Tag Archives: supplement

Foods or Herbs to heal stomach lining with Gastritis?

A reader writes:

“My doctor informed me that I have gastritis and prescribed me medication.  Are there foods I can eat or herbs I can take that will help heal the lining of the stomach?”

There are indeed.  Some people are going to chime in:

“Slippery elm!”

But before we get to that, a more important question to ask is, what’s causing the gastritis?  After all, everything mentioned above is just symptom relief. 

It doesn’t do anything to alleviate the real problem.

In Functional Medicine, a diagnosis is certainly helpful, but it doesn’t tell you anything about why you have the problem or what’s causing it.  For example, “gastritis” is a very nonspecific term for “an inflammation (irritation and swelling) of the lining of the stomach”.  That’s a good place to start, but what’s causing the inflammation in the first place?  (Most doctors don’t attempt to look for the cause.)  Until we know the underlying cause(s), all you can do is treat the symptoms; by getting to the “why” and the root cause, that’s how we figure out the most appropriate course of action so that the problem can be corrected from the ground up.

The reason it’s so important to identify the root cause is, a single symptom or disease can have several widely different causes, and each of those causes must be addressed differently.  In this case, gastritis has two extremely common causes, and I see these all the time in practice.

  1. Reactive intolerance to certain foods – namely gluten, but definitely not limited to gluten only!
  2. Intestinal microbes – these can include parasites (hookworms, pinworms, etc), yeasts/fungi (candida and others), and/or bacterial infections (Helicobacter pylori or opportunistic bacterial overgrowth).

Practically every single patient I see in my office has BOTH of these problems!  They are both incredibly common.  They are also both incredibly overlooked or worse, met with skepticism by most doctors if a patient attempts to bring up the subject.

In this case, there are some diagnostic tests that can be ordered to figure out why your digestive lining is inflamed.

One is a gluten intolerance/reactivity test.  This isn’t the same as some of the tests they usually run at a hospital for Celiac Disease (which usually involves an endoscopy, which often produces falsely “negative” or “normal” results).  There are several ways to test for various aspects or evidence of gluten intolerance, and there are several different lab companies that each offer their own versions of testing options.  Some offer lab testing services directly to patients and don’t require a doctor’s order!  A variety of testing methods are available, and some results can be obtained from a simple cheek swab.  Please visit my SA Gluten Free website for my free, no-strings-attached e-book on Gluten Intolerance and various testing options.

The other test I typically need to order is a digestive analysis with microbe screening.  This is actually a combination test panel that offers a whole lot of info about any microbes you might be carrying around (as mentioned above, these can be any one or combination of the following: yeast, bacteria, and/or parasites.  The average patient comes into my office with no less than 3 separate species of these microorganisms!).  In addition, the version of this test I run tells us a lot about the environment of your digestive tract and it offers some indirect evidence of how well you’re absorbing nutrients.

It’s especially important to order these tests because:

Reason #1: Everyone has these problems.  Out of hundreds of tests I’ve done, I’ve had only one single initial test come back clean, which means in my clinical experience, the incidence of these issues is extremely high.

Reason #2: Other doctors are NOT checking for these and if they are, the tests are very invasive and outdated and frankly, can give you incorrect results.  They may appear “normal” or “negative” even if something is going on.  It’s crucial that sensitive, relevant test methods are used to ensure accurate information.

Reason #3: These issues wreak havoc until they’re dealt with.  Food intolerances do not go away, and neither do intestinal microorganisms.  Intolerance reactions build with time and may become severe enough to promote destruction of your own tissues, organs, or glands.  Intestinal microbes act like squatters on your property (your intestines) until they’re forcibly evicted.

Reason #4: Treatment approaches for these issues are very different.  Many people make the innocent mistake of attempting to treat themselves using information gleaned from a Google search (I used to be That Person myself), but until we have the test results in hand, how will you know which approach to take?

If the problem lies behind Door Number 1 (the food intolerance), one must eliminate that food, identifying the infinite number of possible hidden sources, and this dietary modification is usually for life.  Some choose to forgo the testing and simply attempt to eliminate (or “cut back” on) the reactive food, but this approach is rarely successful and besides – why go through the trouble until you know for sure that you need to?

