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What’s Living Inside You Could Be Why You’re Sick | Dr. Bill Rawls

with Dr. Bill Rawls
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Josh

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Dr. Bill Rawls

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Josh

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Dr. Bill Rawls

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Josh

Now, why is that, do you think? Yeah, because people aren't one day waking up and saying, "I'm sick." Right. It's a slow progression. All of a sudden, over a course of a year, somebody realizes, "Wow, I feel like I'm aging too quickly. My body's falling apart." You know, and that's the sort of thing that you're talking about there, right?

Dr. Bill Rawls

Yeah, same thing with me. You know, it wasn't like I just suddenly got sick.

Josh

Yeah, it was—

Dr. Bill Rawls

it was over years that it just— my ability to function was gradually compromised to the point that I just said. Think about it from the cellular point of view. I mean, you've got every cell in the body bombarding the brain with distress signals. You know, all your cells are in turmoil, they're being attacked by microbes, everything is a mess, and your brain is just on fire. We haven't made any new antibiotics since I graduated from medical in 1985.

Josh

Talk about antibiotics for a minute. It's the most prescribed medication for Lyme disease today.

Dr. Bill Rawls

Borrelia, the Lyme bacteria, the spirochete, in its most active phase doubles every 12 to 24 hours. It's really, really slow, and that's the defense mechanism. So antibiotics, even in acute illness, aren't going to work as well.

Josh

Most people don't have just one microbe affecting them. It's multiple. And there was a study I read recently on— this was shocking because I had not read this before— one of the single greatest causes of cancer today is having a coinfection. Specifically in the study, it was of parasites. Like, if you have a parasitic infection long-term, your risk of cancer goes up dramatically. It's literally one of the biggest causes of cancer, period.

Dr. Bill Rawls

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Josh

Everyone, Dr. Josh Axe here. Welcome to the show. Today, we're going to be talking about the epidemic of chronic infections, everything from Lyme disease to long COVID, to CMV, to Epstein-Barr, to parasites, to mold, and how they are lying dormant in many of our cells causing us to be sick. And if you have issues like headaches, fatigue, chronic inflammation, multiple sensitivities, or you just don't know why you're ill, today I've brought on one of the world's leading experts in how to heal chronic infections like Lyme disease. It's Dr. Bill Rawls. He's a medical doctor. He's also been trained in herbs. He's a bestselling author.. And today we're gonna be talking about how to heal the chronic infection crisis of Lyme and viruses, bacteria, and so much more. Dr. Bill, welcome to the show.

Dr. Bill Rawls

Hey, thanks, Josh.

Josh

Glad to be here. Yeah, well, I'm, I'm excited about the conversation today. Uh, I know you wrote a book, uh, that I, uh, endorsed a few years ago where you really dive into how to heal the cells, right? Why so many, so many of us are sick today. And one of the reasons why I wanted to endorse your book, and I was a big fan of the work you were doing, is you think about cellular health, overall health, and even chronic infections in a different way. One of the things I see so much today is both in the mainstream medicine and even some of the natural medicine community, or most of it, it's like if somebody has Lyme or somebody has some sort of infection, we just need to go and bomb the body, right? Whether it be a conventional antibiotic or a natural antibiotic, that tends to be the philosophy Your philosophy is very different than that. Tell me why that is and what your general philosophy is for healing the body.

Dr. Bill Rawls

Yeah, you know, when we look at Lyme disease, everybody doesn't distinguish between acute Lyme disease and chronic Lyme disease, you know, so an infection— I don't even use the word infection and chronic together anymore. So infection is when a microbe first enters the body, whether it's a respiratory infection, a tick bite, or whatever. And that is, you know, that's ongoing and it's assault between the immune system and that microbe that's trying to invade the body. But if you have chronic symptoms that you think are associated with a microbe, it's often quite a bit more complicated. It's typically not one microbe. It can be a spectrum of microbes and they often have been there in your body for a long time. And the mechanisms of how they do that are really fascinating. But what's happened is your body has lost the ability to contain those microbes. Yeah, because we all have microbes, you know, we're an ecosystem. And, and if, if you're sick because microbes are breaking down your body, your body has lost the ability to protect itself. Your cells have lost the ability to protect themselves and That's priority norm number one is restoring your body's ability to keep these microbes contained because so often it's not a goal of eradicating them. You know, they become part of us, kind of an ill-fitting part of us, but they're part of us. And so I've been doing this journey for a long time. I've had robust health, some of the best health I've had in my life over the past decade. After having just this total assault. My body was a wreck by the time I was age 50, and now I'm in great health at age 58.

Josh

What were some of the issues you were dealing with?

Dr. Bill Rawls

Everything. My whole body was falling apart. But, you know, it wasn't from a tick bite, and I think that's really important. I probably had, you know, I had lots of ticks when I was a kid because I grew up playing in the woods. But it was 20 years of doing obstetrical every second to third night, every second to third weekend for years and years on end. And I just basically didn't sleep for 20 years. And my body started breaking down by the time I was in my late 40s. But it wasn't just feeling fatigued because I hadn't had sleep. And even after I stopped doing obstetrics, I was forced to quit that practice and had more time to sleep. My sleep didn't come back, but I had cardiac symptoms. You know, my, my heart was beating, skipping beats every second or third beat. I had chronic chest pain. My joints were a wreck. I had brain fog. I mean, basically everything. My gut was a wreck. Everything was a mess. And, um, yeah, it was a bad place.

Josh

And why was that? Why were you dealing with all those issues?

Dr. Bill Rawls

Because, well, that really gets into the idea of what's going on. Um, you know, when we look at chronic illness, chronic Lyme, or really anything else, you know, so when I first came out of the gate, I really didn't know what was going on. I went to my conventional colleagues, I did all the standard testing, I did thyroid functions, some tests it was abnormal, some tests it was normal, tried thyroid hormone, did nothing. Neurological evaluations, had a cardiac cath, you know, and they said, "Well, your vessels are clear, we're not really sure what's going on in your heart, here, take this beta blocker," you know. And I was just not satisfied with that, so I eventually became certified in holistic medicine, started gravitating toward, toward, you know, alternative therapies, and did a lot, you know, changed my diet, changed a lot of things about what I was doing, did a lot of nutrient therapies, but it was helping. I was functional. But I was far from being well, and I started a primary care practice just to make ends meet because I had to have an income. And so I kept grasping at this idea of what— there's got to be something going on. And what made the most sense was, is it a microbe? Have I got some kind of microbe that's just affecting my system? And did testing Lyme test was negative. There wasn't much out there. I identified with fibromyalgia because, you know, when you don't, you know, it wasn't bad enough to be MS. I had a lot of those symptoms, but the testing wasn't enough to quite get you over the line for that diagnosis. And so I kept looking. I finally found with more other testing that I was carrying one of those microbes. Was carrying Borrelia, probably had a lot of other things, but back 20 years ago, we weren't testing for a lot of other co-infections at that time. Sure, I had Bartonella, looking at my past history.

Josh

So talk about define, what are those? Borrelia, Bartonella, and where do you think you got those?

Dr. Bill Rawls

Tick-borne. Yeah. You know, and those are the classic things. Ticks carry a lot of stuff. Right? Ticks carry a lot of different microbes. Borrelia is a corkscrew bacteria called a spirochete that we refer to as the Lyme bacteria. But, you know, as we've been doing this over the years, we found that people have a lot of other things too. So Bartonella is very common, but most people probably don't get Bartonella from ticks. They pick it up from cat scratches and, you know, interactions with animals. Bartonella exists in every mammal on earth. Even whales have Bartonella. So a lot of these bacteria— and I thought, you know, that's what's making me sick. If I do antibiotics, I'll do— I'll get well, you know. And I think a lot of people are in that place that they have all these crazy symptoms, they don't have a diagnosis like MS, they end up in the category of fibromyalgia or chronic fatigue or something like that. Like that. And we're seeing a lot of chronic Lyme because if you have all those symptoms, in the conventional medical world, it doesn't get you much but treatment of symptoms.

Josh

That's it.

