WEBVTT
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Doesn't that sound like really bad?
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Cause like it and I'm not a biologist, I'm not pretending to be, but it's like when you shut down the natural function, it either A doesn't come back, B comes back like twice as hard for a period of time, or like it just never functions right afterwards.
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You are spot on with that.
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So that's why it is surprising to me that it's gotten this far and it's still so used.
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When it was created, the label right on the box said that it was designed to be not used for longer than two weeks at a time.
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People are on these for years.
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Together, an industry disruptor.
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And renowned veterinarian discuss and debate, establish norms and new ideas in the pet world.
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This is challenging pet health.
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Hey Clayton.
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Hey, Kaylee.
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How are you doing today?
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Absolutely fantastic.
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Thank you for asking.
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Excellent.
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Me too.
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It's gonna be a great day.
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I didn't ask actually, but yeah, no.
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I'm gonna tell you.
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I'm doing great too.
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Yeah.
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So, yeah.
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So, what would you like to talk about, Kaylee?
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I would love to spend some time today talking about digestion because it's such a central focus of health for animals and humans.
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And in particular, today, I would like to have a conversation about an acids because antacids are an over-the-counter medication product that are very overused, frankly, for humans as well as pets, but overused and over-recommended in veterinary medicine too.
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And an acids, chronic use of them, long-term use, can really present a lot of problems.
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Yeah, I've got to be honest, I don't really know a lot about antacids, to be honest.
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Like, like I think what we were talking about before is like my only sort of like knowledge on um, let's say, acid reflux and stuff came down to me promoting a company I work with who do a slippery elm and marshmallow root powder.
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Perfect.
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I love me me going the whole it creates a mucosal layer.
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But I don't know what the hell I'm talking about, to be honest, because I don't really understand antacids or that whole like acid reflux thing.
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I love that you already brought up some of the endpoint we can get to in this conversation about what things can we use that are effective and especially natural, you know, and holistic, um, you know, integrative tools to address this issue.
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So, really starting with what you pointed out, acid reflux, um, you know, another word for it is indigestion, another word or acronym for it is GERD, which G-E-R-D stands for gastroesophageal reflux disorder.
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And so indigestion, reflux, acid reflux, GERD all means, you know, pretty much the same thing.
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When there is indigestion and, you know, imbalance and discomfort in the stomach, then oftentimes there's some burping and some gas release and things coming up.
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And acid is a very important uh piece of the stomach environment.
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But when it comes up into the esophagus, it's not supposed to be in the esophagus.
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So the esophagus is not happy about feeling that acid.
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Some of the things that we commonly see in pets as symptoms, not only the burping and the belching, but lip smacking, um, lip licking, extra swallowing or hard swallowing, just kind of swallowing, you know, often for no apparent reason.
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Um, coughing is a big one and throat clearing.
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So, you know that.
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And it often, so many dogs cough from reflux, and people don't recognize it.
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And even a lot of veterinarians may not recognize it, and it gets misinterpreted as a respiratory cough.
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And so they think there's kennel cough or bronchitis or something going on.
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And like we're always freaked out by the idea that if your dog's coughing, that it's like a symptom of like you know, a weak heart and that sort of stuff.
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Right.
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And it and it is, and you know, that certainly can be, but just statistically plain the odds, because usually a dog is not going to cough from a heart condition until in later stages of the heart condition when it's more advanced.
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Um, and so, and there's a lot of dogs walking around with heart murmurs that have zero symptoms.
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So they could have an underlying heart issue, but full-on coughing from a heart issue definitely happens, but it's not nearly as common as coughing from gastric reflux.
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So, how do like normal antacids work?
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Because like, I know obviously in the stomach there's acid, right?
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And so I love that you said that, Clayton.
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Because you would think that that would be sort of an obvious thing to build sort of a health plan around when there's digestive issues.
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But so commonly we give an acids and just dole them out, or you know, they're over the counter.
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So people just, you know, keep taking them or keep using them.
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But like you just said, there's acid in the stomach for a reason.
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And interestingly, acid is important for olive digestion, but it is critically important for protein digestion.
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And if we are removing or limiting the acid in their stomach, they literally cannot digest their species appropriate diet anymore.
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So, what like anthesis actually neutralized the acid in the stomach?
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But but again, that kind of sounds like something you don't really want to do because if you think about it, there's like acid there for a reason, right?
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I mean You would think, like, how did we get this far in even human healthcare with not really realizing that underlying important critical concept?
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And I define myself often as a functional medicine doctor and a lot of humans in the integrative space, human doctors, um, you know, functional medicine is a term that we love to use now in literally supporting the body to function optimally.
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And when we chronically take ourselves or give an acids to our pets, we are literally disrupting the function that the body is designed to do.
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The first, a lot of people will remember, you know, some of the first generation of an acid products out there for humans was Tums.
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And people would give Tums to pets too.
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Um, and Tums is calcium carbonate and it's helping to bind, you know, some of the acid in the stomach.
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So it's reducing the amount of acid so people didn't feel that, you know, heartburn, etc.
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Well, then newer generation things came along, like pepsid, which is a brand name.
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I don't know what you guys have in the UK.
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That's Fomotidine.
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Yeah, so we only have that as a prescription-only drug in the UK.
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Really?
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Yeah.
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Wow.
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So over the counter here.
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I mean, it flies off.
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Yeah, but America, you know, like melatonin's prescription only as well in the UK.
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Okay.
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So there's there's a bunch of stuff which you guys can just like load up a okay.
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So I'm eager to ask you this question, but before I get to that, I'm gonna just put something in between.
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Is pepsid, which is Fomotidine, super still common, but was kind of the go-to for a while after Tom's.
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And then out came Xantac, which is rhinitidine.
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And then out came Ameprazole, which is Prilasec trade name.
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Freaking took over the market.
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But then along came Ameprazole, which is the newest generation, and that is called a PPI, which is an acronym for proton pump inhibitor.
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And so people throw out the term PPIs.
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What that means is that the cells in the stomach that are responsible for creating acid and pumping it out in the stomach, releasing it into the stomach, secreting it, they are there's proton pumps in those cells and it's creating the acid.
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And these PPIs, like a meprazole, shut down the ability of the stomach cells to create acid.
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So no longer are you just binding it and removing it and reducing it, you are literally shutting down the stomach's capability of doing what it's supposed to do.
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Doesn't that sound like really bad?
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Because like it like because like like everything I'm aware of, like, and I'm not a biologist, I'm not pretending to be, but it's like when you shut down a natural function, it either A doesn't come back, B comes back like twice as hard for a period of time, or like it just never functions right afterwards.
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Honestly, Clayton, it's brilliant because it's intuitively you said it intuitively, but you are completely correct.
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Is that, and so that's why it is surprising to me that it's gotten this far and it's still so used because you are spot on with that.
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When it was created, the label right on the box said that it was designed to be not used for longer than two weeks at a time.
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People are on these for years, and so it is an issue.
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And there are a lot of gut health GI experts that have, you know, written about and talked about how once somebody is on um a meprazole long term, like more than two years, that your stomach cells may never be able to produce the same level of acid that originally did.
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It could have purpose to use in those sort of short-term situations.
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If there's a stomach ulcer, a bleeding ulcer in the stomach, something like that, it would make sense to shut down, or could make sense, to shut down the acid production of the stomach temporarily for a little bit to let that ulcer heal.
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But it does not make sense functionality for anyone's digestion to continue shutting down the stomach's ability to make acid for a long time.
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So let's say you've been on it for 10 years, right?
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And you haven't produced any new stomach acid for 10 years.
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How are you able to digest food properly?
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I mean, so we can get all kinds of deficiencies because of low stomach acid, vitamin B12 deficiency, um, magnesium deficiency, calcium doesn't absorb well when our stomachs aren't acidic, um, and even iron, so that can, you know, lend towards anemias and things.
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So there are these issues.
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The food when it's going through the stomach isn't being digested by the acid, it's pretty much passing through and not nothing's being absorbed.
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So just in terms of like your ability to get a level of nutrients out of your food, it must be like massively.
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It's hindered.
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Yeah.
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You got it.
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Yeah, things become less bioavailable.
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So that's a really great way of explaining it because the other thing that I love to tell people is that your stomach is the start of the digestive process.
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So if the stomach isn't working well, the whole rest of the digestive tract can't do its job well either.
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Because when we or our pets swallow food, it goes down the esophagus, food pops and plops into the stomach, supposed to be in the stomach for a little while.
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Stomach's got jobs, it's releasing the acid, it's churning, it's got some muscular, you know, action to grind things down.
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And so all of that is preparing that food to, as you said, absorb and deliver nutrients farther down.
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So if the stomach and the acidity in the stomach aren't doing its job, larger food molecules are passing down to the small intestine level, and the small intestine is like, uh, dude, I can't absorb that, can't I can't deal with that?
