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General Functional Medicine

Last week’s content you mentioned some cases you had suspected biotoxin illness and mentioned the biotoxin illness survey, visual contrast sensitivity test, and biomarkers for service testing. I know you said you weren’t going to go into this in detail in ADAPT but unfortunately, I seem to be attracting these types of cases already. I need to know how to screen or point them in the right direction. And there are no functional med doctors anywhere near me that would know the first thing about this. Can you briefly describe this and or let us have access to that biotoxin survey?

Chris Kresser:  Sure I’m totally open to you having access to the biotoxin survey. Maybe we can make a note...

Do you ever use modified citrus pectin for binding?

Chris Kresser:  Yes, I do, however, the same story with the mold toxins. I haven’t seen any research that suggests...

This information made me wonder about the supposed zinc test where you swish liquid zinc in your mouth and if you taste it right away you have good stores of zinc. If it tastes like water you are deficient. Any evidence base for that?

Chris Kresser:  Yeah, that’s called the zinc tally test and there’s not a lot of evidence, but there’s at least...

I have a patient with an extreme amount of muscular pain. She has to watch the way she sits, moves, walks in order to avoid pain. Every time she tries to build up her weak muscles, she has to deal with very bad cramping and muscle soreness that can last up to a week after training. It can only be resolved by the use of NSAIDs. She feels very fatigued and virtually permanently suffers from brain fog. Unfortunately, she can’t afford testing. Medication she’s taking is very likely affecting her gut but can’t be discontinued at this point. Also, her menstrual cycle is off, although regular hormone testing through her gynecologist has come back normal. Her diet is spotless and I rather suspect an HPA issue, but where would you start in this case?

Chris Kresser:  Those are tough cases. If a patient can’t afford testing, your hands are tied somewhat. I mean just...

What do you use to directly raise elastase, type II-driven. I have a client who completed a four-month case review process taking Digestion GB, among other food supplement lifestyle interventions, and her follow-up tests revealed an even lower elastase. Granted this is a very complicated case in postmenopausal demographic.

Chris Kresser:  I don’t know of anything specifically to do that, Ashley other than addressing the GI issues. But you...
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