"The Holy Grail Of Weight Gain, Visceral Fat & Muscle Loss!" - FIX THIS ASAP | Dr. Tyna Moore

That's Decades of women who got the hormones they needed versus most of the women in the United States and probably the world who I mean an entire generation of women were denied hormone replacement HRT is not dangerous and that it does not cause all these terrible things we said it caused and a lot of women quite frankly have just been [ __ ] over like what are you noticing or what are your patients Noticing when they go in HRT you probably saw your moms do this a lot of people will once I describe this like

oh my mom went through that um their moms get kind of ding batty or they start forgetting things or you know where did I leave my keys where it's like it looks like this sort of pre- early dementia so brain fog but a big symptom is depression and sometimes suicidal ideation and so women who particularly women who this happened to me actually Women who had struggled with depression in younger years had seemingly come out of it for however long and then all of a sudden you're like I'll have women go on estrogen and anxiety crippling

anxiety that they've had since their 20s resolves and here's the real caveat this is what made me realize that the little bits of estrogen I was taking was not cutting it I kept tearing everything I kept injuring myself over and over again because estrogen keeps you elastic it Keeps you juicy and so when that plummets out out of nowhere mine just dropped very suddenly I mean I was fine I was fine I was fine and then it was gone and it was you know Achilles rupture back injury back injury and then right before I flew

out to London for that podcast we were talking about I herniated a disc not all muscle is the same you know metabolically compromised muscle is really pathologic the type two fibers are not firing appropriately this Is why people fall down this is why people have balance issues it's not feeding back up to the brain appropriately it's not doing all the awesome things we were just talking about muscle can do and in fact it might be doing you know bad things down the line gp1s have a hard time working weight loss in general is ult in

the insulin resistant person so they'll say everything I used to do to drop the 5 lbs is not working anymore nothing's Working so that tells me okay you're probably looking at some insulin resistance Dr Tina welcome back to the show yeah thanks for having me it's always a lot of fun having you on all right I wanted to start by you have some really interesting thoughts on HRT for women I've heard you say a couple things like you think it's uh um a really good thing it's great for quality of life longevity it's a bit

of a maybe a little bit of a controversial topic these days HR in general um tell me about that why why is this such a good thing or why is this something that maybe people should pursue or should they well my mentor always always always uh drilled into me the benefits of HRT as I was coming up and practicing medicine and I have personally been on HRT since I was in my mid-30s and we've always the way I've been taught and the way that I have treated patients as always just with physiologic dosing I'm not

ever trying To go into pharmacologic high doses or crazy high doses I'm not trying to you know turn a 65y old man into a 25y old man it's really just meeting the patient where they're at and meeting the deficiencies where they're at and similar to the way last time I was here when I talked about gp1s you know I've done the same thing with thyroid estrogen testosterone progesterone for sure and in the end uh patients always felt Much better my background is that I specialized in regenerative injection therapies that's predominantly what I did in clinical

practice for well over a decade so hormones were a huge part of that because you can't regenerate tissues and you can't get good healing and you can't decrease inflammation appropriately if you don't have enough hormone on board so a lot of folks would come into to me in middle age with issues and I'd say you know I I know you Think it's your knee but it's not your knee it's your hormones first and foremost we got to get those dialed in and people would look at me like I had two heads like what is my

you know what is my estrogen have to do with my chronic knee pain but excitingly in the last few years really good data has come out to support the way that I have been treating clinically for decades and it got vilified about 20 years ago or so the Women's Health Initiative came out And said that bioidentical hormone or just hormone replacement therapy in general was dangerous and that women should stop taking it and the women that were on it were calling clinics saying why do you have me on this poison I'm going to die and

those of us who understood how to read studies you know looked at the data and they were using estrogen with progestins which are artificial progesterones it's not progesterone it's progestins you said Bioidentical earlier so okay so so tell me the difference bioidentical versus synthetic well allopathic this is what always gets me in trouble is when I talk about the allopathic system Al apathic the standard is to give Premarin or Prem Pro and that's an a bioidentical estrogen but with a progestin and a progestin is a fake version of progesterone it sits on the receptor just

like progesterone would but it doesn't do it doesn't make the cell do What progesterone will make it do and that's a bad combination and so we knew that reading that study so those of us who were doing bioidentical hormone replacement with bioidentical progesterone we're like n we're fine we're going to just keep giving it and I'm glad we did because it's Decades of women who got the hormones they needed versus most of the women in the United States and probably the world who I mean an entire generation of women were Denied hormone replacement because of

this poorly done study and recently they've come out and analyzed that data and said we were wrong and that HRT is not dangerous and that it does not cause all these terrible things we said it caused and a lot of women quite frankly have just been [ __ ] over by this whole problem so I've been using it successfully I've been using it personally it does great it has really helped with pain it helps with healing It helps with women feeling better it helps with anxiety it helps with crippling depression there is a crippling depression

that occurs in women in their as they're hitting that per menopausal phase as they're further into it in fact um a study came out in 2023 showing that women aged 45 to 49 in the UK that's the highest age range for suicide in women so it's something to do with that precipitous drop in estrogen so anyway I've been knee deep in it Because I really believe that gp1 solo monotherapy aren't it I think you need the HRT especially in that I really think G ones are just so phenomenal in that per menopausal menopausal woman that

age group it's such a nice adjunctive and the way that I've always treated was you know strength training and HRT and now I have this third component which is this potential you know adding in the peptides and varieties but the HRT is really Important for the back and forth success of this I believe what do you see when you put uh a woman on HRT what do the experience what do you notice in their lab work do you see changes in um cuz I I hear this from my aunts in fact I just saw my

aunts uh recently and my aunts said oh my God uh like all of a sudden uh I'm ging body fat on my midsection I never ever did that before it's it's I'm not nothing changed and then my other Aunt pipes in and says oh yeah when I Hit the same age the same thing happening yeah are you like what are you noticing or what are your patients noticing when they go in HRT so what they usually come in reporting when they need it is brain fog they but you probably saw your mom moms do this

a lot of people will once I describe this they're like oh my mom went through that um their moms get kind of ding batty or they start forgetting things or you know where did I leave my keys where it's Like it looks like this sort of pre- early dementia okay and that's the drop of estrogen in the brain and work by Dr muscone I don't know if you've talked to her yet but she's an Italian researcher and she a brilliant lady and her and her team found that the brain itself will start upregulating estrogen receptors

as estrogen drops because it's thirsty for the estrogen it's looking try to compensate it's yeah it's looking for the estrogen so brain fog but a big Symptom is depression and sometimes suicidal ideation and so women who particularly women who this happened to me actually women who had struggled with depression in younger years had seemingly come out of it for however long and then all of a sudden you're like I mean I was feeling a lowness in my mood that I hadn't experienced since I was a teenager and I was like what is going on you

know I chocked it up to all the stress of Pushing Back Against The Narrative during the last few years but it was really pronounced and then also what I would see in clinic is all of a sudden just really pronounced joint pain out of nowhere I mean who gets frozen shoulder per menopausal and menopausal women who these whose knees fall apart per menopausal and menopausal women all of a sudden their joints start melting on them frozen shoulder knees hey sorry to interrupt look I have a free guide that Teaches you how to lose fat in