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It's supposed to be smaller, don't know what to do with that.
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How does it respond?
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Inflammation, inflammatory processes, food allergy, food sensitivity, you know, all these kinds of things.
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And so I really like to explain to people that supporting the stomach to do its job better not only helps us get more bioavailability out of our food and not have nutrient deficiencies, et cetera, but it literally frees up inflammation that the small intestine or the gut is going to have in response to not properly broken down food.
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Makes you wonder why people use anthyses, right?
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Like I do, again, I've never used them myself.
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And I'll be honest, I've always been like, yeah, I've never understood the science behind it.
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Um, but yeah, like I guess if I had the problem, I probably would have used them, to be fair.
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And like, look, it's only recently that I've obviously, you know, selling other products that I've I've been a bit more like, well, okay.
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Like, I wouldn't even think about giving my dog an antestin, if I'm honest.
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Wow, it is so, so common.
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So, one of the reasons why a dog or a cat can eat prey and uncooked, you know, meat and roadkill and, you know, whatever they get their hands on in a healthy situation, their gut's like, I'm good, you know, I got plenty of acid, I can kill off that, you know, bad bacteria, et cetera.
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But you give somebody something that doesn't have good stomach acid, and you know, like a cow or a horse, which is, you know, an herbivore, a completely different system.
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They weren't designed to eat meat.
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You give them something with salmonella in it and it'll kill them.
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You give something to a healthy dog or cat stomach with a proper acidic environment, like, yeah, I'm built to design, you know, I'm designed to deal with this.
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The stomach acid at a baseline in between meals is pretty equivalent between humans and dogs.
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But the postprandial acid, which means when you eat, you put something in your mouth, you swallow something, the acidity for dogs goes the their stomach gets way more acidic right after eating, dumps a bunch of acid, which makes sense because Mother Nature would have designed them to be digesting meat, protein.
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And we know that acid is very critical for protein digestion.
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So it makes sense that, you know, a carnivore animal would have more acid released, a higher ratio of acid released after eating.
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So that's a you know really cool factor too.
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And and also I suppose just evolutionarily, like dogs are scavengers.
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So again, there would be higher bacteria levels in what their food than what we've got.
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You got it.
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You got it.
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And so for dogs, what I see clinically, because I do a lot of microbiome testing, a lot of stool or gut microbiome testing.
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And what we see, and this is all in the literature when I present it on for humans too, is that it's very common for pets or humans to get an overgrowth of harmful organisms in their gut biome if they don't have good acidity or if they are on an acids for too long.
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Then wouldn't that make these like PPI?
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I can't remember what you said it was, something pumping.
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Some like that would make them really dangerous, like really bad because in dogs, because again, if they're eating their food and it's at that point they dump loads of acid into the stomach to cope with what's in there, if that's inhibiting that, it's not just like neutralizing it a bit or whatever, it's then the dogs could potentially get really ill off.
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And and it often is underrecognized, like people don't know.
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They show up with signs of IBD and you know, like it's it's so convoluted and complex that it's just not clear to people, even to veterinarians, when this is happening.
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But it is very common to have what we call a SIBO, which is an acronym for small intestinal bacterial overgrowth that's used often in the human, you know, medical field too, that humans or pets can get this overgrowth of bad bacteria or dysbiosis, we call it, because of a dysfunction of stomach acid, you know, or stomach function.
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And so how would that present?
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Like if you're like, 'cause I don't uh like one of my dogs, obviously, um, she as she when she got quite old, um, her stomach acid obviously wasn't right, and she would eat raw food and then throw it straight up.
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And is is that like a common way it's presented?
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It it could be.
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So, and there's other reasons that regurgitation can occur.
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And, you know, sometimes it's as simple as they eat too fast, they gulp too fast, etc.
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But also if their stomach environment isn't balanced and appropriate, it may be the body's way of just going, that it can't deal with that right now, it can't do it, you know.
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And so that absolutely could be a factor.
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And if I gave her a cooked, like a gently cooked dinner, she'd it it would it would go down fine.
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There you go.
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See, and that's a nice, you know, um comparison for you to have um awareness of or identified for her.
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So it's pretty typical for older humans or older pets to not have as much acid release in their stomach as we do when we're younger.
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And medications, by the way, over-the-counter and prescription medications can interfere with acid production in the stomach.
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So sometimes it's just that, you know, the pet or the person's on something else that's um affecting stomach acid, etc.
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So lots of, you know, lots of different reasons.
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Interestingly, majority of cases for humans, not 100%, but the majority of humans and pets that are experiencing reflux symptoms, it's actually from too little acid in the stomach.
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And so what's happening is when there's too little acid, as we just talked about, it's imperative for digestion.
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And so things aren't digesting well, they're kind of sitting in there and you know, starting to ferment a little bit, not breaking down the way they're supposed to, and you know, getting passed through as efficiently as possible or as as optimal.
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And so gas is secondarily created and from that fermentation and it needs to be released, and so it comes up.
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And any little bit of gas that's coming up brings whatever is in the stomach, little um, you know, acidity with it, and then the esophagus feels that doesn't feel good, and the dog's coughing and trying to clear their throat, etc.
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But it's often not because there's too much acid.
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So not only is giving acid reducers long term you know causing a problem, but honestly, it's it's not the cause of the initial symptom the majority of the time that we're actually going after.
00:17:27.039 --> 00:17:35.599
So, like knowing what we know about antacids and acid production, et cetera, why are vets actually still recommending and prescribing antacids?
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Super good question, Clayton.
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And, you know, and and veterinarians, uh, you know, obviously they mean well always with what they're recommending and what they're prescribing.
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But the thing is, in conventional medicine background, in typical veterinary school, we are not taught the inner workings of the digestive system through the same lens that we're learning it from an integrative perspective.
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And I think a lot of doctors see that as such a separate process and they don't literally realize that the stomach function, the whole rest of the GI tract, that's the intestines, relies on the stomach function to do its job.
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And so they are sort of reverting to the typical patterns that we use in conventional medicine, which is symptom, you know, addressing the symptoms.
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And gastric reflux or acid reflux looks like you have too much acid.
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That's what it looks like.
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And so everybody's trying to give antacids to help the pet feel better, and they simply really don't realize that that is hindering digestion and therefore exasperating the problem that was already there.
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It just seems to me like antacid use, like when you explain to me, like how let's say, especially like the PPI one works, it just seems like such a bad idea, to be honest.
00:18:57.279 --> 00:19:03.759
Just from anybody I I'm I'm literally like like know nothing about this stuff.
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And yeah, I can I and I can like look at that and go, Well, we're just gonna turn off the stomach, the stomach because like it doesn't make any sense.
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I mean, it's like you know, if you had like a river and you just stuff a load of holes into into the river and and it'd stop it for flying, going, Yeah, it's gonna be fine.
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We can just open that back up later and it's gonna be completely normal.
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Like it it just it's by like the natural world just doesn't work like that, to be honest.
00:19:29.119 --> 00:19:40.240
And it's great that you say that because literally when I gave these lectures to veterinarians um at HVMA a few years ago, digestion is a comprehensive job.
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And I showed that paper that was published in 2018 from the American Veterinary Internal Medicine Group.
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And it was, it was literally titled, like, you know, a a review of the overuse of, you know, an acids.
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And basically the summary of the paper is we need to get much more selective and specific and not be overusing these for, you know, chronic uses.
00:20:05.039 --> 00:20:12.160
And I made a joke in the lecture and I said, apparently this paper didn't hit the desk of, you know, most veterinarians, like we never got this memo.
00:20:12.400 --> 00:20:17.279
Like, no, that was that's been out for several years, but nobody knows this stuff.
00:20:17.519 --> 00:20:24.240
So, you know, it is really just under, you know, un undergnown and underappreciated.
00:20:24.559 --> 00:20:27.440
And acids obviously not ideal, right?
00:20:27.519 --> 00:20:29.680
So I think we've like established that.
00:20:29.839 --> 00:20:31.519
Um, but what should you do?
00:20:31.599 --> 00:20:45.200
Like, and and the problem is is that obviously, like what we're describing here is let's say too much acid, or it could be not enough acid, or poor quality acid, or it could be a damage to the mucosal layer in the stomach.
00:20:45.440 --> 00:20:51.279
And these I I'm assuming these are all three different, like completely different solutions that you would need to look to.
00:20:51.839 --> 00:20:59.680
Well, it could be, but oftentimes, honestly, there are some key things that really are gonna help any of those situations.
00:20:59.920 --> 00:21:08.319
Um, you know, and there may be certain conditions where we really want to get to, you know, the root of what's happening so we can correct that.
00:21:08.559 --> 00:21:26.160
But point being, when we're talking about useful tools that are not gonna cause the damage that long-term antacids can cause and that are very helpful, we can talk about things like slippery elm and marshmallow root, which I know you're familiar with in some of the products that you work with.
