1583: EGD & GERD, MODY Diabetes, Skin Issues, AST & ALT ratios, Myopia Nearsightedness (HouseCall)

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Stephanie: Hello I am in the IHP level 2 and currently trying to help my mother with her gut issues. She has been on Omeprazole for years and treated conventionally a couple times with antibiotics for hpylori that was diagnosed by EGD. A subsequent breath test (which I know Dr Cabral is not a fan off for good reason) showed she was negative after treatment. She also has a hiatal hernia. Last year when I found this program I convinced her to come off of her Omeprazole but she suffer with it daily, some days better than others. Last October she started the CBO protocol however mid month 2 she went on a trip to Italy and did not finish her protocol. She then started eating bad again and taking her Omeprazole. She has since then completed two 7 day DCD plans and drinks a smoothie every morning with DNS, collagen and takes vitamin D omega 3 and some zinc and magnesium . She has the fatlossity program however is thinking that may be correlating with her intensifying reflux symptoms so she is cycling of it currently and going to see how the reflux goes for a few days to see if that is exacerbating her symptoms. She drinks hot lemon water and ACV every morning and in efforts to not take her Omeprazole she is currently taking an essential oil to help with episodes of reflux. They only help to a small degree. I have searched the podcast for weeks listening to all the shows I can find on reflux and hiatal hernias but can't seem to get enough info. My questions are: What can be done for a hiatal hernia? Is surgery the only option and if she doesn't have surgery will she ever get rid of the reflux?Should she continue the CBO protocol by picking up where she left off last October? Doors she need to do a new protocol? Should she do the heal and seal? If so when? I really tried to search for all the answers and maybe I'm missing it somewhere can you at least answer the questions above specific to her I would surely appreciate it. She is trying so hard but the burn in her esophagus is hard to ignore and she Is worried she will never find relief Lindsey: Hello Dr. Cabral, I hope I am not repeating a question, I did look through your archives for a few different varieties of this topic, but did not find anything.I would like to see what you know about MODY diabetes. I have yet to get an official diagnosis, but my mom and I both have the same issues. She is working on getting a genetic test to find out for sure. My insurance required doctor suggests putting me on Metformin even though I explain it is not supposed to work for this type of diabetes. We are not diabetic "enough" (yet) for a regular endo to be interested in (and I'm not interested in the only tool they seem to have in their toolbox), I have tried many naturopathic and functional medicine detoxes, cleanses, therapies and protocols. I do feel better about my quest towards general health, but am no closer to figuring out the specific dis-ease and dysfunction affecting my blood sugar. I also know that a lifetime of even mild MODY and pre-diabetic levels of blood sugar can be catastrophic in the long run. I am 36 now and need to figure this out before more damage is done. My A1C ranges from 6.0 to 6.3 for years, but I feel it may be going downhill. I have been trying many types of diets, eating patterns (fasting, etc) and supplements to experiment with their effect, but it is very difficult to get a good gauge on what works when it would take years to isolate one specific variable to try every three months and request an A1C test. No one, even the specialists (endos) have much info on this aside from what pills work on it and which don't - and the ones that are supposed to work are the really bad ones that they don't like to prescribe anyways. Help, I don't want that to be my eventual only option!! Do you have any experience with MODY, or a direction to point me in?Thank you so much for your time. Suzanne: Hi Dr Cabral. Your amazing! Could you please consider doing a 'what your face is saying about you podcast?' (I know a lot of skin issues are gut based but I'm sure there is more detail to delve into on this topic.) Thank you! Karyn: Hello, My 4 year old son recently did a blood test. The Dr noticed his aspartate transaminase (AST)/ alanine transaminase (ALT) ratios were out. My son's levels were AST 30: ALT 13. The Dr said the levels should be equal and that this signifies mitochondrial dysfunction. She said he may need more Vitamin B6 but other than that no recommendations were given. My son cannot swallow capsules so we are a little lost on how to go forward with this advice. I would like to pick your brain and ask if you could please let me know what would be going on in a 4 year olds body that would result in this abnormality? Is there a way to get his levels back to normal? If so, please share. And also, if this is a sign of mitochondrial dysfunction would you please give me some advice on how to support his mitochondria in the future? You're advice would be greatly appreciated. I have been listening to you for a year now and hold your opinion in high regard. Thank you Anthony: Dr. Cabral! What are your thoughts on those with high myopia and nearsightedness? I have -7.50 and -9.00 respectively with some astigmatism. The severe myopia I've had began when I was 5 with too much near screen use. I take Lutein and Zeathenaxin currently and Omega 3's. Beside's that, is there anything else that should or could be done? Can severe myopia actually be reversed if one has worn glasses their whole life? 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