Modern Wisdom - #1038 - Dr. Gabrielle Lyon - The Environmental Toxins Killing Your Health
Episode Date: December 27, 2025Dr Gabrielle Lyon is a functional medicine physician and Founder of the Institute of Muscle-Centric Medicine. The most overlooked aspect of health optimisation might be hiding in plain sight. Your en...vironment shapes your health far more than you probably realise. So how exactly does your environment affect your body, and what practical steps can you take to regain control and move toward better health? Sponsors: See discounts for all the products I use and recommend: https://chriswillx.com/deals Get a free bottle of D3K2, a Welcome Kit, Travel Packs, plus bonus gifts (US only) when you first subscribe at https://ag1.info/modernwisdom New pricing since recording: Function is now just $365, plus get $25 off at https://functionhealth.com/modernwisdom Get a Free Sample Pack of LMNT’s most popular flavours with your first purchase at https://drinklmnt.com/modernwisdom Get 35% off your first subscription on the best supplements from Momentous at https://livemomentous.com/modernwisdom Extra Stuff: Get my free reading list of 100 books to read before you die: https://chriswillx.com/books Try my productivity energy drink Neutonic: https://neutonic.com/modernwisdom Episodes You Might Enjoy: #577 - David Goggins - This Is How To Master Your Life: https://tinyurl.com/43hv6y59 #712 - Dr Jordan Peterson - How To Destroy Your Negative Beliefs: https://tinyurl.com/2rtz7avf #700 - Dr Andrew Huberman - The Secret Tools To Hack Your Brain: https://tinyurl.com/3ccn5vkp - Get In Touch: Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx YouTube: https://www.youtube.com/modernwisdompodcast Email: https://chriswillx.com/contact - Learn more about your ad choices. Visit megaphone.fm/adchoices
Transcript
Discussion (0)
You had two original pillars of health, which were eat and exercise, but then you had to add a third one.
I did.
The third one was environment and is environment.
Do you have time for a quick story?
Yeah.
Yeah.
I graduated in medical school, obviously, and then did my fellowship.
And when you finish your fellowship and go into private practice, you kind of think you know everything.
And I was convinced the key to health was diet and exercise.
It was all a lifestyle.
And I was wrong.
I had this patient, very successful patient, CEO of a major company.
She was a female, as she was doing everything she was supposed to, died in exercise-wise,
and she was feeling terrible.
And also gaining weight.
I said, no, no, no, it's definitely diet and exercise.
And in fact, a handful of years later, I had to call and apologize because it wasn't just died and exercise.
she had significant exposures that really affected her health and wellness.
And I think these exposures affect a lot of people.
And, you know, at the time when I was beginning my practice, it wasn't common.
And we weren't even thinking about it.
So is it getting more common?
The talk of complex illness caused by mold, gut health, BPAs, heavy metals,
Lyme, parasites, like this, whatever this world is, seems to be kind of gaining speed.
Is this because more people are getting it or because we are detecting it more effectively?
What do you think is going on there?
It's both.
We have more exposures than arguably we've ever had now with microplastics.
And we are getting better at acknowledging and detecting it, but we're still not there.
So for example, mold. Mold exposure. This is, we hear a lot about it now in terms of buildings with mold or locations and this musty smell. And oftentimes we think that it really doesn't affect people. However, there are certain people that will move into these buildings, walk in there, break out in a rash, have brain fog, fatigue, feel terrible. And it's this exposure to mold mycotoxins.
But the reality is, for a testing perspective, we don't have validated tests for mold.
However, I think it's really important that we test for it, but it's not like you walk in
and you do a blood glucose test and there's this diagnosis of diabetes, cut and dry.
We don't have that.
Well, no, we don't.
Well, you do get stuff like the total tox test.
Now, obviously, sort of peering under the skirt of what my life.
two years has been like this is a topic of particular interest to me because this is what I've
been battling through but since releasing the health vlog thing that I did a couple of weeks ago
or a couple of months ago now I guess the number of people that reach out and say I lived in a
house that had mold or I had parasites or I'm dealing with lime or I'm dealing with leaky god
or I had you know fucking h pie law whatever um this yeah like
multi-system challenge.
It really is kind of like a silent epidemic,
and it doesn't matter which angle you come into it at.
But yeah, as you say,
you can say you are a mold person,
like you have been in a house with mold,
but you can do stuff like a total tox test, right?
Which comes back and you can see,
wow, those numbers are right off the chart.
But yeah, the main sort of takeaway,
I think that I've learned from the last couple of years
is how many people are living a life that they thought was just getting older or a natural
byproductive, I'm just tired. You know, people are tired. Like, people get tired all the time.
Like, yeah, my mood, maybe it used to be a little bit high when I was young, but who doesn't get
a bit more moody as they age, whatever? You know, just chalking up to entropy, something which can be
explained by environment. You know, there's a component to what you're saying that I think is really
valuable and there's a level of diagnostic uncertainty. And people go to their doctor and get all of
these blood panels done and everything looks, quote, perfect. And the reality is these are just a series
of biomarkers that we're aware of and that are important. And when I say biomarkers, I mean
testosterone and thyroid, things that are common and we need them to be functioning well. But there
is now a whole host of other influences that really end up affecting the way people show up in
their lives, the way that they think, the way that they function, their mood, their energy,
and oftentimes it's unexplained. Or what about this? Arthritis or myalgas or joint pain,
this inability to recover the way that they used to, we are seeing a lot more influence from
the environment, whether it's mold, whether it's lime, parasites. I mean, the reason that
got interested in this was because I started my practice. I finished fellowship, started my
practice in New York City, started with celebrities and professional athletes, and as much
as I loved them as humans, it wasn't my calling. Then walks in the first operator. And when I say
operator, I mean seal. This was a guy who'd been all over the world, came to the office and his
blood work looked weird, and he had been to all these other places, so he had just transitioned
out, been to the Mayo Clinic, had been to the Cleveland Clinic, and oddly, he felt terrible.
Even though his testosterone was optimized, his sleep was great, he was exercising, and he had
some weird inflammation of markers that showed liver elevation and just some really non-specific
type stuff. And it turned out that he had a weird parasite called schistaminis.
that he had gotten from swimming in some obscure river and ended up really affecting him.
