This podcast is sponsored by Micro Balance Health Products. Use code AUTOIMMUNEDOC for 15% off your order at www.microbalancehealthproducts.com

Travel is great - you can see the world, see old friends, see new places, have an adventure.....I'm a big fan of all those things. I love traveling, but sometimes it comes at a cost.

I hear stories ALL THE TIME of people flaring during or after traveling, and in this episode I share plenty of those stories. Sometimes that's an autoimmune flare when someone has a known autoimmune disease like Hashimoto's, Rheumatoid Arthritis, MS, Lupus, or any other diagnosis. Sometimes it's just a symptom flare - you feel more anxious, more inflamed, more foggy, more histamine-y, more bloated, your gut and digestion are thrown off, whatever it may be - you flare.

In this podcast, I talk about flares while traveling in detail. I break it down into 3 sections to make it more digestible and actionable:

1. STORIES - stories of flares that you might relate to - I've heard hundreds! Hearing stories lets you know that it's not just you, and the hope is that you can relate to some of these stories because they are all unique and different.

2. MECHANISMS/REASONS - why would someone flare while traveling? When you know the mechanisms, you can try to get ahead of them. I give my Top 4 Reasons for flares while traveling.

3. SOLUTIONS - what can you do about it? How can you protect yourself? I throw out a handful of ideas, options, and potential solutions to consider to AVOID the next flare and help you ENJOY your travels - whether it's diet and avoidance, traveling with certain supplements, or keeping your air quality clean while away - the options AWAY from home are not always the same as the options at HOME - so it's important to know how you can protect yourself.

Have you even flared while traveling? What do you think caused it? What did you do about it? Send this to someone you know who might value from this episode!

This podcast is sponsored by Micro Balance Health Products. Use code AUTOIMMUNEDOC for 15% off your order at www.microbalancehealthproducts.com

Mast Cell Activation Syndrome (MCAS), Histamine Intolerance (HIT), and other mast-cell-mediated pathologies are becoming more and more well-recognized - -partially thanks to COVID and the changes we have seen in the world since 2020, partially thanks to new science and research, partially based on social media and educational platforms like mine - - but there is still a lot of misunderstanding, incorrect information and people suffering, even in the alternative wellness world, so today I wanted to TALK ABOUT IT. (The conventional world is about 10 years behind on this, so best of luck if you are looking for histamine answers there!)

Histamine and mast cell stuff is quite interesting once you learn to recognize and understand it, and in a functional wellness practice that helps complex or multi-system conditions it is RAMPANT - - I actually recorded this podcast earlier today then I started seeing people (I'm now writing these notes after work), and literally SINCE I RECORDED THE AUDIO, I've heard 3-4 more stories that could have easily made it into this episode!!

Mast cells and their expression, activation and release of histamine (and other inflammatory mediators) are associated with autoimmune diseases like Rheumatoid Arthritis (RA), Multiple Sclerosis (MS), Inflammatory Bowel Disease (Crohn's, Ulcerative Colitis), but perhaps more importantly associated with everyday symptoms like congestion, runny nose, vertigo, bloating, abdominal pain, headaches/migraines, insomnia, heart palpitations, lightheadedness, nausea, diarrhea, reflux, brain fog, skin itching, anxiety, depression, fatigue, and more - the things people show up with in a functional practice, and the things that often look "fine" to the specialists, and this can make people feel like they are going crazy.

In this episode, I "talk about" everything I know about histamine. That's A LOT, too much to type it all out in the show notes, that's why I turn the mic on and talk into it, because I'm better at talking than typing, so please listen :)

BUT, in this episode I cover a lot of stuff - my favorite mentors and books that I have learned from, the concept of the "histamine bucket", the basic understanding of mast cells and what they are, where they are (gut, sinus, skin, etc), what histamine is, how histamine is degraded or broken down, the common symptoms, the diagnostic criteria for these diseases, I'm sure I share some personal opinions besides just all the science and facts, and I talk about how I put this into a framework for people who are looking to get well, and WHAT and HOW I USE some of my favorite tools to help people, and some stories that I hear everyday about how these things are working, which is often really well. Check it out, and please leave a rating, a review, and send this episode to a friend!

