Latest / The Shivan Show with Shivan Sarna / Recurrent UTIs? Check Your Morning pH | Ruth Kriz Part 2

Transcript

Recurrent UTIs? Check Your Morning pH | Ruth Kriz Part 2 · The Shivan Show with Shivan Sarna

• 0:00
  If you missed part one, go back and listen.
• 0:02
  We covered why interstitial cystitis may be a chronic infection actually embedded in the bladder wall, why cultures come back clean and antibiotics stop working, what proper testing finds that a culture can't,
• 0:15
  and how treatment should be sequenced.
• 0:18
  And in this part, we're going to discuss ammonia, urine pH, and the root causes underneath recurring infections.
• 0:26
  It's not what most doctors talk about.
• 0:29
  This is new and different information that we're trying to get globally dispersed around the world so more women can feel better.
• 0:37
  Plus, did you know you have to treat your partner?
• 0:40
  Bacterial vaginosis and the vaginal pH are also covered, and how the timing of your antibiotics change how well they work.
• 0:47
  We had a lady in Texas whose urologist wanted to remove her bladder.
• 0:51
  It's because of the high ammonia, damaging the bladder wall, setting you up for infections.
• 0:57
  So leaving ammonia sitting in your bladder all night long is a really bad idea.
• 1:02
  Let's talk a little bit about ammonia because I'm becoming more and more convinced that that is a huge player
• 1:13
  in why people have some of these infections.
• 1:17
  This is on the provider section for practitioners, but it shows many of the bacteria that are coming back on the microgen test, often missed by the cultures, but it also tells you at what pH that bacteria flourishes at.
• 1:39
  which type of biofilm that bacteria makes, and whether or not it makes ammonia.
• 1:48
  And some bacteria make something called urease that uncouples ammonia from urea or urine and dumps it back into the bladder.
• 1:58
  Now the problem... Scroll up, Ruth, so everyone can see the rest of this.
• 2:03
  If you're a patient, can they... Yeah, you guys can just like check this out.
• 2:07
  If you're a patient, do you have access to that section of your website?
• 2:12
  It's under for providers, but yes, you can get there from my website.
• 2:16
  So it turns out that some people genetically make too much ammonia.
• 2:25
  Those are called CBS mutations, cystathionine beta synthase.
• 2:31
  That ammonia goes over to the urea cycle.
• 2:37
  And during the night, it concentrates in your bladder because of antidiuretic hormone.
• 2:42
  That's why the color of your urine first thing in the morning is darker than during the day.
• 2:48
  That's why the volume is less.
• 2:51
  That's why your bladder doesn't fill up.
• 2:55
  And you have a large amount of urine in the middle of the night two or three times, unless you have mold toxins, because mold depresses ADH.
• 3:04
  In any event.
• 3:05
  You have to stop.
• 3:06
  What is ADH?
• 3:08
  Anti-diuretic hormone.
• 3:10
  So are you saying that if people have mold, they're not going to pee in the middle of the night?
• 3:15
  I'm saying they're more likely to have a full bladder with diluted urine because they don't have enough antidiuretic hormone.
• 3:23
  So sometimes people are getting up urinating during the night because they have an infection, but sometimes people are up urinating during the night because they have a mold toxin problem.
• 3:34
  Got it.
• 3:34
  Thank you.
• 3:37
  Let's get to these root causes, peeps.
• 3:40
  So anyway, you have the ammonia in your urine at night that's concentrating.
• 3:46
  What is it doing?
• 3:48
  That high ammonia is raising the pH of the urine, favoring the growth of many of those pathogens I just showed you.
• 3:57
  It's damaging the gag layer of the bladder wall.
• 4:02
  Gee, that's a definition of an IC patient if I ever heard of one.
• 4:06
  What's a gag layer?
• 4:07
  The layer in the bladder that takes the hit.
• 4:11
  When they look through the cystoscope, they see the damage, and it cracks and bleeds when you blow up the bladder with water.
• 4:17
  The third thing that it does is it stabilizes biofilms.
• 4:22
  So leaving ammonia sitting in your bladder all night long is a really bad idea.
• 4:30
  So what the body is supposed to do is it's supposed to make ornithine,
• 4:40
  Ornithine converts to citrulline.
• 4:43
  There are six enzymes needed to do that, and some people have genetic problems there.
• 4:50
  But the end result is, if you measure the urine pH first thing in the morning, and it's above 6.0, you know that your body did not do a good enough job clearing the ammonia.
