Less Stressed Life: Helping You Heal Yourself

#088 Kids, allergies & the immune systems with pediatrician Dr. Valerie Jacobs

December 04, 2019 Christa Biegler Episode 89
Less Stressed Life: Helping You Heal Yourself
#088 Kids, allergies & the immune systems with pediatrician Dr. Valerie Jacobs
Show Notes Transcript

In this episode, we talk to Dr. Valerie Jacobs about the 4 most common ailments in babies and kids, the importance of gut flora, what is the best age to test for food allergies, and why you should consider doing blood tests and not just skin pricks for allergy management and treatment.

Join us as we discover how we can help our kids manage and improve their allergies.

Dr. Valerie Jacobs holds a doctorate in medicine and a Ph.D. in pharmacology with an emphasis on neurology and immunology from Dartmouth College. She completed her residency with Harvard Medical School at Boston Children’s Hospital while working in the emergency department.

Dr. Jacobs is a board-certified physician and member of the Integrative Medicine section of the American Board of Pediatrics with advanced training in Reiki and Medical Acupuncture.

She currently works in pediatrics with a focus on using a holistic, integrative approach. Dr. Valerie Jacobs believes in partnering with families and investigating all aspects of a patient's life, creating a whole health approach to understanding medicine and safe, effective, complementary treatments for patients.

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spk_1:   0:00
peopie eyes. Totally. Those rupture got floor, Which means that these poor little babies you're on something that wanted people hard to come off. It's really hard to be not peopIe eyes.

spk_0:   0:10
Welcome to the less stressed life podcast. This is your host Krista Bigler, Private practice integrative nutritionist, helping people across the U. S. Reverse digestive issues. Exuma and Auto Immunity. Be a phone and video consult toe. Learn more visit less stressed nutrition dot com Now onto the show. Okay, today on the lustrous life we have Dr Valerie Jacobs, who holds a degree in medicine and a PhD in pharmacology with an emphasis in neurology and immunology from Dartmouth College. She completed her residency with Harvard Medical School at Boston Children's Hospital while working in the emergency department. She's a board certified position and a member of the integrative medicine section of the American Board of Pediatrics, With advanced training and Ricky and medical acupuncture. She currently works in pediatrics private practice with a focus using in a holistic, integrative approach. And she believes in partnering with families investigating all the aspects of the patient's life, creating a whole health approach to understanding medicine and a safe effective complimentary treatment for patients. Welcome, Dr Jacob.

spk_1:   1:12
Thanks for having me.

spk_0:   1:14
S o. I think it's kind of fun. People actually asked me a lot. How do you find guests? And I say, um, all over the place. Sometimes people request, Sometimes I go to a conference and I say, I would like to talk to that person where I met someone. And Valerie's email just landed in my inbox money because she found the podcast. She said, Hey, you don't have a lot of talking about pediatrics of, you know and digestive issues And, like, I'm happy to discuss that because that's something that we see in practice. And I work with kids as well. So I'm happy to have that conversation. Love to have that conversation. A lot of smart, smart, savvy moms listen to this podcast. So we're really excited that you want to talk to us about this. Thank

spk_1:   1:56
you for having me.

spk_0:   1:56
Yes. So let's talk about how we, um, how you got to where you are a little bit, because you I think when I was reading your this was the bio I read, but I was reading a little bit more about you on your website and it looks like maybe you did a little teaching before you went to med school. Maybe. And then also, I see you train your other types of training. How does that happen? How do you decide you're gonna do this? That other training, you decide you're gonna become integrative. What's the turning point there?

