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SI Digital Innovations and Learning in association with the Medical News Network is pleased to bring to you another in the SI Digital Investigative Series on Achieving Healthful Longevity. Russell O.
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Blalak, what doctors need to know about the nutritional biochemistry for the pre-operative and post-operative patient second in the series.
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Dr. Blalak is the head of theoretical neuroscience research and the associate editor-in-chief of the neuroinflammation section of surgical neurology international. He's a certified clinical
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nutritionist He's the creator and editor of the Blalak Wellness Report and the author of multiple books scientific papers, and a health commentator on radio TV and for the epic times.
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Some of Dr. Blalock's publications are books on natural solutions for liver problems or for cancer patients, other health related books, books on excitotoxins, which you'll hear some about in this
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talk and a book on the China virus written with Dr. Osmond,
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all are available on Amazoncom. Dr. Blalock has written multiple papers on COVID-19 and its dangers, has written about immuno-excitotoxicity and its cause of neurodegenerative disease and one of
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which is Parkinson's disease
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He's also written about viruses in the tumor microcell environment. other papers on cancer, and further papers on autism, which is based on immuno-excitedotoxicity. He's the author of a monthly
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nutritional newsletter, which has been published for 20 years, called the Blalock Wellness Report.
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It's sponsored by Newsmax, and you can subscribe by conducting Wellness Report at Newsmaxcom.
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This is part two of our discussion and interview with Russell Blalock, who's been an expert in nutrition for many, many years. I won't even say how many, but I know it's over 20 because I've known
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you for 20. But, and you wrote books before that, has written many books on the subject as a newsletter on the subject. And we were talking about, the patient who presents to your office and you
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say, okay, you need to have an operation. And what Russell has established in part one is that the average population is metabolically deficient, at least 50 of them, just if you were taking a
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sample. And depending upon what kind of illnesses, diseases and
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state there, and it can go up to be 100, almost 90 or more And so you're dealing with somebody who's metabolically in danger. And we're told nothing about pre-operative nutrition, which obviously
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they knew.
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And so far, that forgot to ask you one thing. We talked about the nutritional state, what about their exercise state? Should these people be exercising? Some of them can't, they're sick enough
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so they can. But it tells you something about, you need to be in a reasonable. a metabolic state to begin with. Normal may not be what it should be. Yeah, I mean, if you're a sedentary and this
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is your lifestyle, if you're an older individual and you're even younger individual and you're sedentary, you have a different metabolism than if you exercise every day. Particularly if you did
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resistance exercises as well as aerobic exercises,
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your metabolism adjusted that exercise and you're healthy. For instance, we know exercise increases brain-derived neurotropic factor, which improves brain heat. But if you're sedentary and you
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have a very low brain-derived neurotropic factor, and you have to go up a neurosurgical brain situation,
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you're not gonna heal your brain very well because your nerve growth factor and your brain-derived growth, Right.
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So the message here is, exercise is important. Probably not in the two weeks before surgery, you're not gonna make it all up. But if you are, if you are, if you have been exercising year in a
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much better shape, immunologically also, would that be true? It's true. I mean, the immune system works more about it than the person who exercises it right. Okay, so nobody's told me to
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exercise before surgery. I can tell you that, I did it anyway, but I was doing it, but I just gives you an idea that we don't know that. Okay, now the patient is, it's a day of surgery. He's
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coming to the operating room and you described this person as a metabolically in
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a dangerous situation. If they were obviously healthy, they're exercise, they've been in a high nutritional status, which I think you're alluding to the fact that's probably not a high percentage,
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probably below 50 in the country or everywhere. So they're already compromised. Now you're going to take them to surgery. In a general summary, what surgery are you going to do to them? Well,
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immediately as you begin the surgical procedure, you switch them to a
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hypermetabolic state.
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Suddenly, depending on the extension, the existiveness of the surgery and the length of the surgery, you've changed your metabolism. Suddenly, you're operating on a patient and has a metabolism
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of somebody who has a third degree burn.
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Who would dream of operating on a third degree burn patient and ignore their metabolism, the metabolic rate? I was surprised when I found out at the resident that people who have pain injuries,
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have a metabolic a 33 to equal rate third degree burn.
