b'[ CONTINUED FROM PREVIOUS PAGE ] (decreases LPS translocation), Lactobacillus salivarius (improves beneficial gut bacteria. Serum-derived bone immunoglobulinstight junctions), L. acidophilus and B. lactis (helps with IBS (SBI) help prevent immune activation by binding microbesand bloating), L. rhamnosus (improves mood through vagus and toxins, leading to decreased inflammation and less tissuemediation), and B. longum (improves noninfectious chronic, damage. low-grade gut inflammation and vagal integrity).Berberine HCL activates the enzyme AMPK (AMP-activatedReintroduce. When the symptoms of dysbiosis are reduced or protein kinase), sometimes called the bodys metabolic mastergone, foods removed earlier in the process can be gradually switch. In the gut, it improves tight junction dysfunction,reintroduced. Continue to avoid GPS and DNA and fried foods. helping to heal the damage of leaky gut syndrome. BerberineContinue to avoid foods shown by testing to cause allergic is also highly effective for treating dysbiosis and dyslipidemia.responses. It is the first supplement to turn to for the patient with seriousRetain. Retaining the gains in gut integrity and overall physical imbalance of the gut microbiome. 2 and mental health is on ongoing process. Avoiding a poor diet, Concentrated aromatic oils such as thyme oil, oregano oil, sagelack of movement, and stress takes commitment and knowl-leaf, or lemon balm leaf are natural antibiotics. Allicin (garlic)edge. Help your patients by educating them and supporting extract is a natural antifungal.them as they seek to gain and retain improved health. Going forward, gains can be retained with a daily multivitamin plus A thorough liver cleanse is also helpful to remove accumulatedphytonutrients, vitamin D with vitamin K, omega-3 fatty acids, toxins.a quality probiotic, and green drinks. Follow GPS and DNA. Replace. People with gut dysbiosis often need to replenish andRegular exercise is a must. replace digestive enzymes and stomach acid. Paradoxically,The gut-brain axis is complex and, in todays toxic world, easily symptoms often attributed to excess stomach acid may actuallydamaged. A thorough understanding of how the brain and be caused by low gastric acidity. To improve acidity, titratethe gut are linked gives practitioners the ability to treat the betaine HCL with pepsin up to a warming dose. Pancreaticdamage with relative ease by guiding patients through the enzymes can be dosed with each meal to improve insufficiency.needed changes to diet and lifestyle. The reward? What every A comprehensive enzyme complex that includes amylase,practitioner wants: A patient restored to vigorous physical and papain, trypsin, and lipase helps promote healthy digestivemental health. function. REFERENCES:Regenerate. After the diet has been reset and the toxins1. Shilling M. et al. Antimicrobial effects of virgin coconut oil and its medium-chain fatty acids removed, the damaged intestinal mucosa need help to regen- on Clostridium difficile. J Med Food. 2013 Dec;16(12):1079-85. doi: 10.1089/jmf.2012.0303.erate and repair the intestinal wall. The amino acid glutamine2. Gu L et al.Berberine ameliorates intestinal epithelial tight-junction damage and down-regulates myosin light chain kinase pathways in a mouse model of endotoxinemia. J is key to this process. Overall, glutamine protects muscle tissueInfect Dis. 2011 Jun 1;203(11):1602-12. doi: 10.1093/infdis/jir147and supports immune function during periods of immune3. Joanne Slavin. Fiber and Prebiotics: Mechanisms and Health Benefits. Nutrients. 2013 Apr; and muscular stress. In the gut, it supports the integrity of5(4): 14171435. Published online 2013 Apr 22. doi: 10.3390/nu5041417. intestinal mucosal cells and helps restore tight junctions. Other nutrients that may be helpful include omega-3 fatty acids (toRob Silverman, DC, DACBN, DCBCN, MS, CCN, CNS, CSCS, improve bacterial diversity, downregulate TLR4, and attenuateCIISN, CKTP, CES, HKC, FAKTR, is the founder of Westchester the NF-kB pro-inflammatory signaling pathway). Other toolsIntegrative Health Center, which specializes in the treatment of for regenerating the mucosa include curcumin, N-acetyljoint pain using functional nutrition along with cutting-edge, glucosamine (NAG), ginger, aloe vera, grass-fed collagenscience-based, nonsurgical approaches. Dr. Silverman is on the peptides, zinc carnosine, MSM, okra powder, glucosamineadvisory board for the Functional Medicine University, the advi-HCL, branched-chain amino acids, and pro-resolving mediatorssory board for Metagenics and is a seasoned health and wellness (PRM). expert on both the speaking circuits and within the media.Re-inoculate. In gut dysbiosis, the bacterial balance is disrupted. Re-inoculating the gut with high-quality prebiotics and probiotics can help restore beneficial bacteria and crowdTheout harmful bacteria. Fiber is crucial to resetting the micro- Foot Levelersbiomeit is the fertilizer that makes a healthy microbiomeKIOSKflourish. Fructooligosaccharides (FOS), found in complex soluble fiber, act as prebiotics that nurture the growth of beneficial bacteria QuickEducationalin the colon. The FOS inulin is particularly valuable for reaching the distal (left descending) portion of the colon. Supplements Easy to useCloud-basedof FOS powder containing inulin ensure regular and controlled dosing. 3 Revolutionize Your PracticeProbiotics should be chosen for the specific beneficial bacteria800.553.4860 in the formulation. Included should be Bifidobacterium lactis 18 I Fall 2019 www.anjc.infoANJC Aug 2019.indd 1 8/14/19 5:19 PM'