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  Reference
  Topic Post Date: 3/6/2022
  Last Reply Date: 1/31/2023
L. Casei Shirota Yogurt: IC Recipe Discussion Thread
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DianeKy: 
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Posted: 1/31/2023

Bob Niland: 
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Posted: 1/31/2023

DianeKy: 
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  Heart_Builder
  Topic Post Date: 2/6/2016
  Last Reply Date: 1/31/2023
Treating Toe nail fungus :What is the best way to treat it ?
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Learning about microbes: 
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Posted: 1/31/2023

Boo: 
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Posted: 9/28/2019

Sybi: 
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Posted: 9/28/2019


  xtronics
  Topic Post Date: 3/22/2020
  Last Reply Date: 1/31/2023
Relative risks - Coronavirus
Not understanding the attention gap  ... tell me where I am wrong ..

Corona virus - peek (so far) about 50-deaths/day
Car accidents - about -- 100/day  ( all age groups )
Death due to lead exposure  1095/day ( mostly older )

Lancet paper says something like number one cause of early death could well be lead exposure - low levels matter..

The paper says :

"Although we cannot exclude residual confounding, we estimate that about 400 000 deaths are attributable to lead exposure every year in the USA, of which 250 000 are from cardiovascular disease. Concentrations of lead in blood lower than 5 μg/dL (<0·24 μmol/L) are an important, but largely ignored, risk factor for death in the USA, particularly from cardiovascular disease."

"Our findings suggest that, of 2·3 million deaths every year in the USA, about 400 000 are attributable to lead exposure, an estimate that is about ten times larger than the current one."

So my take is 400,000 deaths a year is more important than the coronavirus by - how do I say this? -- A WHOLE LOT !!!  ...

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30025-2/fulltext

,.,.,.
Those wanting to reduce their risk might want to consider BG and fattyacids..

http://high-fat-nutrition.blogspot.com/2020/03/ards-and-linoleic-acid.html
http://high-fat-nutrition.blogspot.com/2020/03/cell-surface-oxygen-consumption-4.html

( I have not had influenza after I started low-carb - many many years ago... )
,.,.

Also - might be a link with people taking ace inhibitors and NSAIDs -- too soon to tell (I’ve said before that NSAIDs are not as safe as people think - I would only take a fever reducer if I had a fever over 103.5 - but then I might just do cold compresses..):

https://drmalcolmkendrick.org/2020/03/18/coronavirus-covid-19/

https://drmalcolmkendrick.org/2020/03/22/covid-19-update/


GSH1965: Quoted From xtronics: The tide is turning:

https://twitter.com/RetsefL/status/1619945525670981632

From MIT.  I wonder if he has been cancelled yet. 
Posted: 1/31/2023

xtronics: The tide is turning:

https://twitter.com/RetsefL/status/1619945525670981632
Posted: 1/31/2023

Rippey: 
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  mattsnewdesigns
  Topic Post Date: 1/6/2023
  Last Reply Date: 1/31/2023
Childrens Intolerances and Allergies
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Bob Niland: 
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Posted: 1/31/2023

mattsnewdesigns: Thanks Bob, what about with the Super Sibo yoghurt?  What quantity would be safe?

Thank you,

Matt
Posted: 1/31/2023

Bob Niland: 
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  dkruz1
  Topic Post Date: 1/26/2023
  Last Reply Date: 1/31/2023
the probiotics I’ve been taking and the gut microbiome test I just had
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Bob Niland: 
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Posted: 1/31/2023

Learning about microbes: 
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Posted: 1/31/2023

Lucky Lime: It’s all about the diversity and the quality of the food that you’re consuming... Everything else is wishful thinking 🙂
Posted: 1/27/2023


  dkruz1
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/31/2023
Use of curcumin to affect overgrowth
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Bob Niland: 
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Posted: 1/31/2023

Ian989: "Agents like curcumin and berberine are not specific for pathogens, but do indeed suppress or kill beneficial microbes..."



Why do you think that’s a bad thing though? 
Posted: 1/31/2023

Dr. Davis : 
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Posted: 1/30/2023


  lama8004
  Topic Post Date: 1/22/2023
  Last Reply Date: 1/31/2023
Experience with Dr. Davis’ 4 Week Program from his Super Gut Book - Diarrhea
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Ian989: Myself and others have had issues with eating sauerkraut. Some people don’t digest raw vegetables well. You could switch to just drinking the sauerkraut fermented salt water around the cabbage instead 
Posted: 1/31/2023

lama8004: Ian, Why do you think it is the saur kraut?
Posted: 1/30/2023

lama8004: Thanks Ian, I’ll try that.
Posted: 1/24/2023


  xtronics
  Topic Post Date: 1/30/2023
  Last Reply Date: 1/31/2023
Uric acid targets
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xtronics: 
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Bob Niland: 
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  HeartHawk
  Topic Post Date: 11/25/2019
  Last Reply Date: 1/31/2023
New Member Discussion
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Bob Niland: 
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Cynthiakay: 
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Bob Niland: 
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  Eamo
  Topic Post Date: 1/31/2023
  Last Reply Date: 1/31/2023
Fat consumption issue
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Eamo: 
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Bob Niland: 
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  DianeKy
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/31/2023
Temperature for Shirota incubation
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DianeKy: 
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DianeKy: 
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Ryan: 
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  Vicki and David M
  Topic Post Date: 1/30/2023
  Last Reply Date: 1/31/2023
Pretty great review Article on Ageing and the micobiota. If you hover over and click, the pdf will
https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:20e50dea-515c-31e7-baf8-bc1b02c3b228

Vicki and David M: Hi Bob. Thanks for the great assessment. Its worthy of a second read. I have renewed interest in progurts:) 
Regards
David
Posted: 1/31/2023

Bob Niland: 
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  Bob Niland
  Topic Post Date: 9/15/2018
  Last Reply Date: 1/31/2023
Home Carbonation for Magnesium Water

Home Carbonation for Magnesium Water

Edition: 2018-10-06
Note: although this basenote is publicly-visible, some links and responses may be UIC members-only.


