2952: Dr. Cabral Reveals the 7 Blood Markers That Predict Heart Disease Better Than Cholesterol

21:37Sure. Is that really the new thing? Yes. You're walking forever. Who's doing that? And not doing cardio. And they're just doing walking sessions of an hour twice a day. And also, you know, being a little bit of caloric deficit. Like, look at my six pack abs. I get it. But is that maintainable? Can you maintain that? That's a lot. I love to walk and it's good for your health, but three hours a day is a bit much. All right, what's next on the list? So the next one is hemoglobin A1C. So this one right here is all about your blood sugar. It's essentially your ratio of average glucose over the past two to three months, basically 90 days.

22:12Adam Schafer:So this is better to look at than just blood sugar. Sometimes this could be high, blood sugar would be good, but this is high, right? You know, I found in my practice, and I don't know if you've seen this, I have a lot of people wear a continuous glucose monitor, but I'm doing less of that now. And really just looking at the hemoglobin A1C. And the reason is I work with a lot of athletes. I've worked with Olympians. I've worked with all sorts of individuals and their blood sugar's all over the map. And they get their hemoglobin A1C back and it's like a 4.4. And I'm like, how is this possible? You're averaging 65 for your glucose all day?

22:43No, because I see their continuous glucose monitor. So what happens is, for lack of a better term, the cells themselves are less sticky. Your arteries are less inflamed. There's less oxidative stress. They're exercising a lot. They're eating pretty well, but their blood sugar is up and down. So what we want to look at is when your blood sugar is elevated for a chronic level of time, it creates these advanced glycation end products, these ages. That creates oxidative stress, which then damages your arteries, your vessels, your tissues. Then over time, then that allows for that cholesterol and that plaque to build up.

23:20So it always comes back to inflammation, but inflammation always has a root cause. In this case, it's blood sugar. Now, they don't worry about pre-diabetes until you get to a 5.7, 5.8. In our practice, we're looking at a 4.8 to a 5.2. That's what we want. A lot of people come into our practice of 5.4 to 5.6, so they're trending in the wrong direction. We just need to make sure every six months they're down another 0.1. And we just get them down into that 4.8 to 5.2, where the likelihood that they're going to start to then build up more inflammation or, and by the way, the inflammation in your arteries and your heart is going to your brain.

23:59Adam Schafer:Yeah, because this has got to be correlated to Alzheimer's, dementia, because I've heard researchers refer to those as type 3 diabetes. Exactly correct. Well, not to take you off track here, but just you said something I'm so curious about now with the glucose monitors. So with what you've seen, is there a correlation between people that work out and have a lot of muscle mass and they have these crazy spikes, but then they don't have this negative taste? What are you seeing? Yeah, tell me what you see. So again, I work with many professional athletes and they're not even eating always the best.

24:33Right. But a lot of these, I'm not talking about 20, you can get away with a lot at 22 years old. I'm talking about, I'm working with athletes in their mid-30s to early 40s, like people that have been doing this for a while. And all of these things should have caught up. The exercise is very protective for glucose levels, blood sugar levels. And so although their blood sugar levels are spiking, their average overnight is great, no doubt about it, but they're getting to like 180 after a meal. But their hemoglobin A1C is a 4.4 to a 4.8. It's fantastic. So it does not affect, those spikes are not affecting them and they don't need to try to drive their blood sugar levels down, which is then detrimental to their athletic performance.

25:13So that's what we're finding there because people are worried about eating carbohydrates, but if they're the right carbs with the right fiber, also getting enough protein per meal to balance those glucose levels, I'm not seeing that a direct correlation. Now, continuous glucose monitor for someone trying to figure out the best foods for them and they're 50, 60 pounds overweight, no problem with that. That makes a lot of sense. Makes a lot of sense.

25:35Adam Schafer:Yeah, when you're looking, there's a bit of a, like there's an athletic bias, I would say with athletes, more muscle mass, stronger, sensitive, insulin sensitive muscle because the exercise and performance. But the biohackers that are wearing CGMs all day long, probably not necessary. Yeah. That's why I'm asking is you have a lot of fitness people that are utilizing a tool like this. And it's just like, you know, trying to manage their level at this perfect all day long. It's like, I mean, you got, you know, 50 pounds of muscle more than the average person. It's like, Is it really that important for someone?

