Transcript
sfNMYknlwy8 • The Gut Check Series in partnership with Dr. William Li and ZOE
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Kind: captions Language: en all right hello hello everyone welcome to the gut check series today is day one we are so happy to have you here and i am so excited to be joined by a dear friend of mine and one of the true experts when it comes to this topic gut health dr william lee let me before we jump in before i introduce you to dr lee let me just first introduce myself for those of you who don't know me my name is dr will bolsowitz i am a practicing gastroenterologist in charleston south carolina and i'm also an author i wrote a book called fiber fueled which you can see right here and that was a new york times bestselling book i'm very proud of that book and i also happen to be a member of the scientific advisory board for zoe which is a personalized nutrition company that we are going to be talking about during the next half hour or so when we dig into some of the things with gut health because what's exciting is that a lot of what we are learning right now about the connections between us our unique biology our food our gut microbiome and our health what we're learning is from zoe so with that in mind i first want to introduce you all to my dear friends a living legend i mean i would honestly say a rock star i don't know if he would allow me to say that but his name is dr william lee and dr lee is a world-renowned physician he is considered literally the world's expert on the topic of angiogenesis but he is also considered to be an extreme content expert when it comes to the microbiome the gut microbiome he's a research scientist he's been published in the most prestigious medical journals he just had a recent publication in the new england journal of medicine he too is also an author he wrote a book eat to beat disease if you haven't purchased purchased this book you're going to want to grab it this is a phenomenal book it was a new york times best-selling book people absolutely love it and dr lee is also the founder of the angiogenesis foundation the ceo and their medical director so with that in mind dr lee it is a pleasure to welcome you and uh i'm excited to talk to you well uh dr ball swiss uh and since we're both wills you could be dr b and i could be dr lee uh but uh uh we've known each other and it is so great to see you and to do something together with you i think that's gonna help uh be of interest and really hopefully be helpful to anybody who's watching this so i'm glad we could actually kick off uh this uh program uh together 100 i'm excited and you know it's kind of cool because you and i we know each other very well we talk on the phone all the time perhaps we'll get into that a little bit as we uh as we talk more about the microbiome but today the gut check series we're kicking this off and we're here to talk about the gut microbiome so let's let's just go ahead and let's take it from the top dr lee if you could kind of walk us through what is the gut microbiome well you know most people have heard this term gut health or microbiome or gut microbiome and i want to sort of maybe start from the beginning which is you know when you and i were in medical school we were taught that bacteria are bad and yet we also knew that in the gut there were some good bacteria because if we gave antibiotics and we wiped out the good bacteria our patients really had a big problem because they wound up sometimes in the icu with you know gut problems that we'd have to fix with guess what more antibiotics right so um i i think you and i came out of this era where we believed fundamentally that bacteria needed to be squashed and that's all changed now i mean i think that textbook has literally been thrown out the window and we now know that bacteria are mostly good there are some bad guys but mostly good guys and a lot of those good guys live in our gut and that's what we call the gut microbiome so term microbiome you know uh it sounds fancy but it really refers to an ecosystem i i sort of tell people um the gut microbiome was like the great barrier reef you know off the coast of australia it's this amazing system of of different uh animals flora and fauna that all live together and at its best it's a really healthy living system that takes care of itself and it takes care of the planet and that's basically um what's actually happening inside our gut now a lot of it's in our colon but it's not just in our colon our gut really starts from our mouth from our lips all the way down to the anus and there's bacteria all along that space and not just in the gut or microbiome to be uh accurate also is on the skin also is in our nasal passages and our ears vaginal openings urethra i mean there's anywhere that bacteria can get in they're setting up shop there but when we talk about the gut microbiome because it is so important we feed them with the food that we eat and how we feed them how we take care of our microbiome uh and can make the difference between health and disease uh frankly life and death 100 and you know all food that goes in our mouth ultimately passes through this area and comes into contact with these 38 or 39 trillion microbes which is an overwhelming number i mean it's really hard to put into some sort of conceptual framework what 38 or 39 trillion is but what it would be is if you were to take all the stars in the sky take them all and just bunch them up and