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"...ankle fractures a common injuries involving a break in one or more of the bones that make up the ankle joint there are three bones that make up the ankle the tibia fibula and tailless specifically the medial and posterior malleolus by the and the lateral malleolus of the fibula there is an additional joint between the tibia and fibula called the tibiofibular syndesmosis this is a fibrous structure made up of the anterior and posterior inferior tibiofibular ligament and the interosseous membrane the ankle is a hinge primarily allowing supplanter and dorsiflexion and is at its least stable in plantarflexion it is described as a mortise and Tenon joint which are essentially a hole and the that fits that hole in this case the space formed by the tibia and fibula and the projection which is the Dome of the talus bone ligaments helped provide more stabilization there is the medial or deltoid ligament coming from the medial malleolus which branches into four ligaments and is mostly involved in preventing / e-version while the lateral ligament comes from the lateral malleolus and is made up of three ligaments with the main function of preventing over inversion of the foot in 70% of cases there is an isolated fracture of either the medial or lateral malleolus if both the fractured this is termed a bye the fracture seen in twenty percent of cases and if the posterior malleolus is also fractured this is called a try malleolus fracture but this is only the case in fewer than ten percent of patients in roughly 10% of cases the syndesmosis is also injured there are multiple classifications of ankle weather is used in the lateral malleolus fractures based on the location of the fracture relative to the syndesmosis generally with more proximal fractures indicating a higher risk of instability a is below the syndesmosis B is at its level and see is proximal to it the log handsome classification is more detailed considering also the position of the anchor during injury and the forces sustained during it other types of fractures include Amazon nerve injury where there is a proximal fibula fracture with syndesmosis and deltoid ligament injury this is an unstable injury that will need surgical intervention this is..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...a shoulder dislocation is when the humerus separates from the shoulder joint and is the most common of the large joint dislocation normally the shoulder joint is made up of the head of the humerus articulated with the glenoid fossa of the scapula which is why it is known as the glenohumeral or joint it is a synovial ball and socket joint with a large range of motion but at the cost of being more unstable the head of the humerus is around four times larger in the shallow surface area of the glenoid fossa which contributes to the large range of motion but also to the instability the joint is stabilized by surrounding the glenoid labrum is a bring of fibrocartilage around the glenoid fossa that better anchors the humerus and glenoid and there are also a number...arm in an anterior dislocation due to the posterolateral portion of the humeral head being compressed against the anterior part of the glenoid labrum they can be compression fractures on the humerus known as Hill Sachs lesions they are closely linked with bankart lesions which is a rupture in the glenoid labrum these can also be accompanied by avulsion fractures which are then termed bony bankart lesions the arm is typically held in external rotation with some abduction and all movements are painful there is a loss of the normal Contour of the deltoid and the acromion can be particularly prominent posterior dislocation 's make up only two to four percent of all shoulder dislocations and occur due to the head of the humerus being forced posteriorly while..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...for those of you who have not tuned in to us we run essentially a chronic pain practice board Gates is board certified functional neurologist I'm a board-certified functional medicine practitioner we melded those two disciplines into a model of care to address a substantial portion of chronic conditions chronic Jesus and and although we cure few we're able to help most get under some some control quite considerable control and be able to manage their case and the properly selected and the properly cite the patient the reason we cure for you is because pretty much everybody walks in here ends up having an autoimmune problem and they also usually walk in here under a chronic stress with a chronic stress response usually we caught a sympathetic dominance or fight-flight system is engaged and it doesn't tend to let go these things can lead to anxiety Sia T panic attacks depression things of that nature and I lead off with that to say one of my one of my one of my points with people when they come in and I address this with them is my observation based on watching what happens with the brain rehab exercises that we do in certain other types of supplementation is that these are not necessarily personality disorders their poor frontal lobe this sort of and there's a lot of things that add to causing your frontal lobe to not work properly poor poor lack of blood supply to your Bruno lobe from anemias be your frontal lobe needs oxygen inflammation which are probably going to talk about a little bit blood sugar stress hormones and and so but lately we've been seeing last couple of years maybe we've been even seeing little kids come in we're stressed out of their minds and like two or three years old and say what's going on with that and then other people who've had just this kind of stress responses that seemed to be like even a little bit over a top for what we see and and dr. Gates is going to share with you some of the things that he's come across in that in the literature that we've been implementing and what are our Protocols are and kind of giving you the understanding that I know stress hormones now can cross the placenta from the stressed mother into the young person but there's even more to it than that our genetic components that need to be considered if they're there and that oftentimes respond well to the types of things that can be done wow without drugs frankly so yeah we treat a lot of patients with fibromyalgia in our clinic at least we have and that's actually started off with yeah that's kind of how we got into depression because a lot of patients were coming in with their fibromyalgia and they didn't want to take medications for the depression so they said well can you handle what could you do so that started us on this quest in this journey of..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...so we're going to talk about Hashimoto and Plastics today Hashimoto's is a subject that we've been long associated with frankly probably for most people are associated with and we're taking quite a bit of use for even diagnosing people at and so and getting heat on it and the point from that is that Hashimoto is the understanding of what's going on with Hashimoto's is the number of things it's related to the things that can create a Hashimoto's isn't it is an immune attack on your thyroid primarily and so you're always looking for the things that are creating the immune attack and and and it can be a multitude of things and I was just mentioning to dr. Gates we're talking about Plastics that I remember reading about that at like 10 years ago but wondering is actually something that has something to do with it because back then it was I was everything was Metals was right it was it was is there anything you could think of the alternative groups were putting out as yet avoid all of this which is basically everything in life it seemed like but it turns out that Plastics do create a negative effect on the condition of Hashimoto's and so we're going to discuss that this probably fairly briefly it's not a long topic I would assume and so and if it's not brief then that's fine too so so Plastics as the famous gentleman in the Dustin Hoffman movie from many years ago The Graduate said to Dustin Hoffman when he had him in his graduate courses okay so I'm 65 days going to be people more my age The Graduate it was the famous line for the decade when people would say what are you going to do with your life and people Go Plastics because the gentleman at his college graduation party pulled him over and he was wondering what he was going to do for a because back in 1965 r68 Plastics were just coming into that was the whole point of plastics were done where Evolution just coming in and nobody knew anything about them they were going to save the world now we've got some mass of plastics I guess twice the size of Texas under the Pacific Ocean from what I read in the the other day and the National Geographic so could be a problem that was the whole point of that that aside that I was warned not to do yesterday but I did so good so the whole question is why is Hashimoto's so much more common and..