Volledige transcriptie van Does Google Really Know Your Diagnosis? | Researching Your Own Health with Holly Hawkins

the evidence based science out there, 37 00:01:59.079 --> 00:02:02.439 so that's really cool. And anybody with an MBI number 38 00:02:02.560 --> 00:02:06.680 with just like a medical clinician PAS and p's physicians, 39 00:02:07.359 --> 00:02:10.039 we all have free access to to Open Evidence AI. 40 00:02:10.319 --> 00:02:13.879 So you can actually take your GROC findings and say, hey, doc, 41 00:02:14.560 --> 00:02:16.759 I just wondering about this. You mind putting it through 42 00:02:16.800 --> 00:02:18.960 your database too, because that that's going to pull from 43 00:02:18.960 --> 00:02:23.599 the latest science. It traditionally has been paywalled, and so 44 00:02:23.599 --> 00:02:25.400 so GROC and Chat and some of those other guys 45 00:02:25.400 --> 00:02:28.599 don't have access to here's those paywalls, so it's kind 46 00:02:28.639 --> 00:02:31.319 of nice to have. Yeah, I did as much as 47 00:02:31.319 --> 00:02:34.960 I could with Chat or groc or whatever, what do 48 00:02:35.000 --> 00:02:36.400 you think? And then we can just put it through 49 00:02:36.400 --> 00:02:39.599 ours and looking. It's fun. It's really cool. 50 00:02:39.639 --> 00:02:42.879 So what you're saying is we should type up our 51 00:02:43.000 --> 00:02:47.840 questions and see if you're right after this yes and yes, okay, 52 00:02:47.840 --> 00:02:50.280 and so when it's wrong, then we can have everyone 53 00:02:50.319 --> 00:02:54.479 leave our clinic. Okay, okay. So the first one is 54 00:02:54.560 --> 00:02:57.840 under mental health. It goes how do I know if 55 00:02:57.879 --> 00:03:00.719 this is normal stress or an anxiety disorder? 56 00:03:01.840 --> 00:03:03.439 I think it depends on what we're talking about. So 57 00:03:03.479 --> 00:03:04.319 give me a scenario. 58 00:03:05.319 --> 00:03:09.719 Let's say somebody is in college and every day they're 59 00:03:09.759 --> 00:03:13.919 going home with stress, but not panic attack level stress, 60 00:03:14.560 --> 00:03:17.240 and they just feel overwhelmed by the work they have 61 00:03:17.319 --> 00:03:19.280 to do or the homework that they have to do. 62 00:03:20.080 --> 00:03:23.199 Would that be stress or would that be anxiety disorder? 63 00:03:23.960 --> 00:03:28.240 So the super interesting stress anxiety panic disorder. There's there's 64 00:03:28.319 --> 00:03:30.919 rumination disorder. There's a whole bunch of little nuance to 65 00:03:31.000 --> 00:03:35.080 this equation. And one of the cool things about pressure, 66 00:03:35.439 --> 00:03:37.840 we're gonna call it pressure instead of anxiety because that 67 00:03:37.840 --> 00:03:41.560 has a negative connotation. But school has pressure with it, right, 68 00:03:41.639 --> 00:03:43.800 Like I got deadlines, I got I got tests, I 69 00:03:43.840 --> 00:03:46.599 gotta do all this stuff, and there's like this, there's 70 00:03:46.680 --> 00:03:51.159 like this bell curve to all of that pressure. A 71 00:03:51.199 --> 00:03:55.879 little bit

is good, not enough is not good, right, 72 00:03:56.199 --> 00:03:59.280 a little bit more is better for progress, right, And 73 00:03:59.319 --> 00:04:02.520 then there's as a peak for and it probably varies 74 00:04:02.560 --> 00:04:04.840 a little bit from person to person, but like, oh yeah, 75 00:04:04.840 --> 00:04:07.000 that's your peak, dog. And then then you start to 76 00:04:07.000 --> 00:04:08.520 go down the other side of the bell creve where 77 00:04:08.520 --> 00:04:11.800 now we're getting too much stress and our performances is different. 78 00:04:11.800 --> 00:04:13.560 Hanging in a bunch of other things, and there's a 79 00:04:13.680 --> 00:04:20.199 multitude of things that they kind of affect our tolerance 80 00:04:20.240 --> 00:04:24.319 to that. So that pressure can be like our tolerance 81 00:04:24.360 --> 00:04:27.399 to that pressure can be expanded if we're taking enough breaks, 82 00:04:27.439 --> 00:04:32.199 if we're exercising, if we're breathing appropriately, if we're we 83 00:04:32.240 --> 00:04:36.000 have healthy relationships, we have a stable living environment, we 84 00:04:36.079 --> 00:04:40.079 have a decent religious space to you know, to offload 85 00:04:40.160 --> 00:04:42.920 some things, and so all those things can build up 86 00:04:42.920 --> 00:04:46.680 that threshold or that buffer to handling healthy amounts of 87 00:04:46.759 --> 00:04:50.720 pressure in your life. If that buffer is chiseled down 88 00:04:50.800 --> 00:04:53.399 too much. I'm unstable, I don't have I got kicked 89 00:04:53.399 --> 00:04:55.560 out of my roommates, and I broke up with my 90 00:04:55.800 --> 00:04:58.519 girlfriend or boyfriend, and you know, my parents hate me, 91 00:04:58.560 --> 00:05:02.399 and i'm and then you find yourself with any amount 92 00:05:02.399 --> 00:05:06.079 of pressure creating situations that might be panic, that might 93 00:05:06.160 --> 00:05:09.480 mean lots of anxiety, that might be man, I'm really 94 00:05:09.519 --> 00:05:12.079 struggling to perform. I can't really concentrate, I can't really 95 00:05:13.040 --> 00:05:15.519 can't really dial in. So so then you might be 96 00:05:15.600 --> 00:05:18.680 in the space where, oh, we might need some support, 97 00:05:19.240 --> 00:05:20.959 and that's when it's time to talk to a clinician. 98 00:05:22.000 --> 00:05:25.439 It's affecting my performance. I think I need some help, 99 00:05:25.759 --> 00:05:27.959 and so we might say, well, tell me about that, 100 00:05:28.040 --> 00:05:30.120 and then okay, there's some social things you can do 101 00:05:30.160 --> 00:05:33.120 to build up that buffer, but is there maybe for 102 00:05:33.199 --> 00:05:35.759 a duration, it might be appropriate to start a medicine too, 103 00:05:36.079 --> 00:05:38.360 and maybe talk to somebody, get some therapy, dial it in. 104 00:05:39.160 --> 00:05:41.040 There's a lot of things that that chisel down at 105 00:05:41.040 --> 00:05:46.439 that buffer, and one

of them is like our default 106 00:05:46.439 --> 00:05:48.399 mode network. We could have talked about this last week, 107 00:05:48.639 --> 00:05:51.680 and some of that default mode network is like, what 108 00:05:51.800 --> 00:05:54.199 is the voice that we're listening to? That's telling us stuff, 109 00:05:54.240 --> 00:05:56.959 and sometimes those are negative voices and they can affect 110 00:05:57.439 --> 00:05:59.879 our performance, and they can also affect that buffer. So 111 00:06:00.160 --> 00:06:02.600 whether it's man, I'm having a lot of anxiety, or 112 00:06:02.639 --> 00:06:04.879 maybe man, I'm having a lot of depression, or maybe 113 00:06:04.920 --> 00:06:07.600 I can't sleep and I'm having anxiety and depression, Well 114 00:06:07.639 --> 00:06:11.040 that might be time to like, oh, let's get seen 115 00:06:11.079 --> 00:06:13.680 by the clinician, see if there are some things that 116 00:06:13.680 --> 00:06:16.600 we could do to enhance that buffer such that when 117 00:06:16.720 --> 00:06:21.600 pressure hits, you don't find yourself in these overwhelming, emotionally 118 00:06:21.800 --> 00:06:23.439 dysregulated states, if you will. 119 00:06:24.040 --> 00:06:26.800 So, how would you recommend for that college student? How 120 00:06:26.800 --> 00:06:29.439 do they know where they're at on the bell curve? 121 00:06:29.959 --> 00:06:31.879 Because I think with a lot of the way that 122 00:06:31.920 --> 00:06:36.519 we cope now, especially the younger generations, they have zero 123 00:06:36.560 --> 00:06:38.800 coping skills. How do they know where they're at on 124 00:06:38.959 --> 00:06:42.560 just like, Okay, I've had a hard day, I feel stressed. First, Okay, 125 00:06:42.720 --> 00:06:45.839 every single day I'm now feeling this, but I'm not 126 00:06:46.160 --> 00:06:48.800 having panic attacks. So how do they know where they're 127 00:06:48.839 --> 00:06:49.920 at in the bell court? 