Episode
315

Dr. Micah Yu's Plant-Based Journey Of Healing

If you're looking for a powerful and inspiring story about how changing your diet can improve your health, then you'll want to check out the recent interview with Dr. Micah Yu. Dr. Yu is a plant-based integrative rheumatologist who was diagnosed with gout as a teenager and later with psoriatic arthritis. When he first switched to a plant-based diet in 2017, he was able to stop all the pain he was experiencing and dramatically reduce his medication usage. In addition, Dr. Yu talks about everyday sources of toxins and how to avoid them, as well as the difference between autoimmune and rheumatic diseases. He shares his own journey of how changing his diet has transformed his health, and provides valuable insights for anyone looking to improve their own health through a plant-based diet. Anyone who is interested in learning more about how a plant-based diet can improve your health, then be sure to listen to the interview with Dr. Micah Yu!
Hosted by
Last updated
October 7, 2022

Timestamps

00:01:37 Introduction
00:02:33 Why Dr. Yu became a doctor
00:08:02 When Dr. Yu first tried a plant-based diet
00:10:34 The difference between autoimmune and rheumatic diseases
00:14:00 What is integrative rheumatology
00:19:35 Everyday sources of environmental toxins
00:25:52 How Dr. Yu tests his patients for different toxins
00:28:59 How a plant-based diet benefit improves rheumatic diseases
00:32:01 What Dr. Yu eats in a day
00:35:42 Final thoughts

Episode Transcript

Dr. Laurie Marbas:Welcome to the podcast. I'm Dr. Laurie Marbas, and I was so welcome to welcome my good friend, Dr. Micah. Yu, How are you?

Dr. Micah Yu:I'm doing well. Thank you so much, Dr. Marbas, for having me.

Dr. Laurie Marbas:Oh my goodness. You did not call me. Dr. Laurie<laugh>

Dr. Micah Yu: Is on.

Dr. Laurie Marbas: Oh my goodness, my, Yeah, absolutely. So I will have to apologize if you hear any loud noises. I'm gonna try to mute, but like I mentioned to Micah earlier, there's a little demolition thing going on outside these walls. I just throw that out there for you. So I do apologize if that occurs, but hopefully not. So well, let's get to learning more about Dr. You, and some of you may already know him. He's a plant-based rheumatologist here also in California. So I'm excited to connect in person as well. And you know, many times we have the audience ask, you know, why did you decide to come a doctor and specifically rheumatologist? I think that'll be fascinating.

Dr. Micah Yu: Yeah. So for those of you that don't know my story I'll rehash it here. So it all started, you know, back when I was 16, 17 I was on a football team. I was overweight, I was a lineman, and I really want to lose weight. So the it wasn't called a keto diet back then. It was called the Atkins Diet. And that was very popular. I wanted to get stronger. I wanted to get bigger, but also get lose weight at the same time. So I went on the Atkins diet, which for those of you that don't know, is a very high protein diet. I was probably what, 1 50, 160 pounds back then. And I ate about 180 to 200 grams of protein a day. So I was eating steaks. I was eating fish drinking like two classes of milk just to get the protein, protein powders, protein what else?

Dr. Micah Yu: The protein bars, whatever is a protein, you name it. I was eating it and I did lose weight. I lost about like 20, 30 pounds. But at the same time, end of getting gout and gout is an excruciating arthritis that is not autoimmune, but it is a rheumatic disease. And typically the way it comes about is you get an attack on the big toe or some other joint overnight. And even putting a blanket on it will be very, very painful. So I got that in high school, very debilitating. And then in college I still had a attacks of it. I didn't, I mean, I, I would take ibuprofen, those medications, ethin when it would come out. I was drinking alcohol, living the college type of life. And then after that, my arthritis actually started to transform and I started getting pains in places that I did not expect, like my TMJs multiple joints in the fingers, wrists.

Dr. Micah Yu: So it was starting to becoming from one joint at a time to several joints at a time. And there was a, so after college I, well, I was a business major, so I wanted to go to med school or some, a type of healthcare profession. So I did my post back in science classes. So during those two years that was doing that, there was a period of time where I couldn't even go to class for two weeks cuz I was bed bound from so much pain. I had fevers. I didn't go to the ER or anything. And then I started taking g medications at the time after that. But that subsided. I finally made my way to med school. And during med school these attacks would continue and persist and they would get worse and worse. And my TMJs again will get attacked.

