1 00:00:00,240 --> 00:00:03,040 At what age were you when you noticed that something was not 2 00:00:03,040 --> 00:00:05,400 functioning as it? Started really young and I did 3 00:00:05,400 --> 00:00:08,000 not know that it could be related to thyroid. 4 00:00:08,039 --> 00:00:11,880 No amount of exercise and dieting is working. 5 00:00:11,920 --> 00:00:15,640 I mean, I have tried every diet out there and you know, they 6 00:00:15,640 --> 00:00:18,680 work temporarily and then, you know, I just gained all the 7 00:00:18,680 --> 00:00:21,600 weight back and I didn't really understand Physiology. 8 00:00:21,600 --> 00:00:24,400 I didn't understand how the thyroid impacted all of that. 9 00:00:24,440 --> 00:00:27,480 Just kind of give us a deep dive on the thyroid and its function 10 00:00:27,520 --> 00:00:30,120 as a whole. So if the thyroid function is 11 00:00:30,120 --> 00:00:34,360 low, many women experience the inability to lose weight. 12 00:00:34,360 --> 00:00:39,520 Upwards of 98% of women who have low thyroid actually have an 13 00:00:39,520 --> 00:00:42,760 underlying autoimmune condition. That's why they have a low 14 00:00:42,760 --> 00:00:44,960 thyroid. Their thyroid just didn't stop 15 00:00:44,960 --> 00:00:46,880 working. That's why this is not like a 16 00:00:46,880 --> 00:00:50,080 menopausal thing. This is more of an autoimmune 17 00:00:50,080 --> 00:00:51,640 issue. And we are live. 18 00:00:51,640 --> 00:00:53,320 Doctor Heather Stone, how are you today? 19 00:00:53,840 --> 00:00:55,480 I'm good, thank you. How are you? 20 00:00:55,840 --> 00:00:58,000 I'm doing wonderful. I'm excited to be chatting with 21 00:00:58,000 --> 00:01:01,800 you because I get so many questions about thyroid health, 22 00:01:02,120 --> 00:01:03,920 hormone health. I mean, I've had several guests 23 00:01:03,920 --> 00:01:08,360 on lately talking about HRT, TRT as it pertains to improving 24 00:01:08,360 --> 00:01:11,120 longevity, improving performance, just optimizing 25 00:01:11,120 --> 00:01:14,440 health overall. But it seems as though there's a 26 00:01:14,440 --> 00:01:18,240 void in the communication around thyroid health specifically. 27 00:01:18,800 --> 00:01:21,320 So I'm excited to see what I can learn from you today. 28 00:01:22,240 --> 00:01:23,760 Before we start though, I mean, what, what even got you 29 00:01:23,760 --> 00:01:26,920 interested in this line of work? Like what was the the catalyst 30 00:01:26,920 --> 00:01:29,840 for you going down the path of optimizing thyroid function? 31 00:01:30,440 --> 00:01:32,240 Yeah. So I think with, like, a lot of 32 00:01:32,240 --> 00:01:35,440 healthcare practitioners, it starts with a personal story. 33 00:01:35,840 --> 00:01:39,400 And, you know, for me, I was having all the typical thyroid 34 00:01:39,400 --> 00:01:41,760 symptoms. I couldn't lose weight. 35 00:01:41,760 --> 00:01:45,040 I had, you know, hormonal imbalances. 36 00:01:45,040 --> 00:01:47,640 I was tired. I just did not feel like myself. 37 00:01:47,640 --> 00:01:51,040 And, you know, I went down this path where doctors continue to 38 00:01:51,040 --> 00:01:53,720 tell me that nothing was wrong and I'm like, something is 39 00:01:53,720 --> 00:01:55,760 definitely wrong. And they would also tell me 40 00:01:55,760 --> 00:01:59,000 that, oh, by the way, you know, your hormones are out of 41 00:01:59,000 --> 00:02:01,560 balance, but you'll just need fertility treatment when you're 42 00:02:01,560 --> 00:02:03,640 ready to have kids. And I thought, oh, my gosh, this 43 00:02:03,640 --> 00:02:07,920 is not the path I'm going down. So I had to figure out, you 44 00:02:07,920 --> 00:02:11,200 know, what I needed to do to change this because I was not 45 00:02:11,200 --> 00:02:14,000 going to live like that. And so once I figured it out for 46 00:02:14,000 --> 00:02:18,040 myself, I was like, oh, my gosh, there are millions of women who 47 00:02:18,040 --> 00:02:21,880 are struggling with low thyroid. And even though they're on 48 00:02:21,880 --> 00:02:25,400 medication and they have a diagnosis, they're still 49 00:02:25,400 --> 00:02:26,960 struggling with all these symptoms. 50 00:02:26,960 --> 00:02:28,600 And it really just isn't necessary. 51 00:02:28,600 --> 00:02:32,880 So that's kind of what I dedicated my life to do and and 52 00:02:32,880 --> 00:02:35,720 really to the mission is to change the face of healthcare. 53 00:02:37,920 --> 00:02:40,680 At what age were you when you noticed that something was not 54 00:02:40,680 --> 00:02:43,520 functioning as it should? Like, was there like a a pretty 55 00:02:43,520 --> 00:02:46,800 stark line in the sand of like, OK, this is not right, this is 56 00:02:46,800 --> 00:02:47,720 not how it's supposed to be like? 57 00:02:47,720 --> 00:02:49,560 What were the telltale signs for you personally? 58 00:02:50,320 --> 00:02:53,560 Well, I think it started really young and I did not know that it 59 00:02:53,560 --> 00:02:58,200 could be related to thyroid. But even in my teenage years the 60 00:02:58,200 --> 00:03:01,920 my hormones were always a mess and I was struggling with weight 61 00:03:01,920 --> 00:03:07,480 gain about 18/19/20 years old. And then that's when I started 62 00:03:07,480 --> 00:03:11,120 probably 2021 is when I started to go to a doctor because I was 63 00:03:11,120 --> 00:03:15,640 like no amount of exercise and dieting is working. 64 00:03:15,640 --> 00:03:19,360 I mean, I have tried every diet out there and you know, they 65 00:03:19,360 --> 00:03:22,400 work temporarily early and then, you know, I just gained all the 66 00:03:22,400 --> 00:03:25,320 weight back and I didn't really understand Physiology. 67 00:03:25,320 --> 00:03:28,120 I didn't understand how the thyroid impacted all of that. 68 00:03:28,480 --> 00:03:32,120 So it started for me very young, but I did not realize that it 69 00:03:32,120 --> 00:03:35,680 was all connected, our hormones, our thyroid function, our 70 00:03:35,680 --> 00:03:41,480 metabolism until I really started to understand what to do 71 00:03:41,480 --> 00:03:44,400 to fix the issues. But at the end of the day, you 72 00:03:44,400 --> 00:03:47,000 know, you always have to get down to the root cause of the 73 00:03:47,000 --> 00:03:50,720 underlying imbalance because a lot of people think like the, a 74 00:03:51,000 --> 00:03:54,120 lot of people think when we're looking at our health that 75 00:03:54,120 --> 00:03:57,440 everything works in a vacuum or everything works separately. 76 00:03:57,760 --> 00:04:01,440 Like the thyroid does not work separate or by itself. 77 00:04:01,440 --> 00:04:04,280 It doesn't work. It works together with your 78 00:04:04,280 --> 00:04:08,640 immune system and your insulin and other hormone production and 79 00:04:08,640 --> 00:04:12,240 your liver and your gut. So everything works together. 80 00:04:12,240 --> 00:04:15,360 And I think it's really important that because we get 81 00:04:15,360 --> 00:04:19,440 stuck in this model where everything is blamed on the 82 00:04:19,440 --> 00:04:22,560 thyroid, that's why people struggle so much is because 83 00:04:22,560 --> 00:04:24,960 they're only looking at the thyroid or like you said 84 00:04:24,960 --> 00:04:27,800 earlier, they look at other hormones, but they're not 85 00:04:27,800 --> 00:04:31,840 looking at the whole picture. Yeah, totally, 100%. 86 00:04:32,240 --> 00:04:35,680 What was the messaging like from the doctors initially when you 87 00:04:35,680 --> 00:04:38,440 were going in to see what the issue was when you're trying to 88 00:04:38,440 --> 00:04:41,520 get some advice like what was their general messaging? 89 00:04:41,520 --> 00:04:45,040 Was it totally generic and related to the calories and 90 00:04:45,040 --> 00:04:47,320 calories out model of what were they pointing to think about so? 91 00:04:49,320 --> 00:04:52,360 And I am grateful for this experience because this is what 92 00:04:52,360 --> 00:04:55,960 made me realize that what they were telling me was not true. 93 00:04:56,440 --> 00:05:00,400 But I went in and they said, OK, your thyroid is totally fine. 94 00:05:00,480 --> 00:05:02,120 There's nothing wrong with your thyroid. 95 00:05:02,600 --> 00:05:06,320 And I think that your menstrual, you don't have a menstrual cycle 96 00:05:06,320 --> 00:05:09,840 because you exercise too much. And I was like what? 97 00:05:10,360 --> 00:05:13,200 Like I knew because you know that back then that was pre 98 00:05:13,200 --> 00:05:15,200 Google. So we didn't have doctor Google 99 00:05:15,200 --> 00:05:18,760 that we could go consult. But I was in pre Med, I was 100 00:05:18,800 --> 00:05:23,080 reading textbooks and I knew that when a women woman's body 101 00:05:23,080 --> 00:05:26,640 fat goes below 10% that she will lose her menstrual cycle. 102 00:05:26,920 --> 00:05:31,360 I was 50 lbs overweight. So I knew that what he was 103 00:05:31,360 --> 00:05:35,680 telling me was absolutely not the reasoning that he gave me 104 00:05:35,680 --> 00:05:39,040 was not right at all. And he did not address the whole 105 00:05:39,040 --> 00:05:41,440 weight loss issue. And then and he said, Oh, by the 106 00:05:41,440 --> 00:05:44,400 way, when you're ready to have babies, come back and I'll, 107 00:05:44,520 --> 00:05:45,960 we'll give you fertility treatment. 108 00:05:45,960 --> 00:05:49,160 And I'm like, this is the craziest advice I've ever seen. 109 00:05:49,160 --> 00:05:51,840 And I just paid him for that advice. 110 00:05:51,840 --> 00:05:55,120 And I was like, and I, but I am grateful because because of what 111 00:05:55,120 --> 00:05:58,640 he said, I knew it wasn't true. And so I said, all right, I have 112 00:05:58,640 --> 00:06:02,000 to figure this out because I am not going to go down this path. 113 00:06:03,640 --> 00:06:04,840 And what? What age were you then? 114 00:06:04,840 --> 00:06:07,760 Do you remember? I was about 19 or 2021, 115 00:06:07,760 --> 00:06:11,800 somewhere around that age. Wow, so they were suggesting at 116 00:06:11,800 --> 00:06:15,400 that point your lack of a regular cycle was because you 117 00:06:15,400 --> 00:06:18,000 were exercising too much and they were already recommending 118 00:06:18,520 --> 00:06:20,200 IVF or something crazy like that and. 119 00:06:20,320 --> 00:06:23,680 Let me tell you, I was not exercising too much like I was 120 00:06:23,680 --> 00:06:27,240 the I would walk and I would do like, you know, cardio for an 121 00:06:27,240 --> 00:06:28,960 hour like three to four times a week. 122 00:06:29,200 --> 00:06:31,000 I wasn't some professional athlete. 123 00:06:31,000 --> 00:06:34,920 So what they were saying just did not make sense whatsoever. 124 00:06:35,240 --> 00:06:39,000 And you know, when I was younger, when my hormone cycles 125 00:06:39,000 --> 00:06:41,320 were, they just put me on birth control. 126 00:06:41,720 --> 00:06:43,640 And so, and that is typically what happens. 127 00:06:43,640 --> 00:06:46,440 So they don't look to see why your hormones are out of 128 00:06:46,440 --> 00:06:48,720 balance, like what's causing this issue. 129 00:06:49,040 --> 00:06:52,000 Instead, they override the Physiology and put you on 130 00:06:52,000 --> 00:06:55,480 hormone replacement essentially with birth control. 131 00:06:56,160 --> 00:06:58,760 And that should just fix the problem until you're ready to 132 00:06:58,760 --> 00:07:00,120 have kids. And then you're supposed to get 133 00:07:00,120 --> 00:07:03,520 off of it and expect the body to function in and be fertile. 134 00:07:05,080 --> 00:07:07,400 Yeah, it's funny you mentioned I had a podcast, I guess about a 135 00:07:07,400 --> 00:07:11,000 week now, we were talking about just my frustrations with the 136 00:07:11,000 --> 00:07:14,280 birth control model because you go in there and they don't they 137 00:07:14,280 --> 00:07:17,680 don't talk anything about the lasting effects of that hormone. 138 00:07:18,000 --> 00:07:22,000 I mean, which is totally foreign to the body from that level of 139 00:07:22,000 --> 00:07:24,080 input. Depending on the type of 140 00:07:24,200 --> 00:07:26,920 contraceptive, if it's like an IUD, that's a foreign object in 141 00:07:26,920 --> 00:07:28,520 the body. They'll talk about this stuff. 142 00:07:28,520 --> 00:07:30,840 They just say, yeah, put this in and then as soon as you're ready 143 00:07:30,840 --> 00:07:32,560 to have kids, take it out and you'll be golden. 144 00:07:32,840 --> 00:07:36,040 But just total, I mean, there was somebody that was getting a 145 00:07:36,040 --> 00:07:40,200 birth control pill prescribed after they had gotten through 146 00:07:40,200 --> 00:07:43,200 menopausal years just to simply help with some of the symptoms. 147 00:07:43,280 --> 00:07:44,880 And it's just like that's common. 148 00:07:44,880 --> 00:07:47,320 That's that's not, that's not a Horror Story. 149 00:07:47,320 --> 00:07:51,280 That's, you know, I mean, it just happens so frequently and 150 00:07:51,280 --> 00:07:53,080 people don't recognize it. Yeah. 151 00:07:53,080 --> 00:07:55,160 And I think it's important to understand, I mean, we could 152 00:07:55,160 --> 00:07:59,720 literally talk an hour about birth control and and how we are 153 00:07:59,720 --> 00:08:03,040 really mismanaging and misunderstanding hormone health 154 00:08:03,040 --> 00:08:06,200 across the board. But they don't tell you that 155 00:08:06,200 --> 00:08:10,320 you're at risk for ovarian cancer and uterine cancer and 156 00:08:10,320 --> 00:08:13,360 breast cancer. And that doesn't go away when 157 00:08:13,360 --> 00:08:16,120 you get off of the pill. Like, you would think that your 158 00:08:16,120 --> 00:08:19,120 risk for those cancers goes away when you get off, but it 159 00:08:19,120 --> 00:08:22,520 actually doesn't. But I don't recall ever hearing 160 00:08:22,520 --> 00:08:25,600 that when I was being prescribed birth control pills. 