Psoriasis and Rosacea, are these disorders stemming from the gut-_en (auto-generated)
hi I'm Dr Martin ruford I am a chiropractor since 1979 more importantly to this presentation I am a certified functional medicine practitioner of several years Dr Randall Gates board certified Chiropractic neurologist also a chiropractor today we're going to talk about psoriasis and rosacea is the connection in the gut and that's going to lead us to a lot of other things relative to potentials of diet and different types of supplements that you may not be aware of could have something to do with this um Dr Gates is a board-certified functional Chiropractic neurologist I am a functional medicine doctor and we put our disciplines together in an effort to evaluate and treat chronic pain over a period of years we have been together for about five and a half years and we have started we've treated fibromyalgia ultimately fibromyalgia all have chronic fatigue we've treated chronic fatigue a lot of those people have perip neopath we we've learned how to treat periph opathy those people have restless like syndrome so you know we've gone on the restation went on and on and on and on we treat uh mostly neurological issues but we treat but to treat all these issues what we found was there are a handful of critical areas that someone needs to know to be able to stop their progression in these in these conditions and reverse it reverse it usually quite substantially to the point where it almost is like normal and then maintain it and those areas um are one area is chronic stress a chronic fight-flight syndrome in your brain that uh that creates a lot of bad chemistry in your body another area is the immune system we've had to really understand the immune system quite Thor thly to be able to apply principles in an organized fashion to conditions that have not yet been embraced as an immune problem or or are treated in a way that maybe isn't the best way um we've had to embrace the thyroid the thyroid I I've said to Dr Gates many times I can't I I don't know if we've had a fibromy patient ever come in here who has not had Hashimoto thyroiditis and if you've never heard of that a chronic problem look at our website and look up Hashimoto and then um the the one that we seem to talk about most online is the digestive bow system these seem to be the four key areas that pretty much everybody who comes in here has some combination of those problems some combination of them being misdiagnosed not diagnosed mismanaged um managed in a model of care that really has no chance of creating a an effect of stopping the condition or reversing the condition and so that's what we're going to talk about today we're going to talk about psoriasis and rosacea and there is the connection in the gut and that's going to lead to I think a number of other areas that you're going to find of great interest especially if you have this because we've treated a lot of patients with psoriasis over over the years none of them have come here for psoriasis they all came here with fibromyalgia or something or gut problems or gut problems lose weight or gut problems lose weight or thyroid or something like that and invariably I was reviewing with Dr Gates I just said how many how many patients have we have because I I I'm not doing the treatment anymore but I but I do interviews and I do reports and I do a lot of different things the way we have things set up and I get to talk to the patients after they've been through different chunks of their treatment say and my skin problems are going away and we're not using uh the types of drugs that we're probably going to talk about later on and and so the research backs us up on that Dr Gates has done an enormous amount of research on this and he's going to share uh with you some of the most pertinent research that he has done today and so let's talk about psoriasis the incidents of it U what is it I think what is it probably would would go first how frequ how how how frequent it is and absolutely so psoriasis psoriasis is a skin condition many of you know it can have varying manifestations frequently in medical schools it's taught as you know scaly lesions over the extensor surfaces of the body as we term it so like the elbows over the knees but there can be other forms of it and it really requires a dermatologist to diagnose it most medical doctors chiropractors dos will say relative to the skin um if you have what appears to be a rash go see a dermatologist because that's their entire world with that being said once you're diagnosed you need to know that about two to 5% of the world population has psorisis so it's actually more common the rheumatoid arthritis which is pretty interesting so it's a we probably tell them to go to an internist or go to us yeah exactly you'll get that later on so that's those are the general statistics with psoriasis but as Dr was saying relative to kind of our flow on on treating these varying illnesses and now we seem to be a clinic of neurological issues and autoimmune disease basically uh we have seen a great connection between the gastrointestinal tract and several autoimmune disorders and that's why we're doing these broadcasts we're also doing these broadcasts because there's a there's a the beginning there's the glimmer of an awareness regarding food diet and autoimmune disease and that really started