Weird Medicine: The Podcast - 640 - Keto and Cholesterol

Episode Date: August 8, 2025

Dr Steve, Dr Scott and Lady Diagnosis discuss: low carb and cholesterol proton pump inhibitors block quantum objects long term use of PPI's Recovering from alcohol: acute and chronic use ... Please visit: samhsa.gov (if you or someone you know has a substance abuse problem) ⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠ (WHILE IT LASTS!) ⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠ ⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠ ⁠⁠⁠⁠stuff.doctorsteve.com⁠⁠⁠⁠ (it's back!) ⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) ⁠⁠⁠⁠youtube.com/@normalworld ⁠⁠⁠⁠(Check out Dave and crew, and occasionally see your old pal!) CHECK OUT THE ROADIE COACH stringed instrument trainer! ⁠⁠⁠⁠roadie.doctorsteve.com⁠⁠⁠⁠ (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: ⁠⁠⁠⁠stuff.doctorsteve.com/#roadie ⁠⁠⁠⁠ GET WET BRAIN: THE GAME OF TROLLS AND LOSERS (your new favorite party game!) and watch for DabbleDice: Second Edition coming soon! 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

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Starting point is 00:01:30 You are one pathetic loser. Well, that's because you're an idiot. 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 Benz, 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?
Starting point is 00:01:56 I've got the period crushing my esophagus. I've got subolive I'm stripping from my nose I've got the leprosy of the heartbound exacerbating my incredible woes I want to take my brain out blast with the wave an ultrasonic, ecographic and a pulsating shave I want a magic pill All my ailments
Starting point is 00:02:15 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 a requiem for my disease So I'm paging Dr. Steve From the world famous Carnival Electric Network Studios in beautiful downtown O.J. 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 the whack alternative medicine assholes. Hello, Dr. Scott. Hey, Doc Steve. And back from sabbatical, it's Lady Diagnosis. Hello, Lady Diagnosis.
Starting point is 00:02:56 Hey, Dr. Steve. This is a show for people who never listen to a medical. show on the radio or the internet you have a question you're embarrassed to take your regular medical provider you can't find an answer anywhere else give us a call 347 7664323 that's 347 follow us on Twitter at weird medicine at d r scott wm and at lady diagnosis visit our website at dr steve.com for podcast medical news and stuff you can buy most importantly we are not your medical providers take everything in with a grain of salt don't act to anything you hear on this show without talking over
Starting point is 00:03:29 with your health care provider. Don't forget, stuff. dot, Dr. Steve.com. Stuff.com. You can check out the roadie robotic tuner. And it's a great gift for anyone who has a stringed instrument. They have one for bass. They've got them for guitar.
Starting point is 00:03:47 You can tune your mandolin. Dr. Scott and I tuned his mandolin with one one time. It's a great addition, and they're very inexpensive for what they do. So check that out. Stuff. Dr.steve.com or rowdy. Dottersteve.com.
Starting point is 00:04:02 The other thing you can buy is Wet Brain, the card game. It's a great party game based on presidents and assholes. And it has, if you're into the dabbleverse, it's got all your dabbleverse friends in there. If you're not, which is probably the majority of you, it's totally fine. You're still going to enjoy this game. So check it out. Wetbrain at stuff. com.
Starting point is 00:04:26 And then check out Dr. Scott's website. It's simply herbals.net. That's simply herbals.net. He's getting ready to shut it down. Why, I don't know. I think it's... Sadly. Ridiculous.
Starting point is 00:04:39 Now I'm going to have to start paying him because I was paying him in plugs. Money. So, now I'm not paying anybody's shit. But we will... You know what I will do, though, is I'll do your voice on super tip and anybody uses your supertip voice.
Starting point is 00:04:58 I'll give you the money. from it. How about that? Oh, yeah. Yeah. That might be something. Again, we've got to get the supertip system working, though. I'm not sure what's going on. I had it, I swear I had it working. And probably there's a lot of people out there going, oh, thank God, because they hate the
Starting point is 00:05:14 supertip system. But the way we'll use it will be very tasteful. We'll mostly play them at the very end of the show for people who don't, you know, appreciate the eye voices. But there can be some really funny stuff with that. And one of them is my voice. And so I will call in to like Tuki's show and go, and you'll see my face on there, and I'll pay for it, but it's using my voice. It says, finally, you know, my voice can be heard, and I have to pay to have my voice heard on this show and stupid stuff like that.
