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<v Speaker 1>There was HRT, you know, one size fits all. Now

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<v Speaker 1>it's becoming this industry because it's become a popular topic.

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<v Speaker 1>So an industry is springing up and women just want

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<v Speaker 1>their symptoms gone. And that's really kind of a dangerous thing.

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<v Speaker 1>I mean, I actually call it hormone trafficking because women's

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<v Speaker 1>processes are becoming an industry where a lot of people

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<v Speaker 1>are getting very rich off this industry, and women are

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<v Speaker 1>using hormones that are very very high dose that their

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<v Speaker 1>bodies can't really absorb or process in a healthy, normal,

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<v Speaker 1>safe way.

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<v Speaker 2>You are listening to the Plant Based Diet podcast where

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<v Speaker 2>we talk about all things plant based. I'm mister Garfin,

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<v Speaker 2>the host of this show and founder of Alternative Food Network.

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<v Speaker 2>Join me in my amazing array of guests who are

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<v Speaker 2>a mix of healthcare professionals, industry executives, and people with

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<v Speaker 2>an interesting story to tell about the plant based journey.

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<v Speaker 2>Let us help you with your journey wherever you're at

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<v Speaker 2>to learn the what, why, and how to eat plant based.

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<v Speaker 2>You've hit your mid to later thirties, forties, fifties and above,

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<v Speaker 2>and suddenly every headline says something different about your hormones.

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<v Speaker 2>One article says you must start hormone therapy and other

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<v Speaker 2>warns it's dangerous and you're stuck in the middle, not

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<v Speaker 2>sure who to trust, and without real clarity, you're left

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<v Speaker 2>guessing about decisions that directly affect your energy, sleep, weight,

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<v Speaker 2>and long term health. In this episode, my goal is

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<v Speaker 2>to get you clear, evidence based answers on what actually

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<v Speaker 2>works before, during, and after menopause. And by the way,

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<v Speaker 2>since hormone balancing isn't just a female issue, I'm devoting

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<v Speaker 2>two episodes to this topic. Today's focus is women and

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<v Speaker 2>part two is going to be men. I want you

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<v Speaker 2>to be more confident in the doctor's office and navigate

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<v Speaker 2>these phases in your life. In as my guest, doctor

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<v Speaker 2>Kumar says the most therapeutic, cost effective and safe way possible.

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<v Speaker 2>And yes, doctor Kumar is a proponent of a whole food,

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<v Speaker 2>plant based diet as well, and she's going to be

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<v Speaker 2>explaining why now. Before we get into the conversation, a

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<v Speaker 2>few things to share with you. First, Alternative Food Network

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<v Speaker 2>is launching a new series in Spanish called Medicina Culinaria.

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<v Speaker 2>It's hosted by doctor Sabrina Falke, who also hosts Culinary

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<v Speaker 2>Medicine and Recipe in English. So now our small but

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<v Speaker 2>mighty indie network has three series, which is quite exciting. Also,

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<v Speaker 2>in an attempt to keep up with our production levels,

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<v Speaker 2>Alternative Food Network, which also produces this show, Plant Based Diet,

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<v Speaker 2>has joined Buy Me a Coffee, which is a quick

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<v Speaker 2>and easy way for our audience to support us. So

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<v Speaker 2>if you're one of our many loyal audience members who's

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<v Speaker 2>listened to Plant Based Diet for a while and you

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<v Speaker 2>appreciate the content we're bringing you, please consider supporting Alternative

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<v Speaker 2>Food Network on Buy Me a Coffee at buy meat

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<v Speaker 2>Coffee dot com slash Alternative Food Network. The link is

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<v Speaker 2>also in the show notes and it's just a couple

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<v Speaker 2>of taps. Now getting back to our guest on this episode,

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<v Speaker 2>Doctor Rose Kumar is Board certified in internal medicine. She

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<v Speaker 2>was twice voted Top Doctor in Internal Medicine and Top

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<v Speaker 2>Doctor in Integrative Medicine. She is a leading expert in

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<v Speaker 2>bioidentical hormone balancing. Over the past thirty years, using precise

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<v Speaker 2>and diligent scientific methodology, she has designed a safe and

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<v Speaker 2>effective customized protocol for natural hormone balancing for her female

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<v Speaker 2>and male patients. She has had over seventy thousand patient

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<v Speaker 2>visits in the last twenty four years of leading the

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<v Speaker 2>Omani Center, with the majority of her patients in need

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<v Speaker 2>of hormone balancing. As always, I appreciate you sharing this

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<v Speaker 2>episode with others who could benefit from this information. And

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<v Speaker 2>if you haven't already followed this series on Apple or

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<v Speaker 2>Spotify or wherever you listen to podcasts.

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<v Speaker 1>Please do so.

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<v Speaker 2>Welcome to the show. I am so excited to have

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<v Speaker 2>you doctor Kumar. As you know, I saw you speak

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<v Speaker 2>on a webinar with Michelle Stam who is a former guest,

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<v Speaker 2>and I knew I had to have you on this show.

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<v Speaker 2>So Michelle, if you're listening, thank you so much for

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<v Speaker 2>making the connection. And doctor Kumar, thank you so much

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<v Speaker 2>for taking the time from your what I'm sure is

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<v Speaker 2>a very busy schedule to be on this episode.

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<v Speaker 1>Thank you so much, Jessir for having me.

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<v Speaker 2>So we are going to deal with a very big

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<v Speaker 2>topic today, and I feel like this topic is a

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<v Speaker 2>powder keg of topics. When we're talking about perimenopause and menopause,

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<v Speaker 2>and you know, women don't know what to do, they

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<v Speaker 2>don't know who to listen to. It's very confusing and

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<v Speaker 2>So what I'm hoping from this episode and from your

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<v Speaker 2>words of wisdom, based on your many years of clinical experience,

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<v Speaker 2>is that women they'll hear what we're talking about today,

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<v Speaker 2>and when they go to their next visit with their

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<v Speaker 2>healthcare professional, they will be a little bit more informed,

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<v Speaker 2>a little bit less confused, and hopefully this will empower

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<v Speaker 2>them for their next appointment. With that in mind, what's

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<v Speaker 2>the minimum that you would want women to know about

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<v Speaker 2>hormones in the pre perimenopause and menopause postmenopause stages.

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<v Speaker 1>Well, really, you know, when I was in medical school,

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<v Speaker 1>I was never we were never really educated thoroughly on

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<v Speaker 1>women's hormones or even men's hormones for that matter. And

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<v Speaker 1>so not only was I not taught the nuts and

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<v Speaker 1>bolts about, you know, what women's cycles are, what premenopause, perimenopause,

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<v Speaker 1>postmenopause is. This is back in the day, forty years ago,

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<v Speaker 1>but there wasn't a whole lot of context for us

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<v Speaker 1>to really understand women's health and the different needs of

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<v Speaker 1>women at different stages of their life. There was hrt

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<v Speaker 1>you know, one size fits all. Now it's becoming this

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<v Speaker 1>industry because it's become a popular topic. So an industry

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<v Speaker 1>is springing up and women just want their symptoms gone.

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<v Speaker 1>And that's really kind of a dangerous thing. I mean,

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<v Speaker 1>I actually call it hormone trafficking because women's processes are

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<v Speaker 1>becoming an industry where a lot of people are getting

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<v Speaker 1>very rich off this industry, and women are using hormones

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<v Speaker 1>that are very, very high dose that their bodies can't

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<v Speaker 1>really absorb or process in a healthy, normal, safe way.

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<v Speaker 1>And so all the words that you use to introduce

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<v Speaker 1>this podcast are words that are true to my heart

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<v Speaker 1>and my vision for healthcare is we want to be educated.

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<v Speaker 1>We want to know what questions to ask, We want

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<v Speaker 1>to understand our bodies. We want to understand our processes,

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<v Speaker 1>maybe not as an expert, but enough to know what's

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<v Speaker 1>safe and what's not safe. So what the bare minimum

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<v Speaker 1>from my perspective is women should understand how their cycles

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<v Speaker 1>work and what happens as they age, and why do

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<v Speaker 1>women's bodies have an ovarian shutdown and a receptor down regulation,

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<v Speaker 1>and what do we do to support our bodies during

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<v Speaker 1>those processes, and how can we understand those without totally

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<v Speaker 1>pathologizing them. So those are some of the things that

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<v Speaker 1>I think are an important foundation for most women. And

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<v Speaker 1>the good news is that we have a lot of

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<v Speaker 1>information out there. The bad news is we have a

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<v Speaker 1>lot of information out there, and women have to be

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<v Speaker 1>able to sort through what's accurate and what's not because unfortunately,

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<v Speaker 1>now opinions have taken over evidence, they've taken over science,

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<v Speaker 1>and that's very scary for me to see. I've seen

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<v Speaker 1>a lot of women that have come in on testosterone pellets,

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<v Speaker 1>lots of high doses of bioidentical hormones HRT IUDs that

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<v Speaker 1>are hormonal IUDs in their post mid life, and they've

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<v Speaker 1>had just disasters in their bodies, some life threatening. So

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<v Speaker 1>I think that it's really important for women to have

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<v Speaker 1>a basic understanding so that they can differentiate and discern

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<v Speaker 1>what's safe and what's not safe. So I'm really grateful

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<v Speaker 1>that you have this.

