#64 - Immune Reboot with Dr. Robert Silverman, Part 1

[00:00:00] Hi guys, welcome to another episode of the FAKTR Podcast.

[00:00:18] I'm your host, Jessica Riddle.

[00:00:20] If this is your first time tuning in, welcome and thank you for listening.

[00:00:25] Today we kick off a new two-part training titled Immune Reboot, a guide to maximizing

[00:00:31] immunity and optimizing vitality featuring guest speaker Dr. Robert Silverman.

[00:00:37] While it may seem like the darkest days of the COVID-19 pandemic are behind us, even now,

[00:00:43] as we are nearing the end of 2023, you'll be hard-pressed to find one healthcare provider

[00:00:49] who has an encounter to patient with the myriad of strange symptoms associated with long

[00:00:55] COVID.

[00:00:56] From lingering fatigue and neurological symptoms, to chronic pain and an increase of autoimmune

[00:01:02] disease diagnoses, we are just now beginning to realize the long-term impacts of the virus

[00:01:08] on global health and longevity.

[00:01:11] So what do you do when the patient is standing in front of you with these strange symptoms?

[00:01:17] How do you help them boost their immune systems and get back on track towards the health

[00:01:22] and vitality that they once enjoyed?

[00:01:25] If you've ever asked yourself these questions, you're in luck.

[00:01:29] This training will definitely provide some answers as we take a deep dive into the science

[00:01:34] behind the rise in autoimmune and increased inflammatory status following recovery from

[00:01:40] COVID-19 infection.

[00:01:43] Dr. Silverman will also provide actionable steps you can take to help your patients boost

[00:01:48] their immunity so that they can be more resilient to the next big super bug.

[00:01:53] And who better to discuss this important topic than someone who has dedicated their career

[00:01:58] to educating the masses about the importance of proper nutrition and gut health.

[00:02:03] Dr. Robert Silverman is a chiropractor in clinical nutritionist, best-selling author,

[00:02:09] renowned presenter, and the founder and CEO of Westchester Integrative Health Center.

[00:02:15] He serves on the advisory board for the functional medicine university, is a chief clinical

[00:02:19] consultant for KBMO, diagnostics, and Arcania laser LTD and holds a science board position

[00:02:26] with Nutridine.

[00:02:28] With over 23 years of clinical experience, Dr. Silverman has considered a thought leader

[00:02:33] in his field and has contributed to several studies in peer-reviewed journals and other mainstream

[00:02:38] publications.

[00:02:40] This is one episode you'll definitely want to listen to more than once.

[00:02:45] So go ahead and hit that download button, let's cue the intro music and get started.

[00:02:59] Thanks so much, Jessica.

[00:03:00] It's a pleasure to be here.

[00:03:01] Send your regards to your wonderful husband, Dr. Todd.

[00:03:05] This is a great job with factor, big shout out.

[00:03:08] Most people ask, where did it come up with this idea of why right the book?

[00:03:13] And it's a great question.

[00:03:15] I live in New York, I'm right outside New York City, I'm 30 minutes.

[00:03:18] I did happen to grow up in New York City and in March of 2020 when COVID hit, it was six

[00:03:25] particular blocks from where I lived.

[00:03:28] So my neighbor is my patients, my friends, some family members, contracted COVID and I was

[00:03:35] looking for answers searching to find the guy, the girl.

[00:03:38] The expert, the guru, if you will.

[00:03:41] And they were nowhere to be found, unfortunately.

[00:03:44] There was nobody in our space or nobody in this space that said that they were the immune

[00:03:49] experts.

[00:03:50] We all touch upon it, we all integrated.

[00:03:53] It certainly has grown in the last three years, if you will.

[00:03:57] There was no place to go.

[00:03:58] So I started a document, research, really make a real clear stew, if you will, of what was

[00:04:04] needed.

[00:04:05] The purpose was to document what we could do as a playbook to move on, because our immune

[00:04:13] systems are working for us 24, 7, 365.

