Dr. Cook Roundtable Q&A Series: A Functional Medicine Approach to Treating Mold and Mycotoxins

 And then I found mold and all these symptoms, and then it's always like six months later it's like, oh my God. Hey, how are you? Yeah, it turns out we had a gigantic mold thing in our basement. We had no idea it was there. You're listening to a Bio Reset medical podcast with Dr. Cook. If you have questions or wanna talk more about your symptoms and issues, you can always reach us at 6 5 0 8 8 8 7 9 5 0.

The following is a q and a hosted by Dr. Cook, where he hosts weekly calls with doctors. So I've got a couple, um, I've got some case studies here to go over, which I think might be kinda interesting. Uh, so here's one from Dr. Uh Webb. Uh, the, can we discuss, uh, treatments for. MS patients and therapies for healing the blood brain barrier.

That's a good one. Um, these just get handed to me like 10 seconds before I sit down. So I haven't, I haven't thought about this. Uh, but we've, I've taken care of a lot of people with ms. Uh, which is interesting. And, um, uh,

a, a, a couple things. One ozones, surprisingly helpful for ms, I actually read that there was an MS model, um, that they had in animals. And, uh, in that model, uh, there were animals, uh, and there was supposed to be an infectious component to it. And, uh, they, they had, uh, an animal, animal model for ms. And in that animal model they had, um, I gotta look and figure out where this, I haven't read this in years, but in that model, they took, uh, uh, stool and then, uh, did a stool transplant from, uh, mice with, with the illness, uh, into mice without, and then the mice developed the illness.

And the idea is, is that, uh, that there may be infectious, an infectious disease component, uh, to ms. And it was interesting cuz I have a patient who. I saw years ago, and she came in and, and, and so she didn't wanna do an iv. And so I did, uh, I did, I said, well, we could do rectal ozone. And I, and so we had that and like, I like, uh, showed her how to do that and then she was like, oh, my MS symptoms are like 50% better, like right on the spot.

And it was kind of like one of the, it was, it, it, it, it taught me at a very early moment what a profound and interesting thing, uh, ozone is. And that was rectal ozone. And the interesting thing about that is, is that I've been concerned, and I'm still sort of concerned to some extent about doing rectal low zone because, um, uh, it's affecting the microbiome of the colon.

And so, uh, That could be good if it was extremely dysbiotic, but that also, uh, could be bad because you're affecting the balance of good and bad. And so, uh, uh, what I always say is if you're gonna do rectal low zone, it's super important to do a lot of probiotics and, and make sure that you're, anything that you're killing, you're, you're replacing and resetting.

Um, and, uh, in terms of a, uh, a dose of ozone, obviously the IVs work great. Um, and then you can make ozone water and drink that. And the small intestine is supposed to be sterile. So as a way to get ozone in, uh, if you make ozone water, and that comes in the, the ozone water is in the small intestine, and that's supposed to be sterile.

Obviously people can have sibo, and so there's bacteria in there are sifo, which is, uh, uh, uh, fungal growth, and often it's some consolation and combination in there. Um, and so, uh, uh, but uh, in, in her case, that was fairly transformative. Now, interestingly, The, the first step on neurocognitive, neurodegenerative, Lyme, everything else is to, in broad terms, get a sense of what's happening.

And so then I think, um, uh, and so then that would be my case for, for ms. So, uh, number one, uh, is mold an issue and so I do a urine mycotoxin. Uh, if that was positive, then for sure I would do a markon, because often a biofilm in the nose is the cause for mold. Alternatively, if, uh, and, and so, and I would ask 'em if they have any symptoms and if they have nasal symptoms and um, uh, and they had a high amount of.

Urine mycotoxins, then I would definitely do this nasal swab and that nasal swab sent is for marons, which is, uh, multiple anti-biotic resistant, coag negative, uh, uh, and uh, strep. And uh, so then we'll do that. And then we will, um, then, and then if I find that to be positive, then we do the, uh, different protocols of treating the, treating that biofilm to make that go away.

So nebulized glutathione, nebulized hypertonic, uh, minerals is kind of good and super cheap and easy and nothing bad happens when you do that. Then, uh, there's a bunch of, um, Microbial sprays. The most common one that people will do for that is begs uh, spray. Um, uh, and then there's also, uh, people who will make colloidal silver sprays and, and we will certainly, uh, do those and have had good experiences with those.

