5 Things That Are Silently Wrecking Your Fertility (Most People Do All of Them)

So, if we take infertility not just as a So, if we take infertility not just as a disease or a problem and we treat it disease or a problem and we treat it disease or a problem and we treat it also as a symptom also as a symptom also as a symptom >> [music] >> [music] >> [music] >> that it's a representation of your >> that it's a representation of your >> that it's a representation of your underlying health, that really allows underlying health, that really allows underlying health, that really allows people the opportunity to change their people the opportunity to change their people the opportunity to change their life. life. life. >> What you're saying really is important. >> What you're saying really is important. >> What you're saying really is important. Fertility and the your reproductive Fertility and the your reproductive Fertility and the your reproductive health, those are not just relevant for health, those are not just relevant for health, those are not just relevant for people are looking to have a baby. They people are looking to have a baby. They people are looking to have a baby. They are relevant for everybody because they are relevant for everybody because they are relevant for everybody because they they speak [music] to this early warning they speak [music] to this early warning they speak [music] to this early warning signs like a early flashing warning sign signs like a early flashing warning sign signs like a early flashing warning sign in your body that something's off. in your body that something's off. in your body that something's off. >> women, it is that [music] first glimpse >> women, it is that [music] first glimpse >> women, it is that [music] first glimpse into your cellular health. If we can get into your cellular health. If we can get into your cellular health. If we can get women to start paying attention to this women to start paying attention to this women to start paying attention to this younger in their 20s and 30s, [music] younger in their 20s and 30s, [music] younger in their 20s and 30s, [music] we're going to have a new generation of we're going to have a new generation of we're going to have a new generation of women. women. women. >> Welcome Natalie, so good to have you on >> Welcome Natalie, so good to have you on >> Welcome Natalie, so good to have you on the podcast. the podcast. the podcast. >> Thank you Mark, I'm thrilled to be here. >> Thank you Mark, I'm thrilled to be here. >> Thank you Mark, I'm thrilled to be here. >> What's interesting about your work in >> What's interesting about your work in >> What's interesting about your work in [music] the fertility space is that you [music] the fertility space is that you [music] the fertility space is that you kind of reframe fertility and fertility kind of reframe fertility and fertility kind of reframe fertility and fertility issues in both men and women as sort of issues in both men and women as sort of issues in both men and women as sort of a biomarker of overall health. a biomarker of overall health. a biomarker of overall health. >> Right. >> Right. >> Right. >> And it like you talk about it as a vital >> And it like you talk about it as a vital >> And it like you talk about it as a vital sign, the reproductive cycle as a vital sign, the reproductive cycle as a vital sign, the reproductive cycle as a vital sign, but you could also say sperm sign, but you could also say sperm sign, but you could also say sperm health is a vital sign. health is a vital sign. health is a vital sign. >> Correct. >> Correct. >> Correct. >> I think that that most people don't >> I think that that most people don't >> I think that that most people don't think about it that way. think about it that way. think about it that way. >> It is important that we zoom out on >> It is important that we zoom out on >> It is important that we zoom out on fertility not just being the ability to fertility not just being the ability to fertility not just being the ability to get pregnant because for many couples, get pregnant because for many couples, get pregnant because for many couples, especially younger couples, they don't especially younger couples, they don't especially younger couples, they don't have any medical problems, they've never have any medical problems, they've never have any medical problems, they've never had, you know, chronic illness care that had, you know, chronic illness care that had, you know, chronic illness care that they know about. they know about. they know about. >> Yeah. >> Yeah. >> Yeah. >> And when they first try to get pregnant, >> And when they first try to get pregnant, >> And when they first try to get pregnant, this is one of the first time they're this is one of the first time they're this is one of the first time they're challenging their body to do something challenging their body to do something challenging their body to do something else and we get insight for underlying else and we get insight for underlying else and we get insight for underlying cellular and metabolic dysfunction. So, cellular and metabolic dysfunction. So, cellular and metabolic dysfunction. So, if we take infertility not just as a if we take infertility not just as a if we take infertility not just as a disease or a problem and we treat it disease or a problem and we treat it disease or a problem and we treat it also as a symptom that it's a also as a symptom that it's a also as a symptom that it's a representation of your underlying representation of your underlying representation of your underlying health, that really allows people the health, that really allows people the health, that really allows people the opportunity to change their life and get opportunity to change their life and get opportunity to change their life and get earlier testing, think about how they earlier testing, think about how they earlier testing, think about how they advocate for themselves and optimize advocate for themselves and optimize advocate for themselves and optimize things and that could change their things and that could change their things and that could change their chronic disease risk as well. chronic disease risk as well. chronic disease risk as well. >> And I I love your reframe of like the >> And I I love your reframe of like the >> And I I love your reframe of like the fertility space and reproductive fertility space and reproductive fertility space and reproductive endocrinology from a disease-based like endocrinology from a disease-based like endocrinology from a disease-based like infertility as a pathology infertility as a pathology infertility as a pathology >> Mhm. to saying, oh, maybe we reframe >> Mhm. to saying, oh, maybe we reframe >> Mhm. to saying, oh, maybe we reframe this and say, how do we create healthy this and say, how do we create healthy this and say, how do we create healthy reproduction cycles and healthy sperm reproduction cycles and healthy sperm reproduction cycles and healthy sperm as a way of creating fertility as as a way of creating fertility as as a way of creating fertility as opposed to medicalizing fertility. opposed to medicalizing fertility. opposed to medicalizing fertility. >> Right. Right now, the space is very >> Right. Right now, the space is very >> Right. Right now, the space is very reactive. In fact, just the definition reactive. In fact, just the definition reactive. In fact, just the definition of infertility, let's try for a year of infertility, let's try for a year of infertility, let's try for a year and then when you fail, only when you and then when you fail, only when you and then when you fail, only when you fail will we bring you in. And now we'll fail will we bring you in. And now we'll fail will we bring you in. And now we'll test your sperm and test ovarian reserve test your sperm and test ovarian reserve test your sperm and test ovarian reserve and find out if you have uterine birth and find out if you have uterine birth and find out if you have uterine birth defects. It doesn't make sense to me in defects. It doesn't make sense to me in defects. It doesn't make sense to me in today's day and age when infertility today's day and age when infertility today's day and age when infertility rates are rising that we're making rates are rising that we're making rates are rising that we're making people fail first before they even get people fail first before they even get people fail first before they even get data about their body. And as a data about their body. And as a data about their body. And as a clinician, I know you and I feel clinician, I know you and I feel clinician, I know you and I feel similarly, I shouldn't be the gatekeeper similarly, I shouldn't be the gatekeeper similarly, I shouldn't be the gatekeeper for you to get data about your body. You for you to get data about your body. You for you to get data about your body. You should be able to access that should be able to access that should be able to access that information because we can't make information because we can't make information because we can't make decisions on data we don't know. decisions on data we don't know. decisions on data we don't know. >> It's true. I remember I'm older than >> It's true. I remember I'm older than >> It's true. I remember I'm older than you, but I remember you, but I remember you, but I remember it was so it was so it was so patronizing when I was trained, you patronizing when I was trained, you patronizing when I was trained, you know, basically do the test on the know, basically do the test on the know, basically do the test on the patient, you don't give them the patient, you don't give them the patient, you don't give them the results, you say your labs are fine. If results, you say your labs are fine. If results, you say your labs are fine. If they ask specific questions, you might they ask specific questions, you might they ask specific questions, you might go, well, your blood sugar's okay, your go, well, your blood sugar's okay, your go, well, your blood sugar's okay, your cholesterol's okay, but not like any cholesterol's okay, but not like any cholesterol's okay, but not like any real detail. You certainly don't give real detail. You certainly don't give real detail. You certainly don't give them the paper that it's printed on. them the paper that it's printed on. them the paper that it's printed on. >> Right. >> Right. >> Right. >> You >> You >> You >> No, in my early training, I would send >> No, in my early training, I would send >> No, in my early training, I would send patients, you know, notifications and it patients, you know, notifications and it patients, you know, notifications and it wasn't the EMR at this time, but it wasn't the EMR at this time, but it wasn't the EMR at this time, but it would really just be your labs are all would really just be your labs are all would really just be your labs are all good. And no, not even attaching the good. And no, not even attaching the good. And no, not even attaching the results, no explanation about what good results, no explanation about what good results, no explanation about what good means or optimal means. means or optimal means. means or optimal means. >> all changed cuz I co-founded Function >> all changed cuz I co-founded Function >> all changed cuz I co-founded Function Health and people are flocking to find Health and people are flocking to find Health and people are flocking to find out what's going on in their body and out what's going on in their body and out what's going on in their body and they should have the ability to own they should have the ability to own they should have the ability to own their health and to check their health. their health and to check their health. their health and to check their health. >> 100%. I couldn't agree more. >> 100%. I couldn't agree more. >> 100%. I couldn't agree more. >> Your work really came out of and we're >> Your work really came out of and we're >> Your work really came out of and we're going to dive into not exactly how to going to dive into not exactly how to going to dive into not exactly how to get pregnant and fertility exactly, but get pregnant and fertility exactly, but get pregnant and fertility exactly, but more and reproductive health as a more and reproductive health as a more and reproductive health as a biomarker of your overall health and biomarker of your overall health and biomarker of your overall health and what it tells you about what's going on what it tells you about what's going on what it tells you about what's going on in your body. It often is pre-disease, in your body. It often is pre-disease, in your body. It often is pre-disease, but it's really meaningful. And if you but it's really meaningful. And if you but it's really meaningful. And if you catch things early, you're actually catch things early, you're actually catch things early, you're actually going to have a better trajectory of going to have a better trajectory of going to have a better trajectory of your overall health for your life. your overall health for your life. your overall health for your life. >> Right. >> Right. >> Right. >> So, that's kind of like what I love >> So, that's kind of like what I love >> So, that's kind of like what I love about your work. Okay, so let's let's about your work. Okay, so let's let's about your work. Okay, so let's let's kind of get more specific and granular kind of get more specific and granular kind of get more specific and granular about this cuz you know, you you know a about this cuz you know, you you know a about this cuz you know, you you know a lot of women just feel like something's lot of women just feel like something's lot of women just feel like something's off and they go to the doctor and off and they go to the doctor and off and they go to the doctor and they're either they're reproductive age they're either they're reproductive age they're either they're reproductive age they get the pill and if they're they get the pill and if they're they get the pill and if they're perimenopausal they get hormone perimenopausal they get hormone perimenopausal they get hormone replacement therapy and it's kind of replacement therapy and it's kind of replacement therapy and it's kind of like a like a like a like a like a like a binary option. binary option. binary option. And nobody ever starts to look And nobody ever starts to look And nobody ever starts to look underneath the hood and see what's going underneath the hood and see what's going underneath the hood and see what's going on. So, you talk about about women on. So, you talk about about women on. So, you talk about about women feeling off and and the the menstrual feeling off and and the the menstrual feeling off and and the the menstrual cycle being like a vital sign. What does cycle being like a vital sign. What does cycle being like a vital sign. What does that actually mean? that actually mean? that actually mean? >> The menstrual cycle is your body's way >> The menstrual cycle is your body's way >> The menstrual cycle is your body's way to tell you how your hormones are to tell you how your hormones are to tell you how your hormones are communicating. I want to set the stage communicating. I want to set the stage communicating. I want to set the stage that your hormones come from different that your hormones come from different that your hormones come from different organs and we'll talk about the organs and we'll talk about the organs and we'll talk about the reproductive system, we'll say brain and reproductive system, we'll say brain and reproductive system, we'll say brain and ovaries. Your brain doesn't know what's ovaries. Your brain doesn't know what's ovaries. Your brain doesn't know what's happening in the ovary, can't see the happening in the ovary, can't see the happening in the ovary, can't see the ovary. It's relying on the signals that ovary. It's relying on the signals that ovary. It's relying on the signals that the ovary makes to tell it what to do. the ovary makes to tell it what to do. the ovary makes to tell it what to do. Estrogen, progesterone, testosterone. Estrogen, progesterone, testosterone. Estrogen, progesterone, testosterone. So, if we think about these as, you So, if we think about these as, you So, if we think about these as, you know, friends on a walkie-talkie, you know, friends on a walkie-talkie, you know, friends on a walkie-talkie, you know, the ovary's going to walkie-talkie know, the ovary's going to walkie-talkie know, the ovary's going to walkie-talkie the brain, the brain's going to hear it. the brain, the brain's going to hear it. the brain, the brain's going to hear it. One important factor is people say, One important factor is people say, One important factor is people say, "Well, how does inflammation impact "Well, how does inflammation impact "Well, how does inflammation impact this?" One way is static interference on this?" One way is static interference on this?" One way is static interference on the radio. So, if the brain can't hear the radio. So, if the brain can't hear the radio. So, if the brain can't hear the signals that are coming in because the signals that are coming in because the signals that are coming in because there's static on that radio, it's not there's static on that radio, it's not there's static on that radio, it's not going to respond appropriately. Same going to respond appropriately. Same going to respond appropriately. Same things happens at the ovary level. And things happens at the ovary level. And things happens at the ovary level. And then inflammation doubles down on this then inflammation doubles down on this then inflammation doubles down on this because it actually impacts your egg because it actually impacts your egg because it actually impacts your egg quality, the genetic normalcy, the quality, the genetic normalcy, the quality, the genetic normalcy, the mitochondrial function, and the ability mitochondrial function, and the ability mitochondrial function, and the ability of the ovary to respond to the brain of the ovary to respond to the brain of the ovary to respond to the brain signals. signals. signals. To put it really loosely though, because To put it really loosely though, because To put it really loosely though, because I don't think a lot of women always I don't think a lot of women always I don't think a lot of women always understand their menstrual cycle. I'd understand their menstrual cycle. I'd understand their menstrual cycle. I'd love to give you my 1-minute love to give you my 1-minute love to give you my 1-minute analogy overview. So, women are born analogy overview. So, women are born analogy overview. So, women are born with all the eggs they're ever going to with all the eggs they're ever going to with all the eggs they're ever going to have. We like to think about them as have. We like to think about them as have. We like to think about them as kept in a vault inside ovary. That's my kept in a vault inside ovary. That's my kept in a vault inside ovary. That's my favorite analogy. Every month a group of favorite analogy. Every month a group of favorite analogy. Every month a group of these eggs comes out of that vault. From these eggs comes out of that vault. From these eggs comes out of that vault. From that group, one will be chosen to that group, one will be chosen to that group, one will be chosen to ovulate. So, the brain sends out FSH, ovulate. So, the brain sends out FSH, ovulate. So, the brain sends out FSH, follicle-stimulating hormone, well-named follicle-stimulating hormone, well-named follicle-stimulating hormone, well-named one of the one times in medicine where one of the one times in medicine where one of the one times in medicine where things are named after women because things are named after women because things are named after women because each egg grows inside a follicle. each egg grows inside a follicle. each egg grows inside a follicle. >> It also works for men, too. >> It also works for men, too. >> It also works for men, too. >> Yeah, it does, but it's named for women >> Yeah, it does, but it's named for women >> Yeah, it does, but it's named for women this time. So, follicle-stimulating this time. So, follicle-stimulating this time. So, follicle-stimulating hormone stimulates that follicle to hormone stimulates that follicle to hormone stimulates that follicle to grow. The egg matures and makes estrogen grow. The egg matures and makes estrogen grow. The egg matures and makes estrogen and this This the first phase of the and this This the first phase of the and this This the first phase of the cycle called the follicular phase. This cycle called the follicular phase. This cycle called the follicular phase. This is by nature an estrogen dominant phase. is by nature an estrogen dominant phase. is by nature an estrogen dominant phase. And then when estrogen levels are high And then when estrogen levels are high And then when estrogen levels are high enough, and it's really specific, 200 enough, and it's really specific, 200 enough, and it's really specific, 200 picograms for 50 hours, now the brain picograms for 50 hours, now the brain picograms for 50 hours, now the brain gets a strong enough signal to say, "Oh, gets a strong enough signal to say, "Oh, gets a strong enough signal to say, "Oh, I have a mature egg." And sends out a I have a mature egg." And sends out a I have a mature egg." And sends out a signal of LH or luteinizing hormone. signal of LH or luteinizing hormone. signal of LH or luteinizing hormone. LH allows that follicle to rupture, the LH allows that follicle to rupture, the LH allows that follicle to rupture, the egg to be released, and then the egg to be released, and then the egg to be released, and then the follicle to reform. That's ovulation. follicle to reform. That's ovulation. follicle to reform. That's ovulation. And then after ovulation, that follicle And then after ovulation, that follicle And then after ovulation, that follicle that just reformed is now a corpus that just reformed is now a corpus that just reformed is now a corpus luteum. Same structure, so the luteum. Same structure, so the luteum. Same structure, so the foundation was built from the follicle. foundation was built from the follicle. foundation was built from the follicle. But now it makes progesterone. So LH But now it makes progesterone. So LH But now it makes progesterone. So LH pulses from the brain stimulate pulses from the brain stimulate pulses from the brain stimulate progesterone pulses from the corpus progesterone pulses from the corpus progesterone pulses from the corpus luteum. Corpus luteum can only live luteum. Corpus luteum can only live luteum. Corpus luteum can only live about 2 weeks unless you get pregnant. about 2 weeks unless you get pregnant. about 2 weeks unless you get pregnant. If you get pregnant, HCG keeps it If you get pregnant, HCG keeps it If you get pregnant, HCG keeps it living. HCG and LH are similar in living. HCG and LH are similar in living. HCG and LH are similar in structure. structure. structure. >> And HCG is the pregnancy hormone. >> And HCG is the pregnancy hormone. >> And HCG is the pregnancy hormone. >> hormone. You take in pregnancy tests. >> hormone. You take in pregnancy tests. >> hormone. You take in pregnancy tests. Exactly. And so if you don't get Exactly. And so if you don't get Exactly. And so if you don't get pregnant, which is often what happens pregnant, which is often what happens pregnant, which is often what happens most months, that corpus luteum will most months, that corpus luteum will most months, that corpus luteum will die. Progesterone levels will drop. A die. Progesterone levels will drop. A die. Progesterone levels will drop. A woman will get a menstrual period. And woman will get a menstrual period. And woman will get a menstrual period. And this process will start over inside the this process will start over inside the this process will start over inside the ovaries. The reason why this is really ovaries. The reason why this is really ovaries. The reason why this is really important is that we you alluded to some important is that we you alluded to some important is that we you alluded to some of the reasons. Women are given hormonal of the reasons. Women are given hormonal of the reasons. Women are given hormonal contraceptives, so they're not ovulating contraceptives, so they're not ovulating contraceptives, so they're not ovulating or they're losing their cycle as a vital or they're losing their cycle as a vital or they're losing their cycle as a vital sign. But even if they are not, and sign. But even if they are not, and sign. But even if they are not, and they're trying to track their cycle, they're trying to track their cycle, they're trying to track their cycle, many women are using apps where they many women are using apps where they many women are using apps where they simply put in cycle day one. And these simply put in cycle day one. And these simply put in cycle day one. And these apps, if they don't leverage other apps, if they don't leverage other apps, if they don't leverage other markers of ovulation, are using an markers of ovulation, are using an markers of ovulation, are using an old-fashioned method called the calendar old-fashioned method called the calendar old-fashioned method called the calendar method, assuming that for every single method, assuming that for every single method, assuming that for every single person the luteal phase is set at 14 person the luteal phase is set at 14 person the luteal phase is set at 14 days, and giving you this day of days, and giving you this day of days, and giving you this day of ovulation. And it's only accurately ovulation. And it's only accurately ovulation. And it's only accurately predicting ovulation 20% of the time. predicting ovulation 20% of the time. predicting ovulation 20% of the time. 20%. 20%. 