The Dr. Hyman Show - Undiagnosed Infections Are Silently Causing Chronic Disease | Dr. Richard Horowitz
Episode Date: July 29, 2026Living with chronic illness can feel like collecting diagnoses without getting real answers. Symptoms are treated one at a time, but the underlying causes can easily be missed. What if asking a differ...ent question is the first step toward feeling better? In this episode, I’m joined by Dr. Richard Horowitz, an internationally recognized Lyme disease expert and author of the new book Ending Chronic Illness. After caring for thousands of patients over more than four decades, he explains why many seemingly unrelated conditions share common underlying drivers—and why thinking like a medical detective may help uncover them. We discuss: Why treating the diagnosis isn't always the same as treating the problem—and how to start looking deeper How hidden infections, environmental toxins, gut health, and other overlooked factors can quietly drive chronic illness What new research may reveal about the links between infection, inflammation, and brain health How to begin uncovering what's really driving persistent symptoms Our bodies are constantly communicating with us. The challenge isn't that they're silent—it's that we haven't always known how to listen. Sometimes finding better answers begins with asking different questions. Continue Exploring If you'd like to explore Dr. Horowitz's work further, here are two great places to start: Take his Symptom Assessment Quiz to better understand what may be contributing to your symptoms. Subscribe to his Medical Detective Substack ****for ongoing insights into chronic illness, Lyme disease, and root-cause medicine. Interested in getting tested? Many of the lab tests discussed in this episode are available through Function, making it easier to get a more comprehensive picture of your health. View Show Notes From This Episode Sign up for Dr. Hyman’s Brainshaping Academy to learn how to nourish the biological systems that support your mental, emotional, and cognitive health https://drhyman.com/products/brainshaping?utm_source=dr_hyman_show&utm_medium=newsletter&utm_campaign=may_27&utm_content=link Get Free Weekly Health Tips from Dr. Hymanhttps://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman’s Weekly Longevity Journalhttps://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Healthhttps://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Resultshttps://drhyman.com/pages/hyman-hive This episode is brought to you by Timeline, Cozy Earth, Seatopia, Perfect Amino, BON CHARGE, and Made In. Support healthy aging and get up to 20% off when you subscribe on top of the new starting price of $79 at timeline.com/drhyman. 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(0:00) Infections and toxins as root causes of chronic illness; Dr. Horowitz's background and journey to functional medicine (5:37) Discovering and treating various infections, toxins, and Dr. Hyman's personal health story (9:16) Root causes of chronic disease, inflammation, and testing for infections and toxins (15:11) Sponsor: Seatopia and PerfectAmino (16:42) Importance of diet, addressing multiple health factors, and autoimmune misdiagnosis (19:26) Role of infections, toxins, microbiome, and leaky gut in autoimmune diseases and inflammation (21:06) Treating underlying causes and neuroinflammation in chronic diseases (24:37) Nutritional deficiencies, COVID-19, and the importance of sleep in chronic illness management (30:19) Plant medicines, supplements, and dapsone in treating neuroinflammation, Lyme, and Alzheimer's (41:30) Use of methylene blue in treatment protocols (44:56) Sponsor: Bon Charge (45:58) Sponsor: Made In (46:43) Evolution of treatment protocols and six principal causes of inflammation (50:18) Importance of adrenal function and hormone treatment in chronic illness (52:17) Differential diagnosis vs. root cause analysis and root cause testing (56:38) Horowitz's questionnaire and protocols for treating chronic infections (58:39) Addressing mold-related health issues and Dr. Hyman's personal experience (1:01:01) Mold testing, detoxification, and controversies in treatment (1:07:47) Insurance challenges and HHS innovation grant for chronic illness research (1:09:04) Importance of root cause medicine and Mark Hyman's upcoming book on longevity (1:11:56) Personalized medicine, reversing Alzheimer's biomarkers, and research funding priorities (1:15:02) Influence of Buddhist principles and personal experiences with chronic illness (1:16:01) Hope for patients, resources for learning, and closing remarks
Transcript
Discussion (0)
At this point, like you, I've seen over 13,000 chronic gleeal patients who've been to 30, 40 doctors.
The most was 100, by the way, who ended up getting better.
The key six root causes that I was finding is, number one, these infections, abacterial infections like Lyme,
but also one that a lot of people don't know about, which is Bartonella.
What you're saying here is that all of these have similar underlying causes.
And if you treat those underlying causes, the downstream effects tend to get better without treating them directly.
Correct.
And that's the problem in medicine.
The way we were taught is name the disease, throw the drug at it.
but you didn't get to the root causes of why they were sick.
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All right, Dr. Horowitz, Richard, so good to have you on the podcast.
We were just chatting a little bit.
We've known each other for more than two decades, and we have shared so many patients together.
and you and I are those kinds of doctors that people go to after they've seen everybody.
I used to work at Canyon Ranch, and my joke was it was a health resort, and I was the doctor
of last resort.
I'm a resort doctor.
That's exactly what they would call me as the doctor of last resort.
A resort doctor, yeah.
And so I think, you know, we're going to talk about this chronic disease epidemic.
You recently wrote a book called Ending Chronic Illness, which is a really important book.
We've come to all the same conclusion.
Anybody who's really seriously looking at chronic disease, who's looking at root cause,
was trying to understand the body who's seen 10,000 plus patients
knows that what we thought in medical school
was not the right map for the body,
and that so many of our chronic diseases
have very similar underlying root causes
and need a very different approach to address the dysfunction,
dysfunction we see in people.
And so your book is really kind of a roadmap
on how to do that, which is amazing,
because so many people are struggle,
and they suffer and they don't need to suffer.
Maybe you can kind of take us back to how you're kind of a regular doc,
and you know, you got trained traditional medicine like I did,
When did you go, wait a minute, I think we're missing something here.
When was that moment for you and you're like, wait, shit, this isn't the whole story.
For me, what was kind of interesting was it was almost a spiritual path because I did my medical training in Belgium and French for seven years.
And I started studying with Tibetan Buddhist llamas in 1981.
Oh.
And when I was leaving, I know if you knew the story.
I do, I do.
You know, we talked about this.
I actually majored in Buddhism in college.
Uh-huh.
And Tibetan Buddhism was the same thing.
So, yeah.
So, you know, I'm leaving medical school and I go to my Tibetan teacher and I go to Lama again.
And I say, Lama, what's the most important thing you want me to know as a doc?
And he said, Richard, the most important thing is put yourself in people's shoes and do for
them what you would want done for yourself.
They call it exchanging yourself with others.
Basic advice, you know, love, wanting other people to be happy, compassion, wanting other people
to be free from suffering.
So here I move to the Hudson Valley, New York, after being at Mount Sinai, getting my internal
medicine, you know, residency and board certified.
And I move into the largest Lyman-demic area in the United States, which is where the
Tibetan monastery was for me to continue practicing meditation.
And here these Lyme patients are coming in.
This is going back now to 1987, right?
They're coming in.
They're coming in with bullseye rashes.
Nobody knows exactly what to do.
I start a medical detective journey of like why these people are sick because I sent
to neurologist and rheumatologist and infection.
Nobody knew what to do, especially because the infectious disease doctors thought, you know,
30 days of antibiotics, that's it, except they kept coming back sick.
So I started on this journey and ultimately functional medicine came in because as I was
discovering root causes of why they were sick, and I'll give you.
some examples. This woman in a wheelchair comes in, this is early on, she can't walk, she's in a wheelchair
for five years, and she's sweating bullets. She's got drenching night sweats. I just got back from
a line conference and learned about Babesia, this malaria-like parasite. It's not supposed to be in the Hudson
Valley. I test her for it, and I test the ticks. It's positive. I give her Mepron and Zithromax,
which I published at the conference the year before, and lo and behold, she starts walking out of a
wheelchair after five years, and she was on five years of antibiotics for chronic Lyme. It wasn't until
the parasite got treated.
Another patient then comes in shortly afterwards.
She can't speak.
She's got dysarthrin.
I found out it was Bartonella.
It was another bacteria.
She went to a very famous Boston hospital, said it was a migraine.
I treat the Bartonella.
She talks for the first time.
Wow.
So one by one, what started happening is I started discovering these pieces to the puzzle.
And mold toxicity started showing up shortly afterwards where these people were getting better
from the protocols I've developed for Lyme, but still something was off.
And I started discovering.
Other viral infections, long COVID patients were relapsing with Epstein-Barrin-Herpes virus six.
They had candida overgrowth in the gut.
They were loaded with heavy metals on top of mold.
The microbiome was off.
They had leaky gut and intestinal hyperpermeability.
So one by one, as these sick patients were coming, and I started discovering these pieces of the puzzle,
and that's how the 16-point absence model came to be.
I don't know if you know this about me, but I was one of those patients.
Like, really, I was 36.
I was really healthy the year before.
riding my bike 100 miles a day for three days from Boston, New York,
on an, like an AIDS ride.
And I could, you know, remember 30 patients the end of the day with no problem.
And I went from one day the next,
just like my whole system collapsed.
And it was a very long period of recovery,
but I ended up having heavy metal poisoning for Mercury from living in China.
My gut went crazy.
I had leaky gut.
I developed bacterial overgrowth.
My belly was just bloated like I couldn't even eat anything.
I had severe cognitive impairment.
I couldn't sleep.
my muscles were aching. My muscle and blines were like 600. My autoimmune antibodies were high. My
count was low. I had all these like weird things going on. I ended up having Lyme disease, Babesia. I lived in
a 1825 building and a house that was in New England. There was the mold. With the mold in the basement.
I was like so moldy. And I had everything. I had heavy metal. I had mold. I had tick infections. I
had gut issues. All of it. And my hormones started going wacky. My mitochondria went wacky.
and all the things that you're describing your book,
I experienced as a patient.
I only discovered all this
because I was desperate to get better for myself.
Right.
And I started treating me with what I learned
from functional and insistence medicine,
and I started getting better,
and I started treating my patients,
and they started getting better.
And I was flabbergasted.
Like, you did what?
And you got better?
You just changed your diet and you did this,
or you did that and your, you know,
your migraines are gone,
or your arthritis is gone.
