Full Transcript Menopause, insulin, and cravings 0:03 And I know it seems so unfair because 0:03 And I know it seems so unfair because when you go into menopause, your 0:04 when you go into menopause, your 0:04 when you go into menopause, your estrogen drops. So, your insulin goes 0:06 estrogen drops. So, your insulin goes 0:06 estrogen drops. So, your insulin goes up. And when your insulin's a little 0:07 up. And when your insulin's a little 0:07 up. And when your insulin's a little higher, it actually brings on more food 0:10 higher, it actually brings on more food 0:10 higher, it actually brings on more food cravings. People that have higher 0:11 cravings. People that have higher 0:11 cravings. People that have higher insulin level, they want to 0:18 Did your cholesterol or triglycerides 0:18 Did your cholesterol or triglycerides increase after menopause or having a
Introducing the triglycerides question 0:21 increase after menopause or having a 0:21 increase after menopause or having a complete hysterectomy? Well, you're not 0:23 complete hysterectomy? Well, you're not 0:23 complete hysterectomy? Well, you're not imagining it. I'm Dr. Valerie Davidson 0:25 imagining it. I'm Dr. Valerie Davidson 0:25 imagining it. I'm Dr. Valerie Davidson from the Progressive Health Podcast. 0:27 from the Progressive Health Podcast. 0:27 from the Progressive Health Podcast. >> And I'm Dr. Mackey from the Progressive 0:28 >> And I'm Dr. Mackey from the Progressive 0:29 >> And I'm Dr. Mackey from the Progressive Health Podcast. Uh so, this one uh came 0:31 Health Podcast. Uh so, this one uh came 0:31 Health Podcast. Uh so, this one uh came in from our website, uh the little tab 0:34 in from our website, uh the little tab 0:34 in from our website, uh the little tab we have up there for ask the doctor. 0:36 we have up there for ask the doctor. 0:36 we have up there for ask the doctor. Uh we did a episode, it was quite a 0:38 Uh we did a episode, it was quite a 0:38 Uh we did a episode, it was quite a while ago now, on, you know, how to 0:40 while ago now, on, you know, how to 0:40 while ago now, on, you know, how to lower triglycerides. 0:43 lower triglycerides. 0:43 lower triglycerides. Which you can find the link up here in 0:45 Which you can find the link up here in 0:45 Which you can find the link up here in >> somewhere. 0:46 >> somewhere. 0:46 >> somewhere. >> I I don't know. That one was a long time 0:47 >> I I don't know. That one was a long time 0:47 >> I I don't know. That one was a long time ago, so it was probably like, you know, 0:49 ago, so it was probably like, you know, 0:49 ago, so it was probably like, you know, episode 100 or something. 0:51 episode 100 or something. 0:51 episode 100 or something. Um 0:53 Um 0:53 Um So, triglycerides is something that I
Why triglycerides matter for metabolic risk 0:55 So, triglycerides is something that I 0:55 So, triglycerides is something that I pay attention to a lot because of what 0:58 pay attention to a lot because of what 0:58 pay attention to a lot because of what triglycerides mean. 1:01 triglycerides mean. 1:01 triglycerides mean. I was just listening to someone talk 1:02 I was just listening to someone talk 1:02 I was just listening to someone talk about relative risk, and they were 1:04 about relative risk, and they were 1:04 about relative risk, and they were talking about triglycerides actually 1:06 talking about triglycerides actually 1:06 talking about triglycerides actually have a really good risk profile as far 1:09 have a really good risk profile as far 1:09 have a really good risk profile as far as what, you know, what the number means 1:11 as what, you know, what the number means 1:11 as what, you know, what the number means if the number goes up. I don't remember 1:12 if the number goes up. I don't remember 1:12 if the number goes up. I don't remember exactly um the video that I saw, but I I 1:15 exactly um the video that I saw, but I I 1:15 exactly um the video that I saw, but I I was like, "Oh, that's interesting." 1:17 was like, "Oh, that's interesting." 1:17 was like, "Oh, that's interesting." Well, triglycerides and insulin are sort 1:19 Well, triglycerides and insulin are sort 1:19 Well, triglycerides and insulin are sort of connected, right? So, if your 1:21 of connected, right? So, if your 1:21 of connected, right? So, if your triglycerides are higher, and uh and 1:24 triglycerides are higher, and uh and 1:24 triglycerides are higher, and uh and honestly, my cutoff, the reference range 1:25 honestly, my cutoff, the reference range 1:25 honestly, my cutoff, the reference range goes up to 150. I think for most of us, 1:28 goes up to 150. I think for most of us, 1:28 goes up to 150. I think for most of us, it should be, you know, under 100. Uh 1:31 it should be, you know, under 100. Uh 1:31 it should be, you know, under 100. Uh because that means that you're more 1:33 because that means that you're more 1:33 because that means that you're more insulin sensitive. If those 1:35 insulin sensitive. If those 1:35 insulin sensitive. If those triglycerides keep rising, um that means 1:37 triglycerides keep rising, um that means 1:38 triglycerides keep rising, um that means that your insulin's rising. 1:39 that your insulin's rising. 1:39 that your insulin's rising. >> So, you become So, as your triglycerides 1:42 >> So, you become So, as your triglycerides 1:42 >> So, you become So, as your triglycerides go up, you become less insulin resist or 1:44 go up, you become less insulin resist or 1:44 go up, you become less insulin resist or less insulin sensitive, which makes you 1:47 less insulin sensitive, which makes you 1:47 less insulin sensitive, which makes you more insulin resistant. So, basically, 1:51 more insulin resistant. So, basically, 1:51 more insulin resistant. So, basically, if your triglycerides are elevated, 1:53 if your triglycerides are elevated, 1:53 if your triglycerides are elevated, >> Mhm. that diabetes, heart disease, 1:55 >> Mhm. that diabetes, heart disease, 1:55 >> Mhm. that diabetes, heart disease, Alzheimer's, and cancer, the things that 1:56 Alzheimer's, and cancer, the things that 1:56 Alzheimer's, and cancer, the things that we sort of talk about all the time. And 1:58 we sort of talk about all the time. And 1:58 we sort of talk about all the time. And uh, you know, pretty much everyone that 2:00 uh, you know, pretty much everyone that 2:00 uh, you know, pretty much everyone that gets their blood work done on a physical 2:02 gets their blood work done on a physical 2:02 gets their blood work done on a physical level every year is going to have a 2:04 level every year is going to have a 2:04 level every year is going to have a lipid panel. So, you're always going to 2:06 lipid panel. So, you're always going to 2:06 lipid panel. So, you're always going to be able to see the trending data of 2:08 be able to see the trending data of 2:08 be able to see the trending data of their triglycerides. Everyone pays 2:10 their triglycerides. Everyone pays 2:10 their triglycerides. Everyone pays attention to HDLs and LDLs and all those 2:13 attention to HDLs and LDLs and all those 2:13 attention to HDLs and LDLs and all those things, even total. Not enough people 2:16 things, even total. Not enough people 2:16 things, even total. Not enough people are paying attention to the 2:17 are paying attention to the 2:17 are paying attention to the triglycerides. I think that those
