Many talk about ways to achieve peak physical performance but few make it as easy to adopt as Dr. Marc Bubbs. Dr. Marc Bubbs joins the GG Podcast to share his insights on helping to reduce inflammation and keep performance top notch. In his book, The Paleo Project, he discusses the importance of diet and movement to provide a healthy lifestyle.

Dr. Marc Bubbs is a board-certified Naturopathic Doctor, Strength Coach, Author, Speaker, Blogger, and Sports Nutrition Lead for the Canadian Men’s National Basketball Team. He has been working with athletes, active people and those striving to improve their health for over a decade and is passionate that diet, exercise and lifestyle are the MOST powerful tools for changing your life and improving your overall health, body composition and performance. He is the author of The Paleo Project: The 21st Century Guide to Looking Leaner, Getting Stronger, and Living Longer and a regular contributor to Paleo MagazinePaleo DietPrimal DocsPaleo f(x), and Paleo Hacks, as well as a leading expert for Healthier Talk. Dr. Bubbs regularly presents at health, wellness and fitness conferences across North America and Europe and sees patients out of the Sport Medicine Clinic at the Toronto Athletic Club in downtown Toronto.


 

Show Notes:

Dr. Marc Bubbs Website

The Paleo Project Book

  • Samantha Rodes

    Hi Grace! Which Prokinetic would you recommend- Pure Encapsulations MotilPro, or IB Synergy (you sell it in the apothecary)?
    Motil Pro Has: Pyridoxal-5-Phosphate (actiavted B6)
    Ginger (5% gingerols; root)
    Acetyl-l-carnitine
    -5HTP

    IB Synergy has: Sach. Cerevisiae
    L-Glutamine
    Perilla Frutescens (leaves)
    5 HTP

    I am mostly IBS-C, but I do get bloating/belching post meals and a whee bit of gas still. Maybe once or twice a week I get diarrhea. BUT, I am back on herbals/probiotics/prebiotics. My root cause is anxiety and leaky gut damage. I’ve failed to add a prokinetic in the past so I value your opinion over which of these is best.

    Final Thoughts- Do digestive enzymes destroy our natural ability to produce our own enzymes over time? Or can they be taken long term? Thanks!

    • DrGracePharmD-Gut_Goddess

      Sam,

      The best prokinetic is rebuilding the gut biome and as you mentioned dealing with root causes such as limbic activation involved with anxiety. Have you considered CBT or other modalities for the anxiety? What I love about our BIFIDO|MAXIMUS is that it has solved constipation for several people I know who have had it forever despite perfect supplements (like yours), perfect diet and perfect whatever!~

      • Samantha Rodes

        Dear Grace,

        I’m tackling the anxiety. It’s a work in progress, but already I am getting control of it WITHOUT drugs. A few years back I did partake in psychotherapy, which did nothing. So I’ve gotten back into exercising, which has helped. On rest days, I have been implementing meditation/breathing exercises and am starting a library of books that deal with anxiety/depression. I also was gifted two sessions with a local acunpuncturist from a friend, so that’s going to be interesting; already went to one, and the woman said I have a ‘qi’ blockage? Hmm.
        I have Bifido Maximus, and I’ll say it’s one of the best formulations out there. With me, there are deeper issues going on. I just recently saw my doctor, and it turns out, I have GERD! That explains the fullness/constipation/bloating/gas and constant ‘burping/belching’ post meals! No candida found in the past, and SIBO has been ruled out as I can tolerated FODMAPS and fermented foods just fine (went on a fodmap free diet for a month and zero results). Now I just need to figure out how to deal with the GERD. H Pylori infection has been ruled out. Low stomach acid/pancreatic enzymes are a theory, but I’ve been doing so much gut healing for a year now that it could be a nutrient deficiency or inability to absorb certain nutrients. Again, not sure. So far, my doctor is just prescribing no citrus/cacao/peppermint/spicy foods and sleeping with my head elevated (even though I don’t burg up my food; I just burp).