with gluten which is a good first step however it's really just the first step on a very complicated Journey that we have come across to really help these differing autoimmune diseases there are nuances between all of them that are important diets May differ for rheumato arthritis patient in our Clinic versus a hashimotos thyroiditis patient which is where the immune system kills the thyroid So today we're going to go into to all of that in terms of psoriasis and what it's like to live with it it is a miserable condition I read an article and obviously patients are going to have issues with their skin and itching and flaking and symptoms of that nature but they really talked about the emotional burden of psoriasis because uh they want to go to the beach we're vain culture and so people are afraid of what it looks like and I even remember when we were studying Dermatology in school I thought wow what a what a significant illness that is to be afflicted that class cuz it was too ugly to look at we shouldn't laugh we're going to get some sensitive we're not laughing at you we're that goes back to a long joke where uh Dermatology is not just the most exciting class when going through school no they show you they basically show you slide after slide after slide I guess slide that tells you when I went to school and usually the worst Cas the worst cases that you can possibly imagine and my class was at 7 o'clock in the morning right so it was uh it was I was not prepared for that so that is why we laugh because Dr joked about it in the past it is laughing but it's uh um yeah it's it's very emotional kids wonder if they're going to be able to have spouses or I mean if they're not already you know in some sort of relationship and and I mean people probably get to the point where they consider suicide over if it gets bad enough it's because it doesn't go away supposedly and and it can be controlled but it doesn't go away and the emotions are are a very big thing and to go back to the part that you said about gluten you know just being the glimmer we used to when we as this has evolved our our office has been an evolving situation as we were able to see different things that made a positive uh uh change in a person's clinical picture um we would Implement that and then we would see other things and we used to just say get off gluten and then we found that gluten was just the tip of the iceberg relative to diet and to to say a little bit more about the diet for one condition might be different than the next frankly the diet for one patient with the same condition might be different than the next so diet is like anything else we want to we want to make everything a one- siiz fits all um today and we want the paleo diet which is a great diet and we want the specific carbohydrate diet or whatever diet and and and we want to try that one and we want to try this one but it worked for that person at sasis we it didn't work for this one you're about to find out why that is the case and uh and there are a lot of different factors to that so there's there's never going to be based on our observation the standard diet for the autoimmune patient whether it be the psoriasis patient or or the rheumatory arthritis patient there there are common elements but we'll talk about everything that um that actually affects that that actually affects the psoriasis and the diet so um I guess we should just go into treatments go into like okay you know you have cicis most people or now we did talk about some of you may have eczema that has been diagnosed with psoriasis but we won't get into that real heavily but most of you at least think you have psoriasis or definitely have psoriasis so we won't get into all the clinical diagnosis of that let's talk about how it's treated so the current treatments right now are uh the bi bi ologic therapies you've probably heard of them biologic drugs commonly used for psoriasis are enil another one is Remicade there are a variety of them and there are now this new class called the biosimilars which are a little cheaper and that brings us to our next point we went to a lecture in 2013 By a rheumatologist and he was talking about the effects of cost on the with these medications for a lot of people now at that time a significant percentage of the population did not have health insurance and he was detailing some statistics about how a lot of psoriasis patients go bankrupt medically because they just can't afford the medications anymore and it was pretty staggering I think he was saying like within five years was were the statistics he was quoting so we're not saying that applies to you but just know that these medications are not cheap they can range from 12,000 to 30,000 a year on average I'm not saying specifically embil or Remicade but generally these biologics are pretty expensive and we discussed last week because we're kind of doing this as part of a series regarding autoimmune diseases and infections uh that it's anticipated that these biologic therapies are going to cost a trillion dollars over the next decade for a healthare system for autoimmune diseases and to a certain degree cancer so obviously the I shouldn't say Obviously Dr ruford is working with me on that sometimes things are obvious in my obvious they wouldn't be watching us exactly forgive me for saying that from that it becomes apparent that we