• 5:07
  Now, ammonia can also come from bad bugs in the gut, SIBO.
• 5:13
  Ammonia can also come as an exotoxin of Lyme disease.
• 5:19
  So I always wonder, why in the Lyme community do we have such a high incidence of urinary issues and IC diagnoses?
• 5:30
  It's because of the high ammonia damaging the bladder wall, setting you up for infections.
• 5:35
  Looking for my ammonia scavenger right now.
• 5:39
  I'm ready.
• 5:40
  I need to take it like right this second.
• 5:42
  It's in the closet.
• 5:43
  So tell us about what we can do about this.
• 5:47
  And is it just for people who have these CBS mutations or is it a good idea for everyone during this time?
• 5:53
  I don't do any genetic testing because I still want to know functionally, is your body clearing the ammonia well enough or not?
• 6:01
  I'm sure there are many people out there with CBS mutations, and their ammonia isn't giving them any trouble, and their body is keeping up with it because they don't have other things raising the ammonia level, or they don't have any genetic problems with their urea cycle, and they're perfectly capable of getting rid of it even if it's a little higher than other people.
• 6:24
  But if functionally, first thing in the morning, your urine pH is above 6.0, then giving your body more ornithine, more citrulline, which are in the ammonia scavenger product, will help clear the ammonia, and that will prevent the ammonia from damaging your bladder wall, raising the pH, favoring the growth of many pathogens, and
• 6:54
  you know, keep you from having long-term problems with certain pathogens.
• 6:58
  As far as dosage goes, I want to go back to the biofilm buster.
• 7:02
  You like that Kirkman biofilm test.
• 7:04
  That's a good starting point before you test, but then once we know what you're growing,
• 7:10
  Then we put you on a more potent product to break down fibrin.
• 7:16
  That's usually one of the lumbrokinase products.
• 7:20
  If you're making curly, there are some supplements that break those down.
• 7:26
  If you make extracellular DNA, there's some supplements that break those down.
• 7:32
  But we don't give you all those biofilm disruptors all the time because some of them aren't good to take in the long term.
• 7:40
  We base it on which pathogens are showing up.
• 7:44
  And when you've gotten rid of those pathogens, you don't need those particular disruptors anymore.
• 7:50
  So it has to be very strategic.
• 7:53
  It's not a one-size-fits-all, throw everything at every patient and hope something works.
• 7:59
  That's...
• 8:01
  oftentimes how UTIs are being treated.
• 8:04
  You know, the spaghetti at the wall and see if something sticks approach.
• 8:09
  And so people have been given multiple antibiotics multiple times and they're still suffering because the biofilms have never been addressed and they aren't looking at what that person needs based on their genetics.
• 8:26
  Now, would this CBS mutation show up in a typical DNA test that we've already done?
• 8:31
  No?
• 8:32
  Maybe.
• 8:33
  There are 24 CBS genes.
• 8:37
  I think I know which two of the upregulating ones...
• 8:41
  end up producing extra ammonia.
• 8:43
  But once again, it's like you can have a genetic predisposition for diabetes, but that doesn't make you diabetic.
• 8:50
  So you can have a CBS mutation and still not functionally have too much ammonia first thing in the morning.
• 8:58
  What are those two?
• 8:59
  Just for the record...
• 9:01
  Oh, I think it's the, I forget the letters before and after, but I think it's the one that has the 360 and the 699 in the middle.
• 9:11
  Those are both upregulating CBS genes.
• 9:14
  And I will have to say that in my chronic, in my IC population who got the 23andMe results years ago when they gave you lots of data...
• 9:25
  100% of them had mutations, generally with both of those upregulating CBS genes.
• 9:33
  All right, good to know.
• 9:34
  And that's kind of what led me down the path of looking at the ammonia levels.
• 9:41
  I should say the goal for that first morning urine pH is 5.75 to 6.0.
• 9:50
  There are certain bacteria that favor a too low pH.
• 9:55
  For instance, let's talk about E. coli.
• 9:57
  It's very schizophrenic.
• 9:59
  Its favorite pH is 7.0.
• 10:03
  but its second favorite pH is 5.5.
• 10:08
  And this explains why some people who start getting a UTI and they're not in the chronic population, they can take cranberry juice, and it helps because they're lowering the pH.
• 10:20
  Cranberry has a pH of 2.6.
