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Part 7 : Your Gut Controls Your Brain

Protect Your Gut: Additional Nuts, Seeds and Vegetables

(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)

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If you have a history of diverticular disease, I always suggest that you avoid trying to chew the nuts, but rather add the nuts of choice to your smoothie, where they will be ground into a powder.

  • Macadamia Nuts
  • Walnuts
  • Pistachios
  • Pecans
  • Chestnuts
  • Flaxseeds [Fresh Ground]
  • Hemp Protein Powder
  • Ground Unsweetened Coconut or coconut flakes


  • Romaine Lettuce
  • Spinach
  • Red and green leaf lettuce
  • Dandelion greens
  • Escarole
  • Mustard greens
  • Parsley
  • Basil
  • Seaweed
  • Mint
  • Okra
  • Mushrooms
  • Raw, diced Beets
  • Scallions
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Part 6 : Your Gut Controls Your Brain

Chronic Fatigue – Managing Your Sleep

(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)


Your brain washes itself every night when you sleep. It is critical to get 7 to 8 hours of restful sleep each night for this cleansing of your brain to occur. Chronic fatigue from lack of sleep, and stress, elevate the level of steroid hormones in your blood. Excessive blood steroids wreak havoc on your gut and change the bacterial flora in the gut from a predominance of good bacteria that protect the gut lining to a predominance of bad bacteria that allows leakage of unwanted substances (toxins) through the gut wall (leaky gut). These toxins invade your nerves and your brain to cause chronic inflammation, brain fog and memory loss. The chronic inflammation makes it even harder for you to sleep and sets up a vicious cycle: Your leaky gut become worse with increasing chronic fatigue, and you must repair your leaky gut to restore your normal sleep pattern. What can you do?

  1. You start the repair by eating the right foods to replenish your friendly gut bacteria to begin the repair of your leaky gut
  2. It is perfectly fine to use a mild sedative on a short-term basis to attempt to restore a normal sleep pattern, and allow your brain to wash itself at night.
  3. It is also okay to use supplemental tablets of melatonin, the natural sleep hormone, to attempt to normalize your sleep pattern.
  4. Yoga and Meditation are great for relaxation prior to sleep.
  5. Gentle reminder to turn your computer and your TV off a couple hours before bedtime. Gentle reminder that when you hit the TV remote control from your bed, you have turned off the television light, but the TV is still running in the background. You must turn off the TV at the source.

Please let your doctor know if you need a mild sedative to normalize your sleeping pattern. You can purchase Melatonin from any reputable health food store.

Let me repeat: It is critical to get 7 to 8 hours of restful sleep each night for this cleaning of your brain to occur.

Next Article: Part 7- Bonus Suggestions for Nuts, Seeds and Vegetables

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Part 5 : Your Gut Controls Your Brain

Protect Your Gut: Lunch and Dinner Suggestions

(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)


Suggest a colorful, delicious chef’s salad for lunch.

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  • I personally use a wide varieties of greens, and vegetables
  • Can add avocado, olives, seeds and nuts (except peanuts)
  • Some patients’ guts do not tolerate the skin of eggplants, peppers, tomatoes, and white potatoes, and you may want to avoid these in your salad.
  • Can add any protein source from the list of proteins that was used for breakfast to make a Chef’s salad
  • If you are adding cheese, suggest a cheese that was made from goat’s milk, sheep’s milk, or imported cheese that were produced in France, Italy, or Switzerland. Most of these products contain A-2 Casein (as opposed to A-1 Casein), which may be better tolerated by your gut
  • Suggest tossing your salad with a teaspoon of Cold-pressed virgin olive oil and a teaspoon of MCT oil.
  • For a beverage, can use filtered water, herbal tea, coffee, or leftover smoothie from your morning drink.


We anticipate that your appetite will be suppressed after a hearty breakfast and a hearty lunch like the ones outlined above. The purpose of dinner is to dull any feelings of hunger. The goal here is to have this small meal not later than 6 PM, and not to have a large evening meal that will interfere with your sleep.