The other thing I'll look for is, um, uh, gastrointestinal infections. And so we'll do, uh, stool testing. I'll try to get a sense is there SIBO or sifo and, um, and then try to get a sense of if there's a lot going on and if there are biofilms and de develop and design a, a functional medicine approach to treating the gut.

And so then that, those first two things are, are super important. If I think that there's mold, um, I'll, I'll do the, the, we have a mold antibody test that we use, which I is fantastic. And, um, uh, Dr. Uh, Campbell. Uh, if you, uh, email Kristen, I'm gonna email her a couple. I've got a couple of good PDFs on mold that he uses that are, that are kind of nice to have and you can run through those with patients.

Um, and, and he's a great thought leader and, and when I see high levels of mold mycotoxins in the urine, and then when I see high levels of mold antibodies in the blood, that gives me a sense that obviously this is a big problem. And this has been driving and immunologic response, which is dysregulating the body because it's supposed to be focusing on whatever it's supposed to be focusing on.

And, and if you look at, um, if you look at the levels of mycotoxins in the urine, A lot of times you'll see if the high end of the normal range is 10, or the high end of the normal range is 150 with people with neurocognitive and neurodegenerative problems, it is not at all surprising to see a level that's 10 times above the normal range.

And so then you go, well, that's crazy. What's going on with that? And I think that, uh, when we always talk about, uh, Lyme disease, but then as we were talking last week, we were talking about all the co-infections that are related to Lyme. I think that. When, when you're started to talk about anything in the neurocognitive neurodegenerative, I think that the first thing you have to do is rule out mold, because we've seen so many times where mold levels are unbelievably high.

And so I think of mold as is kind of like a co-infection or a driver of neurologic inflammatory problems. And, uh, and I think a lot of times that comes from the nose, a lot of times that's in a water damaged building. A lot of times there's mold in, um, someone's house, front loading washer machines or uh, un our mold factories.

And I've had, uh, in my own, like when I lived in an apartment, I, I had multiple times where you, you looked and then you, you, you opened the little door on the front loader and there's a little, uh, There's a little, um, rubber thing there, and if you look behind it, there's always mold in there. And so then the fir, whenever I have people like this, then I have them do IRMI test thing or if I can, I get them to have somebody come out to their house and figure out what's going on and see if there's mold.

I've had, I don't know, like 40 40 or people that were like high net worth, unbelievably beautiful houses, and I found mold and all these symptoms, and then it's always like six months later it's like, oh my God. Hey, how are you? Yeah. It turns out we had a gigantic mold thing in our basement and we had no idea that it was there, so it's just super common and it's like you just have to check every box off.

And then, uh, if email, email, Barb. Um, or email Kristen on this. I'm gonna, I feel like I, I'm gonna wanna give you a money back guarantee on what I'm gonna say next because it's so amazing. My friend Zui Boo was this, uh, anesthesiology resident with me, and we were, um, and he would always give people a money back guarantee, so it was kind of funny.

But there's a machine, it costs $360, and what it is, is, uh, uh, you run cold water through this little ozone machine before it goes into your washer and dryer. And so you don't have to use soap and then you don't have to use, um, uh, any detergent or anything. And the ozone levels are really high. Your clothes smell totally perfect with no smell.

And it's like an amazing anti mold thing. And so then, uh, I got, I got one of these from my house, and it's like the, it's honestly one of the greatest things I've ever found. And so then whenever, um, and so I have like a piece of paper with the name of it and like literally people sit and then during the, during my consult, they'll like order 'em.

If you have a front loader, then I would just, uh, get rid of it and get a top loader. It's like, it's like literally that important. Um, and so then I always have people it on the MS side go through that whole workup and figure all of that stuff out because I think it's super important. Um, the, um, I take a history for tick bites and all of that stuff, and tickborne illnesses and because I think that there's a, a significant concordance of Lyme disease and MS as well as some of the other neuro, uh, cognitive and neurodegenerative, uh, problems.

And so definitely try to rule those out. Um, I think that there's a, a gut brain thyroid axis that, and, and they're always talking about an A four M and, and, and trying to reinforce with cases. And, um, my, my thought is, is that as you're talking through how people are doing, uh, I think a lot of times. Brain fog and a lot of the neurological symptoms actually relate to leaky gut that is SIBO and, and sifo.

And, and so then beginning to address that, uh, is I think a game changer for so many people. Um, and, and, uh, I've, I've, I've got a bunch of ideas that's probably like a full of, that would be like a good, kind of a hour long. I talk to kind of go through that whole piece if you wanna do that in the next, uh, little bit.

