What Nobody Told You About Diets And Your Gut Health! – with Risa Groux

 

Today on the Gut Health Reset Podcast, we are discussing diet and gut health with nutritionist and autoimmune coach Risa Groux! From Keto to Paleo to Vegan, diets and “eating lifestyles” seem more common than ever, but navigating which diets are actually useful, and which one is right for you can be truly challenging. So in today’s episode, we’re breaking it down for you!

We will answer these questions:
– How has the definition of “diet” changed?
– What are the 6 main modern diets/eating lifestyles?
– What is the best diet to help beat SIBO?
– What is the primary driver of disease?
– And more!

Still want to learn more? Schedule with Dr. Barter today!

 

Recommended Products From Today’s Show

Liposomal Glutathione

B Vitamin Methylation Support

 

About Risa Groux:

Risa Groux is a functional nutritionist and a certified autoimmune coach who serves my clients with the firm belief that optimal health comes from looking at root causes — typically systemic inflammation and gut health. Rather than treating individual symptoms, she addresses the root cause, accelerating your journey to weight loss and whole body wellness. 

Her website: https://www.risagrouxnutrition.com/ 

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Dr. Ann-Marie Barter is a Functional Medicine and Chiropractic Doctor at Alternative Family Medicine & Chiropractic. She is the clinic founder of Alternative Family Medicine & Chiropractic that has two offices: one in Longmont and one in Denver. They treat an array of health conditions overlooked or under-treated by conventional medicine, called the “grey zone”. https://altfammed.com/

http://drannmariebarter.com/

*As always, this podcast is not designed to diagnose, treat, prevent or cure any condition and is for information purposes only. Please consult with your healthcare professional before making any changes to your current lifestyle.*

 

Transcription:

Risa Groux: What do we think about as far as diet? I mean, the actual definition of diet is what you eat on a regular daily basis. Right. But it’s taking on a whole new meaning and it just represents deprivation and starvation. And it’s a very punitive term. Right. We just it’s like you’re you’re you have to go on a diet, but it’s it’s not about restriction. And so, you know, it’s an eating lifestyle is now the new word is what I call for diet.

Disclaimer: The information provided in this podcast is educational and not intended to diagnose or treat medical conditions.

Intro: Are you struggling with bloating, gas, constipation and fatigue but don’t know what’s causing these problems? The Gut Health Reset Podcast with Dr. Ann-Marie Barter dives deep into the root causes behind these issues that start in the gut. This podcast will give you the knowledge you need to heal your gut and reset your health.

Dr. Ann-Marie Barter: Risa, it is so great to have you here today. I’m really excited to get into diet. I mean, we just don’t talk very much about diet. So. So how did you come to write your book Food Frame?

Risa Groux: Yeah. Well, thank you for having me. It’s great to be here. You know, I’ve been in practice for a long time as a functional nutritionist. Decades. And I’ve watched people and how they eat and what works and what doesn’t work. And a few years into it, I thought, hmm, there’s one diet type for all. Doesn’t really work. It’s not the right paradigm for us. So what I discovered was what my methodology, which I call food frame, is that every person should be eating according to their health status. So if your current health status is with blood sugar dysregulation, you should be eating according to that. To help heal that or quell that of reverse that, if you have chronic bloating or gastrointestinal symptoms, you have chronic diarrhea or chronic constipation, it’s probably best that you go on a low fodmap eating lifestyle for 30 to 90 days. And then I sort of in the book, I tell you what to do after that. But I just came to this major epiphany that we should all be eating, just customized, not just a one size fits all paradigm that we have tend to do. We get a new diet book or a new eating lifestyle with lots of science, and it’s great that it works for a lot of people, but it doesn’t work for everybody. So you have to eat according to what your customized health status is.

Dr. Ann-Marie Barter: And I like how you’ve named a book Food Frame Diet is a four letter word. Yeah, I think that that is just sad. I laughed when I saw that. I thought that was really cute.

Risa Groux: What do we think about as far as diet? I mean, the actual definition of diet is what you eat on a regular daily basis, right? But it’s taking on a whole new meaning and it just represents deprivation and starvation. And it’s a very punitive term. Right. Which is it’s like you’re you’re you have to go on a diet, but it’s it’s not about restriction. And so, you know, it’s an eating lifestyle is now the new word is what I call for diet.

