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Tina Moore

Appearances

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Go to qualialife.com forward slash drtina for up to 50% off and use code drtina at checkout for an additional 15% off. That's Q-U-A-L-I-A life.com forward slash drtina for an extra 15% off your purchase. Thanks to Qualia for sponsoring today's episode. And holding my bladder for, I guess it's two to four hours. I would say, yeah, it's reasonable.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I try to override if I have just urinated and I feel the need to urinate, I try to override that. I try to hang on because I think of it as a nervous bladder and I don't want a nervous bladder. I want a bladder that I control.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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How much of that is interstitial cystitis? Like how much of that is just... Because I know that that's a common autoimmune condition. And I know that a lot of women have... sort of a low key version of it. I've seen a lot of that in my clinic and in my training as well. I just happened to, one of my mentors in medicine is like the vagina queen. That's her wheelhouse.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And if feeding them top tier means that I get more happy mobile years on the planet with them, then that's an investment I'm absolutely willing to make. Sunday's is fresh, air-dried dog food made from a short list of human-grade ingredients and 0% junk. No synthetic nutrients, no artificial fillers, just real whole food for your pup. And you'll see the difference.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Mine's regenerative injection therapies and that and peptides and hers is like vaginas. And so she really helped me become hyper aware of how many women might be struggling with this. And I do have a touch of it myself. I've struggled with it in the past. it does make you think you have to pee all the time. And it's a really irritable little bladder. Talk to me about that.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Yes, it is frustrating. It's really frustrating when it goes full bore and it becomes, because sometimes I'll see a cocktail of true UTIs chronically with a woman and aggravating an underlying interstitial cystitis. And then it sort of loops and feeds forward. And so they'll get on a regimen of antibiotics that they feel like they constantly need.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And honestly, the thing that breaks the loop the best is getting their nutrition dialed in and getting some estriol up on the vag. Like that seems to, even in young women, I will put this out there and I don't know if you've seen that too, but even in women in their thirties, especially women who've lost a lot of weight and have gotten very lean all of a sudden and start complaining of you.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I've seen that so many times. Women in their twenties, I've seen that in. They have a tremendous weight drop off, usually because of some kind of unremitting stress and And then they are like a relationship ends or they get, they're nervous. They're nervous. Their bladders are irritated and they're constantly getting UTIs and it becomes a vicious cycle.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And the more infections they get, the more the interstitial stesitis acts up and it's a mess. So talk to me about that.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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For sure. A hundred percent. Because if you don't, it'll keep coming back. Yeah. So what my one-two punch is a little oral methylene blue and a little topical estriol. And again, you're right. I mean, estriol is more predominant in women as they get older for sure.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I've just seen it when I mentioned the thin women, it's because when you get super thin, your estrogen drops off, usually precipitously, you know that. But just for the audience who doesn't know that, getting a six-pack abs when you're not usually a six-pack carrier can dump your hormones off the cliff.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And that will work, but it sure will come back if all the things you didn't just mention aren't addressed.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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You are tuned into the Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I'm sitting down with my friend, Kim Vopney. You may know her as The Vagina Coach. She is the author of Your Pelvic Floor. She is a personal trainer. She's a restorative exercise specialist. She is the pelvic floor guru. And I absolutely love her content.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And how about partners? I feel like you can be allergic to your partner and it can cause all kinds of disruption down there.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Kim, thank you so much for coming on the Dr. Tina Show today. I am very excited to have you here. You are a pelvic floor specialist and the vagina whisperer, as I think of you. And so we're going to have a really fun and colorful conversation today. We are. Thank you very much for having me. I'm excited to be here with you. Yeah. So tell me about your background. What do you do?

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Yes. Yes. I love that. I think the vagina knows. I think that... When the vagina is rejecting a partner, I've seen this in marriages. I've seen marriages that have completely fallen apart and the vagina starts rejecting the whole thing.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The vagina starts... That poor woman starts ending up with frequent infections or she ends up with vaginitis that isn't... It might even be just an overgrowth of her normal flora. It's not even a pathologic infection. And it's... it's like the, or atrophy. I've seen vaginal atrophy in plenty of women in their thirties, which was shocking, you know, and we, we could throw some estriol at it.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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It's probably some systemic low estrogen from chronic stress or whatnot, or maybe it's usually transient, but it's, I just always wonder, why is the vagina rejecting the partner? Maybe this is not to be. And I don't know. I tell my lady patients, if your vagina is chronically an issue with a partner, there's probably an issue. Maybe this isn't the partner.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I think it's so true. The vagina knows. If the vagina says no, then something's going on there. And if the poor woman is really struggling consistently, I just stop to wonder like what's going on, not just systemically with a woman, but like in her Does she hate her job? Does she hate her husband? Like what's going on? It's a tough conversation to have with folks.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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How did you get into this? And why does it matter?

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Yes, and I will just add here because I know there's probably men who listen to this show who've either signed off by now or thinking, why am I listening to this episode? A, if you have a female partner, you should understand this. And B, this stuff happens to men too. I've had many men in my practice with all kinds of bladder dysfunction, very similar presentations to what we're talking about.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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They're dealing with the same stuff, erectile dysfunction. There's something, you know, it's a... it's almost like a different brain for real. And it's got its own little stress response, its own little stress barometers. And it's, you know, the gonads know.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And if you want to deep dive into the science and hear more about this formulation, check out episode 200 of the Dr. Tina show, where I was honored to interview the founder and formulator of Level Up Health, Kyle Vanderfleet. Hey ladies, real talk.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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If you're in midlife and doing everything right, eating clean, lifting weights, using HRT, but still not feeling like yourself, it might not only be your hormones that need some tinkering. It might be your cellular receptors that need some love.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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This is a clinical grade formula that I've used for years in practice and it's designed for women who take their health seriously. Head to store.drtina.com to check it out now. While you're there, use code LIVER20 for 20% off and let me know what you think. That's Liver Love, my premium product to support detox, hormone metabolism, and whole body resilience.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I didn't even realize, honestly, I've been practicing in a bubble in Portland for a decade plus having no clue. Like I didn't realize that other doctors weren't giving out HRT the past 20 some years. I didn't realize that that women's health initiative scared the majority of doctors off and that our entire generation and the one ahead of us just got completely screwed. Like I didn't realize that.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And so to me, it was like common knowledge that you just use, I use Estriol, but there's Estradiol that's available. That's FDA approved for vaginal use. And I use testosterone vaginally. I use DHEA vaginally. I put progesterone up the vag. I mean, the vagina is great. It absorbs all kinds of things and it's very efficient. And I had no idea that this wasn't sort of standard.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I mean, I knew it wasn't standard, standard medicine, but I did not realize until I went online and grew my platform that, how completely clueless women were about this because the doctors were clueless or they just weren't using it. And it's like, ladies, I'm here to tell you 100%, you can believe me or not, go research it further.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Vaginal estrogen, even if you've had breast cancer, vaginal estrogen has been shown to be safe and effective for this condition, for the atrophy, the dryness, the pain, the chronic UTIs. And the worst thing was my elderly patients. I had these wonderful women in their 70s, 80s, and 90s who would get chronic UTIs. And unfortunately in that population, they don't always notice symptomology.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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So they may not have pain. Like when I get a UTI, the world is ending within 30 minutes. It's pretty aggressively painful. For them, they may not even feel anything until it's manifested into a kidney infection. And even then they don't feel anything. They just get sepsis. And they're coming into my clinic to get their knee injected. I run a urinary, you know, urinalysis on them with a dipstick.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Their leukocytes are sky high and I'm sending them off to the hospital because they're delirious. And it's crazy. And I just think if they just would use the Estriel cream and they don't want to, but I've given it to them. I had a woman the other day on Instagram tell me her husband died. She's in her 60s since her husband died.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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She hasn't been having, you know, it's kind of a use it or lose it area and she hasn't been using it. And so now she's got chronic UTIs and she was just beside herself. And I said, have you asked your doctor for vaginal estrogen? And she said, I didn't know about that. And she went in and asked and then reported back to me months later. She's like, thank God for you.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I had life changing, no more UTIs, no more chronic UTIs. So yeah.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I had a doc the other day write to one of my clients and say, I'm for HRT, I'm just not for BHRT. And I'm like, dude, show me you don't understand hormones because the stuff that's available from the regular pharmacy is bioidentical. Anything that says estradiol on it is bioidentical. So it's fine. You don't have to get this stuff compounded. You can get it right over the counter.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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You put it on your face too. It's great. Yeah. But I would even be so bold as to say we should be screening women. I mean, the reason I keep bringing this up is we should be screening women sometimes in their 20s, definitely in their 30s, especially after childbirth or major stressors. I see women going through divorces, whatever it is in those years.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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In the 40s, there's just these moments where you need estrogen sometimes. So you might use it for even a few weeks and then not need it again for a few years. But if you don't use it when you need it and your doctor's not educated on this or identifying it, I'm not blaming the doctors and I'm not blaming the patients.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I'm just trying to let everyone know there's these blips of time where, especially if you lose a lot of weight really quick, you might need a little help through that. If you don't, you can get into these chronic cycles we're talking about.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And they're hard to break sometimes because once that nervous bladder gets nervous and that interstitial societies gets kicked on, this is a tough thing to unwind.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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100%. Yes. Yes. Your vagina is going to be your first telltale sign that something's wrong with your hormones. And something I argue for is go get your hormones intervened on earlier than later. Find somebody who's willing to work with you. Because there have been multiple points in my life since my mid-30s where I needed some hormonal systemically and locally.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And I can't afford to have my back in pain. So, I mean, this is another reason I take really good care of my body. It's a promise to my husband, not that I'll serve him that way. It's a promise that I won't be a hindrance or a burden in the parts of our marriage that are, you know, whatever the person's love language is, right? Like I give him sex in the morning, he makes me coffee.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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If I don't get the coffee, I get cranky. That's part of the deal. Yeah.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And they're usually being denied systemic estrogen and HRT. So we have done such a disservice to women in medicine. It breaks my heart. It makes me crazy mad too. And it's frustrating and it's ruining men's lives as well. It's ruining their partners.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Because something I was thinking while you were talking about, these women are just kind of like struggling through it as they raise their children and this and that. Well, then they get to our age, their kids have left the nest. And they should be having the time of their lives. Like the kids aren't around, right? Like let's have all the sex. Let's go traveling. Let's have fun.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Let's be, you know, spontaneous and promiscuous with our partner and with our partner, you know, like let's have fun. Or maybe they're single and they want to go have dating and fun. I'm not judging. But they can't because their vaginas are broken. Yeah. And it's heart-wrenching.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Something I want to share that I was just thinking about, I had a patient, so I did a lot of stem cells in my practice and I had a patient come in and she wanted, this was years ago, probably 10 years ago, she wanted vaginal stem cells because she had read that there was a doctor in LA who was doing them for lichen sclerosis and she had low-grade lichen sclerosis. So I did it for her.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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She had great success. We had to follow it up with some PRP. I can't remember how many treatments of stem cells we had to do, but it really comes down in that case to like, are we getting the lichen sclerosis under control? Because that's an autoimmune condition. And then lichen usually comes with some secondary infections, which is usually coming from the gut.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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So we've got candida, we've got some other things to deal with. So we fixed her up and she was a naturopathic doctor herself. So she had kind of all the things in line. So it was a real easy cut and dry case. Anyway, it gets out on a forum that I'm offering this. So I start getting women flying in from all over the world to have their vaginas treated with stem cells.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And Kim, it was heartbreaking because the lichen sclerosis was so severe in some of these women and their stories were heartbreaking. In many cases, extreme abuse, right? I won't say the words, but they were attacked or they were mistreated when they were young and terrible things. And I would leave the room in tears. And they often had...

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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horrendous autoimmune disease raging elsewhere when i would finally get into their health history and do a comprehensive intake on them and they had no idea like no one had ever talked to them about this no one had even ever suggested like they clearly have candida in the area no one had even suggested using a topical antifungal to see if we couldn't calm that down so that might calm the lichen down because the lichens responding secondarily to the immune onslaught of the candida

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Just in circles, right? And so I couldn't treat all these people from afar because I wasn't licensed in all the states they lived in. So we couldn't do comprehensive gut analysis and treatment. I couldn't do what I needed to do to get the vagina to calm down. So it didn't feel ethical to continue to charge them for these not only expensive, but painful and invasive treatments, right?

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Like needling someone's vagina is not fun for them. I've had it done. Yeah. Oh, and I'm good with a needle, but man, so that I quit, I quit doing it. I quit offering it and people were devastated and they were yelling at me and they were like, well, there's no one else who will offer this. And I was like, I can't do it. It's breaking my heart. This is not like I did joints.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I did people's musculoskeletal system, which had its own set of grief and dismay. But it generally was pretty straightforward. So I just share that because there's so much that can go wrong. And a lot of these women were young or they were women our age and they just weren't having any fun with their husbands anymore and their marriages were dissolving.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And so I'm sure you hear similar stories every day, but this is real.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Yeah, and the adhesions that I would see sometimes were so severe and women had no idea. Yeah, yeah, it's heartbreaking.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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That one makes me crazy angry because I rarely, rarely, rarely have met a woman who's had a hysterectomy where it was actually necessary because Because they didn't look deeper. They just didn't look under the hood. They didn't try progesterone. Like, fucking duh. Like, seriously.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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That one alone, like, oh, you couldn't just write a script for some micronized progesterone to see if you could stop the bleeding?

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Like, topical... Like, everyone listening... Topical progesterone is available over the counter in nearly every state. It's in your health food store. So is topical estrogen in many cases. You can buy topical estrogen off the internet. Estradiol, Estriol, I'm not saying go and get it, but it's very readily available. It's in a lot of skincare.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Like this stuff is, if it's that safe to be over the counter, I don't understand why a doctor is so lazy. You know why? We know why, because there's money in it. And then guess what? They take an ovary or two with them and, and they slam you into surgical menopause and don't tell you.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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So you're 35, you've just been slammed into surgical menopause, your life goes topsy-turvy, and then you gain 30 or 40 pounds because you just were slammed into surgical menopause, and that adds to the prolapse, and everything just gets... I've seen this story so many times, I can't see straight.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And they would come to me because I did regenerative injection therapies hoping I could tighten something up. Or fix it, you know, and it's just like infuriating is the word because it's barbaric. It's medieval medicine.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Yes. I've had to do injections on those surgical sites intravaginally post-surgery, and it's literally just a canal that tapers. Like when you're looking at it from the inside, it's just a canal that tapers into nothingness, and it just kind of falls down.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And they are literally like shoving. It's infuriating. Yeah. I have no words. I didn't even think, I hadn't even thought of any of this when I was getting on the call with you, but... There's been a lot of my life in practice where I'm just like, what the, you know, like what on earth is going? And I'm not pretending to have all the answers. And I understand.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I mean, I've had friends with horrendous fibroids who did opt for hysterectomy and they did everything. They tried everything and it just wasn't working. And I get it. Again, there's no shame, but let's just try the obvious. Like let's rule out the obvious first and then

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I would say obviously pelvic floor PT or your program buff muff, like get, get in there and try if it, if prolapse is an issue, you know, we, we can overcome a lot. And I treated a lot of women postpartum. with pelvic issues and you're right, their estrogen falls off.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Another phenomenon I saw happen a lot just to bring it back to the vagina was these women went into their relationships and their marriages on birth control and birth control sort of messes up your sniffer We have data to show this.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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I've been saying this for well over a decade and I used to take a lot of heat for saying it, but we're supposed to sniff out a partner with the opposite immune system of ours so that we can counterbalance our immune system. And when you're on the birth control pill, that doesn't happen.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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So you might sniff out somebody with a very similar immune system and you might pass on those issues to your children. And I always wonder like the implications on the human race, right? The whole species. Like what have we done, right? With the advent of birth control in that case. But that's a side note. So these women would get pregnant. They'd get off their pill. They'd get pregnant.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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They would have their baby. They didn't want to go back on birth control afterwards because it made them feel bad. And then they... realized they hated their husbands. They picked the wrong person because they picked them while they were on the pill. I know this is a controversial hot take, but I saw this over and over again.

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And then we would couple that with a low estrogen that they were having postpartum. And it was a disaster. And these marriages would just fall apart with these tiny infants. And I kept seeing it. And then these women were always coming in because they had so much musculoskeletal pain because they were so stressed out and they were so low estrogen. And

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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And then just as we were getting them dialed in and getting their vaginal, I would see a gluten intolerance contributing often, like all kinds of food issues contributing to the vaginal issues. But we would get them all dialed in with the work of the pelvic floor PT and the chiropractor that I worked with in the clinic.

The Dr. Tyna Show

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And I kid you not, the second we'd get them dialed in, they'd be like, I want to have another baby. I'm trying to get it for her. you're just going, what? But it's a real thing. All of these things, I'm just throwing out variables here because I want women to understand they're not alone.

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And if they're going through this experience, there's a lot of women going through this type of experience and a lot of it manifests in your vagina.

The Dr. Tyna Show

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This is why I became a doctor. I kid you not. I became a doctor because I knew the entire allopathic system was effed and I wanted to protect myself and my family from it. So I learned as much as I could about the things that really matter. Like I can stitch up people. I can rehab their joints with regenerative injection therapies. I can adjust them.

The Dr. Tyna Show

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I can pull weeds out of the ground and cure, you know, not cure them, but help them out with herbal medicine. I just, and this was like, you got to know the vagina a bit because it's really a source of grief. Yeah. Let's talk about strength training because that's my favorite topic. Let's talk about the good stuff. So tell me about, because I know you have the Buff Muff program.

The Dr. Tyna Show

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What's the premise of this? How do women exercise who have vaginal prolapse, leakage, et cetera?

The Dr. Tyna Show

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It's a come together and bring it up. I tell them a walnut. I tell them- Yeah, whatever you want. Grab the walnut and suck it up.

The Dr. Tyna Show

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I love her approach to things. And I thought it was critically important that I bring her on the show because many of you have reached out to me and said... Dr. Tina, I'm trying to start strength training, but I keep peeing my pants every time I do. And I take this seriously, although I was joking with Kim, I've got 99 problems, but pelvic floor dysfunction is not one of them.

The Dr. Tyna Show

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Yes. Yes. I want no diapers. Yes. Same. I want hot sex and no diapers. There's a good title. I think about these things. Oh, that's why I have a hot husband. His job is to stay hot.

The Dr. Tyna Show

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It's brutal. It really is. I love my parents so much, but to see them, yeah, we could become living in a weakened state just overall and refusing to exercise, refusing to go to the gym. I will fight it every step of the way. It's not, I mean, I'm so glad that we're seeing doctors like, you know, Dr. Vonda Wright. And I, you know, I've been beating this drum forever as I know you have.

The Dr. Tyna Show

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And I'm glad that people are finally with some bigger accounts making the argument for strength training. it's still too little too late. And a lot of it revolves around this conversation around hip fractures, which I think is a great thing to scare the bejesus out of people with because it's real. Like it is really the kiss of death.

The Dr. Tyna Show

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However, I think that most people don't see themselves as getting a hip fracture. That seems so extreme. But when you're 35, 40 and you're sneezing and you're peeing a little bit, that's the beginning. That's telling you something. And The standard of care is to allow that pelvic floor to become even more deconditioned, this 10 pound bullshit. Like it is such, it is horse shit. You said it.

The Dr. Tyna Show

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And it's, you become more and more and more deconditioned in this traditional allopathic system. And I'm over here telling you the same thing that Kim is telling you, which is you have to fight like hell.

The Dr. Tyna Show

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Yes. Yes. Like it's not, this is the, the hip fractures, the end of the story. Cause you're probably not going to make it through that. If you do, you're not going to come out well, but there's this whole in between that you have to live. Right. Yeah.

The Dr. Tyna Show

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It's for real. I have to tell you a story. My friend, he grew up in Kenya and he said that his grandma like literally would sneeze and her uterus would fall out. She'd have to, she had like eight or 10 kids. She had to shove it back up. I hear that all the time.

The Dr. Tyna Show

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He would tell this story, like it was so funny. And I just remember, I'm like, oh my gosh, that sounds, it was a medical school. He's a colleague.

The Dr. Tyna Show

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Well, I love your approach because you start them in a very reasonable, conservative rehab plan, and then you advance them to heavy lifting, which is, I mean, everybody can, I get that a lot from, well, I've had this, I can't lift heavy. I'm like, yes, you can, just not right now. And we all start somewhere and we all start with little tiny barbells and we all

The Dr. Tyna Show

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We all have to, I couldn't even, I could not do a Turkish get up with a weight for months. I couldn't do a kettlebell swing for months. And now that's how I keep my pelvic floor tight and high is with kettlebell swings. They're magical. But I had to spend a lot of time building up to that. So I have back issues. I don't have pelvic floor issues, but same, same, same region. Yeah.

The Dr. Tyna Show

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I'm sure it's driving the back pain. I do believe that because I can work the muscles out with a Theravon and get some back pain relief. But yes, that SI joint, it's all the same wheelhouse.

The Dr. Tyna Show

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Yeah. And it makes your butt tight and high. Yeah. It's the other thing. Everything's getting flat and wide. I'm like, no, this cannot happen. I'm trying, Kim. I'm trying. My daughter said yesterday, because I lost my butt with COVID and then I gained some weight and then my hormones went off the cliff. It's been a long story, but my butt's coming back.

The Dr. Tyna Show

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I've been working on it, doing a lot of hip thrusts and a lot of kettlebell swings. And my daughter yesterday goes, mom, she's 25. She's like, I don't think you're ever going to have that juicy booty you had 10 years ago. And I was like, oh, yes, I am. Just because you said that. We'll get there.

The Dr. Tyna Show

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She got me into strength training because I was going to give a lecture at the chiropractor college and it's all men there. I was single and it's all men there. And I was like in a pretty dress and I was looking hot. And she was, I had probably 12 and she's like, mom, you can't wear that dress. You have lady butt. I was like, what's a lady butt?

The Dr. Tyna Show

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She's like, you know, when it gets flat, you need to put those Spanx on. And I was like, oh hell no, I am not putting Spanx on. I'm not wearing Spanx. So I started strength training and I started building a butt. And then I realized the

The Dr. Tyna Show

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opportunity for your metabolic health with building a butt right and and every like train the glutes is my motto so to hell yeah to hell with everything else like worry about your glutes and you everything will start to fall in line much more quickly and so anyway that's the story and now I'm back to lady butt so we shall see

The Dr. Tyna Show

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Yes, it is. Well, I just love you, lady. And it was so fun to talk to you. And I hope that my followers found this intriguing and interesting. You have such a great platform. You've got the Vagina Coach on Instagram and huge following. You've got YouTube. You've got, tell them where to find all the things.

The Dr. Tyna Show

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Me too. And we should, I don't see your stuff that often, so we should interact more on there. I think our audiences are probably very similar and I really hope they find value in this talk because I know that a lot of my audience have been asking for this. So you were the one to bring on. Awesome. All right. Well, thanks for coming on the Dr. Tina show and I will have you back.

The Dr. Tyna Show

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We're going to, after my operation butt, we'll see.

The Dr. Tyna Show

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Thank you so much for having me. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

The Dr. Tyna Show

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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I love it. I love it. So it's your story as we go along here. And I mean, that's how so much of our work is, right? It's the challenges and the hurdles that we have and we face. And then I think God always gives us the work that we're supposed to be doing. It's whether we choose to listen or not, you know, it gets put in front of us until we hear it.

The Dr. Tyna Show

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um i was i was joking before we got on here i i was thinking because i so i ran up to go to the bathroom and you said tell me how many seconds that you pee and then i'll tell you what it means and i was thinking on the way up i was like i got 99 problems but a pelvic floor issue ain't one thank god my i will say like i am graced knock on wood because i am just stepping from perimenopause into i'm like right at that weird spot you know but uh still cycling but uh

The Dr. Tyna Show

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don't wish that upon my worst enemy because as a chiropractor myself, I've seen a lot of it and I've tried to help treat it. I've worked with a lot of pelvic floor therapists in Portland. We seem to have a plethora of them. At least we did for a minute there when I was back in my big practice and did a lot of injections actually because I was the token injection therapist.

The Dr. Tyna Show

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So I was doing a lot of injections in that area to try to deal with just hypertonic muscles, trigger points, things like that. all kinds of tools I've gotten in there with and, and like the TheraWand and different things to try to work some of the musculature, but it's a real pain in the bottom for these women and they suffer and it's not fun.

The Dr. Tyna Show

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And it does hinder not just regular activity, but especially the very active women who like to throw the big weights around. Like that's, it's becomes quite problematic. So why is my, the, the number, the seconds it takes me to pee, what does that mean? Yeah.

The Dr. Tyna Show

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I feel for you, my heart goes out to you, especially those of you who have had multiple children. I understand this is a real concern and there is hope. So we're gonna dive in with Kim today. We're gonna talk all things vagina, vagina health, pelvic floor health, strength training, how it goes with it, the steps you need to take and more. So without further ado, let's jump in.

The Dr. Tyna Show

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Yeah. That's not good. No, so I'm the opposite. I tease people who have a bladder like a chipmunk, like my husband. No, he's pretty good. I actually, and maybe I'm wrong on this, I try to hold it as long as I can. Not like pathologically so, not in a way that's going to cause me backup issues or problems, but I definitely try to go to like full bladder and and then void.

The Dr. Tyna Show

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But just instinctively thinking, I've done that since I was a kid just because I want to... Well, A, I wanted to be able to get through a class. Like sometimes there were kids that always had to pee during class. They would get nervous and then they had to pee. So I always try to override the nervous feeling. And I think that's it for a lot of people.

The Dr. Tyna Show

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They get kind of like a little nervous something and then they... instinctually feel like they have to pee, but more so just because I wanted to have control of my pelvic floor. I just want to be able to control it. And then I think a big problem that I saw in clinic, I'd love your thoughts on is the, and I saw this more often with women who had pelvic floors that weren't really in good shape.

The Dr. Tyna Show

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they weren't in good shape in general. And it happened to me when I was in really bad shape. I was really skinny and out of shape. They don't void completely. So they do like what they think is a full void, but then they don't completely void. And then those women end up with a lot of urinary tract infections.

The Dr. Tyna Show

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And I actually, it was happening to me in medical school and I had the lab tech, the head of the lab at the clinic, she said, you have to do the final P. And I said, what's the final P? She goes, you sit there and you relax and there'll be a final P. You have to get that out because it'll sit there in your bladder and get infected.

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So I've learned to get that little bit out too with intention, but I'd love to hear your thoughts because maybe I'm doing this all wrong.

The Dr. Tyna Show

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We in this community spend so much time and effort ensuring that we're feeding ourselves well. Why aren't we doing the same for our pets? I've got three dogs, all different breeds. I love them to the moon and back and they're all thriving on Sunday's dog food. This food is the real deal. My dog with chronic ACL issues, no more limping.

The Dr. Tyna Show

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Let me ask you something. Do you really know how your metabolism is functioning right now? Most people don't. They're flying blind, guessing if they're burning fat or sugar. But what if you had a tool that could tell you in real time what fuel your body is using? That's exactly what Lumen does.

The Dr. Tyna Show

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It's a handheld device I've been using for years that gives you instant feedback on your metabolic state just from a single breath. No labs, no guesswork. If you're trying to lose fat, build lean muscle and optimize your hormones, knowing whether your body is burning fat or carbs is a game changer.

The Dr. Tyna Show

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Lumen tracks that for you daily and then gives you personalized nutrition guidance to help you work with your metabolism, not against it. The warmer months are coming. Spring back into your health and fitness. Head to lumen.me forward slash drtina to get 15% off your Lumen. That's L-U-M-E-N dot M-E forward slash D-R-T-Y-N-A for 15% off your purchase. Thank you, Lumen, for sponsoring this episode.

The Dr. Tyna Show

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This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself. One of my favorite ways to do this is to take measures to clear out my senescent or zombie cells. Have you guys heard about zombie cells? How about senolytics?

The Dr. Tyna Show

Your Vagina Needs Strength Training Too: Pelvic Health 101 | Kim Vopni

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Senolytics are a class of ingredients discovered less than 10 years ago, and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime. Thank you so much. If you also want to resist aging at the cellular level and stave off those zombie cells, try Qualia Sinalytic.

The Dr. Tyna Show

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My Havanese puppy, it's essentially the only thing he's ever eaten in his life and he is so tan and jacked. And my beautiful German shepherd rescue, we pack 20 pounds of healthy muscle onto him with Sundays. We don't deal with fleas anymore. They don't stink. And I think of high quality food as an investment in their longevity.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. All right, guys, creatine. Let's talk about it. You guys have asked me so much about this. So I wanted to do an entire podcast about it just on creatine. We're going to do a quick and dirty here. So I'm going to get this done in under 20 minutes and we're going to jump right in.

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If you use code DRTINA10, it'll give you 10% off everything in the store. And I've got a great essential amino acids product in there now. And I've got a great liposomal vitamin D and vitamin K product. I'm going to do... whole podcast on those two because they're fantastic products and they all three stack together beautifully. So with that, I will sign off. I hope this was helpful.

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Leave your questions in the comment section below and I will refer to them for future episodes. You can also email us podcast at drtina.com. I cannot give you medical advice. I cannot give you dosing advice, but I'm happy to hear what requests you might have for future podcast episodes. And as always, if you enjoyed this episode, please rate, review, and subscribe.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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If you're on YouTube, hit the subscribe button. It helps tremendously to get my... vision out to the world so people can hear this. I'm really just trying to bring you guys common sense, usable information. I'm not trying to overhype anything. I'm not trying to undersell anything. I just think there's so much bullshit on the internet right now in the influencer health community.

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So I'm just trying to bring you the truth as I know it. So with that, I will bid you adieu and thanks for listening. Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube.

The Dr. Tyna Show

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As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

The Dr. Tyna Show

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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And this is not medical advice. Obviously, talk with your practitioner. But we've got over 64,000 studies on creatine. It's very, very safe. It's very, very well studied. It's not gonna interact with, I can't think of a single drug interaction. So talk to your, obviously your health professional that you work with, but it may reduce mental fatigue.

The Dr. Tyna Show

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It may protect against reduced energy brain states. It may work to improve low mood. And it's something I wish I had discovered, honestly, decades ago, like with the way that my brain has been. I know some of you think I'm really smart. I don't feel really smart. I feel like I'm struggling. You know, as I get older, I'm struggling. It's just how it is. I'm not my brain.

The Dr. Tyna Show

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And I think it's, you know, to be totally honest with you, I think it's just incredible high levels of stress for an extended period of time. Eventually, it just chews up your brain. So couple that with some perimenopause and some hormonal shifts and voila.

The Dr. Tyna Show

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obviously working out helps, good nutrition helps, good essential fatty acids help, all of those things help, hormones help, but creatine, it really is something that I keep in my pocket. It supports mood, depression, and anxiety straight up. We have data to support that. So creatine enhances emotional resilience. It may support mood regulation.

The Dr. Tyna Show

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As I said, there was a landmark study in women showing that creatine plus an SSRI led to faster and stronger improvements in depression. So creatine, It's not that it's treating depression. It's just that it's giving the brain the energy it needs to do what it needs to do. And it's as simple as that. It may help buffer anxiety through neurogenic and neurotransmitter pathways.

The Dr. Tyna Show

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So first off, I have to correct myself. I have been going around saying that creatine is a peptide because it is made of three amino acids. However, I am incorrect. They are not peptide bonded, these amino acids. So it's not a peptide. It's not a protein. It's its own substance. It's creatine monohydrate. It is used in ATP production. It is not a peptide. So I will correct myself there.

The Dr. Tyna Show

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It builds and preserves lean muscle. This is going to directly impact your brain. Your brain and frailty are very intimately tied together. There's data to support that. The more frailty that we walk into as we get older, and we all will deal with frailty if we don't actively combat it. The more frailty, the more dementia. That's just how it goes.

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So when I think of preserving lean muscle mass, I am not just trying to avoid a hip fracture. I'm not just trying to avoid, you know, getting old for vanity's sake, although that's part of it, of course. I'm trying to keep my brain functioning. And so therefore I need a slab of muscle on this bod. This meat suit needs to be built so that the brain works and the brain continues to work.

The Dr. Tyna Show

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So I don't forget my name. I don't forget all this awesome information that I spent half a million dollars or more learning well over that actually. These are the things I think about. And this is why I supplement creatine. It's especially important for women over 35. We're losing muscle mass. I could give you some terrifying stats. I just went through this in my Protein Quest group.

The Dr. Tyna Show

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We do live calls every week. And I was sharing with them the Come to Jesus stats around frailty, sarcopenia, muscle wasting. So we want to preserve the muscle we have because as we get older, that muscle wasting accelerates. Creatine plus lifting. truly equals more strength, more tone, faster recovery, better endurance. We have data on this.

The Dr. Tyna Show

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We have stacks of data on this, old data, new data, current data. It supports bone density. Creatine has been shown to support bone mineral content when paired with resistance training. And so something else I was sharing in the Protein Quest is these things stack upon each other. So we don't just do one thing. We don't supplement and hope for the best.

The Dr. Tyna Show

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Supplements are meant to supplement a good, healthy lifestyle. So we are lifting weights, we are hitting our protein macros, and then we are adding supplementations to sweeten the deal. Prime it all up, if you will. We're stacking our good lifestyle habits. They synthesize. They make each other work better. And creatine is, you know, no exception there.

The Dr. Tyna Show

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It's especially beneficial for postmenopausal women because... Our muscles and our joints and our bones are BFFs. You guys have heard me say that multiple times. And if your muscles are wasting, I promise you your bones are wasting. And if your muscles and your bones are wasting, I promise you your joints are wasting. So we don't think about that.

The Dr. Tyna Show

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People come into my clinic all the time and they're like, I'm bone on bone. And I'm like, welcome to the club. So is everyone else who walks in here. If you don't eat enough good collagen and get enough protein and put enough pressure on those joints, they will start to dissolve like everything else.

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And so something I learned a long time ago is that if you start to see wrinkles on your face, you can bet that your bones are getting wrinkly. So something to think about there. When does our face get wrinkly? When our estrogen bottoms out, right? And when our nutrition starts to bottom out, our stomach lining atrophies, you guys.

The Dr. Tyna Show

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As we get older, it's harder for us to actually absorb the foods that we're eating. So we have to eat more protein to hit muscle protein synthesis thresholds. It's crazy, I know. But creatine, it's affordable. It's something to have in your back pocket. I think this is something that young people could benefit from. I think it's something that older folks definitely need to be on.

The Dr. Tyna Show

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Heck, I have my dogs on creatine, you guys. I've had every elderly dog for the past 20 years on creatine just to keep them going. We don't mess around in this house. It supports hormonal health and methylation. So creatine synthesis uses up to 40% of your methylation capacity. So making creatine in your body burns up your methylation capacity.

The Dr. Tyna Show

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I apologize for any confusion I may have caused. I have gone around thinking for the past year that it was a peptide and I am wrong. So with that aside, let's jump into the many benefits of creatine. Number one, I think of creatine as a brain supplement, right? I've felt this way for a long time.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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And for those of us who have MTHFR mutations, you can see this might be a bit problematic. So supplementation of creatine frees up methyl donors for hormone synthesis, detox, and neurotransmitter production. That study is going all the way back to 2007, Bronson and Bronson. I just like saying that. It boosts energy and metabolic health. It helps regulate ATP, our body's main energy currency.

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Your mitochondria are the powerhouses of your cell. They are bacterial, you guys. They are symbiotic bacteria, if you can believe it. No one ever tells you that. I wrote a paper about it in undergrad. I was like way ahead of the pace. I think it was like pre, you know, prefacing my career, but... We need our mitochondria working.

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And as we get older, as we get hit with more toxicity in the world, as we get hit with more stress, our poor mitochondria peter out. And so we can hone them by strength training. We can nurture them by helping with autophagy, by doing some intermittent fasting. But we don't want to stress ourselves the F out as middle-aged women because we're already stressed the F out. So what can we do?

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We can supplement strategically. And I think creatine is not going to break the bank. And it's something that...

The Dr. Tyna Show

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again i think everybody can tolerate i learned a long time ago from my mentor that gut health isn't just about digestion it's the gateway to your entire well-being your gut health plays a critical role in nutrient absorption immune function and resilience when your gut lining is strong your body can better handle stressors process nutrients improve your immune function and maintain balance in the system

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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Thank you so much for having me. marrying nature and modern peptide science to support a strong gut lining, a healthy intestinal barrier, and optimal digestion. If you're looking for real targeted gut support, this is it. Head over to leveluphealth.com and use code DRTINA at checkout to get a whopping discount of 20% off your order. That's L-V-L-U-P health.com.

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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And don't forget to use code DRTINA for your exclusive discount. Purity Woods harnesses the power of red maple leaf extract, which contains anti-inflammatory antioxidants and hydrating properties to soothe, plump, brighten, and nourish your skin, all without harsh chemicals or hormone disruptors. Their age-defying dream cream is a game changer.

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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It's packed with over 25 potent ingredients, including organic mango seed butter and organic Indian gooseberry, one of the most antioxidant-rich fruits on earth. This formula helps support collagen and elastin, visibly reducing fine lines and wrinkles, and and evening out skin tone without irritation or dryness.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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Back when I was running my big clinical practice, I tried to get as many people, especially my elderly ladies, on creatine as I could because I think of it as a neuroprotective supplement at the end of the day. I know that it's big in the bodybuilding space. I know it's big in the muscle space. I know all of that to be true, but I have always really thought of it

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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If you're ready to ditch hormone-disrupting chemicals without sacrificing results or breaking the bank, this is clean skincare done right. And if it's not the best skincare you've ever used, you're covered by a 60-day happiness guarantee. And here's something else that I love about Purity Woods. They are Leaping Bunny certified, meaning zero animal testing at any stage.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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Plus, every order supports one tree planted, which helps restore forests impacted by wildfires. And the good people at Purity Woods are offering Dr. Tina Show listeners an exclusive 27% off to try it for yourselves. Just go to puritywoods.com forward slash Dr. Tina and enter Dr. Tina with a Y at checkout for 27% off today.

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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It may improve glucose tolerance and body composition, especially with training. So you'll see this in the bodybuilding community. You'll see this in the strength and conditioning community. They're all on creatine and they all swear by it for good reason. So if we can help anything regenerate ATP, which is the...

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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that's like the cash, the energy cash that the mitochondria make, then I'm game, right? That's our currency, energy currency. It supports pregnancy, it supports postpartum and reproduction. I don't know a lot of things that we can just say are blanket safe to take in pregnancy and postpartum, but creatine is one of them. Again, check with your practitioner.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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I'm not your doctor, this is for educational purposes. Creatine needs increase during pregnancy. So being on a good solid creatine can be helpful during that period and postpartum. It may protect maternal brain function. This is crazy. The stats around how much a woman's brain shrinks and how much muscle she loses in a pregnancy is pretty shocking.

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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And I know we're resilient beings, but for those of you who get pregnant like every year, every other year, you really need to be taking good care of yourselves because... That's hard on the system. I don't have any other way to say it. Be kind to your body, right? And growing a human being inside of you frequently as you're rearing a family, it's a lot.

The Dr. Tyna Show

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So creatine is something that may be protective there and helpful. And I think postpartum, for any of you who struggled with postpartum depression like I did, that was something else. And it really impacts your children. So this might be something to look into is all I'm sharing. It's crucial for vegans and vegetarians.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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I don't counsel much on vegans and vegetarians because I quite honestly don't think that's an ideal way to live. We have a variety of teeth for a reason. I'm not here to get in fights with vegans and vegetarians. I spent a decade as a vegetarian.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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It was the sickest I've ever been and I ruined my body for the rest of my life because of that because it was during a very critical hormonal period of my young life. I was 14 to 24 and I was a vegetarian and I... I am so angry at myself. My cartilage is thin. There's just so much there to unpack. We won't get into it, but plant-based diets lack creatine. So we have to supplement it.

The Dr. Tyna Show

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So getting some creatine in, if you're vegetarian or vegan, it can be very, very helpful because we want to support cognitive performance. We wanna support our bones. We wanna support our muscles. And those diets are very difficult to get everything you need to do that. supports gut health and barrier integrity. This is a big one. Most health issues go back to some form of leaky gut.

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At least in my world, that's, you know, all illness and health starts in the gut. And so we wanna always support healing the gut. That's kind of goal number one. So if you get back some concerning labs, the first thing you do is you look at what foods are inflammatory in your diet and you take them out.

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It's not that I'm worried about the inflammation throughout my whole body that those foods may be causing, although I am. I'm predominantly thinking I just want good poops and I want my gut healthy and happy. I just want to help my gut out. So creatine can help you with that. Creatine fuels the intestinal epithelial cells and helps maintain gut lining integrity. That's huge.

The Dr. Tyna Show

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predominantly as a brain supplement. So some of the things it helps with is women, first of all, have lower baseline creatine levels in their brain. It supports mental clarity, focus, and cognitive resilience. A study just came out showing its impact on mood, low mood in particular.

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It may reduce symptoms of colitis and support mucosal healing. We have data to support that. And it is a key player in the gut brain axis resilience. That's a big one, guys. It's safe, it's effective, and it's very well tolerated in women. Creatine monohydrate in particular is one of the most studied supplements on the planet.

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Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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Extensive evidence shows that it's safe, effective, and well tolerated across the female lifespan. Lots of studies to support that. And there was recently a great one. It's called Creatine Supplementation, A Rising Tide for Women's Health, a 2024 deep dive on creatine's role in cognition, strength, bone, hormone health, and metabolism. I'll put that in the show notes.

The Dr. Tyna Show

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Great read if you're a female and you're considering creatine. How do you do it? It's kind of all over the board. You know, standard dosing, I think for men, they say five grams a day and it just mixes into whatever. It doesn't really taste like anything. I just put it in my smoothie or I mix it with my essential amino acids or I... You know, whatever. You can put it in water and drink it down.

The Dr. Tyna Show

Creatine for Women: Benefits, Safety, and How to | Quick & Dirty

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It's not a big deal. It's pretty tasteless. It might be a little bit better. It depends. Does form matter? Not really. I think creatine monohydrate is what you want. That's what you want to go for is the monohydrate. Across the board, it's very affordable and you can get it pretty much anywhere. It can cause some bloating and some distension and some discomfort.

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And it can also cause just kind of like a edematous swelling. And that tends to go away after you stick with it for a while. I do struggle with that. So it's like the onboarding phase. They used to say you have to take a whole bunch of it to front load it. You know, you take 20 grams a day or some crazy, I don't even remember, but like that was not tolerable for me.

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So it was not tolerable for my gut. It made me just swell up. So creatine monohydrate in a micronized form might help with the bloating. That's the form in MyCreaThrive is the micronized. And so it's a easier form to get through your guts. And the onboarding phase can be anywhere between a week and two weeks where you might notice some swelling. And that's because it's,

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pulling water into your muscle cells. And so you literally are getting bigger, which is awesome, but it's transient and it will even itself out and it gives you a great pump. So an easy thing that I do is I take my three to five milligrams, three to five depends on your size. You know, again, talk to your health practitioner. I just don't think I need five.

The Dr. Tyna Show

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And so I do three to five on days that I train. That's it. I train three days a week. I lift weights. You know, I'm active the other days, but three days a week I'm like hitting the gym. So I take it on those days and I might take it a little extra on another day. I might do like a half, like two and a half. Each scoop is five grams. And so I do half a scoop.

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So when you're under stress, you're having sleep issues, especially as we're going through perimenopause and menopause, creatine really is something to, you know, I think every woman should be on it, to be completely honest with you. I can't think of any contraindications. I can't think of any side effects that would be dangerous. I don't make blanket statements like this very often.

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If I need a little brain pep, I do feel that it gives me some energy. And so if I've got to sit down and work and get a project done, you know, a half scoop of creatine on non-training days, I'll do that too. So however you want to do it, obviously... I'm not your doctor. I'm just giving you education and you guys can sort it out for yourselves. But this is a great product. It's in my store.

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Right, you have to remain diabetic to continue to get it too, right? Like you have to remain obese or diabetic to actually have it clear. And that's the crazy part. Try as I might, I still find it hard to hit my protein macro goals every day. I also want to optimize my cognition as much as possible because menopause brain is real.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Getting adequate protein in is a non-negotiable as we age, everything from protecting muscle and improving strength to protecting cognitive function. So I've been taking momentous protein powder daily to ensure that all of my bases are covered, from aiding my cognitive function to supporting my muscles and joints.

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My Momentous Daily Protocol has become a staple and makes the perfect addition to the other wellness products that are part of my daily stack. My trust is in Momentous because of their dedication to working with the best, from their collaboration with experts to their unparalleled commitment to using only the highest quality ingredients.

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They also heavily invest in third-party testing, holding their products to the standard set by the most demanding organizations, and ensuring that what's on the label is what's in the product. Go to livemomentous.com and try it for yourself today at 20% off with code DRTINA. That's livemomentous.com, code D-R-T-Y-N-A, and start living on purpose.

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Purity Woods harnesses the power of red maple leaf extract, which contains anti-inflammatory antioxidants and hydrating properties to soothe, plump, brighten, and nourish your skin, all without harsh chemicals or hormone disruptors. Their age-defying dream cream is a game changer. It's packed with over 25 potent ingredients, including organic mango seed butter and

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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He's done the eat less, move more, how his community lives. the struggles that they have and how these peptides have been absolutely life-changing for them, for leveling the metabolic playing field, as he calls it. And lastly, we even touch on a few things that we both agree Maha may be missing the mark on. So without further ado, let's jump in. We get right into it. This is Dave Knapp.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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and organic Indian gooseberry, one of the most antioxidant-rich fruits on earth. This formula helps support collagen and elastin, visibly reducing fine lines and wrinkles and evening out skin tone without irritation or dryness. If you're ready to ditch hormone-disrupting chemicals without sacrificing results or breaking the bank, this is clean skincare done right.

The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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And if it's not the best skincare you've ever used, you're covered by a 60-day happiness guarantee. And here's something else that I love about Purity Woods. They are Leaping Bunny certified, meaning zero animal testing at any stage. Plus, every order supports one tree planted, which helps restore forests impacted by wildfires.

The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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And the good people at Purity Woods are offering Dr. Tina Show listeners an exclusive 27% off to try it for yourselves. Just go to puritywoods.com forward slash Dr. Tina and enter Dr. Tina with a Y at checkout for 27% off today.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Did you know that nearly 94% of US adults are metabolically compromised according to 2018 data published in 2021? Even more surprising, 80% of them have no idea. Shocking, right? That's why I've been beating the drum on metabolic health for decades in my clinical practice and on this podcast since day one.

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A tool I found a long time ago that I absolutely love is the Continuous Glucose Monitor by NutriSense. NutriSense is here to challenge outdated beliefs about blood sugar and metabolic health. Because the more you know. NutriSense isn't just another health trend.

The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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I was over there in 2024 going, compounding pharmacies, microdose.

The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Okay, so I received $0 for any. Just so everyone knows, I've never been paid by any big pharma or compounding or telemedicine company at all. I refuse to take the dollars from them because I don't want there ever to be a conflict of interest. I'm just really trying to hang my hat on this one idea that I'm trying to get across. I'm not saying people who do are bad, but how is that even happening?

The Dr. Tyna Show

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It's a cutting-edge program that combines real-time data from continuous glucose monitors, as you may have heard referred to as CGMs, with personalized one-on-one support from credentialed nutrition experts. Together, they empower you to take control of your health and make lasting changes.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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If you're already hooked on Elements Zero Sugar Electrolyte Mix, buckle up because now it comes in a bold 16-ounce can of sparkling water, and I'm honestly obsessed with it. Same trusted formula, now carbonated. Zero sugar, zero caffeine, all function. Most drinks out there are loaded with junk. Sugar, stimulants, fake ingredients... Element Sparkling flips the script.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Every can is a stand against that garbage and a step towards real functional hydration. Each can delivers the same electrolyte formulation that you trust and love from Element, only now it's bubbly and fizzy and much more fun. It comes in fan favorites like citrus salt, watermelon salt, and grapefruit salt, plus the all-new black cherry lime only found in the Sparkling line.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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If you sweat hard, train hard, or just want to feel better all day long, this is your hydration solution. Dr. Tina Show listeners get a free sample pack with any Element drink mix purchase at drinkelement.com forward slash drtina. Heads up, the free sample pack does require a drink mix purchase, not sparkling only orders. Those cans are a bit more costly to make and ship.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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But while you're there, definitely try out the new Element Sparkling. Stay salty, stay hydrated. Try Element Sparkling now. That's crazy. I've had so many companies offer me, I've turned down multiple, I probably turned down hundreds of thousands of dollars at this point from companies who really want to get me in with them.