put them inside of you you would need a hundred galaxies full of stars to equal the number of microbes that live inside of you literally right now every single one of you who are here with us today this is what you have living inside you and it is a life force and it contributes to the greater good the whole person and when we talk about you know you you mentioned for example dr lee the great barrier reef and some people when we think of ecosystems they might also insert the amazon rainforest and you hear these things that are happening to the amazon rainforest recently in the last few years the amazon is burning and they say that's mother earth's lungs right and the reason why is because it's not just the bugs and the snakes and the animals down on the ground they form the ecosystem that ecosystem contributes to a greater whole which is the ecosystem the amazon rainforest and then the amazon rainforest is a large contributor to the health of the entire global planet any thoughts or any anything you want to add to that yeah no i mean i think that these are just really powerful examples of what's happening inside us and why we need to take care of you know these critters uh you know i um uh you know and so one of the questions is how do we even get our bacteria right i mean it actually starts when we're still growing up or we're still developing in our mom's womb it turns out that healthy bacteria that live in mom actually somehow make their way through the uterus and actually start to populate the developing fetus even before we get to nine months i mean there's healthy bacteria setting up shop getting ready to do their job and when we're born uh you know every aspect of the birth process helps uh the baby encounter bacteria that you know kind of crawls onto it kind of like when you get to the beach and you want to set up your your blanket and your umbrella that's basically what's happening when you're coming out of the womb you take your you crawl up for that skin skin contact you get your first the baby gets their first mouthful of milk you know the lips are wrapped around the nipple the skin microbiome gets right into the mouth and there's mom's bacteria something really amazing that people don't realize is that around nine months or so um when the mom's body this ecosystem knows that you know the baby's about to be born gut bacteria actually um uh text message cells um uh called neutrophils and they uh and these cells swing by and pick them up in the colon and and give them a ride to the mom's breast where they get dropped off like an uber and they wait there for that first suckle from the baby and then once a baby suckles on mom's good gut bacteria gets down into the baby's gut so this is you know not a made-up process this is really who we are and um uh 39 trillion bacteria you know the galaxies um we only have maybe 39 or 40 trillion cells so we are 50 50 human versus bacteria there's a term that i write about in my book youtube disease that's called holobiont and a holobiont is an organism that's actually made up of different organisms and that's what we are we're not really even truly human anymore we're actually walking around as holy bion so you know so you know if half of what we said is sort of mind-blowing to people watching this what's even more profound is really the spec these bacteria not don't just help us digest you know they contribute to our digestion and our food and how we actually extract nutrients but they communicate with our brain they communicate with our uh our other endocrine organs they communicate with uh our skin for wound healing and our even our hair they can control our our mood and so literally our gut bacteria are pay us back for the room and board that we give them so we have to take good care of them yeah there are so many examples where nature has demonstrated to us how critically important these bacteria actually are to us and you started to touch on some of this that there's this connection that exists between mom the microbes and the baby that actually is critically important to the development of children and so you you mentioned the the changes that occur and how that can connect to breast milk i'll unpack that just a little bit more if it's okay during the third trimester a woman's vaginal flora because the vagina has its own microbiome a woman's vaginal flora actually starts to shift as she gets late into the third trimester and starts to more closely resemble the gut microbiome that you will find inside her or the microbiome that you will find inside her gut so it's less like a vaginal microbiome and more like a gut microbiome in preparation for the baby to then pass through the birth canal and get exposed to the greatest probiotic of their lifetime which is passing through the birth canal and then another one that i find to be extremely fascinating and honestly just mind-blowing is that if you were to examine breast milk the reason that there's such a tremendous difference between mom's breast milk and what you can get in a formula and feed to a baby the reason why if you formula feed a baby they are more likely to be obese to have allergic illnesses autoimmune issues diabetes the reason why this happens is because mom's breast milk is not just macronutrients mom's breast milk contains something called human milk oligosaccharides which in a very interesting spin have zero nutritional benefit to the child in terms of direct nutritional benefit but there are