Context

adding MoMMagnesium is a core supplement in the Undoctored and Wheat Belly programs. The most well absorbed oral form of it is “magnesium water”, a home-made solution of magnesium bicarbonate, made from plain milk of magnesia (magnesium hydroxide in water) and plain seltzer water (carbonated water):
  Mg(OH)2 + 2 CO2 → Mg(HCO3)2

In some regions, plain seltzer water can be hard to find. Such products as are available are often adulterated with flavorants, colorants, sweeteners, and minerals other than Mg, plus whatever contaminants are in the bottles. With all-new bottles, mold release agents, plasticizers and polymer out-gas products are an issue. With re-used bottles, detergent residues may be present.

In any region, retail bottled seltzer water means dealing with retail bottles — lots of them. They are bulky and inconvenient to buy and lug home. They take up storage space both full and empty. They have to be disposed of. Retail seltzer water is also not free, and in some places is relatively expensive.

This article describes an alternative, using a widely-available home carbonator. This technique can solve an availability problem, and be more economical than bottled seltzer water, but both benefits assume you already have a supply of suitable water in the home.

fill lineElements Required

Suitable Water
You must have a source of suitable water for this gambit. Unfiltered public water in most places is unsuitable. Unfiltered well water is often unsuitable. If you are already buying drinking water (purified or spring), it will usually be suitable. Distilled water would work.

In the specific described process, the home already had a reverse osmosis system for drinking water.

Plain Milk of Magnesia
If you’ve already been making Mg-water, you have this under control. If not, obtaining a MoM that is just filtered water and magnesium hydroxide could be more trouble than you suspect. The Mg Quick Reference article would be a source of tips on this.

Home Carbonator
There are many brands and products on the market. For this article, a sodastream® FIZZI™ was used (merely because it, along with a spare CO2 cylinder and 2 spare bottles, were stumbled upon at a decent price in a regional retail store). Selection criteria to apply are:

  • Are the containers air-tight when mated to the carbonator? Having a self-sealing cap would be a plus, but is not strictly necessary. See Step 8 for more info.
     
  • Does a local supply chain exist for exchanging or refilling the CO2 cylinders? In the case of the sodastream® brand, cylinder exchanges are widely available at about US$16.00. Failing that, you’d need some way to refill them ad-hoc.
     
  • Are spare containers available? Sodastream® bottles expire. For two people, having three 1 liter bottles is working well.
     
  • Economics: include the up-front one-time expense, periodic bottle replacement, and the on-going CO2 expense. Expect it to be break-even or slightly cheaper than bottled seltzer water, but much more convenient, and providing nearly complete quality control.
     
  • Support Life: apart from the refill issue, brands have come and gone. If the home carbonation fad fades (again), they might all disappear. Check brand history, and user reviews.

The CO2 cylinders are generally at least "ORM-D" for shipping purposes, if not actual hazmats. Delivery to AK, HI (and islands generally) is either going to be expensive or slow (surface vessel).

If the carbonator includes a cylinder, is it full-size, or just a (non-refillable) very low capacity "starter"?

Brand Note:
This article is not an endorsement of the specific brand and product model used. Sodastream® is a very annoying brand, generally. The various models are confusing to compare. The documentation is unsurprisingly heavy on safety warnings, heavy on strident legal claims that may be unenforceable, and very weak on key details of use, with nothing on theory of operation. Such as they are, you may not even be able to find downloadable manuals in your region.

With the sodastream® brand, some machines accept an optional glass bottle (carafe). The normal bottles appear to be heavy duty PETE /1\. Sodastream® claims BPA-free, no phthalates, no PCBs, and no polycarbonate, but says nothing on BPS.

Wider Context Note:
Carbonated beverages are in general discouraged in the Undoctored and Wheat Belly programs, due to pH. In the present reaction, pH is neutralized. But the point here is to expect to have no other use for one of these appliances.

Steps Used by Author

  CAUTION
The specific process presented here is off-schedule for the appliance used. If you cannot satisfy yourself that the steps are safe, then only use the carbonator to make seltzer water, then later use that to make Mg water. By-the-book may require more CO2.
 

The problem that the machine maker wants to avoid is a vigorous reaction when the CO2 is injected, typically resulting in a major mess when the bottle is decoupled. In more egregious cases, the bottle could actually rupture. Note from that video that the system is clearly airtight until the bottle is decoupled.

The Mg(OH)2 + 2 CO2 → Mg(HCO3)2 reaction is not energetic. Indeed, it appears to be a negative pressure reaction. In any event, we allow it time to progress prior to decouple.

carbonatingSet the machine up as per manufacturer instructions. You’ll probably want to wash the bottles.

  1. Fill the carbonating bottle with suitable water, about half full. (We use pre-chilled water, and so skip step 5.)
     
  2. Add the recipe amount of MoM. For one liter, that would be 22.75 mL.
     
  3. Shake the bottle.
     
  4. Add more water to the recommended fill line. For our machine, this seems to be somewhere between the ~~~~~~ fill line printed on the bottle, and the molded ridge line just above it.
     
  5. Unless pre-chilled water was used, put the bottle in the refrigerator for several hours, but do not freeze. The lower the temperature of the liquid water, the more CO2 it accepts, and the less lost at decouple.
     
  6. Shake the chilled bottle, and couple it to the carbonator.
     
  7. Operate the carbonator for a standard charge or slightly higher charge. For our machine, 3 full presses is standard, and that appears to be sufficient to react all the MoM, and not result in much residual carbonation.
     
  8. Leave the bottle coupled to the machine for at least 20 minutes. This allows time for the CO2 to react. If you decouple early, you’re apt to lose a lot of CO2.
     
  9. If the reaction has gone as planned, what was white cloudy water is now clear, with no obvious precipitate at bottle bottom.
     
