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Speaker 1: The content of this podcast is provided for general informational

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purposes only and is not intended as nor should it

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be considered a substitute for professional medical advice. Hello, this

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is Karen Nickel, family nurse practitioner, and you are listening

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to Itchy and Bitchy, a podcast that provides answers to

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your many unanswered health questions. I have some very exciting

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news to share with my wonderful listeners. For almost nine years,

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I have been the host of Itchy and Bitchy formally

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named Sweaty and Pist. It is time for the podcast

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to grow and evolve with new hosts and a slightly

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different format. Growth and change is a good thing. My

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dear dear friends, Steven Miller and Keith Millica will be

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the future hosts of Itchy and Bitchy. As hosts, they

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will have a comprehensive approach to wellness with a focus

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on connecting human health, animal health, and environmental health. To

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provide a transition period for you, for me, and for

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Stephen and Keith. We have a series of four episodes planned.

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I will introduce Stephen Miller, a fellow nurse practitioner, in

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the first of the four episodes. In the next episode,

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I will introduce you to Keith Millika, a veterinarian. The

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third episode will include all three of us as I

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interview both Stephen and Keith. All three of us will

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also be in the fourth episode, but this time the

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tables will be turned and Keith and Steven will be

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interviewing me. Good luck with that. I am confident that

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you will enjoy learn from all that they have to share.

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So today I want to introduce you to doctor Keith Milica.

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Speaker 2: Hello.

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Speaker 1: Hello. He is a veterinarian and board certified veterinary dermatologist

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who has been in practice for thirty years. Lots of experience.

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He has taught at Auburn University, the University of Georgia,

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and the University of Tennessee. Go Orange. Keith is currently

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an adjunct professor at Lincoln Memorial University here in Knoxville.

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But wait, there's more. He is the author of small

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Animal Dermatology textbook. He runs an allergy and dermatology clinical

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practice called the itch Clinic. He is also the medical

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director of doc Itchy Medical Supplements. Keith is also a

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dear friend. Welcome Keith, Hello Karen, I'm so happy you

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are here met you.

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Speaker 3: This is very exciting for myself and Steven and hopefully.

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Speaker 1: You absolutely I trust you implicitly, so, Keith, what I

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thought that we could do today is pick your brain

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about pet food, gut health and diets. Sure, all for

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animals in other words, well, so there's actually a lot

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of crossover as well.

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Speaker 3: And so one of the interesting things about the human

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veterinary kind of interaction is that we can do a

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lot more interesting kind of tests or experiments in that

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trying to get someone to eat the same food for

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six months doesn't really work out too well. But with

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dogs and cats we can really restrict our diet and

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have much more precise control and then say what happens.

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So some of the information we have on the vetinary

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side actually is better and more detailed than what's available

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on the human side.

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Speaker 1: Yeah, a little more control involved there.

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Speaker 3: Sometimes, yeah, yeah, hopefully depending on the household.

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Speaker 2: Yes.

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Speaker 1: So I want to ask you, Sae. GLP one drugs

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are all the rage or human weight loss. So are

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veterinarians using GLP one type drugs on animals yet for obesity? Oh?

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Speaker 2: Yes?

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Speaker 3: So veterinary medicine has a long history of stealing human

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treatments and disease names, I mean pretty much all of it.

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Harry medicine evolved from the human literature, and so a

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lot of our names, a lot of our understanding of

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patho mechanisms comes from the human side, and then as

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we have more studies, we figure out that maybe it's

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not exactly the same, or sometimes it's even totally different.

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But we absolutely don't feel like we have to reinvent

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the wheel, and we steal whatever we can steal from

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the human side. So with the advent of the GLP

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one drugs, absolutely there's starting to be used in veterinary medicine.

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Speaker 2: So the limiting factors are always.

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Speaker 3: First of all, dogs are not human, so is their

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toxicity in dogs and cats, and it turns out they're

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not that this is one of the proteins that are

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pretty well conserved across species, so we don't have to

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worry about that too much. The other problem that we

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have is that if the drugs are very hard to

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acquire or expensive, which they are right now because of

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trendy everyone wants them, then that could be a limitation

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to us actually just getting access in a practical formul

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A lot of pet owners can you afford a lot

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of care, but one thousand dollars a month for a

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GLP one for obesity or even behavioral changes like cats

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that are food seeking and driving their owners crazy. You know,

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money could be a limitation. So there actually are a

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few studies. One of the other problems in veterinary medicine

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that we have is that the studies are really small.

