The Dr. Hyman Show - Fix the Brain, Change the Mind: Root-Cause Psychiatry with Dr. Robert Hedaya

Episode Date: January 21, 2026

On this episode of The Dr. Hyman Show, I sit down with Dr. Robert Hedaya, a psychiatrist who has spent decades working at the intersection of biology, brain function, and mental health. His approach s...tarts with a different question than most psychiatry asks: what’s interfering with the brain’s ability to regulate, adapt, and repair itself? We talk about why many mental health diagnoses describe symptoms without explaining causes—and how measuring brain function, energy, and network activity is opening the door to more precise, individualized care. Watch the full conversation on YouTube or listen wherever you get your podcasts. [YOUTUBE THUMBNAIL] We discuss: • How biological imbalances can drive anxiety, depression, and cognitive symptoms • Why many “treatment-resistant” mental health issues have overlooked root causes • How brain energy and mitochondrial function influence mood and cognition • What advanced brain mapping reveals about how your brain is actually working For far too long, mental health care has focused on managing symptoms in isolation. This discussion looks at what becomes possible when we treat the brain as part of the whole system and support its ability to heal. View Show Notes From This Episode Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman’s Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by Seed, Sunlighten, Timeline, Paleovalley, Fatty15 and Pique. Go to seed.com/hyman and use code 20HYMAN to get 20% off your first month. Visit sunlighten.com and use code HYMAN to save up to $1400. Receive 35% off  a subscription at timeline.com/drhyman. Head to paleovalley.com and use code HYMAN20 for 20% off your first order. Visit fatty15.com/hyman and use code HYMAN to save an extra 15% on a 90-day subscription. Secure 20% off your order plus a free starter kit at piquelife.com/hyman.

Transcript
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Starting point is 00:00:00 A woman comes to me and she's having panic attacks. She has B-12 deficiency. I give her injection. With the first injection, her panic is gone. And I'm like, oh my God, what else am I missing? Today's guest is Dr. Robert Heddaea, a true pioneer in functional psychiatry and has been doing this work for more than 46 years, helping people with some of the most complex and treatment-resistant cases.
Starting point is 00:00:21 Now psychiatr are looking at the brain, doing imaging, doing something called Q-E-E-G, which is like a brainwave test that maps out things that we never saw before. and that we're not making sense of. Talk about some of your more recent work around the whole adoption of this technology of improving neuropsychiatric treatment with QEGs. What is it? Why do we use it? We can follow and detect the information flow patterns in the brain. So we can see this and study a person's brain and then correlate with the symptoms. So when you're seeing these patterns, it tells you like which area of the brain is working, which is not working, what you target, how it correlates with symptoms. And so you can see almost like diagnostically in a way that you can never see before. Yeah. Oh, it's mind-boggling. Are you the only one doing this? To my knowledge, yeah.
Starting point is 00:01:02 So what do you think the most common things that are causing these problems of sort of anxiety, depression, cognitive, mind? I hate that question. If you said to me, what are poor things that you could tell a person to do to help themselves? I would say, diet, be careful what comes into your mind. You need to really communicate with God or the universe, or whatever you think this greater thing is. Some kind of exercise, whatever is appropriate for you, is really critical.
Starting point is 00:01:26 and I would say relationships are essential. As we head into a new year, a lot of us are thinking about what habits actually move the needle for our long-term health. And you know, I always come back to the gut because so much of how we feel every day begins there. One of the easiest, most impactful steps you can take is adding a high-quality symbiotic to your routine,
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Starting point is 00:02:27 Hyman. As we head into a new year, a lot of us feel that natural pull to reset to feel lighter, clearer, and more energized. And it makes sense. Our detox pathways take a hit this time of year from stress, disrupted routines, and environmental exposures. The truth is, sometimes eating well isn't enough to fully support that reset. That's why in my 10-day detox, one of my favorite tools I always talk about is infrared sauna therapy. A high-quality infrared sauna helps your body eliminate toxins more efficiently by boosting circulation, supporting lymphatic flow, and creating a deep, productive of sweat at a lower, more comfortable temperature. I personally love Sunlightens infrared sonnas.
Starting point is 00:03:02 Their patented technology delivers the highest quality infrared and is backed by over 25 years of research. Sona sessions can help reduce inflammation, balance cortisol, support metabolic health, and restore energy. If you're ready for a fresh start, visit sunlighten.com. You can save up to $1,400 plus get exclusive year-round savings with the code Hyman. Bob, Dr. Hadea, welcome to the podcast. Thanks for having me, Mark.
Starting point is 00:03:26 It's great, great, great to be here. Holy cow, I don't know where to start. We were the OG functional medicine neophytes learning functional medicine together at the first training session, applying functional medicine, clinical practice in Gig Harbor, Washington, in what was it, 1990. 98, yep. And we were one of the first cohorts to go through the program. There were more teachers than they were students in the class.
Starting point is 00:03:54 And we became best friends there. and it's been almost 30 years that we've been doing this functional medicine stuff. And I want to say thank you to you for what you've done for functional medicine. You know, I'm the scientist, the clinician, working, you know, in the trenches, you know, learning and expanding and doing all the sudden, you're out there spreading. I'm just a big mouth. You're doing a great job, man. You're doing a great job.
Starting point is 00:04:18 You're spreading it to the world, and it's fabulous because it's really needed. I want to be the mind virus that didn't fix every doctor. Yeah, it's amazing. I think back then, we were just sort of joking before the podcast that, you know, people were laughing at us for what we're doing and we're making fun of us for talking about things like leaky gut and mitochondria and the microbiome. And we didn't even call it that then and we call it the gut. And now it's sort of mainstream.
Starting point is 00:04:44 And just last week, I got a call from the chief medical officer of the Center for Medicare and Medicaid Innovation or CMMI, which is. the innovation hub within Medicare that looks at new solutions to chronic disease and problems. And she called me to tell me they were launching a $100 million effort with 30 different sites, $3 million or so each, to study functional medicine and lifestyle medicine in the treatment and prevention of chronic disease. In my lifetime, I never thought that would happen. Right. And in the website of Medicare, it says the word functional medicine. I'm like, wow, And we've come a long way.
Starting point is 00:05:25 And, you know, you are a psychiatrist, also in everything-ist at this point. As you say, accidental psychiatrists, I'm an accidental internist. Yeah, yeah. So, like, you can't look at the body without looking at the brain. You can't look at the brain without looking at the body. And you can't look at the mind without looking at the brain, which is sadly what most psychiatry does. And we're in this extraordinary moment revolution. I mean, you're 73.
Starting point is 00:05:47 I'm 66. We're kind of old now, but... But getting younger. Getting younger. And we've seen... We've seen the trajectory of science emerging over the last decades. And now there's people we've had on the podcast like Savanii Setti and Chris Palmer talking about metabolic psychiatry and realms of psychedelic psychiatry we've talked about
Starting point is 00:06:08 with Rick Doblin and others. And you actually, you know, do ketamine assisted there, which is in that realm. You know, you really got in the front row seat to what's happening in the field of mental health, but from the lens of functional medicine. And your book way back when, which I think was even before you... It was before functional medicine. It was a understanding biological psychiatry. I didn't know it, but I had discovered functional medicine in 1987.
Starting point is 00:06:37 That's right. And maybe even before because of my internship, there was a woman who had low potassium and I decided to give up bananas instead of K-light. They were not happy with me. No, that's right. Food is medicine. And you basically have seen the development of this field and how so much of our ideas and concepts around mental health are just wrong. And that in order to treat people, you need to think about treating the whole system and that there are ways to fix the brain that change your mind. And that's not something that is really done in psychiatry. And you have therapy
Starting point is 00:07:15 or psychiatric drugs. They suppress symptoms, but they don't really deal with the root cause. And, you know, as functional medicine doctors, we are root cause specialists. That's what we do. We like dig and dig and dig until we find the things that are off and then we try to correct them. And we also then try to do things
Starting point is 00:07:31 with modalities that we're going to talk about, which help map out where the dysfunctioner and balances are and then how to correct them by supporting the body's own endogenous healing system. They're built-in repair system that we have, which is available. Like, we just don't know how to activate it. Right.
