In short
Kids’ constipation as a root driver of gut inflammation and downstream issues like eczema, poor sleep, mood/behavior problems, asthma, ADHD, and anxiety; how to support the gut microbiome to improve bowel movements and overall health.
Guest
Dr. Sheila Kilbane, pediatrician known from social media and her books. She trained in conventional pediatrics but shifted toward integrative medicine after seeing recurrent infections/eczema/constipation improve when families changed diet. She gave a TEDx talk on eczema (“What Our Children’s Skin is Trying to tell us”).
Key claims
Eczema and other childhood illnesses have risen since ~1945 (eczema ~5% to ~20%). The gut-skin microbiome connection is bidirectional. Constipation affects neurotransmitter pathways (serotonin → melatonin; GABA) and gut motility; undigested food can worsen bloating and inflammation. Many kids aren’t pooping daily and may not recognize symptoms.
Notable examples
A study where removing dairy led ~65% of constipated kids to have daily bowel movements within a week; reintroducing dairy quickly worsened constipation. Miralax (PEG 3350) can help but she prefers magnesium first; she cites FDA concerns about long-term use and neurologic/tic reports (no proven correlation).
Takeaways
start with magnesium, then greens/water, then reduce gluten/dairy and add targeted probiotics/enzymes/fats (omega-3, phosphatidylcholine).
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOMeet Dr. Sheila Kilbane
0:45 to 1:54
Discussion about Dr. Kilbane's background and her journey into integrative medicine.
“And so maybe just give our listeners a little bit of background about you, why you chose pediatrics.”
Eczema and Childhood Illnesses
1:54 to 3:59
Exploration of rising eczema rates and other childhood illnesses related to chemicals in food.
“I love that you learned it from the moms and what they were saying.”
The Impact of Nutrition on Health
3:59 to 6:05
The importance of nutrition and natural foods for children's health and well-being.
“and a lack of nutrients that the kids are getting just from the food that we now have available?”
Understanding Constipation's Effects
6:05 to 7:50
How constipation affects children’s mood, sleep, and overall health.
“Okay, so talking about the gut microbiome, you do have a saying and you've said that poop is the one thing that makes everything better.”
Gut Health and Mood Connection
7:50 to 10:12
Connection between gut health, neurotransmitters, and children's emotional well-being.
“So I didn't even think about constipation being the reason for somebody's bad mood.”
Common Causes of Constipation
10:12 to 13:14
Discussion on dietary deficiencies and lifestyle factors contributing to constipation in children.
“So you have we've got these lipopolysaccharides, which live in the cell walls.”
Using Magnesium for Relief
13:14 to 14:02
Insights into using magnesium as a safe and effective solution for childhood constipation.
“And milk of magnesium, right, which is what our grandmothers would say to take, is actually magnesium.”
Understanding Supplements for Kids
14:02 to 14:40
Learn why targeted supplements often lack therapeutic amounts for children.
“I don't use a ton for kids when we're first getting started that have multiple ingredients just so that we can change one variable at a time, right?”
Constipation and Appetite Connection
14:41 to 15:07
Discover how relieving constipation can enhance children's appetite.
“But like people will say, oh, my daughter deals with constipation and she's the pickiest eater.”
Inflammation Triggers in Kids
15:08 to 15:42
Explore the main triggers of inflammation in children's bodies.
“We've got five main triggers, food, environmental allergies, environmental toxins, infectious diseases, and stress, right?”
Show all 28 chapters
Dairy's Role in Inflammation
15:43 to 16:39
Discuss the impact of dairy on inflammation and constipation in children.
“Okay, I'm curious, though, is constipation a cause of inflammation or does constipation cause inflammation?”
Healing the Gut: Process and Timeframe
16:40 to 17:54
Understand the steps and duration needed to heal a child's gut health.
“Do you believe it contributes to inflammation?”
Essential Fats for Gut Healing
17:55 to 21:09
Learn about the importance of omega-3 fats in gut healing.
“And often they're able to tolerate the raw milk.”
Sleep, Constipation, and Magnesium
21:10 to 22:38
Examine the link between magnesium, sleep, and constipation in children.
“So back in our low-fat craze years, that was ridiculous.”
The Role of Miralax in Treating Constipation
22:39 to 27:36
Evaluate the use of Miralax and its implications for children's health.
“She wakes up with her head at the bottom of the, of the bed, covers are everywhere.”
Addressing Picky Eaters and Nutrition
27:37 to 28:00
Discover strategies for helping picky eaters get essential nutrients for gut health.
“And if you have a kid, like if I have a kiddo who comes in with asthma and they're constipated, we are not going to do anything with asthma until we have the constipation resolved.”
Understanding Constipation's Impact on Health
28:00 to 31:00
Learn how daily bowel movements can affect overall health, including inflammation and picky eating habits.
“So really not pooping every day is causing a lot of inflammation, which could be affecting a lot of other health issues.”
Link Between Gut Health and Skin Conditions
32:00 to 42:00
Explore the connection between gut health and conditions like eczema, and how to improve both.
“Okay, so at the beginning, you just touched a little bit upon eczema.”
Understanding the Gut-Brain Connection
42:00 to 44:47
Learn how stress and health affect children's gut health and behavior.
“And I know so many kids stress when it's math time because it's hard.”
Food Impact on Health
44:47 to 46:46
Discover how dietary changes can improve children's health and well-being.
“And if they're not pooping every day, there's little takeaways that you have given that moms can do, dads can do to help them.”
Effects of Artificial Dyes
46:46 to 48:58
Explore the impact of artificial dyes on children's behavior and health.
“But what happens is your body will heal better when your inflammation is down.”
Signs of Gut Health Issues
48:58 to 52:18
Identify symptoms that indicate a child's gut may need support.
“and their tonsils are enlarged often and they might have poor sleeping.”
Real Food and Processing
52:18 to 56:00
Understand how food processing affects gut health and inflammation.
“So let's just simplify it as to eating more fruits and veggies, hydrating.”
Expert Insights on Gut Health
56:00 to 56:56
Dr. Sheila Kilbane shares her expertise on food and gut health for children.
“I mean, a whole list of things that they don't do.”
Promoting Healthy Kids
56:56 to 58:00
Discussion on Dr. Kilbane's book and the importance of real food for kids.
“And listeners, as you know, she is a complete wealth of knowledge.”
Antibiotics and Probiotics Explained
58:00 to 59:16
Dr. Kilbane explains the impact of antibiotics on gut health and the role of probiotics.
“But it's still the simple process, right?”
Rapid Fire Health Questions
59:16 to 1:01:54
Dr. Kilbane answers rapid fire questions about health practices and personal insights.
“What is a piece of advice you give your younger self?”
The Power of Laughter
1:01:54 to 1:03:27
Discussion on the importance of laughter and its impact on well-being.
“Yeah, they are so nutrient-packed, and I love the whole sephoraphane content of them.”
