Hello, ladies and gents Roberts like sceeto Savage.com., And
today I'm get special guest. Dr. Abdullah Khan.
The line and we're going to talk about all things pregnancy.
He has been in the OBGYN field. Giving births hundreds of
thousands of births, lots of births and he knows his stuff.
I have not given a single birth, but my wife crystal is pregnant,
so I'm excited to learn more, dive deeper and just kind of
pull the curtain back on that world and see what I can dive
deeper into and hopefully, take with me.
In our own personal pregnancy. So, super excited about having
the conversation here. I learned a ton.
I've got no doubt that you will as well, so that for their do,
sit back, relax. Enjoy the conversation with dr.
Abdullah. Ma'am, and you want to talk
about pregnancy, especially as it relates to diet or nutrition
and carbohydrates throughout the pregnancy.
And while I am not pregnant, my lovely wife is she's about 22
weeks in now, so, this is a topic that is incredibly
relevant to us. And I'm excited to dive deep and
learn more. Yes.
I actually did. I listen to the crystal updates.
Every once awhile. You do a trimester update on,
you got your pregnancy, and I'm really happy for you guys and
happy that it's going well. No, thanks, man.
Appreciate that. We're super excited about it.
We found out the sex just a few weeks ago.
So yeah, we're kind of we're doing things Supernatural.
Like, we're not doing most of what mainstream Society puts on
you as from a pregnancy standpoint, but from what I
gathered just in talking with you briefly, before the
recording you tend to kind of go against the mainstream
recommendations toward pregnancy as well.
Yes. I'd like to preface it.
I so I am very educated in the box, right.
I went from Go school in State University of New York.
I did a residency in OBGYN. I did a fellowship in Maternal,
Fetal Medicine, which is the high-risk subspecialty of
obstetrics. NYU, you know, I am of the
mindset, you know, you read in the book and it has to be true.
But over the last 20 years of my career.
I have veered dramatically from conventional thinking especially
about. Carbs and sugar and pregnancy
because not I'm not coming at this from a health point of
view. Because, you know, I think a lot
of your listeners, you know, already really into Quito and
then are able to, you know, expand it into other areas.
I'm not one of these guys that lifts weights.
I mean sometimes my remote control might be the heavy thing
your list. Uplift all day, at least you're
honest, but I know I mean I like to play tennis and I generally
am maybe 10 pounds or so overweight, but You'll never
lose, but I'm my whole philosophy and moving towards
what I would say Akito or napkins or a low-carb diet, is
really from just experience and is not, there's no bias is no
reason for me to have come to these conclusions except for the
fact that when you do the same thing every day for 20 years,
you start noticing things and you start getting better at it.
Well, I put a whole lot of weight in that man.
Like there's so many there's so many text books out there.
There's so many National schools of thought when it comes to in
the right, macros the right protein intake, that the, you
know, dietary fat, and what that does to your cholesterol in your
arteries, and for me, like I don't have any acronyms behind
my name, I don't have any MDS and phds.
I just do things like experiment with things.
I see when I can, you know, find my clients.
And I feel like there's a lot to be said with pattern
recognition, over time and working with hundreds and
hundreds of individuals, and I've had the opportunity to do
that, you know. Staying with the clients that
I've coached and, you know, people like yourself that have
the formal schooling as well, but then have just worked with
patients day in and day out like that to me holds more weight
than anything else. I 100% agree and it's actually
ironic because I did a fellowship in MFM and that's
usually an academic Pursuit. Most of the people that have
gone, that route are climbing the academic ladder division,
directors, chairman, their writing papers.
It's, it's almost as if you choose to have a less of a
Hands-On approach, you're spending your day in an
ultrasound unit. You're doing consultations the
most Maternal. Fetal Medicine, doctors are On
spending a tremendous amount of time in labor and delivery.
They're not in the trenches. They are really more back at
headquarters, you know, looking at that.
And that's a really It's a major detriment because you are able
to see and understand things. Could you do it everyday and if
all you're doing is crunching numbers and looking at other
peoples dump and reading other papers, you're just
regurgitating the same thing over and over because there's no
reason for you to think differently.
You have you don't experience anything differently.
So unfortunately for you know, Academia after I did my
fellowship, my choice in life was to open a private practice
and all I wanted to do. Was be the guy that could take
you from the beginning of the pregnancy to the end of the
pregnancy to postpartum and include all the ultrasounds and
you don't have to, I don't have to send you anywhere else for
anything. Everything is done in house and
I spent just so many. Countless hours, getting women,
delivered that over the years, things became clearer and
clearer to me. And at this point, they're so
clear. I'm like, walking around
wondering if everybody's, you know, everybody's high like
what? Why is a cog wise, modern
abstract? Metrics.
Not realizing this huge problem that we're having with
interesting man, because when I when I started doing the
ketogenic diet about seven years ago, it really kind of opened my
eyes to the fact that you know, hey, what what mainstream
society says what conventional thinking says may not be the
most optimal path for you and when I started diving into then
I kind of really pulled the curtain back on what you know
farmer was like what the you know, the heavy Farm.
Agriculture industry was like how all these biases exist with
regards to funding and the median?
What is promoted and that that sounds like really far-fetched
conspiracy theories, but it's not really when you actually
start looking at the data and the cash flow and where money is
and incentives are going and coming from but once I realized
that with regard to nutrition I started asking myself.
Okay, what other avenues can this apply to?
And when it came to pregnancy, you know, crystal is like a
very, very hardcore devout, you know, motherly.
The type. She's very nurturing just as her
personality. So she when we decided to get
pregnant she'd of super deep and all things pregnancy, learn as
much as she could. And when she started pulling the
curtain back on that, it was obvious that you know, many of
the conventional trains of thought.
Towards pregnancy. We're not necessarily in line
with what you know is best for the human body, the best for the
environment through a pregnancy, just from like a Stress and
Anxiety standpoint alone from a, you know, a medical intervention
standpoint. When it comes to Conventional
and He's so knowing what I know about nutrition really opened my
eyes to the possibility that the same principles could probably
apply with regard to pregnancy and since doing then it's like
I've really changed Direction on what I view to be the right and
wrong way and I'm still totally ignorant towards princi.
I'm learning as I go. It's been our first one, but I'm
excited to hear what you got to say, man.
Right. And believe me.
I'm not a conspiracy conspiracy assist this Furious.
I'm not sure if it was the right worthy.
But you know, if you ask me who killed Kennedy, I'll say Lee,
Harvey Oswald pretty simple, but you're right.
Big Pharma has really perverted the landscape for medicine and
getting back to basics. Might be the greatest thing
anybody could do for themselves as far as living a healthy life.
So One is I want to open up and I want to talk to the audience
because this is not my regular audience.
You probably don't have a lot of pregnant, you know, related
issues out here a lot. Probably probably, are you male.
