Epigenetics: Transforming Autoimmune Disease with Dr. David Bilstrom

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There's so many people think that these things that they get there's well, I'm always going to have it, you know, and I'm probably told that right.

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Well, this is nothing we you know where it comes from, you know how to make it go, where you could have it forever.

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And that's really a shame, because people then don't search for the answers.

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But then, when it comes to this chronic stuff, we're like, oh no, we're just going to have that forever.

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No, no, no.

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That's not how the body works.

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Welcome to Pivoting Pharmacy with Nutrigenomics.

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Part of the Pharmacy Podcast Network, a must-have resource for pharmacist entrepreneurs seeking to enhance patient care while enjoying career and life.

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Join us as we pivot into nutrigenomics, using pharmacy and nutrition for true patient-focused care.

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Explore how to improve chronic conditions rather than just manage them.

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Celebrate entrepreneurial triumphs and receive priceless advice.

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Align your values with a career that profoundly impacts patients.

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Together, we'll raise the script on health and pivot into a brighter future.

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Hello and welcome to Pivoting Pharmacy with Nutrigenomics.

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I'm Dr Tamar Lawful, a doctor of pharmacy and certified nutritional genomics specialist.

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I have a question for you.

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Have you ever felt like the cape you carry is heavier when you're weighed down by chronic health issues? The panic, the feeling of stuckness and that exhaustion from keeping everything afloat? It's strenuous.

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While you were busy being there for everyone else, your body began a silent protest.

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The result Autoimmune diseases, chronic illnesses and that persistent feeling of being off balance.

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It's high time you prioritize your needs, wouldn't you agree? Today's episode is all about shedding that heavy cape and stepping into a light-filled arena of health empowerment.

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Our guest, dr David Bilstrom, is not justa fountain of wisdom, but also a beacon of hope for countless warriors battling chronic health conditions.

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Dr Bilstrom is a distinguished fellow of the American Academy of Integrative Medicine and the American Academy of Medical Acupuncture.

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That's not all, friend.

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He is quadruple board certified yes, you heard me right Quadruple in functional and regenerative medicine, integrative medicine, physical medicine and rehabilitation, and medical acupuncture, as of being our real life superhero, isn't enough.

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Dr Bilstrom is the director of the International Autoimmune Institute and the Bingham Memorial Center for Functional Medicine.

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It's the first facility in the United States linked with a teaching hospital dedicated to treating all types of autoimmune diseases.

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Plus, it's a trailblazer in utilizing nature as an integral part of a wellness program.

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We're going to unpack how our daily choices can become our best allies in reverse and chronic conditions.

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We'll explore the role of functional medicine, dig deep into wonders of epigenetics and shine a light on how our environment impacts our health.

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It's an honor to have Dr Billstrom as our guest today.

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So earphones in world off, heart open, let's dive right in.

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Dr Billstrom, thank you so much for joining us here on Pivoting Pharmacy with Nutrigenomics today.

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Can you take us back to your roots? What sparked your passion for the work you do today?

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Well, originally I was a spinal cord injury rehabilitation doctor, so everyone that I would see was paralyzed in the waist down or the neck down, and a very challenging population including.

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It really taught me so much about the gaps in treating people with chronic health issues, because we have so much stuff going on, there's not a medicine for it or a surgery for it.

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And this really started about a 30-year journey where I was really going to figure out you know why people get health issues and how you can help them, reverse them once they get them, ideally preventing them, but reversing them once they're well established.

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And the last 20 years, because of the explosion in autoimmune disease, where just about everybody has it, so many chronic health issues that we didn't think were autoimmune disease actually are autoimmune disease and it's a worldwide problem.

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Typically people are just treated with a medicine that suppresses the immune system, putting just a bandage on a couple of symptoms but actually not addressing the main thing that was causing it, and the people continue to get worse and got bad impact from the medicines themselves.

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And I'm like, ok, somebody's got to change the way that autoimmune diseases dealt with worldwide.

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And so I said I'm going to be the person to spearhead that.

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I love it.

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Thank you so much for explaining that, Dr Billstrom.

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You know what resonated with me? What you just said was the reversal of chronic diseases, because many patients are diagnosed with these diseases and feel like they are going to be stuck with it for the rest of their life and don't realize that there are things that they can do.

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So true.

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And I know you you're experienced in epigenetics.

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Can you tell us what epigenetics is?

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Well, first off, it's fascinating, but what epigenetics is is the things that change gene expression without changing the genetic code itself and our DNA, our genes.

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There's a whole lot of bad genes and we got to turn them off's a whole lot of bad genes and we've got to turn them off, and a whole lot of good genes we want to have turned on.

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When people are getting chronic health issues.

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And this is one reason why, once you start getting one chronic health issue, it's so easy to get a second and a third and a fourth and a fifth and it keeps going, because what you're doing is you're turning on the bad genes and turning off the good genes in every cell in the body and and turning off the good genes in every cell in the body.

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And typically, when we'll see somebody coming in, let's say, like with an autoimmune disease, they got so many things going on at the same time.

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They got brain fog, they got memory issues, they got fatigue, they got insomnia, they got gut stuff, they got bing, bing, bing, all these other kind of things in addition to what maybe their main issues are.

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Well, every cell is being told the wrong information because epigenetically things are flipped the wrong way and so, in a perfect world, when we look at what are we going to do to help this person, we're looking at a lot of things that will tend to work through epigenetics.

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Because it's lovely, because they start turning off the bad, turning on the good and every cell in the body at the same time, really putting their system in a position to get everything moving in the right direction at the same time.

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So how exactly does that work to turn off the bad and on the good so that we can improve our health?

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Yeah, so an example is that about seven to nine percent of the human genome was actually viral over the eons.

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Viral genetic material has been incorporated in our genetic material and a lot of it is so ancient it's not even active currently, but there are some active ones already.

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So it's like, okay, well, we don't need viral genetic material making proteins that are going to make us sick all the time.

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So we got to turn that off, for example, and so there are reactions like methylation reactions, histone deacetylation reactions, these other kind of things that our body should be able to keep the bad ones turned off and the good ones turned on, and that's a great way to stay healthy long-term, including when it comes to epigenetics.

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This has to do with what runs in families, where it's not necessarily what genes you have that runs in families, it's which ones get turned on and turned off, and so if somebody can optimize epigenetics before conceiving a child, they're actually passing on cleaner genes to the next six to eight generations.

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The corollary is, if you don't optimize epigenetics before conception, you're passing on crummier genes to the next six to eight generations.