• 10:23
  So it's working, but if they keep taking the cranberry and they lower it too much to 5.5, oh, well the cranberry's not helping any longer.
• 10:32
  Why is that?
• 10:33
  Because the E. coli favor first choice 7.0, second choice 5.5.
• 10:42
  Have you ever been overwhelmed by supplements?
• 10:45
  Where to buy them, making sure they're authentic.
• 10:48
  You want professional grade ones?
• 10:50
  Well, I want to tell you about Dr. Allison Seebecker's Fullscript Dispensary.
• 10:54
  This is a place where you can get those types of high quality supplements that are vetted, no counterfeits here, and there are over 15,000 of them for you to choose from with exclusive pricing.
• 11:05
  She's also created community plans with suggestions for some of the favorite conditions like
• 11:10
  allergies, SIBO, IBS, UTIs, you know, the whole alphabet.
• 11:14
  So check it out.
• 11:15
  It's in the links below.
• 11:17
  And it is one of the best ways to get your supplements delivered to your door.
• 11:21
  And remember, exclusive pricing.
• 11:24
  Okay, see you there.
• 11:27
  I have like no words.
• 11:28
  Okay.
• 11:29
  I mean, wow.
• 11:30
  Thank you for doing this work.
• 11:32
  It is really so precious and so important.
• 11:37
  And I so appreciate it.
• 11:38
  Wow.
• 11:39
  And I want to thank Dr. Anne Hill, who's the one who told me about you like years ago.
• 11:43
  Wow.
• 11:43
  She was like, oh, yeah, you know, Ruth, Chris, yeah.
• 11:46
  And then I thought about you a lot because I'm getting word out about small intestinal bacterial overgrowth and other chronic conditions.
• 11:53
  My company's Chronic Condition Rescue.
• 11:54
  I have SIBO SOS.
• 11:55
  And then fast forward after, you know, my 12th summit, I did the menopause, the new science and wisdom of menopause summit.
• 12:04
  And...
• 12:05
  This is how it happens.
• 12:07
  My friend, Stephen Wright with the healthy gut was like, Siobhan, you really, cause his wife was in the summit.
• 12:12
  And so, and he's been in many of mine.
• 12:14
  He's like, you really need to talk to this lady about, you know, interstitial cystitis and everything.
• 12:19
  And I'm like, Ruth Chris.
• 12:20
  He's like, yeah, she's great.
• 12:21
  I talked to her.
• 12:23
  I'm like, yeah, I'm like, hook me up.
• 12:26
  So that's how we got the intro.
• 12:27
  And of course I could have done that through Ann Hill, but anyway, that's how it all came together because
• 12:31
  I think the universe wanted us to have this conversation and whoever's watching this, the, the, you're here for a reason.
• 12:39
  Okay.
• 12:39
  Spread the word.
• 12:41
  So this older woman who, uh, I am her primary caregiver for, uh,
• 12:47
  She's about to turn, she'll kill me 80.
• 12:50
  And she had all these UTIs and she went to the gynecologist, right?
• 12:55
  Typical, you know, you pee in the cup, they come back, they say, well, we're going to culture it a few days later.
• 12:59
  They, they're, they're like, but in the meanwhile, take this to help you out.
• 13:03
  And then, and don't take the Azo first because we won't get the right culture, blah, blah.
• 13:08
  Oh, we don't know what it is.
• 13:09
  Try this.
• 13:10
  Oh, it did, you know, contaminated, all these things.
• 13:15
  They send her, they did it so many times, they send her to a urologist.
• 13:18
  In the urologist's office, pee in a cup, discuss things.
• 13:25
  Typical situation.
• 13:26
  They think they found it.
• 13:27
  Nope, they didn't think they found it.
• 13:29
  On the urologist's front desk or side desk, there's a little brochure holder with the micro Gen DX lab information.
• 13:37
  Now I already knew about micro Gen DX because of you and a couple of other things.
• 13:43
  And I called.
• 13:45
  After the first test was like a no-go.
• 13:48
  And I said, hey, I remember you guys have these Microgen DX brochures.
• 13:52
  Can she get tested that way?
• 13:54
  And the woman was like, sure.
• 13:55
  We don't usually offer it because insurance doesn't cover it.
• 14:00
  And I'm like, she's now had this darn thing for six months.
• 14:04
  She's losing her mind.
• 14:07
  Is it worth 350 bucks or however much it is to get the right answers?
• 14:12
  Because the rest of the science isn't supporting you.