161 00:08:25,600 --> 00:08:28,840 And I think that, you know, most, most women are never told 162 00:08:28,840 --> 00:08:30,680 that and don't even understand that. 163 00:08:30,960 --> 00:08:34,240 And it we really are just overriding the body's underlying 164 00:08:34,240 --> 00:08:39,520 imbalances and Physiology to try to make those hormones somewhat 165 00:08:39,520 --> 00:08:42,840 imbalance. But in the big, big scheme of 166 00:08:42,840 --> 00:08:44,320 things, it doesn't really work that way. 167 00:08:46,320 --> 00:08:48,280 Yeah, yeah, totally agree. Everything that we're looking at 168 00:08:48,280 --> 00:08:50,880 is not, you can't view it through the lens of it being in 169 00:08:50,880 --> 00:08:52,680 a vacuum. Like especially with hormones, 170 00:08:52,680 --> 00:08:55,520 like you pull one lever and 10 other levers get pulled by 171 00:08:55,520 --> 00:08:59,200 default exactly as it pertains to the thyroid. 172 00:08:59,200 --> 00:09:02,520 Can you just do like a deep dive on we'll, we'll just go super 173 00:09:02,520 --> 00:09:03,920 basic and then we'll get deeper and deeper. 174 00:09:03,920 --> 00:09:06,440 But what is the thyroid? What is its primary function in 175 00:09:06,440 --> 00:09:09,640 the body? How does it manipulates 176 00:09:09,760 --> 00:09:11,520 metabolism? Like just kind of give us a deep 177 00:09:11,520 --> 00:09:14,200 dive on the thyroid and its function as a whole. 178 00:09:14,920 --> 00:09:18,640 Yes, perfect. So the thyroid is a butterfly 179 00:09:18,640 --> 00:09:21,560 shaped gland that kind of sits at the base of your neck. 180 00:09:22,040 --> 00:09:28,400 All right, So the thyroid mostly makes T4 hormone and then the 181 00:09:28,400 --> 00:09:33,200 body has to convert that T4 hormone into T3 hormone, which 182 00:09:33,200 --> 00:09:35,400 is the active form of thyroid hormone. 183 00:09:35,600 --> 00:09:39,120 That's what your body can use. Now, the thyroid hormone in 184 00:09:39,120 --> 00:09:43,520 general is responsible for regulating your metabolic rate, 185 00:09:43,800 --> 00:09:45,720 right? Or your metabolism, right? 186 00:09:45,720 --> 00:09:48,280 So how fast your metabolism works or how slow your 187 00:09:48,280 --> 00:09:52,080 metabolism works is usually regulated by thyroid hormones, 188 00:09:52,080 --> 00:09:56,320 specifically T3. Now the thyroid is pretty cool 189 00:09:56,440 --> 00:09:59,080 or the thyroid hormones, and they are so important. 190 00:09:59,080 --> 00:10:02,800 There is a receptor site on every single cell in the body 191 00:10:03,000 --> 00:10:06,840 from your head to your toe to receive thyroid hormone. 192 00:10:07,200 --> 00:10:11,440 And that's why when our thyroid hormones go down that we can 193 00:10:11,440 --> 00:10:15,600 have a whole host of symptoms. So if the thyroid function is 194 00:10:15,600 --> 00:10:20,040 low, many women experience the inability to lose weight or 195 00:10:20,040 --> 00:10:22,760 weight gain. They have trouble sleeping, 196 00:10:22,760 --> 00:10:25,360 whether it's falling asleep or staying asleep. 197 00:10:25,640 --> 00:10:28,920 They may have issues with depression and anxiety both at 198 00:10:28,920 --> 00:10:31,920 the same time, which sometimes it's hard to understand how 199 00:10:31,920 --> 00:10:35,040 someone can be depressed and anxious, but it happens. 200 00:10:35,920 --> 00:10:38,880 They have issues with their hair falling out, their nails being 201 00:10:38,880 --> 00:10:43,800 thin, their skin being dry, extremely low energy and brain 202 00:10:43,800 --> 00:10:45,920 fog. And so it's like how can one 203 00:10:46,560 --> 00:10:49,520 tiny gland or 1 hormone have all of those effects? 204 00:10:49,520 --> 00:10:52,800 It's because it truly effects from your head to your toe and 205 00:10:52,800 --> 00:10:56,640 it's really at the reason it's is because it regulates your 206 00:10:56,640 --> 00:11:00,560 metabolic rate. And I think one of the things in 207 00:11:00,560 --> 00:11:04,200 the biggest fallacies that we have with understanding thyroid 208 00:11:04,200 --> 00:11:09,120 health is that most thyroid hormone Physiology happens 209 00:11:09,120 --> 00:11:14,040 outside of the thyroid because your body makes mostly T4. 210 00:11:14,200 --> 00:11:17,080 And women who've been diagnosed with low thyroid, they're 211 00:11:17,080 --> 00:11:20,400 looking at one marker only. Now, we can go into all of these 212 00:11:20,400 --> 00:11:24,000 little things and go deeper, but when they're looking at one 213 00:11:24,000 --> 00:11:28,720 marker only, they're typically only looking at TSH and that 214 00:11:28,720 --> 00:11:31,120 stands for thyroid stimulating hormone. 215 00:11:31,480 --> 00:11:34,680 And that's actually not even made by the thyroid, it's made 216 00:11:34,680 --> 00:11:38,760 by the pituitary. So your pituitary, a small gland 217 00:11:38,760 --> 00:11:43,360 inside of your brain, tells the thyroid when and how much 218 00:11:43,360 --> 00:11:47,040 thyroid hormone to make. And so most of the time they're 219 00:11:47,040 --> 00:11:51,040 just looking at the TSH and prescribing medication based on 220 00:11:51,040 --> 00:11:54,480 if that's high or low, and they're not looking at all of 221 00:11:54,480 --> 00:11:58,000 the other thyroid Physiology that goes outside of the 222 00:11:58,000 --> 00:12:01,200 thyroid, thyroid gland. And there's more than 22 223 00:12:01,200 --> 00:12:05,320 different patterns of thyroid Physiology imbalances that we 224 00:12:05,320 --> 00:12:08,720 can see. And most of the time, women who 225 00:12:08,720 --> 00:12:12,000 are diagnosed with low thyroid are really just prescribed AT4 226 00:12:12,000 --> 00:12:14,440 hormone and kind of shushed out the door. 227 00:12:14,720 --> 00:12:18,440 Now, men do have thyroid issues as well, but it's just much more 228 00:12:18,440 --> 00:12:21,680 common in women. But men can have low thyroid. 229 00:12:23,760 --> 00:12:27,920 In a perfectly healthy individual that's natural, not 230 00:12:27,920 --> 00:12:31,760 taking any thyroid medication or you know, HRT of any form. 231 00:12:32,040 --> 00:12:35,800 What can one expect thyroid function to look like as time 232 00:12:35,800 --> 00:12:37,720 goes on? Like how is thyroid function 233 00:12:37,720 --> 00:12:41,080 impacted in a healthy individual without, you know, all the 234 00:12:41,080 --> 00:12:44,160 external factors naturally? What would what would one expect 235 00:12:44,160 --> 00:12:48,000 to see there? Well, are you asking me like, 236 00:12:48,000 --> 00:12:51,080 what does it look like if somebody is functioning with a 237 00:12:51,080 --> 00:12:53,600 great healthy thyroid? Because you should maintain 238 00:12:53,600 --> 00:12:55,400 thyroid health all the way through life. 239 00:12:55,400 --> 00:12:59,560 Like it's not normal that the thyroid moves into hypothyroid 240 00:12:59,560 --> 00:13:03,600 or low thyroid function, but you should easily be able to 241 00:13:03,600 --> 00:13:09,520 maintain your Physiology, right? You should maintain your, your 242 00:13:10,280 --> 00:13:14,360 body composition. Weight should not be a struggle 243 00:13:14,360 --> 00:13:18,160 all the time, so that and you should have good energy, you 244 00:13:18,160 --> 00:13:21,120 should sleep well, you should have regulated hormones. 245 00:13:21,120 --> 00:13:24,240 That's what it should look like whenever you have a healthy 246 00:13:24,240 --> 00:13:30,080 thyroid metabolism and function. So thyroid function should 247 00:13:30,280 --> 00:13:35,160 operate at normal capacity, healthy capacity, independent of 248 00:13:35,160 --> 00:13:37,400 menopausal years, for instance. Like it's not like testosterone, 249 00:13:37,400 --> 00:13:39,280 whereas when you go through menopause that drops off a Cliff 250 00:13:39,280 --> 00:13:41,760 for females. Yeah, that's exactly right. 251 00:13:41,760 --> 00:13:45,320 So it we don't have these big fluctuations and transitions 252 00:13:45,520 --> 00:13:48,040 through different stages in our lives, right. 253 00:13:48,040 --> 00:13:52,760 So thyroid function should be maintained all the way through 254 00:13:52,960 --> 00:13:57,720 the entire lifespan. What is the difference between 255 00:13:57,720 --> 00:14:00,240 thyroid function between male and female? 256 00:14:00,240 --> 00:14:02,680 Is there significant shift there? 257 00:14:02,680 --> 00:14:04,240 Is that pretty even keel throughout both? 258 00:14:04,840 --> 00:14:06,760 It's pretty much even killed throughout both. 259 00:14:06,760 --> 00:14:09,920 There really isn't a lot of differences between male and 260 00:14:09,920 --> 00:14:14,480 female thyroid Physiology. Now there's a lot of different 261 00:14:14,480 --> 00:14:18,200 Physiology that goes on between men and women, which makes it, 262 00:14:18,440 --> 00:14:21,520 you know, it impacts thyroid function in women differently 263 00:14:21,520 --> 00:14:26,800 than men, for example. So the most common cause of low 264 00:14:26,800 --> 00:14:30,600 thyroid is an autoimmune condition called Hashimoto's, 265 00:14:31,160 --> 00:14:35,760 and this is where your immune system makes antibodies to tag 266 00:14:35,800 --> 00:14:37,840 the thyroid tissue for destruction. 267 00:14:38,280 --> 00:14:43,560 So about 90, upwards of 98% of women who have low thyroid 268 00:14:43,560 --> 00:14:46,800 actually have an underlying autoimmune condition. 269 00:14:46,960 --> 00:14:48,720 That's why they have a low thyroid. 270 00:14:48,880 --> 00:14:50,800 Their thyroid just didn't stop working. 271 00:14:50,920 --> 00:14:53,640 That's why this is not like a menopausal thing. 272 00:14:54,120 --> 00:14:55,960 This is more of an autoimmune issue. 273 00:14:56,320 --> 00:15:00,600 Now, these autoimmune diseases typically turn on with big 274 00:15:00,600 --> 00:15:04,520 hormonal fluctuations. All right, So we see Hashimoto's 275 00:15:04,520 --> 00:15:06,880 turn on when women go through puberty. 276 00:15:06,880 --> 00:15:10,200 We see it especially at the highest rate after women have 277 00:15:10,200 --> 00:15:12,680 babies. And then again, you see either 278 00:15:12,680 --> 00:15:17,080 it turn on or an exacerbation of symptoms as women go through 279 00:15:17,080 --> 00:15:21,400 menopause. So you do see different, you do 280 00:15:21,400 --> 00:15:24,360 see like different thyroid Physiology as we go through 281 00:15:24,360 --> 00:15:29,760 these phases and the thyroid is impacted by our other hormonal 282 00:15:29,760 --> 00:15:32,360 fluctuations. And mostly it's because the 283 00:15:32,360 --> 00:15:36,120 immune system is impacted by estrogen and testosterone 284 00:15:36,120 --> 00:15:38,920 surges. So women are going to be at a 285 00:15:38,920 --> 00:15:41,880 higher risk for developing Hashimoto's and therefore 286 00:15:41,880 --> 00:15:44,440 there's going to be a higher occurrence of low thyroid in 287 00:15:44,440 --> 00:15:47,960 women. But men also do get low thyroid 288 00:15:47,960 --> 00:15:51,960 and they can have Hashimoto's. And the most common times that I 289 00:15:51,960 --> 00:15:55,120 see this turn on in men is after they've gone through a major 290 00:15:55,120 --> 00:15:58,680 stressful event, right? So, you know, I, I've treated 291 00:15:58,680 --> 00:16:02,040 many male patients, but it's after like a death or a 292 00:16:02,040 --> 00:16:06,480 bankruptcy or some major life event where it really tips the 293 00:16:06,480 --> 00:16:10,400 scales and the immune system starts to attack the thyroid. 294 00:16:12,160 --> 00:16:13,880 Gotcha. So are there many issues in 295 00:16:13,880 --> 00:16:19,080 which case the thyroid itself is the primary driver for these 296 00:16:19,080 --> 00:16:22,880 conditions, or is it more so the thyroid is what is negatively 297 00:16:22,880 --> 00:16:25,880 impacted, the result of these underlying root causes and then 298 00:16:25,920 --> 00:16:28,920 it's just manifesting itself in metabolic disruption? 299 00:16:29,560 --> 00:16:33,120 Yeah. So the first thing that happens 300 00:16:33,120 --> 00:16:36,800 is the immune system starts attacking the thyroid. 301 00:16:36,880 --> 00:16:38,440 That's the first thing that happens. 302 00:16:38,440 --> 00:16:42,320 So most of the time it is not a primary thyroid issue. 303 00:16:42,640 --> 00:16:46,120 It is an autoimmune disease. And this autoimmune condition 304 00:16:46,120 --> 00:16:51,280 turns on and it can be there for weeks, months, years before you 305 00:16:51,280 --> 00:16:53,240 ever get diagnosed with low thyroid. 306 00:16:53,560 --> 00:16:56,280 And this is one of the frustrations with many people is 307 00:16:56,280 --> 00:17:00,320 that they have every symptom of low thyroid, but they go to the 308 00:17:00,320 --> 00:17:03,080 doctor and the doctor keeps telling them that their thyroid 309 00:17:03,080 --> 00:17:05,599 hormones look fine, like there's nothing wrong, but they're like, 310 00:17:05,599 --> 00:17:07,960 I have every thyroid symptom in the book. 311 00:17:08,359 --> 00:17:11,680 And so they just wait until the immune system has attacked the 312 00:17:11,680 --> 00:17:14,760 thyroid enough to where they actually have low thyroid 313 00:17:14,760 --> 00:17:17,440 hormone and then they give them thyroid medication. 314 00:17:17,839 --> 00:17:21,560 All right, so this is a primary autoimmune issue. 315 00:17:21,560 --> 00:17:25,280 And then secondarily, we develop hypothyroid. 316 00:17:25,520 --> 00:17:28,800 This is in most cases. Now, certainly there are some 317 00:17:28,800 --> 00:17:32,880 people who have primary hypothyroid, but for the most 318 00:17:32,880 --> 00:17:35,280 part, that is a small percentage. 319 00:17:35,480 --> 00:17:39,440 Most people who have Hashimoto have low, low thyroid, actually 320 00:17:39,440 --> 00:17:44,080 have Hashimoto's. So then if you take the, we got 321 00:17:44,080 --> 00:17:47,240 to look for the solution, like why is this a problem? 322 00:17:47,240 --> 00:17:51,360 What do you do to fix it? So Hashimoto's is kind of at the 323 00:17:51,360 --> 00:17:53,480 top. It's the highest priority. 324 00:17:53,680 --> 00:17:57,200 So it's an autoimmune condition. So now you have to ask a deeper 325 00:17:57,200 --> 00:18:00,920 question. What's causing the immune system 326 00:18:00,920 --> 00:18:04,080 to attack the thyroid? Now this is very important 327 00:18:04,080 --> 00:18:08,640 question because when you have one autoimmune disease, you're 328 00:18:08,640 --> 00:18:11,600 at risk for developing multiple autoimmune diseases. 