The Ultimate Guide to Healing Your Gut and Balancing Your Hormones!
In this episode of “Hormones, Metabolism, and You,” Dr. Cassie Smith, a functional medicine endocrinologist, recaps questions from a recent AMA (Ask Me Anything) session. She explains Hashimoto’s disease, highlighting the importance of addressing root causes beyond medication.
Dr. Smith also discusses symptoms, diagnosis, and treatment strategies for Small Intestinal Bacterial Overgrowth (SIBO) and leaky gut, emphasizing comprehensive, personalized care. Throughout, she encourages listeners to take an active role in their health, seek holistic solutions, and utilize her free online resources for further support. The episode concludes with updates about her expanding practice and an invitation for future listener questions.
✨ Key Topics Covered:
✅ Overview of Hashimoto’s Disease, including symptoms and treatment options
✅ Discussion on Small Intestinal Bacterial Overgrowth (SIBO) and its impact on gut health
✅ Explanation of leaky gut syndrome and its health implications
✅ Importance of understanding the root causes of thyroid disorders
✅ Relationship between gut health and hormonal balance
✅ Insights on gallbladder removal and its effects on digestion
✅ Management of vaginal dryness and hormone replacement therapy
✅ Discussion on testosterone therapy for women and its benefits
✅ Connection between low iron levels and gut health
✅ Importance of personalized health approaches and comprehensive evaluations
🔗 To get the GI Map and Testing
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Blog/Transcription:
0:06 welcome to this week’s episode of Hormones Metabolism and You I’m your host Dr Cassie Smith I’m a functional
0:12 medicine endocrinologist based out of Oklahoma City with a license to see people in almost all 50 states Now this
0:19 week we’re doing something different on the podcast I hosted an AMA or ask me anything about a month ago where I
0:26 allowed people to send me questions on social media that I would answer on a Zoom call I got a lot of really amazing
0:34 questions and I answered them on a Zoom call where hundreds of people were there or registered to do the Zoom call and I
0:40 thought I should share this with my podcast listeners because I thought the questions were really good and I thought
0:46 the answers were pretty good as well We talked about thyroid disorder gut health
0:51 and hormones And so I’m going to share that with you Some of the questions that I addressed were “What is Hashimoto’s
0:57 And what are your thoughts on symptoms and treatment What do you consider optimal numbers for TSH free T4 free T3
1:06 reverse T3 TPO What are potential reasons a TSH
1:11 would be elevated but all other thyroid labs would be optimal And what would you do about this
1:17 After that we kind of transitioned into gut health questions and I answered things like “What are symptoms of SIBO
1:23 and what is SIBO How do you know if you have leaky gut How do you really fix leaky gut?” I talked about how Modern
1:31 Endocrine’s approach to leaky gut and our analysis of gut health and what we
1:36 do how I feel it’s better than what other people do Because somebody asked you know I’ve done this several times
1:43 I’ve dealt with leaky gut before It didn’t really work So how is your program different or better We talked
1:48 about a gut connection with poor iron So when you have low iron it can actually be a gut issue or an absorption issue
1:55 and what to do about that And then I transition into talking about hormones I had some interesting hormone questions
2:01 One of which was about estrogen replacement 18 years postmenopause Is it safe Can you do it Does it help vaginal
2:08 dryness What are the risks What are the benefits We talked about bio identical
2:14 testosterone in women What are the risk of that What are the benefits Is it possible to just take
2:20 testosterone if you don’t need estrogen and progesterone And we talked about optimal testosterone levels for men So
2:27 let me know if you like this type of podcast Reach out to me and let me know on social or here in the reviews because
2:34 I may continue to do more of these But I hope that you enjoy listening to these answers and this webinar as much as I
2:40 enjoy recording it So the first question is what is Hashimoto’s and what are your
2:45 thoughts on symptoms and treatment So this is a really good question I picked this because I think Hashimoto’s is a
2:51 big buzzword right now and there’s a lot of people who are like well what is it What are the symptoms And so Hashimoto’s
2:58 is a type of hypothyroidism meaning that your thyroid is not working well So it’s
3:04 not working not making enough thyroid hormone So it’s a it’s a state of hypothyroidism or underperformance Now
3:10 the interesting thing about Hashimoto’s is it’s a there’s a wide variety of Hashimoto’s So you can have Hashimoto’s
3:18 but not necessarily need or be on thyroid medication You can have Hashimoto’s and be overtly hypothyroid
3:24 and need medication But when I think about hypothyroidism what I think about is this is an autoimmune condition Your
3:31 body is attacking yourself In Hashimoto’s it’s attacking your thyroid gland So for whatever reason your body
3:37 has started to attack your thyroid gland And when it does that your thyroid gland
3:42 can’t do what it’s supposed to do which is make thyroid hormone So imagine you know your thyroid being attacked by all
3:49 these outside invaders it becomes very inflamed So then when your brain gives the signal to your thyroid to make
3:54 thyroid hormone it can’t do that because it has all this inflammation and all these bad things in it it’s not able to
4:00 perform its function of making your thyroid hormone So the way you know you have Hashimoto’s is by checking an
4:06 antibbody level in your blood The most common one is called a TPO or thyroid peroxidase antibbody It’s a blood test
4:14 and typically on labs that number should be less than nine The lower the better
4:19 But if your level is elevated some labs the reference range goes all the way to 32 or 34 If it’s elevated it will show
4:27 that hey you have this elevated antibbody and that means that your body is attacking your thyroid and causing
4:32 all this inflammation And so what we know is that over time if you don’t make that antibbody go down your thyroid will
4:38 eventually stop working because it can’t make thyroid hormone with all that noise and all that inflammation So Hashimoto’s
4:46 is that elevated TPO antibbody or thyrolylobulin antibody TG antibbody
4:52 just a blood test saying yes something is attacking your thyroid But at modern indocrine what I like to do is tell you
4:59 why like why is this happening You know because I was diagnosed with Graves in medical school which is the opposite
5:04 It’s overactive And then after I was treated for Graves I developed Hashimoto’s And my question was why Why
5:10 is my body attacking my thyroid and what do I do to make it stop A lot of doctors just give you thyroid medication which
5:16 you can take all the different types of thyroid medication to replace the thyroid hormone that your thyroid should
5:22 be making But if you want to know why that’s happening and try to make it stop
5:27 then you have to dig deeper And so that’s where gut health is is highly impactful But so are other hormones like
5:33 insulin and just regular hormones your sleep your nutrition different things like that So that’s where I really got
5:40 very passionate about gut health and hormones because of my own personal journey of why do I have a high TPO
5:45 antibody and mine was in the hundreds It was very high Um it’s now undetectable
5:50 which I’m very happy to say and I’m not on medication and that took a lot of time but Hashimoto’s is just your body
5:58 attacking itself The symptoms that you can get from Hashimoto’s are any symptom of thyroid disease right And so that is
6:03 a very huge range of symptoms and I think this is why it gets missed a lot It can