If the problem lies behind Door Number 2 (the intestinal bugs), it takes a very potent synergistic blend of herbs, nutrients, enzymes, and probiotics to manage and help eliminate intestinal imbalance, and it can take a considerable amount of time and expense.  Again, there’s no reason to spend 3 months or more (to do it properly) and spend a heavy investment if you don’t know for sure that you need to.  And more importantly, without the proper testing, there’s no way to know for sure whether or not the efforts were successful.

Maybe the problem lies behind an unforeseen Door Number 3.  In that case, even if the first 2 tests I discussed above were truly negative, the effort and investment was not wasted, because it’s good to at least have ruled out those very common ailments so that we can begin to look at other possible issues without having wasted time or energy elsewhere.

Once we know what’s going on, we can address the root cause of the problem so that we can give you a permanent solution and real, long-term RELIEF with an approach that we know is going to truly make a difference!


How do I choose the right probiotic?

A reader writes…

“How do you go about selecting the right probiotic?  I’ve heard such conflicting information.  Some say that probiotics are useless, because you’re born with what you have and there’s no way to replenish.  What are your thoughts?”

My first thought is, who on earth is telling people there’s no way to replenish good intestinal bacteria?  Whoever it is, he or she is gravely misinformed on several counts.  First, we’re not actually born with any gut bacteria; we acquire it early on–first during a regular vaginal birth and next during breastfeeding.  (Those who did neither missed out on these opportunities and may not have adequate levels of good bacteria if they didn’t acquire it from other places.)

Next, it’s important to understand that our normal gut flora (beneficial or “good” bacteria) are constantly under attack.  These attacks come from anywhere: stress, processed foods, alcohol, tap water, soil, other animals, medications (especially antibiotics and antacids), other people, and lack of stomach acid, just to scratch the surface.

Why do we need these bacteria in the first place?  They carry out an extensive array of extremely important functions.  They help fight some major disease-causing bacteria; in fact, they help form most of our immune system!  They turn vitamins into their active forms so that our body can use them.  They help you absorb nutrients, including fats, carbohydrates, protein, vitamins, minerals, and others.  There’s even a growing body of evidence that suggests these bacteria may play a role in lowering cholesterol.

So, when we don’t have enough of these bacteria, the above benefits start to evaporate; the immune system becomes weak, other “bad” bacteria (as well as yeasts, fungi, and parasites) can become opportunistic and “install” themselves, you can become seriously deficient in multiple important nutrients, and if the recent studies are correct, your cholesterol may elevate.  Does any of this sound familiar?  It should.  Why?  Because most people are indeed missing much of the good bacteria they need.

So, we turn to probiotic supplements.  I would love to sit down with someone who doesn’t believe probiotics do any good and show them the before-and-after digestive analysis tests of my patients (with names protected, of course), and show them the growth of the colonies of good bacteria between the initial test and the subsequent follow-up.  The numbers of good bacteria do improve.  This is how I know the probiotics are working.

So how does one choose a good probiotic?  There are quite a few choices out there and unfortunately, not all probiotics are created equal.  The supplement industry is largely left to police itself without a lot of regulation, which has both advantages and disadvantages.  The bad news is, there are some that don’t do squat.  The good news is, there are many that are quite effective, and these companies are free to innovate and develop superior products, which many of them have done.

So how do we separate the “men from the boys”, so to speak?  There are two fundamental qualities to look for in a probiotic: a variety of species, and high, potent doses.

At your local health food store, most of the products contain anywhere from 3 to 5 species or so.  This is okay, but it’s not quite enough.  This is because your intestinal tract is essentially a small ecosystem.  There are literally billions, even trillions of different types of bacteria happily co-existing together, each of them occupying space and keeping each other in check, ultimately creating a delicate balance.  Supplementing with a 3-species formula won’t do much.  (Most formulas available only through healthcare professionals typically have much higher quality and potency than those available to the public at health food stores and other places.) The most diverse higher-quality* formulas we have found so far (and thus, the ones we use) contain 12 different species.  While that doesn’t sound like much of an improvement in the grand scheme of things, it seems to work quite well, each additional species having a compound effect.

