Dr. Justin Marchegiani: And we are live. Hey
Evan, how are we doing today? Today’s podcast is going to be on Apple cider vinegar and
its application with functional medicine and we see patients all over the world and we’re
always trying to use supplements and natural medicine tools to help improve blood sugar,
to help improve energy, to help improve a whole host of various physiological markers.
So I’m excited to dive into this topic. How are you doing today, man?
Evan Brand: Me too. I’m doing great. I’m actually surprised at how effective Apple cider vinegar
can regulate and change insulin sensitivity, blood sugar levels. We’re going to get into
some of that because you’ll see some of these articles that are geared towards moms or just
women in general, like here’s all these weight loss miracles and it we’ll discuss using Apple
cider vinegar as a weight loss remedy, which on the surface seems kind of silly and it
seems like there’s no way that’s possible. But you and I were looking into the research
and this is totally true, what Apple Cider Vinegar can help with blood sugar. So let’s
talk about it. Dr. Justin Marchegiani: Yeah, absolutely.
So one of the biggest things that we look at in functional medicine world is going to
be blood sugar stability and or insulin sensitivity slash insulin resistance. So blood sugar,
the more we can keep blood sugar relatively stable in between meals, there’s going to
be less surges of insulin on the high side and less surges of adrenaline and cortisol
on the low side. So by just keeping blood sugar relatively stable, we prevent a lot
of our adrenal and pancreas from having to come to the rescue to help buffer the highs
and lows. So of course we make dietary changes, you know, protein, you know, eating more of
a good quality protein and fat, having carbohydrates adjusted to our macronutrient needs, right?
If someone’s more insulin resistant, we’ll adjust carbohydrates, focus more on non starchy
vegetables versus a starch and fruit. Now that being said, there may be extra supplements
we use to help improve insulin sensitivity. On top of that, we may use things like magnesium,
vanadium, chromium, gymnema, various berberine. But Apple cider vinegar is shown in many studies
to have a similar effect as Metformin, which is kind of an extract from a French lilac
flower. But Metformin has great ability of decreasing glucose hepatic uptake, decreasing
gluconeogenesis, a gluco gastric uptake, meaning less glucose absorbed through the intestine,
less glucose being produced by the liver. So Apple cider vinegar has some great benefits
in that it actually is shown to reduce insulin secretions and blood sugar in that first hour
after eating. And that’s really where most of the insulin and blood sugar is going to
bump up is that first hour. So for instance, one study showed reduced blood sugar by 34%
after eating 50 grams of white bread. I have one study here in the journal of the American
Diabetic Association, vinegar improves insulin sensitivity to a high carbohydrate meal and
subject with insulin resistance. And just looking at the graph here, you see a significant
reduction in insulin levels, 55% in subjects with diabetes compared to the other. So fasting
glucose concentrations, we’re 55% more elevated in the group that did not have Apple cider
vinegar. So great benefits. They are a lot of that is happening via acidic acid and its
effect on the insulin receptor sites and its effect on the liver producing glucose and
on the effect of the intestines absorbing that glucose. Pretty cool.
Evan Brand: It seems too easy. You just do some Apple cider vinegar with your meal times
and you’re going to be better. It sounds like too, let’s say you were more lower carbohydrate
even indicated genic diet and you want to go do some carbohydrates. You want to eat
a big baked sweet potato but you don’t want to have as big of a glucose spike. Sounds
like this would be a good time to whip out a tablespoon of Apple cider vinegar, throw
with some lemon juice in there with it, a little bit of water and drink it down.
Dr. Justin Marchegiani: 100% and in functional medicine world that we’re dealing with lots
of people that have adrenal issues and thyroid issues and frankly blood sugar imbalances
and high insulin levels tend to be a big thing. We see lots of hormone and fertility patients
that have PCLs or polycystic ovarian syndrome and there’s a strong etiology and those types
of conditions with insulin secretions, I mean high levels of insulin, insulin resistance,
which is like the higher your insulin becomes. It’s like your kids kinda like fighting in
the corner after you told them to be quiet like 10 times. You just kind of tune them
out and ignore them, right? You become resistant to their, uh, to their, uh, noise, right?
So the same kind of thing ourselves become resistant to that high level of insulin. So
we can kind of get that volume turned down a little bit. That resistant volume turned
down a little bit by using Apple cider vinegar, but we’re never going to just rely on one
thing. So we’re kind of focusing on one tool in that tool belt today. But I want people
to, to know that we are zoomed out and we’re trying to look at a big picture, but we’re
trying to zoom in today and give you one tool and that tool belt and talk about where it
really benefits and helps. Evan Brand: Yep. So that was another piece
of literature here. This is all in pub med so people can look it up themselves if they
want to. We could put links with your show notes for just two tablespoons a day of Apple
cider vinegar over a 12 week period resulted in four pounds of weight loss with no other
modifications to diet or lifestyle. So I mean that’s pretty easy. I mean it sounds like
as long as you don’t have any major gut issues that would cause you to, uh, you know, have
heartburn or anything like that. And even if it’s diluted, it would help heartburn.