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But this is also where we're the product of the previous six to eight generations, and you may hear things like we live the trauma of past generations because they've had trauma, including things like adverse childhood events that have flipped their genes the wrong way.

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Well, that stuff just keeps getting passed down from generation to generation and that's one of the reasons why we see so many sick kids nowadays having all this stuff going on that you didn't hardly used to see.

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That's interesting, and so the trauma from past generations being passed on to future generations.

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And then it's again in a sense that it's kind of like an additive effect, a cumulative effect, if it's not addressed and passed on.

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And is this largely when it comes to epigenetics related to environmental factors, or are there other factors that play a role in changing the genes?

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You know, a lot is things like vitamin deficiencies, impact epigenetics, hormone imbalances, infections, environmental toxicity, emotional trauma, like the adverse childhood events all kind of flip the genes the wrong way and then that's what increases this risk of getting all kinds of health issues as time goes on, and ideally, if you can optimize epigenetics by age 19, you really set the system in a place where you just don't get stuff as an adult.

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All the original data was that, well, this is what happens with physical changes to the epigenetics.

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You got to set it.

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But then when all the data started coming out about adverse childhood events like divorce, separation, substance abuse in the household, somebody become incarcerated, physical, verbal, sexual abuse, trauma, all this kind of stuff Well, those lack the epigenetics and if you can really get them turned back around, optimize epigenetics after those events before he's 19, you really prevent them from getting chronic disease as an adult.

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My wife is a psychotherapist and she's an expert on adverse childhood events.

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We end up lecturing a lot together.

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So a particular interest of both of ours.

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But this is where it'll drive.

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You know, not only an autoimmune disease but cancers and all kinds of chronic health issues.

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So it's so important to be able then to start addressing this, knowing that the things we need to address, like autoimmune disease, to reverse it is going to be working a lot through epigenetics.

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But also when we see a parent with an autoimmune disease, we always want to see the kids, because the data is clear that when a parent has an autoimmune disease, the children have a huge increased risk of every autoimmune disease, which is a good example of how there's not just like hundreds of different autoimmune disease, there's only one disease that can attack any body part.

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Thus children are so much more likely to get any autoimmune disease.

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We'd like to prevent that from happening.

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Or when a child and we're fortunate enough that we see children from every state in the US and adults too, but also 21 time zones worldwide with autoimmune disease we see the child and start reversing their autoimmune process.

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We want to see the parent because a child may get their autoimmune disease before the parent gets theirs.

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But we know just this epigenetics runs from generation to generation.

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So we want to be in a position to prevent it if it hasn't happened yet, but also reverse it if it already is well established.

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Wow, this is very interesting and I want to go.

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I'm going to have you talk about autoimmune disease, but I want to backtrack because you mentioned like resetting children's epigenetics before the age of 19.

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So we have generational trauma and it's being passed on right, but now you're saying that if there's some things that can be done before the age of 19 to like reset the epigenetics, so what kind of interventions are we talking about? What are you looking at?

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So what we talk about when it comes to all this chronic disease, either reversal or prevention, we talk about the seven central mechanisms, and so the gut is the first.

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The gut's a real big central mechanism where everything goes on the body.

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The second is the stress hormone, cortisol, which always gets kicked up into the stress hormone.

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There's enough going on that we start getting these health issues.

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The third is these infections.

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I talk about them being the hidden infections, because it's infections that give obvious infections like fevers and these kind of things.

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There's other infections that drive chronic disease and these may be bugs that get in from the outside mycoplasma, herpes virus 6, for example, coxsackie viruses.

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It could be ones that get in our body, everybody's body, like Epstein-Barr virus, and since they're dormant and you do not want the immune system to let it ever get active because then it drives things like Hashimoto's, thyroiditis, multiple sclerosis, all these things, or you can get bad bugs from the gut, including adenoviruses that can translocate through a leaky gut into the bloodstream, go all over, and then these adenoviruses can go to breast tissue and increase breast cancer risk, go to the pancreas and stop the pancreas from making insulin.

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The vitamin deficiencies and hormonal imbalances and deficiencies.

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Environmental toxins are another one, I'm sorry, food sensitivities where the guts become leaky, that intestinal permeability disorder, and it creates food sensitivities, both immediate that people go geez.

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Every time I eat this I don't feel well.

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They can figure it out themselves, but the delayed hypersensitivity reactions, the IgG reactions they call it delayed hypersensitivity.

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You eat a certain food, protein and it whacks you by creating inflammation days later or up to even a month later.

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So those are kind of those sneaky foods.

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You put all that together it drives chronic disease of all kinds, including.

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These are the kind of things we want to correct so we can start flipping the genes the right way and every cell of the body at the right time.

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That's a lot of factors that can and interventions that can be made.

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The body at the right time.

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Yeah, that's a lot of factors and interventions that can be made, and I'm curious to know, especially when it comes to the children, how early can these preventative measures begin?

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Well, ideally you want to start them before conception.

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So ideally you'd like to optimize epigenetics in people before they conceive a child.

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And then during pregnancy, there's so many things you can do to optimize the developing child's, you know, avoid neurologic diseases like things you do in your pregnancy to decrease the risk of autism and developmental delay, get the brain and the nervous system to optimize.

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And then there's things you can do early in life.

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You kind of earlier you do something in life after a person's born.

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It not only puts them in a good position not to get stuff as a kid, but it really sets their system at such a young age that it really impacts their health, their entire life.

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Ideally, hey, I'm never going to get that stuff.

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Or oh my gosh, I got this huge increased risk my whole life, kind of thing.

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And we see children like juvenile rheumatoid arthritis five months of age, the cutest little baby with a knee the size of a basketball and those kinds of things.

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It really can start early.

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One of the nice things is children are so good at healing that they're in a position to really turn this stuff around much easier than an adult would.

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Yeah, it all makes sense now why you have little ones that have just entered the world, just started life, presenting with these diseases when you start understanding epigenetics.

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We didn't mention a lot about autoimmune disease, so could you explain to us exactly what is autoimmune disease and why does it happen?

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Yeah.

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So the immune system is this beautiful example of how the body likes balance.

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We don't want to be too high or too low on anything, so like blood sugar, but on the immune system, when you lose that set point right in the middle of the immune system, you actually move away from it up and down at the same time.

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So the overactive immune system issues are all the autoimmune diseases, but also things like allergies, asthma and eczema.