20%. >> good. >> good. >> good. >> So when somebody >> So when somebody >> So when somebody >> It's 80/20 in the wrong direction. >> It's 80/20 in the wrong direction. >> It's 80/20 in the wrong direction. >> The wrong direction. So if somebody sits >> The wrong direction. So if somebody sits >> The wrong direction. So if somebody sits across from you, it's a doctor, and they across from you, it's a doctor, and they across from you, it's a doctor, and they say, "Are your cycles regular?" And you say, "Are your cycles regular?" And you say, "Are your cycles regular?" And you say, "Yes." say, "Yes." say, "Yes." And they move on to the next question. And they move on to the next question. And they move on to the next question. We're actually missing those little tire We're actually missing those little tire We're actually missing those little tire warning signs, the little red flags warning signs, the little red flags warning signs, the little red flags about what's going on. Ovulation is not about what's going on. Ovulation is not about what's going on. Ovulation is not a light switch. Yes, no. That's how many a light switch. Yes, no. That's how many a light switch. Yes, no. That's how many physicians treat it, and that's how many physicians treat it, and that's how many physicians treat it, and that's how many patients think about it. Either I patients think about it. Either I patients think about it. Either I ovulate or I don't ovulate. ovulate or I don't ovulate. ovulate or I don't ovulate. If we step back and we think about this If we step back and we think about this If we step back and we think about this beautiful communication system and how beautiful communication system and how beautiful communication system and how intact everything has to be, there are intact everything has to be, there are intact everything has to be, there are stages of ovulatory dysfunction that can stages of ovulatory dysfunction that can stages of ovulatory dysfunction that can allow us to intervene earlier, get allow us to intervene earlier, get allow us to intervene earlier, get earlier testing, or make changes well earlier testing, or make changes well earlier testing, or make changes well before we're in the I'm not ovulating at before we're in the I'm not ovulating at before we're in the I'm not ovulating at all. So, one of the first actual signs all. So, one of the first actual signs all. So, one of the first actual signs is what we call a short luteal phase. is what we call a short luteal phase. is what we call a short luteal phase. So, if the luteal phase, again, the So, if the luteal phase, again, the So, if the luteal phase, again, the second half of the cycle, if it's less second half of the cycle, if it's less second half of the cycle, if it's less than 11 days in length, that means the than 11 days in length, that means the than 11 days in length, that means the brain hasn't been able to send out brain hasn't been able to send out brain hasn't been able to send out enough signals to keep this corpus enough signals to keep this corpus enough signals to keep this corpus luteum growing or the follicle, the luteum growing or the follicle, the luteum growing or the follicle, the foundation that became the corpus foundation that became the corpus foundation that became the corpus luteum, wasn't strong enough. You know, luteum, wasn't strong enough. You know, luteum, wasn't strong enough. You know, you build a house on a bad foundation, you build a house on a bad foundation, you build a house on a bad foundation, it's not going to last as long. it's not going to last as long. it's not going to last as long. >> is going right, it'll be fine, but if if >> is going right, it'll be fine, but if if >> is going right, it'll be fine, but if if things are going wrong, it kind of gets things are going wrong, it kind of gets things are going wrong, it kind of gets wacky. wacky. wacky. >> It gets wacky. >> It gets wacky. >> It gets wacky. >> are the symptoms of wackiness and what >> are the symptoms of wackiness and what >> are the symptoms of wackiness and what are the reasons it gets wacky? are the reasons it gets wacky? are the reasons it gets wacky? >> So, for a short luteal phase, some of >> So, for a short luteal phase, some of >> So, for a short luteal phase, some of the top symptoms can be thyroid the top symptoms can be thyroid the top symptoms can be thyroid dysfunction. dysfunction. dysfunction. We can have hyperprolactin, which is a We can have hyperprolactin, which is a We can have hyperprolactin, which is a pituitary gland hormone, or we can have pituitary gland hormone, or we can have pituitary gland hormone, or we can have inflammation impacting what we call inflammation impacting what we call inflammation impacting what we call hypothalamic dysfunction. So, that's hypothalamic dysfunction. So, that's hypothalamic dysfunction. So, that's static interference on the radio, the static interference on the radio, the static interference on the radio, the brain can't interpret those signals brain can't interpret those signals brain can't interpret those signals quite well, so it's misfiring. quite well, so it's misfiring. quite well, so it's misfiring. >> stuff, like your thyroid's off or your >> stuff, like your thyroid's off or your >> stuff, like your thyroid's off or your pituitary tumor, it's benign, pituitary pituitary tumor, it's benign, pituitary pituitary tumor, it's benign, pituitary tumor, or you have inflammation. tumor, or you have inflammation. tumor, or you have inflammation. >> Chronic inflammation, insulin resistance >> Chronic inflammation, insulin resistance >> Chronic inflammation, insulin resistance because of how they impact the brain, because of how they impact the brain, because of how they impact the brain, the brain's lost that tight connection the brain's lost that tight connection the brain's lost that tight connection with the ovary. And so, when we start to with the ovary. And so, when we start to with the ovary. And so, when we start to say, oh, well, if I'm not just relying say, oh, well, if I'm not just relying say, oh, well, if I'm not just relying on my app, if I'm actually tracking on my app, if I'm actually tracking on my app, if I'm actually tracking ovulation, and this can be with cervical ovulation, and this can be with cervical ovulation, and this can be with cervical mucus, body temperature, or urinary mucus, body temperature, or urinary mucus, body temperature, or urinary hormone measurements, which we can go hormone measurements, which we can go hormone measurements, which we can go over, but then I can pinpoint when I'm over, but then I can pinpoint when I'm over, but then I can pinpoint when I'm ovulating, and I can count how long is ovulating, and I can count how long is ovulating, and I can count how long is my luteal phase. And I can start to see, my luteal phase. And I can start to see, my luteal phase. And I can start to see, oh, this is a problem. It might make it oh, this is a problem. It might make it oh, this is a problem. It might make it harder for me to get pregnant, but harder for me to get pregnant, but harder for me to get pregnant, but regardless, if I want to get pregnant or regardless, if I want to get pregnant or regardless, if I want to get pregnant or not, this is my body's red flag that not, this is my body's red flag that not, this is my body's red flag that something in my hormonal system is not something in my hormonal system is not something in my hormonal system is not connecting appropriately. connecting appropriately. connecting appropriately. >> So you mentioned two things. I think the >> So you mentioned two things. I think the >> So you mentioned two things. I think the thyroid is understandable. People have thyroid is understandable. People have thyroid is understandable. People have thyroid issues and one in five women thyroid issues and one in five women thyroid issues and one in five women have these thyroid problems and most of have these thyroid problems and most of have these thyroid problems and most of them are undiagnosed. them are undiagnosed. them are undiagnosed. >> 100%. >> 100%. >> 100%. >> Two is is pituitary tumors are pretty >> Two is is pituitary tumors are pretty >> Two is is pituitary tumors are pretty rare, although we're finding that a lot rare, although we're finding that a lot rare, although we're finding that a lot on functional labs with high prolactin on functional labs with high prolactin on functional labs with high prolactin levels. levels. levels. >> But also high prolactin, we should say, >> But also high prolactin, we should say, >> But also high prolactin, we should say, can come from other things, not just can come from other things, not just can come from other things, not just pituitary tumors. A lot of medications, pituitary tumors. A lot of medications, pituitary tumors. A lot of medications, especially psychiatric medications, so especially psychiatric medications, so especially psychiatric medications, so we see ADHD medications or medications we see ADHD medications or medications we see ADHD medications or medications for, you know, bipolar disease or for, you know, bipolar disease or for, you know, bipolar disease or depression, they actually can cause the depression, they actually can cause the depression, they actually can cause the pituitary gland to make more prolactin pituitary gland to make more prolactin pituitary gland to make more prolactin and they can throw off your cycle. and they can throw off your cycle. and they can throw off your cycle. >> So drugs. >> So drugs. >> So drugs. >> Right. >> Right. >> Right. >> But then there's inflammation and then >> But then there's inflammation and then >> But then there's inflammation and then you mentioned insulin resistance. you mentioned insulin resistance. you mentioned insulin resistance. Insulin resistance really primarily Insulin resistance really primarily Insulin resistance really primarily comes from diet, sugar, processed foods comes from diet, sugar, processed foods comes from diet, sugar, processed foods and I've talked a lot about that on and I've talked a lot about that on and I've talked a lot about that on podcasts. People I think understand podcasts. People I think understand podcasts. People I think understand that. that. that. But it's affecting like 92% of people at But it's affecting like 92% of people at But it's affecting like 92% of people at some level in this country with some level in this country with some level in this country with metabolic dysfunction. So it's huge and metabolic dysfunction. So it's huge and metabolic dysfunction. So it's huge and and the inflammation can be caused by and the inflammation can be caused by and the inflammation can be caused by the insulin resistance, but there are the insulin resistance, but there are the insulin resistance, but there are other causes and for you it was it was other causes and for you it was it was other causes and for you it was it was >> gluten. >> gluten. >> gluten. >> But it can be environmental toxins, it >> But it can be environmental toxins, it >> But it can be environmental toxins, it can be the microbiome, it can be can be the microbiome, it can be can be the microbiome, it can be >> 100% Mark. Here's how I like to think >> 100% Mark. Here's how I like to think >> 100% Mark. Here's how I like to think about this and how I explain to about this and how I explain to about this and how I explain to patients. I say patients. I say patients. I say first of all, your inflammatory response first of all, your inflammatory response first of all, your inflammatory response system is needed and good, right? Like system is needed and good, right? Like system is needed and good, right? Like acute inflammation, the ability for your acute inflammation, the ability for your acute inflammation, the ability for your body to activate your immune system and body to activate your immune system and body to activate your immune system and heal is needed. And even for heal is needed. And even for heal is needed. And even for reproduction, you need to have it reproduction, you need to have it reproduction, you need to have it because many patients will say, "Can I because many patients will say, "Can I because many patients will say, "Can I just take a pill and get rid of just take a pill and get rid of just take a pill and get rid of inflammation?" inflammation?" inflammation?" >> Take aspirin or take Advil or whatever. >> Take aspirin or take Advil or whatever. >> Take aspirin or take Advil or whatever. >> But the problem there is, right, >> But the problem there is, right, >> But the problem there is, right, inflammation is needed for ovulation. If inflammation is needed for ovulation. If inflammation is needed for ovulation. If you take anti-inflammatory medications you take anti-inflammatory medications you take anti-inflammatory medications at the time of ovulation, you actually at the time of ovulation, you actually at the time of ovulation, you actually won't release the egg. The follicle will won't release the egg. The follicle will won't release the egg. The follicle will not burst and let the egg out. You'll go not burst and let the egg out. You'll go not burst and let the egg out. You'll go through hormonal changes of ovulation, through hormonal changes of ovulation, through hormonal changes of ovulation, but you will not release an egg. So but you will not release an egg. So but you will not release an egg. So important for people to know, we don't important for people to know, we don't important for people to know, we don't recommend NSAIDs, Motrin, Tylenol, recommend NSAIDs, Motrin, Tylenol, recommend NSAIDs, Motrin, Tylenol, Aleve, ibuprofen, any of those around Aleve, ibuprofen, any of those around Aleve, ibuprofen, any of those around ovulation because they do prevent egg ovulation because they do prevent egg ovulation because they do prevent egg release. So inflammation is a important, release. So inflammation is a important, release. So inflammation is a important, so we like to think about I say the so we like to think about I say the so we like to think about I say the inflammatory burden. So let's imagine inflammatory burden. So let's imagine inflammatory burden. So let's imagine how much inflammation you're you're to how much inflammation you're you're to how much inflammation you're you're to on a day-to-day and let's imagine it is on a day-to-day and let's imagine it is on a day-to-day and let's imagine it is a lever that can be moved up or down. a lever that can be moved up or down. a lever that can be moved up or down. For some of us, you might have factors For some of us, you might have factors For some of us, you might have factors causing you to have more inflammation causing you to have more inflammation causing you to have more inflammation that you don't have that much control that you don't have that much control that you don't have that much control over. Think about some patients with over. Think about some patients with over. Think about some patients with endometriosis or certain autoimmune endometriosis or certain autoimmune endometriosis or certain autoimmune disease. disease. disease. >> So, do we know what the those causes are >> So, do we know what the those causes are >> So, do we know what the those causes are of those diseases? of those diseases? of those diseases? >> what's causing it, but sometimes you >> what's causing it, but sometimes you >> what's causing it, but sometimes you can't get rid of it all, right? So, can't get rid of it all, right? So, can't get rid of it all, right? So, everybody has a different, we'll say, everybody has a different, we'll say, everybody has a different, we'll say, baseline starting value. But, every baseline starting value. But, every baseline starting value. But, every single decision that we make, whether we single decision that we make, whether we single decision that we make, whether we want to accept it or we know it, can want to accept it or we know it, can want to accept it or we know it, can increase that total burden we have that increase that total burden we have that increase that total burden we have that day, or they can decrease it. So, things day, or they can decrease it. So, things day, or they can decrease it. So, things like if I got enough sleep, or if I got like if I got enough sleep, or if I got like if I got enough sleep, or if I got too little sleep. Too little sleep, now too little sleep. Too little sleep, now too little sleep. Too little sleep, now I'm knocking it up. The foods that I eat I'm knocking it up. The foods that I eat I'm knocking it up. The foods that I eat can increase that burden. The toxins I'm can increase that burden. The toxins I'm can increase that burden. The toxins I'm exposed to. How I manage stress that exposed to. How I manage stress that exposed to. How I manage stress that day. And so, I'm not sitting here trying day. And so, I'm not sitting here trying day. And so, I'm not sitting here trying to tell patients you have to be perfect to tell patients you have to be perfect to tell patients you have to be perfect every single day or you're screwed. What every single day or you're screwed. What every single day or you're screwed. What we're saying is I want your body to have we're saying is I want your body to have we're saying is I want your body to have the resilience within it, so that you the resilience within it, so that you the resilience within it, so that you can respond appropriately to the can respond appropriately to the can respond appropriately to the inflammatory things you obviously will inflammatory things you obviously will inflammatory things you obviously will be exposed to in your world. So, we're be exposed to in your world. So, we're be exposed to in your world. So, we're looking at the things we can control. looking at the things we can control. looking at the things we can control. When you can't control everything, we When you can't control everything, we When you can't control everything, we want to make sure that in these five want to make sure that in these five want to make sure that in these five buckets that we go through that you buckets that we go through that you buckets that we go through that you mentioned earlier, food, toxins, stress, mentioned earlier, food, toxins, stress, mentioned earlier, food, toxins, stress, sleep, and exercise, sleep, and exercise, sleep, and exercise, >> Yeah. >> Yeah. >> Yeah. >> we are making active decisions in line >> we are making active decisions in line >> we are making active decisions in line with our priorities that are going to with our priorities that are going to with our priorities that are going to actively decrease inflammation as much actively decrease inflammation as much actively decrease inflammation as much as we can, because that's going to set as we can, because that's going to set as we can, because that's going to set us up on a better track, yes, to get us up on a better track, yes, to get us up on a better track, yes, to get pregnant, but also to have better pregnant, but also to have better pregnant, but also to have better cycles, better hormonal health, and cycles, better hormonal health, and cycles, better hormonal health, and long-term health and longevity as well. long-term health and longevity as well. long-term health and longevity as well. >> Yeah, it's so it's so important. And and >> Yeah, it's so it's so important. And and >> Yeah, it's so it's so important. And and the things that you mentioned, the things that you mentioned, the things that you mentioned, environmental toxins are harder, but environmental toxins are harder, but environmental toxins are harder, but those are things that we have agency those are things that we have agency those are things that we have agency over. over. over. >> We do, and so many of those decisions we >> We do, and so many of those decisions we >> We do, and so many of those decisions we make without thinking about it, right? I make without thinking about it, right? I make without thinking about it, right? I call sleep, stress, and exercise the call sleep, stress, and exercise the call sleep, stress, and exercise the foundation of your day. foundation of your day. foundation of your day. You've made a decision, you know, what You've made a decision, you know, what You've made a decision, you know, what time to go, to get up, what time you go time to go, to get up, what time you go time to go, to get up, what time you go to bed, how you're going to cope with to bed, how you're going to cope with to bed, how you're going to cope with stress. We can't avoid all stress, but stress. We can't avoid all stress, but stress. We can't avoid all stress, but how you're going to cope with it, if how you're going to cope with it, if how you're going to cope with it, if you're going to build in ways for your you're going to build in ways for your you're going to build in ways for your day, if you're going to move, what type day, if you're going to move, what type day, if you're going to move, what type of movement you are going to do. and we of movement you are going to do. and we of movement you are going to do. and we should be levering the leveraging those should be levering the leveraging those should be levering the leveraging those choices in a way that's going to be choices in a way that's going to be choices in a way that's going to be beneficial for us. beneficial for us. beneficial for us. >> Yeah, and people often don't even know. >> Yeah, and people often don't even know. >> Yeah, and people often don't even know. Like I just talked to a friend who Like I just talked to a friend who Like I just talked to a friend who was at a friend's house and she poked a was at a friend's house and she poked a was at a friend's house and she poked a bunch of holes in a plastic bag full of bunch of holes in a plastic bag full of bunch of holes in a plastic bag full of broccoli and stuck it in the microwave. broccoli and stuck it in the microwave. broccoli and stuck it in the microwave. >> [laughter] >> [laughter] >> [laughter] >> And I was like, "Wow, microplastics in >> And I was like, "Wow, microplastics in >> And I was like, "Wow, microplastics in the ovaries are a real thing." the ovaries are a real thing." the ovaries are a real thing." >> And in the placenta, yeah. And >> And in the placenta, yeah. And >> And in the placenta, yeah. And microplastics are a huge problem. So are microplastics are a huge problem. So are microplastics are a huge problem. So are endocrine disruptors. And just because endocrine disruptors. And just because endocrine disruptors. And just because something is something is something is prevalent and difficult, doesn't mean we prevalent and difficult, doesn't mean we prevalent and difficult, doesn't mean we don't need to start paying attention to don't need to start paying attention to don't need to start paying attention to it. And when it comes to toxins, it. And when it comes to toxins, it. And when it comes to toxins, thinking about in your world, what thinking about in your world, what thinking about in your world, what you're exposed to the most, the things you're exposed to the most, the things you're exposed to the most, the things in your home, how you cook, in your in your home, how you cook, in your in your home, how you cook, in your bathroom, those are easy places for us bathroom, those are easy places for us bathroom, those are easy places for us to make good decisions that are going to to make good decisions that are going to to make good decisions that are going to change how you live most of the time, so change how you live most of the time, so change how you live most of the time, so that you're able to adjust, you know, that you're able to adjust, you know, that you're able to adjust, you know, and we're in a hotel room right now. We and we're in a hotel room right now. We and we're in a hotel room right now. We don't have as much control over this don't have as much control over this don't have as much control over this environment. environment. environment. We control the things that we can. We control the things that we can. We control the things that we can. >> Have you been dealing with anxiety, low >> Have you been dealing with anxiety, low >> Have you been dealing with anxiety, low energy, or trouble focusing and still energy, or trouble focusing and still energy, or trouble focusing and still feel like you're missing something? feel like you're missing something? feel like you're missing something? You're not alone. And that's why I You're not alone. And that's why I You're not alone. And that's why I created the Brain Shaping Academy, a new created the Brain Shaping Academy, a new created the Brain Shaping Academy, a new program that looks in places most people program that looks in places most people program that looks in places most people never think to check, like nutrient never think to check, like nutrient never think to check, like nutrient deficiencies, the health of your gut, deficiencies, the health of your gut, deficiencies, the health of your gut, metabolism, your immune system, and lots metabolism, your immune system, and lots metabolism, your immune system, and lots more. I know you've heard me talk about more. I know you've heard me talk about more. I know you've heard me talk about the importance of getting enough protein the importance of getting enough protein the importance of getting enough protein to maintain muscle as we age, but to maintain muscle as we age, but to maintain muscle as we age, but sometimes even when you eat well, meals sometimes even when you eat well, meals sometimes even when you eat well, meals can leave you feeling heavy, bloated, or can leave you feeling heavy, bloated, or can leave you feeling heavy, bloated, or sluggish. Now, in some cases, it's not sluggish. Now, in some cases, it's not sluggish. Now, in some cases, it's not protein, it's your digestion. And our protein, it's your digestion. And our protein, it's your digestion. And our bodies rely on enzymes to break down bodies rely on enzymes to break down bodies rely on enzymes to break down protein and fats and carbohydrates so we protein and fats and carbohydrates so we protein and fats and carbohydrates so we can actually use the nutrients we eat. can actually use the nutrients we eat. can actually use the nutrients we eat. Now, with stress, with age, or busy Now, with stress, with age, or busy Now, with stress, with age, or busy lifestyles, enzyme production can fall lifestyles, enzyme production can fall lifestyles, enzyme production can fall short. And that's why I recommend short. And that's why I recommend short. And that's why I recommend MassZymes from BiOptimizers. It contains MassZymes from BiOptimizers. It contains MassZymes from BiOptimizers. 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And what what you're saying really is And what what you're saying really is And what what you're saying really is important, cuz you're a fertility important, cuz you're a fertility important, cuz you're a fertility doctor, but you're saying that fertility doctor, but you're saying that fertility doctor, but you're saying that fertility and the the your reproductive health, and the the your reproductive health, and the the your reproductive health, for both men and women, sperm quality, for both men and women, sperm quality, for both men and women, sperm quality, and women's reproductive cycles and and women's reproductive cycles and and women's reproductive cycles and their their ovulatory capacity, their their ovulatory capacity, their their ovulatory capacity, fecundity you call it, fecundity you call it, fecundity you call it, those are not just relevant for people those are not just relevant for people those are not just relevant for people who are looking to have a baby. They are who are looking to have a baby. They are who are looking to have a baby. They are relevant for everybody because they they relevant for everybody because they they relevant for everybody because they they speak to this early warning signs like a speak to this early warning signs like a speak to this early warning signs like a early flashing warning sign in your body early flashing warning sign in your body early flashing warning sign in your body if something's off. if something's off. if something's off. >> Right. And specifically, let's say for >> Right. And specifically, let's say for >> Right. And specifically, let's say for women, women, women, women been dismissed in the health care women been dismissed in the health care women been dismissed in the health care system very often. I mean, I was system very often. I mean, I was system very often. I mean, I was dismissed as a patient. And when you do dismissed as a patient. And when you do dismissed as a patient. And when you do get dismissed, you start to dismiss get dismissed, you start to dismiss get dismissed, you start to dismiss yourself. So, these little early warning yourself. So, these little early warning yourself. So, these little early warning signs, we really have to give that signs, we really have to give that signs, we really have to give that agency back to women to say agency back to women to say agency back to women to say these are not normal. You deserve these are not normal. You deserve these are not normal. You deserve answers. And here's how we go about answers. And here's how we go about answers. And here's how we go about trying to get them. And paying attention trying to get them. And paying attention trying to get them. And paying attention to these things that are off, like our to these things that are off, like our to these things that are off, like our cycle, like our ability to get pregnant, cycle, like our ability to get pregnant, cycle, like our ability to get pregnant, because that's going to give us insight because that's going to give us insight because that's going to give us insight for our whole health, right? We want to for our whole health, right? We want to for our whole health, right? We want to live a long healthy life. We don't want live a long healthy life. We don't want live a long healthy life. We don't want to just live long. We want to be healthy to just live long. We want to be healthy to just live long. We want to be healthy longer. And it really does for women longer. And it really does for women longer. And it really does for women start by paying attention to the ovary start by paying attention to the ovary start by paying attention to the ovary much earlier in life. much earlier in life. much earlier in life. >> Natalie, you you were you were doctor. >> Natalie, you you were you were doctor. >> Natalie, you you were you were doctor. You're working. I mean, what were the You're working. I mean, what were the You're working. I mean, what were the early warning signs that you ignored? early warning signs that you ignored? early warning signs that you ignored? >> For me, you know, >> For me, you know, >> For me, you know, fatigue especially fatigue especially fatigue especially in the afternoon on days when I in the afternoon on days when I in the afternoon on days when I shouldn't be. I dismissed a lot because shouldn't be. I dismissed a lot because shouldn't be. I dismissed a lot because I was in medical training. Oh, I'm just I was in medical training. Oh, I'm just I was in medical training. Oh, I'm just a resident. I'm tired. But understanding a resident. I'm tired. But understanding a resident. I'm tired. But understanding that not everybody feels that afternoon that not everybody feels that afternoon that not everybody feels that afternoon fatigue, especially if you have gotten fatigue, especially if you have gotten fatigue, especially if you have gotten sleep at night. sleep at night. sleep at night. You know, I had really poor coping You know, I had really poor coping You know, I had really poor coping mechanisms. So, thinking about, you mechanisms. So, thinking about, you mechanisms. So, thinking about, you know, I was definitely making choices know, I was definitely making choices know, I was definitely making choices that were more inflammatory, drinking that were more inflammatory, drinking that were more inflammatory, drinking alcohol after a shift or stress eating alcohol after a shift or stress eating alcohol after a shift or stress eating or eating a lot of junk food while I'm or eating a lot of junk food while I'm or eating a lot of junk food while I'm on shift. So, then a lot of the bloating on shift. So, then a lot of the bloating on shift. So, then a lot of the bloating >> mean hospital or just the >> mean hospital or just the >> mean hospital or just the >> Oh, peanut butter crackers, right? >> Oh, peanut butter crackers, right? >> Oh, peanut butter crackers, right? >> You only get help in a hospital, right? >> You only get help in a hospital, right? >> You only get help in a hospital, right? >> Parkland Memorial. We had a McDonald's >> Parkland Memorial. We had a McDonald's >> Parkland Memorial. We had a McDonald's inside the hospital. inside the hospital. inside the hospital. >> about it. I mean, the where I did where >> about it. I mean, the where I did where >> about it. I mean, the where I did where I did training, where I actually where I I did training, where I actually where I I did training, where I actually where I was working as an ER doctor, was working as an ER doctor, was working as an ER doctor, the cafeterias were open 8:00 to 9:00, the cafeterias were open 8:00 to 9:00, the cafeterias were open 8:00 to 9:00, 12:00 to 1:00, and 6:00 to 7:00. 