Starting point is 00:07:46 What's really tragic is that there's so many people suffering with mental health issues. and they're not able to access the care. They don't know that this is even an option for them. They don't understand that there's a way out of their suffering that has nothing to do with talking to a therapist or not that that's bad, but I've certainly used them, or taking psychiatric drugs,
Starting point is 00:08:05 which generally don't work or cause a lot of side effects or have a lot of sort of symptom suppression that don't really do the trick. Maybe you kind of walk us through sort of the original insights that you had around how to think differently. Because as you mentioned before, I wrote a book called The Ultramid Solution in 2009, which was a good decade more than when we first met and where I basically was seeing all these people and treating their bodies
Starting point is 00:08:30 and their mental symptoms. We could have out, or the ADD or the dementia or their depression or anxiety or whatever was going on or bipolar or schizophrenia. I was like, well, what's going on here? And I realized, oh, the body is connected to the brain. The neck. It's called the neck. The neck.
Starting point is 00:08:47 I think we missed that lecture, right? They didn't give that lecture, actually. It's true. And we don't really think about, you know, in psychiatry, what happens below the neck. But that's where all the action is typically, and it's systemic. So can you kind of walk through the kind of origin story of how you begin to understand this? What made some of the original cases you had were and what you've learned over the last 30 years. Give us sort of the bird's eye view of the life and mind of Obendea.
Starting point is 00:09:13 So a quick thing that happened in medical school is I took six months off of medical school. to study medicine on my own. And, you know, I had the two years under my belt, and I took six months off, and I said, you know, I'm memorizing stuff. Let me, let me get this, let me get this, right? So I took six months off and I was studying about 10 hours a day. I had a whole thing that I laid out and I stuck to it and I was, you know,
Starting point is 00:09:40 very diligent and very amazing. And I actually came to actually understand the body and basic physiological principles. I wasn't just memorizing. fast forward, I go and I'm going to be a surgeon. I have a great mentor who teaches me how to do hypnosis in 10 minutes. I'm like blown away by the results. I switched to child psychiatry. I go to Georgetown.
Starting point is 00:10:00 Then I go to NIH where they were doing cutting edge research. And then I go into practice and I'm in practice doing basically psychopharmacology. And I'm doing cognitive behavioral therapy, which was at the time cutting edge therapy, which I learned from really one of the top doctors in the country. So a woman comes to me, her name is, we'll call her Joanne, and she's 50 years old, and she's having panic attacks. I'm like, well, this is a piece of cake. I mean, I'm just, you know, I'll do some cognitive behavioral therapy. Well, that didn't work.
Starting point is 00:10:33 So I'll do some, you know, mypamine or Xanax came out. At that time, they were telling us to use eight milligrams of Xanax. Eight milligrams. Jeez, it's like a horse's dust. So my working hypothesis was she's 50 years. years old, she has an unhappy marriage, her only child is going off to college. She's having separation anxiety because she wants to leave her husband. And panic is basically separation anxiety where you think you're going to die. And then this deep parts of the brain, you trigger the adrenaline in the brain,
Starting point is 00:11:04 the locus surreal, it gets activated and you're like, I'm going to die. And you have panic. Your brain says mortal threat. So a year into treatment, I'm dancing Saturday night at a bar mitzvah. And my pager goes off. And look, go find the phone booth back in the day, right? Okay, call. Joanne, what's going on? I'm having a panic attack. Okay, talk to her.
Starting point is 00:11:29 And then I'm like, what is going on here? This is a year. She should be better. So Monday morning, I go into the office early to look at her chart. I had one lab at a CBC, a complete blood count. Psychiatriding blood test, God, that was heresy back there. I had one turned out to be crucial. The size of her red blood cells, the MCV, the mean...
Starting point is 00:11:50 It was really high. It was not really high. It was 101, the range of 80 to 100. I ignored it because two reasons. One, I was taught to treat train wrecks, right? A little out of the range, don't bother. Because I was trained in the hospital. Yeah.
Starting point is 00:12:05 They treat train wrecks, right? Yeah. And the second thing is, I didn't know what it meant. Right. So that was it. So I went to the National Library of Medicine. I looked it up and it says, oh, could be a bit. B-12 deficiency, do a shillings test, no longer available, but at the time I never had done it,
Starting point is 00:12:23 but I did it. And she has B-12 deficiency. I give her injection. With the first injection, her panic is gone. And I'm like, oh, my God, what else am I missing? Because people are in the system. They're just in the system. They go around this, you know, revolving door in this doctor, that doctor, you know, this medicine,
Starting point is 00:12:44 that medicine. that's when I was like, I must be missing a lot of stuff. Yeah. You know, and then there were a series of things where my mother-in-law was. When the doctor says it's all in your head, it means either you're crazy or the doctor's missing something. And I would say nine times out of ten or more, it's the doctor's missing something. This is very true. You know, in one sense, this is very simplistic, but you have the software, which is, you know, how you think about things critical, obviously.
Starting point is 00:13:11 But then you have the hardware is how's the brain functioning? Does it have the nutrients? Is the inflammation low? Or the circuitry, is it working properly, et cetera? Well, you got to have good hardware to deal with the software, right? If the hardware is broken, you know, then, you know, then you're not really going to get too far. You're going to be in therapy for 100 years. You're not going to get anywhere.
Starting point is 00:13:30 So I always say it's a lot easier getting lightened if you're not mercury poison or bettrial deficient, your thyroid's working and your gut microbiome is healthy. It's a lot easier to. Yeah, if it's working. Like, how are you going to run the race if, you know, you got rocks on your back, you know? You can't do it. That's an amazing story. I mean, I, you know, that's just one example. It's not that everybody with panic attacks has a betelilil deficiency.
Starting point is 00:13:50 That's the problem in medicine. We're like, oh, you're panic attacks. Oh, the causes of betwixt. No, that's, the symptoms in psychiatry are all based on, like, categorizing people according to a specific category and a disease, but it doesn't tell you anything about the cause. Right. The DSM is good for insurance companies. That's, they call that the diagnostic and statistical manual for psychiatry.
Starting point is 00:14:14 which kind of is organized based on categories. Descriptions, but it doesn't tell you about ideology or cause at all. No. I once said, you don't remember Thomas and so was the National Institute of National Institute of Mental Health. And I had dinner with them once.
Starting point is 00:14:30 I said, so Thomas, what do you think of the DSM-5? And he goes, well, I think it has 100% accuracy, but zero percent validity. I mean, it's really good at categorizing people according to citizens, but not telling anything about what to do. And I think this example of the panic attack is so key because there are many reasons for panic attacks,
Starting point is 00:14:46 such as one. And when you start looking at the biology, you kind of have to do a deep dive to see what's going on. I mean, I had a, I was remember writing my book, Ultra Mind Solution, I was talking on the phone, and some guy was fixing my stereo or something in the office,
Starting point is 00:14:59 and he heard me chatting. It's like, oh, yeah, yeah, I was so depressed. And then I took B complex and I was cured. And I'm like, well, yeah, if you have, if you have folate deficiency or B6 or B12, those affect your neurotransmitters. And it works, but it's not, I mean,
Starting point is 00:15:12 everybody with depression, has that. Right. So you kind of had that insight. You saw this. Yeah, and then I had to sarah my, I really, now, don't get me wrong, allopathic medicine is great for certain things, as we know. I don't want to throw that out. Of course, a true care medicine. But, you know, I saw it really horrible care of my mother-in-law, my father at the major hospitals in New York City. And I misdiagnosed my mother-in-law. She had mixed edema, and they wouldn't treat it because the reference range, they didn't look her clinically. That's from thyroid, low thyroid. And the reference range said, no, she's not,
Starting point is 00:15:49 she's not abnormal. The same test we use now, but the reference range was up to 10. And she was 11. They didn't want to bother treating it. Like me. It should be in three and a half. Or two and a half, even. And if you have a psychiatric problem, maybe even lower and you have certain genetics, even lower. Yeah. So it depends on that. So anyway, whatever, you're just forced to learn because there's nobody out there to help your patients. I would send people to end the chronologist, but I'd get back nothing. So I had to actually learn myself what to do. So you're the accidental internist. I'm the accidental psychiatrist. It all comes around of the same stuff because the body's one big interconnected web. All these things travel together.
