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When Your DNA Knows Better Than Your Doctor · White Coat Black Sheep

• 0:00
  Welcome to White Coat, Black Sheep, where science gets curious and dogma gets
• 0:04
  uncomfortable. I am Dr. Civelli, and today, we're talking
• 0:07
  physiology, evidence, and real-world medicine, plus the
• 0:11
  questions you probably should ask but are not
• 0:15
  asking. If you care about health and think there's a better way, welcome to our
• 0:18
  show.
• 0:25
  So today, we have Jean All from Adventist Health, nurse practitioner.
• 0:28
  Yes. How are you? I'm so good. I'm so excited because- I'm- I'm
• 0:32
  excited about the things we're going to talk about ... I am too. Yeah.
• 0:35
  There's just so much that I know off-camera we've
• 0:39
  just chatted about, and I've loved it. Yeah.
• 0:41
  Not liked it, I loved it. Right. I feel like I can really go to
• 0:45
  a higher level and just such a depth of- Mm-hmm ...
• 0:48
  functional medicine. And so you know what it is.
• 0:52
  You practice it, you offer- Right ...
• 0:53
  primary care and, which I love. Right. And it's- I like the plus ...
• 0:57
  the new age of medicine, right? Yes.
• 1:00
  The conference that we recently went to, Functional Medicine, it was talking about
• 1:04
  how 20 years ago, medicine was completely different than medicine is
• 1:07
  now. Yeah. It is. And instead of just treating illnesses,
• 1:12
  we want to be a step ahead and prevent them too. Yeah.
• 1:15
  Which is like we thought we were already doing that.
• 1:18
  Right, with the screenings and everything, right?
• 1:19
  I'm going to bring you just slightly closer. Oh, sure.
• 1:21
  So you guys can hear everything she's saying.
• 1:24
  It's my first time doing a podcast. So you're kind of like almost kissing the mic.
• 1:28
  All right. Which is weird. Yeah. That's perfect. Oh, yeah. Yeah.
• 1:30
  Now you sound really good. Okay, good.
• 1:33
  Yeah. So the conference was in Vegas. Mm-hmm.
• 1:36
  And I started going to those probably,
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  oh my gosh, it's 2026. So since
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  2022. Okay. Wow. Yeah. And this was my
• 1:47
  first one. Oh my gosh. Yeah. And I- You're already at expert
• 1:51
  level ... but I learned so much. And I already-
• 1:55
  I love it ... feel like, okay, if one conference gives me this much
• 1:58
  information, imagine- Exactly ... like in five years, how much I'll know.
• 2:02
  That's how I feel. Yeah. I feel obsessed. I feel inspired. Mm.
• 2:06
  Every single time. I've done their peptides and their-
• 2:10
  Mm-hmm ... certification, which is a journey in itself. Right. It's a whole thing.
• 2:14
  Because no one teaches you about peptides in school.
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  Like med school, nursing school. No. No. Yeah.
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  This is where you get to really
• 2:21
  become the expert by teaching- Mm-hmm ... yourself. Right.
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  And that's okay because we're taught how to teach ourselves- Yeah ...
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  at a certain point. And that's what medicine is, right? Yeah.
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  You're in the profession because you know it's evolving, growing every day. Mm-hmm.
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  So. Exactly. Yeah. So you're coming today from the clinic.
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  You're at Adventist Health- Yeah ...
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  which are future sponsors of White Coat, Black Sheep. Oh, cool. Yeah. Yeah.
• 2:42
  So I'm at the Chester location. I'm
• 2:45
  a family nurse practitioner, but I practice in an internal medicine clinic. Okay.
• 2:49
  So I get to see patients with many chronic
• 2:52
  illnesses, multiple comorbidities,
• 2:56
  cancers and stuff like that. So we're trying to manage their
• 2:59
  health where we're kind of, okay, when
• 3:03
  the patient comes in, we're like, "Okay. You went to go see this specialist.
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  What did they talk about?" Mm-hmm.
• 3:07
  "What did this specialist talk about?" And we're trying to interwine- Mm-hmm ...
• 3:11
  all of that together.
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  Mm-hmm. So it's very--
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  I've learnt so much in the past. I've been with Adventist for almost two years
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  now. Mm-hmm. Oh my gosh. And I love working there. It's mainly the people.
• 3:23
  Mm-hmm. The people are so supportive and so nice. Huge.
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  And it's like- Huge. Right. It makes a difference because I've worked
• 3:31
  in a toxic environment- Same ... and now I work in a non-toxic environment.
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  Like the non-tox
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  world, right? Yeah. Everyone's obsessed with non-toxic stuff right now. I love it.
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  But it's amazing. It's culture. Okay, so- Right ... work culture.
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  Work culture, yeah. You come into work- It's a thing ...
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  you're-- Good job, guys. Aw. Good job.
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  We're proud of you for preserving a good culture. Yeah.
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  And you come to work happy, happy to treat patients, happy to
• 3:58
  be around your coworkers. And when you're happy, you're
• 4:02
  going to do your job 10 times better. I love that. Yeah.
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  And that is what patients are dying and crying for. Right.
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  I mean, they are just so dissatisfied most- Yeah ...
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  places most of the time- Right ... because the business model- It- ...
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  is volume-based ... it is. All these private practices, well, not all, but I want
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  to say most of them, they work you like a dog.
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  Mm-hmm. You're in and out of the room.
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  You're seeing maybe 30, 40 patients a day. Mm-hmm.
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  So you have maybe, what, five minutes in the room, and then that care- And then-
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  ... the patient's not getting the care- Yeah ... they deserve, right?
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  And the stories that you have in between. I was just talking to- Right ...
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  Tim about that. And then when am I going to do my notes, right?
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  Like- Or order any of the things. Order, right.
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  Or talk to all the specialists that I just- Right ...
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  told you I'm going to talk to for you.
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  Or educate them on lifestyle and diet.
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  Like when will I have time to do that? But now I get to. Yeah. I love it. Really.
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  I have the time. I have the patient population that is
• 4:59
  eager to know about that. Mm-hmm. And yes, I'm treating their
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  chronic illnesses. Mm-hmm.
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  Some of them are so ill. They're
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  sick. At this point, they've passed the stage where its diseases
• 5:15
  are curable, and now we just want to preserve the life that they do have.
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  Oh, that's an interesting point. Yeah.
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  So what you're describing, there is a point of no return.
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  Right. The point of no return, and it's
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  sad. It's sad. It's a reality. Yeah.
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  And there's different, unique
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  things out there for some people that can intervene at
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  some areas- Mm-hmm ... like, say, in Europe or other countries.
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  They're doing things a little bit- Right ... uniquely. Uniquely, yeah.
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  But even with all of what the world can offer, there is a
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  point of no return. Right. And you're born with your
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  genetics. Mm-hmm. Some people have genetic conditions.
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  That, yes, will not be irreversible, right? Mm-hmm.
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  But things like hypertension, diabetes, high
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  cholesterol-A lot of these things are irreversible.
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  Yeah.
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  Or sorry, reversible.
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  Yeah.
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  And-
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  To a degree
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  ... but to a degree.
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  Yeah.
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  But then when you end up to the point where you're in your 60s, 70s, have had
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  multiple heart attacks, stents put in, this put in then
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  there comes a time when you're just trying to
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  preserve their life-
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  Yeah
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  ... and their longevity because they don't wanna just live
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  and add years to their life. They wanna live a happy, fruitful
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  life, right?
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  So that's vitality.
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  Vitality, yeah.
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  Yeah. I'm obsessed with vitality.
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  Yeah.
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  And that word is not commonplace.
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  No.
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  I wish it were.
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  Yeah.
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  But just like you're describing, we're really good at like keeping a
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  carcass alive.
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  Mm-hmm.
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  We can keep you alive longer, but you're miserable.
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  Right, and that's not...
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  My patients tell me like, "No, I wanna live a- What's the point of living a
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  life that you're not going to enjoy, that you're not going to flourish
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  in," right?
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  Yeah.
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  But hey, sometimes we can preserve their
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  lifespan.
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  Yeah.
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  And to a degree, it's better than they would have gone anywhere
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  else.
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  Yeah. That's true.
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  Yeah.
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  Do you feel like maybe the culture that was
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  preserved or created-
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  Mm-hmm
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  ... where you currently work, do you think it comes from the top or do you think
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  it was just like choosing the right people in that one space, or
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  it's just the
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  system structure?
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  I think it's the system structure for Adventist.
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  Providers have their own say in the types of things
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  they wanna do.
