27:18I think we need to get away from the whole notion that, oh, nasty and gut bacteria and stool as a population.
- 27:26we're both practitioners.
- 27:27We're both docs working in this industry.
- 27:30I can tell you that when I start talking about poop in front of my patients, that's, whoa, I don't want to.
- 27:35It's like, that's the most important thing you can tell me, OK?
- 27:37Because I need to know how often you go.
- 27:39Why you go?
- 27:40What's the shape of it?
- 27:41Does it float?
- 27:42Does it sink?
- 27:43You know, all those things tell us a little bit about the microbiome, but nothing can tell us as much about the microbiome as a functional stool test.
- 27:50Like that we can see what the categorization of those keystones versus the opportunists versus the pathogens are.
- 27:58So, you know, when you're, when you're trying to rebuild someone's gut biome, the world that you're coming from, would seem to me that you would have put together a system,
- 28:07right?
- 28:07Somebody gets a stool test and they've got things are not right.
- 28:10Like I've never seen a perfect stool test, right?
- 28:12So, and part of the reason for that is that, you know, the stool test is basically looking at it through a lens of this is kind of ideal, but we know that this wide spectrum there.
- 28:21So that's part of the problem.
- 28:22But then nonetheless, everybody's got something going on.
- 28:25And so is there kind of a systematic approach that you take to rebuilding the gut biome?
- 28:30it start with a keystone bacteria?
- 28:33Does it start with using anything to kind of try to weed the garden first before you put in stuff or what's, what's the actual system walk us through?
- 28:42Because I know designs for health, you would have developed a system around this, I suspect it's not just throw some stuff in there and see what happens.
- 28:49So can you walk us through that a little bit?
- 28:51Yeah, so we use a lot of GI testing, like we have the GI Spotlight at Designs for Health and that's um algorithm powered.
- 28:58So if you're brand new to it, you don't have to know what this bacteria does or what that bacteria does.
- 29:04It gives you recommendations at the end.
- 29:06But for me, testing really allows us to identify the inefficiencies in the system, whether it's digestion or absorption or inflammation or what's upstream of what is what you can
- 29:17see on a GI Spotlight.
- 29:20And then you can address, you know, with something like a four R or a five R protocol.
- 29:24I typically like to remove bad bacteria and replace digestive capacity.
- 29:30Those are two Rs within that framework.
- 29:32at the same time, I find if you don't replace digestive capacity, you're often feeding the bad guys food scraps.
- 29:39I always say it's like feeding stray cats and you're like, I don't know why these cats won't go away.
- 29:43It's like, stop feeding them.
- 29:44You know, so I like to digest my food or make sure that their digestion is optimal.
- 29:50so that we stop feeding the bad guys as we're removing the bad guys.
- 29:53And then I like to come in and re-inoculate with some probiotics, some precision probiotics if we can, especially if anaerobes are low, then we'll probably use an
- 30:03anaerobic strain.
- 30:04And then, you know, talk about lifestyle and making sure that we have the diversity in our diet and things like that.
- 30:10To add to that as well, Jeff, if you want to go down specifically the road of design swells, so we have these algorithms that spit out protocol recommendations and then we
- 30:21have a gut dysbiosis protocol, we have a fungal protocol.
- 30:25They all have a mix and match of different kind of nutraceuticals in, right?
- 30:29So the one, the gut dysbiosis protocol, maybe we want to get rid of some opportunistic overgrowth of bacteria.
- 30:35So we give an antimicrobial, but we also give a binder at the same time.
- 30:39The endotoxins don't end up in the bloodstream.
- 30:41So there's a mix and match of various things that are competing components.
- 30:47So we don't have a standard protocol for a gut, obviously, but this component triggers this protocol and this area of the test triggers this protocol.
- 30:54So it's very possible that you can have two protocols, right?
- 30:58Because you have two categories that are problematic.
- 31:01And then that's up to the clinician to decide what's first.
- 31:04You know, we don't get involved necessarily with those decisions, but as if I'm the doc working with a patient and I look at your symptoms, I'm going to know which protocol I
- 31:13need to go for first, you know, as a primary versus the second.
- 31:18Well, for the listeners, what I'm getting at is that, you know, there is a system and although the components of the protocol might change, the logic of the protocol remains
- 31:28the same, right?