Dr. Ann-Marie Barter: Yeah. And I think I would like to hear you clear up because I think there’s so much confusion around diet, and I’ll put that in quotation marks. So there’s so much confusion on what diet to eat. There’s this diet this person’s trying, this other new diet. And so you talk about there are six of the more popular mainstream diets. So we have paleo, keto, autoimmune paleo or autoimmune protocol ape, vegan low-fodmap, low lectins. So why would someone what what would be a good reason for us to eat within these diet categories?

Risa Groux: So what I found through years and years of working with people and individuals with different types of health statuses is that we basically these are six main eating lifestyles that most people thrive on. There’s tons of other ones, and I can name several other ones that are good. And it’s not that they’re not effective, but these are the major ones that everybody pretty much can pick one and thrive on. So that’s why I highlighted those. Those are the ones I usually recommend to the people that I work with. Once I clean their stool test in their blood test, I have a roadmap of what exactly is going on with them. Then I can make a proper recommendation, or you can take the quiz on my website at Risk Group Nutrition and find out what your food frame is. But I start off with my detox because it is imperatively important to clean out the toxins from the system. We store them and lubricates congestion and then the whole body doesn’t work optimally. So I always believe in been in detoxing a few times a year. And then once you finish that detox, then you choose one of the six diet types or eating lifestyles that is more customized for you. So.

Dr. Ann-Marie Barter: So for example, like who would need a low leptin diet?

Risa Groux: Yeah, so low leptin is great. Those are our anti nutrients. And when we eat we have a eating lifestyle with lots of lectins, we tend to have a lot of inflammation. So I would recommend somebody who has been diagnosed with autoimmune disease or somebody who has a lot of family members with autoimmune disease. They may suspect they have autoimmune disease, but they don’t really they haven’t been diagnosed yet. Once they complete the autoimmune protocol, the AYP program, then I would recommend that they follow a low lectin diet because a low leptin diet basically is very paleo. Like we’re eating really good quality animal proteins, an abundance of vegetables, sweet potato yams, good fats. But we’re also taking out nightshades, which are very high in Lectins, and they can cause a lot of inflammatory responses. So if you do, if you get off a ship because it’s an elimination diet 30 to 90 days, I would recommend that you either hop on to the auto. Hop on to paleo or hop on to low lectin. Either one is going to continue to quell the inflammation.

Dr. Ann-Marie Barter: And what are other examples of lectins? Because I don’t think people really know.

Risa Groux: Yeah. So, so I’ll kind of go backwards a little bit, but all living organisms have the ability to defend themselves when we’re in danger. So humans, we have the ability if we, you know, a tiger is running it for us, we have the ability to kick, scream, yell, bite, flee a situation or call 911. Right. Plants don’t have that ability. So what they have is what I what are called into nutrients and I call sort of a hard candy shell around a germ or a seed that protects them because at the end of the day, all living organisms, our goal is to survive and procreate. So a living organism like a plant is has the same purposes, the same goals. But what they do is they have this protective coating so that if you try to destroy it, it’s going to survive and so that it can repopulate at some point after survival. So what these these anti nutrients do, it’s are very hard to break down. Somebody with a very acidic environment in their gut is going to have probably not a lot of issues breaking them down. But somebody with a very compromised gut that doesn’t have a lot of acidity in there is going to have a very difficult time. They’re going to bloat. They’re going to call in the gases, the bacteria, same. And methane gas production is going to come in and help to try and break that food down. So in the meantime, not nightshades are very, very high and lectins are tomatoes, all potatoes, except for sweet potato and yams, peppers, all peppers except for black peppers and eggplant and goji berries. Those are really high, high concentrate. Nightshades The other foods that you would find lectins in are grains and beans. Legumes are really, really high in lectins. That’s why we know so many people who eat hummus or beans and they, oh, I can’t eat that. My stomach just gets bloated and I have pain. Those are people who cannot really break down lectins but we also find Lectins in skin and seed. So like and tomato, the lectins really are in the skin and the seeds of the tomato, not necessarily the meat of it. Same with egg, with that with squashes, same with cucumbers. Those are high. Those the skin and the seeds have a lot of elections in them.

Dr. Ann-Marie Barter: Right. Thank you. And then so you said after someone comes off of this strict maybe IP diet, they’re going to do paleo or they’re going to do a little elective diet. And I think you’ve explained paleo pretty well. So some of the other diets you talked about and you’ve mentioned a couple of times you’ve mentioned Low-Fodmap twice. So what is Low-Fodmap and why would somebody want to be on Low-Fodmap?

