In this Q&A, our plant-based doctors answer questions about plant-based nutrition, GERD, Blood work, and A1C.
Questions Answered
- (00:40) – Silent GERD, Causes and Remedies
- (06:53) – Would you recommend surgery for a hiatal hernia for an 82 year old?
- (08:24) – Colonoscopy vs Flexible Sigmoidoscopy vs Simple Stool test
- (12:24) – What to check when requesting blood work
- (13:33) – Advice for reducing A1C
- (19:52) – Causes of elevated triglycerides
- (24:09) – Are you licensed in Oregon?
- (24:33) – High blood pressure and medication
Complete Transcript
Complete Transcript
Dr. Laurie Marbas
(00:03)
All right. Welcome to the Plant based Telehealth live Q&A every second and fourth Thursday of the month. Sometimes we have special guests. Sometimes it's just us hanging out together. Sometimes we have our new doctors like Dr. Jeff Pierce who's currently licensed in California and soon to be Texas, but that's where we're here. We're here to answer your questions. If you're on the Facebook page, great. Please share to anyone that you feel would be interested to any groups so we can increase who's watching this. That would be excellent. I'd like to welcome Dr. Miller, Dr. Klaper, how are you guys today?
Dr. Chris Miller
(00:37)
Great. Thank you.
Dr. Michael Klaper
(00:38)
Great. Great to be here.
Dr. Laurie Marbas
(00:40)
Excellent. We did get a question regarding GERD. Let me pull it up, actually. She goes, “Hello. My husband's been on a whole food plant-based diet without added salt oil or sugar for 10 years and was diagnosed with silent GERD via endoscopy four to six months ago. He coughs frequently, and gastroenterologist did an endoscopy at the same time as his routine colonoscopy. We're searching for causes. He does not drink coffee and drinks one to two glasses of wine a week at most. Any thoughts or suggestions on causes and remedies?” Any of you guys want to take that one?
Dr. Michael Klaper
(01:22)
Well, it's a significant issue. If he's coughing up, it just takes a couple of drops of stomach acid to work its way up to the back of your throat and you inhale it into your lungs when you breathe. It usually happens while people are sleeping, and you wake up with this, retched hacking cough and nobody can figure out the cause of it. After all the chest x-rays and antibiotics, the light suddenly goes on. Maybe the coming out from down below there, and inhaled stomach acid. So what to do? Start with simple things. Water does not run up hill. Neither does stomach acid. I would get a couple 4-inch blocks of wood. Put them under the head legs of your bed and raise the head legs of the bed at least four inches up to six inches, but any more than six inches and husbands slide out of the foot of the bed there.
Dr. Michael Klaper
(02:09)
Around four inch elevation, at least. You can do this with a couple of two by fours, but they have commercial blocks you can get off Amazon there, but raise the head of the bed. People say, well, I sleep on an extra pillow. Does not work. By three in the morning everybody slithers down flat. You've got to physically raise the head of bed up there. Don't eat a big meal, plant based or not, before you go to bed. If you put a big food mass down there, it physically stretches, open the stomach and makes that valve a little bit more incompetent, easier for acid to leak up.
Dr. Michael Klaper
(02:44)
Have your big meal either earlier in the day, like five in the evening or in the middle of the day while you're upright. The food can leave out through the pylorus at the bottom, not come up into esophagus. The other things to do is some folks get relief with deglycerized licorice or slippery elm. Those can vary very soothing for the gut wall there. Again, your light meals, since protein and starches summon up the most acid, how about in the evening have a salad, some soup, maybe a little fruit, and that's it. Make your evening meal kind of light. Don't lay down with a big distended stomach full of acid. If you just do those things, there's a good chance that this will settle down.