Dominated your audience or little bitty little bit split.
I honestly have no idea what my podcast demographic is because I
don't even know how to look up the stats on that.
But I feel like a pretty broad audience.
Okay. So everybody in the world of
Obstetrics and academic obstetrics even in the media has
his talk. Talking about this is Aryan
section epidemic and to get an idea of what's going on with
these sections, in 1970. The C-section rate across the
board with about 5% and inlets, a peaked, you know, like 10
years ago, finally starting to come down a little bit but Peak
somewhere around 35 percent. So, that is completely crazy.
I mean, there's like seven times more C-sections than one, there
were in 1970 and a lot of factors if somebody Google's and
they say, you know, why are there so many stairs?
Sections are going to see many of the same reason than very a
lot of them are legitimate. Like one major reason is, you
know, there is so there are lawsuits, you know, you can't
afford to have a bad baby and doctors are overly cautious or,
or sometimes. There's just the overly in a
hurry and it's easier to do C-section than the way forever
for baby to come out. So that, you know, one reason
everybody agrees is a major problem.
Another problem with in the beginning of 19 in the 70s is
when they started something called fetal, monitoring, and I
don't know if you You guys haven't gotten there yet because
you're still early in the second trimester, but soon, crystals
going to be something, you know, going to the doctor's office and
sometimes if she's not happy with the movement, they might
put her on a tracing and they look at the baby's heart rate
over time in labor. That's very common, almost all
pregnant women while their labor.
There's continuous monitoring the heart rate and if the heart
rate acts up, the doctor has to be able to interpret it and make
a decision about if, you know, labor can go on or if it's
cesarean section is needed. And and, of course, once you
start a fetal monitor Ring. It was much more common to have
to intervene the middle of a labor and do a C-section and
everybody agrees on those two reasons.
And then there's other reasons that are kind of obvious, like
skills skills have deteriorated. It's unlikely to find, you know,
a general, OB who's willing to do a breech delivery.
It's unlikely the, you know, it's sometimes it's hard to find
their General. OB who's willing to deliver
twins vaginally as opposed to doing it, you know, just
scheduling a C-section. So there's, you know, the skill
set. That's kind.
Of Wayne because because of this, he sections, but I my
whole practice is geared towards avoiding C-section, so I came
out of my fellowship and I went into an area where there was a
patient population that wanted to have large families, and I'm
not talking about like, four or five.
I'm talking about, like, in the double digits, and those women
don't want these, and if they don't want peace, they don't see
second day because, you know, you got to go back and take care
of a kids and it's hard to do. That after you've had major
surgery and it can really handicapped you in the future
from continuing to have more and more children.
So people come seek me out because they don't want
C-sections. And, and very often, they've
already had a C-section and they don't want another one.
So initially, I started really thinking about, like, what is
the problem? I'm having, why are people
having these C-sections? And what's the best way to avoid
them? And it became obvious that
babies are too big and the average Baby is too big and that
that sounds odd. But if you think about it,
right? If you say, like, what's is, if
somebody says, I am average. If any United States, I am
average weight, right there. Heavy right there because the
average person in this country is overweight.
So the average baby is overweight and if you look back
I was able to find some data from 1920, you know, the
internet is a wonderful thing unless you're looking for
historical data because you nobody was nobody was putting
anything on the internet 1920, but I was able to find some dad
and 1820 about the average weight, and it was about 1 pound
five ounces less than today. So today, the average baby is
about 7 pounds 5, ounces and pounds 4 ounces.
That's, that's, that's the that's the median.
You go back to 1922 average, baby was 6 pounds.
So when you think about that, that's that's pretty impressive.
Now, you know, you're going to our, somebody could argue.
Well, you know, we're healthier, we're taller were bigger today
than they were 100 years ago. So maybe that's why babies are
bigger, but we're not. 80% bigger and we're not 20% taller.
And we can and the average woman cannot handle a 20% bigger baby.
So the reason why we have such a C-section epidemic is because
babies are getting bigger and bigger, and the reason they're
getting bigger and bigger. It's because carbs are just a
staple of our diet. And for some reason, there's
this idea that when you're pregnant, you get to eat for
two, which is probably the worst expression ever and pregnant.
Women are less. Probably even less careful about
how they're eating. Then when they're not pregnant,
I mean, you know, some people are always careful.
Some people are never are but generally pregnant women be
like, you know, well, you know, I'm growing a baby.
It's okay. And if they expose themselves to
too many carbs, it's just simple as that.
The baby is going to get big and tell my patients.
When you eat ice cream. Your baby eats ice cream.
I when a person eats ice cream, their blood sugar is going to
spike. And that means the baby's blood
sugar is going to spike and the human body is programmed not to
waste calories. So if you get too many calories
and you don't have anything to do with them, you store them and
we store them. In fact, so babies.
Get bigger and bigger because mothers are feeding their babies
cars. Is there any definitive evidence
that I don't guess you probably wouldn't be.
But is there any evidence that shows that it's just simply a
caloric Surplus issue as opposed to a carbohydrate issue?
Like have there been studies done that compare pregnant women
that eat more carbohydrates versus lower carbohydrate
approach with Cal acquainted for so I don't think so.
You know, the sad part is, there's almost no real
literature on diet and big babies.
There's a lot of literature on, you know, if a baby small and
how the calories effect that like, well what's called fetal
growth restriction, which is a, you know, the opposite problem.
The babies are growing well and you're worried about the baby.
So what we do know is that babies tolerate poor diets
really? Well.
I think there was a study that came out of Norway or Finland,
one of these countries and World War Two was occupied by the
Germans, and there was a food rationing.
And I think women were like all given, like 500 calories a day
with only a very strict, very regimented diet.
And they were able to look back at these children, born during
that time and they looked at their, you know, military
entrance test. Cause it was like mandatory
military service in that country and they don't look at their IQs
and their physical makeup and they found, oh, look at that.
They did not suffer at all. From this, you know, very carb
restricted diet, that was First on their mothers during you
know, they're not your patient. So there is a lot of thought
about how you know, how come babies are small and how to
avoid having a small baby. But very little about what do we
do about big babies? Except for just a tional
diabetes and that is actually the most obvious proof of the
problem. Everybody knows every
obstetrician. Every academician knows that if
a woman has just a tional diabetes, her baby has a good.
Chance of being oversized. And she has increased chance of
having a c-section, right? Because it just a tional,
diabetes simply means your blood sugar is running High.
The mother is insulin resistant and she can't pull that blood
sugar out of her blood and into the tissue but the baby can't.
So even though the mother's blood sugar is running high and
she might not be able to get those blood numbers down.
The babies seem the same levels of sugar and is no problem
whatsoever. Pulling that Sugar out of
circulation and turning into fat and The benefits, one of the
major touted benefits of controlling gestational diabetes
is a trying to avoid a C-section because you know, your baby's 9
pounds and really chubby at the end of the pregnancy and
everybody agrees to that but very few people have said, okay.
