Latest / Resiliency Radio with Dr. Jill Carnahan, MD / 310: Resiliency Radio with Dr. Jill: Getting to The Root Cause of IBS with Dr. Izabella Wentz

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310: Resiliency Radio with Dr. Jill: Getting to The Root Cause of IBS with Dr. Izabella Wentz · Resiliency Radio with Dr. Jill Carnahan, MD

• 0:01
  Dr. Jill Carnahan, MD: Welcome to another episode of Resiliency Radio.
• 0:04
  Dr. Jill Carnahan, MD: I'm your host, Dr. Jill.
• 0:05
  Dr. Jill Carnahan, MD: And with each episode we dive into the heart of healing and personal transformation.
• 0:11
  Dr. Jill Carnahan, MD: Join me as I interview world leaders, medical experts and innovators of all types.
• 0:16
  Dr. Jill Carnahan, MD: I'm always learning right along with you.
• 0:18
  Dr. Jill Carnahan, MD: Today's no different.
• 0:19
  Dr. Jill Carnahan, MD: We're going to jump into IBS finding the root cause with the thyroid pharmacist and my friend Isabella Wentz.
• 0:26
  Dr. Jill Carnahan, MD: I will introduce her in just a moment.
• 0:28
  Dr. Jill Carnahan, MD: But before I do, I want to remind you that you can go to drjillhealth.com for all your needs, especially regarding gut health.
• 0:35
  Dr. Jill Carnahan, MD: We have loads of products and services if you're suffering from IBS or IBS related symptoms.
• 0:40
  Dr. Jill Carnahan, MD: Things like our best selling Gut Calm Powder, Gut Shield, Gut Immune and our famous IBS Sibo Sifo kit.
• 0:50
  Dr. Jill Carnahan, MD: It's just under Sibo Sifo Bundle and that will be an incredible source of treatment for symptoms of small intestinal bacterial overgrowth or small intestinal fungal overgrowth which end up often being the root cause of IBS.
• 1:03
  Dr. Jill Carnahan, MD: So check it out at Dr. Jill health.com also there you will find my Dr. Jill beauty line.
• 1:09
  Dr. Jill Carnahan, MD: I want to bring to mind these two best selling products.
• 1:12
  Dr. Jill Carnahan, MD: This one is advanced retinol with Bakuchiol.
• 1:15
  Dr. Jill Carnahan, MD: If you're looking for a retinol which is one of the most powerful anti aging ingredients out there without the drying that happens.
• 1:22
  Dr. Jill Carnahan, MD: I'm in the state of Colorado.
• 1:23
  Dr. Jill Carnahan, MD: My skin is so dry in the winter and this winter has been extremely dry without a lot.
• 1:28
  Dr. Jill Carnahan, MD: Know this is one of those really great products that really improves the fine lines and wrinkles without drying your skin.
• 1:35
  Dr. Jill Carnahan, MD: So you can check that out.
• 1:36
  Dr. Jill Carnahan, MD: The advanced retinol with bakuchiol an absolute bestselling product for your skin.
• 1:42
  Dr. Jill Carnahan, MD: And the second one I want to mention is the needle free serum.
• 1:46
  Dr. Jill Carnahan, MD: This little guy is so powerful you only need a few drops.
• 1:49
  Dr. Jill Carnahan, MD: You can put it around the eyes or around the nose, maybe around the corners of your mouth.
• 1:53
  Dr. Jill Carnahan, MD: And just like it sounds, needle free serum, you can get by with using that without poking needles in your face.
• 1:59
  Dr. Jill Carnahan, MD: And people love that.
• 2:01
  Dr. Jill Carnahan, MD: You don't need a lot.
• 2:02
  Dr. Jill Carnahan, MD: It lasts a long time.
• 2:03
  Dr. Jill Carnahan, MD: It's a super powerhouse for preventing fine lines and wrinkles around your eyes and mouth and nose and forehead.
• 2:09
  Dr. Jill Carnahan, MD: So loving that product Again, you can find all of those@doctor Jill health.com under the Doctor Jill Beauty tab.
• 2:16
  Dr. Jill Carnahan, MD: A lot of people ask me about my skin.
• 2:18
  Dr. Jill Carnahan, MD: I do try to take very good care of my skin.
• 2:20
  Dr. Jill Carnahan, MD: I remember after the age of 40 realizing I've got to protect myself from the sun.
• 2:24
  Dr. Jill Carnahan, MD: I was one of those sun loving babies in my 20s and 30s and now I'm very careful about that.
• 2:30
  Dr. Jill Carnahan, MD: But I also use my own products.
• 2:32
  Dr. Jill Carnahan, MD: People ask me all the time what I do, what I use and I've shared always on these podcasts.
• 2:36
  Dr. Jill Carnahan, MD: I love red light therapy but my products are the foundation of what I do to take care of my own skin.
• 2:42
  Dr. Jill Carnahan, MD: So I walk the walk, I talk the talk and I do the same things that I'm recommending for you.
• 2:47
  Dr. Jill Carnahan, MD: So check those out@doctor Jill health.com now last thing I want to mention before we jump into our show is that at Flatiron Functional Medicine, my clinic in Lewisville, Colorado, we are accepting new patients.
• 2:59
  Dr. Jill Carnahan, MD: So if you're struggling or someone you love, mast cell activation syndrome, long Covid pantas or things like IBS that hasn't been resolved to your liking, give us a call 303-993-7910 and we can get you in to see one of our providers.
• 3:16
  Dr. Jill Carnahan, MD: We are excellent at defining root cause of complex chronic illness and we'd love to be of service.
• 3:23
  Dr. Jill Carnahan, MD: So give us a call or email info flatiron functional medicine.com okay, let's introduce our guest today.
• 3:31
  Dr. Jill Carnahan, MD: Dr. Isabella Wentz is a clinical pharmacist, functional medicine practitioner and internationally recognized thyroid specialist dedicated to helping people address the root cause of autoimmune conditions.
• 3:41
  Dr. Jill Carnahan, MD: After being diagnosed with Hashimoto's thyroiditis, she transformed her own health through lifestyle and functional medicine and experience is now in her work.
• 3:50
  Dr. Jill Carnahan, MD: All of her books.
• 3:51
  Dr. Jill Carnahan, MD: She's got a best selling multiple books including Hashimoto's Thyroiditis Lifestyle Interventions for Finding and Treating the Root Cause and is known for complex science and creating more practical, actionable strategies.
• 4:02
  Dr. Jill Carnahan, MD: You're going to love her new book.
• 4:03
  Dr. Jill Carnahan, MD: We're going to talk about that today in getting to the root cause of IBS.
• 4:08
  Dr. Jill Carnahan, MD: So let's welcome Dr. Isabella Wentz to the show.
