Latest / Health Unscripted / Ep 52. Your Labs Are Normal, But You Still Feel Like Sh*t

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Ep 52. Your Labs Are Normal, But You Still Feel Like Sh*t · Health Unscripted

• 0:09
  SPEAKER_00: What's up, guys?
• 0:10
  SPEAKER_00: Welcome back to another episode of Health Unscripted.
• 0:12
  SPEAKER_00: I'm super happy to be back.
• 0:14
  SPEAKER_00: We are doing episode 52.
• 0:16
  SPEAKER_00: We're over the 50s now.
• 0:18
  SPEAKER_00: I'm so excited.
• 0:19
  SPEAKER_00: Let's chat about so your blood work is normal, but you still feel like shit.
• 0:24
  SPEAKER_00: What is going on?
• 0:25
  SPEAKER_00: I hear this so, so, so, so, so often is a woman goes to her doctor and she gets all this blood work done, and then her doctor says, nope, everything looks good, everything looks normal, and then they send you on your way and that's it.
• 0:38
  SPEAKER_00: Or you get some type of medication, they think it's anxiety, uh, they tell you to lose weight, and that's it.
• 0:43
  SPEAKER_00: They really don't give you like the rest of the spiel when it comes to how you can fix your blood work, or or that it's not really normal.
• 0:51
  SPEAKER_00: So, what I'm gonna do in this episode, guys, is we're gonna explain like how these lab values actually came to be.
• 0:57
  SPEAKER_00: And then I'm gonna explain the ranges because we have normal ranges and then we have functional ranges.
• 1:01
  SPEAKER_00: And I want you guys to understand that the normal ranges were depicted for disease prevention.
• 1:08
  SPEAKER_00: Like they are not even prevention, for disease management.
• 1:11
  SPEAKER_00: That is when you get diagnosed with something or they need to take a deeper look, is when we are past those normal ranges.
• 1:16
  SPEAKER_00: Functional ranges focuses on actually feeling your best and being within optimal health.
• 1:21
  SPEAKER_00: And I'm definitely not one of those functional health coaches that is like, you must optimize everything.
• 1:26
  SPEAKER_00: You know, don't drink it all, don't lose sleep over a night out.
• 1:30
  SPEAKER_00: I put on lip gloss right now.
• 1:31
  SPEAKER_00: Or chap, my lip gloss is aqui for, by the way.
• 1:34
  SPEAKER_00: So yeah, my lip gloss is popping.
• 1:36
  SPEAKER_00: All right, so uh, I'm not one of those coaches who makes you optimize everything.
• 1:41
  SPEAKER_00: Like I think a balanced lifestyle is indeed what you need because mental health is very much a part of your overall health.
• 1:46
  SPEAKER_00: And if we are optimizing too much, we can be self-isolated, and that's not a good thing.
• 1:50
  SPEAKER_00: Okay.
• 1:51
  SPEAKER_00: So we'll go over functional ranges.
• 1:53
  SPEAKER_00: We'll also go over some of the examples of ranges and some of the things that I see in my practice with my clients, where they've come in with what is normal and then it's not actually normal at all.
• 2:05
  SPEAKER_00: And we actually start to get them results without just Western medication.
• 2:09
  SPEAKER_00: So the lab ranges that you see from your doctor's office, and it can range from lab to lab too.
• 2:15
  SPEAKER_00: They're not even super consistent, which is crazy.
• 2:17
  SPEAKER_00: But the way that lab ranges are done is they take seemingly healthy people.
• 2:22
  SPEAKER_00: Now, that's like I put this in quotations if you're not watching the video, because we don't really know if they have disease states.
• 2:28
  SPEAKER_00: Maybe they're underdiagnosed, you know, they're technically not supposed to, but they're otherwise healthy adults, and they take a range of like 100 to 200, like it's not a big sample size, and they test this range of people, and that is what they consider normal.
• 2:43
  SPEAKER_00: So it already seems like a flawed system, right?