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So like where you would do I don't know, a

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typical GLP one study, maybe one thousand patients. What's the

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typical size pretty big in humans?

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Speaker 1: Oh, for something like that, it'd be in the thousands.

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Speaker 2: Yeah, thousands.

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Speaker 3: So we have now, you know, maybe half dozen studies

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with dogs and cats that are like eleven animals here,

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twenty animals there. Yeah, And so at that level we

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can say, okay, we're not going to kill the patient.

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That's an important threshold.

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Speaker 1: That is a good one.

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Speaker 2: Yeah, that's kind of starting place.

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Speaker 3: And then do we have efficacy And it turns out

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that we actually do so, Like one of the studies

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I'm familiar with, they looked at I think it was

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twenty two dogs over a six month period of time,

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and they had almost a fourteen percent reduction in body

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weight mass which I think is similar to humans. Is

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that what's the number?

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Speaker 1: Yeah, and typically more than a percentage. Typically on average

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people see a twenty six to thirty pound weight los.

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Speaker 2: Oh wow, that's a lot.

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Speaker 1: But if you're over three hundred and fifty or four

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hundred browns, then we see significantly more than that.

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Speaker 2: Right, And obviously our dogs are not four hundred.

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Speaker 3: Yeah, well yes so, but yeah, I mean breed absolutely.

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You know, this is really there are few absolute benchmarks

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in medical history that are just mind blowingly revolutionary. And

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antibotics was one. You know, how many people died before antibotics.

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Insulin was another one. The development of steroids and that

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was kind of the whole JFK had Addison. Steroids saved

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his life. And then these GLP one are just not

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only for weight loss, but addiction for behavioral like in

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these cats. There's a study, it's a very small study,

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but the cats will drive their owners crazy food seeking

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twenty four hours.

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Speaker 2: A day, and these compounds seem to help reduce that dramatically.

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So cool.

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Speaker 1: And speaking of the cost, do veterinarians use compounding pharmacies

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sometimes to have the GLP ones compounding because that's where

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a lot of the wellness clinics are going so that

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they can really lower the cost to one hundred dollars

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a month instead of twelve hundred dollars a month.

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Speaker 2: Yeah, So the answer is yes and no.

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Speaker 3: So if you're looking at doing a study that you

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eventually want to publish and have data and try to

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expand the knowledge base and the literature, you probably need

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an FDA approved brand name so that you know it's

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pretty legit and it's standardized and everyone knows what you're

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dealing with.

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Speaker 1: Right.

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Speaker 3: If I just have a patient I want to put on,

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then I'm probably going to find the cheapest source that

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I believe is reliable. Yeah, And this is I'm sure

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on the human side too. Is you can find sources

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all over the place, but that doesn't you know, it's

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a reliable source.

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Speaker 1: Mostly it's used in injectable forms. So you want to

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have a compounding pharmacy that has a really good sterile divisions. Correct,

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It's that's super important. Such great stuff. I'm so excited,

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And we're going to take a quick break and when

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we come back, we are going to talk about leaky

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gut in dogs and believe it, we'll be right back

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welcome back. You know. The other thing is foods for

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cats and dogs. I'm like, well, what food should I

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get for them? What bad things should I be looking

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for in food? I mean, I also have family and

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friends who feed them only human food. Is there a

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list of ingredients that you say, look at these ingredients

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and if this is in there, stay away? Is there

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something like that?

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Speaker 3: So I'm gonna be the typical academician and answer your

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question with like six answers.

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Speaker 1: Oh take ay.

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Speaker 3: So a short history of pet foods that will answer

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your question. There's light at the end of the tunnel,

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I promise. But so dog foods especially, and then cat

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foods on top of that, were really really useful and

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a game changer in the nineteen forties and fifties when

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basically dogs lived outside and they would get whatever the

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pigs didn't eat because pigs were more valuable than the dogs.

