Latest / Health Unscripted / Ep. 56 - PMOS Isn't Just A Period Problem

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Ep. 56 - PMOS Isn't Just A Period Problem · Health Unscripted

• 0:06
  SPEAKER_00: Hello, guys.
• 0:07
  SPEAKER_00: Welcome back to another week of Health Unscripted.
• 0:10
  SPEAKER_00: If you are watching the video version of this, if you see some dots in my forehead or around my eye that look like blood spots, I just had disport about two hours ago, two and a half hours ago.
• 0:22
  SPEAKER_00: So don't mind that.
• 0:24
  SPEAKER_00: We keep it real on this podcast.
• 0:25
  SPEAKER_00: This is how we're starting this week's episode.
• 0:28
  SPEAKER_00: So welcome.
• 0:29
  SPEAKER_00: Of course, we are gonna dive into my favorite subject, one of my favorite subjects this week, and that is gonna be PMOS, uh, parentheses PCOS, formerly PCOS.
• 0:39
  SPEAKER_00: I'll go into that on this podcast episode, but I want to talk about it because it is gonna come out in two days.
• 0:43
  SPEAKER_00: I'm recording this on Tuesday, it's gonna come out on Thursday, and then I'm hosting a free webinar on Tuesday, October 27th.
• 0:50
  SPEAKER_00: So the following Tuesday for my PMOS girlies.
• 0:53
  SPEAKER_00: All right, we're gonna go over way more in the webinar than I am on this podcast because this episode, it would just be too long to go over everything.
• 1:01
  SPEAKER_00: The webinar, I'm having a hard time even trying to keep it to 60 minutes.
• 1:04
  SPEAKER_00: So we're just gonna go over a brief overview of PMOS here.
• 1:08
  SPEAKER_00: And then if you want the like total detailed version of each type and what to do for each type and how to manage it, definitely check out the webinar.
• 1:17
  SPEAKER_00: And if you're watching this or listening to this later and I've already had the webinar, um, I may have it available for replay.
• 1:24
  SPEAKER_00: Otherwise, just follow me on Instagram, shoot me a DM, and I may have the link to send you for the replay.
• 1:29
  SPEAKER_00: Okay.
• 1:30
  SPEAKER_00: So anyway, without further ado, the title of this episode is PMOS Is Not Just a Period Problem.
• 1:37
  SPEAKER_00: That's a lot of peas, okay?
• 1:39
  SPEAKER_00: But I think this is really, really, really important because in healthcare it is formerly known as PCOS, all right?
• 1:45
  SPEAKER_00: So it just went through a name change in May.
• 1:48
  SPEAKER_00: And it stood for originally PCOS, polycystic ovarian syndrome.
• 1:52
  SPEAKER_00: So it makes it sound like it's just a reproductive problem.
• 1:54
  SPEAKER_00: Women have irregular periods, they go to their gynecologist or OBGYN, and then they get put on birth control, usually, right?
• 2:01
  SPEAKER_00: Like it's just an irregularity, your hormones, your sex hormones.
• 2:05
  SPEAKER_00: So we're sending you to the gynecologist.
• 2:07
  SPEAKER_00: In May, it got renamed to PMOS, which stands for polyendocrine metabolic ovarian syndrome.
• 2:14
  SPEAKER_00: So now we've actually included the endocrine system into it.
• 2:18
  SPEAKER_00: We've actually included the metabolic system in it because it's always been a metabolic disease.
• 2:22
  SPEAKER_00: It's always been a systemic disease, but it was only managed by gynecology, which is crazy, right?
• 2:28
  SPEAKER_00: It should have been referred to endocrinology, but because of the way it was coded, insurance, all of that, women have not gotten the care that they should be getting.
• 2:38
  SPEAKER_00: And now hopefully this name change will do that.
• 2:40
  SPEAKER_00: We'll start to see more things covered by insurance, coding a little better, and maybe more drugs on the market for that.
• 2:46
  SPEAKER_00: So I love this subject because it kind of just fell into my lap, honestly.
• 2:51
  SPEAKER_00: Like it wasn't like I set out to be a coach or a pharmacist or any of that.