• 2:47
  SPEAKER_00: And so when we are looking at, let's say, my favorite to talk about with this is TSH.
• 2:53
  SPEAKER_00: Like, let's say we have your thyroid stimulating hormone lab, and the range goes from 0.5 to 4.5.
• 2:59
  SPEAKER_00: That is what is considered Western range.
• 3:00
  SPEAKER_00: If you're under 0.5, they're like, wait, that's too low.
• 3:03
  SPEAKER_00: We may have like a hyper-thyroid situation.
• 3:05
  SPEAKER_00: And then if you're over 4.5, they may flag that and then finally send you to endocrinology.
• 3:11
  SPEAKER_00: What we want to see for optimal thyroid health and function is around one, as close to one as you can, even like one to two.
• 3:20
  SPEAKER_00: But over two, we don't like to see that.
• 3:22
  SPEAKER_00: So, how do we get from like 4.5 to two?
• 3:26
  SPEAKER_00: And the problem is, is these clients they go into the doctor and they they tell them their symptoms.
• 3:31
  SPEAKER_00: Like, I'm exhausted, I'm cold, I'm shedding, my hair is shedding, what is going on?
• 3:35
  SPEAKER_00: I can't lose weight.
• 3:36
  SPEAKER_00: And then they run this lab and you get a TSH of 3.4 or whatever, and the doctor's like, no, it's normal, it's not your thyroid.
• 3:43
  SPEAKER_00: And then what also gets me is TSH is the only marker they will draw.
• 3:46
  SPEAKER_00: They're not gonna draw any other lab values that will let us see what else is going on beneath the surface of the thyroid.
• 3:52
  SPEAKER_00: Okay, so there's a really big issue in medicine right now, and it's the system, not just the doctors, where they can't just run labs willy-nilly because insurance billing needs codes.
• 4:05
  SPEAKER_00: And if there are no, you know, ICD 10 codes or insurance billing codes, then it becomes really expensive for the patient.
• 4:13
  SPEAKER_00: And they don't want to make it super expensive.
• 4:15
  SPEAKER_00: I don't think the doctor wants to drive up the bill, especially if they're giving it to insurance, because they're not getting paid that much from there, right?
• 4:21
  SPEAKER_00: Insurance is gonna take most of it.
• 4:23
  SPEAKER_00: So when you choose to cash pay, you often pay less, especially if you have a big deductible, which is happening nowadays.
• 4:30
  SPEAKER_00: And then there's other sites and websites, and like we can run for our coaches and our labs, or excuse me, our clients, where it is cheaper to run labs out of pocket.
• 4:39
  SPEAKER_00: But the other issue that we see here with your labs and feeling normal is okay, so we have the normal Western range labs of like so big to so small.
• 4:48
  SPEAKER_00: We have that bell curve, they cut off the last, you know, 5% of each bell curve and they keep us in the 90%.
• 4:55
  SPEAKER_00: Uh, that's not optimal, right?
• 4:57
  SPEAKER_00: That's not what we want.
• 4:58
  SPEAKER_00: So then functional ranges are more along the lines of like, hey, this is where we want you to be to feel your best.
• 5:06
  SPEAKER_00: Another example of this, well, I'll go through the examples in a minute, but um, so most of the time, these these women, you're going into your doctor's office, you're saying all these symptoms.
• 5:14
  SPEAKER_00: Mostly it is exhaustion, it is fatigue, it is, you know, sometimes it's heart palpitation, sometimes it's uh stomach discomfort, sometimes it's uh anemic, like you're you're bruising, and you just have these things like painful, heavy periods, like what is going on?
• 5:29
  SPEAKER_00: And then the doctor's only gonna run you maybe three panels.
• 5:33
  SPEAKER_00: They're gonna do like a complete metabolic panel with electrolytes and glucose, maybe some liver enzymes.
• 5:38
  SPEAKER_00: They're gonna run a complete blood count or a CBC with hopefully a differential, which means like we're gonna see your white blood cells and then how those white set white blood cells are taking part of your total white blood cells.