spk_1:   2:23
Yeah, it's a really good question. And I think, like many of us, just kind of fall that way from either political experience or patient experience and my facts on a very basic. I have a PhD in, um immunology and started on that track really doing the basic research and from a patient person back Gibbs. I was mostly being early, early on in my training that wow, kids people are a lot more complicated than we think. And the muses amiss waiver complicated than we think in. And we're doing all of these medications, and sometimes they work. But sometimes they're causing more trouble. And I I felt like a provider. Sometimes you're just putting out fires and really, the reason we get into this pond working with with families in all of you out there is because we want to Hugh, you. We want you to be your best cells, and we want to get to the point where you know, not to use the cliche were but the root cause of things. I wanted to get to a point where we're not putting out fires, and I think the way to do that, we really have to go go back to basics, which is our body, our information and nutrition, and in and I think we're getting there. But in traditional medicine, that's still not always, um, part of the general assessment and work up. And so that's what mean You start researching. Okay, Well, what are the clinical evidence and what is the The Protocols? And, of course, still using everything medicine of going back and doing these type of approaches that are states that could be used with other medications. And that can really help Children at the very beginning stages. And maybe he did not get into that point. We were constantly putting out fires

spk_0:   4:07
on

spk_1:   4:08
that one thing.

spk_0:   4:09
Yeah, and so you actually found some trainings that that were already there for you? It wasn't as hard to get into is maybe you thought,

spk_1:   4:17
No, no, not at all. And there are other amusing people, you know, doing research of meth and making a part. And I noticed that I started applying this even as early as the early days in the hospital. You get amusing results. Kids would do better. Families were happier and it was wonderful. And so I just doing this more and more. Morning essentially became really the foundation, my practice.

spk_0:   4:44
And now you're in private practice. So you were in the emergency department at Boston Children's, which gave you a great breath. I've seen all the things, all the things. And now you're in private practice, seeing clients individually and so or in a better setting where it's not so. You couldn't follow them a little bit Esso and getting to do what you love. So what are the things that present your clinic most often? One of the most common things you see?

spk_1:   5:10
Yeah. So I see. Obviously, um, kids with special needs an Alfa just two primary general primary care, But the top three or four things I see and general kept coming in valley pain, right? Pick me anything. Behavioral issues and then course bowel habits, complications a big one. And then when the little ones spit up the black trouble with food and digestion and the infant, that would be my Big Four.

spk_0:   5:42
Um, pain, behavioral issues, bile habits. And what would you call the last one?

spk_1:   5:47
I would say Just spit up in babies.

spk_0:   5:48
Thanks,

spk_1:   5:49
Sweet. We call it reflex. I know is that always they come in for?

spk_0:   5:56
Yeah, So let's talk about that a little bit. How common is is the spit up or reflux and And what what point do you find out? More troubling, where it's a little bit outside of like, Oh, it's just a little bit of spit up.

spk_1:   6:08
Yeah, because it is so about this. People sent of all babies. Their kids under the age of 12 are goingto have some kind of actual reflex. Usually, if they're happy, spit upper growing and doing fine is not a problem at all, because that is part of it is your gut motility and just not even developed yet. They don't have a great thinker. There have a great way to keep that food down. Everything's gravity at that age, and so food coming up and down all the time and totally comfort to come out, come out when it becomes it's you is when it becomes upsetting for the infant. So if you're seeing a lot of fussiness, increased gas, Penis trouble with bowel movements, certainly if you're putting out so much that you're not digesting and you see changes in wait, that's pretty extreme when it gets to that point. But those are all reasons that I started yet.

spk_0:   7:09
Okay. What did you say? The percentage was that You see that 50 president?

spk_1:   7:15
Pretty high.

spk_0:   7:15
Okay? Yeah, pretty pretty good chance. Just a chance of having an issue. That not. Okay, So you said gravity is a big piece, and sometimes I talk to people about, you know, sometimes there's a structural piece or nutritional tight piece on emotional piece, but I think about with reflex. Do you do you go over structural interventions at that point? Like literally. Do you go over? Hey, let's sit up after meals longer or something like that. Common

spk_1:   7:42
Exactly. It totally so they always you want to do, like, minimal approach first, right? And yes, we always start with a basic okay. Lets you usually will do combinations. So set up these 30 minutes after the feed, and they

spk_0:   7:57
also

spk_1:   7:57
recommend splitting the speed so make make little breaks pause maybe twice in the feed to a bar, but then love the instant, eat again and then keep upright for 30 minutes. And then in between, when you're practicing tummy time or playing with your instead other Cem Bey's Because I'm I'm happy. Oh gives you two basic infant massage moves I teach to to kind of help that bowel movement going and get the gas moving. And that's where we start.