• 2:54
  SPEAKER_00: And I was like, oh my God, I I love PCOS, right?
• 2:57
  SPEAKER_00: I love PMOS.
• 2:58
  SPEAKER_00: I didn't even know I had it until like a couple years ago.
• 3:01
  SPEAKER_00: So this was all like new to me, uh, probably because of the name, right?
• 3:06
  SPEAKER_00: Probably because I uh hold on, I'm getting ahead of myself.
• 3:09
  SPEAKER_00: I'm like, oh, I want to share all the things.
• 3:11
  SPEAKER_00: But anyway, this fell into my lap because I kept having clients come to us for fat loss coaching because it is difficult to lose weight with PCOS.
• 3:19
  SPEAKER_00: Uh, and they just had this diagnosis.
• 3:21
  SPEAKER_00: And so little time after time, I kept finding like what is going on with each client and kind of like having to research it and figure it out myself and really dive into the topic and do more back-end research.
• 3:33
  SPEAKER_00: There wasn't really certifications going on about it.
• 3:35
  SPEAKER_00: There were, there were certain things that I took.
• 3:37
  SPEAKER_00: Like I do have a FNMS, like functional nutrition and metabolism science, and it was briefly met mentioned in that.
• 3:42
  SPEAKER_00: Uh, more so of like a stress and oxidative stress gut health type of issue.
• 3:48
  SPEAKER_00: But it did mention it was metabolic and systemic, but it didn't mention like the driver, it didn't mention all four things, right?
• 3:54
  SPEAKER_00: Like that it could be, or at least I don't remember.
• 3:56
  SPEAKER_00: I also took this back in 2020, so like I'm sure it's been updated since then.
• 4:02
  SPEAKER_00: But there's so much more data on it now and so much more research, and I'm so happy because it is one in 10 women gets diagnosed with PCOS.
• 4:09
  SPEAKER_00: So it is pretty common, all right?
• 4:11
  SPEAKER_00: And it rarely uh it affects pre-mariped.
• 4:16
  SPEAKER_00: Oh my gosh, guys, I told you I don't edit this, so you're just gonna get all the word vomit.
• 4:20
  SPEAKER_00: Pre-peri peri mend up as a woman.
• 4:23
  SPEAKER_00: Pee-p-p.
• 4:23
  SPEAKER_00: I can't do it.
• 4:24
  SPEAKER_00: I can't do it, guys.
• 4:25
  SPEAKER_00: I slept like shit last night because I couldn't turn my brain off.
• 4:29
  SPEAKER_00: And then I'm reading Fourth Wing series again, which why?
• 4:33
  SPEAKER_00: This is the this is the book smut trap.
• 4:35
  SPEAKER_00: Okay, if you're a greeting girly, we're taking a side ad, a sidebar here, that I read Threshing Day, and then I read everyone's like threshing experiences, and then I was like, oh, I want to go read uh Violets again.
• 4:48
  SPEAKER_00: So I opened up Fourth Wing, I read it again, and then I end up finishing Fourth Wing again.
• 4:52
  SPEAKER_00: And I was like, oh, I forgot how good these books were, and just like the new ones coming out, so like getting it, then I have to read Iron Flaming it.
• 4:57
  SPEAKER_00: Anyway, stayed up too late reading a book I've already read, but it is what it is.
• 5:01
  SPEAKER_00: Okay, so my brain is a little bit of mush today.
• 5:04
  SPEAKER_00: So had all these clients with this diagnosis, fell into my lap, uh, got better at coaching them, realized the drivers, realized what was actually needed.
• 5:12
  SPEAKER_00: And so then I was like, oh, I really like this.
• 5:15
  SPEAKER_00: And it's also a disease that affects pre-perimenopausal women, okay?
• 5:19
  SPEAKER_00: So childbearing age women.
• 5:21
  SPEAKER_00: And so they want to create families.
• 5:23
  SPEAKER_00: So you're getting to help these clients create families.
• 5:26
  SPEAKER_00: How freaking cool is that that I am getting to help make babies?
• 5:30
  SPEAKER_00: I love it.