Why don’t we talk about the stomach acid connection a bit and how it can help with basically inspiring
the body, is kind of my way of looking at it. It’s really the, the catalyst, if you
will, almost as if you’re taking digestive enzymes by taking ACV.
Dr. Justin Marchegiani: Yeah, absolutely. So off the bat, if we’re not absorbing and
digesting a lot of our nutrition in our food, that’s going to be a problem because all of
those nutrients go work out, work their way into the Kreb cycle, the January energy. They’re
gonna work their way into beta oxidation so we can generate ATP and energy from fats.
They’re going to be involved in our neurotransmitter function, which allows us to manage stress,
to feel good, to focus, to feel energized, to have reward pleasure for certain activities
that we engage in. And then also they’re going to help provide building blocks for our thyroid
and our adrenal hormone. So very important. If we can’t digest and break down these things,
there’s going to be a problem. Also, if we don’t digest and break things down, then things
raw inside of us. They putrefy, they ran certify, they ferment, and that’s an a create stress
in our intestinal tract as well. So if we can make sure we’re digesting and breaking
things down, that gives us a huge one that takes stress off of our body. And number two,
we get all the nutrients on the back end that helped run all these important metabolic pathways.
Very important. Evan Brand: Yup. So Apple cider vinegar could
be used before meal time. To me, that’s the best time to do it. If you’re going to go
for it, you could start out, maybe just one teaspoon, dilute it. I like to make a little
homemade lemonade out of it. So I’ll do like Apple cider vinegar, lime or lemon juice,
sometimes both. And then a little shot of Stevia or monk fruit and some good clean filtered
water. And that’s it. And just drink that. Not saying drink a whole huge cup of it, but
I’m talking maybe like a three to four ounce large shot glass worth of this combination.
Dr. Justin Marchegiani: Exactly. So Apple cider vinegar is acidic, right? It’s a C to
gases. So it’s got a pH of like three to 3.5 or so. So we’ll help lower acid. That acidity
helps activate enzyme levels, right? So then that’s going to help with getting your enzymes
and your proteolytic enzymes. And then the more that your food is acidified, that triggers
your pancreas and gallbladder to work better and make more bile and more lipolytic enzymes
and proteolytic enzymes. So that’s really helpful. Also, the nice low pH. Um, and also
some of the antibacterial and antifungal benefits may help with CBO and it may help with fungal
overgrowth. There’s lots of studies on, um, let’s say Apple cider vinegar right here,
antibacterial action of Apple cider vinegar for foodborne pathogen bacteria, including
the really nasty E.Coli 0157. This is the journal of food protection and they showed
that E. Coli was significantly altered and endo or destroyed with Apple cider vinegar.
So that’s really, really, really awesome benefit because we see lots of patients with SIBO
and lots of patients with fungal issues and it could be beneficial. Now that being said,
I do see some patients with a significant amount of SIBO that sometimes can feel worse
with Apple cider vinegar because there is some fermentation with like a healthy Bragg’s
Apple cider vinegar and that fermentation may increase the FODMAP content of Apple cider
vinegar and people may, some may feel more bloated. So that’s the case. There may be
more significant SIBO that you need things outside of Apple cider vinegar to address
that bacteria or that fungal overgrowth. So most people are going to need something stronger
than ACV to address those issues, like an herbal actual program and they’ll need specific
testing to see what’s there. But for someone that’s kind of pretty stable, you’re going
to have pretty good benefits, but it may not be enough if you’re trying to go after things
very specifically when you have chronic gut issues or deeper infections.
Evan Brand: Yeah. Well said. I’m glad you brought that up, which is that this stuff
is great, very helpful, but it’s not going to replace your diabetes medication if you’re
still trying to regulate diabetes. It’s not going to eliminate parasites and candida overgrowth.
It may be an adjunct if you will, but you can’t just get rid of gut bugs. Would just
drinking Apple cider vinegar all day everyday won’t work.
Dr. Justin Marchegiani: Yup. 100% yeah, also, Apple cider vinegar has amazing benefits at
flushing out and Guana Dean from protein metabolism and this is part of how it can increase, um,
this how we can increase fat burning is it can flush out this Guanidine which the more
that’s flushed out, that can upregulate your metabolism. And then the glucose six phosphate
pathway is upregulated, which allows you to burn better fat and allows you to burn fuel
better, like glucose six phosphate is part of that pathway involved in glycolysis and
the Krebs cycle. So glycolysis is basically burning of glucose. And that happens right
before the Krebs cycle where we have [inaudible] in all these different metabolic pathways
that run round. And those spit out ATP. We create a whole bunch of, um, extra hydrogen
molecules there. They can enter into beta oxidation, which allow us to generate more
ATP through beta oxidation and the electron transport chain. So really, really good benefits
with Apple cider vinegar and energy. And then of course, we already talked about the insulin
resistance. The more insulin resistant we are, the more we’re gonna burn up things like
magnesium and B vitamins because those pathways are, let’s say, upregulated when there’s more
sugar and more insulin. So we actually deplete magnesium and we deplete B vitamins more when
we have higher levels of blood sugar. Evan Brand: Man. So let’s go back for a second.