  10. Decouple. Cap. Shake. Ideally store in fridge. If you lay the bottle on its side, you can more easily check for sediment or precipitate as you dial in the process.
     
  11. Once it’s clear that all the MoM was reacted, the bottle can be left out at room temperature. If you get a pronounced hiss on first opening, that may be ambiguous — is CO2 coming out, or, and perhaps more likely, is air going in.

servingServing

When we decant the Mg-water for consumption, we take that opportunity to add some ancient subterranean mined salt (presently 3 cranks of coarse Redmond Real Salt®)

Adding salt at this point provides a generous amount of nucleation sites to release most of the remaining unreacted CO2.

CO2 Refills

Gaming the sodastream® refill model seems to be a popular pastime. Personally, I find the US$16 cylinder exchange price to be acceptable, and we have an outlet in a nearby town that we frequently visit. You might not have that convenience.

I have not looked into fitting specifications, nor refill pressures, but those would be essential matters if local refill is the only recourse. If there are fountain pops available in your area, there has to be a supply chain for food-grade CO2.

The “food grade” bit is important. Industrial and recreational (paint ball) CO2 may have insufficient purity, or even have deliberate additives (such as lubricants), so do your homework before passing gas.
___________
Bob Niland [disclosures] [topics] [abbreviations]


GSH1965: 
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  mark5309
  Topic Post Date: 8/15/2022
  Last Reply Date: 1/30/2023
GUT SYMPTOMS STOP WITHIN DAYS of ANTIBIOTICS
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Dr. Davis : 
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  Reference
  Topic Post Date: 8/19/2021
  Last Reply Date: 1/30/2023
Index: Defiant Health (DH) Podcasts
Defiant Health marquee

Defiant Health Podcasts

 

Edition: 2023-01-30

This is an index of links to podcasts of Defiant Health Radio with Dr. Davis. This is one of several sub-indicies for the PCM, all linked from the Master Index topic.

Dr. Davis’ Defiant Health Radio is available on a variety of popular podcast platforms. Those so far launched include: Amazon Music, Apple Podcasts, Buzzsprout, Buzzsprout RSS, Castbox, Castro, Google Podcasts, iHeart Radio, Listen Notes, Overcast, Pocket Casts, Podcast Addict, Podcast Index, Podchaser, Podfriend, Player FM, Spotify, Stitcher. Some of these may require having a login capability on the platform, which may or may not be no-charge. Please report any new sites discovered, or issues with the links provided here.

Notification: To stay notified of new podcasts, you can of course subscribe on each platform. As an IC member, you can also subscribe to this Sticky thread. More below on how this works.

Status: The DH podcast began on 2021-06-30. This PCM index for DH is complete and current.

Visitors: This Index, and all podcasts, are accessible to to non-members (although some serving sites may require membership).

Quick Date Nav: [2023-01] [2022-12] [2022-11] [2022-10] [2022-Q3] [2022-H1] [2021]


2023-01: Defiant Health podcasts

Is your skin aging faster than it should?
   2023-01-29, 0:23:54

Big Butt or Big Gut: Is There a Difference?
   2023-01-24, 0:29:03

What’s so toxic about wheat?
   2023-01-15, 0:34:58

2022-12: Defiant Health podcasts

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Five Things Cardiologists Won’t Tell You
   2022-12-21, 0:44:02

Will my programs make you younger?
   2022-12-01, 0:31:12

2022-11: Defiant Health podcasts

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Interview with JJ Flizanes on Emotional Healing
   2022-11-16, 0:58:02

Beat Your Sugar Cravings
   2022-11-06, 0:22:23

2022-10: Defiant Health podcasts

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A Short History of Iodine
   2022-10-27, 0:25:42

Interview with oral microbiome champion, Dr. Debbie Ozment
   2022-10-17, 0:29:26

Love Ain’t What It Used To Be
   2022-10-03, 0:15:23

2022-09: Defiant Health podcasts

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What’s Missing From Dietary Guidelines
   2022-09-24, 0:19:51

Everything You Wanted to Know About Constipation But Were Afraid to Ask
   2022-09-11, 0:21:38

2022-08: Defiant Health podcasts

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New Microbiome Insights Into Repeated Urinary Tract Infections
   2022-08-29, 0:19:12

Non-Celiac Gluten Sensitivity is REAL
   2022-08-20, 0:24:39

Lessons to Learn From Lactose Intolerance
   2022-08-04, 0:17:40

2022-07: Defiant Health podcasts

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Oxytocin: Hormone of Humanity
   2022-07-23, 0:18:50

The Low-Fat Dietary Disaster
   2022-07-11, 0:28:21

2022-06: Defiant Health podcasts

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The Great Microbiome Desert
   2022-06-29, 0:32:30

Five Strategies for Heart Health You Probably Didn’t Know About
   2022-06-20, 0:38:59

Two Nutrients, Two Microbes Crucial for Pregnancy and Lactation
   2022-06-06, 0:21:32

2022-05: Defiant Health podcasts

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Little Known Benefits of Omega-3 Fatty Acids
   2022-05-24, 0:19:55

Unexpected Ways to Boost Your Immune Response
   2022-05-18, 0:20:47

What should blood sugar be after a meal?
   2022-05-12, 0:17:11

The Oxytocin Project
   2022-05-03, 0:18:51

2022-04: Defiant Health podcasts

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Become a Microbiome Citizen Scientist
   2022-04-20, 0:25:55

Making Sense Out of Thyroid Health
   2022-04-12, 0:23:38

The Intestinal Microbiome and Sleep
   2022-04-03, 0:26:21

2022-03: Defiant Health podcasts

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The Birth of Wheat Belly
   2022-03-30, 0:46:06

