Aubree Steen, FNTP

As most of y’all may know, we decided to add an infrared sauna to our health arsenal here at the practice. It’s complimentary to our members, as the benefits have impressed us tenfold. With our patients, we utilized infrared sauna to mobilize unwanted toxins (including mycotoxins), improve circulation, boost growth hormones, reduce dementia, and more.

An infrared sauna is different than a traditional sauna. Infrared saunas don’t heat the air surrounding you. They use infrared lamps that warm your body directly. Due to their efficiency, they can operate a lower temperature and achieve better results! The beauty about infrared is that it does more than just make us sweet. It promotes cellular autophagy, improves circulation, and has pretty endless health benefits. They’ve been able to prove that within 30 minutes of sauna bathing (sitting in an infrared sauna), reduces blood pressure and increases vascular compliance. Furthermore, their heart rate was increased to a similar pattern as it would be in a medium-intensity exercise.

JAMA Internal Medicine conducted a study of 2,315 healthy middle-aged Finnish men for 20 years. They used the sauna 4-7 times per week for 20 years. At the end of the study, they reduced their cardiovascular disease mortality by 50% and all-cause mortality by 40% compared to those who utilized the therapy once per week. Incredible, right?

Dr. Jari Laukkanen is a cardiologist and leader in sauna innovative therapies, and eloquently summarized some of the top benefits of sauna use for us:

  • boosts growth hormone up to 200-300% after a workout. working out muscle with strength training followed by sauna use primes IGF1 and BDNF – those growth and brain neurotropic factors.
  • reduces all cause mortality by 40%
  • the stress from heat activates heat shock proteins, which are a signaling pathway. these repair misfolded proteins and prevent aggregation that can lead to damaged DNA, oxidative stress, and Alzheimer’s.
  • releases endorphins/improves mood to make you happy!
  • when used with cold contrast, it improves cardiovascular tone and vitality.
  • used as a direct treatment for mental health, lessening physical pain, improving social interactions, and even relaxing the body.
  • used as a safe and effective treatment for chronic pain
  • reduces Alzheimer’s 65%
  • improves endothelial function

So, who shouldn’t use a sauna?
Contraindications for a sauna including: children, the elderly, people with cardiovascular conditions such as hyper/hypotension, congestive heart failure, impaired coronary circulation), diabetes, Parkinsons’, MS, pregnancy, fever, active infections, surgical metal or silicon implants, pharmaceutical drugs (barbiturates, narcotics, beta blockers, antihistamines, diuretics), alcohol, and recreational drugs. Please consult a healthcare provider before jumping into the sauna.

How should I start to use a sauna?
So, start slow! If you’ve never used a sauna before, it’s best to get acclimated. At our practice, we can start you off at 85 degrees, slowly increasing to a max of 131 degrees. You want to start slow, at 20 minutes or so 4 to 7 times a week. You can increase to 30 or 45 minutes if tolerated over time. For the advance, jump in hot and start to sweat like you’re a professional athlete in the Sahara. It’s addictive.

Should I take any supplements?
Yes, please! You’ll start to mobilize toxins as you’re in the sauna. You’ll want to take 500mg of liposomal glutathione (our favorite and most effective brand is Essential Pro), then finish with a vial of Quicksilver’s Hypertonic. It contains 78 trace minerals that fully replenish any minerals and electrolytes you may have lost during the sauna session.

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Aubree Steen, FNTP

2020. Need I say more? This year was tumultuous, heart wrenching, and chaotic for most. We learned new normals, had to adjust to new routines, sacrificed experiences that bring us joy, separated ourselves from the ones we loved most, and had to grow in unexpected ways. Some lost the people they loved the most. Some are still dealing with horrendous side effects after testing positive with COVID-19. There are two things I want to lovingly address in this post: how to make realistic, attainable goals and how to give yourself grace for not making goals set for last year.

Give yourself grace for not making any goals you set this past New Years Eve.

I want to take a moment to touch on this topic. Last year, most of you probably set goals. You wanted to start a new business, finally travel to a destination you’ve set your heart on, exercise more, shrink a pant size, or grow into the person you’ve wanted to become spiritually. For most, their goals weren’t achievable. For the first time in most of our lifetimes, we lived in a global pandemic. Almost 2 million people died of a virus that was insidious, jobs were lost, and let’s be honest, sanity was lost more than anything. We were put into situations we’ve never had to deal with before, with the majority going into survival mode. I want to make something clear: if you didn’t achieve any goals you set, but just made it out of this year alive (literally), you did fantastic. It’s difficult to see simply surviving a pandemic as a goal and achievement, but it truly is.

Reflect on any achievement you’re proud of, regardless of how small it was.

Did you manage to sleep 8 hours one night amidst the chaos of a new work-from-home schedule? Success in my book. Did you still somehow show love and admiration for the ones closest to you after a job loss? Success. Were you able to hold space for others when they lost someone to COVID? Success. Did you literally survive this year? Success.

It may seem a bit cheesy, but we have to try and reframe our definition of success.

As society, we are always trying to keep up with one another. With the digital revolution constantly showing extreme success of other people, we’re getting a steady stream of discouragement and feeling of defeat. With the pandemic, we became even more dependent on social media and technology. I’m ever-grateful for the ability to communicate and see our loved ones faces within seconds, but it also pushed us deeper into a reliance of our phones. It exposed us to the daily hit of dopamine we get from scrolling, continuing to let us feel empty when we don’t get more. It also had us exposed to the idealized life of others who were more privileged, had more success, and lived a life that is unattainable to most. Seeing this on the daily is a constant sense of deprivation.

Take a breath, say thank you to your body (regardless of what stage of healing you’re in), and try to look back on this year knowing purely surviving is the ultimate success.

Choosing goals for the new year should be attainable, or else you’ll set yourself up for failure before you even try.

We’re so used to setting an outrageous goal for New Years. “Oh, I’m going to lose 30 pounds! Yoga every day! Drastically change my diet!” With these huge steps out of our comfort zone, most of us end up losing steam and giving up within the first months of the year. The important thing to know is that you’re not failing, your goal is just unattainable.

Unattainability is subjective and relative to each person. It’s so different from person to person, that we even spend months, sometimes years, learning how to help patients develop and attain their goals specific to them because everyone is wired differently. This is a blessing, and nothing to be shamed of. Some people can jump all in, but some people take years. I’m one of those people, and 90% of us at the practice work in that way, as well. I’m mentioning this, because there’s this feeling of doom, failure, and unworthiness when we don’t achieve a goal that we’ve unexpectedly set too high for ourselves. Dr. Caroline Leaf, a neuroscientist, explains that the brain takes roughly 90 days to create neural pathways that create a habit. 90 days. My advice, take that and run with it. Give yourself 90 days to make one change at a time. Is it slow? Sure. Does it work? Absolutely.

Here’s my advice on how to set goals for the New Year:

  • Choose a goal that isn’t reinforcing diet culture, rather is focused on a more healthful body, mind, and soul.
  • Focus on improving your mindset around healing/improving your health:
  • I will make healthier choices for my body
  • I will give myself time to heal without judgement
  • I will practice self care
  • I will focus on things that bring me joy
  • I will move my body to feel vibrant
  • Develop Boundaries. Learn to say no and when to push yourself. Separate yourself from toxic people.
  • Develop small health goals that will build on top of each other. Give yourself 90 days for each small goal:
  • I will make my plate 75% veggies
  • I will try to exercise 2 times per week – 15 minutes to start (work your way up later)
  • I will try and meditation 1 time per week (start with 2 minutes)
  • I will cook one meal at home per week

When you start with small attainable goals, you can achieve them and feel more successful. Once you’ve hit that exercise twice a week, aim for three! Don’t move onto the next goal or increase your goal until you’re successful with the first. Start small so you can overachieve, instead of starting big and not meeting your goal.

We’re always here to cheer you on. With love to each and every one of you,

Aubree Steen, FNTP

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(Part 4 of 4)

We decided to sit down and have a chat with our practice owner and MD, Dr. Philip Oubre, and functional nutritionist, Aubree Steen.

We’re diving into another 4 part series. We’re diving into part 4 here, following with:

1. Our gut and it’s role in the immune system
2. Factors that suppress your immune system
3. How to support your immune system
4. The differences between COVID-19, the flu, and a common cold (this video)

Feel free to watch the video, or read our transcript below.

Dr. Philip Oubre (00:00):
Hey, guys. This is our fourth video out of four, and we’re talking about the immune system. We’ve talked about how the gut affects your immune system. We’ve talked about how you are suppressing your immune system, and we talked about ways to boost the immune system. And then last but not least in this post-COVID world or peri-COVID world, we want to talk about what are the differences between COVID and maybe some of the other viruses, and specifically immune system and COVID.

Dr. Philip Oubre (00:24):
One of the first questions that people always ask is, “Do I have COVID?” The unfortunate part about COVID is that COVID has a lot of overlap symptoms with every other virus on the face of this planet. It can cause diarrhea, it can cause shortness of breath, it can cause coughing, runny nose, fevers, chills, anything and everything. You can’t really rely on those symptoms. The number one symptom that you can rely on is that if you lose smell or taste, it is pretty much proven that you have COVID. The big fear of course is if you have COVID, are you going to be that person that gets sicker? As we talked about in our last video, we’ve got our COVID action plan. If you want to download the COVID action plan, go to our website, check the link in the description, go to our COVID website, sign up on the form, and it will send you our COVID action plan as far as what supplements to take, what food to eat and follow.

Aubree Steen, FNTP (01:13):

Dr. Philip Oubre (01:14):
The number one thing in this COVID world is now that testing is readily available, almost everyone should have access to testing at some point, is that if you’re worried you have COVID, then you got to go get the test. There’s multiple different tests that you can do. The rapid test, of course, the best one because you find out your answer in 15 minutes.

Aubree Steen, FNTP (01:33):
It’s so easy.

Dr. Philip Oubre (01:34):
Yes. It’s not pleasant. It is an in-the-nose swab, but the testing methods are pretty good. In general, almost all the tests that I’ve seen are at least 80% sensitive, which means there’s still a 20% chance that you could have it and miss it, but 80% is pretty darn good.

Aubree Steen, FNTP (01:49):
At what point do you want them to test?

Dr. Philip Oubre (01:54):
You really don’t want to test the first few hours you get something because gosh, maybe you ate a bad food or woke up on the wrong side of the bed or something. In general, I’d give it a good 12 to 24 hours before you went and get tested because the other thing is you need to have enough viral particles inside of your sinuses in order for you to flip the test positive.

Aubree Steen, FNTP (02:12):
They need to have symptoms for probably at least 12 to 24 hours.

Dr. Philip Oubre (02:15):
That’s what I would aim for just to make sure it’s not just some sort of allergic reaction to ragweed or mold or something.

Aubree Steen, FNTP (02:21):
We’ve seen that.

Dr. Philip Oubre (02:22):
Yeah, we have. We’ve seen it a lot.

Aubree Steen, FNTP (02:22):
People who thought that they had COVID, and it was just bad allergies outside.

Dr. Philip Oubre (02:27):
Right. Because once again, there’s a lot of overlap. Even if you are negative, if you continue to get sicker or lose taste or smell, then you need to be tested. Of course, even if you don’t get tested in those first 12 to 24 hours, it’s important to at least quarantine yourself if you’re ever concerned. We follow this rule in our office ourselves is if anyone is sick, you just stay home until you figure out whether it is COVID or not even though we all do wear masks. We’re in kind of a quarantine circle, so we don’t wear our masks now. There’s not really many specific symptoms. Just because you have shortness of breath or something, it doesn’t mean it’s COVID. In fact, the flu virus loves to cause shortness of breath as well.

Aubree Steen, FNTP (03:05):
Yeah. What’s the difference that you mainly see between having the flu and COVID? The other day, I didn’t know. I was exposed to family, and we were also [inaudible 00:03:16] quarantine, but you never know, we still do a good job. I woke up and I had a little bit of asthmatic breathing, but I was having mucus when I coughed, a little TMI, but I also had a runny nose and I was sneezing a lot. I was confused of is this going towards COVID, is this a cold or a flu.

Dr. Philip Oubre (03:32):
Yeah. COVID is kind of funny. The big differentiation, because you can’t really tell, shortness of breath is shortness of breath too, the sneezing doesn’t really fit COVID though. You can have sneezing of course because it does anything, but really the shortness of breath with COVID is really different. It’s almost always associated with an oxygen drop, and usually in the flu world and the asthma world, you can deal with someone that’s having a terrible asthma flare and rarely does their oxygen drop. COVID has this weird phenomenon that it loves to drop that oxygen saturation. If you have one of those oxygen meters, if you don’t, there’s tons on Amazon, everyone should have one at this point because if the oxygen level is dropping, if you’re below 95, then your risk of it being potentially COVID is higher.

Dr. Philip Oubre (04:15):
Of course the test, the COVID test is ultimately the way to find out. If your oxygen level is high and you’re short of breath, it’s more likely something allergic going on. It’s more likely something flu-based in your lungs because the flu loves to trigger asthmatic patients, but so does mold in the air and ragweed. Allergies love to do the same thing, increase mucus.

Aubree Steen, FNTP (04:36):
Right. Think about your health state. I was exposed in a moldy home, and then had an asthmatic breathing with those symptoms too. You have to think about what is your current health state, what are your triggers, were you exposed to an environment that you know could perpetuate those symptoms and be rational about it.

Dr. Philip Oubre (04:53):
Nebulizers or the albuterol inhalers, any kind of inhaler, that can be another thing that can help you differentiate between COVID allergies and flu, or really just COVID and all the others basically, because COVID doesn’t really respond to nebulizers. I know they do them in the hospitals frequently when people are sick because you’re doing everything you can. In general, if you do a nebulizer and feel better, it’s probably not related to COVID. The main reason why is because COVID really infects around the lungs, the tissue of the lungs. You have to realize that air comes into the lungs and then you have to absorb that air, and then you breathe out the toxic byproducts of the air from your body.

Dr. Philip Oubre (05:31):
COVID actually infects inside the lungs where that air diffuses into the lungs. It doesn’t affect air coming into the lungs. Almost every other condition that you will deal with, asthma and allergies and flu, whatnot, those are all restrictive, or obstructive disease is what we call them. What that means is you’re actually struggling to get air out. Most people think of it as you’re struggling to get air in, but it’s the same thing. If you can’t get air out, you can’t get air in, otherwise you just explode.

