My mother died from a C-Diff infection that she contracted after a couple of courses of broad-spectrum antibiotics used to treat a respiratory infection. Since then, I've refused several antibiotics in favor of ones that had less of a C-Diff risk. I also had a suspected allergy to penicillin after I got a rash when taking it as a child. My doctor recommended I be tested to see if I truly was allergic. I went to an allergist who determined that I wasn't allergic to penicillin after all. Thanks for discussing this very important topic. Great podcast.
Penicillin allergy is an odd one, I used to get a rash a few days after starting a course, and assumed I had an allergy. From what I have read since then though it probably wasn't an allergy at all, as it was just a flat red rash rather than a raised rash. I should get tested properly as the "mycins" really aren't that pleasant for me to take
In 2007, my Mum died after a year of antibiotics finally culminating in C-diff. She must have been very strong! When I asked about probiotics for her the doctors had no idea what I was talking about!
U SOUND IRISH....ME TOO....I HAVE BEEN PUMPED WITH MOVICOL WITH CONSTIPATION FOR YEARS AND SUPPOSED IBS....I AM ON KETO 6MONTHS OFF ALL SUGAR AND MOST CARBS AND MY CONSTIPATION IS MOSTLY GONE....some plants were the worst culprits for causing it....lentils chicpeas and beans were the worst....I still adore these but sadly they are the very rare treat now in a miniscule portion size....coffee is great instead of movicol. @@niamhbyrne4036
0:00: 🔬 Dr. B explains the antibiotic clindamycin and its potential impact on the gut microbiome. 6:02: 💊 Clindamycin is a broad-spectrum antibiotic that can treat a range of bacteria, including anaerobes, but it also destroys the beneficial bacteria in our gut. 16:34: 🦠 The speaker recommends taking a specific probiotic, saccharomyces boulardii, at a specific dose to protect against developing diarrhea and C diff infection while on antibiotics. 17:59: 🔬 Probiotics may negatively affect gut recovery after antibiotics, based on a study with mouse models and limited human data. 23:55: 😮 The speaker took antibiotics and tested their gut health before and after, finding that the antibiotics had a significant negative impact on their gut microbiome. 29:58: 🦠 The speaker discusses the importance of live fermented foods in improving gut health. 34:41: 😔 Taking antibiotics can cause a shift towards an unbalanced microbiome, allowing bad bacteria to flourish. 40:20: 🔑 Recovery time from antibiotic use varies among individuals, and personalized advice based on microbiome data could be beneficial in the future. 45:42: 🔑 The use of antibiotics in healthcare is widespread and often unnecessary, leading to negative effects on the gut microbiome. 50:48: ✅ Taking care of your gut health in the long term involves consuming lots of fiber, practicing time-restricted eating, getting enough sleep and exercise, and being mindful of the impact of antibiotics. Recap by Tammy AI
Nice. I will subscribe to you but not to the almost hour-long discussion that could have been a mere 15 minutes. They can put up more videos but I only have so much time to listen.
2 months ago I had 4 courses of antibiotics due to a severe tooth infection and feared the worst for my gut microbiome as I felt I'd been poisoned. I'd not had antibiotics for more years than I can remember. I'm over 80 and never take ultra processed foods and have been on an organic diet for 40 years to avoid taking antibiotics in meat. Very useful information in this podcast about what to do next. I will increase time restricted eating and take more fibre, kimchi, kefir, kambucha etc and hope my good bugs win the battle! All Zoe podcasts are SO useful. Thank you.
at 70 yo, I was nuked twice with abx both orally and up the bum via colonoscopy to wipe out Basto and Defrag, then got pneumonia 3 times in two years and my microbiome testing, twice, which cost about $1000 told me that I hav NO measurables levels of bifio and Lacto bugs, and I am now, not able to re introduce these by probiotics or pre biotics or fermented foods, my gut is destroyed, and I ate the same as you all my life. ABX are a curse.
You might want to get an ultrasonic toothbrush like the Emmi dent (it's German). It kills bacteria in places like under the gum where you have dental work. My dad is over 70 and has always had big issues in this area and is now finally ok. He was spending a lot on endodontists and periodontists and ruined his gut with antibiotics
ive been replacing not only all processed foods but almost all carbs with longer chain multiple stage 'ancient' storage foods. The best result has come from replacing noodles, breads and even rice with mostly soaked or sprouted whole grains ... Organic Wheat Berries have been the best, the energy is so much more stable and it does satisfy my remaining carb addictions. Soaking really helps, (like with almonds) and then you can cook them a couple more ways on top to go with whatever food. Or fully cook them through or blend them to use them as a great thickener. But mostly it's nutrient dense meat and rotating different fresh green (sometimes "spicy", cruciferous or sulphurous) sprouts in the morning. There's a lot to indicate that the best time to eat a little fully raw greens that might give your body a tiny bit of a hormetic challenge is by "browsing greens" the way you would when you woke up in the wild, force your body to make do for a little while. But the rest of the day it's cooked meat and cooked rotating veg, obviously it brings out much more of the nutrients. OK take care, hopefully I'm still taking in and adapting as well as you are in a few years.
I am of a similar age and position although I’ve not been organic for so many years I have stopped eating beef and chicken except on rare occasions. Because of a bout with Anemia I try to ear some meat in the form of grass fed bison also grass fed butter. I lost interest in fast food and on the rare occasion it tasted awful to me. I recently finished a 10 day course of an antibiotic for dental reasons and wiped out my gut. It caused the most massive diarrhea of my life even though I took probiotics and kefir, kombucha etc. Until now I’ve managed to avoid getting any colds or flu or even Covid-19, even when my son who I live with had these infections. Having this video helps me to see what I need to do and to avoid any circumstances that would entail antibiotics at least until I feel my gut is working properly.
I suffered food poisoning and ended up with bad bacteria in my small intestine. Broccoli sprouts saved me from possibly a lifetime of ibs. I am amazed at the effectiveness of these sprouts to heal my gut.
My mother almost died from C-diff. After a course of vancomycin, I fed her kefir and Saccharomyces boulardii (antagonist and the kefir seems to give it a foothold) Any time she has even the vaguest symptoms I give it again - she’s 102 now. Go mom.
@tmgreen12 I am not the OP. I bought Florstar. I had C Diff, and I took it, and it seemed to help. Sold in most popular drugstores, or you could order something online. Feel better.
A very good podcast. Back in the 60s I was given large doses of Tetracycline for acute acne. Neither I nor my doctors made the connection between this treatment and the years of subsequent suffering I had from what was thought to be IBS. The impact was both physically and mentally tough.
Greetings. I resonated with your reply on this Zoe broadcast and I was compelled to respond because I too as a teenager with some acne was prescribed tetracycline, which I took for a few years daily without knowing how detrimental this has ultimately would be and the doctor just kept prescribing it like it was candy. Clinical doctors back then and for many years since were clueless as to the negative ramifications from taking antibiotics and I like you have have suffered tremendously ever since😢 I could talk endlessly as to how this iatrogenic medical maleficence significantly destroyed my microbiome and my overall heath. More recently I have discovered that my chronic health issues were especially compounded by the fact that one of the normal digestive bacteria (Oxalobacter formigenes) that reside in the colon is principally responsible for metabolizing oxalate in the intestinal tract, which tetracycline will destroy. I had been consuming large amounts of food that were high in oxalates, which were building up in my body as of a result of no longer having any Oxalobacter formigenes in my gut. This can predispose someone like us in having chronic health conditions for example kidney stones and in my case severe myofascial pain syndrome as well as IBD. If you have had issues in this regard I would first encourage you to check out the work of Sally K. Norton who is all over the internet and TH-cam. She also has a new book out entitled “Toxic Superfoods: How Oxalate Overload Is Making You Sick--and How to Get Better” It would be so good to follow up with you to compare notes and achieve more clarity about our common ground. Blessings!
been there Ireland in 1995......been ill EVER SINCE.....SEVERE ACNE....1000MG A DAY OXYTETRACYCLINE FOR 6 MONTHS...CURED ACNE....F'ED UP MY STOMACH FOREVER MORE.....
The reason for clindamycin is that no other general antibiotic has better bone concentration. Reaching the toes with a systemic antibiotic carries far more challenge than reaching the gut. Let's talk about why there is a risk of infection and what can result from it. The injury was a crush injury, so bone was broken, exposing it to greater risk of infection from any old bacterium that might be floating around in the blood and stopping in the fracture hematoma, whether it came from skin or gut or anywhere else. Blood flow in this case is further impeded by the fact that this is a crushing injury to soft tissues, including blood vessels, around, to and from the bone. And no bones except toe bones are further from the heart, with more delicate blood supply -- nor closer to the ground's supply of germs, nor farther from our eyes, which direct conscious attention. If even one toe became infected, that might have resulted in amputation. Toes are not ornaments. They function in balance, stability, strength for walking and running, and that applies more than double to the big toes. Lose them, and you will be shocked by how much you miss them. Now, add that history of difficulty with blood sugar control -- prediabetes, if you will. When a diabetic gets a foot infection, it tends to be a mixture of multiple bacteria, hence the prophylactic use of a general antibiotic. When a diabetic undergoes ampution, even of part of a single toe on only one foot, the risk of further infection and amputation up that lower extremity grows. This leads to what is known as serial amputations. Even if only one lower extremity is initially affected, protecting it so it might heal means putting extra stress on the other lower extremity, and when that starts to undergo serial amputions, it is a steady creep toward an early death. As a residency trained surgical podiatrist who then became a residency trained orthopaedic surgeon, this is why I would have put consideration of the gut microbiome below the risk of foot infection. Sure, I would have kept a keen eye out for C.diff colitis, but in a patient with PCN history, I would have been afraid to risk anaphylaxis, because even if it is so rare for cases in which the history is that old, it is deadly enough that it would kill far faster than C.diff.
I had a foot infection that would not clear up with multiple types of powerful IV antibiotics that two different hospitals administered. I then had an infectious disease specialist from that last hospital who insisted I had a fungal infection. The antifungals did no good. When I finally got out of the system (not cured) I went to a podiatrist who gave me a prescription for topical erythromycin which immediately cleared up the problem.
I'm not a medical provider but as you said, this sounded like a super intense injury and it seems like taking the clindamycin would be worth the risk. I'm certainly not a fan of taking antibiotics all the time when they're not needed and I eat Kimchi everyday but when something as serious as your bones being crushed occurs, I believe antibiotics have their place. I was recently in a bike accident and within a few hours, the wound on my hand sprouted that scary red line and started traveling up my arm. I was given doxycycline orally right away and took it for seven days. The line disappeared within a day. And yes, it was summer and super sunny but staying out of the sun and risking a yeast infection was worth killing that infection. I didn't wind up with a yeast infection (something that I've encountered before with antibiotics) and I'd like to believe it was all the Kimchi I'd been eating that prevented it. So what I'm gathering from this conversation is eat your fermented foods because chances are you're going to need to take possibly life saving antibiotics more than once in your life.
But this is a commercial channel. Anyways I have no degree which you may realise from my question but Couldn’t they inject the antibiotics into the foot
Excellent. Thank you for sharing your perspective and possibly the perspective of the attending physician. Look, I'm no fan of the medical/pharmaceutical industry, but this reminds me, as it should everyone, there are still doctors who save lives everyday, and while we may question their methods, often out of ignorance, we cannot argue with their results. Personally, despite our differences, and while I may never fully trust them, I respect and appreciate all the good doctors out there.
A suggested beginner instruction to making sauerkraut at home: - get a cabbage (or grow one) - slice it finely or coarsly or however you would like to eat it - weigh it and measure out 2% salt (my preferred ratio but do your own research, they say to use salt without iodine) - mix the salt into your chopped cabbage and give it a nice massage - this is a little workout. -let the cabbage-salt mix sit for a couple hours and come back and massage it a little more. It should be releasing some water by now. - sterilize some jars (boil them for some minutes) - the jars/containers should let gas out but not air in, so maybe you need some fermenting lids or other fermenting systems. Or make your own invention!! - stuff the cabbage into your jar(s) and press it down properly, preferably the water should cover the cabbage. If you have it, use a fermenting weight or make your own. (Research) - Let it sit in the jars at room temp for at least a week. Some leave it veeeeeery long (months) some shorter. - When you think it is good you can store it in the fridge, it’s still alive just fermenting slower so the jar can rupture if the lid situation is absolutely sealed. - Enjoy P.S . The internet is filled with great tips on how to do this besides my suggestion. Have fun!!
Good explanation. I was told use pink Himalayan salt, or celtic grey salt. Also, allow mixture to sit on counter (room temperature) for at least 7-10 days, before you start consuming it.
Sauerkraut is great, but not for people with histamine intolerance. These people need to heal their gut before slowly or even just occasionally eating fermented foods. This is what I learned for myself.
@@sherimillman53 you could do some research. I came across several places that do not use salt at all when making sauerkraut ❤️ maybe google: make sauerkraut without salt. Hope that helps
As some one who suffers from anxiety and gut problems I recognise that Jonathan may be in the same boat. His body language kinda screamed that. We live in very stressfull world so no judgment and probably just talking about what happened could also be really anxiety inducing. Anyway working on stress reduction is super important for our gut health. For me walks in nature listening to music help. Saying no to people is also really good. I cant exactly preach too much because Im watching this video for a reason haha.
52:28 Thanks for a very interesting and valuable discussion. Tim - in a bit of a throwaway line you said something like “ the residual small quantities of good bugs you might still have after a course of broad spectrum antibiotics might be curled up ‘hiding’ eg in the appendix”. This reminded me that some months ago I read a paper about possible impacts of appendix removal, which is a not much studied issue. It occurred to me that given your large database of individuals in Zoe it might be interesting to research whether there were noticeable differences in gut health or recovery post antibiotic treatment in those who still had their appendix and those who had it removed (maybe decades earlier).
I have had gut problems since my 20s didn't look after myself, but also I had my appendix removed. I am also very interested in the removal of my appendix.
I hope so then mine can't hide and all the antibiotics and high dose steroids I've had to take, have to, take might not have such a bad effect l, although I am prone to thrush so idk...?
With the injury Jonathan had the main reason to give broad spectrum antibiotics [not mentioned in the podcast] is to prevent osteomyelitis [bone infection]. Broken skin + broken bone = high risk of bone infection. If they put a wire into the bone to fix it, the risk is even higher. Once bone infection takes hold, it can require long-term [even 6 months or longer], and often a combination of antibiotics to get rid of. So the surgeon was quite right to prescribe antibiotics to prevent this.
Totally agree. The description of the injury sounds like an open fracture. Definitely warrants strong antibiotics or risk a bone infection, which would be incredibly difficult to treat. If it were me, I would definitely sacrifice the gut microbes. Risk vs benefit.