Dr. Laurie Marbas
(03:40)
Yeah, absolutely. Then of course, some other things outside of this particular case, pregnancy, being overweight, certain medications can cause it, like calcium channel blockers, things like nifedipine, amlodipine, verapamil, I think some of those others, but the things to consider also as just like he said is just elevating the bed. Looking at those large meals, I think are serious culprits. Of course, caffeine, citrus foods, maybe tomato products. You want to be a little bit careful. I had one patient that carrot just … Otherwise she was great, no other problems, but Chris, any other suggestions?
Dr. Chris Miller
(04:18)
I'm with both of you guys. First of all, it's just a sign how we're all so different. You follow a whole food plant based diet for 10 years and you're still having signs of heartburn and GERD. I agree with food sensitivity or keeping a food journal, and so looking at what you eat and when you get it, because there may be a weird trigger for you. Maybe citrus, maybe tomato. Cooked tomatoes tend to be worse than raw tomatoes. Sometimes we do find, tease out unusual things or unusual spices and when you're getting it. Stress can absolutely play a role because it's originally called the stress ulcer, right? Stress, stressful thoughts will increase inflammatory changes in that area. Other causes. Some people just have a weak sphincter there. There's certain foods that could weaken it.
Dr. Chris Miller
(05:10)
Eating chocolate might weaken it. Peppermint might weaken that sphincter, and then you get more reflux. Again, looking at a food diary is helpful. Then anything else going on with you? Sometimes if your digestion isn't moving through, which I imagine if your plant-based, it probably is, but if it's backed up, sometimes the gastroparesis, as it's called, it's not moving through, can cause heartburn. That being said, if you can tease out a little bit, what's going on, that's helpful.
Dr. Chris Miller
(05:38)
Then like Dr. Klaper said, just changing your diet around and changing the timing and elevating the head of the bed. I also use some of those demulcents. Like he talked about, slippery elm and DGL. I also use aloe is a good one that you can take a little bit before your meal or marshmallow root tea. You can sip before a meal and it kind of helps coat the stomach lining and then you eat a smaller meal and maybe you'll get some relief. Just some random thoughts.
Dr. Michael Klaper
(06:09)
It's really important for the person who wrote in to check with the gastroenterologist who did the scope and hear it from her or his own ears or own lips, did you see any evidence of a hiatal hernia? If the valve that's supposed to keep the stomach acid down and the stomach get slipped up into the chest, it becomes incompetent and you can take all the slippery elm you want, but sometimes it just has to be fixed. Nowadays, they can do these elegant procedures through a scope. They can staple it and repair a hydro hernia without having an incision for the surgery. Find out is there a hiatal hernia present. You got to deal with that one way or the other.
Dr. Laurie Marbas
(06:53)
Excellent. With speaking of hiatal hernia, we did get a question on the Facebook page. Would you recommend surgery for a hiatal hernia for an 82 year old? I think it would depend on the significance of the hiatal hernia, the symptoms, what exactly is going on, the health of an 82 year old. Of course, avoidance of surgery if at all possible is something to consider. Some of these are really large. I've had a patient that actually took like a third of their chest cavity, shortness of breath, variety of other things going on. So, I mean, it really is interesting. You could have a small one, you could have a large one. It really just depends. Any thoughts on that for you guys?
Dr. Michael Klaper
(07:29)
Oh, I absolutely agree. I'm I'm a big fan, especially nowadays, since in the old days in the eighties, anesthesia, the surgeon had to do these big incisions and this all major overhaul of the plumbing there. Now, they do these elegant procedures through the whole scope and through endoscopes. Since it's so non-invasive and effective, I'm a big fan of fixing these. Even at 85, it's a daycare procedure nowadays. You barely even need to be in hospital. Maybe overnight if you're 85 or 82, but yes, get this fixed. If you've got a significant amount of your stomach up in the chest, nothing good comes from that. Get that fixed.
Dr. Laurie Marbas
(08:12)
Chris, any thoughts there?
Dr. Chris Miller
(08:15)
I have nothing much more to add, depending on the person and overall and how bad it is and what your symptoms are and benefits versus risk as always.