- 31:29In other words, understand what needs to be removed, get digestion to work properly, know, reseed with the things that need to be reseeded and then support it with the fiber and the
- 31:38other things on the backend and maybe some post biotics or whatever else.
- 31:41But just, you're listening to this, just think about that because it's not enough to
- 31:46My gut's not working well.
- 31:47think I'll take a probiotic, right?
- 31:49You really want to do the testing and there are a number of good tests out there where you do the testing so you can actually see.
- 31:55And then a lot of the tests will show whether or not you're digesting your meat fiber appropriately or your vegetable fiber appropriately or your fats appropriately or things
- 32:02like that.
- 32:03Because if you're not, you know, that's, that's job one is to actually fix that.
- 32:07And that's pretty, pretty fixable with, you know, some enzymes and some lipase, right?
- 32:13And some emulsifiers for fats and things like that.
- 32:15So
- 32:15Next thing you know, you can get past that hurdle and you can work your way through this.
- 32:19Cause I know a lot of people struggle with their gut and as they're listening to this, I'm sure they're asking themselves, what about me?
- 32:24Right?
- 32:25How do I, how do I take care of this?
- 32:26And so what they've just outlined and what we're talking about here is kind of a systematic approach to it.
- 32:32You know, do the gut test and work your way through, you know, removing things that are obvious pathogens, fixing the digestion, and then go into what's new for me is really
- 32:41focusing on these keystone anaerobes as a way to.
- 32:44kind of fix the soil and allow that to actually get the gut biome to come back into what I really call harmony.
- 32:51You brought up something really nice about your son and that book that you were talking about where you fixed the swells.
- 32:56I'm going to give you an N of one, right?
- 32:59So Danielle and I recently published an N of one case study peer reviewed on using an anaerobic, right?
- 33:05Like one of these, these keystones.
- 33:07And we initially gave this patient this because they show very good outcomes in food sensitivities like dairy and gluten sensitivity.
- 33:15And you take this and somehow the person can tolerate these things without bloating and gas.
- 33:20And that turned out to be the case.
- 33:22Well, we ran a pre and post stool test, right?
- 33:24So what we ran in the beginning, we completely eradicated the problem on the backside from the symptom standpoint.
- 33:31But what was mind blowing was the things that we had to go in figure mechanistically out afterwards.
- 33:37So this person was extremely low in acrimansia.
- 33:40We didn't give her acrimansia.
- 33:42We gave her an anaerobic that produces butyrate, a high butyrate producing anaerobic and somehow
- 33:48there was a feedback cycle that then normalized acrimansia.
- 33:53It's like, okay, wow, that's interesting.
- 33:56And then the second thing that we saw, this person had massive overgrowth of an opportunistic bacteria.
- 34:03I, is it Pseudomonas?
- 34:05uh Yeah.
- 34:07High.
- 34:07mean like exponent of E9 when it's supposed to be E1, right?
- 34:11So for the listeners, one zero versus nine zeros, that's the overgrowth level.
- 34:16Yeah.
- 34:16It completely crowded it out in 12 weeks to normalize it.
- 34:21Now I have never seen that Jeff, other than antimicrobials.
- 34:26So I have never seen a probiotic crowd out an opportunistic now opportunistic bacteria is what you said.
- 34:32It's a weed.
- 34:33So it's resilient.
- 34:34It's stuff.
- 34:35It's got its roots deep down there.
- 34:37You're not just going to pull it out.
- 34:39And I guess with your analogy, the soil improved.
- 34:42So the weed is like, okay, I don't need to be here anymore.
- 34:45I need to go find a different place where my services are used and it completely normalized.
- 34:51know, that, to me was the eye opening moment as a scientist and as a doc in my area to say, man, I think we're onto something because anaerobically we can fix the soil.
- 35:05And I think that's a phenomenal analogy and I'm going to steal it.
- 35:08Okay.
- 35:08Yeah.
- 35:08You can, you can quote me on it.
- 35:10So, yeah, but I think it's right.
- 35:12think, I think fixing the soil as opposed to trying to grow the crop is actually where it's, where it's at.