Aubree Steen, FNTP (06:01):

Dr. Philip Oubre (06:02):
One of the two. Or implode. However you want to look at it. Basically, in asthma, in allergies and all the other things non-COVID, you will struggle with getting air in. You will have a bronchitis type cough. You’ll have a mucus-like cough. You will be short of breath, but you’re struggling to get air out, struggling to get air in, whereas COVID, your lungs are just shrinking because there’s fluid inside the lungs, inside the tissue, squeezing the spaces down. You’re still able to get the air in. It’s just not getting down to the microscopic level where you can’t really feel it. That’s the big difference and that’s the danger zone.

Dr. Philip Oubre (06:35):
By the time you’ve entered that level of lung swelling, you’ve already been encountering the cytokine storm, and I don’t want to say it’s too late. Of course, start whatever anti-inflammatory supplements you can and anti-inflammatory foods to try to blunt that response, but the whole point of the COVID action plan and eating this way and taking care of your body is because you want to prevent that cytokine storm from ever happening because it’s a feed-forward cycle. It’s a self-perpetuating cycle. As the cytokines get released, they activate more immune cells.

Dr. Philip Oubre (07:04):
It’s like a bar fight that you see in a movie. One person throws a punch, and then all of a sudden everyone’s fighting. You’re like, “Why is that dude even participating? He was just sitting at the bar chilling. He’s not part of the gang.” The whole bar is up in arms, even the bartender jumps in and starts fighting. That’s the same idea with the cytokine storm is it’s activating all its buddies and it’s a feed-forward cycle that just ends in death, unfortunately. Anything you can do to blunt and control and prevent confusion, we talked a lot about immune confusion in our last videos, so anything you can do to slow down immune confusion settles down the cytokine storm.

Aubree Steen, FNTP (07:37):

Dr. Philip Oubre (07:38):
There’s a couple tests that I want to differentiate real quick. I’ve done a whole separate video on COVID testing. Look up that video if you want to know more. There’s two different rapid tests and it’s important to understand the difference. The best rapid test is the rapid swab. We have the rapid swab. There’s other places that have the rapid swab. A lot of times it’s not covered by insurance. The send-out swab to Quest or CPL, that’s usually covered by insurance, but it can take days. We’ve had to wait up to two weeks for tests before, especially if there’s a spike in your area. The rapid test is always 15 to 20 minutes.

Dr. Philip Oubre (08:08):
There’s a rapid blood test. The rapid blood test is good, and we have the rapid blood test too. It’s cheaper, but it only determines after you’ve had symptoms for a minimum of three days, but even still, you can have a false negative even at three days. The important test you’re looking for is the rapid swab, the one in the nose. If you’ve been sick for at least three days, then you can do the rapid blood test, and that will tell you whether you have antibodies to COVID or not. Both are effective, but the swab is considered better. And then of course, both of those have send-out versions to Quest and CPL that are usually covered by insurance.

Aubree Steen, FNTP (08:41):
I like the swabs because I feel like you can also buy them and do them yourself if you have to necessarily. Obviously, a practitioner should most likely do it, but if you’re about to go home with your family and you don’t know if they’ve actually been out and they’re feeling a little under weather, take a few of those swabs with you and make everyone just test real quick. Maybe do it for them. I don’t know. I did it myself, but I also work in a medical practice so I know how far to go, but sometimes it’s nice to do it preventatively being like, “Are we all okay right now? Is this a safe measure to be together?” Especially if the holidays are coming up and you’re really nervous and you only see your mom once a year and you really want to see them, or if you’re with your partner and you guys have special plans. I think sometimes that’s a good idea, too. It’s not the best way of doing it, but I think if you’re wanting that extra measure, you could do that too.

Dr. Philip Oubre (09:26):
Yeah. It’s kind of looked at like, “You got COVID,” like you did something wrong. It’s spread throughout the community. You never know who’s going to have it, if you’re going to be the next one to get it. We all have to do our part in slowing the spread ultimately. There’s still no vaccine. I’m going to do a video on flu vaccine or whether you should get that or not because that’s a controversial topic that I at least want to address. I normally stay away from the vaccine thing. We’ll see how much flack I get for that.

Aubree Steen, FNTP (09:52):
I know. Yeah.

Dr. Philip Oubre (09:53):
Could be fun.

Aubree Steen, FNTP (09:54):
I guess the main thing is that if you have a typical cold and flu, you’re thinking of that bronchial cough, I guess.

Dr. Philip Oubre (10:01):
That barking. We’ve all done it. You know it. It’s ugly.

Aubree Steen, FNTP (10:06):
It is. The mucus, the sneezing, more of the runny nose, things like that.

Dr. Philip Oubre (10:11):

Aubree Steen, FNTP (10:12):
Right. You can have some of those, but it’s going to be that constantly low oxygen, that constant struggle to breathe, and almost just feeling like you got hit by a truck.

Dr. Philip Oubre (10:22):
And the loss of smell and taste. That is unique. It doesn’t happen to everyone, of course, but when it does happen, it’s definitive.

Aubree Steen, FNTP (10:29):
Right. You have to think of are you fully blocked and you can’t smell, like with the cold, then obviously if your sinuses are blocked and you can’t even take a breath because you’re running your nose so much, you’re not going to be able to smell as good. Or are your sinuses a little bit clear and you’re still like, “I can have a good breath in, but I can’t smell right now.” I think that’s a good differentiation too.

Dr. Philip Oubre (10:50):
I guess one last plug is I have designed an infusion protocol for COVID specifically. The idea is a lot of these things we’ve been talking about as far as the vitamin and supplement world, I’ve designed an infusion protocol that’s designed to blunt that cytokine storm so it doesn’t happen. But once again, just like I talked about earlier, if you wait until you’re in the cytokine storm, it’s not necessarily a too late thing, but it’s concerning that you might’ve waited too long. It may sometimes feel like a waste like, “I did those COVID infusions and I didn’t really need them,” but you don’t know. If you prevent a heart attack, you never know that you prevented that heart attack. If you prevent going to the hospital, you don’t know that. I don’t want people to be overly aggressive, but I also don’t want you to be overly optimistic, and then end up in the hospital because it’s a bad situation once you’re in the hospital. It’s a dangerous place, and the mortality rate is high for going in the hospital.

Aubree Steen, FNTP (11:36):
Right. I think that if you’re going to sit there and be like, “I’ve spent this,” and it’s not an expensive infusion protocol. You think you’re going to spend more time in the hospital away from work.

Dr. Philip Oubre (11:47):
One day in the hospital.

Aubree Steen, FNTP (11:48):
One day in the hospital. I loved it. I’ve done it. Patients have done it. The second we go, “Oh, my gosh. I was exposed to someone with COVID or I’m feeling a little under the weather,” hitting that line of is this COVID or not, do it because regardless, you’re going to boost your immune system, you’re going to help with detoxification, you’re going to get more vitamins and minerals to your body that you need. There’s no negative of doing the infusions. It may just be a nice little health reset too. Err on the side of caution, come and get them if you need to. We don’t like to push, but we’d rather say, “Hey, come get an infusion or end up in the hospital.” We would rather be safe than sorry.

Dr. Philip Oubre (12:21):
I agree. With that blog, we’ll end this video. Like our channel, subscribe to it, hit the little bell so that you get alerts, and leave a comment, ask us a question. We’ll try to answer it.

Aubree Steen, FNTP (12:31):
Okay. Bye, guys.

Dr. Philip Oubre (12:32):

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(Part 3 of 4)

We decided to sit down and have a chat with our practice owner and MD, Dr. Philip Oubre, and functional nutritionist, Aubree Steen.

We’re diving into another 4 part series. We’re diving into part 3 here, following with:

1. Our gut and it’s role in the immune system
2. Factors that suppress your immune system (this video)
3. How to support your immune system (this video)
4. The differences between COVID-19, the flu, and a common cold

Feel free to watch the video, or read our transcript below.

Dr. Philip Oubre (00:00):
Hey, guys.

Aubree Steen, FNTP (00:01):
Hi, guys.

Dr. Philip Oubre (00:01):
This is our third video of four in our immune system discussion. And so in the last couple videos, we’ve been discussing things that lower the immune system or suppress immune system and how the gut is involved in the immune system. So in this video, we’re going to talk about things that boost the immune system.

Dr. Philip Oubre (00:16):
And there’s lots of videos and people out there saying, “Oh, take all these supplements,” and we can certainly do the same. There’s a whole list of things you can do to boost the immune system. But what you want to be is you want to be precise and you want to do the things that support you the most in boosting your immune system because, ultimately, I’m a big believer that you can only swallow so many pills, you should only spend so much money on supplements. And if you try to take everything that everyone was selling you, you wouldn’t even need to eat any food, and that’s not ideal either.

Dr. Philip Oubre (00:43):
The most important thing you can do to boost your immune system, as we discussed before in the other videos, is you got to eat the right foods, you have to remove the inflammatory foods, and you have to heal your gut. In this video, we don’t have the time to go through the whole, how do you heal your gut? I’ve put together a course. We’ve put together a course on healing your gut. So go to our courses on our website, and you can look at our Gut Restoration Course. You can buy the course and learn how to reset your gut on your own. It’s the exact same protocols we treat our patients with in the office. It’s tell-all on the course and exactly how to do it and how to work with your doctor on getting those things. Almost everything is supplement, but there’s a few prescriptions in there.

Dr. Philip Oubre (01:22):
Number one thing is you’ve got to heal your gut. You’ve got to be eating the right foods. You’ve got to be taking care of your body. Lifestyle, as far as the last video, we talked about lifestyle and how to appropriately address those lifestyle issues. But we also want to talk about some of the supplements that we can use to boost the immune system.

Dr. Philip Oubre (01:37):
So one of the things we have done is we’ve actually put together a COVID Action Plan. Now, COVID is not the only issue going on out there that you want an immune system for, but of course, it’s the hot topic right now. We’ll put our link in the description, but if you go to our COVID website, you can actually fill out the form. And when you fill out the form, it’ll send you our nutrition tips, a lung tracker, our COVID Action Plan, several PDFs on kind of what to do.

Dr. Philip Oubre (02:05):
And the reason why the COVID Action Plan, we put it together, is because we were all overwhelmed of what we were recommending to our patients. Right?

Aubree Steen, FNTP (02:11):

Dr. Philip Oubre (02:11):
We were all like, “Oh, you take this,” and then they’d see the nutritionist, they said take this. And so they end up with a list of 10 supplements just for their immune system, and that’s just overkill.

Dr. Philip Oubre (02:19):
So the way we designed the COVID Action Plan is a green, yellow, red. Is, hey, if you just want to be mindful and healthy, take the green supplements as a kind of a preventative measure or an immune-boosting measure. But then the yellow zone is if you get sick, COVID or not, you can take the green supplements and they add on the yellow supplements. And of course, it gives you food recommendations and things to think about also. And then the red is, “Oh, crap, I’m really sick. I should be taking these supplements and going to see my doctor,” basically.

Aubree Steen, FNTP (02:47):
And we’ve seen a lot of really good success with this COVID Action Plan. I mean, I have a lot of college patients who got sick, and we ended up sending them the action plan. And what we would do in the office, it was great. We sent the supplements in there. Y’all can get these supplements from our Fullscript. So if you feel like, “Oh, my gosh, I’m getting sick, or I have COVID,” go through that action plan. And everyone who did it felt better. I feel like their symptoms were reduced, and then the severity of it was reduced.

Dr. Philip Oubre (03:11):
Mm-hmm (affirmative). If you don’t have access to these high-quality supplements, as Aubree just mentioned, go to our website, hit the Store button, and it’ll take you to the store, so you can buy these professional-grade supplements, because quality matters. If you’re going to spend any money, buy the one that actually has the listed ingredient, doesn’t have a bunch of fillers, or just don’t take them at all.

Aubree Steen, FNTP (03:29):
Right. And that being said, do not purchase from Amazon. And I’ll say it tenfold and every single time I’m talking to y’all. They have put out a statement, too, that they have no kind of authority or kind of control over those supplements.

Aubree Steen, FNTP (03:42):
We have to jump through hoops to get a practitioner account to be able to sell those things. So you have to think that and take that into consideration. If that we have to go through a process just to sell them and buy them ourself, you should not be able to purchase them on your own. They’re very high quality, they’re very potent, and they’ve been studied and proven for their efficacy.

Aubree Steen, FNTP (03:59):
So supplement brand and quality matters. And we’ve done a lot of research and clinical experience in the practice of what supplements actually work. So what we recommend is what we take, what we give to our family, what we give to our friends, and what we suggest over anything.

Dr. Philip Oubre (04:13):
And we get directly from the manufacturer. Because the issue on Amazon is the statement they put out is saying that there’s copycats out there and there’s no way to regulate them.

Aubree Steen, FNTP (04:20):
There aren’t, so …

Dr. Philip Oubre (04:22):
The bottle can look the same, but it’s been manufactured to look the same, and the ingredients are not the same. What specific supplements, other than fixing your gut first, eating the right foods, what supplements do you want to go over and kind of tell them that are … Or actually, before we listed the supplements, we want to talk about the elderberry controversy.

Aubree Steen, FNTP (04:43):
Yes, we do.

Dr. Philip Oubre (04:43):
The big deal with elderberry in the very early stages of COVID, they were saying, “Oh, elderberry is bad.” We did, and by we, I think Aubree did the research on elderberry and why is it considered bad for COVID and what’s the real deal.

Dr. Philip Oubre (04:56):
And so ultimately, the real deal is that we thought it might be bad, elderberry for COVID, but ultimately, it turns out no. Elderberry’s wonderful as far as an anti-inflammatory, antioxidant, immune … They were worried that the immune-boosting part of elderberry would stimulate the cytokine storm. But kind of, as we talked about in the other videos, it’s more of an immune confusion that happens. And so that cytokine storm is the immune system confused, going out of control. So anything that helps restore the immune system, even boost the immune system, doesn’t cause cytokine storm.