6:09 just just be fatigue It can be cold hands and feet It can be irregular menstrual periods which I see is missed
6:16 a lot You know we blame irregular menstrual periods on stress or weight gain or whatever But it can be from
6:22 Hashimoto’s It can be joint pain It can be abdominal pain bloating discomfort because you have a lot of stuff going on
6:28 in your GI tract which is what’s causing your Hashimoto’s And we’ll kind of talk about that when we talk about leaky gut
6:35 So the treatment of Hashimoto’s or well back to the symptoms It can be diarrhea
6:41 or I’m sorry it can be constipation It can be weight gain You can be cold Your hair can come out So anything that you
6:46 think about with hypothyroidism very similar with Hashimoto’s I would say one of top three symptoms with Hashimoto’s I
6:52 see is fatigue Like debilitating fatigue People are so so tired They get pretty
6:57 constipated and a lot of them have skin issues whether it be like rashes their hair is falling out something like that
7:04 in addition to abdominal discomfort so bloating gas diarrhea The treatment for
7:10 Hashimoto’s the quick win treatment is thyroid medication if you need it right So give somebody back the hormone their
7:16 body needs that it’s so desperately trying to make in that inflamed state So you give someone thyroid medication for
7:22 a quick win That is not the ultimate overall treatment though The ultimate overall treatment for Hashimoto’s is to
7:28 figure out why someone has Hashimoto’s and then fix that So what you want to do
7:34 is you want to tell them why are you inflamed right So why are you inflamed
7:39 What can we do to make that go away What can we make what can we do to make your body stop attacking your thyroid And so what I look at in this state you know we
7:45 kind of have a 10step to ultimate health at Modern Endocrine I look at are your mitochondria inflamed How is your gut
7:51 health What does your nutrition look like Are we moving every day Are we seeing the sun What does our sleep look
7:57 like What does our mental health look like Are our relationships good Things like that in addition to you know what
8:04 we know And so we really dive into trying to help you figure out what’s causing the inflammation And a lot of
8:10 times it is your gut or your insulin level which can be driven again by external stresses in your life sleep etc
8:17 But I think to truly treat Hashimoto’s I know because I was a patient you have to look at the whole picture and you have
8:23 to figure out what’s causing that inflammation And in me it was insulin it was my gut it was my stress it was my
8:30 sleep You know I’m in medical school I’m not sleeping I’m super stressed I was eating whatever I could find to eat I
8:36 had leaky gut I had SIBO and I had PCOS and high insulin And so once I got a
8:41 hold of all those things my antibbody levels started coming down And then that’s how I treated my Hashimoto’s So
8:46 that was kind of a long- winded answer but Hashimoto’s is very dear to my
8:52 heart So the next question is what are symptoms of SIBO And this is a great
8:57 question as well So for those of you listening who don’t know SIBO is small
9:02 intestinal bacterial overgrowth And it’s kind of become a buzzword in the functional medicine space and with gut
9:09 health right And so what it means is that you have bacteria and they’re not always necessarily bad bacteria they’re
9:14 just bacteria in the wrong place So you have a lot of bacteria in your small bowel that shouldn’t be there and they
9:21 cause a lot of different GI symptoms So these are the people who have abdominal
9:26 distension they have bloating they have diarrhea andor constipation they can
9:32 have joint pain they can have fatigue weight gain some people have nausea and vomiting So there again it’s kind of
9:39 like Hashimoto’s where you have a lot of different symptoms but if you’re having
9:44 you know any sort of GI symptoms I tell people this all the time like you shouldn’t walk around with acid reflux
9:49 every day You should not wake up and have a flat stomach and go to bed and look like you’re pregnant You shouldn’t
9:54 have a lot of pain or distension in your abdomen You should have at least one bowel movement every day that comes out
10:00 very easily And when you wipe there’s not a lot of stuff on the tissue and you’re not like pushing or straining to get it out Like these are normal bowel
10:07 habits If you don’t have that and you have pain when you eat and your stomach is distended and you have gas these are
10:14 problems And so you could very well have have SIBO And the way you know whether you have SIBO besides just symptoms is
10:21 testing And so we do GI maps at Modern Endocrine but there are different tests that you can do to see if you have this
10:28 small intestinal bacterial overgrowth And then depending on what other things you have going on in your gut you
10:34 develop a treatment plan to fix it We use a lot of supplementation and dietary things but we also have an app where we
10:42 make people we don’t make them we encourage them to go through this app and it’s a four-month process where I
10:47 teach you something every day about your gut So I teach you how does sunlight affect your gut how does stress affect
10:52 your gut how does fiber affect your gut And so just giving you these foundational things to help you learn
10:58 about your gut and help you fix SIBO yeast overgrowth whatever you have So I
11:05 really like that question as well because I I know a lot of people struggle with this and thankfully it’s becoming more known in the
11:11 space So the next question is how do you know if you have leaky gut and how do
11:17 you really fix it There are so many people on social media that talk about it but they are always trying to sell
11:22 some sort of drink uh that you have to or that you make you pay for a plan And so that’s that’s a very valid question
11:30 So how do you know if you have leaky gut So again testing is the gold standard
11:36 right So if you do do a GI map or whatever stool test that you do there is a marker called zulin and you measure
11:44 that marker Zulin is a protein that holds our cells together So our GI tract
11:49 is lined with cells So very very tightly together like this right There’s a protein between there that holds our
11:55 cells together Kind of like a fence you know like nails in a fence or if you think about like bob wire but it it’s
12:01 really close Zulin is what holds that together As you develop leaky gut these cells start to break apart and zulin
12:09 leaves Like so it’s broken off and you can test that in stool or in your blood So if you have high levels of zulin that
12:15 shows that the cells of your GI tract have broken apart and it’s become leaky And so that’s how you know if you have
12:21 leaky gut Now I can usually tell if people have leaky gut by their symptoms and it’s the ones we were talking about
12:26 right Your stomach is distended throughout the day you have abdominal pain discomfort when you eat you’re
12:32 bloated all of those things Um if you have a an autoimmune disease so like
12:38 Hashimoto’s Crohn’s rheumatoid arthritis a lot of times those autoimmune diseases
12:44 and the attack on your body is actually coming from leaky gut So anytime I have someone with an autoimmune disease I’m
12:49 very on high alert about okay do they have a leaky gut I start questioning them a lot about their stomach and their
12:55 stools and their GI health And they’re always like why are you asking me this Because I’m trying to determine whether
13:01 your leaky gut is what caused your autoimmune disease So the way you fix leaky gut is you have to go in and
13:08 repair that damage to the lining So if you think about like a wall if somebody
13:13 just goes and punches holes in a wall everywhere right Then you’re going to have issues That’s kind of what happens
13:19 with leaky gut So you have to go in and you have to repair that lining of the gut so that when you do eat food it’s
13:25 not leaking out of your gut into your bloodstream Because when food leaks out of your gut and into your bloodstream