Vitamin D: Get It Right For Full Benefit
   2022-03-24, 0:33:29

SIBO Yogurt
   2022-03-19, 0:25:40

Depression and the Gut-Brain Axis
   2022-03-08, 0:18:24

Five Events That Transformed My Views on Health
   2022-03-04, 0:40:15

2022-02: Defiant Health podcasts

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I read an excerpt from my new book, Super Gut: Chapter 5
   2022-02-24, 0:31:10

“I have SIBO--So What’s Next?”
   2022-02-14, 0:16:43

Make Saccharomyces boulardii Sparkling Cider Probiotic
   2022-02-05, 0:18:47

2022-01: Defiant Health podcasts

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Yogurt of Love
   2022-01-25, 0:18:29

Statins, Anger, Hate, and Aggression
   2022-01-16, 0:16:57

The Seven Dangers of Sugar
   2022-01-09, 0:18:46


2021-12: Defiant Health podcasts

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Ancient Love
   2021-12-28, 0:21:14

Secrets of the Microbiome Revealed in my new Super Gut
   2021-12-10, 0:14:57

Identify the Emotional Roadblocks Holding You Back: An Interview With JJ Flizanes
   2021-12-03, 0:40:06

2021-11: Defiant Health podcasts

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Interview with Dr. David Perlmutter and about his new book "Drop Acid"
   2021-11-17, 0:33:42

Top Ten Reasons to Never Eat Wheat
   2021-11-14, 0:19:16

The Truth About Food Intolerances
   2021-11-04, 0:27:41

2021-10: Defiant Health podcasts

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Appetite Control Freak
   2021-10-28, 0:13:16

The Magic of Oxytocin
   2021-10-21, 0:19:13

Collagen: It’s Not Just About Skin Health
   2021-10-15, 0:15:58

Does Wheat Cause Heart Disease
   2021-10-05, 0:21:33

2021-09: Defiant Health podcasts

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Do You Have the Oxytocin Deficiency Syndrome?
   2021-09-28, 0:13:06

How a Low-Carb Lifestyle Can Lead To Trouble
   2021-09-22, 0:13:37

Interview with Paleovalley co-founder, Autumn Smith and her journey back to health
   2021-09-13, 0:16:19

Interview With Microbiome Guru Brenda Watson
   2021-09-04, 0:37:21

2021-08: Defiant Health podcasts

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This Is Your Brain On Wheat
   2021-08-26, 0:15:26

Iodine Deficiency: The Forgotten Public Health Crisis
   2021-08-18, 0:14:24

The Loss of Empathy (and how you can bring it back)
   2021-08-01, 0:13:33

2021-07: Defiant Health podcasts

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All You Need to Know About CT Heart Scans and Coronary Calcium Scores
   2021-07-19, 0:13:32

You don’t have to be a (T2) diabetic
   2021-07-12, 0:15:14

The Mysterious Case of the Missing Microbes
   2021-07-07, 0:12:02

How Big Pharma Bought Big Media
   2021-07-03, 0:08:17

2021-06: Defiant Health podcasts

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Why I Dumped Conventional Healthcare
   2021-06-30, 0:23:37


Until the IC stands up a podcast section of its own, this page serves to provide an index of available DH podcasts. Links are to the Buzzsprout pages, which can be accessed at no charge, and with no Buzzsprout account.

As new episodes are added, this basenote is revised (which normally triggers no notifications), but a new Reply is also added to this thread announcing the new episode. The Reply triggers a notification to thread subscribers, and puts a link on the front page Discussions scroll. As new Replies of this sort are added, a moderator removes older such notification Replies (any meta-discussions about the DH podcast won’t be deleted).


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Reference: 
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Posted: 1/30/2023

Bob Niland: 
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Posted: 4/1/2022

Lucky Lime: It is must to listen to it... Especially if you are new here!
Posted: 4/1/2022


  Progutforme
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/30/2023
Vitamin D3
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Progutforme: Thank you! 
Posted: 1/30/2023

Bob Niland: 
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Progutforme: I forgot to check the box for notification. Then I looked for an answer but couldn’t find it.
Posted: 1/29/2023


  Vicki and David M
  Topic Post Date: 1/19/2023
  Last Reply Date: 1/30/2023
L Reuteri
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Vicki and David M: 
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Posted: 1/30/2023

SusanP: 
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Posted: 1/19/2023

bbircie: Thanks for sharing that.  Interesting stuff!
Posted: 1/19/2023


  Missy1
  Topic Post Date: 1/30/2023
  Last Reply Date: 1/30/2023
Clove Tea
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  IAPJeffrey
  Topic Post Date: 1/13/2023
  Last Reply Date: 1/30/2023
Yogurts To Eat To Optimize Health
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Bob Niland: 
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Posted: 1/30/2023

IAPJeffrey: Bob thanks for the updates. 

I suspect there are less LR counts of bacteria because of the Yakult strains. Any downsides for this?


Posted: 1/30/2023

skinnybirch: Our first batch of the L reuteri and L casei shirota blend is fermenting in the yogurt maker now. Thanks for the inspiration, Bob!
Posted: 1/30/2023


  Michele Belle
  Topic Post Date: 10/20/2022
  Last Reply Date: 1/30/2023
GUT ZOOMER RESULTS - I could use some guidance =)
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skinnybirch: 
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Michele Belle : 
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Michele Belle : 
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Posted: 1/29/2023


  JJB
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/30/2023
Rhamnoses
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JJB: thank you!
Posted: 1/30/2023

skinnybirch: Lactobacillus rhamnosus might be more likely to colonize the gastrointestinal tract if taken as part of a bacterial community/guild, such as in Biotiquest’s Antibiotic Antidote formula.
Posted: 1/29/2023

Bob Niland: 
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Posted: 1/29/2023


  Michele Belle
  Topic Post Date: 1/25/2022
  Last Reply Date: 1/29/2023
LABS - interpreting! MD wants HGH injections to reset me! I choose L Reuteri instead! FASCINATING!
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Michele Belle : 
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Posted: 1/29/2023

