20. The Microbiome Makeover: Secrets to a Healthy Gut
Walk, Don't Run to the Doctor with Miles Hassell, MD
Release Date: 11/22/2024
Walk, Don't Run to the Doctor with Miles Hassell, MD
In this episode of Walk, Don’t Run to the Doctor, we take a deep dive into statins, their true benefits, their real risks, and the massive role lifestyle plays in shaping heart disease outcomes. Rather than accepting oversimplified medical advice, this episode empowers you to think critically, understand uncertainty in medicine, and make fully informed decisions about your own health. You’ll learn how to interpret risk statistics (like relative vs absolute risk), why lifestyle may outperform medication for many people, and why statins are helpful for some—yet potentially unnecessary or...
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In this special Walk Don’t Run to the Doctor episode, Miles Hassell MD tackles one of the most important, yet misunderstood health topics: osteoporosis and fracture prevention. Rather than focusing on numbers from a Dexa scan or quick prescriptions, this episode empowers you with real, actionable steps to build stronger bones and improve your long-term health with evidence-based lifestyle tools. You’ll learn why lifestyle choices—good food you make at home, sunlight, and movement—often outperform medications in maintaining bone health. The discussion blends current research, humor, and...
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This week we are featuring a recent podcast recorded at George Fox University, called George Fox Talks. Erika Barber, MD talks with Miles Hassell MD about taking ownership of your own health. Through thoughtful eating and by giving your palate a chance to develop an appreciation for the richness of available food, you can have a transformative impact on the quality of your life and your body’s ability to resist disease. Watch the full episode through the links provided. YouTube: Apple Pocasts: Spotify: Get your copy of Good Food Great Medicine,...
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Are blood pressure medications saving lives—or quietly making things worse? In this episode of Walk, Don’t Run to the Doctor, Miles Hassell MD takes a hard look at the role of blood pressure drugs. While medications can protect against stroke and heart damage, they also carry serious side effects—from fatigue and dizziness to diabetes and falls in older adults. The bigger issue? Medications can distract from the most powerful treatment of all: lifestyle change. Eating better, moving more, trimming excess weight, and cutting harmful habits often work better than pills—and without the...
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In this episode of Walk, Don’t Run to the Doctor, Miles Hassell MD sits down with author Mac Lake to explore the connection between faith, health, and personal responsibility. Mac Lake is a highly respected leader, author, and founder of Multiply Group, where he helps leaders and organizations develop strategies to multiply their leadership impact. An inspirational trainer and leadership coach, Mac is gifted at simplifying complex ideas into actionable strategies that anyone can implement to achieve transformative results in their personal life, team, and organization. He has written seven...
info_outlineWalk, Don't Run to the Doctor with Miles Hassell, MD
In this episode of Walk Don’t Run to the Doctor, Miles Hassell MD unpacks the common health “distractions” that steal attention, money, and energy from what really matters for your well-being. From the sugar wars (high fructose corn syrup vs. cane sugar), to food dyes, celebrity health fads, and fancy but questionable medical tests, we explore how to separate hype from evidence. Key Takeaways: High fructose corn syrup and cane sugar are equally harmful—what matters is cutting refined sugars overall. Food dyes aren’t the main problem—we shouldn't be eating the ultra-processed...
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In this episode, Miles Hassell, MD answers heartfelt listener letters about gallbladder disease and knee pain—sharing real-life stories of patients who successfully avoided major surgeries through lifestyle medicine. From tackling gallstones with diet and exercise to managing osteoarthritis without knee replacement, Dr. Hassell highlights how small, consistent changes—like removing sugar, eating a Mediterranean-style diet, incorporating probiotic foods, and staying active—can dramatically improve health outcomes. Key Takeaways: Gallbladder health: Slow weight loss, high-fiber foods...
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In this episode, Miles Hassell MD, an internal medicine physician from Portland, Oregon, dives deep into one of the most important responsibilities of parenthood—feeding your kids well. He tackles the real-life challenges families face in a world dominated by ultra-processed foods, marketing traps, and busy schedules. Learn how simple, home-cooked meals can drastically improve your child’s mental and physical health, prevent chronic diseases, and build lifelong habits. From breakfast hacks to family cooking tips, this episode is a practical and inspiring guide for every parent. Key...
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In this episode, Miles Hassell MD breaks down the often misunderstood world of cooking oils. From olive oil to avocado oil, he explains which fats support long-term health—and which ones belong in the trash. Key Takeaways: Extra virgin olive oil is the only widely available oil with strong evidence supporting real health benefits. Avocado, canola, and other industrial oils are ultra-processed, taste terrible without the help of BigFood processing techniques, and lack nutritional value. Avocados are good food though...thinly sliced, they top any meal or snack nicely. Don’t be...
info_outlineWalk, Don't Run to the Doctor with Miles Hassell, MD
Are you or someone you know struggling with constipation? In this episode, Dr. Miles Hassell MD of GreatMed.org explores the real impact of constipation on health and quality of life—and how to fix it without relying on Big Pharma. What You’ll Learn: The health risks and causes of chronic constipation Lifestyle-based solutions that are safer and more effective than over-the-counter meds The role of fiber, fluids, probiotics, and movement in restoring colon health Practical tips: foods to eat, supplements to consider, and travel-friendly strategies Why addressing constipation is a...
info_outlineThis episode of Walk, Don't Run to the Doctor emphasizes the importance of building and maintaining a healthy microbiome for better health outcomes, disease prevention, and overall well-being. The microbiome, a complex population of microorganisms living in the gut, plays a significant role in protecting against cancer, regulating digestion, and supporting various metabolic and immune functions. A home-cooked diet, particularly a whole food omnivorous diet rich in fiber and fermented foods, helps to cultivate a resilient microbiome. Exercise, scant to moderate alcohol consumption (especially wine), and avoiding sugar, refined flours, and artificial sweeteners further enhance gut health. This episode also warns against overuse of antibiotics and reliance on probiotic supplements, advocating instead for a food-based approach through diet and lifestyle changes.