over 200 varieties of these human milky lego saccharides in mom's breast milk that are exclusively there to feed the new developing gut microbiome and so it's just so interesting to think about this and you started to touch on some of the the key points of where there's connections how our microbes are connected to digestion access to nutrients our metabolism our immune system our mood our cognition the way that we think even the expression of our genetics you mentioned that you know if you were to look at the number of cells we are less than 50 human when it comes to the total number of our cells and if you were to look at our genetic code we are less than one percent human when it comes to our genetic code anything that you want to add to that yeah well i mean you know i i think that the message that we're uh both uh we've understood that's kind of changed certainly in my mind and i'll be interested in hearing you know what were the big surprises for you as you've went through your uh career in education and kind of uh you know we are all um doing we're practicing medicine and helping people in an era where the very nature of understanding what makes us human and what keeps us healthy is that changing so this is kind of a we're just about to get into this golden age of the microbiome i'll tell you quickly something that surprised me i did some research looking at one bacteria and the key thing about the microbiome is not one bacteria but it's about the balance and the ecosystem so it's not about one fish in the in the great barrier reef or one bug in the amazon rainforest it's about how they actually cooperate and collaborate together you want more you want the species to be in healthy coexistence but i but you know as a researcher one of the things that i do i you start by research by having hypotheses and studying things one thing at a time so we were looking at lactobacillus which is one kind of grouping of of uh healthy bacteria for the most part and we found quite amazingly that uh the connections between the gut and the skin uh were profound so we actually did a study for wound healing so when you cut yourself you got blood vessels that got to grow and then the scab forms and the blood vessels actually nourish the tissue underneath and uh and your cells heal that your body heals itself and the scab falls off and you've got normal skin and you know we used to think that well you know the if you're a healthy person your body is healing as fast as it can heal anyway that's the what all the surgeons used to believe we found that if you actually um uh [Music] restore lactobacillus one bacteria to contribute to the healthier gut flora that you can actually double the rate of normal wound healing so you can be like the wolverine in the x-men you can actually speed up a wound to heal faster than you could possibly believe and so you know we're we're even our human tissues are not functioning at full capacity our bacterial cells can actually help push things along to me that was a mind-blowing thing the other thing that i learned the same bacteria could influence skin and hair luster and kind of uh shine as well the sheen and coloration of ours in so you know when they say his beauty is more than skin deep well the skin deep beauty actually is much much deeper because it actually starts in our gut as well so those are a couple of things that really surprised me uh over the years and why it's so important i pay attention to my microbiome what about you what are some of the surprises you've encountered you know i'm blown away all the time i'm blown away by the science science that we've been reading about i mean honestly things that we learned 10 years ago that for example that you could transplant the gut microbiome microbes from a human into a mouse model and that mouse will take on the um the weight profile of the human that sent their microbiome over so in other words if you take the microbiome of an obese person you put it into a mouse that mouse will become obese if you take the microbiome of a skinny human and put it into a mouse that mess will become skinny even if you feed them the same number of calories right and so i that to me was mind-blowing but i think that the other thing too is looking at bio-individuality and the role that the microbiome plays where it becomes clear very clear that we are not merely the manifestation of the genetic code that we receive from our parents and that is empowering it is empowering to know that i am not born with some genetic code that basically predetermines what my life and my health is going to be we actually have the power and so when when uh you look at some of the research that has emerged actually in the last a little over a year from from zoe from the researchers from the soi scientific advisory board they showed looking at a thousand individuals that if you know their microbiome you know you can predict more powerfully what their blood glucose levels what their blood lipid levels are going to be what their uh what their c peptide or insulin levels are going to be you can predict that in a very powerful way using information like a person's gut microbiome and the beauty of that is that the gut microbiome is adaptable with that in mind the gut microbiome is adaptable and it is adaptable to many different things i would argue that food is perhaps the most important thing in terms of adapting and changing our microbiome you wrote a book eat to be disease about