Sally K. Norton, MPH is a distinguished expert in dietary oxalates with 35 years of health education and research experience. She holds a nutrition degree from Cornell University and a master’s degree in Public Health from the University of North Carolina, Chapel Hill. Her path to becoming a leading expert on dietary oxalate includes a prior career working at prestigious medical schools in medical education and public health research. Sally championed a five-year, National Institute of Health-funded program at the UNC Medical School that educated students and faculty about holistic, alternative, and integrative healing. Her personal healing experience inspired years of research, culminating in the release of her groundbreaking book, Toxic Superfoods, which was released in January 2023 and is available everywhere books are sold.
- You can pick up a copy of Toxic Superfoods here: https://www.amazon.com/gp/product/0593139585?tag=randohouseinc7986-20
- Learn more about Sally at https://sallyknorton.com/ or you can find her on YouTube as SallyKNorton
Transcript
welcome back to another episode of
Christian Natural Health today I'm
excited to have Sally Norton with us
Sally K Norton is a distinguished expert
in dietary oxalates with 35 years of
Health Education and Research experience
she holds a nutrition degree from
Cornell University and a master's degree
in public health from the University of
North Carolina Chapel Hill her path to
becoming a leading expert on dietary
oxalate includes a prior career working
at prestigious medical schools in
medical education and public health
research Sally champion of 5-year
National Institute of Health funded
program at UNC medical school that
educated students and faculty about
holistic alternative and integrative
healing her personal ex healing
experience inspired years of research
culminating in the release of her
groundbreaking books toxic superfoods
which was released in January 2023 and
is available everywhere books are sold
welcome Sally thanks for joining us
thank you Lauren I appreciate the
opportunity absolutely okay so for
people who are not familiar with
oxalates let's start there tell us what
they are and why we care yeah actually
nobody knows what they are right the
heck is an oxalate right it's a little
chemical that's very abundant in nature
plants make a lot of it soil funguses
make it polluted air makes it it starts
off as oxyc acid which is this end
product it's a two carbon molecule with
four oxygen on it it's so tiny that we
don't have a way to metabolize it and
break it down and make it untoxic and uh
you can breathe it in polluted cities
and in moldy rooms because uh aspergilus
the black mold one of the major apet
toxins is oxyc
acid so and plants are pretty good at
making oxalate although it's really
Divergent the way they make it how much
they're making of it what forms they're
putting it in really interesting the
plants need the oxyc acid and they they
what happens with oxalic acid is it's an
acid that has a charge on it and it can
have two charges because there's two
places where hydrogen's can disappear
then you have these negative charges and
when there's the two empty negative
charges it fits very nicely with things
like calcium so in nature it tends to go
towards calcium oxalate so now you have
this salt bond that creates this
molecule that likes to structure up as
crystals all salts tend to crystallize
and you get eight or 10 pairs of them
and they crystallize into a seed
nanocrystal and the nanocrystals
incredibly toxic so is the acid itself
and the nanocrystals are often they grow
into microcrystals plants build specific
shapes of these microcrystals they they
put out a scaffolding scaffolding made
of amino acids and different amino acids
have this uh tendency to have calcium
bonds and so calcium oxalate sticks
beautifully to amino acids and you can
build specific structures and plants
build some of them in this toothpick
shape it's a double pointed Arrow that's
designed as a defense
Weaponry plants actually invented
Warfare uhuh yeah absolutely they're
trying not to get
eaten yeah so and what foods are high in
oxalates the sort of poster child is
spinach and then beet greens and swiss
chard and beet greens and swiss chard is
actually the same plant and rhubarb and
the rhubarb Leaf is so concentrated in
oxalate that it's pretty much a murder
weapon if you go to boil up rhubarb
leaves and thinking it's wisard you have
a 98% chance of being dead the next
day so it's pretty toxic and uh then
other plants that that we're eating as
foods that tend to be high in oxalate
include the Beet Root as well sweet
potatoes which was I thought my best
friend for years the baking potato yeah
the nuts especially almonds cashews and
peanuts the c a couple berries