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And I'm like, I just can't, even if they're good companies, I'm like, I just, I can't do that. So anyway, go on.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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With the NutriSense app, you'll see exactly how your body responds to the food you eat, the exercise you do or don't do, your stress levels as stressors hit you, and the sleep you get or don't. It's a complete game changer for uncovering the why behind how you feel. Watching your blood sugar go up and down all day is really eye-opening. And here's the best part.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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NutriSense gives you tools to experiment, track, and optimize your lifestyle so you can stop guessing and start thriving. The NutriSense CGM is hands down my favorite biohacking tool. Are you ready to take control of your health today? Head over to NutriSense.io forward slash Dr. Tina. That's D-R-T-Y-N-A to get $125 off your program. That's NutriSense.io forward slash Dr. Tina.

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Yeah, they're a racket. I have a whole podcast episode I did with Dr. John Kim about the PBMs. He's a pharmacist. And it's just crazy how corrupt the system is. The PBMs, they got to go.

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They got to go because this, this, what the Harvard study that was done, that gal found out that it costs them what, like $7 to manufacture a month's dose and a month's supply. I'm sorry. And that in what, in Canada, it's like 70 bucks. And maybe I might be getting my countries mixed up, but between the UK, Germany and Canada, where some, somewhere it's 150, somewhere it's 60.

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So I'm a total fish oil snob. I always have been. Most fish oil is rancid junk. It's It's the sewer of the sea, if you will. That's why I take Puree's Omega-3. I trust it full stop. Not only are you getting a potent 2,000 milligrams of EPA and DHA, the long chain Omega-3s that actually move the needle, delivered in their natural triglyceride form at 80% concentration, that's rare.

The Dr. Tyna Show

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There's no more pharmacists in the middle of this. This is the doctor prescribing straight to Big Pharma and Big Pharma fulfilling the order. Is that correct?

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But the quality is unmatched. It's IFOS certified with a perfect five-star rating for purity, freshness, and label accuracy. It's certified clean by the Clean Label Project. It's certified sustainable by Friends of the Sea. And it's third-party tested against 200 contaminants, including heavy metals, pesticides, dioxins, and bisphenols.

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Yeah, and let's just talk about that for a moment. I have friends in the pharmacy industry who tell me this, and it's gotten to the point where they're simply unable to sustain that. So, I mean, it's just impossible. So this is a big problem, is that they're just choosing not to stock it, period.

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So when people call to re-up, they're like, sorry, we don't have it in stock, and we'll never have it in stock because we're losing money. so much money. Like, why would they? Why would why would anyone participate in a backwards model like that? It's crazy.

The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Supposedly, they're not even supposed to tell you there's a cash pay price if you have insurance. And I had this happen to me recently. I went in for just like an antifungal medication. And it was so awkward, Dave. Like right before... She filled it. I walked up and I had a GoodRx coupon. And I said, you guys can go to GoodRx.com and print off coupons. And there's always great coupons for drugs.

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And I went up and I said, okay, so I have this. And I think it came to like 17 something. And she goes, oh, well, it was an older lady. And she said, oh, well, our cash pay is only like 12. And I said, okay, great. Let's do that. And then this young girl comes up and literally shoves her aside and looks at me and goes, do you have an insurance coverage? And I said, no.

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I just got an insurance with my husband, but it's Kaiser. It's garbage. I don't think that like this is going to cover. It's a non-Kaiser doctor prescribing it. And she's like, we need to check. And so she checks it. And when it's all done, it comes back as the stupid price. And they use the good RX coupon and I have to pay the 17 instead of the 12.

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And I looked at the older gal like this is insanity. That like this is crazy. And that's a whole other thing, because I will tell you what this happens in the medical industry as well. Like this is happening inside of doctors clinics every single day. It's a I never took health insurance ever.

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I've always existed on payment at time of service practice because I don't think we should get third parties involved in our health care or car care or any other care. And complete transparency, give a patient an estimate, tell them exactly what it's going to cost. If I veer outside of that more than $100, I agree to eat it. And like I eat the cost if I have to.

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Even better, you can scan the QR code on the bottle to see your exact batch's results. Total transparency. Interestingly, a 2024 randomized controlled trial came out of Clinical Nutrition looking at healthy older women ages 60 to 80 and the effects of omega-3 fish oil supplementation on muscle loss and recovery during disuse, like after bed rest or injury. The result?

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And like that is the kind of transparency I function on because I cannot believe what medicine has turned into. And not only in my lifetime, because I was a really sick child, so I was always in and out of doctor's offices.

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And I remember when my mom, blue collared mom, could write a check to the specialist and it would be affordable to now where we've gotten to, especially since Obamacare kicked in on this side as the physician and as someone who never even took insurance, but just has kept up. Like it's insane and corrupt. It is organized crime in my opinion.

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Yeah, it's crazy. So back to the GLP-1. So access is obviously an issue. The compounding pharmacies have come in and filled a need. And what is your opinion, A, about this lawsuit? So let's back up to this OFA organization that's fighting the FDA lawsuit. Eli Lilly, from what I've learned from you and your very comprehensive reporting, you guys follow Dave. It's onthepen.com. It's on the pen.

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What is it on all the different platforms? You've got like on the pen or man on the pen on Instagram.

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But Eli Lilly jumped in on the FDA side on this lawsuit about terzapatide. And didn't Novo Nordisk as well jump in? And then isn't there a separate now lawsuit going between Novo and the OFA about semaclutide since it went off shortage? Yeah. So it's crazy. And then you said recently you tried to explain something I didn't understand about the judge.

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Tell them about the judge, first of all, who he is and what his history is. And then what was this recent thing? There was like a letter or something he denied? I don't know what it means.

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So he's the reason Pfizer had to release the documents.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I am excited for this one. I got to sit down and have a great conversation with my buddy, Dave Knapp. Dave and I met through the online space when I was deplatformed back in September for, I believe, talking about microdosing GLP-1s.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Do you think the compounding pharmacies or the prescribers?

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I think Trump might be on a GLP-1. I can tell when people are like, oh, they'll secretly tell me. There's so many people online. There's so many influencers and there's so many people online that you would never guess that are on GLP-1s. And they're like, oh, I just cut carbs from my diet or I just did this. And I'm like, yeah, honey, I know. I can tell. I can see it in people now.

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I can, especially trisepatite. Well, yeah, the trisepatite just takes the inflammation down so fast. And so I can just see it. But anyway, I really do firmly think that Trump is, he used to be much heavier. I think he's on a GLP-1. I think that's how he got through this. I'm just speculating. I don't know. Don't get, don't get me in trouble, Trump.

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But I think, I think watching this whole campaign, I was like, yeah, there's, yeah, that's my, that's my, that's just my opinion.

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So that's what it's going to come down to is enforcement.

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I couldn't agree more. It's just bizarre. I get it. I get where they're coming from, but man, it is a... Well, to get back to your point of this 120 million people or 120 million prescriptions that are coming out, and that was in 2023 before this all went bonkers in 2024. I've seen you say on your platforms that like, show us that you can prove.

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And I think this is the argument of the OFA is that show us you can prove like, sure, you say it's off shortage. Can you actually make up for all of these? Can you actually, you know, cover all of these extra ones that are going around through the compounded world? I mean, that's 120 million prescriptions. Do you guys have enough bandwidth to cover that? And You know, who knows if they do.

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You're right. I've been following it too. They're buying up huge facilities. And I think I probably learned that from you. I just keep up with all my GLP-1 news from you guys or from you and your platform. I know it's predominantly just you doing all of this heavy lifting. And you have a day job too. So you're just a valuable resource in this world.

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Thank you for what you're doing because I think that people need to know and a lot of people are flying blind and you've taught me a lot. And I think that it's a real pickle. Because you're right, 503B is different than the other version. And I do know many compounding pharmacists who run very clean ships and their facilities are clean and spectacular.

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And before this all went down, what year was that? Did you say 2013? When did the 503B come in?

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So I remember that happening when I was in clinical practice and it has always been a source of confusion because many of the things we could have compounded that were injectable suddenly went to that. And so we could no longer... We used to be able to order whatever we wanted for in-office use and then it changed. And now with 503B, you have to prescribe to a patient specifically.

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Even if you have it shipped to the office and administer it in the office, it has to be by patient name. Anyway, it created a lot of confusion. And I know that... For a fact that the compounding pharmacies have been on the receiving end of severe witch hunts for decades. And so they are constantly being scrutinized.

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And if one compounding pharmacy in the whole United States screws up, it's like headline news and suddenly... And it could be a big deal though. I mean, there's been deaths when injectable substances get contaminated with a fungus and those happen to be being injected into people's spinal cords. I mean, we can have real problems, so I get it.

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But at the same time, they just paint it all as all compounding pharmacies are evil and terrible and bad. And my friends who are compounding pharmacists are the most OCD clean. I mean, they have whole specialized rooms that cost hundreds of thousands of dollars to build so that they can make injectables and they go in and like the full hazmat, it's a whole thing.

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And they're always constantly stressed out and worried that the FDA is just going to come in and shut them down and then what do you do? So that said, I'm not as worried about them going back to the 503A, but yes, you are totally correct in what you said. And I'm so glad you said it because it's just a different thing that's happening between.

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It's turning into the Wild West for sure. I have a whole module inside my big course where I talk about how to find a practitioner to work with or how to educate your practitioner. That's why I opened this course up to the public is because I want people to become educated and empowered so they can have these conversations. And I will add this.

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I will make sure everyone listens to this episode and hears that because I think this is a really important piece of the puzzle. I get asked a lot online from people like, my doctor just prescribed me this. Is it safe? And I'm like, talk to your doctor. I mean, if you don't trust your doctor, who do you trust? You some random online influencer?

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You know, like, I mean, I'm glad you trust me, but don't be asking me stuff. You should be asking your doctor. And then the second piece is I do have a whole list of pharmacies that I trust that I list off inside that course too, so that people can, and even some telehealth, I'm going to be adding some different companies I've vetted out. Cause I just think it's, this is turning into the wild west.

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Yeah. For sure. Okay. Okay. So we've got the, that's a great update on the lawsuits that are happening. So that was my next question was, what do you think the future holds for compounded? And I think you answered with, you know, they might go back to the 503A and then who knows what's going to happen from there. And I guess it depends on if the FDA actually enforces. It's crazy right now.

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I don't even know like who that is going to be running the FDA here. We still haven't gotten confirmation. So I don't know what's happening.

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Well, and to be honest with you, I have seen a lot of bias come out of the Maha movement around GLP-1s. It's ridiculous. Yeah, I've seen RFK literally parrot words from Cali Means and Words that I corrected Cali Means on, if you haven't seen that interview on Mark Hyman's podcast, I debated Cali Means about a year ago, April of last year.

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And yeah, I didn't really get to debate much because he was kind of... That's the lion's den. He was railroading me the whole time, but I corrected him on some facts that he had wrong and he continues to spread that misinformation. And then I've seen RFK parrot it. And I've seen a lot of bias around these peptides come out of the Maha movement. And I love the Maha movement.

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I love several people in it, but I do not understand the blatant, like, I mean, Callie was on a bender about GLP-1s and I, to this day, don't understand it. I think the argument there that is somewhat valid is if Medicare covers this or certain, like certain states have been talking about covering it, it could bankrupt the system with the cost being what they are currently.

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But I think the administration needs to bring the cost down because because these are life-saving peptides and complete game changers.

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Oh, that was so well said. I agree with all of it. I also think at the end of the day, we're looking at symptoms. You know, we're looking at they're looking at chemicals in ultra processed foods and how they should be changed so that there's not so many chemicals in the ultra processed food. And I'm over here saying we have a metabolic disaster on our hands.

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We shouldn't be eating the ultra processed foods in the first place. Like, why don't we teach people? I'm thinking Jack LaLanne. Like, why is there not a, you know, U.S. wide national television show every morning where people learn how to eat? This should have started in March of 2020. I was like, put me on the news. Get me a morning show. I will get everybody through this pandemic.

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People need to be we need to be subsidizing gym memberships. We need to be and I know I know based on your story like I know that's not the end all be all but again we stack you know like we got to stack the things and we need the muscle we need people to learn how to lift the weights like there's so many other things we could be worrying about that I almost feel like it's a distractor.

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Talking about like the chemical dyes and fruit loops and the seed oils is almost a distractor in the grand scheme of things. The light poisoning, I was just on your podcast talking about how I think we're being poisoned by light and how that's leading to a metabolic crisis. Like there's so many, like why did the Biden administration-

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outlaw incandescent light like what an utter disaster that is for people's metabolic health and circadian rhythm to be poisoned all day under leds and yet those are some things that i would like to just propose to maha that we start actually looking at because those are the real needle movers and getting the like we don't need to switch up some ingredients and some shitty foods we need to completely overhaul the school lunch system and actually feed these kids real food

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And have that whole thing subsidized. All the kids get to eat the real healthy food in the school lunches because that might be the only place they're getting it, right? So there's so many bigger fish to fry here that it's like arguing over Froot Loops from Canada versus the U.S. just seems short-sighted.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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Well, I will tell you, Dave, when I in 2020, when I pushed back on the narrative, I was predominantly promoting sunlight, exercise and real food. And I cannot tell you the level of censorship I endured. I can't even believe it now. And nobody believed me at the time because they weren't brave enough to speak out at the time. So they were not being censored like I was.

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And I was seeing it happen and I'd been online long enough to see it, I could see it happening to me. And very few other people were actually having that message that were being censored. Most people were like pushing back on lockdowns, pushing back on mandates, pushing back on vaccines. Yes, I later was pushing back on that as well.

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But initially, the bots that came at me and the initial pushback I got were so bizarre. And I started getting censored deeply every time I mentioned the word obesity. If I even opened my mouth or any of my... title cards or anything said obesity in the caption or on the screen or on the post, I was heavily censored and I would be dropped into severe shadow bans. I don't think they want it.

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Oh, and then let's just add, I was deplatformed the first time at 105,000 off of Instagram a month after I was on RFK's podcast talking about how obesity was driving the pandemic, in my opinion. And I made a very good argument for how this virus preferentially infects fat cells.

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And what was happening there from a metabolic standpoint and how our metabolic crisis was driving this and how we could quell this significantly in 90 days if we started helping people with their metabolic health. And here comes this peptide that has such an enormous impact, like you said, leveling. I love what you said, leveling the metabolic playing field.

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And lo and behold, I get the same pushback that was almost identical when I started talking about them. So I think you're probably under a constant shroud of censorship. You just don't realize it yet because you're being probably suppressed across all platforms. That's just my opinion.

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But trust me, watching the censorship and pushback that I got that was orchestrated and concentrated on me specifically and several others in the community, like most notably the carnivore movement. Anything that we try to do to help with obesity is squashed, which leads me to believe, and again, my opinion, that they prefer us slow, sick, fat, and dumb.

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We are easier to control when we are unwell. And the diabetes industrial complex is a massive moneymaker. So I think that we're looking at a very strange uphill battle that we don't, you may not even know the enemy in front of you, but you got your book taken down, right? Talk about that. You have this great book and Amazon, I had just bought it and then thank God, and then Amazon pulled it.

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Yet we persist, right? Because I think a lot like you, and it's just tenacity. Yeah. And I refuse to let them break me. So I will continue to persist. But I do think we are stumbling into a bit of a hornet's nest without realizing it here with our content around this. And I do think it's because they don't necessarily want us healthy. That's why I'm excited for the Maha movement.

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I'm excited for what RFK can accomplish. I wish him the best. But I think we're up against Goliath. And it's a much bigger, much broader umbrella than we even realize. And I may never know it, but... we are easier to control.

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Or maybe they have an agenda as well. So when I see people hating on Ozempic, I'm like, what are you selling? And it usually adds up. So I'll leave it at that. And I will add that this is comprehensive. The pen isn't going to be the fix. These peptides are not the solo fix. And I think that's where I get a lot of pushback from my audience is, well, they can't hear me when I say comprehensive.

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Yeah. And that is what I practice and that is what I preach and that is what I teach inside my courses and inside my content is comprehensive. Like we have to do all the things and we stack them because when you go deep into the biochemistry of it, they all favor each other and they all potentize each other. And they potentize the peptide.

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They actually literally make the peptide work better and more efficiently. And we can keep the dose lower when we do all the things. And most of all the things are the things that we just need to be doing as human beings. They're not costs. They're not extra. I mean, they might be extra time, but they're lifestyle. It's not like...

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this is some elite strategy that only rich people can afford, you know, as long as we can keep those peptides affordable. And I think through the help of some of these telemedicine companies, because there are some very good ones, the real onus of responsibility always will ultimately land on the individual. That's not saying we can't help them and give them a leg up, but man.

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So if the administration really wants to move the needle on the crisis, you are so right on this obesity crisis. And it is what is driving the sheer bulk of deaths in this country are from cardiovascular disease. Category number two is cancer. And then for a few years running COVID was number three. I would argue that all three of those are obesity related and driven.

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The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

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He has built an entire platform called On The Pen. And his life's mission, he's become an independent journalist of sorts. That's not what his background was in. But he has made it his life's mission to connect people who are utilizing GLP-1 agonists. He is a man living with a disease of obesity, the disease of type 2 diabetes. And he knows this world well.

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For the most part, or metabolic compromise driven. You can be rail thin and still be insulin resistant and still be heading your way into all of those things. So like this is the real crisis that we're looking at. And our administration needs to do better on this one, period. Or we're not going to make it.

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It's not. And it could have been the parents you were born to. It could have been a toxic exposure in your childhood. It could have been a toxic exposure in your adolescence. It could have been, I mean, dare I say, you know, a medication or something you were exposed to along the way medically. It could have been a lot of things. And it could be chronic stress.

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My metabolic health is in shambles when my stress is high. My labs look atrocious. And it's concerning that that stress has that much of an impact, you know? So we have to throw people a bone. And when people, I always have a rule when patients come in, I deal a lot with pain predominantly. And when patients would come in and say, you know, doc, I have this horrific pain and blah, blah, blah.

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And no one believes me. And I'm like, it is not my job to judge how hard you're trying or not to get out of pain or how bad your pain is. Like you're subjective. Yeah. life is subjective. It's not my job to judge the pain level. It's my job to help you. And I feel the same way with the patients I've helped with obesity. I've helped a lot of them.

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It is not my job to judge what they're doing right or wrong. It's my job to help them. I can only lead them to water, but I, If I were back in my big practice with the big numbers of patients I was seeing a day, I would have a large portion of them do a trial of a GLP-1. I can honestly say that. It is that profound for pain and for metabolic dysfunction, which are tied together, right?

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So I just think that we're missing the... We're missing the trees through the forest or whatever, the forest through the trees.

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I think everyone's so hung up on whether people who are obese are just being lazy that they're missing the opportunity here that we can really help people if more doctors and more politicians and more people in charge would actually learn about these peptides appropriately. So I invite RFK for a conversation anytime because I would love to have a conversation with him.

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I would be happy to share all my data with him. He's a smart man. Okay, Dave. Well, where can everyone find you? Because I don't want to keep you all day. I know you've got some sick kiddos you got to take care of.

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Okay. And it's so good. You guys go follow. We'll make sure everything's in the show notes for you to grab hold and make sure you go follow Dave Knapp because truly you're doing God's work and you're just an independent journalist here that it sounds like you you didn't really sign up for this. It sort of found you. So these are the missions we go on. Anything else?

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Anything I didn't hit on that you want to leave the audience with?

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Yeah, and I bought your book. I wanted to support you. So I hope that my listeners will do the same too, because you are working really hard on this. And you're, like I said, you're doing God's work. Well, thank you, Dave Knapp. I will make sure everyone goes to onthepen.com. I so appreciate your insight and time.

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And you'll have to come back, you know, when we've got more news on what's happening as things unfold. And we'll have you back on the show.

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Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A.

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And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. Thank you.

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their health care professionals for any such conditions.

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And he's built this wonderful, expansive community of like-minded people who are all utilizing these peptides with life-changing impacts. He keeps us abreast on what's happening in the news.

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And so I brought him on today because, A, I wanted you guys to get an update on what's happening with the FDA versus the compounding pharmacies and those ongoing trials and what's happening there because the future of compounded GLP-1s may be in jeopardy. So I want you to get the inside scoop on that. He explains it so well.

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Whether you're on GLP-1s or care about them or not, this is a conversation you need to hear. Number two, we talk about the PBMs, which are the middlemen who are gouging us all and driving up prices of medications and pharmaceuticals. So that's something you guys need to know about as well. We talk about what it's like to live with a disease of obesity and what that means and how he's gone keto.

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So I'm not ever applying something or talking about something as a way, like that's just the foundation of naturopathic medicine. Like we're not ever trying to prevent, like patients would come in and say, have you dealt with this specific condition or this specific type of infection? And I'm like, that is irrelevant to me.

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I'm far more interested in how do I get the individual sitting in front of me vital again? How do I get their homeostasis working? How do I get their tissues healed so that they can heal with or deal with and heal whatever it is that's coming at them? And that's how I fundamentally see peptides working too.

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I love this. I'm like tingling. Whenever people speak the truth, I get the tingles. You're like my new best friend. It's just bizarre because I see so many people in the longevity space or in the biohacking space and they always want to push certain pathways so hard, right? And it's the panacea and the end-all be-all for whatever. And it's like, no, dude, it doesn't work that way.

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Like, show me you don't fully understand this. There's this... And I'm not saying that some of these guys aren't geniuses. They really are, but... So much of what we see and hear about is like the tip of the iceberg. And then there's all of these other biochemical pathways. I'm not even that smart. Like I really don't think I'm one of the smartest people that I know.

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I know people way smarter than me. And even I understand biochemically how... just fundamentally how you just, you can't ram a pathway forever without considering the co-factors and what's the other, like AMPK and mTOR, for instance, right? Like we can't just crank one side of that equation and expect good things to happen.

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And this is where I think we get in trouble with peptides, with supplements, with all the things because we don't wanna break down too much. We don't wanna build up too much. There's a sweet spot and it's completely different for each person. So this is where I think that some of these peptides that you've got in this formula are just really nice across the board.

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Kyle, thank you so much for coming on the Dr. Tina show. You have introduced me to a line of products that I truly think are genius and remarkable. And I don't just let anyone on this show. I've used them personally because you've been kind enough to share them with me. And I wanted to introduce you to my audience because I think you're absolutely just a young genius in this space.

The Dr. Tyna Show

Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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They're not, like you said, they're not a forever thing. If it's a forever thing, you've got other problems to deal with, right? And we have to say the obvious, which I always preach is, you got to do the foundational work. You got to do the strength training and the sun and the walking and the stress mitigation and eating a nutritionally dense diet and all the things, right?

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Like those peptides don't work if you're not addressing all of those things as well.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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A thousand percent. When I teach hormones, I have a course called GLP-1 Dunright University, and I have a whole beefy hormone module in there. And I teach the foundations. And step number one is support the adrenal system, period, because everything else won't work. If you don't, you'll bonk. But you can't just crank adrenals all day, right?

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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I used to live off desiccated adrenal gland and all the adaptogenic herbs, and that only gets you so far as well. So Again, peptides. I wish I'd had peptides when I started all of this decades ago. It would have been much easier to get people further faster. That takes us to neuro. You've got a really incredible neuro formula that I also love. Let's talk about that one.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I sat down with Kyle Vanderlees. Kyle is a young man who is wise beyond his years. And I tell you what, he gives me faith in humanity again. I'm excited about this younger generation after talking to him. He is a... founder and formulator for the company Level Up.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And we're going to talk all things peptides. So thanks for being here.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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Yeah, well, I've had a couple different folks on, but we haven't jumped into some of the other peptides. We've most notably talked about GLP-1s and you are bringing peptides in oral forms, in supplement forms that are easily accessible to people at... Just really incredible formulations.

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I love that. Yeah, that's great, especially as we age. I mean, we get BDNF from exercise and from just good, clean living, but it definitely starts to wane. And then people also... I was talking to you off air about the brain fog that I was having just as hitting middle age and my zone of genius. I have always had some form of ADHD and I... I love it.

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Like it has allowed me to be a very successful human because I've always... I mean, if I didn't eat well and I didn't exercise, I'd be a complete hot mess. I would not be good. But I think when you're really honed in, it's a really miraculous tool. It's a superpower.

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However, as your estrogen wanes and you age and your BDNF is falling off along with your human growth hormone levels, et cetera, it really starts to show itself. And so having a... a neuro formula is incredibly helpful.

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You did mention something that I think is worth noting that I always warn folks against when they are embarking on using any kind of neurologic stimulation, anything that like stimulates the brain If you have really compromised health or you do have a lot of exposure to like latent infections or mold exposure, sparking the brain can be a little bit of a challenge.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And so this goes back to the gut, right? I always say like address the gut first and get that systemic inflammation down in the body so that we can address the brain without having... Because sometimes people get a little... jumpy when you start bringing, you know, you'll get like a paradoxical reaction that you didn't expect when you sometimes bring in neuro formulas.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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So I love the idea of the, I love that the foundations of all of these are naturopathic in nature, but it makes so much sense. That's why there's, that's why I didn't know this about you until... Until a few days ago. This is why, because every formula, you've sent me a few things and I'm like, this is genius. And this explains it. So truly.

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I got a bottle of your GI repair in my hands right before I had my upper bleph, which was my eyelid surgery I had in November. And I got the bottle and I looked at it and you're a naturopath from Australia originally, right? So for the audience, there are fake NDs, there are real NDs, and there are...

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Because if we can get people feeling better, they start moving. My goal is always to get them interested in nutritious food, which sometimes isn't, it's hard to do. If you feel like complete garbage, you tend to eat complete garbage. Your instincts are off. Everything's dulled and your taste buds are dulled. You just feel like shit. So you eat like shit.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And that's a tough cycle to get out of for some people. This is where I really love the GLP-1s because if we can give them something to get them feeling better, then they do better. If we can get people wanting to move, they start moving.

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When you start moving and you start focusing on that, you actually start drinking more water and you start eating better and you start going to sleep on time because we're just fancy mammals with opposable thumbs. We're supposed to have the same things that mammals have. My dogs are way better behaved when...

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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It's not pouring rain all day and we actually get outside and they get to run the fields, right? I have much better behaved dogs. Same with us. Same with kids. Adults are no different. And so if we can get some of those features addressed, then they start making better choices. And as they start making better choices...

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I hate to use the analogy of an onion, but it starts to peel back the layers and we can start to see where we need to target. But every single individual is just that, an individual. And this is why people yell at me online and they're like, what's the dose? They want to know the microdose of the GLP-1. And I'm like, I have no idea.

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The dose comes down to a lot of factors that I go into inside my course, but it really comes down with all of these things. Yeah. what are our short-term goals? What is our long-term goals? What are we dealing with, right? Like what's the playing field? And this is where peptides, I think, have a nice pleiotrophic effect.

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I completely agree. They're lifesavers in the right, done properly. I microdose those too. You know, they're an anti-inflammatory on the brain at certain doses from what I understand. And so, and we're potentially sparking the HPA axis. So I just think there's a place for everything if people know what they're doing with them.

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in that real nd category are the us nds and the australian nds and this is a you guys are very i've worked with many of you guys are smart smart people you practice very similarly to how we do you have a deep understanding and uh it's always fun because You guys really, I think more than anybody, embrace true naturopathic medicine, to be honest with you, the fundamental principles.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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It's when we start getting into, peptides too, when we start getting into crazy high doses, not a fan. Yeah. long-term high dose of anything. I'm not a fan.

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That's true. That's true. Yeah, the whole industry has kind of gone rogue. And so when I find a good company that makes good orals, I think it's, I mean, it's a no-brainer, right? We know it's clean and they work, so... Plus, again, you're stacking them with such cool ingredients otherwise. That was really what intrigued me.

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Actually, my PR gal introduced me to your company and she's like, are you interested in trying this? And I pulled it up and I was like, fuck yes. Yeah. That was literally what I said. I was like, that's what I texted her back. I'm like, this looks amazing. Like, who is that? Where is this? I got to talk to this guy. So very excited.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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So this GI repair formula, like treat the gut first. That's like rule number one in at least the way I was taught in naturopathic school. And so the formulation is so great. I wanna talk about that. You have a neuro formula, you have a longevity formula. And then you have a really great body composition formula, which I think will go right into that GLP-1 conversation. So let's jump in.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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Well, and we have to take into consideration risk tolerance, right? This is something that comes up. I saw this so often during COVID was people suddenly out of nowhere demanding your source, right? Which I'm all for, but I would never say something. I'm a physician with a license and I take it very seriously that I have hundreds of thousands of people listening to me.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And I would never just say something random, right? because I heard it somewhere else. Like I always check my source, but you can't always provide all your sources because a lot of this is knowledge that you've acquired. I mean, because I understand how something works, I don't need a source for everything to explain physiology, right? Or to explain pathophysiology, for example.

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And I think that... When I talk to patients about peptides, I was in the regenerative medicine space for a long time. And so everything we were using was pretty novel. And I would explain to patients the pros and cons, but ultimately it came down to risk tolerance. And my argument on that is, are we going... A couple of things.

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Are we going to harm you by implementing this strategy or utilizing these supplements or whatnot? If the benefit far outweighs the risk, and I would share both, then it was up to them what they wanted to do. And ultimately, when we look at evidence-based medicine, everybody wants to hang on study, study, study, studies. But evidence-based medicine is a three-legged stool.

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And one leg of that stool is studies and data. And the other two legs, one of them being the patient's experience and needs and wants, And one of them being the clinician's experience and expertise, right? That's the triad of evidence-based medicine. And so sometimes we extrapolate from animal studies, yeah.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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But it's not that we're... For the folks that don't... Like a lot of folks don't get how science works. It's not just that, okay, it worked in mice, so I think it's going to work in humans. No. If the study or the data that we have explains the mechanism of action in a mammalian species... and the pathways that I can better understand how that might work in a human, right?

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And so that's where I think things get hung up. GLP-1 is an example with the black box warning and the rat studies, right? The black box warning was on rats. The interesting part about that is rats and rodents have a receptor for GLP-1 on their thyroid that humans don't have the same receptor, which could potentially lead them down the path to this medullary thyroid cancer risk.

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But humans don't receive and respond the same to GLP-1s in that region. So it's like a different pathway, a totally different mechanism happening there. And yet there's not a black box warning on the worldwide intervention that was thrust upon everybody. So that's interesting. That's a side note. Anyway, this is how I go at it with patients is I explain the risk tolerance.

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Tell me your story. You've got a really compelling backstory.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And sometimes patients will say, you know what, I'm not, no, I don't want to do that. There's not enough information for me. Or they want to go do more research, which is great. Part of a legal PAR-Q, do you guys have PAR-Qs? Like were you trained in that process of a PAR-Q when dealing with clients or patients? Yes. It's risk tolerance. I'm sorry. It's informed consent.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And the PAR-Q is an acronym. It stands for this is the procedure or what we want to do. This is the presented treatment plan. The A is for alternatives. The... R is for risks involved. And then the Q is, do you have any questions? And I think every human should be presented with that when taking on a new journey into their health, right?

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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Whatever it is they're gonna inject or ingest, they probably should get a part Q, especially if it's coming from a doctor. So we have data on a lot of these things, but also we have a lot of anecdotal evidence. We have a lot of people in the biohacking community using these things safely for a long, long time. So to me, that's how it adds up for me when I share with people.

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Oh, well, thank you. Unfortunately, my profession, not all of them, but the bulk of them in the naturopathic doctor world here in the States, like completely drank the Kool-Aid during the last few years. It was super bizarre. And so it's been, I feel... I feel professionally homeless, you know?

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And then I go out in the world on Instagram and I try to speak in terms of like a balanced diet and people that this polarization is what flies there, right? In that realm. And so it's nice to talk to someone like you who gets it, which is just like, we have to be moderate in our approaches to things. And then for me, you know,

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Not every patient I have or client that I work with is like you, right? They're not young and robust. I mean, some people are really compromised. And so they're gonna need a much more gentle approach. And I think this is the beauty of oral formulations because we can gently ease them in. Sometimes with peptides,

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particularly the compounded prescription versions that are injectable, a little bit too much can be a lot too much. We see the biohacking community. A lot of these guys can handle crazy doses. But I personally, I mean, I always guinea pig myself up. I guinea pig my mom up. She's always game. She's always for it. And my mom says, you have saved our lives.

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Every single person in my family, including my husband's family at this point, I've pulled everybody out of a tailspin at some point. And It's because I'm willing to, you know, experiment a little bit and see what we need to do and address the individual sitting in front of me.

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And some of that is really, I don't want to say clairvoyant, but it is like I just have a spidey sense about things about what people are going to need or not respond to well and energetically, I guess you will. The thing about oral though is we can dial that up or down a little bit. I do like injectable. I mean, my background's regenerative medicine. If I can inject something, I'm all for it.

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Number one. But it's harder to get. It might be more expensive. It might be less expensive. Depends on the substance. But once it's in, it's in. And depending on its half-life. And with oral, we can kind of tiptoe our way in, right? Because especially if it's in a capsule, I like to microdose everything, especially if I have a sensitive patient in front of me. So...

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Anyway, I'm just sharing that because different strokes for different folks.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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Yeah, that's why I love the GI repair formula. I mean, period. Like if that was the only thing you had in your line, I'm sold because I'd like that straight up. I'm like, well, this addresses a lot right here.

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Yes, a thousand percent. And to add to that, what I have found in my practice, which was predominantly for decades, predominantly musculoskeletal regenerative medicine was that 95% of the time people's distal joint pain was being driven by something centrally. It was not just a mechanical issue. It was very much an immunologic issue.

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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And I'm not even saying autoimmune, like we did not run autoimmune markers to test for that because the treatment wasn't gonna change any. There's this immuno, inflammatory, metabolic driven joint pain that's happening. And so much of that is stemming from the gut. And I cannot tell you the number of patients who came in and said,

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man, my back or my SI, which was the region we were going to treat or my hips or whatever is really killing me today. And these patients I knew had IBS and I'd say, well, how's your IBS? And they're like, actually, it's really flaring right now. I'm like, there you go. So, so much of people's joint pain is not necessarily stemming from their joint. And a lot of it can be

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improved upon at least if we can get the gut to chill the f out and really just like you said the leaky gut the lipopolysaccharides all the things which so much of that is it's so multifactorial it's we can't explain it all here but that's why i at the end of the day i treat the gut first that's just what i do um okay so that brings me just because we were talking about glp-1s and i know my audience is hot on that you have a recomposition formula tell me about that

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Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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A thousand percent. People don't want to hear that and they don't understand it. But I come from that old school of like, you know, the thin old Scandinavian dudes that live forever. You know, there's something to adiposity and keeping it low. And even that when people talk about caloric restriction, I'm not a big fan of the calories in calories out model, but I am a fan of, you know...

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I call it organized caloric restrictions for longevity. I mean, there's something to that. And I was taught that by my mentor, like stay as lean as you can. It will improve your lifespan and your longevity. So I think that's brilliant. And yeah, people don't appreciate that about mold. It basically just makes you sort of puff up and sort of blow up and all your systems go awry.

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But as you accumulate adiposity, you also have more storage for your toxins, right? And that's one of the reasons why you gain weight is because your body's trying to deal with that toxic burden. And so it's creating more fat cells to hold it. So now you're walking around with a fat suit of inflammation and toxins. And then your body doesn't wanna let go of those if your liver's compromised.

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You mentioned early on that like that's one of the tiers, you know, the early tiers is to address liver health because if your bucket's full, your toxic burden bucket's full, your fat cells are gonna start

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Yeah, that's the parasite. I agree with you on the parasite cleanse. Again, we have to go gently with things. She might have, you know, like I've got the homozygous MTHFR mutation, so I... Do not detox anything. And I'm very quick to, I'll walk in a hotel room and we have to do the sniff test. I sniff and then I'll turn around and I'm like, nope. And we roll right back out.

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My husband's always like, okay, or we'll sit down in a restaurant. I'm like, nope, we got to move. And he just, he rolls his eyes, but he knows I'm not wrong because there have been times when we got trapped in mold.

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whilst traveling and he ended up day three he presents differently than I do and by day three he was having a lot of symptoms and I was like dude that's mold this is this is what I'm talking about like I'm already off my rocker with a sinus infection and like losing it and he's over here having his symptoms and I'm like that's because we're we've been in mold for four days in this room so

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I actually... I was about to buy a house. I had money down on it. I was about to... They were about to accept my offer and I brought in a mold sleuth tester to come in, an outside guy. And he did a thorough test and found all kinds of nasty stuff, which unfortunately they... I mean, I said, no, we didn't go through with the offer.

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But unfortunately, now that house has to report that as they're trying to sell it. And yeah, it's... People don't realize. And again, though, it's how... Not to scare everyone, because my husband's incredibly resilient to mold, right? He doesn't get too sick from it at all, whereas I get really compromised really fast. It comes down to vitality.

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And what are we doing to stoke our vitality, which is the lifestyle factors, all the things, utilizing nutraceuticals and peptides as needed. And I'm just really not a huge fan of... given up easily, you know? And so I'm, I'm here for all the tools and I love to share them out with people because I think that this is, this field particularly is like you said, the future of medicine.

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If people don't get hip on this and I, my goal in life, I realized I can't, like I would like to obliterate the allopathic medical system as it stands. I'm not a fan. I've never been a fan. I was a very sick little kid. The reason I became a naturopathic doctor was so that I could make a change. And I realized after 10 years in practice, I wasn't making any changes.

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I was just getting incredibly burned out and that most people don't want to actually make all the lifestyle changes. They weren't nearly as excited about it as I was. And so I left practice.

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They are a peptide-based company. These are oral supplements. And I wanted to get him on because I wanted to get you guys what you've been asking for, which is more about peptides, more about specific peptides and how we can use them and how can we access them readily. And you can do so through Level Up because again, these are oral, these are over the counter and they're considered supplements.

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But that said, I've realized recently that my mission on this planet through this platform, through my podcast and my social media following and amassing a following really is to educate people to empower them so that they can demand better out of their doctors.

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I can't get the doctors to do better, but I can get people educated and informed and empowered so that they basically can go in and say, hey, this is the future, catch up. You know, like that's my goal. So if I can make a dent in medicine that way by getting people to basically just stop accepting mediocre medicine as it stands, that's where I'm at.

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I love it. I love it. Thank you for sharing that. I'm sorry about losing your mom. I'm going to cry. It's my mom's birthday today. And I woke up and I was like, oh my gosh, it's my mom's birthday. And I called my daughter who was asleep and she starts complaining that I woke her up and I said, we got to call grandma. It's her birthday. And all I was thinking was, I was just so grateful that...

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my mom was still on this planet right now, you know, like, so I, that touches my heart that that's your mission drive. Cause I lost my mentor to cancer and that is like, and his anniversary of his passing just happened. And I, I think about it every year. Like he would have fought like hell through COVID just like I did. And he would like, this is legacy, you know?

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So it's nice to meet someone else whose business is based on legacy because it's not just about me. It's like, this is bigger. And watching humans just get mishandled by a system that's broken is what drives me every day. So awesome. I love your products. I love, you're my new best friend. We have to stay in touch. I think what you're doing is phenomenal.

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And I'm really glad you're on this planet doing it because I'm excited to see when young people are doing really groundbreaking things. It gives me hope because we need that right now so badly. And I'm really excited to be alive right now with what's happening politically, regardless of what side you stand on. A lot of systems are getting burned to the ground and I am here for it. So...

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That's what I'm here for. It's an exciting time to be alive. So, well, so wonderful. I'm gonna make sure that everybody gets access. You guys have been generous with a discount for my followers and we'll make sure that link is in the show notes and that they can find your products and get access to them. I noticed that some are sold out on the website. Do those come back into stock?

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Okay. I love it. All right. Well, thank you so much, Kyle, for being on the Dr. Tina Show. And I'll make sure everybody can find you and find your lovely products and keep doing what you're doing. And let's stay in touch.

The Dr. Tyna Show

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Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A.

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And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

The Dr. Tyna Show

Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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They really are. And the FDA here in the United States came after several of them in the injectable form that you could get through a compounding pharmacy back at the end of, was it 2023? And some of them have come back, but that's just been this constant, And the really cool thing that's come from that is that these companies are popping up with good quality oral forms.

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And I honestly have found that BBC 157 orally has done way more for me than an injectable form. And that's because I have had... I mean, truth be told, I have had gut issues since I was a little kid, like little, little kid. And it was constant. And a lot of it was stress and anxiety. We moved a lot. And so I was constantly having to go to a new school. And I had just that...

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They called it, I was hyperkinetic, not ADHD. Back then we were hyperkinetic. So the recipe for health in that case was to actually get more exercise, get outside. But now they drug these poor children. So my gut was really the driver of so many of my chronic issues. And this went on and on and on. I went through naturopathic medical school. I had access to all the things.

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I got into regenerative medicine. That is the bulk of my practice was decades in regenerative medicine doing things mostly musculoskeletal work with regenerative medicine, but I was the girl that would try anything. Like I was helping patients heal fistulas and dealing with lichen sclerosis in the vaginal area. Like I was doing all kinds of stuff with stem cells and PRP.

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But the one thing that I always realized was these folks results were only as good as their blood was. If I was gonna be utilizing their blood to make PRP, the results and outcomes were only as good as their overall health was. And this was before peptides really came on the scene And truly a huge driver for so much of these people's woes was their gut health, as was mine.

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The beauty and the reason that I had to have this particular young man on was because I got a bottle of their GI repair in the mail and I looked at the formulation and I thought, this is brilliant. Like what is in here all combined at the ratios that they're at is who did this? And I come to find out that this man is not only a nutritionist, but he is a naturopath.

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And even with all the best of intentions and the best of what exosomes, stem cells, all those things I had access to, I could not get my gut health under control. And then it really fell apart in 2021 because I pushed back pretty hard against the COVID narrative. and was on the receiving end of the last presidential administration censorship industrial complex.

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Like they came down hard on me and it was personal. And my gut fell apart completely after a trip to Mexico where I got a nice little amoeba and it was BPC-157 that pulled me back out of that. And I have had such remarkable gut health ever since and it's a tool I can go to. And I have wished that somebody would combine it with some of the ingredients you finally combined it with.

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So thank you because No kidding, that GI repair formula. Let's talk about some of those ingredients first off because it's really, it's a remarkable combo you put together.

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And they're so much more affordable than going down the stem cell route. And the thing with the stem cells is really the best version of stem cells is your autologous, meaning your own. And again, if those are only as good as your overall health is, I always say your stem cells are only as good as your terrain. And most people's terrain is trash.

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And that's a really hard place to be to turn a patient away and say, I can't do these regenerative injection therapies on you because you're If I take your hot mess of your blood and concentrate it down and shoot it into your hot mess of a joint, we're going to have problems. And so much of that hot mess of the joints is being driven by gut health, poor gut health. Like that's it.

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Now, Australian trained naturopaths are a bit different than licensed naturopathic doctors in the United States. but that does not mean that their knowledge base is any less. And this guy knows his stuff. Plus he brings in this unique modern approach by combining in the peptides. So beautiful conversation. I know you're going to love this one.

The Dr. Tyna Show

Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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That's everything starts in the gut. All illness and all health starts in the gut, in my opinion, as a naturopathic doctor. And you're so right. You could take... Let me just break down the way I see it. You could take the zinc carnosine, which I have done at length. You could take the aloe. You could do the four R's that we hear about with the... Basically, it's like a shotgun approach.

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Kill everything that's in there and repopulate it, right? You could take all the probiotics. You could take all the things. The minute you stop taking them, you go back to symptom picture. Like it sucks and it's been this cycle, right? And so you get patients in who have different gut conditions and we treat them and we go through this whole rigamarole. We get the fungus to die back.

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We get the bacterial overgrowth to die back. We try to balance the gut microbiota. We do all the things. We try to get the gap junctions to close. We try to get the leaky gut to heal. And the second the gut protocol stops or they go and eat something offensive that sort of spurs the bad bugs back on, because you never really are going to kill everything off and we shouldn't try.

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That's just a, I regret that approach early in my career. With peptides, we're actually healing the inside. It's healing and regenerative, right? And so, and anti-inflammatory. And What I do is I will, like my mom, for instance, I had her try your GI repair. She has Crohn's disease and I gave her 10 capsules. I was like, just take 10 capsules.

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We can do a longer course, but the beautiful thing about peptides is they're a cycle, right? Like this doesn't necessarily have to be something that you're on forever. You take it as needed. So I took a 10-day cycle because if I do too much BPC, I do tend to start to get some water retention. And so I do a 10-day cycle and then I come off.

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for however long and then I was traveling I keep a little baggie full in my travel pack and I was traveling and I was eating a little too much and having too much fun like eating at weird hours you know where it's too late and everything and woke up and my belly was distended and I had to go on stage so ran to my GI repair right like we use them as needed and that's the cool thing about peptides is you're not always on the functional medicine naturopathic medicine like

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roller coaster. A lot of these docs will get their patients in and keep them forever. And the patient's like, when am I going to be healed? Well, that's a great question, right? So peptides get you there faster. Plus it can jumpstart a lot for people.

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We can really get people, you mentioned Lyme and I know you have a back history of exposure to mold and we can really jumpstart that process and get people further faster. And like you said, then the other treatments that we're applying actually start working better. It's so cool.

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It's chock full of clinical pearls and knowledge and tips just know-how on how to utilize these peptides in your life. If you head to LevelUpHealth, that's L-V-L-U-P.com, LevelUp, and you use code DRTINA at checkout, you'll get a nice discount. I know you're going to love this conversation as much as I did interviewing him. So let's jump in.

The Dr. Tyna Show

Peptides 101: Unlock Optimized Gut, Brain and Recovery | Kyal Van Der Leest of LVLUP

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Yep, I totally agree. And that cycle might differ for each person depending on the severity of how they're feeling. And again, this is not medical advice because this isn't a prevention treatment or cure for anything. This is a way to heal the body and harness homeostasis in the body. That's how I look at it.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. I learned a long time ago from my mentor that gut health isn't just about digestion. It's the gateway to your entire wellbeing. Your gut health plays a critical role in nutrient absorption, immune function, and resilience.

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That's really what it comes down to. And we have lost diversity after lockdowns. And so that is going to lead to less diversity means more chronic disease. Modern society with its decreased microbial exposures have created the perfect conditions for the rise of non-communicable diseases was basically the conclusion of that study. So there's more to this.

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And I, again, correlation does not equal causation, but I really think as time goes on and this is studied more, we're going to see more and more of this coming to light that we are over-sanitized. We are definitely sharing our microbial with each other.

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Who you surround yourself with matters, not just because of their behaviors and the way that they're eating and exercising and whatnot, but their microbiome is actually, it's communicable. So we are contagious to each other. And that makes me want to work harder to stay healthier, more resilient to anything that comes my way so I can hang out with folks who are maybe not as vital. And also...

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I can donate my healthy microbiome to those around me, right? That's why I hug everybody. I always hug. I'm a big hugger, like bring it in. I want to share the microbiome. I want to check out their vibe. That's how I figure it all out. So I hope that's interesting. I hope it doesn't piss everyone off, but very interesting concept.

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And because it came up in that podcast and then subsequently on my Instagram as a reel, I wanted to clarify so that people didn't think I was just being... ignorant or judgy. This is backed by science. With that, I will bid you adieu. Thank you so much for watching the Dr. Tina Show. If you will rate, review, and subscribe, that would be hugely helpful.

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If you're on YouTube, go ahead and subscribe. Hit that bell below. Let me know you're here. Leave me a comment. Even if you leave me a nasty comment, leave me a comment. I want to see what you guys think about this. And go ahead and email us, podcast at drtina.com. Don't email us with your rants, but email us if you have ideas for the pod of topics you want to hear me cover.