three steps just three steps that will burn the most amount of body fat help keep it it off this guide is totally free we're giving it to everybody right now if you want it click on the link at the top of the description below all right back to the show plants are fasciitis is another one or fasciosis hips hips are a big issue anytime you see bilateral in the joints especially in a woman you should get concerned that's usually hormonal in In uh its presentation so any variety of that and then hurting just hurting now

you've got low libido potentially they might have trouble um with lubrication in their vaginal tissues or their vaginal tissues might start to atrophy and they just they won't tell you that they just will sort of start rejecting your advances you know they are not so interested anymore because their brain isn't interested but also their tissues aren't working the way that they want Them to and yes the weight gain but that might be later and then we always think with menopause like oh the hot flashes and the vasom motor stuff that's way later and not always

there same with men men with men everybody when I'd have a male patient come in and I'd go to check out his knees I'd pull up his pants and I'd be doing an evaluation of his knee and he would be missing Shin hair and that to me was really indicative of low testosterone and I've seen it time and Time again and I'd say how's your testosterone levels and they'd always say oh everything's fine like they'd assume I meant you know erectile dysfunction and I'm like no dude like how are how are your gains in the

gym how are you feeling overall are you moodier than usual are you um how's your stamina like mentally and physically how's your Pres presence with your family men usually will get pretty grumpy and they get kind of aggressive And kind of I hate to use this word but kind of [ __ ] they're irritable what's the shin hair never heard that it was just something I correlated like no one ever taught me that I just kept seeing it and then I put them on testosterone I almost feel like I've seen that I feel like I

have too that's why I'm so curious right now because it's like I think I'm almost positive I've seen this about where the socks are yeah right well they would want to chalk it up to That so I've seen this so many times and I've treated it so many times successfully that and you have to have the thing is is for me I have to have testosterone and estrogen and progesterone and thyroid on board if I'm going to do regenerative injections because I'm using their own tissues often I'll be pulling their own blood or their fat

to get what I need to re inject and if those aren't worth a dam and they're not hormonally optimized They won't have a robust healing response so to me it's almost unethical to try to put these people through expensive procedures if they're not going to have a regenerative response right right right so uh the testosterone was really key even if it was just short term a lot of guys didn't want to go on it long term I'm like well just do it for now for you know these many months so that we can at least

do the injections and know that they're going To take and work for you and then you can decide what to do later but I'm promising you you're going to want to stay on it anyway my husband comes to me about a year ago and he's like babe uh oh why is all the shin hair gone like where's all my shin hair and I was like ah have you been using your testosterone he's like no so and then we treated him and boom he's it's back that's now explain what you were just explaining about so you

actually p you pull from Our own tissue to then re-inject us explain that break that down like that's so there's the baby version of regenerative injection therapy which nobody really does anymore because it requires a lot of talent and it requires a lot of tactile skill it requires really good palpation skills and it's called Prolotherapy and that's where we use dextrose sugar water and that actually regenerates the tissues and turns down the pain it's amazing and it Recruits and activates the stem cells in there just the sugar water does that just the sugar water but

you got to be good with a needle and you have to have good technique and got to hit the right sight in order for that to happen yes and most doctors don't know their Anatomy nor do they know how to palpate to save their life I've trained like hundreds of doctors in this technique and most of them do not know how to palpate to save their life so they use Ultrasound they give you one shot they call it good and I'm like dude I've got 40 spots I want to hit not one you know and

then you can grow that up into something different in the syringe same technique and that would be plat rich plasma so you're pulling their blood yeah and then you can grow that up and you can actually Harvest either bone marrow or out post tissue and there stem cells there and so you concentrate these tissues down and you okay and what You're saying is without uh a good hormone profile then it's like you're not able to maximize the benefits of any of that right and also if the person's really inflamed I think we these treatments get

a bad wrap one because patients expect a miracle and number two doctors are not being ethical in screening their patients very well because if you take a I would tell patients these exact words like if I take your hot mess of inflammatory blood And I concentrate it down and I shoot it into your hot mess of an inflamed shoulder yeah it's going to be a disaster right and it could cause a lot more harm than good like inflamed fat is really bad and we don't necessarily want to be utilizing that tissue in a concentrated form

into an inflamed knee so the second one you described was PRP correct now so and if I understood you correctly if you're taking that from somebody who is out of balance or out of Whack hormonally then this is that why some people seem to have like amazing responses with PRP and other people like I didn't really notice anything from is that why that's one of the reasons and then I would say it's the technique of the person whe because I've had that as clients I've been around it for a long time I had a client

that actually sent to do it for her should it was a miracle for her uh she was also a pretty healthy woman so uh and I didn't know subate Yeah and then I've had other I've had other clients after that say oh yeah I tried PRP it didn't do anything for me so it could be either one uh person who's injecting it not very good at that or two because they're pulling from somebody who's hormonally all out of balance and it's not going to do any good that way is that right potentially yeah what age

what age range are women going into par menopause typically younger and younger and younger and I Suspect honestly some women are just running low hormone for years and years without knowing it so for instance um I'll have women go on estrogen and anxiety crippling anxiety that they've had since their 20s resolves and so I wonder if they weren't just running low hormone profile for a long time and their mental emotional issues were being blamed on mental emotional stuff when in reality I mean it's obviously multitudes of of Factors I mean are they exercising are they

eating well are they sleeping I mean there's a lot of reasons why people have anxiety but there's this just this incredible anxiety that overcomes you and this is why I think you see that's why I said you might see remember seeing this in your mothers all of a sudden your very calm happy balanced mother gets a bit neurotic during that middle-aged period a lot of people will say yeah my mom went crazy for a while I think that's really Testament to what dropping estrogen levels can do to the brain so you're saying younger and younger

so like women in their 30s are starting to see this like mid-30s unfortunately yes there's a lower and lower threshold it seems and I don't know if that's just poor health and or we've got generational issues happening I mean I talked to you guys I think last time about pottinger cats I think I mentioned that you know I mean we're Several Generations into some bad stuff and so I'm not sure reproductively if ovaries are working optimally anymore as they should or maybe that they were Generations prior so I think that yeah we're seeing and there's

just other toxins in the environment less of xenoestrogen puberty has has been shown like to happen a bit earlier as well and yeah now what what would you attribute like so like birth control having some kind of role in this in terms of how the Hormones have you know LED towards premenopausal situations I think birth control is given out so readily especially in young women because you can take a young woman even a teenage girl who is seemingly losing her mind for whatever reason and you can put her on birth control and a couple things

can happen one is she'll get crazier and can't tolerate it at all which is not uncommon two she'll feel better it'll calm her down and it's that Substitution of hormones that she was missing and all of a sudden her brain's like oh thank you I can relax a lot of women get or or three um you know she'll just balance out and everything's fine she seem seemingly fine a lot of women Stay On These for decades until they get to my age and then they're like okay I'm going to go through menopause naturally and their

ovaries have never been functioning without this properly and so they try to Go through menopause or par menopause without the oral contraceptive pill and it's a train wreck for them so they come into my clinic and they're like yeah I've been on the pill for decades I I went off it to have babies and then went back on it and I'm like oh no we don't even know your ovaries if they don't if they know how to work you know so there's not a there's not a nice transition into menopause it's just like a abrupt