• 5:51
  SPEAKER_00: Like, we're gonna see the breakdown of what white blood cells are elevated in the most and not.
• 5:55
  SPEAKER_00: And then we're gonna maybe get like a lipid panel.
• 5:57
  SPEAKER_00: Okay, we're gonna get your cholesterol.
• 6:00
  SPEAKER_00: And a lot of times doctors don't even tell you that this needs to be fasted.
• 6:03
  SPEAKER_00: You'll go in for your like 1 p.m.
• 6:05
  SPEAKER_00: appointment, they'll be like, you need labs, and then they'll go have you draw them right there, even though it's not fasted.
• 6:09
  SPEAKER_00: And that totally cancels out fasting glucose and your cholesterol labs.
• 6:14
  SPEAKER_00: So, what are we even doing?
• 6:15
  SPEAKER_00: We're kind of wasting money with that.
• 6:17
  SPEAKER_00: So, we're not getting the right timing.
• 6:19
  SPEAKER_00: A, we're not getting enough labs.
• 6:21
  SPEAKER_00: You may get an A1C for blood sugar, you may get a ferritin here or there, you may get a vitamin D here or there.
• 6:28
  SPEAKER_00: Uh, most of the time, in my experience, it takes the, you know, client asking for those things, the patient asking, you may get a TSH, but that's it.
• 6:37
  SPEAKER_00: Okay.
• 6:38
  SPEAKER_00: So we don't even have a complete picture.
• 6:40
  SPEAKER_00: So they say it's normal and the things that they're testing are normal.
• 6:43
  SPEAKER_00: And here's another example for you.
• 6:45
  SPEAKER_00: Like, let's say you get a fasting glucose of 93, okay?
• 6:50
  SPEAKER_00: I like to see it under 90, but it is transient.
• 6:52
  SPEAKER_00: If you have a workout the day before, anything like that, it can fluctuate.
• 6:56
  SPEAKER_00: So this is where we want an A1C.
• 6:58
  SPEAKER_00: Now we get an A1C, and let's say your A1C is 5.5.
• 7:02
  SPEAKER_00: To a doctor, that is normal because it's under the pre-diabetic range of 5.7.
• 7:07
  SPEAKER_00: So they will say, You're all good.
• 7:09
  SPEAKER_00: I don't like anything higher than a 5.4.
• 7:11
  SPEAKER_00: Okay, that means we might have some insulin resistance.
• 7:13
  SPEAKER_00: The lab they're not ordering is fasting insulin.
• 7:17
  SPEAKER_00: And that will tell us even ahead of time, before fasting glucose and A1C, if we have some insulin problems, if we have some blood sugar instability.
• 7:26
  SPEAKER_00: And that fasting insulin we want around five to six.
• 7:29
  SPEAKER_00: And I've seen it like 19, I've seen it all the way up.
• 7:32
  SPEAKER_00: So that will also give us a full picture of what is going on in your body.
• 7:37
  SPEAKER_00: Another thing with Western medicine is they compartmentalize systems and they should not, because every system works together.
• 7:44
  SPEAKER_00: So if the thyroid is a little off-kilter and then ferritin is also low, they're not really like putting those things together that it could be the reason.
• 7:52
  SPEAKER_00: Or if thyroid's a little low again, and then cholesterol is a little elevated, they're again not putting those things together and they're like, you need a statin when really we just need to get your thyroid working properly so that the cholesterol will decrease.
• 8:04
  SPEAKER_00: It's basically falsely elevated because of your hypothyroidism.
• 8:07
  SPEAKER_00: So, see, this is another thing.
• 8:09
  SPEAKER_00: And I will say it's not even, it's not even their fault.
• 8:13
  SPEAKER_00: They don't want these podcasts to be like demonizing doctors, because especially someone in pharmacy, you don't learn these things.
• 8:18
  SPEAKER_00: You don't really learn how they're tied together unless you do extra education on top of it or you seek this stuff out yourself.