Um, uh, the.

I think that it, it, as soon as you start to go down the Lyme neurologic, uh, uh, fatigue, then there's this concept of chronic viral. And so sometimes I think one, one way of thinking of chronic fatigue is chronic viral. Another sometimes does chronic Lyme in the, when we do our Lyme workup, we'll do, we'll do a, uh, a blood test where we'll look for vi viral titers and almost everybody that is in chronic Lyme and sick category, uh, a high percentage of them will be, have high, uh, mycotoxin and, and, and will have a mold component.

But a, a high percentage will have, um, We'll have, uh, E B V C M V, human herpes six, uh, and a constellation of other sort of viral, uh, high titers. Uh, fortunately we've, we've in a fair bit of depth, talked about, uh, everything good that we can do on, on that front, um, over the last few months. And so then I think that's, that's good.

I think, I think I, vone is the best, best thing for that. Um, uh, the, there's, I had a great case yesterday of, um, a, uh, a, a kid I call someone who's in their twenties, a kid who I super like and, um, was ki it is Lyme and chronic illness and it is been difficult case, but it's kind of moving in the right direction.

And then, um, uh, it was. Uh, developed lymph cervical lymphadenopathy and, uh, a super sore throat and, and came in and it was interesting cuz she was, she was gonna go to the urgent care, but she wanted to come to Wes instead. And, and this is, uh, this is kind of like part of who we are. I think it's just kind of interesting.

And so then, uh, my friend Mike Stone is a super smart er doctor. So then I just called him if I, I always kind of call you Jan if he didn't pick up. So, um, but, uh, so anyways, we talked it through. Turns out the symptoms have been coming on for a month and the, um, the, uh, there was a bilateral tonsil or exudate.

There was no, um, no shift of the uvula. She could open her mouth really well and you could see in. Um, and he felt that based on the fact that she could open her mouth, well, that it was a slow indolent course that came over more than a month. And, um, that, uh, she basically was like very mildly afebrile, but not hot.

He said, it's almost for sure viral. It's probably not bacterial. He goes, you could treat her, but I think it's probably a viral pharyngitis. And so then I gave her i v oone and, and then immediately she was like, um, like 30 or 40% better. And then we did it again today and she was better again. And so we're gonna treat her again.

And it was fairly profound for me to see her, the extent to which she third spaced. So like on day one it was like her entire face was, it was like there was a liter of fluid in there and it was, um, uh, Significantly better, almost like a different person, uh, just after one treatment. It was pretty interesting.

So it's kind of exciting to be able to be helpful for these cases. And that is in the genre of something that I feel like I've done like two or 3000 times of someone coming in with some version of a difficult viral situation that you, um, that, that, uh, responds extremely well to, to ozone. And so then to go back to the, the question, um, in these big problems, I think we have to, we have to really search as hard as we can to figure out is there a viral component of this?

What are all of the antecedents that led up to this? Um, and then, and then I think once you begin to do that, a. People do like 10 times better because you're, um, you're, you're getting the different systems that are all interacting with each other in the body to be working better together. And so if you are, if you're positioning yourself, uh, like, uh, me and Marcella as neurologists, that's kind of interesting.

We're positioning ourself as, you know, neurologically oriented anyways. Um, I think it only makes sense that you have to be a gastroenterologist too, because that, that that drove, that's driving so many neurological processes. Um, what do you do to, because, and so then in it, it, it tied into that question was, well, what do you do to heal the blood brandand barrier?

And so the, I don't know if you guys have ever seen this, this is a, it's kind of a home run experience to me in terms of. Communicating a concept and, um, uh, uh, sh uh, the, the Bermans, uh, Sean Berman, um, and, uh, his dad from Cell Surgical Network. And they're great people, and I'm totally supportive of, uh, their technology and their concepts and, and their stromal vascular fraction adipose stem cell people.

Uh, but, um, obviously we're, that's, that field has taken a little bit of a hit just because of the fda. And interestingly, that's where I came from. I, I basically spent a year with Bob Alexander, uh, doing adipose cases. And so that was my whole world and I created myself to do that. And then the, I'm kind of in the middle of a pivot.

A 10 year pivot. Uh, but um, what they did is they took, uh, uh, they had an animal model and so they took mice and then they applied a shock device to it and created, uh, a traumatic brain injury. And then, um, it, uh, what they did is they took and divided it into two groups, and then one group, um, uh, received no treatment.