Dr. Bill Rawls

Yeah. That's all they have to offer.

Josh

Yeah.

Dr. Bill Rawls

We don't know what's causing it. We have these drugs that can help your symptoms a bit, but you're not going to get well.

Josh

Yeah, and that's what I was talking about earlier is really it's just the treatment of symptoms. And one of the things that you have done, I know in your work, has said, you know what, we're gonna stop treating symptoms. And listen, I've noticed this with interviewing, you know, hundreds of people here on the show and a lot of doctors is that most doctors discover how to do things differently because of their own illness or the illness of a family member, right? Yeah, it's true.

Dr. Bill Rawls

We all have a story, right?

Josh

Yeah, and so, and it's like, well, treating symptoms isn't working, so I need to find something else. And for you, it seems like part of that has been healing and fixing cellular issues.

Dr. Bill Rawls

Yeah.

Josh

And so walk me through a little bit about how you look at the cell, maybe some parts of the cell you wanna heal, and maybe why treating symptoms isn't enough, but getting the cell well is enough to help people heal.

Dr. Bill Rawls

Yeah, it— you know, this concept seems so simple and it took me 20 years to get here because our opinions and how we think are so biased. You know, in conventional medicine, really, I look at two sides of conventional medicine. There's acute intervention. That's what I was doing mainly in obstetrics and gynecology. Things happened acutely, uh, someone has a tubal pregnancy or an arrested labor, we can fix that. We do a great job with that. But when someone becomes chronically ill, it's a different thing. So an acute intervention, it's typically one thing. It's a tubal pregnancy, a broken leg, a blocked artery, and we go in and we have interventions to change that. But when you look at chronic illnesses, just about virtually every chronic illness they defined as multifactorial. It comes from a lot of things and we just don't really know what causes it. So we default instead of treating the underlying causes to treating the manifestations of the illness. So we're treating inflammation, we're treating hormone imbalances, we're treating the symptoms. And so I, you know, looking back 15 or 20 years ago, I was going, what are the causes? You know, how can we get to these root causes? And I started looking at categories like diet. That was an obvious one. Stress, that was a big one. Toxins in the environment, that was huge. And just, you know, a toxic environment, including abnormal radiation, uh, not, not exercising, or physical factors like trauma. Um, and then the micro factor, which I was still figuring out. But as I progressed, I've started looking at that idea of the body as cells, which I think is a really different way of looking at it. You know, in conventional medicine, we divide the body up into compartments, you know, and we have specialists. So we have cardiologists and pulmonologists and gastroenterologists and all of these different people. And really, when you look at the body, if you want to simplify something, take it down to its smallest functional unit, and that's a cell. So our body is made up of cells. Everything that happens in the body is, is due to the actions of cells. Absolutely everything, whether that's your thyroid producing thyroid hormone, your heart beating, muscles contracting, brain impulses firing, it's all cells. Every single bit of it. So when you look at a cell, each one of our cells is an independently functioning unit. Now all of our cells came from one cell, of course, So when you look at that idea, they're all structurally the same. Now the structure has been changed so they can do different jobs, but they're all like little biological independently functioning machines. And so if you look at your cell mechanically, functionally, like it was a little machine, Every machine has operating requirements, right? Mm-hmm. So our cells need the right nutrients. And if you look back at our historic— our history through time, you know, that's a whole food diet weighted in vegetables and meat. You talk about these things are natural foods. That's what our cells are programmed for. That's the nutrients. And if you're eating a whole food diet, you're eating a whole fella, so a whole cell diet. It's like an apple isn't just carbohydrate, it's carbohydrate contained inside cells. So when you're eating an apple, you're getting all the parts of the cells and those are nutrients for your cells. You eat a couple of cookies, that's raw carbohydrate and fat extracted from a seed source it's not gonna have the same thing, even though it be— may be exactly the same carbohydrate. So the right nutrients, cells need a clean operating environment, that's really important. So when you look at our world today, all of the petrochemicals and pesticides and plastics and all of these things, they're organic chemicals, but they're unnatural organic chemicals. They readily get in our body, but when they get in our cells, they basically clog up the works. Our cells don't function as well. It compromises their, their function. Cells need downtime. You know, some cells like our heart cells have to rest in between beats, but our, you know, when we talk about that process of autophagy, then I know that you talk about a lot, that happens most at night when cells have downtime. So me, getting 2 to 4 hours of sleep at night, you know, I was starting every day with cells that haven't recuperated from the day before, and eventually that adds up. Yeah. So our cells need downtime during the day, but that good 8 hours of sleep at night, really important. Yeah. Cells need good blood flow. So when we talk about exercise, there's such a long list of benefits, but one of the biggest things is it increases blood flow. So the spaces between cells that they have to get nutrients and oxygen and purge waste are very, very tight. So when you have cellular stress, you have cellular die-off, and that congests those spaces. And just the pollution and junk that your cells are having to purge, it clogs those spaces up. So when we exercise, We increase blood flow and that basically flushes those spaces, flushes all that junk into the lymphatic system. So cells have to have that. We have to move. Yeah. Every day. And it doesn't necessarily have to be extremely vigorous movement. It can be just walking.

Josh

Yeah.

Dr. Bill Rawls

Or doing yoga or Qigong or whatever. And the last thing is our cells' archenemy are microbes, and that's a big thing. And what the damage— you know, we talk about infections and everybody thinks, I have symptoms, it makes me feel bad. But really what microbes want is food and resources, and our cells are food and resources, and they do damage by harming our cells. So all the microbes in our gut and on our skin and out and in these locations are basically outside that cellular space. They're protected. We have barriers in the immune system to protect our cells. So, but we're constantly, not just when we occasionally have an infection, we are constantly breathing in microbes right now while you and I are talking. Microbes are bacteria crossing from our gut, from our sinuses, from our gums to get at ourselves. So it's this constant struggle that our immune system has. And if our cells are healthy, then we're in a pretty good place. And this is something that I learned that's really interesting. That process of autophagy, mm-hmm, it's also a defense mechanism. So when cells, when microbes, viruses, bacteria, protozoa, when they invade our cells, our cells, if our cells are healthy, then they can actually use that process of autophagy to basically digest the microbes. Yeah. So that's part of our defense system that I don't think is talked about very much. That's really valuable. But, you know, so it's Yeah, that, that is really important. So that's really the formula of wellness right there. Yeah.

Josh

So, so as you're talking about, and just to, uh, just kind of track back and, and to kind of help everybody, um, fully understand this, there, there are multiple causes of cellular sickness. And so your belief and philosophy very much is you aren't well, people are not feeling well, whether they've been diagnosed with everything from MS to a Lyme diagnosis to fibromyalgia due to cellular sickness. And really the key to healing people people is addressing the cell. There are several things you mentioned I want to pick up on. One is, one is cellular toxicity. All of the toxins we're exposed to, everything from sugar to glyphosate to environmental pollutants, those are contributing deficiencies. That could be blood deficiencies, it could be nutrient deficiencies, but there are things that the cell needs to function properly. And if we're missing those via typically poor diet, lack of absorption, that's gonna cause an issue. And then there's the issue with these microbes, these foreign invaders that are coming in and sort of threatening us. And you talked about the cellular mechanics, and there's a few things you mentioned there I just kind of wanted to bring out, and I'd love to hear maybe you talk about some of these different areas. One was autophagy, and this is really related to lysosomes, right? These lysosomes of the cells come in with autophagy. They're like the, you know, the, you know, they're the waste management system. They're the recycling system. They are getting rid of the senescent cells, the zombie cells, the chemicals, the things that your body has to get rid of. The other thing is the mitochondria. This is something I'm excited to hear you talk about is sort of the cellular energy that is so critical that we kind of need to build up while we sleep. You talked about the importance of that, right? And then there's— there's the nucleus, there's the cell membrane, there's the receptor site. So there's all these areas of the cell that are almost like the organs of the cell, right? We've got our liver, we've got our lungs, we've got our reproductive organs. Our cells have organs of their own that function, and we need to make sure those are functioning properly. And so when you take care of patients, Dr., Dr. Rall, and they come in with, let's say, an issue like— I know you're an expert in Lyme disease primarily, but also other infections. But when they come in, what are some of the things you start to do Is there testing? Is there a way of diagnosing what sort of issue you think they have? And then how do you start to go about start— starting to fix some of the cellular issues?