128 00:06:50.120 --> 00:06:52.720 Yeah, if you're anxious because you've got a test coming 129 00:06:52.800 --> 00:06:55.759 up and you're inclined to study, you're in the healthy 130 00:06:55.800 --> 00:06:59.480 pressure space. If you're having a hard time sleeping, you 131 00:06:59.600 --> 00:07:02.439 keeping and ruminating about oh my gosh, did I study enough? 132 00:07:02.560 --> 00:07:04.480 Or oh my gosh, I'm so stressed about tomorrow. I 133 00:07:04.519 --> 00:07:07.720 don't know about this thing, and then that persists even 134 00:07:07.759 --> 00:07:10.639 after you're done with the test. Oh man, if only 135 00:07:10.680 --> 00:07:13.399 I could have water to shout a Maybe those are 136 00:07:13.399 --> 00:07:17.360 those self talk dialogues that create more anxiety, more depression, 137 00:07:17.439 --> 00:07:20.800 more of those negative feelings in us. And so I 138 00:07:20.800 --> 00:07:24.480 would say, just look at your day to day life. 139 00:07:25.399 --> 00:07:27.480 Am I able to get up and perform? Am I 140 00:07:27.560 --> 00:07:30.439 sleeping all the time? Am I unable to get out 141 00:07:30.439 --> 00:07:33.000 of bed? Or am I really unable to sleep? I'm 142 00:07:33.079 --> 00:07:35.759 ruminating and chewing on these things, and I can't really 143 00:07:35.800 --> 00:07:38.240 get through it and get over it. You might need 144 00:07:38.240 --> 00:07:40.839 some tools and some you know, talk to somebody. Get 145 00:07:40.879 --> 00:07:43.160 on a medicine for a duration. One of my pet 146 00:07:43.199 --> 00:07:44.959 peeves is that a lot of my colleagues are starting 147 00:07:45.000 --> 00:07:47.439 people on these medicines that really don't work a ton. 148 00:07:47.759 --> 00:07:49.879 They're just designed to really be a band aid for 149 00:07:49.959 --> 00:07:53.480 a symptom for a duration. They're not designed to heal anything. Really, 150 00:07:54.439 --> 00:07:56.720 that's not super fair because a lot of people heal 151 00:07:56.800 --> 00:07:59.720 from these medicines with therapy, and that's wonderful. But I 152 00:07:59.720 --> 00:08:03.199 think it's the therapy part that really helps, that default 153 00:08:03.199 --> 00:08:05.720 mode network and the internal self talk dialogues and things 154 00:08:06.360 --> 00:08:09.759 that then bring that true healing space. But then they 155 00:08:09.800 --> 00:08:12.279 never weaned off the medicine, right, and they were scared 156 00:08:12.279 --> 00:08:15.160 to and then you know, and so really, I think 157 00:08:15.240 --> 00:08:17.680 if we just had discussions with folks like like I 158 00:08:17.720 --> 00:08:19.639 just did, like, Hey, you just got a threshold, You 159 00:08:19.639 --> 00:08:22.240 got a buffer, and your buffer's thin right now, and 160 00:08:22.279 --> 00:08:24.199 the medicine is just gonna increase that buffer. You're gonna 161 00:08:24.199 --> 00:08:26.439 work on all those other things. You're gonna exercise more, 162 00:08:26.480 --> 00:08:28.439 you can eat right, you're gonna sleep better, you can 163 00:08:28.480 --> 00:08:31.079 do all those things. And that way, your threshold is 164 00:08:31.279 --> 00:08:33.759 really big. So when we wean off the medicine, guess 165 00:08:33.799 --> 00:08:36.559 what we're not down here in anxiety and panic attack 166 00:08:36.639 --> 00:08:37.720 and depression land. 167 00:08:38.279 --> 00:08:43.919 Yeah, I think that's super helpful. Okay, next one kind 168 00:08:43.960 --> 00:08:47.399 of similar but slightly different. How do I know if 169 00:08:47.440 --> 00:08:50.279 I have depression? First? Just feeling down? 170 00:08:51.000 --> 00:08:54.279 Yeah, this is great. I will say it is super normal, 171 00:08:54.799 --> 00:08:57.720 super normal for everybody to have some ups and downs 172 00:08:57.720 --> 00:09:00.679 in life. You're gonna be excited sometimes and be sad. 173 00:09:00.720 --> 00:09:03.159 Sometimes you're gonna cry, sometimes you're gonna You're gonna have 174 00:09:03.519 --> 00:09:05.879 high

days and low days. That's all super normal stuff. 175 00:09:06.039 --> 00:09:08.919 Doesn't mean you're bipolar, doesn't mean that does a whole 176 00:09:08.960 --> 00:09:12.480 other diagnosis. And and so I think the first thing 177 00:09:12.600 --> 00:09:15.679 is give yourself grace to have some bad days. That's 178 00:09:15.879 --> 00:09:20.720 like my number one thing. Depression versus like just feeling 179 00:09:20.840 --> 00:09:26.480 down is hard because I would say, if you're feeling 180 00:09:26.639 --> 00:09:29.519 down and you can't get up and you can't get 181 00:09:29.559 --> 00:09:32.440 out of bed and you can't get motivated to do 182 00:09:32.519 --> 00:09:35.600 anything and you're kind of stuck, well then you're kind 183 00:09:35.639 --> 00:09:38.639 of down into the depressed in state, right, And so 184 00:09:39.159 --> 00:09:42.000 we have this whole PHQ nine questionnaire that we often 185 00:09:42.080 --> 00:09:44.519 use in the in the clinics, there's there's even a 186 00:09:44.600 --> 00:09:48.480 PHQ three which you just you could literally go on 187 00:09:48.600 --> 00:09:52.279 to chat Rock and ask them like, hey, am I depressed? 188 00:09:52.279 --> 00:09:54.720 And they'll say, well, here's a PHQ nine. Answer these 189 00:09:54.799 --> 00:09:58.360 questions and if you answer them pretty high, then maybe 190 00:09:58.480 --> 00:10:03.519 you do have some depression. It's hard just subjectively to 191 00:10:03.679 --> 00:10:06.519 know if somebody's depressed. So even in the clinic, I can, 192 00:10:06.960 --> 00:10:09.639 I can kind of I think the benefit of seeing 193 00:10:09.639 --> 00:10:11.679 someone in persons is you can kind of sense that 194 00:10:12.080 --> 00:10:16.639 right and docs who are a little more I don't know, 195 00:10:16.879 --> 00:10:18.840 right and left brain balanced, they're going to be more 196 00:10:19.080 --> 00:10:22.000 more like intuitive and like hearing and sensing. And I 197 00:10:22.120 --> 00:10:24.480 don't always do the PHQ nine and the clinic. I 198 00:10:24.559 --> 00:10:26.840 can feel when someone's super depressed and they're telling me 199 00:10:26.879 --> 00:10:29.720 a story, and I'm like, Okay, we don't need to 200 00:10:29.759 --> 00:10:31.799 do any of that stuff. But if you're like if 201 00:10:31.840 --> 00:10:33.240 I'm on the fence, I might be like, well, I 202 00:10:33.279 --> 00:10:35.360 don't know, it's kind of hard to get a sense 203 00:10:35.399 --> 00:10:37.840 of that or feel for that. Let's just answer this questionaire. 204 00:10:38.159 --> 00:10:41.200 What that does is it gives you objective findings, right, 205 00:10:41.279 --> 00:10:44.720 so you can just like, now I'm not weighing on 206 00:10:44.840 --> 00:10:47.679 my gestalt or your gestalt or like how you're basically 207 00:10:48.120 --> 00:10:51.519 we just answer these questions. If there are really a 208 00:10:51.600 --> 00:10:53.840 lot of those that you answered a high level to, 209 00:10:54.440 --> 00:10:56.840 then yeah, depression for sure. Yeah. 210 00:10:57.200 --> 00:11:01.840 Would you say most people are depressed or just struggling 211 00:11:01.960 --> 00:11:04.679 with knowing how to identify their emotions. 212 00:11:06.519 --> 00:11:10.080 I would say not everyone are depressed. I think there 213 00:11:10.200 --> 00:11:14.279 are more sad states, more downstates, and more high states 214 00:11:14.360 --> 00:11:16.279 that we all have throughout the day. Everybody has some 215 00:11:16.440 --> 00:11:20.120 degree of that emotional roller coaster and understanding that. I 216 00:11:20.240 --> 00:11:27.000 think recognizing, understanding, utilizing, and regulating our emotions is a 217 00:11:27.159 --> 00:11:29.559 skill and it is one that we do not teach, 218 00:11:30.159 --> 00:11:33.639 which is dumb. And so if you're interested in learning 219 00:11:33.639 --> 00:11:36.200 more about that, I would say Mark Bracket. He's like 220 00:11:36.320 --> 00:11:40.919 the head of the Yale Center of Emotional Intelligence, and 221 00:11:41.559 --> 00:11:45.000 he's like a brilliant man, and he's created a Ruler 222 00:11:45.559 --> 00:11:49.440 r U l e R curriculum for schools for individuals 223 00:11:49.480 --> 00:11:54.639 to utilize. He's been on Huberman Labs podcast a few times. 