Here was this big dude who was becoming anemic and also had issues with his liver.
Had we not caught that, I hate to think about the downstream effects having gone undiagnosed.
What happens if you leave a parasite undiagnosed and untreated for too long?
Well, for things like schistaminiasis or entomoebysolidica, which are really common, it can end up damaging your liver.
And that is a major, major problem.
How many people do you think have got parasites that don't know it?
A lot and a lot more that are going undiagnosed because parasites are not just in isolation.
So, for example, you don't just go eat sushi and then get.
get Giardia, you might go eat sushi, which I hope no one does, and then you go to the
bathroom, and you're living with someone, and that person goes to the bathroom, and then they
get it. Or you get Giardia from... Slow down, slow down. First off, no one should eat,
no one should eat sushi? I never recommend eating raw fish, period, end of story. And also
rare meat either. Too many parasites? Yes. How? That's more common.
than people would realize? Yes. In fact, globally, parasitic infection, especially these
worms, hookworm, whipworm, roundworm, they are one of the leading causes of iron
deficiency anemia, which is extremely common because they cause this chronic blood loss
that's slow. So, for example, you go to your doctor, everything else feels fine, but you're
feeling fatigued. Maybe you're having a little diarrhea or just something that seems very
nonspecific. And it turns out that you have a helmet or a hookworm infection. It's much
more common that you think. And because food is all globally sourced now, it's not as if we're
going to this fancy restaurant in because we're at this restaurant, it's safe. It's just not that
way. Okay. That was the first slow down a second, the sushi. The second, the second, slow down
a second thing. The impact of parasites being left for too long is very, very intense.
And if you go and have that and then go to the bathroom, the people that you live with can
catch your parasite from you going to the toilet and then them going after you? Yeah.
So I found this out the hard way, not for me personally, but I found this out from a patient of mine.
And what happened was this woman would seem to continue to get these cyclical parasites.
She was symptomatic, and these symptoms were not crazy.
They were abdominal bloating, a little bit of diarrhea.
It didn't matter what she ate.
We would treat her.
She would have an infection, a worm infection.
you know, you pick it. And then a few months would go by and she would catch it again.
Meanwhile, her husband was totally asymptomatic. But we ended up having to test him too because
what we see often is one partner has symptoms and the other partner doesn't. And that partner
who is untreated continues to give it back to the other partner.
How do you know it's from the toilet?
Well, it's one of the most common places. It could be toilet. It could be sheet.
Wow. Okay. So these parasites will find their way into the human body, however they can.
They can. And when someone is feeling, again, these non-specific symptoms,
one of the first places that we always look is to a parasite. And I will tell you this,
and this is quite disappointing, is the way that we test for parasites, it's standardized. And it's
called a PCR test. Someone goes and you do a stool sample, maybe you do a three-day stool sample,
something of that sort, it is supposed to catch nearly all of it. It's very sensitive, 95 to 100 percent
sensitivity. That is not what we have found. And, you know, I've had one patient where we would continue
to do these PCR testing, but they were very symptomatic and we couldn't figure out why he wasn't coming
back positive. We sent him to an old school parapsychologist where they do a rectal exam, take a steel sample,
it under a slide, and it turned out that he had a handful of worms. I know it's gross and
disappointing, but the reality is, while we think that these parasites are easy to test for,
and in theory they should be, and many other providers are not seeing that in real life practice.
What's a better approach to testing if somebody wanted to do that? Microscopy. And again,
this is not the standard of care. So an infectious disease doctor listening to this would be like,
no, it's PCR testing. You're going to get it and you're going to find it. And the reality is we don't see
that. We see that if someone is still symptomatic and also doing multiple stool tests where it's
negative, you have to take a step back and think, okay, I hear that your test is negative,
but the reality is when it is done in this old school fashion, which is under the microscope,
things show up and when they show up you actually can treat it appropriately what are
some of the other places that parasites are coming from that uh outside of sushi and the toilet bowl
or sheets of your infected partner animals dogs giardia unfortunately there's many people
that love their animals right of course but when that dog is licking you in the face or sleeping
with you in the bed, it is oftentimes a vector for some kind of parasite.
Okay, so treat the dog first, the husband second, and yourself third. Is that the...
That's about right, yeah. Okay, the priority. All right. Dig into the mold stuff for me.
Obviously, I don't know whether it's going to be as common outside of the U.S. I get the sense
that the U.S. is particularly bad because you guys build your houses out of timber. You just
to build the amount of organic material and it gets wet and hot and wet and hot while it's being built.
So like the skeleton of this building that you live in is now primed to be able to get to produce mold.
And then there's leaks and water ingress from outside and cracks if something gets cold and there's a bit of water and then it cracks open and then water can leak in and then it gets in there and then it gets hot and wet and all the rest of this stuff.
in the UK it was never anything that I'd heard of
but our houses tend to be built out of brick
and our country doesn't get as hot
so miserable in terms of weather
but I guess good in terms of stopping the spread of mold
in quite the same way
but yeah what have you been seeing
from the environmental exposure on the mold side
mold is really tricky
parasites if you talk about things that go underdiagnosed
or this idea of complex illness which is again multifactorial
and context dependent parasites you can test for. Even if you miss it, there are ways to test for it,
whether it's PCR or microscopy. And then, of course, symptoms and then thinking about where this
person traveled to or if they were making out with their dog. Number two, mold is a real challenge
for people. And there's a number of reasons to why that is. I will say that according to the American
College of Medical Toxicologists, which these are in the group of individual doctors that
look at the environment and these exposures, there is, according to them, there's not really a
diagnostic criteria for mold, which is...
What's a diagnostic criteria means?