have a an issue here where we have expensive therapies that are effective most psoriasis patients are pretty happy with the biologic therapies uh right now again know that biologic therapies are relatively new so the long-term implications and Effectiveness are not completely known yet we talked about that last week and that's kind of the skinny on the current treatment for psoriasis yeah and there are a lot of other things that people do I remember my father-in-law had exen he would come up to our house up there in tyru we live not far from Lake Tahoe and and there's a lot of sun here in Reno this is called Big Sky kind you look up and all you see is blue sky as far as the I can see and he he had eczema he would sit outside in the sun and by the time he would be here for three weeks and by the time he went home his his eczema would pretty much be be gone interesting um they talk about UV light stuff and they talk about laser stuff and the point I want to make about that for those of you might have said they're even doing D3 injections now I think and there's I think that might be interesting to discuss but um but the point being that still these really aren't getting to even that and that's way better than taking drugs no question about it we're we're all over that but even that we're we're kind of a you know I've I've been in man I've been Alternative Care Now for get to the cause of the problem we get to Thea cause of the problem but yet frequently we weren't getting to the cause of the problem but we were doing a less uh offensive job of getting the problem calmed down or under control and so I'm a chiropractor I don't know how many chiropractors are watching out there but early on it struck me that having to adjust somebody every week or two for the rest of their life probably meant that I wasn't getting to the cause of the problem so I'm gonna get a lot back on that okay but so we started looking at other things muscular skel do they have a short leg do they have a pu foris problem do they have a SE problem long before anybody even was talking about this stuff because chiropractors were not to look into muscles or anything like that and sometimes sticking a lift in the guy's foot or giving them an orthotic or whatever or sending them to a massage therapist got to the cause of the problem um and I I've had a lot of folks come in through the years who've been on these oh I go through and I sit out in the sun and I take UV and that's way better than than than the drugs and the immunosuppressants and things of that nature but it's still not getting to the cause of the problem and we're going to tell you we think that the research is pointing out that we we can get to the cause of the problem and it may not be curable okay but it definitely can be stopped and reversed and controlled and at that point this is closer you're going to get to the cost I mean of the problem would that be correct I think that'd be correct based on the current data okay for sure so let's do the current data let's do the current data on the gut relationship with psorasis okay and they're all dat guy and I'm gonna take one step to the side and then we're gonna hit that okay I don't know that we've really specifically mentioned this thus far psorasis is an autoimmune disease so your immune system isn't in essence attacking your skin we are never supposed to have autoimmune diseases our immune system is designed to prevent our immune cells and chemicals from attacking us so those checks and balances have broken down in you what the enil is doing what the Remicade is doing what these biologic therapies are doing is that they're basically immune cells killing our immune cells so that they don't kill you if that makes sense and that's why they can work because there's so much immune inflammation going on in your body resulting in psoriasis they have done studies where they have shown in cases of psoriasis chronic fatigue syndrome ulcer of colitis that these inflammatory markers are very elevated like tumor necrosis Factor Alpha that's one you should kind of be aware of you hear tnf Alpha Inhibitors it's just an inflammatory General in the immune system if you want to think of it that way another one that we look at as an inflamatory marker is C reacor protein and so these go up in the thought process process is that they're going up because there is imbalance in the gastrointestinal tract you well how does that work well 70% of your immune system is right here in the GI track thank you to eron Andrews and her align probiotic commercials uh that awareness spreading but it is complicated it's a very complicated environment in your gastrointestinal tract we're talking about trillions of microorganisms pounds pounds of bacteria pounds of bacteria in your gut a variety of different species that are actually semi hard to classify because they grow in an anerobic environment so it's not like we can just take a stool sample and culture it out and say oh Jerry you have these bacteria and Linda you have these ones because they die once you get them out of there so now they have to use genetic analysis for a lot of these bacteria which we used to use until uh the lab was sold but now we're looking at going back to that but it's kind of interesting so genetic analysis of the bacteria of psor psoriasis patients is now being used and what they found is that