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3. Nutrition, Exercise-induced Antioxidants and Racial Disparity in COVID-19 Death Rates

John Kelly Mark Finley Zeno Charles-Marcel Richard Hart Peter Landless Lela Lewis Allen Lloyd Roger Seheult M.D.
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  • April 29, 2020
    9:07 AM
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Hello and welcome again it is such a pleasure to be with you I'm Dr Lee Lewis on the Board Certified obstetrician gynecologist and I'm the medical director for Adam as World Radio what a wonderful opportunity to be the host of the medical symposium this is part 3 of a series of 5 where we've been comparing the 1918 h one n one pandemic to the current code it 19 situation and we've been so surprised to find not only historically but scientific evidence that some of the principles utilized during that $1800.00 friends and they actually have a plaque ability protests today today's topic in title is nutrition exercise and racial disparity income in 1000 Jeff writes I am looking forward to hearing what our presenters have to tell us but before we do that I want to say a very special welcome to all of our visitors if this is your 1st time viewing us again we are so glad that you have joined us if you haven't had an opportunity of viewing the previous presentations you can go to the waar dot a large forward slash health and you can view the previous archived videos on behalf of the Seventh-Day Adventist Church and add in this world radio we want to again say thank you for taking the time out of your evening schedule to join us the 7th Day Adventist Church has a while standing history of supporting holistic health of course this is supported in the scientific community as well physically mentally emotionally and I daresay spiritually and with that I'm going to invite my good friend after Duane McKee The president of Agnes world radio to give us our opening prayer Thank you Dr McKee Thank you Dr Leo at you we prayed together Father in heaven we thank you for your love we invite you into the symposium we invite you into and each of our hearts and we pray to bless each of the presenters and bless each one as we listen that we may understand and know more about life about healing about health and how to have a relationship with the bless us now as only you can we thank you in Jesus name Amen. Thank you Dr McKee you know over the last 3 weeks like I said we've been looking at some very unusual principles the 1st week we were up to hydrothermal they were a fee and again we were surprised to see that this principle utilized in the pandemic of 1800 actually had an amazing result even from science particularly today looking at heat and morning Steve and particular we saw that it boosted the inmate immune system will last week we investigated 2 additional principles we looked at the civically at all true violent radiation and open space and again we were surprised to not only find that the virus itself for coated 19 was deviant shirt but again open space an ultraviolet radiation boost or another word would be to improve the immune system Well I want to tell you about something very special for those of you who would like to know more we have a very special gift for you right now for the very 1st $100.00 viewers that shares the Facebook or Twitter link again if you share the Facebook the link right now on Facebook and Twitter you will get a free copy of an amazing book now this book is very interesting as we've been comparing the historical nature from the 1918 pandemic to the current cold that night team situation this was essentially the guidebook if you will for the 1800 h one n one pandemic the principles that we've been discussing it was also utilized by John Harvey Kellog many of the principles utilized in his book were again used by him so we are offering again the 1st $100.00 viewers right now go and share the link on Twitter and Facebook and you will receive this amazing book called ministry of healing in addition to that a very special note in the beginning of the book will be written by the panelists and myself to you again thank you for joining us and this is again for our allied viewers right now. Tonight's presentation as I already mentioned is when my opinion the most important of all that we presented last far tonight we're going to be looking at nutrition and moderate exercise and what effect they play on the immune system we're going to start by looking again at the history of where are these principles came about we're going to start by introducing a very good friend of mine Dr Peter Brown less Dr Mann was is a cardiologist and he also serves as the director of health Seventh-Day Adventist Church again I want to welcome Dr Peter Lamb lest we look forward to his presentation as he gives us the historical nature of these principles that we hold so dear thank you Dr Rambus thank you very much Dr Lila and good evening and thank you for the privilege of participation this is been an exciting series looking at as you mentioned hydrothermal therapy possibly be possible effects in the immune system in response great opportunities fostering research and practical applications then last week the importance as you mentioned of fresh air open spaces trees forests the benefits of sunlight and and the benefits of controlled ultraviolet light all of that very important not only because these things can be very healthy to us but they make us feel good and it's always good to use something that makes you feel better. From my vantage point as admin has helped ministries oversee and nurturing health work around the world in education and health work I'm blessed and excited to see how these different modalities we are discussing are applied in health care now and have been applied in health work ever since 863 as you mentioned that amazing book ministry of healing those very principles that we've been talking about that we've been emphasizing the last 2 weeks tonight and next week are all related to the importance of what we should be doing on a regular basis in a time such as now with coven 19 How do our hospitals and health care institutions respond we'll hear more about that tonight but as we discussed nutrition and exercise the 7th Day Adventist church draws on a rich tradition of health practices and health for living embrace by co-founders in the white and Jones of Bates. Many many years ago at that time and early in the 1800s names like John Frank Newton and even across the pond the great poet Percy Shelley talked and wrote of the benefits of a vegetarian diet and then in the background of the closer time to 863 people like so histogram Russell troll William Alcott names like Metcalf and Jackson were all talking about are various aspects of healthful living but John Harvey Kellog implements a strong museum was by ill and white. Applied all these principles else to our institutions later on in a holistic way and that's the beauty of the ministry of healing looking at all these things particularly tonight we look at nutrition the importance of exercise and there are those who robust evidence of the role of a good balanced vegetarian diet in keeping us healthy not only in prevention but even during the treatment of conditions we need just to look at diabetes for example our disease and as a cardiologist I'm also very aware that clinicians are not always very well trained in nutrition so as we look at this important component we look at it with the historical value people like John Harvey Kellog his brother William Kellogg as I mentioned 2 weeks ago who was instrumental in refining the process of producing excellent peanut butter but also producing a breakfast food which has become known around the world but Kellogg's cornflakes and of course not. Not only do we have the tremendous value of evidence coming from editors health studies $12.00 and many other literature surveys which have been done and studies showing the value of balanced the detail in diets we then also address and look at its societies and it's important again it makes us feel good if we do it. And of course it has tremendous benefits on the holistic wellbeing body mind spirit social emotional and in our immune response there's also a benefit to the performance of exercise and can be measured in people's susceptibility to illnesses and so we see that all these important principles were being addressed in Santa Tyria that were working around 1900. And so tonight and in the previous evening then next week we'll be looking to see how versed can be applied in our current pandemic of course and this is a painful component of the come a conversation realizing that sickness suffering and death or part of the pandemic is also lurking in really actually coming out front and center the importance of the need to address disparities and inequities in health implications and health care these health topics have been given to be shared not with a few but to all we must be ready and committed to step up on this very important issue so not only to get more knowledge to get more understanding but to live a life which is meaningful to many I'm excited as we look forward to what we can hear this evening. I am to thank you so much for the historical background out to Lammas along the lines of history and hearing how the 7th Day Adventists have for the long long turned since the 1960 s. has supported holistic health and very excited to hear from our next guest Dr Drescher Hart Dr Hart is that she thinks 2nd officer and president of lumbering to university he's also an intern on medicine specialist and he's going to discuss with us tonight specifically the way that the 7 they have his health care network has responded to the conic 1000 crisis Thank you Dr Hart Thank you Leila It was good it will be released I'm particularly pleased to see the book I mean if you're feeling being distributed that book actually was one of the Foundation books of Loma Linda University more than a 100 years ago and case it contains such powerful principles that are still valid today let me talk a little bit about coronavirus overall 1st. The administration at the present time owns and operates out of $75.00 hospitals around the world about half of those are in this country the other half are scattered in many different countries primarily in developing countries in different places as we've watched this coronavirus we are obviously concerned not only what will happen in this country but particularly on our under resourced hospitals in many countries where there is more difficult finding the personal protective equipment and all the various things that are needed so we're doing our best to try to plan for that we had a call last week among the leaders of our own u.s. Austin and all the hospitals are doing relatively well we've not face the challenge of inadequate personal protective equipment like some places have we've been able to keep up to date with that all those scrambling all the time usually can only keep about 10 to 20 days ahead of time here in California we've been for. That not have had the surge that we expect. We emptied out the hospital for elective procedures waiting for this surge and it never came we average around 20 to 30 covert positive patients in our hospitals during this time and gradually going down now one of the things that's fascinating about this and we'll learn more as this time goes on is why is that why did why was California protected was it morning only the social distancing the hand-washing and so on that perhaps we did sooner than some other places or was other things happening several recent studies have shown that the incidence of people with protective antibodies are much higher than we had originally thought it a study in Los Angeles and also one of the bay area here in California both show that maybe 5 to 10 times as many people have had covert and therefore positive with the antibodies to protect them than we originally thought when did that happen do they get it now recently there was some question even whether perhaps last fall when the flu epidemic is going to grow perhaps some of that was covert and we didn't realize it at the time or what is going on what's very clear is that people who are healthy who are in good shape tend to have what we call in a parent or subclinical infections in other words they may not even know they have the symptoms but carry on with life and so on the challenge of course is that they may be spreading the virus to others even though they are not symptomatic themselves this is always a challenge with with various kinds of