• 8:24
  SPEAKER_00: And it's not because of indoctrination, it's not because of like we want to keep people sick.
• 8:29
  SPEAKER_00: No, they truly do want to treat and they over-treat.
• 8:32
  SPEAKER_00: We give too much medication, but it's because that is what they are taught to do.
• 8:37
  SPEAKER_00: They are taught to treat, they are taught to manage symptoms, they are taught to make people feel better, not necessarily cure and heal disease states.
• 8:46
  SPEAKER_00: That doesn't mean that that doesn't happen.
• 8:47
  SPEAKER_00: That doesn't mean that new technology coming out and cancer drugs and biologics and all of that aren't super great and phenomenal things and could in the future end up curing cancer.
• 8:57
  SPEAKER_00: But it does mean that when you go in for something, it's like when you talk to your spouse ladies and you just want to vent to them.
• 9:04
  SPEAKER_00: You're like, well, so-and-so did this, and like they're trying to fix the problem.
• 9:07
  SPEAKER_00: The doctor is the husband in the equation.
• 9:09
  SPEAKER_00: They're just always trying to find that solution because they think that's what you want, but really you're just like, you want to vent.
• 9:15
  SPEAKER_00: But in the doctor's office, you do want the solution, but maybe not in the form of medication, or maybe they're just not looking in the right place, and that's where the functional lab ranges come from.
• 9:25
  SPEAKER_00: So if you're, I don't have anything visually for you guys to look at.
• 9:28
  SPEAKER_00: So if you're on, you know, listening to this streaming or in the car, some of the biggest things, the biggest lab marks that I see that are missing besides like fasting insulin is a free T3.
• 9:38
  SPEAKER_00: We want a full thyroid panel.
• 9:39
  SPEAKER_00: So I want a TSH, I want thyroid stimulating hormone, I want a free T4 to see what the non-active hormone looks like, and then I want a free T3 to see what the active hormone looks like because that's where we're gonna be like pretty symptomatic.
• 9:51
  SPEAKER_00: And then what I also would like at least once a year or every two years, I would like both thyroid antibodies run TPO and thyroglobulin just to make sure you don't have Hashimoto's.
• 10:02
  SPEAKER_00: There's so many women who come to us who have no idea that they have Hashimoto's, and then they have um like antibodies in the hundreds, two hundreds, and I'm like, okay, so nobody tested this.
• 10:14
  SPEAKER_00: This is not normal.
• 10:16
  SPEAKER_00: Great.
• 10:16
  SPEAKER_00: All right, if we get a slight elevation, I'm not really worried about it.
• 10:18
  SPEAKER_00: That's probably inflammation, that's probably gut, that's probably something else going on.
• 10:22
  SPEAKER_00: But we've had the hundreds, like multiple hundreds.
• 10:25
  SPEAKER_00: I'm like, how has this not been caught yet?
• 10:27
  SPEAKER_00: And this is a different approach than what we need with hypothyroidism.
• 10:30
  SPEAKER_00: So yeah.
• 10:31
  SPEAKER_00: So uh another thing would be iron.
• 10:34
  SPEAKER_00: I want a fierytin, but I also want an iron.
• 10:37
  SPEAKER_00: I also want a total iron binding capacity.
• 10:38
  SPEAKER_00: I also want a saturation percentage.
• 10:40
  SPEAKER_00: I need to see what the iron's doing in your body.
• 10:42
  SPEAKER_00: Is it moving?
• 10:43
  SPEAKER_00: Is it stagnant?
• 10:44
  SPEAKER_00: Do we have enough in storage, but we're just not having a lot in dietary iron?
• 10:47
  SPEAKER_00: Or we have so much dietary iron, but it's not yet into storage.
• 10:51
  SPEAKER_00: Like, how are we moving that?
• 10:52
  SPEAKER_00: That lets me see what's going on in the body.
• 10:54
  SPEAKER_00: We need iron for thyroid conversion.