there's really a lack of diversity in psoriasis patients versus normal control so normal people have good they have a forest with lots of trees whereas your forest and your GI track is uh one kind of tree exactly or just a few types of trees all pine trees we live near Lake Tahoe where all the pine trees were cut down at one point in time to build Virginia City which had this big silver thing and now they planted all pine trees you go up there it's just it's beautiful but it's just a billion all of the same height I might have that's true it's pretty weird but it's beautiful how funny thought of it that so that's what it is you have you have all the same pine trees in your gut so that has unequivocally been which is not good no it's not good it's not good for generalized immune health and we know that the skin in the gastrointestinal tract seems to have a relationship to skin throughout the rest of the body those Studies have been done relative to eczema it's talked about in the celiac disease lit literature overlap between psoriasis and Celiac or dermatitis or pedoph foris and celiac disease so we know there's this gut connection and it appears that when we only have a few types of bacteria or we have less diversity in the GI tract we get more inflammation throughout the system we also see that psoriasis is highly associated with obesity and those who are obese have a greater degree of psoriasis or it's harder for medical doctors to control if someone's non-obese I know I'm kind of going off the oh no it's cool I was just thinking is that the is that the obese person who just can't lose weight or is that all obese patients and there's a big difference in our clinic in that they just said basically the psoriasis patients who are more difficult to treat are obese okay and have a high and the reason I said that is because we have Bo bees patients come in who can't lose weight and they're usually either going to have an abnormal thyroid problem blood sugar problem gut problem which is why I asked that exactly okay or they're going to be stressed out of their minds or all four and then that creates a chemistry where you're just not losing weight no matter what you do so I would bet that it was more of those guys probably I would bet too those are the ones we've seen those had psorasis those are the ones we see what we know now with obesity diabetes pre-diabetes is that there is a bacterial issue in the gastrointestinal tract we've talked about it at length if you watch our weight loss videos or pre-diabetes in the gut lecture what we know is that obese individuals diabetics they have too many of what we term the wrong type of bacteria pieces of those bacteria not whole bacteria but pieces break off and go into our bloodstream this causes systemic immune activation it also results in insulin resistance and because there systemic immune activation there's inflammation and that's part of the metabolic syndrome that we've talked about as well which is where you're obese you have inflammation in your body your cholesterol is high and you may have pre-diabetes and depends on the criteria you use but those are the generalities so now there's this overlap with obesity and psoriasis and they've looked at um gastric bypass patients and there have been some studies coming out where a psoriasis patient who is obese goes through gastric bypass and as soon as they have the gastric bypass before they start losing weight their psoriasis starts going away which is really interesting and one of the thought processes there is that there's this chemical called glucagon like peptide that goes up 20 times after a gastric bypass and it has been shown to basically calm down the immune system but it's a gut hormone and now they're doing work where they're using medications that are basically they look exactly like glucagon like peptide and they're also seeming to help psoriasis patients so again there's this gastrointestinal tract connection you know in the end I mean most most of the time when people come in here with some sort of skin abnormalities General rashes and all that type of stuff it usually ends up being somewhere in the yeah in the gut like either I mean I could be adrenals but but most of the time it seems like it's it's going to be like liver problems or or small intestinal problems or something like that and think about it your skin is basically an extension I don't know if you know this think about it but your skin is basically an extension of your intestinal tract it's all one continuous this goes in kind of goes in your anus in your mouth it's all one continuous uh uh organ if you will and so uh so if you get skin problems any kind of skin problems start thinking gallbladder liver intestines stuff like that or stress that's such a fascinating analogy it's true I know we use the analogy of the dut basically donut doesn't do it for me but keep using it it has it's for a dut you know the inside of the doughnut is made up of skin which is the same skin that makes up the outside of the doughnut it's probably because I see this big doughnut with all this Puffy Cream probably because you like clat them I can't eat them you don't like the little round ones with the chocolate on top like right and I can't eat them but uh yeah and obese patients are much more difficult to treat with psoriasis than non-obese patients for these reasons