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So Peerina came along, one of the big first companies,

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and they standardized nutrition with Purina dog Chow, and suddenly

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we had dogs that were much healthier and happier, and

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that led over the fifty years after that to now

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it's a multi billion dollar industry and just you know,

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more boutique diets that you can possibly name. As it

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turns out, for decades we as veterinarians, we'd recommend that

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you shouldn't feed human food, no table scraps, that they.

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Speaker 2: Need to get their dog food.

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Speaker 3: And that again was because we would eat the healthy

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part of the pork and then give them the pork fat,

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and then the next say, they would have pancreatitis and

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be sick.

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Speaker 1: So still they're back to eating the leftovers, but this

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time not the big leftovers the lender.

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Speaker 3: Right, So pork has a bad reputation in dogs because

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it makes dog sick, but it's actually the fat, the

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you know, leftover pork fat that's making dogs sick. So

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we're learning more and more and more. And one of

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my favorite do teach veterinary students, so one of my

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favorite shocking educational points for them is there's been a

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really big study. Again, most of our studies in veterinary

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medicine are like ten dogs, twelve dogs. Right, it's a

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really good study out of Finland. I don't know why

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in Finland, but it's about four thousand dogs. And it

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turns out that again and dogs, we can control their diet, right,

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So you can't take your teenager and say eat only

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sway and corn for six months.

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Speaker 2: That's just not.

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Speaker 1: Yeah, because they'll be Hiden Snickers bars under the pillow.

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Speaker 3: Or taco right now to taco bell. So in dogs

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really good studies. So they looked at all of these

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variations and it turned out that the overall level of inflammation,

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which we know comes from leaky gut syndrome, we don't

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quite understand that, but we know it's a problem. But

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the overall morbidity, which is the amount and level of

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diseases that the dogs get, is reduced if they have

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a high variety diet. And what this high variety diet

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basically was the table food that they would feed the dog.

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So it wasn't necessarily the leftovers, but it was what

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the humans were eating. And in Finland, you can imagine

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that's going to be a lot of fish or vegetables.

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It's not going to be the Ruth Chris' menu, right right.

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So out of these four thousand dogs, they feed human

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table scraps, fix a plate for the dog, and the

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overall level of inflammation allergy decreases relatively significantly. So all

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of these years of telling owners that they shouldn't feed

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table food.

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Speaker 1: Is wrong, but you need to set a place at

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the table, well not literally at the table, bake it flat.

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The way your plate looks should look like.

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Speaker 2: Correct the crisp plate.

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Speaker 3: So what I tell my owners in the clinic is

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that you don't need dog food, and we can talk

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about a whole problem with the mulsifiers and what that

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leads to leaky gut syndrome. But basically, if you're going

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to eat a Mediterranean diet, which is kind of the

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current recommendation, is that what you recommend your patient. So

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Mediterranean diet which is mostly vegetables, fruits, fiber, high fiber

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with lean proteins, and you fix a plate for you,

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fix a plate for the dog, and you're great to go.

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Speaker 2: That's probably the best we can do.

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Speaker 3: Cats are going to be a little bit more challenging

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because they don't really like broccoli and spinach. So that's

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a whole other topic, but one of the other big

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issues with the diet. So now we don't need dog foods,

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and a lot of the fresh dog foods, like our

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whole bunch of brands that you can order and it's

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basically fresh cooked food that comes refrigerated and it's the

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same kind of thing. It's just they're cooking for the

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dog rather than you cooking fire dog.

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Speaker 1: So it's costing more usually, yes, but.

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Speaker 2: It's easy to get.

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Speaker 3: It comes in too, but it's more of a home

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cooked diet than like a kibbal diet. One of the

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big things in dogs, and again this whole leaky gut inflammation,

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gut neuro skin access is that we have a lot

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of facts about it, but we don't really know how

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to fix it. One of the other interesting data points

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that I think I have a conspiracy theory about it,

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which I need to educate myself better. But calling cancer

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is on the rise among young adults millennial gen zs.