Or like, I was like, sort of stunned.
as a traditionally trained doctor
that these things were working.
No, and I had the same experience.
I came on with allergies and asthma.
My father was a surgeon
every time I was sick.
It was like, Harris, give him a shot.
And nobody used probiotics right at that point.
I had candida overgrowth of my gut
with leaky gut with mass cell activation.
Until I figured out, I had to get off histamine foods.
My asthma wouldn't go away.
It was interesting.
I went to Yeshed Danden,
the Dalai Lama's personal physician at one point
because of this connection.
He takes my pulse and he goes,
oh, trauma at six years old.
caused asthma and I went, oh my God, my parents got divorced.
Seriously.
So, you know, the type of experience you had, I also had Leaky God intestinal hyperbillum.
I cilated myself for metals for a year and a half.
I think the doctors, by the way, like us, who do this, who've had the personal experiences,
they probably have more compassion for the patients because they've been through this themselves.
Well, because these are the patients that the joke in medical school was they have a supertintorial illness,
which means it's all in their head.
It's like a big, fancy word for how doctors.
sort of basically are pretty derisive about patients and cynical.
And they think that, oh, people are complaining of all these weird and vague things.
I didn't really learn about a medical school, so it's not really real.
But it is.
And people suffer tremendously.
And that's what drives me so much in my work.
And I know you, too.
You work tirelessly.
And I know in patience.
You've written all these books, too.
And your last book was, why can I get better?
And how can I get better?
Which was great.
So you've really been on this path a long time.
And what I want to do is sort of get into the details of it because I think people listening really
need to understand, like, what are the root causes? And then you came up with six things. And
it's a very similar thing we come up with in punctual medicine. And one of the downstream effects.
And at the end of the day, a lot of the suffering that we're seeing in chronic disease is inflammation.
And there are many roads to get to inflammation, whether it's metals or mold or ticks or gut or
food sensitivities or whatever the list is. But the end of results is it has harmful effects
across every system of the body. So let's talk about, like, what are those six principal causes
of inflammation that you describe? And how do you start thinking about digging around being a medical
detective because that ultimately you'd be really good at finding these things. Yeah. Which, by the way,
are things that traditional doctors never look for. At this point, like you, I've seen over 13,000
chronic leal patients who've been to 30, 40 doctors. The most was 100, by the way, who ended up getting
better. The key six root causes that I was finding is, number one, these infections,
abacterial infections like Lyme, but also one that a lot of people don't know about, which is Bartonella.
Now, there are 18 to 19 different subspecies of Bartonella. So if you try going to LabCore a Quest to get a
Bartonella test, you're going to miss it, right? And a lot of these long COVID patients who come in with VGF,
with vascular endothelial growth factor, it's not from spike proteins that are actually inflaming
the endovascular air shoe. It's basically Bartonella. So, you know, we find Bartonella in a lot of
these patients, which drives inflammation. Reactivated viruses definitely upsteine bar herpes virus six,
especially in the long COVID population. Parasites like Babesia very common at this point.
And candida. So it's, you know, it's basically bacteria viruses, fungi.
and parasites, but the second is the environmental toxins.
Before we jump to that, I want to kind of dive in,
because a lot of people go into the doctor,
I got my test done, you implied that, you know, they miss it.
How do you get people tested?
What are the ways that people should think about
finding out these things about themselves
and these infections?
If I want to check for Lyme and BART,
I'll go straight to inigenics immunoblot.
They're IGM-IG-I-G-I-G-I-G-I-G immunoblot,
and Bartonella-Fis,
which tags for all these different species
or even T-Lab, very good Bartonella fish,
Babesia fish.
They even do a good Lyme PCR.
So I like these specialty labs.
It's not that I can't use the local labs with an Eliza or Western Blot,
but I find these specialty labs are really needed.
And I play a game with people called Lyme bingo,
which means that if you come in and you're tired and you're achy and you have brain fog
and you can't fall asleep and you keep waking up and you're depressed and you're anxious
and you have chest pain and it's shortness of breath, right,
all the multisystemic symptoms of Lyme,
even if you go to a local lab and you get back one Borrelia-specific band on a Western Blot,
23 outer surface protein C, 31 outer surface protein A, 34 outer surface protein B, 39, very specific, 83, 93.
Now, the 31 is a little nonspecic of that Bipson bar autoimmune, but if you come in with a disease with good and bad days,
where the symptoms come and go with migratory pain, and here's the key, Lyme patients have migratory joint pain,
migratory muscle pain, and migratory nerve pain, tingling, numbness, burning, stabbing vibration,
the hallmark of Lyme is migratory pain.
Yeah.
So if you have migratory pain,
moves around your body,
and you can't explain why.
Yeah, yeah.
And if you have that with even one of these bands
that I mentioned on an immunoblot,
which is recombinant DNA,
you've been exposed to a Borrelia species.
So you're saying you need to go to a specially lab,
like hygienics,
that does testing differently than you'd get it,
a normal lab like Questia Lab Corps.
Correct.
You can still get a Western blot and an Eliza that...
But I might miss it.
The C-6 Eliza checks for three strains,
Borrelia burgdorferi,
have Zelangorinae from Europe,
but and even heart tick relapsing fever, Brelia mhmotoy,
which you have a Lyme like illness, you go to the lab, oh, it's negative,
but there's a relapsing fever, Borelli, it's like a cousin of Lyme disease.
It's also showing up in 25% of these patients.
So that's why you have to kind of understand.
We're in the middle of a tick-borne epidemic.
We're in the middle of an environmental toxin epidemic.
I mean, these infections and toxins together, they're really pushing inflammation.
Don't forget mold.
So we'll get to that.
All right, so we kind of dive in those things.
And then the toxins are the next big category, right?
Tell us about the way which those are prevalent and how they're...
I tested myself early on.
A dentist friend of mine tested himself for heavy metals was loaded.
I tested myself loaded on mercury, arsenic, cadmium, aluminum, myself.
I chelated myself for a year and a half to pull them out.
With BMSA?
With DMSA, generally.
And then afterwards, we had mold in our house, like most people do, right, exposed.
And I started looking for patients.
So it's the same thing.
I found it of myself, started looking for others.
And I didn't realize at the time how important mold was.
mold is a mitochondrial poison
and mold affects your immune system.
So here's the problem.
You get Lyme and Bartonella, which causes immune deficiency.
You get, so it destroys your B cells
from the bone marrow that make antibodies.
20% of my patients come in with chronic variable
immune deficiency, 85% subclass deficiency.
You can't fight infections if you have immune deficiency.
It's interesting to say that, because I, after seeing
so many patients have been taking infections, it was like,
I was like, this is kind of like AIDS.
It just screws everything out.
Absolutely.
People don't realize how badly this affects.
You don't die from it, but it screws it.
They get COVID with T-cell exhaustion on top of your B cells, right?
So now your natural killer cells are thrown off.
You can't fight viruses and cancer the same way.
And they get mold toxins with gliotoxins on top of it, which are immunosuppressive.
How can you expect people to get better when their immune system is so profoundly affected by this?
So, yes, the mold toxins and heavy metals on top of these other infections, they're really important to go after.
And I found that the majority of the chronic leal patients where inflammation was driving their illness,
It was absolutely the mold, the metals, and these infections at the top of the list of what I call the six rivers of inflammation, which is in ending chronic illness.
And your book, Ending Chronic Illness, you do talk about how it's not just one thing.
Like, it's, they stink stack.
It's like everybody has everything almost.
To some degree, it's all a whole system collapse.
And it's triggered by everybody's a little different.
I'm just more molds and more ticks, some more metal.
But it's usually a combination of the load of everything that just causes this system breakdown.
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Absolutely.
And in fact, my wife, Lee, my beloved, had all 16 of these M-Sitz factors that I'm describing.
But as an example, we didn't know at the time she had leaky gut, intestinal, and she had
mass cell activation.
So she's thinking, oh, bone broth is good for me.
And I had some chocolate the night before and a little bit of kimchi with some, you know,
fermented vegetables.
She wakes up the next morning, vomiting on the floor with a migraine.
And I didn't, and I said, what did you eat?
And she told me and I went, oh, my God, sweetheart, you have mass cell activation.
we got her off the histamine foods.
She has not had a migraine since.
Now, my Sicilian mother-in-law may have played some role in that.
That's a separate issue with stress.
But the point is, it was the histamine sensitivity, right?
So each time I pulled a nail, I treated the lime, she got better.
It's like peeling an onion in these people, right?
So, yes, the leaky gut and the microbiome issues.
Also, we, now with the gut-brain axis, what we know about the microbiome, in every...
That's the other main trigger you talked about, the microbiome.
So, I mean, the interesting part about every disease I looked at, from 80s,
From ADD, ADHD to autism, to Alzheimer's, to allergies and asthma, to cancer, cardiovascular
disease, chronic fatigue syndrome, fibromyalgia, digestive disorders, irritable bowel, inflammatory bowel,
immune disorders, autoimmune disorders, rheumatoid arthritis, MS, mood disorders, depression, anxiety,
OCD, psychosis, bipolar.
All 16 MSSIDs factors showed up in all these diseases.
And my wife is one example.
I had to go after every one of these.
Now she's imperfect.
She's eight years in remission.
since she did the Dapsone protocol for Lyme.
It's a nine-week oral protocol.
And she's eight years in remission without one symptom.
That's incredible.
But she's got to be strict with her diet, right?
Staying off candida, hypoglycemic diet.
We both share similar like blood sugar swings if we're not careful with our diets.
I mean, it's so true.
It's like, you know, you have to go systematically through everything.
And it's not what we're trained to do.
We're trained to the model that you talked about in your book, which is a single disease with a single label,
with a single drug.
And that's just not how the body works.
No.
Just not.
No, and you know, it's really sad for P.
The number of people, and I think you've seen this too, the number of people misdiagnosed,
that they would come in with MS, right, because they had demyelination and tingling numbness.
They had optic neuritis, their bladder wasn't working, except they were given the ABC drugs,
Abenex, beta serum, copaxone, ribbeth, God forbid, retoxymeb, their B cells are gone.