Menopause, insulin resistance, and lipid changes 2:19 triglycerides. I think that those 2:19 triglycerides. I think that those actually provide the most information. 2:22 actually provide the most information. 2:22 actually provide the most information. Yeah, right. So, I mean, this is part of 2:23 Yeah, right. So, I mean, this is part of 2:23 Yeah, right. So, I mean, this is part of the what happens in menopause, right? A 2:25 the what happens in menopause, right? A 2:25 the what happens in menopause, right? A woman goes into menopause and 2:27 woman goes into menopause and 2:27 woman goes into menopause and automatically she becomes insulin 2:29 automatically she becomes insulin 2:29 automatically she becomes insulin resistant almost like overnight. I mean, 2:31 resistant almost like overnight. I mean, 2:31 resistant almost like overnight. I mean, how many times have we seen over the 2:32 how many times have we seen over the 2:32 how many times have we seen over the years where a woman makes that 2:33 years where a woman makes that 2:33 years where a woman makes that transition inevitably and all of a 2:36 transition inevitably and all of a 2:36 transition inevitably and all of a sudden her triglyceride or her 2:38 sudden her triglyceride or her 2:38 sudden her triglyceride or her cholesterol profile goes a little crazy. 2:40 cholesterol profile goes a little crazy. 2:40 cholesterol profile goes a little crazy. >> That is something that I noticed back 2:42 >> That is something that I noticed back 2:42 >> That is something that I noticed back when I first started practice in 2004. 2:45 when I first started practice in 2004. 2:45 when I first started practice in 2004. Over those first few years, I would 2:46 Over those first few years, I would 2:47 Over those first few years, I would notice this trend cuz I did make you 2:49 notice this trend cuz I did make you 2:49 notice this trend cuz I did make you know, I kind of got pushed into doing 2:51 know, I kind of got pushed into doing 2:51 know, I kind of got pushed into doing HRT and you know, and it was great. And 2:54 HRT and you know, and it was great. And 2:54 HRT and you know, and it was great. And now Now, yeah, and 20 plus years later, 2:57 now Now, yeah, and 20 plus years later, 2:57 now Now, yeah, and 20 plus years later, but I remember seeing these women, they 2:59 but I remember seeing these women, they 2:59 but I remember seeing these women, they were going into menopause, were going to 3:01 were going into menopause, were going to 3:01 were going into menopause, were going to do the HRT, but I would notice that 3:03 do the HRT, but I would notice that 3:03 do the HRT, but I would notice that their total cholesterol would go up, 3:04 their total cholesterol would go up, 3:04 their total cholesterol would go up, their triglycerides would go up, and 3:06 their triglycerides would go up, and 3:06 their triglycerides would go up, and their LDL cholesterol would go up. 3:08 their LDL cholesterol would go up. 3:08 their LDL cholesterol would go up. Their HDL seemed to stay exactly the 3:10 Their HDL seemed to stay exactly the 3:10 Their HDL seemed to stay exactly the same. 3:10 same. 3:10 same. >> Right. 3:11 >> Right. 3:11 >> Right. >> And 3:11 >> And 3:11 >> And >> Uh, obviously most of those cases they 3:13 >> Uh, obviously most of those cases they 3:13 >> Uh, obviously most of those cases they usually goes down a little bit, the HDL. 3:15 usually goes down a little bit, the HDL. 3:15 usually goes down a little bit, the HDL. Well, essentially going into menopause, 3:17 Well, essentially going into menopause, 3:17 Well, essentially going into menopause, you become more insulin resistant almost 3:19 you become more insulin resistant almost 3:19 you become more insulin resistant almost like automatically. Um, that's part of 3:21 like automatically. Um, that's part of 3:21 like automatically. Um, that's part of the issue why it's why looking at that 3:23 the issue why it's why looking at that 3:23 the issue why it's why looking at that little, you know, triglyceride HDL ratio 3:26 little, you know, triglyceride HDL ratio 3:26 little, you know, triglyceride HDL ratio can be helpful because I don't think 3:28 can be helpful because I don't think 3:28 can be helpful because I don't think even the standard reference range, if 3:30 even the standard reference range, if 3:30 even the standard reference range, if your number is 150, that's the reference 3:32 your number is 150, that's the reference 3:32 your number is 150, that's the reference range, 149 or below, I still think for 3:35 range, 149 or below, I still think for 3:35 range, 149 or below, I still think for most people that that's just too high of 3:37 most people that that's just too high of 3:37 most people that that's just too high of a triglyceride level. I want for my 3:39 a triglyceride level. I want for my 3:39 a triglyceride level. I want for my patients, I want their their 3:40 patients, I want their their 3:40 patients, I want their their triglyceride level to be usually less 3:42 triglyceride level to be usually less 3:42 triglyceride level to be usually less than 75. Or in some ways, the lower the 3:46 than 75. Or in some ways, the lower the 3:46 than 75. Or in some ways, the lower the number the better because uh, you're 3:48 number the better because uh, you're 3:48 number the better because uh, you're really trying to determine that 3:50 really trying to determine that 3:50 really trying to determine that triglyceride to HDL ratio 3:54 triglyceride to HDL ratio 3:54 triglyceride to HDL ratio if it's greater than 1.5, 3:56 if it's greater than 1.5, 3:56 if it's greater than 1.5, um that means that your LDL particle 3:58 um that means that your LDL particle 3:58 um that means that your LDL particle size is sort of um small and dense, 4:01 size is sort of um small and dense, 4:01 size is sort of um small and dense, making you more um potentially uh more
Triglyceride-to-HDL ratio and atherosclerosis risk 4:05 making you more um potentially uh more 4:05 making you more um potentially uh more risk for those other other problems, the 4:07 risk for those other other problems, the 4:07 risk for those other other problems, the diabetes, the heart disease, the 4:09 diabetes, the heart disease, the 4:09 diabetes, the heart disease, the Alzheimer's, the cancer. If your 4:11 Alzheimer's, the cancer. If your 4:11 Alzheimer's, the cancer. If your triglycerides um are uh if your 4:14 triglycerides um are uh if your 4:14 triglycerides um are uh if your triglyceride to HDL ratio is less than 4:16 triglyceride to HDL ratio is less than 4:16 triglyceride to HDL ratio is less than 1.5, uh now you know that your uh HDL 4:20 1.5, uh now you know that your uh HDL 4:20 1.5, uh now you know that your uh HDL part or uh LDL particles are 4:23 part or uh LDL particles are 4:23 part or uh LDL particles are >> [laughter] 4:23 >> [laughter] 4:24 >> [laughter] >> Getting confused. 4:25 >> Getting confused. 4:25 >> Getting confused. >> Would I keep going back and forth? 4:26 >> Would I keep going back and forth? 