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"I never heard a group okay and so the bottom line is that he was talking about that a long time ago it's been around a while when I started to see the Improvement in my page consistently I thought wow this is what I want to do for a living and I had no clue 0 no clue at all that I was going to become conversant in gut problems I did that was going to become in thyroid problems there's going to have to become conversant and hormonal issues but the biggest thing is I had no clue art practice with developed into a man it's almost virtually 100% so this immune issue the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a like confused you on this matter if we have confused on this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is is there is such a thing as non-celiac gluten sensitivity we see it everyday it is hugely important for you to understand that if you are eating eating glue is creating incentives and you amount of what the tests say you get off of it and you need to stay off of it the tests are convoluted I am certain that what we are telling you is going to be proven not only is it's been proven in the but in future testing the testing I think is in evolution I think they will be better like the test that you just got talking about the dma believe Mom feels that is a better test is pretty cost-effective it's not real expensive so I think we're going to see this thing calm down as time goes on I don't think the gluten free market is going to go away that'll that'll sink" Learn more about your ad choices. Visit megaphone.fm/adchoices

"...schizophrenia is a mental disorder characterized by impairments in the way reality is perceived with Associated changes in schizo means split and free Nia means mind in Greek but it's important to remember it is not meant to mean split personality which is a condition schizophrenia affect how people think to feel and behave and the symptoms are divided into three main types Karthik or positive symptoms negative symptoms and cognitive symptoms psychotic symptoms include hallucinations meaning sensing something that there and auditory hallucinations are particularly common thought to occur in 80% of patients at some point delusions are fixed belief that something is true despite having evidence that it is not in schizophrenia paranoid delusion is a common for believing the FBI is following them or that they're being poisoned delusions of reference are also common in schizophrenia where a person believes messages and meant for them for example believing a newsreader on TV is talking directly to them they can be delusions of control where a person believes that someone else is controlling their thoughts such as the FBI placing thoughts in their minds they can be delusions of grandeur meaning being a figure of great importance and delusions of erotomania meaning believing a person typically of higher status is in love with them another positive symptom is disorganized..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Serotonin syndrome also known as serotonin toxicity is a potentially life-threatening condition due to excessive serotonin levels in the body this can come from using the medication as a therapy due to drug interactions recreational drug use or even intentional overdoses the end result is an increased in the amount of serotonin in the synaptic cleft able to bind serotonin receptors, for example, selective serotonin reuptake Inhibitors like Citalopram inhibit the reuptake of Serotonin into the presynaptic neuron meaning more is available to bind the postsynaptic receptors monoamine oxidase Inhibitors likes alleged lean prevent the breakdown of Serotonin so more is available SSRIs tend to be the most common cause was because of their widespread use while monoamine oxidase Inhibitors tend to produce the more severe cases other medications include serotonin noradrenaline reuptake it is tricyclic antidepressants serotonin modulators and tryptophan supplementation as it is converted and leads to serotonin formation opioids amphetamines and cocaine also increase serotonin release serotonin is found mostly in the gastrointestinal system it is carried by platelets and also exerts a acts on the central nervous system within the CNS it has rules in attention mood sleep cognition and thermoregulation in the other systems it is involved in vasoconstriction gastrointestinal motility uterine contraction and..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...today we're going to talk about pots and why it is becoming more common prevalent rights becoming more prevalent so we are seeing more pots aren't we're seeing more pots and I had noticed that we were seeing more pots we were giving more pots diagnosis pots postural orthostatic tachycardia syndrome we get a zillion people okay exaggeration we so many people that come in here with heart palpitations and I bend over and I get lightheaded and by the time people most people get here with those symptoms they've usually been evaluated for like trans ischemic attacks and and and pretty much give it a clean bill of and we see it a lot because we see we see a lot of thyroid problems that can heart palpitations we see a lot of stress responses that can cause tachycardia like issues like like more than that walks in the door but pots rear its ugly head in here every now and then and it's got a lot more unique to get some more unique features to it that it's diagnosis and dr. Gates is going to talk with you about that because spoiler alert the reason they were seeing it in a number of patients is that it's getting diagnosed more Amy's reason you're seeing it be diagnosed now you're seeing people will have it and so on and so forth it's being diagnosed more and I can totally understand that from the from what's actually causing pots and and and the fact that even though people have been..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and today we're going to talk about a concept that has time so I think been controversial I think at times been considered theoretical when I first got into functional medicine years ago is actually a prominent Conrad of the immune system and because what we started to realize was in chronic pain we have a chronic pain practice for those of you who haven't watched us before and we treat just about anything that won't go away and we've combined two disciplines functional neurology and functional medicine to address fibromyalgia and periphery often chronic fatigue and chronic got problems chronic thyroid problems and dizziness vertigo balance things that won't go away people get things they go away B they don't go away you need to know why and the immune system was an obvious first place to start I think for those in the field at that time that there must be something with the immune that's causing the problem there's a concept called th1 th2 shifts th1 th2 balance I've drawn the little seesaw picture of it and I think a thousand times and try and explain to people and and and I think it's I don't I think dr. Gates is going to explain to me today whether it's getting more credibility or just something that you're using more because you see it's a valuable tool because it is affecting people frequently will talk about that Gates does all the treatment now and he's always researching and frequently will tell talk to me about how this was a that this was a shift during pregnancy this is the mystical why do I get pregnant and then I feel good and then all sudden I don't after I deliver the child it's this is the if you have allergies you have a shift more towards one side than the other so and certain autoimmune problems have a certain quality..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...obstructive sleep apnea is a breathing disorder characterized by recurrent episodes of Airway obstruction during sleep leading to periods with breathing stops known as apnea moving from wakefulness to sleep causes relaxation of muscle tone including the muscles of the upper Airway this allows the soft palate and the tongue to relax and to create an obstruction that reduces the patency of the respiratory tract rapid eye movement or REM sleep, in particular, is known to feature this reduction in muscle tone but it can happen throughout the Sleep Cycle there is snoring when some still enter but as the obstruction progresses the airflow can be severely reduced causing apnea the reduction in the ventilation of the lungs causes a reduction in blood oxygen levels and as a result there is an interruption in sleep known as neurological arousal with a partially awakens in order to restore muscle tone and therefore oxygenation but this isn't necessarily perceived by the person partial collapses with reduced oxygen or arousals a termed hypo apneas while apnea is defined as over a 90% airflow obstruction lasting 10 longer a cycle is there for generated alternating between periods of deeper sleep and higher wakefulness with a typical sleep cycle is which ultimately disrupts the quality of sleep and can cause sleep deprivation risk factors are thought to be obesity as it increases the amount of soft tissue around the airway..