Transcript
Automatic transcript. May contain errors.0:00Welcome to the Just Ingredients podcast. I'm Cara Lynn, and here we dive deep into the journey of healing and wellness. If you're ready to learn, feel empowered, and take charge of your health, you're in the right place. Welcome back to the show, everyone. Today, I am really honored to have our guest here. It is Dr. Sheila Kilbane, and I've had her on the show before, and she is a pediatrician that so many of you love and know from social media. and her book. And so today I'm really excited to talk to her about kids and kids' health. And so welcome to the show. Thank you. It is great to be here.
0:39Well, thank you for flying here. You're all the way from North Carolina. Yes. So nice to have you here. But like I said, you're a pediatrician. And so maybe just give our listeners a little bit of background about you, why you chose pediatrics. Yeah. I always knew I wanted to be a physician. So I, you know, did all the regular medical training. And then when I got out of residency and started practicing, I was giving antibiotics and steroids and antacids, and the kids would get better for two weeks, and then they'd be sick again two weeks later. So it was the same kids back in the office once a month.
1:14So it was recurrent ear and sinus infections. It was asthma, eczema, constipation. And I started to listen to moms. And they would say, you know, Dr. Kildane, I changed my diet or I changed something. I decreased sugar. I took dairy out. And Johnny's eczema improved. I laugh now about it because I thought I have no idea what's happening. So I stumbled upon this different way of looking at things. And it's sort of the yes and. We're going to do all the conventional medicine. And when I realized nutrition made a big difference, that's when I went back and studied integrative medicine. Interesting.
1:54I love that you learned it from the moms and what they were saying. That shows you're a pediatrician that really cares and listens. So I love that. Thank you. Okay. So I'm curious, you just did a TEDx talk on eczema. Yes. It also has to do with constipation. Yes. So the TED talk was, it's called What Our Children's Skin is Trying to tell us. And what the person who was organizing that TEDx, he wanted me to really paint that picture of why are our rates of eczema and many other childhood illnesses, why are they increasing so rapidly? And as we started to get into writing, a lot of the stats that I came across were things I knew, but I didn't know quite to the level and detail that I researched for the talk.
2:42And around 1945 is that, right, it's around when World War II ended and eczema rates were about 5%. Well, fast forward to today and they're as high as 20%, even more in certain areas of the country. And it goes for many other illnesses, right? Food allergies, asthma, neurologic issues, right? Anxiety, depression, ADHD, autism. And when you look at what's going on, when you start to understand the microbiome, right? We've got one on our skin and our gut and our nasal passages and right, our vaginal canal. We have microbiomes all over our body. And what we've done since 1945 is we've started to introduce a lot more chemicals, which is, right, this is your ballywick, right?
3:32This is why you are doing such incredible work because it's like we've got to be beating the garden, not putting the herbicides and pesticides. So whatever's going on our food is for the most part going in our body. And that's why we have to talk about ingredients and organic and more natural food, real food. Right. Okay, so now 20%, that's one in five kids is dealing with eczema. And you think it's purely just all these chemicals we've introduced and a lack of nutrients that the kids are getting just from the food that we now have available? Yes, I love that question. So what happened around, you know, in the mid 40s is we started introducing these chemicals and the EPA is required to keep a list of chemicals that have been introduced.
4:20And the list now has 86 ,000 chemicals on it. I know it's crazy. And you know, it's beauty products, it's hair products, it's cleaning supplies. When I first started practicing integrative medicine and I would do a visit and it was supposed to be an hour and I would end up being in there for two hours because I would start telling families all of this stuff. Part of what I would love to do today is also make it feel doable. We can do this. Do one thing at a time. Sometimes you feel like it sounds kind of doom and gloom. But the beauty is once you know it, then you can start to make these shifts.
4:58And the other thing I wanted to say is if you think about that, all of the microbiomes, because we have them on our skin, right, our gut, and they play a role in the health of the other part of the body, right? The skin microbiome affects the gut microbiome and vice versa. And if you're eating more natural foods, just think about a garden, right? You're hydrating it. Soil needs all the same thing, calcium, phosphorus, potassium, that our bodies need. So for eating those things, we're going to be much better off. I love that. That's a good analogy. And so do you think a lot of parents, and maybe your patients, do they realize this gut-skin connection?
5:40Again, when I think about how I used to practice and having no idea, because even the microbiome, we didn't know about this, at least in the conventional medical world, until maybe 10 years ago of being able to utilize these tools in our practice. So parents are starting to understand it more. Like if my oath is to do no harm, then if I'm going to give somebody magnesium and advise them to eat more green leafy vegetables and maybe take dairy out of their diet versus adding in a laxative, that's going to be a great way to proceed to support their gut microbiome. Okay, so talking about the gut microbiome, you do have a saying and you've said that poop is the one thing that makes everything better.
6:33And so let's talk about that. What do you mean by that? So if anybody has been constipated, you know how poorly you feel. And poop, we always say, poop makes right sleep and mood. And when you're able to have a bowel movement, you just feel better. And when I was in, before I knew all of this, but it was after all my medical training, for me, it was gluten and dairy played a little bit of a role, but I had a hard time going to the bathroom, TMI. And I think because I just knew that feeling every day, when you're able to go to the bathroom, I mean, there's nothing better than that. And when you don't feel well, and you're a kid, you're going to act out and you're going to be irritable.
7:21You may have trouble sleeping. You may have trouble focusing at school. You're just going to be uncomfortable. And so it affects all the different aspects of our body. Okay, this is so interesting because I'm sort of laughing about this because we were just writing a post about kids' mood and the food they eat. And we're talking about like, did their blood sugar drop? Do they have food intolerances? Are they hangry? Meaning, you know, I haven't eaten in a while. Things like that. But on there was nothing about constipation. So I didn't even think about constipation being the reason for somebody's bad mood.
7:55Yeah, well, I'll give you a couple paragraphs you can add in. But what's happening is the bacteria in the gut, and you know this, it creates byproducts. And it also helps synthesize some of our neurotransmitters. So serotonin, for example, is one of the neurotransmitters that helps us feel good. But it also supports our gut motility, which means, right, the intestines are always working to move food, right, once we eat it out the bottom. And you need that motility. And when you think about what is one of the most prescribed anti-anxiety, anti-depressant medications, right, it's SSRI, which is a selective serotonin reuptake inhibitor, things like Prozac, Zoloft.
8:46And what if we use those when we need them while we work on the gut microbiome so we're supporting the body's own production and then we're supporting the kid's mood? And that'd be amazing. Right? I'll go one step further because serotonin is the precursor to melatonin, right? Melatonin is what helps us fall asleep. You have to have serotonin to make it. And GABA is another neurotransmitter, right, that we need a good, healthy gut microbiome. And GABA is an inhibitory neurotransmitter. And that's what helps us stay asleep. Some of your listeners may have heard of gabapentin. And it's a medication that adults and kids get put on for restless leg syndrome, right, if they're all over the bed and they're not sleeping at night.
9:34Right. So we're just saying, again, use it if you need it, and let's work on the gut microbiome so that we're supporting the absorption of nutrients, and our body's going to have the natural resources it needs to synthesize these neurotransmitters. So when kids are constipated, or people, is it blocking the production of serotonin and GABA or not necessarily? So when you've got undigested food that's sitting in the GI tract, right, that not so beneficial bacteria thrives on that. And then those are going to create byproducts that make you bloated, gassy. You're also going to get it called translocation.