4:26 >> Would I keep going back and forth? >> Yeah, no, sorry. Sorry, I I love this 4:28 >> Yeah, no, sorry. Sorry, I I love this 4:28 >> Yeah, no, sorry. Sorry, I I love this stuff. I love the science of it, but now 4:30 stuff. I love the science of it, but now 4:30 stuff. I love the science of it, but now I'm kind of getting confused. So, you're 4:31 I'm kind of getting confused. So, you're 4:31 I'm kind of getting confused. So, you're talking about being small and dense or 4:33 talking about being small and dense or 4:33 talking about being small and dense or large and puffy. So, like maybe um dummy 4:36 large and puffy. So, like maybe um dummy 4:36 large and puffy. So, like maybe um dummy that down a little bit for me. The LDL 4:38 that down a little bit for me. The LDL 4:38 that down a little bit for me. The LDL particles, even though you're doing the 4:40 particles, even though you're doing the 4:40 particles, even though you're doing the equation with triglycerides and HDLs, 4:42 equation with triglycerides and HDLs, 4:42 equation with triglycerides and HDLs, but it's still 4:44 but it's still 4:44 but it's still references towards the LDL. 4:47 references towards the LDL. 4:47 references towards the LDL. >> Yeah, and you don't want them to be 4:48 >> Yeah, and you don't want them to be 4:48 >> Yeah, and you don't want them to be small and dense because that makes them 4:50 small and dense because that makes them 4:50 small and dense because that makes them more atherogenic. 4:52 more atherogenic. 4:52 more atherogenic. >> So, the greater that number, that that 4:54 >> So, the greater that number, that that 4:54 >> So, the greater that number, that that ratio, if it's greater than 1.5, the 4:56 ratio, if it's greater than 1.5, the 4:56 ratio, if it's greater than 1.5, the higher that number is, that means you're 4:58 higher that number is, that means you're 4:58 higher that number is, that means you're more prone for atherosclerosis. 5:01 more prone for atherosclerosis. 5:01 more prone for atherosclerosis. >> The more insulin resistant you are 5:03 >> The more insulin resistant you are 5:03 >> The more insulin resistant you are >> So, heart disease. 5:04 >> So, heart disease. 5:04 >> So, heart disease. >> Heart disease, diabetes, Alzheimer's, 5:05 >> Heart disease, diabetes, Alzheimer's, 5:06 >> Heart disease, diabetes, Alzheimer's, and cancer. 5:06 and cancer. 5:06 and cancer. >> it. 5:07 >> it. 5:07 >> it. >> Right, so we want that number to be nice 5:08 >> Right, so we want that number to be nice 5:08 >> Right, so we want that number to be nice and low. How do we manipulate that 5:10 and low. How do we manipulate that 5:10 and low. How do we manipulate that number? So, triglycerides, let's say 75,
How menopause and diet drive triglycerides higher 5:14 number? So, triglycerides, let's say 75, 5:14 number? So, triglycerides, let's say 75, uh and now the HDL is, you know, 40. Uh 5:17 uh and now the HDL is, you know, 40. Uh 5:17 uh and now the HDL is, you know, 40. Uh now you know, you still have a little 5:20 now you know, you still have a little 5:20 now you know, you still have a little bit of room to work there to get 5:22 bit of room to work there to get 5:22 bit of room to work there to get >> said, in Candace's case, then that's 5:23 >> said, in Candace's case, then that's 5:24 >> said, in Candace's case, then that's going to make her insulin automatically 5:25 going to make her insulin automatically 5:26 going to make her insulin automatically go up cuz there is a connection between 5:27 go up cuz there is a connection between 5:27 go up cuz there is a connection between estrogen keeping the tissues very 5:29 estrogen keeping the tissues very 5:30 estrogen keeping the tissues very insulin sensitive. So, when that 5:31 insulin sensitive. So, when that 5:31 insulin sensitive. So, when that estrogen drops, the insulin goes up, 5:35 estrogen drops, the insulin goes up, 5:35 estrogen drops, the insulin goes up, which then is going to do what to the 5:37 which then is going to do what to the 5:37 which then is going to do what to the triglycerides? Yep, so they go up, too. 5:40 triglycerides? Yep, so they go up, too. 5:40 triglycerides? Yep, so they go up, too. >> Yep. 5:40 >> Yep. 5:40 >> Yep. >> So, 5:41 >> So, 5:41 >> So, >> Because cuz the insulin and the 5:42 >> Because cuz the insulin and the 5:42 >> Because cuz the insulin and the triglycerides are directly correlated 5:44 triglycerides are directly correlated 5:44 triglycerides are directly correlated with each other. So, if your insulin 5:46 with each other. So, if your insulin 5:46 with each other. So, if your insulin goes up, a lot of don't even test your 5:48 goes up, a lot of don't even test your 5:48 goes up, a lot of don't even test your insulin level. If you notice your 5:50 insulin level. If you notice your 5:50 insulin level. If you notice your triglycerides are rising, 5:52 triglycerides are rising, 5:52 triglycerides are rising, um now you know that your insulin has 5:53 um now you know that your insulin has 5:53 um now you know that your insulin has gone up as well. 5:54 gone up as well. 5:54 gone up as well. >> On HRT, you know, cuz you know, HRT is 5:57 >> On HRT, you know, cuz you know, HRT is 5:57 >> On HRT, you know, cuz you know, HRT is great, but it's not nature. But so, that 5:59 great, but it's not nature. But so, that 5:59 great, but it's not nature. But so, that would be a great thing to have your 6:00 would be a great thing to have your 6:00 would be a great thing to have your doctor test would be a fasting insulin. 6:03 doctor test would be a fasting insulin. 6:03 doctor test would be a fasting insulin. Heart disease, atherosclerosis, 6:05 Heart disease, atherosclerosis, 6:05 Heart disease, atherosclerosis, yeah, brain health. So, the magic 6:07 yeah, brain health. So, the magic 6:07 yeah, brain health. So, the magic question, so I'm asking you like about 6:09 question, so I'm asking you like about 6:09 question, so I'm asking you like about the triglycerides, what food so we know 6:12 the triglycerides, what food so we know 6:12 the triglycerides, what food so we know maybe even, you know, referencing to 6:14 maybe even, you know, referencing to 6:14 maybe even, you know, referencing to people like Candace, what foods raise up 6:16 people like Candace, what foods raise up 6:17 people like Candace, what foods raise up your triglycerides that you would be 6:18 your triglycerides that you would be 6:18 your triglycerides that you would be more sensitive to postmenopausal as 6:21 more sensitive to postmenopausal as 6:21 more sensitive to postmenopausal as opposed to being premenopausal? 6:23 opposed to being premenopausal? 6:23 opposed to being premenopausal? >> Right. Uh so, this is the paradox, 6:25 >> Right. Uh so, this is the paradox, 6:25 >> Right. Uh so, this is the paradox, right? Because uh triglycerides are were 6:28 right? Because uh triglycerides are were 6:28 right? Because uh triglycerides are were considered to be a blood fat. Okay, it's 6:30 considered to be a blood fat. Okay, it's 6:30 considered to be a blood fat. Okay, it's just how your body transports fat in 6:32 just how your body transports fat in 6:32 just how your body transports fat in your blood. So, you would think that 6:34 your blood. So, you would think that 6:34 your blood. So, you would think that it's going to be, you know, red meat, 6:37 it's going to be, you know, red meat, 6:37 it's going to be, you know, red meat, um fatty foods, different things like 6:38 um fatty foods, different things like 6:38 um fatty foods, different things like that. But in reality, it is 6:40 that. But in reality, it is 6:40 that. But in reality, it is carbohydrates most of the time that is 6:42 carbohydrates most of the time that is 6:42 carbohydrates most of the time that is going to raise your fasting insulin, 6:45 going to raise your fasting insulin, 6:45 going to raise your fasting insulin, which then raises your fasting 6:46 which then raises your fasting 6:46 which then raises your fasting triglyceride your your triglyceride 6:48 triglyceride your your triglyceride 6:48 triglyceride your your triglyceride level. Um so, it's not really about 6:51 level. Um so, it's not really about 6:51 level. Um so, it's not really about restricting red meat or even eggs for 6:53 restricting red meat or even eggs for 6:53 restricting red meat or even eggs for that matter. 