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"depression is a mental state of low mood there are several subtypes of depression but the major depressive disorder is the one that is usually intended it is expected to be the number one cause of disease burden worldwide by 2030 the term major depressive disorder was first used in the 1970s and the disorder was added to the diagnostic and statistical Manual of mental disorders known as the DSM in the in 80s today we have the DSM-5 which lays out nine criteria on which the diagnosis is based they include a low mood most of the day on most days and anhedonia which means a loss of pleasure or interest in previously enjoyable activities these two are considered core symptoms and one of them must be present for a diagnosis of major depressive disorder the other criteria include significant weight loss or weight gain insomnia or hypersomnia meaning not sleeping enough or sleeping too much fatigue or a loss of energy nearly every day psychomotor retardation which means ass going down of thoughts and physical movements that is noticed by others then there is inappropriate guilt or feeling worthless a reduction in the ability tea to concentrate and it recurrent thoughts of death a total of five or more over a period of at least two weeks leading to significant clinical distress or impaired functioning need to be present for the diagnosis and the symptoms cannot be the result of substance abuse or another condition major depressive disorder is thought..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...I am a certified functional medicine practitioner dr. Gates, I am a board-certified chiropractic neurologist and say that from now on because I always mess it up and together we have chronic pain I say it every week kind of just evolve kind of developed on its own frankly in the efforts are actually in the efforts of me to get better from my issues but ultimately with the help of some very very talented people and we've been doing it for a while and we it's pretty much all we do now so we share we're sharing with you what we know because a lot of most people everybody comes in here with these ideas from the Internet or from their research no offense to those of you who do your research but research on the Internet is fraught with landmines I would put I think that would be an understatement but because doctors would agree with that almost got it was in today's day and age going with that yeah so so so anyway so we're going to talk about "berberine" what we want to do is put it in a context because it can be a pretty amazing adjunct to what we do some really good success with them but lately I have been seeing pamphlets going out to the nation on various things one of them was on gluten one was a for those of you have Celiac for those of you who are Gluten Sensitive it was a pamphlet to said take this supplement you can eat pizza for the rest of your life I'm trying to assimilate my disastrous that must have been for a lot of people but they probably sold a lot of their product but one right now I'm seeing a lot of is burglary products that have significant success in clinical populations are frequently taken to Market by some unfortunately some..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...I am a certified functional medicine practitioner dr. Gates, I am a board-certified chiropractic neurologist and say that from now on because I always mess it up and together we have chronic pain I say it every week kind of just evolve kind of developed on its own frankly in the efforts are actually in the efforts of me to get better from my issues but ultimately with the help of some very very talented people and we've been doing it for a while and we it's pretty much all we do now so we share we're sharing with you what we know because a lot of most people everybody comes in here with these ideas from the Internet or from their research no offense to those of you who do your research but research on the Internet is fraught with landmines I would put I think that would be an understatement but because doctors would agree with that almost got it was in today's day and age going with that yeah so so so anyway so we're going to talk about "berberine" what we want to do is put it in a context because it can be a pretty amazing adjunct to what we do some really good success with them but lately I have been seeing pamphlets going out to the nation on various things one of them was on gluten one was a for those of you have Celiac for those of you who are Gluten Sensitive..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...on polycystic ovarian syndrome PCOS and depression today much to my surprise doctor uh Justin for me we've never done one which is because we've done a lot of talk on PCOS and we see it a lot pretty common clinical picture that comes in here we see a lot of thyroid to correlate coordinate with a lot of Hashimoto's types problems so I'm not exactly sure where dr. Gates is going with this because we just talked about it but this is a subject that I happen to know that we're extremely conversant with and so I'll be anxious to hear if he comes up with anything new today it's good I'm not aware of and if not I may or may not chime in what's that so PCOS and depression well what's menopause but that's what people come in...of times guys am I going into menopause yeah yeah and actually some of the lead Endocrinology researchers will say that most women and menopause are actually kind of in a state of PCOS because at that point chemically yeah chemically so for those of you have PCOS you know how what a burden this condition really can be especially emotionally and not only affects you know your menstrual cycles and whether they're happening every month or every six months but also hair growth can be a big big factor for PCOS patients unwanted hair growth as well as those cysts on your ovaries for all intensive purposes explode at times and that can be exquisitely painful as well but PCOS is incredibly common it's one out of five females and Essence when diagnosed via the Rotterdam criteria the Rotterdam criteria was established to say that if you have two out of the three that I just mentioned if you have..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...welcome back to me chiropractor and functional medicine practitioner primarily is Dr. Gates I am a board-certified chiropractic neurologist and so we have practice in which we have morphed into a practice of chronic pain and chronic conditions in the title of today's topic is hot flash going Beyond hormone replacement therapy and Little did I know when I started getting into treating fibromyalgia many years ago and that it would morph into the practice that we have and even less that I know that it would more into me having to understand something about hot flashes and or hormone therapy and hormone replacement therapy seems to be pretty popular in this country I know those of you who may be watching in Southern California there seems to be hormone replacement therapy doctor on every other corner and and it's it seems to be like so many of the other treatments that have evolved current medical model or this current Healthcare model even relative to we have a symptom we try to alleviate the symptoms we find we don't have enough f let's take more estrogen that's we'll talk about a few minutes that is rarely a good long-term response and that's not even a saying that that's like the endocrine Society I agree with that so harm or replacement therapy has become really popular for a lot of different things but three things can happen when you use hormone replacement therapy for and and hot flashes are certainly one of the most common options that doctors will use hormone replacement therapy for..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...hormone replacement therapy doctor on every other corner and it's it seems to be like so many of the other treatments that have evolved the current medical model or this current Healthcare model even relative to we have a symptom we try to alleviate the symptoms we find we don't have enough f let's take more estrogen that's we'll talk about a few minutes that is rarely a good long-term response and that's not even a saying that that's like the endocrine Society I agree with that so harm or replacement therapy has become really popular for a lot of different things but three things can happen when you use hormone replacement therapy for and hot flashes are certainly one of the most common options that doctors will use hormone replacement therapy for... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...training Expedition where they're basically deprived of food and deprived of sleep and then they also looked at patients who had PTSD suicidal ideation so those are your severe depression patients and bipolar disorder and they looked at all of their stress hormones they looked at cortisol they looked at aldosterone aldosterone is a hormone that goes up when you're trying to save sodium into your circulation like if you cut off an arm and you're bleeding out that's why we have aldosterone but it is a stress hormone look to DHEA DHS a sex hormone that comes from your adrenal glands they also looked at estrogen and testosterone levels and what they found is that in the marathon runners their cortisol levels and they're all dosterone just went up a little bit but it was only temporary whereas they saw in these soldiers who are out there for two weeks and you know bad conditions their aldosterone went up three times normal what it should be but otherwise their sex hormones their testosterone their estrogen levels were not significantly affect it was just mainly their quarters all in there they're all documents the stress hormones went up but their sex hormones were not sacrificed however in the patients who had PTSD severe depression bipolar disorder they had a significant compromise of their testosterone and their estrogen levels also their stress hormones were much elevated and this has been seen throughout the literature but it's a nice expose relative to a lot of people in their concept of stress we're trying to get all this information out to you because a lot of people think well yeah you know I'm stressed for a little bit and then it goes away and you're right if you are stressed out just for a short period of time your body is going to recover but the problem is is that when you get into these chronic states of fight or flight if you have severe depression or bipolar you can go back and look at our broadcast some what that does to the relationship between your fear Center which drives is a stress response and your memory area in your frontal lobes because your frontal lobes in your memory area are always trying to shut off the sphere Center and so once the sphere..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and depending on how this goes we may end up doing in the first two weeks I don't know but we'll definitely do it today so I'm just going to get cut right to the chase here this seems to be a stress-related group of questions so is there a link between long-term stress of about five years and hyperthyroidism / Graves disease tell you what I'll just read this and and I'll keep my stuff out of this now I think we should turn back and forth but with Graves disease the literature does state that stress can precipitate the condition some people dispute that in the literature but overall it's pretty well accepted this stress does cause Graves disease stress is not as much identified as a trigger for Hashimoto's yet but we're anticipating that that's going to change because we hear it all the time or person goes through major stressor and then they develop Hashimoto's so just realize this is an evolving situation we don't have all the answers even here in...things are changing all the time but I just read an article this morning...and they were talking about stress as it pertains to hyperthyroidism so yes without a doubt without a doubt so next couple next to I can kind of put together how is this chronic stress response turned off and the next question is how does one stop the fight flight those are 21 in the same question so and and and if there were a simple answer to that we probably wouldn't be sitting here doing these Podcasts every tuesday and and half of America probably be taking anti-anxiety medications and antidepressants and benzodiazepines and and on and on the number one two and three drugs in America but go ahead so and this we're doing this because I think a lot of you want to know what that could solution is because you've been conditioned and today's internet marketing world that there is a quick solution for everything there's a leaky gut solution there's a stress solution and frankly that to work with the complexity of cases coming into us so certainly you could go and try to meditate you can try to do stress relaxation techniques we're not knocking any of those but the patients that come to us chronic states of fighter flight history of childhood trauma chronic stress where there's a hyperactivation component to the amygdala the amygdala is the fear Center in the brain the problem is that the fear Center can actually grow and take over other neurological real estate in the brain it's like me growing and saying well this is mine now well that's talked about birds but that's what the amygdala does and it grows into the memory area..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...So today we're going to talk about an unavoidably controversial subject and that is does heavy metals cause autoimmune disease and it's it's and the reason I say that is I do all the intakes here and so I hear the patient's histories and hear what they've been through and Europe told we had a lot of patients that come in here who've been through a ton of heavy metal stuff I had time to get here and nothing happened I have heard the stories of the person's got Mercury out of their mouth and they got better and I've also seen it way more people coming in here with your logical reactions from heavy metals and and and everything in between so so it's its primary tool for some Physicians there's just been a lot of research over along a road I think of at least five or six or eight or nine years please I know like Jesus but he even was already exciting research on the...that it wasn't good for everybody dr. Crosby and who wrote a book on the brain and so so it's when I say it's kind of controversial the people who hang onto it still seemed to cling to it me as a primary factor now there are also collations that you can get online Galatians in the mail and I'm not sure that you know that's a good thing to do without some sort of background information as to what you're getting into maybe even an understanding of what can happen if you have certain abnormalities that a lot of autoimmune patients have like a bad blood-brain barrier bad got very bad lung barrier any way that I can get something to study art study he's going to talk about some of the new studies and so I think that we've seen here we don't see a lot of heavy metal problems here and we do primarily chronic pain we do line disease we do fibromyalgia propriety we do all kinds of..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...do you want me to just go down let's go down the so we haven't we have a long list we're not going to get through all of them we're going to spend about 15 or 20 minutes going over over these questions and we'll see how far along we get so the first one and these are quotes right off of the right off of the websites and from you so first one is a question about multiple sclerosis what is your thought on stress and multiple sclerosis so what I would say is that with most odd immune diseases what we find is that stress can be an exacerbating Factor when you look at the literature that holds true for many different conditions when it comes to Ms lots of times you'll read will stress may not be a major factor or Diet isn't a major factor but we would say in our clinical experience we disagree substantially any time an individual is under chronic stress just looking at the basic physiology of it you're going to decrease blood flow to the gas...hustle track is putting your body into a state of fight-or-flight ready to fight the line or run from it so to speak and in doing so we know the literature on Ms is robust on the gastrointestinal related to the illness meaning it has been shown that the gastrointestinal tract breaks down and patients who have MS and that leads to immune activation which is also seemingly associated with the immune activation in the brain so we would say stress can be a major component of Ms we've seen viral infections cause patients to go from you know basically secondary Progressive to primary Progressive we've seen the same thing with stress responses so stress is a major factor and if it is present not only in Ms or any other autoimmune illness it's one of the main factors that we have to address some yeah more in general if you're any type of a chronic pain patient the cliff notes on stresses when your chronic stress it can affect your brain it can cause short-term memory loss..