spk_0:   8:28
So that's where you start. And then are there some other things that you use? Like, What are some other interventions you may or may not use with someone of three flocks, like Do you go straight to do? Is it really common for someone to end up on reflux medications or peopIe eyes? And what is that for kids?

spk_1:   8:47
Good question. I don't think, uh, that historically, this is very commenting that that pediatricians doobie, especially if you have an association with a Penis besotted It must be pain must be hearing from all this acid. Okay, we're gonna put them on a medication that stocks that first of all, to be really clear, it's not always the asset you can have pain and discomfort and the actual for the kids that have been doped. The actual kids that have true acidity issued is rare. So oftentimes they're using is not even on after problems. Secondly, as we unfortunately now, no, right, sometimes the uses for years. And then we figure out that wasn't that great for you. PeopIe eyes totally. Those rupture got floor, which means that these poor little babies you're on something that wanted people hard to come off. It's really hard to be not peopIe eyes and to you can change. I got four, leading to increased things that think like Steve. Oh well. Nobel Overgrowth, which causes lots of problems with you, have been told there's later in life as well as other issues, which makes you prone to things likely he got, which makes him prone to things like pretty bad food allergies so that all ties together as a rule of fun. I never and I think more more practice. Another, hopefully comes going this way. I never use the peopIe Aitor so many things we could do before that, uh, for example, Austin, I look at okay. Digestion. How What is actually cognitive having reflux? Because things aren't moving as far down as they need. Your things kind of get stuck with things going slow to me to work on the motility of the food going through. Or are you getting a lot of gas? Production of reaction because you're having a reaction to something in the food andan that keys. I often will do boot elimination with Mom. They're breastfeeding or trying, sir, Venting with different formulas through on formulas. And my success rate has been pretty high doing those simple interventions and never needing to go to a p p. I.

spk_0:   10:56
I was doing a lot of research recently for, um was writing about for about Exuma, and I was surprised at the number of If you change to a Hydra. Lies are basically a pre digested formula that can clear Exuma very quickly and a lot of kids like it was a very, very image. And I'm sure you see the exact same thing because really, if you're not able to digest things perfectly because things are a little immature, what not adding a P P I r. Reducing the stomach acid, which helps break down things which help them connect down break down proteins, isn't going to help. If that's the cross problem, do Ugo Enzymes and Children at all. So Hydra Light's formula makes sense, because then it's already kind of like already pre done. But do you ever give enzymes to kids, or do you kind of try to avoid that as well?

spk_1:   11:45
So really good question. And I do. I have one little incentive to now who, Um, we've been working on some information and some essentially really bad that guess that she had really been too sick ones with age after getting tons of bounds of a month, Silin from have a position with repeat your instructions that unfortunately, could have messed up her God. And then she started getting extra mom and she's getting other issues. So we did. Through elimination. Would you work pretty well? And then when they're that young, I don't treat kind of, um I feel overwhelmed or got for, ah, abnormalities with antibiotic spectrum. Avoid it when their infants and so do a lot of prebiotic. We do a lot of food allergies, but in this instance, she was still having a lot of really bad gas and really, I think, whatever coming down to, she was still having trouble digesting. And she was old enough that we couldn't obviously do a different formula. She's going to eat food. And so we did end up doing some digestive enzymes with her, and it worked beautifully.

spk_0:   12:55
E

spk_1:   12:56
did exactly helping get that gas under control and opinion.

