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so today we’re going to talk about the most common  nutrient deficiency in irritable bowel disease now  

this would include crohn’s and ulcerative colitis  now in both of these conditions you have a massive  

amount of inflammation going on in your gut and  you’re also getting an overreaction of the immune  

system and the more inflammation that occurs in  your gut the less you’re going to absorb nutrients  

so if we take a look at all of the nutrients  and identify the ones that are the most  

deficient at the top of the list we have iron  and iron deficiency which is going to create  

anemia and that occurs because there’s  usually bleeding in your loss of blood  

as well as the inflammation that prevents the  absorption of iron one of the best sources of iron  

is not the inorganic minerals that you get from  the one a day vitamins that you’re going to get  

at the cvs drugstore but from animal products  like organ meats beef has a lot of iron  

and it’s a type of iron that’s easily absorbed  but also spirulina is another good source of  

iron so i always recommend getting your iron from  actual food and you got to be careful because you  

can actually overdo with iron iron is one of those  minerals that is very difficult to get rid of  

so it’s very easy to develop in excess especially  in men because with women they menstruate but  

men they don’t so men can actually build up a  toxic accumulation of iron and that can create  

cirrhosis of the liver so 80% of everyone  with ibd irritable bowel disease has a iron  

deficiency so that is the most common deficiency  the second most common deficiency is vitamin d  

70% of everyone with ibd has a vitamin d deficiency  that’s not surprising because the vast population  

has a major deficiency of vitamin d now  compounded by the fact that people don’t  

go outside very much they’re overweight so they  can’t absorb as much and as they age it’s more  

difficult to absorb vitamin d but not to mention  all that inflammation in your gut is preventing  

the absorption of vitamin d vitamin d helps you  absorb about 20 times more calcium than you would  

if you didn’t have vitamin d so you desperately  need vitamin d for calcium also vitamin d is  

needed to regenerate and repair the lining  of your small intestine so without vitamin d  

you have this situation where you have all this  inflammation but you can’t heal so it’s a catch-22  

the inflammation blocks vitamin d and the lack  of vitamin d blocks inflammation and the repair  

of the colon one of the most powerful effects of  vitamin d is in its anti-inflammatory function  

so without vitamin d you just stay inflamed  so if you have ibd i would start taking  

at least as a minimum 10,000 iu’s of vitamin d3  and i would also recommend getting out in the sun  

let the sun also give you a good amount of vitamin  d all right the third category of deficiency would  

be b12 in folate now both b12 and folate are made  by microbes and they also come from food but when  

you have inflammation your gut you have a altered  microbiome which is going to limit your ability  

to produce and absorb b12 as well as folate so  with those two conditions you can have fatigue  

a certain type of anemia and many other issues  and the last category deficiencies would be  

a deficiency of vitamin k1 and vitamin k2  vitamin k1 has everything to do with clotting  

preventing bleeding and k2 has everything  to do with making your bones really strong  

and keeping the calcium out of the arteries and  out of the joints and where it should belong in  

the bones so if you have ibd make sure that  you’re getting these supplements so if you’re  

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