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<v Speaker 2>Oh there's so many questions. I barely know where to start, Okay,

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<v Speaker 2>So I was actually surprised. I would have never thought

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<v Speaker 2>that hormones, the hormones that we're talking about, start to

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<v Speaker 2>already change in mid to later thirties. So can you

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<v Speaker 2>walk us through what happens in premenopause and perimenopause what.

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<v Speaker 1>We come in with about a million to two million

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<v Speaker 1>follicles when we come into the earth. A lot of those,

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<v Speaker 1>like half of them, are gone by the time we're

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<v Speaker 1>in puberty. And then after puberty, you know, as we

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<v Speaker 1>reach our late thirties, another huge amount of follicles are gone.

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<v Speaker 1>And so what these follicles are, These are the parts

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<v Speaker 1>of our ovary. You know, the egg that survives, the

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<v Speaker 1>follicle that survives and gets fertilized is a rare thing.

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<v Speaker 1>It's like winning the lottery. But there's a lot of

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<v Speaker 1>the treasure of the follicles in the ovary to be

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<v Speaker 1>able to create one follicle that can be fertilized so

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<v Speaker 1>that a baby can be born. So as time goes

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<v Speaker 1>on and the follicular numbers drop, our ovariant vitality in

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<v Speaker 1>our over reserves drop. So typically at the end by

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<v Speaker 1>the end of your thirties, you know, now it's earlier

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<v Speaker 1>because of all the corrupted foods and the hormone disruptors

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<v Speaker 1>that are going into our body, ovarian reserves are much

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<v Speaker 1>lower than they used to be thirty forty years ago.

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<v Speaker 1>So women are having issues with perimenopausal type symptoms in

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<v Speaker 1>their late thirties and in their mid thirties, they're starting

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<v Speaker 1>to notice things like breast tenderness and you know, feeling

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<v Speaker 1>kind of the PMDD, which is the dysphoria prior to

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<v Speaker 1>their periods, and that's usually a sign that the hormones

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<v Speaker 1>are out of balance. And so by the time a

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<v Speaker 1>woman is thirty eight to forty, they're at a different

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<v Speaker 1>platform where the hormone imbalance is more significant. I know

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<v Speaker 1>for me, it was at thirty eight where I started

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<v Speaker 1>to feel like this black hole would open up before

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<v Speaker 1>my period, you know, two days before, and I was

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<v Speaker 1>kind of overwhelmed because it was like this emotional black

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<v Speaker 1>hole that I had to navigate, which is very hard

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<v Speaker 1>to do. So, you know, so at that point is

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<v Speaker 1>when I started doing hormone balancing for myself. And it

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<v Speaker 1>was like a miracle almost because as I transitioned into

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<v Speaker 1>my forties it was much improved. But then I noticed

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<v Speaker 1>I had to take a higher and higher dose as

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<v Speaker 1>I progressed into my fifties, and so I became very

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<v Speaker 1>interested in what women are going through and did tedious,

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<v Speaker 1>very methodical study of my patients of the literature that

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<v Speaker 1>was out there, literature that was not out there, what

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<v Speaker 1>is safe, what is not safe. You know, there's no

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<v Speaker 1>generalized way to prescribe hormones. It's all customized because every

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<v Speaker 1>woman's body is different. So when women go on the

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<v Speaker 1>internet and they want a testosterone pellet and it's one

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<v Speaker 1>size fits all, you don't know how your body is

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<v Speaker 1>going to process that versus your friends. So we can't

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<v Speaker 1>really compare how hormones are going to be metabolized by

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<v Speaker 1>our body versus somebody else's body. And this is what's

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<v Speaker 1>so important for us to be able to gain insight

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<v Speaker 1>into how our body works and it's how we feel

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<v Speaker 1>on how much hormone And that's why you need someone

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<v Speaker 1>who's skilled and who is dedicated to customized hormone balancing

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<v Speaker 1>versus replacement. There's a huge difference between the two.

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<v Speaker 2>So women shouldn't necessarily be researching or looking up in

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<v Speaker 2>terms of who to go to someone who knows hormone replacement.

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<v Speaker 1>It's right. Hormone balancing makes a big difference, and hormone

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<v Speaker 1>balancing is with bioidentical hormones that are molecular matching the

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<v Speaker 1>hormones that our body produces, and bioidentical hormones are derived

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<v Speaker 1>from mostly wildm. But if you eat wild m, you're

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<v Speaker 1>not going to get the hormones. The pharmacists, compounding pharmacists

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<v Speaker 1>go through a procedure where the phido hormones, the plant

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<v Speaker 1>based hormones in the wild m, are then converted into

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<v Speaker 1>the same molecular structure as estrogen, progesterone testosterone DHA for example,

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<v Speaker 1>versus HRT, which is synthetic hormone replacement therapy, which is

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<v Speaker 1>synthetic and you cannot balance with HRT. It is not

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<v Speaker 1>set up for that. It's set up for replacement.

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<v Speaker 2>Now BHRT versus HRT and FDA approval. So are bioidentical

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<v Speaker 2>hormones FDA approved?

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<v Speaker 1>They're not because they're not patented through the pharmaceutical industry.

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<v Speaker 1>So FDA will only approve synthetic pharmaceuticals that they don't

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<v Speaker 1>approve nutraceuticals or anything compounded or anything natural.

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<v Speaker 2>So what would you tell if there is a physician

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<v Speaker 2>listening or physicians listening, what would you tell them in

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<v Speaker 2>response to their concern? While I'm not comfortable prescribing something

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<v Speaker 2>to my patient that's not FDA approved.

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<v Speaker 1>So then send your patient to someone who is. So,

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<v Speaker 1>you know, because really over time, those of us that

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<v Speaker 1>have done diligent work with hormone balancing have seen the

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<v Speaker 1>clinical response. I've had about seventy thousand patient visits in

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<v Speaker 1>my practice over the last twenty five years. That's a

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<v Speaker 1>clinical study that's way bigger than any study that the

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<v Speaker 1>you know, even women's health, and it was a ten

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<v Speaker 1>thousand patient study. So I've seen over time and tweaked

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<v Speaker 1>over time, how women respond, how even I respond, because

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<v Speaker 1>I've been taking these since I was thirty eight and

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<v Speaker 1>i'll be sixty four, so you know there is in

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<v Speaker 1>my practice, I have not seen harm from these hormones

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<v Speaker 1>the way I've seen when I used to prescribe HRT.

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<v Speaker 1>So it's really it's really like because we're using a

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<v Speaker 1>minimum amount for maximal balance. I mean, this is not

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<v Speaker 1>about replacement. This is really about enough to create balance,

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<v Speaker 1>enough to create a therapeutic response without increasing the blood

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<v Speaker 1>levels of estrogen safe in a postmenopausal woman beyond twenty

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<v Speaker 1>and progesterone beyond one or two. When a woman is menstrual,

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<v Speaker 1>her estrogen is anywhere from one hundred to two hundred

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<v Speaker 1>and fifty, and progesterone is anywhere from like a tenth

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<v Speaker 1>of that so twenty to thirty after menopause, it's a

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<v Speaker 1>big zero, or it should be. If it's not a

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<v Speaker 1>zero after menopause, your liver is not really doing its job.

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<v Speaker 1>Neither is the microbiome, because they are supposed to deactivate

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<v Speaker 1>and excrete estrogen. And if your estrogen is elevated and

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<v Speaker 1>you're not on estrogen, then there's a problem with your

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<v Speaker 1>liver or your biome. So and that's where the lifestyle

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<v Speaker 1>piece comes in, because this is not just here's your

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<v Speaker 1>hormone and have a nice day. This is what do

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<v Speaker 1>you need to eat? How do you need to shift

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<v Speaker 1>your lifestyle, How do you need to stimulate the synchronization

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<v Speaker 1>of your organs and your microbiome and your liver communication,

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<v Speaker 1>That whole axis needs to be restored because all of

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<v Speaker 1>that changes after menopause, and as a woman is approaching menopause.

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<v Speaker 2>Only want to get into the lifestyle and the food bit.

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<v Speaker 2>But I first have some other questions about what you

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<v Speaker 2>were talking about with BHRT. Are there studies that have

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<v Speaker 2>been done with BHRT that people could perhaps look up

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<v Speaker 2>if they want to satisfy themselves that this is perhaps

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<v Speaker 2>the route they want to take.

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<v Speaker 1>You know, The good news is that there are European

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<v Speaker 1>studies that they can access, because we don't do studies

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<v Speaker 1>on nutraceuticals or anything natural in our country. The books

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<v Speaker 1>that are written, there's several references that you can access.