spk_0:   13:00
Yeah, that sounds like a classic story, I hear all the time. We have to go on the antibiotics for X y Z thing. You know, they're a good life saving thing, but they can be. Yeah, yeah. I mean, they could really damage what's going on in the gut Microbiome. And then I always say, we're growing weeds in the microbiome sort of when you were talking about small intestine back to your overgrowth. Or, you know, we didn't talk about large intestinal bacteria overgrowth. That's a thing. I see a lot. We've got a lot of weeds growing. So how do we pluck the we's rebounds? Weeds make it so There's a very nice lawn, because if there's weeds going on, it's going to impair digestive ability. And so that is so common. And it presents. Is Exuma all the time, right? Which is back the condition that I see all that So we don't get a situation. Something we were talking about off Air Woz. And I'm hoping I'm really hoping so not too long ago, I had a mom call me and her daughter had a lot of a cheek. She's a teenager. Lot of a cheek ferreted or iron levels were extremely low to the point. This girl is not getting out of bed. So anyway, uh, after talking to Mom, I'm like, that doesn't just usually happen. So what, I was gonna go are you know, we're having happy bleeding ments really or something else. So anyway, come to find out that this little girl, this girl who was not so little anymore she's a teenager now she's been on a an acid reflux med since she was a child and just left on it forever. And I'm like, Oh, my gosh. So we now know that there's a lot of downstream effects because at the very top, we're not gonna be doing things properly anymore. So once it's a little bit you know, once you mess with the top of the flannel, then let's there's all kinds of things that can happen downstream. So we were talking a little bit off air about a study that came out in 2018 and Drama. So big deal Of almost 800,000 kids that were on Tricare. So they were on. They basically just looked at data as too. OK, so if these kids were on a P p I, which is Ah, reflex man or an antibiotic in the 1st 6 months of life, which I mean those first couple of years are kind of important for the microbiome. They're on the 1st 6 minutes. Six. Yeah, for six months of life. The percentage or the likelihood of allergic diseases later on is really significant. What do you think is going on there?

spk_1:   15:16
Good question. I think this is huge because I think exactly what you're seeing. How we handle things later on in life is so affected, how we kind of trainer got and what we do early on it. Like until my theory, there's really good again. Not a lot. It has much data and the little kids distances is why this study was so important. But we can extrapolate a little bit of the deed of this in adults. But we do know that TP eyes beyond obviously changing the acidity completely changed the bacteria good and bad in your digestive system. So it leaves the increase risk of getting things like Steve O. This has all been shown an adult. We also have pretty good studies, say also effect just that really important pay junctions. We want our bowels to be like a good cage, right? We only want a lot in things that we need, and we want to keep everything else out. But we don't want you. And unfortunately, with breakdown and P, I can do this that that gate gets a little lax, you know, it starts being open when it should it and you start absorbing things you shouldn't, which are insurgents. Inflammatories are all things that we need to you having an inflamed two reactions to things you shouldn't and ultimately can need. Allergy. So there's going to be exposed to things regularly in the way that you normally shouldn't with your body, um, and have huge reactions. And then there you go on these air having allergies.

spk_0:   16:46
So you do want to talk about allergies and how that's tested, because this is a big discussion topic with examine kids. I have a question before we get to that point and your focus as pediatrics and so you're seeing the kids. But do you ever ask questions about the parents in their digestive health? So it makes it makes itself It makes sense. If the kid's stuff started after a round of antibiotics, right then we have, like a quick, clear, maybe starting point. But if it just started randomly, or if it's always been like this or what not, you know how. How is the Parentshealth implicated? And I've paid attention. A lot of what's going on in research on. Okay, Can we see that they were transmitting this microbiome? I mean, So what are you seeing in practice?

spk_1:   17:25
Yeah, I think there's a room, a data on that. We don't have a lot, but certainly we know that early on, when you're bored and your bomb is special, you have vaginal birth. That is a really important stuff in terms of developing our microbiome and give me you that good immune defense. However I would I've noticed more is. And I I think there's a little bit of of how your body responds your environment. There is a little bit of that that's genetic race. And so certainly I always ask t have you noticed you are upset or have issues of food? Allergy. Do you notice you get floating? Have you had asked my some point? Do you ever have Maxima? At some point do you get brushes some time? And some of that is because, Okay, maybe these people are sharing the same environment. Right? Um kind of what you cook for yourself. Your kid is also getting on and then some of it, too, is a little genetic. Like I always tell people, you know, you can have e you know, bad salad of at your family picnic, and everyone will eat it. But not everyone will get sick. Some will be really ill. Some will act as if nothing happened.

