Are You Tired? Chronic Fatigue Root Causes

Tired of being tired? Reach out to Dr. Anderson or Dr. Ariciu for more info on overcoming chronic fatigue!

Dr. Gabe Ariciu - Phone Consult Book Online
Dr. Gabe Email - doc@drariciu.com

Fullscript Products Mentioned - Click Here For Fullscript
Biotics Bio-Glyczoyme
Designs For Health - Whey Cool
Biotics Bio-Ashwaganda

AMG Naturals Products Mentioned - AMGNaturals.com or Amazon
AMG Olive Leaf - Click Here
AMG Organic Burdock - Click Here
AMG Chaga Mushroom - Click Here

Supreme Nutrition Products
Ashwagandha Supreme
Tulsi Supreme

Looking to connect with Dr. Anderson?
https://linktr.ee/doctorhouston

Transcript

Unknown Speaker  0:00  
Alright guys, so this is an audio version, but we're also doing a video version of this podcast right now. So you can find us on YouTube. Or you can also find some more clips on Instagram. We're doing a lot of work on Instagram right now. But today I have a special guest talking about chronic fatigue. It is a doctor gave and I'm going to call him doctor gave for now and he can say his last name for you to go and introduce yourself Dr. Danny. Hey, guys, it's Dr. J reach you. So to reach you, but you know, anyone can call me Dr. Gay. That's usually what I go by in the office. Yeah, so it is spelled a little different. And we will give you like links. So I don't think it's spelled different. But it's it's the spelling doesn't sound like C H O, which is what I'm familiar with. For to bloat. We're excited to have him here. And we hope to have him back many more times. So today, we're gonna talk about chronic fatigue, and we're just gonna jump right into it.

Unknown Speaker  0:50  
Before we go too much, I guess I guess even before we jump into that, I will say the reason why we have Dr. Gave on the podcast is because we are trained very similarly. So a lot of our influences and upbringing are about the same, right? So we see eye to eye on a lot of things, though, obviously, we have different clinical experiences. So you'll hear us maybe go back and forth on different opinions, which is the best part. Because as everyone knows, here, on my podcast, there's a couple of different ways to take care of a problem. And obviously, I'm gonna think that my way is the best. And he's gonna think that his way is the best. But I always tell my patients, it really depends on where you started and what steps you took. And whether you're doing diet first, whether you're doing supplementation first and what you're doing first there. So like I said, similar training, Dr. Gave, if you want to say anything about yourself, and you know where you practice, actually, because I don't even know what city you're in anymore.

Unknown Speaker  1:36  
Yeah, 100%. So, I practice in Springfield, Missouri.

Unknown Speaker  1:41  
And like Dr. Houston Anderson, just talk, I want to call you Houston, because that's what I know you by by works there.

Unknown Speaker  1:49  
What we got to know each other in school, and yeah, very similar training.

Unknown Speaker  1:54  
I grew up in Missouri, this is home for me. And so we just live next to all our family and stuff here. But I got into the holistic realm, because I dealt with migraines for years, like Jalen. And so I was introduced to the same mentor that we have together. And that's when, you know, I figured out my migraines, and it set me on this path to get the similar training. Dr. Houston has. Yeah, so I will say that just a shout out to systems healthcare, that systems healthcare.net If you're looking for other doctors that are trained similarly. And I like to say that what I love about the system's health care Doc's is like they're just willing to go deep into a story, rather than just kind of a superficial thing. So that's pretty straight across the board for all of them. Whereas it takes a fair amount of thinking and training and dedication to even like, kind of get into that system.

Unknown Speaker  2:47  
It's not just standard muscle testing, or energy testing, things like that. So it's a great way to go about it. Not everyone has to go about it, I'll still recommend doctors that don't do it. But it's a matter of like trying to figure out the best doctor for your story. Alright, so let's talk about fatigue. How does this fatigue person walk into your office doctor again.

Unknown Speaker  3:06  
So it's probably one of the most common things I see. I think fatigue is like your typical thing that somebody is dealing with.

Unknown Speaker  3:12  
But they present in a lot of different ways. So like, I have somebody who's just, you know, tired on a day to day basis, and there's not really anything else going on. But then I have people that are dealing with multiple other symptoms. So like some of them are dealing with,

Unknown Speaker  3:26  
let's say like gut issues and digestive problems. And that's a really common one too. But then I also have people that aren't necessarily like tired in the morning, but by the late afternoon, they're just dead tired in the

Unknown Speaker  3:38  
for the day. And so it often will present in a lot of different ways because of the accompanying symptoms. And that's where we have to kind of dive deep, like you were saying even with like systems healthcare, to try to figure out, okay, you got all these things going on, are they connected? And how are they connected? And that's really what I'm trying to get into? Yeah, I love that. I always say to my patients, everything you need to know is on the internet. It's just about like, you need someone to think it through for you. And someone that's seen, like 1000s of patients before so that's, I always say like the honest truth is like half my patients are probably smarter than me and like no more chemistry than me. But they haven't seen 1000 10,000 5000 I don't even know how many patients I've seen a lot over 8000 patients that that it just gives you an idea of what's going on. Alright, so let's talk about standard treatment. So standard treatment is you go to the doctor, you're tired.

Unknown Speaker  4:28  
And you get a diagnosis. So it's nowadays I know someone's bought into their diagnosis. If they come in, they're like, Hey, Dr. Anderson, I've got CFS and I had to think for a second. I was like, What do you mean like, Oh, you're tired. And so if they say CFS, it means that they think it's really bad. And I thought that it's not really bad. It's just

Unknown Speaker  4:46  
It means they've bought into that diagnosis. But the other one which I like to bring out really importantly just because it's all over the internet. So like now patients are coming in and saying, Hey, Doc, I've got me and once again my mind is turning like what does that mean? Like how do you spell that out?