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  So you feel like-
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  You have more-
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  ... support
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  ... autonomy.
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  Okay.
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  Right. You're not listening to just one boss telling you what to do.
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  Mm-hmm.
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  And if you don't do it their way, they're going to not like you or torture
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  you to the point where you mentally break and want to quit.
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  That's a thing, for sure.
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  And hey-
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  ... we've all been there.
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  Yeah.
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  And I'm so happy we're not there anymore.
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  Nope.
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  So-
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  Nope
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  ... love that for us.
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  Yeah, I love that for us too.
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  And you know, right now I get to set my own schedule.
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  I get to set my time blocks of, hey, I wanna see these kinds of patients
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  at this time, and what makes my day flow better.
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  Wow.
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  Right? And sometimes I have patients, I'm spending 40
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  minutes in a room with them.
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  Wow. That's unheard of.
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  Right. And-
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  And they're supportive
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  ... and they're supportive of that because that's
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  when you know that we're addressing all aspects of their
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  life, right?
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  Mm-hmm.
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  Not just the medicine aspect, because when you address the
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  medicine aspect, that's one thing.
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  They go home, and maybe their work life or their personal
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  life, there's some things going on that no matter what you
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  did for them for the treatment-
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  Mm-hmm
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  ... it's not going to work in a holistic manner.
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  Geez, you guys-
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  So-
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  ... you can't get this experience that you're describing, you can't get this-
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  Right
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  ... in regular medicine at a primary or in any-
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  No, and then obviously there's patients where-
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  Right
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  ... you know, they want simple things.
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  They need a medication refill, or they just need an annual or blood
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  work. And the, so it's like a give and take, right?
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  And the patients know that-
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  Yeah
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  ... when they come in for the appointment that, "Hey, I'm here for this." And
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  sometimes I have to tell the patients that, "Hey, we've discussed
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  all these things, but I want to do further for you."
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  Yeah.
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  "So please schedule a follow-up appointment."
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  Okay.
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  And they're more than willing to do that.
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  So just communicating.
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  Yeah, communicating.
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  Imagine it.
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  And you know your, the staff you work with-
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  Yeah
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  ... like I love the staff I work with.
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  Aw.
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  It's like a-
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  I love this.
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  Yeah. And like-
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  That's hard to say
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  ... we're always laughing and joking, and they're there.
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  Everybody makes mistakes here and there-
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  I love that
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  ... but no one is... Like little mistakes here and there,
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  that's life.
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  Have you-
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  Right
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  ... you've worked other places.
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  Mm-hmm.
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  And you did not feel this-
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  Right
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  ... this joy.
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  You felt like, oh, you made one mistake, oh my gosh, someone's gonna, behind
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  closed doors, yell at you.
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  Like you're getting weird talks.
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  Right. Right.
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  Called into the office.
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  Called into the office. "Come to my office."
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  Oh my gosh
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  ... close the door and start yelling at you when you're crying in that seat,
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  and there's just five people bashing at you, that's not a work environment- ...
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  that anyone wants to be in.
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  No, and my favorite is like you would think that like, okay, we're grown adults,
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  we're professionals.
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  Right. I know.
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  Like why would this even bother me?
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  Right.
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  Like why... I'm a strong person, why would this even get to me? I've also cried.
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  Right.
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  And let me tell you, I won't cry again at work.
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  No, 100%, I'm not gonna put myself- ... If I ever...
• 10:32
  So, there's in every profession, right, you have a first
• 10:36
  job.
• 10:36
  Yes.
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  And that you're like scared to leave because you're like, "Oh my-"
• 10:41
  You're scared.
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  You're scared.
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  You're under contract.
• 10:42
  Yeah, and all that. But-
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  Feels very serious.
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  Right.
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  Yeah.
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  But at the end of the day, the only person hurting is you, right?
• 10:49
  Yeah.
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  Because you're gonna get anxiety, you're gonna start getting high blood pressure.
• 10:53
  Uh-huh.
• 10:53
  You're gonna not sleep well.
• 10:54
  Yeah.
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  And we're trying to treat others, but in turn, we're
• 11:00
  not treating ourself.
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  Dying.
• 11:01
  Yeah.
• 11:01
  Yeah.
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  So-
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  I never wanna go back to that
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  ... and that's what Adventist, I think, really promotes.
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  Mm-hmm.
• 11:06
  They promote that work life culture-
• 11:08
  Yeah
• 11:08
  ... where they want you to be happy in your personal life-
• 11:11
  Right
• 11:11
  ... and they will help you through that too.
• 11:13
  Like, when there's time off, or, "Hey, I have a doctor's
• 11:16
  appointment," or, "I have a nail appointment.
• 11:19
  Hey, I need to block one hour from my schedule."
• 11:23
  You know? Hey.
• 11:24
  That's like, that's them investing into you being well.
• 11:27
  Right. Right.
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  I totally love that.
• 11:30
  And the doctors I work with, the nurse practitioners, the PAs, and
• 11:34
  the staff, like, it, not one person's job is
• 11:38
  less than another.
• 11:39
  Wow.
• 11:39
  Right?
• 11:41
  Do you think the spirituality has anything to do with it?
• 11:43
  Because it is a-
• 11:44
  Mm-hmm
• 11:45
  ... spiritual based-
• 11:46
  Faith based
• 11:46
  ... yeah, faith based.
• 11:47
  And I think what they promote is
• 11:51
  there's
• 11:52
  a higher being, right?
• 11:53
  Mm-hmm.
• 11:54
  That when everything else is going wrong,
• 11:58
  it's the faith that carries you through.
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  It's true, because it gives you choice.
• 12:00
  And whether you believe in a specific
• 12:04
  religion-
• 12:05
  Yeah
• 12:05
  ... or another religion, at the end of the day, we're all in this world, we're
• 12:09
  all equals-
• 12:10
  Yeah
• 12:10
  ... no matter our culture, no matter our religion
• 12:13
  Yeah, and it's with purpose.
• 12:15
  Mm-hmm.
• 12:15
  It's faith-based, but it's not about, "Oh, you have to
• 12:19
  be a Christian worshipping Jesus and all that." No,
• 12:23
  it's any faith.
• 12:24
  Yeah.
• 12:24
  They're faith-based in that way.
• 12:26
  Yeah.
• 12:26
  Yeah.
• 12:26
  A belief in something bigger than you.
• 12:29
  Something higher power.
• 12:30
  That is healing.
• 12:30
  That is wholesome.
• 12:31
  Yeah.
• 12:31
  That is...
• 12:32
  Whether it be the people around you-
• 12:34
  Yeah
• 12:34
  ... your environment.
• 12:35
  Mm-hmm.
• 12:35
  There is a higher being that
• 12:38
  miracles happen, right?
• 12:39
  Mm-hmm.
• 12:39
  We see it day and night.
• 12:41
  Yeah.
• 12:42
  And it's because of the community we have.
• 12:45
  I absolutely love that.
• 12:46
  Yeah.
• 12:46
  Well, okay, so that's definitely a huge part of healing and
• 12:50
  wholesomeness and
• 12:52
  being a human. Which-
• 12:54
  Yeah
• 12:54
  ... I used to think I was a machine. I'm not.
• 12:56
  No.
• 12:56
  I wanted to be, but I have to sleep. I have
• 13:01
  to drink water-
• 13:02
  Right
• 13:02
  ... and eat food. And the right food.
• 13:03
  Sometimes we're having like 100 things going on in our minds at once,
• 13:07
  but you know what?
• 13:09
  So annoying.
• 13:09
  Yeah, and then you need to take that time for yourself-
• 13:12
  Yeah
• 13:12
  ... and just relax your mind. Because that's what recovery is.
• 13:16
  Yeah.
• 13:16
  Even when we work out, right?
• 13:18
  Yeah.
• 13:19
  You're not going to be working out every single day of the week.
• 13:21
  You need recovery days-
• 13:22
  Yes
• 13:22
  ... to grow. And in life-
• 13:23
  Yeah
• 13:23
  ... it's like that, too.
• 13:24
  Yeah.
• 13:25
  Yeah.
• 13:26
  Well, at the recent conference, I know you had a few
• 13:30
  favorite sections and-
• 13:32
  Yeah
• 13:32
  ... favorite speakers.
• 13:33
  Right.
• 13:34
  Where do you want to start with that? Because there's just so many.
• 13:37
  So-
• 13:37
  I loved it
• 13:37
  ... there's so many. And we could talk about it for
• 13:41
  many hours.
• 13:42
  Yeah.
• 13:42
  Right?
• 13:44
  There was one that really stood out to me,
• 13:48
  and that was cycle syncing.
