MD and Chef Team - The Show!

Let's Dive into Adrenal Fatigue

September 14, 2021 Dr. Isabel MD & Culinary Nutrition Expert Chef Michael Season 2 Episode 26
MD and Chef Team - The Show!
Let's Dive into Adrenal Fatigue
Show Notes Transcript

Want to get a Deep Dive into the what, how, why, and help with Adrenal Fatigue?

✅  In this interview, Dr. Isabel MD chats with Dr. Carrie Lam MD from the Lam Clinic, specializing in holistic medicine to keep your whole family healthy.

Dr. Carrie Lam, MD, DABFM, ABAARM, FAAMFM graduated with a Bachelor of Science in Fine Arts from Pacific Union College, California, and earned her Doctor of Medicine degree from Loma Linda University, California.

✅  She is board certified in family medicine, and Anti-Aging and regenerative medicine. She has completed her fellowship in Anti-Aging Metabolic and Functional medicine and is a graduate of the Institute of Functional Medicine’s Applying Functional Medicine in Clinical Practice (AFMCP) Course. Her career focus is in primary care along with functional and integrative medicine, with emphasis on Anti-Aging, lifestyle medicine, and nutrition.

She won a Medical Scholarship Award for Preventive Medicine and is an author of the international best selling books Advanced Symptoms of Adrenal Fatigue Syndrome: A Metabolic Approach and Adrenal Fatigue Syndrome Cookbook. She is a part of Lam Clinic, a team of physicians and health professionals who have well over half a century of combined clinical experience in the power of natural healing.

✅  Dr. Carrie is an avid believer of whole-person care, in which the body, mind, and spirit are important components to healing; and is passionate about empowering people to regain control of their own lives in a healthy and individual way.

⏬   Download and Listen to the Whole Story! 

➥  Link to contact the Dr. Lam Clinic, including her website;

For more insights on Dr. Carrie's FREE Adrenal Fatigue Starter Kit which
includes Adrenal Fatigue Syndrome eBook (500 pages) and Adrenal Fatigue Cookbook;

➥  YouTube Channel for Dr. Lam;

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Speaker 0 (0s): Coming up on this episode of the MD and chef team show. And I wanted to ask you how, how do you figure out whether it's your thyroid, your adrenals or your reproductive system that's causing the adrenal exhaustion, adrenal fatigue, any imbalance? 

Speaker 1 (24s): Yeah. So those three are our three legs of the stool. I like to say for our hormone circuit. And so hormones are hormone circuit includes the adrenals, which can be cortisol, aldosterone. First of all, balancing and all the reproductive hormones, then you have your thyroid. Okay. If I rate Glen for metabolism and thyroid hormone, and then you have your reproductive organs for females, it's the ovaries and for men is the testicles testes. And so all three need to be working well in order to give your body the wellness that it needs. 

Speaker 0 (1m 3s): Welcome to the show from DMD and shop team. I'm Dr. Isabel medical doctor here at the MD and chef team. And who are you? 

Speaker 2 (1m 12s): Chef? Michael Conner nutrition expert. I'm Michelle Clark. 

Speaker 0 (1m 16s): Okay. And what are we going to talk about bed now? I can see that cause he's my husband. 

Speaker 2 (1m 22s): We'll be talking about marriage relationship, parenting intimacy. Talk about mindsets of success, overcoming depression, anxiety. I'll be getting into functional nutrition, recipes and tips from the kitchen. And we're going to both get into how to live a long, healthy, vibrant life. Yes, 

Speaker 0 (1m 40s): I love it. Our mission is to help you prevent and reverse disease and give you both in the process. Oh yeah. Hi Karen, how are you doing? 

Speaker 1 (1m 60s): Very good. Hi, Isabel. 

Speaker 0 (2m 3s): How's that? Three month old. 

Speaker 1 (2m 5s): Oh, she's the last thing. Definitely getting used to her sleep changing, but it's really amazing because it's like a new thing every day. Something new it's changes, you know, you're just adapting and having to see her face everyday. It's just amazing things or asking. 