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  • Dinner should consist of a small bowl of vegetable soup, made with cruciferous vegetables of your choice:
    • Bok choy, broccoli, Brussels sprouts
    • cabbage, cauliflower, collard greens
    • kale, Swiss chard, mustard greens
    • ocean vegetables such as kelp and seaweed
  • As a general rule, you should avoid eating large evening meals and avoid bedtime snacks. I am aware that this runs counter to most common eating patterns in our society, but large dinners (going to bed with food in the stomach) is one of the major causes of poor sleeping habits and chronic fatigue syndrome.
  • Feel free to add fresh herbs to your soup
  • In the past I told patients that it is okay to have a single glass of wine (preferably red wine with your evening meal), if this helps you to relax. I must point out that recent studies on alcohol consumption suggest that alcohol ingestion is harmful to the human body in any amount. A safer sleep aid may a cup of Chamomile tea before bedtime.

My patients often ask me, “what should I do if I get invited out to dinner, Doc?” Here’s what I do: I tell the waiter that I am vegetarian and I ask for a bowl of vegetarian soup [every restaurant in America has soup on the menu]. I order, and enjoy a bowl of soup. When the waiter asks for my main course, I will generally order grilled salmon or another acceptable seafood such as grilled shrimp. I tell the waiter that my doctor does not like me to eat large meals at night and I request a carryout bag for my dinner. That way, I can enjoy the dinner conversation and have my delicious dinner meal as part of my breakfast the following morning.

Next Article: Part 6: Chronic Fatigue – Managing Your Sleep

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Part 4 : Your Gut Controls Your Brain

How To Protect Your Gut

(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)

Here is the good news: you can repair your gut lining by changing your diet and managing your sleep habits.

  • your friendly gut bacteria will return to repair the ‘leaky gut’
  • inflammation of your nerves gradually resolves
  • you sleep better and have more energy
  • brain fog and memory problems gradually resolve

Here are some meal suggestions to protect your gut:


Suggest a green smoothie for breakfast:

  • Can use spinach, kale, or any green vegetables.
  • Gentle reminder that frozen fruits and vegetables may often contain the same nutritional value as fresh fruits and vegetables. It is often easier to drop a few pieces of the frozen fruits and veggies into a blender than spend time at the kitchen counter carving up fruits and vegetables.
  • Suggest adding a tiny bit of cinnamon and a tiny bit of ginger to add flavor to your smoothie.
  • One small chunk of pineapple or a quarter of a ripe banana can be added as desired to add sweetness to the smoothie (gentle reminder that the excessive ingestion of fruits can raise your triglyceride level).
  • You may add nuts [except peanuts] and a few seeds to your smoothie as desired.
  • Add 1 to 2 g of vitamin C powder [as Ester-C]. I hate swallowing capsules, so I open my vitamin C capsule and add the powder to my smoothie.

Suggest taking 5 to 10,000 international units of vitamin D3 with your breakfast every morning. This is especially important during the winter weather, when you get very little sun on your skin.

Morning Fluids

You can have unlimited amounts of black tea, herbal tea, or coffee. Can use unsweetened almond milk or unsweetened coconut milk in tea or coffee. Can use Monk fruit or organic Stevia as a sweetener as needed. It’s ok to finish your smoothie at lunch if you feel too full at breakfast.

Protein sources that help to repair the gut include:

  • oily fish such as sardines
  • salmon
  • herring.
  • If you are allergic to fish, you can try plant proteins such as pressure-cooked lentils, pressure cooked chickpeas, hemp tofu, cheese that is made from goats milk or sheep milk, ghee, or any of the many pleasant tasting plant proteins that are available in Sprouts, Whole Foods, and other organic food markets. Avoid items with added sugar and artificial sweeteners and grains.
  • You may also add a tablespoon of freshly ground Golden flaxseed meal.

Suggest adding a teaspoon of Cold-pressed virgin olive oil and a teaspoon of MCT oil to your breakfast.

If you are trying to correct a leaky gut, suggest that you try to avoid bread, grains and wheat products. Your gut may react better to the following bread replacement:

  • Slice a sweet potato just like you would slice a loaf of bread.
  • Base each slice with a little cold-pressed virgin Olive oil, sprinkle with a little cinnamon, Italian seasoning, or salt-and-pepper to taste.
  • Bake the slices until they are just crunchy.
  • Any form of sweet potato will do, although some authorities suggest that the blue or purple Asian type sweet potato may be better for your gut.