13:32 that’s where we get a lot of inflammation About 70 to 80% of our immune system lives around our gut And
13:38 so if we have all these holes in our gut every time we eat food is leaving our
13:43 gut and getting into our bloodstream And our immune system is freaking out because it doesn’t know what red die 40
13:49 is and it doesn’t know what glyphosate is And it doesn’t know what all these ultrarocessed sugars are And so it
13:55 thinks your body is being attacked every time you eat and your immune system revs up your cortisol increases your insulin
14:01 increases all these things happen and your body’s on high alert every time you eat So the way that you fix leaky gut is
14:09 to fix that lining But just fixing the lining doesn’t always help it So the
14:14 reason I like stool studies is because I want to know what else is going on Like do you have bad bacteria that we need to
14:20 remove Do we need to add good bacteria Do you need digestion support Do you need acid Is your immune system
14:27 completely shot Do we need to give you back some good immune guys to help you fight this And so you can’t really just
14:33 fix leaky gut by itself because something caused it right So if we go in and we repair those holes that have been
14:40 punched in the wall in a house but we leave the person there punching the holes they’re just going to make more holes Same thing with leaky gut And so
14:47 it is very important that you work with somebody who understands that and can get a big picture of your gut and tell
14:53 you all the different things that are going on and then come up with a plan to fix it So selling you some sort of drink
15:00 probably is not a good idea But giving you a comprehensive plan I mean that is how you fix leaky gut It is almost
15:08 impossible to fix leaky gut just by saying like “Oh I have leaky gut Let me you know take some supplements.” Because
15:14 even if you clean up your diet if you have an overgrowth of certain bacteria that need to leave you’re not going to
15:19 know that without testing And so again you need a plan because if you have bad
15:25 guys there causing the issue they’re going to keep causing the issue until you remove them So your gut is a very
15:31 intricate you know system And so knowing everything that’s going on and then digestion affects those bacteria and
15:38 digestion affects you know how your food is actually absorbed and and it affects
15:43 leaky gut as well So it is a process and it can seem overwhelming and probably
15:48 frustrating to people I know that sometimes my patients are like “Oh my gosh that’s so much information.” But I
15:53 do think that when you have gut health issues and you are working with somebody to fix them a plan is the best way to go
15:59 because if you don’t do a plan and you don’t follow something for 3 to 4 months the chance of you succeeding is very low
16:06 because there’s so many different things that we’re working on First we have to kill the bad bacteria Then we have to
16:11 make sure you’re digesting your food correctly Then we make sure that your immune system’s good Then we start
16:16 fixing all those holes It doesn’t make sense to fix the holes before we get rid of the bad guys And I do think that
16:22 community is a good thing And walking through a plan and having somebody there to help walk you through it is also a
16:29 good idea Sometimes when we start something if we don’t have a plan and a long-term solution we don’t end up
16:35 following through with it So again kind of a long answer but that is my take on
16:41 leaky gut and people trying to sell you things as well Um what makes our program better than
16:49 any of the other five or more that you’ve listened to It seems no different than a skincare seller Sometimes there’s
16:55 too much data to analyze I want what’s best for me not the norm How do you define that And what makes your analysis
17:02 or approach different and better And I think this is a very fair question too So when we do stool studies at Modern
17:08 Endocrine we do spend an hour with you going over it So my health coach is so
17:13 amazing She has such good training in in nutrition and and gut lots of things I
17:19 actually review every one of our stool studies I come up with a plan She makes sure that you understand that plan and
17:25 you understand how to incorporate that plan into your life so that you are successful So what I would say is
17:30 different with our program Yes you’re going to get a lot of data but you need data in order to know how to fix it So
17:36 we’re going to make sure you get the data and you understand the data Then we’re also going to make sure that we
17:42 give you a plan that’s tailored for you So we don’t have just a plan that we
17:47 give people at Modern Endocrine I literally review all the studies and I come up with a treatment protocol for
17:53 everyone and then Sarah my health coach will talk to you and if you can’t do that protocol because of the timing of
17:59 the supplements or the type of food then we tailor that plan to you So we make sure that you have a plan that you can
18:06 follow and we also make sure that we educate you and we hold your hand So we have this app again that gives you
18:13 training every single day and it is very basic information and then it gets more
18:19 complex as we go because I take for granted the fact that I know what a processed food is and I know how much fiber you need and I know what fiber
18:25 does to your gut and all these things but a lot of people don’t know that So our plan is meant to educate you so that
18:32 you have all the tools that you need so that you never have to do this again and you know how to not only fix your gut
18:38 personally your gut based on your study and what’s going on in your life but you
18:43 also then have the tools to keep your gut healthy long term And we do have a Facebook group that’s private where you
18:49 have a community and you can you know reach out if you have questions We have a portal So I think that our program is
18:55 just special because we try to make it very personalized to you We meet you where you are We will do whatever we can
19:02 to make sure that you are successful and we follow through with it And we also have something where every day you’re
19:08 getting good educational information that you need to make sure that this change stays lifelong So it’s something
19:14 that you’re going to fix and you’re not going to have to keep refixing The other thing that I would say that’s a little
19:20 bit different in our approach is if you want to work with us as a patient too and not just do gut health Modern
19:25 Endocrine’s approach to healthcare is is phenomenal Like we literally start at your mitochondrial level Like are your
19:30 mitochondria in your cells working Are the are your cell membranes working Are they even able to accept the hormones
19:36 that you’re taking If not then we fix them We look at your gut We look at your nutrition We look at you know your
19:42 movement your exercise your so all the things I told you sunlight relationships and we do a very in-depth hormone
19:49 analysis and blood tests too And I also pride ourselves on the fact that we’re we’re like detection people So I don’t
19:55 want you coming to me in five years from now and having a heart attack Like I have tests that I can run like true
20:02 diagnostic tests and I can tell you you know what is your age What organ systems
20:07 are working at what way What is the most likely way that you’re going to start having issues from what organ system You
20:13 know do we need to look at more advanced screening like PET scans or additional testing because are you at higher risk
20:19 of developing cancer Like I mean there’s so many things that you can look at now in medicine And so we are able to
20:25 customize a plan as detailed as you want or as not detailed as you want But we really like to look at hormones as a
20:31 whole So we are different in the fact that I’m looking at all of your hormones and looking at your insulin and your cortisol and your you know melatonin and