- 35:17So with these anaerobic strains, you have a whole cadre of them or are they in combinations or, or how does, how does that appear?
- 35:27We started with one specific one was a heavy butyrate producer and then the other one we're launching probably in about a month.
- 35:37That one contains five strains.
- 35:38So we're getting now to the point where we're getting them more in combination through very research oriented combination reasons, right?
- 35:47So we didn't just throw five anaerobes together because we thought it was a good idea.
- 35:51We looked at, you know, obviously utilize
- 35:54AI scientific research or whatever, but there was this very specific thing called RoboGut, which is a mechanical gut that you can create where you can create the environment of the
- 36:04gut for the human.
- 36:05And then you can kind of follow them around.
- 36:07And when we looked at the research and the RoboGut, it was indicating that these five strains combined have 85 % expression on the metabolic pathways in the body.
- 36:17So that's significant, right?
- 36:19So now you're talking about GLP-1 production and you're talking about
- 36:23know, blood sugar regulation and immunological association.
- 36:26So that's why this combination is now put together.
- 36:30Yeah, this is, this is exciting stuff.
- 36:32This is maybe the most exciting thing I've heard about the gut in a long time.
- 36:36Because, no, really, because, I mean, we knew about digestion, right?
- 36:41We knew about pathogens.
- 36:42knew about, you know, quote unquote, good commensals.
- 36:45We've known there were anaerobes down there, but it was a little bit of a black box.
- 36:48No pun intended because you know, you didn't really, what are you going to do about it?
- 36:53Right.
- 36:54except give, you know, some fiber.
- 36:55And now if you're able to actually kind of resurrect.
- 37:00reconstruct, rescue the soil in which the microbiome is actually growing.
- 37:05Oh my gosh, that seems like, that seems like the Holy grail.
- 37:08I mean, I don't know if it's the Holy grail, but it seems like, you know, a big part of the answer.
- 37:13So yeah.
- 37:14think so, but I think we're not arrogant enough to believe that we have the full answer.
- 37:19But I know that we have found the opening to the black box.
- 37:23But it's a direction.
- 37:24It's a vector to go down, right?
- 37:25I know you don't have everything in hand.
- 37:27I appreciate that.
- 37:28But nonetheless, yeah, it's great.
- 37:30Yeah.
- 37:30you know, furthermore as a company, what we also do is we, you always have the hypothesis, you know, cause you're, you're an intellectual man, you read a lot and you know, Danny and
- 37:40I do the same thing.
- 37:40And we're like, okay, well, if we put this with this anaerobic, it's going to make it feed great because that's what we've read in textbooks all these years.
- 37:48So we literally gave some of these substrates to a microbiologist, right?
- 37:53So like some of our products that we perceive feeding these guys, and it turned out to be the opposite.
- 37:58So we have products that are feeding them and they're feeding them like they are addicted to it, but it's kind of the opposite of what we thought, but that's for this specific
- 38:07strain.
- 38:07So we're going down the path now as we not only utilizing these strains through the scientific research with RoboGut and the microbial ecosystem transfer, all that technology
- 38:18is built into it, but we also seeing what is the fertilizer that you need to sell with the seed and go in and grow in the right area because
- 38:27Certain bacteria grow in 6.5 pH, other ones in 5.5 pH.
- 38:33you know, the nutrients that go with that, like I'll give you an example, like butyrate producing bacteria needs to be in a pH of about 5.5.
- 38:41Acetate and propionate bacteria hangs around 6.0.
- 38:45So they live in slightly different arenas, even though they work very well together.
- 38:48So I'm thinking that the foods that go with them are more associated to that acidity or alkalinity, and that's why they do better.
- 38:56It's not just...
- 38:57sugars and straightforward things as we're thinking.
- 39:00really think it's a whole soil-based ecosystem and intellect in its own.
- 39:05And are you able to predict which fibers or which foods will generate the pH's?
- 39:13This is what we're working towards in the next couple of years.
- 39:15So yes, I think we're going to be able to the point where we can tell you, Acromansia uses this as the main feeder and this will help it to do this.
- 39:27At this point for the listeners, it's really simple.
- 39:30Eat a diverse diet, eat as many colors as you can, eat as much fiber as you can within reason.