Speaker 0 (2m 24s): Isn't it beautiful when she smiled? I 

Speaker 1 (2m 27s): Know that's like the best thing 

Speaker 0 (2m 32s): It's like, oh my gosh. Does it get edited? 

Speaker 1 (2m 36s): No. No, it doesn't. Even her cries are cute. It's really cute. 

Speaker 0 (2m 46s): Oh, you're so funny. And what about the sleep? Is she sleeping through the night? Are you that blessed? That she's really 

Speaker 1 (2m 53s): Well. I mean, I'll say maybe it ranges from four to eight hours, so definitely night tonight. We're still getting used to it, but her eight hours is different than my eight hours. So it doesn't like, you know, line up. You're still waking up in the middle of the night, but it's okay. 

Speaker 0 (3m 10s): Oh, so good. What a blessing children. I love them And I sure I'm glad I'll never have to be pregnant again. Just saying 

Speaker 1 (3m 20s): How many 

Speaker 0 (3m 20s): Do you have just to that's that's all my body could do. I'm one of these that has a 36 hour labor. So, so I know your labor was only five. You are black. 

Speaker 1 (3m 34s): I am very blessed. I'm 

Speaker 0 (3m 35s): So happy for you. 

Speaker 1 (3m 39s): Well, I've prepared, you know, my body. I'm not sure if it was the preparation, but you know, I did something called hypnobirthing where I really, you, you believe that birthing, our bodies are made to birth, right? It's we are females. We, God made us this way and we are strong. We're not like in the movies that say birthing is so scary and it's, you're going to go through a lot of pain. No, it's a wonderful process. And if you truly believe that, you know, the endorphins will come up and your dopamine, and you're just like, I can't meet my baby today and you breathe through it. 

Yeah. I did it all natural. And it was just amazing, you know, it's an amazing process. And after I did it, I was like, I can do this again. It's not something scary that women have to like be afraid of the birth. And so I definitely, you know, I would recommend anyone to look into hypnobirthing, 

Speaker 0 (4m 32s): Just the principle of that. Where would they find hypnobirthing? 

Speaker 1 (4m 35s): Oh, I just watched a bunch of YouTube videos, like, yeah. So you can really educate yourself on, on how to prepare your mindset because instead of, you know, instead of saying contractions, they say surges, you know, instead of saying, you say pressure, and so you're just changing your mindset in that I am ready and I can, I can, I can push, but I can also like get to see my baby today and I can do this. 

So it's very empowering for women to be able to do. 

Speaker 0 (5m 11s): I wish I would have heard about that when I birthed my first baby in 1994. 

Speaker 1 (5m 18s): I don't know. Maybe it was, 

Speaker 0 (5m 21s): I don't think YouTube was even around, but anyway, Carrie, how about if I introduce you to our listeners at the MDN and chef team? Okay. Hello everyone. I'm Dr. Isabel, your host at the MD and chef team. Today, we get to talk to Dr. Carrie Lam from California. And I just want to share with you a little bit about her, her, her, what she has done. And then she'll tell us a little bit about her story because she's got an amazing story. She's a doctor of medicine and she got trained at Loma Linda university in California. 

She is board certified in family medicine, anti-aging and regenerative medicine. She's also written a book, which is so cool. And it's let me see it is called, what is it called? 

Speaker 1 (6m 10s): Adrenal fatigue syndrome cookbook, which I have helped my mother. Who's a dietician and my dad, who's also a medical doctor. Right. And then I've also listened to advanced symptoms of adrenal fatigue syndrome. 

Speaker 0 (6m 24s): Great. And we'll be talking a little bit about that just a little bit. Thank you for that. And she's also part of the Lam clinic, which is a team of physicians and health professionals who have over a half a century of combined clinical practice together. So that is amazing. It's, it's a family business, isn't it? 

Speaker 1 (6m 41s): It is family, family, we're all together. 

Speaker 0 (6m 45s): And your father is a medical doctor in, 

Speaker 1 (6m 47s): Yeah, he's a MD, but he decided to actually just do nutritional coaching for the past 15 years, really in order to help people all over the world. And so he's kind of a pioneer when he was one of the first telephone coaches when there is no such thing as coaching or internet, you know, so he's definitely been doing it for quite a long time and I've been under his wing. And so we've learned so much about integrative medicine and helping a lot of people with adrenal fatigue. 