They weren't getting better.
So it's not a question of, do you have MS?
It's a question of, where's the demyelination coming from, right?
In these patients, we would find chlamy pneumonia, Bartonella, Lyme, Lyme,
mold, heavy metals, mercury lead, arsenic, microbiome. And when we treated these things,
the demyelination got better. And that's why the drugs weren't working. And I found with a lot of
these autoimmune illnesses, I had a patient recently with rheumatoid arthritis, true rheumatoid,
CCP positive, rheumatoid factor. But he had migratory joint pain. So that's why the metatrixate
wasn't working is we had to treat his lime and he had drenching night sweats. And he was like 40
and I said, oh, you're in manipause. He didn't get the joke initially. But it's like it was
Babesia, of course, right? We treat.
treated it, and now the autoimmune disease was much better. So he had a true autoimmune illness,
but then I have these other people, and you said it before, these autoimmune markers,
they're showing up. The Lyme is causing antideopenergic antibodies, antithyroid antibodies,
anti-cartylipin antibodies, anti-cartylidant antibodies, it's causing this auto-immune, so people come in
with these autoimmune illnesses, but it's Lyme causing molecular mimicry. Your immune system is
attacking the bug, right, the flagellar, and it's causing these auto-antibodies. It's not an autoimmune
illness. It's the back.
and the toxins that are combining to cause this type of inflammation.
Just for people listening, when you say Lyme, you mean the whole spectrum of tick infections.
Yes.
Which is a whole, which is does.
Right.
It is never Lyme disease anymore.
I called it the three bees Borrelia, Babesia Bartonella.
That's one of the chapters in the book because these three are showing up in the vast
majority of people at this point.
So the microbiome stuff is a big thing, too, and leaky gut and food sensitivities.
What did you and I know about chuching fatty acid bacteria years ago, right, driving inflammation?
I mean, I take prebiotics, probiotics, and postbiotics every day because I found out that the microbiome is so important from everything from autism to Alzheimer's to autoimmune.
Right? You can't get around it at this point because of the gut brain axis. So, you know, that's how I support my health. I, you know, do prebiotics and all of this every day.
You got to feed your, you're not just eating for you. You're eating for your microbiome.
Yes, yes, of course. You know, you also said something in this long list of litany of diseases, which I think is worth doubling down on, which is all these conditions.
seem like separate diseases. They all have separate specialties. They all have separate
experts that have to manage each one with all their separate cuckill of drugs. What you're saying
here is that all of these have similar underlying causes. And if you treat those underlying
causes, the downstream effects tend to get better without treating them directly. Correct.
And that's a big a ha for people. And that's the problem in medicine. The way we were taught
is name the disease, throw the drug at it. But you didn't get to the root causes of why they were
sick. You know, even in autism, I recently had a young patient. I recently had a young patient.
and 12 years old, the mother had congenital lime
and no one ever checked.
And the boy was living in a very mold, toxic environment.
So this kid at 12 years old, social problems connecting,
right, we gave him Dapsone combination therapy
for treating the lime, treating the barred,
pulled out the mold.
The kid's brain woke up.
Now, the kid had been sick for 12 years
and everyone had given up with him, you know,
regarding that he had autism.
There was nothing we could do.
So, you know, we clearly need randomized multi-centered trials
and all of these things, right?
There's no doubt.
These are all, you know, anecdotal stories.
But what the medicine says, what the science says, with over 2,000 references, by the way, you know, ending chronic illness, is there are 16 factors underlying all of these illnesses.
So no matter what you're calling the illness, if you're tired, if you're achy, if you have pain, if you have brain fog, if you have mood disorders, you can't just take SSRIs and say, right?
I mean, you know, Bobby Kennedy Jr. is going after it right now with it to get people off of them.
But if you have Lyme and Bartonella driving your illness with your mood disorder and mold,
It's not going to be enough.
You've got to get to these root causes and even trauma.
I mean, I have to do vagalimbic retraining.
You probably do this the same.
We find that probably at least a third of our population has such severe trauma that even
if I address these other causes of inflammation, if I don't do limbic retraining with the
any hopper dynamic neural retraining or primal trust or gupta amygdala insular retraining,
using the Apollo or the neuropod, getting their vagal system and everything in order,
they will not get better, right?
It's like...
It's reseting the autonomic nervous system.
You've got to reset the autonomic nervous system.
So that's why all of these 16 points
are so important in these patients.
And all the things you're talking about,
all these diseases, whether it's dementia or autism
or depression, or heart disease or cancer
or any of these chronic fatigue syndrome,
all these things.
They're all tied to inflammation.
So autism is inflammation in the brain.
Alzheimer's inflammation of the brain.
I wrote an article years ago, basically,
about how, you know, autism and Alzheimer's
are very similar.
If you look at these patients, they have a very similar profile of genes.
They have very similar biomarkers that are abnormal.
They have like different manifestations.
But it's very interesting.
It's funny you say that because I just did a medical detective substack on it.
The mTOR pathway, right?
We're using people using rapamycin and other things to get to it.
It turns out that with autism and Alzheimer's, it's the same biochemical pathway.
Yeah.
Right.
So they're they just don't have enough autophagy.
They're not getting rid of their damaged mitochondria.
They've got an ongoing inflammatory response.
And if you give sulfurane glucosinolate, broccoli seed extract to the autistic population,
they did it at John Hopkins.
A third of these kids, their brains woke.
And the same thing with the Alzheimer's.
So you're right.
Autism and Alzheimer's on a spectrum of brain of neuroinflammation.
And instead of naming it, right, where is the inflammation coming from?
And that's the whole point of end of chronic illness.
Yeah, I think that's what Sid Baker talks about, the naming and blaming game.
We name the disease, and then we blame the name for the problem.
Oh, the reason you have joint pain is because you have rheumatoly arthritis.
No, that's just a name that we give to people who have that kind of joint pain.
It doesn't mean anything about the cause.
It could be mold.
It could be metal.
It could be lime.
It could be a million things.
The leaky gut.
You also talk about one of the factors
being vitamin mineral or nutritional deficiencies.
Can you talk about that?
Because people think, you know, we're, you know, we don't have malnutrition in this country
and we're all eating plenty of food.
No, in the top six root causes of inflammation, what I call the, you know, rivers
of inflammation going into an ocean of inflammation.
Number five is vitamin mineral deficiencies.
And what we're finding because of all the toxin loads is when you do not just serum
minerals, and you know this well, I'll check magnesium.
magnesium, you need it for 300 detoxification enzymes, you need copper for superoxide dismutase,
I need zinc for, you know, phase one liver functions and inflammation. When we look intracellulally
at the red blood cell zinc, the red blood cell copper, the red blood cell magnesium, we're finding
up to 20% of our patients are deficient, which means you cannot detoxify properly and deal with
inflammation. So, you know, somebody may have, for example, a normal or slightly low B12 level,
but their methamalotic acid level is high.
So yeah, we're finding a huge amount of vitamin mineral deficiencies.
And a lot of this is because you're fighting these infections, you're dealing with all these toxins.
You're depleting your system, including depleting glutathione.
I don't know if you knew this, but I wrote the first article in the world literature in COVID-19 in April 2020 on glutathione and how it helps with COVID.
And what I didn't know at the time, not one of my patients died from COVID-19, not one, because I was blocking the first major inflammatory pathway, a discuss in the book,
NFCAPA B. We were giving all of our patients
Nacetal cysteine, alpha-lipoic acid glutathione.
I didn't know at the time that the virus needs to lower glutathione
to replicate. Oh, amazing. And I also didn't know that NAC
was blocking Von Wulibrand factors so they weren't getting
microclots and dying from it. So I was giving in the right
treatment. I just didn't know why at the time. And then we were
stimulating the NRF2 pathway, opening up detox using curcermin-tumiric,
broccoli seed extract, resveratrol, green tea.
by simply doing these things with a little bit of vitamin D,
you know, some extra zinc.
I was giving him immunotics 36 beta glucaan.
By simply doing these things with a little bit of low dose naltrexone,
one of my favorites also for blocking the third pathway
and LRP3 inflammation.
Now one patient died and only two are in the hospital.
And I saw very few long COVID cases in my practice with it.
Yeah, it's true.
I mean, the nutritional deficiencies are quite significant.
And I think, you know, with function help,
the company I co-founded,
we're doing, you know, now we've, I don't know,
we've over half a million, half a million members.
We've done over 100 million lab tests.
70% of people are deficient in one or more nutrient,
not at the level you or I would think would be okay,
but at the level of the lab reference range thinks is okay,
like a vitamin D of 30 or a ferretin of 16 or almost 16 of like 14.
So like the numbers that are even greater than that
when you look at what the optimal ranges are is staggering.
And vitamin D, you know, it should be over 45.
The 30 is their cutoff.
So all the, all, with,
In their cutoffs on the lab, we're still seeing about 70% of the people deficient in one
and more nutrients.
So you're right.
These nutrient deficiencies are so important.
And people to understand that what they do is they basically keep the wheels of your biochemistry
working.
And if they're not adequate, then the system can't run.
And you get, you know, kind of like kind of rusting.
Things just kind of locked down.
The last thing you kind of talk about in your six principles is sleep.
But I'm wondering why you focus on sleep versus stress.
Because I think I think of stress and sleeping under stress.
Right.
but you focus just on sleep.
So it's interesting that I also found with sleep, same thing, the 16 same-empsids
factors are underlying sleep.
But in my population of Lyme, these people don't fall asleep.
It takes hours to fall asleep.
They keep waking up in the middle of the night.
They sometimes have hypersomelins.
They're sleeping for 16 hours to not refresh.
I have patients who came in on ambient lunesta, God knows what, they still could not sleep.
So, I mean, you know when you don't sleep, IL-6 and tulukin-6 is high.
It's driving inflammation.
but ultimately we were even finding some of our thin young women had sleep apnea,
like something I would never have expected to find.
It wasn't just men with BPH, you know, that was causing it.
It wasn't just menopause with low estrogen.
We were finding multiple factors.
And of course, stress is one of them, of course.