329 00:18:11,960 --> 00:18:15,360 And in particular with Hashimoto's, you're at risk for 330 00:18:15,360 --> 00:18:18,880 developing thyroid cancer. So it's really important to get 331 00:18:18,880 --> 00:18:22,680 the immune system stable and to handle what's causing the immune 332 00:18:22,680 --> 00:18:26,160 system to attack the thyroid so that you don't start to get all 333 00:18:26,160 --> 00:18:29,440 these other autoimmune diseases or thyroid cancer. 334 00:18:30,160 --> 00:18:33,320 Now, when we're looking to understand what's causing the 335 00:18:33,320 --> 00:18:36,520 thyroid, there's the immune attack on the thyroid. 336 00:18:36,720 --> 00:18:40,640 There's some pretty standard underlying triggers that many of 337 00:18:40,640 --> 00:18:43,120 us are dealing with. Now, we're not usually dealing 338 00:18:43,120 --> 00:18:46,920 with all of them, but we are dealing with a few of them. 339 00:18:47,200 --> 00:18:52,080 So one is insulin resistance. Every time we have an insulin 340 00:18:52,080 --> 00:18:55,480 surge, it will cause the immune system to attack the thyroid. 341 00:18:56,280 --> 00:18:59,680 So that's when we eat bread, pasta, rice, potatoes, cookies, 342 00:18:59,680 --> 00:19:03,960 cakes, candy, soda, or if we don't eat enough or we're 343 00:19:03,960 --> 00:19:07,240 fasting for too long, that will cause an insulin surge. 344 00:19:07,440 --> 00:19:10,480 So not only does it make the immune system attack the 345 00:19:10,480 --> 00:19:14,400 thyroid, but when we have insulin surges, that's the one 346 00:19:14,400 --> 00:19:17,680 of the only hormones that is for fat storage. 347 00:19:18,120 --> 00:19:20,760 All right, so it's kind of we get stuck in these bi 348 00:19:20,760 --> 00:19:24,200 directional feed forward pathways where it's like we're 349 00:19:24,200 --> 00:19:27,400 trying to focus on the thyroid, but we're ignoring insulin 350 00:19:27,400 --> 00:19:31,240 resistance and our blood sugar. And the crazy thing is insulin 351 00:19:31,240 --> 00:19:35,080 resistance has the almost the exact same symptoms as low 352 00:19:35,080 --> 00:19:37,640 thyroid. So you have to handle both of 353 00:19:37,640 --> 00:19:40,480 them. You have to handle both of them. 354 00:19:40,480 --> 00:19:43,280 Otherwise you're going to feel like you're chasing your tail 355 00:19:43,920 --> 00:19:45,160 and you're not going to get anywhere. 356 00:19:45,160 --> 00:19:48,920 And, and this is one of the reasons when people take thyroid 357 00:19:48,920 --> 00:19:52,120 medication and they don't fix these underlying issues, 358 00:19:52,120 --> 00:19:55,200 especially insulin resistance, they don't get anywhere. 359 00:19:55,440 --> 00:19:59,160 Like they may feel good for a short period of time, but 360 00:19:59,760 --> 00:20:02,680 because they didn't fix the insulin resistance, they still 361 00:20:02,680 --> 00:20:05,160 have all the same symptoms. And then they feel like, you 362 00:20:05,160 --> 00:20:08,000 know, nothing ever works and they don't really understand 363 00:20:08,000 --> 00:20:09,920 what's going. Going on with the root cause, 364 00:20:11,440 --> 00:20:14,520 yeah, now I can go through some more of those triggers, go 365 00:20:14,520 --> 00:20:16,760 ahead. But we you can interject here. 366 00:20:18,000 --> 00:20:19,640 Yeah, no, definitely. Let's go through all the 367 00:20:19,640 --> 00:20:21,960 triggers for sure. But if we're trying to avoid the 368 00:20:21,960 --> 00:20:26,160 unnecessary insulin spikes and improve insulin sensitivity and 369 00:20:26,160 --> 00:20:29,240 not be chronically dieting, it sounds like a pretty good 370 00:20:29,240 --> 00:20:32,320 argument for following relatively low carb approach at 371 00:20:32,320 --> 00:20:35,000 a maintenance or slight surplus intake from time to time, as 372 00:20:35,000 --> 00:20:38,800 opposed to just eating a bunch of carbs and eating too little 373 00:20:38,800 --> 00:20:41,200 far too often. Exactly. 374 00:20:41,200 --> 00:20:44,200 You're, you're right on. And, and for me personally and 375 00:20:44,200 --> 00:20:48,320 even for my patients, we kind of shift between more of a Paleo 376 00:20:48,320 --> 00:20:52,800 into a keto and with some circadian fasting and then kind 377 00:20:52,800 --> 00:20:56,640 of back and forth so that you're not always in ketosis, you're 378 00:20:56,640 --> 00:21:00,480 not always in, you know, a deficit, But when you kind of 379 00:21:00,480 --> 00:21:03,600 fluctuate back, back and forth and you have to make that a 380 00:21:03,600 --> 00:21:06,560 lifestyle. But in order to stop this 381 00:21:06,560 --> 00:21:10,200 vicious cycle, we have to pay attention to our blood sugar and 382 00:21:10,200 --> 00:21:13,840 our insulin. And it has been really eye 383 00:21:13,840 --> 00:21:16,680 opening to me. I started using continuous 384 00:21:16,680 --> 00:21:19,080 glucose monitors with my patients and myself. 385 00:21:19,360 --> 00:21:23,600 And it is amazing to see how the body is actually responding and 386 00:21:23,600 --> 00:21:27,680 how much some of these foods impact your blood sugar. 387 00:21:27,920 --> 00:21:31,280 Like, I have been doing this for, you know, two more than two 388 00:21:31,280 --> 00:21:36,480 decades, almost 2 1/2 decades. And I know that when you eat 389 00:21:37,120 --> 00:21:39,880 corn and you drink a Margarita, your blood Sugar's going to go 390 00:21:39,880 --> 00:21:41,480 up. But I had a continuous glucose 391 00:21:41,480 --> 00:21:44,600 monitor on, and I just wanted to see, like, what it would do. 392 00:21:45,040 --> 00:21:47,200 And my blood sugar went over 200. 393 00:21:47,200 --> 00:21:49,440 And I couldn't believe it. I'm not diabetic. 394 00:21:49,440 --> 00:21:54,720 I my blood sugar is good. But I was like, Oh my God, I 395 00:21:54,720 --> 00:21:59,920 knew it was going to go up, but I thought maybe 160, maybe 170, 396 00:21:59,920 --> 00:22:03,720 but I had no earthly idea that it was going to go over 200. 397 00:22:03,960 --> 00:22:07,960 And for me, I was like, wow, the, the, the book knowledge is 398 00:22:07,960 --> 00:22:10,960 important, the clinical experience is important. 399 00:22:10,960 --> 00:22:14,200 But seeing that on a glucometer for myself personally, I'm like, 400 00:22:14,200 --> 00:22:15,960 wow, that Margarita was terrible. 401 00:22:15,960 --> 00:22:19,160 It wasn't even that good. It is definitely not worth it. 402 00:22:19,160 --> 00:22:22,720 So that was pretty eye opening. And I, I don't think it's been 403 00:22:22,720 --> 00:22:25,960 eye opening for patients because when you can see what it's 404 00:22:26,000 --> 00:22:28,800 actually doing to your Physiology, it's pretty crazy. 405 00:22:30,040 --> 00:22:33,440 Yeah, I'm a big fan of the CGMS. I mean, I'm not diabetic either, 406 00:22:33,440 --> 00:22:36,400 but I've worn one on multiple occasions and I feel like I'm 407 00:22:36,400 --> 00:22:38,960 really in tune with my body through the different preps that 408 00:22:38,960 --> 00:22:41,240 I've done. So I, I know how certain things 409 00:22:41,240 --> 00:22:43,840 are going to affect me and I've been keto for forever. 410 00:22:43,840 --> 00:22:45,920 So my, my CGM data is pretty boring. 411 00:22:46,480 --> 00:22:49,680 But a lot of people that are not familiar with track and macros 412 00:22:49,680 --> 00:22:51,680 or they're not in tune with their body having something 413 00:22:51,680 --> 00:22:55,320 tangible to look at and see how a food that they would 414 00:22:55,320 --> 00:22:59,040 previously think would be a non issue massively causes a blood 415 00:22:59,040 --> 00:23:01,600 sugar spike. I think that makes it real for 416 00:23:01,600 --> 00:23:03,120 them and I feel like it empowers them. 417 00:23:03,120 --> 00:23:04,520 So I think I'm a, I'm a huge fan of it. 418 00:23:04,520 --> 00:23:07,720 There's been some doctors that, you know, you know, naysay 419 00:23:07,720 --> 00:23:10,040 against CGMS if you're not diabetic, but I think, you know, 420 00:23:10,040 --> 00:23:12,840 the more data people have, the more empowered they'll feel. 421 00:23:13,520 --> 00:23:17,000 For sure, and you know, it was eye opening for me because I 422 00:23:17,000 --> 00:23:20,560 knew drinking a Margarita wasn't good, but I didn't realize the 423 00:23:20,560 --> 00:23:23,920 impact that that had. And I think we get stuck in OA 424 00:23:23,920 --> 00:23:28,200 little bit is OK and we get stuck in O on the weekends. 425 00:23:28,200 --> 00:23:31,240 I'm not going to be as strict as I am during the weekday. 426 00:23:31,240 --> 00:23:34,960 And it's like you blow your whole week because you on the 427 00:23:34,960 --> 00:23:37,720 weekends you cheat, but you don't realize the impact that 428 00:23:37,720 --> 00:23:40,840 those things are having. So it makes it much easier. 429 00:23:40,840 --> 00:23:46,440 And I think that, you know, doctors that may not like CGMS, 430 00:23:46,440 --> 00:23:50,320 unless you're diabetic, I feel like they don't understand the 431 00:23:50,320 --> 00:23:54,480 impact of insulin resistance and the lead up to the actual 432 00:23:54,480 --> 00:23:56,480 diabetes. But this is there may be a 433 00:23:56,480 --> 00:24:00,080 different approach to reverse that and to optimize Physiology 434 00:24:00,080 --> 00:24:03,120 versus you'll deal with it when you have a problem. 435 00:24:04,680 --> 00:24:05,800 Totally agree. Totally agree. 436 00:24:06,160 --> 00:24:08,120 I got another question that's maybe taking us down a tangent 437 00:24:08,120 --> 00:24:11,160 here, but I'm curious. So when you're doing Paleo and 438 00:24:11,160 --> 00:24:14,800 then transitioning your patients to keto as it pertains to their 439 00:24:14,880 --> 00:24:19,560 circadian rhythms, are you having them in more of a deficit 440 00:24:19,560 --> 00:24:22,480 during their keto phase or are you having them at a surplus 441 00:24:22,480 --> 00:24:26,680 while keto as well? Well, I'll say this. 442 00:24:27,640 --> 00:24:33,480 When I take patients, usually I go through the Paleo phase in 443 00:24:33,480 --> 00:24:36,360 the beginning because it's an easier transition. 444 00:24:36,800 --> 00:24:41,360 So like if you take people who are used to eating McDonald's 445 00:24:41,360 --> 00:24:45,640 and Taco Bell and you know, they just have a terrible diet, 446 00:24:45,920 --> 00:24:50,000 moving them into Paleo is going to put them in a deficit because 447 00:24:50,000 --> 00:24:53,320 it is really hard to overeat proteins and vegetables. 448 00:24:53,320 --> 00:24:57,400 I mean, you could certainly do it, but from where the typical 449 00:24:57,400 --> 00:25:00,160 patient is coming from, they're going to be in a, a bigger 450 00:25:00,160 --> 00:25:05,880 deficit than where they started. So then and getting them used to 451 00:25:05,880 --> 00:25:09,480 cooking this way and making different choices and, and 452 00:25:09,480 --> 00:25:13,120 getting them used to consuming Whole Foods and changing their 453 00:25:13,120 --> 00:25:16,440 mindset is a much easier transition than going straight 454 00:25:16,440 --> 00:25:20,160 keto. And so I like to start there. 455 00:25:20,160 --> 00:25:24,120 And many patients do exceptional and some of them I don't even 456 00:25:24,120 --> 00:25:26,240 have to really move into ketosis. 457 00:25:26,240 --> 00:25:29,880 But the ones who really struggle with their weight and maybe they 458 00:25:30,120 --> 00:25:33,400 came to me and they were already eating low carb or they tried 459 00:25:33,400 --> 00:25:36,840 low carb and they didn't get, you know, a lot of traction 460 00:25:36,840 --> 00:25:38,800 there. We start to work on all their 461 00:25:38,800 --> 00:25:42,360 underlying Physiology and working on moving into insulin, 462 00:25:43,040 --> 00:25:47,120 working on their blood sugar and then moving into ketosis. 463 00:25:47,120 --> 00:25:50,320 And when I'm in, when I have them go into ketosis, in the 464 00:25:50,320 --> 00:25:53,720 beginning, I really, we're not counting calories that much 465 00:25:53,720 --> 00:25:58,360 because you know, from where they came from and if you're 466 00:25:58,360 --> 00:26:02,880 eating mostly animal protein and green vegetables, it's really 467 00:26:02,880 --> 00:26:07,080 hard to be in a surplus. I mean, it is really hard now. 468 00:26:07,080 --> 00:26:10,800 You could certainly overdo it. The other day I was eating 469 00:26:10,800 --> 00:26:14,920 macadamia nuts and I looked at the bag and there's 2000 470 00:26:14,920 --> 00:26:17,200 calories in a bag of macadamia nuts. 471 00:26:17,560 --> 00:26:19,520 And I don't even know to tell you how much fat is in there. 472 00:26:19,720 --> 00:26:22,400 And I'm not really worried about the fat and I wasn't too much 473 00:26:22,400 --> 00:26:25,800 worried about calories. But when you can eat half a bag 474 00:26:25,800 --> 00:26:28,720 of macadamia nuts sitting here as you're sitting all day in 475 00:26:28,720 --> 00:26:32,240 between patients, I was like, huh, this is crazy. 476 00:26:32,480 --> 00:26:35,840 So, you know, trying to pay attention to what you are eating 477 00:26:35,840 --> 00:26:38,720 because you can certainly go over if you're, if you're not 478 00:26:38,720 --> 00:26:42,600 looking at things appropriately. But moving people that are 479 00:26:42,600 --> 00:26:46,920 really struggling with weight and insulin resistance, moving 480 00:26:46,920 --> 00:26:50,360 them into ketosis. And then maybe doing circadian 481 00:26:50,360 --> 00:26:56,000 fasting where we start with no eating 3 hours before bed and 482 00:26:56,000 --> 00:26:59,920 then moving into maybe skipping dinner a couple of times a week. 483 00:27:00,160 --> 00:27:03,240 And then seeing how their blood sugar responds and seeing how 484 00:27:03,240 --> 00:27:07,120 they're doing with their goals. Yeah, no, I can totally respect 485 00:27:07,120 --> 00:27:08,600 all of that. I feel like a lot of people, you 486 00:27:08,600 --> 00:27:11,120 got to make it easy for them from where they're coming from. 487 00:27:11,120 --> 00:27:12,200 You got to meet them where they're at. 488 00:27:12,200 --> 00:27:14,480 So totally agree with everything you just said. 489 00:27:14,720 --> 00:27:19,320 There's been a few people that I'd say that keto long term is 490 00:27:19,320 --> 00:27:21,320 it causes implications with thyroid health. 