10:13So you have we've got these lipopolysaccharides, which live in the cell walls. We know that one meal shifts the gut microbiome. So like one fast food meal and this lipopolysaccharides get absorbed into the bloodstream, crosses the blood brain barrier, and that's going to create inflammation in the brain. Interesting. And the food sitting in our gut and not being pushed out. Yes. So interesting. OK, so is constipation really a big problem out there for little kids? So the studies show that up to 30 percent of kids at some point in their lives will have constipation. and you know in older adults it can be as high as that and women it's more common in women than men and think about being pregnant you know how you get sent home or after you have a baby you get sent home with laxatives yeah okay so I'm thinking about some of my dms and I get asked quite often like what do you suggest for constipation and now talking to you I'm like 30 is like one in every three-ish or so kids.
11:20That's a lot of constipation, especially in the classroom. I'm thinking in a teacher's classroom, a lot of people dealing with mood issues and maybe from constipation. And here's the thing is that a lot of people don't know they're constipated. I can't tell you how many laughs we've had in the exam room when I'm asking about the poop and then mom will kind to go, well, I only go twice a month. Or I mean, I've had moms say that or they'll say once a week or every other day or every third day. That's not OK. Yeah. You should have a daily easy bowel movement. So just recognizing it. And a lot of times kids won't tell parents.
11:58Yeah. And they don't know that their bottom hurts or that they're uncomfortable. They just if you don't know how you're supposed to feel, you know, you think that that's normal. Well, or little kids aren't paying attention to, oh, okay, I went today or I didn't go today. They're paying attention to that. But why do you think so many kids are constipated? Upwards of 90 % of kids don't eat adequate amounts of vegetables per day. And it's like 60, 65 % of kids don't eat adequate fruits per day, right? We don't drink enough water. We don't eat fruits and vegetables and high fiber foods, right? Which are chia seed, flax seed, hemp seed, nuts, fruits and vegetables, lentils, beans, exactly.
12:42And we're really sedentary. And we need that combination of things to have a bowel movement. And magnesium, I could talk for days about magnesium, but we get magnesium through green leafy vegetables and your products. And if we're not eating enough green leafy vegetables, we have a problem. Yes. And so 50 % of the population of Americans, their diet is deficient in adequate amounts of magnesium. And magnesium is the mineral that helps muscles relax. So if you don't have enough, you're not going to be able to poop. And milk of magnesium, right, which is what our grandmothers would say to take, is actually magnesium.
13:25It's a magnesium oxide. So it stays in the gut, doesn't get absorbed. So, you know, we use different forms so that we get good absorption systemically, but we also get a little bit that stays in the gut to help have a ball movement. And so when parents come to you with kids that can't poop, are you suggesting magnesium? Yes. And magnesium is very safe. When you're taking oral magnesium, the side effect of too much magnesium is loose stools. And usually that would be a welcome side effect with a lot of these kids. But we're having to really bump up the dose. And that's where we talk about, too, because a lot of supplements that are targeted toward kids often don't have therapeutic amounts of certain ingredients.
14:13I don't use a ton for kids when we're first getting started that have multiple ingredients just so that we can change one variable at a time, right? If we just add magnesium, then we can go and talk about probiotics and whatever else we need to do. And then we can talk about what they're eating, what they're drinking. Because if you can get that little bit of relief, and especially if any of your listeners have picky eaters, when you get them pooping, their hunger cues turn on and they start eating more. Interesting. Yeah. I've actually heard this a lot. But like people will say, oh, my daughter deals with constipation and she's the pickiest eater.
14:53Yes. But I never correlated them together. Yeah. Think about, again, I think because I've felt, I know what it feels like. When you're so uncomfortable, you don't want to eat. We don't put a huge emphasis on food at the beginning. Okay. Like I always break things down into what causes inflammation, right? We've got five main triggers, food, environmental allergies, environmental toxins, infectious diseases, and stress, right? And stress can be physical. It can be emotional. If we ask a mom to make all of these huge nutrition changes all at once, the stress in that household is going to go through the roof.
15:29So we start some magnesium, and I say, let's let the supplements do the work first. And then once people in the household are a little happier and they feel good, then we can start making those nutrition changes. Oh, I love that. Okay, I'm curious, though, is constipation a cause of inflammation or does constipation cause inflammation? D, all of the above. And I always talk about, you know, my book, I have these color cups of inflammation. inflammation and when your inflammation is overflowing right we don't have fences in the body so inflammation in one area if we have inflammation in the gut we have inflammation everywhere and if you're eating let's just use sugar as an example and processed foods you have a lot of those on board and you just take those out they're creating inflammation in your gut and that's going to create inflammation everywhere else so if we decrease those we can talk about dairy if we want to, and you start pooping again, that's going to allow your systemic inflammation to also decrease.
16:36Okay. Makes sense. Okay. Let's talk about dairy. Do you believe it contributes to inflammation? Yes. And I know you know this like the back of your hand, but if you look at studies, you take kids who are constipated and you break them into two groups. In one group, you take the dairy out. The other group, you leave them on dairy. 65 % of the kids who go off of dairy will have a bowel movement daily within a week. Interesting. Those were kids, that particular study, some of the kids were pooping only once every 15 days. Oh my goodness. I know. I can't even imagine the pain. Right. And then this is what I love about this study is they put the dairy back in and almost all of the kids were constipated again, very quick, again, within a week, very quickly.
17:24So I don't know your thoughts on this. What about raw dairy though? So what I do in my practice is we take out all of their dairy first. We get the inflammation under control, right? We get the gut healed that we've got this single lining of cells in the intestine. And it takes a minute. I always talk about it takes about three to six months. I think it's kind of like healing a sprained ankle, it takes a little while to get the lining of the gut healed. But once the kids are pooping daily and easily for several months, then we start to add those yummy foods that we love back in. And often they're able to tolerate the raw milk.
18:05Like raw milk is illegal in North Carolina. So, okay. Well, we can get it. You can get it. Yes. So what happens when you homogenize? So when we have raw milk versus processed milk in the grocery store, right, you heat the milk up. It changes the configuration of the proteins, which makes it more inflaming. And then you homogenize it. So then you push the fat into it, and that makes it more inflaming. So you've just made something that 100 years ago we would have a little bit from the cow next door. And it's got full fat. And fat hits our satiety centers, right? That makes us feel full. and so now we're just drinking skim that's very inflaming so i know it's so different these days because we could even talk about the a1 versus the a2 and our cows are now a1 where we want the a2 casing and yeah yes it is not the same no and i think the bottom line is you just you do as pure removing it as you can get the system back and balanced and then you look for what are the foods that you really miss.
19:13What do you want? Like butter, grass-fed butter. I mean, I can't live without butter, right? And that's, butter is more whey than casein. And so a lot of times, even if you have a bit of a dairy sensitivity, you can tolerate butter. Makes sense. Okay. So I'm curious though, because you were talking about healing the gut and it's a three to six month process, you say. So besides removing certain foods like gluten, dairy, sugars, things like that. Are there other things that people can do to heal their gut? Yeah, absolutely. And we can, again, we could talk for days about this. We have a very, and I write about this in my book, Healthy Kids, Happy Moms.