- 39:35Cause I know that could be a negative effect in some people with compromised guts.
- 39:38That's always the starting point of the answer.
- 39:42But in my opinion, clinically, there are very few people that come to my office that I do not put on an anaerobe now because the anaerobes are affected by modern diets, processed
- 39:54food, environmental stuff, medications, antibiotics.
- 39:58And if people think that they don't take antibiotics, even though you haven't been on an antibiotic, it's in your water, right?
- 40:03I mean, it's like literally everywhere glyphosate by itself, which is an herbicide, is an antibiotic, right?
- 40:09It's literally something that
- 40:11would kill the microbes.
- 40:13I just think for us as a general rule, it might not be a bad idea to just be on an anaerobic at some point because it's just systemically gonna get you better soil quality.
- 40:24Yeah, and is it the kind of thing since it is implanting itself, is this the kind of thing you take for a course?
- 40:29Like you take it for six weeks and you stop or you take it indefinitely or how are you thinking about that?
- 40:33That's a great question, Jeff.
- 40:34And we don't really know that yet.
- 40:36But one thing we do know is that you're probably not going to have to take it permanently, right?
- 40:40Like any other probiotic, because the only reason that you would need to go again is if you've changed modalities, right?
- 40:46So if you've gone on a heavy duty antibiotic or you've moved area, if you've had a crappy diet for a month, and I would probably take it short and for a while with a feeding agent.
- 40:55But theoretically, if you get it in there and you engraft it and then you feed it with the substrate and you're not deliberately messing with it.
- 41:03I don't think it's a permanent thing.
- 41:06I personally would use it intermittently probably in the future because my life is never going to be perfect.
- 41:11I'm never going to have a perfect diet.
- 41:13uh
- 41:13travel you're gonna yeah exactly
- 41:16So I think it's more of an intermittent thing.
- 41:18in answer to the question, if I can put you in a box in a perfect environment and I can engraft this thing, let's say it takes 12 weeks, theoretically, you shouldn't need to do
- 41:27that if you stay on the same diet.
- 41:29It's just not a feasible thing as a human, right?
- 41:33Well, I'm excited.
- 41:34I'm excited for this.
- 41:35I'm excited to try it out for myself.
- 41:37I'm excited to try it out for clients and see what comes of all of it.
- 41:41So yeah, very cool stuff.
- 41:43What else?
- 41:44What else you have up your sleeve?
- 41:45Anything else?
- 41:47We have a lot of things up our sleeve, but yeah, I mean, this is what Danielle and I are really driven by.
- 41:52Dani is literally the key component to training all the professionals and the docs in this tool testing and how to interpret them.
- 41:58And so she has a real amazing knowledge on, you know, these microbes and the interaction with them.
- 42:05And we are going to evolve and change the protocols as they go on.
- 42:08Clearly as a company, we will bring out several of these microbes, but we're not going down the path of
- 42:14creating this theoretically.
- 42:16We're looking at the science, we're figuring out what feeds them and then bringing it to the market.
- 42:23And we as a company are very much into publishing and working with the practitioners in the real field.
- 42:29You know, it's one thing to do a randomized control trial with 10,000 people.
- 42:32It's quite a different thing to have 20 doctors doing an intervention and then publishing a case series trial on the outcomes.
- 42:39I think that's powerful to me as a doc than, you know, looking at an isolated
- 42:45controlled environment, RCT sometimes with, because we're in an anecdotal industry, right?
- 42:49We need to, you know, experiment, but none of the things that we're really working with here are toxic chemicals, you know, so it's experiment.
- 42:58That's a good question.
- 43:00Maybe somebody listening might be thinking, is there any way I could hurt myself by taking these things?
- 43:04Any response to that question?
- 43:06Look, I've, and Danny, I want you to jump in on this one because I you've done a lot of work here as well.
- 43:10I have dug deep.
- 43:12think when the body has what it needs, it regulates, right?
- 43:17So I don't think that you can take too much of an anaerobe because at some point the anaerobe will just stop at maximum capacity, right?
- 43:26It's not like a glass that spills over.
- 43:28Maybe what you will have is, Hey, you know, I didn't have loose tools for six months on this.
- 43:33Now I'm starting to have loose tools.