491 00:27:21,320 --> 00:27:24,960 But I feel like in that context, it's always been from people 492 00:27:24,960 --> 00:27:26,560 that are just chronically in a deficit. 493 00:27:26,560 --> 00:27:29,520 I feel like if you ate at a higher intake from time to time, 494 00:27:30,160 --> 00:27:32,920 that would revolt. You know, that would remove any 495 00:27:32,920 --> 00:27:36,840 issues for thyroid misfunction following a strict ketogenic 496 00:27:36,840 --> 00:27:38,640 approach. I think people just diet far too 497 00:27:38,640 --> 00:27:40,960 long far too frequently and that's what causes the issues. 498 00:27:41,440 --> 00:27:43,920 Yeah, I agree. And one of the, and I think that 499 00:27:43,920 --> 00:27:46,520 they do it sometimes in the wrong times of day. 500 00:27:46,720 --> 00:27:49,280 So there's a lot of, and I'm guilty of this too. 501 00:27:49,280 --> 00:27:52,920 I was intermittent fasting kind of when that first started kind 502 00:27:52,920 --> 00:27:56,840 of coming out and intermittent fasting in the morning. 503 00:27:56,840 --> 00:28:00,240 And when you don't eat in the morning, it really impacts your 504 00:28:00,240 --> 00:28:03,320 thyroid health, your cortisol levels and your blood sugar. 505 00:28:04,240 --> 00:28:07,640 For me personally, when I was intermittent fasting, I loved it 506 00:28:07,640 --> 00:28:10,920 because I didn't have to eat. I am, I could, I could fast a 507 00:28:10,920 --> 00:28:15,000 lot, which is not great because that means your metabolism isn't 508 00:28:15,000 --> 00:28:19,040 necessarily where you want it. But I check my numbers all the 509 00:28:19,040 --> 00:28:20,880 time, right? I get my blood work done. 510 00:28:20,880 --> 00:28:23,800 I'm looking at my A1C and my thyroid and all of that. 511 00:28:23,800 --> 00:28:28,080 And I was doing really hard intermittent fasting and I was 512 00:28:28,080 --> 00:28:31,160 in about ketosis. My ketones were probably 513 00:28:31,160 --> 00:28:35,080 anywhere from 2:00 to 3:00, which is pretty high, but it 514 00:28:35,080 --> 00:28:38,880 wasn't terrible. After about 3 months of that 515 00:28:38,880 --> 00:28:43,720 solid I went and got my labs and my A1C was pre diabetic and I 516 00:28:43,720 --> 00:28:47,240 was like what in the world is happening? 517 00:28:47,520 --> 00:28:50,960 And so this was before continuous glucose monitor. 518 00:28:50,960 --> 00:28:53,920 So I was checking my blood sugar every 30 minutes in the morning 519 00:28:55,040 --> 00:28:58,920 and I noticed that my blood sugar was fine when I woke up at 520 00:28:58,960 --> 00:29:04,000 you know under 100 and then by 10:00 it was at like 110 and 521 00:29:04,000 --> 00:29:09,480 then by 11:00 it was at 1:20 and by 1:00 it was over 120. 522 00:29:09,840 --> 00:29:13,640 And so my body couldn't handle that type of intermittent 523 00:29:13,640 --> 00:29:15,760 fasting. For me it was not good and I did 524 00:29:15,760 --> 00:29:17,560 not see that it was great for my patients. 525 00:29:17,800 --> 00:29:22,760 So if you shift it to mimic your circadian rhythm, because when 526 00:29:22,760 --> 00:29:25,600 you wake up in the morning, your court, you're going to get a 527 00:29:25,600 --> 00:29:27,960 cortisol spike. And if you're not eating, you're 528 00:29:27,960 --> 00:29:29,960 going to get an insulin surge as well. 529 00:29:30,240 --> 00:29:32,920 And it's really hard on the body because that's when the body 530 00:29:32,920 --> 00:29:35,800 needs most of its energy is first thing in the morning. 531 00:29:36,040 --> 00:29:39,120 And then cortisol starts to go down when you're trying to sleep 532 00:29:39,120 --> 00:29:41,280 at night and everything is moving into a different 533 00:29:41,280 --> 00:29:44,040 direction. So I found it's much easier on 534 00:29:44,040 --> 00:29:48,040 the body and we get better results when we do more fasting 535 00:29:48,040 --> 00:29:50,320 at night versus first thing in the morning. 536 00:29:52,240 --> 00:29:56,040 Yeah, so now you got to switch from late night margaritas to 537 00:29:56,040 --> 00:29:59,560 mid morning mimosas, right? Something like that or no 538 00:29:59,560 --> 00:30:04,240 margaritas would be better. But I am finding. 539 00:30:04,360 --> 00:30:07,400 That when I go out to dinner with my husband, I'm like, can 540 00:30:07,400 --> 00:30:12,000 we what time do they open? 5:00, OK, we'll go 5:00 and then 541 00:30:12,000 --> 00:30:14,880 that way I can eat early. So we're eating like with with 542 00:30:14,880 --> 00:30:16,240 all the old people, but that's OK. 543 00:30:18,120 --> 00:30:22,040 Yeah, it is crazy how there you go, there you go. 544 00:30:23,120 --> 00:30:25,920 I mean, parasympathetic sympathetic state has a massive 545 00:30:25,920 --> 00:30:28,640 impact on hormone function, thyroid health as well. 546 00:30:28,880 --> 00:30:32,800 And like, I just get so frustrated seeing people real. 547 00:30:32,800 --> 00:30:35,160 I mean, fasting can be great. It can certainly be a tool, 548 00:30:35,160 --> 00:30:37,280 intermittent fasting and extended fasting as well. 549 00:30:37,280 --> 00:30:41,560 But when it got really popular, I guess probably like 20/20/21, 550 00:30:41,560 --> 00:30:45,200 I feel like it just blew up and you had so many people just 551 00:30:45,720 --> 00:30:49,800 taking it to the extreme with, you know, more days not eating 552 00:30:49,800 --> 00:30:51,480 than eating throughout the course of a week. 553 00:30:51,840 --> 00:30:54,960 And that's not necessarily natural in our current day and 554 00:30:54,960 --> 00:30:57,000 age either. I mean, you can make an argument 555 00:30:57,000 --> 00:30:59,040 from an ancestral standpoint that, you know, they were 556 00:30:59,040 --> 00:31:01,320 definitely periods of time where we were doing extended fasting, 557 00:31:01,320 --> 00:31:05,600 but, you know, people can certainly overdo it and that's 558 00:31:05,600 --> 00:31:07,760 going to wreak havoc hormonally speaking. 559 00:31:08,240 --> 00:31:11,040 So yeah, I, I think you got, there's a yin Yang to 560 00:31:11,040 --> 00:31:12,520 everything. Like there's, there's a benefit 561 00:31:12,520 --> 00:31:15,360 to eating and feasting. If you're going to have a fast, 562 00:31:15,360 --> 00:31:17,760 you have to also feast. And people just seem to forget 563 00:31:17,760 --> 00:31:20,800 that feasting component of it. Yeah, and then other people 564 00:31:20,800 --> 00:31:23,680 forget the fasting. I will say this, having a 565 00:31:23,680 --> 00:31:27,720 continuous glucose monitor has really helped me because I now 566 00:31:27,720 --> 00:31:31,800 can do a 72 hour fast and feel amazing and my blood sugar is 567 00:31:31,800 --> 00:31:33,920 very stable. So it's more of an extended 568 00:31:33,920 --> 00:31:36,280 fast. I haven't really had patients do 569 00:31:36,280 --> 00:31:40,200 this yet. I mean, because if as long as 570 00:31:40,200 --> 00:31:42,800 they're doing well with what we're doing and it's not like an 571 00:31:42,800 --> 00:31:45,360 extended fast and I'm going to let them continue to do that, 572 00:31:45,360 --> 00:31:47,960 but there's some patients that certainly you could do that. 573 00:31:47,960 --> 00:31:52,000 But I've, I've learned that a 72 hour fast like once a month for 574 00:31:52,000 --> 00:31:55,680 me is great. And then, you know, as long as I 575 00:31:55,680 --> 00:31:59,160 will continue you to be in kind of in and out of ketosis, that's 576 00:31:59,160 --> 00:32:02,800 where my body functions the best, I feel the best and it 577 00:32:02,800 --> 00:32:05,920 seems to work physiologically. Yeah, totally. 578 00:32:06,920 --> 00:32:09,520 So what are some other primary drivers? 579 00:32:09,520 --> 00:32:12,480 So we got the Hashimoto's. What are some other triggers 580 00:32:12,480 --> 00:32:15,440 that you see people dealing with from an autoimmune standpoint 581 00:32:15,440 --> 00:32:18,280 that are then wreaking havoc on the thyroid downstream? 582 00:32:18,720 --> 00:32:23,760 Yeah, so blood sugars #1 #2 is what you were talking about, 583 00:32:23,760 --> 00:32:26,520 your adrenal glands and, and stress levels. 584 00:32:26,560 --> 00:32:30,400 And so we get stuck in sympathetic OverDrive where the 585 00:32:30,400 --> 00:32:34,160 body is always feeling like it's under threat, it's always under 586 00:32:34,160 --> 00:32:37,680 stress. And so that is going to, first 587 00:32:37,680 --> 00:32:41,120 of all, drive the immune system to attack the thyroid. 588 00:32:41,360 --> 00:32:45,480 Secondly, you, because you don't go into Paris sympathetic where 589 00:32:45,480 --> 00:32:48,680 your body rests, digest and heals. 590 00:32:48,680 --> 00:32:50,600 So then you've got sleeping issues. 591 00:32:50,760 --> 00:32:52,960 Your circadian rhythm is dysregulated. 592 00:32:53,200 --> 00:32:57,560 Circadian rhythm, for those that don't know, is that this is your 593 00:32:57,560 --> 00:33:02,280 sleep and wake cycle and it is regulated by your adrenal glands 594 00:33:02,280 --> 00:33:06,480 and the production of cortisol. It's also regulated by melatonin 595 00:33:06,480 --> 00:33:09,680 and serotonin. But an oversimplification is 596 00:33:09,680 --> 00:33:13,320 that your adrenal glands produce cortisol in the morning and that 597 00:33:13,320 --> 00:33:15,320 should be your highest peak in the day. 598 00:33:15,600 --> 00:33:18,400 That's when you should wake up, pretty much when the sun comes 599 00:33:18,400 --> 00:33:20,760 up, you should feel great, you should have energy. 600 00:33:21,120 --> 00:33:24,960 And then cortisol slowly decreases throughout the day so 601 00:33:24,960 --> 00:33:27,000 that it's preparing you for sleep at night. 602 00:33:28,160 --> 00:33:30,880 And then it should stay low throughout the night and then 603 00:33:30,880 --> 00:33:34,320 peak again in the morning. But a lot of times, because 604 00:33:34,320 --> 00:33:38,160 we're in OverDrive, we have high cortisol levels, which makes us 605 00:33:38,200 --> 00:33:40,000 gain weight around the midsection. 606 00:33:40,000 --> 00:33:42,480 And no amount of exercise is going to fix that. 607 00:33:43,200 --> 00:33:46,760 Cortisol is also impacted by insulin and your blood sugar. 608 00:33:47,120 --> 00:33:49,840 And so many people don't sleep at night because their blood 609 00:33:49,840 --> 00:33:53,400 sugar crashes and then the adrenal glands secrete cortisol 610 00:33:53,400 --> 00:33:55,800 and then you're awake and then you can't go to sleep for 611 00:33:55,800 --> 00:33:59,000 another two hours. And so when our sleep and wake 612 00:33:59,000 --> 00:34:02,760 cycles are disrupted, we, we decrease the amount of time that 613 00:34:02,760 --> 00:34:06,120 we're healing, our digestion gets slowed down, so we get 614 00:34:06,120 --> 00:34:09,760 constipated. And your adrenal glands are 615 00:34:09,960 --> 00:34:15,520 really important for, for really your brain health as well. 616 00:34:15,719 --> 00:34:18,080 So adrenal function is important. 617 00:34:18,080 --> 00:34:21,719 And also it's also important for people to know that it's normal 618 00:34:21,719 --> 00:34:24,480 to have a cortisol spike in the morning and then it comes down 619 00:34:24,480 --> 00:34:27,000 at night. And sometimes people have such 620 00:34:27,239 --> 00:34:31,120 along high cortisol that eventually the adrenal glands 621 00:34:31,440 --> 00:34:34,239 can no longer respond to stress in the way that it should. 622 00:34:34,239 --> 00:34:36,880 And this is when we start to get all these chronic degenerative 623 00:34:36,880 --> 00:34:39,320 diseases. And it's highly tied to your 624 00:34:39,320 --> 00:34:41,800 blood sugar. So if you have a blood sugar 625 00:34:41,800 --> 00:34:44,760 issue, like especially pre diabetes, you know you're going 626 00:34:44,760 --> 00:34:47,960 to have an adrenal issue because your adrenal glands help balance 627 00:34:47,960 --> 00:34:51,600 blood sugar. And then you look at estrogen 628 00:34:51,600 --> 00:34:55,600 surges, testosterone surges, those will also trigger the 629 00:34:55,600 --> 00:34:59,760 immune system to attack the thyroid along with low thyroid 630 00:34:59,760 --> 00:35:03,560 hormones. So if you have low T3 or T4, 631 00:35:03,600 --> 00:35:06,440 that can be a trigger for the immune system to attack the 632 00:35:06,440 --> 00:35:09,040 thyroid. So a lot of women get frustrated 633 00:35:09,040 --> 00:35:11,840 that they've been prescribed these thyroid medications and 634 00:35:11,840 --> 00:35:14,360 they're not working, meaning like they don't feel any 635 00:35:14,360 --> 00:35:16,080 different. So they just stop taking the 636 00:35:16,080 --> 00:35:19,440 thyroid medication, which actually just keeps this vicious 637 00:35:19,440 --> 00:35:22,480 cycle going. So one of the the biggest 638 00:35:22,480 --> 00:35:26,000 fallacies is that women think that when they take their 639 00:35:26,000 --> 00:35:28,000 thyroid hormones, all is going to be well. 640 00:35:28,520 --> 00:35:30,600 And the reason they think that is because that's what they're 641 00:35:30,600 --> 00:35:32,840 told. And so they take the thyroid 642 00:35:32,840 --> 00:35:35,360 medication or the thyroid hormone and they don't lose 643 00:35:35,360 --> 00:35:38,680 weight and they don't have any extra energy and they still have 644 00:35:38,680 --> 00:35:41,160 the symptoms. And that's because some of these 645 00:35:41,160 --> 00:35:43,480 other underlying issues haven't been addressed. 646 00:35:43,800 --> 00:35:47,000 So when you start to fix the hormones and your blood sugar 647 00:35:47,000 --> 00:35:50,720 and your cortisol, and you also have to look at underlying 648 00:35:50,720 --> 00:35:55,280 infections, whether it's bacterial, yeast, fungus, viral, 649 00:35:55,280 --> 00:35:59,000 parasitic infections will be a trigger for the immune system. 650 00:35:59,280 --> 00:36:02,680 You have food sensitivities that also trigger the immune system. 651 00:36:02,920 --> 00:36:04,880 And then you have to look at gut health as well. 652 00:36:05,040 --> 00:36:06,960 So those are pretty much all the triggers. 