Weird Medicine: The Podcast - 606 - Intussusception Ain't a DiCaprio Movie

Episode Date: October 3, 2024

SORRY FOR THE DELAY, I JUST NOTICED THIS EPISODE NEVER DROPPED. I'LL DO BETTER (well, try to, anyway) Dr Steve, Dr Scott discuss: trichinosis and bear meat anger and stress = bad intussusception imposter syndrome in nursing Kevin Kraft (from Mad Scientist Party Hour) and his unusual libation Plop plop fizz fizz my colon is going to explode PPI long term use Opioid induced constipation and more Please visit: simplyherbals.net/cbd-sinus-rinse (the best he's ever made. Seriously.) instagram.com/weirdmedicine (instagram by ahynesmedia.com!) x.com/weirdmedicine stuff.doctorsteve.com (it's back!) RIGHT NOW GET A NEW DISCOUNT ON THE ROADIE 3 ROBOTIC TUNER! roadie.doctorsteve.com (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: stuff.doctorsteve.com/#roadie Also don't forget: Cameo.com/weirdmedicine (Book your old pal right now because he's cheap! "FLUID!") Most importantly! CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

This is not how sane people act. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows, Opie and Anthony and Ron and Fez, you would have thought that this guy was a bit of, you know, a clown. Why can't you give me the respect that I'm entitled to? I'm therio crushing my esophagus.

I've got a bolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my imbettable woes. I want to take my brain out and glassed with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of citizen cane.

And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want to requiem for my disease, so I'm paging. Dr. Steve. From the world famous Cardiff Electric Network Studios in beautiful downtown Tuki City, it's weird medicine, the first and still only on censored medical show. In the history broadcast radio, now a podcast. I'm Dr. Steve with my little pal.

Dr. Scott, the traditional Chinese medicine provider gives me street cred with the wackle, I'll turn into medicine assholes. Hello, Dr. Scott. Hey, Doc Steve. This is a show for people who never listen to a medical show on the radio or on the internet. If you have a question, you're embarrassed to take to your regular medical provider. If you can't find an answer anywhere else, give us a good. call 347-7-66-4-3-23. That's 347.

Pooh-Head. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website. It's Dr. Steve.com for podcasts, medical news and stuff you can buy. Most importantly, we are not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking over with your health care provider. Please don't forget stuff.doctrsteve.com. Stuff.com.com.com. I'm going to hopefully this week sit down and make it a little bit more robust but right now you can just go there

and click straight through it takes you to Walmart which I used to you know sort of make fun of but honestly I've been ordering more and more stuff from them because and what one person pointed out is if you order to have it shipped to you

you don't always know where it's coming from it can be from a third party like Amazon does but you can also order it and just have them deliver it. Yes, very much And it just shows up at your house I mean they have brick and mortar stores

That's the difference between them and Amazon And for most of the stuff that I want This is working out for me So stuff dot Dr. Steve.com We appreciate it Dr. Scott's tried using it I did find Yeah, I found where you were where you did that

I don't have places in ordering being able to go right to the store And pick it up they just bring it out to the car I don't have to walk through or anything Try that with Amazon. Exactly. Amazon. Sonsvages. Stealing money from us.

Anyway, on that stuff dot Dr. Steve.com, you can scroll down and see the Rodey robotic tuner and also the Rody coach, which DJ or a DJ Melby, N.P. Melby got hers and she has started working with it. So we're going to get her in the studio and she's going to play a song with us someday. very soon after learning how to play by using the Rody Coat. She's never touched an instrument in her life. So this can be very interesting. Check out Dr. Scott's website at simplyurbals.net. We'll talk about it in a minute. And patreon.com slash weird medicine.

I'm putting all the normal world stuff on there and all of my new sort of single production pieces go to Patreon first before they work out to their way out to the regular YouTube channel so check out patreon.com slash weird medicine if you want me to say fluid to your mama

cameo.com slash weird medicine I've dropped my price again to five bucks just I like doing it it's just fun to do and I enjoy it but also do check out Dave Landau on cameo and Vinnie Paolino on cameo because I turned them

you know I referred them to cameo so I get I think 2% of everything that they do. So if you want to get somebody actually funny to do your cameo for you, have them do it. It still helps the show. And all of the proceeds from cameo go to a really good place, my ham radio fund.

So there you go. All right, Dr. Scott's otherwise engaged. He's doing something else. But anyway. Yes, so typing. All right, very good. Don't forget Dr. Scott's website at Simplyherbils. dot net. That's simply herbals.

dot net. How things going over there, Dr. Scott? Pretty good. Been pretty busy, thank you very much. Oh, very good. Okay, and you need some chotchkis to send out to people. We're in close, yep. If you order something from Dr. Scott and you say that you listen to weird medicine, he sends you this stupid crap, people tweet it out. Look what Dr. Scott

sent me. But it's all, you know, fancy stuff, fancy stuff. Swag that we make. That's weird medicine themed. And, yeah, check out. Dr. Steve.com and then check me out on Normal World. The last

one I did was the spectrum of feces and I don't think it went over so well I think it was a little bit too gross I may have to back off. I mean Dave just Landau just had the big you know it looked like deer in the headlight and I don't know if they had prepped

him for it. Oh really? But yeah I don't think they liked it very much so that's too bad. Poot talk. It's important stuff, though. But yeah, so, but because I've learned how to do some of this stuff with them and watch them do it and, you know, ask questions and all that when I was there at the studio, I've been doing some of my own. So I did one for Eric Nagel's 10th anniversary for his show and just did it in front of the green screen, edited it, and, you know, added the background and images and assets and stuff. like that. It was fun. And I did one on borderline personality disorder, not talking about anyone in particular.

But, yeah, it's check that out at Dr. Steve. No, at Weird. That's not right. None of those are right. Check that out on YouTube.com slash at Weird Medicine. And I'm going to be doing more of that stuff. And the Patreon channel, patreon.com slash Weird Medicine, gets all that stuff first. Cool. And then it sits there for a while.

and then it goes over to the other side. So anyway, all right. Very good. You got any topics first today, Dr. Scott? I could come up with a couple if we need to. Wait, you're doing show prep now after we've started the show. Pretty much. No.

Is that how it works? No. Oh, shoot. I do have an interesting story about an American. This is not how same people asked. I must have slipped through this show prep as one. I did see this interestingly. An American family members who consume

under-cooked bear meat infected with brainworms. Oh, yeah. No, that's a real thing. Yeah, so, yes, it's interesting. If you're going to eat wild meat particularly, cook it thoroughly. Yes, yeah.