• 4:12
  Dr. Jill Carnahan, MD: Dr. Isabella, it is so good to have you on again.
• 4:16
  Dr. Jill Carnahan, MD: Not only you are a brilliant author and have just made a huge impact in the world with autoimmunity, but you're a friend and we just caught up a little bit before our interview and it's so good to see you and to hear what's going on in your life.
• 4:27
  Dr. Jill Carnahan, MD: For those of you who don't know, I've had her on the podcast before.
• 4:30
  Dr. Jill Carnahan, MD: I'll leave the episode and links below.
• 4:32
  Dr. Jill Carnahan, MD: It was a great interview and today's gonna be no different, but I want them to get to know What a special human being you are just a little bit.
• 4:39
  Dr. Jill Carnahan, MD: So if you'd like to tell just a little about your story of how did you go from, you know, pharmacy to writing books, to making an impact in the world for autoimmunity, and then our current topic, which is gonna be ibs.
• 4:50
  Dr. Jill Carnahan, MD: How did that trajectory happen?
• 4:52
  Dr. Izabella Wentz: Jill, it's so wonderful to be here with you and I.
• 4:55
  Dr. Izabella Wentz: First of all, I have to say, you were so such an amazing doctor and friend during the challenges that I faced with my own family that eventually led me to write the IBS book.
• 5:05
  Dr. Izabella Wentz: But to back up a little bit, I became the thyroid pharmacist as a result of my own healing journey.
• 5:13
  Dr. Izabella Wentz: During my.
• 5:14
  Dr. Izabella Wentz: Like, probably when I was 18, I started to have symptoms of thyroid dysfunction.
• 5:18
  Dr. Izabella Wentz: And every other year, I would get more and more symptoms.
• 5:21
  Dr. Izabella Wentz: At one point during pharmacy school, I was diagnosed with irritable bowel syndrome.
• 5:26
  Dr. Izabella Wentz: And we'll talk about that connection between thyroid autoimmunity and.
• 5:31
  Dr. Izabella Wentz: And, of course, IBS in the gut as we go through this interview.
• 5:34
  Dr. Izabella Wentz: But what really got me to, I guess, start taking charge of my own health and got me from a path of being a pharmacist that wanted to heavily medicate everybody and potentially bring a new drug to the market.
• 5:49
  Dr. Izabella Wentz: Really, that was my motivation, was becoming a pharmaceutical scientist and healing people with pharma.
• 5:56
  Dr. Izabella Wentz: Pharmacology was my own challenges with Hashimoto's.
• 6:01
  Dr. Izabella Wentz: When I was in my 20s, I was diagnosed with Hashimoto's after almost a decade of these confusing symptoms, including carpal tunnel, chronic fatigue, acid reflux.
• 6:13
  Dr. Izabella Wentz: The IBS had already mentioned hair loss, anxiety, panic attacks, and.
• 6:19
  Dr. Izabella Wentz: And when I finally got that diagnosis, I was like, okay, why did I get this condition?
• 6:25
  Dr. Izabella Wentz: I thought this happened to older women.
• 6:27
  Dr. Izabella Wentz: What can I do to make myself feel better?
• 6:29
  Dr. Izabella Wentz: Is there anything I can do to get myself into remission?
• 6:31
  Dr. Izabella Wentz: I had started on thyroid meds, but they weren't really doing much for me, which, you know, as a pharmacist, I was like, wait.
• 6:37
  Dr. Izabella Wentz: I thought this was the answer.
• 6:38
  Dr. Izabella Wentz: Like, why are these meds, like, not really making a dent in my symptoms?
• 6:42
  Dr. Izabella Wentz: And that's kind of how I became the thyroid pharmacist.
• 6:45
  Dr. Izabella Wentz: I started to do some research to try to take charge of my own health.
• 6:49
  Dr. Izabella Wentz: I started looking into PubMed, integrative medicine, functional medicine, and also patient forums.
• 6:56
  Dr. Izabella Wentz: I had been doing that for my clients already.
• 6:58
  Dr. Izabella Wentz: I had worked with some complex individuals who usually had disabilities, mental health challenges, potentially even rare genetic disorders.
• 7:10
  Dr. Izabella Wentz: And so I was used to doing a lot of research and Thinking outside the box to help people feel better.
• 7:15
  Dr. Jill Carnahan, MD: That's amazing.
• 7:16
  Dr. Jill Carnahan, MD: And that went to be a New York Times bestseller and just off the charts and really set you up for being this expert in the world.
• 7:23
  Dr. Jill Carnahan, MD: And you just have a really great way of explaining complex things.
• 7:26
  Dr. Jill Carnahan, MD: You're also just such a lovely human that people love to listen and talk to you and hear from you.
• 7:31
  Dr. Jill Carnahan, MD: So I'm so glad you've written this book and you have it back there and I'll show everybody just so they can see the my copy here.
• 7:37
  Dr. Jill Carnahan, MD: So, ibs, you and I know there's a link to the thyroid and maybe start there and then what percentage of people suffer from this?
• 7:45
  Dr. Jill Carnahan, MD: I'm sure people out there listening have.
• 7:47
  Dr. Jill Carnahan, MD: Many have been told they have ibs.
• 7:48
  Dr. Jill Carnahan, MD: And you and I know that it's one of these labels that doesn't really give us the answers.
• 7:53
  Dr. Jill Carnahan, MD: So give us a little bit of the outline on how prevalent is it and why this book is so important.
• 7:59
  Dr. Izabella Wentz: IBS accounts for 12% of primary care physician visits.
• 8:05
  Dr. Izabella Wentz: So it's very common.
• 8:06
  Dr. Izabella Wentz: Yet of course, it's not normal.
• 8:09
  Dr. Izabella Wentz: Looking at the numbers in the U.S. overall, we're looking about 25 to 45 million people that affected.
• 8:16
  Dr. Izabella Wentz: And now here's the thing.
• 8:18
  Dr. Izabella Wentz: I alluded to the fact that I had an IBS diagnosis before I got an autoimmune diagnosis.
• 8:24
  Dr. Izabella Wentz: And this is actually a pattern.
• 8:26
  Dr. Izabella Wentz: We do know that from functional medicine training, that a person might get diagnosed with IBS 5, 10, 15 years before they have an autoimmune diagnosis.
• 8:34
  Dr. Izabella Wentz: And what IBS is, it's a cluster of symptoms essentially, that doctors provide a label for.
• 8:41
  Dr. Izabella Wentz: It's like you can have constipation, diarrhea, potentially alterations of the two, maybe some abdominal dysfunct, discomfort, bloating, stomach pain, so on and so forth for a certain time period.
• 8:52
  Dr. Izabella Wentz: And then you'll get that label.