12:00 to 1:00, and 6:00 to 7:00. 12:00 to 1:00, and 6:00 to 7:00. And the rest of the time McDonald's was And the rest of the time McDonald's was And the rest of the time McDonald's was open from 6:00 a.m. to 2:00 a.m. It was open from 6:00 a.m. to 2:00 a.m. It was open from 6:00 a.m. to 2:00 a.m. It was only closed from 2:00 a.m. to 6:00 a.m. only closed from 2:00 a.m. to 6:00 a.m. only closed from 2:00 a.m. to 6:00 a.m. And that was the only place you could And that was the only place you could And that was the only place you could eat in the hospital. eat in the hospital. eat in the hospital. >> Overnight. >> Overnight. >> Overnight. >> And I would be on the ER shift. I'd be >> And I would be on the ER shift. I'd be >> And I would be on the ER shift. I'd be like I'm like I had have to get like I'm like I had have to get like I'm like I had have to get McDonald's. I was like trying to get the McDonald's. I was like trying to get the McDonald's. I was like trying to get the chicken and not eat the bun and chicken and not eat the bun and chicken and not eat the bun and >> I visited that McDonald's like too many >> I visited that McDonald's like too many >> I visited that McDonald's like too many times to count. I even delivered a baby times to count. I even delivered a baby times to count. I even delivered a baby in there. But, it's wild to think that in there. But, it's wild to think that in there. But, it's wild to think that this is how your hospital is structured this is how your hospital is structured this is how your hospital is structured with a McDonald's. So, yes, with a McDonald's. So, yes, with a McDonald's. So, yes, those were not great decisions I was those were not great decisions I was those were not great decisions I was making, but I also then excused and making, but I also then excused and making, but I also then excused and dismissed some of these early signs of dismissed some of these early signs of dismissed some of these early signs of bloating, fatigue, headache, brain fog. bloating, fatigue, headache, brain fog. bloating, fatigue, headache, brain fog. >> Yeah. >> Yeah. >> Yeah. >> I'll tell you that fast forward later in >> I'll tell you that fast forward later in >> I'll tell you that fast forward later in life, I got my celiac diagnosis cuz I life, I got my celiac diagnosis cuz I life, I got my celiac diagnosis cuz I started having peripheral neuropathy. started having peripheral neuropathy. started having peripheral neuropathy. So, I started having numbness of my So, I started having numbness of my So, I started having numbness of my fingers, my toes. Of course, I'm a fingers, my toes. Of course, I'm a fingers, my toes. Of course, I'm a physician, I said, "Well, this is not physician, I said, "Well, this is not physician, I said, "Well, this is not good." Right? I need to be able to use good." Right? I need to be able to use good." Right? I need to be able to use my hands to function. my hands to function. my hands to function. I ended up getting an MRI. They were I ended up getting an MRI. They were I ended up getting an MRI. They were afraid I could have multiple sclerosis afraid I could have multiple sclerosis afraid I could have multiple sclerosis or some neurologic problem. or some neurologic problem. or some neurologic problem. And I had a And I had a And I had a luckily a good radiologist because it's luckily a good radiologist because it's luckily a good radiologist because it's not standard on MRI, but they said, "Her not standard on MRI, but they said, "Her not standard on MRI, but they said, "Her bones look too thin for her age." bones look too thin for her age." bones look too thin for her age." Okay, send that back to my primary Okay, send that back to my primary Okay, send that back to my primary doctor who then got a DEXA and I had doctor who then got a DEXA and I had doctor who then got a DEXA and I had osteopenia at age 41. osteopenia at age 41. osteopenia at age 41. >> Yeah, osteoporosis is a is a feature of >> Yeah, osteoporosis is a is a feature of >> Yeah, osteoporosis is a is a feature of celiac. celiac. celiac. >> you're not absorbing. >> you're not absorbing. >> you're not absorbing. >> Right. >> Right. >> Right. >> And I was I would have told you I was >> And I was I would have told you I was >> And I was I would have told you I was healthy. Right? I ate really plant healthy. Right? I ate really plant healthy. Right? I ate really plant forward. I was a big runner. I was of forward. I was a big runner. I was of forward. I was a big runner. I was of normal weight. So, from the outside and normal weight. So, from the outside and normal weight. So, from the outside and if I would have sit across from a if I would have sit across from a if I would have sit across from a doctor, I'd say, "Oh, I'm really doctor, I'd say, "Oh, I'm really doctor, I'd say, "Oh, I'm really healthy." healthy." healthy." But, then we got this DEXA and I had But, then we got this DEXA and I had But, then we got this DEXA and I had osteopenia and luckily my doctor didn't osteopenia and luckily my doctor didn't osteopenia and luckily my doctor didn't just say, "Oh, well." She said, just say, "Oh, well." She said, just say, "Oh, well." She said, "Something's going on." and dug deep. "Something's going on." and dug deep. "Something's going on." and dug deep. So, something's absorbing and she's the So, something's absorbing and she's the So, something's absorbing and she's the one who ended up getting me the celiac one who ended up getting me the celiac one who ended up getting me the celiac diagnosis as an as an adult. diagnosis as an as an adult. diagnosis as an as an adult. And it was not classic as we have And it was not classic as we have And it was not classic as we have already talked about, but also, you already talked about, but also, you already talked about, but also, you know, the fatigue, the headaches, the know, the fatigue, the headaches, the know, the fatigue, the headaches, the brain fog, some of those symptoms that brain fog, some of those symptoms that brain fog, some of those symptoms that were mild in my younger years became so were mild in my younger years became so were mild in my younger years became so much stronger right around this time of much stronger right around this time of much stronger right around this time of diagnosis. And then taking gluten out of diagnosis. And then taking gluten out of diagnosis. And then taking gluten out of my diet, my diet, my diet, I mean, it's changed my life, right? I I mean, it's changed my life, right? I I mean, it's changed my life, right? I mean, I don't have any of these symptoms mean, I don't have any of these symptoms mean, I don't have any of these symptoms anymore. And yes, for me it's one thing anymore. And yes, for me it's one thing anymore. And yes, for me it's one thing and not everybody has celiac, but it and not everybody has celiac, but it and not everybody has celiac, but it speaks to the impact I was able to make speaks to the impact I was able to make speaks to the impact I was able to make earlier by just listening to some of earlier by just listening to some of earlier by just listening to some of these inflammatory signs. Right? Even if these inflammatory signs. Right? Even if these inflammatory signs. Right? Even if you can't get the answer yet or you're you can't get the answer yet or you're you can't get the answer yet or you're searching for it, searching for it, searching for it, >> Yeah. >> Yeah. >> Yeah. >> like you said, being that, you know, >> like you said, being that, you know, >> like you said, being that, you know, individualized experience and believing individualized experience and believing individualized experience and believing your own body's warning signs, you can your own body's warning signs, you can your own body's warning signs, you can make a meaningful difference in your own make a meaningful difference in your own make a meaningful difference in your own health. health. health. >> It's true. Everybody's got to be the CEO >> It's true. Everybody's got to be the CEO >> It's true. Everybody's got to be the CEO of their own health. I mean, they can't of their own health. I mean, they can't of their own health. I mean, they can't abdicate that to the health care system abdicate that to the health care system abdicate that to the health care system or to their doctor. Even if they can or to their doctor. Even if they can or to their doctor. Even if they can work with their doctor, they can be work with their doctor, they can be work with their doctor, they can be allies, but you're not allies, but you're not allies, but you're not being proactive about your health, being proactive about your health, being proactive about your health, you're you're you're you're likely going you're you're you're you're likely going you're you're you're you're likely going to have issues. to have issues. to have issues. >> Nobody's going to care about your health >> Nobody's going to care about your health >> Nobody's going to care about your health like you will, so you need to. like you will, so you need to. like you will, so you need to. Unfortunately, we put our own health Unfortunately, we put our own health Unfortunately, we put our own health last until it's really bad. last until it's really bad. last until it's really bad. >> Especially doctors. >> Especially doctors. >> Especially doctors. >> [laughter] >> [laughter] >> [laughter] >> Especially physicians. Yeah, but >> Especially physicians. Yeah, but >> Especially physicians. Yeah, but speaking of that, female physicians have speaking of that, female physicians have speaking of that, female physicians have double the rate of infertility, right? double the rate of infertility, right? double the rate of infertility, right? That's not a coincidence. It's how we're That's not a coincidence. It's how we're That's not a coincidence. It's how we're structuring our life, the things we're structuring our life, the things we're structuring our life, the things we're exposed to, all of the increased exposed to, all of the increased exposed to, all of the increased inflammation we have because of lack of inflammation we have because of lack of inflammation we have because of lack of sleep, poor diet, poor stress, exposure sleep, poor diet, poor stress, exposure sleep, poor diet, poor stress, exposure to toxins, all the things we're talking to toxins, all the things we're talking to toxins, all the things we're talking about in training, especially in your about in training, especially in your about in training, especially in your reproductive years, we're at higher reproductive years, we're at higher reproductive years, we're at higher risk. risk. risk. >> But you came to this honestly. You were >> But you came to this honestly. You were >> But you came to this honestly. You were an OBGYN resident. You were working like an OBGYN resident. You were working like an OBGYN resident. You were working like crazy. You're in the L&D, labor delivery crazy. You're in the L&D, labor delivery crazy. You're in the L&D, labor delivery room, room, room, and you were struggling. You were having and you were struggling. You were having and you were struggling. You were having miscarriage after miscarriage. You said miscarriage after miscarriage. You said miscarriage after miscarriage. You said your your current kids are your fifth your your current kids are your fifth your your current kids are your fifth and sixth attempt at having a kid. and sixth attempt at having a kid. and sixth attempt at having a kid. >> They are. >> They are. >> They are. >> You had also underlying issues that were >> You had also underlying issues that were >> You had also underlying issues that were immune issues that were affecting your immune issues that were affecting your immune issues that were affecting your fertility that uh often go undiagnosed fertility that uh often go undiagnosed fertility that uh often go undiagnosed for a decade or more, celiac disease. So for a decade or more, celiac disease. So for a decade or more, celiac disease. So I'd love you to sort of share I'd love you to sort of share I'd love you to sort of share your entry into this cuz often when your entry into this cuz often when your entry into this cuz often when people like you and I get into this kind people like you and I get into this kind people like you and I get into this kind of work and off the grid a little bit, of work and off the grid a little bit, of work and off the grid a little bit, it's usually because we had some story it's usually because we had some story it's usually because we had some story behind it. behind it. behind it. >> Yeah, our work is definitely personal in >> Yeah, our work is definitely personal in >> Yeah, our work is definitely personal in origin very often, and and mine is. origin very often, and and mine is. origin very often, and and mine is. I was already on the trajectory to be a I was already on the trajectory to be a I was already on the trajectory to be a fertility doctor cuz I loved the science fertility doctor cuz I loved the science fertility doctor cuz I loved the science and I loved the hormones, but I did and I loved the hormones, but I did and I loved the hormones, but I did start having recurrent pregnancy loss start having recurrent pregnancy loss start having recurrent pregnancy loss when my husband and I started trying in when my husband and I started trying in when my husband and I started trying in my last year of residency. And I my last year of residency. And I my last year of residency. And I remember being so clinical about it at remember being so clinical about it at remember being so clinical about it at first. Right, our first pregnancy loss, first. Right, our first pregnancy loss, first. Right, our first pregnancy loss, I sat across from him and I said, I sat across from him and I said, I sat across from him and I said, "You know, Jason, one out of four "You know, Jason, one out of four "You know, Jason, one out of four pregnancies end in loss. It's okay. It's pregnancies end in loss. It's okay. It's pregnancies end in loss. It's okay. It's good that it didn't get further along." good that it didn't get further along." good that it didn't get further along." Those statements that I'd said to Those statements that I'd said to Those statements that I'd said to patients. patients. patients. >> And that you learned in medical s- >> And that you learned in medical s- >> And that you learned in medical s- >> That I learned in medical school. >> That I learned in medical school. >> That I learned in medical school. And then when I lost my second And then when I lost my second And then when I lost my second pregnancy, I was further along and I was pregnancy, I was further along and I was pregnancy, I was further along and I was working L&D actively and started working L&D actively and started working L&D actively and started bleeding while I was working. bleeding while I was working. bleeding while I was working. And it wasn't that time in medicine. I And it wasn't that time in medicine. I And it wasn't that time in medicine. I don't know how it is now, although I can don't know how it is now, although I can don't know how it is now, although I can hope it's better. But I was not going to hope it's better. But I was not going to hope it's better. But I was not going to leave work. I was a resident. So I had leave work. I was a resident. So I had leave work. I was a resident. So I had to to to >> Go to the bathroom and have a >> Go to the bathroom and have a >> Go to the bathroom and have a miscarriage and miscarriage and miscarriage and >> Have my miscarriage and go >> Have my miscarriage and go >> Have my miscarriage and go go do a C-section, right? Deliver other go do a C-section, right? Deliver other go do a C-section, right? Deliver other people's babies while I was losing my people's babies while I was losing my people's babies while I was losing my own. own. own. >> God, that's hard. >> God, that's hard. >> God, that's hard. >> And I remember pulling over the car on >> And I remember pulling over the car on >> And I remember pulling over the car on the way home and the way home and the way home and throwing up because the contractions throwing up because the contractions throwing up because the contractions from the miscarriage, the pain was so from the miscarriage, the pain was so from the miscarriage, the pain was so severe and feeling severe and feeling severe and feeling so emotionally physically distraught, so emotionally physically distraught, so emotionally physically distraught, but also understanding that I took care but also understanding that I took care but also understanding that I took care of patients who'd been going through of patients who'd been going through of patients who'd been going through this and this was so much worse than I this and this was so much worse than I this and this was so much worse than I could have ever imagined. could have ever imagined. could have ever imagined. And I went to my doctor after that and And I went to my doctor after that and And I went to my doctor after that and said, "I think something's wrong." And said, "I think something's wrong." And said, "I think something's wrong." And here's this litany of vague symptoms and here's this litany of vague symptoms and here's this litany of vague symptoms and here's these two pregnancy losses. here's these two pregnancy losses. here's these two pregnancy losses. And they sat across from me and said, And they sat across from me and said, And they sat across from me and said, "Well, you have to lose a third "Well, you have to lose a third "Well, you have to lose a third pregnancy before we'll do testing." pregnancy before we'll do testing." pregnancy before we'll do testing." >> Ay, ay, ay. >> Ay, ay, ay. >> Ay, ay, ay. >> And that, even though I I quote knew >> And that, even though I I quote knew >> And that, even though I I quote knew that, right? At that time, recurrent that, right? At that time, recurrent that, right? At that time, recurrent pregnancy loss is three pregnancy pregnancy loss is three pregnancy pregnancy loss is three pregnancy losses. Zero blood work, zero testing losses. Zero blood work, zero testing losses. Zero blood work, zero testing was done. was done. was done. >> Knew that meaning that's how you were >> Knew that meaning that's how you were >> Knew that meaning that's how you were brainwashed in medical school. brainwashed in medical school. brainwashed in medical school. [laughter] [laughter] [laughter] >> That's how I was taught. So I mean, I >> That's how I was taught. So I mean, I >> That's how I was taught. So I mean, I was a resident, right? So at the time I was a resident, right? So at the time I was a resident, right? So at the time I knew that was the party line. Because knew that was the party line. Because knew that was the party line. Because then when you are training, I do think then when you are training, I do think then when you are training, I do think it's important for people to know, it's important for people to know, it's important for people to know, right? There is a lot you don't control right? There is a lot you don't control right? There is a lot you don't control and you learn what's taught to you and you learn what's taught to you and you learn what's taught to you because you have to to take your boards, because you have to to take your boards, because you have to to take your boards, to pass the test. to pass the test. to pass the test. >> Right. >> Right. >> Right. >> So I knew that's what would be told to >> So I knew that's what would be told to >> So I knew that's what would be told to me, but to hear it was extremely me, but to hear it was extremely me, but to hear it was extremely disempowering. It was one of the worst disempowering. It was one of the worst disempowering. It was one of the worst things I could things I could things I could I could hear. So I was told it was bad I could hear. So I was told it was bad I could hear. So I was told it was bad luck and keep trying and I kept trying luck and keep trying and I kept trying luck and keep trying and I kept trying and I lost pregnancy three, when I lost and I lost pregnancy three, when I lost and I lost pregnancy three, when I lost pregnancy four. pregnancy four. pregnancy four. And along the way was told that And along the way was told that And along the way was told that everything was normal. I did get tested everything was normal. I did get tested everything was normal. I did get tested and I had unexplained recurrent and I had unexplained recurrent and I had unexplained recurrent pregnancy loss. pregnancy loss. pregnancy loss. And I was given the option to do IVF so And I was given the option to do IVF so And I was given the option to do IVF so that would help what was going on. that would help what was going on. that would help what was going on. And I wasn't opposed to that. By By time And I wasn't opposed to that. By By time And I wasn't opposed to that. By By time I was in fertility fellowship. I was in fertility fellowship. I was in fertility fellowship. And IVF is an incredible technology. We And IVF is an incredible technology. We And IVF is an incredible technology. We have to lay where it is. 17 million have to lay where it is. 17 million have to lay where it is. 17 million babies have been born because of IVF. babies have been born because of IVF. babies have been born because of IVF. Incredible. Incredible. Incredible. >> Miracle of modern medicine, absolutely. >> Miracle of modern medicine, absolutely. >> Miracle of modern medicine, absolutely. >> Right. But I was the IVF fellow, so I >> Right. But I was the IVF fellow, so I >> Right. But I was the IVF fellow, so I was learning to do IVF, so I couldn't be was learning to do IVF, so I couldn't be was learning to do IVF, so I couldn't be the IVF patient at that time. I had to the IVF patient at that time. I had to the IVF patient at that time. I had to wait about 6 months until I could be the wait about 6 months until I could be the wait about 6 months until I could be the one to go through the process. Another one to go through the process. Another one to go through the process. Another pleasantry of medical training. pleasantry of medical training. pleasantry of medical training. But I said, "Okay, what should I do to But I said, "Okay, what should I do to But I said, "Okay, what should I do to prepare myself? If I'm going to do IVF, prepare myself? If I'm going to do IVF, prepare myself? If I'm going to do IVF, how how how are there things I can do that will make are there things I can do that will make are there things I can do that will make it better or worse, the outcome? it better or worse, the outcome? it better or worse, the outcome? I want to have the highest chance of I want to have the highest chance of I want to have the highest chance of success. I'm a goal-oriented person success. I'm a goal-oriented person success. I'm a goal-oriented person here." here." here." And I was told none of it matters, just And I was told none of it matters, just And I was told none of it matters, just do IVF. do IVF. do IVF. And that really didn't make sense to me, And that really didn't make sense to me, And that really didn't make sense to me, right? right? right? >> At the same time we were starting to eat >> At the same time we were starting to eat >> At the same time we were starting to eat or or or >> Right, I said, "What about the food I >> Right, I said, "What about the food I >> Right, I said, "What about the food I eat? Am I running too much? What about eat? Am I running too much? What about eat? Am I running too much? What about sleep?" You know, I was a resident, now sleep?" You know, I was a resident, now sleep?" You know, I was a resident, now I'm a fellow. None of that matters, IVF I'm a fellow. None of that matters, IVF I'm a fellow. None of that matters, IVF will take care of it. will take care of it. will take care of it. And we do a year and a half of research, And we do a year and a half of research, And we do a year and a half of research, and fellowship is 3 years, so a year and and fellowship is 3 years, so a year and and fellowship is 3 years, so a year and a half clinical, a year and a half of a half clinical, a year and a half of a half clinical, a year and a half of research, and you start your projects research, and you start your projects research, and you start your projects early. And most people do IVF projects. early. And most people do IVF projects. early. And most people do IVF projects. More controlled environment. You can, More controlled environment. You can, More controlled environment. You can, you know, change one little thing and you know, change one little thing and you know, change one little thing and see what's happening. see what's happening. see what's happening. But I wanted to study fecundability. But I wanted to study fecundability. But I wanted to study fecundability. Like, why do some people get pregnant Like, why do some people get pregnant Like, why do some people get pregnant and others do not? That's my passion. and others do not? That's my passion. and others do not? That's my passion. These are my questions. These are my questions. These are my questions. >> means. Are you able to get pregnant? >> means. Are you able to get pregnant? >> means. Are you able to get pregnant? >> intervention. What's your pregnancy >> intervention. What's your pregnancy >> intervention. What's your pregnancy rate? I was permitted to do that, rate? I was permitted to do that, rate? I was permitted to do that, luckily, and I got a masters in clinical luckily, and I got a masters in clinical luckily, and I got a masters in clinical research and started to look at vitamin research and started to look at vitamin research and started to look at vitamin levels, endocrine disruptors, and levels, endocrine disruptors, and levels, endocrine disruptors, and chemicals, luteal phase abnormalities, chemicals, luteal phase abnormalities, chemicals, luteal phase abnormalities, and cohorts of people who were trying to and cohorts of people who were trying to and cohorts of people who were trying to get pregnant. get pregnant. get pregnant. And this is when I started to see that And this is when I started to see that And this is when I started to see that inflammation was in all the literature. inflammation was in all the literature. inflammation was in all the literature. But we weren't talking about it in But we weren't talking about it in But we weren't talking about it in medicine yet unless it's the disease medicine yet unless it's the disease medicine yet unless it's the disease state, right? This disease causes state, right? This disease causes state, right? This disease causes inflammation. But in all of these inflammation. But in all of these inflammation. But in all of these different aspects, they were saying, different aspects, they were saying, different aspects, they were saying, "Well, this causes inflammation or had "Well, this causes inflammation or had "Well, this causes inflammation or had higher inflammatory markers." And that higher inflammatory markers." And that higher inflammatory markers." And that same group of people had a harder time same group of people had a harder time same group of people had a harder time getting pregnant or more pregnancy getting pregnant or more pregnancy getting pregnant or more pregnancy losses. losses. losses. And I said, "Well, even though they told And I said, "Well, even though they told And I said, "Well, even though they told me there's nothing I can do, let's try me there's nothing I can do, let's try me there's nothing I can do, let's try to decrease inflammation. What does that to decrease inflammation. What does that to decrease inflammation. What does that mean? Let's try to decrease that. And so mean? Let's try to decrease that. And so mean? Let's try to decrease that. And so I remember my husband came home and I I remember my husband came home and I I remember my husband came home and I was cleaning out our kitchen, getting was cleaning out our kitchen, getting was cleaning out our kitchen, getting rid of the plastic and the Teflon, and rid of the plastic and the Teflon, and rid of the plastic and the Teflon, and this was like 12 years ago. Trying to this was like 12 years ago. Trying to this was like 12 years ago. Trying to get rid of everything, looking at how we get rid of everything, looking at how we get rid of everything, looking at how we ate, looking at sleep and exercise. ate, looking at sleep and exercise. ate, looking at sleep and exercise. And we ended up getting pregnant before And we ended up getting pregnant before And we ended up getting pregnant before we needed IVF and stayed pregnant with we needed IVF and stayed pregnant with we needed IVF and stayed pregnant with pregnancy number five, my daughter. pregnancy number five, my daughter. pregnancy number five, my daughter. And one of the things we cut out during And one of the things we cut out during And one of the things we cut out during that time, I cut out gluten. I would that time, I cut out gluten. I would that time, I cut out gluten. I would have never told you that I had celiac have never told you that I had celiac have never told you that I had celiac disease. I got diagnosed with celiac or disease. I got diagnosed with celiac or disease. I got diagnosed with celiac or an allergy to gluten more than a decade an allergy to gluten more than a decade an allergy to gluten more than a decade later. later. later. I would never have known I had that. I I would never have