Dr. Micah Yu: I wouldn't be able to eat for like couple weeks. I would just be able to eat yogurt and drink water and I'll wake up swollen. My TMJs would, there would be feel like a balls inside. And sometimes I'll wake up at the night with pain. I noticed there was a pattern with food. I just could not pinpoint it. And my diet was so poor during medical school. I was eating like lean pockets, whatever, like frozen foods, <laugh>, a typical college med school diet pizza, whatever you name it. And then I went to different rheumatologist, one academic rheumatologist, one community rheumatologist. And they couldn't diagnose me. I had all the antibodies being negative. They said, Yep, gout definitely. Cuz my uric acid was like 13 when I was diagnosed with gout. It came down to like three or four with medications.

Dr. Micah Yu: So it part of wasn't gout attacks, but there was like they were saying, we can't, we don't know what else is going on. You have your ESR and crp, which your inflammatory markers were are high, but everything else is negative. So then I went to residency at Loma. Linda went to fellowship there too in rheumatology. So their residency I got acquainted with their rheumatologist there who are my attendings. And they did an ultrasound on me and they found that I had something called enthesitis, which is inflammation of the ce. And the N feces are places where it's a middle connection between your bone and your tendon. And this, you can get this from playing a lot of golf, playing a lot of tennis, called tennis elbow, golfers elbow. But it can come from an autoimmune disease too. So eventually got diagnosed with spondyloarthritis along with gout.

Dr. Micah Yu: And they actually drew, I actually have three diagnoses cuz they, they, I have fluid in my ankle and they drew fluid out and they found something called C P P D crystals. So I have three diagnoses, but usually I just tell people I spun arthritis and g to make it simple. So how did I come on a plant-based diet? How did I become who I am today? So my wife Laura, you know, my wife Melissa. So she got into lifestyle medicine at Loma Linda. She's also a doctor as well. She introduced me to plant-based nutrition, but <laugh> during Thanksgiving, she create these plant-based meals. I did not enjoy them at all. This is back in 2018? No, 2017 fall of 2017 I thought was really like not advertis. I was like, where is the me? So I eventually, I watched forks, overnights, read these plant based books.

Dr. Micah Yu: And I gave a shot in May, 2018. It went on plant based diet for three months. And my pain just went away in three months. My es my cpri, my, my CRP went completely negative in three months. My ESR was still positive, but went down. And recently in this past two years I retested myself. And both esr CRP are completely negative. So everything's pretty calm. I mean, I do get attacks every now and then. I don't take any medications for my SPD arthritis, all I offered methotrexate plaque and these immunomodulators I refused it. And luckily, luckily I found a diet that worked for me because I would be on these medications today. So when I do get attacked, it's usually cuz I work overnight all night or I ate something really processed. I ate out something too salty, too oily.

Dr. Micah Yu: But the attacks, you know what they were, this happened for maybe a couple hours or just for a day and it would go away. And have my own strategies dealing with that, taking supplements, fasting, and then it goes away. So I really don't take meds. And the only medication I do take every now and then is gout meds. But I sh I'm not taking away. I'm supposed to, but I'm pretty well controlled overall. So I'm happy with the way things have turned out for me which is why I became a rheumatologist and which is why I form my own clinic. And here in Newport Beach, California with my wife Melissa. Which I do integrated rheumatology cuz I do things beyond plant-based nutrition. Which we can talk about later on too.

Dr. Laurie Marbas: Yeah, absolutely. So isn't it amazing that you suffered all those years and it was as simple as switching your diet and doing some other things as well? Oh my goodness.

Dr. Micah Yu: Yeah. Yeah. I mean I, I call, I tell my patients I'm consider, I consider myself lucky cause some patients they switch up the diet and it still doesn't work or it doesn't work as well. I mean, so I tell everyone I am an indivi. Every individual's different, every patient's different. But it's possible you can turn on like me, but oh I don't, we don't know until we try.

Dr. Laurie Marbas: Right, absolutely. I mean at least puts things in your favor, <laugh>.

Dr. Micah Yu: Yes, yes,

Dr. Laurie Marbas: Yes, yes. Wow. So love to hear. Maybe you could start with what is considered autoimmune versus rheumatic diseases so we can kind of explain the difference there. That'll be helpful. Yeah.