Anxiety, Mast Cell Activation, and LPS (Youtube video)

Mast Cells in Pain, Neuroinflammation, and Alzheimer's (study review on Youtube)

This podcast is sponsored by Micro Balance Health Products. Use code AUTOIMMUNEDOC for 15% off your order at www.microbalancehealthproducts.com

This podcast is a perfect transition from my last podcast where I interviewed an ENT surgeon, because the people I'm speaking to and referring to in this episode - people with head "fullness", ear "pressure", or "head drainage issues" - have almost ALWAYS been to an ENT, but they are still left with very few answers, and that's the frustrating thing - they are often getting NO ANSWERS or HELP - and that's why they come to me.

I will admit that I'm recording this podcast just to "talk about" these mechanisms and symptoms that often run together, because I see these things really often and many times I'm able to help quite a bit, but no two people have the same story - and there are a lot of moving pieces when we look deeper into the mechanisms involved, root causes, and differential diagnoses - but there are a lot of things that overlap with these cases, and targets that we can look into or begin aiming at.

Very often people present in my office complaining of some combination of:

• Head "fullness" - the head feels "full" or "heavy" or like it "doesn't drain"
• Dizziness, lightheadedness, vertigo, tinnitus, or other vestibular issues with motion, crowds, flashing lights, etc
• Ear "pressure" - there is some unresolving ear pressure, often one-sided, or the feeling that the ears won't "equalize"
• Pressure "changes" - with incoming storm fronts, airplanes, altitude changes, or with no rhyme or reason
• Lymph stagnation or swollen/tender lymph nodes - around the ear, neck, base of skull
• Neck pain - stiff neck, headaches, tight postural muscles, "coat-hanger" pain
• Histamine responses - allergies, sensitivities, or other mast-cell mediated pathologies or symptoms
• Drainage or mucus production - nasal or post-nasal drip, or feel congested
• Anxiety/Panic/Stress Response - this often leads to more "danger signals", fight-or-flight, anxiety, panic, overthinking, etc

Is this mold? Is this biofilms? Is it viral? Is this from gut dysbiosis? Is this toxin accumulation? Is this the glymphatic system in the brain not draining? Is it TMJ or subluxation of the C1 atlas bone? Is this vagus nerve? Or - is this some combination??

In this podcast, I just "talk about" the people I see with these symptoms, the mechanisms that are often involved, the mysteries that are often involved, the tools available and the success that many can have. I talk about the different targets, like lymphatic drainage of the brain and Th2 inflammation, I talk about different strategies, like air quality control, nasal applications, supplements, chiropractic care, lymphatic drainage techniques, and much more. I just like to TALK ABOUT these things, but also give potential action steps, with the hope that it helps somebody out there who might have a similar problem - and I think this episode and the information given will end up helping SOMEONE - so send it to someone that you think needs to hear it!

This podcast is sponsored by Micro Balance Health Products. Use code AUTOIMMUNEDOC for 15% off your order at www.microbalancehealthproducts.com

I'm really excited about this episode! I spent a lot of my early life in ENT offices, so I've personally always been really intrigued by the science of sinus inflammation and sinusitis for understanding my own health problems, but I've also been very discouraged by the conventional treatments and (lack of) solutions offered by conventional Ear Nose and Throat doctors.

Dr. Don Dennis MD FACS is different. As an ENT surgeon who was seeing chronic sinusitis every day, he started asking the question "WHY?" which led him to investigate the problems associated with air quality and specifically MOLD TOXICITY.

If you have listened to this podcast, you know I am passionate about air quality - whether it be molds, mycotoxins, allergens, particulates, VOCs, endotoxins, or whatever is in the air - we need to breathe clean air. I have interviewed clients, pediatricians, MDs, DOs, PTs, Indoor Environmental Professionals about this topic.

We KNOW that mold makes people sick - that info has been around since the Old Testament - but Dr. Dennis lets us know a little bit more about HOW and WHY this works.