• 14:15
  And kudos to you for having the brochure in the office to begin with.
• 14:18
  But could you offer it up to everybody as an option?
• 14:20
  Let me decide.
• 14:22
  Let the patient decide.
• 14:23
  Right.
• 14:24
  And so I went and had to pick up the kit there and all that jazz before I realized you can order it at home.
• 14:30
  And so they found out the proper thing and she did a round of antibiotics and she was one of the lucky ones.
• 14:36
  She got it resolved.
• 14:37
  Absolutely.
• 14:38
  It's $249 for an individual kit.
• 14:43
  I recommend that women testing for the first time do the women's key kit.
• 14:48
  which is 279, but that's a great bargain because it tests both the urine and the vagina.
• 14:56
  Now for men with a UTI, there's a men's key kit that checks the semen and the urine because for most men, their urinary tract infections are being caused by retrograde ejaculation and the source of the infection is in their prostate.
• 15:14
  And by the way, men who have the CBS problem have high ammonia levels, that's contributing to their retrograde ejaculation.
• 15:25
  We also are seeing some very exciting results with men who've been diagnosed with prostate cancer,
• 15:32
  One man was told that he had to have his prostate out.
• 15:36
  Two were told they had to have radiation.
• 15:38
  I don't remember what the fourth guy was told, but their practitioner did microgen testing on their semen.
• 15:45
  100% of them had infection.
• 15:48
  They were asymptomatic.
• 15:51
  We treated the infections.
• 15:53
  Their PSA went back to normal.
• 15:55
  None of them had to have any intervention for their prostate cancer.
• 16:01
  Oh my goodness.
• 16:04
  People.
• 16:05
  Tell the world.
• 16:07
  Tell the world about this.
• 16:10
  Are you kidding me?
• 16:11
  Not to diminish those people who actually do have prostate cancer for reasons, of course.
• 16:16
  But what if?
• 16:18
  The Gleason score is the stage of the biopsy with the cancer cells and how much they find and how aggressive it is, plus the PSA.
• 16:31
  So if you bring the PSA down...
• 16:35
  Many men who are getting intervention for their prostate cancer due to a high PSA due to infection, maybe that's not the appropriate intervention for them.
• 16:47
  Right.
• 16:48
  These stealth infections in these villages of biofilms that we all have the villages of biofilms at a different varying levels.
• 16:56
  But Dr. Allison Seebecker and I, who do so many projects together, she's truly a SIBO.
• 17:01
  She's to SIBO what you are to UTIs and IC.
• 17:06
  And she and I are not obsessed, but in a healthy way, very interested in stealth infections.
• 17:12
  And so is Dr. Anne Hill.
• 17:17
  and getting this information out.
• 17:19
  I'm going to do my darndest to make sure that as many people as possible in the world see this and hear this.
• 17:23
  By the way, this was not sponsored by MicroGenDX.
• 17:26
  Welcome if you would like to sponsor.
• 17:28
  Feel free, sirs and nuts of loodies and kids.
• 17:31
  I mean, sure.
• 17:32
  But the fact is, is that this information is invaluable.
• 17:37
  And by the way, last thing, because the Women's Key does also test for...
• 17:45
  bacterial vaginosis, BV.
• 17:48
  Can I talk about that a little bit before I let you go?
• 17:50
  Absolutely.
• 17:52
  I think that BV is a misnomer because what I'm finding is that Gardnerella is not the big player.
• 18:00
  It's other bacteria.
• 18:02
  So there are many other pathogens that like to colonize the vagina besides Gardnerella or Prevotella.
• 18:09
  And
• 18:10
  And the only tools that these, that GYNs usually have in their toolbox are metrogel and fluconazole.
• 18:23
  And so that may work for some of the pathogens, but...
• 18:29
  It's not going to work for the pathogens that are now colonizing a vagina because the pH of the vagina is too high.
• 18:36
  So if you've been taking antibiotics and you've wiped out the good lactobacilli in your vagina, now the pathogens take up residence that like a higher pH because they're not getting it brought down by the lactic acid.
• 18:52
  And so it becomes a vicious cycle.
• 18:55
  So Microgen is going to find those other bacteria that are in the vagina that the standard BV tests are going to miss.
• 19:05
  And oftentimes we can have compounded vaginal suppositories for those pathogens.
• 19:12
  Or in the vast majority of times, simply acidifying the vaginal tract and,
• 19:20
  is sufficient to make the bad guys go away and encourage the good bacteria to grow.