Aubree Steen, FNTP (05:28):
No, it’s an immune modulator. The most it’s ever been shown to even increase cytokines or do that is one and a half to three times maybe maximum, and in a cytokine storm it’s 6,000 times. So three times to 6,000 times is a drastically different number. So I like the immune modulating effect, that it knows when to boost it a little bit, and it knows when it shouldn’t be as hyperactive, which is one of my favorite things about elderberry.

Aubree Steen, FNTP (05:53):
So you can take it in a syrup, drizzle it on certain foods, have it a tea. Just do it preventatively, and it will really help you.

Dr. Philip Oubre (06:00):
Last year … Well, we didn’t have COVID last year, but last year, elderberry, it was really hard to find during the flu season. So might want to stock up now before the flu season hits because it’s going to be hard to find probably again.

Aubree Steen, FNTP (06:12):
Mm-hmm (affirmative). Yeah.

Dr. Philip Oubre (06:15):

Aubree Steen, FNTP (06:16):
Viracid has it, right?

Dr. Philip Oubre (06:16):
Yeah, Viracid has a little bit of elderberry, too. Viracid’s a common supplement we use. It’s made by Ortho Molecular, and it’s got a combination of different stuff in there. We really like combination supplements instead of taking 10 bottles of individual ingredients. That’s why we like Viracid and we like Immune Active from Metagenics.

Aubree Steen, FNTP (06:31):
Immune Active, which is great.

Dr. Philip Oubre (06:32):
So instead of taking a zinc pill and a quercetin pill and an NAC pill, Immune Active is great because it’s sprinkled a lot of that in there, and you get kind of multiple bangs for one pill.

Aubree Steen, FNTP (06:42):
And you don’t need as much. So instead of taking [inaudible 00:06:44] four different pill bottles with a high amount, when you have a less amount of those separate ingredients, but together they do have a synergistic quality and they amplify the effects of one another. And they help the efficacy of one another as well. So take two pills, which is Immune Active, two capsules a day, instead of probably like the five or 10 pills.

Dr. Philip Oubre (07:02):
Once again, go to the COVID website, and we’ll put the link, go to the COVID website, fill out the form, you’ll get our action plan, and it’ll list exactly what supplements to get. And it’ll make that fairly easy.

Dr. Philip Oubre (07:12):
But there’s plenty other things out there that are immune boosting that you might feel works better for you or you would rather take that than one of the ones we recommended. So Aubree put together a sheet that you’ll get by signing up on the website. So Aubree, what kind of supplements do you want to go over? What do you want to go over for immune boosting?

Aubree Steen, FNTP (07:30):
Yeah. I’ll kind of slowly or lightly touch base on these foods because you will have this PDF. One of my favorite things is cordycep mushrooms. They’re wonderful for immunity regardless of what you heard. If you are super moldy, I’m going to have one disclaimer, tell your practitioner and see if cordyceps are going to be okay for you. Sometimes if you have an excess of mold overgrowth, feeding actual mold in your body, as silly as it may seem, sometimes will kind of increase or affect that mold growth. So my only disclaimer on that one.

Dr. Philip Oubre (07:56):
Mold is a fungus, mushrooms are a fungus.

Aubree Steen, FNTP (07:58):
Right. You don’t want to keep feeding what you’re trying to kill. They improve mitochondrial function and the energy production in the body, which is great. And they actually shown that VO2 max testing and fatigue resistance has been improved in the body as well. So a lot of-

Dr. Philip Oubre (08:12):

Aubree Steen, FNTP (08:12):
Yeah. Which is pretty cool about cordyceps. You can find it sometimes in a little powder. Om, like om, Mushroom has a little powder that you can sprinkle in your coffee if you want to or your smoothie. Super easy.

Dr. Philip Oubre (08:23):
If you want to ruin your coffee.

Aubree Steen, FNTP (08:24):
Yeah, okay. They also help with cortisol. So remember the stress that we were talking about in the fight or flight, these help lower cortisol and balance them. So one of my favorites.

Aubree Steen, FNTP (08:33):
Ashwagandha and schizandra.

Dr. Philip Oubre (08:34):
I love ashwagandha.

Aubree Steen, FNTP (08:36):
I do, too. Super supportive for the adrenals, which those stress hormones that we talked about again.

Dr. Philip Oubre (08:41):
Big component of the immune system is controlling your stress, controlling your adrenals.

Aubree Steen, FNTP (08:46):
Exactly. Exactly. And of course, vitamin C.

Dr. Philip Oubre (08:48):
Now, wait. Just to caveat that, you can’t take ashwagandha and then go to a job you hate and exercise two months. That’s not how it works. You can’t supplement your way out of a bad lifestyle.

Aubree Steen, FNTP (08:58):
Right. And that’s where you need to take into consideration, try maybe box breathing those mindful moments. Mindfulness is anything that is going to be removing any of those continuous thoughts and focusing on one thing. For instance, gardening. If you’re only focusing on that one task and eliminating everything else, that’s mindfulness, that’s a stress reducer. So find things that work for you in that way.

Dr. Philip Oubre (09:19):
I’m not very good at gardening. It’s kind of a stressor to me.

Aubree Steen, FNTP (09:21):
You have good food though.

Dr. Philip Oubre (09:23):
I’m trying.

Aubree Steen, FNTP (09:23):
It’s okay. Good okra. Okay. Next one is vitamin C. One thing I do want to say is that they’ve been trying to prove … well, they have proven that vitamin C in a food form is tenfold more or 10 times more actual … What am I trying to say?

Dr. Philip Oubre (09:39):

Aubree Steen, FNTP (09:39):
Powerful than taking a supplement by itself.

Dr. Philip Oubre (09:42):
Which makes sense.

Aubree Steen, FNTP (09:43):
There’s one, I can’t remember what the title is called. I have to find it. But one of my favorite books of all time is that they’ve tried to prove these isolates from food, right? So taking vitamin C out of an orange. They try to prove, does this actually work, or why is it absorbed in the food better? And it’s this synergistic quality, this magical quality of the food itself that we literally can’t quantify. They’ve tried and they’ve stopped after 10,000 reactions, and it was different every single time. Mind-blowing to me.

Dr. Philip Oubre (10:07):
So nature packages it better than humans.

Aubree Steen, FNTP (10:10):
Exactly. That’s a good way to say it. Thank you. Thank you.

Aubree Steen, FNTP (10:12):
But one of my favorite things is apples, actually, has 200% more vitamin C absorbed sometimes than a vitamin C supplement itself-

Dr. Philip Oubre (10:20):

Aubree Steen, FNTP (10:20):
… which is insane. Yeah. 200% more absorption. Of course, get organic and local if you can because, remember, the farther away from the source, the more denatured it is. A few foods in here, right? Apples, oranges, bell peppers, tomatoes, mustard greens. All of these, if you eat-

Dr. Philip Oubre (10:37):
Nasty. Mustard greens?

Aubree Steen, FNTP (10:38):
I know. I saute them a little bit, put a little bacon in there. Those are really powerful.

Dr. Philip Oubre (10:42):
Bacon makes everything better.

Aubree Steen, FNTP (10:43):
I know. Pasture-raised organic bacon.

Aubree Steen, FNTP (10:46):
Foods high in zinc. I love zinc, so instead of kind of taking a supplement, think about this. It helps with the skin and the mucosal membranes in there. It’s a powerful antioxidant. You can find them in sprouted pumpkin seeds. They have an insane amount of zinc.

Dr. Philip Oubre (11:00):

Aubree Steen, FNTP (11:01):
Insane amount. Like almost your daily value in two servings. It’s wild. And they’re delicious. One of my favorite brands is Go Raw. So get those. Brazil nuts-

Dr. Philip Oubre (11:09):
Okay. Can people sprout them themselves, I guess?

Aubree Steen, FNTP (11:12):
You can, and there’s whole techniques on soaking and sprouting. So honestly, if you Google how to sprout or soak a pumpkin seed or a nut or seed, it’s really easy to do.

Dr. Philip Oubre (11:20):

Aubree Steen, FNTP (11:20):
Brazil nuts are huge, and they also have selenium, which is really good for boosting the immune system.

Dr. Philip Oubre (11:25):
Tastes nasty, but …

Aubree Steen, FNTP (11:26):
Yeah. And then a few other things in here, like grass-fed and pastured meats. B vitamins, right? Very important for cellular function, energy metabolism, supporting the immune system. Leafy greens, nuts, wild and sustainable fish, organic pasture-raised eggs. I put foods in here for y’all.

Aubree Steen, FNTP (11:44):
Quercetin is one of my favorites. It’s really important in the COVID world. It’s a beautiful anti-inflammatory, especially if you have histamine reactions to foods or allergies, whatever it may be. It’s wonderful. So it actually has been proven to quench the cytokine storm. So if you can be proactive and go ahead and feed your body those foods that are high in quercetin, you’ll be awesome. You’ll be set.

Dr. Philip Oubre (12:06):
Read the labels on the supplements in the COVID Action Plan because is quercitin, zinc, some of these are already in the Immune Active. You don’t need to buy them separately. And the other thing we like about some of the things in Immune Active and quercetin and stuff is that these agents also act as secondary detox agents.

Aubree Steen, FNTP (12:20):
Yeah, they do.

Dr. Philip Oubre (12:20):
And so even if you don’t need the immune boosting, so you take these supplements for six months, you’re like, “[inaudible 00:12:24] I didn’t even get COVID, I didn’t even get sick,” then maybe it worked. Or B, you didn’t waste it because it was also helping on the detox [inaudible 00:12:30].

Aubree Steen, FNTP (12:30):
Exactly. Exactly. And some of my favorite foods, matcha tea has a high amount of quercitin in there. Red onions, [brocky 00:12:38] … Brocky.

Dr. Philip Oubre (12:37):

Aubree Steen, FNTP (12:37):

Dr. Philip Oubre (12:37):
That’s like a baby broccoli.

Aubree Steen, FNTP (12:41):
Leafy green vegetables. They’re wonderful. Yeah. And just a few other things I’ll give you on this food list. Ginger is beautiful. It’s anti-inflammatory. And manuka honey. Get manuka honey from New Zealand if you can. It has the highest amount of antioxidants.

Dr. Philip Oubre (12:55):
It’s expensive.

Aubree Steen, FNTP (12:55):
It is very expensive, but it’s worth it. You just need a tiny bit in your coffee or your tea.

Dr. Philip Oubre (12:58):
A little dab’ll do you.

Aubree Steen, FNTP (12:59):
Yeah, just a little dab, that’s it. Garlic, lemon, a lot of these things, bone broth, you can make healing soups and teas from this. I made an immune soup, and it has most of these ingredients in here. And you think about it, you just need a little bit. A little bit goes a long way. Maybe just like an inch of turmeric, an inch of ginger in that super tea. And it has that synergistic effect, so a little does go a long way.

Dr. Philip Oubre (13:22):
I guess what we’re trying to preach is don’t always rely on supplements and buying the latest, greatest. Remember that food has way more power than any supplement. So focus on your food. I’d much rather you eat food. You got to eat food anyway. But the supplements are an extra expense, so if you focus your expenses on food, you’ll get way more bang for your buck than any supplement.

Aubree Steen, FNTP (13:39):
Right. And the most important thing is that we’ve put some specific foods on here, but avoid the inflammatory foods, but eat whole, real foods. Whole apples in its product as opposed to just constantly buying apple chips. Making fresh salads. Cooking them. You do want a balance of raw and cooked vegetables. They do let out different phytochemicals, different antioxidants, different compounds that will boost your immune system. So just think about that. Make it 75% of your diet as these whole and denatured foods. And just be … I don’t know. Be mindful about what you’re actually eating.

Dr. Philip Oubre (14:11):
Yeah. You put garbage in, you get garbage out.

Aubree Steen, FNTP (14:12):
You are garbage. I’m just kidding.

Dr. Philip Oubre (14:14):
Oh, wow, name-calling. And with that, we’re going to end this video. Like our channel. Subscribe to our channel.

Aubree Steen, FNTP (14:22):
The little bell.

Dr. Philip Oubre (14:22):
Hit the bell to a get alerts on our next videos. And we’ll see you next time.

Aubree Steen, FNTP (14:25):
Okay. Bye, guys.

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Aubree Steen, FNTP

CBD oil has been extremely popular in the health world recently, but there have been some deceitful oils flooding the market. There are a ton of CBD oil products out there, but you need to be careful in what you purchase. I’m here to help guide you through this world, show you what to purchase, key words to look for, and our favorite brands we carry in office. Please understand none of this is medical advice, and you must consult your provider if you are wanting to use this medicinally. You are always welcome to purchase our favorite brands from our clinic.

So, what does CBD oil do, and what does the ECS (EndoCannabinoid System) do?

The ECS plays a critical role in maintaining homeostasis. The reason why CBD and all products aimed for supporting a lot of functions in the body is due to the fact that the ECS has influence over a multitude of processes in our bodies. The ECS helps in regulating:

  • Anxiety
  • Appetite/hunger
  • Depression
  • Digestion
  • Immune function
  • Memory
  • Mood
  • Motor control
  • Pain
  • Pleasure and Reward
  • Reproduction and Fertility
  • Sleep
  • Temperature Regulation

Dysregulation of the ECS:

These receptors are present on nearly every organ and every organ system. You can hit multiple targets by using cannabinoids by manipulating the ECS through these phytocannabinoids. This is showing dysregulation of endocannabinoids and CB2 receptors:

  • Liver 
    • Hepatitis, fibrosis, steatosis
  • Cardiovascular System
    • Myocardial infarction, atherosclerosis, heart failure, restenosis, stroke, shock
  • Central Nervous System
    • Parkinson’s disease, Huntington’s disease, Alzheimer’s disease, amyotrophic lateral sclerosis, multiple sclerosis, traumatic brain injury, schizophrenia, depression, anxiety
  • Skin
    • Allergic dermatitis
  • Respiratory Tract
    • Allergic asthma
  • Immune System
    • Autoimmune diseases, organ transplantation
  • Reproductive System
    • Reproductive dysfunctions, endometritis 
  • Tumors
    • Various tumors (immune-derived skin, uterine, etc.)
  • Eye
    • Uveitis
  • Bone
    • Osteoporosis 
  • Adipose Tissue and Skeletal Muscle
  • Pancreas
    • Insulin resistance, obesity
  • Pancreas
    • Pancreatitis
  • Kidneys
    • Nephropathy
  • Gut
    • Inflammatory Bowel Disease

Cannabis: Hemp vs Marijuana

There’s a huge misleading rumor that hemp oil and CBD oil are marijuana. Both are types of cannabis – they’re separate legal definitions. It’s important to understand the difference, as marketing teams will use misleading phrases to persuade you or deviate you from purchasing a certain product.