[00:04:17] Our immune system represents our protection from the hostile outside world of bacteria,

[00:04:21] viruses, toxic chemicals, intestinal microbiome, stress factors and of course trauma.

[00:04:28] It generally does a complain or speak up unless it's neglected, it has been mistreated.

[00:04:34] It just does its job quietly behind the scenes, but when our immune system is challenged,

[00:04:39] it typically jumps into action to defend us and help orchestrate the repair of damaged parts.

[00:04:45] We each possess a unique immune system, truly based on a genetic history and the exposures

[00:04:51] we have encountered, starting from our earliest experiences in the womb.

[00:04:55] The ability of our immune system to function at higher levels over decades of our life depends

[00:05:00] upon how we have treated it, how we take care of it.

[00:05:04] Like every cell of our body, the immune cells need to be properly fed, exercise, rested

[00:05:10] and supported with a healthy lifestyle.

[00:05:13] What the immune system needs for optimum function is different, truly from person to person.

[00:05:18] This really speaks to the idea of individualizing and personalizing our care for our patient

[00:05:24] base.

[00:05:26] So you'll learn in this presentation how the immune system can be rebooted, to improve its

[00:05:30] ability to serve your needs without complaining.

[00:05:33] When I use the term complaint as it relates to immune system function, I'm talking about

[00:05:37] how it talks back with us with inflammation, allergies, chemical and food sensitivities

[00:05:42] and reduced resilience.

[00:05:43] So why is that so important people ask?

[00:05:46] Well the function of immune system has been terminated over the past two decades and with

[00:05:51] an emphasis over the last three years to be a major factor that determines not only

[00:05:56] overall health and disease risk to both infectious and non-infectious diseases but also

[00:06:01] our life expectancy, I.E. long, Jebady.

[00:06:04] Yes, the function of a person's immune system as they age has been found to predict how long

[00:06:10] they will live.

[00:06:11] When you apply it in your life, you'll be learning this in this presentation which can make

[00:06:16] a big difference in both your meat and long-term health.

[00:06:20] One of my quotes I love to use constantly is you can't control the virus.

[00:06:26] You can only control the host.

[00:06:28] I cannot control the virus for my patients.

[00:06:31] I can't filter the invisible out of the air.

[00:06:34] We do our filters as things that we can do but what I can do and what we can share with all

[00:06:38] our patients, friends and family is how to make them in a hospital post for a viral bacteria

[00:06:45] and a fungal infection.

[00:06:47] Obesity, a port entail.

[00:06:49] 42% of people gain more weight than intended over the past year because of COVID.

[00:06:55] Some of these studies show a 29-pound gain on average 10% of the population of a COVID gain

[00:07:01] 50 pounds.

[00:07:03] 54% gain weight due to COVID restrictions, 54% exercise less and 68% because of the stress

[00:07:10] is snacking more.

[00:07:12] So COVID, if you had COVID, you had a higher incidence over obesity, if you had obesity,

[00:07:17] you had a higher positivity rate for COVID-19.

[00:07:23] Interesting that if you have COVID, you're going to see a change in your overall onset

[00:07:28] of increased normal heart rates.

[00:07:31] About 79 days you had increased heart rate.

[00:07:34] That's a long period of time.

[00:07:35] 32 days it took to get back to the exercise level before, once you pop a negative test.

[00:07:41] What I think which may be the most detrimental or deleterious effect of COVID was it took 24 days

[00:07:48] to get back to normal sleep patterns.

[00:07:51] So COVID-19 is linked to sleep and problems and fatigue.

[00:07:54] We just talked about that but these sleep disorders, interesting enough, maybe due to inflammatory

[00:07:59] responses or blood brain barrier dysfunction.

[00:08:02] The sleep disturbance also may be seen in chronic fatigue syndrome, which will say a parallel

[00:08:08] increase in the positivity of COVID-19.

[00:08:13] So mobility issues, why did I put this in?