26:06If you run your blood work and it's dialed in for that 4.8 to 5.2, you most likely don't need to worry about it, especially if you're doing a 12 to 16 hour fast overnight, eating the right foods. It's likely leading to more stress and more dysfunction around food than it's worth. That's what we found. I mean, every year we run between 60 ,000 to 100 ,000 lab tests. And so we have 6 million biomarkers of data. and I can assure you, all of these things are far more necessary if you're overweight. And that's why, again, the number one thing that we try to do is just get people to a healthy weight, not from vanity standpoint, but it's the number one thing you can do for your health and longevity is get to a healthy weight.

26:47Okay. And then I think we have one more left, right? One more is the omega-6 to omega-3 ratio, which this is looking at inflammation from another standpoint versus blood sugar is looking at it from fatty acid profile. So our job is to make sure that the cell membranes, which essentially control what comes in and what goes out, are healthy. And the right balance is less than a five to one, but ideally a three to one ratio. There's one other metric as well. So basically omega-6s to omega-3s. We've done a previous show a couple of years back on this. We're going to do a little check on your labs, which will be fun to look at where you're at.

27:19But what matters is that these cell membranes control a lot of the inflammation. And when those cells become damaged, they're not as sensitive to insulin. And this is when you're not able to get the glucose into the cells and you have more inflammation in the arteries. The other part of this is what people are talking about is omega-3 index. Because if you're above a 9%, which I just like to refer to as like saturation of omega-3s in your blood. If you're above a 9%, you have a 90 % risk reduction rate for cardiovascular death, sudden cardiovascular death. 90? 90%, yes. Wow. So all, because here's why they're looking at it.

27:55Think about the stenosis or tightening of the arteries. or you're thinking about the plaque that's building up. A lot of this is happening based on inflammation and stiffness over time. Omega-3s are the antidote to that. They allow for, as an anti-inflammatory, and they allow for elasticity. So this isn't the, no one marker is the end all be all. That's why we look for all of these seven markers. But if you're getting your ratio to a three to one, you can get away with a lot more. Oh, cool. I think I asked you this a long time ago and I can't remember how you answered it. So I'm just going to ask it again to you because I think I remember seeing an article on this before that the omega-6s outcompete the omega-3s.

28:36In other words, if you were eating so much of the omega-6s that you can't take a supplement like an omega-3 and still get all the benefits from it, is there truth to that? You're saying if you're eating too many omega-6s, you can't take a supplement? Well, you can take the supplement, but you're not going to get the same benefit. Yeah, it's not going to make that much of a difference on all the benefits that we talk about from omega-3s because your cell is basically being out-competing. The ratio is too far off. Yeah, the ratio is too far off. You would have to take more and more. That's why the test is so important.

29:06Yes, but you don't want to take more and more. So it always is whole food first and then the supplementation. So we previously spoke about the Do Health study on the top nutritional supplements that improved overall basically aging and mortality. And omega-3s was at the top of that list. Vitamin D3 was the second place, essentially. And it showed people taking only one gram a day, but it improved, essentially, rate of aging by about 3.3 to four months every three years. That essentially, if you kind of do the correlation, you're getting about one more year of life every decade. And so omega-3s are, it shouldn't be the panacea, but it should be one of the number one supplements in your arsenal.

29:50Now, you can overdo omega-3s just like you can overdo anything. In the last show, we talked about natokinase and proteolytic enzymes. Okay. So back in the day, 15 years ago, we were still using this 2 ,000 to 4 ,000 FUs, fibrillinoletic units per day, empty stomach. That was great. New studies should be 10 ,000 for six to 12 months to reduce arterial plaque by 36.6%. Great. But if you do 30 ,000, it doesn't mean that it's better than 10 and it may lead to too much thinning of the blood. Too many omega-3s might lead to too much thinning of the blood. So we look for that three to one ratio. That's really what we're looking for.