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...first question is do you ever see patients who experience inner Tremors can you address what this might be all about and I would say yes we can address what this is all about we see a lot of patients with a variety of some Tremors and inner tremors are something that have a specific medical understanding for us yeah and the internal Tremors can be a number of things you could be anxiety it could be an autoimmune response your thyroid it could be hyperthyroidism it could be something like a pheochromocytoma which is where your adrenal gland has a tumor on it and makes to me adrenal hormones so all of those are possibilities for the internal Tremors we frequently see it with autoimmune thyroid disease but we see a lot of so that so that's kind of our take on anxiety a lot of anxiety those are two things I would go to those two things first I don't know yeah okay but yes can you have fibromyalgia this is a great question because it's kind of fiber understanding of fibromyalgia can you have fibromyalgia not have irritable bowel syndrome and not hurt when someone hugs you or touches you great question the understanding of what it fibromyalgia is evolve and and we've stayed on top of that Gates has done continued to stay on top of the research so I think this is an interesting question to answer for people who are confused yeah like me right so if I were myalgia we had the 1990 criteria by the American College of Rheumatology and that criteria set forth that if you have tenderness at a certain number of the trigger points 11 out of the 18 I know they team basically then you had fibromyalgia to produce 11 out of 18 and then you had other Associated symptoms of brain fog and fatigue whereas the new criteria the 2010 American College of Rheumatology criteria that came out and it's predicated on not having the trigger points you don't have to be able to termed a low zdenek allodynia constitutes pain with a normally non painful stimulus so like somebody giving you a hug so you don't have to have that pain response when somebody gives you a hug and you don't necessarily have to have IBS either in order to be diagnosed with fibromyalgia now it can't be another condition that's causing the pain it can be associate with other pain but you have widespread pain so pain and many areas of your body there's a way to document that you have other disabling symptoms of fatigue and brain fog and the fatigue and brain fog half of these severe enough to be above a certain score level for you to be diagnosed with fibromyalgia so it's really more predicated on widespread pain fatigue and brain fog and then it also factors in other Associated symptoms like IBS but you don't have to have IBS you don't have to have trigger points to have fun that you can have other gut problems like I have Celiac can write or you could just have non-celiac gluten sensitivity.." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and depending on how this goes we may end up doing in the first two weeks I don't know but we'll definitely do it today so I'm just going to get cut right to the chase here this seems to be a stress-related group of questions so is there a link between long-term stress of about five years and hyperthyroidism / Graves disease tell you what I'll just read this and and I'll keep my stuff out of this now I think we should turn back and forth but with Graves disease the literature does state that stress can precipitate the condition some people dispute that in the literature but overall it's pretty well accepted this stress does cause Graves disease stress is not as much identified as a trigger for Hashimoto's yet but we're anticipating that that's going to change because we hear it all the time or person goes through major stressor and then they develop Hashimoto's so just realize this is an evolving situation we don't have all the answers even here in...things are changing all the time but I just read an article this morning...and they were talking about stress as it pertains to hyperthyroidism so yes without a doubt without a doubt so next couple next to I can kind of put together how is this chronic stress response turned off and the next question is how does one stop the fight flight those are 21 in the same question so and and and if there were a simple answer to that we probably wouldn't be sitting here doing these videos very true and and half of America probably be taking anti-anxiety medications and antidepressants and benzodiazepines and and on and on the number one two and three drugs in America but go ahead so and this we're doing this because I think a lot of you want to know what that could solution is because you've been conditioned and today's internet marketing world that there is a quick solution for everything there's a leaky gut solution there's a stress solution and frankly that to work with the complexity of cases coming into us so certainly you could go and try to meditate you can try to do stress relaxation techniques we're not knocking any of those but the patients that come to us chronic states of fighter flight history of childhood trauma chronic stress where there's a hyperactivation component to the amygdala the amygdala is the fear Center in the brain the problem is that the fear Center can actually grow and take over other neurological real estate in the brain it's like me growing and saying well this is mine now well that's talked about birds but that's what the amygdala does and it grows into the memory area..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...So today we're going to talk about Alzheimer's and sleep and more or less the basic concept of what we're going to talk about is Alzheimer's cause sleep problems or do sleep problems cause Alzheimer's kind of we're going to have kind of a chicken or the egg type of a discussion here today and we just saying that dr. Gates depending on someone asked this yesterday and asked me to retrieve a lot of Alzheimer's and according to that one classification system that has like seven stages so probably 90% of our patients be classified as having some stage of Alzheimer's we treat a lot of stress and stress hormones tend to hit something called your hippocampus and you're going to find out a little bit about the hippocampus that I and stress hits that hippocampus and the hippocampus...cause of sleep problems and so there are so there are the cycles that hit the hippocampus of different things and the hippocampus is where your short-term memory is and it's where I think it's pretty upon the Alzheimer's begins so so we see a lot of people with early I forget walking in the rooms I I can't I can't find my so remember where I put my lost my train of thought and I'm starting to get short-term memory loss my working marriage something like that which may not be called full-blown Alzheimers at that point I would buy that classification system here on so we see a lot of people with this and it doesn't mean that you're going to go there either and so when we say Norris every patient they we're not saying 90% have Alzheimers caressing doctor suffer the same fate as far as the classification act so you have to look at it it's like if you have is act exactly as you said if you walk into a room you don't know you're there you're like stage one yeah..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...so Alzheimer's is kind of an interesting topic I still keep hearing nobody's found the cause of it yet I'm not sure there is a the cause relative to that and and and then our observation we do a lot of chronic pain that's what we do for those of you haven't seen us we combine functional medicine and functional neurology to create a paradigm to address kind of the cornerstones of physiology that seemed to be the core of what causes chronic conditions chronic pain in general and so if a person comes in here let's say with fibromyalgia it's pretty common that they're going to have brain fog and short term memory loss and and people come in here and there in PTSD there they're going to have short-term memory loss they're going to have they're going to have difficulty sleeping and things of that natur...going to bed but a substantial portion of our patients come in here with short-term memory loss and brain fog and and other things that you know have that Nuance of is this house hi so the Alzheimer's type of thing we have seen Alzheimer's patients but more often we see people who would seem to me to be in the process of going in that direction so it's of Interest to us to know what's going on and and so this is something that isn't that is it's enveloped in that core of conditions and and of problems chemical problems chemical Pathways neuronal pathways systemic problems that cause chronic problems chronic pain fibromyalgia preferably chronic fatigue dizziness vertigo balance a lot of these things it's interesting how they kind of overlap... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...you start out with the largest has a lot of people don't realize that the dysbiosis all these things that they're hearing about are a lot of them are are in the and I made a mistake when I said microbiome that's more your that's more to the small intestines but but large intestines the symptoms would be feeling that balance do not empty completely so and within the framework of this entire category there are specifics a lower abdominal pain relief by gas passing store gas means we have a bacterial problem gas is a bacterial problem okay it's the breakdown of bad bacteria you can get a couple gases but if you get if you get a methane gas that's sibo and small that's a small intestinal bacterial overgrowth that can be gas that can be bloating that can be passing large amounts of foul smell you have sir has in large amounts of foul-smelling gas and you get distension after you eat there's a good chance that you might have something called small intestinal bacterial overgrowth that alternating constipation diarrhea and I first and we're treating a case we're looking at the gut and we're like okay 75% of the immune system is in the gut this person has Hashimoto's whatever it is if you have an autoimmune problem which seventy-five percent of the immune system is in they got most of you have mystery diseases you're struggling you can't figure out what's going on in and everything's normal and your doctor's time you have an autoimmune component to your condition okay so so another symptom alternating constipation and diarrhea this is called irritable bowel syndrome okay here will bowel syndrome is our alerts us to the fact that person is probably in a chronic stress response..." Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Leaky Guts". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Leaky Guts" (causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that makes you lose sleep and denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Healthy Lifestyle Matters. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

...going to talk about one of my favorite subjects today so and then some people are going to like you're really weird or whatever it is but we're going to talk about the gallbladder today then you're not getting better is the gallbladder is like ginormously important to us you wouldn't think so with a gazillion gallbladders coming out I think it's God how much is it I actually have notes in front of me today I don't usually use notes okay but the gallbladder to me is so huge it's so important that I really I'm not good at statistics and stuff like that I'm not great at numbers so I but I really wanted you to get the whole idea of what's going on I most of you so I'm going to be looking down and reading off my notes so if that looks unprofessional than too bad that's this is what we're going to do it so so with his... Learn more about your ad choices. Visit megaphone.fm/adchoices

...going to talk about one of my favorite subjects today so and then some people are going to like you're really weird or whatever it is but we're going to talk about the gallbladder today then you're not getting better is the gallbladder is like ginormously important to us you wouldn't think so with a gazillion gallbladders coming out I think it's God how much is it I actually have notes in front of me today I don't usually use notes okay but the gallbladder to me is so huge it's so important that I really I'm not good at statistics and stuff like that I'm not great at numbers so I but I really wanted you to get the whole idea of what's going on I most of you so I'm going to be looking down and reading off my notes so if that looks unprofessional than too bad that's this is what we're going to do it so so with his... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...liver and for those of you again who are just tuning in I I walked through this it from the eyes of a daily practitioner and what they actually see in practice so for example on liver I'm not going to be going through cirrhosis and all the herpes viruses and all that we might touch on the virus a little bit because that's not what we see we don't generally see people coming in here yeah and phased you know liver cirrhosis and alcoholic you know cirrhosis or hepatitis or a no well I just I rarely see those things that that person is already gone and to the medical field and gotten all the tests and then they come here or they are they get fixed that way so so the liver is kind of interesting in our world the..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...liver and for those of you again who are just tuning in I I walked through this it from the eyes of a daily practitioner and what they actually see in practice so for example on liver I'm not going to be going through cirrhosis and all the herpes viruses and all that we might touch on the virus a little bit because that's not what we see we don't generally see people coming in here yeah and phased you know liver cirrhosis and alcoholic you know cirrhosis or hepatitis or a no well I just I rarely see those things that that person is already gone and to the medical field and gotten all the tests and then they come here or they are they get fixed that way so so the liver is kind of interesting in our world the..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...apparently, we already have enough questions for the next several months but one of the questions was related to stress and hypertension and blood and it was kind of a question that seemed to require a little bit more of coverage than just answering it in that format so to my stress and hypertension there's some we see every day all day long it's a big part of what we see I think it's kind of took like okay stress and hypertension yeah but when you're in something all day it seems so obvious and so normal and everything and then you when you get a question like that you realize that that that there's a lot of folks out there wondering about the connections and what the mechanisms are and so on and so forth so I think the question was more specifically about the renin-angiotensin-aldosterone...row and renin-angiotensin system or something along those nature so I know how stress affects and how stress affects it so they must have been trolling through the internet or something like that about stress right and how to get rid of it right when it's a troll guys throwing has a different country I'm not an error that guy did we do this right every week every week we sit here I don't know Facebook I don't know I don't know Twitter I don't know internet and I don't know what trolling means so now I know it's something I probably have to learn what it means okay all right so relative to stress and the renin-angiotensin system so basically we have systems in our kidney that help to know if you're bleeding out and those systems and Essence will raise blood pressure in the event that like you severed an artery and that's kind of the way renal physiology works and control blood pressure that's how everybody learns..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...apparently, we already have enough questions for the next several months but one of the questions was related to stress and hypertension and blood and it was kind of a question that seemed to require a little bit more of coverage than just answering it in that format so to my stress and hypertension there's some we see every day all day long it's a big part of what we see I think it's kind of took like okay stress and hypertension yeah but when you're in something all day it seems so obvious and so normal and everything and then you when you get a question like that you realize that that that there's a lot of folks out there wondering about the connections and what the mechanisms are and so on and so forth so I think the question was more specifically about the renin-angiotensin-aldosterone...row and renin-angiotensin system or something along those nature so I know how stress affects and how stress affects it so they must have been trolling through the internet or something like that about stress right and how to get rid of it right when it's a troll guys throwing has a different country I'm not an error that guy did we do this right every week every week we sit here I don't know Facebook I don't know I don't know Twitter I don't know internet and I don't know what trolling means so now I know it's something I probably have to learn what it means okay all right so relative to stress and the renin-angiotensin system so basically we have systems in our kidney that help to know if you're bleeding out and those systems and Essence will raise blood pressure in the event that like you severed an artery and that's kind of the way renal physiology works and control blood pressure that's how everybody learns..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...more with one of them and that and in and I think as we were going along we realized our patients were stressed but we would actually when we first got together we would actually say okay on this patient it's there really stress so we should do like just the brain and not do the functional chemistry and and not worry about the gut and and these people will just do the gut and not worry about it because they don't seem to be quiet and one of our big breakthroughs was to realize that most of our people were not just stressed that they were actually kind of a chronic fight flight or post-traumatic stress syndrome and it's amazing when I bring this to people in the consult it's amazing how many people acknowledged and literally stopped me in the middle of my explanation go that's me and and they had at that hadn't really given a thought to the fact that they weren't a chronic stress response and these people are of course are here because they're trying to figure out what's causing their their chronic pain..