[00:08:15] Well, car practice deal with mobility.

[00:08:16] We do functional movement assessments.

[00:08:18] We do functional movement screens.

[00:08:20] People over 50 had double the chance of mobility issues post COVID and it was shown in their

[00:08:25] participation in physical activities or worsening ability to engage in household activities.

[00:08:32] Talked about this just a little before about the long term effect that I really put it

[00:08:36] in and I wanted to mention it again was sleep patterns.

[00:08:40] Studies have shown that one night of loss of good quality sleep has a detrimental effect

[00:08:45] on your brain.

[00:08:46] You sleep, your brain goes to 40% of its size.

[00:08:51] It squeezes like a sponge or this metabolic waste.

[00:08:55] So if you don't have the animal time to do that, you can't detox your brain.

[00:08:59] You're not going to, if you will, think straight the next day 24 days of average sleep

[00:09:05] patterns after a positive test.

[00:09:08] So clearly we want to do the best we can to avoid having a positive test but once we do,

[00:09:13] we want to work within John Rauh of getting people back healthy and their immune system

[00:09:19] rebooted as quick as possible.

[00:09:21] Obviously, we're mostly if not all chiropractors.

[00:09:24] So the prevalence of low back pain did not change at the first few months of COVID-19

[00:09:29] pandemic but low back pain induced impairment and daily activities in pain intensity

[00:09:34] was higher when compared to before the pandemic.

[00:09:38] I said earlier, you're only as young as your immune system.

[00:09:41] And the reason I'm really hammering this point home is we have some very famous docs

[00:09:45] doing a great job releasing longevity books.

[00:09:49] This year, 2023 is the talk about longevity.

[00:09:53] The matching of life and health span.

[00:09:55] You don't want to live to 80 if you only have 40 years of a healthy lifespan.

[00:09:58] And you want to live to 80, especially if you have a good health span.

[00:10:04] You're only as young as your immune system.

[00:10:07] So we can talk about longevity all we want but if we have a break, a barrier, a breach in

[00:10:14] our immune system, that's going to show a tremendous mark against decreasing in our

[00:10:19] health span and our longevity.

[00:10:22] COVID also had a biological aging effect on many patients.

[00:10:26] It was in accumulation of epigenetic aging from COVID-19 which contributed to

[00:10:30] post COVID-19 syndrome amongst survivors.

[00:10:35] Tell them your shortnings, they showed a consistent biological aging,

[00:10:39] increased in post COVID-19 population.

[00:10:42] Tell them years are the fuse to the dynamite.

[00:10:45] So when you shorten your telemere, you're basically shortening your life.

[00:10:49] Tremendous interaction between COVID-19 and Sarcopenia, muscle mass is your longevity

[00:10:54] organ.

[00:10:55] Tau's University 1998 has stated that the loss of muscle mass is the first sign of aging.

[00:11:01] So long COVID which we're going to go through in detail shows an increase in

[00:11:06] C-reactoprotein specific blood markers TNF alpha and the interlucans in Farritan which

[00:11:11] are all inflammatory which can lead to fatigue and dyspnea.

[00:11:15] Also, long COVID leads to malnutrition.

[00:11:19] These are all biomarkers that feed unfortunately the loss of muscle mass I.E.

[00:11:24] Sarcopenia.

[00:11:25] So long COVID leads to Sarcopenia, Sarcopenia leads to a higher incidence of long COVID.

[00:11:31] This is one of the best studies that I've seen.

[00:11:33] I really made a point of this in my book again in a few pages because the influence

[00:11:38] of nutritional and takes in Japan into U.S. really spoke to where we as Americans are

[00:11:45] and where we lack in health.

[00:11:47] COVID-19 cases, there were 12 times higher in the U.S. than Japan times.

[00:11:53] Death was 17.4 times higher in the U.S. than the Japanese.

[00:11:57] The prevalence of obesity in American men was 7.4 times greater than Japanese men.

[00:12:03] American women 10 times greater than their counterparts.

