#286 Peptides & GLP-1s Made Simple: What Every Woman Needs to Know

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While aging is uh inevitable, decline doesn't have to be.
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Ooh, I love that.
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I will take that.
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Yeah.
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If you're tired of doing all the right things and still feeling exhausted, stuck in your body, and disconnected from God, this podcast is for you.
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I'm Dr.
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Tabitha, a triple board certified functional medicine physician, and I help women stop fighting their bodies and start healing them God's way.
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Let's get into it.
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Welcome back to the Fast of Faith podcast.
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Oh my goodness.
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Hello, beautiful.
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Hi.
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I like when we're on the couch together.
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That's fun, isn't it?
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But I'm realizing I'm still dressed for winter and you're all summertime over here.
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I know.
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Literally, I feel like once it hits 50, I just I know.
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That's what I do.
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I actually was gonna be springtime, but my clothes were wrinkled and I didn't have time to iron them.
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So and I ironed this morning, and I just want you to know that's something I'd never do.
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So I'm very proud of you.
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Sorry, mom.
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Thank you.
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Yeah, you're welcome.
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Oh my gosh, are you excited for today?
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Uh honestly, I am pumped for today.
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Yeah, I really am.
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Uh, this is a topic that I think is a hot topic, and there's so much misconception, and I think we're gonna clear all that up today.
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Yes, we absolutely are.
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So I cannot wait for you to know, my dear friend, Dr.
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Rika.
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She is amazing and fabulous, and she drove all the way here from Chicago.
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Thank you, Rika.
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Thank you, Tabitha, Dr.
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Tabitha and Ashley for having me here.
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I'm super excited to share my knowledge about peptides so that we can help all women live long well.
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Yes, exactly.
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Because peptides are a hot topic and we really need to dive into it.
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But I didn't want to tackle this topic because we need an expert.
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This is new emerging science.
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And Dr.
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Rika is the gal.
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She's like the leading functional medicine physician in this space.
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She's an award-winning speaker, she's best-selling author of Energized Feel Fantastic Forever.
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Hopefully, you can see the book.
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You got to get the book.
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It will really surprise you to realize like your best days are not behind you.
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They're actually ahead.
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So I cannot wait.
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She helps busy professional women reclaim their energy of their youth and break free from midlife symptoms that doctors dismiss as just part of aging.
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So I'm excited for this because peptides are not my specialty.
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I do want to learn more, but you guys have been asking me.
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So we're going to dive in today.
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Are you so excited?
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I am really excited.
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I'm so passionate about it.
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And um, there's so many misconceptions, as you know.
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So let's bust some mess.
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Ooh, I love that.
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Yes.
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And you are called the Energizer Bunny and the go-to doctor for doctors, right?
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Correct.
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Why do you think that is?
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Why why do doctors come to you for help?
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You know, um I never realized that this bec had become a pattern that, you know, when I first got out into functional medicine, it was after my own personal journey, as many of us in this space, yourself included, um, that I kept going down the rabbit hole deeper and deeper and to really get fine-tuned utilizing a functional medicine approach and then adding in uh anti-aging uh strategies like peptides, it's a long road.
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It's an expensive road for the training, it's a lot of hours and time.
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And um, that's why I wrote my book.
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Because I'm like, what if I could teach everyone from the layperson to another doctor?
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And honestly, I just think it's because, and I love what you said about you're gonna help people break free of these midlife symptoms, as I now at almost 58, and you're supposed to say, wait, you're 58?
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I know, you look incredible.
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Thank you.
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Is that I have more energy than I ever did in my 20s and 30s and 40s.
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And had I just accepted it as a normal part of aging, I really honestly don't even think I'd be alive today based on how serious some of my symptoms and uh reported diagnoses were.
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So um, yeah, I think I'm I'm called that because I got my own results by being the cornerstone of poor energy, and then really just kept doing that layer upon layer of learning.
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And now I love educating everyone from the layperson to my patients to other doctors.
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Yeah, and I just love how, like, no offense, but you're a nerd, like you love the science.
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You are so good at just getting into the data, into the studies, and pulling out what is relevant and real.
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And, you know, that's not my passion.
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I I'm the more touchy-feely kind of doctor, and so I think you know, you and I have just meshed so well as friends because we see each other's point of view, and it just it kind of enhances the part that we aren't focused on.
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So I always appreciate your perspective in in so many spaces in functional medicine.
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And I'll take that as a compliment, being nerdy.
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Yes, that's a compliment.
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Yeah.
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Oh my gosh.
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I I will say stuff to Ashley and she'd be like, How can you consume that much content and learn that much?
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Yeah, it's really a special gift that you have, Rika.
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Oh, well, thank you for that.
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And I always say, if you're you really have to know these nerdy biochemical pathways to understand how anything we give to patients, whether it's a medication or a supplement or a peptide, how it works and how the downstream effect is.
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Otherwise, you can impart unintended side effects or effects on onto someone.
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Yes.
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So let's talk about all of that.
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Let's dive in.
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Oh my gosh, what is a peptide?
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Let's just go basic.
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Yeah, just basics.
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I love the basics.
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And, you know, I name the clinic simply health institute, because if health isn't simple to either understand or implement, then people won't do it, right?
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Right.
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And a peptide is an amino acid.
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Amino acids are the building blocks of proteins, and they signal to a cell what the cell should be doing.
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So it's a cellular messenger.
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And I always the analogy I give is think of it like a text message.
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So when you, if you're or uh it's a communication stream.
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So think about actually, let's start with a phone call.
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If you call someone on the phone, you got to wait for them to pick up or maybe listen to their voicemail.
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Or if you're like me, I never even listen to the voicemails because people know if they want to get a hold of me, they text me.
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Yeah.
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Because that is Amen.
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I feel that so deep.
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And and it's so that's what peptides are.
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They're like a biologic text message.
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They deliver that message right away to exert that effect versus having to wait to exert the effect until someone listens to the message.
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So that's the best thing.
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And they communicate with cells in the case of GLP1s, which we'll be talking about, to um tell the pancreas to produce more insulin, to tell the body to repair itself, to tell the body to make um more growth hormones.
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So there's a variety of ways that they communicate and they're very specific.
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So not only are they a biologic text message, but they're very precise messages to the cell.
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I love that.
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Okay, so are peptides something that our bodies naturally make, or are they completely synthetic?