Marijuana – in social injustice history, this was most widely used. Hemp and Marijuana are under the Cannabis umbrella. They are not interchangeable.

Under the Cannabis umbrella, Hemp has .3% Delta-9 THC or less by weight when dried; Anything about that level of THC is considered Marijuana. They’re both cannabis plants.

Hemp Derived – low level of THC, and not intoxicating, is federally legal in the U.S.

Marijuana or higher THC is available in select states, not federally legal.

Full-Spectrum (FS) vs Isolate

Full Spectrum – CBD oil or hemp extract has CBD plus all of the different cannabinoids and biologically active compounds known as terpenes and flavonoids that all exist in the plant itself. Think of a full grape, instead of the resveratrol that can be derived from a grape. These work much better at lower dosages. Unfortunately, for states that don’t have THC legal, THC is a critical component of utilizing the full benefits of full spectrum with CBD, even low doses that aren’t considered intoxicating.

The dose required of CBD alone is 10x higher than when in combination with THC. 

Broad Spectrum is used if you have at least a few cannabinoids (more than CBD), but not traces of Delta-9 THC. It works better than isolate, but the full spectrum is most beneficial. 

It’s not all about CBD! We have more cannabinoids we should care about. Think about it like an entourage effect. These molecules that exist naturally in the plant work synergistically to promote different therapeutic outcomes and expand on the positive effects of CBD. This is why FS is important. Lower dosage is able to help therapeutically, as opposed to isolates themselves. (CBGa, CBD, THC, CBDa, THCa, CBC, CBN, THCv, CBDv, Delta-8 THC are all synergistic in the plant.)

Isolate – think of it as the resveratrol from the grapes. Crystallized CBD; it’s the isolated cannabidiol – it’s better than nothing, but you would prefer to have the full spectrum. 

It’s all about politics, not patient  safety or efficacy. Cannabinoids and cannabis in general were the highest prescribed medication in the USA until 1937. It was in the U.S. Pharmacopeia. Marijuana Tax Act was opposed by the American Medical Association at the time. 

Evidence-based Uses of CBD Hemp Extract

Inflammation and immune:

  • CB1 and CB2 influence inflammation and immune response throughout the body. This happens both in the acute and chronic phase of tissue injury. 
  • Adding CBD immediately within tissue damage or injury has been shown to help in a pre-treatment method (athletes and concussion patients) with neurological impairment and reducing cerebral edema. Tissue loss was decreased with immediate treatment of CBD (within one hour of injury).


  • Cannabidiol is incredible for neuroprotective and slowing of neurodegenerative diseases. There is potential for reversal over time. They promote the formation of synapses and stop the degradation of neurons over time. There are still studies that are being conducted with humans in regards to this.


  • Beta-caryophyllene (BCP – aterpene present in a lot of cannabis plants) was shown to help improve dental pain as much as CBD in studies with pulp exposure-induced orofacial sensitivity. 
  • Takeaway: BCP is a wonderful additive for CBD that can help in a way similar to THC for states who don’t legally carry THC.

Chemotherapy Induced Neuropathic Pain (CIPN) :

  • A study showed CBDs efficacy in debilitating peripheral neuropathy
  • Chemo agents used in breast, ovarian, and colon cancer were used. CBD before chemo agents were injected prevented 100% of neuropathy in animals in time of treatment. Human studies are being conducted now.
  • Inhibits inflammatory and neuropathic pain – two of the most difficult pains to treat 

Opioid Reduction:

  • CBD is a firstline option for pain management
  • Efficacy for treating pain
  • Safe to use as an adjunct for those consuming an opioid 
  • CBD helps with withdrawal symptoms 


  • Can lower inflammation due to arthritis (topically)

The most abundant studies for cannabinoids and pain most point to the efficacy of CBD for pain relief. NIH, JAMA, and NASEM  all condone the use of CBD for pain management. NASEM concluded paint relief but  also prevention of seizures.


  • Activity on TRP1 channels, CB1 receptors, anxiolytic, anti-inflammatory, antinociceptive (the action or process of blocking the detection of a painful or injurious stimulus by sensory neurons)  components
  • CBD significantly increased total sleep time, including REM sleep. Those with insomnia.
  • If someone has a healthy sleep cycle, and they’re adding CBD for another reason (like pain or anxiety), we don’t want to disrupt healthy sleep and make people more drowsy if using CBD for another reason. However, it’s adaptogenic. This doesn’t disrupt sleep cycles if already healthy.
  • CBD improved REM sleep in patients with PTSD


  • There’s limited primary research on studies with humans and mood. Human social phobia used a high dose of CBD and showed improved social interactions.
  • Secondary outcomes of larger trials (in regards to pain or other factors), they monitor mood to improve over time, but it’s unable to identify if it’s correlation or causation. 
  • Anecdotally, there’s activation of 5HT1-A serotonin receptor, which correlates to mood improvement in individuals.


Consistency is key. Remember to work with your doctor, as this is not medical advice.

  • Anxiety: 300mg/day (studies showed not effective at 150 or 600mg)
  • Sleep: 160mg/day has been shown to increase sleep duration in patients with insomnia. No noticeable effects at 25mg. 300/mg had no effect on the sleep-wake cycle. 75mg to 300mg was shown to help patients with REM behavior disorder. If a patient isn’t responding to up to 50mg, you can try 100 to 200mg of CBD for sleep.
  • The highest doses (not recommended) that are safe can be up to 6,000mg, so reassure the patient they can play with up to 200mg safely.

With full spectrum products, the starting dose would be 15mg oral, or 10mg sublingual. The therapeutic window is 10-60mg a day. You’ll capture 90% of people using it under the tongue with 15-60mg a day of noticeable effects. Some outliers will have to start at 90mg a day. You’ll use less of the tincture due to its effect to bypass first-pass metabolism. They’re lipophilic with a first pass effect. You want to find the peak dosage without going over it.

  1. Start at night and every 2 to 3 days, titrate up. (Most patients are impatient and will end up titrating up every night)
  2. Start with 10mg sublingual. Increase by 10mg every 2 to 3 days. 
  3. Once they add more and don’t feel any different/feel the same, they’ve hit their peak at the dose when they stopped feeling the increase of effects.
  4. Assess the drowsiness factor.
  5. If they don’t get drowsy, and want to use it for anxiety, inflammation, overall systemic preventative health, using it BID will be optimal. 
  6. This will be an “experimental” game with patients, as everyone’s tolerance, symptoms, and bodies are different. If a patient isn’t feeling any effects (or have any changes on an Oura ring, sleep app, etc.), they’re not taking enough.

Pediatricians use .2mg/kg a day – it’s important to stay close to this dose if you’re dealing with children.

Soft gels are a bit more difficult. Heartburn is aggravated and there’s less absorption depending on the status of the patient’s gut, and the metabolism of the supplement itself. Metabolism will be different, so dosage will vary and need to increase most lily.

Drug Interactions:

CBD interacts with the CYP 450 pathway in the body which affects the metabolism of certain pharmaceuticals. There have only been significant clinical drug interactions recorded when taking 20mg/kg of body weight per day. There has been no data showing damage up until this dosage. That’s where liver injury is to occur. This can aggravate patients with previous liver injury/damage – not all, some. If you have a 180lb patient, that’s appx 82kg, which would be 1,640mg of CBD. The dosage for patients will fall way below that amount in practice.

If you stay below 20mg/kg/day, side effects are appx 1%. You’ll see drowsiness, nausea, and potentially hives due to the other ingredients in the product.

What about pregnancy? Negative outcomes to mother or fetus occurred with levels that were 250mg/kg, which is an outrageously high dose (10x the dosage of an FDA approved medication that has extremely high use). It was mostly liver injury. Below that dosage, no negative outcomes. This is in animal studies, but not human. In humans, the relative maternal dosage is well under the 10% threshold. It’s readily available in breastmilk, but at about 1%. 

Finding a Brand/Why we Carry the Brands in Office:

When finding a product, you’ll want to make sure the product is:

  • Be done by an ISO certified third party lab
  • Include cannabinoid content for proper dosage
  • Include tests for pesticides microbes chemicals
  • Be lot specific
  • Be evaluated for efficacy and puracy

There are a ton of products on the market that have molds, microbes, chemicals, heavy metals, and toxic additives. They need to be evaluated and from trusted sources. There are many products that have hemp oil, but may not disclose the active amount of CBD and other cannabinoids. We carry ECS Care for oral consumption, and CBD Clinic for topical! These are my favorite.

ECS Care:

  • Full spectrum, whole plant hemp extract blended in organic, cold-pressed hemp seed oil
  • Supplies naturally occurring hemp-derived cannabidiol (CBD) as part of a phytocannabinoid complex
  • Dozens of cannabinoids, but also includes hundreds of phytochemicals such as terpends, vitamins, trace minerals, polyphenol antioxidants, flavonoids, and essential fatty acids that contribute a nutritional effect, as well.
  • Tinctures are sublingual 
  • ECS Care uses organically grown agricultural hemp plants to extract phytonutrients ant natural molecules that exist in the plants without harmful solvents
  • Clean, safe extraction method minimizes degradation of the plant material and extracted oil
  • Blended with organic hemp oil that is cold pressed from hemp seeds; the oil is rich in gamma linoleic acid (GLA) and high in balanced Omega-6 and 3 fatty acids
  • Rigorously tested for identity, potency, and purity; GMP compliant
  • Every batch is third-party tested bye an ISO-certified laboratory
  • Complete Lab Analyses and testing results are available by scanning the QR codes on each product

CBD Clinic Topical:

  • CoA on website for analytics and purity
  • The oil is combined with camphor, menthol, and other ingredients that penetrate to the site of the more severe muscle and joint pain, utilizing high-dose natural pain killers. Deep tissue is penetrated to deliver relief directly to the joint and muscle by reducing inflammation and swelling. Blood flow and circulation is increased to the area.
  • Ingredients are naturally derived and include beeswax (organic), clove oil, cottonseed oil, eucalyptus oil, hemp extract, jojoba seed oil, peppermint oil, tea tree oil
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(Part 2 of 4)

We decided to sit down and have a chat with our practice owner and MD, Dr. Philip Oubre, and functional nutritionist, Aubree Steen.

We’re diving into another 4 part series. We’re diving into part 2 here, following with:

1. Our gut and it’s role in the immune system
2. Factors that suppress your immune system (this video)
3. How to support your immune system
4. The differences between COVID-19, the flu, and a common cold

Feel free to watch the video, or read our transcript below.

Dr. Philip Oubre (00:00):
Okay. Hey everybody. So, we’re at our second video in this four-part series about the immune system. And in this video, we’re mainly going to be talking about, what are the things that suppress the immune system? Specifically, we’re going to be referring to your lifestyle and food.

Dr. Philip Oubre (00:14):
Commonly, people think of immune system and they think of all these drugs and things, but really, your day-to-day activity has way more impact on your immune system than any drug, any supplement that you could possibly do on a daily basis.

Dr. Philip Oubre (00:28):
The number one thing we’re going to talk about is stress. Stress is the biggest immune suppressor. Take that deep breath, blow it out. And that makes sense, okay? Just think about stress. Stress releases adrenaline, stress releases cortisol. And we, in medicine, use cortisol. You have probably taken cortisol, prednisone, Solu-Medrol, some sort of steroid in your lifetime. Many people have. And you use those steroids as an anti-inflammatory and immune suppression, because that’s what inflammation and pain is, your immune system attacking something.

Dr. Philip Oubre (01:03):
These steroids are perfect immune suppressants. So, when you are constantly stressed, constantly on the run, whatever it may be, we’re American, guilty, that constant stressor allows tons of cortisol to be released, and that cortisol dampens your immune system, or like we talked about in the first video, confuses the immune system and says, “Hey, go out there and find a fight,” but there’s nothing really to fight. And so eventually it gets confused and just picks a bar fight with an innocent bystander, is the idea. That’s one of the theories behind why the chronic stress causes autoimmunity.

Aubree Steen, FNTP (01:35):
And you said something about constant stressors. I don’t think you guys realize that, in today’s society, almost everything we do has a constant stressor to it. When we get into a moving vehicle going 80 miles an hour and someone maybe gets in your lane or someone honks or someone gets a little too close to you, that is a signal for your adrenals to go, “Oh my God, we need to fight or flight.” That’s a stressor, too, little daily things that we wouldn’t be used to if we weren’t in an industrialized society. So, you have to think about that.

Aubree Steen, FNTP (02:03):
It could be just one wrong email at work. All these constant dopamine hits, too, from social media. There’s constant little stressors in our brain. Even having empty space when you’re looking for an answer is a stressor to the body. And so we’ve come across all these things. You may not think of a stressor being the day-to-day, but you are flooded with stressors every day of your life, whether if you realize that you’re reacting to them or not.

Dr. Philip Oubre (02:25):
Another way to look at it is, okay, so most people that we talk to on a daily basis, can’t admit their stressors. And it’s taken a lot of reflection on my part to admit your stressors. So, maybe let’s try a different approach and let’s quantify how much time you spend de-stressing. And then you’ll quickly find out you’re stressed, like everyone else, as far as an American.

Dr. Philip Oubre (02:46):
So, what are some of those de-stressors that you’re probably not doing? Breathing exercises, chewing your food, Aubree’s favorite thing to talk about. Do you sit down to eat? When you’re in the bathroom or have any kind of downtime, sitting at a traffic light… That’s a bad example, sitting in a parking lot waiting to go in for your whatever, and they’re saying, “You’ve got to wait outside,” are you playing on your phone? The majority of our downtime nowadays is spent doing something. We don’t like downtime, as human beings.