[00:12:06] Take a look at the diet when it was analyzed, we as Americans consume more saturated fat,

[00:12:11] considerably less omega-3s and we much more beef to the tune of about 400 percent

[00:12:18] of grain fed beef and sugar and sweetness to the tune of 235%.

[00:12:24] The American consumes 160 pounds of sugar per year, 146 pounds of wheat,

[00:12:31] me included in 142 pounds of artificial sweetness.

[00:12:36] The Japanese on contrast eat 45 percent more fish, slightly more rice, not as much as you

[00:12:44] would think 11.5 percent and about 55 percent more TRI e-grain T.

[00:12:49] e-gc g-g-g-t the active ingredient that's critical for green teas medicinal facts

[00:12:55] has been shown to block the dock of spike proteins on our ACE2 receptor sites

[00:13:03] better than any drug or nutritional supplement.

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[00:14:21] So let's really get into a conversation now. Let's be conversationalists.

[00:14:25] Let's recognize the possible rise in order immunity and increase inflammatory status following

[00:14:31] recovery from COVID-19 infection. Taking you look at this slide, the cross-reactive patterns

[00:14:36] between SARS-CoV-2 proteins and autoimmune target proteins may play a role in the systemic

[00:14:41] inflammatory response from COVID-19 leading to the development of autoimmune diseases,

[00:14:47] post-infection, insesceptible subgroups or potentially playing a role in the severity of COVID-19

[00:14:53] illness. So when you take a look at this SARS-CoV-2 damage to GI and a tight junction,

[00:14:59] so the takeaway here and if there's one thing, I'm a gut guy. SARS-CoV-2 damages the integrity of

[00:15:05] the gut barrier. It also damages your skin, your nervous system, IE or brain, thyroid, joint,

[00:15:13] muscle and cellular components. So SARS-CoV-2, when allowed in the body, really let us down a slippery

[00:15:21] slope towards autoimmune. So what is the trigger for autoimmune? Well, we have some basic

[00:15:27] ideas of nutrition genetics, chemicals in ultraviolet light exposure, but the two big things that are

[00:15:33] really hurting us now are the COVID infection which damages our microbiota or our ecosystem inside

[00:15:39] our gut. So when you look at the virus such as SARS-CoV-2, you realize a can trigger a strong

[00:15:45] activation in immune system. The appearance of typical clinical manifestation such as myalgia,

[00:15:51] myocitis, chronic fatigue, sleep disturbances and neurological manifestations, cognitive impairment,

[00:15:57] memory loss, all of which have been reported in SARS-CoV-2 infections. So then you would see

[00:16:03] the appearance of auto antibodies which are antibodies that attack our own structure,

[00:16:09] which may lead to the development of autoimmune diseases, especially in genetically predisposed

[00:16:14] subjects. Therefore the current COVID-19 pandemic endemic indeed fulfilled almost all the major

[00:16:22] and minor criteria for autoimmune inflammatory syndrome induced by all these adjuvids. So therefore

[00:16:29] this took you through a flow chart of SARS-CoV-2 infection, ultimately leading you with autoimmunity.

[00:16:35] For carapractors what does that mean? Well autoimmunity is rheumatoid arthritis.

[00:16:40] autoimmunity carapractors, colleagues also means osteoarthritis. Myousa, muscle pain,

[00:16:48] people may be coming in and making complaints or having complaints of these conditions

[00:16:53] and the root cause could simply be COVID-19 a post-positive test. So the immune system provides

[00:17:01] three levels of defense against disease causing organisms. Number one, the barrier system,

[00:17:06] it prevents entry. It does so with skin, skin and mucus membranes. When you look at your skin,

[00:17:11] everybody knows what skin looks like. It's longest, largest, orgin in the body. Everybody knows

[00:17:17] when they cut their skin that they can simply put a bandaid on it to protect it. They cut their

[00:17:21] skin too much. They can have stitches to close up the gap. That said, when you have a hole in