20:38 leptin and how they all work together which is why I wrote the book that I that I did that’s coming out later this
20:45 year is just to educate you on how all these things work together too and how you can take all this information and
20:50 apply it to your life and be healthy for the rest of your life So I think that’s where we’re a little different
20:58 This person had their gallbladder removed at age 21 and now they have chronic gird or acid reflux and so
21:04 they’re asking what can they do especially when they’re pregnant So this is a really good question I think that
21:11 removing your gallbladder is one of those things unfortunately that people get kind of thrown into this surgery and
21:17 surgeons never tell you like oh after you’ve removed this there may be issues Your gallbladder is actually important
21:23 So let’s talk about what our gallbladder does It helps us digest fat which is very important because we’re going to
21:28 eat fat We need fat especially as women We need fat for our cell membranes We need it for hormone health We need it
21:34 for brain health Your gallbladder also is very important from an aspect of it
21:40 makes something when it produces the enzymes and the bile that it makes it’s
21:46 actually helping protect you from bacteria So it’s actually helping prevent you from getting bacterial
21:52 overgrowth and things like that So when somebody takes your gallbladder out it’s not just oh now you’re not going to
21:58 digest fat as well It’s also now hey I might not have the right bacterial balance when I eat And so a lot of times
22:06 when people have their gallbladder removed they will end up with acid reflux because they are not digesting their food the same And this person in
22:12 particular they’re probably not digesting fat very well And so when you don’t digest fat very well it will set
22:18 Sometimes you get diarrhea Sometimes you get acid reflux And then they may have a bacterial overgrowth because now they
22:24 don’t have that bacterial static component of their bile acid every time
22:30 they eat And so it’s just making a misbalance of how the bacteria throughout their GI tract are flowing So
22:38 we have a supplement at modern endocrine called the dissolver It is for people that don’t have a gallbladder or people
22:43 who have high statocrit levels on a GI map meaning you’re not digesting fat Well one of the things that is in our d
22:51 our dissolver is ox bile Oxbile is very important if you don’t have a gallbladder because it will help you
22:57 digest fat And so in this person in particular I would recommend you need to take something with ox bile The
23:03 dissolver is a great one You take it about 15 minutes before meals and especially if they’re fatty Otherwise
23:09 every time you eat fat it’s going to be really hard for you to digest it And I’m assuming this person is a female because they said especially when they’re
23:15 pregnant And you need fat as a female You need it for your hormones You need it for your brain You need it for your
23:20 baby And so sometimes it’ll get even worse when you’re pregnant because you may be eating a little bit more fat Now
23:26 when you’re pregnant there’s a lot of changing in your abdomen right And so the physics of your abdomen are
23:31 different So that pressure from the baby is going to kind of push up on your stomach And so that’s going to make acid
23:36 reflux worse as well That’s why some people get acid reflux later in pregnancy But that acid reflux that
23:42 you’re getting could also be not only from the fat the issue with digesting fat but also the issue with the abnormal
23:50 bacteria that you have now that you don’t have the ox bile or now that you don’t have the bile acids from your
23:57 gallbladder We have another supplement called gastric acid pro as well that helps a lot with heartburn If you’re
24:04 pregnant that is a little more difficult I would say during pregnancy if you’re struggling with heartburn a lot of that
24:10 would be dietary like looking at dietary triggers but you can take Ox Bile when you’re pregnant And I would uh to make
24:17 sure that you’re digesting fat well We do have a guide on our website that’s
24:22 free We have a lot of dietary guides but we have one about H pylori in particular and you could download that guide and it
24:28 will walk you through foods to stay away from if you’re having a lot of heartburn type symptoms But a lot of citrus things
24:35 chocolate caffeine are gonna upset that So I hope that was
24:40 helpful The next question is I had breast cancer and thyroid cancer in 2009
24:47 Told to stay away from all phytoestrogen foods I want to know if this theory still holds Adding estrogen replacement
24:54 18 years post menopause seems impractical but is there anything besides average lubricants that can be
25:00 helpful for vaginal dryness So this is kind of a twofold question So the phytoestrogens you know there’s a lot of
25:08 different research right now about phytoestrogens I think in moderation they are just fine I don’t feel like
25:14 people eat a ton of them other than soy but I do feel like in moderation they’re okay Especially if you have a good detox
25:21 system so your liver is working and you’re pooping every day If you’re having a hard time with bowel movements
25:26 or liver detoxification then you definitely want to be more cognitive of these types of foods But again I think
25:33 in moderation all of that is is fine Also if you’ve had breast cancer and you’re listening to this you need to
25:39 know how you metabolize estrogen There are different pathways There’s an alpha and a beta pathway If you’ve had breast
25:46 cancer you definitely definitely want to make sure that your estrogens aren’t metabolizing down the alpha pathway The
25:52 alpha is awful it causes breast cancer And so there’s a blood test called estrone that you can check And if your
25:58 estrone levels are high then there are things you can take to supplement to help kind of push the conversion of
26:04 estrogen One of them is DIM Calcium dluceronadase helps if you do if you’re
26:09 somebody who is having problems metabolizing estrogen from your gut And these are things that you can tell from testing like Dutch testing and gut
26:16 testing So there are ways that you can kind of mitigate that As far as adding estrogen replacement 18 years
26:23 postmenopause I’m so glad this was brought up You know the WHI came out in 2001 and kind of blew up hormones in
26:31 women So the Women’s Health Initiative you know said you should use the smallest amount of hormone for the least
26:37 amount of time because theoretically there was this increased risk of cancer That study has been relooked at multiple
26:44 times in the last 24 years There’s been meta analysis that have come out and said we really got that wrong None of
26:50 that literature holds up And if you’re practicing medicine today and you’re actually reading literature you know
26:57 that none of that is true Estrogen is phenomenal I don’t care how old you are You can start it at any point It is so
27:04 good for your bones It is good for your brain So it’ll keep your bones strong It helps with blood flow to your brain So
27:09 it’s going to help decrease your risk of dementia It helps with skin right So dry
27:15 skin it helps with lubrication So if you’re having dry eyes and a dry mouth dry vagina any of that it’s the lack of
27:22 estrogen Now testosterone will help with that vaginal lubrication to some degree
27:27 but so will estrogen Now I do know that this person mentioned they had breast
27:32 cancer and so that’s a whole another story Can you take estrogen after breast cancer And there’s a lot of literature
27:38 now that supports that you can as long as it is a bio identical form as long as those levels are being monitored as long
27:44 as you’re working with somebody who understands how to do that And so at Modern Endocrine what we do is we do give women estrogen after breast cancer