Well now that that's obvious. Let's just talk about people
that don't have gestational diabetes.
How about their blood sugar and how they eat?
How does that going to affect her baby?
What is a medical risk marker for a woman?
That's pregnant. It's likely going to have just a
tional. Diabetes.
You mean the risk factors being overweight, family, history of
diabetes twins, family history, like hyper history of
hypothyroidism, being older as a woman gets older, the risk of
diabetes goes up to the judge. Those General risk factors and
every pregnant woman across the country.
Probably every every decent, you know, country that is screened
for diabetes. They're screened at 28 weeks or
so with Sugar challenge test and if they're overweight or bad
history of diabetes, with the previous pregnancy, or you have
some medical Factor, like they have PCOS or or some other
medical factors that put them at risk, you screen them even in
the beginning of the pregnancy these Freedom twice.
When I want to I want to ask you one quick thing about C-section
is I think that's going to provide some more clarity and
context for listeners. Hear.
What, what is the main adverse effect for C-section versus a
typical vaginal birth? Like what is the baby missing?
Out on when they go to C-section round.
So that's that's a very difficult question to answer
because there's so many different ways to approach it.
So some women will say, the word thing is the recovery because
you know, it's major surgery and instead of enjoying your baby,
you know, you're spending two weeks groaning and moaning every
time you try to sit up and some of them would say, you know, you
miss out on the birth experience, you know, that that
whole experience of have be able to push a baby out and just like
your mother did and her mother. For Millennia, has that other
people would say that it could be, it's more complications.
Like from a medical point of view.
You have a higher risk of hemorrhage.
You have a higher risk of infection.
If you ask me, it's going to limit your family side.
If I know women want to have, you know, a huge family.
They better get off the C-section train because that's
going to eventually limit. How many children they have
uterus, doesn't always feel perfectly and you can get to a
point where you just can't do it anymore.
But for the most part C-sections are safe, people shouldn't
think, oh no, I'm going to have a C-section.
It's terrible is probably one of the greatest changes or or
Advance In Obstetrics that, you know, women don't die and labor
anymore because the baby doesn't fit or they could they're
bleeding, you know, there's a plan B, which works really well,
but it's overused and most women that have a normal delivery and
have had a C-section will tell you how much nicer it is to
avoid the C-section. And a lot of the babies that are
birth, you know, vaginally. They typically have better
immune systems. Is that correct?
Due to all the natural bacteria mucus that come through a
vaginal birth, though. There is a lot of speculation on
that about being exposed to the vaginal flora and how that if,
you know, and not just that but that's the baby comes out of the
birth canal. The chest is squeeze really
tight and that expels all the fluid from the lungs out, the
baby's mouth. So that the breathing the
transition to breathing is easier.
C-section babies, they don't have that same expulsion.
There are benefits and many people struck feel strongly
about them. I'm coming out.
This I don't come at avoiding C-section from, I think it's
better. I come out of waiting.
C-sections is that's what my patients want and women should
be able to choose how they want to deliver and there's very good
reason to avoid a C-section and if somebody comes to my office
and says, I don't want have a C-section.
I'm always thinking about how we can avoid that.
You know, if it doesn't matter, if it's Windsor to preach, or
she had a C-section, or she had two C-sections, I'm trying to
figure out how to get her the birth that you want.
So from my perspective, a woman who says, I want a C-section, I
don't want to go through Labor. I will talk to her about, you
know, pros and cons. And if she still feels that way,
I'll say, alright, well book a C-section I'll be done in 45
minutes will be a good day for both sexes.
Gotcha. Gotcha.
When it comes to, you know, in taking taking patients in Taken
pregnant women in that. Run the risk of having
gestational diabetes. Is there like a particular
Baseline blood glucose that they should try and strive below?
Because I know the general average that mainstream Society
especially in America and like their typical blood, glucose
levels are higher like that. The quote-unquote healthy range
is probably a little bit skewed towards what is actually
optimal. Right?
Right. So, I listened some of your
podcast where you had some physician guests and they all
they all going to say said, basically, The same thing I'm
going to tell you. I don't remember covering much
in nutrition and medical school. I might have you know Skip that
day. I don't remember, you know, even
discussing it. My nutrition knowledge comes
from you know, mostly things. I picked up along the way but
when when when you tackle OBGYN there's very little or nothing
in there about like, okay. This is the right way for women
to eat. It's about not having diabetes
and and the way to check that is, you know, you give them a
glucose Challenge and you Make sure the blood sugar say is
under 130. And if the above 130, you give
them a second Challenge. And then you see, you know, over
a few hours how it runs. But if you pass that sugar
challenge, nobody's giving you a kind of like, okay.
Now, you know, avoid carbs or eat this, nutritional balanced
meal and if a woman wants to do that, she's going to do it on
her own. She's going to find a
nutritionist or maybe she already.
Just used to eating a very nice balanced healthy diet, and then
she'll continue that way. But it's not part of the OBGYN.
Lexicon about you know nutrition as far as you know in pregnancy
at how to counsel a woman catch him catch him.
Yeah. That that, you know, we're doing
the whole midrash Midwife route. So we're not even going through
a traditional setting and we opted to just skip the oral
glucose test because Crystal would probably fail anyways, but
it wouldn't be because she was, you know, running the risk of
being diabetic. Just because she hadn't eaten
carbs or sugars, especially in 67 years.
Yes, you mean her body would react.
Anjali to it. Yeah, that that's very possible.
Yeah. I'm I'm not sure.
I've never had that never had anybody fail.
But even if she felt the first one, she would still choose to
do finding the second one bit. Besides the fact that even if
she failed, all they would do is tell her to, you know, cut back
on the carbs dramatically, which he's already doing.
So, it's hard to imagine that would change anything.
Yeah, interesting. So, like I said, we're doing the
whole Midwife round. So we've got a pretty different
setting than most people. Going through a traditional
hospital setting. What does that look like a
play-by-play for traditional OBGYN settings, you know, for
pregnant, women going through, you know, week to week to week.
Like what what is, what is this standard of care as it currently
says, well, that's a tough one because you know, every every
medical office is is different and definitely we're free
practice their different, generally a woman finds out.
She's pregnant. She makes it a point with her
OBGYN. Going to confirm it with some
blood work. They're gonna possibly do it
early ultrasound to get the correct dates.
Make sure that, you know, they're she seven weeks and I
did eight weeks. Make sure there's viability and
then she's going to come every three to four weeks initially.
Now, there's more and more genetic testing that's done
early on to see that the baby's healthy and then the ultra
second trimester is ultrasound the anatomy scan and then you
get me hands off just regular visit, check her blood pressure
and her urine. For preeclampsia answering
questions until she goes into labor.