Meaning, if I were to state this simply, we have a diagnostic criteria for something like
diabetes. Diabetes is elevated...
blood sugar, you know, either from one blood sample or two hours later, you still see this
elevated level of blood sugar. This is a diagnostic criteria saying, you have X, therefore
you have Y. When it comes to mold, there is a lot of controversy around the space. So the
traditional environmental doctors that this is their area of specialty do not recommend these
deep mold detox protocols, they don't recommend urinary mold testing. And I will say, I understand
that body of work, and there's a whole host of other physicians that are seeing something
different. And so there is a little bit of a disconnect. I will tell you for myself, I got extremely
sick with mold 10 years ago, and I had no idea. It wasn't in my mind. I just moved to New York.
moved into this apartment, I don't know, a month after I got there, I could not get out of bed.
My vision changed.
I couldn't get out of bed.
I was exhausted.
I terrible brain fog.
I could barely function.
All my labs looked perfect.
I found this environmental doctor.
She's out of practice now.
And we did a whole host of obscure at the time blood work that looked at lipophilic solvents like taluline and.
VOCs and mold and, you know, mold byproducts, and I had extraordinarily high levels.
And then I had my home tested, and there was a ton of black mold.
All this to say that mold is not necessarily recognized as something physicians diagnose and
treat yet, this is where the art of medicine comes into play.
And I'm hoping that the medical field in some aspects will catch up.
because we are seeing this, meaning if someone goes into a house and they smell that musty smell,
this is something typically created from a mold or an offshoot of mold, and it's there.
And whether someone believes that they are sensitive or not, and perhaps there's a genetic
component to it, I personally am in medical practice and I am seeing more and more patients
extremely sensitive to their environments. And again, mold is one of them.
what is happening in the body so you live in a house with mold um what does that do what's the vector
how's it getting are you breathing it in or is it is it in water like what's going on um well if you look
in the literature the literature will say that foods are the primary source of mold and micro toxins
however in the environment for those individuals that are sensitive one of the first things that
we see is we see a ton of brain fog, ton of headaches. Oftentimes we see rashes or they
break out. They walk into a room and they get this massive response. You know, and of course
there is that allergy, allergic rhinitis, coughing, congestion. You know, we see these environmental
exposures that they can affect brain function, cognition. Again, I have to say that it's very
tricky because we're not there from a medical standpoint in the literature, but us individuals
that are seeing patients, we do see this. I don't know if you've ever experienced that when
maybe you're in a new hotel room, but these things are real problems. Well, I mean, the house
I was living in, as you know, really sideswied me. And I was getting shouted at by the guys that do
the filming for the podcast saying, why do you keep going in the sauna before you come on set?
You're always coming on set super red. But I wasn't in the sauna. It's that I'd been in my house.
And I was leaving the house and all of my neck and my face was really flush, which must be
some sort of reaction, I guess. And yeah, we tried to remediate the house, the landlords of the
house I was living in, tried to remediate it. I lived in hotels for three and a half months,
go back into the house. And within 30 minutes,
of being in there. And they've spent three months cleaning and removing this stuff and micro
air filtration things and like dehumidifies and all of this shit for ages. And within 30 minutes
of being back in the house like boom, I'm just, I'm like a stoplight. It's crazy. And I want to,
I want to pause and just point out that it's not in your head. And I think a lot of people
listening to this experience symptoms and they cannot figure out why they're experiencing,
experiencing them and people will say, but your labs are normal, it has to be all in your head.
And it's not. We are very affected by our environment. And especially depending on where you live,
you know, we live in Texas. Texas is moist and humid and hot. It facilitates mold growth.
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that's drinkag1.com slash modern wisdom well the other thing as well is most of the issues with
whatever we want to call it like environmental complex illness stuff the symptoms aren't visible
and the injury isn't visible either and what this leads people to is kind of an inverse version
of pretty privilege where if you look okay on the outside people assume that you're operating fine
and the inside. And honestly, the two things that you never want to hear as a patient,
the first one is from a doctor saying, we don't know what's wrong with you. And the second
one is from a friend saying it's all in your head. Because given the choice, do you not think
that you would get yourself up and get out of bed and be happy about this sort of thing? Like,
there is a huge psychological component for sure. You know, your level of hopefulness, your level of
energy, all of this stuff is largely influenced and in some ways, maybe even primarily influenced,
by the frame that you place around the present moment,
that's not the same as you're saying,
oh, the bottom-up sensation that you've got,
oh, you're turning your neck red,
you're giving yourself tinnitus,
you know, these things, it's not the way it works.
So I guess the way that it seems to me is
environmental illness is kind of like the new hysteria.
It's real but misunderstood.
I think that that's a brilliant way of saying it.
Because right now, think about it,
we're seeing a huge interest in hormone therapy, testosterone for both men and women,
all of this stuff around hormones. And those have to be treated and those have to be within an
optimal range if you're going to feel great. Thyroid, these are all things that are treated, have been
treated. We have standards. And this new influence, or one that we're becoming more increasingly
aware of is definitely environment. And it comes, and you can't get away from it. The influence of
parasites and mold and heavy metals, you know, let's, if we were to think about this from a broad
perspective, let's say someone has a parasite, relatively asymptomatic outwardly, but they're starting
to get more fatigued. They are getting their blood work done and maybe they're starting to be
anemic. However, if you think about it,
their ability to absorb nutrients that they're having now decreases. So you're starting to get low
levels of inflammation, less absorption of your nutrients. So it's not just that the parasite is then
affecting iron. It's then affecting other nutrients and your ability to absorb and metabolize
to your fullest capacity. Super common. And layer that on with then going to a home or living in a home
with mold or water damage that you may or may not know that you have.
Compound that with brain fog, fatigue, not very easy to diagnose.
There's diagnostic uncertainty unless a provider is going to say, you know what?
I understand that maybe in traditional medicine, we don't look at mold.
But for you, listening to your history and understanding that, you know, every time you walk into this house that you get a head,
headache or every time you are in this area, maybe you're just exhausted. And we have to recognize
that there's something else and there are these compounding effects. And then layer on, I don't
know, just pick your, pick your poison, metals, lead, mercury, cadmium, arsenic, these things
that are now within our environment. And there is human exposure that can affect fertility,
brain function.
I mean, gosh,
it seems like we're living
in dangerous times.
You're really sort of
slipping and sliding
through the environment.
And one thing you mentioned
before about the mold,
you said genetic factors
that can kind of influence
how people respond.