Dr. Laurie Marbas
(08:24)
Yes, a risk versus benefits. Absolutely. Another question here is what is your opinion on getting a colonoscopy versus flexible sigmoidoscopy versus simple stool test for women over age 50? Any of you like to speak to that?
Dr. Michael Klaper
(08:45)
I have ideas. Chris, do you-
Dr. Chris Miller
(08:49)
Sure. I can start talking with this. That's an interesting question. Something we think about a lot. As of right now, the data is still supporting a colonoscopy as a screening test, not a flex sig, I don't believe. Although this might be changing where maybe you can do a blood test and a flex sig and get the same results. But for right now, if was something a little bit higher up than just a sigmoidoscopy would see, colonoscopies can still pick that up.
Dr. Chris Miller
(09:21)
It depends on the person's risk. I don't know what your family history is, but what your previous diet was, what you ate for all the years before you were plant-based? Any other concurrent medical conditions and your overall risk of the disease. For the majority of people, I'm still recommending at least a one time colonoscopy. Then if they find no polyps and you're a 100% on this great whole food plant-based diet, then we can talk about maybe just doing the stool samples in the future, but I'm a little hesitant to recommend it, although I'm watching data. Maybe you guys know something different and I am definitely open to learning something new.
Dr. Laurie Marbas
(10:01)
I think they recommend if you're going to do the flex sig that you do it every five years, maybe the colonoscopy every 10. If you're African American or black, they do recommend starting at 50 or 45, excuse me. 50, I mean, I just turned 50. I've been on a plant based diet going on nine years. I do plan on doing that at some point in the near future, just because I think it's warranted because I spent 40 years not eating this way. I certainly think it's something to consider looking at your family history. Again, like you said, you know other illnesses, but family history is a big one as well. Dr. K, any thoughts on that at all?
Dr. Chris Miller
(10:39)
No, I think you guys summed it up pretty well. One baseline colonoscopy is a reasonable thing to do, but after, yeah. You said, both of you mentioned family histories. If your father, two uncles, and a brother all died of colon cancer at age 45, then you clearly have a propensity that you should keep a close eye out and frequent endoscopies are not inappropriate. If there's just no family history, you've been eating a plant-based diet since birth or the past last 25 years and you've had one negative colonoscopy, I think it's reasonable to check your stool, once a year, once every other year with a Cologuard test looking for cancer, genetics, and certainly for occult blood in the stool. If those are consistently negative again, a flex sig exam once every five years should be more than adequate. Once you have a full colonoscopy, there's little to gain from continuing repeating that.
Dr. Laurie Marbas
(11:46)
Yeah. There's a question. What's the difference between a colonoscopy and a flex sigmoidoscopy? Basically, when you look at the flexible sigmoidoscopy, it can visualize the rectum, the sigmoid, and the bottom part of the descending colon. Whereas the full colonoscopy does the full colon. Like Chris said, you're only seeing part of the colon with the flex sig. Here's another question.
Dr. Chris Miller
(12:13)
It's supposed to be a little less invasive and a little less painful, but the truth is, if it's a screening test, it can miss things. I'm not entirely sure unless it's a follow up.
Dr. Laurie Marbas
(12:23)
Yes, absolutely. She says here, “Hello, I'm in the process of putting in a request for blood work. Is there anything that you'd recommend adding to this list?” So this is what she's requesting. She's a 44 year old female who is plant based. I don't know for how long. She says lipids, omega 3 index, homocysteine, vitamin D, CBC, A1C, and ferritin. That's her list. I would include B12 and methylmalonic acid is really helpful if you're looking to see those. The B12 level's important. Anything else that you guys would recommend?
Dr. Chris Miller
(12:56)
You don't have a CMP there. Sorry, Dr. Klaper. Just a basic CMP to look at your liver, kidneys, electrolytes.