spk_0:   18:34
And some

spk_1:   18:34
people might have, you know, a little bit upset stomach and that all theories based on kind of your previous disposition how you're gonna respond to that? Do you think a little bit that it also genetic because that definitely trickled down.

spk_0:   18:48
Yeah, definitely. Or what's the current environment of the microbiome? Right, Because if you already have a lot of weeds and we add a bunch more with a little bit of food poisoning, those people may not recovery. So so many things there. So when we're talking about allergies, are you seeing an increase in actual food allergies and to tie into that Also, a common discussion point I see with kiddos of exam is that sometimes a doctor will test for food allergies at a young age, and sometimes they will not to tell me what goes on to those decisions.

spk_1:   19:20
Yeah, I always start with me. Still ultimately was. But you end up doing anyways altering the girls, he and over you're still on elimination by X. That's really where you're gonna be to get a benefit. So for the younger kids and actually really even do this with the older kids. I tend to start their, um because maybe we'll get lucky, get beauty after right away. Give the family a school will start working on, and then if we're still having trouble, I moved to food allergies, testing the reality testing I won't you in my in my rule of thumb is in terms of new system after the age of to your pretty pretty much been developed any time after that. I trust the data. If I'm doing a $2 you touched before that, I tell the family that caveat is, This can change. We can work on. It can get better. It can change over tending my develop, completely different allergies and this tough. They might be completely different in the next six months because exactly you mentioned earlier, you're still really growing that that got floor on that and that microbiome. But in general, I always wear a suit elimination. And then I am seeing it way more than I think, because I'm learning to look for it more, too, because you're the user experience to with your science is impatient. People don't present all the same way, right with food dollars of their food. Intolerance. Yes, sometimes it's Xmas, but sometimes it's not. Sometimes on poor close sometimes is behavioral issues focus issues on. You look and noticed that there's issues in there to all, and you you narrow it down there having certain responses of things they eat on, so I don't always think it's so easy to find. So I actually always start with very detailed died. Analysis Intuit Analysis with all my patients, regardless of their guns

spk_0:   21:23
cool, that deserves a round of a process e. I like how you said, because I have been hearing kind of three years old, and I think it doesn't matter if it's two or three. This is around the time that the microbiome starts becoming really established right for the rest of it. Exactly. So it's interesting that we also see that at this point, that's when we think that food allergy testing is maybe a bit more accurate,

spk_1:   21:48
accurate.

spk_0:   21:49
And it's

spk_1:   21:49
also interesting because that's when from a PR standpoint, that's when we especially could start diagnosing things like asthma.

spk_0:   21:55
Men

spk_1:   21:56
really don't even consider you're not allowed diagnose mental after that age anyways, because almost things play such a role, and kid kid's Having losing earlier on might completely dissipate by the age of two.

spk_0:   22:12
Let's talk about the appropriate ways to test for food allergies because I get it. I mean, I talk. I got to talkto the aftermath and it's all over the place. Some people are doing lead testing, and some people are doing skin protesting. And I know what I've seen in my research. But what's I mean, what's I trust you in your gold standard. So what should people be doing for different things?

spk_1:   22:33
So I think it's much better than what you're what you're specifically testing for and looking at the civic things some everything's do do better in a skin versus a blood In general, I test blood because I actually want to look at both I g e and non I C e right the nationals of allergy and infectious diseases. Food can actually be two types of allergies. You can have the i g e mediated and you have a non I g e making present in very similar, very different ways. And that holders kind of how I treat and work with the family. So I do blood because I like to see that was, um, and that helped make him design what we're gonna do and move forward.

spk_0:   23:12
So do you know if this is right or wrong? When I had done research about this a while back, it was thought that blood was better for food, for sure. And skin, maybe a writer for environment. Is that accurate? Not accurate. Not sure.