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And what we know with dogs, again, we can do

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a lot of different things in dogs that we can't

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necessarily do in people. But basically all of the processed foods,

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anything that's highly processed, and that's dog kibble to twinkies

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to Oreo cookies to anything you can think of that's

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highly processed. Basically in a factor, you have to get

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it to flow through a tube, so it has to

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float through a tube and then it gets spit out

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into molds and then it forms a cookie or a

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twinkie or a kibble or whatever that is.

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Speaker 2: But it has to float through a tube.

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Speaker 3: To get it to flow through a tube, we have

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to add things like emulsifiers and a whole bunch of

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different chemicals and a Mulcifiers are basically like soaps or shampoos.

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So what makes it lather and the shampoo slippery is

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also what can get the processed foods to go through

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a diet. So if you can imagine in your intestines

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you're eating shampoo every day in a dog kibble, what

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that would do to your skin but also the aligning

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of your intestines.

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Speaker 1: Listen, I'm getting hungry.

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Speaker 3: Food with some shampoo in it, but with shampoo. That

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so one of the big concerns and that we're now

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identifying in dogs that probably is true in humans. Again

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I'm not a physician, is that these are multifier actually

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do break down the gut barrier and permeability, and already

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in the GI track, about one percent of intact proteins

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in your GI system will be absorbed into the bloodstream.

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If you're eating emulsifiers, if you're adding shampootier diet every

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single day, then that's going to increase. So you can

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imagine that all of these bacterial components, all of the

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beef protein you're eating, all of these things are going

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to leak through the gut, and that's probably a big

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factor of this whole leaky gut inflammatory cascade. Don't know,

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but I'm pretty sure eating shampoo is not a good thing.

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Speaker 1: Yeah, I'm thinking, I'm thinking I would agree with you

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on that.

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Speaker 2: Yeah, for sure.

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Speaker 1: I've talked about leaky gut on the podcast quite a

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bit because I think it's the source of a lot

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of problems for people's health.

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Speaker 2: It's huge and dogs too, And yeah, absolutely.

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Speaker 1: So you mentioned to me or what kinds of foods

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you should feed your dog or cat. Should we be

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like carefully measuring how much we feed an animal or

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are we just like here, this is how.

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Speaker 3: Much I eat, so you can't have that much so

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they're too answer to your question. This is classic academician

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You ask one question, you get six answers. But you

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want to monitor weight. So in America, unfortunately, we have

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a lot of overweight dogs and people, and really dogs

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should be much skinnier because that decreases the risk of

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arthritis and cancer and all sorts of things like that.

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So you do want to be measuring calories in and

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calories out, and you can do calculations, but you can

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also just monitor weight. So if it's a small breed

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dog at a baby scale and weigh them once a month,

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and you want to, you know, in an optimal weight range,

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which years ago we just kind of went for good

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and now really we're trying to seek optimal. The other

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thing that happens a lot with dogs is that there's

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a lot of mythology about having to microbalance the nutrients

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and the diet, and so that comes around from the

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board surfed nutritionist work for the dog food companies, and

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if you're going to balance the diet for a million dogs,

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you probably do want to have sort of micro levels

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and have a pretty good balanced diet. But in the

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real world, the way you eat and I'm not sure

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how you eat, I think I've eaten with you, and

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you eat pretty healthfully, I would.

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Speaker 1: Say, yes, I do. There's a roof right there.

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Speaker 2: People, So everything in moderation is good.

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Speaker 3: So what I typically recommend is you don't want to

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be feeding the exact same thing every single day, which

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comes back to this kibble do.

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Speaker 2: Dogs really need dog food?

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Speaker 3: But really, if you're micromanaging the amount of magnesium and

331
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calcium per milligram and your diet, great, do it for

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your dog. If you're just eating a good Mediterranean diet,

333
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you're going to get enough variation that that is absolutely acceptable.

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So the myth that we have to micromanage dog nutrients

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I think is wrong. That they're just as stable and

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you know, stoic nutritionally as we are. So if you

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are micromanaging and milligram some magnesium, potassium, calcium, do it

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for your dog. If you're just eating a good, healthy

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Mediterranean diet as perfect.

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Speaker 1: Yeah, there are probably a lot of people who just

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grab whatever's cheapest on the shelf for their animal. And

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then there's somebody who's micromanaging, like you're talking about. I

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don't even know what that would be exactly because I

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don't do it, but you know, cooking gourmet meals or

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weighing everything or measuring everything out, so somewhere between I

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don't really care what bag of food I get and

347
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trying to be a five star.