6:54 that matter. 6:54 that matter. Um a lot of 6:56 Um a lot of 6:56 Um a lot of uh cholesterol in the egg yolk, so 6:58 uh cholesterol in the egg yolk, so 6:58 uh cholesterol in the egg yolk, so people think they should eat less eggs 7:00 people think they should eat less eggs 7:00 people think they should eat less eggs and less red meat. Uh and then they end 7:02 and less red meat. Uh and then they end 7:02 and less red meat. Uh and then they end up without realizing it, they end up 7:04 up without realizing it, they end up 7:04 up without realizing it, they end up doing more refined carbohydrates, and 7:06 doing more refined carbohydrates, and 7:06 doing more refined carbohydrates, and that is what makes that triglyceride
Lowering triglycerides with diet and omega-3s 7:08 that is what makes that triglyceride 7:08 that is what makes that triglyceride level go up over time. So, for a woman, 7:10 level go up over time. So, for a woman, 7:10 level go up over time. So, for a woman, it's sort of almost like a a double 7:12 it's sort of almost like a a double 7:12 it's sort of almost like a a double whammy. She's going into menopause, 7:14 whammy. She's going into menopause, 7:14 whammy. She's going into menopause, which is already sort of a um a risk 7:16 which is already sort of a um a risk 7:16 which is already sort of a um a risk factor in and of itself, just the 7:18 factor in and of itself, just the 7:18 factor in and of itself, just the transition, and then not to mention if 7:21 transition, and then not to mention if 7:21 transition, and then not to mention if their diet is a little bit more refined 7:23 their diet is a little bit more refined 7:23 their diet is a little bit more refined carbohydrates, 7:25 carbohydrates, 7:25 carbohydrates, breads, cakes, cookies, crackers, pasta, 7:27 breads, cakes, cookies, crackers, pasta, 7:27 breads, cakes, cookies, crackers, pasta, all the yummy foods that we all like to 7:29 all the yummy foods that we all like to 7:29 all the yummy foods that we all like to eat. Well, that's going to make those 7:30 eat. Well, that's going to make those 7:30 eat. Well, that's going to make those triglycerides go up even more. And I 7:32 triglycerides go up even more. And I 7:32 triglycerides go up even more. And I know it seems so unfair because 7:35 know it seems so unfair because 7:35 know it seems so unfair because when you go into menopause, your 7:36 when you go into menopause, your 7:36 when you go into menopause, your estrogen drops, so your insulin goes up, 7:39 estrogen drops, so your insulin goes up, 7:39 estrogen drops, so your insulin goes up, and when your insulin's a little higher, 7:40 and when your insulin's a little higher, 7:40 and when your insulin's a little higher, it actually brings on more food 7:42 it actually brings on more food 7:42 it actually brings on more food cravings. People that have higher 7:44 cravings. People that have higher 7:44 cravings. People that have higher insulin level, they want to eat the 7:46 insulin level, they want to eat the 7:46 insulin level, they want to eat the cookies, the biscuits, the you know, the 7:48 cookies, the biscuits, the you know, the 7:48 cookies, the biscuits, the you know, the cakes, the cereals, the you know, the 7:50 cakes, the cereals, the you know, the 7:50 cakes, the cereals, the you know, the yummy yummy carbohydrate refined foods 7:53 yummy yummy carbohydrate refined foods 7:53 yummy yummy carbohydrate refined foods than somebody that has a lower insulin. 7:55 than somebody that has a lower insulin. 7:55 than somebody that has a lower insulin. So, like I said, it's not fair. You go 7:57 So, like I said, it's not fair. You go 7:57 So, like I said, it's not fair. You go into menopause, your your estrogen 7:58 into menopause, your your estrogen 7:58 into menopause, your your estrogen drops, your insulin goes up, then next 8:00 drops, your insulin goes up, then next 8:00 drops, your insulin goes up, then next thing you want to do is you want to eat 8:01 thing you want to do is you want to eat 8:01 thing you want to do is you want to eat those foods that raise up your 8:02 those foods that raise up your 8:02 those foods that raise up your triglycerides. 8:03 triglycerides. 8:03 triglycerides. >> And then it just becomes a little bit of 8:05 >> And then it just becomes a little bit of 8:05 >> And then it just becomes a little bit of a vicious cycle that just continues. All 8:07 a vicious cycle that just continues. All 8:07 a vicious cycle that just continues. All right. So, um uh heart disease, 8:10 right. So, um uh heart disease, 8:10 right. So, um uh heart disease, diabetes, Alzheimer's, and cancer. Those 8:12 diabetes, Alzheimer's, and cancer. Those 8:12 diabetes, Alzheimer's, and cancer. Those are the four things that are attributed 8:14 are the four things that are attributed 8:14 are the four things that are attributed to having those higher insulin. That's 8:16 to having those higher insulin. That's 8:16 to having those higher insulin. That's why we feel that, you know, a fasting 8:18 why we feel that, you know, a fasting 8:18 why we feel that, you know, a fasting insulin is really, really important cuz 8:20 insulin is really, really important cuz 8:20 insulin is really, really important cuz you can tell a lot by that one number. 8:22 you can tell a lot by that one number. 8:22 you can tell a lot by that one number. Even if you don't even have I think it 8:24 Even if you don't even have I think it 8:24 Even if you don't even have I think it should be less for most everyone should 8:25 should be less for most everyone should 8:25 should be less for most everyone should be less than 75, but if you do that 8:27 be less than 75, but if you do that 8:27 be less than 75, but if you do that great. 8:27 great. 8:27 great. >> For the insulin, I meant. 8:28 >> For the insulin, I meant. 8:28 >> For the insulin, I meant. >> Oh, for the insulin. 8:29 >> Oh, for the insulin. 8:29 >> Oh, for the insulin. >> Fasting insulin, what's a good number if 8:31 >> Fasting insulin, what's a good number if 8:31 >> Fasting insulin, what's a good number if you're going to do a blood test for a 8:32 you're going to do a blood test for a 8:32 you're going to do a blood test for a fasting insulin? 8:33 fasting insulin? 8:33 fasting insulin? >> Yeah, certainly, you know, certainly 8:34 >> Yeah, certainly, you know, certainly 8:35 >> Yeah, certainly, you know, certainly greater than 10 or in the double digits, 8:37 greater than 10 or in the double digits, 8:37 greater than 10 or in the double digits, um you have some kind of a problem going 8:39 um you have some kind of a problem going 8:39 um you have some kind of a problem going on. Um you know, so I just talked to a 8:42 on. Um you know, so I just talked to a 8:42 on. Um you know, so I just talked to a gentleman the other day. His uh his 8:45 gentleman the other day. His uh his 8:45 gentleman the other day. His uh his triglycerides were high normal, his 8:47 triglycerides were high normal, his 8:47 triglycerides were high normal, his insulin was 9.8. 