• 8:54
  Dr. Izabella Wentz: But the label doesn't really inform us as to what's going on and why it's happening.
• 9:00
  Dr. Izabella Wentz: So when somebody has ibs, generally speaking they're going to have intestinal permeability, also known as leaky gut.
• 9:06
  Dr. Izabella Wentz: This can be caused by a whole bunch of different things, which I'm sure we'll get into during this interview.
• 9:11
  Dr. Izabella Wentz: And that intestinal permeability really sets the stage for autoimmune disease, because we know every case of autoimmunity has the genetic presposition, genetic predisposition, some kind of a trigger, as well as that intestinal permeability piece.
• 9:25
  Dr. Izabella Wentz: So my hope is really to spread awareness about ibs, what causes it and what to do about it so more people can feel their best.
• 9:32
  Dr. Jill Carnahan, MD: I love that because just like you described what we know, and even as clinicians, it is simply a label of a set of symptoms that supposedly go together, but underneath that, if we think of like the tree and the leaves and then the roots.
• 9:45
  Dr. Jill Carnahan, MD: Right.
• 9:45
  Dr. Jill Carnahan, MD: So the roots.
• 9:46
  Dr. Jill Carnahan, MD: There are so many different routes.
• 9:48
  Dr. Jill Carnahan, MD: Maybe we could start by just you kind of defined what IBS is, and then roots would be for functionalness and root causes.
• 9:56
  Dr. Jill Carnahan, MD: Right.
• 9:56
  Dr. Jill Carnahan, MD: Like things that are contributing to this.
• 9:58
  Dr. Jill Carnahan, MD: Do you want to give us just a few of the common things that actually might be the real reason by why someone is told they have IBS?
• 10:06
  Dr. Izabella Wentz: Well, 25% of people might actually have celiac disease, depending on the studies that have been done, up to 25%.
• 10:12
  Dr. Izabella Wentz: And yet they're being told to take medications or, you know, stress less, when really they should be going gluten free.
• 10:20
  Dr. Izabella Wentz: And not just a little bit of gluten free, like a lot gluten free.
• 10:23
  Dr. Jill Carnahan, MD: To get rid of their, like 100% gluten free.
• 10:28
  Dr. Izabella Wentz: Yeah.
• 10:28
  Dr. Izabella Wentz: Not 99% gluten free.
• 10:31
  Dr. Izabella Wentz: Other things that can account for IBS diagnosis or label that could be serious.
• 10:36
  Dr. Izabella Wentz: It could include something like inflammatory bowel disease, which you helped my husband so much with, and I know you're an expert in this area.
• 10:45
  Dr. Izabella Wentz: It could be something like bowel cancer as well.
• 10:48
  Dr. Izabella Wentz: So it's really important to rule out those conditions because they can be life threatening.
• 10:53
  Dr. Izabella Wentz: But also things like enzyme deficiencies and small intestinal bacterial overgrowth and protozoal infections.
• 11:00
  Dr. Izabella Wentz: And then there are food additives, food sensitivities.
• 11:04
  Dr. Izabella Wentz: Really a whole host of different hormonal imbalances can also contribute to those symptoms.
• 11:10
  Dr. Jill Carnahan, MD: Yeah, it's really like the classical functional medicine diagnosis because it's, you know, whether it's toxin, infection, hormonal imbalance, inflammation, immune dysfunction, there's all of these things.
• 11:20
  Dr. Jill Carnahan, MD: And any one of those could be contributing to this label that a patient has been given.
• 11:24
  Dr. Jill Carnahan, MD: And the more important thing is that often given that label, they feel like there is no hope for them because there's just.
• 11:33
  Dr. Jill Carnahan, MD: Okay, well, you can take like, we don't really have a drug to cure ibs, which, thank goodness we don't, because it's root cause in nature.
• 11:40
  Dr. Izabella Wentz: Yeah, there are a lot of different medications that are presented as options, but the conventional treatment, less than 25% of people are actually going to become asymptomatic with that.
• 11:49
  Dr. Jill Carnahan, MD: Hey, guys, just want to take a quick break from our program to let you know that we have incredible products and services for IBS on our website, drjillhealth.com whether you're looking for something for heartburn, you can try Gut Calm Powder, one of our very best sellers.
• 12:06
  Dr. Jill Carnahan, MD: If you have indigestion or upset stomach, it's an incredible, soothing powder that has so many ingredients that are helpful for those symptoms.
• 12:14
  Dr. Jill Carnahan, MD: The other thing that's been a bestseller is our SIBO SIFO kit.
• 12:18
  Dr. Jill Carnahan, MD: As we're talking about one of the root causes of IBS, you can just go to DrJillHealth.com check out that the S I B O S I F O kit for both fungal and bacterial overgrowth.
• 12:28
  Dr. Jill Carnahan, MD: Our patients are giving raving reviews for that product.
• 12:31
  Dr. Jill Carnahan, MD: So check it out@drjillhealth.com so one of the important things is what you mentioned, which is inflammatory bowel, things like cancer, there's a few red flags.
• 12:41
  Dr. Jill Carnahan, MD: Now generally, as you know and describing your book, IBS is not the same as inflammatory bowel.
• 12:47
  Dr. Jill Carnahan, MD: And if you have ibs, it does not mean you have cancer necessarily.
• 12:50
  Dr. Jill Carnahan, MD: However, we want to do things like check calprotectin, which is one of those markers that can indicate the direction, which is you need a colonoscopy.
• 12:57
  Dr. Jill Carnahan, MD: But a lot of young people get 1, 2, 3, 4 colonoscopies and they're all normal.
• 13:02
  Dr. Jill Carnahan, MD: You want to talk just a little bit about, you say someone is asking you based on your book, what do I do?
• 13:08
  Dr. Jill Carnahan, MD: Where do I start?
• 13:09
  Dr. Jill Carnahan, MD: My doctor told me I have ibs.
• 13:10
  Dr. Jill Carnahan, MD: Give us a little bit of an outline on the next steps to take to figure out root cause.
• 13:16
  Dr. Izabella Wentz: So like you mentioned, like there's red flag symptoms.
• 13:18
  Dr. Izabella Wentz: So these would be unexplained weight loss, potentially rectal bleeding or black tarry stools, things of that nature.
• 13:26
  Dr. Izabella Wentz: Where you would want to make sure you get a complete workup with a gastroenterologist and rule out something more serious.
• 13:32
  Dr. Izabella Wentz: Unfortunately, I've seen people who thought they had like just IBS or digestive distress and they actually had like cancer or inflammatory bowel disease.
• 13:43
  Dr. Izabella Wentz: And it's really important to get that addressed right away.
• 13:46
  Dr. Izabella Wentz: But if you have been cleared and you're told that it's just ibs, then a great place to start would be looking at food, figuring out which foods are triggering your symptoms.