The only stuff you don't have to cook all the way through is beef, and that's because of the structure of beef and the fact that we have the USDA that, you know, make sure that there aren't parasites in our beef supply or does the best that they can to prevent that. You know, some stuff will still slip through.

but you can eat undercooked beef. And I'm told that you can eat undercooked pork now, that there is no cysticircosis in our pork supply at all. Wow. So you can, but I'm not eating undercooked pork, but I'm just saying they are telling me that you could eat pork tartar now and it would be safe. Have you ever eaten steak tartar or beef tartar?

No, I haven't. I can't even imagine. I mean, I guess it's got a, the raw egg. is what scares me about it. It's not the beef. Oh, really? Yeah. I don't like any of it.

It just doesn't seem too appealing to me. Yeah, but you'll eat raw fish, though. I will eat. So why is that different? Well, you don't eat meat anyways. No, I guess because they come from the ocean, they've been washed in. Right. No, I don't know.

There's no shit, you know, urine or feces in the ocean. They've been thoroughly bathed. Fish and whale feces and not on, you know, even including the human waste. By the way, speaking of... And mercury. Going to the ocean, we're headed up to New England and Maine next week. We're going to hopefully eat some good sushi.

I don't care. I don't care. All right, back to brain worms. Blah, blah, blah. Wow, that is very interesting. Please tell me more. Well, fine. So this family ate some undercooked bear.

and they all got The same what brain worm it was Yes it does It starts with the T And the reason Well is this a quiz No no no no no It's a

I thought it was trickinosis But it's not tricking noses It's But you know the reason I thought this was kind of an interesting article Is because the Kennedy Who's running for present

I guess is saying he had a brainworm Oh Robert Kennedy Yeah Robert Kennedy Do we know what his brainworm was? I think it's this, this one, it's T-R-I-C-H-I-N-E-L-A. Trichinella. Okay. And what they say is that this one particular type of brainworm is a resistance to freezing,

but if you'll cook your food to at least 165 degrees Fahrenheit, you'll kill the parasite. So there you go. Make sure you eat your... Yeah, Trichinella is a round worm. It causes trichinosis, and they're called trichina worms, and they're nematodes. They've got a one-way digestive tract. And let me see where we, okay, let's just go to the CDC on this one. Yeah, the life cycle is, the insisted larva is in striated muscle.

And see, this is what they're telling me that we don't have in the pork supply anymore. Okay, trichinell. Because trichinosis and cysticorchosis were the two things that you worried about with pigs. And so then they, and then you ingest undercooked meat, and then the larva is released in the small intestine. And the adults develop in the small intestine, and then the larvae go into your striated muscle and make cysts. and then these insisted larva are in the striated muscle, and then, you know, there's a cycle in pigs and there's a cycle in bears.

And you just have to cook your meat if you're going to eat this stuff. Well, they're saying, like in Canada, they hypothesize 50% of the bear and deer. Well, yeah, just assume all of it does. Well, yeah, I mean, you need to, but that's the important thing about cooking. your meat thoroughly.

Let's see what Robert Kennedy had. It says Robert Kennedy brain worm, since you brought it up. Yeah. It says doctors found a dead worm in his brain. Goodness gracious. This isn't good. Let me see. I wonder how they found a dead.

Did they do a craniotty and actually pull it out? I don't know. Isn't that something? But he had brain fog. He originally suspected that symptoms might be caused by a brain tumor. brain scans in 2010 showed a cyst that his doctor said contained the remains of a parasite so he might have had trichinosis.

Wow. Oh, now, okay, now they're saying here that it could have been a brain infection caused by the pork tape worm tiniosolium. It's a big deal in Latin America, subs here in Africa, India and other parts of Asia, leading cause of acquired seizures. Neurosisicirosis is a major disease.

It's kind of funny that these are circumfercumbrose. which people are paying attention to it, yeah, that it's Robert Kennedy said to the brain worm. Isn't that interesting? I mean, wow, yeah, that's crazy. I was not aware that the pork tapeworm could infect the brain as well.

Raccoon roundworms, not that many people are eating raccoon meat. Rat lung worms can produce larva that will travel through the human body in order to try to find tissue that they prefer and they end up in the brain sometimes. It's just an accident.

They don't prefer to be there. They just accidentally end up there. Wow. I've got one more if you want it. Yeah, heck yeah. That was a good one. Yeah, thank you. Nothing like show prep.

Hey, so here's your next topic. This comes from the Wall Street Journal. Oh, okay. Anger does a lot more damage to your body than you realize. Yeah. So a couple things that anger does bother, you know, and we've all had an idea that anger's not the healthiest thing for you. Well, stress is.

But I had an anger, you know, it reduces a stress reaction. Yeah, so scientists did some research, and they tested blood vessels in the periphery. So they did the cuffs on the arms and the legs and tested the blood flow through the arms and legs when they made people in one group angry. How they make them angry? Well, that's what I was, it didn't say how they made them angry. It just said those in the angry group. No, you are. That's all it says, those in an angry group.

Hell, they probably made them listen to weird medicine. or the poop talk and they got the angry. So a couple things it does, it does bother specifically is the gastrointestinal system because when you get angry, the sympathetic nervous system gets activated and shunts the blood away from the gut to the major muscles. So that slows your gastric, your peristolsus, slows your gastro-empting so people tend to get constipated. And, of course, there's nothing like being crankipated. and that will affect your absorption and certainly of the nutrients into your body.

The brain obviously is harmed, but it can cause anger over time can affect your cognitive functioning due to the high levels of stress hormones that are released and can damage nerve cells in your prefrontal cortex in your hippocampus. Well, it's interesting. So here I asked. How do they, wow, why is the camera going nuts like that? Sorry, I got distracted. How do they, right, how do they induce anger in the laboratory?

It says, recalling personal memories, evoking the mood suggested by the sentence or memory. And there's this thing called the Velton mood induction procedure. They use images or film excerpts, but. But one of the fun ones that I just read about was some studies have found that people report increased anger in response to music like rap, heavy metal, or Japanese noise music. So they play music for these people. They go, well, those damn kids. Damn kids that music they listen to. They ought to just have kids come up onto their lawn.

Yes. Get off my lawn, you brashkles. Autobiographic recall, researchers may ask participants to think right about a time in their past when they experienced anger. This is bullshit. That's not, you know, that's the problem with this, is you're trying to study people's reaction to anger in a clinical setting. And you have to use all these artificial means to induce anger. It's like the, you know, the pain thing with rats where they'll put them on a hot plate and you see how long it takes for them to. to start dancing.

Yep. You know, it's ridiculous. It's not, it doesn't really tell you anything. So I have some issues with this. Now, if they get in somebody's face and just start screaming at them or something, like you get a gunnery sergeant Herman, you know, to scream in their face. Mm-hmm. Yeah.