yeah boom we got to sort out What normal feels like for them you know when you talk when you talk about hormones too um there's a it's far more complex right than just like progesterone estrogen or testosterone there's it's how they interact with each other work together and then there's individual expences what does that look like working with someone do you obviously look at the labs you look at their symptoms and then what do you do you just work with them and start to Tirate based off of symptoms that's exactly it and it works so

much easier in somebody who is metabolically sound and fit so if a woman my age walks in the door and she's got decent muscle and she's decently active and she's decently lean and doesn't have a lot of excess adapost on her and she says I want to start HRT or I think I need it or I'm having these symptoms you know waking up in the middle of the night uh the forgetfulness like I said she'll come in With a myriad of symptoms that is such an easy patient to treat we just titrate the doses and

we kind of you know we work closely together until we get them feeling optimized that optimization is going to shift a little bit with the seasons it's going to shift a little bit as the age it's going to shift a little bit with different levels of stress that they go through but for the most part it's pretty clean and easy a woman comes in Who is inflamed metabolically compromised and carrying a lot of adapost tissue around is like trying to hit a moving Target and the studies that have been coming out in the past couple

years that I've been reading really confirmed for me what I saw clinically because that was such a hard patient to deal with they'd come in and say yeah you you tuned up my friend Danielle I want you to do the same for me and I'd be like oh no this woman doesn't Exercise she's super inflamed she's super metabolically unsound maybe she's a couple years post menopausal so she stopped ovulating completely you know it's maybe there's a window of opportunity here and she's passed it and cleaning that up and trying to get that dialed in enough

so that the hormones work adequately and make her feel good and not all over the place is truly like trying to hit a moving Target it is one of the reasons I quit doing so much HRT In my practice was because I didn't know what to do for that group of women this is where I got really excited about gp1s because you can handle the Obesity clean it up and then give them the hormones they so desperately need but I will say the D is showing in when it comes to estrogen and osity there's a

big interplay there because adapost tissue is really an endocrine organ it's estrogen sensitive right yeah and it's an I mean it's an endocine organ at the End of the day and it it really is so important that it's working properly and it's not in an inflamed State because as you pack those atpo those adipocytes full the more full they get the more pissed off and inflamed they get they start bringing in the macroasia of your immune system and now you've got a hot mess there and this is going to really impact the immune system it's

going to impact everything but it's really going to impact how estrogen behaves so if you Start applying estrogen to that body that's like a whole different ball game it's preventatively if you apply estrogen to a premenopausal woman even if she is dealing with some of that estrogen's protective it's going to help keep adapost laying down in the right places the hips and the thighs Less in the in the gut area Less in the visceral fat area and it's going to be protective on the cardiovascular system it's going to be protective to the brain it's going

To be protective to the joints and pain your pain levels are associated with your estrogen levels but over here on this side if they've crusted the hill and they're way over here estrogen can actually be pretty bad it can cause Vaso constriction in an inflamed body whereas over here it helps with Vaso dilation it can make joint pain worse it can make spinal pain worse so this has got to make studies on this impossible because uh not impossible but uh um confusing Because if your sample size are unhealthy overweight women or a mix of the

two estrogen's a mess then it's like oh estrogen's bad for you look what it's causing here versus the sample size of healthy individuals so I always say you like get started sooner than you think you need to get tested and get started sooner than you think you need to and use it preventatively and so we you know the estrogen I took when I was 40 was intermittent and it was a much lower Dose than what I'm needing now but I'm 50 now and I've got different ovarian function right and our stress levels are going to

impact our ovarian function so going through a major stressor while you're in per menopause is maybe going to throw you over the edge covid seemed to throw a lot of people over the edge of whatever they were sitting on you know how your thyroids working how how everything's working so our adrenal glands are what make our testosterone in Women once our ovaries go offline so if women go into per menopause and menopause adrenally compromised which most women are or stressed the F out then this is going to be a really difficult process if they go

in under muscled it's going to be a really difficult process and sticking to this this Avatar of a woman that we're talking about which is actually really common in our clients that we used to change we a lot of times uh hiring us Was the last resort they've already tried to do it on their own they come to you here's the other challenge too is that you have somebody who has got all this metabolic dysfunction hormones are all over the place they now have reached a place where they they recognize oh my God I need

to lose all this weight I need to get in shape but then the approach of fasting cutting calories boot camp classes that applied uh that type of exercise and diet restriction is A recipe for a even more of a disaster so so much empathy for my female clients that are are experiencing this they know that they're they they're motivated to make a change they want they know they have to make a change and then they come in to try and train or they try this on their own and they sign up for the Barry's Boot

Camp or the orange theory and then they start eating salads every day and it's just like and then it just gets worse and it's like that you have To speak to that I was just literally having this conversation with my sister-in-law and my niece they're both inspired by my whole docu series to get kicked up again and doing their thing they went saw their nature path bu and told them that they' got issues with their their hormones and they have adrenal fatigue and all this stuff going on and I'm explaining to them like in this

position that you guys are in before you think uh burn body fat build Muscle it's got to be get healthy first and and thinking you need to go cut a bunch of calories and do a bunch of crazy activity that's really stressful on your body is not going to be the recipe we need to build muscle you need to give yourself recover we need to feed the body nutritionally and I'm like it seems counter to what you think you need to do to lose all that weight but you got to do that otherwise you're just

going to be in a worse situation hey Sorry to interrupt you this episode is brought to you by Legion they make excellent supplements and if you go through our link it's at the top of the description below and use the code mine pump you'll get 20% off all right back to the show it's a yeah it's 100% you got to go slow and low and here's the real caveat this is what made me realize that the little bits of estrogen I was taking was not cutting it I kept tearing everything I kept injuring myself all

Over and over again because estrogen keeps you elastic it keeps you juicy and so when that plummets out out of nowhere mine just dropped very suddenly I mean I was fine I was fine I was fine and then it was gone and it was you know Achilles rupture back injury back injury and then right before I flew out to London for that podcast we were talking about I herniated a disc picking up a doormat I mean it was like classic you hear in Chiropractic College they teach us you know I'm a naturopathic doctor too that's

why I can prescribe but in chiropratic college like yeah people just lean over and pick up something light and they herniate a disc and I had to get on a plane in five days for a great opportunity and I was like oh my God this is ridiculous and I'm slapping the estrogen patch on after that you know I learned I wasn't messing around any I learned the hard way uh also I Remember I think it was s who made the connection uh for me um about was was it 5 years ago when I when when

