Dr. Robert Silverman

Dr. Robert Silverman Get great from Dr.Rob. Let’s Go! Robert G.
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Silverman, DC, DACBN, DCBCN, MS, CCN, CNS, CSCS, CIISN, CKTP, CES, HKC

12/20/2025

When we talk about neuro autoimmunity, most people focus only on the brain. The truth is every neurological condition begins with the gut. If the gut barrier is compromised, the blood brain barrier often follows. Leaky gut and leaky brain are two sides of the same coin.

But there is a third piece that almost never gets discussed.

⚡ Leaky mitochondria
Mitochondria are not only energy producers. They also act as immune sensors. When they become dysfunctional, they leak ATP into the space outside the cell. ATP should never be there. Once it leaks out, the body interprets it as a danger signal. This triggers the cell danger response and alerts your immune system to attack what it believes is a threat.

🧬 This is how self-tissue becomes a target
The immune system is simply responding to a distress signal. Over time, repeated ATP leakage can push the body toward autoimmunity and neuro autoimmunity. This pattern shows up in neurologic conditions, chronic fatigue, and even long COVID.

🐠 Think of mitochondria like a goldfish bag that slowly drips
It does not burst all at once. It leaks just enough to disrupt the environment. That small leak can change the entire immune landscape of the body.

🔥 Mitochondrial health sits at the core of all chronic disease
Cancer, neurodegeneration, autoimmunity, energy production. It all comes back to mitochondrial performance. If we are not evaluating and supporting mitochondrial health, we are missing a fundamental pillar of functional medicine.

The mitochondria tell the story long before symptoms do.

12/19/2025

When it comes to anti-inflammatory support, not all supplements work the same way. Each one hits a different part of the inflammatory timeline, which is why the trio of SPMs, PEA, and omega 3s can work so well together.

💊 SPMs: the inflammation finishers
Specialized pro-resolving mediators are what your body uses to complete the inflammatory cycle. If you twist your ankle, SPMs arrive to quiet the response and restore balance. In chronic inflammation, you often see a lack of this resolution. SPMs give the system the final push it needs.

🧩 PEA: targeted support for pain and sensitivity
PEA helps calm overactive pain pathways. It is especially helpful when the system is stuck in a loop of inflammation and discomfort. Many people feel relief quickly because PEA stabilizes mast cells and supports the endocannabinoid network.

🐟 Omega 3s: foundational cell to cell communication
Fish oil offers a small amount of SPM activity, but its real value is improving the fluidity of the cell membrane. When the bilipid layer is healthy, cells communicate more efficiently and inflammation becomes easier to regulate.

🤝 Can you take all three together
Absolutely. Many patients start with the full trio to get past the inflammatory threshold. Once the system settles, SPMs can be tapered while omega 3s and PEA maintain balance.

Inflammation is a process that needs to start and finish. These supplements help the body complete that cycle.

12/18/2025

Peptides have exploded in popularity over the last two years, but the truth is that peptide therapy isn’t new at all. It’s ancient biology rediscovered and refined.

🧬 Peptides work because they’re already in us
BPC-157 is a perfect example. It’s a naturally occurring gastric peptide that communicates directly with tissue to drive repair. We’re not introducing something foreign. We’re amplifying what the body already knows how to do.

🥩 Ancient cultures understood this intuitively
People used to eat organ meats for healing without realizing they were consuming dense sources of peptides. Thymus for immune support. Glandulars for recovery. They were accessing biochemical signaling long before we could name it.

🎯 Modern peptide therapy is simply targeted amplification
By isolating specific peptides like BPC-157, GLP-1, thymic peptides, muscle and recovery peptides, we refine the message. We direct the signal. We make the body “hear” a pathway more clearly than before.

💡 The goal is not to replace function, but to enhance it
Whether it’s insulin (a peptide), immune peptides, gut peptides, or regenerative signals, all we’re doing is leveraging the body’s existing communication networks with precision.

Peptides are ancient wisdom with modern application, the body’s own language, spoken louder and more clearly.

12/17/2025

Creatine is one of the most reliable tools for muscle strength, cognitive performance, and overall metabolic energy. But most people still get the dosing wrong.

💪 The first 5 grams support muscle
This is your foundational dose. It replenishes phosphocreatine stores and fuels strength and recovery.

🧠 The next 5 grams support the brain and other high-energy tissues
Your neurons, liver, and immune cells all rely on creatine as an energy buffer. Ten grams is where many see cognitive benefit.

📈 What if someone takes 15 to 20 grams?
Studies show no harm from higher dosing. It may not offer additional benefits for everyone, but there are no danger signals. Some high-demand individuals may even require more.

🩺 And no — it doesn’t damage your kidneys
Creatine can raise creatinine on labs, but that’s not the same as kidney dysfunction. A Cystatin C test gives a true picture of renal health.

🚫 But avoid these creatine mistakes
• Don’t dissolve it in hot or watery solutions
• Don’t pair it with caffeine
• Skip the gummies - the heating process destroys potency

Creatine works. Just make sure you’re dosing it with intention.