That’s pretty crazy. So I’ve seen articles and things mentioned where people say, Oh,
Apple cider vinegar increases your mitochondrial function based on what you just said, talking
about Krebs cycle. That makes sense. So you could argue that Apple cider vinegar could
almost be like a pre-workout if it is going to help fuel that Krebs cycle. You could use
it, maybe mix it with some of your pre-workout amino acids or something like that. Is that
what you’re saying? Dr. Justin Marchegiani: Yup, exactly. Yep.
So here’s one study here talked about vinegar as a functional ingredients to improve postprandial
glycemia control. And they talk about that. Um, the molecule mechanism by which vinegar
can improve, I seem to control the mechanism include activation of the free fatty acid
receptors. So it’s helping you burn fat better. It upregulates the A M P K pathways, which
are, let’s just say, um, this is the adenosine monophosphate activated protein kinase. These
are going to be pathways that are upregulated. They’re anti-aging pathways and they get upregulated
with certain antioxidants and I’m pretty sure they also get upregulated with fasting as
well, leads to increase fatty oxidation. So oxidizing fat is basically shuttling it into
the mitochondria and burning it for fuel. It decreases gluconeogenesis. So gluconeogenesis
is when the liver makes glucose out of either stored glycogen or protein, which is great.
Um, and then also it lowers the free fatty acid in circulation. I think it’s cause it’s
burning it more, it increases blood flow to peripheral tissue, which is amazing. Better
blood flow to peripheral tissue is going to help with inflammation because inflammation
tends to cause constriction in regards to blood flow increases satiation. So the more
satiated we are, the less chance we are. We overeat, the less we overeat, the less insulin
we surge. And then, um, so those are the, are the big mechanisms in this one article.
So we want people to understand why most people that talk about these things just say, Hey,
check out these cool benefits. But then it’s like, Hey man, we’re the heck the science
about it. So we want to make sure that these articles are present. We’ll put them in the
reference section down below. So if you guys want to take a look at it either on YouTube
or on the iTunes podcast, feel free and check. We’ll take a take a look at that.
Evan Brand: So blood pressure. There was some research on this too. I saw one study, it
looked like it was an animal study. There’s probably a human study I haven’t found yet,
but that the acetic acid, which is the main component in the outside of vinegar, reduce
levels of blood pressure. Now, if you’re like in a major hypertensive crisis and you are
trying to prevent yourself from having a major issue, no, don’t just go drink Apple cider
vinegar. Make sure you get help from your doctor and get a blood pressure medication,
even if it’s temporarily while you work with somebody like us to get to the root cause.
But this could be a good regulator if you will. Like maybe you’re just slightly hypertensive.
Maybe you’re at like a one 30 over 90 maybe you can help get that closer to your one 20
over 80 with the help of Apple cider vinegar. Dr. Justin Marchegiani: Correct. Yep. I think
it’s excellent. Also, we talked about fungal kind of eradication internally. So we may
take anywhere between one to three teaspoons as a great way to kind of start things going,
mix it in water because the Asita gas, it can be a little bit hard on the enamel, the
outer part of the teeth. So we want to mix it with a little bit of water. That way it’s
going to be diluted and then we just kind of shoot it down and do it like five or 10
minutes before your meal to kind of get your digestive juices going. And that will kind
help the application of it. Also you can, um, if you have a sore throat, you can do
that same thing and just kinda gargle with it and let it hit your throat for a minute
or two. If there’s any mucus hanging out in the back of your throat, the acid will kind
of emulsify it. Meaning, if you have a whole bunch of fat on the pan and you put a whole
bunch of ’em soap on it, emulsifies it, it breaks it off so it can, it can be flushed
down into the drain. Same thing with mucus from a throat infection in the back of your
mouth. It really emulsifies it. So from an application standpoint, one to three teaspoons
is pretty good. Three teaspoons of the tablespoon and at the highest we may even go to two tablespoons
on the high end. And that can be great for just the digestive aspects. And then higher
more for like weight loss benefits. So you want more benefits outside of just the digestive,
you can go even higher and see how that goes. Evan Brand: Cool. Good advice. Let’s talk
about topical application. Dr. Justin Marchegiani: So yeah, I wanted
to address that. Go ahead. Evan Brand: Yeah, so you know, we talk about
poop and all that a lot, so I’m not embarrassed to talk about my story. When I had major gut
bugs like four or five years ago, I had hemorrhoids and it was very uncomfortable. You’re trying
to go walking and you feel the hemorrhoid. It’s not comfortable. It’s a huge, huge common
issue. Many, many people don’t even talk about it. Everybody just kind of deals with it.