I went natural and tried to go like so I obviously did all kinds of steroids in my 20s then I got into bodybuilding so obviously taking a large doses of it then decided okay I'm going to point in my life like I'm going to try and get off everything and try and and I did that for like three years trying everything under the sun to try and Naturally bring it up and what I didn't real I mean and I was just on the floor and that was terrible hormones were all over the place went through

the whole depression thing just was but I was on a mission to try to fix it and I blew my achilles and had I no idea that it was connected to the estrogen and I thought that was so wild that no one ever said that to me and it was just out of nowhere I was playing playing basketball which I played basketball my whole life All by myself just running up and down the court and just out of nowhere and then he's like dude you know that that's connected to low estrogen levels did you look

up and I looked it up and I was like son of a [ __ ] I had no idea I had no business doing that and they some scientists think that testosterone is actually a prehormone to estrogen so it's really not its own I mean it's it's it's in the pathway with estrogen being the last in line of production if you go Down the hormonal pathway of the sex steroids you know it starts with cholesterol so well I I mean it kind of makes sense because if one way to make a man's body naturally raises

testosterone is to make it think it has no estrogen yeah you put them on a serm uh like novedex or what do they use now encline and their testosterone levels go up because their body's trying to produce more estrogen yep so it's and you guys need estrogen too MH so when you're when You're doing HRT with women you're not just working with one hormone right you're using all of them okay is it almost always that way where you're like okay we're going to do progesterone estrogen okay never just the one because it depends on their

age if they're young you know a lot of young women just need progesterone and they're great they might need a little thyroid usually it's like adrenal support progesterone that's like the young woman's cocktail and then As they age you know actually I will sometimes use testosterone if testosterone's low and I know they need estrogen I'll use a little bit bit of that's how I function for about a good decade it was a little bit of testosterone because it would convert into enough estrogen but then you hit a certain point you're like just give me the

estradi and please now you said body fat on the body is an uh endocrine uh tissue endocrine tissue uh explain that To me so is it just because it's estrogen estrogen sensitive does it produce hormones it affects it produces hormones but more importantly it has aromatase enzyme in it so we've got aromatase enzyme in our brain so aromatase is just as important to our estrogen receptors as the hormone it is first explain aromatase it's an enzyme that converts testosterone into estrogen and so it's an important U enzyme But I used to know it for like

you know you put a guy on testosterone and he's got a lot of belly fat he's going to convert a lot of that into estrogen you might have a mess that's where those trt studies actually showed all those decades ago that that was dangerous they weren't looking at their en their estrogen levels they weren't looking at their diet they weren't looking at their belly fat levels some of these guys were smoking they're just cranking Tea and not not considering any of the other Downstream effects and they're like oh they're helping heart attacks and strokes and

I'm like yeah testosterone's bad yeah yeah testosterone's bad so estrogen got wiped out testosterone got wiped out in a whole Generation all the poor gen xers I feel so bad for them you know and and a little bit older anyway uh aromatase enzymes important in the brain in the bones in the fat tissue predominantly That's where it's most active and in the fat tissue it turns our it turns a precursor so if you take DHEA it goes down the pathway potentially to testosterone but it also goes to one molecule um that readily converts into estrone

and I don't I think and I can't find the data yet to really put it all together but I think estrone is the problem estrone is the main estrogen when you are postmenopausal so when you're younger it's estradiol when You're older it's estrone I think estrone in the presence of metabolic dysfunction is a real problem and your fat in the in the fat aromatase converts your testosterone and all your other androgens into estrone and the fatter you get the more estrone you make and it becomes this and estrone can convert into estral I think in

a healthy body so they used to think well women don't need estrogen replacement because they're Getting fat as they get older because as your estrogen drops you become more insulin resistant you put on more fat you're getting fatter you're collecting more adapost tissue therefore and your aromatase enzyme gets more activated because there's more of it because there's more fat cells so now they're fine they've got enough estrone they should be fine but estrone just doesn't do the same thing as estrad and I think a lot of estrone in that post-menopausal Body especially if there's obesity

involved in metabolic dysfunction which Mo it's most women in that age group I think that's a real problem is uh you mentioned um uh what about these Inhibitors like Arimidex that inhibit the um the aromatase enzyme I've heard those are really bad for your brain and your psyche yeah yeah I don't think they're great I used to put some men on really low doses but those were the men that were screwing around and not Strength training and not okay regulating their alcohol intake and not being serious about the lifestyle modifications that are necessary when you

take trt you can't just take trt you can't just take estrogen you can't just take all these things and keep living a frivolous you know LIF style and assuming that everything will be F context really does matter with with the person body so explain metabolic Health then okay so we we talking about Somebody who's metabolically unhealthy or healthy so so umbrella metabolic Health like what are we talking about it is in its most simplistic form it's the ability of the foods that you ingest to be turned into fuel it's the ability of your mitochondria to

function and okay make ATP obesity really destroys your mitochondrial function it really screws up your Romas activity and it really really screws up your estrogen receptor activity too so like this is all one big Soup and it starts with metabolic dysfunction which I think gets sequestered into insulin resistance everybody understands insulin resistance leading to metabolic dysfunction where insulin is you know the lock and key mechanism that gets glucose into the cell so that the cell can use the glucose for fuel the mitochondria can use it to make fuel ATP at the end of the day

and if there's too much blood sugar the pancreas starts cranking out Insulin the insulin gets High and the cells start cleaving off The receptors you need that insulin to bind the insulin receptor in order for this other receptor called a glute four receptor to translocate to the membrane open up and let the glucose in if there's too much glucose and there's too much insulin out here the cells going to be like yo we are we're overdone in here we don't need all this and they're going to it's going to start cleaving off receptors that's Insulin

resistance that's where most Americans are sitting but what people don't realize is there's a myriad of other ways to get that glut four receptor to translocate to the membrane and open and get the glucose in exercise strength training in particular strength just squeezing the muscle the actual ACC the muscle upregulates the glute four receptor yes by the way this was the theory behind eating um carbohydrates postwork workout oh it upregulates glute Four let's just throw some carbs at you now you'll absorb them faster typ which it does you sense you do you do intake glycogen

quicker faster post workout that doesn't mean you won't necessarily do it later but that's where it all came from was the whole glute four yep receptor caloric restriction will do it so intermittent fasting I think is a you know nice tool when done appropriately depends on the woman or the man as to how many hours I say to fast but you Know just just not eating all day long like don't be grazing all the six meals a day that we all were taught to teach our clients is not probably the best um gp1s do it

it it if you can stimulate that AMP kert one pathway you can get the glute four receptor up to the up to the membrane and just squeezing a muscle just act Contracting the muscle will do it which I think is so cool so we're all focused over here on insulin and this is where that low carb fanaticism but if You low carb yourself for decades you can actually become insulin resistant I've heard of this in fact I know that um the Atkins diet I remember I think it was Atkins himself came out and said uh

you might need to throw some carbohydrates at yourself every once in a while because we're seeing insulin resistance because people are so low car for so long like their cells almost forget how to utilize is that that explain it to people it's just the body Kind of forgets how to do it right and it's not being called upon you know it's it's it's a hormetic response cellular receptors are a hormetic response if you don't ever ask them to be used they won't and if you bombard them like if we flood people with hormones all day

if we flood them with high doses of glp ones whatever I mean anything that we just throw at people eventually The receptors will start to downregulate and so we don't want receptor resistance now You're a big advocate of strength training is this because because uh it's one of the best forms if not the best form of exercise for metabolic Health on a time for time basis okay yes I would say I think just the tension just learning to tension your body appropriately and then the squeezing of the muscle has so many benefits beyond what the

actual muscle's doing so muscle itself is also an endocrine organ in my opinion and it secretes myokines and Myokines are so critical for so many there's anti-inflammatory impacts of myokines there's important signaling MO molecules that are myokines um it it's a b it's the balance and the force right so if we have inlc and six being secreted by the fat it's pro-inflammatory if we had it and it's a cyto kind if we have it being excreted by the muscle it's a mocine it's anti-inflammatory so there's the muscle itself but what muscle does like Actually activating

muscle what other organ can we activate like what you can't squeeze your liver I mean you might be able to wiggle your ears but we can use our brain we can use our heart but you can actually move and you can feed move move squeeze and amplify your muscle and you're basically amplifying your anti-inflammatory effects it's going to feed back to the fat and calm it down and keep it from being in such a pro-inflammatory state I mean there's Just on and on and the glute four receptor thing alone everyone's over here like I'm just