• 5:30
  SPEAKER_00: It's so cool.
• 5:31
  SPEAKER_00: And then helping them through their pregnancies and then postpartum after and keeping everything in remission and aligned, right?
• 5:37
  SPEAKER_00: So I really, really, really love this.
• 5:39
  SPEAKER_00: The women are so awesome that I've gotten to work with.
• 5:42
  SPEAKER_00: And I was like, you know, uh, we're just declaring this as my specialty.
• 5:45
  SPEAKER_00: And as I got into the different types and the different kinds, I learned that I have it.
• 5:50
  SPEAKER_00: And I was like, oh, I probably should have been referred to endocrinology a really long time ago.
• 5:55
  SPEAKER_00: But the only time I was referred to endocrinology was for my thyroid problem.
• 5:58
  SPEAKER_00: And that doctor didn't even look at my cortisol or my DHEAS or any of those markers.
• 6:03
  SPEAKER_00: They just looked at my thyroid and said, here's some T3 to add to your T4, which threw me into even crazier palpitations, didn't work, and eventually saw functional doctors and was way better.
• 6:13
  SPEAKER_00: So, you know, it's been a ride for a lot of women, and I'm sure everyone can relate, but I'm so glad we're now going to be going to endocrinology because maybe they'll look at a, they'll take a deeper look at the endocrine system and how stress and how cortisol and DHEA and how, you know, sex hormones and insulin and all of that plays into account when it comes to this disease state.
• 6:35
  SPEAKER_00: So it's not just a period problem.
• 6:37
  SPEAKER_00: The way that you diagnose it, there's something called the Rotterdam criteria.
• 6:40
  SPEAKER_00: Okay, it's three things, and you need two of them to be diagnosed with PCOS.
• 6:44
  SPEAKER_00: One of them is irregular cycles, which a lot of women have.
• 6:47
  SPEAKER_00: The next is high androgens, so high testosterone, high free testosterone.
• 6:51
  SPEAKER_00: Maybe you have symptoms like hair growth on the face, chin hair, mustache, hair thinning on the head.
• 6:57
  SPEAKER_00: You have acne, like back knee, things like that, right?
• 7:01
  SPEAKER_00: So body acne or face acne, you just have excess oil production because of the testosterone.
• 7:06
  SPEAKER_00: And then third are polycystic ovaries.
• 7:08
  SPEAKER_00: So this is where everyone thought it was the reproductive problem.
• 7:11
  SPEAKER_00: On an ultrasound, if you do like an intravaginal ultrasound, you will see failed follicles in the ovaries and they all line like a string of pearls.
• 7:19
  SPEAKER_00: Like it's like a bunch of white cis almost, but it's not actually cis, it's just immature follicles that never got to the point of maturation to release an egg.
• 7:27
  SPEAKER_00: So that is what happens in PCOS for some women who have these ovaries.
• 7:30
  SPEAKER_00: Not everyone needs them.
• 7:31
  SPEAKER_00: Remember, two out of three.
• 7:32
  SPEAKER_00: So that is how it's diagnosed.
• 7:34
  SPEAKER_00: But that doesn't tell you anything on how to treat it.
• 7:36
  SPEAKER_00: Current Western medicine treatments include birth control to balance the hormones.
• 7:41
  SPEAKER_00: So we have high androgens.
• 7:42
  SPEAKER_00: Let's give estrogen and progesterone to soften that and increase something called sex hormone binding globulin, which takes up all the free testosterone.
• 7:51
  SPEAKER_00: So if there's not a lot of free testosterone running around in your body, you can't really have those symptoms of high testosterone, right?
• 7:56
  SPEAKER_00: So that's the logic behind that.
• 7:58
  SPEAKER_00: And then, oh, you don't have a period or you don't know when you're gonna get it.
• 8:02
  SPEAKER_00: Let's ease that by giving you synthetic hormones to mask a period and have a withdrawal bleed.
• 8:08
  SPEAKER_00: So at least you know when you'll bleed, and at least it'll be kind of predictable, right?
• 8:11
  SPEAKER_00: So this is what is kind of the main band-aid of PMOS.