[00:17:28] your gut we can see it. Patients can't see it. They're not that quick to want to patch the hole in

[00:17:35] their gut epithelium. mucus membranes like stomach acids, digestive enzymes all apart of your first

[00:17:42] part of immune system, beneficial bacteria in your gut like your microbiota, part of your beneficial

[00:17:48] bacteria. It has been postulated that the first time the outside world meets the inside world

[00:17:54] is when something gets absorbed through your small intestine. And when it does so, it stimulates

[00:17:59] something that we're given a day one, which is our native immune system, or it's our general

[00:18:03] defense. A native immune system is a 365 24-7, security guards of our immune system. There are

[00:18:11] immune centenols. They are a neutrophils and macrophages, which engulf in destroy foreign invaders

[00:18:18] and damage cells. We want to balance between that and our adaptive and our acquired

[00:18:23] or specific defense, or acquired immunity. Why is acquired? Well, everybody knows Jessica has

[00:18:29] four children and I'm sure she popped on right now. She would say it's flu season. It's

[00:18:34] ear infection. Each one gets it when they go to school because they're acquiring immunity.

[00:18:39] They acquire immunity through their B and T cells. Their T cells come from their thymus. They have

[00:18:45] thymus glands. Now what's interesting about their thymus or our all-our-thymus is,

[00:18:50] is the first gland that goes through in volucia. In volucia means the shrinking of. Therefore,

[00:18:57] during our teenage years, our T cells shrink. So obviously when we reach 40-50,

[00:19:04] we're not as effective at T cell expansion. And typically 65 or 70, the thymus provides us no

[00:19:10] defense. When we look at our B cells, they come from our bone marrow. Those are our antibodies.

[00:19:16] They catalog all different incidences with foreign invaders like viruses, bacteria,

[00:19:23] parasites and fungi. They are called IGE, which is an acute allergic reaction. IGA,

[00:19:30] which occurs at the secretory levels, IGM, which is initial in IGG, which is the most

[00:19:37] profound, proficient antibody in the body. It can pass the discuss it's small and get it can pass

[00:19:45] through the placenta. Excuse me, you can get to the fetus, 75% of our antibodies are IGG.

[00:19:50] The in-atomyun system provides an immediate response for foreign targets with responses typically

[00:19:56] within minutes to hours. It consists of a number of soluble factors and proteins such as the

[00:20:01] verse set of cells, including macrophages, the endotic cells, and natural killis cells. The second

[00:20:07] branch of the immune system is the adaptive required immune system, which provides specific

[00:20:12] long-lasting immune responses. The adaptive and innate immune responses are linked. For example,

[00:20:19] dentrites cells are an important adaptive immune cell activator. Natural pillous cells and T cells

[00:20:26] are specific in that they overlap both the innate and the adaptive immunity. Therefore,

[00:20:31] ultimately, cells in both arms of the immune system are in development as potential cellular

[00:20:36] immunotherapies. Sital kind storm versus cytokindras. We all heard about the storm. That's

[00:20:42] when we have an over-expression of interlucence. One of the reasons that we get this proverbial

[00:20:48] storm is very simple that we are pre-inflamed. We already have a release of excessive amounts

[00:20:54] of interlucence because we are pre-inflamed. My mantra is a chiropractic, just to manage and

[00:21:00] modulate inflammation. And I think unfortunately it's very hard to do so with the environment

[00:21:05] and especially the food choices that our patients are exposed to. The idea of a cytokind drizzle

[00:21:12] is to drizzle outside. You're building up the water and then you get sick, like with COVID,

[00:21:18] which is a new, norally virus. First time seeing our history, if you will, at least SARS-CoV-2,

[00:21:26] and what happens that drizzle turns into a storm. So a normal immune response,

[00:21:32] inflammation, which is normal was supposed to get an inflammation. It's even normal sometimes

[00:21:37] to raise a fever. Then you have your native immunity. You go to specific immunity. You get to

[00:21:43] rezzolusia and you have a memory of it. This is a perfect normal response to infection.