19:53We have a very specific process that we use. And it's pretty simple. That's what I always say is we can write the recipe. It's the implementation at home that just, and that's why we use health coaches, nutritionists people who can help you and go to the grocery store with you we have access to foods that you have especially if you travel or if you do have you know maybe some pinky eaters even after they're pooping that we can get those greens in them but the way that we do it is we start with magnesium for constipation and then we'll do a probiotic we use a lot of digestive of enzymes. And then we go in fats.
20:34Most people are not eating enough omega-3 fats. And we also use a lot of phosphatidylcholine. Oh, I love that. So we've got cell walls. So if you think about the lining of the GI tract is made up of cell walls, the lining of the skin, our nervous system, our brain, we've got to have adequate amounts of omega-3 fats to make up all of those cell walls. Because if we start doing this gut healing, but we don't have the fats, you won't really fully heal the cells. Because the fats are needed for that outer layer of the cell to protect it. Yes, exactly. Which people don't realize. Yes. So back in our low-fat craze years, that was ridiculous.
21:20Well, and that's where people got depressed and they couldn't sleep because you also, you need fat to create our hormones, right? When we digest, fat becomes hormones. Proteins become our neurotransmitters. So this is why it all also goes back to the gut. And we also do things slowly and one at a time because we've got to get your digestion really solid before we start adding fats in. Because if we start adding fish oil and phosphatidylcholine, you're going to have expensive stool because you're not going to break it down and absorb it. Yeah, she's got a system that's inflamed. We've got to get it ready.
22:01Okay, so let's go back to constipation. My niece's little daughter does not sleep well at all. So constipation might be a factor of that, and we're not even looking at that. Yes. Usually there's more than, you know, it's this constellation of factors. And the first thing I would do for that still would be to add magnesium because magnesium is all, it's that that mineral that makes muscles relax. So if you have, like if you ask your, it's your niece. So if you ask her, she probably all over the bed at night, like she's moving her legs. She wakes up with her head at the bottom of the, of the bed, covers are everywhere.
22:45So when she gets into sleep, it may not be restful because we've got to have that magnesium to help all of the muscles relax, whether we're awake or asleep. Okay, makes sense. And so we would do that. And then maybe a topic for another day is mouth breathing versus nose breathing. Yep. And, you know, that can play a part. Yes, we would want to make sure of that. And then we, because then once you make sure that she is pooping every day, then we know that we're getting good serotonin production. I mean, we don't, how do we know we're getting it? if they're falling asleep, if they're staying asleep, if they're feeling good, if they're having a daily bowel movement, are they able to get their schoolwork done?
23:31You know, are they calm? Does that make sense? So with your nieces? Yep, that makes sense. So I'm curious because, so if one in every three-ish kids are dealing with constipation, what are your thoughts on like Miralax? Oh, one of my favorite topics. So Miralax is a laxative and the generic name of it is polyethylene glycol 3350. It was originally designed to stay in the gut and it pulls water into the colon and helps you have a bowel movement. And it was developed to only stay in the gut. But we have to think about this, that we're putting Miralax into a gut that's probably inflamed, right? If you're not pooping, if maybe you've got some asthma, some allergies, we've got to think about that.
24:27And again, if somebody's listening is taking Miralax, leave, keep it going because it's a bigger risk to stop it and not poop for two weeks than keep it going while you do your research and talk to your doctor and shift things. Okay. But when I started practicing, so I finished residency in 2005. And when I started 2002, we were using Miralax, you know, a lot. And, you know, I was assuring parents it's very safe to use for years on end. And then 2006, so I'm in practice, it becomes over the counter. And so now parents can just get it on their own. And when I first started practicing pediatrics, I was not asking myself, why are we really needing this Miralax?
25:16It was just, you're busy. It works. Okay, here you go. Here's what we're going to do. And so now we're just doing a deeper dive. And I think parents are getting it that we don't get trained in nutrition in medical school. And we've got to start doing a little bit more of our research, which that's why I wrote my book. That's why you do your education. And a lot of times physicians were not always up front that we're not necessarily studying and reading the latest research on nutrition. We're resting on what we learned in medical school. And so it's just right. Our knowledge of nutrition has evolved incredibly over the last 20 years.
25:59Okay, going back to Miralax, you were telling me before the show, though, that the insert of Miralax says not to use more than a week, correct? Yes. And you were using it for years on end. For a long time. So is there side effects or do we know? So what the insert says is it says you use for 17 and older, you're 16 and younger, only use it under, you know, the recommendation of a clinician and don't use it for more than a week or two. While I was practicing, getting later in the 2000s, we've got an adverse event reporting system. And parents were reporting that kids were having kind of neurologic issues, tics, behavior, anxiety.
26:44And so the FDA said, all right, we need to study this. And they did, you know, I think they gave a couple of institutions money to study it. Nothing, I mean, it's important to know that there was a correlation was not made. Okay. So it was enough, though, to make me wake up and go, huh, maybe I should start to really look into, are there other ways that I can help these kids poop? Again, I still use Miralax when I need to now. It's just not my first go-to. Magnesium is always going to be the first thing that we're going to reach for. Because no one's deficient in Miralax, but they might be deficient in magnesium.
27:28Yes, exactly. Exactly. That makes sense. And people are needing to realize the root causes rather than just putting a Band-Aid over something. Exactly. And if you have a kid, like if I have a kiddo who comes in with asthma and they're constipated, we are not going to do anything with asthma until we have the constipation resolved. Again, it's like putting things into a bucket that has a hole in it is we've got to address that base, right, our base bodily functions before we can get into really supporting the lungs. And it's by decreasing the inflammation in the gut and getting the kids to poop daily, the asthma should start, we should start to have a decrease in systemic inflammation, which is only going to support healthier lung tissue.
28:15Interesting. So really not pooping every day is causing a lot of inflammation, which could be affecting a lot of other health issues. Yes, yes. So interesting because I don't think a lot of moms out there thinking, oh, my number one thing should be is my child pooping every day. Yes. Yeah. Yeah, that's fascinating. OK, so let's talk about maybe some picky eaters. We need fruits and veggies to get that fiber moving the stool. So what happens with these moms that are like, my kids will not eat fruits or veggies or they won't eat enough every day? Or what do you suggest to them? This is where we start to rely on some of our really good, clean products that we know of where we can get greens, which we'll talk about.
29:01One of my favorite things that you all have are the microgreens because we can load. I remember first learning about even just regular microgreens as well as yours. The nutrient content is much higher. They're so densely packed. Yes. And for a minute, I started growing them at home, but that lasted literally a minute. But that's what we do is we use supplements and some of the products to get the kids pooping, to get them feeling a little better, to get their gut microbiome starting to rebalance. And it's really, I've just seen it so many times. we usually have an organic shift in what the kids will start eating.