• 13:58
  Dr. Izabella Wentz: One, this can help you modify your diet, right?
• 14:02
  Dr. Izabella Wentz: And two, that can help you figure out what else might be going on underneath the surface.
• 14:06
  Dr. Izabella Wentz: So for example, if you are somebody that reacts to fatty foods, this is doesn't necessarily mean that you should not eat any fatty foods.
• 14:15
  Dr. Izabella Wentz: Rather it means that you might have some deficiencies in pancreatic enzymes or potentially ox bile.
• 14:20
  Dr. Izabella Wentz: Maybe you have some kind of a issue that's causing you to have malabsorption such as an infection.
• 14:26
  Dr. Izabella Wentz: And so this would be a great place to start.
• 14:28
  Dr. Izabella Wentz: The common foods are going to be gluten and dairy that are going to be reactive for people.
• 14:33
  Dr. Izabella Wentz: But also other foods that sometimes people might find surprising even if they eat, especially when they eat a healthy diet would be raw vegetables.
• 14:42
  Dr. Izabella Wentz: Some of my clients have really had a tough time with like lettuce and blueberries.
• 14:48
  Dr. Izabella Wentz: Things with fiber might be problematic for them.
• 14:50
  Dr. Izabella Wentz: For other people it might be like high FODMAP foods, which can lead us to believe that you might have SIBO and not an eliminate.
• 14:59
  Dr. Izabella Wentz: Elimination diet is not something that's going to help with that forever.
• 15:02
  Dr. Izabella Wentz: It's kind of one of those band aid approaches.
• 15:05
  Dr. Izabella Wentz: And then the other ideas are going to be looking at a low additive diet.
• 15:11
  Dr. Izabella Wentz: There are sugar, alcohols, for example, and food additives that can really damage the gut.
• 15:17
  Dr. Izabella Wentz: So they can really cause symptoms from having an osmotic laxative like effect or even just inflammation and irritation in the gut lining.
• 15:27
  Dr. Izabella Wentz: So a lot of the things that I recommend would be elimination diet of the common offending foods and a low additive diet.
• 15:34
  Dr. Izabella Wentz: So not really eating a lot of processed foods.
• 15:36
  Dr. Izabella Wentz: This is a great place to start for a lot of people.
• 15:39
  Dr. Izabella Wentz: The other place would be to focus in on your digestion.
• 15:43
  Dr. Izabella Wentz: I know I have small children, sometimes I'm like running and eating at the same time and that's not what you want to do.
• 15:50
  Dr. Izabella Wentz: So you do want to make sure that you're really mindful and you're getting into that parasympathetic state so that you can relax, rest and digest properly as you're eating.
• 16:00
  Dr. Izabella Wentz: And then looking into potentially doing some digestive enzymes.
• 16:05
  Dr. Izabella Wentz: I do love broad spectrum digestive enzymes or bitters for many people, just to support the digestive process.
• 16:12
  Dr. Izabella Wentz: Others might need to do something more specific depending on the type of foods that they're struggling with.
• 16:18
  Dr. Jill Carnahan, MD: That's such a great outline.
• 16:19
  Dr. Jill Carnahan, MD: So we have elimination diet, getting rid of the processed foods and additives.
• 16:23
  Dr. Jill Carnahan, MD: And I know things like Splenda can be really toxic.
• 16:25
  Dr. Jill Carnahan, MD: Sugar, alcohols, for sure they stay in the gut.
• 16:27
  Dr. Jill Carnahan, MD: And what you mentioned, the osmotic effect, they basically pull in gas, bloating, diarrhea, some people just from eating, they're like these diet foods that are sugar free alcohol and they're not so good for the gut.
• 16:38
  Dr. Jill Carnahan, MD: If you have too much of them.
• 16:40
  Dr. Jill Carnahan, MD: And then I love the idea that a low fodmap diet might indicate that you have sibo and that low fodmap diet isn't enough.
• 16:47
  Dr. Jill Carnahan, MD: I love that you said that as well, because that would be taking out those foods that are triggering the sibo, typically garlic and onion and pear and apple, or high fructose, and then maybe things like artichoke and.
• 16:59
  Dr. Jill Carnahan, MD: But what you're doing there is you're reducing the food that bacteria needs to survive.
• 17:04
  Dr. Jill Carnahan, MD: But usually that won't completely cure.
• 17:06
  Dr. Jill Carnahan, MD: Let's talk a little about sibo.
• 17:07
  Dr. Jill Carnahan, MD: I know, like, Mark Pimentel is a hero of mine that I've learned so much of, and he says maybe 60 to 80% of IBS is SIBO.
• 17:14
  Dr. Jill Carnahan, MD: So there's a large chunk of this.
• 17:16
  Dr. Jill Carnahan, MD: How would someone go about figuring out if they might have sibo and then what would they do for it?
• 17:21
  Dr. Izabella Wentz: So definitely sibo can be a big part of ibs.
• 17:24
  Dr. Izabella Wentz: It's not the only cause.
• 17:26
  Dr. Izabella Wentz: And sometimes it could be pain part of the situation.
• 17:29
  Dr. Izabella Wentz: Right.
• 17:30
  Dr. Izabella Wentz: There could be other things going on, too.
• 17:32
  Dr. Izabella Wentz: And so it's important to realize that one of the things that I do want people to be mindful of is if you have a lot of bloating and if you're the person that looks like you are, have a flat stomach in the morning, and then you're eight months pregnant by the evening time, you know, this is a potential sign that you could have sibo.
• 17:50
  Dr. Izabella Wentz: But other than that, you do want to do some testing.
• 17:54
  Dr. Izabella Wentz: Sibo breath tests are going to be helpful for figuring out if you have sibo.
• 17:58
  Dr. Izabella Wentz: So some people will say, like, well, I did a stool test and I didn't have Sibo.
• 18:02
  Dr. Izabella Wentz: And those aren't really going to be diagnostic.
• 18:05
  Dr. Izabella Wentz: They might point to some things that indirectly might suggest you have Sibo.
• 18:09
  Dr. Izabella Wentz: But you do want to do that breath test, and that's going to actually help to quantify the severity of the sibo.
• 18:16
  Dr. Izabella Wentz: So if you have a little bit of an overgrowth, or you.
• 18:18
  Dr. Izabella Wentz: If you have a large overgrowth, and then you can figure out with your practitioner what kind of a protocol you need.
• 18:25
  Dr. Izabella Wentz: As you said, the lo fodmap diet, it's like a really popular diet, and it can help some symptoms, but it's more of a band aid approach because it won't get rid of those bacteria in the small intestine.
• 18:36
  Dr. Izabella Wentz: You need something more of intense, like an elemental diet or some herbal remedies or medications.