[00:21:49] Unfortunately, our typical immune response to COVID was hybrid in that SARS-CoV-2

[00:21:55] had too much inflammation because it's we as adults started to high and it didn't shut down fast enough.

[00:22:02] It spilled over to a native immunity where we had less cells because we have a dysfunctional immune

[00:22:07] system because we're not a healthy population. Then we had the specific immunity, the acquired

[00:22:12] and adaptive immunity, virulent factors did not launch. Ultimately, we had a slow resolution

[00:22:18] in poor to no memory. So let's take that one step further. Let's look at the idea of viral infection

[00:22:24] COVID-19 and an immune response to the virus, which led to an over-expression of cytokines,

[00:22:30] which ultimately led to microbial metabolites, which led to mitochondrial dysfunction and disease,

[00:22:37] IE everybody felt real poor. As I used to like to say, everybody feels like crap. This

[00:22:46] immune imprinting, I pause every time I see it because I shake my head. It's called original

[00:22:50] antigen sin. Let me give you the definition and then we break it down what they're really trying

[00:22:56] to say. It's a phenomenon in which the body preferentially repeats its immune response

[00:23:00] to the first variant encounters, despite being alerted to a new variant. It has been stated

[00:23:06] that we are still taking a COVID-19 picture of 2020. So the first virus infection that we

[00:23:13] encountered, we took a picture. So now we all know viruses purposes to mutate and as variants.

[00:23:21] We're not able to take a new picture with our immune system for that variant because we've already

[00:23:26] imprinted the original virus. And now this is why you're seeing people getting infected whether

[00:23:32] the vaccinated or not, not going in that rabbit hole. Now you're seeing people get infected the

[00:23:37] second and third time because our immune system is not resilient. Our immune system is not adapted.

[00:23:43] Our immune system takes a picture and does an adapt. And that's because most Americans are not

[00:23:49] healthy to piggyback on that thought immune imprinting in long COVID. MIT and Harvard did

[00:23:54] join study. 112 patients neurological long COVID symptoms which meant inflammation of the brain

[00:24:02] with cognitive deficits. What was found was an undo-whelming amount of antibodies to COVID-19.

[00:24:08] In addition, an overwhelming amount of antibodies in response to other coronaviruses. So the

[00:24:14] coronavirus could look like the common cold and what was happening was we kept thinking that

[00:24:19] COVID-19 was the common cold. And we were not sending antibodies or proper strength of

[00:24:26] proper antibodies to help ourselves out. Therefore, the immune printing actually led us down

[00:24:32] a path of neurological long COVID. So again, buzzword, immune resilience. We wanted to everything

[00:24:41] in an everyday life in our caliopractic armamentarium to allow for immune resilience. There is no

[00:24:48] single blood test that tells us that we have COVID or long COVID. However, there is a litany of

[00:24:54] tests that can lead us to that conclusion. They all interlukan one beta, interlukan six,

[00:25:01] interlukan eight and TNF alpha. These overactivate a monocytes of macrophages are typically the

[00:25:08] likely source of this cytokine overproduction. What's the definition of long COVID? It's changed.

[00:25:14] Here's where we are now. The continuation or development of new symptomology three months after

[00:25:21] the initiation of SARS-CoV-2 infection and these symptoms lasting for at least two months

[00:25:26] with no other explanation. So some subphenotypes for long COVID. Number one, the subphenotype one,

[00:25:32] they are unfortunately your sickest patients. They had cardiac and renal involvement.

[00:25:37] Subphenotype two, patients with respiratory and commental sleep dysfunction and anxiety problems.

[00:25:44] Subphenotype three, patients with predominant neurological and musculoskeletal presentations,

[00:25:50] and the last one, subphenotype four, patients with just digestive symptoms. Huge takeaway,

[00:25:56] numbers, number factoid, estimates have long shown that long COVID caused the U.S. economy

[00:26:04] 3.7 trillion dollars in his growing every day. This compares with the great recession of 2007

[00:26:12] in 2009, unfortunately long COVID is still growing to the tune of about 28% of the population.