But the problem is we were finding these overlapping factors that until I treated the lime
and the barred and the mold and healed the microbiome, right, and dealt with stress.
And I have a whole section under Ellis for Lifestyle and meditation.
I mean, you and I both know, we're living very stress.
for lifestyles for most people. The sleep, I found that when people couldn't sleep, whether I
treated the infections, I detox the mold. If the sleep was still off, I was having a tough time
getting these patients better. But they were all interrelated, right? Because the mold was causing
problems with it. The Lyman Bartonella was causing. With the sleep. Yeah. So it was all interrelated.
It wasn't just, oh, I can't sleep at night. You know, why isn't Miami and or Lonesa working at this
point in time? So you have people who couldn't sleep back to sleeping? Yes. Yeah. I mean,
once the infections were treated, we detox the mold, the microbiome. The microbiome.
biome was treated, right? The mineral deficiencies. Once we started dealing with these first six
rivers of inflammation, people were able to get to sleep a lot easier. Also, by the way, with the
limbic vagal retraining. Yeah. Right. I mean, that was a key point in these people because
I don't want to get too far into it. But I think, you know, I did, Ibigane. I talked about it on
the show before. It's a, you know, it's an incredible plant medicine that has powerful effects
on neuroinflammation and on mitochondria and epigenetics. And in one,
one study, they looked at MS, and they looked at the white matter lesions, which was inflammation
in the brain before and after I began and their symptom profile. And they were, there were only two
cases in that report, but they both had like a 70% reduction in white matter lesions, which is
unheard of, and they were able to get back to much more normal functioning. So I think, you know,
there's a lot of really ways to sort of reset the system. It's fascinating that, you know,
these plants and these other things like some of the supplements can have these effects.
Oh, absolutely. And in fact, you know, I research.
published an article in the Journal of Alzheimer's Disease Reports. We can get to this just briefly
about, I reversed for the first time ever in the world, the most sensitive and specific biomarker
for Alzheimer's, Ptow 217. So again, we're dealing with neuroinflammation, but what did it come from?
In my patient, it was coming from multiple MSid factors. It was Lyme. She had exposure to Babesia-Bartanella.
She had heavy metals. She had metabolic syndrome. She had food allergies. We need to treat it all.
But interestingly enough, we were finding that when we treated the Lyme disease.
with the nine weeks of Dapsone combination therapy.
And she was sick for 15 years, by the way, with positive rheumatoid factors with joint pain,
some cognitive issues, which she didn't think were bad, completely reversed Ptow 217.
Now, what's interesting is that the Cochran report, which came out about one week before my
article got released, said, hey, we have no good things to treat Alzheimer's at this point.
The article comes out one week later.
And what I did is I proved the hypothesis, right?
We're in the middle of an Alzheimer's epidemic where the NIH said that 42 percent of
people over 55 years old are now going to become demented.
Right.
I mean, it is really frightening, especially when they say we don't have answers.
So there was always, they looked at autopsy studies of Alzheimer's patients, and they would
find biofilms, amyloid, and phosphorylated tau in the brains.
So there was an association, but they couldn't say causation.
This is the first time I proved causation by completely reversing this biomarker,
Ptow 217 with this nine-week protein.
And this woman was, by the way, was sick for 15 years.
And the symptoms got better.
Her symptoms, her joint pain got better.
rheumatoid factor reversed because it wasn't rheumatoid arthritis.
It was from the Lyme bacteria driving rheumatoid factors.
What about her memory?
Did it get better?
I'd also improved.
She thought it was her meditation that was keeping her stable and she noticed after she was done.
It's like, oh, my God, I'm so much clearer.
By the way, I have a second patient.
I just did the same.
I haven't published it yet.
We reversed his beta amyloid ratios with dapsone.
So here we have an Alzheimer's epidemic where I found that all 16 MSSIDs factors
are associated with it.
The Cochran report is saying, hey, we don't have anything good out there.
or to treat. And the drugs that are used for it, lachanamab dinanabab, they lowered phosphorylated
tau by 23% in almost seven years. I lowered it by 63% in nine weeks. And that was because
it was the infection driving the amyloid and the phosphorrelated tau. And unfortunately, you go to a
neurologist, they're not even going to check you for Lyme disease or Bartonella mold when you have Alzheimer's
disease. But it's important to find out. I mean, people think, you know, Alzheimer's is one of those things
there's nothing to do for it because of the bad drug,
you know, the debacle we have in terms of poor drugs
and drugs that don't really work based on billions of dollars
of research and hundreds and hundreds of studies.
But what you're saying is using this approach,
which is looking at root causes,
looking at treating the whole system,
peeling all the layers of the onion,
you can actually start to see changes in these people.
And I've seen the same thing in my practice.
And Dale Bredesen, who's quoting a quote on your book also has done this.
And, you know, for us out there doing it,
we sound a little bit like quacks because, well,
well, we're reversing Alzheimer's.
Well, it isn't really, Alzheimer's is just a symptom.
It's a neuroinflammation of the brain.
And so if you can reduce the load on the brain, it can improve.
Same thing with autism or ADD or depression.
You know, and Chris Palmer's done this work at Harvard with schizophrenia, psychosis,
bipolar disease was a trial published.
I think the other day on ketogenic diets was a randomized control trial for bipolar 1 and
schizophrenia and psychosis showing reversal.
So the data is really starting to emerge around this.
And ketogenic diets work by reducing brain inflammation.
That's how they work. Your work is so important on this. And I think that I want to kind of double down on what you've been kind of alluding to, which is this Dapsome protocol. Because it's, you mentioned a few times, you're like, what are you talking about? And what does it, what does it do? And how does it reverse Lyme? How does it reverse Alzheimer's? Tell us about what it is how you discover it. Because you and I worked together with many patients. And often I would say, hey, I got this complicated patient with these three ticks or this thing. What's the best drug protocol. And you kind of coach me through it. That's probably started doing that 25 years ago with you. But this is kind of a newer. It.
of your thinking on this.
Because I think a lot of that,
you're a part of the Allied Society.
I was one of the founding members.
And, you know, you and I both seen people
who've just been on years of antibiotics,
on IB antibiotics, on heavy doses.
And often they don't really get that much better.
And I really worry about that approach.
And I do too, by the way.
And that's why I never use long-term antibiotics anymore.
The real key point for me is about 10 years ago,
John Hopkins researchers found out
that Lyme was a specific type of a bacteria
called a biofilm persistibacteria, like tuberculosis and leprosing.
We knew that Lyme persisted, at least those of us who've been treating it for a long time
because there's a lot of medical controversies, but it's definitely a persistent infection in many.
I mean the traditional medical establishment doesn't quite buy chronic Lyme disease.
Correct.
They call it post-treatin Lyme disease syndrome.
We don't know why people are sick.
It's like you should read the 10 articles at this point.
Well, 10 I published and one by Tufts where we've shown reversal of all of these symptoms using
Dapsome Combination Therapy.
So how did I come up with it?
So when Hopkins discovered it was a biofilm persistor drug, I remembered from Mount Sinai when I was, this is during the HIV epidemic.
We would see these people come in with mycobacteria amavium intracellularia in TB. I was used to using INAH, refampin, pyrazinamide, and I said, you know, I wanted an excuse to use these TB-type drugs because they were specific for biofilm persister bacteria. I looked at the qualities of dapsone.
So tuberculosis is one that's known in traditional medicine to be this, and that's why we use those drugs.
Absolutely. So I looked at Dapsone and it was, all right, it gets great penetration into.
the brain. Maybe I don't have to use IV drugs, which is true. I've never had to use IV drugs
anymore since DAPSone. It's amazing penetration in the brain. Number two, it blocks NLRP3
inflammatomes in the brain. So with Alzheimer's disease and autism in many of these different
diseases, we know that there's an inflammatory pathway in the brain that gets switched on. Dapsone is an
inflammatory inhibitor. So in a study by Lee-It-all with like three to four thousand people over 16 years,
he gave him 100 milligrams of Dapsone. The rates of Alzheimer's were like this. And
And the people who didn't take dapsone was six times higher.
So it's lowering inflammation in the brain, great penetration.
It has anti-malarial properties.
It hits Babesia.
Not great, but about 25% of the cases.
It's used for autoimmune diseases.
We talked about all the autoimmune manifestations of Lyme.
Right.
And it's a biofilm persistor drug.
So it checked all the boxes.
So I started trying it.
And I published my first article, 2016, on 100 patients on low-dose dapzone.
Fatone.
Fatigue got better.
Joint pain got better.
Neuroprathy got better.
Brain fog.
He headaches.
It was the only thing statistically that didn't improve.
But as I tweak the protocol over the last 10 years, I got it down to eight to nine weeks at this point.
And it doesn't matter whether you've been sick for 20, 30 years.
If you have Lyme without active Babesia Bartonella, without mold, this protocol will put about half of the people in remission from nine weeks of antibiotics.
And it's not just dapsone.
It's a cocktail.
It's a cocktail of drugs.
So we found, and I did a study with Eva Shoppy from the University of New Haven in culture.
And by the way, this is a drug that was used for leprosy.
It is a leprosy drug, right? It's been around for 50, 60 years, right? They also use it, by the way, for Bissette's disease and a severe autoimmune illness. And so what I found is in culture, every time we added a drug, like when we added doxycycline to Dapsone, it lowered the biofilm persistors even more. We added Zithromack. So I came up with it because we found this four drug regimen sufficiently lowered these biofilm persistors. And if you pulse it, you cannot get rid of the
these persist your bacteria by with chronic antibiotics it doesn't work you've got to pulse it that's how
you get rid of them so we now do a nine week protocol if they have every day well it's nine weeks
continuously but they're on four probiotics with 500 billion of these different probiotics twice a day
right with nice statin very low carb diet we don't see i haven't by the way seen a case of cdiff on this
in years no candida as long as you're staying and basically all the lab abnormalities of anemia and
methhemoglobin, they reversed within six to eight weeks off the protocol. So right now,
I applied for a randomized NIH trial with a double-blind placebo multi-centered trial.