the connection between food and our microbes perhaps you would like to talk to us about some of the foods that you think are beneficial yeah well i mean you know here's here's the simple way of thinking about it when we have dinner a plate of food in front of us and we eat it uh some of that food is is nourishing us our human selves you know the things that the thing that you'd expect the macronutrients and the micronutrients but our human bodies don't absorb everything and again you know back in the stone age when you get when you and i were studying medicine uh and you know sort of in a traditional way we were told that anything that the human body doesn't absorb just just flies out of our gut and we flush it down the toilet but actually it's so it's it has like the story has so evolved whatever our human body doesn't absorb actually goes down to feed the gut bacteria and those and and things that the gut bacteria love to feed on to digest prebiotic foods these are bioactives found in plant-based foods primarily um fiber uh and and they you know and they literally have um they sit down and have their dinner uh pretty much after we have ours like and and the key thing is that when we feed our gut bacteria healthy foods they're well nourished and they can do their job and one of the things that they do is they they create their own metabolites like these things called short chain fatty acids that then get into our bloodstream and they do all these other incredible things like in our brain and our skin and our kidney and our blood you know they though they they literally help to uh they send signals out that help our body function better but i want to also point out one thing because we know we you and i always talk about healthy eating but i think equally important to know is that you know when it comes to food and health it's not just about the food and it's about how our body responds to what we put inside it and our bacteria is part of that response so if you actually put something bad in your body or harmful you know maybe the human body you know pretty resilient you know a little bit of this or a little bit of that then we're not gonna it's not gonna we're not gonna go belly up but our gut bacteria might go belly up and that's really what causes dysbiosis we start feeding you know too much sugar artificial preservatives artificial sweeteners um all kinds of chemicals that we get kind of just chuck into our body uh and until recently we thought you know maybe it's okay but now we know it's not okay not just for the human side of things that's where a lot of biohackers talk about all the things but i think from the bacteria side if we start to poison our bacteria it allows more uh it's a good guy bacteria it's gonna tend to wane and it allows the bad actors to kind of take over so i always talk it's like a neighborhood where the good neighbors uh actually are not doing so well they lose their jobs they gotta leave that move out of the neighborhood and more more of the the criminal element comes in and and when you've got enough of those people around it becomes chaos and that chaotic bacteria i mean this is something that i think you know you you that's like right in your wheelhouse a lot of times that's what brings people to the gastroenterologist isn't it yeah that is that's and that's that's how i spend my time is you know talking to people walking in with complex digestive issues eurobow syndrome acid reflux crohn's disease ulcerative colitis celiac disease i could go down the line i could keep going every single one of these conditions has been associated with damage to the gut microbiome and the way that you're describing which is dysbiosis by the way i love the analogy of you know a a healthy community a healthy community versus a community that is in duress and being overrun with crime because that kind of does paint the picture so that people can imagine what is actually happening inside your body as this is going on and you know dr lee these people who come to see me and many times they will ask you know hey doc should i have a test to determine whether or not i have dysbiosis and i look at these people and they have your own bowel syndrome or you know whatever digestive issue but then they also have migraine headaches anxiety they have you know many times they're overweight you know they may have autoimmune issues or allergic type issues and what you see is you see this pattern you see this pattern where there is this common thread that exists where at the root of their problem is digestive health the gut microbiome and disruption of the gut microbiome dysbiosis leads to downstream effects that will not only affect your digestion but will also affect your immune system your metabolism your hormones your mood your focus and you just it has systemic far-reaching effects so and these are the people that wind up coming to you because they're not feeling well and they haven't been able to solve their problems and and what you know you just said is so powerful because it means that you know i mean how many how many times have we heard from someone who says you know like i got this problem i know it's real my life is ruined because of it i i can't i can't do the things i want to do and yet the doctor doesn't have any answer they can't find out what's going on and what we're talking about is a new uh realization that this is a path we've got to explore and it may not be the only problem but it is