• 8:15
  SPEAKER_00: Then we go into metformin for insulin resistance.
• 8:19
  SPEAKER_00: Okay.
• 8:20
  SPEAKER_00: So some of the women, they do get labs, doctors give them metformin right away.
• 8:24
  SPEAKER_00: They notice like high fasting glucose or something like that.
• 8:26
  SPEAKER_00: They put them in metformin, and that is supposed to help.
• 8:29
  SPEAKER_00: It does give women a lot of stomach issues, a lot of diarrhea, loose stools.
• 8:34
  SPEAKER_00: It's not really a fan favorite medication.
• 8:36
  SPEAKER_00: It does work.
• 8:37
  SPEAKER_00: And then we head into another low androgen drug called spiranolactone, which lowers your uh uh uh testosterone as well.
• 8:46
  SPEAKER_00: It's also a diuretic, so that can also have its challenges, right?
• 8:50
  SPEAKER_00: But women do take that for hair loss or um hair growth on the face or acne.
• 8:55
  SPEAKER_00: Okay, so that can also be a symptomatic type of drug.
• 8:58
  SPEAKER_00: And then we have the ovulation.
• 9:00
  SPEAKER_00: Since PMOS women have a hard time getting pregnant sometimes, if we can't predict fertility, we don't know when we're ovulating, it makes it harder to get pregnant, right?
• 9:08
  SPEAKER_00: So we have drugs called clomid and letrazil to kind of help with ovulation or dropping more eggs so that we have a better chance of getting fertile, right?
• 9:18
  SPEAKER_00: So then last and new new on the new kid on the block is GLP1s.
• 9:22
  SPEAKER_00: Of course, we have GLP ones that can now potentially get covered for this disease state because of the name change.
• 9:28
  SPEAKER_00: Now that it's an inflammatory, metabolic, endocrine issue, it may be covered now for PMOS patients, which could be a really big deal.
• 9:35
  SPEAKER_00: This could be great.
• 9:37
  SPEAKER_00: So um, those help with the insulin resistance, the weight loss that we have a hard time with, and also with the uh inflammation that we might see with PMOS.
• 9:48
  SPEAKER_00: Okay, so those are that's how Western medicine usually handles it.
• 9:51
  SPEAKER_00: And a lot of this is a band-aid.
• 9:53
  SPEAKER_00: And I've said this before.
• 9:54
  SPEAKER_00: Also, excuse my voice, and if you hear me like sniffing, I'm still getting over a cold, and every so often I get like the where I need to blow my nose, and it's so random.
• 10:03
  SPEAKER_00: So if I like run off screen to go blow my nose and come back, I will edit that out.
• 10:08
  SPEAKER_00: Even though I don't edit this podcast, I will edit that out.
• 10:10
  SPEAKER_00: So um, where was I?
• 10:14
  SPEAKER_00: You know, I told you my brain today.
• 10:16
  SPEAKER_00: This is gonna be a great podcast episode.
• 10:17
  SPEAKER_00: Are you guys excited for my webinar next week?
• 10:19
  SPEAKER_00: I can't wait.
• 10:20
  SPEAKER_00: I get so animated on the webinars that it's like a workout.
• 10:23
  SPEAKER_00: It records it as dancing.
• 10:24
  SPEAKER_00: I love it.
• 10:25
  SPEAKER_00: So the problem is these are band-aids.
• 10:28
  SPEAKER_00: Uh, most women want to get pregnant, as I said to start.
• 10:31
  SPEAKER_00: You can't be on birth control when you want to get pregnant, obviously.
• 10:33
  SPEAKER_00: You can't be on sperno lactone, you can't be on the GLP1s.
• 10:36
  SPEAKER_00: You can be on metformin, but you know, that's not really the problem there.
• 10:41
  SPEAKER_00: That's not gonna solve all the problems.
• 10:43
  SPEAKER_00: Metformin is not gonna be the key saver here.
• 10:47
  SPEAKER_00: So you have to get off these things.
• 10:49
  SPEAKER_00: And if you haven't worked on your foundations, you don't know the food noise, uh, all that's gonna come back, the cravings are gonna come back, um, appetite's gonna come back, and now you're pregnant with all of that, right?