You're a disgusting fat body pile. Yes. Then then maybe I could buy it. Yeah. But if you asked me to write down the last time I was angry, I can't do that. I have this weird inability to be able to do that. I can tell you about stuff that happened to me in the past that was fucked up.

But if you said, when was a recent time that you were angry? And that happened to me the first time I went to a shrink, they asked me that. I said, I can't think of it. I know that I was, but I can't think of it. They said, that's very... Suppression. Very significant. And then they never explained why.

I can tell you the last time you were angry. Can you? I can't. Oh, I've got an idea. Really? Yeah, so, yeah, it would be interesting if they allowed you to tell them what made you really angry. Well, and then they could do it. Like, what makes me, you know, drives me absolutely nuts as people driving in the passing lane on the interstate from a certain state that's right next to our state.

Yeah. They don't, they barely make the speed limit. And they just kind of park over there in the... What pisses me, that's infuriating. What infuriates me is they put in all these roundabouts here and nobody knows how to work them. I had a lady go onto a roundabout and take a left and start going the wrong way. And I really wanted to just go around the right way and meter in the middle and then just lay on the horn. That's really what I wanted to do.

Yep. There's even a sign. They have signs that say go this way. And the natural inclination, at least in America, is to go to the right. Of course. She literally took a laugh on a roundabout. And then I had another guy stop in the middle of the roundabout. Okay, I'm on one of the in raps, right?

Yep. And he just stops in the middle of it and waves me to come on in. Come on in. And I'm like, no. And he starts being very vociferous and waving. Come on here like that. And I kept shaking my head. No, you are a fool, sir.

And so I finally just sat back and, you know, put my hands at 10 and 2 and just looked straight forward until this idiot screeched off mad like I'm the asshole. You're the jerk, yep. Isn't that funny? Idiots. Yeah, I can't imagine. I'd like to hear some. Maybe that's what we should do one of these days, get some of our trucker friends to tell us some of their favorite. Yeah, well.

Angry stories. Brits, about dumb Americans trying to drive in England. Oh, God, that's going to be awful. They have two-lane roundabouts. How do you get out of the inner lane? I guess you speed up. I guess. The centrifugal force throws you to the outside, I guess.

Well, all right. All right. That what you got for today? What was the second one? The anger one, yeah. That's bullshit. All right. One for two, not bad.

All right. You ready to answer some questions? We'll do it. All right. Number one thing, don't take advice from some asshole on the radio. All right. Let's try this one first. Hey, Dr. Steve.

Hey, man. My name is Jeff. Hey, Jim. I am 55 years old. Recently, I had stomach pains cramping up. Really wasn't hungry. Couldn't eat a whole lot. Hard to go bathroom.

I actually couldn't go bathroom for a day or so. Healthy. No history of cancer. Okay. For one thing, when you hear about sharp abdominal pain and then they can't, you can't, can't move their bowels, you start thinking about things like appendicitis and stuff like that because the bowel gets so inflamed, it just paralyzes. There's no traumas of maybe 25 pounds overweight, but very active. Okay.

I had to go to the hospital this February with an in-tuce exception just below my diacram. And they held me overnight to double check to make sure that it went away. They said it was rare in an adult, and the next morning it went away. So fast forward another. Sorry, I was distracted. My camera has an AI thing, and it's seeing Jim Florentine up on the wall and trying to zoom in on him. That's what's going on. I've got to turn the lights on in here.

But did he say he had an interception? Yeah, yeah, yeah. Okay, all right. We'll talk about that in a second. 15 or 16 hours. That was over with pain. I couldn't stand up straight. I couldn't spend over.

I was back to the hospital. They did imaging. They found what they thought was an internal hernia and or a blockage in my intestines. This was Sunday morning at 6.30. They did surgery at 11.30 on Sunday. They found nothing. They did orthoscopy surgery, four holes in my stomach.

Four holes in his abdomen. Wait, four holes in his abdomen. They didn't find holes in his stomach. No, no, okay. The bottom of it could not find anything. However, he did see where the incepts. Was due to the irritation of the bowel or the intestine? Yes, that's what he had.

What you suppose could cause this? Yeah, okay. So this guy had an interception. And what this is is can be life-threatening. It's when part of the intestine folds on itself like a telescope. And one section slips inside the other, like a sleeve. And when you do that, you've just got a crazy topographic kink in the bowel. and it will obstruct.

And so food can't get through, gas can't get through, it causes intense pain. And can cause, you know, cellular death, blood. Yeah, that's right. That's right, because the blood supply is cut off to that part of the bowel. If it's bad enough, that section of the bowel could actually die. So he had it. It resolved on its own. And then he went back because it came back and they did surgery and they saw where it had been.

And it's almost like the, you know, the intestine is eating itself, like the worm or robberous, you know, or the worm is eating its own tail. Yeah, it's like. But so this resolved on its own. I'm assuming that they put a stitch or two there, so, you know, to keep it from happening again, to sock everything down. But it's rare in adults, and it's challenging to identify because the symptoms mimic so many other things. and nobody's thinking about interception. Right. And, you know, people could have symptoms for weeks before seeking medical attention.

So what I'm hoping is that the bowel, once it was opened up, starts to scar down a little bit, you know, and it doesn't fold on itself anymore. It won't fold in on itself anymore. Now, this can happen in adults because there's a polyp there. And, again, it causes the bowel to sort of. swallow itself. You could have inhesions. Anytime people do weight loss surgery, they increase the risk of interception. But things like Crohn's disease can cause swelling in the small intestine,

and then the small section starts getting swallowed by the, you know, the section distilled to it that's got a nice thin wall instead of a big thick and flamed wall. So I'm hoping that they checked him for all of that stuff. Sure. And, but if it never happens again, well, you know, you have an interesting story to tell. Yeah, because that is pretty rare. Yeah.

Exceedingly rare. Into seception. All right. Hey, Dr. Steve. This is Matt from Connecticut. Hey, Matt. Just heard on the YouTube channel that you're running out of phone calls. So I wanted to throw my name in the ring.

Hey, thanks, man. I am a nurse. I've been a nurse about a year and a half. I was an accountant for many years, and I have horrible, horrible imposter syndrome. And I know you did medical second career choice. So how did you deal with, you know, feeling inadequate or this feeling of, well, it's a matter of time before they realize I sucked and I'm going to get fired? But I'm just curious how you handled that. Doing great.

I'm calling at Harris-Lubbitt. Just always a little hesitant on my skills and stuff. Thanks, buddy. Well, it's a characteristic of type A and other sorts of personalities that you always feel that you're eventually someday going to be found out for being an imposter. And I had that for a while, and then I realized, no, I'm pretty fucking good at this. Your ego stepped in and took over. Yeah.