• 13:51
  Oh, interesting.
• 13:51
  There was a presentation. So,
• 13:54
  one of the female presenters, she's done her own
• 13:58
  research and gone through
• 14:02
  cycle syncing with menstrual cycle syncing.
• 14:04
  Oh.
• 14:04
  Right? So women, as soon as you start your menstrual
• 14:08
  cycle to when you're even done
• 14:12
  your menstrual cycle, perimenopause, menopause, post-menopause.
• 14:15
  Mm-hmm.
• 14:16
  It's in your luteal phase, in your ovulatory phase,
• 14:20
  your follicular phase-
• 14:23
  Mm-hmm
• 14:23
  ... and all that. The types of day-to-day
• 14:27
  that you do, so intermittent fasting, the types of
• 14:31
  workouts.
• 14:33
  No one tells us that because all these previous studies have been done
• 14:37
  on men's health-
• 14:38
  Yes
• 14:39
  ... where they're not going through ups and downs, right?
• 14:42
  And they've done studies on the women's Olympic teams,
• 14:46
  where more injuries occurred when the women
• 14:50
  were in their luteal phase, which is the two weeks right before
• 14:54
  menstruation.
• 14:55
  Mm-hmm.
• 14:56
  More ligament, tendon injuries, and all that.
• 14:58
  That-
• 14:58
  You would think it'd be opposite to that-
• 15:00
  Right
• 15:01
  ... because your estrogen surge.
• 15:03
  Right.
• 15:03
  It's like a slow climb, and then it surges.
• 15:05
  Mm-hmm.
• 15:06
  So maybe...
• 15:07
  So in luteal, right before, it's when you want to take it more
• 15:11
  easy. Maybe don't do the 16-hour intermittent fasting.
• 15:14
  Mm-hmm.
• 15:14
  Your body needs the fuel, right?
• 15:16
  Yeah, the protein.
• 15:17
  You need the rest.
• 15:18
  Yeah.
• 15:18
  So yes, work out, but maybe something like yoga, Pilates, a
• 15:22
  walk, a jog.
• 15:22
  Mm-hmm.
• 15:23
  Not like high-intensity HIIT workouts at that time.
• 15:26
  Yes.
• 15:27
  Eating the right things. More magnesium, more omega-3s.
• 15:31
  Yes.
• 15:32
  That help-
• 15:33
  Exactly right.
• 15:33
  Right. So it was a presentation where-
• 15:37
  Just track your-
• 15:37
  Yeah
• 15:37
  ... cycle so that you see the right rise, the fall, the-
• 15:41
  Right. And many women don't know that.
• 15:43
  Yeah.
• 15:43
  I didn't know that before, right?
• 15:45
  Yeah.
• 15:45
  We treat every day as the same, but our bodies are definitely not telling us that.
• 15:49
  Yeah.
• 15:49
  Every day is different-
• 15:50
  Yeah
• 15:51
  ... for us.
• 15:53
  So that was just one.
• 15:54
  Do you use a wearable device?
• 15:55
  I use an Oura Ring.
• 15:56
  Okay.
• 15:57
  I have one.
• 15:58
  Yeah.
• 15:58
  I just got one, actually. It's two months ago.
• 16:01
  Okay.
• 16:01
  So I've been tracking my sleep, and-
• 16:03
  Yeah
• 16:03
  ... my body temperature and the HR-
• 16:05
  Yeah, the temperature is what I was going to do
• 16:06
  ... heart rate variability and all that.
• 16:08
  How's your HRV?
• 16:10
  Well, it's supposed to be below 10 usually, right? When you sleep.
• 16:14
  The lower, the better.
• 16:18
  I think the higher, the better.
• 16:20
  Okay.
• 16:21
  But not the heart rate, but the HRV.
• 16:25
  The heart rate variability-
• 16:26
  Mm-hmm
• 16:26
  ... it's my understanding if it's a low score-
• 16:28
  Uh-huh
• 16:28
  ... then you're not handling your stress.
• 16:30
  Got it.
• 16:32
  Yeah.
• 16:32
  So, I think the highest you can make is around a
• 16:36
  88-
• 16:37
  Okay
• 16:38
  ... I want to say. So
• 16:40
  the higher the score, the better.
• 16:42
  Uh-huh.
• 16:42
  So it's like your ability to handle stress.
• 16:44
  Right.
• 16:44
  It's the time, I believe, between heartbeats.
• 16:47
  Mm.
• 16:48
  And if it's shorter, you're more stressed, your heart rate-
• 16:52
  Right
• 16:52
  ... is more active.
• 16:53
  And it tells me the times I'm stressed throughout the day.
• 16:56
  And it's right.
• 16:56
  And it's very up and down right now.
• 16:59
  And I'm like, I need to-
• 17:01
  Regular
• 17:01
  ... you're
• 17:03
  stimulating your vagus nerve.
• 17:04
  Yeah.
• 17:04
  That's part one.
• 17:05
  Yeah.
• 17:05
  You can do it without any devices or anything like that, by just
• 17:08
  humming, listening to music.
• 17:11
  Interesting.
• 17:12
  So you know what I've started doing?
• 17:13
  What?
• 17:13
  On my drive to work in the morning.
• 17:15
  Let's hear it.
• 17:15
  Because I get really... I guess I'm always
• 17:19
  trying to get somewhere on time, so I'm stressed,
• 17:23
  right? Without knowing that I'm stressed.
• 17:26
  And I've realized that-
• 17:27
  Yeah
• 17:27
  ... that when I'm driving,
• 17:29
  the stress that my ring shows is higher.
• 17:32
  So I started just humming.
• 17:34
  Is there a certain pitch or place in your voice?
• 17:38
  In yoga practice, they do-
• 17:39
  Right. There is. There's Om, right?
• 17:41
  Yeah.
• 17:41
  Yeah. So I-
• 17:42
  The Om.
• 17:42
  The Om, right. And that takes me back to
• 17:46
  my Indian roots, right? Where I learned to do this.
• 17:50
  How? What do you mean?
• 17:50
  So Om is a very...
• 17:52
  It comes from within. It's known to, that
• 17:56
  sound is to come from your soul.
• 17:58
  Wow.
• 17:59
  So just like we can do it right now, like
• 18:02
  ohmmm.
• 18:04
  The vibrations
• 18:06
  stimulate your vagus nerve.
• 18:08
  Wow.
• 18:09
  And helps reduce cortisol spikes and just stress
• 18:13
  levels.
• 18:13
  Oh my gosh. So I've been to a lot of different trainings over the
• 18:17
  years, including-
• 18:19
  Mm-hmm
• 18:19
  ... A for M, and-
• 18:19
  Yeah
• 18:19
  ... and also-
• 18:21
  Yeah
• 18:22
  Different regenerative treatment courses.
• 18:26
  Mm-hmm.
• 18:26
  And they do speak a lot about sound therapy.
• 18:29
  Right. Yeah.
• 18:29
  I want to learn more about it because the hertz,
• 18:33
  the pitch-
• 18:34
  The frequency
• 18:34
  ... and tone and-
• 18:35
  Yeah
• 18:35
  ... the hertz that-
• 18:36
  Mm-hmm
• 18:36
  ... the Om-
• 18:37
  Mm-hmm
• 18:38
  ... specifically resonates with your body, which is made of
• 18:41
  water.
• 18:42
  Yeah. Right.
• 18:42
  So you're making your water molecules oscillate at a certain-
• 18:46
  Mm-hmm
• 18:46
  ... frequency.
• 18:47
  Like those sound baths.
• 18:48
  Yes.
• 18:49
  The lingering on-
• 18:50
  Yes
• 18:51
  ... of sound, right?
• 18:51
  So that hertz, and on the different pitches that you
• 18:54
  hear, as you probably already know, some are healing-
• 18:58
  Right
• 18:58
  ... some are calming.
• 18:59
  Okay. I didn't know that. Yeah.
• 19:00
  Some, they're meant to do different things-
• 19:03
  Mm-hmm
• 19:03
  ... according to what we know to be true.
• 19:06
  Mm-hmm.
• 19:06
  But it's ancient practice. I mean-
• 19:07
  Yeah, it's ancient. It's been there for centuries.
• 19:11
  Yeah.
• 19:11
  Right? And now that's why Western medicine and Eastern
• 19:15
  medicine, it's an integration of both.
• 19:17
  They need to get married-
• 19:18
  Yeah
• 19:19
  ... and have offspring.
• 19:21
  Basically. Another thing from-
• 19:25
  Yeah
• 19:26
  ... medicine from that side of the world is turmeric. Right?