certainly part of the problem and this idea of connecting the gut to the mind parkinson's alzheimer's huntington's disease depression schizophrenia connected to the microbiome i mean you know like if you have multiple personalities i mean think about how many personalities are in our gut that you know like it's it's just a it's it can explode your mind to think about how powerful this so you know but but people listening and watching this probably want to get some practical ideas and you know i was thinking you know uh it would be good for you and i to just share with people some practical things they can actually do so are there you know as a gastroenterologist i mean what are like the top three or five things like what are some useful things that everybody should be doing to help them keep their gut microbiome healthy well you know i i think where i would start so i like this i like this let's let's how about we'll go uh i'll share a couple you share a couple and then we can go from there so um i think it's important for people to understand that your dietary choices as we've been alluding to are directly connected to your gut microbes and this was shown in a very compelling way in a paper that was that was published by sarah barry who by the way if you're tuning into the gut check series you will be meeting sarah barry okay and sarah berry published this paper in nature medicine in january 2021 which showed convincingly using the information from the zoe dataset dietary choices determined gut microbes gut microbes determine metabolism determine results right so what sort of dietary pattern is the optimal pattern for a healthy gut microbiome and from my perspective there is one core principle that i am pounding the drum on and i want everyone to know and i don't care what dietary pattern you follow the assumption is that you eat at least some plants at least some fruits vegetables whole grains seeds nuts and legumes and i am imploring you today to make diversity of plants a foundational idea within your dietary pattern so what i mean by that is don't eat the same foods every single day stop counting grams of fiber start counting the varieties of plants in your diet get as many different fruits vegetables whole grain seeds nuts and legumes as you can and yes i would encourage you to begin getting most of your calories from plants but at the end of the day we want variety what would you add well yeah i know i mean i i think that's absolutely right and um i think that that's a gift to be able to actually uh look at abundance as sort of our you've just given permission for people to go out and enjoy abundance not in terms of the volume you eat more more but more a different kind of abundance which you can pick and choose um lots of different kinds of things and obviously leafy greens actually have a lot of great fiber find ways to actually make uh the the um the fiber resonate it doesn't you don't have to be a rabbit and eat rabbit food all the time you know sauteed olive oil actually has also been shown to be beneficial for the gut microbiome and so you want to swap out things like butter or margarine or some of these other things that the gut microbiome might not like so much with olive oil which actually they it loves the bacteria loves that so but not too much so again i would say diversity prepare your foods mix them together uh bacteria i love that and by the way another some amazing things that have been found from a correlative perspective is that many of the it's not just fiber uh i encourage people to look at the foods that they really enjoy that are plant-based that are healthy and you know then take that extra step anybody can do this on the internet and just to find out like that food that i really like like for me i really love mushrooms look up how much fiber's in there okay and look at what kind of fiber is in there learn something about your food because the more we understand what we're eating this is something that i think people in europe and asia do a really great job now they care about their food they want to learn more about their food they want to talk about their food so this is actually not uh eating to live like sustenance but this is living to eat so that we understand what it is that where the material we're actually dealing with you know if you're in finance and you're spending all your time counting your shekels you know um i mean like it's just something that you get absorbed by and i think this is something that is changing now we're we're seeing more and more people interested in making good choices so what i would say is look up how the foods that you love can help your microbiome i love that and you know one of the things that you're alluding to right now that i just i want to have you expand even further on briefly is what i'm hearing from you is that we have a relationship with our food this is this is not just being mechanical about this this is not being an engineer and writing down what you're eating and meeting certain measures and marks you deserve to enjoy what you eat you deserve to love your food do you want to talk to us a little bit about love your food love your health what does that mean yeah well you know what i i did a gap year before we went to medical school and i i moved over to the mediterranean i lived in italy and then i moved over to greece and i lived in greece and i cooked i was i was very interested in uh almost obsessed with kind of learning how what