blackberries and raspberries are
terrible starf fruit is known to slay
people very high in oxalate there's
quite a bit of research on star fruit
poisoning uh chocolate the dark cacao
element and chocolate is loaded with not
just lead and theob bromide but you've
got your oxalic acid there too and then
the pseudo grains when you go on a
gluten-free diet you tend to put these
higher oxalate foods like quinoa te
buckwhat aor root these things are much
higher in oxalate than wheat is that's
in the brand when a brand you know
grains are basically a seed and seeds
have these coats and layers to them and
one of the outer layers around the brand
area is loaded with oxalate crystals and
so the brand the whole grains are much
higher in oxalate than the refined
grains it kind of makes sense that
humans have been eating white rice and
white flour and refining grains because
it removes a lot of indigestible chaff
that's right actually bad for us right
so let me clar ify really quick so it
sounds like you're saying that oxalates
are bad across the board is that
accurate do you think that everybody
it's a poison like other poisons and
we're designed to handle exposure to
oxalate to a small degree okay the
kidney researchers who've been trying to
work this out for years and spending
generations of of millions and G
zillions of dollars have decided that we
tolerate about 25 milligrams of oxalate
in the kidneys a day okay and your Li
produces oxalate from vitamin C
breakdown and some connective tissue
breakdown and inflammation so you
produce about 12 and you can handle
about 25 so you can handle you absorb
about 10% maybe 15% if you have healthy
gut so if you up that balance of 15 you
can have like's say 15 milligrams safely
every day in your kidneys that that if
you're 10% absorber that's 150 milligram
in your diet so 150 milligrams and 150
100 to 200 is considered normal
consumption of oxalate by researchers
that's what they say we're consuming now
an ounce of almonds is about 70 um
milligrams so you're halfway there with
a small handful of almonds uh dark
chocolate is close to that too A 1 o
piece of chocolate is close to that
amount a standard spinach smoothie is
somewhere between about 750 and 1,000
milligram of oxy
so that's 10 times eight eight 10 times
beyond what the researchers say we're
equipped to handle right well and so
you're talking about what the kidneys
can handle but we also have other
mechanisms for excretion via the stool
isn't that the primary excretion route
yes um no the primary excretion route is
the kidneys 90% of oxalate is coming
according to researchers which you know
our research and our ideas about oxalate
are highly imperfect but 90% of all
oxalates coming out through the urine is
far that's the standard thing now I
think we could refine that because it's
very clear that there are multiple
excretion routes for oxalate your saliva
will reflect the level of oxalate in
your blood so after a meal it takes
about four or five hours to get that
absorptive Peak but you know food takes
about 24-hour Transit time and you
already get enough oxyc acid in your
blood within 40 minutes of a spinach
smoothie to demonstrate damage to the
circulating white blood cells so they're
now putting out pro-inflammatory cyto
kindes 40 minutes after a spinach
smoothie and you still have you haven't
got the the peak is three hours later
you still haven't like got the highest
quantity of oxalate in your bloodstream
so it's going from your gut between the
gut cells because its paracellular
Transit getting into the bloodstream
already affecting the vascular tissue
and the blood cells themselves that's
been established and it goes immediately
to the liver 100% of the oxalate you
absorb which is variable based on how
permeable your gut is you can have
absorption rates of like 60% instead of
15 or 10 and that so you don't even need
a high oxalate diet to be Overexposed to
oxalate so now the path of exposure has
been your gut your vascular tissue your
blood tissues now your liver which has
to use up its glutathione to protect
itself from the oxyc acid oxidative
stress and the cellular damage that it
creates and then your blood flows from
the liver up just a couple inches to the
heart and the Heart tissues are now
getting not just what you absorb from
your diet but what you also produce from
your inflamed liver and then that's
pumped to your lungs and then your heart
and then back out to peripheral
circulation and later now the kidneys
get a chance to excrete it for you sure
and as it as the levels go up in the
blood and acidity goes up and the
kidneys starts stressing that can turn
on Transporters where you start
excreting it back through the into the
colon and and they believe that in this
paracellular Transit as you're absorbing