Risa Groux: Yeah. So FODMAP is an acronym and it stands for fermented oligosaccharides, disaccharides, monosaccharides and Polyols. And in English, what that means are these are sort of fermented carbohydrates that tend to absorb water. So these are foods that are onions and garlic. Cruciferous vegetables, broccoli, cauliflower, brussel sprouts, kale and cabbage. Those are very high in fodmaps. So they have a certain type of carbohydrate that, you know, your listeners know. Oh, yeah, that’s it. When I eat onions, I mean, that just destroys me, right? I just have all this gas and bloating and they just can’t break it down. So when we talk about a low fodmap, those are foods that we concentrate eating on that that have low fodmaps so low carbohydrate fermentable carbohydrates and and polyols which are type of carbohydrates. So the this low fodmap diet type is perfect for somebody who’s been diagnosed with SIBO, that’s small intestinal bacteria, overgrowth. That’s when a bacteria itself in the small intestines rather than the large intestines. And we tend to bloat. You have chronic bloating. It’s highly, highly likely you have SIBO. We usually see chronic bloating with either chronic constipation or chronic diarrhea. And of course, I test for that in a stool test to determine if we do in fact have SIBO. And it’s also LOW-FODMAP is perfect for somebody who has been diagnosed with IBS or irritable bowel syndrome or IBD irritable bowel disease, which basically means that there is just a lot of inflammation in the intestinal lining and you’re going to get immediate relief from following a low-fodmap diet. Low-Fodmap is very difficult. It’s not easy and it’s really more about portions than it is about anything else. So you might be able to have one, a guy the first week and then three the next week. You might not be able to tolerate any avocado at all. Some people do. So it’s very individual in a in a in a subset of foods that are recommended. But everybody’s a little bit different. Quantity really is a big factor there. The stricter you are at the beginning, the better off you’ll be in the end. And it is not a long term diet. It is meant to be an elimination diet. So we’re trying to starve that bacteria that’s in the small intestines or quell that inflammation. So we are recommended to 30 to 90 days on a low fodmap diet. If you have reoccurring symptoms, you can hop back on it at any time.

Dr. Ann-Marie Barter: Yeah. And so I think what is counterintuitive with the Fodmap diet is because the foods are pretty healthy. So can you give a few examples of some of the foods? So broccoli, onions, garlic, all the cruciferous vegetables, asparagus, avocado, are there are any others that really surprise people that they’re eating a lot of on the Low-Fodmap diet and like, oh, yeah, okay.

Risa Groux: Yeah. So this is where everybody’s a little bit different in their sensitivity, but onions and garlic are pretty much hands down. Everybody gets destroyed from now. So we don’t even think about it when we go to restaurants. We might we might stay away from the cruciferous vegetables, but we don’t even think about the onion, the garlic. So that’s a really easy one that almost everybody across the board responds to. There are other foods, certain nuts people respond to, but for the most part, everybody responds to garlic and onions. Some people I mean, again, eggs are a little bit different and avocado is a little bit different. Most people have a little bit of an issue with avocado, but quantity is a factor. They can have a quarter, but a half just kills them. So those are a little bit more dependent on quantity.

Dr. Ann-Marie Barter: Amazing. And when somebody actually does this diet for, let’s say, 30 to 60 days and the methanogens are gone or the hydrogen bacteria are actually gone after your retest.

Risa Groux: Exactly. We do find that a lot. Now, I if somebody has if I find SIBO with somebody that I’m working with, I’m putting them on a supplement regimen as well as a diet type because we’re trying to starve that bacteria, but we also have to kill it. So we do. I’m pretty aggressive with not aggressive, but I’m you know, I don’t want to dilly dally and just see if it’ll go away in 60 days. Let’s get do it. Let’s. Give it some some natural killing agents and starve it with nutrition, and then they’re good to go.

Dr. Ann-Marie Barter: Yep. That’s what we do, too. We tell it to fill it out. So some other ones that you mentioned, kiddo, I think that this one is there’s there’s some definitely some people get great results from Dito and other people get some not so great results from Quito. So let’s talk about maybe Cheeto, what it is and what you’ve seen with that.