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Speaker 3: Chef for animal exactly right, even you know, buying a

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cheap pack of dog food. We have the shampoo and

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a mulsifier issue in there. But that's all all processed foods.

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But you know, if you bought a cheap pack of

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dog food it gave some leftover spinach and tomatoes and

353
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some salmon that would be be acceptable.

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Speaker 1: Oh, that'd be good with that. Yeah. Oh well there

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00:20:02,359 --> 00:20:07,359
you go. Yeah, that's surprising. Yeah, so you mentioned leaky gut,

356
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but do you have a regimen, like, are some of

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your vitamins things that you could do for animals when

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they have signs and symptoms of leaky gut? And what

359
00:20:16,640 --> 00:20:19,519
are the signs and symptoms and a pet our listeners

360
00:20:19,559 --> 00:20:22,960
can know, Oh that must be leaky. Yes, I better

361
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take my dog into the vat.

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Speaker 3: Yeah so I and I would actually love to hear

363
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your take on this as well. My take on leaky

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gut is that we know it's a problem. We know

365
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what some issues are, like the emulsifiers and processed foods

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for humans or dogs. We know that there are a

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trillion bacteria in the gi track over one hundred different species,

368
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and with the diseases, the balance of those different species changes.

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But we, at least on the veterinary side, we don't

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really know how to fix it. So we have a

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lot of theories, but we don't absolutely know, so in

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ventary medicine again we can you know, feed very specific

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things and see what happens. So we actually do have

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probably about twelve different probiotic organisms that we know improve

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everything in dogs from dental tartar to HIE staining. They

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decrease inflammation associated with allergy inflammatory ball disease, So we

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know specific bacteria can do things, but that leaves the

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ninety other species in the gut that we're not quite

379
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sure what to do with. The other reality with probiotics,

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which is kind of the main focus in animals variety

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of diets. Good but probiotics is kind of because people

382
00:21:39,400 --> 00:21:43,200
are making money with it, is that it turns out

383
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that unless you're refrigerating the probiotic, probably a lot of

384
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those organisms are dead where they don't survive the acid

385
00:21:49,680 --> 00:21:54,319
in the stomach, and marketing wise, they're now called post biotics,

386
00:21:54,319 --> 00:21:56,839
so they're dead bacteria that may have some benefit in

387
00:21:56,880 --> 00:22:00,319
their cell walls, but so we know it's a problem.

388
00:22:00,440 --> 00:22:03,279
We know they have inflammation, they have a variety of

389
00:22:03,359 --> 00:22:06,839
chronic diseases, but we don't really know yet how to

390
00:22:06,920 --> 00:22:12,480
fix it. So good diet, good exercise. You know, probiotics

391
00:22:12,559 --> 00:22:15,240
right now, we don't think they hurt, but we don't

392
00:22:15,279 --> 00:22:18,880
know the correct organisms, the mixture, or the doses, at

393
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least on the veterinary side.

394
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Speaker 2: So what's happening on the human side.

395
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Speaker 1: Well, well, you know we have pre pro and post biotics,

396
00:22:26,559 --> 00:22:30,240
and the prebiotic, obviously I've talked to my listeners about

397
00:22:30,240 --> 00:22:34,160
this is basically sort of an advanced fiber. So do

398
00:22:34,240 --> 00:22:38,200
you ever recommend doing a combo pre and pro or

399
00:22:38,240 --> 00:22:40,400
do you just say make sure they get some fiber

400
00:22:40,400 --> 00:22:41,000
in their diet.

401
00:22:41,279 --> 00:22:45,920
Speaker 3: Yeah, So we're again steal everything we can from human medicine,

402
00:22:45,960 --> 00:22:47,759
so we don't reinvent the wheel. So we're in the

403
00:22:47,799 --> 00:22:51,000
process of this, but just even getting the dogs off

404
00:22:51,039 --> 00:22:53,960
of kibble and trying to add in you know, a

405
00:22:54,039 --> 00:22:57,599
variety of spinach and pumpkin and some just natural foods

406
00:22:57,720 --> 00:23:01,359
is kind of where we are. So in dogs were

407
00:23:01,400 --> 00:23:05,599
not at the advanced fiber or even like measuring lipid

408
00:23:06,000 --> 00:23:09,240
profiles and dogs that's nothing that we were not even

409
00:23:09,279 --> 00:23:11,720
close to that level of optimization.