Aubree Steen, FNTP (03:19):

Dr. Philip Oubre (03:20):
So, what I’m going to encourage you to do, as far as one way to start lowering your stress levels, is to focus on your opportunities to do de-stress, or make those opportunities if you don’t already have them. So, if you have some downtime, instead of pulling out that phone and scrolling through social media and watching our video, maybe just considering sitting there and looking at the trees, looking at the sun or the rain, whatever’s outside, and just enjoying the beautiful world that we live in and being grateful…

Aubree Steen, FNTP (03:47):
Right. Because we have a-

Dr. Philip Oubre (03:51):
I don’t know where I was going with that.

Aubree Steen, FNTP (03:54):
That was good. You have a lot of self-expression, too.

Aubree Steen, FNTP (03:57):
Well, what I was going to say is we’re going to dive into a bunch of different tips and tricks, but you made a good point of, we need to see, how much time are we de-stressing? So, one thing that you need to do, if you’re watching this video right now, unclench, unhinge your jaw, unclench it, and take a deep breath.

Dr. Philip Oubre (04:12):
Like a snake? What does that mean?

Aubree Steen, FNTP (04:13):
Right, like-

Dr. Philip Oubre (04:13):
Unhinge, so you can swallow a mouse whole.

Aubree Steen, FNTP (04:14):
Well, you realize that most of the time, if you see something on Instagram, if you’re watching something, for whatever reason, our body is holding tension without realizing it. When you literally go, “Is my jaw relaxed?” you can feel the muscles in your jaw relax. Are your shoulders relaxed? Go ahead and relax your shoulders and take a deep breath. These are little things that you can do.

Aubree Steen, FNTP (04:33):
Maybe having a reminder in your phone. Headspace is great. They can send you reminders maybe every four to six hours that go, “Unclench your jaw, release your shoulders.” We don’t realize it, but we’re holding tension, and it’s from those daily little stressors.

Dr. Philip Oubre (04:47):
Another app I like that’s a little morbid, but it works really well for me-

Aubree Steen, FNTP (04:51):
Oh, God.

Dr. Philip Oubre (04:53):
It’s called WeCroak, is the app. You can download it. It’s free. And it’s literally an app that tells you five times a day that you are going to die. That sounds morbid and really dark, so let me explain that for a bit, because when I first heard about it, I thought it was really stupid. But what it teaches you is, when you get that message and you’re doing something…

Dr. Philip Oubre (05:12):
The moment it really made sense to me was when I was playing with my kids. They were riding the bike or something, and they had done something frustrating. And kids do those things. We love them to pieces, but they can frustrate us. And I got that message, notification popped up on my watch, “By the way, you’re going to die.” And it made me think in that moment, “You know what? I am going to die. Let me enjoy this moment and not get frustrated because the kid was whining or complaining or barely scraped his knee and acted like we chopped his leg off.” So, it’s that reminder.

Dr. Philip Oubre (05:40):
So, before you just open the app and think, “Well, gosh, that’s depressing,” no. The idea is, it’s supposed to remind you that you are mortal and that you need to enjoy every moment that you possibly can in this life. And you need to be asking yourself, “Is what I’m doing bringing me joy?” Because if it brings you joy, that is the definition of a de-stressor.

Dr. Philip Oubre (05:59):
Now, be careful with that, because some people will say their work is a joy to them and it brings them joy, but too much work is, of course, a stressor too. There needs to be balance and downtime.

Aubree Steen, FNTP (06:09):
I love that. I think it figures out what works for you. Is it the constant reminder that you’re going to die, or is it the constant reminder that you just need to unhinge your jaw?

Dr. Philip Oubre (06:19):
Whatever works for you.

Aubree Steen, FNTP (06:20):
Right, exactly. But I think that is a good thing, because when you’re sitting in your car, if you knew that you were going to die tomorrow, would you be on your phone or would you be looking at the view in the back? What would I be doing? Looking out back and taking it all in and going, “Okay, time to de-stress. Let’s enjoy this as we can.”

Dr. Philip Oubre (06:37):
I agree.

Dr. Philip Oubre (06:38):
Second biggest thing that affects the immune system that has nothing to do with supplements is sleep. Absolutely. I mean, we are all guilty of, America. We both have our caffeine-

Aubree Steen, FNTP (06:49):
Oh, [inaudible 00:06:49] our Oura Rings.

Dr. Philip Oubre (06:49):
And the Oura Rings. That was next. We both have our caffeine drinks close by. And as Americans, we’re all guilty of drinking too much caffeine, blowing and going, and just getting every second we can out of life. But ultimately what suffers is our sleep. Many, many people struggle with getting to sleep, struggle with staying asleep. And you may think those are sleep issues, but really they’re awake issues.

Dr. Philip Oubre (07:13):
How you spend your time awake is how you spend your time sleeping. And if you’ve ever taken care of an infant, then you know that sleep begets sleep. So, if you are sleeping well and you have regular hours and a bedtime routine, whatever you want to call it, if you’re sleeping well, that will create better sleep the next time and the next time and the next time. It’s literally one of those practice makes perfect situations.

Aubree Steen, FNTP (07:36):
One thing that was kind of fear-based for me, and we don’t want everything to be fear-based, but there was a study proven that you can never catch up on the sleep that you lose. You literally can never get it back.

Dr. Philip Oubre (07:46):
Sleep debt.

Aubree Steen, FNTP (07:46):
Yeah, it is sleep debt. That is a little bit of a fearful thing to think about, but at the same time, it can kind of be the catalyst to push you into, how am I getting good sleep? And one of those things that suppresses our sleep is what Dr. Oubre talked about. What are you doing during the day? Are you up in your computer or working until an hour thirty minutes before bed or all the way up until bed? Then you’re automatically going to have that triggering system in your brain, almost that anxiety, that fight or flight that goes into your sleep when you should be getting into this parasympathetic mode of the rest and digest, when you should be actually healing and regenerating.

Dr. Philip Oubre (08:20):
Agreed. One of our favorite things to do is to track your sleep because I mean, you can, just symptom-wise, track your sleep. Did you just hit the pillow and wake up in the morning? That’s a good sign. Were you tossing and turning? That’s a bad sign. Did you wake up at some point, weren’t able to go back to sleep? And then number three, when you woke up, did you feel rested or not? And so if you’re not tracking your sleep, you at least need to be tracking yourself symptom-based. And be honest with yourself like, “Oh, I guess I did have that glass of wine too close to bedtime,” or “I did have all the lights on in the house,” or “I was playing on the phone too close to bedtime.” That’s the benefit of actually tracking your sleep is it gives you…

Dr. Philip Oubre (08:58):
The Oura Ring is kind of one of our favorite things. Oura, O-U-R-A. We don’t make any money off of them.

Aubree Steen, FNTP (09:03):
No, I wish.

Dr. Philip Oubre (09:04):
They’re great. It’s a ring that you wear and it tracks your activity during the day, but the biggest thing is it tracks your sleep. Fitbit does it. Apple Watch does it, all kinds of things. So, get something that tracks your sleep, and don’t get neurotic over it because that can upset your sleep also.

Dr. Philip Oubre (09:17):
But what you want to do is play with your variables and see which ones affect your sleep. For me, a big one is eating too late. I always notice when I eat too late, that that happens.

Dr. Philip Oubre (09:28):
So, a couple of tips we’ll give you is, number one is got to turn the lights off. We react to lights. If it’s too close to bedtime, you’re wrecked. So, if you are playing on your computer or your phone or TV or whatever it may be, then buy some blue blockers. They’re cheap on Amazon. You can find any kind of blue blocker that will help. And you want to wear it at least two hours before bedtime.

Aubree Steen, FNTP (09:50):
They need to be a deep, deep orange.

Dr. Philip Oubre (09:52):
Yeah. The world needs to look funny through them.

Aubree Steen, FNTP (09:55):
Right. It has to be a little frustrating wearing them where you’re like, “I don’t feel like this is reality.” I don’t want the little cheap, clear ones that are like, “These are blue blockers.” I don’t care if the light goes through it or not. I want you to get the orange ones. It needs to have that orange tone to really take out all the blue.

Dr. Philip Oubre (10:10):
You should look weird wearing them.

Aubree Steen, FNTP (10:12):
My brother. I love you John.

Dr. Philip Oubre (10:13):
Exactly. So, blue blockers is a big one. Another one is if you’re waking up in the middle of the night… We call that liver time. 2, 3, 4:00 AM is liver time. Can be adrenal time too. But you want to mention liver time?

Aubree Steen, FNTP (10:28):
I did. I wanted to talk about this. So, if you’re actively waking up at three to four, that is a sign of liver stress. Your body has a circadian rhythm. And at night when we’re sleeping, that is our time to go through all… Well, not all our different organ systems, but you have your heart, then your gallbladder, then your liver, and then different parts of your body. And our body needs to have that time to go through and mop up any excess toxins, rid some debris in there, really give it time to focus on those. When you are awake during the day, you don’t have time to kind of really sit there and be like, “Let me clean up my liver a little bit.”

Aubree Steen, FNTP (11:00):
One thing we commonly see… There’s two things. One, liver stress is three or four in the morning. If you’re always waking up right there, one of the most common things is, is your liver burdened? Are you drinking too much alcohol? Are you eating too many processed foods?

Aubree Steen, FNTP (11:12):
There’s a couple of things that actually really helped some patients before bed. Taking 500 milligrams of liposomal glutathione or castor oil packs. If you start doing that, put a castor oil pack on your liver, and we can kind of go over this next video, but if you do that and your sleep improves and you don’t wake up, that means your liver was stressed.

Aubree Steen, FNTP (11:29):
Then the next one is adrenal stress. When you start to wake up every two hours or so, when you’re constantly just having the cycle of always waking up and going back to sleep, that means that your cortisol is in a heightened state too, and it’s unstable and you’re constantly waking up in the night. High sugar foods can do this, eating too close to bed can do this, and stress before sleep can do it.

Dr. Philip Oubre (11:50):
And thinking about emotional stress, guys. If you’re waking up at two, three, four in the morning, and there’s a racing thought that you were regurgitating… That’s not the right word.

Aubree Steen, FNTP (11:59):

Dr. Philip Oubre (12:00):
Yeah. But anyway, if there’s a thought that you’re stuck on and it’s an emotional situation or a toxic person or something, that really tells you that you might’ve been fine during the day dealing with that situation, but clearly it’s affecting your inner being, your spirit. And so you really need to decide, that toxic person, do I need them in my life? And if they do need to be in your life, say it’s your boss or something, you can’t get rid of that… Please don’t get rid of your boss. That would be bad. But the better situation is you can’t change that person, but you can change how you react to that person.

Dr. Philip Oubre (12:32):
So, changing your boundaries or setting boundaries or working with how you can distance yourself from that emotional turmoil, really thinking about what it is you’re waking up and why, because it certainly can be liver, but if it’s an emotional issue, you can put as many castor oil packs as you want, you’ve got to deal with the emotional issue.

Aubree Steen, FNTP (12:48):
And emotions are constantly tied to liver, too, especially in alternative medical worlds. If you constantly have an emotional stressor and you’re not seeing that, you may see that liver time wake up at 3 to 4:00 AM. I’ve had patients or even friends who have woken up in the middle of the night crying without realizing it, or they woke up and their face was wet, and it means that you’re not processing everything that you’re dealing with. And for our immune system, which is actually a category we’re going to go over in a second, is the mood and emotional health, that your mood and your thoughts and your emotions can suppress your immune system automatically.

Aubree Steen, FNTP (13:20):
So, I think, totally right. You have to check in with your emotional stressors and your health and see, are you taking the time? One thing to kind of realize is if you always say, “Oh, I hate being alone. I can’t do it,” that’s a huge, huge sign that you do need to work through some issues, not issues in a negative way, but things that are taxing your mental and emotional health.

Dr. Philip Oubre (13:42):
That’s a perfect segue into the mood situation, because if you are generating negative energy and constantly saying negative words and negative phrases, then that affects your inner being. May not understand it, but it’s true. Your outlook on life basically affects how healthy you are on the inside. And you can call it manifestation. “Oh, I manifest that I’m well, and I’m going to say it out loud and I’m going to believe it,” whatever you want to call it. A Tony Robbins situation. You claim something and it will be real kind of deal.

Dr. Philip Oubre (14:13):
But the main thing we want to point out with this outlook is you just want to make sure that you’re at least taking time to express gratitude. That is one thing that is research proven to improve your life, anything, can improve anything and everything is just, do you proceed with life with gratitude towards the things that come your way?

Dr. Philip Oubre (14:33):
So, yes, you may be in a terrible situation, something terrible may be happening right now, but there’s got to be at least one thing that you’re grateful for, whether it be your children or whether it be you have a vehicle that got you to work, or whether it be that you actually woke up or that cup of coffee, whatever it may be, taking time to say that you are grateful for whatever it is in your environment can absolutely change your being.

Dr. Philip Oubre (14:52):
We see it in our practice all of the time. Commonly, patients have seen multiple doctors by the time they come to see us. I’m not talking just five. I’m talking sometimes 10 doctors that they have seen in order to try to figure themselves out. And what we’re able to do is give them different answers, root cause answers and just leaving the practice, they already feel better. We didn’t do any kind of magic, voodoo, healing or anything. It’s hope. It’s hope. It’s that outlook on life that they can be better. And that will make you feel better. So, you have to remember just your outlook on life affects your immune system, whether you like it or not.

Aubree Steen, FNTP (15:28):
And how does it tie in is that emotions are actually… they’re measurable in testing. They do leave an imprint on yourselves. They leave an imprint in different parts of your body. You’ll see sometimes chronic musculoskeletal issues tied to emotional trauma and unresolved traumas as well. So, if you have headaches that sometimes don’t go away and you’ve exhausted all options and there’s really nothing else, think about your emotional health.

Aubree Steen, FNTP (15:56):
But when you do have that gratitude, you’re teaching your body to go into more of a parasympathetic mode, right? We don’t have our cortisol and adrenal hormones that are meant to trigger a fight or flight constantly going, so your body’s already in a better state of healing and regeneration. And that’s really, really crucial for immune health.

Dr. Philip Oubre (16:14):
Next on the list is exercise. And usually we’re talking about how you should exercise and all that, but in this situation, immune suppression, we’re actually talking about over exercise. So, you know who you are that are pushing your luck. That’s right.