@@adabadadanot quite cylindamycin was prescribed for the fear of MRSA. Unless there were cases previously identified at the said hospital there was no need for this. Cyclosporines would’ve worked just as well. Along with topical antibiotics such as powdered vancomycin. Doctors don’t have the time or the patients to curate individualised treatment. It is a cookie cutter one size fits all approach here. Therefore learn a little medicine. And remember, sickness is GOOD for business!
not quite cylindamycin was prescribed for the fear of MRSA. Unless there were cases previously identified at the said hospital there was no need for this. Cyclosporines would’ve worked just as well. Along with topical antibiotics such as powdered vancomycin. Doctors don’t have the time or the patients to curate individualised treatment. It is a cookie cutter one size fits all approach here. Therefore learn a little medicine. And remember, sickness is GOOD for business!
My daughter had osteomyelitis & antibiotics made her extremely worse, caused the osteomyelitis in her foot to worsen. We found out she has crohns since it was weird antibiotics made her worse. Took her off all medication & started feeding her anti-inflammatory diet. She’s still recovering now
I required surgery for two dental absences back in 2021 and was also prescribed Clindamycin. This led to dysbiosis, and two lengthy terms in hospital, having developed Clostridium Difficile. After leaving the hospital, I found I couldn't digest certain types of food, and importantly had to significantly reduce portion size for a year or so due to irritability. If anyone is reading this and has similar problems with a sensitive colon and a compromised gut, supplementing with butyrate capsules proved extremely useful for me. I still supplement to keep my good bacteria fed. My quality of life has improved substantially, largely because of changes in diet and supplementation.
holistic dentistry only..PERIOD. I had two extractions for obsesses too (criminal dentist years ago drilled a criminal filling on a tooth that didn't have a cavity!!) No antibiotics, only high dose Vit C IV, herbs and ozone. Be careful with mainstream...
This explains my life! I am 29. In my mid teens, I was repeatedly prescribed antibiotics by my (very well meaning) family doctor. Since than, my gut has been destroyed. Despite having a healthier lifestyle than everyone around me, I struggle with general health. I now know a big focus needs to be on restoring my gut. Engaging new age content from the world's leading experts. You all are saviours. 🙏
I'm currently recovering from c. diff. I have no idea HOW/WHERE I picked it up. I wasn't on antibiotics or Omeprazole...but my gut is on the mend. Vancomycin 125 MG 4x a day for 10 days. I've been binge-watching a lot of videos on this condition and have learned so much more truly helpful info that my doctor didn't provide. I will be very vigilant to do all I can to continue healing my gut and to avoid ever having to go through this again.
I spent years struggling with sinusitis that finally started turning into bronchitis. It was always treated with antibiotics. The time frame was over twelve years. I can’t remember what my resource was but I started taking quercitin faithfully. Twenty years later and I have not had a cold much less a sinus infection…despite continuing to have a post nasal drip either from allergies or gastric reflux. What I wouldn’t give to have one of you as my personal doc. Stomach discomfort and nausea seldom leave. Very exciting work. Thank you:)
Stomach upset might respond to Digestive Enzymes with your food. NOW® Brand Super Enzymes has proven helpful to me. Vitacost and Vitalife are mail order sources. They are usually available at health food stores.
The importance of this is very significant for pregnant women. Passing on gut biome from good diet is so important to get babies off on the right start reducing their risks of so many things...
@@ianmcairns it may have been a medical professional who was promoting surgical cesarean delivery who made that statement. Every infant when delivered naturally is coated with the mother's bacteria. The mothers vaginal biome is hopefully healthy.
Wonderful information …my daughter in law was recently hospitalized and they gave her two rounds in an iv in a weeks time…wish I could remember the diagnosis which was Not discovered initially and just before leaving was actually what she was tested for when she was first hospitalized…a crazy system of cat and mouse where she was …I introduced the fermentation process of sauerkraut as well as the container so she could make her own…luckily I had some going which is a regular in my kitchen..yes it’s late but never TOO LATE to learn more…thank God she loves it and is more than willing coming from a long line of childhood antibiotics with all of their side effects and serious gut problems…thank you for sharing and stay BLESSED!
The best way to be sure of the efficacy of kefir, kombucha, sauerkraut, yogurt, etc., is to make your own. It isn't difficult and tastes much better than store bought.
@@mariakarla90 I have been making milk kefir for several years. I actually bought a live colony from Amazon. They Fast ship them with complete insructions. cst me right around $15. but I don't know the price now. I have been using this colony for at least 2 years.
Thank you for a very informative video once again. I wish some doctors were more cooperative in hearing the concerns of patients in regards to antibiotics. It is a bit strange that it is up to us, the patients, that we have to educate ourselfs in order to make the right decision whether to take them or not and which types.
Really interesting and informative podcast. Thank you. As someone who takes antibiotics daily (doxycycline), and has for several years now, I would be interested to know whether there is anything I should be taking or doing to protect/improve my gut biome given my long term usage. I generally eat a wide range of veg, fruit, legumes, nuts etc and have been following an IF diet since starting the Zoe IF study in December. I note the importance of increasing fermented foods but would welcome any further advice on this. Thanks.
I was given amoxicillin for tooth infection on a weekend visit to emergency, over the weekend developed sever swelling and got prescribed clindamycin. Really got scared noticing tongue turning blue. Developed several diarrhea, started eating yoghurt, sauerkraut with continued IF. Took liquid probiotics along with two other types, I think soil based probiotics helped significantly. Since then started growing and try to eat couple of veggies from organically grown and fresh. Though not completely back to where it all started but no longer have diarrhea. Thank you for this helpful conversation.
I feel my gut hasn't repaired from an antibiotic overdose from a couple of years ago. The doctor prescribed incorrectly for an infected sting and accidently prescribed double the dose. I have had bloating, weight gain and IBS. This is really interesting and has given me some ideas of things that might help.
I had the same thing. I was diagnosed with Helicobacter Pylori in my stomach and was first given "ZacPac" to eradicate it and then "Pylera" because it didn't help. But already after "ZacPac", I suddenly had a lot of air in my stomach, along with intestinal noises and constant pressure. Even today, 3 years later, I am still fighting against symptoms that have become weaker. But it is a torture.
@@domi7583 HP in the stomach, might possibly, be toned down with Olive Leaf Extract. I used the Seagate brand. It's a bit pricey, but it worked. I took two capsules, 3 times per day for about 6 weeks. Also, NOW® Brand Super Enzymes with each meal. Expect a lot of belching at first. That was the only side effect. And, do not drink or eat anything cold. The human stomach does not digest anything if the stomach contents are not at the same temperature as core body temperature. Anything cold will shut the stomach off just like flipping a light switch off. During that time, stomach contents will still be either fermenting (plants) or purifying (animal) products. But, normal digestion is not going to occured until the contents of the stomach is warmed up to "core body temperature".
Really interesting and helpful thank you. I wonder if doctors were routinely trained in nutrition there wouldn't be this reliance on antibiotics for day to day infections like Tim's sinusitis? Doctors would have more tools to treat day to day conditions that would in tandem support the microbiome rather than be destructive. It'd be great to do a part 2 of this video where natural antibiotic type medicines are discussed too. Because there's a conflict of opinion on the internet about certain plant medicines e.g. oregano oil, grapefruit seed extract, garlic, are they destructive to the good gut bacteria or not? Where's the true science on this ZOE? Are they ok to take for conditions e.g. fungal infections, h.pylori, SIBO, parasite infections etc? Or, although milder than synthetic antibiotics, are they still best avoided? If so, which plant medicines or foods are ok?
"Are they destructive to the good bacteria or not?" Answer: A probiotic does not kill anything. Ever. An antibiotic has one purpose. To kill. Good, bad, or indifferent. Antibiotics are for killing... something. A probiotic will however, fight for territory. That is the difference between the two. The items you mentioned, often work simply because they change the pH of the area. Then, the probiotics can get a hold at the level of territory.
Sinusitis is often fungal based, and recurring events, because antibiotics don't treat fungal based infections. People can also do sinus rinses, with anti-fungals added, like 1-2 drops of iodine, or borax, boron. Examples to research.
A really excellent episode, thank you! I do hope poor Jonathan's foot is better, sounds awful. It's very comforting to know that if one is forced into a situation where antibiotics are required, it is possible to get the gut and therefore immune system back on track afterwards with good lifestyle habits, whether slowly or more speedily if one is lucky. I feel sometimes there is a bit of scaremongering about, especially from people who market expensive probiotics etc! I have been very fortunate in my 53 years - I think I could count on the fingers of one hand the number of times I've been prescribed them, and certainly not at all within the last twenty, maybe even thirty years. But I have become probably too paranoid about avoiding them at all costs, so this episode was a great source of sensible balanced advice. I have been especially paranoid about my daughter, given the prevalence of their overuse in children. She has only had one course, when she was about 4, and I breastfed her until a couple of weeks short of her 5th birthday, when my milk ran out, so I hoped that would help get her gut community back on track. Cross fingers, age 11 she seems in very robust health, but at least now I feel better equipped to have a rational discussion with a doctor about antibiotics should she be advised to take any. Sometimes in this modern world, it seems very hard to do the best thing for your children, in the face of conflicting advice and information....
A fantastic podcast to watch. As a type 1 diabetic who has just had 3 weeks of broad spectrum antibiotics I listened with great interest to the impact on your gut and the advice from two of the world's foremost experts in the field. I just wish as an insulin dependant diabetic that I could qualify for Zoe but I understand the CGM part of scientific study excludes existing diabetics from taking part. :( I am definitely going to try the chuckling goat kefir and momo kombucha though to reinforce my probably decimated gut biome.
Very interesting conversation, I would be interested to see if Zoe can get to the point where they measure the amount of Antibiotic resistant bacteria in the gut as well, or is that already happening? Then determine a course of action to reduce this resistance.
What an excellent episode today. Thank you for sharing your personal story Jonathan and good luck in continuing to grow the number of good microbiomes.
In 2019, I had antibiotics to treat for a cat bite... Ever since then I had awful GI symptoms, and after nearly a year found I could not tolerate many gluten containing food (wheat, oats, rye). I now experience a lot of IBS symptoms and although I am fairly good at managing and mitigating my symptoms - it really has affected my daily life, food choices and confidence - all from a simple course of antibiotics.
If you are not already, do everything they suggested. I had antibiotics after a human bite - 14 days of something very strong. Had GI symptoms/a weak gut for years afterwards. Over time I ended up doing everything they have suggested here and it really does work.
Bartonella infections from cats can cause Ulcerative Colitis. Don't be too quick to blame too much treatment as the cause of your problems. It could have been too little treatment.
Oats are actually gluten free - it’s just that during manufacturing, they might get contaminated with gluten from other grains, but unless you have Cealiac disease, you wouldn’t notice.
@@ZsuzsaKarolySmithActually all grains have their own version of gluten. Oats, like rice contain gluten that most people do not have problems with. However a celiac friend has the worse problems from rice gluten. Quite a few celiac find they half to go grain free to remain symptom free.
I’ve read and seen studies that proton pump inhibitors have the same negative effects on the gut microbiome as antibiotics. No one ever talks about this. Would someone with damage from PPIs heal the gut in the same way as healing the gut from antibiotics? 19:52
So why can the antibiotic not be injected directly into the foot or toe area to be directly as a defence against any infection in that area instead of swallowing and having your good bacteria affected?
My GP NEVER explained the impact of antibiotics and the microbiome and I didn’t know the questions to ask. It’s only due to watching videos like this and doing my own studying of research that I’m now more aware of the consequences. Still feeling the effects of years of regular antibiotic use.
I've never had a doctor explain this to me. I found out myself a couple of decades ago, and stopped taking them unless I was very ill. I had to argue with most of the doctors who tried to prescribe them to me. I finally found a doctor who agreed eith me on this, but it was a lot of trial and error first.
There is an old book out there entitled, Alkalize or Die. The title is of course a rather radical marketing tactic. However, if you are having trouble with reactions to everything you eat, it might be an indication your system is leaning too much towards acidic already. The book is from quite a few years back, so it may be out of print. It might be available through used book stores.
Histamine issues can often be due to a methylation problem. Low methylaters cannot clear histamine very well. Mthfr genes can cause this. I cleared up my friends histamine, mast cell hive issue with some dietary changes and supplements. Vit C and quercetin are natural antihistamines. Choline ( egg yolk, lethicin) are methyl doners as is Tri methyl glycine. TMG. Her hives vanished in one day using this protocol.
Here in France, untill about 10 years ago, doctors prescribed « ultra levure » or a yeast pill, with anti biotics. They stopped prescribing it as it wasn’t reimbused by the health service. I’ve taken dozens of antibiotics over the years, as my COPD led to frequent infections. Since I’ve been into fermented foods and time restricted eating, I feel much better. The last soar throat I had cleared up in a day or two. Before, it would have turned into bronchitis then needing antibiotics.
I have histamine issues so I have had to reduce my 'probiotic' and aged foods a lot to minimize histamine issues. What is a good probiotic to use? Or how to offset reacting to histamine in foods?
I had a terrible bout of CDIFF immediately after starting Clindomycin in 2010 as a dental prophylactic. It took oral Vancomycin after struggling with it for several weeks to knock it out. Although I eat very healthy including fermented vegetables and probiotics, my digestive system hasn't fully recovered 13 years later.
Me too John!! And we have the same name 😅 i took clindomycin (dalacin c) for my dental implants procedure. And it gaves me finally ulcerative colitis. It sucks.. also after that i took a ton of other antibiotics for other reasons. And now im trying to fix my health and gut.. but its really hard. After so many courses! 😢😢
I found that fermented foods and a high fibre diet were the worst things to have after antibiotics, and led to long term gut dysbiosis. Probiotics and fermented foods and fibre and plant foods are good if you already have a healthy gut.
I'm so blessed by your channel. I was so confused before. I finished my antibiotics last night; I was not sure what to do now because I have had colitis since my colonoscopy on June 10. It's in 2 small parts of my colon. Thank you for this video, I'm ready and hopeful in my journey of clearing my body of antibiotics.
My son was put on a long term dose of Antibiotics on 2 different occasions for chronic ear infections. After the second round his personality changed. He went from a kid that ran everywhere and was very happy to a child that did everything slowly, began gaining weight and became depressed. He now has MS after having Covid. He still struggles with weight.
@@user-bm125always leave it to an antivaxxer know it all to blame everything on the vaccine. Stop harassing people because you're uneducated and paranoid.
I almost died from taking clindamycin that was prescribed by a dentist for a root canal. After almost 20 years I am still suffering from gut issues. I now cannot take any antibiotics for more than 3 days without getting very ill! The doctor that diagnosed me said that he wishes they would remove clindamycin from the market because it is the worst to cause c-diff.