I, well, I had compensatory narcissism until I got to the point where I didn't have to compensate anymore. I said to you were completely narcissistic. Yeah, well, I don't have to, you know, anyway, yeah, I don't have to behave that way anymore. But I, yeah, that's a tough one. You know, what you have to do, it's just like, you know, these serial killers that get away with it. And then they just live their life thinking, you know, always looking over their shoulder. and eventually they just go, they get comfortable. Yeah.

And then forensics comes out with DNA. And then it's like, oh, shit. And then they're knocking on their door, right? And so what you have to do is sort of cultivate that attitude that, yeah, I may feel like an imposter, but I've got to put one foot in front of the other. I got to do the work. And, yeah, if you actually are an imposter, they'll catch up with you, but I'm going to guarantee you that you're not.

Impostors, they look over their shoulder, but for different reasons. Because they know they're going to get caught. Yes, they know they're going. You were just thinking, well, you know, I feel like an imposter, but deep down, you know, you're not. Those people actually are impostors. You know, and he said, well, two interesting things about that, you know, as long as he keeps his education to see you use up, I guess,

and his license current. There's nothing they can do to you. There's nothing they can do, number one, number two. But he talked about it being a second career, and I think most of the guys that we all know, medicine, health care was a second career for them. Correct. It was for me, for me, and most of our friends, too,

that I can think of just a handful of people that went straight through high school college and straight into medical school. Just a couple of them. The fact that you're worried about that and it makes you do better. And it means that you're conscientious. People that just don't give a shit don't care about being.

They don't worry about things like this. No. Because you want to be good. They don't care. Right. So they don't worry about, oh, someone's going to find out I'm not as good as they think I am because they don't give a shit. That just means that you care about the job that you're doing.

Right. And continue because, you know, it's such important part of the health care. system is the nursing component. Yeah. Keeping everybody. I think it's awesome, too. I go through the ICU and half the nurses now are bros. And I really like that.

Yeah, right. You know, there was a time back in the 80s, if you were a male nurse, you know, people looked at you askance and, you know, made certain assumptions about you that might or may or may not have been true, but now it's just a really common thing. I don't know what the percentage of men in nursing school is, but it's really, it's cool to see. Yep. Yeah, I know a bunch of them, too. Yeah.

All right. Well, good luck, man. Yeah, you'll be fine. Just keep going to work. Put one foot in front of the other. And time will be your best friend. Correct. Even the weird medicine crew.

This is Kevin Kraft from Mad Scientist Party Hour. Hey, hey, Kevin. Yeah, we haven't talked to Kevin in a long time. Say hello to Shuddy Boy and the rest of your. group over there and check out his show Mad Scientist Pertie Hour. We used to be on, what was it, Riotcast together. But Kevin is, he's a different level than us. I mean, he goes and he fools around in very higher circles.

Okay, got you got to, yes. It's been a minute. I hope you all are well. Thanks, man. I recently did a stunt on the show. I lost a bet, and the way that I had to pay up was chugging Gamutra, which is cow urine from India. Apparently, you can buy that on the Internet. You can.

So we bought a jug of cow piss, and I drank a whole bunch of it, and it's supposed to have all these supposed to health benefits. And I don't think. I got any of those. No. There's even been a couple people on the internet claiming that it helps prevent COVID, but I got COVID for the third time about a week or two after drinking the cow piss. So I just wanted to see. They probably gave it to you.

Dr. Steve, are there any actual benefits to drinking cow pee? Oh, no. Well, there's actual benefits to cow pee. there's a floor cleaning fluid called Gowniley. It's marketed by an organization called Holy Cow Foundation. And it's used instead of fiendle in government offices to clean floors. So, yes, there are some real benefit. It's also used in the production of rice as a fertilizer.

And Jiva Muthra, Jivamrutha is a fertilizer made from a mixture of cow urine, cow dung, jaggory pulse flour, and rhizosphere soil. So, yeah, there are some real benefits for it. Now, the purported medicinal benefits, however, lack any substantiation whatsoever. You know, there's lots of claims that can cure various ailment. and possesses unique therapeutic properties, you know, that's not supported by the evidence at all. Now, I have an open mind. Is it possible that cows metabolize in such a way

that there's a molecule in their urine that could be beneficial to humans? Sure. I mean, human urine, you know, urea in urine is used to soften calluses and stuff like that. So there's some benefit there. But, I mean, this is a waste product. Right.

And when you have an animal that is considered sacred, then every part of it is sacred, including its urine. And, you know, in some cultures anyway. And so Zoroastrianism and a couple other, you know, sorts of religions, some forms of Hinduism and others may find this substance, you know, sacred. and then as a sacrament, then that's fine. It may have some benefit spiritually for some people, but as far as actually having any benefit, I mean, it's a waste product. People drink their own urine.

It's like, well, I'm recycling B vitamins. Well, you're pissing them out because your body didn't need them. Just take a B vitamin. They're not expensive. I'll buy you vitamins. But, you know, and I wonder, because I was just reading, because I had not heard of this until right now, But I guess they do have a patent here on cow urine because they do find they did find there's some, it has, let's see.

You can't patent urine. I'm just telling you, the cow urine distillate as a bio-enhancer helping with anti-microbial anti-inflammatory effects. But I was just thinking, you know, think about horse urine. She's a, yeah Uh-oh Oh shit Every time There we go

Oh God Tacey you're on weird medicine Oh my god I'm in so much trouble Oh no really Do I need to stop the recording Yeah I have spent Okay hang on

Okay hang on Don't say anything Don't say anything Hang on hang on We'll be right back everybody I want you to keep me on dummy Oh oh okay Okay she says she wants me

Okay you're good Okay, go ahead. I'm an idiot. Go. Bar tab's like $2,000, and I've been meaning to tell you, but my credit card is maxed out since I quit working. Okay. I don't think they're going to let me keep. They're not going to let you what?

Leave. Oh, good. Oh, okay. Yay. Good. Cool. Yay. We'll send a car after you.

All right. We'll send a car after you. Yeah, we'll send a car. I'll send your I'll box your clothes up and send them down there Tacey's on vacation in Florida

and we're not and we're not so I didn't Chris to call it in but he wouldn't do it oh yeah

Chris is our favorite bartender at the Beach House sweets by the Don Cesar in St. Pete Beach highly recommended if you go to if you go there

say hi to Chris be on the bar he's the greatest Yeah, so anyway. Okay. I'm just wondering how topics. I'm sure it's blacking.

Yeah, do you want to do your Tacey's time of topics right now? No, no, I'm good. Okay. Casey's time of Topics says that she has to go home today. So what time are you going to, what time are you coming home? It might be none. Click. Oh my God.