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which is very high because I worked on the burn unit. And so I've seen patients die from these burn, even 30, 40. So you're dealing with a neurosurgical patient who is in a hypermetabolic state.
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They're eating up their nutrition, very rapid. They're running out of vitamin. So what we're doing at surgery is giving him sugar water. Right. And so what used to really anger him, he was, I'd
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see so many research patients, all they were getting was D-5 and water. And our D-5 and 045. And I said,
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I made your point. Could you live if I just gave you sugar waterfor the next week? Well, most of them will know. I said, Well, how do you expect this patientwho has the metabolism of burn type
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to survive on D-5 than half normal sailing for a week. or jewelry, and they never thought of it. And it never about them.
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But their nutritional run out very rapidly. What happens, 'cause we've talked about it before, what happens within the 24 hours of surgery to their nutritional status, vitamins, all that kind of
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thing? Well, we know that vitamin C at the 24 hours after trauma is almost zero. It's almost undetectable. Let me start Yeah, the B vitamins, very quickly, within 24 hours, they're almost
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undetectable. Let me stop you there, man, 'cause you talked about vitamin C before. What's so, what does vitamin C, why is it so important to the surgical patient? What is it doing? Is it the
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- Vitamin C has numerous functions. Antioxidant, anti-inflammatory, extemulates wound healing, extemulates collagen, formage, and cholera, and strength.
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It's performing so much anti-caution, Jimmy. It's doing many, many things. I think you told me once that you give your patients vitamin C right up to surgery, is that right? Yeah, I would give
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them vitamin C during surgery and give them vitamin C afterwards. After surgery. Trace metals, I would give them B vitamin. And like I said, the nurses say that it's night and day different. I
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had a patient one time who had a cyst and example low And I could tell he's nutritional nutrition, he was not in good shape. So I operated on him and afterward he said, you know, this is the best
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I've ever felt.
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And I said, well, she was nutrition and division. That's how he feels so good. Most patients operating are not going to notice that big a difference. I can see the doctor turning to the nurses,
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to the anesthesiologist and say, hey, I want you to give this nutritional package to the patient And I can see somebody giving them a. a funny look and saying, oh, where did you get that from? I
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mean, we've never done that before. And so there's going to be some resistance to this idea. Well, there always is. Yeah, there always is. What you've laid out is that there are men, it's a
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metabolic nightmare out there. Well, I went through this all
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the time. I mean, they had names for me, call me Dr. Vitam, but I
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didn't care because I knew the literature. I knew what it was doing metabolically. And a lot of them thought that the magnesium was a crazy idea. They never even thought about it. I said, do you
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know what magnesium does? No. Do you know what magnesium's function is in enzymes and in the body and blood, no. They knew none of these things. Yet they were highly critical. Well, you know,
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you got the old camera. They scared you to do it. Now, let's say Let's say, the doctor knew about this. If I drew some blood tests before surgery, vitamin C levels, vitamin B levels, these are
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not easy tests to get and they take a long time to get them and they're expensive. So would that be a
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helpful thing to do? Or if you're in the operating room, the okay, I'll draw some blood and we'll send it in for all these levels. Is that going to help the doctor? Not really. A number of these
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vitamins are intracellular. For instance, timing. You don't want to measure blood timing. You don't want to measure
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RBC timing. Magnesium, 98 of it is inside the cell. It's not in the blood. So you could get a magnesium, say, well magnesium, what is it in the bottle? They don't know. So you have to get a
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red cell sell my magnesium, right? That's wrong. That's it. So
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So it gets into nuances that most physicians don't know, most neurosurgeons don't know. But if you ask to measure it, it's not necessarily telling you what you want is what you're saying. That's
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right. Okay, so now he's in surgery. In your situation, you're giving him all these things and so far. And the doctor has thought about it. That's the purpose of this program, maybe to think
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about it and to implement this But by the end of 24 hours, what you're saying is that patient has lost most of none of all of his vitamins, some of these very important metals and everything else.