Then they need to remove Metronidazole from the shelves because it's been found to cause malignancies in animal studies, (that can take as long as 7 years to develop after treatment), as well as ALL Fluoroquinolones, (Ciprofloxacin, Levofloxacin, etc,) because of the numerous reports of them causing ruptured tendons and permanent central nervous system and brain damage, (sometimes after as little as one dose). These antibiotics are so dangerous that they now have an FDA "Black Box Warning" as a result of their potentially devastating side effects, yet despite this, they remain on the shelves and widely prescribed by careless/ignorant doctors every single day.
Hi Docs! Thanks for this video. I am 65 years old and have avoided antibiotics for 40 years because I think they cause big problems that don't get solved often. But I've had two surgeries this year and was forced to take antibiotics, especially for one of them because the wound got infected. I took doxycycline, and I don't know how bad that one is. But my gut has not recovered. My problem is that I have severe celiac disease and other food sensitivities and allergies. I react violently to many fermented foods. My reaction to any alcoholic beverage, for example, is every voluntary muscle in my body goes into a painful spasm. It's like a neurotoxin. I can actually get temporarily paralyzed. I can't even have a sip of communion wine without getting some reaction. But I also react poorly to kombucha and other fermented foods and drinks. Kefir isn't an option because I can't have dairy. I'm considering making some cabbage rejuvelac. I've responded well to that in the past. I'm taking a probiotic, but clearly it's not really solving the problem. It's helping I think but not enough. I would be grateful for any suggestions!
This is really interest. One of my friends who never takes antibiotics if she can help it was recently on a course of them..She has had anxiety ever since. I wonder how much mood is affected too by the microbiome. Thank you.
Amazingly useful podcast - thank you. I watched on TH-cam last week with interest, but have just re-watched it today, having been in A&E yesterday, diagnosed with a nasty eye infection, and prescribed a strong dose of Clarithromycin for 14 days. Thankfully I have some home fermented kombucha and sauerkraut which I will be increasing consumption of, but will also look to buy in some unpasteurised products to increase the diversity, and looking for more recipes so that I can start some more ferments going (I have Will's books, so will start there)! Thank you. The Zoe Podcasts are so useful - do you have a contents page anywhere, so that I know what to look for when I want to go back to re-watch past podcasts?
Very useful discussion! About 3 years ago, I took a course of clindamycin. I took the recommended saccharomyces boulardii and additional probiotics, plus fermented foods and felt OK soon. About 3 weeks later, an intestinal problem appeared. It didn't occur to me, at the time, to link it to the antibiotic but now I understand that it probably was the result of clindamycin.
I took clindymcin and my body has been out of whack for 7 months. My NHS eczema nurse recommended the Mediterranean diet and mentioned that I should look into Tim Spector. I've had a tests done to see if there's any really bad gut bacteria in there which was negative. I'm still going to focus on restoring the balance and optimization.
I've been following these podcasts and there are some important questions about gut health that I don't think have been covered yet, specifically: what do we need to know when buying, preparing, and storing foods containing probiotic bacteria to ensure they are still alive when we eat the foods? For example, I recently looked at an ingredient list on a packet of cheese at a supermarket. When I saw 'pasteurised milk' I wondered whether that would have killed off beneficial bacteria even before the cheese was made. Similarly, would the 'preservative' have done that instead? And is there a temperature that is too hot for bacteria when baking? Or too low when freezing?
Another question I have is whether we should be aiming for quantity or variety of probiotic bacteria. My guess is it should be variety because whatever you have will multiply quickly to consume whatever foods suitable for them is present. That seems to be what Tim is suggesting when he said at 18:52: "Take as many fermented foods as you possibly can, and a whole variety of them."
Bacteria and fungus are robust to recover after freezing. Pasteurization protects you from pathogens. The controlled introduction of fermenting organisms is hopefully protected by a sterile process in the cheese making.
I watched a YT video by Dr. Stephen Gundry titled 'Does this cheese make you live longer? The surprising truth about cheese'. In that, he mentioned fermented cheeses, but also said you need cheese made from raw milk, not pasteurised, most of which comes from 3 countries - Italy, maybe Spain,can't quite recall.Anyway, the vid wasn't so much about living longer,but more to do with gut health....
Interesting that you mention baking and killing off beneficial bacteria. Baking sourdough bread in an oven at usual baking temperatures will almost certainly kill off all the sourdough bacteria and yeasts present in the dough. It will be sterile. However, eating the raw sourdough bread would probably not be good for the digestion. I get the impression that people seem to think that baked sourdough bread is full of beneficial bacteria. How could it be? That doesn't mean the bread is not healthy, as it will no doubt contain lots of nutrients, minerals and fibre. It will also contain certain products made by the bacteria and yeasts, which may be heat stable. For example, fermented foods are known to make Vitamin K2 (e.g. menaquinone), which is not present in unfermented foods, is fairly heat stable and may be beneficial for heart and circulatory health.
I just had a minor surgery to remove a cyst on my foot and apparently they gave me clindamycin in an IV during the surgery. They knew I had issues with my colon because I told them I’d had chronic diverticulitis for years and other digestive issues so I wish they would not have given me clindamycin in the IV. I started having diarrhea about 24 hours after I came home, and now I’m worried about developing gut infections and diverticulitis flare ups and so much more.
I was given repeated antibiotics in the 1960s and 1970s because I had severe earaches and tonsillitis throughout my childhood. Every other child had their tonsils removed, whether it was clinically required or not. My mother wasn't impressed by that approach at all, so I kept the tonsils and suffered. In the 1980s my tonsillitis was so bad that I reached a peak of quinsy and was very ill indeed for a long time. I was given penicillin and went into anaphylaxis. So there was that. Never had tonsillitis since, but hearing negatively impacted from repeated infections, stained front teeth from all the tetracyclines, and I now have multiple allergies to the extent that I have to see a specialist consultant, take a lot of meds for the rest of my life, and eat a very bland low histamine diet. Should have had my tonsils removed in retrospect. My gut microbiome must be tragically poor.
Having your tonsils removed doesn't prevent tonsillitis. I used to suffer with tonsiltus in teens and 20's. Always using penicillin to fight it. The last time, I couldn't get appointment and let my body fight it off itself. Never had it since.
@@kateq7212I remember those times when it was fashionable to have tonsils removed; I suffered recurrent tonsillitis and ear infections as a kid and did have antibiotics, but the fashion for removing tonsils started just as I stopped getting tonsillitis frequently so I've still got mine. Both my youngest sisters had tonsils removed - they were 10 years younger than me and yes,they still got 'tonsillitis' after the surgery.. After that,I had tonsillitis probably 3 times over 20 years from the age of 15/16, the last time it was borderline quinsy, but antibiotics (penicillin) cleared it. These days,they only remove tonsils if the tonsil itself remains infected,, usually with pus oozing rather than 'normal' tonsillitis - one of my sons was on the list for surgery with an infected tonsil, but an Indian doctor told him to try sodium hypochlorite mouthwash as a gargle 4 times a day and the infected tonsil got better,went away, so no surgery.
I had been getting repeat UTI's, consequently dose after dose of Trimeth or Augment. My GP recommended taking a Probiotic with the Abs with the last UTI in March. Since then I have not had another. I am making kefir, Kombucha and wholemeal sour dough bread also Greek Yoghurt which I lazily buy. So this has been a very rewarding podcast. It gives me confidence that I am on the right track. A long way to go though. Thank you
I had a dental procedure where my top teeth were pulled along with bone grafting. I was on one antibiotic but then I had a hole develop in the very back . The dentist then put me on put me on Clindamycin twice. I too have had an issue with penicillin in the past . Over time I began aching all over and just feeling generally unwell. I called in and spoke to office staff but assume they did not alert the dentist. The next symptoms were undulating fever and finally explosive diarrhea and vomiting. My fever went to 103.5 and I finally went to E.R. I ended up in the hospital 10 days. I don't believe I have fully recovered = from either the dental procedure or the c-dif.
Had a mitral valve operation about 9 yrs ago. Went to a urologist recently who gave me Cipro after having me sign a release, like I know the repercussions of taking such a drug. I wonder now if the doctor even read my history. I’m getting more and more hesitant to trust today’s medical system.
If a mitral valve gets infected with bacteria, you're looking at another operation and/or long-term antibiotics. So I'm not surprised uro prescribed cipro. Antibiotics save lives, after all.
I have a heart murmur, so a doctor told me to notify dentists before dental surgery because they might want to give me Cipro prophylactically. Fortunately, dentists have declined to do that.
I had hole in the heart surgery 41 yrs ago and it was at least 10 years ago when the evidence base changed for no longer needing anti biotic cover for dental procedures. I’ve had other minor procedures as an inpatient and no antibiotics given and no infection followed. This podcast is basically a sell for the Zoe test kits and I’m more sceptical of that rather than other medical professionals.
One topic you never mentioned was gram negative and gram positive and the impact of targeted antibiotics. In UK NHS doctors often give me broad spectrum antibiotics without any tests, contrast that with my experience in the EU where the doctors always took blood or sputum tests and later the same day gave you an antibiotic based on what the lab results indicated was the most responsive out of a number of antibiotics tasted against your sample. Do you think an increase in testing before prescribing, and a consequent increase in use of less broad spectrum drugs, will lead to less antibiotic resistance? I have also experienced in the UK being given a second course of the same antibiotic when results not seen rather than test to find a more appropriate more responsive antibiotic. I have also found when abroad and given an antibiotic based on lab tests of a sample, that the gap between exacerbations increases, whereas in UK when given a default antibiotic the gap between exacerbations is shorter. Perhaps it is time for the NHS to rethink any and all of their prescribing guidelines that include antibiotics, regardless of therapy area.
Sputum needs to be cultured to identify a specific bug and then susceptibility to antibiotics tested. This takes at least 3/4 days. A blood test can indicate an infection but not which bug is responsible. Many chest infections are viral in origin. If an antibiotic is necessary in an unwell person a broad spectrum one will be prescribed based upon which infections most commonly affect the lungs. A delay of 3/4 days to determine a causative bacterium isn’t ideal in someone who is ill. People with chronic lung infections are encouraged to submit a sample prior to starting antibiotics. The drug might need changing depending upon the culture and sensitivity results. There are national guidelines for antibiotic prescribing in the NHS which are important because of increasing antibiotic resistant bugs.
@@JaneHubbard-u2i great theory but none of the GP surgeries I have been to in the UK ever asked or suggested a sputum sample before giving me, or asking me to take, antibiotics. It was only after contact with the local COPD team that they said I should be providing samples and they told my surgery to make a note on file. So without the specialist team intervention my surgery wouldn't have ever issued sample pots.
@@JaneHubbard-u2ibut my experience is the same as the original post, that a GP will give an antibiotic and see if it works, then give another one etc and then finally send the sputum for test. This happened to me recently with a bad chest infection ending up on three lots of antibiotics. I don't understand why he didn't immediately get the sputum test done so we knew exactly what the problem was and focus the treatment. We are not really treating people we are putting them in a revolving door. Many years ago the concept of 'right first time' was developed in industry ie taking time to do something properly to avoid 'rework'. The NHS is clogged up with rework.
Thank you so much for this! I have been fearful of antibiotics and I believe that for that reason, I respond bad to it. My mind is screaming NO when I have it prescribed (last time was for an abscess in my mouth due to a bad rootcanal treatment). The first 6 days of antibiotics I had low bodytemperature (35.6) and was freezing cold. Which was strange because I had, had the same antibiotics 4 years prior and at that time didn't even notice I took it. At that period I wasn't yet aware of the negative side of antibiotics. But this interview has given me a middle ground. Pros and cons plus the knowledge that I can heal myself within, generally, 2 months. Thank you immensely.
I’ve been on a daily antibiotic for over 4 years because of constant bladder infections. I told my Doctor that I’m going to take a break to help my gut heal, I’m 2 weeks in of stopping, and hoping to give time for my gut to heal. I had a yeast infection in my mouth for over a year in the past. Also 3 years ago I was septic for 6 months from having foot surgery, the Doctor trying to repair a broken foot, going septic right after. 6 months later a Nuclear scan was done discovered bones and joints were infected.
I was on penicillin for two years due to Osteomyelitis a bone deteriating decease. It flared up every now and then, so more antibiotics of a different kind over many years, The last time I was on them was because I broke a bit of dead bone in my foot and have 10 days of IV in a UK hospital, since then natural immunity has been the remedy.
Cranberry pills, demanoes supplemnt, no sugar, wear a light pad change often. I drip teatree oil on my pee hole. After sex make a coconut small stick freeze it in freezer and insert into vagina. I use un refind coconut oil. Helps me.
Amazing. I guessed it before it was mentioned and I'm not a doctor. Having a hard time with antibiotics myself, I have in fact used Saccharomyces boulardii - it even helped ease stomach pain from the antibiotic.
Thankyou great podcast.very well explained by the best specialists. Intelligent questions, very informative..I have diverticulitis (hospital) & IBS ..will try fermented foods ..
My husband had tooth assistance he allergic penicillin so proscribed strong antibiotic. After reading side affects he refused them and the dentist drained the absis but still advised the antibiotics. My husband never did but constantly rinsed mouth with boiled salty water until healed. Side effects were crohns and If I remember rightly chance of meningitis along with other terrible effects
This discussion with Dr. B and Professor Spector makes me appreciate Doctors and medical professionals so much more. I just about lost all trust in Doctors since the covid pandemic came into existence. Thank you all for this discussion! I am not a medical Doctor but I do read a lot and have warned people for many years not to rush to Doctors to get antibiotics. I see it all the time. Acquaintances rush out to a Doctor as soon as they get a sinus infection or a pain somewhere. I know one in particular, who has taken so many antibiotics and who consistently developed diarrhea that this person ended up in the hospital and was seriously ill with C-Diff. Went home and ended up back in the hospital a couple of times. I have no doubt that this person ended up with C-Diff because of the constant prescriptions for antibiotics over the years. Incidentally, my husband and I consume sauerkraut often. I have always loved sauerkraut out of the can but I ended up making it myself a couple of years ago. I will have to revisit fermenting veggies again.
I was on Antibiotics for 4 months. I was actually allergic to milk and there was nothing wrong with my Sinus’s or Face. I think I may need the Zoe app.
Inflammation : I’m 78 and been on microbiome helping diet since Feb 2022 ( it’s fun , not a “diet”) . Asthma , which I’ve had every winter after a cold for instance, has gone and I’ve had it since a 2 yr old! I’ve stopped using the moderate use of asthma inhalers for over a year. Unheard of. Also I’ve had melanoma on my nose , it hadn’t spread and was poss big enough. I’m having a reconstruction process. I’m healing amazingly quickly after each operation . The rather quiet consultant declared my healing was a “ miracle “. So I’m happy with what’s happening , and thank you. I make Kefir recently , last few weeks . And I’ll start the carrot/ cabbage /salt my bacteria squish very soon! Thanks all!