food meant to the people who live there where it comes from how does it actually play a role in their life and everybody loved their food and they also cared a lot about their health and there wasn't this sort of like ah the stuff i love isn't good for me so if i want to be healthy i got to cut out all the stuff i love no no i mean in these old cultures traditional diets they actually said i love to eat this and i'll eat it for the whole life my whole life and it actually makes me feel good as well and there are these incredible culinary traditions that kind of go along with it and to your point about how everyone is individualized sort of this bio uh individualization um well this is the this is the bedrock of where of how we understand how to take care of people now there's no uh cookie cutter everybody's the same uh even in sort of the the medical field where you write prescriptions we're beginning to realize now we shouldn't be writing the same prescriptions to everybody all the time we have to tailor it personalize it and to some extent food as medicine is one of the most uh bespoke ways to tailor um how to take care of your own body in the ways you want so fruits and vegetables plant-based foods luts and legumes by the way nuts are one of the easiest sources tree nuts of protein and fiber and healthy fats that you can actually have as a snack you don't have to prepare it like most of the time you can just you know go out to a costco and buy a bunch of it and and have it around those are um great ways to actually individualize you get to choose the power is in the hands of the person who's going to be making that food choice uh so i think that you know like you should know yourself first understand what you really enjoy and of what the things you enjoy the things that are actually healthy for you that's the bulls eye and so if you can start with eating the healthy foods that you already love you're way ahead of the game yeah yeah i think you know one of the one of the things that i think about as an author um is that you and i here's your book eat to beat disease this is a masterful book and you and i we we paint a picture in our books about what it is what is the path forward in terms of optimal human health but at the end of the day you and i would both agree that on an individual basis every single one of us when we read if we're reading eat to beat disease or reading fiber fueled i expect every single person who reads my book to take these general rules and apply them to themselves in a way that fits their unique needs their unique biology and makes them feel great that's what i want for everyone who reads my book that's what i want for people who are listening to this conversation and i think that you know one of the challenges that exists is that our current research techniques are designed to give us the big picture right we understand the general principles of biology and what is the optimal way to eat but it doesn't allow us to zoom in on that individual person who is listening to us here today and say hey for you this is actually the best for you though this is the exact way to go for you and that's what i'm excited about with the future of nutrition which is coming from you know the work that's being done with zoe where i'm on the scientific advisory board because for the first time we are creating the tools and by the way this is a communal this is a communal process all right we are all contributing to allowing this to happen and by all of us chipping together being a part of this citizen science project we can start to understand and disentangle the unique nature of every single one of our unique biology to know what are the best foods for each of us on an individual basis what are your thoughts as an author and as a scientist with regard to all these types of ideas yeah you know i mean this is what you're talking about is so so spot on in terms of of what's exciting today uh what's important today uh one of the things i do by the way is i'm involved with not only cancer research but i'm involved with cancer patients and there are some amazing breakthroughs for cancer treatment but to speak to how every individual is different we all know somebody who you know could be a friend or a family member or a co-worker or a neighbor somebody had cancer and didn't do very well no matter what the treatments were regardless of what medical center they went to and then we also know other people who might have had a really bad cancer and somehow they they bounced out of it they they're just fine and you know the the question that i always want to know is like what makes the difference between somebody who um did really well versus somebody who who didn't do well and uh my colleague dr laurent zipfelgel in paris actually studied 200 patients who are getting immune therapies that allow the body to fight cancer by itself and found that the difference between people who responded to their own immune system versus people who didn't respond well and got you know got sicker and a lot of them died responders versus non-responders came down to their individual microbiome and if they had the right kind of pattern of the microbiome they responded beautifully to this treatment so it's not just food and general gut health it's really food and the whole medical premise all together and it's this is probably not only true for cancer treatments it's probably true for heart treatment it's probably true 400 emotional