00:21:26.400 --> 00:21:32.559
And those herbs are phenomenal herbs and tools for digestive support.
00:21:32.640 --> 00:21:38.240
And it's one of those things that actually is like an if you know you know product, slippery elm and marshmallow root.
00:21:38.319 --> 00:21:46.240
It's sort of like I think people who have like a high level of pet knowledge, it's like a massive go to for them.
00:21:46.400 --> 00:21:46.880
Absolutely.
00:21:47.119 --> 00:21:54.000
But I feel like I've always struggled like with how do I market it to people who are, let's say, less knowledgeable.
00:21:54.160 --> 00:21:58.160
Because again, it's sort of like if you see it slippery with marshmallow root, what the hell is that?
00:21:58.319 --> 00:22:01.279
You know, like do you know, and how do you And how do you sell it?
00:22:01.359 --> 00:22:07.920
Like it's like you know, throat and gut coder or like digestive helper.
00:22:08.079 --> 00:22:08.400
I don't know.
00:22:08.559 --> 00:22:21.519
It because again, it's like it's very hard to like just from a pure like this my marketing pet industry head, it's like how do I explain this to people in a sentence which makes sense that they would know when to use it, you know?
00:22:21.680 --> 00:22:22.000
Right.
00:22:22.240 --> 00:22:33.200
And and I think like that's why one of the problems is that it's kind of like it's it's such a good product, and in my experience, it's been great for like dogs with acid reflux, dogs that are being sick a lot.
00:22:33.440 --> 00:22:35.920
You know, there's so many different use cases for it.
00:22:36.160 --> 00:22:36.880
Absolutely.
00:22:37.119 --> 00:22:40.720
But how do I exp how do I put that on the the tin?
00:22:41.119 --> 00:22:45.920
And just to explain, slippery elm and marshmallow are plants or you know, herbs.
00:22:46.079 --> 00:22:50.240
We're gonna use them in, you know, as as herbal tools to support the body.
00:22:50.480 --> 00:22:56.160
Um, they are plants with mucilage in them that is very coating and soothing.
00:22:56.559 --> 00:23:08.799
And their properties include not only soothing the gut lining or the esophageal lining or the colon lining, the whole GI tube, soothing it so that it feels better, but they're actually bringing down inflammation.
00:23:08.880 --> 00:23:19.599
They've got anti-inflammatory properties and they've got some reparative properties, like they're helping those tissues to repair and get back to normal secretion, you know, activities and stuff like that.
00:23:19.759 --> 00:23:34.799
So they go a step further than a lot of pharmaceuticals that are just trying to coat the, you know, area would be like a KO pectate or, you know, something like that, and that these are natural tools that have been used for centuries for, you know, anything mucosal.
00:23:35.039 --> 00:23:41.599
And so a lot of humans will drink if they drink like a throat coat tea, if they're feeling a sore throat or a cold coming on.
00:23:41.839 --> 00:23:43.119
You look at the ingredients.
00:23:43.359 --> 00:23:48.799
Marshmallow is very likely in there, licorice root, slippery elm, those same kinds of things.
00:23:48.880 --> 00:23:59.039
So they can coat the throat, the airways, but some of the, you know, their claim to fame really slippery and marshmallow slippery elm and marshmallow root is GI, you know, the GI tract.
00:23:59.279 --> 00:24:00.559
Okay, so what else can you use?
00:24:00.799 --> 00:24:09.359
Homeopathics can also be very helpful for symptomatic patterns to help the body feel better when this is, you know, these kind of symptoms are occurring.
00:24:09.519 --> 00:24:10.799
So within my line, Dr.
00:24:10.880 --> 00:24:16.240
Katie's Remedies, I have a lot of homeopathic um custom blends that I um have created.
00:24:16.480 --> 00:24:21.519
And one of my blends is called tummy for um GI symptom support.
00:24:21.839 --> 00:24:35.599
And so if a pet is is experiencing reflux or any kind of, you know, indigestion or, you know, even nausea or um poor appetite where it could be, you know, loud stomach noise, things like that.
00:24:35.759 --> 00:24:42.720
By the way, eating grass is another, like voraciously eating grass is another symptom of, you know, reflux or stomach upset and digestion.
00:24:43.039 --> 00:24:44.079
So dogs eating grass.
00:24:44.319 --> 00:24:49.200
Eating a little bit of grass, like evolutionarily in nature for, you know, wild canines is normal.
00:24:49.279 --> 00:24:53.119
A little bit of grass and foraging and stuff, getting a little bit of fiber.
00:24:53.279 --> 00:25:06.319
But when they are voracious, when they wake up in the morning and they have a loud stomach and they're either vomiting by or just acting burpee, and they race out and start eating grass and then oftentimes puke it back up, that is a sign of reflux.
00:25:06.400 --> 00:25:07.839
And pets do it all the time.
00:25:07.920 --> 00:25:11.440
People are like, oh my God, my dog is just going at the grass first thing in the morning.
00:25:11.680 --> 00:25:12.640
No, I've seen it before.
00:25:12.720 --> 00:25:16.160
That's why I was the interested, like, and that that's just the sign.
00:25:16.240 --> 00:25:19.200
And so in that circumstance, you would use something like slippery elm.
00:25:19.680 --> 00:25:20.480
Yes, that.
00:25:20.640 --> 00:25:25.359
And and again, you could tag in like the homeopathic blend, like my tummy blend.
00:25:25.440 --> 00:25:31.119
And one of the nice things about the homeopathic remedies is that they can work so immediately.
00:25:31.359 --> 00:25:36.960
Like you, your pet can feel better, or you yourself, if you're taking these things, can feel better within moments to minutes.
00:25:37.279 --> 00:25:39.680
We had that with a friend of ours when she was in America recently.
00:25:40.000 --> 00:25:47.119
She like literally was like suffering from really bad indigestion while she was here, took the tummy remedy and was immediately better.
00:25:48.160 --> 00:25:48.319
Yes.
00:25:48.480 --> 00:25:58.960
So perfect lead-in is that we talked about the slippery elm and the marshmallow and those herbal tools to soothe and repair and you know, get things, the inflammation down.
00:25:59.119 --> 00:26:05.440
The tummy is and homeopathy remedies are great symptom support to just feel better, you know, quickly.
00:26:05.680 --> 00:26:14.880
But then the digestive enzymes really get to the root of the issue with supporting the body to digest better.
00:26:15.200 --> 00:26:20.160
And so everything is gonna work better, things are gonna, the food's gonna be more bioavailable.
00:26:20.319 --> 00:26:30.640
So digestive enzymes are amazing for older pets because as any of us age, typically our digestion as we get into our geriatric years is, you know, declining.
00:26:30.799 --> 00:26:38.720
So certainly aging or malabsorption, underweight, et cetera, is a classic reason to use digestive enzymes.
00:26:38.880 --> 00:26:45.920
Um, or if the pancreas, if the pancreatitis and the pancreas is not working well, that's another great reason to use digestive enzymes.
00:26:46.160 --> 00:26:56.240
But I love them for when there's acid reflux, when there's IBD, you know, any inflammatory digestive issue, digestive enzymes are your friend.
00:26:56.480 --> 00:26:58.160
Are they are they a long-term use thing?
00:26:58.640 --> 00:26:59.039
They are.
00:26:59.279 --> 00:27:00.400
They're fantastic.
00:27:00.720 --> 00:27:12.880
And recently I did this research to find out when I was presenting on it, one of the great things about using digestive enzymes long term is you are literally not hindering your body's capacity to produce the enzyme.
00:27:12.960 --> 00:27:19.119
You know, sometimes when you take something that's sort of doing the job for your body, maybe your body stops doing that.
00:27:19.359 --> 00:27:33.920
They've shown there's a lot of data out there to show that when we take digestive enzymes routinely, indefinitely, our we are not um limiting our body's capacity of also putting in our own enzyme content.
00:27:34.079 --> 00:27:36.559
So we're just helping out, helping things to work better.
00:27:36.880 --> 00:27:38.000
And so how does it work?
00:27:38.319 --> 00:27:46.960
Is it like when it goes into the stomach, like into the into the gut, like the acid hydrochloric kind of like enhances the acid and then you got it?
00:27:47.039 --> 00:27:54.880
As we're putting these enzymes in the food, then that food, the acid is in there and the whole working system of the stomach starts to work better.
00:27:54.960 --> 00:27:58.079
The pepsin's there, then the protein can break down.
00:27:58.319 --> 00:28:00.160
You know, nutrients are able to absorb.
00:28:00.240 --> 00:28:03.759
We talked about nutrition, you know, nutrient deficiencies, if that's not all working.
00:28:03.920 --> 00:28:16.480
And then when the food passes to the small intestine, it's in smaller particles and the small intestine's happy because it's able to absorb it without, you know, getting um inflammatory response and all this stuff.