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It's just gone from his system. Right, that's right. And so they're struggling to metabolize and they don't have the co-insons to do it. So the enzymes are working very, very inefficiently
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So now what you're saying is you're back to what you did in part one is you've got all these metabolic reactions that are going on and they're being stifled. They don't have enough electrons. They
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don't have enough things to complete the biochemical equation and it's beginning to disorder the body metabolism. Is that a kind of a simple summary? Sure, and for instance, you look at bombing A
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patient comes in and you hang up some DTN doesn't. And
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then they, after the circuit, they're in a coma. You don't know why. And what the research has shown is because of thiamine, is eaten up by the DTN or DTN or DTN or DTN or DTN. And they're okay.
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It has completely depleted the thiamine and they've become
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thiamine victims They develop brain damage. from the thiamine deficiency and they remain in a coma until you hopefully quickly fix the thiamine deficiency. We see that very common, particularly in
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elderly patients. The doctor doesn't have any idea why they're suddenly in a coma, where in a coma code you gave them glucose without thiamine, that vitamin B1.
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And so we see this with some of the other vitamins as well, is that if you don't accompany that with these vitamins supplements, you're gonna get in trouble. I mean, just switch a little bit to
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something else and we'll come back to this. But also we've got a patient who's had an incision, they have pain, we've stimulated the nerves. Does all this contribute to more post-operative pain
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and are there ways to overcome that? Or is it just narcotics? Well, what they found is that. actually magnesium reduces the requirement for pain medication. And it can reduce it considerably, is
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that they don't need, it's many pain medications postoperably because of magnesium. Now what magnesium is doing also, it blocks the NMDA glue night receptor. It's a natural phenomenon in the glue
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night receptor. And so if they're magnesium deficient, the NMDA glue night receptor is overactive and it has to do with pain pathways in the spinal cord,
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as well as these pathways in the brain. So by being magnesium deficient, they're more painful and they're having greater damage to their brain through excitlet toxicity. So here we put them on
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water. After surgery, they come into surgery, they're metabolically compromised to begin with, they lose. all of these important nutrients from the biochemical reactions and the pain is worse.
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That's right, that's right, it'll be month work. Oh, okay. In fact, they even found injecting the magnesium around the nerve often will be as good as the local in the city. Now, let's jump to
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one other thing for a second here. At this, the time this is going on, what about the patient's immunologic say? We assume, okay, I've been healthy, I'm doing okay. I should be able to offset
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this, which is a major attack on the body. I mean, that's what we've done. What the immunologic state are they in before surgery and now after surgery? Well, before surgery, they're borderline.
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As long as they're not under attack and there's no need to generate new white blood cells,
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the mobilized T cells and macrophages, they're fine. Now you've operated on them. their wound is going to accumulate T cells and macrophages and monocytes and neutrophils. It's got to produce a
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lot of the millions, millions and millions of them. If it doesn't have the nutrition to do that or if a nutritional supplement is missing, it cannot make them efficient So you may have as many
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white blood cells, but now when you test them against an immune stimulant, you find out it's not just efficient, it's not working well. And so they're more likely to get a post-op infection.
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One thing we found is we were having patients who were having spinal surgery and they were getting infection And so I said, well, you know, test the urine, and then they tested the urine, most of
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them entered the hospital with a bladder infection, not knowing, it's just borderline.
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Once their immune system was suppressed, it just grew like crazy. And the bacteria migrated to where the incision, because that's a medium for bacterial growth. And so it metastasized from the
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urine into the wound and then it developed a wound upset. So you had to test them before to make sure they didn't have a bladder touch. Interesting So now let's see,
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how fast is metabolic suppression? Is that really, how is it metabolic compromise? But wait, is it really the system that either doesn't have the chemical background to respond, which is obvious
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from what you said. But is it repressed in any way? Or is it just the fact that it's nutritionally deficient that it's not functioning? Well, it's nutritionally deficient Like I say, you're going
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from a state where - you want to produce trillions of white blood cell
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to carry out the production of trillion to a million that white blood cell takes a lot of energy, takes a lot of metabolism. If you don't have the things that are necessary for the production of
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those cells,
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then you're going to have suppression.