Aubree Steen, FNTP (16:27):
We love you.

Dr. Philip Oubre (16:28):
So, you just want to be really mindful about the exercise you’re doing. Are you doing too much? Because if you’re doing too much, you’re not going to sleep well. It’s not going to be a deep sleep. It’s not going to be restful sleep. And that’s where tracking your sleep comes in. If you have an Oura Ring or a Fitbit or something, tracking your heart rate variability over time can tell you if you’re over-exercising. If your heart rate variability is suppressed, guilty… If your heart rate variability is suppressed, then it’s telling you that you’re over-training. You need to make sure you give time for your body to react and respond and regenerate. And your heart rate variability will go back up. We won’t spend a lot of time on that, but just a mental note, not to do too much.

Dr. Philip Oubre (17:01):
If you’re doing high intensity interval training, hit training, you shouldn’t be doing it every day. At most, two, maybe three times a week. But if you’re doing it more than that, you’re really just taxing your body. And remember that exercise is intentionally breaking down your body so that it regenerates stronger than before. But if you’re constantly breaking down, then at some point you’re going to break down as fast as you’re going to regenerate, and then you’re literally not making any progress. You’re working really hard, but literally not making progress. The whole point of doing it is to make progress.

Aubree Steen, FNTP (17:31):
And if your body’s constantly getting that hit, it doesn’t have time to regenerate and heal. And then you don’t have time to focus on other healing aspects of your body as well.

Dr. Philip Oubre (17:38):
I agree. So, just make sure that the exercise is healthy and make sure the exercise is not trying to run away from a problem or abuse your body in a way to get anger or frustration out. And that kind of goes back to the mood and outlook situation.

Aubree Steen, FNTP (17:52):
And then if you are feeling sick, or if you do feel like your body’s pushed past the limit, find something that’s a little bit more fluid movement for you. And I mean, yoga, any type of movement, using a roller… What is that? Foam roller, whatever it may be. Words aren’t the best today. Something that still moves your body, but isn’t going to push it past the limit. You still want that movement and that flow, but you don’t want to overtax your body

Dr. Philip Oubre (18:16):
Good. Last but not least is Aubree’s favorite thing of which foods are going to suppress your immune system.

Aubree Steen, FNTP (18:23):
We’ll go over the-

Dr. Philip Oubre (18:25):
She’s got a document that she’s going to review.

Aubree Steen, FNTP (18:26):
So, some of the foods to avoid… You’re going to see this sheet in the next video as well for the foods that we should be increasing. At the bottom of it, though, I did put the foods to avoid.

Aubree Steen, FNTP (18:36):
So, one of the biggest things I want y’all to know is hydrogenated oils. These are going to be oils that have changed the molecular structure with hydrogen, basically. They change the bonds to make them either more fluid or spreadable or withstand different heats. You’ll see these in a lot of packaged and processed foods on the shelf. And I put a few on here. So, they suppress the immune system. At the same time, they do contribute to heart disease, cancer, metabolic disorders, you name it.

Dr. Philip Oubre (19:01):
They should just not be in your house at all.

Aubree Steen, FNTP (19:02):
At all. And so what you’re going to see is soybean oil, corn oil, canola oil, and cotton seed oil.

Dr. Philip Oubre (19:09):
Vegetable oil.

Aubree Steen, FNTP (19:10):
Vegetable oil, which is canola.

Dr. Philip Oubre (19:11):
Just in general.

Aubree Steen, FNTP (19:11):
Yeah. So, it’s all vegetable oil. Any of those vegetable oils, you do want to avoid.

Dr. Philip Oubre (19:15):
So, you need to look at that list and you need to go through your oils, Mom, at home, calling you out. If you have any of those oils in your house, they just need to be thrown away and replaced.

Aubree Steen, FNTP (19:25):
The one thing I do want to say is that in a lot of paleo and AIP packaged foods, you will see a little bit of sunflower oil. That’s the one thing that I’m going to say, choose it with balance, guys. If you are doing 90% of what you’re supposed to do, whole unadulterated foods, but you are on a restricted diet and you only have a few options to choose from, and there may be a little bit of sunflower oil in a cold product, take it with a grain of salt and just go ahead and buy the product.

Dr. Philip Oubre (19:49):
It’s all about the 90%.

Aubree Steen, FNTP (19:50):
It is.

Dr. Philip Oubre (19:51):
You don’t have to be perfect, but if you’re cooking with this stuff everyday and eating it in packaged foods, then that’s too much. Some of them are trans fats, and trans fats are the only fat that’s been ruled bad for all people.

Aubree Steen, FNTP (20:02):
Right. And the food label necessarily doesn’t have to disclose it if it’s under a certain percent. So, it can still-

Dr. Philip Oubre (20:09):
0.6. It can have 0.6 grams of trans fats per serving and still be labeled as zero. So, if you’ve got a sleeve of Oreo cookies or something, it says zero grams of trans fat, and there’s five servings in there, it could technically have three grams of trans fat in the whole thing. 5 times 0.6.

Aubree Steen, FNTP (20:24):
I was literally about to say those numbers.

Dr. Philip Oubre (20:27):
So, three grams of trans fat in there, and it will say on the label zero. That is a crime as far as I’m concerned.

Aubree Steen, FNTP (20:34):
And the whole balance with those oils, too, is that it is an imbalance of Omega 3, or 6s versus 3s. Omega 6s are highly inflammatory in the body in excess. You need a balance of Omega 6s and 3s. So, on this little sheet, which we also are going to put a link in there at least so you can look at these, you’re going to want to balance out those Omega 6s if you do have them somehow in your diet with Omega 3s.

Aubree Steen, FNTP (20:56):
And I put a little list. This is your walnuts, flax seeds, wild caught fish, really nice, healthy fatty Omega 3s. And you should be incorporating a fish oil.

Dr. Philip Oubre (21:06):
You got to either eat the fish or take the oil. What’s your choice?

Aubree Steen, FNTP (21:09):
Yeah. Perfect. Next thing is grains. So, in one of my videos for an educational purpose, I talked about a few things. So, grains are inflammatory in the reason of they’ve been denatured, they’ve been hybridized, and they have natural defense mechanisms that if you already have a leaky gut or an inflamed gut, that they can perpetuate that immune response and perpetuate the inflammation.

Aubree Steen, FNTP (21:34):
So, a couple of things… They’re called saponins and phytates. Basically they’re damaging to the gut. They’re damaging to the immune system. These are also anti-nutrients that basically have soap-like qualities. They’re enzyme inhibitors, so they prevent your food from being broken down properly, which can overact your immune system and your gut.

Aubree Steen, FNTP (21:52):
It’s kind of like a bull in a China shop. These prevent grains, legumes, nuts, and seeds from being broken down. Basically, they’ll want to be digested and pooped out and still be able to regrow and reproduce. So, if you think of eating a food that’s supposed to have that designed nature to go through your body, it’s like a bull in a China shop. You’re going to have it cause inflammation and distress all the way throughout your gastrointestinal system. Especially if you’re trying to boost up your immune system and not suppress it and reduce inflammation, avoid grains if you can.

Dr. Philip Oubre (22:26):
Just real quick on the grains front. Think of grains as anything that’s stored in a silo before it’s brought out to your grocery store or whatever. Rice, corn, oatmeal… Or oats, I guess it’s not the oatmeal. What else?

Aubree Steen, FNTP (22:40):
Rye, barley, teff, sorghum, millet.

Dr. Philip Oubre (22:44):
Wheat, gluten. So, all of those things are considered grain. So, that’s an interesting category.

Aubree Steen, FNTP (22:49):
Did you say rice?

Dr. Philip Oubre (22:50):
What’s that?

Aubree Steen, FNTP (22:50):
Did you say rice?

Dr. Philip Oubre (22:50):
Yeah. I said rice, I think. Rice is a big one.

Dr. Philip Oubre (22:52):
Try and remove grains as an inflammatory process in general, is a good start.

Aubree Steen, FNTP (22:57):
Yeah. And one of those compounds, I forgot to say that saponins, they actually create holes in the membranes of the cells in your intestinal lining. Remember how we were talking about the intestinal barrier in your last video? It basically creates little microscopic holes to increase that opening and letting more foods and toxins and triggers go through and bombard the immune system. Very interesting.

Aubree Steen, FNTP (23:20):
Look at this PDF though. I’m just going to touch base on a few of these things instead of diving into detail. I want you all to be able to have this, and I don’t want it to be a little story time reading for you guys, because I feel like you’re grown adults and you can do this.

Aubree Steen, FNTP (23:31):
Next one is dairy. I can rant forever on this, but basically the only real helpful dairy is if you don’t have dysbiosis, you have reduced inflammation, and if you get raw, organic, unhomogenized dairy. But that’s not what we’re getting. Everything that we’re getting has been heat processed, pasteurized, homogenized, and denatured. Inevitably, it causes a lot of inflammation in your diet.

Aubree Steen, FNTP (23:51):
And 75% of us actually have a sensitivity to dairy. That’s actually proven. So, you can’t think of the excuse of, “Oh, my ancestors ate it.” Yeah, but every single generation that we have, our DNA actually changes a little bit to our environment. We also have to think of epigenetics. Just because your great-grandmother can digest the dairy, doesn’t mean that you can. With introduced toxins, food sensitivities, the way that foods process, remember our gut may not recognize dairy as food anymore because we’ve changed it so much and we’ve added so many things to it.

Dr. Philip Oubre (24:24):
Most people don’t realize they’re reacting to dairy until they remove it and add it back in.

Aubree Steen, FNTP (24:27):

Dr. Philip Oubre (24:28):
It’s so common.

Aubree Steen, FNTP (24:29):
Yeah, inevitably. And they’re like, “I like my cheese.” And that’s fine. I’m like, “Okay, I get it. But-“

Dr. Philip Oubre (24:34):
But it doesn’t like you.

Aubree Steen, FNTP (24:34):
No, and your body acclimates. So, you may be eating these foods and you feel fine, but what if you’re getting sick all the time? And what if you realize, “Oh, I get a cold every year.” I don’t. I don’t know if you do, but-

Dr. Philip Oubre (24:46):
I was just hospitalized in February, so-

Aubree Steen, FNTP (24:50):
Oh, yeah. Sorry.

Dr. Philip Oubre (24:50):
I’m not making any claims.

Aubree Steen, FNTP (24:50):
I’m just a [inaudible 00:24:50] patient.

Aubree Steen, FNTP (24:51):
But the normal immune responses, sometimes they don’t happen when you actually are removing these inflammatory foods from your diet. Do it. Try it out for even two or three months and see how your immune system works. See if you actually get sick this year.

Aubree Steen, FNTP (25:05):
Next thing I want to do is sugar. Sugar and high fructose corn syrup or high fructose no matter what is the worst thing you can do for inflammation and your immune system. So, in here I put the amygdala. That’s responsible for our fight or flight. It’s constantly triggered with sugar, which is a terrible thing because sugar is creating that fight or flight response. It’s creating an addictive property in your body, but what it does is it also feeds pathogenic yeast, fungus, mold, bacteria, you name it, that actually kind of confuse the immune response like you said before.

Dr. Philip Oubre (25:37):
Sugar is so pervasive in our environment that if you’re not actively avoiding it, you’re eating too much.

Aubree Steen, FNTP (25:42):
Exactly. And I think one of the things that you can look at is, is it snuck into my foods? Is it snuck into little things?

Dr. Philip Oubre (25:49):
It is.

Aubree Steen, FNTP (25:50):
It is.

Dr. Philip Oubre (25:50):
It absolutely is.

Aubree Steen, FNTP (25:50):
And if you’re wondering-

Dr. Philip Oubre (25:51):
You just got to find it.

Aubree Steen, FNTP (25:51):
Right. Why does my beef jerky have sugar in it when it tastes really salty? It’s supposed to be so you buy it over and over again. And there’s a ton of different names. So, I do have a grocery store tour PDF. We have a ton of resources to help, but it can be hidden underneath 50 different names. So, make sure that you get your hands on one of those and that you are actually actively looking for sugar.

Aubree Steen, FNTP (26:10):
One of the good things, too, is that high fructose can end up causing that effect on your body as well. So, having really sweet fruits all day is not good for your body either. So, having a ton of peaches and a ton of watermelon, your body’s going to react like it is to sugar. And what happens is that when your body is constantly trying to stabilize your glucose levels, it ends up causing stress on your adrenals, causing hormonal dysfunction. And that alone can help kind of confuse and suppress your immune system.

Aubree Steen, FNTP (26:37):
Perfect. And that’s it for the foods.

Dr. Philip Oubre (26:40):
Okay. So, that finishes our video on lifestyle and foods that suppress immune system. And so in our next video, we’re going to go into, what are some of the things that boost the immune system other than just don’t do the things that suppress it.

Dr. Philip Oubre (26:55):
All right. Subscribe to our channel, watch our videos, hit the little bell once you subscribe so you get alerts for us. And we’ll see you next time.

Aubree Steen, FNTP (27:01):
Bye guys.

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Time to stuff your face with some anti-inflammatory indulgence. We always love a scrumptious recipe that hits all targets: paleo, gluten and dairy free, vegan, and even AIP.

This recipe was adopted from our friend at Unbound Wellness.