Unfortunately, it was turned down. So I now have to reapply. I know Bobby Kennedy Jr.
is big about Lyme. He wants to do something, but whoever the reviewers were, but I'm so confident
I submitted an R34 NIH grant because I know it's working at this point. But yes, it's a cocktail
of drugs, but the beauty is all generic because I realize this is a way.
worldwide epidemic where BMG global health said one out of seven people in the world have now
been exposed to Lyme, right? So we're dealing with a massive epidemic of Lyme. And by the way,
same time, massive epidemic of Alzheimer's. And nobody has put these two together at this point.
And that's true. I mean, nobody's connecting the dots on that. But it's not that Alzheimer's is
always this. No, no, of course. And I think that's, you know, you kind of hinted in your book.
And I, in my first book, I wrote, just because you know the name of the disease, it doesn't mean you know
what's wrong with you, right? Alzheimer's is a syndrome. Of course. And it's got many causes. And
maybe a good cohort of those is ticks, but could be mold, it could be insol resistance.
Right. And look, even some of these drugs that are used out there, the anti-ameloid drugs,
there may even be a place for them, but first, let's get rid of whatever the reversible causes
of inflammation are. And that's not what the neurologists are doing, right? They're giving
aresept and amenda and anti-ameloid drugs. We've got to get to the root causes of where the
neuroinflammation is coming from. And that's what I'm highlighting in the chronic illness.
all take patients with that same combination?
I do.
So it doesn't matter what the infection.
Well, the beauty.
Before used to be this regimen for this one, this and for that one, now you're saying
everybody should get the same.
Well, so if it's Bartonella, Bartonella requires a minimum of four two-week pulses of
dapsone, but it's only six days of dapzone.
We found with Bartonella, Bartonella is actually much more difficult to treat than Lyme.
If you don't have Bart, I can generally get you better much easier within this nine weeks.
But Bart requires about two to three months apart, just two weeks of antibiotics, short pulse,
actually 13 days.
Separate.
Separately.
If you have Babesia,
Mephanesetra Max isn't working.
The old drugs aren't working.
So I have in my new book,
under the three bees,
Tefenoquine.
Tefen is a newer drug for Babesia.
We mix it with malarone
and herbs like artemisinin,
Chinese skull cap,
Japanese knotwood,
acornia.
We find that when we mix these herbs
with tefenoquin and malarone,
we're getting much better results
for Babesia.
So you do have to treat
some of these infections,
you know,
differently and separately.
But the beauty is
is we do have now
some cutting-edge approaches that are getting much patient, many of the patients better.
And you also use, in addition to the dapsone, Dr. Cycline, a minocycline, Phampin, hydroxychloroquine, which is...
And the reason for Plaquino, by the way, is it alkalizes the intracellular compartments,
so these antibiotics are more effective, helps with the autoimmune manifestations,
even hits the cystic forms of Lyme, another form of the bacteria that exists.
So it took me a long time looking at the biochemistry of the bug and the science and the biology to figure this out.
And 10 years later, you know, I published 10 studies, Tufts, by the way, published one that showed that this combination of Phampen Dapsum cures Lyme and the animal model.
So now I have a culture study.
We have animal studies.
And I have 10 published studies with around 375 patients retrospectively or statistically significant.
Fatigue, brain fog, joint pain, muscle pain, nerve pain, day sweats, night sweats, neuropathy.
It all gets better from the protocol.
And you all see is methylene blue, which I thought I do.
To tell us about that, because I think people hear about it.
And people think, oh, they take these lozenges, their mouth gets blue.
Well, they're using it for Alzheimer's, right?
I mean, they're using, like, low-dose methylene blue as a mitochondrial supplement for Alzheimer.
So one of the side effects of Dapsone is elevated methhemoglobin.
It's where you don't carry oxygen well in the blood.
So we started adding methylene blue because many of our patients, about 90% have Bartonella.
John Hopkins, again, they published that if you do, for six days in culture,
refamp and xithromax and methylene blue, it kills Bart.
So when I was deciding the protocol, I realized that.
that needed methylene blue to not only hit the Bartonella,
but to lower the side effects of DAPSone.
Interesting.
And it's got mitochondrial regeneration properties at the same time.
And we do a mitochondrial regeneration when we're done with the protocol anyway
for all the free radical oxidative stress.
So, yeah, the methylene blue is an integral part of the protocol.
And we slowly go up to make sure people tolerate it.
It's also anti-infectious.
It is anti-infectious.
They use it in the blood supply, by the way, to kill.
I don't know if you knew this.
No.
The blood plasma supply, when they're treating for all the red blood cells are storing.
Methylene blue is what's used.
to kill all the infectious agents that's in our blood support.
Oh, that's fascinating.
So it's anti-infectious.
It protects against the side effects of the Dabstone,
helps mitochondrial function, energy production.
And it's hitting Bartonella at the same.
You know, again, when I designed it,
I was looking at all of these factors at the same point.
And again, I've been doing this for 42 years, right,
with all these thousands.
It took a while to figure this out.
Yeah.
You know, we're kind of there.
I know.
It's pretty crazy.
I think it's, and you outline all these protocols in your book, right?
So what I do in ending chronic illness,
a lot of people, I did it like a cookbook.
in the chapter under the three Bs, I do this literally week by week.
These are the medications.
These are the lab tests you need to do.
This is when you need an electrocardiogram to make sure your QT interval is good.
It is written out literally like a cookbook that anyone can take ending chronic illness to their doctor,
and they can just do it step by step so they know exactly the protocol.
And I even put in here a low-dose-ap-sone protocol for people that are sensitive.
Because many people get Hercheimer reactions where you're killing off the bacteria.
The inflammatory response is huge.
I told people how to do it much lower and slower for those people who, and as an example,
my wife, when we didn't know the dosage, we gave her Dapsone 50 milligrams for a year,
repeated her test, PCR positive in the blood.
I gave her 100 at Dapsone for six months, relapsed within a month or two.
A patient came in, by the way, this is how I discovered the dose.
A patient came in who was sick for seven years, came in, he was his third month, fourth month,
on Dapzone.
He comes in says, Doc, I'm feeling terrible.
I said, oh, what are you taking?
I'm taking, you know, Doxy twice a day,
refampen twice a day, and Dapsone twice a day.
I said, oh my God, you're taking too much.
You're taking 100 twice a day.
I said, stop it.
Come back in a month.
He's been sick for seven years.
He comes back in a month and goes, Doc, I feel great.
I have no symptoms.
I went, what?
I said, don't take anything else.
Just come back in three months.
Gems back in three months, no symptoms.
Comes back in six.
So I said to my wife,
would you like to be a medical guinea pig?
This guy took a double dose of Dapsone,
100 twice a day for one month,
and he doesn't have symptoms.
And he felt sick because of the side effects of it.
He was herxing badly when he did it.
My wife did it for one month.
She's eight years in remission.
I had to figure out it's not long-term antibiotics.
It took me years to figure out the dose and how to combine the medications in a way that it was a very short-term effector protocol.
And my wife was one of the first people actually who got better from it.
That's quite amazing.
That's quite amazing.
Most of us are walking around in a state of chronic stimulation.
Your cortisol is elevated.
Your nervous system is stuck in go mode.
and we wonder why we can't sleep or focus.
Now, one thing I've been using that I generally look forward to at the end of the day
is the infrared PMF wrap from Bon Charge.
PEMF, otherwise known as post-electromagnetic field therapy,
delivers gentle, electric magnetic frequencies into the body
that mimic what you naturally absorb spending time on the Earth.
Combined with red and near-infred light,
it's one of the few recovery tools that works while you're absolutely doing nothing.
I throw it on for 30 minutes on reading or winding down.
And I notice I sleep better on the nights I use it.
It's lightweight, it's low EMF, it's free shipping, H-S-A and FSA-eligible.
And honestly, one of the simplest things I've added to my evening routine.
So I head to bonecharge.com slash hymen and use the code hymen for 15% off.
That's B-O-N-C-H-A-R-G-E.com slash hymen, and you'll get 15% off.
I often say that food is medicine, but there's another part of the conversation.
We don't talk about enough.
How we prepare our food matters, too.
The warmer months are actually a great time to reset your habits.
People are cooking more with fresh meals.
They're grilling.
They're grilling.
They're eating lighter.
And one small but meaningful upgrade is paying attention to the cookware used regularly.
I've been impressed with Maiden's stainless clad collection because it's designed without chemical
coatings and built for durability, for heat control, and for everyday cooking.
There are five-ply stainless steel heats evenly handles high temperatures beautifully and is trusted
by professional chefs as some of the best restaurants in the world.
But what I like most is that it makes cooking real food at home easier and more enjoyable,
which is one of the foundations of long-term health.
If you're looking to upgrade your cookware, go to on Maidenware.com and use the code Hyman-dash-5
for 10% after your first order.
Again, I've been following you for a long time and tracking all the different iterations
of your thinking.
And this is definitely an evolution.
And it seems more elegant.
And it answers a lot of the questions that I have around these long-term antibiotic patients
who just don't get better.
I do not too long.
I don't believe long-term antibiotics should be given to anyone because you know the effect of the microbiome on the gut.
And it doesn't kill the lime.
It's suppressing the bacteria, right?
By the way, they've even shown in some of these you get more biofilm formation if you do this.
So we need an entirely new approach, which is pulsing short term while supporting the microbiome and then using these biofilm persister drugs like Dapsone.
And I do believe, by the way, even in Alzheimer's, because Dapsone inhibits this pathway in the brain NLRP3 inflammation.
I don't know why anyone has not taken dapsone like they did in the study from South Korea.
4,000 people.
Their Alzheimer's rates were like this.
Use low-dose dapsone.
And they used it for what there?
They were using phleprosy.
But they found when they looked at the Alzheimer's cases,
Dapsone was stopping people from getting Alzheimer's disease.
And it's 4,000 people over 15 years that they looked at this.
That's incredible.
Wow.
So let's kind of back up.
We talked about all these six principal causes, the rivers of inflammation,
creating an ocean inflammation, right?
The infections, the toxins, the microbiome.
the leaky gut, food sensitivities, vitamin mineral deficiencies, and sleep.