If 10 people live in the same house
and it's moldy,
but only three of them get sick,
what makes those three people different?
There seems to be, again,
I would caution the listener and the physicians that are listening.
This is somewhat of a bit uncharted territory that we're getting more and more data on,
but it seems as if there's a genetic component to those individuals that become affected versus
those that are not.
And I will say, you know, we recently moved because we had mold in our house.
My son and myself are sensitive.
My husband and my daughter are not.
my kid he woke up he was like coughing not feeling well really low energy and um i ended up having
a forensic uh inspector come in where they took wall cavities and it turned out there was mold
on every floor of our house that's it we had to move but had we not done that my husband and my
daughter they are fine yeah well i mean i lived Zach uh lived in the last house with me which was the one
that had all of the mold in it. And he was sweet. He was absolutely fine. So we had the perfect
split test. And that was another thing that made me think, well, maybe it is, maybe I am, you know,
just being, I should push through or I should, you know, this is, it's, maybe it's not quite in my
head, but, you know, like, Zach seems to be fine. Maybe he's more resilient. Maybe I'm more,
like, feeble or something like that. No, and I will tell you some of the toughest people I know
have had exposure. So I have, um, one of my patients, I think I'm mess.
you about her Evie Pomporous, former Secret Service agent who had a ton of exposures in 9-11.
When the towers fell, she not only was there, but then went back in. And there's a heavy body
burden of exposures. Other people might not be affected, but, you know, she can't afford to
be tired. She's an analyst right now. She's an NBC analyst for policing and crime, all of
these shootings, whatever it is. She's doing it. She had a level of exposure that, again,
they might track these individuals, but they're not necessarily then thinking about the big
picture of, you know, how much of this are you able to get out of the body? Typically, we can only
get those that are the majority of those that are lipophilic, meaning stored in fat versus those that
are water-soluble. And you compound that onto environmental exposure. So there's the acute
exposure. 9-11 burn pits. Someone lives, I don't know, New York City and maybe they live in a very
busy exhaust place. And then they go into a home that is also moldy. These exposures end up
compounding over time. And the challenges is that people will be told that it's all in their head.
And they can't afford to not be functioning at the highest level. And these people typically push
through like yourself or like Evie, and it's important to recognize that underneath this
all, that if you are listening to this and you know you are the type of person that pushes,
but for some reason you do not feel well, then it is critical to have more exploration.
I mean, think about Lyme.
Lyme disease is another one of those kind of silent epidemics that is now getting more and
more attention, but someone comes in and maybe they have this weird arthritis or this weird
joint pain and they're having neurological symptoms. And they don't even think to connect it to a
hook bite that happened perhaps over the summer or they're getting these weird rashes. Because
these things don't commonly come up in the standard blood work. Well, the thing, at least with
Lyme, for me, was I had no idea I was ever bitten by a tick.
I had no idea where it came from.
If there is another way that you could get it,
if you could get it from eating sushi,
maybe it came from sushi.
But yeah, it's just this,
you start to sort of build this picture now,
and this is what I mean about sort of having to slip and slide
throughout the entirety of the modern world.
There's so many different ways that you can be exposed to stuff
that is going to contribute, you know,
5% here, 10% here, 20% here,
percent here, five percent here. And over time, you actually end up accumulating more
stress than your immune system is able to handle. And yeah, the lime element to this,
each one of these for the wrong person, like mold for the wrong person is the end, right?
Michaela Peterson and Jordan, like for them, they didn't need, they don't need lime,
they don't need parasites, they don't need anything else, they just need mold. And that is like
the middle of the bull's eye of their weakness, their immune system sort of dysfunction.
I guess you would say, like their immune systems, vulnerability perhaps.
And for somebody else, it might be a different thing.
And then for other people, it's this multifactorial approach where it's a lot of different stuff.
But the likelihood that you as somebody living in the modern world doesn't have one of these
is actually probably pretty low, I would guess.
The difference is if you're operating fine, if you're moving through life and you feel great,
then it kind of doesn't really matter.
Like you said about your husband, well, you know, you can kind of live in a house with
mold but he just doesn't seem to have the constitution or whatever it is that makes him susceptible
to it in the same way that somebody else does one person gets a parasite they're fine their partner
keeps on re getting triggered from the same parasite and they get wrecked by it so yeah obviously
in the same way as some people deal with stress better than others like just emotional stress or
some people can eat gluten and others can't or some people love to eat first thing in the morning
and others can some people like running and others like to do weightlifting everyone's system
idiosyncratically, psychologically, physiologically, they're all different. And I guess the
problem now is, first off, we're living way longer than we ever lived ancestrally. So we're into,
I'm already on fucking borrowed time at 37. But more than that, these exposures are novel.
And even more than that, you'd say, well, you know, these things must have been around for a long
time. And it's like, yeah, and they would have probably killed you. You'd have just been dead,
presuming that we don't want to just accept our death is the only way out of this thing,
we actually need to work out a way to fix them.
And I think that it's really well said in the way that we are living in this modern day era.
So microplastics, there's a lot more information coming out about microplastics.
And I am certain we are going to continue to find more.
The challenges we have to have a clear diagnostic path because you can't answer and solve
for questions that you're unwilling to face or that you don't even know.
exist. And, you know, the reason I started treating all of these things 10 years ago is because I
had these military guys coming in. And they were told that this is all that there was to do for them,
that their blood work was fine. And, you know, I think inherently, if we are there to serve
people, because physicians are, their main role is to care for people. Period. End of story.
Whatever you hear about doctors, you know, at the end of the day, it's a profession that people choose from my perspective to care.
And I wasn't comfortable with the answer that these people were fine and that their blood work looked fine.
They were all suffering.
And they were suffering so deeply.
And think about it this way.
You have these tier one operators.
you have these war fighters.
They're not in their head about it.
If they're telling you that every time they eat something that they feel nauseous
or that they have diarrhea, it's not in their head.
And that their other individuals in their platoon,
their teammates are also suffering from the same thing.
It's not in their head.
Even if these tests are negative,
it's our responsibility to figure it out.