Dr. Michael Klaper
(13:05)
CMP is a comprehensive metabolic profile. It's a blood chemistry essentially, but also I would want at least one marker for inflammation. You might want to try a C-reactive protein or high sensitivity CRP. If that's significantly elevated, you need to do little looking after that. A low CRP below, one is reassuring that probably not a lot of evil inflammation going on in your arteries, your tissues, but those are the other two that I would recommend adding.
Dr. Laurie Marbas
(13:33)
Perfect. Okay. Next question. Dawn says, “I have an A1C of 6.1 on a plant-based diet, almost all whole foods, but with a fair amount of fat, 100 grams per day. An active lifestyle. Thoughts about reducing the A1C?” Reduce your fat intake, for sure. I don't know what your consuming that would be 100 grams per day, but that's a significant amount. Any thoughts there for you guys?
Dr. Michael Klaper
(14:04)
Yeah, I sure do. Yeah, Chris, you, you want to-
Dr. Chris Miller
(14:06)
Agree. I don't have much to add except for what you already said. Be curious what you're eating. We know that when we reduce our fat, it increases our insulin sensitivity. I would work towards that.
Dr. Michael Klaper
(14:21)
This goes down to the basic misunderstanding that so many people have about diabetes is the problem is sugar and we can't metabolize sugar. Yes, that's what you see when you look at it. But why is it? It's not from eating sugar, it's from eating too much fat. It's a disease of fat [inaudible 00:14:38] because fat infiltrates into your liver cells, into your muscle cells, and keeps the insulin mechanism from working. There's insulin in the blood, but it doesn't allow the sugar into the cells.
Dr. Michael Klaper
(14:51)
I shutter these how these keto folks, “Oh, high fat, low carb.” You're going to have low blood sugars if you just don't eat any carbs. Well, that's true. But meanwhile, we're carbohydrate burning organisms and ketosis, state of acidosis is not a good state stay in long term. This man needs to cut back on his fats. Increase the whole food carbohydrates, talking about green vegetables and whole grains and low glycemic foods that don't raise blood sugar up. Let your insulin receptors clear out from all that fat. You'll find that that hemoglobin A1C comes down, but a high fat diet is going to keep glucose intolerant.
Dr. Laurie Marbas
(15:39)
Yeah. He said lots of nuts. Absolutely, I have, I'd say 95% of my patients are diabetic and I've seen this so many times, Eating lots of nuts, avocados, things like that. They think a little bit of oil's okay. Uh-uh (negative). You got to cut that stuff out. When you do, you're going to see your A1C decline. I would also get a continuous glucose monitor, if you don't already have one. These things are super helpful. What happens is when you eat this high fat meal like nut butters or nuts, and some other things, you'll see that your blood sugar goes up and it stays up a little bit longer, but if you eat the same meal without the nuts, you're going to see this go up and it come down. It happens every single time. Definitely cut back on the nuts. That would be huge. I'm not saying nuts are unhealthy, but in small quantities.
Dr. Laurie Marbas
(16:24)
This is a reminder. When I was a kid, we'd get those little nuts, but they were in the shell. You get the walnut, the pecan, and you'd spend 30 minutes working on two nuts. You're like, “I'm done.” That's about how much you probably should be containing. You got to work for your food instead of just pulling it out of a bag already shelled. Just think about that. A handful of day would be fine, but other than that, you guys, you don't need lots and lots of nuts. They're not evil, but just take this in context of what's going on. Next question, here we go. Karen asked, “I've been a hundred percent plant based, whole food, no oils or salt for 12 months because I was diagnosed with diabetes. I'm now fit and slim at 130. I'm five foot seven.”