infections like this that during the incubation period you may be shedding the virus even though you are say for asymptomatic so that's one of the fascinating things Wolf discover as we go on now that we're moving into sorority testing basically measuring the antibodies rather than trying to measure the r.n.a. of the covert it self we will find out more and more people that actually were protected by this these since they've had an inner parent infection. The question now will be of course how many are there can we return to work are we protected How long will that immunity last These are many of the questions that we simply don't know the answer to until a bit more time goes by another fascinating thing we've discovered here at Loma Linda make recently in other hospitals is that while we think of covered as a severe A.R.V.'s we call it acute respiratory distress and draw in fact there are other compounds to this disease besides just the impact on the lung tissue and it appears that there's a clotting impact that is happening to the body as well so we have started down the road actually of anti coagulating are serious least sick patients and keeping the blood flowing so that the clots don't tend to plug up the lungs and perhaps impacting on the heart and the liver and other organs as well as we've discovered so that also is needing to be disc explored more it looks like there's some hope that there's new techniques that can be used to try to prevent this a very you know patients that from developing these these kind of symptoms. As we go forward as we're going to discover now what it is that protected many people. And I'm delighted to see evening to have the discussion around exercise and nutrition Well Melinda has been involved with plant based diet since its very beginning in fact our very 1st 1st school at moment even before the school of nursing and before the School of Medicine was a school called for cooks and bakers so our roots are deep into the nutrition. Plan for the world and we've basically done that through Plan based diets and promoted that through the years original Adventist mortality study the 1950 s. and themselves study one in the 1970 s. and had been to self study to now going on all show the tremendous value of having a plant based diet because it gives you a variety of protective values both for cancer and for heart disease that are that are lacking in many primarily meat based it's so I'm delighted to have this discussion focus on those particular issues this afternoon and the ability to maintain good health as both a protective factor against Corona virus but also against many other future diseases that we may encounter in this world so thank you it's a privilege to be part of the. Thank you so much Dr Hartness as a alumni of Long Island the university it is such a pleasure to continue to partner with mom and university and to be with my my college again it really my mentor Dr Hart at this time as Dr Hart mentioned we're going to be talking with Dr Charles doctors you know Charles Marcel that as you know is going to be discussing to us what we're going to look at what we're really saying as far as the immune system and what we're not saying we want to talk a little further before we get into full disclosure Tonight doctors in the share with us Yes Thank you Leila you know around the world and on the Internet people always seem to come down to one factor talking about immune boosting and in the next few minutes I'd like to unpack what that is like there's one study looking at. The internet this was about a year ago looking at the Internet and seeing what words were being used for immune boosting and they found that in the 1st $200.00 hits there's a distribution very nice spread of various themes that were being looked at diet fruits vegetables antioxidants prebiotics etc These were very prominently featured as issues that would boost the immunity. Similarly they looked at the top 10 to see which things were supposed to boost the immunity the most and what they found were things like diet and fruits they looked at lifestyle was part of it and then a smattering of things as if the slightest if you could see what those things were but then they looked at another part of the analysis and they looked to see where there was commercial bias which things had the most commercial slant to them and what they felt was that the promotion of supplements and in particular the promotion of the herb a Canadian This was these were big things on the on the list and of course some vitamins and other things as well but the commercial slant was great then they looked at the news bias which things tend to be most tended to be most newsworthy and they found the vaccines and even soup because of chicken soup. These were highly news biased so depending on what kind of site it was you would find different things all about this immune boosting. But you know when we say immune boosting what are we actually saying this is a schematic of the regulation of the intestinal immune system by the Riddick cells and as you can see this is a very complex array of various things that are happening and of course this is a static picture and it doesn't have all of the details but if if you can see how complex this is already you should be asking yourself the question when we boost what we what are we actually doing this is looking at the immune system from the point of view of. Surveillance for cancer and for the chemo kinds and the cytokines that are involved in cancer surveillance by the immune system to get rid of cancer cells and you can see there are lots of different factors that are involved so again when we ask the question when we are boosting the immune system what are we doing. In this one we see the immune system as a social network this is a very. Interesting way of looking at things we have actors we have rules we have context we have communication layers and we have into into layer communication all of these to say this is what if we were to take the even system and make it into a social network that's what he would look like well this is such a complex thing that we have to understand that the molecules in the cells of the organs act together as a as a network much like a social network does and therefore to say that we're going to boost something we need to understand what it is that we're seeing now as opposed to boosting we can talk about we cling and there are some things that we know that are we cling to the immune system for instance this primary immunodeficiency disorders when people have hyper function of the immune system from birth that they're secondary things that are quiet things like HIV and burns and when you Trishala chemotherapy these things can cause in your efficiency and then we have dysfunction aberrant responses such as with allergies and asthma and then we have we have the with the immune system actually is mistakenly attacking ourselves such as in lupus and what on earth right is a multiple sclerosis era turbo sorry if I mutter about disease etc These are all of the immune diseases where the immune system is actually attacking us it's attacking ourselves now do we want to boost that was the answer that should be no so the term immune boosting is probably not a very good term here are some ideas. 1st the immune system. There's a myth going about that the greater activity of amuses them improves our hero This is patently not true because there's an issue of hyperactivity of the immune system and when it's hyperactive it causes problems so having an optimally functioning immune system is much more desirable The 2nd myth is that mega doses of vitamins and minerals will improve our immune system where this is just also not true as of now there's no evidence that taking extra amounts of any vitamin or mineral supplement will actually improve your immune systems function or protect you if you don't have a micronutrient deficiency that is we should avoid deficiencies not necessary to over a supplement Ok so having a healthy well balanced diet or replan that has no macro or micronutrient gaps is what is Will says herbal 3rd myth is it possible to boost your immune system after oh well their lifestyle factors are marginally the immune system but there's no evidence that any lifestyle intervention can actually boost an already optimally functioning immune system to the point where you're better protected against infection or against disease but there are some things that will affect our our micro biome our gut microbes and therefore will affect our immunity and that's why when we look at diet for instance and the diet may actually involve the use of some of the micronutrients and micronutrients that affect the micro biome and the micro biome then can affect how the immune system will function so we have a real modulation that can occur and if we affect the micro biome we can affect the immune system but here's the key we should keep the immune response in check this editorial that was written in science signaling really kept in capsule it's the whole idea in exploring biological systems. We often think 1st of mechanism promote the activation of that system but boosting such as unchecked recruitment and infiltration of look aside into tissues and in an unrestrained or unrestrained production of cry inflammatory cytokines and keep Ok This can lead to tissue damage and even cancer so do we want to boost the answer is no what we want to do is to optimize and the things that we'll be talking about will be how to optimize our immune systems function Thank you Bill. Thank you doctors you know that risk tremendous yes we want to optimize our immune system definitely want to look at this a little further as we explore the issue of nutrition and moderate exercise and I'm going to invite my good friend Dr Neal not only he's an internal medicine specialist he's also a hospital is a amazing author he's also the president of Wiemar Institute and did you think focused on many of these principles we've been discussing Dr medley also supports this book a ministry of healing that again you have the opportunity of having a free coffee tonight I can just merely share the link with anyone again the 1st 100 people when I receive that book again I want to introduce my good friend Dr Neal that we look forward to his presentation on optimizing our immune system using nutrition and mock exercise Thank you Dr Natalie well thank you Dr Lewis it's good to be with you and indeed this is a topic that does go back actually said the 1918 pandemic because it wasn't just the hydrotherapy at the sanitariums it was also the diet and I'm sure other things as well that seem to produce the dramatic decrease in the mony as and death rates and of course in regards to cope with 19 people are asking everywhere what is evidence based and one of the things that would be good to remind at the outset is there is no data available as of yet regarding nutritional factors in relation to risk and severity of covert 19 it takes time to develop these trials and in fact we might say that even what we're doing today hardcore is not evidence based for instance the flattening of the curve does save the hospital system but it prolongs the curve and for instance. You know is Sweden going to do better long term and death or are there is that lockdown early going to do long term and Dr hard alluded to the fact that the reason why California is doing so well may not necessarily be related to the early lockdown and so these are all questions that are not evidence base for making decisions that are based on maybe logic and some reason and some evidence but not really randomized controlled prospective trial and so even our politicians are not really following hard science by their decisions at this point. But there is existing evidence on nutrition and infection and immunity that is very important to consider in other disease states and in other infectious states that could have and likely will have an overlap with covert 19 oxidative stress is what I would like to speak about since this has so much to do with our immune system and it was discovered many years ago in the research of human aging essentially what it is is an imbalance between Occident and anti-oxidants when the organism has exposure to adverse stimuli and when there are adverse stimuli this can be a oxidative stress and it can start wearing down our cell and it can actually produce some inflammation and a lot of unwanted activity and Hansing the immune system under stress as the OS related to helping the anti-oxidant portion of the cell and also extracellular as we will discuss