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They're both, but our bodies do make over 7,000 peptides.
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And you guessed it, with aging, like everything else with aging, they decline in how much of them we're making.
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So they do go down in number, and you can just pick 40 as an average, doesn't everything kind of change at 40?
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Um, and but there are synthetic ones.
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So our body naturally makes GLP ones in our gut, but they work for minutes, so shorter periods of time.
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So when they're synthetically crafted, they can be identical to the ones that our body produces, like bioidentical hormones, or they can be slightly varied to exert maybe a greater effect.
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So GLP ones that are synthetic will exert their effects for days, so up to a week, and that's why they're dosed weekly.
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Awesome.
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Well, I think let's talk about GLP ones because we're getting a lot of patients and clients that are on them or they're considering them.
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And, you know, it's a whole new world out there.
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We were talking before we started recording that now we're starting to use them in children, and it's just like rampant, right?
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You can go online and buy it.
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That scares me a little bit.
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Like, you don't want to be getting something from China or Mexico, you don't actually know what you're injecting, right?
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Correct.
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And they just did a study, they they tested some of these ones that are bought off these online sites, and you're exactly right.
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They either don't contain what they say they do, or they contain impurities.
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So you have to be really careful.
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And one impurity would be an endotoxin, so that could be potentially very hazardous to our health.
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So uh worst case scenario is you spend the money and you get no effect, uh, or best case scenario, worst case is it makes you sick.
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So wow.
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Okay.
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So it's really important who you're getting it from and that somebody is knowledgeable about it.
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So let's at least share with the listeners what is a GLP one, what is it indicated for, who should be taking it, who should not be taking it.
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Um, all the things.
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Yeah, so GLP1, it works three ways.
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So the first way is it communicates up to the part of the brain that says, hey, you're satiated, so you feel sediated that you're not going to continue to eat.
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Secondly, it communicates the GLP ones communicate to the pancreas to release more insulin.
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So insulin will help break down glucose.
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Um, and as people eat more and more sugary foods, the insulin levels get higher and higher and higher, and then they stop working as well.
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So help support the breakdown of glucose.
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Um, and the third is it slows down our gut motility, and that's where we feel fuller quicker.
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So that's um how they work.
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And who should be on them?
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I really think, you know, obviously they've been indicated for type two diabetics, um, probably first line for them because they are so effective.
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And type, you know, they're calling dementia diabetes of the brain.
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So you want to get that under control.
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And the biggest thing, I just saw a young diabetic patient, he was type one in this case, not type two, and his A1C was 6.5.
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I said, That's not normal.
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That's a setup to develop memory loss.
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And thankfully, he had made some changes before seeing me, and he was down to uh five, five point five.
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He had dropped a full point.
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And I said, You're great, you're on your way, you're very close to optimal, which is 5.2.
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So diabetics for sure.
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And I really think for weight loss, they should be considered only after you've optimized all the what I call the terrain or the foundation, lay that foundation so they work how they're supposed to.
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You don't get the untoward side effects because some of the statistics are really shocking about what happens while you're on them and after you get off of them.
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Mm-hmm.
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Yeah, that's kind of what we've been saying all along is it's a little bit of band-aid medicine, you know.
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You are helping in ways you're regulating your insulin, making it more sensitive.
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You're getting your blood sugar under control.
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But if you go off of it, you'll go back to the mess you had before, but probably a little bit worse, right?
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So correct, correct, because the weight regain is 50 to 67% of the weight will be regained in one year.
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And the majority of that weight regain is going to be fat mass.
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And then couple that with the muscle mass loss that's seen, unless you do things to prevent it while you're on it, muscle mass loss can be 25 to 40 percent.
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You can lose that much muscle mass.
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So you're shooting your metabolism in the foot when you lose that muscle.
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So not only did you lower how quickly you burn calories, but now you've put on more fat and you're worse than when you started.
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So you really want to know how to use them effectively when you're on them, and then what to do about when you get off of them, hopefully by laying that foundation.
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Yeah.
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I love that's such a great point because that's what people they think it's a quick fix, and that's why they go on them, but they didn't fix anything else.
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Right.
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And now you either have to pay for that the rest of your life or you have to figure out how to get off of it and do it right the next time.
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So and we're talking about like Ozempic, semaglutide, trusepitide.
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Can you explain the differences and why there's so many of these GLP ones?
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Um, well, like anything that comes out.
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So the for you know, 1.0 was the even there was uh there were others before a semaglutide that I'd utilized, and I've even forgotten their names because we don't even rely on them.
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And in actuality, I don't use semaglutide.
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It does, in my humble opinion, carry the most GI side effects.
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Okay.
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And so I've gone mostly to drusepitide, and there is one that's um, you know, being researched now, retatritide, which will come out so we can I can come back on uh again when that's released officially.
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It is, you know, for sale all over the internet, but I would say wait and get a reputable source of that.
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That's actually showing a lot of promise, and so it may negate some of the muscle loss we're seeing.
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And so they there's so many of them because some of them it's just a different name.
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So you're using the generic versus the different brand name.
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Some of it's they've gone from 1.0 to to 2.0, and um, and now soon it'll be 3.0 with the retatrotide.
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Okay.
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So they're just trying to keep the benefits but mitigate the side effects and lessen them.
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But correct.
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Let's talk about this GI motility issue because that's what we're seeing with our clients and patients, is they have been on the GLP one, they didn't really change their diet, they weren't even hungry or eating most of the time, but they are coming in with such dysbiosis and sometimes small intestinal bacterial overgrowth or SIBO because their stomach motility has slowed down so much, right?
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Yeah, correct.
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And I say the patients who have the most GI side effects from a GLP1 are the ones that don't have a uh foundationally well-lained uh GI terrain.
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And so what I what do I mean by that?
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So they're not, you know, think about to modern society is that we're rushing off.
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We don't rest to digest our foods, we're not seated at a table, we don't chew our food thoroughly.
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These are some of the basics.
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Um, we're relying on ultra-processed foods and you're not eating the whole food.
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So you're not feeding your microbiome.
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So you can guarantee that most people come in through your doors, especially if they're not familiar with lifestyle medicine, functional medicine, that they're gonna be in balance.
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Their gut bacteria is not gonna be the right milieu to make to promote GLP1 production.
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So GLP1s, our gut is actually the original pharmacy of GLP1s because we make it in our small intestine and in our colon, and it's influenced by our bacteria.