And Apple cider vinegar was what I use topically. Just took a cotton ball, put it right on topically.
Uh, you know, dabbled in some Apple cider vinegar, dab it directly onto the hemorrhoid
and literally within two days it was gone. I did nothing else. I believe I had some Witch
Hazel. You and I were kind of talking off air about that too, about witch hazel being
a good sort of a stringent, but I don’t think I had it with me. I think I only had Apple
cider vinegar. I have used witch hazel with many, many other benefits, but I believe Apple
cider vinegar was my only remedy and I used it when I had poison Ivy too. I had poison
Ivy real bad when I used to work at the park system and I would just do the same thing.
I would just do topical, a cotton ball or cotton swab and just rub it right onto the
poison Ivy. And it was a huge.. it sped up the recovery time much, much faster and reduce
the itching. That way you’re not spreading the poison Ivy oil everywhere.
Dr. Justin Marchegiani: Oh 100% yeah, that’s totally smart. Love that.
Evan Brand: I’ve heard of natural remedies like using Apple cider vinegar along with
essential oils for like killing fleas and such like on your cats and dogs. But I don’t
know. I don’t know if I would, I’m not sure if it’s powerful enough to really do that.
Do you have any, you have any feedback or experience with your pets using Apple cider
vinegar and.. Dr. Justin Marchegiani: Yeah, so typically
there’s a Cedar oil that I use from my pets for fleas and I have a couple of herbal callers
that have a lot of Cedar oil as the main ingredient. So that’s the big thing that I’m using for
them now for feed stuff, Apple cider vinegar, I use a herbal nail foot fungal soap or to
soak it to herbs and you mix the herbs with Apple cider vinegar and that works phenomenally.
I’ve seen amazing benefits with just cracking heels and extra skin from fungal overgrowth
on the feet and or fungal nails and that can work amazing. And the Apple cider vinegar
is great because the acidity on it can help decrease bacteria on the skin. So you can
either use it kind of topically on your face, almost like as a toner or cleanser. And that
can kill some bacteria on your skin. You’d want a moisturize, have a good moisturizer
on the back end because it could dry things out. And then you can also topically use it
on the hair. So any type of psoriasis or dandruff, a lot of times the dandruff is going to be
fungal based. Psoriasis may be autoimmune based, there may be other things that happen
have to happen there. Eczema, it could be autoimmune based as well, but it’s worth trying
it on some of those things. But definitely for seborrheic dermatitis and or dandruff,
Apple cider vinegar can be very helpful with too.
Evan Brand: Cool. Yeah. So acne scars, we found some limited research on that. Helping
with scarring, so helping just reduce the skin issue. So, I mean, I may even go as far
as to say possibly stretch marks. I mean, if it’s the same mechanism of tightening things
up with the skin, it’s possible. I’m not going to sign in blood, but it’s possible it could
help with stretch marks, but I know at least acne scars, you know there was some cool stuff
on that. Dr. Justin Marchegiani: 100% yeah, of course.
Other nutrients are going to be important for that. Like vitamin C and vitamin A are
going to be really important because those actually provide building blocks as well as
collagen. But it could be an important stimulator. Evan Brand: Yeah, it’s not, it’s not a a miracle,
it sounds like one, but it still, you still have to address these root causes. Like you
could put Apple cider vinegar on your face five times a day, but if you’ve got bacterial
overgrowth in your gut, you’re going to have skin issues. You have to get the proper testing
and eradicate your bacterial overgrowth problem. Dr. Justin Marchegiani: Yup. Absolutely. Yeah,
100% I’m also Apple cider vinegar has been shown to help reduce cholesterol. Now is that
necessarily a good thing? Well, here’s the deal. The worst way to reduce cholesterol
is going to be a statin medication because that’s gonna decrease cholesterol formation
via the melodic acid pathway and that pathway is very important for producing cocuten. So
when you take medications to reduce cholesterol, you’re blocking internal cocuten production,
which is really important for your mitochondria. So we never want to use things that are going
to really block internal nutrients, but there is some good benefits on helping it help lower
cholesterol. Part of that could be through metabolism. It’s not quite sure how that’s
happening, but it seems to be through healthy metabolism, which is really good and all you
need is a tablespoon or two to help improve that. I think a lot of that could be via insulin
because when you lower insulin, the hemo method, literary coli reductase enzyme is the main
enzyme that’s involved in making cholesterol. 90% of your cholesterol is actually made by
your body. So when you decrease insulin, insulin’s the major stimulator on that enzyme making
more cholesterol. So I think the more plausible benefits and to be more metabolic and or through
decreasing insulin when insulin is down, you’re going to make less internal cholesterol, which
is good because then you’re, you’re only getting what you need and you’re not going through
it and a means that are gonna have to block it and create more side effects.