• 10:58
  SPEAKER_00: You are gonna get off the birth control, it's gonna take two to three months to normalize, your cycle may go crazy again.
• 11:04
  SPEAKER_00: So, how did we really fix anything?
• 11:06
  SPEAKER_00: Did we fix anything?
• 11:07
  SPEAKER_00: No.
• 11:08
  SPEAKER_00: So, what we should do, what the deciding factor and driving factor should be, is what are the drivers of the PCOS that you have?
• 11:16
  SPEAKER_00: And there's four drivers, so four types of PMOS.
• 11:19
  SPEAKER_00: And I will go over that on this, and then we're gonna dive into them even deeper on the webinar.
• 11:25
  SPEAKER_00: So the four types are insulin resistance, which is the most common.
• 11:29
  SPEAKER_00: Okay, so 70% of women have insulin resistant PMOS.
• 11:32
  SPEAKER_00: That is going to be our gold standard, uh, usually a higher BMI patient, usually has classic PCOS, which means they have all three of the Rotterdam criteria.
• 11:42
  SPEAKER_00: So the high androgens, the irregular periods, and the polycystic ovaries, but don't have to have all of them, but a lot of them do.
• 11:48
  SPEAKER_00: Uh, and so these women are going to get the birth control, they're going to get the metformin, they're going to potentially get the GLP1, right?
• 11:57
  SPEAKER_00: And so the driver here is insulin resistance.
• 12:01
  SPEAKER_00: That is what is throwing off the testosterone.
• 12:04
  SPEAKER_00: So when we have the really high fasting insulin and high A1C, we are storing more body fat.
• 12:09
  SPEAKER_00: If we're definitely not eating in a deficit, right?
• 12:11
  SPEAKER_00: If we're eating at maintenance or eating in a surplus, we're storing more body fat.
• 12:13
  SPEAKER_00: We're not burning body fat as easily.
• 12:15
  SPEAKER_00: And then we also have increased testosterone from that insulin resistance, which is then throwing off our menstrual cycle downstream.
• 12:21
  SPEAKER_00: Then we have the cravings and the blood sugar crashes and the roller coaster that comes with the insulin resistance itself.
• 12:27
  SPEAKER_00: So when we work with these types of patients, we have a specific nutrition overview and plan that we put them on.
• 12:33
  SPEAKER_00: It includes meal timing, meal pairing, macros, putting you actually in a deficit, making sure you're eating the right foods.
• 12:39
  SPEAKER_00: We do not cut carbs.
• 12:40
  SPEAKER_00: One of the things I hate in PMOS that is such a myth is that you need to remove all carbs.
• 12:45
  SPEAKER_00: No, you don't.
• 12:45
  SPEAKER_00: We need fiber, and fiber is only available in carbs.
• 12:48
  SPEAKER_00: So I am never going to bottom out someone's carbs because then it also becomes a binge eating fest of wanting things you can't have.
• 12:55
  SPEAKER_00: And so we need to give people the uh we need to give them sustainability because we want women to be successful and you have to adhere to something and be consistent with it in order to be successful.
• 13:06
  SPEAKER_00: So why am I gonna bottom them out with calories and with no carbs?
• 13:10
  SPEAKER_00: That sounds miserable.
• 13:10
  SPEAKER_00: You don't have to do that.
• 13:12
  SPEAKER_00: So that's what we do for nutrition.
• 13:14
  SPEAKER_00: And then we need a specific type of training, strength training steps, all the things for, you know, muscle mass loves glucose.
• 13:20
  SPEAKER_00: It's the best way to stay insulin sensitive.
• 13:22
  SPEAKER_00: So if you're not already strength training, you should be strength training if you have insulin-resistant PMOS.
• 13:28
  SPEAKER_00: Okay.
• 13:28
  SPEAKER_00: So that is gonna be the main type, along with some lifestyle recommendations for nervous system and sleep, and then also for the um supplements.
• 13:38
  SPEAKER_00: There are some that I would recommend, but you should check with your doctor and you should also attend the webinar on Tuesday.