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So you can make your own.
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So you want to be supporting that.
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Initially, you may not even need a GLP one, but it slows that gut motility.
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And so if you're already not going, and how many people come through our doors and they don't even eliminate or go poop, let's not be fearful to talk about poop ladies.
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We deconated it all.
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But they're not going even once a day, but they're not educated on how to support that if it comes up.
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And then because you're fuller longer, you're not empty emptying your stomach as quickly, you're getting reflux symptoms at night, keeping these women up.
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And so it's really that the foundation's not laid through the diet, through our lifestyle of how we eat, through mitigating that stress response.
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So anyone who's stressed out, you can guarantee they're probably not making enough stomach acid to break down the protein that they need to maintain our muscles, right?
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So those are some of the background things.
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And as I said earlier, is that the ones who have the most side effects, that's your tip-off.
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That's that should be their symptom or their signal that you need to work with a doctor and restore your gut health because you're gonna be the one that's gonna rebound and be twofold worse, or to develop that SIBO.
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So after you've been on them.
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I know it breaks my heart.
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These women are spending an exorbitant amount of money to lose weight and feel better.
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And then they gotta go and do all this healing work after the fact.
00:18:51.309 --> 00:18:57.069
It's like, oh my gosh, if you could just do it together, that would make such a huge difference, right?
00:18:57.309 --> 00:18:58.350
Yeah, I always say that.
00:18:58.430 --> 00:19:12.750
Lay, I mean, if you're gonna do these fancy measures, if you don't lay that foundation, I call it the 3D protocol, I say it's diet, digestion, detox, the right steps in the right order to support the foundation, along with um balancing hormones.
00:19:12.829 --> 00:19:17.789
And when I talk about hormones, I talk about the stress hormones, I talk about the sex hormones, the thyroid hormone.
00:19:17.869 --> 00:19:22.430
It's not just the sex hormones, estrogen, progesterone, testosterone.
00:19:22.589 --> 00:19:26.589
Um, and so if you lay the foundation, then it you can do it in conjunction.
00:19:26.750 --> 00:19:31.389
You never have to delay, but if you're doing it in conjunction, you're gonna maximize the benefit.
00:19:31.629 --> 00:19:40.910
And they released a study, I don't know if you saw, is that women who are postmenopausal and not on hormones actually lose weight less readily on the GLP ones.
00:19:41.150 --> 00:19:43.710
So that's what I mean about laying the foundation.
00:19:43.869 --> 00:20:00.670
And so, you know, I've I've put people on them before and they don't change their diet, and they're the ones who will plateau the quickest on the weight loss, or they'll have very little weight loss, was it which is shocking because they are pretty effective uh drugs if weight loss is your only goal, but hopefully that's not the only goal.
00:20:00.910 --> 00:20:02.990
No, but I think that's a really important point.
00:20:03.150 --> 00:20:15.389
Like if you are on a GLP one and you're not getting the results that you're expecting, like you have to start to investigate and dig deeper and assume that, yeah, I have some root cause stuff to deal with, right?
00:20:15.629 --> 00:20:16.589
Yeah, for sure.
00:20:16.750 --> 00:20:17.069
For sure.
00:20:17.309 --> 00:20:18.109
Oh my goodness.
00:20:18.190 --> 00:20:18.750
I love that.
00:20:18.910 --> 00:20:19.230
Okay.
00:20:19.869 --> 00:20:32.109
So let's take a minute and listen about metabolyft because some people watching they haven't started the GLP ones, they're they're curious, but they want that benefit.
00:20:32.269 --> 00:20:33.069
And like Dr.
00:20:33.230 --> 00:20:42.029
Rika is saying, your body makes GLP ones, and there are things you can take to help actually support that process.
00:20:42.109 --> 00:20:46.750
And so metabolift is a natural herbal supplement to help support that.
00:20:46.990 --> 00:20:50.029
And it's just been a game changer for so many women.
00:20:50.269 --> 00:20:50.910
It has.
00:20:51.950 --> 00:20:57.069
Real quick, I just want to interrupt this conversation for something super important.
00:20:58.029 --> 00:21:08.269
Even though we need to take care of ourselves spiritually, emotionally, and physically, we do have to take care of ourselves at a cellular level.
00:21:08.430 --> 00:21:11.789
And that is why I have my Fast to Face supplement line.
00:21:11.869 --> 00:21:19.950
So let's just take a minute to hear about something that might be the game changer that you need in this season.
00:21:20.430 --> 00:21:23.869
Here's one of the things that the GLP1 drugs don't do.
00:21:24.109 --> 00:21:31.549
They don't increase your metabolism, and they don't also increase your body's natural production of GLP1.
00:21:32.029 --> 00:21:36.750
What metabolit will do is it's a combination of plant extracts.
00:21:36.829 --> 00:21:39.230
So it's lemon verbena and hibiscus.
00:21:39.389 --> 00:21:48.029
Now, those two have been researched, studied, and patented together as a duo to increase GLP1 about 55% in the body.
00:21:48.190 --> 00:21:49.950
It's doing it naturally.
00:21:50.349 --> 00:21:55.629
It's gonna naturally help you lower cravings and you're gonna feel a little bit fuller.
00:21:55.869 --> 00:21:59.629
In the clinical trials, they studied obese and overweight patients.
00:21:59.869 --> 00:22:06.349
The obese patients lost on average 10 pounds over two months, and overweight, it was eight pounds over two months.
00:22:06.589 --> 00:22:09.629
So this isn't gonna get you to the point where you don't ever want to eat.
00:22:09.710 --> 00:22:11.069
You're just not gonna feel as hungry.
00:22:11.150 --> 00:22:12.750
You're just mildly full.
00:22:13.150 --> 00:22:18.430
But you're still gonna be, you know, consuming food and then also increasing your metabolism as well.
00:22:22.910 --> 00:22:28.430
So we've talked a lot about gut motility, and I feel like we talk about gut all the time on every single episode that we do.
00:22:28.589 --> 00:22:32.990
But what other um things happen when women are on these GLP ones?
00:22:33.549 --> 00:22:42.190
Yeah, all women should know that the average um weight loss is actually 25 to 40 percent of that weight loss is lean muscle mass.
00:22:42.829 --> 00:22:43.629
That is wild.
00:22:43.869 --> 00:22:44.349
That's huge.