going to low carb until I turn into a melted candle you know I'm G to keto myself into you see all these people these it's so cute because you get these older couples they're like we went on a keto cruise and they're big and heavy and then they keto Cruise themselves until that really a thing is that really a thing yes and they're they come out so skinny or They'll glp1 themselves into the same thing and they look like melted candles and I'm like you guys did it wrong you should have started with the muscle

part that's the step one do you think not not to mention what we didn't mention is muscle is this increase your storage capacity so I mean talk about also setting you up for the future to enjoy that glass of wine every once in a while or enjoy that dessert you know that you can now have because you know you have This this bigger storage and you don't over spill and then get is fat did you see the study that they there was a study that showed that uh calf raises seated with nothing this right here

post always doing that right after you eat reduced blood sugar just this right here so literally the way I the way I've explained it is like your muscles are like sponges so you're Contracting relaxing when it's sucking up glycogen so post meal going for a walk it's so Beneficial not because the walk is this crazy workout but you're just making the muscles move it's stimulating thek certain one pathway you're stimulating the pathways that get the mitochondria to turn on you're it's not just the muscle absorbing like it's not just the muscle itself doing what muscle

does it's actually the stimulation of these different metabolic pathways that get your mitochondria supercharged that's the fuel it's like supercharging your Engine and so I do think like in studies where they showed Botox would reduce depression it's not just that there's an impact of freezing the muscles it's the muscles of smiling or frowning that change feedback to the brain and there's a mechanism I think the Solus muscle which is the muscle you're talking about same thing it's ambulation and gate and so the body is potentially being signal to do what it's supposed to do which

is like let's burn the fuel we just ate you Know what a great observation I forgot about that study on Botox by also want to shout out the the bodybuilder Bros that have that figure had that figured out a long time ago and have been doing that forever post meal I mean that's the we never communicated it correctly we never we never broke the science down right for walk after but we all did it you know what I'm saying like you after every meal you carry little bands around you got a little little pumping all

the Arms and the shoulders that that's been a hack in bodybuilding for a long time you know we know we know how healthy muscle is Dr Tina do you think in in many cases with gp1s with how effective they are uh just for for weight loss do you think in some cases we may be fixing one problem creating another in other words I I don't remember how long ago it was I want to say maybe 20 years ago I remember there was uh they had this images of uh people who are normal Weight versus obese

and they were trying to show that overweight people don't have more muscle in fact many times they have less muscle so sarcopenia is actually more common in people who are obese and uh I I can I think about the average person I trained who was overweight and also very weak and if they just ate less didn't strength train that they would lose body fat but they would also lose muscle they didn't have much to lose to begin with do you think We may be causing other problems with some people I think if it's done too

high and too fast yes hey sorry to interrupt we have a free guide titled understanding your mood stress in sleep it tackles all of those things from a Health and Longevity perspective it's a totally totally free guide so just click on the link at the top of the description below you know you you've had Dr Gabrielle liion on several times and I'm sure she's discussed how not all Muscle is the same you know metabolically compromised muscle is really pathologic and it's marbled and it's it's secreting it own it's like a little cyto kind Factory itself

because it's got this marbling it's the type two fibers are not firing appropriately this is why people fall down this is why people have balance issues it's not feeding back up to the brain appropriately it's not doing all the awesome things we were just talking About muscle can do and in fact it might be doing you know bad things down the line so we don't want marbled we don't want prime rib in it's definitely who the aliens will eat first though yes just want to point that out tasty stuff but it's not what we want

the problem is is uh reversing that strength training will when you start strength training from what I understand the muscle and the fat and the liver start to pref preferentially get burned up first and So we want to add strength training on first I think of gp1s as the sweetener I don't think you get to have this unless you're doing all this I did the same I used to make men sign contracts when they went on testosterone replacement therapy like they had literally had to sign a contract yeah you will lift weights three times a

week you will not drink more than this I mean I obviously couldn't yeah you know I could tell when they came in if they were abiding by it Or not right just by the look of them and I would pull the prescription because I'm like you have one of two choices when you take this you're going to go this way or this way and I think of the same with gp1s it's just not it's non-negotiable but it's non-negotiable whether you're on gp1s or not like you have to strength train if you want to survive yeah

and it just makes all of these interventions uh far more effective to Say the least and in some cases it like you're saying can make some of these interventions not good I mean raising hormone level while being unhealthy you you you you raise your testosterone when you're inflamed you could cause problems in some individuals for sure yeah I just don't understand why a man would go on testosterone let lift weights that's such a dumb that doesn't make any sense I don't know why someone want ones and you could you could make the case for if

A if a man if a man was suffering from low libido and drive and depression and just the testosterone started to improve that in itself you could see somebody I could see that I could see somebody elevation well there's there's been periods of time in when I'm taking HRT where I've been not training now the thing that's interesting I love hearing this or having this conversation is that my body feels weird when I'm on HRT and I'm not training and it's weird as soon As I start lifting the weights again it's like I can feel

it like balancing out my estrogen levels go off I feel my my nipples get sensitive if I'm on testosterone and I'm not and I'm not training like it's literally the training balances out that that that hormone therapy it's wild I've actually noticed the significant difference now I just stayed consistent but hearing that now I'm going like you know what I probably should have done was really Tamp the dose down if I was going through a period of not training for like and like cuz you're not using it all yeah that's correct and I I 100%

have noticed a significant difference and I've always like it's like a constant reminder myself like all I got to do is get in there and lift a little once I start lifting it I feel it bounces right out and if I'm not lifting I feel I can feel the estrogen shift in my body it's wild are there uh like Metabolic warning signs that'll help someone uh identify like okay I'm going down the wrong path because we have the loud ones right like oh you're pre-diabetic or you know you go to the doctor and they're noticing

these big things but are there earlier warning signs that someone can say that can point them in the direction of okay I might need to change course here one that's not so obvious is brain fog but you you know well it's waste Circumference first off it comes down to waste circumference and I think as Americans we've really accepted just widening and widening of wastes and I see this in the vanity sizing of all the clothing even men's clothing now is Vanity size so you know just that wider waste acceptance that we've had but we really

can't like keeping my mentor always taught me keep your waist in check that's key so an easy way to do this you Can get into measurements I think you know the red flags is 35 Ines for women it's about 40 inches for men but easier is just take your height in centimeters or inches and divide that in half and that is your red flag you want it below that cool that's a cool little I've never heard that yeah I like that just take your height divide it in half by whatever it could just be string

you don't have to even doesn't have to be inches or centimeters and that's my red Flag I'm well below that but that's the red flag that's we don't want that when we have the that's why when women come in and they say you know I am strength training I am eating well I am doing all the things and they've got that 15 20 pounds around their waist out of nowhere I'm like honey you need hormones and let me get some glp 1es in here to clean it up because going back to your muscle um the

pathologic muscle may not be as obvious to people but they'll just start Getting weaker and weaker and weaker or they won't to catch themselves or write the ship as well so meaning when they go to get up from a table or from a seat it just takes a minute I feel this too when I'm not strength training a lot I'm just not things are not firing the muscles are not firing the way I want so I'll go to get up and I'm just not I don't write the ship as quickly that's that that's that marbled