Starting point is 00:05:46 But I can comment, but not actually be on the show. So it shows a picture of you while you're talking about? Yeah, yeah. Oh, that's fun. The mouth doesn't move, but the thing kind of vibrates. along with the words. You'll see. It's actually very clever.
Starting point is 00:06:02 Mr. Melton, who invented this system, is a genius. And lots more people are using it. And instead of taking 30%, like YouTube does and paying you once a month, he takes 10%
Starting point is 00:06:15 and you get the money immediately. And it's cheap. It's like five bucks, something like that, but it's fun. All right, so there you go. Cheap fun. Yeah, I like cheap fun. Cheap fun.
Starting point is 00:06:27 Check us out. at patreon.com slash weird medicine, all the stuff that you don't see elsewhere goes there and they get first whack at all the video things and all the other things that we're doing. I was supposed to go to Detroit. I don't know if I'm going to be able to go. I've got a new sort of health thing going on.
Starting point is 00:06:45 And this is what happens. When you're 70, it's like traveling around and doing, I took my son to, he graduated first in his class in college and very proud of him and he wanted to go to summer league which is NBA basically kind of I don't know what you would call it they have a tournament it's an off season but it's off season yeah and they put a lot of the people don't get to play and the new players and stuff like that of the chance to kind of figure out who's who and what and like LeBron James's
Starting point is 00:07:21 son was playing and so you know LeBron was there so Brownie James was playing and And there are a lot of people that don't get to play as much or new people that they've just recently, you know, drafted and stuff like that. But you're right there. I mean, if you're in the smaller amphitheater, you're five feet away from people. And these are people. Liam has an encyclopedic knowledge of all of these people. And he even recognized like one of the announcers. Oh, that's the guy that, and he knew his name.
Starting point is 00:07:56 about him and who he played for before he and I said he went and talked to him and uh and Liam was very engaging when he when he wants to be oh yeah and um so uh we did that but we're in Las Vegas that's 114 degrees yikes and here I am you know almost 70 years old oh he got backed off on uh playing blackjack at the plaza by the way oh did he really oh yeah yeah yeah yeah I'll tell you that story in a second but so 114 degrees running around I was up for, again, for 36 hours straight because you're leaving there, you know, and it's, what we were going to do was the red eye. So our plane was supposed to take off at midnight.
Starting point is 00:08:46 Oh, geez. Didn't take off at midnight. So we missed our connection, connecting flight. But, and then in the middle of this. flight. I'm trying to get some sleep, right? Because I've been up. Now, midnight there is 3 a.m. our time. So, and then at about 1.130, the lights come on. They say, are there any medical professionals on board? Right. Oh, no. So what was going on was people were getting dehydrated. But when you're out there, 114 degrees, you're running around. It feels like, just imagine if you've not been out there. imagine somebody taking a hair dryer on high and just blowing it in your face.
Starting point is 00:09:31 That's what it feels like. And, but it's so dry, you don't sweat. So people are like, it's hot, but I'm okay. Well, they're sweating. You do sweat, but you don't accumulate it. It immediately evaporates. And so they're becoming dehydrated. They're not drinking enough water or they're drinking too much alcohol.
Starting point is 00:09:53 and then they get up to go to the bathroom after sitting on the plane for an hour and a half and clunk. Geez. There you go. And it was happening right and left on this flight. Oh, my God. Yeah, so I attended to at least two and one had to be, you know, transport, once we landed, transported to the hospital.
Starting point is 00:10:15 So I got no sleep. And, you know, here I am. this isn't good for you but I'm okay when I'm out there I'm usually putting these younger people to bed you know they're like oh I'm tired I'm like no we're gonna
Starting point is 00:10:33 party but it does catch up with you yes and so I think I think my traveling days may be over when it comes to like performing and stuff I'll go see people and hang out but I'm not getting on stage and stuff anymore I'm slowing down and it just you know I think I'm done
Starting point is 00:10:51 Well, you know, you can take a couple days for that trip instead of one. That might help. That's a little common sense. I'm sorry. Okay, so let me tell you about, well, I have been doing that. I've been taking a buffer day before and after and all that stuff. But still, I just don't feel like I perform well, you know, anymore. If I ever did, I don't feel like I do.