8:49 insulin was 9.8. 8:49 insulin was 9.8. Okay, so right on the cusp of being uh 8:51 Okay, so right on the cusp of being uh 8:51 Okay, so right on the cusp of being uh normal, but his ratio, his triglyceride 8:54 normal, but his ratio, his triglyceride 8:54 normal, but his ratio, his triglyceride to HDL ratio was well, I don't know 8:57 to HDL ratio was well, I don't know 8:57 to HDL ratio was well, I don't know remember what it was right now off the 8:58 remember what it was right now off the 8:58 remember what it was right now off the top of my head, um but it was um it was 9:00 top of my head, um but it was um it was 9:00 top of my head, um but it was um it was like, you know, three and a half or 9:02 like, you know, three and a half or 9:02 like, you know, three and a half or four. 9:03 four. 9:03 four. >> Well, let let me pause you for a second 9:04 >> Well, let let me pause you for a second 9:05 >> Well, let let me pause you for a second and back up to something that you said. 9:07 and back up to something that you said. 9:07 and back up to something that you said. You said that his insulin was normal. 9:10 You said that his insulin was normal. 9:10 You said that his insulin was normal. Now, this is the thing is if you ask 9:11 Now, this is the thing is if you ask 9:11 Now, this is the thing is if you ask your doctor to do a fasting blood 9:13 your doctor to do a fasting blood 9:13 your doctor to do a fasting blood insulin level, the normal ranges on most 9:16 insulin level, the normal ranges on most 9:16 insulin level, the normal ranges on most labs go up to like 24 and a half or 24. 9:20 labs go up to like 24 and a half or 24. 9:20 labs go up to like 24 and a half or 24. So, that's where you might be at like I 9:21 So, that's where you might be at like I 9:21 So, that's where you might be at like I have a patient at 19 and she has a 9:25 have a patient at 19 and she has a 9:25 have a patient at 19 and she has a you know, we're looking at, you know, 9:26 you know, we're looking at, you know, 9:26 you know, we're looking at, you know, this insulin resistance, definitely her 9:28 this insulin resistance, definitely her 9:28 this insulin resistance, definitely her glucose is starting to go up, her 9:29 glucose is starting to go up, her 9:29 glucose is starting to go up, her triglycerides are really high. 9:31 triglycerides are really high. 9:31 triglycerides are really high. >> Yeah, the reference range for insulin is 9:32 >> Yeah, the reference range for insulin is 9:32 >> Yeah, the reference range for insulin is sort of insane. It's like two to 24 9:34 sort of insane. It's like two to 24 9:34 sort of insane. It's like two to 24 depending on lab. Some labs I think go 9:36 depending on lab. Some labs I think go 9:36 depending on lab. Some labs I think go down to 22. Um some go up to 24. 9:39 down to 22. Um some go up to 24. 9:40 down to 22. Um some go up to 24. something and that's considered normal. 9:42 something and that's considered normal. 9:42 something and that's considered normal. Um now I don't know really why the 9:44 Um now I don't know really why the 9:44 Um now I don't know really why the reference range for insulin is so big 9:46 reference range for insulin is so big 9:46 reference range for insulin is so big like that. Um 9:48 like that. Um 9:48 like that. Um as any functional medicine doctor, um 9:50 as any functional medicine doctor, um 9:50 as any functional medicine doctor, um you know, in the United States would 9:51 you know, in the United States would 9:51 you know, in the United States would say, they'd like it less than seven and 9:55 say, they'd like it less than seven and 9:55 say, they'd like it less than seven and like like you said you I said less than 9:56 like like you said you I said less than 9:56 like like you said you I said less than five. 9:57 five. 9:57 five. >> I even go with nine. If somebody can get 9:58 >> I even go with nine. If somebody can get 9:58 >> I even go with nine. If somebody can get their insulin to nine, I will do the 10:00 their insulin to nine, I will do the 10:00 their insulin to nine, I will do the happy dance. Like I think that's just
Fasting insulin targets and lab interpretation 10:02 happy dance. Like I think that's just 10:02 happy dance. Like I think that's just fine. 10:02 fine. 10:02 fine. >> single digit. Yeah, right. 10:04 >> single digit. Yeah, right. 10:04 >> single digit. Yeah, right. >> Well, that's the magic question now. So 10:06 >> Well, that's the magic question now. So 10:06 >> Well, that's the magic question now. So coming back to what Candace is asking. 10:07 coming back to what Candace is asking. 10:07 coming back to what Candace is asking. Now of course this is all for what is 10:09 Now of course this is all for what is 10:09 Now of course this is all for what is it? Uh educational purposes. This is not 10:12 it? Uh educational purposes. This is not 10:12 it? Uh educational purposes. This is not medical advice. Blah blah. 10:13 medical advice. Blah blah. 10:13 medical advice. Blah blah. >> Is what can we do as menopausal women, 10:16 >> Is what can we do as menopausal women, 10:16 >> Is what can we do as menopausal women, you know, or we can also talk about men 10:18 you know, or we can also talk about men 10:18 you know, or we can also talk about men at some point too. But as women with the 10:20 at some point too. But as women with the 10:20 at some point too. But as women with the estrogen drops, what can we do to bring 10:22 estrogen drops, what can we do to bring 10:22 estrogen drops, what can we do to bring down those triglycerides? 10:24 down those triglycerides? 10:24 down those triglycerides? >> Uh well, one of the best ways honestly 10:26 >> Uh well, one of the best ways honestly 10:26 >> Uh well, one of the best ways honestly is omega-3 fatty acids. Um that's one of 10:28 is omega-3 fatty acids. Um that's one of 10:28 is omega-3 fatty acids. Um that's one of the best ways and that's why from a from 10:31 the best ways and that's why from a from 10:31 the best ways and that's why from a from an insulin resistant perspective, of 10:33 an insulin resistant perspective, of 10:33 an insulin resistant perspective, of course you got to limit some of those 10:35 course you got to limit some of those 10:35 course you got to limit some of those refined carbohydrates. I mean, you know, 10:37 refined carbohydrates. I mean, you know, 10:37 refined carbohydrates. I mean, you know, breads, cakes, cookies, crackers, pasta, 10:39 breads, cakes, cookies, crackers, pasta, 10:39 breads, cakes, cookies, crackers, pasta, the fancy coffees, all those things have 10:41 the fancy coffees, all those things have 10:41 the fancy coffees, all those things have to be sort of modified cuz otherwise 10:44 to be sort of modified cuz otherwise 10:44 to be sort of modified cuz otherwise those triglycerides will just keep going 10:45 those triglycerides will just keep going 10:45 those triglycerides will just keep going up or your fasting insulin will just 10:47 up or your fasting insulin will just 10:47 up or your fasting insulin will just keep getting worse. Uh 10:49 keep getting worse. Uh 10:49 keep getting worse. Uh so 10:50 so 10:50 so could we think that it's a blood fat? So 10:52 could we think that it's a blood fat? So 10:52 could we think that it's a blood fat? So then the triglycerides and cholesterol 10:54 then the triglycerides and cholesterol 10:54 then the triglycerides and cholesterol are being manipulated in the diet by you 10:57 are being manipulated in the diet by you 10:57 are being manipulated in the diet by you know, too much red meat or too many eggs 10:59 know, too much red meat or too many eggs 11:00 know, too much red meat or too many eggs or and those things actually are more 11:01 or and those things actually are more 11:01 or and those things actually are more beneficial. 