
The Dylan Gemelli Podcast
Episode #19 Featuring Dr. Steven Gundry PART 1!! MASTERING THE GUT MICROBIOME! The Gut's influence on overall health, the role of microbiome, Mitochondrial Health, Urolithin A, Treating leaky gut, Nutrition Tips, The Gut-Brain Paradox and more!
Tue, 15 Apr 2025
Episode #17 Featuring Dr. Steven Gundry!! MASTERING THE GUT MICROBIOME! Dr. Gundry tells all, taking a deep dive into the gut's influence on overall health, the role of our microbiome, treating leaky gut, the importance of mitochondrial health, a discussion on Urolithin A, bonus Dr. Gundry nutrition, the BIG RELEASE OF HIS NEW BOOK "The Gut-Brain Paradox" and more!! Dr. Gundry is one of the most well respected and influential Doctor's on the planet and listening to his insights is a major benefit to all listeners!!Check out Dr. Gundry's homepage and order his new book herehttps://drgundry.com/Follow Dr. Gundry on instagramhttps://www.instagram.com/drstevengundry/?hl=enFollow Dr. Gundry on youtubehttps://podcasts.apple.com/us/podcast/the-dr-gundry-podcast/id1434371530Listen to the Dr. Gundry podcasthttps://podcasts.apple.com/us/podcast/the-dr-gundry-podcast/id1434371530______________________________________________________________________Follow Dylan on Instagram, Facebook, Twitter and Tiktok @dylangemelliHuge thank you to everyone for the support! Please make sure to subscribe, like and comment!!Email Dylan for booking, collaborations and/or to apply for the Dylan Gemelli [email protected] Dylan's homepage here:https://dylangemelli.comTo PURCHASE MITOPURE visit Dylan's landing page and use code DYLAN10 to save!!https://www.timeline.com/promotions/dylangemelliRSShttps://rss.com/podcasts/the-dylan-gemelli-podcastApplehttps://podcasts.apple.com/us/podcast/the-dylan-gemelli-podcast/id1780873400I Hearthttps://www.iheart.com/podcast/269-the-dylan-gemelli-podcast-249695201/Spotifyhttps://open.spotify.com/show/3In4QlJj4IvHqq0eduKj7mPandorahttps://www.pandora.com/podcast/the-dylan-gemelli-podcast/PC:1001096187
Chapter 1: Who is Dr. Steven Gundry and what is his expertise?
all right everybody welcome back to the dylan gemelli podcast i'm sure you can see my guests next to me and i could not be more excited you know i get the benefit of interviewing some amazing people and i never want to slight anybody because i talk to some thoroughly intelligent and just amazing all in all people but i have been looking forward to this one ever since i found out i landed it so
I want to introduce everybody to Dr. Stephen Gundry, cardiologist, heart surgeon, medical researcher, author, so on and so forth. Doctor, thank you so much for being here with me. I really appreciate it. Great to see you, Dylan. Yeah, you too. You too. Well, I know your time is very limited, so I'm going to rack your brain for everything that I possibly can today. Now,
First of all, I know that you have a new book coming out. So I really want to talk about that first. It's really exciting. I've had the blessing of being able to read some of it and get a firsthand look. So can you kind of just get into what it's about and what motivated you to go with this topic? Sure.
Chapter 2: What is The Gut-Brain Paradox about?
Well, you know, it's called The Gut-Brain Paradox. And like my other kind of paradox books, the idea... is that much of our thought processes, believe it or not, are controlled by these little one-cell organisms that live in us, on us, even in our brain, and that it's hard for most people to grasp that single-cell organisms have the power
to manipulate this giant complex organism and, if you will, make us do their bidding for better or worse. And that we're actually a, what's called a symbiotic organism that we exist for the benefit of the other people who live in us, that is our microbiome. And if everything's going right, they exist for our benefit.
But like the book says, unfortunately, things have gotten all cattywampus, as the old expression was, that we've not looked out for their welfare. And quite honestly, they're not looking out for our welfare. And maybe we can get that back to where we can all love each other again. And the book goes into how to do that.
Chapter 3: How does the microbiome influence mental health?
So just real quick, what is the microbiome and how does it really influence brain function and mental health?
So here's the crazy thing. The microbiome, we have at least 100 trillion bacteria that live in our gut. We have, there's probably 10,000 different species that are still being identified. And that has nothing to do with the funguses and viruses and molds that live in us. We have over 700 different organisms in our mouth. We have over 1,000 different organisms that live in our skin.
And we have these guys living in every orifice that communicates with the outside world. So, for instance, guys, our prostate has its own microbiome. Ladies, your breast has its own microbiome, and so on and so forth. And we're beginning to realize that this collection has been there for as long as there have been animals, believe it or not.