• 10:56
  SPEAKER_00: So if ferritin is low, thyroid is low.
• 10:58
  SPEAKER_00: Hello, we're not absorbing nutrients properly.
• 11:01
  SPEAKER_00: Let's look at the gut, let's see what's going on in there.
• 11:03
  SPEAKER_00: Do we even need iron supplementation or do we just need to bump up iron-rich foods and vitamin C rich foods?
• 11:09
  SPEAKER_00: Um, this is just one example.
• 11:12
  SPEAKER_00: I gave you guys the insulin example.
• 11:14
  SPEAKER_00: Let's see what else we got.
• 11:15
  SPEAKER_00: Uh, this is off the top of my dome, by the way.
• 11:17
  SPEAKER_00: I'm not, I didn't write out anything for this podcast episode because I was like, oh, this is what I want to talk about.
• 11:22
  SPEAKER_00: We're just gonna get on here and rip it.
• 11:24
  SPEAKER_00: Oh, 11-11.
• 11:25
  SPEAKER_00: Uh, missed it.
• 11:27
  SPEAKER_00: So another big example is going to be um not liver enzymes.
• 11:32
  SPEAKER_00: We see that pretty much in normal capacity all the time, but it really is the TSH and thyroid fasting cortisol, even is a big one.
• 11:40
  SPEAKER_00: We don't even see that one ran because it can be transient again, but we like to get a picture for our women, and then if we can do a four-point cortisol test to see like if you're tired and wired at night, if it's actually high at night.
• 11:52
  SPEAKER_00: But I do like a I do like a fasting cortisol.
• 11:56
  SPEAKER_00: Um, something else that doctors don't even really pay attention to with the labs uh when it comes to vitamin D, right?
• 12:05
  SPEAKER_00: Like I always see that's low on labs.
• 12:07
  SPEAKER_00: Like the Western lab ranges will go anywhere from like 30 to uh like 25, even I think it's even lower than 30, 25 to like 80 is what they consider normal, but we want to see it above 50.
• 12:21
  SPEAKER_00: I want like a 60 to 70 vitamin D.
• 12:23
  SPEAKER_00: And basically no one ever has that.
• 12:25
  SPEAKER_00: Like, unless you're taking vitamin D, uh, I never, I never really see that.
• 12:31
  SPEAKER_00: So um, vitamin D is always a supplement that I see that we probably have to start some of our ladies on, men too, just because even if you're getting sun exposure, we're not really converting them really well.
• 12:42
  SPEAKER_00: And then don't even get me started on sex hormones, guys.
• 12:44
  SPEAKER_00: So, what I see this all the time in practice is doctors will run this for women who do not have a normal cycle, so we can't pinpoint the right timing of the labs.
• 12:52
  SPEAKER_00: Like, why are we testing progesterone not during the luteal phase?
• 12:57
  SPEAKER_00: Like, we need to see it mid-luteal phase.
• 13:00
  SPEAKER_00: If you don't have a normal cycle, then maybe we shouldn't be testing sex hormones or we're testing days two through four of our period, but then we don't need to run progesterone.
• 13:08
  SPEAKER_00: Okay, we can run AMH, we can run estrogen, but sex hormones and certain things need certain timing of the day.
• 13:14
  SPEAKER_00: Like fasting insulin and fasting cortisol is great around 8 a.m.
• 13:17
  SPEAKER_00: Sex hormones are great around certain times of the month where you are in your cycle and they test different things.
• 13:24
  SPEAKER_00: So I'll often see them tested at the wrong time, and then I'm like, what do I even do with this lab?
• 13:29
  SPEAKER_00: You know, what do we even do with this?
• 13:30
  SPEAKER_00: So, progesterone, for example, if you are a standard 28-day cycle, you would test on day 21.
• 13:37
  SPEAKER_00: If you have a 26-day cycle, you would test on day 19.
• 13:40
  SPEAKER_00: If you have a 30-day cycle, right, it's like seven days back, you would test on day 23.
