Here's another cool case that illustrates the importance of having lab work done.
Just to give you a sneak preview, we're going to find a nutrient deficiency that was extremely
low and how it could possibly contribute to this patient's symptom of anxiety.
So please give good thanks to the patient who let me post this video online for you
all to see and enjoy.
This is a 39 year-old female who came to see me for help with heartburn, hemorrhoids, and
anxiety.
Her heartburn started about 8 years ago and she gets it several times a week, off and
on.
It seems to be triggered by foods.
Recently she has developed abdominal pains and has been having issues with excessive
belching.
She has had the hemorrhoids as well for several years and it's the same situation: it's off
and on she'll get flare-ups of the hemorrhoids.
She has about a 20 year history of anxiety and has been on several anti-anxiety and anti-depressant
medications.
The most recent anti-anxiety medication she is taking is alprazolam, know by the trade
name of Xanax.
A few months ago she stopped taking Paxil on her own.
I suspected that her gut-related issues may be due to food sensitivities so one of the
tests that I ordered was the 184 Comprehensive IgG Food Panel by Alletess.
I made a different video on this one so I'll link [it] down in the description below so
that you could get more information on the food sensitivity panel.
The other set of labs I ordered were basic laboratory tests which was a Complete Blood
Count, a Comprehensive Metabolic Panel, a Lipid Panel, Hemoglobin A1c, and a Vitamin
D. While we were waiting for the lab results to come in, I sent her home with my General
Eating Guide and a supplement called Collinsonia Formula by Genestra this is to help with the
hemorrhoids.
I'll put information about that product down below in the description as well.
After a couple of days I received her first lab report, so let's take a look at it right
here.
This is the Complete Blood Count and we can see right off the bat we got a bunch of flags
going on here.
She had low hemoglobin and she had low hematocrit.
The hemoglobin is the protein that's in the red blood cells that helps carry the oxygen
around your system.
The hematocrit is the percentage of the blood that is solid versus liquid so her, the solid
part of the blood which is all the red blood cells was low as a percentage.
Her MCV or Mean Corpuscular Volume which tells you the size of her red blood cells was low,
so a smaller red blood cell has less hemoglobin in it because we're lacking a nutrient and
the nutrient probably is iron.
And you'll see the next test that I run after this is an iron panel.
Just a couple other things here on the CBC: the MCH is the Mean Corpuscular Hemoglobin
which is the average amount of hemoglobin and her platelets is high.
Now in her case, this elevation in platelets is likely due to inflammation.
Next is the Comprehensive Metabolic Panel.
This one looked pretty good.
Her... only thing here that was low was her creatinine.
It's a problem if creatinine is high.
If it's low, it's ok.
Next was the Lipid Panel.
On that panel we see her HDL cholesterol was low.
I want that HDL to be a little higher because it has protective qualities for the cardiovascular
system.
The LDL was elevated too.
A higher HDL will offset the elevated LDL, so increasing the HDL requires exercise.
Exercise is the best way to increase HDL.
And for anybody looking at a Lipid Panel, if you're looking at your own Lipid Panel,
the most important indicator on the test in my opinion is the HDL cholesterol.
That's got to be high because that's the protective one.
Her Hemoglobin A1c which is a measure of average blood sugar over the past 3 months was pretty
good.
She's getting close to the borderline.
I really like to see a 5.4% and below so a diet with less refined sugars will certainly
help to get that lower.
And the last thing here was her vitamin D. 14.7 that's pretty low.
Most people who I test vitamin D have a low vitamin D level.
The target range for me is between 40 and 60.
So taking a supplemental vitamin D3 will help to get her vitamin D back up to where it should
be and low vitamin D is associated with depression.
So since I determined that she had anemia, I wanted to figure out if it was due to an
iron deficiency so I contacted the patient and sent another lab order over and she quickly
went in and had the lab work done and I got the results before she came in for her follow-up,
which was cool.
And the results showed low iron, severely low iron saturation, and low ferritin.
The iron saturation is how much iron that you have per cell.
So the red blood cells hold on to iron and carry it around.
In her case they have very low [iron].
And iron is what helps you to carry oxygen around your body and your brain needs a constant
supply of oxygen, otherwise the body goes into a panic mode.
You know the adrenals start to release epinephrine which is adrenaline.
Which makes you feel anxious.
So I know this patient has had anxiety for the last 20 years or so, but I think in recent
times this low iron is greatly contributing to her anxiety, you know she gets this adrenaline
release and she feels anxious and then starts to worry more about her health so it's like
a downward spiral.
So this is pretty cool that we found this.
I think that giving her an iron supplement is really going to help and we'll talk about
which product I chose for her in a minute.
We also got the results of her Food Sensitivity Test before she had her follow-up as well.
Here you can see everything that's in red is what she reacted to and the scale is...
on a scale of 1-3, 3 being the highest.
Most of these were a Class 1 reaction and one of them was a Class 2 here.
Whenever I interpret these results I look for patterns and in this case the dairy category
was a major food sensitivity category.
We'll have her completely stay off of all dairy for the next couple of months and all
other reds too, we'll have her stay off of as well.
The reason why I chose to do the Food Sensitivity Test is I speculated that there were some
foods that she was eating which was causing inflammation in her gut.
Now whenever you have chronic inflammation in the gut, several things happen and they
correlate well with her symptoms.
For example, when you have the whole 23 or so feet of small intestine always inflamed
and your stomach is inflamed you're going to get pressure pushing upward and that pressure
makes that Lower Esophageal Sphincter, you have a valve at the bottom of your esophagus
that leads into your stomach called the Lower Esophageal Sphincter.