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Hopefully it's in the wheelhouse of, you know, metabolic health, muscle metabolism, hormones, menopause, you know, that's my, that's my jam. So with that, I will bid you adieu. Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt.

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You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com.

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But she asked me a question based on something that I had said in the past, which was that our disease processes beyond the ones that are known to be contagious are actually contagious.

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See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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Things like high blood pressure, type 2 diabetes, what are considered non-communicable diseases are potentially indeed communicable, meaning contagious, meaning you can catch them from proximity to somebody else who has them. And She made a reel about it, she shared it, she's got millions of followers and boy, oh boy, was there some heat back on me.

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And I wanna say this first, correlation is not causation, meaning just because two things are correlated does not necessarily mean one caused the other, right? But that said, I'm going to share with you some data. And I think that what's been emerging is more recent. I really started hearing about this in 2020. I had heard about it in the past.

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You know, there was some data that I saw back in 2017 actually surrounding the topic of obesity and how even if you have a friend who becomes obese on the Internet and you have an increased risk of becoming obese yourself just by interacting with them even on the internet. And I was like, that's crazy. So I don't know how true that is. And I don't know if that's been disproven.

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But in 2020, there was an article that came out. And at the same time, I was talking to some microbiome expert friends at a conference. And they shared with me a study where one person in a family took an antibiotic and everybody else's microbiome, gut microbiome in the family shifted, even though they didn't take the antibiotic, just the one person did. And I was like, whoa, that's crazy.

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Our microbiomes are contagious. It's not just fungal infections and skin things that we can share, but truly our microbiomes are contagious to the point of our metabolic health being contagious. And I know that is tough for some people to hear and they want to get really angry about it, but we have mice studies to show this.

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They took mice and they put an obese mouse in with lean mice and the lean mice became obese. And conversely, there's some data points to support that when an obese person, and I think even in the mice, are surrounded by or sort of more than not of their friend's cohort or their surroundings are lean, they may tend towards more becoming lean. So this is not made up, this is happening.

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When your gut lining is strong, your body can better handle stressors, process nutrients, improve your immune function, and maintain balance in the system. That's why I'm such a fan of the Ultimate GI Repair by Level Up Health. It's a game changer. When I first saw the formulation, I was blown away.

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I'll find the mice study and I will put it in the show notes and you can look at it. It's crazy, there's pictures. So anyway, in 2020, this was written up in Science Magazine and the question was, are non-communicable diseases communicable? Numerous non-communicable diseases could have a transmissible microbial component.

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The abstract reads, the past century has seen a profound decrease in mortality across the world accompanied by a marked shift from communicable diseases such as infectious microbes to non-communicable diseases. They call these NCDs, such as cardiovascular diseases, cancer, and respiratory diseases.

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NCDs, defined as diseases that are not transmissible directly from one person to another, account for more than 70% of all deaths globally. That's 41 million people. The definition of NCD rules out any microbial involvement and instead focuses on genetic, environmental, and lifestyle factors. Data increasingly show that the microbiota is dysbiotic, altered in individuals with various NCDs.

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In animal models of NCDs, transplantation of dysbiotic microbiota into healthy animals results in disease. So they did microbial transplants, probably fecal transplants. And microbiota composition is shaped by close contact with others. Therefore, we propose that some NCDs could have a microbial component and if so, might be communicable via the microbiota.

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Some would say that it is just proximity and it has nothing to do with microbiota sharing, right? They say that it's shared behaviors and norms. So if you're living with someone who's obese and they're overeating, you might snack with them. You might overeat with them. Household or community environments, maybe it's shared toxicity. Maybe it's shared beliefs and norms around food.

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In certain families, you go over and they overfeed you. They're like, you're too skinny, eat more. So who knows? Socioeconomic factors, obviously a huge component here. I'm not going to negate that. But all that said, The microbiota theory is proving itself very potent. And so we're gonna talk a little bit about it more.

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So the implications for public health is that understanding the social environmental factors contributing to NCDs, non-communicable diseases, highlights the importance of community-based interventions, programs that promote healthy behaviors across social networks and improving environmental conditions can be effective in reducing the prevalence of these diseases.

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However, when we bring in this 2020 study and some of the other data that has gone around, It gets interesting, right? This article summarizes showing that non-communicable diseases like obesity, heart disease, and type 2 diabetes might in fact have a communicable element. I mean, it makes sense, right? They are microbiota. They're bugs. We're sharing our bugs. I'll give you an example.

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Now that I've used it both personally and professionally, I can confidently say it's one of the most advanced gut support formulas out there. It combines cutting-edge peptides and powerhouse nutrients that you won't find together anywhere else, marrying nature and modern peptide science to support a strong gut lining, a healthy intestinal barrier, and optimal digestion.

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I had a patient. He was full of intestinal worms, and he was dealing with obesity and some heart disease. He was very Caucasian, very, very pale, blue-eyed, light-skinned man. His wife was from Jamaica, and she was black. And she had some extra weight on her, but very healthy. Her labs were great, wasn't showing any metabolic disease, just a curvy lady. And

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Usually when I treat one patient for worms, I tell them to bring their spouse in because we're going to treat both of them because we can't get rid of the worms in the one and the parasites in the one without treating the other because that is how much we share our bugs.

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Even if they're bugs that are fecal oral, you know, not that these people are in any way, shape or form trying to expose themselves to their partner's fecal material, but it just happens. Like you flush the toilet and it aerosolizes out or you share a bed and you shed.

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So being in proximity with people definitely can, especially if you're intimate, can definitely lead to sharing and shedding of certain things. All right. So. Non-communicable diseases, including heart disease and diabetes, and even some of the inflammatory bowel diseases, perhaps, may be transmissible and spread among people in close contact, much like infectious diseases.

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This was said by Dr. Brett Finley, who conducted that study. Core points here. Social contagion of chronic illness. People in close contact, including spouses, family members, friends, and even coworkers are more likely to share the same conditions that are chronic conditions. It's not just due to genetics or shared behavior, but shared microbiomes, food, sleep, stress, and lifestyle patterns.

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So it's all of it, right? Again, correlation does not equal causation. Microbiome... The impact it has here, it is linked to conditions like obesity and diabetes, and that can be transferred between people in the same household. So pets and even roommates can exchange gut bacteria, potentially inducing long-term health issues or benefits, right?

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Like your dog's microbiota, you having a healthy dog, I firmly believe is gonna improve your health. Environmental sharing, access or lack thereof of real food, movement and clean air is often shared among people in the same household or community, of course. And so we've got environmental and socioeconomic factors here that we have to acknowledge. That would be blind and ignorant of me not to.

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But the... environment you live in even close quarters you know overcrowdedness inside some of these living places can be the grounds for chronic illness both infectious and non-communicable and then implications for policy i think You know, we only look at things as being shared if they are contagious, like aerosolized or, you know, viruses, et cetera.

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But I think that we really need to start looking at chronic lifestyle conditions as potentially communicable. So it's not just genetics. It's not just personal choices. It's not just a lot of things. It's also proximity. And it's the people you eat with and sleep with and have intimacy with and the people you're around. Mom's microbiota impacts baby's microbiota for sure, right?

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If you're looking for real targeted gut support, this is it. Head over to leveluphealth.com and use code DRTINA at checkout to get a whopping discount of 20% off your order. That's L-V-L-U-P health.com. And don't forget to use code DRTINA for your exclusive discount.

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And it's not just because mama's feeding baby her milk. So then there's another article, The Hygiene Hypothesis, The COVID Pandemic and the Evolution of Human Health. And this was a really interesting study. Non-communicable diseases are influenced by microbial exposure.

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This article explores how the loss of microbial diversity in modern societies may increase susceptibilities to chronic diseases like obesity, type 2 diabetes and autoimmune conditions. What does this mean? Our diversity is declining. Our microbial diversity is bottoming out. So lately, I've been hitting the gym a lot more regularly.

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And let me tell you, it's a different game than it was even 10 years ago. Recovery takes longer. Energy isn't necessarily endless. And pushing for progress feels, well, a bit harder. That's why I take MitoPure, a non-negotiable part of my routine. This isn't just another supplement.

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It's the only clinically proven urolithin A formula designed to supercharge your mitochondria, the powerhouses of your cells, by clearing out the old and making way for the new. With regular use, I can feel the difference.

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More energy to power through my day, stronger workouts and faster recovery, greater endurance to keep moving, lifting, and thriving, and most importantly, long-term cellular renewal to support my strength, mobility, and longevity." Research shows that MitoPure can deliver double-digit gains in muscle strength and endurance without changing your exercise routine.

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The Dr. Tyna Show

Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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I always have been. Most fish oil is rancid junk. It's the sewer of the sea, if you will. That's why I take Puree's Omega-3. I trust it full stop. Not only are you getting a potent 2000 milligrams of EPA and DHA, the long chain Omega-3s that actually move the needle, delivered in their natural triglyceride form at 80% concentration, that's rare, but the quality is unmatched.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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And if you want to deep dive into the science and hear more about this formulation, check out episode 200 of the Dr. Tina show, where I was honored to interview the founder and formulator of Level Up Health, Kyle Vanderfleet. On this week's episode of the Dr. Tina Show, it's a quick and dirty and it's a very controversial topic.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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Total transparency. Interestingly, a 2024 randomized controlled trial came out of Clinical Nutrition looking at healthy older women ages 60 to 80 and the effects of omega-3 fish oil supplementation on muscle loss and recovery during disuse, like after bed rest or injury. The result? Omega-3s preserve muscle strength and function and even enhance recovery after inactivity. That's huge.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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If you're a woman over 40 trying to stay strong and resilient, this is a no-brainer. Head to puri.com and use code DRTINA to save 20%. That's P-U-O-R-I.com. Use code DRTINA because your muscles deserve better than crappy fish oil. Some are saying COVID itself and even the intervention led to bifido decline in the gut, which is terrible. It's a terrible, terrible thing to have happen.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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Dr. Sabine Hazen talks about this and she is a microbiome specialist. I want to get her on my show to talk about this because what she saw in folks was a severe decline in bifido bacteria, which is like the keystone gut microbe for optimal human health. And it just bottomed out. My other friends who are in microbiome testing world, they test gastrointestinal, they run the lab.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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They told me in 2022 that they saw a major decline in diversity of gut microbiome since 2020, since everybody got locked down because people quit interacting with each other. When we interact with each other, we share a microbiome. It really matters who you hang out with. It really does. I hang out with healthy people, healthy, vital people, because I want their healthy, vital microbiome.

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When I met my husband, I kid you not, he's so vital and he's so healthy. And I was like, I want to lick him. And I don't mean that in a sexual way. I just wanted to... literally like I want his microbiome, right? He's so healthy and vital.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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And then when you have a really healthy, vital microbiome and you're around people who are much more sick than you, you're sharing a healthy microbiome with them. The diseases that come in and through human beings' bodies change. They're virility viruses. For instance, I was trying to share this in 2020 and I just got hammered for it. We've known this with influenza studies prior to 2020.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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When a virus enters a body, the human body attenuates it, right? The body attenuates it. It calms it down. This is where we get the concept of herd immunity is that if it goes through enough humans, it will become kinder and gentler and become really not a big deal for the herd. And how true that is for each organism is different. But it's a theory, you know, hypothesis.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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And that's what they like to lean on. That's what they were trying to go for in 2021. It didn't work. I knew it wouldn't work. But that said, we know that in folks who are living with obesity and who are more inflamed,

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when a virus, influenza at least, we have data on, when a virus enters their body and is processed through their body, it actually can come out more virulent to their lean counterparts. So I'm not saying this to stir up controversy. I will put the data or the study in the show notes. It's just how it is. And so what does this mean?

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So let's jump in without any hesitation whatsoever because I actually believe this and I'm going to share with you something that stirred quite a controversy the past few weeks. I was on the awesome Cody Sanchez's podcast. I flew to Austin. I got to be on her show. She's such a rad chick, you guys. You got to check out her pod. I hope to get her on mine.

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Can You Catch Chronic Disease? The Truth About Contagious Microbiomes | Quick + Dirty

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I'm not trying to throw anyone under the bus, freak anyone out, don't up and move out of your house, but think about... Can you at least harness your metabolic health, your resiliency and stoke it enough that your microbiome is resilient to anything that comes your way and you in turn are actually sharing a really healthy microbiome with those around you, right?

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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It's perfect for anyone looking to elevate their meals with delicious high-quality protein. Maui Nui Venison is offering the Dr. Tina Show listeners a limited collection of my favorite cuts and products, but supply is limited by the nature of their work. So don't wait. Head to mauinuivenison.com forward slash Dr. Tina to secure your access now.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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That's mauinuivenison, M-A-U-I-N-U-I venison.com forward slash Dr. Tina. If you're already hooked on Elements Zero Sugar Electrolyte Mix, buckle up because now it comes in a bold 16-ounce can of sparkling water, and I'm honestly obsessed with it. Same trusted formula, now carbonated. Zero sugar, zero caffeine, all function.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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It comes in fan favorites like citrus salt, watermelon salt, and grapefruit salt, plus the all-new black cherry lime only found in the Sparkling line. If you sweat hard, train hard, or just want to feel better all day long, this is your hydration solution. Dr. Tina Show listeners get a free sample pack with any Element drink mix purchase at drinkelement.com forward slash drtina.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Heads up, the free sample pack does require a drink mix purchase, not sparkling only orders. Those cans are a bit more costly to make and ship. But while you're there, definitely try out the new Element Sparkling. Stay salty, stay hydrated, try Element Sparkling now. It's so dumb because every other pharmaceutical on the planet, we can generally alter the dose to fit the patient.

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If we need to cut a tablet in half. I mean, that's how I've always understood compounding pharmacies and what I've used them for was when the dose needed to be something different or maybe they didn't want the dyes that were on the medication or there was filler or there was corn additives or whatever.

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So, yeah, it's gotten way out of control. And anyway, just to my point earlier, my conversation that I was trying to have originally was like, hey, look at this. I originally was looking at it for the reduction in neuroinflammation and its potential for pain.

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And then I was looking at it for more of like a metabolic rehab because sometimes you'll get patients like myself, they're in their early 50s, they're going through menopause, and as that transition is happening... They're lean. I mean, shoot, I have some patients with six pack abs. And all of a sudden, out of nowhere, even with HRT on board, we start to see insulin resistance.

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We start to see a little bit of the lipids starting to shift. We start to see some cardiovascular markers. And I'm sure it'll quiet down in 10 years when perimenopause is over or whatever. But in the interim, something is shifting and you give them the tiniest little bit of GLP-1 and it calms it all down and their labs get really beautiful. And that was something I was trying to talk about.

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And it didn't matter whose podcast I went on. I had some great hosts ask me some really great interview questions. But for the most part, Cali Means was making the rounds at the time. And he was blasting. I don't know what his agenda is on that, but he was blasting GLP-1s. And so everybody had to... And he had already made that podcast, you know. visit prior to me.

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So they all had to ask me, what do you think about this? And what about obesity and children? And what about all these things? And I'm like, this is not the conversation I came here to have. Bring on Spencer to talk about GLP-1s and obesity. I was trying to have a different combo. So anyway, it got very twisted. So that's why you're here today. Enough about me.

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So let's talk about life pre-GLP-1s as a practicing obesity specialist and life post-

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You sort of playing pickleball with all the GLP-1 misinformation and nonsense that comes constantly into our inboxes. I don't even get into it. I just let you do it.

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Yes, yes. And then you have... really created this awesome, innovative direct care platform called Vineyard. So we're going to talk about that too, because I think what you're doing is exciting. I think you and I agree on a lot of things.

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One is that these telemed companies for the most part, and I have heard good feedback from a few of them for really uncomplicated cases for people who really just needed a little something, something. But in the case of most people and most patients, especially those dealing with

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Yeah, so complete game changer. Because these peptides put the onus of control back in the driver's seat and they induce neuroplasticity. So while these people are making the good, healthy lifestyle changes, their brain is rewiring in real time as it happens.

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So they're laying down tracks of good behavior if that's happening, if they're being managed correctly, which goes back to what we were saying earlier of like, get out of the MediSpas and get with somebody who actually knows what they're doing because there's so much opportunity there in that timeframe to have really wonderful lifestyle habits.

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And that's, and it's, so my background was helping, I helped a lot of people lose weight. It was not the main focus of my practice. My practice was regenerative medicine, but I helped a lot of people lose weight. And they often, even with best intentions, they eventually would swing back and have substantial weight regain, even following the same dietary habits, right?

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Eventually their body would catch up. And so can we talk about that, the disease of obesity? I don't think my listeners or some of them really appreciate this for what it is. And I have to be honest, I did not appreciate it for what it was until recent years. But I come from a long line of obese folks. And I think- Oprah said it in a way that made the most sense to me.

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She said, not everyone who's obese has the disease of obesity. And not everybody with a disease of obesity ends up being obese because of just really strict willpower. Somehow they share willpower through it. I think we're missing the mark for folks who really do have the disease. And I think that's what we're battling online. I think that's the stigma around these peptides.

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It has nothing to do with the peptide. People are just... You said it in a post. You said you just have obesity bias.

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at least a moderate to more excessive amount of obesity and or type 2 diabetes i think that docs or patients need a much better care system and i see you talking about that online can you extrapolate on that a bit more yeah you know these medicines are amazing i would call them miracle medicines but they there's no there's never a free lunch and you may be one of the people um

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This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself. One of my favorite ways to do this is to take measures to clear out my senescent or zombie cells. Have you guys heard about zombie cells? How about senolytics?

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Senolytics are a class of ingredients discovered less than 10 years ago, and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime. Thank you so much for having me. If you also want to resist aging at the cellular level and stave off those zombie cells, try Qualia Sinalytic.

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If you're in midlife and doing everything right, eating clean, lifting weights, using HRT, but still not feeling like yourself, it might not only be your hormones that need some tinkering. It might be your cellular receptors that need some love.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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When those receptors are overloaded with environmental exposures like plastics, xenoestrogens, and pollutants, your body may not respond to hormones the way that you expect. That's where Liver Love comes in. It's a comprehensive formula designed to support the body's natural detoxification pathways and promote healthy hormone metabolism.

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They're changed at the genetic level. I don't know if you saw that study. I'm sure you did last week. Like actual genetic changes. I mean, it's like the train has left the station.

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There's insulin resistance as an extra added variable. And I've seen people develop type 2 thin. Well, this happens a lot, actually, as people age. Yeah. just inflammation. I've seen patients that my mentor before me took care of, and then I inherited them when I took over his practice and I took care of them for a long time.

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And I would watch them age into diabetes, thin, rail thin individuals, farm, you know, people who worked on farms, like these were not people lacking, they weren't buff, but they were like farm strong. Like they're built like my husband, my husband's just a railie and strong AF. And I mean, the man can pick up trees and it's crazy.

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So that's how these guys were and yet they would still develop diabetes. And so there's all kinds of variables. And then when getting back to the appetite, there's leptin and ghrelin and are they producing enough? Is there receptors hearing it? Is there resistance like an insulin resistance? I mean, there's things we don't even understand that we're just only starting to understand.

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And I look at them all as playing together like an orchestra. And GLP-1 is an important part of that orchestra. And if it's not there, the leptin and ghrelin signaling get off and the insulin signaling gets off. And everything, I don't know, it's frustrating when people say, oh, it's just eat less and move more. I'm like, yes, and?

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like and there's everybody's an individual and we're looking at a different maybe somebody's just stressed out beyond belief and their chronic cortisol is destroying their metabolism who knows i'm not there to judge i'm trying to figure out what tools i need to bring on board to give them a leg up so they can start making because like you said most people are pretty smart and they just need a little help

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You are tuned into the Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I'm so excited to bring on Dr. Spencer Nadolski. Dr. Nadolski is someone I've been following for a long time on Instagram. He's an obesity specialist. He's a lipidologist. He also is the owner and founder of Vineyard, which is an online direct care model.

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Yeah. And the environment did change the biology and it wasn't just the generation of the person struggling, like epigenetically. And if you are in utero and your mother is insulin resistant and you are bathed, we have the data, you're bathing in insulin, you come out with a much higher propensity for insulin resistance, metabolic dysfunction and obesity, like you're pegged for it.

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And this didn't just happen in our generation. This has been happening for decades, whatever, the toxicity levels in the environment, everything, whatever, the microplastics. We could go on and on. We now have tools to deal with the current situation. So why aren't we using them and why are we vilifying them and why are we making people feel bad for wanting to use them? That's what I don't get.

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It's like it took us several generations to get into this mess and we now have this miraculous tool to help people potentially get out of this mess. I don't know if you saw yesterday, you probably did, AON, is it life insurance company? They were looking at, let me pull it up. This is really cool. GLP-1s can help employers lower medical costs in two years and new study finds.

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AON, A-O-N researchers, found that within two years, improved health outcomes for patients who were taking GLP-1 drugs lowers the growth rate of medical care costs. Initially, that first year, it was an added expense, but then over time, like significant drop off of, all kinds of morbidity.

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Yes. That's where the PBMs come in. That's where the pharmacy benefits managers screw everything up. I hate them. Kelly and RFK are over here saying it would bankrupt America if we cover this drug for obesity with Medicare. And Trump's over here saying we need to get the drug companies to bring the price down. And I'm in the middle like, hey, PBMs, you're actually the problem.

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Why does this drug cost $100 or less in other countries in Europe?

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Yeah, it's really, really messed up. And I do think that there's room for these to be incredibly helpful long term and bring down morbidity. And mortality. I mean, gosh, we are really in a pickle here in the US and we've exported it out, but we are between the rates of obesity plus overweight. It's pretty high.

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I say the same. And my argument to the folks who are so against it, like some of these big influencers who are just so, so against it, I know these folks are on compounded hormones.

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I know they're on other peptides. So I'm like, hmm, this is interesting. I could make a pretty sound argument that a 40-year-old woman who needs a compounded or even just a low dose of thyroid medication, yes, give it to her. Fine. That's great for subclinical hypothyroidism. Subclinical hypothyroidism untreated, we have data to show significant increased risk for

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hyperlipidemia, heart attack, I mean, all kinds of problems. But that said, I could also say that that woman's me, right? When I was in my early 40s on it, my life of chronic stress, chronic under eating, chronic whatever I was doing in my teenage years, being a bad kid, not eating well, not taking good care of myself, I blew out my immune system and I ended up with Hashimoto's.

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So it's like I could make a sound argument that most of the medications that people are on Or start out as a lifestyle issue. Start out as a choice that they made a bad choice somewhere along the line and they ended up where they are now. And nobody says boo. They're fine. They take whatever they take to make themselves feel better. I am not judging. I don't care.

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Whatever anybody needs to take to feel better is fine by me. But yet this one thing, this one particular medication, everybody has to have some moral compass with it.

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Yeah. No, I get you. Okay, so let's spin this into... A more positive note. Let's talk about strength training. I really am at the point where I don't think that unless... I know it takes some people time.

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I know it takes... The folks that I've treated with true obesity on these, it takes them about three to four months before they really start feeling like they want to move because sometimes they're just in such terrible pain and in such a bad spot that it's hard to get them going.

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But I really firmly believe that if you're not strength training regularly while you're taking GLP-1s, you just shouldn't be on them. Like that's where I'm at.

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Yeah. And it's not just because we're trying to hold on to lean mass. There's lots of other benefits.

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No. And especially when folks are dealing with extreme obesity and they're trapped In their homes. Did you see that movie, The Whale, with Brendan Fraser?

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Man, it's such a good movie. I just love Brendan Fraser. And his story, you know, I mean, he was like, he played Tarzan. I don't know how old you are. Oh, yeah. No, I watched that. He was such a super babe to my generation. Like, we were so crushed out on him. And then he did get quite heavy and you could just see, like, I think he's got some thyroid issues going on.

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But anyway, for him to play that role and then, gosh, it was really compelling because it shows you the inside of life, which is he can't even get to the first floor. He's stuck in a second floor apartment for until he dies and they have to pull him out. You know what I mean? And it's like, I don't think people realize how bad it can get for some folks. And I think there's,

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There's such gray areas in medicine and everybody wants it all to be so black and white and so simplistic. And that's just that most patients fall somewhere in the gray zone, right? And so how do we get folks motivated to do the things they need to do to work out, to lift the weights, to eat the right foods? Well, we have a tool.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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We have this awesome tool called GLP-1 receptor agonist that give people all of those things and a window of opportunity to hardwire those things in if they're given that full support spectrum. And I think the problem though is a lot of docs themselves are just super unhealthy and they don't strength train, they don't know the value of it.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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When I was trying to talk about strength training a decade, over a decade ago, I would go to medical conferences and try to talk about it. I get heckled by MDs. There'd be these guys in the back like, whatever. And they're chronic cardio cyclist guys. And I was like, okay, I'm sure I'm right about this. I'm glad the data's caught up now. I took a lot of shit at that point.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah. Yeah. That's okay. I think the new guard, I have hope with, there's so many great young doctors coming up that are fit themselves. You know, I always say like, that's a great parameter. Find a fit doctor. They usually end up getting it.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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AI will tell everybody. I'm pretty sure. Isn't that crazy?

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I've been watching, I use AI a lot and I really like it. And I really think the people who cannot The humans who cannot figure out how to work with AI are going to be the ones left in the dust.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah, yep. And I never in a million years thought that it would replace doctors first, but I think it's going to be the blue-collar guys that stay afloat. And I think the doctors are going to be, especially the mediocre ones, the ones that aren't staying with it, you know?

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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or my electricity. I know my husband's an electrician, so they're a big blue-collar family, and they're good. I think they're actually just going to make more and more money.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Oh, yeah, but they're coming, too. And I think they're coming in medicine. You know, I just think about like radiologists and what an incredibly difficult job that is to hone that skill and how many years it takes to be able to see those discrepancies on images and to know that AI can see it like that. It's wild.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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So yes, I hope that, and you know, you can't trade out bedside manner, good bedside manner and just good heart to heart. We'll see.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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No, no, no, no. No, you're not. Okay. So we covered... I wanted to make sure we covered all the things. So strength training, you got to do it, guys. It's not the peptide causing you the muscle loss.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah, we're going to get into that. We're going to talk about the strength training because that's the other thing that we definitely jive on.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yes, I'm with you. I heard you say somewhere, and I completely agree with you, that strength training may actually be more important than the protein intake.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Share some thoughts on that because I'm with you.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I don't think so, because you think about in the advancements in bone, we had Fosamax trying to replace bone, trying to grow healthy bone. It just makes chalky, powdery bone. And in the regenerative medicine space, we've had a multitude of things that they thought they could inject into or near, like say, you know, vertebrae that have been crushed to try to regenerate them.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And it just causes all kinds of osseous outgrowths and problems. So what people don't get is that, like you said, you have to send the signal. It's this balance in the body. It's this orchestra. It's like the AMPK mTOR balancing act. It's the myostatin. It's all of these things that That's a big lesson, and we don't need to get into it here, but it's this orchestrated balance.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And if these are nudged appropriately through your nutrition, through your strength training, through all the GLP-1s, we can modulate it. And I think some people's systems just get whacked. And in that being completely whacked, that's why I say, if we're gonna stimulate this side, if we're gonna stimulate AMPK with a GLP-1, we have to stimulate mTOR to balance it out through going to the gym.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Like you have to go to the gym. and go to the gym. And yes, we got to hit our protein macros. I don't think they are as important as actually hitting the gym consistently and getting that signal to send consistently, right? And we don't want to overdrive any pathway with a medication too hard.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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That's why I think the people who are like hellbent on the metformin for longevity and the people who are hellbent on the rapamycin for longevity, it's just like... Or you could just go to the gym consistently, get some sunlight.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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You got to send the signal. You said it beautifully. I think that's exactly it because that signal sets off a whole complicated orchestra in the body that makes things better. And without it, you don't get the signal and you don't get the better. And I do think strength is a superpower.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And if you don't have strength and you don't know the value of strength and strength training, you don't appreciate it. So a lot of these doctors out there, they might go cycling. I can't tell you how many cyclists I treated in my practice because they'd have like bung knees or bum backs. Okay.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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But they were all these guys in their 50s with, they would go ride 100 miles on a weekend or run 12, 15 miles a night, but they all had pot bellies and they all were sitting on the edge of diabetes.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah, super. I was like, well, you can, eventually you will run yourself into low testosterone and diabetes if you don't balance things out right. So you got to go to the gym. Yeah.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I think it's the best money spent. I have had countless patients come to me and they want injections for their shoulders or for their knees. And I'm like, well, you have no muscle surrounding these joints and there's no activation of anything happening properly. So I'm going to send you to my favorite strength and conditioning coach.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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You're going to spend the money you would have spent in here, there, and call me in 90 days. And then I would see them at the gym and they'd be like, hey, I feel great. How you doing? Their shoulder's good. But you put an ultrasound probe down and there's no muscle there. And the woman's complaining of, you know, she's got limited range of motion. She's got pain.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I'm like, yeah, we've got some frozen shoulder happening, but you're still never going to get through that. All the injections aside, you're never going to get through it if you don't start using it, you know?

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah. So use it or lose it. And I think that in harmony with a program that involves a GLP-1 agonist in there as part of a toolkit, I think it's just a really beautiful... I think the two together are so synergistic is what I'm trying to get at.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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That is yummy. Yes. Okay. Well, Dr. Spencer, I don't want to keep you all day. It's so fun to talk to you. And I'm glad we got to have this conversation. And I hope this has been eye-opening for my audience to hear. Obesity is a disease, you guys. It's for real. This is not a shortcoming of an individual. And where can they find you? Tell me more about Vineyard and what you're doing there.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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grant tinsley on there i think did you have him on recently about the muscle loss the lean ass and he broke it down really granularly but he's he's much more of an expert in that realm than i am so if you ever want to listen he's he'll go in uh into detail about how dexa scans and how the compartments work and how they how they test it's pretty cool yeah it's good stuff okay well i will make sure everything's in the show notes for everybody to come follow you and find you i love your instagram that's where i follow you most and uh you guys he's a wealth of information and just you're you're a

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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That's personalized medicine. Everyone's always like, what's the dose? I'm like, it totally depends on the individual in front of you and so many variables and factors. And a little bit too much can be a lot too much. And it throws them into that... just the blahs, I call it. They don't want anything. All their dopamine pathways are just kind of like, like food's not that interesting.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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You're just a level head in this scene. And I applaud you because you get a lot of pushback, I'm sure, every day. And this conversation is really polarizing for people for some odd reason that I think... Oh, yeah.

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I get accused of it too. And I'm like, honey, they de-platform. I'm pretty sure Eli Lilly de-platformed me at $232,000. I'm not thinking I'm getting any checks. I haven't seen any checks.

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They're not coming in. So we're just trying to talk about this because we actually believe in it. That's right. It's in our heart. So anyway, so fun to connect. Thank you for being here and sharing your wisdom with us. Yes, thank you. Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt.

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You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com.

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See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Dark chocolate's not that interesting. Maybe sex isn't that interesting. Nothing is interesting. And I think too, the other conversation is, For people who show love through food, who show passion through food, that's how they find their community. That's how they spend their time is through love of food. Foodies, we have a lot of them here in the Pacific Northwest.

The Dr. Tyna Show

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And you can dose them into losing that. And so I hear it from my girlfriends all the time. They're like all the ones using it for vanity weight are no longer going out for drinks or food anymore. Their social lives are crumbling and they're, you know, they're walking headlong into osteoporosis. And I'm like, what are you guys doing? You know?

The Dr. Tyna Show

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Yeah, and I think that that's a real issue. I heard some young gals talking about just complete lack and luster of libido. And these were women in their 30s. And I was like, yeah, I think that your dose is probably too high.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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He specializes in GLP-1s and we are going to have the obesity conversation that you all have been asking me for. You know I've been talking about these peptides for a long time outside of weight loss, outside of type 2 diabetes, although my message has been skewed over the past few years.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah. It is. Yeah. They don't want to chase their dopamine dragons. And I've heard people say they stopped doom scrolling on social media. They broke the habit of online shopping. It's all the different types of dopamine dragons. Yeah. Yeah, we don't want to dose people into oblivion. That's no fun.

The Dr. Tyna Show

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You shared a really interesting story the other day about a younger woman who you reduced her dose significantly. Like she was not losing weight and then you reduced her dose and she started losing weight and started feeling much better. And I think that story, if you want to share a little bit about that case, really interesting.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I've been trying to talk about them in relation to all of the other benefits throughout the body that they may or may not have in the clinical data. That said, this is an important conversation to have. We need to talk about obesity as a disease, and I need folks to really understand what that means. And I can't think of a better person for the job than Dr. Nadolski.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I think it is. I think there's a sweet spot for each individual. And I think it depends on factors personally. And I know you've dealt with this a lot more in the obesity realm and probably with way more patients. But the factors that I see impacting it are how active are they? What's that sweet spot where you can get appetite suppression but not crushing it? You know, more of appetite control.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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We just want appetite control. I guess in some cases we would want some suppression, but generally speaking, I just want people to feel in control of what's happening with what they're choosing to put in their mouth. And then past that, you get into this... The blahs. And then they do stop moving. And so you lose thermogenesis because they're just like this on the couch.

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You're not getting any of that neat. You're not getting any of that. Even people who... I really do believe that a lot of folks stay lean just because they're fidgeters. Like I'm a fidgeter. It keeps me, you know, that's how I keep going. And when you lose that desire to get up and go and bustle around, and you can dose people into that place. And I think that that's probably happening.

The Dr. Tyna Show

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And I really, my biggest concern at this point is the... these medispas and like what the actual hell is going on there. And then a lot of the telemedicine companies, I think some of them again are doing, are trying to do a better job and really do care. But there's others that are just like fly by night. And then there, what I don't think people understand is they're,

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And so a lot of money, a lot of these influencers are using my name and putting my name as like a stamp of approval onto and like giving out specific dose. It's crazy. And I, whenever I see it, I messaged them and I'm like, take that down. Like I did not, this has nothing to do with me.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And this is the telemedicine companies, like the whole micro dosing for weight loss conversation that that was never intended. I never, ever intended for that.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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But I was never trying to say that. You know what it was? It was every single time I went on a podcast, the host couldn't get away from the weight loss conversation. They just couldn't stop with the weight loss conversation. And you know how people are, they hear what they want to hear. And so it got twisted into something that I never intended.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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I mean, sure, if you take someone like me, who's sitting right on the edge of menopause and they're metabolically optimized, they're lifting weights, they're eating sound, they're hitting their protein macros, they're doing their HRT, all the things. And there's a little fluff, a little insulin resistance, a little metabolic dysfunction.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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So without further ado, let's jump in. Dr. Spencer Nadolski, I'm so excited to have you on the Dr. Tina show today. And we are going to talk all things obesity, GLP-1s. This is a conversation I wanted to have because I've been trying to

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Yeah, it tends to melt off, but it's not a weight loss strategy. It's not there to get that like five, 10 pounds. And then the mainstream media ran with it, never bothered to interview me. And then all these doctors started to claim to be doing it.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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So what you have probably seen out there is never at all what I started talking about. It got twisted. along the way.

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Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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And I am glad that the conversation opened about a more personalized dosing strategy, which is really what I was trying to say is like, if you are going to use it for weight loss or type two diabetes, could we potentially start people at a dose that doesn't make them vomit profusely for two weeks while they adapt? Like, could we onboard more gently? That seems reasonable.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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If you're serious about eating clean, high quality protein, let me put you onto something that's truly next level. Maui Nui. This is 100% wild harvested venison sourced straight from the untouched landscapes of Maui. And it's the healthiest red meat you'll likely ever eat. Maui Nui isn't just about delivering top tier protein. It's about solving a major environmental challenge.

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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seeing the praises of glp-1 agonists outside of obesity and weight loss and type 2 diabetes just more in a metabolic health cardiovascular uh you know neuroprotective way and everybody's been begging me to bring on an obesity doctor and a specialist like yourself so here we are thank you for coming we're doing it yes i'm excited i'm excited so i've been following you for years and i'm a huge fan of your work and i see more often than not these days

The Dr. Tyna Show

Obesity Isn’t A Willpower Problem: The Role Of GLP-1s | Dr. Spencer Nadolsky

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Wild axis deer are overpopulating and wreaking havoc on Maui's delicate ecosystems. This is why Maui Nui is on a mission to restore balance through their stress-free precision harvesting process. And now let's talk taste. This isn't your typical gamey meat. It's clean, tender, and packed with nutrients. In fact, Maui Nui venison has up to 53% more protein per calorie than grass-fed beef.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Also, poor quality fish oil supplements are like consuming the sewer of the sea in my opinion. Quality really matters when it comes to your fish oil. So when Peori reached out to me to try their Omega-3 fish oil caps, I was in because I know that they go above and beyond to ensure freshness, quality, and sustainability.

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Each batch of every product is clean certified and third-party tested by the Clean Label Project against more than 200 contaminants including heavy metals, PCBs, dioxins, furans, and other pesticides. Each batch is also IFOS certified with a 5 out of 5 score, which also includes measuring for freshness and oxidation of the oil.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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And every bottle of Pueri fish oil comes with a QR code with those specific test results. Do you know how rare that is in the supplement industry? I love Pueri fish oil because it's sourced from wild-caught anchovies, the small fish, via the IFOS certified fishing methods with a focus on being environmentally conscious and sustainable. This matters when we're talking about our oceans.

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The small fish are also the cleanest fish when considering the end product that we take as a supplement. What all of this means for you is no more fishy burps. This is wild caught concentrated fish oil that I've been loving lately. I vetted it personally and I give it a thumbs up approval and I'm a total fish oil snob, as we should all be when it comes to fish oil supplements.

The Dr. Tyna Show

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You're going to find this guy as sensational as I do. Let's jump in. Thank you so much for having me. This isn't just another supplement. It's the only clinically proven urolithin-A formula designed to supercharge your mitochondria, the powerhouses of your cells, by clearing out the old and making way for the new. With regular use, I can feel the difference.

The Dr. Tyna Show

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Right now, Peoria is offering their listeners 20% off their O3 Ultra Pure Fish Oil and all of their great products. You even get 20% on top of the already discounted subscription price with my code, almost a third off the total price. To get this offer now, go to Puri.com and use my promo code DrTina. That's P-U-R-I.com forward slash DrTina. Don't miss out.

The Dr. Tyna Show

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I have a huge treat for you. I got to sit down with my friend, Dr. Danny Shapiro. I found him a few years ago on Instagram when I was having some horrific spinal pain due to stress and inflammation. And Dr. Shapiro is a doctor of physical therapy. He is East Coast based.

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It's, yeah, it's really, it's really sad because it's so many unnecessary surgeries occur and people don't understand that surgery is a big deal. You know, I mean, the surgical route and then it destabilizes the joint further and often further.

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From my point of view, often... Because I was in the realm of prolotherapy and regenerative injections, and so it was a lot about treating the anthesis points, which is where ligament, as the audience doesn't know, but you know, where the ligament and tendon meets bone is the anthesis. And when you inject those areas, even with like a low dose of dextrose, it can often stop the pain.

The Dr. Tyna Show

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And so much of the work I did revolved around the patient... And I'm trying to put back together a joint that is slowly but surely just decompensating because it is deconditioned. And half the time I would just look at them and say like, go to this strength and conditioning gym where I trust these people because they train older folks often and go get strong. Like go spend your money there.

The Dr. Tyna Show

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Do not spend your money on injections. Go get strong. Go put some shelves on those shoulders and those shoulders will stop hurting. Yeah. And nine times out of 10, it worked. It worked great. And it's just too bad that the system at large... Well, I think we're also looking at a lot of doctors who are not fit themselves. And that's something I always appreciated about you.

The Dr. Tyna Show

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I was like, oh, he's fit. He's mobile. You're a dancer. You guys, if you don't follow Dr. Shapiro, you must because he dances in almost every single video. And it's so fun.

The Dr. Tyna Show

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Like that's the key, right? And so we're talking about docs who are deconditioned themselves or they're like cardio bunnies and they don't believe in strength and conditioning. And it just gets arduous for the patient. I'm sure it's frustrating, but at the same time, it's like nine times out of 10, people just need to figure out how to regain some level of fitness in that region.

The Dr. Tyna Show

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So we have a running joke in my house. That's, but what about honey, Dr. Tina? Whenever I talk about avoiding refined sugars, people come at me with the, what about honey question? And the fact is, honey in moderation is indeed a healthful food. Moderation is the key word here, but I'll leave that up to you. If you want to take your honey up a notch, opt for Manuka honey.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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If you've never tried Manuka honey, you're missing out on an incredibly healing type of honey. Not only is it rich and dark and complex and yummy, but it's got a plethora of benefits. I've actually prescribed it topically many times for wound healing with excellent results. It's awesome for skin in general. It supports good oral health. It supports gut health.

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It soothes sore throats and cough, which is great this time of year, and it even promotes deeper sleep. I take a spoonful daily of Manuka honey either in my yogurt or just plain straight. I particularly love it as a little pick-me-up in the afternoon or after a workout. The brand of Manuka honey I'm loving right now is Monokora honey.

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It's rich, creamy, and honestly one of the most delicious Manuka honeys I've ever had. It's ethically produced by Monokora's master beekeepers in the remote forests of New Zealand. And this is really cool. The bees collect the nectar from the Manuka tea tree in New Zealand.

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The nectar is packed with bioactives and the honey that is produced has three times more antioxidants and prebiotics than your average honey. A special antibacterial compound called GMO also comes from the nectar of the tea tree. This is why it's awesome topically. Monocora third-party tests every single harvest for MGO and makes these results available through their QR system.

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It's a game changer and all you need is one heaping teaspoon each morning to get the most out of the amazing bioactives in Manuka. This is where moderation comes in because additional usage throughout the day is completely fine, especially if you're using it to help cut out other sweeteners. It's honey with superpowers. Right now is the best time to try Monocora honey.

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More energy to power through my day, stronger workouts and faster recovery, greater endurance to keep moving, lifting and thriving, and most importantly, long-term cellular renewal to support my strength, mobility and longevity." Research shows that MitoPure can deliver double digit gains in muscle strength and endurance without changing your exercise routine.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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They're running their biggest sale of the year through December 2nd. Head to monocora.com forward slash drtina to get $150 off your first order off their Black Friday Starter Kit, which comes with an MGO 850 Plus Monocora Honey Jar, 35 Honey Travel Sticks, a wooden spoon, and a guidebook. It's such a great kit. That's monocora.com forward slash drtina for $150 off your first starter kit.

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m-a-n-u-k-o-r-a.com forward slash d-r-t-y-n-a you got to check it out do you get chapped lips in the winter i know i do especially when i get dehydrated but we think that's only a summertime thing it's not it can happen readily in the winter too as the drier winter air both inside and outside of our homes can actually sneak up on us and we don't even know it keeping our mucous membranes moist matters

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and this is where electrolytes have made a major difference for me in the winters with my chapped lips. That's why I'm so excited that the limited edition Element Chocolate Medley is back. The medley includes a salty chocolate mint, chocolate chai, and chocolate raspberry. These are versatile in that they can be enjoyed in several ways. I mix a pack with hot water to enjoy as a hot salty cocoa,

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I mix a pack with my chocolate protein powder. I mix a pack with my Greek yogurt for a chocolatey, salty treat at night. Or I mix half a pack into my coffee in the morning for a decadent cup of cocoa joe. If salt is part of your routine, the element chocolate medley may be a great way for you to warm up your day and wind down for a cozy treat at night. Thank you so much for having me.

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Just head to drinkelement.com forward slash Dr. Tina. That's drinkelement.com forward slash D-R-T-Y-N-A.

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Imagine what it can do when you combine it with strength training. If you're serious about aging strong and optimizing your performance, MitoPure is the key. Timeline is offering 10% off your order of MitoPure as a listener of the Dr. Tina show. Simply head to timeline.com forward slash Dr. Tina. That's T-I-M-E-L-I-N-E.com forward slash DrTina.

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Yeah. And everything got moved around and re-sewn and tacked down. I watched my mom go through hip replacement surgeries when I was pretty young and it thrust her into metabolic dysfunction. And really looking back at the end of the day, knowing what I know now, I can honestly say that it was due to a precipitous drop off of estrogen as she was in perimenopause. And that's what started it all.

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And it was just surgery after surgery. And It's insane to me. Well, you know, it started when she was 12. This is crazy. When she was 12, her dad was in the Air Force. So she was on a base in Hawaii and they actually, her hip was having some kind of issue. We're not sure what it was, but they use cadaver bone to try to rebuild and they cut her sartorius and gracilis, which is crazy.

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She doesn't have a sartorius or gracilis on one side. It's wild. So anyway, my mom's had hip issues her whole life and The reason I got into all of this was because I ended up working for a naturopathic doctor in the early to mid 90s, right out of undergrad. And he was doing regenerative injection therapies. He was doing prolotherapy at the time. That was it. And he was an acupuncturist.

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And I was like, what are you doing back there? Because people were coming in wheelchairs and they were walking out on their own accord and I was like, what is going on? And he's like, it's sugar water, it's dextrose. And I was like, what? And so I started getting into it and lo and behold, and that's a really palpatory skill to have.

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Prolotherapy isn't so much about ultrasound guidance as it is about finding the pain generator with your fingers, with your thumb, with your hands. And then if you can regenerate the pain with your hands, you can inject it. And it's often just small little regions of the musculotendinous junction or the anthesis point. And Really profound results.

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But anyway, all that to say is Prolo turned my mom's life around. But through that process, the estrogen drop led to the hip issues, which is really common. And then she ends up with surgery after surgery. All the while, she's gaining a ton of weight because she's going rocks, like, you know, like just slamming into menopause. And that was back when they just wanted to take your uterus out, right?

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ovaries or all of this crazy what they... They still do that to women. Anyway, my mom was thrust into menopause and her musculoskeletal system is what got hit.

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Hey guys, Dr. Tina here with a quick but important message for you about something that has completely leveled up my game, Keon Aminos. Let me tell you, when it comes to staying strong, lean, and metabolically optimized for us Gen Xers, protein really is everything. And doesn't it feel like a full-time job trying to get it all in?

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And so for me, my approach has always been very multifactored in that I always take into consideration the hormonal milieu because that has so much to do with pain and so much to do with recovery and so much to do with tissues tearing and pulling. And yet the hammer that most doctors have is cortisone injections and

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And then they hang their hat on these damn MRI reports, which are just like catastrophic things. reporting. It's like misinformation almost sometimes. It's crazy.

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It's true. It's crazy. And I think it's criminal. Honestly, I think it's an ethical issue because... If that's the driver, I'm always looking to discover what the obstacles to cure are and I'm always trying to figure out what's the pain generator, right?

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Like I know you're looking for the pain generator too and we can bone it up to low-protein diets, deconditioning, all the things, but at the same time, if your estrogen is dropping off, you... and your testosterone, you're absolutely right. You've just lost your anabolic side to things, so you're not regenerating anymore.

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And then your tissues are more prone to tearing because your estrogen is what's responsible for that juiciness and elasticity. And so we start, and it can happen years before menopause. Like you don't have to be menopausal to be having some of this symptomology. You could just be a woman in her 30s that gets too lean, right? Like you could just get really, really lean.

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Or you have a man who's, I saw this with patients, you know, young men who'd had multiple head injuries from hockey or from football or whatever. And all of a sudden their testosterone bottoms out because they have too many head injuries. And then it's just like chronic pain, chronic injuries, poor recovery, poor healing. And they're in our offices and they've got these atrocious looking MRIs.

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But if you're anything like me or my patients, you've probably struggled to hit your daily protein goals. That's where Keon Aminos steps in like a rock star. Here's the thing, essential amino acids are the building blocks that your body must have to activate muscle protein synthesis so that we build and maintain lean muscle. Remember, muscles are metabolic powerhouse, especially as we age.

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To add to that, because you're so right. And this is something I used to teach pharmacology out at the chiropractic college. And I would tell these, it was majority men out there. And I would tell them, like, get to know the cardinal symptoms of hypothyroidism.

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Get to know the cardinal symptoms of some of these conditions that are going to present as pain or migraine or anything else musculoskeletal, physical. But you don't have to be the person to fix it. You don't have to be the person to manage it, but if you can identify it, refer them out to somebody trusted in your community, you're like the, you're the hero, right?