later. So if you take a look at your screen on the oxidative stress if the cell does not have the ability to combat. The the stress be a viral infection or b. pollution or cigarette smoking or things of that nature you can say how the South starts to wear down it actually increases its per me ability and it actually becomes somewhat the hydrated and it can even break down in a pop houses can result where the cell actually by. The way there are many environmental sources of oxidative stress as well as potential a cellular sources but that term in the middle of your screen R.O.'s is the reactive oxygen species oxygen of course is good for us but when there's oxidative stress it can turn into actually free radicals and there's a number of different free radicals that result not just one but over 14 from these reactive oxygen species that produce tissue damage as you can see on the bottom portion of the screen mitochondrial damage mucous hyper secretion bronchial constriction damage to our genetic material and there can be even muscle dysfunction impaired fagg acetic function and impaired response to steroids among a lot of other changes that can take place as a result of not having the defense mechanism in place to be able to gobble up these reactive oxygen species so I sense the time oxidative stress was 1st discovered it's now been in implicated in virtually every known human disease we know it's very much present in cancer with the d.n.a. damage that occurs it is very much present in. Diabete us and in inflammatory diseases from the auto immune diseases to diseases that are not auto immune I mean dysfunction factious diseases are involved as we're speaking about tonight as well as even mental illness depression and anxiety are much more likely in the setting of oxidative stress and studies have shown that where for low on antioxidants we're much more likely to succumb to depression and anxiety even cognitive decline and dementia Parkinson's disease and Ageing are related to oxidative stress and it does have a role we know and influenza and viral pathogenesis this is not something that we're guessing about or taking educated guesses like we are with Kogut anti-oxidants have been shown to be one of the most effective strategies of profile access and treatment of influenza virus infections and once the accumulation of the reactive oxygen species exceed the removal of the oxide the balance between the oxidative system and anti-oxidant system will be broken and this results in the aggravation of neutrophils inflammatory infiltrates the arising of Prodi Eisa creations an accumulation of the oxidative intermediates all which work together to cause tissue damage inflammatory response and sell that and emerging evidence has demonstrated that oxidative stress does play a very important role in a number of infectious viral diseases such as hepatitis b. hepatitis c. even herpes simplex and influenza. Now there are a number of anti-oxidant vitamins that can potentially benefit us in this battle bass well known are vitamins a c. and the anti-oxidant vitamins and often when we think of those vitamins we actually think about going out and buying health with these things and of course there have been studies on the pills and supplements but am reality a a far better approach is to plant based foods for instance one cup of kale has 50 milligrams of Vitamin c. and 13 units of Vitamin e. But if we take a look at the total anti-oxidant potential of kale it is far more impressive it is actually equal to $800.00 milligrams of Vitamin c. and $1100.00 units of vitamin a and this is why it's far better to go out and buy kale and actually know how to prepare it well than it is to actually go out and buy a lot of these vitamins the human nutrition laboratory in Baltimore Maryland not long ago took a look at the common fruits and vegetables in the United States and they actually rated them as far as their entire anti-oxidant potential and these are foods that were being used and sanitariums across the land that appeared to be assessed along with other things and helping this flu pandemic and the dramatic improve results in the sanitariums the number 10 out of the top 10 vegetables as eggplant number 9 corn number 8 is onion number 7 red bell pepper very rich in a number of different anti-oxidants beets a lot of studies being done on beets and they're great anti-oxidant potential. Even better is broccoli Broccoli of course has salt for a fan even the broccoli sprouts have been shown to be very beneficial in regards to oxidative stress brussel sprouts even higher than broccoli and then the grains of spinach and kale are in the very top of the left but the very top highest anti-oxidant vegetable according to the human nutrition laboratory is actually garlic and garlic can help our immune system by helping us with oxidative stress and it may help us in other ways as well now again people wonder what about the randomized controlled trials there actually was a randomized control double blinded trial using garlic in regards to what it helped prevent infections. And it was actually taking a look at the common cold including the corona virus called before SARS one and starts to corona virus was known as a cause of the common cold as well as other viral causes to see if garlic versus placebo would actually help out interesting Les those who are taking garlic instead of the placebo had 60 percent less colds per year now the average individual have you know usually about 5 colds a year $2.00 to $5.00 colds a year in American typical American public so 60 percent reduction is pretty amazing but 70 percent total of fewer days affected that means that if you were taking garlic and you did get a cold you are actually able to recover and $1.00 days compared with those taking placebo it took them 5 days to recover so again faster recovery is certainly worth it as well and then there have been studies also in regards to fruits but 1st the human nutrition laboratory data on the top antioxidant fruits number 10 grapefruit number 9 keyway in fact if I were back up to number 10 in the medical world we need to know that grapefruit increases are absorption of most medications This is why you'll see this on the interaction left because a lot of medicines were only anticipating maybe 20 percent absorption maybe 40 percent absorption but grapefruit will actually help you absorb a lot more maybe double the amount keyway is even more potent in regards to its anti-oxidant potential cherries are also in the top 8 and we're going to be talking about that chick early tart cherries. Helping us in additional ways later on when we get to the practical section our red grapes with their bioflavonoids are loaded with antioxidants oranges one of the Southern California advantages and Florida advantages are the fresh oranges that are available but even more potent and a lot of people are unaware of this it's a humble fruit but yet it's even a little more port than oranges and that is the humble plum that really the highest anti-oxidant common fruit that is not a berry that's commonly used in the United States. And then the top 4 are all berries raspberries number 4 strawberries number 3 blackberries with their additional And those Scion is number 2 and the number one anti-oxidant fruit was found to be blueberries and interesting Les There have been studies on blueberries this is actually taking a again at a controlled trial of blueberry supplementation and how it actually attenuates oxidative stress with then monocytes they used a blueberry smoothie 22.5 grams twice daily versus a placebo smoothly and marked increase and the oxidative stress markers and those on the blueberries mostly from blood monocytes which is part of our innate immune system less inflammation less than half of the placebo another study showed blueberry smoothie of 200 grams pre and post exercise helped with muscle recovery and we had less oxidative stress now we'll talk about exercise in the more practical section but exercise actually is going to increase reactive oxygen species particularly very vigorous exercise and that's it can have a suppressing effect on the immune system if it's not so moderate in a Durance but the blueberry smoother they actually help with less oxidative stress strawberries have also shown to be helpful in reducing pain and inflammation one interesting study showed although the proton pump inhibitors can't seem to help prevent Barrett's going into the softer Geale cancer strawberries can actually improve the precancerous the sop at Yale dysphagia it also improves interleukin 6 production a sign of improved inflow made. With just 5 strawberries per day and another very interesting study showed that it improved confirmed knee osteoarthritis you had quite a bet at least in this study last will probably work but they were really trying to produce an effect and it was actually better than medications with 1.5 pints of strawberries a day improving pain improved inflammation and their quality of life also significantly improved and then elderberries those were not tested by the Human Nutrition laboratory but we know that they also have anthocyanins and are high on the anti-oxidant lest they did a nice die they also control that when flu symptoms began in less than 24 hours they were put on this elderberry syrup just taking a tablespoon of it 4 times daily for 3 days 93 percent of them improved within 2 days with influenza a. But if they were on the placebo syrup they did not improve until day 6 at least 92 percent of them took until day 6 to improve So again you see a dramatic difference and again does will this do identical types of things would cope with one thing we don't know until we put it to the test but certain lay it's probably not going to hurt and when things can benefit you without hurting that's something that's really worthwhile considering now another advantage of a plant based diet is it tends to be lower in fat and high fat high as have been shown to alter microbial composition in the intestine by encreasing the ratio of back to Roy days versus firm acuteness and this shift has been associated with increased got. Army ability and enhance circulating l.p.s. levels which can induce systemic inflammation high fat diet into some alterations in the gut microbiota have been linked to overexpansion of endo toxin producing bacteria because again increasing got Hermie ability and promoting the trans location of even the live gram negative bacteria through the intestinal mucosa and this of course can play a role in regards to super infections or destroying all infections outside of the virus which we know are playing a significant role and the severe cases of coke at 19 even a high fat meal challenge and healthy subjects increases circulating pro-inflammatory cytokines and neutrophil levels one of the things we can do to help us with this mentioned earlier by Dr Charles Marcel is prebiotics dietary fiber is a substrate for these intestinal microbes and low dietary fiber intake leads to reduced levels of the short chain fatty acids and the short chain fatty acids can actually be healthy for us the association between low fiber intake and lower lung function has been described by the very large and hangs study and an increased dietary fiber intake has been associated with a 40 to 50 percent decrease in respiratory related deaths and that's pretty amazing and that got published in the American thoracic society not long ago soluble fiber also helps us soluble fiber binds on the cholesterol can lower cholesterol can help our glucose control and it decreases airway inflammation sputum and can improve lung function in those without. And then finally on this section we could discuss a lot with nutrition and lifestyle but some of the major things that same to be playing are all there a lot of interest is zinc zinc is an important cofactor for important enzymes involved in the proper functioning of the anti-oxidant defense system and it's also been shown to reduce inflammation in part by suppressing copper copper is a pro Occident and we know excess copper can cause a lot of different issues. Actually induces the sentences of metallic by any means which are proteins in reducing the hydroxyl radicals in these reactive oxygen species produced in stressful situations and multiple studies have provided strong evidence for the role of zinc in the protection against oxidative stress in several diseases. Then has also been shown to be toxic to the viruses and when it gets into the cell it can stop replicates or the replication of viruses and influenza r.s.v. rhinovirus and even