How does she get to go on vacation? We have to work. I don't understand it. Oh, shit. Don't ever hang up on the balls. Are you hanging up on me? Yeah, that was the joke. It must be got dropped.

Oh, good, good. Oh, that's funny. Okay, I'll see you later. Bye. Okay, Dr. Scott. Well, where the hell were we? We were talking about cow urine. Yeah, I think I was something

how we used to use horse urine as a medicine. Yeah, that's true. For you, pregnant mares, right? Pregnant mare's urine was Premarin. Yeah. It was a medication we used for menopause, which, of course, yes, it was derived from pregnant marriage urine.

We didn't make them drink the urine. We, you know, synthesized or, you know, extracted the drug from it. But we also increased the risk of breast cancer in those women, too. So I wouldn't use that as a great example of a triumph. of using urine and medicine. It is a good proper use of urine, though. Yeah. That is the case.

But it is, I wouldn't suggest drinking it, that's for sure. I'll do some, I have an open mind. I'll do some research and get back to you. I've been scanning PubMed and not really seeing anything worth anything. I did find one article that said that it's a precious gift to humankind, which to me points out the author's bias. Okay. Well, yeah. I mean, that would make sense.

Okay. Does that, is that mean that we're biased about the nasal sprays from simply herbal? Of course. Of course we are, yes. Because it is the best. No, that's why you have to do double-blind placebo-controlled studies. If we were going to study your nasal spray, if we just gave it to people, we would be biased to, and we would bias them at the same time through either directly or indirectly or consciously or unconsciously. So that's why we have to give them a placebo, and you and I can't know.

Right. If it's a placebo and the patient can't know. Right. Yeah. And then we can express our bias any way we want. Right. And then, you know, but that should affect the placebo and the other medication equally. And if there's a real effect with the medication, there should be a statistically significant difference between it and the placebo.

Yeah. So anyway. So let's finish Kevin's phone call. Yeah. Let's just give. Here, drink this glass of pee, and all will be well. Right. That's the oldest trick in the book, exactly, right.

Yeah, so good luck with that, but I'll do some research and see if I find something really interesting, I'll bring it back here. Right on. That's a great question. All right. Not a great idea to drink. Check out Kevin's show, Mad Sinus Party Hour. All right. So we've got a fluid family question.

Okay, all right. Sounds good. Yep, absolutely. Yeah, so we've got Crystal here, and she has a great question. Can IBS cause depression? If so, could depression medications not work if you don't get the IBS under control? Yes. That's an extra little part of that question.

I just did a thing for normal world on this. Okay, cool. It was a piece on fecal transplantation. Okay. But we were talking about could you transfer behaviors from one person to another? And it sounds like a stupid question. But actually, it's not. People with inflammatory bowel disease, when you correct for all of the symptoms that they're having, have more anxiety and depression than people who don't.

Okay. And so there are these loose junctions in there. There's this thing called the enteral neuronal complex or whatever, but it's also called the second brain. It's that mind-gut axis. And I know that when, and this is, again, anecdotal, single person type, you know, with an end of one. But when I was drinking more kombucha, I was less depressed and I had less anxiety. And kombucha is a very, you know, it's a potent probiotic. It has beneficial bacteria, but also has beneficial yeast. And people forget about the Saccharomyces, yeast that are. good for you.

Okay. And so I highly recommend, and there are studies have shown that probiotics and prebiotics can improve mental illness. Okay. There are studies that show that people who have dysbiosis, which is a term that just relates to, you know, altered microbiota colonies. In other words, they're out of balance. Your bacteria and yeast or out of balance are meant to have bad bacteria in there or whatever, that those people are more likely to be depressed and anxious. Right.

So it depends on what kind of IBS you have. There's IBSC, you know, constipated people, IBSD, which people have diarrhea, and then there's some people that alternate back and forth that's combined. And but getting that colony of bacteria healthy in your gut really helped. So increase the fiber in your diet, that even if you have IBSD, that will help. And I highly recommend enteragam for people who have refractory irritable bowel syndrome. It's basically cow. So it's cow brand.

Hey, hey, you talk about drink cow blood? No, it is in the cow's blood, but you don't drink the blood. It's something that's extracted from it that's beneficial. which are its immunoglobulins, and you ingest that. It gets into your bowel and then will attach to certain bacteria or, quote, unquote, toxins or other things that are causing inflammation in the bowel wall and keep them from touching the bowel wall. They will prevent them from coming into contact with the wall. And so the inflammation goes down, the irritable bowel syndrome gets better.

Right. And I was going to add to that, too. And another thing, in addition to taking supplements and medications or identifying if you can through elimination diets, things that may be causing your irritable bowel. Right. And that's, and I would start there first. Like an elimination diet. Like an elimination diet. And sometimes it's something you would never think.

Well, like for me, for instance, I got lucky and found out what was causing a lot of my inflammatory bowel, onions and garlic. And, you know, and I started every, you know, every dinner because I cook, I'm like Dr. Steve, I cook most of our dinners. And everything, it seems like you put your onions and saute your garlic to flavor your oil. And when I found that that might be causing my inflammatory bowel to be worse, I took those out, and I saw a big difference. I just switched, I just switched it's simple elimination diet. I just put in ginger. I use ginger and fennel seed now. Right.

To flavor a lot of the dishes. There was a woman on Survivor. who found out that she had celiac disease. Okay. Because when they go on Survivor, all they give them is a big bag of rice and everything else they got to forage for. Okay, got you.

And it was gluten-free. And she went there, always having horrible bowel symptoms. Wow. Her name was Stephanie. And, you know, after a month of being there, she was symptom-free. And that's when she realized.

Isn't that wild. Yeah, and it certainly is a great example of elimination diet. And again, you have to think, of things that you would never, ever think of. Right. Sometimes it's things you'd eat everything. If you would think of it, you wouldn't do it. You wouldn't do?

Yeah, I mean, it may be a peanut. It may be an almond. It may be a cereal. Who knows? Yeah. But just try, just try some, any damn thing is better than nothing. Right. And then adding in these other things.

Well, how would you do an elimination diet, though? You know what? How would you recommend that somebody do it? I would start an elimination diet with the things that I eat the most regularly and the things that I drink the most regularly. You know, if I drink a lot of tea or if I drink a lot of, you know, sodas, I'll start by eliminating one of those two things. You know, if I eat a lot of cereal in the morning,

I would stop with cereal and replace it with an egg or or toast or something. Yeah. Or vice versa. And like I did personally, garlic and onions every single night, as soon as I stopped that, I started seeing it. And, you know, the big thing with me, too, and I don't know if I ever told you this.