Key Takeaways:
- Microbiome's Role in Health: The microbiome impacts everything from cancer prevention to appetite regulation, insulin sensitivity, immune function, and even brain health.
- Diet and Gut Health: A Mediterranean-style, omnivorous whole food, diet improves microbiome diversity and overall health, reducing risks for conditions like obesity, diabetes, and cancer.
- Fermented Foods: Incorporating fermented foods like yogurt, kefir, and kombucha supports a healthy microbiome and reduces cancer risk.
- Exercise and Lifestyle: Regular exercise promotes gut health and boosts immunity, while avoiding sugar, artificial sweeteners, and unnecessary antibiotics helps maintain microbiome balance.
- Natural Approach: The podcast recommends focusing on diet and lifestyle over probiotic or prebiotic supplements to build a resilient microbiome.
For more insights and advice on reducing dependence on medications through lifestyle changes, make sure to subscribe to Walk, Don’t Run to the Doctor.
More references can be found at www.GreatMed.org
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References:
Zhang, X., et al. (2023). Modulating a prebiotic food source influences inflammation and immune-regulating gut microbes and metabolites: insights form the BE GONE trial. The Lancet, 98:104873. https://doi.org/10.1016/j.ebiom.2023.104873
Diez-Ozaeta, I. & Astiazaran, O. (2021). Fermented foods: An update on evidence-based health benefits and future perspectives. Food Research International, 156. https://doi.org/10.1016/j.foodres.2022.111133
Perler, B., et al. (2023). The role of the gut microbiota in the relationship between diet and human health. Annual Reviews in Physiology, 85:449-68. https://doi.org/10.1146/annurev-physiol-031522-092054
DeVos, W., et al. (2022). Gut microbiome and health: mechanistic insights. Gut-BMJ, 71:1020-1032. doi: 10.1136/gutjnl-2021-326789
Kim, J., and Le, H. (2022). Potential role of the gut microbiome in colorectal cancer progression. Frontiers in Immunology, 12: 807648. doi: 10.3389/immu.2021.807648
Pyo, Y., et al. (2024). Probiotic functions in fermented foods: Anti-viral, Immunomodulatory, and anti-cancer benefits. Foods, 13:2386. https://doi.org/10.3390/foods13152386
Zhang, K., et al. (2019) Fermented dairy foods intake and risk of cancer. International Journal of Cancer, 144: 2099-2108.
Michels, K. B., et al. (2020). Yogurt consumption and colorectal cancer incidence and mortality in the Nurses' Health Study and the Health Professionals Follow-Up Study. The American journal of clinical nutrition, 112(6), 1566–1575. https://doi.org/10.1093/ajcn/nqaa244
Shams-White, M., et al. (2022). The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Score and All-Cause, Cancer, and Cardiovascular Disease Mortality Risk: A Longitudinal Analysis in the NIH-AARP Diet and Health Study, Current Developments in Nutrition, Volume 6, Issue 6, nzac096,ISSN 2475-2991,https://doi.org/10.1093/cdn/nzac096.
Rad, A., et al. (2021). Postbiotics as promising tools for cancer adjuvant therapy. Advanced Pharmaceutical Bulletin, 11(1), 1-5. https://apb.tbzmed.ac.ir
Sharma, A., et al. Final results of a phase I/II study to investigate efficacy of a high potency multistrain probiotic on chemo induced diarrhea. ESMO, 29(8). Doi:10.1093/annonc/mdy424
Luceron-lucas-Torres, M., et al. Association between wine consumption and cancer: a systematic review and meta-analysis. Frontiers in Nutriition, 10:1197745. doi: 10.3389/fnut.2023.1197745
LeRoy, C., et al. (2020). Red Wine Consumption Associated with increased gut microbiota a-diversity in 3 independent cohorts. Gastroenterology, 158:270-272. https://doi.org/10.1053/j.gastro.2019.024
Duan, J., et al. (2021). The mechanisms of wine phenolic compounds for preclinical anticancer therapies. Food and Nutrition Research, 65:6507. http://dx.doi.org/10.29219/fnr:v65.6507
Zhao, L., et al. (2023). Sugar-Sweetened and Artificially Sweetened Beverages and Risk of Liver Cancer and Chronic Liver Disease Mortality. JAMA, 330(6), 537–546. https://doi.org/10.1001/jama.2023.12618
Debras, C., et al. (2022). Artificial sweeteners and cancer risk: Results from the NutriNet-Santé population-based cohort study. PLoS medicine, 19(3), e1003950. https://doi.org/10.1371/journal.pmed.1003950
Zhang, J., et al. (2019). Oral antibiotic use and risk of colorectal cancer in the United Kingdom, 1989-2012: a matched case-control study. Gut.BMJ; 68:1971-1978. doi: 10.1136/gutnl-2019-318593