• 18:43
  Dr. Izabella Wentz: And some people will find that they take the treatments and they're still symptomatic or the SIBO kind of grows back and it's potentially they haven't fully gotten rid of all of the bacteria, or potentially they haven't figured out why the bacteria was overgrowing in the first place.
• 19:02
  Dr. Izabella Wentz: Thyroid dysfunction can cause it, low stomach acid, so on and so forth.
• 19:06
  Dr. Izabella Wentz: So it is a whole chapter in the book because it's such an important root cause and there are so many nuances to treating it that I want people to like, figure out that they have it and treat it right once and move on with their lives.
• 19:21
  Dr. Jill Carnahan, MD: So well said.
• 19:21
  Dr. Jill Carnahan, MD: Because I find with sibo, I treat a lot of it too.
• 19:24
  Dr. Jill Carnahan, MD: And if we're not looking upstream, like you said, low stomach acid, low pancreatic enzymes, H. Pylori involved, or lack of motility or gastroparesis, or these new GLP1s could contribute.
• 19:36
  Dr. Jill Carnahan, MD: Right.
• 19:37
  Dr. Jill Carnahan, MD: That's another cause that people aren't thinking about.
• 19:39
  Dr. Jill Carnahan, MD: Or they might have no bile acid secretion, or they might have all, you know, all these different things and it's so critical.
• 19:45
  Dr. Jill Carnahan, MD: Or they might have fungal overgrowth as well as bacterial, which is called sifo.
• 19:49
  Dr. Jill Carnahan, MD: And I find like those nuances are so crucial because otherwise the patients that I've seen who've been treated, they might have been treated 2, 3, 4, 5 times and a month or two later it comes back or they just get a short term relief.
• 20:01
  Dr. Jill Carnahan, MD: So I love that you said that because I feel like it's so crucial with sibo, especially to look upstream and say, well, why did you get this in the first place?
• 20:08
  Dr. Jill Carnahan, MD: And then make sure that you're treating all of those things.
• 20:12
  Dr. Jill Carnahan, MD: How often you mentioned protozoa?
• 20:14
  Dr. Jill Carnahan, MD: I know years ago I had giardia.
• 20:16
  Dr. Jill Carnahan, MD: It was horrific.
• 20:17
  Dr. Jill Carnahan, MD: And it led to some symptoms for about a year after.
• 20:19
  Dr. Jill Carnahan, MD: So maybe just briefly mention protozoa and those kinds of things because I don't think we talk about that enough.
• 20:25
  Dr. Jill Carnahan, MD: And there are people who have various.
• 20:27
  Dr. Jill Carnahan, MD: These are a type of parasite and they can cause some very severe symptoms.
• 20:32
  Dr. Izabella Wentz: So protozoa are microscopic parasites.
• 20:35
  Dr. Izabella Wentz: So they're not like giant worms that you're going to find in a bowel movement.
• 20:40
  Dr. Izabella Wentz: You're not going to see them if you do a parasite cleanse, you're not going to see them.
• 20:44
  Dr. Izabella Wentz: If you do colon hydrotherapy or anything like that, they can impact our gut really significantly.
• 20:51
  Dr. Izabella Wentz: Giardia is probably one of the best known ones and it can cause a lot of fat malabsorption.
• 20:57
  Dr. Izabella Wentz: People might have like these fatty, greasy, very stinky stools.
• 21:01
  Dr. Izabella Wentz: I Know it used to be called beaver fever, not to be mistaken with like the singer Justin Bieber, but essentially you can get it from water.
• 21:12
  Dr. Izabella Wentz: You can get it from like daycares and pets.
• 21:17
  Dr. Jill Carnahan, MD: A lot of times dogs carry this.
• 21:20
  Dr. Izabella Wentz: And those beautiful dog kisses, like you can get it from them.
• 21:24
  Dr. Izabella Wentz: And it's actually quite common.
• 21:26
  Dr. Izabella Wentz: It can cause ibs.
• 21:29
  Dr. Izabella Wentz: I will say it's one of the ones that is more often caught by conventional medicine where there are also some others.
• 21:37
  Dr. Izabella Wentz: Blastocystis hominis being the most common one that's linked to ibs.
• 21:42
  Dr. Izabella Wentz: It's also linked to Hashimoto's and Chronic hives where, you know, I've looked at a lot of different studies on this and some studies will say that the prevalence of blasto is as high as 72% in IBS depending on where the study was done and the type of stool test that was used.
• 22:00
  Dr. Izabella Wentz: Because I can tell you that I've done head to head stool tests on a lot of people, including my own poor family.
• 22:09
  Dr. Izabella Wentz: And you can do three different stool tests on the same stool sample and you'll get different results.
• 22:15
  Dr. Izabella Wentz: And some of the stool tests will show the protozoa, others won't.
• 22:20
  Dr. Izabella Wentz: So it is something that I find if I see that as a potential pathogen and you treat that, then a lot of times the many IBS symptoms can go away and even autoimmune symptoms and thyroid antibodies I've seen going away with proper treatment of that.
• 22:39
  Dr. Jill Carnahan, MD: Wow, that was a great overview and also so good because my experience exactly the same depending on the type of stool test, which again for my tough clients I will often.
• 22:47
  Dr. Jill Carnahan, MD: Here's two different companies.
• 22:48
  Dr. Jill Carnahan, MD: I want you to do a split sample of stool for one day, same test and I will get.
• 22:53
  Dr. Jill Carnahan, MD: They will correlate, right?
• 22:54
  Dr. Jill Carnahan, MD: They'll have the similarities in Lactobacillus and maybe they both have Klebsiella.
• 22:58
  Dr. Jill Carnahan, MD: However, they will both pick up.
• 23:00
  Dr. Jill Carnahan, MD: One might pick up fungal issues and the other one won't and one might pick up giardia or blasto and the other won't.
• 23:05
  Dr. Jill Carnahan, MD: And I've seen that to be.
• 23:06
  Dr. Jill Carnahan, MD: So if you're out there as a patient and you're working with a functional doctor, you may, and you're struggling, maybe you haven't gotten.
• 23:11
  Dr. Jill Carnahan, MD: Well, I would ask them to do two different stool tests because I think that's a really great pearl that a lot of doctors aren't doing and super helpful.
• 23:19
  Dr. Jill Carnahan, MD: And I also love that you talked about like the severity of these parasites they are hard to.
• 23:24
  Dr. Jill Carnahan, MD: I remember reading about just a conventional stool PCR that you might order through Quest or LabCorp or whatever.
• 23:30
  Dr. Jill Carnahan, MD: It takes an average of seven samples to get a positive giardia.
• 23:34
  Dr. Jill Carnahan, MD: So think about that.