27:51 after we have a risk and benefit discussion if we feel like that that will help them And in this person it
27:56 very well may if vaginal dryness is is bothering them we monitor how they
28:01 digest estrogen So we do Dutch testing we make sure their estrogen levels aren’t high things like that So if you
28:09 did not have breast cancer 100% adding estrogen even 18 years out assuming you
28:14 don’t have seizures seizures are the only true contraindication to estrogen would be just fine Even 18 years out
28:21 even 30 years out I don’t care If you’ve had breast cancer there needs to be a little bit more of a discussion But
28:27 still if you’re having symptoms that is something that could help you and will
28:32 not only help with the vaginal dryness but other things as well Your bones your brain your skin your heart etc Estrogen
28:41 is very protective of heart in women as well That’s why we don’t develop heart disease until we get much older and lose
28:47 our estrogen because it’s so protective of our heart So I hope that that was helpful as well If a woman has low
28:54 testosterone but significant but sufficient estrogen and progesterone is it possible to just be prescribed
29:01 bioididentical testosterone 100% yes it is And so I think this is becoming a
29:07 little more mainstream You see people talking about testosterone in women now Unfortunately the FDA like there is no
29:14 clear guideline on like you know well first of all there’s no FDA approved treatment for testosterone in women
29:21 which is crazy I joke that men obviously make those guidelines but there there’s no FDA indication Yes you can take
29:28 testosterone I give testosterone to hundreds of women There’s different ways you can take it I do think it’s
29:33 advantageous without estrogen Women start to lose testosterone in their 30s
29:39 By the age of 40 women have typically lost more than half of their testosterone And that’s part of the
29:44 reason that when we hit 40 ladies we just feel like we fall apart Our progesterone’s going away We don’t have
29:49 testosterone And we’re like “Oh my gosh we’re hot we can’t sleep We start gaining weight Our mood is crazy and
29:55 we’re like “What is going on?” Testosterone is that one of those hormones that is very beneficial for
30:01 your sleep It’s kind of like a calming hormone It helps with anxiety tremendously So I see a ton of women in
30:08 their early 40s who are super anxious They have low testosterone Some of it has to do with their gut but
30:14 testosterone is powerful for anxiety as well So to answer your question yes you
30:21 100% can take testosterone even though your estrogen and your progesterone are normal And
30:28 then my question would be to you if you’re interested is why is your testosterone low So you can go down that
30:34 pathway and sometimes it’s from your adrenal gland So as a woman we make most
30:39 of our testosterone in our ovaries Actually we make estrogen but we make testosterone but we make a lot of it in
30:44 our adrenal gland And so if we are very stressed we have adrenal fatigue we’re
30:50 chronically stressed whatever then our adrenal gland is going to be making cortisol and it won’t make testosterone
30:57 And so my question always to women is like well why is our testosterone low Is our estrogen or I’m sorry is our insulin
31:03 high Is our cortisol high Like what is going on So just something to think about too You know is it in your gut In
31:09 my book I talk a whole chapter about like testosterone in your gut estrogen in your gut progesterone in your gut and
31:16 explain to you why all those things are really important But yes 100% I’ve taken
31:21 testosterone for several years and have adequate estrogen and progesterone levels So it also helps women by the way
31:28 with our muscle mass maintaining muscle mass It’s harder for us as we get older to maintain our muscle mass And so
31:34 testosterone will benefit your muscle mass It does help with blood flow to your brain There have been studies that
31:40 show that adequate testosterone in women lowers our risk of dementia by about eight times Testosterone helps with
31:47 again anxiety It does help with sleep It will help with some lubrication vaginal
31:53 lubrication and it it helps with libido So all good things Is there a gut
31:58 connection to poor iron or other absorption So basically this person’s asking like
32:05 if you have low iron could it be an issue with your gut And so that’s a really good question and the answer to
32:11 that is 100% yes So I see this a lot in our clinic If you’re our patient we
32:17 check ferotin levels on everyone It’s important for your immune system It’s important for your thyroid If you have
32:24 really low iron levels and you also have really low vitamin D and B12 and folic
32:29 acid and iodine things like that I really start to worry about your gut Like obviously we’re maybe not absorbing
32:36 nutrients especially in somebody who’s not restricting their eating right So if you’re not like strict
32:42 vegan typically in America we have access thankfully to enough food and
32:48 nutrient-rich food that like you shouldn’t have a bunch of vitamin deficiencies Now with iron in particular
32:55 what we worry about especially in women is like are you bleeding excessively from menstrual cycles and that’s what’s
33:01 causing your iron to be lower And that happens a lot of times too But if that’s the case then we want to know why Like
33:07 why are your periods so heavy and miserable Because you shouldn’t have extremely painful heavy periods Like
33:14 your menstrual cycle is supposed to come you bleed and it goes It’s not supposed to be this terrible like can’t get out
33:21 of bed issue And so if you are having that it tells me there’s an imbalance in
33:27 something in your hormones And so like that needs to be addressed as well So looking at your iron yes there can be a
33:33 connection to your gut It can be leaky gut The other huge one I see though is H pylori So when I see somebody who has
33:40 really low iron levels and they’re having acid reflux almost 100% of the time when we do a gut study they have H
33:47 pylori And sometimes people even like I saw a lady the other day who I knew she
33:52 had H pylori because her eye and her feritin was so low She’s actually not even having heavy menstrual periods She
33:57 has terrible acid reflux She had an EGD She saw a GI doctor and had a scope like
34:03 two months ago and they did one biopsy and they said “Oh you don’t have H pylori.” It’s one biopsy in one little
34:09 piece of her stomach When she did her stool analysis she had extremely high levels of H pylori Digestive issues all
34:17 sorts of things But in her you know that iron level is going to is not going to
34:23 come up until we fix the H pylori And your iron level your feritin level is very important for your thyroid If your
34:29 feritin is not 70 then your thyroid can’t work So free T3 which is our
34:36 active thyroid hormone in order to be like taken into a cell and used So in order to go into the cell and actually
34:42 work you need ferotin to help kind of pull it in there And so when your levels are really low your thyroid hormone
34:47 can’t work And there’s been studies that show when your feritin is less than 20 it’s actually detrimental to your heart
34:53 So it is very important and it is tied to your gut and it can be leaky gut absorption issues but very commonly seen
34:59 with H pylori So potential reasons a TSH would
35:04 be elevated but all other thyroid levels are optimal levels and what would you do
35:10 So this is a good question too and this may have come from a provider I get this question a lot from
35:15 providers TSH levels take a really long time to change So keep this in mind Your
35:21 TSH is a signal from your pituitary and your brain It is like a good average of
35:27 what’s been going on for like six to eight weeks Your free T3 and free T4
35:32 which I’m assuming are the other thyroid levels that they’re talking about that are optimal those change within days So