653 00:36:07,200 --> 00:36:11,520 Now, nobody has just one. Most people don't have all of 654 00:36:11,520 --> 00:36:16,560 them, but many people have. I would say probably like 4-4 or 655 00:36:16,560 --> 00:36:21,440 five of them. Yeah, there's a lot of a lot of 656 00:36:21,440 --> 00:36:22,880 moving targets. People got to get dialed in. 657 00:36:22,880 --> 00:36:27,760 How do you recommend people take action and figure out what their 658 00:36:27,760 --> 00:36:30,920 body specifically needs? Like if they've got, you know, a 659 00:36:31,160 --> 00:36:33,680 healthy amount of stress that they're actually prioritizing 660 00:36:33,680 --> 00:36:36,360 sleep, getting good quality sleep if they're not drinking 661 00:36:36,360 --> 00:36:40,040 energy drinks all day long over caffeinating, if they're eating 662 00:36:40,040 --> 00:36:43,160 good quality foods. I'm assuming the best path for 663 00:36:43,160 --> 00:36:46,040 people to take is to actually get some labs drawn, see what 664 00:36:46,040 --> 00:36:48,040 their markers are looking like, see where they have 665 00:36:48,040 --> 00:36:49,840 deficiencies, and then adjust from there. 666 00:36:50,400 --> 00:36:53,760 Yeah, exactly. So I have a thyroid 667 00:36:53,760 --> 00:36:57,960 transformation blueprint. And the first pillar is that we 668 00:36:57,960 --> 00:37:00,720 have to have goals, right? We have to have a constant 669 00:37:00,720 --> 00:37:03,520 pursuit of our goals. So what is our health goals? 670 00:37:03,520 --> 00:37:04,840 What is it that we're willing to do? 671 00:37:04,840 --> 00:37:07,800 What are we trying to do? And make sure that those goals 672 00:37:07,800 --> 00:37:11,160 are solid and that you have motivations for why you want to 673 00:37:11,160 --> 00:37:13,320 achieve those goals. So that's what helps keep you 674 00:37:13,320 --> 00:37:15,240 moving forward. And I think a lot of people 675 00:37:15,240 --> 00:37:19,000 think that health is always on an upward trajectory, but it's 676 00:37:19,000 --> 00:37:21,560 kind of like up and down. As long as we're moving in the 677 00:37:21,560 --> 00:37:24,560 right direction and we're heading towards health, you 678 00:37:24,560 --> 00:37:27,440 know, that's the that's the progress that you should expect. 679 00:37:27,760 --> 00:37:31,320 Now the next thing is you have to have comprehensive testing. 680 00:37:31,640 --> 00:37:35,880 So as it pertains to thyroid, when you go to your doctor and 681 00:37:35,880 --> 00:37:38,560 you say I have all of these symptoms and I think I have low 682 00:37:38,560 --> 00:37:42,520 thyroid because now we have doctor Google he's, he or she 683 00:37:42,520 --> 00:37:45,280 will say, OK, let's run your let's check your thyroid. 684 00:37:45,280 --> 00:37:48,200 And most of the time they just check ATSH. 685 00:37:48,520 --> 00:37:53,320 If they're lucky, they may do AT4, maybe a, a thyroid panel 686 00:37:53,320 --> 00:37:58,680 which includes AT4AT3 uptake and an FTI. 687 00:37:59,040 --> 00:38:02,560 Now there are actually 12 different markers that make up a 688 00:38:02,560 --> 00:38:06,640 full thyroid panel and the, and you have to, you can't just look 689 00:38:06,640 --> 00:38:08,320 at the thyroid. You've got to look at your blood 690 00:38:08,320 --> 00:38:10,480 sugar and you've got to look at infections and you've got to 691 00:38:10,480 --> 00:38:13,880 look at your gut and you've got to look at inflammatory markers. 692 00:38:13,880 --> 00:38:15,920 Like all those things that we talked about. 693 00:38:16,320 --> 00:38:18,600 That is what comprehensive testing looks like. 694 00:38:18,640 --> 00:38:21,400 A lot of people, if they've heard me talk or they've done 695 00:38:22,160 --> 00:38:25,360 checked with doctor Google, there's many different markers 696 00:38:25,360 --> 00:38:28,240 outside of just that TSH and they think that that's 697 00:38:28,240 --> 00:38:30,680 comprehensive testing. Well, that's looking at the 698 00:38:30,680 --> 00:38:32,640 thyroid in a more comprehensive way. 699 00:38:32,640 --> 00:38:35,280 But remember, the thyroid doesn't work in a vacuum. 700 00:38:35,560 --> 00:38:39,680 So you have to truly test all of those different underlying 701 00:38:39,680 --> 00:38:43,040 triggers to figure out, OK, which ones am I dealing with? 702 00:38:43,400 --> 00:38:45,760 Which ones are the most priority? 703 00:38:45,760 --> 00:38:47,600 And that's what I'm going to start working on. 704 00:38:47,880 --> 00:38:51,640 It's, you know, we when we take thyroid supplements and or 705 00:38:51,640 --> 00:38:54,760 thyroid medication and we don't feel great, we stopped taking 706 00:38:54,760 --> 00:38:56,280 that. And then we say, OK, maybe it's 707 00:38:56,280 --> 00:38:59,000 a blood sugar issue and then we start working on that. 708 00:38:59,000 --> 00:39:01,960 But we're not working on what's causing blood sugar issues 709 00:39:02,240 --> 00:39:05,920 because most of us think that what causes us to have a blood 710 00:39:05,920 --> 00:39:09,800 sugar issue is our food. And food does impact it. 711 00:39:09,800 --> 00:39:12,600 But if you have an underlying infection, it's going to raise 712 00:39:12,600 --> 00:39:15,840 your blood sugar. If you have a high toxic load, 713 00:39:15,840 --> 00:39:17,560 it's going to impact your blood sugar. 714 00:39:17,760 --> 00:39:21,400 They're actually toxins that are called diabetogens that sit on 715 00:39:21,400 --> 00:39:24,960 top of insulin receptor sites. And if you're dealing with a 716 00:39:24,960 --> 00:39:28,720 high toxic load, you can have the most perfect diet and your 717 00:39:28,720 --> 00:39:31,480 weight's not going to move. And you wonder why. 718 00:39:31,480 --> 00:39:34,000 Why is this not working for me? It's because there's other 719 00:39:34,000 --> 00:39:37,840 things that are causing your blood sugar issue or other 720 00:39:37,840 --> 00:39:40,240 things that are causing the symptoms that you're dealing 721 00:39:40,240 --> 00:39:42,320 with. So you have to have full 722 00:39:42,320 --> 00:39:46,240 comprehensive testing. And then the next pillar is that 723 00:39:46,240 --> 00:39:49,680 you have to have a comprehensive analysis and diagnosis. 724 00:39:50,120 --> 00:39:54,520 So I just got off the a call with someone right before this 725 00:39:54,520 --> 00:39:58,520 podcast. He was a spouse of a patient and 726 00:39:58,520 --> 00:40:00,600 he said, I'm, I'm totally healthy. 727 00:40:00,760 --> 00:40:03,320 I'm doing really great. I just need to lose weight. 728 00:40:03,880 --> 00:40:07,080 I'm like, oh, he's like, I've looked at my labs and my iron 729 00:40:07,080 --> 00:40:11,360 was high, so I'm gonna go donate blood, but everything else looks 730 00:40:11,360 --> 00:40:12,800 good. I'm like, oh, that's 731 00:40:12,800 --> 00:40:16,760 interesting. So I go through his labs and his 732 00:40:16,760 --> 00:40:18,960 insulin is outside of the lab range. 733 00:40:19,240 --> 00:40:23,280 His cholesterol is high, his triglycerides are high. 734 00:40:23,280 --> 00:40:27,440 He's got a UTI, he's got an underlying viral pattern. 735 00:40:27,600 --> 00:40:30,080 He's like, yeah, I took it to my doctor and he said everything is 736 00:40:30,080 --> 00:40:32,440 looking great. And I said, OK, you're on 737 00:40:32,440 --> 00:40:37,200 metformin, you're on a statin, you're on a Zep bound, which is, 738 00:40:37,200 --> 00:40:41,840 you know, a GLP, one agonist. I'm like, OK, so the difference 739 00:40:41,840 --> 00:40:45,800 of health, what you're thinking of is healthy and you're just 740 00:40:45,800 --> 00:40:48,760 saying that you're not sick. That doesn't mean that you're 741 00:40:48,760 --> 00:40:51,400 not over, you're over here in optimal health. 742 00:40:51,400 --> 00:40:54,960 And I think that that's really important because most of the 743 00:40:54,960 --> 00:40:57,600 time in traditional medicine, when they're looking at your 744 00:40:57,600 --> 00:41:00,880 labs, they're looking to diagnose a disease that they can 745 00:41:00,880 --> 00:41:04,160 give you a medication for. They're not looking, are you 746 00:41:04,160 --> 00:41:07,880 functioning in an optimal way? Are you in complete optimal 747 00:41:07,880 --> 00:41:10,120 health? And most of the time, if we have 748 00:41:10,120 --> 00:41:13,400 a symptom, that's not the case because the way your body 749 00:41:13,400 --> 00:41:16,120 communicates, indicates with you is that if there's an underlying 750 00:41:16,120 --> 00:41:18,760 imbalance that it can't overcome, then it's going to 751 00:41:18,760 --> 00:41:21,600 give you a symptom. And it's our job to figure out, 752 00:41:21,600 --> 00:41:23,880 okay, where is that symptom coming from? 753 00:41:23,880 --> 00:41:26,720 What is this underlying imbalance that's creating this 754 00:41:26,720 --> 00:41:28,920 issue? And once you resolve that 755 00:41:28,920 --> 00:41:31,920 underlying imbalance, then the symptom goes away because it no 756 00:41:31,920 --> 00:41:35,560 longer has a purpose. And so really getting someone 757 00:41:35,560 --> 00:41:39,840 who understands what goals you have, are your goals to reach 758 00:41:39,840 --> 00:41:44,600 optimal health or are your goals just to suppress symptoms and 759 00:41:44,840 --> 00:41:46,600 slow down the progression of a disease? 760 00:41:46,920 --> 00:41:51,160 So if your goals are to achieve optimal health and truly get 761 00:41:51,160 --> 00:41:54,280 down to the root cause, you have to have someone who's trained 762 00:41:54,280 --> 00:41:57,400 and understands how to look at things like that, not just to 763 00:41:57,400 --> 00:41:59,520 diagnose disease and give you a medication. 764 00:41:59,760 --> 00:42:04,000 So that is really important. And then from there, only from 765 00:42:04,000 --> 00:42:07,640 there can you customize treatment plans because I think 766 00:42:07,640 --> 00:42:11,560 a lot of people they go from symptom to treatment and when 767 00:42:11,560 --> 00:42:13,920 you go from symptom to treatment, you're guessing. 768 00:42:14,160 --> 00:42:18,280 And that's when we go into our health food stores and we say, I 769 00:42:18,280 --> 00:42:21,480 really think I've got an adrenal issue so give me an adrenal 770 00:42:21,480 --> 00:42:23,680 supplement. I think I must have a liver 771 00:42:23,680 --> 00:42:26,400 issue. So let me take a detox, detox 772 00:42:26,400 --> 00:42:28,560 supplements and maybe it's a blood sugar thing. 773 00:42:28,560 --> 00:42:32,480 So they take cinnamon. But if if you're not getting 774 00:42:32,480 --> 00:42:36,040 down to the root cause, the of you resolving the underlying 775 00:42:36,040 --> 00:42:41,600 symptom is is small and and you may be lucky, but you're not 776 00:42:41,600 --> 00:42:44,880 going to. It's really not directed in true 777 00:42:44,880 --> 00:42:48,480 science and customized based on your underlying imbalances. 778 00:42:50,240 --> 00:42:52,080 Yeah, it's unfortunate because so many of these tests that 779 00:42:52,080 --> 00:42:54,640 people are getting, you know, they've got their healthy 780 00:42:54,640 --> 00:42:58,440 parameter range on the, you know, desired window there, but 781 00:42:58,440 --> 00:43:02,120 that that parameter is based off an average population that's not 782 00:43:02,120 --> 00:43:03,560 a healthy population to begin with. 783 00:43:03,560 --> 00:43:06,240 So it's probably the furthest thing from optimal. 784 00:43:06,240 --> 00:43:11,000 And do you know of any like good graphs that show what optimal is 785 00:43:11,000 --> 00:43:13,640 that people can measure against that as opposed to just the 786 00:43:13,640 --> 00:43:17,040 print out they get from their their LabCorp request diagnostic 787 00:43:17,040 --> 00:43:21,320 center? Well, I don't necessarily know 788 00:43:21,320 --> 00:43:24,640 of a graph. I know the research that I've 789 00:43:24,640 --> 00:43:27,920 done and all the years of experience. 790 00:43:28,320 --> 00:43:33,160 I have memorized all of the optimal ranges and I actually 791 00:43:33,160 --> 00:43:39,000 have a, a print out or a downloadable PDF of all of the 792 00:43:39,000 --> 00:43:41,280 thyroid. Like the, I tell you that 793 00:43:41,280 --> 00:43:44,240 there's 12 markers that make up a complete thyroid panel. 794 00:43:44,440 --> 00:43:48,400 And I also have the optimal ranges with that, which I can 795 00:43:48,400 --> 00:43:50,560 certainly make available to your viewers. 796 00:43:51,520 --> 00:43:55,080 But I don't know of any kind of other resource that has it all 797 00:43:55,080 --> 00:43:58,760 put together that I'm aware of that gives you all the optimal 798 00:43:58,760 --> 00:44:01,000 ranges. But I think it's important too, 799 00:44:01,000 --> 00:44:05,320 to understand that the, you have to know which test to order to, 800 00:44:05,560 --> 00:44:08,880 to kind of put everything together and understand 801 00:44:08,880 --> 00:44:12,240 patterns. So it's not just about like for 802 00:44:12,240 --> 00:44:16,240 example, many people with low thyroid and who have insulin 803 00:44:16,240 --> 00:44:19,800 resistance issues have a fatty liver pattern and that means 804 00:44:19,800 --> 00:44:22,880 that their liver cells are dying off and they're turning into 805 00:44:22,880 --> 00:44:26,440 fat. Now you can diagnose that by 806 00:44:26,440 --> 00:44:28,800 looking at the laboratory ranges. 807 00:44:28,800 --> 00:44:31,800 If they're outside of the laboratory ranges. 808 00:44:32,720 --> 00:44:38,440 But there's a pattern like AST and ALT are those liver enzymes 809 00:44:38,760 --> 00:44:42,360 and they should be between 10 and 19 and the lab range is like 810 00:44:42,400 --> 00:44:46,080 zero to 44. But the pattern is if those 811 00:44:46,080 --> 00:44:51,040 liver enzymes are above 19 and triglycerides are above 100, 812 00:44:51,360 --> 00:44:54,480 that's the beginning signs of this fatty liver pattern. 813 00:44:54,800 --> 00:44:57,800 And the crazy thing is you can even see that in ultrasound 814 00:44:57,800 --> 00:44:59,920 before we can see that pattern on blood. 815 00:45:00,280 --> 00:45:03,640 But most of the time it doesn't get diagnosed until those liver 816 00:45:03,640 --> 00:45:08,160 enzymes are above 40 and 50 in the outside of the lab ranges. 