Some of things I found the most interesting in our conversation:

• Molds like dark, warm, moist places and can colonize sinuses and noses. Cleaning out the sinuses with antifungals can be a GAME-CHANGER for some people! Dr. Dennis tells some amazing stories, and even plays audio from a patient herself.
• The immune system responds to molds in the environment with Eosinophils (white blood cells), and these eosinophils come into nasal mucosa and can form "pits", where mucus accumulates. The cilia can't effectively clear the mucus, so it becomes infected and inflamed, and the "microbial burden" grows, including Staph, Pseudomonas (normal residents of the nose) and MOLD, and these bugs can sometimes form biofilms which make them antibiotic resistant. Mayo clinic showed that over 90% of chronic sinus infections had a fungal component involved, and he discusses those studies.
• Molds release toxins called MYCOTOXINS. Mycotoxins ACCUMULATE in sinus tissue. When Dr. Dennis has biopsied and tested sinus mucosa, there are abundant mycotoxins stored in the mucosal tissue.
• The sinuses are RIGHT NEAR THE BRAIN. These tiny little airborne toxins can go right up the olfactory nerve into the brain and accumulate in the brain - they are fat-soluble neurotoxins - in areas like the pituitary that regulates our thyroid, adrenals, stress response, growth hormone (healing) and more.
• Someone might show 3 toxins on a toxin test (Dr. Dennis prefers urine mycotoxin testing), but when you biopsy their tissue, like the pituitary tissue in the brain for example, there might be MORE. It's hard to measure what all has accumulated in the tissue. In his words, it's a toxic soup up there.
• Because of his experience over the last nearly 40 years as an ENT, Dr. Dennis has a LOT of expertise on air quality and we discuss certain tools like ozone, ionizers, purifiers, mold testing plates, mold dogs, and more.
• Dr. Dennis has developed tools to help people - - both professionally as a sinus surgeon, but he also formulated all of the MicroBalance Health Products and EC3 products - they make mold neutralizing candles, cleaning wipes, fogging spray, laundry additives, and more.

If you have an autoimmune disease, mold toxicity, or sinus issues, you will love this conversation! Please leave a rating, a review, or better yet - send this to someone you love or care about - or anyone with a nose and brain :)

OUR NEW, 4-MODULE EDUCATIONAL PROGRAM - MAKING SENSE OF PANS/PANDAS!!

Youtube video - Scientific Study Review - OCD and Autoimmunity

Obsessive-Compulsive Disorder has been around for a long time. PANS - Pediatric Acute-onset Neuropsychiatric Syndrome, and PANDAS - Pediatric Acute-onset Neuropsychiatric Disorder Associated with Strep - are a little bit newer and trendier terms, but, it's because we are seeing more and more kids presenting with sudden behavioral shifts, motor tics, and OCD tendencies, and very often it's after Strep infections.

Did you know that these are AUTOIMMUNE CONDITIONS??

Here is a brief explanation of how that works, using Strep infection as an example. Check out the podcast for much more detail, or better yet, check out our online educational program Making Sense of PANS/PANDAS where we go deeper and I show slides, pictures, I review studies, I explain lab testing options, supplements, support strategies, additional resources, but you ALSO learn about the mental health side of things from my good friend and counselor Alicia Howe LCPC, who specializes in treating OCD.

SO - a kid (or adult) gets Strep throat (or many other infections). The immune system produces ANTIBODIES to "flag" Strep and produces INFLAMMATION to go "kill" Strep. We want this to happen. The problem is, that the body can "mistakenly" flag (antibodies) and attack (inflammation) its self - - THAT'S WHAT AUTOIMMUNITY IS - - and in this case, antibodies and autoimmune inflammation can impact dopamine signaling in areas like the basal ganglia - - that's why another name for this is autoimmune encephalitis or basal ganglia encephalitis. This can drive different responses like FEARS, ANXIETY, EMOTIONAL OUTBURSTS, EATING DISORDERS, EMOTIONAL LABILITY, MOTOR TICS, OBSESSIONS, COMPULSIONS, and more.

As with ANY health condition or symptom, the key isn't some "miracle drug" to treat this condition, the key is to UNDERSTAND WHAT'S ACTUALLY HAPPENING - - because understanding the mechanisms helps you understand the solutions, and helps you get actual results. The hope of this podcast, and our online educational program especially, is that we can help parents or others suffering to understand a bit more about what's going on and what they can do about it - - so share this with somebody who you think it could help!

According to Dr. Google, "Dysbiosis refers to an imbalance in the composition and function of the microbial community within a body, particularly the gut microbiome. This imbalance can lead to various health issues, including digestive problems, inflammatory conditions, and even neurological and mental health concerns."