known I had that. I I would never have known I had that. I didn't have classic GI symptoms. didn't have classic GI symptoms. didn't have classic GI symptoms. >> Which most people don't. >> Which most people don't. >> Which most people don't. >> Right. But I felt, you know, just a >> Right. But I felt, you know, just a >> Right. But I felt, you know, just a little more fatigue, bloated, and when I little more fatigue, bloated, and when I little more fatigue, bloated, and when I was really trying to listen to what is was really trying to listen to what is was really trying to listen to what is inflammation and how does it show up, inflammation and how does it show up, inflammation and how does it show up, when I cut it out, I felt better. So I when I cut it out, I felt better. So I when I cut it out, I felt better. So I kept it out of my diet for both my kept it out of my diet for both my kept it out of my diet for both my daughter and then got pregnant with my daughter and then got pregnant with my daughter and then got pregnant with my son pretty quickly postpartum not eating son pretty quickly postpartum not eating son pretty quickly postpartum not eating gluten. gluten. gluten. And so when I got And so when I got And so when I got >> done your celiac antibodies or anything? >> done your celiac antibodies or anything? >> done your celiac antibodies or anything? >> No, I mean I was told all the testing >> No, I mean I was told all the testing >> No, I mean I was told all the testing was done that could have been done, but was done that could have been done, but was done that could have been done, but there was no celiac testing at that there was no celiac testing at that there was no celiac testing at that time. time. time. >> There was, they just didn't do it. >> There was, they just didn't do it. >> There was, they just didn't do it. >> Correct. There was no celiac testing >> Correct. There was no celiac testing >> Correct. There was no celiac testing done on me, right? done on me, right? done on me, right? >> I want to just double click on that >> I want to just double click on that >> I want to just double click on that because you you you kind of threw it out because you you you kind of threw it out because you you you kind of threw it out a little earlier. a little earlier. a little earlier. And and they said, you know, they they And and they said, you know, they they And and they said, you know, they they did all the testing and everything was did all the testing and everything was did all the testing and everything was normal. normal. normal. >> Right. >> Right. >> Right. >> And so that's often what you hear from >> And so that's often what you hear from >> And so that's often what you hear from doctors. Oh, well, we did all the tests doctors. Oh, well, we did all the tests doctors. Oh, well, we did all the tests and everything's normal. What it means and everything's normal. What it means and everything's normal. What it means is they did the test that they knew to is they did the test that they knew to is they did the test that they knew to do, not all the tests that needed to be do, not all the tests that needed to be do, not all the tests that needed to be done. And and doctors, you know, when done. And and doctors, you know, when done. And and doctors, you know, when they say that, they should be a little they say that, they should be a little they say that, they should be a little more humble because there's only one or more humble because there's only one or more humble because there's only one or two answers to the question of what's two answers to the question of what's two answers to the question of what's going on. Either you're crazy and you're going on. Either you're crazy and you're going on. Either you're crazy and you're making stuff up about your health, or making stuff up about your health, or making stuff up about your health, or two, the doctor's missing something. And two, the doctor's missing something. And two, the doctor's missing something. And it's not necessarily their fault, but it's not necessarily their fault, but it's not necessarily their fault, but they're missing something cuz they they're missing something cuz they they're missing something cuz they weren't trained in it. I certainly weren't trained in it. I certainly weren't trained in it. I certainly wasn't. Celiac disease happened to wasn't. Celiac disease happened to wasn't. Celiac disease happened to little kids, they got bloated, they got little kids, they got bloated, they got little kids, they got bloated, they got emaciated, they got malnutrition, they emaciated, they got malnutrition, they emaciated, they got malnutrition, they had diarrhea. had diarrhea. had diarrhea. >> going to get diagnosed at 41. >> going to get diagnosed at 41. >> going to get diagnosed at 41. >> No, no, of course not. >> No, no, of course not. >> No, no, of course not. >> There's a lot that we leave on the >> There's a lot that we leave on the >> There's a lot that we leave on the table, and patients should understand table, and patients should understand table, and patients should understand that, right? For something for a doctor that, right? For something for a doctor that, right? For something for a doctor to order a test doesn't mean that there to order a test doesn't mean that there to order a test doesn't mean that there aren't other tests, and I often tell aren't other tests, and I often tell aren't other tests, and I often tell people unexplained anything. So, people unexplained anything. So, people unexplained anything. So, unexplained pregnancy loss, unexplained unexplained pregnancy loss, unexplained unexplained pregnancy loss, unexplained infertility means we just haven't found infertility means we just haven't found infertility means we just haven't found the answer yet. the answer yet. the answer yet. >> It's called idiopathic, which means we >> It's called idiopathic, which means we >> It's called idiopathic, which means we have no idea what's causing it. But we have no idea what's causing it. But we have no idea what's causing it. But we we doesn't mean that the cause is not we doesn't mean that the cause is not we doesn't mean that the cause is not known. known. known. >> that there's nothing there, and that is >> that there's nothing there, and that is >> that there's nothing there, and that is a big mistake sometimes in, you know, a big mistake sometimes in, you know, a big mistake sometimes in, you know, traditional medicine is we say, "Oh, traditional medicine is we say, "Oh, traditional medicine is we say, "Oh, well, all these things are normal. Just well, all these things are normal. Just well, all these things are normal. Just keep trying." Or, "Oh, you can do this." keep trying." Or, "Oh, you can do this." keep trying." Or, "Oh, you can do this." Instead of what I say is, you know, none Instead of what I say is, you know, none Instead of what I say is, you know, none of the things that are easy to test have of the things that are easy to test have of the things that are easy to test have we been able to find. That doesn't mean we been able to find. That doesn't mean we been able to find. That doesn't mean something's not there, but sometimes something's not there, but sometimes something's not there, but sometimes it's difficult, or we have to really it's difficult, or we have to really it's difficult, or we have to really hunt for it. We have to either spend hunt for it. We have to either spend hunt for it. We have to either spend more money, do more invasive more money, do more invasive more money, do more invasive diagnostics, and sometimes we just make diagnostics, and sometimes we just make diagnostics, and sometimes we just make decisions based on that idea of that we decisions based on that idea of that we decisions based on that idea of that we have an underlying chronic inflammatory have an underlying chronic inflammatory have an underlying chronic inflammatory disorder, and that's how I treat disorder, and that's how I treat disorder, and that's how I treat unexplained. unexplained. unexplained. But to piggyback off your question, or But to piggyback off your question, or But to piggyback off your question, or just to double down on the importance of just to double down on the importance of just to double down on the importance of this even more, I have two sisters, and this even more, I have two sisters, and this even more, I have two sisters, and one is eight years younger than me. one is eight years younger than me. one is eight years younger than me. And so, she I got diagnosed at 41. And so, she I got diagnosed at 41. And so, she I got diagnosed at 41. And she had more miscarriages than I And she had more miscarriages than I And she had more miscarriages than I did. She's had six miscarriages, and she did. She's had six miscarriages, and she did. She's had six miscarriages, and she now has three children. now has three children. now has three children. But when I got diagnosed, you know, But when I got diagnosed, you know, But when I got diagnosed, you know, who's the first person I called? I who's the first person I called? I who's the first person I called? I called her. And I said, "Hey, called her. And I said, "Hey, called her. And I said, "Hey, we need to I'm going to get you tested. we need to I'm going to get you tested. we need to I'm going to get you tested. I'm ordering testing right now. You need I'm ordering testing right now. You need I'm ordering testing right now. You need to go in." And of course, she has celiac to go in." And of course, she has celiac to go in." And of course, she has celiac as well. as well. as well. >> says partly genetic. >> says partly genetic. >> says partly genetic. >> And right. And so, she cut out gluten as >> And right. And so, she cut out gluten as >> And right. And so, she cut out gluten as well after she got her diagnosis. And well after she got her diagnosis. And well after she got her diagnosis. And then her her last two children are close then her her last two children are close then her her last two children are close in age, and she didn't have pregnancy in age, and she didn't have pregnancy in age, and she didn't have pregnancy loss between them because the difference loss between them because the difference loss between them because the difference of having these six losses on that of having these six losses on that of having these six losses on that earlier journey, and then taking gluten earlier journey, and then taking gluten earlier journey, and then taking gluten out, and now she has her completed out, and now she has her completed out, and now she has her completed family. family. family. >> That's familiar. >> That's familiar. >> That's familiar. >> So, it really just goes to speak that >> So, it really just goes to speak that >> So, it really just goes to speak that patients have to be advocates for their patients have to be advocates for their patients have to be advocates for their own health. The medical system right now own health. The medical system right now own health. The medical system right now is not patient-centric. is not patient-centric. is not patient-centric. It's not. It's not. It's not. >> It's disease-centric. You can get really >> It's disease-centric. You can get really >> It's disease-centric. You can get really sick sick sick >> It's definitely not health-centric. >> It's definitely not health-centric. >> It's definitely not health-centric. >> get really sick, and we'll take good >> get really sick, and we'll take good >> get really sick, and we'll take good care of you, right? But if we think care of you, right? But if we think care of you, right? But if we think about things that are much earlier in about things that are much earlier in about things that are much earlier in spectrum. spectrum. spectrum. Thinking about especially your hormonal Thinking about especially your hormonal Thinking about especially your hormonal health, trying to get pregnant, trying health, trying to get pregnant, trying health, trying to get pregnant, trying to have a normal menstrual cycle and to have a normal menstrual cycle and to have a normal menstrual cycle and what these things mean. what these things mean. what these things mean. Many doctors are not trained to evaluate Many doctors are not trained to evaluate Many doctors are not trained to evaluate these problems. It's not their fault. these problems. It's not their fault. these problems. It's not their fault. It's the system. But that means you're It's the system. But that means you're It's the system. But that means you're going to have to come to the table with going to have to come to the table with going to have to come to the table with a level of knowledge and literacy in a a level of knowledge and literacy in a a level of knowledge and literacy in a way to be able to adequately advocate way to be able to adequately advocate way to be able to adequately advocate for yourself in the system. for yourself in the system. for yourself in the system. >> Yeah, it's so important and I think what >> Yeah, it's so important and I think what >> Yeah, it's so important and I think what your work is doing is highlighting your work is doing is highlighting your work is doing is highlighting something really important and I I think something really important and I I think something really important and I I think your story is just an you know, a your story is just an you know, a your story is just an you know, a personal example of what happens so personal example of what happens so personal example of what happens so often in medicine. Which is that you often in medicine. Which is that you often in medicine. Which is that you know, you're a highly educated doctor. know, you're a highly educated doctor. know, you're a highly educated doctor. You were like a specialist in the very You were like a specialist in the very You were like a specialist in the very topic you were specializing. I mean it's topic you were specializing. I mean it's topic you were specializing. I mean it's just kind of the irony of it. It's kind just kind of the irony of it. It's kind just kind of the irony of it. It's kind of like kind of bad. And and and and and of like kind of bad. And and and and and of like kind of bad. And and and and and it's it's led you to this path of really it's it's led you to this path of really it's it's led you to this path of really looking at what it what is it to create looking at what it what is it to create looking at what it what is it to create a healthy biological reproductive system a healthy biological reproductive system a healthy biological reproductive system for men and for women. And what are for men and for women. And what are for men and for women. And what are those factors that play a role? Diet, those factors that play a role? Diet, those factors that play a role? Diet, exercise, stress, sleep, toxins, and exercise, stress, sleep, toxins, and exercise, stress, sleep, toxins, and things like habits like alcohol, pot. things like habits like alcohol, pot. things like habits like alcohol, pot. All these things play a role and we All these things play a role and we All these things play a role and we don't really know in medicine how to don't really know in medicine how to don't really know in medicine how to tell people what to do about these tell people what to do about these tell people what to do about these things. But they are the most important things. But they are the most important things. But they are the most important things and they result in metabolic things and they result in metabolic things and they result in metabolic dysfunction and in mitochondrial dysfunction and in mitochondrial dysfunction and in mitochondrial dysfunction which is related to toxins dysfunction which is related to toxins dysfunction which is related to toxins and nutrition. It's related to and nutrition. It's related to and nutrition. It's related to inflammatory triggers or that for you is inflammatory triggers or that for you is inflammatory triggers or that for you is gluten. So all these things are things gluten. So all these things are things gluten. So all these things are things we can actually start to double down on we can actually start to double down on we can actually start to double down on and look at hormonal dysregulation, and look at hormonal dysregulation, and look at hormonal dysregulation, thyroid things. And these And these are thyroid things. And these And these are thyroid things. And these And these are these are things that actually like And these are things that actually like And these are things that actually like And you're right about this is they're like you're right about this is they're like you're right about this is they're like very early warning signs. You know, like very early warning signs. You know, like very early warning signs. You know, like like if if your tire pressure starts like if if your tire pressure starts like if if your tire pressure starts going down by like 1 mm. going down by like 1 mm. going down by like 1 mm. >> Yeah, you you get the little flag, the >> Yeah, you you get the little flag, the >> Yeah, you you get the little flag, the little alert. little alert. little alert. >> it might not look like it was a problem >> it might not look like it was a problem >> it might not look like it was a problem yet. It might not be in the like fill up yet. It might not be in the like fill up yet. It might not be in the like fill up your tires, but it's like it's starting your tires, but it's like it's starting your tires, but it's like it's starting to go down and you can track that often to go down and you can track that often to go down and you can track that often years and years before we even pay years and years before we even pay years and years before we even pay attention. Even if it's in the quote attention. Even if it's in the quote attention. Even if it's in the quote normal range. Cuz it cuz it may not be normal range. Cuz it cuz it may not be normal range. Cuz it cuz it may not be normal for you. And I think we're normal for you. And I think we're normal for you. And I think we're learning more about biomarkers and we learning more about biomarkers and we learning more about biomarkers and we see this in functional you know, you see this in functional you know, you see this in functional you know, you have to be your own control. You know, have to be your own control. You know, have to be your own control. You know, if your liver function tests are like if your liver function tests are like if your liver function tests are like let's say 25 one of the common ones AST, let's say 25 one of the common ones AST, let's say 25 one of the common ones AST, but the next year is 40. but the next year is 40. but the next year is 40. >> Like that's abnormal. >> Like that's abnormal. >> Like that's abnormal. >> but it's it's >> but it's it's >> but it's it's >> for me. >> for me. >> for me. >> It's abnormal for you. >> It's abnormal for you. >> It's abnormal for you. >> We have to allow ourselves to be our own >> We have to allow ourselves to be our own >> We have to allow ourselves to be our own inner one experiment in a way and really inner one experiment in a way and really inner one experiment in a way and really learn that we we're going to give learn that we we're going to give learn that we we're going to give generalized advice based on the data generalized advice based on the data generalized advice based on the data that we have out there, but we have to that we have out there, but we have to that we have out there, but we have to apply it to our own body and health. And apply it to our own body and health. And apply it to our own body and health. And I agree, we'd rather just put more air I agree, we'd rather just put more air I agree, we'd rather just put more air in the tire and fix the problem than in the tire and fix the problem than in the tire and fix the problem than have a blowout while we're on the road, have a blowout while we're on the road, have a blowout while we're on the road, which is the pathway so many people are which is the pathway so many people are which is the pathway so many people are on. on. on. >> What in terms of the inflammatory >> What in terms of the inflammatory >> What in terms of the inflammatory lifestyle that we're talking about, what lifestyle that we're talking about, what lifestyle that we're talking about, what do you what are you advising people to do you what are you advising people to do you what are you advising people to do to kind of reduce inflammation? Cuz do to kind of reduce inflammation? Cuz do to kind of reduce inflammation? Cuz it seems like inflammation it seems like inflammation it seems like inflammation is connected to insulin resistance, to is connected to insulin resistance, to is connected to insulin resistance, to toxins, to mitochondrial health, like toxins, to mitochondrial health, like toxins, to mitochondrial health, like all that. So how do you how do you kind all that. So how do you how do you kind all that. So how do you how do you kind of advise people when you're like of advise people when you're like of advise people when you're like someone's coming to you and say I'm someone's coming to you and say I'm someone's coming to you and say I'm having problems with my my fertility or having problems with my my fertility or having problems with my my fertility or my reproductive cycle, my reproductive cycle, my reproductive cycle, men and women? men and women? men and women? >> First of all, let's double down cuz you >> First of all, let's double down cuz you >> First of all, let's double down cuz you said it a couple times. Mitochondrial said it a couple times. Mitochondrial said it a couple times. Mitochondrial health is extremely important in how the health is extremely important in how the health is extremely important in how the egg is going to function and we know egg is going to function and we know egg is going to function and we know that the follicular fluid, so if you that the follicular fluid, so if you that the follicular fluid, so if you think about a follicle has an egg and think about a follicle has an egg and think about a follicle has an egg and fluid inside of it. The follicular fluid fluid inside of it. The follicular fluid fluid inside of it. The follicular fluid can carry inflammatory markers in it and can carry inflammatory markers in it and can carry inflammatory markers in it and women who have more inflammatory markers women who have more inflammatory markers women who have more inflammatory markers in their follicular fluid, so a higher in their follicular fluid, so a higher in their follicular fluid, so a higher inflammatory burden, have more inflammatory burden, have more inflammatory burden, have more abnormally shaped mitochondria. So abnormally shaped mitochondria. So abnormally shaped mitochondria. So inflammation is directly harming the inflammation is directly harming the inflammation is directly harming the mitochondria of your eggs. Mitochondria mitochondria of your eggs. Mitochondria mitochondria of your eggs. Mitochondria of the eggs impact egg function, of the eggs impact egg function, of the eggs impact egg function, response to hormones, but they get response to hormones, but they get response to hormones, but they get exclusively passed on to your child. So exclusively passed on to your child. So exclusively passed on to your child. So very important for us to connect the very important for us to connect the very important for us to connect the dots for people that inflammation is not dots for people that inflammation is not dots for people that inflammation is not just this buzzword, but that it's just this buzzword, but that it's just this buzzword, but that it's significantly impacting your life and significantly impacting your life and significantly impacting your life and you can make a difference. you can make a difference. you can make a difference. >> So what you just said something really >> So what you just said something really >> So what you just said something really important I want to gloss over it. important I want to gloss over it. important I want to gloss over it. >> Yeah. >> Yeah. >> Yeah. >> The mitochondria >> The mitochondria >> The mitochondria in the egg are influenced by in the egg are influenced by in the egg are influenced by inflammation. inflammation. inflammation. >> Yeah. >> Yeah. >> Yeah. >> And the mitochondria from the mother >> And the mitochondria from the mother >> And the mitochondria from the mother is what's passed on to the child. They is what's passed on to the child. They is what's passed on to the child. They don't get the mitochondrial DNA from the don't get the mitochondrial DNA from the don't get the mitochondrial DNA from the father, they get it from the mother, father, they get it from the mother, father, they get it from the mother, which is unusual and when you look at which is unusual and when you look at which is unusual and when you look at genetics, everything else is half half. genetics, everything else is half half. genetics, everything else is half half. So are you saying that that the quality So are you saying that that the quality So are you saying that that the quality of the egg and the mitochondria of the of the egg and the mitochondria of the of the egg and the mitochondria of the egg is passed on to the child and egg is passed on to the child and egg is passed on to the child and influence their mitochondrial health? influence their mitochondrial health? influence their mitochondrial health? >> It does. It influences their >> It does. It influences their >> It does. It influences their mitochondrial health. It influences mitochondrial health. It influences mitochondrial health. It influences their genetic expression. their genetic expression. their genetic expression. And I know everybody wants to be making And I know everybody wants to be making And I know everybody wants to be making decisions that are going to be decisions that are going to be decisions that are going to be beneficial for hopefully their future beneficial for hopefully their future beneficial for hopefully their future baby, their child's health. baby, their child's health. baby, their child's health. But we've got to really bring this But we've got to really bring this But we've got to really bring this conversation publicly and talk about how conversation publicly and talk about how conversation publicly and talk about how do we influence our mitochondrial health do we influence our mitochondrial health do we influence our mitochondrial health because many people are still told the because many people are still told the because many people are still told the party line of it doesn't matter what you party line of it doesn't matter what you party line of it doesn't matter what you do, it's just luck, right? do, it's just luck, right? do, it's just luck, right? >> Oh, it doesn't matter what you eat, you >> Oh, it doesn't matter what you eat, you >> Oh, it doesn't matter what you eat, you know, like it doesn't matter. know, like it doesn't matter. know, like it doesn't matter. >> is all luck, none of this matters, but >> is all luck, none of this matters, but >> is all luck, none of this matters, but luck by definition is something you have luck by definition is something you have luck by definition is something you have no control over. Even if we don't no control over. Even if we don't no control over. Even if we don't control everything, you are directly control everything, you are directly control everything, you are directly controlling most of the inflammation controlling most of the inflammation controlling most of the inflammation you're exposed to and it's worth it if you're exposed to and it's worth it if you're exposed to and it's worth it if you care about your health to start to you care about your health to start to you care about your health to start to break it down. So, I'd love to dive into break it down. So, I'd love to dive into break it down. So, I'd love to dive into these type five and what I recommend. these type five and what I recommend. these type five and what I recommend. >> Go for it. >> Go for it. >> Go for it. >> So, the first thing that I recommend to >> So, the first thing that I recommend to >> So, the first thing that I recommend to patients and the number one thing people patients and the number one thing people patients and the number one thing people are not doing in my practice is sleeping are not doing in my practice is sleeping are not doing in my practice is sleeping enough. So, sleep is going to be number enough. So, sleep is going to be number enough. So, sleep is going to be number one on the list. one on the list. one on the list. I have so many I live in we live in I have so many I live in we live in I have so many I live in we live in Austin. So, we have so many patients who Austin. So, we have so many patients who Austin. So, we have so many patients who are healthy from the outside, kind of are healthy from the outside, kind of are healthy from the outside, kind of like I was and they look fine and they like I was and they look fine and they like I was and they look fine and they >> They go to yoga class. >> They go to yoga class. >> They go to yoga class. >> declare themselves as healthy. >> declare themselves as healthy. >> declare themselves as healthy. And we go down and I talk about sleep, And we go down and I talk about sleep, And we go down and I talk about sleep, they'll say, "Oh, I only need five and a they'll say, "Oh, I only need five and a they'll say, "Oh, I only need five and a half hours of sleep per night. That's half hours of sleep per night. That's