30:27That's why testing is so important. That's right. And so let's say you were taking 10 grams a day of omega-3s. Not only do I not think it's more beneficial, I actually think it starts to go the other way. It's essentially a U-curve. Not taking omega-3s, not good for you. Taking too many, not good for you either. It's a sweet spot of about one to three grams per day. That's so important. And for you guys, we'll look at your tests, but it might be three grams instead of two because you have more muscle, you eat more meat, And that has to bounce. And so maybe that's where the article is coming from, is that if you have, because it basically is saying if you have a crappy, poor diet, right, and you're throwing these omegas on there.

31:03So then the amount you would have to take to get the positive benefits from omega would be higher than what you would probably recommend. Absolutely. But there's still all the detrimental effects of those omega-6 foods. Sure. So when you look at omega-6s, they eventually, we spoke about this before, it come down to arachidonic acid. Since we chatted, though, I did a whole about 90-minute teaching on pain. So arachidonic acid, people come to chiropractors all the time and they say, why do I have this pain that just kind of moves around my body? Why do I have neurologic pain? Why do I have migraines?

31:34Why do I have all these issues? And that's because arachidonic acid from omega-6s can actually turn into leukotrienes. It can turn into thromboxanes. It can turn into eococinoins, prostaglandins. and these things cause inflammation in the body and it's nonspecific. It goes to wherever your genetic weak spot is. Could be allergies, could be migraines, could be back in the day for me, it converted to leukotrienes. I had the worst seasonal allergies, like debilitating seasonal allergies every April in Boston when things started to bloom. Got that under control, got my omega-3 to omega-6 ratio under control.

32:08Gone. And fixing my gut as well. And then it was gone. Wow. So I had to do both of those.

32:12Adam Schafer:I think I told you this last time, but you know acarachidonic acid, was sold as a supplement for a while for people to try to build muscle. And because there is truth to that, right? So that's why there's always truth to all of these things. They didn't tell you about all the inflammation it creates. But it does help build more testosterone. As a stupid kid, if something, you know, when I was a kid, if something built muscle, I would take it. And I did. And I took it and I got so stiff. In my teeth. Oh, that's interesting. Yeah, I got stiff and super sore from my eyes. This sucks. I don't care how much muscle it puts up.

32:41Adam Schafer:It sucks. All right, so let's go over our tests. Yes. And what's this test looking at again? This is looking at omega-3. Yeah, this is a very simple blood spot test that looks at your omega-6s to omega-3s. And it's not judging your diet. It's not judging anything. It's simply saying, what is your ratio of the omega-6s you get in your diet to omega-3s? That's it. That's all this looking at. Now, am I, because of my autoimmune, at a higher risk here than these two knuckleheads? This is just looking at the fatty acid. Trying to build up your excuse case. No, this is not measuring your CRP. It's not measuring anything like that.

33:16Yes. I already know I'm probably at least. But the higher the ratio will make you more susceptible to autoimmune issues with those omega-6s because it's creating more inflammation. So this is giving you basically a root cause of inflammation. So omega-6s are going to come from like roasted nuts, oxidized nuts, those types of things which are a little higher than raw nuts. It's going to come from non-grass fed meat, non-pastured chicken, non-wild fish. that's where a lot of these omega-6s are coming from. Vegetable oils, et cetera. I'll tell you, again, you might have found something different.

33:49I have difficulty even find anyone that will show me the ratios of omega-6s to omega-3s in grass-fed meat.

33:57Adam Schafer:I know there's supposedly more omega-3s in grass-fed than they're in. In conventional. Yes. Without a doubt. So usually conventional is anywhere from an 18 to like a 25 to one of omega-6s to omega-3s. That's how detrimental it is. They're fed corn, they're fed soy, they're fed all sorts of different things. Most people, for grass-fed, it's about a six to eight to one, most likely. I've tried to see people that have said that it's a three to one, like it is for more like a fatty fish, but I haven't been able to see that. It's still better than the - Way better. You're talking about half. Yeah. Oh no, it's so much better.