Bob Niland: 
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Posted: 9/15/2022

Michele Belle : 
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Posted: 9/15/2022


  Coach April
  Topic Post Date: 9/26/2022
  Last Reply Date: 1/29/2023
Updated Thyroid Lab Work - Thoughts??
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Michele Belle : 
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Posted: 1/29/2023

Coach April: I think I will try the Ancestral Supplements brand for a few months at 90 mg and see how numbers are after 30 days...  stay tuned!
Posted: 9/27/2022

Lori_Miller: 
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  camsi
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/29/2023
SodaStream - plastic bottles & phthalates - concerns?
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Bob Niland: 
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Lori_Miller: 
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camsi: 
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  JasonB
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/29/2023
Candibactin AR/Br
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Bob Niland: 
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  Collgoss67
  Topic Post Date: 1/29/2023
  Last Reply Date: 1/29/2023
Sibo yogurt fail?
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Coach April: Collgoss67:

Have you seen this video?

 https://innercircle.drdavisinfinitehealth.com/forum/topics.aspx?ID=29414
Posted: 1/29/2023

Bob Niland: 
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  Reference
  Topic Post Date: 1/30/2023
  Last Reply Date: 1/29/2023
IHB: No “Ozempic face” around here
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  Reference
  Topic Post Date: 2/28/2022
  Last Reply Date: 1/29/2023
Saccharomyces boulardii Cider: IC Recipe Discussion Thread
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hopscotch: I use 2 tablespoons per pint jar. It gives a gentle fizz in the final product.
Posted: 1/29/2023

skinnybirch: How much of the fermented cider or juice should be saved as a starter for the next batch?
Posted: 1/29/2023

JannyLite: 
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Posted: 8/8/2022


  Reference
  Topic Post Date: 3/2/2022
  Last Reply Date: 1/29/2023
Coconut Milk with Guar Gum Yogurt Base: IC Recipe Discussion Thread
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grillparzer: Are you using canned coconut milk or in the carton? Which brand?
Thanks
Posted: 1/29/2023

camsi: 
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TammyR: 
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  RichieGo8
  Topic Post Date: 6/27/2022
  Last Reply Date: 1/29/2023
Candida Fungus and SIFO Question
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JannyLite: Putting this back in rotation as New Reply so it might be addressed. May have slipped through the cracks.
Posted: 1/29/2023


  Progutforme
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/29/2023
Vitamin D3
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Progutforme: Thank you!
Posted: 1/29/2023

Bob Niland: 
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Ryan: 
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  Progutforme
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/29/2023
TSH and other Thyroid results
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Progutforme: Thank you so much Bob. Really helpful information. We’ll order thyroid panels. I think there’s a LabCorps near us.
Posted: 1/29/2023

Lori_Miller: 
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Bob Niland: 
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  dkruz1
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/28/2023
Agave inulin
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Bob Niland: 
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  Ryan
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/28/2023
Legumes
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Ryan: 
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Dr. Davis : 
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  HeartHawk
  Topic Post Date: 1/25/2023
  Last Reply Date: 1/28/2023
Thymic Involution: Is Restoration Possible?
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Dr. Davis : I know of no way to increase neutrophils, Venkat, except to acquire an infection or inflammation, both of which, of course, are not advisable.
Posted: 1/28/2023

Kathy in OK: 
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Venkat S: 
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Posted: 1/26/2023


  Ian989
  Topic Post Date: 6/17/2020
  Last Reply Date: 1/28/2023
Bifidobacterium Longum BB536: Your SIBO, Dysbiosis, Allergy and Viral Immunity strategy?
This particular strain of B. Longum has been the subject of numerous studies with the potential to reduce ammonia https://www.jstage.jst.go.jp/article/bifidus1982/14/2/14_2_59/_article among the Enterobacteriaceae of SIBO and Dysbiosis, LPS (endotoxin), as well as both inhibiting the growth of these bacteria and reducing their numbers https://lait.dairy-journal.org/articles/lait/abs/1993/02/lait_73_1993_2_23/lait_73_1993_2_23.html. The reduction in allergy of this strain looks to be at least partly caused by a reduction in TH2 dominant immune (possibly mediated by a reduction in B. Fragilis in the gut) responses as well as specifically a reduction in allergic responses to those with Japanese Cedar Pollinosis as indicated by a couple different trials https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2222.2006.02575.x. Use of medication was markedly reduced in the BB536 group in one of the studies


I think we will also find this strain possibly useful in viral immunity with one study https://www.wageningenacademic.com/doi/pdf/10.3920/BM2017.0063 reporting fewer days for sore throat with a small reduction for duration of fever, runny nose and cough (although the group here was preschoolers with a possible more malleable gut which may not translate to our older demographic here). An increase in  Faecalibacterium prausnitzii was also found in the treatment group (one of the major, predominant butyrate producers in the gut). BB536 did appear to augment the immune response to an influenza vaccine in at least one other trial though in the elderly https://www.tandfonline.com/doi/abs/10.1271/bbb.90749 where incidence of those who contracted influenza and number of subjects with a fever was lower in the BB536 group compared to placebo,  as well as immune cell activity remaining slightly higher in the BB536 group compared to placebo. The increase in NK cell activity (possible enhanced viral immunity) has been confirmed in another study of the elderly as well https://onlinelibrary.wiley.com/doi/abs/10.1177/0148607112467819

In a fairly well controlled trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627880/ involving enteral tube feeding (controlled diet possibly eliminating diet as a confounding factor) BB536 normalized defecation frequency in both high and low frequency BM individuals, improved stool formation, as well as increased Bifidobacteria numbers (probably through an acetate or organic acid cross feeding pathway) in the subjects (possible cause of improved motility as the elderly are thought to harbour less Bifidobacteria than younger individuals). I believe this strain shows some promise for many aspects of gut health with a long history of research with many similar findings among more than one study and as a cheaper alternative to other strategies

https://www.amazon.ca/Webber-Naturals-Probiotic-Blister-Packed-Capsule/dp/B00FGP7F52/ref=sr_1_7?keywords=webber+naturals+bb536&qid=1590975211&sr=8-7


skinnybirch: 
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Posted: 1/28/2023

