How to mitigate the risks of taking antibiotics | Peter Attia & Colleen Cutcliffe

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This clip is from 283 - Gut health & the microbiome: improving and maintaining the microbiome, probiotics, prebiotics, innovative treatments, and more | Colleen Cutcliffe, Ph.D.
In this clip, Peter and Colleen discuss:
- Why antibiotics do to your microbiome
- The importance of fiber
- How probiotics can help to combat the damage of antibiotics
- What do antibiotics target in the body?
- And more
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About:
The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 70 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.
Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.
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[@thejudge1445]

I was on an antibiotic for 3 days due to a tooth infection. Got a really terrible case of C-Diff- scared the hell out of me. Had 4-5 different types of antibiotics to cure the C-Diff. Was the worst 4 months of my life. I am so paranoid about taking antibiotics now. Dread the day I need them. Take the gut biome seriously- doctors should do more to warn all patients..

[@gkbhai8962]

very informative. Thank you!

[@mariajjenkins]

Thank you, this helps me

[@skoolie_life3261]

Ever since I learned about the microbiome, I’m reluctant to take anything at all. Every once in a while, I need some Claritin for my severe allergies, Neproxin for period cramps or an NSAID for a bad headache, but I will suffer to some extent beforehand and see if I can get through without anything. I just went through a sinus infection with as little meds as I could muster, but it’s tough to avoid relief sometimes.

[@desangesquinous]

Mayo Clinic study found that having patients take kefir at least 3x/day while on antibiotics (but not at same time of day) reduced the incidence of C-Diff. I am currently on 12-hour augmentin and taking it a 8a and 8p. So I drink kefir when I wake up at about 3:30a, again about 11a, then again about 3p. Will also drink kefir if I'm still up at 10p. Following what the infectious specialist doctor advised.

[@zackcruise]

How did everything work out? How many days were you on Augmentin?

[@mattmahermoves]

Taking antibiotics for the first time in my life. This is great. Thank you.

[@aamsergie]

Kids that are always sick and on antibiotics are just in a crap environment and it's pretty tough to get out of that flywheel

[@ChrisAbbott]

VSL#3 is awesome

[@immanuelkuhrt8508]

When I was in my early 30s, various doctors put my on three weeks of antibiotics. My doctor put me on a week of antibiotics. Then he went on holiday, and I was referred to another doctor. The medicin didn't cure during that week, and the second put me on the same antibiotics for one more week. I was still not cured. The second doctor had also gone on vacation now, so I was referred to a third doctor, who said I shouldn't have gotten more of the first AB, when it didn't work in the first place. She gave me another AB which helped somewhat ... or was it my body that took care of things after three weeks? Before that, I was sick like every two or three years, and I had taken no ABs for at least two decades. I never got back to that level of illness resistance again. Now, I'm in my late 40s.

[@gtm5650]

I was expecting the third doctor to go on vacation and then you were cured on your own😂😂

[@immanuelkuhrt8508]

@@gtm5650 🙂I'm in no way against doctors going on vacation. I do feel the second doctor may have just rushed me through the office instead of actually treating me, though.

[@piymhz6775]

Isn't the alternative to take antibiotics intravenous (IV) ?

[@bellelacroix5938]

No one talks about thrush. Or fermented foods and obviously you want to avoid sugar because that feeds yeast which often fills in for the microbiome goodies that we lose doctors

[@lpgoog]

Excellent episode 👏 👌. I'd hate to be taking antibiotics and catch covid. Takes time to bring gut back

[@triluve]

fermented foods?

[@glenmonks1]

I have often wondered what Peters' approach would be if treating his own potential Hpylori infection...triple ABX or natural gums and antimicrobial herbs?

[@Mike80528]

Antibiotics do not kill of *everything*. Most are targeted to aerobic and anaerobic and some more targeted. But I would expect all impact the gut to some extent. Take a good low-sugar, high-protein yogurt while taking any antibiotics.

[@ScottDCS]

Good pushback. Eat "less fat" lacks any nuance. Attia and Lugavere both in my feed this morning discussing gut health - 2 days before the most unhealthy I eat all year! Definitely going to try and incorporate some fermented foods into my diet soon though.

[@anthonycho6344]

Time to raid Costco for some kimchi

[@anitahernandez1207]

Bovine Colostrum 🐮, Fiber 🥬🫐🍓🌰 , Kéfir 🥛 , Sauerkraut 🫙, Pasture raised/Grass Fed meat. 🌱Not sure about Pork because of the parasite 🦠 issue or certain types of fish 🍤 . Probably more of a kosher diet after antibiotics/surgery 💊 💉

[@pbear7814]

Kimchi

[@jabon112]

Did she mention prebiotics?