• 19:26
  Now, if you don't have any good bacteria to begin with, that does have to be recolonized.
• 19:32
  And that's a whole separate discussion on the protocol for doing that.
• 19:37
  With the, like, boric acid... No.
• 19:41
  The pH is too high.
• 19:42
  There you go.
• 19:44
  Boric acid...
• 19:45
  The ideal pH for a vaginal tract is 3.8 to 4.2.
• 19:50
  There are vaginal pH test strips.
• 19:53
  They're on the Femologist website, lest you get confused by the 30 choices on Amazon.
• 20:00
  To acidify a vaginal tract...
• 20:03
  below 4.2, if you use boric acid, its pH is only 5.1.
• 20:10
  If you use lactic acid suppositories, which I know are readily available in other countries, that pH is 4.0.
• 20:20
  If you're using ascorbic acid, that may be a little too acidic for a postmenopausal woman, that's only 2.6.
• 20:30
  But apple cider vinegar douching at a pH of 3.2 works beautifully to acidify a vaginal tract, encourage the growth of healthy lactobacilli, discourage the growth of the bad guys.
• 20:46
  How long do you do it for?
• 20:48
  Until you get the desired pH, two to three times a week, not during a period.
• 20:54
  And once the pH is in that 3.8 to 4.2 range, you know you've adequately recolonized so it can be a self-sustaining system.
• 21:05
  So really, you know, there's a famous person out there saying that the vagina is a self-cleaning oven.
• 21:11
  It's not.
• 21:12
  No, you need the lactobacilli at least 90% of a medium load on the microgen vaginal test.
• 21:21
  Okay.
• 21:22
  Nor is it that all douches are bad because you just said that, right?
• 21:26
  So like, remember when it was like Eves or whatever the names were back in the day?
• 21:33
  No, we're not using it like body deodorant.
• 21:38
  No, it's not active.
• 21:41
  No, we're just trying to restore an environment where the healthy bacteria can flourish and the unhealthy ones will be discouraged.
• 21:50
  Okay.
• 21:51
  Is that apple cider vinegar diluted?
• 21:54
  It is.
• 21:55
  There are recipes online.
• 21:58
  I have a protocol I should probably put on my website.
• 22:01
  I did find, by the way, on the website under for patients, lo and behold, we did put up there.
• 22:11
  the collection guidelines for recurrent UTIs and IC in females, the semen and urine collection procedure for men.
• 22:21
  So all of these are written up.
• 22:24
  By the way, it's what you think it is, everybody.
• 22:26
  Yeah.
• 22:27
  Okay, just so you know.
• 22:28
  He's got a cup.
• 22:29
  There you go.
• 22:31
  Well, actually, it doesn't have to be backing off in a cup.
• 22:38
  For the men...
• 22:40
  I forget.
• 22:41
  I mean, my husband would never, that would not have worked.
• 22:45
  So what can you do?
• 22:46
  You get an unlubricated condom.
• 22:49
  The female can assist.
• 22:52
  After ejaculating in the unlubricated condom, when it can be carefully removed, he's not quite as erect.
• 23:00
  Very carefully removed.
• 23:03
  Take that little collection reservoir at the very bottom.
• 23:07
  Cut off the very end of it.
• 23:09
  Milk the semen into the cup.
• 23:11
  Extremely practical.
• 23:13
  And much less contamination than we get with them going directly in the cup.
• 23:18
  Really?
• 23:20
  Yeah, usually.
• 23:20
  Yeah.
• 23:21
  That's great.
• 23:22
  Not as much the skin for it.
• 23:24
  Yeah.
• 23:25
  Honey, that's a great tip.
• 23:29
  I'm a eight-year-old at heart, okay?
• 23:31
  All right, I'm in eighth grade.
• 23:32
  What do you want from me?
• 23:35
  Okay, you guys, if you don't know me, now you do, okay?
• 23:38
  Because I'm a cornball, and I'm easily amused.
• 23:41
  And I am so grateful that you were here, Ruth.
• 23:44
  Blessings to you.
• 23:46
  Godspeed with your projects.
• 23:47
  Oh, thank you.
• 23:49
  Seriously, please put the apple cider vinegar douche protocol on the site.
• 23:55
  You're meeting with your website designer.
• 23:58
  Tomorrow, yeah.
• 24:00
  I'm trying to remember.
• 24:01
  I think it's like three-quarters...