half hours of sleep per night. That's all I need." all I need." all I need." And so, we have to say like, "Hey, that And so, we have to say like, "Hey, that And so, we have to say like, "Hey, that might be what you think you need. That's might be what you think you need. That's might be what you think you need. That's not what your cells need. That's not not what your cells need. That's not not what your cells need. That's not enough to function optimally. So, we're enough to function optimally. So, we're enough to function optimally. So, we're not just trying to get up and get not just trying to get up and get not just trying to get up and get through the day. We really are trying to through the day. We really are trying to through the day. We really are trying to reprogram our body." reprogram our body." reprogram our body." When it comes to a fertility or When it comes to a fertility or When it comes to a fertility or reproductive lens, reproductive lens, reproductive lens, for every hour less of sleep that a for every hour less of sleep that a for every hour less of sleep that a woman gets, she's going to get fewer woman gets, she's going to get fewer woman gets, she's going to get fewer eggs in an IVF cycle. eggs in an IVF cycle. eggs in an IVF cycle. For every hour less sleep a man gets, For every hour less sleep a man gets, For every hour less sleep a man gets, he'll have a lower testosterone level he'll have a lower testosterone level he'll have a lower testosterone level and have less sperm. and have less sperm. and have less sperm. >> Wow. >> Wow. >> Wow. >> And then if either person gets poor >> And then if either person gets poor >> And then if either person gets poor sleep, it takes us longer to get sleep, it takes us longer to get sleep, it takes us longer to get pregnant and lower success with IVF. So, pregnant and lower success with IVF. So, pregnant and lower success with IVF. So, this isn't just a this isn't just a this isn't just a good thing we should do. It really is good thing we should do. It really is good thing we should do. It really is foundational in how our body is set to foundational in how our body is set to foundational in how our body is set to deal with the inflammatory burden of the deal with the inflammatory burden of the deal with the inflammatory burden of the day. So, when you sleep, inflammation day. So, when you sleep, inflammation day. So, when you sleep, inflammation levels can drop. You can obviously levels can drop. You can obviously levels can drop. You can obviously become more insulin sensitive in your become more insulin sensitive in your become more insulin sensitive in your cells because you're not eating during cells because you're not eating during cells because you're not eating during that time frame. that time frame. that time frame. But again, for reproduction, FSH and LH But again, for reproduction, FSH and LH But again, for reproduction, FSH and LH are released from the brain in the early are released from the brain in the early are released from the brain in the early morning hours. If you are not sleeping morning hours. If you are not sleeping morning hours. If you are not sleeping long enough, your body's not getting to long enough, your body's not getting to long enough, your body's not getting to the stage where your brain is able to the stage where your brain is able to the stage where your brain is able to interpret and respond appropriately. So, interpret and respond appropriately. So, interpret and respond appropriately. So, it's really important it's really important it's really important ideally we get at minimum 7 hours, 7 and ideally we get at minimum 7 hours, 7 and ideally we get at minimum 7 hours, 7 and 1/2 is probably better for women, 1/2 is probably better for women, 1/2 is probably better for women, especially in the luteal phase. especially in the luteal phase. especially in the luteal phase. Progesterone is a really Progesterone is a really Progesterone is a really energetically expensive process for energetically expensive process for energetically expensive process for women to make progesterone. So, we want women to make progesterone. So, we want women to make progesterone. So, we want to make sure that we're prioritizing to make sure that we're prioritizing to make sure that we're prioritizing sleep and setting a good sleep sleep and setting a good sleep sleep and setting a good sleep environment. Both men and women, dark environment. Both men and women, dark environment. Both men and women, dark room, cool room, think sleep mask, sound room, cool room, think sleep mask, sound room, cool room, think sleep mask, sound machine. But also, if we have a partner, machine. But also, if we have a partner, machine. But also, if we have a partner, we've got to be on the same sleep we've got to be on the same sleep we've got to be on the same sleep schedule. So many couples have somebody schedule. So many couples have somebody schedule. So many couples have somebody they share a bed with, they share a bed with, they share a bed with, and that's all One person goes to bed and that's all One person goes to bed and that's all One person goes to bed early, the other person goes to bed early, the other person goes to bed early, the other person goes to bed late, but that's really disrupting our late, but that's really disrupting our late, but that's really disrupting our sleep pattern when somebody's sleep pattern when somebody's sleep pattern when somebody's not coming to bed at the same time and not coming to bed at the same time and not coming to bed at the same time and getting up at the same time. In the getting up at the same time. In the getting up at the same time. In the perfect world, this is similar. perfect world, this is similar. perfect world, this is similar. And then your circadian rhythm matters And then your circadian rhythm matters And then your circadian rhythm matters as well, right? So, when it's dark as well, right? So, when it's dark as well, right? So, when it's dark outside, you're sleeping. outside, you're sleeping. outside, you're sleeping. >> So, sleep. What are >> So, sleep. What are >> So, sleep. What are >> number one. >> number one. >> number one. Number two is going to be stress. So, we Number two is going to be stress. So, we Number two is going to be stress. So, we already talked about stress a little already talked about stress a little already talked about stress a little bit. There was a study called the LIFE bit. There was a study called the LIFE bit. There was a study called the LIFE study, which is looking at a study, which is looking at a study, which is looking at a preconception cohort, so people who want preconception cohort, so people who want preconception cohort, so people who want to get pregnant who don't have to get pregnant who don't have to get pregnant who don't have infertility, and people who had higher infertility, and people who had higher infertility, and people who had higher salivary amylase levels, a stress salivary amylase levels, a stress salivary amylase levels, a stress marker, that took them longer to get marker, that took them longer to get marker, that took them longer to get pregnant. And this was whether the man pregnant. And this was whether the man pregnant. And this was whether the man had it or the woman had it. had it or the woman had it. had it or the woman had it. >> Salivary cortisol or amylase? >> Salivary cortisol or amylase? >> Salivary cortisol or amylase? >> Amylase. >> Amylase. >> Amylase. >> Amylase. That's a digestive enzyme. >> Amylase. That's a digestive enzyme. >> Amylase. That's a digestive enzyme. >> It is, but it's also increased in >> It is, but it's also increased in >> It is, but it's also increased in stress. stress. stress. >> Oh. >> Oh. >> Oh. >> So, >> So, >> So, >> That's new for me, but that's good to >> That's new for me, but that's good to >> That's new for me, but that's good to know. know. know. >> It's interesting. >> It's interesting. >> It's interesting. >> I thought I like doing podcasts and I >> I thought I like doing podcasts and I >> I thought I like doing podcasts and I talk to smart people like, "I didn't talk to smart people like, "I didn't talk to smart people like, "I didn't know that." know that." know that." >> [laughter] >> [laughter] >> [laughter] >> So, we want to think about how your body >> So, we want to think about how your body >> So, we want to think about how your body was made to function, which is obviously was made to function, which is obviously was made to function, which is obviously not in this world. Stress response had a not in this world. Stress response had a not in this world. Stress response had a very specific purpose. When your adrenal very specific purpose. When your adrenal very specific purpose. When your adrenal glands would make cortisol, right? glands would make cortisol, right? glands would make cortisol, right? Cortisol is inflammatory, Cortisol is inflammatory, Cortisol is inflammatory, but we'll use the old example of running but we'll use the old example of running but we'll use the old example of running from a bear. And when your body wanted from a bear. And when your body wanted from a bear. And when your body wanted you to run from a bear, so it didn't you to run from a bear, so it didn't you to run from a bear, so it didn't need your survival from the bear to need your survival from the bear to need your survival from the bear to depend on when you ate your last meal. depend on when you ate your last meal. depend on when you ate your last meal. Because glucose coming from our food is Because glucose coming from our food is Because glucose coming from our food is the fuel for cells. So what happens when the fuel for cells. So what happens when the fuel for cells. So what happens when cortisol is released and you have cortisol is released and you have cortisol is released and you have stress, as you know, glucose gets broken stress, as you know, glucose gets broken stress, as you know, glucose gets broken down from the liver and goes into your down from the liver and goes into your down from the liver and goes into your bloodstream so that you can hopefully bloodstream so that you can hopefully bloodstream so that you can hopefully run from your bear, use up all that run from your bear, use up all that run from your bear, use up all that glucose, and get back to normal. But glucose, and get back to normal. But glucose, and get back to normal. But bears are not what causes most of us to bears are not what causes most of us to bears are not what causes most of us to be stressed. It's bad meetings, be stressed. It's bad meetings, be stressed. It's bad meetings, encounters with people, the internet, encounters with people, the internet, encounters with people, the internet, you know, bad medical news. you know, bad medical news. you know, bad medical news. And what we do is we internalize that And what we do is we internalize that And what we do is we internalize that stress. stress. stress. We don't leverage our physiology, and in We don't leverage our physiology, and in We don't leverage our physiology, and in fact we do the worst thing, right? So fact we do the worst thing, right? So fact we do the worst thing, right? So leveraging your physiology would say, leveraging your physiology would say, leveraging your physiology would say, "Hey, "Hey, "Hey, I know that glucose has been released, I know that glucose has been released, I know that glucose has been released, so so so maybe I should do 10 squats right here, maybe I should do 10 squats right here, maybe I should do 10 squats right here, go for a very quick walk. I need to use go for a very quick walk. I need to use go for a very quick walk. I need to use up some of that glucose to get back to up some of that glucose to get back to up some of that glucose to get back to baseline." But what most people do baseline." But what most people do baseline." But what most people do is not that. And if we have extra is not that. And if we have extra is not that. And if we have extra glucose, our body will secrete more glucose, our body will secrete more glucose, our body will secrete more insulin from our pancreas. So insulin insulin from our pancreas. So insulin insulin from our pancreas. So insulin resistance is directly associated with resistance is directly associated with resistance is directly associated with chronic stress. If you have more chronic chronic stress. If you have more chronic chronic stress. If you have more chronic stress, it can cause insulin resistance. stress, it can cause insulin resistance. stress, it can cause insulin resistance. So not just from our food, but from our So not just from our food, but from our So not just from our food, but from our lifestyle or environment as well. lifestyle or environment as well. lifestyle or environment as well. And when we think about it this way, the And when we think about it this way, the And when we think about it this way, the fact that insulin levels being higher fact that insulin levels being higher fact that insulin levels being higher longer is so inflammatory, longer is so inflammatory, longer is so inflammatory, more visceral fat deposition, impacts more visceral fat deposition, impacts more visceral fat deposition, impacts the hypothalamus or the brain's the hypothalamus or the brain's the hypothalamus or the brain's response, but high insulin levels change response, but high insulin levels change response, but high insulin levels change the ovarian response specifically. So the ovarian response specifically. So the ovarian response specifically. So the ovaries are going to make more the ovaries are going to make more the ovaries are going to make more androgens, more male hormones, and less androgens, more male hormones, and less androgens, more male hormones, and less estrogen in the setting of higher estrogen in the setting of higher estrogen in the setting of higher insulin. And insulin's going to change insulin. And insulin's going to change insulin. And insulin's going to change mitochondrial function and shape when mitochondrial function and shape when mitochondrial function and shape when it's at high levels in the ovary. it's at high levels in the ovary. it's at high levels in the ovary. So it's not a benign hormone, it's an So it's not a benign hormone, it's an So it's not a benign hormone, it's an important one. [clears throat] important one. [clears throat] important one. [clears throat] So if we say, "Okay, I'll write them So if we say, "Okay, I'll write them So if we say, "Okay, I'll write them out, not too much." Exactly. So we need out, not too much." Exactly. So we need out, not too much." Exactly. So we need to say, "Okay, if I'm stressed, I need to say, "Okay, if I'm stressed, I need to say, "Okay, if I'm stressed, I need to be in a place where hopefully I can to be in a place where hopefully I can to be in a place where hopefully I can manage that stress better, right? Go go manage that stress better, right? Go go manage that stress better, right? Go go do something, activate your muscles, so do something, activate your muscles, so do something, activate your muscles, so that you can use up that glucose and not that you can use up that glucose and not that you can use up that glucose and not be on a path be on a path be on a path >> the tiger on a treadmill. >> the tiger on a treadmill. >> the tiger on a treadmill. >> Seriously, I mean a small walk, few >> Seriously, I mean a small walk, few >> Seriously, I mean a small walk, few squats, a few push-ups, do something. squats, a few push-ups, do something. squats, a few push-ups, do something. >> And jump up and down and scream. >> And jump up and down and scream. >> And jump up and down and scream. >> do most Americans do? >> do most Americans do? >> do most Americans do? But if you have a stressful day, what do But if you have a stressful day, what do But if you have a stressful day, what do most people come home and do? most people come home and do? most people come home and do? >> Watch TV, eat food. >> Watch TV, eat food. >> Watch TV, eat food. >> Eat eat food, drink alcohol. We actually >> Eat eat food, drink alcohol. We actually >> Eat eat food, drink alcohol. We actually do things that are going to worsen our do things that are going to worsen our do things that are going to worsen our insulin resistance instead of improving insulin resistance instead of improving insulin resistance instead of improving it. And then to the last tenant here, it. And then to the last tenant here, it. And then to the last tenant here, especially for women, we we need to especially for women, we we need to especially for women, we we need to build muscle, right? Muscle is really build muscle, right? Muscle is really build muscle, right? Muscle is really one of the keys for hormonal health one of the keys for hormonal health one of the keys for hormonal health because it can utilize glucose without because it can utilize glucose without because it can utilize glucose without needing insulin. needing insulin. needing insulin. It is one of the best ways to combat It is one of the best ways to combat It is one of the best ways to combat insulin resistance, which many quote insulin resistance, which many quote insulin resistance, which many quote healthy people are still insulin healthy people are still insulin healthy people are still insulin resistant. And you and I probably resistant. And you and I probably resistant. And you and I probably struggle with the fact that a lot of the struggle with the fact that a lot of the struggle with the fact that a lot of the lab tests to check for this have lab tests to check for this have lab tests to check for this have reference ranges that you and I also reference ranges that you and I also reference ranges that you and I also would not like most people to be in when would not like most people to be in when would not like most people to be in when it comes to it comes to it comes to are they optimal versus quote normal are they optimal versus quote normal are they optimal versus quote normal because of population-based norms. because of population-based norms. because of population-based norms. >> Right. >> Right. >> Right. >> So we see people >> So we see people >> So we see people who are more insulin resistant. And if who are more insulin resistant. And if who are more insulin resistant. And if they function and work on building more they function and work on building more they function and work on building more muscle, one, they'll be able to use up muscle, one, they'll be able to use up muscle, one, they'll be able to use up more of that glucose in a better way, more of that glucose in a better way, more of that glucose in a better way, and that's going to be more hormonal and that's going to be more hormonal and that's going to be more hormonal >> is is such a prevalent problem, like >> is is such a prevalent problem, like >> is is such a prevalent problem, like this insulin problem. this insulin problem. this insulin problem. >> It's it's huge. >> It's it's huge. >> It's it's huge. >> I mean, I I we at Function Health, we've >> I mean, I I we at Function Health, we've >> I mean, I I we at Function Health, we've tested half a million people. tested half a million people. tested half a million people. >> Yes. >> Yes. >> Yes. >> And we've done 80 million lab tests. >> And we've done 80 million lab tests. >> And we've done 80 million lab tests. >> So what is >> So what is >> So what is >> And >> And >> And we test insulin, which we test insulin, which we test insulin, which >> I test fasting insulin in my patients. >> I test fasting insulin in my patients. >> I test fasting insulin in my patients. >> almost no doctors do except maybe you >> almost no doctors do except maybe you >> almost no doctors do except maybe you and me and a few others. Ask question, and me and a few others. Ask question, and me and a few others. Ask question, how many how many how many tests that they received were for an tests that they received were for an tests that they received were for an include insulin, and these are less than include insulin, and these are less than include insulin, and these are less than 1%. 1%. 1%. 65% of our members who we we think would 65% of our members who we we think would 65% of our members who we we think would be health forward have high insulin be health forward have high insulin be health forward have high insulin levels at the Quest reference range, levels at the Quest reference range, levels at the Quest reference range, which is 18. which is 18. which is 18. >> And so I want my listeners >> And so I want my listeners >> And so I want my listeners >> should be Right, it should be I think >> should be Right, it should be I think >> should be Right, it should be I think less should be less than five. So we're less should be less than five. So we're less should be less than five. So we're about the same ballpark. about the same ballpark. about the same ballpark. >> But they're like far from 18. >> But they're like far from 18. >> But they're like far from 18. >> So 65% are over 18 in in fasting insulin >> So 65% are over 18 in in fasting insulin >> So 65% are over 18 in in fasting insulin at Function, which is insane to me. at Function, which is insane to me. at Function, which is insane to me. That's severe insulin resistance in my That's severe insulin resistance in my That's severe insulin resistance in my book. And you know, I I saw somebody book. And you know, I I saw somebody book. And you know, I I saw somebody recently the woman she had she had like recently the woman she had she had like recently the woman she had she had like you know, insulin was like 70 or you know, insulin was like 70 or you know, insulin was like 70 or something. You know, like I think she something. You know, like I think she something. You know, like I think she had PCOS obviously. So these are these had PCOS obviously. So these are these had PCOS obviously. So these are these are things that we can modify 100%. are things that we can modify 100%. are things that we can modify 100%. I want to share something personal about I want to share something personal about I want to share something personal about my own health journey. A little while my own health journey. A little while my own health journey. A little while back I went through a period where I was back I went through a period where I was back I went through a period where I was recovering physically and working hard recovering physically and working hard recovering physically and working hard to rebuild my strength. I was doing all to rebuild my strength. I was doing all to rebuild my strength. I was doing all the right things eating well, the right things eating well, the right things eating well, exercising. I was focusing on sleep and exercising. I was focusing on sleep and exercising. I was focusing on sleep and recovery, but I started looking more recovery, but I started looking more recovery, but I started looking more closely at how the body actually uses closely at how the body actually uses closely at how the body actually uses protein as we age. And here's the thing, protein as we age. And here's the thing, protein as we age. And here's the thing, our bodies don't always utilize protein our bodies don't always utilize protein our bodies don't always utilize protein as efficiently as we get older. So even as efficiently as we get older. So even as efficiently as we get older. So even when you're eating well, you may not when you're eating well, you may not when you're eating well, you may not always be getting the essential amino always be getting the essential amino always be getting the essential amino acids your body needs to support muscle acids your body needs to support muscle acids your body needs to support muscle repair and recovery. And that's when I repair and recovery. And that's when I repair and recovery. And that's when I started using perfect aminos. Now I want started using perfect aminos. Now I want started using perfect aminos. Now I want to be clear, this isn't about replacing to be clear, this isn't about replacing to be clear, this isn't about replacing whole food protein. I'm a huge believer whole food protein. I'm a huge believer whole food protein. I'm a huge believer in getting high quality protein from in getting high quality protein from in getting high quality protein from real food. real food. real food. But perfect amino can be a very But perfect amino can be a very But perfect amino can be a very convenient way to complement your diet convenient way to complement your diet convenient way to complement your diet and to help make sure you're getting the and to help make sure you're getting the and to help make sure you're getting the essential amino acids your body relies essential amino acids your body relies essential amino acids your body relies on. The essential amino acids are nine on. The essential amino acids are nine on. The essential amino acids are nine amino acids your body cannot make on its amino acids your body cannot make on its amino acids your body cannot make on its own. So you have to get them from food own. So you have to get them from food own. So you have to get them from food or supplements. And they play a key role or supplements. And they play a key role or supplements. And they play a key role in processes like building and repairing in processes like building and repairing in processes like building and repairing muscle, supporting recovery, and muscle, supporting recovery, and muscle, supporting recovery, and maintaining overall metabolic health. maintaining overall metabolic health. maintaining overall metabolic health. For me, it's become a helpful part of my For me, it's become a helpful part of my For me, it's become a helpful part of my personal routine while focusing on personal routine while focusing on personal routine while focusing on recovery, strength, and maintaining recovery, strength, and maintaining recovery, strength, and maintaining muscle as I age. Especially alongside muscle as I age. Especially alongside muscle as I age. Especially alongside resistance training and of course a resistance training and of course a resistance training and of course a nutrient dense diet. So to get your nutrient dense diet. So to get your nutrient dense diet. So to get your perfect amino today, head over to perfect amino today, head over to perfect amino today, head over to bodyhealth.com and get 20% off your bodyhealth.com and get 20% off your bodyhealth.com and get 20% off your first order with the code Hyman20. first order with the code Hyman20. first order with the code Hyman20. That's b o d y health.com and use the That's b o d y health.com and use the That's b o d y health.com and use the code Hyman20. code Hyman20. code Hyman20. One of today's sponsors is Roe One of today's sponsors is Roe One of today's sponsors is Roe Nutrition. Have you ever had one of Nutrition. Have you ever had one of Nutrition. Have you ever had one of those days where you slept enough, but those days where you slept enough, but those days where you slept enough, but your brain just isn't firing? You feel your brain just isn't firing? You feel your brain just isn't firing? You feel foggy, unfocused, a little off, and you foggy, unfocused, a little off, and you foggy, unfocused, a little off, and you can't quite explain why. Well, a lot of can't quite explain why. Well, a lot of can't quite explain why. Well, a lot of that comes down to energy. Not just that comes down to energy. Not just that comes down to energy. Not just physical energy, but cellular energy. physical energy, but cellular energy. physical energy, but cellular energy. Creatine is one of the most Creatine is one of the most Creatine is one of the most well-researched supplements in all well-researched supplements in all well-researched supplements in all nutrition. And while most people think nutrition. And while most people think nutrition. And while most people think of it for muscle, what's often of it for muscle, what's often of it for muscle, what's often overlooked is brain energy. Your brain overlooked is brain energy. Your brain overlooked is brain energy. Your brain is incredibly energy demanding, and when is incredibly energy demanding, and when is incredibly energy demanding, and when that energy drops, you'll feel it in that energy drops, you'll feel it in that energy drops, you'll feel it in your focus, in your clarity, and your focus, in your clarity, and your focus, in your clarity, and resilience to stress. So, creatine helps resilience to stress. So, creatine helps resilience to stress. So, creatine helps support that system, not just in your support that system, not just in your support that system, not just in your muscles, but in your brain. And it's muscles, but in your brain. And it's muscles, but in your brain. And it's especially noticeable when you're tired especially noticeable when you're tired especially noticeable when you're tired or stressed or just pushing hard. And or stressed or just pushing hard. And or stressed or just pushing hard. And that's why it's a staple for me. I use that's why it's a staple for me. I use that's why it's a staple for me. I use ROU Liposomal Creatine. It's easy to ROU Liposomal Creatine. It's easy to ROU Liposomal Creatine. It's easy to take, it tastes good, and 1 Tbsp gives take, it tastes good, and 1 Tbsp gives take, it tastes good, and 1 Tbsp gives you about 3 g, which allows with the you about 3 g, which allows with the you about 3 g, which allows with the research. For me, it's not about research. For me, it's not about research. For me, it's not about performance, it's about