the common cold and corona viruses and multiple net analysis pulled analysis of randomized controlled trials have shown that oral Zank in supplements reduces the end sentence rate of acute respiratory infections by 35 percent and can shorten the duration of flu like symptoms by approximately 2 days and improve the rate of recovery not quite as impressive as the elderberry or garlic but still impressive nonetheless interesting Lay They studies were done and even 3rd world or matter world countries like India and South Africa and Peru and the dozens of Zank range from $20.00 to $92.00 milligrams it actually and this method analysis the main driver was not the dose it was just getting Zank whether it's 20 milligrams or more and of course we can get Zank from food Black Eyed Peas $2.00 milligrams Lupin beings $2.00 per cup chickpeas $2.00 lentils $2.00 and then there are higher sources like tofu and add Zuko beings and notice Boston baked beans up there at the top at $5.00 And then there are not fit also have it and I will emphasize that in our practical component Brazil nuts and all men's will have 3 milligrams as well the seeds Chia and flax say and pecan sunflower seeds cashews and I'm not some pumpkin seeds all about even at 6 milligrams per 3 ounces only and the highest in the bank is actually hemp seeds and so we can get this without actually going into supplements and this could help us in a couple of different ways in regards to modulating our immune system as well as helping the virus potentially not even to replicate if we're able to get that zinc into the cell so I look forward to wrapping this up in the practical section but back to you Dr Lewis. Thank you so much touching that lead that was phenomenal and you know just hearing about the effect of antioxidants and simple things we can do as far as changing our diet adding things to our diet that are so healthy for as you know that leads me to another topic that we want to address sometimes it's difficult for certain people groups to necessarily know 1st of all what nutrients and what what food items are good for them and 2nd of all how do they access those well in the news this last week and actually the week before we've seen something that has caused great consternation to many of us and it seems to be the racial disparity of certain ethnic groups particularly in the 2 cities 12 of the cities hit hardest by code 1000 that being New Orleans and New York what we saw is minorities particularly Hispanics and African-Americans which make up less than 30 percent of the population actually accounted for more than 70 percent of the mortality so we want to look at that a little closer we want to find out what is potentially aggravating the racial disparity clearly it's come to the forefront with coke at 19 we want to look at that closer and I want to invite again my colleague doctors you know Charles Marcel and Dr Xeno isn't trying to learn from the specialist he's also an adjunct professor at Loma Linda University and very abreast with lifestyle principles particularly nutrition and exercise and how do they relate to this current issue of racial disparity income in 1000 death rates they're refusing out thank you really well. Well 1st of all we need to realize that everyone who is affected is affected now that might sound as if I'm just playing with words. But to the person who is in the intensive care unit their race is not the major issue thing is they're fighting for their life so the idea of looking at race we have to look at the medical sociology of this on April 15th tax day this was an article that was that was published in the German network covered $1000.00 African-Americans now what was going on they were looking at people all around the country for the data that they were able to collect from the c.d.c. And from Chicago in this particular case African-Americans were hit hard by coronavirus they said 33 percent of those hospitalized African-Americans 13 percent of the u.s. population is African-American 68 percent of the coronavirus deaths however. Were in Chicago were African-Americans so look at that 13 percent of the population 68 percent of the deaths 50 percent more likely to have heart disease than white people 40 percent more likely to die at an early age of any course 19 percent could not afford to see a doctor with these the things that were playing a part in what was going on when the Wall Street Journal had shown before all of this that if we were to look at the overall death rate death rate and look at the age distribution we'd see that the older one was the more likely they are they were to die of or to get the coronavirus and to die from the coronavirus and if you look by condition which is on the right side of the screen looking at their cardiovascular disease diabetes etc you would see that they were over represented as well. People with these diseases died. More frequently than others so one might say is this what was going on with the minority population especially the blacks well from the Kaiser Foundation they looked at this report looking at selected health condition by race and ethnicity in 2018 and what you see at the top level is where whites are on the left this is as much in the middle that they have their bodies and the right heart disease and you can see the distribution there and you can see that. Certainly for asthma and for diabetes that except for the Asian population and the. And the. The high winds and the 4 winds and the Pacific Islanders most of these were above the. Incidence and prevalence for whites. And then this came out in Arizona Health Disparities increase the impact of covert 1901 communities of color indigenous people make up 21 percent of Arizona's covered 1000 deaths but only 5.3 percent of the state's population so this is not just an issue with blacks it's a it's an issue of certain kinds of people this was a very interesting. Picture in that article. Different access to health care and you'll see that the red on the left has almost direct access then the yellow had also cutest route to get to the access and the blue on the right very difficult to access to health care so different groups of people may have different ways of accessing health care but it wasn't just an issue of X.T.'s this is looking at barriers to accessing and we can see here distribution again that would that would tell us that people of Hispanic Asian etc If the city had a more difficult time in getting to see the doctor or delaying their health care or using the emergency room as a usual source of of health care. The Kaiser Foundation also published this on a process of communities of color higher risk for health and economic challenges during coffin 1000 and what they looked at was a population and the percentages of people who were below the poverty line by race and ethnicity whites were 10 percent Asian 10 percent all the others were above so was it was it just then an issue of finances poverty Well let's go across the waters to England England started to collect or the u.k. start to collect data looking at at their populations and what they found was that if you look at whites Asians and blacks. That there was a disproportionate amount of deaths associated with covert 1900 in blacks and just about equal in Asians and lower if you were in white so they were for the small amount of people who were black who were. Attended to with covert a greater proportion of those were dying from the infection so here are some facts covered 1000 is an egalitarian disease a does that can affect anyone and everyone if it comes in contact and you're susceptible. It impacts some groups more than others because of existing inequalities this is part of the issue people of color and other minorities in low socioeconomic categories are more likely to be exposed to covert 19 former writer reasons including the kinds of jobs that they do and the kind of income they have the kind of transportation that they need and and and these things are part of the life and the fabric of the society groups of color may also be more likely than whites to report other health care barriers to access and people of color are more likely to live in locations and housing situations that put them at increased risk of infection from corner virus and of course the pollution issues in Chicago more than 50 percent of the covert cases and nearly 70 percent of the covert that's were involved in black individuals even though they make up only 30 percent of the population as they were pointed out at the beginning of the segment death it was concentrated mostly in 5 neighborhoods in the city's south side which is primarily an ethnic minority. Portion of town in Louisiana 70.5 percent of this have occurred among black persons who represent only 32.2 percent of that state's population in Michigan 33 percent of covert 1000 cases and 40 percent percent of deaths have occurred about black individuals but they represent only 14 percent of the population and if we look in New York what we see is a blacks and Hispanics have a color for 28 and 34 percent of the us respectively. While they represent in the population 22 percent and 29 percent respectively so the data are there. Whether in the u.s. or the u.k. regardless of the state that we look at if they have collected the data many of the same issues apply the virus is not racist people can be racist systems can be racist but the problems are bigger even than recent let me point out from this particular. Model that was presented for cancers by Freeman and that to back in 2005 social injustice poverty and culture all of them working together influence what is going to happen with the health status and the finding of this is the accessibility of treatment even which treatments will be provided and what will happen after recovery now in the right corner I have adjusted the slide to include a few things and that includes the isms when we talk about social injustice we're not talking just about race we're talking about gender and religion and tribal caste and ethnicity and ability people with differing abilities are 2nd. Discriminated against geography what part of the country what part of the world you come from your language if you're in a majority language group you may have one set of things applying to you and if you're not you might be a socially Elka social class education bloodline age all of these things can affect the social justice and also affect the culture and therefore also affect whether or not one is going to be poor and these things affect then the chronic disease status and the disease resilience that a person can have and therefore these things complex network of factors will then produce. The problems with prevention early detection diagnosis incidence treatment and survival and mortality associated with any kind of disease. We need to remember that there are social determinants of this is if you look on the top of this particular site 40 percent have to do with socioeconomic factors 10 percent have to do with the physical environment which means that for the most part if someone cannot have access to changing this situation 50 percent of what determine somebody is health may not be within their grasp to be able to change but I don't want to focus on that I want to focus on the 30 percent the health behaviors that they can change and if we were to focus on this then we can have a fighting chance for people to be able to do better so another way to. Label this talk we can see it is how to stay alive and here 1st I want to talk to the health professionals we need to know that there are vulnerable populations and because of our oath that we have taken as health care providers right we have a duty to warn people because their lives maybe pin on how we warn and if we warn them about what it is. We need to get in touch with our patients in our hospitals we need to talk to patients and workers if we see people who are vulnerable but they're not practicing what they should be we should be able to help them along with that in our social circles in our social media in the parking lot in the supermarket we should identify ourselves as health care workers by the way that's a badge of honor. And we should say sir ma'am please put on your protective barrier please wash your hands or whatever it is and we should encourage people honey is much more attractive than vinegar and so we don't have to scream at them we don't have to shout at them we just need to help them to see that this is something that can save their life and save the lives of their families friends and the community people of color and all vulnerable