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And then the underactive immune system issues are things like colds and flus and infections Again the same infection over and and over again, like you'll see with kids with recurrent ear infections, strep, throat, science infections, these kind of things, the infections that drive chronic disease.

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And then cancer risk and this is where you hear things like cancer is just a flip side of the same coin.

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This autoimmune disease and everything you do to bring this immune system back to the middle to get rid of the up stuff like autoimmune disease, you're getting rid of cancer risk at the same time.

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And so the traditional autoimmune disease is the part of the immune system called the adaptive immune system, where you make antibodies specifically to attack certain specific proteins or things.

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So when an infection comes in, there's proteins on the cell surface.

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We make antibodies against that specific protein to kill that infection.

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Because you get a cold.

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We don't need to have a cold for the next 20 years, you know, three days later you want to be over it.

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But then these, the adaptive immune system, can become confused and actually make antibodies attack in their own body parts and then by attacking that own body part, it destroys the body part.

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So, like things like Hashimoto's thyroiditis, which is one of the autoimmune thyroid diseases, you attack the thyroid antibodies, you anger the thyroid and it stops making thyroid hormone.

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Or you attack the joints, you get rheumatoid arthritis, joint destruction, you attack the brain, multiple sclerosis, other kinds of things like that.

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And so this confused immune system is actually causing us to basically like self-destruct.

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If you're attacking your own body parts, you're self-destructing, and it's never going to be a good idea to self-destruct.

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Now we also know that the other part of the immune system, the innate immune system, is so important at getting rid of inflammation, keeping away the inflammation that then hurts the body.

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Body tissue, is causing chronic disease as well, and so, for example, like in type 1 diabetes, it's not antibodies typically attacking the cells in the pancreas that make insulin and destroying them.

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What it is is we can't get rid of this excess inflammation and the beta isla cells that make insulin just shut down.

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They go dormant, and so that's kind of cool because we don't have to rebuild healthy tissue to do the work.

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We just got to wake up dormant cells to make insulin.

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So this is where, like people with type 1 diabetes, they can have insulin pump therapy.

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10, 20 years, those cells in the pancreas are still sitting there dormant.

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All you gotta do is wake them up, kind of a thing.

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So this is where the immune system is so much a part of all these health issues, including all the traditional ones that people maybe heard about.

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But we now know there's an autoimmune component to so many health diseases, like heart attacks and strokes and osteoporosis and Parkinson's and Alzheimer's, dementia.

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Even 70% of all autism is one particular autoimmune disease.

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So it's really we're kind of seeing where this immune system is such a big player in health in general.

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Thank you for explaining that, dr Bilstrom.

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I know we were talking before the show and I was letting you know that I'm coming across a lot of people letting me know that they've recently been diagnosed with autoimmune disease and it seems like it is growing at an alarming rate.

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Why do you think that is? Why is it growing Well?

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you know, it's kind of like all the things that drive the immune system disruption are just becoming more and more common, so like, for example, environmental toxicity.

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Our world is so toxic.

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We have a bunch of messed up guts.

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So much use of early antibiotics Whack the intestinal microbiome, totally, destroying the gut.

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Motrins and Advils hurt the gut.

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Metformin kills the gut, creates a leaky gut.

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Metformin also alters epigenetics in a terrible way and a lot of medicines like the acid blocking medicines mess up the gut and all these kind of things and stress.

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We live in a very stressful state.

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Stress messes up the gut and then we get, you know, the guts disrupted.

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Well then we can't absorb nutrients from our food and we start getting vitamin deficient.

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And so many people eat such poor quality food type things like the highly processed and the fast foods.

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They're not even foods, I call them food-like substances, so they don't even have nutrients in them.

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And then we get all these hormone imbalances, because when the gut's off, we start getting all these hormone imbalances, including a huge one that drives autoimmune disease and a huge one that drives cancer is something called estrogen dominance.

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And so this hormone imbalance, estrogen dominance, is so common nowadays.

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It's one of the big reasons why 80% of people that get autoimmune diseases are women.

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So this estrogen dominance, which is too much estrogen down, the progesterone drives all the hormonal menstrual things.

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So bad flows, bad cramps, pms, pcos, fibrous endometriosis, fibrocystic breast disease, infertility, that's all estrogen dominance.

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But also because estrogen revs and progesterone calms, it drives all this rev without calm stuff in women like excessive worry, anxiety, panic attacks, insomnia.

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And when you look at that you're like, well, a few generations ago women, they just had their cycles every month, regular, no big deal.

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All of a sudden at one age they stopped having their cycles.

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That was menopause and over.

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But nowadays the estrogen dominance because of all this stuff going on is so common.

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It's almost like well, what woman doesn't have this hormonal menstrual stuff? What woman doesn't have excessive worry, anxiety, insomnia or even panic attacks? It's so common.

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But this is such a huge driver of this disruption immune system.

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80 of people that get autoimmune disease women.

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But also cancer is a flip side of the same coin as autoimmune disease.

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Women with estrogen dominance pre-menopausal have a 5.4 times greater risk of getting breast cancer before menopause.

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Not twice the risk or three times 5.4 times greater risk of breast cancer before menopause and at 10 times greater risk lifelong of malignant neoplasms, the ones that metastasize the worst of the worst.

00:20:21,413 --> 00:20:30,080
And so all this stuff that we're talking about creates the estrogen dominance, and then the estrogen dominance is a huge driver of disease in women.

00:20:30,602 --> 00:20:39,011
But if we, what we're trying to do is educate people what these hormonal menstrual things and red with alcohol things truly are, because they all stink you don't want any of them.

00:20:39,011 --> 00:20:45,332
Unfortunately, the things that tend to get used to treat them actually make it worse.

00:20:45,332 --> 00:20:53,034
Like, oh, you get all this hormonal menstrual stuff would put you on birth control pills, oral birth control pills, but they're estrogen based, so they make it worse.

00:20:53,034 --> 00:20:56,192
And then, well, now things are so bad we gotta do a hysterectomy.

00:20:56,192 --> 00:21:06,987
Well, the change in the anatomy down there, any change in the anatomy, even if you leave the uterus and take one ovary out, even a tubal ligation messes this up any change in the anatomy makes the estrogen down this worse.

00:21:06,987 --> 00:21:20,163
You may get rid of the bad flows and cramps because you don't have a uterus anymore, let's say, but you made it worse, and so this is really driving chronic disease in women, including this huge impact on cancer risk and autoimmune disease.

00:21:20,523 --> 00:21:29,232
Wow, Thank you for sharing that and bringing down those different components that are driving forces for this increased rate in autoimmune disease prevalency.