Termites have their own microbiome, and fun fact, termites cannot digest wood. They can eat wood, but they depend on their microbiome to digest the wood for them. And that's just one example. We are dependent in many, many ways on our microbiome to digest foods that we eat, to protect us from foods that we eat. And what's really startling
is that we're dependent on them to tell our immune system who are the good guys, who are the bad guys, to tell our brain whether to be worried about something. And chapters of the book make some pretty amazing claims, which is backed up by research, that their anxious people have a completely different microbiome than non-anxious people.
People who have altruistic motives, and we're seeing a lot of altruism in LA with the fires, have a very different microbiome that makes them altruistic. And kids with autism have a very different microbiome that make them autistic, etc., etc., And there's even a chapter that I submit that much of addictive behavior is actually driven by the microbiome to get you to get substances that they want.
So it's very, it's really complex. And the book wants to kind of have you kind of dive into, number one, how complex this whole system is. and how important it is to understand this system. And the good news is to manipulate this system with some of our food and behavior choices.
And that's the good news. That's where I was kind of going. And I just want to point out one of the things that I've always loved about you is you've always kind of been ahead of the curve with things and on top of things before others are bringing things to light that maybe others are at least hesitant to go with. So I appreciate that.
Now, my one question was, and you were kind of getting into that now, is can changes in your diet and lifestyle kind of restore a balanced microbiome? Can it improve mental health? anything like that to do with that diet and lifestyle?
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Chapter 4: Can diet and lifestyle changes restore gut balance?
And one of the really interesting things is we know that there's a depressive microbiome. There is an anxiety microbiome. And you can prove this in animal studies. But one of the exciting things through the years, and I've been
doing what I do now for 25 years, is that a lot of my patients, when we were working on correcting whatever reason they came to see me, was that a great number of them, in fact most of them, weaned themselves off of their antidepressants. And they go, hey, isn't that unusual? Isn't that weird? I didn't come in here to get rid of these, but I don't need them anymore. Isn't that interesting?
And I go, well, actually, it turns out that in the process of restoring the functioning of your gut microbiome and the functioning of your gut barrier function, you don't need those things anymore because the good guys are back in town, if you will. So it's exciting.
So you're insinuating that antidepressants are the answer to everything then, correct? Am I hearing that right?
Well, you know, it's interesting. And I've written about this in a previous book, which was one of the reasons I wanted to write this book. Antidepressants, most of them are what are called serotonin reuptake inhibitors, SSRIs. And yes, serotonin is the feel-good hormone.
And we've learned through the years that much of our serotonin is actually produced by our microbiome, not by our nerve cells at all. And if serotonin reuptake inhibitors actually work by making more serotonin in your brain, then I should be able, if I'm depressed, swallow Prozac and tomorrow feel great because I've got more serotonin in our brain. Nope.
Takes about a month for these things to kick in. So then you go, well, but wait a minute. So interestingly enough, these drugs change your microbiome to produce more serotonin and have more serotonin producing bugs in your microbiome. And that doesn't happen overnight. It takes at least a month to achieve. So when you realize that, you go, son of a gun.
These aren't working the way they said they're working. They're changing the microbiome. And if you can change the microbiome with a drug, why wouldn't you change the microbiome without the drug and get off the drug?
frankly. So, you know, and that I started to kind of get into this when I was about 18, 19, when I, that's when I started to have kind of to deal with anxiety. And it was something that my mom has had her bomb, like my whole family. And I don't want to accept, Oh, it's hereditary and all of that. But the first thing that they did was put me on boost bar and it made me so
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Chapter 5: What is leaky gut and how can it be tested?
And I said, well, yeah, you have eczema. That's an autoimmune disease, right? No, it's eczema. And I said, well, you know, it didn't just happen. Yeah. And, She says, yeah, but, you know, I can put steroid cream on it and it'll get better. I said, yeah, because that steroid cream is telling your white blood cells to stop attacking your skin. And she said, that's what it's doing? I said, yeah.
She said, well, why am I attacking my skin? I said, because you have a leaky gut and your white blood cells look at certain proteins in your skin that look very much like what they're looking for in the foods you eat. And it's called molecular mimicry. And it was actually first proposed by a professor at Colorado State by the name of Loren Cordain, kind of the father of the paleo diet, years ago.
And now most of us working in autoimmune disease realize that molecular mimicry from leaky gut is how autoimmune disease happens. So here's a lady who's had eczema most of her life, and now the good news is we know why, and believe it or not, we can fix it. And it'll take about nine months to a year to repair her leaky gut.
When I started this 25 years ago, I was naive, and I thought, oh, we can fix leaky gut in a couple weeks.
it takes work and the book is okay I've been doing this for 25 years here's and I've been seeing patients six days a week for 25 years asking them to take certain foods out of their diet put certain foods in their diet go get some supplements that'll help etc etc here's what here's what works you and I've hopefully taken the guesswork out of this. So.