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So you've got, here now we are, here we are, there's word surgery, the patient's immunologically compromised. He goes through surgery, you've essentially eliminated his natural levels
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of any kind of nutritional supplements that he had, the vitamins and the minerals and so forth. And now you've got him on water and he's getting no replacement for it. And so all these systems are
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being compromised and this is just in the first 24 hours Right. I mean, it's very quick. very quick with the water cycle. Like I said, 24 hours, they're almost undetectable.
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So these cells are trying to metabolize, well, they can't depend on the muscles, which is a source of amino acid. It takes you long. They can't depend on glycogen because it's very rapidly
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depleted. So now suddenly they're in a state of starvation trying to carry out a normal function and they can't do it Is this why patients lose weight after surgery and when you're not feeding them
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to eat but also you're metabolizing all their normal tissues to generate the very substance issue you desperately need. Is that correct or not? Well, that's correct. I mean, the metabolism is
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much faster after the surgery that'll continue for weeks during the healing process
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depending on the extension of the surgery, how extensive. but they're metabolized, well, so they lose weight. They're starting to steal amino acids from their muscles.
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And of course, the vital organs, the last place they can steal amino acids. And if you're not supplying it,
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they're going to become a severely nutrition of the fish and to rehabilitate it. It's really going to go and essentially scavenger or eat either way or use muscles and other tissues in order to be
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able to function is what you're saying. That's exactly what it, it, it, uh, hijacks the nutrition from other cells. This is why people who are frail have a mortality that is out of the roof
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because they don't have that storehouse of nutrients that the body can steal.
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Okay, I'm going to go to one of the subjects for a minute then, might reel them. Well, we'll go to the next segment, but the, well, I'm hearing I'm listening to this. It makes a lot of sense
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to me. I'll just call the nutritionist right after surgery and they're gonna help me get through this problem. Is that the right answer? No, I find that they don't really know the literature.
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I've dealt with the hospital nutritionist and I'll ask them questions. They never heard of them I mean, you have a nutritional background also, then you want to - Yeah, I'm born certified for
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nutrition. Oh, I see. And plus I wrote this newsletter for 20 years and I've been doing this since I was a resident. I did all through my residency. So I've dealt in the nutrition field for a
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very long time. So now if I'm in the doctor, I'm saying, okay, put down the order there to call the nutritionist.
22:45
Well, the thing is, is our residency ignores nutrition. So most neurosurgeons go through the residency. They don't know anything about nutrition. Surgeons are operating on patients. They don't
22:58
know anything about nutrition. So now they're depending on a person who's also never operated with anybody. They don't deal with complications. They don't deal with these neurosurgeon condition.
23:10
And yet you could ask them about it They don't know what she's talking about. Well, I've never done an aneurysm. I don't know what happens to the body during an aneurysm surgery. I've never done a
23:21
little more laminectomy they'll say. I don't know what happens to the body during a laminectomy. But I have researched these things.
23:31
And she just had a general knowledge of nutrition in a normal person. And it was a kind of an overview So if the
23:42
department had, we had one of us right now. had a nutritionist who is only dealt with your patient, they would probably have a higher level, probably have a higher level of knowledge. I have no
23:52
understanding of that. Do you? I mean, you enter this, right? Well, it depends on the level of nutritional knowledge. For instance, a naturopath, I've been very impressed with it. They know
24:04
a lot about nutrition. A dietician, I've been very disappointed in it
24:12
But naturopath, there were a lot of nutrition. A lot of this has to do with cell signaling. And most people don't know the first thing about cell signaling. These are all the reactions that go to
24:23
them in the cell of Beyonce Crib cycle
24:28
that most people have never heard of. They've never heard of the MAP-K, they don't know
24:35
the C-SARC, they know a lot of it, they've never heard of
24:39
but this is what's happening inside of cells during the amount of oxygen. And what we found is many of these supplements have a lot more to do with being antioxidant. They're affecting cell
24:52
signaling either positively, usually or negatively, but almost always positively. And they're doing things on a cell signaling basis that a lot of people have never heard of, including dietitians,
25:10
they don't know the first thing about it How do they ask any dietitians, what effect does that have on it, excitrotuxes?
25:17
What's excitrotuxes?
25:20
Well, it's the number one reaction to going on in your surgery.