Unknown Speaker  5:00  
Um, so like just to say the word myalgic encephalomyelitis long story short medicine gives big words so you have no idea what's going on. And you have no like recourse or where to go with that story. So, my allergy encephalomyelitis there is some controversy on that diagnosis as in like most people actually, actually medical doctors don't believe it exists. Technically, it was a diagnosis over in Europe had to do with different bone symptoms, but they're finding that it's not common in all cases of me are all cases of chronic fatigue. So, anyway, just kind of a big word. I don't want you to be scared of that word, rather's think, okay, you know, I have fatigue, what, what's next?

Unknown Speaker  5:37  
I'm trying to go ahead. I was just saying like, I think you're making a really good point here, like, so many patients that come to see us. I've seen countless other people, oftentimes, other practitioners, and I've had a few people that have gone as far as mayo. And they've gone all the way up to Mayo Clinic. And there is so much money spent on labs, just to get this diagnostic name, this name is all they're getting. And then the treatment ends up being relatively the same as if they went to their PCP their local doc. So it's just like, why do we have to spend so much money on this elusive name? And then it comes back with just like, like you said, this jargon word that you're like, Okay, what does that even mean? Yeah. And what do you do about it? Yeah. And it's funny, because yeah, the treatment is the same. I have a mail not too far from my Scottsdale office. So it's just like a couple of miles away. So everyone's been the mail already before they came to me. So it's kind of kind of fun to see that story. It's nice to you know, think you're cool, because you can fix cases, maybe mayo, which has litter honestly, like some of the best Doc's. Sure, but they just don't have a treatment protocol for it yet. I think that's really just the paradigm shift, too. And it's like, we got a totally different paradigm. Yeah. As I was, I was going through thinking about just talking about fatigue. I was like, holy moly, this is a really big concept, right, like so. So I just really quick, we kind of have shared bullet points here. But I think the first presentation is like adrenal fatigue, which is a little bit different than some of the other fatigue. What do you see with like, common presentation of adrenal fatigue? Adrenal Fatigue, usually they're coming in, they're overworked. They're overstressed.

Unknown Speaker  7:14  
Definitely on caffeine. So many of them are just like day in day out, whether it's like three cups in the morning or throughout the day of coffee. But they're definitely just overly stressed. And when you start really getting into their life, their their job maybe sucks, or they're working long hours, stuff going on a family. I remember one patient she soon as she got done with work, she was running kids to and fro to like different activities, sporting events, or whatever. And so they're burning the candle at both ends. And so they're just so stressed out, and then they come in and that's really what you're seeing. It's like their adrenals are crapped out, even though it's more of an adrenal dysfunction and the adrenals just becoming tired. Right? So I think on that one, that's, that's a whole nother podcast, I think, like adrenal fatigue podcast versus the other presentation. Obviously, one of the most common one is thyroid presentations. So different story there.

Unknown Speaker  8:10  
You know, typical is that morning fatigue, but there's so much more than morning fatigue. And we might get into that today, we might not, but definitely thyroids. Its whole other podcast, especially from the fatigue story. So I did a podcast with Dr. Todd Anderson not too long ago on thyroid, but it was kind of more like the autoimmune the presentation. A lot of what like the next point is, which is insulin management, right. So that insulin resistance story comes in with like, after you eat, you get tired, or you eat and you don't get energy. So that's a pretty typical one. And I'll leave the headaches bullet point to you because it's the last one. Yeah, so headaches. So it's really common for a lot of these people, and it kind of ties into the insulin side of it. But they wake up with a headache, or they get an afternoon headache, right. So really, really common to see the headaches coming on. And usually it's more along the tension headaches or kind of goes around where you're happy and sips but very, very common for somebody coming in to have headaches. Now you could even say, hey, go as far as a migraine because the blood sugar is so far off that it ends up stressing them out enough to reach that threshold where they have the migraine. Right now you had a podcast on migraines covering that stuff. So it was really good for that side of things. But for sure, migraines are a big thing for me since it's personal. Yeah, I mean, I think there gonna be seven podcasts on migraines like these. I mean, there's entire, you know, books and series of books on these concepts of just trying to cover the ones that actually make sense to the patients and what so you guys can take something home from the podcast and actually take some action on it. Okay, let's go. What happens if you go to your traditional doctor's office and you walk in and you say you're tired? What would you say is the typical thing that they're going to do for you your primary care,

Unknown Speaker  9:56  
run a CBC, maybe a metabolic and a TSH?

Unknown Speaker  10:00  
Ah, that's usually what I'm going to see from them. Now how they interpret it is a very different thing.

