Dr. Todd LePine

So you've got to go low and slow when you're trying to taper off the PPIs or taper off antidepressant psychotropic meds. Absolutely.

So you've got to go low and slow when you're trying to taper off the PPIs or taper off antidepressant psychotropic meds. Absolutely.

Yeah. Well, I had a patient who came in and she was a undiagnosed celiac, not just a gluten sensitivity. She was an undiagnosed celiac. She was Irish. And she was having a standard American diet. And she was self-medicating for her heartburn with over-the-counter acid-blocking medications. It had a lot of bloating-type symptoms. And came in. And her major complaint was her skin.

Yeah. Well, I had a patient who came in and she was a undiagnosed celiac, not just a gluten sensitivity. She was an undiagnosed celiac. She was Irish. And she was having a standard American diet. And she was self-medicating for her heartburn with over-the-counter acid-blocking medications. It had a lot of bloating-type symptoms. And came in. And her major complaint was her skin.

Yeah. Well, I had a patient who came in and she was a undiagnosed celiac, not just a gluten sensitivity. She was an undiagnosed celiac. She was Irish. And she was having a standard American diet. And she was self-medicating for her heartburn with over-the-counter acid-blocking medications. It had a lot of bloating-type symptoms. And came in. And her major complaint was her skin.

But she had all these other things. But her big thing was how I look.

But she had all these other things. But her big thing was how I look.

But she had all these other things. But her big thing was how I look.

So, you know, it's, it's, you know, people are vain and people's attention. Exactly. Right. And, and then when I, uh, did a dive into, uh, her, uh, testing, you know, it turned out that she was deficient in her essential fatty acids, especially the gamma linoleic acid. Um, she, she had a lack of stomach acid because of the PPIs. You can actually measure a test.

So, you know, it's, it's, you know, people are vain and people's attention. Exactly. Right. And, and then when I, uh, did a dive into, uh, her, uh, testing, you know, it turned out that she was deficient in her essential fatty acids, especially the gamma linoleic acid. Um, she, she had a lack of stomach acid because of the PPIs. You can actually measure a test.

So, you know, it's, it's, you know, people are vain and people's attention. Exactly. Right. And, and then when I, uh, did a dive into, uh, her, uh, testing, you know, it turned out that she was deficient in her essential fatty acids, especially the gamma linoleic acid. Um, she, she had a lack of stomach acid because of the PPIs. You can actually measure a test.

Uh, blood test is a commercially available test called gastrin and, uh, gastrin levels will go up when you block acid. Um, and, So, and that's actually one of the tests that I actually like to use when I have patients where I'm trying to get them off of a PPI, because the higher the gastrin level, the more difficult it will be to get off the PPI.

Uh, blood test is a commercially available test called gastrin and, uh, gastrin levels will go up when you block acid. Um, and, So, and that's actually one of the tests that I actually like to use when I have patients where I'm trying to get them off of a PPI, because the higher the gastrin level, the more difficult it will be to get off the PPI.

Uh, blood test is a commercially available test called gastrin and, uh, gastrin levels will go up when you block acid. Um, and, So, and that's actually one of the tests that I actually like to use when I have patients where I'm trying to get them off of a PPI, because the higher the gastrin level, the more difficult it will be to get off the PPI.

And that's sort of like, it'll tell you how easy you can get off of it. These acid blockers, that's the PPI, right? Exactly. And then she also had low vitamin D levels. I mean, we spend a lot of our time clothed and indoors, so we don't get way enough sunshine. That's one of the big things.

And that's sort of like, it'll tell you how easy you can get off of it. These acid blockers, that's the PPI, right? Exactly. And then she also had low vitamin D levels. I mean, we spend a lot of our time clothed and indoors, so we don't get way enough sunshine. That's one of the big things.

And that's sort of like, it'll tell you how easy you can get off of it. These acid blockers, that's the PPI, right? Exactly. And then she also had low vitamin D levels. I mean, we spend a lot of our time clothed and indoors, so we don't get way enough sunshine. That's one of the big things.

And low vitamin D, you don't just fix low vitamin D. This is one of my, I get up on my soapbox all the time with here, is you don't just fix low vitamin D by, taking vitamin D. Vitamin D deficiency is basically a sunshine deficiency.

And low vitamin D, you don't just fix low vitamin D. This is one of my, I get up on my soapbox all the time with here, is you don't just fix low vitamin D by, taking vitamin D. Vitamin D deficiency is basically a sunshine deficiency.

And low vitamin D, you don't just fix low vitamin D. This is one of my, I get up on my soapbox all the time with here, is you don't just fix low vitamin D by, taking vitamin D. Vitamin D deficiency is basically a sunshine deficiency.