for these reasons and one of the interesting studies that I attached to today's broadcast was regarding probiotics now Dr ruford and I sometimes get a little angry regarding the discussion of probiotics because everybody wants I think I get angry because it's a simple solution you know everybody you have this hugely complex Forest of the Gast testal tract you have elements of leaky gut syndrome which we haven't even talked about you have a gazillion food intolerances that may be causing this lack of bacterial diversity which we haven't talked about and then somebody comes out and says oh you need to take a probiotic and when I'm doing the consult and people told me that I said you know that's like peeing on a forest that's how I typ of bacterium called bifido bacteria and it is referred to qually as a good bacteria and they went in and they took sis patient a probiotic yeah they took psorasis ulcerative colitis and chronic fatigue patients they measured their tumor necrosis Factor Alpha they measured their C reactive protein across the board they were elevated inflammatory markers and and immune markers they're elevated signs of inflammation they take a control group they take a a treatment group it's double blinded so the people giving the treatment they don't know if they're giving the uh control group probiotic or Placebo same thing for the treatment group and it comes out the treatment group has these staggering improvements where their tumor necrosis Factor Alpha drops into the tank so it goes way down kind of like you would see if you were taking a biologic medication and then they inflammation their C reactive protein goes way down and I'm going to say just with the supplementation of bifido bacteria and we present this literature because we're seeing things clinically that are not going to appear in the literature for maybe 10 years we saw that we've talked about itens with fibromyalgia as an example we were seeing things and then all a sudden now it's just popping up because clinicians have to see these associations who then talk to researchers who then in engage in a research study that takes years to complete and publish and then you're going to hear about it well we do well we I mean ultimately not the not the promoter it's okay just say the reason that we've been able to do that is because we we started to understand what chronic pain looked like but so we so we crafted an exam that was a pretty that's a it's a pretty standard exam that we put together Dr Gates does a neuro exam from head to toe every aspect of your nervous system and I do the the general systems exams everything else and after you done a hundred fibromyalgia patients you start to see the commonalities among them and as you start taking the histories I know for the fibromyalgia patients I was totally in shock that every one of most of them most of them were sexually physically verbally abused but that all of them had some sort of a stress component that put them in like almost like a a post-traumatic stress syndrome 24 hours a day that was one aspect that was that's what doct Gates is saying so we can see that well we're clinicians we can look at that and say man we got to do something about that we do something about it and they've suddenly improve well we don't have to do a 10-year study and submit it to uh the Journal of the American Medical Association so that they can reject it or say oh it's okay now you got to do another fiveyear study and oh by the way we need to make a drug for it and all those types of things so so we have we do see things way ahead of time way ahead of time it because of because of the way that that we go about things and and so that's why we can talk with some confidence on this I think we should talk about it's not you didn't have it down here but but you know I you look on WebMD you look on the Mayo Clinic you look on all these other ones that people think are you know the end last word of it and there's almost no mention of diet almost zero mention of diet um we've seen people get off of gluten and and have it help their psoriasis and their eczema and so on and so for and now there are clinical trials being talked about online in the research database about this okay okay and then once you and then and this kind of dovetails with with what we said about um not only does this abnormal balance of bacteria contribute to uh you getting eczema but it also contributes to you having to figure out which type of dietary recommendations are good for you I the best dietary recommendation I saw was on WebMD and they said just eat a good diet and get exercise and get out in the sun now and then um and so but but what we have found is is that food sensitivities play a big part in this and the food sensitivities frequently are different in in everybody and they can vary now you have again all the things you talked about you have small intestinal bacteria overgrowth if you have something called leaky gut and you have eczema you I'll tell you you have food sensitivities and you'll be shaking your head up and down right now bet you're shaking your head up and down go yeah you know when I eat this thing my Eczema gets worse and or if you even eat other Foods maybe or psoriasis I'm sorry um or or or E there's even some suggestion that other foods you can eat might make you better might you know and you go whoa what's that