00:22:44.670 --> 00:22:54.190
So you're not losing fat, you're losing your muscle, which is necessary for high metabolic rate to break down your calories at rest.
00:22:54.349 --> 00:23:00.509
And that is unless you prioritize two things, protein and strength training.
00:23:00.670 --> 00:23:12.990
And the other loss that you get that I don't think I've heard talked about much, is that if a woman's losing weight rapidly, so over 14% in three months or so, you'll get rapid bone loss.
00:23:13.150 --> 00:23:16.589
And so we're already at risk as we age, if we lose bone.
00:23:16.670 --> 00:23:20.670
And you know, I have a woman who came in with a DEXA scan and she's gonna been getting them repeatedly.
00:23:20.750 --> 00:23:23.950
She has access to do them as however often she wants.
00:23:24.109 --> 00:23:27.950
And even though she's in the normal, we s I saw that steady decline.
00:23:28.109 --> 00:23:29.710
So it's really like, how do you support that?
00:23:29.789 --> 00:23:41.789
So you don't want to uh shoot yourself in the foot by not only losing muscle, but then losing bone, and you know, hip fractures uh are a huge source for what we call bad outcomes when it comes to end of life.
00:23:42.029 --> 00:23:48.750
Yeah, I mean, if you want to increase your mortality risk, have a hip fracture or or any major fracture.
00:23:48.990 --> 00:24:00.190
Oh my gosh, we just saw a patient the other day, or I guess I did your um coaching her, but she was advised to get off of her estrogen because she turned 60.
00:24:00.349 --> 00:24:02.750
Like, ladies, this is bad information.
00:24:02.910 --> 00:24:05.869
Please, that there's no data supporting that you have got.
00:24:06.509 --> 00:24:10.670
To go off your hormones after a certain time period or at a certain age.
00:24:10.990 --> 00:24:11.869
That is a myth.
00:24:12.029 --> 00:24:12.910
That is a lie.
00:24:13.389 --> 00:24:18.509
And this woman's bone loss just accelerated after she stopped her estrogen.
00:24:18.670 --> 00:24:24.829
Like her T-score was minus 5.1 in her lumbar spine.
00:24:25.069 --> 00:24:26.910
I was like, are you sure they read that right?
00:24:27.069 --> 00:24:28.109
Minus five?
00:24:28.670 --> 00:24:31.069
Like minus two is extreme.
00:24:31.309 --> 00:24:33.549
So it is really important.
00:24:33.789 --> 00:24:41.950
And then this kind of stuff is not being looked at from these clinics online that are handing out these GLP ones.
00:24:42.190 --> 00:24:51.549
So I can only imagine the damage that it's causing to go with through these clinics that are not taking a comprehensive approach.
00:24:51.710 --> 00:25:00.269
And that is why I appreciate your clinic so much because you're like, no, we need to look foundationally at everything.
00:25:00.430 --> 00:25:03.950
So I'm assuming you are following that, right?
00:25:04.269 --> 00:25:04.750
100%.
00:25:04.990 --> 00:25:06.349
And that's what I the third thing is.
00:25:06.430 --> 00:25:19.389
So we talked about gut motility, we talked about the unintended losses, but the real issue with GLP ones is that the root causes are never addressed when you're going to these online clinics or if you're just getting it from your primary care doctor.
00:25:19.549 --> 00:25:23.549
I had a woman that uh was getting it from her doctor, but I had optimized her.
00:25:23.710 --> 00:25:25.789
But I said, Oh, well, how often is she doing check-ins?
00:25:26.029 --> 00:25:27.389
She's like, Oh, she's not.
00:25:27.549 --> 00:25:28.829
I'm like, what?
00:25:29.629 --> 00:25:31.309
Oh, it's so frustrating.
00:25:31.470 --> 00:25:32.750
We're hearing the same thing.
00:25:33.549 --> 00:25:36.829
Someone locally that takes care of me is on it.
00:25:36.910 --> 00:25:39.950
Um, she, you know, does my beauty regimen.
00:25:40.190 --> 00:25:42.029
And she didn't know the plan.
00:25:42.269 --> 00:25:44.349
I said, How long are you supposed to be on this?
00:25:44.509 --> 00:25:45.069
What dose?
00:25:45.230 --> 00:25:45.789
I don't know.
00:25:45.950 --> 00:25:49.629
I'm just supposed to like keep going every month and getting an increased dose.
00:25:49.789 --> 00:25:54.269
There's no plan, and there's no plan to wean off of it.
00:25:54.430 --> 00:26:06.829
So that's something I think we definitely need to talk about is okay, if you've actually lost the weight, you've hit your goal, or if you really are struggling with side effects and you need to come off of it, what does that look like?
00:26:06.990 --> 00:26:11.950
Can women just stop it cold turkey, or should they come down on their doses?
00:26:12.349 --> 00:26:13.950
Yeah, that's a great question.
00:26:14.109 --> 00:26:20.349
So obviously, if you're having such untoward side effects, you may have to stop it uh abruptly, but that's not ideal.
00:26:20.430 --> 00:26:26.349
So we'll talk about if a woman really is committed to not being on them, I would first gradually reduce the dose.
00:26:26.509 --> 00:26:30.509
And hopefully, no woman when it comes to terzepatite is on more than 10.
00:26:30.589 --> 00:26:34.589
Okay, the studies show no more benefit at 10 than they do anything higher.
00:26:34.750 --> 00:26:36.509
Okay, and maybe even 7.5.
00:26:36.910 --> 00:26:39.789
So there's that sweet spot, more is not always better.
00:26:39.950 --> 00:27:01.470
So say they're on 10, coming down to seven and a half for a couple weeks, and everyone's gonna be different because you don't all of them sudden want to go from there zero to 360 and um and then gradually lowering it, and then you can space out the dosing, and then we can talk about maybe there's an indication to continue at a smaller dose, you know, ongoing.
00:27:01.629 --> 00:27:03.069
So that is an option for women.
00:27:03.150 --> 00:27:04.509
We call that microdosing.
00:27:04.750 --> 00:27:14.670
Yeah, I I want to hear about microdosing because I have autoimmune conditions and I hear it's good in for inflammation, and we have clients now asking about it.
00:27:14.829 --> 00:27:16.430
So I think it'd be huge.
00:27:16.750 --> 00:27:17.950
What is microdosing?
00:27:18.190 --> 00:27:21.470
So it's utilizing the GLP one at a fraction of the dose.