Dr. Laurie Marbas
(17:11)
Congratulations. “I can't get my morning fasting glucose below 160. Let me reiterate. I don't eat fat. I use [kronometer 00:17:20] to monitor my intake. Now I'm back on Metformin and want off.” Okay. I have my thoughts, but Karen, I would say, definitely come see us. We need to check a few things, including a C peptides, some antibody tests. Let's make sure there's not some autoimmune component to your diabetes, because if you're already at a pretty healthy weight and you're eating a whole food plant based diet for 12 months, there's something else going on. I'd really be curious to see again, a continuous glucose monitor, see what you're doing overnight and some other things, how late you're eating at night, a variety of things, but any other thoughts or suggestions there?
Dr. Chris Miller
(17:54)
There's sometimes small tweaks as in changing your diet. I noticed when my patients are eating fruit at night, they're waking up with higher blood sugars or more carbohydrate rich at night, they're waking up with higher blood glucose. Instead we playing around with more vegetables and beans for dinner and the carbs earlier in the day. Again, I agree with Dr. Marbas, if your numbers are consistently elevated like that, you may have some more going on and we need to do some blood work for that.
Dr. Michael Klaper
(18:27)
Yes. What they're saying is that there's a so-called type one and a half diabetes where the person's pancreas is being slowly damaged by antibodies and their ability to produce their own insulin is going down. If so, you look for the antibodies and you look for their actual insulin production. So that's what you mentioned, measuring C peptide for, and that antibody panel. Find out if you're type one and a half and work with Dr. Marbas if that's the case, but with that continuous glucose monitor, as you mentioned, and, and, and Dr. Miller, food diaries. Keep track of what you ate and what your sugar was the next morning. Eventually the patterns will start becoming clear there. That continuous monitor's just a really valuable tool there. Got some great advice from my colleagues there.
Dr. Laurie Marbas
(19:14)
Yeah, absolutely. I've had a few cases, I would say maybe five to 10, where we've actually seen people with low C peptide and they have all negative antibodies. All the five tests are negative. There's also other concerns and considerations. There is destruction of your beta cells, which produce insulin, which reside in your pancreas, just from having type two diabetes, too. That might be part of the issue. You just may have done some damage that you just can't produce enough insulin. Again, that would be where testing is. We can look at you personally, a plantbasedtelehealth.com, guys, check us out.
Dr. Laurie Marbas
(19:52)
You see Dr. Klaper, Dr. Miller, myself and Dr. Jeff Pierce. We'd love to see you come see us. We get a real joy out of working with people just like you. All right, next question. I got some good questions here. My husband has been hopefully plant-based for five years, his recent blood work showed elevated triglycerides over 200 and low HDL, thirties. This is the first time his lipid profile has been so poor. He's been very stationary through the pandemic, working from home and not doing much movement. Any suggestions?
Dr. Michael Klaper
(20:25)
Well, high triglycerides usually mean too much sugars. In general, sugars in your diet, especially in this whole food form of whole vegetable, etc., will not turn into fat on your body, no matter how much broccoli you eat, it's not going to turn into fat, but the one sugar that can turn into fat are these simple sugars, fructose dextrose. If you're eating, if you're drinking soft drinks, eating vegan candy bars or whatever, and fruit juices will do it. Some folks will just go on very fruit heavy diet, their liver will turn some of that fructose into triglycerides. You might want to throttle back on the obvious sweet foods in your diet. Doesn't mean you can never have an apple, but for right now until your next lipid panel, funnel back on the sugars and the sweet foods that you're eating.
Dr. Michael Klaper
(21:17)
As people change their diets, sometimes the liver will put out more cholesterol or less HDL. Oh, she didn't mention her cholesterol level though. Just her triglycerides in HDL. That may not be bad at all. When when total cholesterol goes down, HDL goes down for a good reason. You know, they say HDL is like the garbage trucks that take the, the cholesterol out of the plaques and brings a batch of liver. If there's no garbage, you don't need a garbage truck. And people's total cholesterol goes down, HDL often follows down. It may not be a terrible thing. Finally, again, talk about the tyranny of the numbers. We give these numbers so much power. The issue is what's really going on in your artery walls. Are they inflamed? Are they are developing atherosclerotic plaque or not?
