Bacterialvaginosis is a disease that's caused by the overgrowth of a type of bacteria that's called Gardnerella vaginalis, Gardnerella vaginalis. And as the name might suggest, this is the most common vaginal infection. Now I wanna put these really big quotes
around the term infection because the thing that's interesting about Gardnerella vaginalis is that it's a bacteriathat's naturally found in the vagina. Now some may consider this to be a sexually transmitted infection, which is interestingbecause it doesn't cause
any problems until there'stoo much of it there. So when we look to the causes of bacterial vaginosis, they are all things that change the vaginal environment. That can include acts like douching, so douching, or rinsing of the vagina. The other is having newor multiple sex partners.
And finally, another known cause is the use of antibiotics. This could be in the case of somebody that has a throat infection or a pneumonia that's on antibiotics which will then attackthe bacteria that exists within the vagina andallow Gardnerella vaginalis to overgrow and cause bacterial vaginosis.
So we've touched a little bit on it here, but I wanna draw it out. So when we talk about the pathophysiology of a disease, we'retalking about the mechanism by which that disease occurs. So in order to understandthe pathophysiology of bacterial vaginosis, we need to take a look at a sample of bacteria
that exists in the vagina. So I'll draw out someGardnerella vaginalis bacteria, and so I'll put this up in our key. This is the symbol forGardnerella vaginalis. And I'll draw a few of them around here, but I also wanna show that there are a lot of other bacteriathat exist in this sample. So if you really look at it here,
Case 26 Claire Overweight No Gallbladder Psoriasis
Thanks for coming back and checking out mynew case study. We're going to talk about a lady called Claire today. This is not herreal name, of course. Claire is 59, which is not her real age, but I can assure youit's a very real case. Claire came to see me some time ago now, inabilityto lose weight, shocking psoriasis, very bad psoriasis. I remember all around the neck,the scalp and around the ears, on the arms and on the elbow areas. Claire also had flatulence,bloating, indigestion, reflux, continual sore throat, pins and needles, fluid retention,high cholesterol, sweet cravings, itching, also arthritis. I think there was a touchof psoriatic arthritis in this case. The patient
had her gall bladder removed when she wasin her 20s, just after her first baby was born.Psoriasis really developed in her 40s, so she's had quite a lot of different stressesin her life. She's also taking an acid blocker, one of the H2 antagonists, acid blocking medicationsthat stop reflux, which is not uncommon after gall bladder removal. If you have had yourgall bladder out and have reflux, you need to take digestive enzymes because it willmake a huge difference. In Claire's case, it certainly helped. Always hungry, she sayshere. Eating protein does help, but love sweets. The big thing with Claire was really the dietchange. This lady is 126 kilograms, so that's
250 pounds, quite a large person. People whoare that large who have psoriasis often have sharpening psoriasis, so they can have reallybad inflammation because of their weight. People who are obese, often have much higherrates of inflammation, blood sugar disorders, high blood pressure, high cholesterol, everythingjust crashes with these people. Think of it like having a fourcylinder car and then puttingsix or seven 200pound people in it, you're putting massive stress on this vehicle. Becausethat's what you're doing to a person's frame when you carry a lot of weight. You're puttingmassive stress on the joints, the heart, the liver, the bowel; every part of the body isunder massive stress with a lot of weight.
People who weigh a lot less have a lot lessstress when it comes to their organs and metabolic function. Bigger people get punished prettybadly. It's not easy for people to lose weight. Dietingdoesn't help in the majority of cases. It's a waste of blooming time trying to get peopleto eat less food or change the way they eat. It's really a lifestyle approach that willhelp people. People have to make changes on multiple fronts. You're going to find peoplewho specialize in weight loss; some will target the mind, the emotional set. They're all aboutmotivation. quot;You can think yourself thinquot; and all this sort of crap. And then you getall these diet gurus and diet priests out
there who say, quot;Nope. You can eat yourselfthin.quot; And then you get the exercise gurus, quot;You can exercise yourself thin.quot; The problemis none of these guys talk together. They all try to make a million dollars with theirown websites and forget about the fact that the only way people are going to lose weightand maintain that weight loss is to look at a holistic concept. Every person needs tolose weight depending on the way they think about life, the way they think about diet.The only way you really make change in your life is to have a PMF, a primary motivatingfactor. So in Claire's case, her primary motivating factor was to want to live long enough, thequality of life, for her grandchildren. And
that's what I found out with talking to her.She didn't care. She was in a fantastic stable relationship. Husband loved her if she was100 pounds or 300 pounds, so she had a fantastic marriage. That was working out quite wellfor her. She had a good relationship with her children, but the children were worriedabout mom and worried about mom getting so big. Very worried about her because she mightnot live long enough to enjoy spending time with her grandchildren, so that was here PMF.And I tapped into that big time. I've had multiple consultations with Clairenow. We've had fantastic weight loss with this lady just by gently engaging her in makingchanges in how she eats and thinks about food,