having the performance, it's about having the performance, it's about having the energy to think clearly and show up the energy to think clearly and show up the energy to think clearly and show up the way I want to. So, head over to way I want to. So, head over to way I want to. So, head over to rounutrition.com and get 20% off your rounutrition.com and get 20% off your rounutrition.com and get 20% off your entire product line. You can use my entire product line. You can use my entire product line. You can use my exclusive code Hyman, that's exclusive code Hyman, that's exclusive code Hyman, that's rounutrition.com, rounutrition.com, rounutrition.com, and use the code Hyman for 20% off and use the code Hyman for 20% off and use the code Hyman for 20% off sitewide. sitewide. sitewide. >> It's so important because when I talk to >> It's so important because when I talk to >> It's so important because when I talk to patients and I bring up insulin patients and I bring up insulin patients and I bring up insulin resistance, the first response I always resistance, the first response I always resistance, the first response I always get is, "Well, nobody in my family has get is, "Well, nobody in my family has get is, "Well, nobody in my family has diabetes." Like like this doesn't apply diabetes." Like like this doesn't apply diabetes." Like like this doesn't apply to me. Or I'm really healthy, I go to to me. Or I'm really healthy, I go to to me. Or I'm really healthy, I go to yoga, I do these other things. Like that yoga, I do these other things. Like that yoga, I do these other things. Like that this is not me. They have this idea that this is not me. They have this idea that this is not me. They have this idea that that's not going to be them. Or they had that's not going to be them. Or they had that's not going to be them. Or they had a hemoglobin A1C that fell into its a hemoglobin A1C that fell into its a hemoglobin A1C that fell into its reference range, so they think that they reference range, so they think that they reference range, so they think that they are fine. are fine. are fine. >> Yeah. >> Yeah. >> Yeah. >> But I'm like you, I check a fasting >> But I'm like you, I check a fasting >> But I'm like you, I check a fasting insulin in in all my patients and say insulin in in all my patients and say insulin in in all my patients and say like, "Look, here's tangible proof that like, "Look, here's tangible proof that like, "Look, here's tangible proof that your body's not functioning as optimal your body's not functioning as optimal your body's not functioning as optimal as it could, and we can move the as it could, and we can move the as it could, and we can move the needle." And it's not just one thing needle." And it's not just one thing needle." And it's not just one thing that's going to do it. that's going to do it. that's going to do it. It's all of these things. And you know, It's all of these things. And you know, It's all of these things. And you know, sleep, stress, and building muscle are sleep, stress, and building muscle are sleep, stress, and building muscle are really keys. And for young women really keys. And for young women really keys. And for young women specifically, a lot of them are not specifically, a lot of them are not specifically, a lot of them are not picking up weights and building muscle. picking up weights and building muscle. picking up weights and building muscle. We see still see a lot of you know, We see still see a lot of you know, We see still see a lot of you know, aerobic activity, which is not bad, but aerobic activity, which is not bad, but aerobic activity, which is not bad, but it shouldn't be all that you do. We see it shouldn't be all that you do. We see it shouldn't be all that you do. We see a lot of, you know, yoga, Pilates, also a lot of, you know, yoga, Pilates, also a lot of, you know, yoga, Pilates, also not bad, but we really need to build not bad, but we really need to build not bad, but we really need to build some more muscle so that we are able to some more muscle so that we are able to some more muscle so that we are able to combat the insulin resistance that is combat the insulin resistance that is combat the insulin resistance that is how our world is really make pushing our how our world is really make pushing our how our world is really make pushing our bodies into this insulin resistant way. bodies into this insulin resistant way. bodies into this insulin resistant way. And then of course, food and toxins, And then of course, food and toxins, And then of course, food and toxins, which are the harder places for patients which are the harder places for patients which are the harder places for patients to make movement, but ultimately can to make movement, but ultimately can to make movement, but ultimately can make a lot of movement there. So, I make a lot of movement there. So, I make a lot of movement there. So, I always say start with the foundation, always say start with the foundation, always say start with the foundation, stress, sleep, and exercise master. And stress, sleep, and exercise master. And stress, sleep, and exercise master. And then let's talk about diet, and let's then let's talk about diet, and let's then let's talk about diet, and let's talk about toxins so that you can be in talk about toxins so that you can be in talk about toxins so that you can be in the place where you are decreasing that the place where you are decreasing that the place where you are decreasing that inflammation to the degree you can. inflammation to the degree you can. inflammation to the degree you can. >> And what does a diet look like? >> And what does a diet look like? >> And what does a diet look like? >> Diet so it's such a hot topic for >> Diet so it's such a hot topic for >> Diet so it's such a hot topic for people, isn't it? An anti-inflammatory people, isn't it? An anti-inflammatory people, isn't it? An anti-inflammatory diet is one that's going to heal your diet is one that's going to heal your diet is one that's going to heal your gut health. It's going to improve your gut health. It's going to improve your gut health. It's going to improve your gut microbiome. You know, your gut gut microbiome. You know, your gut gut microbiome. You know, your gut microbiome is essential in estrogen microbiome is essential in estrogen microbiome is essential in estrogen metabolism. It's also that protective metabolism. It's also that protective metabolism. It's also that protective barrier for how much inflammation you're barrier for how much inflammation you're barrier for how much inflammation you're going to be exposed to. And we know it going to be exposed to. And we know it going to be exposed to. And we know it is correlated with fertility rates. is correlated with fertility rates. is correlated with fertility rates. Your gut microbiome needs fiber. Fruits, Your gut microbiome needs fiber. Fruits, Your gut microbiome needs fiber. Fruits, vegetables, which have lots of vegetables, which have lots of vegetables, which have lots of antioxidants, lots of fiber-rich food. antioxidants, lots of fiber-rich food. antioxidants, lots of fiber-rich food. Almost everybody I see needs to eat more Almost everybody I see needs to eat more Almost everybody I see needs to eat more of them. From fertility data and hormone of them. From fertility data and hormone of them. From fertility data and hormone data, more servings of fruits and data, more servings of fruits and data, more servings of fruits and vegetables is correlated with getting vegetables is correlated with getting vegetables is correlated with getting pregnant faster and better outcomes if pregnant faster and better outcomes if pregnant faster and better outcomes if you're doing fertility treatment. Core you're doing fertility treatment. Core you're doing fertility treatment. Core of the diet. We want to then leverage of the diet. We want to then leverage of the diet. We want to then leverage these whole foods. We want healthy fats, these whole foods. We want healthy fats, these whole foods. We want healthy fats, olive oils, avocados, nuts, seeds. Fat olive oils, avocados, nuts, seeds. Fat olive oils, avocados, nuts, seeds. Fat is the backbone for hormones. You need is the backbone for hormones. You need is the backbone for hormones. You need cholesterol to make hormones. cholesterol to make hormones. cholesterol to make hormones. I still see specifically a lot of women I still see specifically a lot of women I still see specifically a lot of women who still go to the low-fat product, who still go to the low-fat product, who still go to the low-fat product, just almost out of habit or, you know, just almost out of habit or, you know, just almost out of habit or, you know, what the food industry has told people what the food industry has told people what the food industry has told people to do. So, we don't want to be afraid of to do. So, we don't want to be afraid of to do. So, we don't want to be afraid of fats and specifically those healthy fats and specifically those healthy fats and specifically those healthy fats. We want to leverage those. fats. We want to leverage those. fats. We want to leverage those. Most people need more plant-based Most people need more plant-based Most people need more plant-based protein. Doesn't mean you have to be protein. Doesn't mean you have to be protein. Doesn't mean you have to be completely plant-based, but plant-based completely plant-based, but plant-based completely plant-based, but plant-based protein is great because you're hitting protein is great because you're hitting protein is great because you're hitting multiple needs at once. You're going to multiple needs at once. You're going to multiple needs at once. You're going to get fiber, and you're also going to get get fiber, and you're also going to get get fiber, and you're also going to get protein goals. protein goals. protein goals. >> Vitamins and minerals. >> Vitamins and minerals. >> Vitamins and minerals. >> Vitamins, minerals, so >> Vitamins, minerals, so >> Vitamins, minerals, so m- a lot of people are not leveraging m- a lot of people are not leveraging m- a lot of people are not leveraging them at all, and we say them at all, and we say them at all, and we say >> We're not talking about like >> We're not talking about like >> We're not talking about like frankenfoods that are frankenfoods that are frankenfoods that are >> No, we're not talking about processed >> No, we're not talking about processed >> No, we're not talking about processed foods, right? foods, right? foods, right? >> Processed plant-based foods or vegan, >> Processed plant-based foods or vegan, >> Processed plant-based foods or vegan, those are terrible for you. They're those are terrible for you. They're those are terrible for you. They're actually worse than actually actually worse than actually actually worse than actually >> 100%. We We really are limiting >> 100%. We We really are limiting >> 100%. We We really are limiting processed foods processed foods processed foods including {quote} health foods that are including {quote} health foods that are including {quote} health foods that are processed. But we're talking about, you processed. But we're talking about, you processed. But we're talking about, you know, beans, lentils, those legumes, know, beans, lentils, those legumes, know, beans, lentils, those legumes, soy, like things that can be really soy, like things that can be really soy, like things that can be really advantageous to hit on multiple markers advantageous to hit on multiple markers advantageous to hit on multiple markers of your health at once. And then when it of your health at once. And then when it of your health at once. And then when it comes to animal-based meat, because comes to animal-based meat, because comes to animal-based meat, because animal meat does not have fiber in it, animal meat does not have fiber in it, animal meat does not have fiber in it, we want to make sure that we're we want to make sure that we're we want to make sure that we're incorporating really high-quality meats. incorporating really high-quality meats. incorporating really high-quality meats. Then this is of course a limitation in Then this is of course a limitation in Then this is of course a limitation in nutritional data is that we look at nutritional data is that we look at nutritional data is that we look at certain different food groups and certain different food groups and certain different food groups and everything's grouped together, right? So everything's grouped together, right? So everything's grouped together, right? So your McDonald's hamburger is in the same your McDonald's hamburger is in the same your McDonald's hamburger is in the same food group food group food group >> They're not even 50% meat, I think. >> They're not even 50% meat, I think. >> They're not even 50% meat, I think. >> Uh well, so everything's kind of grouped >> Uh well, so everything's kind of grouped >> Uh well, so everything's kind of grouped together, so we have to take it as it together, so we have to take it as it together, so we have to take it as it is, but what we know we do look at is, but what we know we do look at is, but what we know we do look at different types of animal meat, eggs different types of animal meat, eggs different types of animal meat, eggs look beneficial. They're really high in look beneficial. They're really high in look beneficial. They're really high in choline, you know, healthy fats, so eggs choline, you know, healthy fats, so eggs choline, you know, healthy fats, so eggs are great. Fish, of course, with omega-3 are great. Fish, of course, with omega-3 are great. Fish, of course, with omega-3 fatty acids look really lovely. fatty acids look really lovely. fatty acids look really lovely. People who consumed more servings of red People who consumed more servings of red People who consumed more servings of red meat had poorer embryo quality, lower meat had poorer embryo quality, lower meat had poorer embryo quality, lower egg counts, and worse stage of egg counts, and worse stage of egg counts, and worse stage of endometriosis. Not all red meat's endometriosis. Not all red meat's endometriosis. Not all red meat's created equal. I tell patients you don't created equal. I tell patients you don't created equal. I tell patients you don't need to eat it every day, though. need to eat it every day, though. need to eat it every day, though. There's healthier protein-based sources There's healthier protein-based sources There's healthier protein-based sources if we're looking at every single day. if we're looking at every single day. if we're looking at every single day. >> at a feed lot cow versus say a >> at a feed lot cow versus say a >> at a feed lot cow versus say a regeneratively raised bison. regeneratively raised bison. regeneratively raised bison. >> all the same. We agree with that. >> all the same. We agree with that. >> all the same. We agree with that. >> near Austin, Texas is a different thing. >> near Austin, Texas is a different thing. >> near Austin, Texas is a different thing. >> I was like, but we're in Texas, so we do >> I was like, but we're in Texas, so we do >> I was like, but we're in Texas, so we do have to tell people, you know, don't have to tell people, you know, don't have to tell people, you know, don't consume this food every single day consume this food every single day consume this food every single day because if you are, you're limiting because if you are, you're limiting because if you are, you're limiting exposure to the other foods in that exposure to the other foods in that exposure to the other foods in that protein category that you could get as protein category that you could get as protein category that you could get as well. But the biggest well. But the biggest well. But the biggest mover there is avoiding the mover there is avoiding the mover there is avoiding the ultra-processed foods. So no ultra-processed foods. So no ultra-processed foods. So no ultra-processed foods, the added refined ultra-processed foods, the added refined ultra-processed foods, the added refined sugars. We want to make sure when it sugars. We want to make sure when it sugars. We want to make sure when it comes to carbohydrates we have the comes to carbohydrates we have the comes to carbohydrates we have the complex carbs over the the refined ones. complex carbs over the the refined ones. complex carbs over the the refined ones. >> I don't know if you have to be careful >> I don't know if you have to be careful >> I don't know if you have to be careful with that cuz the the complex carb thing with that cuz the the complex carb thing with that cuz the the complex carb thing is is an owner of categorization like I is is an owner of categorization like I is is an owner of categorization like I mean a white bread is a complex carb, mean a white bread is a complex carb, mean a white bread is a complex carb, and that's just like sugar. So it's more and that's just like sugar. So it's more and that's just like sugar. So it's more around the the you mean whole food around the the you mean whole food around the the you mean whole food carbs. carbs. carbs. >> the whole food carbs, and we want things >> the whole food carbs, and we want things >> the whole food carbs, and we want things that have ideally a lower glycemic that have ideally a lower glycemic that have ideally a lower glycemic index. Meaning to eat the same food is index. Meaning to eat the same food is index. Meaning to eat the same food is not going to cause as much not going to cause as much not going to cause as much That's part of that's great. We want to That's part of that's great. We want to That's part of that's great. We want to be really clear for somebody who's be really clear for somebody who's be really clear for somebody who's listening what we mean by words. So listening what we mean by words. So listening what we mean by words. So having a food that doesn't cause as much having a food that doesn't cause as much having a food that doesn't cause as much glucose in your blood is going to help glucose in your blood is going to help glucose in your blood is going to help fight against insulin resistance. fight against insulin resistance. fight against insulin resistance. And then when it comes to thinking about And then when it comes to thinking about And then when it comes to thinking about dairy and gluten, dairy and gluten, dairy and gluten, more people have sensitivities to those more people have sensitivities to those more people have sensitivities to those than to other food categories. And that than to other food categories. And that than to other food categories. And that doesn't mean that everybody has to avoid doesn't mean that everybody has to avoid doesn't mean that everybody has to avoid them. them. them. >> Praise the Lord. Hallelujah. Doctor >> Praise the Lord. Hallelujah. Doctor >> Praise the Lord. Hallelujah. Doctor saying that I can't believe it. saying that I can't believe it. saying that I can't believe it. >> [laughter] >> [laughter] >> [laughter] >> But it means that we >> But it means that we >> But it means that we >> Wow. >> Wow. >> Wow. >> I recommend that if you, you know, have >> I recommend that if you, you know, have >> I recommend that if you, you know, have symptoms of inflammation or unexplained symptoms of inflammation or unexplained symptoms of inflammation or unexplained anything or you're trying to optimize, anything or you're trying to optimize, anything or you're trying to optimize, be your own CEO of your health, you be your own CEO of your health, you be your own CEO of your health, you should give yourself the time to remove should give yourself the time to remove should give yourself the time to remove that food group from your diet. Mhm. You that food group from your diet. Mhm. You that food group from your diet. Mhm. You know, eat really eat really know, eat really eat really know, eat really eat really anti-inflammatory, remove gluten and anti-inflammatory, remove gluten and anti-inflammatory, remove gluten and dairy. And then you do a trial of dairy. And then you do a trial of dairy. And then you do a trial of introducing it back in and you'll notice introducing it back in and you'll notice introducing it back in and you'll notice the difference. the difference. the difference. >> That's right. >> That's right. >> That's right. >> If it causes inflammation in you, you >> If it causes inflammation in you, you >> If it causes inflammation in you, you will know, and then that's not a food will know, and then that's not a food will know, and then that's not a food that you should be consuming because that you should be consuming because that you should be consuming because it's not good for your individualized it's not good for your individualized it's not good for your individualized body. body. body. >> Right. So the idea is like if an >> Right. So the idea is like if an >> Right. So the idea is like if an elephant's been standing on your foot elephant's been standing on your foot elephant's been standing on your foot your whole life, you don't really know your whole life, you don't really know your whole life, you don't really know what's going on. what's going on. what's going on. >> When the elephant gets off your foot, >> When the elephant gets off your foot, >> When the elephant gets off your foot, you're like, oh, I feel better. And then you're like, oh, I feel better. And then you're like, oh, I feel better. And then when it steps back on your foot, you go, when it steps back on your foot, you go, when it steps back on your foot, you go, oh, ouch. oh, ouch. oh, ouch. >> Exactly. >> Exactly. >> Exactly. >> And that's what happens. And I >> And that's what happens. And I >> And that's what happens. And I >> analogy cuz I don't eat gluten, >> analogy cuz I don't eat gluten, >> analogy cuz I don't eat gluten, obviously, now. obviously, now. obviously, now. >> Right. >> Right. >> Right. >> But if I get exposed to it somewhere, >> But if I get exposed to it somewhere, >> But if I get exposed to it somewhere, like now I will have terrible stomach like now I will have terrible stomach like now I will have terrible stomach all my inflammatory symptoms. Like I'm all my inflammatory symptoms. Like I'm all my inflammatory symptoms. Like I'm so aware of it because now I know how so aware of it because now I know how so aware of it because now I know how well my body can function without it and well my body can function without it and well my body can function without it and I'm much more aware of what happens when I'm much more aware of what happens when I'm much more aware of what happens when I am. But you might have said, I've been I am. But you might have said, I've been I am. But you might have said, I've been gluten my whole life, how could I be gluten my whole life, how could I be gluten my whole life, how could I be allergic to it or be sensitive to it? allergic to it or be sensitive to it? allergic to it or be sensitive to it? It's really that you've been accustomed It's really that you've been accustomed It's really that you've been accustomed to such a high level of inflammation to such a high level of inflammation to such a high level of inflammation every single day, you're just not aware every single day, you're just not aware every single day, you're just not aware of it anymore. of it anymore. of it anymore. >> And that's you know, you know, I I've >> And that's you know, you know, I I've >> And that's you know, you know, I I've been doing functional medicine for 30 been doing functional medicine for 30 been doing functional medicine for 30 years and and I, you know, realized that years and and I, you know, realized that years and and I, you know, realized that there was a way to reset people there was a way to reset people there was a way to reset people by a short-term kind of reboot with a by a short-term kind of reboot with a by a short-term kind of reboot with a more extreme diet that removed all more extreme diet that removed all more extreme diet that removed all processed food, all sugars, processed food, all sugars, processed food, all sugars, dairy, gluten, and just focus on whole dairy, gluten, and just focus on whole dairy, gluten, and just focus on whole foods. And it I called the 10-day detox foods. And it I called the 10-day detox foods. And it I called the 10-day detox diet and it is unbelievable. Like I I I diet and it is unbelievable. Like I I I diet and it is unbelievable. Like I I I it's almost like a miracle. it's almost like a miracle. it's almost like a miracle. >> I do I don't want to sound like very >> I do I don't want to sound like very >> I do I don't want to sound like very similar thing in the book. I take similar thing in the book. I take similar thing in the book. I take everything down to whole foods. Then we everything down to whole foods. Then we everything down to whole foods. Then we do a little trial, couple weeks of add do a little trial, couple weeks of add do a little trial, couple weeks of add back in, remove it again. If you were back in, remove it again. If you were back in, remove it again. If you were sensitive to it, you know, try again. It sensitive to it, you know, try again. It sensitive to it, you know, try again. It really tell me and give people I agree. really tell me and give people I agree. really tell me and give people I agree. You will change your life. How many You will change your life. How many You will change your life. How many people though are sensitive? So many people though are sensitive? So many people though are sensitive? So many more than you know. more than you know. more than you know. >> take that long. That's why it's 10 days. >> take that long. That's why it's 10 days. >> take that long. That's why it's 10 days. You just remove it for 10 days. And you You just remove it for 10 days. And you You just remove it for 10 days. And you know, we see a 70% reduction in all know, we see a 70% reduction in all know, we see a 70% reduction in all symptoms from all diseases in 10 days. symptoms from all diseases in 10 days. symptoms from all diseases in 10 days. And whether it's gut issues or mood And whether it's gut issues or mood And whether it's gut issues or mood issues or sleep issues or joint issues issues or sleep issues or joint issues issues or sleep issues or joint issues or skin issues or whatever it is. or skin issues or whatever it is. or skin issues or whatever it is. >> Mhm. >> Mhm. >> Mhm. >> I had a guy come up to me at Cleveland >> I had a guy come up to me at Cleveland >> I had a guy come up to me at Cleveland Clinic and he said, "Dr. Gundry, I did Clinic and he said, "Dr. Gundry, I did Clinic and he said, "Dr. Gundry, I did the 10-day detox diet. Every one of the 10-day detox diet. Every one of the 10-day detox diet. Every one of those Fridays I went away. Is that those Fridays I went away. Is that those Fridays I went away. Is that possible?" I'm like, "Yeah, it's possible?" I'm like, "Yeah, it's possible?" I'm like, "Yeah, it's possible because you didn't get happen." possible because you didn't get happen." possible because you didn't get happen." You know, like And I had another woman You know, like And I had another woman You know, like And I had another woman with like with like with like >> I believe it. >> I believe it. >> I believe it. >> depression on psychiatric medications >> depression on psychiatric medications >> depression on psychiatric medications and not a psych hospital her whole life. and not a psych hospital her whole life. and not a psych hospital her whole life. She's like, "I I'm not depressed She's like, "I I'm not depressed She's like, "I I'm not depressed anymore." anymore." anymore." >> Once you know how well your body can >> Once you know how well your body can >> Once you know how well your body can function, like function, like function, like it's a lifelong change for you. it's a lifelong change for you. it's a lifelong change for you. >> Yeah. So, it's important. I think what >> Yeah. So, it's important. I think what >> Yeah. So, it's important. I think what you're saying is important. And yes, you're saying is important. And yes, you're saying is important. And yes, stress, sleep, and and and muscle is stress, sleep, and and and muscle is stress, sleep, and and and muscle is key, but diet is though. key, but diet is though. key, but diet is though. >> You can move the needle the biggest on >> You can move the needle the biggest on >> You can move the needle the biggest on diet for most people, right? Even if diet for most people, right? Even if diet for most people, right? Even if they are, quote, healthy when we start they are, quote, healthy when we start they are, quote, healthy when we start really looking at healthy because we really looking at healthy because we really looking at healthy because we touched on it, but didn't. Processed touched on it, but didn't. Processed touched on it, but didn't. Processed foods can masquerade as health foods as foods can masquerade as health foods as foods can masquerade as health foods as well. You often get a double hit from well. You often get a double hit from well. You often get a double hit from them because all of the food wrappers do them because all of the food wrappers do them because all of the food wrappers do have some of those toxins in them. So, have some of those toxins in them. So, have some of those toxins in them. So, you're getting inflammation from toxins. you're getting inflammation from toxins. you're getting inflammation from toxins. You're having how it's processed. It's You're having how it's processed. It's You're having how it's