817 00:45:08,280 --> 00:45:10,160 So you have to be able to look at patterns. 818 00:45:10,160 --> 00:45:13,680 It's not just looking at like liver enzymes, but you got to be 819 00:45:13,680 --> 00:45:15,480 able to correlate different patterns. 820 00:45:17,120 --> 00:45:19,640 So it goes far beyond just getting your generic annual 821 00:45:19,640 --> 00:45:22,360 physical and then looking for any red markers on your print 822 00:45:22,360 --> 00:45:23,920 out. Yeah, exactly. 823 00:45:25,640 --> 00:45:28,320 What is the typical demographic? Like the patients that you're 824 00:45:28,320 --> 00:45:31,400 working with, what are they typically dealing with? 825 00:45:32,480 --> 00:45:35,200 What what are they coming to you specifically for? 826 00:45:35,400 --> 00:45:38,120 When do they honestly know that there is an issue to begin with? 827 00:45:38,120 --> 00:45:41,760 Like who is your general avatar? Patient demographic I guess. 828 00:45:41,960 --> 00:45:46,680 Yeah, my patient demographic is typically somewhere between 50 829 00:45:46,680 --> 00:45:49,600 and 65. Now certainly we have, we have 830 00:45:49,600 --> 00:45:52,120 women on the outsides of that for sure. 831 00:45:52,560 --> 00:45:55,640 But I think 50 and 65 is typical. 832 00:45:55,920 --> 00:45:58,280 And they've all been dealing with low thyroid issues for 833 00:45:58,280 --> 00:46:00,640 decades. And I think they've tried every 834 00:46:00,640 --> 00:46:02,400 diet, just like I tried every diet. 835 00:46:02,920 --> 00:46:06,240 They have a diagnosis. They've been told that the 836 00:46:06,240 --> 00:46:09,320 reason they feel like they feel is because of their age. 837 00:46:09,640 --> 00:46:11,560 They say, oh, it's because of menopause. 838 00:46:11,560 --> 00:46:15,440 And when you get told that when it's age or menopause, what are 839 00:46:15,440 --> 00:46:18,120 you going to do about that? Nothing like there's nothing we 840 00:46:18,120 --> 00:46:20,440 can do about our age and there's nothing you can do about the 841 00:46:20,440 --> 00:46:23,800 phase of life that you're in. So I think that most of these 842 00:46:23,800 --> 00:46:26,760 women are frustrated. They've been dealing with it for 843 00:46:26,760 --> 00:46:28,760 a long time. They haven't found anything 844 00:46:28,760 --> 00:46:32,080 that's worked. And so, you know, that is when 845 00:46:32,080 --> 00:46:36,240 they stumble upon me and you know, all of the women that I've 846 00:46:36,240 --> 00:46:38,800 I've worked with, that's when they start to get excited and 847 00:46:38,800 --> 00:46:43,200 they start to have hope again with. 848 00:46:43,280 --> 00:46:47,800 The popularity that has arose arisen from, you know, HRT, 849 00:46:48,880 --> 00:46:51,440 bioidentical hormones. I mean, it seems like I haven't 850 00:46:51,440 --> 00:46:53,880 got a conversation around that almost on a daily basis these 851 00:46:53,880 --> 00:46:56,280 days, whereas you didn't really hear that at all 5-10 years ago 852 00:46:56,280 --> 00:46:58,800 it seems. What's, I mean, it's kind of 853 00:46:58,800 --> 00:47:00,520 like the Wild West in certain regards. 854 00:47:00,520 --> 00:47:03,800 And I feel like a lot of these doctors are prescribing HRT 855 00:47:03,800 --> 00:47:07,000 without a comprehensive view of what downstream effects are. 856 00:47:07,360 --> 00:47:13,200 So when you are a menopausal woman that's going on HRT, what 857 00:47:13,200 --> 00:47:16,960 can they expect that to do to thyroid health and function if 858 00:47:16,960 --> 00:47:20,000 that conversation is not had and just tested for at the onset? 859 00:47:21,840 --> 00:47:25,600 OK, so you're right. Hormone replacement therapy 860 00:47:25,600 --> 00:47:27,640 right now is the wild, Wild West. 861 00:47:27,640 --> 00:47:32,280 There are no solid guidelines and doctors are really just 862 00:47:32,280 --> 00:47:35,480 trying to figure out where they start and how they manipulate 863 00:47:35,480 --> 00:47:39,480 this. And my biggest beef with women 864 00:47:39,480 --> 00:47:42,280 going on hormone replacement therapy is that they're not 865 00:47:42,280 --> 00:47:45,200 tested. They are not tested thoroughly 866 00:47:45,200 --> 00:47:50,440 to understand what is like urine, blood and saliva, to 867 00:47:50,440 --> 00:47:53,560 understand free fraction form, what's at the tissue level, 868 00:47:53,560 --> 00:47:56,680 what's floating in the blood and how is the body metabolizing 869 00:47:56,680 --> 00:47:59,960 those hormones. So understanding full thyroid 870 00:47:59,960 --> 00:48:02,360 Physiology is extremely important. 871 00:48:02,680 --> 00:48:05,920 And then once women get put on these hormone replacement 872 00:48:05,920 --> 00:48:09,280 therapies, are we testing to make sure that they're not 873 00:48:09,280 --> 00:48:13,000 metabolizing this down the wrong pathway, increasing their risk 874 00:48:13,120 --> 00:48:16,080 for estrogen dominant cancers? So yes, even though it's 875 00:48:16,080 --> 00:48:19,400 bioidentical, if they are pushing this down the four 876 00:48:19,400 --> 00:48:23,920 hydroxy or 16 hydroxy pathway, they're increasing their risk 877 00:48:23,920 --> 00:48:27,120 for estrogen dominant cancers. The other thing that's really 878 00:48:27,120 --> 00:48:31,920 important is, you know, understanding that women who 879 00:48:31,920 --> 00:48:35,520 have an autoimmune disease, they get triggered when they have 880 00:48:35,520 --> 00:48:38,640 these big estrogen surges or testosterone surges. 881 00:48:38,920 --> 00:48:41,360 It can be a trigger for autoimmunity. 882 00:48:41,600 --> 00:48:45,640 So we have to look at the person in front of us, understand the 883 00:48:45,640 --> 00:48:49,280 full aspects of their health history and where they're at, 884 00:48:49,600 --> 00:48:53,160 and then continuing to test them to make sure that they're on the 885 00:48:53,160 --> 00:48:56,080 right dosage, that they're metabolizing this properly. 886 00:48:56,280 --> 00:48:59,360 If they're not, how do we support them in that way is 887 00:48:59,360 --> 00:49:03,600 going to be very, very important and not just sticking them on 888 00:49:03,600 --> 00:49:08,400 these hormones for eternity. And I see people, women who have 889 00:49:08,400 --> 00:49:12,880 hormones as high, higher than a menstruating female. 890 00:49:13,480 --> 00:49:16,680 I'm like, I don't think estrogen is supposed to be like 2 times 891 00:49:16,680 --> 00:49:18,400 higher than when we are menstruating. 892 00:49:18,600 --> 00:49:21,760 And then they wonder why they have a hard time losing weight. 893 00:49:21,760 --> 00:49:25,560 So I think that there's benefits to using hormone replacement 894 00:49:25,560 --> 00:49:27,840 therapy. I think that we don't have 895 00:49:28,240 --> 00:49:31,960 enough guidelines and understanding of how these 896 00:49:31,960 --> 00:49:33,560 hormones are working in the body. 897 00:49:33,880 --> 00:49:37,800 I always look at it like Plinko, you know, the game Plinko, you 898 00:49:37,800 --> 00:49:40,440 might be too young, like on the Price is Right. 899 00:49:40,440 --> 00:49:44,680 So they just drop it at the top and then it kind of goes and you 900 00:49:44,680 --> 00:49:48,240 have no control over what the body is doing with that hormone. 901 00:49:48,240 --> 00:49:50,800 It's like we are going to hope for the best, but we have no 902 00:49:50,800 --> 00:49:54,280 idea how it's metabolizing it, how it's going to stay in the 903 00:49:54,280 --> 00:49:57,480 body, what it's going to do. And so it's literally just 904 00:49:57,480 --> 00:49:59,320 guessing and hoping for the best. 905 00:49:59,680 --> 00:50:04,160 And the other thing that's important is that hormones, in 906 00:50:04,160 --> 00:50:07,920 my opinion, are at the bottom, at the end of a metabolic 907 00:50:07,920 --> 00:50:10,880 pathway. So for me, I'm not saying that 908 00:50:10,880 --> 00:50:14,480 hormones are all bad, but what I'm saying is why do we have low 909 00:50:14,480 --> 00:50:18,160 hormones in the 1st place? Because postmenopausal women are 910 00:50:18,160 --> 00:50:22,720 supposed to have a certain amount and a healthy amount of 911 00:50:22,720 --> 00:50:24,960 estrogen, progesterone and testosterone. 912 00:50:25,920 --> 00:50:29,840 If they're below a pre a postmenopausal range, we need to 913 00:50:29,840 --> 00:50:31,960 ask the question why? Right. 914 00:50:31,960 --> 00:50:35,120 So if we have low estrogen and testosterone, well, what does 915 00:50:35,120 --> 00:50:37,840 DHEA look like? Okay, DHEA is low. 916 00:50:37,840 --> 00:50:41,120 Well, why is DHEA low? Well, because the adrenal glands 917 00:50:41,120 --> 00:50:44,120 are not functioning well. So what else is going on at the 918 00:50:44,120 --> 00:50:46,280 adrenal level? Are they in constant fight or 919 00:50:46,280 --> 00:50:49,560 fly and have high cortisol? So all of the resources are 920 00:50:49,560 --> 00:50:54,160 being pushed into cortisol and not into estrogen or DHEA so 921 00:50:54,160 --> 00:50:56,320 that it can go into estrogen and testosterone. 922 00:50:56,680 --> 00:51:01,560 So understanding like why we have low hormones, because if 923 00:51:01,600 --> 00:51:05,360 you're over supplementing with estrogen, you're going to push 924 00:51:05,360 --> 00:51:08,880 DHEA down, right? Like it all, there's so many 925 00:51:08,880 --> 00:51:11,400 other impacts. Hormones affect, you know, the 926 00:51:11,400 --> 00:51:15,200 whole body and they don't just affect like it doesn't just 927 00:51:15,200 --> 00:51:18,760 affect estrogen, it affects DHEA and adrenal function and 928 00:51:18,880 --> 00:51:22,360 testosterone and everything is impacted by these hormones. 929 00:51:22,360 --> 00:51:25,720 So really having a better understanding of how hormones 930 00:51:25,720 --> 00:51:27,960 work. And also if we can keep asking 931 00:51:27,960 --> 00:51:31,400 the question, why, why are these hormones so low? 932 00:51:31,400 --> 00:51:33,520 And can we work at a root cause level? 933 00:51:34,360 --> 00:51:36,120 I think that that's a a better approach. 934 00:51:37,560 --> 00:51:38,600 Yeah. No, I totally agree. 935 00:51:38,600 --> 00:51:41,240 It seems that the general consensus has just moved to them 936 00:51:41,240 --> 00:51:45,400 being a pro, you know, through and through without much thought 937 00:51:45,400 --> 00:51:48,280 given towards any repercussions downstream, which has been 938 00:51:48,280 --> 00:51:51,120 frustrating for me because I'd like to take a more holistic, 939 00:51:51,120 --> 00:51:54,320 comprehensive approach. So of the, you know, 50 to 65 940 00:51:54,320 --> 00:51:56,440 year demographic that you're typically working with over the 941 00:51:56,440 --> 00:52:01,040 past five years, is there any idea, general thought as to what 942 00:52:01,040 --> 00:52:04,440 percentage of those patients have been prescribed HRT before 943 00:52:04,440 --> 00:52:08,560 coming to you? You know, if I was just to 944 00:52:08,560 --> 00:52:13,040 guess, I would probably say 50% of them have. 945 00:52:13,120 --> 00:52:16,480 And I think that the reason that they're coming to me is that 946 00:52:16,480 --> 00:52:19,960 they may be same thing with thyroid hormones, right? 947 00:52:19,960 --> 00:52:22,600 So they felt good for a little bit and then they went back to 948 00:52:22,680 --> 00:52:26,640 not feeling good and then they got on HRT and they felt good 949 00:52:26,640 --> 00:52:29,920 for a little bit, but now they don't feel so good or they got 950 00:52:29,920 --> 00:52:33,080 on HRT and they all fell apart. When they fall apart after 951 00:52:33,080 --> 00:52:36,360 getting on HRT, I know it's just they had an immune response, 952 00:52:36,880 --> 00:52:38,840 right? So that that doctor didn't 953 00:52:38,840 --> 00:52:42,840 understand that estrogen and testosterone surges can cause an 954 00:52:42,840 --> 00:52:46,160 immune attack on the body. So I would say a good percentage 955 00:52:46,160 --> 00:52:48,280 of them have been on hormone replacement. 956 00:52:48,280 --> 00:52:50,680 And then from what I do is just do the testing. 957 00:52:51,040 --> 00:52:53,680 Do they do well on hormone replacement it are they 958 00:52:53,680 --> 00:52:56,760 metabolizing it properly? You know, what are their adrenal 959 00:52:56,760 --> 00:52:59,200 glands looking like and making sure that they're good. 960 00:52:59,200 --> 00:53:02,640 Some of them are doing great. Others I'm like, Oh my God, they 961 00:53:02,640 --> 00:53:07,080 have you on like, you know, a 16 year old dose of estrogen when 962 00:53:07,080 --> 00:53:10,040 you are 65, you probably don't need that much estrogen and your 963 00:53:10,040 --> 00:53:12,600 estrogen dominant, your progesterone's all out of 964 00:53:12,600 --> 00:53:16,240 balance with your estrogen. So it's, it's really trying to, 965 00:53:16,600 --> 00:53:19,360 you know, give see the patient for where they're at and then 966 00:53:19,360 --> 00:53:22,320 make the appropriate changes based on how they're doing and 967 00:53:22,320 --> 00:53:25,120 their Physiology. Totally agree. 968 00:53:25,280 --> 00:53:27,640 Totally agree. What about, I forget the name of 969 00:53:27,640 --> 00:53:31,640 it, but there's that popular, you know, pig thyroid medication 970 00:53:31,640 --> 00:53:35,360 that's supposed to improve are you know, natural up regulation 971 00:53:35,360 --> 00:53:37,560 of thyroid function. Do you have a thought towards 972 00:53:37,560 --> 00:53:38,920 that at all? Yeah. 973 00:53:38,920 --> 00:53:43,640 So that is Armor thyroid and Armor thyroid is a natural like 974 00:53:43,640 --> 00:53:48,040 desiccated pig thyroid and it has T4 and T3 in it. 975 00:53:49,400 --> 00:53:54,520 And I would say this, I don't necessarily have any major 976 00:53:54,520 --> 00:53:57,920 preference to what thyroid medication a patient is on. 977 00:53:58,680 --> 00:54:02,120 It all depends on how their body is absorbing it and processing 978 00:54:02,120 --> 00:54:04,040 it. So you will find some doctors 979 00:54:04,040 --> 00:54:07,920 who are like I only use Armor Thyroid, but some patients don't 980 00:54:07,920 --> 00:54:11,400 do well on Armor thyroid like they need more T4. 