muscle and that's the insulin resistance happening gp1s clean That up really well too so going back to what you were saying I do think giving people you know don't put the cart before the horse but sometimes we got to give them the hormone or the peptide before they start taking action with the understanding that they will agree to be taking action kind of help them get off the couch essentially yes get them going um some other ones are and you know that's a symptom of low estrogen too is just not wanting to move when they

cut The ovaries out of mice and rats they go in the corner and they get visceral fat and they stop moving so is you know when we have our middle-aged clients and you're like honey I need you to do all this exercise I guess you don't call them honey but you know I need you to get going I call them honey honey or doll they don't want to get going it's not just because they're being lazy it's the low estrogen is actually making them want to stop moving gp1 seem to help People want to get

moving again for some mechanism of it so that's exciting I'm not trying to sell the GOP I'm just this is where I use them in I also want to make it very clear as you're talking about them because you talk about them and use them totally different than almost anybody else I have which I appreciate because one of the things that we're re we're going through this whole thing with this glp1 group and they're all using different doctors and It's very clear to me that there's this generic dose that a lot of these doctors are

just prescribing yeah and you have a very low and slow process that you do that I think is completely different which is like we can always go up you know but let's start with a tiny bit and I think I don't want anyone to hear this hear you doing that we're nodding our head yes an agreeance of like yeah and then they go out they just get some doctor who gives them and puts them on a On a radical dose right out the gates because I don't think that's a good idea and there's a lot

of doctors now saying they're micro doing and a lot of clinics saying they're micro doing and they're just starting people on the standards starting dose and then they're doubling it I just talked to somebody really thin tiny very fit woman who's my age and she's like hey can you you know check out my what what they sent me and I was like oh my God are they trying to kill You on this dose like that's insane anyway there's a lot of folks now jumping on that word and they're not doing it the way that I'm

talking about doing it the way that I lay it out my course is very different anyway uh signs of insulin resistance though goes back to that gp1s have a hard time working weight loss and General is difficult in the insulin resistant person so they'll say everything I used to do to drop the 5 lbs is not working anymore nothing's Working so that tells me okay you're probably looking at some insulin resistance there's skin signs you'll start to get enlarged pores which my daughter the other day she said you know since you've been on the GP

1's your pore size is so much smaller mom and I was like yeah that's CU I'm not as insulin resistant you know and I was thin and Fit I was just hitting insulin resistance cuz my estrogen was dropping and my stress was Through the roof so different things will induce insulin resistance um aren't skin tags I was just going to say skin tags are another one some people even notice some darkening kind of a dark darkening on the neck or even the ankles we'll see that especially people of color will start to notice it a

bit more and so the darker your skin tone the more obvious this may be it's called acanthosis nigin and they'll start to get this and They'll want to wash it off I see this in kids it makes me sad cuz I see it in kids and their moms are like your neck is dirty and I'm like no he's insulin resistant pre-diabetic you see damn yeah I'll just see it like you know when my daughter was younger we'd be at soccer practice or whatever and I'd see I'd see it so those are some of the the

big ones that I notice in people um I would say that's it and then Obviously we run labs and we'll start to see of course serum insulin's going up blood sugar's going up their lipids get all wonky their doctor wants to put them on statins and I'm like that's not the root problem here the root Pro and your hormones being being low and your thyroid being low will also make your lipids crazy so everyone's getting thrown statins and none of the root caus is being addressed at all which is probably low hormone and then the

Insulin resistance will cause further hormonal disruption it makes me crazy when I see people online talking about either micro doing gp1s or balancing your hormones naturally and nobody's addressing the big elephant in the room which is the metabolic dysfunction and their big solution for it is keto and I'm like oh this is not it do you work with growth hormone as well as part of this protocol for people well we can't give Growth hormone anymore really legally you should yeah you can't not for long not even longevity clinics no my mentor told me a long

time ago don't do it if you don't want the FDA in your office so I listen to him okay uh I never have prescribed it he prescribed it back in the day but I got licens in 2008 and he was like it's not the climate don't do it so I know some docs do and that's their risk tolerance but I'm not what about the growth hormone releasing Peptides and stuff I think those are great again I think those are really the dose varies for the person for their size for their gender for their age and

for what our goals are what our short and longterm goals are because that's those can quickly you know you can quickly overdose people on those too and they'll blow up they'll just puff right up and feel terrible and so it these are not I'm I'm really not a fan of these being thrown around and being sold just Randomly on the internet because I think that people can really screw themselves up with it but I do understand that there's not a lot of doctors out there who are versed in this and are good at it you

know so it's hard for the consumer to find someone to work with but also this is and this is just not stuff we throw MSY pamy around you know I think that was our stance for a very long time and I remember when we first started hearing about peptides and Things like that we were really cautious about what we would say about it or what we thought about it and I do and I obviously where we're at now is like I think they're incredible used correctly yeah under the right a right supervision for the right

person they can be incredible but like anything else it can be abused but you know you guys are body bodily aware my Patti so my like I said I did regenerative injection therapies I'd have patients on the table who just Had no bodily awareness they they I would say does that hurt because if I could hit it with my needle if I could hit the pain generator with my needle I could treat it effectively and I'd say am I on it and they'd be like I don't know I mean they just had no clue and

so I think that when you're fit and you're active and you have an athletic lifestyle you have more bodily awareness you notice when a one capsule of that adrenal support two whereas when Someone's really metabolically compromised or really really down in the dumps or has a lot of weight to lose they just aren't usually as bodily aware and so they don't know listen I we trained people for years okay and so we know exactly what you're talking about exercise in particular puts you in your body when we would get clients new clients I could talk

to any trainer who's been a trainer for a long time they've all had this experience they'd Be doing an exercise and they would say where am I supposed to feel this yeah they don't know where am I while they're doing it with difficulty where am I supposed to feel this I'm like you don't feel this area you're working right now she just driving me crazy cuz they had no or you I had one woman drop the you know let go of the bar yeah because she thought she hurt herself but she had never felt her

tricep Burn yeah and they don't have the ability to create tension In the body they don't have the the CNS isn't working with the muscles you know so there's just and I think I say all this because I think that folks who are really bodily aware are better at figuring out at least I saw this with my patients like they know when little tiny changes and dosages of anything when I change something they really feel it or not they can give me good feedback whereas people who are not are just like I don't know what

am I supposed to feel Oras I take a touch of estrogen and then I take a touch more and I'm like oh there goes the anxiety relief you know that's what I was looking for versus not having a clue and you're just slathering stuff on you or injecting stuff and not knowing so I don't know I say that because people who are bodily aware tend to be better at giving feedback of you also think too it also probably I mean those are the same people too who tend to be a little more consistent with Their

diet more consistent with training more and so and all those factors play a roll too if your diet is up and down and you intake all kinds of stuff I mean you know hard to tell is like oh was that because of that thing I took or was it because I got a shitty sleep last night or was it because the the cheeseburger and french fries that I just crushed like it's really tough speaking of diet you know we've brought up you've brought up keto low carbon how people can abuse That how about protein so

we always we typically advocate for very high protein whether someone wants to lose weight G gain weight um what are your thoughts on protein for metabolic health and uh for maybe the people that you work with I think it's critical I think it's really hard for some people to get in the high protein you know I think that can be a challenge and I think it not everybody has the digestion to support high doses of protein and so working with people Who have compromised guts that can be hard working with people who are older that