Starting point is 00:16:27 Now there's this whole field of metabolic psychiatry we've talked about on the podcast, which uses like ketogenic diets and nutrition more aggressively. What do you think about those? I think is great. It depends on the patient. You've got to see what each person needs is really does have to be personalized. And one thing, let's say this. On this, on this, understand this. The people should understand this. There's a book called Mad in America, and it traces the history of psychiatry in America over 250 years. And what you see is that there are fads in psychiatry and probably in medicine as well. And so you see that, you know, maybe 100, 200 years ago, you know, we thought that the problems were demons in our heads,
Starting point is 00:17:02 right? Yeah, yeah, yeah. And so we are, okay, exorcism for everybody. And then actually, they started putting people in giant centrifuges and spinning them around. And they said, said, oh, hey, it works. The study show works. So the hospitals got together. They made these centrifuges that had like, they could spend 12 people at a time. That's great.
Starting point is 00:17:21 I get the carnival. Yeah, exactly. And so bigger and bigger, bigger. And then after about 30 years, the science, they'd start to say, you know, the study's not holding up. This is questionable whether it works. And then out comes a new model, insulin coma, you know, right? And then we had the psychopharmacology.
Starting point is 00:17:43 revolution in the 50s, right? And I don't want to say Medzard-Ber because I wouldn't want to practice without them, but it's so overused. Over the years, I've worked with many trekkers, athletes, and even Olympians, people who consistently push their bodies to the limit. One thing I always recommend to keep their energy up, muscle strong and body resilient is timeline powered by Mitopure.
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Starting point is 00:19:03 When your blood sugar is stable, everything works better, your metabolism, your energy, your mood, even your cognitive function. But here's the problem. Most health bars and grab and snacks are anything but healthy. They're loaded with sugars, refined carbs, inflammatory oils, and additives that send your blood sugar on a roller coaster and undermine metabolic health. That's why I rely on Paleo Valley's superfood bars that are made from real whole food ingredients, no gluten, no refined sugar, no inflammatory oils, and no synthetic fillers. As a physician, I appreciate that they provide steady nutrient-dense energy instead of the metabolic spikes and crashes caused by most package bars. The dark chocolate chip and apple cinnamon flavors are simple,
Starting point is 00:19:42 formulations that reflect the integrity I value in food. If you want a truly healthy option you can trust, check them out at paleovali.com slash hymen or use code hymen for 15% off your first order. There's always feds. There are feds. So the metabolic medicine to get to your question if you don't want. So I think for sure we're on to something here in functional medicine. There's no question about that.
Starting point is 00:20:10 No question. But you have to also recognize we have a chronic disease epidemic. in the Western world for sure, it's spreading. And we're going to actually succeed because we're identifying now through functional medicine, the root causes. And it's going to permeate the system. It will take 10 million, 20 million, 30 million,
Starting point is 00:20:29 it's going to permeate. Diseases change over time. If you remember in training, thyroid problem, oh, thyroid problem on the fifth floor, everybody runs up to see what it is. Let's feel the goiter. It's so rare. Now, what is it?
Starting point is 00:20:46 that one in five women have Hashimoto's thyroiditis, you know, and disease changes. So as we treat the chronic illness epidemic, we may have other things to deal with. So things do more for over time. And we have long COVID. Right. Now we have long COVID. Who would have thought that was coming? So you basically kind of mapped out this field of biological psychiatry, even before, you know,
Starting point is 00:21:10 you kind of found functional medicine, but you've evolved the model over the years. And you treat people with dealing with their diet, with their gut, with nutritional status of detoxification, with hormones, treatment, infections. Yeah, all the, all, like, tick infections, whatever it is you have to deal with. But what I think is really interesting about your work
Starting point is 00:21:28 is that you've evolved into using certain modalities, which typically haven't not been used in psychiatry. You know, I always say this on the podcast, but like the joke is the neurologist pay no attention to the mind and psychiatrists pay no attention to the brain, but now psychiatr are looking at the brain, doing imaging, doing something called Q-E-E-E-G,
Starting point is 00:21:46 like an electroencephalogram, which is like a brain's wave test that maps out things that we never saw before and that we're not making sense of and using modalities that people aren't typically using. So I let's sort of talk about some of your more recent work around the whole adoption of this technology of improving neuropsychiatric treatment with QEGs. What is it, quantitative EEG, how does it work, what does it do? Why do we use it? How does it connect to imaging? Like what kind of imaging do we do, and what kind of things are you seen? Essentially, the quantitative EEG is we put a cap on a patient's head. We measure the electrical output at 19 points, and it goes into the computer.
Starting point is 00:22:30 It's really AI-driven. This is standardized against an age-and-sex match control through the NIH database. And what we do is we get all this information over the course of 15 or 20 minutes with eyes open, eyes closed, and then the computer takes that. So you're just in there, like, quietly laying down and they... Yeah, your eyes are closed, painless, non-invasive. You do it, we do it at home all over the country, actually. We send the equipment to people's homes.
Starting point is 00:22:58 It takes about an hour. And what we get back from that is a, basically a wiring map of the brain. We can actually see all the networks in the brain. We can see the surface areas of the brain and how they're functioning. Wow. We can follow and detect the information flow patterns in the brain. So, for example, dissociation, you'll see the information flow from the frontal lobe on the right side to the parietal lobe on the right side of the brain. These are two different parts of the brain that is not flowing.
Starting point is 00:23:27 There's a dissociation, right? And so we can see this and study a person's brain and then correlate with the symptoms. And then we also do imaging like the neuroquant MRI, which tells us the size of different areas, small areas in the brain. and we correlate all that data with the patient, with the symptoms, and we say, okay, here's what's going on. This network is out of whack, or this, it's working too hard, or like your worry network is just like it's not resting, you know, or you have trouble with the salience network, so you can't decide what's important. You get overwhelmed. You can't process things properly. So when you see these patterns, it tells you, like, which area of the brain is working, which not working, when you target.
Starting point is 00:24:13 how it correlates with symptoms. And so you can see almost like diagnostically in a way that you can never see before. Yeah. Oh, it's mind-boggling. I could see if someone has a metabolic problem. And you can tell which areas of the brain are not working and what working. So what do you kind of see and what are the kinds of patterns?
Starting point is 00:24:29 So someone's like having depression or they're having bipolar or they're having whatever. So in depression, for example, you'll see that the frontal lobes are not talking to each other. The information is not flowing from left to right and right to left, right? So that's something we can treat actually, you know, with a light to the brain, specifically targeted to those areas. Or, for example, a guy I had who had schizophrenia. And I didn't know until he was paranoid. I didn't know until I did his QEG.
Starting point is 00:25:01 I could see this track that went from the front of the brain to the back of the brain, the visual part of the brain. And this tract helps you assess. the valence of a person's face. And I said, oh, this is strange, right? So I treated it with a laser. We could target it exactly. And after two or three treatments, he says, you know, I'm reading much faster.