Starting point is 00:11:13 Maybe a little shot of C. Ellis before you go on stage. Oh, that might help. Just sit up there with a raging boner. There you go, Doctor. It might be it. It's on to something there. I got to tell you about Liam getting backed off. So we found a table at the plaza where they do two-deck blackjack instead of six.
Starting point is 00:11:35 There's two. Why would you ever do that? I don't know what that. Well, they only have two decks instead of six decks. So if you're card counting, it becomes very easy. Oh, okay. Because normally you have to divide by. six, you know, or however many decks are left and all that stuff.
Starting point is 00:11:52 Well, with this, you're only ever really using one deck. Huh. Okay. So, you know, and the essence of card counting is that if a bunch of low cards come out, then there's a preponderance of high cards. And those are actually good for the player. Gotcha. So because the dealer has to, you can hold on 12.
Starting point is 00:12:14 The dealer can't. Dealer has to hold on 6.6. 17 so um and there they have to hold if they have a soft 17 in other words a six and an ace they've got to draw so um they would um it's more likely they're going to bust if there's a lot of high cards in the deck okay so anyway uh and that's the essence of card counting got you well stupidly you know there are these drunks at the table that were cussing the dealers and demanding comps and they were betting you know table maximum which was two grand and all this kind of stuff and then here we are and Liam lost about five hands in a row he doesn't like losing so he said i'm just
Starting point is 00:12:59 going to i'm going to sit out a couple of hands because i'm losing well turned out the count was really low which is not advantageous for the player and the eye in the sky notices this well he was only going to sit out for like a hand or two but then when he tried to come back in the dealer said no you can't come back in until the shoe is done now i understand why because it's a two they don't want people sitting out and then coming back in when the count becomes advantageous but they made him sit out several hands well the drunks left and it's just me so we're sitting there for like 10 minutes while i'm running the shoe out right well okay then he comes back in he loses a hand he's got uh probably 150 bucks worth of chips left and he says i'm just going to go all
Starting point is 00:13:47 in and he goes all in and he wins and then the pit boss comes over and just goes yeah you can't play here anymore and so i'm like wow well i'm i said he's not smart enough to do what you think he's doing which is a liar yeah i was lying but um he could teach the class i did i did right well that's true and he is actually teaching class but i uh uh i wrote an email to the casino manager. Very nice guy named Christian. He's the head of the table games. And I said, you know, this is what happened. There are these drunks at the table. And then Liam, you know, was losing hands. So he sat out and then they wouldn't let him come back in. And when he came back in, he just went all in and he won. And then they backed him off. And he emailed me back
Starting point is 00:14:41 right away and said, was your son the guy with the long hair and the grizzlies hat on? Of course, you know he's a Memphis Grizzlies fan and I said yeah and he emailed me back he said listen if he isn't card counting he certainly count aware because when he sat out the count was two and when he came back in the count was like 10 or 12 and he's he said he's just too good for us and so they've got an eye in the sky they're counting with you so if you think they're not if they're just watching you play no they know what the count is I don't know if they have AI that's doing it or if there are people up there that just know how to card count. But they're watching for people when the count is high, increasing their bet.
Starting point is 00:15:26 That's how they're catching them now. So I wonder if he was drinking more if they would have even caught on. Do you think? I don't know. I don't know. But the thing I said, listen, I get it. It kind of irks me that the drunks get to come back and play because they were abusive. Because when Liam got backed off, he still tipped the dealer.
Starting point is 00:15:46 You know? He was a good kid, though. Yeah. And the guy, um, and I think they're used to getting cussed out because I said, you know what, it's fine. I understand. It probably happens a lot at the two-deck game. And we'll just, I'll see you at the three-card poker table instead. And he email me back.
Starting point is 00:16:07 You're a gentleman and a scholar. You know what? Next time you guys come back, let me know. We'll, we'll host you. So not only did Liam get backed off, but now they're going to comp our next visit. is it, which I can't imagine that ever happens, particularly with somebody like me that, you know, I'm betting, if I bet a thousand bucks a day, they're getting more action than they normally would, you know.
Starting point is 00:16:30 So, but that was a fun experience. I was at first, thought it was hilarious. And then I got kind of mad about it because of, if it hadn't been for those other guys, because they're comping them dinners at the steakhouse and stuff. Just to get them to shut up. Well, and then they knew they were going to get their money back. Yeah, but just to end to shut them up. Yeah, they did.