And so yeah, if people want to get a hold of the adrenal fatigue syndrome book, or even the cookbook, we'll share the link alarm,, and you have access to those two emails. 

Speaker 0 (7m 31s): Yes. And that'll, that'll be in the show notes promise. So tell us a little bit about how you got interested in integrative slash functional medicine. 

Speaker 1 (7m 43s): Right. You know, that's how cliche is, like, why did you go into medicine? And I just said, I've always wanted to be a doctor most likely because my dad is a medical doctor and he has been doing integrative medicine for a long time. And so I learned from him and specifically for adrenal fatigue, how we got into that is because he actually got adrenal fatigue and he was a suffer. And he went through the whole conventional system and, you know, started getting pop-up stations and they just put him on beta blockers. 

And he's like, this is not helping me. I still, I still get my palpitations. I'm not getting better. And so went through the conventional, didn't find anything. So he did a lot of his own research and how to naturally help your body with its stress response. And so we've come up with this neuro endo metabolic stress response, and he got better with the help of nutrition and supplements and lifestyle changes. And so me seeing that and seeing how medicine is not only giving medications to patch symptoms, it really is a whole person approach. 

Whether it's physical, emotional, social, behavioral, you need a whole whole approach to helping the person get better. And so I went to medical school already knowing that I wanted to do integrative medicine, even though we don't get the training in medical school, right. We get maybe one hour of nutrition, class and nothing on business or nothing on integrated or use of supplements or things like that. And so I had to learn by myself or from my dad who has lots and lots of knowledge from doing lots of research. 

And so it is a self journey to be able to come and help people with adrenal fatigue. And so we've been really helping so many people get over their fatigue. Step-by-step 

Speaker 0 (9m 41s): Oh, I love that Carrie. I so understand to be in medical training. You and I, when we know that we know that we know there's a better way. Yes. I'm like you, I wanted to be a doctor ever since I was five years old. Cause I had this uncle, his, he was the, the doctor in our family and he would like light up the room and just make you so happy. And I was like, I want to be like him. And, and that I get that. And, and I re before I decided to get the courage to go to medical school, I said, oh, I can't do medical school. 

I'll do nature, pathic medicine. Cause that's more alternative. That's more holistic and stuff. And luckily by the grace of God, I had this, this anatomy professor who said, why are you going to be a nature path? Why don't you become a medical doctor? And he said, and I'm so glad he said this. If you want to change the world, you need to be a medical doctor. You can't be a nature path doctor. And I'm not Downing nature past doctor. Okay. But you and I both know the training 

Speaker 1 (10m 44s): And I went to the same thing. Yeah. So decision, unfortunately for our society that has the accept MDs over and that trial path, it's very sad, you know, but we, we have to, and we, at least we got the education to be able to use the, not the conventional and use an integrated with the natural. So we got the best of both worlds. 

Speaker 0 (11m 8s): Yes we do. We doing oh, but wasn't it painful? 

Speaker 1 (11m 14s): Yes. Yes. 

Speaker 0 (11m 16s): Okay. So I wanted to talk, ask you what's the difference. Can you explain the difference between adrenal fatigue and chronic fatigue? 

Speaker 1 (11m 25s): Right. So, you know, in our medical ICD 10, which is the way we code diagnoses, you're based on insurance billing, adrenal fatigue is not found in there only chronic fatigue syndrome is found in there. And it's still a diagnosis kind of exclusion. You, you come in fatigue and chronic fatigue has a definition. So it's, you have to be fatigued for more than six months and either have some kind of postural lightheadedness. 

Like if you bend down and you stand up too quickly, you kind of blackout, or you can also have exercise intolerance. So that sounds like so many people that I know. And you can just be diagnosed with chronic fatigue with, with those criteria. And then when, when we talked about adrenal fatigue, what happens is that it ended up being just a catch all for the people who are fatigued, who have went to their doctor and got placed on maybe thyroid medication, not feeling better, continuing to be fatigued. 