Ian989: Thanks John. I will add that I tried making yogurt with the Webber Naturals product I linked to. It turned out thick and rich (although a bit tangy) indicating viable bacteria
Posted: 6/18/2020

John Es: 
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Posted: 6/17/2020


  shana@106
  Topic Post Date: 1/28/2023
  Last Reply Date: 1/28/2023
L casei temperature
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shana@106: 
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Posted: 1/28/2023

Bob Niland: 
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Posted: 1/28/2023


  Neuenschwander
  Topic Post Date: 11/22/2022
  Last Reply Date: 1/28/2023
Methane and Probiotics
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Bob Niland: 
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Posted: 1/28/2023

moats: 
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Posted: 1/27/2023

Neuenschwander: Thank you Bob!
Posted: 11/23/2022


  Maine Nonnie
  Topic Post Date: 1/26/2023
  Last Reply Date: 1/28/2023
PROVITALIZE?
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Maine Nonnie: Yikes, well that may explain why I didn’t notice any improvement!
I purchased this product before I found Dr Davis and this group...guess that one can go in the supplement graveyard!
Thanks Bob!
Posted: 1/28/2023

Bob Niland: 
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Posted: 1/26/2023


  Moores
  Topic Post Date: 1/25/2023
  Last Reply Date: 1/27/2023
Can’t tolerate even half a raw potato in shake, but don’t appear to have SIBO
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Bob Niland: 
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Posted: 1/27/2023

Moores: 
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Posted: 1/27/2023

Bob Niland: 
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Posted: 1/27/2023


  amiegressett
  Topic Post Date: 11/15/2022
  Last Reply Date: 1/27/2023
Are +Methane results normal?
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moats: 
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Posted: 1/27/2023


  GSH1965
  Topic Post Date: 12/9/2022
  Last Reply Date: 1/27/2023
Heart Failure and Benefits of Ketones
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GSH1965: 
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GSH1965: 
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Posted: 12/18/2022

GSH1965: 
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Posted: 12/10/2022


  KNOWAY
  Topic Post Date: 5/20/2022
  Last Reply Date: 1/27/2023
Reducing or stopping calcium scan score.
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Bob Niland: 
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Posted: 1/27/2023

KNOWAY: Is there a video or article on how to reduce small ldl?
Posted: 1/27/2023

Bob Niland: 
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Posted: 1/23/2023


  Venkat S
  Topic Post Date: 1/27/2023
  Last Reply Date: 1/27/2023
Chest pain in night with murmurs.
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  ChrisMo
  Topic Post Date: 1/27/2023
  Last Reply Date: 1/27/2023
Video about navigating website
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Lori_Miller: https://youtu.be/2A-HWF9v8ag
Posted: 1/27/2023


  PeterZ
  Topic Post Date: 1/20/2023
  Last Reply Date: 1/27/2023
Dr Davis, here is the study about L Rueteri and Lupus.
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PeterZ: 
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Posted: 1/27/2023

Dr. Davis : 
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Posted: 1/20/2023

Ian989: 
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Posted: 1/20/2023


  TWDuck
  Topic Post Date: 1/27/2023
  Last Reply Date: 1/27/2023
Carotid Doppler Scan Results
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Bob Niland: 
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Posted: 1/27/2023


  Jabber
  Topic Post Date: 1/27/2023
  Last Reply Date: 1/27/2023
Baseline Calcium Score
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JimAndDianeInBoise: 
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Posted: 1/27/2023


  Zehren
  Topic Post Date: 1/10/2023
  Last Reply Date: 1/27/2023
Biotiquest Simple Slumber
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DianeKy: I have a bottle of Biotiquest available for sale to a Canadian member. I cannot tolerate it so a full bottle less 4 capsules.
Posted: 1/27/2023

Zehren: Thanks for the suggestions
Posted: 1/12/2023

JMBonnie: 
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Posted: 1/11/2023


  Reference
  Topic Post Date: 6/6/2018
  Last Reply Date: 1/27/2023
Thyroid Optimization Quick Reference
Thyroid Optimization Quick Reference

Thyroid Optimization Quick Reference

Contents

Overall context for this topic
General information
Program targets
Test Planning
Testing Considerations
Treatment considerations
Standard of Care cautions

Page edition: 2020-05-08
Note: Although this article is public, not all links within it are.

Context

NOTE:
In the interest of space, this is a two-part sticky article.
Thyroid status must include consideration of iodine consumption
Part 1: Iodine Quick Reference.

Unlike mineral and vitamin core supplements, thyroid optimization may not be simply a matter of dial-in the iodine and you’re done. Thyroid dysfunction, hypothyroid in particular, is pandemic in our modern experience, and does not always fully respond to a corrected metabolism and microbiome.

Due to several modern issues, hypo (low) thyroid function is pervasive, with hyper (excessive) thyroid function also a concern, but much less prevalent. The Standard of Care (see bottom of article) for thyroid too often amounts to dogmatic blundering (and that’s being charitable). Most people starting the Undoctored or 2014+ Wheat Belly program have no real idea of their thyroid status. Many have been suffering, for years, perhaps decades, with undiagnosed hypo, or at the hands of misguided SoC treatment. Some have even had their thyroids destroyed or removed, perhaps needlessly.

The hypo/hyperthyroid pandemic seems to have multiple causes, including but not limited to:

  • iodine deficiency (covered in Part 1);
  • iodine out-competed by non-native halogen compound exposure;
  • other endocrine disruptors in diet altering thyroid needs,
  • dysbiosis that disrupts the role of bowel flora in thyroid hormone conversion,
  • thyroid being a common target in autoimmunity (itself a product of dysbiosis), and
  • other thyroid diseases, not all optional.