[@tesss1819]

Yes, fiber!!!!

[@anthonycho6344]

And postbiotics and symbiotics.

[@tonys6237]

My PhD research focused on antibiotic resistance due to the over use of antibiotics in humans and animals

[@AshAndCream]

............ok

[@pall5114]

Great can you share want you learned regarding this? Any recommendations from your research?

[@anthonycho6344]

And what did you find? Anything useful you can share?

[@tonys6237]

@@anthonycho6344 I'm working my manuscript and hoping to get it published next year. I'll drop you a message...

[@jihanefarrellphdlongevityc3920]

...and?

[@Livinginpeace1]

I have to take them every time I go to the dentist

[@heidikamrath1951]

Probably not. Please revisit this. If you are taking them for MVP prophylaxis, they are no longer required. Even if taking for artificial joints: no longer required. Still required if you’ve had a surgical repair of your heart. Check the ADA (American Dental Association) guidelines. This is old news, but sooooo many physicians and dentists play the CYA card not realizing the effects all these antibiotics can have on the gut micro biome. If my patients tell me they need to prophylax with an antibiotic, I print out the ADA guidelines for them and ask them to take that to their physician to have the physician prescribe the antibiotics if he/she insists. I’m a dentist licensed in the US.

[@MrStreetninja007]

As someone who has been on antibiotics for over a decade for severe acne this is worrying lol

[@renee3148]

😮😮😮 that long, wow

[@MrStreetninja007]

@protostelos2615 lol as a bodybuilder whos builking atm i need carbs to much but appreciate the sentiment

[@MrStreetninja007]

@renee3148 sadly ya only thing that keeps it from being horrible cyst tryd 2 courses of Accutane and had horrible side effects and it only cleared up 80% of the acne

[@renee3148]

@MrStreetninja007 bugger! Your other comment, being a 'body builder' in the gym scene, potentially other things are exacerbating the acne flare ups 🤔🤷‍♀️ Definitely when you feel ready, intermittent, long fasts, carnivore or paleo/keto to clear and reset the gut after years of it being out of whack, would be a good path to look into 👌

[@MrStreetninja007]

@renee3148 yep having to be on lifelong trt is the reason behind the acne but sadly cant come off trt due to hypogonadism

[@andrewt9434]

Take armra colostrum

[@urwhatueat2170]

Summery. The microbiome seems important. And we have guesses, but no real idea how the complex system works.

[@anthonycho6344]

You didn’t listen to the whole 3 hr long podcast? You’re an underachiever. 😂

[@andrewrivera4029]

Salad for me most of the time has low grade bacteria that give me diarrhea.

[@juliancav8933]

you have to grow and make your own salads. Anything pre made from the store has so much bacteria it is no longer healthy

[@andrewrivera4029]

@@juliancav8933 not an issue any more, just went carnivore!

[@dominickmoura165]

👍🏽👍🏽

[@RosiG73]

I eat tons of plain Greek yogurt the entire time I’m on antibiotics.

[@Alec_Collins78]

0.58 By "everybody", I hope you mean the bacteria.

[@jenbidding4544]

Eat WFPB, high fiber foods, fruit, veg, whole grains, NOT deer jerky. Look at the research yourself Attia. It’s out there. Or interview Drs. Klaper, Greger, Bulsiewicz, Barnard, or Davis. Stop promoting things you don’t know about (diet/nutrition); you’re misleading people.

[@heidikamrath1951]

Yes!

[@beenjammin8581]

The only probiotic that is legit is Visibiome

[@lophiz1945]

After I take antibiotics I stop listening to Attia. It's the best medicine.

[@bmxrider8188]

Peter you're looking beefy guy

[@beenjammin8581]

He needs to go back on WEGOVY

[@JohnRoberts-bl4zp]

Whole bunch of blah blah blah until the very end. Just skip to the end.

[@derek19201]

It sounds like she’s just making stuff up

[@nashbridges120]

Sounds well reasoned and informed.

[@greg5512]

We all have opinions and we all know the saying that goes with that.

[@lemonz1769]

She’s translating research into something easy to understand for you internet folk.

[@daddyphatsax304]

@@lemonz1769yet he still doesn't get it....

[@skoolie_life3261]

No she doesn’t.