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Bradford S. Weeks, MD
www.weeksmd.com
Creates vitamins
Modulates acid-base
Human Colon air contrast barium enema
BSW (c) 2009
>1000 genera
>500 cultured species Dominated by 2 divisions
Why cows?
BSW (c) 2009
Why no cows?
Bernard
the role of "milieu" or environment changes the mix of microorganisms as the body moves from alkaline pH to acidic pH.
imagine flattening out all the villi to account for that surface areas
BSW (c) 2009
Bigger!
The Football Field Within
Per Dr. Stephen Olmstead, M.D.
Where is my GI tract?
It is OUTSIDE the human body. All the microorganisms live outside of us. If they entered within us, into out blood stream or tissues = death .
Probiotics and antibiotics function outside the human body.
BSW (c) 2009
Doughnut Metaphor
Things can pass through man and things pass through doughnuts.
Football player
Beef
Dysbiosis
Altered gut flora intoxicates all organ systems.
Leaky gut syndrome leads to these illnesses: 1) Chronic 2) Degenerative 3) Occult 4) Debilitating
History of Probiotics
10,000 BC fermented beverages (mead)
3,000 BC yogurt
Hippocrates (460-370 BCE) Sour milk for GI disorders Pliny the Elder (23-79 CE) Natto Fermented soy Health benefits of sour milk All native cultures eat a raw or fermented food
Kombucha tea
BSW (c) 2009
The dependence of the intestinal microbes on the food makes it possible to adopt measures to modify the flora in our bodies and replace the harmful microbes with useful microbes.
Digest & metabolize proteins & carbohydrates Synthesize B vitamins & vitamin K Catabolize bile salts Enhance innate & acquired immunity Inhibit proinflammatory mediators Antimicrobial activities against array of pathogens:Pseudomonas, E. coli, Staph. aureus, Salmonella, Shigella, Candida & H. pylori Reduces GI concentrations of carcinogenic enzymes Antagonizes rotavirus & C. difficile Suppresses enterohemorrhagic E. coli internalization Inhibits EHEC intestinal cell adherence & invasion Decreases production of inflammatory mediators Supports intestinal barrier function Reduces translocation of gut flora
Inhibit proinflammatory mediators Inhibit pathogens via organic acids & H2O2 Inhibits enterotoxigenic E. coli receptor binding & translocation Inhibits Clostridium proliferation Enhances GI sIgA response to dietary antigens Modulates cytokine response to respiratory antigens
Probiotic Dosing
May need to start low , go slow
(SFO)
Acid stable technology - 50-90% viability Unprotected probiotics - 10% viability Doses in the millions CFU - may not be beneficial Trend is for 100s of billion CFU 109-11 CFU tolerated by immunosuppressed patients 110 billion CFU/Kg tolerated by infants
Stomach pH:
fasting: 1.5
with food: 2 3
Transit time: 30 min 1 hr
Travelers diarrhea
Inflammatory bowel disease Irritable bowel disease Vaginal dysbiosis Urinary tract infections Allergies, atopic dermatitis, eczema Lactose intolerance Hyperlipidemia
He has courage
not,
He is obese!
THE END I thank you again for your kind attention and invite any questions.
BSW (c) 2009