And they don't know why. Right. They still tired and maybe wired and they're not improving. And so there's this bell curve of people, right? You know, conventional medicine can really help them, 80, 95% of people. But then the, the sides, the 2.5% on each side, they get cast to decide because no one knows how to help them. So those are the type of people that we end up seeing. And adrenal fatigue can be used as a term under chronic fatigue. 

Chronic fatigue is basically just the medical diagnosis. And if you have adrenal fatigue, we, or like the founder of adrenal fatigue, he originally coined the term because he adrenals are the place that produces cortisol, right? There are the glands that sit on top of your kidneys. They, your adrenals actually produce over 50 hormones, cortisol, estrogen, progesterone, dag, progesterone, testosterone. So, but we have found now that when your adrenals are under stress, you continue to put out epinephrin, which also comes from your adrenals. 

Norepinephrine comes into the brain. And then when you have a lot of epinephrin going around, like when you're trying to fight or fly away from something. So if your boss screams at you, or if your, you see a bear, this epinephrin goes out, it's a normal response. However, if you continue to fight and fight and fight, or you have a fly of fight and flight, then your body has this overreact to sympathetic response. And how does it respond to that? 

You need to put out cortisol to be less inflammatory. So the epinephrin can be very inflammatory. Imagine you're just like when you have someone who their heart stops, you give them CPR, but you also give them epinephrin to get the circulation going. It constricts all your blood vessels in order to go to your heart. And so I've been there for, it can be very inflammatory. So cortisol is there to help reduce that inflammation. However, as you continue to go day in, day out with chronic stress, your adrenals get tired of producing cortisol. 

That's how he came up with the term adrenal fatigue. And you can look at the adrenal levels with the saliva cortisol, you know, throughout the day. And you can see that different people actually have different quarters, all levels, whether it's high in the morning. And it's supposed to come down all throughout the day. But some people, they have high cortisol at night and that causes them to wake up or wake up in the middle of the night. And so the cortisol is one good way to see where your adrenal function is. 

But I've also seen many people with line. They're not being able to produce any cortisol. And we have to say, Hey, is it because your adrenals are just, they don't have the right nutrients. They're tired of producing you're under chronic stress. And so I've kind of gone away from adrenal fatigue because as a term only, and use this whole stress response term, because it's not only about the cortisol or the hormones, right, your whole system is involved. 

So in our neuro endo metabolic stress response, we have the neuroendocrine part, which is the HPA axis, the hypothalamic pituitary, adrenal cortisol. And then you also have the, the brain, the cardiovascular side of things. Then you have the metabolic side that comes a little later with, with stress response. So the gut, the microbiome, the detox pathways information and your bioenergetic circuit, which is a metabolism with diabetes and things like that. 

So it's very important to have this whole big picture. When you're looking at stress, responding in your body, I know it's very wordy, but that's kind of how we've come to our stress response and helping people get to the root cause 

Speaker 0 (16m 39s): It's just essentially a hot basket mess and you got to fix it up. 

Speaker 1 (16m 44s): You got it. That's right. And there's so many big terms, but stress affects your body in some way. And we have to figure out where the stress is affecting the most and then tackle it in that sense. You're right. 

Speaker 0 (16m 58s): And to give people hope because I was the one with the flat line of cortisol and to give people hope, Carrie's going to talk to us about how you can take care of this naturally, because there is hope now you don't get it taken care of in one hour. You don't even one month. Sometimes it can take up to 18 months to 24 months. But the key is your body is yelling at you, screaming at you to pay attention. Your symptoms is the doctrine side of you. 

Yeah. Your symptoms. Yeah. Your symptoms are, is your doctor going, Hey, listen to me. So listen to Carrie. She's going to talk to us about ways to take care of adrenal fatigue. I like to call it functional medicine causes adrenal exhaustion. You know, it's like, blah, but I understand that any M system. So anyway, can you tell us how to take care of this naturally calling all women? Are you feeling depressed? Lack of energy, anxious, your thinking is foggy, poor sleep, or maybe even hopeless. 