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I mean, you will have patients coming through the, you know, beating down the door to get to you because you're the hero because you thought comprehensively instead of just in your silo, right? And it doesn't mean you're going outside of your lane. You're just being a good doctor at the end of the day because we might, you know, one in, what is it like?

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You probably know the stats better, but I remember last time I looked, it was like one in five or one in seven patients patients present to any doctor's office with pain. So we're seeing a lot of stuff and we're trained to look for like melanomas on the skin. We might be seeing a patient's back or a part of their body that no one else sees that they don't even see.

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And just being a good doctor in general and making sure that you have just a comp, like I'm so happy to hear you say this. And I know you think this way because I follow you on Instagram and you talk about it. And I am like, oh, he's so good. Yeah.

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It's just like this, be comprehensive, even if your wheelhouse is physical medicine and then get these patients the help they need or at least be that guiding light for them because it ultimately will all manifest into metabolic dysfunction if they stop moving and they start gaining weight and then that potentiates the pain and the downfall even more.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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A thousand percent. It's so true. And I guess that's why I, you know, going back to the MRI and the imaging and when I said, is it going to change the treatment any, right? Because oftentimes if they're in our office where our hammer is not surgery. So no, it's probably not like, I'm not a big fan of order. I think I ordered like five MRIs in my entire career, to be totally honest with you.

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It keeps us burning fat, staying strong and looking toned versus that squishy look so common in our middle years. What makes Keon Aminos different? They've got all nine essential amino acids in the exact ratios backed by over 20 years of research. Essential amino acids are better absorbed and more effective for building muscle than protein shakes.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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And some of the, most of those were for litigation, the patients that were in a car accident or needed it for litigation reasons. But otherwise I don't, If they were moving, if they had range of motion, if we could get them through range of motion relatively pain-free, then it was just a matter of getting to work.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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No, because you could have just a completely terrible looking joint. And I'll tell a story. I was at a conference. I was at a regenerative medicine conference and the American Association of Orthopedic Medicine. And I was one of the demo patients. So they were doing injections on my left shoulder, which was giving me a whole lot of trouble. And I had recently injured it working out and

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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It was an old injury. I'm left-handed. I threw sidearm all through junior high when I played softball. So I dislocated my shoulder twice during that period. And, you know, it was just old. And then I was in chiropractic college and I had asked, there was a lot of adhesions and I had asked one of the bigger guys to adjust it and he did. And it felt great actually.

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It was a clunky, noisy adjustment, but man, it felt better after, but then it just became unstable. And I was in Pilates and I did this like rollover move off the reformer and it was bad. So anyway, a little labor issue, not a big deal, getting some PRP, everything's fine. And then just for kicks, they went over to my right shoulder and imaged it. And it looked so much worse than my left shoulder.

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And I was completely pain-free on this side. And I was like, see guys, MRIs, it's such a scammy business. And I don't wanna say that because I don't wanna throw any doctors under the bus. I think it's actually more out of ignorance. I think it's a cover your ass strategy. I think a lot of doctors order imaging to cover their ass.

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And I think it is a, I don't know what to do with this because I don't know anything about physical medicine. So I'm gonna order an image to cover my ass. Not only to cover my ass, but to do the next step to get the person out of my office so that I can get them into the person who does know what they're doing.

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And for those of us watching calories, they help curb hunger while preserving muscle. Personally, I've noticed a big difference. My recovery is faster, my workouts feel more productive, and my body composition stays relatively dialed in, even on lower calorie days. This isn't just hype, it's foundational. Obviously, individual results may vary. So here's the deal.

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And I think that's where the disconnect happens is you've got people ordering expensive imaging that isn't necessarily the right next step. Yeah. But they don't know what else to do, you know?

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Yeah. No, I hear you. I think, too, when I counsel patients who do really want imaging, and I don't actually suspect that anything terrible is there. Everything is adding up. In that case, I always let them know, are you prepared for what you might find on that image? So if you go looking, are you prepared for what you might find? Is that going to... emotionally or psychologically set you back?

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You know, like my low back, I don't want to know. I remember getting imaged in chiropractic college and I have psoriatic arthritis. So it's a whole, it's a shit show. And my clinician was like, you don't want to see this. Just you're fine. Like what we were worried about isn't there, but you don't want to see this. And then years later, I got a CT scan. I don't know why.

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I was going to like an open MRI place, but it turned out to be a CT. So I get a CT and the guy shows me my L3, L4 scan. facet joint and it's horrific. It's literally the superior facet is just doing this terrible outgrowth over the inferior. And I was like, oh my God, I didn't want to know that. I didn't want I didn't want to be privy to that because at the time I was pain-free.

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I was like, I just want to keep moving. And so, you know, you have to be prepared for what you're going to find and how is that going to impact you psychologically and is it going to change the game? Because what we tell ourselves really... I heard a very interesting study today. I was watching a clip from Huberman's podcast and it was this woman speaking and she said that they took...

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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When you're exercising and you know you're exercising and it's good for you, it has a different impact on you. They took chambermaids and they looked at this group of chambermaids who are quite physically active all day in their jobs. And these chambermaids didn't really realize they were working. They thought... Or exercising, I'm sorry. They thought exercise was something you did after work.

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So they didn't realize that their job was physically demanding an exercise. And... Then they did a study with this, it was small, they did a study with this group and they looked at half of them and they explained to them how the basic movements of their job were different exercises. Like you're doing this and you're working this region of your back and you're doing this and it's for that.

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Head over to getkeon.com forward slash drtina to save 20% off your first order. Plus, with their 60-day risk-free money-back guarantee, you've got nothing to lose and possibly some lean muscle to gain. That's getkeon.com forward slash drtina. G-E-T-K-I-O-N.com forward slash D-R-T-Y-N-A. Go try it out. You'll thank me later.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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And then the other group, they just kept going on. And at the end of the study, the markers of health, which I don't know what they measured, but the markers of health were improved in the group that knew they were exercising.

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So just the impact of placebo and also just understanding mentally what's happening when you see images or you go collecting diagnostic codes from different practitioners, different labels put upon you. Because people really, let's talk about that. People really like grab onto their diagnoses. They hang their hat on it. Yeah.

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I love when they come in and they're like, I'm bone on bone on my knees. And I'm like, join the club. Everyone else in my office is too. You're not special.

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So what are we going to do about it, right? Like, what are we going to do about it? That's the better question to ask.

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Yes. And you want to tell the patient like, hey, like you said, like this MRI doesn't look so bad or hey, this is not a big deal. I can handle that. We can handle this. Sometimes the patient is so hung up on their diagnosis that they get defensive. Like they it's like they think you're not taking it seriously or that you're not giving them enough, you know.

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I don't want to say credit, but like you're just... They want to be coddled a little bit almost. And I'm over here like, no, we're good. Like, let's just get moving and see what happens. And you're right. And I think it's a lot of just the way medicine has been going the past many decades. You know, back in the day, like I am on a farm now. My husband grew up on this farm, literally.

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And like every... He was born on this farm. And he... they're just a tough crew. Like you, you break something. I mean, literally you break something and you're like, I'm going to walk it off for a few days, you know, and see what happens. And I get it. Like I just, we just had someone in the family break a wrist.

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And I said, well, you know, I don't think I figured it was a radial head fracture at worst or a skiffy, you know, their scaphoid. I'm not a skiffy, a foosh on their scaphoid. And I was like, well, yeah, we could wait a day or two. We were in the middle of an ice storm. I'm like, we could wait a day or two. You're not an emergency surgery and let's just see how it swells up.

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Dr. Danny Shapiro, thank you so much for coming on the Dr. Tina show today. I am so excited to talk to you. I've been a big fan of yours for, oh gosh, I don't even know how long. I remember when your Instagram was tiny and I found you and I have just loved watching you grow and all of your content. So thank you for coming on the show today.

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Let's just see what happens. Cause you know, it's a lot of just dust it off and keep going kind of attitude out here. And they heal miraculously because they believe they're going to heal. And then when it doesn't, you know, a couple of days in, I was like, that looks bad. And there was some dependent, uh, bruising. So I was like, well, what, what would be bleeding in there besides a bone?

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So maybe we should go get an x-ray and sure enough. And then it was just a simple cast and it wasn't a big deal, but you know, it's like versus freaking the F out at 8 AM in the morning when the accident happened, I was just like, we'll just wait. We'll see.

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I was like, don't worry, I got peptides. Everything's fine.

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Yeah, yeah, peptides are pretty amazing. The whole regenerative medicine space is just, I've seen some crazy stuff. I've seen complete ACL ruptures that regrew after some PRP injections. Like it's just nuts. And I think it really comes down to how healthy the individual is that's utilizing these tools.

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You know, at the end of the day, like you've got to be pretty well dialed in for them to work well, but that doesn't mean that they can't move the needle a little bit for everyone. It's just a matter of like cost performance versus benefit ratio. But yeah, peptides are astounding. I mean, that takes us to the next question I was gonna ask you.

The Dr. Tyna Show

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Let's talk about disc herniations and the fact that people who have, I love when people are like, seven years ago, I had a herniation in my L5 S1, so I can't do this. And I'm like, you do know that your tissues heal, right?

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No, it's crazy. I mean, it's so funny. I herniated a high up, like I think it was like L1, L2, like a high up lumbar this summer. I had seven days before I was supposed to get on a plane to go to London to be on Diary of a CEO, which was kind of a big deal. Wow. And I kid you not, I was bending over, cleaning up one of my little dog's turds.

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He was a puppy and he pooped on one of the like doormats downstairs. And I literally, I mean, it was like, it's like you learn about in school. It was such a joke where they leaned forward and twisted. And all I did was grab the piece of poop and move the mat with my other hand and boom, it goes. And Like, to the ground, in so much pain.

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Yes, it's going to be so fun. So you and I agree on a lot, but there's one topic that I wanna dig into today, which is just this concept that you are not your imaging diagnosis. You are not your MRI, you are not your X-ray, you are not limited by those standards and the body heals and people just don't get it. So let's start there. Like, why are you so passionate about that as well?

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And then, you know, being who I am, a few hours later, I was like, yeah, I'm just going to, you know, I have a theory. If you're sore from an exercise, you should just go do that exercise again. The same exercise. Yeah. So like if you're sore from squats, go squat some more. Like I'm kind of a meathead that way. So I was like, I'm gonna get on my reformer and I'm gonna see what flexion feels like.

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You know, I'm gonna challenge extension, flexion, lateral flexion, see what I can do. I get into flexion, I get into loaded flexion. That was a bad idea. And it got, I mean, oh my God, something else shot right then. So I think I worsened whatever was happening. And I literally crawled my way up the stairs hysterically crying because I was in so much pain.

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And I cried and sobbed for a day out of just like self-pity because I didn't know what to do. Because when the pain is so gripping, you can't think straight. And then about, I don't know, 36 hours in, it was about one in the morning, I'm laying on the couch and I'm like, I'm a freaking chiropractor who specializes in regenerative medicine. I know exactly what to do. Like, Tina, shut up.

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Like, get over yourself and handle this. You got to go to London. So I, and I had bought like, you know, first class tickets. We were doing the whole thing. I was laying down on the, I was like, I can lay down on the thing. I'll just bring my TENS unit, my heating pack. And so I did do a Medrol dose pack. I did a steroid dose pack, which thank God, what a freaking emergency saver that was.

The Dr. Tyna Show

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And I cranked up the peptides at very high doses. And I did a couple of them in a stack. And within 24 hours, I had my husband pick me up to do long axis distraction on my spine, hug me and give me a yank up because he's a tall dude. And it thunked back in. I'm not kidding. It thunked back. I felt the immediate, like the burning nerve pain immediately stopped.

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And I was still quite sore and I felt very fragile, but I was like... oh, okay, I can breathe now and I can go about my business. And so I did. And the second we landed in London, I was like, we're walking. I'm going to walk a million steps every single day and I'm going to stop when I need to. And so we walked the length of that city and back as much as I could get out of me.

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And there were times where I had to sit down and I was like, I got to have a glass of wine. I'm in a lot of pain right now. And I've still got some residual, but It was just this idea of like, I'm not going to sit here and be passive about this. I'm going to be active and I'm going to get my ass in gear and I'm going to get over this because tissue heals.

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And what I tell patients is they're like, well, my disc from five years ago, I'm like, if you cut your fingertip off, would it regenerate? And they say, yes. I'm like, well, so does your disc.

The Dr. Tyna Show

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Right. It's the downstream deconditioning from the lack of movement and mobility and then scarring. And mechanoreceptors override pain receptors. So the answer is always to move. Yes, always. 99.9% of the time, the answer is to move and not baby it. So I get it though. I've been in some horrible pain.

The Dr. Tyna Show

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The last few years have been a wild ride for me as my hormones have shifted and my psoriatic arthritis has reared its ugly head. But man, the second I'm laying there and the second I get into my pity party, I'm like, I'm going to the gym. I'm going to the gym right now because I will always feel better after. And I will always feel worse if I don't move.

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It's just you have to get over the inertia of it. So anyway, what's your story? You're going to tell me a crazy story.

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Yeah, I was going to say, he's probably got women and other partners over his head.

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Yeah, exactly. That's the word. It's criminal. It's criminal what people tell. You know, I just don't take any advice from someone who's not fit. That's just my rule. I don't mean to sound lewd. I just really don't. Like if my doctor is not physically fit, I take what they say with a grain of salt. I'm like, eh, maybe I'll listen to you. Maybe I won't.

The Dr. Tyna Show

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If they're physically fit, if they, I had a episode where I thought I was having a heart attack because I had pneumonia really bad and I was really stressed out of my mind and it was the dead of winter and I'd had walking pneumonia for months and I took too many different over-the-counter medications. I don't know what, I was just desperate. Like I was, I don't know what I was doing.

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I don't normally use over-the-counter meds, but I, here I was with my NyQuil and whatever else. I ended up in the ER thinking I'm having a heart attack, no joke. My daughter's with me and I walked in and the ER doc walked in and he was super fit. He was jacked actually. And I was, I literally was like, oh, thank God.

The Dr. Tyna Show

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Not just because he was painfully handsome, but because I just knew his lights were on because there's just a sixth sense. We have a different superpower when we have strength. And I know because when I don't have strength, I don't have that superpower. So there's just a different cognitive superpower when you have strength.

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And I was like, oh, and he was honestly the first ER doctor that had ever been cool to me for being a chiropractor and a naturopathic doctor. He like treated me with respect. He talked about the case with me, not at me. He showed me my x-rays. We went through them together. I actually caught something on the x-ray he didn't see like, you know, but he was just a cool dude and his lights were on.

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And so I'm a big fan of, I mean, it's one of the reasons I love your work is because like you get it, you live it, you do it, you walk the talk. And that's critical. You know, I do want to point out something. I want to give you a huge compliment. You're one of the first and only docs that I see really talking.

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And I don't know if you realize you do this, but a lot of the moves you share on your social and are lateral flexion moves. Like you're really into keeping mobility in the spine laterally. And that's been so huge for me because I have psoriatic arthritis and my spine was fusing a few years ago and I really got stuck just in this linear pattern.

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And it is, it continues to be lateral flexion and rotation that keeps me mobile. So thank you for that because it's like clearly important. And can you talk about that a little bit? Because it's obviously your thing.

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He is a former professional ballroom dancer. His Instagram is the most fun, but also incredibly helpful and insightful. He embodies the most holistic approach to physical medicine of virtually anyone I've met, to be honest with you. It is a rare day that you find somebody who actually knows what they're doing in the musculoskeletal realm, but also appreciates hormones, nutrition, strength training.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Wow. Yeah, that's huge. Your work was huge for me in 2021. You were on Instagram in 2021, weren't you? Oh, I was.

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That's when I found you. I was having this huge psoriatic arthritis flare and I didn't know what was happening and I was fusing. I knew I was fusing. I could feel it and it was awful and I didn't want to go see it. I still haven't gotten an image. I don't want to know. because it's not going to change my treatment any. I'm still going to keep moving.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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And I was in such a terrible place and I can't even remember the move. I don't do it anymore, obviously, but you put something up and there was some side bending lateral, I mean, it was some kind of stretch with activity, you know, so you're contracting and then you're stretching. And I think I was upright against the wall. I forgot what you were having us do, but I did it.

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And it was the first time I'd gotten relief in so long. And I was like, I love this guy. Yeah.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I've been such a fan of yours ever since. And you have such great, valuable content that is so fun. And you always open it up with some dancing. So it's like fun to watch, you know, I'm learning something, I'm doing something and I'm getting to watch you dance. You're a great dancer. So. I love that. I knew you had something because you're so right.

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Like no one else talks about that and no one really incorporates, especially with the rotation. And it makes so much sense when you understand spinal anatomy, you know, like how it's supposed to work and how those ligaments and muscles work.

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And I think too, we end up with so much fatty infiltrate as we start to atrophy and as pain sets in and in that musculature and in those tiny erector spinae muscles. and the little, you know, intervertebral muscles. And the only way out of that is through movement.

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And if you're not, if you're just going in this direction, then, and then people are, as you start to have pain, you're afraid to rotate. You're afraid to, to, to laterally flex side bend. And, and especially they tell you, what do they tell us day one in school? Don't let your patients side bend and rotate. They'll blow a disc out.

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Well, they feel good too and they feel better. When you're hanging on ligaments that are already compromised and structures that are screaming in pain, I don't think stretching them often feels good. So activate it. I can't tell you the amount of times that I have... You've probably experienced... Everyone listening has probably experienced this. It happened to me in the gym today.

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I was moving a 28-kilo kettlebell. I was moving it from one end of the gym to the other. And so I was holding it with two hands. I'm like, I can farmer carry this. It's fine. So I go to farmer carry it, but I don't have the best form at that weight. So I'm kind of like, you know, struggling a little as I'm trying to veer through the gym because there's junk everywhere.

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And I, all of a sudden, my low back that's been stuck for God knows how many months just released because it was... it was loading and I was rotating and it was loading and I was trying to counter rotate out of it because I had the bell and it released. And I was like, ah, I love, I love load. Like load is, this is, I think why, well, pressure feels good when you're in pain, load feels good.

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I don't think people realize people who are scared to strength train because they have pain. I don't think they realize how good it feels to have load on some of these joints when you're Just that counter load or the counter push that we do with our bodies and our nervous system does to maintain it. It's just like, that's the good stuff.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Oh, wow. Amazing. Amazing story. Yeah, it's tenacity, right? It's not accepting it. It's not laying down when it happens because I, and I've said this before, I fully intend to be, I've had my mobility. taken from me to some degree a couple times now. And I just, I won't accept it. I want to be dancing. I want to be mobile. I want to be having great sex. I want to be hiking.

The Dr. Tyna Show

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I want to be doing all the things that I want to do until the day I drop dead. Like that's the goal. I don't want a cane. I don't want a walker. I don't want a wheelchair. I don't want any of that nonsense. Not that I'm dissing anyone who has to use those. I get it. But I don't ever want to get so dilapidated that that is what... And I know shit happens.

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I just met a wonderful gentleman in his 70s who unfortunately went through a back surgery, which was supposed to be routine and easy. And he ends up with permanent foot drop. And... active, fit, good looking guy. And now he's got nerve damage. And so, I mean, this is another reason I'm not so keen on surgeries, but it's just the cavalier way that doctors talk you into this stuff. It's crazy.

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They're like, oh, we'll just replace your disc. And it's like, what? Like, do you understand how far inside the body you have to go and like what could go wrong? when you're around those structures.

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Like we have to be a little more, I just think people need to take more responsibility and try to find doctors like yourself and myself and like work through the initial trauma of it and see what we can do before, undergoing the knife.

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It's mind blowing. It's baffling. It doesn't mean it's the pain generator. It could look awful and it doesn't mean it's the pain generator. And yet that's what everyone goes to. And that's a whole other conversation about, I have some strong opinions about the orthopedic world. in general of orthopedic surgery.

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Amazing. I'm going to sign. I didn't know you had this. I'm so excited right now. When you said it, I was like, what? He has a platform? I'm signing up. I will be a great guinea pig for you because I have such, I just have such limiting pain and it's, you know, I've tried all the things. I'm ready. I'm ready for the Danny Shapiro magic.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I really do try to dance every day because that keeps me mobile. Like I know when I can't shake my hips that something's wrong, right? I know I'm headed in the wrong direction. So I'm a big fan of that, especially the way you dance. There's like way more mobility than I have, but I do think it's critical that we continue to dance.

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I'm glad you didn't. Yeah, I'm glad you didn't. Because I think it also is, we have such little joy. And when you have, I live in chronic pain and I have lived in chronic pain for 20 plus years. And when you live in chronic pain, it wrecks your nervous system and it sucks your joy out because things that should be joyous suddenly are wracked with pain out of nowhere. And you can't ever trust pain

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That's the hardest part is even through all the hard work, I can't entirely trust that my body isn't gonna, it could be that I ate corn or that I, and I can't try, or maybe I overdid it with a particular move at the gym. And so my coach will be like, how'd that feel right after I do it? I'm like, well, we'll know in two days when my immune system tells us.

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you know and it it sucks to live there and so when i can find joy in my body at any point and that might be through intimacy with my husband it might be through doing something really fun but like dance i put on some 80s new wave and i can always always tap into that joy no matter what and so i will embarrass my daughter to no end i dance all over the grocery store i dance to the airport my husband just like carries the bags and lets me do whatever because i'm like

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I'll just say this, orthopedic surgery, the old adage is orthopedic surgery begets more orthopedic surgery. They really love getting the active middle-aged folks in who have money and scaring the bejesus out of them with their MRIs, which I'm sure we could talk about for hours. But yeah, let's talk about some of the studies that you and I are both familiar with.

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Especially if you're in a good airport, like Burbank Airport is always playing 80s tunes, so I'm always having at it.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I think everyone should dance in the grocery store because it is, sometimes they just put on some bangers. Like I'm always, it's like at nine o'clock at night, if you're in the grocery store, there's usually something good playing and it's so fun. And I, of course you would want to dance down the aisle. Why wouldn't you? Who cares?

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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we won't say anything because yes I was going to say man a man that can dance is the best and if I had a man that could dance I would be making them teach me how to dance because that is that's what they used to do back when my grandparents were young like everybody that was the social thing to do people just went dancing like they were all good dancers all the men knew how to lead the women I don't know it's like a lot completely lost art we're losing all the dance schools in the areas it's yeah we need it we got to bring it back

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Well, it's on your Instagram. So that's why I tune in. And that's why everybody needs to go follow you. I don't want to keep you all night. This has been so fun. We'll have to have you come back for a part two. Tell everybody where they can find you and where do we sign up for this cool platform that you've built?

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Awesome. I will make sure all of that is in the show notes. So that people can sign up. And this has been so fun. Thank you for coming on the show today. And thank you for all of your insight. And thank you for the work you're doing in the world.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Which goes back, I mean, gosh, this stuff goes back decades where I remember being in chiropractic college in the early 2000s and they were telling us then that some of this data was even somewhat aged, which is you can MRI everyone in the building you're standing in or my entire neighborhood.

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And you embody that. When people go see you on Instagram, they will understand the motion is lotion.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Well, thank you, Danny. This is such a treat and we appreciate you. So we'll have you back on.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A.

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And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. This podcast is for general informational purposes only.

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It does not constitute the practices of medicine, nursing or other professional healthcare services, including the giving of medical advice. I am a doctor, but I am not your doctor. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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And generally speaking over a certain age of middle age, everybody's low back is gonna look like garbage, but a very small percentage of them are actually gonna have low back pain, right? And like we have the data going back for decades on this and yet it's still considered like, oh, that must be your thing. We found it on the image. Tell me about your thoughts on that.

The Dr. Tyna Show

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and all the things as we call it around here. So we had a great conversation. And most notably, we both agree that you are not your MRI. You are not your imaging study. You are not what comes back on that film and on that piece of paper. And the overabundance of imaging that doctors are doing, I call it cover your ass imaging.

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It depends on who they're writing it for and what they're writing it for.

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Well, and there's other things that I would share with my patients, which is number one, is it going to change the treatment plan any? You know, like are they even wanting, like I vehemently would oppose surgery personally. So I don't want to know. I actually have low back pain and I still don't want to know what the image says because I don't want to get that in my head.

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I don't want those self-limiting beliefs going through my head of like, oh, my back looks terrible, so therefore... it must be the driver of the pain. When I know that there's other things driving my pain that I have influenced through hormones and through anti-inflammatory living and, you know, nutrition, et cetera.

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So, and movement, most importantly, movement, which I know is that's your big thing. And mine too. I just think it's crazy. And then the other thing to consider is you often can't get the MRI approved as a clinician until they fail conservative care. And their version of conservative care is a cortisone injection.

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So you have to basically put something that's catabolic into the joint and going to melt the tissues further. And then you might be able to get the MRI ordered and covered by insurance. And at that point, again, it's who are they writing it for? Is it going to a surgeon? Is it going to someone like me who was doing regenerative injection therapies?

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Is it going to somebody like you who's going to rehabilitate? Like you'll get three different reports based on that. And so I really do think they write them to look as catastrophic as humanly possible so that it does justify the surgery if they think it's necessary. But it depends on... who's holding the hammer and what hammer are they holding, right?

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We have different hammers, but I think you and I have similar hammers in that it's like active care. We're going to put the patient through an active care protocol.

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You're so right. I mean, it often will. And often the pain generators are soft tissue in origin anyway. And so replacing the bony osseous joint isn't going to be the solution because it's the joint capsule and the ligamentous and tendinous tissue and everything. I mean, it's all the things that... are involved. You know, I won't even look at an MRI until I do my evaluation.

The Dr. Tyna Show

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I was taught that by one of my mentors and it was great advice. So it sometimes would aggravate patients, but I'm like, I'm just not going to look at it until I actually ask you all the questions, do my own evaluation, do my own physical exam. And then I'm going to tell you what I think. And then we're going to look at the MRI and see if it adds up. But often, you're right.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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I think also you have to think about and consider who's that MRI report going to, right? And do those people have any clue about... physical medicine, first of all. If they're an orthopedist, hopefully, obviously, they know how to evaluate joints.

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which is basically the doctor is sending out for an image so that they can cover their ass and make sure that they are getting you punted off to the next best place, which honestly isn't always the next best place. Sometimes that, well, most often that's surgery. And we had a great conversation about that. All things physical medicine from a holistic perspective and an absolute blast of a time.

The Dr. Tyna Show

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I'm not saying they don't understand physical medicine, but they don't understand conservative care, physical rehabilitative medicine the way that you and I do. And I know we have different training, but still similarly, like we're getting the patient moving, we're getting the patient active, we're impacting the nervous system so that the tissues can move more freely.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Like there's all kinds of things going on here that I don't think that the person receiving the MRI report probably has an appreciation for. What do you think about that? Did you know that 80% of resolutions fail by February? You can beat the odds with Lumen and improve your health this year. Lumen is the world's first handheld metabolic coach.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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It's a device that measures your metabolism through your breath. And on the app, it lets you know if you're burning fat or carbs and gives you tailored guidance to improve your nutrition, your workouts, your sleep, and even stress management. All you have to do Thank you so much for having me.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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That's because I've been seeing patients now for close to 20 years, and I was seeing the metabolic crisis we are currently in way back when I was just a baby doc. Latest studies are showing that barely 6% of US adults are metabolically healthy. That means that close to 94% are metabolically busted. Why does your metabolic health matter? Because it's literally your body's engine.

The Dr. Tyna Show

Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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It's how your body turns the food you eat into fuel that keeps you going. Because your metabolism is at the center of everything your body does, optimal metabolic health translates into many benefits, including easier weight management, improved energy levels, better fitness results, better sleep, etc. And Lumen gives you recommendations to improve your metabolic health.

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Stop Letting Your MRI Define You—The Truth About Pain & Healing | Dr. Danny Shapiro

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Something I just learned is that it can also track your cycle as well as the onset of menopause and adjust your recommendations to keep your metabolism healthy through your hormonal shifts so you can keep your energy and stave off cravings. Take the next step in improving your health. Go to lumen.me forward slash Dr. Tina and get 20% off your Lumen.

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That's L-U-M-E-N dot M-E forward slash Dr. Tina for 20% off your purchase. Thank you, Lumen, for sponsoring this episode. One of the main reasons my patients were not compliant with their fish oil is because of fishy burps. But what if I told you that fishy burps were most often a sign of oxidized and even rancid fish oil supplements? It's true.

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The Superfood for Hormones, Energy & Aging—Why Algae Changes Everything | ENERGYBits

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And he is all, if we even run low, I hear about it. Like we're not allowed to run out. It's always like, where's my algae? Where's my algae? And I think we particularly focus on just using it daily sort of as a, almost like a multivitamin, if you will. It's like, it's just kind of the no, like it's non-negotiable. Like that's the one thing we definitely take.

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And so I wanted to quickly, I know we went deep last time, but I thought we could just quickly run through what's the difference between spirulina, chlorella, and also your manufacturing process, because I think you guys do a really standup job. There are other companies that are not doing it so clean.

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And I think that part's really important that we're going to dive into how this is applicable to women's health because women need to hear what you are discovering. Yeah.

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I think a lot of women are walking into those years with really tanked out mitochondrial function anyway. You know, they're fried out in their 20s and even earlier sometimes. And so they're, especially the younger generations and the foods that the younger generations have been raised up on, especially in this country.

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So people are walking in with metabolic and mitochondrial compromise and then you add into it any drugs that they've taken, like the fluoroquinolone antibiotics, fry out your mitochondria. And so this is why we see, we even had a study come out last year showing that there's two periods in a woman's life where they age aggressively. One is around 44 years old and one is again in their 60s.

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And it's true. I mean, mine hit later. I think it was probably, I was around 47, 48, but all of a sudden it was like night and day. Something just happened, you know? And it's not just the dropout of estrogen. It's all of it. This is why I say we have to train for menopause. We have to prepare for this. Yeah. Right, right.

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Because it's hard to get on top of it when you're behind the ball, you know? Right.

The Dr. Tyna Show

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Yeah. Let's talk about that. Let's talk. I mean, if you want to jump into that now, or we can continue on with a little bit more about, I think, you know, talking about estrogen here, estrogen's protective in so many ways. And I just want women to understand that it is not to be feared. And it is something that we desperately, I believe that I,

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I don't think every woman needs to supplement estrogen as they age, but I believe for optimization, it is something to be considered. That said, and I'm just sharing my opinion, I'd love to hear yours.

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That said, if you start throwing estrogen at a toxic body, at a body that's inflamed, at a body that's metabolically compromised, I'm talking using transdermal, whatever kind of supplementation that women are using, bioidentical, doesn't matter. it starts to go down weird pathways. And this is something I don't hear talked about often.

The Dr. Tyna Show

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And so I'm very careful when I apply estrogen to a woman and I'm always trying to find ways to clean her up first. so that I can get her optimized so that the estrogen actually does what we want it to do versus it being like trying to hit a moving target.

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Because when you take an inflamed, especially if there's excess adipose on that body that is acting as its own endocrine system and you start throwing estrogen patches at these women, things get really messy. So I think what you're proposing here as far as just but one tool in a toolbox of how to get on top of that

The Dr. Tyna Show

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This is one of the main reasons I take the energy bits because it makes sense to me as part of that. I'm extra diligent about liver support and keeping the liver healthy as we go through menopause. Dr. Kerry Jones talks about this all the time and how... your body will preferentially detox your alcohol before it'll detox your estrogens correctly.

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And so it's really important that we support our liver, we support our detox pathways, and we do so gently and consistently. It's not a take a bottle of this and you're done. It's like this is part of a job now in middle age.

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It is. And I don't... Sorry, my little visitor's up here on my lap now. He decided he was going to...

The Dr. Tyna Show

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Oh, he loves them, actually. Dogs and cats absolutely love them.

The Dr. Tyna Show

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I use them to train him. He's a puppy. So he's a pushy little puppy. I should say he's about a year and a half now, but he's a young'un. Anyway, I use the energy bits to train him. So he loves them. He loves them. My other dogs won't go after him the way he does. He knows that they're a treat and he absolutely gobbles them up. It's so cute. So-

The Dr. Tyna Show

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They're small, so they're easy just to use as little trick treats. But yes, it's a food, and so I don't think of it like a supplement. I get so tired of taking pills and powders and all the things, and I've got the whole countertop of supplements, and it's like, oh, this gets arduous, and it gets expensive. And I do love the energy bits because I think of them as just whole food.

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Like it's just an easy kind of a no brainer. Do it in the morning, do it at night. Take a little bit extra if I've been exposed to toxins that day. My husband's so cute. He doesn't believe me in that his farm life is quite toxic life. He comes in smelling like diesel and like... oil and fuel. And I know he's probably bathing in this stuff outside as he's tinkering with tractors. And it's so gross.

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I won't even let him bring the clothes inside anymore. And when they get bad enough, I'm like, we're not even going to wash these. I got to throw this away. This is so bad. And so I rush him over. I'm like, get over here. And he knows he's got to take... his energy beds. He's got to take, you know, he's got to take the whole thing.

The Dr. Tyna Show

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And then if it's, if it's really bad, I throw some extra glutathione at him, but you know, it's like, I think he's up there with bare hands and arms up, you know, in this toxic garbage.

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You're like the algae fairy. I think that the carnivore community could get on this too because I do think that they need some greens in their life and this is an easy way to do it without having to do the whole plant life thing.

The Dr. Tyna Show

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People who are like vehemently against plants, I think spirulina and chlorella are a good option there. I know that when I was more carnivore, that was like my other substrate was my energy bits. So I eat more vegetables now than I used to, but yeah.

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This is just theoretical, but I have always noticed, because my background's in biology and cell biology, and I've always noticed that chloroplasts look a lot like mitochondria. And to me, it makes sense that we are... I mean, we can go into like the quantum biology and all that, but we, at the end of the day, we photosynthesize. Correct. As humans.

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And we can't do that if our mitochondria are not healthy. And I do believe we need chlorophyll in there to make this action happen at the end of the day. And I... I'm not going to be ignorant enough to say that I can explain all the different mechanisms, but I do think that those two things are pretty necessary.

The Dr. Tyna Show

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And so without good mitochondrial function, we can't really get the benefit of sunlight, red light. And this is why we're using red light to try to hone our mitochondria and get them to do something. This is why we're using strength training. This is why we're using even heat adaption through heat shock proteins, trying to get the mitochondria to do something. But

The Dr. Tyna Show

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To me, it's like that meme where the guy's poking the thing with a stick and he's like, do something. You know, sometimes people's mitochondria are just so petered out. And so they're trying everything. They're trying the peptides. They're trying the hormones. They're trying everything. And they're just like... They're flatlined.

The Dr. Tyna Show

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And so this is where I'm like, go outside, get some gentle movement going, started at least, and get some greens in your life so that we can get that absorption of red light optimized inside of ourselves. And then, you know, finding food. The other thing is the green, I mean, straight up the greenery helps you absorb that red light.

The Dr. Tyna Show

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And so this is one way, very simple way to do it if you're not down with chewing on a bunch of plants. Yeah.

The Dr. Tyna Show

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com.

The Dr. Tyna Show

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Yes, yes. And chlorella has B vitamins in it as well, which are something that a lot of us end up very deficient in throughout life. Our stress response gets off the charts when we are not getting enough B vitamins. And so finding just different ways to get food sources, you know, without having to take a whole litany of bottles of pills. Yeah. And think about it.

The Dr. Tyna Show

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That's the thinking about it part. It's overwhelm. It's decision fatigue. Honestly, that is my favorite thing about the energy bits. I was skeptical when I was first presented with them and I started taking them. And I told you the story. My husband started first and he was like, these really work. He takes whatever I tell him to take, but he never compliments any of it.

The Dr. Tyna Show

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And he's like, these really work. And then I realized the decision fatigue of looking at like, am I getting enough of this and enough of this? And it's just, it's exhausting.

The Dr. Tyna Show

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I was going to say, you got to tell them how old you are.

The Dr. Tyna Show

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I love it. That's the best advice. We should have just started with that. It's sage advice because I was telling my best friend the other day, we've been best friends for 40 years and we were sitting there thinking about how... I mean, gosh, we both were such pretty little things and we used to get whatever we wanted, especially when we were together.

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Like together, we were just, you know, a powerhouse. And there we are laying by the pool getting completely ignored. And I'm like, I think the time has passed. I think we're past that part. And she's laughing. And I said, it's really too bad, you know, the irony that... And I take care of so many women like this and so many women like this follow me.

The Dr. Tyna Show

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The irony that you finally get to the place where you're making the kind of money that you want to make and you're able to have hopefully the time to travel and especially as the kids are leaving the nest and so many women get to that point and their health is in complete shambles. And it's so sad and devastating. And I certainly am not in any kind of perfect health.

The Dr. Tyna Show

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I definitely have my issues, but I think I'm doing better than most my age. And you're definitely doing better than like 99.9% of the women your age. And that's sad. Like that shouldn't be the case. What you just said is absolutely the truth. We should be thriving, not scraping to get by.

The Dr. Tyna Show

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I love it. I love it. Well, it's always such a treat to have you on and you guys have offered a really generous discount. I'll make sure all of that is in the show notes so folks can take advantage of that. I've heard great feedback about your product from the last podcast. I have certain supplement companies that sponsor me and I love having guests on and learning all about the products.

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I don't always get to hear about it though. And your product is one that I consistently hear from my followers saying, you know what? I bought those energy beds. They're great. They're great for traveling.

The Dr. Tyna Show

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on this episode of the dr tina show i'm sitting down with catherine arnston catherine is the chief scientific officer and founder of energy bits she is literally the algae fairy as i joke she was on the show last year and we laid out all the scientific evidence around chlorella and spirulina and how algae can be a really beneficial superfood this time she came back because we wanted to talk about all things women

The Dr. Tyna Show

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Well, you look fantastic. So whatever you're doing, maybe that's the secret.

The Dr. Tyna Show

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Good job, good job. I love it. I love it. Now that's the secret. Whatever you're doing, you're doing it right. So you are the goals. Well, it's just lovely to have you on as always.

The Dr. Tyna Show

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And I hope you'll come back and I'll make sure to get all the links in the show notes for people to go and dive into the science further and get the discount and check it out for themselves because this really is one product.

The Dr. Tyna Show

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Awesome. Okay, will do. Thanks, lady. Thank you. Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A.

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And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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midlife women, hormones, mitochondrial health, antioxidants, you name it, we went through it and its relationship to algae, spirulina and chlorella specifically. I think you're going to find this conversation fascinating. I always enjoy talking with her. So let's jump in. Catherine, thank you so much for coming back on the Dr. Tina show today to talk about all things algae.

The Dr. Tyna Show

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I live in wine country, so I know you're so right. The way the sun is in a season, just the whole season itself can change things. There's so many factors that go into how the wine ends up being over time. So I know that it really is a science getting behind it and timing and everything. So I hear what you're saying.

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I had you on last year and it was mind blowing and I'm so excited to have you back.

The Dr. Tyna Show

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Awesome. I hope that I provide a good service. I've been flying around a lot lately in the last year and I have definitely got my opinions on different airlines. So I try to go for, you know. A high level of customer satisfaction here. No, I just, I love your product. And I think I shared this with you last time, but my grumpy old farmer husband, he is such a fan of it.

The Dr. Tyna Show

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Okay, good. Yeah, I do want to know that because I'm just sort of taking it as is and whatever time of day. So I want to know more about that. Well, talk to me about mitochondrial health and women in particular. You and I offline were talking about estrogen and mitochondria and I am familiar with SOD. I used to prescribe it for patients and I get what you're laying down there.

The Dr. Tyna Show

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Like people need superoxide dismutase and how estrogen is an antioxidant. There's a lot here to unpack.

The Dr. Tyna Show

ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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Here's a sobering fact that most people don't realize. Only 6.8 of US adults are considered cardiometabolically healthy. That means that a staggering 93% plus are metabolically busted and heading towards type 2 diabetes. That's not my opinion. That's from a 2021 study based on 2018 data. That's shocking. And most people have no idea that anything's even wrong.

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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It's one of the reasons I've been shouting about metabolic health for well over a decade. in my practice, online, and have based the foundation of every episode of this podcast on it. One tool I've personally used and have highly recommended for years is a continuous glucose monitor, specifically through NutriSense.

The Dr. Tyna Show

ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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NutriSense helps you to see your blood sugar in real time via their very user-friendly and cool app so that you can finally understand how your body is responding to the foods you eat, the workouts you're doing, the stress you're under, and the sleep you're neglecting. It's not just data for data's sake.

The Dr. Tyna Show

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With NutriSense, you also get access to a credentialed nutritionist who can help you interpret what you're seeing and guide you towards better choices without guessing. It's one of the smartest ways I know how to take control of your metabolic health. No hype, just data, context, and support. Ready to take a more informed approach to your health?

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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Head to NutriSense.io forward slash Dr. Tina to get a generous 30% off your first order. That's NutriSense.io forward slash Dr. Tina. And thanks to NutriSense for sponsoring this episode. You know I'm all about getting the protein in. It's the foundation of your strength, your muscle, and your metabolic health. But here's the kicker.

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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Just because you're eating a lot of protein doesn't mean you're absorbing all of it. Without the right digestive enzymes, much of it isn't necessarily getting broken down into amino acids that your body uses for muscle protein synthesis. This gets worse as we age. Your muscles don't just need more protein, they need bioavailable protein, and that's where digestive enzymes can come in handy.

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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This is why I never leave my protein intake to chance. I use Masszymes by Bioptimizers. It's a high-potency proteolytic enzyme formula designed specifically to help you absorb more of the protein that you eat. Not all enzymes are created equal, and most on the market are weak, underdosed, and ineffective. Masszymes is the real deal and the one that I trust personally.

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Lately, I've been hitting the gym a lot more regularly, and let me tell you, it hits different after 50. The gains are harder to come by, recovery takes more intention, energy is not bottomless, and the strength progress, it takes strategy. That's why Mito Pure has become an essential in my daily stack.

The Dr. Tyna Show

ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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I've even done a side-by-side breakdown with ChatGPT on all my favorite digestive enzymes, and this one always comes out tops. Masszymes is a full-spectrum enzyme formula with more protease than any other commercially available product. It's got five different types of protease in it, plus it contains all the other key enzymes you need for optimal digestion. And you can try it today risk-free.

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Their 365-day full money-back guarantee is the gold standard of the industry. For your exclusive offer as a listener of the Dr. Tina Show, head to buyoptimizers.com forward slash Dr. Tina and use promo code Dr. Tina. Again, that link is buyoptimizers.com forward slash Dr. Tina. Well, even in the functional medicine space, I have access to some of the best brains in the space.

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And I'm throwing my labs around like, hey, what do you think? What do you think? What do you think? Because I don't want to practice on myself in a silo. Like you're your own worst doctor, right? So I'm making sure to cross my T's and dot my I's. And I'm like, what do you think? What do you think? What do you think?

The Dr. Tyna Show

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And they're all like up your progesterone, up your estrogen, up your progesterone, up your estrogen. And I'm like, no, I think I'm overdosing you guys. Oh no, your labs look fine. I'm like, no, I feel like I'm overdosing. And you know what it feels like? It feels like postpartum. It feels like the psychosis that I got in part, I went crazy in postpartum. And I think it was very much to do with

The Dr. Tyna Show

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this histamine issue. But I really had a terror. I was feeling that kind of out of control. I, I can't, you know, it's akin to, I mean, I hate to use the word Karen, but I was turning into a full bore Karen, like where you're pissy, you're anxious, you want to yell at your team all the time. You, nothing is right. Nothing is.

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And then I, I knew something was wrong when my husband cut up the chicken and seasoned it wrong. He did not follow my instructions. Yeah. And I lost my mind in the kitchen and I yelled at him for 20 minutes because the chicken was not, I had a plan for the chicken dish and it did not involve the freaking paprika and cayenne pepper. And I was so mad. I was so mad.

The Dr. Tyna Show

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And I knew I was being completely irrational in real time as it's happening. And yet I still can't put a stopper in my mouth, you know? And he's looking at me with these wide eyes and he starts laughing and I start laughing and I punch him in the arm, like not hard, just to like break the ice. And I was like, damn it, I'm so mad. He's like, yeah, I don't know why.

The Dr. Tyna Show

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And I was like, something is wrong. I think the hormones are off. But it is. And if you're not getting the, I'm sorry, the histamine symptoms, like the hives. And for me, it's the hives and the itchy and the prickly, sort of like a prickly heat rash all over my skin. I get bumpy everywhere, little tiny bumps. And I feel crazy because histamine is doing terrible things in our brain.

The Dr. Tyna Show

ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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It's a clinically tested form of urolithin A, a postbiotic shown to support mitochondrial function, those tiny engines inside your cells that drive energy production. They are the keys to the castle.

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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MitoPure helps support what's called cellular renewal, essentially clearing out the sluggish, worn-out mitochondria so that your body can make room for the good stuff, newer, more efficient energy powerhouses. And here's what I've noticed since taking it diligently every single day.

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ADHD, Hormones + Perimenopause Chaos: You’re Not Imagining It | Adele Wimsett

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Add some salami in there and some gluten-free crackers. And that was my meal for my dinner for 20 years. Yeah, I get it. I get it. It's crazy. It's really...

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For me, just to put it all together, and I've not been formally diagnosed with anything in adulthood, but as I research this more and more, because there's a component of this, which is the hypermobility syndrome, the connection with Ehlers-Danlos and hypermobility, which is my wheelhouse clinically, was what I dealt with a lot in practice because I did regenerative injection therapies for decades.

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in clinical practice. And I'd see so many, particularly women coming in with this hypermobility syndrome and they had a massive disconnect from their body in many cases. And that's an, you know, that's a slight autistic trait right there is that, that disconnect from, from physical. And so all of us are very high functioning, high masking, you know, all of it.

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I feel more energized overall, my workouts feel more productive, I bounce back faster, and I just feel more capable, more resilient day to day. Clinical research has shown MitoPure can support improvements in muscle strength and endurance even without changes in exercise. So when you do train, you're amplifying that return. This is a prime example of what I call stacking for optimization.

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It's to me, I don't think any of these really exist in a silo anymore. I think we can safely say that this ADHD hypermobility syndrome, which leads to POTS and adrenal issues. I mean, that's a whole other topic. But put them together in this triad with this sort of like propensity towards being on the spectrum, which I do not deny. It's pretty obvious.

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And as I get older, we were talking offline, like you just quit caring to mask. Like you quit... And so my followers are constantly saying like, I'm so grateful for how blunt you are. And I'm thinking, man, I am sugarcoating the crap out of this. Like I constructed this dialogue for this reel. I put it through chat GPT and asked it to soften it.

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Like I don't, I'm so careful with the words I choose to say. And then it comes out online and people are like, you're so blunt. And then in social situations, I find myself saying the inside voice a lot outside and it's worsening as I get older and I just don't give an F. I just don't care. I'm like, I don't care.

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Cause like you said, we don't, if we don't want to be in that room anyway, like who cares if I, if I don't want to be there, if I'm not, and I'm getting to that point where I will just decline invitations for all kinds of important things. Cause I'm like, I don't want to do it. And my husband gets, he gets, he gets miffy. He's like, why don't you want to do it? This will be good for your career.

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And I'm like, I don't want to. Yeah. I'm too old to want to do anything anymore that I don't want to do.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I'm sitting down with Adele Winsett. Adele is a women's health practitioner based out of the UK.

The Dr. Tyna Show

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Think of it as your go-to tool for feeling more balanced and in control no matter what life throws at you, no matter what time of day. Here's the deal. Relax Tonic isn't about zoning out. It's about showing up calm, focused, and ready to win your day without letting stress run the show.

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It's also my fave drink at night, offering a relaxing alternative to other habits like that nightly glass of wine. You can grab yours now at drtina.com and see why it's a fan favorite. Trust me, your body and your brain will thank you. And pro tip, pair it with my chill pill and you have a solid stress busting duo. That's drtina.com and use code drtinashow, all one word, to save

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10% off your first order. That was my favorite part about COVID was... I very early on pushed back against the narrative and I had all kinds of so-called friends come at me and try to course correct me.