it the cells try to grab it some of it
and kick it back into the Lum of the gut
to try to limit how much you absorb but
the more damage your gut those
Transporters break down they can't
function right you get this acidity and
other problems where the protein shapes
are changing in cell membranes and
they're not working as well so there's a
lot of things that can go wrong and with
constant exposure in the
gut with not just the oxalates there's
other anti-nutrients and plants that
have the potential to cause a lot of gut
problems over time well and I like what
you brought out there the fact that
there's a lot of the elevated levels of
oxalates aren't necessarily coming just
from our food it's also the fact that if
the gut is leaky now you're going to
have excess amounts from that and you're
also you mentioned earlier the black
mold so sometimes if there's a fungal
problem you're going to have excess
amounts from that so there's a lot of
other components to it it's from the
food itself potentially at the levels
are super high I am curious about the
the research if if maybe you could share
that um that's saying that most of the
excretion is coming from the kidneys
because my understanding was calcium
binds to the oxalates and that's going
to go through the stool and it's when
you don't have enough calcium or when
the gut is inflamed that you're going to
end up excreting it more through the
kidneys and that's how people end up
with things like calcium oxalate um
kidney
stones yeah the idea of excretion
usually means excreting it from internal
body tissues and what you're talking
about is preventing absorption right
exactly the idea of absorption is a food
an element in the food moving from the
Lumen of the gut into the blood stream
and the body tissues so we don't use the
term excretion for things that you're
just not absorbing so that would be
that's not the concept that fits the
situation so yeah we want a lower
absorption rates as much as we can
unfortunately most people aren't at the
10 to 15% that's considered normal many
many people are at hyper absorptive
levels so even a even a normal oxalate
diet 200 milligrams a day yeah could be
quite dangerous over time sure now the
thing is the body is really really smart
and when the blood levels are high it
knows the heart is at risk because it is
chelating calcium and you can cause
right the droping calcium levels in the
bloodstream yeah the pacemaker doesn't
like that right yeah and you cause lots
of problems like that so the body's
quick to Pro there's a combination of
passive accidental sticking of oxalate
tissues because any cells that are in
the process of duplicating because of
normal maintenance and reproduction are
in a state where they're sticky to
oxalate so wherever you're healing
something wherever you have inflammation
wherever you have infection wherever you
have problems and issues or growth or
maintenance happening those tissues are
stickier to oxil oxalates start sticking
in onto membranes and tissues if you
have vascular or you know excuse me but
the subcellular organel the vesicles and
stuff kind of sprayed out because the
cell is broken or dying that tissue
creates a situation where the soluble
oxyc acid starts precipitating out as
calcium oxalate so you tend to get this
collection or accumulation in areas of
the body that are under stress and this
is a silent process where you don't get
symptoms right yeah body's doing
everything I can to keep you from having
symptoms and keeping it out of Harm's
Way yeah and as you say it's very smart
and it's got all these mechanisms in
order to do all of that but yeah so it
sounds like because the vast majority of
people do have gut issues the the
natural elimination via the gut is often
compromised so yeah in my practice a lot
of times I will see people come in with
oxalate sensitivity and they usually
also have sulfur sensitivity um and a
lot of times they have methylation
pathway backups and things like that so
they're eating like five foods and it
becomes really rest restrictive and
difficult so a lot of times like the
initial approach I certainly agree is
you want to minimize the foods that are
causing you problems while you're
healing the reason why that problem was
there in the first place so that
hopefully you can broaden your diet and
not have to remain on such a restrictive
diet o over over a long period of time
what's your what's your thoughts on
restrictive diets generally oxalates or
sulfates or anything else oh there's a
lot in that and I tell you when I first
started realizing that those of us who
are doing the right thing and eating our
sweet potatoes every day and can't
figure out what's wrong with us and are
falling apart and losing our careers and
you in crutches and Wheelchairs and all