Dr. Micah Yu: Yeah. So sometimes people think that autoimmune disease means rheumatology and that's not true. So rheumatologists, we deal with diseases of the connective tissues autoimmune diseases of the connective tissue. But we also deal with a lot of different arthritis and autoinflammatory diseases as well. Immune system diseases. So autoimmune disease can span from different difference specialties. So neurologists treat multiple sclerosis. GI doctors treat inflammatory bowel disease, Crohn's disease, also colitis. Rheumatologists, we treat a lot of them like lupus, rheumatoid arthritis, ankylosing spondylitis, patic arthritis, vasculitis which is has been kind of popular these days cuz of Ashton Cutcher. So we treat those kinds of diseases. And then you have your endocrinologists who treat autoimmune thyroid disease and autoimmune hormonal diseases. Rheumatic diseases can also include gout. Which I have, which is not autoimmune.

Dr. Micah Yu: It's a disease with a metabolism metabolic disorder of uric acid. It also rheumatic diseases also include pseudo gout includes you can call osteoarthritis a type of rheumatic disease. So it's it's not an auto, it's wear and tear arthritis. We also deal with autoinflammatory diseases which are not autoimmune, but sometimes these diseases are how would you say, just genetic disorders that cause a disregulation of the immune system. So those are type quite rare. And we also deal with immunodeficiencies and sometimes alert stainless syndrome as well. So weird things out there so it doesn't have to be AUM disease. So that's sort of the difference. I know it can get quite confusing for the public, but that's how I can explain it.

Dr. Laurie Marbas: I forget that I'm muted <laugh> all the time. Yeah, absolutely. Yeah, so that's fantastic. So it's a, a wide variety of diseases so you must have a very interesting population cuz you know, what are the odds if you get one autoimmune disease that you'll get another outta curiosity? I can't the exact,

Dr. Micah Yu: Yeah, I don't know the exact odds, but definitely once you get one you have, it comes in clusters and you've seen a lot of patients lower, you've noticed, probably noticed that one, if a patient has rheumatoid arthritis, sometimes they'll have a thyroid disease and then they'll have like lupus along with that. So it comes in clusters. So discuss if one doesn't mean you're gonna get five or three, but it's not uncommon to see patients with several auto diseases

Dr. Laurie Marbas: At one time time. Like type one diabetics and thyroid disease, such a common thing. Mm-Hmm <affirmative>. Yeah, absolutely. Okay. So now you know, you just spoke of integrative rheumatology and kind of going outside of just even, you know, the, a simple whole food, plant based diet. So can you give us what that means is in the foundation and what do you do with patients? So when patients come in, what are you looking for? What are you suggesting? Like how does that work at begin and how do you start getting people on the path to, to wellness and healing?

Dr. Micah Yu: Right. So just to give a little bit my background before I talk about my clinic. So I am boy certifying lifestyle medicine. And also I am finishing up my second fellowship at the University of Arizona's Integrated Medicine Fellowship. So it's a two year program. Talking about different diets, supplements, herbs, mind body medicine aromatherapy, veta, all these different things. So I'm finishing out the summer and then I'm also finishing up functional medicine as well. So I'm trying to put all these different fields together to help my patients. So I know there's a lot of controversy of functional medicine, but I see it as another tool in the toolbox for my patients. So in my clinic when a patient comes in, I do the standard history and physical in my patients just like any other doctor would.

Dr. Micah Yu: But I also talk about lifestyle medicine. So I talk about nutrition, exercise, sleep what else is there? Emotional wellbeing. And I also incorporate environmental medicine into my visits as well, which is a huge component of functional and integrated medicine. And I talk a lot about trauma in my clinic as well cuz that can be a source of pain and disease for patients. So I talk about all these different things and in my treatment plans I will talk about medications, traditional rheumatology, immunosuppressive medication, steroids. I use those in my practice. But what sets me apart from other doctors and rheumatologists is that I'm flexible. Not only do I have regular medications in my toolbox, but I can also talk about diet, different diet that can help with people, not just whole food plant based. But if a patient, you know, they're not used to plant based diets, maybe a Mediterranean diet will be a great step already.