Dr. Bill Rawls

Yeah, you know, I, I went through a phase in my practice that I did a lot of testing and was very much like most functional providers, but I learned over time to do something that people just don't do anymore. For, and that's talk to the patient.

Josh

And by the way, the average doctor visit is 7 minutes, right? That's the average.

Dr. Bill Rawls

Yeah, yeah. I, I, I really failed at clinical medicine because, you know, I have part— part 1 of my practice was OB-GYN, and that went 20 years. And then part 2 was this building out this concept of a wellness practice, really before functional medicine was in vogue. But I was in a small town, so I really didn't have the option of not taking insurance. But I really just felt a need to help people. You know, you have this tremendous experience and you get your life back and you want to do something. And I was spending more and more time with patients, like up to an hour or more per visit. I was seeing like 10 patients a day. Which really is hard to make ends meet that way. But I— and later I started doing online consults that were much more like health coaching consults, so I wasn't really managing medications, but just looking together, piecing together why that person became ill, I found to be so valuable. And so my first question would always be, What was your life like? Can you, can you tell me about what your life was like before you started having symptoms? You know, what you were eating, what kind of stresses you were having. Sometimes that would go all the way back to childhood.

Josh

Yeah. Yeah.

Dr. Bill Rawls

And just work from there. And it included questions like, you know, were you on a lot of antibiotics when you were a child? Do you have infections, various kinds? And just piecing together that puzzle with those 5 factors in mind, you know, what are you eating, what kind of environmental toxins have you been exposed to, or other environmental stress factors, uh, what has your stress level been, what was your, um, you know, what, what is your capacity for exercise, or have you had other physical issues, traumas, that sort of thing. And what kinds of microbes might have you been exposed to in life. So I'd like to come back to the microbe part because it's really fascinating. I think it's a key part of understanding chronic illness. But, um, so just stepping people through that, and many of these people identified with chronic Lyme disease. And interestingly, what I found talking to really thousands of people over the past 15 years is that about 90 to 95% of people who identified with chronic Lyme disease did not remember becoming ill around the time of a tick bite.

Josh

Wow.

Dr. Bill Rawls

So they were like me.

Josh

Now, why is that, do you think?

Dr. Bill Rawls

Yeah, because these bacteria are stealthy and they're not highly virulent. This is interesting. And just putting together this concept, so when we talk about that, that word virulence, the capacity of a microbe to make you sick, is actually more about your immune system than it is about the microbe. And it has to do whether we have built-in immunity.

Josh

So now, part of this is due to when you use this terminology, when you said what you just said, it's that people aren't one day waking up and saying, I'm sick. It's a slow progression. All of a sudden, over a course of a year, somebody realizes, wow, I feel like I'm aging too quickly. My body's falling apart. And that's the sort of thing that you're talking about there, right?

Dr. Bill Rawls

Yeah, same thing with me. You know, it wasn't like I just suddenly got sick.

Josh

Yeah, it was—

Dr. Bill Rawls

it was over years that it just— my ability to function was gradually compromised to the point that I just said, I can't do this anymore. I have to do something. And that's true with most people. And so in my case, yeah, tick bites. I had a lot of them when I was a kid. But there's that question of where were they in my body? What was happening? But this idea of virulence, you know, when Ebola is really bad, right? It makes people sick. Anybody exposed to it gets sick, and it's because we don't have built-in immunity, and it's because humans have never been exposed to that virus. It's relatively new, and it has happened very rarely in time. So we don't have any built-in defenses. So when that thing hit us, it was devastating. But the value, the, you know, one of the good sides about Ebola, because everybody gets very, very sick and you can look at someone and say, "You've got Ebola," you can quarantine those people. So it's usually contained.

Josh

Hey, can I give a modern-day example of this for everybody? COVID, you know, I mean, when I started seeing patients with COVID it was presenting unlike most viruses, right? Most of the time, and I have a lot of friends in the Asian medicine community, and they saw the very same thing where it was typically you have this infection, it's respiratory related. Well, we started seeing COVID was really affecting the blood, you know, in a really profound way, in that same way. So it's like, why were people, especially with COVID-19, having these major, major symptoms and some people not recovering? I think it's the very same thing you're talking about with the bull to a lesser degree, but still that same thing in terms of this is a new thing the body is not fully adapted to yet.

Dr. Bill Rawls

Right. You know, and that's, that's when bad things happen as they skip over from an animal host, which the origins of COVID I guess we don't— we're not sure where SARS came from, but it was relatively new. But in the same respect, it's a coronavirus and we're exposed to coronaviruses. So we had some immunity.

Josh

So, yeah.

Dr. Bill Rawls

It's like mortality with Ebola, which we really don't have any immunity for, is 30 to 60%.

Josh

Yeah.

Dr. Bill Rawls

The SARS virus, it was, it was maybe around 1 or 2%. So it wasn't as bad. When you look at Lyme though, and all these other microbes we talk about, Borrelia, Bartonella, and scores other of many others. They don't really kill people, especially acutely. And we do have built-in immunity. So ticks have been biting humans since the beginning of time. Yeah. So we've been exposed— as long as humans have been around, we've been exposed to these microbes. But they're very stealthy, and this give and take, this tug of war between these microbes that we've been continually exposed to and our immune system, you know, it's just been going on for a long time, so there's, you know, kind of one-upmanship that's been going on, and that kind of puts us in a place where we have a very odd and interesting relationship with these kinds of microbes, and this is where it gets really fascinating. So what I found is that Borrelia and all the others that we're talking about have the ability to enter the body generally without a whole lot of fanfare. A lot of people don't even realize that this microbe is trapped— this bacteria is traversing through their bloodstream. But it, you know, its strategy isn't overwhelming us and making us sick. That isn't really what it wants to do. It wants a presence. That's it. All it needs is a presence inside a body so it can go on and spread to other hosts, and if it makes us deathly sick, it doesn't get that opportunity to go and infect more hosts. So all it wants to do is, is just have a place to hang out inside of our body. So it enters the body and it's trying to get through the bloodstream as quickly as it can. And it does that in very interesting ways. One, just moving through and getting to tissues as rapidly as it can, but also invading our, our red, our white blood cells, including natural killer cells, virtually all of our cells. It invades the cells and it has sophisticated mechanisms of actually creating a vacuole and staying alive. Mm. But it can enter our cells, our cardiac cells, our heart cells, our brain cells, and it can go dormant and it can stay that way. So this concept of intracellular dormancy is just fascinating that these microbes can actually enter our cells throughout our body, just pepper our cells.

Josh

And just take up residency.

Dr. Bill Rawls

And just take up presence.

Josh

Yeah. Wow.

Dr. Bill Rawls

Well, and if our cells are healthy, you know, that process of autophagy, sometimes the cell can get rid of them, but a lot of times it just stays there and the cell keeps right on working like it was normal.

Josh

Yeah, we've had a good friend of mine who I know, you know, Dr. Chris Motley. He's been on a few times. We've talked about this to where, you know, and sometimes some of these different microbes, they'll take residence in different organ cells specifically, you know, and take residence there. What have you seen in your practice in terms of what are some of the organs or systems that, that things like Lyme and these microbes most like to take residence in.

Dr. Bill Rawls

Yeah, well, that's interesting too. And, you know, when we look at this concept of micro dormancy, I found that it's a lot more widespread than we appreciate it. I've documented it for Bartonella, which is a completely different kind of bacteria. Intracellular dormancy does it. I've documented it for— it's been documented for Babesia. But also mycoplasmas, chlamydias, and then all the viruses like Epstein-Barr and many, many others. But things that would surprise you, like streptococcus, and we hear about pandas. I actually found a study that one of the varieties of streptococcus that invades our tonsils and, and makes kids sick it can actually go dormant inside cells, and it can invade white blood cells, which allows it to be carried into the brain and other areas. And all this has been documented for Streptococcus, which starts to explain, well, why kids with PANDAS are resistant to antibiotics. Well, it just goes dormant inside cells.