00:28:16.559 --> 00:28:22.319
And so I love to tell people if you if your pet has food allergies or food sensitivities, digestive enzymes are their friend.
00:28:22.559 --> 00:28:27.119
It's like the idea of eating a steak if you've got really bad stomach acids, it's gonna be like really hard to do.
00:28:27.279 --> 00:28:28.319
You're gonna have a tough time.
00:28:28.480 --> 00:28:28.880
Yeah.
00:28:29.440 --> 00:28:39.200
But you know, if you ate a burger, um, you could actually probably digest that because it's already kind of partially digested in a sense that like that might be a little you're right.
00:28:39.359 --> 00:28:42.720
Like a steak still has all the muscle fascial fibers.
00:28:42.799 --> 00:28:51.759
I mean, that's gonna take a lot, you know, it's gonna take more effort for the digestive system to break all that down than something that's already been mashed and ground as a burger.
00:28:51.920 --> 00:29:05.279
Like I've told a lot of pet parents, um, if your pet ha is having really significant issues with upper GI digestion, one of the mechanisms that might help them is to puree the food up a little bit.
00:29:05.599 --> 00:29:07.759
You know, it's already kind of pre-digested, it's very broken.
00:29:07.839 --> 00:29:10.160
So that kind of goes along the lines of what you were just saying.
00:29:10.640 --> 00:29:10.720
Yeah.
00:29:10.799 --> 00:29:13.519
So if you've got acid reflux, steak smoothies.
00:29:14.400 --> 00:29:16.000
Steak smoothies, there you go.
00:29:16.240 --> 00:29:16.880
Yeah, uh-huh.
00:29:17.119 --> 00:29:32.640
And the other thing that I that I think is worthy of bringing up, because you were just talking about humans, you know, and steak smoothies, is that apple cider vinegar is a long time tried and true, known, you know, tool that you can use to help acidify the stomach.
00:29:32.720 --> 00:29:46.960
And there are humans who swear by apple cider vinegar helping their digestion and saving them from horrible reflux because, again, it's supporting, you know, the acidity in the stomach so you don't have the reflux in the first place.
00:29:47.119 --> 00:29:51.839
And there's even apple cider apple cider vinegar for humans, gummies out there that you know people take.
00:29:51.920 --> 00:29:52.720
Like there's all these things.
00:29:52.880 --> 00:29:55.119
But you could also make your steak into a smoothie.
00:29:55.200 --> 00:29:58.559
But I would recommend some digestive enzymes or some apple cider vinegar.
00:30:00.000 --> 00:30:02.480
Vinegar flavored gummies sounds horrible.
00:30:02.880 --> 00:30:04.559
It's like we're gonna take something you like.
00:30:05.279 --> 00:30:07.599
People won't drink apple cider vinegar because it tastes so strong.
00:30:08.000 --> 00:30:10.160
But a gummy, they're like, I can do that, you know.
00:30:10.319 --> 00:30:20.799
And obviously wouldn't give that to a pet, but it's just a fun frame of reference for humans too, because it's such a it's such a um, you know, common problem in people as well as pets.
00:30:20.880 --> 00:30:23.680
So would with apple cider vinegar work with a dog?
00:30:24.000 --> 00:30:24.640
How would it work?
00:30:24.880 --> 00:30:25.519
No, would it work?
00:30:25.759 --> 00:30:26.000
It does.
00:30:26.079 --> 00:30:26.559
Yeah, yeah, yeah.
00:30:26.640 --> 00:30:26.799
Yeah.
00:30:26.880 --> 00:30:39.119
People, and it's not, it's thought to not be quite as, you know, targeted or effective as something in an enzyme blend that's HCL, the hydrochloric acid, the betane HCL.
00:30:39.279 --> 00:30:44.000
But apple cider vinegar definitely has applications and can absolutely work.
00:30:44.400 --> 00:30:50.720
So it's kind of like the first tier, and then the next tier would be the HCl in a product, like a digestive enzyme product.
00:30:51.119 --> 00:30:53.039
So cheeseburgers are great.
00:30:55.279 --> 00:30:56.319
Smash your steak.
00:30:56.799 --> 00:30:57.440
Steak smoothies.
00:30:57.920 --> 00:31:01.680
Somewhere between a cheeseburger and a steak smoothie is where you're not red gravy.
00:31:02.240 --> 00:31:03.440
Thanks everyone for watching.
00:31:03.519 --> 00:31:10.400
And if you enjoyed this and thought it was useful, please remember to like and subscribe and share with other people as well.
00:31:10.559 --> 00:31:16.000
For anyone you know who has pets and wants to learn a little bit more about how to care for them well.
00:00:00.080 --> 00:00:01.919
Doesn't that sound like really bad?
00:00:02.000 --> 00:00:19.920
Cause like it and I'm not a biologist, I'm not pretending to be, but it's like when you shut down the natural function, it either A doesn't come back, B comes back like twice as hard for a period of time, or like it just never functions right afterwards.
00:00:20.160 --> 00:00:21.280
You are spot on with that.
00:00:21.440 --> 00:00:26.239
So that's why it is surprising to me that it's gotten this far and it's still so used.
00:00:26.480 --> 00:00:35.280
When it was created, the label right on the box said that it was designed to be not used for longer than two weeks at a time.
00:00:35.600 --> 00:00:36.960
People are on these for years.
00:00:37.280 --> 00:00:39.280
Together, an industry disruptor.
00:00:39.520 --> 00:00:44.960
And renowned veterinarian discuss and debate, establish norms and new ideas in the pet world.
00:00:45.280 --> 00:00:47.679
This is challenging pet health.
00:00:48.560 --> 00:00:49.439
Hey Clayton.
00:00:49.679 --> 00:00:50.560
Hey, Kaylee.
00:00:51.039 --> 00:00:51.840
How are you doing today?
00:00:52.079 --> 00:00:52.960
Absolutely fantastic.
00:00:53.039 --> 00:00:53.840
Thank you for asking.
00:00:54.079 --> 00:00:54.640
Excellent.
00:00:54.880 --> 00:00:55.439
Me too.
00:00:55.520 --> 00:00:56.399
It's gonna be a great day.
00:00:56.640 --> 00:00:58.240
I didn't ask actually, but yeah, no.
00:01:01.920 --> 00:01:02.479
I'm gonna tell you.
00:01:03.359 --> 00:01:04.239
I'm doing great too.
00:01:04.400 --> 00:01:05.040
Yeah.
00:01:05.359 --> 00:01:06.000
So, yeah.
00:01:06.079 --> 00:01:07.840
So, what would you like to talk about, Kaylee?
00:01:08.159 --> 00:01:16.239
I would love to spend some time today talking about digestion because it's such a central focus of health for animals and humans.
00:01:16.480 --> 00:01:35.680
And in particular, today, I would like to have a conversation about an acids because antacids are an over-the-counter medication product that are very overused, frankly, for humans as well as pets, but overused and over-recommended in veterinary medicine too.
00:01:35.840 --> 00:01:41.040
And an acids, chronic use of them, long-term use, can really present a lot of problems.
00:01:41.280 --> 00:01:44.719
Yeah, I've got to be honest, I don't really know a lot about antacids, to be honest.
00:01:44.959 --> 00:01:57.760
Like, like I think what we were talking about before is like my only sort of like knowledge on um, let's say, acid reflux and stuff came down to me promoting a company I work with who do a slippery elm and marshmallow root powder.
00:01:58.000 --> 00:01:58.319
Perfect.
00:01:58.560 --> 00:02:01.680
I love me me going the whole it creates a mucosal layer.
00:02:01.760 --> 00:02:08.080
But I don't know what the hell I'm talking about, to be honest, because I don't really understand antacids or that whole like acid reflux thing.
00:02:08.400 --> 00:02:22.639
I love that you already brought up some of the endpoint we can get to in this conversation about what things can we use that are effective and especially natural, you know, and holistic, um, you know, integrative tools to address this issue.
00:02:22.960 --> 00:02:38.159
So, really starting with what you pointed out, acid reflux, um, you know, another word for it is indigestion, another word or acronym for it is GERD, which G-E-R-D stands for gastroesophageal reflux disorder.
00:02:38.400 --> 00:02:44.400
And so indigestion, reflux, acid reflux, GERD all means, you know, pretty much the same thing.
00:02:44.719 --> 00:02:55.520
When there is indigestion and, you know, imbalance and discomfort in the stomach, then oftentimes there's some burping and some gas release and things coming up.
00:02:55.840 --> 00:03:01.919
And acid is a very important uh piece of the stomach environment.
00:03:02.080 --> 00:03:05.520
But when it comes up into the esophagus, it's not supposed to be in the esophagus.
00:03:05.599 --> 00:03:08.240
So the esophagus is not happy about feeling that acid.