And then the other group received, uh, stromal vascular fraction, uh, stem cell treatment that was put into, uh, intravenously into the tail vein of the mouse. And, um, I don't know if they'll let me get a copy of, uh, it may be published. It was in pre, it was pre-print. Well, let's, we'll look for that. We'll find out if, if that is there.

But basically what you see is, uh, all the brains that were not treated, you see these little red hematomas, right where they applied the shockwave and all of the mice that got treated with stem cells, none of them had any hematomas except for one. But it was like way less than the, the other ones. And then they measured their ability to roll over and do all the things that mice do, uh, when they're, uh, running through cages and, and responding to triggers.

And they all basically performed, uh, significantly better than the people that, that the mice were not treated. And so, That was their conversation around regenerative medicine to treat, um, traumatic brain injury. And so th and that they did this trial, uh, six years ago, five years ago. And, um, I think that it was very important from a basic science and from communicating to you this kind of idea of looking at the hematoma, it's like, so like, uh, that is like indelibly burned into my brain at that moment now.

Then so, so then you say, well, what do you do to heal the blood brain barrier? So then before I go to regenerative medicine, then I wanna back all the way up, because I think philosophically what we wanna do is think about the cheapest, easiest, simplest, uh, safest, lowest risk things that we can do. And then in particular, when you think about who's getting.

Traumatic brain injuries. It's a lot of kids. You know, I don't wanna take a 14 year old kid and do an adipose harvest to do a stromal vascular fraction stem cell treatment for their concussion. Like, and, and, and that being said, I still love, I still totally, totally, totally love the idea. Um, I think that n a d is gonna be probably one of the best things that you can do to heal blood-brain barrier barrier problems.

And the reason I, I feel that way is that I've got thousands and thousands of examples of people who came in and start to do NA d IVs and then their veins get better. You see people come in and they had like one iv and then next thing you know, they've got like, or one vein. And I, I, I, I had one hand vein and I would start treating him and treating him and treating him.

And this, a lot of this came from my experience in the addiction world where I would've heroin addicts that had like one tiny vein and then you start treating them and then they start to get better. And then once they start to get better, and then the n a d, imagine that this is a cross section of a blood vessel.

So the N A D is in the middle of the blood vessel and now it's gotta dissolve out and get into the tissue. And so then the, that means some of, a lot of that a d the area of the body that's gonna get the most n a d is actually the endothelial cells, cuz those endothelial cells that are, are, are living right there facing that blood vessel.

And uh, generally my experience is when people start to do. Na divs, they're, uh, sometimes headaches get better. Sometimes a lot of neurovascular symptoms will start to get better. Um, sometimes cardiovascular things will get better. Um, and, uh, and so I'm, I'm quite intrigued by the possibility. The other interesting thing is in terms of traumatic brain injury, the, um, there, there may be, when you look at the long-term complications of why people struggle with traumatic brain injury part, uh, part of that may be the classic excitotoxicity conversation that we all learned in medical school, but there may be, and I found several articles talking about this, uh, talking about a, an alternate non excitotoxicity mechanism of chronic neurological.

Um, uh, damage that's mediated, uh, by, uh, dysfunction in some of the N A D pathways. And interestingly, I've treated a lot of people with, um, T B I and concussion with N A D, and then you'll treat them. And then it, it, I've seen them just be like, oh, I'm back. It's like, oh, I'm back. And I don't know if that's because part of their brain was stunned and was maybe electrically not working, or if the endothelial function started to get a little bit better.

And as a result of that, they were allowed to heal. And the reason I told the story is it was, it was profound to me to see that brain tissue with the hematoma on it versus the brain tissue that was treated and didn't have a hematoma. So the more that we can do to turn inflammation down, We, we can heal that now in this trial.

In that trial, uh, what they did is they gave them the concussion and then they treated 'em like within like an hour or something like that. As opposed to what typically happens with us is somebody gets beaten in the head playing football and then we don't see 'em for like a month until the fact that they just didn't recover and now they're struggling at school.

So, um, so know that we probably need to see people sooner, could do some simple things. Interestingly, you know, it's a lot to do an IV and it's a lot to do an IV for a young person. Um, but I think that there's a, uh, An enormous amount that we can do at lower price points to help people with subcutaneous, n a d and the archway formulation for the subcutaneous n a d is amazing.