410
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Speaker 1: And you don't do things like immuno globulin through claustrum. Yeah,

411
00:23:18,440 --> 00:23:21,640
to reintroduce immun globulins into the gut.

412
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Speaker 3: Or so clostrum is one of my pet peeves. We

413
00:23:26,039 --> 00:23:31,119
I may disagree with this, but I love this. So

414
00:23:31,400 --> 00:23:38,079
we as veterinarians, we are very, very h focused on

415
00:23:38,160 --> 00:23:41,319
clostrum like baby cows and those kinds of things. But

416
00:23:41,759 --> 00:23:44,240
so colostrum that has a bunch of stuff in it.

417
00:23:44,279 --> 00:23:47,519
But the main thing that clostrum does is has antibodies,

418
00:23:47,559 --> 00:23:50,440
which are large proteins and they're going to be transferred

419
00:23:50,480 --> 00:23:53,519
from the mother's immune system to the baby's immune system

420
00:23:53,920 --> 00:23:56,880
and give them a jump start on fighting off infections

421
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and those kinds of things.

422
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Speaker 1: And we should remind our listeners thats the first stuff

423
00:24:01,960 --> 00:24:02,880
that comes out.

424
00:24:02,920 --> 00:24:04,880
Speaker 2: Correct, within the first twenty four hours.

425
00:24:05,000 --> 00:24:08,440
Speaker 1: Yeah, sort of thick stuff before the milk comes in, right.

426
00:24:08,640 --> 00:24:13,720
Speaker 3: So my pet peeve with colostrums, that is it's very trendy.

427
00:24:13,759 --> 00:24:17,519
Now it's in a whole bunch of pet and human supplements.

428
00:24:17,759 --> 00:24:19,720
Speaker 1: I know it's in human supplement, yes, and.

429
00:24:19,640 --> 00:24:23,640
Speaker 3: It's bovine colostrum that's in human supplements. So the deal,

430
00:24:24,200 --> 00:24:28,079
the scientific deal with colostrum is that if you're a

431
00:24:28,119 --> 00:24:32,680
baby cow, within the first twenty four hours, colostrum is awesome.

432
00:24:33,119 --> 00:24:35,160
Speaker 1: Yeah, if you're a baby shower, a baby con.

433
00:24:35,160 --> 00:24:38,720
Speaker 3: If you're a baby cow, after twenty four hours, colostrum

434
00:24:38,799 --> 00:24:40,799
is not going to get absorbed because the GI track

435
00:24:40,920 --> 00:24:46,079
is closed and ninety five percent of the antibodies just

436
00:24:46,200 --> 00:24:49,160
go into the GI tract and aren't absorbed. If you're

437
00:24:49,200 --> 00:24:52,200
not a baby cow, then you really don't get any

438
00:24:52,200 --> 00:24:55,200
benefit from cow antibodies because you're not going to get

439
00:24:55,200 --> 00:24:56,519
the same disease as cows.

440
00:24:56,599 --> 00:24:59,000
Speaker 2: Get right, and if you're not twenty.

441
00:24:58,680 --> 00:25:03,200
Speaker 3: Four hours cown disease, yeah, well that would be saying

442
00:25:03,200 --> 00:25:04,119
I wouldn't worry about that.

443
00:25:04,160 --> 00:25:06,839
Speaker 2: Yeah, so don't you worry about that in the cluster.

444
00:25:07,039 --> 00:25:10,440
Speaker 3: But so, unless you're a twenty four hour year old

445
00:25:10,519 --> 00:25:15,960
newborn cow, colostrum is totally irrelevant. It's a source of

446
00:25:16,359 --> 00:25:20,119
dairy protein and like a powdered milk, but it is

447
00:25:20,160 --> 00:25:23,799
doing no benefit. There are a few other things in there,

448
00:25:23,839 --> 00:25:26,599
but for the most part, it's not doing any benefits.