the stuff I've been through right none
of us all the nature paths I knew all
the H PA I knew all the acupuncturist I
knew all the medical doctors I knew I
worked in a medical community I worked
in integrated I worked at that that
interface between integrated medicine
and Medicine nobody could help me I
couldn't help myself so when I went out
to start teaching this for free in my
community I made an effort to spend a
lot of time and money on food and bring
them food and show them the low oxy
vegetables and fruits they could eat
yeah because you know I'm the last
person who would say oh I want to take
away food is me the sad part is what
what has become painfully obvious is
that because we're being raised on
Peanut Butter and potatoes and sweet
potatoes and chocolate willy-nilly
completely unaware of the oxalates and
even the the lectins like I didn't even
know from college that you can't slow
cook lectins you cannot put your beans
in a slow cooker and have that turn out
okay that ruined my gut and I went to
Cornell and I didn't know that so the
sad part is our ignorance level is high
enough that we can maybe don't get out
of childhood enter adulthood with a
healthy gut and the gut is a big place
where the immune system is functioning
yep absolutely and we start deranging
the immune system system as we damage
the gut and oxalate is not only an
immune toxin which is established it is
an established neurotoxin half of your
nervous system is in the gut so it's um
unfortunately because we're not paying
attention to this we end up with this
overreactive immune system this arange
deranged immune system that's getting
trained left and right there's lots of
other assaults that we're giving the
immune system these days and so people
do end up in this position where things
are bothering the heck out of them in
order for them to get out of bed they
have to limit their Foods I would like
us to be in a prevention mindset so we
don't get to that point and you can't be
in a prevention mindset if you don't
have this information it's true yeah
absolutely and it sounds like it's just
like you have to intervene somewhere and
you have to start by getting your body
to the place where you're not in pain
and you're able to rebuild and then you
can actually get to the point where you
get healthy enough that some of these
things won't be so toxic to you is that
accurate would you say well well
lowering your toxicity level is key to
giving your body a chance at healing
right right and the truth is that
because the sequestration is going on
maybe starting in fetal life in child in
early childhood if you start getting
being given sweet potatoes and peroid
beats as an infant you're already in a
sequestration mode where oxalates are
accumulating in your thyroid gland by
the time you're 50 you have at least an
85% chance of having visible Frank
oxalate crystals in your thyroid gland
so the problem with you can't just stop
the acute exposure with every meal and
get totally better because once you
lower the acute exposure the body's like
thank God now I can unload this from my
thyroid gland and my bone marrow and my
tendons it tends to collect in fascia it
tends to cause connective tissue issues
and it's my my feet and legs are
continuing to remove oxalate my back is
continuing to remove oxalate I've been
I'm in my 11th year of De acccumulation
of ox oate through the diet and it has
severely affected my immune system and I
am severely overreactive to everything
and Frank immune test say yeah most of
the fruits most of this that that's an
end product of the oxalate damage if you
keep eating the oxalate and waight to be
broken that broken state is pretty hard
to come back
from well and then as you I think we
we've mentioned before too that as
there's oxalate toxicity that also tends
to deplete sulfate which then means that
you're not going to produce glutathione
and you're not going to be able to detox
it adequately either so toxicity from
other things usually kind of goes hand
inand with this is that accurate would
you say well I I think one of the things
that hasn't been studied enough and
hopefully we will is that I think
oxalate helps us retain lead and heavy
metals because it's a key later so as
you're building up this oxalate load
you're building up a load of mercury
aluminum lead and and heavy metals and
you are losing nutritional elements of
all kinds you're wasting sulfur you're
wasting potassium calcium magnesium and
there's severe mineral depletion and in
that mineral depleted State you are more
likely to pick up the chlorine bromine
and junk in the water you're more likely
to pick up toxic metals from anywhere
and so it puts you in this really
vulnerable space sure yeah and then also
if there's if you have the sulfur
deficiency then you have to have your