- 43:35That's generally an indication that maybe you've reached the upper threshold of something.
- 43:40So I would always just look at that.
- 43:42look, this is not the first time people have been playing around with anaerobes.
- 43:44There's been a lot of research going on for years now and the side effects are literally minimal, if any, from a standpoint of taking...
- 43:55Yeah, they're mostly just symptomatic.
- 43:56Like if you get bloating or something like that, that just shows there's an adjustment in the microbiome when you're taking some of these things.
- 44:03I you might get bloating on the onset, but that's just because you're crowding out a lot of the bad bacteria, even making space for this, this anaerobe.
- 44:12So a lot of times you have to let that kind of play out maybe three days or so.
- 44:16Some people are not willing to do that.
- 44:18I sometimes will take it low and slow where it's like, okay, if you're getting those symptoms, let's back off, take it every third day.
- 44:24or something like that so that your body can take time to adjust.
- 44:27Okay.
- 44:28Cool.
- 44:28Well, it's very exciting.
- 44:29Really exciting.
- 44:30I'm going to order some.
- 44:31And so how many of these anaerobes are available currently?
- 44:34Well,
- 44:34have one right now that is the one strain one and then you.
- 44:39Five strain is coming out, you know, very soon.
- 44:42And I wish I could give you those strains yet, but until it's officially launched, I'm not, but I'd be happy to come back when it's officially launched and, you know, explain
- 44:50every one of those strains and what they do specifically to your audience.
- 44:54And yeah, I mean, I would love to hear your input on using it, you know, on yourself, because that's the beauty about our industry is like, we're always doing all this stuff on
- 45:03ourselves.
- 45:04As a practitioner, can tell you all your listeners, I take it.
- 45:08I I want them to see what it feels like and what it does to my system.
- 45:12And that's the beauty about my profession compared to maybe a pharmaceutical researcher.
- 45:16I'm not going to take every drug on the planet, but I'm willing to take most of the probiotics on the planet to see what they do to my system.
- 45:24yeah, I mean, it's certainly indicating benefits, even though clinically for myself.
- 45:29I wouldn't say that I had a completely messed up gut, but there are changes that are positive that I didn't have prior.
- 45:35So I think there's always potential for optimization.
- 45:38You know, when you're using things like this.
- 45:41Have you seen that using the anaerobes decreases leaky gut or elevated jawn and things like that?
- 45:49The anaero stippies is actually, I say it's like this with army knife of the gut.
- 45:53It kind of does a lot of things, but the top three things that it does.
- 45:56is it lowers zongolin signaling.
- 45:58So it seals up the tight junctions.
- 46:00It works on your immune system.
- 46:03So it supports secretory IgA within your mucosal immunity.
- 46:06And then it also supports the mucosal barrier.
- 46:09So your mucosal barrier is kind of like a physical barrier between your tight junctions, the contents of your gut and your bloodstream.
- 46:15So that kind of slows everything down.
- 46:17So the immune system can work in that area.
- 46:19And then the tight junctions kind of regulate what can come through and what can't come through.
- 46:23So it works on all three of those layers.
- 46:25Beautiful.
- 46:26No, that sounds awesome.
- 46:27Okay, good.
- 46:29have you taken this as well?
- 46:30Oh, yeah.
- 46:31Yeah.
- 46:31My son.
- 46:32So actually another thing in the research, there's many things in the research that were super exciting to learn about.
- 46:37But one of them was the response to the immune system early on.
- 46:41The earlier you got it into your system, the more T regs you would have in the study.
- 46:48was type one diabetic mice.
- 46:50didn't go on to, I think it was 60 % of them didn't go on to have type one diabetes.
- 46:55the earlier they got it in their system.
- 46:58So my husband's dad, so my father-in-law and his brother both have type 1 diabetes.
- 47:03So my son is 19 months old.
- 47:05So I try to get that into him as soon as possible after I read that research.
- 47:09So I took it for like breast milk and then I also gave it to my son as well too.
- 47:14Okay.
- 47:15Yeah.
- 47:16K.K.
- 47:18So this research originated, ironically, with children with milk allergies, like babies or young kids with milk allergies.
- 47:26So what they found is...
- 47:27Not lactose intolerance, but...