224 00:11:54.679 --> 00:11:56.840 That's one of my favorite ones. I'm a science nerd 225 00:11:56.879 --> 00:12:00.120 and I love scientists and they're super nerdy science and 226 00:12:00.559 --> 00:12:05.399 he really lays out this Ruler curriculum. Are you elier, recognize, understand, label, 227 00:12:06.279 --> 00:12:09.000 People suck at those three things? Yeah, just recognize, Well, 228 00:12:09.039 --> 00:12:12.039 I'm feeling something. It feels more down than up, so 229 00:12:12.159 --> 00:12:14.759 maybe it's maybe in the bluesy space. I want to 230 00:12:14.840 --> 00:12:17.960 understand that. What is that? And then label it? Yeah, 231 00:12:17.960 --> 00:12:21.200 I'm feeling kind of bluesy. The D word is harder, right, 232 00:12:21.480 --> 00:12:24.960 call it depression, but let's just solid bluesy depression. That's fine, right, 233 00:12:25.279 --> 00:12:28.960 and then express that and I'm feeling kind of sad, 234 00:12:30.200 --> 00:12:33.320 tell somebody, hey, I'm feeling this, and then and then 235 00:12:33.519 --> 00:12:38.799 just literally just doing that helps you are regulate. So 236 00:12:38.960 --> 00:12:43.320 that I love that little curriculum. Recognize, understand, label, express, regulate. 237 00:12:43.679 --> 00:12:46.039 If you're feeling angry, if you're feeling sad, if you're 238 00:12:46.080 --> 00:12:50.679 feeling anxious, that's a wait for emotional intelligence to promote it. 239 00:12:52.279 --> 00:12:54.799 My Brackett is super nerdy PhD guy, and all these 240 00:12:54.840 --> 00:12:58.320 PhD guys are like, oh great, They're like they're like cerebral, 241 00:12:58.879 --> 00:13:03.200 They're

like these these massive brainy nerds. And that's great. 242 00:13:03.720 --> 00:13:07.639 And I love his curriculum because he uses brain cells 243 00:13:07.720 --> 00:13:12.039 to understand heart space. But I will say there's higher 244 00:13:12.159 --> 00:13:17.360 level to that where you're I think I think you're 245 00:13:17.399 --> 00:13:20.799 trying to analyze and fix and understand and all that 246 00:13:21.360 --> 00:13:27.879 with our with our surrebram our, c frontal, cervira, cortext 247 00:13:27.919 --> 00:13:30.399 we're trying to like understand our hearts with our heads. 248 00:13:30.919 --> 00:13:32.759 And I think that's part of the mortal existence and 249 00:13:32.840 --> 00:13:36.279 that's okay. But there is a deeper space where you're 250 00:13:36.399 --> 00:13:40.840 really feeling and understanding with your hearts and you're navigating 251 00:13:40.879 --> 00:13:43.720 your heart space with your heart ooh, that's a whole 252 00:13:43.799 --> 00:13:45.960 nother space, and you have to you have to be 253 00:13:46.039 --> 00:13:48.360 able to get rid of that default mode network. Breathwork 254 00:13:48.440 --> 00:13:51.000 does that. Some of the psychedelics do that, and then 255 00:13:51.080 --> 00:13:53.440 really get into that heart space and then you can 256 00:13:53.559 --> 00:13:57.159 really see stuff and you can really deeply understand and 257 00:13:57.279 --> 00:13:59.840 deeply heal. I think that's the intention of a lot 258 00:13:59.879 --> 00:14:03.679 of em drs and the trauma therapies that are out there, 259 00:14:04.480 --> 00:14:08.039 the modalities that they use with breath work and things 260 00:14:08.120 --> 00:14:11.720 like that, to really quiet the default mode network and 261 00:14:11.840 --> 00:14:14.159 really get to their heart space. But I do love 262 00:14:14.840 --> 00:14:16.639 what Mark Brackett does too, because I think it gives 263 00:14:16.679 --> 00:14:19.080 you some insight, some practical. 264 00:14:18.720 --> 00:14:24.159 Application to start today. Yeah, okay, moving on to sleep 265 00:14:24.639 --> 00:14:28.639 kind of the same thing. Am I actually burned out 266 00:14:28.960 --> 00:14:34.120 or just being lazy? Apparently there's a lot of people 267 00:14:34.200 --> 00:14:36.519 out there that are really confused about what they're feeling 268 00:14:36.559 --> 00:14:39.080 and if it's normal or if it's to an extreme 269 00:14:39.159 --> 00:14:40.039 that they don't understand. 270 00:14:40.080 --> 00:14:42.960 This is so funny. So I think this was a 271 00:14:43.039 --> 00:14:44.879 query that you put out to Google in the last 272 00:14:45.200 --> 00:14:47.360 week or two, and it is finals for so many 273 00:14:47.440 --> 00:14:51.440 of these kids trying to understand their emotions, so they're like, 274 00:14:51.679 --> 00:14:54.240 you could totally see this from like a nation full 275 00:14:54.360 --> 00:14:56.879 of like, yes, folks that are in finals well and 276 00:14:57.399 --> 00:14:58.399 what am I actually feeling? 277 00:14:58.519 --> 00:15:01.720 And social media too, where they will label everything as 278 00:15:01.799 --> 00:15:06.240 these major extremes now selling them on something to fix 279 00:15:06.320 --> 00:15:09.720 their laziness, rather than them just being tired from studying. 280 00:15:10.399 --> 00:15:12.360 So maybe not that one so much, but this one 281 00:15:12.480 --> 00:15:15.320 is a good one. Why am I exhausted all day 282 00:15:15.399 --> 00:15:16.919 but wide awake at two am? 283 00:15:18.200 --> 00:15:22.080 Throughout the day, A lot of people are not understanding 284 00:15:22.679 --> 00:15:28.320 or regulating their cortisol levels appropriately. Your cortisol. Physiologically, cortisol 285 00:15:28.360 --> 00:15:31.200 comes from your kidneys, your adrenal glands that sit on 286 00:15:31.279 --> 00:15:34.679 top of your kidneys, and it's secreted due to a 287 00:15:34.799 --> 00:15:37.120 signal from your pituitary, which is in the middle of 288 00:15:37.159 --> 00:15:39.480 your brain. So a little tiny or little tiny gland 289 00:15:40.080 --> 00:15:45.000 it secretes actch that then tells your pituitary or your 290 00:15:46.519 --> 00:15:51.679 it tells your adrenal glands to secrete cortisol at nighttime 291 00:15:52.440 --> 00:15:55.519 as you go to sleep you're not eating any food. 292 00:15:56.279 --> 00:16:00.600 Cortisol is a catabolic steroid. It breaks down sugar stores 293 00:16:00.639 --> 00:16:02.840 in your body to keep you alive during the nighttime, 294 00:16:03.519 --> 00:16:05.759 and it starts to rise around two or three in 295 00:16:05.840 --> 00:16:09.519 the morning, and then and then it spikes kind of 296 00:16:09.559 --> 00:16:12.519 early morning six seven eight, depending on when you wake up, 297 00:16:12.960 --> 00:16:15.919 and it spikes, and then you really want that cortisol 298 00:16:15.960 --> 00:16:20.279 to stay high. This is outside of a pathologically high 299 00:16:20.320 --> 00:16:22.639 cortisol level. So you hear people like, oh, cordisol's stress 300 00:16:22.679 --> 00:16:24.799 normalone and people are two strets or cortisols levels too high. 301 00:16:24.799 --> 00:16:26.480 We should definitely take cash a rod in the morning. 302 00:16:27.240 --> 00:16:29.200 That is not That is not the case. So this 303 00:16:29.399 --> 00:16:34.200 is the just the normal person, their normal physiology. Cortisol's high, 304 00:16:34.240 --> 00:16:36.159 and you actually want that to stay high. It keeps 305 00:16:36.200 --> 00:16:38.480 you motivated, keeps your energy going, It keeps you going. 306 00:16:38.799 --> 00:16:41.000 But what did ninety percent of Americans do in the morning. 307 00:16:41.279 --> 00:16:43.960 Let's eat a giant bowl of like frosted flakes. 308 00:16:44.039 --> 00:16:44.440 Let's see that. 309 00:16:44.559 --> 00:16:48.360 Let's see scrolling. Yeah, yeah, yeah, So you're killing your 310 00:16:48.440 -->