• 13:42
  SPEAKER_00: The next most common type is adrenal PCOS, and that is completely different than insulin-resistant PCOS, meaning you cannot treat the two the same.
• 13:50
  SPEAKER_00: So an adrenal PMOS woman may or may not have irregular cycles.
• 13:56
  SPEAKER_00: They may actually be shorter versus longer.
• 13:58
  SPEAKER_00: They may have, they do have high androgens usually, because what we have is instead of insulin resistance causing high androgens, we have high cortisol and high stress, which is increasing our DHEAS instead of decreasing it.
• 14:11
  SPEAKER_00: And then having more of DHEAS, it converts into testosterone and free testosterone.
• 14:16
  SPEAKER_00: So now we have all of that roaming the body, causing the high testosterone side effects and throwing off the cycle, potentially, uh, throwing off ovulation.
• 14:25
  SPEAKER_00: And then these women do not usually they can or cannot have insulin resistant issues because of the stress that can also drive insulin resistance.
• 14:34
  SPEAKER_00: Okay, I have to go blow my nose.
• 14:36
  SPEAKER_00: I tried.
• 14:37
  SPEAKER_00: Okay, and we're back.
• 14:38
  SPEAKER_00: So um, so these women can or cannot have insulin resistance, but usually there is like a fasted insulin or a higher A1C component because of the stress, and cortisol can also drive up A1C as well, and fasting insulin to accommodate for homeostasis.
• 14:54
  SPEAKER_00: So the difference is these women are leaner, they are your lower BMI, PMOS women.
• 15:00
  SPEAKER_00: So they might be in shape, they work out a lot, they probably have a history of under-eating.
• 15:05
  SPEAKER_00: So this is the type of PMOS I found out I had.
• 15:08
  SPEAKER_00: And I was like, oh, nobody ever said anything, but my DHEAS is like 400.
• 15:13
  SPEAKER_00: Whoops, what do you mean?
• 15:14
  SPEAKER_00: My free testosterone is like 3.6.
• 15:17
  SPEAKER_00: Oh, it's supposed to be like at most two.
• 15:19
  SPEAKER_00: Uh my testosterone is like 40 something.
• 15:22
  SPEAKER_00: I thought this was great.
• 15:22
  SPEAKER_00: It is, but free testosterone should be a little lower, so I don't have those side effects, right?
• 15:26
  SPEAKER_00: My fasting insulin is 16.
• 15:28
  SPEAKER_00: Oh, it's supposed to be five or six.
• 15:30
  SPEAKER_00: Okay, so cool, cool, cool, cool.
• 15:32
  SPEAKER_00: My cortisol is 22, 23.
• 15:34
  SPEAKER_00: It's supposed to be at most 18.
• 15:36
  SPEAKER_00: Okay, so we're just a little stressed out kind of girly.
• 15:39
  SPEAKER_00: Couple that with thyroid issues, they kind of go hand in hand there.
• 15:42
  SPEAKER_00: And that was from years of under training, over or excuse me, under eating, over-training, and just living a very stressful lifestyle.
• 15:48
  SPEAKER_00: My brain being a bitch, um, I tend to ruminate, I have a little bit of uh like a rumination OCD.
• 15:54
  SPEAKER_00: So just always, always going on up here, always doing a little Ferris wheel, okay?
• 15:58
  SPEAKER_00: With a merry-go-round.
• 16:00
  SPEAKER_00: What the fuck kind of carnival equipment are we talking about?
• 16:02
  SPEAKER_00: This is probably gonna be my most insane episode, but that's okay.
• 16:06
  SPEAKER_00: You guys love it here, and I love you.
• 16:08
  SPEAKER_00: So this is very professional.
• 16:10
  SPEAKER_00: Um, if you were to actually follow me on Instagram, you know that this is my personality.
• 16:15
  SPEAKER_00: And if you were to meet me in person, you would also 100% know this is my personality.
• 16:18
  SPEAKER_00: So it's like we're just sitting here having a little gab.