00:27:21.549 --> 00:27:27.710
Some people will go down to a tenth or a quarter, and I'd say, let's take trzeptide, for example.
00:27:27.950 --> 00:27:32.750
Starting dose is 2.5, and I'll commonly use just 0.5 or 1 milligram.
00:27:32.910 --> 00:27:36.829
So it's a fraction of the dose, 20 to 40 percent of the original dose.
00:27:36.990 --> 00:27:39.230
And the benefits are are real clear.
00:27:39.389 --> 00:27:42.349
Like you said, they're very anti-inflammatory.
00:27:42.509 --> 00:27:50.910
And when and they think that's why when it comes to heart disease, which is the number one killer of women, it reduces a risk of a heart attack by 15%.
00:27:51.309 --> 00:27:54.430
So that may not sound like a lot, but it's something.
00:27:54.589 --> 00:28:04.509
And then if you look into how it protects our brain health, they found in type two diabetics it can reduce the risk of dementia between 33 and 45%.
00:28:05.069 --> 00:28:05.309
Wow.
00:28:05.389 --> 00:28:05.629
Wow.
00:28:05.789 --> 00:28:07.069
So that's huge.
00:28:07.309 --> 00:28:08.269
That's huge.
00:28:08.509 --> 00:28:24.109
Um, and then they looked at what about people who have all these other neurodegenerative diseases, and they found that it improves both cognitive function and motor skills, and people who have Alzheimer's, Parkinson's, and possibly MS.
00:28:24.190 --> 00:28:28.990
So they have all these other benefits, and it is, as you said, anti-inflammatory.
00:28:29.230 --> 00:28:41.470
So I have the people who have osteoarthritis or autoimmune arthritis, and they're finding benefit at these lower doses because it's cardioprotective, neuroprotective, anti-inflammatory.
00:28:41.549 --> 00:28:47.069
And when it comes to the brain, it not only squashes down neuroinflammation, but helps insulin get into our brain.
00:28:47.230 --> 00:28:56.349
And remember, we just said dementia is considered diabetes of the brain, and it stops a um a process in the brain called oxidative stress.
00:28:56.430 --> 00:29:03.230
And I love simply defining that as when you cut an apple open and it turns brown, it's being destroyed, right?
00:29:03.389 --> 00:29:04.910
That's oxidative stress.
00:29:05.069 --> 00:29:14.029
And when we have exposures to toxins, and we didn't even touch upon like the things that can inhibit uh weight loss, and that's one of them, but it will suppress that.
00:29:14.109 --> 00:29:22.670
And I always say control oxidative stress, uh, fuel your mitochondria, which my book is all about how to prevent mitochondrial dysfunction.
00:29:22.750 --> 00:29:24.670
That's why my energy is so high.
00:29:24.910 --> 00:29:30.430
And it we've got all these added benefits at a lower dose without all the side effects.
00:29:30.509 --> 00:29:31.789
So it should be a discussion.
00:29:31.869 --> 00:29:32.990
Is it for everyone?
00:29:33.230 --> 00:29:34.750
Maybe, maybe not.
00:29:34.910 --> 00:29:40.670
And but it's a discussion, and that's what I love about having collaborative relationships with my patients, and I know you do too.
00:29:40.910 --> 00:29:41.150
Yeah.
00:29:41.230 --> 00:29:42.430
Oh my gosh, I love this.
00:29:42.589 --> 00:29:43.629
Well, here's a question.
00:29:43.869 --> 00:29:48.509
So women are always asking me, how long do I need to be on HRT?
00:29:48.670 --> 00:29:53.950
And I say, as long as you want the benefits, when you go off, you stop receiving the benefits.
00:29:54.109 --> 00:29:55.789
And so, yeah, forever.
00:29:56.029 --> 00:29:58.349
Is that the same with these microdosing?
00:29:58.670 --> 00:30:00.829
I would say it's similar, yes, of course.
00:30:01.150 --> 00:30:16.829
So, but you're on a fraction of the dose, and hopefully you're not needing it for weight loss because someone's jumped in and they've laid the foundations so that your diet is optimism, you're optimized, your digestive tract is optimized, that you're not chalk full of toxins which make you inflamed and store weight.
00:30:16.910 --> 00:30:26.670
Remember, when we're exposed to toxins, our body tries to protect us, sticks those toxins right in those fat cells, and your body is doing everything possible not to release them because they're harmful.
00:30:27.150 --> 00:30:28.829
You gotta be able to clear them out of the body.
00:30:28.910 --> 00:30:30.910
And there's a safe way to do it, of course.
00:30:30.990 --> 00:30:33.309
But yeah, I love that you say that about hormones.
00:30:33.389 --> 00:30:33.710
I do too.
00:30:33.789 --> 00:30:35.470
I'm like, well, how long do you want to age well?
00:30:35.629 --> 00:30:37.710
Well, you want to age well until the last day you're here.
00:30:37.789 --> 00:30:39.470
I want to be able to get up off my chair.
00:30:39.549 --> 00:30:41.869
I don't want to end up in long-term care.
00:30:42.029 --> 00:30:44.029
And the stats are are shocking.
00:30:44.109 --> 00:30:47.069
One in two women will need it after the age of 65.
00:30:47.230 --> 00:30:52.910
And because we live longer than men, on average, it's approaching almost four years in long-term care.
00:30:53.069 --> 00:30:54.109
So my gosh.
00:30:54.349 --> 00:30:54.509
Wow.
00:30:54.670 --> 00:30:56.750
Yeah, I will be staying on my hormones.
00:30:57.549 --> 00:30:58.109
Me too.
00:30:58.269 --> 00:30:58.750
Me too.
00:30:58.990 --> 00:30:59.549
All of them.
00:30:59.789 --> 00:31:02.190
Oh my gosh, that's amazing.
00:31:02.509 --> 00:31:15.710
So I I've always looked to you because you have done so much work in the chronic health condition space of like long COVID and mold and Lyme and all those complex diseases.
00:31:16.029 --> 00:31:23.710
But really, truly, what you're saying is like the terrain is what matters, the foundation, the detox pathways.
00:31:23.789 --> 00:31:33.230
It doesn't matter if you're dealing with these chronic illnesses or something new is coming up and you you realizing, hey, I just cannot shed this weight.
00:31:33.389 --> 00:31:39.389
It could be something as simple as your fat cells are storing all these toxins, right?