Unknown Speaker  10:07  
Like your TSH, of course, they're trying to check for your thyroid. And that's the hormone that your brain is releasing to tell your thyroid work. And so if that's not out of range, which is a fairly broad range that the lab is looking at, then they're not going to think anything's wrong with your thyroid, the CBC unless it is absolutely, you know, blatant that they have a an anemia or something like that. And even then, I had somebody recently, and it was totally anemic, that they were totally anemic. And it was missed. And the lads were showing it. And so sometimes things are just completely overlooked. And it's like, normal, because for a variety reasons, sometimes it's just because they don't know what to do about it. Yeah, for sure. For sure. Yeah. So I mean, I think they do some of that thing. The one thing is like, if your labs do come back normal, and you're tired, they're gonna diagnose you with essentially an anxiety disorder, because you're gonna say, Well, I am stressed. And I do take my kids to, you know, basketball practice after school. And I do have to wake up early, and, you know, typical, you know, like, like, I have to make all the meals and my husband doesn't support me enough. And so there's emotional stuff. It's all a mess, right? Like, so that is real, we all have that stress and anxiety. But it doesn't have to be the cause of fatigue, because I always like to tell my patients like I love to run a high stress life. But it doesn't mean I have to feel fatigue all the time. And I need to know kind of when to cut back. But I think you know, what mom out there doesn't go to the doctor and say I'm tired and have some stress. So it's like, they end up with actually some type of anti anxiety medication. Funny enough, I have seen that sometimes it works, right? It calms them down, it takes off that high load. Now, they may not feel that good otherwise, but it does calm them down. So I always say like, I can see where drugs work for people, but I just don't think it's the right way to go about it. So yeah, no, I agree with that. And I have seen I mean, that's a really common presentation. Somebody's coming on coming in with an SSRI medication or anti anxiety, anti depression. medications.

Unknown Speaker  12:02  
Yeah. And then yeah, definitely. There's the always just the old age, you know, hey, you're 35 years old, you're starting to get old. For women. You're gonna hear the perimenopause story, right. So it's like, oh, yeah, you are 33, you might have perimenopause coming on, it's like, Wait, hold on a second here. And if they happen to run those labs, it's like, well, I don't know, your FSH is kind of going up, things are weird. Your hormones look awkward, you know, and then to say, like, it must be menopause coming on at 32. And it's like, hold on a second, we're 20 years early for that. Yeah, seriously, and they don't know what to do about it. So I think I guess I didn't write that one down. But I have seen that other presentation where they blame it on hormones due to once again, your body's going to fail, and there's no way to get healthy. So

Unknown Speaker  12:44  
let's just jump right into those root causes. I'm gonna start with the first one, which is a standard American diet.

Unknown Speaker  12:50  
I'll just leave that one at, there's not enough nutrients in the standard diet to for actual actually anyone to feel well, you know what, we'll go into insulin in a second here. But long story short, too many people eat all carbs. And they don't eat enough protein. Almost everyone I tell that needs to get like. So females, I kind of have this set 75 grams of protein per day, regardless of their weight, I just kind of throw that out for blood sugar stabilization. And for males, I say 100 grams per day. And almost all of them are like blown away. Right? It's just like, they don't even know what to do. They're like, there's no way I can eat that much protein in a day. And it's just a weird thing. Because it's like, if you're if you think that's hard, that just shows how far away you are from maybe getting the optimal protein levels, or just even the nutrients that you need. So he comments on the insolence story. Yeah, no, I agree with that. That is something I butt heads with. And I've, I mean, in the last few weeks, I butted heads, so many times with the protein issue. It's a general thing in our diet, where we're in society, rather, that we are thinking we're staking potato nation, and it's like, No, you're a potato nation with a tiny, tiny, tiny bit of steak on the side, like you're literally not eating enough protein. And then I had a few clients who think beans count and I mean, beans are more of a carbohydrate than anything, for sure. And so you run into this issue 100% And usually I just say 100 grams across the board, to everyone coming in, I'm just like getting 100 grams. And you just have to do that. And that's partially because of insulin are mainly because of insulin resistance. With what we're dealing with. We're at 89% of people in America are dealing with some form of insulin resistance, it's ridiculously high. It's a really, really high number. And so and you're seeing it we're, we saw this with COVID. I think the world the number is 7060 70% or over fat. So it doesn't necessarily mean obese, but it means that we have excess weight, which generally points that right back to insulin resistance. And so what insulin resistance is, is your body is incapable of utilizing the energy that is coming in, because we are overloading on the carbohydrates and even the fats to a certain day.

Unknown Speaker  15:00  
creamer overloading and not getting enough protein. And part of this has to do with satiety, like your body's ability to be satiated to be okay and sustained and satisfied with a meal. And proteins, the number one that does that. And so if you don't eat enough protein, you're going to overeat the other stuff. Yeah, I was I was listening to something yesterday. And they were talking about satiation. And essentially how you feel full, and when it makes you feel, and it's like, everyone wants to go and eat a bunch of food because it makes them feel comfortable and happy. And almost like, you know, a warm hug from your mom kind of thing as like, we're really searching for, you know, emotional support or stress relief, all to get, you know, and the easiest way to do that is overeat carbohydrates, and they used to be like sitting on the couch and relaxing and, and that's like, I think we're overstressed. Right. But it's it doesn't have to it can be it can be either from chronic trauma, or can be acute trauma, it used to be life's tough today. So that's an interesting one, let's jump to inflammation. I'll tackle this one first.

Unknown Speaker  15:57  
The big thing about inflammation, you can have inflammation from a million different sources. And while inflammation isn't a direct cause of fatigue, so to say, here's the story of how it works. Every time you have inflammation, your adrenal glands have to produce cortisol, cortisol calms down that inflammation. So now your body's spending all its time using all its cortisol. Or you could just say like, what kind of gives you that energy throughout the day, it's using all of its energy to calm down that inflammation, because it's calming down that inflammation, you now no longer have any energy to go and do the things you want. Like, hey, let's stay up a little late late and watch a movie, which I don't recommend if you're tired, but you know, you might want to do that with your spouse or wake up a little early or workout a little harder. And you're just like, man, after I worked out, I just can't move anymore. It's because that cortisol reserve has already been used to fight that inflammation. And your body's going to fight inflammation way before it gives you energy just to have fun and play. So that's kind of my kind of quick talk on inflammation there. If you have anything to add there. No, I think that's a good jumping off point for sleep as well, when you're talking about the release of cortisol, people end up getting like a reserve reverse curve of the cortisol. And so cortisol is supposed to be high in the morning. And that's what gets you up gets you going gets you to go get food or whatever it is that you need to do in the day. And so what ends up happening is it cortisol ends up becoming high at night. And then you just can't get to sleep or you sleep really terribly, which can go in conjunction with insulin resistance, it's super common for people to wake up in the middle of the night because their blood sugar's just out of control. And so now we're seeing this reverse curve, because of the inflammation that's going on in the body. And people are stressed with sleep. And so it's just one thing compounding the next thing compounding the next thing. Yeah, so for sure, yeah. Yeah, I think