00:03:08.479 --> 00:03:21.520
Some of the things that we commonly see in pets as symptoms, not only the burping and the belching, but lip smacking, um, lip licking, extra swallowing or hard swallowing, just kind of swallowing, you know, often for no apparent reason.
00:03:21.759 --> 00:03:25.120
Um, coughing is a big one and throat clearing.
00:03:25.280 --> 00:03:26.960
So, you know that.
00:03:27.120 --> 00:03:32.960
And it often, so many dogs cough from reflux, and people don't recognize it.
00:03:33.039 --> 00:03:38.879
And even a lot of veterinarians may not recognize it, and it gets misinterpreted as a respiratory cough.
00:03:38.960 --> 00:03:43.120
And so they think there's kennel cough or bronchitis or something going on.
00:03:43.439 --> 00:03:49.919
And like we're always freaked out by the idea that if your dog's coughing, that it's like a symptom of like you know, a weak heart and that sort of stuff.
00:03:50.240 --> 00:03:50.400
Right.
00:03:50.479 --> 00:04:02.080
And it and it is, and you know, that certainly can be, but just statistically plain the odds, because usually a dog is not going to cough from a heart condition until in later stages of the heart condition when it's more advanced.
00:04:02.240 --> 00:04:07.039
Um, and so, and there's a lot of dogs walking around with heart murmurs that have zero symptoms.
00:04:07.199 --> 00:04:19.360
So they could have an underlying heart issue, but full-on coughing from a heart issue definitely happens, but it's not nearly as common as coughing from gastric reflux.
00:04:19.680 --> 00:04:21.759
So, how do like normal antacids work?
00:04:21.920 --> 00:04:25.759
Because like, I know obviously in the stomach there's acid, right?
00:04:25.920 --> 00:04:28.959
And so I love that you said that, Clayton.
00:04:29.439 --> 00:04:38.079
Because you would think that that would be sort of an obvious thing to build sort of a health plan around when there's digestive issues.
00:04:38.399 --> 00:04:43.839
But so commonly we give an acids and just dole them out, or you know, they're over the counter.
00:04:44.000 --> 00:04:46.319
So people just, you know, keep taking them or keep using them.
00:04:46.480 --> 00:04:50.160
But like you just said, there's acid in the stomach for a reason.
00:04:50.319 --> 00:04:57.920
And interestingly, acid is important for olive digestion, but it is critically important for protein digestion.
00:04:58.079 --> 00:05:06.720
And if we are removing or limiting the acid in their stomach, they literally cannot digest their species appropriate diet anymore.
00:05:07.040 --> 00:05:10.480
So, what like anthesis actually neutralized the acid in the stomach?
00:05:10.720 --> 00:05:17.279
But but again, that kind of sounds like something you don't really want to do because if you think about it, there's like acid there for a reason, right?
00:05:17.439 --> 00:05:27.519
I mean You would think, like, how did we get this far in even human healthcare with not really realizing that underlying important critical concept?
00:05:27.680 --> 00:05:42.399
And I define myself often as a functional medicine doctor and a lot of humans in the integrative space, human doctors, um, you know, functional medicine is a term that we love to use now in literally supporting the body to function optimally.
00:05:42.639 --> 00:05:52.319
And when we chronically take ourselves or give an acids to our pets, we are literally disrupting the function that the body is designed to do.
00:05:52.480 --> 00:05:59.279
The first, a lot of people will remember, you know, some of the first generation of an acid products out there for humans was Tums.
00:05:59.759 --> 00:06:02.079
And people would give Tums to pets too.
00:06:02.240 --> 00:06:08.319
Um, and Tums is calcium carbonate and it's helping to bind, you know, some of the acid in the stomach.
00:06:08.480 --> 00:06:13.199
So it's reducing the amount of acid so people didn't feel that, you know, heartburn, etc.
00:06:13.600 --> 00:06:17.680
Well, then newer generation things came along, like pepsid, which is a brand name.
00:06:17.759 --> 00:06:19.360
I don't know what you guys have in the UK.
00:06:19.519 --> 00:06:20.720
That's Fomotidine.
00:06:20.959 --> 00:06:24.160
Yeah, so we only have that as a prescription-only drug in the UK.
00:06:24.480 --> 00:06:25.040
Really?
00:06:25.279 --> 00:06:25.600
Yeah.
00:06:26.639 --> 00:06:27.120
Wow.
00:06:27.360 --> 00:06:28.399
So over the counter here.
00:06:28.480 --> 00:06:29.120
I mean, it flies off.
00:06:29.920 --> 00:06:33.759
Yeah, but America, you know, like melatonin's prescription only as well in the UK.
00:06:34.079 --> 00:06:34.319
Okay.
00:06:34.480 --> 00:06:38.560
So there's there's a bunch of stuff which you guys can just like load up a okay.
00:06:38.720 --> 00:06:43.279
So I'm eager to ask you this question, but before I get to that, I'm gonna just put something in between.
00:06:43.439 --> 00:06:50.160
Is pepsid, which is Fomotidine, super still common, but was kind of the go-to for a while after Tom's.
00:06:50.319 --> 00:06:53.839
And then out came Xantac, which is rhinitidine.
00:06:54.240 --> 00:06:59.040
And then out came Ameprazole, which is Prilasec trade name.
00:06:59.279 --> 00:07:01.439
Freaking took over the market.
00:07:02.079 --> 00:07:11.040
But then along came Ameprazole, which is the newest generation, and that is called a PPI, which is an acronym for proton pump inhibitor.
00:07:11.439 --> 00:07:14.319
And so people throw out the term PPIs.
00:07:14.560 --> 00:07:29.519
What that means is that the cells in the stomach that are responsible for creating acid and pumping it out in the stomach, releasing it into the stomach, secreting it, they are there's proton pumps in those cells and it's creating the acid.
00:07:29.759 --> 00:07:35.600
And these PPIs, like a meprazole, shut down the ability of the stomach cells to create acid.
00:07:35.759 --> 00:07:43.680
So no longer are you just binding it and removing it and reducing it, you are literally shutting down the stomach's capability of doing what it's supposed to do.
00:07:44.000 --> 00:07:45.920
Doesn't that sound like really bad?
00:07:46.079 --> 00:08:08.399
Because like it like because like like everything I'm aware of, like, and I'm not a biologist, I'm not pretending to be, but it's like when you shut down a natural function, it either A doesn't come back, B comes back like twice as hard for a period of time, or like it just never functions right afterwards.
00:08:08.720 --> 00:08:15.439
Honestly, Clayton, it's brilliant because it's intuitively you said it intuitively, but you are completely correct.
00:08:15.680 --> 00:08:23.680
Is that, and so that's why it is surprising to me that it's gotten this far and it's still so used because you are spot on with that.
00:08:24.000 --> 00:08:32.879
When it was created, the label right on the box said that it was designed to be not used for longer than two weeks at a time.
00:08:33.120 --> 00:08:36.639
People are on these for years, and so it is an issue.
00:08:36.720 --> 00:08:56.559
And there are a lot of gut health GI experts that have, you know, written about and talked about how once somebody is on um a meprazole long term, like more than two years, that your stomach cells may never be able to produce the same level of acid that originally did.
00:08:56.720 --> 00:09:01.039
It could have purpose to use in those sort of short-term situations.
00:09:01.600 --> 00:09:14.639
If there's a stomach ulcer, a bleeding ulcer in the stomach, something like that, it would make sense to shut down, or could make sense, to shut down the acid production of the stomach temporarily for a little bit to let that ulcer heal.
00:09:14.879 --> 00:09:23.600
But it does not make sense functionality for anyone's digestion to continue shutting down the stomach's ability to make acid for a long time.
00:09:24.000 --> 00:09:26.159
So let's say you've been on it for 10 years, right?
00:09:26.240 --> 00:09:29.600
And you haven't produced any new stomach acid for 10 years.
00:09:30.080 --> 00:09:31.919
How are you able to digest food properly?
00:09:32.000 --> 00:09:48.720
I mean, so we can get all kinds of deficiencies because of low stomach acid, vitamin B12 deficiency, um, magnesium deficiency, calcium doesn't absorb well when our stomachs aren't acidic, um, and even iron, so that can, you know, lend towards anemias and things.
00:09:48.879 --> 00:09:50.559
So there are these issues.
00:09:51.039 --> 00:09:59.759
The food when it's going through the stomach isn't being digested by the acid, it's pretty much passing through and not nothing's being absorbed.
00:09:59.840 --> 00:10:07.919
So just in terms of like your ability to get a level of nutrients out of your food, it must be like massively.
00:10:08.320 --> 00:10:08.799
It's hindered.
00:10:08.960 --> 00:10:09.039
Yeah.
00:10:09.279 --> 00:10:09.679
You got it.