00:31:39.710 --> 00:31:42.750
So can you just dive into that a little bit more?
00:31:42.910 --> 00:31:50.029
Because I I'm hearing somebody's listening right now and they're just like, wait, our fat cells store toxins?
00:31:50.589 --> 00:31:50.910
Yeah.
00:31:51.069 --> 00:31:57.950
So when we're um, it's not a toxic exposure once in a lifetime, it happens gradually over our lives.
00:31:58.029 --> 00:32:08.269
And I've been measuring toxic uh loads in patients over the last 10 plus years, and a lot of them can wreak havoc on our hormones.
00:32:08.349 --> 00:32:16.029
And so when we're exposed to a toxin, we have to break it down into um a chemical product that's actually worse for us.
00:32:16.190 --> 00:32:17.869
We call it the active metabolite.
00:32:17.950 --> 00:32:25.389
So it can make you very sick, and then you have to make it water-loving and you have to detach a molecule to be able to poop, pee, or sweat it out.
00:32:25.549 --> 00:32:30.990
And if you don't, and in order to do that second phase, you need amino acids, which comes from protein.
00:32:31.069 --> 00:32:33.230
And how many women don't eat enough protein?
00:32:33.389 --> 00:32:35.389
And you also need your B vitamins.
00:32:35.629 --> 00:32:46.269
And so um, as we get stressed, we're gonna deplete our magnesium and our B vitamins, and then we have low protein, so the body has no other choice but to say, what else are we gonna do with this?
00:32:46.349 --> 00:32:47.710
It can wreak havoc.
00:32:47.869 --> 00:32:50.109
And it's like I said, not one exposure.
00:32:50.190 --> 00:32:52.670
It's over a lifetime, it can come from air pollution.
00:32:52.910 --> 00:33:00.910
I always say it's filter your water, uh, filter your air, eat as clean as you can with the whole foods, and then be very mindful.
00:33:01.069 --> 00:33:10.269
I say, purge your products, you know, make sure everything you use on your face, body, and home, and even men are exposed and wear your surround yourself.
00:33:10.430 --> 00:33:20.109
So, you know, we we talk a lot about the women, but one of the shocking statistics I give before men is that men's testosterone levels have dropped uh 30% over the last decade.
00:33:20.349 --> 00:33:26.990
And atrazine in the PubMed studies has been shown to chemically cra castrate male frogs.
00:33:27.230 --> 00:33:30.029
So if it's gonna feminize male frogs, what does it do?
00:33:30.349 --> 00:33:32.750
It's gonna give us estrogen dominance in women.
00:33:32.829 --> 00:33:39.950
And so it's and that's gonna make it harder for us not only to uh shed the weight, but then feel imbalance.
00:33:40.109 --> 00:33:44.269
We're gonna feel off, have more PMS, painful periods, heavy periods, etc.
00:33:44.589 --> 00:33:47.629
Um, but that's how they play the role is that they it's unassuming.
00:33:47.710 --> 00:33:55.710
And I say the younger you are when you develop symptoms like I was, you can bet your bottom dollar that you're genetics, and we didn't even dive into that.
00:33:55.789 --> 00:33:57.950
Maybe that's another episode, Tamitha.
00:33:58.509 --> 00:34:07.150
Yes, absolutely, because you are a master at genetics, and you know, it's not everything, but it is part of the puzzle for sure.
00:34:07.389 --> 00:34:13.230
And I personally have terrible genetics, and so I don't detoxify well.
00:34:13.550 --> 00:34:18.829
I can feel the overwhelm of that toxic burden so easily.
00:34:18.990 --> 00:34:33.789
We were just talking on our last episode how when we fly, like it's rough the next day because we have like taken on all those chemicals and that recirculated air and all those toxins, and our poor little bodies are like, help.
00:34:34.190 --> 00:34:35.470
Yeah, help.
00:34:35.950 --> 00:34:45.470
Um, do you do genetic testing with every patient that comes in, or is that something that you are looking for certain things that you want to do it?
00:34:45.710 --> 00:34:49.550
I would love to do it on everyone, but we we say, you know, we have three levels of programs.
00:34:49.630 --> 00:34:56.269
The first one lays the foundation, and that gets people most of what they need, and that's gonna hit, I don't know, maybe at least half your population.
00:34:56.430 --> 00:35:02.349
And then the second step is leverage the genetics, and the third step is live long well with these peptide protocols.
00:35:02.510 --> 00:35:11.470
But leveraging the genetics, I say the people who absolutely need it are those high performers who want to stay high performing because there are genetic predispositions to burnout.
00:35:11.630 --> 00:35:14.910
And uh, how many high performers come in and say, I don't feel stressed?
00:35:15.070 --> 00:35:20.590
And then the next week they're in your office, flat out, laid out on the couch, disabled from their fatigue.
00:35:20.670 --> 00:35:24.590
And it didn't happen overnight, but they see it as happening overnight.
00:35:24.750 --> 00:35:29.389
And those that have either symptoms earlier in life, so like you and I, right?
00:35:29.470 --> 00:35:30.590
And you you said it.
00:35:30.670 --> 00:35:33.470
Um, I'd love to share one story about the flying, if I may.
00:35:33.630 --> 00:35:33.950
Yes.
00:35:34.190 --> 00:35:42.190
So before I got into I got into functional medicine as a result of uh one of the antioxidants our body makes called glutathione, I read this article.
00:35:42.349 --> 00:35:43.550
It happened to be by Dr.
00:35:43.710 --> 00:35:46.349
Mark Hyman in 2011, a long time ago now.
00:35:46.590 --> 00:35:52.349
And I said, wow, this explains every fatigued woman that I couldn't explain why they were fatigued.
00:35:52.430 --> 00:36:01.470
And I had no idea this was my whole issue with some of my uh genetic variations and how I made and recycled glutathione.
00:36:01.630 --> 00:36:09.710
And my manifestation, we lived a long way away, was that my jet lag went from one week to two weeks to three weeks by the time I hit mid-40s.
00:36:10.110 --> 00:36:19.869
And um, I was at my first functional medicine conference, came upon the booth that was uh selling glutathione, and he said, You must be excited to fly all the way back to see your kids.
00:36:19.949 --> 00:36:21.469
You must be missing them, they're really young.
00:36:21.630 --> 00:36:23.630
So I am, but I'm not looking for the jet lag.