I'm noticing a, I'm noticing,
thing as you're talking through this, how do you say, sort of the clinician's caveat, I would say,
which is what it feels like having to jump through a good bit of hoops because being somebody
who is a doctor and is working in this industry, you're having to say, look, this is sort of
tip of the spear stuff, this is frontline research, it may seem, it does seem, I'm going to
guess that there is a huge contingent of the medical industry that sort of, like,
at this stuff and scoffs or doesn't really see it as being that big of an issue.
Is that, am I interpreting your red tape correctly?
That's exactly right.
And here's, here's the reason why I provide all those caveats.
Because I am a fellowship trained physician and I recognize that in the landscape of
social media, there are lots of individuals giving lots of information.
And then there are a handful of experts.
their standardized care. In order to truly get the message to people, there has to be a balance
between both. There has to be real information, vetted and important, validated literature,
and there has to be an open-mindedness within clinicians. What we're seeing is a swing right now
in the medical field in a way that I've never seen before. You have individuals that
that are believing one extreme, and that is everything should be natural, all medications
are bad, we live in a totally toxic environment, et cetera. And then you have the other group,
and I recognize that this is very black and white, this other group that is, okay, well,
here's what the evidence says, and we should follow the evidence. But a good practicing physician,
and I think anybody that wants to get better
has to recognize that there is a balance
between the art of medicine
and then truly listening to what the patient is saying
even if, quote, the labs are negative.
Listen, I treat, we treat mold all the time.
We've had, I can't even tell you
how many patients that have gotten better,
including myself, from these environmental exposures.
I recognize that what is in the literature is saying don't test and just remove them from the house.
And I would say as an n-of-one or an anecdote, I didn't get better that way.
I had to be removed.
I had to go through sauna protocols.
I had to figure out ways to detox.
And yes, I tested both blood and urine before, mid-treatment, and after.
And so even if this large body of standardized medicine,
and says this isn't a thing, I would argue that there are a whole host of people that are
suffering and not people that, quote, just want answers, but people that clearly are exposed to
things and they are being told that they're crazy. Listen, Parkinson's, when I was seeing my
fellowship, so I finished that 10 years ago, but during that time, there was murmurs of
pesticides influencing the increase in Parkinson's disease. And now we're looking at more
clear data that shows there is a relationship between chemical exposures and Parkinson's.
And so you just don't want to miss things because you are thinking ahead, right? I mean,
it's there and it's our responsibility, I think, not just as providers, but also.
in this new social media landscape to be able to recognize that we might be thinking ahead
or we have to recognize that there's this whole continuum and to not ignore the fact that it's there.
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Yeah, I think
anybody, especially anybody that gets ill
or anybody who is a doctor
that has found great success
treating the same pathology over and over,
there is this sort of tendency to make your,
entire life about it. It's somebody who has gluten intolerant in their Instagram bio. It's
the equivalent of that. This is who I am, right? Like, I got molded or I got EBV or I got Cmb or I got
whatever. And I understand because it's, for me, it was the most important thing in my life for two
years. It still is. It's the priority. It's why I'm focusing all of my attention on because I want
to become better. And it influences your quality of life.
much that when you get out the other side of it, you think, okay, if you too feel sad, tired,
moody, brain fog, inflamed, whatever, this is, I felt that and I got this, therefore allow me
to, you know, turn you into an evangelist to come on board with this stuff. So I understand why
people do that. And I think that clunky as it may be, it's probably pretty important to say,
look, this is emerging research. We think that this is the case. We feel like,
I guess another element that's interesting on this is the gut.
So you've mentioned there about digestive problems in special operators.
I know that for me, at least based on what I learned,
in order for an autoimmune sort of system cascade to kick off,
it seems like you needed three things.
You needed to have genetic predisposition, an environmental stressor,
and gut permeability.
On top of that, you could be looking at H. Pylori or CBO,
or candida or roundworm, liver, like, you know, some of these things.
What are you seeing from a gut perspective at the moment?
What are people dealing with mostly?
A lot of gut permeability, a lot of digestive problems.
So let's say someone has like ulcerative colitis or Crohn's or ciliacs.
These are already states of decreased absorption.
You know, it's not what you eat per se, but it is what you digest and how you
absorb these nutrients. Individuals, what we're seeing a ton of is things like, well, actually,
with the use of GLP-1s, one thing for sure that we're seeing is slow digestion and slowed gastric
emptying, which is important in the way that if you are not getting nutrients, you're going to
feel terrible just overall. But aside from that, we see a lot of H. Pylori. H. Pylori is, can be
asymptomatic, so it's a bacteria. What it does is, is, if,
If someone say they have reflex and they are having a lot of reflux, no matter what they're doing,
oftentimes we see H. Pylori.
It's very common.
Some people are asymptomatic.
You can pass it along through saliva.
So if you're obviously kissing or you are a very sloppy drinker, someone might drink out of your cup and they could also get H.
But the reality is, over time, this is a risk for cancer.
H. pylori, there can be virulent strains that are risk factor for certain types of cancer.
And that has to be treated.
And it's not treated naturally, by the way.
Typically, again, we're kind of in this zone where it's either all or nothing.
This is something that, you know, I typically treat with medications, but I have to test.
what what do you what what is gut permeability when for the people who don't understand what that is
you have something called tight junctions and if you imagine your intestines so if someone is
listening to this if you put your fingers together you imagine that your intestines are in
lockstep so they're very locked in gut permeability is when these intestinal membranes
they become somewhat separated so these tight junctions become a little less
type. You might see this with an increased level of zonulins. This is a protein that someone would
test in your stool or other inflammatory type gastric markers. And when this happens,
this creates a cascade of effects because, again, your digestion is your first line of defense.
It's the closest you're going to be to the outside world, whatever you eat, or, you know,
obviously it goes through and passes through your digestion and how someone would feel
if their gut integrity, let's just call it that, was off is, you know, a number of things.
They might feel bloated.
They might have diarrhea.
They might have constipation, you name it.
But at the end of the day, you should never be thinking about your gut.
You should never be, it should not be something that's on your mind.
You shouldn't worry about, oh my gosh, if I eat that, I'm going to feel like I'm 10 months pregnant.