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And the profession at large was trying to course correct me because they were like, Dr. Tina has a big platform and she's one of us and she's saying the things we don't want her to say because they were all singing the song and drinking the Kool-Aid. And it was so interesting. The reaction I had was like, oh, I never liked this person anyway. And COVID gave me this really grand opportunity.

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And I think a lot of us, a grand opportunity to be like, oh, I don't need you in my life. I don't like you. You wanna attack me or whatever? That's fine. Cause I actually, like I had all these epiphanies of like, oh, I never even really liked her. I was just tolerating her because she was in my professional circle or she was in my professional network.

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And in some cases, clients and people I'd worked more intimately with. And I was like, oh, I don't even like them. And it was so great. And now that it's all over and we're stepping out into the world, if I see them in social situations, I just don't give an F. I don't care. I just don't act like they... I mean, I might smile and nod, but it's an agreement. We don't like each other.

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And it's so liberating. And I don't think that's just aging, although it is a large part of aging and it's beautiful. But I think it's also partially... This, what we're talking about here, you know, just that like, I put up with it for so long because I was worried about the consequences of someone not liking me. And then all of a sudden you realize like, oh, I don't even like them.

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You know, it was powerful. It was a great purge and a wonderful unity bringer. And also... Like you said, zombie apocalypse, you know who you don't want on the team and who's clearly not invited, right? And it makes it real easy.

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And I think that's part of, I always joke, my mom and I are both Aquarius, but my mom also, whether she knows it or not, shares the same brain that I have here with all of these things. And as she gets older though, I think the problem is we can become much more reclusive as we get older, right? Because we don't mind cutting people off.

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And again, we joke that it's an Aquarian thing, but I think it's a this thing. And I think it's this like- slightly on the spectrum, ADHD, like this whole, you know, walking into older age. I think it's a very normal part of aging for women when they hit 40, especially 50. We're like, man, we don't care so much about who likes us or not. But, and it's a, it's a powerful time.

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The hormonal shifts are powerful, but I don't want, ever want, because it can get very comfortable to be alone and you're, you're good that way, you know, and it's not such a good thing.

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Yeah. Loneliness is not good for your immune system. It's not good for your cognition. It's not good for longevity. We got to be around other people, whether we like it or not.

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Well, I just say let your freak flag fly and find other people whose freak flags are fun with yours. They don't have to match, but find the other quirky folks in the group and embrace that. You mentioned medication. Can we talk about medication here for a minute? This is something I have admittedly been vehemently against because really Adderall is not that far off from methamphetamines.

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It's made in small batches by master beekeepers in the remote pristine forests of New Zealand using nectar from the Manuka honey tree. The nectar is packed with powerful bioactives and the result, a honey that contains up to three times more antioxidants and prebiotics than your typical grocery store honey.

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And so I've been hesitant to allow it in my daughter's life And I've been hesitant to consider it for myself. And I am starting to reconsider what that might be like or what a trial of that might be like because I've seen in adult women, particularly in patients of mine who were diagnosed by someone else and given appropriate medication, whether it's modafinil or Adderall or Ritalin, they...

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had profound turnarounds and a real freedom. And it was almost like they got out of prison. Like they felt like the way they described it was like their minds and their bodies and their souls had gotten out of prison and they could just function without hyper-ruminating about 10 million things all at once all the time.

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So I just wanted to hear your thoughts or experiences or your clients' thoughts.

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One of those bioactives is MGO, a rare antibacterial compound that makes this honey truly therapeutic. Every single batch is third-party tested and you can scan the QR code on the jar to see exactly what's inside. I eat it straight off the spoon whenever I need to pick me up, but you can put it in your tea or top off your yogurt. Just one heaping teaspoon a day is all you need.

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Yeah, that's what I'm seeing. I'm seeing some women... almost get hooked on it. As their prescriptions running low, they completely freak out. And then I've seen other women say, oh, I can use it as needed, especially a medication like modafinil. I can use it as needed.

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And it really brings a lot of clarity when I need to sit down and focus with my team or do it work on a project or get something done. And that, because the inability to complete tasks and to multitask as we hit this age and as our estrogen, because our estrogen, you know, the work by Lisa Moscone showed the brains of women as they go through perimenopause and it's just absolute hell.

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Like our receptors are screaming for estrogen and looking for estrogen. Our estrogen's waning. And she's even linking it now down the line to outcomes with Alzheimer's, which I'm so excited the work she's doing. But to know that your brain and all of our brains are very different.

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For me, my brain doesn't like a lot of estrogen, but man, when it's too low, I'm a train wreck and it's anxiety on either side, right? It's crippling anxiety and the inability to get anything done on either side. Put a little estrogen in the picture and I'm like... I'm cool as a cucumber and I am on task. And this also changes though.

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I think something that goes back to what we were saying in the beginning, women need to appreciate your needs for hormones are going to change seasonally. They're going to change based on your toxicity or your stress level.

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They're going to change based on your fitness level and how often you're getting to the gym or not, how much you're hitting the sauna, all of these factors, how much alcohol you're drinking, how much you're sleeping, your needs are going to change. And so being able to work with a practitioner who's respectful of that and who's willing to sort of weave and dodge with you in real time.

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And I think that the same could be said about the ADHD and the ADD medications is like, There might be seasons for it or there might be times of the week for it. But getting on something like that full time, I think getting on anything full time can be a little bit of a, a little bit, not, I don't want to say dangerous.

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I just think getting too reliant on any one medication 24 seven doesn't always go well long term. Yeah.

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I totally agree. I totally agree. And you got to get everything dialed in. Is everything dialed in? Are all the things dialed in doing the best we can? Although I will say sometimes, and this is where I'm a fan of substances like GLP-1s. I don't know if you've actually, have you been paying attention to your clients who are utilizing GLP-1s and how it's impacting their brain?

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Because I'm seeing tremendous improvements. Yeah.

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Well, it brings down neuroinflammation. It induces neuroplasticity. So it opens a window of opportunity for these folks who are utilizing it to actually make really appreciable changes in their lifestyle that will stick because it's giving them an opportunity to have some neuroplasticity. They could also rewire their brain during that neuroplasticity into even further bad habits.

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But it tends to make people... It plays on dopaminergic and serotonergic pathways and it makes people not want... the things, the noise. They don't chase the dopamine dragon. So whether it's food or sex or gambling or shopping or any of the things they're doing to chase their dopamine dragon, it turns that way down. And so we're seeing smoking cessation, alcohol cessation, opioid cessation.

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And it's not 100%. You can chew right through it. You can override it. But I think that... And you can actually take enough that you get sort of into that ahedinia place where you're like... it's the blahs, they don't care. So there's definitely something about tailoring a dose and making it very personalized. But that said, I think it's a very exciting...

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it's an exciting opportunity to look at sort of what's driving the noise in the brain. And for me, I'm a stress addict. I will chase cortisol. I will chase... And we even have data on this, that when children are in utero and they're in a stressed out mother's womb, they can actually start to have cortisol resistance in the brain. So they'll come out needing stress just to feel normal.

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And I think that probably happened to me. So I will chase it, chase it, chase it. And when I utilize really tiny doses of GLP-1s, not for weight loss, just for the neuroinflammatory benefits and just the neuroregenerative benefits, it calms that noise down. And I don't feel like chasing stress. I don't feel like I don't overpack. That's another thing I do.

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I tend to ruminate and overworry about what's coming. And so I don't have that happen to me when I'm utilizing GLP-1s. And it's really profound. And I've seen with some neurodivergent folks who are just mildly on the spectrum have a real improvement in their overall ability to focus and pay attention. Their ADHD symptoms improve. So I'll be interested to see.

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Adele, welcome to the Dr. Tina Show. I'm so excited to have you here. This is a long time coming. I was supposed to get you on years ago. And so thank you for finally making the time today. No, it's perfect timing.

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You'll have to report back in six months or a year.

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Well, it's made in our bodies. It's endogenously produced. And so my argument has always been maybe folks are having a bit of a functional deficiency of GLP-1. Like where is this functional deficiency coming from? Not that everybody needs a huge big dose or even tolerates the standard dosing, but that...

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sometimes just sprinkling a little bit of these endogenously produced signaling peptide hormones. Like it's in the same orchestra as leptin and ghrelin and insulin. So I just think there's something there. I really do. I think there's something profoundly happening for those who particularly have that ADHD brain.

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And the feedback I'm getting from my followers and from my clients and patients when they tell me like, it just quiets everything down and I don't feel the crazy noise of everything anymore. I'm not hearing everything. I'm not worried about everything. I don't have to throw my monkeys into every fight. Yeah. You know, there's just the rumination winds way down. It's interesting.

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Do you know? Well, I liken it to when folks who really do have the disease of obesity and they are just constantly consumed with thoughts of food and eating and hunger. They externally eat. And I always told people, I internally eat. I eat myself up. I just sit there and destroy myself over every little thing that came out of my mouth. And did I do that right? Did I say that right?

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Awesome. Well, tell the audience about you. I'll first share. I found you on Nicole Jardim's podcast and was just blown away with what you were laying down. And it was really resonating with me personally and also just with family members in my life. And so share who you are, what you do, and what we're going to be getting into today.

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And can you imagine being where I am and having an online platform and the massive amount of content that I produce all the time? It's a 24-7 hyper surveillance of everything I said. Yeah. going through my head, did I say that? And just having to let it go, just being like, well, it's out in the world now and there's not, it's, you know, the internet's forever. So it's really interesting.

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And when I heard, I think it was Oprah who was describing her experience, just going back to GLP-1s, she said the food noise turned off and she's like, oh, this is how normal people must feel, not hyper fixated on food all the time. And for me, when I utilize a little bit of a GLP-1, I'm not hyper fixated on all the stuff. Just all the stuff, right? All the hyper thinking and all the rumination.

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And even the, I don't know if you get this, but I've known a lot of ADHD folks. They can't sleep and it's not even because they can't sleep. It's because they can't turn their brain off at night. There's 10 million things going through their head and their whole day has to go through... preview again. Like, did I say this right? Did I do this right? Did I open this door right?

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And this hyper fixation. And it's interesting, a tool that I have that I share with my patients is I will actually, if it's getting really bad enough that I can't go to sleep, I will get up and write down every single thing that I am hyper fixated on. And I tell myself I will deal with this in the morning. And interestingly, when I look at it in the

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I found her a few years ago on my friend Nicole Jardim's Period Party podcast, and she was talking about the intersection of midlife, ADHD, and neurodivergence, and it really struck me. Because as somebody who's always been a little bit quirky, who definitely has been diagnosed as hyperkinetic as a young child, I felt the ADHD... hammer come down in middle age.

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And the brain can relax. Another trick I just learned, which actually worked quite well for me recently when I couldn't fall asleep because I was ruminating, was you take a word that you're familiar with, like the example they gave was piano, and you start with the first letter P and you start going through every single word you know that starts with a P for maybe 10 seconds.

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And then you go to I, and then you go through every word you know that starts with I, and on, you know, and so forth. And by the time I got to O, I was like, this is not freaking working. And I start going through all of the words I could think of that start with O and I was immediately asleep. So just something, I forgot how they termed it, but it was basically you're kind of toggling the brain.

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You're mind switching. You're switching up what the brain's doing instead of, you're allowing it to use the fact that it's on and it's, feeling like it needs to be on and it needs to be hypervigilant, but you're rerouting it into a different behavior. And I thought that was really interesting. So something for the listeners to try if you are, but I do like the note idea because you're right.

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And guess what? When you're in perimenopause, you will forget it. You could be in the shower having the most brilliant idea in the world. And by the time I get out of the shower to write it down, it's gone. Yeah.

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It was really important and it's gone. It's gone. I figure if it's, I give myself grace and I think if it's important enough, it'll come back. But another great thing I do is I have all of my creative brilliance when I'm in water. So if I'm in the tub or I'm in the shower and stick a whiteboard in your shower. Yeah. With a pen.

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Yeah, just put a whiteboard somewhere where the water's not actually going to rinse it off. And then you can remember everything you need to remember because as you're shampooing your hair and that brilliant thought comes in, you can just write it down.

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I wish you could talk to my husband because he is always like, why is the Instant Pot and the Ninja and everything on the counter? We have under counter space where we've made room specifically for that item, but yet you keep it on the counter. I'm like, because I'll forget to use it if I don't have it. If I don't have it out.

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And the same thing, I have this whole elaborate supplement organization system in one cabinet underneath the counter on the island. And yet I have all of the ones I'm taking right out on top because I'll forget to take them. And he doesn't understand the mess. And to me, there is no mess. I don't even see it. It's just, yeah. So it's a thing.

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I really appreciate you saying that because he has his own form of ADHD, which is a different form. But his is... Actually, you know, I think he's onto something. He spends, he's a farmer. He spends all day outside either tinkering around with mechanics because he's a diesel mechanic. He can fix anything. He can build anything. He can make anything happen.

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And so he's outside all day in the elements, no matter rain or shine or cold. We're in Oregon. It's not that warm. many months of the year. And yet if he doesn't do that, he is a nightmare to be around. But if he does do that and he comes home super dirty, covered in grease and dirt and exhausted in the evening as the sun's waning and he goes and takes a shower, happiest, feed him, happiest man.

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But without that, he really starts to eat himself. You know, you start to go inside and internalize and get real grumpy. So different version. Yeah.

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Yes, yes. And for me, it's the gym. But if it doesn't happen, I am batshit crazy and unpleasant to be around. Yeah. for everyone involved. And I start thinking up all of the things like I start hyper, you know, you start worrying about things outside of your own onus of control and the world's problems and the global problems and everything becomes a big deal.

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And that is so well managed with exercise, I found. Absolutely.

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Well, this is how we stay successful because I do believe it gives you – to bring the positive back in, it gives me a massive competitive advantage. I am a tenacious terrier dog. I will dig up my bone and I will – if I have to go at it eight different ways, I will dig up my bone. So I don't fail at anything. I just look at – the non-successes as an opportunity to reroute and try something else.

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I don't ever just bag it. I'm like, well, that didn't work. What will? Let me try something else. Let me try something else. And I go at it eight different ways. If I am not physically well, if I'm exhausted, if I'm underfed, if I'm not well nourished, if I'm not well slept, if I'm not well exercised, I... am so off my mark and everything suffers, including my relationships.

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So that is extra motivation for me to stay very, very healthy and to take very good care of myself because I don't feel like I have the option to not. If I want the people around me to tolerate me, my promise to that, I mean, I tell when I got into my relationship with my husband a few years ago, I was like, just to let you know, I'm a quirky one. Like I'm a weird, I'm a weird girl.

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And he's like, that's okay. I'm a complete handful. And both of us were like, nah. And then we get a year in and we're like, yeah. But it is our promise to each other that we will take is exceedingly good care of ourselves so that our weird shit doesn't manifest into negative shit. It's the good weird. It's not the bad weird.

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We don't want the bad weird spilling out all over each other and impacting each other negatively. And so that's our promise to ourselves and to our loved ones. I don't ever want to be a burden on anybody anymore. And it's up to me to take the best care of myself that I can so that I can not only be successful in the world, but I can serve my audience. I can serve my followers. I can serve God.

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I can be a purpose. But also the intimate relationships I have around me stay positive and healthy.

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perfect, which is right up my wheelhouse because I am somebody who has always... When I was a kid, they diagnosed me as hyperkinetic. That's how long ago that was. So I was a hyperkinetic kid. I was told to avoid all white foods like cookies, crackers. You just basically process carbohydrates. And to make sure that my mom kept me active, make sure she exercises and gets outside.

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I think that early on I sorted that out and I realized that artificial lights really set me off. I never did well in school as a kid who had to sit still and sit under fluorescent lights. So getting outside as much as possible. Not a big fan of having the TV on in the background. I'm not a big fan of background noise. I'm... I do way better. I live now out on 40 acres.

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I know not everybody can move out to the country, but once I moved out to the country and I quit hearing all the noise around me and just feeling everybody's emotions, things got much better. So I'm not living on top of people literally in an apartment complex. For me, it's just about what can I control and how can I dampen the... stimuli coming at me.

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And when I go out in public now, and I have to be... I was just recently at even just a family event. There was a lot going on. There was like eight dogs. I love dogs. So I was in total heaven, but there was eight dogs barking and almost getting into a fight. There was a baby screaming. There was all kinds of different people, people I knew, people I didn't know. And for the first

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hour I was just sitting there like a deer in headlights because my nervous system for whatever reason that day was not handling it well and then you know I eased in and everything was fine but just controlling the variables you can opting out of the things that you don't want to do that you know are going to overstimulate your nervous system and Not trying to force your way through.

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I think noise-canceling headphones are wonderful if you've got to go through an airport and you're feeling like you need to just go internal. Having mantras or meditations. I even have little exercises I'll do with my tongue inside my mouth. I'll place my tongue up against the upper palate on the backside of the teeth, just a little bit at the end spot where you say, nah.

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And I'll just focus there and breathe through my nose. Even that little thing will quiet my nervous system. Essential oils in my purse. Maybe even I have little salt licks. I have these Redmond's Real Salt. They sell the rocks, the actual rock salt. So I'll have those. I might suck on some... I mean, little weird things that...

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don't bring a lot of attention to me, but can just calm me down and bring me back to myself. And then I'm fine, you know, and I'm good. And it sometimes just takes me a minute to ease into the social interaction.

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And that was great. And It turned south on me when I moved to Oregon and into the dreary, rainy weather where I couldn't be outside all the time and I couldn't be active. And it really came to a head as depression. But I was always like a very high-level, high-functioning, gifted and talented programs in school. I was that girl.

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I just go for a lot of walks, go for a lot of... I loop around the house until I am back and do some breathing exercises. I think box breathing can be very helpful for some folks. There's tapping for folks. I'm just trying to think of tools I use. EFT... People go look it up. It's where you do a series of tapping to calm your nervous system down and come back to center.

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Something my mom taught me when I was a kid that she found helped me was to go rinse my wrists under cold water, which is a similar reaction to what happens when you put your face in cold water, but a little less obvious.

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So even I remember being in high school and starting to have a panic attack and I would just excuse myself and go run my wrists under cold water in the bathroom and focus on my breathing and I was fine and I could go rejoin the group.

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This is a good point. You're right. That's why I put the onus of responsibility on you to find the time because I immediately thought there's no way I'm going to be able to sit like the thought of sitting down and figuring out how to get you on on a UK time. I was like, nope, I'm not doing it.

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We have Google. I know. That's probably why it didn't happen for the last two years. It was too overwhelming for both of us to figure out our time zones. Yeah. If it's not easy, I'm like, yeah, I'm not doing it. That's funny. Well, I have been hyper accommodating in the past. I was such a people pleaser in my youth to the point that it made me ill. And so I tend not to be that anymore.

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No matter how punk rock I was, I was still showing up in all the advanced placement classes and kicking everyone's ass. And so no one really knew what to do with me or how to help me. And for me, it manifested as a ton. ton of anger and anxiety as a young woman. And then as I got older, I was like, oh, I have ADHD and it's a superpower, right?

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And I try to have, I have very firm boundaries. So here's the, I'm not trying to talk about myself So much as I'm trying to explain through story because as I've researched this and I've gone down the rabbit hole, I understand this is very typical of a lot of women in particular. And to reiterate, women with these brains function differently than men do with these types of brains.

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So it's a different beast. So we're really talking about women here. But when I discovered that I could implement a boundary and hold it, my whole life changed. And that was really, I got to be honest, that was really not until probably like my late 30s, early 40s, when I finally learned that to put a boundary down and not compromise around that boundary whatsoever.

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And it can look severe to some people because I am... I am a little bit too firm sometimes, you know, and I won't give wiggle room on certain things because if it's a no, it's a no. And when people try to get around that no, I get even more aggravated and the no becomes firmer.

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And then the no becomes a little bitchy because I don't like getting asked something three times in a row when I've already said no. And so... I found in the world of business, especially in the online space and dealing with different brands and such, sometimes it can be, you know, it's a bit of a negotiation. I'm good at that.

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But my boundaries are firm and I have found so much more success in firm boundaries and just sheer belief in myself. I know what my talents are. I know what I'm good at. I know what I can deliver on when I make a promise. And I don't go beyond that. If I say I'm going to do something and it's going to be great, it will be great.

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But that said, those boundaries, and once I put those in, things got a lot better, a lot better. And I think it's something a lot of women in particular struggle with.

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Like as long as you can harness it, I could do 10 things at once. I've always been extremely successful. No matter what I embark on, I'm really good at it. I procrastinate till the 11th hour, then just crush it, you know? And I've existed on that cortisol loop for so long. And then perimenopause hit and it was like a Led Zeppelin on fire, just...

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Yeah. Absolutely. I'm with you so much. We're taught to be accommodating. And there is a time and a place to be accommodating. And then at a certain point, it's just a no. And as I get older, I don't need to be as accommodating. I'm not trying to go along to get along anymore. And I'm not trying to be everybody's friend anymore. And I don't really care. And I'm a very, very...

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huge hearted, generous human being. And at the same time, some people will say, you're such a bitch. And I'm like, yeah, I am. Like push me to that. And I'm very good at that too.

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I love it. This has been so good and actually so helpful. It's very reassuring to hear you share so many similar experiences and feelings because it's nice to know we're not alone. And that's why I wanted to have you on. And that's why I've been so transparent throughout this episode with my audiences so that women understand that they're not alone either. These are just our quirks. They're

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As long as we stay as healthy as possible and we take as good a care of ourselves as we can, I think they can be very powerful gifts and not so much a curse. But they can be a curse when things go sideways. And so knowing how to deal with that, and I think just step one is acknowledging there's a problem, or I shouldn't say a problem, but a difference, right? There's just something there.

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And there's wonderful ways to navigate that. Yeah, absolutely. Absolutely. Yeah, well, where can everybody find you, Adele? Because your information has been so helpful.

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Okay. I'll make sure that the links are in the show notes for everybody so they can come find you and come follow you and learn from you. It's been such a treat to have you on today. Thanks so much for coming on. Yeah. Thanks for coming on the Dr. Tina show. Thanks for listening to The Dr. Tina Show. This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry.

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Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app. You can also find all of my offerings on my website at drtina.com.

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For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

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And that's about the time I found your interview with Nicole. And I was like, oh, this is happening. So let's talk about perimenopause a little bit. I'm like, what's going on there? Why did my brain decide to glitch on me?

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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And I don't know how else to describe it. It's always been a superpower of mine to be able to go in eight different directions at once. And while I've never formally been diagnosed, I definitely have some propensity towards it. And as the estrogen drops out in midlife, the ADHD seems to roar its ugly head. It's been a really interesting time and Adele's

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Yeah, a thousand percent. I'm going to share an example so that we can just solidify this. So I... First, I want to say estrogen dominance doesn't always necessarily mean high estrogen. It just means higher estrogen in relationship to your progesterone levels. And so I am a low hormone girl. I run low hormone. I've always been very lean.

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I feel good low hormone throughout my life when I needed a little estrogen because I was so bottomed out from stress that I'd have a little, even in my 30s and 40s, I'd have a little breakthrough bleeding. I've been on progesterone since my 30s. everybody, just full disclosure. I didn't go on the oral form until more recently, but I've always been using progesterone.

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And in my clinical practice, almost every woman who walks through my door gets a progesterone topical because they're all low. And like, that's been the way it is for decades. We weren't scared off 20 some years ago by the women's health initiative. Like we docs, like Dr. Kerry Jones and I have been handing out prescriptions for HRT this whole time. You know, we were like, that was a bad study.

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interview on that podcast was so intriguing I had to get her on my show we had such a great time you guys I was really transparent really honest really authentic I wanted to share truly what's been going on with me and my brain so that maybe some of you wouldn't feel so alone this is a trying time in a woman's life. And it doesn't have to be, and it doesn't have to be lonely.

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It was badly interpreted. So anyway, um, I don't do well with high levels of hormones. And then I have the MTHFR mutation. I have two copies. I've got one of each. So I don't methylate well. And you take someone like that, you give them estrogen. So my estrogen started bottoming out, I don't know, a year and a half ago. Manifested as really horrific pain.

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Started adding in last fall a little bit of an estrogen patch, just a little bit. just to get that steady state because even topical estrogen wasn't cutting it anymore. I was just too mamsy-pamsy about when I put it on. So I go on a steady state patch. It's like the clouds part, the sky opens. The calm salve of estrogen comes over my brain and I'm like, oh, thank God.

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My pain goes down significantly. Everything's great. All of a sudden, a few months in, I start having panic attacks, like literal consuming panic attacks. And I'm like, what is going on? I run my estrogen labs. Everything's fine. It's low even. My FSH is still high, meaning my brain isn't hearing the estrogen and still thinks I'm in perimenopause.

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And menopause, I mean, if you want to get real specific, and I'm sitting there like, what the heck? So I keep upping my estrogen and I keep... On labs, everything looks fine. Every single person I showed my labs to is like, eh, this looks fine. Well, what's happening is my receptors are not cleaned up and they're having a terrible struggle.

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My liver's having a terrible struggle because of those methylation pathways you just discussed. My histamine is going sky high and I am having all the symptomology of estrogen dominance and yet... labs look perfectly normal. And so this, I get off the estrogen patch, I clear it out of my system, I go back on a tiny little dose, everything's fine.

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This is a perfect example of how labs are bullshit in perimenopause. Yes. We have to go with symptoms, right? And I'm just not processing the estrogen. And in fact, my lipids start going up, my thyroid antibodies start going up because I'm driving inflammation due to the excess estrogen in my body that isn't being processed and going down the pathways appropriately.

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Like in a nutshell, I hope that's understandable to the audience. It's like, even though the lab said everything was fine, I was not fine, right?

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And the more that I've talked about it with friends and colleagues, the more they've come out and shared with me and talked about it as well. We maybe all were managing quite beautifully until middle age hit and the hormones started to shift in perimenopause and menopause. So without further ado, Adele wins it. Let's jump in.

The Dr. Tyna Show

Fake Credentials & Medical Misinformation: What You Need to Know | SOLO

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. Hey, guys. On this episode of The Dr. Tina Show, I maybe chose violence. I woke up today feeling very strongly that there was some information you guys need to know. And...

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And they're giving medical advice and you're taking it. I think you should know that there are diploma mills and there are ways that you can just go literally buy a board certification. There's a whole lot of fake PhDs out there and it's getting worse and worse and it's bleeding over into spaces. And I don't feel right about it.

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So it's splitting hairs. I'm not pretending that I did a five-year residency like an MD would. I'm not pretending to be a primary care physician. While I was in school or maybe just after the licensed NDs decided they were primary care doctors. And a lot of them practice as such. And they've actually done extensive training to be able to do so. But we're not generally, I would not say.

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I would not say that most of the folks I graduated with had the skill set of a primary care physician. That's not what we do. I don't know why we're trying to compare apples to oranges. We do something entirely different. We do root cause medicine. We help people sort out what's going on at the root. Where did this start? Where is it coming from? Why is it manifesting this way?

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And how do we get you back to homeostasis? And how do we get your body to respond? Now, in Oregon, we have license to prescribe, and I use it. I have no qualms about using it. It was my mentor, Dr. Rick Marinelli, who made that happen. Him and his buddy, Dr. Kevin Wilson, made it so that we have a very broad scope of practice in Oregon to prescribe, very broad licensing.

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And I'm grateful for that. My favorite thing is to get people off their medications. And if you have ever worked with me, you know that I've said that to you at some point. Like, I look forward to being able to either reduce or discontinue these medications. If you can't prescribe it, you cannot tell someone to get off of it.

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So you chiropractors out there, you health coaches, you registered dieticians, nutritional therapists, I honor all of you. I think that we need more people help. We have so many sick people. So again, this is not turf wars, but you're... You are not legally allowed to tell your clients or patients to discontinue a drug if you can't prescribe it. And I don't know if people know that.

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I don't know if they know that. I don't know if the public knows that. But that's where it's at. And so very often I'll hear, well, my health coach told me to stop taking my thyroid. I didn't need it. I'm like, what? That's not legal. But they have no licensing board. So... there's nobody to hold them accountable. It gets very messy. And I can understand how this could be very confusing for you.

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So I'm going to try to give you guys some information today. I'll quit ranting here. And you can decide for yourself and you can go be, you know, little detectives and figure out who's what. Now I want to clarify, I know some health coaches that are smarter than half the NDs I know. I know some nutritional therapists that are way more talented than half the chiropractors I know.

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That's not to say there's not talented NDs and chiropractors out there. That's just to say that I really honor the role and the work that health coaches are doing. I honor the role that nutritional therapists are doing. I honor the role that registered dietitians are doing. I honor the role that folks with masters in nutrition are doing.

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I honor the role that PhDs with extensive knowledge in nutrition and other subspecialties are doing. I honor the role that Andrew Huberman is playing in the world to get people to wake up and see different perspectives. I'd love that. Dr. Stacey Sims is out there empowering women to get stronger and to train like an athlete. I honor all of the... I have no problem with turf wars.

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I think it's so exciting. One of the most exciting things I've seen in my career is this shift from complete turf wars. Like when I started in naturopathic college, the chiropractors just across town didn't even know that the naturopathic college was there. And by the time I graduated, there were several of them dating each other and the schools had come together, right? So like...

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So I'm going to just tell you what I know, and I'm going to break it down for you. And hopefully on this episode, you guys will leave knowing more than you walked in with, and you'll be armed with some information that who knows, maybe life-changing for you. So let's jump in. Guys, I have to tell you about the absolute game changer in my dog's lives. Sunday's dog food.

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I feel like I had something to do with that. And it was in a short amount of time. And, but they still were very segregated in what they did and where they're like, you know, what lanes they were in. And now when you go to a lot of these trainings, it's really vast and eclectic. And you go to some of these physical medicine, you know,

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certifications and there's strength and conditioning coaches in there and there's Pilates instructors and there's NDs and there's chiropractors and you go to some of the specialty neurology chiropractic training and there's NDs in there and there's MDs in there.

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It's a very exciting time and I think it's great that we're all overlapping and we're realizing that there are different tools and different tool belts and that we don't necessarily have to master someone else's tool belt but that we can get to know what they do and we can have good referral relationships because ultimately it's about bettering the patient's outcomes and getting the patient where they need to be

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and working with the right people. Like I know my wheelhouse. Sometimes you guys write into the podcast and you email me and you say, you know, will you cover this? And I'm like, dude, that is not my wheelhouse. I don't know anything about that.

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I may consider hiring, you know, not hiring, interviewing an expert in it on the podcast, but like, it's not my wheelhouse and it doesn't have anything to do with the podcast. Like it's not my brand, it's nothing to do with anything that my listeners would be interested in. And I just know my boundaries. I don't try to tiptoe into other places that I don't know well. I admit defeat.

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I admit when I don't know something. I try to always admit when I'm wrong. When I find out something that I have been saying wrong or speaking incorrectly, I try to correct myself as soon as I can. I don't have any ego caught up in this. I used to have an ego. I don't really care anymore.

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After being online and getting your ass handed to you repeatedly for years on end, you just develop a thick skin. And like, I just don't care. I don't care if you buy my supplements or you buy somebody else's. I don't care if you are interested in my programs or you hate me or you love me. Like, I don't care.

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I care that I come here every day to try to be of service, to serve God, to try to be the messenger, because I have a way of explaining complicated things. ideas into simple ways that you can comprehend them. Like that's my gift from God. And so I would be a fool not to use that voice. And when I get down on myself and when I start to think like, what am I doing?

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I don't even like, what am I, this is crazy town. What am I doing? I have to remember that God gave me this gift. to take complicated ideas and make them very simple. And that's why I love having this podcast and I love being able to speak to you guys. But it is getting infringed upon by people with fake credentials. And I think that's dangerous. So that's why I'm doing this podcast.

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Love me or hate me. Believe that my degree is real or not. I don't care. But there are people pulling some fake shit and you guys should know. So without naming names, I'm going to give you the information and then hopefully you'll write down some notes and you'll go doing some sleuthing and figuring out what's what, because I think you deserve to know.

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I've got three dogs, all different breeds. I love them to the moon and back. And they're all thriving on Sundays. And I mean thriving. My dog with chronic ACL issues, no more limping. My Havanese puppy, it's essentially the only thing he's ever eaten in his life. And he is so tan and jacked. And my beautiful German shepherd rescue, we packed 20 pounds of healthy muscle onto him with Sundays.

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This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself. One of my favorite ways to do this is to take measures to clear out my senescent or zombie cells. Have you guys heard about zombie cells? How about senolytics?

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Senolytics are a class of ingredients discovered less than 10 years ago, and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime. I know that my listeners are like me. We are successful people who prioritize our health above all else. But let's be honest, the aging process is not always our friend.

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Qualia Synalytic removes those worn out senescent cells to allow for the rest of our cells to thrive in our bodies. And it's something we take just two days a month. This clinically tested two-day rejuvenation regimen may hold the key to unlocking cellular health and revitalizing aging tissues throughout the body. I'm personally experiencing less aches and pains and feeling more resilient overall.

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If you also want to resist aging at the cellular level and stave off those zombie cells, try Qualia Sinalytic. Go to qualialife.com forward slash drtina for up to 50% off and use code drtina at checkout for an additional 15% off. That's Q-U-A-L-I-A life.com forward slash drtina for an extra 15% off your purchase. Thanks to Qualia for sponsoring today's episode.

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Did you know that nearly 94% of US adults are metabolically compromised according to 2018 data published in 2021? Even more surprising, 80% of them have no idea. Shocking, right? That's why I've been beating the drum on metabolic health for decades in my clinical practice and on this podcast since day one.

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A tool I found a long time ago that I absolutely love is the Continuous Glucose Monitor by NutriSense. NutriSense is here to challenge outdated beliefs about blood sugar and metabolic health, because the more you know. NutriSense isn't just another health trend.

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It's a cutting-edge program that combines real-time data from continuous glucose monitors, as you may have heard referred to as CGMs, with personalized one-on-one support from credentialed nutrition experts. Together, they empower you to take control of your health and make lasting changes.

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With the NutriSense app, you'll see exactly how your body responds to the food you eat, the exercise you do or don't do, your stress levels as stressors hit you, and the sleep you get or don't. It's a complete game changer for uncovering the why behind how you feel. Watching your blood sugar go up and down all day is really eye-opening. And here's the best part.

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NutriSense gives you tools to experiment, track, and optimize your lifestyle so you can stop guessing and start thriving. The NutriSense CGM is hands down my favorite biohacking tool. Are you ready to take control of your health today? Head over to NutriSense.io forward slash Dr. Tina. That's D-R-T-Y-N-A to get $125 off your program. That's NutriSense.io forward slash Dr. Tina. All right.

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Because the wellness space has gotten really gross. That's it at the end of the day. The wellness space has gotten super gross. I'm embarrassed to be a part of it. I'm embarrassed. I'm embarrassed to be called a wellness influencer. I'm embarrassed to be called a health influencer. Like, I don't want to be that. I think it's gotten so gross. I think people are up for sale.

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I watch people with really strong convictions that I know where they stand on things entertain or even host other people that I know in the wellness space that I know at their core are completely contradictory. And yet it's like this, Weird, incestuous, kind of gross space. And I was just out to breakfast with a couple other influencers, actually, both doctors, both licensed physicians.

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This food is the real deal. We don't deal with fleas anymore. They don't stink. And I think of high quality food as an investment in their longevity. And if feeding them top tier means that I get more happy mobile years on the planet with them, then that's an investment I'm absolutely willing to make. We in this community spend so much time and effort ensuring that we're feeding ourselves well.

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And we were just saying, like, how completely gross the space has gotten. And then we're pulled into it. And I'm trying to function from a place of integrity, high integrity space. I cannot tell you the amount of money I turn away.

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I cannot tell you the amount, hundreds and thousands of dollars a year that I turn away because I do not align with the message of the company trying to pay me or I don't want to be associated with them or I don't believe in the product. I can't in good faith advertise that product to you guys because I can't use it. So this is tough, right? Like this is where it's at.

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I hate to be the messenger on this one, but there are a lot of people in the online social media space with fake credentials and you're all getting snowed by them. So I am going to break this down for you in detail to help give you guys some information that I think you all deserve to know that nobody's put together yet that I can find because nobody wants to upset the apple cart.

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then you add in this like gross fake component and it's just bullshit. And I'll tell you what really set me off. There is a big influencer in the health space. He's a chiropractor. He vehemently rails against GLP-1s. And the other day he came out with a whole reel about how great BPC-157 was. And I was like, oh really? So we get to pick and choose which peptides are okay to use and which aren't.

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But this one comes in a pill that he can sell. And that was it. Like, I blew a fuse. I was like, no more. I'm not going to just sit here silently and let these people frickin charade around you and pull this shit because he is scaring the bejesus out of people who are actually having their lives changed and potentially saved by the use of a GLP-1 appropriately, you know, prescribed by a doctor.

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And these doctors are doing their best work and they're dealing with patients every day who are hearing this nonsense. And these guys over here with their, you know, sensationalized, propagandized, they're just pulling the hooks out so that they can, you know, they got a big hook, the Ozempic hook. And now you're drawn in and you're like, oh my God, it's going to kill me.

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doctors who have absolutely, I mean, let's just call a spade a spade. If you don't have a license to prescribe something you don't, and you've never used it clinically, then like you really don't have any ground to stand on and say how awful it is. I'm sorry. That's just where we're at.

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And somebody would argue with me and say, well, you were really against the intervention of 2021 and you never prescribed it. Yeah, but I can. And that's apples to oranges. You don't get to sit there and trash on. Here's another example that I see commonly with unfortunately with chiropractors online in the online space.

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They rail against hormones, bioidentical hormone replacement or hormone replacement therapy. They rail against it. But the second that there's something available to them that they can use that's over the counter, like progesterone, for instance. Oh, they're all for it. Because they can sell it to you. Oh, it's okay. Or they can prescribe it. It's okay.

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I saw this time and time again in my practice. I would have a patient who would go see their chiropractor or somebody I went to school with. I would know the dude and the dude would be like, oh, that's not safe. Take this supplement instead that has glandular in it that will get you where you need to go. You don't need that.

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Why aren't we doing the same for our pets? Sunday's is fresh, air-dried dog food made from a short list of human-grade ingredients, 90% meat, 10% superfoods, and 0% junk. No synthetic nutrients. No artificial fillers, just real whole food for your pup. And you'll see the difference. Softer fur, fresher breath, better poops, and more energy. And the best part, there's no refrigeration, no prep.

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And they don't know anything about that, that they just scared their patient off of that was probably more cost-effective, was still bioidentical, by the way, bro, and was working more potently and is more standardized and more controlled. Like, it's actually something that is FDA...

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approved and you're over here giving them a supplement with glandular which no shade on those either but like don't scare them off this because you can sell them something that's probably going to be way more money and way more freaking difficult for them to take to even get to this dose same thing with you know we see this with progesterone all the time the chiropractors are vehemently against estrogen or testosterone but yes please take the over-the-counter progesterone they say it's so confusing to me i i'm like i'm

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What clown world are we in? Oh, don't take the GLP-1 peptide, but yes to the BPC-157 peptide because I can prescribe it to you in a pill form. I can profit from this. It's bonkers, you guys. And you guys are caught up in the middle of it. And I totally understand why you're confused. I would be confused. I know how to research. I know how to pull this stuff up. And I'm like, this is not adding up.

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But yet it just keeps coming. And I'm sitting here in the space. I'm supposed to be on their team, so I'm supposed to play nice with them. And I'm just sitting here completely grossed out most of the time. I open up Instagram and I'm completely grossed out by what I'm hearing. So much fear mongering, yet they have a solution for you that you can buy, right? I just, I can't do it.

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And you would be shocked how potent fear is as a marketing tactic. It's truly a needle mover in people. And sometimes I will try to purposely scare the bejesus out of you because like, for instance, strength training a muscle and the real risk of osteoporosis as you age. I will beat that drum to no end because if you're not concerned, as concerned as I am for you, I don't know what to tell you.

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But that's a story for another day. But these folks will scare you away from something that's working for you, that your doctor responsibly prescribed to you, and you discontinue it because of an influencer who probably has a ton of fake followers, by the way. It's so weird. It's like the more followers they have, the more authority they have, regardless of their degree.

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And so I'm here to tell you that some of these degrees are even fake. And you guys are getting bamboozled in the process. Hopefully not my listeners. My listeners are smarter than that, but we're going to give you some information to take home here.

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So today we're going to break down what makes someone a real doctor in the natural medicine space, how to spot fake naturopathic doctors and fake doctoral degrees, i.e. fake PhDs, which schools and certifications are totally bogus. I'm actually going to give you the names of the schools. So get out your notepad and your pencil and start taking some notes and what to do to protect yourself.

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And your patients. I don't even think that most when I say when I bring up to some of my colleagues who are real licensed doctors and I say, yeah, Dr. So-and-so, he's totally a fake. And they're like, really? I had no idea. They haven't even vetted him. Right. So it's hard even for us to decipher who's who and what's what. So what is a fake naturopathic doctor?

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In many states, anyone can legally call themselves a naturopath in many states, even with no training at all. Others go one step further by getting diplomas and certificates and board certifications from unaccredited schools and diploma mills and places where you can literally buy board certifications. I'm going to tell you these places.

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These individuals typically have what's akin to a health coaching certificate. It's like an eight to 10 week program. Maybe it's a few months longer. They never have to pass a licensing exam. They never sit for board exams. There's literally nobody holding them accountable. They now have a certification that says that they're in a nature path.

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It's not gross. Just pour and serve. It ships right to your door so you'll never run out. Plus, when you start Sundays on a subscription, you get 20% off that subscription with free shipping on every order. Cancel or pause anytime. It's completely risk-free. Right now, you can get 40% off your first order of Sundays.

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They call themselves doctor and they go buy a board credential. They go buy a board certification so they can say, I'm board certified. And they have literally just bought it from a mill. It's completely unregulated. There's nothing anyone can do about it. There are certain states where naturopathic doctors are licensed.

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And in those cases, it is the onus of responsibility is on the medical board, the naturopathic medical board, the naturopathic board in that state has to have the time and the money and the energy and the legal acumen to go after that individual. Right.

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so very often these people are just left to keep going doing what they want to do because those boards are tiny and they are overworked and they are stressed and they do not have the time or the money or the space to actually hunt these people down and tell them to knock it off the medical boards will not go after them because they're not masquerading as mds imagine this imagine you were just some schmo masquerading as an md in some random state like

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They would come after you. But for some reason, even in the licensed state, they don't come after the fake NDs that often, although I would hope they would. Now we've got many unlicensed naturopathic states. There are some where naturopaths are just certified to work. And I'll break this down for you in a minute. and see patients, but they can't do much.

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They can do just basic, I mean, they can actually get a lot done because good old fashioned basic naturopathic medicine is very powerful, but they can't prescribe, they can't diagnose, et cetera. Some places I don't even think they can order imaging or labs, but They are, there's some oversight, right? There's some oversight. I think Colorado, I think Washington, D.C. has this kind of setup.

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And then there's totally unlicensed states where it's the Wild West and there are people there who are fake NDs calling themselves doctor. And then here's a fun one. There are other states trying to get licensed. The naturopathic doctors, the real naturopathic doctors in those states are trying to get those states licensed.

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But there are fake NDs in those states who've been there for so long and have such a stronghold, even politically and connections. And I've heard this firsthand from doctors trying to actually get their states licensed that they have to basically grandfather them in and allow them to continue to call themselves Dr. So-and-so ND, even though they're complete fakes. How's that one for you?

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So this is where we're at. Whose fault is it? I don't know. I've tried to get my profession to stand up and do something against this for decades. They won't. I've tried to get the American Association of Naturopathic Physicians to take action. I've tried to get state associations to take action and it doesn't seem to ever go anywhere. So

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Head to SundaysForDogs.com forward slash DrTina or use the code DrTina at checkout. You know I'm all about getting the protein in. It's the foundation of your strength, your muscle, and your metabolic health. But here's the kicker. Just because you're eating a lot of protein doesn't mean you're absorbing all of it.

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I know everybody's probably doing the best they can do, but whose fault is it that there's fake NDs running around? It's our fault. It's our fault as a profession. We did not bring the kibosh down hard enough when this all was happening. My mentor tried hard. He called them undies. These are the fake NDs.

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He tried very hard to get rid of them and to no avail because it's, you know, it needs to be a unified organization. Force, so many licensed professionals like chiropractors, dentists, or even medical doctors, this is the other confusing part. They can call themselves doctor because they're real, but then they go get a fake ND on top of it. So how's that for... Fun.

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So I know many chiropractors who are real doctors, Dr. So-and-so DC, but then they go get a fake ND. So now they are DC ND. Just like me, they have the same letters behind their name, but we did not have the same clinical training whatsoever. And they did not go through a four-year ND school and they did not collect the $200,000 student loan bill.

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And they did not sit for North American, the NPLEX exams. And they did not sit for their state board. There's no license as an ND, but they're calling themselves NDs. ND. So I know dentists who do this. I know chiropractors who do this and they will fight me tooth and nail. And I'm like, dude, you're a fake ND. And it is what it is. Right.

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So they'll use this because it makes them look more holistic. And I'll tell you where they're getting these fake diplomas from in just a minute. Hang in there. So the doctor title is real. I know PhDs who do this too. I know of a chiropractor, a very famous chiropractor, who went to Europe to get some kind of ND designation.

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And I don't discount their training, but it's definitely not the same training as we had by any stretch of the word. And... she pushes the ND because it's more holistic and it's better for her brand. She never discloses that she's a chiropractor. So the doctor part is real, but the ND part is fake. There's the, I would be remiss not to mention the Australian naturopaths.

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These are not the same clinical training we've had, but I know many Australian naturopaths and they are smart as a tack. Still very different training, far fewer hours than we had to go through. I mean, I went through a four-year program

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to get that nd they did not go through that they maybe i don't know two maybe three years they still have a lot of value in the world i'm not discounting that but they're not nds and i have a buddy who's like yeah my wife is an australian nd and i'm like no we're not the same and it's not a again it's not a turf war but like it's so dismissive and and disrespectful to try to compare somebody who spent hundreds of thousands of dollars and a chunk of their life in school and then to say like someone who went and got

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Without the right digestive enzymes, much of it isn't necessarily getting broken down into amino acids that your body uses for muscle protein synthesis. This gets worse as we age. Your muscles don't just need more protein, they need bioavailable protein, and that's where digestive enzymes can come in handy. This is why I never leave my protein intake to chance. I use Masszymes by Bioptimizers.

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Well, in the case of the fake NDs, they went and got like a two or three month education, maybe six months at most. God knows who knows what's out there anymore. And in the case of the Australian Nature Pass, very different, very different training.

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So I just want you to know the differences and you can make whatever decision you want or you can look and I would really implore you to look into this further. That would be the goal of everything I present to you. I hope you will just go do more research and look into it. Like, hmm, that's interesting. I'm going to go look into that. All right. So. We've covered those folks.

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So we've got the real NDs. We've got the fake NDs. We've got the real doctors who have a fake ND. And then we have to get into the fake PhDs because there's a lot of these two. People are now calling themselves doctor after purchasing an unaccredited PhD degree that doesn't require any academic rigor or research. So for those who don't know, going through a PhD program is really rigorous.

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And you've basically... got to spend seven to 10 years in school to get that. And I can't even imagine how much that costs as well. I'm sure it's a clip. And so for people to be masquerading around as fake PhDs is just, it's, it's all infuriating to me.

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So a big one is when they say they have a PhD in natural medicine, a PhD in integrative health, a PhD, a doctor of humanitarian services, fake PhDs. Probably fake. There's no such thing that I know of. If you guys know of something, please email us, podcast at drtina.com. Let me know. Let me know if you know of a real...

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Real PhD from a real school, from a real college or university and a real accrediting board. Now, the other thing about real PhDs that I will tell you, as I mentioned, they don't have any clinical training. They also have no license. So they have no clinical training and they have no license. An ND, an MD, a chiropractor, we all have clinical training, hundreds, if not thousands of hours worth.

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And we have licenses, meaning we are held accountable by a licensing board. I cannot emphasize that enough. So for a PhD, even a PhD in nutritional therapy, like a real PhD in nutritional therapy, they have no clinical training and they are not legally allowed to give you any medical advice. And yet they do. They do it all the time on social media. They tell you dosages.