Risa Groux: So getting into the state of ketosis is basically when you’re changing your fuel source from carbohydrates and sugar, which is what we all pretty much do on a day to day basis. That’s what feeds the the cell and the mitochondria in the cell that creates ATP, which is energy, right? So that’s our energy factories. And so and any excess glycogen or carbohydrates or sugar that we have, we source fat. So what we try to do, but what happens in ketosis is we convert our fuel source from carbohydrates and sugar to fat and it’s, it, it, it’s got a tons of benefits. It helps with blood sugar regulation. It helps with some inflammation. And contrary to what we might believe, it helps with cardiovascular, but it’s not for everybody. So a couple of a couple of hurdles that I’ve got with ketosis is, one, if you don’t have a gallbladder, you are probably not best suited for keto because we don’t have that storage unit for our bile and our bile tends to get sticky and coagulated and sludgy, so it’s hard for us to metabolize our fats. I do a stool test. I find out what your static rate is, meaning your fat malabsorption if you have a high static rate. I am not recommending keto for you as well. If you don’t have a lot of pancreatic enzymes to break down and break down that fat, this is not going to be a good situation for you. So that’s the first person I would rule out. Keto tends to be better for men than it does for women and.

Dr. Ann-Marie Barter: I’m 100%.

Risa Groux: Right. You notice that.

Dr. Ann-Marie Barter: Just I’ve seen women gain weight on it left and right, but men, it’s like there’s £20 lost. It’s kind of incredible.

Risa Groux: It really is. And, you know, you have to even get into the state of ketosis. I mean, I’ve tried keto years ago and I did a urine test every morning. I couldn’t even get into the state of ketosis. So not everybody can. And women who have a lot of cortisol issues, a lot of stress, it tends to be a little bit difficult for them to be successful on ketosis, so on. And it’s difficult. It is a very difficult plan to follow. There’s all these, you know, processed convenient foods and whole foods and all the natural grocers now that but if you look at them, I looked at one yesterday somebody brought into my office and I thought I would never eat this. This is just tons of inflammatory milks and whey and process crap that just doesn’t have a lot of carbohydrates. But it’s going to give you some inflammation. And the other thing that I have a hard time with keto about is it’s very hard to get fiber in because you’re getting less. You have to stay less than 20 net carbs per day and your carbohydrate source is your vegetables and your your plants. And it’s very difficult to get enough fiber in. So we do see a lot about issues with people who stay in Quito. I personally don’t recommend keto for longer than a three month stretch. I say if you’re good with Quito and it works for you, great, do it for three months and then take a break for a month or a couple of weeks and then and then get back in there. But there’s a lot of science that shows that it’s good for cardiovascular. And I think the main benefit to Quito is sugar stimulates stabilization. So if people are diabetic or pre-diabetic and some are resistant, try it for three months, see what happens with your blood work. But get your blood work taken before and after so you can say.

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Risa Groux: Right. You got to go customized. Right? Right.

Dr. Ann-Marie Barter: Totally. So I love that you talk about customization of diet because I see that as well. There’s just no one size fits all approach. I love that. Let’s go to begin. So I think everybody knows mostly what that. Well, I don’t know. You can go ahead and explain what it is and maybe who would benefit from this diet.