34:31And that'll get you close to the ratio. Got it. So anyway, just saying that that's what it's from. Okay. All right. So let's go from highest omega-6 to omega-3 ratio to lowest. And then also this test looks at arachidonic acid to EPA. So arachidonic acid would be the, we need arachidonic acid. So I don't want to say that we don't, but it's the most inflammatory, the most egregious to create prostaglandins. And then EPA, we look at that as the most anti-inflammatory, even though DHA is part of that as well. All right. So Justin came in and again, we're shooting for five to one or less, Ideally three to one.

35:09Adam Schafer:Just don't want to be last place. Is it all the cotton candy? So cotton candy will definitely raise it. The vegetable oils. I don't know why I say cotton candy. Barbecue sauce? Barbecue sauce. He dips it in a bowl. So 7.5, which I'll go back to your two years ago, we did this. So it's been two years. You're in 8.1, down to 7.5. You went down, dude. It's impressive. Going in the right direction. He switched to grass-fed cheese. That's winning, you guys. I know cheese was the big one. I could pee only with myself. Yes. And then the arachnidonic acid EPA, we still want this below a 5 to 1, ideally a 3 to 1.

35:42It was a 15.5. So when we look at this, you'll see most people's ratios are higher on the second one. And the reason is that their EPA is lower. So remember, omega-3s could be from flax or chia, and those are your alpha-linolenic acid, your ALA, but not necessarily converting the most anti-inflammatory. So the AA to EPA is really the one that we're looking for. so that's the one we want to do a little bit more work on.

36:08Adam Schafer:Justin was wondering if fish sticks count. I think the outside offsets the inside. It's cod. Counts, right? Cod does have omega-3s. There's no doubt about it. So I should say the best way to get your omega-3s are the small fish, the sardines, the mackerel, the anchovies, the wild salmon, the wild trout. Salmon are a little larger, but they're lower in mercury. So we usually recommend those. They're higher omega-3s. So they're great to get. Now, I'm assuming you weren't supplementing with omega-3s when you took this test. No. Okay. So for you, based on your numbers, probably only need two grams a day of omega.

36:45Well, that's not much at all, dude. Okay. So that's it. Or a can of sardines. I'll do the two grams. Yeah. So you could do a can of sardines a day. That is true. Yeah. And as long as you have no purine issues or histamine issues, that'll work great. In our practice, we see people that eat a can of sardines four to five times a week can achieve the three to one levels. Awesome. Okay. All right. Next up. is Adam. Adam, two years ago, you were 7.3. Now you're a six. Whoa, dude. What you been doing? Look at you, buddy. Almost at the 5.1 ratio, which we like. I picture I'm there right now.

37:16Adam Schafer:Huh? I feel like I'm there. Have you been supplementing with the fish oils? I just did right now. No, no, no. Have you been? No, I have not. No, I have not. So we have no idea how you dropped this. Yeah. Okay. Better diet? Better diet. Yeah, yeah, better diet. Oh, yeah, for sure. I'm a better diet right now. So I will say the majority... You were a lot fatter before. of people that are not supplementing, but eating a healthy diet come in around six and a half. I'm super curious if I just consistently did omegas. Like, I mean, you'll, you'll be, well, your arachidonic acid EPA is a 19.7 though.

37:47So this is usually more eggs, more red meat, more pork, higher arachidonic acid foods. So high EPA fish oil would be good. Okay. So a lot of those things right there. Two, again, two grams a day, maybe three for you, but probably just two. We'll knock that right down. That's all that it will take. And these are important too, just because you've shared before in the show, obviously I wouldn't share this, but you've said you have psoriasis and other factors with that. That'll help tremendously with that, but you'll start slow and you'll just ease it up. Okay. Nice. Yeah. All right. So let's tell, let's see where you were in 2024.

38:227.8, two years ago today, 4.9. Oh, well the five to one. That's pretty great. Yeah. It's a big difference. Sardines. What did I do? Yes. And the arachidonic acid to EPA was, I remember it being high before, 13.8. That's not bad, but it's higher. It went down to 11.6. Good. So we're at the five to one, which we like. We still want to drive down the arachidonic acid to EPA. Same thing, two to three grams maximum per day. I know that you eat a good amount of eggs, or at least used to eat a fair amount.