Starting point is 00:25:29 And I didn't realize that whenever I look at someone, their face was getting distorted. And they looked like they were looking at me with disgust. And it actually, he says it, he said this. I remember him telling me this. It actually doesn't make physical sense that their face would look that way, given how their body is. In other words, he could now see
Starting point is 00:25:51 that the distortion and that was gone. That was the basis of his paranoia. That's amazing. Amazing. It's astounding. You see the patterns in the brain waves that correlate with different areas of the brain that are dysfunctional that are not in line
Starting point is 00:26:07 for various reasons. So what are the reasons that people's brain is not firing? I think of almost like an arrhythmia for the heart, right? It's like your heart rate is not normal. Your brain waves are not normal. What's causing that? Well, there's many causes, obviously. So it could be head injury.
Starting point is 00:26:22 You know, it could have had a head trauma you don't even remember or maybe you had one when you were a kid. And that part of the brain where you had the trauma, got segregated. In other words, it couldn't wire when you were adolescent than a young adult. Brain rewires and it couldn't really rewire with the whole brain. So you had to reroute all the information highways. in a different way, and now you don't have certain skills, and you don't even know because you're just so used to it.
Starting point is 00:26:48 You know what I mean? It could be that. It could be toxins. It could be certain infections have a tendency to go to different parts of the brain. Mycoplasma goes to the basal ganglia, for example. I've seen it. And then you treat the mycoplasma, and you actually see the QEG change over time.
Starting point is 00:27:04 It's slow. If you have an infection that affects your brain function, it won't really normalize for three months. It's gradual, but it, you know, it will normalize, but it takes a while. Different infections go to different places. It's strange, but that's what they do. We know pandas, you know, strep infection with some kids, you know, goes into the, yeah, OCD and the basal ganglia and the bordate nucleus, etc. So, you know, we're seeing deep into the brain in a way that we could never see.
Starting point is 00:27:34 And, you know, there's so much information in these scans so I can say, oh, this, You have, you know, you have six networks that are out of balance, let's say, but which one of these is bothering you the most? That's where we're going to start. Yeah. Right. And that will help reduce you stress, enable you to function better, you know, and, oh, now I can start to cope with my life.
Starting point is 00:27:56 I can organize things now, you know, that kind of thing. So you're basically seeing the abnormalities, but then you have to trace back what the causes are. Yes. We're always doing the root cause medicine thing. Yes. Always, always doing the root cause. Yeah. Right. So you kind of can see the pattern in the brain, which gives you a more targeted therapy.
Starting point is 00:28:14 So you do the root cause analysis and the treatments. Right. But you also then do other modalities that are kind of insulary, like neurofeedback, hyperbaric oxygen, laser therapy, which is something you kind of innovated. I love me to kind of talk about this hammock moment. I'm like, what is this sad about? And like, how did you kind of kind of get all these pieces to come together? It was from God or the universe, or whatever you want to call it. I was actually forced to take a vacation because we had paid for this place in somewhere in the Midwest,
Starting point is 00:28:47 and they wouldn't give us our money back. So it was like, all right, we got to go. So we took a week off. And very sparse, very sparse. It's like nothing to do, right? So just hanging out there, and my daughter was with us, and we went into a sweat lodge, and it was unbelievable. That was great. And then the next day, I'm in a hammock for six hours.
Starting point is 00:29:07 And I'm actually at the time retired because I had retired in 2014. Yeah. I missed medicine a lot, but I was retired. And I'm in the hammock for six hours and I'm reading a book. Doi, I think, how to heal the brain, or I think that's the name of the book.
Starting point is 00:29:27 Anyway, so I'm reading about Russia. In Russia, they're using lasers for the brain. They snake it into the body up into the brain. And they laser. Do you have an ingram? Yeah, like through the arteries, through the veins, not the arteries, but the veins, right? Into the brain. And then they're talking about how it works.
Starting point is 00:29:44 And I'm like, oh, my God, this could really help the brain. This is amazing because it's giving ATP. It's doing a lot of different things we could talk about. But I was blown away. Then I'm like, well, I don't know. How would I even know where to point to this thing anyway? And the next chapter is QEGs. And I'm like, oh, my God, this is how I would know.
Starting point is 00:30:10 And so I studied QEGs and lasers. Laser I should define is just focused light. It can be very low potency or high potency, but it's very target, very focused. So we could control the wavelength, how the frequency of the pulses and, you know, a lot of parameters about it. So I'm, oh, I could learn QEG,
Starting point is 00:30:31 and then I could probably know looking at symptoms where I need to apply the light to heal. the brain. Yeah. And so I studied for three years and I started to do it in 2017. So you weren't doing QEGs. You just read about them and then you started learning about it. And I hired a mentor.
Starting point is 00:30:46 I studied for three years. What do they use for now in medicine? There's a difference between EEG, electroencephalogram that neurologists do all the time. Or seizures and things like that. Yeah, to see if you have a seizure or something like that. And then there's a quantitative EEG which is AI. It takes all this data that you can not. never analyze yourself.
Starting point is 00:31:08 Like all those squiggly lines that you see? Correct. 19 lines of this? You can't put that all together. So the AI actually puts it together and gives you visual patterns and network analyses and analysis of the electrical patterns and different surface air is a whole brain, really. And that's the quantitative. It's quantity EEG, and it's all AI-driven.
Starting point is 00:31:34 Wow. And you were telling me that. that you can basically just send out a helmet that... It's not a helmet. It's not a helmet. It's a box. It's a computer and various things. You have to hook up to your own brain.
Starting point is 00:31:47 You don't hook it up to your brain. You put the cap on. No, put the cap on. When one people think they're hooking up their brain. You just put this cap on with gel and we have the tech who shows up on the screen and tells you what to do and make sure the connections are good. And then you just basically look. at the screen for about 15, 20 minutes,
Starting point is 00:32:08 depending how much time we want. Then you close your eyes, 15, 20 minutes. Take it off, wash your hair, pack it up, send it back to us. That's amazing. Yeah. So really, anybody can get this. Anybody can get this.
Starting point is 00:32:19 And then you get the report, and then you identify the patterns, and then you design a program. But you also have to do the sort of... We do, that's part of what we do, but then I want to... I got to get clinical data, right? Know what's bothering you.
Starting point is 00:32:32 And then I want a neuroquant MRI so I can carve, There's a strong old- Explain that, because you're talking about waves, legs, of the brain, and then you're talking about structural changes through a quantitative analysis of a brain on MRI. So the neuroquant is telling us about the structure of the brain, right?
Starting point is 00:32:50 Is it big? Is it small? Is it inflamed? Right? It is atrophied. It has a trunk. And then the QEG, the quantitative eG that we do, that we put that cap on you,
Starting point is 00:33:01 that tells us about function. We have structure and we have function. Yeah. And then we correlate them. and look at your symptoms. And then we could say, okay, this is where we need to focus. Are you the only one doing this? To my knowledge, yeah.
Starting point is 00:33:13 No one else is using laser in? There are people, there's a lot of, they call a photobiomodulation. Yeah. Right. So there are people making these helmets now, right? The red light therapy and different things. Yeah, there's 1064, 8,10 or whatever, and the helmets that they put on for neurodegenerative disease and that kind of thing. But the thing is, I think that that is not specific.
Starting point is 00:33:35 Like we're very targeted, we're very specific, and we're very personalized. That's kind of a non-specific. So, and I don't know, I think it's definitely debatable whether that penetrates the brain. It's highly unlikely that it penetrates because the laser. No, the laser penetrates. About 2.6% of the light gets through. That we know. Some people say 4.2%, about 2.6, let's say.
Starting point is 00:34:00 But the LEDs, which are basically these lights that are very weak, you're not going to get much going into the brain. But you may still get some general benefits because, you know, you have all the blood flow and the mitochondria and the cells and everything. So this is really key. You just said a big word, mitochondria. And I think, you know, there's a lot of work in this field around mitochondrial health and the brain, whether it's Alzheimer's or Parkinson's or autism. Suzanne Go has been on the podcast, has done tremendous work in understanding mitochondrial dysfunction, autism as a way of both understanding the disease and also treating it. Chris Palmer at Harvard has wrote a book called Brain Energy about the brain energy system
Starting point is 00:34:38 and how that's so dysfunctional as a driver. And it's basically an energy deficit in the brain that leads to mental illness. And by restoring healthy brain energy through ketogenic diets and metabolic health, you can correct a lot of psychiatric problems. So you kind of come at this the same way. And one of the treatments that you use, the laser, actually works by increasing mitochondrial function and ATP. Right. That's one of the main things that it does.