Evan Brand: That makes sense. You may, and we probably did a show on this several years
ago, but we should probably do it again on cholesterol. Talk about like plant sterols
and some of the things we’ve seen, because we’ve had a lot of people bring that up with
us with, Oh my doctor’s freaking out, my cholesterol is this, and we’ve been able to help regulate
those levels using just natural plant sterols and some other nutrients.
Dr. Justin Marchegiani: Yeah, exactly. And we talked about the endothelial synthase and
nitric oxide, which is kind of a vasodilator that kind of opens the blood vessels up. We
talked about how mold exposure may have caused less of that compound which would constrict
more of the vessels. We talked in the past about fructose, high amounts of fructose and
sugar. Actually, well, fructose is going to be fruit sugar, but you’re going to see more
of it with high fructose refined corn syrup that actually decreases nitric oxide endothelial
synthase. That’s the enzyme that helps vasodilator, opens up your blood vessels. So if we decrease
that enzyme, we’re decreasing blood flow and acidic gas that which is the main component
in Apple cider vinegar is actually shown to increase that which is going to increase blood
flow, which is great to help combat inflammation. The more we can, um, open blood flow up, that’s
like a firefighter having a hose that’s wide open when they’re putting out a fire. Right?
The better waterflow someone can have, the more we can put out the fire or decrease inflammation
in your body, which is really important. Evan Brand: Well that would make sense why
it would lower blood pressure too, right? If you’re getting more blood flow, more vassal
dilation, you know, people may say, Oh well I don’t do fructose. I don’t do corn syrup.
But even if you’re not doing soda, for example, corn syrup is in so much, I mean if you’re
doing just conventional ketchup, for example, let’s say you do some homemade sweet potato
fries and you’re going to do some ketchup, there’s probably some corn syrup in there
if that’s not like an organic ketchup. So you know, sugar and corn syrup can be very
sneaky. So just cause you don’t drink soda and you’re not literally putting a spoon of
sugar on your food, it can be hidden in so many different sauces. So make sure you look
over that. Even some organic sauces I’ve seen like organic barbecue sauces I’ve found that
have been loaded with a guy, the nectar, which is going to be really um, blood sugar spike.
And then also corn syrup. I’ve seen corn syrup, like solids for example, in organic flavoring
and organic spice mixes, which is just not good.
Dr. Justin Marchegiani: Totally. Also, some of the questions coming in on the live chat,
some are talking about the taste. Brags actually makes a really good Apple cider vinegar drink
sweetened with Stevia. There’s a couple that have sugar, but some have Stevia in it. The
lime ones are really good one ginger and Apple cider one have a little bit of sugar in there
at the Lime one and there’s one other one that’s pretty good, that’s pretty low in sugar,
so those are great options. If someone doesn’t like tasting it, you can get one of those
strengths and as a full [inaudible] they’re really nice. I really enjoy them. The lime
ones. Evan Brand: Yeah. Had the lime one the other
day I tried to get my wife to drink and she’s like, Oh, so whatever, you know, just get
it over with then fine. Put it with a shot of some lemon and lime juice and water and
just get out. Dr. Justin Marchegiani: Yeah. My wife and
I are going to be delivering our second child next week, at the end of next week, so we’re
really stoked. But early in the pregnancy she was having some nausea, so we did ginger,
Apple cider vinegar and she did a really good with it and it helped with her digestion.
She avoided any acid reflux. We also did some enzymes and HCL, but it really helped with
their digestion and to help with the nausea. So if you can kind of pack it up with ginger,
ginger is a mother and natural bitter. So it also helps with digestion of you can combine
it. It’s even better. Evan Brand: Beautiful. Well I’m, I’m excited
for you. I was going to ask you when the countdown is, I forgot to ask you about that.
Dr. Justin Marchegiani: Yeah, it’s coming. It’s getting real man. And so we’re almost
there down the final stretch. Evan Brand: Oh, awesome.
Dr. Justin Marchegiani: So any other questions here or any other things you want to add regarding
important topics on the Apple cider vinegar? Evan Brand: I didn’t have, I didn’t have my
questions pull up on my end. Is there anything else that we
should hit from the people? Dr. Justin Marchegiani: Um, see here? A couple
of questions here. Let me kind of dive in and see which one’s most relevant.
Evan Brand: If you’re reading those. Let me, let me just mention this one other study that
we had here, which was about the circulation benefits and the, this is, this is a legit
study, uh, from complimentary medicine. The effect of external Apple cider vinegar on
varicose veins and guess what? It seriously works on varicose veins. Now my personal preference,
I’ve helped many, many, many women with varicose veins. I’ve got some amazing before and after
pictures I could show you of using a pine bark extract. The pycnogenol extract on an
all helps. Dr. Justin Marchegiani: Those bioflavonoids
are very powerful. Evan Brand: It’s amazing. I had a woman who
in six weeks, literally 80 to 90% improvement with her varicose veins, but turns out Apple
cider vinegar topically can help reduce varicose veins as well, so that’s pretty cool. I’m
still going to be using the pine bark, but maybe I could throw in some ACV too.