In the medical or scientific world, you would have to live in a cave to not know the word "dysbiosis" - - it's ALL OVER the scientific literature, it's a popular buzzword on the internet, and along with "leaky gut" it's REALLY, REALLY important for autoimmunity - - but what exactly does that MEAN?!?! It just means imbalance of living things in the body, but it is a MAJOR DRIVER of inflammation, permeability, immune imbalances, histamine, autoimmune progression, and SYMPTOMS.

Did you know you can have dysbiosis of the ear canal and that drives inner ear inflammation?

Did you know you can have dysbiosis of the mouth and it drives gingivitis and cavities?

Did you know you can have dysbiosis of the sinus, lung, vaginal tract, or skin?

Dysbiosis is bad, it drives inflammation, and the solutions are generally to "pull weeds and plant seeds" - - but still - - HOW DO YOU KNOW, HOW CAN YOU MEASURE IT, and WHAT CAN YOU DO ABOUT IT?!?!

That's what this podcast breaks down - - (some of) the tools I use in an effort to suspect dysbiosis (symptoms), detect dysbiosis (labs), or address dysbiosis (action steps) - - some of my favorite probiotics, antimicrobials, and more.

Bloating is one of the most common symptoms that I see, if not THE SINGLE MOST COMMON COMPLAINT I HEAR IN PRACTICE (but anxiety is up right there....).

Honestly, I see great results with bloating and feel confident that I can help improve this complaint, but over the years I have realized that there are different "types" of bloating - - there can be gas production, food reactivities, intestinal inflammation, uterine/ovarian inflammation, maldigestion, water retention, or all-of-the-above could be happening at the same time - and all these can lead to the feeling of abdominal distention and make someone say "I just feel BLOATED!"

I used to think that almost all bloating was fermentation of foods from imbalanced gut bacteria (dysbiosis - my next podcast episode!!!), but as I've helped hundreds of cases of bloating throughout the years, I now realize that not all "bloating" is the same thing - there is fermentation and gas production yes, which can come from Small Intestinal Bacterial Overgrowth (SIBO), and this is STILL the single-most common driver, but what if it's NOT SIBO? What if it's SIFO (fungal overgrowth)? What if it's LOW bacteria in the gut? What if they have H. pylori or a parasite? What if it's not from gut dysbiosis? What are the MECHANISMS THAT MAY BE INVOLVED? How can we test for these things, and WHAT CAN WE DO?!?!

In this podcast I discuss how I approach these cases, what the mechanisms might be, and how I differentiate bloating from foods vs. bloating from inflammation vs. bloating from histamine vs. bloating from water retention vs. bloating from hormone cycles - and how I might address each of these differently so that someone comes back in and says "MY BLOATING IS GONE!", which is a great thing to hear :)

In this episode, I interview my friend and colleague Dr. Roberta Van Zant DO, a functional medicine expert in many areas, but especially Lyme disease and tick-borne infections.

Due to several reasons, including my background training as a chiropractor, scope of licensure (can't prescribe....), my practice style (cash-based consultations services - no insurance), and some other reasons that I discuss in the podcast, I personally don't dive as deep into infections as many other practitioners do - Lyme, Bartonella, EBV, CMV, HHV, HSV, Strep, Pseudomonas, Mycoplasma, etc - but that doesn't mean I don't think they matter in autoimmunity, they matter A LOT.

Everyone knows that infections drive inflammation. Everyone knows when they have the flu they don't want to get out of bed. Everyone knows when they have strep throat they can't hardly swallow. Everyone remembers 2020. My kids even know this stuff. Fevers, coughs, lethargy, earaches, belly aches, headaches - that's an immune response, and it's a GOOD THING most of the time. BUT, then it can get confusing when you go deeper than surface-level!

There are a lot of different "types" of infection - acute, chronic, something you picked up from your kids vs. something that's been living inside of your body that has become imbalanced (yeast, SIBO, etc) vs. something that "reactivates" like a virus....then there are RNA viruses and DNA viruses, there are tick-borne infections that can lay dormant or be passed in utero to babies, there are biofilm colonies of bugs (which Dr. Van Zant describes as a "party" that we don't know who all is at at the party, but we know it's going on inside of us.....I love that!), and there are GOOD BUGS TOO - and it can be confusing.

SO, in this episode, Dr. Van Zant and I discuss all of these things and more, including testing, treatment, some clinical tools we use, some reasons for why we do what we do when we do it, while both having the same goal - trying to help people get better.