And then you talk about the 10 downstream secondary effects.
And this is really, when you have all these insults and you don't have enough of the right
inputs, there's a cascading effect of dysfunction throughout the body that echoes.
And it's all the systems of the body.
It's basically a network.
And all the different ones are connected.
Hormones, gut, immune, mitochondria, detox, they're all, they're all kind of connected.
And so this is how we think about things in functional medicine, but it's, you came to this
through a different pathway and ended up in the same place. And I'd love you to sort of unpack
the things that tend to go wrong because you can treat those directly. But if you don't treat
the root causes, the six rivers, those things are, you're, my people have moved the needle a little
bit, but they're going to kind of not really get better. Sure. I mean, as an example, so one of the
10 downstream effects is mitochondrial dysfunction. If you have ongoing inflammation in your body,
the mitochondria have nothing to protect them against all this free radical oxidative stress,
right? It's not like the DNA that has histone surrounding it. So that's why we do,
a mitochondrial regeneration protocol after we do these treatments. But if you're somebody taking
ATP 360 and CO-Q-10 and urolithin-A and, you know, mitochondria and you know, mitochondria and
the things I'm taking myself because I'm doing my own biohacking, it's not going to work. You may
say, hey, I'm doing everything right, I'm exercising, I'm on a low-carb diet, I'm getting enough sleep,
I'm doing mitochondrial, why isn't it working? Well, you didn't get to the first root causes of where
the inflammation's coming from, right? But also in this inflammation, it affects your hormones
because the inflammation is affecting the hypothalamic pituitary axis.
So men come in with low testosterone in their 20s
with 100 to 200 testosterone,
and they're getting beta-hcg shots
and they're getting, you know, and it's like, hold on.
It's the lime that's causing your low testosterone, right?
And the adrenals are shot.
Close to 100% of my patients have low adrenal function
on a DHEA cortisol.
And again, if you treat these six rivers of inflammation,
but you don't treat the adrenals,
they're not going to get better.
I have a person.
This guy was treating.
years ago, he was sick for about eight years. We found Lyme Babesia Bart. We started looking for it.
And we found low adrenals. And before I even had a chance to treat the lime, and this was going
through his hospital records, his cortisoles were really low. And I said, all right, I'm going to have
to treat all this. But I said, let me give you some hydrochortisone for the, I mean, it was really
low, literally Adesonian type low cortisol. He said, I don't want to do it. They gave me prednisone
on the hospital. I never want to take steroids. I gave him an adrenal glandular. Now, this guy had
multiple MSSIDs factors making him sick, Lyme Babesia bar at the rest. Within a week of taking
an adrenal glandular, he said, doc, I'm eating 90% better. So personalized precision medicine, you know
this the way I do. Even if you have eight or nine MSSIDs factors on your list, it might be one
factor that's keeping you ill. And in a lot of the patients, it's adrenal. We do the mitochondrial,
but you've got to definitely get the hormones balanced. But the other downstream effects is
immune dysfunction. Many doctors don't check immunoglobulins, subclasses,
They don't check natural killer cells.
They don't do CD4, CD8.
Well, if this is in any, you know, how do you check your immune system?
Or they have autoimmune disease.
People don't really realize that you can actually test your immune system.
Right.
So, and same thing.
We check the autoimmune markers, one of the downstream effects.
Or you get neurological issues with brain fog and you're going from doctor to doctor
and understanding why your memory's off, right?
And you've got amyloid and Piteau now maybe from other sources, right?
Or psychological factors, trauma, where you need the limbic retraining.
And then you're deconditioned, right?
And a lot of people,
Also, and you know this, have fatty liver.
One third of the world's population has non-alcoholics, the auto-hypotitis or fatty liver.
Now they call it metabolicism.
Metabolit's a name.
Just like PCOS is now PMOS, right?
It's the same thing.
Metabolic reproductive system.
But it causes insulin spikes with metabolic syndrome.
And it's a silent factor for cirrhosis and for liver cancer.
And you could go to a doctor with normal lab test.
Your liver functions are normal, but you're overweight.
The doctors in check an ultrasound and there's the fatty liver.
We were finding it.
So these downstream effects is, again, the liver, the immune system, autoimmune, mitochondrial, hormonal dysfunction, deconditioning, neurological issues, psychological issues, and pots disorder, and insolidomia. People come in with long COVID to my practice, right? They're tired. They've tried everything. Nobody did sitting and standing blood pressure and pulse rates to find out if they had pots disorder. And so pots disordernaumia is not treated with antibiotics, right? It's salt fluids, it's midadrine, it's vaguely retraining, it's a limbic retraining. Because it causes fatigue.
brain fog, anxiety, palpitations, right?
Potts Disordinamia has a lot of the same symptoms
as Lyme and Bartonella and mold.
So that's why a differential diagnosis
is so important in these patients.
And disordination shows up in 40 to 50% of our patients at this point.
I'm going to push back a little bit on the differential diagnosis
because in medical speak, that's what doctors do,
is they try to winnow down what your story is to one single diagnosis.
But you're really talking about a true differential diagnosis,
which is thinking true past the diagnosis.
okay, what is actually the root cause?
What are the systems out of balance?
How do I treat all those, you know,
six causes and 10 downstream factors?
And, you know, you come upon the same framework
that I have, which is that you have to deal with the root causes,
but you have to also deal with the train wreck that happened
as a result of those root causes,
which is adrenal dysfunction or hormonal dysfunction or gut issues.
You have to kind of clean up a mess.
It's like, yeah, you have to put the, if the train's off the tracks,
you've got to fix the tracks,
but then the train also went off the tracks
and created damage everywhere.
So you got to clean that up.
And, but if you did the cleanup,
first, and you don't deal with the root causes, people tend not to get better.
That's the kind of trick.
People go, oh, and a lot of people out there are doing this.
They're giving hormones, or they're giving, you know, gut stuff,
or they're giving different treatments, but they're not actually getting to the things that matter,
like the mole, the tick.
I was surprised that when men come in in their 20s and 30s with low T and their testosterone is off,
for some reason, a lot of the doctors didn't know that Lyme and Bartoneloneoneis,
because of inflammation in the brain, cause low testosterone.
And I will give them a little bit of clomid, clomophin, 25 milligrams, two or three times a week,
with a Rimmodex to stop aromatization,
and I'll get their testosterone from 100 to 600
without Bate HCG, without shots,
resetting the hypothalamic pituitary system,
getting the hormones back in balance.
So, you know, I have all of these tricks
in the H's for hormone chapter,
you know, in end of chronic illness
because if you're a man and you want to have kids growing older,
you can't be getting these shot.
These testosterone shots are shrinking your testicles by 15%.
They're stopping your own hormone production.
So, yes, it's always about the root causes.
But I find that, you know,
even the functional medicine community,
you see a complex patient that you're with them for hours.
The beauty of the 16.0.6.m. It's a checklist, right?
It's just make sure you've just gone through these things just to make sure you're not missing anything.
And I find, you know, you can get caught up, you know, in these very complex patients where you might forget to check the mold or do the adrenals or because the patients are, you know, you're the first doctor really listening to them and taking the time to listen to them.
You're right. I mean, it is a checklist. And I do go through that mental check this.
You know, and I often have the echo of Sid Baker, who's my mentor in my head.
have you done everything you can for this patient?
Which means what haven't I thought of?
Like, what am I missing?
Like, not what did I find, but actually what am I missing?
And when you go hunting, you find stuff.
And it may be the thing or may not be the thing,
but you have to actually go hunting.
And I think most doctors don't know how to hunt.
They don't know how to hunt for the root cause.
They don't know how to test for mold.
They don't know how to test for metals.
They don't know how to test for the gut microbiome.
They don't know how to test for leaky gut, for food sensitivity.
They don't know how to test for hormonal this regulation.
the whole gamut of things that you and I deal with every single day with our patients,
and it gets these people who are literally incurable, cured.
It's not rocket science.
It's just good science.
But you know, you've got to teach doctor.
I had a mentor just like you did with Sid Baker.
My mentor was Dr. Rosenek.
He was the most brilliant internist they ever met in medical school.
He's the one who influenced me like Sid Baker did for you.
And what he taught me is also to keep getting underneath to the root causes.
But, you know, what I did in ending chronic illness regarding that is I have, starting around page 30,
if you have symptoms, like let's say you have neuropathy
and you've been to all these doctors,
you're on Lyrica and you're at gabapentin
and you're on Ellaville, you still have neuropathy.
Maybe somebody's not checked you for Lyme and Bartonella
and mold and heavy metal toxins that cause neuropathy.
And what I find is, and I did this in the book,
I list the disease, right, the lab testing for it,
right, and how you do the differential diagnosis
so that people can actually work with their health care providers
so they don't miss anything at this point.
And the Harwood's Ensts questionnaire,
which is on my website, Can Get Better.com.
If you take this questionnaire,
it will give you a probability of tick-borne,
but also you bring it to your doctor.
There's 38 items on there.
You might forget to tell your doctor
you have drenching night sweats intermittently,
which was the Babesia,
the parasite hiding in the background.
So the beauty of the questionnaire
is we validated it in 1,600 people.
It's an easy questionnaire to bring to your doctor,
so nothing is missed, right?
And so that's why...
And is that available in the book and online.
The questionnaire is in the book
as well as these different...
It's online also on the can get better.com.
You can just download the questionnaire.
Can get better.com.
Yeah, and you know, P you've been referring to MSys, what it stands for is multiple
systemic infectious disease syndrome.
Just to ask about that, what if it's not always infectious?
Like what if it's just mold or heavy metal?
It may not be lying, right?
How do you have the eye in there?
The way I'd now look at chronic illnesses after finding that these 16 factors are underlying
literally autism, Alzheimer's, chronic fatigue, is it, you don't have.
have to have lime making you ill. Absolutely not. But it could be, for example, chronic fatigue
syndrome, MSIDS, meaning you don't have lime that's causing it, but you may have bartonella,
you may have mold. I was surprised when I did the research on this book. Fibromyalgia, I didn't
learn in medical school that mold toxins showing up in 70 to 80 percent of fibromyalgia patients.