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They tell you what it's for. They give you clinical protocols. That's not actually okay. But there's nobody to hold them accountable. So these fake degrees, I'm going to tell you where they come from. There's Trinity School of Natural Health. That's the big one. One of the big ones used to be Clayton College. If you see Clayton College, go look at these people's bios.

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When you see Dr. So-and-so ND, go look up their bio. In my bio, I tell you I went to the National College of Naturopathic Medicine, which is now NUNM. It's the National University of Naturopathic Medicine. I tell you I went to Western States Chiropractic College, which is now the University of Western States. These are both accredited schools.

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I sat for my NPLEX exams, which are my North American board exams. I have my state license. You can look it up. You can go look up my license. It's there. You can look up these people's licenses. So if they tell you, I think a dead giveaway for the ND part is, and I'll give you a checklist here at the end. A dead giveaway is when someone says they're a traditional naturopath.

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It's a high-potency proteolytic enzyme formula designed specifically to help you absorb more of the protein that you eat. Not all enzymes are created equal, and most on the market are weak, underdosed, and ineffective. Masszymes is the real deal and the one that I trust personally.

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If someone says they're a traditional naturopath, 99% of the time that's fake. Now, there are some people in my profession that are real NDs that are licensed who call themselves traditional naturopaths because it is a nod to the old ways. And I'm not saying these fake NDs don't know anything, but... They're not doctors and they really shouldn't be allowed to put ND after their name.

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So if you see traditional naturopath, that's usually the first red flag for me. And then I go look at their bio and their bio doesn't have any of the accredited schools. I'm going to tell you the accredited schools doesn't have any of the accredited schools on it. Most people don't list that they took board exams, so you're not going to find that readily, but you can look for their schools.

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Most of us will be very forthcoming about what schools we went to. I had a moment there when I had a team working on the copy on my website and we didn't have the schools in my bio. And I was like, oh, no, you guys, we have to have the schools in the bio because I'm not listing the schools to brag. I'm listing the school so that you guys can check and make sure like this person is legit. Right. So.

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We've got the International Quantum University for Integrative Medicine, fake. We've got the Kingdom College of Natural Health, fake. We have Clayton College, fake. University of Natural Medicine, that sounds real, fake. And it sounds a lot like the school I went to, which I'll list off in a minute. Brier State University, sounds real, fake. Trinity School of Natural Health, very fake.

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And that's where most of the fake NDs are coming out of. These are all mail order diplomas. These are all online programs with mail order diploma, they're mills. They have little to no academic credibility whatsoever. So the fake, let's see, unaccredited or fake schools, again, Trinity School of Natural Health, There's no academic oversight.

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The Kingdom College of Natural Health offers alternative PhDs and other degrees. It's based offshore. The University of Natural Medicine offers unaccredited doctorates in natural health and naturopathy. The Briar State University is a known diploma mill. The International Quantum University for Integrative Medicine offers PhDs in quantum healing and natural medicine. No research required.

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There's no it's not a real PhD. I don't know how people can get away with this. Here's the fake boards that provide the certification. So you can literally go buy a board. certification. You can say I'm board certified. You can go purchase it. The American Naturopathic Medical Certification Board. That sounds very official, doesn't it? The ANMCB. Write this one down.

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I've even done a side-by-side breakdown with ChatGPT on all my favorite digestive enzymes and this one always comes out tops. Masszymes is a full spectrum enzyme formula with more protease than any other commercially available product. It's got five different types of protease in it. Plus, it contains all the other key enzymes you need for optimal digestion. And you can try it today risk-free.

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American Naturopathic Medical Certification Board. This is where a lot of them are coming out of. And it's a fake board certification. The International Practitioners of Holistic Medicine. Fake. The American Association of Drugless Practitioners. That sounds very official, doesn't it? It's fake. It's a fake board mill.

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The World Organization, the World Organization of Natural Medicine Practitioners. Fake. These boards allow anyone to buy a board certification. So let's go through them really quick. American Naturopathic Medical Certification Board. Write it down. The International Practitioners of Holistic Medicine. The American Association of Drugless Practitioners. I see that one a lot.

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The World Organization of Natural Medicine Practitioners. If you go to their websites, they look official. Like they would confuse me. I'd be like, this looks real. So what is a real naturopathic doctor? Again, to repeat, we complete a four-year doctoral program from a school accredited by the Council on Naturopathic Medical Education, the CNME.

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We sit for the NPLEX, which is the Naturopathic Physicians Licensing Examination. These are spendy board exams, people. We obtain a license from a state or provincial medical board in Canada, its provinces. We practice only in jurisdictions that legally recognize and regulate naturopathic medicine. And that's it. And then we have to sit for our licensing board exam.

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We have to keep our licenses up. We have to get continuing education. There's a ton of costs involved. We have to carry malpractice insurance. We have different scope in different states. And that's what it is. Now, again, if you're dealing with a real naturopathic doctor in an unlicensed state, you're not going to be able to look up. There's no board.

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So you're not going to be able to look up their license. So that's where it gets a little gray. And I'm sorry for those who are, for my colleagues who I love very much who are in unlicensed states. I'm not throwing you under the bus. I'm just trying to give people some direction to go and some path. All right, so here are the schools, the real schools.

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If your ND did not go to one of these schools, this is a very easy question to ask, what school did you go to? If your ND did not go to one of these schools, they are fake. So Bastyr University, there's a Washington and a Southern California campus, so Seattle, Washington, and Southern California down in San Diego. Bastyr, one of the oldest naturopathic schools in the country.

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There's NUNM, National University of Natural Medicine. That's in Oregon. That's where I went. It used to be called NCNM, but now it's NUNM. It went from college to university. There's SCNM, which changed its name recently to Sonoran University of Health Services. That's in Arizona. Canadian College of Naturopathic Medicine. There's a Toronto campus and there's a Vancouver campus.

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The Vancouver campus used to be called Boucher, but it got bought out by Canadian College of Naturopathic Medicine. And then there's National University of Health Sciences in Illinois. It's outside Chicago. They have a chiropractic program, kick-ass chiropractic program, kick-ass naturopathic program. If you get a doc from NUHS, you got a pretty kick-ass doc.

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So, and then as far as chiropractic colleges go, I'm not going to get into that because you cannot masquerade as a fake chiropractor. They, they hammer you because chiropractors are licensed in every state in the United States. So there's a board to go after people and they go after them. If you walk around being a fake chiropractor, you will get your ass handed to you.

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Their 365-day full money-back guarantee is the gold standard of the industry. For your exclusive offer as a listener of The Dr. Tina Show, head to buyoptimizers.com forward slash drtina and use promo code drtina. Again, that link is buyoptimizers.com forward slash drtina. All right, so first off, again, disclaimer, I'm not trying to say that my degrees are superior to anyone's. I'm a chiropractor.

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But for some reason in the naturopathic world, it just flies. So again, Bastyr.com. national university of natural medicine sonoran university in arizona canadian college of naturopathic medicine and national university of health services in illinois if someone did not attend one of those programs and does not list it on their bio you ask them where did you go to school

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because they did not sit for licensing exams. There's no way. You have to graduate from one of those schools to actually sit for the licensing exam. You cannot sit for the licensing exam if you go to any other school in the world. So they did not pass licensing exams. They are not a real naturopathic doctor. Again, the Australian naturopaths, they're very smart. They're very well trained.

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They are usually having earned a bachelor's or master's degree in health science or nutrition, but they're not licensed naturopathic doctors by US or Canadian standards, and they do not complete the same program or board exams. Again, no shade. I love my peeps, but different.

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legitimate naturopathic doctors in unlicensed states i want to just reiterate this some naturopathic doctors did attend real school and did pass licensing exams the national licensing exams but they live in a u.s state that does not yet license naturopathic medicine these individuals are real naturopathic doctors but the law may prevent them from advertising themselves in this way some states where this is happening florida texas they witch hunt nds so you

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You're going to if you're looking for somebody there that's a real ND, do your homework and just ask them, where did you go to school and did you sit for NPLEX exams? NPLEX, N-P-L-E-X. Where did you go to school? Was it one of those schools I listed? And did you sit for NPLEX exams? Now, PhDs. Again, they are trained in research methodology.

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They often involve getting a dissertation in order to get their PhD, but they did not include any clinical rotations. They did not get trained in lab diagnosis. They did not get trained in pathophysiology. They did not get trained in pathology usually. They have had no patient interactions. There's no licensure.

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So when you see PhDs, even a PhD in nutrition, for instance, cannot legally treat patients or prescribe therapeutic protocols. A PhD in neuroscience is not a mental health provider. A PhD in biomedical science cannot prescribe medications or diagnose conditions. They're researchers. It's very different. That doesn't mean they don't know what they're doing, but...

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they don't have clinical licks and clinical licks matter. Like we had hundreds of hours just to get out of school. We had hundreds and hundreds and hundreds. I don't even remember how many, I mean, I went to two schools, so I had thousands of hours. I don't remember how much, it was a lot though. It was entirely our third and fourth year of school.

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So they post content that sounds like medical advice. They go by doctor and you guys think that they somehow have medical training and they have no medical training. Now, some, again, I do have colleagues who are PhDs who've gone on to do extensive clinical training outside of their original PhD. It's further education. So good on them. But they're going to sell you supplements.

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They're going to sell you courses. They're going to give you medical advice. And they have absolutely no medical training. All right. That's just what it is. I'm not again, not throwing shade. I'm just telling you so you know what you're dealing with, because a lot of people don't seem to know because they come at me and they're like, well, someone says a Ph.D. and you're not.

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And I'm like, OK, I'm actually a doctor with clinical training. So this leads to confusion and misplaced trust at the end of the day. And this is why I'm doing this podcast is because there's a lot of misplaced trust and there's a lot of people coming at. I should say a word about functional medicine.

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Functional medicine, at least right now, I know that they're trying to build out some schools around this and maybe some of them are starting to bring students into the process. But at this point. The only thing that you can get from functional medicine, there's no board certification in functional medicine. It is just a certificate. So you can go through the Institute for Functional Medicine.

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I'm a naturopathic physician. Both of those required a four-year degree. I had to sit for board exams for both. In the chiropractic profession, there's multiple sets of board exams. They are... US and there's Canada board exams. I took the US board exams. I passed them. I got my license. I no longer carry my chiropractic license. I let that go in 2020. Why?

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That's a very good one. You can go through A4M, which is the anti-aging organization. That's a very good one. These people sit for, they go through several rounds of weekend trainings and then they sit for an exam and then they have a functional medicine certificate. But are they board certified? It's not like if they're board certified in sports medicine.

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It's not like a specialty board certification that MDs can get. So the easiest thing to do is if you're dealing with a PhD or you're dealing, you know, like I would ask them, are you licensed to treat people? And they will have to tell you no because they're not. Unless they have an MD also or they have an ND, like a real clinical license. They're not.

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Then ask them, do you have any clinical training? Or just go look them up, right? If you're dealing with a chiropractor who has an ND, say, where did you go to school? And if it was the, you know, the, what was it? The American naturopathic medical certification board. If that's what's on their diploma, then you can call bullshit. They're not real NDs.

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They did not go through the same ND, rigorous ND training. They went through a health coaching program to add on. And the doctor part is real because they're a chiropractor, but the ND part is fake. I see that one all the time. And then here's my favorite part. I'm going to tell you my favorite. My favorite is the people who have absolutely no healthcare training whatsoever.

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They've never spent an hour in any kind of training in healthcare world. They have literally no clinical training whatsoever. They've never seen clients or patients, but they give you hardcore fear tactics around things like Ozempic and then try to sell you into, you know, food is medicine. That's the only thing you need. You don't take these medications. They're going to kill you.

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And they've got big voices and they get on all the podcasts and they go viral and they write bestselling books and they have absolutely no health credentials whatsoever. And they're scaring the shit out of you to get off of things or to listen to their way. And they'll tell you with conviction that it just takes 12 weeks of dietary changes to cure PCOS.

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And they'll tell you this on some of the biggest podcast platforms in the world. And they have absolutely no healthcare experience. So. All right. So here's how you become a fake doctor. If any of you are interested, you complete an online naturopathic or PhD program from an unaccredited school. You receive a diploma by mail.

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You go buy a board certification and then you open an Instagram account and call yourself Dr. So-and-so PhD or Dr. So-and-so ND. And there you go. And you're in business. So how to vet a practitioner? I think it's really easy. You ask them, what school did you attend? Was it accredited by the Council of Naturopathic Medical Education? Did you pass your NPLEX exams?

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Are you licensed by your state or province? Can I go look up your license? And can I verify you online? Can I verify your license online? And if they say no, and they might be a real ND and they're in an unlicensed state, so they might have some no's to those answers. But every single real ND I know went to an accredited school and sat for the NPLEX and passed it.

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You don't get to call yourself doctor otherwise. Some red flags are vague and missing educational details. They call themselves a traditional naturopath. Like I said, that's usually a dead giveaway. They're board certified by some unknown or unregulated board like the American Naturopathic Medical, you know, whatever credentialing society. There's no listing of any official.

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Because as a licensed naturopathic doctor in Oregon, I have a very broad scope. I'll get into the training around that in a minute. And I... didn't need the chiropractic license anymore. And oddly, this is the odd part. It was February 2020 when I let my chiropractic license go. I knew something was coming and I knew my voice would be needed.

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There's no listing of them in any official licensing database, right? I will tell you this. There's the National Practitioner Index, the NPI. And I thought for a long time that that would be the way. I always thought you couldn't get an NPI number unless you were actually a practicing licensed doctor that holds a license in a state. But I have learned since that that's wrong.

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And there are a lot of fake NDs and fake doctors getting their NPIs. So forget the NPI number. I used to think that was a surefire way. So whatever. Why can they get away with it? Because there are a few legal protections in place.

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Like I said, most states don't regulate the term naturopath, and the term doctor can be used by anyone with any type of doctorate, even if it's fake, because there's no federal regulation of that word. Can you believe that? There's no federal regulation of the word doctor, at least that I can find. There's no federal title protections on it.

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And then, again, we've got the PhDs who are giving out clinical information and clinical treatment plans, and they have no medical training no clinical hours and no license to hold them accountable. There's no licensing board to police them. So again, this is not about gatekeeping. It's not about me saying I'm better than anyone else. It's just about transparency.

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And it's about this sort of assigned role. Somehow we have like assigned authority to people who have bigger followings and we've decided that they're the Holy Grail. And the bigger the following, the more clout they have and the more trust that they gain. And I've seen it in my own following. It's very weird. And I just think that that's incorrect.

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I know brilliant doctors sitting in their clinics who will never be recognized, who have no online following, who've never been on a podcast. And they hold the secrets to really tremendous, phenomenal, deeply... researched and deep clinical experience. And they hold the secrets to the universe and they'll never get any kind of platform to share it.

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Or they have 600 followers and you guys don't think they're legit, so you don't follow them. But you go follow Dr. So-and-so ND because she's got 350,000 followers or whatever. you know, and she's fake. So, all right, that's it. That's my rant. I told you today I chose violence, but I thought you guys should know my whole jam is to try to give you transparency and the truth.

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And this is something I've been holding onto. And I feel like I'm lying to you if I don't share it with you. So, I'm sure this is not going to make any extra friends for me and probably some extra enemies, but so be it. So I wish you all well. If you guys have anything to say about it, you can email us podcast at drtina.com. My podcast producer vets all of those emails before I see them.

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So if you want to shoot me out. So be it. I won't hear about it. But if you have some ideas for the podcast or if you have further questions or clarification or any other information that I didn't cover or maybe I was incorrect about, please let me know. I would like to know because I'm trying to put this together.

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And my dad was so mad at me for letting that license go. And he said, why would you do this? I said, dad, I can still adjust people. I can still do everything I can do with my chiropractic license under my ND license. I'm fine. And he didn't get it. And I get it. I mean, I get where he was coming from, but it's not like I couldn't just go take the board exam and go get it again. Right.

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I would really like to put this together in a way that's well organized so I can present it to somebody of power in the naturopathic profession so that maybe our profession could get together and actually do something about this. So with that, I will leave you and bid you adieu. Thanks for listening to The Dr. Tina Show.

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This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review, and subscribe on your favorite podcast app.

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You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. This podcast is for general informational purposes only. It does not constitute the practices of medicine, nursing, or other professional healthcare services, including the giving of medical advice.

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I am a doctor, but I am not your doctor. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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Um, I've taken all the credentialing schooling. I've sat for and passed all the board exams. I have everything I need. The point was, I didn't really feel like having two boards come at me and I knew my voice was going to be needed. And sure enough, a few weeks later, you know, the whole world changed and I used my voice. So if you were there, you saw it. My ND degree, that's a four year program.

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There's no residency. I will say that is a weak spot in the, in the training. It's a four year program. Um, I'm not going to get into the whole we have more hours than medical doctors and this and that. I mean, I think that's a lost leader. We do entirely different things. So when it comes to naturopathic training, we have phenomenal nutrition training.

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So when you hear some of these big influencer doctors say, well, I never got any training in nutrition. Doctors don't know anything about nutrition. Au contraire. The naturopathic doctors have extensive hours of nutritional training. The chiropractors, their lane is musculoskeletal medicine.

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I'm not saying chiropractors can't go get advanced training and further training or other certifications, but their lane is musculoskeletal. And having gone through both programs concurrently, I can tell you that the chiropractors were terrible with lab diagnosis. They were terrible with systemic illness. And some of them were good because they focused on it.

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While I'm not necessarily trying to tout my own degrees as being superior or having any kind of turf war, there is so much fakeness out there that is impacting you that you have no clue about. And I recently made a post about this. Well, I didn't make a post. I posted about it in my stories on Instagram and it got a lot of response.

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But in general, they do musculoskeletal and neurologic medicine. They know more about the neurologic system than anyone. any other doctor I know besides neurologists.

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The naturopathic doctors were very weak with physical medicine, very weak with their anatomy, very weak with their palpation skills, very good at lab diagnosis, very good at pathophysiology, and very good at nonlinear thinking, meaning we not only had to train in what the standard of care was so that we knew it, we also had to train in what all the alternatives were. So

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There's a lot there, different trainings. I'm not saying anybody's superior or better. I'm really glad I did both. To be completely honest with you, I would have been afraid to practice medicine without my chiropractic degree. Like that school trained me in a militant fashion, how to be very competent and not miss anything and cross my T's and dot my I's.

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The naturopathic training was sort of all over the place. I would say that the bulk of people I went to school with, I would not trust to treat myself or my family. And I've said that for years, this is nothing new. But some of the greatest minds I've ever met are in that profession of naturopathic medicine.

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So I'm not throwing them under the bus, but the training was kind of haphazard and all over the place. I don't know if every school's that way. I went to a really good chiropractor college, Western States Chiropractic College. I know some of you don't think either of my degrees hold salt, but I'll tell you what happens in the state of Oregon. For the naturopathic, we also had board exams.

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They were North American, so they covered Canada and the U.S. There were less sets of them. There were less rounds of boards. And... Then you have to basically sit for your, you know, you have to pass certain tests for your medical license in the state. So there's jurisprudence for both the chiropractic and the naturopathic. And then you have to keep up with CEUs and you hold a license to treat.

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You hold a license to diagnose. The difference between real doctors and not doctors is the difference.

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the actual ability and the necessity and the responsibility to diagnose it's the privilege of diagnosis they call it it means that we diagnose meaning we take responsibility for what we find in our testing and our history and however we approach the patient we have to do a history a physical exam run diagnostic testing and then we are responsible for that diagnosis

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Non-health professionals don't have that. The other thing is, is that we are licensed. There are a lot of health professionals out there who are non-licensed, meaning there's no licensing board holding them accountable. The licensing board is not there to protect the doctors. The licensing board is there to protect the public against the doctors screwing up.

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And so we have licensing boards that we are held accountable to. If we want to hold that license, we have to pay a fee every year for that license. It's quite expensive. We have to, you know, if you want a DEA license, which I hold, I get accused of not being a real doctor. I'm like, well, then how did I get a DEA license? That's a drug enforcement agency license.

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I hold that license and I have to pay for that every two years. You have to be a real doctor to get that. I drop four-inch needles into people's spines. I can prescribe virtually every drug on the formulary out there, aside from like a few different ones that we can't prescribe in Oregon. But in Oregon, we have a very broad scope. I can do minor surgery.

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I'm not going to sit here and try to prove myself, but we are trained as real doctors, I promise you. But there are fake NDs, fake naturopathic doctors. And there are NDs in unlicensed states. And so it gets very confusing. That's what we're going to get into today. I'm just trying to explain what the foundation is. So I went through two programs nearly completely.

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And there was a whole lot of people saying, oh my gosh, I had no idea. How are we supposed to sort this out for ourselves? The problem is it's not easy. I'm going to give you some parameters today on this episode. And then there were people who came at me and were mad and said, you're just trying to say that your credentials are all that matter.

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There was very little overlap in my credits. So very little of my credits from one school transferred to the other because they were so vastly different. And so I went through two entire programs. medical program trainings. And I sat for two entirely separate sets of board exams. And I sat for two separate sets of licensing exams.

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And I held two licenses up until 2020 when I let my chiropractic degree go. I tell you all of this because this process takes... You have to have an undergrad to get in to either program. This process takes... All in all, my process took about 12 years. And... Just about $350,000. That doesn't include any extra training.

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All of the CEUs I did, continuing education, all of the specialty training I did. This is just bare bones getting my license to treat and to see patients and to be called a doctor. So that said... The fake NDs, I'll get into their training in a minute, but you will be shocked.

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And this is why I need to say something because I was talking to one of my friends the other day and I was like, hmm, so my 500 or 400 and something dollar a year licensing fees, I hold license in a few states, so I have a couple of licensees. So my licensing fees plus my DEA fees plus my continuing education costs plus

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plus my degree that cost me, plus the compounded interest on that degree that, you know, I think by the time I paid off my student loans, it was 100 Gs in interest that I paid. A good chunk of my life, a huge chunk of my daughter's young life, the fact that I can write prescriptions in this state and several other states where NDs are licensed,

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The fact that I can drop needles into people's spines, essentially. Oh, my, you know, several thousand, several thousand dollar a year malpractice insurance. I mean, all of those would argue that I'm much more of a real doctor than many of these fake NDs. But the population at large is confused. And I get why.

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Because you've got folks on Instagram with huge accounts, hundreds of thousands of followers. They call themselves Dr. So-and-so NDs. And they hold absolutely no credentials whatsoever that would allow them to call themselves doctor. But that term is not federally policed. And so they get away with it. And you believe it. And it's very difficult to find where their credentials are.

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And they are not any type of doctor whatsoever. Can you believe that? That's happening. And you're following them. And I'm not going to call anyone out by name because I don't want to get into some kind of like pissing match. But that's what's happening here. And so I'm going to give you the tools that you need to sort this out. Now, PhDs can call themselves doctor. They are doctors, but it's a.

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And, you know, you're just trying to turf war and, you know, whatever, accused of all kinds of things. I think you should know that there are people out there calling themselves doctor who are not doctors. I think you should know that there are people out there who are certain types of doctors, but they're not at all clinical or health doctors.

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different kind of doctor. They're not medical doctors. They have literally zero clinical training. Now, some have gone on to do some specialty clinical training, but a PhD is just a researcher. Those folks have little to no clinical training. And so they're not supposed to give you any medical advice whatsoever. I'm not throwing them under the bus. I am huge fans of both of those individuals.

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And I think that they bring a lot of wonderful knowledge to the world. But I'm just telling you the difference so that you know, because folks online come at me and say, well, you're just a naturopathic doctor and they're a PhD, so they know better. And I'm like, when did PhDs outrank NDs? Like when in that world, when did that happen?

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Because I actually have more school under my belt to get to where I got, especially with the two degrees. And that's fine. Again, I'm not trying to get into turf wars or pissing matches. I don't care. At the end of the day, I don't care what any of you think of me. I know what I know. I know the people's lives I have changed. I know the people's lives I've saved.

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I know the people that I have intervened on and helped pull them out of holes that nobody else was able to help them out of clinically and literally save their life. So I am fine with where I am at and the degrees that I hold and the knowledge base that I have. And I know that some of you have had your life's massively changed by naturopathic doctors or chiropractic doctors or whomever.

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Doctor of chiropractic is how we're supposed to say it. It's DC, right? Doctor of chiropractic. Let me ask you something. Do you really know how your metabolism is functioning right now? Most people don't. They're flying blind, guessing if they're burning fat or sugar. But what if you had a tool that could tell you in real time what fuel your body is using? That's exactly what Lumen does.

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It's a handheld device I've been using for years that gives you instant feedback on your metabolic state just from a single breath. No labs, no guesswork. If you're trying to lose fat, build lean muscle and optimize your hormones, knowing whether your body is burning fat or carbs is a game changer.

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Lumen tracks that for you daily and then gives you personalized nutrition guidance to help you work with your metabolism, not against it. The warmer months are coming. Spring back into your health and fitness. Head to lumen.me forward slash drtina to get 15% off your Lumen. That's L-U-M-E-N dot M-E forward slash D-R-T-Y-N-A for 15% off your purchase. Thank you, Lumen, for sponsoring this episode.

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Are you looking for something simple and delicious to add to your wellness routine? Something that not only satisfies your sweet tooth, but actually supports your health? I used to use regular honey daily for the health benefits, but then I found Monocora. This isn't just honey, this is next level nutrient packed, creamy, dreamy magic.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I'm going to be sharing this study with you that showed a jaw-dropping 45% reduction in dementia risk. Not from some new Alzheimer's drug, not from some fancy intervention, but from good old GLP-1s. And I'm so excited to share the data with you. So let's jump in.

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And I completely agree, but this doctor is totally wrong because at a root cause level, these peptides, I firmly believe, do treat these conditions. They're not just a band-aid. And you'll have to go through and listen to the rest of my content to understand because it's a multi-hour storyline. So I'm just a little bit embarrassed for people who are trashing on these peptides at this point.

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They're clearly not keeping up with the data. If your physician is one of them, they're clearly not keeping up with the data. And I have hours of it for free available on my podcast. And if you head to drtina.com forward slash Ozempic Uncovered, you can check out the GLP-1 podcast. uncovered program. And like I said, it's free. It's a four-part video series.

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And from there, you'll be invited to join GLP-1 Dunright University. So with that, I will bid you adieu. Thank you so much for listening to the Dr. Tina Show. I'll make sure that the link to the study is in the show notes so you can inform your doctor and all of your friends and all of the GLP-1 haters out there. And I'll see you next time. Thanks for listening to The Dr. Tina Show.

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This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app.

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You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

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Whenever I talk about GLP-1s and their benefits, everybody wants to argue, well, wouldn't reducing your blood sugar, wouldn't optimizing your metabolic health, wouldn't weight loss already improve outcomes with X, Y, or Z? And yes, I would say yes. This showed that with other medications designed specifically to be cardioprotective and lower glucose, they did not see the dementia risk reduction.

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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So it's not as obvious as one would think it is. It's not just, oh, well, they lost weight, so of course their brain health improved. Or they lowered their blood sugar, so of course their brain health improved. Those things should indeed improve diabetes. brain health, but not like the GLP-1 did.

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GLP-1 receptor agonists specifically were associated with a 45% relative reduction in dementia risk compared to controls. SGLT2 inhibitors showed no significant effect on dementia risk. Metformin had no eligible trials and the other drug, I cannot pronounce, pioglitazone showed no significant benefit.

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Secondary findings, no statistically significant reduction in vascular dementia or Alzheimer's disease separately for any drug class. GLP-1 receptor agonist showed signals toward benefit across several cognitive measures, but no cognitive score improvements were consistently demonstrated across all included trials and no significant impact was seen on Lewy body dementia or frontotemporal dementia.

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I get asked about that a lot, actually, about specific types of dementia. They had too few cases to really determine, so I'm not sure. The reason I got interested in GLP-1s, and for those who don't know what GLP-1 receptor agonists are, these are the drugs like Wegovy, Ozempic, Manjaro, Zepbound. These are all GLP-1 receptor agonists.

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And the reason I got interested in them originally was because of their neuroprotective benefits. That was what got me looking at them. And when I started finding the data in both rodents and humans, I was like, what? This is not what we're being told. And beyond that, yes, they have a very incredible...

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I believe if you break down the mechanisms, I just did a podcast about TERS appetite and metabolic health overall. They look to be protective of metabolic health. They definitely induce weight loss. I don't think it's just because they get you to eat less. I think it's because they actually improve your insulin signaling, your insulin reception. There's a lot of different mechanisms going on here.

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They impact the immune system directly and indirectly. They lower inflammation in the brain and throughout the body. All of these things will help with overall cardioprotective benefits, weight loss, neurologic benefits. I mean, they're pretty profound.

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So the interpretation here was GLP-1 receptor agonists may offer neuroprotection beyond their cardiovascular benefits, potentially through anti-inflammatory antioxidant and anti-apoptotic mechanisms, that's programmed cell death, at the neuronal level. SGLT2s might have a neuroprotective potential, but data so far does not show a statistically significant dementia risk reduction.

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All right, so this was a very interesting study. They basically, it was done by two undergrad students, so that right there is very cool. They looked at 26 randomized control clinical trials, over 164,000 participants. And this study included patients with type 2 diabetes and cardiovascular risk factors and or actually.

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Importantly, while observational studies suggested possible benefits, this meta-analysis only showed a statistically significant dementia reduction for GLP-1 receptor agonists, not the other drugs that they looked at. The conclusion was only the GLP-1 receptor agonists demonstrated a statistically significant reduction in risk for all-cause dementia. This is really exciting.

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It's not entirely that groundbreaking if you've been looking at the data though. I get a lot of hate for talking about this peptide and I don't understand why because its neurocognitive impacts are profound. I did a whole podcast episode with Max Lugavere on his Genius Life podcast and we talked specifically about the neurocognitive benefits and I shared some pretty great data there.

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Oh, gosh, an eight-page lesson inside my GLP-1 Done Right University. It's an educational program. It's my big course. I have a free four-part video series where you can check out if this is new to you and you're like, wait, what? Ozempic may potentially have these other impacts on the body. getting away from brand name drugs, just GLP-1 agonists in general.

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I share with you what the data is looking like around those. So it's a four-part video series and you'll get a new video each day. On the third day, you'll be invited at a discount to participate in my big program, which is for clinicians, but as of right now and for a very short time, it's open to the public too. So it's been open to the public since its inception.

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I am shutting the whole thing down. I'm revamping it. And when I relaunch it, only clinicians will be able to gain access to the clinical components of the course. Right now the general public has access to everything as well and it's a beefy course. But I've got a multitude of lessons in there from tip to toe

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Beyond that, I talk about why you need all the other treatment components to go along with your GLP-1 agonist journey. It's not just about taking a GLP-1 agonist. You have to have your hormones in order. You have to have your gut health in order. You have to be leading an insulin sensitive lifestyle. You have to be strength training. I have modules on each section of those.

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I have a module on how to find a doctor to work with, a good doctor to work with. It's a beefy course, but inside one of the particular modules where I go tip to toe about the benefits of GLP-1s and provide you all the most recent data, we've got a bone health lesson, a brain lesson, a cancer in GLP-1s, interesting information in there, cardiovascular... in GLP-1 lesson.

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COVID and long COVID and GLP-1. Gastrointestinal, immune and inflammation, fascinating lesson there. Liver, gallbladder, pancreas, a whole pancreatitis in GLP-1. I'll just let you know on that one, no increased risk of pancreatitis has been seen in virtually any study. So long term, it's just not there. So you can put those rumors to rest.

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Musculoskeletal, you'd be fascinated by what it does to your muscles and your bones and it's regenerative. News flash, it's not actually dissolving your muscles and bones, regardless of what you're hearing out there, regardless of what some of these huge influencers who should know better, who seem to have a good handle on literature are saying to you. It does not turn your bones to dust.

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In fact, it's anabolic and healing to your bones from what I can tell. And I have a whole lesson about it. Pancreatitis, like I said, renal, so kidney health, there's a whole lesson on there in kidneys and GLP-1. Thyroid cancer. I know that's a big one that people want to hear about. That's in the cancer lesson. And then type 2 diabetes, metabolic health. I'm working on more about weight loss.

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And they looked at different types of blood sugar-lowering drugs like metformin, GLP-1s, SGLT-2s, SGLT-2 inhibitors, I'm sorry. And they compared them all and then they sorted out what cardiovascular benefits were happening and dementia risk. So the mean age participant was about 65 years old, 64.4 years, I guess 64 years old. 35% were women and the average duration follow-up was 31.4 months.

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But yeah, I've got data up to my ears. I've got a 40-plus page document in there in the big course that you can have access to when you join that big program. It's all the studies. It's organized by body system. So again, this is for clinicians and for healthcare professionals, but I'm letting the general public in as of now. And that's not going to be for long. We're at the end of April.

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I'm pulling it down probably in the next 30 days. I'm going to be revamping it. And when I relaunch it, the general public version is going to be much, much simpler. way less clinical.

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So if you're one of those people and you really like to chew on the information and you really want that deep dive and you're smarty pants and you want access to all the data and you want access to all the information, grab it while it is in this iteration because it won't be this way for very long. So I'm a total fish oil snob. I always have been. Most fish oil is rancid junk.

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It's the sewer of the sea, if you will. That's why I take Puree's Omega-3. I trust it full stop. Not only are you getting a potent 2,000 milligrams of EPA and DHA, the long chain Omega-3s that actually move the needle, delivered in their natural triglyceride form at 80% concentration, that's rare. But the quality is unmatched.

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It's IFOS certified with a perfect five-star rating for purity, freshness, and label accuracy. It's certified clean by the Clean Label Project. It's certified sustainable by Friends of the Sea. And it's third-party tested against 200 contaminants, including heavy metals, pesticides, dioxins, and bisphenols. Even better, you can scan the QR code on the bottle to see your exact batches results.

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Total transparency. Interestingly, a 2024 randomized controlled trial came out of clinical nutrition looking at healthy older women ages 60 to 80 and the effects of omega-3 fish oil supplementation on muscle loss and recovery during disuse like after bedrest or injury. The result, omega-3s preserve muscle strength and function and even enhanced recovery after inactivity. That's huge.

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If you're a woman over 40 trying to stay strong and resilient, this is a no-brainer. Head to puri.com and use code DRTINA to save 20%. That's P-U-R-I.com. Use code DRTINA because your muscles deserve better than crappy fish oil.

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If you're already hooked on Elements Zero Sugar Electrolyte Mix, buckle up because now it comes in a bold 16-ounce can of sparkling water, and I'm honestly obsessed with it. Same trusted formula, now carbonated. Zero sugar, zero caffeine, all function. Most drinks out there are loaded with junk, sugar, stimulants, fake ingredients, Element Sparkling flips the script.

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If you sweat hard, train hard, or just want to feel better all day long, this is your hydration solution. Dr. Tina Show listeners get a free sample pack with any Element drink mix purchase at drinkelement.com forward slash drtina. Heads up, the free sample pack does require a drink mix purchase, not sparkling only orders. Those cans are a bit more costly to make and ship.

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But while you're there, definitely try out the new Element Sparkling. Stay salty, stay hydrated, try Element Sparkling now. Hey ladies, real talk. If you're in midlife and doing everything right, eating clean, lifting weights, using HRT, but still not feeling like yourself, it might not only be your hormones that need some tinkering. It might be your cellular receptors that need some love.

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When those receptors are overloaded with environmental exposures like plastics, xenoestrogens, and pollutants, your body may not respond to hormones the way that you expect. That's where Liver Love comes in. It's a comprehensive formula designed to support the body's natural detoxification pathways and promote healthy hormone metabolism.

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This is a clinical grade formula that I've used for years in practice and it's designed for women who take their health seriously. Head to store.drtina.com to check it out now. While you're there, use code LIVER20 for 20% off and let me know what you think. That's Liver Love, my premium product to support detox, hormone metabolism, and whole body resilience.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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So this article is called Cardioprotective Glucose Lowering Agents and Dementia Risk, a systematic review and meta-analysis. It's in JAMA Neurology, published April 7th, 2025. So pretty brand new. And you guys can grab this for free online and look it over. It's laid out well. It's got the study broken down on the first page. It's got some key points to look at. And I think it's very interesting.

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And I... From what I am sitting in, in the waist-high, neck-high piles of data that I've looked at, these peptides are pretty incredible on the neurologic system. I'll share a little bit more with you and then we'll close. The mechanisms of action, the way that GLP-1s work in the brain is that they decrease.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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pro-inflammatory cytokines, interleukin-6, TNF-alpha, interleukin-1-beta, they increase mitochondrial biogenesis and fatty acid oxidation, they increase endothelial repair and neurovascular support, they decrease microglial and astrocyte activation, they increase neurotrophic signaling, i.e. BDNF, they increase serotonergic and dopaminergic tone.

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I will say that's a limitation of the study. They didn't follow up with them very long. And as we know, dementia takes decades to... So there's that. But overall, what they found, the key findings were that the cardioprotective glucose lowering therapies did not significantly reduce the risk of dementia or cognitive impairment overall. This is important and I want to reiterate what this means.

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I can't think of anything else aside from exercise that has anywhere close to the impacts on the brain. If you're not keen on taking a GLP-1 or that's not something that's accessible to you, because right now the lawsuits are, it's crazy what's happening with the lawsuits. I'm just trying to stay out of all of it. There are some other options.

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I just did a really interesting podcast with a woman named Sarah Kennedy who is the CEO and founder of CaloCurb. It's a GLP-1 stimulant supplement and fascinating, really fascinating interview. So I encourage you, that was just recently recorded and published, so I encourage you to go back and listen to that episode as well. We'll put that in the show notes in the further listening section.

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And I've got a whole Ozempic Done Right series of podcasts that you can listen to where I talk about... a variety, and this is all for you guys, a variety of different implications, bones, the muscles, I've already talked about that. I don't need to do another episode on that. So go back and listen to all of that.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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And then again, my free four-part video series, which will take you into the course where I talk to you. And regardless of how you're choosing to dose the GLP-1, you still have to do it right.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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If you're a clinician you have to do it right and if you're the general public taking these you have to do it right and the chances of you finding a doctor who knows what they're doing when it comes to metabolic health not that great. So I highly encourage you to empower yourself through education and check out the big course while it is in the iteration it's in.

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GLP1s and Dementia: What the Latest Science Shows | Quick + Dirty

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I heard something today by a well-known and well-respected doctor, influencer doctor, and someone I like very much. And they said they were giving some really horrifying stats about health in the United States and saying that there's nothing

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that we can do, there's no medication that we have to treat dementia, there's no medication we have to treat obesity, there's no medication we have to treat metabolic dysfunction, there's no medication that we have to treat type 2 diabetes that actually works, that we must address these issues with diet and lifestyle.

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Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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And let me tell you, it's a different game than it was even 10 years ago. Recovery takes longer, energy isn't necessarily endless, and pushing for progress feels, well, a bit harder. That's why I take MitoPure, a non-negotiable part of my routine.

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That's mauinuivenison, M-A-U-I-N-U-I venison.com forward slash drtina.

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This is genius. I'm going to try it. I'm going to see Oasis in June or July, and I'm so excited. Oh, my God.

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In Manchester. That's their hometown. And it's this big outdoor, like it's at a castle outdoors. So it's going to be a big festival, and I'm so excited. But yes, I'm going to try that because last time I went to London last year, because I was on Diary of a CEO and I got there, we landed and I literally got into my hotel room and I fell on my face on the bed. Like I couldn't even get into the bed.

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this isn't just another supplement it's the only clinically proven urolithin a formula designed to supercharge your mitochondria the powerhouses of your cells by clearing out the old and making way for the new with regular use i can feel the difference more energy to power through my day stronger workouts and faster recovery greater endurance to keep moving lifting and thriving and most importantly long-term cellular renewal to support my strength mobility and longevity

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I just fell on my face dead on the bed and I woke up, I don't even know how many hours later and I was a mess for three days, four days. So I got to sort this out.

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Okay, good to know. I'll share a trick that my mentor taught me. I'm not a big fan of high dose melatonin. I get asked this question a lot about melatonin. I'd love to actually hear your thoughts on melatonin as well. It wakes me up. I don't know.

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You are tuned into the Dr. Tina show with Dr. Tina Moore. For more, visit drtina.com. On this episode of the Dr. Tina Show, I finally got to bring on my friend, Dr. Stephanie Estima. She is seriously such a badass chick and I adore her to no end. I recently got to know her better when I was on her podcast and we had such a great time that we had to continue the conversation over on this platform.

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He said to take one, he always taught me this, take one milligram of melatonin for every hour difference that you're trying to account for.

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Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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Yeah, and I'm not a big fan of bigger doses of melatonin. I will say that. But when you're just using it local time for your own nightly use, if that's something people do. But I think that this trick works because by day three, ironically, I had to get up the next day and be on Diary of a CEO. And I was panicking and I was texting his – he's now passed, but I was texting his wife.

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And she said – and it's funny because Rick always comes to me and helps me – when I need it. It makes me tear up. He always just like shows up in my thoughts when I'm at that point. And I'm texting her and she goes, well, Rick would tell you to take a milligram of melatonin for every hour that, you know, time change. And I was like, oh my God, I totally forgot about that.

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And so I did it and I slept like a baby. It was great. That's awesome.

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Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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Yeah, try it. We'll see. We'll check back in. Okay, let's talk about strength training for the ladies and explain to the audience This is a loaded question, but why is this absolutely non-negotiable as you age, especially?

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Research shows that MitoPure can deliver double-digit gains in muscle strength and endurance without changing your exercise routine. Imagine what it can do when you combine it with strength training. If you're serious about aging strong and optimizing your performance, MitoPure is the key. Timeline is offering 10% off your order of MitoPure as a listener of the Dr. Tina Show.

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Simply head to timeline.com forward slash Dr. Tina. That's T-I-M-E-L-I-N-E.com forward slash Dr. Tina. This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself, purging the clutter from my home and closets and cleaning up my cells to ensure that I hone my resilience as much as possible.

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Let's talk about this because this is so important. So I've had two women in my life, two elderly women very close to me in my life, have a foosh fracture in the last six months. And in both cases, I immediately knew one actually tripped off a stool. She was standing up on a stool, a pretty young, agile woman. I shouldn't say young. She's young for her age, agile, older woman, very lean though.

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And I could tell you she's osteopenic just by looking at her. had a pretty decent fracture. And then just recently, another woman who's, you know, farm strong, but also in her 70s and just fell in a grassy knoll. And I mean, literally just like tripped over a bump in a grassy knoll and it landed on soft earth. It wasn't hard. Same thing, not as traumatic, was able to just cast it.

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In the first case, the woman had to have surgery. This is the problem, guys. A 75-year-old woman going through surgery is a big deal, right? Going through general anesthesia is a big deal and it gets harder as you get older. It gets harder to come out of that. It gets harder to survive it and it gets harder to heal from that.

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And so it's not just the fracture that we're like, oh, well, put a cast on it. I mean, that's all in good, but... We're talking mobility restrictions. If it's your hip, that is the kiss of death. Let's talk about that a little bit because I don't think people understand. When I was in the gym in my early 40s, I remember I would go in there all the time by myself.

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I was single and these young trainer guys would come flirt with me. And I was kind of a hotsy-totsy back then. I still are. Thanks. As my friend said, he's like, one day you're going to be hot for 50, but right now you're just hot. And now I'm hot for 50, which it's fine. I'll take it. But I was a little hotsy totsy cougar back then. And these young guys were like, what are you training for?

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You know, I'm like to not break a hip. I mean, I wasn't even kidding. And I would say also for the zombie apocalypse, which is kind of one in the same. But this hip fracture thing, like the way that that goes is you usually end up in the hospital. If it's severe enough and you're osteoporotic enough, they won't even reset the hip. They just let you sit there until you die of pneumonia. It's awful.

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And if you do get surgery to put it back in or to have it, you know, bolted back together, basically, that's a massive surgery to have for somebody of that age. So let's talk about that a little bit more.

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one of my favorite ways to do this is to take measures to clear out my senescent or zombie cells have you guys heard about zombie cells how about senolytics senolytics are a class of ingredients discovered less than 10 years ago and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime i know that my listeners are like me we are successful people who prioritize our health above all else but let's be honest the aging process is not always our friend when it comes to having endless energy and productivity

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I always think of it in terms of utility. So I should be able to deadlift my body weight for reasons of being helpful in society. And then my PR goal is my husband. I have to be able to deadlift my husband and pull him out of trouble. So he's not allowed to get over 200 pounds.

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I just think it's important. Yesterday I was doing a video for my, I'm doing this 21 day strength and resilience challenge and it's closed now, but we're in it, we're in the middle of it. And I was doing unilateral moves. And one of the moves I like to do is where you do a step back lunge, but you rotate and touch your front toe.

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Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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But it's really just applicable to real life, right? Like we need to be able to step back, lunge and rotate Because that's a natural movement pattern that you're going to need. And so I'm trying to teach these folks. I think it's probably mostly women in there. I'm trying to teach these folks like this is all applicable to real life.

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You know, when we're talking deadlifting, we have to be able to pick up our kids or pick up groceries or pick up something. and pick it up off of someone if they're hurt. Like what if a big bookcase or, I mean, I always think like God, and I know we talked about this on your podcast, but like God forbid something terrible happens and I can't help the person in front of me because I'm too weak.

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And I posed that question on my Instagram years ago in the stories and I got so many responses from women saying, you know, one woman told me that her kids were in a tractor accident and she couldn't even run fast enough to get there to help them in a timely manner.

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I had so many stories come in from women who were like, oh my gosh, I'm so out of shape that this terrible thing happened and I wasn't able to assist. And then other women saying this terrible thing happened and I was so strong and I was able to help. It's like, which one do you want to be?

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Or fast enough. I was in Vegas actually at one of the malls there and a woman lost control of her stroller. I don't know what happened, but the stroller... Oh, no, no, no. I'm sorry. The little toddler ran off from the stroller. So the stroller started going and she was trying to stop the stroller and deal with the toddler. And the toddler was running right into the road.

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And I lunged and landed in a position like in a very deep lunge. I think most women my age probably would have like hurt themselves. Yeah. doing what I did and I lunged and grabbed the kid and the kid just looked shocked.

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You know, I grabbed her by the arm and she looked completely shocked and I stopped her and she was like this close to the road and I turned her around and gave her back to her mom and her mom's crying and she's like, thank you, I don't know what happened. But like too much was going on for her to, you know, when you're postpartum, like you're not at your top speed usually. So it's things like that.

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Like we have to train for this shit because we don't know when it's going to come out of nowhere. Yeah.

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and evening out skin tone without irritation or dryness. If you're ready to ditch hormone-disrupting chemicals without sacrificing results or breaking the bank, this is clean skincare done right. And if it's not the best skincare you've ever used, you're covered by a 60-day happiness guarantee. And here's something else that I love about Purity Woods.

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That's why I use qualia senolytic. As we age, everyone accumulates senescent cells in their body. Senescent cells cause symptoms of aging, such as aches and discomfort, slow workout recoveries, sluggish mental and physical energy associated with that middle-aged feeling. And a study just came out showing that senescent cells pull energy from our already struggling brain.

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They are Leaping Bunny certified, meaning zero animal testing at any stage. Plus, every order supports one tree planted, which helps restore forests impacted by wildfires. And the good people at Purity Woods are offering Dr. Tina Show listeners an exclusive 27% off to try it for yourselves. Just go to puritywoods.com forward slash Dr. Tina and enter Dr. Tina with a Y at checkout for 27% off today.

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You guys, I have to tell you about the absolute game changer in my dog's lives, Sunday's dog food. I've got three dogs, all different breeds. I love them to the moon and back, and they're all thriving on Sundays. And I mean thriving. My dog with chronic ACL issues, no more limping. My Havanese puppy, it's essentially the only thing he's ever eaten in his life, and he is so tan and jacked.

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And my beautiful German shepherd rescue, we packed 20 pounds of healthy muscle onto him with Sundays. This food is the real deal. We don't deal with fleas anymore. They don't stink. And I think of high quality food as an investment in their longevity.

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And if feeding them top tier means that I get more happy mobile years on the planet with them, then that's an investment I'm absolutely willing to make. We in this community spend so much time and effort ensuring that we're feeding ourselves well. Why aren't we doing the same for our pets?