Starting point is 00:35:03 So when you basically put the laser pointed to a certain area, the photons, the light particles or waves or whatever they are go into the brain and they actually go to the mitochondria are like little batteries, right? We have hundreds or thousands in every cell. And they have, you know, four points where they function and the electrons like floating down there like a wire, right? And the mitochondria do so many things, but one of the things they do is produce energy. without that ATP molecule, we're dead.
Starting point is 00:35:33 Right? So the photon from the light actually knocks off a nitric oxide molecule, and then the ATP flows through. It's more complicated than that, but the ATP now instantly flows through. Now you have more energy. Now the brain says, oh, now I have energy. I can do some repair work, fix the potholes, you know, do the work that needs to be done. Then you have the nitric oxide, bring more blood,
Starting point is 00:36:00 flow and then you have changes marked that are amazing like misfolded proteins or the proteins in the brain that don't fold right and they cause problems and they're like they're like viruses they spread right and it actually reduces that and reverses alfacin nuclean misfolding and it's a dementia protein yeah yeah yeah and tau protein you know all these things uh beta amyloid you know and so there's the acute effects of the light the laser which we're directing to to specific places, and then there's effects that occur over time. Basically, you do like the QEG, the brain imaging, the functional medicine assessment, and work up for causes.
Starting point is 00:36:40 Right. Then you design a comprehensive plan, and then you use various modalities. Laser therapy is one of the key ones that's kind of new and novel. Right. There's a lot of research on this, by the way. A lot of research on laser in the brain. Yeah. Or just in general.
Starting point is 00:36:52 Laser and tissues, laser in body, laser in the brain. I haven't seen anything about it used, like I've seen the transcranial magnetic stimulation. Yeah, that's different, yeah. Which is also used for depression and mental issues, but this is really different than that. Yeah, I personally think is better because the TMS, the transpranial magnetic stimulation is basically like a shock. You know, it's a magnet that's shifting everything in one direction, and then it shifts back to the other direction. So it's a little bit of a shock, the cells, and the outcomes, although now they're modifying a little bit, but the outcomes, they're not durable, really. after six months is a high relapse rate.
Starting point is 00:37:31 You know, and it's a lot of money and expense and time. A laser you don't see the relapse rate? It depends on the person. So now if you're treating a young person, well, as an example, this woman, the first patient I ever treated with the laser, she had facial blindness. And I didn't even know she had. I didn't even know what, I didn't even know what existed. Okay.
Starting point is 00:37:54 And I'm treating her because she has a little early dementia. and, you know, some memory problems, and she has a little bit of a temporal lobe seizure. And anyway, I treat her with the laser base on the QEG and where I'm going to treat her because she's having trouble finding words. And she tells me after the first visit, like five minutes, after the first visit, she says,
Starting point is 00:38:18 oh, my God, I can remember the, I still hear her voice. I can remember the face of the person I worked with this morning. Now, she had built up a whole structure, because she was going to people's homes to do environmental consults, so she'd take pictures of their faces, the house, everything. Everything was documented because she couldn't count on her memory for faith.
Starting point is 00:38:40 She'd come to the door and see someone, she would, like I never saw you before in my life. And then with the laser, five minutes later, she's, oh, my God, I remember the face of the woman I treated this. That's pretty amazing. The woman, and her husband, and he had this, mole on his face and like, wait, wait, wait, this, what are you talking about? This doesn't make any sense. Yeah. I couldn't figure it out, but what I figured out eventually is that the brain has a lot of
Starting point is 00:39:09 cells that are kind of alive, they have a heartbeat, but they're not doing their job. I say they're in a liminal state, they're kind of on the border between alive and dead, and if you give them the energy, they wake up. And so her cells woke up. She was cured. That was it. That's amazing. So I published it. It was the first ever. Your acquired prosopagnosia, facial blindness. And how long do you have to apply the laser to this head? It's a matter of how much energy you want to deliver to the, so we kind of measure the area we're treating the square,
Starting point is 00:39:39 how many centimeters squared, we calculate how much energy we want to deliver. And then I decide on the other parameters, you know, pulse frequency, et cetera. There's a lot of different parameters. And then we start slow. we always get certain imaging before to make sure there's no reason not to do it. You have to make sure they don't have an aneurism or there's no tumor or there's no what I mean. And then we apply it. And in some people, it actually really, boom, they're on the road.
Starting point is 00:40:10 They're done. Is it five minutes? Is it an hour? No, no, no, no. It depends. It could be 10 minutes to 20 to 25 minutes. Oh, it's a short treatment. Oh, short.
Starting point is 00:40:18 And you've seen one treatment or do you need multiple? For most things, you're going to need multiple treatments. Like how many? So, for example, for the visual thing, the guy needed three. I just did it on a guy who's 80 with Parkinson's. I did the visual thing, and he needed three, and that was cured. It was cured. Not the Parkinson's, the was treating the Parkinson's, but this was a different visual
Starting point is 00:40:38 track that was causing trouble. But if you have someone with a chronic condition, then, for example, one guy with Parkinson's we were doing twice a week, and now we're down to twice a month. And you combine that with other stuff like hyperbaric oxygen, therapy and neurofeedback speech therapy. In other words, it's like going to the gym. The brain gym. You go into the brain gym.
Starting point is 00:41:01 Before you go to the gym, if you want to work out your biceps, you have to eat the food, and then you've got to work them out, right? This is a real revolution. Are there any other colleagues doing this? No, no. That's why I want to do these educational concepts. I want to train people who need this. I have people coming from all over.
Starting point is 00:41:20 So people listening and are curious about this, they can ask their doctor, to work with you? Yeah, you can go to my website. It's wholepsychiatry.com, and we have an educational consult model that we've been doing for about a year. And basically, you go to your doctor and you say, because people feel weird asking their doctor, you know.
Starting point is 00:41:38 So they go to the doctor and say, you know, you've helped me a lot, but we're kind of stuck here, where I'm on too many meds or have these side effects, or I want to see if I can get to the root causes of my problem. And there's this guy, doctor, Hadea who's doing this method, he is his website, and he does these educational consults. So your doctor stays in charge. And I, I, you come and visit me and physically in
Starting point is 00:42:04 person and we'll spend probably four or five hours together. And I'll do physical and go over all the records and we'll have the QEG and we'll have the imaging for the structure. Have all that when you come. And then I process all that. I say, okay, here's what I think is going on, the root causes. Here's what's going on in your brain. I'll show you and I'll show the doctor. I'll share the screen and then I'll say, okay, this is the workup.
Starting point is 00:42:30 I want to confirm my hypotheses about your immune system or, you know, this or the other thing, right? So you'll do these tests. And when we get all these tests back, I'll sit down for about typically four to six hours, go through all the data, which probably I won't have to do in the future when your company is in my office.
Starting point is 00:42:50 I'll go through all the data. and I'll come out with a plan, which I will make a sequential plan for the patient, turn paper, presented to the patient, they come back to my office for the presentation, the doctor's on Zoom, and then the doctor will consult with me as needed going forward. And the point of this is to help a lot of people around the country and to train the doctors in this kind of methodology. That's my goal. That's my goal.
Starting point is 00:43:18 I want to train people. This can't stay with me. And just to be clear, it's all, but there's a clinical, the basic science, it's all there. Just go do a AI search on photo biomodulation of the brain. You'll see there's hundreds, if not thousands. Yeah, it sort of speaks to an interesting thing, is there's a lot of advances in medicine and science,
Starting point is 00:43:40 but they kind of languish outside of medicine because doctors don't adopt them. Right. It can take decades. The decades, yes. Ossimel-wise. Right, I was going to mention that. Right, right.