Unknown Speaker  17:42  
we have stress here to talk about, but I think we're gonna skip that right now. Just because long story short, as we know, we have stress we we've addressed it really in every kind of root cause it's always correlated to something. So why don't you tell me about your thyroid patient that walks in the door? What's that? What's their typical signs or symptoms that they know that fatigue is more thyroid versus adrenal? Sure. So when there's a thyroid issue, of course, we're looking at hypothyroidism. So the thyroid is not working very well. So we need to tell the difference between a primary or a secondary thyroid. And so one is this their presentation. So they're going to come in, they're going to be tired, of course, they may have hair loss, that's really common, they may have the loss of the outer third of the eyebrow, that's also common.

Unknown Speaker  18:28  
And from that, you might also start noticing a few other things, they may have some digestive issues going on, they are generally tired throughout the day, it's not going to be like ups and downs, it's just going to be kind of general tiredness are going to have weight gain, unexplained weight gain, and that sort of thing. And that's when I'm like, You got enough markers there. And then especially if their parents or somebody in their family is dealing with it. I'm like, yeah, no, we're ordering a thyroid panel today. And yeah, that's going to be an important part to discovering whether is this auto immune, like Hashimotos, right, or is it secondary because of stress, blood, sugar, and hormones? Yeah, I want to play the devil's advocate here and just say that like, going back to that insulin story, I think most women walk into my office that are tired and think they have a thyroid problem. And then someone's told them that they need to run more thyroid labs, and that their doctor didn't do an adequate job assessing it, which is usually true to some extent.

Unknown Speaker  19:30  
But when they come in, and I find out that they're just eating junky food and and their weight gain, and really has nothing to do with their thyroid, as to the fact that they didn't get protein, and that they're high stress and that they're not managing their inflammation. And really, it's just a lifestyle factor.

Unknown Speaker  19:45  
Funnily enough, I see more of that now than ever, because I think a lot of people are educated on like, Hey, I better go check my thyroid. So they come in with those labs that say they're okay. And they're like, No, Doc, can you read them and tell me I need a thyroid medication you're like, sorry, these labs don't say that. What they say is you need to get

Unknown Speaker  20:00  
a healthier diet, a need to get more nutrients. So I see both presentations. So all of your thyroid stuff is exactly right. But then like, I think that so many people that walk in the office, even the guys nowadays, they're like, Well, I got a big belly, you're like, well, it's not your thyroid. Unfortunately, there's more work to do. Right? So I agree with that. Like, the only reason for me to run the thyroid panel is just because 80% of hypothyroidism is Hashimotos. And so it's more of a confirmatory thing. And I've had it a couple of times. And I mean, it's anecdotal. But I've had probably three or four guys in the last year, who've come back with Hashimotos. And it's, it's a lot more in common amongst guys. But then, you wonder from that standpoint, with how many times do we actually see guys coming in the office? Most of the time, it's females who seek out help, and guys are just like, I'm fine. Brush it off, until it's really bad. But yeah, no, I agree with you. There is a lot and I even had a recent Hashimotos case where it was not

Unknown Speaker  21:01  
as much the autoimmune side of it as much it was they were under eating, and not eating anything. Yeah, real common there, that lack of protein. And I have this summer, but I think I've noticed as I've gotten older, and so you know, in my early 40s, I'll say, but in there, I've noticed that calories matter a lot more than they did when that when I was a kid is because my adrenal glands can't handle the same amount of stress, because I'm having stress elsewhere. So I almost have to regulate my calories, way more than I did before I was the type that I'd go, you know, 36 hours without eating, if I was busy, I just didn't care, right, I had stuff to do.

Unknown Speaker  21:40  
And now like, I'm very aware that if I get to, and I'll still skip meals, unfortunately, but when I get really busy, not a good example for you guys. But if it comes dinnertime, and I'm at 500 calories for the day, because I had an apple and a couple protein tablets from you know, amino acids or something like that, I will try and stuff myself so full, just to get the calories. Because I know right now, that affects me more than actually because I know I'm nutrient dense, because everything's good quality, but it's a matter for me, I make sure I get those calories. So I think in the patient base that we see, oftentimes, you might find someone that's eating paleo or eating AIP or eating carnivore already. But if their calorie numbers don't get high enough, you don't have enough energy to sustain it. And so I think the biggest sign for that for people oftentimes is muscle weakness. So you see, like, hey, my legs just don't feel strong anymore. And that's definitely a sign of a general nutrient deficiency that's going on. So you know, I agree. So let's talk about toxicity. What does toxicity look like if you're tired versus other things. So with toxicity, I think that was a little more tricky. It's one of those ones that for sure it's going to be there and that we need to look for it. But it may be a little bit more elusive. Just looking at like the patient's health history, unless they have like Blyton like neurologic type things going on.