• 19:29
  Like-
• 19:29
  Okay, so tell me what you know about-
• 19:31
  Tell me
• 19:31
  ... turmeric, because I've learned just so much-
• 19:34
  Mm-hmm
• 19:34
  ... that I feel like I don't take it-
• 19:36
  Mm-hmm
• 19:36
  ... because number one, it's on my list from my microbiome not to take.
• 19:40
  Okay.
• 19:41
  But I think I would be a good candidate for it if I
• 19:44
  fix a few other things.
• 19:46
  Right, and that's what the new
• 19:50
  medicine is, learning what is right for you and what
• 19:54
  isn't. Because everyone's different.
• 19:56
  Powerful.
• 19:56
  Everyone's DNA is different.
• 19:58
  We are.
• 19:59
  One supplement might work for somebody, and for another it's not going to work.
• 20:03
  Right.
• 20:04
  Just like that, for turmeric. We know it has antibacterial,
• 20:07
  anti-inflammatory properties.
• 20:09
  Yeah.
• 20:11
  It was a thing growing up. I was born in
• 20:15
  India,
• 20:16
  and then I grew up in Canada-
• 20:18
  Mm-hmm
• 20:18
  ... from age of six onwards. So my parents, when I
• 20:22
  got sick as a child, I would get milk
• 20:25
  with some turmeric, and
• 20:28
  it would-
• 20:29
  Wow
• 20:29
  ... just help with feeling better and-
• 20:32
  Yeah
• 20:33
  ... that recovery process, it would speed it up.
• 20:36
  Let me see what my...
• 20:38
  So I did this Gut Health test.
• 20:40
  The Gut Health, yeah.
• 20:41
  And it said something about turmeric for me, not for all people-
• 20:45
  Mm-hmm
• 20:45
  ... but for me.
• 20:46
  Yeah,
• 20:47
  and that's the thing with many ingredients-
• 20:49
  It's weird
• 20:49
  ... not just turmeric.
• 20:50
  You need to know what's
• 20:52
  right for you, what's going to be-
• 20:53
  Yes
• 20:53
  ... most beneficial for your own body and your genetics.
• 20:56
  And it seems-
• 20:57
  Yeah
• 20:57
  ... so far out there, or almost hippie-esque, but this is-
• 21:01
  Mm-hmm
• 21:01
  ... where we are different. Our genetic
• 21:05
  makeup-
• 21:06
  Is different, yeah
• 21:07
  ... it's different.
• 21:07
  Yeah.
• 21:08
  And our environments, we're going to react differently, even -
• 21:11
  Mm-hmm
• 21:11
  ... side by side, or siblings side by side.
• 21:13
  Right. And imagine 50 years ago, the
• 21:16
  amount of the air, the water, the
• 21:20
  foods our parents ate-
• 21:21
  Yes
• 21:22
  ... versus what we're eating. It's a complete 180.
• 21:24
  Dramatically different.
• 21:26
  Things are getting injected with chlorine and sodium, and
• 21:30
  there's this pesticide and arsenic and this-
• 21:32
  Yes
• 21:32
  ... and we don't even know most of the time what's in our
• 21:37
  food.
• 21:37
  And you know what else is crazy?
• 21:39
  Yeah.
• 21:39
  I think about,
• 21:41
  okay,
• 21:42
  everyone has... Okay, I say everybody, but most- ...
• 21:44
  people, they go through different phases.
• 21:47
  Yeah.
• 21:47
  Through your kid stage.
• 21:49
  Yeah.
• 21:50
  Your awkward stage, where your teeth or-
• 21:53
  Yeah
• 21:54
  ... maybe your braces phase.
• 21:55
  Yeah. Puberty, all that.
• 21:57
  Puberty stage. And then you shoot up-
• 21:58
  Yeah
• 21:58
  ... you get skinnier.
• 21:59
  Yeah.
• 21:59
  But some people,
• 22:01
  they're more robust-
• 22:02
  Yeah
• 22:03
  ... the majority of their-
• 22:04
  Right
• 22:04
  ... earlier years-
• 22:05
  Right
• 22:05
  ... and then they're thinner.
• 22:06
  Yeah.
• 22:07
  There's just-
• 22:08
  It's genetic makeup. It's their DNA.
• 22:10
  Okay, well, which is better?
• 22:13
  Mm-hmm.
• 22:13
  To be
• 22:14
  large most of your life-
• 22:16
  Mm-hmm
• 22:16
  ... and then skinny in the last few years-
• 22:19
  Mm-hmm
• 22:19
  ... because we hear about, "Oh, they're so thin, they have no reserve."
• 22:23
  Right.
• 22:23
  Or is it more efficient that you are not eating much because your
• 22:27
  body is channeling all of the energy-
• 22:29
  Mm-hmm
• 22:29
  ... not into digesting food, but into fighting disease?
• 22:34
  That's a very good point.
• 22:36
  When your body is fighting off disease, which you may know of or which you
• 22:40
  may not know of-
• 22:41
  Right
• 22:42
  ...
• 22:43
  when a patient comes in and they've lost 20 pounds in the last
• 22:47
  two months, we get concerned. We're trying to rule out for cancers-
• 22:51
  Right
• 22:51
  ... autoimmune-
• 22:52
  Yeah
• 22:52
  ... a lot of things, right?
• 22:53
  Yeah.
• 22:53
  Because they might not realize, they might not have loss of appetite.
• 22:58
  Right.
• 22:58
  But they're losing weight, and there's a cause for that.
• 23:02
  Yeah.
• 23:02
  So I don't believe there's a right and wrong to that,
• 23:06
  whether you're in your earlier stages of your life or skinnier-
• 23:09
  Like you're tall or you're not
• 23:10
  ... or that.
• 23:10
  Like it's that linear.
• 23:11
  Right.
• 23:12
  But what I can tell, because a lot of patients I see are above the age of
• 23:16
  60.
• 23:17
  Mm-hmm.
• 23:17
  So I treat a lot of osteoporosis.
• 23:21
  And when, for some reason,
• 23:25
  as they're getting skinnier, like old ladies.
• 23:28
  I don't want to say old, but above 60.
• 23:32
  Right? I'm like, "Hey, Doc-"
• 23:34
  We don't use that language.
• 23:35
  There's no sense of old, because your heart's going to be young forever if you want
• 23:38
  it to be, right?
• 23:39
  Yeah.
• 23:39
  But
• 23:41
  when they're getting to that age where we want to do screenings with a DEXA scan
• 23:45
  and see-
• 23:46
  Mm-hmm
• 23:46
  ... it really comes down to their muscle mass, their bone mass, right?
• 23:50
  Yes.
• 23:51
  And if they're not eating the amounts of calories they need to
• 23:55
  be eating to maintain that muscle mass,
• 23:59
  that bone mass-
• 24:00
  Right
• 24:00
  ... because we know as we age, we're losing muscle, bone. We're losing it all.
• 24:04
  Well, I'm working so hard-
• 24:05
  Right
• 24:05
  ... to not lose it.
• 24:06
  Right, and you cannot lose it.
• 24:09
  Right.
• 24:09
  But what we've been taught in the last five,
• 24:13
  10 years is completely different from what our parents or grandparents were
• 24:17
  taught 50 years ago.
• 24:18
  Yes.
• 24:19
  So we have a step ahead that we're already doing this in our 20s,
• 24:23
  30s, 40s-
• 24:24
  Yes
• 24:24
  ... versusMaybe for them, yes, it's great that they start
• 24:28
  doing this in their 60s or their 70s. Yeah.
• 24:31
  And it will help because at the end of the day, loss of bone,
• 24:35
  loss of muscle- Yeah ... is going to be linked to fractures,
• 24:39
  osteoporosis- Or alive ... cognitive decline. Yes. Right.
• 24:42
  And we know that a hip fracture is one of the leading
• 24:46
  causes of physical decline- Yeah ...
• 24:49
  in older women especially. Yes. So- And it's almost like
• 24:53
  estrogen would be- Right, and hormones have a big part in that too.
• 24:57
  That's a whole thing. Ugh. I love it- Don't you wish? ... so much. I know.
• 25:01
  I'm like, "Can't we just have the same-" "...
• 25:04
  genes as men do and not go through hormonal
• 25:07
  decline and all that?" Hey, they go through their own things too. They do, they do.
• 25:10
  They still have myriads.
• 25:13
  They go through their testosterone decline, for sure. Mm-hmm.
• 25:16
  But that also can be preserved. It can.
• 25:19
  It can, with the proper diet- Mm-hmm ... gut biosis.