00:21:29,232 --> 00:21:32,307
Now we talked about your.

00:21:32,307 --> 00:21:45,049
You mentioned medications, how they can actually cause more problems, more diseases even, and now you have a protocol to help your patients that is not associated with medication side effects like traditional treatments.

00:21:45,049 --> 00:21:50,300
Could you delve into your approaches that set you apart from conventional treatments?

00:21:50,622 --> 00:21:54,009
yeah, I tell you, could I maybe focus on the ones that work through epigenetics.

00:21:54,009 --> 00:21:56,747
So like that stress hormone, cortisol.

00:21:56,747 --> 00:21:58,213
So we always talk about.

00:21:58,213 --> 00:22:07,519
We got to get rid of the things that are causing physical stress, because the stress response in the body that fight or flight mode, life or death mode is typically designed to deal with intermittent stress, like emotional stress.

00:22:07,519 --> 00:22:12,252
It's not designed to deal with 24 hour a day, seven day a week, physical stress.

00:22:12,252 --> 00:22:15,300
The body stress is stress, physical, emotional, spiritual.

00:22:15,300 --> 00:22:15,942
It's just all stress.

00:22:15,942 --> 00:22:21,342
So it kicks cortisol up into the stress mode, gets stuck and then you can't fix anything.

00:22:21,342 --> 00:22:22,305
It's one thing after another.

00:22:22,305 --> 00:22:31,261
So we get rid of all these physical stressors, then cortisol can reset into the calm mode, but typically your body's forgotten what calm feels like.

00:22:31,261 --> 00:22:32,845
So we got to create calm.

00:22:32,845 --> 00:22:52,634
So this is where things like meditation and deep breathing and repetitive prayer and progressive muscle relaxation is so important, because by resetting cortisol, telling cortisol what calm feels like, we're in a position to fix everything, including 16 years ago there was two different studies that suggested that meditation works through epigenetics.

00:22:53,160 --> 00:22:58,143
And so Harvard kind of being Harvard goes well, we're Harvard and we're not going to believe anybody else's research.

00:22:58,143 --> 00:22:58,905
We're going to do our own.

00:22:58,905 --> 00:23:01,761
We've got our top researcher on it and we're going to see if this is true.

00:23:01,761 --> 00:23:09,881
Well, they took this huge group of people that had done daily some kind of relaxation between three and 27 years, another group that never did it.

00:23:09,881 --> 00:23:14,701
They checked their epigenetics and they saw about 2 000 genes expressed differently between the two groups.

00:23:14,701 --> 00:23:17,675
And they go okay, so you guys have never done this.

00:23:17,675 --> 00:23:25,563
We're gonna teach you meditation and we're gonna ask you to do it 30 minutes a day, five days a week, for eight weeks and then we're gonna retest you and see if anything shank.

00:23:25,563 --> 00:23:31,496
Well, human nature being what it is, even harvard can get people to do it perfectly, even for eight weeks.

00:23:31,496 --> 00:23:35,384
So, on average, people did it 15 minutes a day, three days a week for the eight weeks.

00:23:35,384 --> 00:23:44,740
But they saw that 2000 of the genes that been expressed differently initially, 400 had flipped to match the long-term people after just eight weeks.

00:23:44,740 --> 00:23:46,063
And they go that is so cool.

00:23:46,063 --> 00:23:53,861
What do they do? They're the genes that code for inflammation or lack thereof, and they go oh my gosh, this is exactly what you want to do for everything.

00:23:53,861 --> 00:24:06,462
Now we, because they've got such an important mechanism the vitamin d receptors in the gut can become resistant to vitamin d and vitamin d receptors are never sell the body one of the things that makes vitamin d so important.

00:24:06,462 --> 00:24:09,612
But the receptors become resistant, just like you can get insulin resistance.

00:24:09,612 --> 00:24:17,709
You may have insulin, can't attach it and do the work, but when the vitamin D receptors in the gut go resistant, it is a super central mechanism in the gut and everything else.

00:24:18,119 --> 00:24:25,125
How you fix it is with what I call the foundational triad daily vitamin D, daily probiotics and daily butyrate.

00:24:25,125 --> 00:24:29,094
So butyrate is a short-chain fatty acid made by the good bacteria in the gut.

00:24:29,094 --> 00:24:36,651
It's actually tested for on the digestive stool analyses that we do the stool test.

00:24:36,651 --> 00:24:38,859
It's so important and when you do that it optimizes the intestinal microbiome.

00:24:38,859 --> 00:24:42,548
It's rid of the gut producing its own inflammation.

00:24:42,548 --> 00:24:46,143
This is where the gut is called can become the engine of inflammation.

00:24:46,143 --> 00:24:51,270
It's actually making its own inflammation, such as the pro-inflammatory cytokine nf-kappa beta.

00:24:51,270 --> 00:24:57,626
And then the lining of the gut starts making antimicrobial peptides to keep bad bugs down long term.

00:24:57,626 --> 00:25:03,508
And by doing that, all the original data was oh my gosh, this is what's going to fix all autoimmune disease.

00:25:03,508 --> 00:25:05,582
But oh my gosh, this will fix everything.

00:25:05,582 --> 00:25:08,067
And, sure enough, major depressive disorder.

00:25:08,067 --> 00:25:15,186
People become more outgoing and social nuclear weapon is metabolic syndrome and so big central mechanism.

00:25:15,186 --> 00:25:30,319
But butyrate almost exclusively works through epigenetics and this is why butyrate not only can help lungs heal in kids with cystic fibrosis, helps brains recover after stroke, prevents cancer five ways actually, kills cancer five ways actually kills cancer five ways.

00:25:30,319 --> 00:25:34,411
All this other kind of really cool stuff, because it works through epigenetics.

00:25:35,140 --> 00:25:41,894
And then another thing that we use an absolute ton is made by the liver, called the bile acid, but also called the chaperone molecule, called TUDCA.

00:25:41,894 --> 00:25:44,669
So it's Tauro-Urso-Dioxycholic Acid.

00:25:44,669 --> 00:25:48,184
For the pharmacists out there they might know the precursor called UDCA.

00:25:48,184 --> 00:25:52,431
It's urodial that they use for gallbladder sludge and gallbladder stones.

00:25:52,431 --> 00:26:03,843
So this TUDCA, oh my gosh, it works through epigenetics, huge.

00:26:03,863 --> 00:26:06,612
But also it gets at the central mechanism of all this huge increase of things called civilization diseases.