spk_1:   23:27
Good question. I think you could make that, General. Yeah. You can't beat digitalization. Certainly some of the environment. Look, Jill, show up in food. The thought is the environment is gonna be really triggering. More like that histamine reaction in your allergies, which is really that beast isn't that kind of readiness you get when you put somebody on their skin with skin test. And that's why you're getting bad. And when you're looking at the blood work, you're really looking at more longer formed memory response to whatever the trigger. Is your testing on DSO the slightly different mechanism really that you're testing for? So yes, So skin readiness histamine. Definitely the trigger. Their environment makes your eyes water too. And make the knees, and then the blood will test for things to that are more, um, takes long garp immune response that might sugar things such as, like pretty bad long term belly aches or that fogginess you get in your head. But I I think in general I intend to do the blood work Because of that.

spk_0:   24:32
I want to talk about I g versus non I g because G is well recognized. You know, this is this is what we use is the allergists use. So I g e as an elephant. And so that's what we think that reproducible We can see that again and again, like in theory. If you would do the same test over and over a year apart, you should get the same results. Technically, is the thought process to my understanding. That's how we've always talked about it. But they're not non I g is all the other mechanisms. Technically, I call this sensitivities. I think this changes based on what's going on immune system. What do you think?

spk_1:   25:04
100 Birthday 100 with that. And that's ultimately the goal, right? That's the goal is to help the family trust you when you get back. My goodness, maybe six moves out here. The goal is to get a pointy heel. Your God, you turnings off. But not not like a extreme i d peanut allergy. You were not making you eliminate these lights. This is just kind

spk_0:   25:29
of Zack.

spk_1:   25:29
Like you said, this is Helling us a. little bit about how your gut is working right now on how your body is working. And our ultimate goal was to fix and Hugh back so that everything can be added back.

spk_0:   25:41
Yeah, eso when where people are looking at their allergy test results. So actually there i g e test results to just kind of standardized here. What's the range on the scale that they're looking at? And sometimes there's surprises like, Oh, I'm only 00.34 to this. So do I avoid it? Doing not avoid? I don't notice symptoms. How do you handle that?

spk_1:   26:02
Yeah, Ultimately, this is where it comes like into your individual individuality. Get the range is on on. The testing can all be a little different, but it definitely can be small changes, even just 1/2 a point. But and depending on the past, often times one toe, almost four. I. You tell people, uh, if even if it's that small trained in general, anything from around one, I don't worry about too much for the small changes. I say this, try it. Try taking it out for a week or two and see how you do. Because the ultimate answer is believed you in the individual. Andi, how you respond. And so for some people that small changes, even on the skin, might be big changes in the body. So I tend to try it. And then if you don't see anything, you okay, Now back in, it's going back to the whole elimination diet, as always, the gold standard.

spk_0:   27:02
I think that, um, success markers and kids include mood and sleep, and I am pretty sure you feel the same. So do you see shift a lot of the evening stories about how that has how you've been How about how parents have been surprised that when food changes mood changes,

spk_1:   27:19
the mood is huge. Food mood, right? Yes, I have hot. So I have e um, knowing your old, um, female. This is kind of it a neck stream case had some behavioral issues to the point that she was actually briefly in the Children's hospital for a week on many medications to come come her down on dhe. She came to me also had extremely extremely bad seasonal allergies. She had the whole bucket on slowly, very slowly with doing different. Joe, I was assuming the winter off all of her confused on four anti psychotics. I'm working

spk_0:   28:05
with her

spk_1:   28:05
over a year now, and we have just finally completely eliminated um, gluten. And she is off her medication. She still has the legal bit of allergies that comes through that affect behavior, but very mild. It's now completely controlled by just behavioral interventions when she gets upset with those small allergies. Been general. She's an extreme case, but I like to tell the extreme cases people that, like all the range, can happen. So this is a kid that was literally on, for instance, psychotics and was had extreme allergy to gluten and some very and when over taken out, completely different child. And it's going really well in school.