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<v Speaker 1>One is a set of books by John Lee that's

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<v Speaker 1>years ago. That's where I got started, and it was

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<v Speaker 1>fascinating and made a lot of sense. But some of

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<v Speaker 1>the information that he put out there is outdated. Like

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<v Speaker 1>what he was talking about is checking sal hormone levels,

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<v Speaker 1>They're not as accurate, and so I do only serum

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<v Speaker 1>levels blood levels of hormones. That's really been something that

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<v Speaker 1>I've tweaked and I created a protocol that's been very

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<v Speaker 1>safe for my patients, and it was based on my

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<v Speaker 1>own clinical dedication to this area. Chris Northrop wrote a

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<v Speaker 1>book back in the day, really great book, Women's Bodies,

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<v Speaker 1>Women's Wisdom, and the Wisdom of Menopause. A lot of

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<v Speaker 1>what she referenced, some were studies, some were anecdotes. Again,

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<v Speaker 1>this is a very unaddressed area that is unfortunate because

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<v Speaker 1>these hormones are life saving for women, and even though

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<v Speaker 1>they're not FDA approved, a lot of things that are

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<v Speaker 1>FDA approved are harmful for our bodies. So I don't

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<v Speaker 1>know why that should be the standard, because a lot

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<v Speaker 1>of physicians are using these and are having good results

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<v Speaker 1>with them. So I think that, you know, you have

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<v Speaker 1>to really use the scientific method, a good amount of

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<v Speaker 1>common sense, the data that is available, and your clinical

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<v Speaker 1>experience with it.

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<v Speaker 2>And I know you're saying, obviously everyone is an individual

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<v Speaker 2>and they have individual needs. Requirements are there again, I'm

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<v Speaker 2>just thinking for general practitioners who have someone come into

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<v Speaker 2>their office. Maybe they're not referring out. I don't know,

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<v Speaker 2>but are there minimum dosages, like any any sort of

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<v Speaker 2>standard to start with.

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<v Speaker 1>Well, you know what I do, and I can just

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<v Speaker 1>speak for myself. So what I do is when I

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<v Speaker 1>say a patient comes in, you know, thirty eight, thirty nine,

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<v Speaker 1>she's having, you know, a lot more symptoms prior to

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<v Speaker 1>her period. So what I typically do is check their

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<v Speaker 1>blood levels in the luteal phase of their cycle, which

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<v Speaker 1>is the second half of your cycle. So the first

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<v Speaker 1>half year of your cycle, of your menstrual cycle is

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<v Speaker 1>day one of your period through on average day twelve

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<v Speaker 1>to fourteen, So that's the follicular phase of your cycle.

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<v Speaker 1>You're not producing progesterone during that phase of your cycle.

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<v Speaker 1>You're only producing estrogen. The middle of your cycle ovulation,

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<v Speaker 1>you know, ding ding ding, that happens, and then that

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<v Speaker 1>progesterone levels start rising. So it's during that phase where

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<v Speaker 1>you're fertile progesterone level increases. It kind of hangs out

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<v Speaker 1>at it peaks around the same place as estrogen peaks,

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<v Speaker 1>or it should. That's balance. But if a woman is

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<v Speaker 1>having symptoms, usually the estrogen to progesterone ratio is wider.

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<v Speaker 1>It's not like a one to one ratio. It's not

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<v Speaker 1>like if your estrogen is a hundred and your progesterone

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<v Speaker 1>is three, that's a very high ratio of estrogen to progesterone.

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<v Speaker 1>If your estrogen is one hundred and your progesterone is say,

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<v Speaker 1>you know, twenty, that's a ratio of five. If your

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<v Speaker 1>estrogen is one hundred your progesterone is ten, that's a

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<v Speaker 1>ratio of ten. E to p ratio is ten. If

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<v Speaker 1>the ratio is far greater than ten, that's typically a symptom.

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<v Speaker 1>Women will have symptoms, and so checking their hormones around

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<v Speaker 1>day twenty one to twenty four of a twenty eight

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<v Speaker 1>day cycle or about seven days before their cycle is due,

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<v Speaker 1>is a good rule of thumb to check that ratio

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<v Speaker 1>between estrogen and progesterone, and then, depending upon what that

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<v Speaker 1>ratio is a good starting dose for progesterone. If the

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<v Speaker 1>ratio is not that bad, not that horribly widened, is

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<v Speaker 1>to start with twenty five milligrams of progesterone of bioidentical.

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<v Speaker 1>The max that I go up to, and that's typically

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<v Speaker 1>in a women's late forties, is about two hundred of progesterone.

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<v Speaker 1>A lot of women don't need that because as you

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<v Speaker 1>reach your late forties, your estrogen level starts dropping also,

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<v Speaker 1>so then the ratio narrows a little bit. Yeah, and

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<v Speaker 1>so you don't need that much progesterone. So really we're

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<v Speaker 1>not treating the absolute level of progesterone. We're treating the

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<v Speaker 1>ratio between estrogen and progesterone. So that is something that

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<v Speaker 1>women can track or educate their physicians about, or physicians

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<v Speaker 1>that are listening to this can kind of take note

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<v Speaker 1>of that and see how their patients do when they

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<v Speaker 1>try this. Because a lot of medicine is a practice,

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<v Speaker 1>and we practice our craft and this is a completely

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<v Speaker 1>different milieu that we were not trained to do. I

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<v Speaker 1>did it out of necessity because my patients were really

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<v Speaker 1>suffering and they were getting progesterone off the shelf and

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<v Speaker 1>I didn't know what they were doing and whether that

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<v Speaker 1>was safe or not. So I took it upon myself

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<v Speaker 1>to go down the rabbit hole and study as much

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<v Speaker 1>as I could of what was available and start really

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<v Speaker 1>low and see what was happening and if it was

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<v Speaker 1>harming them or if they weren't doing well. I was

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<v Speaker 1>going to be done. But what I found is just

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<v Speaker 1>like this miraculous response. Yeah, and it was incredible for

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<v Speaker 1>me to be able to help my patients have a

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<v Speaker 1>better quality of life and actually reduce their risk of

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<v Speaker 1>disease because a lot of conditions are a result of

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<v Speaker 1>estrogen dominance.

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<v Speaker 2>Speaking of symptom of estrogen dominance, what kinds of symptoms

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<v Speaker 2>are you talking about that maybe a woman might be

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<v Speaker 2>experiencing which she doesn't realize what's going on.

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<v Speaker 1>Right, You know, there's a whole myriad of them, memory issues,

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<v Speaker 1>breast tenderness, weight gain, wastline increase, sleeplessness at night. Sometimes

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<v Speaker 1>women with estrogen dominance will have like hot flashes. It

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<v Speaker 1>doesn't make sense, but they will or they'll have more anxiety,

359
00:24:33.440 --> 00:24:37.319
<v Speaker 1>they'll be more irritable. Like me, I had that black

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<v Speaker 1>hole feeling where emotionally I was just dropping into an abyss.

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<v Speaker 1>A lot of women do that right before their period.

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<v Speaker 1>I would start having night sweats right before my period.

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<v Speaker 1>So those are some of the some of the symptoms.

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<v Speaker 1>Other symptoms are heavy periods. So if your periods are

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<v Speaker 1>super heavy or your doctor said, oh, you're anemic, well,

366
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<v Speaker 1>anemia is a sign is usually a result of very

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<v Speaker 1>heavy periods. So when your periods are super heavy, you're

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<v Speaker 1>not producing enough progesterone. And so what's happening is a

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<v Speaker 1>lot of women are getting oblations or hysterectomy's done because

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<v Speaker 1>their periods are heavy. But it's really a hormonal imbalance.

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<v Speaker 1>So it's really I mean, this is such a critical

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<v Speaker 1>issue that it's really important for women to understand this and.

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<v Speaker 2>Sort of on the flip side of things, Can you

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<v Speaker 2>have no symptoms but still have hormone imbalance?

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<v Speaker 1>Yeah you can, and that's women that are say plant based.

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<v Speaker 1>The plant based DIEDE will offset some of those symptoms.

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<v Speaker 1>So like when I went into metopause, I think I

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<v Speaker 1>had two hot flashes with everything I was plant based.

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<v Speaker 1>I was pretty vegan at the time. I'm not as

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<v Speaker 1>vegan anymore, but I was very vegan at the time,

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<v Speaker 1>very strict about my diet because I was my body

382
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<v Speaker 1>was changing and my waistline was expanding, and I was going, oh,

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00:26:10.000 --> 00:26:13.319
<v Speaker 1>what is happening. I need to like really watch what

384
00:26:13.359 --> 00:26:18.880
<v Speaker 1>I'm eating and eat really nutrition dense foods. And around

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<v Speaker 1>the same time, I was getting my plant based certification

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<v Speaker 1>and really learning a lot about the effects of a

387
00:26:26.000 --> 00:26:28.839
<v Speaker 1>plant based diet on the body, and it all made sense.

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<v Speaker 1>So a lot of my patients that are not having

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<v Speaker 1>symptoms are on a plant based diet, but I check

390
00:26:36.920 --> 00:26:41.799
<v Speaker 1>their hormones anyways, because you can have estrogen dominance and

391
00:26:41.960 --> 00:26:47.039
<v Speaker 1>it'll spring up stuff. But you know, it's always a

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<v Speaker 1>good idea to be balanced.

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<v Speaker 2>To clarify, because this is the plant based Diet podcast,

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<v Speaker 2>Can the foods we eat help to balance hormones or

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<v Speaker 2>help with the symptoms?

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<v Speaker 1>Yes?

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<v Speaker 2>Which one?