methylation cycle compensate for that
and then you're not going to have enough
left over to make metallothionine which
does keate the heavy metals for sure so
a lot of these people I agree tend to
also be really elevated in heavy metals
too so there's usually multiple L yeah
it's a tricky situation because as you
de accumulate oxalates you're de
accumulating heavy metals potentially
but I have found that goes pretty well
if you don't force the body to do what
you want it to do that there's a lot of
mechanisms in place for healing and
Recovery especially from oxalate because
the body has some inherent knowledge of
it because ox's been part of the natural
world since the dawn of the natural
world right and are there ALS so like as
people are detoxing from oxalates do you
have some specific things that can help
them with that detoxification process
that you recommend yeah it's really
critical I have a whole couple of
chapters on that in toxic superfoods
yeah calcium and citrate are the most
important things of all calcium is
obviously has to keep itting replaced
because you're going to continue to
waste calcium as you as you mobilize
oxalate from the tissues and you
re-release oxyc acid into the
bloodstream you're still causing losses
of calcium in the blood people sometimes
have such severe arrhythmias and
hypertensive attacks end up in the
emergency room because they're de
accumulating oxalate so the calcium is
really important for that it it's also
important to protect the kidneys it
helps you do this gut uh excretion so
the calcium is there as a magnet to help
that gut excretion and really give your
kidneys a break and it helps to calm the
nervous system and deal with this
General deficiency that we have that
adds to neurological problems that can
lead to memory problems and mood
problems and the citrate is fairly
fascinating too because citrate is
alkalizing and all this inflammation
that goes with crystals everywhere and
the de acccumulation of crystals is a
very inflammatory process it requires
immune cells to go in there and be the
Hazmat workers that drill out these
crystals out of your tissues and make
kind of a mess in the process and
increase your cyto levels and so you've
got this inflammation and that tends to
create more acidity it's bad enough
you're throwing an acid back into the
bloodstream but now you're creating
inflammation it adds acidity so the
citrate helps to cut the acidity and it
helps to soften the crystals because the
the chemical bond between citrate and
calcium is stronger than the chemical
bond between calcium and oxalate so when
citrate sits on a calcium oxalate
molecule it softens something that's as
hard as quartz because calcium oxide
crystals are harder than your teeth it
softens to something more like chalk
yeah chewing on the crystals and plants
literally wears down the teeth wow yeah
and causes mechanical abrasion and so
you don't want to be immune cell
breaking up a quartz crystal you want to
break up a chalk Crystal so it's really
citrate is so important because it is
the cator that holds the minerals to The
Matrix of the bones and teeth and so
with the citrate and the calcium and
replacing minerals generally trace
minerals and so on it's pretty easy to
start reversing osteopenia and
osteoporosis on a low oxalate diet if
you're providing some potassium and some
citrate yeah and what are some of your
favorite ways to determine whether
oxalates are a problem for someone do
you have like testing that you that are
your go-tos well in most toxicity
diseases most all we have is a an
evaluation of exposure levels and
symptom patterns and risk factors so
that's the standard in toxicology kind
of things so I've have available for
free on my website and in the book toxic
superfoods an inventory where you can
look at your risk factors do you have
leaky gut do you have kidney failure and
so on look at your exposure level here
are all the high oxalate foods have
these been in your life on and off or on
a lot and here's all the different ways
that can show up when you start finally
getting symptoms for it and when you see
that pattern of yeah one or two or three
major High oxalate foods have been my
daily Darlings and yeah I have these
gout and arthritis and fatigue and
vision problems and back aches or yeah
cloudy urine then you're like okay we'll
try it and then the definitive thing is
how do you do on the diet it tells us a
lot yeah and so what's your opinion of
like oxalate urine testing and things
like that oat testing urinary organic
acid and stuff like
that it's it it's a double-edged sword
because it's helpful if you get a high
oxalate test you can believe that
there's a lot of oxalate in your urine
unless you've just been Downing so much
vitamin C that the vitamin C in your