But you know, I don't want that kind of practice.
It's kind of a totally die. Have it the holy different
operation going. Because I'm so paranoid about
size of the baby. I want to go back to what we
were talking about with with the C-section epidemic.
Yeah, for sure. So 1970 comes along, you got
fetal. Monitoring.
You got an explosion of attorneys that are looking, you
know, to represent somebody within unhealthy baby.
You have lack of Physicians that are learning how to do forceps
and and breach the liveries and we start seeing C-section go up
and up and up. One thing that nobody talks
about is the Obesity epidemic that completely perfectly
parallels. The caesarian.
Epidemic. And the Obesity epidemic is also
paralleling, the sugar epidemic. So I think one of your guests
and probably with dr. Jacoby talk about sugar and the
history of sugar in this country.
So cane sugar table sugar will recall table.
Sugar is not natural. It was not part of our diets.
If somebody wanted to get something to eat, you know, and
back in the day, you know, they had honey.
They had dates there was there was no not, there was no drawer,
full of cookies and cakes. And you know, these were rare
items you might have at a wedding.
What happened was they discovered, you know, sugar cane
sugar and I started in the Middle East and then they
wanted, they wanted to plant it and they, you know, the new
world turned out to be a perfect climate for planting cane sugar.
And then once you had the whole European New World, African kind
of triangle, this, you know, the same Scourge that that we
associated with slavery, brought us sugar.
And I say that just uses sugar skirt, just like it was a
slavery Scourge sugar was being slaves, were being brought in
Sugar would being exported and sugar exploded and in the in the
18, you know in the 19th century through the beginning of the
20th century sugar became just really popular but you know, we
still we had an industrialized that much.
So wasn't like everything you bought came from a supermarket.
You're still eating, you know, food that was locally grown or
from your house, but then in the last 50 years all the sudden
than everything was processed to as fast food and women were
eating or all of us were eating probably five times as much
sugar as nature would have intended and not just five times
as much sugar but unnatural sugar, so it wasn't there wasn't
sugar coming from fruit or any type of whole grain that we just
plain sugar that was processed sugar and that Explosion of
sugar, really correlates well with the how baby started
getting bigger and bigger. And at the same time, you know,
we moved from a society that had a farm and, you know, milk cows
and raise chickens to going to the supermarket and buying are
you know your eggs. Here I come in a little cart and
your milk comes in a carton and I'm saying this because not just
women but the vast majority of us, not you Robert.
You're working out too much but most of us.
Are just sedentary, you know, we you know are going to work means
going somewhere sitting on a commute and then sitting behind
a desk and typing. I mean, the word work is
actually a misnomer double. Nobody's working in the sense of
spending calories were working because we're working our
brains, but you take the combination of explosion of
sugar and processed sugar, and a sedentary lifestyle, and then
you get pregnant and no question.
There's no question that the baby's going to get to Big and
actually multiple Studies have shown women that are workout
really vigorously? Have smaller babies healthy,
completely healthy. Nothing wrong, but just thinner,
they weigh less and women who don't work out, have you know,
who don't exercise have larger Bates.
So for about 15 years now, not because I am a person who, you
know, I'm, I love good candy bar.
I Don't Preach this. I know it's not healthy, but,
you know, I got to have Addiction and it's better than
cocaine. So I have is it don't know what
you do. I don't know Robert, but I don't
think I should find out. So when patients come to me and
they say, okay. I had a C-section.
I don't want another one. And, you know, of course, you
know, yeah, my baby ain't have pounds it for four hours in the
kid didn't come out or the baby's heart, rate was really
bad and like to see. No, no within the baby was too
big. It was just a heart rate.
You know the heart rate issue. I'm like, it's almost the same
thing. If a baby is not coming out in
labor. If it labor is slow, the baby
will only take so much many times.
The way a baby gets, you know, tells you I don't fit is because
the heart rate goes down the baby cannot tolerate labor
anymore. The heart rate starts acting up.
Your doctor says you need a C-section of the baby's heart
rate is not doing well, but Now my phone's in something weird.
But really what happened was the baby didn't fit.
So I get all these patients and you know, they're all desperate
to avoid a C-section is okay, cut out all the processed sugar.
Minimize your sugar's, go to a maybe 100 grams a day, which is
probably that more than the keto diet even allow or yeah.
More than we do like 15 grams total a day like carbohydrates
in general, not just sugar a total carbohydrates part, right?
So I tell them 100 grams a day because I Really hard for people
to completely cut out. I mean it's it's almost in
everything. Yeah, but the average person is
on about 500 grams the day. So, you know try to try to cut
down the sugar down to the bare barest amount that the patient
can handle life. I've gone lower and then I've
gotten like, you know patient come back.
My shit. My nutritionist said that it's
not healthy to do this. I'm like, okay.
She don't know what you're talking about.
That's the way people live 4,000, you know, from for
Millennia. Now all of a sudden that helped
me to healthy to cut out your carbs, so So Ike.
I had them really be careful with the guard and I don't start
them till 20 weeks because as Crystal my tell you, you know,
the first half the print, the first trimester is about nausea
and not eating. You don't want to restrict some
of these diet when they're having a hard time getting
calories in it all. I mean at that point, you know,
you eat whatever you whatever is going to stay down and doesn't
know and doesn't look not nauseating and then the second
trimester is when the baby's growth is much more.
Influenced by the environment. It's not just genetic say
anymore. It's environmental factors,
especially the maternal exercise because of a woman does even
like 13. I'm not time, I going to gym,
I'll talk about a 30-minute vigorous walk, a pregnant woman
who was walking for Vicki to 30 minutes is going to come home
huffing and puffing. I mean, there's that that's a
lot of stress on the body, 30% of the blood flow during
pregnancy. Go straight to the uterus.
So now your love is 70% that has to, you know, take care of
everything else. If you, if you put your, if you
put your muscles to work, your hearts going to feel it, and
it's going to start beating and you're going to breathe heavy.
And if a woman, does that for 30 minutes a day, it's not just
okay. She burnt to a few extra
calories. Her metabolism is going to run
better the whole day. She's gonna burn fuel at a
better rate and the blood sugar. They're going to stay in a
better Zone and the baby's not going to get as much sugar and
then the whole pregnancy, I washed them.
And okay. This is gonna blow your mind
here because this is a little crazy.
Easy, but at the end of the pregnancy I'm doing, I do
ultrasounds on my patient practically every visit because
I'm not only trying to understand the way that the baby
I'm charting it. I want to, I want to see how
it's growing if the baby's big or getting big, especially for
the mother because not in a vacuum, you know, as five foot
eight woman, can have an 8-pound baby, much easier than a 5-foot
woman. If I see a 7 pound baby in a
woman is 5 feet, I'm starting. Okay.
That baby might be too big for this woman.