The relationship between obesity and Crohn’s disease goes far beyond weight. It reflects how metabolic stress, inflammat...
12/16/2025

The relationship between obesity and Crohn’s disease goes far beyond weight. It reflects how metabolic stress, inflammatory signaling, and immune dysregulation intersect in the gut.

🔥 Obesity shifts the immune environment
Excess adipose tissue behaves like an endocrine organ. It releases inflammatory signals that can alter the intestinal barrier and activate immune pathways associated with Crohn’s risk.

🧬 Crohn’s and ulcerative colitis respond differently
While obesity raises the likelihood of Crohn’s disease, ulcerative colitis does not show the same pattern. This suggests that the metabolic and immune triggers driving these conditions may not be identical.

📈 BMI increases amplify inflammation
As BMI rises, so does the burden on the immune system. This can tilt the gut ecosystem toward chronic inflammation, especially in individuals who already have genetic or environmental susceptibility.

Supporting metabolic health is one of the most powerful ways to support gut resilience.

12/15/2025

Chronic disease now affects 76 percent of American adults, which shows a widening gap between higher healthcare spending and worsening national health. In this episode, I sit down with Dr. Chris Turnpaugh to explore why the United States has become so chronically ill and why our current medical model, which excels in acute care, struggles with long-term metabolic and inflammatory conditions.

Our discussion focuses on the need for a proactive healthcare system that identifies early patterns instead of waiting for disease to reach a crisis point. We talk about the limitations of traditional blood tests, the importance of understanding subtle dysfunction before it becomes pathology, and how lifestyle and environmental factors shape the progression of chronic illness. Early recognition and root-cause medicine form the foundation of better health outcomes.

We also highlight emerging tools that are transforming integrative care, including functional peptides like BPC157 and strategies that support mitochondrial health and cellular energy. Dr. Turnpaugh offers a clear and practical perspective on how healthcare can evolve to improve vitality and help patients thrive throughout the chronic disease era.

WATCH HERE: https://youtu.be/0oUasrAiig4
🎧LISTEN ON SPOTIFY & APPLE PODCASTS

Vitamin D is more than a vitamin. It’s a hormonal signal that influences immunity, inflammation, and metabolic strength....
12/14/2025

Vitamin D is more than a vitamin. It’s a hormonal signal that influences immunity, inflammation, and metabolic strength. Yet deficiency is shockingly common.

🌍 Global deficiency is the norm, not the exception
More than a billion people worldwide fall short on vitamin D, affecting immunity, mood, bone health, and inflammatory balance.

🇺🇸 One in four American adults is still low
Indoor lifestyles, sunscreen, reduced sun exposure, gut issues, and metabolic dysfunction all play a role in lowering active vitamin D levels.

💡 Why this matters for vitality
Vitamin D modulates immune pathways, supports mitochondrial health, and helps maintain musculoskeletal integrity. When levels drop, resilience follows.

🧪 Test, don’t guess
Optimizing vitamin D is simple, but personalization matters. Assess your levels, support magnesium, and use smart supplementation when needed.

Vitamin D is a cornerstone of healthspan — a small nutrient with big systemic influence.

12/13/2025

Blood pressure is the number one driver of cardiovascular disease, yet 90 percent of hypertension is labeled “idiopathic.” In other words, we don’t fully know why it happens. That alone should push us to look deeper than the surface.

1️⃣ The vessels themselves matter
Most people never consider the muscular layer of their arteries. When those smooth muscles stay tight and reactive, pressure rises. Supporting relaxation through the nervous system, magnesium, and nitric oxide pathways can shift the physiology in a meaningful way.

2️⃣ Capillary density changes the math
From a physics standpoint, the larger the vascular radius and the greater the microvascular network, the lower the resistance. Muscle tissue is the most reliable way to increase capillary depth. More muscle means more vessels. More vessels mean better pressure control.

3️⃣ Your heart sets the tone
A stiff, deconditioned heart forces the system to work harder. A strong, pliable, high-capacity heart lowers the load across the entire vascular tree. This is why VO₂ max predicts longevity so well. Cardiovascular fitness is not optional if you want stable blood pressure.

4️⃣ The other 10 percent is the easy part
Salt sensitivity, kidney disease, diabetes, endocrine issues — those are well understood. But the vast majority of hypertension stems from lifestyle inputs we often overlook: movement, muscle, stress, sleep, micronutrients, cardiometabolic conditioning.

5️⃣ Lifestyle is still the primary lever
If 90 percent of blood pressure cases come without a clear medical cause, then the root is likely in the daily habits that shape vascular tone and metabolic resilience.

Blood pressure is not just a number. It’s a reflection of vessel health, muscle mass, heart function, and how your nervous system communicates with all three.

12/12/2025

We all hear it. Muscle mass is the longevity organ. Gabrielle Lyon says it. Rob Silverman says it every week. But muscle is just the starting point. Longevity is an ecosystem, not a single metric.

1️⃣ Muscle is the 401(k) of aging
Lean tissue is your long-term investment account. It protects mobility, stabilizes metabolic health, and keeps inflammaging in check. Muscle literally releases anti-inflammatory cytokines that counter the signals coming from adipose tissue.