Dr. Justin Marchegiani: Yeah. Some patients or some people here are asking about Apple
cider vinegar helping with blood flow. I’m going to guess it does help with blood flow,
partly because anytime you reduce inflammation and earth, any blood, their question was more
around sending blood. Anytime you open up the vasculature and you reduce inflammation,
blood’s gonna flow a lot better and the stickiness and the coagulability of the blood will drop
so it won’t, it won’t create clots or stick as much cause inflammation and insulin are
big driving factors of that. That’s part of the reason why diabetics have so many side
effects, especially when the vessels go into your eyes. They’re really, really small capillaries.
So any stickiness or blood flow issues can decrease blood flow to the eye, which can
create cell death. So of course that’s going to be a factor. So I’m going to go out in
the limits. Apple cider vinegar will help thin out the blood and of course will help
improve blood flow based on all those mechanisms just mentioned.
Evan Brand: Makes sense now is they’re going to get you to a point where you’re, your blood
is dangerously fan and like you shouldn’t be drinking Apple cider vinegar before you
go into surgery. I mean if you’re doing a teaspoon a tablespoon a day, I really don’t
think it would be that powerful. Dr. Justin Marchegiani: Right? You’re probably
okay. But worst case, you just cut it out a couple of days ahead of time. That fish
oil, any systemic enzymes like Sarah pep, today’s can be helpful. Yup. She wrote in,
um, is it okay to add baking soda to an ACV? Drank? Well, if you remember like the old
volcano experiments and in science class you had a whole bunch of baking soda, it will
cause it to foam up. So that may be an issue for people and that may, uh, decrease the
palatability. So I would probably say no. Also baking soda has a more, it will alkalize
it will neutralize the pH of the Apple cider vinegar. So I’m going to, I’m going to go
out on a limb and say that it will actually decrease the benefits of it. Cause part of
the benefits are the acidity. And by you neutralizing the pH, I think by carbon it’s like a pH of
10 or 11. You’re taking away some of the digestive acids stimulating benefits of it. So example
soda with it. Evan Brand: Yeah. I don’t even think you’re
going on a limb. That’s totally valid to me. You’re, you’re literally counteracting the
ACV by doing that. Dr. Justin Marchegiani: Yeah, and we want
to kind of look at Apple cider vinegar as a tool plugged into a functional medicine
program. Some patients are talking about like, Hey, what if I have stomach irritation or
stomach pain from taking Apple cider vinegar? Well, my sentiments would be that you have
probably thinner gut lining, like some atrophic gastritis. Now if that’s the case and you’re
taking it five or 10 minutes before a meal, maybe we want to do it with food. Maybe we
want to take it with food. Instead of doing a teaspoon, maybe you do a quarter to an eighth
of a teaspoon. See if you can tolerate that. Maybe you do it right before you eat, just
a couple ounces of water and that’s a problem. Maybe you do it with food already in your
tummy that way food’s already kind of coating your gut lining. So it’s not hating raw mucosa,
it’s hitting some food. So those would be the ways that I would kind of paradise it
or kind of titrate it in if someone was already pretty sensitive.
Evan Brand: Well, and let’s add an extra layer on top of that conversation, which is, well,
if that’s happening, there’s probably a root cause that hasn’t been addressed yet. So make
sure you look at getting organic acids testing done. Get some proper stool testing done.
You could have some type of infection. It could be something as simple as H pylori that’s
messing up your gut. It could be bacteria, parasites, worms, it could be any of, it could
be all of it. So you’d want to get some biomarkers looked at and measure your inflammation in
your gut. Measure your gut lining. You can look at that secretory IGA number on the stool
test. Those are all the data points that Justin and I would refer to if we had that come up
in conversation. Dr. Justin Marchegiani: 100% and someone wrote
is ACV Ok if you’re on blood pressure medications, magnesium, ACV, any of these nutrients, Hawthorne,
that helps improve blood sugar, I’m sorry, blood pressure levels as well as blood sugar
too, right? Um, it’s fine. Just make sure you’re monitoring your blood pressure and
as your blood pressure drops, you go talk to the prescribing doctor. And have them decrease
the medication. That’s right. That’s simple. So blood pressure is nice cause it’s very
objective. You can measure it daily. There’s no blood draw. Um, the key blood pressure
is tested when you’re like getting up, test it when you’re like relaxed. Cause most of
the time people are in a relaxed state, right? If you’re sleeping eight hours a day and if
you’re, you know, you’re not super go, go, go, go, go. You know, hopefully you know,
15 hours a day, 16 hours a day maybe outside of the Workday you’re in a more relaxed state.