00:26:06,612 --> 00:26:22,864
Because all this stuff we're talking about that drives chronic disease, creates inflammation in the endoplasmic reticulum in the cells and that endoplasmic reticulum stress creates misfolding of the proteins that are being produced there and that misfolding of protein creates civilization.

00:26:22,864 --> 00:26:24,729
All these things you're seeing so much more now I'm used to.

00:26:24,729 --> 00:26:30,108
Tudka is a chaperone molecule, chaperones it through the process so it doesn't get misfolded.

00:26:30,108 --> 00:26:32,814
Oh my gosh, that is a huge central mechanism.

00:26:32,814 --> 00:26:39,704
Everything you see so much of nowadays has to do with this misfolding of proteins within that endoplasmic reticulum.

00:26:39,704 --> 00:26:45,182
This Tudka is a chaperone molecule oh my gosh, is this huge, including as part of that med.

00:26:45,182 --> 00:26:47,165
Now you guys know more about this than I do.

00:26:47,205 --> 00:26:49,770
The med that came out for als about two years ago.

00:26:49,770 --> 00:26:52,055
That's a combo of tudka and butyrate.

00:26:52,055 --> 00:26:55,701
Increases lifespans by people with als by 40.

00:26:55,701 --> 00:26:57,586
Super low dose, though, gosh.

00:26:57,586 --> 00:27:01,362
You could take two bottles of the tudka for what it costs one capsule, basically.

00:27:01,362 --> 00:27:09,031
But even the pharmaceutical industries are kind of seeing where these naturally occurring compounds are not only so important for neuroinflammation.

00:27:09,031 --> 00:27:26,792
Thus, I think this talk is going to be an absolute game changer for the epidemic of neurodegenerative diseases like Parkinson's, alzheimer's, dementia, lou Gehrig's disease, but it's tied into type 1 diabetes and obesity and cancer and blood pressure and cholesterol and all this kind of kidney disease and liver disease.

00:27:26,792 --> 00:27:28,079
It is a super central mechanism.

00:27:28,079 --> 00:27:33,430
Once again, it works through epigenetics, but then also it's a super cool chakram molecule as well.

00:27:33,430 --> 00:27:35,307
So this is where you get the body in position.

00:27:35,307 --> 00:27:40,489
It really starts fixing all this stuff, especially when you're kind of using the language the body likes to use.

00:27:41,019 --> 00:27:45,285
What you were explaining with the folding is that the Bilstrom's nuclearitis that you were referring to.

00:27:51,059 --> 00:27:50,972
Is that something else? Oh, thank you.

00:27:50,972 --> 00:27:54,608
So Bilstein's nuclearitis is when your immune system is confusingly making anti-nuclear antibodies, ana.

00:27:54,608 --> 00:28:01,070
So ANA is a blood test and if you get a positive anti-nuclear antibody, you're making antibodies against your nuclear material.

00:28:01,070 --> 00:28:07,469
It's an autoimmune process, right, but historically that was considered a not fully formed autoimmune disease.

00:28:07,469 --> 00:28:11,519
And well, that was considered a not fully formed autoimmune disease.

00:28:11,497 --> 00:28:12,215
And well, we don't really have a name, we don't really.

00:28:12,215 --> 00:28:12,944
It's not fully formed yet.

00:28:12,944 --> 00:28:13,942
We don't know what to do, we're not gonna do anything.

00:28:13,942 --> 00:28:21,146
What that means is you're gonna get either rheumatoid arthritis, lupus, sjogren's, mixed connected tissue disease, something like that.

00:28:21,146 --> 00:28:32,530
So probably within five to seven years you're gonna attack in other body parts, other parts of your dna, and we'll tell you you got these guys, but five to seven layers years later you're like totally worse already, right, and all this.

00:28:33,412 --> 00:28:50,291
And so you look at that and you go well, why would we wait to treat something that you're saying is not a fully formed auto immune disease? Obviously it's autoimmune process, it's on disease, but we don't just go oh well, you, you don't have fully formed diabetes, yes, we're not gonna do anything, we're not do it, we're going to wait until you're fully formed diabetes, then we'll do something.

00:28:50,291 --> 00:28:54,688
But you're like, why wait? So I'm like, okay, so we got to do is we're going to put a name on this.

00:28:54,688 --> 00:28:57,585
So we're going to name a positive a and a bilstrum's nuclear items.

00:28:57,585 --> 00:28:59,710
Now we got a name in medicine.

00:28:59,730 --> 00:29:01,821
If we don't quite have a name for something, I'm not quite sure what to do.

00:29:01,821 --> 00:29:02,522
A lot so.

00:29:02,522 --> 00:29:08,711
But now we're going to treat it and we're going to turn it off before it ever gets to the point of attacking other body parts.

00:29:08,711 --> 00:29:15,487
But we're not going to use medicines that just suppress the immune system, because that's not getting rid of autoimmune disease, that's just suppressing a few symptoms.

00:29:15,487 --> 00:29:19,830
What we're going to do is actually treat Y and make it go negative.

00:29:19,830 --> 00:29:29,294
And then because whatever made the ANA go positive is tied into every other thing you're not feeling well about, whether it's the fatigue or the brain fog or whatever we'll get all this to reverse.

00:29:29,294 --> 00:29:31,737
Now the ANA goes negative.

00:29:31,737 --> 00:29:39,980
We did our due diligence to rebalance that immune system and now you're not going to get rheumatoid lupus, sjogren's or, as it turns out.

00:29:39,980 --> 00:29:44,201
You're not going to get cancer either, because we're now taking care of the reason why we're at such a high cancer risk.

00:29:44,661 --> 00:29:45,981
Absolutely amazing.

00:29:45,981 --> 00:29:57,670
So I'm curious because we're talking about? We know that from region to region, genetics vary, environmental factors vary as well, lifestyle varies.

00:29:57,670 --> 00:30:09,117
So, given your experience internationally, have you by any chance noticed any cultural or regional differences in health perceptions regarding epigenetics?

00:30:09,839 --> 00:30:16,680
Yeah, and so in kind of European areas there's very similar genetics from one country to another.

00:30:16,680 --> 00:30:24,303
But depending on lifestyle and all these other kinds of things, it can really alter how much autoimmune disease you get.

00:30:24,303 --> 00:30:43,421
And so you know one thing they'll see is the darker somebody's skin tone, the harder it is to make vitamin D, and so people like from Somalia and other parts of Africa that have moved to, like Scandinavia, for example, they tend to get a lot more of this autoimmune stuff than the people that live there.

