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Matthew: You sound you are a bit under the weather I believe it was a fairly big weekend in terms of some conferences that you were speaking at and so forth. Apologies to the listeners today, Carlo was saying he is a bit bunged up, but you want to tell us a little bit about what you have been up to and what has been going on?

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Carlo: Yes, thanks Matt. I apologise to the listeners to my very nasal and stuffy voice. It has been a busy few months, most our listeners are aware that Hpv numbers meaning have been presenting a series of seminars to practitioners across Australia on the vestibular and balance therapy which has been extraordinarily well received and we still have got some more planned for Perth, and Tasmania as well which is fantastic.

But over the weekend I was very fortunate to present to several hundred people practitioners, patients and parents at the international forum held by MINDD which is a rights initiative, it has been around now for about ten years, set up to help parents and adults and children and practitioners learn more about various chronic and nutritional, metabolic, immune, neurological and development disorders that unfortunately plaque many hpv numbers meaning us. What did you chat about when you were speaking there?

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Carlo: I was very fortunate to be part of the teaching of a faculty there over the weekend. My talk was on a problem that most people there were very hpv numbers meaning with which relates decaris oxiuri gut function. The direction which I took this was hpv numbers meaning different than what most people are probably used to or exposed to.

Whereas most of them have been exposed to very directed care to the gut through naturopathic or integrated medicine or other forms of health structures in getting the body to work to help the body, whereas my talk was get the brain to work better to help the gut to work better.

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And it was quite novel for a lot of them and it was really well received. I had a lot of parents and practitioners come up to me afterwards and share their thoughts and they were quite pleased that there was a different approach to problem unfortunately suffer from. There are many nucleo parts of the autonomic nervous system that sit within the brain stem. That parasympathetic portion of the autonomic nervous system is controlled by hpv numbers meaning vagus nerve.

So it helps gut motility which means we can move matter through our gut effectively and quickly.

Din contră, testările medicale sunt unelte extrem de folositoare, şi sunt necesare pentru a cunoaşte povara acestei boli în ţările în curs de dezvoltare. Propune un exemplu Alte rezultate An important task of the programme would be to identify better the main burdens of disease in the Community and, in particular, the main health determinants. Unul dintre obiectivele importante ale programului trebuie să fie o mai hpv numbers meaning identificare a principalelor cauze de morbiditate din Comunitate și, în special, a principalilor factori determinanți pentru sănătate.

It also supplies a lot of our organs which include our pancreas, our gull bladder and other parts of the digestive track to produce enzymes. People are unaware enzymes are needed to break down food.

So our vagus nerve helps organs to secrete enzymes which help break down food. Another function it does is it hpv numbers meaning the lining of our gut. In the lining of our gut we have got two important things, we have got a lot of our immune system which is why a good healthy gut not only equates to a healthy immune system but also the vagus nerve supplies the cells on the lining of that gut that helps keep them together. So if you have good vagus activity the epithelium or the lining of that gut is tight and none of the undigested food is allowed to be absorbed into our bloodstream, which is really important.

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Matthew: Yes, I remember reading a paper that was talking about if there is damage to vagal function that you lose your gut lining very quickly, is that correct. Carlo: Yeah, it is.

Some of the research that has been produced recently has linked poor vagus nerve activity with leaky gut syndrome, with irritable bowel syndrome, with chronic inflammatory bowel disease and there are many people out there that unfortunately suffer from these condition and I am pretty confident they are not getting a brain based approach a vagal nerve approach to help hpv numbers meaning the gut work.

They are attending to it by getting some herbs or some nutritional products hpv numbers meaning their gut, they may be seeing a gastroenterology to help repair whatever is going on inside. I am not going to take away from the value of that but equally that may only be a symptom to the brain not working particularly well. The talk that I gave to two hundred and fifty plus people I hope sparked that thought pattern that oh maybe I should look at the other component to my gut which the top down the brain based effects and then that could be a nice adjunct to what I am currently doing.

So I think that many people were pleased and took that away.

Matthew: What you are saying is there are a number of conditions that can benefit from this. Carlo: What I would often say to people is it really depends on what your examination hpv numbers meaning your assessment findings are. So examinations or assessments that you could do to find whether or not your vagal tone is low or you have asymmetry in your hpv numbers meaning nervous system.

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Unfortunately there is no blood tests I think at the moment, cortisol level which is a salivary test that can hpv numbers meaning at what one of your stress hormones and that hpv numbers meaning to your sympathetic systems.

So remember if your sympathetic system is high, unfortunately in the life that we lead, we tend to lead a very sympathetic dominant state.

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Symptoms and history are the hallmark of any assessment, so any skilled practitioner should be able to ascertain that they get a good sense of where you are at based upon detailed history and examination. But one of the, I guess the gold standard to determine autonomic dysfunction is heart rate variability where we are not just looking at your heart rate of 55 beats per minute but we are looking at the variability and most people will be quite surprised to hear the variability in your heart rate you can measure with an ECG machine or you can measure with a low cost, low tech device that you can put on hpv numbers meaning finger or as a chest strap and you can measure the variability in your heart rate.

Like this is a good idea whether you are sympathetic or para-sympathetic dominant.

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Remember the vagus nerve is a by-product of the para-sympathetic nerves. We also look at other autonomic nerve system signs like pupil size is another classic sign or an autonomic imbalance.

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For instance with a sympathetic or a fight or flight state our pupils are typically large, when we are in a rest and digest state our pupils are typically low. So we may hpv numbers meaning hpv numbers meaning asymmetrically as well through the use of an ophthalmoscope.

We may look at the difference in size of the vein to artery size in the back of the retina.

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We can look at other measures of brain function that give us an idea of what control do they have on the brainstem. Matthew: Right, so when you are talking about putting together a protocol what sort of thing is involved in vagal stimulation, is it hpv numbers meaning electrical thing or do you do reflex stimulation or how does it work?

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Carlo: There is a three pronged attack for us, we first we look at the higher brain because the higher brain has a huge influence on the brainstem. And our clinic doctor has been really favourable to helping people with a number of different conditions with this particular device.

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Carlo: Certainly, like anything else I think the success of what you do will always depend upon the accuracy of what you are trying to do. Matthew: Right, so when you are you looking at that what types of things are you doing, is it things like gargling and so forth? Carlo: Definitely, I think gargling is actually one of the best vagus nerve exercises that you can do. Matthew: It makes you wonder then the people who hpv numbers meaning snorers and have sleep apnoea and so forth all to do with low muscle tone in the throat, has there been much research done of that aspect of it?

We are just looking for subtleties in the presentation that may give you better real results but in theory it makes sense, it makes sense that when someone sleeps they have poor throat tone which is vagus nerve and as a result their voice box and their throat you can get that sound that occurs as air passes through, the turbulence can be heard of as gaggling or very throaty sound or even a snoring. So I have not seen any data on it, I would be curious to follow that up but in theory it does cancer gastrointestinal sense.

Carlo: So hpv numbers meaning I have discussed so far is probably more than input into the brainstem and down into the rest of the body but equally understand that there is never a one single direction path, it always goes different directions.

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