Starting point is 00:43:50 For people don't know, this guy. He actually learned in the late 1800s, I think, that hand washing prevented corporal fever. A lot of women were dying. Well, all the midwives were washing their hands. And the doctors weren't. And the doctors weren't, right? But the doctors didn't want to learn.
Starting point is 00:44:07 And they were like when he said, you know, maybe we should wash our hands, guys. They were like, oh, you're a heretic. How could you imply that doctors would cause their patients to become sick? And you're banished from medicine. And he died in disgrace. You know what he did?
Starting point is 00:44:18 He sent out a letter to 100 hospitals. about hand washing. And they were incensed with him. Yeah. And they didn't start washing their hands for 50 years. 50 years. It's tragic. And one of our presidents died because the doctor didn't wash his hands.
Starting point is 00:44:34 Really? McKinley was shot in the stomach. And you remember McBurney? The McBurney's point from medical school with the appendix, the appendix point when you push on the stomach. It was named after the surgeon, McBurney, who got called to see McKinley after he got shot. And he stuck his finger in the wound. Oh.
Starting point is 00:44:52 And he got an infection and he died from the infection. It wasn't from the gunshot. You know, that's how Fiona Roosevelt became president. And yeah, it does take a long time. I mean, you know,
Starting point is 00:45:03 we've been doing this for 30 plus years. Most of the medicine around for 40 years. Right. Now only now we're seeing it in Medicare language on the website after decades, right? Yeah. It's sad because so many people are suffering and I think that, you know, the work you're doing to understand the biological mechanisms are really important.
Starting point is 00:45:20 And the, the kind of, there's a lot of ways into repairing the brain. And what the modalities you use are actually different than using a drug, because drugs typically interrupt or suppress or block something in the body. These actually enhance the body's own repair systems like hyperbaric oxygen and neurofeedback and laser. Can you talk about these as sort of therapeutic levers they use in psychiatry and a little bit more about each one and how they, how they work? Yeah, about the laser, but I think, you know, it's about energy,
Starting point is 00:45:50 right, release and improvement? Yep. So hyperbaric oxygen, in a general sense, you could think of it as a general tonic for the body, right? Because, you know, you're treating actually the whole body. It's not, it's not targeted necessarily to a part of the body, right? And in hyperbaric oxygen, you're doing so many things. You're increasing delivery of nutrients, right?
Starting point is 00:46:10 You're increasing delivery of oxygen. You're actually increasing nerve growth factors. There's your stem cell growth, right? Capillary profusion, right? So it's really helpful unless you happen to have Babesia as an infection, then it's maybe not the best idea because they love oxygen. Babesia loves oxygen, right? It lives in red blood cells and they love oxygen.
Starting point is 00:46:32 So we don't do it if you have Babesia. But we'll do it for lots of causes. And we don't use it in everybody, but we'll use it for people. And you have it in your office? We have it in our own. We have a couple of chambers in our office. And we... People have to live there near you to do it.
Starting point is 00:46:48 Some people move for a few. months or a few weeks, six weeks to three months or even six months to get the treatments. And some people will buy a H-Bot and put it in hyperbaric oxygen chamber, put it in their house, for example. And then, you know, with the laser treatment, it has to be done in my office. But as I train people in this, which takes time to train them, then I'm hopeful that people will actually be able to do it with their patients in that city where they are, you know. But right now, I'm the guy who's doing that.
Starting point is 00:47:19 I mean, you've seen results using this sort of extra combination of things in addition of functional medicine that you weren't seeing before? Am I seeing results in situations? In other words, you've been doing functional medicine psychology for decades, right? So with the advent of these new technologies that you're applying or these old technologies apply to new ways, what are you seeing as the improvement over what you were doing before? First of all, I can reach conditions that I can never reach. So, for example, schizophrenia, schizoaffective disorder.
Starting point is 00:47:54 Yeah. What, you know, depends on the resources the patient has their willingness for treatment, for example. A lot of times these are infection-based, you know, you can actually normalize things. You can treat this particular area, the super marginal gyrus with the light, you know, which is helpful. I'm seeing people with Parkinson's disease now, which I never bothered treating before. Now I can treat it with the neurofeedback, the hyperbaric, and with the targeted laser. And you find this is fascinating that Parkinson's like everything else is kind of a waste paper basket diagnosis. There's multiple types of Parkinson's.
Starting point is 00:48:31 I have a guy who came to meet with Parkinson's and by looking at his QEG and then taking his history, his QEG was the tip off. It turned out he fell off his bicycle twice in the same place and you could see it on the QEG. So all I had to do is laser that, and he's been stable now for six, seven years without any laser without anything. Over the years, I've cared for thousands of patients, and one thing always surprises me. We often wait too long to take care of our health. We tell ourselves, I'll start tomorrow, or I'll deal with it if something goes wrong. But the truth is, real wellness starts at the cellular level.
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Starting point is 00:50:57 or other things like that. So with bipolar disorder, you have to be careful using the lasers. They have to be stabilized before you do it because they can respond with too much activity and you could actually precipitate a mania. So you have to actually make sure they're on a stabilizer. If it's bipolar one, the severe type, you have to have the medicine to stabilize them for sure. Bipolar 2, you can stabilize most of the time with lifestyle and, you know, treat the infections and the hormones and all that, sleep and, you know, all of those things. And then there are things like severe depression, treatment resistant depression, I mean, which nothing touches. And then I have a guy who's now 45 who depressants,
Starting point is 00:51:39 he's 12 and started treating with laser. And he's been doing great for a couple of years. hadn't done that well for a long time now. The laser has to be recalibrated now, so he's not doing as well. But, you know, that's, yeah, no, there's amazing things that we can do. And neurological things, that's the other thing, you know, for Alzheimer's.
Starting point is 00:52:03 So one of the nice things about this is, like, people will come to me, and they're, like, not ready for the whole million tests and, you know, the four and a half hours and the whole thing. So I could just say, you know what, I'm just going to jump in. with these non-invasive things. I'm going to do my quantitative EG.
Starting point is 00:52:20 I'm going to look at the volumes in the brain. I'm going to take your history and you, you know, see what's going on, do some objective testing with a computer, see where your cognitive abilities are, et cetera. And then I could just jump in and treat. You don't have to do anything. The neurofeedback, you watch a movie. Just watch a movie.
Starting point is 00:52:37 That's all the... Don't you have to, like, actively engage with it? No. No, you can't control it. Your brain... I've done neurofeedback before, and I had to play a video game. where I basically had to use my brain waves. Right.
Starting point is 00:52:49 And I had to calm myself when I can get a certain relaxed brainwave, then the video game would work. Right. I was stressed it wouldn't work. No, this is different. This is different. Your brain, you say, I want to watch this video. Your brain tags it as a reward.
Starting point is 00:53:01 And now you're watching the video and we control the settings, right? So let's say the default mode network, we want it to function in this frequency. We want to downregulate it or upregulated, right? So we set the bar. And we say, okay, when your brain default mode network goes here, you get to watch the movie. And when it doesn't, the movie gets gray or goes black where the sound goes down, right? So we start easy. You're getting reward, reward, reward, reward.
Starting point is 00:53:32 And then gradually make it a little harder and a little hard. And it takes about six or seven sessions. And then brain says, okay, I know how to do this. You cannot control it. This is all automatic. Automatic. your brain is like, I want the report. I want the movie.
Starting point is 00:53:50 It'll be a good movie. Wow. And you also mentioned some of your work about a case of a dental infection and schizophrenia. So this is very interesting. There's a woman I've been treating her since late 90s, actually.
Starting point is 00:54:08 And she has severe dental problems, and she's just not going to go for anything. So I put her on. Didn't go to dental. She will not go. To the dentist. She has so much infection in her mouth.