00:10:09.759 --> 00:10:11.519
Yeah, things become less bioavailable.
00:10:11.600 --> 00:10:19.279
So that's a really great way of explaining it because the other thing that I love to tell people is that your stomach is the start of the digestive process.
00:10:19.600 --> 00:10:25.600
So if the stomach isn't working well, the whole rest of the digestive tract can't do its job well either.
00:10:25.759 --> 00:10:33.279
Because when we or our pets swallow food, it goes down the esophagus, food pops and plops into the stomach, supposed to be in the stomach for a little while.
00:10:33.519 --> 00:10:39.919
Stomach's got jobs, it's releasing the acid, it's churning, it's got some muscular, you know, action to grind things down.
00:10:40.159 --> 00:10:47.360
And so all of that is preparing that food to, as you said, absorb and deliver nutrients farther down.
00:10:47.519 --> 00:11:00.720
So if the stomach and the acidity in the stomach aren't doing its job, larger food molecules are passing down to the small intestine level, and the small intestine is like, uh, dude, I can't absorb that, can't I can't deal with that?
00:11:00.799 --> 00:11:02.879
It's supposed to be smaller, don't know what to do with that.
00:11:03.120 --> 00:11:04.320
How does it respond?
00:11:04.639 --> 00:11:13.039
Inflammation, inflammatory processes, food allergy, food sensitivity, you know, all these kinds of things.
00:11:13.279 --> 00:11:34.240
And so I really like to explain to people that supporting the stomach to do its job better not only helps us get more bioavailability out of our food and not have nutrient deficiencies, et cetera, but it literally frees up inflammation that the small intestine or the gut is going to have in response to not properly broken down food.
00:11:34.639 --> 00:11:36.720
Makes you wonder why people use anthyses, right?
00:11:37.039 --> 00:11:39.440
Like I do, again, I've never used them myself.
00:11:39.519 --> 00:11:45.600
And I'll be honest, I've always been like, yeah, I've never understood the science behind it.
00:11:45.840 --> 00:11:50.480
Um, but yeah, like I guess if I had the problem, I probably would have used them, to be fair.
00:11:50.639 --> 00:11:58.159
And like, look, it's only recently that I've obviously, you know, selling other products that I've I've been a bit more like, well, okay.
00:11:58.240 --> 00:12:01.440
Like, I wouldn't even think about giving my dog an antestin, if I'm honest.
00:12:01.679 --> 00:12:03.519
Wow, it is so, so common.
00:12:03.759 --> 00:12:21.279
So, one of the reasons why a dog or a cat can eat prey and uncooked, you know, meat and roadkill and, you know, whatever they get their hands on in a healthy situation, their gut's like, I'm good, you know, I got plenty of acid, I can kill off that, you know, bad bacteria, et cetera.
00:12:21.919 --> 00:12:31.440
But you give somebody something that doesn't have good stomach acid, and you know, like a cow or a horse, which is, you know, an herbivore, a completely different system.
00:12:31.519 --> 00:12:32.799
They weren't designed to eat meat.
00:12:32.960 --> 00:12:36.080
You give them something with salmonella in it and it'll kill them.
00:12:36.240 --> 00:12:43.440
You give something to a healthy dog or cat stomach with a proper acidic environment, like, yeah, I'm built to design, you know, I'm designed to deal with this.
00:12:43.679 --> 00:12:49.120
The stomach acid at a baseline in between meals is pretty equivalent between humans and dogs.
00:12:49.440 --> 00:13:09.039
But the postprandial acid, which means when you eat, you put something in your mouth, you swallow something, the acidity for dogs goes the their stomach gets way more acidic right after eating, dumps a bunch of acid, which makes sense because Mother Nature would have designed them to be digesting meat, protein.
00:13:09.279 --> 00:13:13.039
And we know that acid is very critical for protein digestion.
00:13:13.120 --> 00:13:22.159
So it makes sense that, you know, a carnivore animal would have more acid released, a higher ratio of acid released after eating.
00:13:22.639 --> 00:13:25.200
So that's a you know really cool factor too.
00:13:25.519 --> 00:13:30.000
And and also I suppose just evolutionarily, like dogs are scavengers.
00:13:30.240 --> 00:13:34.000
So again, there would be higher bacteria levels in what their food than what we've got.
00:13:34.159 --> 00:13:34.480
You got it.
00:13:34.879 --> 00:13:35.440
You got it.
00:13:35.600 --> 00:13:43.120
And so for dogs, what I see clinically, because I do a lot of microbiome testing, a lot of stool or gut microbiome testing.
00:13:43.360 --> 00:13:59.440
And what we see, and this is all in the literature when I present it on for humans too, is that it's very common for pets or humans to get an overgrowth of harmful organisms in their gut biome if they don't have good acidity or if they are on an acids for too long.
00:13:59.919 --> 00:14:03.039
Then wouldn't that make these like PPI?
00:14:03.200 --> 00:14:04.720
I can't remember what you said it was, something pumping.
00:14:05.600 --> 00:14:25.279
Some like that would make them really dangerous, like really bad because in dogs, because again, if they're eating their food and it's at that point they dump loads of acid into the stomach to cope with what's in there, if that's inhibiting that, it's not just like neutralizing it a bit or whatever, it's then the dogs could potentially get really ill off.
00:14:25.519 --> 00:14:27.679
And and it often is underrecognized, like people don't know.
00:14:27.759 --> 00:14:39.440
They show up with signs of IBD and you know, like it's it's so convoluted and complex that it's just not clear to people, even to veterinarians, when this is happening.
00:14:39.679 --> 00:15:02.720
But it is very common to have what we call a SIBO, which is an acronym for small intestinal bacterial overgrowth that's used often in the human, you know, medical field too, that humans or pets can get this overgrowth of bad bacteria or dysbiosis, we call it, because of a dysfunction of stomach acid, you know, or stomach function.
00:15:03.039 --> 00:15:04.080
And so how would that present?
00:15:04.159 --> 00:15:17.840
Like if you're like, 'cause I don't uh like one of my dogs, obviously, um, she as she when she got quite old, um, her stomach acid obviously wasn't right, and she would eat raw food and then throw it straight up.
00:15:18.320 --> 00:15:21.279
And is is that like a common way it's presented?
00:15:21.519 --> 00:15:22.480
It it could be.
00:15:22.639 --> 00:15:26.000
So, and there's other reasons that regurgitation can occur.
00:15:26.159 --> 00:15:30.879
And, you know, sometimes it's as simple as they eat too fast, they gulp too fast, etc.
00:15:31.279 --> 00:15:41.519
But also if their stomach environment isn't balanced and appropriate, it may be the body's way of just going, that it can't deal with that right now, it can't do it, you know.
00:15:41.679 --> 00:15:44.080
And so that absolutely could be a factor.
00:15:44.399 --> 00:15:48.720
And if I gave her a cooked, like a gently cooked dinner, she'd it it would it would go down fine.
00:15:49.039 --> 00:15:49.519
There you go.
00:15:49.600 --> 00:15:57.039
See, and that's a nice, you know, um comparison for you to have um awareness of or identified for her.
00:15:57.279 --> 00:16:04.799
So it's pretty typical for older humans or older pets to not have as much acid release in their stomach as we do when we're younger.
00:16:05.039 --> 00:16:11.200
And medications, by the way, over-the-counter and prescription medications can interfere with acid production in the stomach.
00:16:11.360 --> 00:16:18.159
So sometimes it's just that, you know, the pet or the person's on something else that's um affecting stomach acid, etc.
00:16:18.559 --> 00:16:21.600
So lots of, you know, lots of different reasons.
00:16:21.840 --> 00:16:33.759
Interestingly, majority of cases for humans, not 100%, but the majority of humans and pets that are experiencing reflux symptoms, it's actually from too little acid in the stomach.
00:16:34.000 --> 00:16:38.960
And so what's happening is when there's too little acid, as we just talked about, it's imperative for digestion.
00:16:39.039 --> 00:16:51.919
And so things aren't digesting well, they're kind of sitting in there and you know, starting to ferment a little bit, not breaking down the way they're supposed to, and you know, getting passed through as efficiently as possible or as as optimal.
00:16:52.080 --> 00:16:59.279
And so gas is secondarily created and from that fermentation and it needs to be released, and so it comes up.
00:16:59.440 --> 00:17:11.519
And any little bit of gas that's coming up brings whatever is in the stomach, little um, you know, acidity with it, and then the esophagus feels that doesn't feel good, and the dog's coughing and trying to clear their throat, etc.
00:17:11.839 --> 00:17:14.160
But it's often not because there's too much acid.
00:17:14.319 --> 00:17:26.720
So not only is giving acid reducers long term you know causing a problem, but honestly, it's it's not the cause of the initial symptom the majority of the time that we're actually going after.