Dr. Micah Yu: That's huge. There's a lot of data behind Mediterranean diets. And maybe finding out what foods and activities our patients deal with cause we can talk about this night shades and all these things we can talk about later on. But I talk about those things in my clinic. And then environmental toxins as well. And I talk about supplements. What supplements are evidence based that we can use to help patients get through their disease. I have some patients, you know, who have been able to avoid medications completely. Some patients use a combination of integrated medicine with medications and they're doing great. So the hardest patients are the ones that don't want any traditional medications and they want all alternative and they've done all the dietary changes already. So that's what I'm constantly educating myself on. What else is out there, what's cutting edge. So I think that's where a lot of the deeper ends of integrated medicine and functional medicine kick in where I have tools in my toolbox to help patients because I don't want to leave patients hanging cuz there integrated rheumatologists actually quite rare in the nation as you know. Laurie, it's probably was part of hard for you to find someone besides me out there.

Dr. Laurie Marbas: Yeah, no, we've done lots of conversations, emails and other asking about patients cuz you know, that integrative and the functional toolbox is really, you know, having those tools inbox is very key. And you know, I had started down the path of the functional medicine 10 years ago when I first started, you know, employing a plant based out with patients and looking at lifestyle medicine. I didn't know what it was at that time called lifestyle medicine. But yeah, but like you said, there's some controversy and sometimes some of the, the things I didn't appreciate was, you know, am I gonna speak to that now? But what I did really like about it was the deeper history, like you had mentioned like the environment and the potential toxin, you know, exposure and you know, it's just funny moving into an older home. So this is a 1977 when they stopped using lead paint.

Dr. Laurie Marbas: Well they were supposed to stop using last week. Yeah. But we had this leak, which is why there's little construction going around. It was really interesting cuz we had been in the house about a week and the, I didn't like the taste of the water, so I bought a water filter and you know, we were gonna do some things to see what we could investigate about what's going on. But when we had the leak, we decided because the home was so, and some other things, we decided to re-pipe put in a, a water filter and a conditioner and the entire chase of the water changed. We've cleaned, we had some, what they call it a hydrogen where they cleaned out the pipes all the way through the sewer line. And I can't even tell you the difference of the water. And that just threw me for a loop.

Dr. Laurie Marbas: I mean I should have expected it, but it was a dramatic shift. And I was just thinking what were the people who lived here before in the last however many years the water started corroding and doing stuff, you know, the pipes and stuff. I, I'm just like, I was like wow, <laugh>. Okay. So I'm so thankful we went through this process even though it's been a little painful, but it's all good. So what type of toxins in the environment do you look for? Like are there specific toxins that relate to different diseases or like where does that even begin? Is it hobbies where they live? Like what are you looking for?

Dr. Micah Yu: Yeah, so there's so many environmental toxins out there. So water is just like tap water is just one source of emeral toxins, VLCs, that's one VLCs are in water and other type of al toxins. And heavy metals in there as well. There are environmental, like you talk about lead, lead is the type of environmental toxins, a heavy metal. And you don't want too much of that in your body. It can cause a lot of damage. A lot of these invol toxins are called endocrine disruptors. So they can affect the thyroid. They can cause different hormonal dysregulation cause that's why you see patients earlier and earlier in age with testosterone deficiencies menopausal issues as well at earlier age. More cancers are rising every year cuz of these everyone toxins. So you have in cosmetics paran you have something called pfas have bpa B bps.

Dr. Micah Yu: So BPA is in plastics and you can get it on your touching, just touching a piece of paper with like a receipt from the grocery store has BPA on it already and the transfer to the skin. So plastics, you know, I don't recommend plastics to use when you start food use glass, especially heat up food in glass instead of plastic. So heating up those frozen food in the plastic bags is a big no-no. So bpa, even though it's BPA free on there, it can have other environmental toxic such as B bps. So it's this BPA is just like a marketing tool for these companies. So those are sources of hormonal dysregulation. They're also known as immune disre. I'm calling them immune disre. I don't think it's been called formally termed that yet. But there's so many papers coming out now that show that these hormonal environmental toxins are also disrupting the immune system.

Dr. Micah Yu: So there was a recent paper out the frontiers, I think immunology two months ago, three months ago in 2022 that shows that POCs can't be a source of inflammation in these autoimmune diseases. So VLCs are a type of chemical out there. They're, like I said, they're in their water, they're different sources in their environment and they can over time be very, very damaging. And these toxin into, when you're exposed to them, they're just not overnight damaged. They takes a while for people to see clinical manifestations of their disease and other things that are viralox are pesticides. So glyphosate is one that's pretty controversial. I believe that it does cause issues for people. If you look on different articles on the internet, maybe like CNN and that these news outlets, you see that patients have been compensated because of cancers that were related to glyphosate and Roundup and these types of pesticides.