You know, there is a better you to present to this world. Hey, it's me, Dr. Isabel. And wow. If any of this sounds like you, hi, get you. I have been in this place and I've overcome those negative feelings. That's why I've created the free and private Facebook group called the bossy brain solution. Yeah. Would you like weekly coaching to help you become your best self come and see for yourself and be empowered by the other women who want to shine their best light in this world? 

The link is in the podcast description, or you could search for the bossy brain solution in Facebook groups, it's private and free. So come and join us today and know that there is hope. And I encourage you to remain on stoppable. And now back to the podcast. 

Speaker 1 (19m 13s): Yeah. So like the first step is to really see that your symptoms are your friends, right? It's your body's telling you something. And so you have to listen to it. It's whispering. And a lot of times, if you go to a doctor, they might not understand a, oh, you have palpitations. Let me send you your, to her cardiologist. Oh, you have bloating. Let me send you a gastroenterologist. Oh yeah, you have a thyroid issue. But no, it's important to see that all these symptoms that you're having are connected to each other. 

And it's not just one piece meal, patching of symptoms, because with, with medications. And so the first step is really to say, you compile all your symptoms and you say, okay, well, how are these all related to each other? And how can I find someone to be able to help me? Because it is very convoluted sometimes, right? And then it's also important to know for your adrenals that you need certain nutrients, right? And these nutrients need to be produced at some they're not being, they're not produced in your body. 

So let's say vitamin C is very important to your adrenals function because it's a co-factor to make all hormones. Like we talked about 50 hormones. And so, but some people cannot tolerate certain types of vitamin C. They get overstimulated, it causes them difficulty sleeping, or some people can tolerate a lot higher doses and others are very, very sensitive. And so you have to figure out where you're at and do the right delivery of the, these types of nutrients and, and know how to take them. 

It's not just, oh, go take vitamin C because that, that doesn't ever work because every person is so different. So for my patients, I have them on so many different types and different types of dosing also because they deliver it differently. So whether it's lyposomal, whether it's fat-soluble, whether it's water soluble, we do a whole combination of types of ascorbic acid for you to help your adrenals and your adrenals also need <inaudible> acid and vitamin D five as another co-factor in order to help your adrenals produce the hormones. 

A lot of times when I see patients, they ha they come to me actually already on thyroid, already on hormones. And maybe they're on adaptogens and like ashwagandha, Rhodiola, and they're overstimulated. And they're taking too much because your adrenals meet the raw ingredients in order to help produce its own hormones. And so it's, it's very important to know where to start and what to take first, if you just take thyroid, if you just take hormones, you're basically telling your adrenals not to produce its own hormones, right? 

And so there is a time and place for them, but I like to start from the base. And it's important to deal with the foundation first, before you start stacking all of those. And that includes glandulars because of glandulars is very stimulating for someone who is very strong and healthy. Sure. They can do it, but someone who's very sensitive, that is not where they should be starting. And so a lot of my patients also have paradoxical reactions. They're very sensitive to supplements, very sensitive to medications. 

They have to take baby doses, or they have paradoxical reactions. And, and what is the reason behind that is actually a detox pathway issue. They're so full of toxins is that their body is a, a trashcan and it's full of trash. So even if you want to put something like water, which is good for them or something like a nutrient, that's good for them. It's just going to overflow. And so it's not the problem with the nutrient, but it's the fact that their body is just so congested, like a, like a highway that's just congested with cars and you need to clear the highway first and then the cars can get moving. 

You know? So that's also very important to know the dosing and the delivery form and what type of nutrients. And in addition to listening to your, your body symptoms that it's telling you, and then we have our neural endo metabolic therapy, which is really just this whole person look and seeing, Hey, which circuit do we need to deal with first? Is it the hormone pathway? Is it your detox? Like we talked about, is it the gut? 

Okay. With a microbiome and your inflammatory pathways, is it your neuro pathways? And so because your body will be showing up different symptoms at different times, and certain people need to deal with this one first and such, and people need to deal with that one first. And so making sure you understand, not only looking at the whole picture, but dealing with whatever is dealing with your most primary dysfunction is very important. And so it is very hard to do this by yourself. 