00:30:43,421 --> 00:30:51,549
And one reason is, even though it's virtually impossible to make adequate vitamin D from sun exposure nowadays humans just are terrible at that.

00:30:51,549 --> 00:31:04,394
Even the lifeguards in San Diego are about 40 points lower than they should be Is when you can't make really any vitamin D from sun exposure, even that little drop is a big deal, especially when you got this vitamin D receptor resistance.

00:31:04,394 --> 00:31:14,804
You don't got vitamin D, you don't got good receptors, you're really in a bad place, and so that kind of tells us oh you know, the environment really makes a big difference in all this stuff.

00:31:14,804 --> 00:31:27,346
And so then you tend to see sort of like the historical the multiple sclerosis band around the world with a northern climate, far away from the equator, vitamin D drops just enough that you get this huge increase in multiple sclerosis.

00:31:27,386 --> 00:31:30,173
But it's also other autoimmune diseases as well.

00:31:30,173 --> 00:31:41,039
But then the lifestyle, so people that so in countries that are developing nations and they're starting to eat the really crummy foods, food like products they're starting to get more stressed.

00:31:41,039 --> 00:31:45,211
They lose their traditional communities, their traditional support groups, all this kind of stuff.

00:31:45,211 --> 00:31:53,910
Then they start getting all these chronic health issues going on, including the autoimmune stuff, and so the world that we live in makes it so challenging to stay healthy.

00:31:53,910 --> 00:31:58,665
But one of the nice things is we now know that, so we should be able to go out and go.

00:31:58,665 --> 00:32:03,128
Okay, you're going to be very challenged, but we know how to keep your genes flipped the right way.

00:32:03,128 --> 00:32:06,009
We know how to keep your gut healthy and all this kind of stuff.

00:32:06,009 --> 00:32:09,192
We're going to do a much better job of preventing it before it happens.

00:32:09,192 --> 00:32:15,217
Or, because we know where the stuff comes from, we're in a position to start making it go away, even if it gets well established.

00:32:15,880 --> 00:32:16,501
Yeah, that's interesting.

00:32:16,501 --> 00:32:24,646
So location matters, but you and your team have the tools to help people with autoimmune disease reverse and get better.

00:32:24,646 --> 00:32:32,987
I want to definitely talk about another portion of something you've developed the Nurse Practitioner's Guide to Autoimmune Medicine.

00:32:32,987 --> 00:32:37,613
Can you tell us about that and how this resource could potentially help other practitioners as well?

00:32:37,996 --> 00:32:48,330
Yeah, so our ultimate goal is to have somebody in every community knows how to do this, because if there's not somebody in the community knows how to do this, the community thinks, well, we have no idea where this stuff comes from.

00:32:48,330 --> 00:32:54,627
Stuff comes from or, well, then the community doesn't know we have any way to reverse it, right, and so we really want people to know that we know where this stuff comes from.

00:32:54,627 --> 00:32:55,371
We can reverse it.

00:32:55,371 --> 00:32:58,126
And having somebody community, I think, is going to be that answer.

00:32:58,126 --> 00:33:02,364
But so this is where we have the book that it really is a book about the basics.

00:33:02,364 --> 00:33:08,953
I think if you know the basics of the science behind this, you could do like 70 of what we do in our clinic right from the get-go.

00:33:14,500 --> 00:33:36,621
So it's a book that says well, why is this important? Why is autoimmune so huge in an epidemic, Exactly what causes it, exactly what tests to run, exactly how to interpret the data from the tests whether it's blood tests, saliva, stool tests, that kind of stuff exactly what interventions to use, exactly what doses of interventions, exactly when to retest to see if it's working or not, exactly what to do if the labs change or don't change.

00:33:36,621 --> 00:33:38,930
And exactly what to do to maintain it long term.

00:33:38,930 --> 00:33:41,701
And then we also have the autoimmune parrot.

00:33:41,701 --> 00:33:46,663
We have two different levels of courses actually for medical people, including one that cme credit.

00:33:46,663 --> 00:34:00,864
That's the autoimmune paradigm, where we take a super deep dive into all this stuff, ideally trying to get somebody in every community that is the expert in reversing and preventing autoimmune disease and kids and adults and multiple generations through epigenetics.

00:34:01,365 --> 00:34:02,369
I think that is vital.

00:34:02,369 --> 00:34:10,210
It's important because many practitioners out there really do not understand it and their first go-to, of course, are the medications.

00:34:10,210 --> 00:34:21,215
Or patients go through years of being undiagnosed, normally knows what's wrong Autoimmune disease it presents in so many different ways it's hard to pinpoint.

00:34:21,215 --> 00:34:31,253
So yeah, I think that's great that you're doing to have some practitioner in every community to have that goal that really understands it and knows what to do, that goal that really understands it and knows what to do.

00:34:31,273 --> 00:34:36,898
Because, truly, if you know the science and this is what I always talk about well, the body's super, super complicated but super, super logical also.

00:34:36,898 --> 00:34:40,902
So if somebody knows the logic behind this, they can really do it.

00:34:40,902 --> 00:34:48,304
One of the quotes I have in my book was a physical therapist I was seeing for I do extreme snowboarding and I hurt myself.

00:34:48,304 --> 00:34:54,748
Not all snow is soft and trees are definitely not soft boarding and I hurt myself.

00:34:54,748 --> 00:34:55,853
Not all snow is soft and trees are definitely not soft.

00:34:55,853 --> 00:34:58,525
So we were talking and I was telling him about you know how I think if you know the basics, you do 70% goes well.

00:34:58,525 --> 00:35:02,615
Yeah, what you're talking about is masters know the basics Well.

00:35:02,615 --> 00:35:03,806
Masters do the basics Well.

00:35:03,806 --> 00:35:05,150
I'm like that's right.

00:35:05,150 --> 00:35:07,755
If you can master the basics, you become the master.

00:35:07,755 --> 00:35:11,753
And this is where it's so easy to get caught up in all this sort of interesting inflammation.

00:35:11,753 --> 00:35:16,048
But if you don't know the basics, a foundation of basics, you're never become the master.

00:35:16,048 --> 00:35:18,750
But if you know the basics, you are the master already.

00:35:18,990 --> 00:35:29,094
That is a great point, cause sometimes just knowing the basics, understanding that the details are so much easier and simplified when you know the foundation that makes a huge it's like with nutrigenomics.

00:35:29,094 --> 00:35:39,695
Knowing that makes huge, it's like with nutrigenomics.