So it at the, the maternal pelvis is correlated to the
maternal height more than anything else.
So vote woman is taller. She has the ability to deliver a
larger baby. So yeah, he's kind of have to
factor that in. When you're looking at the big
picture, then when I get to the end of a pregnancy, is in a
patient that is very motivated to avoid a C-section.
If the baby's getting big and, you know, they might they might
be doing their job, just fine, but the baby still getting too.
Take. I introduced them because it's
pretty simple. You have a window of
opportunity. You have a window where this
baby still fits and then at a point the baby gets too big and
no matter how long you labor. It's not going to come out.
And you can't just, you know, babies don't grow to a
predetermined size. Those babies that are overdue,
are bigger than the ones that are a little early.
So very often with my vbacs. Are you familiar with the term?
Be back? I'm not be back is vaginal
birth. Birth after cesarean.
It's a very common acronym. Any woman who's had a C-section
that probably was familiar with it.
Most women are because it's easy to remember, you're going to be
back and those women that come to me because they had a
C-section or two C-sections and they want to have a normal
delivery and you know, especially if they like, you
know, if I find out their first baby was six and a half pounds
and they couldn't push that baby out their second baby, you know
was was was the same size. Pushed into can't get that baby
out. Then.
I have to figure out how to keep this baby even smaller and get
the baby out earlier. So it fits because we're trying
to get, you know, back off of the EC section train.
Now, if a woman had three C-sections, I will not try to
deliver vaginally more because that's kind of my cutoff.
Is there a point where you have to be worried?
That the uterus cannot tolerate that labor, and that those
previous scars in the uterus, a womb will not hold up, and the
uterus will rupture Which is scary sounding topic but
happened during labor. If you turn if a woman, you
know, is laboring in the baby, is not coming out the uterus,
eventually will give out, can't you so?
So the might the concept that I've been, you know, practicing
now for 20 years, watch your carbs exercise.
I watch the baby and it's a baby's getting too big, you get
induced and it's very counterintuitive because most of
you If you ask your Midwife, right, if your wife, crystal
says to her Midwife, what's the best way a person could avoid a
C-section? Her Midwife will tell her don't
get induced. Like that is the worst thing you
can do is get induced. Right?
And that is like the gospel for Midwifery.
And for many years, the data supported that and now it
doesn't and it's like one of the and you don't hear about it
because midwives are just like, you know, they just want to talk
about anymore. They don't want to talk about
the last 10 years of data that says induction to actually
decrease. She's a cesarean section rates
as opposed to the other way around.
But I want to clarify because I think I don't want to give the
wrong impression. The best way to avoid is he
section is to keep your baby small, eat healthy live, a
healthy lifestyle and go into labor naturally a week early.
That's the best way now. Most women cannot conjure up
labor, you know, a week before their due date.
It's not an option. So then the question is, is it
better? Keep going, even go over do or
is it better to get induced? And when you look at those two
choices, is it just leave everything?
Because it didn't happen or get induced shockingly getting
induced has lower. See secretary what all goes into
getting induced. Like how is that entire process?
Roll down? So getting induced is the
artificial stimulation of Labor. If the cervix is closed, if the
cervix is not open at all. It's a longer process, medically
you use Pro. It's a gland and that caused the
cervix to soften and to dilate and to thin out.
And then after 12 hours, that you break the water with, you
know, today on the hook, you artificially rupture, though,
the membrane and you give pitocin, and labor, and suits,
and labor, and you're off and running.
Sometimes if a woman might be already open, she doesn't need
to hold prostaglandin precept, and then it just break the water
and give pitocin and then watch and what.
Wait and watch. Baby to come out.
That's, that's the induction process and most women,
especially midwives, especially anybody who's very granola will
tell you, induction is a terrible idea it because it
increases C-section rates. And and I'm going to, you know,
this is this is the, the funny background story.
So from 2000 to 2010. I am preaching.
You need to get induced to avoid a C-section.
And everybody else is saying you need to avoid it and getting
induced to avoid C-section right now.
I'm taking no note that it's not the way it works.
Babies are too big. You have to get them out early.
We don't have the luxury of waiting for this baby to
continue to grow into up till 2010.
There were countless studies that showed randomized, trials,
medically scientifically. Well done.
Study that showed that. If you get induced your risk of
a C-section is elevated. And I was still saying, I don't
care. They're wrong.
I'm in the trenches. I know that's not true in 2010
to 2020. All the studies show the reverse
look like all the sun. It was 180 degrees, every study
showed something different, it showed, if you get induced, you
have a lower risk of the C-section.
Now, this is a big question, what happened in 2010 because
Evolution or not. It didn't happen in the year,
right? The human body did not change in
the year 2010. What happened in the year 2010
that changed every study. So what happened was somebody
who finally step back? And looked at the big picture
said these studies are ridiculous.
We are comparing women who go into labor at 39 weeks with
women who get induced at 39 weeks and the women that went
into labor naturally, at 39 weeks, had a lower C-section
rate than the women who got into East, but that doesn't make any
sense because he alternative to getting induced is not going
into labor. You can't take a group of women
until half of them to go into labor and half of them, you
know, you're going to get induced the alternative to
getting induced is Getting induced.
So that means that if we want to do this study correctly, we are
going to do some women at 39 weeks in this group.
And in that group, we're not going to do some, unless there's
some strong or, you know, bona fide, medical reason that they
have to be delivered. And when they did that study
over and over on 39 weeks at 40 weeks and women whose Services
were ready to be induced and several women who had services
that were closed and women that were older.
Every time they do this study. It always comes out with the
same result. It's getting induced, decreasing
your C-section rate. And the reason why a lot of
people have a hard time with this is because how can it be
that induction, is better than nature.
That makes no sense. And the answer is simple.
We don't live in nature, right? When a woman comes to me and she
says I want to have a natural birth and I want to have a
natural delivery. I say, well you better go back
to the 1800s because, you know, it's really hard to do that
here, right? You don't live on a farm.
You work on behind a computer? Are you eating processed food,
you know, if a person that lives that lifestyle and then wants a
natural delivery is making the mistake of thinking that, you
know, the delivery is all you got to do is just, you know,
avoid the epidural not going to do stuff and you're going to
have a natural delivery because that's the way it was intended
to be. It was intended.
You were intended to live in a different world than your
living. In the human body was not
designed for 21st 21st century, you know, first world living.
And if If a woman wants to have a natural pregnancy, I tell her
you better get on the nature train in the beginning of the
pregnancy. Imagine going to Penn Station,
you know, Grand Central, you go to Grand Central Station, you
randomly jump on the train and then while you're on that train,
you start trying to figure out where you want to go, right?
Guess where you're going, You're Going wherever that train is
going. If a woman, does not think about
these things in the beginning of the pregnancy, if she just goes
about her normal day, and then, at the end of She starts reading
and thinking about, okay. Yeah, I want a natural birth.