populations need to realize is that your life is on the line in this particular case but not just because of this but we must be sober and be Village vigilant and not panic we should do the basics as if our life depends on it and in some cases it actually does and you should be the world's best hand washes the world's most careful when coming coming contact with people the most diligent uses of people. And yes there are mask issues there are reports of black youth being harassed by by security forces because they don't know whether this black person is going to rob the place or worse yet these are social inequities and these things exist but it doesn't mean that you have to take your mask off right be insistent others we're peepee around you when they come to your house to do something that they we're in the protective barrier because this may affect everyone in that household yes their socio economic factors and social factors and physical factors and some of these things are modifiable some anomaly for but even though we can change laws we usually cannot change attitudes even though we can change behavior we cannot change the heart and of all of the behaviors and hearts to change ours it starts with us with me. Behavior is paramount in this particular case and for any kind of infectious disease or pandemic and of course. One should be taking care of his or her own health we should take some responsibility of taking care of our own health regardless of our circumstances even though there are things that we cannot change the things that we can change those are the things that we should do by God's grace. So we should stop the spread of germs we've seen this before everybody has seen this before. We can help to stop the spread of covert 1000 by doing some simple things what else are there some special things that we have talked about in all of these don't smoke for instance diet that's high in fruits and vegetables adequate sleep getting taking steps to avoid infection manage our stress exercise regularly and take steps to avoid 2nd then take steps to avoid the affection and of course managing or we these are these are the things that we can do we also know that smoking smoking up regulates and you tense in 2 converting enzyme receptor s. and this therefore can make smokers even more vulnerable so if you if you don't smoke don't start and if you smoke get some help and stop something cicle things that we can do sleep 78 hours a day we can learn to do this even though we may want to stay up and burn the midnight oil and watch that extra Netflix or whatever movie get some sleep moderate exercise we can go for it and do it in our day eat fruits and vegetable seeds and nuts as Dr Natalie was talking about we can learn how to like them we may not like them at 1st but we can eat them and over time we will learn how to like this we're talking about not just our health which is very important we're talking about our life because we can die if we end up getting this and we're in a vulnerable population and then we end up having to go to intensive care unit this is this is not good avoid nicotine and alcohol I'll come on we can get help to get these under control and for a chronic diseases it's about time that we take seriously the diabetes the hypertension of the coronary artery disease etc and do what needs to be done these are usually reversible conditions if they are dealt with early enough and they can be done with lifestyle changes and we should help and encourage others and we should protect our homes therefore we should be models that will. Our mental and emotional state we should stay positive and be optimistic we should cultivate an attitude of gratitude and manage dress healthily we shouldn't panic we shouldn't worry about all the political situations that might be going on because our lives do not depend on those they depend on what we do our spiritual life is also important we should consider the transcendent find meaning and yes we should even pray because there is a God in the universe who loves us socially we should stay connected we should avoid loneliness and we should be a positive influence wherever we are and it doesn't matter what stage or what part of life we are in. In Nebraska or they put out this particular. Idea advocates they hope churches can help mitigate the Cove in 1000 racial disparities unfortunately across the United States and in other plus parts of the world too sometimes the church going the Sunday morning might be the most racially divided time in the week I think it's high time that church goers and churches get on the ball and work in this direction so that everyone can enjoy the best of health and no one has to be in that special vulnerable group but there's a story behind the myth that happened with blacks early in the course of the over $1000.00 epidemic there were rumors that people with dark skin may be immune to covert 19 and these were circulating in social media since late January and people believed it and it was spread among. The social media groups. People actually were believing that because of black skin or dark skin one did not. Have risk and therefore people who believe this did not take into account the fact that they were believing a lie I tell you what we think and what we believe can make a difference as to whether we're going to live or die because when we get incorrect information and we have. An incorrect belief we may act in such a way that we can put our lives and those of our families and our friends at risk the immunity myth has also been why this is a career online in the African American community where it has featured It was featured in means and in viral jokes and people who are actually laughing at this I tell you this is nothing to be laughed at covert 19 will kill you if it can it's not the worst thing that has ever happened but this virus is not racial It is an equal opportunity killer So the best idea is to stay away do the things that we know do the things that we can do and leave the rest to God. That gracias you know Charles most that was phenomenal thank you so much for bringing out that those very very important points we want to stay alive by God's grace and as Christians haven't they haven't as we believe all people should be treated the same so we really appreciate your presentation we are going to go now to the practical application of how do we practically apply many of the principles that Dr Natalie Dr Xeno and the rest of our speakers have presented specifically regarding nutrition and exercise with that I'm going to again invite Dr Neal Natalie to come and present to us some very simple practical solutions how do I take this information this amazing information and make it apply to me thank you Dr Natalie. Thank you Dr Lewis I'd like to refer to a article that was published just months ago and life science says you can see it at the bottom of your screen if you're seeing the slides cope and 19 melatonin as a potential ads you have been treatment it turns out with all the anti-oxidants we talked about melatonin is even more potent than those anti-oxidants an acid tale tryptamine as an anti-inflammatory drug it's a potent anti-oxidant and it's an immune modulator and studies have shown 6 milligrams a day Les will decrease the cytokine storm and this is why it ended up getting published under the heading of covert 19th decrease interleukin 6 tumor necrosis factor c. reactive protein and Interleukin one b. as well as the light peroxides that come about from the oxidative stress and it also helps to keep the integrity of the vascular endothelium melatonin is produced in greater amounts when we go to bed early and when we get up early when we have regular bedtimes it's also produced more when we are outdoors and sunlight and we also produce baritone and as a response to that side sunlight through the ice and then we're able to produce melatonin because 1st we have to make Sarah tone and then melatonin eating foods high in calcium b 3 m b 6 can help us produce more as well but 1st we have to get tripped off and which is the least abundant amino acid in the diet into the brain the blood brain barrier is like a steel pipe that doesn't let trip the fan or any large molecule or large neutral amino acid across that has to have a carrier and it's a insulin mediated mechanism that brings. It across. And that's why we want to have carbs with they tripped over fans and then if we do get the trip the fan that's in the brain that's how we're able to make this potent. Anti-oxidant that's actually 30 times more potent than the most potent anti-oxidant vitamin which is vitamin c. But again it requires darkness efficient calcium magnesium b. 6 and d. to accomplish this when I was in medical school whole milk was sought to be a great source of tripped off and you can see it's not a bad source $46.00 milligrams per 100 grams but there are higher sources Black Eyed Peas walnuts all men's sesame seeds gluten we don't want to ignore the fact that whole wheat has glutamine and gluten if you're not sensitive to it which 96 percent of the public or not at least 96 percent is actually the that can help us with melatonin production and glutamine is also a more homing modulator it's actually important in making a very important anti-oxidant called Glue defiant pumpkin seeds are even higher in trip to fan than gluten is and tofu as the highest concentrated source that melatonin itself is present in food and you can say the foods that have it barley banana tomatoes Ginger rice corn odes but there are a couple of foods that have the highest amounts cranberries just one ounce will give the a physiological effect of 0.3 milligrams. And I much more recommend foods than supplements as far as getting your melatonin because the studies on melatonin supplement show that they are unreliable in general a lot of it's broken down as well and it may not have what it says it has because of the lack of regulation but cranberries do have it in fresh servings and pistachios just to nuts have the highest known melatonin sorts again 0.3 milligrams and then when we get to practical applications we have to talk about physical exercise although it does cause more free radicals to be produced and very very Garous exercise can damage d.n.a. and marathon runners have been shown to have significant d.n.a. damage we actually don't recommend running marathons as a way of avoiding any virus or cope at 19 Interestingly though if we do over exercise serving a watercress a day will decrease the d.n.a. damage by about 70 percent but immune function does go down and marathon type exertion natural killer cells neutrophils macrophages. Which are part of the an aid immune system exhibit the greatest changes in response to marathon competition both in terms of numbers and functions and during this open window of immune dysfunction which lasts between 3 and 72 hours after a marathon viruses and bacteria can gain a foothold and it increases the risk of subclinical as well as clinical infections but in durance more moderate exercise can be healthy and one of the reasons goes back to the free radicals extracellular super oxide this new taste. Is actually produced. With. Exercise within Durance exercise. And it has a unique binding capacity to sell surface and extracellular matrix it's induced by exercise training and skeletal muscle is what is going to produce the most and it can then be read laced from the skeletal muscle and circulated to peripheral tissues and it confers protect the advantages against oxidative stress in various disease conditions this diagram shows the problem of the free radical the 0 to negative an ion which actually can produce some damage in pro inflammation you can say the leukocytes going there the cytokines going there but exercise that South is going to produce and Durrance exercise. Particularly moderate degrees are going to end up circulating this extracellular super oxide Dismuke say and it can actually help along so it can help the blood pressure it can help the heart and there's even evidence that can prove prevent acute respiratory distress and drum which killed $75000.00 people per year in the United States. Excessive neutrophil activation accumulation leads to an increase of those reactive oxygen species resulting in that acute long injury and therefore a neutral felon he's in and subsequent activation by activating endothelium as an essential early step in the inflammatory pathogenesis of acute long injury and a r.d.f. and so exercise can help us and that's why it's not just nutrition it's a new start an acronym by Wiemar and what we train all of