00:35:39,695 --> 00:35:40,518
Known the basics, the foundations, you, you get it pretty easily as well.

00:35:40,518 --> 00:35:41,146
I have one more question, for actually two more.

00:35:41,146 --> 00:35:44,945
With your work, your emphasizes preventing and reversing autoimmune diseases, of course using the principles of functional medicine.

00:35:44,945 --> 00:35:49,733
Are you able to share a patient case with us where there was a transition? Oh my gosh, I can share thousands.

00:35:50,596 --> 00:35:50,976
Yeah.

00:35:50,976 --> 00:36:01,032
So how about I give you a quick one? Where the body is so good at healing, no matter how long we've had something, the body's always trying to fix it.

00:36:01,032 --> 00:36:02,230
It knows how to fix it.

00:36:02,230 --> 00:36:06,335
The default mechanism of the body is always to move towards wellness.

00:36:06,335 --> 00:36:10,746
So if you can't fix something, you know something's got in the way because your body is trying to fix it.

00:36:10,746 --> 00:36:12,307
So this happens a lot.

00:36:12,547 --> 00:36:22,336
One particular person I think of is she was 84 when she came to see me and she had all these health issues, including autoimmune disease, and we started talking about our different symptoms and ask her specific questions.

00:36:22,336 --> 00:36:23,858
Everything that happens tells part of the story.

00:36:23,858 --> 00:36:32,148
We got to her ringing in the ears, her tinnitus, and I said, oh, so when did your tenderness start? Oh, it started when I was six years of age.

00:36:32,148 --> 00:36:32,949
I've had that forever.

00:36:32,949 --> 00:36:33,871
I'm kind of used to it.

00:36:33,871 --> 00:36:34,972
You've got to get used to it.

00:36:34,972 --> 00:36:37,356
So I don't particularly worry about that.

00:36:37,356 --> 00:36:47,407
But I've got these other things right and I'm like, well, no, everything's connected and sometimes it's the things that happen first that really tell you where it came from.

00:36:47,407 --> 00:36:49,871
And then you go okay, I can see where that came from, but then it's like logical bink, bink, bink, bink, bink.

00:36:49,871 --> 00:36:52,076
And these are all the things you get, including by age 84.

00:36:52,677 --> 00:36:55,688
So we made a couple food changes because she had autoimmune disease.

00:36:55,688 --> 00:37:05,989
We know everybody with autoimmune disease process have a delayed hypersensitivity reactions to the proteins in wheat there's 62 different kinds, coltons one and the proteins in cows.

00:37:05,989 --> 00:37:07,934
Milk, dairy butter is okay.

00:37:07,934 --> 00:37:10,126
Butter is actually the only food source of butyrate.

00:37:10,126 --> 00:37:11,710
That's super important thing.

00:37:11,710 --> 00:37:16,367
The gut needs to be healthy and everything else, and so he said well, let's go, we eat gluten-free cows with dairy-free.

00:37:16,969 --> 00:37:32,815
We know infections are part of all this, so we're going to start you on this fantastic broad spectrum antimicrobial we get out of canada called ph structured silver solution, which is a nano silver that will get rid of any infection, no matter where it's at, whether you know it's there or not, including.

00:37:32,815 --> 00:37:36,045
I just did a video a couple weeks ago about how it gets rid of malaria.

00:37:36,045 --> 00:37:44,235
It gets rid of the adenoviruses that translocate from the gut to the breast tissue to cause breast cancer and to the pancreas to create type 1 diabetes.

00:37:44,235 --> 00:37:46,226
Gets rid of those guys, all these things.

00:37:46,226 --> 00:37:51,793
It's also, though, this cool structured water portion of this pH structure.

00:37:51,793 --> 00:38:02,302
So this is the cool biophysics of water molecules I'm totally like geeking out here and allows you to get rid of inflammation and help damaged tissue heal, including.

00:38:02,302 --> 00:38:07,043
Studies show it works through epigenetics in skin cells, like the burn injury patients.

00:38:07,043 --> 00:38:10,974
And we get the burns not just to get these infections, but they heal faster, they go wow.

00:38:10,974 --> 00:38:13,496
How does that happen? Medications and we get the burns not just to get these infections, but they heal faster, they go wow.

00:38:13,496 --> 00:38:18,108
How does that happen? Turns out, the structured water up regulates the activity of 59 out of the 88 genes in a skin cell.

00:38:18,108 --> 00:38:20,994
That code for skin cell healing makes them.

00:38:20,994 --> 00:38:22,097
Oh my gosh, that's so cool.

00:38:22,097 --> 00:38:23,708
So we did those two things.

00:38:23,768 --> 00:38:33,659
She came back six weeks later, going over all our labs, and I said hey, you know you anything feeling better? She goes, well, yeah, you know, my energy is little better and I think my brain fog is a little better too.

00:38:33,659 --> 00:38:35,590
You know, not a lot, just a little bit.

00:38:35,590 --> 00:38:36,614
And I go okay.

00:38:36,614 --> 00:38:43,096
I said what about the tinnitus? And she stops and goes oh my gosh, oh my gosh, oh my gosh.

00:38:43,746 --> 00:38:46,387
I've had that since I'm six years of age and I'm looking at my notes.

00:38:46,387 --> 00:38:48,572
That's why I asked you.

00:38:48,572 --> 00:38:50,536
And she goes oh my gosh, it's gone.

00:38:50,536 --> 00:38:51,858
I've had since I was six years of age.

00:38:51,858 --> 00:38:52,809
I can't believe it.

00:38:52,809 --> 00:38:56,041
It's not there anymore and I'm like this is a great teaching.

00:38:56,041 --> 00:39:00,994
Amazing because no matter how long you've had something, your body is always trying to fix it.

00:39:00,994 --> 00:39:06,454
It knows how to fix it and if you can get that, whatever it is out of the way, the body goes hot dog.

00:39:06,454 --> 00:39:11,788
I finally have my chance to fix this and the body just goes, just rolls forward.

00:39:11,788 --> 00:39:15,472
It's incredible how the body can heal when you kind of know the language it speaks.

00:39:16,152 --> 00:39:17,853
Amazing I know she had.

00:39:17,853 --> 00:39:21,958
She was 80 something, so over 70 something years she's dealt with ringing her ears.

00:39:21,958 --> 00:39:23,639
That is amazing.

00:39:23,639 --> 00:39:24,679
In just a few weeks.