Short expiration date on Kombucha? I bought Brew Dr and it says good until 7/24. There is no vinegar and it saws raw on the label. No mention of pasteurization. Can anyone comment? Thx
Very interesting podcast thank you. I was recently in hospital having had a heart attack. It was diagnosed as being caused by septic shock due to severe diverticulitis. I was immeditely put on IV antibiotics including ciprofloxacin, metronidazole, trimethoprim and gentamycin. I have been given no advice on how to prevent another attack of diverticulitis other than eat more fibre. I was already trying to eat 30 different plant foods per week. I am now concerned that it will be difficult to restore a good microbiome. Should I try the saccharomyces and do you have any other advice? Thank you
Good evening. Can you please send me the name of the Kombucha I can purchase in the US with minimal sugar and minimal caffeine. Which fermented foods to buy in US. Thank you!!
Love your videos they have taught me so much. Curious how does Chemo Therapy effect the gut microbiome? I was diagnosis with breast cancer in June of 2022 and my gut has never been the same. I am working on getting it back to normal and finding it difficult. Not sure if it's because I have still not gotten my appetite back or because the Chemo killed more then just my cancer? Love to hear your thoughts.
I was given Topical Clyndamicin for a skin condition. After my operation i had an infection and the microbiology report said that the Staphylococcus bacteria was resistant to Clyndamicin. I have Hidradenitis Suppurativa. I feel very down since my multiple courses of antibiotics, and other post operative complications including associated nhs invisible red tape
I had really really bad gut problems. I am able to buy raw milk so I make yogurt and kefir using the raw milk. I drank large amount and had great improvement in just over a week. I made different kinds of yogurt. You can buy different yogurt starters, some you can ferment at room temperature.
Sure wish you had addressed elective surgeries that are done everyday for people over 40. No doubt that i destroyed my gut after two surgeries back to back. I developed sore spots in my stomach and kept on with my omnivore diet. I was obviously exposed to some very bad gut microbes that created the sore spots. I recently went to Peru where, with my torn up stomach and low immune response due to 6 rounds of chemo after fighting cancer, I contracted giardia. A 7 day round of metronidazole knocked it out. Since recovering, i took Florastor for 5 days while eating loads of kimchi. The belly still had intense pain so I recently started drinking fresh cabbage, celery, green apple, lemon and ginger juice on an empty stomach. I'm at day 3 and can already notice a huge reduction in pain. It's incredible. Please discuss this if possible as this was a multi-faceted situation that i fear many people are silently suffering from
Ijust had proximal humorous surgery last month and was sent home without any antibiotics. Healing upnicely. So far. I have saurkraut,cottage cheese and yogurt in the fridge most of the time.
Excellent topic but I would like to know how do we recovered children microbiota after a dose of antibiotics since I don’t think children would love to eat sauerkraut, drink kéfir or kombucha. This type of foods are sour to their already ruin so sweet taste buds. Or what do other alternatives fermented foods there are to replenish the microbiota in people who don’t like those type of fermented foods. Thanks
I am prescribed Ciprofloxacin for repeated uti ‘s. My bug is klebsiella pneumoniae which is resistant to any other antibiotics with the exception of a penicillin type. I think I also have a problem with penicillin so am never prescribed it. This podcast has been really helpful in giving me a direction to recovery of my micro biome. Any other suggestions would be greatly appreciated.
It's not easy but klebselia bacteria feeds on starch, so avoiding breads pasta potatoes, rice etc can reduce the amount. It is a hard diet to stick to but it does work.
Wonderful podcast. Thank you for sharing your experiences along with experts we respect! As a health professional I agree totally and it jives with what I observe. Why does it seem like sometimes the more we medically intervene we see more unintended damage we did not foresee? Perhaps drugs are not tested thoroughly enough for reasons of profit or greed? Or perhaps we don’t discern or distinguish between diagnosis and individual variables in humans which can be massive.
If the Temple was the priority there would not have any doctors or specialist excepted for surgery. Everything else is a fraud, like allowing to sell tobacco, alcohol and all the bs for Black Rock and Vanguard to make profit for moloch.@@L.A.6482
Help! What brand of saccharomyces is the best to buy. I am taking cephalexin 500 MG, four times a day for ankle infection. There are too many brands to choose from, but I'm not sure which is best.
Fascinating. Thank you I have a question In your situation Jonathan you have the luxury of being able to test your Microbiome very frequently which of course Is probably not an option for most people Before you got your test results did you have any symptoms at all that would have given you an idea of the devastating effect of the antibiotics on your Microbiome? Presumably most people wouldn’t know that they had done this amount of damage with the antibiotics Personally I am completely obsessed with my Microbiome having been on the Zoe app for ages and done the personalized nutrition etc. and in fact, Recently, when my GP wanted me to go on antibiotics he said that he was having the opposite argument most people as I was very very very reluctant and everybody else seems to just be demanding them! Thank you very much. Christine
I have started to take a 30 spieces probiotic for a month or so every year while eating organic at most opportunitys. The biome is only as good as your diet, if you eat to much sugars (starches) then your biome will be different from those who eat less sugars. Living foods is best, including dairy, a great interview, thank you
This is super interesting. I was one of those kids who took antibiotics every second week growing up (asthma caused by inappropriate immune response to commensal bacteria) and my diet was also pretty poor or, let's say typical, for a 90s kid meaning ultra-processed foods and low fiber. I have had issues with IBS as well as more allergies my whole adult life. While I would love for us to use antibiotics more conservatively I think the balance can swing too far in the other direction with doctors not prescribing antibiotics when the patient would benefit. This is certainly already the case in the UK and the Netherlands (I have experienced both myself). Maybe the focus should be on better infection diagnostics, alternative therapies like phages (which can be incredibly specific and targeted to individual bacterial species) and monitoring. That way, patients would receive the right treatment for specific infections at the right time. We would reduce use of broad-spectrum antibiotics while making sure people don't just have to put up with infections for longer to avoid antibiotic use.
For fermented foods, I like to make my own sauerkraut and fermented white cabbage. This makes use of the biodiversity that is already present in the cabbage. So you don't get just one species, but maybe even hundreds of different species of bacteria. And likely the more fermented foods [and try eating some raw sourdough] the better - except caution on the ones containing alcohol.
After years of fighting to get my gut health something close to "normal" I then had terrible food poisoning in 2021. Have not been the same since. Will try to incorporate some of these strategies.
Great Talk! Thank you. It would be fantastic if there were also suggested brands in the U.S. for Kafir (unpasteurized, organic, no sugar), Kambucha ( no added sugar), and Kimchi that meet the health benefits discussed. Knowledge is such a gift, but the integration of that knowledge is really where the challenge lies. I get not promoting brands but how about " suggestions." :) Thanks again for the good discussion.
Informative. I just wonder, though, since post op infections according to John Hopkins, "Infections after surgery are caused by germs. The most common of these include the bacteria Staphylococcus, Streptococcus, and Pseudomonas" and one cannot get a culture and sensitivity test once the incision cite is closed, what antibiotic would Dr Will suggest post op? It may depend upon the location and the depth of the incision, if diabetes is present, etc.
spectacular channel about nutrition and the method developed by ZOE to customize diets, based on genetic individualities is phenomenal. Looking forward to arriving in Brazil. Hello Jonhatan and ZOE, come soon I need your help.
I joined Zoe in March of this year and have great success although I don’t know how my gut microbes are doing. I have to think they have improved as I’m now getting seven hours of sleep and lost 14 pounds. Even more beneficial is the increase in my eGFR numbers. However, I’m greatly concerned I will undo my success because I have to take four capsules of Amoxicillin every six months prior to dental work due to bilateral knee replacements fifteen years ago. Listening to Jonathan’s story, I fear the worst.
The rules for prophylactic antibiotics before dental work have changed years ago. Please try to get a second opinion. I have mitral valve prolapse and used to do that as well, but they no longer recommend that.
Thank you for this information. I will definitely check into this. I loathe taking medicine so it will be grand eliminating another one and protecting my gut microbiome!
I once got staphylococcus. Wounds that grew with 0,5cm every day. The doctor looked very disgusted and wanted to give me antibiotic pills.. I questioned "why giving a pill for the whole body. When it's local wounds". I got a antibiotic cream instead. But I hesitated to use that too.. so I went home and googled what they used in ancient times instead of antibiotics. I came a cross a site that said that the Australians used eucalyptus for staphylococcus. I had an eucalyptus essential oil at home and I did what they say you shouldn't. I took one drop directly at the wound and it dried up and started to heal at once. Now ...one should Never use essential oils if not deluted in other oils. But it for sure helped and was safer than antibiotics. Now once again.. read carefully about essential oils before using them. I would have done it a bit differently today. Staphylococcus love it warm and moist. The essential eucalyptus really dried it up.
I’ve had C diff twice and it nearly killed me. I have Lyme disease and my liver and kidneys would shut down on the antibiotics to treat it. Vsl #3 probiotics saved me. I had to find out about it from a friend because none of the doctors thought to look for an alternative to me dying from the antibiotics that treat Cdiff. I later saved my grandmother from antibiotic associated diarrhea with this and one of her doctors did ask what I used and wrote it down. (She was in a nursing home). I do use s bulardii to treat candida and bad bacteria from time to time but I’m surprised Vsl#3 wasn’t mentioned. All the suffering I went through as well as my grandmother before finding this. I got my dad on this with diarrhea from abx and irritable bowel and he got the pill form at his pharmacy instead of the stronger packets and I noticed it took longer to work. I just took half a pack a day and was better in 7-10 days and much better after few weeks. This was after months of abx and hospitalization and being told I was probably not going to make it.
@@petra5647 it’s a proprietary strain of probiotics developed to help treat certain medical conditions. It comes in prescription strength and non prescription. You can order it directly or through many pharmacies. It’s very effective for antibiotic associated diarrhea and cdiff as well as several other conditions. I recommend the packets. The capsules don’t seem to be as strong or effective for certain people. You can start with just half a packet and have more control with the dose.
@@petra5647 it’s a special probiotic developed for multiple diseases. It doesn’t colonize but it’s a real life saver. If you or a loved one has gut issues please research it.
My mother died from a C-Diff infection that she contracted after a couple of courses of broad-spectrum antibiotics used to treat a respiratory infection. Since then, I've refused several antibiotics in favor of ones that had less of a C-Diff risk. I also had a suspected allergy to penicillin after I got a rash when taking it as a child. My doctor recommended I be tested to see if I truly was allergic. I went to an allergist who determined that I wasn't allergic to penicillin after all. Thanks for discussing this very important topic. Great podcast.
Sorry to hear that about your poor mum ❤
Does movicol damage the gut microbiome? Please answer 🙏
Penicillin allergy is an odd one, I used to get a rash a few days after starting a course, and assumed I had an allergy. From what I have read since then though it probably wasn't an allergy at all, as it was just a flat red rash rather than a raised rash. I should get tested properly as the "mycins" really aren't that pleasant for me to take
In 2007, my Mum died after a year of antibiotics finally culminating in C-diff. She must have been very strong! When I asked about probiotics for her the doctors had no idea what I was talking about!
U SOUND IRISH....ME TOO....I HAVE BEEN PUMPED WITH MOVICOL WITH CONSTIPATION FOR YEARS AND SUPPOSED IBS....I AM ON KETO 6MONTHS OFF ALL SUGAR AND MOST CARBS AND MY CONSTIPATION IS MOSTLY GONE....some plants were the worst culprits for causing it....lentils chicpeas and beans were the worst....I still adore these but sadly they are the very rare treat now in a miniscule portion size....coffee is great instead of movicol. @@niamhbyrne4036
0:00: 🔬 Dr. B explains the antibiotic clindamycin and its potential impact on the gut microbiome.
6:02: 💊 Clindamycin is a broad-spectrum antibiotic that can treat a range of bacteria, including anaerobes, but it also destroys the beneficial bacteria in our gut.
16:34: 🦠 The speaker recommends taking a specific probiotic, saccharomyces boulardii, at a specific dose to protect against developing diarrhea and C diff infection while on antibiotics.
17:59: 🔬 Probiotics may negatively affect gut recovery after antibiotics, based on a study with mouse models and limited human data.
23:55: 😮 The speaker took antibiotics and tested their gut health before and after, finding that the antibiotics had a significant negative impact on their gut microbiome.
29:58: 🦠 The speaker discusses the importance of live fermented foods in improving gut health.
34:41: 😔 Taking antibiotics can cause a shift towards an unbalanced microbiome, allowing bad bacteria to flourish.
40:20: 🔑 Recovery time from antibiotic use varies among individuals, and personalized advice based on microbiome data could be beneficial in the future.
45:42: 🔑 The use of antibiotics in healthcare is widespread and often unnecessary, leading to negative effects on the gut microbiome.
50:48: ✅ Taking care of your gut health in the long term involves consuming lots of fiber, practicing time-restricted eating, getting enough sleep and exercise, and being mindful of the impact of antibiotics.
Recap by Tammy AI
Thank you very much!
💖💖💖
Nice! ThAnk you!
Nice. I will subscribe to you but not to the almost hour-long discussion that could have been a mere 15 minutes. They can put up more videos but I only have so much time to listen.
Interesting but fiber has caused me so many problems. I thrive best without any fiber at all
2 months ago I had 4 courses of antibiotics due to a severe tooth infection and feared the worst for my gut microbiome as I felt I'd been poisoned. I'd not had antibiotics for more years than I can remember. I'm over 80 and never take ultra processed foods and have been on an organic diet for 40 years to avoid taking antibiotics in meat. Very useful information in this podcast about what to do next. I will increase time restricted eating and take more fibre, kimchi, kefir, kambucha etc and hope my good bugs win the battle! All Zoe podcasts are SO useful. Thank you.
Miso paste is also a good option and it tastes great. But I found supplementing with butyrate to be the most healing.
at 70 yo, I was nuked twice with abx both orally and up the bum via colonoscopy to wipe out Basto and Defrag, then got pneumonia 3 times in two years and my microbiome testing, twice, which cost about $1000 told me that I hav NO measurables levels of bifio and Lacto bugs, and I am now, not able to re introduce these by probiotics or pre biotics or fermented foods, my gut is destroyed, and I ate the same as you all my life. ABX are a curse.
You might want to get an ultrasonic toothbrush like the Emmi dent (it's German). It kills bacteria in places like under the gum where you have dental work. My dad is over 70 and has always had big issues in this area and is now finally ok. He was spending a lot on endodontists and periodontists and ruined his gut with antibiotics
ive been replacing not only all processed foods but almost all carbs with longer chain multiple stage 'ancient' storage foods.