00:16:51.080 open me, but you're also killing your cortisol level. So 311 00:16:51.240 --> 00:16:55.000 a sugary, a high carbhydrate food in the morning is 312 00:16:55.080 --> 00:16:57.639 going to tank your cortisol and then you're gonna be 313 00:16:57.679 --> 00:16:59.840 super sleepy at noon. And what are you gonna do. 314 00:17:00.080 --> 00:17:02.399 You're gonna eat something high carb as well, and then 315 00:17:02.399 --> 00:17:06.319 you're gonna further take your cortisol and then you're sleepy 316 00:17:06.440 --> 00:17:09.440 all afternoon, so your corsol's super low, and then your 317 00:17:09.480 --> 00:17:11.519 body's like, hey, we need more cortisol, so it starts 318 00:17:11.559 --> 00:17:13.519 to spike a little bit early and then you're getting 319 00:17:13.559 --> 00:17:17.000 that two am spike instead. So really it's probably diet based. 320 00:17:17.039 --> 00:17:19.319 If we could cut the carbs a little bit. If 321 00:17:19.359 --> 00:17:21.319 you want to do some carbs, do it with dinner. 322 00:17:21.839 --> 00:17:24.359 Do a lower car breakfast, A lower carb lunch. Doesn't 323 00:17:24.400 --> 00:17:26.880 mean no carbs, but like, let's just eat veggies instead 324 00:17:26.920 --> 00:17:29.799 of all those sweet stuff right then, and that has 325 00:17:29.880 --> 00:17:32.559 complex carbs in it, and then it will help your 326 00:17:32.599 --> 00:17:34.880 cortisols be sustained throughout the day, your energy level will 327 00:17:34.880 --> 00:17:36.640 be sustained. You won't have that afternoon oh my gosh, 328 00:17:36.640 --> 00:17:39.960 I gotta take a nap feeling and that'll be money 329 00:17:40.200 --> 00:17:41.160 and then you'll be able to sleep. 330 00:17:41.799 --> 00:17:44.599 So what does your breakfast look like me? 331 00:17:44.839 --> 00:17:47.000 I don't eat a ton of breakfast, Yeah, I don't. 332 00:17:47.480 --> 00:17:51.079 I just drink some mojo in the morning and then 333 00:17:51.160 --> 00:17:54.079 that's pretty much it. And then lunch I try to 334 00:17:54.160 --> 00:17:56.079 keep it low carb, and then dinner if I do 335 00:17:56.200 --> 00:17:58.400 some carb that day, I'll do a low amount of carbs. 336 00:17:59.240 --> 00:18:03.400 Cortisol is clutch. The other thing at two am is 337 00:18:05.119 --> 00:18:07.359 if you've got a lot of things, you're kicking around 338 00:18:07.400 --> 00:18:10.920 breathing and not breathing, but you're just like thinking about 339 00:18:11.039 --> 00:18:14.519 ruminating on that cortisol is going to turn on. And 340 00:18:14.599 --> 00:18:17.920 then it can also turn on like your other adrenals 341 00:18:18.000 --> 00:18:21.839 like norbinephrin, and kick you into like a little bit 342 00:18:21.920 --> 00:18:24.519 fight or flight. So then you're like awake, and then 343 00:18:24.559 --> 00:18:26.559 you can't go back to sleep because your body just said, hey, 344 00:18:26.640 --> 00:18:29.839 usually wake up and think. And so I think some 345 00:18:30.640 --> 00:18:36.000 degree of emotional intelligence and emotional processing every single day. 346 00:18:36.400 --> 00:18:38.319 And I would just do it with breath work five 347 00:18:38.400 --> 00:18:43.680 seconds in, five seconds out, five seconds in five seconds, 348 00:18:43.720 --> 00:18:48.720 so and do that for like five minutes and then 349 00:18:50.119 --> 00:18:54.720 just breathe, and that gets you out of your default 350 00:18:54.720 --> 00:18:58.079 mode network and into kind of your heart space, and 351 00:18:58.119 --> 00:19:00.160 then you can just let your heart and mind kind 352 00:19:00.200 --> 00:19:04.880 of sort itself out. Understanding like subconscious brain and default 353 00:19:04.880 --> 00:19:07.000 mode network and the way our brains work and why 354 00:19:07.200 --> 00:19:09.799 and why they kick on and stuff is complicated. It's 355 00:19:09.799 --> 00:19:13.319 super complicated, but none of us actually do any work 356 00:19:14.240 --> 00:19:16.519 trying to fix it on a day to day basis. 357 00:19:17.559 --> 00:19:19.240 How do I feel stuff? How do I defrag the 358 00:19:19.279 --> 00:19:21.039 hard drive? Like? How do I? How do you get there? 359 00:19:21.480 --> 00:19:25.640 And I think one of the keys is breathwork, meditation, mindfulness, 360 00:19:26.880 --> 00:19:29.599 just breathing, just breathing. It turns out breathing is the 361 00:19:29.640 --> 00:19:32.720 answer to everything. Yeah, let's kind of breathe. 362 00:19:32.880 --> 00:19:35.119 Breathing and not eating a bowl of sugar first thing 363 00:19:35.160 --> 00:19:35.559 in the morning. 364 00:19:35.640 --> 00:19:36.839 Lucky charms due. 365 00:19:37.640 --> 00:19:45.319 No, okay, Next moving on to hormones. What are signs 366 00:19:45.359 --> 00:19:46.720 of hormone imbalance? 367 00:19:47.319 --> 00:19:51.960 Okay, So, if you are a menstruating female, your hormones 368 00:19:51.960 --> 00:19:56.480 are reasonable. They really are. If you're menstruating regularly normally, 369 00:19:56.799 --> 00:20:00.279 your hormones are reasonably balanced. If your hor if your 370 00:20:00.319 --> 00:20:04.880 cycle shortened, lengthened, heavier than usual, not as heavy as usual, 371 00:20:05.359 --> 00:20:09.359 something's off there. So really the great litmus test. Litmus 372 00:20:09.440 --> 00:20:11.680 test is a fancy word for like acid base. They 373 00:20:11.799 --> 00:20:13.200 dip it in the water and they tell if it's 374 00:20:13.240 --> 00:20:16.119 like acid base. So, but we're just the litmus test 375 00:20:16.279 --> 00:20:19.920 of your hormones is really your cycle? For females, Let's 376 00:20:19.920 --> 00:20:22.519 say you're ooh, I'm thirty seven. Am I a perimenopazzal. 377 00:20:24.240 --> 00:20:28.960 How's your cycle? My cycle's great. We don't really even 378 00:20:29.000 --> 00:20:32.279 need to check hormones. Female's hormones do this throughout the month. 379 00:20:33.319 --> 00:20:35.519 Yeah, it feels like that

they're like up down, up, down, 380 00:20:35.559 --> 00:20:39.759 down down, super down, and and that does play a 381 00:20:39.880 --> 00:20:42.839 role on your emotions and it is hard to control 382 00:20:42.920 --> 00:20:46.119 some of that emotional stuff dysregulation that happens with those hormones, 383 00:20:46.519 --> 00:20:47.640 and it is just not fair. 384 00:20:48.160 --> 00:20:50.400 One of these days, I'll ask the big man upstairs. 385 00:20:50.400 --> 00:20:52.480 It'll be like, hey, man, what's going on? And I 386 00:20:52.599 --> 00:20:54.480 literally I think it's just to keep us on our 387 00:20:54.519 --> 00:20:57.880 toes because I'm like, oh, otherwise it'd be so easy, 388 00:20:58.000 --> 00:20:59.920 Like if my wife was just like talking all that 389 00:21:00.200 --> 00:21:02.240 we had normal, steady hormones, it'd be so grooved, right, 390 00:21:02.519 --> 00:21:06.000 But no, it's like what the whoa, sorry, bab I 391 00:21:06.079 --> 00:21:08.720 didn't mean it. Nope, didn't mean that either. So you 392 00:21:08.920 --> 00:21:10.759 just you know, you got to figure out how to 393 00:21:10.920 --> 00:21:13.240 kind of navigate that space. But by far and away, 394 00:21:14.160 --> 00:21:16.920 despite the ups and downs of females hormones, if that 395 00:21:17.559 --> 00:21:22.960 cycle is cycling normally with normal amounts of the menstruation 396 00:21:23.160 --> 00:21:28.279 and normals of all that stuff cycles, everything is probably fine, Okay. 397 00:21:28.079 --> 00:21:31.400 What about men's hormones? So the next one is is 398 00:21:31.519 --> 00:21:36.799 testosterone therapy safe? And who should not be using testosterone therapy? 