• 13:45
  SPEAKER_00: So that is what um you would do for those things, but it has to be pretty consistent, or else we'll just not be able to nail it down too much.
• 13:54
  SPEAKER_00: All right.
• 13:55
  SPEAKER_00: So this is why you are feeling like really frustrated, you're going to the doctor, you're not getting diagnosed with insulin resistance because they see a normal, you know, A1C at 5.5, they see a fasting glucose of 95, they're not really worried about it, they're not testing fasting insulin.
• 14:14
  SPEAKER_00: You see a uh ferritin of, oh my God, I had a client with a ferritin of 14.
• 14:19
  SPEAKER_00: You have a ferritin of 14, and they're saying, Yeah, that's kind of low, but here's an iron supplement, and that's it.
• 14:24
  SPEAKER_00: Like we're not looking at anything else.
• 14:26
  SPEAKER_00: They're not even probably giving you an iron supplement.
• 14:28
  SPEAKER_00: And I don't even like to give my clients iron supplements because it can cause constipation.
• 14:33
  SPEAKER_00: So the problem is, is we're not looking at the body as a full system.
• 14:37
  SPEAKER_00: So that is why you're continuing to feel like shit.
• 14:40
  SPEAKER_00: The problem is we're using lab ranges that are not actually from super duper healthy people or to achieve optimal health and no symptoms, they are to detect disease.
• 14:50
  SPEAKER_00: And that is what they are being treated on.
• 14:53
  SPEAKER_00: So when we start to get clients into more functional ranges, we start to see a lot more success.
• 14:58
  SPEAKER_00: We start to see fat come off.
• 15:00
  SPEAKER_00: And granted, guys, it's not that it's just the labs and it's just the hormones, okay?
• 15:04
  SPEAKER_00: Because I will say what we do from a coaching perspective is we do have everyone track their macros and calories.
• 15:11
  SPEAKER_00: And so when we do that, it is obviously evident that you are not eating in a calorie deficit once we start tracking.
• 15:17
  SPEAKER_00: So it's not like a big secret that um we can't see success.
• 15:23
  SPEAKER_00: It's not a big secret because once we start to track your intake, you actually can see like, oh wow, peanut butter is actually way more calories and fat than I thought it was gonna be.
• 15:31
  SPEAKER_00: Oh, olive oil is way more fat and calories than I thought it was gonna be.
• 15:34
  SPEAKER_00: So we start to get a little bit more awareness around our habits.
• 15:36
  SPEAKER_00: Once we start seeing that like we need to exercise, we're not really strength training, we have nowhere to put that blood glucose.
• 15:42
  SPEAKER_00: Once we start developing our foundations around what we see in the labs, we start to see a lot better progress and we start to see these labs normalize and go shift into more optimal ranges.
• 15:52
  SPEAKER_00: We don't need to be chasing optimal for everything, but this is why you feel the way you feel and you're being dismissed.
• 16:00
  SPEAKER_00: Another really, really big thing that I see is estrogen pathways blocked off.
• 16:04
  SPEAKER_00: So you're having heavy, painful periods, and you're like bleeding through a ton, and this will make you anemic, right?
• 16:11
  SPEAKER_00: If you're bleeding so much.
• 16:12
  SPEAKER_00: So, what is going on?
• 16:13
  SPEAKER_00: Why do why do we have that going on?
• 16:15
  SPEAKER_00: We have unopposed estrogen, probably.
• 16:17
  SPEAKER_00: So, progesterone is either really low from stress, from high cortisol, from just under-eating, things of that nature.
• 16:24
  SPEAKER_00: It's stealing the progesterone, andor we're giving off too much estrogen.
• 16:28
  SPEAKER_00: We have too much uh endocrine disrupting chemicals going on in our life.
• 16:32
  SPEAKER_00: We are liver, our liver pathways are sluggish and they're not converting.
• 16:36
  SPEAKER_00: We have an enzyme problem in the gut.
• 16:38
  SPEAKER_00: We have something called beta-glucaronidase that's really high, which is recycling estrogen in the gut.