So kind of get a window where your blood sugar is when you’re more relaxed, when you’re stress,
blood pressure because blood pressure and or blood sugar should go up because your body’s
trying to manage that response and it’s trying to get more blood flow to those stressed out
areas. Right. The fight or flight mechanism, the hands and feet. So definitely monitor
it, use other nutrients. Don’t be all in one where it’s just one thing and work with a
good functional medicine doctor so you can help drop those, that dosage.
Evan Brand: Yeah. My grandfather was able to get off his blood pressure medication he
had been on for several years by using Hawthorne and some other blood pressure nutrients. Also.
I got them off of fructose completely and his blood pressure was like one 20 over 80
now I still keep them on some kind of a baseline blood pressure support protocol, but he’s
off the drugs. So it is possible. Dr. Justin Marchegiani: Absolutely. When you
get to the root cause it’s amazing how much your body can just heal on its own. It’s like
it’s on autopilot. We just got to remove some of the stressors and there’s a lot of natural
compounds that can help accelerate that. And if we make the right diet and lifestyle changes,
just like we really accelerate that path of healing.
Evan Brand: And are we saying drink Apple cider vinegar and go cold Turkey on your blood
pressure drugs? No. Obviously you still gotta get to the root cause of the blood pressure
drug may be needed and I’m not a huge fan of drugs, but it may be needed until you do
fix those root causes. You know, if my grandfather was at 190 over 120 or something and he tried
to go off the drug, that’d be dangerous. So we got it back to a really healthy level using
the nutrients at the same time as a medication before we even talk with the doctor about
changing the dose or getting them off of it. Dr. Justin Marchegiani: Yeah, and one major
side effect I want to highlight because someone in the chat already mentioned this and it’s
really important, high amounts of Apple cider vinegar can lower potassium. So one person
writes in, I usually to drink about two tablespoons of ACV a day, but one day I drank almost eight
tablespoons a day and I led to me feeling anxiety after every drink. Why is that? The
mechanism is that it can decrease potassium. So when you do with that much amount of Apple
cider vinegar, it can lower potassium levels and more than likely that’s affecting the
heart heart rates. You can just go online and type in hypo kalemia with a K that’s low
potassium and that can have a lot of effects on heart and breathing. And metabolic function.
We need healthy levels of potassium to run our sodium potassium pump. So more than likely,
if you’re going to opt the potassium, if you’re going to up your Apple cider vinegar, that
much one probably don’t go that high. But if you do, when you’re going to push it, make
sure you’re getting extra potassium, whether it’s do potassium citrate in new or cream
a tar tar or you’re eating extra avocados to give you that potassium, just make sure
you’re not, um, you know, letting that potassium drop too low. So just be aware of that.
Evan Brand: Yup. Well said. Dr. Justin Marchegiani: Any other comments
there Evan? Evan Brand: No. Did you see any other good
questions? Those are really helpful. I think those added to the conversation significantly.
Dr. Justin Marchegiani: Yeah. So I just wanted to highlight one thing here. So when we look
at low potassium, this is a really, really important thing. Most people’s potassium levels
are low just because you’re not consuming enough. So you’re going to get enough potassium
through consuming six to eight servings of green vegetables a day. You know, one full
avocado, maybe a serving a squash or sweet potato, you’ll get enough potassium. But the
big signs and symptoms of low potassium or hypokalemia are going to be muscle weakness,
muscle cramps, heart palpitations. So if you’re having those heart pals, difficulty breathing,
feeling moody, muscle aches, stiffness, just poor digestion. That’s a big sign of low potassium
and we need 4,700 milligrams of potassium a day. And if we’re more stress and our cortisol
is all jacked up, we could be peeing out potassium as we’ll pee it out when we’re stressed to
how buffer that that acidic load from our body’s internal acids from being stressed.
And so our body will lose potassium. So you may need to get even more potassium when you’re
stressed and too much Apple cider vinegar will definitely cause you to dump more potassium
and be careful with that. Evan Brand: Yeah, and we’re not pharmacist,
but we do have some basic knowledge of drugs and think about the mechanism of things like
Lasix and some diabetes medications, some blood pressure medications. These can cause
you to go pee more. And if you’re going pee more, you could be dumping out potassium there.
So I’ve had some family members that were on Lasix temporarily and they ended up getting
low potassium. So then of course the doctor puts them on some really garbage potassium
tablets to try to help prevent them from going into a low potassium state while they were
on these water pills basically. So you’ve got to always factor in your drugs. How does
that factor into the equation? But it’s not, uh, not too common for somebody to be on those.
Dr. Justin Marchegiani: I do find Apple cider vinegar though does help with a lot of cramping.