29:44And when you're able to get those fats in them also, it's usually three months after you start the fats of these kids start gaining weight. Some kids need to gain, some maybe they need to lose. Some may need to grow more. Maybe they need to get taller. The teenage boys want to build muscle. So you just do this step by step, And those picky eaters, when we can start to get the nutrients in them, especially zinc, zinc impacts the palate and the taste buds. And a lot of these picky eaters will be low in zinc. Interesting. And so we'll do, you know, and a zinc supplement is safe. You can do it. I wouldn't do high, high doses in a kid for a long period of time because it can throw the copper levels off.
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30:32but we can do some zinc and you can do, you know, either multivitamin mineral, whole food supplements. And when you get the nutrients in, they usually start eating better. That is so interesting about zinc because I do have a little nephew who is so picky. And so I'll have to suggest that. Get a little bit of zinc going. Yeah. Let's take a quick break to hear from our show sponsor. Back to school season is here, and if you're anything like me, you're thinking hard about what's actually going in your kid's lunchbox this year or what snack they're going to grab on their way out the door. That's why I stock my fridge with Sunny Snacks.
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31:59Now back to the show. Okay, so at the beginning, you just touched a little bit upon eczema. So does constipation play a role in eczema? Because the gut microbiome and the skin microbiome, which is a fascinating topic are so closely linked. When we start to get the gut improving, the skin can start to improve, but we've got to address them at the same time. And this is where it gets really just amazing with the science. So when the skin is not intact, right, when it's itchy and open as eczema is, it's a skin rash, that creates inflammation in the gut. Okay. And we have bacteria on our skin And there's a staph bacteria, kids with eczema, that they have a higher count of staph on their skin and adults.
32:51And it secretes a toxin that continues to cause the skin to flare up. And when we start to address that, we start to decrease the inflammation in the gut. And then we use whatever the supplements we need to make sure that the kids are pooping. and by addressing both of them together, we see changes pretty quickly, but then it's after three to four months when the parents are able to go, oh my gosh, the skin is clear and we're stopping what we're using topically and it's not flaring back up again. Okay, so you're going to use something topically to help the eczema, but at the same time be working on the gut.
33:30So if they aren't pooping, then first maybe magnesium. Yes. After the magnesium gets them moving, then we're removing maybe gluten and dairy and adding in fruits and veggies. Yes. Are the first steps, the first takeaways that people can do if they're listening to this show. Yes. And kind of the order that I will do is we'll do magnesium and then we'll do a green smoothie in the morning. Okay. So by saying what can we do, it kind of automatically starts to decrease the bagels or Pop-Tarts or, you know, whatever the big carb meal is in the morning that we're normally doing. and then we can get some of those nutrients going.
34:09Okay. So then, though, after they've done the magnesium, fruits and veggies, less gluten and dairy, at that point, well, this whole time they should be working with a doctor, but then at that point you would give them maybe specific supplements or probiotics, things like that. Exactly. For the kids I see in my practice, they usually have a lot going on, so we're doing testing and doing targeted things. But in my book, Healthy Kids, Happy Moms, and we've got this new constipation, which I laugh every time. Constipated to consistent is what I called it. I love it. And we go through exactly what the process is.
34:47And it's not simple. It's not a ton of things, but it's just getting the right foods and getting the balls moving and getting the fats. Okay. So we've talked about the fiber from the fruits and veggies. We've talked about the fats, but hydration plays a huge part in this as well. Kids are drinking soda, lots of soda, or lots of chocolate milk. Does that count? No, no. So we need to get water in, and kind of an easy rule of thumb is kids need to drink about half their body weight in ounces. So right, a 50-pound child would drink 25 ounces of water, and you can do water. What we will often do is have them add something in that will give it taste so that they're more likely to drink it.
35:31And better to drink something that's going to be healthy, right, like a microgreens drink or an electrolyte powder and kind of make it fun. Get them a water bottle and, you know, maybe a 12-ounce water bottle and say, okay, you've got to drink two of these a day. Give them a sticker or give them some incentive. Most of us need a little incentive. to incentive and flavor. I am not a water person unless it's got electrolytes in it. Yeah. But a reminder to parents that a lot of electrolytes out there are full of so much sugar. Yes. Because they're made for athletes. Your kids are not running marathons.
36:06They do not need that added sugar. No. So find an electrolyte without the added sugar. Yeah. I actually wrote about that in my book because one of the very popular sports drinks, it was developed for football players in Florida in the middle of the summertime, right? Not many of us work out like that. You know, people do. And sweat like that in that type of heat and humidity in pads. Yeah. Yeah. I know, because obviously we make an electrolyte and lots of people say like, you need sugar and electrolyte. And I'm like, if you're a marathon runner, you do. But mine are going to the everyday mom, the kids.
36:42Yeah. They need the electrolytes. They need something to flavor their water that's nourishing. Yes. Yes. So, okay. So talking about constipation and inflammation, you talked about five things that contribute to inflammation. So we've got the food, which we've talked about, environmental allergies, toxins, environmental toxins, infections, and stress. Yes. So I'm curious with stress for kids, because we always talk about stress for adults. We're busy. We've got kids. We're working. Are kids dealing with that same type of stress as adults are? Yes. So stress can be created by so many different things.
37:24And stress is not always bad. That's the other thing I like to talk about because, right, it gets us motivated. It gets us to do things. But like even as we're sitting here, I'm kind of holding my breath a little bit. Right when you started to talk about stress, I was like, OK, maybe breathe. And if you have a kid who's maybe they love school maybe they have some sensory things like maybe loud noises jar their nervous system maybe the bright lights at school aren't the easiest thing for them that's gonna have their system in fight or flight during a lot of the school day that's gonna shut down their gut because we need right we've got this vagus nerve it's called the wandering nerve when we activate the vagus nerve in the parasympathetic nervous system that's rest and digest so that's going to help us have bowel movements that's also going to bring the blood for a low from the rest of the body to the frontal cortex which is where we think and do our math and when you're in more of that fight or flight right you're ready to run away from the line in the forest the blood is going to shunt away from the gut to the arms and the legs and it's going to go away from the frontal cortex to the more primitive brain.
38:34Our heart rate's going to go up. Our respiratory rate's going to go up. And so we really want a more state. And people know, right, we'll call it kind of a flow state or a relaxation. And you know, because you can think, you can be creative. And so it's creating the environment that helps us all get into it. Like, this is a lovely, you know, if you were, if we were in a different kind of environment, we wouldn't be as relaxed and having as fun a conversation, right? Okay, so this is interesting because kids, I think they do stress at school quite a bit. They're nervous about getting in trouble.
39:11They're nervous that they can't understand the math or they can't read well enough when the teacher calls on them. I mean, I'm just like knowing from six kids, sometimes they just come home exhausted due to the stress during the day. So I didn't put together though that that stress is decreasing the mobility of the gut. Exactly. And so that could be contributing to constipation, obviously. Yes, because it's also that 30 percent number with constipation that that also is including transient constipation. So you may have tests coming or maybe the high school kids have finals coming up and they're cramming and they're not eating as like they usually do.