00:17:27.039 --> 00:17:35.599
So, like knowing what we know about antacids and acid production, et cetera, why are vets actually still recommending and prescribing antacids?
00:17:36.400 --> 00:17:38.240
Super good question, Clayton.
00:17:38.400 --> 00:17:47.359
And, you know, and and veterinarians, uh, you know, obviously they mean well always with what they're recommending and what they're prescribing.
00:17:47.599 --> 00:18:02.640
But the thing is, in conventional medicine background, in typical veterinary school, we are not taught the inner workings of the digestive system through the same lens that we're learning it from an integrative perspective.
00:18:02.880 --> 00:18:17.440
And I think a lot of doctors see that as such a separate process and they don't literally realize that the stomach function, the whole rest of the GI tract, that's the intestines, relies on the stomach function to do its job.
00:18:17.680 --> 00:18:26.240
And so they are sort of reverting to the typical patterns that we use in conventional medicine, which is symptom, you know, addressing the symptoms.
00:18:26.480 --> 00:18:31.680
And gastric reflux or acid reflux looks like you have too much acid.
00:18:31.759 --> 00:18:32.559
That's what it looks like.
00:18:32.720 --> 00:18:45.920
And so everybody's trying to give antacids to help the pet feel better, and they simply really don't realize that that is hindering digestion and therefore exasperating the problem that was already there.
00:18:46.160 --> 00:18:57.119
It just seems to me like antacid use, like when you explain to me, like how let's say, especially like the PPI one works, it just seems like such a bad idea, to be honest.
00:18:57.279 --> 00:19:03.759
Just from anybody I I'm I'm literally like like know nothing about this stuff.
00:19:04.000 --> 00:19:11.359
And yeah, I can I and I can like look at that and go, Well, we're just gonna turn off the stomach, the stomach because like it doesn't make any sense.
00:19:11.440 --> 00:19:19.359
I mean, it's like you know, if you had like a river and you just stuff a load of holes into into the river and and it'd stop it for flying, going, Yeah, it's gonna be fine.
00:19:19.599 --> 00:19:22.960
We can just open that back up later and it's gonna be completely normal.
00:19:23.519 --> 00:19:28.640
Like it it just it's by like the natural world just doesn't work like that, to be honest.
00:19:29.119 --> 00:19:40.240
And it's great that you say that because literally when I gave these lectures to veterinarians um at HVMA a few years ago, digestion is a comprehensive job.
00:19:40.480 --> 00:19:48.000
And I showed that paper that was published in 2018 from the American Veterinary Internal Medicine Group.
00:19:48.160 --> 00:19:55.119
And it was, it was literally titled, like, you know, a a review of the overuse of, you know, an acids.
00:19:55.200 --> 00:20:04.799
And basically the summary of the paper is we need to get much more selective and specific and not be overusing these for, you know, chronic uses.
00:20:05.039 --> 00:20:12.160
And I made a joke in the lecture and I said, apparently this paper didn't hit the desk of, you know, most veterinarians, like we never got this memo.
00:20:12.400 --> 00:20:17.279
Like, no, that was that's been out for several years, but nobody knows this stuff.
00:20:17.519 --> 00:20:24.240
So, you know, it is really just under, you know, un undergnown and underappreciated.
00:20:24.559 --> 00:20:27.440
And acids obviously not ideal, right?
00:20:27.519 --> 00:20:29.680
So I think we've like established that.
00:20:29.839 --> 00:20:31.519
Um, but what should you do?
00:20:31.599 --> 00:20:45.200
Like, and and the problem is is that obviously, like what we're describing here is let's say too much acid, or it could be not enough acid, or poor quality acid, or it could be a damage to the mucosal layer in the stomach.
00:20:45.440 --> 00:20:51.279
And these I I'm assuming these are all three different, like completely different solutions that you would need to look to.
00:20:51.839 --> 00:20:59.680
Well, it could be, but oftentimes, honestly, there are some key things that really are gonna help any of those situations.
00:20:59.920 --> 00:21:08.319
Um, you know, and there may be certain conditions where we really want to get to, you know, the root of what's happening so we can correct that.
00:21:08.559 --> 00:21:26.160
But point being, when we're talking about useful tools that are not gonna cause the damage that long-term antacids can cause and that are very helpful, we can talk about things like slippery elm and marshmallow root, which I know you're familiar with in some of the products that you work with.
00:21:26.400 --> 00:21:32.559
And those herbs are phenomenal herbs and tools for digestive support.
00:21:32.640 --> 00:21:38.240
And it's one of those things that actually is like an if you know you know product, slippery elm and marshmallow root.
00:21:38.319 --> 00:21:46.240
It's sort of like I think people who have like a high level of pet knowledge, it's like a massive go to for them.
00:21:46.400 --> 00:21:46.880
Absolutely.
00:21:47.119 --> 00:21:54.000
But I feel like I've always struggled like with how do I market it to people who are, let's say, less knowledgeable.
00:21:54.160 --> 00:21:58.160
Because again, it's sort of like if you see it slippery with marshmallow root, what the hell is that?
00:21:58.319 --> 00:22:01.279
You know, like do you know, and how do you And how do you sell it?
00:22:01.359 --> 00:22:07.920
Like it's like you know, throat and gut coder or like digestive helper.
00:22:08.079 --> 00:22:08.400
I don't know.
00:22:08.559 --> 00:22:21.519
It because again, it's like it's very hard to like just from a pure like this my marketing pet industry head, it's like how do I explain this to people in a sentence which makes sense that they would know when to use it, you know?
00:22:21.680 --> 00:22:22.000
Right.
00:22:22.240 --> 00:22:33.200
And and I think like that's why one of the problems is that it's kind of like it's it's such a good product, and in my experience, it's been great for like dogs with acid reflux, dogs that are being sick a lot.
00:22:33.440 --> 00:22:35.920
You know, there's so many different use cases for it.
00:22:36.160 --> 00:22:36.880
Absolutely.
00:22:37.119 --> 00:22:40.720
But how do I exp how do I put that on the the tin?
00:22:41.119 --> 00:22:45.920
And just to explain, slippery elm and marshmallow are plants or you know, herbs.
00:22:46.079 --> 00:22:50.240
We're gonna use them in, you know, as as herbal tools to support the body.
00:22:50.480 --> 00:22:56.160
Um, they are plants with mucilage in them that is very coating and soothing.
00:22:56.559 --> 00:23:08.799
And their properties include not only soothing the gut lining or the esophageal lining or the colon lining, the whole GI tube, soothing it so that it feels better, but they're actually bringing down inflammation.
00:23:08.880 --> 00:23:19.599
They've got anti-inflammatory properties and they've got some reparative properties, like they're helping those tissues to repair and get back to normal secretion, you know, activities and stuff like that.
00:23:19.759 --> 00:23:34.799
So they go a step further than a lot of pharmaceuticals that are just trying to coat the, you know, area would be like a KO pectate or, you know, something like that, and that these are natural tools that have been used for centuries for, you know, anything mucosal.
00:23:35.039 --> 00:23:41.599
And so a lot of humans will drink if they drink like a throat coat tea, if they're feeling a sore throat or a cold coming on.
00:23:41.839 --> 00:23:43.119
You look at the ingredients.
00:23:43.359 --> 00:23:48.799
Marshmallow is very likely in there, licorice root, slippery elm, those same kinds of things.
00:23:48.880 --> 00:23:59.039
So they can coat the throat, the airways, but some of the, you know, their claim to fame really slippery and marshmallow slippery elm and marshmallow root is GI, you know, the GI tract.
00:23:59.279 --> 00:24:00.559
Okay, so what else can you use?
00:24:00.799 --> 00:24:09.359
Homeopathics can also be very helpful for symptomatic patterns to help the body feel better when this is, you know, these kind of symptoms are occurring.
00:24:09.519 --> 00:24:10.799
So within my line, Dr.
00:24:10.880 --> 00:24:16.240
Katie's Remedies, I have a lot of homeopathic um custom blends that I um have created.
00:24:16.480 --> 00:24:21.519
And one of my blends is called tummy for um GI symptom support.
00:24:21.839 --> 00:24:35.599
And so if a pet is is experiencing reflux or any kind of, you know, indigestion or, you know, even nausea or um poor appetite where it could be, you know, loud stomach noise, things like that.
00:24:35.759 --> 00:24:42.720
By the way, eating grass is another, like voraciously eating grass is another symptom of, you know, reflux or stomach upset and digestion.
00:24:43.039 --> 00:24:44.079
So dogs eating grass.
00:24:44.319 --> 00:24:49.200
Eating a little bit of grass, like evolutionarily in nature for, you know, wild canines is normal.
00:24:49.279 --> 00:24:53.119
A little bit of grass and foraging and stuff, getting a little bit of fiber.
00:24:53.279 --> 00:25:06.319
But when they are voracious, when they wake up in the morning and they have a loud stomach and they're either vomiting by or just acting burpee, and they race out and start eating grass and then oftentimes puke it back up, that is a sign of reflux.