• 16:21
  SPEAKER_00: And it is weird to like sit here and stare at the screen and stare at the camera because I am looking at myself and I think it trips me up a little bit.
• 16:28
  SPEAKER_00: Um getting back to basics, the next type of PMOS is inflammatory PCOS, and that is going to be similar to insulin resistance, where it is one of the most metabolically severe, but this type also usually has gut issues that we need to tie up and fix.
• 16:43
  SPEAKER_00: So inflammatory IBS or any type of uh gut issues, loose stools, constipation.
• 16:48
  SPEAKER_00: We have a lot of oxidative stress as well.
• 16:50
  SPEAKER_00: So the lab values we look for on this one are cholesterol, lab values will show us some inflammation, ferritin will show us some inflammation, and also HSCRP will show us some inflammation.
• 17:00
  SPEAKER_00: So these are usually elevated in these clients, and that just means we have a lower capacity to recover from exercise, recover from just life in general.
• 17:09
  SPEAKER_00: If we're not sleeping well, if we're not eating enough, we're not eating the right foods, not enough fiber, these clients also tend to have some insulin resistance as well.
• 17:16
  SPEAKER_00: So we have to really attack the inflammation first, and that's what's driving up the high testosterone and messing up the cycles, is the inflammation.
• 17:23
  SPEAKER_00: So we take out that low-grade inflammation.
• 17:25
  SPEAKER_00: These clients generally also tend to be a little higher BMI because the more fat tissue we have, the more inflammatory cytokines we have released from the adipose tissue.
• 17:35
  SPEAKER_00: So they generally need a weight loss plan as well, but we can't be too aggressive because uh they can't recover from it, right?
• 17:43
  SPEAKER_00: So we need to give them enough calories for recovery.
• 17:46
  SPEAKER_00: So inflammatory is a fun one, also kind of a difficult one.
• 17:50
  SPEAKER_00: These can all come back, right?
• 17:51
  SPEAKER_00: Like you can only put this into remission.
• 17:53
  SPEAKER_00: PMOS is not something that we can cure and get rid of completely.
• 17:56
  SPEAKER_00: You can only put the side effects and symptoms and all of that into remission by managing it with lifestyle changes.
• 18:02
  SPEAKER_00: And we've seen that time and time again.
• 18:04
  SPEAKER_00: We've gotten clients to have their cycles back normally without birth control.
• 18:07
  SPEAKER_00: We've gotten them pregnant on the first try.
• 18:08
  SPEAKER_00: We've had very successful pregnancies, very successful postpartum.
• 18:12
  SPEAKER_00: Uh, it just requires lifestyle changes and specific ones.
• 18:15
  SPEAKER_00: So it's very, very, very possible.
• 18:17
  SPEAKER_00: With the adrenal, I think I was saying that you cannot treat it the same way as the insulin resistance.
• 18:21
  SPEAKER_00: Like we don't want more training.
• 18:23
  SPEAKER_00: We want less training to have them calm down a bit and have their stress response come down.
• 18:27
  SPEAKER_00: We may not want a diet.
• 18:29
  SPEAKER_00: We want more food.
• 18:30
  SPEAKER_00: We want them to come out of a diet.
• 18:31
  SPEAKER_00: We need maintenance, right?
• 18:32
  SPEAKER_00: We need nervous system support.
• 18:34
  SPEAKER_00: We need sleep.
• 18:34
  SPEAKER_00: We may need some different supplementation than the insulin resistance was.
• 18:38
  SPEAKER_00: So all of these lifestyle factors make such a huge difference in what you see when you are looking at PMOS.
• 18:44
  SPEAKER_00: And the last type is called post-pill PMOS, which is usually self-limiting, but still not fun to deal with, which is PMOS symptoms because you came up birth control.
• 18:52
  SPEAKER_00: So when we take birth control and we've all been on it for a while, I know I got on it at like 15, 16 and didn't stop until 26, 27.
• 18:58
  SPEAKER_00: So, you know, 12 years-ish on birth control and on the, you know, what was it?
• 19:03
  SPEAKER_00: Low estrin or no, no, no, ortho tricycline.
• 19:07
  SPEAKER_00: Not even the low.