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Sunday's is fresh, air-dried dog food made from a short list of human-grade ingredients, 90% meat, 10% superfoods, and 0% junk. No synthetic nutrients. No artificial fillers, just real whole food for your pup. And you'll see the difference. Softer fur, fresher breath, better poops, and more energy. And the best part, there's no refrigeration, no prep. It's not gross. Just pour and serve.

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It ships right to your door so you'll never run out. Plus, when you start Sundays on a subscription, you get 20% off that subscription with free shipping on every order. Cancel or pause anytime. It's completely risk-free. Right now, you can get 40% off your first order of Sundays. Head to SundaysForDogs.com forward slash DrTina or use the code DrTina at checkout.

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Yeah. And don't fuck yourself up. Like don't, don't allow a trip or a stumble to be what lands you in a hospital with a surgery and any of us having, I mean, I don't want general anesthesia for any reason ever.

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Also known as zombie cells, they're old and worn out and they don't serve a useful function in our health anymore, but they're taking up space and utilizing energy and nutrients from our healthy cells. I would like to get rid of these.

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Much like pruning the yellowing and dead leaves off of our plants, Qualia Synalytic removes those worn out senescent cells to allow for the rest of our cells to thrive in our bodies. And it's something we take just two days a month. This clinically tested two-day rejuvenation regimen may hold the key to unlocking cellular health and revitalizing aging tissues throughout the body.

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I agree. And what I wanted to add, I didn't mean to interrupt you. I just want people to understand that And I don't want to say this to make anybody feel daunting because you can build muscle at any age. However, from a clinical standpoint, I will tell you that things get a lot harder once you pass 50. You heal differently. Your regenerative properties change.

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And a lot of this has to do with hormones and stem cells and etc. However, the sooner the better. I don't know how to get the pre-perimenopausal girlies to take heed right now. I'm talking in your 30s. This is the stuff you should be thinking about in your 30s and in your 40s. At the very latest, 40 years old. If you can get a 10-year

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runway up to this, you're going to be sitting so much prettier than if you try to start after menopause. So I know that a lot of my listeners are menopausal and older. Actually, I think my age group predominantly when I look at my insights is like 35 to 65. And I know that there's women younger and older in my audience, but I'm telling you, start sooner than you think you need to.

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And I am a big proponent of starting hormones sooner than you think you need to because of this exact reason is the musculoskeletal impacts. I'm so excited that the musculoskeletal syndrome of menopause is being talked about now. And that's the work of Dr. Vonda Wright.

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And we're hearing about this more and more through social media, but I have been utilizing hormones and strength training in patients for decades and it is truly non-negotiable. And so to reiterate what you said, like, I actually don't care about their feelings about it. Like I don't have, I don't want to hear about their feelings. You don't have your feelings. I don't care. Like,

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Like this is not an option, like you drink water, you breathe air, you eat nutritionally dense foods and you strength train if you want to survive and thrive as you get older. Now if you don't want to and you want to just become dilapidated on the couch and be a burden on everyone else in your family, then go right ahead and continue on and I'm not apologizing for that because...

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Like, seriously, fuck around and find out. It's not a fun game. And it's really hard to reverse things once we start accumulating these orthopedic injuries.

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Okay, so I'll start out with the most unkind opinion I have. And I think it's because humans are generally lazy.

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I'm personally experiencing less aches and pains and feeling more resilient overall. If you also want to resist aging at the cellular level and stave off those zombie cells, try Qualia Sinolytic. Go to qualialife.com forward slash drtina for 15% off. Qualia Sinolytic is also available at select GNC locations near you. They've got a hundred day money back guarantee.

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We're lazy primates, right? And so I don't say that as a personal diss on anyone, but we are, and I am guilty of it too. We're lazy primates. We shy away from discomfort and I don't know what that personality trait is that you and I have that doesn't shy away from discomfort. Like I go right into it and just, Let's go.

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Because I know on the other side, I'm going to get a huge dopamine rush out of it when I win. So, you know, I like the challenge. Challenges are fun games for me. But I also think that it's a skill. I've thought about this a lot. That's such a good question that you asked me. I think it's a skill. And I don't think that skill is something you acquire by walking into a gym.

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It's something you actually have to invest time and money into to hire somebody. And I think that until recently, we had a real... There was just a real lack of qualified trainers.

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Not that they weren't good at training people, but we are literally just rounding the corner on this idea where trainers are starting to understand that hormones are important here too and that training a middle-aged woman is an entirely different process than training a 25-year-old woman or a 25-year-old man. So...

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I think that we are finally starting to see the professions meld in a beautiful way and we're all having conversations with each other instead of turf wars. And so that understanding is starting to have this calories in calories out model has to, has to shift. Right. And, and, I think it's a skill. I think a lot of these women don't have the skill. They're intimidated by it.

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They're intimidated by the daunting task of learning the skill. And the skill takes years, I found, to develop. Decades.

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So it's a commitment to a process. And then if you don't start seeing the... benefits of your hard work early on because there is often pain involved like it will hurt worse before it gets better and many especially if you're someone like me with a lot of autoimmune pain like you will flare yourself up before you will get over that plateau and that's that's a tough one so I think that

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Yeah, I think there's a couple of factors there. But man, if I think of all the dollars that Doge is digging up on all the BS that our tax dollars are going towards, it would be super interesting to see what that would look like going into well-trained strength and conditioning coaches who could help. Could you imagine if those dollars were re...

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configured into something worthwhile because we really have a delight. And I also think, I'll throw this in the hat. I think a lot of people were not active kids and we're seeing that more and more and more. My daughter's generation is just wrought with people who were not active kids. I was a very active kid.

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So when I became inactive in my teenage years, I turned into like a chain smoking punk rock girl who just wanted to be as skinny as possible and like But the muscle memory, so that's truly a thing. Like those satellite stem cells are there and they're ready to be reactivated because they were trained as a child. And so I think we have that piece too of people who've literally never exercised.

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And now we're telling them like, hey, honey, you're not going to age well. This isn't going to go well for you if you don't do something about it. And they're like, where do I start? What do I do?

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So you've got zero financial risk in trying any Qualia formula. That's Q-U-A-L-I-A life.com forward slash Dr. Tina. Thanks to Qualia for sponsoring today's episode. Dr. Stephanie Estima, I am so excited to have you here today on the Dr. Tina Show. I was an honored guest on your podcast recently and we became instant BFF. So, so great to have you here today.

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I think you summed it up nicely though, because maybe they're just afraid to step into their warrior goddess. I mean, it's in all of us. Some of us just have different versions. And I don't think women understand how strength training translates into real life because I have a fearlessness about me. Well, you thanked me on your podcast for being so brave and bold during COVID.

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And I literally didn't have that inside of me if I hadn't had a strength training session in me that day. You know, like it translates into bravery because I'm thinking half the time when people come at me, I'm like, honey, I can deadlift you. Yeah. I can pick you up and throw you aside.

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Not that I would, I don't mean to sound violent, but you know, in my head, I'm just like, oh, you're like a little, your trolly noise is like a little mosquito to me, you know, like it doesn't matter. And when I train and I get into that mode, to me, it's like Wonder Woman. I feel like I'm training my Wonder Woman side. And it's definitely like a warrior goddess energy that I'm having in there. And

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I am significantly stronger when I have Metallica blasting through my ears or Tool or, you know, something loud and aggressive. And I love that part of myself. I mean, that's, you know, that's the little girl that was out there getting in fistfights on the playground when I was a kid. You know, like I have that girl inside of me and I have to give her attention too.

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Otherwise, it turns into self-crippling and self-harmful.

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depreciating behavior and I start to eat myself in from the inside I start to implode if I don't give her her time I don't know if that makes sense but like she has to come out that makes so much otherwise I just want to be a real biatch like I I start getting snarky and mouthy and mean to the people around me or even the people in like my direct vicinity if that and if that dragon's coming up I need to handle her in the gym yesterday I was having a lot of PTSD and

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I went and testified in front of a committee about a bill that was being presented. And it's a long story, but it, it's involving my profession. And I, my profession really came at me and, you know, the COVID years. And I, yesterday was just like so much tears and PTSD. Like it really triggered the PTSD from being witch hunted for so many years.

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Absolutely. Well, first off, we just have to tell everyone that you've got some beautiful guns. So I think you should show them to the audience. These guns? These guns? Or the ones out there? Yes. So we're going to talk about that today because I ever so often bring on a guest to try to get through the message that I keep beating this drum on, which is,

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And I couldn't figure out what to do with this energy. And I just kept crying and everybody kept texting me and being like, how did it go? And I couldn't stop crying. So I was like, fuck this. And I just went out in the gym and just hammered it out, out there. And then I came back in and I'm like, I'm okay now. Yeah.

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everything's fine you know so there's like that's such a beautiful tool to have I kept saying during COVID like thank god I know how to train thank god I have the skill set because it didn't matter that I was locked down I'd already learned the skill so I could just implement in my home you know like thank god for the gyms thank god for strength training thank god for the skill that I invested money and time into to learn because that will carry with me for the rest of my life so

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Yeah, I just, I don't know that. Well, if I don't get that ragey girl her time in the gym or wherever it needs to go, it turns destructive and I'll start to eat myself alive.

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Yeah. And she shows up elsewhere and I'm able to keep, I'm able to harness her and keep her calm and well-spoken. If I've trained, if I haven't trained or haven't been training regularly, it just comes out as a lot of verbal diarrhea and gobbledygook and anger. And nobody wants to listen to an angry person, but you take somebody who is highly concerned and activated. Who's calm.

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That's the Jedi power. Right. And I don't think you can get into your Jedi zone. And our, our, The great scholars of the world knew this. Aristotle and Socrates, like training your... Those guys were all jacked. Those guys were all super fit and jacked. Like training was just absolute core concept if you wanted to have a sound mind. So... I don't know what people do who don't train.

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I'm just like, oh my God, I'm concerned these people are wandering around in the world making decisions.

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strength training, perimenopause, menopause, why we have to do it. And I hope that with each guest, it lands differently for maybe the ones who aren't catching it yet, you know? So we're going to do that today.

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But they vote. They vote and they make policies. And they have power. They are in positions of power. And I don't want anyone in a position of power who isn't physically fit, to be honest with you.

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We talked about strength training and hormones and all the things that you know I love to double down on, but her perspective is so unique and important. She's a chiropractor first and foremost, and there's information inside this podcast that you absolutely have to hear.

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Yeah. Yeah. Because there's definitely a sixth sense. There's a superpower that you have when you have strength. And I know this because I gained it and I've lost it several times as injuries have set me back and I've had to start over.

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So for myself right now, where I'm at personally is I had to, I mean, I was doing step back lunges yesterday with two little eight pound dumbbells and I looked down and I was like, But you know what? Take your humble pie and start where you got to start.

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And for me, with what I have been through with my spine and my hips in the past few years and just all the stress really activating my psoriatic arthritis, I am back down to where I started in several of my lifts. I'm back down to where I started. And there's some lifts that are no longer available to me and I have to take that back. I just have to be humble and do with what I can.

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And also you are a fellow chiropractor and I love you for that because I think that that's such a beautiful, we were just talking off camera how really functional medicine is just appropriated from true old school chiropractic and naturopathic philosophies. And I think we should talk about that a little bit too.

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Or is your form, I'll just add one more, if your form starts falling apart,

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Just one good one left in the tank. So you got something to go on if you got to run away from the zombies is how I think of it. And once your form starts breaking down, but everything you just said is so great. So talk more about that because that's the biggest question I get is, well, what's heavy? And how much weight are you lifting, Dr. Tina, in that video?

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I'm like, that's irrelevant what I'm lifting. What's heavy for you, right?

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Yes, that's perfect. I'll add one thing as the person with the psoriatic arthritis. I may be able to achieve everything you just said in the gym and I still will light up like a Christmas tree the next day or the next. Sometimes it'll send me into a massive flare. And so that's the kind of terrible unknown that happens.

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And you have to start to really listen to your body and pay attention to your body. And so I'll say this for anyone who's working with a trainer. Be very vocal about your boundaries if you do have an arthritide. And that's an inflammatory arthritis condition for those listening. So rheumatoid arthritis, psoriatic arthritis. Be very vocal.

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Yeah, don't light yourself up. There's like...

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Yes. There's a big difference between me really hitting it hard and then waking up the next two days in so much pain that I have to get out of bed an hour before my husband wakes up and an hour before, you know, I have to literally get out of bed because I'm in pain and I've lit my spine up and it plays a, it puts a massive dent in our sex life and it's,

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I feel awful and everything hurts the whole day and I can't sit too long and I can't stand too long. And I'm like, oh my God, I lit myself on fire. I should not have gone so hard versus me putting my ego in check and maybe stepping back a little bit. And I share all this because I get a lot of this type of question from my audience.

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I'm sure you do too, because there's a lot of women who are just sort of living on that edge of autoimmune, even if they don't know it. And they're like, I feel awful after I work out.

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Big difference between me putting the ego in check and like going at 50, 60 percent, having a nice, good session, coming out of there feeling sprightly and happy and accomplished and, you know, good mindset at the time and then going to bed, sleeping well, getting up, having intimacy with my husband in the morning, having a fun morning and not being in horrible pain all day.

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4260.86

Like big difference between how hard I go. So This is why I always say like my heavy is not your heavy and my heavy isn't even my own heavy day-to-day. That all depends on where my nervous system is at. Like am I getting hammered from stress? Have I been traveling a lot? Have I been hitting my protein macros? All of those things play a factor in how hard you can go in the gym.

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Yeah. So I just call it my old lady workouts. I'm just trying to keep really, like you said, mobility, range of motion. I'm not even, you know, I used to have a great butt and I had a great figure and it's not even there anymore, but I don't care. I just want to be pain free. I want to sleep well. I want to have a good libido. I want to not be in pain when I'm having intimacy.

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Like those all matter a lot to me. So you have to put into perspective what your goals are and they're going to, those are all different for each of us too. You know, my goals 10 years ago were totally different than my goals now. My goals were very physical oriented. I just wanted to look hot in a bikini.

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And now I just want to not break a hip or not have hip pain or not have crippling spinal pain or not have whatever it is. So set what your goals are. And those may not match your coach or your strength coach. So that's why I say have fierce boundaries and be vocal and teach them as you go because...

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I think that a good coach knows how to train a variety of different clients and a variety of ages and a variety of limitations. That's a good coach, right? It's not just can they hammer it out and make you turn into a sweat angel or whatever.

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4541.59

I think the word luxuriate is such a good word for that. That happened to me the other day. I was doing, I'm really loving, I can't, I'm so sad. I can't do barbell squats anymore and I can't load my spine too heavy. Well, it's axial loading, right?

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Yeah, I cannot, so even if I do like a hex bar deadlift, the axial loading, so the heavy, heavy lifts are not available to me right now and it's so sad because every time I do and I get some kind of axial load on my discs, I don't get disc pain. I don't, I get like, I can't even describe it. It is spinal pain. It's like the, again, it's like somebody plugged me in like a Christmas tree.

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And it's terrible. So anyway, I was like, okay, I can move past this. And so I've been doing cable kickbacks where I have the cable set just at knee height and I load them heavy and I do it with a bent knee and I push back. And I was doing them the other day and I was like getting that feeling that I get when I squat, which is whatever that dopamine hit is or whatever the CNS hit is.

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But I wasn't in pain and I was like, oh, I'm loving this so much. And I was having that same moment. I was just celebrating that I could move in a pain-free manner and my spine was getting some mobility with it because it was unilateral. So I was like celebrating the fact that I was doing something unilateral. Like I was just celebrating myself in the moment.

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And I thought, you know, the real tell is how am I going to feel in two days? Like that's always the big tell, even with my coach. He's like, how's that feel? I'm like, it doesn't matter how it feels now. My immune system will tell us how it feels in two days, you know? So That's not always up to the move. It might, again, be all my other lifestyle that's going on.

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So anyway, two days later, I rolled over and my spine released in a way that, because my spine loves to fuse up, it released in a way that it hasn't released in so long, like segments that haven't moved, even the chiropractor can't get to move. And I was like, hallelujah, I found something that I can do. So like put that on the list of can-dos instead of ruminating on the, I can't do anymore.

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4711.205

Yeah, so it takes a lot of... trial and error and just patience and be humble and be kind to yourself. Be kind to yourself, whether you have issues like I do or not, just be kind to yourself. I think that a lot of women are, it goes back to your question. I think a lot of women just aren't very kind to themselves.

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And I don't, I don't even know if we could say, oh, they don't want to look dumb or they don't want to fail. Like they're just not nice to themselves. They just talk shit to themselves all day. And so they tell themselves they can't do this or this isn't for them.

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I just say, we're going to the gym now. We're going to sort it out in there. And usually she gets very, I call her my little insecure 12 year old. She's like a tape track that plays in my head, you know? And I was like, eject the tape right now. I don't want to listen to this. You hit a good point that I think we should close with, which is, am I tired? Am I hungry?

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I think the beauty, we've talked a lot about strength training, but the real beauty and the real benefits come with the refeed and the rest. So let's, let's talk on that.

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We also talked about what to do if you struggle with things like inflammatory arthritis or pain and what you can do about that and how you can still incorporate strength training and why you must and why it is absolutely non-negotiable to incorporate strength training into your day-to-day at this time in your life. If you are premenopausal, perimenopause, postmenopausal, it doesn't matter.

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502.435

Thank you. I think it's all we can do is lead by example. And my background with chiropractics is actually really personal. My mom grew up in Gig Harbor. And as a child, my great grandmother, who my mom loves so much and talks about all the time, was... An incredible woman.

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She used to run a house that I don't, we don't know exactly what it was for, but I think it was for women who needed a place to go, or maybe it was like, you know, a home where she would feed people and they'd rent a room. And she was a kind of a big heavyset woman. And she had a deep understanding of herbal medicine and nutraceuticals and taking care of people in a holistic way.

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Yes, it's key. Don't mess around with the sleep. Sleep is everything. If that's the only reason women seek out hormonal replacement therapy is to optimize their sleep, it is worth it. Because if your sleep is off, everything is off. Your metabolic health is off. Everything you just listed.

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The one thing that I hear from women when they go on HRT is, oh my gosh, I didn't realize how messed up my sleep was. I'm sleeping again. Like what a godsend to be sleeping again. I've had my sleep. leave me at times. And it was always when I was super stressed out and super skinny. The skinnier I get, I lose my fat depot. My fat depot is my estrogen reserve. I lose that. Wheels fall off the car.

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And so these are all things that I think about constantly when I have folks ask me questions online. I go look at their profile. And I usually can look at people and tell you pretty quickly what's going on. It's not a judging thing. It's just a skill set. And in many cases, I'm like, oh, I just want to bathe them in progesterone and estrogen right now.

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5299.757

Yes, Carrie Jones and I are on a text thread and we often... talk about that. Like women who are taking good care of that way or taking care of themselves that way tend to be much happier, more amicable humans. They just need some estrogen and some big O and that

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5363.219

That's genius. That's genius. The immune boosting benefits. There's a lot there. There's a lot there. We could, we can have a whole podcast on that. I love it. Well, I just adore you lady. I know that my listeners are going to too, and they're all going to come bum rushing wherever you are. So tell them all how to find you.

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And my great grandmother would take my mom to the chiropractor up there. She doesn't know if it was an osteopath or a chiropractor, but she was not allowed to tell her parents about it because they didn't want the town to know that he was adjusting people.

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Perfect. I will make sure everything's in the show notes so people can come find you because I know that my audience is going to jive with this. Thank you so much for coming on. I always have so much fun talking to you and we should, I think, I feel like we need our own podcast where you and I just like have a glass of wine and like, tell me what you really feel. I just adore you.

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Thank you so much. I am a doctor, but I am not your doctor. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment.

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Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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So everybody in the community that knew he was there was sort of like literally backdoor going to see the chiropractor because they were witch hunted back then. And And she learned so much from my grandma Lorraine and she taught me a ton. And it was amazing because as I was going through chiropractic college and naturopathic school, I would text her because I was a really sick little kid.

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So my mom employed a lot of the strategies that her grandmother had taught her for me and my health. And I would send her text messages and say, like, this was right when texting started. And we've had those flip phones and you could send those cryptic text messages. And I'd be like, mom, I just saw a study in class about X, Y, and Z that grandma Lorraine taught you, you know?

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And so like having our sort of folklore medicine that was passed down through the families be, seen in studies and being presented in, you know, medical programs. But I just, I think chiropractics is so punk rock. We can literally fix shit with our hands. And that is why I became a chiropractor because that was the only doctor that ever answered me.

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I was really sick growing up and they were the only ones that would sit down, answer me, look me in the eye, talk to me, counsel me, teach me about nutrition. Always. It was always like what you're eating is impacting what's happening to you right now. You know, like period. That was always the message. And I, We literally can fix shit with our hands. Isn't it so handy?

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My puppy dislocated his elbow the other day and I was like, tink, just done. Like I literally can fix the body with my hands. It's pretty cool.

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Yeah, it's incredible. And when we add in all of the knowledge that we have around everything else, it's the clinical application of common sense. That's how I see it.

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You need to start this sooner than later, ideally. But at any age, you can add muscle and you don't have a choice. I don't care what you think about it or if you want to do it or not. This isn't about anyone's feelings.

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700.785

Okay, great. Well, so you're a smoke show. Yeah. Let's talk about how to stay a smoke show at 47. And that's why you're my best friend. This is what we'll title it. How to be a smoke show at 47. But I want to tell the audience something first. We were in Vegas together at A4M because you spoke on the stage. And I saw you in passing wherever we were, the atrium.

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And you and your husband, both very fit and very fashionable, you guys were headed to bed early. And you said to me, and I thought this was brilliant, you said, we have to stay on our time zone. We're trying to stay on the East Coast time so we don't mess up our circadian rhythm. So let's start there. Let's talk about that.

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This is about what you need to do to live as an optimized human and really to retain your beauty and your strength so that you don't end up with a hip fracture or some other accident down the line as we age, especially for us ladies. So without further ado, let's jump in. So lately, I've been hitting the gym a lot more regularly.

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I had never considered that. And when you said it, it was like, ding, brilliant. Because I'm the same. I just go down when I have to go to the East Coast. It's awful. And then when I come back to the Pacific Coast, I'm down for the first three or four days. It's so disruptive. And I've never been able to tolerate it well. So I'm going to try your trick.

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Although I have to think about how to do that opposite way. You know I'm all about getting the protein in. It's the foundation of your strength, your muscle, and your metabolic health. But here's the kicker. Just because you're eating a lot of protein doesn't mean you're absorbing all of it.

The Dr. Tyna Show

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Without the right digestive enzymes, much of it isn't necessarily getting broken down into amino acids that your body uses for muscle protein synthesis. This gets worse as we age. Your muscles don't just need more protein, they need bioavailable protein, and that's where digestive enzymes can come in handy. This is why I never leave my protein intake to chance. I use Masszymes by Bioptimizers.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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It's a high-potency proteolytic enzyme formula designed specifically to help you absorb more of the protein that you eat. Not all enzymes are created equal, and most on the market are weak, underdosed, and ineffective. Masszymes is the real deal and the one that I trust personally.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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I've even done a side-by-side breakdown with ChatGPT on all my favorite digestive enzymes, and this one always comes out tops. Masszymes is a full-spectrum enzyme formula with more protease than any other commercially available product. It's got five different types of protease in it, plus it contains all the other key enzymes you need for optimal digestion. And you can try it today risk-free.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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Their 365-day full money-back guarantee is the gold standard of the industry. For your exclusive offer as a listener of The Dr. Tina Show, head to buyoptimizers.com forward slash drtina and use promo code drtina. Again, that link is buyoptimizers.com forward slash drtina. If you're serious about eating clean, high quality protein, let me put you onto something that's truly next level, Maui Nui.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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This is 100% wild harvested venison sourced straight from the untouched landscapes of Maui and it's the healthiest red meat you'll likely ever eat. Maui Nui isn't just about delivering top tier protein, it's about solving a major environmental challenge. Wild axis deer are overpopulating and wreaking havoc on Maui's delicate ecosystem.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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This is why Maui Nui is on a mission to restore balance through their stress-free precision harvesting process. And now let's talk taste. This isn't your typical gamey meat. It's clean, tender, and packed with nutrients. In fact, Maui Nui venison has up to 53% more protein per calorie than grass-fed beef. And they're sugar-free peppered snack sticks.

The Dr. Tyna Show

Want to Age Well? Build Muscle or Pay the Price Later | Dr. Stephanie Estima

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They deliver 10 grams of protein in just 55 calories. It's wild, it's ethical, and it's hands down the best protein you can get delivered straight to your door. So if you want next level nutrition while supporting a meaningful mission, know that Maui Nui offers the only 100% wild harvested meat that's completely stress-free and responsibly sourced.

The Dr. Tyna Show

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It's perfect for anyone looking to elevate their meals with delicious high quality protein. Maui Nui Venison is offering the Dr. Tina Show listeners a limited collection of my favorite cuts and products. but supply is limited by the nature of their work. So don't wait. Head to mauinuivenison.com forward slash drtina to secure your access now.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. I learned a long time ago from my mentor that gut health isn't just about digestion. It's the gateway to your entire wellbeing. Your gut health plays a critical role in nutrient absorption, immune function, and resilience.

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telemedicine companies that I've talked to and vetted out. I don't make a dime off of any of them. And I'm proud to say that. I just have wanted to vet some of them out so that you guys can find out who is better to work with than not. Like who's going to get you what you need and who understands what's going on. So I will leave all of that in the show notes.

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Thank you so much for being here, you guys. And go check out the article. It's pretty exciting. And then if you want my four-part video series for free, it's drtina.com, D-R-T-Y-N-A, forward slash Ozempic Uncovered. And then from there, you can check out the course at a discounted rate for a limited time. All right, I'll see you guys later. Thank you so much.

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You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

The Dr. Tyna Show

Microdosing GLP1s Has Gone Mainstream | Quick + Dirty

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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You can access it yourself for free on the internet. It's called One Size Does Not Fit All, Understanding Microdosing, Semaglutide or Semaglutide for Diabetes in Multidose Pens. I'm really excited that this is out. This is in a medical journal, a renowned, respected medical journal. It was written by respected endocrinologists. And this is an opinion piece.

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This isn't a medical study, but it is in a medical journal. So we can talk about it. I'm not sure that I can take any credit for this whatsoever, but I feel like I've had a huge part in this conversation. I took the heat early on when nobody else was willing to have this discussion.

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Now, before I get into this, I do want to say this was never meant to be a diabetes treatment, nor was it ever meant to be a weight loss strategy. And I talk about that in depth inside of my course. I have a big course on the topic. It's for clinicians. It's for practitioners. I also let the general public in. I've made sure that it's friendly for both groups.

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And because I have a lot of really smart people who follow me and they need to become empowered, they need to learn this information because their doctors don't know it. So... I really encourage you to check that out. I've got a free four-part video series called GLP-1's Uncovered that will lead you into the big course and then you can dive into the big course if you're interested from there.

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So if you go to drtina.com, that's D-R-T-Y-N-A forward slash Ozempic Uncovered, that's what it used to be called. But I cover all the GLP-1s in there, so we had to change the name. And then that will lead you into the bigger course if you're interested because I don't think GLP-1s in a silo work. I think this is nonsense to think that they will.

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And I'm excited that this has been written up, but it's still very short-sighted in that A, I don't think that microdoses are going to last long for type 2 diabetes as being effective. And I don't think they're going to really make a negligible mark on obesity or weight loss. So

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You can lose a few pounds here and there, but I think, and this is a conversation for another day, but I think that the MediSpas and the people advertising that you can microdose for weight loss are completely missing the mark and they are going to regret what they've said because eventually that microdose stops working.

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When your gut lining is strong, your body can better handle stressors, process nutrients, improve your immune function, and maintain balance in the system. That's why I'm such a fan of the Ultimate GI Repair by Level Up Health. It's a game changer. When I first saw the formulation, I was blown away.

The Dr. Tyna Show

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I know this because anybody that I've worked with who has lost weight on these at a very small dose inevitably needs a higher dose to keep the weight off if weight loss is the actual goal. So I want to say this again with conviction. This was never meant to be a weight loss strategy.

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It does induce weight loss in those who are already metabolically optimized and who are just dealing with a tiny little bit of insulin resistance, maybe due to menopause or due to aging or due to an illness they just had. So please do not take this home thinking... And I even think that these clinicians or these endocrinologists may find themselves in the same pickle.

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I don't think that microdosing is a strategy for either diabetes or weight loss long-term. But... The exciting part that they are acknowledging is that sometimes we need to use more personalized, smaller doses to onboard people. Or maybe we need to titrate them up more slowly to the more standard dosing.

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And I think with type 2 diabetes and with weight loss, what I've seen clinically is folks really do need a more standardized dose. So anybody who's telling you they're microdosing for weight loss, I don't really think they get it. What they're doing in most cases, and a lot of clinicians, including my friends, have come at me and said, we've been doing this for years, Tina.

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You didn't pioneer anything. Au contraire. I'm trying to have a conversation over here about all the myriad of benefits that GLP-1s in tiny increments may help with. However, they've been using standard low dosing. So maybe the first one or two tiers of the standard dose, they do not bring people up slowly up to that dose.

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They hit them with the standard dose and then they might go one tier above and they're calling that microdosing. That is not microdosing, that's just low dosing. You're just standard low dosing.

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That's not at all the conversation I've been trying to have, but unfortunately the conversation about weight loss has dominated all of this and the type two diabetes weight loss conversation is always the overriding. point that people want to discuss no matter what podcast I'm on. So I'll go deeper into that another day, but I think the inmates are running the asylum here.

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However, this paper is exciting and I'll just cover some of the highlights. Do you love honey? Who doesn't, right? Have you ever tried manuka honey? Are you looking for a little sweet treat with health benefits to use as a pick-me-up or after a workout? Well, I've got something for you. I've recently gone back to using my favorite type of honey again and I'm loving it, so I wanted to share it.

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If you've never tried Manuka honey, you are missing out on an incredibly healing type of honey. Not only is it rich and dark and complex, but it's got a plethora of health benefits. I prescribed it many a time for my patients for wound healing with excellent results. It's awesome for skin in general. It supports good oral health, supports gut health.

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Now that I've used it both personally and professionally, I can confidently say it's one of the most advanced gut support formulas out there. It combines cutting edge peptides and powerhouse nutrients that you won't find together anywhere else, marrying nature and modern peptide science to support a strong gut lining, a healthy intestinal barrier, and optimal digestion.

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It can soothe sore throats and cough, and it even promotes deep sleep. I take a spoonful daily either on my yogurt or usually I just eat it straight. I particularly love using it as a little pick-me-up in the afternoon or like I said after a workout. The brand of Manuka honey I'm loving right now is Manukora honey. It's rich, creamy and honestly one of the most delicious honeys I've ever had.

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It's ethically produced by Manukora's master beekeepers in the remote forest of New Zealand. The bees collect the nectar from the Manukora tea tree in New Zealand. It's ethically produced by Mauna Korra's master beekeepers in the remote forests of New Zealand. The bees collect the nectar from the Manuka tea tree in New Zealand.

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The nectar is packed with bioactives and the honey that is produced has three times more antioxidants and probiotics than your average honey. A special antibacterial compound called MGO also comes from the nectar of the tea tree. Tea tree is amazing. Monocora third party tests every single harvest for this MGO and makes these results available through their QR system.

The Dr. Tyna Show

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All you need is one heaping teaspoon each day to get the most out of the amazing bioactives in Manuka. It's honey with superpowers. If you want to try Monocora honey, head to monocora.com forward slash Dr. Tina to get $25 off the starter kit, which comes with an MGO 850 plus Manuka honey jar, five honey travel sticks, a wooden spoon, and a guidebook.

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That's monocora, M-A-N-U-K-O-R-A.com forward slash Dr. Tina for 25 bucks off your starter kit. This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself, purging the clutter from my home and closets and cleaning up my cells to ensure that I hone my resilience as much as possible.

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One of my favorite ways to do this is to take measures to clear out my senescent or zombie cells. Have you guys heard about zombie cells? How about senolytics? Sinalytics are a class of ingredients discovered less than 10 years ago, and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime. I know that my listeners are like me.

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We are successful people who prioritize our health above all else. But let's be honest, the aging process is not always our friend when it comes to having endless energy and productivity. That's why I use Qualia Sinalytic. As we age, everyone accumulates senescent cells in their body.

The Dr. Tyna Show

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Senescent cells cause symptoms of aging, such as aches and discomfort, slow workout recoveries, sluggish mental and physical energy associated with that middle-age feeling. And a study just came out showing that senescent cells pull energy from our already struggling brain.

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Also known as zombie cells, they're old and worn out and they don't serve a useful function in our health anymore, but they're taking up space and utilizing energy and nutrients from our healthy cells. I would like to get rid of these.

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Much like pruning the yellowing and dead leaves off of our plants, Qualia Synalytic removes those worn out senescent cells to allow for the rest of our cells to thrive in our bodies. and it's something we take just two days a month. This clinically tested two-day rejuvenation may hold the key to unlocking cellular health and revitalizing aging tissues throughout the body.

The Dr. Tyna Show

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If you're looking for real targeted gut support, this is it. Head over to leveluphealth.com and use code DRTINA at checkout to get a whopping discount of 20% off your order. That's L-V-L-U-P health.com. And don't forget to use code DRTINA for your exclusive discount.

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I'm personally experiencing less aches and pains and feeling more resilient overall.

The Dr. Tyna Show

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you also want to resist aging at the cellular level and stave off those zombie cells try qualia senolytic go to qualialife.com forward slash dr tina for 15 off qualia senolytic is also available at select gnc locations near you they've got a hundred day money back guarantee so you've got zero financial risk in trying any qualia formula that's q-u-a-l-i-a life.com forward slash dr tina thanks to qualia for sponsoring today's episode

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Basically what they're proposing is that we may need to veer from standard dosing and consider that we might want to use a microdose or a smaller dose. Now, I don't think that using a half dose of GLP-1, the half standard starting dose is a microdose. When I say microdose, I mean a fifth to a tenth of the starting dose. But they're calling it microdosing. I'll just call it that low, low dosing.

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And when you get to the standard starting dose, which is what a lot of doctors are advertising as microdosing and a lot of telemedicine companies are advertising, advertising as microdosing. Again, that standard starting dose or that next tier up, that's not microdosing, guys, at all. You're not microdosing.

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If you're taking your full dose and you're splitting it up into smaller doses throughout the week, you're not microdosing. That's a big thing I've seen on TikTok. None of that's microdosing. Microdose is a mere fraction of what the standard dose would be considered.

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That is not the same thing as what's being discussed anywhere that I'm seeing in the medical articles that I'm reading, in the big publications that continue to interview other doctors who steal my verbiage and literally plagiarize my words. And I get zero credit. And that's okay.

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Chaps my height a little bit, but what I think more notably chops my height is the fact that they're just getting it completely wrong. So let's dive into this one. So the following scenarios should be considered for clinical application of microdosing. First of all, just to back up, they talk about the surge in demand for GLP-1s has resulted in intermittent global shortages and gaps in therapy.

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Maybe somebody's gotten acutely ill and they can't take their full dose or maybe they've been in the hospital or maybe... different scenarios where they might need to use a smaller dose than what they're normally doing. Maybe they need to make their pens last longer because they can't access it. There's all different kinds of issues here. Cost, obviously, access would be the two big ones.

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And what they propose is transitioning between a GLP-1 vaccine Receptor agonist, microdosing can help patients transition to a new GLP-1 receptor agonist through gradual dose adjustments to improve therapeutic response. I would agree with that. Dose escalation or de-escalation, microdosing supports a controlled titration or taper to safely adjust for necessary dose changes.

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And if you want to deep dive into the science and hear more about this formulation, check out episode 200 of the Dr. Tina show, where I was honored to interview the founder and formulator of Level Up Health, Kyle Vanderfleet. On this episode of The Dr. Tina Show, this is gonna be a quick and dirty episode. It is my 201st episode of this show. So I'm very excited and thank you for being here.

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Poor tolerability for patients with severe GI side effects starting with Microdosing and increasing slowly can improve tolerability and prevent therapeutic disruption. And for cash payers or people who are paying out of pocket, maybe they can extend the life of their pen, reducing the cost. So again, they're pretty much using this as an on-ramping method. It's not a microdose.

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It might be, but it's... not in the application i was trying to discuss it for but that's neither here nor there we're just trying to help people out the most exciting part is this on page two of this very short opinion piece is a whole chart it's a graphic and this is why i'm excited you guys We can use the pens to microdose. We can use the pens to microdose. It's called the pen click method.

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I just read about it a few weeks ago in an article on Medline, I think it was. And then they referred to an article from a few years back when they were talking about this pen click method, which I've never heard of, where you just dial the pen a certain amount of clicks to get the dose that you're looking for. And based on the amount of clicks, they give you the actual dosage that that would be.

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And this is very exciting. This means we can use the pens to microdose and we don't have to be so reliant on the compounded pharmacy versions, nor do we have to do necessarily the vial versions that the two big companies have released that we could consider. If you're getting access to these peptides medications through your insurance and they're paying for it,

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you actually can utilize the pens to give yourself a lower dose. How you want to dose, why you want to dose at a lower dose, what your short-term goals, what your long-term goals, all of that matters and that dictates what I would ever suggest somebody do. I'm never going to suggest

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here on the internet that's medical advice on the internet which is ridiculous but inside my course I talk about my clinical rationale as to how and where to start and what that looks like and where do you go from there and talking about cycling or doing different strategies inside of that clinical rationale so

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There's more to this and it's a comprehensive treatment plan that allows this one peptide to work. I really don't think putting somebody on a GLP-1 solo is going to be the solution. Again, I don't think it's going to work for very long. Even if they're using it high doses, I don't think it's going to work for very long forever. You have to have a comprehensive treatment plan.

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At the very least, you have to be lifting weights and you have to be hitting your protein macros. But there are other peptides. There's HRT, which is hormone replacement therapy. There's a lot of other factors to consider here. And ultimately, the person has to be living an insulin-sensitive lifestyle.

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And I go deep into that and what that looks like and how to phase through that, how to phase your patients through that inside my course. I will make sure that the link to this article is in the show notes so you can check it out. Just very exciting that the concept of microdosing has made it to mainstream and it's made it into a medical journal.

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So here we are and I will take a little bit of credit for that. And then booyah to everyone who's ran with this and the doctors who are realizing that a more personalized approach is the way to go whether they're using it for other things or whether they're utilizing it for what it is FDA approved for, which is the on-label use of obesity and type 2 diabetes.

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But just know we are allowed to use medications off-label, totally legal thing to do. And especially at the small tiny doses I'm talking about, I really don't see a lot of risk or concern. But that's up to your risk tolerance and up to your physician. So you need to be working with somebody. I have a whole module inside the course on how to find a physician to work with and what that looks like.

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I talk about my favorite compounding pharmacies, and I'm even going to be adding in a segment more specifically on weight loss, even though I say this is not a weight loss strategy, I do want to explain how I would approach weight loss with more standardized dosing, how to do it right, so that we're not just burning out a person's metabolism. And then even some of my online...

The Dr. Tyna Show

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If you're new, thank you for joining. If you have been here the whole time, thank you so much for being on this journey with me. I can't believe it's been 200 episodes. What a crazy time. I have a very exciting article to report. So we're going to break this down today. This just came out March 2025. It is from the Journal of Diabetes Care. It is volume 48.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. You know I'm all about getting the protein in. It's the foundation of your strength, your muscle, and your metabolic health. But here's the kicker. Just because you're eating a lot of protein doesn't mean you're absorbing all of it.

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You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

The Dr. Tyna Show

Hot Flashes Are a Warning Sign: The Truth About Metabolic Dysfunction | Quick + Dirty

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

The Dr. Tyna Show

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That means your vasculature is spasming, which is crazy to think about, which means your entire body is having a vasomotor spasm. And that's concerning when you think about the fact that the Spasming is happening around your cardiovascular system, around your heart. It's happening potentially in your brain. These are vasomotor spasms. That's what is happening when you're having hot flashes.

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And that is why I say it's the harbinger of doom. These are not benign. These are not to be taken lightly. These are not to be dismissed. These are not something to be accepted. These are not something that we just brush off and say, oh, it's part of getting older and that's just what I have to expect. No, no. We do not want hot flashes, ladies.

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Bad hot flashes are a bad sign, and I'm not trying to scare anyone, but I'm telling you the data clearly shows this. So just because your doctor hasn't told you or you haven't looked into it or the influencers aren't talking about it yet does not mean that it's not a dangerous scenario to be in.

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And I think that folks that have chronic hot flash issues, I've seen these women in my clinics, and they all have something very much in common. And that is in most cases, they are dealing with metabolic dysfunction, excess adiposity, and they are metabolically busted. across the board. These women are women who don't go to the gym.

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They don't tend to necessarily be that concerned about their carbohydrate intake. They're not watching what they eat very much. And they're not even getting adequate movement. A lot of these are really nice women who are housewives or been housewives who take care of the whole family, who like to bake a lot, or maybe they've just worked themselves into metabolic dysfunction due to chronic stress.

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Without the right digestive enzymes, much of it isn't necessarily getting broken down into amino acids that your body uses for muscle protein synthesis. This gets worse as we age. Your muscles don't just need more protein. They need bioavailable protein, and that's where digestive enzymes can come in handy. This is why I never leave my protein intake to chance. I use Masszymes by Bioptimizers.

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And they weren't stay-at-home moms. They were the boss moms, you know? It's across the board, but one thing they all have in common is that they are not taking very good care of their physical body and they are sitting in metabolic dysfunction and they may or may not know it until I show them their labs. But vasomotor symptoms are a harbinger and they are telling us something.

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So let's talk about... this in a bit more detail just so you can have all the facts. So understanding vasomotor symptoms, what are they? They're sudden sensations of heat often accompanied by sweating and flushing primarily of the upper body. That sweating and flushing is the vasomotor spasm happening.

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They're experienced by a significant number of women during menopause and other hormonal transitions. The metabolic connection is that insulin resistance has been shown in the data to relate very closely and be associated with the frequency and severity of hot flashes. So we know that particularly insulin resistance has been associated with the frequency and severity of hot flashes.

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And most American adults have some level of insulin resistance, unfortunately. So impaired insulin sensitivity and signaling can disrupt sensitivity. the hypothalamic regulation of body temperature leading to vasomotor symptoms. And can this be helped with GLP-1s? Probably.

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I've had women report that they get less frequency of hot flashes, less severity, but that's not going to make up for time in the gym and hitting your protein macros and really taking advantage of the whole... the whole situation, including HRT. I'm a big fan. If you're dealing with chronic vasomotor symptoms, i.e.

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hot flashes, I would encourage you to go talk to somebody who knows what they're doing about hormone replacement therapy. All right, what about obesity and adipose tissue activity? Excess adipose tissue, especially visceral fat, contributes to systemic inflammation and metabolic disturbances, exacerbating hot flashes.

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So adipose tissue produces inflammatory cytokines that can affect thermoregulatory centers in the brain. Research indicates that individuals with higher body mass report more frequent and intense hot flashes. So that kind of goes with what I was explaining earlier of who I see this most often in. Dyslipidemia or abnormal lipids and cardiovascular implications.

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Abnormal lipid profiles characteristics of metabolic syndrome are associated with increased incidence of hot flashes. Elevated triglycerides and low LDL, for instance, may impair vascular function leading to vasomotor symptoms. I think it's not so much a direct result of the lipid impairment. I think the lipid impairment is a symptom of

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more often than not, of the metabolic dysfunction and usually the waning of the hormones and usually hypothyroidism to boot. And then they end up with these vasomotor symptoms. We can't blame it on the abnormal lipids. It's just something that goes in that profile that I often see. You guys, I have to tell you about the absolute game changer in my dog's lives, Sunday's dog food.

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I've got three dogs, all different breeds. I love them to the moon and back, and they're all thriving on Sundays. And I mean thriving. My dog with chronic ACL issues, no more limping. My Havanese puppy, it's essentially the only thing he's ever eaten in his life, and he is so tan and jacked. And my beautiful German shepherd rescue, we packed 20 pounds of healthy muscle onto him with Sundays.

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It's a high-potency proteolytic enzyme formula designed specifically to help you absorb more of the protein that you eat. Not all enzymes are created equal and most on the market are weak, underdosed, and ineffective. Masszymes is the real deal and the one that I trust personally.

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This food is the real deal. We don't deal with fleas anymore. They don't stink. And I think of high quality food as an investment in their longevity. And if feeding them top tier means that I get more happy mobile years on the planet with them, then that's an investment I'm absolutely willing to make. We in this community spend so much time and effort ensuring that we're feeding ourselves well.

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Why aren't we doing the same for our pets? Sundays is fresh, air-dried dog food made from a short list of human-grade ingredients, 90% meat, 10% superfoods, and 0% junk. No synthetic nutrients. No artificial fillers, just real whole food for your pup. And you'll see the difference. Softer fur, fresher breath, better poops, and more energy. And the best part, there's no refrigeration, no prep.

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It's not gross. Just pour and serve. It ships right to your door so you'll never run out. Plus, when you start Sundays on a subscription, you get 20% off that subscription with free shipping on every order. Cancel or pause anytime. It's completely risk-free. Right now, you can get 40% off your first order of Sundays.

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Head to sundaysfordogs.com forward slash drtina or use the code drtina at checkout. Did you know that nearly 94% of US adults are metabolically compromised according to 2018 data published in 2021? Even more surprising, 80% of them have no idea. Shocking, right? That's why I've been beating the drum on metabolic health for decades in my clinical practice and on this podcast since day one.

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A tool I found a long time ago that I absolutely love is the Continuous Glucose Monitor by NutriSense. NutriSense is here to challenge outdated beliefs about blood sugar and metabolic health. because the more you know. NutriSense isn't just another health trend.

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It's a cutting-edge program that combines real-time data from continuous glucose monitors, as you may have heard referred to as CGMs, with personalized one-on-one support from credentialed nutrition experts. Together, they empower you to take control of your health and make lasting changes.

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With the NutriSense app, you'll see exactly how your body responds to the food you eat, the exercise you do or don't do, your stress levels as stressors hit you, and the sleep you get or don't. It's a complete game changer for uncovering the why behind how you feel. Watching your blood sugar go up and down all day is really eye-opening. And here's the best part.

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NutriSense gives you tools to experiment, track, and optimize your lifestyle so you can stop guessing and start thriving. The NutriSense CGM is hands down my favorite biohacking tool. Are you ready to take control of your health today? Head over to NutriSense.io forward slash Dr. Tina. That's D-R-T-Y-N-A to get $125 off your program. That's NutriSense.io forward slash Dr. Tina.

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I've even done a side-by-side breakdown with ChatGPT on all my favorite digestive enzymes and this one always comes out tops. Masszymes is a full-spectrum enzyme formula with more protease than any other commercially available product. It's got five different types of protease in it, plus it contains all the other key enzymes you need for optimal digestion. And you can try it today risk-free.

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The broader impact of this metabolic dysfunction, think of the hot flashes as a symptom, all right, of a deeper problem, which is the metabolic dysfunction. Obviously, cardiovascular health, cognitive function, and bone density are the big ones when I worry about, and joint health, when I worry about metabolic dysfunction. These are the things we're going to see show up most notably.

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I also am concerned about these three things when it comes to waning estrogen. So this is where I say, yes, bring on the HRT, but you've heard me say this in past episodes. There's no point in taking hormone replacement therapy, utilizing peptide therapy, utilizing GLP-1s if you're not going to be doing the lifestyle. if you're not going to be doing all the things.

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This is a comprehensive approach. And I talk about it deep in my big course, my GLP-1s Done Right University. You can watch the free four-part video series on GLP-1s, but regardless of whether you're interested in GLP-1s or not, if you are interested on how to truly optimize your metabolic health, your hormones, and to utilize peptides to include strategies for longevity and overall well-being.

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It's inside this course. And so I want to encourage anyone, any middle-aged woman who likes what I have to say, who likes these podcasts, if you want the deep dive, it is inside that course. I probably could call it something different. Take out and edit out all the GLP-1 stuff and you would be floored by the level of information that's in there.