how come today people don't usually stop and go what did I eat yesterday or something like that so I mean we've seen food to be significant factor absolutely I mean these people come in and they're staggered and they go oh my God my Skin's problems it's not what they came in for they came in for fibromyalgia they came in for for rum to Artis that came in for something like that and and so um I think that the food absolutely should be mentioned thank you I'm glad you brought that up and it's an element of we don't know what's the chicken or the egg right what we what seems to happen because we see a lot of autoimmune patients when we were doing food antibody testing we would see and we're using the best tests that we have found on the market these were the cyrex laboratory tests we'll we'll promote them we get no kickbacks from them we uh they're very reliable they're very specific and sensitive DNA test yeah antibody tests too so with this food testing um with all these allergies we have to ask or intolerances is a better way to say it why is somebody have 20 food intolerances why are they Reed into gluten dairy rice teff soy potatoes eggs and one of the questions or answers becomes is there a problem with the barrier between the foods and our GI tract which should be like a tube and then than the outer surroundings and that's where we get into this concept of leaky gut syndrome where the intestinal cells which are skin as Dr ruford said should be tightly bound together and they start to open up a little bit and then food molecules can start to leak into the bloodstream and the immune system starts attack that food molecule because it looks like a bacteria or it looks like a fungus and that can create this immune activation to the gastroint testal tract so Dr ruford is saying food intolerances are a huge issue because unless you get rid of the food intolerances and once everything has broken down in our experience you're not going to correct the problem maybe you have to keep taking probiotics forever and we have seen the multimodal approach of getting rid of food intolerances so basically figuring out every food intolerance you have and eliminating it from your diet now we have a potential to calm down the inflammation in your gastrointestinal tract from there we can enact strategies to help bacterial diversity or get rid of bad bacteria and you can do that by starving the bad bacteria through diet you can do that by using natural antibiotics and then you can do that by going in and putting in good bacteria like bifido bacteria after that you also want to go in and heal this leaky gut and so there are certain supplements that have definitively been shown in the literature to do this we see it clinically all the time and that is our approach for this issue now you brought up vitamin D which I think we also need to bring up because I've talked to psoriasis patients even before I was doing this work and they say yeah I go to Hawaii and myiasis goes away I don't know what's going on is it a UV light exposure is it a vitamin D issue relative to autoimmune disease studies done back I think it was in the 2000s early 2000s they take a mouse with rheumatoid arthritis they feed that Mouse cartilage in the rtis goes away they've done the same experiments with MS and a mouse model so little mouse with Ms they feed up brain tissue and all a sudden the MS goes away unfortunately those statistics have not panned out in human beings because our immune system is a little more complicated but what we do see or why those studies worked in the mice is because when we eat the cartilage and you have rheumat arthritis it fires up something called the th3 regulatory system vitamin D take a break there so we have two main sides immune system one is called the th1 side it does rough and tough killing of bacteria and viruses th2 side generally does precision killing of bacteria and viruses it remembers infections in autoimmune disease frequently one side is out of balance for you with psoriasis the th1 side generally is acknowledged as being too dominant so when this was discovered researchers and clinici said well maybe if the th1 side is too dominant let's do things to bolster up the th2 side that didn't work because it's just too complicated there's communication between these two sides of the immune system and lots of times when you boost up the th2 side you boost up the th1 side now the autoimmune disease is even worse and you can get sick for months yes you can like I did right the only place it really seems to work is boosting the th uh one side when there's a th2 dominance and things like asthma but we won't go into that for the sake of discussion so no there's this th1 th2 imbalance and then there's this evil dictator guy called th7 which is now being acknowledged with a lot of these autoimmune disorders and it seems to stir the pot of keeping this autoimmune problem continually going and these immune sides of your immune system imbalanced where vitamin D comes in is it fires up the th3 regulatory system which is in the middle which brings these two into balance so that's where vitamin D really seems to work and that's why eating the cartilage with a mouse has room for arthritis also brought the immune system into balance so eczema is an immune problem the cause of it is an immune problem i' I've read articles where it's they're