38:51Adam Schafer:I still eat, we'll probably eat a couple eggs a day. Are you still eating sardines though? You used to eat a lot. It depends. And so sardines for me are just like enjoy them. So I go through like bouts of enjoying them and then where I don't eat much of them. Maybe before this test, you're eating a little bit more if you weren't supplementing. I think I was taking, I might've been taking omegas at the point. Some omegas. Yeah. Okay. Now, and that's the thing with omegas. It's just like you should eat, in an ideal world, eat fish two, three times a week. The only reason I wouldn't say is more is just because of all the microplastics out there.

39:21It's just, and if you are, if the small fish, then they're not going to have as many microplastics, but can be great for your health, good source of protein. But you do just, again, take a good quality, high EPA to DHA, ideally a two to one ratio of EPA to DHA to get you there. And that'll be the best way to do it. All right. Doug in 2024 was a 3.9. The winner. And he's a 3.7 now. So ideal ratio, rickodunctin acid to EPA to 3.4. So fantastic. You're already there. I'm assuming you're taking omega-3s. How many are you taking today? Yeah. So I'm going to sell your product because I use your brand and I take one in the morning and one in the afternoon.

40:00There you go. Every day. Have you been consistent with that for a long time? Oh yeah, for several years now since we started this. The best way to do it is just be regimented. Same with your vitamin D3. Even if you get sun, you can just take your vitamin D3.

40:10Adam Schafer:With low inflammation, with something like this, like really good arachidonic acid, EPA ratio, really good omega-3, omega-6, when it's really good, are you more resilient to stress? Physical stress, yes. mental emotional, you're still going to have those cortisol levels. Cause what's happening is your hypothalamus inside your brain is telling you. I was just trying to make the case. But it will offer what it's doing to your arteries for sure. Can I do the same with my, uh, omegas as I do with my vitamin D? I didn't know that I could, uh, like if I missed two or three days in a row, I forget to take my vitamin D.

40:44I can take the three X, the dose. Can you do that with the omegas? I wouldn't necessarily do that. No. I mean, you could take, I know it's probably not ideal. The reason is, so think about like vitamin D3. If you take a high dose of vitamin D3, like a lot of people say 50 ,000 IUs at one time, it's going to pull more calcium into your bloodstream, which could then not ideally stick in the arteries if the environment is right. So I like what we would get from nature. So if you're eating a good six ounces, eight ounces of fish, you're going to get your couple grams of omega-3s. That would be totally natural.

41:19Vitamin D3 from the sun, maybe 10 ,000 IUs. For us in our practice, typically it's 5 ,000 IUs of vitamin D3 on a daily basis. That's what's going to get you, which we spoke about in the last show, the 38 % reduction in many types of cancer, prostate, colon being one of those, and the 85 % reduction in breast cancer if you get your vitamin D3 levels up to that 60 milligrams per deciliter. So that's really, it's all based on lab testing. We do the vitamin D3 test independently or with the stress and metabolism test. this one is a simple at home omega-3 inflammation so when we when we back in the days we did vitamin d with you a long time ago and i was taking 5 000 i use and still tested low and so i take 10 000 i use it but i'm also can be inconsistent i can miss like three days and then i'll take 30 is that okay or do you think that i should should just chalk it up as though i missed it and then get back to taking my 10 or i really like to work on the consistency okay so yeah it's just that's good to know because i i've had i had heard that i could i could take it uh like that so you can but there are then the side effects sure so let's just say you took 10 grams of fish oil yeah to make up for what five days yeah right then what happens is you get one big dose but you miss the anti-inflammatory effects for those previous four days yeah and now you get a massive blood thinning effect okay that you may not it might be detrimental to your recovery workout

42:39Adam Schafer:and you haven't tested your vitamin d in a while i'd be i'd be curious to see how especially with of sun I get now. You have to see how it is now. Yeah, it'd be interesting because when we tested way back in the days, I lived in a different place. Now you're getting hella sun. Yeah, I get a lot of sun now. And it's funny because a lot of people, they think that their vitamin D levels are adequate because they get a lot of sun. And oftentimes they are. But some people are not great at converting that vitamin D3 in their liver, which is the majority of that transformation taking place. And so they don't get the conversion.