39:50So maybe they, you know, haven't gone in a week or a few days, just getting back into your routine, doing your physical activity. But there are little easy things that activate the nervous system. And right, we all know deep breathing, you can do alternate nasal breathing. Gargling is another one. Deb, our integrative pharmacist, she always talks a lot about gargling. And that's such an easy thing to do. And it's kind of fun. And humming is another big thing. So there are easy ways that you can do it that don't cost any money. It's just getting yourself to do it. So those things activate the vagus nerve to help with the digestion.
40:35Yes. Yeah. Love. When I found this out, my kids love to hum. And I hum all the time. And my husband will be like, do you even know you're humming? And now knowing that humming activates the vagus nerve, I love when I hear my kids hum. Yes. So I always find that fascinating. Oh, that's interesting. Do you know you're humming when you do it? No. He has to tell me like, do you know you've hummed like the same song five times now? And I'm like, oh, whoops, sorry. But it's when you let your body kind of do whatever it does naturally. I think because I don't hum when I'm very stressed. So it's more if I'm just cleaning the house or getting ready or something.
41:12Yeah. Yeah. But I I love that you talk about breathing because kids stressed at school can't hum. Then they're in trouble for being loud. But they could easily just do some deep breathing to regulate that cortisol. Yeah. There's a 4-7-8 breathing. There's box breathing. If you just so few, breathe in through your nose for four seconds. Hold it for seven seconds. And then exhale slowly through your mouth for eight seconds. When you make the exhalation longer than the inhalation, it activates the parasympathetic nervous system. That's where you're going to get that release. So then the blood flow is going to go back to the gut, help us poop, but also the blood flow is going to go back to the frontal cortex, you said.
41:56Yep. Which when you said that, that is fascinating because you're saying that's where the math learning is being done. And I know so many kids stress when it's math time because it's hard. But yet we need the blood flow going there. Yes. That's fascinating. Right. And so much of the research also around sleeping and if you've gotten a good night's sleep, that's also going to help your parasympathetic nervous system. And like having kids get up and run around, like I'll have them run around the house if they're doing their homework or their math homework. You know, if they can safely do a little mini tramp.
42:29I love those because that's going to and it's going to put you in a sympathetic state for a minute. Right. While you're doing it. But then that helps you get back into that relaxation state. That's good to know. I started doing yoga during medical school and I just shifted everything. But in, you know, this ancient, ancient tradition, the way that they teach meditation is you do yoga and you meditate right when you finish. When you've got all your endorphins and all your blood flow, again, you're in sympathetic state, but then it's easier to get if you can sit and clear your mind, then you can get that blood flow to your brain, and then you can go do your homework.
43:06All right. Talking about sleep, though. So is the not pooping causing the bad sleep or is the bad sleep causing the not pooping? Kind of like we talked about with the skin is we start to chase our tails. Let's just say you went on vacation and you ate a lot of junk and then you got constipated and then you start not sleeping and then you get stressed because you're not sleeping and then you're stressing because you're not sleeping. That's why we just do start with one thing at a time. But usually one thing affects all of the systems. And when you look at that cup of inflammation, when it's overflowing, you might have trouble pooping, you may have trouble sleeping.
43:44so we're just going to do one thing and maybe we're going to increase our electrolytes while we can figure out the other things that we need to do. And we're just going to do that one thing or we're just going to start magnesium and then you just start to pay attention. And it's feeling because some people feel everything in their body, right? Some people feel tags on their clothes and they feel, right, the princess and the pea. And then you have other people who hardly feel anything, but they also don't have the sensations of their body. And they don't even, sometimes they don't know when they have to poop.
44:21And we've got a couple different sides of the coin. They can affect us equally from the opposite side, but it's that happy medium. As you want your body functioning, you don't have to pay a whole lot of attention to it. Yeah. Okay. So from this podcast, we know that if you're not sleeping well or the kids have bad moods or you're dealing with eczema or even poor behavior in class, it might be that they are not pooping every day. Yes. And if they're not pooping every day, there's little takeaways that you have given that moms can do, dads can do to help them. This isn't like some huge overwhelming thing.
44:58No, it can be really simple. And when you get that poop going, you just will notice the snowball effect in a good way of all of these other things that start to improve. And skin. And I'll just share. So when I was probably mid-30s when I realized gluten was inflaming me and I started having bowel movements. I was like, oh my gosh, this is incredible. My skin got better. My belly got flatter. Right. I was bloated all the time. I could actually eat more. And so I always have parents do the food changes with the kids, because if the parents feel those changes, you know, we're all built similarly in families.
45:39And so, you know, that may more likely be that the child will feel better off of that food. But it also helps you realize the profound effect food has on our system. Oh, I love that the parents should do it with the child. Yes. Yeah. I love that because last night I was talking to my daughter about going gluten-free. I've been gluten-free for years and years. And I said, you need to start doing this. And I asked her boyfriend if he would do it with her. And he was like, no way. I'm not doing that. That's too hard. I was like, oh, come on. So I love that if we're going to try to make the kids do it, the parents should do it also.
46:14Yes. But it also, because look at your skin. Like you can look at people and you know how they're eating. I mean, it's that clarity. There's a glow to it. We spend billions of dollars making our faces look good, right? There's a plastic surgeon in Charlotte. He's a good friend of mine and he's an integrative plastic surgeon. He won't do a facelift on a woman unless they go do dairy and gluten-free. Oh, interesting. I love that. Yes. And then they'll often come back off. I don't know I don't know his stance, but they may come back and say, okay, I don't need it. Oh, I love that. But what happens is your body will heal better when your inflammation is down.
46:50Well, it's like I had a therapist just tell me she won't take kids until they're off artificial dyes because she's like, why am I trying to do therapy for these kids that no amount of yellow dye can I combat against? Yes. And you know this, but in the UK, because all of these things I learned as I was practicing, and you just go, oh my gosh. So I had a kid one day who came in and when he would eat blue dye, he would flap his hands, caramel color, he would sniff his hands. And so anyway, the mom took those, you know, well before they came to see me. So then I started to read more. But in the UK, since 2010, they've had to have a warning label on packages with artificial dyes and colors saying this can impact kids' behavior.
47:39The candy companies, right, they took that stuff out in the candy that's sold in those countries, but they left it in the U.S. I know because it's cheaper to make with the artificial stuff. So they're making more profits off of us in America. Yeah. I know it's crazy. It's kind of maddening. Yeah. I don't know if you know this, but Target just made all of their cereal providers not use artificial dice. So if you use artificial dice, you cannot be on Target store shelves, which I think is awesome. That, right, the dollar. And that's moms, I think, that are making that happen. Yeah, because they don't want to buy the junk anymore.
48:13So kudos to all the moms making the changes. Yeah. Okay, so as we wrap up, I'm curious because I've had this question a lot, and I know moms are always wondering this. So besides constipation, what are other signs that their kid's gut might need some help? I'll start off and kind of describe it from the time they're infants, right? They might have reflux. They might start to get eczema. They may start to get bumps on the back of their arms, cheeks, or thighs, which is called keratosis pilaris. Then they start to get chronic runny nose. They might have dark circles under their eyes. They might be mouth breathing, right?