• 24:05
  No, I don't even want to say the amounts, but it's like there's a small amount, like a tablespoon or three quarters in eight ounces of warm water.
• 24:15
  It's not your salad dressing.
• 24:17
  And they do sell the apple cider vinegar douche little containers at drugstores and at Amazon.
• 24:24
  They're about three, four bucks.
• 24:26
  I have people just use that, wash it out, mix up their own solution, and then reuse it.
• 24:32
  Okay.
• 24:32
  Yeah.
• 24:32
  Because the container is kind of handy to have.
• 24:34
  Yeah.
• 24:35
  It's not, I mean, the vagina is not a sterile area.
• 24:38
  No, but so don't, do you use the formula from the... Yeah, you can.
• 24:43
  Okay.
• 24:43
  Absolutely.
• 24:44
  Clean the apparatus and you can reuse it a couple more times.
• 24:48
  With your own recipe for the apple cider vinegar douche.
• 24:51
  There's some things for our mothers and grandmothers maybe should not have fallen by the wayside.
• 24:59
  Some things were really whacked and some were really good.
• 25:01
  What can we say?
• 25:02
  Okay, bonus content, because I know we have to go.
• 25:05
  But for the people who have gone down that road of self-catheterizing, using the Infuserve America, I'll keep you just for two more minutes.
• 25:17
  What do you have in terms of tips?
• 25:18
  Because that is not for the week.
• 25:22
  I have a protocol.
• 25:24
  I don't know if you were given that or not.
• 25:27
  But I will say that there's a mirror that you could get that's standing that's on Amazon that has great amplification.
• 25:36
  And many women find you put a towel down in the bathtub and lean back.
• 25:41
  Put your mirror there.
• 25:42
  And that way, when you put the catheter in, you know you're in the bladder.
• 25:45
  When some urine comes out, it just runs down the drain.
• 25:48
  And then you put in the medicine.
• 25:50
  Yep.
• 25:51
  There's also Glido, which Dr. Anne Hill turned me on to, that you can get from Infuserve America, which is a lidocaine lubricant.
• 25:59
  Yep.
• 25:59
  And that helps.
• 26:01
  And then what if there's a little bit of blood?
• 26:05
  It doesn't happen very often, but we don't have the same urethras.
• 26:11
  And therefore, people often need, not often, but occasionally need a different size catheter.
• 26:18
  So if there is any blood, I question if the size of the catheter that's being dispensed is a little too large for your particular anatomy.
• 26:28
  Okay.
• 26:28
  Okay.
• 26:29
  And they do have, so that's a pediatric, but they haven't, that they usually send.
• 26:34
  They also do have an infant size.
• 26:36
  I can't believe we're having this personal conversation, but I'm here to help.
• 26:39
  And so it's very flexible.
• 26:42
  So it's a little bit harder to maneuver, but that also may be an answer.
• 26:47
  If you find you're thinking pediatric, it's so small, it should be fine, but maybe you need a smaller one.
• 26:52
  And they do make infant ones, which by the way,
• 26:55
  broke my heart to think that a child or baby would ever need this, but nevertheless, their own situations.
• 27:00
  There's also a device called a Eurodapter, U-R-O-D-A-P-T-E-R.
• 27:06
  They used to be available on Amazon.
• 27:08
  There's now a place in Florida that distributes them
• 27:12
  but they're more expensive than they should be.
• 27:16
  I do have some patients that find that the ear adapters are brilliant because it's like a little tiny funnel, but it only has a very little lip that goes into the urethra.
• 27:29
  And then you can just put the syringe with the medicine right on the ear adapter and dispense it into the bladder without ever using a catheter.
• 27:39
  That has my name all over if I ever have to fall down this rattle again.
• 27:42
  I actually thought of them.
• 27:45
  I was like, could we just do this?
• 27:47
  So thank you for telling me that.
• 27:49
  That's why I needed to finish this conversation with that.
• 27:53
  I hope that whoever is listening to this never needs this information.
• 27:57
  From the bottom of my heart and soul, I say this to you.
• 28:01
  But if you do, because we are on a physical planet with physical anatomy and with bacteria and viruses and biofilms that we share this sacred space with.
• 28:12
  I hope that this helps move you forward out of pain, out of agony, out of misery, out of a personal hell that I have only had a glimpse of and I never want to see it again.
• 28:27
  So many blessings to you, Ruth.
• 28:29
  Many blessings.
• 28:30
  Well, thank you so much for getting the word out there.