Starting point is 00:16:50 They shut them up, yeah. But they were driving the dealers and the pit boss is crazy, these two guys. So they just finally comped them to, yeah, I think Scott's right to shut them up, knowing they were going to come back and they would get every penny of that money back because they were betting stupid. And so, you know, Liam's betting small, but he's betting smart and he's more dangerous to them, I guess. So anyway, so that was that.
Starting point is 00:17:15 Wow. Yeah, it was crazy. But we had a great trip, and I saw a lot more basketball live than I've seen in ages because I didn't want them to have to go by himself. Squeaky shoes. Yeah, it was fun, though. Yeah, we had a great trip. But, yeah, if you're going to go to Vegas in July, hydrate, hydrate, hydrate.
Starting point is 00:17:35 You don't think that you're sweating, but you are and you're becoming volume depleted. And if you sit down for a long time and stand up, you may keel over. And then you have to have some, you know... Irritated doctor. Radio doctor come and help you out. Damn it. I know. So anyway.
Starting point is 00:17:55 Deborah had to have surgery. I had hip surgery in November of 2024. Her United Healthcare nurse Crystal checked on her. We do a routine call after surgery, and I could tell that she was struggling. Deborah needed help. My infection markers were through the roof. And Crystal knew what to do. I called the hospital and said she's coming in.
Starting point is 00:18:13 And got Deborah the help she needed. Crystal and United Health Care saved my life. Hear more stories like Deborah's at UHC.com. Benefits features and our devices vary by plant area. Limitation and exclusions apply. So there you go. That was a fun trip. All right.
Starting point is 00:18:29 You have any questions there, Dr. Scott? I got a couple good ones. Okay. I sure do. All right. How about let's do, okay, from Saxon. Keto fixed my bad cholesterol, but made my low good cholesterol worse. Is that normal?
Starting point is 00:18:45 Okay, yes, it is normal. The problem with HDL and ketogenic diets, and we talk about ketogenic diets, we're talking about low-carbohydrate diets where you're burning fat because you can no longer burn carbohydrate stores in your body because you've depleted them all. So we have two ways of storing energy in the body.
Starting point is 00:19:08 One is to store carbohydrates. A lot of it's in liver, but other places, muscle tissue and stuff. like that and then fat but we when we want to lose quote on weight what we're really saying is we want to lose fat and so if you eat a low carbohydrate diet you will burn all the carbs that are in your body and when that happens then you have to metabolize fat for energy and so you're but now you're burning fat and then you will produce these things called ketone bodies which are detectable in the urine and that's when people say I'm in ketosis now The problem is the ketogenic diet impact on HDL is complicated, and it can vary.
Starting point is 00:19:54 There are some studies that show that the ketogenic diets actually increase HDL levels, but it's not universal. Others show no significant change, and others show a decrease. So it tells me it probably doesn't have a huge effect. But in some people with specific genetic predispositions that actually drop it. you know the overall effect on heart health is still being debated you know you know we don't care so much about what the HDL and the LDL look like what we care about is the outcome so if I had a drug or a diet that would make people's cholesterol look like shit but it would reduce heart attack
Starting point is 00:20:33 and stroke I would still do it because the cholesterol is what we call a secondary endpoint in other words we're looking it's indirect you know you you're looking at reducing the cholesterol in the hopes that you reduce someone's heart attack and stroke. Yeah, yeah, yeah. So did you have something more you wanted to say about that? I was just going to say kind of the same thing. It certainly can't have a genetic component. Some people are just genetically having.
Starting point is 00:21:00 Now, compared to a high carbohydrate diet, it's almost certainly more effective for reducing heart attack and stroke because the high carbohydrate diets result in insulin peaks and then... A lot of inflammation? Right. Inflammation, insulin peaks, and then low blood sugar, which then results in insulin insensitivity as the body reacts to that and turns the sensitivity down, et cetera, et cetera. You can get reduced triglycerides through a properly done ketogenic diet.