spk_0:   28:50
Yeah, it's a good story to tell because, I mean, kids shouldn't have to be. I mean, they just deserve better, right? They deserve for us to do better for them, and I mean, that's a simple Some people might consider that to be an awful intervention. The audience to this show doesn't find that to be defined, that that's an acceptable intervention, and so it's a great director because it's it's makes us sad that she had to live till nine years to see that, right? But I I see that a lot with even my kids. Um, I've had some interesting things where, like, kids will get into certain things and their mood is create a I had a kid. Oh, and then I ended up helping his grandma grandmother with issues as well. And I remember her saying to me, I have my grandson back like he is just a better, happier child now because of correcting what was going on. It's got microbiome that ultimately affected how he tolerated foods. Um, Axl tickle chicken and egg situation. So you were talking about bad seasonal allergies? We could talk about histamine and immune insult, but I think something and I sometimes hear is people say I had this allergy testing done, and the and I feel like I hear all these people. They're like the doctor says, I've never seen anything like it. You're allergic to everything or, um, or they just are. They're just They react to everything. What's your opinion there? You think the immune system is just kind of totaling inflamed?

spk_1:   30:11
Yes, I yes, I definitely D'oh. I think when you're when you're one of kids. And I've seen it too. Or you're just Larry turning positive across the board and tell people that is way too hard tonight to dig in. I don't think there you're having your allergic. Every food, but I do think is happening is you're still inflamed is almost where you think of what happens with an auto immune disease, right? Your body gets angry at something and essentially over react starts responding to things it really shouldn't normally doesn't. And so that is a huge thinking. You'll run fly to say, Okay, we gotta calm this down first. Um, and those are the kids that Yeah, that you start doing just three weeks. Basic basic coming. Go back to your bone profit diets and look at the environment. And really, we need to calm this information down and then maybe consider retesting.

spk_0:   31:08
Yeah, because we don't think that those test results are necessarily accurate, right? We assume that you can be completely others away. Yeah, definitely.

spk_1:   31:16
Yes. I totally agree.

spk_0:   31:18
Um, so let's talk about growing out of food allergies. What does that look like? And how common is that? I know. It depends for the type of food

spk_1:   31:25
definitely depends on the type of food and young roll. The data says that for for kids and with a G E mediated bad food allergies is about 20% though they're the kids that we think about what you know, Anna, that might have an anise relax its reaction. Maybe that kind of gets you in the hospital when they eat a food that's about 20% the data on other or maybe food intolerant to be one of the categories that is much, much stronger in higher because part about it is like you said, you're a healing how your body's responding, Responding to the food. We're much more likely to actually be able to reintroduce food when it's not an extreme allergy like that.

spk_0:   32:14
Something I tell clients a lot is that you know, I G is really well recognized, right? I mean, we can pretty practitioners agree about this. Not all practitioners agree about food intolerance and non I G mediated stuff. Would you agree with that? Still, are we Are we Are we even the people to ask our returning a corner? Because once you start surrounding yourself with people that have already turned the corner and are doing new things. And then you see people that are still kind of, you know, working in 1995. Um, it's you know, you you don't you don't know what's most common. So what do you think is happening? I mean, do you think we're starting to accept this more and more?

spk_1:   32:49
I think so. I actually do think so. I steal. Definitely. Um, have some calling or some kids who will see criminal justice. No, it can't be that if you if you don't have an animal extraction is not a food allergy. But then at the same time, I absolutely have have colleagues and immunology, um, an allergy who are starting to do this themselves. So, yes, we're not there yet, but we're getting there, and I think you can't argue with exactly you said would happen with your patients. You can't argue when you see that amazing difference. And a child with these type of simple safe interventions.