399 00:21:36.880 --> 00:21:40.079 I love this question. We have a million testosterone mills 400 00:21:40.079 --> 00:21:43.000 out there right now. These are mills because that's all 401 00:21:43.039 --> 00:21:46.400 they're interested in. They're venture funded, so they're funded by 402 00:21:46.440 --> 00:21:49.240 some guy who wants money, and then they put a 403 00:21:49.319 --> 00:21:51.720 worker b in there, often a pa or or spectationer 404 00:21:51.759 --> 00:21:54.799 because they're cheap labor. And then they just they just 405 00:21:55.039 --> 00:21:58.039 like run people through and they put everybody on testosterone 406 00:21:58.039 --> 00:22:00.400 because it's part of their business model and they make 407 00:22:00.480 --> 00:22:04.839 boatloads of money. And do these people feel better on testosterone? No? 408 00:22:05.240 --> 00:22:08.400 Yes they do. Oh yeah, because testosterone is a performance 409 00:22:08.480 --> 00:22:10.960 enhancing drug and it will make one hundred percent. You 410 00:22:11.039 --> 00:22:12.480 put me on tesasha, and we'll be like, oh they 411 00:22:12.519 --> 00:22:16.160 feel great. I'm after oh like I'm eighteen again. But 412 00:22:16.359 --> 00:22:20.480 is it appropriate? Maybe not. We all kind of want 413 00:22:20.519 --> 00:22:23.759 this easy, quick fix to our feeling of yeah, I'm 414 00:22:23.759 --> 00:22:26.119 getting bad, I got too much visceral bad, or I'm 415 00:22:26.359 --> 00:22:28.759 this or that, and everybody wants a quick fix to that. 416 00:22:29.079 --> 00:22:34.240 And hormones are unsafely that, and so why if you 417 00:22:34.319 --> 00:22:36.160 put a thirty year old, and we've had many of 418 00:22:36.200 --> 00:22:39.440 those folks come to our clinic to get ethical hormones 419 00:22:40.119 --> 00:22:43.640 or come off of those unethical hormones. We just have 420 00:22:43.759 --> 00:22:47.440 a talk about it. Hey, you're thirty, your hormones were 421 00:22:47.480 --> 00:22:51.319 a little bit low, but they weren't super low. But 422 00:22:51.440 --> 00:22:54.039 you could have done a million things in your personal 423 00:22:54.119 --> 00:22:57.799 life to fix that without this hormone injection. As soon 424 00:22:57.839 --> 00:23:01.000 as we start this hormone injection, guess what testicle shriveled up. 425 00:23:01.480 --> 00:23:03.920 They lost their ability to actually create hormone. And now 426 00:23:03.960 --> 00:23:05.640 you have to be on that the rest of your life, right, 427 00:23:06.000 --> 00:23:08.400 And that's a bum deal. And there is a way 428 00:23:08.440 --> 00:23:10.680 around that. So if you have that talk to your doc, 429 00:23:10.960 --> 00:23:14.440 if they're ethical, they'll probably help you jump start your boys. 430 00:23:14.519 --> 00:23:18.039 And it's not jumper cables, but it's close, it's not really, 431 00:23:19.000 --> 00:23:21.039 But yeah, we'll get them back online and get them 432 00:23:21.119 --> 00:23:24.160 come and again. Meanwhile, work on your sleep, work on 433 00:23:24.200 --> 00:23:28.799 your stress, work life balance, exercise, resistance training, get your 434 00:23:28.920 --> 00:23:31.559 vitamins in, get enough vitamin D, get some sun, walk 435 00:23:31.599 --> 00:23:34.720 in the mornings, walk in the evenings, manage that cortisol level, 436 00:23:35.519 --> 00:23:38.319 and magically your testosterone is back online and it's working great, 437 00:23:39.119 --> 00:23:41.759 So that's the key. It does take more discipline, takes 438 00:23:41.799 --> 00:23:45.400 more time, and it's more holistic, but man, it's way 439 00:23:45.440 --> 00:23:46.359 better for your boys. 440 00:23:47.000 --> 00:23:49.000 Well that's where I've heard you talk about this in 441 00:23:49.119 --> 00:23:52.000 the clinic, and I was talking to my sister. She 442 00:23:52.240 --> 00:23:55.559 was like, I didn't understand that this can make men infertile. 443 00:23:55.960 --> 00:23:59.400 She had friends in their early twenties looking into testosterone 444 00:23:59.480 --> 00:24:03.319 therapy because they wanted to get swool and didn't realize 445 00:24:03.400 --> 00:24:05.720 that they are pre having children and then that could 446 00:24:05.720 --> 00:24:07.000 affect their fertility. 447 00:24:07.160 -->

00:24:08.720 No, I'm glad you brought that up, because that is 448 00:24:08.759 --> 00:24:11.000 a That is also the other thing because then when 449 00:24:11.240 --> 00:24:14.359 they shriveled up they stop producing testosterone, they also stop 450 00:24:14.480 --> 00:24:17.519 producing sperm, and to get those babies back online, it's tough, 451 00:24:17.799 --> 00:24:21.720 so it takes time. It's not on it's not insurmountable. 452 00:24:22.240 --> 00:24:25.880 But talk to probably a good a good doc who's 453 00:24:25.880 --> 00:24:28.279 done a little digging in this and you'll see how 454 00:24:28.319 --> 00:24:28.559 to do it. 455 00:24:29.559 --> 00:24:34.440 So similarly, kind of a hot topic diet, Do I 456 00:24:34.599 --> 00:24:38.680 have to be on GLP ones forever? And who shouldn't 457 00:24:38.720 --> 00:24:39.759 be on GLP ones? 458 00:24:41.160 --> 00:24:46.599 Medullary thyroid cancer is like the big contry indication a 459 00:24:46.680 --> 00:24:48.680 family history of thyward cancer. You should talk to your 460 00:24:49.039 --> 00:24:54.720 clinician about that. If you have gastroprises, probably shouldn't be 461 00:24:54.799 --> 00:24:58.480 on that. If you have a gastric sleeve or a 462 00:24:58.559 --> 00:25:01.359 gastric bypass, you should talk to your clinician about the 463 00:25:01.519 --> 00:25:07.400 risks of being on that. I think they're pretty pretty safe. 464 00:25:07.599 --> 00:25:10.359 They've been around forever. They're naturally occurring in your body. 465 00:25:11.359 --> 00:25:14.599 What's been hacked is our food supply. So our food 466 00:25:14.680 --> 00:25:18.640 supply eighty five percent or more is crap, right, It's 467 00:25:18.720 --> 00:25:21.960 lucky charms, it's all this granola bars that are fake healthy, 468 00:25:22.200 --> 00:25:24.839 and yogurts that are fake healthy. They're just full of sugar, 469 00:25:25.440 --> 00:25:28.640 and all of those things really shut off the part 470 00:25:28.720 --> 00:25:32.480 of your brain that say I've had enough and I'm 471 00:25:32.599 --> 00:25:35.720 full here and I'm done. They shut that down and 472 00:25:35.759 --> 00:25:39.319 they just regulate it. So then you're like having craving 473 00:25:39.400 --> 00:25:42.200 is disproportionate than what's real for your body and what 474 00:25:42.279 --> 00:25:47.240 your body needs. So these shots given once a week, generally, 475 00:25:48.720 --> 00:25:52.119 they kind of help people quiet that food noise that 476 00:25:52.240 --> 00:25:54.880 comes from our poor diet. I love to have a 477 00:25:54.960 --> 00:25:57.440 very holistic talk with folks about, hey, we got to 478 00:25:57.440 --> 00:25:59.720 move the needle here, it's very difficult to move the 479 00:25:59.759 --> 00:26:03.400 needle with the American diet. What do you want to accomplish? 480 00:26:04.079 --> 00:26:06.759 You want to come to as cool? What changes are 481 00:26:06.799 --> 00:26:09.880 you willing to make to accomplish that? Because you really 482 00:26:09.960 --> 00:26:12.039 got to change some of this diet stuff. Well, I 483 00:26:12.119 --> 00:26:15.000 want to do this. This this okay? Great? What if 484 00:26:15.039 --> 00:26:17.039 I told you you're going to fail ninety percent of 485 00:26:17.119 --> 00:26:20.519 the time within seven days. There's a tool that we 486 00:26:20.599 --> 00:26:23.480 can leverage to just help you with that discipline space 487 00:26:24.000 --> 00:26:26.599 as you're coming off of this. It's like giving a 488 00:26:26.720 --> 00:26:32.559 crack addict something to be able to really quit the crack, right, 489 00:26:32.960 --> 00:26:35.680 And so this is something that really helps them. But 490 00:26:35.759 --> 00:26:37.279 they have to have that gumption, they have to have 491 00:26:37.359 --> 00:26:39.720 that desire, and they have to have that focus so 492 00:26:39.880 --> 00:26:43.039 that they can actually get there. And the medicine is 493 00:26:43.079 --> 00:26:45.160 just a tool to get there once they've dialed in 494 00:26:45.279 --> 00:26:49.640 behavior patterns and change diet and changed quantities and changed 495 00:26:49.759 --> 00:26:54.960 