For the apple pie filling:

  • 3 cups pink lady apples; chopped
  • 1/2 cup water
  • 1 tbsp coconut sugar (or granulated monk fruit)
  • 2 tsp arrowroot starch
  • 1/2 tsp cinnamon
  • Juice of 1/2 a lemon

For the crust:

  • 1 1/4 cup of tigernut flour
  • 1/4 cup of tapioca starch
  • 2 tbsp maple syrup (or Lakanto monkfruit syrup)
  • 2 tbsp coconut sugar (or granulated monk fruit(
  • 1/3 cup + 2 tbsp coconut oil, melted
  • 1/4 cup + 1 tbsp coconut butter
  • 1/4 tsp baking soda
  • 1/2 tsp cinnamon

For the optional caramel sauce:

  • 1/2 cup coconut cream
  • 1/4 cup coconut sugar
  • 1/4 tsp sea salt

For the apple pie bars:

  • Preheat the oven to 350 F and line a 9×9″ baking pan with parchment paper
  • Using a saucepan, combine the apple filling ingredients and set over medium heat. Stir to combine and simmer for 5-8 minutes (stirring often) or until the apples soften. Set aside.
  • For the crust, combine the dry ingredients and mix until well incorporated. Stir in the wet ingredients and stir until the dough is fully combined.
  • Using the square baking sheet, flatten the majority of the crust onto the bottom of the pan until it’s evenly thin. You’ll save about 3 tbsp of the crust dough for the topping.
  • Par-bake the crust in the oven for 8 minutes. Remove from the oven and allow to cool for 5 minutes.
  • Layer the apple filling on top of the crust and evenly distribute. Crumble the remainder of the crust topping over the apples and slightly flatten it.
  • Bake the bars in the oven for another 25-30 minutes or until the crust topping is golden brown. Remove from the oven and allow to cool for about 5 minutes before carefully removing from the pan. Allow to cool further and slice into 9 bars. Top with optional caramel sauce and compliant ice cream if desired.

For the optional caramel sauce

  • Combine the coconut cream, sugar, and salt in a saucepan over medium heat and stir to combine.
  • Bring to a low boil, and reduce to a low simmer, stirring often.
  • Simmer for about 10 minutes, or until the caramel is reduced and browned.

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(Part 1 of 4)

We decided to sit down and have a chat with our practice owner and MD, Dr. Philip Oubre, and functional nutritionist, Aubree Steen.

We’re diving into another 4 part series. We’re diving into part 1 here, following with:

1. Our gut and it’s role in the immune system
2. Factors that suppress your immune system
3. How to support your immune system
4. The differences between COVID-19, the flu, and a common cold

Feel free to watch the video, or read our transcript below.

Aubree Steen, FNTP (00:00):
Hey, guys.

Dr. Philip Oubre (00:01):

Aubree Steen, FNTP (00:01):
Aubree and Dr. Oubre here. So this month we’re going to focus on immunity, since we’re now moving into the season where you start to get sick and our immune system ends up being a little lower than we want it to be. So we’re going to have a four-part series. The first one is going to be our gut and how it’s related to the immune system and its role in the immune system. Then we’re going to tell you things that suppress your immune system, how to support your immune system, then Dr. Oubre’s going to dive into the differences between COVID and the flu and cold and what to expect, so.

Dr. Philip Oubre (00:30):
Sounds good.

Aubree Steen, FNTP (00:30):

Dr. Philip Oubre (00:31):
So the first part of our how gut health affects your immunity, because, as functional medicine, we generally have the saying that 80% of your immune system is based on what happens in your gut. So that seems foreign because most people don’t walk around with raging intestinal infections and things. But if you think back to how children start in this world, how we all started in this world, it’s a very … you put everything in your mouth, and the theory goes behind why children put everything in their mouth, the idea is that their immune system is very naive and doesn’t know what’s normal in their environment. So they’re putting normal things that are in their environment into their mouth, which is ultimately exposing their GI tract when they swallow their saliva and all that.

Dr. Philip Oubre (01:12):
And that is allowing the immune system to start studying what’s normal. What’s supposed to be there. What am I used to seeing? That way, when a foreign invader comes along and says, “Hey, I know what normal looks like. That’s abnormal and I’m going to attack it.” So, there’s all kinds of immune reactions that happen in the gut, and there’s all kinds of things that can of course go wrong, which we’ll kind of get into the details. But the important part to realize is that if anything is going wrong in your gut, it will throw everything off in your immune system. So specifically food is one of the big things that we talk about. So why don’t you take that away, Aubree? How does food confuse the immune system or support gut health?

Aubree Steen, FNTP (01:50):
One of the biggest things is that we have to realize that the majority of our immune system is dependent on basically the microbes in our gut. They kind of teach our immune system how to react. We’ll dive into this in a little bit, but you have to also take into consideration, is your gut … do you have a healthy microbiome? What I mean by that is, do you have an abundance of beneficial bacteria and just a little bit of yeast, fungus, pathogenic … you should always have a little bit. You’re not going to ever have 100% beneficial bacteria, but what’s the balance there?

Aubree Steen, FNTP (02:19):
Do you have severe dysbiosis where you’re in treatment? Even at our practice, where you have severe fungal or modal overgrowth, or do you have parasites, something that’s compromising your microbiome? So you need to take that into consideration.

Aubree Steen, FNTP (02:32):
But one of the biggest things is that food affects the immune system in multiple ways, because what happens is that a food can either be pro-inflammatory or anti-inflammatory. Food can also cause an immune response and a provocation, or it can just be nourishment to our bodies. I think one of the biggest things that we need to realize is digestion plays a huge key in this. So if you’re not properly digesting your food … and we have a whole video on how this works, so please go refer to that. We’re not going to dive into that today. If you’re not breaking down your food correctly, then basically what happens is our body’s supposed to see a food.

Aubree Steen, FNTP (03:06):
So let’s see if we eat an Apple, right? Our body will break that down and go through multiple steps, and eventually the bacteria in our gut go, “Oh, delicious.” They ferment the fiber. They produce short chain fatty acids that help our immune system, help our brain function, and they actually build more beneficial bacteria. But where we go wrong is, let’s say that you eat a ton of conventional apples that have been sprayed with glyphosate or Roundup, or have some weird, strange chemical on them, herbicides, you name it. All of a sudden, now you have a toxin attached to that food particle. Then it goes into your body, and now your gut goes, those bacteria who have this mimicry of they understand what food is now they see, “Okay. I thought that was an Apple, but that’s actually toxic now. And now your body starts to react to those types of foods. And what can happen … Oh.

Dr. Philip Oubre (03:54):
Well, I was going to add, in addition, those chemicals that they spray on conventional foods and things are designed to have a longer shelf life. And some of those are antifungal, antibacterial. So that’s what your gut is full of, is bacteria and fungus. So if you’re constantly swallowing things that are antibiotic and antifungal, then it can create more disruption.

Aubree Steen, FNTP (04:12):
Right. Yeah. So we actually need to rely on those microbes to tell our immune system how to react, right? So if the majority of our food is going into our body is toxic or is adulterated, hydrogenated, has the molecular structure actually changed, like gluten nowadays, our body doesn’t understand, those bacteria don’t understand. Now you’re damaging the beneficial bacteria that are needed to help modulate the immune system and you’re increasing the growth of the pathogenic bacteria, the yeast and the fungus and the mold, which are known immune suppressors. Right?

Dr. Philip Oubre (04:45):
So I want to touch on that a bit, because we commonly say immune suppression, and really in the functional medicine world, we kind of think of it more as immune confusion, but that doesn’t sound as sexy as immune suppression. So the idea behind mold or candida or whatever may be overgrowing your gut, it really is an immune confusion. It says, “Hey, look over there,” instead of, “Look in here,” because your immune system is really powerful. It’s really good at what it does, but organisms, specifically mold, has learned to kind of evade your immune system. Lyme is another one that’s learned to evade your immune system.

Dr. Philip Oubre (05:19):
One of the ways that evades it, it says, “Hey, go look over there,” and that’s one of the theories behind why we believe mold and Lyme and all these other inflammatory conditions are associated with autoimmunity, because your immune system is held to a very rigorous testing. Every immune cell that’s created is tested to identify self. If at any point it identifies self that immune cell is killed or right on the spot. It’s done. It never makes it out into the circulation.

Dr. Philip Oubre (05:44):
So if that happens and how do auto immune cells make it out into the circulation? The idea is these immune cells have been confused and they are attacking itself unintentionally, or there’s so much inflammation in the body that it’s just of attacking anything and everything. Then as Aubree mentioned, there’s also the molecular mimicry idea of why we develop autoimmunity.

Dr. Philip Oubre (06:05):
But we primarily, when we’re treating patients with auto-immunity, we always go to the gut first, and in general, no matter what the gut issue, whether it be poor digestion, whether it be mold, candida, bacteria, whatever, we can normally see people 80% better just by treating their gut before we even get into all the fancy detox, metals, all that stuff.

Aubree Steen, FNTP (06:24):
Right. Because we talk about the bacteria and their role in breaking on fiber and how you … in food in general, right? And they’re kind of the forefront of … they decide what our food gets turned into, but that’s kind of an example of having a beneficial growth. But what can happen is when you have an overgrowth of yeast and pathogenic bacteria and fungus, you’re contributing to things like leaky gut, right? Intestinal permeability, you’re actually giving those microbes power. And those are known kind of facilitators of our immune system in a negative way.

Aubree Steen, FNTP (06:57):
And the one thing with leaky gut, we kind of want to bring that back, is when you have an abundance of yeast, fungus, and mold and pathogenic bacteria, you already have some form of leaky gut.

Dr. Philip Oubre (07:06):
Yep, [crosstalk 00:07:08].

Aubree Steen, FNTP (07:07):
So whether if they create it or if it was there first and they allowed it to grow, you have these intestinal barriers, these cells and they call it, it’s permeability. And what we’re talking about is paracellular, so it’s between the cell. So what happens is that you’re supposed to have really, really tight junctions. Nothing’s supposed to get through there. If you were to try to prime my hands open, it’d be literally impossible. You may be a little stronger than me, but in the grand scheme of things, impossible.

Aubree Steen, FNTP (07:34):
But what happens is with poor diet, poor digestion and overgrowth of the bad bacteria, and when you have toxins in your body, those cellular junctions end up becoming open. What happens is that pathogens and toxins and food particles even, they go through and they cross that barrier. What happens is anything that passes through here means there’s a constant provocation of the immune system. And you don’t want that, because now you’re reacting to almost everything, perfectly healthy foods, any kind of issue in your body that could be in your gut.

Dr. Philip Oubre (08:05):
Agreed. So testing the immune system is actually quite complicated and there’s really no good one task like, “Oh, I’m going to test my immune system.” So it really, in the functional medicine world, we have to do a lot of kind of roundabout testing to find out how well your immune system works. So the kind of two ways you look at it is either if you have a lot of inflammation, then you know your immune system is confused and attacking self, so to speak.

Dr. Philip Oubre (08:28):
Or number two is, if you’re testing immune levels and you see low levels, then that indicates kind of, once again, immune suppression, or once again, immune confusion. So, the two ways you can do that, of course, inflammatory markers are easy to test. Any doctor can check them, hsCRP is an easy one that anyone, everyone can draw, and ESR, estimated sedimentation rate, also called a SED rate.

Dr. Philip Oubre (08:53):
There’s all kinds of other fancy things you can do, like micro albumin, creatinine ratio in the urine, Lp-PLA2, myeloperoxidase, oxidized LDL-

Aubree Steen, FNTP (09:01):

Dr. Philip Oubre (09:02):
TMAO. Those are a little more complicated markers, but if you want to ask your doctor for one marker, it’s hsCRP marker. That’s the best marker. If it’s normal, it doesn’t mean you don’t have an issue, but if it’s abnormal, greater than one, then you know you’ve got some sort of inflammation.

Aubree Steen, FNTP (09:17):
Yeah, we want less than one.

Dr. Philip Oubre (09:18):
Yep. The other marker that we like to look at, and once again, any conventional doctor can order this. It’s in a stool study, but it’s called a fecal secretory IGA. And this fecal secretory IGA marker is in your stool, of course, and it’s a marker of how well your immune system is reacting to whatever’s in the bowels.

Dr. Philip Oubre (09:37):
Now this is an interesting marker, because you don’t want it too low, but you don’t want it too high. So almost inevitably, whenever that marker is too low, whenever it’s close to zero or undetectable, there’s always candida or mold, one of the two growing the bowels or the patient’s exposed to.

Dr. Philip Oubre (09:53):
And then secondary, if the IGA is really high, the fecal secretory IGA is really high, not the blood because you can do a blood IGA, but this is a fecal secretory IGA. I mean, if the blood is low, the same rules apply. But at the fecal secretory IGA is really high then that says that you’ve got such a bad overgrowth in your bowels of whatever it may be, that your immune system is on high alert in an inflammatory state. So there’s kind of the inflammatory immune confusion, then there’s just the kind of immune suppression, immune confusion. Mold and candida to like to do the immune suppression confusion. Typically, bacteria love to cause the inflammatory version.

Aubree Steen, FNTP (10:28):
Right. Because when you and I see that, most commonly with mold, especially mycophenolate or mycophenolic acid, which you all know in the hospital as CellCept, which is a known immunosuppressor.

Dr. Philip Oubre (10:39):
Right. So that’s been a kind of interesting thing as we’ve learned more and more about mold. We test for mold, you can check a mycophenolic acid level, but mycophenolate is sold as a drug. Anyone with a transplant knows CellCept. It’s commonly used in autoimmune conditions, inflammatory conditions, but it’s basically a mold toxin that they’ve designed into a drug to be an immune suppressant. So if that doesn’t prove that mold is an immune suppressant, I don’t know what other data you’re looking for.

Dr. Philip Oubre (11:07):
Literally big pharma took a mold toxin and turned it into an immune suppression drug called CellCept. And when our patients are taking CellCept and we do their mycotoxin testing, you can see it’s outrageous levels of mycophenolate. So yes, mold absolutely has figured out how to suppress and confuse your immune system. We don’t know how it’s done it, but it’s a process.

Aubree Steen, FNTP (11:29):
Yeah. And the reason why we bring up all of these, so these are commonly overgrown in the gut. It’s different from systemic toxins that you can test, like mycotoxins or environmental toxins. This is live living, growing mold, yeast, fungus in your bowels.

Aubree Steen, FNTP (11:43):
So I like the stool study too, because when you see the IGA, that stiff arm raised, it means there is something especially affecting that mucosal area in your immune system, in your gut. I think if that’s a standard on every single test, I mean, people have figured it out. Your gut health determines your immunity.

Dr. Philip Oubre (12:00):
Absolutely. So, Aubree mentioned a phrase I often call the IGA, the fecal secretory IGA as a stiff arm. So if you’re familiar with football at all, I’m not the greatest football person, but if you’re familiar with football at all, the stiff arm is when a player’s running down, the way … I’ll stiff arm this plant. When a player is running down the way and someone tries to tackle them, they just put a stiff arm, hit the face or the helmet, then they basically can’t tackle, they’ll fall over. So, that’s basically what the IGA is. The IGA is not really designed to be a killer. It’s not designed to be a … I know, it’s not a, “Don’t come near me.” It’s a, “I want you this far away. I don’t want you to any closer because then I’m upset, but I also don’t want you any further. I just want you about that far away.”