48:52I affectionately call it the Darth Vader breathing. Those kids, they're unmistakable. Their mouths are hanging open, and they're going, we hang. and their tonsils are enlarged often and they might have poor sleeping. They might be getting headaches. When we're looking at asthma, it may be poorly controlled. So symptoms of inflammation are symptoms that we need to be looking at and making sure that the gut, that they're not constipated. But the one thing I do want to say is that we talk a lot about constipation, but it could be loose stools for some kids. And that's when it's going through too quickly and they're not absorbing their nutrients effectively and efficiently.
49:38So we're talking about constipation, but this will also apply. You're not going to do magnesium, but you're going to do all of the good, solid, adding fiber, adequate nutrients, making sure that they're digesting. For them, we want to slow the GI tract down a little bit. Okay, so for them, you're still going to do the healing of the gut. Exactly. but not the magnesium. So still the fruits and veggies, get rid of the dairy and gluten, and some fats. Yes. I love that question so much because it's a foundational approach, and it's very, very similar, whether it's eczema, constipation, loose stools, asthma, allergies, you know, ADHD.
50:21That's a lot of health issues. Oh, ADHD. That is included in this constellation of symptoms because when you can watch the fluctuations in it, right? You take a kiddo with ADHD and you give them an ice cream and a lollipop, they're going to go bonkers. And it's the food, but it's also because we're affecting the microbiome. Okay, so this is really good for people to hear because so many kids deal with ADHD. So do some ADHD kids deal with constipation then? Yeah, absolutely. Because it's the gut health is affecting the poop, but affecting their mood. Yes. And what you'll hear the parents will come in and say is that they don't want to take the time to go to the bathroom.
51:05And it's in particular for kids with ADHD. But it's also if your body is functioning the way it should be and we've got this gut motility going, you can't really not go to the bathroom. You're going to have an accident. And so, again, that's another issue, but they're going to get up and go because they're going to feel it. So I feel like if a parent is listening to this, their child is dealing with any of those health issues, ADHD, depression. Anxiety. The anxiety, not sleeping, the eczema. I mean, you name it. I mean, you listed so many. Really, it comes down to healing the gut. Yes. And that's why I say it's a lot simpler.
51:45I think we make it too complex. What I see is people are reaching for acute care remedies. They're waiting until... They want the magic pill. Yes. I know. Even my daughter last night is like, well, what supplement can I take? And I'm like, well, I do have some of those, but let's get rid of the gluten first. Yes. And so that's where if you can use the supplements and powders and things as a tool to get to where you need to go, and then you know what combination works for you. And I like that you're saying we're making it too complex because in reality, healing the gut does overwhelm parents. So let's just simplify it as to eating more fruits and veggies, hydrating.
52:29But it's because of the gluten and dairy part. That's what makes it complicated. Let's not lie. But parents hate that part. Yes. A friend of mine said he's he's a lawyer and he's a great lawyer. He's my good editors. But he will always say to me, because he will read my book and stuff, and he'll say, you should just have an autoresponder on your email that says go off, you know, take your kid off gluten and dairy and call me if they still are having issues. because when you take that out, that's going to create room for all of these other healthy foods to come in. And then once you do it, a lot of times the kids will be able to tolerate birthday parties, things like that.
53:06All right. Can I tell you one story? So one of my kiddos, he's on the autism spectrum, incredible mom. She has done everything, knocked out of the park. He has better articulation, better eye contact. He's calmer. He's pooping. He's he's doing amazingly well in school. And they went to a quinceañera, which is a party that they have in the Hispanic community. And she just let him go. She was like, I couldn't control it. There was everything there. Normally, before we started doing all this work together, he would have been thrown off for a couple of weeks. He threw up in the car on the way home and then he was fine the next day.
53:47Right. Interesting. Went to school and was fine. So that I mean, that's an extreme case. Yeah. But whether it's asthma, because the thing is, is we want to get our usually you can enjoy those treats better when your system's inbound, when you've done the work. And then you then you can have the things, but you kind of start to lose the taste for it. Yeah. Well, gluten-free and dairy-free is tricky at first, but what I want to tell parents is there's so many better choice options out there these days. Like, trying to do this 10 years ago versus now, you can find pasta that legit tastes like good pasta.
54:22You can find, you know, like not the gluten-free stuff. I mean, you can find good options out there. Granted, the gluten-free bread is still a little eh. I have found a couple that I love and they're in the freezer section and all that. But it is a thousand times better than it was. The tortillas are great. There's mac and cheese that's gluten free. So there are good options out there. So much better. So give it a try is what I want to tell them. Yeah. And I just want to say because it's not, I think it's a way that we've changed the food and our microbiomes. We have created a setup for this inflammation.
54:59And it's not that these foods, it's the way that we've processed these foods, right? A lot of people will say they can go to Europe and eat gluten and feel fine. And I just got back from Italy and did great there all week long. In fact, I have to tell you this. I was afraid to eat pasta because I know what gluten does to me. Within five minutes, I literally look like seven months pregnant. And the pain just resonates all the way up my stomach, through my armpits and down my back. And so I was really nervous to eat some. Yeah. But I did, and it did nothing. So I was like, oh my gosh. So for a whole week, I enjoyed pasta.
55:33So on the plane ride home, they were having hamburgers, and I thought, I'm going to have the bun. I did great in Italy. Oh, within five minutes, I was a mess. I was dying. That's such a good example. Where in Italy were you? We went to Florence and to Rome. Yeah. So I was really bummed. But it is how we process it. Yeah. Because we took a cooking class over there and he was like, oh, we do not spray with glyphosate like you guys do with the wheat. We don't hybridize. We don't do this and this. I mean, a whole list of things that they don't do. Yeah. And so they have like wheat was intended to be.
56:05Yeah. Just eat real food. Yeah. Well, thank you so much for being here and teaching the listeners so much. Will you tell the listeners where they can find you and your book? Yes, absolutely. So it's Sheila Kilbane, just Sheila Kilbane dot com. And I have a brick and mortar practice in Charlotte, North Carolina. We do lots of education online. My book is Healthy Kids, Happy Moms. And it's seven steps to heal and prevent common childhood illnesses. And that's a regular book. And we just finished an e-book and that's called Constipated to Consistent. It's the one thing that makes everything better.
56:43Oh, I love that. Poop, sleep, mood. And yes, so we have lots of resources online and we just love to help families get these kids feeling good. I love that you're still in practice. That's amazing. And listeners, as you know, she is a complete wealth of knowledge. And so go give her a follow. Your book is really good. I like it because it's very easy and digestible to read. It's not like you're having to read this. huge book. No, no pun intended. My editor was phenomenal. She's a friend of mine. And they're short chapters. And Harper made it full color halfway through because these images that we were creating were so wonderful.
57:25So anyway, thank you. It is a great book. It's short and it's easy. First part is the science behind it. Second part is the how-to. The third part are recipes. Yeah, it is a great one. So you can grab it on Amazon. Amazon. Okay. Yep. Good to know. Well, thank you again for being here. We always end the podcast with these five rapid fire questions. Yes. And so the first one is what emerging health topic are you most excited about right now? Well, the microbiome, of course, right? The gut microbiome, the skin microbiome completely revolutionized the way that I practice and what we understand about health.