43:06Now, again, I'm always whole food and sun first, if you can do it, but it's usually not enough for everybody. And it's not enough year round. So most people get sun on the weekends, like when they're out and about, not during the week, that's not going to be enough. They're not getting a full body tan. They're getting kind of their arms and legs. But the way that we know is you just test. That's it. And then the cofactors for vitamin D3 are your K2, your magnesium, your zinc. There's other factors that allow you to better absorb that D3. Yeah. Yeah. Yeah. It'd be interesting now.

43:36Adam Schafer:Yeah. You should test it because you've been taking vitamin D for a while consistently and you get sunlight. Be interested to see if you're at that number now, 60, I think was ideal. And test all the blood markers that we spoke about today. You know, these are becoming just much more prevalent that you're able to just look at these and there is no one end-all, be-all marker. But when you look at them in their totality, that's what ultimately leads to a longer, healthier life. And when things start to then go off track, you can correct them right away because you know those underlying results. Which one of your tests tests vitamin D?

44:03Adam Schafer:Because that's one I think everybody should do. We have a standalone. So all of these are just at - You can just do a vitamin D test. That's right. At home, finger stick. That's what we did back when. That's one of the first tests we did with you. And then we do it with the stress metometabolism test, which looks at all your thyroid markers, like your T3, looks at all your cortisol throughout the whole day, testosterone, estrogen, DHEA. So that's like the big anti-agent and hemoglobin A1C. So that's the big test that we always recommend. In the show notes, we'll give you a link for that too. I know we always offer like 50 % off that for your listeners.

44:32We weren't going to do that this time, but we'll make that happen. Oh, cool. And I mean, because that is the test to look at blood sugar, vitamin D3, cortisol, hormones, all the things that lead to aging. And this one's what is it called? The stress metabolism. Stress, mood, and metabolism test. Mood and metabolism.

44:45Adam Schafer:Now, some of these things, you really have to change your lifestyle to move. But what we're talking about right now, this omega-6, omega-3 ratio, supplements make a big difference. Like a big difference. This is one of those very few things you could change just by supplementing, right? Yes. So when I talk about like, what do we do for our clients? It's called the de-stress protocol. Diet, exercise, stress reduction, toxin removal, rest, emotional balance, scientifically backed supplements, success mindset, like all the things, right? But supplements is 10 seconds of your day, just putting them in your mouth.

45:15You don't need to take 50, but there are a few that really do matter that move the needle. Omega-3s is one of those. It just is. There are 30 ,000 studies on how much omega-3s improve your overall health. I mean, sure, it does attest to the fact that he's been able to maintain his diet and he's just been consistent with it.

45:32Adam Schafer:What do people report? They get their omega-6, omega-3 ratio better. They get their acridonic acid, EPA ratio better. What do they report in terms of how they feel? So cool, the test says I'm better. What are they noticing? That's a good question. Sleep, inflammation, recovery, mood. Those are the big ones, just like off the top of my bat, what I can think. And they work fairly quickly, about six weeks to 12 weeks. Wow. And the reason is that you need enough time for them to start to integrate themselves into the cell membrane, which right now, if there's more omega-6s, it becomes more what's called disaerobic.

46:09So less oxygen is able to enter those cells. The cell membranes get a little bit more gummed up with sterols. Again, we need sterols. We actually need more of them than we need these polyunsaturated fats, which I know the people say are detrimental. Again, there's no black and white. There's nuance to this. You want less polys than you want of the sterols, but you still need them for waste coming out of the cells and nutrients coming in. And so the anti-inflammatory effect helps with the pain. The mood is the more omega-3s helps with the overall mood. Like that is just, again, clinically proven.

46:42It's been shown to help with ADHD. It's been shown to help with autism. So these are just, our bodies are meant to have these omega-3s in them in a ratio of about three to one, at least less than five to one.