Dr. Philip Oubre (12:43):
So that’s why we like to see that IGA in the middle, it doesn’t need to be too low. It’s immune suppression. It doesn’t need to be too high. It means the immune system’s active and irritated. We’ll get into kind of treatment and other things we can do in the gut. But one thing we want to mention at least right now, as a takeaway message, is Saccharomyces boulardii is one of our favorite probiotics to add, yes, we pretty much put everyone on it, including ourselves. The reason why, Saccharomyces boulardii doesn’t actually grow inside of the human intestinal tract. But it, for some reason, kills bad bacteria, kills yeast and fungus. And to date, it is the only thing that I know that boosts IGA, fecal secretory IGA.

Dr. Philip Oubre (13:20):
So if you get your doctor to order a fecal secretory IGA … we do the full panel stool study through Genova called GI effects. There’s other labs that do it. So if you do that whole panel, you’ll see your fecal secretory IGA, but any doctor can order that. And if yours is low, definitely add SAC B. Even if yours isn’t low, add SAC B. If you’re alive and a human, add SAC B.

Aubree Steen, FNTP (13:42):
Add SAC B. Just add it. Whatever. It doesn’t matter.

Dr. Philip Oubre (13:46):
And SAC B can easily be found. The probiotic we usually use that has it is called ultra flora spectrum. It’s from Metagenics. You can buy it on our store, if you would like. But SAC B can also be found just regular over the counter. It’s made as, not a prescription, a brand name called Florastor. So that’s a decent version of SAC B, not our favorite, but really easy to find.

Aubree Steen, FNTP (14:07):
Right. Perfect. So I think some things to take into consideration, understand, do you have overgrowth? Do you have mold, candida, fungus, yeast? If you’re always getting sick, have your doctor or your nutritionist check your gut health with a stool study, a urine study, whatever you need. Stool study is our preference, but if you need to check anything else, look at that too. Be aware of food sensitivities and allergies, so are you eating those highly inflammatory foods, which we’ll dive into next video, and then just go look at lifestyle too, which we’re also going to dive into.

Dr. Philip Oubre (14:37):

Aubree Steen, FNTP (14:38):

Dr. Philip Oubre (14:38):
So check out our next video.

Aubree Steen, FNTP (14:40):
Perfect. And hit subscribe and then a little bell to get alerts when we make videos so we can constantly be in your feed. Okay.

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Aubree Steen, FNTP

With COVID-19 increasing exponentially at the same time we’re moving into cold and flu season, mindfulness about boosting the immune system should be at the forefront of our brain.
          Cordyceps Mushrooms are incredible for immunity. They’re one of the multiple food-based immune supplements that we recommend this season. They improve ATP mitochondrial function and the oxygen outtake to the cells. Studies have shown that VO2 max testing and fatigue resistance has been improved. VO2 max refers to the maximum amount of oxygen you can utilize during exercise. It’s commonly used to test the aerobic endurance or cardiovascular fitness of athletes before and at the end of a training cycle. Maybe it’s the boost you need to finally take first place. Regardless, this is extremely important during this cold and flu season.
         Beta glucans are also found in medical mushrooms and have an immune modulatory effect. I love immune modulation. It involves bringing immune cells back into balance, to let the immune system function correctly. This is very different from stimulating the immune system. 
           Stress during the holidays? We all know tensions can run high when you’re surrounded by the people you love most. Cordyceps are excellent for cortisol management, helping reduce the constant effects of the “fight or flight” response our adrenals are undertaking during high times of chaos and stress. *Cough* Those certain family members who know how to rub you juuuust the right way.

Here are the other foods we highly recommend:

Ashwagandha and Schizandra

These are helpful for supporting the adrenals, which are responsible for stress hormones such as epinephrine, norepinephrine, and cortisol.

Foods high in Vitamin C

Vitamin C is a powerful antioxidant. HIgh doses of Vitamin-C have been shown to mitigate massive inflammation with respiratory failure seen in patients infected with Covid-19. Vitamin C boosts the immune system and shortens the frequency of viral illnesses. VItamin C can help protect our body from oxidative stress, which exacerbates inflammation.

  • Citrus fruits – rich in Vitamin C, Quercetin (powerful antioxidants), bioflavonoids.
    • Oranges, lemons, limes.
  • Apples
  • Oranges
  • Bell peppers
  • Berries
  • Tomatoes
  • Cauliflower
  • Mustard greens
  • Strawberries

Foods High in Zinc

Zinc maintains the integrity of the skin and mucosal membranes, acting as a powerful antioxidant and helping. Zinc can also impair viral replications. 

  • Sprouted pumpkin seeds
  • Brazil nuts
  • Oysters and wild-caught seafood
  • Grass-fed and pasture-raised meats/eggs
  • Legumes, seeds, and nuts. Sprouted and soaked, if possible.

Foods High in B-Vitamins

B-Vitamins directly impact energy levels, brain function, cellular metabolism, and the growth of red blood cells. They are required for methylation and bodily process needed to support your immune system. Eat up!

  • Leafy greens (the more, the better.)
    • Kale, swiss chard, collard greens, spinach, cabbage, beet greens, watercress, romaine.
  • Legumes
    • Lentils, chickpeas, black beans, etc.
    • Soaked and sprouted if possible.
  • Nuts
    • Sprouted if possible.
  • WIld-caught and sustainable fish
  • Pasture-raised, organic eggs.

Foods High in Quercetin

Quercetin is our body’s natural support for helping the body cope with allergens and other breathing/lung/respiratory problems. 

  • The shape allows it to sit on the cell wall surfaces.
  • Quercetin is anti-inflammatory and can quench the cytokine type of fire if it starts to build. 
  • They can block surface active proteins that are active by the virus. 
  • Quercetin can surprise heat-shock proteins and act as antioxidants. 
  • It has inhibition of influenza and other coronaviruses.
  • Couldn’t suppress lung vitamin E. Use in combo with tocotrienols.

Can be found in supplementation and in foods such as:

  • Leafy green vegetables
  • Broccoli
  • Red onions
  • Peppers
  • Apples
  • Grapes
  • Black tea
  • Green tea or Matcha

Other Foods/Herbs to Strengthen the Immune System:

  • Ginger 
    • Anti-nausea and anti-inflammatory
  • Manuka Honey
    • Anti-microbial, extremely powerful for the immune system.
  • Turmeric
    • Anti-inflammatory
  • Lemon
    • Rich in Vitamin C and Quercetin
  • Garlic
    • Anti-microbial
  • Bone Broth
    • Has an abundance of amino acids, calcium, magnesium, and zinc.
  • Apples
    • High in Quercetin, anti-inflammatory, anti-oxidant, and antihistamine.
  • Salmon
    • Anti-inflammatory with EPA/DHA fats
  • Brazil Nuts
    • Selenium for immune regulation
  • Fermented vegetables
    • Sauerkraut, kimchi, and probióticos from sunchokes and jicama all support your microbiome, feeding beneficial bacteria to fight infections.
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    Recently, we’ve added Ozone Therapy as a service to our patients here at the practice. We adore it for a plethora of reasons, but there are three functions that stand out.
        One of our functional nutritionists, Kathy Katz, pioneered our ozone therapy introduction to the practice. Right now, we’re utilizing is primarily as a method to kill/inhibit mold growth in the sinuses. We’re having incredible success, such as patients gaining their sense of smell after months of absence, a full nights rest after 10 years of insomnia (wow!), and brain fog dissipating as quick as you can say “holy moly!” Needless to say, there are endless benefits of ozone. Kathy eloquently combined these benefits below:

Ozone is molecular O3 (we breathe, molecular O2). When ozone enters your body, the extra oxygen atom reacts with your cell membranes in your body almost immediately.  It has a hermetic effect as it stimulates the body to do something better by irritating it. 

  • Energy production. Low doses of ozone lipoperoxides gently stress your mitochondria, making them stronger and more efficient at producing energy.
  • Brain function. Lipoperoxides can cross the blood-brain barrier and reach your brain, which has a huge concentration of mitochondria. That could explain why ozone therapy helps people recover brain function after a stroke. Ozone therapy also increases blood flow to your brain, which further boosts  your mitochondria.
  • Decreased inflammation. It seems strange that flooding your body with free radicals decreases inflammation, but it’s true. The key is getting the right dose. Low levels of ozone stress your cells just enough to make them stronger; they produce glutathione and superoxide dismutase, two of the strongest antioxidants in the human body.  Low-level ozone also activates heat shock proteins, the same anti-inflammatory proteins that turn on when you use a sauna. Ozone forms lipoperoxides, a type of free radical. Normally, you hear about how damaging free radicals are, and how you want to get plenty of antioxidants to prevent them from aging your cells. But in certain cases, free radicals can actually be good for you. According to Dr. Frank Shallenberger,  a leading ozone therapy expert, “We’re led to believe that free radicals are bad.  Oxidants and free radicals in the correct dose, in the correct amount, are actually highly beneficial.”  A good example is exercise. Working out creates free radicals in your muscles, and the inflammation they cause makes you build stronger, more efficient muscle with more mitochondria.  According to Dr. George Papicolauo, DO and Functional Medical practitioner,

“Ozone has been shown to modulate that response so that it will actually produce more of the anti-inflammatory cytokines versus the pro-inflammatory cytokines and activates your antioxidant system.” 

  • Faster wound healing. Ozone speeds up wound healing and blood flow, and is especially useful for chronic or treatment-resistant wounds.
  • Anti-mold, antibacterial, antimicrobial, and antiparasitic effects. Ozone treatment started out as a way to sterilize drinking water.[8] Researchers quickly realized that it also treats bacterial infections, even when bacteria are resistant to antibiotics, and kills parasites. Ozone completely removes toxic mold and mycotoxins as well. 

Ozone therapy disrupts the integrity of the bacterial cell envelope through oxidation of the phospholipids and lipoproteins. In fungi, O3 inhibits cell growth at certain stages. With viruses, the O3 damages the viral capsid and upsets the reproductive cycle by disrupting the virus-to-cell contact with peroxidation. The weak enzyme coatings on cells which make them vulnerable to invasion by viruses make them susceptible to oxidation and elimination from the body, which  then replaces them with healthy cells. (Ozone therapy: A clinical review, A.M. Elvis and J.S. Ekta.

  • Stimulation of oxygen metabolism: Ozone therapy causes an increase in the red blood cell glycolysis rate(breaking down glucose or sugar molecules). This leads to the stimulation of 2,3-diphosphoglycerate which leads to an increase in the amount of oxygen released to the tissues. Ozone activates the Krebs cycle by enhancing oxidative carboxylation of pyruvate, stimulating production of ATP. It also causes a significant reduction in NADH and helps to oxidize cytochrome C. There is a stimulation of production of enzymes which act as free radical scavengers and cell-wall protectors: glutathione peroxidase, catalase and superoxide dismutase. Production of prostacyline, a vasodilator, is also induced by O3.(Ozone therapy: A clinical review, A.M. Elvis and J.S. Ekta.
  • Strong teeth and gums. The combination of antibacterial and anti-inflammatory benefits makes ozone a powerful tool for dental health. 
  • Immune Modulation :  Asthma is a chronic inflammatory disease, and inflammatory markers are often seen in the blood of asthmatics which can lead to oxidative stress. A study in 2005 found that regular ozone therapy was effective at reducing these markers of inflammation, regulating oxidative stress and as an immunomodulator (ozone therapy is able to modify the immune system to cope better with inflammation). Also In 1995, a literary review concluded that ozone therapy can have “profound effects on systemic immunity”.
  • Reversal of Damaged Brain Tissue After a Stroke :  After a stroke, the affected area of the brain begins to lose it’s crucial oxygen supply, causing hypoxia of the surrounding brain cells. This area of damage is known as the penumbra. The best course of action is to restore oxygen to the penumbra as soon as possible to reduce damage. A 2012 study found that supplying a mix of oxygen and ozone gases to hypoxic brain tissue appeared to revert the damage. The authors of the study concluded that they support the use of oxygen-ozone gas in “well designed clinical trials in stroke patients”.
  • Cell Oxygenation: As in the case of strokes. hypoxia, when tissues don’t get enough oxygen, can lead to tissue death. Hypoxia can occur in other organs, such as the lungs after a severe asthma attack, and throughout the whole bloodstream if you have anemia.
  • Stem Cell Activation and Repair:  Our stem cells are continually working to produce new cells, be they heart, brain, blood, nerve, skin or any other cell. Without stem cells, we wouldn’t survive. The more ready our stem cells are to reactivate into new cells, the better. There’s now evidence to suggest that ozone therapy could improve this readiness to reactivate, thus leading to better cellular repair.

Potential ways  to utilize  Ozone: 

  • Ozonated water/oil is the easiest form of ozone therapy. You put ozone in water or oil and swallow it, delivering ozone to your stomach. This option is good for clearing out pathogenic gut bacteria or parasites. You can also swish ozonated water or oil around your gums for better oral hygiene, or put it on skin wounds and infections. 
  • Rectal ozonation: insert a catheter and instill up to a liter of ozone gas into your colon. The ozone goes straight to the liver, which makes it good for enhancing detox and liver function, and it will reach parasites and pathogenic bacteria in your gut. 
  • Nasal and ear insufflation: for sinus issues and allergies, decreasing inflammation and sinus pressure and for clearing brain fog.  Ozone given thru the ears can enter the lymphatic and blood system easily.  
  • Prozolone injections to restore join function and minimize pain.  This can be especially beneficial for osteoarthritis most commonly knee pain.  

Ozone is contraindicated for patients with: 

  • G-6PD deficiency or favism (very rare)
  • Pregnancy
  • Thrombocytopenia
  • Serious cardio-vascular instability
  • Patients being treated with ACE inhibitors which cause blood vessels to enlarge or dilate, and blood pressure is reduced
  • Any bleeding disorders
  • Ozone Allergy

Contact us at the front or 512-829-1104 to get scheduled today.

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