35:40 if you have somebody who has thyroid dysfunction and you’ve tried to fix it recently by medication by lifestyle by
35:47 lowd dose nraxone which we didn’t talk about with Hashim love lowd dose nraxone um you can have normalizing free T3 and
35:56 free T4 levels but still have a high TSH meaning your TSH just hasn’t like caught
36:01 up and realized that everything is good So that’s one time that it happens right
36:06 So maybe we’re treating the thyroid things are getting better and we just haven’t had enough time for that TSH to
36:12 to shift and change Another very common thing that I see though is iodine
36:17 deficiency So iodine has been you know more in the news recently and people
36:23 talk about on social media whatever So if you have a significant iodine deficiency because a lot of people don’t
36:30 eat salt now because supposedly salt makes your blood pressure high which side note sugar makes your blood
36:36 pressure high I don’t think it’s salt But if you’re not eating enough iodine and you’re iodine deficient and then you
36:42 see something on Instagram or Facebook or whatever and you’re like “Oh I’m going to start taking iodine or I’m
36:47 going to you know start eating a bunch of seaweed or whatever to get your iodine for your thyroid health.” If you
36:53 have a massive influx of iodine really quickly into your body and you’re iodine deficient it actually will shoot your
36:59 TSH level high Your free T3 and free T4 will be completely normal Your TSH can
37:06 get really high I’ve seen them like 20 30 with completely normal freeT3 and freeT4 levels The patient has no
37:12 symptoms I get referrals for for this sometimes I got one from a cardiologist once It’s like an 80-year-old guy and
37:18 his TSH was 40 and his free T3 and free T4 were completely fine And he was like I I don’t know why I’m here I feel fine
37:24 His wife had heard that iodine was good for him and so was giving him a massive amount of iodine for like 3 weeks before
37:29 that He was iodine deficient His TSH came back down to normal in about 4 to 6 weeks So you can see that as well in
37:36 iodine deficiency your TSH will go up and then it will come down And the reason that happens is because there are
37:42 transporters sin transporters that require like when we
37:48 replace iodine it causes our brain to make TSH So it is a cellular mechanism
37:53 and how that happens So those would be the two common reasons One is that your TSH just hasn’t come down yet but you
37:59 are treating your thyroid correctly and the other one is iodine deficiency So
38:04 that’s a good question What is the optimal testosterone for a male So this question
38:12 is a little more difficult because it’s going to depend on the age of the patient right So this is where I get on
38:19 a soap box about normal If you look at a normal lab range on a a test like a
38:26 Quest panel DLLO whatever reference range you use for men it will typically
38:31 say that testosterone is normal from like 270 to 1100 That is a huge range
38:38 y’all So like is 270 normal or is,00 like that’s insane And so I see people
38:43 all the time who come to me and they’re like well my testosterone is normal It’s 360 That’s not normal in a 30-year-old
38:49 So it’s very dependent on your age I also am very particular in testosterone
38:55 So I like to look at free testosterone and I like to look at sex hormone binding globbulins because sex hormone
39:01 binding globulin is a protein that’s made in your liver If you have a really high sex hormone binding globulin it
39:08 binds up your testosterone and then your testosterone cannot work So your testosterone level that is quote unquote
39:14 normal is going to be dependent on that sex hormone binding globulin as well So if your sex hormone binding globulin is
39:20 high you actually need even more of a total testosterone level because you need more available for the cell to
39:27 actually be able to use it So when we’re talking about total testosterone I like to see in men you know 20 30 40 year
39:35 olds I like to see you close to a thousand Like you you should be close to a thousand You’ll feel well You’ll feel
39:41 optimized Now that being said I’m looking at your free level too I like you to be about 120 120 to 140 Like
39:48 those are very good optimized testosterone levels That being said I’m also making
39:54 sure that your sex hormone binding globulin is normal If it’s not normal and it’s high you may get men who have a
40:01 testosterone of a thousand and have a free testosterone of 120 and they’re like I don’t feel well I feel like I
40:06 have low testosterone Well that’s because even though their testosterone is a thousand half of it is bound up by
40:11 that high sex hormone binding gabbulin and it’s not circulating or able to be utilized by the cells So they really kind of do have a testosterone
40:18 deficiency So it’s important to look at all of it and it’s important to work with somebody who understands that But
40:23 ideally I like to see testosterone around a thousand I’m okay with 1100 in people as long as they’re not having bad
40:29 side effects And we know from a functional cardiac standpoint that they’re in good health as well right
40:35 They’re not they don’t have sleep apnea They don’t have you know high lipoprotein a cardiovascular issues
40:40 super insulin resistant things like that Although optimizing someone’s testosterone helps with that when you
40:46 get into your later 40s and 50s I think a testosterone of 900 is is adequate You
40:53 know early 40s maybe closer to 1,000 but 900 60s you know 800 they usually feel
40:59 well Um 70s again I don’t really like people to be less than 700 600 700 I
41:05 feel like that that’s where they feel really good And from a free perspective even you know 100 I like you to be 100
41:12 or higher even in your 60s and 70s Now again I don’t want you having bad side effects And so if we’re optimizing
41:17 everything and we’re optimizing your liver your detox pathways your gut you’re not going to have bad side effects with those numbers but optimal
41:24 level levels of testosterone are going to be higher They are going to depend on how inflamed you are what else is going
41:29 on and what your sex hormone binding globulin level is Because if you are very inflamed from high cortisol high
41:35 insulin that’s going to make your sex hormone binding gabbulin go up and you’re going to need a higher testosterone level if that makes sense
41:42 So that was a great question What do you consider optimal numbers for the following four parts of
41:48 thyroid function So I get asked this a lot and I think we do have a downloadable guide on our website too
41:54 that talks about some like normal ranges but I’m going to answer this for you guys So from a TSH perspective I like to
42:02 see 2.0 or less I will caveat this by saying I kind of don’t care what your
42:08 TSH is Um I do in the fact that like it gives me a thousand foot picture of
42:15 what’s going on but am I like tailoring treatment just from that Not a lot I’m
42:20 tailoring treatment based on your symptoms based on your antibbody levels your T4 your T3 your reverse T3 because
42:28 that’s what’s important because again I mean this TSH could have been that level for 6 weeks It doesn’t tell me what’s
42:34 really going on right now It’s almost like a hemoglobin A1C with diabetes Like it gives you this big 90-day ballpark
42:41 picture but it has I have no idea what’s going on in the last week by looking at that Ideally though your number is two
42:47 or less That means that your brain is happy with the thyroid hormone that you have The lower the better Obviously I
42:53 don’t want it undetectable but around 0.5 is is a really good
42:59 TSH Now your free T4 this is the So when your brain makes TSH and it goes to your
43:05 thyroid and it tells your thyroid to make thyroid hormone free T4 is what is made from the thyroid about 95% of the
43:12 time So free T4 is about 95% of what your thyroid kicks out when TSH is released And about four to 5% is is T3