our Wiemar health yes to learn about but before we close this practical section I would just like to quote from an article that was published just last week in the European Journal of Clinical Nutrition and titled nutrition amid the Coburg 19 pandemic and they mention as a direct quote a responsibility of individuals during the code 1000 pandemic lies and making an effort to choose a healthy lifestyle eat diet high in fruits and vegetables exercise during free time maintain a delaying healthy weight which we actually didn't get into but there's abundance of evidence that our b.m.i. healthy b.m.i. for me and system are actually between 18.5 and 22 not just the usual 20 to 25 which is considered normal and avoid snacking as well time restricted feeding where we don't eat in the evening can also be an Hansing and modulating to our immune system and they also mention eating foods high in a c b 6 and Zenk such as ceteris for dark green leafy vegetables and nuts this is something that can be simple it can be done it really doesn't have risk actually there was far more risk of actually shutting down States overall with again not evidence based approaches and doing this not that that should. The been done if I were the the governor I probably would have done the same thing but what we're talking about here in regards to new start are practical things that don't have risks of huge economic failure and all sorts of needing to take out loans from banks these are things that we can do as part of our everyday life that can give us a significant advantage thank you thank you so much Dr Natalie thank you for bringing that so practical and the studies breaking studies this month and even last month we really appreciate that with that we're going to invite another good friend and guest here as a speaker Dr John Kelly he's the president of the American College of lifestyle medicine former president and founder he's also a professor at lifestyle his lifestyle Medical Institute there and Ok event and he teaches medical professionals lifestyle medicine Dr Kelly tell us a little bit about some of these principles as far as nutrition and exercise and how you incorporate them there at your institute. And just to remind everybody if you haven't received your actually Rashard there Meek we would courage you to do so again we hope everyone that will be able to be a part of this ministry of hearing text that it's a wonderful wonderful book dearie Dr Kelly thank you sorry at my microphone on it yes it's my privilege to join the team tonight to present this important topic I really appreciated the citation there Dr Nelly bitched it. Was just commenting about the importance of lifestyle modification in the time of fighting and yet over the 19 so I specialized as you know in the use of lifestyle intensive lifestyle treatments and residential program settings. And really literally around the globe I've had the privilege of doing programs from Lithuania the Marshall Islands to Singapore etc And it's remarkable what we see happen in a short period of time with the with the proper kind of intensive lifestyle changes also done some outpatient work and Typically I use what's known as the complete health improvement program or chip program for the core curriculum. Now what's exciting to me is that science now knows how the dramatic changes we see can occur so quickly I'm now doing a 10 day immersion programs have done longer programs in the past and thought that it was impossible to get the kind of results we see so quickly but we now know that lifestyle changes affect our genes which is called epigenetics and it is the switches on our genes are actually changed in beneficial ways by healthy lifestyle changes as we've been talking tonight so even now at the cellular level at the genetic level we know science is learning how this tremendous effect can can happen and be so quick for example just illustrate that every genetic switching can actually has been shown to be able to change even the cell type in the Murine mom in the mouse they have actually done research showing that gene switches can turn one cell type of fiberglass skin cell into a functioning cardio my insight into a heart cell and I only share that to illustrate the power of genes switches and and lifestyle changes like the modifications are being documented continually showing us how they are affecting genes which is in beneficial ways now until I saw medicine treatment is all is now has been shown to have strong anti-inflammatory effects as described by my colleagues earlier tonight. We end our lifestyle immersion programs use a diet that focuses on under thigh and plant foods to the highest extent possible we also use as I've been mentioned earlier early Congress strict and feeding meaning we eat 2 meals breakfast and lunch and maybe if we if anything a light supper only and this is a form of intermittent fasting which usually is defined as having at least 16 to 18 hours between meals. We emphasize what week is often called the leaf stem flower parts plants which are high in nutrients and lower in calories I want to 2nd the point made earlier tonight that research shows that essential nutrients actually produce better effects health effects when taken as Whole Foods rather than as isolated new suit supplements or nutrients and this I don't want to ignore the fact that when you have a deficiency indeed there's a need for supplementation but what we're saying is in general it's healthier to get your nutrients in Whole Foods and to depend on pill but. Another thing that we include is regular consistent moderate exercise and this is been mentioned as well tonight in the science behind this it's important that we use multiple short activity sessions each day rather than trying to get it all in one lump especially for those who are not consist are not consistently being doing exercise. You need to have multiple shorter sessions sleep is absolutely critical we have a time. Around 930 is part of our intervention program sleep has actually been shown to also affect epigenetics which is or that I should say the lack of sleep we have we recommend and use a consistent bed time about 2 to 3 hours before midnight seems to work best and as a doctor Nellie and others have told us that melatonin and other affects that are heightened and beneficial when we have a consistent bed time before midnight and you know it's especially important with patients that I'm seeing today because it seems at least before the Copen 1000 a pandemic that there was there were our world is full of over business we're just we're just too busy and it's in some ways I think that the. Slowdown in pace associated with coping 1000 has some beneficial effects as well we also encourage stress management particularly with trust in divine power understanding that that the Creator God loves us and is not one to fear but want to trust and to depend upon and we see remarkable drops and high sensitivity c.r.p. this is a marker of cardiovascular inflammation and in just 10 days actually the lab report the lab the blood draws are only 7 days apart and typically we see 20 a drop of 25 to 80 percent in this inflammatory marker we also see many other. Major risk factors improve in just 10 days including things like fasting Cern glucose blood pressure cholesterol and cetera so it's I just wanted to share what we use in an intensive intervention that is improving the prognosis of chronic disease and it's so interesting to me that in the code in 1000 epidemic campaigned in ng that the. Lifestyle changes are an important part of preventing your infection and if you do get infected having better resistance to fight it all so thank you for the chance to share with you tonight thank you so much Dr Kelly thank you for sharing with us your experience there at Ok then and your multiple years of experience practicing lifestyle medicine we are very excited to hear one more speaker no stranger to us Dr Roger shalt he's going to be presenting to us on further practical applications of exercise and proper nutrition Dr Roger Schulte is appalling knowledge just an intense of those just today he was in the i.c.u. taking care of 1000 patients and we are looking forward to your presentation doctors well. Yeah and little you know the patients that I was taking care of fit exactly what we've been hearing about in the media these are patients with cardiovascular diseases these are patients who are obese who have a history of diabetes hypertension h.-o. for Brill ation and it's been a real issue and I want to take you really where the heart of the fight is if you want to imagine I'm one of these soldiers in the trenches seeing the enemy a face to face and that enemy is coronavirus and to really accept what we've talked about so far I want to go way back for those of you who are went to medical school or nursing school to go way back to a biochemistry and highlight exactly what it is what we've talked about so we have oxygen and when you add an electron to oxygen you get the species called Super oxide and this is what neutrophil secrete in for member back on our 1st session we talked about what we noticed in Cove in 1000 was an increase in neutrophils but a decrease in lymphocytes these neutrophils kill by this super oxide the super oxide is toxic it's meant to kill but like most things we want to contain that and in this situation it's not being contained and so what I want you to imagine now is a situation where somebody is going into a Copan $1000.00 disease and what's going to happen is they're going to be some sort of a balance that the that the virus is going to evaluate in this patient's body is this patient's body more on the oxidative stress side or less because what this infection is going to do is definitely tilt the body it's like a stress test it's seeing how much more oxidative stress can this body take and if it reaches a threshold then the body is going to not recover. And I want to I want to make sure that people understand what it is that's going on we talk about super oxide this new taste this oxygen radical the super oxide is neutralized in the body by this super oxide just mutates it's the red enzyme that converts it back into oxygen and into hydrogen peroxide and this is really important to understand because if you don't do this you have hydroxy radicals super oxide radicals that can accumulate and cause a lot of damage and a lot of inflammation Now we already know we've discussed that covert 19 causes this to accumulate because the neutrophils and the A.R.V.'s but what you may not be aware of is not only are there are ace receptors in the Bronx Brumfiel tissue but there are also a shoe receptor as in the endothelium. This this is not just a receptor this is an enzyme and so if somebody theoretically gets so bad that they're virus starts to spill into the blood you get a viremia. What can happen at that point is the virus will attach to the Ace receptors and the filial wall and all all sorts of things can happen at that point ace 2 which is an enzyme is also the receptor for the virus a stew is responsible for breaking down angiotensin 2 which is a potent base of constrictor and when it doesn't do that one it doesn't break that down you get over a constriction you get leakage of fluid and another thing that's very important is that a stew converts angiotensin 2 into angiotensin 17 angiotensin 17 is another signaling mechanism to improve on super oxide this mutates and so you can see that this is not only do we have a problem with COPD 19 in itself but we also getting knocked out of that ace to bass to and the theory m And that puts a real load on the antioxidant system of the body which you can see here there's another place where you can get this and we can get extra oxide and for this we've got to go back to Krebs cycle and the electron transport chain in the mitochondria so if you remember this You remember that a letter ons are being pushed into the into the the membrane in the m. and a membrane space and if there is a high carbohydrate diet or a high fat diet you going to get a lot of assets he'll coate answering into the Krebs cycle and a lot of electrons being pushed and if there's not no way to except those electrons those electrons are going to be pushed onto oxygen that's another source of these oxygen radicals potentially And so there's a beautiful review article that was published just in 2018 before all of this broke out with Cove in 1000. Published by Hindawi in the oxidative medicine and cellular longevity Journal and it's a beautiful review it's very very long it's about 2425 pages and it references over 