Aloha Reader,

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Upside-Down Pilates

In this episode of Upside-Down Pilates TV, we learn how to build the strength needed to perform the Side Bend Pilates exercise.

Our Anatomy Minute focuses on the quadratus lumborum (QL) muscle group. The QL is a deep, quadrilateral muscle of the posterior abdominal wall that connects the iliac crest to the twelfth rib and the transverse processes of the upper lumbar vertebrae (L1–L4).

Anatomy and Function: The QL is innervated by the subcostal nerve (T12) and the anterior rami of spinal nerves L1–L4. Its primary actions include:

  • Unilateral contraction: Lateral flexion of the trunk
  • Bilateral contraction: Extension of the lumbar spine
  • Pelvic elevation: Hip hiking
  • Stabilization: Stabilizes the lumbar spine and anchors the twelfth rib to assist the diaphragm during respiration

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Are you ready to be healthy and thrive? If you would like a personalized program to help you move from pain to freedom, please fill out this form to see if we are a good fit to work together.

I work with clients all over the world via Zoom or in my fully equipped studio in downtown Honolulu. No equipment is required for Zoom sessions.

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Upside-Down Nourishment

What do antibiotics do to your gut microbiome?

Symptoms Resolved. Did the Ecosystem?

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The Research

In a Stanford study by Les Dethlefsen and David Relman, three adults were followed through two five-day courses of ciprofloxacin over ten months:

– Microbial diversity dropped within 3–4 days of starting each course. – Communities began moving back toward baseline about a week after each course ended, but the return was often incomplete. – The second course hit harder than the first—even the subject who fully recovered after round one did not fully recover after round two.

People with a history of multiple antibiotic courses often end up with a microbiome settled into an alternative stable state—one that is stable, but not what they started with.

This state is characterized by lower microbial diversity, decreased short-chain fatty acid production, and higher levels of gram-negative bacteria that produce toxic lipopolysaccharides (LPS). As we have discussed previously, these lipopolysaccharides can leak into circulation, causing chronic inflammation that leads to joint degeneration and pain. Furthermore, gut dysbiosis signals dendritic cells to trigger an immune response. When this alarm system remains continuously active, it can lead to autoimmune conditions such as Rheumatoid Arthritis.

What can we do about it?

The plan

Avoid antibiotics at all cost. But if you have to take them know you are depleting your microbiome and it will not bounce back to normal.

Keep something in the gut the antibiotic can’t knock out.

That’s why I think of antibiotics as a tool in the toolbox. You don’t reach for it every day. When the situation calls for it, you use it with confidence, and you use it with a plan.

The goal is to keep something in the gut that the antibiotic can’t knock out:

  1. Yeast (S. boulardii): Antibacterial drugs do not act on it.
  2. Spores (Three Bacillus strains: B. subtilis HU58, B. clausii, B. coagulans): Built to survive stomach acid.

Think of it like keeping experienced staff on-site during a renovation. The building still gets torn up, but when it’s time to rebuild, someone is there who knows how the place runs.

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RestorFlora

RestorFlora pairs S. boulardii with these three spore-formers in a two-week course designed to help maintain a healthy microbial balance during and after disruption.

  • Protocol: One capsule twice a day with food for the first week, then once a day for the second week.

With this approach, you can change the conversation. You don’t have to choose between the antibiotic and your gut—you can support the ecosystem while the antibiotic does its job.

Those who recover well are the ones whose terrain had support going in and a plan coming out.

Purchase RestorFlora™ 21 capsules below

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When you are done with those antibiotics you can consider working with me to rebuild your microbiome, heal your gut, and in turn heal your joints from the inside out!

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To learn how to address the root causes of joint pain, join the waitlist for my upcoming joint pain course to get first dibs and a reduced rate:

If you are interested in personalized support through our Upside-Down Nourishment programs, please fill out this form to see if we are a good fit:

(Note: I work with clients worldwide via Zoom.)

Remember, self-care is healthcare!

Have a beautiful day,

Lisa

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