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<v Speaker 1>Is it both? So? Yeah, So when you're young like you,

399
00:27:07.759 --> 00:27:11.759
<v Speaker 1>by young, I mean thirty five to forty younger than me.

400
00:27:12.519 --> 00:27:19.559
<v Speaker 1>Young of the some of the issues with hormone balance

401
00:27:19.640 --> 00:27:23.079
<v Speaker 1>are coming from the way that your hormones are being

402
00:27:23.119 --> 00:27:26.519
<v Speaker 1>metabolized in your body. So when there's a very slight

403
00:27:26.759 --> 00:27:31.160
<v Speaker 1>variation or a slight estrogen dominance, a lot of times

404
00:27:31.240 --> 00:27:35.720
<v Speaker 1>just changing your lifestyle will make a huge difference in

405
00:27:35.759 --> 00:27:39.720
<v Speaker 1>your hormone ratios. And I've seen that in my patients

406
00:27:39.759 --> 00:27:43.799
<v Speaker 1>over and over and like countless times where they don't

407
00:27:43.839 --> 00:27:47.880
<v Speaker 1>need hormones. They got off meat, they got off alcohol,

408
00:27:48.319 --> 00:27:52.359
<v Speaker 1>they're eating a Mediterranean diet that's plant heavy, plant based.

409
00:27:52.839 --> 00:27:56.559
<v Speaker 1>You know, if they're gonna eat chicken or fish, it's very,

410
00:27:56.680 --> 00:28:01.559
<v Speaker 1>very infrequently it's more medicinal rather than as a source

411
00:28:01.599 --> 00:28:06.279
<v Speaker 1>of protein. But adding tofu soy to your diet, which

412
00:28:06.359 --> 00:28:10.519
<v Speaker 1>is a phytoestrogen. So all of that gets so the

413
00:28:10.559 --> 00:28:16.359
<v Speaker 1>liver will process estrogen, deactivate it when it's done, when

414
00:28:16.400 --> 00:28:19.200
<v Speaker 1>it's done with its use, send it into the gut,

415
00:28:19.319 --> 00:28:23.599
<v Speaker 1>and the gut microbiome, if it's healthy, will eliminate it.

416
00:28:23.920 --> 00:28:28.000
<v Speaker 1>If the gut microbiome is not healthy, it will reabsorb

417
00:28:28.160 --> 00:28:31.839
<v Speaker 1>the estrogen that's been deactivated, and estrogen levels will go

418
00:28:32.000 --> 00:28:35.680
<v Speaker 1>up and hormone imbalance will continue. I mean, it's really

419
00:28:35.720 --> 00:28:41.160
<v Speaker 1>a fascinating mechanism. So that's why a plant based diet,

420
00:28:41.839 --> 00:28:47.480
<v Speaker 1>whole food based plant based is really important to balance

421
00:28:47.680 --> 00:28:52.079
<v Speaker 1>not just our female hormones or male hormones too, but

422
00:28:52.440 --> 00:28:55.640
<v Speaker 1>all hormones in general. The endocrine system relies on the

423
00:28:55.680 --> 00:29:01.440
<v Speaker 1>microbiome in the gut and the liver to keep things balanced,

424
00:29:02.000 --> 00:29:06.000
<v Speaker 1>to keep things homeostatic, so that our body can function

425
00:29:06.200 --> 00:29:07.640
<v Speaker 1>as a system.

426
00:29:08.519 --> 00:29:12.720
<v Speaker 2>That's fascinating. Two points about what you're just saying. One,

427
00:29:13.519 --> 00:29:16.519
<v Speaker 2>and I've said this a couple times on different episodes.

428
00:29:16.720 --> 00:29:24.960
<v Speaker 2>When we're talking about soy, we're talking about organic organic soy. Yes, yes, okay, yeah,

429
00:29:24.960 --> 00:29:28.920
<v Speaker 2>because otherwise soy is a heavily sprayed Yes, right, it's.

430
00:29:28.720 --> 00:29:34.039
<v Speaker 1>Heavily sprayed, and it's heavily genetically modified. So of soy

431
00:29:34.119 --> 00:29:38.200
<v Speaker 1>in the US is genetically modified, and genetically modified soy

432
00:29:38.279 --> 00:29:41.319
<v Speaker 1>does not behave like organic soy in the human body.

433
00:29:41.720 --> 00:29:45.680
<v Speaker 1>Our body is. Our body is organic. It's designed for

434
00:29:45.960 --> 00:29:51.119
<v Speaker 1>organic food that's regenerative agriculture. You know, it's got organic

435
00:29:51.160 --> 00:29:55.400
<v Speaker 1>food has just a much greater nutrient density, and it

436
00:29:55.440 --> 00:30:00.000
<v Speaker 1>doesn't have the residues, the pesticide residues or the insecticide

437
00:30:00.119 --> 00:30:03.279
<v Speaker 1>its built into them, which is what the GMO foods

438
00:30:03.319 --> 00:30:09.160
<v Speaker 1>have that disrupt the microbiome and lodge in the fact

439
00:30:09.519 --> 00:30:14.279
<v Speaker 1>as hormone disruptors. As you know, these are endocrine disruptors.

440
00:30:14.960 --> 00:30:19.799
<v Speaker 1>They're mimickers of estrogen. They're mimickers of hormones, so they

441
00:30:19.920 --> 00:30:24.640
<v Speaker 1>occupy the receptors in our body. Even at very very

442
00:30:24.880 --> 00:30:29.559
<v Speaker 1>teeny tiny minute doses, they will occupy the receptors and

443
00:30:29.759 --> 00:30:35.960
<v Speaker 1>block the binding of your own hormones on those receptors.

444
00:30:36.519 --> 00:30:41.720
<v Speaker 1>So it disrupts the endocrine system's function. And if one

445
00:30:41.799 --> 00:30:45.519
<v Speaker 1>system is not working well, no system is going to

446
00:30:45.599 --> 00:30:48.680
<v Speaker 1>work well. I mean, our bodies are like this biomachine

447
00:30:48.680 --> 00:30:51.799
<v Speaker 1>that has five gears, and if one gear isn't working,

448
00:30:52.200 --> 00:30:54.400
<v Speaker 1>the rest of them aren't going to work. So I

449
00:30:54.519 --> 00:30:57.799
<v Speaker 1>kind of see those pesticides and those hormone disruptors like

450
00:30:57.839 --> 00:31:01.960
<v Speaker 1>as dirt in the machine. They just like get they

451
00:31:02.039 --> 00:31:04.640
<v Speaker 1>If you take a bucket of sand and throw it

452
00:31:04.680 --> 00:31:06.920
<v Speaker 1>in your car engine, it's not going to run. Well.

453
00:31:08.160 --> 00:31:11.759
<v Speaker 1>It's the same with your body, and so the body

454
00:31:11.839 --> 00:31:18.119
<v Speaker 1>gets disorganized and uncoordinated, and then our symptoms and a

455
00:31:18.160 --> 00:31:20.160
<v Speaker 1>lot of the health issues in our country that we

456
00:31:20.240 --> 00:31:23.319
<v Speaker 1>have now are a result of the way we eat

457
00:31:24.279 --> 00:31:25.000
<v Speaker 1>and what we eat.

458
00:31:26.640 --> 00:31:29.440
<v Speaker 2>Okay, so in terms of what we eat, in addition

459
00:31:29.519 --> 00:31:34.039
<v Speaker 2>to organic soil. What other fruits. Yeah, we talked about

460
00:31:34.039 --> 00:31:37.039
<v Speaker 2>whole food plant based, but are there particular fruits and

461
00:31:37.160 --> 00:31:40.240
<v Speaker 2>vegetables that we should be focusing on.

462
00:31:40.759 --> 00:31:45.519
<v Speaker 1>So we really want high fiber, low glycemic index fruits

463
00:31:45.519 --> 00:31:50.079
<v Speaker 1>and vegetables. So we're talking about dark leafy greens, you know,

464
00:31:50.480 --> 00:31:57.559
<v Speaker 1>plants that have insoluble fiber, and lentils and beans, I

465
00:31:57.599 --> 00:32:02.119
<v Speaker 1>mean lentils and beans. They're complex carbohydrates, they are loaded

466
00:32:02.160 --> 00:32:05.480
<v Speaker 1>with fiber and protein. They're a complete food. So when

467
00:32:05.480 --> 00:32:11.640
<v Speaker 1>you eat those insoluble fiber foods, that actually helps your microbiome.

468
00:32:11.680 --> 00:32:15.160
<v Speaker 1>Your microbiome lives off of insoluble fiber, so that's food

469
00:32:15.200 --> 00:32:22.799
<v Speaker 1>for your microbiome. And there's one particular organism called Ficicalobacter presnitzi,

470
00:32:23.279 --> 00:32:26.160
<v Speaker 1>which is a sort of the kitchen mother of your biome.