11:02 beneficial. 11:02 beneficial. >> So you would suggest probably raising up 11:05 >> So you would suggest probably raising up 11:05 >> So you would suggest probably raising up their protein quite a bit to kind of 11:07 their protein quite a bit to kind of 11:07 their protein quite a bit to kind of help offset some of those carb cravings 11:10 help offset some of those carb cravings 11:10 help offset some of those carb cravings and be able to reduce down the the 11:12 and be able to reduce down the the 11:12 and be able to reduce down the the refined carbohydrates which would then 11:14 refined carbohydrates which would then 11:14 refined carbohydrates which would then reduce down the insulin and the 11:15 reduce down the insulin and the 11:15 reduce down the insulin and the triglycerides. Omega-3s is like the top 11:18 triglycerides. Omega-3s is like the top 11:18 triglycerides. Omega-3s is like the top like the panacea if you're going to take 11:19 like the panacea if you're going to take 11:19 like the panacea if you're going to take a supplement. 11:20 a supplement. 11:20 a supplement. >> Well, I think it's a we've talked about 11:21 >> Well, I think it's a we've talked about 11:21 >> Well, I think it's a we've talked about it a few different times. I think that 11:22 it a few different times. I think that 11:22 it a few different times. I think that it you know, there's a good case. Now I 11:24 it you know, there's a good case. Now I 11:24 it you know, there's a good case. Now I prefer the actual you know, omega-3 11:27 prefer the actual you know, omega-3 11:27 prefer the actual you know, omega-3 fatty acid oil or fish oil of some sort. 11:30 fatty acid oil or fish oil of some sort. 11:30 fatty acid oil or fish oil of some sort. Nobody likes it. 11:31 Nobody likes it. 11:31 Nobody likes it. >> I like the capsules. 11:32 >> I like the capsules. 11:32 >> I like the capsules. >> Yeah, like the soft gels are fine. 11:35 >> Yeah, like the soft gels are fine. 11:35 >> Yeah, like the soft gels are fine. You know, 2 to 4 g, give or take. Uh you 11:38 You know, 2 to 4 g, give or take. Uh you 11:38 You know, 2 to 4 g, give or take. Uh you know, so 11:38 know, so 11:38 know, so >> the dose? 11:38 >> the dose? 11:38 >> the dose? >> So, 2,000 to 4,000 mg of an omega-3
Advanced markers: LP(a) and apoB 11:42 >> So, 2,000 to 4,000 mg of an omega-3 11:42 >> So, 2,000 to 4,000 mg of an omega-3 fatty acid. Um you know, 11:44 fatty acid. Um you know, 11:44 fatty acid. Um you know, that will help to lower. There's even a 11:47 that will help to lower. There's even a 11:47 that will help to lower. There's even a couple of prescription medications, 11:48 couple of prescription medications, 11:48 couple of prescription medications, which I'm not a huge fan of those. Um 11:51 which I'm not a huge fan of those. Um 11:51 which I'm not a huge fan of those. Um but there's that's actually a treatment 11:53 but there's that's actually a treatment 11:53 but there's that's actually a treatment for high triglycerides is using um some 11:56 for high triglycerides is using um some 11:56 for high triglycerides is using um some of the medications that are on the 11:57 of the medications that are on the 11:57 of the medications that are on the market. Uh yeah, so uh now bergamot 12:00 market. Uh yeah, so uh now bergamot 12:00 market. Uh yeah, so uh now bergamot might have an impact on total 12:02 might have an impact on total 12:02 might have an impact on total cholesterol, might have an impact on LDL 12:05 cholesterol, might have an impact on LDL 12:05 cholesterol, might have an impact on LDL cholesterol. They're not going to have a 12:07 cholesterol. They're not going to have a 12:07 cholesterol. They're not going to have a direct impact on triglycerides. 12:09 direct impact on triglycerides. 12:09 direct impact on triglycerides. >> Mhm. 12:09 >> Mhm. 12:09 >> Mhm. >> Um even berberine and some of those 12:11 >> Um even berberine and some of those 12:11 >> Um even berberine and some of those other things, they're going to do more 12:12 other things, they're going to do more 12:12 other things, they're going to do more on the lipid profile. 12:14 on the lipid profile. 12:14 on the lipid profile. Um the non-triglyceride numbers are not 12:17 Um the non-triglyceride numbers are not 12:17 Um the non-triglyceride numbers are not um not exactly the triglycerides. 12:19 um not exactly the triglycerides. 12:19 um not exactly the triglycerides. >> Berberine and some of those things can 12:21 >> Berberine and some of those things can 12:21 >> Berberine and some of those things can help reduce down insulin, right? Or 12:23 help reduce down insulin, right? Or 12:23 help reduce down insulin, right? Or glucose, and then maybe help with the 12:26 glucose, and then maybe help with the 12:26 glucose, and then maybe help with the cravings, and then when you start to not 12:28 cravings, and then when you start to not 12:28 cravings, and then when you start to not eat as much refined carbohydrates, and 12:29 eat as much refined carbohydrates, and 12:29 eat as much refined carbohydrates, and you boost up your protein, then you can 12:31 you boost up your protein, then you can 12:31 you boost up your protein, then you can see the triglycerides come down. And 12:33 see the triglycerides come down. And 12:33 see the triglycerides come down. And I'm, you know, I'm the HRT doc, so I 12:36 I'm, you know, I'm the HRT doc, so I 12:36 I'm, you know, I'm the HRT doc, so I feel like if you're a candidate for 12:37 feel like if you're a candidate for 12:38 feel like if you're a candidate for taking HRT is by replacing the progest- 12:41 taking HRT is by replacing the progest- 12:41 taking HRT is by replacing the progest- you know, progesterone and estrogen, cuz 12:43 you know, progesterone and estrogen, cuz 12:43 you know, progesterone and estrogen, cuz progesterone also has an effect on 12:44 progesterone also has an effect on 12:44 progesterone also has an effect on insulin resistance, just not as much as 12:46 insulin resistance, just not as much as 12:46 insulin resistance, just not as much as the estradiol does. Is doing the HRT can 12:50 the estradiol does. Is doing the HRT can 12:50 the estradiol does. Is doing the HRT can also, I've seen just doing straight-up 12:51 also, I've seen just doing straight-up 12:51 also, I've seen just doing straight-up HRT can reduce down all those 12:53 HRT can reduce down all those 12:53 HRT can reduce down all those cholesterol numbers. 12:54 cholesterol numbers. 