Josh

Yeah.

Dr. Bill Rawls

But different microbes invade different tissues. So they have preferences. So Borrelia likes tissues that are associated with collagen. It invades the cells called oligodendrocytes that surround our— that basically insulate our nerve cells. It likes to scavenge myelin. So it's all about food and survival.

Josh

You know, we've had— I remember having a patient in the past who came in with an MS diagnosis. And after some treatment, we discovered they also had mold issues. And when we started treating them for mold, completely healed, out of wheelchair, MS completely gone. And this happens all the time. There are so many people out there today that think, "I've got hypothyroidism, I have infertility, I have fibromyalgia, I have chronic fatigue," and they don't realize a microbe is behind it. Well, what are some of the most common conditions you see? Maybe give me your top 3, top 5, where people think this is what I have, but it is actually a microbial issue.

Dr. Bill Rawls

Yeah, I don't even think in terms of diagnosis anymore. Yeah, I've really gotten away from it because diagnosis is, you know, when you— the, the purpose of a diagnosis in conventional medicine is defining medical therapy, and the medical therapy We don't get to the root causes. People don't get well. Yeah. So, you know, MS and chronic Lyme disease are pretty nice examples to use. So MS, a lot of people test positive for Borrelia, but it's also been associated with Epstein-Barr, chlamydia. So there are other microbes that invade oligodendrocytes and scavenge myelin. And that basically is what's going on in MS. So your nerves, if you think of your nerves like copper wires and you've got a bundle of copper wires, if they're not insulated with plastic, they short out. So our nerves work the same way. They have to be insulated. So there's cells called oligodendrocytes that wrap around and it's like a plastic coat. So a lot of microbes, Borrelia, Chlamydia, others, like that, that myelin is a fatty substance that they use as a resource. So they invade these cells and then they can reactivate and start breaking down that cell, and it's like if the copper wire was partially— was the plastic was partially stripped from the copper wire and things began shorting out.

Josh

—And we see this with MS with loss of function of so many things. Yeah. Yeah.

Dr. Bill Rawls

So, but demyelination, that same process happens in chronic Lyme disease, just not to the same degree. So you got a lot of crossover. And I actually found a study looking at microbes and causes for MS. And interestingly, the article went through the dietary factors, it went through the toxin factors, it went through stress, it went through a sedentary lifestyle. Got to the microbes and listed— listed Borrelia, Chlamydia, several others that I had already knew about. So it was like it was basically that same formula. And but interestingly, they were able to find some genetic mutations that were more prevalent in multiple sclerosis. So in other words, genetics isn't necessarily a cause of disease. But it may be a factor that sets the stage, that puts you more at risk. And that's why some people may get a little bit worse.

Josh

Yeah, it makes it— I mean, you think about it, everybody's built differently. We, my, my 5-year-old daughter and I just did a genetic test, like swab test to see, you know, what she's going to be good at athletically. Like, it kind of will tell you she's going to have better endurance or better strength or better stamina. So there's some pretty amazing things we can see with genes. But it's the same thing. Some people have stronger, more robust liver. Some people are born with stronger, more robust lungs. And, you know, one of the things that I really appreciated about— you wrote this amazing book, it's called The Cellular Wellness Solution. And, and one of the things I've noticed, the way you think is very similar in the way that I've been trained to think. And that is we don't look at the body in terms of a diagnosis. We look at the patterns, we look at the environment. And this goes all the way back to Chinese medicine, Ayurvedic medicine. And looking at we can't treat the symptom, we have to change the environment. And I, you know, if you look at something like Chinese medicine, they would say, they don't say you've got MS, they would say, oh, your body is too damp and there's too much stagnation, that your blood isn't moving enough, or it's too cold and there's wind invading, which is actually microbes, and that's the issue. And so, you know, we just need to change the environment. And so I would love for you to just kind of share your thoughts on the differences in how you would treat somebody Conventional medicine says this, let's bomb the body, let's treat the symptom, let's just, let's do that, versus the way that you treat the body is saying, no, we wanna strengthen the organ systems, we wanna change the environment, and your own body will kill the virus. Right. Or the bacteria or the parasite, but we've gotta change the environment there. Share your thoughts on that, and then how do you go about doing that with patients? Like, what are some of the strategies, the practices and things you do? Chronic issues like Lyme disease often go hand in hand with other underlying conditions, one of the most common being thyroid or autoimmune problems. And if you're constantly tired, gaining weight for no reason, or feeling mentally foggy, these could be signs of a thyroid issue like hypothyroidism or Hashimoto's. The good news is there are natural ways to support your thyroid through the right foods, herbs, nutrients, and daily habits. And if you or someone you love is struggling with thyroid problems, I've created a free resource just for you. You can head on over to draxe-thyroid-class.com to discover practical steps you can take today to start healing your thyroid naturally. That's draxe-thyroid-class.com. Your journey to better energy, focus, and healing starts now.

Dr. Bill Rawls

What we're talking about here is behavioral modification, which is hard.

Josh

Yeah, yeah, you know, yeah, it's hard, it's hard.

Dr. Bill Rawls

I struggled with it. Yeah, changing my diet, changing everything in my life. I mean, it was hard. Yeah, you know, and, and, uh, and then you have things that are unexpected. So I had this really nice practice, but I had to leave my OB-GYN practice, and the only office building that was available to start this new office that I was pretty bad off at that point, but you know, small town, you can't tell people. So I got this little office. It was a 50-year-old building. It was full of mold, so I found all about mold toxicity too. Everything I learned the hard way. So, but it's, but looking at it, trying to put people through a pathway that we step them through, and now at this point Instead of doing a clinical practice, I build protocols and pathways for people, and I've spent the past year building a new one. But recognizing that some— that, that when someone is chronically ill and they've, you know, they, they're grasping everywhere, there's a lot of fear and a lot of anxiety, this sympathetic overactivity. That is a big impediment toward moving forward in recovery. And, you know, and you think about it from the cellular point of view, I mean, you've got every cell in the body bombarding the brain with distress signals. You know, all your cells are in turmoil, they're being attacked by microbes, everything is a mess, and your brain is just on fire. And you activate that fight or flight response. So, you know, we spend a couple of months calming that down through brain retraining exercises, yoga, qigong, some herbs, calming herbs, ashwagandha.

Josh

Yeah, I was gonna ask some of your favorites for that.

Dr. Bill Rawls

Yeah, yeah, there are a lot of great herbs out there. Ashwagandha is a really nice herb just for helping to calm some of the stress hormones. Some other Chinese herbs as far as calming herbs like philodendron, magnolia species. L-theanine is really nice. Um, some of those, those kinds of combinations, getting people on that. And, you know, and, and everybody comes in, you know, people with chronic Lyme especially, it's like, I've got to kill the microbes to get my body better. And it's, it's like, no, we're going to take care of that. Calm down. Yes, they're driving everything, you know.

Josh

So, can I say, I'm so happy you do this first because I truly believe that the number one, the most commonly missed thing by doctors today is not taking care of the stress component. 'Cause it's 50% of the issue with most patients or something close to that. So it's just, I'm so glad that you do that.