• 25:23
  Yes. Right? Yes. Vitamin D. I couldn't find the turmeric
• 25:27
  situation, but- Uh-huh ... I know we were
• 25:31
  talking about... Oh wait, maybe I just found it.
• 25:34
  Nope, I'm going to quit. Yeah.
• 25:37
  It was under one of these categories on biome.
• 25:40
  Maybe, okay, I'll try one more category. Oh, biome, yeah. Yeah. I really like it.
• 25:44
  Oh, here it is actually. Mm-hmm. This is under the category of your
• 25:48
  inflammation igniter. Okay. And it says,
• 25:52
  "These blockers," and then it gives me the different foods that are on this
• 25:56
  list for me. Yes. Yes. These blockers may contribute to gut
• 25:59
  irritation and inflammation- Mm-hmm ...
• 26:01
  by promoting activities that disrupt gut balance.
• 26:04
  Limiting these foods can help reduce discomfort and support a calmer,
• 26:08
  healthier digestive system. So this is true for me. Right.
• 26:12
  But for the majority, turmeric is a very well documented-
• 26:16
  It is ... option. But I'm sure for you, you can find some other supplement that's
• 26:20
  going to be working the way turmeric does- Oh, yeah ...
• 26:23
  where it's anti-inflammatory, right? It gives me a ton of great options.
• 26:25
  So it's really getting those DNA
• 26:29
  tests done. It makes a- Those gut microbiome tests done ... difference. Yeah.
• 26:33
  And the one thing I think I've just started to realize this
• 26:37
  is insurance companies, right? Mm-hmm.
• 26:41
  Big pharma, all that.
• 26:43
  When a patient ends up in the hospital,
• 26:47
  how much are they paying?
• 26:49
  Thousands, millions, right? Yeah.
• 26:53
  Versus, hey, if we had prevented that illness
• 26:57
  five, 10 years ago by doing a simple DNA
• 27:01
  gut dysbiosis test, spending $500,
• 27:04
  $1,000 on it. It's more than that. I actually run them. Right? Yeah.
• 27:08
  And I'll tell you, but it's still worth it. But it's still worth it, right?
• 27:11
  It's under 5,000. Okay, yeah. But still- It's like 3 to 5,000 ...
• 27:14
  so
• 27:16
  hopefully,
• 27:18
  we can all dream this, in 5, 10 years,
• 27:21
  maybe these tests will be covered by insurance.
• 27:24
  I think there should at least be some- At least some of them. Right.
• 27:27
  There should be some sort of coverage, right?
• 27:29
  Yeah, like the MTHFR, the mother gene. Mm-hmm.
• 27:33
  Right. That is critical for every single- Right ...
• 27:37
  reaction of your body. Not just like, oh, okay, I think we've moved
• 27:41
  to genetic cancer screening- Mm-hmm ...
• 27:44
  very- A little bit ... well. We've dipped a toe in it. Right.
• 27:47
  We chuck for like- Right ... a few. Right.
• 27:49
  And why can't we now dip our feet into the gut
• 27:53
  microbiome testing as well? Because it's expensive.
• 27:55
  I know, but hey, in 5, 10 years maybe,
• 27:59
  what we're realizing, maybe they will realize. Yeah.
• 28:02
  It's a long stretch, but- Well, the reality
• 28:06
  is like-
• 28:07
  Right ... the insurance is built to cover the majority for
• 28:12
  common things. Right. But the rest of it, if you want to optimize, if you want to
• 28:16
  live longer than what they're statistically expecting you- Mm ...
• 28:19
  to live, then you just need to work- Right ...
• 28:22
  to pay out of pocket for that. And- Right ...
• 28:25
  I don't love that. I think the more that people are demanding it, the more that's
• 28:29
  going to drive- Mm-hmm ... price down because there's going to be more options.
• 28:32
  That's so true. Right? More companies. More options. But- More options.
• 28:35
  But I feel like that's so much going into preventable.
• 28:40
  Fixing- Yes ... the diseases at their root
• 28:43
  cause. Yes. And- That needs to happen ...
• 28:47
  making some of these diseases reversible.
• 28:50
  That would be incredible. Right. And okay, so when it comes to
• 28:54
  reversible, so let's talk metabolic. Right. So when it comes to- Mm-hmm ...
• 28:59
  our glucose and insulin- Right. Insulin ... I talk about it all the time. Yeah.
• 29:02
  It's just so not even talked about enough. It's not.
• 29:06
  I want to get a GCM- Yeah ... a glucose control monitor. Right.
• 29:09
  I want to see how does my body react- Mm ...
• 29:11
  to different foods, because that's all that matters. Right.
• 29:14
  On average, we know how
• 29:16
  their glucose will react- Mm-hmm ... but how does it specifically for you?
• 29:20
  Specifically. So I've actually done it for two weeks. Ooh, which is fine.
• 29:22
  I tried it.
• 29:23
  And what I found was-
• 29:26
  Were you surprised? I was- Why? ...
• 29:28
  because I didn't know my glucose spike after a meal
• 29:33
  would be as high as I thought it would be. How high was it? I don't have diabetes.
• 29:37
  I don't have, at least I don't think yet. Not yet. Not yet, right?
• 29:41
  So baseline, obviously 80s, 90s.
• 29:45
  Yeah. And then after a meal,
• 29:48
  it was maybe not the highest protein meal, but also not the highest
• 29:53
  carb meal. Like a salad.
• 29:55
  It still has carbs, but black beans.
• 29:57
  So most
• 29:59
  of the time I'm a vegetarian.
• 30:02
  Here and there I'll have eggs, dairy, and stuff.
• 30:05
  But vegetarian, vegan is primarily my diet.
• 30:08
  And I'm trying to get in protein more, but from plant- Like lentils? Yeah, lentils.
• 30:12
  Yeah. Uh-huh. Black beans, chickpeas, all that, right? Yeah.
• 30:15
  But at the end of the day, that's protein, but it's also carb, right? Mm-hmm.
• 30:20
  So the glucose spike goes to maybe 160.
• 30:24
  Okay.
• 30:25
  After a heavy meal. Mm-hmm.
• 30:28
  Not like junk food or takeout- Mm-hmm ... but still, I was like, okay, surprised.
• 30:32
  I was like, if my spike is 160 after an
• 30:35
  average... meal,
• 30:38
  what would it be if I'm eating out? Like pizza and-
• 30:41
  Açaí
• 30:41
  Yeah.
• 30:41
  I love açaí.
• 30:43
  I know. I'm like, "Okay, well, things to consider." But
• 30:47
  there is this
• 30:51
  person that I've been following for a year to two years
• 30:54
  now. Her name is Glucose Goddess.
• 30:57
  That's not her name, obviously. Her name's probably an
• 31:01
  actual name, but she goes by Glucose Goddess.
• 31:04
  Yeah.
• 31:04
  And she talks about, hey, when you're eating a
• 31:08
  snack, right? If, let's say you're eating some bananas or some blueberries for a
• 31:12
  snack. Pair them up with a healthy fat or a protein so your
• 31:15
  glucose spike won't be as much.
• 31:17
  Hmm.
• 31:18
  When you're eating at a restaurant, right?
• 31:21
  So that would slow your gut, your gastric emptying-
• 31:24
  Mm-hmm
• 31:24
  ... in a sense, just like a GLP would.
• 31:25
  It's like a blanket to cover the carb.
• 31:28
  Interesting.
• 31:29
  Cover the sugar-
• 31:30
  Okay
• 31:30
  ... with a healthy fat or a healthy protein.
• 31:32
  Mm-hmm.
• 31:33
  So maybe have some blueberries with some Greek yogurt,
• 31:36
  right?
• 31:37
  Mm-hmm.
• 31:37
  Have the banana with some peanut butter.
• 31:39
  Mm-hmm.
• 31:41
  Also, when you're going out for restaurants, maybe avoid...
• 31:45
  I think the one thing that we're doing wrong, I mean,
• 31:49
  we're doing a lot of things wrong. With the American food industry, there's a lot
• 31:52
  of things that are wrong, right? But I actually tell this to my
• 31:56
  patients. When you go out, have the chips and salsa, breadsticks and
• 32:00
  butter, at the end of the meal-
• 32:03
  Oh, my gosh
• 32:03
  ... not in the beginning of the meal.
• 32:05
  Chips, it's like-
• 32:06
  Right
• 32:06
  ... it's become my new-
• 32:07
  So-
• 32:08
  ... problem.
• 32:09
  It's always been a problem for me.