Next, let’s talk potency.  Potency is measured in colony-forming units, or CFUs.  One CFU, theoretically, goes on to start its own entire colony.  It’s mind-bending to consider how many billions of microorganisms there are in just a teaspoon of probiotic powder.  The storebought brands tend toward lower dosages, somewhere around 5 to 35 billion CFUs.  The highest dose medical grade supplements we found (and incidentally, the ones we use) contain 100 billion CFUs…in a single quarter teaspoon.

And last but not least, as with all supplements, it’s important to avoid supplements that contain (or come from a factory that uses) gluten fillers (wheat germ, wheat flour, wheat proteins, food starches, etc), yeast, soy, egg, milk, corn, shellfish, and MSG, just to name a few.  This is because many (if not most) people actually have immunological hypersensitivites to various common foods, in which the body’s immune system perceives that food as a toxin and launches an attack against it, creating lots of inflammation and chronic, mysterious health problems.  Many storebought supplement companies may be contaminated with these common allergens, but most medical grade supplements specifically state that they are free of all of these substances.

Since our ability to maintain good bacteria balance declines with stress, age, and lifestyle, it’s good to take a high-quality probiotic as part of a maintenance regimen.  This is especially true after finishing a round of antibiotic treatment, such as that for an infection.

*There are other formulas that may contain up to 14 different species, but these are not potent enough to be considered medical food/medical grade supplements, which have the highest quality and potency.

In health,
~Dr. L. Sweeney
Functional Medicine, Functional Endocrinology, and Functional Immunology
San Antonio Family Alternative Medicine

If this article helped you, please feel free to “like” this post by clicking the small yellow star button below.  This ensures that this blog shows up earlier in searches so that you and others can have better access to our information!

How Functional Medicine works – the nuts & bolts

Practiced properly, true Functional Medicine orders a LOT of diagnostic testing because each test gives another piece of information, much like putting together a puzzle.  Basic testing only gives you part of the puzzle picture; you’re never really sure what the rest is supposed to say, and you’re forced to guess.  I don’t like putting my patients’ health at that kind of risk; it’s too important.  So the testing is non-negotiable – and why wouldn’t it be?  The human body is quite complex and there’s a lot to evaluate.

Actually, a good evaluation starts before testing is ordered:

  • Lifestyle habits
  • Dietary analysis
  • Trauma and illness history
  • Thorough symptom and metabolic questionnaires
  • Complete medical history
  • Vaccination schedule
  • Medication and supplement regimen
  • Cognitive evaluation
  • Motivation assessment

An important concept in Functional Medicine is that the testing conventional doctors order is not nearly enough.  It barely scratches the surface, because the current healthcare system is driven by insurance companies who do not see the merit in prevention; they are in the business of screening for advanced, established disease and then patching the symptoms with medication when they get further out of hand.

Once we uncover and identify dysfunctions, the doctor takes a secondary, supportive role in the patient’s care as the spotlight begins to shine on patient him- or herself.  The patient’s participation and initiative become crucial for a successful outcome.  He or she may be asked/required to do any of the following:

  • Dietary changes – short-term, long-term, or permanent
  • Specific supplementation – short-term, long-term, or lifelong
  • Specific exercises – these can include eye movements, walking, stretches, arm circles, strength training, interval training, or yoga positions
  • Homecare instructions – these can include doing math or art, reading, prayer or meditation, or utilizing the senses such as listening to music or smelling various scents
  • Other modalities and specialties – acupuncture, massage therapy, aromatherapy, talk therapy, thermography, colon hydrotherapy, homeopathy, physical therapy, brain-based therapy, conventional medical intervention, and more
  • Other lifestyle modifications – TV or computer limitations, activity modification, sleep-wake schedules, work environment, and others

It’s a challenge, and each person must decide for themselves whether or not they’re ready to take the plunge.  Commitment is key.  Motivation is key.  The effort is worth it; one of these days I’ll share some of my patients’ success stories–real cases (while protecting privacy), to demonstrate the power and miraculous relief that Functional Medicine can bring when conventional medicine, traditional alternative medicine, and self-treatment via the web have ALL failed.  It’s truly amazing!