471
00:32:26.839 --> 00:32:32.000
<v Speaker 1>So Ficalobacter presnitzi choose up that insoluble fiber and it

472
00:32:32.079 --> 00:32:35.160
<v Speaker 1>feeds the rest of your gut that fiber, and then

473
00:32:35.359 --> 00:32:38.640
<v Speaker 1>all the other organisms in the gut, including ones that

474
00:32:38.680 --> 00:32:43.440
<v Speaker 1>produce GLP one, they get happy, so they start doing

475
00:32:43.480 --> 00:32:47.680
<v Speaker 1>their job. And so when people eat a low fiber

476
00:32:47.720 --> 00:32:52.480
<v Speaker 1>diet and are not eating organic and you know, have

477
00:32:52.680 --> 00:32:57.559
<v Speaker 1>ultraprocessed foods and lots of sugar. The microbiome, which is ultrasensitive,

478
00:32:57.640 --> 00:33:03.759
<v Speaker 1>it just gets regulated and disorganized and good organisms die off.

479
00:33:04.519 --> 00:33:08.640
<v Speaker 1>And what we really want is these organisms that regulate

480
00:33:08.880 --> 00:33:14.519
<v Speaker 1>our hormones, that are ninety percent supporting our nervous system

481
00:33:14.599 --> 00:33:18.039
<v Speaker 1>because they produce all of nearly all of our neurotransmitters,

482
00:33:18.519 --> 00:33:21.799
<v Speaker 1>and ninety percent of our immune system depends on the

483
00:33:21.839 --> 00:33:26.599
<v Speaker 1>microbiome's health. So ninety percent of it exists in the

484
00:33:26.680 --> 00:33:32.359
<v Speaker 1>lymphoid tissue, in the intestinal lining. And so when we

485
00:33:32.480 --> 00:33:36.240
<v Speaker 1>don't honor that, when we don't feed that, we land

486
00:33:36.279 --> 00:33:39.160
<v Speaker 1>into the troubles that we're landing into in the US.

487
00:33:39.559 --> 00:33:42.279
<v Speaker 1>So no amount of like high dose hormones or HRT

488
00:33:42.440 --> 00:33:47.400
<v Speaker 1>or anything that's like, I mean, that's not going to

489
00:33:48.480 --> 00:33:51.960
<v Speaker 1>be it's going to be helpful symptomatically, but it's going

490
00:33:52.000 --> 00:33:55.039
<v Speaker 1>to end up causing a lot more trouble if your

491
00:33:55.079 --> 00:33:59.720
<v Speaker 1>gut and liver are not functioning well because you're not

492
00:34:00.079 --> 00:34:02.240
<v Speaker 1>feeding it the foods that it needs.

493
00:34:03.039 --> 00:34:07.440
<v Speaker 2>So then in addition, so you mentioned whole food plant based,

494
00:34:07.480 --> 00:34:10.880
<v Speaker 2>SOI I'm just repeating it for the benefit of listeners.

495
00:34:10.880 --> 00:34:16.320
<v Speaker 2>It's a lot to take in nut seeds, lentils, beans.

496
00:34:16.960 --> 00:34:20.519
<v Speaker 2>I have read also about cruciferus vegetables, yes.

497
00:34:21.880 --> 00:34:25.199
<v Speaker 1>And that those are loaded with insoluble fiber, like when

498
00:34:25.239 --> 00:34:29.599
<v Speaker 1>you're eating broccoli, like a cruciferous vegetable, broccoli, Brussels sprouts,

499
00:34:29.920 --> 00:34:35.440
<v Speaker 1>they have fabulous antioxidants, but they also are like the

500
00:34:35.480 --> 00:34:40.760
<v Speaker 1>stalk of broccoli, it's insoluble fiber. So don't throw it away,

501
00:34:41.119 --> 00:34:43.639
<v Speaker 1>peel it, chop it up and throw it in your

502
00:34:43.719 --> 00:34:46.239
<v Speaker 1>stir fry or in your soup or whatever it is

503
00:34:46.280 --> 00:34:50.320
<v Speaker 1>that you're eating it with. What I tell my patients though,

504
00:34:50.519 --> 00:34:55.000
<v Speaker 1>is try not to eat those vegetables raw because they're

505
00:34:55.000 --> 00:34:59.239
<v Speaker 1>hard to digest. If you flash steam them or you

506
00:34:59.360 --> 00:35:02.480
<v Speaker 1>stir fry them, like kale and collards and broccoli, they

507
00:35:02.519 --> 00:35:05.920
<v Speaker 1>will get really vibrant green. That's when you know the

508
00:35:06.000 --> 00:35:10.000
<v Speaker 1>cell walls are broken and all the nutrients have been mobilized,

509
00:35:10.639 --> 00:35:14.559
<v Speaker 1>so it's really much easier for your body to incorporate

510
00:35:14.559 --> 00:35:18.320
<v Speaker 1>those nutrients. And then the insoluble fiber when you chew

511
00:35:18.360 --> 00:35:21.119
<v Speaker 1>it up and it goes into your gut, it's feeding

512
00:35:21.159 --> 00:35:25.719
<v Speaker 1>that mother hen in there that's creating short chain fatty

513
00:35:25.760 --> 00:35:28.599
<v Speaker 1>acids from the insoluble fiber and feeding the rest of

514
00:35:28.639 --> 00:35:35.440
<v Speaker 1>the biome, so it's just cruciferous. Vegetables are sort of

515
00:35:35.480 --> 00:35:39.920
<v Speaker 1>this must. I mean, the array of vegetables available is

516
00:35:40.000 --> 00:35:43.159
<v Speaker 1>so great. We don't want to just eat iceberg lettuce

517
00:35:43.199 --> 00:35:46.360
<v Speaker 1>because there's no nutritional value there. Some of my patients

518
00:35:46.360 --> 00:35:48.679
<v Speaker 1>will say, oh, you're taking away all my meat. What

519
00:35:48.719 --> 00:35:51.480
<v Speaker 1>am I going to eat? Well? Am I going to

520
00:35:51.559 --> 00:35:52.719
<v Speaker 1>eat grass? Well?

521
00:35:52.760 --> 00:35:55.320
<v Speaker 2>Then they should listen to this show, because.

522
00:35:57.239 --> 00:36:03.199
<v Speaker 1>Eat I mean, it's the amount of vegetables is unlimited. Yeah,

523
00:36:03.239 --> 00:36:06.119
<v Speaker 1>but just make sure they're organic so you're not getting

524
00:36:06.119 --> 00:36:11.639
<v Speaker 1>the pesticide residues and the genetically modified stuff in your gut.

525
00:36:12.280 --> 00:36:16.400
<v Speaker 2>That's wonderful information on the food side of things. What

526
00:36:16.519 --> 00:36:21.880
<v Speaker 2>you were saying, you can't just take HRT BHRT and

527
00:36:23.239 --> 00:36:26.519
<v Speaker 2>you go on your merry way. There are other lifestyle

528
00:36:26.639 --> 00:36:30.440
<v Speaker 2>components which I'm assuming exercise is helpful in all of this.

529
00:36:30.639 --> 00:36:34.280
<v Speaker 2>I mean, all those things, be it the hormones, the food,

530
00:36:34.639 --> 00:36:37.679
<v Speaker 2>the whole food, plant based diet, exercise all good for

531
00:36:37.760 --> 00:36:42.159
<v Speaker 2>the increasing wasteline that a lot of people are complaining about,

532
00:36:42.280 --> 00:36:46.880
<v Speaker 2>right exactly, So when it comes to testing hormones, I

533
00:36:46.920 --> 00:36:49.599
<v Speaker 2>want to circle back to that one because that's another

534
00:36:50.400 --> 00:36:53.519
<v Speaker 2>massive issue, and I want to This is a personal

535
00:36:53.599 --> 00:36:57.239
<v Speaker 2>anecdote which originally when I invite you on the show,

536
00:36:57.280 --> 00:37:00.599
<v Speaker 2>i'd forgotten about this. And then I was looking at

537
00:37:00.599 --> 00:37:03.559
<v Speaker 2>some old notes and I found this letter. And I'm

538
00:37:03.360 --> 00:37:04.920
<v Speaker 2>not going to read the whole letter. I'm just going

539
00:37:04.920 --> 00:37:08.679
<v Speaker 2>to read one sentence. It was a letter from a

540
00:37:08.679 --> 00:37:13.400
<v Speaker 2>guynecologist that was sent to my doctor because several years

541
00:37:13.440 --> 00:37:17.000
<v Speaker 2>ago I wanted to get my hormone levels tested just

542
00:37:17.079 --> 00:37:20.639
<v Speaker 2>to know where I was at. I figured I should

543
00:37:20.679 --> 00:37:24.400
<v Speaker 2>probably start to get to know what's happening in my body. Right,

544
00:37:25.079 --> 00:37:28.000
<v Speaker 2>So I want to read you one line from this

545
00:37:28.159 --> 00:37:33.239
<v Speaker 2>letter from the guynocologist to my doctor. There is zero

546
00:37:33.480 --> 00:37:39.840
<v Speaker 2>value again, zero value in using hormone values to manage

547
00:37:39.880 --> 00:37:43.440
<v Speaker 2>symptoms in a woman with regular cycles or in menopause,

548
00:37:43.800 --> 00:37:45.719
<v Speaker 2>and I will not be ordering them.

549
00:37:46.440 --> 00:37:50.119
<v Speaker 1>Okay, well this is what walks into my office women

550
00:37:50.320 --> 00:37:53.559
<v Speaker 1>with those kinds of negations.