all these patterns. Now it's sustainable, right, But if you don't, 496 00:26:55.119 --> 00:26:57.480 if you continue to eat the food that disregulates you 497 00:26:57.920 --> 00:26:59.839 even though you're on it, you will lose weight. You'll 498 00:26:59.880 --> 00:27:02.160 be great, and then as soon as you stop your 499 00:27:02.200 --> 00:27:04.759 fluff right back out because you didn't really change the problem, 500 00:27:04.759 --> 00:27:07.119 which is all the processed food. Right, So we got 501 00:27:07.200 --> 00:27:09.319 to stop eating so much processed food, eat a lot 502 00:27:09.359 --> 00:27:14.039 more vegetables, meats, whole grains, not all the processed crap, 503 00:27:14.359 --> 00:27:17.440 and then we'll be fine. But it's just getting them 504 00:27:17.519 --> 00:27:20.519 there that's the battle. And so I think leveraging them 505 00:27:20.599 --> 00:27:24.039 for a duration to establish better eating patterns, better life patterns, 506 00:27:24.119 --> 00:27:29.000 better exercise patterns, and then coming down once a month, shot, 507 00:27:29.759 --> 00:27:32.480 once every two week shot, you know, and just tapering 508 00:27:32.960 --> 00:27:34.680 and then maybe they just need it once a month 509 00:27:34.759 --> 00:27:37.640 for maintenance. Awesome. I have several patients that are just 510 00:27:37.680 --> 00:27:40.279 once a month, and then even that, they'll come off 511 00:27:40.319 --> 00:27:42.119 of it for several months and they're fine and they're like, oh, 512 00:27:42.160 --> 00:27:45.400 I see myself getting disregulated again with my eating patterns 513 00:27:45.400 --> 00:27:47.680 and my relationship with food, and they'll just get back 514 00:27:47.720 --> 00:27:50.400 on it and it helps them. Long term studies on 515

00:27:50.480 --> 00:27:52.920 this do exist. People are like, there's no long term studies. 516 00:27:53.079 --> 00:27:55.319 There's a million long term studies. This medicine has been 517 00:27:55.319 --> 00:27:59.119 around for more than thirty years in different forms, So 518 00:27:59.400 --> 00:27:59.960 super interest. 519 00:28:01.359 --> 00:28:03.960 Next one is kind of the I feel like you 520 00:28:04.160 --> 00:28:08.039 have people on GLP ones and then you have likewise 521 00:28:08.079 --> 00:28:12.119 people who are in this holistic you can heal yourself. 522 00:28:12.240 --> 00:28:16.240 But one of the biggest things are detoxes. So whether 523 00:28:16.319 --> 00:28:21.920 that's like juice detoxes or even people will use intermitten 524 00:28:22.000 --> 00:28:23.680 fasting with detoxes. 525 00:28:24.599 --> 00:28:25.359 Do they work? 526 00:28:25.519 --> 00:28:27.160 Do detox cleanses work? 527 00:28:27.559 --> 00:28:30.759 Oh? Man, this is this is a whole another's bag 528 00:28:30.839 --> 00:28:33.279 of ones. And thanks for bringing this to you. I 529 00:28:33.319 --> 00:28:36.720 would say, go to groc and type this in now 530 00:28:37.119 --> 00:28:41.000 there's There are detox protocols that work, and the number 531 00:28:41.079 --> 00:28:44.319 one is stop processed food and sugar and you will 532 00:28:44.400 --> 00:28:48.079 literally go through withdrawals. So that's super simple. But do that, 533 00:28:48.359 --> 00:28:52.640 eat vegetables and meat, just those two things. Skip grains, skip, 534 00:28:52.839 --> 00:28:55.839 skip sugar, skip all that. Do that for six weeks, 535 00:28:56.640 --> 00:29:00.119 your whole brain will reset, your cravings will research that, 536 00:29:00.240 --> 00:29:04.039 your sugar thing will reset, like all this stuff will reset. 537 00:29:04.400 --> 00:29:07.720 That's the best detox anybody could do. There are anti 538 00:29:07.799 --> 00:29:10.599 inflammation diets that are, like, you know, only eat these 539 00:29:10.640 --> 00:29:14.480 things and decrease inflammation. That's not as much detoxing as 540 00:29:14.599 --> 00:29:19.119 just lowering inflammatory type foods. Wheat in America tends to 541 00:29:19.160 --> 00:29:22.920 be more inflammatory to our bodies. It's not that it's 542 00:29:22.960 --> 00:29:25.359 not a gluten allergy or is it a wheat allergy. 543 00:29:25.400 --> 00:29:28.680 It's just a little bit inflammatory. European wheat for me, 544 00:29:28.880 --> 00:29:31.319 generally doesn't do that as much, So I don't know 545 00:29:31.400 --> 00:29:33.440 what that is. There's probably a genetic strain that we 546 00:29:33.559 --> 00:29:35.400 use here that they don't use over there or something. 547 00:29:35.480 --> 00:29:39.759 But the detox is that there's some really radical ones 548 00:29:39.799 --> 00:29:42.759 that I don't recommend. There's like coffee enemas as part 549 00:29:42.799 --> 00:29:45.160 of the detox and all this stuff, and I think 550 00:29:45.200 --> 00:29:49.400 people can get pretty radicalized. And man, if you want 551 00:29:49.440 --> 00:29:53.119 a detox, honestly, just do like hot pilates or exercise 552 00:29:53.160 --> 00:29:57.039 a lot, sweat a lot, don't eat any processed food, 553 00:29:57.640 --> 00:30:01.000 drink lots of water. In your body. Your body's literally 554 00:30:01.200 --> 00:30:08.880 made to detox you. It is liver, kidney spleen like lungs. 555 00:30:08.960 --> 00:30:11.240 There's a whole bunch of organs that that's they just 556 00:30:11.640 --> 00:30:13.839 they just blow out toxins. They pee out toxins, you 557 00:30:13.920 --> 00:30:17.519 pooh out toxins. They process all these toxins. This is 558 00:30:17.759 --> 00:30:19.440 the case in point is the American diet. You could 559 00:30:19.480 --> 00:30:23.119 literally feed your body crap and it still lives. Right 560 00:30:23.319 --> 00:30:26.559 Like we're literally giving it processed chemical bull crap and 561 00:30:26.680 --> 00:30:30.200 it's doing okay. I mean, it's getting the diabetes and 562 00:30:30.279 --> 00:30:32.359 heart disease and all these other bad things from that crap, 563 00:30:32.440 --> 00:30:36.519 but it's sorting out the toxins. So really, if you 564 00:30:36.599 --> 00:30:42.000 want to sort out toxins, breathe, breathe, eat right, exercise, 565 00:30:42.240 --> 00:30:44.720 drink lots of water. Man, you'll flush out tons of 566 00:30:44.720 --> 00:30:47.599 stuff from your system. Tons. Now, if you truly have 567 00:30:47.759 --> 00:30:52.160 exposure to like heavy metals through you know, polluted waters 568 00:30:52.279 --> 00:30:57.200 or polluted environment or something, kelation detox absolutely works. We 569 00:30:57.319 --> 00:30:59.519 use that in medicine all the time, and so that's 570 00:30:59.519 --> 00:31:01.519 something to talk to your clinician about if you feel like, 571 00:31:01.599 --> 00:31:04.240 oh I might have some heavy metal exposure or something 572 00:31:04.279 --> 00:31:07.640 from my environment or something not super common. There was 573 00:31:07.680 --> 00:31:10.319 some factories in California that had some heavy metal stuff 574 00:31:10.319 --> 00:31:14.000 and they had to do klation therapies and stuff. But generally, 575 00:31:14.200 --> 00:31:16.160 I mean, if you're playing with mercury, you're gonna get 576 00:31:16.240 --> 00:31:19.599 mercury poisoning, right, So that needs to be keylated out 577 00:31:19.599 --> 00:31:22.960 and that's very, very life threatening. But yeah, I would 578 00:31:22.960 --> 00:31:25.440 say as a whole just do those things, Okay. 579 00:31:25.519 --> 00:31:29.119 So would you say before starting a radical cleanse that 580 00:31:29.240 --> 00:31:32.160 you might think is going to change everything about your 581 00:31:32.920 --> 00:31:35.319 experience in life. Maybe you reach out to your doctor 582 00:31:36.000 --> 00:31:38.200 and ask if that's a safe thing to do. Can 583 00:31:38.279 -->