• 32:10
  I've never had a chip problem, ever.
• 32:12
  I've always had a chip problem.
• 32:14
  This is newer. Honestly, I blame California-
• 32:16
  Yeah
• 32:17
  ... because it's just so delicious.
• 32:18
  Right.
• 32:19
  Their salsa's too fresh.
• 32:20
  So I tell them, "When you see me back in a month, I want you
• 32:24
  to change one thing." Have the same meals you're having, because obviously when you
• 32:28
  tell them to make so many changes, they're more likely not to, right?
• 32:32
  So I tell them one thing at a time. Like, "Okay, let's make a change for this
• 32:35
  month. No matter what meal you have-
• 32:37
  Right
• 32:37
  ... have your veggies first,
• 32:39
  then have your healthy fats and proteins, and then end with a
• 32:43
  carb or a starch." So potatoes and fruits.
• 32:46
  That's a good-
• 32:47
  Or pasta or pizza.
• 32:49
  That's a good one.
• 32:49
  Or whatever, right?
• 32:50
  Yeah.
• 32:51
  So we see this a lot of in Asian cuisine.
• 32:55
  You're eating the seaweed salad, the edamame first.
• 32:58
  That's what's offered to you.
• 33:00
  Yeah.
• 33:00
  There's a reason for that.
• 33:01
  Is seaweed not good for you?
• 33:04
  I haven't heard that, but hey, there's studies been...
• 33:07
  I think it's what type of seaweed, right?
• 33:09
  Because-
• 33:09
  Okay, that makes sense
• 33:10
  ... there's-
• 33:10
  Just like beans.
• 33:11
  Right. If it's sprayed with glyphosates, and
• 33:15
  pesticides, and stuff like that.
• 33:16
  Yeah.
• 33:17
  You want to know-
• 33:17
  Which it probably is
• 33:18
  ... the source it's coming from.
• 33:19
  Yeah.
• 33:20
  Yeah, so if you buy organic.
• 33:22
  Yeah. Treated in some form, it's no longer just seaweed.
• 33:25
  Right.
• 33:26
  It's now like a chip.
• 33:27
  So Asian cultures, when you go to an Asian
• 33:30
  restaurant, they're giving you the veggies, the seaweed salad, the edamame
• 33:34
  first, and that helps-
• 33:35
  Is the soup good?
• 33:36
  ... decrease.
• 33:37
  The soup is good for you.
• 33:38
  Right, but it decreases your glucose spike, right?
• 33:40
  Right.
• 33:41
  Instead of having, at an Italian restaurant or at a
• 33:45
  Mexican restaurant, the chips and salsa first.
• 33:46
  So good.
• 33:47
  So have it, just have it last.
• 33:49
  Yes.
• 33:50
  If you change that, you'll see your A1C come down.
• 33:54
  Mm-hmm.
• 33:55
  It's a little change like that.
• 33:58
  So I feel reward when I have those foods.
• 34:02
  Right.
• 34:02
  So I get dopamine from them.
• 34:04
  Mm-hmm.
• 34:04
  I feel drawn to them.
• 34:05
  Yeah.
• 34:05
  So to me, that is already a gut issue-
• 34:08
  Mm-hmm
• 34:08
  ... that I am actively working on.
• 34:12
  So the type of bacteria that are thriving-
• 34:15
  Mm-hmm
• 34:15
  ... are giving me that signal.
• 34:17
  Yeah.
• 34:17
  And then-
• 34:18
  Different types of bacteria-
• 34:19
  Yes
• 34:19
  ... are giving different types of signal.
• 34:21
  It's really awful, so-
• 34:23
  Yeah
• 34:23
  ... but because I know the issue, I know how to fix it.
• 34:26
  Right.
• 34:26
  So that's the good news.
• 34:27
  It's knowing the issue. How are you going to-
• 34:29
  Yeah
• 34:29
  ... fix the issue in the first place if you never even know about it?
• 34:32
  And-
• 34:32
  You have to know
• 34:32
  ... 99% of the population does not know about it.
• 34:35
  Exactly.
• 34:36
  Right. So that's the new age medicine that we're talking about.
• 34:39
  It's way beyond just prescriptions and lab orders and imaging orders.
• 34:43
  I just don't believe it. It's just not enough. That has fallen short to me.
• 34:47
  Yeah.
• 34:48
  And this should be a part of the curriculum
• 34:52
  in all medical professional schools.
• 34:55
  There's just so much they throw at you, would it even
• 34:59
  stick?
• 35:00
  Right.
• 35:00
  I don't know what's-
• 35:01
  And like you're scrolling on social media, and this person tells you, "Take this
• 35:04
  supplement, and then take this supplement, and do this, and do this red light, and
• 35:07
  do that." And you're just bombarded with all these
• 35:11
  stimuluses.
• 35:13
  Yeah.
• 35:13
  And so actually knowing your DNA-
• 35:16
  Yeah
• 35:17
  ... you will know what works for you and what doesn't, so that-
• 35:20
  Yeah
• 35:20
  ... you could weed out
• 35:22
  all this extra noise.
• 35:24
  So I really value the opportunity to check the
• 35:28
  DNA-
• 35:29
  Yeah
• 35:29
  ... when patients do allow me to.
• 35:31
  Right.
• 35:31
  So if they have the financial means to
• 35:35
  do it-
• 35:36
  Right
• 35:36
  ... it just makes their treatment so much more-
• 35:40
  Yeah
• 35:40
  ... focused and successful.
• 35:42
  They learn so much from it, too.
• 35:44
  Yes.
• 35:44
  And they know, okay, I
• 35:47
  have autonomy. I will do this, and I will-
• 35:50
  Mm-hmm
• 35:50
  ... learn from it, and I will make the changes.
• 35:52
  Yes.
• 35:53
  Because it's then not somebody else telling them what to do, a physician or a
• 35:57
  provider.
• 35:58
  Right.
• 35:58
  It's their DNA that's telling them that.
• 36:00
  This is you.
• 36:01
  And I'm like, hey. So, I definitely need that DNA test.
• 36:04
  I'm definitely, hopefully, going to get one soon.
• 36:06
  I'll send it to you.
• 36:07
  Yeah, I know.
• 36:07
  I have the one that I love, DNA Collect.
• 36:09
  Right, and the gut microbiome test.
• 36:11
  Yes.
• 36:11
  Right?
• 36:11
  Yeah, Viome.
• 36:12
  Both of those.
• 36:12
  And I do that every few months.
• 36:14
  Viome. Yeah.
• 36:15
  And they give you a-
• 36:16
  That's great
• 36:16
  ... treatment for your actual profile-
• 36:19
  Mm-hmm
• 36:20
  ... of issues. But anyway, so I know you mentioned-
• 36:23
  Mm-hmm
• 36:24
  ... beta-glucuronidase. What were you
• 36:27
  hoping to mention?
• 36:29
  So-
• 36:30
  Go over that
• 36:31
  ... I've learnt that recently in one of the
• 36:34
  longevity presentations that I was attendingAnd
• 36:39
  everyone talks about, okay, how
• 36:41
  especially with the new rules that have come out with hormonal
• 36:45
  replacement therapy, right?
• 36:47
  Mm-hmm.
• 36:47
  Where-
• 36:49
  Like the reversal of the statement that it causes cancer?
• 36:51
  Right.
• 36:52
  Yeah.
• 36:52
  No, it does not.
• 36:53
  That little thing?
• 36:55
  Like, okay.
• 36:57
  And we knew this. We knew this way before it did come out too, right?
• 37:00
  Yeah.
• 37:00
  But we just want people to believe it, and they're not going to believe it until
• 37:04
  it's-
• 37:04
  The medical board-
• 37:05
  If the med-
• 37:05
  ... is going to endorse it, so it's not like Valerie's opinion or Gina's
• 37:09
  opinion.
• 37:10
  Right. And now it-
• 37:11
  I
• 37:12
  think-
• 37:12
  ... the medical board is saying this, FDA regulations have changed.
• 37:16
  Yeah.
• 37:16
  And it's great for some people.
• 37:18
  Yeah.
• 37:19
  But not for everybody.
• 37:20
  Which ones is it not good for?
• 37:21
  So-
• 37:22
  What are you thinking?
• 37:22
  ... when you have this marker, beta-glucuronidase, right?
• 37:25
  Mm-hmm.
• 37:27
  Like the gene.
• 37:27
  The gene, and you have
• 37:30
  plentiful of it.
• 37:31
  Mm-hmm.
• 37:31
  So it's
• 37:32
  the enzyme. The gene creates an enzyme, basically.