Dr. Bill Rawls

That's great. But we start 'em out on a tincture product with a herb called Cryptolepis, and Houttuynia and neem and several other herbs. And it's kind of a gentle formula that most people tolerate. So we want to start calming that microbe stress going on in our body. You know, when we look at chronic illness, whether you're talking about chronic Lyme, MS, anything else, how I see chronic illness now is that we all pick up microbes. So we talked about the tick-borne microbes, right? So there's Borrelia, Bartonella, and now the list is growing. My last count was like over 100 microbes. Yeah, there's so many possibilities. But then you'd start looking outside of that and there's evidence that things crossing from our gut, from our skin, from our sinuses, they're invading our cells too. And some people, some researchers are starting to call it the dormant blood and tissue microbiome, you know. There, there are studies that find that we actually do harbor some bacteria inside our red blood cells that are dormant. And that, you know, we— I don't know if we'll get quite that deep, but it starts to explain why some people have that coagulation system that, that goes on with chronic illness. Yeah, we've seen in COVID. Yeah. Um, so all of these things are there, and it's just, it's like this reservoir that's just waiting. And so then you go for years that you're not eating a great diet, and you're on— you're not sleeping like you should, you're staying too much, you're doing too much alcohol, or you smoke, or, you know, you have exposure to various kinds of environmental toxins, you're not exercising, and your stress, your cellular stress, your cells become weakened. So you reach a point where these microbes start reactivating, and when they reactivate, they start breaking down those cells and start invading other cells. So your body becomes— your, your body switches from a state of cellular health to a state of your microbes breaking down cells to create— basically turn your body into a food supply.

Josh

Yeah. And so really, step number one, as you're sharing, we need to optimize sleep, we need to reduce stress, right, in order to sort of recharge those batteries so your body has the energy it needs in order to heal as well. It's not overstimulated. What's step 2 when you start taking care?

Dr. Bill Rawls

Yeah, once you move to that point, then you can start— you have the person in a place where you can start talking about detoxification. And I don't, you know, when I look at detoxification, it's protecting the body's detoxification systems, but it's detoxifying their environment too. You know, if somebody needs a really clean environment and there's so much that we're getting through our food and water and skin products and especially our air that we're not recognizing cleaning up that so that they have a clean environment to live in. And then to me, detoxification starts at the cellular level. So when you have all this turmoil in your body, you are breaking down more cells. So when cells are stressed, they burn out faster, they die, and that creates debris and congestion that clogs up those really narrow spaces between cells. So it obstructs flow. So cells not only aren't getting nutrients and oxygen like they're supposed to, but they are also not being able to purge toxic substances. You know, they've absorbed heavy metals and all these things that we're all exposed to. They can't get rid of it. They're stuck with it. That space is clogged. So you need to start clearing that out. The solution to pollution is dilution. And exercise is a great way to do that, but when you've got somebody who's super inflamed, exercise is often not a great option. You know, getting them to do basic qigong or yoga or those kinds of things, that's really important. But, um, that's where something like sauna can be really important because it increases blood flow and that flushes out those spaces and starts clearing that congestion. And then once you're mobilizing it, protecting the liver. So using herbs like milk thistle and dandelion and Andrographis to actually help protect liver cells from that very toxic process. And you've talked about the kidneys too and using herbs to protect the kidney cells because if we start pulling this stuff out, we need to protect the cells that are processing it. And a lot of people just don't have great processing capacity. It's, you know, 25% of Americans have fatty liver. You know, you burn out your liver cells and replace them with fat cells. Yeah. Good because we live in a really toxic world. And I think that, you know, we hear— you hear about people, their cholesterol goes up as they age. Yeah, it's not because they're eating more cholesterol, it's because they're losing the ability for their liver to process it. Yeah, yeah. And, um, yeah, I've been taking milk thistle for, oh, 15 or 20 years, and My cholesterol is better than when I was in my 40s.

Josh

You know, I don't think most people realize to the extent of what your liver does. I mean, you know, I mean, I think about this because I take care of a lot of patients with hormonal issues, Hashimoto's, hypothyroidism, infertility, PCOS, diabetes, and, and also, you know, menopausal symptoms. And, you know, your liver is so critical for estrogen, you know, stabilization and the right levels of estrogen. So, so it does a lot. And again, milk thistle is one of those amazing herbs. I read a study once on it being able to, maybe better than any other herb, regenerate actual liver tissue.

Dr. Bill Rawls

Pretty extraordinary, yeah.

Josh

Yeah, so, so powerful. So I love that. And I love that you've got a process of, number one, we want to strengthen up the system. We want to strengthen the organs, strengthen the cells. Sleep and stress are some of the keys to that. And then now, as you're talking about, we've got to, move things. We got to move them. You know, in Chinese medicine, they call that like a, like liver blood stasis or blood stagnation. You got to move it. That is a chief thing to heal. And I love that you talked about a lot of those herbs. You know, one of the things that's so interesting is most these herbs that have, uh, their mechanism, their mechanism of action oftentimes is based on sometimes their flavor. You know, Andrew Grafis, I know, I'm sure you talked about this in your amazing book, but king of the bitters, right? So we, uh, Jordan Rubin and I own a farm just south of here, an hour south, and we grow herbs. And so we tend to— I like to play kind of a trick on people when we go out there. I make them this mix of holy basil with mint and goji, and it just tastes amazing. And then I say, hey, try this one, and it's Andrographis. And they're like, that's the worst thing I've ever— it's the most bitter thing I've ever had in my life. So it's, uh, but yeah, this bitter action is so good for releasing bile, moving things, um, And, uh, so I love that you do that. So once you start to move the blood, once you start to heal the liver and then support the kidneys, are there any steps after that in terms of helping people heal?

Dr. Bill Rawls

Well, you know, including in that is just getting their GI tract working again. So many people have food sensitivities. I mean, I've— when in my journey, I was sensitive to 75% of the foods that I was eating. Yeah, jug of all of that because I had leaky gut and My gut was a wreck. But the gut thing, I also realized that when you look at the fundamental thing happening with gut dysfunction, and this is why the, you know, calming things first comes first, a lot of it is slow motility. You know, we have bacterial overgrowth because things are slow. When we have sympathetic overactivity, our brain is programmed to take care of a threat, like running from a tiger. And then when that tiger never goes away 24/7, their brain is just activated and we shut non-essential things like digestion down. So part of that is slow gut motility and that's a big contributing factor to gut dysfunction. So we have to calm that sympathetic overactivity before we can actually address the gut dysfunction.

Josh

Well, you know, and why your protocol is so good is that most doctors completely skip the most important first step, which is the stress and getting you more in a parasympathetic state. I mean, I would say, I would say 95% of doctors, 98, just completely skip that step.

Dr. Bill Rawls

Oh, sure. Well, it takes time.

Josh

Yeah, 'cause there are herbs that help, you know, a lot of times, you know, if people don't want a medication, they want a supplement to fix it. And there are good supplements for what you're talking about, moving things, like I like Triphala, like I think that's a great herb for gut motility and benefits. But you can't just take triphala and live in this stressed-out state and think, oh well, that, that pill, that herb is going to fix it. Yeah, yeah, truly.

Dr. Bill Rawls

It's, um, you know, it's actually slow motility that are creating a lot of the, the bacterial imbalances, right? And SIBO, it's a big, big reason because You know, bacteria grow as long as food is present, and one of the reasons we need to keep things moving through is because the bacteria will keep growing, and we need to move that to slow down that growth. So if you've got slow motility, you still got bacteria in your small gut, and if things aren't moving, they're gonna keep growing, keep fermenting, keep producing bacteria keep producing gas. And so that's a big part of it. So yeah, getting that done, but then getting them on a reasonable diet. You know, so many people just really don't understand what a good diet is. Yeah. And, you know, I know you do a lot on, on diet, and I think you and I are very, very close of what we recommend for people to eat. And it's just getting back to those roots, you know.

Josh

I would love to hear from you because I, I have one myself. Like, like when you started learning about how to truly heal people at the cellular level, what was maybe something you'd believed in the past that you really had an epiphany on in terms of diet? Maybe, hey, I thought this was good for people, this isn't, or, or something like that.