Starting point is 00:21:39 and if you increase the HDL and decrease the LDL, you can improve the ratio, and that's actually good. So, you know, but there is a variable LDL impact, and some people, it makes it worse. And there are these people that are called hyper responders. They have this dramatic increase in LDL cholesterol on a keto diet, and that is based on your genetics. And the only way you'll know if you're one of those
Starting point is 00:22:06 is to get a blood test done, you know, after you've started a ketogenic diet. But, you know, there's no consensus on what a ketogenic diet does for cardiovascular health. There is consensus on the vegan diet, you know, that it does improve outcomes and reduce heart attack and stroke. So there you go. So, but I'm not doing a vegan diet, I'm sorry. Balanced, all about balance. Now, Bonnie McFarland is a vegan. And she's very, you know, strong proponent of the vegan lifestyle and stuff.
Starting point is 00:22:43 And she works out and all that stuff. She ought to live forever. Yeah. You know. Yeah. Or at least until she doesn't. Right. Wisdom.
Starting point is 00:22:52 Well, as Willie says, there's a lot more old drunks than there are old doctors. Well, that's true. There you go. That's true. Ooh, that's funny. All right. How about another one? Sure.
Starting point is 00:23:03 Is there a downside to taking stuff? like pralisek long term so it's um especially if you deal with girt or similar problems yeah so a couple things who's that from um that's from um the one pun well i want to tell you three tons of hair we're stolen from a wig factory the other day the police are combing the area well there you go coleslaw coleslaw everyone all right go ahead oh my yeah but uh So taking those medications certainly can help acutely with Gert reflux. Yeah, of course. They are proton pumping.
Starting point is 00:23:45 They're lifesavers, but we encourage them to try to get off them as quickly as you can because it can lead to decreases in certain vitamins and minerals, specifically calcium. There you go. And certainly. Myself a bell. Yeah. So if you have decreasing calcium, that's going to result in. Possibly osteoporosis.
Starting point is 00:24:06 Which can result in. Osteoporosis. Osteoprotic bone fractures. Of course, bone loss and breaks. Yeah. And that's the biggest thing is those medications can decrease your ability to absorb other nutrients, not just calcium. Yeah.
Starting point is 00:24:22 So I take a double dose of PPI and I have got to this year work on getting off the shit. It also increases. There is suggested increased risk of dementia. cardiovascular events. Because you are increasing the pH in the stomach, you're losing out on one of the defenses against certain bacteria, including Clostridium Dificoli, or C-Diff. You know, you've got Cardiff is a potato. Corn Diff is an ear of maize, but C-diff is voluminous watery diarrhea.
Starting point is 00:24:59 So there you go. There you go. Dabbleverse people. Vitamin and mineral deficiencies. PPI's calcium absorption potentially leading to, as Dr. Scott said,
Starting point is 00:25:11 decreased mineral density and increased risk of fractures. And reducing that stomach acid, again, can cause problems. And you can increase the risk of community
Starting point is 00:25:22 acquired pneumonia as well. Yeah. Vitamin B12, magnesium and iron can be, you know, absorption can be affected as well. So a couple things, couple things other than the PPI's
Starting point is 00:25:34 real quick. And I know we've talked about it before, but it's really important to take these if you need them and then but try to adjust your diet and the pH of your stomach so that you don't need them forever and ever and ever. Big thing, warm foods, warm drinks, try not eat a lot of stuff that's raw. It's just the harder something is to digest, the harder you're, you know, possibly the more acid you've got to produce. The slower your digestive track is, and we call it gastroporesis or slow movement of the peristolsus through the colon, the slower that is, the worse it is, than the more acids produce, the more you're going to need. So bowel movements, daily bowel movements, good bowel habits, hydration, all these things are really important. A couple other things, not drinking a lot of water when you eat, sometimes will help your body to, to, to, to, to, to, to, to break down the food more quickly, instead of diluting, instead of diluting the acids with water.
Starting point is 00:26:35 Well, I know for people with dumping syndrome, they tell them not to drink. Yeah, I like to tell people not drink it, you know, or just a little bit of water when you're eating to try and let that food get out. Yeah. Dr. Scott advocates not drinking cold stuff if you have this problem, too, right? Because that paralyzes the stomach to a certain degree. It slows it down. Slows it down, yeah. So any way you can increase the gastric emptying, the movement of your stomach is really, really important. And even simple things like little massages and even some herbs that you'll get in certain restaurants like fennel.
Starting point is 00:27:07 Fennel is a warmer. It can help your stomach to be warm and move a little bit more quickly. Ginseng. What else? Ginger. Ginger. Yeah, a little ginger is always good. And those things can help warm your stomach and help to propel the food system.