• 16:43
  SPEAKER_00: So instead of us pooping it out, we are recycling it.
• 16:46
  SPEAKER_00: And then we also have the gut issue where women don't poop every day because we're either not eating enough or not focusing on fiber.
• 16:52
  SPEAKER_00: And so we're also not getting rid of that estrogen.
• 16:54
  SPEAKER_00: So we now we have higher estrogen.
• 16:56
  SPEAKER_00: So it always starts in one organ of the body.
• 16:58
  SPEAKER_00: It's not just a reproductive problem.
• 17:00
  SPEAKER_00: We could have a liver sluggish issue, we could have a gut issue there.
• 17:03
  SPEAKER_00: The CMT, COMT, like methylation pathways could be an issue with estrogen detoxification.
• 17:09
  SPEAKER_00: So once we hear your symptoms and then we can look at your labs and say, okay, this is kind of pointing to this circle or this uh pattern, we can try different lifestyle shifts and then get you closer to feeling better, get regular cycles.
• 17:23
  SPEAKER_00: We do this all the time with our clients.
• 17:26
  SPEAKER_00: No, like it doesn't even matter if the disease state could be hypothyroid and Hashimoto's, could be PMOS.
• 17:31
  SPEAKER_00: You guys know we're a big PMOS team, and I see these normal lab values all the time in PMOS, and they're not normal at all.
• 17:40
  SPEAKER_00: Another example of this would be like a triglyceride to HDL ratio.
• 17:44
  SPEAKER_00: Like, let's say we have triglycerides as 120, 125.
• 17:48
  SPEAKER_00: Normal is under 150.
• 17:49
  SPEAKER_00: So your doctor's gonna say that's totally normal.
• 17:51
  SPEAKER_00: And then you only have an HDL of like 40, which is really low.
• 17:54
  SPEAKER_00: We should we want it in the 50s for women, but now we have an HDL triglyceride ratio of three to one.
• 18:00
  SPEAKER_00: So triglycerides are three times higher than your HDL, which is really significant and what we see a lot of in PMOS patients.
• 18:08
  SPEAKER_00: So we need to be aware of those things.
• 18:11
  SPEAKER_00: And I don't know that during this type of lab lookup, if doctors are doing that, because either they were never taught, uh, it's not something I was taught in pharmacy school.
• 18:19
  SPEAKER_00: Like this is again certifications and things I've had to take along the way, and what I've learned from mentors and people smarter than me to include into my practice, and now I'm sharing this stuff with you guys.
• 18:29
  SPEAKER_00: So I hate that we're in a spot where women just feel so lost, even when they do go to the doctor and they think that they're trying all the right things.
• 18:37
  SPEAKER_00: And what really ends up happening is because of the lab values that we're seeing, you're trying things that may not be good for you.
• 18:44
  SPEAKER_00: Like if you do have low thyroid issues, you have a suboptimal TSH and a low T3, but you're doing fasted cardio and you are intermittent fasting, um, you're not eating carbs, right?
• 18:54
  SPEAKER_00: You're trying to cut carbs, all of those things are going to work against you based on the blood work and based on what I see going on.
• 19:00
  SPEAKER_00: So that could be even worse for you.
• 19:02
  SPEAKER_00: Okay.
• 19:03
  SPEAKER_00: So this episode, let me know if you guys liked it.
• 19:06
  SPEAKER_00: Please leave a little comment, review, ask a question, screenshot it, and send it to me on Instagram and let me know that you're listening.
• 19:13
  SPEAKER_00: If you have any questions, as always, shoot in my DMs at dr.dwyre.
• 19:17
  SPEAKER_00: I'm very active in my DMs.
• 19:19
  SPEAKER_00: Just say hello and say, hey, I just listened to this episode.
• 19:22
  SPEAKER_00: I have a question on this, and let's chat, or you can book a free discovery call by using the link in my bio.
• 19:28
  SPEAKER_00: Until next time.