Risa Groux: So there’s so many different types of vegetarianism, beginner’s dream. So you’re not eating any animal products at all. So that includes dairy, eggs and honey, things like that. But there are so many different types of vegetarianism. I go through it in great detail in my book, so it depends what type you are, but basically you’re not eating any animal protein at all, except if you’re a vegetarian, you might eat dairy and you might eat eggs. So there’s a lot of people who do that. And and so there’s different types within those sects of what type of vegetarian, because you can be vegan and be completely surviving on Diet Coke and Oreos and French fries and pasta. And you’re good to go. Right. But that to me is not the type of vegetarian I’m referring to in the book. Becoming a vegetarian can be very much I’m known as B being a car battery. Right. So you’re just living on bread and pasta and and Oreos and French fries. That is not what I’m talking about in my book. But people who eat plants are really what I’m talking about. And the entire spectrum of those people who eat plants, whether you’re eating cheese or eggs or not. So being I am a big proponent of eating foods from the earth, I really believe that we should be eating according to what our bodies were meant to process and how we get nourished. And so plants are part of that. No matter what diet type you do, we’re here. We have things sprouting from the ground and crawling in the grass. And and so this is what we are born to eat. So if you don’t want to eat animal protein, I get that. Whether it’s an ethical or religious or a whatever it is that you are, your belief is, I get that. So when you shut off that source of animal protein, you need to replace that protein with plant. So where do we get them? Beans, nuts, seeds and grains. So all of those things tend to have carbohydrates. So I personally am a former vegan myself, and when I was vegan I was, you know, not eating pasta and breads. I was eating vegetables and grains and beans. And I watched my blood sugar go up and up and up and up to the point where I was almost pre-diabetic. And I thought, what? I don’t even eat sugar. So I was getting so many carbs from all of the lentils and the garbanzo beans and the black beans and the quinoa that I was eating. I wasn’t even eating like tons of rice or anything like that, but it was it really drove my blood sugars up for me. So I’m not a huge fan of the vegetarian or vegan, especially if we have a gene mutation called M.G. EGFR, which is very common. We need those B vitamins and we get the folate through our green leaves, but really hard to duplicate that B12. We can only get it in a nutritional yeast that’s non animal protein source. And I don’t know about you, but I just wouldn’t want to eat a lot of nutritional yeast as much as I would need for that B12. So supplementation would be a big factor for me there. Or anybody who isn’t vegetarian or vegan diet. You need to supplement with that.

Dr. Ann-Marie Barter: Yeah, I agree. What about and we’ve touched on an autoimmune paleo protocol and paleo just attached. Do you want to go into paleo before we kind of leave the diet composition?

Risa Groux: Sure. So Paleo is basically eating like our ancestors did, but they call it the caveman diet. And basically it’s the philosophy that we’re eating foods that were on this planet when humans were around, right when we first started. And so we’re eating quality. It really focuses on quality because so much of our animal protein is filled with antibiotics and growth hormones and they’re eating grain instead of grass. And so it’s quality animal protein. And then it is an abundance of vegetables and any way you want them, but deep fried and good quality, not, you know, not filled with herbicides, pesticides and GMOs. And we’re glad to see we’re talking about organic vegetables with enriched soil as much as possible, and then sweet potato and yams and then good fats, eggs, nuts, seeds, avocado and and olives and good oils, not inflammatory. And the whole point of that is to quell the inflammation and increase the good gut health. And in my opinion, it is the most broadest appeal diet type for people that I work with and for everybody, because I think it achieves the the the goal for decreasing systemic inflammation, increasing gut health, which I think at the end of the day, those are the foundational issues for health. And and it’s easy. You can travel with it. You can usually find those foods everywhere you go. And it’s it’s delicious. It’s easy, and your body loves it. So I think paleo is really good. Now, again, we can go to the market and find the paleo granola and paleo this and paleo cookies and all these things. And you know, yes, you can eat almond flour and coconut flour and have paleo cookies. I have them on my website recipes, tons of them. But we’re not supposed to be sustaining ourselves, right? Those are what I call food for sport. So we should be eating more food for survival and a little bit of food for sport.

Dr. Ann-Marie Barter: Perfect. And if someone has a gut issue, do you generally start with a tip and then go to fodmap depending on what the what the if it’s about that issue, what you’re waiting for the testing to come back. You start with IP moved fodmap. Are there any other. I’m assuming that’s correct. Is that correct? So not.

Risa Groux: Necessarily. So if they if they walk into my office, they already know they have an autoimmune disease, then I’m going to start them on my detox and I’m going to put them on a ship for 30 to 90 days after that. And then at that point, either jump to paleo or jump to low lectin. If they so if they have autoimmune in the family, they suspect they might have it. They don’t show the antibodies yet. It’s going to behoove them to do an IP protocol for 30 to 90 days as well. For somebody who walks in, they’ve got a lot of gut issues. I’m going to put them on my detox, were eating basically paleo on my detox were having lots of collagen that collagen, those amino acids in the collagen or what I call out for leaky gut. So we’re going to help just to heal the gut and decrease the systemic inflammation. And so many I mean, I would say 98% of the people I put on my detox show less symptoms if not all symptoms gone by the time they finish the detox. But in during that two weeks on the detox, I’m gleaning information through an extensive blood test and an extensive stool just and once they get the stool test back, then I’m going to really get aggressive with with with addressing that issues because that will tell me if they have a leaky gut. I mean, they have SIBO. H pylori is a big one, so I’ll really know where we are. I’ll know what their that malabsorption is or the pancreatic enzyme production is, how much inflammation they have in the test lining. Is there any blood, microscopic blood in their stool is is something a little bit more serious so that I like to you know, I always say I’m not really good at playing darts in the dark with the lights off. I can’t really see the target. And I’m going to guess we’re all going to get frustrated. So I like to have the information and then I, I start playing darts once I can see the target.