urine is turning into oxy you have to
preserve that urine properly with a high
amount of hydrochloric acid to make sure
that you're getting an accurate measure
so it it has to be specifically designed
to be accurately done but you can get a
false negative very easily I had that I
am very oxalate poisoned and the the oat
test showed me I was perfect in every
way and did not have an oxalate problem
I can explain why but you know if you a
negative O test does not say you don't
have an oxidate problem not in the least
in fact a negative o test may suggest
that you're so toxic that the body can
no longer excrete oxalate interesting
yeah that or you're just in this period
of protecting your kidneys because you
go up and down and up and down with your
oxalate excretion especially when you're
oxalate toxic so you get pathological
spikes and then nothing up and down and
up and down so it's easy to get a day
where you're taking a rest from oxalate
excretion yeah and so what are some of
the symptoms like some of the most
common symptoms that people can
experience if they have an ox
issue digestive conditions are
considered a Hallmark or were considered
when they first named this problem of
dietary oxalate poisoning it was
1842 in the original diagnosis the most
simple form of it was is there a gut
problem that also has either
rheumatological problems or neurological
problems so the neurological problems
are sleep trouble mood problems um
becoming an annoying human being who's
like
neurotic that was like a symptom of
oxalate poisoning because it is so
neurotoxic and neurop poisoning can mean
things like fibromyalgia too because
it's really the nerves that can't settle
down that are on fire that are causing
muscle knots and causing Tremors and
twitches and even certain degree of
dismotility and spasm with sphincter and
so on can be neurotoxicity I never knew
a lot of this before I would did the
research I was having hiccups every
night you know after my day of sweet
potatoes but at bedtime you're four
hours past dinner you're six eight hours
after lunch and you're really toxic and
I was having every night really bad
hiccups and when I was reading in the
starfruit literature about the deaths of
starfruit and the tests on rats and
stuff the final symptom when the rats
die of oxalate poisoning from star fruit
juice is Hiccups and same with some of
the human cases one of the last symptoms
they had before they expired was hiccups
I'm like oh hiccups are neurotoxicity so
that's a neurotoxicity example and then
the the rheumatological examples are
gout arthritis aches and pains
tendonitis btis all that kind of ucky
stuff with your joints and so on even
TMJ then there's Vision issues if you're
starting to have trouble with night
vision or you know getting eye issues or
getting you know grit or floaters
because the the eyes are very prone to
oxalate accumulation just as much as the
thyroid gland and they're part of the
brain and nervous system and I think the
fluids of the eyes and the fluids around
the eye tissues are one of the ways that
the brain is detoxing junk from the
brain tissues makes sense so what have I
not asked you that you want to make sure
you Le with our
audience well you know I would have
loved to talk about how even biblically
the Bible tells us things like basically
eating plants was the symbol of our
great fall where now we live on cursed
grounds and painful labor requires us to
produce thorns and thistles and and that
plants became a form of punishment and
that's become clear for those of us who
have identified oxy toxicity is the key
thing that's been really dogging our
health um
that there are plenty of older cultural
ideas that might balance today's current
culture that is so embracing plants to
the nth degree that we're leaving no
caution and no sides for two-sided
conversation about the potential
downsides of over loading on Plants yeah
absolutely so where can people go to
learn more about you I have a website
that is Sally key norton.com there's a
lot of free information in there uh and
you'll be able to find a cookbook if you
want to learn how to work with a turnup
or rudaba there's lots of plant recipes
in that cookbook we're coming out with a
companion to toxic superfoods for people
who really want to get into the
nitty-gritty of more data on the oxalate
and foods and I have a YouTube channel
we're sharing testimonials and so on
there that's a lot of fun people are
enjoying that and I'm also on Instagram
but yeah the website's a place to find
me and your YouTube is what what's Sally
K Norton there we go all right so I'm
gonna link all that in the show notes
and thank you so much this has been
really entertaining and interesting
thank you thank you take care care
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