They're getting drugs from their doctors for the pain without understanding that the mold
was driving the inflammation. I didn't know this, by the way, until I did my own research for
the book. So these diseases for me are now kind of
like Alzheimer's M-SIDS,
chronic fatigue, meaning,
absolutely, you may not have Lyme,
you may not have Bartonella,
but you could have mold and heavy metals,
you could have microbiome disruption,
adrenal tests.
The point being,
you just go through the root causes,
and it's just a simple way of making sure
that nothing is being missed,
because both you and I have seen
the miraculous results
in getting people better with this.
Yeah, with this type of protocol.
So we kind of dove into a little bit
about the protocol for treating these infections,
which is just for people listening.
It's not what your traditional doctor
will be doing or offering you, I promise,
but it probably is what you should be doing.
And the book,
and in chronic illness is a great resource for that.
Metals, we talked about chelation,
a little more straightforward, fixing the gut.
I've done a lot of podcasts about that.
That's not that hard.
I mean, it's a process,
and it requires the 5-R program we talked about in Postal Medicine,
which is to rebuild your gut.
The mold thing is a bit of a can of worms.
So I want to kind of double-click on the mold thing
because you keep mentioning it,
and it is a persistent thing,
and then there's 50% of buildings are water damage,
In fact, I'm in my house now.
Every year I have a guy come and inspect just because I got so sick from old and almost died from it.
And I paranoid about it.
So every year I have a checked, anything wrong I fix immediately.
But I don't even know this either, but about 10 years ago, I had a series of things happen where I lived in an old barn in New England, not too far from where you have a place in Hudson Valley.
It was an 18, I think 98 barn.
So it was like 125 years old, you know.
and there was mold in the basement.
And I thought, I didn't realize that one of the windows
that opened, it leaked in, it kind of caught bad.
I didn't really smell it, but I started having this cough.
And I was, you know, running around, writing book,
giving talks, trying to change the world, the usual stuff.
And I was like coughing.
I'm like, ah, it's going to go away.
Yeah, it's going to go away.
And it didn't go away for a year.
And then I was like, I think it's probably my house.
So like I had a check, my house checking was terrible.
So I had moved out of my house, started renovated my house.
And that was the whole project.
And then I took an antibiotic for a dental and, like a root canal that was infected.
And I had the tooth pulled, but I took lindomysin.
And then I fell and broke my arm riding a horse in New Zealand.
It was like, boom, boom, boom.
And I saw the lung doctor at Cleveland Clinic and I got prednisone for 10 days,
which basically cured my cough, which was great.
But then my whole system collapsed.
And I got colitis.
I got C. diff.
I ended up just having this sort of cascading inflammatory problem.
And my whole gut was inflamed from basically my stomach
all the way to my butt.
And I developed ulcer of colitis.
I was in bed.
I lost 30 pounds.
The mold was just devastating me.
And I, even though I kind of cleaned up the mold,
I was still, my system was in total breakdown.
And I thought I was going to die.
I literally thought I was going to die.
I couldn't work.
Mold indus is a lot more serious than people really.
Yeah, it's so bad.
Like, and it just, there was a cascading effect in my case, but I want people to understand
this is a real thing.
And, and by the way, you can't just pick it up on doing a stacobotris tider through,
you know, Questra Lab.
No, no.
So we mainly use real-time labs.
Neil Nathan has been one of my mentors on this with Jill Krista.
Yeah.
And they're mentioned, by the way, in the book.
But I use real-time labs from doing glutathione, getting people in saunus to mobilize the toxins,
and finding that up to 90% of my patients, you're showing up with afloatoxins,
tricolocene. I mean, they're showing, mine were just so high. Yeah. And the problem is, is that they're
mitochondrial poisons and they, you know, they're affecting your immune system and they cause fatigue,
brain fog, pain, neuropathy. They cause all the symptoms you see with Lyme disease, right? So I didn't,
initially I was battling with Neil going, come on, Neil, it's mostly tick boy. And then I realized
over time, no, no, it's a combination of fact. So, you know, so we did real-time labs. And I found a
protocol, and I have it into, I think it's under the Ellisful Lifestyle chapter, with an oral
protocol because I want people to be able to use things that are generic oral that anyone can get.
So we're using oral, you know, phospholidylcholine.
I'm using one from orthomolecular or zymogen's phospholine 4 to 1.
We're using biopsypro.
We're using a whole host and even GI detox from biobotanical research with bentonite clay
and charcoal.
And so I created a protocol and the protocol's written out also like a textbook, you know,
a cookbook in the book where people understand exactly.
when you take these supplements with NAC,
alpha lipoic acid, glutathione,
when you take your GI detox,
you know, how you do this.
And we do get rid of the vast majority
of these mold toxins doing oral protocols.
Now, some people would do IV phospholidolin,
Patricia cane protocols.
My goal in doing this book was something
that was accessible for the average person,
just oral generic that anyone could do.
And so that's why I wrote it out this one.
Yeah, I think the orals can work quite well.
I found, you know, for myself,
what rescued me was,
getting ozone therapy and hyperbaric oxygen together. It sounds like a crazy treatment,
but I was desperate and I did it and I was better within a couple of days starting to kind of recover.
I also did the intravenous phosphatocoline protocol, which I think is one of the most
effective things that personally I've ever done to resuscitate my own mitochondria and get rid of toxins.
And it gets rid of not just a mole, but it gets rid of a lot of cellular toxins and it reboots
your cell membranes and your mitochondria, so you can do it orally. Some people have a little
trouble tolerating the high doses of phospholone because it kind of makes you have to diarrhea
sometimes. But it's actually important to recognize that this is a real thing, that it has
medical treatment, even though your traditional doctors are not hearing about it or knowing about
it. The testing, you know, I want to kind of dive a little bit more on that. You talked about this
real-time lab, which measures urine mycotoxin. And I've heard some controversy that that might
actually pick up, you know, food mycotoxins that aren't actually...
It's possible. There are food mycotts. About 25% are probably coming from foods also, yeah.
Yeah, so may not just be what's in your system, but these are low molecular weight circulating
mycopoxins or toxins that come from the mold, they get getting recirculated over and over.
Even if you've removed yourself from the mold environment, they stay persistent in your system
and you have to get rid of them. So that's kind of what the binders and other things you're talking
to do. Exactly, yeah. What about the other lab test do you use for assessing this? Like the
serves the whole concept of chronic inflammatory response syndrome.
It's almost like your kind of M-Sid syndrome,
but it's really specific a mold.
There's a specific lab tests.
Do you find those helpful, like the C4-8, G2-1, MSH, MMPNP-9?
What I did, again, I have a specific chapter on inflammation
on how to use these biomarkers, and I did it as like a three-level biomarker.
Like the first level might be do a CRP, do a C-RP, do a C-4A,
look at VGF, astral endothial growth factor.
So, like, there's a first set.
I have 10 biomarkers.
with. The next level I do, for example, looking at functional medicine labs like what's your free
radical oxidative stress with lipid peroxides, eight hydroxy iguanine for DNA damage, protein carbonyls,
T-bars. And the third level, which I think people now need to get, is get your Alzheimer's
biomarkers done. And these are, these are from Quest. Like you can get a P-Tal-181, P-Tal-217,
neurofilament light, and beta amyloid 42-40 ratio from Quest laboratories, and it is completely covered.
Yeah, we do that. We do that with Function Health. We know.
Yeah, we have all the whole brain biomarkers on functional, and it's amazing.
We're seeing people using them and then, you know, I was shocked that 50% of my patients were showing up with these Alzheimer's biomarkers, right?
And I just thought, oh, it's Lyme and Bart causing it.
And then as I said earlier, it's like, hold, if you went to a neurologist with this, you're going to be treated for Alzheimer's without finding out where the inflammation was coming from.
So, yeah, so I listed out these level biomarkers, which you've been doing actually for, of course, for years.
You know, but the problem is they're not all specific in certain areas, right?
I mean, VEGF, we see with long COVID, but we see it with Bartonella.
You'll see with cancer.
You just have to know how to...
Not specific. Yeah, they're not specific.
You have to know how to interpret it.
Correct.
I think we're looking for patterns because any one biomarker is not going to tell you the whole
story.
Right.
Like somebody might have Lyme joint pain and their MMP9 is high.
The matrix metal protein is high.
It's like, okay, that confirms that the lime is affecting your joints, right?
You always have to clinically kind of put it together.
When I first kind of got the aha about mold was probably close to 30 years ago,
I had a patient and her daughter who came to see me.
and the mother had chronic fatigue
and the daughter had juvenile rheumato arthritis.
And they were sleeping in separate bedrooms.
And I kind of took a history and I got that.
There was some mold issue and I started digging around.
Turned out that I had their house checked
and they had different molds in each of the rooms.
They were different.
And then I did the lab test, which is not available anymore.
It was immunosciences, which is Vajd-Irish-Ovajdani.
I remember it.
I remember it well.
And on that lab test, he, you could,
could measure mycotoxin antibodies. So not just antibodies to the mold, which you could get,
but also to the antibodies, to the mycotoxins. And I could see which molds they had in each
the mother and the daughter, and they were different. And they matched the molds that were in their
room. And because of this lab test and what we found with them, there was a lawsuit where they
got to recover, you know, to get their house redone for the insurance. Insurance companies
did not like this.
No, in general, the insurance companies
do not like a lot of the things we do
as functional. I mean, the insurance companies that paid for
the house to be rebuilt. And so that apparently,
I don't know if it's true or not, I heard a rumor
that the lab was shut down
by the sort of authorities in California
because it was a California lab because
of some of the pressure from the insurance companies.
Well, right now, I mean, there are labs like
vibrant laboratories and great plaintiffs. I mean, there are other ones
that now do some of these antibodies, but you're
right, that was a very comprehensive protocol. Yeah, and I was
like, wow. And now it's, you know,
it's important to look because when you start looking, you'll find stuff.
And I think that, you know, the sad thing is insurance often doesn't cover things for these patients.
And sometimes the labs you're talking about are covered by traditional insurance, sometimes
or not.