Like where do I start? And that's why I, I try not to navigate, you know, they can definitely, there's so much information out there. It's just, you don't know what is right, or what is wrong. Cause like it might be right for somebody. It might not be right for you. Right? So it is important to get a coach or a doctor or a healthcare practitioner who understands what you're going through, who can test, you know, give you challenges to understand your body. The way we help our patients is we give you something. 

But we challenge you to make sure it's working well. We see how you react. We back down, if we need to, it's not just go, go, go and, and keep increasing. We, the it's very important to also press on the brakes and listen to your body if it's overloaded. So find someone who really understands, like I said, we, we see patients all over the world, right? We do tele medicine and, and you can definitely help. We can definitely help people. And like you said, it's not a quick fix. Really. It's, it's going to take a year and, or maybe more than that. 

And you have to be a good follower and understand the learning is like so key to healing. Right? And so I, I think it's important to find the help you need, if you are struggling and don't just self navigate because that could actually worsen your spiral. 

Speaker 0 (25m 46s): So true. So true. Do you ever incorporate any Olympic system work? 

Speaker 1 (25m 53s): I've I do refer people like, you know, DNRs is very important. 

Speaker 0 (25m 57s): I love, I did DNRs. She really, Annie. So DNRs DNRs is dynamic neural retraining system because your brain is plastic and you can retrain your brain and past stuff can affect your adrenals. They all talk. They're constantly talking all day long. So if you learn, so just so everybody knows, there's this DNRs by Annie hopper online, she has an online course and you can do it in the privacy of your own home. 

So, and it really it's work, but it really helps you shift and get out of that rut who would have ever known. I mean, you don't learn these things until you learn it. So your father, how's your father doing now? It's great. 

Speaker 1 (26m 43s): Great. And definitely, I would say he's helping me, you know, with, with knowledge as we continue to build our clinic and, and educate, he's a great teacher and he's definitely, we have this online website with thousands and thousands of articles in order to continue to teach people that, Hey, you're not alone. There's hope for you. And so it definitely, you know, he's keeping busy in that way and helping, helping lots of people and functionally great. He's going bike riding and everything. 

So, and how old 

Speaker 0 (27m 14s): Is he? 

Speaker 1 (27m 16s): 66. 

Speaker 0 (27m 18s): Good for him. And he probably will never retire. Right. He'll just keep on doing this until his last breath. 

Speaker 1 (27m 23s): Yeah, definitely. 

Speaker 0 (27m 26s): And I wanted to ask you, how, how do you figure out whether it's your thyroid, your adrenals or your reproductive system that's causing the adrenal exhaustion, adrenal fatigue, any imbalance? 

Speaker 1 (27m 42s): Yeah. So those three are our three legs of the stool. I like to say for our hormone circuit. And so hormones are hormones. Circuit includes the adrenals, which can be cortisol, aldosterone. First of all, balancing and all the reproductive hormones, then you have your thyroid. Okay. If I rate Glen for metabolism and thyroid hormone, and then you have your reproductive organs for females, it's the ovaries and for men is the testicles testes. And so all three need to be working well in order to give your body the wellness that it needs when one is off, you're going to feel and fall off your stool and not feel great. 

Okay. And so how do you know if it's the thyroid? Usually you can do blood tests. Okay. Whether it's the, the, the thyroid stimulating hormone or antibodies like the T P O R proximities antibodies or thyroglobulin antibodies, and also running the three hormones than a total hormones from your thyroid. In addition to our reverse T3, that's what I would recommend for thyroid looking at your thyroid that is important to seeing how your function is and not just go by the regular reference ranges that the blood, the labs give you, but Hey, there are optimal ranges that you can shoot for. 

And so just depending on where you're at, but our, how the lab has done you, you should find a functional doctor who understands those ranges, but also know that your thyroid can look off that our numbers can look off if you have immune issues. So like food sensitivities or your gut is not healthy, you know, or if you have adrenal problems and you're not getting to the root cause of that, then your thyroid also will, can, the numbers can look off. So I usually don't just start with thyroid. 