can be hard they just don't have the digestive milu to break it down and they might not even have the dentition to break get down and so I I found I have an a really cool audience of people aged you know anywhere between like 30 and 80 and I get messages from a lot of little old ladies and they're just the coolest ladies and they want a strength train they love you guys I introduce Them to guys like you like through shows and they're like I just love those those mind pump guys they're so cute

they're like I'm 75 I'm G to get strong and they're so cute but they just can't crush the fluids and the protein and all that and so I really try to meet everyone where they're at and my goal always though is just start your meal with the protein and get as full as you can on that before you start stuffing in the carbs if you fill up the gut with Carbs you're going to not get it it it just all comes down to malnourishment I just don't want people malnourished and malnourished in anything and I

think a lot of people get themselves malnourished if you I've been carnivore and I malnourished myself on other things and it started to show in my face so really I'm all for a balanced diet food that looks like the way God presented it you know how it came off the farm and eat a variety of it and eat A variety of colors and make sure that you're getting animal I really do prefer animal protein over I'm I'm just not a fan of plant protein at all I think it's I don't know I can't even I

just thumbs down on that so yeah well that's what the data shows too it's just not the easiest to uh assimilate it's not as bioavailable right um and it just gram program it doesn't have the same effect and there's lectins and I'm just not a fan of like beans and things like yeah We we run into anti nutrients we run into autoimmune triggers I just yeah just eat the meat I my whole what I seriously tell people is just go for tan and jacked if tan and jacked is your goal everything will fall into place

Justin got jacked down yeah I don't have that other if you go for tan and Jack you'll spend enough time outside you'll lift the weights you'll drink the water you'll get the electrolytes in you'll get the protein in you'll get your sleep Dialed in if if you're if you're just strength training focused and you're just I mean look I am not jacked by any means in fact I'm probably thinner than last time you saw me cuz I've been injured so many time this discernation in June was like really really threw me off for a minute

but that's always the goal in my head because then every other lifestyle I choice I make revolves around that and then it all falls into line true it's true gym tan laundry yes Gy tan laundry oh my God I think all the time though sure had it right you know why because laundry is really cathartic and I love folding it it's weird smell it calms me down well you're probably using stuff that's screwing up your hormones testosterone blockers he needs a little block testosterone smell so good your testicles won't like that but like you know

but that but I I joke because Anything that's cathartic and repetitive that will get people so that's the mindfulness piece that the CH tan and Jack is missing as is if there's a mind that's where the laundry so it makes sense We'll add that do do you think that hormone replacement therapy is becoming more important because we're noticing these drops in fertility and testosterone and it's just you know cuz you hear people say well we didn't need it back then or we didn't what is it Becoming more necessary am I saying that right is that

a good observation I I think that's fair I also think that people are just becoming more Savvy and realizing that they did need it back then and medicine was really patriarchal and it was like you don't need you know just tough it out this whole same thing with the gp1s people just want everyone to White Knuckle it I'm like why are we white knuckling anything give me the hormones Give me the peptides give me anything that's going to make this easier I'm just trying to hang in there we always play we always play this game

of trying I I don't know if there's like a you know a silver bullet or like in this I think there's like it's just a a bunch of different things and I I would think the things that I are most alarming to me is when you read the studies that show how weak we are today compared to what we were 20 30 years ago and when You talk about how important muscle is and the role it plays with being metabolic healthy I would think that that has some of the biggest impact and then of course

there you know estrogen yeah I feel like that has to be it when you think about what's going on hormonally with everybody and that and that's kind of back to you know talking about our friend Dr Gabriel L like we're underused we are just underused as a nation and we're just we're getting Worse faster and I think that has a lot to do with why HR it's just becoming necessary because we're not doing enough we're not we're not lifting weights we're not strong we're weak we are really in a fertility crisis though too we are

really crazy I mean we are we are not we're Generations away from not being able to have children we are not populating repopulating ourselves the way that we need to be to be sustainable and it I mean the stats are really Terrifying oh sperm counts are like half what they were I don't know it three or four decades ago just sperm counts young people just aren't even having sex I mean it's just it's bad and then I saw speaking of Fitness levels I put something on my Instagram stories yesterday it might still be up it

said uh it takes a child nowadays it takes him 90 seconds longer to run a mile than when we were kids 0s 90 seconds 90 I mean that's significant that's a huge Difference I mean that was the difference between the slow kids the that's that's a big deal that's the difference between the kid who came in first and the came came in last it's like everybody's coming in everyone's coming in last now wow yeah so it's last and Laster I guess it's just bad so we're we're in a pickle for sure and I think that

they're malnourished though you know they're malnourished they're underused they're just undera it's just Underactivity I love to I used to really say like you know it's the strength training and that is critical but I want people to have fun too like I just want people to have spinal mobility and movement and and eat enough to feel juicy and have enough hormones to feel juicy and and stretchy and elastic and be able to do the fun things I look at 70-year-olds that are I look at like Mick Jagger and I'm like I want I don't care

that he's a skinny little dude he's Not well muscled but everything he has on him is muscle and he's he's got great Mobility he's so mobile like that's what we want we want great Mobility that's well he's got a little kid too I just saw him his little son was dancing on stage the fact they can still tour and get down like that is the fact that he has a seven-year-old son still that was healthy you know what I'm saying like he's got some Mobility he does I feel like the quality our presidential physical fitness

that was like the standard then you see over the years each president like I know I feel like our health and our presidents all reflect each other the kid was like seven or eight wow he was 8 I used to crush the president physical fitness it used to be a sense of Pride when I would just did it on purpose I'd be like I'm going to pull up all of these I always reach sit reach is what Screwed me up every time oh my D on everybody hey sorry to interrupt it's October Maps muscle mommy

is 50% off half off if you're interested click on the link below all right back to the show well so I mean talk about the results someone gets when they do all of that they come in okay I'm going to start strength training appropriately I'm going to start watching my diet which by itself just from a trainer's perspective has profound effects but you Combine that with balancing your hormones with hormone therapy that's got to be like a Turbocharger oh it is and it's so much harder without it and then again the potential for injury I

had so many patients that refused HRT but would start strength training and they kept coming back getting hurt needing injections and I'm like I'd really like to stop injecting every single joint in your body you need some estrogen I'm not going to inject you again until you Agree to take some estrogen because you're just tearing over and over again it's almost unethical for me to continue with these expensive injections that sometimes hold High liability and risk you know because they're sensitive areas like the neck and they maybe just needed some thyroid they maybe just needed

some estrogen or testosterone so yes it's the it's the Triad I really think the Triad for the menopausal woman or even the per I mean honey start in par menopause is Strength training HRT and then I do think that there is a place for appropriate dosing of gp1s in a lot of women in particular just to keep that insulin resistance down and maybe even men too men tend to so the reason we see heart disease in men earlier than women is because you guys have that what they call the Android shape where you get the

belly fat visceral in particular yeah you turn into the little apples first women do if you notice get that shape Postmenopausal right they go from the gynoid shape which is the hips and the waist and the and you know little waist big hips and boobs to filling out in the middle and they get the the male gynoid shape I'm sorry Android shape uh post menopausal that's when their cardiovascular disease hits so that's the shape we don't want it's funny that's we got to get tan and Jack you need the V it's it's funny too you