And so I think that that's a, a good blood-brain barrier. Um, uh, support, uh, I think that, uh, if, you know, this is a, this is a crazy year, uh, in terms of everything that's going on, um, and it just seems to get crazier. Uh, but the, and so if you, but if you, and, and then obviously, hopefully the regulatory agencies are gonna be weighing in on a lot of what we're talking about from, from a regenerative medicine perspective, the, I think that there's a, a, a good experience of people who've gotten exosomes IV and, uh, Had an improvement in symptoms.

And so what I think we need to do is probably do some trials where you begin to do similar things, either in patients or in an animal model where you give exosomes, um, intravenously and then see if that helps, uh, duplicate something kinda like what Sean did, um, and see, and see if that helps. I think that that, uh, makes a lot of sense.

The, the issue is, is we're, we're in this moment of unfounded or unproven therapies, and so I think we have to be very careful about how we talk about that. I, I think we have to be, um, uh, very, very careful in, in, in, in not promoting that. And that's why I think n E D is a great, uh, a great, a great alternative.

Um, obviously I think, uh, There's a whole bunch of functional medicine, lifestyle, uh, things that I think are all good. Good. Along those lines, Biore Reset Medical is a medical practice specializing in integrative therapies and advanced wellness protocols. At Biore Reset Medical, we treat some of the most challenging to diagnose and difficult to live with ailments that people suffer from today, including Lyme disease, chronic pain, P T D, and mycotoxin illness.

Our team has a wealth of experience and advanced integrative strategies to get you to optimum wellness, many of which can be conducted remotely from the comfort of your own home. Right now, our team's approach is to use the most non-invasive, natural, and integrative way as possible. Find out how we can help you by reaching out to us at 6 5 0 8 8 8 7 9 5 0, or at our website www.

That bio reset medical com, it's gonna be amazing.

Do you have any questions about anything I said up until now? So my question is, how do you dose the, um, subq and a D Oh, how do you dose it? That's a good one. Um, so the two, two people, um, one person has no problems, everything's great in their life and they're kicking ass. Um, that person on day one, I, so I give them a five cc vial and then, so on that person on day one, and then I say, are you sensitive or kind of resistant to stuff?

And if they say I'm sensitive, I might give them a quarter of a CC or I might give 'em a half of a cc, one cc of that product. The subcutaneous is 200 milligrams. So half a CC is a hundred milligrams, and then a quarter of a CC would be 50 milligrams. Yeah. Now, uh, if they were real, if, if, and let's say if you talk to me and you said, I, and you said, Hey, I wanna try N A D, and I said, are you sensitive Hila?

And if you said yes, then I would say, oh, okay. Just do a, a quarter of a CC tomorrow and if you don't really feel anything, do half of a cc the next day. Mm-hmm. But then I think you're probably gonna like to do maybe one cc. Yeah. And, and one cc is 200 milligrams. And that's been kind of the standard dose is between half a cc and one cc.

Um, uh, So, so i e between 102 hundred milligrams. Now the issue is when you do an IV of N A D, the, um, the n A D causes flushing. And so then what happens is as a result, what I can do is I can slow down the iv and the slower the IV goes, the less the, um, flushing is The issue when you do the subcutaneous injection is you're committed to however much, uh, flushing is gonna happen because it's just getting absorbed.

Now, uh, if someone's sensitive to flushing, I always have them do like a bunch of tmg, like maybe half hour before, like, uh, and then now, then in the high dose range, um, Like what happened is, uh, we, for some reason we ordered a lot of subq a e d, but then like the, uh, COVID happened and so then we ended up with like a whole bunch that was expiring.

And so then like I haven't been doing any subq a e d, but then we had a bunch. So I've been doing, like, I did two ccs the last couple days just cuz I was like using it up. And so interestingly now I don't really feel anything with two ccs and I don't do TM tmg, but then if they're walking around, they hand me TMG if I in the hallway or something like that.

So I have almost no symptoms with that and it's kind of interesting. Now what's super, super interesting is there's a cohort of people and then I'm gonna dive into this and figure this out. And I, but I haven't yet. There's a cohort of people who you can do N a D, but if you give them subq, n a d, they will flare like crazy.

I think that's because they've stored toxins in their fat, and so I think some people's fat can be a little bit more toxic. And I think that I was one of those people because when I, when I first heard about subq n e d I was like, yes. And then I injected it and it killed, and then I had a, I had pain the whole, the whole day.

It's really interesting. And it was like that, like the first, uh, 15 times I did it. But then after that, It doesn't hurt at all anywhere, ever when I do it. So what that teaches you is, is that, uh, some people hurt. I think it relates to if their fat is toxic. Interestingly, little data point about me is that I make lipomas and, you know, there are some people that make lipomas and some people that don't.