spk_0:   33:32
Yeah, I think one of the things we want to make sure we talk about today because you mentioned eliminating things a couple times. So it is definitely our thought process for sure. When we have a significant allergy, the treatment is avoidance with other things. It might be a short term avoidance, but as you mentioned earlier, we're trying to heal things. Um, since we're dealing with kids and I think it depends, I think it's easier when you're two or three and you don't know the difference if possible, as different as we get older, right? As with teenagers, how do we broach this topic? One with parents that were talking about this in a healthy way because our goal is not elimination long term for a lot of things right? We want to have the broadest diet we wanna have as many colors. It's possible we wantto we don't wanna be limited. And I do get the other end of the spectrum where people are like, Oh, I started limiting and now I'm in a this limited box. They don't know how to get out of it. Measure of you See that? And Howie, what are some steps you take to make sure that good food relationship is being considered and parents air like speaking positively about food, et cetera? Or is that something you

spk_1:   34:36
that's a really good question. And I think this is where, um and you know the saying it takes a village comes into place. So early on I talk, we talk about it, but yes, this is just part of healing. And when I talk about elimination eyes, I really focused on this is short term. Give us every away to find tools. But then I actually tend to work. Um, not always, but often with a grave or a functional nutritionist or dietitian to with my family is to to kind of go through a queue in sight. Okay, let's look at what's healthy and everything has to be right positive. And we want to see him. Not exactly, he said earlier, we talked about eliminating elimination, but a picture we don't want to think of taking away, right? We want to think of bringing good things, right. So, um, early on, for the preventive care, before I have a kid coming in with an issue and I'm just doing regular primary care visits. You spent a lot of time going around a few. What is good food? What do we want to include? What is this bringing to us Why is this helping their brain? What is with vitamin A dealing for the for their body so that early on we're always thinking positively how all these suits could possibly affect. That's not my body.

spk_0:   35:56
If you could leave people with one kind of gut reaction on link, here's something you know today to improve your Children's health or or what not. What would you leave them up?

spk_1:   36:07
I think my biggest thing that I'm trying to work out with hardened teenagers is breakfast really is the most important meal. Um, and if you confuse a little glassy MiG breakfast index or your kids, it will be a huge difference in their focus and their outcomes to adult that day. There's really good data that even that simple changes sex test scores. So my number one take home for all my family is like try to get that that good protein, non sugary, um, healthy fat breakfast and before they're out the door makes a big difference.

spk_0:   36:43
What are your favorite? You know, what people want to know is what you're feeding your kids for that then because they won't tell us your what's comin in your house.

spk_1:   36:51
Oh, I'm a huge of a common person. So I'm also a realist, and we're all running out. That's right. So I a newsy and do I am not creating these amusing breakfast at four o'clock in the morning. So we do a lot of mashed avocado with a little bit of spices on top. Or, um, or a is out the door. Um, sometimes that we're really creative and have time to make our own kind of healthy grill bars over the weekend. We'll do that. But that's much That is my go to Rex. Easy. I don't have to think about it. And everybody,

spk_0:   37:28
That's what I had for breakfast and over the Oh, yeah. Um, Dr Jacobs working people find you online.

spk_1:   37:38
Yeah. So, um, you can I'm at easy, kids. Indeed. My handle. It will be, well, easiest. If you ever want to follow me on instagram just a quick step or things on. And then I also update there, but on my website also keep a blood. And also people always welcome toe reduction. Me, redox, myself of C. I need help with guidance or looking for different nutritional supplement questions. Still free to lead out I'm happy to help in any way I can.

spk_0:   38:08
Yeah. So I'm gonna re entering its ese like Arizona kids. And, yeah, so easy. We like

spk_1:   38:14
Eric Lana or a busy day and then be, but yeah.

spk_0:   38:19
Okay, Cool. I love that. And that will definitely in the show. Notes. I actually looked at Dr Jacobs Block last night or this morning, and it's great. You should definitely go check it out. So that's not that's not always a recommendation. I have to give it a smell like that. Good stuff here. Questions I hear all the time. So definitely go check that out at ese kids MD dot com. Thanks so much for coming on today. I hope that people will respond and give us other ideas that they love to hear back from you. And we can have you back.

spk_1:   38:48
Thank you.

spk_0:   38:53
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