00:31:41.119 you harm yourself by doing certain detoxes? 584 00:31:41.359 --> 00:31:42.839 Yeah, one hundred percent. So a lot of people are 585 00:31:42.839 --> 00:31:45.160 doing these juice cleanses and stuff like that. Man, just 586 00:31:45.240 --> 00:31:47.240 eat the vegetables and the fruits. It's fine. Just eat 587 00:31:47.279 --> 00:31:50.279 those and just don't eat process crap and drink water 588 00:31:50.599 --> 00:31:54.079 and exercise. Literally, that's it. Like, you don't have to 589 00:31:54.119 --> 00:31:56.200 have to do the juice clans. It's totally fine if 590 00:31:56.240 --> 00:31:58.000 you don't do the juice clans. People feel good doing 591 00:31:58.039 --> 00:32:01.039 the juice clans because they're eating thatgetables and fruits, right, 592 00:32:01.519 --> 00:32:03.839 That's why they feel good because they're not eating processed stuff. 593 00:32:04.160 --> 00:32:06.440 But if you just eat those vegetables and fruits and 594 00:32:06.799 --> 00:32:08.920 don't eat the process stuff, then you'll feel equally as 595 00:32:08.960 --> 00:32:10.799 good and it'll be not as much work as a 596 00:32:10.880 --> 00:32:13.359 juice cleans. True. I don't love the juice clans because 597 00:32:13.359 --> 00:32:16.880 it's like concentrating them without the fibers, and I like fiber. 598 00:32:16.960 --> 00:32:18.799 I think fiber is super healthy for your heart health, 599 00:32:18.880 --> 00:32:22.279 for your cholesterol, for your coalon health, your gut literally 600 00:32:22.359 --> 00:32:25.000 needs fiber in order to thrive. So our gut biome 601 00:32:25.039 --> 00:32:27.319 has a whole bunch of little microorganisms. They're symbiotic to 602 00:32:27.839 --> 00:32:29.920 your life and they need to live and they need 603 00:32:29.960 --> 00:32:32.759 to do things, and so they feed on fiber. So 604 00:32:32.839 --> 00:32:34.640 if we're not getting enough veggies in our lives, like 605 00:32:34.720 --> 00:32:39.119 get one of those little powdered vegetable supplement things. Costco 606 00:32:39.200 --> 00:32:41.720 has one that's more affordable than the athletic greens, the 607 00:32:41.839 --> 00:32:45.039 agent one or whatever that human likes. But but just 608 00:32:45.160 --> 00:32:47.039 something like that in your gut is helping your gut 609 00:32:47.079 --> 00:32:49.200 flora thrive and helping you with a whole bunch of things. 610 00:32:50.319 --> 00:32:52.400 If you want to do a radical detox thing, yeah, 611 00:32:52.559 --> 00:32:54.680 I would say pump the brakes. Maybe do something less 612 00:32:54.759 --> 00:32:58.359 radical first. See what that helps you feel. Because a 613 00:32:58.400 --> 00:33:00.839 lot of these things are like really expensive, and people 614 00:33:00.880 --> 00:33:03.039 are blowing up like three grand, you know, doing some 615 00:33:03.240 --> 00:33:06.200 silly thing with some silly person that's making a botload 616 00:33:06.200 --> 00:33:09.599 of money. And the beauty of Voyish clinics is we 617 00:33:09.680 --> 00:33:12.039 don't have any conflicts of interest like that. So we're 618 00:33:12.079 --> 00:33:14.680 just going to give you good advice as somebody cares 619 00:33:14.720 --> 00:33:19.279 about you and your family and so Yeah, if their 620 00:33:19.599 --> 00:33:22.599 sales operation is contingent upon them selling you this package 621 00:33:22.640 --> 00:33:24.960 of you know, detox and all these things and a 622 00:33:25.000 --> 00:33:26.920 bunch of supplements and a bunch of things, and you know, 623 00:33:27.039 --> 00:33:29.200 consider what that looks like. That's just capitalism at work, 624 00:33:29.279 --> 00:33:31.400 maybe not truly what your body needs. 625 00:33:31.839 --> 00:33:36.559 You mentioned are our final one. What are early warning 626 00:33:36.680 --> 00:33:39.799 signs of heart disease? And what does a heart attack 627 00:33:39.880 --> 00:33:40.640 actually feel like? 628 00:33:41.640 --> 00:33:43.519 We're seeing this more and more. Number one killer in 629 00:33:43.559 --> 00:33:45.880 America is the athloschcotic disease to build up a plaque 630 00:33:45.880 --> 00:33:50.160 on blood vessels that causes a clot, a blockage, and 631 00:33:50.480 --> 00:33:52.759 to your heart, to your brain. So heart attack strokes 632 00:33:53.880 --> 00:33:56.680 still the number one killer in America. We're seeing it 633 00:33:56.920 --> 00:33:59.519 more and more common. Why, it's because of the processed 634 00:33:59.519 --> 00:34:01.880 food craft that we feed ourselves, right, and then we 635 00:34:01.920 --> 00:34:04.240 don't exercise as much, and we're stress levels are super high, 636 00:34:04.240 --> 00:34:06.519 and our inflammation is super high, and our gut flora sucks, 637 00:34:06.559 --> 00:34:10.000 and we're not feeding it enough fiber. So basically we 638 00:34:10.119 --> 00:34:12.960 hit on a whole bunch of those spaces here. But yeah, 639 00:34:13.159 --> 00:34:15.159 the early signs, I mean, we're seeing it in their 640 00:34:15.239 --> 00:34:22.000 thirties even forties sometimes, and you general, typical chest pain 641 00:34:22.119 --> 00:34:25.039 is going to feel like, oh man, somebody's stepping on 642 00:34:25.159 --> 00:34:29.199 my heart. It feels like pressure and it can't breathe 643 00:34:29.320 --> 00:34:32.519 a well. I might be sweating diaphoresis, which is like, 644 00:34:32.599 --> 00:34:34.880 I'm not exercising, Why am I sweating and just having 645 00:34:34.880 --> 00:34:36.960 this pressure in my heart? I'm sweating and then it 646 00:34:37.199 --> 00:34:39.119 like maybe goes down to your left arm, a little 647 00:34:39.119 --> 00:34:41.159 bit might go into your jaw, depending on where at 648 00:34:41.239 --> 00:34:46.199 in your heart that blockage is occurring. If you're walking 649 00:34:46.280 --> 00:34:47.960 up a flight of stairs, you get more shorter breath 650 00:34:47.960 --> 00:34:50.079 than usual, and you feel something stepping on

your chest, 651 00:34:50.199 --> 00:34:52.199 and then it goes away when you rest long enough. 652 00:34:53.360 --> 00:34:57.280 You're having some issues right there. So that's typical chest pain. 653 00:34:57.880 --> 00:35:02.760 Atypical chest pain happens in females diabetics, which is something 654 00:35:02.880 --> 00:35:05.079 similar to that, but then a whole bunch of differences 655 00:35:05.159 --> 00:35:08.119 and might not be exactly that what I just described, 656 00:35:08.719 --> 00:35:12.000 but what I just describe is like classic. What's even 657 00:35:12.079 --> 00:35:15.880 better than that is come in in your early like 658 00:35:16.360 --> 00:35:18.199 I don't know, mid twenties, I don't know, come in 659 00:35:18.280 --> 00:35:20.480 in your thirties, come in with everyone, but come into 660 00:35:20.559 --> 00:35:24.559 the doc family. Docs are preventive healthcare specialists. Internal medicine 661 00:35:24.599 --> 00:35:27.840 docs are preventive healthcare specialists. Pediatricians do a good job. 662 00:35:29.199 --> 00:35:32.599 Obs are primary care specialists as well. Talk to them 663 00:35:33.400 --> 00:35:37.599 about prevention. That's the key. So what am I doing 664 00:35:37.679 --> 00:35:40.239 to prevent this? What's my cholesterol look like? What's my 665 00:35:40.280 --> 00:35:42.599 exercise look like, what's my stress level, what's my fiber? 666 00:35:43.320 --> 00:35:46.239 And those are super easy to check. There's also some 667 00:35:46.400 --> 00:35:49.480 genetic things. Lipoprotein delay is a genetic thing. Check it 668 00:35:49.599 --> 00:35:52.760 once in your lifetime. If it's not high, it'll never 669 00:35:52.800 --> 00:35:57.360 be high. It's just a genetic thing. Apoab ratios all 670 00:35:57.400 --> 00:35:59.760 the things. You can get particles to your fats and things, 671 00:36:00.840 --> 00:36:03.159 but get to it early so you can start working 672 00:36:03.239 --> 00:36:06.960 the equation and win. That way, you prevent the build 673 00:36:07.039 --> 00:36:09.360 up of the black instead of like, ooh, I'm having 674 00:36:09.519 --> 00:36:13.000 just paid. What should I do right? Once you have that, boy, 675 00:36:13.320 --> 00:36:15.800 you've got to get a stint or bypass or something 676 00:36:15.960 --> 00:36:19.800 massive that's you know, quite quite a big deal. 677 00:36:21.000 --> 00:36:22.760 To wrap it all up, it sounds like you just 678 00:36:22.840 --> 00:36:26.400 need to eat better, sleep better, do all the basics. 