00:39:25,061 --> 00:39:29,128
You know, there's so many people think that they, you know these things, that they get's.

00:39:29,128 --> 00:39:32,257
Well, I'm always gonna have it, you know, and I'm probably told that right.

00:39:32,257 --> 00:39:33,659
Well, you, this is nothing.

00:39:33,659 --> 00:39:35,565
We don't know where it comes from, you don't know how to make it go.

00:39:35,565 --> 00:39:36,487
Well, you could have it forever.

00:39:36,487 --> 00:39:54,023
And and that's really a shame, because people then don't don't search for the answers, but truly, when they realize it's kind of like when you walk around your house bare feet, you stub your toe, kick a chair leg and you're hopping around in like tremendous toe pain and you're trying not to cuss in front of small children, well, everybody inherently knows their body can heal.

00:39:54,023 --> 00:39:54,625
Because they're thinking.

00:39:54,625 --> 00:40:00,697
They're not thinking I'm going to be hopping around terrible toe pain for 50 years, right, like well, my body's going to fix this and I just won't do it again.

00:40:00,697 --> 00:40:04,188
But then, when it comes to this chronic stuff, we're like, oh no, we're just going to have that forever.

00:40:04,188 --> 00:40:08,436
No, no, no, no, that's not how the body works no, not at all.

00:40:08,496 --> 00:40:09,117
It wants to heal.

00:40:09,117 --> 00:40:11,422
It wants to heal and is looking for a way.

00:40:11,422 --> 00:40:22,070
My final question for you, dr billstrom, is you noted in your bio and you mentioned recently that you like snowboarding, also hiking, when you're not practicing medicine.

00:40:22,070 --> 00:40:29,048
How does this passion for nature tie into your belief in its healing power when you're treating patients?

00:40:29,650 --> 00:40:37,101
Yeah, so nature has been shown in dozens and dozens and dozens of sites to improve human health and well-being.

00:40:37,867 --> 00:40:52,076
Now the central mechanism appears to be that cortisol reset and so when you get out in nature or even interact with nature, it has this powerful impact on cortisol and powerful impact on our immune system and inflammation control and all this kind of stuff.

00:40:52,076 --> 00:41:01,733
And so we teach patients how to use nature to heal and we kind of kind of set it up like a bullseye, so like the inner bullseye is what you might do in your home.

00:41:01,733 --> 00:41:08,105
So like gardening, home gardening in your own home, has been shown to help human health, well-being, reset cortisol.

00:41:08,105 --> 00:41:11,793
Looking out the window at nature has been shown.

00:41:11,793 --> 00:41:16,902
Local parks, like in big cities, local parks that's been shown to help human health, well-being.

00:41:16,902 --> 00:41:24,730
Getting out into greater nature and kind of where I'm at, we're surrounded by like national parks, and all this helps human health and well-being.

00:41:24,730 --> 00:41:35,472
So no matter where you are or no matter how sick you might be and how easy or hard it is to access nature, you can access nature and then this really gets the healing process going.

00:41:35,813 --> 00:41:36,094
Wow.

00:41:36,094 --> 00:41:37,751
Nature, the healing power of nature.

00:41:37,751 --> 00:41:42,152
You know I'm supposed to be going tomorrow to go hike in in a sequoia, so I'm going to remember this.

00:41:43,407 --> 00:41:44,932
Oh well, yeah, I think you know what I mean.

00:41:44,932 --> 00:41:53,469
You come back and you're like ah, you're a new person oh my gosh right, including they person oh my gosh right, including.

00:41:53,469 --> 00:41:54,474
They did a study on post-cholestectomy patients.

00:41:54,474 --> 00:42:03,106
They got their gallbladder removed and if the recovery room overlooked a green space, they had a shorter length of stay, less post-op complications, including less post-op infections, just by looking at a green space.

00:42:03,106 --> 00:42:18,067
And so this is where you see hospitals where they maybe have like pictures on the ceiling or the walls and recovery rooms of nature scenes, because all this data came out a long time ago and they go hey, this is easy, we'll just put up nature scenes, and that even works too.

00:42:18,467 --> 00:42:20,172
That's what we need Some nature.

00:42:20,172 --> 00:42:22,577
Well, maybe I'll do a mural in my room.

00:42:26,670 --> 00:42:27,873
I don't know if you could be the Sequoia.

00:42:29,548 --> 00:42:31,271
Open the blinds, I'll see the mountains outside.

00:42:31,271 --> 00:42:33,076
Oh wow, it's been a pleasure.

00:42:33,076 --> 00:42:38,402
Dr Billstrom, thank you so much for this enlightening conversation and the knowledge that you've been sharing with us.

00:42:38,402 --> 00:42:39,670
We appreciate it so much.

00:42:39,670 --> 00:42:40,989
It was a pleasure having you on the show.

00:42:41,550 --> 00:42:42,914
It was my pleasure, my pleasure.

00:42:42,914 --> 00:42:43,556
Thank you so much.

00:42:54,045 --> 00:42:56,025
And there wraps another PowerPact episode, with knowledge blossoming in our hearts and hope kindling a brighter tomorrow.

00:42:56,025 --> 00:42:58,797
A massive thank you to Dr Bilstrom for joining us today and gifting us a roadmap towards wellness that feels achievable and sparks joy.

00:42:58,797 --> 00:43:05,594
Remember, dear friend, your health is not a destination, it's a journey, and sometimes journeys have bumps and detours.

00:43:05,594 --> 00:43:08,634
It's okay to pause, to seek help, to change course.

00:43:08,634 --> 00:43:12,670
What's important is that you're on the move, one brave step at a time.

00:43:12,670 --> 00:43:20,315
Feel motivated to take action, muster your courage, strap those boots of resilience and tackle next week with the wisdom you gained today.

00:43:20,315 --> 00:43:23,911
Think how far you'll have traveled all this time next year.

00:43:24,567 --> 00:43:28,793
And if you nodded along to this episode and feel like it could inspire someone, please share it.

00:43:28,793 --> 00:43:33,737
Let's spread this Empower and R ripple effect, because we rise by lifting others.

00:43:33,737 --> 00:43:45,891
Coming up next week on the show, we're diving into the groundbreaking world of recovery techniques that don't require a gym membership, so you can supercharge your healing journey without stepping out of your comfort zone.

00:43:45,891 --> 00:43:47,315
Talk to you next Friday.

00:43:47,315 --> 00:43:56,217
Until then, always remember in your journey as a healthcare professional, always raise the script on health, because together we can bring healthcare to higher levels.