Unknown Speaker  23:07  
A lot of times, it's going to present very similar to any of the others. The most common that I see is toxicity due to Silent infections, or infections, whitening cases, that's probably the most common. I do see a heavy metal thing from here and there and there might be kind of general toxicity from just eating a poor diet filled with pesticides and other things. Yeah, but don't generally see that present as priority. It's just you got to fix your stuff. Fix your lifestyle. Yeah, otherwise, the most common that I see is ammonia or an aldehyde toxicity due to a bacteria or fungal infection. Okay, so if I go to those, I'm like, set the biggest signs of for me for toxicity of like metals, mold.

Unknown Speaker  23:55  
will just leave it at that the biggest signs for those for me is like the unrelenting pneus of it like there's no good morning, there's no good afternoon, the energy doesn't come at night, because that toxin is there. 24/7. And yeah, that toxin could be an infectious toxin, right? The bacteria releasing toxins that they're dealing with, which is yeah, like you said, probably the most common and we'll get to that. And brain fog is going to be a huge one. Huge, right? So that infectious toxins as well as heavy metals or whatever, but I agree that heavy metals, telltale signs, if you're at home and you have like neurological symptoms, definitely that's something to look out for metals, instantly. And then the toxicity that I talked about in my office, that's a little bit different than most other offices, I think, is I have a real big issue with corn.

Unknown Speaker  24:39  
And that corn is that it's just really hard for the liver. So a lot of people will switch from it to like a gluten free and eat a lot of corn. But that fructose molecule is just a beast to get through that liver. And so what you find is that someone that has mild liver dysfunction and has high fructose corn syrup of any kind, instantly goes to chronic fatigue. So if you haven't pulled that out, that's

Unknown Speaker  25:00  
Your first step, I think, and then after that, you even find people that are fruit intolerant as far as so I don't really believe anyone's allergic to the fruit in general. But you're going to run into the problem that they get fatigued from eating fruits, because their livers not up to par. Now, what do they tell me? They tell me Oh, I'm allergic to fruit because when I eat fruit, I feel sick. Is that Well, that's a liver problem. It's not the fruit usually. And that's how it shows in the office at least. Yeah, and I see that too, is like just fructose, overloading the liver, but also fructose feeding, whatever. And like bacteria or fungus, too. I've seen that. Why don't you tell me a little bit about so we already talked about thyroid, or I talked about getting a basic CBC anemia is 10 times more common than you think.

Unknown Speaker  25:45  
I had a girl yesterday, she's like 21 years old. She's like, I'm a little bit tired. And her her ferritin was like at six. It was like it was like the worst number I've ever seen. And I literally I was like, You need to eat steak every day. And that's it. Right? We also supported her but like it was just an obvious presentation of where she was just really bad. Her homocysteine was at like a 51. Which is like, Yeah, you don't see that in young people. That's like what you have like the day before a heart attack kind of number. So I was like, I was like, Okay, we got to figure this out. And she's gonna have to come back more often than I want. Because I was like, yeah, if you were an 80 year old male, I might send you to the hospital to have your, your coronary arteries checked out and things like that. So it was kind of a weird case. But once again, that was like those things show up randomly. Like I said, young girl, 2122, something like that.

Unknown Speaker  26:32  
And so it can show up for that anemia. But why don't you tell me more about like what insulin markers you might run any blood sugar tests that you might run?

Unknown Speaker  26:41  
Or

Unknown Speaker  26:43  
how that lipid panel associated with that insulin? No, yeah, good question. So one of the things that I do like to run Yeah, lipid panel, for sure. But I look at it differently than most others.

Unknown Speaker  26:54  
And I'll get back to that. But the other ones that I like, AMC is always good, you know, fasting, glucose is fine, those ones are helpful, but fasting, insulin is probably my go to, okay, because a lot of people are insulin resistance, and their a one C and fasting glucose are normal, or at least close to normal. And so with fasting insulin, a lot of doctors don't run that. And even functional medicine, doctors don't run that one. But it's becoming more common. And you have to know the range. Because when you get the lab range, it's like,

Unknown Speaker  27:26  
I think it's like two to like 29 or something like that. It's a ridiculously large number. But the functional range is two to five. Yeah. And so you have to be within that range, ideally closer to like three

Unknown Speaker  27:40  
instead of five. And that really just shows you where your insulin resistance is at. Because I think the average Americans at eight or nine. Yeah, and when we're looking at insulin resistance and doing fasting insulin, it can catch diabetes 20 years before even shows up. Right. And so really important number to run. Though, generally speaking, I think me and Houston will probably catch a patient without needing to run that lab and figure it out before that, just because the presentation is pretty easy to catch. Nevertheless, the other one is lipid panel. So we love to worry about cholesterol. I have this conversation probably weekly with patients because of the 7080 years of calling cholesterol terrible, right? Don't eat red meat, right? Yeah, don't eat red meat or eggs, you're gonna get high cholesterol, even though your body creates 80% of it. Yeah, so it's, it's a bit ridiculous. And it's a very weak correlation with heart disease. So when we are looking at the lipid panel, we don't care as much about the total cholesterol unless it's like crazy out of range. We would like to see HDL in in around 60, because that's really protective. Right? As you get older, LDL having a higher LDL is actually protective, and they don't often hear about that, that it's more protective as you get older. But the biggest one is triglycerides. Triglycerides is a good number, if all the other numbers for

Unknown Speaker  29:05  
insulin and blood sugar are normal, triglycerides is one place you're gonna catch it. And so if it's above 100, we got an issue that we need to deal with. We'd like it to be under 100, ideally, around 80 or now or a little bit lower. You don't want it too low, too low can be problematic. And usually this is you're not eating, you're under eating. But generally speaking, triglycerides should be around 100 or else we're dealing with some sort of insulin resistance. And then you can also do another great marker which is triglycerides divided by your HDL and that should be under to closer to one