330 different studies. This is what they said here they said excess of high caloric intake from either a high carbohydrate or high fat diet will cause more substrates to enter into the mitochondrial respiration subsequently the number of electrons donated to the electron transport chain may increase upon reaching a threshold voltage extra electrons may back up at the complex 3 with further donations to molecular oxygen which produces high levels of super oxide this is not what you want to have and so you can see here that you don't you want to be in a super stressed situation and then have coping 1000 on top you're not going to survive that situation and here on the left we see the obesity on the on the right we see healthy as we have more and more oxidative stress we're going to war those higher being lives so high carbohydrate those glucose high red meat high protein high fat all moving in this direction how do we move to the right to the lower b.m.i. as whole grains nuts fruits vegetables fish they talk about protein bioactive peptides those also can cause issues too if you don't have enough by the mini So you have to be careful they talk about legumes protein m. a low starch phytochemicals etc. Let me it was very interesting this is this is not this is not. Religious this is this is a secular organizations and they came up with this conclusion after reviewing all of the data that was given to it again 337 references 25 pages in terms of cardiovascular disease they say the available research strongly supports that a diet high in carbohydrates in animal proteins and excess of fat consumption produces r o s what's r. o. s. reactive oxygen species and subsequently leads to oxidative stress the best dietary advice for the prevention and management of obesity and other metabolic disorders includes replacing refined carbohydrates with whole grains increasing fruits and vegetables substituting total and saturated fat with m u f A's those are reduce outrated fats and consuming a moderate amount of calories with an ultimate goal of maintaining an ideal body weight overall further studies are warranted to gain a better understanding so the question comes up is you know is the cardiovascular what is really the bottom line in terms of prognosis and it leads to another burning questions kind of what we talked about before with race and that's gender So real quickly we're noticing based on the data coming out of New York that there's a lot more men that are coming down with the disease about 60 percent versus 40 percent and that that is not even ing out when they go into the intensive care unit we're seeing much more men than women now what what could be the potential reasons and I give you 3 reasons here at the end. Number one a lot of the immune status genes and functions are found on the x. chromosome and while in most cases women will selectively disable one of those x. chromosomes in each cell there is still more in terms of immunity and we know that based on auto immune conditions that we see more in women for instance lupus and remits what arthritis etc. Number 2 there's a more of a social thing we know that men tend to seek treatment later women trends us tend to see it earlier than men and in this disease the longer you wait the harder it is to reverse some of the stuff right so you have to be aware of this and you have to be cognizant of that that's a problem that we are seeing and then what we've just talked about so b.m.i. is cardiovascular disease that is of this nature these are things that typically affect men less likely women although women have to be careful after men a pause because they tend tend to catch up to men in terms of that and other diseases so Leyla there's a lot of practical things here that we've talked about we've talked about exercise and how that improves extracellular super oxide this mutates we've talked about diets we've talked about b.m.i. all of these things really fit into the into the practical but what I'm seeing on the front lines for those health care providers that are out there what I'm seeing this is not your typical A.R.V.'s simple straight done one and done type of thing we are seeing this virus affecting not only the ones we are seeing it affecting the cardiovascular we're seeing it affecting the kidneys even the neurological and I think the common denominator in all of these things is becoming more and more apparent and that's oxidative stress. Thank you so much Dr Shroff that was phenomenal We really appreciate your information and I just want to bring out you know as we look at nutrition and we've looked at exercise and we've looked at the other principles we've looked at over the last 3 weeks which comes down to this beautiful picture of health it's all encompassing it's certainly not just $11.00 stop shop we fixed it we've done it now clearly it's not it's a holistic approach to health physically mentally emotionally and spiritually and each one of these principles definitely plays a role and I dare say the science does seem to support the importance of these principles with that I look forward to hearing from Dr Marc and really Dr Finley is a world renowned international speaker and he's also the special assistant to the president of the General Conference of 7th Day Adventists and Dr Finley in particular has expertise in this book ministry of healing that we're offering to those again the 1st 100 that have shared our link again Dr Finlay we look forward keep hearing from you thank you so much thank you Dr they are. You know I was thinking about the fact as our physicians were actually tonight of the into greeted whole ness of the human being as label has mentioned in each of our physicians to salute to human beings our physical their mental there's the motional spiritual beings and Jesus made an interesting statement when he said man or woman should not live by credible. Is important as nutrition is is port as important as exercise is and those are incredibly important and my wife and I are plant based vegetarians and she says Me ideal point based food every day so we are exercisers were out exercising regularly rain or shine. But beyond that if a person is consumed with worry fear anxiety it tends to break down the life forces in this book ministry of healing written in 1905. But whose principles are relevant today there's a section called mind to cure in one of the sentences that really gripped me in this book and if you don't have a copy you eat it it's truly a marvelous treaties on health on physical mental spiritual but here's a line from page 241 it says grief anxiety discontent remorse and guilt distrust and to break down the life forces and invite decay and death another words if we're filled with anxiety filled with worry tension or fear as many people are drink over 19 it tends to produce negative chemical by products that break down the entire life forces so the question is how do we deal with fear what is the fear is a strong emotion of a perceived threat that is apparent in my life so that's what theory is it's a strong emotion how you deal with that this last Friday night I sat on a panel discussion and the parent discussion was focused on New York City the program was broadcast to New York City in New York we have more of deaths from cool in 1000 than any other city in America is about 20000 deaths in New York City alone more people have moved 19 in New York City than any other place we had on that panel with me a e.m.t. emergency medical technician a man who drove ambulance that went out in transported Kuvin one peep team patients to the hospital when they couldn't get there by that means we had a nurse that worked in a true friend 19 i.c.u. ward in one of the hot spots one of the most. Such challenging places in all of New York hospitals and we also had an emergency medicine physician and one of the questions that was. And asked to by the moderator the panel to that group was this are you ever afraid and each of them said we do have this emotion of fear we're we are fearful that we may get the disease because we serve others were fearful that we might take that disease home too to our families and we talked about Thea and we talked about how to handle fear we talked about acknowledging your fear we talked about acknowledging the fact that indeed you are in a very difficult situation not denying that we pointed out something else from a biblical standpoint that helps anybody deal with or overcome their fear in the ancient scriptures written by the prophet Isaiah a Jewish prophet hundreds of years before Christ Isaiah says this and Isaiah Chapter 41 verse 10 fear not for I'm with you be not dismayed from your God I will strengthen you yes I'll help you oh uphold you with my righteous right there is a sense of God's presence that enables us to overcome those crippling thiers fears an emotion we're going to have that emotion of fear when we perceive trauma but there is that sense. That fear can be paralyzing fear can be crippling fear can be immobilized and it does not need to cripple our paralyzed or immobilized because the Scripture since be not confused or to sleep I am your god don't fear because I'm with you knowing that in every experience of life God is the knowing that in every experience of life he is going to spring on us knowing that in every experience of life in the joys and sorrows of life we are not Homo the same prophet in Isaiah 26 verse 3 says you will keep him in perfect peace whose mind is stayed on you because he trusts in you trust in the war for. Here is the confidence that you and I can have we're not skin covering bones we're not some genetic accident we're not some anomaly of nature that is just here but there's purpose in life and there's meaning in life in the Creator that is fashioned us cares for us he's with us as we walk through the dark valleys He's with us in the challenges and trials of lives he says I will keep you in perfect peace because your mind is focused upon the coven 19 is real sickness suffering and death and a broken world is real but our eyes need not be focused on the essence of the problems we face from a god that is bigger than our problems greater than our challenges and much larger than the difficulties he thinks when you pray for me just Father in heaven. I want to thank you for every health care worker that's on the front lines selflessly serving ministering and loving kindness I want to thank you for the promise that you will be with us that although we may have see or that you've been able us to overcome our fears because perfect to see here we can say we're thankful that we need not be crippled by that see or paralyzed by that fear we're thankful that we can know that you'll strengthen us that we are created by you and we are your children in Christ name. Thank you Layla thank you so much talk to a family that was beautiful again and compassing the whole person is what each and every one of those want to do especially is very basing this time of difficulty recoated 1000 while I have been very very excited about our presentation this evening and now we're going to go to our question and answer session but before we do that we do want to thank each and every one of you for sharing the post again if you haven't shared it yet please go ahead and do so and again we will get you that look at the 1st 100 people ministry of hearing mazing that let's go to our panel now for questions and answers Dr Ned Lee wonderful looking for a doctor shot perfect. Dr zener wonderful thank you gentleman Ok our very 1st question then our vegetarian diet fish and seafood sassing. Cancer just question. Well that's a good question and of course we mentioned the inflammation arachidonic acid in fact we didn't go into those early French reports that were showing it least anecdotal reports that and said what you're trying to decrease inflammation might have actually been increasing the Cove in 1900 s. and that that those then said they're trying to block the Iraq Adamic acid pathway which is the more pro-inflammatory fat the omega 3 fatty acids are more anti-inflammatory In fact there is a trial that is started encoded 19 utilizing omega 3 fats as a way of trying to intervene in this inflammatory process and of course we don't know how that's going to come out but arachidonic acid is present and meet its present in best it's present in eggs it is not present in dairy it's not present in any plant foods so based on what we know about arachidonic acid the foods that have it would be the ones that would be best. Voided. Dairy can have some good things it does have calcium it can be supplemented with