Starting point is 00:27:24 Interesting. About a straggilis. Astragalus is. Oh, I love that. God damn you from breakfast. him out of a shot up his juggles. He's a fucking idiot. There are a lot of ways.
Starting point is 00:27:35 I'm not saying those PPIs are to never take them at all because I took it myself for years, but I haven't taken one in a year or at least. Really? Yeah. But, you know, the biggest thing I've done is I've stopped having carbohydrates for breakfast. Yeah. I have 40, 30, 40, 40 grams of protein, pure protein in the morning and nothing else. What do you, what do you, how are you getting that pure protein in?
Starting point is 00:27:56 Because that's like 12 eggs. Well, I have a protein, it's a plant-based protein powder that I found on the Internet, and I love it. It's a pea-protein-based, and I tell you what, just keeping blood sugar as normal, we'll try glycerize normal. But most importantly, the movement of the stomach, normal. When you say pee, you mean the vegetable, not urine. That's great, yes, yes, yes, yes. The pea, the vegetable, that's great. I don't want urine derived from urine.
Starting point is 00:28:22 No, negative. Well, I got some pea protein, don't you know? Give me the pee. She surely was a good. Well, she surely was a good. So my plan is I take two 30 milligram Lansopresols every day. That is, and I've been doing it for years, and I have got to get off of it. I can help you, Grasshopper.
Starting point is 00:28:46 Okay. All right. I'm willing to try. Now, I also take Fomododidine on top of everything else. Now, so you can say, well, okay, instead of a PPI, proton pump inhibitor, I'm going to take an H-2 blocker. And so the proton pump inhibitors work by actually preventing
Starting point is 00:29:04 a quantum object, which is a naked proton. There are three-bound quarks. And somehow we have channels that only allow three-bound quarks to pass. It's crazy. You have to be charged, too.
Starting point is 00:29:21 Doesn't work with neutrons. It only works with protons. It's insane. That is weird, isn't it? I don't even know what you're saying. Exactly. That's what's crazy about it. But for millions of years, you know, dinosaurs had proton pump inhibitor. I mean, it had proton pumps because they had to digest stuff.
Starting point is 00:29:40 Yep. It's great. It's amazing. It is incredible. So that we, before we even knew what quantum physics was, we have mechanisms in our body that can manipulate quantum objects. Anyway, so that's what the proton pump inhibitors do is they kill. those proton pumps and when they do they kill them for 24 hours and then you continually make new ones and then the H2 blockers block histamine at the level of
Starting point is 00:30:10 the stomach so H1 blockers are things like Allegra or Benadryl but the H2 blockers are things like Fomodidine and and those you know Pepsid and what used to be Xantac it's off the market now but and tagumet or remember that? I do remember tagamette caused gynecomastia, so they don't use it very much. So now it's mostly phomodidine or pepsid. And it blocks histamine at the level of stomach, which is also a signal to the stomach to produce more acid. But I've always told people avoiding carbohydrates will improve acid reflux, and then I don't listen to my own advice. Yeah, it really does. So I'm going to have to go on a ketogenic diet. I'll bring you some... I'll bring you some of my breakfast. I think you'll
Starting point is 00:31:00 like it. Okay. All right. I'm going to try that too. It's really good. That's where it is. It's fabulous. All right. Very good. So, yeah, if you can limit that and just talk to your primary care. We were all very concerned when proton pump inhibitors were taken away from prescription only and put on the market for this reason, that people would just take them and take them and take them and not even tell anybody. All right. You got anything else? Let's do one more. A question on dehydration and alcohol abuse. What's the average dryout time for someone that hits the sauce pretty hard? How long does it take for the booze bloat to go away?
