What Do We Know About Functional Dyspepsia?

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1. 2 Meals A Day [12:05]

Ryan says:

Huge fan of sacred cow. I like eating 2 meals a day but after listening to book I'm trying to increase my protein to 180 to 200 grams a day. I'm 6'1 210 lbs. Is it beneficial to eat 90 grams in each meal or is that two much for my body to process correctly for optimal absorption? Should I spread it out? Thanks

2. Putative blood flow issues [15:40]

Charles says:

Hi Robb and Nicki, long-time listener here. I have been following Robb since I was 18, almost ten years ago! Thank you for your work.

Background: 6 feet tall, male, 142 lbs, 28 years old. Lenient paleo diet for almost 10 years supplemented with 0.5-1 packet LMNT daily depending on weather/exercise load, generally great sleep hygiene, devote a lot of effort to getting in the sun every day, weights 2x/week, 45 min bike ride at least 2x/week. Recent blood work came back excellent (just the standard LDL, HDL, Hem A1C, Vit D, thyroid stimulating hormone, hepatic enzymes). I do seem to have issues with circulation though, which I think may be related to the problem I describe below. My extremities go numb easily, and when it's cold I have a few finger tips that lose color/sensitivity for extended periods of time after the others have returned to normal temperature.

The problem: My erections have decreased in strength noticeably in the past two years. The problem usually isn't so severe that it prevents sex (though a few times it has), but it certainly decreases its quality for both parties involved on a regular basis.

Potentially relevant circumstances surrounding the problem: A little over two years ago (when the problem began) I ended a bad relationship, started a new **amazing** one, moved twice, had a very bad car accident, had a very bad cycling accident, lost my grandmother, helped my mother through a traumatic incident, etc. I'd like to point out that this was Winter-Summer 2020, need I say more? It was a whirlwind of a year. I dealt with it in healthy ways (amping up the exercise and protein consumption) and unhealthy ways (picking up a 1-2 drinks before dinner habit that I've since decreased to just on weekends; this decrease happened 6 months ago).

Should I talk to a therapist instead of sending this in to a podcast? Probably, but why not both? I'm hoping you and Nicki might be able to connect some dots I haven't.

3. Functional Dyspepsia [21:36]

Cristi says:

I love your show and the dynamics between the two of you. I'd love to join "the rebellion" when I can afford it. What do we know in natural health about "functional dyspepsia?" I just had an upper endoscopy to diagnose the cause of a burning sensation in my stomach just under my right ribcage usually right after eating/while eating that seems to respond to an amount of food rather than any particular food. Before this, the gastro had me do a stool test that was negative for H. Pylori. They took biopsies during the upper endo, but the doctor says he doesn't expect to find anything. He said he saw irritation in the stomach lining and it was probably caused by "functional dyspepsia" which was an imbalance of acid in the stomach. He said the causes of this could be different things, including stress (which I admittedly have a lot of, but I do what I can to control it) and that otherwise, causes were unknown, but that I could just take Pepsid! How long? Oh, maybe forever...Needless to say, I'm not doing that. SO, if all I know is that the acid is "imbalanced," how do I balance it? At the risk of making this too much longer, my diet, exercise, and supplement regimen are all along the lines of what paleo-centric gurus recommend, so none of the other causes of this "disfunction" (NSAID use, fried/unhealthy fat foods, alcohol excess) make sense. I'm not celiac, but I don't eat gluten and dairy because they just don't feel great. I'm thinking of continuing to take probiotics and add a functional medicine supplement with aloe, licorice root, marshmallow root, NAD etc. to maybe calm the irritation? My only other thought is that maybe I've been taking too much of a natural allergy supplement that has quercitin (400 mg per two pills) -3 pills twice a day-but I doubt that's it, and after stopping it for five days before this procedure as they required, I really noticed my allergies kicking in. The problem is, I'm 5'5, 118-120, and closer to 118 with what I'm able to eat without feeling discomfort. I have to stop before I'm satisfied completely. I wake up at night hungry, and I can't go back to sleep, and I know 118 is too light for me. I weight train 3X per week, and I'm active all of the other days. I'm a highschool teacher, so I'm not really sedentary, either. I'm pretty low carb with starchy carbs (about a cup of sweet potato or rice) only included at dinner. THANK YOU!

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The transcript for this episode can be found on its blog page at https://robbwolf.com/2022/06/10/protein-for-2-meals-a-day-erections-functional-dyspepsia-thrr112/