So even though you’re not getting extra minerals, I do find there’s some mechanism where Apple
cider vinegar is mobilizing minerals at some level because I do see cramps, eye twitching,
muscle twitching, little fussy collation, things do improve. So that’s important. So
if you do have a little bit of eye twitching stuff or a little bit of like kind of cramping
or twitching a little bit of Apple cider vinegar may help. Of course you want to add in the
minerals like Redmond’s real salt, potassium, magnesium are going to be the low hanging
fruit from a mineral perspective. Evan Brand: Here’s one funny one that I’m
not going to do but I’ll just mention it because it was in some of the articles we were reading.
Uh, Apple cider vinegar acts as a natural deodorant.
Dr. Justin Marchegiani: Yeah. Evan Brand: I wouldn’t want to walk around
smelling like Apple cider vinegar. So yeah, I may help the armpits but I’m not putting
it on there. Dr. Justin Marchegiani: Right. Yeah. I have
a brand that I like. I’ll put the brand below Native COS, they’re great and they use Shea
butter, they use probiotics in there and they use um, caprylic acid from coconut extract.
So it just blends in really well and it smells really nice. Um, but yeah, I agree. Not the
most pleasant thing, but also just kind of a side note, Apple cider vinegar bug bites.
Really good. You get your, this is the time of year bug bites are happening. Put a little
bit on your outside table there and get a little cotton swab and just any bug bites
hit it. Also, if you have a wart or any lesions, you can get like a um, cotton swab, soak it
up, put it on that area and then put a bandaid or a bandage around it and hold it there for
a day or two. That will really help potentially these warts heel and other potential skin
growths like skin tags, heels, so that can be helpful too.
Evan Brand: Cool. Well let’s wrap it up. No, I think we hit it really good. I just want
to point out one more time, the fact that we’re just using this as a tool in the toolbox.
This is not something we’re going to go to. If somebody says, Hey look, Dr J, I’ve got
bloating and gas and burping and you know, I look six months pregnant after I eat a meal
and I’m not pregnant. What do I do? We’re not going to say just drink a bunch of Apple
cider vinegar. No, we’re going to say, well we need to run some organic acids testing
and measure rabid nose levels, right? Acid. We’ve got to look at mitochondrial function
cause you’re tired. We’ve got to look at all your nutrients, amino acids, we’ve got to
take a stool sample on you and look for infection. So this is just one fun tool to discuss in
the toolbox, but it is not a replacement for getting a good functional medicine workup.
Dr. Justin Marchegiani: Yeah, the key to a good plan is we need a cohesive program that
makes sense over a period of time and you need to assess the body systems and see which
systems are working and aren’t working and then, why, what’s the root cause, how do we
get here and make sure the root cause is fully addressed. While we may implement tools that
fix the root cause and then some tools are just palliative, they just allow you to feel
better in the process with the least amount of side effects in the interim. And so if
you guys enjoy this, feel free to click below. You can head over to Evan’s site, EvanBrand.com
or my site, at JustinHealth.com we are available for consultation worldwide and if you guys
are enjoying this, thumbs up comments below. Want to know your ideas and your thoughts
and um, you know, comments for future podcast topics and also, um, feel free to leave us
a comment below like regarding like on our iTunes, let us know, let people know this
helps us go up in the rankings. And then last thing, last but not least, as we improve the
audio quality. So on the actual podcast we have upgraded crystal clear audio. So if you
want to even get better audio than what you’re hearing now, feel free and subscribed to the
actual podcast channel on iTunes and you’ll get like DVD quality audio. So if you want
to hear our voices and even better light, that’s your opportunity.
Evan Brand: Yeah, I think it’s even better than DVD. It’s like in studio broadcast in
studio. Dr. Justin Marchegiani: Yeah. So we’re trying
to up that, trying to make a better product for you guys to enjoy, make the ride home
a little bit more enjoyable. Anything else Evan, you want me to do?
Evan Brand: I would just say take care. And if people are suffering, we’re a huge fan
of people going to the internet and looking out, looking up and finding like natural remedies,
home remedies, that type of stuff. I’m a huge fan of that stuff. But you know, please don’t
replace our podcast on Apple cider vinegar. As you getting medical help, you know, if
you need help, you gotta reach out. Whether it’s to us, whether it’s, you know, talking
with your doctor about modifying your diet to help you with, with blood pressure. I mean
you’ve got a, you’ve got to work backwards. So I just, I, I got to keep reminding people
of that because I’ve had comments from clients before where they’ll say, Oh, you know, I
did this home remedy for urinary tract infection and it didn’t work. You know, I did this or
this suppository and it didn’t work. And then I had to go to the ER cause I had such bad
–. It’s like, okay, well yeah, I mean you read an article on the internet that was a
remedy for a urinary tract infection. Not the best idea.
Dr. Justin Marchegiani: May not be enough. Totally. Well, great feedback, Evan. Really
enjoyed today’s podcast. We’ll be back next week and you guys have a phenomenal week.
We’ll talk to y’all soon. Evan Brand: Take care.
Dr. Justin Marchegiani: Bye.
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