• 23:35
  Dr. Jill Carnahan, MD: Like you go in the first time it's negative, second time it's negative seven times.
• 23:38
  Dr. Jill Carnahan, MD: That was the average for a clinical diagnosis of giardia in a conventional lab with pcr, which is pretty poor, right?
• 23:47
  Dr. Izabella Wentz: Yeah.
• 23:47
  Dr. Izabella Wentz: It's interesting and I know I'm not somebody that loves for people to spend a lot of money, but.
• 23:53
  Dr. Izabella Wentz: But when it's your health, I think it can be quite important to actually do a stool test.
• 23:58
  Dr. Izabella Wentz: I know on my own healing journey, I think I did like eight or nine different stool tests before.
• 24:03
  Dr. Izabella Wentz: Before one found something that was really relevant.
• 24:06
  Dr. Izabella Wentz: And the treatment made a really big difference in my life.
• 24:09
  Dr. Izabella Wentz: So it is a place for you to invest if you are struggling with digestive symptoms or autoimmunity.
• 24:15
  Dr. Jill Carnahan, MD: Yeah, thanks for bringing that to our attention.
• 24:18
  Dr. Jill Carnahan, MD: Thyroid, you mentioned the correlation and I want to talk a little bit more because Hashimoto's, I believe, is the most common autoimmune disorder and especially among women, which are a lot of our listeners.
• 24:27
  Dr. Jill Carnahan, MD: And there's definitely correlations with the gut.
• 24:29
  Dr. Jill Carnahan, MD: Do you want to talk just a little bit about how Hashimoto's might be chicken or egg with ibs?
• 24:35
  Dr. Izabella Wentz: Yeah, it's definitely a two way street.
• 24:37
  Dr. Izabella Wentz: Interestingly, there was a small study of people with IBS and it showed that about 18.5% of them had thyroid dysfunction.
• 24:44
  Dr. Izabella Wentz: And again, it can be a two way street.
• 24:46
  Dr. Izabella Wentz: So if you have thyroid dysfunction, you have an overactive thyroid that can cause you to have diarrhea, you have an underactive thyroid that can slow down your motility.
• 24:57
  Dr. Izabella Wentz: And so then you can have constipation and you can also have low stomach acid.
• 25:03
  Dr. Izabella Wentz: So that makes it more likely for you to catch parasites or other infections.
• 25:09
  Dr. Izabella Wentz: It makes it more likely for you to also have sibo, potentially because of H. Pylori and low stomach acid and slow motility, and that can exacerbate those IBS symptoms.
• 25:20
  Dr. Izabella Wentz: So we do know that this is.
• 25:22
  Dr. Izabella Wentz: Thyroid function in itself can definitely contribute.
• 25:25
  Dr. Izabella Wentz: And on the flip side of that, we do know that the microbiome can contribute to thyroid dysfunction and various gut pathogens, H. Pylori, blasto, whole bunch of others have been tied to thyroid autoimmunity.
• 25:39
  Dr. Izabella Wentz: We do know that malabsorption can lead to various micronutrient deficiencies which are important to proper thyroid function.
• 25:46
  Dr. Izabella Wentz: And then again that intestinal permeability piece that we talked about a little bit earlier.
• 25:50
  Dr. Izabella Wentz: When most thyroid conditions being autoimmune, that intestinal permeability piece is going to be present with a lot of them and can exacerbate or lead to that development.
• 26:00
  Dr. Izabella Wentz: And so when we have ibs, we're also likely higher likely than normal to have intestinal permeability.
• 26:08
  Dr. Izabella Wentz: So again, it's like the body, I feel like it doesn't necessarily have a cause and effect.
• 26:16
  Dr. Izabella Wentz: Sometimes it's like a very much feedback loop where we have a two ways treatment and I don't really know which caused what first, but I will tell you that a lot of people will say they were on in a period of extreme stress and then they had some digestive symptoms and then they developed thyroid issues later down the road when I talked to them.
• 26:34
  Dr. Jill Carnahan, MD: That makes so much sense and interesting.
• 26:36
  Dr. Jill Carnahan, MD: Like from my experience with treating sibo, I always want to make sure that I rule out even a subclinical hypothyroid, which just means a very mild, for example TSH 4.5, you know, it's a little high.
• 26:47
  Dr. Jill Carnahan, MD: It's not in the technical hypothyroid, but they're enough hypothyroid because what you mentioned is that will slow their motility.
• 26:54
  Dr. Jill Carnahan, MD: And I know that if they're having slow motility, their migrating motor complex and the small bowel isn't working to clear that out and then they get the overgrowth.
• 27:02
  Dr. Jill Carnahan, MD: So you kind of have to treat the thyroid if you want if they're hypothyroid when they have SIBO too.
• 27:08
  Dr. Jill Carnahan, MD: So that was really important.
• 27:10
  Dr. Jill Carnahan, MD: Let's talk just a little bit about my world, which is mold and histamine and mast cells.
• 27:16
  Dr. Jill Carnahan, MD: Some of the.
• 27:17
  Dr. Jill Carnahan, MD: Sometimes the patient who has the mast cell issues or a mold exposure that triggers mast cells will present primarily with gut symptoms.
• 27:26
  Dr. Jill Carnahan, MD: Do you want to talk just a little bit about how someone might know that it's more histamine mast cell driven or mold related gut issues versus these other things we've talked about.
• 27:36
  Dr. Izabella Wentz: So in my experience, when somebody is mold exposed, some, a few different things can happen.
• 27:42
  Dr. Izabella Wentz: So one is that their secretory IGA and their gut immune system is going to be heavily impacted and so they're going to be at greater risk for having various gut infections.
• 27:52
  Dr. Izabella Wentz: Then there's also going to be like this dysbiosis that occurs from mold exposure.
• 28:00
  Dr. Izabella Wentz: And so you're going to essentially get into this microbiome that you can picture it like you just took a whole bunch of antibiotics.
• 28:06
  Dr. Izabella Wentz: Right.
• 28:06
  Dr. Izabella Wentz: And there's certain bacteria that may predominate that are more opportunistic, and then you're not going to have the good microbiome to fight everything off.
• 28:16
  Dr. Izabella Wentz: And so even if you had like a low grade parasitic infection that your body was kind of keeping in check, that parasitic infection can really, like, get stronger, and then you can end up with some digestive symptoms.
• 28:30
  Dr. Izabella Wentz: And, you know, again, the mold made them worse.
• 28:33
  Dr. Izabella Wentz: Maybe there was some imbalance there that your body was handling.
• 28:36
  Dr. Izabella Wentz: The other patterns that I see is people might have oxalate issues when they have a mold exposure.
• 28:42
  Dr. Izabella Wentz: Potentially they are colonized with mold in their gut, and that's causing, like Aspergillus mold and candida can both produce oxalates.