2️⃣ Body composition sets your inflammatory tone
As fat tissue grows, it behaves like an endocrine organ releasing inflammatory messengers. Shift the ratio toward muscle and the chemistry changes. Inflammation drops. Longevity pathways open.

3️⃣ pH balance shapes cellular performance
The metabolic environment matters. When your internal pH leans toward the acidic side, recovery, mitochondrial efficiency, and resilience all take a hit. Supporting alkalinity from diet and lifestyle strengthens the whole system.

4️⃣ VO₂ max is the real stress-test of longevity
Peter Attia calls VO₂ max the most predictive biomarker of long-term survival. Muscle mass won’t carry you if your engine can’t deliver oxygen. You need cardiovascular capacity, not just strength. Many people find this out the hard way on a steep hike.

5️⃣ Grip strength predicts independence
A strong nervous system and a strong body go hand in hand. Grip strength correlates with neurological function, metabolic health, and all-cause mortality. It’s a simple test with a big story behind it.

💥 The secret weapon: movement quality
It’s not just about muscles. It’s about how you move. Movement patterns and movement dysfunction often determine who maintains independence and who declines. The squat — the foundational hip hinge — decides whether someone can get off a chair or needs assisted living. Function is everything.

Longevity isn’t one metric. It’s a network of tissues, chemistry, and capacity working together. Build muscle. Train your engine. Protect movement. That’s the formula.

12/11/2025

Antibiotics are one of the greatest medical inventions we’ve ever had. They changed human lifespan in a way few other interventions could. But when we talk about longevity and healthspan, the conversation needs more nuance.

1️⃣ Antibiotics extended human lifespan
When handwashing became standard practice and penicillin arrived, mortality rates from infections plummeted. People simply stopped dying from things that used to devastate entire families. From a public health perspective, this was a turning point.

2️⃣ Overuse created a new problem
Fast-forward to today and we’re dealing with something different. Too many antibiotic exposures have reshaped the microbiome, driving higher rates of inflammatory and autoimmune conditions. Cardiovascular disease, cancer pathways, and immune imbalance all carry microbial fingerprints.

3️⃣ Risk–benefit must guide the decision
If you’re septic from a ruptured appendix, antibiotics are not optional. They’re lifesaving. This is where conventional medicine shines. But for everyday concerns, we need to choose interventions that support the body rather than disrupt its ecosystem.

4️⃣ Longevity requires discernment
It’s not about being anti-antibiotic. It’s about using the right tool at the right time. Lean on lifestyle, nutrition, gut support, and functional strategies first. Reserve antibiotics for when the stakes justify the impact.

The goal is simple: protect the years, but also protect the vitality within those years.

12/10/2025

The microbiome functions like a living ecosystem, and dysbiosis is what happens when that ecosystem loses balance. One microbial shift can create a cascade of downstream effects, not unlike what occurred in Yosemite when the wolves were removed. A single disruption altered the entire terrain.

🌿 Your gut follows the same ecological rules
When beneficial bacteria decline or when foreign species overpopulate, the environment of the gastrointestinal tract changes. Diversity drops. Mucosal barriers weaken. Communication with the immune, metabolic, and nervous systems becomes distorted.

🔥 Lifestyle stressors fuel the imbalance
Poor diet, chronic stress, sleep loss, and repeated antibiotic exposure all nudge the ecosystem toward instability. This microbial tilt influences neurotransmitter production, inflammatory signaling, and immune regulation. Dysbiosis is not an isolated gut issue. It is a systems-wide disruption.

🧬 Inflammation often begins in the gut terrain
Hippocrates said all disease begins in the gut. Alessio Fasano reframed it for our era by noting that all disease begins in a leaky gut. Paracelsus added another dimension: the dose determines the response. Together, these ideas highlight the same truth. The internal ecosystem matters.

🌱 A balanced microbiome sets the foundation for resilient health
When we restore microbial diversity and strengthen the gut barrier, we influence everything from immune tone to brain chemistry. This is not a new concept. It is a rediscovery of a fundamental biological principle. A healthy gut creates a healthier life.

The brain responds to movement the same way it responds to nutrition, light, and sleep with precision. When it comes to ...
12/09/2025

The brain responds to movement the same way it responds to nutrition, light, and sleep with precision. When it comes to protecting cognition, dose matters.

🏃‍♂️ Moderate movement keeps the brain young
Consistent, balanced exercise improves blood flow, boosts neurotrophic factors, and supports the structural integrity of key brain regions involved in memory and executive function.

🧠 Too little movement accelerates aging
A sedentary lifestyle lowers mitochondrial output, reduces brain-derived neurotrophic factors, and increases inflammatory signaling.

🔥 Too much intensity creates its own stress
Overtraining elevates cortisol, disrupts recovery, and can shrink the cognitive benefits you’re trying to gain.

🌿 The sweet spot is the real strategy
Think steady, sustainable, repeatable. Brisk walking, zone 2 training, strength work, mobility. Enough to stimulate plasticity, not enough to overwhelm the system.

Movement is medicine but like all medicine, the dosage matters.

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