00:36:23.710 --> 00:36:26.349
And he said, Here, take this glutathione starting now.
00:36:26.509 --> 00:36:28.269
Because I was leaving like the next day.
00:36:28.509 --> 00:36:32.909
Within three days, jet lag was gone, and I had no clue.
00:36:32.989 --> 00:36:36.509
It took me a long time to figure out that that was my my insult.
00:36:36.670 --> 00:36:47.070
So, younger people, high performers, or anyone who wants to mitigate the ill effects of aging, because while aging is uh inevitable, decline doesn't have to be.
00:36:47.389 --> 00:36:48.590
Oh, I love that.
00:36:48.829 --> 00:36:49.789
I will take that.
00:36:50.030 --> 00:36:50.269
Yeah.
00:36:50.829 --> 00:36:55.469
And I need to refill my glutathione because I literally just took my last one yesterday.
00:36:55.710 --> 00:36:57.070
It helps so much.
00:36:57.230 --> 00:36:58.269
You're absolutely right.
00:36:58.429 --> 00:37:02.429
So that is the major antioxidant our body makes.
00:37:02.590 --> 00:37:06.190
That is preventing our apple from turning brown, right?
00:37:06.349 --> 00:37:07.469
Correct, correct.
00:37:07.630 --> 00:37:08.030
I love it.
00:37:08.190 --> 00:37:08.509
So good.
00:37:08.590 --> 00:37:08.989
Oh my god.
00:37:09.389 --> 00:37:09.710
So good.
00:37:10.590 --> 00:37:14.509
Did you get all your questions answered about GLP1s and peptides?
00:37:14.750 --> 00:37:15.630
Yeah, I think so.
00:37:15.789 --> 00:37:22.110
I think that this is probably gonna be one of those episodes where women are gonna have to listen to it two or three times to really get it.
00:37:22.269 --> 00:37:24.509
You always say that glassed over look, I get.
00:37:24.670 --> 00:37:28.909
Um, and there is a lot coming at uh I am not the doctor in the group.
00:37:28.989 --> 00:37:31.869
And so, but there's a lot of information and a lot to unpack.
00:37:31.949 --> 00:37:35.869
But I I think it goes back to the basics, like you've got to fix your gut.
00:37:36.030 --> 00:37:40.190
And if you're a high performer and you're listening to this, catch it younger.
00:37:40.349 --> 00:37:48.030
I mean, I in the same boat, like I struggled really young, and there are a lot of women who say to me, You're so fortunate that you caught it so early.
00:37:48.190 --> 00:37:51.150
And I I don't take that for granted that we did that.
00:37:51.389 --> 00:37:55.869
And I sat in front of you and you told me, like, get your life together, girlfriend.
00:37:56.989 --> 00:37:57.710
Oh my gosh.
00:37:57.869 --> 00:38:02.349
Is there anything that we didn't touch on that you just feel compelled to share still?
00:38:02.670 --> 00:38:19.469
Um, just a brief overview, and maybe it'll have to be a whole nother episode is that there are so many more peptides that are important for longevity or could be important that um can influence our cognitive health, our brain health, uh our metabolic health.
00:38:19.550 --> 00:38:21.389
And um, I'll I'll share one.
00:38:21.469 --> 00:38:27.309
So we talked about getting off of them, and there are some peptides I'll use to help promote lean muscle mass.
00:38:27.389 --> 00:38:40.030
Um, and those are the ones that support our own formation of growth hormone and helps us lean out and preserves our muscle mass, helps people s recover quicker and then also um sleep better at night.
00:38:40.190 --> 00:38:42.429
Some have reported a blip and libido.
00:38:42.670 --> 00:38:47.469
So that's an important one to think about when you're coming off of them, the ones that support growth hormone.
00:38:47.630 --> 00:38:54.349
The second one would be the mitochondrial peptides, because one in particular supports insulin insulin sensitivity.
00:38:54.509 --> 00:38:59.230
So that's what I'm doing now with a patient who had gotten off and said, Hey, I'm starting to regain the weight.
00:38:59.309 --> 00:39:07.550
So we revisited and talked about the foundation, made sure that was laid, did some labs, made sure she looked good, and said, Hey, let's start these two and see how you do.
00:39:07.630 --> 00:39:14.429
And so um, that's what I've I've commonly been doing is segueing into that next phase of layering the peptide.
00:39:14.509 --> 00:39:16.509
But there's so, so many more that we can do.
00:39:16.829 --> 00:39:17.550
Oh, I love that.
00:39:17.710 --> 00:39:19.789
Is the growth hormone peptide?
00:39:19.869 --> 00:39:20.750
What's that one called?
00:39:21.070 --> 00:39:22.429
There's a few on the market.
00:39:22.670 --> 00:39:32.269
Um, my top two are CJC 1295, ipamorelin, and tesamerelin, and you'll hear some, just so your listeners know, they're on this category two list.
00:39:32.349 --> 00:39:34.429
It just means be careful.
00:39:34.590 --> 00:39:36.110
That's what the government's saying.
00:39:36.269 --> 00:39:44.349
But the recent announcement was that they're gonna be moving them off in the near future to category one because most peptides are safe.
00:39:44.429 --> 00:39:50.509
You just need to know how to use them, how to dose them, how to cycle them, know any of the ill or untoward effects.
00:39:50.670 --> 00:39:55.469
You know, even the GLP one says don't use it in someone who's had thyroid medullary cancer.
00:39:55.630 --> 00:39:59.789
There are some warnings with some of them, and you want to be counseled appropriately.
00:40:00.110 --> 00:40:00.509
Yeah.
00:40:00.829 --> 00:40:05.230
Um, last question: do they have to be the injectables?
00:40:05.469 --> 00:40:08.750
Because now I'm seeing the oral GLP one commercials.
00:40:08.829 --> 00:40:11.309
I saw Charles Berkeley doing one the other night.
00:40:11.389 --> 00:40:12.989
I was like, dude's getting old.
00:40:13.230 --> 00:40:15.469
Yeah, I don't have enough information on those.
00:40:15.630 --> 00:40:16.670
I'd be really curious.
00:40:16.829 --> 00:40:21.230
So there are a lot of the peptides that use in the office are range from oral.
00:40:21.309 --> 00:40:22.989
So there's a lot of effective oral.
00:40:23.150 --> 00:40:27.949
You have to just make sure it doesn't get degraded in by the stomach acid, is probably the big thing.