Dr. Bill Rawls

Yeah, you know, it, it's, it's, it's getting back to our roots, but there have been a lot of bad nutritional advice over the years. So I can remember, you know, I grew up in the fast food generation and ate all of the wrong things. My mother was pretty good at getting vegetables in me, so I learned how to like vegetables. But, you know, you kind of default to the things that taste good. And, um, so my diet was not that great, but once I became a physician, I wanted to give my patients good dietary advice. And I struggled with slow motility, high stress, constipation a lot when I was younger. And the advice was at that time, well, you need more fiber. And man, I was packing in bran and, and Raisin Bran every day. Oh yeah. All-grain fiber and thinking, yeah, I'm following this advice, this is good advice. And I was eating all this stuff and I was gaining weight in my 30s and actually getting worse. My bowels were getting awful. And I just, you know, when you start reading about the Paleo diet and started leaning more toward that and did one thing early on that made an enormous difference is I cut out all bread and flour products and my weight went back down to where it was supposed to be. My gut cleared up. Just that one thing, just stop eating bread and flour products. So, and, you know, but it took time. It took years to give up cookies. And it's like labor and delivery, you miss a lot of meals, you know, there's just no food around, but there were always cookies and juice and donuts, and you eat that stuff because you're hungry, and that's all there is. And finally, you know, worked that out of my system, and everything cleared up and got a lot better. And started exploring diet, leaned more toward a paleo diet, just looked at our ancient past as far as what humans ate, and gradually gravitated toward that. And, you know, I've I really got it down to 4 basic guidelines that I follow now. Wow. And it's, and this would be right in line with what you're doing too. Yeah. So eat whole foods as much as you can. Yep. Most of my food I make from scratch from whole foods. Not to say that I make my own mayonnaise or, you know, but most foods that I eat, I go to the grocery store and I'm buying whole foods. And I'm making them from scratch. And I really enjoy cooking and making my own food. So that's number one. Number two is I try to eat more vegetables than anything else. I think vegetables are just really important. Mm-hmm. Vegetable fiber, not grain fiber, is really, really important. And then just kind of divide up everything evenly according to what works for you. So I eat meat. I, you know, and I actually think it's a little bit healthier to eat lean protein sources. Agreed. Some, but I think you can get by being a vegetarian, but, you know, I just find that I feel a whole lot better if I eat meat. I eat nuts, I eat a little bit of fruit. I eat some grains like oats, but generally whole grains or whole rice. I don't eat much wheat or bread. Occasionally I'll eat something like at a restaurant or something like that, but not very often. So I just divide up everything else evenly. Then the third thing is I try to keep my carbohydrate count below 150 grams, which isn't quite ketogenic, which gives me the ability to have some carbohydrate, which I think makes your life more comfortable.

Josh

Yeah, I mean, I actually don't think that being in ketosis is good for people most of the time. I think if somebody has MS or epilepsy, there's a period of time where it can be good, but I don't— Correct. Yeah, I don't think it's ideal, especially when you're trying to heal.

Dr. Bill Rawls

So that 150 mark, and sometimes I go a little over or a little under, but generally— and I don't carry around a little book, it's just that I know like, okay, an apple, that's about 25 grams of carbohydrate, maybe half an apple. You know, and that sort of thing. And then the last thing that I'm sure you can relate to is just trying to narrow my eating window. So yeah, I'm not as good as my son. My son eats one meal a day. He's really good at this. But, you know, I usually eat something light kind of late in the morning. A favorite for me is frying an egg and then doing like salad greens and mushrooms and artichoke. Sounds great. And olive oil. And I, you know, I cook an egg and then I put that in the pan. And so that'll be a light breakfast. And then, you know, even in summertime, we're trying to finish our last meal by 5 or 6. Same here. And then not eat after that. Yep. Man, I feel so much better doing that. Yeah. And, you know, if everybody were doing those 4 things, we'd all be in a pretty good place.

Josh

Yeah, yeah, I agree. You know, I, I agree with all that. I think one of my biggest epiphanies was, you know, when you're in school, early in practice, you, you hear somebody saying, I'm doing paleo, I'm doing keto, I'm doing vegan. And at first I was trying to figure out what's the best diet. And one of the things I realized was there's not, right? All patients are different. All people are uniquely different and designed. And so I need to find the diet that's best for this person or this condition, because I would have somebody come in with irritable IBS-D, and their diet would be very different than if I had a cancer patient come in, because IBS-D, I'm having them do mostly soups, mostly cooked foods, right? Versus this person, I might have them maybe even doing some juicing or some raw salads and vegetables and things like that. So, you know, I think that was one of my biggest epiphanies. But overall, I think the rules that you talked about apply to pretty much everybody in terms of getting real whole foods. You know, I'm not an actual big believer for, if people are sick, to doing a lot of intermittent fasting in terms of the very narrow window. I agree. I think men do better with it than women, generally speaking. But I think that doing at least a 12-hour or a 10-hour eating window, as you're talking about, works for pretty much everybody. So, but yeah, those were some of my epiphanies. You know, one of the other things I wanted to ask you about, and actually I wanna make sure that you finished your process. So we started out talking about if you want to heal from Lyme or chronic infections, you gotta lower the stress, you gotta get out of fight or flight, you gotta get good sleep, you gotta charge those batteries. That's step number 1. Step number 2, you gotta move the blood, right? You gotta support the liver in that, you gotta support the kidneys. And then the next step was the gut microbiome. Here's one of my other epiphanies that was making me, I was having a little bit of leaky gut in practice, 'cause I was just working all day. Even though I was eating really well, I had this issue. And part of it for me was overeating. I'm a really thin body type, and I want to have, maintain a certain level of muscle mass, but I was really eating until I was 100% full. And in Chinese medicine, they say eat till 70 or 80%, don't go over that. And with some issues like SIBO, that's a really big deal too. Cancer, dementia, heart disease— they're coming for so many people. And it's not just because of what most people think, which is that it's bad luck or bad genetics. The truth is your daily choices are either creating health or setting the stage for disease, and your doctor is probably reading your blood work all wrong. They're missing the cellular issues behind the symptoms. I'm currently offering a simple at-home blood test that actually tests for the right things, and just as importantly, it comes with proper interpretation of the results. This new test flips the script. The future of interpreting test results is here. If you want to check it out and grab one before they're gone, just go to mybloodwork.com now. Oh, I agree 100%.

Dr. Bill Rawls

And that's another thing that I've done is that, yeah, that 70% rule, it applies to so many things, you know, uh, exercise, eating, everything. Just go to that 70% of your full capacity and you're going to be a whole lot more comfortable in life.

Josh

I was talking about, you know, Mark Sisson, he started Primal Kitchen, and he's got, uh, so he was on here, uh, last month, and he actually just moved to Frankfort, Nashville area here. So we're gonna get together here soon. But he was— we were talking about this to where when I was younger, uh, I'm 43 now, but when I was in my 20s, I was, um, even in my 30s, I was like, okay, when I go and work out, I'm going 100%. Like, every set I do is to where, like, absolute fatigue. And then, you know, and I injured my, myself that way a little bit, my back, and then having other issues. And so, but to your point, it's the same with exercise. It's you want to go until, hey, maybe it's hard, but don't go until you fail, right? Especially as you get older, because all your ligaments, all your tendons are— when the muscle fails, you're starting to start to harm your, you know, your ligaments and tendons. And I see people in the gym all the time now. I go to Lifetime Fitness here in Tennessee, and a lot of these— everybody is doing everything until they're just like, you know, absolutely failing. And it's not how— this is why people are getting hurt in CrossFit and a lot of these, these cellular health.

Dr. Bill Rawls

You're, you're really doing some cellular damage at that point. That's right. You know, looking at those 5 stress factors, the, the 4th one, I define it as physical stress. And so being sedentary is a physical stress, but other kinds of physical stress, just pushing your body too hard can be a really significant thing too. And reading Outside magazine for years over, you know, they periodically have articles on extreme athletes and having something that sounds basically like Lyme disease. So when you look at chronic illness in any way, it's all based in cellular stress, and you can push your cells too hard to the point that they can't recover. They, they lose that recovered capacity. But I I'm also in a place that I think there's this component, this, of reactivated microbes in every chronic illness. And I think, I think that's a big part of it. So we pick up a lot of different microbes from the time we're born and we start picking up mycoplasmas and just an enormous range of things and they can become dormant inside our cells, inside of our tissues, and when we're stressed in various ways, they can reactivate. But different microbes occupy different spaces, different cells in the body. So we talked about Bartonella. It invades cells that line blood vessels, so it, you know, and, and that can be in the heart too. So it's acting very differently than Borrelia. So every one of them is a little bit different. So what we pick up in life may have a really important bearing on what kind of chronic illnesses we might end up with.

