Latest / Imagine If with Doone Roisin | Health, Wealth & Wisdom for Women (formerly Female Startup Club Podcast) / Red light therapy, sauna, supplements... The best health protocols for women according to a Doctor!
Transcript
- 0:00You are right when the question you said before about the clinical trials is that this will be N equals 1.
- 0:05We'll have Kate and her biomarkers.
- 0:07And every woman is different.
- 0:09And things that also affect us are, you know, our ethnicity and biology and...
- 0:16our childhood and how we grew up and our diet.
- 0:19Like there's so many influencing factors that we do need to try and study as many women as possible, because I think one won't tell us what's the ideal sauna protocol.
- 0:30But I think some of those, I have some, you know, sort of gut hunches over what we'll find.
- 0:36I absolutely think women will have different requirements based on different phases in their lives.
- 0:41Like we're different to men in the sense that
- 0:44we obviously change due to our hormone sort of profiles.
- 0:49And when we go through pregnancy, when we go through post-pregnancy and we go through perimenopause, we've got so many phases in our lives.
- 0:58And at different points, different things are going to be important.
- 1:01So the supplements you need leading up to having a baby, it's going to be very different to supplements you need to age well.
- 1:07So I think fundamentally women are going to need different things to men.
- 1:12So I definitely think things like iron and magnesium, vitamin D, we have more trouble in maintaining our muscle mass.
- 1:21We have more trouble in maintaining our bone mineral density.
- 1:24you know, that then affects our metabolic health.
- 1:27So, you know, in terms of whether we get diabetes or cardiovascular disease is related to muscle bulk.
- 1:34And if we don't protect that as we age, you know, we then get all these other medical problems.
- 1:39So it's all very, you know, linked.
- 1:42But I do think that we're going to, as we do more research in this area, we're going to be able to provide a much more personalized and customized service to women where, again, the risk is that we go, okay, now we're studying women, all women are the same and all women are going to need this.
- 1:58And I go back to my hormone innovation that I want somebody to build where it's actually tracking your hormone levels day to day.
- 2:06So you're wearing a patch and it's working out what your estradiol and your progesterone, et cetera, are all doing.
- 2:12It's because I also think the replacement that you need will be based on your individual needs.
- 2:17So if that same patch could then release the right dose of hormone for you as a person in that moment, that is when we get to true personalized care.
- 2:26And so I don't want it to just we figure this stuff out about women in general.
- 2:31I want it to be we figured out that women need a very specific protocol and we're going to give them all the tools that they need to manage their own requirements.
- 2:39And whether it is supplements as well, like who knows that exactly this many milligrams or grams of, you know, because it comes in that tablet form is what you need and is what I need.
- 2:51Like wouldn't it be great if we could get that dose to exactly what our body needs at that moment as an individual?
- 2:57And this is where precision health is going.
- 2:59And that's where I think we'll be.
- 3:02Yeah, definitely.
- 3:03And I would not be doing cold plungers.
- 3:05So that's probably my only other question in there.
- 3:08I love cold plungers.
- 3:10I love cold water.
- 3:12I run hot.
- 3:13I'm like an internally hot person.
- 3:15I think I love cold water.
- 3:16You can do cold plungers.
- 3:17Just don't do it a couple of hours after strength training because it actually reverses the hypertrophy of muscle that you're trying to do.
- 3:24So I think for women specifically, men less so, but cold plungers actually just undo some of the work that you've just done with your muscle, building your muscle, and it's so important to build your muscle.
- 3:36No, no.
- 3:36So wait a couple of hours and then do it.
- 3:38I think hot and cold is fine.
- 3:39Like if you're going to do hot and cold, but the ice baths are really getting into that freezing.
- 3:44The proper cold.
- 3:45Yeah, cold plunges and women's body temperatures just run a bit higher.
- 3:50So I think if it's above 10 degrees, fine, but I just wouldn't be...
- 3:53you know, there's so many other, and it's great for mood.
- 3:57Like it definitely elevates your mood, which is why everyone gets addicted to them.
- 4:00So it's good for short-term benefits, but I think the longer-term benefits for muscle, you know, preservation for women, they need to be careful.
- 4:09Saunas, I'd say go for your life.
- 4:11I don't think enough women sauna.
- 4:12Yeah.
- 4:13There's definitely research on that.
- 4:15They did a large Finnish study because of Finns All Sauna.
- 4:20But they found that I think it's about four to seven times a week if you can, 20 minutes at 80 degrees.
- 4:26And they found that improved cardiovascular benefits as well as lower rates of death from all mortality.
- 4:35So basically it gives you longevity.
- 4:38And they haven't really studied the infrared saunas before,
- 4:41in as much detail these are traditional finished saunas but we think the data is going to be similar so i definitely think saunas you know a red light therapy there's some evidence around red light particularly for collagen production and yeah i wear the red mask but i'm like do i need a whole red mat does my dog need one too like where are we at with the mats i'm
- 5:02So I think the studies, again, show that the ones that you might get on Amazon are not good enough.
- 5:07No, no, but the doctor approved medical grade.
- 5:09Well, not medical grade, but the ones that are allowed to be at-home medical grade.
- 5:13Omnilux is what I bought.
- 5:14Yeah, so get a good, you know, credible one.
- 5:18Yeah, they are expensive, but it does help with, you know, we use it for scar reduction and, you know, for particular dermatological conditions.
- 5:27So there is medicine around that.
- 5:29But, you know, the...
- 5:31some of the stuff is still emerging.
- 5:33So I just say to people, you know, keep looking at the evidence and particularly evidence around actually doing studies on women.