551
00:37:54.199 --> 00:37:57.280
<v Speaker 2>Okay, So what do you recommend when they go into

552
00:37:57.320 --> 00:37:59.639
<v Speaker 2>the doctor's office and they say I want to get

553
00:37:59.639 --> 00:38:03.880
<v Speaker 2>my hornmont's tested. What should they be getting tested? And

554
00:38:03.920 --> 00:38:09.880
<v Speaker 2>does that vary if you're let's say late thirties, forties, fifties.

555
00:38:11.039 --> 00:38:15.280
<v Speaker 1>Well, it's pretty much. It's pretty similar. I mean, what

556
00:38:15.519 --> 00:38:19.239
<v Speaker 1>I usually do in a younger woman is check their

557
00:38:19.400 --> 00:38:26.920
<v Speaker 1>estra dial, their progesterone, their DHEA sulfate, and a free

558
00:38:27.000 --> 00:38:32.440
<v Speaker 1>and total testosterone. If their hormones are irregular, I also

559
00:38:32.599 --> 00:38:38.320
<v Speaker 1>checked a follicle stimulating hormone or FSH. And if they're

560
00:38:38.320 --> 00:38:41.360
<v Speaker 1>trying to get pregnant and they can't get pregnant, I

561
00:38:41.559 --> 00:38:47.320
<v Speaker 1>usually check an anti malarian hormone, so that gives me

562
00:38:47.559 --> 00:38:53.639
<v Speaker 1>their their ovarian reserves and so what that's sort of

563
00:38:53.679 --> 00:38:59.360
<v Speaker 1>the platform. Now if DHA comes back normal, free total

564
00:38:59.400 --> 00:39:01.960
<v Speaker 1>testosterone comes back norral because a lot of times those

565
00:39:02.000 --> 00:39:06.400
<v Speaker 1>are like the last ones to go. The estrogen and

566
00:39:06.440 --> 00:39:09.840
<v Speaker 1>progesterone are balanced, we're fine for a while, and i'd

567
00:39:09.920 --> 00:39:12.599
<v Speaker 1>let them know. You know what, if you're having symptoms,

568
00:39:12.679 --> 00:39:16.159
<v Speaker 1>if you feel like something's different a week before your period,

569
00:39:16.559 --> 00:39:19.159
<v Speaker 1>we'll check it again and we'll see if things are changing.

570
00:39:19.639 --> 00:39:22.480
<v Speaker 1>So that's usually a for a thirty eight year old,

571
00:39:22.480 --> 00:39:26.920
<v Speaker 1>that's like a yearly check unless they're starting to feel different.

572
00:39:27.679 --> 00:39:30.440
<v Speaker 1>If they feel different, I'm on it, so I'll check

573
00:39:30.480 --> 00:39:35.159
<v Speaker 1>the levels and you know, help them with balancing. In

574
00:39:35.199 --> 00:39:38.800
<v Speaker 1>your forties, you're guaranteed to have. I mean, it's a

575
00:39:39.000 --> 00:39:43.159
<v Speaker 1>very rare woman who doesn't have hormone imbalance, and that's

576
00:39:43.199 --> 00:39:45.800
<v Speaker 1>a fortunate woman. Or it's a very healthy woman who's

577
00:39:45.840 --> 00:39:50.599
<v Speaker 1>eating a whole food, plant based diet. But if in forties,

578
00:39:50.639 --> 00:39:54.239
<v Speaker 1>as your forties progress, the estrogen and progesterone are the

579
00:39:54.360 --> 00:39:58.679
<v Speaker 1>main two. And as a woman reaches her like forty

580
00:39:58.719 --> 00:40:03.360
<v Speaker 1>five and beyond, I'll periodically check an FSH to see

581
00:40:03.440 --> 00:40:07.159
<v Speaker 1>if the ovaries are starting to wind down, and that

582
00:40:07.280 --> 00:40:10.159
<v Speaker 1>kind of gives us a sense of where she is

583
00:40:10.199 --> 00:40:14.599
<v Speaker 1>in the pre periment apousal process. So the estradiole and

584
00:40:14.639 --> 00:40:20.079
<v Speaker 1>progesterone are the two main ones to check. As women

585
00:40:20.159 --> 00:40:26.119
<v Speaker 1>get older, like fifties and sixties, the DHA becomes a

586
00:40:26.159 --> 00:40:30.719
<v Speaker 1>more significant factor. The DHA is an adrenal hormone, and

587
00:40:30.800 --> 00:40:34.239
<v Speaker 1>that hormone over time, you know, so when you're young,

588
00:40:34.280 --> 00:40:36.960
<v Speaker 1>your DG is really high. It's like a regenerative hormone.

589
00:40:37.000 --> 00:40:41.559
<v Speaker 1>It's like what's called the aging hormone, so DHA as

590
00:40:41.599 --> 00:40:46.199
<v Speaker 1>it As we age, the DHA levels decline. But if

591
00:40:46.239 --> 00:40:49.760
<v Speaker 1>they decline too rapidly, like women that like myself, who

592
00:40:49.760 --> 00:40:54.199
<v Speaker 1>have gone through like a very very stressful midlife and

593
00:40:54.280 --> 00:40:56.880
<v Speaker 1>beyond I went through divorce and all of the trauma

594
00:40:56.920 --> 00:41:03.199
<v Speaker 1>of a lot of things. DA was like fumes. When

595
00:41:03.239 --> 00:41:06.880
<v Speaker 1>I was in my fifties, I was having memory issues.

596
00:41:07.119 --> 00:41:09.440
<v Speaker 1>I could not like my short term memory was shot,

597
00:41:09.519 --> 00:41:12.679
<v Speaker 1>and I was getting very scared that I was maybe

598
00:41:12.960 --> 00:41:17.440
<v Speaker 1>developing early dementia. But my DHA was so low, and

599
00:41:17.519 --> 00:41:21.000
<v Speaker 1>so I checked the DHA level, which what should have

600
00:41:21.039 --> 00:41:24.400
<v Speaker 1>been one hundred and twenty was at twenty three. So

601
00:41:24.480 --> 00:41:27.880
<v Speaker 1>I supplemented with DHA, not over the counter, but from

602
00:41:27.920 --> 00:41:32.880
<v Speaker 1>a compounding pharmacy, and within a week my memory came back.

603
00:41:33.880 --> 00:41:38.440
<v Speaker 1>It was so significantly life altering for me. It was like,

604
00:41:38.599 --> 00:41:41.840
<v Speaker 1>oh my god, my patients that are complaining of this

605
00:41:42.159 --> 00:41:45.639
<v Speaker 1>must I must check that. I must stay diligent with this.

606
00:41:46.519 --> 00:41:51.400
<v Speaker 1>So so you know, to the gynecologist that said there's

607
00:41:51.480 --> 00:41:55.000
<v Speaker 1>zero value, I would one hundred percent disagree with that.

608
00:41:55.840 --> 00:41:59.719
<v Speaker 1>I mean, so I think that again, if you're a

609
00:41:59.760 --> 00:42:05.679
<v Speaker 1>physician who's your wheelhouses hormones, and you're dedicated like I am,

610
00:42:05.960 --> 00:42:09.199
<v Speaker 1>you know, by all means, find a physician like myself

611
00:42:09.280 --> 00:42:13.079
<v Speaker 1>or others that are also dedicated to check those levels

612
00:42:13.079 --> 00:42:16.360
<v Speaker 1>so that you can track with your physician. You know

613
00:42:16.400 --> 00:42:21.320
<v Speaker 1>how to balance and how to stay aligned with the

614
00:42:21.360 --> 00:42:23.000
<v Speaker 1>process of premenopause.

615
00:42:23.400 --> 00:42:29.280
<v Speaker 2>And when someone is in perimenopause or menopause postmenopause, how

616
00:42:29.280 --> 00:42:32.719
<v Speaker 2>often should they be checking wind holes.

617
00:42:33.119 --> 00:42:37.280
<v Speaker 1>So when I have, say a postmenopausal woman come in

618
00:42:37.400 --> 00:42:41.199
<v Speaker 1>and she's like not doing well, she's you know, depressed,

619
00:42:41.239 --> 00:42:44.199
<v Speaker 1>she's not sleeping well, she you know all those things,

620
00:42:44.239 --> 00:42:48.360
<v Speaker 1>feels very stressed, feels very agitated, is gaining weight, I

621
00:42:48.480 --> 00:42:53.360
<v Speaker 1>check her estradil progesterone level, not progesterone because nobody postmenopausal

622
00:42:53.440 --> 00:42:57.320
<v Speaker 1>has a progesterone level, because the ovaries are done. Estrogen

623
00:42:57.440 --> 00:43:03.400
<v Speaker 1>level DTA free and total testosterone. And if their estrogen

624
00:43:03.519 --> 00:43:08.320
<v Speaker 1>is high by high I mean twenty twenty five fifty,

625
00:43:09.480 --> 00:43:13.199
<v Speaker 1>that's a problem. So then I look at their herbal

626
00:43:13.199 --> 00:43:17.280
<v Speaker 1>supplements that they're taking. If they're taking any herbal supplements

627
00:43:17.400 --> 00:43:23.760
<v Speaker 1>that are estrogenic, like my taki mushrooms can stimulate estrogen production.