• 19:08
  SPEAKER_00: I was on the 35 micrograms.
• 19:09
  SPEAKER_00: I was on the high estrogen one for like 10 or 12 years.
• 19:13
  SPEAKER_00: And it was a band-aid, but coming off, when you are taking synthetic estrogen and progesterone, your body is gonna take a while to catch up and start producing its own again because it shuts down our own stores and downregulates our own production.
• 19:28
  SPEAKER_00: So then it has to kick back on, and that's gonna take anywhere from two to three months up to a year, depending on the person and how long you've taken it.
• 19:35
  SPEAKER_00: So during that time, testosterone is gonna be unopposed, which means you're gonna have more side effects of testosterone.
• 19:41
  SPEAKER_00: This is where you may get the acne, you may get the hair growth, you may just feel icky, right?
• 19:45
  SPEAKER_00: Because you have more testosterone here.
• 19:47
  SPEAKER_00: You may get weight fluctuations and bloating, um, not sleep as well because you're not taking the progesterone anymore.
• 19:53
  SPEAKER_00: Some women have the opposite effect and they can finally lose weight.
• 19:56
  SPEAKER_00: So it's really person-dependent, but these are self-limiting.
• 19:59
  SPEAKER_00: So the goal here is going to be keeping the body safe and steady.
• 20:02
  SPEAKER_00: We don't want to go into aggressive deficits.
• 20:04
  SPEAKER_00: We don't want to do anything that's going to stress out the body even more.
• 20:06
  SPEAKER_00: The body wants to feel safe to turn on hormone production again.
• 20:09
  SPEAKER_00: And we need to give it that time to do that.
• 20:11
  SPEAKER_00: So patience is going to be really big with this crowd and then also specific nutrient supplementation to make sure that we are eating enough of the right things that birth control depleted from our body.
• 20:23
  SPEAKER_00: Okay.
• 20:23
  SPEAKER_00: So I'll also go over some of those things on the webinar on Tuesday.
• 20:26
  SPEAKER_00: But those are the four types, and that is how clinical teams will attack PMOS.
• 20:32
  SPEAKER_00: That is how my team attacks PMOS.
• 20:35
  SPEAKER_00: We've had a massive success with it, and I'm so glad to be able to like teach clients and teach other coaches about it.
• 20:41
  SPEAKER_00: So, you know, I hope you guys tune in.
• 20:43
  SPEAKER_00: I hope you stop by and say what's up.
• 20:45
  SPEAKER_00: If you are a woman listening who has PMOS or PCOS, you know, it's interchangeable.
• 20:50
  SPEAKER_00: I say PMOS, then I am not sure that women understand what I'm talking about.
• 20:54
  SPEAKER_00: So I want to always say PCOS with it.
• 20:57
  SPEAKER_00: If you have a friend, a loved one, anyone who might benefit from hearing about the fact that there are four types and how this is actually a systemic issue that needs systemic fixes.
• 21:06
  SPEAKER_00: Go ahead and send them this episode.
• 21:08
  SPEAKER_00: Uh, tune in for the webinar.
• 21:09
  SPEAKER_00: I'll put the join the reservation spot link in the show notes.
• 21:13
  SPEAKER_00: And then next week, uh, I don't even know the topic.
• 21:16
  SPEAKER_00: Next week, we'll see what I want to chat about.
• 21:19
  SPEAKER_00: Maybe we'll dive more into the lifestyle factors.
• 21:21
  SPEAKER_00: Maybe we'll dive more into thyroid next week or perimenopause.
• 21:24
  SPEAKER_00: So stay tuned.
• 21:26
  SPEAKER_00: Thank you guys for listening to my chaotic episode in brain today.
• 21:29
  SPEAKER_00: I also have Finn over here who's basically like begging me for a walk.
• 21:32
  SPEAKER_00: I wish I could show you right now.
• 21:33
  SPEAKER_00: He looks so freaking cute, but also very miserable.
• 21:36
  SPEAKER_00: He's trying to be miserable.
• 21:38
  SPEAKER_00: All right, love you guys.
• 21:39
  SPEAKER_00: Until next time.