21 Comments
Feb 5Liked by Nessa Meshkaty, MD

This is great information. I had no idea about the antibiotics (until you educated me many years ago). I know SO many people that are quick to call their DR for a RX and rarely are they denied.

While we don't grow our own food at our house, we are careful to make healthy choices at the grocery store, shopping primarily the perimeter of the store. I feel SO much better when we're eating fresh foods at home.

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I know. It drives me bonkers. I heard you can contact an amazon doc and get an antibiotics in 30 seconds. Its so harmful and behaviors are based on greed, apathy, and powerlessness, I gather. I am not surprised I "educated" you many years ago. Haha. I am glad to hear. There are so many ways to make healthy choices that don't involve home growing. Isn't it amazing the differences in how we feel based on what we eat! It is so striking and dramatic for my experience. I guess my body is just a diva. :)

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Our bodies *should* be divas. In this culture, if we don’t advocate for our bodies, refusing to grind them into the ground and misuse them, who will? If we don’t tell our bodies that they’re already beautiful miracles, who will!

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So true. society tells us the opposite. That we should work our bodies like robots in a factory. Rest is resistance.

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I love the idea that we talk about acting on our “gut feelings,” it’s literally true. I need more leafy greens up in this house. Lettuce pray for better choices.

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My gut instincts for sure have feelings. They never lead me astray. Also, who doesn't need more leafy greens in their house? Lettuce is actually quite easy to grow now that you mention it. I hope this post inspires you to track down those greens! Thanks for reading, commenting and restacking! Grateful.

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I’ve heard 75% of IBS are caused by SIBO, and the root cause of SIBO is often low stomach acid, and the cause of low stomach acid can be stress

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Sounds important. The sympathetic nervous system revved up due to stress certainly alters our body and the composition of our body in many ways. We know that alterations in pH (acid/base) change ecosystems. Things get disturbed. Inflammation can arise from our usual protective gut flora being out of whack. It happens to me when my body endures the stress of travel for example. The relationship between our human/microbial composition to Irritable Bowel Syndrome, Irritable Bowel disease like Crohn's, colon cancer and other diseases as well seems intuitive to me. You are what you eat (all that you consume affects us including the consumption of body stressors however form they take).

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I’ve heard it’s closer to 1:1 microbes to human cells. Do you have a source for the 10x number?

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It does make me wonder about microscopic counting reliability. Maybe something like this can never truly be confirmed but that is a big difference you mention. There is conflicting data out there on the microbiome. The 10:1 mention is old NIH data (45 yrs old so definitely less trustworthy) and you are correct that since then NIH themselves have revised number of 1:1. I have seen different numbers everywhere. I was not formally trained on microbiome AT ALL within the conventional medical complex even as an Infectious disease physcian. Nothing surprises me anymore. Naturopathic doctors however have been studying the data for decades as well as indigenous people. If you have a reliable new data to share re the updated numbers, I would love the link. I also am always open to being corrected as I am always learning. Thank you!

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Wow that’s funny they were off by an order of magnitude. Begs the question why the 10:1 number is still there on that link.

I’m convinced that a emergent property of large institutions is that they don’t actually care.

An MD told me in his medical school they spent 1 day on nutrition and 11 months on pharmacology.

I bet they looked at the food pyramid with grains as the base.

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Its a good question. Science is not always certain and that is why it remains curious and open to correction. My error for not looking at more reliable updated data. I remembered that antiquated number from before and honestly I like to believe I am more bacteria than human. Haha.

I agree it is hard to know what data is to be trusted since over and over the institutions are putting profit over anything else.

I can vouch that we got absolutely little to no nutrition education in med school. I was a Nutrition TA in college and took personal interest in it. I have learned from studying humans all these years, growing my own food, reading of cultures more in touch with nature and the healing powers of nature.

Critical thinking is endangered.

U.S. medical training is very very very much Pharma focused to a nauseating degree. It is my personal belief that physicians are conditioned to be kneejerk drug dealers and people are trained to ask for a magic pill for everything.

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Ah yes, my experience as well. MD stands for More Drugs. Or Machine Disaster.

Do you do any podcasting?

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Ha! I have not heard those terms. I do not disagree. It is co-opted by consumerism addiction. Sold out. Maybe I should relinquish the alphabet soup behind my name. I suppose I will if I can't reclaim it. Should I be ashamed that it is behind my name? Maybe.

It is sad that it has come to this but this is where we are. This is not at all meant to be bashing physicians. I know hundreds of wonderful empathetic U.S. physicians trapped in the hell of the harmful system.

Do you mean do I listen to podcasts? I do but I mostly have my face buried in books. I am a proud bookworm but with lived experience. https://nessameshkaty.substack.com/p/nessas-book-recs-november-24-2023

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"Apricity" -- I keep forgetting this word, and then want to remember it every time I enjoy the sun's lovely warmth here in Calgary's winter!

I love what you wrote about the gut-nervous system connection. "Listen to your gut" now has a whole new meaning for me!

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