When that pressure pushes up that valve can open up and some stomach acid will leak out
and you get the symptoms of heartburn.
So in order to treat her heartburn we need to eliminate these food which are causing
inflammation for a period of time so that all that pressure goes down and she doesn't
have that stomach acid leaking up into the esophagus.
Otherwise, she's going to have to continue taking antacids which in my opinion, are contributing
to her low iron.
You see your stomach...you need stomach acid to absorb vitamins and minerals and some of
these medications specifically in the class of proton pump inhibitors.
So in that class you have: Prilosec, Nexium, Protonix, and Aciphex.
These medications, I think, should not be allowed over the counter.
In the last couple years they've allowed the omeprazole which is also known as Prilosec
to be over the counter.
So anyone could just buy these medications and when you take them it lowers your stomach
acid production by 90% for 24 hours!
So that whole time you have low stomach acid, so anything you eat, you're not going to be
absorbing the vitamins and minerals.
In her case she wasn't absorbing the iron.
Because on her lab test it doesn't look like she has blood loss.
You could see her red blood cell count is normal.
This looks like she has iron deficiency anemia caused by an absorption issue.
She's not absorbing it and I think it's due to taking the omeprazole, which is a proton
pump inhibitor.
So here's the purpose of stomach acid: stomach acid helps you absorb vitamins and minerals,
it helps set up a cascade of events that make sure stomach and the pancreas release digestive
enzymes, and the acid kills bacteria that's in your food.
So when you're taking these medications that lower your stomach acid by 90% for 24 hours
you're not having that protection against bacteria in your food, you're not making your
proper digestive enzymes, and you're not absorbing your vitamins and minerals properly.
And in her case, it looks like she's not absorbing her iron as well and I question are there
any other minerals or amino acids that she may not be absorbing properly which help her
body to build some of the neurotransmitters like dopamine or serotonin which help you
to feel good.
Maybe she's lacking some of these in her diet as well.
I suspect by getting off the antacid, by avoiding these food sensitivities, allowing the immune
reaction in the gut to lower and allowing the inflammation in the gut to go down she's
going to feel a lot better both physically and mentally.
Let's jump into her treatment plan here.
I always give my patients a summary of what my thoughts are and this is basically what
I just went over.
She has severe anemia due to iron deficiency, the heartburn is likely due to the food sensitivities.
Same thing with the hemorrhoids, they're made worse by the food sensitivities.
I'll explain that one.
The... you have this network of veins in your digestive tract so that whenever you eat your
food, your food gets absorbed through your digestive wall and goes into the veins and
all theses little small veins coalesce into a larger vein called the Portal Vein and that
goes to the liver.
Well, if there's any inflammation in the gut it's going to put back pressure on that network
of veins.
One of the groups of veins goes down to the anal region.
These are what cause hemorrhoids.
So if you get back pressure in this group of veins then you'll have hemorrhoids and
I think that's the case for her.
Having this chronic inflammation in the gut from the food sensitivities is contributing
to the hemorrhoids.
So I think that avoiding those will help the hemorrhoids as well.
In addition, improving her overall gut health, that will help to change her microbiome in
her digestive tract too.
It's also a possibility that having unfavorable bacteria or yeast living in the gut could
contribute to the irritation in the gut or the inflammation in the gut and this could
be related to the food sensitivities too because it's affecting your immune system.
Making the dietary changes should help with improving the gut microbiome as well.
She was complaining about having abdominal pain and she had gone to prior doctors for
this too and most recently when I talked to her she said that when she lays down on her
side she feels rib pain and I suspect that has to do with just areas of the digestive
tract that are just raw.
So much inflammation that they've become raw and it's like having an open wound on the
inside of your gut and any time you eat, especially if you're eating high fiber, it's just going
to scratch that wound.
And since she has a history of anxiety, her stress hormone, cortisol, is probably always,
always being elevated and what happens if you're in a chronic state of having elevated
cortisol is that wears down the protective lining of the gut making you more susceptible
to have ulcers of the gut or damage to the gut.
So our goals, of course were to relieve her heart burn.
We want to relieve the hemorrhoids, want to reduce her anxiety, want to correct the iron
deficiency anemia and then increase her vitamin D. She'll continue following the healthy [diet]
guide that I gave her.
And she'll avoid all of her food sensitivities for 2 months.
That will give her time for her immune system to calm down and the gut to start healing.
So typically after about a couple weeks on a food sensitivity elimination diet patients
will start to feel better.
After about a month the immune system has calmed down and the inflammation is down and
I always give 1 more extra month to make sure we have full repair of the gut.
The supplements that I have prescribed for her is Grapefruit Seed Extract and this is
specifically to help kill off any unfavorable gut microorganisms.
The next one is Ther-Biotic which is my favorite probiotic.
I made a video on this product on my other YouTube channel, so I'll put a link below
so you can get more information on that.
I specifically prescribed that for her to rebuild up her healthy gut flora.
The next one is just a Vitamin D3.
This product is in a liquid form, it's very convenient, just 3 drops gives you 6,000 iu
a day which is the dose I gave for her.
And the final product here is my favorite iron, it's the best absorbed, best tolerated
iron.
I also made a video of this one on my other YouTube channel and I'll for sure link that
one down below too.
This is to help her iron get back up to where it should be.
And what we'll do is, we'll get her started on that and in 3 months we'll recheck all
the labs that were abnormal including the iron panel.
Thanks for watching I hope you all enjoyed this patient's case.
Again please give thanks to the patient for allowing me to post this online.
If you like this video please give it a thumbs up and for notifications of future videos
like this please hit the subscribe button and the little bell below.
Thanks for watching and we'll see you in the next one.
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