The best result has come from replacing noodles, breads and even rice with mostly soaked or sprouted whole grains ...
Organic Wheat Berries have been the best, the energy is so much more stable and it does satisfy my remaining carb addictions. Soaking really helps, (like with almonds) and then you can cook them a couple more ways on top to go with whatever food. Or fully cook them through or blend them to use them as a great thickener.
But mostly it's nutrient dense meat and rotating different fresh green (sometimes "spicy", cruciferous or sulphurous) sprouts in the morning. There's a lot to indicate that the best time to eat a little fully raw greens that might give your body a tiny bit of a hormetic challenge is by "browsing greens" the way you would when you woke up in the wild, force your body to make do for a little while. But the rest of the day it's cooked meat and cooked rotating veg, obviously it brings out much more of the nutrients.
OK take care, hopefully I'm still taking in and adapting as well as you are in a few years.
I am of a similar age and position although I’ve not been organic for so many years I have stopped eating beef and chicken except on rare occasions. Because of a bout with Anemia I try to ear some meat in the form of grass fed bison also grass fed butter. I lost interest in fast food and on the rare occasion it tasted awful to me. I recently finished a 10 day course of an antibiotic for dental reasons and wiped out my gut. It caused the most massive diarrhea of my life even though I took probiotics and kefir, kombucha etc. Until now I’ve managed to avoid getting any colds or flu or even Covid-19, even when my son who I live with had these infections. Having this video helps me to see what I need to do and to avoid any circumstances that would entail antibiotics at least until I feel my gut is working properly.
I suffered food poisoning and ended up with bad bacteria in my small intestine. Broccoli sprouts saved me from possibly a lifetime of ibs. I am amazed at the effectiveness of these sprouts to heal my gut.
What brand of broccoli sprouts did you use did you eat
@@brendabrown166 probably grew sprouted her own, easy and cheap
raw cooked or both?
Absolutely nonsense- broc Sprouts 😅
Waouw I didn't know broccoli is that precious. I just force myself to buy it once every week because it's known to be healthy.
My mother almost died from C-diff. After a course of vancomycin, I fed her kefir and Saccharomyces boulardii (antagonist and the kefir seems to give it a foothold)
Any time she has even the vaguest symptoms I give it again - she’s 102 now. Go mom.
We make our own kefir but didn't help with chronic diahrrea. I just ordered the boulardii, maybe that will help!
Your mom is lucky to have you
I admire your devotion to your mother.
@@panamericacowhat s. boulardii did you order?
@tmgreen12 I am not the OP. I bought Florstar. I had C Diff, and I took it, and it seemed to help. Sold in most popular drugstores, or you could order something online. Feel better.
A very good podcast. Back in the 60s I was given large doses of Tetracycline for acute acne. Neither I nor my doctors made the connection between this treatment and the years of subsequent suffering I had from what was thought to be IBS. The impact was both physically and mentally tough.
Greetings. I resonated with your reply on this Zoe broadcast and I was compelled to respond because I too as a teenager with some acne was prescribed tetracycline, which I took for a few years daily without knowing how detrimental this has ultimately would be and the doctor just kept prescribing it like it was candy. Clinical doctors back then and for many years since were clueless as to the negative ramifications from taking antibiotics and I like you have have suffered tremendously ever since😢 I could talk endlessly as to how this iatrogenic medical maleficence significantly destroyed my microbiome and my overall heath. More recently I have discovered that my chronic health issues were especially compounded by the fact that one of the normal digestive bacteria (Oxalobacter formigenes) that reside in the colon is principally responsible for metabolizing oxalate in the intestinal tract, which tetracycline will destroy. I had been consuming large amounts of food that were high in oxalates, which were building up in my body as of a result of no longer having any Oxalobacter formigenes in my gut. This can predispose someone like us in having chronic health conditions for example kidney stones and in my case severe myofascial pain syndrome as well as IBD. If you have had issues in this regard I would first encourage you to check out the work of Sally K. Norton who is all over the internet and TH-cam. She also has a new book out entitled “Toxic Superfoods: How Oxalate Overload Is Making You Sick--and How to Get Better”
It would be so good to follow up with you to compare notes and achieve more clarity about our common ground. Blessings!
been there Ireland in 1995......been ill EVER SINCE.....SEVERE ACNE....1000MG A DAY OXYTETRACYCLINE FOR 6 MONTHS...CURED ACNE....F'ED UP MY STOMACH FOREVER MORE.....
Same here I was given that too!
43:30 I thought recent studies indicate 3 days; max 4 days of antibiotics for a generally healthy person. Ten days is twice what most people need.
@@lauraw.7008 Antibiotics more than 5 to 7 days is outrageous. Some give 2 weeks these days to many
The reason for clindamycin is that no other general antibiotic has better bone concentration. Reaching the toes with a systemic antibiotic carries far more challenge than reaching the gut. Let's talk about why there is a risk of infection and what can result from it. The injury was a crush injury, so bone was broken, exposing it to greater risk of infection from any old bacterium that might be floating around in the blood and stopping in the fracture hematoma, whether it came from skin or gut or anywhere else. Blood flow in this case is further impeded by the fact that this is a crushing injury to soft tissues, including blood vessels, around, to and from the bone. And no bones except toe bones are further from the heart, with more delicate blood supply -- nor closer to the ground's supply of germs, nor farther from our eyes, which direct conscious attention. If even one toe became infected, that might have resulted in amputation. Toes are not ornaments. They function in balance, stability, strength for walking and running, and that applies more than double to the big toes. Lose them, and you will be shocked by how much you miss them. Now, add that history of difficulty with blood sugar control -- prediabetes, if you will. When a diabetic gets a foot infection, it tends to be a mixture of multiple bacteria, hence the prophylactic use of a general antibiotic. When a diabetic undergoes ampution, even of part of a single toe on only one foot, the risk of further infection and amputation up that lower extremity grows. This leads to what is known as serial amputations. Even if only one lower extremity is initially affected, protecting it so it might heal means putting extra stress on the other lower extremity, and when that starts to undergo serial amputions, it is a steady creep toward an early death. As a residency trained surgical podiatrist who then became a residency trained orthopaedic surgeon, this is why I would have put consideration of the gut microbiome below the risk of foot infection. Sure, I would have kept a keen eye out for C.diff colitis, but in a patient with PCN history, I would have been afraid to risk anaphylaxis, because even if it is so rare for cases in which the history is that old, it is deadly enough that it would kill far faster than C.diff.
I had a foot infection that would not clear up with multiple types of powerful IV antibiotics that two different hospitals administered. I then had an infectious disease specialist from that last hospital who insisted I had a fungal infection. The antifungals did no good. When I finally got out of the system (not cured) I went to a podiatrist who gave me a prescription for topical erythromycin which immediately cleared up the problem.
I'm not a medical provider but as you said, this sounded like a super intense injury and it seems like taking the clindamycin would be worth the risk. I'm certainly not a fan of taking antibiotics all the time when they're not needed and I eat Kimchi everyday but when something as serious as your bones being crushed occurs, I believe antibiotics have their place. I was recently in a bike accident and within a few hours, the wound on my hand sprouted that scary red line and started traveling up my arm. I was given doxycycline orally right away and took it for seven days. The line disappeared within a day. And yes, it was summer and super sunny but staying out of the sun and risking a yeast infection was worth killing that infection. I didn't wind up with a yeast infection (something that I've encountered before with antibiotics) and I'd like to believe it was all the Kimchi I'd been eating that prevented it. So what I'm gathering from this conversation is eat your fermented foods because chances are you're going to need to take possibly life saving antibiotics more than once in your life.
But this is a commercial channel. Anyways I have no degree which you may realise from my question but
Couldn’t they inject the antibiotics into the foot
Thank you for this explanation!
Where is your channel?!?!? :)
Excellent.
Thank you for sharing your perspective and possibly the perspective of the attending physician.
Look, I'm no fan of the medical/pharmaceutical industry, but this reminds me, as it should everyone, there are still doctors who save lives everyday, and while we may question their methods, often out of ignorance, we cannot argue with their results.
Personally, despite our differences, and while I may never fully trust them, I respect and appreciate all the good doctors out there.
A suggested beginner instruction to making sauerkraut at home:
- get a cabbage (or grow one)
- slice it finely or coarsly or however you would like to eat it
- weigh it and measure out 2% salt (my preferred ratio but do your own research, they say to use salt without iodine)
- mix the salt into your chopped cabbage and give it a nice massage - this is a little workout.
-let the cabbage-salt mix sit for a couple hours and come back and massage it a little more. It should be releasing some water by now.
- sterilize some jars (boil them for some minutes)
- the jars/containers should let gas out but not air in, so maybe you need some fermenting lids or other fermenting systems. Or make your own invention!!
- stuff the cabbage into your jar(s) and press it down properly, preferably the water should cover the cabbage. If you have it, use a fermenting weight or make your own. (Research)
- Let it sit in the jars at room temp for at least a week. Some leave it veeeeeery long (months) some shorter.
- When you think it is good you can store it in the fridge, it’s still alive just fermenting slower so the jar can rupture if the lid situation is absolutely sealed.
- Enjoy
P.S . The internet is filled with great tips on how to do this besides my suggestion. Have fun!!
Also, dont heat the saurkraut. Eat it raw or even jst enjoy the juices
Good explanation. I was told use pink Himalayan salt, or celtic grey salt. Also, allow mixture to sit on counter (room temperature) for at least 7-10 days, before you start consuming it.
Sauerkraut is great, but not for people with histamine intolerance. These people need to heal their gut before slowly or even just occasionally eating fermented foods. This is what I learned for myself.
I am on a reduced salt cos of kidneys
@@sherimillman53 you could do some research. I came across several places that do not use salt at all when making sauerkraut ❤️ maybe google: make sauerkraut without salt. Hope that helps
As some one who suffers from anxiety and gut problems I recognise that Jonathan may be in the same boat. His body language kinda screamed that. We live in very stressfull world so no judgment and probably just talking about what happened could also be really anxiety inducing. Anyway working on stress reduction is super important for our gut health. For me walks in nature listening to music help. Saying no to people is also really good. I cant exactly preach too much because Im watching this video for a reason haha.
Well said, Ross.
@user-me2zc2pe7x Is Johnathan, Doctor Obalar or are you just pushing people to go to that Doctor's website?
I agree 💯! I have same symptoms as you. Best to try to relax, as much as possible 🙏🕊️🌿✨
Inversely, working on our gut health improves our issues with anxiety. Isn’t the stomach our second brain?
Funny how stress and gut are connected. I always get diarrhea when I’m stressed.
52:28 Thanks for a very interesting and valuable discussion.
Tim - in a bit of a throwaway line you said something like “ the residual small quantities of good bugs you might still have after a course of broad spectrum antibiotics might be curled up ‘hiding’ eg in the appendix”. This reminded me that some months ago I read a paper about possible impacts of appendix removal, which is a not much studied issue. It occurred to me that given your large database of individuals in Zoe it might be interesting to research whether there were noticeable differences in gut health or recovery post antibiotic treatment in those who still had their appendix and those who had it removed (maybe decades earlier).
Excellent recommendation for a couple of research programs, to see if any significant data might emerge
I have had gut problems since my 20s didn't look after myself, but also I had my appendix removed. I am also very interested in the removal of my appendix.
I hope so then mine can't hide and all the antibiotics and high dose steroids I've had to take, have to, take might not have such a bad effect l, although I am prone to thrush so idk...?
With the injury Jonathan had the main reason to give broad spectrum antibiotics [not mentioned in the podcast] is to prevent osteomyelitis [bone infection]. Broken skin + broken bone = high risk of bone infection. If they put a wire into the bone to fix it, the risk is even higher. Once bone infection takes hold, it can require long-term [even 6 months or longer], and often a combination of antibiotics to get rid of. So the surgeon was quite right to prescribe antibiotics to prevent this.
Totally agree. The description of the injury sounds like an open fracture. Definitely warrants strong antibiotics or risk a bone infection, which would be incredibly difficult to treat. If it were me, I would definitely sacrifice the gut microbes. Risk vs benefit.
Plus Jonathan told his doctor that he probably was allergic to penicillin.
@@adabadadanot quite cylindamycin was prescribed for the fear of MRSA. Unless there were cases previously identified at the said hospital there was no need for this. Cyclosporines would’ve worked just as well. Along with topical antibiotics such as powdered vancomycin. Doctors don’t have the time or the patients to curate individualised treatment. It is a cookie cutter one size fits all approach here. Therefore learn a little medicine.
And remember, sickness is GOOD for business!
not quite cylindamycin was prescribed for the fear of MRSA. Unless there were cases previously identified at the said hospital there was no need for this. Cyclosporines would’ve worked just as well. Along with topical antibiotics such as powdered vancomycin. Doctors don’t have the time or the patients to curate individualised treatment. It is a cookie cutter one size fits all approach here. Therefore learn a little medicine.
And remember, sickness is GOOD for business!
My daughter had osteomyelitis & antibiotics made her extremely worse, caused the osteomyelitis in her foot to worsen. We found out she has crohns since it was weird antibiotics made her worse. Took her off all medication & started feeding her anti-inflammatory diet. She’s still recovering now
I required surgery for two dental absences back in 2021 and was also prescribed Clindamycin. This led to dysbiosis, and two lengthy terms in hospital, having developed Clostridium Difficile. After leaving the hospital, I found I couldn't digest certain types of food, and importantly had to significantly reduce portion size for a year or so due to irritability. If anyone is reading this and has similar problems with a sensitive colon and a compromised gut, supplementing with butyrate capsules proved extremely useful for me. I still supplement to keep my good bacteria fed. My quality of life has improved substantially, largely because of changes in diet and supplementation.
@oscarlovesmochi3356, thank you for this information. I did a quick search on butyrate and it appears to be very beneficial for gut health. Cheers.
Thank you so much for the tip. ❤
I am in the same situation and i use probiotics , l glutamine for leaking gut and betaine hcl
holistic dentistry only..PERIOD. I had two extractions for obsesses too (criminal dentist years ago drilled a criminal filling on a tooth that didn't have a cavity!!) No antibiotics, only high dose Vit C IV, herbs and ozone. Be careful with mainstream...
Which brand of butyrate do you use?
This explains my life!
I am 29.
In my mid teens, I was repeatedly prescribed antibiotics by my (very well meaning) family doctor.
Since than, my gut has been destroyed.
Despite having a healthier lifestyle than everyone around me, I struggle with general health.
I now know a big focus needs to be on restoring my gut.
Engaging new age content from the world's leading experts.
You all are saviours.