Starting point is 00:54:22 And as, as you know, the infection causes changes in the brain chemistry. Of course. Right. Increases glutamate excitotoxicity. So she was going in and out of the hospital periodically for decades. And I put her on two antibiotics to at least control the infection, you know. And she hasn't been in the hospital. She's doing great, better than she's done.
Starting point is 00:54:44 And I've known her now for 26. something like that. Doing great. I understand the box. If you look at the genetic studies on psychiatric illness, they're called genome-wide association studies, right, where they look at millions of people and look what genes show up in psychiatric disorders. You know this.
Starting point is 00:55:05 It's like the immune system and it's the hormones. Those are the big drivers of psychiatric. Yeah, inflammation. Yeah. Mm-hmm. So we're treating the neurotransmitters, right? But, you know, we're kind of missing the boat. Again, not that these meds are not useful.
Starting point is 00:55:23 But you got this woman to eventually treat her dental infections? No, she won't go. But she's stable and making, doing artwork and she's amazing. So there's really severe psychiatric problems, whether it's schizophrenia or bipolar, you know, severe treatment-resistant depression. Yeah, you can treat these things. There's only different things. Yes, we treat like 40 different conditions.
Starting point is 00:55:47 I mean, you know, as you do, you know, these things all travel together, right? So what do you think the most common things that are now today causing these problems of sort of anxiety, depression, cognitive decline? Like what? I hate that question. Well, I mean, there's common things that are common, right? So, like, you know, there's so many. There's always the outlier case. But, like, one of the things that really are driving this.
Starting point is 00:56:11 And I think, there's food. Right? There's mental set, your mindset, right? There's hormones. There's infection. There's sleep. There's a social breakdown is a big factor, right? Anti-social media, you know?
Starting point is 00:56:27 You know, it's really a big problem. So there are problems at many levels. Now we have lung COVID. So I would say if you said to me, like, look, what are four things that you could tell a person to do, right, to help themselves, right? I would say diet, right? So assimilation, really. Be careful of what you eat, right? As you say, your fork is your best medicine, right?
Starting point is 00:56:53 Right. Right. And also be careful what comes into your mind. What are you exposing yourself to? What are you listening to? What's on the social media? Who are your friends? What movies are you watching? Brain pollution, right?
Starting point is 00:57:06 Brain pollution, right? It's all information and it damages you. You know, we're floating in a cesspool of bad information. I don't really try not to pay too much attention to news, and I just opened a, you know, a newspaper app, and I was, God, Rob Bryner, like, stabbed by his son, and the Jews killed in Sydney and the people at Brown, you know, I'm like, what is going on?
Starting point is 00:57:32 It's so depressing. I try not to pay attention to it. It's not good. I mean, so I think you have to work on, I strongly believe this, and I think your previous podcast guest talked about this, you need to really communicate with God or the universe, or whatever you think this greater thing is, and be developed a relationship because the universe works with you.
Starting point is 00:58:01 You work with it, it works with you. You ask for help, you get help. Not always the way you want or when you think you should get it, But the universe has got you, but I think I have to be more specific because I was like, I really want to slow down some more time at home, but then I didn't say how. And I got on a bike accident and busted up my feet. Very careful. I'm like, wait, I can't go anywhere, but it wasn't what I had in mind.
Starting point is 00:58:26 Like, being specific, I want to be healthy at home. Yeah, so that's very important. So assimilation, the food you take in, the information, the people, that's one thing. then you have exercise activity, and it doesn't have to be crazy exercise. I mean, you're a biker or I'm a biker, right? But I've moderated, and I wish I had moderated earlier, even though I love it, but exercise,
Starting point is 00:58:52 some kind of exercise, whatever is appropriate for you, is really critical. And I would say, we'll say relationships are essential. I think community, you know, they say, you know, social media and the community and social media. It's not a community. People don't even know what a community means anymore. I myself recently moved from Maryland.
Starting point is 00:59:19 I was at Georgetown, Maryland, and I recently moved about almost four years ago to New Jersey. Oh. And I'm on the beach, right? And I have a whole community because I grew up with this community. I know people. People, I'm walking down the street. The Jersey Shore. Jersey Shore, yeah, Bruce Springsteen, right?
Starting point is 00:59:39 That's where he grew up. And people say, hey, Doc, I don't even know who he is. Hey, Doc, can I give you a lift? It's like, and I stop. I'm doing something with my car. Now the guy's the guy who looks homeless, he's near my car. Somebody else says, hey, Doc, this guy bothering? You know, I said, no, no, no, he's fine, he's fine.
Starting point is 01:00:01 He hangs around for a bar. Or I go to synagogue, you know, and I have friends. I have people. I didn't realize how lonely I was actually in Maryland. I was pretty, you know, I had friends, and I had my practice, my wife, my kids, and everything. But I didn't realize that I didn't have a community, you know? And so I think people need to develop community.
Starting point is 01:00:22 It's important. It's definitely one of the best investments you can make. Yeah. I always say community is medicine, yeah. It really is. It really is. From a functional medicine perspective, there's a lot of things that are really going on now
Starting point is 01:00:33 that are driving mental health issues, like the microbiome changes, mitochondrial injury, toxins, nutritional factors, deficiencies. I mean, it's just so widespread. The whole list. You know, I'm thinking a lot about the biomarkers of mental health, you know. And in function of health, you know, the company I co-founded, we do a lot of labs and we can see a lot of things that relate to mental health
Starting point is 01:00:55 that people typically don't pick up on whether it's marginal thyroid dysfunction like you were talking about or whether it's, you know, B-12 deficiency or whether it's, you know, B-12 deficiency or whether it's a big one? A big one is genetic glucocorticoid resistance. So corticosteroids, which we make, those are stress hormones, right? So there are a set of genes, 5 genes NR3C1, FKBP5, CRH receptor 1 and 2, CRH binding process. There's been a test on that, guys. Yeah, you know, whatever is these genes that basically when you're stressed, when you make your stress hormones, when you're under stress, whatever it's causing it, the stress hormone goes to the cell and then it goes into the cell and knocks on the door of the nucleus, the center
Starting point is 01:01:42 of the cell where your genes are hiding, knocks on the way, hey, let me in, I got a message for the genes. Nobody answers the door, or it takes a lot of knocks. So you have the stress hormone, but it's like insulin resistance. You're not really reading the signal. So now you're more vulnerable to PTSD, to depression, you know, even suicide. Because because you can't, the cortisol doesn't hit the receptor problem? Yeah, it doesn't translate to the genes, to tell the genes that you're under stress, so you don't make enough proteins to help you cope with the stress. So it sort of breaks down some of the pathways that are hard to keep your body healthy.
Starting point is 01:02:20 Your body can't respond to the stress. How do you, you know, now you have PTSD, much more easily, right? One of the things you talked about was you had like a 23 treatment-resistant depression patients, and you had 100% for recovery rate. Like, when you look at psychiatric medicine, like if it's 30% remission, that's like a fucking, excuse my French, like a miracle. That's right. And you're talking about 100%?
Starting point is 01:02:39 That almost seems like, you know, too good to be true. So tell us about that. With my second book, which was the antidepressant survival guide or program, which was really functional medicine. I had a four-page spread in the Washington Post Health magazine, and we had thousands of phone calls. I mean, thousand. You couldn't put the phone down without someone calling.
Starting point is 01:03:05 So I couldn't really, obviously, treat everyone. So we screen people with looking for people with treatment resistant depression. Yeah. And basically people who had the resources, meaning the support, to do what I was going to ask them to do, functional medicine. and I'm treating people and I was doing a lot of psychoform you know I hadn't dropped that too much
Starting point is 01:03:30 and I was still doing a lot of psychovina so three years into this after the book I'm like wait a second everyone's getting better the diabetes is going away Osteoprosis is getting better right the MIS lesion is going away like maybe I'm lying to myself
Starting point is 01:03:48 maybe it's selective attention to the positive Maybe I'm forgetting the failures. So I hired a statistician. And, you know, we're collecting data on everybody. And I said, you've got to go over the data and tell me, you know, here are all the patients. I've got the log. And he came back to me. He says, no, you're not lying to yourself.
