Oct 9, 2026 · 52 min · 15 segments
In this episode of *ReversABLE*, Josh Dech welcomes back Dr. Nathan S. Bryan, a researcher who has spent 25 years studying nitric oxide and its role in human physiology. Together, they explore how…
Nathan S. BryanGuestJosh DechHostWhat's the feeling on this? I mean, in the bowel disease space where I work with Crohn's, colitis, diverticulitis, we see a lot of environmental toxicity.
being one of the primary drivers, right? Whether it's mold or pesticides or dietary choices, a combination, all the above.
And then of course, you know, there's bacterial issues and parasitic infections and basic stuff, which is typically a byproduct of being in those toxic environments.
So my question to you is where would the ceiling be? Obviously, just to preface that, if you're living in a moldy house and that's what made you sick, getting out of that house is number one.
But is this something that you can say, well, even in the presence of a toxic environment like a moldy home or like living on a farm where you spray pesticides, that nitric oxide still has very marked benefits? Or is it something that can only work when the environment is optimized? Because it's quite uphill, right? I mean, it's a very uphill battle.

And I think what the clinical data tell us is that nitric oxide will always provide benefit, even in people that are exposed to these toxic environments, whether it's environmental toxicants, whether it's foodborne toxicants or air.

Is it due to diet? Is it because of mold exposure, exposure to other environmental toxicants? But without removing them from that source of exposure, we can still mitigate the inflammation, reduce the inflammation, oxidative stress, and immune dysfunction.

So what I like to say is nitric oxide is foundation, but I don't want there to be misinterpretation that this is a silver bullet, an end-all, be-all, cure-all panacea, because it's not, because you bring up a good point.

And what I've learned is that people get sick for two reasons and two reasons only.

They're exposed to something that's toxic, or their body's missing something that it needs in terms of essential nutrients and vitamins.

So if we address what's missing and we remove the patient from a source of exposure, whether it's a moldy house, whether it's foodborne allergens, whether it's environmental toxicants or herbicides, pesticides, the body is regenerative by nature.

And if we address that, then we can get to the root cause and make people better, even without drug therapy.

But we say nitric oxide is foundational because if you don't restore blood flow and get rid of the inflammation, oxidative stress, and immune dysfunction, your body's never able to to heal itself or cure because it's always in this fight or flight mode.

But that then allows you to look at symptoms that may have been covered by these other issues that address, that may point you in a different direction.

It allows us to dig a little bit deeper, but without nitric oxide, other clinical kind of strategies are going to have kind of limited outcomes.
When you talk about this being a signal for the immune system, and I guess I'm curious as to how it's actually working mechanistically within the body.
Because if I get somebody, for example, living in a multi-home, oftentimes we know it's going to congest bile flow.
What's the feeling on this? I mean, in the bowel disease space where I work with Crohn's, colitis, diverticulitis, we see a lot of environmental toxicity.
being one of the primary drivers, right? Whether it's mold or pesticides or dietary choices, a combination, all the above.
And then of course, you know, there's bacterial issues and parasitic infections and basic stuff, which is typically a byproduct of being in those toxic environments.
So my question to you is where would the ceiling be? Obviously, just to preface that, if you're living in a moldy house and that's what made you sick, getting out of that house is number one.
But is this something that you can say, well, even in the presence of a toxic environment like a moldy home or like living on a farm where you spray pesticides, that nitric oxide still has very marked benefits? Or is it something that can only work when the environment is optimized? Because it's quite uphill, right? I mean, it's a very uphill battle.

And I think what the clinical data tell us is that nitric oxide will always provide benefit, even in people that are exposed to these toxic environments, whether it's environmental toxicants, whether it's foodborne toxicants or air.

Is it due to diet? Is it because of mold exposure, exposure to other environmental toxicants? But without removing them from that source of exposure, we can still mitigate the inflammation, reduce the inflammation, oxidative stress, and immune dysfunction.

So what I like to say is nitric oxide is foundation, but I don't want there to be misinterpretation that this is a silver bullet, an end-all, be-all, cure-all panacea, because it's not, because you bring up a good point.

And what I've learned is that people get sick for two reasons and two reasons only.

They're exposed to something that's toxic, or their body's missing something that it needs in terms of essential nutrients and vitamins.

So if we address what's missing and we remove the patient from a source of exposure, whether it's a moldy house, whether it's foodborne allergens, whether it's environmental toxicants or herbicides, pesticides, the body is regenerative by nature.

And if we address that, then we can get to the root cause and make people better, even without drug therapy.

But we say nitric oxide is foundational because if you don't restore blood flow and get rid of the inflammation, oxidative stress, and immune dysfunction, your body's never able to to heal itself or cure because it's always in this fight or flight mode.

But that then allows you to look at symptoms that may have been covered by these other issues that address, that may point you in a different direction.

It allows us to dig a little bit deeper, but without nitric oxide, other clinical kind of strategies are going to have kind of limited outcomes.
When you talk about this being a signal for the immune system, and I guess I'm curious as to how it's actually working mechanistically within the body.
Because if I get somebody, for example, living in a multi-home, oftentimes we know it's going to congest bile flow.
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