🙏
Get milk or water kefir grains
L-Glutamine will heal your gut.
I'm currently recovering from c. diff. I have no idea HOW/WHERE I picked it up. I wasn't on antibiotics or Omeprazole...but my gut is on the mend. Vancomycin 125 MG 4x a day for 10 days. I've been binge-watching a lot of videos on this condition and have learned so much more truly helpful info that my doctor didn't provide. I will be very vigilant to do all I can to continue healing my gut and to avoid ever having to go through this again.
I spent years struggling with sinusitis that finally started turning into bronchitis. It was always treated with antibiotics. The time frame was over twelve years. I can’t remember what my resource was but I started taking quercitin faithfully. Twenty years later and I have not had a cold much less a sinus infection…despite continuing to have a post nasal drip either from allergies or gastric reflux. What I wouldn’t give to have one of you as my personal doc. Stomach discomfort and nausea seldom leave. Very exciting work. Thank you:)
Stomach upset might respond to Digestive Enzymes with your food.
NOW® Brand Super Enzymes has proven helpful to me.
Vitacost and Vitalife are mail order sources.
They are usually available at health food stores.
Do you have constant bad breath? Im suffering from bad breath. 😢
The importance of this is very significant for pregnant women. Passing on gut biome from good diet is so important to get babies off on the right start reducing their risks of so many things...
It's now thought that mothers don't donate biome directly to their babies
source pls. @@ianmcairns
@@ianmcairnscan you share more about this please? From a pregnant momma
@@ianmcairns it may have been a medical professional who was promoting surgical cesarean delivery who made that statement. Every infant when delivered naturally is coated with the mother's bacteria. The mothers vaginal biome is hopefully healthy.
@@Erenmthey get their bacterias from their mommy...
Wonderful information …my daughter in law was recently hospitalized and they gave her two rounds in an iv in a weeks time…wish I could remember the diagnosis which was Not discovered initially and just before leaving was actually what she was tested for when she was first hospitalized…a crazy system of cat and mouse where she was …I introduced the fermentation process of sauerkraut as well as the container so she could make her own…luckily I had some going which is a regular in my kitchen..yes it’s late but never TOO LATE to learn more…thank God she loves it and is more than willing coming from a long line of childhood antibiotics with all of their side effects and serious gut problems…thank you for sharing and stay BLESSED!
The best way to be sure of the efficacy of kefir, kombucha, sauerkraut, yogurt, etc., is to make your own. It isn't difficult and tastes much better than store bought.
Thank you for this info,but how do you make them?help please ❤️
@@mariakarla90 I have been making milk kefir for several years. I actually bought a live colony from Amazon. They Fast ship them with complete insructions. cst me right around $15. but I don't know the price now. I have been using this colony for at least 2 years.
Love kefir!
Take yakult haha
@@mariakarla90the best dairy ferment you can make is kefir, obtain kefir grains to brew it!! Google milk kefir from grains
Profound and extremely helpful! My primary care doctor is very ignorant about this subject-- I will try to make her to watch this.
Thank you for a very informative video once again. I wish some doctors were more cooperative in hearing the concerns of patients in regards to antibiotics. It is a bit strange that it is up to us, the patients, that we have to educate ourselfs in order to make the right decision whether to take them or not and which types.
Very good point.
I think it's down to them not being trained in nutrition. I wish they were, they'd have so much more to offer us if they were.
Really interesting and informative podcast. Thank you. As someone who takes antibiotics daily (doxycycline), and has for several years now, I would be interested to know whether there is anything I should be taking or doing to protect/improve my gut biome given my long term usage. I generally eat a wide range of veg, fruit, legumes, nuts etc and have been following an IF diet since starting the Zoe IF study in December. I note the importance of increasing fermented foods but would welcome any further advice on this. Thanks.
Resistant starch is a great food for the bugs in the microbiome, you could try eating more of those foods along with the fermented foods.
Fermented cabbage. Cheap and wonderful for the gut.
What kind of dosage do they prescribe daily?
I was given amoxicillin for tooth infection on a weekend visit to emergency, over the weekend developed sever swelling and got prescribed clindamycin. Really got scared noticing tongue turning blue. Developed several diarrhea, started eating yoghurt, sauerkraut with continued IF. Took liquid probiotics along with two other types, I think soil based probiotics helped significantly. Since then started growing and try to eat couple of veggies from organically grown and fresh. Though not completely back to where it all started but no longer have diarrhea. Thank you for this helpful conversation.
Lhhkjllllp
Thank you Jonathan, and Dr Will and Prof Tim. I learnt a lot from this podcast.
I feel my gut hasn't repaired from an antibiotic overdose from a couple of years ago. The doctor prescribed incorrectly for an infected sting and accidently prescribed double the dose. I have had bloating, weight gain and IBS. This is really interesting and has given me some ideas of things that might help.
I had the same thing. I was diagnosed with Helicobacter Pylori in my stomach and was first given "ZacPac" to eradicate it and then "Pylera" because it didn't help. But already after "ZacPac", I suddenly had a lot of air in my stomach, along with intestinal noises and constant pressure. Even today, 3 years later, I am still fighting against symptoms that have become weaker. But it is a torture.
Have you tried a carnivore way of eating.? Dr Natasha Campbell Mcbride has some very help nutritional information for health@@domi7583
@@domi7583
HP in the stomach, might possibly, be toned down with Olive Leaf Extract.
I used the Seagate brand. It's a bit pricey, but it worked.
I took two capsules, 3 times per day for about 6 weeks.
Also, NOW® Brand Super Enzymes with each meal.
Expect a lot of belching at first. That was the only side effect.
And, do not drink or eat anything cold.
The human stomach does not digest anything if the stomach contents are not at the same temperature as core body temperature.
Anything cold will shut the stomach off just like flipping a light switch off.
During that time, stomach contents will still be either fermenting (plants) or purifying (animal) products.
But, normal digestion is not going to occured until the contents of the stomach is warmed up to "core body temperature".
L-Glutamine will heal the gut.
Will you do a 6 month and year update as we are invested in knowing if your gut recovers thanks and take care xx
Really interesting and helpful thank you.
I wonder if doctors were routinely trained in nutrition there wouldn't be this reliance on antibiotics for day to day infections like Tim's sinusitis? Doctors would have more tools to treat day to day conditions that would in tandem support the microbiome rather than be destructive.
It'd be great to do a part 2 of this video where natural antibiotic type medicines are discussed too.
Because there's a conflict of opinion on the internet about certain plant medicines e.g. oregano oil, grapefruit seed extract, garlic, are they destructive to the good gut bacteria or not? Where's the true science on this ZOE? Are they ok to take for conditions e.g. fungal infections, h.pylori, SIBO, parasite infections etc? Or, although milder than synthetic antibiotics, are they still best avoided? If so, which plant medicines or foods are ok?
That would be a fascinating piece of work. There are some fabulous herbalists who could support this work.
The "plant medicines" are probably good for your gut if taken at normal dietary levels (I.e., levels that you might acquure from a balanced diet).
"Are they destructive to the good bacteria or not?"
Answer: A probiotic does not kill anything. Ever.
An antibiotic has one purpose. To kill. Good, bad, or indifferent. Antibiotics are for killing... something.
A probiotic will however, fight for territory.
That is the difference between the two.
The items you mentioned, often work simply because they change the pH of the area. Then, the probiotics can get a hold at the level of territory.
Sinusitis is often fungal based, and recurring events, because antibiotics don't treat fungal based infections. People can also do sinus rinses, with anti-fungals added, like 1-2 drops of iodine, or borax, boron. Examples to research.
A really excellent episode, thank you! I do hope poor Jonathan's foot is better, sounds awful. It's very comforting to know that if one is forced into a situation where antibiotics are required, it is possible to get the gut and therefore immune system back on track afterwards with good lifestyle habits, whether slowly or more speedily if one is lucky. I feel sometimes there is a bit of scaremongering about, especially from people who market expensive probiotics etc!
I have been very fortunate in my 53 years - I think I could count on the fingers of one hand the number of times I've been prescribed them, and certainly not at all within the last twenty, maybe even thirty years. But I have become probably too paranoid about avoiding them at all costs, so this episode was a great source of sensible balanced advice. I have been especially paranoid about my daughter, given the prevalence of their overuse in children. She has only had one course, when she was about 4, and I breastfed her until a couple of weeks short of her 5th birthday, when my milk ran out, so I hoped that would help get her gut community back on track. Cross fingers, age 11 she seems in very robust health, but at least now I feel better equipped to have a rational discussion with a doctor about antibiotics should she be advised to take any. Sometimes in this modern world, it seems very hard to do the best thing for your children, in the face of conflicting advice and information....
Don’t vaccinate . She will be fine.
@@carolinelaronda4523there's always an uneducated anti-vaxxer giving bad medical advice.
A fantastic podcast to watch. As a type 1 diabetic who has just had 3 weeks of broad spectrum antibiotics I listened with great interest to the impact on your gut and the advice from two of the world's foremost experts in the field. I just wish as an insulin dependant diabetic that I could qualify for Zoe but I understand the CGM part of scientific study excludes existing diabetics from taking part. :(
I am definitely going to try the chuckling goat kefir and momo kombucha though to reinforce my probably decimated gut biome.
My husband got C-diff from clindamycin and had to have a fecal transplant after getting very, very ill.
Very interesting conversation, I would be interested to see if Zoe can get to the point where they measure the amount of Antibiotic resistant bacteria in the gut as well, or is that already happening? Then determine a course of action to reduce this resistance.
Phenomenal discussion that was presented in a balanced way. Thank you.
What an excellent episode today. Thank you for sharing your personal story Jonathan and good luck in continuing to grow the number of good microbiomes.
In 2019, I had antibiotics to treat for a cat bite... Ever since then I had awful GI symptoms, and after nearly a year found I could not tolerate many gluten containing food (wheat, oats, rye). I now experience a lot of IBS symptoms and although I am fairly good at managing and mitigating my symptoms - it really has affected my daily life, food choices and confidence - all from a simple course of antibiotics.
Or maybe not? Maybe it’s the gluten or glyphosate inoculated grains.
If you are not already, do everything they suggested. I had antibiotics after a human bite - 14 days of something very strong. Had GI symptoms/a weak gut for years afterwards. Over time I ended up doing everything they have suggested here and it really does work.
Bartonella infections from cats can cause Ulcerative Colitis. Don't be too quick to blame too much treatment as the cause of your problems. It could have been too little treatment.
Oats are actually gluten free - it’s just that during manufacturing, they might get contaminated with gluten from other grains, but unless you have Cealiac disease, you wouldn’t notice.
@@ZsuzsaKarolySmithActually all grains have their own version of gluten. Oats, like rice contain gluten that most people do not have problems with. However a celiac friend has the worse problems from rice gluten.
Quite a few celiac find they half to go grain free to remain symptom free.
I’ve read and seen studies that proton pump inhibitors have the same negative effects on the gut microbiome as antibiotics. No one ever talks about this. Would someone with damage from PPIs heal the gut in the same way as healing the gut from antibiotics? 19:52
Interesting question. Do you have a specific one in mind?
Thoroughly enjoyed this episode filled with simple and common sense information to improve one's health. Much gratitude.
So why can the antibiotic not be injected directly into the foot or toe area to be directly as a defence against any infection in that area instead of swallowing and having your good bacteria affected?
My GP NEVER explained the impact of antibiotics and the microbiome and I didn’t know the questions to ask. It’s only due to watching videos like this and doing my own studying of research that I’m now more aware of the consequences. Still feeling the effects of years of regular antibiotic use.
I've never had a doctor explain this to me. I found out myself a couple of decades ago, and stopped taking them unless I was very ill. I had to argue with most of the doctors who tried to prescribe them to me. I finally found a doctor who agreed eith me on this, but it was a lot of trial and error first.
Very strange, eh.
L-Glutamine will heal your gut.
my gut has been destroyed by antibiotics
@@MsRemps L-Glutamine will heal your gut very quickly. 1 capsule as soon as you arise and last thing at night. Do not take with hot liquids.
What about people with histamine issues who can’t tolerate fermented foods?
There is an old book out there entitled, Alkalize or Die. The title is of course a rather radical marketing tactic.
However, if you are having trouble with reactions to everything you eat, it might be an indication your system is leaning too much towards acidic already.
The book is from quite a few years back, so it may be out of print.
It might be available through used book stores.
Histamine issues can often be due to a methylation problem. Low methylaters cannot clear histamine very well. Mthfr genes can cause this. I cleared up my friends histamine, mast cell hive issue with some dietary changes and supplements. Vit C and quercetin are natural antihistamines. Choline ( egg yolk, lethicin) are methyl doners as is Tri methyl glycine. TMG. Her hives vanished in one day using this protocol.
Here in France, untill about 10 years ago, doctors prescribed « ultra levure » or a yeast pill, with anti biotics. They stopped prescribing it as it wasn’t reimbused by the health service.
I’ve taken dozens of antibiotics over the years, as my COPD led to frequent infections. Since I’ve been into fermented foods and time restricted eating, I feel much better. The last soar throat I had cleared up in a day or two. Before, it would have turned into bronchitis then needing antibiotics.
what fermented foods do you have ?
Have you looked into Lung Support by Xtend-life? And GLYNAC too for the lungs ?
@@masterprattu Saurkraut, kefir, raw milk cheeses, cider vinegar.
Are you suggesting this because you've used it or is this just a spam promotion? @@theancientsancients1769
Smoking mullein is great.
I have histamine issues so I have had to reduce my 'probiotic' and aged foods a lot to minimize histamine issues. What is a good probiotic to use? Or how to offset reacting to histamine in foods?
I have same issue with fermented foods but I can tolerate yogurt.
I had a terrible bout of CDIFF immediately after starting Clindomycin in 2010 as a dental prophylactic. It took oral Vancomycin after struggling with it for several weeks to knock it out. Although I eat very healthy including fermented vegetables and probiotics, my digestive system hasn't fully recovered 13 years later.
Me too John!! And we have the same name 😅 i took clindomycin (dalacin c) for my dental implants procedure. And it gaves me finally ulcerative colitis. It sucks.. also after that i took a ton of other antibiotics for other reasons. And now im trying to fix my health and gut.. but its really hard. After so many courses! 😢😢
I found that fermented foods and a high fibre diet were the worst things to have after antibiotics, and led to long term gut dysbiosis. Probiotics and fermented foods and fibre and plant foods are good if you already have a healthy gut.
Absolutely 👍
What do you suggest then?
@@lucakat9262Potato variety or brown rice diet to recover
i agree 100%!!!! those with a compromised gut cannot digest those very very complex carbohydrates!