And that, uh, so I do that and I think that, and interestingly, ever since I started doing this, I didn't, I've all my lipomas stopped growing and then half of 'em have gone away. But some of 'em have not gone away, so I'm like kinda interested in that. I think that's an interesting one. Um, now this is on the healthy side of the conversation.

Now the other, in terms of dosing, n a d subq, the other side of the conversation is people with big issues like lime and mold and a significant percentage of people with lime and mold, if you give them a hundred milligrams of subq or iv and D will super flare them. And, uh, if they're really, really sick, if they can kind of barely make it in and you realize that the whole, their whole world's falling apart, definitely don't give them any d.

At all to get going. And I taught, like, I don't know if I told you guys this, I taught essentially all the Bay Area Lyme doctors, how to do N E d. And um, and remember in the addiction world, everybody was doing super high doses. And then, uh, uh, Eric Gordon told me he gave n E D to handful of pretty sick people where you gave them 200 milligrams and it flared them for like a week.

And so that's because N A D drives detox reactions. And if your detox pathways are not open and not working, if you drive that, it's like I was telling somebody today, if you've got a, uh, if you got a hotel and you got the garbage out of every single room, but then you didn't have a way to get it from the hallway out, the hotel's gonna seem like a mess.

And that's kind of how I think of, uh, of these detox reactions. If you haven't got 'em turned on. And so then, so then your dosing range could be somewhere between 50 and 200 milligrams, or like, I did 400 milligrams a day, but I hadn't been doing it for quite a while. Um, uh, if I had somebody who was sick who wanted to do it, or somebody who was fragile, I would be in, I would be in that 25 to 50 milligrams and then do it as a test dose and maybe even do that for a day or two and prove that they could do that and then do more.

Got it. Is that helpful? Yep. Yeah. The stuff I have is a, is a little expired. Well, I definitely would not give that to anyone, but I mean, give anyone just me. Well, yeah, you, I think it'd be fine for you to give it to yourself as long as it's not that expired and, but I would then, and then if it was, if that's the case, I would still go super low dose.

So does it just lose its potency or does it get like something bad about it? The, the one thing I can tell you, archways, n a d is amazing as far as I can tell. They have the best n a d. It's, there are some other companies that have n a d that has a lot of phosphates in it, and the phosphates are somehow detrimental.

And I don't know what it is about that. I'm gonna talk, call those guys and talk to 'em about it. But I've had 50 people who were like just kind of friends and VIPs who were flying around all the time, and they're like, oh yeah, dude, I like got N A D. And it made me sick for three days when I was in New York, like a bunch of guys went to New York and got n e d and it was, and then they told me what they paid.

I was like, yeah, that's, that's like they paid, like you paid less than the cost of the product. And so then I know that there's a bunch of sketchy. Product out there. Um, and so then that just says what it is. Yeah. Mine was from South Africa. Yeah. I'm not, I don't know anything. Uh, I don't, I I don't have anything good or bad to say about that.

Okay. Fair enough. Thank you. Yeah.

Anything else?

This was kind of an easy one. I'm trying to think on ms. So then I've had, so, so MS patients, I've done culture expanded stem cells in Mexico for patients with ms. Very good experiences. I've done exosomes, uh, out of the country, let's say for ms. Very good experiences. I've done the full set of functional medicine and all that stuff.

Uh, very good experience. I'm all, I've like never done. I've never had. I've never had anyone come in with MS that I didn't find like six major things on functional medicine. And so then that kind of makes sense when you think about these things because that's like this inflammatory neurological condition.

Uh, you know, when you're doing all that stuff, I do the, I, there's a Cyrex panel that's kind of good that I think is interesting, um, that will look at brain autoimmunity and I generally always try to do that whenever I'm d doing any neuro cases and we'll, um, uh, And, and, and then, uh, they, they tend to correlate that if there's any, uh, gluten cross reactivity.

Uh, and, and so that if, if you go to join cyrex.com and, um, uh, look at array seven x and 20, those are, those are, um, interesting. Uh, I think, uh, I, and I think that, uh, ozones gonna be a big player and, and I think ozone dialysis is gonna be kind of an interesting player on the, on the MS side. I, I really do.

Oh, and then for ms, then the next thing is, uh, to go back to that, I would obviously do everything on the blood-brain barrier front, but then, um, I think it's gonna be, it's, I think it's useful and important and I've really, it's like I've really. Been doing as much as I can to talk about regenerat