628
00:43:24.320 --> 00:43:27.960
<v Speaker 1>Ashwaganda can if you're taking too much of it. So

629
00:43:28.000 --> 00:43:32.039
<v Speaker 1>there are and it's too much to discuss in this podcast,

630
00:43:32.599 --> 00:43:36.039
<v Speaker 1>but you know, I'll have them do, say a liver cleanse,

631
00:43:36.159 --> 00:43:41.719
<v Speaker 1>and then get off alcohol, go plant based, whole food,

632
00:43:41.719 --> 00:43:44.480
<v Speaker 1>plant based, and then I'll check their level again like

633
00:43:44.519 --> 00:43:51.000
<v Speaker 1>a month later. Invariably it drops and so once it's low,

634
00:43:51.639 --> 00:43:54.719
<v Speaker 1>then you can start doing the balance. Then I can

635
00:43:54.760 --> 00:43:58.159
<v Speaker 1>start adding progesterone to bring their level up to like

636
00:43:58.239 --> 00:44:01.280
<v Speaker 1>one or two, and I typic will check the level

637
00:44:01.440 --> 00:44:05.800
<v Speaker 1>two months after I start progesterone, and then if they

638
00:44:05.840 --> 00:44:09.039
<v Speaker 1>feel well, then three months later I'll check it again,

639
00:44:09.159 --> 00:44:12.320
<v Speaker 1>make sure it's stable. If everything's good, all is good.

640
00:44:12.519 --> 00:44:16.039
<v Speaker 1>In six months I'll check it. So but at first

641
00:44:16.159 --> 00:44:18.480
<v Speaker 1>there you have to be more diligent because you don't

642
00:44:18.519 --> 00:44:21.199
<v Speaker 1>know how her body is going to process the hormone

643
00:44:21.480 --> 00:44:24.440
<v Speaker 1>and you don't want to give too much or have

644
00:44:25.159 --> 00:44:28.559
<v Speaker 1>some women they don't metabolize progesterone well and it converts

645
00:44:28.559 --> 00:44:33.320
<v Speaker 1>into estrogen, they cannot be on progesterone, so or at

646
00:44:33.400 --> 00:44:36.639
<v Speaker 1>least at that point. So there's so many different factors.

647
00:44:37.079 --> 00:44:39.480
<v Speaker 1>That's why the customized approach is the best.

648
00:44:40.079 --> 00:44:46.000
<v Speaker 2>And with someone who's post metopause. And by the way,

649
00:44:46.280 --> 00:44:50.760
<v Speaker 2>menopause is the day that's twelve months after your last period, right,

650
00:44:51.159 --> 00:44:55.199
<v Speaker 2>it's like one day by death. So by definitely so

651
00:44:55.320 --> 00:44:58.280
<v Speaker 2>post menopause with someone if if let's say you have

652
00:44:58.320 --> 00:45:03.960
<v Speaker 2>a patient you've prescribed BHRT. Are they on that for

653
00:45:04.000 --> 00:45:05.480
<v Speaker 2>the rest of their life?

654
00:45:06.159 --> 00:45:10.519
<v Speaker 1>So it's again hormone balancing, but it depends. So some

655
00:45:10.679 --> 00:45:13.960
<v Speaker 1>of my patients, I mean again, that's customized, so they

656
00:45:14.000 --> 00:45:17.480
<v Speaker 1>can be And what I'll do is like after three

657
00:45:17.599 --> 00:45:20.679
<v Speaker 1>four years, you know, if the patient says, I want

658
00:45:20.719 --> 00:45:23.320
<v Speaker 1>to see how I feel off this, get off it,

659
00:45:23.599 --> 00:45:26.400
<v Speaker 1>see how you feel if you want to get back

660
00:45:26.440 --> 00:45:28.960
<v Speaker 1>on it. If you don't feel as sharp, we'll get

661
00:45:29.000 --> 00:45:31.960
<v Speaker 1>back on it. But you know, again, you have to

662
00:45:32.000 --> 00:45:36.639
<v Speaker 1>be the pilot of your own journey. And if your

663
00:45:37.000 --> 00:45:40.440
<v Speaker 1>inner intuition says, I want to see what happens when

664
00:45:40.440 --> 00:45:44.320
<v Speaker 1>I stop it, by all means so I mean again,

665
00:45:44.400 --> 00:45:47.920
<v Speaker 1>we can't say it's for your whole life for everybody.

666
00:45:48.360 --> 00:45:50.599
<v Speaker 1>For some women it is, for others it isn't.

667
00:45:50.760 --> 00:45:54.960
<v Speaker 2>So you know, customized, I know that we've reached the

668
00:45:55.079 --> 00:45:58.000
<v Speaker 2>end of your time, but I just on that point

669
00:45:58.159 --> 00:46:02.559
<v Speaker 2>in terms of how long do you add kate for BHRT,

670
00:46:03.480 --> 00:46:08.519
<v Speaker 2>not just for symptom relief, but for prevention. Yes, I

671
00:46:08.559 --> 00:46:12.440
<v Speaker 2>have some you know, like cardiovascular bone health all that.

672
00:46:13.039 --> 00:46:16.039
<v Speaker 1>So for example, if all have a woman whose bone

673
00:46:16.119 --> 00:46:19.920
<v Speaker 1>density is really reduced, Now the bone density issue is

674
00:46:19.960 --> 00:46:24.079
<v Speaker 1>not just a hormonal issue. It's a food issue. So

675
00:46:24.280 --> 00:46:27.000
<v Speaker 1>women that eat a lot of meat are going to

676
00:46:27.079 --> 00:46:32.800
<v Speaker 1>have a more accelerated bone loss because the acidic pH

677
00:46:32.920 --> 00:46:37.559
<v Speaker 1>that animal protein creates in the body triggers parathyroid hormone

678
00:46:37.559 --> 00:46:41.400
<v Speaker 1>production because the heart and the brain cannot function in

679
00:46:41.440 --> 00:46:46.119
<v Speaker 1>an acidic pH and so that stimulates parathyroid production. The

680
00:46:46.159 --> 00:46:51.000
<v Speaker 1>parathyroid hormone mobilizes calcium out of the bones to neutralize

681
00:46:51.000 --> 00:46:53.880
<v Speaker 1>the pH. If you're on a whole food, plant based

682
00:46:53.920 --> 00:46:57.800
<v Speaker 1>diet that's more alkaline, you're not going to need the

683
00:46:57.800 --> 00:47:01.159
<v Speaker 1>parathyroid hormone to dissolve your bones in order to neutralize

684
00:47:01.199 --> 00:47:05.840
<v Speaker 1>your pH. And so for them for women that come

685
00:47:05.840 --> 00:47:11.199
<v Speaker 1>in they've got osteoporosis early or they have osteopenia, it's accelerating.

686
00:47:11.679 --> 00:47:13.920
<v Speaker 1>I'll put them on a whole food plant based diet

687
00:47:14.320 --> 00:47:17.639
<v Speaker 1>and if they're not on hormones, the hormone that actually

688
00:47:18.000 --> 00:47:25.360
<v Speaker 1>causes bone growth bone density improvement is progesterone, the bioidentical

689
00:47:25.400 --> 00:47:31.559
<v Speaker 1>progesterone and testosterone if the testosterone is low, So if

690
00:47:31.559 --> 00:47:34.760
<v Speaker 1>the free testosterone is low, I'll put them on progesterone

691
00:47:34.760 --> 00:47:38.320
<v Speaker 1>and free testosterone and then check their levels have them,

692
00:47:38.360 --> 00:47:40.679
<v Speaker 1>do weight bearing exercises, you know, put them on my

693
00:47:41.320 --> 00:47:45.360
<v Speaker 1>you know, bone health regimen, and then we'll retest the

694
00:47:45.400 --> 00:47:48.320
<v Speaker 1>bone density in a year or two years, depending upon

695
00:47:48.360 --> 00:47:51.320
<v Speaker 1>what their insurance will pay, and nine out of ten

696
00:47:51.400 --> 00:47:56.239
<v Speaker 1>times it's improved. So you know, so hormones are not

697
00:47:56.599 --> 00:48:02.199
<v Speaker 1>like the primary cause of bone us. It's the primary

698
00:48:02.239 --> 00:48:06.440
<v Speaker 1>cause really is the lifestyle, you know, the standard American

699
00:48:06.519 --> 00:48:10.719
<v Speaker 1>diet that's heavy in meat and less fiber. But also

700
00:48:10.960 --> 00:48:16.639
<v Speaker 1>remember your microbiome is the organ that absorbs calcium from

701
00:48:16.679 --> 00:48:20.760
<v Speaker 1>your food. So if your microbiome is not healthy, you're

702
00:48:21.239 --> 00:48:23.440
<v Speaker 1>not going to absorb the calcium that you should be

703
00:48:23.440 --> 00:48:28.039
<v Speaker 1>absorbing because that is your nutrient absorber. So we want

704
00:48:28.079 --> 00:48:32.480
<v Speaker 1>to keep that kitchen mother fed, those insoluble fiber, that

705
00:48:32.559 --> 00:48:38.480
<v Speaker 1>insoluble fiber and the array of the rainbow in our