• 37:35
  Mm-hmm.
• 37:36
  And some people have a normal amount of that enzyme.
• 37:38
  Mm-hmm.
• 37:38
  But some people have a high amount of that enzyme.
• 37:41
  Mm-hmm.
• 37:41
  That creates dysbiosis in your gut.
• 37:44
  Okay.
• 37:44
  And you cannot excrete out, your liver is not able to detoxify and
• 37:48
  excrete out the toxins as much as when you have
• 37:52
  a level that's normal. So things like estrogen, right?
• 37:56
  Mm-hmm.
• 37:57
  When you're
• 37:59
  giving your body estrogen,
• 38:01
  it is good up to the point until there's an excess amount.
• 38:06
  Mm-hmm.
• 38:06
  Because we know an excess amount causes many other issues,
• 38:10
  including cancers.
• 38:12
  Yes.
• 38:12
  So if you have this gene that's creating this high
• 38:16
  enzyme level-
• 38:17
  Mm-hmm
• 38:18
  ... then you need something like a binder-
• 38:20
  Mm-hmm
• 38:21
  ... to detoxify that or decrease-
• 38:24
  I love it
• 38:24
  ... the amount of the enzyme in your body.
• 38:27
  Yes.
• 38:28
  Then sure, you can do. But if someone's, let's say a person comes in,
• 38:32
  has symptoms, post-menopausal symptoms, we start them on hormonal replacement
• 38:35
  therapy, right?
• 38:36
  Yeah.
• 38:37
  And we're thinking, "Okay, we're doing the right thing."
• 38:39
  Mm-hmm.
• 38:39
  But what if they have this gene that is causing their
• 38:43
  beta-glucuronidase enzyme level to be high,
• 38:46
  and now we're putting estrogen in their body, and they're not able to excrete it
• 38:50
  out properly.
• 38:51
  You know, my response to that is this is the reason why
• 38:55
  we check levels.
• 38:56
  Right.
• 38:57
  If I'm giving somebody-
• 38:59
  Mm-hmm
• 39:00
  ... something, some like estrogen-
• 39:02
  You need to check it that it's low, right?
• 39:04
  Right. If it's 80/20, 50/50-
• 39:06
  Mm-hmm
• 39:06
  ... if it-
• 39:06
  And their level. Yeah, and that's perfect.
• 39:08
  Yeah.
• 39:08
  And most providers-
• 39:10
  You see a spike
• 39:10
  ... should do that. But we do know that not everybody does.
• 39:14
  Now, things like even peptides like GLP-1s.
• 39:18
  Yeah.
• 39:18
  You can get them without a medical prescriber.
• 39:21
  Yeah.
• 39:21
  You can get them online.
• 39:22
  Yeah.
• 39:22
  There's many websites that do that.
• 39:24
  Yeah.
• 39:24
  Are they checking their levels of things? Are they...
• 39:28
  No, they're not.
• 39:30
  So, I think for that respect-
• 39:33
  Mm-hmm
• 39:33
  ...
• 39:34
  the safety profile is pretty good.
• 39:36
  Right.
• 39:36
  But for estrogens, I like what you said about binders.
• 39:40
  Right.
• 39:41
  I like-
• 39:42
  Fiber is a binder. Soluble-
• 39:44
  Yes
• 39:44
  ... there's specific inulin-
• 39:45
  Yes
• 39:45
  ... is one of the-
• 39:46
  Or eat apples. That's my new favorite.
• 39:49
  Yeah. Hey, you keep the doctor away, eat an apple.
• 39:52
  We're going back to what our parents used to say. You know how crazy is that?
• 39:56
  It's like a cycle.
• 39:57
  They actually had it figured out.
• 39:59
  Had it figured out. But you know what?
• 40:00
  They didn't need all these peptides and all these supplements because they were
• 40:03
  breathing clean air, drinking fresh water,
• 40:07
  having fresh organic produce.
• 40:09
  Don't you think there's a little bit of suffering that they just also did in
• 40:12
  silence?
• 40:13
  Right. Yeah, mental health is one of them too, right?
• 40:15
  Yeah. My dad is, he's 90. I can't even believe it.
• 40:19
  Wow.
• 40:19
  He was in Nam. He's a veteran of war.
• 40:21
  Oh my God.
• 40:22
  He had Agent Orange exposure.
• 40:24
  Wow, and he's living to be in his 90s.
• 40:26
  That-
• 40:27
  Yeah
• 40:28
  ... hey.
• 40:28
  His bones are very soft.
• 40:30
  Right. And that's what you are doing to prevent you from getting
• 40:34
  to that-
• 40:35
  Yeah
• 40:35
  ... stage where
• 40:37
  we don't want these things that-
• 40:39
  Right
• 40:39
  ... make us feel older.
• 40:41
  Right.
• 40:42
  Right.
• 40:42
  Okay, so binders, you said fiber. I love that.
• 40:45
  Yeah.
• 40:46
  I typically will also do N-acetylcysteine, NAC.
• 40:48
  Right. Right, NAD.
• 40:50
  Glutathione.
• 40:51
  Mm-hmm, glutathione. All these things-
• 40:52
  Yeah
• 40:53
  ... that work great.
• 40:54
  Thistle.
• 40:54
  But we need to be educated ourselves-
• 40:58
  Yes
• 40:58
  ... so we can guide our patients-
• 40:59
  And look for it
• 41:00
  ... to do it and look for it, right?
• 41:01
  Yes.
• 41:02
  And
• 41:03
  I'm just stepping into this world right now. I don't even know everything.
• 41:06
  You're like diving in. You're doing it mainstream.
• 41:08
  Right, but I don't even know everything, right?
• 41:10
  Like some of the things-
• 41:11
  Nobody does
• 41:11
  ... no, because we're not taught that.
• 41:13
  And I think that's what's so exciting about it is I
• 41:17
  know that in my career, I'm not
• 41:21
  just going to be doing internal medicine,
• 41:24
  focusing on a disease-
• 41:25
  It's your launchpad
• 41:26
  ... and treating it. I want to do that, but I also want to
• 41:29
  incorporate the integ-
• 41:32
  Integrated
• 41:33
  ... integrated medicine.
• 41:34
  Totally.
• 41:34
  Functional medicine.
• 41:35
  Me too.
• 41:36
  Yeah.
• 41:36
  Me too.
• 41:37
  Because that's what-
• 41:38
  Feels inadequate to not
• 41:39
  ... I know. That's what I would do for myself-
• 41:41
  Yeah
• 41:41
  ... my parents-
• 41:42
  Yeah, same
• 41:43
  ... my patients, right?
• 41:43
  Yeah.
• 41:44
  So why not?
• 41:45
  Yeah.
• 41:45
  Yeah.
• 41:45
  And even if you think about, okay, people get cancer. Why do people get cancer?
• 41:49
  Right.
• 41:49
  Well, we all have cancer cells circulating in our blood.
• 41:51
  Right.
• 41:52
  Why is there-
• 41:52
  It's the gene activation-
• 41:53
  Yes
• 41:54
  ... of mutations and all that.
• 41:55
  So, and it's your poor immune system-
• 41:57
  Immune system
• 41:57
  ... not able to fight against it.
• 42:00
  Your gut microbiome.
• 42:01
  Everything.
• 42:01
  EMF.
• 42:02
  Yeah. There's nothing regulating-
• 42:04
  Water that's not reverse osmosed.
• 42:07
  Yeah.
• 42:07
  There's so many things.
• 42:08
  There's so much.
• 42:09
  Pollution in the air.
• 42:10
  Yeah.
• 42:11
  So what was life 50,
• 42:15
  70, 60 years ago is totally different from what life is now.
• 42:18
  Yeah.
• 42:19
  So, I think we're doing a pretty good job as keeping up with what's going
• 42:23
  on.
• 42:23
  Right.
• 42:24
  But at the same time,
• 42:26
  the food industry, the health industry,
• 42:29
  maybe are lacking in so many aspects.
• 42:32
  Totally. I want to go take it back to the farm-
• 42:34
  Right
• 42:34
  ... to the table.
• 42:36
  Right.
• 42:36
  And like
• 42:37
  grow your own food.
• 42:39
  Right.
• 42:40
  We have to just-
• 42:40
  And you know blue zones-
• 42:41
  Start over
• 42:41
  ... right? You know blue zones groups.
• 42:42
  Yes.
• 42:43
  Where the specific population in Japan was it, or Chi-
• 42:47
  Japan.
• 42:47
  Yeah.
• 42:48
  Where they're living to be hundreds.
• 42:51
  I definitely know Malta where my family's from.