• 28:32
  And we are seeing fabulous results.
• 28:36
  We had a lady in Texas whose urologist wanted to remove her bladder.
• 28:41
  We did the microgen testing, worked on the biofilms.
• 28:45
  Four months later, she's pain-free for the first time in decades.
• 28:49
  So there is hope, but I want people to know that.
• 28:52
  Maybe you haven't been given hope by the urological community that doesn't
• 28:59
  quite understand biofilms yet, but we're really trying hard to educate.
• 29:04
  And thank you, Siobhan, for being part of getting that word out there that this is how infections live in people, and we can address that.
• 29:14
  And the same old antibiotics that have always worked will still work if we break down the biofilms.
• 29:21
  Great way to wrap it.
• 29:22
  Right.
• 29:22
  That's such a good point.
• 29:23
  I don't know if we made that soon enough.
• 29:24
  So thank you for hanging in to the end of this recording.
• 29:28
  Those antibiotics are not evil, right?
• 29:32
  They just need to be worked with properly.
• 29:33
  So get that week of the biofilm busting in so that then they have the opportunity to do the job.
• 29:40
  But you're saying Bactrid is not the one.
• 29:44
  MacroBid.
• 29:45
  MacroBid.
• 29:46
  Well, not only that, but the product insert says it requires an acid pH to work.
• 29:53
  Well, this population with high ammonia doesn't have an acid pH.
• 29:59
  So I knew intuitively for decades that in this chronic population, the MacroBid wasn't working.
• 30:06
  I just couldn't explain why.
• 30:08
  Now I know why.
• 30:10
  I don't think we've been doing the best job treating infections because of the way we're dosing the antibiotics.
• 30:17
  If you tell someone to take an antibiotic twice a day, most people think, oh, I'll take it at breakfast and at dinner.
• 30:25
  But because different antibiotics have different half-lives, how long, 50% of it will stay in your body.
• 30:33
  And let's say it's
• 30:36
  Four hours.
• 30:37
  Okay, so four hours later, you only have half as much.
• 30:41
  Eight hours later, you only have a quarter as much.
• 30:44
  Four hours after that, you're only gonna have a 16th as much.
• 30:48
  So there's a half-life and a length of time it's gonna take for that antibiotic to clear your body.
• 30:55
  So if you take that second dose of antibiotics at dinner time, by the time you go to bed, you don't have as much of that antibiotic on board
• 31:05
  to accumulate in your bladder overnight.
• 31:09
  So I've been telling practitioners to prescribe the antibiotics.
• 31:14
  If they're twice a day, they take that second dose at bedtime.
• 31:18
  That ensures that you have the most antibiotic in the highest concentration in the bladder for the longest number of hours.
• 31:28
  You will have a better clinical effect with that antibiotic killing the bacteria
• 31:34
  the longer you can keep a higher concentration rate where the infection is.
• 31:40
  And when you get the microgen DX test, it tells you what antibiotics are appropriate for the bacterial overgrowth infection that you have.
• 31:52
  Right, right.
• 31:53
  Except for New York state, but we engineer around that and use other resources.
• 31:59
  Okay.
• 32:02
  Antibiotic options, you still need to have somebody familiar with pharmacology.
• 32:10
  They just tell you what works on a culture plate.
• 32:12
  Right, exactly.
• 32:13
  May not be the same as what works in a person's body.
• 32:17
  For instance, the macrolides, azithromycin may work on many of these pathogens, but only
• 32:26
  6% to 8% of that antibiotic even makes it into the urinary tract.
• 32:31
  So it would not be a good antibiotic choice for someone with a urinary tract infection, whereas it might be the perfect choice for somebody with a respiratory infection that is sensitive to that antibiotic.
• 32:44
  So there has to be some discernment there.
• 32:46
  We have the same issue with practitioners who have a prostatitis.
• 32:52
  Not all antibiotics have good prostate penetration.
• 32:56
  So you need somebody who knows enough pharmacology, and I have resources for the practitioners I consult with on a whole list of which ones have good prostate penetration.
• 33:10
  And I'm working on a whole master guideline for practitioners that...
• 33:15
  to look at antibiotic choices for the women, because some of these antibiotics are very destructive to healthy lactobacilli in the gut and the vagina, but we have some other choices that actually don't kill lactobacilli.
• 33:31
  So if we have a choice between those, you know
• 33:36
  A third generation cephalosporin that protects against certain types of drug resistance and doesn't trash healthy lactobacilli is a winner.