One of the reasons why I stopped eating meat for the most part is because of chicken. A buddy of mine had an irritable bowel. He had to quit eating meat. And he needed some help in coaching. So I agree. I'd say, well, I'll just be a vegetarian with you. And as soon as I stopped eating chicken, my knee pain, the arthritis in my knees

went from a 10 to a zero in about two weeks. Isn't that interesting? Yeah, it was crazy. And so I did some research on it, but the protein molecules and chicken are just a hair larger than in beef and a hair larger than they are in like in pork and certainly in fish. So it was doing kind of similar with my. gout, the purines

were lodging in my knees. What? Yeah, no, the protein's in the I'm telling you, man, and I've told, I bet you a hundred people the same thing. Then they've quit, and to this point, I've been right. Damn it. So, yeah. Chicken. Well, this, I'm looking here just as the elimination diet is

divided into two phases, elimination and reintroduction. Elimination phase is two to three weeks. You remove foods that you suspect may trigger your symptoms. And like Scott said, you know, think of stuff that you wouldn't normally think of. And then it could be nuts, corn, soy, dairy, citrus fruits, any of the nightshade vegetables, wheat, gluten, pork, eggs, and seafood.

And then, you know, reintroduce one at a time. And if your symptoms go away during the elimination phase, then you know you're going to find out what it is. And then as you do your reintroduction, you do introduce each first. food individually over two to three days, and I'd probably go five days. Easily, yeah. And maybe, and sometimes it takes a little longer of that. It just depends on your, and Dr. Steve, you know, people will question me about this a lot of times in my clinic, and I'll tell them, you know, well, I just eat a little bit of it.

And I remind that it. You don't have to be allergic or sensitive to much of anything. I mean, sometimes it's just, you know, kids that have peanut allergies, they can just sniff a peanut. That's right. They don't even have to eat it. So you don't have to eat a lot of something for it to affect you. Yeah, poison ivy is, you know, triggered in parts per billion.

Right. Yeah. It just takes a little bit of shit to make you miserable. Yeah. So, yeah, you may not have to take away a lot or you may have to take away the entire thing. Right. But start with something and then slowly reintroduce, and you'll figure it out pretty quickly. People who actually have celiac sprue who have antibodies to, you know, certain parts of the gluten molecule.

can't have any. They can't have a little bit of breading. You know, I'm gluten-sensitive. I could have a little bit of breading. It doesn't seem to bother me so much, at least not that I'm aware of. But they can't have any. There's a big difference between sensitive and allergy.

That's right. Big difference. All right. Okay-dokey. You got anything else from a fluid family? So just to follow up, yeah. It's okay. I've got a couple more here.

So go ahead. Yeah, well, let's go with this one. I've got, because this is kind of a follow-up from the crystal gal earlier with the IBS and the depression, had a colonoscue at age 23 because she had gone for over a month without a poop. What? Exactly. And the doctor said maybe it's normal for me not to go at the time. And she said that just sounded so wrong.

Yeah, yeah, yeah. Well, that is kind of wrong. Yeah, some people have a lazy bowel. And that can be caused by a lot of things, including childhood encopreasis and things like that. We've talked about that before where the bowel gets so distended that it gives up. on trying to contract. But, yeah, I think a month is excessive. I think it's a month.

You know, they say what's normal is what's normal for you, but we're talking, you know, between twice a day versus, you know, once every three days, but not 30 days. No, not 30 days. And you would think that would be a pretty miserable bowel move because you're still continuing to. Is she still in the chat room? Yes, she is, yeah. I gosh, I wish she could call in. I would love to know what the prep was like.

Did she actually, you know, during the prep, did she crap out? months worth of stool. Yeah, 30 days worth of food, I would assume. Of course, she might have been so dilated and distended in her abdomen. She had almost quit eating, I would wonder. No, maybe. Maybe. She just had so much abdominal.

Let us know about that, Crystal. I'm very interested in that. Well, I'll get this question going. Hey, Dr. Steve, how are you doing? Hey, good, man. How are you? Good, good. I'm well, thanks.

Good, good. Dr. Scott, good to hear from you and Casey. Hello. Question for you guys. Hey, thanks, man. Long-term use of PPI. I have taken them now for, geez, maybe 10, 15 years. Yeah.

And I just can't seem to get off them. Me too, my brother. The HBlockers, I've tried all the lifestyle changes. Nothing helps. And I know there's research out there about long-term use. Yeah. I'm just hoping that you can make me feel better that I'm not basically leading myself to an early job. Yeah, no.

This one, I've known about this for some time. I'm on high-dose PPIs or proton pump inhibitors for reflux, and there's two reasons why people don't get off of them. And the number, well, I mean, there's two problems with them significantly. But one of the reasons people don't get off of them is this thing called rebound acid hypersecretion. So when people try to stop the PPI, their gut will produce two and three times. the acid that it was before for a short period of time, but you can't tolerate it.

Right, it's just awful. Yeah, it was horrible. We had a friend who it was supposed to be on Dexlansoapazole, and they gave her duloxatine instead, and she took it for two weeks and couldn't understand why she was just absolutely miserable because her stomach was, you know, she wasn't actually taking a PPI. She was taking an antidepressant. Right, right.

And so she had a horrible, horrible reflux. But so I did a deep dive on this one and went to PubMed and just looked at prolonged PPI and risk. And here we go. Proton pump inhibitor, cancer risk, comprehensive review of epidemiologic and mechanistic evidence. Prolong pump inhibitor use and thrombo haemorrhagic risk. Here we go. Association between duration and indication of proton pump inhibitor and gastric polyps. you know, increased infection risk in cystic fibrosis.

Now, that one makes sense. Here you go. Risk of epilepsy after long-term proton pump inhibitor therapy. I mean, the list just goes on and on and on. So I need to get off of these damn things myself. So I went to a compounding pharmacy and said, can you compound this stuff so that, like, I'm taking 60 milligrams and I would take 50, 40, 30, 20, and work my way down like that.

And they said no. So because the stuff's already on the market, they can't put something in a capsule that's already on the market. They could put it maybe in a lozance or something like that, but it doesn't work with those drugs. So I'm going to have to do it myself. Now, they do sell, I'm on Lansopresol. I take 60 milligrams a day.

They do sell 15 milligram version. So I take 2.30s. I could take a 30 and a 15. And then take a 30. and a nothing, and then take a 15 and then get off of it. So I'm going to try to do that. And in the meantime, then I'll take Fomododine. The problem with Fomodidine is it's an antihistamine.

You know, it's an H1 antihistamine. And, you know, I don't know if Fomodidine, you know, promotes dementia risk like other antihistamines do, but I'm going to have to, by God, find out. Either that or I'm going to have to start taking, you know, carrying a thing of mustard around with me like Dr. Scott counsels people to do. Yes, and it can't help something.