General Information

The need for optimizing thyroid has been part of the program, going back at least a decade, and is extensively discussed in all the books and program materials:
Book: Undoctored: starting page 284 of print edition
UIC Video: Thyroid Health Workshop: Part 1 (members)
UIC Video: Thyroid Health Workshop: Part 2 (members)
Blog: DIY Thyroid (Part 1 of 3, public)
Blog: DIY Thyroid, Part 2: Lab Interpretation (public)
Blog: DIY Thyroid, Part 3: Thyroid Hormone Replacement (public)
Video: Complete Thyroid Testing (members)
Video: Track Oral Temperature on Iodine (members)
Video: Iodine and Autoimmune Thyroid Conditions (members)

Program Thyroid Targets

You have probably had TSH tested at some time, and that number can provide a clue. If you have ever had a “full panel” run, there’s some risk that it was for markers (some not actually measured) that aren’t terribly useful, such as: FTI/T7, T3U/TU, TT3, TT4, TTSI, and additional synthetic markers calculated from those, such as SPINA-GT.

Here are the actually-measured markers found to be of most use.

Test Name Target Range Discussion
fT3: Free T3 or
Triiodothyronine, Free, Serum, CPT Code 84481
Upper half of Reference Range This is the active form of thyroid hormone. Low is hypothyroid (and pervasive). High is hyper. Why it might be out of range requires considering all the markers.
fT4: Free T4 or
Thyroxine, Free, Direct, CPT Code 84439
Upper half of Reference Range This is the storage form of thyroid hormone, theoretically converted to T3 as needed, but that conversion is often abnormal (and why T4-only monotherapy often fails).
TSH: Thyroid Stimulating Hormone (Thyrotropin), CPT Code 84443 0.2 to 2.0 µIU/mL This is actually a pituitary hormone test, but it’s what you usually get, often the only “thyroid” test you get. Consensus Reference Ranges typically run too high (allowing an upper limit of perhaps 2.5, more typically 4.5, but not uncommonly some ancient high number like 10 or 15). Many doctors won’t act until it’s over 10. If a TSH is all you have, and it’s outside the program range, it means you need actual thyroid testing. Note that being in-range for program is not dispositive. TSH can be optimal, yet other thyroid measures are out of range. Get a full panel at least once.
TGab: Thyroglobulin Antibody, CPT Code 86800 Within Reference Range
(and zero is fine)
Get two or more antibody tests at least once. If any are above the RR, that suggests that an autoimmune thyroid condition is active (and it may not be the only AI condition for which you are at risk). This situation needs to be treated as 3 or 4 separate problems:
1. stay at RDA for iodine until cautiously challenged
2. thyroid hormone imbalance
3. active autoimmunity
4. probable dysbiosis
The present page only addresses thyroid hormone re-balancing.
TPOab: Thyroid Peroxidase Antibody, CPT Code 86376
(TBII)/TRAb: TSH-Binding Inhibitor Immunoglobulin / TSH Receptor Antibody, CPT Codes 83520/83519
TSI: Thyroid Stimulating Immunoglobulin, CPT Code 84445
rT3: Reverse T3, CPT Code 84482 Lower half of Reference Range This can get complicated. fT4, when converted in the body, can become fT3 or rT3. When too much becomes rT3, it essentially blocks fT3. So you can have an in-range fT3, yet still have hypothyroid symptoms. The main value in running an rT3 is to discover just how skillful a healthcare provider you are going to need. The question of why your body is making excess rT3 needs investigation.
AM oral temp 97.3°F (36.3°C) or slightly higher. Take it immediately upon awakening, before even getting out of bed. If it’s consistently below this value, suspect hypothyroid. This simple at-home measure can be used to track trends between thyroid labs.

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Test planning

• Can you get your doctor to order the tests you need?
• Does your plan cover those tests?
• Will your doctor correctly interpret the results?
• If out of program range, can you get the treatment you need?
• If you can get an ideal treatment, does your plan cover it?
With far too many consensus doctors, the majority of endocrinologists, too many sickcare plans and drug formularies, the answers are often:
  no, no, no, no and no.

Getting more than a TSH often requires that an adverse diagnosis already be recorded. Treatments other than levothyroxine (T4 only) are often off-formulary for many plans.

If you need to obtain your own testing, is that even possible in your jurisdiction? In nanny states like New York, the answer is yet another:
 no.
It might require medical tourism to work around that.

You need to have a contingency plan for these situations. In particular, you do not want to fight to get a draw ordered, show up for it, and have the lab personnel inform you that one or more tests is not covered, and that there may be a $500 out-of-pocket charge.

On the up-side, if you have a medical set-aside plan, such as a health savings account, or flexible spending plan, you can usually use those funds for off-plan tests and off-formulary prescriptions. But even then, don’t spend more than necessary.

So do your homework before engaging the healthcare system. For example, you might have a doctor supportive of your self-directed healthcare, but who is constrained by policy in ordering tests, yet willing to prescribe optimal meds, but you’ll have to pay out of pocket for them. Prior to a consultation, get the needed tests run, and provide the doc with a copy.

For reference, in the U.S., a complete thyroid panel can be had from Life Extension for between $150 and $265 (depending on sales), with individual tests available for less. A TSH+fT3+fT4 is $56-$100 from L.E., useful as follow-up for dialing-in a treatment. These tests are ordered on-line, fully pre-paid, then scheduled on-line at any convenient LabCorp clinic (no additional charges). Results are emailed (PDF) (but also physically mailed, so be mindful of what address you use).

You may also be able to order tests (without a doctor’s order) directly from various walk-in labs, such as Direct Labs, LabCorp and Health Check USA. For a few thyroid tests, saliva sample-at-home/mail-away kits are available from ZRT Labs, and can be web-ordered from multiple re-sellers.