• 33:48
  And what do you do for probiotics?
• 33:50
  Do you have a preference for probiotics after the courses?
• 33:55
  Well, actually, I want people to be taking probiotics while they're on the antibiotic.
• 33:59
  They just separate it by at least two hours.
• 34:04
  The safest one is going to be one that contains Saccharomyces boulardii, although you can add Saccharomyces boulardii in separately.
• 34:15
  Okay.
• 34:17
  It turns out that the gut needs to be replenished with healthy lactobacilli on an ongoing basis, particularly if you're going to do a two-week course of antibiotics.
• 34:29
  You don't want to wait to the end until you start doing that.
• 34:32
  Orthomolecular makes one called probiotic that has a combination of
• 34:38
  They are shelf stable.
• 34:39
  I like that because you don't put it in the refrigerator and forget them.
• 34:42
  It's called probiotic.
• 34:44
  And if I pull up my website here and we go down to here, this is from Femologist that has my products.
• 34:55
  We have the ones that disrupt fibrin.
• 34:58
  We have the ones that disrupt extracellular DNA, the ones that disrupt the amyloid fibers, and
• 35:07
  people who have elevated lipoprotein little a, the products they need, bring that down.
• 35:12
  Here's the ammonia scavenger and the plain ornithine and the plain citrulline that are available.
• 35:20
  If club Ciela comes back, good studies showing that taurine helps clear that out of the gut and the bladder, how to prevent them in the future,
• 35:30
  Here are the oral probiotics.
• 35:32
  So here's the orthobiotic that has the lactobacilli plus Saccharomyces boulardii.
• 35:39
  This is a great one to take if you're on an antibiotic.
• 35:43
  This is a great one, one a day, as a maintenance, just to keep a healthy gut.
• 35:48
  And then this is my rescue remedy.
• 35:51
  If you get any loose stools while you're on an antibiotic, you take one of these.
• 35:56
  These are packets that go in water with powder, and you drink it one a day until...
• 36:02
  you've had no gut issues for three days and there's 15 packets in a box.
• 36:08
  And this is going to keep you from getting in trouble with C. diff or diarrhea from the antibiotic.
• 36:18
  Most of the time, if people are good about taking probiotics, you don't have any gut issues when you're on an antibiotic.
• 36:27
  Okay, but if you're depleted.
• 36:29
  What if, now were you saying before that the lactobacillus can be overgrown in the vaginal canal?
• 36:37
  Oh yes, you can have too much of a good thing.
• 36:40
  Okay.
• 36:40
  So if people have an overgrowth of lactobacilli, the report coming back instead of a medium load will say you have a high load.
• 36:49
  And once again, you don't have to have an antibiotic.
• 36:52
  All you do is alter the pH.
• 36:54
  A baking soda douche will wipe out a substantial amount of that overgrowth
• 37:02
  And once again, most people only have to do it once.
• 37:05
  But if the pH is below 3.8, you know you still have too much lactobacilli and you might want to do an additional baking soda douche.
• 37:16
  And did you just say 2.8?
• 37:19
  3.8.
• 37:20
  Excuse me.
• 37:21
  Great.
• 37:21
  No, I think you said it right.
• 37:23
  Okay.
• 37:23
  Yeah.
• 37:24
  All right, ladies and gents, we got to go.
• 37:26
  But thank you, Ruth.
• 37:26
  I appreciate you being this last with me.
• 37:29
  All right.
• 37:29
  We'll talk to you later.
• 37:30
  Take good care.
• 37:31
  Bye-bye.
• 37:32
  Bye.
• 37:32
  Thank you.
• 37:33
  So that's a wrap on today's episode.
• 37:35
  Thank you so much for being here.
• 37:37
  It genuinely means everything to me.
• 37:39
  If something in this conversation sparks something for you, share it with a woman or a guy in your life who needs to hear it.
• 37:46
  That's how this show grows.
• 37:47
  That's how we heal the planet together.
• 37:49
  And that's how we really connect.
• 37:50
  For more resources, free tools, and everything we talked about today, head over to SiobhanSarna.com.
• 37:56
  That's S-H-I-V-A-N-S-A-R-N-A dot com.
• 38:00
  It's all there waiting for you.
• 38:02
  And until next time, keep asking the questions, keep finding the answers.
• 38:05
  You deserve the full picture and the very best.
• 38:08
  Namaste.
• 38:09
  you