981 00:54:12,280 --> 00:54:15,720 So I just look at it like, OK, how is a patient doing? 982 00:54:15,720 --> 00:54:20,000 They already mostly come on prescription thyroid medication. 983 00:54:20,320 --> 00:54:23,160 Sometimes they have issues with Armor thyroid. 984 00:54:23,160 --> 00:54:25,920 They may have issues with Thinthroid or levothyroxine. 985 00:54:26,120 --> 00:54:30,000 They have an under conversion issue maybe from T4 to T3, so 986 00:54:30,000 --> 00:54:31,800 they're not converting it properly. 987 00:54:32,760 --> 00:54:35,800 So it's just looking and evaluating where the person is 988 00:54:35,800 --> 00:54:39,440 and not getting too hung up on a specific thyroid medication 989 00:54:39,720 --> 00:54:43,560 because again, it's important that we have enough thyroid 990 00:54:43,560 --> 00:54:45,880 hormones. But most of the issue that 991 00:54:45,880 --> 00:54:49,280 they're having is from all the other underlying triggers that 992 00:54:49,280 --> 00:54:52,720 haven't been addressed. Now there's other better, in my 993 00:54:52,720 --> 00:54:57,200 opinion, T4 hormones, which is tyrosine because it's super 994 00:54:57,200 --> 00:54:59,880 clean, like the Levothyroid toxin and Synthroid have 995 00:54:59,880 --> 00:55:02,640 cornstarch in it and some dairy in it. 996 00:55:02,640 --> 00:55:05,360 And you know, I've looked at it, but there's some rumors that it 997 00:55:05,360 --> 00:55:08,360 has gluten in it, but I couldn't be super clear about that. 998 00:55:08,360 --> 00:55:11,200 So some people just do not do well on that medication. 999 00:55:11,520 --> 00:55:16,200 And then tyrosin is super clean. I think it's a MCT oil with T4 1000 00:55:16,200 --> 00:55:19,200 and a gel cap. So if somebody needs AT 4, 1001 00:55:19,200 --> 00:55:22,640 that's a really good option. And then other people do really 1002 00:55:22,640 --> 00:55:26,200 well on Armor and some don't. So it's not necessarily about 1003 00:55:26,200 --> 00:55:29,640 the thyroid medication. Sometimes it is, but not always, 1004 00:55:29,640 --> 00:55:32,800 and usually it's the underlying triggers that are the biggest 1005 00:55:32,800 --> 00:55:35,560 issue. Totally. 1006 00:55:35,960 --> 00:55:39,200 How often should someone get these comprehensive panels? 1007 00:55:39,200 --> 00:55:41,120 It's going to be kind of case dependent based off of what 1008 00:55:41,120 --> 00:55:44,600 manipulations you're making, but as a general of them, how 1009 00:55:44,600 --> 00:55:47,000 frequently should someone get these comprehensive lab panels 1010 00:55:47,000 --> 00:55:50,080 drawn to see to give it enough time to actually see measurable 1011 00:55:50,080 --> 00:55:52,920 change but not wait too long between testing? 1012 00:55:53,200 --> 00:55:55,920 Yeah, like I just saw a patient this morning. 1013 00:55:56,520 --> 00:56:00,640 Her doctor sees her once a year and she lowered her medication 1014 00:56:00,640 --> 00:56:03,240 because she was in way over medicated. 1015 00:56:03,520 --> 00:56:06,040 She lowered her medication and I'm like, when are you going to 1016 00:56:06,040 --> 00:56:08,040 go back to see her? Cuz this isn't, this is 1017 00:56:08,040 --> 00:56:10,440 definitely not low enough because you're still in 1018 00:56:10,440 --> 00:56:12,680 hyperthyroid. She's like, oh, I'm not going 1019 00:56:12,680 --> 00:56:14,840 to, I'm not due to see her for another six months. 1020 00:56:14,840 --> 00:56:18,600 I'm like, Oh my gosh. So definitely not a year, but 1021 00:56:18,600 --> 00:56:21,840 that is typical. So most people get their, their 1022 00:56:21,840 --> 00:56:24,880 thyroid checked once a year, regardless if they're changing 1023 00:56:24,880 --> 00:56:27,480 or not. My patients, when I have them in 1024 00:56:27,480 --> 00:56:32,720 care, I do their labs every 45 to 60 days because when you're 1025 00:56:32,720 --> 00:56:35,840 treating the underlying root cause, the body heals pretty 1026 00:56:35,840 --> 00:56:38,680 quickly. And so I should expect to see 1027 00:56:38,680 --> 00:56:41,960 pretty significant changes within 45 to 60 days. 1028 00:56:42,240 --> 00:56:45,160 And then we continue that pattern until you know someone 1029 00:56:45,160 --> 00:56:48,640 has reached balance and and they're doing really well. 1030 00:56:50,600 --> 00:56:52,080 And then? And then after that, I would say 1031 00:56:52,120 --> 00:56:54,640 like every six months it would be appropriate. 1032 00:56:54,640 --> 00:56:57,480 That's about what I do. Every six months I do a a full 1033 00:56:57,480 --> 00:57:01,320 big blood panel. And you probably don't want to 1034 00:57:01,320 --> 00:57:05,160 make drastic shifts into your thyroid medication based off of 1035 00:57:05,600 --> 00:57:07,280 how you're feeling on a given day. 1036 00:57:07,280 --> 00:57:09,960 Like you kind of want to get it dialed in, hold a steady 1037 00:57:09,960 --> 00:57:14,400 baseline and then let that data come in 4560 days later and then 1038 00:57:14,400 --> 00:57:18,440 make a shift as necessary, not just, you know, change based off 1039 00:57:18,440 --> 00:57:21,440 of how you're feeling that day. Because I have had some patients 1040 00:57:21,440 --> 00:57:24,240 or some clients that have done that and I'm not their thyroid, 1041 00:57:24,440 --> 00:57:26,320 you know, doctor. So I'm, you know, not 1042 00:57:26,320 --> 00:57:28,840 prescribing them anything. But I'm like, if you're messing 1043 00:57:28,840 --> 00:57:31,000 with anything hormone related or thyroid related, you probably 1044 00:57:31,000 --> 00:57:33,840 don't want to shift on a regular recurring basis like that. 1045 00:57:34,880 --> 00:57:38,840 Yeah, I had a patient just the other day doing that and I said, 1046 00:57:38,840 --> 00:57:40,760 does your doctor know that you're doing this? 1047 00:57:40,760 --> 00:57:43,160 Like one day you take this and the next day if you don't feel 1048 00:57:43,160 --> 00:57:45,200 like it, you don't take that. She goes, yeah, she told me to 1049 00:57:45,200 --> 00:57:48,280 self medicate because my symptoms are so up and down. 1050 00:57:48,560 --> 00:57:52,360 So it is better to have consistent amount of thyroid 1051 00:57:52,360 --> 00:57:56,360 hormone in the body so that your your body is maintaining the 1052 00:57:56,360 --> 00:57:59,840 metabolic rate. And I will almost, it's almost 1053 00:57:59,840 --> 00:58:02,840 always that if you're having these big fluctuations in the 1054 00:58:02,840 --> 00:58:06,280 way that you feel, it's probably your blood sugar and not your 1055 00:58:06,280 --> 00:58:07,960 thyroid. And so then they're increasing 1056 00:58:07,960 --> 00:58:10,240 and decreasing, increasing their thyroid medication. 1057 00:58:10,240 --> 00:58:12,680 And that really isn't. That's not how the body 1058 00:58:12,680 --> 00:58:16,080 typically works. Yeah, cuz there's like a lag 1059 00:58:16,080 --> 00:58:18,520 time to everything. And if you don't give your body 1060 00:58:18,560 --> 00:58:21,520 the adequate time to acclimate to whatever changes you're 1061 00:58:21,520 --> 00:58:24,680 making, then you're making feedback that's based off of 1062 00:58:24,680 --> 00:58:27,880 inputs that were taking place, you know, weeks or months prior, 1063 00:58:27,880 --> 00:58:30,160 which is just, it's like shooting in the dark. 1064 00:58:30,160 --> 00:58:31,600 It's not gonna really work out well for you. 1065 00:58:31,960 --> 00:58:33,720 That's right. The only thing that you know 1066 00:58:33,720 --> 00:58:35,880 changes pretty quickly is your blood sugar, right? 1067 00:58:35,880 --> 00:58:39,000 Like your blood sugar can go up and down pretty quickly. 1068 00:58:39,320 --> 00:58:43,400 But like when you're dealing with Hashimoto's, I can tell I 1069 00:58:43,400 --> 00:58:46,120 have Hashimoto's. I can tell when I kind of am 1070 00:58:46,120 --> 00:58:49,360 over where I should because my heart rate will speed up or I'll 1071 00:58:49,360 --> 00:58:53,560 have like a heart palpitation. So to me, that means the immune 1072 00:58:53,560 --> 00:58:55,320 system just attacked the thyroid. 1073 00:58:55,440 --> 00:58:58,640 And I just got a little shot of, you know, thyroid hormones 1074 00:58:58,640 --> 00:59:00,480 because those thyroid cells died. 1075 00:59:00,480 --> 00:59:04,280 So I'd take a step back and I say, OK, how's my blood sugar? 1076 00:59:04,360 --> 00:59:08,000 How's my stress level? Do I feel like I have some kind 1077 00:59:08,000 --> 00:59:10,480 of infection? Like, where am I at? 1078 00:59:10,800 --> 00:59:13,640 And then a lot of people take that as like, oh, I need to 1079 00:59:13,640 --> 00:59:17,680 decrease my meds right now, but that it already happened, Like, 1080 00:59:17,680 --> 00:59:20,840 and it's not because they're usually over medicated. 1081 00:59:20,840 --> 00:59:23,160 It's because they just, you know, ate something. 1082 00:59:23,160 --> 00:59:25,840 Or did you get into gluten or dairy or some kind of food 1083 00:59:25,840 --> 00:59:30,160 sensitivity or some trigger that caused your immune system to 1084 00:59:30,160 --> 00:59:33,160 attack the thyroid And you're going to feel like you're you're 1085 00:59:33,160 --> 00:59:35,760 over medicated. But it shouldn't last that long. 1086 00:59:36,040 --> 00:59:38,320 And you should go back and look at the underlying trigger. 1087 00:59:40,360 --> 00:59:41,920 What? What do you do for stress? 1088 00:59:41,920 --> 00:59:44,920 Would you consider yourself a stressed person in general? 1089 00:59:46,600 --> 00:59:51,200 I don't have the personality of being stressed, but I will tell 1090 00:59:51,200 --> 00:59:56,200 you I am running a business. I've got two kids, I've got a 1091 00:59:56,280 --> 00:59:59,320 marriage, I have a farm, a regenerative farm. 1092 00:59:59,680 --> 01:00:02,920 I I'm always doing something, writing a book, developing an 1093 01:00:02,920 --> 01:00:05,520 app. I have I always over commit. 1094 01:00:05,520 --> 01:00:09,000 So do I stress my body out? Absolutely. 1095 01:00:09,280 --> 01:00:11,960 So but you. You have to balance that so that 1096 01:00:11,960 --> 01:00:14,720 you don't really, you're not stuck in this sympathetic 1097 01:00:14,720 --> 01:00:18,040 OverDrive. So for me, I'm always out with 1098 01:00:18,040 --> 01:00:22,440 my animals whenever I can. That will, that actually will 1099 01:00:22,440 --> 01:00:24,640 put you more into a parasympathetic state. 1100 01:00:24,920 --> 01:00:29,240 I'm always walking in nature. I meditate almost every single 1101 01:00:29,240 --> 01:00:33,920 day for at least an hour. I get into the sauna and I eat 1102 01:00:33,920 --> 01:00:36,960 really well. So I try to manage that stress 1103 01:00:37,280 --> 01:00:40,960 and I can always tell like when my when I'm tipping into that 1104 01:00:40,960 --> 01:00:45,600 distress instead of being in eustress, I always just take a 1105 01:00:45,600 --> 01:00:48,320 break and I have everybody around me to support me in that 1106 01:00:48,320 --> 01:00:49,520 way. So I've created that 1107 01:00:49,520 --> 01:00:51,880 environment. So when I need a break, I'm 1108 01:00:51,880 --> 01:00:55,640 like, I'm out. I am just taking a few hours off 1109 01:00:55,640 --> 01:00:57,880 or a day off and I just need to recuperate. 1110 01:00:58,120 --> 01:01:01,880 I prioritize sleep. I was just telling my husband he 1111 01:01:01,880 --> 01:01:04,400 woke up today and he's like, God, I really slept well last 1112 01:01:04,400 --> 01:01:07,600 night said me too. I'm like, I've been sleeping for 1113 01:01:07,600 --> 01:01:10,280 9 hours a night, which is very unusual. 1114 01:01:10,480 --> 01:01:12,320 And he goes, you're, you're recovering. 1115 01:01:12,560 --> 01:01:14,240 It's OK. I'm like, OK, you're right, 1116 01:01:15,120 --> 01:01:18,760 you're right. I that's OK for me to sleep for 1117 01:01:18,760 --> 01:01:22,560 9 hours a night. So I'd really try to manage the 1118 01:01:23,000 --> 01:01:27,560 stress that I pile on and what am I going to do to kind of 1119 01:01:27,720 --> 01:01:32,480 counterbalance that so that I'm also supporting parasympathetic. 1120 01:01:34,000 --> 01:01:37,040 Yeah, it's, it's a fine dance to make for sure, because I'm, I'm 1121 01:01:37,040 --> 01:01:39,000 in the same boat. Like I've got some my nutritions 1122 01:01:39,000 --> 01:01:43,120 dialed in, my training's optimized, but I just bring so 1123 01:01:43,120 --> 01:01:45,320 much to my plate. I mean, I own multiple 1124 01:01:45,320 --> 01:01:48,440 businesses, I've got clients. It's just like I love everything 1125 01:01:48,440 --> 01:01:50,040 I do too. And that makes it even trickier 1126 01:01:50,040 --> 01:01:53,040 because when you love everything you do, you just keep adding to 1127 01:01:53,040 --> 01:01:55,560 it. I'm burning my candle. 1128 01:01:55,560 --> 01:01:58,600 It all ends without a doubt. But I don't know that that 1129 01:01:58,600 --> 01:01:59,840 that's my Achilles heel for sure. 1130 01:01:59,840 --> 01:02:03,960 It's just being stressed. It's always a good stressed 1131 01:02:04,200 --> 01:02:06,520 mentally but like physiologically it probably 1132 01:02:06,520 --> 01:02:09,760 still wears on me just the same. Yeah, I think it's, you know, 1133 01:02:09,760 --> 01:02:14,320 for me, I have a huge mission, which is to truly change the 1134 01:02:14,320 --> 01:02:17,080 face of healthcare. And I really emphasize Women's 1135 01:02:17,080 --> 01:02:19,720 Health because I think women have the biggest circle of 1136 01:02:19,720 --> 01:02:22,480 influence. And so when you have that huge 1137 01:02:22,480 --> 01:02:26,680 mission, probably like you too, there's so many opportunities. 1138 01:02:26,680 --> 01:02:29,160 There's so many ways that people can be helped. 1139 01:02:29,640 --> 01:02:35,400 And so in order to do that at maximum productivity, your 1140 01:02:35,400 --> 01:02:37,400 health has to be your number one priority. 1141 01:02:37,840 --> 01:02:42,480 And I find that business owners and moms, a lot of times we 1142 01:02:42,480 --> 01:02:45,960 aren't prioritizing our health. And so all of our efforts and 1143 01:02:45,960 --> 01:02:49,600 our productivity and our brain function really suffers. 