Unknown Speaker  29:41  
for that ratio. I love Yeah, I almost always funny enough. I don't see a ton of high cholesterol my office it sounds weird, but what it is it's always the women send me their husbands labs, like oh my gosh, he has high cholesterol. What can he take? Right? Because like well, he could take you know, some dietary change and he could take some stress relief and

Unknown Speaker  30:00  
He can stop eating all that sugar, stop drinking soda, things like that. Right? So that's where we

Unknown Speaker  30:06  
are, we get the opposite one. And I've had this three, maybe two or three times this last couple of weeks of somebody coming in on a statin, and their cholesterol is 150 or lower. Yeah. And oh my gosh, that is a huge, huge issue because they don't understand that most of your hormones are made from cholesterol, for sure. We're dealing with all sorts of issues. Yep. I have a woman come in not too long ago. She was seeing a naturopath comes in. Yeah, her cholesterol is 130. And I was like, of course, what does she have, she has vaginal issues. She has vulvodynia, she has all these pain syndromes, specifically to her female anatomy. And it's like, well, you have no hormones. And so of course now people want to add hormones and exogenous hormones, like put the problems lying in that cholesterol. And I don't know why. And this is what's gonna No hit on any naturopath like, why that naturopath didn't find it to be a concern, specifically where I looked at, and I was like, and once again, when I told her that she's like, No, cholesterol is supposed to be low. I'm like, here, let me send you a few articles. Let me help you out a little bit. And normally, I wouldn't do that I would just tell a patient like, Hey, this is the way it is like, this is what Dr. Anderson says, we're on board or not. But yeah, I was happy to help this person out. Because I've been suffering for a long time. And you know, just show that research. And it's just, it's really clear, when you take a big picture of you, I think a lot of patients often can't see the big picture. And that's what kind of limits them they're like, hey, well, I read that this supplement does this or I heard that high cholesterol is bad, or I heard that

Unknown Speaker  31:34  
you know, anyone from like a vegan diet, like you go to a vegan diet, it's like, oh, it's gonna be really healthy. And and I can disagree that can be really healthy for some things. Right. But what are you talking about long term? That that's a good question where you end up some? Anyway, that's a typical presentation there. Let's talk about exercise real quick for this. Tell me what are your recommendations for patients that have fatigue and exercise? Because a lot of them are too tired to exercise, right? So yeah, right off the bat, for most of them, it kind of depends on the case. But usually, I'm just like, okay, get out and walk 30 minutes a day. Yeah, try to work towards an hour, try to do that, at least do something. And then as they're getting a little bit better, then I moved toward, it kind of depends on, you know, the person and how willing they are to exercise, some are just not willing, there's never been a thing that they like. And so if it's that case, then I'd give them something simple. And I really liked something that I learned from Ted naman, where it's, you know, it's a 10 minute workout, essentially, and you're doing a push a pull, and a squat. And then you do them to failure, and you do two sets each. So I just like walk him through that a little, little bit. And then that's a great one. If you're not willing to do a lot of exercise, because it doesn't take much time, outside of the walking and stuff that you're going to do. But if they like to exercise, then it kind of depends on what they're

Unknown Speaker  32:55  
more prone to. So if they're a runner, I may try to encourage a little bit of resistance training in there. Okay. Otherwise, I've worked with what they love to do. Because if, if that's what they're going to do and enjoy, then that's what they're most willing to probably do. Yeah, yeah, for sure. I think we, I get that a lot. And actually, once you can go back to this, because, you know, we know our patients are there. They're usually moms that are tired, right? That's kind of a that's a that would be an overgeneralization but it could be a mom, that's, you know, everyone's out and they're still tired, or they're still in the house, and they're still tired. But I had this conversation with my wife. And she's like it because I tried to convince everyone to do resistance training, right. So it's kind of it is a process and people don't love it. But we'll do a podcast sometime on why Dr. Anderson thinks that resistance training is the secret to reversing all autoimmune disease. But that's a whole nother story. But so my wife, obviously, like hardest worker in the room, like she's always working hard doing great stuff. But we had a discussion one day, and she's like, well, I'm working hard with the kids. 24/7 I never take a break. You know, I didn't need to exercise today. Right? And I go, Yeah, but tell me this, like, you've been, you know, constantly stressed, right? That cortisol is high from taking care of the kids. But when was the last time you were actually sweating. And so that's kind of one of those things that I like people to say is like, you need to sweat enough a couple of times a week that you want to change your shirt when you're done. And that sounds silly, but like it's it's it kind of gives you this like, medium baseline of like, okay, I worked out physically, not emotionally and not you know, chemically or stress wise, right. So I want you to do something and it could be a 30 minute walk right so if you're really pushing

Unknown Speaker  34:36  
Yeah, yeah, luckily we are up in the mountains right now. And it's a cool 65 degrees. It is not very hot up here. Luckily, but yeah, 110 back down in the valley. So

Unknown Speaker  34:47  
but yeah, I think that basic exercise story, but yeah, I it's funny. I have patients that are cheap. I don't wanna say cheap, but I would do this too. Instead of buying a sauna, they just go sit in their car and the Arizona sun totally swept from Florida.

