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Source: https://www.youtube.com/watch?v=A1BiWgHxSL0
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Correct Answer: C. Because an underlying factor like stress is often overlooked
Explanation:
Dr. Berg states that many people change their diet and take supplements, yet digestive issues persist because stress is a hidden and often ignored source of digestive problems.
According to Dr. Eric Berg, why do many digestive issues persist despite diet changes and supplements?
A. Because people do not take enough supplements
B. Because digestion depends only on genetics
C. Because an underlying factor like stress is often overlooked
D. Because supplements damage the gut lining
Correct Answer: B. Parasympathetic nervous system
Explanation:
Healthy digestion mainly occurs in a parasympathetic (“rest and digest”) state, according to Dr. Berg.
Which part of the autonomic nervous system is primarily responsible for healthy digestion?
A. Sympathetic nervous system
B. Parasympathetic nervous system
C. Central nervous system
D. Somatic nervous system
Correct Answer: C. Enteric nervous system
Explanation:
Dr. Berg explains that the enteric nervous system is embedded in the digestive system and communicates with the brain through the vagus nerve.
What is the name of the nervous system embedded directly in the digestive tract?
A. Sympathetic nervous system
B. Parasympathetic nervous system
C. Enteric nervous system
D. Peripheral nervous system
Correct Answer: B. Absorbing nutrients
Explanation:
Enterocytes absorb minerals, vitamins, amino acids, fats, bile, and B12, as described in the information.
What is the primary function of enterocytes (or colonocytes in the colon)?
A. Producing stomach acid
B. Absorbing nutrients
C. Killing pathogens
D. Producing digestive hormones
Correct Answer: C. Through villi and microvilli
Explanation:
Dr. Berg explains that villi and microvilli create folds and hair-like structures that massively increase surface area for nutrient absorption.
How does the intestine increase its surface area for absorption?
A. By thickening the intestinal wall
B. By producing mucus
C. Through villi and microvilli
D. By slowing digestion
Correct Answer: C. They form biofilms
Explanation:
Stress encourages bacteria to form biofilms, which protect microbes from the immune system.
According to Dr. Berg, what happens to gut bacteria under stress?
A. They completely die off
B. They become inactive
C. They form biofilms
D. They turn into viruses
Correct Answer: B. It erodes the layer
Explanation:
Stress causes erosion of the mucosal layer, which can eventually lead to gastritis or ulcers.
What is one major effect of stress on the mucosal layer of the digestive tract?
A. It thickens the layer
B. It erodes the layer
C. It sterilizes the gut
D. It increases enzyme production
Correct Answer: C. It can become aggressive when stressed
Explanation:
Dr. Berg states that H. pylori normally exists without problems, but stress can cause it to become active and damage the mucosal layer.
According to the information, what role does H. pylori play in ulcers?
A. It only appears when antibiotics are used
B. It is always harmful
C. It can become aggressive when stressed
D. It has no role in ulcers
Correct Answer: B. Sulforaphane and zinc carnosine
Explanation:
Dr. Berg recommends sulforaphane (from broccoli sprouts) and zinc carnosine for healing the mucosal layer and inhibiting H. pylori.
Which natural compounds are recommended by Dr. Berg for supporting the mucosal layer?
A. Vitamin C and calcium
B. Sulforaphane and zinc carnosine
C. Iron and magnesium
D. Omega-3 and fiber
Correct Answer: C. It decreases transit time causing constipation
Explanation:
Stress causes digestion to “lock up,” reducing transit time and leading to constipation.
How does stress affect intestinal motility?
A. It speeds up digestion
B. It has no effect
C. It decreases transit time causing constipation
D. It only affects the stomach
Correct Answer: C. Leaky gut
Explanation:
Dr. Berg explains that bacteria feeding on enterocytes can cause leaky gut, increasing intestinal permeability.
What condition can result when bacteria begin feeding on enterocytes?
A. IBS
B. Ulcerative colitis
C. Leaky gut
D. Celiac disease
Correct Answer: B. Antibodies against foods and tissues
Explanation:
Leaky gut allows particles to enter improperly, triggering immune reactions and antibodies, potentially leading to allergies and autoimmune issues.