Yeah. Well, what it causes, and, you know, people can start to get the sense is sort of an odd cautiousness around the world. Like, you're always on tenter hooks. Like, am I going to go into a house that's got mold? Maybe I have a friend who owns a fucking multi-billion dollar business and he got popped with VOCs. That's the blow off stuff from paint, right? Yeah. Yeah. Yeah, he got popped with VOCs.
How did he know? Did he test for it?
Yeah, tons of tests. Shit, tons of tests.
an unlimited amount of resources and then was staying in a hotel the hotel was relatively new
they were blowing off the VOCs from one area of the hotel into the area he was in and it all restarted
again but what it means is you're always oh what's in that food maybe that house is going to have
that oh I better be careful about you know it's a trepidation going through life with a lot of
trepidation and obviously that ambient stress that is not helping either that's you know making
things significantly worse. But I think that you can solve for that. Once you figure out what you're
sensitive to, those things can be solved for. If you know that you are sensitive to VOCs, then
obviously you're using low VOC paint or any of these other things, air filtration. If, for example,
this guy has unlimited resources, what I would do if I was saying is I would chip an air filter
to be in my hotel room. I know it sounds crazy, but you can also bring these air devices where you can
actually test the air. Again, this is one extreme, but if you know what you are sensitive to,
if you know you are sensitive to mold, or if you are someone that just, you're going to eat sushi
no matter what, then every three months you should do or quarterly some kind of parasite testing.
There's a cost of doing business. If you are someone that you know that you're sensitive,
having a great sauna protocol, right? There are certain solvents that are able to be,
be sweated out. Knowing what you need to do will allow you to effectively perform. And maybe you're
someone that needs, I don't know, ketones, you know, you name it, but you can build a program. And Chris,
you've done this really well. I think you know very much what you are sensitive to, what you have
to do to be able to function at your highest. And I will also say that you're willing to push through
no matter what. And there are a lot of people that are willing to push their bodies to be able to
perform when they need to be able to perform it's just sheer will i think everybody so many people are
doing that and that was my you know archetype of the person that says well this is just what getting
old is like or you know who's really that happy when they're in their 40s or 50s or whatever
um you're just conceding a lower standard of life and cognition and mood and energy as
a byproduct of of aging so you mentioned so on there what are the
this is not medical advice. What are the typical go-to modalities for the environmental illness
stuff that people, that usually seem to have a positive impact on people? Like what are the
areas that people look at first? Well, number one, remove yourself from the exposure. Understanding
where you're living, you have got to move. I'm sorry, it's super inconvenient, but you cannot
continue to be exposed to these things. Something else. And actually for my next book,
which is coming out in January, the playbook, I did a ton of research. I wanted to look at what
was available in the evidence, not just for overall health and longevity, but what modalities
were very supportive in general. And the number one that came out on top was sauna. So there,
again, there is questionable data depending on what you're looking at in the literature. However,
with sauna protocols, and this could be typically 30 to 60 minutes from 113 degrees Fahrenheit to 176 degrees Fahrenheit,
which is important, obviously, you talk to your physician, but this is a way for lipophilic chemicals,
so the chemicals that are stored in fats to be released through the skin, excretion of these organic solvents.
What about binders? How important is it to be looking to use like a colostyramine or a charcoal? Does that make that big of a difference or is most of it coming from the sauna?
I think it's a great question. And there's not a ton of in the literature data on colostiramine. However, there are a lot of practices and physicians that are using it and also using binders.
again, this is more of the art of the treatment, which is more important. I would say,
I think that sauna, we know how it works, is critical. And that if I were to say, okay,
what is really important? Many people cannot tolerate the heat. And that would be then you would
think about using an infrared sauna. And of course, there's a ton of other reasons why someone
with sauna. I sauna all the time. I sauna and cold plunge. I love it. But sauna has good data for
decreasing inflammation, for decreasing things like HSCRP, which is high sensitivity C-reactive
protein. These are inflammatory markers. Again, hot sauna has been used for probably hundreds of
years. Binders, again, depending on the physician, you will get a different protocol for that
type of compound.
What about emotional stress
and how that sort of
interact with environmental illness?
Probably
one of the bigger levers,
believe it or not. Here's
why. If
someone doesn't believe that they will get
better, it's
a real struggle.
There has to be an innate belief
in one's ability to heal.
Again, I graduated medical school in 2006. I've been seeing patients and still see patients for a long period of time. From my perspective, there are two types of patients. There's number one, the patient that is so overburdened with their illness and they are somewhat neutral, right? They're not thinking about getting better. They're not thinking about getting worse, but they are consumed by dealing with this
situation. There's somewhat of a turning point. Once you can identify what it is and you pull that
off the table, you see how this person responds. And if that person comes out the other side and then
is at a landscape where they go, okay, this is the path forward. I'm going to put one foot in
front of the other. Those patients, they will get better. And the other group, if they do not believe
in their own ability to heal. And, you know, this is not woo-woo. I'm not even talking about
the placebo effect. I am just talking about years and years of seeing patients. If they do not
believe that they will get better, it is nearly impossible. Because now what's happening is
you're fighting against your own physiology. And when we, you know, without this idea of going
to some woo-woo land, when you are perpetually consumed by negative thinking, there's
There is a level of stress that this generates in the body.
And you can see it.
Conversely, if there is a belief in one's own ability to heal
and they know they are with such high conviction
that they will get better, these people, they will get better.
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It's so interesting.
It's such a vicious cycle that you start off not choosing this thing
and then you end up being puppeted by your own beliefs about this thing
and that restricts your ability to recover.
And then, yeah, it seems to me,
do you think it's a fair assessment to say that medicine is sort of fundamentally built
for simple problems, not for complex ones?
That's a great question.
medicine is built for following algorithms.
Medicine is built for being able to create a standard of care.
If you have a heart attack, you're in the ER, you will get this, this, and this.
This is when you go to the cath lab, this is when you don't.
And that is how, from my perspective, medicine is created and where we fall back on.
Where healing comes from is the ability to solve both the complex,
problems, but also recognize the entity, i.e. the human, that is experiencing these
problems, these challenges. And that is where there is the art of medicine and the art of healing
comes in. Why is it then that people with environmental illness, this sort of complex stuff,
why do they end up as medical nomads? Because there's very few people who say,
I went to this doctor, and they were the first one.