If your doctor is unsupportive of optimal thyroid health, it’s worth discovering that unhappy fact early in the process. Then see: Finding a Doctor (which includes a key screening question on thyroid).

In general, you can get thyroid testing on your own, if necessary. Precise thyroid diagnosis and effective treatment, on the other hand, requires engaging a healthcare provider with some skill or experience.u21f1_north_west_arrow_to_corner Return to ToC

Testing considerations

Be thoughtful about the time of day for the draw. Due to circadian variation, it helps to be consistent. 10:00 AM might be a reasonable choice, but probably any time near the daily average would do (because anyone looking at the results later is going to be comparing them to population averages).

If you are losing weight, expect thyroid hormone levels to be distorted (fT3 depression in particular). Be cautious about dosing and dose adjustments. It’s still worth getting a baseline assessment. Don’t assume a thyroid HRT dose is “final” until it’s been checked while weight has been stable for at least 30 days, and you’ve been on the program long enough to resolve any dysbiosis.

If you are just starting the Undoctored / 2014+ Wheat Belly program, any autoimmunity is likely going to be more active now than later, and this could show up in thyroid AI measures. It is likewise still worth getting a baseline assessment. For example, if the AI (’ab) measures are in range, you have a free hand in iodine restoration.

If you are already on thyroid HRT, take your daily dose after the draw.

At least 36 hours before the test, discontinue any biotin supplement, and any multi-vitamin containing biotin, and any hair/nail-focus supplement that may contain undeclared biotin (or list it as vitamin B7, vitamin H, or coenzyme R) The usual assay methods involve biotin-streptavidin attraction, and the supplement can falsely inflate some results, and to a non-trivial extent.

Fasting is usually not a material factor in thyroid testing (up to 18 hours or so), so handle fasting status based on any other tests also being run.

Dosing adjustment re-tests may not need to include the full panel. fT3, fT4 and TSH may suffice for routine testing, where AI is not on the table.

Suggested re-testing intervals vary by diagnosis, marker and treatment agent (as well as weight trend). This is a topic that you need to discuss with your enlightened care provider. It might be as short as 2 weeks for a Cytomel adjustment, or 6 months to see if an AI titer is receding.u21f1_north_west_arrow_to_corner Return to ToC

{Hypo}Thyroid HRT treatment considerations

Correct iodine first

If mild hypothyroid is indicated, and autoimmune thyroid is off the table, there’s some chance that it’s simply iodine deficiency, and that correcting iodine will optimize thyroid in a couple of months. This is always worth following through on before engaging on the challenge of thyroid hormone replacement therapy.

When more than just iodine is needed, it’s usually in the form of natural (animal-sourced) or synthetic thyroid T3 and/or T4 hormones. These are prescription agents in most places.

OTC supplements may be expected to not work

In the US, you can find many thyroid support formulations that hint about containing what you need to complement your endogenous deficiency, but they often don’t, and when they do, they can’t really say so. If they did, the FDA would require that they be prescription. Members have related their experiences with some of these agents on this forum thread.

T4-only might work

If hypothyroid is frank, and/or did not respond to iodine restoration, your care provider is apt to suggest an initial treatment with levothyroxine (synthetic T4). For some 20% of people with hypo, this can work. This might include cases where both fT4 and fT3 are low. If fT4 was already in-range, however, adding more T4 may trigger side effects even if it does raise fT3 and lower TSH. Caution: if the doctor prescribes brand name Synthroid®, find out why. If generic levo isn’t working…

NDT is usually the answer

Natural Desiccated Thyroid is porcine (pig) or bovine (cow) thyroid extract. This was the go-to treatment historically, prior to the introduction of synthetic T4 (and drug industry promotion of that as “superior”). Apart from formulary issues, many doctors refuse to prescribe anything containing T3, due to lack of experience, and perhaps concerns about reactions and compliance (perhaps a reasonable concern with many non-empowered patients). If you, as an empowered patient, encounter such resistance, find a doctor who will be your advocate.

NDT has the advantage that it contains not just T3 and T4 in what may be nearly ideal proportions for most people, but also other minority forms of thyroid hormones, the value of which is not established. Ancestrally, hunter-gather humans would have consumed game thyroids, possibly deliberately (as is the case for other game organs).

Being animal-sourced is a problem for followers of certain philosophies, so another alternative for T3+T4 treatment is…

Synthetic T3 has its place

This is most commonly known as Cytomel®, liothyronine sodium, a salt of L-triiodothyronine. The ratios of T4:T3 are generally fixed for any particular NDT, so if, for example, T4 is not wanted to go any higher, but T3 is still depressed, adding straight T3 might be considered. Taking a compounded synthetic T4+T3 allows the ratio to be adjusted as required.

Careful dosing and monitoring is required, as T3 is rapidly absorbed, and can have severe side effects if overdosed. Dose adjustment for branded Cytomel®, for example, is to titer by no more than 5 µg every two weeks.

Dial-In and Vigilance

This page (and the Undoctored) program do not provide diagnosis, agent selection, dosing and dial-in details. Apart from regulatory concerns, there are too many diverse scenarios. You need to be working with a supportive healthcare provider with some experience in thyroid. But work to get the numbers optimized — not just “normal” — optimized.

However, don’t just get it dialed-in and then lock it down. Check periodically, particularly if the ailment is autoimmune thyroid (classically Hashimoto’s) and/or there is a dysbiosis situation that is being resolved. As these get resolved, your endogenous thyroid hormone production and conversion is apt to shift, even self-correct, and any thyroid HRT will need adjustment.

AI Thyroid in work

A major presentation of hypothyroid is autoimmune, most commonly Hashimoto’s Thyroiditis. As suggested in the testing table above, this probably needs to be treated as four separate problems:
1. stay at RDA for iodine until cautiously challenged
2. thyroid hormone imbalance
3. active autoimmunity
4. probable dysbiosis
Work on all of these at once. Get the thyroid hormones balanced. Employ existing and emerging program strategies to