12:54 cholesterol numbers. >> Yeah, I mean, that's why it becomes such 12:56 >> Yeah, I mean, that's why it becomes such 12:56 >> Yeah, I mean, that's why it becomes such an issue in menopause is because women 12:58 an issue in menopause is because women 12:58 an issue in menopause is because women lose their insulin sensitivity as 13:01 lose their insulin sensitivity as 13:01 lose their insulin sensitivity as they're going into menopause. Partially, 13:03 they're going into menopause. Partially, 13:03 they're going into menopause. Partially, like like you said, the the estrogen and 13:05 like like you said, the the estrogen and 13:05 like like you said, the the estrogen and progesterone itself um are like 13:07 progesterone itself um are like 13:07 progesterone itself um are like offsetting or reducing some of that, you 13:10 offsetting or reducing some of that, you 13:10 offsetting or reducing some of that, you know, insulin resistant potential. Now 13:13 know, insulin resistant potential. Now 13:13 know, insulin resistant potential. Now they're in menopause, they lose some of 13:14 they're in menopause, they lose some of 13:14 they're in menopause, they lose some of that extra protective benefit. Uh that's 13:17 that extra protective benefit. Uh that's 13:17 that extra protective benefit. Uh that's why women's risk, I think, for heart 13:18 why women's risk, I think, for heart 13:18 why women's risk, I think, for heart disease in general is a lot lower in men 13:20 disease in general is a lot lower in men 13:21 disease in general is a lot lower in men until they get to menopause. 13:22 until they get to menopause. 13:22 until they get to menopause. >> Exactly. 13:23 >> Exactly. 13:23 >> Exactly. >> Uh right. Men, you know, men pretty much 13:25 >> Uh right. Men, you know, men pretty much 13:25 >> Uh right. Men, you know, men pretty much any 13:26 any 13:26 any any men in America um regardless of race 13:30 any men in America um regardless of race 13:30 any men in America um regardless of race Caucasian African-American Hispanic it 13:32 Caucasian African-American Hispanic it 13:32 Caucasian African-American Hispanic it doesn't matter 13:34 doesn't matter 13:34 doesn't matter they're going to have an issue pretty 13:35 they're going to have an issue pretty 13:35 they're going to have an issue pretty much at any age where women they don't 13:38 much at any age where women they don't 13:38 much at any age where women they don't get much of a their risk doesn't really 13:40 get much of a their risk doesn't really 13:40 get much of a their risk doesn't really increase too much until they hit 13:42 increase too much until they hit 13:42 increase too much until they hit menopause. 13:43 menopause. 13:43 menopause. >> Plenty of podcast talking about rhythmic 13:45 >> Plenty of podcast talking about rhythmic 13:45 >> Plenty of podcast talking about rhythmic dosing that's the current HRT that I'm 13:46 dosing that's the current HRT that I'm 13:47 dosing that's the current HRT that I'm taking right now. 13:47 taking right now. 13:48 taking right now. >> Yeah. 13:48 >> Yeah. 13:48 >> Yeah. >> So at some point I'll do my my 13:49 >> So at some point I'll do my my 13:50 >> So at some point I'll do my my cholesterol is pretty good but at some 13:51 cholesterol is pretty good but at some 13:51 cholesterol is pretty good but at some point maybe we'll put up some different 13:53 point maybe we'll put up some different 13:53 point maybe we'll put up some different cholesterol before and after numbers 13:54 cholesterol before and after numbers 13:54 cholesterol before and after numbers future podcast. 13:56 future podcast. 13:56 future podcast. So just to sort of make it more clear so 13:58 So just to sort of make it more clear so 13:58 So just to sort of make it more clear so what what's that test called? 14:00 what what's that test called? 14:00 what what's that test called? >> LP little A 14:00 >> LP little A 14:00 >> LP little A >> So LP little A if it's elevated you've 14:03 >> So LP little A if it's elevated you've 14:03 >> So LP little A if it's elevated you've inherited a genetic risk factor for 14:06 inherited a genetic risk factor for 14:06 inherited a genetic risk factor for atherosclerosis. 14:07 atherosclerosis. 14:07 atherosclerosis. >> Potentially yes. 14:08 >> Potentially yes. 14:08 >> Potentially yes. >> Which could contribute to heart disease 14:10 >> Which could contribute to heart disease 14:10 >> Which could contribute to heart disease down the road. 14:10 down the road. 14:10 down the road. >> Yeah absolutely. Yeah yeah yeah right 14:13 >> Yeah absolutely. Yeah yeah yeah right 14:13 >> Yeah absolutely. Yeah yeah yeah right and then you the new 14:14 and then you the new 14:14 and then you the new >> Break it down I like I like 14:16 >> Break it down I like I like 14:16 >> Break it down I like I like >> Of course. 14:16 >> Of course. 14:16 >> Of course. >> And then simple. 14:17 >> And then simple. 14:17 >> And then simple. >> And the new one is 14:19 >> And the new one is 14:19 >> And the new one is apoB okay that's the 14:21 apoB okay that's the 14:21 apoB okay that's the >> Lipoprotein B. 14:23 >> Lipoprotein B. 14:23 >> Lipoprotein B. >> Yeah and that is sort of like 14:26 >> Yeah and that is sort of like 14:26 >> Yeah and that is sort of like a little bit of a deeper dive looking at 14:28 a little bit of a deeper dive looking at 14:28 a little bit of a deeper dive looking at someone's LDL level because you just 14:30 someone's LDL level because you just 14:30 someone's LDL level because you just look at their LDL you can't really tell 14:32 look at their LDL you can't really tell 14:32 look at their LDL you can't really tell a lot by that number if it's elevated 14:34 a lot by that number if it's elevated 14:34 a lot by that number if it's elevated sclerosis is another you know another 14:36 sclerosis is another you know another 14:36 sclerosis is another you know another term for a stroke or a heart attack and 14:39 term for a stroke or a heart attack and 14:39 term for a stroke or a heart attack and that's what we're trying to prevent is 14:41 that's what we're trying to prevent is 14:41 that's what we're trying to prevent is we're trying to prevent strokes and 14:42 we're trying to prevent strokes and 14:42 we're trying to prevent strokes and heart attacks by looking at those 14:43 heart attacks by looking at those 14:43 heart attacks by looking at those numbers or to just or at least to
