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Against the Grain

Samir Kakodkar

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Host: Samir Kakodkar, MD - specialist in Crohn's disease and ulcerative colitis Medical School: Northwestern Feinberg School of Medicine Internal Medicine Residency: Rush University Medical Center Fellowship in Gastroenterology and Hepatology: Advocate Lutheran General Hospital Advanced Fellowship in Inflammatory Bowel Disease (Crohn's and Colitis): Northwestern Memorial Hospital Practice Location 7900 N Milwaukee Ave Suite 19, Niles, IL 60714 For appointments: 847-318-9595 Contact: samir3@g ...
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This is my review of Zeposia (Ozanimod), a new once a day oral medication for moderate to severe ulcerative colitis. I go over the True North Study (https://www.nejm.org/doi/full/10.1056/NEJMoa2033617) in detail including efficacy and safety data. I have no conflicts of interest with any pharmaceutical companies. These are my opinions regarding Zep…
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Dr. Shriram Jakate is Professor Emeritus in pathology at Rush University Medical Center. He has a particular expertise in GI and liver pathology and has been interpreting slides from patients with Crohn's and colitis for over several decades. I consider him to be the best GI pathologist I have encountered in my career and during this podcast we hav…
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This is a discussion with Dr. Assad Munis, third year gastroenterology fellow at Advocate Lutheran General Hospital, about his recent presentation "Initial Approach to Fistulizing Crohn's Disease" at our grand rounds. We discuss pathophysiology, diagnosis, and primarily medical management. We also touch on topics of stem cell therapy, hyperbaric ox…
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I made this podcast for those who are newly diagnosed with Crohn's disease or ulcerative colitis. Dr. K’s Simplified Prescription to Treat IBD (it’s not that complicated to know what to do) 1.Start with appropriate and optimized medical therapy, preferably by an IBD specialist (like myself). 2.If this works, follow an IBD diet protocol that speaks …
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This podcast is a deep dive into the recently published article "A Randomized Trial Comparing the Specific Carbohydrate Diet to a Mediterranean Diet in Adults With Crohn’s Disease." (also known as the Dine Study) published by Lewis, et al. Article link is here: https://pubmed.ncbi.nlm.nih.gov/34052278/ My guests are Dr. Meghana Doniparthi, gastroen…
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This is my second podcast with IBDCoach. We try to make sense of all the IBD diets, supplements and medications out there which can be so confusing! We also have a detailed discussion regarding Andrew's use of Ksharsutra (Ayurvedic Seton) to treat his fistula. I am not officially endorsing or recommending this service or Ksharsutra. You must discus…
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There are many reasons why a whole food plant based diet may be helpful for Crohn’s disease and ulcerative colitis. Data suggest limiting omega-6 PUFAs (ie oils), saturated fats, animal protein, and food additives may be associated with a reduced risk of developing IBD. A whole food plant based diet seems to check all of those boxes. However, this …
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For all the mega Against the Grain fans out there, here is the full theme song, version #1 in all its glory. The part you are familiar with is in the middle of the track. Produced and Written by Samir Kakodkar. Borrowed some parts from theme from the ABC reality TV show The Mole (that nobody watched). Circa 2003 at Northwestern University, Foster W…
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There are many theories out there regarding what causes Crohn’s disease. Though ultimately most physicians and scientists acknowledge that we don’t know the cause, there is a small subgroup that believe Crohn’s disease is caused by a specific bacteria called mycobacterium avium paratuberculosis which we will abbreviate as MAP. MAP mainly comes from…
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This is a show on some of my favorite ready-made food items. These would be considered processed foods to some degree, but definitely less processed than the types of things you would find at The Dollar Store or even a regular grocery store chain. Sometimes it’s nice to have food on hand that you don’t always have to prepare. I understand there are…
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This show will focus on the effect of stress on Crohn’s disease and ulcerative colitis. I will define stress as the feeling of being challenged by a threatening event or evolving situation. Everyone experiences some degree of stress in life, but when it becomes chronic and perceived as severe, it can have adverse health effects. Many patients attri…
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Today we are going to tackle Coronavirus, specifically SARS-CoV-2 which causes the disease COVID 19 in relation to gastrointestinal symptoms and disease. I will be interviewing Dr Kaushal Majmudar who is one of our great GI fellows at Advocate Lutheran General Hospital. He recently did a Grand Rounds for our GI department on this very topic and wen…
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Dr. Mitsuro Chiba is an MD, PhD is a gastroenterologist and researcher at Akita City Hospital, Kawamoto, Akita City, Japan. He believes that inflammatory bowel disease is a lifestyle disease mediated mainly by a westernized diet, and has had many subsequent publications detailing his use of a plant based, semi-vegetarian diet. He began to provide a…
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This is my much anticipated interview with Judy Herod who has been on the Specific Carbohydrate Diet (which we will often abbreviate as SCD) for over 50 years for ulcerative colitis with rapid clinical response and sustained drug-free remission. Her mother is the late Elaine Gottschall, biochemist and author of Breaking the Vicious Cycle: Intestina…
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Barbara Olendzki RD, MPH, LDN is Associate Professor of Medicine and the Nutrition Program Director of the Center for Applied Nutrition at the University of Massachusetts. She is passionate about research and clinical care of patients with inflammatory bowel disease (IBD), cardiac concerns, cancer, diabetes, obesity, and other inflammatory diseases…