43:22 If you really want to get technical about 3 to 4% is T3 and then there’s a little bit of T1 and T2 So free T4 is
43:29 our most abundant free thyroid hormone It is important because when it is
43:35 released into your bloodstream the point of free T4 is it is available And then when your body needs T3 which is the
43:43 active thyroid hormone and what is needed to make you feel well we have something called diagnases There are
43:49 enzymes that convert T4 into T3 instantly So it’s like when you walk into a room and it’s dark and you turn
43:54 the light on That’s what T4 is to T3 If your body needs that light it hits the
44:00 deionase It’s supposed to convert T4 to T3 and then it has it for energy So it
44:05 is like this form that’s floating around waiting to be utilized because T3 is
44:11 picked up and used really quickly Okay we want a free T4 level of about 1.2 to
44:16 1.5 That tells me you have adequate levels there that they’re good Now when
44:22 you’re pregnant I definitely want this level closer to like 1.5 And that’s because when you’re pregnant your baby
44:29 cannot make thyroid hormone for 18 weeks It does not have a working thyroid It gets all of its thyroid from you through
44:35 the placenta And so T4 is very important so that your baby’s brain develops and that the baby develops But we’re looking
44:41 for about 1.2 to 1.5 That tells me that your body has the thyroid hormone
44:46 floating around that it needs to flip the switch and convert to T3 when it needs it Okay free T3 This is the gold
44:56 mine okay Like this tells me what active thyroid hormone you have and it’s going to tell me a lot about your symptoms too
45:02 And and just your overall inflammatory status Your free T3 lowend 3.5 I like it
45:09 closer to like 4.2 4.3 4.4 4.5 The higher end of the normal reference range
45:17 So like whatever your normal reference range is you want to be on the high end of that because you want all that free
45:23 hormone available for your cell to take in and use instantly when it needs it right You walk into a room you need
45:28 light you want to turn it on You know you walk into a room you want water you want to be able to turn it on Whatever your body needs whether it needs to make
45:35 energy to digest food whether it needs to make energy so you can get up and walk somewhere so you can have energy to
45:40 sit here and listen to this and not fall asleep it requires T3 And so we need a
45:45 lot of it And so we want it to be on the higher end And so this is very important when you’re looking at thyroid And a lot
45:51 of traditional medicine doctors don’t know this or don’t understand this Reverse T3 is also an important number
45:59 because when we have free T4 that is made from our thyroid right in our body
46:04 that deionase that enzyme that converts T4 into T3 there’s one that converts free T4 into free T3 and there’s one
46:11 that converts free T4 into reverse T3 And reverse T3 is like it’s wasted It’s
46:17 just wasted energy Like free T or reverse T3 does not do anything from a
46:24 biological you know perspective We need it because it’s kind of like a stop gap
46:30 So the reason we have free T3 is like let’s say we’re being chased by a tiger
46:35 or you know chased by a tiger When your cortisol goes up and you’re very stressed your body’s response to stress
46:43 is going to be let’s convert all of our T4 free T4 into free T3 so we can run away from this tiger right Like all at
46:48 once forever Well there needs to be a stop gap because you don’t want too much free T3 because then you have issues
46:54 like palpitations diarrhea things like that You can’t be running away from a tiger when your heart’s beating so fast
46:59 you can’t breathe in you’re pooping your pants So there is a reason that we have reverse T3 and it’s supposed to be this
47:05 really nice balance in people who have insulin resistance who have poor sleep
47:13 who are on a lot of medications So one of them is like metformin birth control um things like that It those things
47:21 upregulate the enzyme that makes free T4 turn into reverse T3 So it’s like our
47:26 body is like tricking us And so a lot of people if you look at these levels will have very high reverse T3s and very low
47:34 free T3s And that tells me from a cellular perspective you have a problem So something’s going on from an
47:40 inflammation standpoint So that’s why I like these numbers So then I can tell okay yes we do have free T4 but our free
47:47 T4 is making the wrong T3 It’s making reverse T3 or it’s making the right T3 And then what I can do with that is I
47:54 can say how are you feeling And if you’re feeling great and your free T3 is good then I know okay great Everything
48:00 is working from a cellular level But if your numbers look good and you still have all the symptoms of hypothyroidism
48:05 then I know your cell membranes are not working So although the T3 is there and it’s knocking and it’s trying to get in
48:11 the door it can’t open the door and get into the cell because something’s wrong with your cell membrane So that’s where
48:16 we go back to mitochondrial health and we when we talk about what is it your gut is it your insulin Is it your
48:22 cortisol what is causing this hormone that is available in your blood to not
48:28 move into the cell and actually be able to be utilized And so since we can’t check free T3 levels in an actual cell I
48:36 think we will be able to in the next 5 to 10 years that will be life-changing But since we can’t do that we can only
48:41 check in the blood and we don’t know whether the hormone is going from the blood into the cell This kind of helps
48:46 paint a better picture for you right So I know if your free T3 is really high and your I’m sorry if your reverse T3 is
48:53 really high and your free T3 is lower and you have symptoms I know we’re making the wrong stuff So then the question is why We go back to why Are
49:00 you on a medication Is your gut inflamed Do you have insulin resistance Are you super stressed Do we have an underlying
49:07 you know disorder that we don’t know about This is why it’s so important to see like functional medicine providers
49:12 because it all goes back to like root cause and why So I like to see reverse T3 levels 15 or less ideally 11 or less
49:21 And you guys I see levels 20 30 35 like crazy high levels And these people are
49:27 not going to feel good Your body’s wasting all this energy and time making a hormone that doesn’t work And not only
49:34 does it not work so you’re tired but you’re also expending your hardearned energy to do that It takes energy It
49:41 takes NAD It takes ATP to convert that T4 into reverse T3 And so you’ve wasted
49:46 energy and you’re you’re more tired So these are very important numbers And then TPO antibbody that’s the thyroid
49:52 peroxidase antibody We were talking about the Hashimoto’s antibbody I like it to be less than nine The lower the better And TG antibbody another one for
50:00 Hashimoto’s less than one And again the lower the better So I hope that kind of
50:05 explains that and you understand thyroid levels a little bit more
50:11 So I went through quite a few questions and I wanted to try to kind of keep this
50:16 at about an hour Um so I think what I’m going to do
50:22 is I’m not going to necessarily take any questions right now What I would love for you to do is if you have them email
50:29 them to us um or send them to me on social media And what I’ll do is I’ll
50:34 compile them and then next time I’m going to pick a few less questions We’ll do a webinar next month I’ll maybe pick
50:41 like six or seven questions and then we’ll leave 30 minutes for like Q&A questions Um and so that you can ask
50:47 whatever question you want the next time that we do it because I don’t think I’m going to be able to answer very many to
50:52 be honest with you I want to be respectful of your time because I appreciate you being on here tonight with me I do want you guys to know I
51:00 believe that your health starts in your gut And so if you’re struggling with anxiety and brain fog mood swings