Dr. Micah Yu: And there are studies out there on lupus and rheumatoid arthritis showing that when you have a direct exposure to pesticides, it, it actually increases the risk of lupus and rheumatoid arthritis. And if you even you had indirect exposure, it increases the risk. So if you have a direct exposure, it like has a much higher chance of increasing these autoimmune diseases. And I'm sure there's papers on it with s sclerosis and different autoimmune diseases and thyroid diseases. And it's really unfortunate that we're not talking about any of this stuff in medicine cuz we're not taught it. Where do I learn about the stuff? I learned it through functional medicine, I learned it through integrated medicine and styrene from styrofoam is another environmental toxin. It's been shown that there's a higher risk of scleroderma, which is an autoimmune disease and rheumatology with styrofoam and styrine. So there is, it's a whole world out there. I'm still learning every day. But it gets very complicated.

Dr. Laurie Marbas: It's almost <laugh>. It's like, well I'm just gonna pack up and move up to the mountains and live as a hermit. Yeah. In the wild <laugh>. Yeah because I mean we're surrounded by these things every day. Like you just, it's hard to avoid these things. I mean at least I guess in the places that you're most of the time hanging out. Which it's a good to look at what those are cuz it was interesting. I've had quite the, like I said kind of, it's kind of a good case study as far as like concerns that people have. For example, when they, because of its home of the age, they literally had to block it off cuz the leak went from the bathroom into the garage below it and it just saturated the ceiling. So they opened it up and they had to, they closed it off and had to check for asbestos, right? And so that was a little stressful and blood, they checked for lead and luckily was had

Dr. Micah Yu: Mold too with all that water

Dr. Laurie Marbas: Actually the mold they did recently. So then they put in all these fans and dried it out and then they checked for mold they found in the garage. Haven't found any up here, but you know, but then we found termite damage. There was a sewer leak it goes on. But enough of that drama. But it was really interesting and now I'm learning how they actually do mold remediation. Yeah so it's, it's quite the process that they do and what they're testing for and, and what they're exposing themselves to honestly. I think about these workers cuz you don't see them mask as they should should be in, oh my gosh, I would think so, right? I'm like, okay guys, you probably should be wearing like some type of at least later. But yeah, it, it's, it was a really interesting And then here in southern California you guys have very persistent little ants. Mm-Hmm <affirmative>. So you know, like I think about the pest control that's occurring in the, I live in a neighborhood, where's an HOA and they're doing PE leg, well what are they spraying? Like where is that? So there's just so much stuff going on again that you just don't think about until something happens. But so where, are there certain labs or tests that you do for when you're looking at this environmental toxicity? Like is it just, is it a symptom specific? Is there someone that you do for everyone regardless of, of exposure risk,

Dr. Micah Yu: Curious. Right. Yeah, great question. So every patient's different but with these autoimmune conditions I really like to dig into the big picture of environmental toxin. So I do test for nutritional deficiencies cuz sometimes if you're deficient nutrients it can cause more inflammation and be a source of some non-specific symptoms like hair loss fatigue, Where is that coming from? It might not even be to the autoimmune condition. So that can be, so I do nutritional deficiency testing. I test for genomics sometimes in my office. I also test for mold toxicity cuz that can sometimes be a trigger for these diseases. Environmental toxins testing. I also do what else do I do? Heavy metal testing as well. So those are just some of the tests I do. I mean there are other tests that integrative doctors do. They do leaky gut testing, stool testing.

Dr. Micah Yu: I don't do that that much in my office when a patient has autoimmune disease, I know they have a leaky gut, gut dysbiosis already. So sometimes I tell my patients, you can hold back off on that. I know food sensitivity testing is very popular, I don't do too much of that either. Unless patients really request it because as you know, Laurie, it can be inaccurate sometimes these foods tend to be testing. But I've heard success stories of patients you know, that have used food since be testing from other doctors that, you know, they've kind of narrowed which foods were triggering their issues. So I think it really depends on the case by case basis. But everyone talks since the reason why I'm so big on it because I believe that's one of the root causes of disease. And a lot of people, you know, you fix the nutrition you fix, they have a good home life. There's no trauma in the past. So what else is driving it? It could be infections. Infections are can be a big cause of autoimmune diseases too. So I check that in my office. So I look for root causes that that's what the integrated functional medicine side of me kicks in.