@htrac what do you suggest instead?tia
I'm so blessed by your channel. I was so confused before. I finished my antibiotics last night; I was not sure what to do now because I have had colitis since my colonoscopy on June 10. It's in 2 small parts of my colon. Thank you for this video, I'm ready and hopeful in my journey of clearing my body of antibiotics.
What antibiotics Dr has given you. What symptons you were facing before for your ulcerative colitis ? How long do you need to eat antibiotics .
My son was put on a long term dose of Antibiotics on 2 different occasions for chronic ear infections. After the second round his personality changed. He went from a kid that ran everywhere and was very happy to a child that did everything slowly, began gaining weight and became depressed. He now has MS after having Covid. He still struggles with weight.
Did your son get the Covid Jab? Did MS come after son had the Covid-infection or the Covid-Jab?
@@user-bm125 The symptoms started after we all got Covid
@@user-bm125always leave it to an antivaxxer know it all to blame everything on the vaccine. Stop harassing people because you're uneducated and paranoid.
Happened to my child as well
Look into methylene blue… heard it may help with gut issues. May help with brain issues as well… lots of Drs videos to watch on TH-cam talk about it
I almost died from taking clindamycin that was prescribed by a dentist for a root canal. After almost 20 years I am still suffering from gut issues. I now cannot take any antibiotics for more than 3 days without getting very ill! The doctor that diagnosed me said that he wishes they would remove clindamycin from the market because it is the worst to cause c-diff.
Then they need to remove Metronidazole from the shelves because it's been found to cause malignancies in animal studies, (that can take as long as 7 years to develop after treatment), as well as ALL Fluoroquinolones, (Ciprofloxacin, Levofloxacin, etc,) because of the numerous reports of them causing ruptured tendons and permanent central nervous system and brain damage, (sometimes after as little as one dose).
These antibiotics are so dangerous that they now have an FDA "Black Box Warning" as a result of their potentially devastating side effects, yet despite this, they remain on the shelves and widely prescribed by careless/ignorant doctors every single day.
Hi Docs! Thanks for this video. I am 65 years old and have avoided antibiotics for 40 years because I think they cause big problems that don't get solved often. But I've had two surgeries this year and was forced to take antibiotics, especially for one of them because the wound got infected. I took doxycycline, and I don't know how bad that one is. But my gut has not recovered. My problem is that I have severe celiac disease and other food sensitivities and allergies. I react violently to many fermented foods. My reaction to any alcoholic beverage, for example, is every voluntary muscle in my body goes into a painful spasm. It's like a neurotoxin. I can actually get temporarily paralyzed. I can't even have a sip of communion wine without getting some reaction. But I also react poorly to kombucha and other fermented foods and drinks. Kefir isn't an option because I can't have dairy. I'm considering making some cabbage rejuvelac. I've responded well to that in the past. I'm taking a probiotic, but clearly it's not really solving the problem. It's helping I think but not enough. I would be grateful for any suggestions!
Dr Ben Lynch has discussed some of these things in his book ‘Dirty Genes’ it may help you.
I have a suggestion.
This is really interest. One of my friends who never takes antibiotics if she can help it was recently on a course of them..She has had anxiety ever since. I wonder how much mood is affected too by the microbiome. Thank you.
The macrolide family of antibiotics can give severe anxiety lasting several months. Been there, got the t-shirt.
Amazingly useful podcast - thank you. I watched on TH-cam last week with interest, but have just re-watched it today, having been in A&E yesterday, diagnosed with a nasty eye infection, and prescribed a strong dose of Clarithromycin for 14 days. Thankfully I have some home fermented kombucha and sauerkraut which I will be increasing consumption of, but will also look to buy in some unpasteurised products to increase the diversity, and looking for more recipes so that I can start some more ferments going (I have Will's books, so will start there)! Thank you. The Zoe Podcasts are so useful - do you have a contents page anywhere, so that I know what to look for when I want to go back to re-watch past podcasts?
Very useful discussion!
About 3 years ago, I took a course of clindamycin. I took the recommended saccharomyces boulardii and additional probiotics, plus fermented foods and felt OK soon. About 3 weeks later, an intestinal problem appeared. It didn't occur to me, at the time, to link it to the antibiotic but now I understand that it probably was the result of clindamycin.
did you manage to fix that intestinal problem?
A long time ago. @@masterprattu
when the video opened with NO ADS I hit subscribe and the notify bell straight away!!
Their broadcast is a commercial for their company ZOE
I took clindymcin and my body has been out of whack for 7 months.
My NHS eczema nurse recommended the Mediterranean diet and mentioned that I should look into Tim Spector.
I've had a tests done to see if there's any really bad gut bacteria in there which was negative. I'm still going to focus on restoring the balance and optimization.
Great timing for me. I'm on my 4th lot of antibiotics in 18 months. Now I know the best way forward.
I've been following these podcasts and there are some important questions about gut health that I don't think have been covered yet, specifically: what do we need to know when buying, preparing, and storing foods containing probiotic bacteria to ensure they are still alive when we eat the foods?
For example, I recently looked at an ingredient list on a packet of cheese at a supermarket. When I saw 'pasteurised milk' I wondered whether that would have killed off beneficial bacteria even before the cheese was made. Similarly, would the 'preservative' have done that instead?
And is there a temperature that is too hot for bacteria when baking? Or too low when freezing?
Another question I have is whether we should be aiming for quantity or variety of probiotic bacteria. My guess is it should be variety because whatever you have will multiply quickly to consume whatever foods suitable for them is present.
That seems to be what Tim is suggesting when he said at 18:52: "Take as many fermented foods as you possibly can, and a whole variety of them."
Bacteria and fungus are robust to recover after freezing. Pasteurization protects you from pathogens. The controlled introduction of fermenting organisms is hopefully protected by a sterile process in the cheese making.
@@k8eekatt Thank you for that. That makes sense but I'm still hopeful for some answers from the experts. 🙂
I watched a YT video by Dr. Stephen Gundry titled 'Does this cheese make you live longer? The surprising truth about cheese'. In that, he mentioned fermented cheeses, but also said you need cheese made from raw milk, not pasteurised, most of which comes from 3 countries - Italy, maybe Spain,can't quite recall.Anyway, the vid wasn't so much about living longer,but more to do with gut health....
Interesting that you mention baking and killing off beneficial bacteria. Baking sourdough bread in an oven at usual baking temperatures will almost certainly kill off all the sourdough bacteria and yeasts present in the dough. It will be sterile. However, eating the raw sourdough bread would probably not be good for the digestion. I get the impression that people seem to think that baked sourdough bread is full of beneficial bacteria. How could it be? That doesn't mean the bread is not healthy, as it will no doubt contain lots of nutrients, minerals and fibre. It will also contain certain products made by the bacteria and yeasts, which may be heat stable. For example, fermented foods are known to make Vitamin K2 (e.g. menaquinone), which is not present in unfermented foods, is fairly heat stable and may be beneficial for heart and circulatory health.
I just had a minor surgery to remove a cyst on my foot and apparently they gave me clindamycin in an IV during the surgery. They knew I had issues with my colon because I told them I’d had chronic diverticulitis for years and other digestive issues so I wish they would not have given me clindamycin in the IV. I started having diarrhea about 24 hours after I came home, and now I’m worried about developing gut infections and diverticulitis flare ups and so much more.
Would be interested to know what your advice would be for people who have to take Prophylactic antibiotics for conditions such as Cystic Fibrosis
What about histamine in kombucha and other fermented food for those who are histamine sensitive or intolerant?
I was given repeated antibiotics in the 1960s and 1970s because I had severe earaches and tonsillitis throughout my childhood. Every other child had their tonsils removed, whether it was clinically required or not. My mother wasn't impressed by that approach at all, so I kept the tonsils and suffered. In the 1980s my tonsillitis was so bad that I reached a peak of quinsy and was very ill indeed for a long time. I was given penicillin and went into anaphylaxis. So there was that. Never had tonsillitis since, but hearing negatively impacted from repeated infections, stained front teeth from all the tetracyclines, and I now have multiple allergies to the extent that I have to see a specialist consultant, take a lot of meds for the rest of my life, and eat a very bland low histamine diet. Should have had my tonsils removed in retrospect. My gut microbiome must be tragically poor.
You can grow a new tummy garden🫂🏵🪷🌸💐
Having your tonsils removed doesn't prevent tonsillitis. I used to suffer with tonsiltus in teens and 20's. Always using penicillin to fight it. The last time, I couldn't get appointment and let my body fight it off itself. Never had it since.
@RichardNutman Well, I never knew that. Thanks for the information. I had tonsillitis so often, it was hideous.
@@kateq7212I remember those times when it was fashionable to have tonsils removed; I suffered recurrent tonsillitis and ear infections as a kid and did have antibiotics, but the fashion for removing tonsils started just as I stopped getting tonsillitis frequently so I've still got mine. Both my youngest sisters had tonsils removed - they were 10 years younger than me and yes,they still got 'tonsillitis' after the surgery.. After that,I had tonsillitis probably 3 times over 20 years from the age of 15/16, the last time it was borderline quinsy, but antibiotics (penicillin) cleared it. These days,they only remove tonsils if the tonsil itself remains infected,, usually with pus oozing rather than 'normal' tonsillitis - one of my sons was on the list for surgery with an infected tonsil, but an Indian doctor told him to try sodium hypochlorite mouthwash as a gargle 4 times a day and the infected tonsil got better,went away, so no surgery.
I'm so glad I had my tonsils removed. Hugs to you, for your suffering and journey. Hard decisions sometimes.
I had been getting repeat UTI's, consequently dose after dose of Trimeth or Augment. My GP recommended taking a Probiotic with the Abs with the last UTI in March. Since then I have not had another. I am making kefir, Kombucha and wholemeal sour dough bread also Greek Yoghurt which I lazily buy. So this has been a very rewarding podcast. It gives me confidence that I am on the right track. A long way to go though. Thank you
Thanks for sharing! How did you start with the kefir? Where to buy?
Can I ask the name of the specific probiotic you took for your repeat UTI's please?
I had a dental procedure where my top teeth were pulled along with bone grafting. I was on one antibiotic but then I had a hole develop in the very back . The dentist then put me on put me on Clindamycin twice. I too have had an issue with penicillin in the past . Over time I began aching all over and just feeling generally unwell. I called in and spoke to office staff but assume they did not alert the dentist. The next symptoms were undulating fever and finally explosive diarrhea and vomiting. My fever went to 103.5 and I finally went to E.R. I ended up in the hospital 10 days. I don't believe I have fully recovered = from either the dental procedure or the c-dif.
This was a very difficult experience
It takes at least a year after a severe cdiff battle to get back to feeling good.
How are you feeling now?
Had a mitral valve operation about 9 yrs ago.
Went to a urologist recently who gave me Cipro after having me sign a release, like I know the repercussions of taking such a drug.
I wonder now if the doctor even read my history.
I’m getting more and more hesitant to trust today’s medical system.
Cipro is one hell of a nasty antibiotic
If a mitral valve gets infected with bacteria, you're looking at another operation and/or long-term antibiotics. So I'm not surprised uro prescribed cipro. Antibiotics save lives, after all.
Was it prophylactic before a urology procedure like a prostate biopsy? To protect you from a heart infection?
I have a heart murmur, so a doctor told me to notify dentists before dental surgery because they might want to give me Cipro prophylactically. Fortunately, dentists have declined to do that.
I had hole in the heart surgery 41 yrs ago and it was at least 10 years ago when the evidence base changed for no longer needing anti biotic cover for dental procedures. I’ve had other minor procedures as an inpatient and no antibiotics given and no infection followed. This podcast is basically a sell for the Zoe test kits and I’m more sceptical of that rather than other medical professionals.
One topic you never mentioned was gram negative and gram positive and the impact of targeted antibiotics. In UK NHS doctors often give me broad spectrum antibiotics without any tests, contrast that with my experience in the EU where the doctors always took blood or sputum tests and later the same day gave you an antibiotic based on what the lab results indicated was the most responsive out of a number of antibiotics tasted against your sample. Do you think an increase in testing before prescribing, and a consequent increase in use of less broad spectrum drugs, will lead to less antibiotic resistance?
I have also experienced in the UK being given a second course of the same antibiotic when results not seen rather than test to find a more appropriate more responsive antibiotic.
I have also found when abroad and given an antibiotic based on lab tests of a sample, that the gap between exacerbations increases, whereas in UK when given a default antibiotic the gap between exacerbations is shorter.
Perhaps it is time for the NHS to rethink any and all of their prescribing guidelines that include antibiotics, regardless of therapy area.
Sputum needs to be cultured to identify a specific bug and then susceptibility to antibiotics tested. This takes at least 3/4 days.
A blood test can indicate an infection but not which bug is responsible.
Many chest infections are viral in origin. If an antibiotic is necessary in an unwell person a broad spectrum one will be prescribed based upon which infections most commonly affect the lungs.
A delay of 3/4 days to determine a causative bacterium isn’t ideal in someone who is ill.
People with chronic lung infections are encouraged to submit a sample prior to starting antibiotics. The drug might need changing depending upon the culture and sensitivity results.
There are national guidelines for antibiotic prescribing in the NHS which are important because of increasing antibiotic resistant bugs.
@@JaneHubbard-u2i great theory but none of the GP surgeries I have been to in the UK ever asked or suggested a sputum sample before giving me, or asking me to take, antibiotics. It was only after contact with the local COPD team that they said I should be providing samples and they told my surgery to make a note on file. So without the specialist team intervention my surgery wouldn't have ever issued sample pots.
@@JaneHubbard-u2ibut my experience is the same as the original post, that a GP will give an antibiotic and see if it works, then give another one etc and then finally send the sputum for test. This happened to me recently with a bad chest infection ending up on three lots of antibiotics. I don't understand why he didn't immediately get the sputum test done so we knew exactly what the problem was and focus the treatment. We are not really treating people we are putting them in a revolving door. Many years ago the concept of 'right first time' was developed in industry ie taking time to do something properly to avoid 'rework'. The NHS is clogged up with rework.
Can you give us the reference for the saccharomyces boulardii paper?
Thank you so much for this!
I have been fearful of antibiotics and I believe that for that reason, I respond bad to it. My mind is screaming NO when I have it prescribed (last time was for an abscess in my mouth due to a bad rootcanal treatment). The first 6 days of antibiotics I had low bodytemperature (35.6) and was freezing cold. Which was strange because I had, had the same antibiotics 4 years prior and at that time didn't even notice I took it. At that period I wasn't yet aware of the negative side of antibiotics.
But this interview has given me a middle ground. Pros and cons plus the knowledge that I can heal myself within, generally, 2 months.
Thank you immensely.
Audio:
Great audio thanks.
surprisingly tight audio for what looks a fairly bright acoustic.