46:54Adam Schafer:Let's talk about your supplement for, because you guys have a high EPA fish oil. Yes. Is it true that one of the challenges with fish oils is supplements is you're taking one and they're rancid. They went bad because it's like a food product, right? So how do we, like, how do people know what they're taking is good and not gone bad? Like what's, how do we know this? So one of the biggest issues, like just like you said, is the oxidized cholesterol. So the oxidized fish oil that's in it themselves. So one is you want to use more of a cold process. So the less that you heat up the oil itself, the less rancid it gets.

47:28If you think about all the oils we cook with, people always rate the oils, right? So it's like, is olive oil better than tallow, better than whatever it might be? High temperature or whatever. And that's at a high temperature, right? So the lower temperature, always the better, regardless of the oil. An avocado oil or an olive oil are unique, especially olive oil has the oleic acid, a coconut oil, a little higher smoke point, same with like butter or ghee or whatever it might be. With this, more of a cold process, more triglyceride bound so that you can actually absorb it. And then you want to look for low mercury or ideally no mercury.

48:00So we third-party test all of our products so there's no mercury. And the reason is, is that if you're getting your fish oil from fish, which you should be, then there's a higher likelihood the more compressed fish oil there is, the more mercury there's going. So really important that you're not putting mercury in your body, which creates inflammation and potentially could lead to inflammation in the brain causing dementia, Alzheimer's.

48:21Adam Schafer:Does it help to refrigerate or freeze your fish oil capsules? Does that make a difference? Not anymore. All of these, even probiotics are shelf stable for the most part now. So you can leave them out. Even the oil I use, so you can use a soft gel or an oil, small bottle, dark bottle. So the light's not, it's all about oxidizing that oil. The gelatin now that's used on them helps prevent that oxidation should be in a dark bottle. Would it make sense to, when you're taking your vitamin D, to take it with your fish oil since the vitamin D is fat soluble? Does that make a difference? It's a great question.

48:52We actually recommend taking your vitamin D earlier in the day, just like you would get it from the sun. Take it at breakfast or take it at lunch. So to time it like you're, hey, I'm up and the sun is out. That's right. And they've shown that if you take your vitamin D at least at a higher dose at night, it might detrimentally affect melatonin. Because your brain's getting the effect, like,

49:09Adam Schafer:Oh, the sun. More studies need to be done on that, but that was interesting. And it makes sense to me. You get your vitamin D peak time is 10 to two, right? So take it in the morning, let it absorb. It's in your body from that 10 to two. That makes sense. So we tell all of our clients, simple, take it at breakfast with food. Vitamin D3 is absorbed better with a fatty meal or just, it doesn't have to be like 50 grams of fat, right? Just fat at that meal. Vitamin D3, we put ours with a little bit of medium chain triglycerides. So it's already got the fat. Yeah, because you don't need a lot. And then omega-3, take it any time of the day.

49:40totally fine. You're taking it at, you said breakfast and lunch? Yeah, breakfast and around five o 'clock in the afternoon. Okay, and dinner. So that's great. So you're kind of spacing it out. Myself, a lot of clients, I just take two at dinner. You can take one at lunch, one at dinner. I just take it mid-meal. For anybody who has trouble digesting it, always take your supplements mid-meal. Little food under it, little food on top. You won't get as much if people are prone to reflux or whatever it might be. Okay, okay. Helps eliminate it.

50:04Adam Schafer:You mind if I ask you a question a little off topic, but I think you might be the person to ask. So right now you're hearing all this news about this parasite that's on the lettuce, you know, cyclosporia. Okay. Can parasites be treated naturally or does it always have to be pharmaceutical to get rid of them? Well, here's the interesting thing about this particular parasite. So you're right, it's called cyclospora. So it's always been around. It's just now we've got a concentrated number of cases. Seems to be around the Ohio-based area, but spreading throughout the country. Last time I checked, there was about 4 ,000 cases, which is much more than normal.