Starting point is 00:31:39 A couple things coming off alcohol, just like cigarettes and anything else, the more you try it, the better chance you have it being successful. Alcohol is 24 to... Yeah, 12 to 24 hours. That's where you can detect alcohol after your last drink. with a breathlizer. And then it's detectable in the blood for about six hours, sometimes up to 12 hours. But, you know, if you're just talking about you partied too much, we're not talking about
Starting point is 00:32:08 abuse. You know, you abused it one day. You blew it out your ass, but we're not talking about chronic alcoholism. Then, you know, it's going to take you about 24 hours. What I've found when I used to drink too much on the weekend or something, you know, it's going to take you on the weekend or something like that and I'd have a hangover and it's like godda you get old enough and you just don't want to have that hangover anymore and um it would I would feel like shit the next day and I would feel anxious and fatigued and then I would hydrate up and by the evening
Starting point is 00:32:43 I'd start to feel okay and by the time I woke up the next day I was normal again so about you know 24 to 36 hours and uh hydrating what I found and I'm not advertising and I'm not advertising advocating this, but this helped me to reduce the hangover syndrome, was I would hydrate up really well before I went to bed, and I would take, you know, an insid like an apricon, and then I would wake up. So there may be an inflammatory component to it. Sure, sure. Seems to be an inflammatory component to everything. Yeah. But now if you're chronic, alcoholic, and you quit suddenly, then you can go through withdrawal. That's a whole different thing. And, you know, tremors. and seizures and delirium and all that stuff can happen 24 to 72 hours after you quit. And then if you go through, let's see, you're a chronic alcoholic and you go through DTs without medical treatment, and sometimes even with medical treatment, but you go through the full withdrawal syndrome.
Starting point is 00:33:45 You can get this thing called acute post withdrawal syndrome that can last up to two years. It causes anxiety, depression, sleep problems, all kinds of stuff. It can last for weeks and even months. So don't do that. If you're a chronic alcoholic and you need to stop, there is help. There are lots. And you can go to samsa.org. It's S-A-M-H-S-A, right?
Starting point is 00:34:09 Is that right? Yeah, I believe it is SAMHSA, yeah. Yeah, and you can get, you know, the local people that will help you detox. You do not have to do this on your own. As a matter of fact, please don't do it on your own, get help. There are, I mean, I know, and a lot of times it's free help. Yeah. You do not always have to pay.
Starting point is 00:34:29 You don't have to spend a million dollars a year to go into the Betty Forward. Right. There are very talented people that help do these things for free. Yeah. And then, you know, so just stick with it. Yeah, you usually can find some help that's not going to cost you, I'm going to cost you, and I like. And there are medications that can use to ameliorate the symptoms and stuff.
Starting point is 00:34:48 But I don't think that's what he was asking about. I think he's asked about it. If you have a, if you put on a bend. How long is it going to take and why are you saying that? I think it's more chronic from him. Oh, okay. Because it's through past questions. Oh, okay, okay, okay.
Starting point is 00:35:03 But, yeah. So, and I have lots of people who are recovering alcoholics. And what that means is they're always an alcoholic, but they don't drink anymore. Right. We know a bunch of them who are public figures who have talked about this before. for Jim Norton, Dave Landau, other folks like that. And then, you know, we all know people like that, too. So it can be done.
Starting point is 00:35:30 You can do it. You may need help. And going to a meeting is the first step as well. But going to a.a.org and then going to SAMHSA, you can get the help that you need. You've got to get serious about it. Yep. Got to get serious. If you're not going to work.
Starting point is 00:35:46 Yeah. Now, Chanda and I were talking about setting up a hydration station outside festivals and stuff so that when people overindulge, you can give them IV fluids, and you can give them some B12 and some other stuff like that and to kind of help, quote, unquote, cure the hangover. That's a different thing altogether. But hydration always seems to be a big part of it. It helps.
Starting point is 00:36:08 All right. Okay, doke. And there was something we were supposed to address. And I don't remember what it was. Okay. All right. Yeah, no proven way to metabolize. alcohol faster than the liver's natural rate. So once you've taken it in. And by the way, just
Starting point is 00:36:27 drink it. Don't shove it up your ass in an enema or put it under your eyelid or shove a vodka soap tampon in your vagina. Just drink it. If you shove it up your ass, you have no control over the absorption and people die doing that. So you don't have to come up with novel ways to get drunk. Just drink it. Inhaling it. Stop. Okay. All right. Thanks, everybody. Thanks to Dr. Scott. Thanks, Lady Diagnosis. Thanks to everyone who's made this show happen over the years. Many thanks to our listeners who's voicemail and topic ideas make this job very easy. Go to our website, Dr.steve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off
Starting point is 00:37:13 your asses, get some exercise. We'll see you in one week for the next edition of Weird Madison. Thanks, everybody. Thank you.

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