still saying it's genetic there's there seems to be a genetic propensity in about a third of the cases or something like that but it's an it's an autoimmune problem so immune system is attacking and the so the key is to calm the immune system down and some of and and and the key to calming the immune system down is Def finding everything that is causing your immune system to fire up and what we have found in our travails through this has been it you can't get anywhere until you calm down the gut as Dr Gates said what's in the gut do you have H pylori do you have parasites do you have do you have small intestinal bacteria overgrowth do you have leaky gut which leads to food sensitivities you and it has been our observation that in and I'm going to make a global statement here he's probably gonna cringe at but maybe not in pretty much all autoimmune problems and almost all chronic pain you are not getting anywhere until you get that gut under control and it's a little complex but you got to get that gut under control before you can even begin to heal that leaky gut to stop food sensitivities and then you can figure out what your diet should be and and supplement so so the so the reality is for eczema patients if you want to have it under control so it doesn't keep coming back you find out what's exacerbating your immune system you that will stop the progress it'll usually reverse it to a degree your symptoms will generally go away or improve substantially and then you'll be able to control it from there once you know what foods I shouldn't eat stress mechanisms need to be controlled we didn't get into that stress can be a trigger if you're if you really have a or if like those fibro patients I talked about if you're kind of in a little post-traumatic stress C or big posttraumatic stress room that has to be handled and can be handled watch our watch our our presentation on stress and um and why zebras don't get ulcers and it's a great presentation you don't have to be like that your whole life and those are the keys those are the keys yeah right there I mean I I think that's like a general summation of those are the keys to immune problems frankly and you have an immune problem that's what you have no different than rheumatoid arthritis no different than Hashimoto no difference in Celiac by the way people who have who have the psoriasis tend to get um Crohn's like a percentage of the time yeah so there's some overlap with inflammatory and they're showing that people have Celiac may have a propensity towards towards it because it's all together right because these are all autoimmune problems I mean I get one day they're gonna say well you know somebody who's got psoriasis has a propensity to get any type of autoimmune problem there is maybe I don't know but the the point being that you have an autoimmune problem calm down immune system calm down your stress mechanisms that's as close as you're getting to a to to getting the the cause and you can't use the word cure because you're not going to cure it but you you can calm it down you can dampen that immune response and then you can control it forever if you keep doing the right things and control your stress and control the inflammatory processes at that which at that point become mainly mainly food sensitivities food sensitivities yeah and maintaining that bacterial diversity and maintaining a diet that probiotics yeah that promotes the good bacteria to flourish with lots of species yeah yeah and I didn't comment on rosacea for all those watching who watched now we'll talk about rosacea I'll I'll get the uh the Mad comments about it you didn't mention rosacea I'll say fast forward to you know 40 minutes into the broadcast what they're find rosacea H pylori there appears to be an association H pylor is a stomach bacteria which can cause a host of conditions across the body including ulcers gastric ulcers certain types of stomach cancer but it's also associated with rosacea they're also talking about rosacea being associated with small intestinal bacterial overgrowth which is where there's too many bacteria I show the wrong type but too many in the intestines because we've seen rosacea clear up with our treatments I was just going to say so it's the same treatment it's the same exact treatment for those of you who listen to it all um same treatment which is why we put the two of them here with nuances in between yes okay I think that pretty well handles it okay well we hope you enjoyed this H if you want more information you can go to www.paltalk.com you can also go to our Facebook page I hesitated there because we used to say if you have any questions unfortunately at this point because of the popularity of these videos we can no longer handle the questions so if you want more information go to our website um these these pretty much everything we talked about is on we we have probably look up autoimmune you can look small intestinal bacteria overgrowth you can look up leaky gut you can look up the back there's a talk on there you got to is scroll through them until you see that one and boom and and and there will be the data right okay it's all there all right so until next week thank you so much uh you can send us your comments if you want let us know how we're doing that's always nice to know yeah sometimes most of the time so until the next week thanks for watching