- 47:29Yeah, yeah, like a milk allergy, it might be the protein, it might be the sugar, not 100 % sure, but basically they looked at babies without milk allergy and babies with milk
- 47:40allergy and they found this strain of bacteria to be substantially higher in babies without milk allergies.
- 47:46So they took this obviously to animal studies where they implanted the strain into a mouse with milk allergies and reversed it.
- 47:54They even had...
- 47:56research in the animal models, which make clear the animal models where there was reversal on anaphylactic food sensitivities.
- 48:04you know, there's great potential in the animal studies, which doesn't always translate to humans, but certainly we've seen it, the strain from a food sensitivity, let's call it
- 48:15food sensitivity, food intolerance level, it definitely positively affects.
- 48:21Yeah, because you think about all the different things there like peanut allergies.
- 48:25You think about all the people who suffer with autoimmune disorders, whether or not this could be an adjunct to other things that we do from a functional space.
- 48:34Seems like it would be a winner to do that, right?
- 48:36And then you think about some of the things like with autism and things where we know the gut biome is heavily disturbed or some things like that, or even in the aging longevity
- 48:44space where the gut biome gets disturbed, that this could have benefit in, you know, lots of different populations potentially.
- 48:51Yeah, I think the gut is the central lever for longevity, performance, cellular health, and immunity.
- 48:56So I think that the more you work on the gut and optimize the gut, because a lot of times the molecular mimicry that we get from leaky gut, like we're proteins that are undigested
- 49:09escape into the bloodstream.
- 49:10And on the other side of the bloodstream, we get that molecular mimicry.
- 49:13where we create an immune response to that protein and it looks like our thyroid, it looks like our myelin sheath, it looks like our acetylcholine receptors.
- 49:19So the more you optimize the gut, the more impact you will have on longevity and immunity.
- 49:25I mean, we already treat the gut as a primary form of treating Hashimoto's, but it seems like this could be even Hashimoto's thyroiditis if you're listed as this antibody that
- 49:34attacks the thyroid.
- 49:35But it seems like this could be, you know, I don't know, a golden arrow to fire at something like this along with the other things, you know.
- 49:42There was an interesting study just published just as a final thought here talking about anti-aging and, you know, longevity where I can't remember, it was one of these anaerobic
- 49:53strains that they used.
- 49:54basically they, the donor was a young mouse and donating to an older mouse.
- 50:00And when they were doing this, the stem cells rejuvenated.
- 50:05Like, so there's definitely potential if the donor is young.
- 50:09It seems to have a positive outcome on the older recipient when the older donor provides their stool to the younger recipient has no effect on them whatsoever.
- 50:18So there's something about the young microbiome that is specific.
- 50:29Well, in our products, we're focusing on the donors coming from young people.
- 50:37So that is literally where this whole discussion originated from.
- 50:42So the donors are like 25 year olds.
- 50:44Yeah.
- 50:45It's kind of a take on your own plasma, which is complicated to use these days because nobody wants to get plasma from somebody that got a COVID vaccine.
- 50:52Yeah, I think as we, as the microbiome ages too, we lose diversity.
- 50:58Um, you know, we have an increase in inflammatory species.
- 51:02have reduced short chain fatty acid production, like the butyrate, which signals, in-flam aging, it signals, you know, our immune system to, to regulate or be.
- 51:12dysregulatory and then also in an aged microbiome, you also have increased gut permeability as well too.
- 51:19Yep, exactly.
- 51:21Beautiful guys.
- 51:22Great work.
- 51:22Congratulations on what you're doing.
- 51:24Yeah, well, could you update it, Jeff?
- 51:26uh know, once we launch, if you wanted me at some point and Danny to come back, we could dive into the individual categories and screens and why they were picked and why they work
- 51:35and why they don't work is kind of where it's going.
- 51:38Yeah, I'll give you my cell and you can text me when that five strain is coming online.
- 51:44We'll have you back on and we can chat that through.
- 51:46sure the audience will be interested.
- 51:48That's great.
- 51:49Annie, pleasure to meet you.
- 51:50Thank you.
- 51:51Yeah, nice to meet you too.
- 51:52Great to see you too.
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- 52:10Thanks for listening.