Unknown Speaker  35:00  
Minutes. It's like 130 in cars. So it's like it makes sense. Doesn't have the fancy infrared lights. But uh, but it works, right? So they start sweating. Once again. They're detoxing. That's their goal. And it makes sense. I feel bad for my car sweating that much in it. But other than that, like, it's like, it's like, it's a great idea and the cheapest way to do it in Arizona. So, no, I love what everything you just said, I like the simplicity of you know, sweat two to three times a week. That's a great idea. The only other thing I'd add is the evidence that resistance training exercise, what it does for mental health, like, it's enormous. Like with depression and anxiety, it is enormous, as well as walking outside, like getting into nature. And the other big, big thing that helps reduce stress. And if you can just get out there and enjoy that. But no, I Yeah, doing a podcast on resistance training. 100%. I'm with you on that, because I think all the evidence points to how much resistance training is needed, and beneficial long term. All right, doc, I think the last thing we talked about in restoring energy is is mostly that diet component, but I guess we're gonna focus on the protein component. So we've already talked a little bit about it, you have 100, I have 75. For women, 100. For men, I would like to say 100 for women, too, but I just try not to be too mean, I'm tough on a lot of things. Not as tough on that. Why don't you tell me a little bit more about you know, how much protein should we really be getting? If you could be really mean to all your patients and make them follow the exact diet you recommend? How much is that? So I like to say one to one. So one gram of protein per pound of lean body weight. So in other words, if your ideal weight is like 140 pounds, you're getting 140 grams of protein. And then how I make it easy, because I mean, those are just numbers, no one knows.

Unknown Speaker  36:50  
Other than what their ideal weight might be. And so how I make it easy as roughly speaking 100 grams is one pound of meat.

Unknown Speaker  37:00  
Okay, that's usually whenever it kind of blows their their brain a little bit. Yeah, isn't it quite a bit. And so having like a supplement, like taking one little bit of like protein powders are usually pretty good. Like, I don't like them to supplement a ton because then you run into under eating issue, right? And you also don't you miss the vitamins and the minerals that come with protein, a lot of vitamins and minerals come with like a good steak. And so 25 grams a day of a supplement. I'm probably cool with that and getting it like what we often recommend is like way cool from designs for health. Yeah, so favorite flavor.

Unknown Speaker  37:37  
I mean, then Allah, sometimes I do on flavor depends on if I'm making a smoothie or something.

Unknown Speaker  37:43  
But it's a clean protein. So that's the great thing about it. It's grass fed. So you don't have anything to really worry about with it. But very much it depends on what I'm going for with. If I'm just doing it by myself, like just with water. Yeah, then.

Unknown Speaker  38:00  
I mean, I'm probably a bit on the growth side where I can just do the unflavored because I can, you know, hold my nose and not taste it. But that's just from years of working out and stuff used to it, but vanilla or chocolate, it's usually pretty good. Okay, I do that. And then the other thing I'll add to patients were protein is a perfect aminos. I don't know if you use body health.

Unknown Speaker  38:20  
But that's kind of one of those quick fixes I'll do between patients. And if I'm feeling like lol and I can tell you like it kicks in in 30 minutes, and so you're likely to feel like that protein stabilization of the blood sugar. Also, I want to know like a lot of my people that are just like,

Unknown Speaker  38:35  
I'll just say like they've been eating not so awesome for a while or let's even rephrase it. They've had metabolic issues for a while. I like to use the biotics research bio glad because I'm, and once again, I'm throwing out these supplements because what happens is after I do the podcast, everyone emails me and say like, Well, what do I take for what you just said? So you don't always have to buy my brand, we will put links in the bottom. But you know, once again, you can source it find the cheapest price, and that would be a good one. But yeah, we'll throw the links to full scripts, the biotics research products and anything else we recommend.

Unknown Speaker  39:09  
So, once again, I said I'm up in the mountains right now. You know, we have a note to go outside. Definitely chronic fatigue, lack of exercise, and lack of outdoor is like, outdoor exposure is a huge thing for people. It's hard when you live in a city, but you got to do the best you can. Right? Absolutely. Okay. food intolerance. Tell me a little bit about how often you find food intolerances at your office and what do you see in their daily basis? Okay, so food tolerance and tolerance is pretty common.

Unknown Speaker  39:40  
I see relatively between three and five patients a day. And so almost daily I'm going to have somebody come in with a food intolerance. And so like for instance, like to put it like personal like for me like what causes my migraines is gluten and so if I eat gluten, now I can probably handle a little bit of it and it will take a while for it to build up to cause a migraine but

Unknown Speaker  40:00  
In the past, like I eat a little bit, and I can guarantee you the next day or in the next couple of days, I'm gonna get a migraine. And so for a lot of people they're coming in, and they might not even have a digestive problem. And that's where it throws a lot of people off. I eat this food, it doesn't cause any issue. But it's super common to see what like you mentioned corn earlier. That's a common one. Gluten is probably the most common, I would probably say that I see.

Unknown Speaker  40:24  
But nightshades are up there too, like a lot of people can't tolerate nightshades. And what ends up happening is it just causes an inflammatory cascade that ends up causing, you know, fatigue, and whether it is autoimmune, or it's just causing inflammation, and they're having a hard time dealing with and so they're just tired every day, and they don't know why. And in reality, it's because they're eating dairy every day. Right? I think a huge thing is we're starting to see it in kids more, you're starting to see the, you know, the 10 year old the 12 year old that's exhausted from their food intolerances that we didn't really have to deal with when we were kids, or maybe even my parents less. Because this the inflammatory levels and the exposures to toxins. And just the total buildup, the whole system is just way higher than it ever has been before. So I always talk about the people are like, well, you if you're not really into the holistic, you don't really get that why?