She is already on a C-section trade.
She's been eating carbs. She has been exercising.
The guy she married is like, you know, 12 inches taller than her.
So there's a genetic problem right there.
She is headed towards cesarean section and it's very hard to
jump off a train in the middle and get on another train.
So, you know what I preach and I'm writing a book.
I'm calling it nature back, which is this whole theory about
avoiding C-sections. Get on the natural birth, train
in the beginning of the pregnancy, not at the end of the
pregnancy because it's too late at a certain point.
Your baby's already getting too big and you are not going to
get, you're not you're not going to achieve your goal.
Even if you know, you read every book and you choose a good
provider. And that don't, that don't make
sense to me. I'm picking up what you're
putting down. So, best case scenario.
They have a natural birth. The baby's.
Not too big. They've been active.
They've been healthy. They've been eating quality
foods that that's best case scenario.
That is if that's what nature intended.
Yeah, if that's not the case. If someone's been, you know,
inactive sedentary eating a lot of crab, lot of processed food,
too many calories in general, not active at all, and the
baby's too large. You're saying that the induced
labor pre, 40 weeks is better than the C-section.
And in the worst case scenario would be the worst-case scenario
would be, you know, complication to childbirth, but before that
you get the C-section as kind of the next viable option, Now what
if like in Crystal situation? She's you know been active and
been eating healthy has been for the past several years.
So I'm not really worried about the baby being abnormally large
in that regard with her being a first-time mother though.
It is pretty common to see them go a little bit longer than the
typical 40 weeks. Right?
No, not necessarily 40. Weeks is an average and the and
most one will go somewhere between 37 and 42.
Probably even 43, but nobody really Anybody go past 42 and
more but yes, she'll go to 40 weeks, give or take two to three
weeks and not not, it's her first.
Being a first-time mother is not the factor, just everybody's a
little different but you know, when she gets close to that
40-week Mark, she's gonna be pretty antsy about going being
going into labor. Right?
Right, but just because she goes a little bit longer than 40
weeks with her with her lifestyle being like it has for
the past several years. We shouldn't automatically jump
to induction. No.
No, so if the fluid is good and the baby is, you know, the baby
looks happy and baby's not getting too big.
There's no reason to jump in and do it.
Especially if you know that, you know, she looks the baby looks
like it's in a good Zone as far as size.
Understand, you know, I have a philosophy but I, my job and
it's to take care of my patient. I have plenty of patient to come
in and say, I don't want to be reduced.
You know, I don't like the idea. I want to know.
We'll just go wherever I go and for whatever reason and thats
cool. Also, this philosophy I have is
when somebody says, you know, okay doc you've been doing this
for 20 years. I've delivered over 22, thousand
vbacs. I mean I might be able to claim,
you know, u.s. Title in that.
If somebody says what, what do you recommend?
I say, getting induced, you know, at 39 weeks to avoid a
C-section, but if somebody says I, you know, I'm like to go
natural. I don't want to be induced like,
Thing to happen. I see that's fine.
If the baby's a good size, not too big.
And, you know, you've been doing your, you're working out your
Healthy women who work out, have shorter labor.
They have healthier laborers. It's probably not a big deal at
all to go even a week overdue. The biggest problem with going
over do is the placenta has a life to it.
And when you go too far over do sometimes it doesn't work
optimally. And the placenta has to work
really well in labor, because what happens during labor is
during Fractions, baby doesn't get good.
Blood flow. And the baby has to hold the
breath for like a minute, you know this.
It's a expression not all babies, actually, not breathing,
but it's not getting blood flow for a minute and then there's
two minutes between contractions and the baby gets blood flow.
And then another minute minute, the baby is the, you know, the
uterus contraction babies like has to deal with that.
And and if placenta is aging, then you're going to be more
likely to have less oxygen. Transfer to the baby between
contractions and that's more likely Lee to cause a C-section
because the heart rate is acting up.
So there's other reasons to avoid going over, do besides,
you know, the baby not fitting sometimes the placenta is not
working, right, but even, you know, even a midwife that that
really doesn't believe in induction will advocate for
inducing, what a woman is a week or two weeks overdue.
Now the the pleasant is it like a specific time frame?
That that reduction and oxygen capacity, typically starts like
one week after. We get like that a pretty
standardized thing, know, sometimes, you know, I don't
know. Anybody goes 42 week, you know,
past two tests or do they cause I would never let anybody do
that and it's not standard. Anyways, let anybody go past two
weeks, past your due date and the old days women.
Sometimes we deliver four weeks past your due dates, and, and,
and, and the police and minute, sometimes the send them to be
just fine. And sometimes we do an
ultrasound that, you know, at 36 weeks, four weeks before the due
date. We look at them to send say,
wow. This thing doesn't look good at
all. So, Yeah, it's like everything
else. There's a whole bell curve to
it. Some of them can handle.
Some of them are great even Way Beyond the due date and some of
them are aging even early but you know, you can't standardize
it to any one person and say, you know, this placenta looks
good. Also, we don't have a really
great way of assessing the placental function.
We really have to look at the reflection of how the baby's
growing in the fluid around the baby to get an idea of the
placentas function can change. And that's what you're really
checking out. When you do them, the frequent
ultrasounds, you're looking at all the electrics and
everything. Is there any risk to them is
their ultrasound? Is there a risk to doing too
many ultrasounds? No, so it's been, you know, it's
been around for 50 years, use regularly ultrasound has no
radiation. It sound waves early in
pregnancy. There's there's high-frequency
ultrasound. Will you listen to the heartbeat
or look at the ultra, you know look at our Pete and and most
people feel like oh, well that can create those sound waves can
create some heat. So maybe use that very sparingly
but today So there's like just innumerable studies, then none
of them have found any negative long-term or even short-term
effects from ultrasound and pregnancy.
Gotcha. I gotcha very interesting stuff.
And what about pitocin? So, like, when people are very
hesitant to take any pitocin and what is the mechanism behind
that? Exactly?
So pitocin, is the exact chemically identical hormones in
the body produces? That's called oxytocin, oxytocin
is produced by the posterior pituitary.
It's it gets into the bloodstream in a pulse style
fashion. And at the end of the pregnancy,
the uterus is very receptive to it, because it up regulates
receptors up regulate and it will cause contractions pitocin
has a lot of other cool effects. It's very important, milk
letdown and it's also called the hormone of love, because it
makes people feel close. Like, you know, people feel very
close to their partner, their doctor or, you know, They just
said well, you know, when a woman's pregnant or just even
when you like, take something like MDMA, like ecstasy, it
stimulates pitocin release or oxytocin release and that gives
you this kind of a warm cuddly feeling and also it actually
makes you more Fearless. So which is nice because, you
know, pregnancy is scary. Labor is scary, and it's bit of
a woman, has some hormone going on.