psychic psychiatric psychological treatments as well and so i think this idea that we need to all contribute to understanding who we are why we are and how we can be that's really what zoe's trying to do that's the work that you're doing on the scientific advisory board that's why we're having these conversations to share with people what's actually happening at the forefront of medicine and for those of us who are privileged enough to be working in that space this is not something you have to wait for for another 10 years this is stuff that's happening now that that you can actually make decisions on like right here right now tonight your next meal you're the next time you put something in your mouth just think about like what it is that you're doing for the inside of you and then ask the question how can you find out more and that's actually what this program is all about i love that yeah and that's it's so it's so well represented and you know it's one of the things that i love is that this is a collective effort right this is not scientists sitting up on high in their ivory tower and saying oh do this do that no no this is us collectively as humans we're banding together and there are some scientists who are crunching the numbers they're statisticians and then there's those of us that are contributing we're contributing to making this possible and so every person who can who participates in zoe you are a contributor to this science you are empowering and enabling this and it's going to help other people and it may help you too and that's that's a beautiful and powerful thing before we go real quick i want to tell a brief story since i have you here this is the first time that we've actually done an interview live together and um so i just want to share with everyone when my book fiber fueled made the new york times it was a little over a year ago it was in may of 2020 and i found out on wednesday night so authors find out on wednesday night whether or not they made the list and the first person to call me was this man right here dr william lee he was the first person to call me we talked for two hours that night and we spoke about what it means to be fortunate and blessed with the opportunities that we are as authors to have people to read our books and care about what we say and then to have the opportunity to apply our talents in the future to wherever it is that we see an opportunity to try to help and do good at the end of the day he and i we're both medical doctors we care about helping people this is our life work and um so one of the things that dr lee said to me that night when we are on the phone was he said to me you need now that you're a new york times bestselling author you need to find your north star you need to decide where you want to go with your career and don't let anything distract you from getting to the north star and as i sat there and i thought about what i wanted to do i knew that there was a gap in the knowledge on personalized nutrition i knew that there was so much more that we didn't know on how to apply these nutrition concepts to the individual and um that ultimately led to where i am today which is on the scientific advisory board for zoe i'm here participating in a part of it because i want to be a part of it because this is my north star this is what i'm trying to do and so so while i have you here dr lee i just want to um say thank you to you for the way that you have supported me in my career for the phone call that you made that night to me you changed my life and um i just can't thank you enough i think that you're a wonderful person and i'm grateful for you in my life well thank thanks so much uh for for those kind words and uh it is true that um you know we have uh uh um sort of uh bit the apple so to speak that says that there's so much more that actually can be done for people and when it comes to nutrition when it comes to personalized nutrition there's such immediacy to this that's what kind of makes me excited when i see talented physicians uh do so well like you have not only with your career and your book and um you know all the other court you know the courses that you're doing all the other activities you're involved with um it means that uh you're you are helping things uh become ignited and i think that's really uh a powerful uh outcome so thank you very much for uh your kind word thank you for uh participating in this uh program i think that you know everything that you've discussed uh and we've been trying to communicate is so important that's an important message for people to hear uh a hundred percent couldn't agree more dr lee this was an amazing conversation uh honestly we could talk for hours i know we have we have and we can continue to uh for the sake of everyone's time we're gonna go ahead and we are wrapping up today's session of the gut check series thank you everyone for coming and joining us we will be back again tomorrow i hope that you've enjoyed this i hope you found this informative and empowering we'll be back tomorrow at the exact same time but in the meantime if you if you would like to learn more about your biology about which foods are the right foods for you about how to optimize your gut health for optimal metabolism for optimal health throughout your body head to joinzoey.com and use the discount code gut check series for 10 off so we'll see you guys tomorrow same time enjoy the rest your day thanks again for hanging out with us