- 5:40So don't just rely on what, you know, is coming out and saying, we've studied 1,000 people, make sure that there are 1,000 people that look like you or that might have similar biology to you.
- 5:50And some of these things, you know, not particularly these, but some of the drugs that people are getting interested in now, you know,
- 5:57they've only had animal studies and animals don't behave the same way as humans.
- 6:01So please wait for human studies before you put things in your body.
- 6:06Yes.
- 6:06Obviously.
- 6:07Yes.
- 6:07Not Brian Johnson, you do you, but everyone else.
- 6:11But, you know, just on the topic of the clinical trials and things like that, I'm kind of like, but why can't we just be like, oh, cool, do some tests on me.
- 6:20Let's gather a thousand people and go to a...
- 6:25place and do some testing.
- 6:27Like, I don't know.
- 6:27It just seems like kind of like an easy one, if that makes sense.
- 6:30It comes back to money.
- 6:33It was always about money.
- 6:35So if you think about – I remember I was talking to a psychiatrist recently.
- 6:39He was telling me that for –
- 6:43PTSD that they found that yoga could be just as effective as some SSRI, antidepressant medication they give, right?
- 6:53Wow.
- 6:54But nobody is going to fund a trial of yoga because...
- 6:59They can't sell.
- 7:00There's no one that sells yoga.
- 7:02Like, I mean, you'll be, you know, there's a small gym that does yoga.
- 7:06But whereas if you are a pharmaceutical company that sells an antidepressant, you will fund a trial that shows antidepressants work in PTSD.
- 7:15So you might front up the hundreds of millions of dollars that it will take to take a whole drug through a pathway and do the trials and, you know, because you're going to get the commercial benefit at the end.
- 7:27But then I'm kind of like women are the biggest consumers.
- 7:30Like we control the money in the household, especially as women, you know, kind of become more high earning, et cetera, et cetera.
- 7:36I'm like, so why aren't there more things going into research?
- 7:39Because we will buy it.
- 7:41Oh, look, I think it will get there.
- 7:43But they need to find the drug that they can sell to women.
- 7:47And then do the trials.
- 7:48To do the trials.
- 7:49Okay, okay, got it.
- 7:50But to do trials on things that are not –
- 7:53drug related, you have to find somebody that's really motivated, interested and has money and can get grants.
- 7:58So it's all followers of money, unfortunately.
- 8:02Got it.
- 8:02Got it.
- 8:02Got it.
- 8:03Wow.
- 8:03Okay.
- 8:04Is it true that just on the topic of cold plunges, is it true that it damages your fertility and uterus and things like that because you're getting too cold or is that a myth?
- 8:16I haven't read anything in the studies that says it damages your uterus or anything.
- 8:21I think it's more just if you're pregnant or you're trying to get pregnant.
- 8:24Obviously, temperature regulation is important, which is why we don't tell people to do saunas and things when they might be incubating a little human.
- 8:33Incubating a little human.
- 8:35I've never heard that.
- 8:36I love that.
- 8:36Because, you know, you raise a temperature and that little person's going to get hot as well and they're developing.
- 8:42And it probably is similar with, you know, really putting them through a shock of a cold sort of insult.
- 8:47So I think fertility, I haven't seen any studies, but it's definitely one, again, just to watch because I think they're starting as it's becoming more and more commonplace for people to do this hot, cold thing.
- 8:59You know, there are more studies.
- 9:01happening and on women as well so I think they probably won't know because obviously it's not been a thing you know for a long time and now suddenly it's become a commercial become mainstream yeah it's definitely you've said this just a couple of times it's piqued my interest when you're saying you know look at the evidence and look at the studies for someone like me who's like not an academic yeah like you know
- 9:23wouldn't even know where to go to read the evidence.
- 9:27How do you recommend just the average chick go and do research and evidence in a way to get to an answer?
- 9:36Yeah.
- 9:37Great question.
- 9:39So, I have had patients of mine who've gone, well, I went to Chachi PT or I went to Claude or Gemini and
- 9:47You know, it's quoted a study.
- 9:49It said this was going to be really good for me.
- 9:50It's quoted a study.
- 9:51I saw the link.
- 9:53So, therefore, it must be good.
- 9:55What we have found with some of those open large language models is that they make up links and references.
- 10:01They're meant to be agreeable.
- 10:02Yeah.
- 10:03So you click on the link and it doesn't exist.
- 10:06And some people don't click on the links.
- 10:07They just go, oh, I'm just going to trust.
- 10:10There's a link, so it must be real.
- 10:12They make those links up.
- 10:13So not always, but sometimes.
- 10:15So my advice is if you're going to use any of the open models, make sure that you follow the link and actually look at the study.
- 10:20But the other great tool to use is open evidence.
- 10:23Yeah.
- 10:24So it is free and it is something that we as clinicians will use as well, where it is, again, an AI tool that gathers all of the credible medical evidence and will present it to you.
- 10:37You just ask it a question.
- 10:38You could say, tell me about cold plunges and what it does for women's fertility.
- 10:42And it will pull up all the studies, whether it's from, you know, the MJA or MSA.
- 10:47you know, New England Journal of Medicine, like all the credible publications.
- 10:51And it will put it into something that's quite readable, but you can also then follow the links to the actual study and read the study if you're interested in it.
- 10:59But open evidence has been great.
- 11:00I love that.
- 11:01Yeah.
- 11:02So I would just stick to something that's going to give you
- 11:05you know, proper scientific evidence rather than some of just the open LLMs.
- 11:09Oh, my gosh.
- 11:10I love that.
- 11:10I'm such a, like, get into a rabbit hole and I can feel that that's going to be my new thing.