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It's basically a complete course on how I address metabolic health inside my clinic. And I am no longer taking patients. So this is the best way to access my brain. And I wrapped it up in a GLP-1 bow. Now I bring the conversation about GLP-1s and their advantages throughout. I weave that into the storyline throughout all of the modules.

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But if you're a middle-aged woman, and I get these questions all the time from you guys, I'm not interested in GLP-1s, but I want to know more about this. It's in the course. And I'm not going to make a separate course just for the same price with less information. So Go ahead and grab that.

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When you go into the free four-part video series, you'll get a coupon at the end which will allow you to purchase it at a discount. And it's a great deal. It is chock full. And some of the testimonials I'm getting in there are from women saying, this is the most comprehensive education. It's easy to understand. I'm able to have educated conversations with my doctor now.

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There's a whole module on HRT. There's a whole module on the insulin-sensitive lifestyle. There's a whole module on exercise and strength training. This is the course that you guys need as you go through middle age. So addressing metabolic dysfunction to alleviate hot flashes. There's dietary interventions, obviously. I talk about that deep inside the course, but you know where I stand.

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I'm talking more of a high protein, lower carbohydrate. I like animal-based proteins. Physical activity, obviously. Strength training is number one. And then I'm a big fan of walking. And if you want to throw in a few of these hit intervals, go for it. But strength training is the core foundation. Muscle. Muscle is what's going to save you. Stress management is huge.

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Boy, is that huge, and I live this. Stress will derail your labs faster than anything I've ever seen. You could be doing everything right. You could be nailing it, have incredible discipline, have incredible follow-through. You could be on the GLP-1s. If your stress is sky-high... All bets are off.

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Their 365-day full money-back guarantee is the gold standard of the industry. For your exclusive offer as a listener of The Dr. Tina Show, head to buyoptimizers.com forward slash drtina and use promo code drtina. Again, that link is bioptimizers.com forward slash Dr. Tina.

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Your lipids go wonky, your hormones go wonky, your metabolic health goes wonky, it all feeds on each other and it turns into a bit of a hot mess of soup. So getting your stress under control is critical. Sleep optimization is huge, huge. There's no quicker way into metabolic dysfunction than to have your sleep screwed up. And I get it, your sleep is messed up because you're having the hot flashes.

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or you're not able to get to sleep because your progesterone is low, or you're not able to stay asleep because your estrogen is low, or you wake up because you're sweating to death, You got to get your metabolic health in check. The hormone replacement alone is not going to solve this problem for you.

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You need muscle to have good metabolic health and you need good metabolic health to have happy hormones whether you're taking them exogenously or getting them endogenously because you're making them still. So sleep is key but if your sleep is going it means these other things are screwed up. It's not the hot flashes fault.

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The hot flash is a symptom, it's a messenger, it's telling you, it's the harbinger of doom, remember that. All right, and then in conclusion, listening to your body signals. So if you're getting hot flashes, do not normalize them. Do not let your doctor dismiss you and normalize them. Do not let them tell you, oh, your cholesterol is going up, eat less fatty meat.

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If all this is happening, I promise you, you're having a decline in hormones if you're in middle age and you are very likely under-muscled and metabolically compromised. Most women are. Most women walking down the street that I see are metabolically compromised and they are low muscle mass, period. It's just the plight of our generation.

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And you will continue to have difficulties gaining muscle if your hormones are still waning, if your estrogen is declining. So I've tried to do a series of podcasts where I wrap this whole storyline together I do a much better job of tying it all up inside my course and my GLP-1's done right university. But either way, that's what it is at the end of the day. The answer's in the gym.

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The answer's in the gym and the kitchen. Most times, that's the solution. And then we need to sprinkle a little hormone on top. And it's real hard to sprinkle hormone on top and have it work right if you're metabolically compromised and you're a hot mess. So... Get your shit together. Take it seriously. If you're having vasomotor symptoms, i.e. hot flashes, there's a problem.

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And it is a big red flag. And I highly encourage you to address it because the long game of continuing to live with hot flashes is cardiovascular compromise, is brain compromise, is a lot of issues that we don't want to be dealing with. All right, I'll leave it at that.

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If you guys are interested in jumping into that course, you can get there by heading to drtina.com forward slash ozempic uncovered. That will give you access to a free four-part video series on GLP-1s. And from there, I make an offer into the big course for a discount. If you just want to buy it outright without discount, you can go to my website.

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It's under the courses tab and you can grab it there. But I highly encourage you to watch the GLP-1 Uncovered, Ozempic Uncovered video series because there's a lot to be learned there, whether you're considering them or whether you have family members on them. I guarantee somebody you love in your life close to you is on them or going to be on them at some point in the near future.

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So learn what you can so that we can make educated decisions. And if you want the meat and potatoes of my brain, it is inside that big course. And I highly encourage you to check it out. i will see you guys soon and please take this to heart this is the warning sign if you're getting hot flashes go do something about it now Thanks for listening to The Dr. Tina Show.

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On this episode of the Dr. Tina Show, I am going to be talking to you on a quick and dirty episode about why I say that vasomotor symptoms, also known as hot flashes, are the harbinger of doom. So let's jump in. All right, so... What is a hot flash? A hot flash is literally a vasomotor spasm.

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This is a Wellness Loud production produced by Drake Peterson and mixed by Mike Fry. Theme song is by John the Guilt. You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can email the podcast at podcast at drtina.com. That's D-R-T-Y-N-A. And if you like this episode, please rate, review and subscribe on your favorite podcast app.

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You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. We in this community spend so much time and effort ensuring that we're feeding ourselves well. Why aren't we doing the same for our pets? I've got three dogs, all different breeds. I love them to the moon and back, and they're all thriving on Sunday's dog food. This food is the real deal.

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So when people say, oh, just eat less and move more, it is so short-sighted and ignorant because these folks are dealing with an uphill battle for the rest of their life. So anyone you've seen lose an appreciable amount of weight and keep it off, like super kudos to them because... That is not easy.

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It becomes literally harder than it was just to maintain the obese size is what I'm trying to get at here. If we lose 15% of our body weight, let's just say we go into caloric restriction. Let's just say we eat less and move more. We are going to not just have an expected drop in resting metabolic rate.

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If we do it quickly, we are gonna have a profound drop in resting metabolic rate, which means we are going to have metabolic adaptation increase. With trisepatide, folks are protected from that. They just have the normal, hey, you are 15% smaller now, and so we need less calories.

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But it's not exaggerated like it is in every other case, like bariatric surgery or when people, like on The Biggest Loser, where they're put through horrific boot camp style training and starve to death. So eat less and move more is actually less successful in the long run than eating less and losing weight with terzapotide. Terzapotide is protective. That's what this study is showing. It's small.

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Again, it's a small study. But it certainly, the way that I took it was not at all. Oh, it was just the less calories they ate. I don't know if these docs actually read, like paid for and read the whole study. But the other sure signal that... these peptides are protective of metabolism and maybe even improving metabolic health overall, which I really believe.

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I really believe that they have a healing impact, especially long-term, the longer people are on them, on folks' metabolic health overall, is that fat oxidation increased. And the only way to lose weight is to have fat oxidation increase. So fat oxidation increasing on the peptide is a good sign that metabolic health is being protected, if not improved. And this was not a terribly long study.

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I think it was, I want to say it was nine months, which is, I mean, a decent amount of time. But most folks who are needing to lose significant weight, I would really, the way that I'm looking at it with my patients and with the folks that I'm working with or talking to even, is we're seeing real improvements in metabolic health and the ability to titrate down around 16 to 18 months.

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So I went ahead and paid for the article so that I could read the whole thing because the title is a little misleading and the key highlights are a little bit misleading. And so I wanted to make sure that I read the whole thing, digested it, worked with the information, and I'm going to present it as I understand it. Because no disrespect to these docs. I respect them very much.

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It just depends on the individual. And so I know lots of people who are microdosing it who really didn't have much weight to lose. Again, microdosing is not a weight loss strategy. I don't even want to go on another rant about that because it is pissing me off. I just had a gal send me a message or someone else's story on Instagram. And it's crazy, you guys.

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I cannot rep for a telemedicine company and get paid a kickback or an affiliate kickback because that's called fee splitting in medicine. That's illegal. So that is why I have not aligned myself with any telemedicine companies whatsoever as far as financial is concerned. Influencers can. I don't know how they're legally getting away with it, but they can financially align themselves.

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If they're not doctors, they can align themselves with telemedicine companies, spew out whatever the telemedicine company wants them to say, have an affiliate link and get a kickback. So all these influencers online trying to teach you about microdosing, they're all getting affiliate kickbacks. Or they're sending you to like the gray market and

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which is a pretty hard place to get these now, but you can buy this stuff online, right? And they're sending, and God only knows what's in it because there is some counterfeit shit going down. I just talked to one of my buddies, compounding pharmacist, and like,

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I would stick to the brand name at this point if you can, because nobody knows even what's going into the compounding pharmacies in some cases. It's getting pretty scary out there. So, I mean, unless your compounding pharmacy knows who they're sourcing from, there is some random shit being circulated. Anyway, back to my point is these folks are getting a kickback.

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So this gal is telling folks that microdosing is actually just the standard starting dose, which I've been really clear about. It's not. First of all, microdosing is not a weight loss strategy. Second of all, it's not the standard starting dose. And third of all, it's a mere fraction. What that fraction is depends on the individual.

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It depends on a lot of factors that I go into deep on my GLP-1 done right university. That's why it's 40 hours of content plus because... This is a nuanced conversation. But that said... It's a fraction of the starting dose. So she's promoting the starting dose. And her story literally says, like, this is microdosing. And, you know, with semaclutide, the starting dose is 0.25.

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With terzapatide, it's 2.5. And I literally wrote her back and corrected her. I said, that's incorrect. This is wrong. This is not at all what microdosing is. And she said, well, the telemedicine company that I rep for, this is how they microdose. So this is what they want me to say. And this gets me back to my point that I've been trying to share with you guys. It's been co-opted.

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It's been rebranded. My words have been twisted. And these same people are using my name and sending people back to my podcast because Dr. Tina said it's all right. I never said that. I never said standard dose your patients and that's a microdose. And it's all right because I'm getting phone calls from other influencers who are supposedly being microdosed by big name influencer doctors.

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And they call me and tell me they can't get off the couch because they can't stop vomiting. And I ask them what their dose is. And the same answer I get from people, oh, I'm taking this many units. I'm like, I don't care what the units are. What is the strength of the bottle? So they send me a picture of their bottle. I do the math quickly.

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They're standard low dosing and they're being told they're microdosing. And these doctors never bothered to have a conversation with me. These are the doctors that say, oh, I've been doing this forever. No, you haven't. This is not what I'm talking about. Microdosing doesn't work for weight loss for very long.

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They're obesity docs. I'm not. But I do understand metabolic health really well. And I don't think they're getting the whole story straight. So let's jump in. All right, so first of all, here's the study. Terzepatide did not impact metabolic adaptation in people with obesity, but increased fat oxidation. That's the title. It's in Cell Metabolism, Clinical and Translational Report.

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It only works for those who are metabolically optimized already and they just have a little fluff to lose. But if you're actually going for weight loss, microdosing ain't going to get you there, honey. It will stop working. I've seen it time and time again because people keep thinking they can do it, even the ones who are kind of listening to me. And then they're like, why did it stop working?

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Or why is it not working at all? I'm like, because it's not a weight loss strategy. or they're not doing all the things. All the things, as you know, which I lay out in the course in detail, is all the things. It's the strength training. It's the hormones.

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I have a whole hormone module, Deep Dive, that will explain hormones to you better than anyone's explained hormones to you, unless you've taken another awesome course somewhere. I promise you, that module alone, the hormone module, is worth the price of the course. I've got expert interviews in there with almost a dozen different friends of mine, most of them licensed practitioners.

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So anyway, all that to say, the way that Folks are bastardizing my message across the internet. It's getting old, guys. That's all. I'll leave it at that. If you're already hooked on Elements Zero Sugar Electrolyte Mix, buckle up because now it comes in a bold 16-ounce can of sparkling water, and I'm honestly obsessed with it. Same trusted formula, now carbonated.

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Zero sugar, zero caffeine, all function. Most drinks out there are loaded with junk, sugar, stimulants, fake ingredients. Elements Sparkling flips the script. Every can is a stand against that garbage and a step towards real functional hydration. Each can delivers the same electrolyte formulation that you trust and love from Element, only now it's bubbly and fizzy and much more fun.

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It comes in fan favorites like citrus salt, watermelon salt, and grapefruit salt, plus the all-new black cherry lime only found in the sparkling line. If you sweat hard, train hard, or just want to feel better all day long, this is your hydration solution. Dr. Tina Show listeners get a free sample pack with any Element drink mix purchase at drinkelement.com forward slash drtina.

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Heads up, the free sample pack does require a drink mix purchase, not sparkling only orders. Those cans are a bit more costly to make and ship. But while you're there, definitely try out the new Element Sparkling. Stay salty, stay hydrated. Try Element Sparkling now. This season is a potent time for transformation if you utilize it right. I plan on getting into a solid training routine myself.

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One of my favorite ways to do this is to take measures to clear out my senescent or zombie cells. Have you guys heard about zombie cells? How about senolytics? Senolytics are a class of ingredients discovered less than 10 years ago, and they're being called the biggest discovery of our time for promoting healthy aging and enhancing your physical prime. Thank you so much for having me.

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If you also want to resist aging at the cellular level and stave off those zombie cells, try Qualia Sinalytic. Go to qualialife.com forward slash drtina for up to 50% off and use code drtina at checkout for an additional 15% off. That's Q-U-A-L-I-A life.com forward slash drtina for an extra 15% off your purchase. Thanks to Qualia for sponsoring today's episode. Okay, so let's get back to this.

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The expected resting metabolic rate drop would be a normal slowdown due to overall tissue loss, right? They're losing some muscle. They're losing some fat mass. Their body should slow down their resting metabolic rate. Their actual resting metabolic rate is what you can measure, and metabolic adaptation is when the actual is more than what is expected.

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Just came out May 2025. Here it is, all right?

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And in this case, Terzapatide just gave them the actual amount. Let's get back to the summary here. The expected resting metabolic rate drop when people lose weight is due to normal tissue loss. Like you lose an amount of tissue, lean mass, fat mass, you're always going to lose some muscle. That's lean mass. That's part of lean mass, I should say. You get an expected resting metabolic rate drop.

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see if we can focus in on that my camera wants to be picky so what did this study show i'm just going to read the first part first page so you guys can gleam what i think most people are gleaming from it first they looked at pre-clinical mouse experiments and then they did a phase one clinical study on 55 humans very small 55 humans doesn't tell us a tremendous amount but hey it's it's what we got

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The actual resting metabolic rate drop that happens with caloric restriction, unfortunately, that you can measure, it's what you measure, is usually always more than the expected. So in this case, the trisepatite protected them and it just gave them the expected. There was not the fall off cliff. There was not a pronounced extra amount of resting metabolic rate drop. I hope that makes sense.

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I'm trying to explain physiology here. It's metabolically protective. No unnecessary metabolic slowdown. The triseptide users didn't experience the bonus drop in their resting metabolic rate that sabotages most dieters. Resting metabolic rate dropped only as expected, not extra. Based on fat and muscle loss, the bodies behaved predictably, not defensively. They didn't go into starvation mode.

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That's a win. Muscle mass, fat-free mass was reasonably preserved. How's this for you? About 75% to 80% of their weight loss was fat, which is better than diet-induced losses. Most diet-induced losses are anywhere between 25% and 40%, and I know we hear the stories. Everybody loves to lean on that 40% because of one study that happened years ago. Oh, they lost 40% of their lean mass.

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Only a portion of lean mass loss is muscle, FYI, and fat. Some of it's the fatty infiltrate inside the muscle that they're not even accounting for. But some of these big name health influencers and doctors really love to lean on that 40%.

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But when you get into the studies where they had people exercising or they had people take care to pay attention to their protein macros or even just gave them high doses of triseptide and let them go like it looked like they did in this one. they actually had a significantly lower lean mass loss than we've seen in some of those other studies. So don't let people scare you on the internet.

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It's just, it's bullshit. It is. They are trying to scare you for some other reason. If someone's really trying to scare you about GLP-1s, like first off, why do you care what anyone else is taking? It's so bewildering to me. And second off, they're trying to sell you their services or their supplements, always. Just always go a layer deeper.

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They're always either selling services or supplements to you. So anyway, their fat oxidation increased. Their bodies became better at using fat for fuel. So they had a higher fat burn. That's a win. That's a metabolic win that tells me that trisepatite is actually improving the metabolic terrain. Their appetite decreased without rebound. No compensatory spike in hunger hormones like ghrelin.

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So I'm going to go with win here. It's protective. It's metabolic protection. It's not boosting metabolism like a stimulant or thyroid hormone. It's regulating the system so the body doesn't go into starvation mode and we don't have metabolic adaptation go rogue. True's appetite allows for weight loss without metabolic panic, if you will. That's what makes it powerful.

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It's very different from their just eating less calories that we're hearing on some of these reels on Instagram. So I just wanted to share that. And lastly, let me leave you with the biggest loser study. This was the New England Journal of Medicine 2016. The summary was they followed contestants from the TV show who lost an average of 129 pounds over 30 weeks. That's crazy.

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That's a crazy amount of weight over 30 weeks. Do you guys remember watching that show? I remember watching it in horror. And I got to say, anybody involved in that show that's still around today, I have no respect for because they did that to their people. They yelled at them. I remember certain influencers who are still online today yelling at the people.

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And these poor people are trying their best and their bodies are just, I mean, it's like, tell me you know nothing about hormones and metabolic health. Like, it's just wild. It was terrible to watch. These are people who are still with big platforms screaming that Ozempic is evil. And I don't get it. So they used extreme caloric restriction and intense exercise.

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For those of you who haven't seen The Biggest Loser, it was terrible. They basically put these people in a camp for 30 weeks and just pummeled them. What happened? Their resting metabolic rate dropped by 500 calories a day on average. This was a 275 calorie a day lower than predicted. This was severe, severe metabolic adaptation as an example.

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The highlights were in caloric-restricted obese mice. So these were obese mice who had calories restricted from them. Terzapatide attenuated metabolic adaptation. I'm going to get to what that means in a minute. In people with obesity, terzapatide did not impact metabolic adaptation. Trizepatide increased participants' fat oxidation, decreasing sleeping and 24-hour RER.

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Six years later, most had regained the weight and their resting metabolic rates were still suppressed, which leads me to believe, I don't know if they followed them past that, but it leads me to believe that

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this might be forever and i've heard this in the obesity community and i've been studying obesity pretty intensely for the past two years and i have a whole newfound appreciation for obesity as a disease go back and listen to the episode i just did with dave knapp he's the on the pen guy that's his platform on the pen really really nice guy independent journalist he lives with the disease of obesity and he talks about it quite a bit and i think he represents it well

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But the bottom line was these folks on The Biggest Loser, their bodies were stuck in starvation mode, maybe forever, permanently is what it looked like. That's what's happening to people who are losing massive calories or restricting massive calories in a short amount of time and losing massive amounts of weight.

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But the thing is, is this small study showed that terzapatide is protective against that. I would say that's a massive win. It's significantly better than just saying, oh, they lost weight because they ate less. There was the CALERIE study, C-A-L-E-R-I-E study, long-term caloric restriction in non-obese humans. The summary was that participants restricted calories for 25%,

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for two years they lost moderate weight 10 to 15 of their body weight the metabolic effects they also experience metabolic adaptation their resting metabolic rate declined more than expected they increased fatigue cold sensitivity hormonal suppression your thyroid just gets tanked out in this case sex hormones your estrogen your testosterone progesterone and elevated hunger so what these studies show us is that typical dieting causes the body to fight back it pushes back

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The bigger the calorie gap, the harder your metabolism hits the brakes and weight loss is achieved at the cost of long-term metabolic health. So all these folks out there, all these folks online saying it's just calories in, calories out, eat less calories, track your calories, track your macros, track your calories. I will say track your macros.

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I mean, don't worry about any of them except eat enough protein is my stance on it. If you get enough protein in, you're not going to have any room to be shoving in a bunch of terrible macros on top of it.

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But any of these folks helping everyone in the world with their caloric restriction, I really encourage them to track their clients and let me know how they're doing a year later or two years later or three years later. Because I've helped many patients with caloric restriction and metabolic adaptation is real yo. And it is brutal. And it's very hard for those folks to maintain that weight loss.

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And the argument against GLP-1s that I've been hearing even recently on some big podcasts with some big-name doctors, I've been hearing them say, oh, well, the problem is, is once you lose all the weight, your metabolic adaptation is going to kick in. It's going to be harder to keep it off.

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Yeah, except these peptides seem to be, at least trizepatide, which is a dual agonist, seems to be showing protection against that. So sorry, Dr. So-and-so who keeps spreading that information all over the world with his giant megaphone. You are not correct. All right, so if we were to break this down on a chart, this is how it would go.

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The biggest loser study, 30% weight loss, 500 calorie drop a day in their resting metabolic rate, severe metabolic adaptation, high muscle loss, and very high long-term performance. regain risk. All right. The calorie study, again, it's C-A-L-E-R-I-E like Valerie, 10 to 15% loss of weight, 10 to 15% more than predicted resting metabolic rate drop.

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So moderate metabolic adaptation on that one, moderate muscle loss and elevated long-term regain risk. In this recent triseptide study from 2025 that I just showed you, 15%, so more than the calorie study, 15% weight loss. Their resting metabolic rate drop was only as predicted. So they did not have metabolic adaptation occur, none. Their muscle loss was lower. So their muscle was protected.

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And trizepatide decreased participants' calorie intake at lunch and dinner by reducing appetite. So here's what the obesity docs online had to say about it. They said, you know, we're hearing our patients tell us that they're taking trizepatide and...

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Their fat oxidation was increased. So their metabolism was actually improving and they had a lower risk of long-term regain. That's it. This stuff really is protecting metabolic health, in my opinion. And I'm not saying there's any magic involved. I think it's very simple when you understand how metabolism works.

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You understand the, like I said, the insulin signaling, the insulin reception, the decrease in inflammation. Busted metabolic health is being driven by high inflammation. And that's why we call it inflammation, right? As we age, you've heard me talk about that before. As we get older, we get more inflamed. And as we get more inflamed, we get more metabolically compromised. That's just how it goes.

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These peptides protect against that. That's huge. We get a decrease in inflammation in the brain. We have mountains of studies to show this at this point. We get microglial cell improvement in the brain. So when the brain calms down, a lot of what's happening downstream metabolically, immunologically, inflammation-wise is being driven by what's happening centrally in the brain.

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It's not just central sensitization from a pain standpoint. It's happening across many parameters of an individual's health. GLP-1s dampen that inflammation down. So really anyone crapping on GLP-1s at this point just sounds ignorant. And I keep hearing it from intelligent people and I'm like, Do y'all not keep up with any data? Because that ship has sailed. The crap on Ozempic ship has sailed.

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It's over. It's embarrassing. I'm embarrassed for some of these people who keep crapping on these peptides. They just clearly don't get how they work and they clearly aren't listening. I mean, maybe they don't like me and that's cool.

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But I'm trying to lay down the actual data because misinformation, especially coming out of a camp that has a large megaphone, when you spew intentional misinformation, I don't know. I don't know why these people continue to crap on Ozempic, but I don't know who's paying them. Maybe it's because if GLP-1s work as well as we know they do, it compromises their food first messaging. I don't know. But

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that even though they're not changing their caloric intake, meaning they're not decreasing their calories, they're still losing weight, is there some magic way that this peptide is working? And these obesity docs concluded from this paper of 55 people that no, there's no magical metabolic impact. It's literally calories in, calories out.

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it negates all the rest of the scientific claims you make. In science, if you intentionally spew egregious misinformation, it negates your word across the rest of the science that you share. And so that's why it's really important to me that you guys understand the truth of this. I'm not saying this is for everyone. I'm not saying everyone should take it.

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I'm not saying it's not without risks, especially at 15 milligrams a week. I mean, that's a really high dose. But risk tolerance right and risk to benefit ratio and that's a conversation for an individual and their doctor that's not for me to decide that is for a conversation between an individual and their doctor and it's nobody's business what an individual chooses to do about their health.

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We don't say boo when women put breast implants in. It's been so completely normalized. And I've been telling women from the beginning, like, don't do it. It's going to potentially very much screw up your immune system. But yet it's been completely normalized. We don't say boo. We don't say boo when people put filler or Botox in their face.

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We don't say boo when people, I mean, shoot, there's places you can go to get your bones extended. There's young men actually having their bones extended with terrible apparatus. They cut the femur and literally stretch their bones out and they make them taller. There's all kinds of things going on in the world that we don't say boo about.

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There's people who are my age who were on five different lifestyle medications for the rest of their life and no one says boo. They're on statins for life. They're on hormones for life. I mean, I'm on hormones too. I can literally make an argument that every single one of the, even the compounded hormones, the bioidentical hormones...

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Yes, I'm going through menopause, but the fact that I needed some hormones in my 30s tells me that my lifestyle was burning my hormonal system out. So I could make an argument for, you know, the 35-year-olds who shit on Ozempic but take compounded thyroid. I'm like, honey... I could make an argument that your lifestyle is driving your thyroid to be worse, right?

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And that you might... Yeah, maybe you do need some, just maybe you've always needed some, but also we drive our HPA axis into the ground through stress and through lifestyle. We drive our cardiometabolic health into the ground and we end up on statins and blood pressure medications and we don't say boo about that. But God forbid somebody take a peptide that is going to literally...

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protect their metabolic health, if not start to heal it. It's crazy to me. Somewhere in 2021, people got awfully nosy about what other people were doing with their health. I'll leave it at that. And somehow that opened the Pandora's box to everybody seeming to think they have an opinion about what someone else chooses to do in their private life with their private health decisions.

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But you guys can decide what you want to do because I'm going to keep giving you updated and truthful information and you can decide what you want to do with it. I'm not going to go into a big rant about why I think the calories in, calories out dogma is busted.

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I do see utility in the fact that if you want to lose weight, caloric restriction is very likely going to be part of that conversation, but it's not all of the conversation. And the easiest way I can explain this is we don't all have the same engines. So the amount of fuel you put into it is going to differ. We don't all have the same engines. And so it's not just less food. It's

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are these people insulin resistant? Do these people have hormonal imbalances? Do they need some hormones most notably? Yes, caloric restriction can potentially help you carry that weight across the line. But I'll tell you this, every time I calorically restrict, and it's always by accident, I'm just naturally an under eater.

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It's due to the caloric restriction is why they are losing weight because of this peptide. Highlight here, which I already read, turns appetite decrease participants' calorie intake at lunch and dinner by reducing appetite.

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Anytime I accidentally calorically restrict, I end up starting to gain belly fat and I start losing muscle. I go in the wrong direction. And the amount of patients I've seen, women, it's always women, who are severely calorically restricting and just crushing themselves in the gym. They're doing Orange Theory. They're doing CrossFit.

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They're so metabolically ramped up and they just get fatter and fatter and fatter. And I have to tell them to stop. Slow the roll. Dial it back. Focus on nutrient-dense food and enough of it. Focus on hitting your protein macros. Stop worrying about everything else. Like I said, you won't have any room for anything else. Garbagey.

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And if you're going to the gym, trust me, if you're working your butt off trying to build muscle the smart way, there's a way to do this. I talk about it in my Strength Corner. You guys can grab that. I'll put the link in the show notes. It's a great course. It's a great beginner's course. It'll get you there.

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And then you will have an opportunity soon from there to join my Strength and Resilience Collective. We've already gotten started. The people who joined the Protein Quest a few months ago or a month ago. They're in it. We're doing it together, but I'm going to open it up to the general public here soon. And there's a whole strength vault I'm building out in there.

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So I'm going to keep giving you guys in there exercises, your programs for the month, your workout programs. There'll be a whole library of exercise videos. You don't have to kill yourself. Three times a week, strategic, plenty. That's plenty. And you don't have to be a sweat angel on the floor when you're done.

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In fact, I'd prefer you're not because we don't want to drive cortisol so high that that high cortisol level will not allow your body to let go of the fat. So this is where calories in, calories out fails. It fails in a lot of ways. I'm really glad it works for some people. And I applaud the people trying to promote it online.

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But those who are militant about it clearly don't understand metabolic health. and the nuances of it. They clearly don't understand hormones. They clearly don't, let's talk about leptin and light, right? I mean, you need light exposure and you need circadian rhythm balancing in order for your body to actually not go into metabolic illness. So there's lots of factors here. There's toxicity.

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There's so many factors involved as to why a human's body may not wanna give up fat. It may be holding it for various reasons. Some of it may be emotional. You know, maybe these people had a lot of adverse childhood events, have dealt with some abuse. A lot of women have dealt with severe abuse and end up packing on weight as a response to that, seemingly out of nowhere. So lots of reasons.

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belief out there is that calories in calories out is the holy grail and i'm not saying that these docs believe that only but that's the going belief in the world and that these peptides only work by reducing calories that they're self-starvation peptides and because you eat less you lose weight and that's it end of story case closed

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There's people who were thrust into severe metabolic dysfunction, even type 2 diabetes, even type 1 diabetes after COVID. Because viruses, any virus, can have a potential ill effect on different body systems. Maybe somebody's thyroid function is falling apart. And you're telling them to calorically restrict, which is going to just crash out their thyroid function even further. It's bonkers to me.

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So... Understanding physiology matters and understanding metabolic function matters. And I'm not, again, saying that I'm some expert in all of it. At the end of the day, I do understand metabolic adaptation and the impact it has on the body. And so... eating less and moving more, not the solution most of the time for most people where we're at now.

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That maybe worked in the 70s and 80s and 90s even when the world wasn't so toxic, but we're dealing with a whole different type of human here and a whole different type of metabolic compromise. And this is where I think GLP-1's done right done appropriately can be magic. I talk about this in depth inside my program, GLP-1 Done Right.

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If you guys want to hear the four-part video series that's completely free, I'll make sure the link is in the show notes. You just go to drtina.com forward slash ozempic uncovered. The program's now called GLP-1's Uncovered. It is an excellent education on GLP-1 agonists that you probably haven't heard.

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And from there, you will be given an invitation at a reduced rate for the opportunity to join the program. The program as it stands, as of the time this podcast comes out, is still intact. I'm pulling it down, though, because it was built out for clinicians. It's beefy, and it's for the smart folks. If you're not a doc, if you're General Pop, you know, we call them Gen Pop, the...

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The average humans out there in the world, health coaches, strength and conditioning coaches, anybody dealing with clients who are on these peptides, I highly encourage you to purchase this course and go through it. It will teach you what you need to know. That said, I'm pulling it because I have allowed the general public in.

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And what I want to do is create a certification program for prescribing clinicians. And I'm really excited about that. That's what I'm working on lately. There will be a program available for... health coaches, non-licensed practitioners, chiropractors, acupuncturists, but it's going to be more money than what you see right now.

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And then from there for the general public, I'm going to have a much more dialed in, way less clinical. Although some people really want that information. That's why I'm saying if you want that information, buy the course now because it's going away. But there will be a much more just action-packed how to like support your journey with GLP-1 type of program. That's coming last.

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So if you are in any of those tiers of people that encompasses everyone, actually, you're either a prescribing doctor, you are a health professional that's non-licensed, or you don't have a prescribing license, or you're the general population, general public, I encourage you if you want the beefy version as it stands, the comprehensive OG version that I built out

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gosh, a year ago, a little over a year ago, grab the course as it stands. So go to drtina.com forward slash Ozempic Uncovered. Watch the four-part video series. You'll get a new video each day. I believe the third day in, you'll get the invitation to purchase the course. I highly encourage you to do it. That's the best price you're going to get.

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And it's going to go away soon, so it's not even going to be available. All right. Much love, guys. Thank you. I hope this was helpful. Again, I will make sure to link this study for you, but you are only going to be able to read, I think, the first page of it before it cuts you off and makes you pay for it. So I've covered it here. You can buy it if you want and read it.

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If you've been listening to me for any appreciable amount of time, you know that's completely untrue. They work on your metabolism in a multitude of ways. Most notably, they decrease inflammation in the body. They improve insulin signaling on both sides, insulin production, insulin reception. They increase the AMPK pathway.

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But I think at the end of the day, what it's showing us is terzapatide is very protective for your metabolism and your metabolic health and potentially If we're having fat oxidation increase, it's doing something well beyond just helping you reduce your calories more. I will bid you adieu. And if you like this episode, please rate, review and subscribe on your favorite podcast app.

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You can also find all of my offerings on my website at drtina.com. For more shows by my team, go to wellnessloud.com. See you next time and thanks for listening. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk.

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The content on this podcast is intended not to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions.

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My dog with chronic ACL issues, no more limping. My Havanese puppy, it's essentially the only thing he's ever eaten in his life, and he is so tan and jacked. And my beautiful German shepherd rescue, we pack 20 pounds of healthy muscle onto him with Sundays. We don't deal with fleas anymore. They don't stink. And I think of high quality food as an investment in their longevity.

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They stoke it, which is going to help with mitochondrial health, which is ultimately going to translate into metabolic health improvements. So we've got a lot of different mechanisms at play. There's more than this. You know, there's impacts on the brain. There's a decrease of inflammation in the brain. There's various mechanisms by which GLP-1s impart themselves on your metabolic health overall.

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It's not just about calories in, calories out. But they looked at the study and they decided that because there was no metabolic adaptation change in humans, even though there wasn't mice, that therefore no metabolic impact. It truly is a calories in, calories out thing. That said, they're still amazing peptides. I wanna break down what all this means because I think they're wrong.

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I think there is a very protective mechanism on the metabolism going on here. And I wanna explain to you what these terms mean and how this works so that you understand that I think this paper actually proves that they have a really profound impact on our metabolic health overall beyond what caloric restriction would do on its own.

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Okay, so to truly understand this paper, we first have to get some terms out of the way and we have to understand what they mean. I want to explain what metabolic rate is, what resting metabolic rate is in the first place. So this is the number of calories that your body burns at rest just to keep you alive. That's your resting metabolic rate, all right?

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This is your breathing, your heartbeat, your blood pumping, all of it, digestion, et cetera. Your resting metabolic rate, RMR, is what we're going to call it, is largely driven by your lean body mass and to a lesser extent by your fat mass. This is why I'm always banging the drum that you have to lift weights, that it's non-negotiable.

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Because when you lift weight and you add muscle to your body, you increase your resting metabolic rate, which means you get to eat more. You burn more calories just sitting around on your ass than you would otherwise. So we lift weights so that we can sit on our ass when we want to and not worry about it. You don't get to sit on your ass and do nothing if you're not lifting weights.

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that just turns you into a blob, a metabolically busted blob, which is what most of this country is, and that's not helping anything. So no disrespect, but most people are going from bed to the couch, to their car, to their desk, back to their car, back to their couch, back to their bed. It's no wonder why 94% of U.S. adults are metabolically compromised.

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So what should happen when you lose weight, if you lose weight, especially fat and muscle, because anytime we caloric restrict, we're going to lose some muscle, your body needs less fuel to operate. This is why it's really problematic when people lose weight. It's so difficult to keep it off and why the success rate of that is so low.

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It's because as you decrease your body size, you decrease your body mass, your body needs less fuel to operate. So your resting metabolic rate is going to go down. No matter what, no matter how you lose the weight, you are going to have some reduction in your resting metabolic rate. And that is going to cause problems in that now you have to eat less to maintain that size.

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And if feeding them top tier means that I get more happy mobile years on the planet with them, then that's an investment I'm absolutely willing to make. Sunday's is fresh, air-dried dog food made from a short list of human-grade ingredients and 0% junk. No synthetic nutrients, no artificial fillers, just real whole food for your pup. And you'll see the difference.

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This is the cycle and loop that folks with obesity get trapped in because they lose 100 pounds, let's say, or they lose 50 pounds or they lose 25 pounds. And now their resting metabolic rate has gone down. So it's going to take more exercise and less food to maintain what they just achieved. This is not an absolute true statement, but this is what I hear folks struggling with obesity say.

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It was almost easier before I lost the weight. At least I could maintain that set rate, right? And I didn't have to fight so hard to hold it. But once you lose weight, any of you who've lost any appreciable weight know to hold on to that weight loss, to hold on to where you've dropped to is really difficult to maintain.

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So the way that I explain this to folks is if you ran four miles a day to lose five pounds, once you've lost it, you have to now run five miles a day to maintain it or you have to eat much less. All right. So this is the expected resting metabolic rate drop. This is what metabolic adaptation is. It's, it's,

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the body going into starvation mode and trying to desperately hold on to what it has, because you've just taken away a bunch of mass if you've lost weight and your body is like, oh no, we must go into starvation mode, that's metabolic adaptation.

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We don't really want metabolic adaptation to go up, meaning the more that we have a metabolic adaptation, the more of a starvation mode we've gone into, okay? So when you lose weight, there is an expected resting metabolic rate drop. But what sometimes actually happens, and they figured this out with a couple studies years back, most notably the Biggest Loser Study.

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I'll go through that in a bit, the Biggest Loser Study, and I'll explain what happened. But what sometimes happens is when you have a crash diet or you have a significant amount of weight loss in a short amount of time, you get an actual rate

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drop of your resting metabolic rate that is larger than expected it's bigger than anticipated this is what happens when people have a big drop in weight that's metabolic adaptation aka adaptive thermogenesis it's your body going we're starving slow down everything and conserve energy so everything's going to slow down your thyroid function everything's going to slow down your metabolic rate everything's going to slow down because the body's slamming the brakes saying we are starving

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Do not lose any more weight. This is why I'm not a fan of losing weight quickly. This is why I tell you we don't wanna lose more than one pound a week because we don't want to go into a hyper response of metabolic adaptation. We expect a little bit, right? Because a leaner body needs less calories to run, but we don't wanna slam the brakes here. So think of your body as a furnace.

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Here's a scenario. You lose 30 pounds, all right? What should happen? Your furnace turns down to low. What actually happens is your furnace goes into hibernation mode because of this metabolic adaptation. Or say you lose 10 pounds, your furnace should drop by 150 calories a day. Instead, it drops to 300 calories a day, which is extra slowdown. That's metabolic adaptation, all right?

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So now let's apply it to these studies. In caloric restriction, let's say you lose 10 to 15% of your body weight. You should see about 150 calorie a day resting metabolic rate drop. but what you actually see is a 250 to 300 calorie a day drop, meaning it overcompensated. That's metabolic adaptation. This is this extra unwanted slowdown, okay?

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Softer fur, fresher breath, better poops, and more energy. And the best part, there's no refrigeration, no prep. It's not gross. Just pour and serve. It ships right to your door so you'll never run out. Right now, you can get 40% off your first order of Sundays. Head to sundaysfordogs.com forward slash drtina or use the code drtina at checkout. Hello and welcome back to the Dr. Tina Show.

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In this study, interestingly, let's talk about the mice first. So the mice lost an appreciable amount of weight. They had their metabolic adaptation attenuated by the triseptide, meaning halted. or lowered even. So they did not get the expected nor the hyper response of metabolic adaptation that one would expect when you lose an appreciable amount of weight. They had no metabolic slowdown.

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So everybody thought, okay, mice studies, terzapatide must be really protective to metabolic health and there's no appreciable metabolic adaptation, so yahoo. And they erroneously apply this to humans, which we do. This is why I always try to clarify these are rodent studies or not, because it doesn't always translate to humans.

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But what they found in this study in the humans, when they looked at the 55 individuals that were split pretty evenly down the middle into two groups, they were on 15 milligrams of Tuer's appetite a week. That's a hefty dose. That's like the highest end of the entire dosing protocol. So they were on the highest dose. They were titrated up over like, I think, 20 weeks.

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And meaning they had their dosage doubled pretty quickly. They got up to 15 milligrams a week. Very high dose. Very, very, you know, highest tier dose. They lost 15%, 1.5% of their body weight, which is awesome, right? I mean, that's what they were going for. These were obese individuals. Their predicted resting metabolic rate drop would be, let's say, 150 calories.

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Their actual resting metabolic rate drop, what happened... was they only decreased it by 150 calories a day. Meaning their metabolic adaptation did not, it stalled in the middle. Meaning in people with obesity, metabolic adaptation did not really happen. Hey ladies, real talk.

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If you're in midlife and doing everything right, eating clean, lifting weights, using HRT, but still not feeling like yourself, it might not only be your hormones that need some tinkering. It might be your cellular receptors that need some love.

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When those receptors are overloaded with environmental exposures like plastics, xenoestrogens, and pollutants, your body may not respond to hormones the way that you expect. That's where liver love comes in. It's a comprehensive formula designed to support the body's natural detoxification pathways and promote healthy hormone metabolism. With

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With ingredients like DIM, glucoraphanin, milk thistle, NAC, alpha lipoic acid, turmeric, and more, Liver Love supports phase one and phase two liver function, antioxidant activity, and cellular health. So your body has the foundation it needs to function its best. This is not a cheap cleanse.

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This is a clinical grade formula that I've used for years in practice and it's designed for women who take their health seriously. Head to store.drtina.com to check it out now. While you're there, use code LIVER20 for 20% off and let me know what you think. That's Liver Love, my premium product to support detox, hormone metabolism, and whole body resilience.

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You know I'm all about getting the protein in. It's the foundation of your strength, your muscle, and your metabolic health. But here's the kicker. Just because you're eating a lot of protein doesn't mean you're absorbing all of it. Without the right digestive enzymes, much of it isn't necessarily getting broken down into amino acids that your body uses for muscle protein synthesis.

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This gets worse as we age. Your muscles don't just need more protein. They need bioavailable protein, and that's where digestive enzymes can come in handy. This is why I never leave my protein intake to chance. I use Masszymes by Bioptimizers. It's a high-potency proteolytic enzyme formula designed specifically to help you absorb more of the protein that you eat.

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Not all enzymes are created equal, and most on the market are weak, underdosed, and ineffective. Masszymes is the real deal and the one that I trust personally. I've even done a side-by-side breakdown with ChatGPT on all my favorite digestive enzymes, and this one always comes out tops. Masszymes is a full-spectrum enzyme formula with more protease than any other commercially available product.

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I am very excited about this episode today. A recent study has come across my desk that I wanted to share with you. I was first alerted about it by some of the big obesity docs that I follow on social media and they came out and had one opinion about the paper and So I looked up the paper immediately, of course, and found that you had to access it behind a paywall and it was quite long.

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It's got five different types of protease in it, plus it contains all the other key enzymes you need for optimal digestion. And you can try it today risk-free. Their 365-day full money-back guarantee is the gold standard of the industry. For your exclusive offer as a listener of the Dr. Tina Show, head to buyoptimizers.com forward slash Dr. Tina and use promo code Dr. Tina.

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Again, that link is buyoptimizers.com forward slash Dr. Tina. You know, the rumor mill going around the internet right now is, well, that just means that they ate less calories, therefore they lost weight, and it's all about the calories in, calories out kind of thing. And what I'm trying to express to you is that they had no metabolic adaptation, which means they were protected.

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They should have had an appreciable drop in resting metabolic rate, but they did not. They had the expected drop. So they did not have the hyper-responsive metabolic drop off. They didn't go off the cliff like what happened in The Biggest Loser when people had a massive metabolic adaptation for years after they lost the weight. Years, you guys. People don't understand this.

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This goes on for years. If you're a large-sized person and you lose an appreciable amount of weight, your success rate of keeping that weight off is abysmal. It's about as high of a success rate as rehab, which is also abysmal. We're talking five, maybe 10% chance of you keeping that weight off. That's what these folks are up against.

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The Rams are in a position to score. Goff, he looks. He goes wide. He goes right down the middle, throws it to Kup. Kup doesn't make it. Incomplete. Everybody's going crazy. I am jumping up and down. I am high-fiving people that I don't even know. The guy behind me is spilling his beer. And then all of a sudden, my son, he reaches over, and he gives me a hug. And he says, I love you, Mom.

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This was the best trip ever. For my 16th birthday, I want to go to Seattle and see a home game. And I'm like, okay. And I said, do you want to go with your dad this time or maybe a friend? And he's like, no, I want to go with you. And just like that, he knocked the wind right out of me. Thank you.

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In one sentence, he knocked the wind right out of me. Mom, I think I want to hang out with my friends on Friday. What? We have been bonding over buttered popcorn and Pixar animation films since he was two. That's it, it's official. It is not cool anymore to go to the movies with your mom. That was it. I'm like, he's starting high school in two weeks. I gotta get control here.

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I gotta find a common thing where we're gonna bond. So I did what anybody else in my shoes would do. I joined his fantasy football league. Even though I'm from Wisconsin, I know absolutely nothing about football. But what I got going for me is I'm competitive and it is me against those nine little shits. And this mom is gonna do it.

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Get home from work, it's the night of the draft, I got my strategy ready. I am picking my team based on last names, okay? So I need a quarterback, Tom Brady, Brady Bunch, favorite show growing up, boom. I need a kicker, Gostkowski, Polish name, I'm half Italian, boom, boom. So my team is doing pretty well. They're performing for me.

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Me and my kid are actually talking more than, hey, how was school? Fine. We're on the way to school, and I'm going, Christ, did you see Miami? Their defense killed me. And he's going, I know, Mom, I feel your pain. So I'm going to take it one step further, OK? It's his 14th birthday. We're going to a Seattle Seahawks game, his favorite team in Los Angeles. October 8, we land.

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I got exactly 46 hours to put as much fun as I can before kickoff. filled our faces at In-N-Out Burger, cruised down the Hollywood Boulevard, saw the stars, went to the wax museum, that was it, went back to the hotel exhausted. The plan was, we go to sleep, we wake up in the morning, we watch a little bit of football, I drive us to the stadium at 11 a.m. Yeah, that plan didn't go over.

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All because of a cup of coffee. I was taking the elevator down to the hotel lobby to get a cup of coffee, and there she was, the ultimate Seahawks fan. I mean, I'm talking Hawk tattoos, jersey, leggings. She's actually wearing blue and green Converse that are completely bedazzled with Go Hawks.

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get into a conversation, the next thing you know, I've got my coffee in my hand, I'm taking the elevator up, I whip open the door, turn on the light, my son's like, oh mom, come on. I'm like, dude, we got 30 minutes to get dressed, get downstairs, we are going to a tailgate party with Richard Sherman's parents. And he's like, what? And I'm thinking, I have no fucking idea who Richard Sherman is.

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But this lady just invited us and we're sharing a lift and you're going. We get to the game. We get pictures with Mama Sherman. We're hanging out. My friend, my new friend, gives him a poster. We get into the stadium. And she's like, this is where you stay in Jackson to get autographs. Oh, my God. My shy, socially awkward kid is screaming at the top of his lungs, Russell! Russell Wilson!

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And all of a sudden, not only did Russell Wilson sign his jersey, nine players signed that poster, and Pete Carroll, the coach, gave the kid a piece of gum. I was actually crying, okay? So we sit down and all of a sudden I'm like, oh my God, they got a win. This trip cannot end with, yeah, it was really fun and that would have been better if the Seahawks won. So we're in the stands, okay?

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It's the fourth quarter. I got a bunch of millennials sitting behind me that are completely calling the game the entire time. You know, there's a play and they're like, yeah, okay, I'll take that. Okay. Okay. So the guy says to his friend, dude, you gotta get me a beer. He's like, hey, get your own beer. He's like, no, no, no, no, no, no, no. It's 1310 up Seahawks.

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The last time I got up and got a beer, the Rams intercepted. He's like, oh my God, you're right. He's like, okay, you got, give me eight bucks. I'll get your beer. I don't have any money. What do you mean to get you a beer? And he's like, dude, you are not understanding me. I got up, I got a beer, I paid for the beer and there was an interception.

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And the guy's like, oh, my God, you're right, you're right. And I'm thinking to myself, oh, my God, stop going back and forth. I'm about ready to pull out eight bucks, throw it at the guy and say, listen, get the beer. He can't leave. They have to win. And if he doesn't win, it's on you. Okay. Five seconds left in the game, right? And here comes Goff. The Seahawks are up 16-10.