General Functional Medicine

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General Functional Medicine

There’s a question about Iberogast, which does contain some licorice root. And the amount is not specified as it’s a proprietary blend. I think it’s very likely to be a small amount because of the number of botanicals that are in Iberogast. But the question is, do we consider it similar to licorice root, and is it contraindicated with some diabetes meds, insulin, oral contraceptives, digoxin, etc.

Chris Kresser:  It’s almost impossible to answer that question because we don’t know exactly what amount of licorice root is...

Along those lines, would Iberogast be safe for people taking the medications listed as contraindications in the Week 28 material, including diabetic medications, insulin, laxatives, oral contraceptives, and digoxin?

Dr. Amy Nett: Yeah, as far as I know, it would be. Again, I think it’s a pretty low dose...

A question about Cyrex food intolerance arrays. When do you consider reintroducing foods, and do you often retest Array 3 and Array 4? If and when do you retest?

Dr. Amy Nett: Sometimes we will reintroduce without testing. If a patient gets to a point where he has what...

I’m following up on my 57-year-old female patient with a diagnosis of fibromyalgia and a stool test showing Klebsiella overgrowth at 3+ on Doctor’s Data, confirmed by BioHealth Lab. Her main complaints are debilitating fatigue, muscle aches, and brain fog gradually worsening over the last two years. Gut symptoms were gas, bloating, and severe constipation. Gut improved with initial dietary changes to the Paleo reset. She has been on the antimicrobial protocol for 60 days with only minor changes in symptoms of fatigue and body aches. During the treatment protocol period, she has titrated off a recently prescribed antidepressant But he suffered from significant withdrawal symptoms. She also has not been strictly observing diet. Ate two gallons of ice cream in the last three weeks and admitted to a return of constipation and worsening of body aches. We are now at the re-evaluation point. Would I prescribe another 30 days of the antimicrobial protocol with best attempt at diet compliance? Is it too early to begin the gut restoration phase? When would you recommend a retest of the gut, now or after another 30 days of protocol and diet compliance?

Dr. Amy Nett: The question is how come she wasn’t compliant with the diet? That’s a pretty big variation to...

How would you go about raising these levels if all other markers and symptoms are in good shape?

Dr. Amy Nett: So, again, my question is kind of what are you treating? Again, this is I don’t know...

Getting a little confused about cortisol, cortisone and all of the interrelations. Is there a chart or a book or an article that has these all on one page?

Dr. Amy Nett:  Yeah, there is. So a couple places—one, Precision Analytical has this amazing chart which I think we’ve...

I’d like to recommend carbonase for a 12-year-old boy who weighs 100 pounds, assuming you know of no reason not to do that.

Dr. Amy Nett:  I haven’t used carbonase in pediatrics and I don’t know if you’re doing this for a sleep...

Do I have any good explanation for a patient having a rough time with Herxheimer reactions? Any research on it, suggestions on helping her through it?

Dr. Amy Nett:  Well, with patients having a hard time with, I’m just going to call it die-off or Herx...

When we refer to a circadian rhythm disturbance on the graph, are we saying that any values that fall out of range qualify as rhythm disturbance? Meaning if the values don’t fall between the high and low values that means the circadian rhythm is disrupted?

Dr. Amy Nett:  Yeah, that’s generally what I would consider circadian rhythm disruption. I like to put it together a...

I just read Peter Levine’s books and I’m wondering how you apply his work clinically in terms of somatic therapy, or if you refer them out for the actual trauma therapy. What applications are relevant to you from his work?

Chris Kresser:  So Peter Levine does a work. He’s developed a body of work called somatic experiencing, or SE, for...

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