They were great, and they carried me through the entire journey.
Why do people end up with this Avengers assemble of medical practitioners?
Typically, physicians are trained in one area.
And so they look at the lens, through the lens, of where they were trained.
And again, as we have this increasingly complex dynamic of the world and how medicine should
be handled is with a team, right?
It's let's say you are going to an individual for fertility.
This individual who's assessing fertility would also really benefit from thinking about how
is their lifestyle?
What is their diet and exercise?
What does their hormone balance look like?
but what about their gut health and what about their environment?
You know, what about their cardiovascular health?
So there are all these systems in the body, yet we really end up isolating it to one provider.
And that's not typically how medicine should be done.
And it's certainly not done in what's so fascinating in teaching institutions.
In teaching institutions, it is a team.
And that seems to be lost in private practice.
but I think a really good private practice and a really good doctor is a team player.
It's not my way or the highway.
It's, you know, if someone is, because it's never about the provider.
It's never about the physician.
It's about the patient.
And typically wellness is a team sport and with more providers.
And granted, if an individual gets sick and they're going to 10 different providers, this is a recipe for disaster.
typically it should be a core group, a handful of very competent individuals. Maybe it's three
individuals. You have one quarterback and then you have individuals placed in various specialties.
Maybe it's three. And that's the way healing really should happen. But the only way people get better
is if they can identify the problem. It doesn't help if it's some enigma of an issue. You have to
be able to ask the right questions to begin to chip away at what the challenge actually is.
What else are you concerned about at the moment? We've spoken about a bunch of different things.
I guess we haven't talked about EBV or CMV or that kind of side of stuff. But if you were to bet some
money on the roulette wheel of the future pathologies that you think people are going to notice more
are going to be bigger? What are the ones that you're concerned about?
Definitely these environmental exposures, because the individuals that are sensitive, I think,
are going to becoming increasingly sensitive. And when I say environmental exposures, I don't just
mean mold. I think that this idea of forever chemicals, we're constantly evolving to make
things, quote, more convenient. And I think that that convenience is going to come at a cost.
I don't exactly know what that is, but I definitely believe it is going to come at a cost.
I think environmental medicine is certainly the way of the future.
And I'll say something else.
I think that we have to reevaluate the old biomarkers that we've been using.
I know this is going to sound crazy, but we've been focusing on body fat percentage as if this is just an example, as if this is the biomarker.
I think that that is going to become less of a valuable biomarker.
I think that we're going to begin to see that it's the fat, the intramuscular adipose tissue,
it's the quality of the muscle tissue.
The fat that infiltrates into that tissue is going to be arguably more valuable than
understanding someone's body fat percentage.
In the next five years, what I'm hoping to see is a reevaluation of the current way that we
are looking at medicine and the current standard biomarkers.
Because humans are funny.
They have this anchoring bias.
Once they hear something, once they're taught something, then this is what they always go back to.
As opposed to, so for example, if we are taught that body fat percentage is the problem,
it closes our minds and our ability to think that, you know, maybe we should reevaluate that.
Maybe body fat percentage isn't the problem, but maybe it's the fat that is infiltrated into skeletal muscle.
That's the actual problem.
And then perhaps we compound that by if there is then fat,
in the tissue, and I'll just go out and let me say this sounds crazy, but what if the exposures
that are fat soluble are then then embedded into skeletal muscle because they're embedded into
not just the visceral fat and the subcutaneous fat, but the fat within muscle tissue.
And in order to actually get well, we have to ask the right questions.
Otherwise, we're going to always miss the mark.
What do the right questions look like?
Why are you not feeling well?
If the lab values don't show, then we're not looking at the right labs.
Period. End of story.
Is there anything?
It's an interesting question.
So, like, one of the things that's come up today is there's sort of two worlds.
There's one where somebody feels bad but their labs are okay and somebody feels bad, but their labs are off.
it seems like, well, the answer is just better, different, more labs until you find out
what that is. How many issues do you see that are undetectable even with will switch from
a PCR test to microscopy test or we'll go for an EKO stool sample and send it off to have a
look at a guy, look at your poo under a microscope? Like, you know, all of these different things.
Are there areas still where you say, oh, we actually do not have any solution for when it comes to detecting this thing very well?
Well, number one, it would be foolish for me to say no.
However, it would be difficult for me to say that there are areas that we are not testing and identifying.
You know, when it comes to the influence of the environment, we know it's going to be the foods you eat.
We know it's going to be the exposures.
We know it's going to be either it's the sick building or your sick room or whatever it is that you're breathing in.
You know, from my perspective, the only untapped area would be the influence of technology.
And again, this might.
Oh, that's interesting.
But again, that might be a foolish statement.
But from my perspective, that is the one area that we have not really.
begin to or begun to explore for its health effects. And I'm not even sure that we have a great
language around it, right? So we have ionizing radiation and non-ionizing radiation. So right now
we believe that non-ionizing radiation is no problem, whether that's cell phones or, you know,
Bluetooth, but radio waves, but is that true? And again, the data would suggest, you
I had someone on my podcast, he's a physician. He's a radiation oncologist. And he would say, no,
radiation is there's non-ionizing and then there's ionizing and non-ionizing is safe. And is that
true? Or are we missing a whole influence on human health because of the way that we are surrounded
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Yeah, I mean, look, I've heard a lot of people talk about this.
I'm fucking tip of the spear when it comes to AirPod users,
so I really hope that non-ionizing radiation's okay.