I always look at the adrenals and Hey, is your adrenals and your cortisol curve looking good. And you can do a saliva test in order to look at your cortisol curve throughout the day, a four point. It's great, you know, cause it's supposed to start high in the morning to wake you up. And then it wanes throughout the day in order to that, you ready for bed. Okay. But if you look at your quarter of the core curve and it's like either all low or all high, or you have a reverse curve, you definitely need to deal with adrenals first before you deal with it that right. 

Okay. But if you're already on thyroid medication, I usually continue. Okay. Because we don't want to have too many moving parts. Just know that if you're on thyroid medication and you don't feel better and you're like, why am I still gaining weight and fatigue? Then you want to dig a little deeper. Maybe it's an adrenal issue. And then when I say reproductive organs, a lot of time when you're menopausal for women, they start to actually reducing their estrogen and progesterone production. Like you said, progesterone stops it. 

It really reduces over time. Like even 10 years before you hit menopause, right? So it's important to help support your reproductive organs. And if you will go through menopause, then know that, Hey, your adrenals are the only ones producing progesterone, dag testosterone, your fat cells can also produce estrogen, but the wrong type usually. Okay. So helping your adrenal function will be very key in helping the thyroid function better. And also your reproductive organs work better. 

And usually saliva tests are great for also looking at the free inactive form of your reproductive hormones, because when you draw them by blood, they are the total form, which can also give us another picture. But usually it's good to get bowls, right? Not the total and also the free and active form. 

Speaker 0 (31m 33s): Yes. And the reverse T3. Have you found that the reverse T3 when it's elevated, you're finding a lot of toxins to 

Speaker 1 (31m 42s): Reverse. T3 can be, yes. I'm more of a marker of either toxins, but also maybe our adrenals need help something else other than your thyroid is slowing it down. So it's important to look at and reverse T3 if it's elevated, Hey, what else? Other than the thyroid can be causing this. 

Speaker 0 (32m 1s): And when Carrie's talking about all these tests, just know that these are tests that are taught in medical training. It's it's for an endocrinologist. This, these are specialized tests that an endocrinologist will do. Usually a GP or a family practice doctor doesn't doesn't do the whole gamut of the thyroid, your free T3, your free T for your reverse T 

Speaker 1 (32m 25s): Functional doctor. A functional doctor will do it, but not a conventional doctor. 

Speaker 0 (32m 30s): They usually go, no, it's too complicated. Well 

Speaker 1 (32m 33s): Guess TSH. 

Speaker 0 (32m 35s): And then also for TSH, normally you want it around too. You don't want, do you, what number do you like? 

Speaker 1 (32m 42s): Yeah. Around two, but you know, it's very person dependent. And so if someone had a TSH of three, but really I look at the whole picture like how their thyroid hormones are, how their cortisol is. I'm not just going to start someone on thyroid meds, thyroid medication, or, or glandulars or any thing to stimulate them more when their TSH is kind of borderline, you know, that's not how I work. We, we want your body to be able to produce its own. So that's a very key way of looking at things, not just the lab values, you know, like I see how the patient is doing, 

Speaker 0 (33m 19s): But I guess the big point is if your TSH is five, that's not optimal. So start working with start looking because there's a lot of doctors that say, oh, your TSH is five. You're fine. Don't worry about it. But really that's showing signs that something's going on. So I always like here at the MDN chef team is to give our listeners three action steps that they can take home and start winning right away. What three action steps can you share with us today? 


Speaker 1 (33m 51s): So definitely, you know, if you have a stress response, it's very important to do breathing. That's probably the it's free and it's the most effective for bringing your sympathetic response down. So you can do adrenal breathing. We like to call it or just bring your parasympathetics up in order to get your cortisol levels down. And so breathing is very, very simple and easy to do. You can also, like we talked about 

Speaker 0 (34m 24s): Before we go on to number two, how would you breathe? Can you give us a simple example of the breathing? 