It's not going to fix it, but it might give you some instant relief. Well, you remember the last time I tried this. Yep. I had horrible reflux, and we brought some... Upstairs. Yeah, it was right here. We did up here, and I was amazed at how it actually did work, but it was very short-lived. Yes.

It wasn't enough. No. Because, I mean, I have no symptoms normally, but I know I'm putting myself at increased risk. So I'm going to try to get off of it. Brother, let's do it together. and but that's the only way we can do it I was hoping that they could make me make a liquid concoction

and that way you could infinitely titrate it you could go down by five milligrams a week or something right so there's no powder form well I wonder if you I mean I don't know I'm not I don't mean to sound stupid but there's no no no no it's not stupid I guess could you crush them possibly and they come in these little pellets

And apparently that's part of the delivery system. So I don't know. I'm going to have to do some more research. But this guy calling in kind of stimulated me to think about this again. Because it's real easy to just go, well, I'm just going to keep on doing what I'm doing, put one foot in front of the other and not look backward. And then, you know, and then you get a hit with something. You go, God, I wish I'd done something about that.

Which, by the way, same with smoking. If you're smoking, say, I'm going to quit tomorrow. You're not. Quit today. Just put them down. What's the worst that's going to happen? to you, you're going to be uncomfortable. That's it.

A couple of days. Well, you know, a little longer in that, but still. So what? It's not like quitting opioids where you're going to be absolutely miserable and not only are you going to be miserable, but you put yourself at risk for acute post-withdrawal syndrome, which they can go on for two years after you go through cold turkey. Or alcohol, cold turkey, which can kill you. and or benzodiazepine, you know, Valium withdrawal can be also very dangerous.

Sure. But cigarettes just makes you uncomfortable. Mm-hmm. And you can look at all the other idiots out there smoking and go, yeah, you stupid motherfucker. You know, from day one, you can just, you can feel superior to them. Mm-hmm. You know what I mean? Mm-hmm.

And then at day 14, well, maybe a year. or two. Well, within 14 days, your risk of sudden death goes back to normal. And then within a few years, your risk of all other diseases related to tobacco abuse go back to normal. So it's a good thing to do. Good thing. All right, my friends. Before we get out of here, what has he got from the fluid family? Well, we've got a couple of great questions, and we have a follow-up from Crystal. Okay. She did say that she could call in. It might be easier because it seems like quite a story. But she said when she goes a long time without going to the bathroom and finally is able to go, it feels like she's having many contractions, which she'd never even realize what that was until she had her first child.

And then, let's see, she says she does kind of fill up the toilet a couple of times in one setting. And she probably goes multiple times. And once weighed herself before and after one of her episodes, and she'd lost 10 pounds. Oh, my God. God bless it. Well, okay, I have some ideas for her, but gosh, I just, I don't know what she's done and what she hasn't done. I'll tell you what, Crystal, email me. Which crystal is it?

Williams. Okay, yeah, okay. We have a crystal that's in the Patreon. If you want to, just email me, we'll do it back and forth. I'll ask you some things that see if you've tried them. Yeah. But a lazy bowel like that is very difficult to treat, but there are medications now, specifically made for lazy bowel.

One of them is called Procalopride. And it's what they call a pro-motility agent. We used to have Sissopride back in the day. And the problem was that Sissopride induced some really funky cardiac rhythms. Right. But procalopride doesn't, and it's the same type of drug. And there are some of the things that may, depending on what she's tried and not tried, but sometimes tinge units stimulating the boughs, the 10s unit pads.

Yeah. You can put this on. Externally? Externally, yep. Okay. Sometimes the acupuncture actually, Alex, you put them little needles around the abdomen and stimulate with the electrical. Well, that's interesting. We'll find this D-O-M if you're going to do that.

Yeah, please, yeah. Weekend Warrior that went to a class in Atlanta and then came back and put up a shingle sand there in acupuncture. This is not, this is not targeting anything. But there, yeah, there may be some other things that might help her a little bit anyway. Yeah. Yeah, email us. Yeah, so, yeah, so good luck with that. And Talia, she's got a 36-year-old husband, had an inglin o'hernia repaired, left side about three weeks ago, healing pretty well, but has a lot of tightness and some pain in a jungle region.

Will that persist for long? Well, what do you think? I'd say it's probably depends on the scarring that he's got down there. Yeah. So what did he have? So he had an ingual or hernia. So, yeah, that's going to be pretty sore for a little while, but it should resolve. They're dicking around your deck and around the nerves that feed the, you know, the taint and the genitalia and stuff.

And then they're scarring and those things all, yes, so the tightness that you're feeling may persist for some time. I usually tell people at 12 weeks you kind of know what you're going to have, but even then if you've got something that's caused by a tight scar, those can relax. over time with, you know, ongoing stretching with the, you know, the body through normal activity. And one day, you know, maybe six months from now, you'll go, hey, I haven't had that symptom in a while. I don't, you know, and it'll go away so gradually that you don't notice. And may add, too, one really gentle stretch that could help possibly laying on a bed or couch and letting the leg that you had the inguinal hernia on off, so laying on your back. Yeah.

and allow the leg that you had the surgery side on, letting it off of the bed or off of the cap. So it stretches up. So it stretches the front of your thigh. Very gently. Don't do ballistic stretching. No, no, no, no. In other words, you know, don't jerk it up and down.

And don't let somebody stretch it for you. Right. Do not. This should be a passive, gentle stretch. Right. And just in that way, if there is still some scarring occurring, maybe it'll get some fluid movement. Yep, very good.

Nick Illig, thanks for the $5 super chat. It says, happy Memorial Day weekend. I was curious how one would tell the difference between cardiac problems and anxiety. Do both feel similar? Ooh. Yes. Yes. Yeah.

Yeah, so cardiac problems can cause anxiety and anxiety can cause. So what are the symptoms of a cardiac problem? Well, it could be palpitations. Anxiety. Yeah, right. We'll keep going. Well, palpitations, chest pain, anxiety. Shortness of breath.

And anxiety. Right. tingling in the left arm, not so much anxiety, but it could be you could get tingling in both your arms from hyperventilation. And you can think you're starting to get some tingling down there, which is... And sweating. Yeah. And those kinds of things.

So yes. Now, normally the cardiac stuff will be reproducible with exertion. Right. Whereas the anxiety will be reproducible situationally. Right. So that's the way that you can normally tell for yourself. But you don't have to. just be on your own.

Go tell your primary care about it. There's a defined workup for this. And then they can tell you, yeah, your heart's fine. This is something else. And then, you know, there are other things that can mask it or mimic it as well, one being hyperthyroidism, you know? Reflux, bad reflux. Yes, that's right.