Dr. Laurie Marbas: Mm, that's really interesting. So gonna have to pick your brain some more in the future <laugh>. Yeah. so that is you know, so if we, let's get back to, you know, a lot of folks here eat a whole food, plant based diet. That's what more is all about. Well it's lifestyle medicine, just getting people moving in the right direction. We take 'em, they're just like, what is this? What do you want dust to eat a plant based diet? So, you know, it makes sense with diabetes and hypertension, those are pretty straightforward cases. Excuse me. But when it comes to the rheumatic and autoimmune diseases, where does the diet specifically do you feel make a difference? Is there a certain percentage of patients that you see to respond? Are there certain diseases that respond better than others? So what would that look like? And is there anything specific in those in the hopefully plant they say that you found that's very helpful in these type of situations?

Dr. Micah Yu: Yeah, so I get patients outside of autoimmune rheumatic diseases. I get patients in with other autoimmune diseases that come in and I treat them all the same. Okay, so my thing is how do I attack this inflammation Cuz inflammation's chronic inflammation is the root cause of all these autoimmune diseases. So what why is a hopeful plant based diet so powerful? It's because of the fiber and phy nutrients. A two thirds of the immune system is located at the gut and all the food that you're eating talks to your immune system cuz it, it interacts at the gut with the immune system. And there's an overwhelming number of studies that have shown that fiber and phy nutrients are very anti-inflammatory. When you eat final nutrients and fiber, it can help generate something called short chain fatty acids and short chain fatty acids. There's three types of them and they do go out through the system.

Dr. Micah Yu: I mean they're generated at the gut, but they do go to the brain, they go to the your fat cells, your bone marrow, your joints, your lungs, whatever. And it has a positive effect on these systems and in a immune system it's anti-inflammatory. So that's why I emphasize eating a lot of fruits and vegetables so much in my clinic and really cutting down on the meat and the processed food as much as possible. So the, our patients, you know, that do eat a whole food stan in my clinic who have gone to remission and have been able to stay off medications that every patient's like this. But there are patients who do need medications, but every patient is different. That's why tell patients, you know, I can potentially get you better, but it's not guaranteed because there are patients who eat a whole can based diet, have done paleo, have done all these different diets out there and they're still like very, very infl inflamed for some reason or another. But a good majority of patients, I would say, if you're just eating fruits and vegetables to start off with, just change your diet, getting off of processed food, you do see improvement already.

Dr. Laurie Marbas: And I'm a huge fan of my morning smoothie.

Dr. Micah Yu: <Laugh>. Yes, me

Dr. Laurie Marbas: Too. So best part of my day, all my heavens. Right. So tell us what you eat in a day because if I don't ask I'm gonna get comments. So please, what does Dr. Day? Yeah,

Dr. Micah Yu: Yeah. So sometimes I do fast in the morning cuz I don't want to eat breakfast, but if I do eat breakfast I will eat oatmeal or a fruit or a smoothie. And then for lunch I would eat sometimes a sandwich. Some I like eat <inaudible> bread, that's my favorite type of bread. Or I'll drink a smoothie or I'll do a butable or sometimes in my clinic the farm reps would bring food for me as well. So I really like vegetarian, vegan Indian food. That's one of my favorite foods out there. And what else I eat? I I eat a lot of Asian food since I'm Chinese, so I love Asian vegetables. So I love Asian Chinese broccoli. I don't know how to say some of these foods in English, but I like mustard greens b choy and I love talking mushrooms all in nochi, mushrooms, all type of mushrooms.

Dr. Micah Yu: I, my wife makes fun of me because I, ever since we turned vegetarian vegan, I've been eating only like certain I could cook only certain number of foods. So <laugh>, one thing I always make is tofu, what was it? Tofu, fox choy, green onion and mushroom suit with mis so paste <laugh>. And she, so I'll bury it up and I was like, Oh, there's a new soup today, a new recipe. And I'll like add another ingredient on there and she just gets so tired of it. But I'll eat, I'll eat that. And I'll eat whatever my wife makes as well.