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...so we dug Gates is a board-certified functional neurologist I'm a functional medicine practitioner we've probably been in functional medicine since the Inception of its explosion if you will well way before its explosion and dr. Gates is affiliated with I would say the group of doctors that almost could say that they help to originate or maybe they did help originate bring rehab exercises and we've developed a pretty much a chronic pain practice okay I got a migraine that goes away I don't need you guys well I get migraines and they never go away I need and I could be fibromyalgia peripheral neuropathy or chronic fatigue or just a number of things so we've we are going to be answering questions from our listeners and the podcast from our viewers on we try to put together a representative compendium of questions that we think will be interesting to those of you who apparently view our products here if you want to call them that over over quite some time because it looks like a lot of these questions are from people who have given a lot of thought to their health the questions that we are seeing here some are very general some are very specific we don't see patients who particularly one particular question or one particular dietary 13 question relative to a supplement is going to make that much of a difference in their in their health that it doesn't that they don't show up here but certainly there are people who don't show up here dietary change has helped them or supplement changes help them and so we're going to address those those issues and we're going to dress those folks also so do you want me to just go down let's go down the so we have a we have a long list we're not going to get through all of them we're going to spend about 15 or 20 minutes going over over these..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done and now we're going to start moving into a little bit more into treatment and this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when a person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety results in panic attacks or results in the Prussian it results in inflammation it results from the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and I'm going to we're going to understand why things..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done and now we're going to start moving into a little bit more into treatment and this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when a person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety results in panic attacks or results in the Prussian it results in inflammation it results from the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and I'm going to we're going to understand why things..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...in chronic conditions and chronic diseases which is just my practice is the great mystery disease practice of like I got pain everywhere all my tests are normal you know if so some of my colleagues call it the mystery disease practice so gluten is a big part of that gluten has is potentially a big part of that I want to clear up a few things on gluten Okay so without getting into it too heavily gluten is a protein that's found in Wheat naturally occurring there's a lot of different theories as to why it's becoming a big problem in and you can find them online I'll just hit a few of them one of the theories is that we're modifying or genetically modifying it so that we can make more wheat and feed the world okay and that's a nice thing to do and it's very odd..." "...rustic the way that we can feed the world is because now we can use more of the toxins that we put on there to kill the bugs and then we're able to make more was crop your crops and thus make more weak okay problem is the genetically modified wheat gluten is what's called a very sticky protein okay we're going to talk about the sticky protein is why it's used in everything that's why it's used in soy sauce has its why Susan cake mixes it's why it's used in pizzas and every day it sticks things together okay and also because and as many of you understand that the inside of our intestines is where 70% of our immune system it has a significantly profound effect on our immune system a lot of the time gluten..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...today we're going to get to back to we're going to get oxygen okay we're going to talk about following the fuel so the first thing of the basics of getting better is to follow the fuel now what is the fuel that makes our physiology work the two main fuels that make our you work our oxygen and glucose okay and don't again don't under estimate the supposed Simplicity of where I'm going with this because we're going to talk about glucose and our next presentation okay today is going to be strictly about oxygen and people say well you know I get oxygen and if the person's like can't breathe and they've had a stroke or they've had COPD or they something like that they need auction but the reality is most of the people running around on planet Earth or at least in this country well and we're finding out several other countries from people who come here they don't have enough oxygen going to their extremities they don't have enough oxygen going to their brain and a lot of us would argue that means they do have a lot of oxygen or enough oxygen going to their enteric nervous system meaning the nervous system that controls your intestines so oxygen is is kind of vital realize that if you stop breathing for a short period of time that probably would be a good representation of how important oxygen is okay but on a subtle level we need oxygen to make okay if functional medicine is about anything it's probably about looking at all of the organ in the body all of the feedback mechanisms in the body all the biochemical systems in the body that contribute to Chronic conditions that are not working..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and I'll say are they helping you and astonishingly they'll say no I don't know if they're helping me no or I don't know if they're helping with their afraid not they've read that they need them because this one is for oxidation and this one brings down inflammation and I was texting just like drugs you should know whether your supplements are helping you or not like when you're using a farm you're not going to come into me and go I had AA car you gave me this and I don't know if it helped me around if a person comes in and they're taking a high-grade supplement that I've given them the effect is because it hasn't been dosed up enough and then you would know to do sit up if a person comes in and I give them a supplement most of the time but the next time or two I see him they're going to say I feel better I feel worse either I'm good either way because it tells me something about their physiology okay that's what you should be experienced if you're taking like..." Learn more about your ad choices. Visit megaphone.fm/adchoices

with all these Foods you go you're all the ones that says you're not sensitive to in the next thing you're getting sick or just happened to me about five times blew up the whole program and and food sensitivities are as big a part of what is the diet for me what diet should I eat for fibromyalgia what do I shave for irritable bowel syndrome as anything but they're not the only thing so let me walk you through what we've come up I Now understand we've traded we've had over 40,000 patients come through this Clinic over the period of time I've been around and although we haven't treated all of them we've treated most or a lot of them are probably well over half of them but we've interviewed all of them and we evaluated all of them so we have a pretty good idea kind of coming ongoing clinical trial of like what works and what doesn't work the everybody who comes into us well not everybody today today my patient population knows about diet more than ever before I'm usually shocked when I have a patient Learn more about your ad choices. Visit megaphone.fm/adchoices

Join us Monday for a fresh new episode made to answer all your questions about diet and nutrition "...with all these Foods you go, you're all the ones that say you're not sensitive to in the next thing you're getting sick or just happened to me about five times blew up the whole program and food sensitivities are as big a part of what is the diet for me what diet should I eat for fibromyalgia what do I shave for irritable bowel syndrome as anything but they're not the only thing so let me walk you through what we've come up with..." Learn more about your ad choices. Visit megaphone.fm/adchoices

