Dr. Akil Palanisamy

So studies show that fermented foods also reduce inflammation and improve immune markers. So they do improve some of these like cytokines, which are the immune system like messengers. So incorporating both of those is very good for gut healing.

Yeah, I think that's an important principle, which is start low and go slow with the dosage, because even low dosages of prebiotic foods and fermented foods have benefit. I've had patients, when they're trying to introduce fermented foods like sauerkraut, they could only start with the sauerkraut juice. They could not have the actual vegetable.

Yeah, I think that's an important principle, which is start low and go slow with the dosage, because even low dosages of prebiotic foods and fermented foods have benefit. I've had patients, when they're trying to introduce fermented foods like sauerkraut, they could only start with the sauerkraut juice. They could not have the actual vegetable.

Yeah, I think that's an important principle, which is start low and go slow with the dosage, because even low dosages of prebiotic foods and fermented foods have benefit. I've had patients, when they're trying to introduce fermented foods like sauerkraut, they could only start with the sauerkraut juice. They could not have the actual vegetable.

So then they start with like a teaspoon of sauerkraut juice per day. And it feels like laughably small, but I say, no, that's good. You're getting your gut used to this change. And then you work up to a tablespoon. Then you start adding a little bit of actual sauerkraut, the cabbage. And so that way, over many days or weeks, you're building up slowly.

So then they start with like a teaspoon of sauerkraut juice per day. And it feels like laughably small, but I say, no, that's good. You're getting your gut used to this change. And then you work up to a tablespoon. Then you start adding a little bit of actual sauerkraut, the cabbage. And so that way, over many days or weeks, you're building up slowly.

So then they start with like a teaspoon of sauerkraut juice per day. And it feels like laughably small, but I say, no, that's good. You're getting your gut used to this change. And then you work up to a tablespoon. Then you start adding a little bit of actual sauerkraut, the cabbage. And so that way, over many days or weeks, you're building up slowly.

And that's a much better strategy to get your gut to tolerate these foods.

And that's a much better strategy to get your gut to tolerate these foods.

And that's a much better strategy to get your gut to tolerate these foods.

Although in our case, we take insurance.

Although in our case, we take insurance.

Although in our case, we take insurance.

Yeah. We're part of a group called Sutter Health, which is throughout California. And we're trying to be the integrative medicine branch within Sutter Health.

Yeah. We're part of a group called Sutter Health, which is throughout California. And we're trying to be the integrative medicine branch within Sutter Health.

Yeah. We're part of a group called Sutter Health, which is throughout California. And we're trying to be the integrative medicine branch within Sutter Health.

Yeah. For that reason. Yeah. For that reason. We have five clinics in the Bay Area, but yeah, massive waiting lists. But that's why I'm looking at more innovative models. I'm doing a lot of group visits these days. And then I've also created some online courses on autoimmune disease and so

Yeah. For that reason. Yeah. For that reason. We have five clinics in the Bay Area, but yeah, massive waiting lists. But that's why I'm looking at more innovative models. I'm doing a lot of group visits these days. And then I've also created some online courses on autoimmune disease and so

Yeah. For that reason. Yeah. For that reason. We have five clinics in the Bay Area, but yeah, massive waiting lists. But that's why I'm looking at more innovative models. I'm doing a lot of group visits these days. And then I've also created some online courses on autoimmune disease and so

Yes, absolutely. And that was my goal for writing the book was to try to keep it simple, try to keep it practical and not overwhelm people and include steps that because I think the average person may not have access to a practitioner to guide them. So I wanted to really put enough information in here that would allow a person to do this on their own.