processed. It's directly causing inflammation. So, directly causing inflammation. So, directly causing inflammation. So, >> really We didn't really hit on this, but >> really We didn't really hit on this, but >> really We didn't really hit on this, but I think, you know, you you should you I think, you know, you you should you I think, you know, you you should you talk about it, which is that the talk about it, which is that the talk about it, which is that the environmental toxins are not just toxins environmental toxins are not just toxins environmental toxins are not just toxins are bad. They are hormone disruptors. are bad. They are hormone disruptors. are bad. They are hormone disruptors. >> Right. >> Right. >> Right. >> And they they mimic estrogen. And >> And they they mimic estrogen. And >> And they they mimic estrogen. And they're combinatorial. In other words, they're combinatorial. In other words, they're combinatorial. In other words, it's not like 1 + 1 = 2. They might 1 + it's not like 1 + 1 = 2. They might 1 + it's not like 1 + 1 = 2. They might 1 + 1 = 1,000. And so, they really screw up 1 = 1,000. And so, they really screw up 1 = 1,000. And so, they really screw up hormones in in in a way and screw up hormones in in in a way and screw up hormones in in in a way and screw up fertility. So, can you talk about that? fertility. So, can you talk about that? fertility. So, can you talk about that? >> They do. And I have a whole chapter on >> They do. And I have a whole chapter on >> They do. And I have a whole chapter on toxins cuz I'm so passionate about it. toxins cuz I'm so passionate about it. toxins cuz I'm so passionate about it. When it comes to environmental toxins, When it comes to environmental toxins, When it comes to environmental toxins, there's different categories. We've got there's different categories. We've got there's different categories. We've got endocrine-disrupting chemicals, heavy endocrine-disrupting chemicals, heavy endocrine-disrupting chemicals, heavy metals, plastics, behavioral toxins, and metals, plastics, behavioral toxins, and metals, plastics, behavioral toxins, and they are all impactful in different they are all impactful in different they are all impactful in different ways. The category we're most afraid of ways. The category we're most afraid of ways. The category we're most afraid of is the endocrine-disrupting chemicals. is the endocrine-disrupting chemicals. is the endocrine-disrupting chemicals. Like you said, they actually each Like you said, they actually each Like you said, they actually each chemical works differently. They can chemical works differently. They can chemical works differently. They can work at the thyroid, the brain, the work at the thyroid, the brain, the work at the thyroid, the brain, the ovaries, the adrenal glands. They can ovaries, the adrenal glands. They can ovaries, the adrenal glands. They can cause early puberty, early ovarian cause early puberty, early ovarian cause early puberty, early ovarian failure. failure. failure. They really can disrupt just from your They really can disrupt just from your They really can disrupt just from your day-to-day life, your ability to get day-to-day life, your ability to get day-to-day life, your ability to get pregnant. And more concerning is many of pregnant. And more concerning is many of pregnant. And more concerning is many of them live in your body forever and can them live in your body forever and can them live in your body forever and can get passed on and get passed through the get passed on and get passed through the get passed on and get passed through the placenta and they can impact your child placenta and they can impact your child placenta and they can impact your child as well. This isn't fear-mongering, as well. This isn't fear-mongering, as well. This isn't fear-mongering, which is the narrative I get from which is the narrative I get from which is the narrative I get from colleagues sometimes that toxins are colleagues sometimes that toxins are colleagues sometimes that toxins are everywhere, you can't control them, and everywhere, you can't control them, and everywhere, you can't control them, and you're just scaring people. you're just scaring people. you're just scaring people. I think people are brilliant and they I think people are brilliant and they I think people are brilliant and they can make good decisions if they have can make good decisions if they have can make good decisions if they have that data in front of them. So, we want that data in front of them. So, we want that data in front of them. So, we want to really look at these endocrine to really look at these endocrine to really look at these endocrine disruptors, which some of the top disruptors, which some of the top disruptors, which some of the top categories come in plastics, in categories come in plastics, in categories come in plastics, in fragrance, and then in the PFCs can come fragrance, and then in the PFCs can come fragrance, and then in the PFCs can come in our water actually and in some of our in our water actually and in some of our in our water actually and in some of our cookware exposures. So, here's my cookware exposures. So, here's my cookware exposures. So, here's my recommend recommend recommend >> And skin care. >> And skin care. >> And skin care. >> Oh, yep. So, >> Oh, yep. So, >> Oh, yep. So, >> And household cleaning products and our >> And household cleaning products and our >> And household cleaning products and our food. food. food. >> When it comes to toxins, we want to look >> When it comes to toxins, we want to look >> When it comes to toxins, we want to look at your home first and foremost because at your home first and foremost because at your home first and foremost because that's where you spend most of your time that's where you spend most of your time that's where you spend most of your time and you can move the needle the most. and you can move the needle the most. and you can move the needle the most. Let's look Let's just go through it very Let's look Let's just go through it very Let's look Let's just go through it very quickly. Your kitchen. So, plastic quickly. Your kitchen. So, plastic quickly. Your kitchen. So, plastic doesn't deserve a place in your kitchen. doesn't deserve a place in your kitchen. doesn't deserve a place in your kitchen. You don't need any plastic. You don't need any plastic. You don't need any plastic. >> Plastic cutting boards are terrible. >> Plastic cutting boards are terrible. >> Plastic cutting boards are terrible. >> to say plastic cutting boards exactly >> to say plastic cutting boards exactly >> to say plastic cutting boards exactly what I was going to say. That's one of what I was going to say. That's one of what I was going to say. That's one of those things that a lot of people just those things that a lot of people just those things that a lot of people just held on to it. We really want held on to it. We really want held on to it. We really want >> Plastic storage container. >> Plastic storage container. >> Plastic storage container. >> Plastic storage I mean, think about a >> Plastic storage I mean, think about a >> Plastic storage I mean, think about a cutting board. You're cutting your food, cutting board. You're cutting your food, cutting board. You're cutting your food, getting it on your knife, and literally getting it on your knife, and literally getting it on your knife, and literally putting it back into your next food. The putting it back into your next food. The putting it back into your next food. The plastic storage containers and then kid plastic storage containers and then kid plastic storage containers and then kid products, plastics cups, plates, products, plastics cups, plates, products, plastics cups, plates, bottles. To the degree you can, we'd bottles. To the degree you can, we'd bottles. To the degree you can, we'd rather see stainless steel and glass and rather see stainless steel and glass and rather see stainless steel and glass and then wooden for cutting boards being then wooden for cutting boards being then wooden for cutting boards being better options. better options. better options. >> okay? >> okay? >> okay? >> Silicone's okay. I'm for the data we >> Silicone's okay. I'm for the data we >> Silicone's okay. I'm for the data we have right now. have right now. have right now. >> For babies, it's going to be a much >> For babies, it's going to be a much >> For babies, it's going to be a much better choice than plastic is going to better choice than plastic is going to better choice than plastic is going to be. I prefer glass bottles and then be. I prefer glass bottles and then be. I prefer glass bottles and then stainless steel for plates, but you stainless steel for plates, but you stainless steel for plates, but you know, we make the best know, we make the best know, we make the best >> grandkids. I'm asking for a friend. >> grandkids. I'm asking for a friend. >> grandkids. I'm asking for a friend. >> [laughter] >> [laughter] >> [laughter] >> There's a great company that makes >> There's a great company that makes >> There's a great company that makes stainless steel kid like stainless steel kid like stainless steel kid like eating wear, too, that could be amazing. eating wear, too, that could be amazing. eating wear, too, that could be amazing. >> thanks. I'll get that note on that >> thanks. I'll get that note on that >> thanks. I'll get that note on that after. after. after. >> But a good example is, you know, I >> But a good example is, you know, I >> But a good example is, you know, I remember getting really upset because my remember getting really upset because my remember getting really upset because my daughter as I was actively doing daughter as I was actively doing daughter as I was actively doing research on the perfluorinated chemicals research on the perfluorinated chemicals research on the perfluorinated chemicals in fellowship. in fellowship. in fellowship. Obsessed with how there's so much data Obsessed with how there's so much data Obsessed with how there's so much data how bad for us they are, how they are how bad for us they are, how they are how bad for us they are, how they are forever chemicals. forever chemicals. forever chemicals. >> The PFAST chemical >> The PFAST chemical >> The PFAST chemical >> PFAST is one of them and that we didn't >> PFAST is one of them and that we didn't >> PFAST is one of them and that we didn't know about them. Nobody was talking know about them. Nobody was talking know about them. Nobody was talking about them and, you know, getting rid of about them and, you know, getting rid of about them and, you know, getting rid of the Teflon, not touching thermal paper the Teflon, not touching thermal paper the Teflon, not touching thermal paper for receipts. for receipts. for receipts. >> Credit card receipts, gas station >> Credit card receipts, gas station >> Credit card receipts, gas station receipts. receipts. receipts. >> just don't take a receipt. Don't You >> just don't take a receipt. Don't You >> just don't take a receipt. Don't You don't need it. And yes, is one single don't need it. And yes, is one single don't need it. And yes, is one single touching a receipt going to make a touching a receipt going to make a touching a receipt going to make a difference? No, but we have these difference? No, but we have these difference? No, but we have these repeated exposures and let's think about repeated exposures and let's think about repeated exposures and let's think about people who maybe are a cashier. You're people who maybe are a cashier. You're people who maybe are a cashier. You're touching a receipt all the time. Wear touching a receipt all the time. Wear touching a receipt all the time. Wear gloves, right? You're somebody who's has gloves, right? You're somebody who's has gloves, right? You're somebody who's has a higher risk. We want to really reduce a higher risk. We want to really reduce a higher risk. We want to really reduce that. But I remember being postpartum that. But I remember being postpartum that. But I remember being postpartum and really upset thinking we had glass and really upset thinking we had glass and really upset thinking we had glass bottles at home, but we had to take bottles at home, but we had to take bottles at home, but we had to take plastic bottles to daycare and, you plastic bottles to daycare and, you plastic bottles to daycare and, you know, this is where we say we control know, this is where we say we control know, this is where we say we control what we can cuz we can't control what we can cuz we can't control what we can cuz we can't control everything, right? So really the sneaky everything, right? So really the sneaky everything, right? So really the sneaky sources in our kitchen, plastics and sources in our kitchen, plastics and sources in our kitchen, plastics and then especially when plastic gets hot. then especially when plastic gets hot. then especially when plastic gets hot. To-go food containers. So if you're To-go food containers. So if you're To-go food containers. So if you're ordering DoorDash and it comes to your ordering DoorDash and it comes to your ordering DoorDash and it comes to your house house house >> Yeah. >> Yeah. >> Yeah. >> that container is often going to be very >> that container is often going to be very >> that container is often going to be very toxic laden with some of these chemicals toxic laden with some of these chemicals toxic laden with some of these chemicals and, you know, we're all going to order and, you know, we're all going to order and, you know, we're all going to order to-go food at times and we can't control to-go food at times and we can't control to-go food at times and we can't control that exposure, but we can do is put it that exposure, but we can do is put it that exposure, but we can do is put it on a plate immediately or put it into on a plate immediately or put it into on a plate immediately or put it into glass storage if we need to keep it glass storage if we need to keep it glass storage if we need to keep it warm. And many people I know will eat it warm. And many people I know will eat it warm. And many people I know will eat it out of that container. They don't want out of that container. They don't want out of that container. They don't want to do dishes that night, but we need to to do dishes that night, but we need to to do dishes that night, but we need to be making the choices where we can. You be making the choices where we can. You be making the choices where we can. You mentioned fragrance and this is a big mentioned fragrance and this is a big mentioned fragrance and this is a big one and a pet peeve of mine. one and a pet peeve of mine. one and a pet peeve of mine. Consumers need to understand that here Consumers need to understand that here Consumers need to understand that here in America we don't have protection or in America we don't have protection or in America we don't have protection or regulation against many chemicals like regulation against many chemicals like regulation against many chemicals like other countries do. And in fact, we have other countries do. And in fact, we have other countries do. And in fact, we have the opposite where people love to make the opposite where people love to make the opposite where people love to make money and we have misleading marketing money and we have misleading marketing money and we have misleading marketing tactics as well. Fragrance often has tactics as well. Fragrance often has tactics as well. Fragrance often has phthalates in it and this is why so many phthalates in it and this is why so many phthalates in it and this is why so many of us are talking about limiting of us are talking about limiting of us are talking about limiting fragrance where you can. But there's a fragrance where you can. But there's a fragrance where you can. But there's a big difference in product labeling in big difference in product labeling in big difference in product labeling in unscented and fragrance-free. unscented and fragrance-free. unscented and fragrance-free. Fragrance-free means that there is no Fragrance-free means that there is no Fragrance-free means that there is no fragrance in this. No added fragrance, fragrance in this. No added fragrance, fragrance in this. No added fragrance, it does not have fragrance. Unscented it does not have fragrance. Unscented it does not have fragrance. Unscented means it does not have a scent, but we means it does not have a scent, but we means it does not have a scent, but we can put a scent in to mask a scent, to can put a scent in to mask a scent, to can put a scent in to mask a scent, to make it make it make it >> I see. So, it's like it zeros it out, >> I see. So, it's like it zeros it out, >> I see. So, it's like it zeros it out, but it's still but it's still but it's still >> Zeros it out, but it's toxic for you. >> Zeros it out, but it's toxic for you. >> Zeros it out, but it's toxic for you. >> Oh, that's sneaky. >> Oh, that's sneaky. >> Oh, that's sneaky. >> So, that's sneaky and something we >> So, that's sneaky and something we >> So, that's sneaky and something we >> gluten-free Lay's potato chips. >> gluten-free Lay's potato chips. >> gluten-free Lay's potato chips. >> It's [laughter] right. But, but worse is >> It's [laughter] right. But, but worse is >> It's [laughter] right. But, but worse is one of those things I one of those things I one of those things I liken it to the gluten-free fries, but liken it to the gluten-free fries, but liken it to the gluten-free fries, but they're put in the fryer with all the they're put in the fryer with all the they're put in the fryer with all the other fried food, right? Label like it other fried food, right? Label like it other fried food, right? Label like it would be good for you, but in reality, would be good for you, but in reality, would be good for you, but in reality, if I ate that, it's causing a huge if I ate that, it's causing a huge if I ate that, it's causing a huge inflammatory burden in my body. So, if inflammatory burden in my body. So, if inflammatory burden in my body. So, if you're trying to get laundry detergent you're trying to get laundry detergent you're trying to get laundry detergent or bath product, shampoo, conditioner, or bath product, shampoo, conditioner, or bath product, shampoo, conditioner, and it says unscented, instead, we want and it says unscented, instead, we want and it says unscented, instead, we want to go to fragrance-free. That's where we to go to fragrance-free. That's where we to go to fragrance-free. That's where we want to choose instead. So, there's want to choose instead. So, there's want to choose instead. So, there's little things and I have some little things and I have some little things and I have some comparative charts in here so that you comparative charts in here so that you comparative charts in here so that you can look at your products and say, is can look at your products and say, is can look at your products and say, is this something that is going to be okay? this something that is going to be okay? this something that is going to be okay? Is this safe? Does this have hidden Is this safe? Does this have hidden Is this safe? Does this have hidden toxins? Because we don't have this toxins? Because we don't have this toxins? Because we don't have this language, we're not taught this yet. language, we're not taught this yet. language, we're not taught this yet. >> Living a long and healthy life isn't >> Living a long and healthy life isn't >> Living a long and healthy life isn't about chasing shortcuts. It's about about chasing shortcuts. It's about about chasing shortcuts. It's about focusing on small daily habits that focusing on small daily habits that focusing on small daily habits that support the body at the cellular level. support the body at the cellular level. support the body at the cellular level. Circulation, recovery, repair of your Circulation, recovery, repair of your Circulation, recovery, repair of your cells, which are the foundation of cells, which are the foundation of cells, which are the foundation of long-term health. And one ritual I built long-term health. And one ritual I built long-term health. And one ritual I built into my own routine is using an infrared into my own routine is using an infrared into my own routine is using an infrared sauna. Infrared works differently than a sauna. Infrared works differently than a sauna. Infrared works differently than a traditional sauna. Instead of just traditional sauna. Instead of just traditional sauna. Instead of just heating the air, it uses light energy heating the air, it uses light energy heating the air, it uses light energy that's absorbed into the body's tissues. that's absorbed into the body's tissues. that's absorbed into the body's tissues. In many ways, our bodies are like solar In many ways, our bodies are like solar In many ways, our bodies are like solar panels. We're designed to receive and panels. We're designed to receive and panels. We're designed to receive and use this kind of energy. And the use this kind of energy. And the use this kind of energy. And the research suggests that infrared may help research suggests that infrared may help research suggests that infrared may help support circulation, improve support circulation, improve support circulation, improve mitochondrial activity, and the body's mitochondrial activity, and the body's mitochondrial activity, and the body's own natural repair processes, all of own natural repair processes, all of own natural repair processes, all of which play a role in how we age. It can which play a role in how we age. It can which play a role in how we age. It can also promote sweating, which supports also promote sweating, which supports also promote sweating, which supports the body's natural detox pathways, while the body's natural detox pathways, while the body's natural detox pathways, while gently increasing your heart rate and gently increasing your heart rate and gently increasing your heart rate and your circulation. For me, it's become a your circulation. For me, it's become a your circulation. For me, it's become a longevity ritual that I try to do a longevity ritual that I try to do a longevity ritual that I try to do a whole bunch of times a week. And that's whole bunch of times a week. And that's whole bunch of times a week. And that's why I like Sunlighten. They spent more why I like Sunlighten. They spent more why I like Sunlighten. They spent more than 25 years developing infrared than 25 years developing infrared than 25 years developing infrared technology designed to deliver precise technology designed to deliver precise technology designed to deliver precise wavelengths the body can absorb wavelengths the body can absorb wavelengths the body can absorb efficiently. Try today and visit efficiently. Try today and visit efficiently. Try today and visit sunlighten.com and use the code Hyman to sunlighten.com and use the code Hyman to sunlighten.com and use the code Hyman to save up to $1,600. That's right. $1,600. save up to $1,600. That's right. $1,600. save up to $1,600. That's right. $1,600. That's sunlighten s u n l i g h t e n That's sunlighten s u n l i g h t e n That's sunlighten s u n l i g h t e n dot com and use the code Hyman. As a dot com and use the code Hyman. As a dot com and use the code Hyman. As a doctor, one of the questions I get all doctor, one of the questions I get all doctor, one of the questions I get all the time is how bad is alcohol for me the time is how bad is alcohol for me the time is how bad is alcohol for me really? Now many people reach for a really? Now many people reach for a really? Now many people reach for a drink at the end of the day to unwind or drink at the end of the day to unwind or drink at the end of the day to unwind or to feel social and it works in the to feel social and it works in the to feel social and it works in the moment. But even moderate alcohol, as moment. But even moderate alcohol, as moment. But even moderate alcohol, as little as one drink, can disrupt sleep. little as one drink, can disrupt sleep. little as one drink, can disrupt sleep. It can leave you groggy the next morning It can leave you groggy the next morning It can leave you groggy the next morning and it puts stress on your body in ways and it puts stress on your body in ways and it puts stress on your body in ways most people don't realize. most people don't realize. most people don't realize. Plus alcohol is classified by the World Plus alcohol is classified by the World Plus alcohol is classified by the World Health Organization as a group one Health Organization as a group one Health Organization as a group one carcinogen, meaning there's strong carcinogen, meaning there's strong carcinogen, meaning there's strong evidence linking it to certain cancers evidence linking it to certain cancers evidence linking it to certain cancers including breast and colon cancer. So including breast and colon cancer. So including breast and colon cancer. So while an occasional drink isn't while an occasional drink isn't while an occasional drink isn't catastrophic, alcohol isn't actually a catastrophic, alcohol isn't actually a catastrophic, alcohol isn't actually a health promoting substance. And if what health promoting substance. And if what health promoting substance. And if what you're really looking for is relaxation, you're really looking for is relaxation, you're really looking for is relaxation, connection or that subtle evening lift, connection or that subtle evening lift, connection or that subtle evening lift, is there a smarter, gentler way to get is there a smarter, gentler way to get is there a smarter, gentler way to get it? Well, yes, that's where Besper comes it? Well, yes, that's where Besper comes it? Well, yes, that's where Besper comes in from Peak. Besper is a non-alcoholic in from Peak. Besper is a non-alcoholic in from Peak. Besper is a non-alcoholic adaptogenic aperitif designed to give adaptogenic aperitif designed to give adaptogenic aperitif designed to give you a mindful alternative to your usual you a mindful alternative to your usual you a mindful alternative to your usual drink without the next day sleep drink without the next day sleep drink without the next day sleep disruption or the next day brain fog. disruption or the next day brain fog. disruption or the next day brain fog. Ingredients like L-theanine and lemon Ingredients like L-theanine and lemon Ingredients like L-theanine and lemon balm help your body relax while the balm help your body relax while the balm help your body relax while the gentian root adds a subtle uplifting gentian root adds a subtle uplifting gentian root adds a subtle uplifting effect. You feel calm, bright and effect. You feel calm, bright and effect. You feel calm, bright and present, not sedated. I've been paying present, not sedated. I've been paying present, not sedated. I've been paying close attention to this category and close attention to this category and close attention to this category and Besper is the most thoughtfully Besper is the most thoughtfully Besper is the most thoughtfully formulated option I've come across. If formulated option I've come across. If formulated option I've come across. If you're ready to rethink your evening you're ready to rethink your evening you're ready to rethink your evening ritual, Besper is a thoughtful, ritual, Besper is a thoughtful, ritual, Besper is a thoughtful, healthier option. And get up to 20% off healthier option. And get up to 20% off healthier option. And get up to 20% off for life at peak.com/hyman. for life at peak.com/hyman. for life at peak.com/hyman. That's p i q u e life.com/hyman. That's p i q u e life.com/hyman. That's p i q u e life.com/hyman. It's true. And I'm on the board of the It's true. And I'm on the board of the It's true. And I'm on the board of the Environmental Working Group. I've Environmental Working Group. I've Environmental Working Group. I've mentioned it before. mentioned it before. mentioned it before. >> love you, Doc. The ewg.org has great >> love you, Doc. The ewg.org has great >> love you, Doc. The ewg.org has great resources for skin care and resources for skin care and resources for skin care and you can put in your product and you can you can put in your product and you can you can put in your product and you can see its score, what's potentially in it see its score, what's potentially in it see its score, what's potentially in it and you can search for other ones that and you can search for other ones that and you can search for other ones that can be better options. can be better options. can be better options. >> All right, well I'd like to wrap up by >> All right, well I'd like to wrap up by >> All right, well I'd like to wrap up by talking about sort of the next cycle of talking about sort of the next cycle of talking about sort of the next cycle of which is aging. which is aging. which is aging. >> Yes. >> Yes. >> Yes. >> And and reproductive health and >> And and reproductive health and >> And and reproductive health and perimenopause and perimenopause and perimenopause and how how you made a connection between how how you made a connection between how how you made a connection between fertility and aging. How how are those fertility and aging. How how are those fertility and aging. How how are those linked? linked? linked? >> Let's think back to my favorite analogy >> Let's think back to my favorite analogy >> Let's think back to my favorite analogy of the vault. So, you're born with all of the vault. So, you're born with all of the vault. So, you're born with all the