obvious that a lot of people know but maybe not so obvious like Dental a lot of times when you go into it like a functional medicine practitioners office we always have a good relationship with dentists are we don't always have a dentist that's in our office or those types of things I myself for those of you don't know I have a lot of this I've had fibromyalgia when I have fibromyalgia peripheral neuropathy chronic Celiac and I can go on and on Levin look at all the other stuff that we've done and I talked about that so I but I've been through this and I have had infections in your mouth that are undetected they can really really sabotage okay so if you're looking on if you're if you're you're online and you're looking online and you're taking this supplement for that and that's something we're for this and you just diet no it's not a lot of things I'm going to talk about today are going to be the reason one of the biggest things is Dental infections I had it myself like everything else and it took us a while to get rid of it because I didn't want to get my tooth Learn more about your ad choices. Visit megaphone.fm/adchoices

today we're going to go on to speak about the notorious adrenal gland and I kind of I'm kind of looking forward to this you can talk are several things that I several points that I really want to hit because when I first got into this I got into it in a different way than a lot of people get into alternative medicine and I wasn't brought up in fact I had they really aren't given their due by being called stress glands because then it makes everybody think that it's all about motion and certainly it's about emotional stress that can be about eventually it can be about mental stress it could be about unhealthy relationships all of those things can create stress hormones that will or situations where your pituitary...last time your adrenal put out stress hormones but it's but there's so many things that affect the adrenals and so for example you can have food if you have food sensitivities let me let me step back on this so what happens when the how to dreams get activated basically something where you either hit the fear Center of your brain will go at the mental stress first that hits the fear Center of your brain so that is called the amygdala so your frontal lobe here goes there's danger I don't like it tells this part of your brain called the amygdala to and that's the fear Center your brain that we need energy we need energy because I'm going into kind of a little fight/flight response here or a big fight flight response Learn more about your ad choices. Visit megaphone.fm/adchoices

the basics last time we were talking about the stomach and its place in the great hierarchy of taking care of patients with functional medicine concept that I keep hoping to get to you is that there are a lot of moving pieces to this there's an organization to it you really need to begin when you attack a case kind of get a feel for what all the moving parts are for that particular patient is what we've been talking we've talked about that there's what we've been talking about now and now we are at the pancreas and the pancreas is kind of interesting most people know pancreas relative to somebody who drinks too much acute pancreatitis most people know that that's not a good thing and that if you hear that you start making plans and not always but it's you know when their pancreas gets that bad Learn more about your ad choices. Visit megaphone.fm/adchoices

today we're talking about multiple chemical sensitivities okay when you're when you go to functional medicine most people who come to my office are coming in for chronic they're not coming in because their diabetes is off some come in for weight loss but the vast majority of coming here with dizziness vertigo balance migraines fibromyalgia peripheral neuropathy chronic fatigue irritable bowel syndrome Crohn's disease rheumatoid arthritis I mean most people come in here with chronic conditions that usually have an autoimmune component to it and or and frequently also have a stress component to it you put those two things together and your entire them starts to collapse varies from person to person so there's a number of different pretty well defined and known categories as to how to address those problems but the problem is on the internet they're not well defined your million different people talking about a million different things and you the oh must be that when Learn more about your ad choices. Visit megaphone.fm/adchoices

"...a functional approach and essential fatty acids are important I will usually in the beginning in a lab on someone who has these problems too if they have enough essential fatty acids in their body because essential fatty acids under normal circumstances sensitized these receptor sites to make them work better so that they don't get stuck and so that the and so that the that the hormone can get in there so so I don't really do testing in the beginning because I'm going to treat all of the other aspects of what that person presents with and their labs are going to look much different later on than they would look in the beginning I don't really need to know what they look like in the beginning because now if we do all of that the person still having imbalances in their female hormone Health okay then you run the labs because at..." Learn more about your ad choices. Visit megaphone.fm/adchoices

blood sugar has an awful lot to do with the manufacture of estrogen down the road I'm going to be looking at adrenals stress hormones your secondary sex glands are your adrenals and your adrenals and your blood sugar work together you can look at that segment and when adrenals go up then blood sugar goes up when adrenal goes down blood goes down when your blood sugar is high and low it affects these things called sex hormone-binding globulin 's these are the things that carry your estrogen all over the place and so when you're stressed and your adrenals are flaring off and it's causing your blood sugar to be high it screws with these old taxi cabs these sex sex hormone-binding globulin now all the sudden you're not getting estrogen that where you're supposed to be and it shows up as low as sturgeon and it's actually that you're stressed that's affecting your adrenals that's affecting your blood sugar and all of that is affecting you are female hormone Cycles so again Learn more about your ad choices. Visit megaphone.fm/adchoices

"...male hormone imbalances and a subsequent presentation will be on female hormone imbalances we're doing nails first not because we're sexist but because frankly, it's a lot of the males don't have as much going on thanking God as the females have I say that as a male and treating females and the women having so we're going to be talking about mainly we're going to be talking about Low T we're going to be talking about low t low testosterone I mean I listen to a radio program every morning to get the news and the weather and the traffic and all that type of stuff and there's no shortage of ways to get up your testosterone to raise that all testosterone there are medications there are herbs there's Botanicals..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...go as you were going through and that alters immune function and we now know it was your mother was your mother stressed when when when you were born during oh my God she was going through well we now know stress hormones can cross the placenta and that person who has anxiety and panic attacks literally since they were born the mother says they've been that way since they were born it may actually the fact that that there are that there were stress enzymes coming from all the way back that far and Doctor Bland put was the first one I saw that put this together and every step along the way you would take you would take the particularly pertinent information from every step along the way and you would put it on this template this chart and then you would use that to compare to the person's present-day symptoms and problems and you would start to use that to..." Learn more about your ad choices. Visit megaphone.fm/adchoices

go as you were going through and that alters immune function and we now know it was your mother stressed when when when you were born during oh my God she was going through well we now know stress hormones can cross the placenta and that person who has anxiety and panic attacks literally since they were born the mother says they've been that way since they were born it may actually the fact that that there are that there were stress enzymes coming from all the way back that far and Doctor Bland put was the first one I saw that put this together and every step along the way you would take the particularly pertinent information from every step along the way and you would put it on this template this chart and then you would use that to compare to the person's present-day symptoms and problems and you would start to use that to Learn more about your ad choices. Visit megaphone.fm/adchoices