  • Samantha Rodes

    Hi Grace! Which Prokinetic would you recommend- Pure Encapsulations MotilPro, or IB Synergy (you sell it in the apothecary)?
    Motil Pro Has: Pyridoxal-5-Phosphate (actiavted B6)
    Ginger (5% gingerols; root)
    Acetyl-l-carnitine
    -5HTP

    IB Synergy has: Sach. Cerevisiae
    L-Glutamine
    Perilla Frutescens (leaves)
    5 HTP

    I am mostly IBS-C, but I do get bloating/belching post meals and a whee bit of gas still. Maybe once or twice a week I get diarrhea. BUT, I am back on herbals/probiotics/prebiotics. My root cause is anxiety and leaky gut damage. I’ve failed to add a prokinetic in the past so I value your opinion over which of these is best.

    Final Thoughts- Do digestive enzymes destroy our natural ability to produce our own enzymes over time? Or can they be taken long term? Thanks!

  • Clément Demaria

    Dear Grace!

    First of all, I want to thank you for all the research you do and the information you provide, your passion and generosity are nothing short of amazing. Love your sense of humor, too!

    I’m a struggling 22 year old male from France dealing with Chronic Fatigue Syndrome, Vitiligo (and a whole lot of debilitating health issues), and I’m slowly learning to connect the dots together thanks to people like you. The many things you talk about on your old blog and on this one resonate a lot with me, and I sincerely hope that you can help me. My story is quite long so I apologize for the complexity of it all but I think you will find some interesting things.
    I’m very story if I’m not clear, I’m french and my English is probably not perfect, especially medical English.

    I was born through in vitro fertilization in 1993, with the help of a forceps because I had my umbilical cord around my neck. I very quickly began to cry a lot and the doctors found out I had severe gastrooesophageal reflux, which led them to do two oeosphageal ph-monitoring tests. At the age of 2 and a half months old, they told my mother to stop breastfeeding me and fed me some kind of artificial formula (without any improvement).

    At the age of 2 months, I had a fiberscopy which showed a « grade 1 congestive esophagitis » with a moderate gap of the cardia.
    I was then put on Cisapride an Domperidone until the age of 3, and Ranitidine for 2 months.
    At the age of 3 months, another fiberscopy showed that everything was back to normal.
    But at the age of 4 months, I suffered severe bronchial obstructions, first a bronchiolitis, then a quasi-permanent bronchial congestion.
    I had respiratory physiotherapy until the age of 2, corticosteroids (betamethasone) for each severe asthma crisis, and started several rounds of:
    10 days of Amoxicillin
    10 days of Erythromycine+ Acetyl-Sulfafurazole
    10 days of Cefaclor
    10 days stop
    In parallel, I was put on ketotifene (antihistamine) constantly for a year and a half
    And sprays of beclometasone and salbutamol for asthma everyday for a year and a half, then for each asthma crisis up until the age of 5/6, and restarted salbutamol in physical education lessons in my teenage years.
    Despite all of these, I still had pathological esophageal pH
    Then when I started walking…etc, my respiratory condition improved.

    I still had episodes of antibiotics using, maybe 3 or 4 rounds a year of Amoxicillin up until the age of 6.

    At the age of 6, the doctors decided to stop the Cisapride despite evidences of gastroeosphageal reflux.
    So I struggled all my life with digestive issues, belly aches, bloating, inconsistent bowel movements, GERD (took a lot of sodium alginate, sodium bicarbonate, dimeticone), night terrors, insomnias, anxiety, fatigue, but was otherwise a happy, thoughtful, imaginative, creative and loving kid.

    At the age of 10, I started having very debilitating migraines with nauseas, digestive issues, white coated tongue, very severe belly aches, light sensitivity, whole body aches, even fevers sometimes. I had to skip school a lot despite having great results, couldn’t participate in sports because it gave me strange malaises. The same year I started to develop vitiligo stains on my waist, fingers and eyelids.
    Most doctors couldn’t link the two together and never did anything for them despite giving me lots of paracetamol and ibuprofens for the migraines.
    From that age I began to get sick at least once a month, with around a monthly week of low grade fever.
    The same year, I had an enterobius vermicularis infection which was treated with vermifuges.
    At the age of 16, the belly aches and fatigue became so debilitating that I was hospitalized and had a colonoscopy (They didn’t find anything wrong apart from enterobius vermicularis, again.)
    At the age of 18, I wanted to break free from this weak condition and lack of puberty and I started doing a lot of physical exercise. I was feeling better and better, my body started to develop, I gained a lot in stature, gained a bit of muscle, the puffiness of my face disappeared and overall quality of life improved but I crashed very badly some months later, with many symptoms of a burnout.