Josh

And so what do you do in terms of— we kind of ended with the gut. Do you do anything after that in terms of kind of finalizing that kind of healing process with, with patients?

Dr. Bill Rawls

Fine-tuning and really doubling down on the microbe stress. So what we, you know, the herbs are just so remarkably important And, you know, after I, you know, in my journey, I out of desperation ended up doing an herbal protocol. You know, I read Buhner's book in 2005 and started doing this really robust herbal protocol, frankly, without a whole lot of expectations that it was going to help me. And just had this extraordinary experience. You know, within 3 months I was starting to get my life back. And over 5 years, every one of my symptoms were gone. Wow. My joints, all those heart symptoms. I mean, I met a guy who was having the same symptoms that I had, had that had had a heart transplant and ended up passing away a few years ago. He's big in the Lyme community. And I thought, golly, that could have been me if I had not started these herbs. It all cleared up, everything. You know, I thought I would be kind of like a cardiac cripple my whole life. Yeah, wow. And it all went, went away. And my joints— God, my joints were so bad. Everything got better. So working with the herbs and realizing that they were not only suppressing the microbes but also helping to restore cellular health, protecting cells.

Josh

You know, up until 150 years ago, in most of the world, when people use the word medicine or went to an apothecary or pharmacy, they got herbs, right? It's what they got. It wasn't until John Rockefeller in the United States really came in and started pushing, you know, pharmaceuticals that that just started going away. Yeah. You know, in all of Chinese medicine and Ayurveda, it's like, that's— that is medicine, is herbs. So, um, I would be curious to hear from you, you know, when I really started studying herbs and using them with patients, there were a few herbs that I found that were just so underutilized. You know, we hear a lot of turmeric today. We hear about ginger. We hear about maybe an ashwagandha a lot, but there are some sort of, I would say, lesser known herbs that I started using and just getting phenomenal results with patients. Astragalus is one of them. It's one of my absolute favorites for patients. And I've got a few others, but for you, what are some of those favorite herbs you have for, for helping people heal that are maybe lesser known today?

Dr. Bill Rawls

Yeah. That you can't find at your basic health food store. Yeah. It's a lot of the, the things that we've defined as antimicrobial herbs that have gravitated toward the Lyme community, but I think are so valuable for so many things. So Japanese knotweed. Yeah, that's a big one. I'm sure you know of that one. And I don't think that's a mainstream herb. Maybe it's become—

Josh

I don't think it's mainstream at all. It's really high in resveratrol, right? Is it?

Dr. Bill Rawls

It's high in resveratrol, but it's high in trans-resveratrol, the form we absorb. So we actually get much higher levels of it than we do in wine or grapes. So it's— so beyond that, just all of the other wonderful chemicals in Japanese knotweed. But resveratrol has some antimicrobial properties. But it also, it's, it, you, you, you know this, it's, it's how it affects our mitochondria. Yeah, it's, yeah, that and pterostilbene from blueberries. Oh yeah, have what's called a decoupling effect. So like if we're eating too much carb or we are doing things that are driving our mitochondria harder and producing a lot more oxidative stress but we're not really exercising or doing things that we're using that energy. We're basically burning both ends of the candle with our mitochondria. Well, the resveratrol and pterostilbene kind of freewheel the mechanisms of the mitochondria so it doesn't produce free radicals and it doesn't burn out. Wow. Which is really cool. Yeah. So there's so many things in herbs that protect our cells, the different machinery of our cells, but the antimicrobial properties are really interesting. So that's one. One of the other ones that, um, that some of the Amazonian herbs like cat's claw. Yeah, I think people are hearing more about that one. Traditionally, cat's claw was used for cognitive functions. Dementia and arthritis. And it just has these wonderful antimicrobial properties.

Josh

And that in some studies has been shown to be, you know, as anti-inflammatory as turmeric and ginger, having really powerful effects there. Yeah.

Dr. Bill Rawls

But, but I think what people don't often realize is virtually any herb is going to have antimicrobial properties because basically what we're doing is we're borrowing the protective and defense systems from the plant. Yes. And I think that's really fascinating to think about it that way. So unlike, like an antibiotic, that's a chemical, you're talking about hundreds, thousands of chemicals that work like an intelligent defense system. Yeah. So when you take an herb, you're getting this broad spectrum coverage against bacteria, protozoa, yeast, viruses in your system, and they're really good for suppressing this microbe reactivation. But at the same time, you're not disrupting your gut, you're not disrupting normal flora. They have preference, this intelligence. They're selective for pathogens, but they don't disrupt normal flora. So that's why, you know, when I first started taking herbs, it was kind of like, well, if they work they're gonna wreck my gut just like the antibiotics. But the opposite happened. My gut started getting better. Yeah, I was like, hmm, yeah, interesting. Yeah, I actually found a study that documented that, that the, the herbal antimicrobial properties don't disrupt. In fact, I found that often herbs can work as well as probiotics for balancing.

Josh

Well, you talked about the Japanese knotweed, such a perfect example of that, because there are studies on the resveratrol and some the other compounds acting as prebiotics. And so that's a great point.

Dr. Bill Rawls

Yeah, yeah, it's really good. But the other thing is the herbs don't generate antibiotic-resistant pathogens, and, and that's an enormous problem. I mean, you know, we talk— oh yeah, hearing so much about chronic Lyme disease and more and more people, but people don't die of chronic Lyme disease. They may progress and die of other things as they get progressively sicker, but they don't really die of that. So we haven't made any new antibiotics since I graduated from medical school in 1985.

Josh

Talk about antibiotics for a minute, because, because it's probably— it's the most prescribed medication for Lyme disease today.

Dr. Bill Rawls

Well, there's a place for it. There's a place for it. You know, we would be in a bad place without antibiotics. Antibiotics work for fast-growing bacteria. This is really important. So like if you contracted a pneumococcal pneumonia, those bacteria are turning over, they're doubling their growth every 20 minutes. And what that means is somebody can get really sick really fast, but that fast growth is the Achilles heel that antibiotics really work because it, it kills the bacteria that are growing fast. It depends on something growing to inhibit it. So if they're fast growing, that makes a difference. So antibiotics could save somebody's life. Yeah. Borrelia, the Lyme bacteria, the spirochete, in its most active phase doubles every 12 to 24 hours. It's really, really slow, and that's the defense mechanism So antibiotics, even in acute illness, aren't going to work as well. So, but antibiotics is a single chemical and they all come from nature, right? So all antibiotics either come from a bacteria, a fungus, or a plant. Yeah. But we're not smart enough to pull that organism's whole defense system. Yeah, you're just one, one chemical out and then we have to We want to patent it, so we change it to potentiate it and make it a chemical that we can patent, so it's one chemical. All bacteria can get around that chemical very, very rapidly. So you've got about 10 days. So you've got a window of 10 days before you start generating antibiotic-resistant pathogens inside your body. Mm-hmm. So not only do they suppress normal flora, they're turning the things that are resistant, they're making pathogens resistant. So you're creating antibiotic-resistant pathogens.

Josh

So, and how many patients have you had, like I've had, they went in and they got antibiotics, they felt better for 2 weeks, and all of a sudden 3 months later the infection comes back worse and stronger?

Dr. Bill Rawls

Well, that's it, because, you know, we're not eradicating things in the body, and that's where herbs have so much value.

Josh

Um, well, what are some of your favorite herbs then to use for something like Borrelia?