• 28:51
  Dr. Izabella Wentz: And again, it's like people will go on a low oxalate diet, and I'm a big proponent of food is medicine and elimination diets, but they end up kind of going after the wrong issue.
• 29:04
  Dr. Izabella Wentz: And so they'll.
• 29:05
  Dr. Izabella Wentz: They'll be like, okay, I'm.
• 29:07
  Dr. Izabella Wentz: I'm low oxalate, but I'm still kind of having symptoms.
• 29:10
  Dr. Izabella Wentz: And is it the oxalates?
• 29:12
  Dr. Izabella Wentz: Another thing that can happen is they gut issues.
• 29:16
  Dr. Izabella Wentz: And mold exposure can cause your body to produce a lot of histamines.
• 29:21
  Dr. Izabella Wentz: And people will oftentimes say, oh, it's like high histamine foods that are the issue.
• 29:26
  Dr. Izabella Wentz: And again, they're kind of like they're noticing the symptoms that they have.
• 29:30
  Dr. Izabella Wentz: Maybe they have.
• 29:32
  Dr. Izabella Wentz: Maybe they take.
• 29:33
  Dr. Izabella Wentz: Have some bone broth or they might have some fermented foods, and those make them feel worse.
• 29:40
  Dr. Izabella Wentz: And they're like, oh, it's these foods that are bad, but really it's their microbiome that's been infected by mold.
• 29:46
  Dr. Izabella Wentz: And whatever imbalance that the mold might cause.
• 29:49
  Dr. Izabella Wentz: Does.
• 29:49
  Dr. Izabella Wentz: Does that kind of help?
• 29:50
  Dr. Jill Carnahan, MD: That's beautiful.
• 29:51
  Dr. Jill Carnahan, MD: And I love that you mentioned, because my history with Crohn's 20 years ago led me to really understand the gut, of course, with my own experience.
• 30:00
  Dr. Jill Carnahan, MD: Like, we both have these experiences, and I didn't know back then a couple things that were so interesting.
• 30:05
  Dr. Jill Carnahan, MD: There was this probiotic, the only one that worked for me, called Bacillus Coagulans.
• 30:09
  Dr. Jill Carnahan, MD: One company was making it right.
• 30:10
  Dr. Jill Carnahan, MD: I didn't know what it was.
• 30:11
  Dr. Jill Carnahan, MD: All I knew was the only one that helped me.
• 30:13
  Dr. Jill Carnahan, MD: Well, now we know that was the same spore and spores tend to be really great for tough cases.
• 30:17
  Dr. Jill Carnahan, MD: But the other thing that was, I always noticed dried meat leftovers, fermented foods, bone broth, even at the time, vinegars and things that were made with vinegar made me way worse.
• 30:29
  Dr. Jill Carnahan, MD: Now, of course, it's like all the high histamine foods were triggers for me way back then.
• 30:33
  Dr. Jill Carnahan, MD: And I think I had DAO deficiency, which is the enzyme that breaks down histamine.
• 30:37
  Dr. Jill Carnahan, MD: And then I had just have a very high predisposition towards making histamine.
• 30:41
  Dr. Jill Carnahan, MD: Who knows if I also had mold back then?
• 30:42
  Dr. Jill Carnahan, MD: I don't know.
• 30:43
  Dr. Jill Carnahan, MD: But that discovery, both of those things just were like trial and error and they worked for me.
• 30:48
  Dr. Jill Carnahan, MD: And then now that I understand, like, oh, I did spore probiotics and low histamine diet and then of course treated sibo and sipo and a bunch of other things.
• 30:56
  Dr. Jill Carnahan, MD: But it was one of those interesting things that now I understand the why.
• 30:59
  Dr. Jill Carnahan, MD: And what you mentioned is so relevant because there's a ton of people out there, influencers that are like bone broth and then kimchi and yogurts and all these wonderful things.
• 31:08
  Dr. Jill Carnahan, MD: They're wonderful foods and they're going to be at some point helpful in healing.
• 31:12
  Dr. Jill Carnahan, MD: But for those people of high histamine, it's miserable, right?
• 31:16
  Dr. Izabella Wentz: Yeah.
• 31:17
  Dr. Izabella Wentz: That's the tricky part is a lot of times when people have been talking about irritable bowel syndrome or gut health, they might be advocating for things like you said, take probiotics or bone broth or fermented foods, and these can be wonderful for the right person.
• 31:33
  Dr. Izabella Wentz: But if you have sibo, there are certain probiotics that are going to make you feel worse.
• 31:38
  Dr. Izabella Wentz: Right.
• 31:39
  Dr. Izabella Wentz: And prebiotic foods are going to make you feel worse.
• 31:42
  Dr. Izabella Wentz: And same with, you know, high protein.
• 31:45
  Dr. Izabella Wentz: Everybody should be on a high protein diet.
• 31:47
  Dr. Izabella Wentz: That's wonderful.
• 31:48
  Dr. Izabella Wentz: But if you're somebody with low stomach acid, you might have trouble with that protein and you might be turning it into like ammonia and that can be causing you to have a lot of constipation issues and brain fog and so on and so forth.
• 31:59
  Dr. Izabella Wentz: And so it's my hope with the book is that we figure out what's going on and then we can kind of tailor your protocol.
• 32:07
  Dr. Izabella Wentz: There might be more than one thing that you might need to do, but it's again, it's like not everybody should be taking fiber and not everybody should be using like lactobacillus based probiotics.
• 32:17
  Dr. Izabella Wentz: Right.
• 32:17
  Dr. Izabella Wentz: You have to figure out.
• 32:19
  Dr. Izabella Wentz: Because certain things can make people worse.
• 32:21
  Dr. Izabella Wentz: Yeah.
• 32:22
  Dr. Jill Carnahan, MD: And just for that, I love telling our listeners to listen to your body because so often there's this.
• 32:26
  Dr. Jill Carnahan, MD: You hear some person on social media or some doctor who has a great following or whatever.
• 32:31
  Dr. Jill Carnahan, MD: And they're telling you this is the cure for everybody.
• 32:33
  Dr. Jill Carnahan, MD: And the truth is like, you and I know it's this individualized approach.
• 32:36
  Dr. Jill Carnahan, MD: And by going through your book and kind of trial and error, hopefully the people can really find some root causes.
• 32:42
  Dr. Jill Carnahan, MD: And I find this is a really great thing.
• 32:44
  Dr. Jill Carnahan, MD: There's some things like I was just talking about breast cancer and hormones after breast cancer with another interview.
• 32:48
  Dr. Jill Carnahan, MD: That's something you want to work with a physician.
• 32:51
  Dr. Jill Carnahan, MD: This is something I feel like the average population person out there who wants to know about IBS and get started.