50:38The problem is, is that it's not, at least they say, responding to normal antiparasitics, like ivermectin or mabendazole or whatever it might be. And they're saying it's responding to Bactrim. Yeah. But it's a parasitic. Exactly. It's an antibiotic. So that's fascinating that it's responding to that. And also, Bactrim is a sulfa-based drug, which a lot of people have massive reactions to. It's extremely strong. It's detrimental to the rest of your body. So I can't recommend taking it. So in our practice, we use a natural protocol first and only go for the pharmaceuticals as needed. So we use what's called a parasupport protocol.

51:18First thing is the actual, people have had parasites since the beginning of time, right? So what have they used? They've used artemisia or sweet wormwood. They've used mimosa putica. There's, I mean, people can just look it up. We don't have to go through every single one. Black walnut hulls. These are all things that have always worked. Pumpkin seed or something like that? Actually, raw pumpkin seeds works great. Garlic, crushed garlic works great for parasites. And then we use a biofilm disruptor to help remove if it's embedded itself in your intestines. And then a binder, universal binder that's low histamine.

51:48So that's basically our parasupport. Anybody can take a look at what that looks like.

51:51Adam Schafer:How effective is the natural approach to getting rid of parasites? Or should I say, how often do you have to then go pharmaceutical? Because parasites can be hard sometimes. That's right. I would say effective, if I'm being honest, 70 to 80 % of the time. That's not bad. No. That's not bad at all. Because we do stool testing. So that's how we know for sure. So if someone has an autoimmune issue or real, like they've been sick for a decade, it's not part of our big five labs, but we'll add it on, which is a bacteria and parasite stool test. If they have H. pylori, it's going to make them more prone to cancer.

52:22It's going to make them more prone to autoimmune issues. If they have a parasite, again, more prone to inflammation, autoimmune issues. So we test for that. We always do our protocol. we'll do it one to two times as needed. If they're still showing up, okay, we'll use a 21-day course of an antiparasitic.

52:40Adam Schafer:Teeth clenching is one of the symptoms of parasites, right? Atletching, teeth clenching, night sweats, adult acne on the neck and back. Yeah. Wow. Interesting. All right. I just want to bring that up because it's like top of mind right now because nobody's talking about - Now I will say - The diarrhea lettuce. Exactly. They have been able to locate what it was from now. and so it's going to be eliminated hopefully very quickly. Oh, so it's not from workers pooping on the lettuce? No, no. Well, we don't know. It's from one particular company, I won't know with them right now, that supplies lettuce to Taco Bell.

53:09So it is Taco Bell. They don't break us from Taco Bell. Yes. But now they're producers for other things as well.

53:14Adam Schafer:So you mean you get diarrhea from Taco Bell from the parasite? That's right. I thought it was just not the best pizza. This whole time that was the best pizza. I thought it was the Chalupas. Now they have said that it's potential on raspberries and basil and all sorts of different things. but hopefully that did it. They did a mandatory recall of all of their lettuce and produce from this company. So hopefully now that that's going to put an end to it. And it's not person to person transmissible, which is good. Meaning like from - Wife to husband. Exactly. It is permissible from fecal matter on these food that transmit the parasite.

53:49Yes. Which is gross. But literally workers don't always wash their hands. It gets onto this. It then begins to multiply. and then we have parasites now.

53:58Adam Schafer:All right, all right. Well, Dr. Cabral, this was awesome. Appreciate you coming back on. Absolutely. And so I love this. So you're going to offer one of these tests at a discount. I'd love to be able to get your audience, and this is just for your audience, at stephencabral.com slash heart, 50 % off the same omega-6 to omega-3 inflammation test. Run your labs. And again, if you think you have the best diet in the world, great, you can literally prove that to be true. And if you do that, then you don't need any supplementation, but it'll tell your exact ratio. And this is the easiest thing to do.

54:27Adam Schafer:Everybody just listening. It's literally, it's at home. There's some drops of blood. You put in a card, you mail it in. It's a piece of cake. You don't have to go into a lab. So, and then you can use one or two grams, three at the very most of a good quality. We use the daily Omega-3 support by Equal Life. You can do that. But again, why guess? Just do a simple lab test done right from home. The whole family can do it. My daughters have done it and you'll be able to see your levels and then you're good to go. You don't need to worry about it. Very cool. Thanks again. Yeah. Thank you for having me.

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