According to the information, leaky gut can lead to which immune response?
A. Improved immunity
B. Antibodies against foods and tissues
C. Reduced inflammation
D. Increased stomach acid
Correct Answer: C. Emotional stress
Explanation:
Dr. Berg emphasizes emotional stress, especially chronic or unresolved stress, as the most damaging to digestion.
Which factor is described as the most significant type of stress affecting digestion?
A. Physical exercise
B. Environmental toxins
C. Emotional stress
D. Dietary fat
Correct Answer: B. Chlorine, artificial sweeteners, glyphosate
Explanation:
The information lists chlorine, artificial sweeteners, and glyphosate as substances that negatively affect gut microbes.
Which substances are described as acting like antibiotics on gut microbes?
A. Salt and sugar
B. Chlorine, artificial sweeteners, glyphosate
C. Protein and fat
D. Vitamins and minerals
Correct Answer: C. It allows bacterial overgrowth in the small intestine
Explanation:
Dr. Berg explains that raising stomach pH encourages bacterial overgrowth in the small intestine, leading to bloating and fermentation.
Why does raising stomach pH above 3.8 cause digestive issues?
A. It stops enzyme production
B. It destroys bile
C. It allows bacterial overgrowth in the small intestine
D. It increases nutrient absorption
Correct Answer: C. L-glutamine
Explanation:
L-glutamine is recommended by Dr. Berg to help heal the gut lining and reduce inflammation.
What amino acid is recommended for healing an inflamed or leaky gut?
A. Glycine
B. Lysine
C. L-glutamine
D. Taurine
Correct Answer: C. When fermented foods worsen bloating
Explanation:
If fermented foods worsen bloating, Dr. Berg suggests a temporary carnivore diet, particularly in cases of severe inflammation or SIBO.
According to Dr. Berg, when might a carnivore diet be necessary?
A. For weight loss
B. For vitamin deficiency
C. When fermented foods worsen bloating
D. For acid reflux
Correct Answer: C. Mucus-producing cells
Explanation:
Dr. Berg mentions mucus-producing cells that create a protective mucosal layer between pathogens and the intestinal surface.
Besides enterocytes, which other type of cells protect the intestinal lining?
A. Enzyme-producing cells
B. Hormone-secreting cells
C. Mucus-producing cells
D. Immune cells
Correct Answer: C. Breaking down food so nutrients can be absorbed
Explanation:
Stomach acid helps break down food, allowing enzymes and enterocytes to absorb nutrients effectively.
What is the primary role of stomach acid in digestion according to the information?
A. Killing all gut bacteria
B. Neutralizing bile
C. Breaking down food so nutrients can be absorbed
D. Producing mucus
Correct Answer: B. Pancreas and stomach
Explanation:
Dr. Berg explains that enzymes from the stomach and pancreas, along with bile, help break down food before absorption.
Which organs contribute enzymes essential for digestion?
A. Liver and kidneys
B. Pancreas and stomach
C. Gallbladder and spleen
D. Colon and appendix
Correct Answer: C. It decreases diversity and total microbes
Explanation:
Stress causes a reduction in microbial diversity and total microbial count, altering the balance between good and bad bacteria.
What is the effect of stress on microbial diversity in the gut?
A. It increases diversity
B. It has no effect
C. It decreases diversity and total microbes
D. It converts microbes into biofilms only
Correct Answer: C. Increased inflammation
Explanation:
Changes in gut microbes due to stress lead to inflammation, as stated by Dr. Berg.
According to the information, what is a major consequence of altered gut microbes?
A. Improved immunity
B. Reduced inflammation
C. Increased inflammation
D. Faster digestion
Correct Answer: C. By producing urea that converts into ammonia
Explanation:
H. pylori produces an enzyme that turns urea into ammonia, creating an alkaline environment that neutralizes stomach acid.
How does H. pylori survive stomach acid?
A. By hiding in biofilms
B. By lowering stomach acid
C. By producing urea that converts into ammonia
D. By feeding on bile
Correct Answer: C. 1–3
Explanation:
Dr. Berg states that a healthy stomach pH should be between 1 and 3.