51:05 bloating all the things you’re not imagining things Your body probably just
51:10 isn’t teed up to work how it’s supposed to And so that’s what I really love about us is we’re different in the fact
51:16 that like we want to tell you why you aren’t working the way you’re supposed to We want to help you really feel
51:21 better And so you’ve got to work with a provider who understands all of that We have a gut health package that I love
51:28 It’s very near and dear to my heart And if you listen to our webinars you get this special offer You can buy a gut
51:35 health program or just a gut health kit on our website If you go to our website there’s a GI map You’re welcome to
51:40 purchase it there If you use this QR code to do it though when you do the GI
51:46 map I’m going to be the one who reviews it with you for about 15 minutes and gives you a big overview of hey what’s
51:53 going on And then my health coach will really get into the weeds with you and explain everything And so if you if
51:59 you’re thinking like maybe I am having gut health issues or any of this resonates with you you have joint pain
52:06 you have Hashimoto’s you have infertility issues your testosterone is low whatever it is and you’re like you
52:12 know maybe it is my gut I have nausea I have vomiting I have abdominal pain I’m sick of having gird I’m sick of being
52:18 bloated I want to get to the root cause I’m telling you there’s no better way to get to the root cause of what’s wrong
52:23 with you than your gut I would love for every one of my patients to always do gut studies before they even see us
52:29 because it’s so powerful in fixing everything else And when my book comes out later this year I think you guys
52:34 will understand that So I just wanted you to know we do have this offer where
52:39 you can do a gut health study with us It doesn’t matter what state you live in We actually have a license to practice
52:46 medicine in 39 states but gut health stuff we can do in any state and we’re happy to do it virtually So if you would
52:53 like to do the comprehensive GI map test it’s that deep dive into your gut microbiome So I can tell you what is
52:59 your good bacteria what is your bad bacteria what is the balance do you have H pylori what is the immune system in
53:06 your gut look like do you have inflammation do you have blood do you have leaky gut how are you digesting
53:11 your food You know I saw a gut test earlier this week Just by looking at the gut test I can tell you this person has
53:17 some very significant issues with their gut they need you know a colonoscopy some different things and could have
53:23 some pretty significant issues with their health just by looking at their gut not even talking to the person
53:28 because their inflammatory markers were so high They had blood their cal protectants high So just some some scary
53:34 things So you can do that you get this 15-minute private consult with me and
53:39 and if you don’t want to do it now check out our website look at the information and if you change your mind I mean we
53:45 would love to work with you and look at your gut and try to help you through anything you’re going through And if you
53:51 don’t want to do the gut if you just want us to look at your hormones we’re happy to do that as well And so I wanted
53:57 to offer that to you guys The just so you know the GI map to do the test and
54:04 to get the follow-up visit which is about an hour with our health coach the cost of it is $699 It seems like a lot and it is That
54:11 test is very expensive It’s very detailed Again tells you yeast parasites
54:16 worms viruses a very very detailed test And so that test is super expensive but
54:22 I think it’s worth every penny You know I joke with people and I say you either pay the farmer and the functional
54:28 medicine doctor now or you pay the hospital later when you’re when you’re older And it’s true Like you either take
54:34 care of yourself now or you’re going to be in the system You’re going to be sick and you’re going to be tired and
54:39 miserable later in life So that GI map is $699 for the test and to go over the
54:46 results but it can be very life-changing And then if that’s not something that you want to do but you’re like “Maybe I
54:51 want to work with them get some blood work done.” We’d be happy to do that too we’re happy to help and serve in any way
54:56 that we can to make your life and health better and just to help you figure out
55:03 the best way to take care of you because everyone is an in one And I tell my patients that all the time Just because a social media person says you know you
55:10 should do this or you should do that It has to be taken in context with where you are in your life right now where you
55:15 are in your life with your health journey right now and the chapter that you’re at Because with me you know I’m
55:21 not doing the same things right now that I was doing 5 years ago when I was really sick with Hashimoto’s And I’m not
55:27 going to be doing the same things next month that I’m doing this month It just kind of depends on where you are So if you need somebody to help you guide you
55:34 through that process we are so happy to do that too So I thank you so much for
55:40 watching tonight and listening to this I hope it was beneficial uh in some way to you and that I answered some of the
55:46 questions you have I hope you enjoyed this different type of podcast this week where I just
55:53 answered some medical questions and and your questions and concerns If you enjoyed this make sure that you let me
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56:43 lot of time making freebies on our website So www.mmodernindocrine.com We have a
56:49 section called freebies Lots of stuff in there Tons of good stuff about gut health diet different things like that
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57:23 you on your healing journey Join us next week for the next episode of hormones metabolism and you have a great
57:30 week The information presented including any materials discussed referenced or
57:35 linked within this podcast are for general educational purposes only not
57:40 the practice of medicine No doctor patient relationship is formed from you listening to this podcast or utilizing
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58:08 respect within this podcast you should consult your doctor about the problems without delay You may ask your doctor
58:15 whether he or she believes the information I have provided would be helpful to you but you should still consult your doctor immediately and
58:22 follow his or her medical advice as your treating physician I’m just here to provide you basic knowledge about the
58:28 issues we discuss so you are more aware of them and can better discuss them with your doctor That’s why we call it back
58:35 to the basics Join me on the next episode as we continue our journey
58:46 My you are my
Disclaimer:
The information presented including any materials discussed, referenced, or linked within this podcast are for general educational purposes only, not the practice of medicine.
No doctor-patient relationship is formed from you listening to this podcast or utilizing any of the information provided.
I am a doctor, but I am not talking to you as your doctor. The information provided is not intended to diagnose or treat health problems or take the place of the professional medical care provided by your doctor.
If you are experiencing any health problems, including problems you believe have been touched upon in any respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor whether he or she believes the information I have provided would be helpful to you, but you should still consult your doctor immediately and follow his or her medical advice as your treating physician.
I’m just here to provide you with basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with your doctor.
That’s why we call it Back to the Basics. Join me on the next episode as we continue our journey.