That's helping her overcome that fear, but when we use pitocin,
it's not having any really of those.
Mental effects because that's on the other side of the
blood-brain barrier. I will give you directly into
the IV. The fact that we're having is
that we're going to cause contraction because it's it's
going to stimulate those Blues receptors on the uterus and each
person responds differently. So pitocin has to be given in a
tiny amount. And then upped at intervals
until you, you know, you get to a safe Zone.
You can you just try to give everybody the same amount for
some women. It would be not enough and for
other one would be way too much dangerous.
Catch him, catch him make sense. So, when it comes to, you know,
as you're tracking all these metrics of the fetus, when you
start recommending people reduce their carbohydrate intake.
Are you seeing a measurable impact on them?
The growth rate of that fetus, as you're doing these
ultrasounds, so, I haven't crunch those numbers.
I hope so. And also I would never write a
patient, right? I would never like, oh my God,
your baby's getting too big. You're not listening to the
thigh, right, you know. You can't.
I have a hard time dieting and I'm not even pregnant.
Right? So, you know, it's hard.
It's very hard to to want to judge anybody or reprimand them.
I get patient advice and if they, if they're able to use it,
it's great. And if not, I still were still
have the same goal right there. Coming to me.
And saying, I don't want a C-section, right?
And they didn't stick to the diet.
I'm still, you know, we're still on the same.
We're still on the same path. We trying to figure out how to
avoid that, that C-section. So the car restriction.
Exercise. And then I monitor the size of
the baby and then depending on what reason she had four
previous C-section, who big the mom is, you know, what her?
What her own feelings about induction are very often.
I recommend inducing a week early.
There's another very good reason to, you know, to induce early
women will often say I want to have a natural childbirth,
right? It's been done for centuries,
for the forever. It works.
I don't need medical intervention.
I just can I could do this myself and there's a flaw a flaw
with the logic. The flaw, is that forever
childbirth has been associated with maternal death, right?
You know, the old days if you didn't like your wife's just
keep getting her pregnant. Yeah, that'll take care of
itself because they're what pregnancy is a metrical
Hemorrhage situation. There's a high risk of
hemorrhage for many reasons, and a lot of bad things can happen.
During pregnancy. So let's go back to the 1800
when we gets pregnant. No doctors.
No, ultrasound, no blood test. Right?
Basically, she just Waits until the baby comes out.
If the baby is sideways, then, baby's not gonna come out.
And she's gonna have a really horrendous labor, and her uterus
going to rupture. And she's going to Sanguine. 8
is going to be disaster. And if the baby's too big, which
it shouldn't be, because she's living in the 1800's.
So what is she eating? But the baby's not going to come
out. At a conservative level, there
was a one to two percent infant mortality rate with even
full-term babies meaning 1 or 2 and 101 and 50 babies is dying.
And labor are not babies. I'm sorry that 10% mother's one
in one in 50 or 100. Women are dying in labor in the
old days. Now, if you had a hospital that
had a 1% maternal mortality rate.
It will be shut down faster than you can imagine.
It would be no. As the, you know, the labor of
death and nobody go there, the government would jump all over
the state would jump all over it.
We deliver 6,000 babies at Hackensack Medical Center a year
and we have seen one, maternal death.
I think in 10 years, right? Because it just doesn't happen
anymore. If we had a two percent
mortality rate. We would be having.
I don't know was 120 dead women a year.
I mean that we'd like, you know, to two women dying a week and
And delivery, it would just be the worst place ever.
So a woman says, I want to have a natural labor.
Right? But she doesn't say, I want to
have a natural labor, and if I don't make it, that's okay
because that's natural or if my baby doesn't make it.
That's okay. That's natural.
They say, I want to have a natural labor and I want to be
safe and I want my baby to be safe.
That's reasonable. Once you factor that into the
equation whole many C-sections you have to do to avoid that
maternal disaster or that fetal disaster.
Not you're not Like every time there's a problem you can see
into the future and say oh, well, this is not going to kill
the mother. This is not going to kill the
baby. We can we can ignore it.
So now you're doing 40 or 50 C sections because that passed
that one might be the one that may not come out a lot and
that's acceptable because you can do 40 or 50 C-sections to
save a mother or baby that everybody would agree.
That's a good trade-off. So the idea that a natural
pregnancy is been around forever and And you want to go back to
it is flawed. Even if you're able to
completely emulate, everything that nature does, we are not
accepting dead. Babies are dead mother's.
The acceptance of that level is 900 except zero tolerance for a
dead baby. And once you get to zero
tolerance for a dead baby, you have to do things.
Different meaning, don't have a long labor because it's a baby's
heart rate starts acting up or the labor goes, too long.
Your doctor can't say. Well, it's only a 2% chance.
You're going to die. So what?
Watching, right? You can end up with a C-section.
So even if a woman is doing everything correctly, and the
baby is not big. She still has to take those
precautions. That allow that baby to be
delivered? When it's not when it will come
out easier because that is the best way, not to get into the
zone of you are in danger and your baby's in danger, and the
doctor has to act. Yeah, that makes total sense.
So you probably think we're a little bit crazy planning on
doing a home birth to All right. No.
No, I'm very open-minded and I do, I have told many page that I
think home births are better for second babies because my
philosophy is, you know, your high risk until you prove
yourself, right? Nobody should be.
Oh, I'm high risk because I had a placenta previa because I have
hypertension. You should be high risk, because
nobody knows until you go through a pregnancy.
You do not know what your issues are, right, but that being said,
Crystal has been eating. Well, you are, if you're going
to do a home birth close to a hospital with a hospital backup
experience with wife. No, not crazy.
Not crazy. They're actually the statistics
are better than expected with, you know, the lack of morbidity
from home births. I just think that women have to
be chosen carefully to, you know, who, who is most
beneficial from a home birth, you know, you wouldn't want to
do that on somebody with our previous C-section, or somebody
who has met, Complications. But if everything's going well,
not at all. I don't think that's crazy.
Okay, cool. That's reassuring for sure.
I mean, I'm kind of going in blind with all this man.
Like, some of the stuff that Chris has been like, this is
what we should do. And then she presents it to me
and I'm like, I didn't even know this was a thing.
But okay, let's let's let's roll up our sleeves and learn learn a
little bit here and see what happens.
So, yeah, this is definitely Uncharted Territory for me.
I always advise my husband's to impress, your wife by reading
and watching YouTube videos and reading about Labor.
Because, you know, during the whole process, there's two
factors. There's a physically
uncomfortable factor, which, you know, you're going to be there.
Massaging your back and helping her physically, but they're the,
the anxiety factor. And if you could be the guy that
said though, I read about that. Don't worry.
That's kind of normal. And I and that happens, you
know, you are a hero. You're keeping your wife Medley
At Ease and she's like, oh my gosh.