But, yeah, you know, Ben Greenfield's entire new house is,
there's hardwired copper wiring running throughout all of the floors
and you just Ethernet cables strewn all over the place.
and if you want to use the internet, you hardwire your computer into the floor as opposed to using
Wi-Fi because he's worried about Wi-Fi. Or he might be worried about Bluetooth. There's no Bluetooth stuff
floating around. We've made sure that like radio waves and the way that you can amplify signal
by the electrical wiring that exists inside of the house. All of this stuff sounds really kooky
and very well maybe, but I suppose you're right to call me out for asking the question,
hey are there any tests that don't do what the tests do and how would you know well if I can't
test for them what do you mean like what is it what what's the question that you're asking
but yeah the area of the impact of technology interestingly I asked one of the guys that
does biological home surveillance stuff like biological home assessment I asked him about
eight sleep because a few of my friends have said well eight sleeps are
because it cools you down, but what about the sensors that are in the bed that track
your heart rate and it's circulating water through and maybe there's an electrical current
and you're sleeping on it for eight hours a night, like you're basically living, wearing this
thing. What was interesting that I found out from this guy was there's no real concern about
the blow off from the mattress, but there is some coming from the tower unit. So all he did
was he just moved the tower unit a bit further away from his bed. But, you know, is this
total pie in the sky kooky stuff? Maybe. And I suppose this is one of the problems that not long
ago, your Parkinson's example, that was experimental fringe probably get mocked for it by bringing
it up science. And then after a while, it turns out, actually, this has got some legitimacy to it.
the same thing might be true around non-ionizing radiation but you don't know until you test it
and I think this is this is one of the advantages of having people who are more open-minded
now the difference between being open-minded and being non-evidence-based or being
hysterical about stuff I heard who the fuck was it I was speaking Elon Musk somebody asked
Elon about why he'd stopped his focus on longevity. Apparently for a while Elon had been really
concerned about life extension. He was kind of like a Brian Johnson type approach. And Elon thought for ages
and then said, I don't think it's a good idea that we have people live for hundreds of years.
And his justification for this was social that people don't change their minds very easily
therefore science and human progress occurs one death at a time because the person who held this
ossified view that they weren't prepared to update their perspective on is gone they've had to leave
the party and they've been replaced by somebody who is you know five percent closer down this
particular way because the world they came into had developed a little bit and developed a little bit
developed a little bit. So yeah, that perspective that sort of science and life move forward,
the death of one Luddite at a time, even if that person wasn't a Luddite when they came
around, they're sort of relatively are now because their reference frame is so far in the past.
And I'd never considered that before, but I think that it is one of the explanations for why
this conceptual inertia, the fact that stuff doesn't move forward that quickly, it explains it
to me and it must be frustrating if you're a forward-thinking clinician in the world because you're
having to fight on two fronts. First off, you're having to explore this new territory and try and work
out what the fuck is going on with this illness or this exposure or this metal or plastic,
microplastic, whatever. And then you've got to fight the battle inside of the camp too, which is
against your other peers and colleagues who are saying, well, you know, there's a very spurious
science. This doesn't seem to be evidence-based. We can't find any legitimacy in the sort of
studies, it's a rodent, and it doesn't particularly engender a exploratory approach to human
health, especially given that people have got lots of health problems at the moment.
It's extremely insightful. It's extremely insightful, and I would say that's very accurate.
It's very accurate. And we're up against a lot. There is a lot that we're up against,
both physically and emotionally, and then within the system itself.
because if you think about it, I mean, listen, they believed that smoking was fine.
They had a cigarette diet, the lucky diet.
They, you know, felt amphetamines were great, fenn, fenn, and medicine seems to follow these trends
where for periods of time, we believe things are benign.
And lo and behold, they are really deadly.
And that is a part of what I think the reality.
is that we are facing. And, you know, as a practicing physician, I am seeing these things. And then
you go and you look at the literature and you're reading, you know, what about these VOCs and what
about these solvents? And the reality is, it would be irresponsible to ignore what I am seeing
from a patient perspective. You know, if I have a patient that comes to see me, they've been to
13 other providers because they're not feeling well, there has to be an answer.
it, it, it's not in this patient's head. I mean, if you look at the, the archetype of the
individual, people want to get better. And yes, do they want to have a name for what it is
their suffering? Well, but the reality is there is always a reason. It's just a matter of
finding it. And if there was, um, more unification and less division in medicine, I, I, I think that
we would continue to be further and move forward than where I see that we are today.
What would unification look like?
Collaborative efforts, collaborative efforts saying, listen, this is the experience.
We are seeing multiple people having the same experience.
There has to be a reason.
There just has to be.
And then exploring that, you know, finding instead of no, we've looked at that, it's non-BEOC,
or no, we've looked at that. It's not mycotoxins. No, you're probably wrong. There's certainly a
component. And so this unification of probably physicians and then also physician scientists and
researchers to be able to solve for some of these problems because we are in a new precipice.
We are in a new era. The reality is we are here. And yet we are still looking through the lens
of traditional medicine as to how to solve problems. There has to be advancements.
And listen, there are on multiple fronts, but within environmental medicine and within the complex illness world, especially when it relates to environment and technology exposures and all of these solvents and these forever chemicals and these plastics, we are going to be foolish to think that we can just turn a blind eye and then it's just going to go away.
It's not.
What are you working on next?
What can people expect of you?
Well, I'm doing, so this book comes out, I have another book coming out, but I'm doing a lot of research on hormones.
And I think that that is going to be the way the future for both men and women and not just the standardized hormones that we think of.
So testosterone, estrogen, progesterone, I think that there is a place for anabolic agents that we're going to see more of when it comes to health and longevity as it relates to muscle mass.
You know, I recently published a paper on sexual function and muscle mass and quality.
There are going to be a handful of other papers like that.
Very exciting.
Dr. Gabrielle Lyne, ladies and gentlemen, Gabriel, you're great.
I appreciate you keeping your feet on the ground while you're sort of looking up to what's going to try and kill us all next.
Where should people go?
They're going to want to keep up to date with everything you do.
Yes, you can find me on my website, Dr. Gabriel Lyon.
I also have a new playbook.
This is the original book that I'd wanted to write,
my first book, Forever Strong,
but the Forever Strong playbook is the book that I wish that I'd had,
protocols, sauna protocols, training protocols, eating protocols,
thinking protocols, probably the most important.
Yep, you can find me at Strong Medical,
which is a medical practice.
I have a great podcast still trying to get you on.
It's number three in medicine, my friend.
Yeah, Instagram, newsletter, you name it.
Awesome.
Gabrielle, I appreciate you.
Thank you.
Thank you so much.