eggs you're ever going to have. the eggs you're ever going to have. the eggs you're ever going to have. Every single month you have a group of Every single month you have a group of Every single month you have a group of eggs coming out of that vault. We eggs coming out of that vault. We eggs coming out of that vault. We already talked through how one of them already talked through how one of them already talked through how one of them ovulates. The rest of the eggs die, and ovulates. The rest of the eggs die, and ovulates. The rest of the eggs die, and the next month you have another group. the next month you have another group. the next month you have another group. What's really fascinating is that when What's really fascinating is that when What's really fascinating is that when you have more eggs remaining, or you have more eggs remaining, or you have more eggs remaining, or generally you're younger, more come out generally you're younger, more come out generally you're younger, more come out of the vault every month. And as we of the vault every month. And as we of the vault every month. And as we start to get older, fewer eggs come out start to get older, fewer eggs come out start to get older, fewer eggs come out of the vault every month. In every of the vault every month. In every of the vault every month. In every woman, you will be out of eggs. That's woman, you will be out of eggs. That's woman, you will be out of eggs. That's menopause, right? Ovarian failure. menopause, right? Ovarian failure. menopause, right? Ovarian failure. You're out of eggs. The ovary now can no You're out of eggs. The ovary now can no You're out of eggs. The ovary now can no longer respond to the brain signals. longer respond to the brain signals. longer respond to the brain signals. But we also talk about for fertility But we also talk about for fertility But we also talk about for fertility specifically, but also for female specifically, but also for female specifically, but also for female hormonal health, it's not just having hormonal health, it's not just having hormonal health, it's not just having eggs, it's the function of the ovary eggs, it's the function of the ovary eggs, it's the function of the ovary that is so important, and its ability to that is so important, and its ability to that is so important, and its ability to respond to the brain signals. And this respond to the brain signals. And this respond to the brain signals. And this is where inflammation, fibrosis play a is where inflammation, fibrosis play a is where inflammation, fibrosis play a huge role. Chronic inflammation and huge role. Chronic inflammation and huge role. Chronic inflammation and insulin resistance can actually get into insulin resistance can actually get into insulin resistance can actually get into the vault and decrease the number of the vault and decrease the number of the vault and decrease the number of eggs that you have. eggs that you have. eggs that you have. If you have an autoimmune disease, you If you have an autoimmune disease, you If you have an autoimmune disease, you have a chronic inflammatory disorder, if have a chronic inflammatory disorder, if have a chronic inflammatory disorder, if you smoke cigarettes, these can get into you smoke cigarettes, these can get into you smoke cigarettes, these can get into the vault and decrease the number of the vault and decrease the number of the vault and decrease the number of eggs. You will go into menopause early. eggs. You will go into menopause early. eggs. You will go into menopause early. In the fertility lane, you'll go get a In the fertility lane, you'll go get a In the fertility lane, you'll go get a test diagnosed, and you'll be test diagnosed, and you'll be test diagnosed, and you'll be diagnosed with a low egg count. diagnosed with a low egg count. diagnosed with a low egg count. Which is good for women to know. They Which is good for women to know. They Which is good for women to know. They may make different decisions about this. may make different decisions about this. may make different decisions about this. But the next step of that that so often But the next step of that that so often But the next step of that that so often patients aren't told is if you have a patients aren't told is if you have a patients aren't told is if you have a low egg count now, you're going to go low egg count now, you're going to go low egg count now, you're going to go into ovarian failure early. And we know into ovarian failure early. And we know into ovarian failure early. And we know that ovarian failure, the earlier you go that ovarian failure, the earlier you go that ovarian failure, the earlier you go into menopause, the higher the risk of into menopause, the higher the risk of into menopause, the higher the risk of these same health outcomes that are these same health outcomes that are these same health outcomes that are associated with if you have infertility. associated with if you have infertility. associated with if you have infertility. It's this underlying cellular health, It's this underlying cellular health, It's this underlying cellular health, how proper estrogen production is so how proper estrogen production is so how proper estrogen production is so crucial for fighting inflammation and crucial for fighting inflammation and crucial for fighting inflammation and for day-to-day function for women. for day-to-day function for women. for day-to-day function for women. >> Because if you have Have you ever >> Because if you have Have you ever >> Because if you have Have you ever premature menopause, you get more heart premature menopause, you get more heart premature menopause, you get more heart disease, more cancer, disease, more cancer, disease, more cancer, >> Heart disease, >> Heart disease, >> Heart disease, >> cancer, stroke, metabolic syndrome, >> cancer, stroke, metabolic syndrome, >> cancer, stroke, metabolic syndrome, dementia, exactly. The same things that dementia, exactly. The same things that dementia, exactly. The same things that we see higher rates of even if you just we see higher rates of even if you just we see higher rates of even if you just have infertility. So, there's such a have infertility. So, there's such a have infertility. So, there's such a tight correlation with chronic tight correlation with chronic tight correlation with chronic inflammation underlying what is going on inflammation underlying what is going on inflammation underlying what is going on and how protective female hormones are. and how protective female hormones are. and how protective female hormones are. So, So, So, it's these same tenets of doing what you it's these same tenets of doing what you it's these same tenets of doing what you can do can do can do is is one way that we can help our is is one way that we can help our is is one way that we can help our ovaries function longer, right? Thinking ovaries function longer, right? Thinking ovaries function longer, right? Thinking about ovarian health, not just about ovarian health, not just about ovarian health, not just going through menopause and going through menopause and going through menopause and perimenopause and making the experience perimenopause and making the experience perimenopause and making the experience better, although that's one piece of the better, although that's one piece of the better, although that's one piece of the puzzle, but also how long can I get the puzzle, but also how long can I get the puzzle, but also how long can I get the ovary to last? How can I improve its ovary to last? How can I improve its ovary to last? How can I improve its function? And the ovary has a job that's function? And the ovary has a job that's function? And the ovary has a job that's not just ovulation. It still functions not just ovulation. It still functions not just ovulation. It still functions even when you're out of eggs and still even when you're out of eggs and still even when you're out of eggs and still makes hormones just differently. makes hormones just differently. makes hormones just differently. >> Yeah. >> Yeah. >> Yeah. >> And interfering with that process >> And interfering with that process >> And interfering with that process is impactful for your health, your life, is impactful for your health, your life, is impactful for your health, your life, and your inflammation. So, these five and your inflammation. So, these five and your inflammation. So, these five lifestyle principles that we're talking lifestyle principles that we're talking lifestyle principles that we're talking about, that's so important to start about, that's so important to start about, that's so important to start looking at earlier. I'm a huge advocate looking at earlier. I'm a huge advocate looking at earlier. I'm a huge advocate for women checking their ovarian for women checking their ovarian for women checking their ovarian reserve, getting an AMH blood test, reserve, getting an AMH blood test, reserve, getting an AMH blood test, >> It's part of >> It's part of >> It's part of our function panel. our function panel. our function panel. >> I talk about it all the time because I >> I talk about it all the time because I >> I talk about it all the time because I mean, this is important. mean, this is important. mean, this is important. >> Most doctors don't know what that is. >> Most doctors don't know what that is. >> Most doctors don't know what that is. >> Well, actually, Mark, the American >> Well, actually, Mark, the American >> Well, actually, Mark, the American College of OBGYN, ACOG, recommends that College of OBGYN, ACOG, recommends that College of OBGYN, ACOG, recommends that you don't screen AMH in patients. I'm you don't screen AMH in patients. I'm you don't screen AMH in patients. I'm adamantly opposed to this. They say adamantly opposed to this. They say adamantly opposed to this. They say unless you have infertility, women don't unless you have infertility, women don't unless you have infertility, women don't need an AMH level. Their reason is that need an AMH level. Their reason is that need an AMH level. Their reason is that it's not associated, doesn't cause it's not associated, doesn't cause it's not associated, doesn't cause infertility, which maybe maybe not true. infertility, which maybe maybe not true. infertility, which maybe maybe not true. Because if you have a low egg count Because if you have a low egg count Because if you have a low egg count that's due to endometriosis, for that's due to endometriosis, for that's due to endometriosis, for example, that absolutely can contribute example, that absolutely can contribute example, that absolutely can contribute to infertility. But we'll say it for to infertility. But we'll say it for to infertility. But we'll say it for sake sake sake two equal women, one has a low AMH, one two equal women, one has a low AMH, one two equal women, one has a low AMH, one has a normal. They say it's too has a normal. They say it's too has a normal. They say it's too difficult for a woman to find out she difficult for a woman to find out she difficult for a woman to find out she has a low AMH and too stressful when it has a low AMH and too stressful when it has a low AMH and too stressful when it what's not known to cause infertility. what's not known to cause infertility. what's not known to cause infertility. But that woman who has a low AMH one But that woman who has a low AMH one But that woman who has a low AMH one deserves a evaluation for why, might deserves a evaluation for why, might deserves a evaluation for why, might find something that's going to change find something that's going to change find something that's going to change her life. Maybe she'll take out gluten, her life. Maybe she'll take out gluten, her life. Maybe she'll take out gluten, get her Hashimoto's treated, get surgery get her Hashimoto's treated, get surgery get her Hashimoto's treated, get surgery for her endometriosis, but also she very for her endometriosis, but also she very for her endometriosis, but also she very well may make different decisions for well may make different decisions for well may make different decisions for her family planning. She might freeze her family planning. She might freeze her family planning. She might freeze eggs, embryos. She might try for a eggs, embryos. She might try for a eggs, embryos. She might try for a family sooner. You know, my husband and family sooner. You know, my husband and family sooner. You know, my husband and I were together for a very long time I were together for a very long time I were together for a very long time before we started trying for a family before we started trying for a family before we started trying for a family and I we could have started earlier. I and I we could have started earlier. I and I we could have started earlier. I was waiting for this perfect time in was waiting for this perfect time in was waiting for this perfect time in medical training that doesn't exist. medical training that doesn't exist. medical training that doesn't exist. She may do nothing, but then she's the She may do nothing, but then she's the She may do nothing, but then she's the one who makes the decision. Maybe she one who makes the decision. Maybe she one who makes the decision. Maybe she says I'm not ready for kids, but I'm says I'm not ready for kids, but I'm says I'm not ready for kids, but I'm going to change how I eat and I'm going going to change how I eat and I'm going going to change how I eat and I'm going to look at all these lifestyle to look at all these lifestyle to look at all these lifestyle principles so that I can do what I can principles so that I can do what I can principles so that I can do what I can for my egg quality and my ovarian health for my egg quality and my ovarian health for my egg quality and my ovarian health outside of it. outside of it. outside of it. >> Yeah, I had a I had a friend who was a >> Yeah, I had a I had a friend who was a >> Yeah, I had a I had a friend who was a did function and here she she was a did function and here she she was a did function and here she she was a about 32 and she had very low AMH and about 32 and she had very low AMH and about 32 and she had very low AMH and she was a vegan and like and she also she was a vegan and like and she also she was a vegan and like and she also had all these all these other had all these all these other had all these all these other nutritional deficiencies that we found nutritional deficiencies that we found nutritional deficiencies that we found in her labs and I'm like, hey, you know, in her labs and I'm like, hey, you know, in her labs and I'm like, hey, you know, like probably not a good idea for you to like probably not a good idea for you to like probably not a good idea for you to eat that way. You're probably going to eat that way. You're probably going to eat that way. You're probably going to >> Yeah, it's a it's a biomarker for your >> Yeah, it's a it's a biomarker for your >> Yeah, it's a it's a biomarker for your ovarian health. ovarian health. ovarian health. >> And her AMH went up. >> And her AMH went up. >> And her AMH went up. >> It's not a perfect marker, right? A lot >> It's not a perfect marker, right? A lot >> It's not a perfect marker, right? A lot of our biomarkers aren't, but we've got of our biomarkers aren't, but we've got of our biomarkers aren't, but we've got to leverage the data that's available to to leverage the data that's available to to leverage the data that's available to us. us. us. >> Yeah. >> Yeah. >> Yeah. >> And those are tools. It's a tool in the >> And those are tools. It's a tool in the >> And those are tools. It's a tool in the toolbox and I think it's unfair for toolbox and I think it's unfair for toolbox and I think it's unfair for women to say don't get it checked women to say don't get it checked women to say don't get it checked because it can highlight decisions you because it can highlight decisions you because it can highlight decisions you might make now that are different, how might make now that are different, how might make now that are different, how you approach your family building, and you approach your family building, and you approach your family building, and then also then also then also how you think about perimenopause and how you think about perimenopause and how you think about perimenopause and menopause because everybody will go into menopause because everybody will go into menopause because everybody will go into ovarian failure. Everybody will go ovarian failure. Everybody will go ovarian failure. Everybody will go through perimenopause or the years through perimenopause or the years through perimenopause or the years before ovarian failure where your before ovarian failure where your before ovarian failure where your hormones are becoming more hormones are becoming more hormones are becoming more dysfunctional. The brain-ovary dysfunctional. The brain-ovary dysfunctional. The brain-ovary communication is worse. communication is worse. communication is worse. Decreasing inflammation will be a big Decreasing inflammation will be a big Decreasing inflammation will be a big piece to manage that puzzle, but also piece to manage that puzzle, but also piece to manage that puzzle, but also it's not normal to go into perimenopause it's not normal to go into perimenopause it's not normal to go into perimenopause in your 30s. It is possible because in your 30s. It is possible because in your 30s. It is possible because women do go into menopause early, but women do go into menopause early, but women do go into menopause early, but that's highlighting an underlying that's highlighting an underlying that's highlighting an underlying mechanism that needs to be explored. So mechanism that needs to be explored. So mechanism that needs to be explored. So just because something will happen to just because something will happen to just because something will happen to you, understanding what can influence it you, understanding what can influence it you, understanding what can influence it happening, how you can delay that to the happening, how you can delay that to the happening, how you can delay that to the degree you can, and then if it is degree you can, and then if it is degree you can, and then if it is happening and you're 35 and you say I happening and you're 35 and you say I happening and you're 35 and you say I have all these symptoms of have all these symptoms of have all these symptoms of perimenopause, you need to get evaluated perimenopause, you need to get evaluated perimenopause, you need to get evaluated for a bigger picture. What I would I do for a bigger picture. What I would I do for a bigger picture. What I would I do dislike right now is this idea, well, dislike right now is this idea, well, dislike right now is this idea, well, that's just perimenopause and just deal that's just perimenopause and just deal that's just perimenopause and just deal with it. Because that same person may with it. Because that same person may with it. Because that same person may actually be going through perimenopause, actually be going through perimenopause, actually be going through perimenopause, but maybe it's her Hashimoto's, her but maybe it's her Hashimoto's, her but maybe it's her Hashimoto's, her autoimmune thyroid disease that depleted autoimmune thyroid disease that depleted autoimmune thyroid disease that depleted her egg count causing her to go into her egg count causing her to go into her egg count causing her to go into perimenopause early and we need to treat perimenopause early and we need to treat perimenopause early and we need to treat that also. that also. that also. >> That's so true. And and everything >> That's so true. And and everything >> That's so true. And and everything you're saying is so important cuz there you're saying is so important cuz there you're saying is so important cuz there are things that, you know, affect the are things that, you know, affect the are things that, you know, affect the biomarkers of biomarkers of biomarkers of fertility fertility fertility >> Mhm. >> Mhm. >> Mhm. >> also affect the biomarkers of longevity. >> also affect the biomarkers of longevity. >> also affect the biomarkers of longevity. It's the same thing. It's the same thing. It's the same thing. >> It for young women, it is that first >> It for young women, it is that first >> It for young women, it is that first glimpse into your cellular health and if glimpse into your cellular health and if glimpse into your cellular health and if we want to think about ovarian longevity we want to think about ovarian longevity we want to think about ovarian longevity as an important life goal for women who as an important life goal for women who as an important life goal for women who want to live long and healthy lives, if want to live long and healthy lives, if want to live long and healthy lives, if we can get women to start paying we can get women to start paying we can get women to start paying attention to this younger in their 20s attention to this younger in their 20s attention to this younger in their 20s and 30s, we're going to have a new and 30s, we're going to have a new and 30s, we're going to have a new generation of women. generation of women. generation of women. >> I agree and I would also just make a >> I agree and I would also just make a >> I agree and I would also just make a shout out there for guys, for men. shout out there for guys, for men. shout out there for guys, for men. >> 100% We did focus female here. >> 100% We did focus female here. >> 100% We did focus female here. >> Yeah, we we could do a whole 'nother one >> Yeah, we we could do a whole 'nother one >> Yeah, we we could do a whole 'nother one on men. The thing about sperm is that it on men. The thing about sperm is that it on men. The thing about sperm is that it also is a vital sign. also is a vital sign. also is a vital sign. >> It is. >> It is. >> It is. >> becoming a problem for younger and >> becoming a problem for younger and >> becoming a problem for younger and younger men. younger men. younger men. >> I completely agree. And we can look at >> I completely agree. And we can look at >> I completely agree. And we can look at it and for men even more so, I cut you it and for men even more so, I cut you it and for men even more so, I cut you off, but more so than women, takes 90 off, but more so than women, takes 90 off, but more so than women, takes 90 days to generate new sperm. You can days to generate new sperm. You can days to generate new sperm. You can actively see how making one change can actively see how making one change can actively see how making one change can completely change their sperm parameters completely change their sperm parameters completely change their sperm parameters >> Yeah. >> Yeah. >> Yeah. >> and improve their overall health as well >> and improve their overall health as well >> and improve their overall health as well because sperm and testosterone are made because sperm and testosterone are made because sperm and testosterone are made together. So often I'll have young men, together. So often I'll have young men, together. So often I'll have young men, you know, hear something I say and you know, hear something I say and you know, hear something I say and they're like, well, I don't want to get they're like, well, I don't want to get they're like, well, I don't want to get pregnant so I'm okay if it hurts my pregnant so I'm okay if it hurts my pregnant so I'm okay if it hurts my sperm count. Sperm and testosterone are sperm count. Sperm and testosterone are sperm count. Sperm and testosterone are made together. So surely you want to made together. So surely you want to made together. So surely you want to have normal testosterone because that's have normal testosterone because that's have normal testosterone because that's vital for men. And just like we talked vital for men. And just like we talked vital for men. And just like we talked about estrogen being made for women, about estrogen being made for women, about estrogen being made for women, chronic inflammation comes in and chronic inflammation comes in and chronic inflammation comes in and interferes with testosterone production interferes with testosterone production interferes with testosterone production in men. So all these same principles are in men. So all these same principles are in men. So all these same principles are really crucial for men to feel their really crucial for men to feel their really crucial for men to feel their best and have their longest healthiest best and have their longest healthiest best and have their longest healthiest lives as well. lives as well. lives as well. >> Absolutely. So this is such a great >> Absolutely. So this is such a great >> Absolutely. So this is such a great conversation. Your book, The Fertility conversation. Your book, The Fertility conversation. Your book, The Fertility Formula, Take Control of Your Formula, Take Control of Your Formula, Take Control of Your Reproductive Future is for both men and Reproductive Future is for both men and Reproductive Future is for both men and women. women. women. >> Yes. >> Yes. >> Yes. >> I think it's important for guys to think >> I think it's important for guys to think >> I think it's important for guys to think about this too. about this too. about this too. I think you know you you really have a I think you know you you really have a I think you know you you really have a lot of great resources out there. lot of great resources out there. lot of great resources out there. Tell us more about your practice, about Tell us more about your practice, about Tell us more about your practice, about your website. your website. your website. >> Yeah, I practice in Austin, Texas. So, I >> Yeah, I practice in Austin, Texas. So, I >> Yeah, I practice in Austin, Texas. So, I own Fora Fertility, which is a small f o own Fora Fertility, which is a small f o own Fora Fertility, which is a small f o r a, small physician-owned practice. r a, small physician-owned practice. r a, small physician-owned practice. There's two of us there and we really There's two of us there and we really There's two of us there and we really try to have more personalized fertility try to have more personalized fertility try to have more personalized fertility care for patients, not just this care for patients, not just this care for patients, not just this reactive model, but more proactive. And reactive model, but more proactive. And reactive model, but more proactive. And then you can learn more about me on then you can learn more about me on then you can learn more about me on Instagram at Natalie Crawford MD or the Instagram at Natalie Crawford MD or the Instagram at Natalie Crawford MD or the website nataliecrawfordmd.com. website nataliecrawfordmd.com. website nataliecrawfordmd.com. >> Thank you for what you're doing. Thank >> Thank you for what you're doing. Thank >> Thank you for what you're doing. Thank you for seeing the forest for the trees. you for seeing the forest for the trees. you for seeing the forest for the trees. Thank you for discovering that all the Thank you for discovering that all the Thank you for discovering that all the things that I've been talking about for things that I've been talking about for things that I've been talking about for 30 years are actually a thing now. It's 30 years are actually a thing now. It's 30 years are actually a thing now. It's like it makes me so happy cuz like it makes me so happy cuz like it makes me so happy cuz you know, for so many decades I was out you know, for so many decades I was out you know, for so many decades I was out there in the wilderness and no one was there in the wilderness and no one was there in the wilderness and no one was talking about mitochondria health or talking about mitochondria health or talking about mitochondria health or inflammation or the microbiome or inflammation or the microbiome or inflammation or the microbiome or insulin resistance or any of these insulin resistance or any of these insulin resistance or any of these things that are so fundamental to things that are so fundamental to things that are so fundamental to everybody [music] for everything. So, we everybody [music] for everything. So, we everybody [music] for everything. So, we could be talking about dementia, we could be talking about dementia, we could be talking about dementia, we could be talking about cancer, we could could be talking about cancer, we could could be talking about cancer, we could be talking about heart disease or be talking about heart disease or be talking about heart disease or diabetes, we'd have the same diabetes, we'd have the same diabetes, we'd have the same conversation. conversation. conversation. >> Yeah, everybody's saying the same >> Yeah, everybody's saying the same >> Yeah, everybody's saying the same underlying [music] factors across all underlying [music] factors across all underlying [music] factors across all body systems and hopefully that helps, body systems and hopefully that helps, body systems and hopefully that helps, you know, make the message even more you know, make the message even more you know, make the message even more impactful. impactful. impactful. >> Well, thank you so much. [music] Thanks >> Well, thank you so much. [music] Thanks >> Well, thank you so much. [music] Thanks for being here. for being here. for being here. >> If you loved that last video, you're >> If you loved that last video, you're >> If you loved that last video, you're going to love the next one. Check it out going to love the next one. Check it out going to love the next one. Check it out here.