449
00:25:26,720 --> 00:25:31,480
All of these supplements with colostrum are again, unless you're

450
00:25:31,480 --> 00:25:35,359
a twenty four hour baby cow, it's just ain't working.

451
00:25:35,680 --> 00:25:38,839
The other thing that when owners pet owners ask me

452
00:25:38,880 --> 00:25:41,440
this because it's very commonly used, it's trendy.

453
00:25:41,519 --> 00:25:42,880
Speaker 2: Doctor TikTok says.

454
00:25:42,640 --> 00:25:45,920
Speaker 3: It's now, oh gotcha, But what happened to the baby

455
00:25:45,960 --> 00:25:48,880
cow if you took the colostrum from the moment and

456
00:25:48,960 --> 00:25:50,519
the baby cow didn't get it?

457
00:25:50,920 --> 00:25:51,960
Speaker 1: Colostrum thieves.

458
00:25:52,119 --> 00:25:58,079
Speaker 3: I know, it's like really sad. So that's my pet peeve.

459
00:25:58,160 --> 00:25:59,480
So what do you think about colostrum?

460
00:25:59,519 --> 00:26:03,200
Speaker 1: Do you think it's Well, you know, there are supplements

461
00:26:03,279 --> 00:26:06,640
that I recommend very specific and they have to be

462
00:26:07,039 --> 00:26:10,440
written or prescribed. They're not really prescription, but you have

463
00:26:10,519 --> 00:26:14,400
to get them from someone, a practitioner who has an

464
00:26:14,440 --> 00:26:16,400
account to purchase those things for you.

465
00:26:16,599 --> 00:26:20,759
Speaker 3: Medical grade, yes, medical grade, and doctor TikTok is not

466
00:26:20,839 --> 00:26:21,119
a thing.

467
00:26:21,400 --> 00:26:26,960
Speaker 1: That particular supplement comes with other supplements that are designed

468
00:26:27,000 --> 00:26:30,519
for you to take for twelve weeks to heal the gut.

469
00:26:31,039 --> 00:26:35,440
And I've seen it do marvelous things for my patients.

470
00:26:35,599 --> 00:26:39,519
You can't just be buying it off Amazon. That's the thing.

471
00:26:39,559 --> 00:26:42,119
I mean. These are what I recommend to people is

472
00:26:42,400 --> 00:26:45,799
medical quality. They have to order it through me, so

473
00:26:46,079 --> 00:26:51,119
it's very different than somebody just searching colossrum on Amazon

474
00:26:51,200 --> 00:26:53,079
and getting the first thing that pops up.

475
00:26:53,319 --> 00:26:57,599
Speaker 3: And I do think that we're very much in an

476
00:26:57,680 --> 00:27:00,319
era where we have a lot of facts, you can

477
00:27:00,440 --> 00:27:04,240
use this combination product and it helps. The skin is

478
00:27:04,279 --> 00:27:07,119
also very slow to respond. The turnover times twenty one

479
00:27:07,119 --> 00:27:10,039
to twenty eight days, So these chronic things don't happen

480
00:27:10,119 --> 00:27:15,240
magically overnight. But so so the supplement combination, the cocktail

481
00:27:15,319 --> 00:27:19,039
works well. But it may be different things in the cocktail.

482
00:27:19,039 --> 00:27:22,519
It may be the way they interact and maybe together. Yeah,

483
00:27:22,599 --> 00:27:25,400
so one of my actual favorite supplements of all like,

484
00:27:25,440 --> 00:27:28,039
I think every single mammal should be on Omega three

485
00:27:28,079 --> 00:27:32,799
fatty acid, specifically EPA acosa pentanoic acid. And what we're

486
00:27:32,839 --> 00:27:36,440
learning in allergies is that it actually works as like

487
00:27:36,519 --> 00:27:41,240
a co factor where it binds other proteins to decrease inflammation,

488
00:27:42,079 --> 00:27:45,119
not just in a single manner. So what we thought

489
00:27:45,160 --> 00:27:47,839
was simple turns out that it's you know, three dimensional

490
00:27:47,920 --> 00:27:49,880
chests and it's crazy.