706
00:48:40.000 --> 00:48:44.119
<v Speaker 1>plant based, whole food, plant based diet. So that's really

707
00:48:44.519 --> 00:48:48.719
<v Speaker 1>how I do it. Some women are intolerant of progesterone

708
00:48:48.760 --> 00:48:52.880
<v Speaker 1>that have bone loss, they can't do it, so, you know,

709
00:48:52.960 --> 00:48:57.679
<v Speaker 1>so it's it's everything except the hormones then, because the

710
00:48:57.679 --> 00:49:00.599
<v Speaker 1>hormones play a role, but not as big of a

711
00:49:00.679 --> 00:49:04.199
<v Speaker 1>role as people assign them. What I would say, my

712
00:49:04.400 --> 00:49:09.679
<v Speaker 1>observation not anything I've read, is that your lifestyle catches

713
00:49:09.800 --> 00:49:12.480
<v Speaker 1>up with you, and it really catches up with you

714
00:49:12.519 --> 00:49:16.400
<v Speaker 1>when your hormones leave because you don't have the reserves

715
00:49:16.480 --> 00:49:21.920
<v Speaker 1>or the buffer to bounce back as fast. So you'll

716
00:49:22.280 --> 00:49:27.079
<v Speaker 1>feel the effects of decades of not a great lifestyle

717
00:49:27.199 --> 00:49:30.199
<v Speaker 1>after the hormones leave, So the hormones can't restore that

718
00:49:30.480 --> 00:49:31.800
<v Speaker 1>you have to change your lifestyle.

719
00:49:32.719 --> 00:49:36.480
<v Speaker 2>Interesting, all right. I know that people want to find

720
00:49:36.519 --> 00:49:39.679
<v Speaker 2>you and talk to you, So please tell our audience

721
00:49:40.679 --> 00:49:43.000
<v Speaker 2>where they can find you and if they want to

722
00:49:43.039 --> 00:49:46.039
<v Speaker 2>make an appointment with you. Do you work virtually across

723
00:49:46.079 --> 00:49:46.639
<v Speaker 2>the States.

724
00:49:47.000 --> 00:49:56.559
<v Speaker 1>My website is www omanicenter dot com omm anicenter dot com.

725
00:49:56.880 --> 00:50:01.639
<v Speaker 1>The number here is two six' two six five five

726
00:50:01.880 --> 00:50:05.000
<v Speaker 1>three one, one so you can call to schedule an,

727
00:50:05.039 --> 00:50:08.440
<v Speaker 1>appointment or go to the website and there's a message

728
00:50:08.679 --> 00:50:11.320
<v Speaker 1>board there where you can send a message for an.

729
00:50:11.360 --> 00:50:15.119
<v Speaker 1>APPOINTMENT i see women and men all over the. COUNTRY

730
00:50:15.360 --> 00:50:19.599
<v Speaker 1>i do, TELEHEALTH i do phone, CONSOLES i do second,

731
00:50:19.679 --> 00:50:24.679
<v Speaker 1>OPINIONS i do complex medical. ISSUES i do autoimmune. DISEASE

732
00:50:24.800 --> 00:50:28.960
<v Speaker 1>i do functional. MEDICINE i, mean the list is. Limitless

733
00:50:28.960 --> 00:50:32.000
<v Speaker 1>i've been in practice for over thirty. Years And i'm

734
00:50:32.079 --> 00:50:36.079
<v Speaker 1>patient centered and very customized in my, approach SO i

735
00:50:36.119 --> 00:50:39.480
<v Speaker 1>have a lot of patients with thyroid imbalances and thyroid,

736
00:50:39.519 --> 00:50:43.400
<v Speaker 1>issues so that's sort of become a wheelhouse also for.

737
00:50:43.519 --> 00:50:46.280
<v Speaker 2>Me and you also wrote a, book, Correct.

738
00:50:46.159 --> 00:50:49.920
<v Speaker 1>Yes the book is Called Becoming, Real Reclaiming Your health In.

739
00:50:50.039 --> 00:50:54.800
<v Speaker 1>Midlife you can go to my website and click on

740
00:50:54.880 --> 00:50:59.880
<v Speaker 1>bookstore and order. It the kindle is more user friendly

741
00:51:00.039 --> 00:51:03.639
<v Speaker 1>at this, Point i'm not publishing the paperback Through amazon,

742
00:51:03.719 --> 00:51:08.039
<v Speaker 1>anymore but the kindle is On, amazon so please feel

743
00:51:08.079 --> 00:51:09.599
<v Speaker 1>free to. Download it's nine ninety.

744
00:51:09.679 --> 00:51:13.559
<v Speaker 2>Nine if someone is listening who's outside of THE, us

745
00:51:14.159 --> 00:51:19.400
<v Speaker 2>is there a way to benefit from your expertise or?

746
00:51:19.400 --> 00:51:23.679
<v Speaker 1>No, WELL i do do consults outside THE, us BUT

747
00:51:23.760 --> 00:51:27.559
<v Speaker 1>i can't, prescribe so it's more of an educational and

748
00:51:27.599 --> 00:51:30.559
<v Speaker 1>then they can talk to their physicians in their day

749
00:51:30.679 --> 00:51:33.719
<v Speaker 1>in their country and see where they get with. That

750
00:51:34.519 --> 00:51:38.440
<v Speaker 1>BUT i have, many many patients In, MEXICO i have

751
00:51:38.519 --> 00:51:41.400
<v Speaker 1>some In. PORTUGAL i have a few in The United

752
00:51:41.519 --> 00:51:45.559
<v Speaker 1>kingdom that just want a touch base to get information

753
00:51:46.400 --> 00:51:46.920
<v Speaker 1>and so.

754
00:51:47.239 --> 00:51:49.360
<v Speaker 2>To actually look at their blood test.

755
00:51:49.519 --> 00:51:53.440
<v Speaker 1>RESULTS i, DO i, do AND i can kind of

756
00:51:53.519 --> 00:51:57.159
<v Speaker 1>like explain it to them it's more, educational But i'm

757
00:51:57.199 --> 00:52:00.920
<v Speaker 1>not really managing their head BECAUSE i.

758
00:52:00.960 --> 00:52:06.159
<v Speaker 2>Can't, yeah, okay, WELL i mean this was. Wonderful thank

759
00:52:06.199 --> 00:52:10.639
<v Speaker 2>you so much on behalf of myself and the. Listeners thank.

760
00:52:10.719 --> 00:52:14.480
<v Speaker 2>You this really was a wonderful. Episode and for those

761
00:52:14.559 --> 00:52:18.000
<v Speaker 2>listening who have men in their life who might be

762
00:52:18.039 --> 00:52:21.679
<v Speaker 2>having a hormonal imbalance as, well we will be doing

763
00:52:21.719 --> 00:52:26.920
<v Speaker 2>a follow up episode with Doctor kumar regarding male hormonal.

764
00:52:27.000 --> 00:52:30.079
<v Speaker 2>Imbalance that will be the next episode On Plant Based

765
00:52:30.079 --> 00:52:34.280
<v Speaker 2>diet and until, then until we meet again Doctor kumar,

766
00:52:34.440 --> 00:52:35.639
<v Speaker 2>again thank you very.

767
00:52:35.760 --> 00:52:37.960
<v Speaker 1>Much, oh thank you es sir for having.

768
00:52:38.000 --> 00:52:44.679
<v Speaker 2>ME i hope you found this episode. HELPFUL i KNOW i.

769
00:52:44.800 --> 00:52:48.920
<v Speaker 2>Did please, share, rate leave a, review and Follow Plant

770
00:52:48.920 --> 00:52:52.360
<v Speaker 2>Based diet on your favorite podcast listening. Platform if you're

771
00:52:52.400 --> 00:52:55.679
<v Speaker 2>on social, media please follow us At Alternative Food network

772
00:52:55.719 --> 00:52:59.039
<v Speaker 2>On instagram and we're also On. LinkedIn we also publish

773
00:52:59.039 --> 00:53:03.440
<v Speaker 2>a monthly newsletter includes plant based, recipes recipe, videos our latest,

774
00:53:03.480 --> 00:53:07.119
<v Speaker 2>podcasts and the occasional. Giveaway you can sign up by

775
00:53:07.119 --> 00:53:10.559
<v Speaker 2>going on our Website alternativefoodnetwork dot com and click The

776
00:53:10.679 --> 00:53:14.360
<v Speaker 2>newsletters sign up. Button and please consider supporting us On

777
00:53:14.400 --> 00:53:18.920
<v Speaker 2>Buy me A coffee At buymacoffee dot com Slash Alternative Food.

778
00:53:18.920 --> 00:53:25.480
<v Speaker 2>Network until next, Time thanks for. Listening all content provided

779
00:53:25.559 --> 00:53:29.159
<v Speaker 2>or opinions expressed in this podcast or for informational purposes,

780
00:53:29.199 --> 00:53:32.159
<v Speaker 2>only and are not a substitute for professional medical. Advice

781
00:53:32.639 --> 00:53:35.719
<v Speaker 2>please seek advice from your doctor or other qualified healthcare.

782
00:53:35.760 --> 00:53:36.400
<v Speaker 2>Practitioner