  • Try a tablespoon of guacamole with a few sweet potato crackers as a snack.
  • May also add a few nuts from the “Nuts” group given below
  • Can have a small portion of unsweetened dark chocolate (breakfast and lunch
  • Can add some unsweetened coconut flakes/ powder to your snack

Next Article: Part 5 : Protect Your Gut – Lunch and Dinner Suggestions

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Part 3 : Your Gut Controls Your Brain


(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)

In this brief monograph, we will focus on the brain fog and memory disorders that are often associated with malfunction of the Microbiome, and on a condition that is commonly called “leaky gut syndrome”. I’ll briefly discuss how poor sleeping habits and chronic fatigue can worsen your leaky gut, and how you can cure leaky gut syndrome with manipulation of your diet. For simplicity, I will try to avoid the use of excessive medical terminology in discussing these problems.

In the following pages you will obtain information on:

  • Foods that you should eat to protect your gut
  • Food that you may want to avoid
  • Suggestions for breakfast
  • Suggestions for lunch
  • Suggestions for dinner
  • Suggestions for improving your sleep.

The best reference that I can suggest for this monograph is “The Longevity Paradox” by Stephen R. Gundry MD. This is the latest book in this series by Dr. Gundry, and is an excellent manuscript that reviews much of what I have been telling my patients for years. After a thorough analysis of the physiology of gut function, Dr. Gundry arrives at the same conclusion that I did:

“Doctors must now accept that much of the information that we learned about the gut in medical school was incorrect.”

Don’t get me wrong. Healthcare professionals have acquired a lot of useful medical information over the last five decades, including a detailed understanding of human DNA, how to control the spread of some harmful organisms, and how to use medical technology to get a closer look at in vivo (live) aspects of the human body. But Dr. Gundry is correct that, in general, we have not used this medical knowledge wisely. As a profession, we still spend most of our time treating disease [dys-ease], rather than preventing disease. Dr. Gundry is also correct when he points out that despite our newly acquired knowledge, in the last 2 decades the human lifespan has decreased for the first time in almost a century.

If you are one of the many patients who is worried that you may be starting to lose your memory or develop early Alzheimer’s disease, it is reassuring to read “the first 2 paragraphs from chapter 6 of Dr. Gundry’s latest book:

“As you get older things start to slip. You misplace your car keys, grasp for words, and forget the name of your longtime neighbor. Your brain feels foggy, and you are just not as sharp as you used to be. (Doctors call this ‘cognitive decline’). That’s just the way life goes, right?

Wrong. Though we think of these symptoms as a normal part of aging, nothing about them is normal. From these seemingly innocuous ‘senior moments’ to more serious neurological condition like Parkinson’s disease, dementia, and Alzheimer’s disease, all ‘cognitive decline’ stems from the same cause: Neuro-inflammation. And where does (this) inflammation (of your nerves) start? In the gut.”

The good news is that most of this inflammation of your nervous system is correctable. In case you are still wondering, it has now been conclusively shown that the friendly bacteria that live in the normal gut (the Microbiome) control many of the actions of your brain. These friendly bacteria control the brain directly by sending signals to the brain via the vagus nerve, and indirectly via the multiple hormones that constantly send messages between the gut and the brain.

In a nutshell, the friendly bacteria in your gut (Microbiome) normally work in harmony to prevent ‘noxious substances’ that are constantly flowing through the gut from getting into your bloodstream. If your friendly gut bacteria can’t do their work, these ‘noxious substances’ can penetrate the gut lining and enter the bloodstream to cause inflammation in various parts of the body. Whenever there is a disturbance of the gut Microbiome [for example, by food poisoning, antibiotics and other medications, infection, stress, mold, etc.], a condition called ‘Leaky Gut Syndrome’ can develop. Unfriendly bacteria can multiply in the gut and worsen the situation. The chronic inflammation spreads to other parts of the body.

Chronic inflammation caused by Leaky Gut Syndrome is now thought to play a major role in many conditions, including:

  • Brain fog, memory loss
  • Alzheimer’s disease
  • Parkinson’s disease
  • Obesity
  • Arthritis of your joints
  • Accelerated aging, including thinning of the skin of your face and hands
  • Insomnia and disturbance of your sleep

Next Article: Part 4: How to Protect Your Gut

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Part 2 : Your Gut Controls Your Brain

Role Of The ‘MICROBIOME’ – The Friendly Bacteria That Lives in Your Gut

(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)

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We now know that the Microbiome is the largest organ in the human body, larger than the liver. The Microbiome communicates with your brain and most of the organs in your body to regulate many of your daily functions. The Microbiome also plays a critical role in:

  • Sending messages back and forth to your brain
  • Protecting you from Brain fog, Memory loss, and neurologic diseases like Alzheimer’s
  • Maintaining the youthful look of your skin and face
  • Determining how fast you age
  • Protecting you from Arthritis and chronic inflammatory disorders
  • Protecting you from Obesity and Diabetes
  • Protecting you from Atherosclerotic cardiovascular disease
  • Regulating your sleep cycle

Next Article: Part 3: When the Microbiome Malfunctions

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Your Gut Health Controls Your Brain


(A brief monograph by Edward A. Layne MD, SCM for My Preventive Health LLC)


The new data suggesting that “your gut controls your brain” will surprise most of my patients and may come as a surprise to many healthcare professionals, who were taught exactly the opposite. In this monograph, I will first discuss the basic physiology of gut function, and will introduce the Microbiome, the large mass of friendly bacteria that live in the normal human gut.

The gut is basically a long tube that stretches more than 15 feet from the mouth to the rectum. The gut has an enormous surface area (almost the size of a badminton court) that is responsible for sorting and absorbing the food we eat. The gut decides what elements of the food get taken into our body to be used as fuel and what elements of the food stay in the gut to be passed out as bowel movement. We now know that billions of friendly bacteria live in the gut and help the gut process the food. Collectively, these billions of friendly bacteria are called the gut “Microbiome”. The Microbiome decides which portions of the food we eat get passed across the gut lining to enter the blood stream to be used as ‘fuel’, and which portions of the food stay in the gut lumen to be eventually passed out of the gut as stool or feces.

Next Article: Part 2: Role of The ‘Microbiome’ – The Friendly Bacteria That Lives In Your Gut

COVID-19 Vaccination Letter for Providers

A Covid 19 Vaccination Letter for Providers, for your state and Congressional representatives

RE:          A proposal to ensure the immediate administration of Covid 19 vaccines to patients in the US

There has been a resurgence of COVID-19 infection in the United States and it is imperative that we begin to provide COVID-19 vaccines to as many of our patients in the US as quickly as possible.  Local distribution and injection of the Covid 19 vaccine to patients have been cited as possible roadblocks to timely vaccination of the population. We understand that  the storage of the Pfizer vaccine is challenging and agree that locations for injection of this vaccine should be restricted to hospitals and medical centers that have the capacity to maintain the ultralow temperatures that are required to maintain the integrity of this vaccine.

On the other hand, the US is fortunate to have an existing network of hundreds of thousands of licensed practicing physicians, physicians assistants and nurse practitioners that have already been trained to administer vaccines. Most of these licensed medical “Providers” already have refrigerators in their offices to store medicines like the Moderna vaccine that need routine refrigeration. These licensed medical Providers can easily be recruited to vaccinate millions of their existing patients across the US. This will ease the burden that is currently being placed on the pharmacies and other parties that have been contracted by the federal government to administer Covid-19 vaccines to patients in the US.

We are proposing that the state of Georgia immediately begin to designate the existing physicians’ offices throughout the state as sites for administration of the Moderna COVID-19 vaccine.  The state and federal government can immediately stock the offices of licensed physicians and Providers with the Moderna vaccine and negotiate a price for administering the vaccines to each patient. This allows state authorities to immediately begin administering the COVID-19 vaccinations to large numbers of patients across Georgia.

This vaccine distribution system can easily be duplicated in other states across the country to vaccinate millions of patients in an abbreviated timeframe. The federal and state governments can provide additional assistance to their licensed medical practitioners by ensuring that the existing refrigerators in the practitioners’ offices are equipped with up to date thermostats that will maintain the Moderna vaccine at the optimum storage temperature. Available technology to remotely monitor the temperature in each Provider’s refrigerator is available for pennies per Provider per month, if needed.

We encourage you to submit a copy of this document to your local medical association, your local and state health organizations. Explain that you are a licensed healthcare Provider and that you would be happy to work with CDC, local, state and federal authorities to provide timely Covid 19 injections to the millions of patients that we, as Providers collectively see in the United States and territories.

Questions and Answers on Coronavirus Infection and the COVID-19 Pandemic

Questions and Answers on Coronavirus Infection and the COVID-19 Pandemic

(My Preventive Health LLC for Gastroenterology And Nutrition Clinics PC)

1. Question: What is Coronavirus?

Answer: Corona virus is an RNA virus that normally lives in bats. Is a member of the SARS family of viruses, that cause Severe Acute Respiratory distress Syndrome or “SARS”.