Dr. Ann-Marie Barter: And what are the most common drivers of disease that you’ve seen?

Risa Groux: Hands down, systemic inflammation. That is the driver of disease. And why do we have systemic inflammation? Disregulated, blood sugars, mold toxicities, a buildup of toxins on a decrease in the gut. So we if we have a decrease of immune in the gut, you know, where we have 70% of our immune system is produced in our gut, you know, if we don’t have an army in there, nobody’s helping us. Right? If we are under chronic stress, we have chronic sleep issues, if we have hormonal imbalance, if we have thyroid imbalance, blood sugar balance, all these things are going to take you out of our homeostasis state and it’s going to cause some stress somewhere. You’ve got maybe, perhaps a lot of oxidative stress. And, you know, that’s that’s going to look for a place to work. Can we create disease? Right. If you’re inflamed, you’ve got some oxidative stress. You know, good luck to you. You’re in the ring with Muhammad Ali. I would suggest you have two gloves on because your you’re you’re in battle. Once you get into the immune state, when you’re in autoimmunity, your teach 17 and your g red cells start to activate and you have now what we called a cytokine storm. And if Cap B is in production, you are in the state of chronic inflammation. So I’m going to immediately try to stop the, the, the inflammation from going round and round and heal your gut, your intestinal lining. I’m going to put a fire hose on that that flame, that huge fire we’ve got going in the basement where some people I had a new client yesterday who is just riddled with rheumatoid arthritis and I said, What are you doing? She goes, Well, I take one omega a day fish oil, and I go, Wow, that’s like taking a water gun on a huge forest fire and seeing if it’ll put it out, right. So we need to attack that inflammation with food and supplements that we can call that inflammation. So that’s the driver of disease. We just continue to drive disease. You know, third stage inflammation gets into the respiratory tract and here we go.

Dr. Ann-Marie Barter: Amazing. And then what are your go to supplements for optimal health?

Risa Groux: Yeah, my hands down. Number one will not never stop taking the rest of my life is vitamin D with K, I have a D3 Ultra that really moves the needle. That is a receptor site in every cell in the body. Immunity, anti-aging and anti-cancer anti-aging will not make bone without vitamin D. I can go on and on and on. Thyroid, gut, brain, you name it. And vitamin B, my B ultra is in a metal cobalamin form and it’s a complex B vitamin and then any autoimmune people, my autoimmune Fab Five or vitamin D, my omega max, that is your fish oils, major anti-inflammatory glutamate. Iron is our master antioxidant. We need our master antioxidant to help us with oxidative stress. Resveratrol is really, really important, anti-inflammatory as well. And turmeric, turmeric is huge. So I take all of those every day. And then, of course, I take a digestive enzyme that is a must for anybody, really, 40, 45 or older. We, as we age, we produce and excrete less and less. So I have a my enzyme. Max has all the pancreatic enzymes, all hydrochloric acid and oxidized fat malabsorption. So I do not leave home without my enzyme max. And a probiotic from time to time is really, really helpful for rebuilding the gut.

Dr. Ann-Marie Barter: Awesome. And where can people find you if they want to get in touch with you?

Risa Groux: So on my website is Reset Grill Nutrition. It’s RISC agr0ux nutrition. I’m on tick tock now. I’m on Instagram, Facebook. My book Food Frame is available online on my website or on Amazon or on Barnes Noble and Target. And then I just released a thyroid course. I am super proud of it. I put everything I know about thyroid and my journey in Hashimoto’s and just about reversing it, and it’s called achieving optimal thyroid health. So it’s really, really, really great for anyone who has thyroid issues or suspects. They do. And whether you’ve got hashes or you’ve got graves or you’ve got a thyroidectomy thyroid nodules, it is great for you and it really soup to nuts tells you everything you need to know so well.

Dr. Ann-Marie Barter: Thank you so much for being here and thank you so much to all the listeners. Please say hello and let us know what you want to hear more of. We look forward to hearing from you. Take care. Bye bye.

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