Dr. Bill Rawls

You know, for Lyme specifically, the ones that we're using are things that we know about because we've used them for so long. And, um, we, we mentioned Japanese knotweed. That's a really important one. Um, cat's claw, that's a good one. One of my favorite herbs, people ask me sometimes 'Well, if you were on a desert island, what herb would you take with you?' And it's— my answer is always Chinese skullcap. It's just this wonderful herb that we— it was originally thought it was primarily immune modulator. It balances the immune system and has a lot of cellular protective effects and adaptogenic properties. All these things have adaptogenic properties, but it has these really wonderful antimicrobial properties against a wide spectrum of different microbes, including Borrelia. And so that— those are some really important ones. Andrographis on the list, um, it once was thought to be good for Borrelia. We're finding it doesn't have as good an activity. There was a series of Johns Hopkins studies from Johns Hopkins University that actually did test tube studies with these herbs and they found that they actually killed Borrelia better than the antibiotics, which was really fascinating. But they also looked at Borrelia or Babesia, Bartonella, and other kinds of things. And they found that they were just as good for those two, same herbs like Japanese knotweed and Chinese skullcap. And it was really wonderful. Andrographis is really good for Babesia. It's really great antiviral. That king of bitters is from an area in India. And interesting, there's a story that the 1918 flu epidemic, the area of India where Andrographis grows was some of the lowest mortality in the world. And they were all taking Andrographis. Wow. I love that. Really has some wonderful antiviral properties. And I like the medicinal mushrooms, the adaptogens like reishi and cordyceps. They're widely used in these protocols. But, but when you look at illness as cellular stress and reactivation of microbes, which I think, you know, every illness that I look at, I'm starting to find links between these same kinds of microbes. And there's always cellular cellular stress.

Josh

Well, you know, you mentioned something at the very beginning of the interview, and I think this is important to know. Most people don't have just one microbe affecting them, it's multiple. And there's a— and there was a study I read recently on this. This was shocking because I had not read this before. One of the single greatest causes of cancer today is having a co-infection. Specifically in the study, it was of parasites. Like, if you have a parasitic infection long term your risk of cancer goes up dramatically. It's literally one of the biggest causes of cancer, period. And we both know it's because what your body, if your body has to fight off one invader, most of those bodies are strong enough to handle the one. But what if you're in a fight against 5 other people?

Dr. Bill Rawls

That's pretty hard to win. You know, the connections between microbes just go, that's where I've been in the past 10 years is just tracing out all the little connections. And looking at cancer, that, that's kind of fascinating. You know, when you look at cancer and look at microbes. Oh yeah. It's really interesting. And it has to do with the growth rate, right? So our cells have restricted growth, which means you can only fit so many cells in a liver or a heart. So genetically there's a growth restriction. That a cell basically knows its place. When that cell dies, you can replace that cell, but you have to restrict the growth of the cells within our organs, our skin, everything. What cancer is, is when those cells take on unrestricted growth. Hmm. So you look at bacteria or viruses or anything, they have an unrestricted growth. So as long as food is present and the right conditions are present, bacteria will keep growing until those chan— conditions change, and they grow and they grow. You put bacteria in a petri dish, the right conditions, it'll keep growing until there's no food left. So that has a lot to do with— that's very interesting with cancer. Now I found this study, this is interesting. They were using an algae as their specimen that, you know, algae has complex eukaryotic cells that are like our cells. So they were using that as their study model and they were trying to introduce cancer in those cells. So they took the algae and they exposed it to all kinds of chemical carcinogens and all of this stuff trying to induce cancer. Can't do it. Just died. Yeah. And they thought, well, what if we stress the cells? So they put them in the closet, no sunlight, stressed the cells, exposed them to all this stuff, cells just died. But then they found that there was this intracellular bacteria. So all, we all, every organism on Earth has these intracellular bacteria that can invade cells and become dormant. So they found this bacteria that did that did this. And normally it didn't hurt the plant, but they took the plant, the, or the, the algae, they put it in the closet, they stressed the cells, they introduced the intracellular bacteria, turned to cancer every single time. Wow. And they found that the bacteria was inserting its gene for unregulated growth into the, the cells.

Josh

Yeah, a lot of people don't know, you know, these algae like spirulina, chlorella, these are bacteria, these are, these are microbial, you know.

Dr. Bill Rawls

And so spirulina is bacterial. Um, chlorella is actually a true algae, so it has eukaryotic cells.

Josh

I see. Yeah, it's so, so interesting. And, you know, I've seen over the years reading up on a different sort of, uh, practitioners saying, well, we think that cancer is most resembles a fungus or most resembles a parasite. But generally a lot of these people say, you know, cancer cells most resemble an unrestricted microbe, you know, in terms of what it does in the body.

Dr. Bill Rawls

Exactly what you're saying there. You know, and they have found that different kinds of tumors have different microbiomes of intracellular bacteria that live inside of them. So those cancer microbe connections are really becoming very common. Yeah. But my latest thing is looking at asking that question, why do we have senescent cells? Right? Yeah. So you've talked about that, I'm sure, that we have these cells that, you know, what's supposed to happen is, you know, part of aging is just losing cells as we go through life. So we, we hit peak cell count at age 20. We have about 5 to 10 times the cells that we need. And over time, our cells gradually lose energy. We're burning out our mitochondria capacity. And so we're gradually losing cells. So that's what aging is. And but ideally what happens is the cell basically just commits suicide called apoptosis, that it basically just says, okay, I'm burned out, time to make way for other cells. And it, you know, and it lets itself go. But some cells become senescent cells. They become these metabolically active cells that are, are still present, clogging up all of our tissues, but they're not contributing. They're not doing their job anymore. And it's kind of like, why would we have that? And I've had this theory that could it be intracellular bacteria And, um, doing research, uh, I've been using AI to help me find the research faster, and I'm finding microbe connections, and it's looking like the reason behind senescent cells is intracellular bacteria and other microbes that are basically maintaining these cells as a food source and just a resource, just a haven to stay inside the body. Wow. Which is a really fascinating idea. I'm still early in, in that. Yeah, I think we've got a lot of more research, but it starts putting a different eye on why we have these things. It's interesting.

Josh

Well, it's interesting. You see, there's a lot of compounds, whether it be quercetin or nattokinase or some of these herbal compounds that also help with senescence. And of course, we know fasting is probably probably one of the biggest things there, or at least closing up that eating window. But that makes— yeah, that makes a lot of sense. Yeah. Uh, well, Dr. Brewer, I want to say this has been great. Uh, it's been a total honor having you on. Um, I want to let people know about your book. Well, thank you. It is The Cellular Wellness Solution, and this is a book that I endorse because it's fantastic, going through a lot of herbs, a lot of protocols, sort of the philosophy of healing here of Dr. Rawls. And if you are struggling with, um, any type of infection, whether it be Lyme or mold or parasites, this is a great book. And if you're also interested in herbs, you want to learn, you want to become more educated, it's a great book for that as well. Also, I know Dr. Raul has a website. Dr. Raul, where can people learn more about you and your work?

Dr. Bill Rawls

Probably the easiest place is website rawlsmd.com and put /resources, and that just gives you lots of information about the things that we're doing, some of the programs that we've put together. And, you know, how we move people from that sympathetic overactivity through these other stages and really then focus on cellular health and get them well.

Josh

Yeah. Well, when you look at the research of the number of people with chronic infections, it's incredibly high. It's close to 100%. But the number of people that have dormant Lyme, dormant parasites, dormant viral infections like Epstein-Barr, it is incredibly high. And when you're feeling ill, Oftentimes, as Dr. Rawls has talked about, this is these dormant microbes that are waking up, that are coming out, and we need to be able to— your immune system needs to be able to be strong enough to get rid of those, put them back where they belong. And, and Dr. Rawls' work has been some of the best in the world on this. I want to say, hey, thanks so much for listening to the Dr. Josh Axe Show. Remember, each and every week we're diving deep into the science and principles of how you can heal physically, mentally, and spiritually. Also, the number one thing you could do to support the channel here and the show is share this episode. There are millions of people that don't know how to heal their infections. There's people with— that think they have MS now, or that are completely debilitated because of microbes like Lyme that have overtaken them. And Dr. Rawls and this podcast hopefully can help open the eyes of people of how to truly heal the root cause of the issue. So thanks so much for sharing this. Also, thank you so much for subscribing. We got a lot of other great guests coming on, great topics. Don't forget to subscribe. I'll see you on the next episode.

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