Statins, risk reduction, and the big picture 14:46 numbers or to just or at least to 14:46 numbers or to just or at least to determine where someone's risk profile 14:48 determine where someone's risk profile 14:48 determine where someone's risk profile is low risk moderate risk high risk 14:50 is low risk moderate risk high risk 14:50 is low risk moderate risk high risk really high risk. And we use those 14:52 really high risk. And we use those 14:52 really high risk. And we use those numbers to sort of figure out where 14:54 numbers to sort of figure out where 14:54 numbers to sort of figure out where somebody is. 14:55 somebody is. 14:55 somebody is. Now granted the world of you know 14:57 Now granted the world of you know 14:57 Now granted the world of you know lipoproteins like that is changing you 15:00 lipoproteins like that is changing you 15:00 lipoproteins like that is changing you know quite often. 15:01 know quite often. 15:01 know quite often. But this is also trying to figure out 15:03 But this is also trying to figure out 15:03 But this is also trying to figure out too is statin therapy the right you know 15:06 too is statin therapy the right you know 15:06 too is statin therapy the right you know determination for people I'm not a huge 15:08 determination for people I'm not a huge 15:08 determination for people I'm not a huge fan of statin drugs because they've been 15:11 fan of statin drugs because they've been 15:11 fan of statin drugs because they've been prescribed for years and years and years 15:13 prescribed for years and years and years 15:13 prescribed for years and years and years and people are still having lots of 15:14 and people are still having lots of 15:14 and people are still having lots of heart attacks 15:16 heart attacks 15:16 heart attacks so it's not like it's reducing the 15:18 so it's not like it's reducing the 15:18 so it's not like it's reducing the relative risk at all 15:20 relative risk at all 15:20 relative risk at all so what else would we be taking it for 15:22 so what else would we be taking it for 15:22 so what else would we be taking it for Just to change some numbers on a piece 15:24 Just to change some numbers on a piece 15:24 Just to change some numbers on a piece of paper isn't enough unless the risk of 15:27 of paper isn't enough unless the risk of 15:27 of paper isn't enough unless the risk of actually having a heart attack or stroke 15:29 actually having a heart attack or stroke 15:29 actually having a heart attack or stroke goes down substantially. And some say 15:32 goes down substantially. And some say 15:32 goes down substantially. And some say that some people say that it does and 15:34 that some people say that it does and 15:34 that some people say that it does and others they you look at the research and 15:35 others they you look at the research and 15:35 others they you look at the research and the numbers and then some say that it 15:37 the numbers and then some say that it 15:37 the numbers and then some say that it doesn't. 15:38 doesn't. 15:38 doesn't. >> So that's where it's like 15:40 >> So that's where it's like 15:40 >> So that's where it's like you don't want to compartmentalize 15:41 you don't want to compartmentalize 15:41 you don't want to compartmentalize medicine. It really does come down to, 15:43 medicine. It really does come down to, 15:43 medicine. It really does come down to, you know, how am I feeling? How's my 15:44 you know, how am I feeling? How's my 15:44 you know, how am I feeling? How's my energy? Am I doing HRT? Am I exercising? 15:47 energy? Am I doing HRT? Am I exercising? 15:47 energy? Am I doing HRT? Am I exercising? Am I getting in enough protein? You 15:49 Am I getting in enough protein? You 15:49 Am I getting in enough protein? You know, am I You know, am I sleeping well? 15:51 know, am I You know, am I sleeping well? 15:51 know, am I You know, am I sleeping well? So it's all pulling it all together when 15:52 So it's all pulling it all together when 15:52 So it's all pulling it all together when then one magic pill fix it all. I think 15:55 then one magic pill fix it all. I think 15:55 then one magic pill fix it all. I think yours was lower than mine. I think mine 15:56 yours was lower than mine. I think mine 15:56 yours was lower than mine. I think mine was like 68 or something. 15:58 was like 68 or something. 15:58 was like 68 or something. >> Uh, one of us was 65 and one was 62. 16:01 >> Uh, one of us was 65 and one was 62. 16:01 >> Uh, one of us was 65 and one was 62. >> Okay, I was 65 year 62 cuz I think yours 16:04 >> Okay, I was 65 year 62 cuz I think yours 16:04 >> Okay, I was 65 year 62 cuz I think yours was a little better than mine. 16:05 was a little better than mine. 16:05 was a little better than mine. >> And what's your what's 16:07 >> And what's your what's 16:07 >> And what's your what's I I thought I thought it was the 16:08 I I thought I thought it was the 16:08 I I thought I thought it was the opposite. I mean, I think that's a 16:09 opposite. I mean, I think that's a 16:09 opposite. I mean, I think that's a really good number. It's really 16:10 really good number. It's really 16:11 really good number. It's really difficult to get them that low. But the 16:13 difficult to get them that low. But the 16:13 difficult to get them that low. But the reference range goes up to 150 16:15 reference range goes up to 150 16:15 reference range goes up to 150 and I think for most people even over 16:17 and I think for most people even over 16:17 and I think for most people even over 100 is too much. Then you do that little 16:20 100 is too much. Then you do that little 16:20 100 is too much. Then you do that little calculation uh, triglycerides divided by 16:23 calculation uh, triglycerides divided by 16:23 calculation uh, triglycerides divided by HDL. Everyone's got a lipid profile. So 16:26 HDL. Everyone's got a lipid profile. So 16:26 HDL. Everyone's got a lipid profile. So your number should be less than 1.5. 16:28 your number should be less than 1.5. 16:28 your number should be less than 1.5. That's the take home message for this 16:29 That's the take home message for this 16:29 That's the take home message for this podcast. 16:30 podcast. 16:30 podcast. >> Great. So I don't know if we I think we 16:32 >> Great. So I don't know if we I think we 16:32 >> Great. So I don't know if we I think we answered Candace's question pretty good 16:34 answered Candace's question pretty good 16:34 answered Candace's question pretty good and we probably got off on a few little 16:36 and we probably got off on a few little 16:36 and we probably got off on a few little tangents, but it was really interesting. 16:38 tangents, but it was really interesting. 16:38 tangents, but it was really interesting. So I'm glad we were able to break this 16:39 So I'm glad we were able to break this 16:39 So I'm glad we were able to break this down. 16:40 down. 16:40 down. >> Yeah, well I think it's a really really 16:42 >> Yeah, well I think it's a really really 16:42 >> Yeah, well I think it's a really really important number that you can certainly 16:44 important number that you can certainly 16:44 important number that you can certainly tell a lot by that you know, by that one 16:46 tell a lot by that you know, by that one 16:46 tell a lot by that you know, by that one calculation. 16:48 calculation. 16:48 calculation. Knowing just what your triglyceride 16:49 Knowing just what your triglyceride 16:50 Knowing just what your triglyceride level is 16:51 level is 16:51 level is and that little you know, calculation as 16:53 and that little you know, calculation as 16:53 and that little you know, calculation as well too. So if you have any questions 16:55 well too. So if you have any questions 16:55 well too. So if you have any questions you can write it down below in the 16:56 you can write it down below in the 16:56 you can write it down below in the comments. Otherwise um, 16:59 comments. Otherwise um, 16:59 comments. Otherwise um, >> Yep. No, it was great. If anybody wants 17:01 >> Yep. No, it was great. If anybody wants 17:01 >> Yep. No, it was great. If anybody wants to put their little ratios below, that's 17:03 to put their little ratios below, that's 17:03 to put their little ratios below, that's cool, too. 17:04 cool, too. 17:04 cool, too. >> Then do the math. 17:04 >> Then do the math. 17:04 >> Then do the math. >> Yep. Till next time. I'm Dr. Valerie.
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