    I was hospitalized again because I lost a lot of weight, had muscle and joint aches, exhaustion…etc. They searched for a lot of auto immune disorders, didn’t find anything, but they found a very low testosterone levels. They put me on testosterone injections.

    I began to feel a lot better but a couple of months later I had an appendicectomy (peritonitis), with 4 days of Amoxicillin and 10 days of 4g Tazocillin 4 times daily. Never felt human since then.

    All my childhood and teenage years symptoms came back with a vengeance, and I started to experience what I can now link to severe adrenal dysregulation, with huge adrenaline surges, hypoglycemia, very red face, exhaustion, tachycardia, brain fog, chronic fatigue syndrome, insomnia/circadian rhythm problems, chronic nose congestion, chronic allergies symptoms, rosacea, water retention, the development of a cheloid scar on my left lobe…etc

    I fought through the brain fog to find the way out of this hell, and since then I’m a patient of Doctor Thierry Hertoghe in Brussels, Belgium, specialized in « anti aging » medicine especially hormone replacement therapy. He diagnosed me with hypothyroidism, fractioned my Testosterone dosages, controlled the Estradiol augmentation with Arimidex, gave me Hydrocortisone (I’m currently on 35 mg a day, 20 in the morning, 10 at noon and 5 in the afternoon) and Natural Desiccated Thyroid, as well as different vitamins I was deficient in. The NDT never worked and made me feel worse. A year and a half ago he put me on Cynomel (T3 only) and this with the Hydrocortisone allowed me to get out of bed, see friends, and do stuff. Not perfect, but comparatively better. Still, most of my symptoms are still present, and the past few months my body seems to tell me he can’t cope anymore with the adrenaline and chronic inflammation. My vitiligo is worse than ever, my digestive systems is terrible. What led me to think about the gut was that my symptoms are always much worse after a meal. I tried several different ways of eating (as most of the people who contact you seem to have done), Low Carb High Fat Paleo, High Carb Paleo, PHD, Gluten Free, Dairy Free, from moderate to high calories, gained a ton of weight, lost a part of it, even Ray Peat (for the past month), had an IgG Food Intolerance test done (which was very inconclusive), and nothing seems to work. Everytime I put ANYTHING in my body I either get a strong adrenaline reaction with red face, racing heart, irritation, anxiety, cold hands or I get very foggy thinking, exhausted, sleepy… Either way, I feel very toxic and I can’t seem to get any energy out of what I’m eating. I bloat a lot at every meal and even more so as the day goes by. I don’t digest during the day, I have the taste of my last meal in the mouth like 6 or 7 hours after eating. The few times I have a good bowel movement, I feel like a new person, with a 90% improvement in my physical and mental symptoms (despite a lot of fatigue).

    I’m also in the process of potentially getting diagnosed for Asperger’s Syndrome because I display a lot of signs, it that rings any bell. Also, the few times in my life where I felt like a human person, my vitiligo seemed to improve, my tongue was clean with no sign of white tongue, my water retention was way down, my digestion was working properly…etc

    My doc made me do a stool test, which showed a total absence of Lactobacilli, a lack of Enterococcus and an overgrowth of Enterobacteriaceae. You can find it here:
    http://image.noelshack.com/fichiers/2016/05/1454688435-clemselles-2.jpg
    http://www.noelshack.com/2016-05-1454688446-clementselles.jpg (most important page)
    http://www.noelshack.com/2016-05-1454688454-cleselles-2.jpg

    And here is what the french parts mean in english (these are the best translations I was able to come up with haha)
    « The fecal flora is characterized by an increased growth of the aerobic putrefaction flora and a decrease in the acidifying flora. This creates an alkalization in the small intestine and makes it easier for a SIBO to occur, as well as colonization by pathogens. The putrefaction flora metabolically very active transforms proteins and fats in biogenic amines and toxic degradation products which can interfere with hepatic metabolism. If the hepatic capacity of detoxification is impaired, the whole body is affected.