00:40:28.110 --> 00:40:30.030
It's delivered out to the periphery.
00:40:30.269 --> 00:40:35.150
And so uh there are a lot that we use orally, nasally, injectably.
00:40:35.309 --> 00:40:37.949
Um, I still think at the moment that's a TVD.
00:40:38.030 --> 00:40:39.309
I'm not certain on that one.
00:40:39.869 --> 00:40:41.150
That's what I was thinking.
00:40:41.309 --> 00:40:42.190
Okay, cool.
00:40:42.429 --> 00:40:53.150
So you definitely only want to work with someone who's extremely knowledgeable, who has experience in this and understands the foundational aspect of it.
00:40:53.389 --> 00:40:59.070
I love that you shared you have three different levels, how clients can work with you, right?
00:40:59.150 --> 00:41:00.750
And you're based out of Chicago.
00:41:01.710 --> 00:41:05.789
Share with my listeners where else you're licensed in case they want to work with you.
00:41:06.030 --> 00:41:10.190
Yeah, so I'm licensed in Massachusetts, Washington, and California.
00:41:10.349 --> 00:41:12.909
So we can provide telehealth in those states.
00:41:13.150 --> 00:41:22.750
And if someone travels to see us, so we have at least 20 to 25% of our population will hear me speak, and they fly in from all over the United States and sometimes the world.
00:41:22.989 --> 00:41:26.750
And then the remainder of the visits for that year can be telehealth.
00:41:26.829 --> 00:41:28.829
So they'll travel once a year to see me.
00:41:29.070 --> 00:41:35.389
And, you know, I always say find a practitioner that you can resonate with, that you can have a collaborative relationship.
00:41:35.550 --> 00:41:38.590
We could probably do a whole episode on how to find a good practitioner, right?
00:41:39.070 --> 00:41:43.230
Uh, that someone that's trained and certified, and um, you want to be able to teach it.
00:41:43.389 --> 00:41:51.070
So I say if you can teach others, and I know you're teaching practitioners, then you know you're you're probably pretty well skilled at it, and just that passion.
00:41:51.150 --> 00:41:56.909
I mean, I want to age well, so it's a little bit of a selfish motivation to to be in this space.
00:41:57.150 --> 00:41:58.829
Yeah, I love that so much.
00:41:59.150 --> 00:42:14.829
You are practicing what you preach, and I think that is the doctor that you need to go to because if they're giving you advice, telling you to do things they themselves are not doing, you know, if they're overweight, they're not eating well, they're not moving their body.
00:42:15.070 --> 00:42:17.869
Yeah, you can find yourself another provider, right?
00:42:18.030 --> 00:42:19.070
You absolutely can.
00:42:19.230 --> 00:42:25.550
Oh my goodness, what a good episode! And I'm just excited that we're gonna go have lunch now because Dr.
00:42:25.710 --> 00:42:28.110
Rika came all the way from Chicago.
00:42:28.349 --> 00:42:30.429
So we're gonna go do that.
00:42:30.670 --> 00:42:48.509
But yes, let's plan another episode to dive deep into genetics because I think sometimes we can do all of this foundational work, and then we get thrown off with travel or a sickness takes us out, and we're like, why are we so sensitive?
00:42:48.670 --> 00:42:52.349
Or I thought I was fixed, and that can be the missing piece, right?
00:42:52.509 --> 00:42:53.630
Yeah, a hundred percent.
00:42:53.949 --> 00:42:54.670
Awesome.
00:42:54.909 --> 00:42:56.670
Thank you so much for this.
00:42:56.829 --> 00:42:57.710
This was awesome.
00:42:58.030 --> 00:42:59.070
Thank you for having me.
00:42:59.150 --> 00:43:03.789
What an honor to help women uh serve at their highest for their families and God.
00:43:04.030 --> 00:43:05.789
Thank you for your time today.
00:43:05.949 --> 00:43:09.070
I'm gonna leave you with one scripture to meditate on.
00:43:09.230 --> 00:43:12.110
It is Proverbs 3, 7 to 8.
00:43:12.670 --> 00:43:15.630
Do not be wise in your own eyes.
00:43:15.949 --> 00:43:18.269
Fear the Lord and shun evil.
00:43:18.429 --> 00:43:21.869
This will bring health to your body and nourishment to your bones.
00:43:22.190 --> 00:43:23.309
Dang, that's good.
00:43:23.469 --> 00:43:24.829
That's a good scripture for this.
00:43:24.989 --> 00:43:25.630
I know, right?
00:43:25.949 --> 00:43:26.429
Get it.
00:43:28.509 --> 00:43:30.750
Yes, do not be wise in your own eyes.
00:43:30.909 --> 00:43:34.429
It is essentially what I say I stole from my mentor, JJ.
00:43:34.670 --> 00:43:37.150
You cannot see the picture when you're in the frame.
00:43:37.389 --> 00:43:44.110
So get a licensed professional who knows what they're talking about and can walk you through this journey.
00:43:44.349 --> 00:43:45.789
If you've connected with Dr.
00:43:45.869 --> 00:43:47.869
Rika, everything's in the show notes.
00:43:47.949 --> 00:43:49.630
Get her book energized.
00:43:49.710 --> 00:43:52.190
It's going to help you get unstuck.
00:43:52.509 --> 00:43:53.550
Until next week.
00:43:53.789 --> 00:43:54.590
Love you.
00:43:55.070 --> 00:43:55.869
Bye, guys.
00:43:56.110 --> 00:43:56.590
Bye.
00:44:01.550 --> 00:44:06.030
If you like that episode, I have one favor to ask, maybe two.
00:44:06.349 --> 00:44:10.190
Can you hit subscribe and give me a heart?
00:44:10.349 --> 00:44:17.949
I want Apple to know that this is important information to you because when we tell them that, you will get more of it.
00:44:18.110 --> 00:44:19.789
So use your voice.
00:44:19.949 --> 00:44:24.829
Hit subscribe, hit the like button, share with a friend.
00:44:25.070 --> 00:44:30.429
And the other thing, I want you to download the five day challenge and get started on it.
00:44:30.590 --> 00:44:32.110
Take imperfect action.
00:44:32.269 --> 00:44:34.509
I will see you in the Fast of Faith Sisterhood.
00:44:34.590 --> 00:44:35.630
Till next time.