25:27
You have to know. Well, you want to say something I didn't mind if you're there. No, that's not. Okay. So I think what we'll do is we will, it's called, tell us a little bit about it called
25:39
immuno excited toxicity. It's a term you developed and coined. and in a just brief summary for people because we're gonna have a session on that particularly or it may take more. What is it?
25:54
Well, it's a reaction between the immune system and excitotoxicity. It was described before I gave it a name. It is several researchers had discovered it
26:06
and certainly described it. I created the first name for it Now it's in the medical literature among research time. It's saying it makes more sense than anything we've seen before. Well, we looked
26:20
at many of these diseases, like particularly neurodegenerative disease, while they're occurring in aging. What the aging person is having inflammation increase. They have increased senescent cells
26:34
and these senescent cells produce a lot of inflammatory cytokine. They're reacting to excitotoxin and that's regenerating the brain.
26:44
and the nerves and the spinal cord. And so they started looking at all of these neurodegenerative disease like Parkinson's, Alzheimer's, ALS. They're all excited about it.
26:56
And they're all related to inflammation. So what we're getting to, and we'll come to this in the future, is something you've talked about a lot. And that is, and I've said it's the disease of the
27:09
21st century, which is inflammation. We didn't know much about it And from what you're saying, this is a major component of essentially the body's reaction to everything, which is an inflammatory
27:23
reaction, which could be insufficient, or it could be hyperreactive, isn't that true?
27:29
Right, I mean, it has a purpose. Inflammation has a purpose, part of healing, but it becomes wayward. And like I said, as you age, you become more inflamed Hmm frail people are highly in play.
27:44
People with diabetes are extremely in play. And we look at retinal disease, we look at atherosclerosis, we look at these other diseases, they're all connected to information. And as I was
27:59
researching Parkinson's disease, one of the experts at Parkinson's disease said, You know, the reaction we're seeing is not immunological.
28:09
It seems to be mostly excitatosis.
28:13
And they've, I wrote a paper on Parkinson's disease, explaining that that's because the inflammation is triggering the cytotoxicity, my special process called priming, and that leads to
28:29
neurodegeneration, and it's progressive.
28:33
And this is right around Parkinson's disease said, That immuno-excitotoxicity that he describesamish more sense than anything we're talking about.
28:42
That's terrific. So what we've come to is we've got a patient who came to us with a disease process. We said, look at these patients, you're gonna have to have some surgery. We think that's the
28:53
choice you should have. We've come to the realization that these people are metabolically deficient and at least half of them, if not more. And depending upon your condition, you can be almost 90
29:08
metabolically compromised And you're going to come to surgery, you're going to undergo a surgery which has the stress of a, would you say a third degree burn in which you're highly metabolically
29:22
challenged. And within the first 24 hours of surgery, you've lost all the vitamins, nutrients, supplements, metals and all the things you need to make all the reactions. The body is demanding in
29:36
that short period of time and in the recovery. for you to heal appropriately and have minimal amount of pain. Is that kind of summarize it? That's perfect, someone. Okay. Perfect. So what we'll
29:48
do is go from there, and we'll go on to the next portion. I think I hope people enjoy what this is. I think Russell's just a huge amount of information here that's very valuable in an area, and
29:60
most of us don't know very much about. So thank you very much, Russell. We appreciate it. We're gonna wait and see you for the next segment to come on. Thank you. This is an oral summary of the
30:12
key points in Dr. Boylox talk. The following supplement information is for physicians. Patients need to consult their physicians before use. References to an entity product, service or source of
30:28
information in this program should not be considered an endorsement, either direct or implied by SI digital.
30:39
Following six slides, what you should do is take screenshots of each slide so
30:47
you can keep this as a record of the information there and of the recommendations of Dr. Blalock. First set of recommendations have to do with the nutritional preparation of neurosurgical or
30:59
surgical patients. In addition to what the physician orders, you should have a vitamin D level. The normal levels are 65 nanograms to 100 nanograms and most people have much lower values. It's a
31:17
very essential vitamin.
31:20
The doctor should order a blood iron level, an iron panel containing a test for ferritin, transferrin, iron binding capacity, and a urine culture, sensitivity, and urinalysis. to see if there's
31:36
an ongoing infection which he discussed in his talk.