What stomach pH range is described as healthy?
A. 4–6
B. 3.8–5
C. 1–3
D. 6–8
Correct Answer: C. Bacterial overgrowth in the small intestine
Explanation:
Raising stomach pH above 3.8 allows bacteria to grow in the small intestine, leading to bloating.
What happens when stomach pH rises above 3.8?
A. Improved digestion
B. Reduced microbial growth
C. Bacterial overgrowth in the small intestine
D. Increased enzyme activity
Correct Answer: B. It feeds microbes in the wrong location
Explanation:
Fiber ferments in the small intestine when bacteria are present there, causing bloating.
What happens when fiber is consumed during small intestinal bacterial overgrowth (SIBO)?
A. It improves digestion
B. It feeds microbes in the wrong location
C. It reduces inflammation
D. It neutralizes acid
Correct Answer: B. Fatty liver and infections
Explanation:
Dr. Berg explains that IV feeding can lead to fatty liver, infections, blood clots, and deficiencies.
What is a major digestive risk associated with intravenous (IV) feeding?
A. Increased stomach acid
B. Fatty liver and infections
C. Improved nutrient absorption
D. Reduced inflammation
Correct Answer: C. Soybean oil
Explanation:
IV nutrition often uses soybean oil, which Dr. Berg associates with liver problems.
Which fat is commonly used in IV nutrition according to the information?
A. Olive oil
B. Coconut oil
C. Soybean oil
D. Butterfat
Correct Answer: B. It is high in omega-6 and damages the liver
Explanation:
Soybean oil is described as very high in omega-6, contributing to fatty liver disease.
Why does Dr. Berg raise concern about soybean oil in IV nutrition?
A. It is low in calories
B. It is high in omega-6 and damages the liver
C. It increases stomach acid
D. It reduces blood sugar
Correct Answer: B. PPIs and antibiotics
Explanation:
ICU patients are often given PPIs and antibiotics, which increase stress on gut microbes.
Which medications commonly used in ICU increase digestive stress?
A. Probiotics and enzymes
B. PPIs and antibiotics
C. Vitamins and minerals
D. Electrolytes
Correct Answer: C. Causes hypoxia and gut stress
Explanation:
Epinephrine is a stress hormone that causes hypoxia and increases digestive stress.
What effect does epinephrine have on the digestive system?
A. Improves oxygen delivery
B. Reduces stress
C. Causes hypoxia and gut stress
D. Enhances digestion
Correct Answer: B. Shut down GI function
Explanation:
Opiates shut down the GI system, causing constipation and pathogen buildup.
What effect do opiates have on the gastrointestinal system?
A. Increase motility
B. Shut down GI function
C. Improve elimination
D. Increase stomach acid
Correct Answer: C. They suppress elimination and urination
Explanation:
Dr. Berg notes that anesthetics can temporarily stop elimination and urination.
Why do anesthetics cause elimination problems after surgery?
A. They increase hydration
B. They stimulate digestion
C. They suppress elimination and urination
D. They destroy enzymes
Correct Answer: B. They lack enzymes and microbes
Explanation:
Pasteurized and processed foods lack enzymes and beneficial microbes, contributing to microbiome stress.
What is one major problem with pasteurized and processed foods according to the information?
A. They contain too much protein
B. They lack enzymes and microbes
C. They increase stomach acid
D. They improve shelf life without consequences
Correct Answer: C. Stress directly drives digestive dysfunction
Explanation:
Stress is presented as a primary driver of digestive problems, making its reduction essential.
Why does Dr. Berg emphasize stress reduction as the first solution?
A. Supplements do not work
B. Diet is irrelevant
C. Stress directly drives digestive dysfunction
D. Microbes cannot be changed
Correct Answer: C. Nose breathing, walking, and exercise
Explanation:
Dr. Berg recommends nose breathing, walking, and exercise to manage stress.
Which lifestyle practices are recommended to reduce stress?
A. Heavy meals before sleep
B. Mouth breathing
C. Nose breathing, walking, and exercise
D. Fasting only