brought up Waist circumference CU that's uh there's like two measurements you could take that would uh predict all cause mortality really well grip strength and your and waist circumference and I also read a study that that correlated weight circumference with cognitive function oh yeah every time for every they say like every centimeter your waist grow or every inch your waist grows in girth your brain shrinks a centimeter is kind of the I don't know how accurate that is That's something I've seen thrown around at different conferences but um I would add in blood pressure though

so if a patient came in and they said this is how I knew someone was insulin resistant first I would look at them and not to be judgy but you can just tell by looking at them how how do we look are we all right when you guys all came in the door I wish I wish I had my camera cuz you all came walsing in it was like that moment of Monsters Inc when they all Come in I was like it must have been the day today must be a day we were on the

we just took our walk and we had stopped we got stopped twice I would just be standing there like can I just take your pictures we we attribute to s s looks so crazy Jack right now for all of us yeah that's cuz I put on Doug shirt that's the key right so my buddy always said he's like I just wear size medium Just but if they came in and they had filled out their intake form and they said they were not strength training or they were not I would ask like how many days what

do you do so they weren't strength training they had a waist circumference that was bigger than half their height uh and then their blood pressure even mildly elevated I just knew they were they had metabolic dysfunction period like and of course if they're 45 or older they probably need Some hormones so going back to what you were saying about your testosterone like we just dose what they need we just meet the patient as I said in the beginning you know you meet the patient where they're at they might need baby dose but they need something

and my gauge was always symptom relief I cared less about Labs I just wanted to know their symptoms were resolved I used labs to track and to make sure we weren't hurting anybody and to be compliant and To make sure you know we C I covered my ass and the patients you know we had something objective to look at but more important was symptom relief and a lot of doctors I think follow labs and don't care as much about symptom relief but because I specialized in pain that's a pretty good symptom so if I could

get rid of whatever their pain was whether it be migraines or whatever I knew I was on the right track yeah and you know you along those lines there was a study that Was done maybe a decade ago where they compared uh men and strength gains to strength training all within what would be considered normal testosterone and what they were looking at was was high total testosterone connected to better gains and strength and what they found was Androgen receptor density was a much better predictor yeah so so just kind of backing you up you you

know you could have a man with a total testosterone that's really high but he has low and Androgen receptor density compared to someone else who might have lower testosterone but has high Androgen receptor density so it's testosterone is much more effective so in other words just basing off the labs isn't really good enough because they may respond well or not as well may may need more or less as a and obesity crushes your receptor density yeah yeah so yeah it's bad it really messes with your estrogen receptors so that's again why sometimes We have to

get we have to get that atopos off the body before we can safely apply the hormones or expect them to work in any way that's predictive how do you feel about metformin I haven't used it much I have not used that much I have I don't know why it is I keep hearing wonderful things about it and then I run I hear both good and bad people just I have not found people who the people I've treated with it and the and myself personally I've used it on and off I just don't like it I

don't feel great different so I tried it I felt like garbage yeah I just keep running into people who say that and I've had say that and they say I want to try metform we say okay we dose and then there's other people who swear it is the Holy Grail so I know there's something to it I I really can't speak to it because I just haven't had enough experience with it to have an opinion but I I just not finding people To be like this I had a client I tried it uh maybe a

year ago um and I I had a client who went on metform and got neuropathy um and found because it can cause deficiency in B vitamins I think that's why I didn't like it because I tend to run low anyway okay okay and so they had to go off and maybe if they've got methylation issues yeah like with the MTHFR whatever I mean I just think there's factors there I tend to go really hypothyroid on it for some reason I get really hypothyroid so just goes to show you you want to work with a good

practitioner you want to work with a good doctor because uh that makes all the difference in the world so awesome true like you I'm not taking new patients you're not are you done I'm done that's it no more new patients man well if it's by referral we bring you somebody right good cuz I might have someone to bring you generally generally no I I have Enough people to keep me busy I've I've kept some of my favorites I have a big family on both side I got enough people to you know keep me active and

and I and I'm still you know they say they call it the practice of medicine for a reason because you get to apply different things and work with people but you know just I have a whole video on my website about how to find a good doctor and really it comes down to like you have to find somebody who's going to listen to You and somebody who when you bring them in you know your approach as a patient matters but bringing in the literature and being educated and that's what my whole platform is about that's

what my OIC done WR course is about it's like if you're educated you can have a conversation with your doctor and the two of you can work together to guide the treatment it's not just come in in demand and not have any insight about it you have to come with some knowledge and Also you have to find a doctor who's open to wanting to learn and that's a big key to me because I I think what this is really tough for a lot of consumers that like hear this and then they just go to their

doctor and a lot of MDS are only treat Labs I mean they just look at your labs and if your Labs say that this even though you're complaining of all these symptoms you're fine they yeah they and then and that there so there's a divide in the medical Community there's definitely a divide here where you have people like yourself who are like I'm going to you know yes I'm going to take an account of the labs but I'm I'm really going to listen to the patient and I'm going to try even even worse uh Labs

look fine let's put you on an SSRI or an enzoic because that's maybe what'll fix you you got to find a doctor who lifts weights oh good one I like that it they don't if they don't lift I'm I'm out I mean I I'll Listen that's a pretty good qualifier right there who you bring on the show yeah yeah all the doctors that we have on no that's actually true have we ever had a doctor that no we've never had a doctor who doesn't live no I feel like this the skinniest doctor on your show

you're doing all right you're doing good I lost my I lost my shoulders as my coach College I don't know why I've never said that I'm going to start saying that to My when I send them and cuz sometimes I get that I'll get push back from family or friends like well my doctor said this and you told I'm like well yeah from now go does your doctor lift I don't give a [ __ ] then go talk to a doctor that lifts and see if he disagrees with what I said it's so true I

ended up in the ER a couple years ago I would I had pneumonia and I had like months of walking pneumonia and I was so sick and I was so skinny and I ended up I was so confused And tired and worn out from the coughing I ended up taking like two different over-the-counter cold I never usually take over-the-counter cold meds but I was desperate for the coughing to stop and I took two things that I think conflicted and I ended up feeling like I was having a heart attack and I was right at that

age where like they just for women out there if you're 40 years old plus and you feel like you're having a heart attack go to the ER just don't Ever mess with that and I knew that was the right thing to do and I went in and the doctor standing there was like my age and he was so fit I mean he was like filling out his scrubs and I audibly said oh thank God like I was so tired and out of it and I was like oh thank God everything's be fine having good hands

oh so using that I don't know why I mean I think that's yeah jaed Dan we're fine well I just there's a six sense and there's a there's there's an Operation system in your brain that is working when you're strength training that is not working when you're not strength training and it's like a superpower and you really want your doctor to have that superpower that's a clip right there we're going to put that on there I love that awesome it was great having you back on Dr yeah thanks for having me thank you so much

all right I know you like that episode if you did check this one out 30% body fat For men this is way too high this is actually a bit High women as well so in today's episode we're talk about how you can go from 30 to 10 what is 10% body fat this is when you have a visible sixpack can you go from 30 to 10% yes it's possible but not if you guess along the way so we're going to talk about how you can do that in today's episode now there's a huge range right

of like body types and some people can run uh a little bit heavier uh and or a little Bit higher by