[00:26:19] UCLA researchers found that 30% of people treated for COVID developed past post-acute

[00:26:26] Sequoia of COVID-19, I.E. Long COVID. Long COVID, 90% of those with long COVID initially had

[00:26:34] very mild symptoms. So we always thought that long COVID meant that it was in a continuation

[00:26:39] of a real severe case of COVID-19. That's not the case because the study was robust

[00:26:45] in that it was 1.2 million people over 20 countries. Symptoms had an impact this severe and long

[00:26:52] trauma facts, mimicking, concussion and TBI. Women have a greater risk than men,

[00:26:58] and women have a greater risk over children to develop long COVID. BMI and female sex risk factors

[00:27:06] seem to be the given for long COVID symptomology. Taking the concept of long COVID,

[00:27:13] here was a study with 100,000 participants anywhere from 6 to 18 months after infection,

[00:27:19] 1 in 20 and 42% essentially 50% had not recovered. The symptoms in long COVID were

[00:27:26] replicents, palpitations, chest pain, and of course brain fog reduced mental activity.

[00:27:32] So many patients, many docs asked me how does long COVID exhaust the body? There's four factors

[00:27:39] that increase the risk. Number one, higher level of viral RNA during the infection. We're in a room.

[00:27:44] We're in a movie theater. There's 500 people and that has 500, 200 are sick.

[00:27:50] Larger RNA load. We're in the same movie theater with the same 500 people. The only two are sick.

[00:27:57] Obviously less of a chance of us being right next to them but also less of a load.

[00:28:02] Presence of order antibodies. Talk about that before those order antibodies or anybody's

[00:28:07] at attack ourselves and not foreign particles. This will blow your mind. The reactivation of a lot

[00:28:15] of dormant viruses, one in particular called Epstein Mar virus which is mononucleosis. At 18 months ago

[00:28:23] I started to run a lot of blood labs on a lot of my post-COVID patients and everybody had an elevation

[00:28:30] of a myriad of viruses, especially Epstein Bar. So Epstein Bar is obviously mononucleosis. There's a lot

[00:28:39] of fatigue. It has been stated that we know that there's fatigue associated with COVID-19.

[00:28:46] There's fatigue associated with Epstein Bar. It could be one of the other or the combination thereof.

[00:28:52] And type two diabetes. If you do any blood labs, blood sugar, insulin resistance,

[00:28:57] our all markers that probably are the most ruinuous to people's overall health.

[00:29:02] Long COVID patients have disrupted immune systems, viral and genetic material are better than

[00:29:07] intestines and lymph nodes. The reason it's embedded in the intestines is that viruses are

[00:29:13] shedered through the gut as I see before a conversation in the next 20 minutes.

[00:29:19] Circulatory system we see increased in cytokines, microscopic blood clots in the brain

[00:29:25] very typical cognitive impairment. 12 months following a acute COVID-19 infection there was an increased

[00:29:31] risk of an array of neurological sequela, like stroke cognitive memories, peripheral nerve,

[00:29:37] disorders migraine, musculoskeletal disorders, movement disorders mental health. So the conclusion was

[00:29:43] very simple. There's an increased risk of long-term neurological disorders in people who had COVID-19.

[00:30:01] That's it for today's episode. Be sure to tune in for the second segment of this two-part

[00:30:05] series where Dr. Silverman will discuss the long-term impacts of COVID-19 infection on the lung

[00:30:11] gut brain access and gut microbiome and the role of systemic inflammation in long-hollar COVID.

[00:30:19] We will also talk more about strategies for reducing inflammation, including diet supplements

[00:30:25] and lifestyle improvements as well as effective nutritional protocols for the Oma-Cron variant and immune

[00:30:31] support. You won't want to miss it episode 65 drops in two weeks. And be sure to visit our show

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