31:41
There are basic preoperative preparation diet supplements which Dr. Blalak recommends. First is vitamin C. It's not well-absorbed unless it's in a nano or a small, very small farm, or in a
31:58
lipospheric form, which allows it to be absorbed more quickly Should be taken at a thousand milligrams three times a day. Multiple V vitamins, one a day. And for those over 65, riboflavin 5,
32:14
phosphate and pyridoxal 5-phosphate are important additions to the supplements. Vitamin E, either water soluble E, dry E, or mixed to copper holes, alpha, beta, and gamma. recommended doses
32:35
based on research are 200 international units a day. High doses can produce brain amateurs in rare cases that's up to a thousand international units a day or above. Mix toco-trianels. It's a
32:53
powerful antioxidant, more powerful than toco ferals. The dose is 200 milligrams a day. It prevents white matter losses in the brain, should not be taken with toco-ferrals. It reduces the
33:07
toco-trianel effectiveness. De-alpha toco-feral acetate. The oral form is not toxic but is less effective than mixed toco-ferrals. The suctionate form in dry E is a potentantic cancer agent and
33:26
thiamine or vitamin B1 which also aids in glucose metabolism.
33:34
Dr. Blalock mentioned that anesthesia is an immune suppressant. And this suppression can last up to two weeks after surgery. Beta glucan is an immune activator that will override this suppression.
33:49
And it inhibits microglial activation as well. The 500 is dose milligrams, given for two days the day before surgery. And the twice a week for two weeks after surgery, it should be taken on an
34:04
empty stomach. In addition, prebiotics and probiotics. Prebiotics are the food for probiotics, the array of beneficial bacteria for the colon. Studies have shown that these organisms suppress
34:20
bladder infections and have effects on the brain that are beneficial because of the connection between the gut and the brain. Prebiotics can be taken every day have been shown to increase the growth.
34:33
of the beneficial organisms, even the ones not available from supplements. They also, by this effect, have beneficial CNS effects. Probiotic organisms are usually divided into bifidio bacteria,
34:49
species, and lactobacillus species. At least 50 billion colony forming units should be taken each day for two weeks before and after surgery It's usually listed on
35:04
the label. It's best to get the acid resistant form as stomach acid destroys the probiotics. They should be taken on an empty stomach.
35:16
In butyrate is a small fatty acid that has many beneficial effects such as suppressing microglial activation and healing a leaky gut
35:29
supplement try buterin is a form that is broken down into endbutery. The dose is one capsule a day, 550 milligrams a day. Some forms are contaminated with lead and should be avoided. Look for that
35:45
on the label.
35:47
Nanocurcumin. Curcumin is a very beneficial antioxidant. It has many effects that are positive on organ systems. It's especially effective in protecting the nervous system Its main problem is
36:03
absorption. Once absorbed, it's distributed through the body, especially in the brain. To solve the absorption problem, it's made in a nano-sized form, small form. The nano-sized form enters
36:18
the cell more easily and is distributed throughout the body. Curcumin is a powerful antioxidant. Anti-inflammatory reduces microglial activation, which he's talked about in his lecture. is
36:33
antibacterial, antifungal, lures aluminum in the brain, reduces aluminum to be nontoxic and inhibits excitotoxicity. It accumulates in beta amyloid and in high doses has been found to be safe.
36:49
The dose is 500 milligrams three times a day with meals. It has a slight anticoagulant effect. Potentially can interact with anticoagulants, but this has not been reported And they age it, Dr.
37:04
Hames, whom Dr. Blylock refers to in the presentation, is an authority in the field of nutritional deficiency with aging.
37:19
And he tells us that as we age, the metabolic enzymes become sluggish, and that higher doses of vitamins can increase enzyme effectiveness. This is mainly for the B-soluble vitamins. Research has
37:36
shown that with stress, such as trauma or surgery, the water-soluble
37:44
vitamins, vitamin C and the B vitamins, are rapidly lost within 24 hours of surgery and need to be replaced. We hope you enjoy this presentation
37:59
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38:12
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38:16
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