Beautiful. All right. So when it comes to your, like how you shifted to this, because obviously you have a tremendous cardiology background. What was it that triggered this study into microbiome or realization like, okay, we got to start looking at this? Because obviously something clicked for you or something happened. So what was the defining moment or time that that occurred?
So 30 years ago when I was professor and chairman of cardiothoracic surgery and pediatrics at Loma Linda University School of Medicine here in Southern California, I was one of these famous heart surgeons who would take on impossible cases. And there's always a few of us idiots around the country who, you know, if everybody else turned you down, you know, come on, I'll do it.
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Chapter 6: How can correcting gut health improve autoimmune conditions?
And so I met a guy who I call Big Ed in all my books. He was 48 years old from Miami, Florida. And he had a coronary angiogram, a movie of the blood vessel of his heart, where he had inoperable coronary artery disease. That means he had so many blockages that you couldn't put a stent in because there'd be a blockage right beyond that. And you couldn't do bypasses because...
there wasn't any place to land a bypass because everything was all clogged up. And so he would go, spent six months going around the country to these various centers that would take people like him on and everybody turned him down. And so he arrived in my office after six months of doing this. And I was kind of his last stop. And
I looked at the angiogram that he brought from Miami of six months earlier, and I said, you know, I'd love to help you, but they're all right. They're right. There's nothing I can do for you. And he says, yeah, that's what they all said, but let me tell you what I've been up to. Still see his face. He says, I've been on a diet for the last six months, and I've lost 45 pounds.
Now, this was a guy who was 265 pounds when I met him, so he was well over it. 300 pounds. Wow. And he said, I went to a health food store, and I've been taking all these supplements. And he literally brought in a giant shopping bag of supplements. And he says, you know, I've been taking these supplements. He said, you know, maybe I did something in here.
So I'm scratching my professor beard and going, well, you know, good for you for losing weight, but that's not going to do anything in here. And I know what you did with all those supplements. You made expensive urine, which was – I believe. I said, you've wasted your money. And he said, look, I've come all this way. What would it hurt to get another angiogram of my heart?
Another cardiac catheterization. I'm rolling my eyes and I say, don't get your helps up, but yeah, okay, let's do it. So the next day we get a new angiogram and in six months time, this guy has cleaned out 50% of the blockages in his heart. Really? I'm looking at the tube. Now, that's impossible. At least that's what I believed back then. Right, right.
But I'm looking at it, and I'm going, what the heck?
So there's a saying, if all you've got is a hammer, everything looks like a nail. So I said, this is great news. Now there's places that I can do a bypass. And we did a five-vessel bypass on the guy, and he did fine. The researcher in me says, tell me about this diet.
Yeah.
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Chapter 7: What was the pivotal moment that shifted Dr. Gundry's focus to gut health?
And that basically inflammation was the problem. And I've written about this before. If I was an alien circulating around Earth, and reporting back to high command what I observed, one of my observations, which I could defend, was that I'm pretty sure ambulances cause car accidents. Because every time I see a car accident, I see an ambulance.
So I'm pretty sure that there's a strong correlation between ambulances and car accidents. And there is an association, but that does not mean causation. Right, right. So my work in transplants again, convinced me that these cholesterol plaques that I was seeing in transplant patients was cholesterol sticking to an inflamed surface that was being attacked by our immune system.
And interestingly enough, I saw the exact same thing in my diabetic patients. In fact, a diabetic's coronary arteries look exactly like one of my pediatric heart transplant patients. Exactly.
And if the pediatric heart transplant patient, what we knew was attacking that foreign blood vessel with inflammation and cholesterol was patching it, then the same process was happening in my diabetic patients. So to answer your question, it takes two to tango. You have to have cholesterol that might be interested in patching things and oxidized cholesterol. There's a better test now.
We talked about oxidized phospholipid ApoB. And you have to have blood vessels that are raw or inflamed and that you need to patch it. I'll give you an example. I used to work out with heavy weights and I had some pretty cool calluses around my rings and my aura ring. And I pretty much stopped working out with heavy weights. And lo and behold, without me doing anything, those calluses went away.
Now I didn't take a drug to make the calluses go away. I, had a lifestyle intervention where I stopped traumatizing my skin and I built up a cushion to stop that. And if you think about it, those are cushions that have been built up to patch an area of trauma. So when I watched Big Ed miraculously regress his literally calluses, I went, son of a gun.
He doesn't need those calluses on his blood vessels anymore because he stopped traumatizing the blood vessel. And because he didn't need them, they regressed.
Wow. Well, like you said, because I've been told multiple things that I just didn't accept. One, you can't reverse a therosclerosis. You can't reverse plaque. That's what I was told. And I was also told that you test your LP little a once and you're just kind of, you're just kind of screwed. Yep. You're screwed. Yep.
And so miraculously, like I told you, my LPA was 330 and now it's 96 and I'm going to continue to get that thing down. I am bound and determined to get it lower. And keep doing what I'm doing.
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