• 42:52
  Right.
• 42:53
  Right.
• 42:53
  And why? Not because just the food was fresh.
• 42:57
  Yes-
• 42:57
  Yeah
• 42:57
  ... the food is fresh,
• 42:58
  but the connections.
• 43:00
  That's true.
• 43:01
  The people.
• 43:02
  That's true.
• 43:02
  The environment.
• 43:03
  Yes.
• 43:04
  Right? Getting good sleep.
• 43:05
  Sense of community.
• 43:06
  Community.
• 43:07
  Yeah.
• 43:08
  That's also there. It's not just food and exercise.
• 43:11
  There you go.
• 43:11
  It's community.
• 43:12
  You know how people say laughter is the best medicine? Well, it is.
• 43:16
  It is so the best medicine.
• 43:17
  Hugging somebody-
• 43:18
  Yeah
• 43:19
  ... that you love creates those happy hormones-
• 43:22
  Yeah
• 43:23
  ... that fights all these toxins away.
• 43:25
  Or calling your best friend.
• 43:26
  Right. People are known to live longer-
• 43:29
  Yeah
• 43:30
  ... when they have good social connections.
• 43:32
  Yeah.
• 43:32
  And I think we're fortunate to be living in a community like
• 43:36
  Bakersfield
• 43:38
  and to work with staff that we can live longer with
• 43:42
  at the end of the day.
• 43:43
  I love that.
• 43:43
  Yeah.
• 43:44
  So really quick, I just want to just mention a few things, since you did
• 43:48
  bring it up-
• 43:49
  Mm-hmm
• 43:49
  ... for the gut bacteria with that genetic expression.
• 43:53
  Mm-hmm.
• 43:54
  That makes you not
• 43:59
  unable to get the treatment for estrogen, but-
• 44:02
  Mm-hmm
• 44:03
  ... it's just something to look for and to-
• 44:05
  Right, to look for.
• 44:06
  Be aware of.
• 44:06
  Because you may benefit from it.
• 44:08
  Yes.
• 44:08
  But if your DNA sequencing and gut microbiome is telling you otherwise-
• 44:12
  Yes
• 44:13
  ... that's why that is the first step, right?
• 44:15
  I agree.
• 44:15
  Before we treat.
• 44:16
  So if you have that gene, then you're going to carry
• 44:20
  higher levels of E. coli, Clostridium, and Bacteroides.
• 44:24
  Right.
• 44:24
  It does create the dysbiosis, microbiome imbalance.
• 44:26
  Mm-hmm.
• 44:27
  Hormone issues are predominant, especially for-
• 44:31
  Right
• 44:31
  ... PMS, fibroids-
• 44:33
  Fibroids
• 44:33
  ... endometriosis, hormonal acne.
• 44:36
  You are estrogen dominant.
• 44:37
  Mm-hmm.
• 44:37
  You have an increased cancer risk. This, oh, we'll see.
• 44:41
  I'm going to read into-
• 44:42
  Right
• 44:43
  ... what type of estrogen is higher.
• 44:45
  Because there's so many different types.
• 44:47
  There's different types of estrogen.
• 44:47
  And that's what it is. It's like, okay, we know this-
• 44:50
  Yeah
• 44:50
  ... but let's dive deeper and get to the root, like the bottom of it.
• 44:53
  Yes.
• 44:53
  You know?
• 44:54
  It has to be checked.
• 44:55
  Right. It has to be-
• 44:56
  And we can do that
• 44:57
  ... evidence-based practice.
• 44:58
  Yes.
• 44:59
  Yeah.
• 44:59
  And then symptoms would be bloating, hormonal swings, breast tenderness,
• 45:03
  heavy cycles, acne around the jawline, which could also be just from
• 45:07
  touching. If you're like me, like, hmm.
• 45:09
  Huh. All this bacteria on our hands. Let's just put them here.
• 45:11
  I put it right on my face.
• 45:13
  And then we're like, "Why am I having a breakout?" Like, no duh.
• 45:17
  Oh my gosh. And fatigue.
• 45:19
  Yeah.
• 45:20
  And then you're at-
• 45:21
  Yeah
• 45:22
  ... commonly causes of elevated levels would be low-fiber diet,
• 45:26
  constipation, gut dysbiosis-
• 45:28
  Mm-hmm
• 45:28
  ... high alcohol intake, which also increases your estrogen.
• 45:31
  You can't have your hormones titrated with high alcohol.
• 45:34
  Mm-hmm.
• 45:34
  And then antibiotic history, low diversity of microbiome.
• 45:37
  Right.
• 45:37
  So very, very good. I'm glad that you brought that up.
• 45:41
  Yeah.
• 45:41
  I would not think to check it, but I do check labs after I
• 45:45
  treat.
• 45:45
  Right, which is great. Yeah.
• 45:46
  So it would've shown a spike in one-
• 45:48
  Of course
• 45:48
  ... of the estrogens.
• 45:49
  Of course. And that's what we're trying to focus on is
• 45:54
  doing it the right way.
• 45:55
  Yeah.
• 45:55
  Because
• 45:57
  with the field getting more and more saturated-
• 45:59
  Yeah
• 46:00
  ... and us not having the proper education through schooling-
• 46:04
  Right
• 46:04
  ... we have to find the good sources to actually...
• 46:08
  Because right now, AI and everything, how do you know what to believe, right?
• 46:11
  You know what? It's just not there yet.
• 46:13
  No.
• 46:14
  The prompts matter.
• 46:15
  They do.
• 46:15
  So intelligent prompts, intelligent answers.
• 46:18
  Right.
• 46:19
  Poor, low level prompts-
• 46:21
  Yeah.
• 46:21
  ... low quality answer. I'm sorry, I said it.
• 46:25
  And-
• 46:25
  There's a space for us-
• 46:27
  Yeah
• 46:27
  ... still to exist, and-
• 46:28
  For sure
• 46:29
  ... we need more people like us.
• 46:30
  Yeah. And maybe we can end on this is,
• 46:35
  no matter how many supplements you take, no matter how many peptides you
• 46:39
  take, because there's great ones out there.
• 46:41
  Yep.
• 46:41
  There's great medication out there.
• 46:43
  Mm-hmm.
• 46:44
  There's great things, but if you don't have the basics-
• 46:46
  Mm-hmm
• 46:47
  ... if you don't have a good diet-
• 46:49
  Yeah
• 46:49
  ... if you don't have a good
• 46:51
  physical activity routine-
• 46:53
  Yeah
• 46:53
  ... if you don't have good community around you, if you don't have-
• 46:56
  Right
• 46:56
  ... good sleep-
• 46:57
  Yes
• 46:58
  ... if you're not controlling your cortisol spikes, then at the end of the
• 47:01
  day, all this other stuff is not going to fix you.
• 47:06
  You need the basics.
• 47:07
  So good.
• 47:07
  And then let's focus on all these things to make it even better.
• 47:10
  It's like the sprinkle-
• 47:11
  Yes
• 47:11
  ... on top, right?
• 47:12
  Yeah.
• 47:12
  You got to have a cake, you got to have the foundation.
• 47:14
  Not just the whipped cream.
• 47:15
  Not just whipped cream. Or the champagne.
• 47:17
  That just reminds me of champagne cake, and now I want champagne cake.
• 47:21
  Well, that sounds-
• 47:21
  The reason it's so good is because-
• 47:23
  Like an actual fire
• 47:23
  ... it has sprinkles, it has whipped cream. Oh, we're just talking about cake.
• 47:28
  But yeah.
• 47:29
  Well, thank you so much again-
• 47:30
  Of course
• 47:30
  ... for joining. It won't be the last.
• 47:33
  No.
• 47:33
  Always a pleasure.
• 47:34
  This just felt like it went by so fast because we're just talking.
• 47:37
  We're in the fort.
• 47:39
  We would talk like this at a dinner table together too.
• 47:41
  This is what-
• 47:41
  Which we did.
• 47:41
  This is what we actually look like.
• 47:43
  Yeah.
• 47:43
  This is our normal. We actually-
• 47:44
  Yeah
• 47:44
  ... go probably another level deep.
• 47:47
  Yeah. And hey.
• 47:48
  We're on good behavior slightly, right?
• 47:52
  Yeah.
• 47:52
  But all right.
• 47:52
  All right.
• 47:53
  Thank you so much.
• 47:53
  Too much more learning with you, for sure.
• 47:55
  Absolutely.
• 47:56
  Yeah.
• 47:56
  Until next time, guys.
• 47:58
  Bye.
• 47:58
  Take care.