00:25:06.400 --> 00:25:07.839
And pets do it all the time.
00:25:07.920 --> 00:25:11.440
People are like, oh my God, my dog is just going at the grass first thing in the morning.
00:25:11.680 --> 00:25:12.640
No, I've seen it before.
00:25:12.720 --> 00:25:16.160
That's why I was the interested, like, and that that's just the sign.
00:25:16.240 --> 00:25:19.200
And so in that circumstance, you would use something like slippery elm.
00:25:19.680 --> 00:25:20.480
Yes, that.
00:25:20.640 --> 00:25:25.359
And and again, you could tag in like the homeopathic blend, like my tummy blend.
00:25:25.440 --> 00:25:31.119
And one of the nice things about the homeopathic remedies is that they can work so immediately.
00:25:31.359 --> 00:25:36.960
Like you, your pet can feel better, or you yourself, if you're taking these things, can feel better within moments to minutes.
00:25:37.279 --> 00:25:39.680
We had that with a friend of ours when she was in America recently.
00:25:40.000 --> 00:25:47.119
She like literally was like suffering from really bad indigestion while she was here, took the tummy remedy and was immediately better.
00:25:48.160 --> 00:25:48.319
Yes.
00:25:48.480 --> 00:25:58.960
So perfect lead-in is that we talked about the slippery elm and the marshmallow and those herbal tools to soothe and repair and you know, get things, the inflammation down.
00:25:59.119 --> 00:26:05.440
The tummy is and homeopathy remedies are great symptom support to just feel better, you know, quickly.
00:26:05.680 --> 00:26:14.880
But then the digestive enzymes really get to the root of the issue with supporting the body to digest better.
00:26:15.200 --> 00:26:20.160
And so everything is gonna work better, things are gonna, the food's gonna be more bioavailable.
00:26:20.319 --> 00:26:30.640
So digestive enzymes are amazing for older pets because as any of us age, typically our digestion as we get into our geriatric years is, you know, declining.
00:26:30.799 --> 00:26:38.720
So certainly aging or malabsorption, underweight, et cetera, is a classic reason to use digestive enzymes.
00:26:38.880 --> 00:26:45.920
Um, or if the pancreas, if the pancreatitis and the pancreas is not working well, that's another great reason to use digestive enzymes.
00:26:46.160 --> 00:26:56.240
But I love them for when there's acid reflux, when there's IBD, you know, any inflammatory digestive issue, digestive enzymes are your friend.
00:26:56.480 --> 00:26:58.160
Are they are they a long-term use thing?
00:26:58.640 --> 00:26:59.039
They are.
00:26:59.279 --> 00:27:00.400
They're fantastic.
00:27:00.720 --> 00:27:12.880
And recently I did this research to find out when I was presenting on it, one of the great things about using digestive enzymes long term is you are literally not hindering your body's capacity to produce the enzyme.
00:27:12.960 --> 00:27:19.119
You know, sometimes when you take something that's sort of doing the job for your body, maybe your body stops doing that.
00:27:19.359 --> 00:27:33.920
They've shown there's a lot of data out there to show that when we take digestive enzymes routinely, indefinitely, our we are not um limiting our body's capacity of also putting in our own enzyme content.
00:27:34.079 --> 00:27:36.559
So we're just helping out, helping things to work better.
00:27:36.880 --> 00:27:38.000
And so how does it work?
00:27:38.319 --> 00:27:46.960
Is it like when it goes into the stomach, like into the into the gut, like the acid hydrochloric kind of like enhances the acid and then you got it?
00:27:47.039 --> 00:27:54.880
As we're putting these enzymes in the food, then that food, the acid is in there and the whole working system of the stomach starts to work better.
00:27:54.960 --> 00:27:58.079
The pepsin's there, then the protein can break down.
00:27:58.319 --> 00:28:00.160
You know, nutrients are able to absorb.
00:28:00.240 --> 00:28:03.759
We talked about nutrition, you know, nutrient deficiencies, if that's not all working.
00:28:03.920 --> 00:28:16.480
And then when the food passes to the small intestine, it's in smaller particles and the small intestine's happy because it's able to absorb it without, you know, getting um inflammatory response and all this stuff.
00:28:16.559 --> 00:28:22.319
And so I love to tell people if you if your pet has food allergies or food sensitivities, digestive enzymes are their friend.
00:28:22.559 --> 00:28:27.119
It's like the idea of eating a steak if you've got really bad stomach acids, it's gonna be like really hard to do.
00:28:27.279 --> 00:28:28.319
You're gonna have a tough time.
00:28:28.480 --> 00:28:28.880
Yeah.
00:28:29.440 --> 00:28:39.200
But you know, if you ate a burger, um, you could actually probably digest that because it's already kind of partially digested in a sense that like that might be a little you're right.
00:28:39.359 --> 00:28:42.720
Like a steak still has all the muscle fascial fibers.
00:28:42.799 --> 00:28:51.759
I mean, that's gonna take a lot, you know, it's gonna take more effort for the digestive system to break all that down than something that's already been mashed and ground as a burger.
00:28:51.920 --> 00:29:05.279
Like I've told a lot of pet parents, um, if your pet ha is having really significant issues with upper GI digestion, one of the mechanisms that might help them is to puree the food up a little bit.
00:29:05.599 --> 00:29:07.759
You know, it's already kind of pre-digested, it's very broken.
00:29:07.839 --> 00:29:10.160
So that kind of goes along the lines of what you were just saying.
00:29:10.640 --> 00:29:10.720
Yeah.
00:29:10.799 --> 00:29:13.519
So if you've got acid reflux, steak smoothies.
00:29:14.400 --> 00:29:16.000
Steak smoothies, there you go.
00:29:16.240 --> 00:29:16.880
Yeah, uh-huh.
00:29:17.119 --> 00:29:32.640
And the other thing that I that I think is worthy of bringing up, because you were just talking about humans, you know, and steak smoothies, is that apple cider vinegar is a long time tried and true, known, you know, tool that you can use to help acidify the stomach.
00:29:32.720 --> 00:29:46.960
And there are humans who swear by apple cider vinegar helping their digestion and saving them from horrible reflux because, again, it's supporting, you know, the acidity in the stomach so you don't have the reflux in the first place.
00:29:47.119 --> 00:29:51.839
And there's even apple cider apple cider vinegar for humans, gummies out there that you know people take.
00:29:51.920 --> 00:29:52.720
Like there's all these things.
00:29:52.880 --> 00:29:55.119
But you could also make your steak into a smoothie.
00:29:55.200 --> 00:29:58.559
But I would recommend some digestive enzymes or some apple cider vinegar.
00:30:00.000 --> 00:30:02.480
Vinegar flavored gummies sounds horrible.
00:30:02.880 --> 00:30:04.559
It's like we're gonna take something you like.
00:30:05.279 --> 00:30:07.599
People won't drink apple cider vinegar because it tastes so strong.
00:30:08.000 --> 00:30:10.160
But a gummy, they're like, I can do that, you know.
00:30:10.319 --> 00:30:20.799
And obviously wouldn't give that to a pet, but it's just a fun frame of reference for humans too, because it's such a it's such a um, you know, common problem in people as well as pets.
00:30:20.880 --> 00:30:23.680
So would with apple cider vinegar work with a dog?
00:30:24.000 --> 00:30:24.640
How would it work?
00:30:24.880 --> 00:30:25.519
No, would it work?
00:30:25.759 --> 00:30:26.000
It does.
00:30:26.079 --> 00:30:26.559
Yeah, yeah, yeah.
00:30:26.640 --> 00:30:26.799
Yeah.
00:30:26.880 --> 00:30:39.119
People, and it's not, it's thought to not be quite as, you know, targeted or effective as something in an enzyme blend that's HCL, the hydrochloric acid, the betane HCL.
00:30:39.279 --> 00:30:44.000
But apple cider vinegar definitely has applications and can absolutely work.
00:30:44.400 --> 00:30:50.720
So it's kind of like the first tier, and then the next tier would be the HCl in a product, like a digestive enzyme product.
00:30:51.119 --> 00:30:53.039
So cheeseburgers are great.
00:30:55.279 --> 00:30:56.319
Smash your steak.
00:30:56.799 --> 00:30:57.440
Steak smoothies.
00:30:57.920 --> 00:31:01.680
Somewhere between a cheeseburger and a steak smoothie is where you're not red gravy.
00:31:02.240 --> 00:31:03.440
Thanks everyone for watching.
00:31:03.519 --> 00:31:10.400
And if you enjoyed this and thought it was useful, please remember to like and subscribe and share with other people as well.
00:31:10.559 --> 00:31:16.000
For anyone you know who has pets and wants to learn a little bit more about how to care for them well.