He actually prepared for this delivery.
That is a good way to score some points.
Yeah. No fisherman.
I mean, we're actually reading a book on it right now.
We've I mean I've gone to every single one of the Midwife
appointments. We're actually going to start
this like couples birthing class in January.
There's like several weeks of that.
So I feel like I'll be setting myself up for success in at
least somewhat knowledgeable about what to expect from the
time comes. Yes, we got that.
All of that is really good stuff.
I do want to actually my kind of plug.
My podcast is like yeah, most semen.
So I start podcast about I think six months ago, it's me and me
and my colleague who's a midwife Tristan Malvern and we talked
about just pregnancy related topics.
Some of them are really hardcore, like placenta previa
and some of them are a little freely like how to choose a poet
pediatrician. But do we try to cover these
like so much to talk about? And, and the real gist of it and
call it true birth? Because we really just give a
give a really honest opinions. I wish big farmer would try to
bribe me because I'm open to bride, but nobody ever does.
You know, when you are an obstetrician.
Nobody is peddling drugs. I mean, who, which obstetrician
is giving drugs out there, you know, the prenatal vitamin
people aren't bothering anybody. I don't get, I've gone through a
whole career where big Pharma has ignored me, but the, the
concept of the podcast is those things that have become obvious
to me as a physician really in the trenches.
Day after day for 20 years. I mean there have been several,
you know, a stretch of 15 years. I've been on call every day, you
know, except for an occasional holiday, you know, 24/7 in labor
and delivery and certain things become clearer and clearer and
and and the you know, it's sad because I go through school and
and and you were you're hungry to learn and everything you read
is Gospel. And then after, you know,
practicing you start getting like why is why are they saying
that? This makes no sense?
It's like and it's so Obvious that, you know, in a few years
eventually people realize how silly, you know, some of this
stuff some of the recommendations are but we try
to preach what's really healthy for a woman?
What really makes sense? What works.
And you know, we like to also call ourselves on that unedited
and unprepared which is maybe not the best logo, but we don't
I don't really have time to prepare.
So, you know, we sit down Kristen and I sit down on a
Wednesday night and we spitball some ideas for Or what we're
going to talk about and then we just you know hit record and we
let it roll. So very similar to this podcast
that you and I are doing because Robert and I did not have one
actual conversation before we started podcast.
Yeah, no fisherman. I think you know, I think it's
great that you put in that this information because you know,
I've only just started dabbling in this this path.
And you know, what I've learned over the past few months is
totally counter to what I had thought previously.
So the more information is getting out there and you know
getting in people's ears that that And just that a little bit
deeper than what, you know, the conventional wisdom kind of like
the mainstream society says, I think, you know, the more, you
know, the better. So, I think what you're doing
and putting out, that podcast is great stuff, but I'll be happy
to link out to it. Thank you.
Give me an example of things that have open your eyes.
I mean, honestly, just like the whole the whole concept of home
birth a midwife and I'm doing all this stuff more naturally
like we've kind of gravitated towards, I mean that in itself
like I never even entertained That as a as a possibility
because I was born in hospital everybody.
I know my family's born in a hospital.
I mean when you start looking at Generations way back like
great-grandparents, they were often times born at home.
And then we had this generational thing in which
everybody just went to a hospital.
That was the normal thing. But like you've mentioned in
this podcast, people are not living natural, normal lives, so
to speak, because all of this Innovation that we've had with
processed, food, overconsumption, lack of
activity, that's not really natural in The evolutionary
sense, either. So, you know, you really Kind of
be software and look at your own lifestyle patterns, but you
know, for us like Crystal and I said specifically that are very
active eat, very healthy and have for so so long.
I feel like we're pretty good candidates for the route that
we've decided on going. But, you know, I think I think
people need to dive deeper into this and also from like a
epigenetic standpoint. I've learned a lot about
epigenetics and how the decisions that we make directly
impact our Offspring and I feel like not enough people give that
enough attention because the decisions you make I have a
direct impact as opposed to this genic factor that you don't have
control over. Yeah, I listen to one of your
pocket here with dr. Seaman talked about that.
I made a mental note that I wanted to put a little more
thought or Research into that because that is even as a
high-risk obstetrician. It's something that really
hadn't been exposed to. Yeah.
It's interesting stuff man.
It's it's empowering though because it makes you have a lot
more of the responsibility because you realize that your
life choices, you know, directly impact your Spring in there.
I'll spring for like three generations hints.
So it makes you, it motivates your, it should motivate you to
get your stuff together and make the right choices, you know.
So you're 100% right? I find that there's nothing more
motivating to a woman than the health of her unborn child.
And that is for it is a wonderful time for women to give
up smoking. And if the only thing that comes
out of getting a woman's, you know to restrict her carbs and
eat healthy during pregnancy, is that there's a carryover
afterwards that would be that would still be a home run
because that you know, that is the best time though.
That's when Women. I'm saying women because I'm an
obstetrician and Men generally aren't pregnant but I'm saying
that is the best time for people to really change the lifestyle
because the motivation is so strong.
And they're so incentivize that and what, you know, like
everything is the the hardly the first step.
The first step is always the hardest and then once once you
do it for a little while. Oh, not that bad, not been lady
them. Then after a while.
It's actually I, you know, I actually like, you know, when I
switch from from regular soda to D2.
Two diet, there was a period of crap diet and now I don't even
like regular soda anymore and I should give up dying because
that stuff is all so terrible. But you know, I'm slow on the
evolutionary Health tree. Hey, man, you move in the right
direction here. For too long.
We'll get you holding some dumbbells instead of some remote
controls and increase the resistance there a little bit.
Maybe maybe that'll be give me. I really do appreciate you
reaching out and jump on the show man.
Like I've learned a lot. So I think this is this is great
information. One more time.
What is the name of your podcast for people listening to go?
Check it out. True birth true&height
530&width. All the major podcast carriers
and the you don't have to worry about any commercials because
we're so small. Nobody will sponsor us.
Hey, that's the way to do it, man.
I don't even do any sponsorships on my podcast.
I feel like, you know, people aren't jumping on podcasts
listened to several minutes of pre-roll ads mid-roll ads post
show ads. So I just try and keep it crisp
as well. Robert.
It was a pleasure talking to you.
I really, I really enjoy your podcast style.
And when I look at the I don't know you've had several hundred.
I mean, it was so many topics and your guest, I can see why so
many people are inspired to change their life because it
seems that people jump onto the ski Tow and they are thrilled
with themselves afterwards. And that is certainly to go man.
I appreciate you taking the time.
I'll definitely want to keep in touch.
We're liable to have some more questions as she gets further
along in this. Currency, so I might be reaching
out here soon. Robert.
You are on the friends and family program.
You have my cell number. You call me anytime.
Appreciate you man. Take care.
Have a great day. Happy New Year.