And blissfully free of background music.
yes, such a relief to see a video without the dreadful music
Thank you. I enjoyed this discussion. Very useful information.
I’ve been on a daily antibiotic for over 4 years because of constant bladder infections.
I told my Doctor that I’m going to take a break to help my gut heal, I’m 2 weeks in of stopping, and hoping to give time for my gut to heal.
I had a yeast infection in my mouth for over a year in the past. Also 3 years ago I was septic for 6 months from having foot surgery, the Doctor trying to repair a broken foot, going septic right after. 6 months later a Nuclear scan was done discovered bones and joints were infected.
I was on penicillin for two years due to Osteomyelitis a bone deteriating decease.
It flared up every now and then, so more antibiotics of a different kind over many years,
The last time I was on them was because I broke a bit of dead bone in my foot and have 10 days of IV in a UK hospital, since then natural immunity has been the remedy.
For reoccurring bladder infections, look into DMSO.
The doctor should have known this.
Cranberry pills, demanoes supplemnt, no sugar, wear a light pad change often. I drip teatree oil on my pee hole. After sex make a coconut small stick freeze it in freezer and insert into vagina. I use un refind coconut oil. Helps me.
Amazing. I guessed it before it was mentioned and I'm not a doctor. Having a hard time with antibiotics myself, I have in fact used Saccharomyces boulardii - it even helped ease stomach pain from the antibiotic.
It would be good to know if general over the counter Nsaids & paracetamol do any damage to our gut health.
Thankyou great podcast.very well explained by the best specialists. Intelligent questions, very informative..I have diverticulitis (hospital) & IBS ..will try fermented foods ..
My husband had tooth assistance he allergic penicillin so proscribed strong antibiotic. After reading side affects he refused them and the dentist drained the absis but still advised the antibiotics. My husband never did but constantly rinsed mouth with boiled salty water until healed. Side effects were crohns and If I remember rightly chance of meningitis along with other terrible effects
This discussion with Dr. B and Professor Spector makes me appreciate Doctors and medical professionals so much more. I just about lost all trust in Doctors since the covid pandemic came into existence. Thank you all for this discussion! I am not a medical Doctor but I do read a lot and have warned people for many years not to rush to Doctors to get antibiotics. I see it all the time. Acquaintances rush out to a Doctor as soon as they get a sinus infection or a pain somewhere. I know one in particular, who has taken so many antibiotics and who consistently developed diarrhea that this person ended up in the hospital and was seriously ill with C-Diff. Went home and ended up back in the hospital a couple of times. I have no doubt that this person ended up with C-Diff because of the constant prescriptions for antibiotics over the years. Incidentally, my husband and I consume sauerkraut often. I have always loved sauerkraut out of the can but I ended up making it myself a couple of years ago. I will have to revisit fermenting veggies again.
I was on Antibiotics for 4 months.
I was actually allergic to milk and there was nothing wrong with my Sinus’s or Face.
I think I may need the Zoe app.
It's been really eye opening for me! There are additives and preparation techniques that change how our bodies react to foods!
Inflammation : I’m 78 and been on microbiome helping diet since Feb 2022 ( it’s fun , not a “diet”) . Asthma , which I’ve had every winter after a cold for instance, has gone and I’ve had it since a 2 yr old! I’ve stopped using the moderate use of asthma inhalers for over a year. Unheard of. Also I’ve had melanoma on my nose , it hadn’t spread and was poss big enough. I’m having a reconstruction process. I’m healing amazingly quickly after each operation . The rather quiet consultant declared my healing was a “ miracle “. So I’m happy with what’s happening , and thank you. I make Kefir recently , last few weeks . And I’ll start the carrot/ cabbage /salt my bacteria squish very soon! Thanks all!
Short expiration date on Kombucha? I bought Brew Dr and it says good until 7/24. There is no vinegar and it saws raw on the label. No mention of pasteurization. Can anyone comment? Thx
Very interesting podcast thank you. I was recently in hospital having had a heart attack. It was diagnosed as being caused by septic shock due to severe diverticulitis. I was immeditely put on IV antibiotics including ciprofloxacin, metronidazole, trimethoprim and gentamycin. I have been given no advice on how to prevent another attack of diverticulitis other than eat more fibre. I was already trying to eat 30 different plant foods per week. I am now concerned that it will be difficult to restore a good microbiome. Should I try the saccharomyces and do you have any other advice? Thank you
Good evening. Can you please send me the name of the Kombucha I can purchase in the US with minimal sugar and minimal caffeine. Which fermented foods to buy in US. Thank you!!
I just had dental surgery. This is where a antibiotic is needed.
My one observation was that my sleep was challenged. My Fitbit sleep score went down.
Can you please link info on how to
Test the micro biome?
Love your videos they have taught me so much. Curious how does Chemo Therapy effect the gut microbiome? I was diagnosis with breast cancer in June of 2022 and my gut has never been the same. I am working on getting it back to normal and finding it difficult.
Not sure if it's because I have still not gotten my appetite back or because the Chemo killed more then just my cancer? Love to hear your thoughts.
I was given Topical Clyndamicin for a skin condition. After my operation i had an infection and the microbiology report said that the Staphylococcus bacteria was resistant to Clyndamicin. I have Hidradenitis Suppurativa. I feel very down since my multiple courses of antibiotics, and other post operative complications including associated nhs invisible red tape
Are fermented foods a problem for someone with candida yeast issues?
Is that thrush? Smear plain, live yogurt on it.
Have you heard of grapefruit seed oil extract? I took it diluted in water and was very effective for my candida in the gut
I had really really bad gut problems. I am able to buy raw milk so I make yogurt and kefir using the raw milk. I drank large amount and had great improvement in just over a week. I made different kinds of yogurt. You can buy different yogurt starters, some you can ferment at room temperature.
Sure wish you had addressed elective surgeries that are done everyday for people over 40. No doubt that i destroyed my gut after two surgeries back to back. I developed sore spots in my stomach and kept on with my omnivore diet. I was obviously exposed to some very bad gut microbes that created the sore spots. I recently went to Peru where, with my torn up stomach and low immune response due to 6 rounds of chemo after fighting cancer, I contracted giardia. A 7 day round of metronidazole knocked it out. Since recovering, i took Florastor for 5 days while eating loads of kimchi. The belly still had intense pain so I recently started drinking fresh cabbage, celery, green apple, lemon and ginger juice on an empty stomach. I'm at day 3 and can already notice a huge reduction in pain. It's incredible. Please discuss this if possible as this was a multi-faceted situation that i fear many people are silently suffering from
Ijust had proximal humorous surgery last month and was sent home without any antibiotics. Healing upnicely. So far. I have saurkraut,cottage cheese and yogurt in the fridge most of the time.
Excellent topic but I would like to know how do we recovered children microbiota after a dose of antibiotics since I don’t think children would love to eat sauerkraut, drink kéfir or kombucha. This type of foods are sour to their already ruin so sweet taste buds. Or what do other alternatives fermented foods there are to replenish the microbiota in people who don’t like those type of fermented foods. Thanks
I am prescribed Ciprofloxacin for repeated uti ‘s. My bug is klebsiella pneumoniae which is resistant to any other antibiotics with the exception of a penicillin type. I think I also have a problem with penicillin so am never prescribed it.
This podcast has been really helpful in giving me a direction to recovery of my micro biome. Any other suggestions would be greatly appreciated.
It's not easy but klebselia bacteria feeds on starch, so avoiding breads pasta potatoes, rice etc can reduce the amount. It is a hard diet to stick to but it does work.
Wonderful podcast. Thank you for sharing your experiences along with experts we respect! As a health professional I agree totally and it jives with what I observe. Why does it seem like sometimes the more we medically intervene we see more unintended damage we did not foresee? Perhaps drugs are not tested thoroughly enough for reasons of profit or greed? Or perhaps we don’t discern or distinguish between diagnosis and individual variables in humans which can be massive.
Why are you denying the foods, just because you don't learn about this aspect ?
@@Paraclef undoubtedly food is also a huge factor! We were talking about antibiotics here and drugs that disrupt the microbes also.
If the Temple was the priority there would not have any doctors or specialist excepted for surgery.
Everything else is a fraud, like allowing to sell tobacco, alcohol and all the bs for Black Rock and Vanguard to make profit for moloch.@@L.A.6482
Help! What brand of saccharomyces is the best to buy. I am taking cephalexin 500 MG, four times a day for ankle infection. There are too many brands to choose from, but I'm not sure which is best.
Now.
Floraster
Fascinating. Thank you
I have a question
In your situation Jonathan you have the luxury of being able to test your Microbiome very frequently which of course Is probably not an option for most people
Before you got your test results did you have any symptoms at all that would have given you an idea of the devastating effect of the antibiotics on your Microbiome?
Presumably most people wouldn’t know that they had done this amount of damage with the antibiotics
Personally I am completely obsessed with my Microbiome having been on the Zoe app for ages and done the personalized nutrition etc. and in fact, Recently, when my GP wanted me to go on antibiotics he said that he was having the opposite argument most people as I was very very very reluctant and everybody else seems to just be demanding them!
Thank you very much. Christine
I have started to take a 30 spieces probiotic for a month or so every year while eating organic at most opportunitys. The biome is only as good as your diet, if you eat to much sugars (starches) then your biome will be different from those who eat less sugars. Living foods is best, including dairy, a great interview, thank you
This is super interesting. I was one of those kids who took antibiotics every second week growing up (asthma caused by inappropriate immune response to commensal bacteria) and my diet was also pretty poor or, let's say typical, for a 90s kid meaning ultra-processed foods and low fiber. I have had issues with IBS as well as more allergies my whole adult life.
While I would love for us to use antibiotics more conservatively I think the balance can swing too far in the other direction with doctors not prescribing antibiotics when the patient would benefit. This is certainly already the case in the UK and the Netherlands (I have experienced both myself). Maybe the focus should be on better infection diagnostics, alternative therapies like phages (which can be incredibly specific and targeted to individual bacterial species) and monitoring. That way, patients would receive the right treatment for specific infections at the right time. We would reduce use of broad-spectrum antibiotics while making sure people don't just have to put up with infections for longer to avoid antibiotic use.
Thank you for sharing your expertise. What a great opportunity to understand a subject matter that is quite complex.
For fermented foods, I like to make my own sauerkraut and fermented white cabbage. This makes use of the biodiversity that is already present in the cabbage. So you don't get just one species, but maybe even hundreds of different species of bacteria. And likely the more fermented foods [and try eating some raw sourdough] the better - except caution on the ones containing alcohol.
After years of fighting to get my gut health something close to "normal" I then had terrible food poisoning in 2021. Have not been the same since. Will try to incorporate some of these strategies.
Great Talk! Thank you. It would be fantastic if there were also suggested brands in the U.S. for Kafir (unpasteurized, organic, no sugar), Kambucha ( no added sugar), and Kimchi that meet the health benefits discussed. Knowledge is such a gift, but the integration of that knowledge is really where the challenge lies. I get not promoting brands but how about " suggestions." :) Thanks again for the good discussion.
Informative. I just wonder, though, since post op infections according to John Hopkins, "Infections after surgery are caused by germs. The most common of these include the bacteria Staphylococcus, Streptococcus, and Pseudomonas" and one cannot get a culture and sensitivity test once the incision cite is closed, what antibiotic would Dr Will suggest post op? It may depend upon the location and the depth of the incision, if diabetes is present, etc.
spectacular channel about nutrition and the method developed by ZOE to customize diets, based on genetic individualities is phenomenal. Looking forward to arriving in Brazil. Hello Jonhatan and ZOE, come soon I need your help.
How and where can you get your microbiomes tested?
I joined Zoe in March of this year and have great success although I don’t know how my gut microbes are doing. I have to think they have improved as I’m now getting seven hours of sleep and lost 14 pounds. Even more beneficial is the increase in my eGFR numbers.
However, I’m greatly concerned I will undo my success because I have to take four capsules of Amoxicillin every six months prior to dental work due to bilateral knee replacements fifteen years ago. Listening to Jonathan’s story, I fear the worst.
The rules for prophylactic antibiotics before dental work have changed years ago. Please try to get a second opinion. I have mitral valve prolapse and used to do that as well, but they no longer recommend that.
Thank you for this information. I will definitely check into this. I loathe taking medicine so it will be grand eliminating another one and protecting my gut microbiome!
What would you suggest for someone in the same situation, who is not able to eat fermented food at all because of severe histamine intolerance?
I once got staphylococcus. Wounds that grew with 0,5cm every day. The doctor looked very disgusted and wanted to give me antibiotic pills.. I questioned "why giving a pill for the whole body. When it's local wounds". I got a antibiotic cream instead. But I hesitated to use that too.. so I went home and googled what they used in ancient times instead of antibiotics. I came a cross a site that said that the Australians used eucalyptus for staphylococcus. I had an eucalyptus essential oil at home and I did what they say you shouldn't. I took one drop directly at the wound and it dried up and started to heal at once. Now ...one should Never use essential oils if not deluted in other oils. But it for sure helped and was safer than antibiotics. Now once again.. read carefully about essential oils before using them. I would have done it a bit differently today. Staphylococcus love it warm and moist. The essential eucalyptus really dried it up.
I’ve had C diff twice and it nearly killed me. I have Lyme disease and my liver and kidneys would shut down on the antibiotics to treat it. Vsl #3 probiotics saved me. I had to find out about it from a friend because none of the doctors thought to look for an alternative to me dying from the antibiotics that treat Cdiff. I later saved my grandmother from antibiotic associated diarrhea with this and one of her doctors did ask what I used and wrote it down. (She was in a nursing home). I do use s bulardii to treat candida and bad bacteria from time to time but I’m surprised Vsl#3 wasn’t mentioned. All the suffering I went through as well as my grandmother before finding this. I got my dad on this with diarrhea from abx and irritable bowel and he got the pill form at his pharmacy instead of the stronger packets and I noticed it took longer to work. I just took half a pack a day and was better in 7-10 days and much better after few weeks. This was after months of abx and hospitalization and being told I was probably not going to make it.
Can you explain what vsl#3 probiotics is? Thank you
@@petra5647 it’s a proprietary strain of probiotics developed to help treat certain medical conditions. It comes in prescription strength and non prescription. You can order it directly or through many pharmacies. It’s very effective for antibiotic associated diarrhea and cdiff as well as several other conditions. I recommend the packets. The capsules don’t seem to be as strong or effective for certain people. You can start with just half a packet and have more control with the dose.
Seems to cure lyme also , monolaurin
@@petra5647 it’s a special probiotic developed for multiple diseases. It doesn’t colonize but it’s a real life saver. If you or a loved one has gut issues please research it.
Deficid and VSL#3 save my life from
A 8 month battle of cdiff. I still
Use it!!