    Because the anaerobic acidifying flora is inhibited, there is no neutralization of alkalizing metabolites in the colon.

    The test shows signs of indigestion/malabsorption. The presence of digestive residues in the presence of a normal pancreatic elastase-1 suggests too much sollicitation of the digestive system due to an unbalanced nutrition. Decreased pancreatic elastase-1 levels are characteristic of an exocrine pancreatic insufficiency. Be careful with the dilution effect in the presence of diarrheic stool.

    Presence of fecal blood. A control is advised.

    No damage on intestinal mucous immunity.

    The decreased growth of Enteroccocus leads to a deficit in the aerobic acidying flora, making it easier for different atypical species of Enterobacteriaceae to colonize. From a metabolic point of view, protein degradation is the major activity of this proteolytic flora. These Enterobacteriaceae create bioactive amines like cadeverine and putrescine, they belong to the putrefaction flora and contribute to the alkalization of the intestinal area. It has been proven that an acidification of the intestinal area below a pH of 6 inhibits the colonization and proteolytic activity of these Enterobacteiaceae. A supplementation with probiotic strains of Enteroccocus is advised.

    Important decrease in the growth of Lactobacillus spp. Lactobacilli are part of the necessary intestinal flora. They inhibit by the production of metabolites (bactericines) the growth of putrefaction germs like Clostridium and Proteus spp. and potentially pathogenic bacterias. Lactobacilli possess an exclusively saccharolytic metabolic activity and divide carbohydrates that the human body cannot assimilate as they are. Lactobacilli contribute to the acidification of the intestinal content. Fermented dairy products and vegetable food sources naturally acidified (sauerkraut) constitute a natural source of Lactobacilli. Those foods contain high levels of histamine and can lead to clinical manifestation in the presence of histamine intolerance associated with an increased secretion of endogenous histamine. Testing diaminoxidase, an enzyme involved in the degradation of histamine, is recommended. In the case of a major deficit, a substation with supplements rich in Lactobacilli is recommended.

    Absence of colonization by yeasts or molds.

    The measured pH is within the reference range.

    The presence of important quantities of starch shows an incomplete digestion of carbohydrates. Causes can be a pancreatic insufficiency with a decreased synthesis of enzymes or an exaggerated intake of complex carbohydrates because of a monotonous way of eating.

    Absence of signs of a perturbation in intestinal permeability.

    The presence of fecal blood must be controlled with other tests. »

    My doctor prescribed me a “standard” protocol, but I don’t quite understand it, and I don’t know if it’s optimal.
    http://image.noelshack.com/fichiers/2016/05/1454688463-clementflore.jpg
    http://image.noelshack.com/fichiers/2016/05/1454688467-clemflore.jpg

    He seems to be using Symbioflor, which you talked about in your old blog. You can find it in the pictures as well. But he’s not an expert in this field like you are and my situation seems too complicated, he’s also not clear at all when it comes to diet (and he seems to advise his patients to avoid most if not all sources of starch). I’m aware my lack of appendix may play a role in my inability to replenish my gut flora. I’m really struggling with all of this but I’m doing my best in terms of stress reduction, enjoying the things I can, getting 10 000 steps a day and loving life as much as my condition allows me to do, but it’s clearly not enough and I’m very lost.

    If you need me to translate anything more, please let me know!
    I’d be very very very glad to hear back from you.

    Thank you from the bottom of my heart

    Kind regards,
    Clément

    • DrGracePharmD-Gut_Goddess

      Clément

      Thank you very much for contacting me and your kind words. Your gut journey has been quite extensive and I appreciate you sharing it. I hope the results you have seen already encourage many others. Please consider a functional medicine consult (which I offer, click on ‘contact’). Don’t give up!

      • Clément Demaria

        Thank you very much for the reply.
        Well I haven’t seen much results because I don’t quite know where to start and I’m tired of messing things up even more.
        I don’t know if I can afford a consult but I can’t think of anywhere else to get the help and expertise I need, could you send me an email with your price please? I already contacted you through the form.

      • Harper Walsh

        Hi grace , firstly love all your incredible knowledge . I also filled out your contact form and received no reply .. Is there a better way to book a consult etc ?

        • John D

          Same.