Starting point is 01:04:08 Wow. Everyone, the mean depression score at start. It was in the severe range, the low severe range. They all were better by 10 months. And you could see when doing. just those combination of things and functional medicine. Yeah, just doing the functional medicine. By four months, when they're implementing the program,
Starting point is 01:04:26 three months, four months, they saw it to get better and they steadily improve, and their overall health, all the other things are getting better, too. Right, well, that's the thing. You treat one thing, you treat everything, right? Right. That's the thing. It's like we have such a siloed form of medicine where each specialty focused on their particular organ or their particular body part and their disease categories,
Starting point is 01:04:45 but there's so much cross all these diseases, like they're all inflammatory, most of these chronic illnesses. Right. And mitochondrial. It's, we're really in a revolution in medicine, a revolution in psychiatry, you know, I can't believe you're still going at it this hard. You know, I can't stop.
Starting point is 01:05:01 I love it. Yeah, it's amazing. And there's no end to what we can learn, right? No, and we were just like at the beginning. We were the OG kind of, we thought, we like, I remember when I took that, I was like, oh, this is an established field. I'm like, we were kind of the few guys who kind of started
Starting point is 01:05:15 to poke our nose around. And we've been doing this for so long. And the reason we keep doing it is because it works. Like, you just see miracles. I always say every day I get to be witness to miracles, things that I never thought would possible to cure or treat in medical school, and things that people suffer from that they don't need to. And that we have answers for.
Starting point is 01:05:34 They're just not getting them. And then there's prevention, right? You know you have a problem in your family history is vulnerability. You know, correct your diet, exercise, you get rid of the toxic influences in your life, you know? and prevent. I think about prevention is treatment. In other words, we kind of define treatment and prevention sort of separately. But I think if you do the same things you would do for prevention,
Starting point is 01:06:02 you're also going to treat the problem. Like if you eat healthy, you exercise, you sleep while, you get, yeah, your diabetes is going to go away. Right, right. You know, right. Your autoimmune disease is going to go away if you do all the right things. If you do the things to get healthy, then automatically, I always say when you create health disease goes away as a side effect. And as think of it, that's right, also, if you have, say you're working with someone in functional medicine and, you know, you're correcting your diet, well, guess why your kids are going to see.
Starting point is 01:06:29 Yeah. And you're going to be helping generations, right? Right. So it's, I think really we are. It's a revolutionary time. People are taking control of their health more now. They see the system is broken. It's not totally broken.
Starting point is 01:06:44 There's a lot of good stuff going on. but it's very limited with this chronic disease model. And what are you seeing among your colleagues in psychiatry? Are they friendly to these ideas? Are they resistant? Are they like, hear a quack for get out of my space? You know, I think, you know, I get this thing from the New Jersey board, right? And there are no ideas in medicine.
Starting point is 01:07:07 Let's talk about B vitamins. And I'm like, all right, well, and that's a start, you know. But like I might at this rate. At this rate, we're looking at 100 years. I'm like, I want it, you know. You want it now. I want it now. And the other thing is not everyone has the bandwidth, Mark.
Starting point is 01:07:26 You have the bandwidth. I have the bandwidth. You have the curiosity. You know, you want to get to the truth of it. You get to the root of it. And you're just going to follow the science. You're going to follow what the truth is. You're not wedded to a model.
Starting point is 01:07:38 I'm not wedded to functional medicine. If something else comes back out, that's better. Of course. Great. Wedded to the truth. Yes, exactly. But a lot of people are, they're too algorithmic and they think they're too rigid. They're afraid.
Starting point is 01:07:50 They don't have the bandwidth. They can't handle the anxiety of not knowing, right? But we live in uncertainty, you know? That's life. Well, thank you for all you've done for the last decades to advance this field. You were kind of the OG functional medicine psychiatrist when there wasn't any. There was Abraham Hoffer who was, we both got to know, who was sort of pioneer really of functional medicine. You know, he told me with my second book, I'm very, I was very honored.
Starting point is 01:08:14 he told me, he said, I had lunch with him. At a functional medicine conference, actually. I think I might have been there. Yeah, I think you were there. And he said to me, he says, Bob, you wrote the book I wanted to write. Yeah. He saw this. Well, he was, just for those listening to kind of close up, he was, you know, a psychiatrist in Canada back in the 50s and was a kind of a colleague of Linus Pauling and was sort of experimenting with schizophrenia by giving them high dose of certain vitamins and believe that there were certain patterns.
Starting point is 01:08:43 and believe that there were certain pathways that were stuck that he could unlock. And that led to the development of sort of this field and in general functional medicine. In fact, Linus Pauling went on to write in 1969 a key paper in Science Magazine called Orthomolecular Psychiatry, which was sort of, in the sense, the original paper describing how we use nutrition to optimize your biochemistry to change your brain and your mood and your cognitive function. And it was sort of so far ahead of its time. That was like 1969. But I remember Abramhofer.
Starting point is 01:09:16 He was quite a guy. And I'm so glad I got to meet him. And I actually got to meet Linus Polling, too. Back to the day, yeah. He was, yeah, he won the Nobel Prize for, for folding of proteins, but also for the Peace Prize for the Nuclear Test Ban Treaty in the 60s. Yeah, so he prevented the above ground testing of nuclear weapons. And, yeah, he was part of the whole movement that I was a part of, which was in medical school called the International Physicians for the Prevention of Nuclear War.
Starting point is 01:09:49 And I got to kind of hear him speak. It was pretty inspiring. Wow. Wow. Wow. About a journey, yeah. Yeah. Amazing.
Starting point is 01:09:56 What a journey, yeah. So thanks, Bob, for being on this journey with me. It's been great. And anybody wants to know more about your work, find out more where can they find you? So they can go to like, it's like whole foods, you know, only it's whole psychiatry. Okay. And we have, there's a lot of information on there, videos, there's all kinds of information.
Starting point is 01:10:15 And then there's a contact form. And if you want to educational consult, look for a functional medicine doc in your area. And, you know, contact us and we'll help you find someone if you can't find somebody. We have a network that we're building. And then we'll meet, typically we'll meet on Zoom for 15, 30 minutes. Make sure this is right for you. That's the right fit and then I think I can be helpful and then we go from there.
Starting point is 01:10:44 Well, I know I'm going to get my QEG. I want to see what's going on to my brain. That's what's happening. You know, I do it, I do it regularly and I don't know if it's, because I do the laser on myself, by the way. And I don't know if that or 25 years of mountain biking, but my doctor told me my brain looks like a 55 year old. Amazing. Which is thank God.
Starting point is 01:11:05 I can only hope. I can only hope. Thanks for being here and thanks for coming all the way, Austin. I was a pleasure I'm seeing you, Mark. It's been too long. If you love this podcast, please share it with someone else you think would also enjoy it. You can find me on all social media channels at Dr. Mark Hyman. Please reach out.
Starting point is 01:11:20 I'd love to hear your comments and questions. Don't forget to rate, review, and subscribe to the Dr. Hyman show wherever you get your podcasts. And don't forget to check out my YouTube channel at Dr. Mark Hyman for video versions of this podcast and more. Thank you so much again for tuning in. We'll see you next time on the Dr. Hyman show. This podcast is separate from my clinical practice at the UltraWhor. Wellness Center, my work at Cleveland Clinic and Function Health, where I am chief medical officer. This podcast represents my opinions and my guest's opinions. Neither myself nor the podcast
Starting point is 01:11:47 endorses the views or statements of my guests. This podcast is for educational purposes only, and is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided with the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, please seek out a qualified medical practitioner. And if you're looking for a functional medicine practitioner, visit my clinic, the Ultra Wellness Center at...

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