1144 01:02:49,920 --> 01:02:53,640 And so I made a commitment a long time ago that my health was 1145 01:02:53,640 --> 01:02:55,840 always going to be my number one priority. 1146 01:02:56,200 --> 01:03:00,640 And so that is, you know, how I can prioritize eating, working 1147 01:03:00,640 --> 01:03:02,240 out. I don't start my day until 1148 01:03:02,240 --> 01:03:05,800 10:00. I said nobody talk business to 1149 01:03:05,800 --> 01:03:07,920 me until after 10:00. Why? 1150 01:03:07,920 --> 01:03:09,920 Because I write my goals in the morning. 1151 01:03:10,080 --> 01:03:13,720 I have a good breakfast, I work out, I go talk to my animals, I 1152 01:03:13,720 --> 01:03:16,680 go harvest stuff in the garden. And then at 10:00, I'm ready to 1153 01:03:16,680 --> 01:03:18,640 go. And then I'm usually done by 1154 01:03:19,560 --> 01:03:23,160 7:00 PM, which I also go walk outside and do all of those 1155 01:03:23,160 --> 01:03:25,400 things. But you have to set your 1156 01:03:25,400 --> 01:03:27,760 boundaries and you have to set your priorities. 1157 01:03:27,760 --> 01:03:31,560 And I know for sure that if your health isn't your number one 1158 01:03:31,560 --> 01:03:34,320 priority, whatever it is that you do, whether you're an 1159 01:03:34,320 --> 01:03:37,960 entrepreneur and you're crazy like us or you're a crazy like 1160 01:03:37,960 --> 01:03:42,080 us mom or or whatever it is that you do, if your health isn't 1161 01:03:42,080 --> 01:03:44,320 your number one priority, everything else suffers. 1162 01:03:45,840 --> 01:03:47,200 Yeah. No, I completely agree, 1163 01:03:47,280 --> 01:03:49,640 Completely agree. I got another question for you. 1164 01:03:49,640 --> 01:03:52,840 This one's definitely a tangent, but what type of regenerative 1165 01:03:52,840 --> 01:04:00,240 farm you operate in there? Well, we decided in 2021 that we 1166 01:04:00,240 --> 01:04:02,680 were going to start a regenerative farm. 1167 01:04:02,880 --> 01:04:04,920 My husband really just wanted to be on land. 1168 01:04:04,920 --> 01:04:08,040 And then I was like, OK, let's go. 1169 01:04:08,360 --> 01:04:13,040 And so, you know, for us understanding and knowing that 1170 01:04:13,400 --> 01:04:17,040 there's a saying you are what you eat, but it goes way deeper 1171 01:04:17,040 --> 01:04:19,160 because you are what you eat eats. 1172 01:04:19,520 --> 01:04:24,240 And so the more that we are understanding what they're doing 1173 01:04:24,240 --> 01:04:25,920 to the animals that we're eating. 1174 01:04:26,240 --> 01:04:30,960 And I, I just remember in COVID, like reading something, seeing 1175 01:04:30,960 --> 01:04:34,720 an article or some post on Facebook or Instagram where the 1176 01:04:34,720 --> 01:04:38,680 slaughterhouses, no, the, the feedlots were killing hundreds 1177 01:04:38,680 --> 01:04:41,800 of cows. And I'm like, that's weird. 1178 01:04:41,800 --> 01:04:43,680 Why would they kill all of those cows? 1179 01:04:43,680 --> 01:04:46,320 Why don't they just wait a couple months and then process 1180 01:04:46,320 --> 01:04:48,360 them when when the processors open again? 1181 01:04:48,600 --> 01:04:52,080 Like that made no sense to me. But the more that I dug into 1182 01:04:52,080 --> 01:04:54,640 that story is that these cows are diabetic. 1183 01:04:55,160 --> 01:04:57,800 They literally would not have lived that long and they would 1184 01:04:57,800 --> 01:05:00,480 have these cows like dying and they wouldn't have any control 1185 01:05:00,480 --> 01:05:02,840 over that. So they went ahead and just 1186 01:05:02,840 --> 01:05:07,280 killed all of those cows. And I was like, I knew that cows 1187 01:05:07,280 --> 01:05:10,280 that ate grains were not great and I knew it was better if it 1188 01:05:10,280 --> 01:05:13,040 was grass fed because of the the omegas, right? 1189 01:05:13,040 --> 01:05:15,400 The Omega threes, nines, sixes that balance. 1190 01:05:15,720 --> 01:05:19,360 But I didn't realize that those cows were diabetic. 1191 01:05:19,920 --> 01:05:23,360 And if you're eating cows that are diabetic, it cannot be good 1192 01:05:23,360 --> 01:05:25,920 for you. You eating like sick animals 1193 01:05:25,920 --> 01:05:29,400 with chronic degenerative disease and then learning more 1194 01:05:29,400 --> 01:05:32,520 about all the pesticides and all the things that they put. 1195 01:05:32,520 --> 01:05:35,360 So I'm like, OK, if we're gonna move to land, great. 1196 01:05:35,360 --> 01:05:36,800 I'm gonna start a regenerative farm. 1197 01:05:36,800 --> 01:05:39,320 And my husband's like, Oh my God, what are we gonna do? 1198 01:05:39,880 --> 01:05:44,640 So I have cows. All of our animals are heritage 1199 01:05:44,640 --> 01:05:46,720 breeds, so they take longer to grow. 1200 01:05:46,720 --> 01:05:49,400 And they have been less genetically modified. 1201 01:05:49,680 --> 01:05:52,400 They're not really genetically modified, but less hybridized. 1202 01:05:53,000 --> 01:05:57,200 And when you learn that the the turkeys that we are eating can't 1203 01:05:57,200 --> 01:06:00,920 even procreate and they're artificially inseminated because 1204 01:06:00,920 --> 01:06:03,600 it makes a bigger breast and there's more meat, you're like, 1205 01:06:03,600 --> 01:06:07,040 Oh my gosh, that's crazy. So we have heritage turkeys, 1206 01:06:07,240 --> 01:06:10,040 heritage chickens, Highland cows. 1207 01:06:10,480 --> 01:06:13,480 We have sheep and pigs and, and a huge garden. 1208 01:06:13,480 --> 01:06:16,480 So we have all of that. I'm in the process of maybe 1209 01:06:16,480 --> 01:06:19,840 doing bees and goats, but I got to hire a a ranch manager to 1210 01:06:19,840 --> 01:06:21,760 help me because I can't do all of that. 1211 01:06:23,080 --> 01:06:25,160 No, this is this is super cool because we have we have 1212 01:06:25,160 --> 01:06:28,640 chickens, we raised lamb and I'm doing it all rotational grazing 1213 01:06:28,640 --> 01:06:30,520 as well. So like this is we're speaking 1214 01:06:30,520 --> 01:06:32,680 the same language here. I had a little hair sometime for 1215 01:06:32,680 --> 01:06:33,480 another. Hour. 1216 01:06:34,120 --> 01:06:35,760 Go ahead. Yeah, totally, totally. 1217 01:06:35,760 --> 01:06:37,080 I had Will Harris on the podcast. 1218 01:06:37,080 --> 01:06:40,080 I went and did a seminar at his ranch in in Georgia. 1219 01:06:40,080 --> 01:06:43,800 That was awesome. But yeah, I mean, we got bees. 1220 01:06:43,800 --> 01:06:45,840 Like I'm just going super deep in this as well. 1221 01:06:45,840 --> 01:06:47,520 We actually had a guy over this morning. 1222 01:06:47,520 --> 01:06:50,240 I'm probably going to buy some pigs from him to raise the pigs. 1223 01:06:51,040 --> 01:06:53,640 So yeah, this, I mean, we could definitely talk about this for 1224 01:06:53,640 --> 01:06:54,680 another hour because I love this. 1225 01:06:54,680 --> 01:06:56,160 What kind of pigs are you raising? 1226 01:06:57,760 --> 01:07:00,080 We haven't gotten him yet, so he's got a couple different 1227 01:07:00,080 --> 01:07:01,880 strains. I'm kind of leaning towards like 1228 01:07:01,880 --> 01:07:03,120 the Cooney Cooney's or something. 1229 01:07:03,120 --> 01:07:04,960 But I've you mentioned Highland cows. 1230 01:07:05,080 --> 01:07:07,240 How much land are y'all on that you're raising the cows on? 1231 01:07:07,520 --> 01:07:10,080 60 acres. So I don't have a lot of cows. 1232 01:07:10,080 --> 01:07:13,800 I have, yeah, I have like 6 or 7 cows. 1233 01:07:13,800 --> 01:07:15,920 We probably can't handle much more. 1234 01:07:16,040 --> 01:07:18,560 What I've learned, like the sheep and the goats, you can 1235 01:07:18,560 --> 01:07:21,000 have 10 sheep or 10 goats to one cow. 1236 01:07:21,400 --> 01:07:26,080 So, you know, it's, it's more efficient on smaller amounts of 1237 01:07:26,080 --> 01:07:28,320 land to have sheep and goats versus cows. 1238 01:07:28,320 --> 01:07:33,840 So we can't handle that much more cows than what we have by 1239 01:07:33,960 --> 01:07:37,680 and, and letting the grass rest for at least 60 days in between 1240 01:07:37,840 --> 01:07:40,560 when they graze. So we're we're trying to manage 1241 01:07:40,560 --> 01:07:42,840 that. But I have Cooney Cooney's also 1242 01:07:42,840 --> 01:07:47,280 and they are so great. I had old spots too, but we are 1243 01:07:47,280 --> 01:07:51,960 getting rid of the old spots. They're just not as friendly and 1244 01:07:52,560 --> 01:07:55,000 I don't know, I just, I feel like they would knock me over 1245 01:07:55,000 --> 01:07:57,880 and eat me if I fell in the paddock with them. 1246 01:07:58,200 --> 01:08:01,720 But the coonies, they get on your lap when they're babies and 1247 01:08:01,720 --> 01:08:03,720 they are just the most precious things. 1248 01:08:04,680 --> 01:08:08,120 Then we're actually processing our first kind of round of them. 1249 01:08:08,360 --> 01:08:11,680 But you know, I haven't ever had their meat, but I heard the 1250 01:08:11,680 --> 01:08:14,760 meat's great. But they're amazing, almost like 1251 01:08:14,760 --> 01:08:16,319 dogs. They're so amazing. 1252 01:08:17,439 --> 01:08:19,160 Yeah, and they're, they're, I mean, I've only heard good 1253 01:08:19,160 --> 01:08:20,720 things about that that breed as well. 1254 01:08:20,960 --> 01:08:23,640 I've heard really good things about the Highland cows. 1255 01:08:23,640 --> 01:08:26,000 There's like super Hardy from what I've read up on, like I've 1256 01:08:26,000 --> 01:08:29,040 never raised the cows. My uncle did way back in the 1257 01:08:29,040 --> 01:08:30,840 day. So I'm excited to get back into 1258 01:08:30,840 --> 01:08:32,920 it. But the lamb that we raised were 1259 01:08:32,920 --> 01:08:35,840 super easy. I mean, they were the easiest by 1260 01:08:35,840 --> 01:08:37,760 far. And we we, we kept them for an 1261 01:08:37,760 --> 01:08:39,560 additional year. So they kind of were more so 1262 01:08:39,560 --> 01:08:44,279 mutton than than than lamb, but they had more fat on them. 1263 01:08:44,319 --> 01:08:46,920 That was delicious. It was just super breezy. 1264 01:08:46,920 --> 01:08:49,880 And I feel like the more significance and importance you 1265 01:08:49,880 --> 01:08:52,920 put on the foods you eat, the more by default you care about 1266 01:08:52,920 --> 01:08:56,840 what that animal consumed. And it just makes sense that you 1267 01:08:57,000 --> 01:08:59,560 raise them if possible. I mean, I do a lot of hunting 1268 01:08:59,560 --> 01:09:02,160 too, but knowing your local rancher, if you're not raising 1269 01:09:02,160 --> 01:09:04,200 them yourself, just like becoming more connected with the 1270 01:09:04,200 --> 01:09:08,040 foods you eat so that circle of life is more complete and 1271 01:09:08,040 --> 01:09:10,520 transparent, I think is just incredibly important. 1272 01:09:11,160 --> 01:09:12,800 It is. And I think from an energetic 1273 01:09:12,800 --> 01:09:17,720 perspective, these animals are, you know, treated with love 1274 01:09:17,720 --> 01:09:21,359 every single day and they have great, amazing food and they're 1275 01:09:21,359 --> 01:09:24,200 in a no stress whatsoever environment. 1276 01:09:24,479 --> 01:09:27,800 I think that that also really infiltrates the food that we're 1277 01:09:27,800 --> 01:09:31,760 eating. 100% what state are you located in? 1278 01:09:32,200 --> 01:09:37,120 Texas Oh, and so Highlands, they told me Texas Highlands don't do 1279 01:09:37,120 --> 01:09:39,600 that great with the heat, but mine do really well. 1280 01:09:39,600 --> 01:09:42,359 But they do have access to water and they literally sit in the 1281 01:09:42,359 --> 01:09:44,880 pond all day long whenever it's hot. 1282 01:09:44,880 --> 01:09:46,840 But they they do, they do really well. 1283 01:09:48,680 --> 01:09:52,240 Well, I'm in Arkansas, so I mean pretty similar climate to Texas. 1284 01:09:52,240 --> 01:09:55,080 So yeah, I'm kind of leaning towards Highlands as our 1285 01:09:55,080 --> 01:09:57,640 accounts for sure. They're so sweet. 1286 01:09:57,640 --> 01:09:59,840 They let me brush them and they're really friendly. 1287 01:09:59,840 --> 01:10:03,680 I have one that's kind of bitchy, but all the other ones 1288 01:10:03,680 --> 01:10:06,680 are are super sweet. And we have a bull who is like, 1289 01:10:06,720 --> 01:10:08,880 oh, you could go sit on him and he would not care. 1290 01:10:09,120 --> 01:10:12,720 So they're all very docile, pretty sweet animals. 1291 01:10:14,080 --> 01:10:16,320 Love it, love it. Well, we could probably, like I 1292 01:10:16,320 --> 01:10:18,440 said, talk forever on homesteading. 1293 01:10:18,440 --> 01:10:20,760 We'll have to do a round two podcast dedicated to to 1294 01:10:20,760 --> 01:10:22,160 homesteading, raising your own meat. 1295 01:10:23,040 --> 01:10:25,600 But Doctor Heather Stone, I truly appreciate the time and 1296 01:10:25,600 --> 01:10:27,320 all the expertise on thyroid function. 1297 01:10:27,640 --> 01:10:29,440 If there's everything I can do to help you in any way, you just 1298 01:10:29,440 --> 01:10:30,760 let me know. What can people go to find out 1299 01:10:30,760 --> 01:10:32,840 more about you, dive deeper into your work, all that good stuff? 1300 01:10:33,440 --> 01:10:37,240 Yeah, they can go to my Facebook group called Happy, Healthy and 1301 01:10:37,240 --> 01:10:40,760 Lean. Every month I do a master class 1302 01:10:40,760 --> 01:10:43,840 there and that's how people would be available to get 1303 01:10:43,840 --> 01:10:46,760 testing or even to enter into care. 1304 01:10:46,760 --> 01:10:50,640 So that's it really the only place that they can go to get 1305 01:10:50,640 --> 01:10:53,560 more access. Now I do have a book that's out 1306 01:10:53,560 --> 01:10:56,360 on Amazon called the Thyroid Transformation Blueprint, so 1307 01:10:56,360 --> 01:10:57,960 they can always get more information there. 1308 01:10:59,440 --> 01:11:01,720 Awesome, well I'll link out. Make it easy people to find you 1309 01:11:01,720 --> 01:11:03,080 for sure. OK. 1310 01:11:03,120 --> 01:11:04,640 Thanks for having me on. It was great. 1311 01:11:05,760 --> 01:11:06,600 Thank you. Appreciate it. 1312 01:11:06,600 --> 01:11:07,080 Take care.