58:02But it's still the simple process, right? I think we're understanding in a better way. And we're understanding that antibiotics can impact us for six months, for two years, for longer. So we can support the microbiome while we're creating this great health. We didn't even talk about antibiotics. I can say this really quickly because, and I have an image in my book, when you take an antibiotic, amoxicillin, the studies show it can impact your gut microbiome up to six months, probably longer. But what you do is you take a probiotic away from the antibiotic. And you don't need to wait. A lot of pediatricians will say, wait until you're done with it.
58:43It's not going to affect the effectiveness of the antibiotic. So you take your antibiotic twice a day with breakfast and dinner. Take the probiotic at lunch and at bedtime or any time. Just space it out by an hour or two. The research has been around since the 70s that show that probiotics help decrease the rates of antibiotic-associated diarrhea, which think about yeast infection in babies. I want you to take the antibiotics when you need it, but let's support the gut while we're doing it. Okay, question number two. What is a piece of advice you give your younger self? I love this one, and it would be to do what feels right and don't worry about what anybody else thinks.
59:29Being in medicine and going down a different path, you just want to fit in and you don't want to be the one going against the grain. It takes a while and I was really kind of in the closet about it for many, many years. And my partners, I remember at first they'd be like, what's that voodoo medicine you're practicing? And then two years later, they're like, Sheila, what are the dose of those probiotics? Oh, interesting. Yeah. Yeah. Yeah, I love that because it's like you're paving the path, basically, in this new type of medicine. I mean, thankfully, more and more are becoming aware of it, but a pediatrician talking about the microbiome, that's not happening for a lot of moms out there.
1:00:10And so I love what you're doing. Yeah, thank you. Number three, what's the one health practice you'll never compromise on, no matter how busy life gets? It's food, whether I'm traveling, whether I'm, you know, and you would have laughed today. I had a really early morning flight and I knew that I would have tight connections and things. So I just had a little, you know, thing of rice and we, we got in Thai food yesterday. So I just, you know, kind of thinking ahead of time, had them give me a little plastic container. And I was feeling a little awkward with the people in my, near me in my seat.
1:00:44But that is because I, I have to feel good. I like to be able to do what I want to do. I'm the same way. I just traveled for three days straight recently. And you have to think about it and you have to plan ahead a little bit. But I was not about to eat the airport food or the junk on the plane or whatever. And I feel great after traveling. So you get to where you're going. Yeah, I love that. Number four, what's your favorite Just Ingredients product and why? Well, the microgreens, of course. When I started to learn about microgreens before your products came out, I was telling everybody to use microgreens because it's also easier on the gut and we could get into spinach and how, you know, we want to do that a little bit later when we're healing the gut.
1:01:29But to have powdered microgreens, literally that allows your body to absorb those nutrients. It's an automatic absorption. Even if you have some inflammation and some damage in the lining of your gut, when you have it broken down like that, that's going to get absorbed really well. And so you're going to start to see, right, you do that consistently for three to four weeks, you're going to start to see these improvements. Yeah, they are so nutrient-packed, and I love the whole sephoraphane content of them. I mean, we could talk about that, and that helps with the kids detoxing and helps their liver and helps so many things, especially these kids dealing with all of these health issues.
1:02:11Yes, 2 ,000 different studies on sulfofurafanes, right, and autism. And we see a lot of kids who are sick from water-damaged buildings. We always want sulfofurafanes in their systems because that keeps one of the pathways, right, that NRF2 pathway open. So if you get a subsequent exposure, which you're going to have, there's mold everywhere. There's mold exposure. It's going to keep your system healthy. That's really good to know for everybody. Yes. All right. Last question. What is the best ingredient you've found to life? It has to be laughter. No matter what's going on, if you have a good laugh or pull up a James Corden who does the car karaoke.
1:02:54Like if you're feeling down or blue, you watch one of those and you start laughing. And I just think that that's the biggest thing. I do love that. I too I'm I'm I'm spiritual I'm not the most religious person I was raised Catholic but there's a Catholic priest Richard Rohr because I think laughter has to do with this and he talks about God being the kind of the relationship between all of us right not this person with a white beard in the sky but like this connection and that's what I love and I think because that's where we have that laughter and that fun so that that's just how I I love that laughter is great medicine.
1:03:34You always feel better after laughing for sure. Yeah. Well, again, thank you so much for being here. I know you are so busy, so it's an honor to have you here and thank you for taking the time, but listeners go give her a follow and you will definitely learn something. Thank you for being here and being part of this community. Don't forget to subscribe to the Just Ingredients podcast. We've got so much more to share with you. And if you're not already, come join us daily on all social media platforms at just.ingredients. Until next time, keep choosing what nourishes you.
From the publisher
I love episodes like this one, because they remind you that the answers we're looking for are usually simpler than we think. We talk to a lot of experts on this show, but what stood out most about this conversation with Dr. Sheila Kilbane is how practical it all is — real, everyday solutions for something so many parents deal with and rarely talk about. If your child struggles with constipation, mood swings, sleep issues, or just seems "off" and you can't quite figure out why, this episode connects the dots in a way that actually makes sense. No complicated fixes here, just real answers, rooted in simple everyday practices.
Here are a few of my biggest takeaways from our conversation:
Constipation is way more common than we think. It's not some rare issue, it's affecting a huge number of kids and adults, often quietly.
The gut and the brain are constantly talking to each other. Backed-up digestion can show up as irritability, meltdowns, anxiety, or trouble focusing, long before there's an obvious tummy complaint.
Most of our serotonin is made in the gut, not the brain. Which means gut health has a direct line to how our kids actually feel, day to day.
Sleep, mood, and poop are more connected than you'd guess. Restless nights and rough moods often trace back to what's happening in the gut.
The warning signs aren't always digestive. Things like dark circles or skin bumps can be early gut clues most parents never learn to connect.
Tune in now and share this one with a friend who needs to hear it!
About Dr. Sheila Kilbane
Sheila Kilbane, MD, is a board-certified pediatrician, TEDx speaker, best-selling author, and founder of Infinite Health in Charlotte, NC. For more than two decades, she has been on the leading edge of transforming pediatric healthcare through an integrative medicine approach that addresses the root causes of eczema, asthma, allergies, and gut issues. Her book, Healthy Kids, Happy Moms, outlines her seven-step process, demonstrating that nutrition, combined with conventional medicine, offers a powerful tool to slow the epidemic of chronic illness in our children.
Connect with Sheila
Website: sheilakilbane.com
Instagram: @sheilakilbanemd
Free Resource: Constipation Webinar
Dr. Kilbane is hosting a free live webinar, Constipated to Consistent, exploring the connection between childhood constipation, sleep, and mood. You'll learn how to spot overlooked signs of constipation, common triggers, and how to help your child get a fresh start before the new school year.
📅 Thursday, August 13 at 12pm ET / 9am PT 🔗 Register here
She'll also be launching her brand-new constipation e-book live during the webinar at a special launch price.
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