Dr. Michael Klaper
(22:12)
There are some inflammatory markers. You can get high sensitivity CRP, oxidized LDL, isoprostate, that can tell you if that fire is burning in your artery walls. If it's not, if you get those tests, and we can help you order those, and they all come back negative, because you're treating your artery so nicely, don't worry if your HDL is low. No one dies of low HDLs. The point is every meal that you pass through your arteries should give the message to those artery walls. Shh, calm down, rice and beans and greens and fruits and vegetables. Give that message, the cooked meats and the oils and the sugars and the alcohol and the cigarettes, that that gives the opposite message. That really damages the lining of the arteries.
Dr. Michael Klaper
(22:57)
If you're not doing that, if you're really healing your arteries with every meal, if you're letting food be your medicine, the numbers get less important. If there's any question, get those inflammatory markers. Again, we can give you guidance on that, if you want to make a appointment to see Dr. Marbas or Dr. Miller, we'll be glad to help you with that.
Dr. Laurie Marbas
(23:17)
Or Dr. Klaper.
Dr. Chris Miller
(23:17)
I love that. Healing your arteries with every meal. That's a keeper. I was going to add one more thing to everything that he said, which is beautiful, there. You called it. Whoever wrote that question, you knew exactly. Exercise does raise your HDL, for sure. It is important. Pandemic time, I mean, I feel like we can write a book on health things that have happened during the pandemic, because we are eating … Maybe we're overeating, maybe we're eating a little less clean than we normally do. Maybe we're a little more stressed out and we're not exercising as much, because it's hard, sometimes. Get moving, and I'm indoors, I'm in New Hampshire here and it's kind of cold and rainy and snowy and kind of yucky some days. I'm trying to work out indoors and I'm committed to staying active no matter what. That's something to think about, too.
Dr. Laurie Marbas
(24:09)
Perfect. We had a question, will you be able to work with me in Oregon? What about insurance? I am licensed in Oregon, and we don't accept insurance, but we can do a couple of things for you. We can give you what we call a super bill, which is a receipt, which you can submit to your health insurance company, except for Medicare, which is against the law. That's another topic for another day.
Dr. Laurie Marbas
(24:32)
Yes. Okay. Anyway, no distractions. We'll focus. Yes. We are in Oregon. So yes. Feel free to do that if you'd like, and all the pricing and information on the insurance is on plantbasedtelehealth.com, and thanks for considering us. That's really cool. All right. Let's move a little bit towards maybe blood pressure. We've got some questions here. Let's see. Someone says, “I'm taking amlodipine, valsartan. The dose is 10 and 320 milligrams daily. Supposed to also take 81 20 milligrams at night. Is this okay to take so much? Blood pressure still high.
Dr. Laurie Marbas
(25:06)
I think outside of what medications you're on, one, your blood pressure's still high, and why? That would be a question. If you're eating a whole food plant based diet, is something else going on? Is there something going on with your kidneys? Are you producing too much aldosterone, is the blood flow to the kidney a problem? There's a thing called renal artery stenosis. I think further investigation needs occurred, but you really need to optimize your diet. You need to control your blood pressure. If that requires medications, you take the medications. Just because there's risk factors for heart failure, stroke, and all these different things. Blood pressure's a big one. Any thoughts or suggestions there, guys, on the blood pressure issue?
Dr. Chris Miller
(25:46)
Yeah, I agree. I would delve into that a little bit more and definitely stay on your medications, because you don't want to be walking around with a dangerously high blood pressure. I hope you're working with someone. There's often things we can do to help with diet, to really tweak and optimize it, to make sure you've looked into other causes of high blood pressure and that that's being treated. Anything else that you can be doing, any other factors that may be contributing to it. That's a brief answer without knowing anything more about you.