2. How does the Corona Virus enter my body and cause damage?

Answer: As far as we know, the Corona virus enters the body when it comes in contact with the delicate cells that line the insides of the nose, mouth and throat, and the surface of the eyes. The virus attaches to specialized particles on the surface cell called ACE-2 receptors. Once the virus gets inside the cell, it multiplies and causes damage to the cell walls, especially the cell walls of the blood vessels in the heart and the lungs. This damage can markedly reduce the ability of the heart and lungs to function, resulting in lung failure [and the need for a respirator] and heart failure, among other things.

3. Question: What are the early symptoms of coronavirus infection? How would I know if I had it?

Answer: the early symptoms of coronavirus infection can be fairly nonspecific. Coronavirus may presents as a common cold with mild fever and sinus infection, for two weeks or more before more serious symptoms develop. This long “incubation period” of two weeks or more makes this virus particularly dangerous, since the infected person can spread the virus to tens, or hundreds of other persons during this period. Other symptoms may include mild abdominal pain and diarrhea, weakness, and a loss of taste for your food.

4. Question: What do you mean by a coronavirus “pandemic”?

Answer: The term “Pandemic” is used to describe a serious infection or illness that spreads rapidly around the world. As in the case of coronavirus, pandemics may present suddenly in one part of the world, and spread rapidly to other parts of the world, despite efforts to contain the infection or illness. The last known global pandemic was the “Spanish flu” of 1918. The “Spanish flu” killed approximately one out of every three persons living on the earth.

To give you some perspective on the danger that this pandemic posed, at its height, the coronavirus pandemic was killing the equivalent of three jet planes filled with patients every day in New York and in Spain.

5. Question: I have inflammatory bowel disease and take corticosteroids from time to time. Does this put me at increased risk?

Answer: Yes. Your inflammatory bowel disease may place you at increased risk for a poor outcome if you develop a coronavirus infection. The data on corticosteroids are mixed. Some scientists suggest discontinuing corticosteroids if you develop a coronavirus infection, because there is some evidence that corticosteroids can cause viral infections in the body to flare. Other scientists are not so sure. If you develop a coronavirus infection, and have to be admitted to a hospital, you should certainly inform your admitting physician that you are taking corticosteroids.

6. Question: I currently take a “biologic” to manage my inflammatory bowel disease. Am I at increased risk for complications from coronavirus infection?

Answer: Yes. Your inflammatory bowel disease is considered a ‘comorbidity’ and may place you at increased risk for a poor outcome if you develop a coronavirus infection. I’m not aware that there any studies at the present time that show that Biologic medications by themselves represent an increased risk for adverse events if you develop coronavirus infection

7. Question: If I’m an immuno-compromised patient and/ or I’m currently receiving treatment for cancer, am I at increased risk for coronavirus infection?

Answer: Yes. ‘Cancer’ and an ‘immuno-compromised status’ are considered to be comorbidities. Patients that are immuno-compromised, cancer patients, and patients that are receiving treatment for cancer may be at increased risk for complications and poor outcomes, if they contract a coronavirus infection.

To See A Full List of Questions and Answers About The Coronavirus from My Preventive Health LLC for Gastroenterology And Nutrition Clinics PC download the file here.

Interim Guidance for COVID-19 and Persons with HIV

Information to consider for Persons with HIV

Use the link below to get the latest guidelines and interim guidance for persons with HIV. Source : NIH.GOV U.S.Department of Health and Human Services.

See Full Guidance Here Topics Include:

Guidance for all Persons with HIV

  • Antiretroviral Therapy
  • Clinic or Laboratory Monitoring Visits Related to HIV Care
  • Persons with HIV and in Opioid Treatment Programs:

Guidance for Specific Populations

  • Pregnant Individuals with HIV:
  • Children with HIV:

Guidance for Persons with HIV in Self-Isolation or Quarantine Due to SARS-CoV-2 Exposure

  • Health Care Workers Should:
  • Persons with HIV Should:

Guidance for Persons with HIV who have Fever or Respiratory Symptoms and are Seeking Evaluation and Care

  • Health Care Workers Should:
  • Persons with HIV Should:

Guidance for Managing Persons with HIV who Develop COVID-19

  • When Hospitalization is Not Necessary, the Person with HIV Should
  • When the Person with HIV is Hospitalized:
  • When Receiving Investigational or Off-Label Treatment for COVID-19:

Additional Guidance for HIV Clinicians