The first time that I had a spasm of my esophagus, oh, God, it's terrible. I thought that I was, I'm like, okay, this is it. I'm having the big one had, you know, unbelievably sharp, but it was sharp, but it was dull at the same time, if that makes any sense, right in the middle of my sternum, and it wasn't accompanied by anything else. So I was thinking, oh, gosh, you know, am I having an aortic dissection? The pain was that bad. The weird thing was something compelled me to go to the faucet and drink cold water, and as soon as I did, it completely went away, which told me this is something GI. not cardiac.

Yeah. Now, there are people who have a thing called costocondritis, which is an inflammation of the joint between the rib cage and the cartilage. And you can reproduce that by pressing on their chest wall. That also would not be consistent with heart attack. You know, pushing on the chest wall won't make any difference in that situation. Excellent question, I want to ask. Yeah.

Let me see. I'm running through here. Myrtle Manus, thanks for. or the 20 weird medicine memberships. If you want to receive free memberships to the channel, which maybe someday there will be a benefit to it. Right now it just supports the channel. But, you know, we'll do some member-specific content

if we get enough members. But just go click join on our YouTube channel. And then right next to there is a button that you can click to accept gifted memberships. and then when somebody buys a bunch of memberships to the channel, you can receive one of those. And Talia was one of those today. She's now a member, but she wasn't before Myrtle did that. So anything else over there?

You said you had a few other ones that you wish these people would call in. Well, give them to me. Let's see. Yeah, let's see if I'm scaling back through them. Let's see. Chris Mack, Gallant. Oh, yeah. This one next was good.

Chris Mack and Wayne were going back and forth. talking about being addicted to opiates and an addiction opiates causing profound opioid-induced constipation. Yes. And having a use of opioids. You don't have to be addicted to get that. Well, he was actually addicted and had to go, I guess, to the hospital. Well, that is an adverse effect of all opioids is, you know, paralyzing the bowel. Yeah.

So in having to go and disimpact, manually disimpact. So this whole, the show has been about poop. Well, it usually is, anyway. The whole show is poop. When you are taken opioid chronically, whether you're using or abusing, it's going to cause constipation. And the vast majority of people, we have some cancer patients that doesn't because they have diarrhea already. Right. So they're thankful for it.

But we counsel people when, you know, the Cicely Saunders, the founder of, hospice, you know, in England, said the, and this has been attributed to her. I'm not sure that she actually said this, but the hand that writes the strong opioid should write a bowel regimen at the same time. And so you have to be proactive. Don't wait until your bowel is full of concrete. We usually recommend that people take polyethylene glycol. It's sold as Miralax, but you can buy it Glycolax or CVS brand, whatever.

Gentle Lacks, whatever it is. But it's polyethylene glycol. It's odorless, tasteless, past. and you put it one to two cupfuls in water or any other drink. I take it and I put it in water. And then if that doesn't cut it, if you go 24 to 48 hours without having a bowel movement, then they recommend a bowel stimulant like Sena, which you can buy over the counter, or Bicocodal, which is sold as docolax over the counter.

So you have the polyethylene glycol to keep things sort of. of soft so that they don't turn to concrete, and then if you need that bowel stimulation, you take a bowel stimulant. Don't take too many of those and don't take those every day, because if you take them every day, now you'll get dependent on those. I'm talking about the bowel stimulants because they kill a part of the bowel called the Auerbach Plexus that's responsible for contraction of the bowel. And when you kill that, now you're going to have a bowel like crystal that's just lazy

and isn't moving. And some people are born without that. and that causes a thing called Hirshsprung's disease where they have a big giant dilated bowel that will not contract. Right, right. But anyway, all right. Yep.

What else you got? Last... Did you have another one? Yeah, let's do a very last one. If Buckman has, if Ozympic has no effect, what are some alternatives? Okay.

I'm assuming that he means for weight loss, not for diabetes. Yeah, I would assume so, yeah. Okay, so I'm going to make that assumption. Well, there are a bunch of other ones. There's terzepatide, and some of these things have the same activity. Some have combined activity. Terzepatide is Mongero, but it's sold.

I think that one is sold as Waygovi. I can't remember which one. Let me look it up. Terzepetide, T-I-R-C-E, there we are. Okay. Terzepetide. T-Zepet. It is sold as Mongero and Zepbound.

Okay, there you go. And so that one tends to be more effective for people that have not had good results with OZempic. And OZempic is semaglutide. And it seems that terseptide is more effective than semaglutide, not only for losing body weight but for controlling blood sugar. And that's according to a meta-analysis of a bunch of studies that was recently presented at the European Association for the Study of Diabetes in Hamburg, Germany. So it is superior.

But then there's other things as well. I mean, there aren't just drugs. You know, there is bariatric surgery for people who have tried everything, and those things have failed to help them. And there's also just, you know, dietary. changes and those kinds of things obviously that I've done work for me used to I used to be able to drop 40 pounds at the drop of a hat and now I just do not have the willpower so I finally ate all the chocolate in my house I said I'll just eat it all I'll just eat it all and I won't have it

right and then one night I was craving it and I was walking around I was like an alcoholic looking for a bottle you know a pint that I stashed somewhere going all through the house for chocolate and stuff. I finally just got my car and went to CVS and bought a bunch of their crappy chocolate. Oh, my goodness. Yeah. Yeah, it's terrible. Being an addict sucks.

But, yeah, one of these days I will lose the weight. Well, probably. Maybe. When I have stage four cancer or something. God. You know, I just, and then I'll go, why didn't I do this before? Right. You know?

But anyway. All right. Yeah, it's tough. It's a tough one. All right, my friends. Good luck, guys. We need phone calls. Phone calls, absolutely.

We're down to 2015 on our backlog, but we had quite a few this time, and there was one we didn't get to, which was one about what is a quadruple bypass, which we'll get to next week. All right. Very good. Well, thanks, everybody. Thanks to everyone who's made the show happen over the years. Most importantly, our listeners, whose voicemail and topic ideas make this job. not necessarily easy, but fun and challenging. Thanks to the fluid family who hang out in the waiting room when we record.

I don't know why you all do that, but thank you for doing it. Yes, thank you. We really appreciate it. And listen to our Sirius XM show on the Faction Talk Channel, Sirius XM Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on demand, another time of Jim, of course, pleasure. and go to our website at Dr. Steve.com and Dr. Scott's website

at Simplyherbils.net. Until next time, check your stupid nuts for lumps, quit smoking, get off your asses, get some exercise. We'll see you in one week for the next edition of Weird Medicine. Oh, check out my Instagram, too. Andy from A. Heinz Media

has been putting a bunch of stuff up on there, and there's a lot more cool stuff. So Instagram.com slash weird medicine. Thanks, everybody. Thank you.