• 32:57
  Dr. Jill Carnahan, MD: Granted, there are functional doctors and people like you can consult that can help, but I think people can get started.
• 33:03
  Dr. Jill Carnahan, MD: Like, I'm so excited about your book because I feel like a lot of people, probably 80% of people with IBS could start to figure this out on their own.
• 33:10
  Dr. Jill Carnahan, MD: Right.
• 33:11
  Dr. Jill Carnahan, MD: And that's really empowering.
• 33:12
  Dr. Jill Carnahan, MD: And I love that you've brought that information to the public because that's the way it should be.
• 33:17
  Dr. Izabella Wentz: Thank you so much.
• 33:18
  Dr. Izabella Wentz: I appreciate that.
• 33:19
  Dr. Izabella Wentz: And I also really appreciate your work and everything that you've been through on your journey and how you've changed.
• 33:25
  Dr. Izabella Wentz: Have you turned your pain into purpose?
• 33:28
  Dr. Izabella Wentz: One of the other reasons I wrote this book was because my husband was diagnosed with inflammatory bowel disease when we had a two week old baby.
• 33:37
  Dr. Izabella Wentz: And thankfully were living in Boulder at the time.
• 33:41
  Dr. Izabella Wentz: And you were just so incredibly helpful in helping us develop a protocol that brought him into remission within like six to eight weeks.
• 33:50
  Dr. Izabella Wentz: He's been in remission for over seven years.
• 33:53
  Dr. Izabella Wentz: We had a few flare ups in the beginning, trying to figure stuff out, but we also have a whole chapter on what to do in case of inflammatory bowel disease, how to bring that into remission, with some of their latest research and some of the things that have worked for him as well as other people that I've been able to help.
• 34:12
  Dr. Izabella Wentz: Thanks.
• 34:12
  Dr. Izabella Wentz: Thanks to you helping us.
• 34:14
  Dr. Jill Carnahan, MD: Oh, thank you.
• 34:15
  Dr. Jill Carnahan, MD: It goes all the way around because it's been such a beautiful friendship and I appreciate you the same and all the incredible work.
• 34:21
  Dr. Jill Carnahan, MD: I love that in your book you have a little chapter on inflammatory bowel, because I think that there's a subset of patients that not only do we need to rule that out, but also like, give them some tools and just like, I don't know if we mentioned this in the beginning, but most people, I was diagnosed with Crohn's, you know, over 20 years ago, and your husband too, with his inflammatory bowel.
• 34:40
  Dr. Jill Carnahan, MD: And we're told that there's no cure Right.
• 34:43
  Dr. Jill Carnahan, MD: Well, I have zero symptoms.
• 34:44
  Dr. Jill Carnahan, MD: I don't even consider myself having Crohn's anymore.
• 34:46
  Dr. Jill Carnahan, MD: So the idea that it's permanent is just not real.
• 34:50
  Dr. Jill Carnahan, MD: And many people that I've seen over the years can reverse symptoms.
• 34:54
  Dr. Jill Carnahan, MD: And it doesn't mean that you couldn't have a flare or you couldn't have a recurrence or whatever.
• 34:58
  Dr. Jill Carnahan, MD: But there's so much empowerment with your work and not just this book, but all this, all the work you've done.
• 35:03
  Dr. Jill Carnahan, MD: If people want to find more, get the book.
• 35:05
  Dr. Jill Carnahan, MD: Where would you recommend they go and tell us about your website, how to find you, what else you're up to these days.
• 35:12
  Dr. Izabella Wentz: So the website that you can go to is thyroidpharmacist.comIBS to get a copy of the book and some of the bonuses.
• 35:20
  Dr. Izabella Wentz: You can also get it on Amazon and Barnes and Noble and wherever fine books are sold.
• 35:27
  Dr. Izabella Wentz: I just had a baby, so I have a five month old baby.
• 35:30
  Dr. Izabella Wentz: So I love sharing with people on what they can do to take charge of their own health.
• 35:35
  Dr. Izabella Wentz: My work has primarily focused on thyroid issues.
• 35:39
  Dr. Izabella Wentz: I've talked a lot about the stress response and now I'm really speaking to ibs.
• 35:44
  Dr. Izabella Wentz: I'm really passionate about helping women feel their best.
• 35:47
  Dr. Izabella Wentz: There are so many conditions that I feel like don't get enough attention because primarily women are affected by them.
• 35:57
  Dr. Izabella Wentz: My hope is to change that.
• 35:59
  Dr. Jill Carnahan, MD: I couldn't agree more.
• 36:00
  Dr. Jill Carnahan, MD: And speaking of pain into purpose, you and your family have done so much for the world with that.
• 36:05
  Dr. Jill Carnahan, MD: It is always such a pleasure to see you my friend.
• 36:07
  Dr. Jill Carnahan, MD: And thank you for coming on and sharing with everybody.
• 36:09
  Dr. Jill Carnahan, MD: I hope you guys will really take this seriously and if it doesn't affect you, I guarantee you know someone.
• 36:14
  Dr. Jill Carnahan, MD: So get them the book.
• 36:16
  Dr. Jill Carnahan, MD: Hey guys, wasn't that a great episode with Dr. Isabella Wentz, the thyroid pharmacist?
• 36:21
  Dr. Jill Carnahan, MD: One of her best selling books and now new book called Finding and Treating the Root Cause of ibs.
• 36:27
  Dr. Jill Carnahan, MD: Check it out here and get your copy.
• 36:29
  Dr. Jill Carnahan, MD: You can get that wherever books are sold.
• 36:31
  Dr. Jill Carnahan, MD: I highly recommend it for you or a loved one who's suffering from ibs, which is so common.
• 36:36
  Dr. Jill Carnahan, MD: It has all kinds of clinical information and helpful tips and tricks to get your root cause diagnosed and find relief from those symptoms.
• 36:45
  Dr. Jill Carnahan, MD: And if you're on YouTube and haven't yet joined the subscribers, we have over 850,000 subscribers.
• 36:51
  Dr. Jill Carnahan, MD: I'd love for you to click that subscribe button and join them or leave us a review.
• 36:56
  Dr. Jill Carnahan, MD: You can always comment there.
• 36:57
  Dr. Jill Carnahan, MD: I answer all of those myself.
• 37:00
  Dr. Jill Carnahan, MD: And if you're listening on itunes or Spotify.
• 37:03
  Dr. Jill Carnahan, MD: Please leave us a review when you have a moment.
• 37:05
  Dr. Jill Carnahan, MD: We'd sure appreciate that support, as always.
• 37:09
  Dr. Jill Carnahan, MD: You will hear us again next week with a new episode on Resiliency Radio.
• 37:13
  Dr. Jill Carnahan, MD: And until then, I will see you in a week.