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Two guests for you today! The first is Andrew Kornfeld (andrew@ibd.coach | https://www.facebook.com/andrew.kornfeld.18) who holds degrees in neuroscience and psychology from UCSC and has won awards for his work in science education. He has Crohn’s disease and has been able to achieve clinical drug free remission through a protocol he developed afte…
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Dr. Michael Briggs is a physicist who had ulcerative colitis which he claims to have "functionally cured" using a system he developed called The Briggs Protocol. He read every article on IBD he could get his hands on and wrote a document called "Understanding the Pathogenesis of Inflammatory Bowel Diseases, and moving towards a 'Functional Cure'" w…
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Dr. Jack Kruse is a practicing neurosurgeon and also a "theoretical quantum biologist." He specifically has an interest in our light environment, circadian rhythm and mitochondria in relation to health and disease. In my opinion, these are topics that require more attention and research in the context of Crohn’s disease and ulcerative colitis. This…
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Although my training is in evidence based medicine (or what other alternative fields refer to as “allopathic medicine”), I am fascinated by other disciplines that operate on a completely different understanding of the human body and disease. There is much mystery surrounding Ayurveda in the US, which is the most ancient form of medicine developed i…
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Jini Patel Thompson is an internationally recognized expert on “natural healing” for digestive diseases. She says she has healed herself from widespread Crohn's Disease and has remained in drug and surgery-free remission for over 20 years. Jini has appeared on numerous TV and radio shows throughout the U.S. Her books on natural healing for digestiv…
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If you have Crohn’s or colitis, I bet you have encountered someone either in person or on the internet who claims to be able to control his or her disease with the use of cannabis. Or maybe you are using medical marijuana already. This may seem appealing as an alternative to medications that can have a frightening side effect profile. The regulator…
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After 10 years of researching the Specific Carbohydrate Diet (SCD) and implementing it along with other dietary therapies clinically, I wanted to share some of the insights I've gained along the way. I present the major findings of my research studies including brand new, exciting results from the SCD microbiome analysis. I also discuss my approach…
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Fecal microbiota transplantation, otherwise known as FMT, is putting the stool from one person into the GI tract of another. This is an accepted treatment for recurrent clostridium dificil colitis which is a type of bacterial infection. Because we know that people with Crohn’s and colitis have a less biodiverse microbiome, some have hypothesized th…
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I spoke with Raman Prasad who has been following the Specific Carbohydrate Diet for 20 years with sustained drug free remission of his colitis. He had a severe case of inflammatory bowel disease with possible primary sclerosing cholangitis and was facing surgery before discovering the SCD. He has published his experience in the book Colitis and Me:…
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Today I had the pleasure of interviewing Joshua Bradley who overcame a severe case of fistulizing Crohn’s disease using a combination of conventional methods, ketogenic diet, endurance exercise and supplements which were guided by a biohacking -- that is he used objective data from testing to help determine what was working for him. I found our dis…
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Today I spoke with Stephanie Colo Manning who is chef and owner of Colo Kitchen which offers consulting and cooking lessons for people who want to transition to a nutrient dense, whole foods diet. She also had colitis and is someone who had a relatively rapid response to the Specific Carbohydrate Diet (SCD) and was able to maintain her remission wi…
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The answer is we don’t know yet but there may be a mechanism to explain how it theoretically could be anti-inflammatory and possibly helpful for autoimmune disease. Today I spoke with Dr. Paul O’Connor who recently published some very interesting work on anti-inflammatory effects of baking soda -- something that you probably have in your fridge rig…
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Fasting is becoming more and more popular nowadays and is being promoted for everything from obesity, diabetes, cancer and now diseases of immune dysregulation. There are many forms including prolonged water fasts, fasting mimicking diets, intermittent fasting and time restricted eating. There is no strong research I know of supporting the use of f…
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Today we are talking about hyperbaric oxygen therapy for inflammatory bowel disease. This is a hot topic with some studies suggesting efficacy in both Crohn’s disease and ulcerative colitis. Recently there has been interest in using it for hospitalized patients with severe ulcerative colitis. We speak with Dr. Scott Sherr who is a physician with tr…
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Garin Aglietti is a worm farmer and gut ecology expert who offers worm therapy and fecal transplants for patients with autoimmune diseases including Crohn's disease and ulcerative colitis. These treatments are not currently offered as standard of care options for the vast majority of IBD patients in the US with exception of some clinical trials. Ga…
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We venture into the realm of complementary and alternative medicine(AKA CAM) for Crohn’s and ulcerative colitis. These include various diets, supplements, and other lifestyle interventions that are not part of the standard of care. Today we speak to Reid Kimball who has made a documentary called Wanted: Crohn’s End which is one of the most comprehe…
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A conversation with a friend with ulcerative colitis (possibly Crohn's colitis) who is now facing surgery. He tried his best to avoid it including implementing some very unconventional things - diet, fecal transplant, a medication called Xeljanz (prior to FDA approval) and even hyperbaric oxygen therapy. He shares his insights and we will follow-up…
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