vitamin d.. But it also has saturated fat and less that skim milk and saturated fat has been shown to be suppressant as far as optimal immune system function is concerned and so in the issue with the fish form of omega 3. Is the toxins that come with the fish 100 years ago I think Fish was a very great way of getting your omega 3 but now you can't find fish anywhere that don't have mercury and mercury and and other toxins are present there and so we're trying to get the benefits of these nutrients with the least risk possible and so even going to the plants of the waters which is where the fish get their Omega 3 from they don't make it themselves either it's essential for them as well can be a much lower risk than getting it from even quotes. Fish oil that's had the mercury removed which is actually impossible to do we can remove a fair amount of it but it cannot be removed completely even with the patented process and so in general a plant based is as I think safe fear safer and a healthier way to go thank you Dr knightly Here's another question from Shima Davis is anyone collecting data to determine to what extent plant based eaters are affected by cooking 1000 doctors Ina and I believe doctors you know. Yes I don't believe that anyone is collecting that data actively I'm sorry about that. We've had some difficulty in trying to coalesce the study group but that's a wonderful idea we have the idea of being able to do this but it's not be collected right now as far as I know wonderful. Doctor coming from Donna then twinned own Hi Doc What can I do to control my hyperthyroid on a plant based diet will start with Dr Scholl's and then we will go to Dr Nancy. Well I would say that those 2 are probably. Not mutually exclusive I think you can control your hyperthyroidism. Under the control under the auspices of your physician and I don't I don't see how a plant based diet would interfere with that necessarily I wouldn't do it I wouldn't do it exclusively on a plant based diet because I think there are some medications that you may have to be on. Thank you Dr doctor and that's the thing you have anything to add to that discussion Well I would say making sure that your thyroid is controlled with of course blood tests and where the physician there as a l.t. fire right is made out of Al Tyree scene and then I had then as well and so there are some plant based foods that are high in l. Tyrus saying like watermelon sometimes will say in subclinical hypothyroidism when we give them l Tyrus same that they'll actually normalize are very small amounts of iodine like 150 micrograms a day but this is again something that you need to do in conjunction with your physician where it can be measured and you can see how effective you are with these measures thank you another question from Dr Pascoe phase one thanks to Dr swell This is a question for you specifically do you feel that hydrothermal therapy is a part of the other principles sort of we've discussed some of these people use the acronym new start and they do there and we mark is that outside of the New Start principle and can you utilize stimulation using the mouse the nostrils and point the entry doctors well. So I think I see that you're talking phase one is before infection phase 2 is after infection. Absolutely I believe the I don't want to speak for new star but one of those letters there I believe is water and that's the part of hydrotherapy So I think it's perfectly in line with new start I would be careful inhaling directly hot steam although there may be some good data on that it's just you're sometimes you've got to realise that that by definition is hotter than than than boiling water it's about the same temperature as well are dependant what outfits you've got so you could burn yourself so you have to be very very careful but yeah I think it's I just therapy in general as is in line with simple remedies that we've been given and we've probably forgotten a little bit about in the last 100 years thank you this is friendly I'll study how much time does changing my style take 2 and there is clinical benefit doctors being on. It depends on where the person actually is someone who is already doing a lot and having a little will. Be all that they need to give almost immediate results we see of myself in those when we use intensive therapy in a matter of days we can see significant changes in him for some of the individuals it mythic longer but usually are talking about days to weeks as opposed to months to years thank you another question from Linda what about omega 36 and 9 should these be considered in our daily diet Dr Natalie yes both omega 3 and omega 6 are actually essential fatty acids in other words we can't make these ourselves mega 9 we actually can from omega 3 or 6 but not all maggots 3 or 6 sexes tends to be very abundant in the diet particularly a more plant based diet omega 3 is a little harder to get and omega 6 can be pro-inflammatory omega 3 as anti-inflammatory and so we like to see improved ratios of 3 over 6 if at all possible one we're talking about not getting too much information from an over abundant immune system there again another question came and what if I can't I'm floored organic vegetables or fruits am I still getting of benefit from non organic sources Dr shell. You know we've set up before will say it again the good is not the enemy of the perfect. So if you can get organic then certainly get the fruit that's available to you you know and a lot of inner cities it's unfortunate but the cheapest food that you can buy is that is the highly processed food and so it's not easy to make that switch it's certainly hard to make it from that to organic food which is generally more expensive so do the changes that you can afford to do and don't let the good be the enemy of the perfect and for doctors you know a question hey man what is the best form of action or size that you would recommend. Mixed exercise that is a combination of aerobic and anaerobic exercise but we must remember that exercise is is the surrogate for for work Ok so actually doing productive physical work is is the ideal but barring that then a combination of both resistance and the Rubik's is the best Thank you Dr Natalie Joseph asked the question what about fasting How often would you recommend it for optimal results. Well there's a lot of evidence accumulating now that fasting every day is beneficial what I mean by that is where we actually get the body and the ketosis particularly in the evening time so you eat a breakfast and you eat alliance and then you fast De Lay by not eating suppers and that has actually been shown to reduce the risk of certain cancer recurrences it's been shown to help the immune system and in fighting several ways and now there's a lot of evidence surfacing in regards to fasting even with chemotherapy treatments for cancer where you might fast Simo treatment and during the chemo treatment and maybe even a little bit afterwards as a way of augmenting the immune response from that there are trials going on right now in regards to that in the evidence says that even fasting for 24 hours once a week the children are overweight is a good way of weight reduction and it's a good way of boosting the immune system and it's really a new field as far as really getting very solid research but certainly there seems to be minimal if no risk at all to fasting daily the way I described ritual act now what if I can't get healthy stuff I have a hard time getting healthy food I don't have any stores nearby I can't grow anything how can I now can you help me I need answers to these questions please so I'm going to ask doctors you know and doctors try to answer that question. Well 1st you must be able to get something and the basic idea is to do this that you can. So having good information acting on that information and doing the best that you can is going to be better than doing nothing at all. Yeah it sounds as though you've got the fasting part down. You know maybe it's time to move. If that's the case but you know what Usually when you start looking around for things and you get into the right network and you have the right friends they're going to make things available to you that you never thought existed and it will be surprising but excellent Well this is our last question for the evening and then we're going to have a wrap wrap that we want to end on this question so where can I get probiotics we've heard a little bit about the effect of the ace 2 receptor is and we're curious to now what role does the probiotics the tension we play and how can I get them and we're going to go through each one of our panelists Dr Natalie. Well probiotics are healthy bacteria that we can ingest orally and we're finding out that if we have good prebiotics probiotics most of the time are unnecessary and so that's where the soluble fiber and insoluble fiber can come in now if you're lactose intolerant a lot of the healthy bacteria are not really lactose dependent There are of course you know acid awful s. and others that can be but there's a host of good probiotics available there's not as much research to know exactly what combination is best for certain diseases you really have to trust your your doctor or do some research to know about that but in engender all particularly post animal Ayyad x. or in certain disease states probiotics can have a very positive response on both the immune system and even mental health Excellent thank you Dr z. now. Yes. I think that something that may not have been mentioned a great deal before is that in the micro biome we actually got micro biome we're actually. Affecting the largest immune. Organ of the body and that is the gut associated lymphoid to shew and probiotics depending on the being alive and of the right type will affect those tissues and will help to marginally or even system and therefore I think the response to their immune system was when faced with the threat. Thank you no Does he not Jewish Well you know I don't know if I could add more than what they said but I would say I would say this in terms of understanding the importance of this and it's it's often overlooked. I remember of a case where we were to use this it was it in our hospital but I remember reading about a case where we would use a stool transplants for very severe cases of see death kaleidoscope was known as and this is in patients and when this happens to an unfortunate young lady she after getting the stool transplant her entire b.m.i. her her weight despite having the same lifestyle changed and what is it about that that organ as Dr ourselves as mention that is it's very intriguing to me that it would cause that great of a difference and so I think it's it's probably one of those fronts here is that we haven't researched enough and there's a much more to learn in that field. Well thank you gentlemen thank you to all of our panelists it's been a tremendous evening I personally have learned a lot and I'm looking forward to what we have coming next what we have next week you are not going to want to miss out and the topic you are going to be excited about is proper sleep and self restraint and what role they have as we have opened up the global reopening of the world and here in the United States we want to say a very special thank you to those of you who've been viewing us all over the world we've had viewers from Borneo from Pakistan Brazil Trinidad Egypt. Argentina France but homeless and of course here in the United States over 20 plus states have participated so we want to say a special thank you to each and every one of you for viewing We also want to thank you for writing sharing the site so that not only yourself but others have access to the information that we've presented and also again participating as far as the book ministry of healing again for those of you who have participated you have up to 12 hours of free category one see any credit through the University of Arizona all you need to do again is go to the website. Forward slash health and register again if you missed the other presentations you're welcome to go to the archives videos and you can still be eligible for the Seanie credits for those of you who are still entrusted you can join in our Facebook group and we are continuing to offer ideas collectively together as we research some of these other principals again we want to thank each and every one of you for joining us and we look forward to seeing you again next week next Sunday 5 pm Pacific 8 pm Eastern again God blast and stay healthy stay well and stay whole.

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