Dr. Michael Klaper
(26:15)
Remember the arteries are tubes of muscle, long muscular tubes, and they can constrict and they can relax. You want to do everything you do to get them nice and relaxed. When they relax, they dilate, and then that lowers the blood pressure. What things make arteries relax? Well, one thing that makes them tighten up is salt in the diet, and I'm a recovering salt-aholic. I love salty things, but my blood pressure goes up. I've had to learn to entertain my tongue with non-salty, flavoring with lemon juice and balsamic vinegars and things that don't involve salt. It's a real thing there. Get the salt out for real, if you've got these kind of numbers. You've got to do this for real. Things that relax blood vessels are minerals like magnesium and potassium. What has magnesium, potassium? Dark green, leafy vegetables have magnesium and potassium. Big helpings of those every day are really important.
Dr. Michael Klaper
(27:13)
Here's where you don't want to be putting coconut oil and any of these oils in your arteries, on your food, because it saturates into the walls of the arteries and keeps them from producing nitric oxide. Here's where that whole food plant-based diet comes in. Underlying whole foods, oils are not whole foods. A diet with lots of greens. Like Dr. Russell reminds us, while you've got that big plate of broccoli or kale in front of you, a little balsamic vinegar adds the acetic acid that liberates the nitric oxide enzymes. Have some greens with some balsamic vinegar once or twice a day. I mean, if you really want to get off these meds and you want to avoid a stroke, this is serious business, really get Dr. Russell's book on preventing universal heart disease and follow it to the letter. You're in that category. We'd love to see you get those pressures down without all those medications, but right now stay on the meds.
Dr. Laurie Marbas
(28:06)
Yeah. I'd just like to add to that even if you're doing the diet correctly, there's other factors, too, to consider, like chronic pain or stress, lack of sleep. Definitely I've seen patients with chronic migraines having elevated blood pressure, but then you're like, did the blood pressure cause the headache or the headache cause the blood pressure? Again, that's really important too, especially if you're having secondary symptoms. Dizziness, vision problems, headaches, chest discomfort, anything like that really needs to be taken care of immediately. Please take your medicines, follow up with your doctor. We'd be happy to help, too, but it's really, really, really, really important. Can't reiterate that enough. We are at a time today, Dr. K has a next engagement of teaching, which is awesome, to some amazing students. We really appreciate your time. Any last final words from either Dr. Miller or Dr. Klaper?
Dr. Chris Miller
(29:00)
Just to say thank you guys. Those were fabulous questions. It's fun to be a part of this. Hopefully this is helpful to you guys and you'll keep staying healthy and spreading the word about how important it's to be healthy.
Dr. Laurie Marbas
(29:12)
Absolutely.
Dr. Michael Klaper
(29:12)
Absolutely. These are so encouraging to hear people making the connection between their diet and their lifestyle and the disease that they're seeing and asking for sincere, simple ideas to help their bodies function better. We're glad to help with the advice. Again, take advantage. We're here to help. Please arrange a consultation. You'll find us a good team to have in your corner there. Thanks everybody. I'm off to lecture the medical students at Nova Southeastern Osteopathic College of Medicine. I'll see you next time.
Dr. Laurie Marbas
(29:46)
Excellent. They're blessed to have you, Dr. K, and so please guys, share this video, share our plantbasedhealth.com website with your friends, family, any groups that you may be involved in. We really want to spread the word. We're bringing on more doctors. We're trying to build our capacity because we have so many patients, but we really, really would love to work with you. So plantbasedtelehealth.com. Again, it's Dr. Pierce, Dr. Miller, Dr. Klaper, and myself. We're super stoked to see you guys, and we will see you in two weeks where we actually have Dr. Nicole Harkin, who is a plant-based cardiologist. Keep those questions in mind, and I hope you can join us. Have a good one guys.
Dr. Michael Klaper
(30:25)
Bye-bye.
Dr. Laurie Marbas
(30:25)
Bye.
*Recorded on 2.11.21