491
00:27:50,000 --> 00:27:53,279
Speaker 1: Yeah, that's great. I have an allergy sheet that I

492
00:27:53,319 --> 00:27:57,039
put together and gave to my patients and EPA was

493
00:27:57,119 --> 00:28:01,039
definitely on the list of things they should take. And

494
00:28:01,119 --> 00:28:03,200
you know, here we are in East Tennessee, the allergy

495
00:28:03,240 --> 00:28:05,000
capital of the world. At least I think it is

496
00:28:05,079 --> 00:28:05,799
that it is.

497
00:28:05,839 --> 00:28:07,920
Speaker 3: They rank the top ten cities every year. In the

498
00:28:07,960 --> 00:28:11,400
top six are in East Tenness. He so it's Knoxville's.

499
00:28:11,119 --> 00:28:11,799
Speaker 2: Chatting you good?

500
00:28:11,960 --> 00:28:13,160
Speaker 1: I didn't even have proof.

501
00:28:14,039 --> 00:28:14,640
Speaker 2: Well, there you go.

502
00:28:15,319 --> 00:28:18,359
Speaker 3: Yeah, it's basically because all of the pollen zones from

503
00:28:18,400 --> 00:28:21,720
the north to south the east just merge right here,

504
00:28:21,880 --> 00:28:23,599
and so it's beautiful here.

505
00:28:23,920 --> 00:28:27,960
Speaker 2: It's lovely but allergy. Yeah gotcha.

506
00:28:28,240 --> 00:28:32,759
Speaker 1: Yeah. Well this has been fantastic, very fun. I think

507
00:28:32,920 --> 00:28:36,279
I think our listeners are learning a lot because I'm

508
00:28:36,359 --> 00:28:37,880
learning a lot. Good.

509
00:28:38,119 --> 00:28:38,680
Speaker 2: That's the goal.

510
00:28:38,880 --> 00:28:42,000
Speaker 1: Yeah, I know, I think so. I want to thank

511
00:28:42,079 --> 00:28:44,640
Keith for being with us today, and many thanks to

512
00:28:44,680 --> 00:28:48,039
all of you for listening. Wherever you listen to this podcast,

513
00:28:48,119 --> 00:28:51,680
please leave a review and rate the podcast. Your reviews

514
00:28:51,720 --> 00:28:55,720
and ratings matter. Also make sure you follow the show

515
00:28:55,839 --> 00:28:59,920
so that it will be automatically downloaded. That absolutely matter.

516
00:29:00,720 --> 00:29:03,480
I encourage you to visit our Facebook page imb Podcast,

517
00:29:03,559 --> 00:29:05,519
where you can give us a like or leave comments

518
00:29:05,640 --> 00:29:09,680
or questions for me. Our website is itchymbitchi dot com,

519
00:29:09,720 --> 00:29:12,599
where there are blogs with some of our subjects available

520
00:29:12,759 --> 00:29:16,119
for you to read. Thank you to Forrest winsle my Son,

521
00:29:16,279 --> 00:29:18,480
our producer and composer of ar theme music and the

522
00:29:18,480 --> 00:29:21,200
person who does all the behind the scenes work to

523
00:29:21,319 --> 00:29:24,960
make this podcast possible. Thank you so much. Forest and

524
00:29:25,119 --> 00:29:29,160
Forest continues to thrive at Peabody Music Conservatory and is

525
00:29:29,240 --> 00:29:32,440
finishing up his final semester of the Master's program, and

526
00:29:32,519 --> 00:29:35,960
he has informed us that he has been admitted to

527
00:29:36,039 --> 00:29:39,720
the Peabody Doctoral Program to receive a Doctor of Musical

528
00:29:39,880 --> 00:29:43,319
Arts in Composition. His dad and I are so so

529
00:29:43,559 --> 00:29:47,079
very happy for him. It's fun to see his immense

530
00:29:47,319 --> 00:29:50,839
musical talents recognized. If you want to listen to what

531
00:29:50,920 --> 00:29:55,920
he's creating, you can go to his website forestwinsl dot com.

532
00:29:56,920 --> 00:29:59,799
Remember that your health is in your hands.

533
00:30:03,559 --> 00:30:05,119
Speaker 3: Attat