679 00:36:26.719 --> 00:36:28.719 Breathe and breathe, breathe. 680 00:36:29.760 --> 00:36:32.960 So one final question then, so people who are turning 681 00:36:33.000 --> 00:36:39.000 to AI tools to research their own medical questions. Where 682 00:36:39.159 --> 00:36:41.480 what are is there anything that you would say don't 683 00:36:41.599 --> 00:36:45.039 research medical questions or would you say that's a fine 684 00:36:45.280 --> 00:36:47.719 first resort every time. 685 00:36:47.960 --> 00:36:50.800 I never say don't go there looking for things. I 686 00:36:50.840 --> 00:36:53.079 think you're totally fine doing that. But what you've got 687 00:36:53.199 --> 00:36:55.039 to be good at is telling it a story. So 688 00:36:55.559 --> 00:36:58.119 here's what I would do. Learn how to tell a 689 00:36:58.199 --> 00:37:01.360 good story. Doesn't matter if it's a or me. If 690 00:37:01.400 --> 00:37:03.159 you come to my office and your brain is all 691 00:37:03.239 --> 00:37:06.320 over the place and you're not telling me a story, 692 00:37:06.519 --> 00:37:09.840 I'm pretty good at directing people. AI doesn't direct you, right, 693 00:37:09.960 --> 00:37:12.440 you can just shoot all over the place, and then 694 00:37:12.719 --> 00:37:14.440 AI is telling you have cancer, and then you have 695 00:37:14.519 --> 00:37:17.079 three heads and you also have you know something else. 696 00:37:17.159 --> 00:37:21.239 And so learn how to give a good history present 697 00:37:21.400 --> 00:37:25.239 illness HPI. You can look this up. You could chat 698 00:37:25.320 --> 00:37:28.639 GPT it if you want to CROFT or whatever, but 699 00:37:28.760 --> 00:37:30.800 you could literally just look it up. How do I 700 00:37:30.880 --> 00:37:34.199 do a good HPI history present illness? I'm dealing with 701 00:37:34.280 --> 00:37:36.960 a thing. I need to know everything around that theme, 702 00:37:37.440 --> 00:37:41.079 and doctors are experts at that. We literally like ninety 703 00:37:41.079 --> 00:37:44.639 five percent of diagnoses can be made on history alone. 704 00:37:45.039 --> 00:37:47.400 You give me a good history, and I solicit a 705 00:37:47.440 --> 00:37:48.920 good history for you. I'm gonna ask a whole bunch 706 00:37:48.920 --> 00:37:53.000 of questions. And that's the difference between me and Chat 707 00:37:53.079 --> 00:37:55.400 or Crocker. And they can't say, well, what about this? 708 00:37:56.239 --> 00:37:59.320 Tell me about that. The other thing that they can't 709 00:37:59.360 --> 00:38:03.079 do is feel And when I'm listening to someone, I'm 710 00:38:03.119 --> 00:38:05.440 not only I'm using my thinker brain, but I'm also 711 00:38:05.559 --> 00:38:08.440 using my heart a little bit. And I'm like and 712 00:38:08.480 --> 00:38:11.320 I'm like, I feel like there's something there. And I 713 00:38:11.400 --> 00:38:12.800 can't tell you how many times I don't know what 714 00:38:12.880 --> 00:38:15.199 that is. It's magic stuff, But I can't tell you 715 00:38:15.239 --> 00:38:18.159 how many times I'm like talking with somebody, asking them questions, 716 00:38:18.280 --> 00:38:20.199 more questions about the thing, and I'm using my thinker 717 00:38:20.239 --> 00:38:22.000 brain and then my heart says, hey, man, you should 718 00:38:22.000 --> 00:38:23.960 ask about that. And I'm like, hey, what about that? 719 00:38:24.280 --> 00:38:26.440 And I'm like, oh, actually, and it turns over

the 720 00:38:26.440 --> 00:38:28.360 stone that ends up being the problem, right. And so 721 00:38:28.880 --> 00:38:33.760 there's some intuition, if you will, in medicine that I 722 00:38:33.880 --> 00:38:38.719 think high level clinicians start understanding as they advance in 723 00:38:38.760 --> 00:38:41.000 their career and they learn how to get rid of 724 00:38:41.039 --> 00:38:42.920 their egos a little bit, and then kind of diple 725 00:38:43.000 --> 00:38:48.000 into hearing with more than just their ears and it's beautiful. 726 00:38:48.159 --> 00:38:51.719 No, it's beautiful and so yeah, so start with AI 727 00:38:52.000 --> 00:38:54.360 and then maybe bring it up to a clinician. 728 00:38:54.400 --> 00:38:57.159 Would you start with history present illness? Learn how to 729 00:38:57.239 --> 00:39:01.079 do that? When did it start? What is it? Like? 730 00:39:01.280 --> 00:39:04.519 What's the quantity? How often is it? Like those kinds 731 00:39:04.519 --> 00:39:07.199 of things, And you can literally just chat that whole thing, 732 00:39:07.320 --> 00:39:09.199 like how do I take a good history? And then 733 00:39:09.239 --> 00:39:12.639 you'll be better at telling your story to a clinician, 734 00:39:12.719 --> 00:39:15.760 whether it's Roc or me. And then you can come 735 00:39:15.800 --> 00:39:17.119 in and say, hey, I ran this back rock and 736 00:39:17.159 --> 00:39:19.800 he thinks I have this and I was wondering or 737 00:39:19.840 --> 00:39:24.159 she or whatever. Croc is Steve, what do you think? 738 00:39:24.320 --> 00:39:25.559 You know? Yea, Then we can kick it back and 739 00:39:25.639 --> 00:39:28.000 forth and ask a few more questions and dive into 740 00:39:28.000 --> 00:39:30.199 a little bit deeper and say, you know what Groc 741 00:39:30.320 --> 00:39:33.840 was right? Or you know what who cares Groc was wrong? Yeah, 742 00:39:34.000 --> 00:39:35.719 we're here and we're going to dive into a little 743 00:39:35.719 --> 00:39:38.320 bit deeper and we can explore that that idea a 744 00:39:38.400 --> 00:39:41.000 little bit. I'm telling you it's probably fourth on my 745 00:39:41.239 --> 00:39:44.639 list of possibilities, right, but it's okay, Yeah, I don't 746 00:39:44.639 --> 00:39:46.400 have any qualms with AI, I just get good at 747 00:39:46.440 --> 00:39:47.719 telling your story the history. 748 00:39:48.000 --> 00:39:50.559 Would you then say that it's okay for people to 749 00:39:50.599 --> 00:39:53.480 start treating themselves off of what AI tells some are 750 00:39:53.559 --> 00:39:56.519 good recommendations, or would you say that's where you maybe 751 00:39:56.599 --> 00:39:58.880 should turn to a provider instead. 752 00:39:59.079 --> 00:40:01.840 Well, man, I think it depends. So the practice of 753 00:40:01.920 --> 00:40:04.440 medicine is really not an AI right now, so you 754 00:40:04.519 --> 00:40:07.239 really can't do stuff. But man, if it tells you 755 00:40:07.280 --> 00:40:09.360 you should exercise and work out more any more fiber 756 00:40:09.440 --> 00:40:12.719 and sleep and breathe dude, Yeah, yeah, for sure. And 757 00:40:12.800 --> 00:40:14.960 it does have good guidelines for those kinds of things. 758 00:40:15.400 --> 00:40:17.400 Ask it how much you should exercise and what's a 759 00:40:17.440 --> 00:40:20.960 reasonable exercise routine? And should I be concerned about exercising 760 00:40:21.000 --> 00:40:23.159 at my age? And should I do some screening things 761 00:40:23.239 --> 00:40:27.079 before I start exercising? Like, it's just how you query it, right, 762 00:40:27.400 --> 00:40:30.599 And so it's a really wonderful tool. We use it 763 00:40:30.639 --> 00:40:33.079 in my clinic all the time for taking care of 764 00:40:33.119 --> 00:40:36.400 people because it's wonderful. It's a wonderful dol perfect. 765 00:40:36.519 --> 00:40:37.920 Well, I think that's everything we have. 766 00:40:38.079 --> 00:40:40.519 Then. That was so fun, Holly, Thank you so much 767 00:40:40.800 --> 00:40:43.760 to our listeners. Hope you learned some cool stuff, and yeah, 768 00:40:43.840 --> 00:40:46.719 thank you Holly. This was super fun, and don't forget 769 00:40:46.760 --> 00:40:48.440 to like and subscribe or just turn it off and 770 00:40:48.480 --> 00:40:50.800 go outside and hunt for mushrooms. It's mushroom season, y'all.