Unknown Speaker  41:16  
It's because you don't understand how bad things have gotten, right? If you don't understand why you have to educate your kids on everything these days, whether it's religion, or politics, it's because you don't understand how bad it's gotten, because they're getting educated somehow. And so if we go back to health, which is not to rant on politics, obviously. But if we go back to health, it's like you don't understand how hard it was on your kid's body to have seven doughnuts yesterday, right? It's just an underestimation of the severity. And it's just, it's bad. It's tough. So the body can't do as much. And I always use the example of bread because everyone's like, well, you know, my grandma ate bread, there's no way bread is bad for me. I go, Yeah, but your, your great, great. Grandma took a week to make a loaf of bread. And then the family shared a loaf of bread over a week. And now you have kids that are doing like, and once again, I can say this from personal experience, I can eat a half a loaf to a loaf of bread by myself as a kid, right? Like a whole bread in a day by myself. Because you know, we didn't have any other food or whatever. Like I didn't want to make any food pyramid man.

Unknown Speaker  42:19  
As a kid, it was right. So you have to be careful with that. I think that add on to that how like how bad things have gotten. Like it was, I think 2005 When we started spraying roundup on all the wheat crops, so we could dedicate it. And so since then gluten intolerance has jumped through the roof. Yeah, it hasn't been relative. Yeah, it's not that long of a time relative. Okay, for this episode, because we're going to do q&a On the next episode about fatigue. But this episode, I think will end with those chronic infections or the silent infections, stealth infections, tell me it's kind of the person that thinks they don't have infection, they don't have any gut issues. They feel just fine. They're just exhausted. Why? Why does this silent infection story have some kind of importance to them. So with a silent infection, I've definitely seen people come in without any digestive issues. And then they end up having some sort of fungus bacteria or parasite type infection going on in their body. Usually it's fungus bacteria, some of them do actually have sinus issues or something else. Maybe they even have like frequent yeast infections. So they might not have anything related to their gut from a symptom standpoint, but in reality, what they have going on is like SIBO SIBO, which is like small intestine, bacterial overgrowth, or fungal overgrowth may have a large intestine overgrowth of some sort of bacteria, and that is leading to it, or they just have an infection somewhere else. And that's just causing this constant battle with the immune system. And those things are going to release certain toxins that are going to cause us to be tired, whether it's like ammonia or something else. And we're going to end up with brain fog and that sort of thing. And so it ends up being really, really important. And I think in both of our our offices, the number one mistake from other doctors number one mistake from other doctors for sure and and he was just given note here because I don't want to spend too much time going over each antimicrobial here. But at the end of the day,

Unknown Speaker  44:22  
I often say that I don't really like a lot of the choices for anti microbials out there. I see people come in on certain ones that are reputable, all say for a long period of time and haven't got a result and all they have to do is just switch the supplement and they're better so you know we use a ton of supreme nutrition in our office we use a ton of so my company mg naturals, so I don't hide that from anyone, right we make clean products with the effort to like support our clinical efforts. But top three that we have written down Chinese coptis is my favorite. Once again, different people have different favorites. All of leaf is my second favorite which AMG

Unknown Speaker  45:00  
just came out with it's not even available online. But maybe last time I published this podcast will be available. But olive leaf has been one of my favorites since COVID. Hit. Right, right, antiviral. Yeah. And and I just didn't use it as much before I found that, you know, my Malia and my Miranda were like my go twos.

Unknown Speaker  45:17  
So and then the last one we have down there is Malia, which is traditional Nissan LEAF and anti microbial has been there forever. Also amazing. That was my go to for viruses previously, I feel like the olive leaf kind of took precedence, maybe a little bit because as a little bit higher of the OFAC score, or long story short, like a little bit more antioxidant component, which people have been needing more since catching COVID and kind of messes with that immune system differently than a traditional virus. So that's what I'm seeing. But, you know, that can always change next year, too, with the new virus, right? Yeah, no, I mean, I'm in agreeance. With those, those are things I commonly use in my office, especially Chinese competition will Yeah, I use a ton of that, like, I always have to keep a ton on hand. Because how often you use it. Now, it doesn't mean that everyone needs that specific one. I sometimes get somebody coming in, and it's like, a stragglers or Andrew graphics or something. And it's not what you were expecting. And that's the one they need. Yeah. So yeah, we'll put links to those products that we love as as far as our top three. But maybe we'll work on putting together kind of like that antimicrobial list that people can access of maybe some of the top things that you would take for any given condition. I'm happy to do that. So I'll get working on that.

Unknown Speaker  46:31  
As far as my office goes, obviously, I offer phone consultations, I'm actually closing them down. I opened them for a week. And now we're booked through December. So I filled up three main three months in a week. So we are closing back down my stuff. Dr. Game, how could they do like a phone console or come see you in person. So I'm pretty easy to get a hold of I mean, obviously, if you know how to spell my name, I'm going to come up really quick. Otherwise, I did have a booking, whether through my website or just from Google, you can go on booking an appointment to shoot virtual consults, if you're not local. And I mean, I definitely have some availability. I'm not booked out through December or anything like that. It usually it's like a couple of weeks or something like that before you can come in the Virtual Console. It's always easier. There's more room for that. My if you're local, my local visits are a lot longer. So sometimes that will be more of a challenge. But yeah, pretty easy to get hold of as well. Okay, great. And what is your best email saying get a hold of you? So it's doc voc. Dr. ricci.com. Dr. ariciu.com. Okay, you guys stay tuned and listen for the next podcast because that's where we do some q&a questions that we got off of Instagram. If you don't already follow me on Instagram. I am Dr. Houston Anderson on Instagram. And we do Q and A's on there frequently, and I get feedback for the podcast and other things that we're bringing out to people. But next time we're gonna go over the Q and A's common questions that we got off of Instagram on chronic fatigue we'll see on the next episode. Thanks, doc.

Transcribed by https://otter.ai