And I think, you know, people, it's unfortunate.
We're, you know, I don't know if you're aware of this, but you might, you might even
want to apply for this.
But there's a, there's a grant that was established through the HHS Innovation Department
at Medicare, Center for Medicare, Medicaid Innovation for $100 million to study functional
and lifestyle medicine.
for chronic illness. Oh, I didn't know about this. Yeah. So there's a big pot of money. They're looking
for centers to study. So if you're... See, what I would like to do is take the 16-point M-Sids
model and look at autism, ADHD, Alzheimer's disease, chronic fatigue syndrome, fibromyalgia,
chronic Lyme disease, long COVID. Look at all of these diseases that are making people tired and achy
with brain fog. We already know they're associated the 16 points, but how much is the causality, right?
So just like I now reverse the Alzheimer's biomarker for the first time, but we need a randomized multi-center
trial. I'd love to see that $100 million used that you take all of these major diseases affecting
Americans. It would be a great study. Yeah. I mean, look, 60% of Americans have one chronic illness,
25% have two or more. Eighty-six percent of our health care costs and 70% is chronic disease and our
GDP is about to go to 20%. And that's why Medicare is starting to go, wait a minute. We're not getting
this right. No, we're thinking about this wrong. It's got to be root cause medicine is the only way this
is going to be fixing what's going on right now. It's not what they're teaching in medical school,
have named the disease, throw the drugs out of it. You've got to get to the underlying.
lying inflammatory factors. It's true. My daughter just graduated medical school and she went into
orthopedic surgery because I'm not going. Congratulations. Because, you know, regular medicine is kind of
screwed. This book should really be a textbook for doctors, honestly. I mean, it really should be.
And I think, you know, for anybody who's struggling with chronic illness, who's hitting a dead end,
who's gone to 30 doctors or 20 doctors or 5 doctors or 100 doctors, there are answers. And I think that's what
drives you and I, I mean, we're probably, what, you're in your 60s now? I'm 70. I just turned 70.
Okay, congratulations. I'm catching up soon. I'm going to be 67 this year. And, you know,
we're still going at it because we just see the desperation out there and people. And we so,
we so feel the suffering. I mean, the most rewarding thing you can do, which I think you know at this
point, is getting these chronically ill patients better that have been to so many doctors. It's like,
what gives you greater joy than getting these patients better who've been through, you know,
the mill for years and years and years and years without answers? And I really learned this over time,
the thing that gives me the greatest joy, it's always getting it.
a chronically ill patient better. And that's why I wrote this book is I needed to get this
information out for people so people would have it. I'm working on a book now, which is similar.
It's not, it's not called ending chronic illness, but it's called like how to live a hundred out
the years essentially, which is a similar idea, but it's like, here's how the body actually works.
Well, your book really puts out there is this thesis that the map we had, that the constructs
we developed in medical school to diagnose people according to specialties and diseases
is really outdated and that it's helpful to a point, but it does.
doesn't really help you navigate this chronic landscape, I mean, this landscape of chronic
disease. It doesn't help you navigate these patients who come in, who struggle with big symptoms
that people often dismiss or the doctors dismiss or the relatives dismiss as, you know, they're just
in all their head or this kind of way we kind of dismiss stuff that we don't understand. There is,
there is a map. And I'm so grateful that you took the time. And this is a very long book.
It's six hundred and forty pages with over two thousand scientific references.
But the references are not even.
The references are, no, in fact, the references are on my website.
Can Get Better.com.
If you want to see the references, go on Can Get Better.com and look on the bottom.
I got the same problem.
My book's like 800 pages and I'm like, and like I've got thousands of references and I have
to put them on the website otherwise the book will be even 100 page longer.
I think you and I are part of a group, a larger group of physicians who recognize that
the way we think about chronic disease is just flawed and that there is actually an emerging
framework of systems thinking, of root cause thinking, of looking at personalized
health care, personalized medicine.
No two of you have the same disease.
Don't be able to have the same causes.
No two of you have the same treatments.
It's very personalized.
And there requires, you know, a level of focus and understanding that, you know, most
doctors just don't know how to do.
And the framework you have is really, it's really powerful.
And it's essentially what I do.
I don't actually have the same labels.
Although a lot of this, it's overlapping almost entirely because it's just the body.
But I think I have, I have to wonder, you know, in terms of where you're going next.
with all this in terms of the, that Alzheimer's work.
Because that paper you published,
I want to sort of dive into a little bit,
you know, just to help people understand.
You know, you had a patient who had Alzheimer's,
who had elevated biomarkers of Alzheimer's,
and who also had tick infections.
And then you treated the tick infections,
and their symptoms got better.
Alzheimer's biomarkers got better.
And it's the first time in the world that's ever been done.
I didn't realize that, by the way,
when I published the paper.
It's in the Journal of Alzheimer's Disease Reports,
April 2026, so anyone can read it.
But what astonished me is this P.T.
217, which most neurologist
considered to be the most sensitive and specific biomark
for Alzheimer's. I reversed it
completely to normal by 63%
in nine weeks with an oral antibiotic regimen.
But here's the beauty is
Dapsone combination therapy, the number one effect
that always had was improving people's memory
statistically in these 375
patients. But what I didn't have
years ago, we couldn't get these Alzheimer's biomarkers.
They didn't exist. Now that I started
testing people, it's like, oh my God,
I possibly could reverse some of it, so
that this is kind of big news. It's big news.
It's almost like measuring a blood sugar for diabetes.
You can see if it goes up, you can see if it goes down.
It can be reversed.
It can get worse, depending on what you're doing.
And also that Alzheimer's is not just, you know, in-stage.
There are 16 factors underlying it.
And I prove the amyloid pet-tow infection hypothesis that everyone's been talking for years,
like chlamydia pneumonia can cause it, viruses can cause it.
But none of the studies they'd done ever made a difference.
That's what the Cochrane report was saying.
So this is really the first study that gives people a glimmer of hope to say,
if you were diagnosed with Alzheimer's, go through the model, right? Go through A is for, you know, ADHD, autism out. Go through the book. Go through these 16 points and work with your doctor. And then see if you do have any of these Lyme bands like we talked about for Lyme or even Bartonella, you need to be treating this because it may do it. Now, again, we need a randomized multi-center control trial.
The case study. This is one case study. I have a second case study. I recently did it also. In fact, I kept him in my practice longer because he had it and he was getting a case study. I was getting a case study. I have a second case study. I recently did it. I, I have a fact, in fact, I have a fact, he was getting a. In fact,
getting divorced and I felt bad for him. He was with me for like 30 years and I said, all right,
I'll do my best. And lo and behold, the amyloid ratio, it reversed after he finished the
Dapsone protocol. Again, it's two case studies at this point, but it means this is where the money
needs to go. Right now, we should be putting our research money into this.
Well, that's the thing. You know, when you think about it, like, you know, we spend billions
of dollars on the wrong thing. And even a few million in the right thing could make a massive
difference. But the problem is, like you said, these drugs are off-label. They're not, I mean,
they're not necessarily making people money because they're all generic.
Well, that's why I'm giving them to people so that, you know, they are generic and people
can afford them, right? But yes. But the drug companies aren't putting millions of dollars
into these research studies because the government has to do. Right, but the top people at
our government should really be looking at this because if almost 20% of our GDP is chronic
disease health care costs, we're going to break the bank in this country if we don't do something
about it, apart from all the suffering from people who have these chronic illnesses.
I love that you came out this in a similar way that I did through the.
the Buddhist lens of like understanding that, you know, being in service to people and helping
really suffering and compassion is like a good way to live your life, you know?
You know, I like to think of myself as a good person, right, that I would have done this.
But the truth is, I really do think my Tibetan teachers had a huge influence on that I
wouldn't give up.
Like I kept putting myself in people shoes going out, you're not better.
What else is it?
What can I?
Like, I just would not give up.
Stubbering like me.
And 42 years later, it's like, all right, I've got these 13,000 people we got better, right?
We're explaining it.
Yeah.
So it's, I think that motivation of, you know, loving kindness, compassion and just not giving up, always trying to get people better.
You have to have this as a physician.
If you don't have this, you're just not going to go the full, you know, the full and you also forsake yourself so you understand it.
That's the thing.
Yeah.
Not that we wish all doctors get sick so they can be better doctors, but it does help.
And my wife, my beloved, you know, had all 16 factors made her ill and she's now eight years without one symptom.
That's amazing.
That's amazing.
Wow.
Well, thank you for writing this book.
Thank you for the decades of persistent hard work, being a medical detective,
figuring all the puzzles out of the body, and helping people understand what they can do
to actually get better from it.
Now, the beauty of this, this should give people hope that if you're someone suffering
from chronic fatigue or aches and pains and neuropathy, brain fog, memory concentration, mood
disorders, there is hope for you.
It's not like you just have to take drugs for the rest of your life or live with it.
I basically broke down how you do the differential, how you look at the disease, right?
What are the lab tests you need to do?
what are the potential?
And it's what I've done over 42 years to get people better.
And every story, by the way, in ending chronic illness are personal patients I have treated
with autism, with, you know, outside, whatever it was, these are personal patients I've treated myself.
That's true.
It's quite a career you've had.
And people want to learn more, they can go to can get better.com.
Cangetbetter.com.
And my medical detective substacks that are free to sign up.
Every week I do one.
I did one today on heat stress and heat strokes because of the heat wave, the heat dome.
people don't realize like if you have cardiovascular risks and you're taking xylitol in your diet,
which has now been linked right to strokes, right, and now you have heat stress that you are more at risk for certain strokes than you might have been from the past.
So I actually did a substack today on it just because of what's going on now in our country with heat.
But yeah, so the medical detective substack can get better.com.
I have Facebook, Dr. Period. Richard Horowitz.
People can follow me.
And lots of books, lots of books.
Lots of books.
Any chronic illness is the new one.
It's great.
Everybody should get a copy.
It's out now, and I'm, thank God I got my copy.
I definitely have thought of you over the years as one of my mentors, and it's so great to
have you here on the podcast.
Mark, it's so great to see you again.
It's been too long.
Yeah.
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