Dr. Laurie Marbas: Thanks for unmuted. Yes. that's funny. <Laugh>, you know. Yeah cuz my husband, he likes to, he has his repertoire of foods and he has a bit of a sweet tooth, so we have to monitor that <laugh>. Try not to nag, but geez Louis

Dr. Micah Yu: I know I'm a sweet tooth too, so sometimes I'll eat some like plant-based ice cream or chocolate and stuff. Oh

Dr. Laurie Marbas: Yeah. The my favorite is, oh I'm, I bought you some ice cream too. You want someone, I'm like, I don't even particularly care for ice cream, so I'm like sure, why not

Dr. Micah Yu: <Laugh>? Yeah, yeah, I know it's, I know nice cream with the bananas are the healthiest, but I'm too lazy and make it sometimes so I'll just grab the ice cream from the store.

Dr. Laurie Marbas: I know I bought my, my husband that one of those machines that yos, it's I something, it's been used like five times.

Dr. Micah Yu: <Laugh>. I know. Mine's in the closet.

Dr. Laurie Marbas: Exactly. It came with us to California. So I'm determined to encourage the healthier you sweet eating, but that's funny. So that is fabulous. So there's such an amazing approach that you offer for someone. You really treat some really stubborn and tricky diseases and you know, that's, that's such so encouraging to see someone you know, young like you and Melissa really pushing forward and also really adjusting how you deliver care, right? So you have a different type of practice than the traditional, you know, working in a hospital or working for a larger group. You, you went on and I, which is hard to do these days. So I applaud you in your entrepreneurial journey cuz I been there myself on there myself, so I totally get it. And that's really exciting. So where can people find you and Melissa and how do we go forward from there? So they wanna reach out to you?

Dr. Micah Yu: Yeah, so I'm on social media. My handle is my Autoimmune md I'm on YouTube, Instagram, Facebook, TikTok, and our, my personal website is my autoimmune md.com, but my clinic is called Dr Lifestyle and the website is dr lifestyle.org d lifestyle.org and it's Newport Beach, California. I see patients in person, but I also see patients worldwide and virtually at 15 state licenses. So you can just reach out to me and I can help you. I can send labs outside the US too. And yeah, you can self register on there. You don't have to call the office, you can make your own appointment and then, and like you can find me there. So I, I don't take insurance. The only insurance I take is Medicare. But that allows me to have the time to spend and whole hour with a p patient on a new visit and half an hour on a follow up.

Dr. Laurie Marbas: Right, exactly. And you know, yeah. So there's, there's good and bad about accepting and not accepting. Sure. It's just because sometimes that's a little harder for others to make it accessible. But I I totally understand what you're saying. It gives you the freedom of luxury to spend more time with patients, more quality care and it's, it's so key important cuz it's hard to provide care in 15 minutes with someone who's very complex Oh, my head.

Dr. Micah Yu: Yeah, it's possible.

Dr. Laurie Marbas: Yeah, absolutely. Absolutely. Well I'm, it's a Friday evening, so thank you for spending your, this I we have been working on this interview for like you said, two years.

Dr. Micah Yu: I know. <Laugh>, I've been canceling. You've been canceling. So it's,

Dr. Laurie Marbas: We we are the worst. I know. It's like I was like, I don't know how many times I was like, Jonathan, I can't, I am gonna be on a plane right now. Poor Mike. He is like mom. I was like, I'm sorry, just please cancel it for me. <Laugh>, I feel so bad. But thank you for being patient. This is great. It's just something so important so many people are searching for and alternatives because they don't like the side effects of medications or at least like to decrease, you know, exacerbations if they have SEO meds, maybe it's a less of a dose. But I, I totally appreciate your, your style and your fortitude and looking at all, all avenues. I have this real interest in Ave Medicine so might be date diving into that. It's just fine. It's so fascinating and there's, cuz there's so much we don't know, right? There's just, we know one way, but why does that mean it's a hundred percent all the way cuz it's not soon.

Dr. Micah Yu: Right, Exactly.

Dr. Laurie Marbas: Absolutely. Well, wonderful. Well thank you for joining me and thank you for your time today.

Dr. Micah Yu: Yeah, thank you so much for having me on the show, Laurie. It's a pleasure. Yeah,

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