Speaker 1 (34m 31s): Yeah. So when you're breathing, you're really focusing on your diaphragm going down and your belly coming out. And so you want to do 70% of a breath. You don't want to just take a full deep breath because that can actually be very activating. Awesome. So if you're someone who's sensitive, you don't want to take a full, deep breath. Like we deal with super sensitive people. Like we call ourselves the ICU of vaginal fatigue. People who can crash even from the wrong type of breathing. So it's important that yeah, we can do it together where you, you know, you breathe in and then you kind of look at it as cyclical and you come out and you breathe out, but you want to have your belly come out. 

And the diaphragm comes down. We actually have an app, Dr. Alarms, adrenal breathing. So you can look into that on the phone, if you wanted to like, get that to someone, to coach you through the breathing. But the importance of the diaphragm coming down is because of the vagal nerve actually running through the diaphragm and the bagel is important for parasympathetics, which is rest and digest. Yes. And calming yourself down. I would say that's probably one of the most easy and important things you can do. 

Do you want to do it together? Sure. So are you going to take a deep breath, but only to 70%? And then you're going to breathe out. You kind of thinking you're going over the moon and coming down and you're feeling your whole belly come out and then you take a deep breath in, again, feel your belly come out. And then you take a breath out and you, your belly goes back in. 

So the sub dominal breathing is very important for helping your relaxation. So that's the first step to, to breathe. Second step is to listen to your symptoms, right? If you're having these symptoms that they don't seem like they're inter correlated, keep a diary is very important to you. Keep track. You know, whether it's food that you may be sensitive to, or people that stress you out, or whether it's your job or how you emotionally are feeling how your sleep is, keeping a diary of your symptoms is very important because you are learning. 

Education is key, like saying, it's you have body in order to be advocate or else you'd go to a doctor. And they're just going to send you to different specialists. And you don't know what's going on when the big picture is that there is a big picture and something is going on. You just have to find that the root cause. And, and then the third, the third takeaway point is really, if you are struggling, you don't know what to do. You're tired of all this information going on, find someone who knows, right? 

Who can help you through this, whether it's a coach or a health care practitioner or a doctor who understands adrenal fatigue. So you don't feel like, Hey, I'm fighting against the medical system. No one cares for me, not my doctor donut doesn't understand adrenal fatigue. And so you need to find people who are like-minded, who can help you to who understands the dosing and delivery and how to get your body, where it needs to get functionally slowly and steadily and work on the whole big picture, rather than just little by little one, one thing at a time, you know? 

And so whether it's finding someone like Dr. Isabel, did your coaching, or for me, like, did he tell him medicine? You have a, there's so much help out there. And if you are interested, definitely look up Lam clinic, you know, Lyme, and we'll be there to give you hope and to be able to help you out. And like I said, you can get our free adrenal fatigue, starter kit at Lyme And that's our adrenal fatigue syndrome book. 

It's basically a 500 page book to be able to tell you what adrenal fatigue is. And also a cookbook and eco book where, Hey, we'll be able to show her, share with you recipes to reclaim your energy and it's by symptoms. So if you're feeling hypoglycemic, we have recipes for that. If you have problems sleeping, we have recipes for that, you know? And so it's just, it's symptom-based so it's pretty good resources for you guys. 

Speaker 0 (38m 57s): Great. Thank you. And all that, all those links will be in the show notes to everybody. All right. Thank you so much, Carrie, do I hear your little baby crying? 

Speaker 1 (39m 6s): Yes, yes. 

Speaker 0 (39m 12s): Yeah. You got to go. Okay. Well, I'm going to let you go. Thank you so much for your time here. You're such a blessing to the world, and I know that you and your family are going to help millions of people in this world reclaim their health. Thank you everyone for joining me. I'm Dr. Isabel, and you're at the MD and chef team. And next week, I don't know what's coming up, but it'll be amazing until then have a super fantastic day. And remember you are an unrepeatable miracle. 

We need you in this world. Please know that you are worth it, remain on stock. Love you. Bye-bye 

Speaker 2 (39m 56s): Hello, chef Michael here. If you enjoy today's episode, we would love it. If you subscribe to the podcast and left us a review.